Gaceta medica de Mexico最新文献_第10页

Factors associated with psychopathological symptoms in medical students in the context of the COVID-19 pandemic: comparison 2019-2022. 2019-2022年新冠肺炎大流行背景下医学生精神病理症状相关因素比较

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000958

Barragán-Pérez Virginia, Fouilloux-Morales Claudia, Mahuina Campos-Castolo Esther, Tafoya A Silvia

{"title":"Factors associated with psychopathological symptoms in medical students in the context of the COVID-19 pandemic: comparison 2019-2022.","authors":"Barragán-Pérez Virginia, Fouilloux-Morales Claudia, Mahuina Campos-Castolo Esther, Tafoya A Silvia","doi":"10.24875/GMM.M24000958","DOIUrl":"https://doi.org/10.24875/GMM.M24000958","url":null,"abstract":"Background: The pandemic effects on the mental health of health care personnel is a public health problem.Objective: To determine factors associated with psychopathological symptomatology in undergraduate medical students.Material and methods: 2961 students from four generations answered the GHQ-28 online: n1. Pre-pandemic (n = 758) n2. Initial phase (n = 581), n3. Acute phase (n = 705), and n4. Protected return phase (n = 917), between August 2019 and September 2022. Using multivariable logistic regression models, factors associated (sociodemographic and clinical) with psychopathological symptomatology were identified.Results: 51.9% of students presented symptomatology, with a higher prevalence of depressive symptoms (22.9%), and somatic and sleep disturbance (11.1%). The pandemic phase (n2: OR, 12.69; n3: OR, 8.45; n4: OR, 5.62), having a personal history of major depression (OR, 4.35), family history of depression (OR, 1.96), limited (OR, 1.54) and insufficient economic resources (OR, 2.09) and being female (OR, 1.46) were significantly associated with symptomatology.Conclusions: The pandemic influenced the mental health of undergraduate medical students. Actions aimed at promoting healthy educational environments, and strategies for prevention and care of psychopathological symptomatology are necessary.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 6","pages":"585-593"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Suicidal behavior and other mental health problems in adolescents. 青少年的自杀行为和其他心理健康问题。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000953

Arnao-Villegas Y Manuel

引用次数: 0

Value of hypoplastic nasal bone at 11-14 weeks' gestation for the detection of fetal aneuploidy in a Mexican population. 墨西哥人群妊娠11-14周鼻骨发育不全对胎儿非整倍体检测的价值

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000960

Cervantes-Ricaud J Alfredo, Oviedo-Cruz Héctor

{"title":"Value of hypoplastic nasal bone at 11-14 weeks' gestation for the detection of fetal aneuploidy in a Mexican population.","authors":"Cervantes-Ricaud J Alfredo, Oviedo-Cruz Héctor","doi":"10.24875/GMM.M24000960","DOIUrl":"https://doi.org/10.24875/GMM.M24000960","url":null,"abstract":"Background: The standardized assessment of the hypoplastic nasal bone (NB) by ultrasonography between 11-14 weeks' gestation has value in the detection of fetal aneuploidies. The frequency of hypoplastic NB varies between populations and is unknown in Mexico.Objective: To analyze the performance of hypoplastic NB for the early detection of fetal aneuploidies in a Mexican population.Material and methods: A nested case-control study in a cohort of Mexican pregnant women. The inclusion criteria were live fetus with crown-rump length (CRL) 45-84 mm and the result of perinatal karyotype or phenotype at birth. Ultrasonographic assessment of the NB was standardized. The statistical analyses were univariable, multiple logistic regression, Bayes' theorem and performance.Results: A total of 65 cases and 1187 controls were studied, with maternal age of 1753 years. The frequency of hypoplastic NB was 1.6% (95% CI, 0.9-2.3) in euploid fetuses versus 44.6% (95% CI, 32.5-56.7) with aneuploidies (p < 0.001, X2). Sensitivity for trisomy 21 was 58.3% (PPV 52.5%, NPV 98.7%). The probability of the hypoplastic NB was conditioned by aneuploidy (type), CRL, and nuchal translucency. The C-statistic of the Bayesian model was 0.904 (95% CI, 0.842-0.965).Conclusions: A Mexican model of the NB had added value in the early detection of fetal aneuploidies.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 6","pages":"619-626"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reply to the letter "Health careers and the labor market, complex dynamics". 回复“卫生事业和劳动力市场，复杂的动态”这封信。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000928

