Hazte socio de la SAMFyC

Última publicación SAMFyC: Actualización en MF y APS

 

AULA VIRTUAL SAMFyC

Aula de formación virtual de SAMFyC

SAMFyC CONGRESOS

Historico de Comunicaciones
presentadas a los Congresos
Andaluces de MFyC (SAMFyC), desde 2008.


* * * * * * * * * * * * * * * * * * * * * * * * *

Información Socios

Ofertas de Trabajo
Ofertas de Trabajo SOCIOS SAMFYC

¡Actualiza tus datos!
Actualiza tus datos

 

Buscador de Contenidos

Sociedades Federadas

Medicina Familiar y Comunitaria

Sociedades Científicas de Medicina Familiar y Comunitaria

Enlaces de Interés

Consulte Nuestros Enlaces.
Enlaces de Interés

Acceso Socios



Buscador de publicaciones externas y alertas bibliográficas

Marzo 2012 PDF Imprimir E-mail
Escrito por Administrador General de SAMFyC   
Lunes, 09 de Abril de 2012 00:00

SELECCIÓN DE REFERENCIAS BIBLIOGRÁFICAS DE LO PUBLICADO EN RELACIÓN CON LA ATENCIÓN PRIMARIA

 Selección realizada por Antonio Manteca González

ACADEMIC MEDICINE
 
Gonzales R, Handley MA, Ackerman S, O'sullivan PS. A framework for training health professionals in implementation and dissemination science. Acad Med. 2012; 87: 271-278 [R,I]
MARCO PARA ENTRENAR A LOS PROFESIONALES DE LA SALUD EN LA PUESTA EN PRÁCTICA Y DIFUSIÓN DE LA CIENCIA
 
Michener L, Cook J, Ahmed SM, Yonas MA, Coyne-Beasley T, Aguilar-Gaxiola S. Aligning the goals of community-engaged research: why and how academic health centers can successfully engage with communities to improve health. Acad Med. 2012; 87: 285-291 [R,I]
ALINEAR LOS OBJETIVOS DE LA INVESTIGACIÓN COMPROMETIDA CON LA COMUNIDAD: POR QUÉ Y CÓMO PUEDEN LOS CENTROS DE SALUD DOCENTES COMPROMETERSE CON LAS COMUNIDADES PARA MEJORAR LA SALUD
 
ANNALS OF INTERNAL MEDICINE
 
Qureshi N, Armstrong S, Dhiman P, Saukko P, Middlemass J, Evans PH, et al; for the ADDFAM (Added Value of Family History in CVD Risk Assessment) Study Group. Effect of adding systematic family history enquiry to cardiovascular disease risk assessment in primary care: a matched-pair, cluster randomized trial. Ann Intern Med. 2012; 156: 253-262 [EC,I]
EFECTO DE AÑADIR EL INTERROGATORIO SISTEMÁTICO SOBRE LA HISTORIA FAMILIAR PARA LA VALORACIÓN DEL RIESGO DE ENFERMEDAD CARDIOVASCULAR EN ATENCIÓN PRIMARIA: ENSAYO ALEATORIZADO AGRUPADO EMPAREJADO
 
Berg AO. Family history gets a boost. Ann Intern Med. 2012; 156: 315-316 [AO,I]
LA HISTORIA FAMILIAR CONSIGUE UN EMPUJE
 
Qaseem A, Denberg TD, Hopkins RH Jr, Humphrey LL, Levine J, Sweet DE, et al; for the Clinical Guidelines Committee of the American College of Physicians. Screening for colorectal cancer: a guidance statement from the American College of Physicians. Ann Intern Med. 2012; 156: 378-386 [M,II]
CRIBAJE DEL CÁNCER COLORRECTAL: DECLARACIÓN ORIENTATIVA DEL AMERICAN COLLEGE OF PHYSICIANS
 
Gallagher JC, Sai A, Templin T 2nd, Smith L. Dose response to vitamin d supplementation in postmenopausal women: a randomized trial. Ann Intern Med. 2012; 156: 425-437 [EC,I]
RESPUESTA A LA DOSIS DE SUPLEMENTO DE VITAMINA D EN MUJERES POSTMENOPÁUSICAS: ENSAYO ALEATORIZADO
 
Kavousi M, Elias-Smale S, Rutten JH, Leening MJ, Vliegenthart R, Verwoert GC, et al. Evaluation of newer risk markers for coronary heart disease risk classification: a cohort study. Ann Intern Med. 2012; 156: 438-444 [S,I]
EVALUACIÓN DE LOS NUEVOS MARCADORES DE RIESGO PARA LA CLASIFICACIÓN DE RIESGO DE ENFERMEDAD CARDIACA CORONARIA: ESTUDIO DE COHORTES
 
Gupta K, Trautner B. Urinary tract infection. Ann Intern Med. 2012; 156: ITC31 [R,I]
INFECCIÓN DE VÍAS URINARIAS
 
ARCHIVES OF INTERNAL MEDICINE
 
O'Malley PG. On motivating patients: a picture, even if worth a thousand words, is not enough. Arch Intern Med. 2012; 172: 309-310 [AO,I]
SOBRE LA MOTIVACIÓN DE LOS PACIENTES: UNA IMAGEN, AUNQUE VALGA COMO MIL PALABRAS, NO ES SUFICIENTE
 
Boden WE. Mounting evidence for lack of PCI benefit in stable ischemic heart disease: what more will it take to turn the tide of treatment? comment on "Initial coronary stent implantation with medical therapy vs medical therapy alone for stable coronary artery disease". Arch Intern Med. 2012; 172: 319-321 [AO,I]
MONTAR LA EVIDENCIA DE LA FALTA DE BENEFICIO DE LA INTERVENCIÓN CORONARIA PERCUTÁNEA EN LA ENFERMEDAD CARDIACA ISQUÉMICA: ¿QUÉ MÁS SERÁ NECESARIO PARA INVERTIR LA MAREA DEL TRATAMIENTO?: COMENTARIO SOBRE "IMPLANTE INICIAL DE STENT CORONARIO CON TRATAMIENTO MÉDICO FRENTE A TRATAMIENTO MÉDICO SOLO EN LA ENFERMEDAD ARTERIAL CORONARIA ESTABLE"
 
Rodondi N, Collet TH, Nanchen D, Locatelli I, Depairon M, Aujesky D, et al. Impact of carotid plaque screening on smoking cessation and other cardiovascular risk factors: a randomized controlled trial. Arch Intern Med. 2012; 172: 344-352 [EC,I]
IMPACTO DEL CRIBAJE DE PLACA CAROTIDEA SOBRE EL ABANDONO TABÁQUICO Y OTROS FACTORES DE RIESGO CARDIOVASCULAR: ENSAYO CONTROLADO ALEATORIZADO
 
Lin GA, Trujillo L, Frosch DL. Consequences of not respecting patient preferences for cancer screening: opportunity lost. Arch Intern Med. 2012; 172: 393-394 [AO,I]
CONSECUENCIAS DE NO RESPETAR LAS PREFERENCIAS DEL PACIENTE EN EL CRIBAJE DEL CÁNCER: OPORTUNIDAD PERDIDA
 
Uchino K, Hernandez AV. Dabigatran association with higher risk of acute coronary events: meta-analysis of noninferiority randomized controlled trials. Arch Intern Med. 2012; 172: 397-402 [M,II]
ASOCIACIÓN DEL DABIGATRÁN CON UN MAYOR RIESGO DE ACONTECIMIENTOS CORONARIOS AGUDOS: METAANÁLISIS DE ENSAYOS CONTROLADOS ALEATORIZADOS DE NO INFERIORIDAD
 
Jacobs JM, Stessman J. Dabigatran: do we have sufficient data? Comment on "dabigatran association with higher risk of acute coronary events". Arch Intern Med. 2012; 172: 403-404 [AO,I]
DABIGATRÁN: ¿TENEMOS SUFICIENTES DATOS?: COMENTARIO SOBRE "ASOCIACIÓN DEL DABIGATRÁN CON UN MAYOR RIESGO DE ACONTECIMIENTOS CORONARIOS AGUDOS"
 
Redberg RF. Important data after drug approval: comment on "dabigatran association with higher risk of acute coronary events". Arch Intern Med. 2012; 172: 404 [AO,I]
DATOS IMPORTANTES TRAS LA APROBACIÓN DE FÁRMACOS: COMENTARIO SOBRE "ASOCIACIÓN DEL DABIGATRÁN CON UN MAYOR RIESGO DE ACONTECIMIENTOS CORONARIOS AGUDOS"
 
