Abstract：
:We review the mechanisms of the mental operation to identify the disease in family medicine, using five cases where the diagnosis process began in "the trace that should not be there" or "Robinson sign" as happened to Robinson Crusoe when he saw a human footprint on the beach of the "desert island". How could it be there?; It was a mystery, and based on metaphors, we framed the mechanism of "the trace that should not be there" mainly in the first phase of clinical or intuitive reasoning, but this intuition of the doctor should be accompanied by the diagnostic process, like the "basso continuo" of Baroque music, allowing improvisation and personal style, and in this way, eventually observing the footprint "that should not have been there" that may arise in the analytical, as well as in the verification phase of the assumptions made.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Turabián JL,Samarín-Ocampos E,Minier L,Pérez-Franco Bdoi
10.1016/j.aprim.2015.02.008subject
Has Abstractpub_date
2015-11-01 00:00:00pages
596-602issue
9eissn
0212-6567issn
1578-1275pii
S0212-6567(15)00114-6journal_volume
47pub_type
杂志文章abstract：OBJECTIVE:To find whether the systematic investigation of the contacts of Pulmonary Tuberculosis patients is carried out. DESIGN:Crossover and descriptive. SETTING:Asturias Health Area VIII. PATIENTS AND OTHER PARTICIPANTS:We examined whether contacts of the cases of Pulmonary Tuberculosis diagnosed in our area duri...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-09-15 00:00:00
abstract：OBJECTIVES:To determine the factors associated with asthma and asthma-related symptoms in children and adolescents in rural areas of Navarre (Spain). PARTICIPANTS AND METHODS:A cross-sectional study using the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire, as well as additional variable...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2017.05.005
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVES:To find how much alcohol, tobacco and drugs adolescents consume and identify some linked socio-family variables. DESIGN:A crossover and descriptive study, with randomised sampling stratified by classrooms. SETTING:Secondary schools in the town of Lugo. PATIENTS AND OTHER PARTICIPANTS:805 students of both ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-10-31 00:00:00
abstract：OBJECTIVE:To assess heart failure prevalence, epidemiology, co-morbidities and polypharmacy in our region from electronic patient records. To evaluate gender differences in heart failure patients. DESIGN:Descriptive, cross-sectional study. SETTING:Primary care Lleida (Spain). PARTICIPANTS:All patients from 21 primar...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2010.03.021
更新日期：2011-02-01 00:00:00
abstract：OBJECTIVES:To analyse the pathology diagnosed on the basis of the gastroscopies requested from a primary care centre (PCC). Assessment and treatment of Helicobacter pylori (HP) infection. DESIGN:Retrospective and descriptive. SETTING:Urban PCC. PATIENTS:Those over 14 who had a gastroscopy for a diagnostic purpose, r...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78496-4
更新日期：2000-03-15 00:00:00
abstract：INTRODUCTION:On the centenary of the foundation of the Paediatrics Society of Madrid, a tribute is presented to rural medical practice of that time, although there are few documents on the history of rural medicine. The main objective is to describe the context of the rural medical practice in the late 19th and beginni...
journal_title：Atencion primaria
pub_type： 历史文章,杂志文章
doi：10.1016/j.aprim.2015.05.008
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVE:Determination of whether rational drug use is facilitated by the quality of the information provided by the Medicom International Vademecum on drugs containing vitamin A as active component. DESIGN:Descriptive study. SETTING:Primary, specialized and hospital health care within the national context. SUBJECT...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-05-31 00:00:00
abstract：:Information on pharmaceutical assistance in health care can be obtained from different sources: pharmacies, medical records, market studies, and family interviews. These allow to evaluate whether the consumed drugs were prescribed or directly purchased, if they are stored at home, and the relation between these facts ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1990-03-01 00:00:00
abstract：AIM:To estimate the prevalence of use of progestin-only contraceptive among women who request reversible contraception in Primary Care (PC). DESIGN:Multicentre cross-sectional study. SETTING:Primary Care Health Care Centres (Madrid). PARTICIPANTS:Women aged 16-50 years old, users of reversible contraception, who spe...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2018.05.005
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:To critically analyse the concept of nursing prescription through the study of its background and a review of the scientific literature, in order to develop an accurate conception of this nursing activity and to identify the essential elements surrounding this concept. METHOD:Application of the concept analy...
