Gaceta medica de Mexico最新文献_第3页

Family out-of-pocket expenditure for type 2 diabetes mellitus care and percentage of family income. 2 型糖尿病护理的家庭自付支出和占家庭收入的百分比。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000868

Juan C Martínez-Ramírez, Enrique Villarreal-Ríos, Blanca I García-Díaz, Liliana Galicia-Rodríguez

{"title":"Family out-of-pocket expenditure for type 2 diabetes mellitus care and percentage of family income.","authors":"Juan C Martínez-Ramírez, Enrique Villarreal-Ríos, Blanca I García-Díaz, Liliana Galicia-Rodríguez","doi":"10.24875/GMM.M24000868","DOIUrl":"https://doi.org/10.24875/GMM.M24000868","url":null,"abstract":"Background: Type 2 diabetes has economic implications involving family income and out-of-pocket spending.Objective: Determine family out-of-pocket expenditure for type 2 diabetes mellitus care and percentage of family income.Material and methods: Study of family out-of-pocket spending in families with patients with type 2 diabetes treated at primary care level. Out-of-pocket expenses included expenses for transportation, food-drinks, and external medications. Family income corresponded to the total economic income contributed by family members. The percentage of out-of-pocket spending in relation to family income was identified with the relationship between these two variables. Statistical analysis included averages and percentages.Results: The annual family out-of-pocket expenditure on transportation was $2,621.24, the family out-of-pocket expenditure on food and beverages was $1,075.67, and the family out-of-pocket expenditure on external medications was $722.08. The total annual family out-of-pocket expense was $4,418.89 and corresponds to 4.73% of family income.Conclusion: The family out-of-pocket expense in the family with a patient with diabetes mellitus 2 was $4,418.89 and represents 4.73% of the family income.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 2","pages":"196-201"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906343","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

Usefulness of mindfulness for the management of anxiety, stress, and quality of life in infertile women. A clinical exploratory study. 正念对管理不孕妇女的焦虑、压力和生活质量的作用。一项临床探索性研究。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000866

Ilze J Huerta-De la Luz, Mardia López-Alarcón, Víctor S Vital-Reyes, Diego Benítez-Moreno, Óscar Huerta-De la Luz

{"title":"Usefulness of mindfulness for the management of anxiety, stress, and quality of life in infertile women. A clinical exploratory study.","authors":"Ilze J Huerta-De la Luz, Mardia López-Alarcón, Víctor S Vital-Reyes, Diego Benítez-Moreno, Óscar Huerta-De la Luz","doi":"10.24875/GMM.M24000866","DOIUrl":"https://doi.org/10.24875/GMM.M24000866","url":null,"abstract":"Background: Infertility increases stress and affects life quality. Mindfulness reduces stress and improves life quality, but its role in infertility remains unclear.Objective: To evaluate the effect of mindfulness on stress and quality of life of women with infertility.Material and methods: An exploratory clinical study was conducted in women under infertility treatment, together with an 8-week mindfulness intervention (MND) or only infertility treatment (CTRL). Anxiety and quality of life were assessed at baseline and at the end of intervention with IDARE and FertiQoL questionnaires respectively, as well as salivary alpha-amylase and cortisol concentrations. Non-parametric statistics was used for analysis using an alpha value of 0.10.Results: 14 MND and 15 CTRL completed follow-up. At baseline, CTRL patients exhibited better quality of life than MND; anxiety scores correlated negatively with quality of life. At the end of intervention, cortisol concentrations (p = 0.097), and the increments of amylase (p = 0.039), were higher in CTRL than in MND. Increases in quality of life were associated with basal anxiety score (p = 0.002), improvements in tolerability (p < 0.001), and mindfulness intervention (p = 0.014).Conclusion: Our results suggest that mindfulness reduces stress and improves quality of life in women under infertility treatment.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 2","pages":"161-169"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906348","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

Infrared thermography for normal endothelial function screening. 用于正常内皮功能筛查的红外热成像技术。

IF 0.8 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000854

Susana Isabel Morales-Montalvo, Ma Del Pilar Cruz-Domínguez, Ma de Los Ángeles Martínez-Godínez, Erick Calderón-Aranda, Michel Augusto Martínez-Bencomo, Gabriela Martínez Díaz, Alejandro Cruz-Segura, Ángel Miliar-García

