Atencion primaria
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This article is a continuation of the review initiated in the previous issue about the usefulness of musculoskeletal point of care ultrasound in Primary Care, completing the scenarios of muscle injuries, osteoarthritis, rheumatological diseases and eco-guided procedures.
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Comparative Study
[The impact of patient identification on an integrated program of palliative care in Basque Country].
Evaluate the process and the economic impact of an integrated palliative care program. ⋯ The integrated palliative care model increased the identification of the target population. Relationships between variables showed that the identification had a positive impact on prescription of opiates, death outside the hospital and extension to non-oncologic diseases. Although the identification decreased admissions in hospital, costs per patient had a slight increase due to home hospitalizations.
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Observational Study
[Maintenance of exclusive breastfeeding after three months postpartum: An experience in a health department of a Valencian Community].
To investigate the prevalence of EBF at 3-months postpartum, and the early factors for discontinuation. ⋯ The prevalence of EBF at 3 months is low compared to other similar studies, although we see an upward trend. Belief in hypogalactia influenced the maintenance of exclusive breastfeeding.
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Observational Study
[Find your 1%: prevalence and mortality of a community cohort of people with advanced chronic disease and palliative needs].
To determine the prevalence and profiles of people with advanced chronic diseases in Primary Care and to analyse the elements related to their mortality in order to orient strategies for improvement in this level of care. ⋯ The prevalence and characteristics of advanced community-based disease coincide with that reported in the literature. Potentially, Primary Care is the reference level of care for these patients, especially if it incorporates nursing homes as a usual field of practice.
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Observational Study
[Assessing bioethics education: Teaching to be virtuous doctors or just doctors with practical ethical skills].
In the last decades, bioethics has been incorporated into the academic training of the Medical Schools. Some studies analyze the ethical-moral development of medical students and the effect of ethical education in other countries. This evaluation is done by measuring Kohlberg's moral reasoning (virtuous doctors), or ethical sensitivity to resolve clinical cases (physicians with ethical skills). The following study is proposed to assess the impact of bioethics training on these two variables, in Spanish medical students. ⋯ In our study, training in bioethics does not improve moral development but rather the ethical problem solving skills. It is asked if this improvement is enough to train doctors prepared for the new challenges.