3,323 results match your criteria Atencion primaria / Sociedad Espanola de Medicina de Familia y Comunitaria[Journal]


[Quantification of changes in the external morphology of the back by means of surface topography based on structured light in idiopathic scoliosis in adolescents after a year of treatment with orthopedic corse].

Acta Ortop Mex 2018 May-Jun;32(3):145-156

Servicio de Cirugía Ortopédica y Traumatología. Hospital Clínico Universitario de Valencia. Valencia, España.

Background: To quantify the morphological changes in the surface of the back of adolescents with idiopathic scoliosis as a result of treatment with braces and to correlate them with radiographic changes.

Material And Methods: An analytical, cohort, prospective study on a sample of 31 adolescents with idiopathic scoliosis. We divided them into two groups: eleven treated with braces and twenty without them. Read More

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December 2018

[Use of hypotonic fluids in the prescription of maintenance intravenous fluid therapy].

An Pediatr (Barc) 2018 Nov 28. Epub 2018 Nov 28.

Unidad Móvil de Emergencias de la GUETS, Motilla del Palancar, Cuenca, España.

Introduction: Isotonic fluids, in most cases, are the safest way to dispense fluids intravenously. The aim of this study was to determine the prescription of maintenance intravenous fluids and to study possible associated factors.

Material And Method: A descriptive, cross-sectional, multi-centre study was performed. Read More

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November 2018

Using concept mapping to identify policy options and interventions towards people-centred health care services: a multi stakeholders perspective.

Int J Equity Health 2018 Dec 4;17(1):177. Epub 2018 Dec 4.

Department of Public Health and Primary Care, Ghent University, Campus UZ Gent, 6K3, Corneel Heymanslaan 10, B-9000, Ghent, Belgium.

Background: People-centred health care (PCC) services are identified by the WHO as important building blocks towards universal health coverage. In 2016 the WHO formulated a comprehensive framework on integrated PCC services based on an international expert consultation. Yet, expert opinions may fail to recognize the needs of all health system stakeholders. Read More

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December 2018

Effectiveness of the Epley manoeuvre in posterior canal benign paroxysmal positional vertigo: a randomised clinical trial in primary care.

Br J Gen Pract 2018 Dec 3. Epub 2018 Dec 3.

Unitat de Suport a la Recerca Barcelona, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, and Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), and Equip d'Atenció Primària Badia del Valles, Servei d'Atenció Primària Vallés Occidental, Unitat de Suport a la Recerca Barcelona Metropolitana Nord, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Mataró, Spain.

Background: Evidence on the effectiveness of the Epley manoeuvre in primary care is scarce.

Aim: To evaluate effectiveness at 1 week, 1 month, and 1 year of a single Epley manoeuvre versus a sham manoeuvre in primary care.

Design And Setting: Multicentre, double-blind randomised controlled trial in two primary care practices in Spain from November 2012 to January 2015. Read More

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December 2018

Patient care in the Endocrinology and Nutrition Units of the National Health System. The RECALSEEN study.

Endocrinol Diabetes Nutr 2018 Nov 30. Epub 2018 Nov 30.

Hospital Universitario Gregorio Marañón, Madrid, España.

Objectives: To elaborate a diagnosis of the situation regarding the assistance in the Services and Units of Endocrinology and Nutrition (S°EyN) of the National Health System of Spain (SNHS) and to develop, based on the results obtained, proposals for improvement policies in the S°EyN.

Material And Methods: Cross-sectional descriptive study of the patients treated in the S°EyN departments of acute general hospitals of the SNHS in 2016. Data were obtained through RECALSEEN 2017, an "ad hoc" survey designed specifically for this purpose, and the Minimum Basic Data Set of discharges given by the S°EN of the SNHS (2015). Read More

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November 2018

Improving Medical Attention Through an Integral Care Model for Patients With Ischemic Heart Disease or Atrial Fibrillation.

Rev Esp Cardiol (Engl Ed) 2018 Nov 26. Epub 2018 Nov 26.

Departamento de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain; Servicio de Cardiología e Insuficiencia Cardíaca, Instituto de Investigación en Ciencias de la Salud y Hospital Universitario Germans Trias i Pujol, Badalona. Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain.