{"title":"Infrared thermography for normal endothelial function screening.","authors":"Susana Isabel Morales-Montalvo, Ma Del Pilar Cruz-Domínguez, Ma de Los Ángeles Martínez-Godínez, Erick Calderón-Aranda, Michel Augusto Martínez-Bencomo, Gabriela Martínez Díaz, Alejandro Cruz-Segura, Ángel Miliar-García","doi":"10.24875/GMM.M24000854","DOIUrl":"https://doi.org/10.24875/GMM.M24000854","url":null,"abstract":"Background: Endothelial dysfunction (ED) suspicion will allow to prevent accelerated atherosclerosis and premature death.Objective: To establish the usefulness of thermography for endothelial function screening in adults with cardiovascular risk factors.Material and methods: Cross-sectional, analytical diagnostic test. A brachial arterial diameter (BAD) increase < 11% at one-minute post-ischemia meant probable ED and was confirmed if BAD was ≥ 11% post-sublingual nitroglycerin. Thermographic photographs of the palmar region were obtained at one minute. Descriptive statistics, ROC curve, Mann-Whitney's U-test, chi-square test, or Fisher's exact test were used.Results: Thirty-eight subjects with a median age of 50 years, and with 624 thermographic measurements were included. Nine had ED (flow-mediated vasodilation [FMV]: 2.5%). The best cutoff point for normal endothelial function in subjects with cardiovascular risk factors was ≥ 36 °C at one minute of ischemia, with 85% sensitivity, 70% specificity, positive and negative predictive values of 78 and 77%, area under the curve of 0.796, LR+ 2.82, LR- 0.22.Conclusion: An infrared thermography-measured temperature in the palmar region greater than or equal to 36 °C after one minute of ischemia is practical, non-invasive, and inexpensive for normal endothelial function screening in adults with cardiovascular risk factors.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 1","pages":"23-31"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140957115","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

Cultural context and self-care impact on medical students' quality of life. A mixed-methods approach. 文化背景和自我保健对医学生生活质量的影响。混合方法。

IF 0.8 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000860

Iván J Canales-Gómez, Blanca M Torres-Mendoza

{"title":"Cultural context and self-care impact on medical students' quality of life. A mixed-methods approach.","authors":"Iván J Canales-Gómez, Blanca M Torres-Mendoza","doi":"10.24875/GMM.M24000860","DOIUrl":"https://doi.org/10.24875/GMM.M24000860","url":null,"abstract":"Background: Medical education can make it difficult for students to take actions to improve their health.Objective: To evaluate the influence of the university context on self-care behaviors and quality of life.Material and methods: A mixed-methods approach was used, with surveys being combined to assess self-care and quality of life, with in-depth interviews to explore cultural influences and perceptions. Statistical analysis and qualitative data coding were carried out, with methods being integrated through network analysis.Results: Self-care scores exceeded 50 points, and quality of life scores exceeded 60 points. Medical students' context is shaped by motivations, expectations, skills, and goals that influence identity formation and contribute to the medical profession.Conclusions: There is a positive connection between self-care practices and quality of life. However, academic stress can potentially disrupt self-care routines. Furthermore, an association between obesity and a decrease in quality of life stands out, which emphasizes the need for health promotion actions.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 1","pages":"86-95"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140957192","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 "Telemedicine: optimization of NSAID prescription in hypertensive outpatients with rheumatoid arthritis". 回复“远程医疗：优化高血压类风湿性关节炎门诊患者的非甾体抗炎药处方”信函。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000937

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

引用次数: 0

Multimorbidity in those living with HIV and cancer. 艾滋病毒和癌症患者的多重发病率。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000949

Arnao-Villegas Y Manuel

引用次数: 0

Use of atherogenic indices as predictors of cardiovascular risk in patients with irritable bowel síndrome. 使用动脉粥样硬化指标作为肠易激患者心血管风险的预测因子síndrome。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.24000136

Izaguirre-Hernández Y Irma, Thomas-Dupont Pablo, Velázquez-Soto Henry, Islas-Vázquez Lorenzo, Jiménez-Martínez C María, Remes-Troche M José

