Eduardo A Hernández-Muñoz, Jessica Gil-Lozada, Jorge B Díaz-Ramírez, Eugenio V Zavala-Sánchez, Elia Lara-Lona
{"title":"Missed opportunities for prevention of congenital syphilis.","authors":"Eduardo A Hernández-Muñoz, Jessica Gil-Lozada, Jorge B Díaz-Ramírez, Eugenio V Zavala-Sánchez, Elia Lara-Lona","doi":"10.24875/GMM.M24000869","DOIUrl":"https://doi.org/10.24875/GMM.M24000869","url":null,"abstract":"<p><strong>Background: </strong>The WHO presented the initiative: \"Global elimination of congenital syphilis (CS): rationale and strategies for action\". It establishes that CS is a preventable disease that can be eliminated.</p><p><strong>Objective: </strong>To estimate the proportion of missed opportunities for prevention (MOP) of (CS).</p><p><strong>Material and methods: </strong>Cross-sectional study. We studied women with children with confirmed diagnosis of CS (NOM-039-SSA2-2002) in the Mexican Social Security Institute in Jalisco from 01/01/2016 to 08/01/2022. The clinical records of the mother, the newborn and the epidemiological study (ES) were reviewed. Each case was classified into one of the MOP categories.</p><p><strong>Results: </strong>52 cases were reported: 46.2 % (n = 24) were ruled out, 34.6 % (n = 18) confirmed, 15.4 % (n = 8) unknown and 3.8 % (n = 2) probable cases. The HIV test was performed in 61.1 % (n = 11) and syphilis in 72.2 % (n = 13) of the mothers. The MOP in 27.8 % (n = 5) was inadequate treatment or omission of maternal treatment despite a timely diagnosis of syphilis. Treatment was inadequate in 63.6 % (n = 7) of the women who received it.</p><p><strong>Conclusion: </strong>The classification of MOP identifies gaps in CS prevention and can guide stakeholders, policy makers and public health prevention programs to reduce the incidence of CS.</p>","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 2","pages":"178-185"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906345","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}
José J Martínez-Magaña, Jorge Hurtado-Soriano, Janitza L Montalvo-Ortiz, Juan C Gomez-Verjan
{"title":"Potential use of epigenetic clocks to understand factors associated with aging at the population level and in public health.","authors":"José J Martínez-Magaña, Jorge Hurtado-Soriano, Janitza L Montalvo-Ortiz, Juan C Gomez-Verjan","doi":"10.24875/GMM.M24000897","DOIUrl":"https://doi.org/10.24875/GMM.M24000897","url":null,"abstract":"","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 3","pages":"341-343"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739164","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}
Rosa E García-Chanes, Abigail V Rojas-Huerta, Hedalid Tolentino-Arellano
{"title":"Characteristics and health conditions in older people who work in Mexico. A comparative analysis between cohorts and sex.","authors":"Rosa E García-Chanes, Abigail V Rojas-Huerta, Hedalid Tolentino-Arellano","doi":"10.24875/GMM.M24000900","DOIUrl":"10.24875/GMM.M24000900","url":null,"abstract":"<p><strong>Background: </strong>The study of the work and health of older adults is limited but relevant considering that the living and health conditions in which they age are not the best in Mexico, given the job insecurity that does not access to decent contributory pensions.</p><p><strong>Objective: </strong>To analyse the differences in the sociodemographic, labour and health conditions characteristics of two cohorts of older people aged 65 to 74 years who are employed in the labour market.</p><p><strong>Material and methods: </strong>Analysis of the National Study of Health and Aging in Mexico for 2001 and 2021 of sociodemographic and work characteristics and health conditions by cohort and sex. Logistic regression models, whose dependent variable was the birth cohort, were estimated.</p><p><strong>Results: </strong>1,115 people from 2001 and 1,189 from 2021 between 65 and 74 years old who worked the week before the study were included. By sex and cohort, findings are presented.</p><p><strong>Conclusions: </strong>Although the schooling of older people in the most recent cohort has increased, women face more precarious working conditions and a higher prevalence of disability.