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Pediatric and Primary Health Care Services in the 21st Century

Special Issue Editors

Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almería, Spain
Interests: public health; epidemiology; healthcare costs
Special Issues, Collections and Topics in MDPI journals
Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almería, Spain
Interests: pediatric; eHealth; mHealth; primary healthcare—healthcare costs
Special Issues, Collections and Topics in MDPI journals
Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain
Interests: pesticides; biomarkers; esterases; occupational exposure; environmental exposure; metals; oxidative stress; public health
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Primary Health Care plays an essential role in 21st Century Medicine and it is probably the most important reference system that can deal with the huge challenges brought by the beginning of this century. The use of technology, the COVID-19 pandemic, the empowerment of the patients, the increasing importance of pediatrics, and the crisis in costs are challenging the medical practices of the last century. The healthcare professionals need to adapt to this new, unknown situation, using tools that are completely new or, even worse, do not exist. However, the potential to perform research is higher than at any other time in history, and it is also easier than ever to share evidence-based knowledge. This Special Issue, focused in the role of primary health care in 21st century medicine, provides a great opportunity to satisfy the needs of the primary health care professionals, so we can provide them with the necessary tools to deal with these enormous challenges. Therefore, we are looking for manuscripts focused on health technology, especially apps, websites or other tools, that can help professionals and patients, especially parents and children, empower these patients, parents and children, and help to overcome the COVID-19 pandemic, and deal with increasing costs, from the perspective of primary health care. Thus, we invite the submission of manuscripts describing qualitative or quantitative research in areas such as eHealth, mHealth, mobile or computer apps, pediatrics, COVID-19 and costs, always from the perspective of the role of Primary Health Care in 21st Century Medicine.

You may choose our Joint Special Issue in Healthcare.

Prof. Dr. Tesifón Parrón-Carreño
Dr. Bruno José Nievas Soriano
Dr. David Lozano-Paniagua
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • eHealth
  • mHealth
  • apps
  • pediatrics
  • COVID-19
  • costs
  • primary health care

Related Special Issue

Published Papers (5 papers)

