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atencion primaria

César García Vera, María García Ventura, Guadalupe Del Castillo Aguas, Begoña Domínguez Aurrecoechea, María Jesús Esparza Olcina, Ana Martínez Rubio, José María Mengual Gil
OBJECTIVE: To determine the main clinical and epidemiological features of bacterial gastroenteritis in our environment. PATIENTS AND METHODS: An observational study of a Spanish population in 17 Autonomous Communities. Questionnaires of children with a stool positive culture to bacteria were collected over a one year period. A bivariate analysis was performed on the variables involved, as well as two multivariate models (for antibiotic treatment variables, and comparison Campylobacter/Salmonella)...
September 26, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Pilar Serrano-Gallardo, Mercedes Martínez-Marcos, Flora Espejo-Matorrales, Tiemi Arakawa, Gabriela Tavares Magnabosco, Ione Carvalho Pinto
OBJECTIVE: to identify the students' perception about the quality of clinical placements and asses the influence of the different tutoring processes in clinical learning. METHODS: analytical cross-sectional study on second and third year nursing students (n=122) about clinical learning in primary health care. The Clinical Placement Evaluation Tool and a synthetic index of attitudes and skills were computed to give scores to the clinical learning (scale 0-10). Univariate, bivariate and multivariate (multiple linear regression) analyses were performed...
July 11, 2016: Revista Latino-americana de Enfermagem
Elaine Amaral de Paula, Mônica Barros Costa, Fernando Antonio Basile Colugnati, Rita Maria Rodrigues Bastos, Chislene Pereira Vanelli, Christiane Chaves Augusto Leite, Márcio Santos Caminhas, Rogério Baumgratz de Paula
OBJECTIVE: to assess the structure and results obtained by the "Chronic Renal Patients Care Program" in a Brazilian city. METHOD: epidemiological, cross-sectional study conducted in 14 PHC units and a secondary center from 2010 to 2013. The Donabedian Model was the methodological framework used. A total of 14 physicians, 13 supervisors, and 11 community health agents from primary healthcare were interviewed for the assessment of structure and process and 1,534 medical files from primary healthcare and 282 from secondary care were consulted to assess outcomes...
July 11, 2016: Revista Latino-americana de Enfermagem
Leticia do Nascimento, Cristiane Cardoso de Paula, Tania Solange Bosi de Souza Magnago, Stela Maris de Mello Padoin, Erno Harzheim, Clarissa Bohrer da Silva
OBJECTIVE: to evaluate the quality of health care for children and adolescents living with HIV, among the different types of Primary Health Care services of Santa Maria, Rio Grande do Sul. METHOD: cross-sectional study, developed with 118 Primary Health Care professionals. The Primary Care Evaluation Instrument, Professional version, was used. For verification of the variables associated with the high score, Poisson Regression was used. RESULTS: the professionals of the Family Health Strategy, when compared to those of the Primary Health Units, obtained a greater degree of orientation to primary care, both for the overall score and for the derived attributes score, as well as for the integrality and community orientation attributes...
2016: Revista Latino-americana de Enfermagem
Thatianny Tanferri de Brito Paranaguá, Ana Lúcia Queiroz Bezerra, Gabriela Camargo Tobias, Suely Itsuko Ciosak
OBJECTIVE: to analyze the support for learning, in the perspective of patient safety, offered in the work environment, according to health professionals working in primary care. METHOD: a transversal study, held with 86 health professionals working in primary care. A validated instrument was used, applied via the Internet. Descriptive statistical analysis was undertaken with a presentation of median, mean, standard deviation and coefficient of variation. RESULTS: points which are favorable to supporting learning were evidenced, such as mutual respect, autonomy for organizing the work and valorization of new ideas, which obtained means above 7...
2016: Revista Latino-americana de Enfermagem
Keri Elizabeth Zug, Silvia Helena De Bortoli Cassiani, Joyce Pulcini, Alessandra Bassalobre Garcia, Francisca Aguirre-Boza, Jeongyoung Park
OBJECTIVE: to identify the current state of advanced practice nursing regulation, education and practice in Latin America and the Caribbean and the perception of nursing leaders in the region toward an advanced practice nursing role in primary health care to support Universal Access to Health and Universal Health Coverage initiatives. METHOD: a descriptive cross-sectional design utilizing a web-based survey of 173 nursing leaders about their perceptions of the state of nursing practice and potential development of advanced practice nursing in their countries, including definition, work environment, regulation, education, nursing practice, nursing culture, and perceived receptiveness to an expanded role in primary health care...