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November 2018

[The lack of adherence to a structured multicomponent program of physical exercise by the frail elderly].

Rev Esp Geriatr Gerontol 2018 Nov 24. Epub 2018 Nov 24.

Departamento de Geriatría, Hospital Universitario La Paz, Instituto de Investigación IdiPAZ, Departamento de Medicina, Universidad Autónoma de Madrid, Madrid, España.

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November 2018

A pilot study on the impact of a pottery workshop on the well-being of people with dementia.

Dementia (London) 2018 Nov 27:1471301218814634. Epub 2018 Nov 27.

Centro de Referencia Estatal de atención a personas con enfermedad de Alzheimer y otras demencias - Imserso, España.

Objective: This study seeks to assess the impact of a pottery workshop as a creative arts programme and discover the extent to which people with dementia taking part in an artistic and creative activity engage with it, experience a feeling of well-being, and improve their mood state. In addition, the study will seek to answer the question of whether taking part in a programme of creative activities improves the self-esteem of people with dementia.

Method: The research used an uncontrolled, repeated measures design. Read More

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November 2018

An analysis of primary nurse consultation in the Community of Madrid.

Enferm Clin 2018 Nov 19. Epub 2018 Nov 19.

Consultorio de Villamanta (C.S. Navalcarnero), Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Villamanta, Madrid, España.

Objective: to analyse the characteristics of primary care nurse consultation and to identify the factors associated with different types of activity.

Method: A cross-sectional multicentre observational study in 23 health centres (Community of Madrid), on 164 different nurses. The consultation was classified according to a consensus proposal in: "preventive activities" (PA), "self-care deficit" (SD), "coping and adaptation" (CA) and "diagnostic and therapeutic procedures" (DTP). Read More

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November 2018
3 Reads

[Programa de detección del alelo APOE-E4 en adultos mayores mexicanos con deterioro cognitivo].

Gac Med Mex 2018 ;154(5):555-560

Secretaría de Salud, Instituto Nacional de Medicina Genómica, Laboratorio de Inmunogenómica y Enfermedades Metabólicas, Ciudad de México, México.

Introduction: In Mexico, the prevalence of neurocognitive disorders (NCDs) has increased in parallel with the increase in life expectancy. The E4 allele of the gene that encodes apolipoprotein E (APOE) is the main genetic risk factor for cognitive impairment.

Objective: To replicate the association of APOE-E4 allele with neurocognitive impairment in a Mexican population, as well as to implement a genetic risk-detection program with the APOE-E4 allele. Read More

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January 2018
2 Reads

[Assessment of comorbidity and social anxiety in adolescents with attention deficit hyperactivity disorder: the SELFIE study].

An Pediatr (Barc) 2018 Nov 18. Epub 2018 Nov 18.

Departamento Médico, E-C-BIO, S.L. , Las Rozas, Madrid, España. Electronic address:

Introduction: Attention-deficit/hyperactivity disorder (ADHD) and its comorbidities have an impact on the social anxiety of children and adolescents, but there are practically no studies addressing this topic in adolescence. Our objective was to assess the degree of social anxiety and to analyse the presence of psychiatric comorbidities (PSCs) in adolescents with ADHD.

Methodology: We conducted a cross-sectional observational study in patients aged 12 to 18 years with a confirmed diagnosis of ADHD (DSM-5). Read More

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November 2018
2 Reads

A body shape index and vascular structure and function in Spanish adults (MARK study): A cross-sectional study.

Medicine (Baltimore) 2018 Nov;97(47):e13299

Institute of Biomedical Research of Salamanca (IBSAL), Primary Health Care Research Unit The Alamedilla Health Center.

A body shape index (ABSI) has been introduced as a marker of the relationship between body composition and all-cause mortality. However, until now, the relationships between ABSI and vascular structure and function have not been evaluated. The aim of this study was to investigate the association of ABSI with vascular structure and function in Spanish adults with intermediate cardiovascular risk. Read More

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November 2018
2 Reads

[Prevalence and characteristics of chronic obstructive pulmonary disease in non-smokers].