Guadalupe Soto-Estrada, Manuel García-Minjares, Adrián I Martínez-Franco, Carlos Gutiérrez-Cirlos, Adrián Martínez-González

引用次数: 0

Diagnosis of nutritional status, dyslipidemia and associated risk factors in indigenous Yaqui schoolchildren. 诊断土著雅基学童的营养状况、血脂异常和相关风险因素。

IF 0.8 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000856

Norma A Dórame-López, Leticia E Bobadilla-Tapia, Alejandra Tapia-Villaseñor, Ana C Gallegos-Aguilar, Araceli Serna-Gutiérrez, Heliodoro Alemán-Mateo, Julián Esparza-Romero

{"title":"Diagnosis of nutritional status, dyslipidemia and associated risk factors in indigenous Yaqui schoolchildren.","authors":"Norma A Dórame-López, Leticia E Bobadilla-Tapia, Alejandra Tapia-Villaseñor, Ana C Gallegos-Aguilar, Araceli Serna-Gutiérrez, Heliodoro Alemán-Mateo, Julián Esparza-Romero","doi":"10.24875/GMM.M24000856","DOIUrl":"https://doi.org/10.24875/GMM.M24000856","url":null,"abstract":"Background: Malnutrition is a global problem that affects schoolchildren and can increase the risk of diseases in adulthood. Adult members of the Yaqui Indigenous group have been shown to have serious health problems, and Yaqui schoolchildren could therefore find themselves in a similar situation.Objective: To evaluate the nutritional status, lipid profile and associated factors in a sample of Yaqui schoolchildren.Material and methods: A total of 109 Yaqui schoolchildren who lived in their localities of origin were recruited. Anthropometric measurements were carried out, a venous blood sample was extracted in fasting conditions, and several questionnaires were applied.Results: The prevalence of overweight/obesity was 38.5%, with no cases of chronic malnutrition being recorded; 38.6% of the children had dyslipidemia. Fiber consumption was a protective factor against overweight/obesity, while fat intake was a risk factor. The physical activity score was found to be a protective factor against dyslipidemia, and the risk factors were BMI-for-age Z-scores, waist circumference, family history of dyslipidemia, educational level, and permanent employment.Conclusions: Yaqui schoolchildren equally suffer from a high proportion of overweight/obesity and dyslipidemia. The associated factors may be useful for the design of contextualized interventions for this population.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 1","pages":"53-61"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140957099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter about the article "Genes related to hereditary microphthalmia and anophthalmia". 关于文章 "遗传性小眼症和无眼症的相关基因 "的来信。

IF 0.8 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000852

Maleny E Roque-Camacho

引用次数: 0

Impact of previous percutaneous coronary intervention on angiographic and clinical outcomes in patients with ST-segment elevation myocardial infarction. 既往经皮冠状动脉介入治疗对 ST 段抬高型心肌梗死患者血管造影和临床结果的影响。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000847

Alejandro Sierra-González de Cossío, Diego Araiza-Garaygordobil, Nitzha A Nájera-Rojas, Alma P Alonso-Bringas, Mariana Robles-Ledesma, José Luis Briseño-de la Cruz, Rodrigo Gopar-Nieto, Héctor González-Pacheco, Daniel Sierra-Lara-Martínez, Alexandra Arias-Mendoza