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Research

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12 pages, 700 KiB  
Article
Use of Digital Technology as a Collaborative Tool among Nursing Students—Survey Study and Validation
Int. J. Environ. Res. Public Health 2022, 19(21), 14267; https://doi.org/10.3390/ijerph192114267 - 01 Nov 2022
Cited by 3 | Viewed by 1514
Abstract
Background: This research aimed to develop a questionnaire to analyze perceived aspects of using digital technology among nursing students as a collaborative tool. We further sought to evaluate the psychometric reliability of the instrument. Methods: A cross-sectional observational study was performed using a [...] Read more.
Background: This research aimed to develop a questionnaire to analyze perceived aspects of using digital technology among nursing students as a collaborative tool. We further sought to evaluate the psychometric reliability of the instrument. Methods: A cross-sectional observational study was performed using a questionnaire developed from scratch. Psychometric studies and univariate and bivariate analyses were performed. Results: 132 nursing students participated. The exploratory and confirmatory analyses of the questionnaire excluded 4 of the initial 18 items and established four domains, and internal consistency was found. The mean global score of the answers to the questionnaire was 4.67 on a scale of 1–5 points, and all the domains obtained high scores. Men scored higher on the usefulness and the global score, while no differences were found regarding age. Conclusions: Nursing students positively assess the use of digital technology as a collaborative tool, regardless of age. Digital technology as a collaborative tool is perceived as beneficial, improves their involvement, and allows nursing students to obtain a better knowledge of their partners. These findings can help develop group projects and tools based on technology to train future nursing professionals. The questionnaire developed is a valid tool to assess this. Full article
(This article belongs to the Special Issue Pediatric and Primary Health Care Services in the 21st Century)
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14 pages, 619 KiB  
Article
Competence and Attitude of Family Physicians towards Sexuality Regarding Their Sexual Orientation, Age, or Having a Partner—Survey Study and Validation
Int. J. Environ. Res. Public Health 2022, 19(17), 11029; https://doi.org/10.3390/ijerph191711029 - 03 Sep 2022
Cited by 1 | Viewed by 1209
Abstract
Background: The main objective of this study was to assess different aspects of family physicians (sex, age, sexual orientation, or having a partner) regarding their competencies, attitudes, and procedures towards their patients’ sexuality. We also sought to develop a valid questionnaire to perform [...] Read more.
Background: The main objective of this study was to assess different aspects of family physicians (sex, age, sexual orientation, or having a partner) regarding their competencies, attitudes, and procedures towards their patients’ sexuality. We also sought to develop a valid questionnaire to perform this task. Methods: A cross-sectional study was performed among family and community medicine physicians in southeast Spain. Results: A total of 259 family physicians participated. Overall, 69.9% were women, 80.7% were heterosexual, 80.7% had a partner, and 50.6% had not received specific sexology training. Homosexual physicians showed a slightly more positive attitude toward sexuality. Training in sexuality established differences in competencies and procedures, but no differences were found in the attitude regarding whether the physicians had a partner or their training. While younger ages were correlated with a more positive attitude, the global score was positively correlated with the age of the professionals. Conclusions: Competences, attitudes, and knowledge of procedures do not depend on whether the professional has a partner, but there may be slight differences regarding attitude when considering the sexual orientation of the physicians. The attitude toward sexuality may not depend on previous training. Albeit younger family physicians have a more positive attitude, all providers become more involved with sexuality as they gain professional experience. Full article
(This article belongs to the Special Issue Pediatric and Primary Health Care Services in the 21st Century)
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12 pages, 724 KiB  
Article
Consumption of Psychiatric Drugs in Primary Care during the COVID-19 Pandemic
Int. J. Environ. Res. Public Health 2022, 19(8), 4782; https://doi.org/10.3390/ijerph19084782 - 14 Apr 2022
Cited by 13 | Viewed by 2063
Abstract
Background: The main objective of this research was to analyze whether there were changes in the use of antidepressants, anxiolytics, and hypnotic-sedative drugs, in the context of primary health care, during the COVID-19 pandemic compared to the pre-pandemic period. We further sought to [...] Read more.
Background: The main objective of this research was to analyze whether there were changes in the use of antidepressants, anxiolytics, and hypnotic-sedative drugs, in the context of primary health care, during the COVID-19 pandemic compared to the pre-pandemic period. We further sought to study consumption in vulnerable population groups. Methods: A cross-sectional observational study was performed in a primary health district of Spain. The data were obtained from the Andalusian Public Health System database, for the pre-COVID-19 period, from March 2019 to February 2020, and for the COVID-19 period, from March 2020 to February 2021. Univariant and bivariant analyses were performed. The effect size was measured using the Rosenthal test. Results: While the total number of medical prescriptions decreased by 2.5% in the COVID-19 period, the prescriptions of psychiatric drugs increased by 6.1%. The increase in the dose consumption per 1000 inhabitants (DHD) was highest for anxiolytics (7.2%), followed by hypnotic-sedatives (5.6%) and antidepressants (3.7%). The consumption of antidepressants, anxiolytics, and sedative-hypnotic drugs was higher in women, older people, and rural areas and lower in areas with social transformation needs, with these differences being statistically significant. Conclusions: The consumption of psychiatric drugs has increased over the COVID-19 pandemic, especially in women, older people, and rural areas. Thus, we should reflect on the adequate use of these drugs. Full article
(This article belongs to the Special Issue Pediatric and Primary Health Care Services in the 21st Century)
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11 pages, 571 KiB  
Article
Serum 25(OH) Vitamin D Levels in Pregnant Women with Coronavirus Disease 2019 (COVID-19): A Case-Control Study
Int. J. Environ. Res. Public Health 2022, 19(7), 3965; https://doi.org/10.3390/ijerph19073965 - 26 Mar 2022
Cited by 5 | Viewed by 2377
Abstract
The physiological changes during pregnancy may increase the risk of complications in pregnant women with coronavirus disease 2019 (COVID-19). Vitamin D is a fat-soluble secosteroid hormone and its role in immunity is appears to be of particular importance in this recent pandemic. Nevertheless, [...] Read more.
The physiological changes during pregnancy may increase the risk of complications in pregnant women with coronavirus disease 2019 (COVID-19). Vitamin D is a fat-soluble secosteroid hormone and its role in immunity is appears to be of particular importance in this recent pandemic. Nevertheless, there is little research about the role of vitamin D levels regarding COVID-19 in pregnant women to date. This study aimed to establish a relationship between serum 25-hydroxyvitamin D (25(OH)D) levels in pregnant women and COVID-19. A comparative case-control study was performed with a study population of 256 pregnant women (82 pregnant women with infection and 174 women in control group). Serum 25(OH)D levels were significantly lower in pregnant women with COVID-19 infection than in those without infection. In addition, 89% of COVID-19-positive pregnant women had 25(OH)D deficiency, while in the control group the percentage was 75.30%, finding statistically significant differences (ORa = 2.68; 95% CI 1.19–6.06; p = 0.01). Our results find a relationship between vitamin D deficiency in pregnant women and COVID-19 infection. This finding could be relevant for actual clinical practice. Thus, more research is needed in this field. Full article
(This article belongs to the Special Issue Pediatric and Primary Health Care Services in the 21st Century)
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8 pages, 311 KiB  
Case Report
Acute Appendicitis in COVID-19-Positive Children: Report of 4 Cases from an Endemic Area in Northeastern Romania
Int. J. Environ. Res. Public Health 2023, 20(1), 706; https://doi.org/10.3390/ijerph20010706 - 30 Dec 2022
Cited by 3 | Viewed by 1138
Abstract
Acute appendicitis (AA) is one of the most common surgical emergencies in children. Some reports have suggested that the COVID-19 pandemic was responsible for delays in the diagnostic and proper treatment of AA in pediatric patients. The aim of our study was to [...] Read more.
Acute appendicitis (AA) is one of the most common surgical emergencies in children. Some reports have suggested that the COVID-19 pandemic was responsible for delays in the diagnostic and proper treatment of AA in pediatric patients. The aim of our study was to perform a retrospective study of cases of AA in children with SARS-CoV-2 infection treated in a highly endemic area for COVID-19 in Romania during a 2-year time interval. The SARS-CoV-2 infection had no unfavorable impact on children who presented with AA. Further data analysis should clarify the overall influence of COVID-19 on the management of surgical pediatric patients in such endemic areas. Full article
(This article belongs to the Special Issue Pediatric and Primary Health Care Services in the 21st Century)
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