Aten Primaria 2018 Nov 16. Epub 2018 Nov 16.

Institut de Recerca Biomèdica (IRB) de Lleida, Lleida, España; Agència de Salut Pública de Catalunya, Departament de Salut, Lleida, España; Facultat de Medicina, Universitat de Lleida, Lleida, España.

Objective: The objective of the study was to know the profile of patients diagnosed with chronic obstructive pulmonary disease (COPD) and who have never been smokers.

Design: A transversal study.

Location: Primary Care Centre of Pla d'Urgell (Primary care setting in Lleida, Spain). Read More

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November 2018
1 Read

A prospective cohort study to evaluate immunosuppressive cytokines as predictors of viral persistence and progression to pre-malignant lesion in the cervix in women infected with HR-HPV: study protocol.

BMC Infect Dis 2018 Nov 19;18(1):582. Epub 2018 Nov 19.

Chronic Infectious Diseases and Cancer Division, Center for Research on Infectious Diseases, Instituto Nacional de Salud Pública (INSP), Cuernavaca, Morelos, Mexico.

Background: Cervical cancer (CC) is caused by a persistent infection of high-risk human papillomavirus (HR-HPV). While most HPV infections are transient, persistent HPV infections are a significant health problem in Mexico. With an estimated HPV prevalence of 10% among women in reproductive age, approximately 25% of these women present at least a positive result in triage test, which according to previous studies is expected to be confirmed as positive CIN-2/3. Read More

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November 2018
3 Reads

In-hospital Mortality Due to Acute Myocardial Infarction in the Canary Islands. Response.

Rev Esp Cardiol (Engl Ed) 2018 Nov 14. Epub 2018 Nov 14.

Unidad de Investigación de Atención Primaria, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain; Área de Medicina Preventiva y Salud Pública, Universidad de La Laguna, San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain. Electronic address:

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November 2018

Reduction of No Reflow with a Loading Dose of Atorvastatin before Primary Angioplasty in Patients with Acute ST Myocardial Infarction.

Arch Med Res 2018 Nov 13. Epub 2018 Nov 13.

Código Infarto, Hospital de Cardiología, Unidad Médica de Alta Especialidad, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.

Background: No reflow defined as an altered myocardial reperfusion and failure at microvascular level is a frequent complication in acute myocardial infarction that attenuates beneficial effect of reperfusion therapy leading to poor outcomes. There is not enough evidence to support that previous use of statins improves coronary flow in patients undergoing primary percutaneous coronary intervention (PCI).

Aim Of Study: To determine if a loading dose of 80 mg of atorvastatin before primary angioplasty reduces the frequency of no reflow, hs-CRP, IL6 intracoronary levels, and major combined cardiovascular events at 30 d. Read More

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November 2018
1 Read

Periodontal disease in adults with diabetes, prevalence and risk factors. Results of an observational study.

Int J Clin Pract 2018 Nov 16:e13294. Epub 2018 Nov 16.

Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain.

Aim: We sought (a) to assess the association between periodontal disease and diabetes, controlling for socio-demographic characteristics, comorbidities, oral health status and lifestyle variables; (b) to identify which of these variables are independently associated with periodontal disease among diabetes sufferers.

Methods: We conducted a case-control study using data from the National/European Health Interview Surveys, conducted from 2003 to 2014 in Spain. We included 65 295 subjects ≥40 years. Read More

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November 2018
2 Reads

Coordinated expression of the VEGF system components in granulosa cells to develop a pro-angiogenic autocrine milieu during ovarian follicle development.

Mol Reprod Dev 2018 Nov 15. Epub 2018 Nov 15.

Departamento Producción Agrícola y Animal, Universidad Autónoma Metropolitana-Xochimilco, Ciudad de, México, México.

In the present study we investigated the temporal relationship between angiogenic and anti-angiogenic vascular endothelial growth factor isoforms (VEGFxxxa and VEGFxxxb respectively), the receptors VEGFR1 and VEGFR2, their soluble forms, and the kinases and the splicing factors regulating the synthesis of VEGF isoforms in healthy and atretic antral follicles. The results show a higher (P<0.05) mRNA expression of VEGF120a, VEGF164a and VEGF120b in healthy than in atretic follicles, but the mRNA expression of VEGF164b was not detected. Read More

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November 2018

Determinants of the Appearance and Progression of Early-Onset Chronic Obstructive Pulmonary Disease in Young Adults. A Case-Control Study with Follow-up.