{"title":"Impact of previous percutaneous coronary intervention on angiographic and clinical outcomes in patients with ST-segment elevation myocardial infarction.","authors":"Alejandro Sierra-González de Cossío, Diego Araiza-Garaygordobil, Nitzha A Nájera-Rojas, Alma P Alonso-Bringas, Mariana Robles-Ledesma, José Luis Briseño-de la Cruz, Rodrigo Gopar-Nieto, Héctor González-Pacheco, Daniel Sierra-Lara-Martínez, Alexandra Arias-Mendoza","doi":"10.24875/GMM.M24000847","DOIUrl":"10.24875/GMM.M24000847","url":null,"abstract":"Background: The prognosis of patients with ST-segment elevation myocardial infarction (STEMI) and previous percutaneous coronary intervention (PCI) is uncertain.Objective: To evaluate if previous PCI in patients with STEMI increases the risk of major cardiovascular events, and if final epicardial blood flow differs according to the reperfusion strategy.Material and methods: Observational, longitudinal, comparative sub-study of the PHASE-MX trial that included patients with STEMI and reperfusion within 12 hours of symptom onset, who were classified according to their history of PCI. The occurrence of the composite primary endpoint (cardiovascular death, re-infarction, congestive heart failure and cardiogenic shock) within 30 days was evaluated using Kaplan-Meier estimates, log-rank test and Cox proportional hazards model. Epicardial blood flow was assessed using the TIMI grading system after reperfusion.Results: A total of 935 patients were included; 85.6% were males and 6.9% had a history of PCI; 53% underwent pharmacoinvasive therapy, and 47%, primary PCI. The incidence of the composite primary endpoint at 30 days in patients with a history of PCI was 9.8% vs 13.3% in those with no previous PCI (p = 0.06). Among the patients with previous PCI, 87.1% reached a final TIMI grade 3 flow after primary PCI vs. 75% in the group with pharmacoinvasive strategy (p = 0.235).Conclusions: A history of PCI does not increase the risk of major cardiovascular events at 30 days; however, it impacted negatively on the final angiographic blood flow of patients that received pharmacoinvasive therapy (compared to primary PCI).","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 1","pages":"45-52"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140957165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disparities in access to health care for immigrants in California: Assembly Bill 1045 (AB 1045). 加州移民获得医疗保健的不平等：第1045号议会法案（AB 1045）。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.24000214

Miguel A Fernández-Ortega, Lilia V Castro-Porras, Gustavo A Olaiz-Fernández, Mario E Rojas-Russell, Alejandra Chavez-Ciriaco, Brandon Salas-Sánchez, Itzayana Sánchez-Méndez

{"title":"Disparities in access to health care for immigrants in California: Assembly Bill 1045 (AB 1045).","authors":"Miguel A Fernández-Ortega, Lilia V Castro-Porras, Gustavo A Olaiz-Fernández, Mario E Rojas-Russell, Alejandra Chavez-Ciriaco, Brandon Salas-Sánchez, Itzayana Sánchez-Méndez","doi":"10.24875/GMM.24000214","DOIUrl":"https://doi.org/10.24875/GMM.24000214","url":null,"abstract":"Background: In 2002, Assembly Bill (AB) 1045 was approved by the State of California, which allows Mexican physicians to work as providers in health clinics for low-income populations.Objective: To compare patient satisfaction during medical consultation in terms of the performance of Mexican physicians to that of non-Mexican physicians. This was done in, three California counties' clinics over a two-year follow-up period.Material and methods: A pseudo longitudinal study of patients of nine clinics in three counties from 2021 to 2023. Psychometric analyses of the satisfaction variables were performed, as well as bivariate and multivariate analyses with logistic regressions.Results: The number of Hispanic patients visiting the clinics increased from seven to nine out of ten in two years. There was greater satisfaction in being attended by Mexican physicians than by non-Mexican physicians, mainly in aspects related to physician-patient communication and physical examination.Conclusions: The logistic model reported patients seen by Mexican physicians were almost twice as likely to be satisfied as those attended by non-Mexican physicians.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 5","pages":"493-503"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Combating ageism: awareness and best practices in healthcare for older people. 打击老龄歧视：老年人医疗保健方面的认识和最佳做法。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000903

Victoria González-García, Claudia L Chávez-García, Jennifer E Girón-Castillo, Brayan Reyes-Cedeño, Eduardo Sosa-Tinoco

引用次数: 0

Clinical and epidemiological characteristics of patients with persistent COVID in Mexico. 墨西哥持续感染COVID患者的临床和流行病学特征

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000951

Arnao-Villegas Y Manuel

引用次数: 0