</p>","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 3","pages":"322-329"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739307","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":"Index of functional impairment in older people: analysis by ethnicity.","authors":"José L Castrejón-Caballero, Rosa E García-Chanes","doi":"10.24875/GMM.M24000898","DOIUrl":"10.24875/GMM.M24000898","url":null,"abstract":"<p><strong>Background: </strong>Aging in Mexico is heterogeneous considering the ethnic diversity and social inequality that prevails. The condition of ethnicity allows us to delve deeper into the social and health inequalities that do not allow for healthy aging.</p><p><strong>Objective: </strong>The objective of this article is to compare the levels of functionality of older people by ethnicity and its associated factors in Mexico.</p><p><strong>Material and methods: </strong>People aged 60 years and over were selected from the 2020 Census sample, grouping according to their ethnic status (Indigenous, Afro-Mexican and non-Indigenous and non-afro Mexican). As a dependent variable, the Functional Impairment Index (IDF) was constructed with principal components analysis, using the battery of disability questions; Generalized linear models were performed to analyse the factors associated by ethnicity status.</p><p><strong>Results: </strong>Indigenous older people have higher IDF values, followed by Afro-Mexican. Indigenous women and those who live in rural areas have higher values of functional impairment.</p><p><strong>Conclusions: </strong>It is necessary to address the needs of the older Indigenous and Afro-Mexican population who face an old age with greater social disadvantage and functional deterioration.</p>","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 3","pages":"301-307"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738965","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}
Sergio A Ramírez-García, Luis A Hernández-Osorio, Elva Montero-Toledo
{"title":"Reply to the letter \"New perspectives in the management of SARS-CoV-2 Pirola variants and the development of long COVID syndrome: anti-Ro52/TRIM21 antibodies and qRT-PCR\".","authors":"Sergio A Ramírez-García, Luis A Hernández-Osorio, Elva Montero-Toledo","doi":"10.24875/GMM.M24000923","DOIUrl":"https://doi.org/10.24875/GMM.M24000923","url":null,"abstract":"","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 4","pages":"452-453"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004376","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}
Aldo Barajas-Ochoa, Antonio Cisneros-Barrios, Cesar Ramos-Remus
{"title":"The importance of preserving the original names of institutions: a case against translation.","authors":"Aldo Barajas-Ochoa, Antonio Cisneros-Barrios, Cesar Ramos-Remus","doi":"10.24875/GMM.M24000920","DOIUrl":"https://doi.org/10.24875/GMM.M24000920","url":null,"abstract":"","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 4","pages":"429-431"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004380","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":"Regarding the usefulness of mindfulness to manage anxiety, stress and quality of life in infertile patients.","authors":"Manuel Y Arnao-Villegas","doi":"10.24875/GMM.M24000938","DOIUrl":"https://doi.org/10.24875/GMM.M24000938","url":null,"abstract":"","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 5","pages":"554"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500577","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}
Rivera-De La Parra David, Hernandez-Jimenez Sergio, Jiménez-Corona Aida, Peralta Liliana Pérez, Graue-Hernández Enrique O, Aguilar-Salinas Carlos A, Gómez-Pérez J Francisco, Kershenobich-Stalnikowitz David
{"title":"Risk factors associated with urgent ophthalmic reference in diabetic patients.","authors":"Rivera-De La Parra David, Hernandez-Jimenez Sergio, Jiménez-Corona Aida, Peralta Liliana Pérez, Graue-Hernández Enrique O, Aguilar-Salinas Carlos A, Gómez-Pérez J Francisco, Kershenobich-Stalnikowitz David","doi":"10.24875/GMM.M24000907","DOIUrl":"https://doi.org/10.24875/GMM.M24000907","url":null,"abstract":"<p><strong>Background: </strong>Diabetic retinopathy (DR) being a leading cause of blindness. Identifying the risk factors for patients with a higher risk of vision loss is crucial.</p><p><strong>Objective: </strong>To identify the risk factors for urgent referrals in diabetic patients through an ophthalmic examination program.</p><p><strong>Material and methods: </strong>Specific criteria for urgent referral were established to facilitate attendance. Risk factors related to urgent referral were evaluated in a multiple logistic regression model.