journal_title：Atencion primaria
pub_type： 杂志文章,评审
doi：10.1016/j.aprim.2018.06.006
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:To determine if the ETAP smoking scale, which measures accumulated exposure to tobacco, both actively and passively, is applicable and effective in the clinical practice of Primary Care for the prevention of acute myocardial infarction (AMI). Location Barranco Grande Health Centre in Tenerife, Spain. DESIGN:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.05.010
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:To determine the ease of access by telephone when making medical appointments. DESIGN:Cross-sectional, observational, random sample. SETTING:Primary care, Murcia Region. PATIENTS AND OTHER PARTICIPANTS:Centres with a previous appointments system (n = 25) and a random sample of the 276 practitioners involve...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-04-30 00:00:00
abstract：OBJECTIVE:The aim of this study is to detect alcoholism problems among the young population, using the CAGE test. DESIGN:Transversal descriptive study. SITE. Work developed with high school students (BUP and COU) from a rural context in Aragón. PATIENTS AND OTHER PARTICIPANTS:Random sample of 1,012 students, ordered ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-05-15 00:00:00
abstract：OBJECTIVE:To find asthma mortality in the city of Barcelona. DESIGN:Descriptive study of mortality. SETTING:City of Barcelona. MAIN MEASUREMENTS:Deaths due to asthma in the city of Barcelona in the period 1983-1993 were studied through the register of mortality at Barcelona's Municipal Institute of Health, which in ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)78872-1
更新日期：2004-01-01 00:00:00
abstract：OBJECTIVE:To know the usefulness and applicability of an information system for basic health areas put into operation 16 years ago. DESIGN:Descriptive study of selected indicators registered in 1994 and 2004. SETTING:Basic health areas of Barcelona, Spain. PARTICIPANTS:Population living in Barcelona, Spain, during 1...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13118058
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVE:To examine how some factors connected with Continuous Care Points (CCP) affect attendance at hospital Casualty departments and admittance from them. DESIGN:Ecological study. SETTING:León Health area. PATIENTS AND OTHER PARTICIPANTS:All the CCP's belonging to the León Health area. MEASUREMENTS AND MAIN RES...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-11-30 00:00:00
abstract：OBJECTIVE:To quantify and describe the self-treatment existing among users requesting a consultation about an illness which had commenced in the previous 15 days. DESIGN:Observational prospective study. SETTING:Primary care in a semi-rural environment. Family Medicine Unit in Valls (Tarragona). PATIENTS AND OTHERS P...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-03-15 00:00:00
abstract：:The aim of the present study was to evaluate the prevalence of certain cardiovascular risk factors in the population of Asepeyo-Elche. The study sample was a working population of 697 persons (71.8% males and 28.2% females) with ages ranging from 15 to 65 years (mean age 34.7 +/- 13.2 years), seen during the first 6 m...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1991-06-01 00:00:00
abstract：OBJECTIVE:To know the opinion of the primary health care (PHC) physicians on the assistance demand in mental health (MH), their training necessities and their attitudes about this disorders. DESIGN:Observational and transversal study. SETTING:Primary care. PARTICIPANTS:The subjects of the study were PHC physicians. ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13076608
更新日期：2005-06-30 00:00:00
abstract：OBJECTIVE:To evaluate the validity of a rapid serology test for diagnosing Helicobacter pylori infection in our area. DESIGN:Longitudinal, prospective study. SETTING:Urban primary care centre. MEASUREMENTS:As reference tests for defining the presence/absence of Helicobacter pylori, histology and the urease gastric m...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：10.1016/s0212-6567(01)78912-3
更新日期：2001-06-30 00:00:00
abstract：:Eight cases of monoclonal gammapathy of uncertain significance are reported. They were detected from routine analysis in patients from the general population who consulted for several diseases to a primary care center. One patient developed multiple myeloma and the rest remained stable. As there is no effective method...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：OBJECTIVE:To describe the prevalence of iron deficiency anaemia in the Basque Country by age group and sex and to identify the main groups at risk. DESIGN:Cross-sectional study. SETTING:Basque Country. PARTICIPANTS:School-aged population of Bilbao (n = 762); further education students of San Sebastian (n = 372); adu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-10-15 00:00:00
abstract：AIM:Description of a clinical case of enteropathic arthritis. DESIGN:Descriptive study. SITE. Health Centre. PATIENTS AND OTHER PARTICIPANTS:A clinical case is described, starting with back pain where X-rays perceive no irregularity. Later a diagnosis of Crohn's disease is made. Finally lesions characteristic of anch...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE:To find the proportion of the adult population that practice physical exercise habitually. DESIGN:An observational study of a crossover nature. SETTING:The counties of Alt Camp and Conca de Barberà (Tarragona). PATIENTS AND OTHER PARTICIPANTS:A two-stage random sampling (stratified by age, gender and type ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-05-31 00:00:00
abstract：OBJECTIVES:To assess the impact of the Law 42/2010, on the health measures on smoking, on the prevalence of the exposure to environmental tobacco smoke (ETS), the repercussions in frequently visited places, and support of the new legislation. DESIGN:A before-after evaluation by comparing two cross-sectional studies th...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2012.02.010
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVES:With a system of qualitative indicators, to analyse the pharmaceutical prescription of general practitioners (GPs), and to evaluate the relationship of these indicators to the overall pharmaceutical prescription expenditure per inhabitant. DESIGN:Retrospective descriptive study. SETTING:Primary care. MEAS...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78545-3
更新日期：2000-04-30 00:00:00
abstract：OBJECTIVE: MAIN OBJECTIVE:to elaborate a Persons at Risk Index (PRI) for the abandonment of elderly handicapped. SECONDARY OBJECTIVES:to discover the profile of these invalids and their carers within our Health District. DESIGN:A case-control study. A uni- and multi-variant analysis (multiple logistic regression). ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-01-01 00:00:00
abstract：OBJECTIVE:To identify and analyse the "theory" expressed by family doctors on the essential features of an effective and functional doctor-patient relationship and on how to achieve one ("stated theory" of Argyris and Schon). DESIGN:Qualitative, based on discourse analysis. SETTING:Primary care. METHOD:Interviews re...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13106284
更新日期：2007-06-01 00:00:00
abstract：OBJECTIVE:To measure the impact of the peer-led training for chronic patients on their health status and behaviors. DESIGN:Descriptive, transversal pretest and posttest quantitative approach. PLACEMENT:Andalusia. PARTICIPANTS:Nine hundred sixty-four patients with Diabetes, fibromyalgia and heart failure, trained at ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2018.09.020
更新日期：2020-02-01 00:00:00
abstract：OBJECTIVES:Main: to describe the health situation of the urban non-institutionalised population of 75 or over in Castro Urdiales. Secondary. To analyse the differences in the over-user group. DESIGN:Descriptive, crossover. SETTING:Primary Care Health Centre. PATIENTS:People in the urban area aged 75 or over and with...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-06-15 00:00:00