ATENCION PRIMARIA
 
García J, Alda M, Gascón S. Trastorno por déficit de atención con hiperactividad en la infancia y la adolescencia: del constructo social al calvinismo farmacológico. Aten Primaria. 2012; 44: 125-127 [AO,I]
TRASTORNO POR DÉFICIT DE ATENCIÓN CON HIPERACTIVIDAD EN LA INFANCIA Y LA ADOLESCENCIA: DEL CONSTRUCTO SOCIAL AL CALVINISMO FARMACOLÓGICO
 
Ruiz de Adana R. Resultados negativos asociados a la medicación. Aten Primaria. 2012; 44: 135-137 [AO,I]
RESULTADOS NEGATIVOS ASOCIADOS A LA MEDICACIÓN
 
Aguado A, Rodríguez D, Flor F, Sicras A, Ruiz A, Prados-Torres A; por el grupo ACG-España. Distribución del gasto sanitario en atención primaria según edad y sexo: un análisis retrospectivo. Aten Primaria. 2012; 44: 145-152 [T,I]
DISTRIBUCIÓN DEL GASTO SANITARIO EN ATENCIÓN PRIMARIA SEGÚN EDAD Y SEXO: UN ANÁLISIS RETROSPECTIVO
 
Abizanda P, López-Torres J, Romero L, Sánchez PM, García I, Esquinas JL. Valores normativos de instrumentos de valoración funcional en ancianos españoles: estudio FRADEA. Aten Primaria. 2012; 44: 162-171 [T,I]
VALORES NORMATIVOS DE INSTRUMENTOS DE VALORACIÓN FUNCIONAL EN ANCIANOS ESPAÑOLES: ESTUDIO FRADEA
 
Garrido S, Cabello L, Galende I, Riesgo R, Rodríguez R, Polentinos E. Investigación y protección de datos personales en atención primaria. Aten Primaria. 2012; 44: 172-177 [R,I]
INVESTIGACIÓN Y PROTECCIÓN DE DATOS PERSONALES EN ATENCIÓN PRIMARIA
 
BRITISH JOURNAL OF PSYCHIATRY
 
Coryell W, Fiedorowicz JG, Solomon D, Leon AC, Rice JP, Keller MB. Effects of anxiety on the long-term course of depressive disorders. Br J Psychiatry. 2012; 200: 210-215 [S,I]
EFECTOS DE LA ANSIEDAD SOBRE EL CURSO A LARGO PLAZO DE LOS TRASTORNOS DEPRESIVOS
 
BRITISH MEDICAL JOURNAL
 
Leitzmann MF, Kurth T. Fried foods and the risk of coronary heart disease. BMJ. 2012; 344: d8274 [AO,I]
FRITOS Y RIESGO DE ENFERMEDAD CARDIACA CORONARIA
 
Kirby RS. International comparisons of perinatal indicators. BMJ. 2012; 344: e477 [AO,I]
COMPARACIONES INTERNACIONALES DE INDICADORES PERINATALES
 
Farmer AJ, Perera R, Ward A, Heneghan C, Oke J, Barnett AH, et al. Meta-analysis of individual patient data in randomised trials of self monitoring of blood glucose in people with non-insulin treated type 2 diabetes. BMJ. 2012; 344: e486 [M,II]
METAANÁLISIS DE DATOS DE PACIENTES INDIVIDUALES EN ENSAYOS ALEATORIZADOS DE AUTOMONITORIZACIÓN DE GLUCEMIA EN PERSONAS CON DIABETES TIPO 2 NO TRATADAS CON INSULINA
 
De Kok IM, van Rosmalen J, Dillner J, Arbyn M, Sasieni P, Iftner T, et al. Primary screening for human papillomavirus compared with cytology screening for cervical cancer in European settings: cost effectiveness analysis based on a Dutch microsimulation model. BMJ. 2012; 344: e670 [CE,I]
CRIBAJE PRIMARIO DEL VIRUS DEL PAPILOMA HUMANO COMPARADO CON EL CRIBAJE MEDIANTE CITOLOGÍA DEL CÁNCER DE CÉRVIX EN LOS CENTROS ASISTENCIALES EUROPEOS: ANÁLISIS BASADO EN UN MODELO DE MICROSIMULACIÓN HOLANDÉS
 
Arbyn M, Weiderpass E, Capocaccia R. Effect of screening on deaths from cervical cancer in Sweden. BMJ. 2012; 344: e804 [AO,I]
EFECTO DEL CRIBAJE SOBRE LAS MUERTES DE CÁNCER DE CÉRVIX EN SUECIA
 
Braden B. Diagnosis of Helicobacter pylori infection. BMJ. 2012; 344: e828 [AO,I]
DIAGNÓSTICO DE LA INFECCIÓN POR HELICOBACTER PYLORI
 
Crawford MJ, Killaspy H, Barnes TR, Barrett B, Byford S, Clayton K, et al; on behalf of the MATISSE project team. Group art therapy as an adjunctive treatment for people with schizophrenia: multicentre pragmatic randomised trial. BMJ. 2012; 344: e846 [EC,I]
ARTETERAPIA GRUPAL COMO TRATAMIENTO COADYUVANTE EN PERSONAS CON ESQUIZOFRENIA: ENSAYO PRAGMÁTICO ALEATORIZADO MULTICÉNTRICO
 
Thomas RL, Dunstan F, Luzio SD, Chowdury SR, Hale SL, North RV, et al. Incidence of diabetic retinopathy in people with type 2 diabetes mellitus attending the Diabetic Retinopathy Screening Service for Wales: retrospective analysis. BMJ. 2012; 344: e874 [S,I]
INCIDENCIA DE LA RETINOPATÍA DIABÉTICA EN PERSONAS CON DIABETES TIPO 2 QUE ACUDEN AL SERVICIO DE CRIBAJE DE RETINOPATÍA DIABÉTICA DE GALES: ANÁLISIS RETROSPECTIVO
 
Andrae B, Andersson TM, Lambert PC, Kemetli L, Silfverdal L, Strander B, et al. Screening and cervical cancer cure: population based cohort study. BMJ. 2012; 344: e900 [S,I]
CRIBAJE Y CURACIÓN DEL CÁNCER DE CÉRVIX: ESTUDIO DE COHORTES POBLACIONAL
 
Kendall T, Crawford MJ, Taylor C, Whittington C, Rose D; On behalf of the Guidance Development Group. Improving the experience of care for adults using NHS mental health services: summary of NICE guidance. BMJ. 2012; 344: e1089 [M,II]
MEJORAR LA EXPERIENCIA DE ATENCIÓN A LOS ADULTOS QUE USAN LOS SERVICIOS DE SALUD MENTAL DEL NHS: RESUMEN DE LA GUÍA NICE
 
Mulla O, Prowse S, Sanders T, Nix P. Epistaxis. BMJ. 2012; 344: e1097 [R,I]
EPISTAXIS
 
Currie GP, Miller D. Action plans for patients with chronic obstructive pulmonary disease. BMJ. 2012; 344: e1164 [AO,I]
PLANES DE ACTUACIÓN PARA LOS PACIENTES CON EPOC
 
White S, Leichtman A. Does reduced glomerular filtration rate equate to chronic kidney disease? BMJ. 2012; 344: e1167 [R,I]
¿EQUIVALE LA DISMINUCIÓN DE LA TASA DE FILTRADO GLOMERULAR A ENFERMEDAD RENAL CRÓNICA?
 
Brodlie M, Graham C, McKean MC. Childhood cough. BMJ. 2012; 344: e1177 [R,I]
TOS INFANTIL
 
Lasserson D, Mant J. The role of dipeptidyl peptidase-4 inhibitors. BMJ. 2012; 344: e1213 [R,I]
EL PAPEL DE LOS INHIBIDORES DE LA DPP-4
 
Myint PK, Welch AA. Healthier ageing. BMJ. 2012; 344: e1214 [AO,I]
ENVEJECIMIENTO MÁS SALUDABLE
 
Karagiannis T, Paschos P, Paletas K, Matthews DR, Tsapas A. Dipeptidyl peptidase-4 inhibitors for treatment of type 2 diabetes mellitus in the clinical setting: systematic review and meta-analysis. BMJ. 2012; 344: e1369 [M,II]
INHIBIDORES DE LA DPP-4 PARA EL TRATAMIENTO DE LA DIABETES MELLITUS TIPO 2 EN EL ÁMBITO CLÍNICO: REVISIÓN SISTEMÁTICA Y METAANÁLISIS
 
Orrow G, Kinmonth AL, Sanderson S, Sutton S. Effectiveness of physical activity promotion based in primary care: systematic review and meta-analysis of randomised controlled trials. BMJ. 2012; 344: e1389 [M,I]
EFECTIVIDAD DE LA PROMOCIÓN DE LA ACTIVIDAD FÍSICA DESDE LA ATENCIÓN PRIMARIA: REVISIÓN SISTEMÁTICA Y METAANÁLISIS DE ENSAYOS CONTROLADOS ALEATORIZADOS
 
