Gaceta medica de Mexico最新文献_第10页

Disentangling the relationship between biological age and frailty in community-dwelling older Mexican adults. 厘清居住在社区的墨西哥老年人的生理年龄与虚弱之间的关系。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.24000115

Carlos A Fermín-Martínez, Daniel Ramírez-García, Neftali E Antonio-Villa, Miriam Teresa López-Teros, Jacqueline A Seiglie, Roberto C Castrejón Pérez, Carmen García Peña, Luis M Gutiérrez-Robledo, Omar Y Bello-Chavolla

{"title":"Disentangling the relationship between biological age and frailty in community-dwelling older Mexican adults.","authors":"Carlos A Fermín-Martínez, Daniel Ramírez-García, Neftali E Antonio-Villa, Miriam Teresa López-Teros, Jacqueline A Seiglie, Roberto C Castrejón Pérez, Carmen García Peña, Luis M Gutiérrez-Robledo, Omar Y Bello-Chavolla","doi":"10.24875/GMM.24000115","DOIUrl":"10.24875/GMM.24000115","url":null,"abstract":"Background: Older adults have highly heterogeneous aging rates.Objective: To explore the association of biological age (BA) and accelerated aging with frailty in community-dwelling older adults.Methods: We assessed 735 community-dwelling older adults from the Coyocan Cohort. BA was measured using AnthropoAge, accelerated aging with AnthropoAgeAccel, and frailty using Fried's phenotype and the frailty index. We explored the association of BA and accelerated aging (AnthropoAgeAccel ≥ 0) with frailty at baseline and characterized the body composition and physical function phenotype of accelerated aging in non-frail/frail participants. We also explored accelerated aging as a risk factor for frailty progression after 3-years of follow-up.Results: Older adults with accelerated aging have higher frailty prevalence and indices, lower handgrip strength and gait speed. AnthropoAgeAccel was associated with higher frailty indices (β = 0.0053, 95%CI 0.0027-0.0079), and increased odds of frailty at baseline (OR 1.16, 95%CI 1.09-1.25). We observed sex-based differences in body composition and physical function linked to accelerated aging in non-frail participants; however, these differences were absent in pre-frail/frail participants. Accelerated aging at baseline was associated with higher risk of frailty progression over time (OR 1.74, 95%CI 1.11-2.75).Conclusions: Despite being intertwined, biological accelerated aging is largely independent of frailty in community-dwelling older adults.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 3","pages":"290-300"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739330","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

Deciphering the prognostic role of serum immunoglobulin G in Guillain-Barré syndrome during intravenous immunoglobulin treatment. 解读血清免疫球蛋白G在静脉注射免疫球蛋白治疗格林-巴-罗综合征中的预后作用。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.24000311

Galnares-Olalde A Javier, López-Hernández C Juan, Domínguez-Tobón Verónica, Vargas-Cañas S Edwin

{"title":"Deciphering the prognostic role of serum immunoglobulin G in Guillain-Barré syndrome during intravenous immunoglobulin treatment.","authors":"Galnares-Olalde A Javier, López-Hernández C Juan, Domínguez-Tobón Verónica, Vargas-Cañas S Edwin","doi":"10.24875/GMM.24000311","DOIUrl":"https://doi.org/10.24875/GMM.24000311","url":null,"abstract":"Background: Guillain-Barré syndrome (GBS) is associated with 20% rate of long-term disability. This study explores the pathophysiology of GBS and the mechanism of intravenous immunoglobulin (IVIg).Objective: To investigate whether elevated immunoglobulin G (IgG) levels following IVIg administration are linked to improved recovery of independent walking at 6 months.Material and methods: A retro-prospective observational study was conducted. IgG levels were measured before treatment, 7- and 30-days post-initiation. Binary regression analysis assessed the impact of individual factors on prognosis and sequelae. The Kaplan-Meier curve was used to evaluate the proportion of patients who couldn´t walk unaided.Results: Forty-two patients were included. The mean baseline IgG level was 832.25 mg/dl, increasing to 3053.48 mg/dl at 7 days and decreasing to 1091.72 mg/dl at 30 days. IgG increases at 7 days were categorized into quartiles. Patients with a low increase in IgG levels (< 1945.5 mg/dl) at 7 days exhibited more severe clinical manifestations, including greater needs for invasive mechanical ventilation and increased autonomic dysfunction. Also had poorer walking outcomes at 6 months.Conclusions: Lower increase in IgG levels at 7 days post-treatment is associated with a worse prognosis at 6 months, including a reduced likelihood of walking unaided.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 6","pages":"613-618"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991911","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

Evaluation of the quality of medical care in patients with type 2 diabetes mellitus in a National Institute of Health. Clinical results and risk factors. 国立卫生研究院2型糖尿病患者医疗服务质量评价临床结果及危险因素。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.24000238