Arch Bronconeumol 2018 Nov 11. Epub 2018 Nov 11.

CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, España; Servicio de Neumología, Hospital Universitario Son Espases-IdISBa, Palma de Mallorca, España. Electronic address:

Introduction And Objectives: Determinants of chronic obstructive pulmonary disease (COPD) in the early stages of its natural history are not well known. Improving our knowledge of these factors will help to design interventions that can modify prognosis. Study objectives are: a) to characterize a COPD population of young adults aged 35-50 years from a multidimensional point of view; b) to compare these patients with smokers with normal lung function; and c) to create a cohort of young adults aged 35-50 years (smokers or former smokers), with and without COPD, who will be followed in the future to improve understanding of the natural history of the disease. Read More

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November 2018
2 Reads

Cardiovascular disease in nonagenarians: Prevalence and utilization of preventive therapies.

Eur J Prev Cardiol 2018 Nov 14:2047487318813723. Epub 2018 Nov 14.

3 Dirección Técnica de Sistemas de Información Sanitaria, Gerencia Adjunta de Procesos Asistenciales, Gerencia Asistencial de Atención Primaria, Madrid, Spain.

Aims: Nonagenarians are a fast growing segment of industrialized countries' populations. Despite a greater risk of cardiovascular disease, there are limited data about their use of preventive therapies and factors guiding decisions regarding their prescription. The aim of this study was to evaluate the prevalence of cardiovascular diseases and the patterns of use of cardiovascular treatments in subjects ≥90 years old. Read More

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November 2018
3 Reads

Which Seems to Be Worst? Pain Severity and Quality of Life between Patients with Lateral Hip Pain and Low Back Pain.

Pain Res Manag 2018 22;2018:9156247. Epub 2018 Oct 22.

Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain.

Purpose: The aim of this study was to compare the pain severity, health-related quality of life (HRQoL), and risk of continue having pain with prognostic risk scores (PRS), between patients referring greater trochanteric pain syndrome (GTPS) and chronic low back pain (CLBP).

Methods: A descriptive, cross-sectional design using nonprobability convenience sampling was performed. A total sample of 102 patients were recruited from two primary health-care centers and divided into GTPS ( = 51) and CLBP ( = 51) groups. Read More

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October 2018
3 Reads

Effectiveness of the physical activity intervention program in the PREDIMED-Plus study: a randomized controlled trial.

Int J Behav Nutr Phys Act 2018 Nov 13;15(1):110. Epub 2018 Nov 13.

CIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain.

Background: The development and implementation of effective physical activity (PA) intervention programs is challenging, particularly in older adults. After the first year of the intervention program used in the ongoing PREvención con DIeta MEDiterránea (PREDIMED)-Plus trial, we assessed the initial effectiveness of the PA component.

Methods: PREDIMED-Plus is an ongoing randomized clinical trial including 6874 participants randomized to an intensive weight-loss lifestyle intervention based on an energy-restricted Mediterranean diet (MedDiet), physical activity promotion and behavioral support and to a control group using MedDiet recommendations but without calorie restriction or PA advice. Read More

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November 2018
5 Reads

Plasma acylcarnitines and risk of type 2 diabetes in a Mediterranean population at high cardiovascular risk.

J Clin Endocrinol Metab 2018 Nov 13. Epub 2018 Nov 13.

Human Nutrition Unit, Faculty of Medicine and Health Sciences, Pere Virgili Health Research Institute, Rovira i Virgili University, Reus, Spain.

Context: The potential associations between acylcarnitine profiles and incidence of T2D, and whether acylcarnitines can be used to improve diabetes prediction remains unclear.

Objective: To evaluate the associations between baseline and 1-year changes in acylcarnitines, and their diabetes predictive ability beyond traditional risk factors.

