Atencion primaria
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To find out the clinical and demographic features of patients in treatment for osteoporosis, look for risk factors for osteoporosis and bone fractures, and assess whether treatment is indicated. ⋯ Nearly 50% of treatments are not well indicated and a high percentage of our clinical histories do not record risk factors correctly. We should improve our clinical histories, as we are responsible for identifying, studying, evaluating, treating and controlling the progress of osteoporosis.
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To check the effectiveness of a mindfulness development meditation technique on stress and anxiety in a group of primary-care physicians. ⋯ The results of this study support the effectiveness of mindfulness development meditation techniques in decreasing stress and anxiety in primary-care physicians. Nevertheless, the study shows various limitations that would have to be corrected in successive studies to bring more validity to the results.
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In August 2009, an ad hoc international expert committee created by the major world diabetic association, published an eagerly awaited consensus. In this, it recommended the general use of the haemoglobin A1c fraction for the diagnosis of diabetes, encouraging its standardisation and proposing a 6.5% cut-off. In this article, the diagnostic methods for diabetes, as well as the advantages, limitations and controversies of this new recommendation are reviewed.