August 8, 2016: Revista Latino-americana de Enfermagem
Rosa Maria de Albuquerque Freire, Maria José Lumini Landeiro, Maria Manuela Ferreira Pereira da Silva Martins, Teresa Martins, Heloísa Helena Ciqueto Peres
OBJECTIVES: to acknowledge and compare the health promotion and complications' prevention practices performed by nurses working in hospital and primary health care contexts. METHODS: descriptive, exploratory and crosscutting study, performed with 474 nurses selected by convenience sampling. It was used a form that encompassed two categories of descriptive statements about quality in the professional exercise of nurses. This study had ethical committee approval. RESULTS: the nurses' population was mainly women (87,3%) with an average age of 35,5 years...
August 8, 2016: Revista Latino-americana de Enfermagem
Diene Monique Carlos, Maria das Graças Carvalho Ferriani
OBJECTIVE: to understand the context of care addressed to the families involved in family violence against children and adolescents (IVCA), as produced in the context of the Primary Health Care (PHC), from the vantage point of the practitioners of a municipality in the State of Sao Paulo. METHODS: qualitative research of the social-strategic type, based on the Complexity Paradigm. The participants were 41 health practitioners in five health units of the municipality under study, pertaining to the five districts of the municipality...
August 8, 2016: Revista Latino-americana de Enfermagem
Yolanda Godoy, Clara Godoy, Juan Reyes
The purpose of this work was to explore: knowledge, attitudes, and beliefs regarding gynecologic cancer screening on Ecuadorian women users of primary care facilities, to identify the social representations that users of health services make about these programs and their influence on the decision to undergo a screening. An exploratory and qualitative research design was held using focus groups and in-depth interviews for data collection. A narrative content analysis of the results was conducted. Women's knowledge on gynecological cancer screening was confusing...
June 2016: Revista da Escola de Enfermagem da U S P
Nara Sibério Pinho Silveira, Camila Teixeira Moreira Vasconcelos, Ana Izabel Oliveira Nicolau, Mônica Oliveira Batista Oriá, Patricia Neyva da Costa Pinheiro, Ana Karina Bezerra Pinheiro
OBJECTIVE: to verify the association among the knowledge attitude and practice of women in relation to the smear test and the age range. METHOD: a cross-sectional research was undertaken, associated with the knowledge, attitude and practice survey at a Primary Health Care service. The sample consisted of 775 women, distributed in three age ranges: adolescent, young and elderly. RESULTS: although high rates of inappropriate knowledge were found in all age ranges, it was significantly higher among the adolescents (p=0...
June 14, 2016: Revista Latino-americana de Enfermagem
Cristina Cuerda, Julia Álvarez, Primitivo Ramos, Juan Carlos Abánades, Abelardo García-de-Lorenzo, Pedro Gil, Juan José De-la-Cruz
Introducción: la desnutrición relacionada con la enfermedad (DRE) es un problema sociosanitario frecuente que afecta preferentemente a los mayores de 65 años, que aumenta la morbimortalidad y disminuye la calidad de vida.  Objetivo: estudiar la prevalencia de DRE en mayores de 65 años en diferentes centros sociosanitarios del Servicio Regional de Bienestar Social de la Comunidad de Madrid. Métodos: estudio transversal en 33 centros sociosanitarios de Madrid (6 centros de atención primaria [AP], 9 centros de mayores [CM], 9 hospitales [H] y 9 residencias [R]) seleccionados mediante muestreo polietápico...
2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
M Sanni Ali, Rolf H H Groenwold, Svetlana V Belitser, Patrick C Souverein, Elisa Martín, Nicolle M Gatto, Consuelo Huerta, Helga Gardarsdottir, Kit C B Roes, Arno W Hoes, Antonius de Boer, Olaf H Klungel
BACKGROUND: Observational studies including time-varying treatments are prone to confounding. We compared time-varying Cox regression analysis, propensity score (PS) methods, and marginal structural models (MSMs) in a study of antidepressant [selective serotonin reuptake inhibitors (SSRIs)] use and the risk of hip fracture. METHODS: A cohort of patients with a first prescription for antidepressants (SSRI or tricyclic antidepressants) was extracted from the Dutch Mondriaan and Spanish Base de datos para la Investigación Farmacoepidemiológica en Atención Primaria (BIFAP) general practice databases for the period 2001-2009...