{"title":"Use of atherogenic indices as predictors of cardiovascular risk in patients with irritable bowel síndrome.","authors":"Izaguirre-Hernández Y Irma, Thomas-Dupont Pablo, Velázquez-Soto Henry, Islas-Vázquez Lorenzo, Jiménez-Martínez C María, Remes-Troche M José","doi":"10.24875/GMM.24000136","DOIUrl":"https://doi.org/10.24875/GMM.24000136","url":null,"abstract":"Background: Irritable bowel syndrome (IBS) is a common gastrointestinal disorder worldwide, with a higher prevalence between 8-31% in obese people. Obesity contributes to dyslipidemia.Objective: This article aimed to compare the serum lipid profiles of patients with IBS and healthy controls (HC) to assess cardiovascular risk using different atherogenic indices.Material and methods: Seventy-nine IBS patients and 45 HC were included in this study. Lipid profiles such as TGs, TC, HDL-C, LDL-C, VLDL-C, and atherogenic indices like atherogenic indices of plasma, Castelli risk indices I and II (CR-I and II), atherogenic coefficients (AC), and non-HDL-C were evaluated.Results: Serum levels of HDL-C was lower in the IBS patients than in the HC (p < 0.0001). Serum levels of HDL-C were significantly lower in obese patients with IBS than in HC (p = 0.05). IBS patients had a greater risk of cardiovascular disease (CVD) than HC (CRI-I, p = 0.0301; CRI-II, p < 0.0001; and AC, p = 0.004).Conclusions: Higher CRI-I, CRI-II, and AC scores were positively and strongly associated with IBS. These indices might be strong and independent predictors of CVD in IBS patients.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 6","pages":"569-577"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993105","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

Prevalence of Microsatellite Instability in Gastric and Gastroesophageal Junction Cancer patients from a Latin American Country. 拉丁美洲国家胃和胃食管结癌患者微卫星不稳定的患病率。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.24000128

Alejandro González-Motta, Gabriela Negrete-Tobar, Oscar A Messa-Botero, Juliana Pineda-Ortega, Isabella Garciandía, Juan S Álvarez-Martiínez, Natalia Londoño-De Vivero, Ricardo Bruges-Maya

{"title":"Prevalence of Microsatellite Instability in Gastric and Gastroesophageal Junction Cancer patients from a Latin American Country.","authors":"Alejandro González-Motta, Gabriela Negrete-Tobar, Oscar A Messa-Botero, Juliana Pineda-Ortega, Isabella Garciandía, Juan S Álvarez-Martiínez, Natalia Londoño-De Vivero, Ricardo Bruges-Maya","doi":"10.24875/GMM.24000128","DOIUrl":"10.24875/GMM.24000128","url":null,"abstract":"Background: In Colombia, gastric cancer is fifth in incidence (12.8 cases per 100,000) and third in mortality (9.9 cases per 100,000). Microsatellite instability (MSI), a phenotype in gastric cancer treatment, lacks comprehensive exploration in Colombian and Hispanic/Latino populations. Data scarcity hinders immunotherapy approval in middle-income countries.Objective: Characterize the prevalence of MSI phenotype in Colombian patients with gastric and gastroesophageal junction cancer.Materials and methods: We measured MLH-1, MSH-2, MSH-6, and PMS-2 expression in tumor pathology by immunohistochemistry markers. We conducted descriptive analysis and Fisher's test to identify associations for MSI expression.Results: Final sample size was 106 patients, mean age of 62.5 years (25-93 ± 14.2). Prevalence of MSI was 12.26% (n = 13). We found an association between older age and positive MSI (p = 0.0042), as well as with non-diffuse histologic subtypes (p = 0.019).Conclusion: Prior studies report 22% MSI phenotype prevalence in gastric tumors, mostly in developed countries, excluding Hispanic/Latino populations. Identifying the prevalence of MSI in our population as 12.26% could pave the way for approving immune blockade drugs as a treatment option for these patients in Latin American countries. Our data could be utilized to conduct cost-utility studies in support of this.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 4","pages":"393-398"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004319","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 about the article "Cycle threshold and viral load in SARS-CoV-2-infected patients in Sonora, Mexico". 回复有关 "墨西哥索诺拉州 SARS-CoV-2 感染者的周期阈值和病毒载量 "一文的来信。

IF 0.8 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000850

Denica Cruz-Loustaunau, Gerardo Álvarez-Hernández, Ma Del Carmen Candia-Plata, Marcia Leyva-Gastelum

引用次数: 0

Authors' reply to the letter about the article "Food addiction behavior in newly-diagnosed patients with type 2 diabetes". 作者对有关 "新诊断的 2 型糖尿病患者的食物成瘾行为 "一文的回信。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000862

Pilar Lavielle, Rita A Gómez-Díaz, A Leticia Valdéz-González, Niels H Wacher

引用次数: 0