Driver JA, Beiser A, Au R, Kreger BE, Splansky GL, Kurth T, et al. Inverse association between cancer and Alzheimer's disease: results from the Framingham Heart Study. BMJ. 2012; 344: e1442 [S,II]
ASOCIACIÓN INVERSA ENTRE CÁNCER Y ENFERMEDAD DE ALZHEIMER: RESULTADOS DEL ESTUDIO DEL CORAZÓN FRAMINGHAM
 
Prabakar I, Webb A. Emergency contraception. BMJ. 2012; 344: e1492 [AO,I]
ANTICONCEPCIÓN DE URGENCIA
 
Wood AM, Pasupathy D, Pell JP, Fleming M, Smith GC. Trends in socioeconomic inequalities in risk of sudden infant death syndrome, other causes of infant mortality, and stillbirth in Scotland: population based study. BMJ. 2012; 344: e1552 [S,I]
TENDENCIAS EN LAS DESIGUALDADES SOCIOECONÓMICAS RESPECTO AL RIESGO DE SÍNDROME DE MUERTE SÚBITA INFANTIL, OTRAS CAUSAS DE MORTALIDAD INFANTIL Y PARTOS DE FETO MUERTO
 
CANADIAN MEDICAL ASSOCIATION JOURNAL
 
Majumdar SR. Quality-improvement interventions for osteoporosis: When are the results worth the effort? CMAJ. 2012; 184: 279-280 [AO,I]
INTERVENCIONES PARA MEJORAR LA CALIDAD EN LA OSTEOPOROSIS: ¿CUÁNDO LOS RESULTADOS JUSTIFICAN EL ESFUERZO?
 
Kroenke K. Enhancing the clinical utility of depression screening. CMAJ. 2012; 184: 281-282 [AO,I]
REFORZAR LA UTILIDAD CLÍNICA DEL CRIBAJE DE LA DEPRESIÓN
 
Thombs BD, Coyne JC, Cuijpers P, de Jonge P, Gilbody S, Ioannidis JP, et al. Rethinking recommendations for screening for depression in primary care. CMAJ. 2012; 184: 413-418 [R,I]
REPENSAR LAS RECOMENDACIONES DE CRIBAJE DE LA DEPRESIÓN EN ATENCIÓN PRIMARIA
 
Kiddoo DA. Toilet training children: when to start and how to train. CMAJ. 2012; 184: 511 [AO,I]
APRENDIZAJE PARA IR LOS NIÑOS AL BAÑO: CUÁNDO COMENZAR Y CÓMO ENTRENARLO
 
Hall DE, Prochazka AV, Fink AS. Informed consent for clinical treatment. CMAJ. 2012; 184: 533-540 [AO,I]
CONSENTIMIENTO INFORMADO PARA TRATAMIENTO CLÍNICO
 
Leis JA, Gold WL. Management of community-acquired pneumonia in the emergency department. CMAJ. 2012; 184: 559 [AO,I]
MANEJO DE LA NEUMONÍA EXTRAHOSPITALARIA EN EL ÁREA DE URGENCIAS
 
Aldous SJ, Richards M, Cullen L, Troughton R, Than M. Diagnostic and prognostic utility of early measurement with high-sensitivity troponin T assay in patients presenting with chest pain. CMAJ. 2012; 184: E260-E268 [T,I]
UTILIDAD DIAGNÓSTICA Y PRONÓSTICA DE LA MEDIDA PRECOZ DE TROPONINA T DE ALTA SENSIBILIDAD EN PACIENTES QUE SE PRESENTAN CON DOLOR EN EL PECHO
 
Akbari A, Grimshaw J, Stacey D, Hogg W, Ramsay T, Cheng-Fitzpatrick M, et al. Change in appropriate referrals to nephrologists after the introduction of automatic reporting of the estimated glomerular filtration rate. CMAJ. 2012; 184: E269-E276 [QE,I]
CAMBIO EN LAS DERIVACIONES APROPIADAS A LOS NEFRÓLOGOS TRAS LA INTRODUCCIÓN DEL INFORME AUTOMÁTICO DE LA TASA ESTIMADA DE FILTRADO GLOMERULAR
 
CIRCULATION
 
Liu K, Daviglus ML, Loria CM, Colangelo LA, Spring B, Moller AC, et al. Healthy lifestyle through young adulthood and the presence of low cardiovascular disease risk profile in middle age: the Coronary Artery Risk Development in (Young) Adults (CARDIA) study. Circulation. 2012; 125: 996-1004 [S,II]
ESTILO DE VIDA SALUDABLE DURANTE LA JUVENTUD Y PRESENCIA DE PERFIL BAJO DE RIESGO CARDIOVACULAR DURANTE LA EDAD ADULTA: ESTUDIO CARDIA
 
Levine GN, Steinke EE, Bakaeen FG, Bozkurt B, Cheitlin MD, Conti JB, et al; on behalf of the American Heart Association Council on Clinical Cardiology; Council on Cardiovascular Nursing; Council on Cardiovascular Surgery and Anesthesia, and Council on Quality of Care and Outcomes Research. Sexual activity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2012; 125: 1058-1072 [M,II]
ACTIVIDAD SEXUAL Y ENFERMEDAD CARDIOVASCULAR: DECLARACIÓN CIENTÍFICA DE LA AHA
 
Arbab-Zadeh A, Nakano M, Virmani R, Fuster V. Acute coronary events. Circulation. 2012; 125: 1147-1156 [R,II]
ACONTECIMIENTOS CORONARIOS AGUDOS
 
Wadden TA, Webb VL, Moran CH, Bailer BA. Lifestyle modification for obesity: new developments in diet, physical activity, and behavior therapy. Circulation. 2012; 125: 1157-1170 [R,I]
MODIFICACIÓN DEL ESTILO DE VIDA EN LA OBESIDAD: NUEVOS DESARROLLOS EN DIETA, ACTIVIDAD FÍSICA Y TERAPIA CONDUCTUAL
 
Hiatt WR, Thomas A, Goldfine AB. What cost weight loss? Circulation. 2012; 125: 1171-1177 [AO,I]
¿QUÉ CUESTA LA REDUCCIÓN DE PESO?
 
Apovian CM, Gokce N. Obesity and cardiovascular disease. Circulation. 2012; 125: 1178-1182 [AO,I]
OBESIDAD Y ENFERMEDAD CARDIOVASCULAR
 
Rich-Edwards JW. The predictive pregnancy: what complicated pregnancies tell us about mother's future cardiovascular risk. Circulation. 2012; 125: 1336-1338 [AO,I]
EMBARAZO PREDICTIVO: LO QUE LOS EMBARAZOS COMPLICADOS NOS DICEN SOBRE EL FUTURO RIESGO CARDIOVASCULAR DE LA MADRE
 
Gillman MW. Gestational weight gain: now and the future. Circulation. 2012; 125: 1339-1340 [AO,I]
AUMENTO DE PESO GESTACIONAL: AHORA Y EL FUTURO
 
Melzer D, Osborne NJ, Henley WE, Cipelli R, Young A, Money C, et al. Urinary bisphenol a concentration and risk of future coronary artery disease in apparently healthy men and women. Circulation. 2012; 125: 1482-1490 [S,I]
BISFENOL URINARIO, CONCENTRACIÓN Y RIESGO DE FUTURA ENFERMEDAD ARTERIAL CORONARIA EN HOMBRES Y MUJERES APARENTEMENTE SANOS
 
Katsnelson M, Sacco RL, Moscucci M. Progress for stroke prevention with atrial fibrillation: emergence of alternative oral anticoagulants. Circulation. 2012; 125: 1577-1583 [R,II]
PROGRESO EN LA PREVENCIÓN DE ICTUS EN LA FIBRILACIÓN AURICULAR: EMERGENCIA DE ANTICOAGULANTES ORALES ALTERNATIVOS
 
DIABETES CARE
 
Moses RG. Gestational diabetes mellitus: implications of an increased frequency with IADPSG criteria. Diabetes Care. 2012; 35: 461-462 [AO,I]
DIABETES MELLITUS GESTACIONAL: IMPLICACIONES DEL AUMENTO DE FRECUENCIA CON LOS CRITERIOS IADPSG
 
Cavallerano JD, Silva PS, Tolson AM, Francis T, Tolls D, Patel B, et al. Imager evaluation of diabetic retinopathy at the time of imaging in a telemedicine program. Diabetes Care. 2012; 35: 482-484 [T,I]
EVALUACIÓN DE LA RETINOPATÍA DIABÉTICA POR PARTE DEL PROFESIONAL QUE LA REALIZA EN EL MOMENTO DE HACERLA EN UN PROGRAMA DE TELEMEDICINA
 
Jeon CY, Haan MN, Cheng C, Clayton ER, Mayeda ER, Miller JW, et al. Helicobacter pylori infection is associated with an increased rate of diabetes. Diabetes Care. 2012; 35: 520-525 [S,I]
LA INFECCIÓN POR HELICOBACTER PYLORI SE ASOCIA CON UNA TASA AUMENTADA DE DIABETES
 
Werner EF, Pettker CM, Zuckerwise L, Reel M, Funai EF, Henderson J, et al. Screening for gestational diabetes mellitus: are the criteria proposed by the International Association of the Diabetes and Pregnancy Study Groups cost-effective? Diabetes Care. 2012; 35: 529-535 [CE,II]
CRIBAJE DE LA DIABETES MELLITUS GESTACIONAL: ¿SON RENTABLES LOS CRITERIOS PROPUESTOS POR LOS GRUPOS DE ESTUDIO DE LA ASOCIACIÓN INTERNACIONAL DE DIABETES Y EMBARAZO?
 