</p><p><strong>Results: </strong>A total of 1,265 patients were screened. 678 (54%) had DR, 245 (19.4%) had diabetic macular edema, and 124 (10%) had visually significant cataracts. 399 (31.4%) patients needed urgent referral. Significant risk factors for urgent referral were 10 to 20 years from diabetes diagnosis (OR = 5.71, p < 0.001), more than 20 years from diabetes diagnosis (OR = 15.36, p < 0.001), high systolic blood pressure (OR = 1.66 per mmHg, p = 0.003), and high HbA1c (OR = 1.15, p = 0.002), after adjusting for sex and age.</p><p><strong>Conclusions: </strong>A third of the patients require urgent referral. Main causes of urgent referral were DME, severe or worse DR, cataract and high intraocular pressure. Principal risk factors were diabetes duration, systolic blood pressure and HbA1c.</p>","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 6","pages":"578-584"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997928","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}
Wrzecionkowska Dagmara, Stephens R Christopher, Gutiérrez-Reyes Juan Pablo
{"title":"Why didn't people get vaccinated against COVID-19? Results from a nationwide survey among Mexican adults.","authors":"Wrzecionkowska Dagmara, Stephens R Christopher, Gutiérrez-Reyes Juan Pablo","doi":"10.24875/GMM.24000279","DOIUrl":"https://doi.org/10.24875/GMM.24000279","url":null,"abstract":"<p><strong>Background: </strong>Mexico is one of the countries with the highest case-fatality ratio due to COVID-19.</p><p><strong>Objective: </strong>Explore the reasons for not getting vaccinated against COVID-19.</p><p><strong>Material and methods: </strong>A nationwide telephone survey, comprising all 32 states of Mexico, was conducted to examine associations between inoculation against COVID-19 and other characteristics, the chi-square test and logistic regression analysis were applied.</p><p><strong>Results: </strong>Out of 3 126 adults, 68% reported complete vaccination, 21% the first dose, 11% remained unvaccinated. Using logistic regression models: place of residence -Other central state and State of Mexico-, being single, lower education level, younger age, lower BMI, not getting tested for COVID-19, and the perception of COVID-19 as unreal and not severe, were all significantly associated with non-vaccination, i.e. not receiving any dose of anti-COVID vaccine. The predominant reasons for not getting vaccinated were: 63% \"external barriers\" (e.g., not being able to attend an appointment), and 37% \"internal motives\" (e.g., considering that the vaccine does not work).</p><p><strong>Conclusions: </strong>The causes of non-vaccination against COVID-19 are related to social and geographical determinants. Addressing external barriers is necessary to promote equity in vaccination. Reviewing the results in the context of earlier studies on the willingness to vaccinate, the gap between intention and vaccination is notable.</p>","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 6","pages":"602-612"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003777","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":"Neurocyberethics, a new and pertinent approach to neuroethics.","authors":"Rodrigo Ramos-Zúñiga","doi":"10.24875/GMM.M24000947","DOIUrl":"10.24875/GMM.M24000947","url":null,"abstract":"<p><p>Ethics in neuroscience presents an evolutionary development that has required a more punctual attention, from the knowledge of functional neuroimaging that defines the structures related to the emotions and cognitive functions. Systematic review in Pub Med according to PRISMA format from the keywords and specific search for the concept of neuroethics, cyberethics and neurocyberethics. The neurocyberethics is not available, despite contemporary advances in neurotechnology and Artificial Intelligence (AI). Even though in the enormous amount of data related to AI in neuroscience, the ethical implications related to the transparency, regulation and rational use of this digital technological development have not been fully considered. In the current era, neurocyberethics needs to be considered, because of its relevance in the landscape of neurotechnology which poses new challenges and dilemmas not contemplated in traditional neuroethics.</p>","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 5","pages":"480-485"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500574","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}