[Effect of the Omicron variant on cumulative incidence of infection and lethality during the sixth wave of the COVID-19 epidemic in Spain]

The COVID-19 pandemic has strained healthcare systems globally. The successive epidemic waves have shown different characteristics. The Omicron variant of SARS-CoV-2 modified the epidemic behavior that previous variants had followed. The aim of this analysis was to determine the epidemiological characteristics of COVID-19 during the sixth epidemic wave and its differences according to the predominance of the Delta or Omicron variants. The epidemiological data corresponding to the sixth wave of the epidemic published by official organizations were analyzed, and the cumulative incidence of infection (CI-I) and case fatality rates (CFR) were calculated, both for Spain as a whole and for the different Autonomous Communities, in the population as a whole and by age groups. The results showed that the CI-I was higher with the Ómicron variant (10.89% vs 0.75% with Delta) while the CFR was higher with the Delta variant (4.2‰ vs 1.3‰ with Ómicron), as well as a higher rate of hospitalization and ICU admission with the Delta variant.

Cannabis use frequency and pain interference among people with HIV

Cannabis is often used by people with HIV (PWH) for pain, yet study results are inconsistent regarding whether and how it affects pain. This study examines whether greater cannabis use frequency is associated with lower pain interference and whether cannabis use modifies the association of pain severity and pain interference among 134 PWH with substance dependence or a lifetime history of injection drug use. Multi-variable linear regression models examined the association between past 30-day cannabis use frequency and pain interference. Additional models evaluated whether cannabis use modified the association between pain severity and pain interference. Cannabis use frequency was not significantly associated with pain interference. However, in a model with interaction between cannabis use frequency and pain severity, greater cannabis use frequency attenuated the strength of the association between pain severity and pain interference (p = 0.049). The adjusted mean difference (AMD) in pain interference was +1.13, + 0.81, and +0.05 points for each 1-point increase in pain severity for those with no cannabis use, 15 days of use, and daily use, respectively. These findings suggest that attenuating the impact of pain severity on pain-related functional impairment is a potential mechanism for a beneficial role of cannabis for PWH.

[Thematic analysis of Primary Care journals indexed in Journal Citation Reports: 2015-2019]

OBJECTIVE

Analyze the thematic lines of the articles and reviews published between 2015 and 2019 in the journals indexed in the "Primary Health Care" category of the Journal Citation Reports.

METHODS

Observational bibliometric study. The bibliographic records of the Web of Science were identified and the frequencies of appearance of the thematic descriptors and their co-occurrence in the documents included in the study were analyzed. In addition to the global analysis, the reviews, the most cited documents, those published in 2015, and those published in 2019 were analyzed separately. Descriptors were classified by thematic clusters using the Current Canadian Index scale and clinical publications were analyzed using the second edition of the International Classification of Primary Care.

RESULTS

A total of 16,444 descriptors were identified in the 7,453 documents analyzed. The most frequent descriptors focus on: diagnosis, prevalence, management, risks, care practice and the figure of the health professional. In the most cited documents, terms with specific themes were used: depression, intervention, satisfaction, quality, therapy, research-based practice. In 2019, there were a greater number of publications focused on epidemiology, clinic, research and provision of services. From a clinical point of view, studies on psychological and mental health problems, nervous system, social problems, palliative care and cancer increased in 2019.

CONCLUSIONS

The analysis carried out identifies the relevant thematic lines in primary care journals, highlighting the diagnosis and prevalence of diseases, the management of pathologies and their associated risks, as well as clinical practice and the figure of the health professional.