首页 > 最新文献

Atencion Primaria最新文献

英文 中文
Cómo hacer el seguimiento de la prediabetes y pacientes en riesgo de diabetes. A propósito de la validez de las pruebas diagnósticas 如何监测糖尿病前期和糖尿病高危患者。关于诊断测试的有效性]。
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-03-01 Epub Date: 2026-01-21 DOI: 10.1016/j.aprim.2025.103346
Miguel Angel Maria Tablado
{"title":"Cómo hacer el seguimiento de la prediabetes y pacientes en riesgo de diabetes. A propósito de la validez de las pruebas diagnósticas","authors":"Miguel Angel Maria Tablado","doi":"10.1016/j.aprim.2025.103346","DOIUrl":"10.1016/j.aprim.2025.103346","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103346"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic approach with fatty acids in psoriasis: A systematic review 脂肪酸治疗牛皮癣的方法:系统综述
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-03-01 Epub Date: 2026-01-13 DOI: 10.1016/j.aprim.2025.103332
Odylon Kleber Pereira de Souza , Millenny Lohanne da Silva Lisboa , Aline Teixeira Alves , Liana Barbaresco Gomide Matheus , Marianne Lucena da Silva , Katiane da Costa Cunha

Objective

This study aims to evaluate the clinical impacts of topical and/or oral administration of compounds rich in omega-3 fatty acids from various sources, such as oils and foods, on psoriatic lesions.

Design

A systematic review was carried out. Data sources: Searches were conducted in six databases (PubMed, Cochrane, VHL, Scopus, Embase, and Web of Science) using descriptors related to fatty acids and psoriasis.

Study selection

Inclusion criteria were studies published in the last 10 years (2013–2023) that involved patients with psoriasis and provided quantitative clinical outcome data, such as psoriasis severity scale.

Data extraction

Two independent reviewers carried out the initial screening of the titles and abstracts identified in the search. The quality of studies was evaluated using the Newcastle-Ottawa Scale, the Risk of Bias in Randomized Studies of Interventions, and the Joanna Briggs Institute critical appraisal checklist.

Results

Out of 8570 articles identified, 9 met the inclusion criteria. The quality of randomized clinical trials and observational studies varied from low to high risk of bias, according to the respective parameters of each checklist.