Yau JW, Rogers SL, Kawasaki R, Lamoureux EL, Kowalski JW, Bek T, et l; for the Meta-Analysis for Eye Disease (META-EYE) Study Group. Global prevalence and major risk factors of diabetic retinopathy. Diabetes Care. 2012; 35: 556-564 [M,II]
PREVALENCIA MUNDIAL Y FACTORES DE RIESGO PRINCIPALES DE RETINOPATÍA DIABÉTICA
 
DRUGS
 
Vakil N. Prescribing proton pump inhibitors: is it time to pause and rethink? Drugs. 2012; 72: 437-445 [R,I]
PRESCRIPCIÓN DE INHIBIDORES DE LA BOMBA DE PROTONES: ¿ES HORA DE PARAR Y REPENSAR?
 
McKeage K. Indacaterol: a review of its use as maintenance therapy in patients with chronic obstructive pulmonary disease. Drugs. 2012; 72: 543-563 [R,I]
INDACATEROL: REVISIÓN DE SU USO COMO TRATAMIENTO DE MANTENIMIENTO EN PACIENTES CON EPOC
 
Seto K, Marra F, Raymakers A, Marra CA. The cost effectiveness of human papillomavirus vaccines: a systematic review. Drugs. 2012; 72: 715-743 [M,II]
RENTABILIDAD DE LAS VACUNAS DEL VIRUS DEL PAPILOMA HUMANO: REVISIÓN SISTEMÁTICA
 
EUROPEAN HEART JOURNAL
 
Brunner-La Rocca HP, Rickenbacher P, Muzzarelli S, Schindler R, Maeder MT, Jeker U, et al; for the TIME-CHF Investigators. End-of-life preferences of elderly patients with chronic heart failure. Eur Heart J. 2012; 33: 752-759 [EC,I]
PREFERENCIAS AL FINAL DE LA VIDA DE LOS PACIENTES ANCIANOS CON INSUFICIENCIA CARDIACA CRÓNICA
 
FAMILY MEDICINE
 
Saultz J. The importance of being comprehensive. Fam Med. 2012; 44: 157-158 [AO,I]
LA IMPORTANCIA DE SER INTEGRAL (general, total, globalizador, referido al médico de familia, como opuesto a parcial o especializado en un solo aspecto)
 
Newman R, Cummings DM, Doherty L, Patel NR. Digital retinal imaging in a residency-based patient-centered medical home. Fam Med. 2012; 44: 159-163 [QE,I]
RETINOGRAFÍA DIGITAL EN UN CENTRO DE SALUD CON RESIDENTES CENTRADO EN EL PACIENTE
 
Walker T, Deutchman M, Ingram B, Walker E, Westfall JM. Endoscopy training in primary care: innovative training program to increase access to endoscopy in primary care. Fam Med. 2012; 44: 171-177 [QE,I]
ENTRENAMIENTO EN ENDOSCOPIA EN ATENCIÓN PRIMARIA: PROGRAMA DE ENTRENAMIENTO INNOVADOR PARA AUMENTAR EL ACCESO A LA ENDOSCOPIA EN ATENCIÓN PRIMARIA
 
Koppula S, Brown JB, Jordan JM. Experiences of family medicine residents in primary care obstetrics training. Fam Med. 2012; 44: 178-182 [C,I]
EXPERIENCIAS DE LOS RESIDENTES DE MEDICINA DE FAMILIA EN LAS PRÁCTICAS OBSTÉTRICAS EN ATENCIÓN PRIMARIA
 
Gulbrandsen P, Ostbye T, Lyna P, Dolor RJ, Tulsky JA, Alexander SC, et al. The influence of physician communication style on overweight patients' perceptions of length of encounter and physician being rushed. Fam Med. 2012; 44: 183-188 [T,I]
INFLUENCIA DEL ESTILO DE COMUNICACIÓN SOBRE LAS PERCEPCIONES DE LOS PACIENTES CON SOBREPESO RESPECTO A LA DURACIÓN DEL ENCUENTRO Y LAS PRISAS DEL MÉDICO
 
Firnhaber J, Kolasa K. A pilot study of training family medicine residents in procedural skills at a community health center. Fam Med. 2012; 44: 202-204 [T,I]
ESTUDIO PILOTO SOBRE LAS PRÁCTICAS DE LOS RESIDENTES DE MEDICINA DE FAMILIA EN HABILIDADES PROCEDIMENTALES EN UN CENTRO DE SALUD COMUNITARIO
 
GASTROENTEROLOGIA Y HEPATOLOGIA
 
Santolaria S, Fernández F. Enteropatía sensible al gluten y dispepsia funcional. Gastroenterol Hepatol. 2012; 35: 78-88 [R,I]
ENTEROPATÍA SENSIBLE AL GLUTEN Y DISPEPSIA FUNCIONAL
 
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
 
Cuijpers P, Beekman AT, Reynolds CF 3rd. Preventing depression: a global priority. JAMA. 2012; 307: 1033-1034 [AO,I]
PREVENIR LA DEPRESIÓN: PRIORIDAD MUNDIAL
 
Lin FR. Hearing loss in older adults: who's listening? JAMA. 2012; 307: 1147-1148 [AO,I]
PÉRDIDA DE AUDICIÓN EN LOS ADULTOS MAYORES: ¿QUIÉN ESTÁ A LA ESCUCHA?
 
Pacala JT, Yueh B. Hearing deficits in the older patient: "I didn't notice anything". JAMA. 2012; 307: 1185-1194 [R,I]
DÉFICIT DE AUDICIÓN EN EL PACIENTE ANCIANO: "NO ME ENTERABA DE NADA"
 
Boekholdt SM, Arsenault BJ, Mora S, Pedersen TR, LaRosa JC, Nestel PJ, et al. Association of LDL cholesterol, non-HDL cholesterol, and apolipoprotein B levels with risk of cardiovascular events among patients treated with statins: a meta-analysis. JAMA. 2012; 307: 1302-1309 [M,II]
ASOCIACIÓN DE NIVELES DE COLESTEROL LDL, COLESTEROL NO HDL Y APOLIPOPROTEÍNA B CON RIESGO DE ACONTECIMIENTOS CARDIOVASCULARES EN PACIENTES TRATADOS CON ESTATINAS: METAANÁLISIS
 
Lloyd-Jones DM. Improving the cardiovascular health of the US population. JAMA. 2012; 307: 1314-1316 [AO,I]
MEJORAR LA SALUD CARDIOVASCULAR DE LA POBLACIÓN DE EE UU
 
MEDICINA CLINICA
 
Díez A. Suplementos de vitamina D. Las dosis recomendadas son insuficientes. Med Clin (Barc). 2012; 138: 202-203 [AO,I]
SUPLEMENTOS DE VITAMINA D. LAS DOSIS RECOMENDADAS SON INSUFICIENTES
 
Fullana MA, de la Cruz LF, Bulbena A, Toro J. Eficacia de la terapia cognitivo-conductual para los trastornos mentales. Med Clin (Barc). 2012; 138: 215-219 [R,I]
EFICACIA DE LA TERAPIA COGNITIVO-CONDUCTUAL PARA LOS TRASTORNOS MENTALES
 
Carreras JM, Maldonado B, Quesada M, Sánchez B, De La Puerta IN, Sánchez L. Tratamiento por teléfono del tabaquismo. Factores predictivos de éxito. Med Clin (Barc). 2012; 138: 242-245 [AO,I]
TRATAMIENTO POR TELÉFONO DEL TABAQUISMO. FACTORES PREDICTIVOS DE ÉXITO
 