Design, Setting And Participants: We designed a case-cohort study within the PREDIMED Study including all incident cases of T2D(n=251) and 694 randomly selected participants at baseline(follow-up:3. Read More

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November 2018
5 Reads
6.209 Impact Factor

Living with disabling chronic pain: results from a face-to-face cross-sectional population-based study.

BMJ Open 2018 Nov 12;8(11):e020913. Epub 2018 Nov 12.

Médico de Atención Primaria, Sevilla, Spain.

Objectives: To estimate the prevalence of disabling chronic pain (DCP) in Spanish adults, to analyse its characteristics, to determine its multimorbidity and to identify its associated factors.

Settings: 2011 Andalusian Health Survey, a cross-sectional population survey based on face-to-face home interviews.

Participants: 6507 people aged 16 years or older and living in Andalusia, Spain. Read More

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November 2018
2 Reads

Executive summary: Consensus document of GEHEP of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), along with SOCIDROGALCOHOL, SEPD and SOMAPA on hepatitis C virus infection management in drug users.

Enferm Infecc Microbiol Clin 2018 Nov 8. Epub 2018 Nov 8.

Unidad de Patología Infecciosa, Hospital Universitario Álvaro Cunqueiro, Instituto de Investigación Sanitaria Galicia Sur, Vigo, Spain.

The micro-elimination of HCV infection in drug users (DU) in our area is a priority in order to achieve the overall elimination of this disease. Coordinated action between specialists in addiction treatment, microbiologists and physicians who treat HCV infection is required to implement infection screening, to achieve universal access to treatment and to prevent new infections and reinfections. The objective of this document was to come to a consensus on the screening, hospital referral, treatment, follow-up and prevention of HCV infection in DU by an expert panel from GEHEP/SEIMC and three scientific societies of addiction treating physicians: SEPD, SOCIDROGALCOHOL and SOMAPA. Read More

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November 2018
1 Read

[Trained eye vs. gold standard].

Semergen 2018 Nov 8. Epub 2018 Nov 8.

Medicina Familiar y Comunitaria, Centro de Salud Ciudad Real I, Ciudad Real, España.

Objective: To determine the degree of correlation between the clinical diagnosis prior to the minor surgery process and its concordance with the results of histopathology report, as well as to determine the surgical data of little clinical importance compared to that which is really necessary and cost-effective.

Material And Method: A descriptive, observational, retrospective and transversal study was conducted of the Minor Surgery Activities of a clinic in the Ciudad Real Health Centre I.

Results: A total of 124 surgical specimens were sent for clinical diagnostic comparison, of which, the main clinical diagnoses were: intradermal melanocytic nevi (34. Read More

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November 2018
1 Read

[Public, private or third sector management? Differences in the results in Primary Care in Catalonia].

Aten Primaria 2018 Nov 5. Epub 2018 Nov 5.

Universitat Autònoma de Barcelona, Barcelona, España.

Goal: Compare the performance of primary health centers managed by the public sector (ICS), the third sector (Hospitals) or by small private organizations known as EBAs.

Design: Multidimensional comparative analysis. We follow a quasi-experimental logic comparing primary health centers managed by EBAs with other centers managed by the public sector (ICS) o by the third sector (hospitals). Read More

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November 2018
2 Reads

[Knowledge and attitudes of health care professionals in advance healthcare directives].

J Healthc Qual Res 2018 Sep - Oct;33(5):270-277. Epub 2018 Aug 8.

Atención Primaria, Móstoles,Comité de Ética Asistencial, Hospital Universitario de Móstoles, Madrid, España.

Background And Objective: The advanced healthcare directive is a new style of health care relationship, based on the respect of the patientś autonomous decisions: as well as a valuable tool that enables a proper management of the decisions made at the end of life. The objective of this study was to explore the knowledge and attitudes of the health care professionals regarding the advance directives, as well as the resources for advanced care planning in a municipality of Madrid during 2016-2017.

Material And Methods: A cross-sectional descriptive study was carried out on a population of Health care professionals of Primary and Specialised Care. Read More

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August 2018
3 Reads

Dietary Intake in Population with Metabolic Syndrome: Is the Prevalence of Inadequate Intake Influenced by Geographical Area? Cross-Sectional Analysis from PREDIMED-Plus Study.