Conclusions

Most studies demonstrated that the topical and/or oral administration of omega-3 fatty acids from different sources significantly improved clinical parameters, as measured by severity scales and the Psoriasis Area and Severity Index (PASI).
目的:本研究旨在评估局部和/或口服各种来源(如油和食物)富含omega-3脂肪酸的化合物对银屑病病变的临床影响。设计进行了系统评价。数据来源:在六个数据库(PubMed、Cochrane、VHL、Scopus、Embase和Web of Science)中使用脂肪酸和牛皮癣相关的描述符进行检索。研究选择纳入标准是最近10年(2013-2023)发表的涉及牛皮癣患者的研究,并提供定量的临床结果数据,如牛皮癣严重程度量表。数据提取两名独立审稿人对检索中确定的标题和摘要进行初步筛选。研究质量采用纽卡斯尔-渥太华量表、干预随机研究的偏倚风险和乔安娜布里格斯研究所关键评估清单进行评估。结果在8570篇文献中,9篇符合纳入标准。随机临床试验和观察性研究的偏倚风险从低到高不等,根据每个检查表各自的参数。结论:大多数研究表明,局部和/或口服不同来源的omega-3脂肪酸可显著改善银屑病的临床参数,如严重程度量表和银屑病面积和严重程度指数(PASI)。
{"title":"Therapeutic approach with fatty acids in psoriasis: A systematic review","authors":"Odylon Kleber Pereira de Souza ,&nbsp;Millenny Lohanne da Silva Lisboa ,&nbsp;Aline Teixeira Alves ,&nbsp;Liana Barbaresco Gomide Matheus ,&nbsp;Marianne Lucena da Silva ,&nbsp;Katiane da Costa Cunha","doi":"10.1016/j.aprim.2025.103332","DOIUrl":"10.1016/j.aprim.2025.103332","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to evaluate the clinical impacts of topical and/or oral administration of compounds rich in omega-3 fatty acids from various sources, such as oils and foods, on psoriatic lesions.</div></div><div><h3>Design</h3><div>A systematic review was carried out. Data sources: Searches were conducted in six databases (PubMed, Cochrane, VHL, Scopus, Embase, and Web of Science) using descriptors related to fatty acids and psoriasis.</div></div><div><h3>Study selection</h3><div>Inclusion criteria were studies published in the last 10 years (2013–2023) that involved patients with psoriasis and provided quantitative clinical outcome data, such as psoriasis severity scale.</div></div><div><h3>Data extraction</h3><div>Two independent reviewers carried out the initial screening of the titles and abstracts identified in the search. The quality of studies was evaluated using the Newcastle-Ottawa Scale, the Risk of Bias in Randomized Studies of Interventions, and the Joanna Briggs Institute critical appraisal checklist.</div></div><div><h3>Results</h3><div>Out of 8570 articles identified, 9 met the inclusion criteria. The quality of randomized clinical trials and observational studies varied from low to high risk of bias, according to the respective parameters of each checklist.</div></div><div><h3>Conclusions</h3><div>Most studies demonstrated that the topical and/or oral administration of omega-3 fatty acids from different sources significantly improved clinical parameters, as measured by severity scales and the Psoriasis Area and Severity Index (PASI).</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103332"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145957831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estigma y aceptación de la telemedicina en salud mental rural peruana 秘鲁农村精神卫生中远程医疗的耻辱和接受
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-03-01 Epub Date: 2026-01-23 DOI: 10.1016/j.aprim.2025.103383
José Luis Rodríguez Eguizabal
{"title":"Estigma y aceptación de la telemedicina en salud mental rural peruana","authors":"José Luis Rodríguez Eguizabal","doi":"10.1016/j.aprim.2025.103383","DOIUrl":"10.1016/j.aprim.2025.103383","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 3","pages":"Article 103383"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychotic symptoms in dementia: Calling for family-sensitive and multidisciplinary approaches at all levels of care 痴呆的精神病症状:呼吁在各级护理中采用家庭敏感和多学科方法
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-01 Epub Date: 2026-01-21 DOI: 10.1016/j.aprim.2025.103442
Marta Fournier , Manuel Gonçalves-Pereira
Psychotic symptoms and other neuropsychiatric manifestations in dementia are distressing conditions that deeply affect patients, carers, and staff. Low awareness and doubts about the competence of primary care services to intervene contribute to underdiagnosis and suboptimal management.
We critically discuss what may and may not be done in primary care, building on the case of a 79-year-old man with dementia who developed Capgras delusion (a typical misidentification syndrome), believing his wife was replaced by impostors. We highlight diagnostic and therapeutic challenges, discussing practical advice potentially applicable in many other neuropsychiatric conditions.
Referrals to specialists are needed but continuity of care and a family-sensitive practice remain crucial (this patient's symptoms and his wife's distress seemed to enhance each other in circular manners). Primary care is pivotal in relation-centred dementia management, to help address the biopsychosocial needs of patient and carers.
A multidisciplinary, task-sharing approach may improve dementia care, particularly in resource-limited settings.
痴呆症的精神病症状和其他神经精神表现是令人痛苦的状况,深深影响患者、护理人员和工作人员。对初级保健服务干预能力的认识和怀疑导致诊断不足和管理不理想。我们以一位79岁的老年痴呆症患者为例,批判性地讨论了在初级保健中什么可以做,什么不可以做,他患上了卡普格拉错觉(一种典型的误认综合征),认为他的妻子被骗子取代了。我们强调诊断和治疗的挑战,讨论可能适用于许多其他神经精神疾病的实用建议。转介给专家是必要的,但护理的连续性和对家庭敏感的做法仍然至关重要(这位病人的症状和他妻子的痛苦似乎以循环的方式相互增强)。初级保健在以关系为中心的痴呆症管理中至关重要,有助于解决患者和护理人员的生物心理社会需求。多学科、任务共享的方法可以改善痴呆症护理,特别是在资源有限的环境中。
{"title":"Psychotic symptoms in dementia: Calling for family-sensitive and multidisciplinary approaches at all levels of care","authors":"Marta Fournier ,&nbsp;Manuel Gonçalves-Pereira","doi":"10.1016/j.aprim.2025.103442","DOIUrl":"10.1016/j.aprim.2025.103442","url":null,"abstract":"<div><div>Psychotic symptoms and other neuropsychiatric manifestations in dementia are distressing conditions that deeply affect patients, carers, and staff. Low awareness and doubts about the competence of primary care services to intervene contribute to underdiagnosis and suboptimal management.</div><div>We critically discuss what may and may not be done in primary care, building on the case of a 79-year-old man with dementia who developed Capgras delusion (a typical misidentification syndrome), believing his wife was replaced by impostors. We highlight diagnostic and therapeutic challenges, discussing practical advice potentially applicable in many other neuropsychiatric conditions.</div><div>Referrals to specialists are needed but continuity of care and a family-sensitive practice remain crucial (this patient's symptoms and his wife's distress seemed to enhance each other in circular manners). Primary care is pivotal in relation-centred dementia management, to help address the biopsychosocial needs of patient and carers.</div><div>A multidisciplinary, task-sharing approach may improve dementia care, particularly in resource-limited settings.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 2","pages":"Article 103442"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Formación científica y reconocimiento RENACYT en estudiantes de ciencias de la salud [卫生科学专业学生的科学训练和RENACYT认可]。
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-01 Epub Date: 2025-12-24 DOI: 10.1016/j.aprim.2025.103433
Edwin Gustavo Estrada-Araoz
{"title":"Formación científica y reconocimiento RENACYT en estudiantes de ciencias de la salud","authors":"Edwin Gustavo Estrada-Araoz","doi":"10.1016/j.aprim.2025.103433","DOIUrl":"10.1016/j.aprim.2025.103433","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 2","pages":"Article 103433"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aprendizaje combinado frente a realidad virtual y métodos tradicionales en la formación en reanimación cardiopulmonar: un ensayo aleatorizado en estudiantes universitarios [混合学习与虚拟现实和传统方法在心肺复苏训练中的对比:在大学生中的随机试验]。
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-01 Epub Date: 2026-01-05 DOI: 10.1016/j.aprim.2025.103413
Ana Belén Ocampo Cervantes , Robert Greif , Rafael Castro Delgado , Carmen Amalia López López , Eduardo Carrión García , Manuel Pardo Ríos

