Gaceta medica de Mexico最新文献_第4页

Health careers and the labor market, complex dynamics. 卫生事业和劳动力市场，动态复杂。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000927

Henry C Rivas-Sucari

引用次数: 0

The cascade of access to the public health system in older Mexican adults and associated factors. 墨西哥老年人利用公共卫生系统的连锁反应及相关因素。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.24000074

Héctor García-Hernández, Mario U Pérez-Zepeda, Lorena Parra-Rodríguez, Carmen García-Peña

{"title":"The cascade of access to the public health system in older Mexican adults and associated factors.","authors":"Héctor García-Hernández, Mario U Pérez-Zepeda, Lorena Parra-Rodríguez, Carmen García-Peña","doi":"10.24875/GMM.24000074","DOIUrl":"https://doi.org/10.24875/GMM.24000074","url":null,"abstract":"Background: Information about access to the public health system for elders is lacking in Mexico.Objective: Develop a cascade of access to the public health system in Mexican older adults and identify factors that could promote or hinder it.Material and methods: A cross-sectional analysis using data from the 2018, 2021, and 2022 National Health and Nutrition Survey rounds. A cascade of access to the public health system was constructed. Multivariate regression models were performed to identify related factors.Results: 43.33%, 40.85%, and 43.79% of older adults had access to the public health system in 2018, 2021, and 2022, respectively. In 2018, frailty increased 2.419 times the probability of having access. While, being married or in union, being literate, and living in an urban residency increased access in 2021 and 2022.Conclusions: There are persistently low levels of public healthcare access among older Mexican adults. Frailty elders had more probability of having access in 2018. Seguro Popular might have promoted access by overcoming organizational obstacles from the public system and surpassing sociodemographic barriers. After its elimination, sociodemographic variables became more relevant in promoting or reducing access.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 3","pages":"247-257"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739216","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

Reflections on anxiety and depression disorders in pandemic times. 对大流行病时代焦虑症和抑郁症的思考。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000870

David Rivas-Sucari, José L Rodríguez-Eguizabal, Henry C Rivas-Sucari

引用次数: 0

Burden of disease in older adults in Mexico, 1990-2022: time trends and challenges for the health system. 1990-2022 年墨西哥老年人的疾病负担：时间趋势和卫生系统面临的挑战。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000901

Christian Razo, Rafael Lozano, Luis M Gutiérrez-Robledo

{"title":"Burden of disease in older adults in Mexico, 1990-2022: time trends and challenges for the health system.","authors":"Christian Razo, Rafael Lozano, Luis M Gutiérrez-Robledo","doi":"10.24875/GMM.M24000901","DOIUrl":"10.24875/GMM.M24000901","url":null,"abstract":"Background: Aging, urbanization, and lifestyle changes have fueled the non-communicable diseases (NCDs) epidemic.Objective: Assess mortality, disability, risk factors and life expectancy in people aged ≥60 years (LE-60) in Mexico from 1990-2022 using estimates from the Global Burden of Diseases, Injuries and Risk factors study.Material and methods: Health loss/gain in terms of disability-adjusted life years, risk factors, LE-60 and healthy life expectancy (HALE-60) by sex and state were analyzed.Results: NCDs and metabolic risk factors were the main contributors of health loss, noting a high prevalence of non-lethal conditions related to functional decline (vision and hearing), oral conditions, and chronic pain (back pain and osteoarthritis). All-cause mortality and disability rates decreased among men and women while LE-60 and HALE-60 increased from 1990-2022, with state-level variations. States with greater development and healthcare had higher LE-60 and HALE-60.Conclusions: LE-60 increases were not accompanied by reductions in disability due to functional decline, highlighting the need for healthcare strategies to enhance healthy aging.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 3","pages":"330-340"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739306","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

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

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

The secrets of the Tübingen Castle kitchen: Friedrich Miescher and the discovery of nuclein, the cornerstone of DNA. <s:1>宾根城堡厨房的秘密：弗里德里希·米歇尔和DNA的基石——核蛋白的发现。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000932

Carlos Ortiz-Hidalgo

引用次数: 0