Urrutia A, Santesmases J. Fibrilación auricular en el anciano. Ese largo camino… Med Clin (Barc). 2012; 138: 246-248 [AO,I]
FIBRILACIÓN AURICULAR EN EL ANCIANO. ESE LARGO CAMINO…
 
Albañil MR, Rogero ME, Olivas A, Sánchez M, Rabanal A, Sanz MT. Obesidad y factores de riesgo cardiovascular en adolescentes. Asociación con factores de riesgo cardiovascular en familiares de primer grado. Med Clin (Barc). 2012; 138: 283-288 [T,I]
OBESIDAD Y FACTORES DE RIESGO CARDIOVASCULAR EN ADOLESCENTES. ASOCIACIÓN CON FACTORES DE RIESGO CARDIOVASCULAR EN FAMILIARES DE PRIMER GRADO
 
Andreo JA. Gestión de calidad en medicina interna. Desde Pareto al EFQM. Med Clin (Barc). 2012; 138: 306-311 [R,I]
GESTIÓN DE CALIDAD EN MEDICINA INTERNA. DESDE PARETO AL EFQM
 
Lucas-Carrasco R. Calidad de vida en personas con demencia: revisión de escalas específicas de autoevaluación. Med Clin (Barc). 2012; 138: 349-154 [R,I]
CALIDAD DE VIDA EN PERSONAS CON DEMENCIA: REVISIÓN DE ESCALAS ESPECÍFICAS DE AUTOEVALUACIÓN
 
REUMATOLOGIA CLINICA
 
Martínez-Morillo M, Grados D, Holgado S. Osteoporosis premenopáusica: ¿cómo tratarla? Reumatol Clin. 2012; 8: 93-97 [R,I]
OSTEOPOROSIS PREMENOPÁUSICA: ¿CÓMO TRATARLA?
 
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
 
Baerheim A. Empirical treatment of uncomplicated cystitis. Scand J Prim Health Care. 2012; 30: 1-2 [AO,I]
TRATAMIENTO EMPÍRICO DE LA CISTITIS NO COMPLICADA
 
Olsson IN, Runnamo R, Engfeldt P. Drug treatment in the elderly: an intervention in primary care to enhance prescription quality and quality of life. Scand J Prim Health Care. 2012; 30: 3-9 [EC,II]
TRATAMIENTO FARMACOLÓGICO EN LOS ANCIANOS: INTERVENCIÓN EN ATENCIÓN PRIMARIA PARA REFORZAR LA CALIDAD DE PRESCRIPCIÓN Y LA CALIDAD DE VIDA
 
Wesnes SL, Aasland O, Baerheim A. Career choice and place of graduation among physicians in Norway. Scand J Prim Health Care. 2012; 30: 35-40 [T,I]
ELECCIÓN DE CARRERA Y LUGAR DE GRADUACIÓN ENTRE LOS MÉDICOS EN NORUEGA
 
THE LANCET
 
McManus RJ, Mant J. Do differences in blood pressure between arms matter? Lancet. 2012; 379: 872-873 [AO,I]
¿IMPORTAN LAS DIFERENCIAS DE PRESIÓN ARTERIAL ENTRE LOS BRAZOS?
 
Clark CE, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL. Association of a difference in systolic blood pressure between arms with vascular disease and mortality: a systematic review and meta-analysis. Lancet. 2012; 379: 905-914 [M,II]
ASOCIACIÓN DE UNA DIFERENCIA DE PRESIÓN ARTERIAL SISTÓLICA ENTRE AMBOS BRAZOS CON ENFERMEDAD VASCULAR Y MORTALIDAD: REVISIÓN SISTEMÁTICA Y METAANÁLISIS
 
New guidance for colorectal cancer screening. Lancet. 2012; 379: 978 [AO,II]
NUEVA GUÍA PARA EL CRIBAJE DE CÁNCER COLORRECTAL
 
While D, Bickley H, Roscoe A, Windfuhr K, Rahman S, Shaw J, et al. Implementation of mental health service recommendations in England and Wales and suicide rates, 1997-2006: a cross-sectional and before-and-after observational study. Lancet. 2012; 379: 1005-1012 [T,I]
PUESTA EN MARCHA DE LAS RECOMENDACIONES PARA SERVICIOS DE SALUD MENTAL EN INGLATERRA Y GALES Y TASAS DE SUICIDIO, 1997-2006: ESTUDIO OBSERVACIONAL TRANSVERSAL Y DE ANTES-DESPUÉS
 
Thapar A, Collishaw S, Pine DS, Thapar AK. Depression in adolescence. Lancet. 2012; 379: 1056-1067 [R,I]
DEPRESIÓN EN LA ADOLESCENCIA
 
Tuberculosis control and elimination in 2012 and beyond. Lancet. 2012; 379: 1076 [AO,I]
CONTROL Y ELIMINACIÓN DE LA TUBERCULOSIS
 
Parker C. What (if anything) to do about low-risk prostate cancer. Lancet. 2012; 379: 1078-1080 [AO,I]
QUÉ HACER (SI ES QUE HAY QUE HACER ALGO) RESPECTO AL CÁNCER DE PRÓSTATA DE RIESGO BAJO
 
Fleshner NE, Lucia MS, Egerdie B, Aaron L, Eure G, Nandy I, et al. Dutasteride in localised prostate cancer management: the REDEEM randomised, double-blind, placebo-controlled trial. Lancet. 2012; 379: 1103-1111 [EC,II]
DUTASTERIDA EN EL TRATAMIENTO DEL CÁNCER DE PRÓSTATA LOCALIZADO: ENSAYO REDEEM ALEATORIZADO, DOBLE CIEGO, CONTROLADO CON PLACEBO
 
García PJ, Holmes KK, Cárcamo CP, Garnett GP, Hughes JP, Campos PE, et al; Peru PREVEN Study Team. Prevention of sexually transmitted infections in urban communities (Peru PREVEN): a multicomponent community-randomised controlled trial. Lancet. 2012; 379: 1120-1128 [EC,I]
PREVENCIÓN DE LAS INFECCIONES DE TRANSMISIÓN SEXUAL EN COMUNIDADES URBANAS (PERU PREVEN): ENSAYO CONTROLADO ALEATORIZADO COMUNITARIO MULTICOMPONENTE
 
THE NEW ENGLAND JOURNAL OF MEDICINE
 
Reuben DB, Tinetti ME. Goal-oriented patient care--an alternative health outcomes paradigm. N Engl J Med. 2012; 366: 777-779 [AO,I]
ATENCIÓN AL PACIENTE ORIENTADA A OBJETIVOS--PARADIGMA ALTERNATIVO EN RESULTADOS DE SALUD
 
Barry MJ, Edgman-Levitan S. Shared decision making--pinnacle of patient-centered care. N Engl J Med. 2012; 366: 780-781 [AO,I]
TOMA DE DECISIONES COMPARTIDA--PINÁCULO DE LA ATENCIÓN CENTRADA EN EL PACIENTE
 
Bardes CL. Defining "patient-centered medicine". N Engl J Med. 2012; 366: 782-783 [AO,I]
DEFINIR LA MEDICINA "CENTRADA EN EL PACIENTE"
 
Oncken C. Nicotine replacement for smoking cessation during pregnancy. N Engl J Med. 2012; 366: 846-847 [AO,I]
SUSTITUCIÓN DE NICOTINA EN EL ABANDONO TABÁQUICO DURANTE EL EMBARAZO
 
Howard R, McShane R, Lindesay J, Ritchie C, Baldwin A, Barber R, et al. Donepezil and memantine for moderate-to-severe Alzheimer's disease. N Engl J Med. 2012; 366: 893-903 [EC,II]
DONEPEZILO Y MEMANTINA EN LA ENFERMEDAD DE ALZHEIMER DE MODERADA A GRAVE
 
Hooton TM. Clinical practice. Uncomplicated urinary tract infection. N Engl J Med. 2012; 366: 1028-1037 [R,I]
PRÁCTICA CLÍNICA. INFECCIÓN DE VÍAS URINARIAS NO COMPLICADA
 
Miller AB. New data on prostate-cancer mortality after PSA screening. N Engl J Med. 2012; 366: 1047-1048 [AO,I]
NUEVOS DATOS SOBRE LA MORTALIDAD POR CÁNCER DE PRÓSTATA TRAS CRIBAJE CON PSA
 
Rejeski WJ, Ip EH, Bertoni AG, Bray GA, Evans G, Gregg EW, et al; Look AHEAD Research Group. Lifestyle change and mobility in obese adults with type 2 diabetes. N Engl J Med. 2012; 366: 1209-1217 [EC,I]
CAMBIOS DE HÁBITO Y MOVILIDAD EN ADULTOS OBESOS CON DIABETES TIPO 2
 