Objective

Out-of-hospital cardiac arrest is the leading cause of sudden death. Basic Life Support (BLS) training is an essential competency in Nursing. Active learning methodologies such as blended learning may improve educational outcomes.

Design

A randomized controlled trial with four parallel groups (n = 160). Participants: was conducted among first-year undergraduate nursing students. Site: At a university in the Region of Murcia, Spain. Interventions: Four methodologies were compared: traditional training, virtual reality (VR), blended learning, and a control group with no intervention. Practical competence was assessed using an 8-item checklist covering key steps in the chain of survival. Technical parameters were measured using Laerdal QCPR® manikins, including percentage of high-quality CPR, compression depth, rate, and full chest recoil. ANOVA, chi-square tests, and correlation models were applied (p < 0.05).

Results

Practical competence differed significantly between groups (p < 0.001). Main measurements: The blended and traditional groups achieved the highest scores (6.6 ± 1.7 and 6.6 ± 1.5, respectively), followed by the VR group (6.3 ± 1.5) and the control group (3.1 ± 1.5). Mean CPR quality also differed significantly (p = 0.0045), with the blended group showing the highest percentage (72.3%), followed by traditional (65.4%), VR (63.4%), and control (46.9%). Regarding compression depth (p = 0.0011), the blended and VR groups achieved similar results (6.1 cm), outperforming the traditional (5.5 cm) and control (4.8 cm) groups. Perceived usability of the VR system was high (78/100).