Nutrients 2018 Nov 4;10(11). Epub 2018 Nov 4.

Department of Preventive Medicine and Public Health, Medical School, University of Navarre, 31008 Pamplona, Spain.

Inadequate diet influences chronic diseases such as cardiovascular disease (CVD), the leading cause of death in Spain. CVD figures vary from one geographical region to another; this could be associated with different food choices. Our aim was to analyse the influence of geographical area on nutrient intakes among the Spanish adult population with Metabolic Syndrome (MetS). Read More

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November 2018
8 Reads

[Norovirus: One more guest in residential homes for the elderly?]

Rev Esp Geriatr Gerontol 2018 Nov 2. Epub 2018 Nov 2.

Unidad de Epidemiología, Unidad de Gestión Clínica Interniveles de Prevención, Promoción y Vigilancia de la Salud, Distrito Sanitario de Atención Primaria Granada-Metropolitano, Armilla, Granada, España.

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November 2018

[Comprehensive Care Home Unit: reduction of hospital resources during influenza outbreaks].

Rev Esp Salud Publica 2018 Nov 2;92. Epub 2018 Nov 2.

Servicio de Geriatría. Complejo Hospitalario Universitario de Albacete. Albacete. España.

Objective: The Comprehensive Care Home Unit of the General Hospital of Villarrobledo is a unit formed by a geriatrician who sees people in nursing homes to improve their quality of care. The activity of the Unit has been analyzed, mainly with the objective of avoiding referral to the emergency room, avoiding hospital admissions, avoiding hospital readmissions and reducing the number of hospital admission days.

Methods: We retrospectively described the clinical activity of the Unit during the influenza outbreak of 2017 and 2018. Read More

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November 2018
2 Reads

[Relationship Between Low Socioeconomic Level of the Area of Residence and Pregnancy in Adolescents].

An Pediatr (Barc) 2018 Nov 1. Epub 2018 Nov 1.

Servicio de Maternidad del Hospital Universitario Virgen del Rocío, Servicio Andaluz de Salud, Sevilla, España.

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November 2018

[Usefulness and reliabitlity of musculoskeletal point of care ultrasound in family practice (1): Knee, shoulder and enthesis].

Aten Primaria 2018 Dec 2;50(10):629-643. Epub 2018 Nov 2.

Especialidad en Medicina Familiar y Comunitaria; Grupo de Trabajo de Ecografía de la Sociedad Española de Medicina Familiar y Comunitaria; EAP Badalona 2, Centre Dalt La Villa, Badalona, Barcelona, España.

Musculoskeletal ultrasound (MSU) is a technique which has been extended to practically all medical specialties that comprise this pathology. Family Doctor (FD) has not been away from this process due to its great wide of competences, using it in different scenarios inside his common practice in which he can get profits in a reliable, efficient and effective way. Ultrasound equipment incorporation in Primary Care (PC) centers is an increasing reality, contributing to high ranges of accessibility, immediacy and clinic handle capability, and thus, together with the high prevalence in this area in locomotor apparatus, turns MSU into an strategic action for the improvement of the resolving capacity and consequently for the health care. Read More

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December 2018

Breaking Barriers: Prospective Study of a Cohort of Advanced Chronic Obstructive Pulmonary Disease Patients To Describe Their Survival and End-of-Life Palliative Care Requirements.

J Palliat Med 2018 Nov 2. Epub 2018 Nov 2.

6 Investigation Support Multidisciplinary Unit for Primary Care and Community North Area of Madrid, Madrid, Spain.

Background And Aim: Consensus has been reached on the need to integrate palliative care in the follow-up examinations of chronic obstructive pulmonary disease (COPD) patients. We analyzed the survival from the initiation of follow-up by a palliative home care team (PHCT) and described the needs and end-of-life process.

Setting And Design: This study was a prospective observational cohort study of advanced COPD patients referred to a PHCT. Read More

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November 2018
2 Reads

Type 2 diabetes and cognitive impairment in an older population with overweight or obesity and metabolic syndrome: baseline cross-sectional analysis of the PREDIMED-plus study.