THORAX
 
Aaron SD, Donaldson GC, Whitmore GA, Hurst JR, Ramsay T, Wedzicha JA. Time course and pattern of COPD exacerbation onset. Thorax. 2012; 67: 238-243 [S,I]
CURSO TEMPORAL Y PATRÓN DE LA APARICIÓN DE EXACERBACIONES DE EPOC
 
 
 
ACADEMIC MEDICINE
 
The authors describe a conceptual framework for implementation and dissemination science (IDS) and propose competencies for IDS training. Their framework is designed to facilitate the application of theories and methods from the distinct domains of clinical disciplines (e.g., medicine, public health), population sciences (e.g., biostatistics, epidemiology), and translational disciplines (e.g., social and behavioral sciences, business administration education). They explore three principles that guided the development of their conceptual framework: Behavior change among organizations and/or individuals (providers, patients) is inherent in the translation process; engagement of stakeholder organizations, health care delivery systems, and individuals is imperative to achieve effective translation and sustained improvements; and IDS research is iterative, benefiting from cycles and collaborative, bidirectional relationships. The authors propose seven domains for IDS training-team science, context identification, literature identification and assessment, community engagement, intervention design and research implementation, evaluation of effect of translational activity, behavioral change communication strategies-and define 12 IDS training competencies within these domains. As a model, they describe specific courses introduced at the University of California, San Francisco, which they designed to develop these competencies. The authors encourage other training programs and institutions to use or adapt the design principles, conceptual framework, and proposed competencies to evaluate their current IDS training needs and to support new program development.
S22373619
Community engagement (CE) and community-engaged research (CEnR) are increasingly viewed as the keystone to translational medicine and improving the health of the nation. In this article, the authors seek to assist academic health centers (AHCs) in learning how to better engage with their communities and build a CEnR agenda by suggesting five steps: defining community and identifying partners, learning the etiquette of CE, building a sustainable network of CEnR researchers, recognizing that CEnR will require the development of new methodologies, and improving translation and dissemination plans. Health disparities that lead to uneven access to and quality of care as well as high costs will persist without a CEnR agenda that finds answers to both medical and public health questions. One of the biggest barriers toward a national CEnR agenda, however, are the historical structures and processes of an AHC-including the complexities of how institutional review boards operate, accounting practices and indirect funding policies, and tenure and promotion paths. Changing institutional culture starts with the leadership and commitment of top decision makers in an institution. By aligning the motivations and goals of their researchers, clinicians, and community members into a vision of a healthier population, AHC leadership will not just improve their own institutions but also improve the health of the nation-starting with improving the health of their local communities, one community at a time.
 
BRITISH JOURNAL OF PSYCHIATRY
 
The severity of current anxiety symptoms within depressive episodes correlates strongly with the persistence of subsequent depressive symptoms and this relationship is stable over decades.
 
EUROPEAN HEART JOURNAL
 
Elderly HF patients are willing to address their end-of-life preferences. The majority prefers longevity over QoL and half wished resuscitation if necessary. Prediction of individual preferences was inaccurate.
 
GASTROENTEROLOGIA Y HEPATOLOGIA
 
La enteropatía sensible al gluten (ESG) cada vez se diagnostica con mayor frecuencia en el adulto, siendo frecuente su presentación con síntomas que en ocasiones se solapan con los de la dispepsia funcional. Se ha descrito una prevalencia de la ESG en la dispepsia entre el 1,2-6,2%, que podría ser superior si se tiene presente todo el espectro de lesiones relacionadas con la sensibilidad al gluten, incluida la enteropatía linfocítica. Un paciente con dispepsia secundaria a ESG podría ser erróneamente diagnosticado de dispepsia funcional, si la endoscopia digestiva alta no se completa con la toma de biopsias de duodeno y se realiza inmunotinción para linfocitos intraepiteliales. Este hecho podría tener importantes consecuencias en términos de morbimortalidad y calidad de vida de los pacientes. En consecuencia, la biopsia de duodeno debería completar el estudio endoscópico del paciente con dispepsia cuando el contexto clínico sugiere una ESG.
 
REUMATOLOGIA CLINICA
 
No existe un acuerdo para definir la osteoporosis en mujeres premenopáusicas y el diagnóstico debe realizarse cuidadosamente y sin basarse únicamente en parámetros densitométricos. Hay que tener en cuenta la presencia de otros factores de riesgo como los antecedentes de fracturas por fragilidad, enfermedades o fármacos osteopenizantes. Más del 50% de las mujeres con osteoporosis premenopáusica van a presentar una causa secundaria, el resto serán diagnosticadas de osteoporosis idiopática. Las consideraciones terapéuticas están limitadas por los escasos estudios en este grupo de pacientes, sobre todo en lo que se refiere al riesgo de fracturas. Por otro lado, no disponemos del índice de FRAX, ya que no se puede aplicar a pacientes premenopáusicas. Este artículo pretende realizar una revisión sobre la actitud que se debe seguir según el tipo de osteoporosis premenopáusica basándonos en la evidencia científica actual.
 
THORAX
 
COPD exacerbations exhibit two distinct patterns-sudden and gradual onset. Sudden onset exacerbations are associated with increased respiratory symptoms but shorter exacerbation recovery times.
 
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
 
Among statin-treated patients, on-treatment levels of LDL-C, non-HDL-C, and apoB were each associated with risk of future major cardiovascular events, but the strength of this association was greater for non-HDL-C than for LDL-C and apoB.
S22436959
Hearing loss is common in older adults. Patients, clinicians, and health care staff often do not recognize hearing loss, particularly in its early stages, and it is undertreated. Age-related hearing loss or presbycusis, the most common type of hearing loss in older adults, is a multifactorial sensorineural loss that frequently includes a component of impaired speech discrimination. Simple office-based screening and evaluation procedures can identify potential hearing disorders, which should prompt audiologic referral to confirm the diagnosis with audiometric testing. The mainstay of treatment is amplification. For many older adults, accepting the need for amplification, selecting and purchasing a hearing aid, and getting accustomed to its use is a daunting and often frustrating process. There are numerous barriers to hearing aid use, the most common of which is dissatisfaction with its performance across a range of sonic environments. Newer digital hearing aids have many features that improve performance, making them potentially more acceptable to users, but they are expensive and are not covered by Medicare. Hearing aids have been demonstrated to improve hearing function and hearing-related quality of life (QOL), but evidence is less robust for improving overall QOL. Depending upon the etiology of the hearing loss, other medical and surgical procedures, including cochlear implantation, may benefit older adults. Older adults with multiple morbidities and who are frail pose specific challenges for the management of hearing loss. These patients may require integration of hearing assessment and treatment as part of functional assessment in an interdisciplinary, team-based approach to care.
 
DIABETES CARE
 
There are approximately 93 million people with DR, 17 million with proliferative DR, 21 million with diabetic macular edema, and 28 million with VTDR worldwide. Longer diabetes duration and poorer glycemic and blood pressure control are strongly associated with DR. These data highlight the substantial worldwide public health burden of DR and the importance of modifiable risk factors in its occurrence. This study is limited by data pooled from studies at different time points, with different methodologies and population characteristics.
S22279028
We demonstrated for the first time that H. pylori infection leads to an increased rate of incident diabetes in a prospective cohort study. Our findings implicate a potential role for antibiotic and gastrointestinal treatment in preventing diabetes.
S22238278
Appropriately trained imagers can accurately identify stDR at the time of imaging.
S22266735
The IADPSG recommendation for glucose screening in pregnancy is cost-effective. The model is most sensitive to the likelihood of preventing future diabetes in patients identified with GDM using postdelivery counseling and intervention.
 
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
 
The intervention seems to have had no effect on quality of prescriptions or quality of life. This underlines the major challenge of finding new strategies for improving prescription quality to improve patient outcome measures such as quality of life and reduce the known risks of polypharmacy for the elderly.
S22324633
The physician's place of graduation appears to be associated with career choice. The universities' total contribution in pre-graduate general practice education may be associated with future GP career choice.
 
CANADIAN MEDICAL ASSOCIATION JOURNAL
 
The total number of referrals increased after automatic reporting of the eGFR began, especially among women and elderly people. The number of appropriate referrals also increased, but the proportion of appropriate referrals did not change significantly. Future research should be directed to understanding the reasons for inappropriate referral and to develop novel interventions for improving the referral process.
S22291171
The high-sensitivity troponin T assay at the cut-off point of the 99th percentile was highly sensitive for the diagnosis of myocardial infarction by two hours after presentation and had prognostic utility beyond that of the conventional assay. To rule out myocardial infarction, the optimal time to test a second sample using the high-sensitivity troponin T level may be four to six hours after symptom onset, but this finding needs verification in future studies before it can become routine practice.
 