Conclusions

Blended learning showed overall better performance in most variables analyzed, with higher CPR quality and equal or superior results in practical competence and compression depth compared to the traditional and immersive models. These findings support its effectiveness as a teaching strategy for acquiring BLS competencies.
目的:院外心脏骤停是猝死的主要原因。基本生命支持(BLS)培训是护理学的一项基本能力。主动学习方法,如混合式学习可以改善教育成果。设计:随机对照试验,4个平行组(n=160)。研究对象:在护理本科一年级学生中进行。地点:在西班牙穆尔西亚地区的一所大学。干预措施:比较了四种方法:传统训练、虚拟现实(VR)、混合学习和不进行干预的对照组。实际能力评估使用8项清单,涵盖生存链的关键步骤。使用Laerdal QCPR®人体模型测量技术参数,包括高质量CPR的百分比、按压深度、速率和全胸后坐力。应用方差分析、卡方检验和相关模型(结果:组间实践能力差异显著(pMain测量结果:混合组和传统组得分最高(分别为6.6±1.7和6.6±1.5),VR组次之(6.3±1.5),对照组为3.1±1.5)。平均CPR质量也有显著差异(p=0.0045),其中混合组比例最高(72.3%),其次是传统组(65.4%)、VR组(63.4%)和对照组(46.9%)。在压缩深度方面(p=0.0011),混合组和VR组取得了相似的结果(6.1cm),优于传统组(5.5cm)和对照组(4.8cm)。VR系统的感知可用性较高(78/100)。结论:与传统模型和沉浸式模型相比,混合学习在大多数分析变量中表现出更好的整体表现,具有更高的CPR质量,在实践能力和压缩深度方面的结果相同或更好。这些发现支持其作为获得劳工统计局能力的教学策略的有效性。
{"title":"Aprendizaje combinado frente a realidad virtual y métodos tradicionales en la formación en reanimación cardiopulmonar: un ensayo aleatorizado en estudiantes universitarios","authors":"Ana Belén Ocampo Cervantes ,&nbsp;Robert Greif ,&nbsp;Rafael Castro Delgado ,&nbsp;Carmen Amalia López López ,&nbsp;Eduardo Carrión García ,&nbsp;Manuel Pardo Ríos","doi":"10.1016/j.aprim.2025.103413","DOIUrl":"10.1016/j.aprim.2025.103413","url":null,"abstract":"<div><h3>Objective</h3><div>Out-of-hospital cardiac arrest is the leading cause of sudden death. Basic Life Support (BLS) training is an essential competency in Nursing. Active learning methodologies such as blended learning may improve educational outcomes.</div></div><div><h3>Design</h3><div>A randomized controlled trial with four parallel groups (n<!--> <!-->=<!--> <!-->160). Participants: was conducted among first-year undergraduate nursing students. Site: At a university in the Region of Murcia, Spain. Interventions: Four methodologies were compared: traditional training, virtual reality (VR), blended learning, and a control group with no intervention. Practical competence was assessed using an 8-item checklist covering key steps in the chain of survival. Technical parameters were measured using Laerdal QCPR® manikins, including percentage of high-quality CPR, compression depth, rate, and full chest recoil. ANOVA, chi-square tests, and correlation models were applied (p<!--> <!-->&lt;<!--> <!-->0.05).</div></div><div><h3>Results</h3><div>Practical competence differed significantly between groups (p<!--> <!-->&lt;<!--> <!-->0.001). Main measurements: The blended and traditional groups achieved the highest scores (6.6<!--> <!-->±<!--> <!-->1.7 and 6.6<!--> <!-->±<!--> <!-->1.5, respectively), followed by the VR group (6.3<!--> <!-->±<!--> <!-->1.5) and the control group (3.1<!--> <!-->±<!--> <!-->1.5). Mean CPR quality also differed significantly (p<!--> <!-->=<!--> <!-->0.0045), with the blended group showing the highest percentage (72.3%), followed by traditional (65.4%), VR (63.4%), and control (46.9%). Regarding compression depth (p<!--> <!-->=<!--> <!-->0.0011), the blended and VR groups achieved similar results (6.1<!--> <!-->cm), outperforming the traditional (5.5<!--> <!-->cm) and control (4.8<!--> <!-->cm) groups. Perceived usability of the VR system was high (78/100).</div></div><div><h3>Conclusions</h3><div>Blended learning showed overall better performance in most variables analyzed, with higher CPR quality and equal or superior results in practical competence and compression depth compared to the traditional and immersive models. These findings support its effectiveness as a teaching strategy for acquiring BLS competencies.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 2","pages":"Article 103413"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estrategia combinada para cesación tabáquica en un centro de atención primaria de Cataluña. Estudio piloto longitudinal retrospectivo 加泰罗尼亚初级保健中心戒烟综合战略。纵向回顾性试点研究
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-01 Epub Date: 2026-01-13 DOI: 10.1016/j.aprim.2025.103385
Esther Sotillo Saez
{"title":"Estrategia combinada para cesación tabáquica en un centro de atención primaria de Cataluña. Estudio piloto longitudinal retrospectivo","authors":"Esther Sotillo Saez","doi":"10.1016/j.aprim.2025.103385","DOIUrl":"10.1016/j.aprim.2025.103385","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 2","pages":"Article 103385"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Communicating effectively with women experiencing socioeconomic vulnerability during the perinatal period: A systematic review 与围产期处于社会经济弱势的妇女有效沟通:一项系统综述
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-01 Epub Date: 2026-01-14 DOI: 10.1016/j.aprim.2025.103400
Ayse Akalin , Florence D’haenens , Joeri Vermeulen , Sandra Tricas-Sauras