Sci Rep 2018 Oct 31;8(1):16128. Epub 2018 Oct 31.

Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.

This study cross-sectionally examines in the elderly population: (a) the association of type 2 diabetes with executive function (EF); (b) the effect of BMI on both type 2 diabetes and EF; (c) the association between glycaemia control and EF in type 2 diabetes. 6823 older individuals with overweight/obesity and metabolic syndrome participating in the PREDIMED-PLUS study, were assessed with a battery of cognitive tests and a medical interview. ANOVA showed a significantly worse performance on EF in type 2 diabetes vs. Read More

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October 2018
4 Reads

Spanish Diabetes Society (SED) recommendations for the pharmacologic treatment of hyperglycemia in type 2 diabetes: 2018 Update.

Endocrinol Diabetes Nutr 2018 Dec 23;65(10):611-624. Epub 2018 Oct 23.

Servicio de Endocrinología y Nutrición, Hospital Arnau de Vilanova, Valencia, España.

Type 2 diabetes mellitus (DM2) has become a problem of global dimensions by their high and growing prevalence worldwide and the personal and economic costs associated with it. Correct treatment can reduce mortality and associated complications. New concepts have recently been included in routine clinical practice and have changed the algorithm of DM2 pharmacological therapy. Read More

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December 2018
5 Reads

[Effectiveness of a brief educational intervention relating to the correct use of inhalers on the prevention of exacerbation in patients suffering from chronic obstructive pulmonary disease].

Semergen 2018 Oct 22. Epub 2018 Oct 22.

Médico de Urgencias, Hospital Universitario de Cabueñes, Gijón, Asturias, España.

Objective: To predict the effect of a brief educational intervention aimed at improving the inhaler technique on the reduction of exacerbations in patients with COPD over a year.

Matherial And Methods: A triple blind, randomised controlled clinical trial with parallel design.

Inclusion Criteria: to be between 40-75 years, having been diagnosed with COPD, and being on treatment with inhalers. Read More

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October 2018
4 Reads

Inpatient Dermatology Consultations in Renal Transplant Recipients.

Actas Dermosifiliogr 2018 Oct 22. Epub 2018 Oct 22.

Servicio de Dermatología, Universidad Federal de São Paulo, Sao Paulo, Brasil.

Background: Renal transplant recipients (RTR), which are an increasing population, frequently suffer from post-transplant dermatological complications. Despite the well-established role of dermatologists in the outpatient care of these patients, no previous studies were found concerning dermatology consultations for hospitalized RTR.

Objectives: To investigate the epidemiology of dermatological conditions presented by RTR during hospitalization and assess the impact of dermatology consultations performed in the hospital setting. Read More

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October 2018

[Design and validation of the scale to assess the fragility of chronic patients].

Aten Primaria 2018 Oct 20. Epub 2018 Oct 20.

Atención primaria, Área Sanitaria Norte de Málaga, Málaga, España.

Objective: To create a scale and tool that allows us to measure the fragility of the chronic patient.

Design: Observational study on the area's chronicles.

Location: Between January 2011 and December 2015, a population of 2108 individuals. Read More

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October 2018

[Nurse prescription: A concept analysis].

Aten Primaria 2018 Oct 18. Epub 2018 Oct 18.

Universidad de Barcelona, Barcelona, España.

Objective: To critically analyse the concept of nursing prescription through the study of its background and a review of the scientific literature, in order to develop an accurate conception of this nursing activity and to identify the essential elements surrounding this concept.

Method: Application of the concept analysis method described by Wilson, and adapted by Avant.

Results: The concept of nurse prescription implies prescribing, by the nurse, the best therapeutic regimen for a health problem. Read More

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October 2018
1 Read

[Prioritisation of tools for integrated care: Local survey of health professionals' beliefs and expectations].

Semergen 2018 Nov - Dec;44(8):530-536. Epub 2018 Oct 16.

Dirección Médica, GASBI, Ponferrada, León, España; Gerencia de Asistencia Sanitaria El Bierzo (GASBI), Hospital El Bierzo, Ponferrada, León, España.

Introduction: Integrated care is a top priority for most of the National Health Services. In this study, an evaluation is made on the professional's beliefs and expectations regarding integration.

