Luis Del Carpio-Orantes, Daniela Trelles-Hernández, Sergio García-Méndez, Jesús S Sánchez-Díaz, Andrés Aguilar-Silva, Ener R López-Vargas
{"title":"Clinical-epidemiological characterization of patients with long COVID in Mexico.","authors":"Luis Del Carpio-Orantes, Daniela Trelles-Hernández, Sergio García-Méndez, Jesús S Sánchez-Díaz, Andrés Aguilar-Silva, Ener R López-Vargas","doi":"10.24875/GMM.M24000875","DOIUrl":"https://doi.org/10.24875/GMM.M24000875","url":null,"abstract":"<p><strong>Background: </strong>Long COVID is defined as the persistence of COVID-19 symptoms four weeks after having undergone acute infection, according to the most recent CDC definition. It is estimated that there are 65 million people affected by this entity, although other figures speak of 200 million.</p><p><strong>Objective: </strong>To characterize the population affected by long COVID in Mexico.</p><p><strong>Material and methods: </strong>Patients older than 18 years who agreed to answer an online survey and who met the criteria for long COVID were included.</p><p><strong>Results: </strong>Data from 203 subjects were included, with 138 (68.0%) being found to be females, and average age to be 41.8 years; 29.6% had severe disease, and 70.4%, mild to moderate disease; 89.7% had received prior COVID-19 vaccination: 6.9% had received one dose; 31.5%, two doses; and 51.2%, three or more doses. The main risk factors were diabetes, overweight or obesity, and hypertension. The most commonly reported symptom was fatigue, followed by other neuropsychiatric manifestations.</p><p><strong>Conclusion: </strong>It is important for the population affected by long COVID to be characterized in order to generate diagnostic and treatment protocols.</p>","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 2","pages":"136-143"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906339","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}
{"title":"Use of animals for scientific and educational purposes by Mexican institutions.","authors":"Patricia Frías-Álvarez, Gustavo Ortiz-Millán","doi":"10.24875/GMM.24000067","DOIUrl":"https://doi.org/10.24875/GMM.24000067","url":null,"abstract":"<p><p>In Mexico, it is not known which institutions use animals for scientific purposes. This work reports, based on data requested from the National Institute of Transparency, Access to Information and Protection of Personal Data (INAI), the types of institutions that use animals for research and how many of these have an ethics committee. Research centres, colleges, hospitals, national institutes, technical colleges, and public universities are the types of institutions that report using animals for experimentation. Only 54% of institutions have ethics committees. Mexican institutions from 2015 to 2021 used a total of 2,112,786 animals. Mammals are the most widely used animal group. The scientific purposes for using animals depend on the type of institution that uses them. In Mexico, it is necessary to update the regulations in order to regulate the use, protection and the care of laboratory animals.</p>","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 2","pages":"202-210"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906347","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}
Nallely Aguiñaga-Martínez, Juan de Dios Zavala-Rubio, Melissa Ramírez-Ruíz, Alberto J Hernández-Garza, Martín Segura-Chico, Miriam J De la Mata-Márquez, Dolores Mino-León
{"title":"Prescription of non-steroidal anti-inflammatory and antirheumatic drugs in outpatient hypertensive patients.","authors":"Nallely Aguiñaga-Martínez, Juan de Dios Zavala-Rubio, Melissa Ramírez-Ruíz, Alberto J Hernández-Garza, Martín Segura-Chico, Miriam J De la Mata-Márquez, Dolores Mino-León","doi":"10.24875/GMM.M24000889","DOIUrl":"https://doi.org/10.24875/GMM.M24000889","url":null,"abstract":"<p><strong>Background: </strong>It has been documented that NSAIDs (nonsteroidal anti-inflammatory and antirheumatic drugs) reduce the effectiveness of some antihypertensive drugs.</p><p><strong>Objective: </strong>Analyze the prescription of NSAID and the variables associated in outpatients with hypertension and explore some characteristics of the physicians.</p><p><strong>Material and methods: </strong>Cross-sectional study, included patients with hypertension from the Family Medicine Unit No. 24 in Mante, Tamaulipas. From the patients, sociodemographic data, clinical history and pharmacological treatments were obtained. From the physicians, sociodemographic and academic information were collected.</p><p><strong>Results: </strong>Mean age of the patients was 63 ± 11 years and 31.7% were prescribed NSAIDs. When compare exposed versus non-exposed to NSAIDs, being in uncontrolled high blood pressure, uncontrolled hypertension, multimorbidity and polypharmacy. The variables associated to the prescription of NSAIDs were: uncontrolled hypertension, multimorbidity and polypharmacy. The 56.7% of the physicians were women, 83.3% with experience >10 years and 33.3% with current certification by the Council in Family Medicine.</p><p><strong>Conclusions: </strong>The inappropriate prescription of NSAIDs revealed the need to implement actions to mitigate the potential risk for the hypertension patients to present a complication.</p>","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 2","pages":"154-160"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141909838","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}
Julio C Flórez-Barrios, Susana Botero-Palacio, Jorge A Castrillón-Lozano
{"title":"Telemedicine: optimization of NSAID prescription in hypertensive outpatients with rheumatoid arthritis.","authors":"Julio C Flórez-Barrios, Susana Botero-Palacio, Jorge A Castrillón-Lozano","doi":"10.24875/GMM.M24000935","DOIUrl":"https://doi.org/10.24875/GMM.M24000935","url":null,"abstract":"","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 5","pages":"550-551"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500592","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}