Objective

To assess the evidence on communication interventions designed to support women experiencing socioeconomic vulnerability in the context of perinatal care.

Design

Systematic review based on narrative synthesis.

Data sources

Web of Science Core Collection, MEDLINE (PubMed), CINAHL (Ebsco), and The Cochrane Library.

Study selection

Following PRISMA guidelines, peer-reviewed qualitative, quantitative, and mixed-method studies published between 2013 and 2023 in English, Spanish, Dutch, French, or Turkish were included. Research from all care settings was eligible, except for studies conducted in low-income countries according to the Human Development Index.

Data extraction

Data extraction was performed at least two team members. Studies were analyzed through narrative synthesis. Methodological quality was assessed using the Critical Appraisal Tools developed by the Centre for Evidence-Based Management (CEBMa).

Results

Twelve studies met the inclusion criteria. Interventions included telehealth, home visits, peer-led initiatives, and tailored approaches such as Brief Interpersonal Psychotherapy and Motivational Interviewing. These interventions showed positive effects on breastfeeding, psychosocial well-being, maternal and neonatal health, and satisfaction with care, although outcomes varied in significance. Study quality ranged from moderate to high.

Conclusions

Although the evidence is limited, the findings suggest that communication interventions may improve perinatal care for women facing socioeconomic vulnerability. Further robust research is recommended.