Marcos N Blancarte-Ibarra, Renée Guevara-Olivera, Paloma Siller-García, Marlene Alvarado-Castillejos, Mariana Lechuga-Ordoñez, Valeria E Gómez-Islas, Kevin R García-Fong, Sofía A Méndez-Bribiesca, Iván Pérez-Diaz

{"title":"Evaluation of the quality of medical care in patients with type 2 diabetes mellitus in a National Institute of Health. Clinical results and risk factors.","authors":"Marcos N Blancarte-Ibarra, Renée Guevara-Olivera, Paloma Siller-García, Marlene Alvarado-Castillejos, Mariana Lechuga-Ordoñez, Valeria E Gómez-Islas, Kevin R García-Fong, Sofía A Méndez-Bribiesca, Iván Pérez-Diaz","doi":"10.24875/GMM.24000238","DOIUrl":"10.24875/GMM.24000238","url":null,"abstract":"Background: DM2 is a highly prevalent chronic disease.Objective: Evaluate the quality of the medical care provided to patients with DM2 in a National Institute of Health, based on the goals established by the Diabetes Recognition Program (DRP), and identify risk factors for poor glycemic control. Establish a cohort of patients with DM2 for follow-up.Material and methods: This is a descriptive, observational, and retrospective study. We analyzed 7 08 medical charts.Results: According to the National Committee for Quality Assurance (NCQA) parameters, our center obtained the score to be accredited as a center of excellence in the care of patients with DM2 (81/100 points). Patients with poor glycemic control (HbA1c >7%) were younger (62.97 vs 66.06 years, p= 0.0016), their DM2 had been present for a longer period (13.40 vs9.57 years, p= 0.0001), and vitamin D levels were lower (20.49 vs 22.39 ng/ml, p= 0.0021). The risk factors associated with poor glycemic control were younger age, longer course of the disease, and low vitamin D levels.Conclusions: The internal medicine department provides high-quality medical care, and fulfills international standards; however, poor DM2 control, overweight, and obesity are still highly prevalent.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 5","pages":"511-518"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500572","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

Complications of twin pregnancy by assisted reproductive techniques compared with spontaneous. 辅助生殖技术与自然受孕双胎的并发症比较。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000933

Maritza García-Espinosa, Claudia E Manríquez-de Jesús, Carlos F Rosales-Murillo, Felipe Caldiño-Soto

{"title":"Complications of twin pregnancy by assisted reproductive techniques compared with spontaneous.","authors":"Maritza García-Espinosa, Claudia E Manríquez-de Jesús, Carlos F Rosales-Murillo, Felipe Caldiño-Soto","doi":"10.24875/GMM.M24000933","DOIUrl":"10.24875/GMM.M24000933","url":null,"abstract":"Introduction: Twin pregnancy through assisted reproduction techniques is increasing, as are the associated complications.Objective: Compare maternal and perinatal complications associated with spontaneous twin pregnancy and through assisted reproduction techniques (ART).Material and methods: Retrospective comparative and controlled study. It included 208 patients treated at the UMAE HGO 4 of the IMSS, divided into two groups according to the method of conception (spontaneous vs ART), comparing maternal and perinatal complications. Quantitative variables were compared with the student's T or Mann Whitney U test and qualitative variables with the chi-square test. The probability ratio was calculated with a 95 % confidence interval, with statistical significance p < 0.05.Results: 208 patients with twin pregnancies were included; 104 (50%) conceived spontaneously and 104 (50%) by assisted reproductive techniques (ART). Maternal complications were higher in the ART group: preterm delivery (84.6 vs 60.5%), hypertensive disease (43.2 vs 19.2%), gestational diabetes (38.1 vs 24.8%), and obstetric hemorrhage (41.9 vs 25.7%). Prematurity and respiratory distress syndrome were significantly higher in the ART group.Conclusions: Twin pregnancy due to ART increases the risk of maternal and perinatal complications, which forces us to improve prenatal control with a risk approach.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 4","pages":"384-392"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004295","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

Registration of deaths in children under five years of age has improved in Mexico, however, the underreporting has not yet been eliminated. 在墨西哥，五岁以下儿童的死亡登记情况有所改善，但尚未消除低报现象。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000919

Rafael Lozano, Itzuri Castillo, María J Ríos-Blancas, Christian Razo, Juan J González

{"title":"Registration of deaths in children under five years of age has improved in Mexico, however, the underreporting has not yet been eliminated.","authors":"Rafael Lozano, Itzuri Castillo, María J Ríos-Blancas, Christian Razo, Juan J González","doi":"10.24875/GMM.M24000919","DOIUrl":"10.24875/GMM.M24000919","url":null,"abstract":"Background: The underreporting of vital statistics poses a problem for the quality of information. To address underreporting, Mexico implemented the \"Intentional Search for Children Deaths\" in 2002.Objective: To analyze trends in the underreporting of deaths in neonates and children under 5 years of age (U5) from 1992 to 2022 at the national level and by state.Material and methods: A comparative analysis was conducted between the records of the National Institute of Statistics and Geography (INEGI) and the Institute for Health Metrics and Evaluation (IHME) chosen as the gold standard after comparison with five other independent data sources. The analysis considers marginalization to describe the magnitude of underreporting.Results: From 2001 to 2022, at the national level, the underreporting gap decreased from 38.2% to 9.0% among children U5 and from 30.7% to 5.5% in the neonatal age, with heterogeneous results across states.Conclusions: The registration of deaths has improved; however, it is crucial to identify states needing further investigation and intervention to reduce the underreporting gap in infant mortality.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 4","pages":"420-428"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004280","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