{"title":"Efecto del posacondicionamiento isquémico remoto sobre la fracción de eyección del ventrículo izquierdo en pacientes con infarto de miocardio con elevación del segmento ST sometidos a intervención coronaria percutánea primaria","authors":"Muhammad Fadil, Eryati Darwin, Hirowati Ali, Doni Firman, Muzakkir Amir, Andriany Qanitha","doi":"10.24875/gmm.m23000810","DOIUrl":"https://doi.org/10.24875/gmm.m23000810","url":null,"abstract":"Antecedentes: En los pacientes con infarto agudo de miocardio con elevación del segmento ST (IAMCEST), el acondicionamiento isquémico puede ayudar a limitar la remodelación ventricular. Objetivos: Investigar el efecto del posacondicionamiento isquémico remoto (PAIR) en la función del ventrículo izquierdo durante la intervención coronaria percutánea primaria (ICPP) en pacientes con IAMCEST. Material y métodos: Estudio de intervención pre y posprueba con un total de 60 pacientes con IAMCEST. Los pacientes fueron divididos en dos grupos: con y sin PAIR. Resultados: En el seguimiento de seis meses se observó una diferencia significativa en la fracción de eyección del ventrículo izquierdo en pacientes con ICPP, la cual fue mayor en el grupo con PAIR en comparación con el grupo sin PAIR: 1.0 (−1.0 a 4.3) versus −1.0 (−4.0 a –1.3), p = 0.033. En la medición de seis meses, el volumen sistólico final del ventrículo izquierdo en los pacientes sin PAIR fue mayor en comparación con el grupo homólogo: 79.3 ± 30.5 mL versus 64.4 ± 21.4 mL, p = 0.032. Conclusiones: PAIR muestra efectos favorables en la función ventricular izquierda y, por lo tanto, en el futuro podría ser una estrategia cardioprotectora potencial contra la lesión por isquemia-reperfusión en pacientes con IAMCEST.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"22 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135875173","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}
{"title":"Síndrome de Guillain-Barré antes y durante la pandemia","authors":"Josef Finsterer","doi":"10.24875/gmm.m23000816","DOIUrl":"https://doi.org/10.24875/gmm.m23000816","url":null,"abstract":"Leemos con interés el artículo de López-Hernández et al.1 en el que presentan un estudio de cohorte prospectivo sobre la frecuencia, la presentación clínica, el tratamiento y el resultado de 123 pacientes con síndrome de Guillain-Barré (SGB) diagnosticados en 2020 y 2021 (grupo 1) y 78 pacientes con SGB diagnosticados antes de la pandemia de COVID-19 (grupo-2).","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"23 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135875354","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}
{"title":"Respuesta de los autores a la carta: síndrome de Guillain-Barré antes y durante la pandemia de COVID-19 en un centro de referencia de México","authors":"Juan C. López-Hernández, Edwin S. Vargas-Cañas","doi":"10.24875/gmm.23000410","DOIUrl":"https://doi.org/10.24875/gmm.23000410","url":null,"abstract":"Recientemente reportamos la experiencia de nuestro centro en la atención del síndrome de Guillain- Barré (SGB) en los años de la pandemia (2020 y 2021) comparándola con la de años previos (2018 y 2019).1","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"19 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135168970","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}
Rodrigo Ramos-Zúñiga, Martín Rodríguez-Vázquez, Sandra Trejo-Gallegos, Laura Lara-Reynoso
{"title":"Implante de quitosana en la neuralgia del trigémino en humanos: una perspectiva traslacional","authors":"Rodrigo Ramos-Zúñiga, Martín Rodríguez-Vázquez, Sandra Trejo-Gallegos, Laura Lara-Reynoso","doi":"10.24875/gmm.23000255","DOIUrl":"https://doi.org/10.24875/gmm.23000255","url":null,"abstract":"","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"66 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135168971","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}
{"title":"Representaciones médicas en el muralismo mexicano. Análisis histórico-médico de los murales del Hospital General en el Centro Médico Nacional La Raza","authors":"Rebeca Vargas-Olmos, Martha E. Rodríguez-Pérez","doi":"10.24875/gmm.23000183","DOIUrl":"https://doi.org/10.24875/gmm.23000183","url":null,"abstract":"Antecedentes: En 1944 se lanzó la convocatoria para la construcción del Hospital de Zona Número 1 “La Raza” en el Distrito Federal, México. El proyecto incluyó la propuesta de realizar dos murales y los artistas invitados a participar fueron Diego Rivera y David Alfaro Siqueiros, quienes con su obra dieron testimonio del advenimiento de la medicina moderna y de la construcción del modelo de seguridad social vigente en México. Objetivo: Determinar cómo se enlaza históricamente el arte mural con la medicina en México y cómo se complementan entre sí, considerando dos trabajos realizados en la misma época y en el mismo hospital. Material y métodos: Análisis del contexto histórico y análisis iconográfico e iconológico de los murales del Hospital “La Raza”. Resultados: Se logró esclarecer cuál fue la relación de los artistas con la medicina y qué papel desempeñan los murales dentro de la visión moderna de la medicina. Conclusiones: El arte mural se entrelaza con la medicina porque da testimonio del advenimiento de la construcción del modelo de seguridad social vigente en México, ya que los hospitales se convirtieron en logros sociales del Estado y se dieron a conocer como símbolos de bienestar y modernidad en México.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"BME-33 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135168974","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}
{"title":"Manejo preventivo multidisciplinar de la conducta suicida en población de riesgo","authors":"Rosario Pérez-García, Manuela Pérez-García","doi":"10.24875/gmm.23000331","DOIUrl":"https://doi.org/10.24875/gmm.23000331","url":null,"abstract":"Hemos leído con mucho interés el artículo “Ideación e intento suicida en pacientes con padecimientos psiquiátricos en un hospital de la Ciudad de México”, de Jiménez Genchi, en el que se concluye en la necesidad de la identificación temprana de los factores de riesgo que pueden incidir en incremento del comportamiento suicida.1","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135168969","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}