Systematic review registration

The protocol for this review was registered in PROSPERO (registration number: CRD42023406466).
目的评估围产期护理中社会经济弱势妇女沟通干预的证据。基于叙事综合的系统评价。数据来源:web of Science Core Collection, MEDLINE (PubMed), CINAHL (Ebsco)和Cochrane Library。研究选择遵循PRISMA指南,纳入了2013年至2023年间以英语、西班牙语、荷兰语、法语或土耳其语发表的同行评议的定性、定量和混合方法研究。除了在低收入国家根据人类发展指数进行的研究外,所有护理机构的研究都符合条件。数据提取数据提取至少由两名团队成员执行。研究通过叙事综合进行分析。采用循证管理中心(CEBMa)开发的关键评估工具评估方法学质量。结果12项研究符合纳入标准。干预措施包括远程医疗、家访、同伴领导的倡议,以及量身定制的方法,如简短的人际心理治疗和动机性访谈。这些干预措施对母乳喂养、社会心理健康、孕产妇和新生儿健康以及对护理的满意度产生了积极影响,尽管结果的显著性有所不同。研究质量从中等到高不等。结论虽然证据有限,但研究结果表明,沟通干预可以改善面临社会经济弱势妇女的围产期护理。建议进行进一步有力的研究。系统综述注册本综述的方案已在PROSPERO注册(注册号:CRD42023406466)。
{"title":"Communicating effectively with women experiencing socioeconomic vulnerability during the perinatal period: A systematic review","authors":"Ayse Akalin ,&nbsp;Florence D’haenens ,&nbsp;Joeri Vermeulen ,&nbsp;Sandra Tricas-Sauras","doi":"10.1016/j.aprim.2025.103400","DOIUrl":"10.1016/j.aprim.2025.103400","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the evidence on communication interventions designed to support women experiencing socioeconomic vulnerability in the context of perinatal care.</div></div><div><h3>Design</h3><div>Systematic review based on narrative synthesis.</div></div><div><h3>Data sources</h3><div>Web of Science Core Collection, MEDLINE (PubMed), CINAHL (Ebsco), and The Cochrane Library.</div></div><div><h3>Study selection</h3><div>Following PRISMA guidelines, peer-reviewed qualitative, quantitative, and mixed-method studies published between 2013 and 2023 in English, Spanish, Dutch, French, or Turkish were included. Research from all care settings was eligible, except for studies conducted in low-income countries according to the Human Development Index.</div></div><div><h3>Data extraction</h3><div>Data extraction was performed at least two team members. Studies were analyzed through narrative synthesis. Methodological quality was assessed using the Critical Appraisal Tools developed by the Centre for Evidence-Based Management (CEBMa).</div></div><div><h3>Results</h3><div>Twelve studies met the inclusion criteria. Interventions included telehealth, home visits, peer-led initiatives, and tailored approaches such as Brief Interpersonal Psychotherapy and Motivational Interviewing. These interventions showed positive effects on breastfeeding, psychosocial well-being, maternal and neonatal health, and satisfaction with care, although outcomes varied in significance. Study quality ranged from moderate to high.</div></div><div><h3>Conclusions</h3><div>Although the evidence is limited, the findings suggest that communication interventions may improve perinatal care for women facing socioeconomic vulnerability. Further robust research is recommended.</div></div><div><h3>Systematic review registration</h3><div>The protocol for this review was registered in PROSPERO (registration number: CRD42023406466).</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 2","pages":"Article 103400"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evolución del rendimiento académico universitario antes, durante y después de la pandemia de COVID-19: análisis comparativo por facultades y ciclos académicos [新冠肺炎对秘鲁一所大学学生的学术影响]。
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-01 Epub Date: 2026-01-20 DOI: 10.1016/j.aprim.2025.103415
Alberto Valenzuela Muñoz , Maria Rosario Meza Aguirre , Marisel Roxana Valenzuela Ramos , Pedro Miguel Dias Monteiro
{"title":"Evolución del rendimiento académico universitario antes, durante y después de la pandemia de COVID-19: análisis comparativo por facultades y ciclos académicos","authors":"Alberto Valenzuela Muñoz ,&nbsp;Maria Rosario Meza Aguirre ,&nbsp;Marisel Roxana Valenzuela Ramos ,&nbsp;Pedro Miguel Dias Monteiro","doi":"10.1016/j.aprim.2025.103415","DOIUrl":"10.1016/j.aprim.2025.103415","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 2","pages":"Article 103415"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factores predisponentes a sarcopenia en adultos mayores del área rural y urbana 农村和城市地区老年人患骨质疏松症的易感因素
IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-02-01 Epub Date: 2026-01-13 DOI: 10.1016/j.aprim.2025.103380
Luz Olivia Bernal Regalado, Carlos Alberto Echeverría Mayorga, Jessica Karina Cruz Gómez

Objective

To analyze the association between physical activity, nutritional status, and the risk of sarcopenia in older adults.

Design

Descriptive cross-sectional study conducted between March and December 2024.

Setting

The study included two populations of older adults: one group residing in a rural area of La Libertad municipality, La Libertad department, and another group living in an urban area of Soyapango municipality, San Salvador department, both located in El Salvador.