Cognitive domains in older people with HIV. 老年艾滋病毒感染者的认知领域。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000948

Arnao-Villegas Y Manuel

引用次数: 0

Percutaneous coronary intervention in heart transplant recipient. 心脏移植受者经皮冠状动脉介入治疗。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000955

Arizmendi-Uribe Efraín, Careaga-Reyna Guillermo

引用次数: 0

Cognitive health in older adults, a public health challenge. 老年人的认知健康是一项公共卫生挑战。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000867

Henry C Rivas-Sucari, José L Rodríguez-Eguizabal

引用次数: 0

Mortality and hospitalization trends for aortic aneurysms and dissections in Mexico. 墨西哥主动脉瘤和夹层的死亡率和住院趋势。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000861

Luis O Bobadilla-Rosado, Javier E Anaya-Ayala, Eros Santos-Chavez, Luis Barragán-Galindo, Kenia Rivas-Redonda, Xandra Gómez-Serafín, Hugo Laparra-Escareno, Nina Méndez-Domínguez, Carlos A Hinojosa

{"title":"Mortality and hospitalization trends for aortic aneurysms and dissections in Mexico.","authors":"Luis O Bobadilla-Rosado, Javier E Anaya-Ayala, Eros Santos-Chavez, Luis Barragán-Galindo, Kenia Rivas-Redonda, Xandra Gómez-Serafín, Hugo Laparra-Escareno, Nina Méndez-Domínguez, Carlos A Hinojosa","doi":"10.24875/GMM.M24000861","DOIUrl":"10.24875/GMM.M24000861","url":null,"abstract":"Background: In Mexico, there is a paucity of evidence on mortality and hospitalization patterns associated with aortic aneurysms and dissections.Objective: To analyze national databases and describe the epidemiological characteristics of different aortic pathologies.Material and methods: Retrospective, cross-sectional, observational study, in which mortality and hospitalization attributed to aortic aneurysms and dissections were analyzed. Statistical analysis was performed on Stata 16.Results: A total of 6,049 deaths were documented in the general population, which included 2,367 hospitalizations and 476 (20.1%) in-hospital deaths. In addition, a statistically significant age difference was found between mean age at death in the general population (69.5 years) and the in-hospital death group (64.1 years, p < 0.001). As for hospitalizations secondary to ruptured abdominal aortic aneurysms, 149 cases were identified, with a mean age of 65.6 years, out of whom 53 (35.5%) were under 65 years of age, with a mean age of 47.8 years.Conclusions: Epidemiological reports of aortic pathology in Mexico are scarce; therefore, implementation of screening and detection programs for aortic pathologies is necessary in order to address the disparities identified in this analysis.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 1","pages":"96-103"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140957122","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

Phenotypic and molecular identification of Fusarium spp. clinical and environmental isolates. 镰刀菌临床和环境分离株的表型和分子鉴定。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000943

Alexandra M Montoya, Joan Grimaldo, Gloria M González

{"title":"Phenotypic and molecular identification of Fusarium spp. clinical and environmental isolates.","authors":"Alexandra M Montoya, Joan Grimaldo, Gloria M González","doi":"10.24875/GMM.M24000943","DOIUrl":"https://doi.org/10.24875/GMM.M24000943","url":null,"abstract":"Background: Fusarium is a genus of fungi whose identification is based primarily on phenotypic characteristics, although molecular identification procedures have outperformed conventional procedures. In Mexico, there is no information on the species or complexes of the members of this genus.Objective: To identify the species of a collection of 116 Fusarium spp. strains obtained from clinical and environmental samples.Material and methods: Phenotypic identification was carried out by morphology analysis of cultures on the following media: Sabouraud dextrose agar, dextrose potato agar, oat agar, Speziller Nährstoffarmer agar and water agar. Molecular identification was performed by amplification and sequencing of the ITS, TEF1, RPB2 and CL regions.Results: Only 39 Fusarium strains could be identified at the complex level using phenotypic characteristics. The remaining 77 strains were identified using molecular procedures. In addition, molecular confirmation of identification was sought for the 39 strains already mentioned. ITS sequencing was sufficient for the identification of F. oxysporum and F. solani complex species. For the identification of other species, the sequencing of TEF1, RPB2 and/or CL was required.Conclusions: Phenotypic identification was often limited by the lack of fungal structure production when cultured on conventional and some minimal media. Molecular procedures are essential to achieve the precise identification of the species of this genus.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 5","pages":"527-534"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500575","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