THE LANCET
 
A difference in SBP of 10 mm Hg or more, or of 15 mm Hg or more, between arms might help to identify patients who need further vascular assessment. A difference of 15 mm Hg or more could be a useful indicator of risk of vascular disease and death.
S22305766
Unipolar depressive disorder in adolescence is common worldwide but often unrecognised. The incidence, notably in girls, rises sharply after puberty and, by the end of adolescence, the 1 year prevalence rate exceeds 4%. The burden is highest in low-income and middle-income countries. Depression is associated with substantial present and future morbidity, and heightens suicide risk. The strongest risk factors for depression in adolescents are a family history of depression and exposure to psychosocial stress. Inherited risks, developmental factors, sex hormones, and psychosocial adversity interact to increase risk through hormonal factors and associated perturbed neural pathways. Although many similarities between depression in adolescence and depression in adulthood exist, in adolescents the use of antidepressants is of concern and opinions about clinical management are divided. Effective treatments are available, but choices are dependent on depression severity and available resources. Prevention strategies targeted at high-risk groups are promising.
S22277570
Dutasteride could provide a beneficial adjunct to active surveillance for men with low-risk prostate cancer.
S22305767
Our findings suggest that aspects of provision of mental health services can affect suicide rates in clinical populations. Investigation of the relation between new initiatives and suicide could help to inform future suicide prevention efforts and improve safety for patients receiving mental health care.
S22341824
Syndromic management of STIs, mobile-team outreach to FSWs, presumptive treatment for trichomoniasis in FSWs, and condom promotion might reduce the composite prevalence of any of the four curable STIs investigated in this trial.
 
ATENCION PRIMARIA
 
El gasto en atención primaria es superior en mujeres aunque las mayores diferencias se aprecian con la edad. En mayores de 74 años la mediana sextuplica a la de 15-44 años. En pediatría el mayor peso lo tienen las visitas, hasta los 2 años representa el 80% del total. A partir de los 45 es principalmente por farmacia que supera el 60% en mayores de 74 años.
S21802790
La investigación es una de las funciones básicas que debe desarrollarse en atención primaria. La información clínica almacenada en distintos registros y que deriva de la atención médica constituye una herramienta fundamental para esta actividad. El uso de los datos de carácter personal con fines de investigación está legitimado por nuestra legislación, sin embargo, esta información debe ser tratada de forma confidencial en todo momento. Para esto, se ofrecen dos alternativas, o bien la obtención del consentimiento informado del paciente o bien el tratamiento disociado de la información. Pero, en algunos supuestos, el cumplimiento de las exigencias legales a la hora de obtener datos para investigar se hace realmente difícil, planteándose una serie de dificultades que en muchos casos imposibilita el desarrollo de la investigación. En este documento marcaremos una orientación sobre el acceso a la información contenida en registros, respetando los derechos de los pacientes y la legislación vigente.
S21719156
Se presentan los valores normativos de diferentes instrumentos de valoración funcional de una cohorte de ancianos de Albacete de base poblacional. Éstos pueden ser útiles para su empleo en clínica o en investigación.
 
ANNALS OF INTERNAL MEDICINE
 
A vitamin D (3) dosage of 800 IU/d increased serum 25-(OH)D levels to greater than 50 nmol/L in 97.5% of women; however, a model predicted the same response with a vitamin D(3) dosage of 600 IU/d. These results can be used as a guide for the RDA of vitamin D(3), but prospective trials are needed to confirm the clinical significance of these results
S22351711
Systematically collecting family history increases the proportion of persons identified as having high cardiovascular risk for further targeted prevention and seems to have little or no effect on anxiety
S22431676
Among 12 CHD risk markers, improvements in FRS predictions were most statistically and clinically significant with the addition of CAC scores. Further investigation is needed to assess whether risk refinements using CAC scores lead to a meaningful change in clinical outcome. Whether to use CAC score screening as a more routine test for risk prediction requires full consideration of the financial and clinical costs of performing versus not performing the test for both persons and health systems.
S22393133
Guidance Statement 1: ACP recommends that clinicians perform individualized assessment of risk for colorectal cancer in all adults. Guidance Statement 2: ACP recommends that clinicians screen for colorectal cancer in average-risk adults starting at the age of 50 years and in high-risk adults starting at the age of 40 years or 10 years younger than the age at which the youngest affected relative was diagnosed with colorectal cancer. Guidance Statement 3: ACP recommends using a stool-based test, flexible sigmoidoscopy, or optical colonoscopy as a screening test in patients who are at average risk. ACP recommends using optical colonoscopy as a screening test in patients who are at high risk. Clinicians should select the test based on the benefits and harms of the screening test, availability of the screening test, and patient preferences. Guidance Statement 4: ACP recommends that clinicians stop screening for colorectal cancer in adults over the age of 75 years or in adults with a life expectancy of less than 10 years.
S22393148
This issue provides a clinical overview of urinary tract infection focusing on prevention, diagnosis, treatment, practice improvement, and patient information. Readers can complete the accompanying CME quiz for 1.5 credits. Only ACP members and individual subscribers can access the electronic features of In the Clinic. Non-subscribers who wish to access this issue of In the Clinic can elect "Pay for View." Subscribers can receive 1.5 category 1 CME credits by completing the CME quiz that accompanies this issue of In the Clinic. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including PIER (Physicians' Information and Education Resource) and MKSAP (Medical Knowledge and Self Assessment Program). Annals of Internal Medicine editors develop In the Clinic from these primary sources in collaboration with the ACP's Medical Education and Publishing division and with assistance of science writers and physician writers. Editorial consultants from PIER and MKSAP provide expert review of the content. Readers who are interested in these primary resources for more detail can consult www.acponline.org, http://pier.acponline.org, and other resources referenced within each issue of In the Clinic.
 
CIRCULATION
 
Maintaining a healthy lifestyle throughout young adulthood is strongly associated with a low cardiovascular disease risk profile in middle age. Public health and individual efforts are needed to improve the adoption and maintenance of healthy lifestyles in young adults.
S22354940
Associations between higher BPA exposure (reflected in higher urinary concentrations) and incident CAD during >10 years of follow-up showed trends similar to previously reported cross-sectional findings in the more highly exposed NHANES respondents. Further work is needed to accurately estimate the prospective exposure-response curve and to establish the underlying mechanisms.
 
ARCHIVES OF INTERNAL MEDICINE
 
Dabigatran is associated with an increased risk of MI or ACS in a broad spectrum of patients when tested against different controls. Clinicians should consider the potential of these serious harmful cardiovascular effects with use of dabigatran.
S22269590
In smokers, carotid plaque screening performed in addition to thorough smoking cessation counseling is not associated with increased rates of smoking cessation or control of cardiovascular risk factors.
 
THE NEW ENGLAND JOURNAL OF MEDICINE
 
In patients with moderate or severe Alzheimer's disease, continued treatment with donepezil was associated with cognitive benefits that exceeded the minimum clinically important difference and with significant functional benefits over the course of 12 months.
S22455415
Weight loss and improved fitness slowed the decline in mobility in overweight adults with type 2 diabetes.
 
MEDICINA CLINICA
 
El objetivo de este trabajo es revisar las escalas específicas de calidad de vida (CV) en el ámbito de la demencia, concretamente, las escalas de autoevaluación que pueden ser contestadas por la propia persona con demencia. A partir de estudios cualitativos en los que se ha recogido información de las propias personas con demencia, de cuidadores y de profesionales, se han construido diversas escalas, principalmente en EE.UU. e Inglaterra. Estas escalas incluyen aspectos comunes, como son aspectos relacionados con las actividades de la vida diaria, aspectos psicológicos, y sociales; algunas ya se han adaptado y validado a otros idiomas. En comparación con revisiones previas sobre el tema, la presente revisión actualiza la validación reciente de algunas de estas escalas al español. La evaluación de la CV en personas con demencia contribuye a reducir el estigma, a considerar a la persona como tal, e introduce un elemento humanístico en los sistemas de salud y social.
S21511312
Con el fin de diagnosticar en jóvenes adultos situaciones de obesidad, sobrepeso y posibles complicaciones a ellas asociadas se debe realizar un seguimiento especial a hijos de padres y hermanos de personas con factores de riesgo, fundamentalmente hipertensos, diabéticos y obesos.
S21696785
El resultado del programa de tratamiento estuvo condicionado por las siguientes variables del fumador: la dependencia a la nicotina, la patología psiquiátrica y el soporte social.
 