Participants

A total of 62 older adults aged from 60 to 93 years old without disabling conditions participated in the study. There were no withdrawals; however, one participant died due to a fall during the study period.

Interventions

General health and demographic data were collected using a structured clinical assessment form, including personal medical history, anthropometric measurements, dietary intake frequency, and routine physical activity.

Measurements

Gait speed, handgrip strength, and chair stand test were assessed. Additionally, the SARC-F questionnaire was applied. Descriptive statistical analysis and variable cross-tabulations were performed using IBM SPSS software.

Results

Findings indicate that 43.5% of participants were classified as having probable sarcopenia. Among them, 56% were from the urban group and 44% from the rural group. In both settings, female participants predominated.

Conclusions

An association was observed between probable sarcopenia, physical inactivity, and malnutrition. These conditions can be identified through low-cost functional tests in primary care settings, contributing to the promotion of healthy aging.
目的分析老年人体力活动、营养状况与肌肉减少症发病风险的关系。设计描述性横断面研究于2024年3月至12月进行。该研究包括两组老年人:一组居住在拉利伯塔德市拉利伯塔德省的农村地区,另一组居住在索亚潘戈市圣萨尔瓦多省的城市地区,均位于萨尔瓦多。共有62名年龄在60岁到93岁之间的老年人参加了这项研究,他们没有残疾。没有人提款;然而,在研究期间,有一名参与者因摔倒而死亡。干预措施:使用结构化的临床评估表格收集一般健康和人口统计数据,包括个人病史、人体测量值、饮食摄入频率和日常体育活动。测量方法:评估步态速度、握力和椅子站立测试。采用SARC-F问卷。采用IBM SPSS软件进行描述性统计分析和变量交叉制表。结果发现43.5%的参与者被归类为可能的肌肉减少症。其中,56%来自城市群体,44%来自农村群体。在这两种情况下,女性参与者占主导地位。结论肌少症与缺乏运动和营养不良之间可能存在关联。这些疾病可以通过初级保健机构的低成本功能测试来确定,有助于促进健康老龄化。
{"title":"Factores predisponentes a sarcopenia en adultos mayores del área rural y urbana","authors":"Luz Olivia Bernal Regalado,&nbsp;Carlos Alberto Echeverría Mayorga,&nbsp;Jessica Karina Cruz Gómez","doi":"10.1016/j.aprim.2025.103380","DOIUrl":"10.1016/j.aprim.2025.103380","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the association between physical activity, nutritional status, and the risk of sarcopenia in older adults.</div></div><div><h3>Design</h3><div>Descriptive cross-sectional study conducted between March and December 2024.</div></div><div><h3>Setting</h3><div>The study included two populations of older adults: one group residing in a rural area of La Libertad municipality, La Libertad department, and another group living in an urban area of Soyapango municipality, San Salvador department, both located in El Salvador.</div></div><div><h3>Participants</h3><div>A total of 62 older adults aged from 60 to 93 years old without disabling conditions participated in the study. There were no withdrawals; however, one participant died due to a fall during the study period.</div></div><div><h3>Interventions</h3><div>General health and demographic data were collected using a structured clinical assessment form, including personal medical history, anthropometric measurements, dietary intake frequency, and routine physical activity.</div></div><div><h3>Measurements</h3><div>Gait speed, handgrip strength, and chair stand test were assessed. Additionally, the SARC-F questionnaire was applied. Descriptive statistical analysis and variable cross-tabulations were performed using IBM SPSS software.</div></div><div><h3>Results</h3><div>Findings indicate that 43.5% of participants were classified as having probable sarcopenia. Among them, 56% were from the urban group and 44% from the rural group. In both settings, female participants predominated.</div></div><div><h3>Conclusions</h3><div>An association was observed between probable sarcopenia, physical inactivity, and malnutrition. These conditions can be identified through low-cost functional tests in primary care settings, contributing to the promotion of healthy aging.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"58 2","pages":"Article 103380"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Atencion Primaria
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1