March 2016: Pharmacoepidemiology and Drug Safety
Eugenia Espinel, Francisca Benavides, M Victoria Feijóo, Eladio Fernández-Liz, Yolima Cossio, Daniel Serón
No abstract text is available yet for this article.
May 2016: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
Cèlia Cols-Sagarra, Flora López-Simarro, Margarita Alonso-Fernández, José Mancera-Romero, M Paz Pérez-Unanua, José Javier Mediavilla-Bravo, Alfonso Barquilla-García, Sònia Miravet-Jiménez
OBJECTIVES: To estimate the prevalence of known and undiagnosed depression in patients with type 2 diabetes attended in primary care setting in Spain, and to determine the factors associated with the presence of depression. METHODS: This was a cross-sectional and multicenter study performed in a random sample of patients with type 2 diabetes attended in 21 primary care centers. Depressive symptoms were measured with the self-administered Patient Health Questionnaire (PHQ-9)...
October 2016: Primary Care Diabetes
E Martin-Rodriguez, F Guillen-Grima, E Aubá, A Martí, A Brugos-Larumbe
BACKGROUND: The association between body mass index (BMI) and depression is complex and controversial. The present study examined the relationship between BMI and new-onset depression during 7 years of follow-up in 20,212 adult women attending Primary Health Care Centres in Navarra, Spain. METHODS: The Atención Primaria de Navarra (APNA) study is a dynamic prospective cohort study. A total of 20,212 women aged 18-99 years (mean age: 50.7 ± 18.5 years) without depression at baseline were selected from 2004 to 2011...
February 2016: European Psychiatry: the Journal of the Association of European Psychiatrists
A Vasquez, B Cabieses
No abstract text is available yet for this article.
November 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
F Roig, A Borrego
BACKGROUND: The source of research funding can result in bias, and its disclosure is essential in the publication of results. The aim of the study is to identify the frequency and type of sources of funding in the articles published by four Spanish biomedical journals published in Spanish. MATERIAL AND METHODS: The frequency and type of financial disclosures in the articles published during 2012 in the ordinary numbers of Atención Primaria, Medicina Clínica, Revista Clínica Española and Revista Española de Cardiología were analyzed...
May 2015: Anales del Sistema Sanitario de Navarra
Gema Requena, Consuelo Huerta, Helga Gardarsdottir, John Logie, Rocío González-González, Victoria Abbing-Karahagopian, Montserrat Miret, Cornelia Schneider, Patrick C Souverein, Dave Webb, Ana Afonso, Nada Boudiaf, Elisa Martin, Belén Oliva, Arturo Alvarez, Mark C H De Groot, Andrew Bate, Saga Johansson, Raymond Schlienger, Robert Reynolds, Olaf H Klungel, Francisco J de Abajo
BACKGROUND: Results from observational studies may be inconsistent because of variations in methodological and clinical factors that may be intrinsically related to the database (DB) where the study is performed. OBJECTIVES: The objectives of this paper were to evaluate the impact of applying a common study protocol to study benzodiazepines (BZDs) (anxiolytics, hypnotics, and related drugs) and the risk of hip/femur fracture (HFF) across three European primary care DBs and to investigate any resulting discrepancies...
March 2016: Pharmacoepidemiology and Drug Safety
Vivencio Barrios, Carlos Escobar, F Javier Alonso-Moreno, Miguel Angel Prieto, Vicente Pallares, Gustavo Rodríguez-Roca, Jose Luis Llisterri
OBJECTIVES: To examine the evolution of clinical profile, management of hypertension, and blood pressure (BP) control according to sex in the past decade in Spain. METHODS: Data were taken from three surveys (PRESión arterial en la población española en los Centros de Atención Primaria studies) aimed to determine BP control rates in treated hypertensive patients, who attended the primary care in Spain during 2002, 2006, and 2010, respectively. Adequate BP control was defined as BP lower than 140/90 mmHg for the general hypertensive population in the three surveys...
May 2015: Journal of Hypertension
J Soler-González, M J Fernández de Sanmamed, J Gérvas
OBJECTIVE: To make feasible and practical proposals to improve equality in the course of clinical care during the patient-provider encounter. METHODS: Design: A focus group study was conducted with a qualitative approach from the perspective of reducing health inequalities in the clinic. Setting: A classroom discussion focused on equality in clinical work. Subjects: 98 professionals from several countries. Measurement tools: An analysis of the responses was performed, grouped by themes interpreted by analysts, and restructured to provide consistency and uniformity to responses given...
May 2015: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
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