FAMILY MEDICINE
 
Residents agreed that participating in this clinic increased the likelihood of adding procedures to their clinical practice and enhanced their appreciation for practice in a rural setting but may not have impacted their likelihood of practicing in a rural area.
S22399481
There is wide variation in patients' ability to estimate the length of time they spend with their physician. Some physician and patient characteristics were related to patient perceptions of the length of the encounter. Reflective statements might lead patients to perceive encounters as shorter. Physicians, especially family physicians, appear able to conceal that they are feeling rushed.
S22399477
Use of a nurse-driven protocol for digital retinal imaging at the point of care dramatically improves rates of annual retinopathy screening in academic family medicine practice and can identify patients who require subspecialty referral. However, DRI screening does not improve visit compliance rates with ophthalmologists for evaluation and management.
S22399480
Data obtained from the focus groups revealed findings relating to the following categories: (1) perceived facilitators to practicing primary care obstetrics, (2) perceived barriers to practicing primary care obstetrics, and (3) learner experiences at the fulcrum of career decision making. Conclusion: Family medicine residents were encouraged by favorable learning experiences and group shared-call arrangements by their primary care obstetrics preceptors. Some concerns about a career including obstetrics persisted; however, positive experiences, including influential fulcrum points, may inspire family medicine residents to pursue a career involving primary care obstetrics.
S22399479
ETPC program showed success in recruiting a large number of physicians and students to participate in training. The program enhanced perceptions about the value of colon cancer screening and providing screening endoscopy in primary care practice. Providing sites for simulation training throughout Colorado provided opportunity for providers in rural regions to participate. As a result of this training, thousands of patients underwent testing to prevent colon cancer. Future research relating to colonoscopy training by family physicians should focus on quality assurance and determining best methods for procedural competence.
 
DRUGS
 
Indacaterol inhalation powder (Onbrez® Breezhaler®) is a long-acting, selective β(2)-adrenoceptor agonist that is indicated for the maintenance bronchodilator treatment of airflow obstruction in adults with chronic obstructive pulmonary disease (COPD). This article reviews the clinical efficacy and tolerability of indacaterol 150 and 300μg once daily in adults with moderate to severe COPD, as well as reviewing indacaterol's pharmacological properties and results of a cost-utility analysis. Indacaterol has a fast onset of action after the first dose and is effective over 24 hours, allowing for once-daily administration. In short-term trials (≤21 days) in patients with COPD, once-daily indacaterol 150 or 300μg significantly improved lung function, exercise endurance and lung hyperinflation relative to placebo. In large, longer-term clinical studies (12 weeks to 1 year) in patients with moderate to severe COPD, once-daily indacaterol 150 or 300μg improved lung function (primary endpoint) significantly more than placebo, and improvements were significantly greater than twice-daily formoterol 12μg or salmeterol 50μg, and noninferior to once-daily tiotropium bromide 18μg (all agents were administered via inhalation). Overall, indacaterol improved dyspnoea, use of rescue medication and general health status significantly more than placebo, salmeterol or tiotropium bromide, and the degree of improvement in these endpoints was similar to or greater than that achieved with formoterol. Improvements were sustained over the long term (1 year), with no evidence of tolerance. Combination therapy with indacaterol plus tiotropium bromide improved lung function, dyspnoea, rescue medication use and general health status significantly more than tiotropium bromide alone in patients with moderate to severe COPD. Indacaterol is generally well tolerated when used alone or in combination with tiotropium bromide in patients with COPD and has not been associated with any safety issues. The most common adverse event in clinical trials was COPD worsening, which occurred more commonly with placebo than indacaterol. Indacaterol was not associated with an increased risk of cardiovascular adverse events. In a cost-utility analysis from a German healthcare payer perspective, once-daily indacaterol 150μg was dominant (i.e. more effective with lower total costs) to once-daily tiotropium bromide 18μg and twice-daily salmeterol 50μg in the treatment of patients with COPD. In conclusion, indacaterol provides a valuable option for the maintenance treatment of adults with COPD.
S22356286
Proton pump inhibitors (PPIs) are among the most widely used agents in the world. The prevalence of reflux disease is increasing, as is the incidence of oesophageal adenocarcinoma, a complication that is strongly correlated with chronic reflux disease. Although these agents are generally safe, a number of potential side effects have been described and a careful assessment of the risks and benefits of PPI therapy is required in all patients being prescribed long-term therapy. Overutilization of PPIs is a problem in clinical practice and needs further attention. PPI use has been associated with osteoporosis and bone fracture, hypomagnesaemia, the development of gastric polyps, enteric infections, interstitial nephritis and pneumonia. Patients on long-term therapy should be periodically evaluated for the indications for continued therapy. Despite widespread publicity in the lay press, and regulatory guidance regarding a number of associations, the evidence for serious side effects is poor and the risk of confounding remains a real possibility for many associations. Patients are more concerned about the absolute risk of developing a complication than a relative risk. The absolute risk of all the complications attributed to PPIs is low and patients who need long-term PPI therapy need a clear discussion of the available data on the risk of therapy and also a discussion of the risk of continued reflux.
S22413761
Based on the currently available literature, it appears that the addition of boys to a vaccination programme generally exceeds traditional cost-effectiveness thresholds. The MSM population represents a potential additional target for routine HPV vaccination; however, more cost-effectiveness studies are required before making such a policy change.
 
BRITISH MEDICAL JOURNAL
 
In patients with type 2 diabetes who do not achieve the glycaemic targets with metformin alone, DPP-4 inhibitors can lower HbA(1c), in a similar way to sulfonylureas or pioglitazone, with neutral effects on body weight. Increased unit cost, which largely exceeds that of the older drugs, and uncertainty about their long term safety, however, should also be considered.
S22451477
Promotion of physical activity to sedentary adults recruited in primary care significantly increases physical activity levels at 12 months, as measured by self report. We found insufficient evidence to recommend exercise referral schemes over advice or counselling interventions. Primary care commissioners should consider these findings while awaiting further trial evaluation of exercise referral schemes and other primary care interventions, with longer follow-up and use of objective measures of outcome.
S22374932
Referring people with established schizophrenia to group art therapy as delivered in this trial did not improve global functioning, mental health, or other health related outcomes.
S22362115
Our analysis supports the extension of the screening interval for people with type 2 diabetes mellitus beyond the currently recommended 12 months, with the possible exception of those with diabetes duration of 10 years or more and on insulin treatment.
S22411920
Cancer survivors had a lower risk of Alzheimer's disease than those without cancer, and patients with Alzheimer's disease had a lower risk of incident cancer. The risk of Alzheimer's disease was lowest in survivors of smoking related cancers, and was not primarily explained by survival bias. This pattern for cancer is similar to that seen in Parkinson's disease and suggests an inverse association between cancer and neurodegeneration.
S22371867
Evidence from this meta-analysis of individual patient data was not convincing for a clinically meaningful effect of clinical management of non-insulin treated type 2 diabetes by self monitoring of blood glucose levels compared with management without self monitoring, although the difference in HbA(1c) level between groups was statistically significant. The difference in levels was consistent across subgroups defined by personal and clinical characteristics.
S22391612
Most European countries should consider switching from primary cytology to HPV screening for cervical cancer. HPV screening must, however, only be implemented in situations where screening is well controlled.
S22381677
Screening is associated with improved cure of cervical cancer. Confounding cannot be ruled out, but the effect was not attributable to lead time bias and was larger than what is reflected by down-staging. Evaluations of screening programmes should consider the assessment of cure proportions.
S22427307
The rate of sudden infant death syndrome declined throughout Scotland in the early 1990s. The decline had a later onset and was slower among women living in areas of high deprivation, probably because of slower uptake of recommended changes in infant sleeping position. The effect was to create a strong independent association between deprivation and sudden infant death syndrome where one did not exist before.
 
 
 

                      

XXVIII Congreso de Comunicación y Salud

 

 

semFYC - JRT 2017

 

Cáceres, 10 y 11 de Noviembre 2017


____________________________

 Para pacientes
@pontealdiaAP
 @pontealdiaURG
55 e.SAMFyC

 


 

semFYC
 

 

Estadisticas

Ver contenido por hits : 1101581



La SAMFyC:
 C/ Arriola, 4, bajo D, CP.18001 - Granada. Email: samfyc@samfyc.es; Teléfono: 958 804 201 - Fax: 958 804 202. Horario de invierno: lunes a jueves de 9:00 a 17:30 horas; viernes de 9:00 a 14:30 horas. Horario de verano: lunes a viernes de 8:00 a 15:00h. Todos los derechos reservados. Aviso Legal. 


¡CSS Válido!

Diseño web