Material And Methods: Between March and June 2017, Health Professionals from El Bierzo, León, Spain, were invited to complete 2 questionnaires on health integration process, including an online questionnaire on patient care integration (405 and 211 participants, respectively out of the total 1854 professionals). Read More

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October 2018
4 Reads

[Public participation in research from the perspective of primary health care researchers].

Gac Sanit 2018 Oct 15. Epub 2018 Oct 15.

Unidad de Investigación, Hospital Nuestra Señora de la Candelaria y Gerencia de Atención Primaria de Tenerife, Servicio Canario de la Salud, Santa Cruz de Tenerife, España.

Objective: Explore the strengths, weaknesses, opportunities and threats (SWOT) for development of public involvement in research by Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAPJGol) according to primary health care researchers in Catalonia (Spain).

Methods: Cross-sectional study carried out in 2017 with 36 primary health care research teams accredited by IDIAPJGol and its management staff. An open questionnaire (paper and online) was designed and piloted to develop a SWOT technique, and 65 answers were obtained (14 in paper and 51 online). Read More

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October 2018
5 Reads

[Is it possible to reduce the prevalence of dementia? New approaches are needed to deal with dementia].

Semergen 2018 Nov - Dec;44(8):586-589. Epub 2018 Oct 15.

Servicio de Neurología, Departamento de Medicina, Hospital Daniel Alcides Carrión, Callao, Perú́; Universidad Científica del Sur, Facultad de Ciencias de la Salud, Lima, Perú; Red de Eficacia Clínica y Sanitaria, Lima, Perú.

Dementia is recognised as a public health problem with high incidence and prevalence, as well as an increase in its burden of disease and associated with mortality. The different treatments have not provided clinical results that modify the course of the disease or reduce its impact in terms of mortality or disability. This review indicates that it is feasible to avoid the development of dementia despite the fact that age continues to be an important non-modifiable risk factor. Read More

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October 2018

[Evaluation of Primary Care Accessibility and Longitudinality in Granada Using Primary Care Assessment Tools].

J Healthc Qual Res 2018 May - Jun;33(3):121-129. Epub 2018 May 26.

Escuela Andaluza de Salud Pública, Granada, España. Electronic address:

Objective: To assess accessibility and longitudinality performance in Primary Care Teams of Granada from the point of view of Clinical Team Leaders. Any differences will also be determined in the performance of these 2functions depending on the environment of the Primary Care Centres (urban, rural or suburban).

Method: A cross-sectional descriptive study using the "Primary Care Assessment Tool" (PCAT) questionnaire on all Primary Care Team managers from "Granada-Metropolitan" Primary Health Care District (n = 35). Read More

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E-young chronics y e-senior chronics como nuevos modelos para la atención a la cronicidad.

J Healthc Qual Res 2018 May - Jun;33(3):119-120

Servicio de Endocrinología, Hospital Universitario de León, León, España.

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Spanish Cultural Validation of the Modified Checklist for Autism in Toddlers, Revised.

J Autism Dev Disord 2018 Oct 17. Epub 2018 Oct 17.

Institute of Rare Diseases Research & CIBERER, Instituto de Salud Carlos III, Madrid, Spain.

The Modified Checklist for Autism in Toddlers-revised/follow-up (M-CHAT-R/F) was developed to reduce the number of cases requiring telephone verification. The aim of this study was to validate a Spanish version of the M-CHAT-R/F in the Spanish public health system. The M-CHAT-R/F was translated, culturally adapted, and then administered to 6625 children. Read More

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October 2018

Plasma Lipidomic Profiling and Risk of Type 2 Diabetes in the PREDIMED Trial.

Diabetes Care 2018 Dec 16;41(12):2617-2624. Epub 2018 Oct 16.

Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain

Objective: Specific lipid molecular changes leading to type 2 diabetes (T2D) are largely unknown. We assessed lipidome factors associated with future occurrence of T2D in a population at high cardiovascular risk.

Research Design And Methods: We conducted a case-cohort study nested within the PREDIMED trial, with 250 incident T2D cases diagnosed during 3. Read More

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December 2018
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