Gaceta medica de Mexico最新文献_第6页

Chromosome analysis of 303 pregnancy losses in Mexico. 对墨西哥 303 例妊娠损失进行染色体分析。

IF 0.8 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000859

Luz M Garduño-Zarazúa, Dora G Mayén, Ricardo Meléndez-Hernández, Antonio J Paz-Martínez, Eva Ramírez-Arroyo, David Sosa, Mónica Aguinaga, Javier Pérez-Durán, Osiris Ríos, Jaime López-Valdez, Leda Torres, Sara Frias

{"title":"Chromosome analysis of 303 pregnancy losses in Mexico.","authors":"Luz M Garduño-Zarazúa, Dora G Mayén, Ricardo Meléndez-Hernández, Antonio J Paz-Martínez, Eva Ramírez-Arroyo, David Sosa, Mónica Aguinaga, Javier Pérez-Durán, Osiris Ríos, Jaime López-Valdez, Leda Torres, Sara Frias","doi":"10.24875/GMM.M24000859","DOIUrl":"https://doi.org/10.24875/GMM.M24000859","url":null,"abstract":"Background: Chromosomal abnormalities are present in 50 to 60% of miscarriages and in 6 to 19% of stillbirths. Although microarrays are preferred for studying chromosomal abnormalities, many hospitals cannot offer this methodology.Objective: To present the results of the cytogenetic analysis of 303 products of conception (POC), which included 184 miscarriages, 49 stillbirths and 17 cases of undefined age.Material and methods: Karyotyping, fluorescence in situ hybridization, short tandem repeats and microarrays were used, depending on the type of loss and available sample.Results: In 29 POCs we found maternal tissue and were eliminated from the analyses. Informative results were obtained in 250 (91.2 %)/274 cases; the karyotyping success rate was 80.7%; that of single nucleotide polymorphism microarrays, 94.5%; and that of fluorescence in situ hybridization and short tandem repeat, 100%. Cytogenetic abnormalities were observed in 57.6% of miscarriages and in 24.5% of stillbirths; 94% of total anomalies were numerical and 6% were submicroscopic.Conclusions: Karyotyping with simultaneous short tandem repeat study to rule out contamination of maternal cells is effective for studying miscarriages; in stillbirths, microarrays are recommended.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 1","pages":"76-85"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140957189","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

Diabetes mellitus type 2: associations with obesity, food addiction and, possibly, human development index. 2 型糖尿病：与肥胖、食物成瘾以及可能与人类发展指数的关系。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000874

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

引用次数: 0

Dyslipidemia: recommendations for diagnosis and treatment at the first level of medical contact. 血脂异常：建议在医疗接触的第一级诊断和治疗。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000916

Ma de Lourdes Basurto, Miguel Abdo-Francis, Carlos A Aguilar-Salinas, Lourdes J Balcázar-Hernández, Gabriela Borrayo-Sánchez, Graciela E Castro-Narro, Adolfo Chávez-Negrete, Alejo Díaz-Aragón, José M Enciso-Muñoz, Carlos Fernández-Barros, Aldo Ferreira-Hermosillo, Antonio González-Chávez, Arturo Guerra-López, Rita Gómez-Díaz, Mario Molina-Ayala, César Rodríguez-Gilabert, Edith Ruiz-Gastelum, Juan C Tomás-López, Héctor R Vargas-Sánchez, Edith Ruiz-Gastelum

{"title":"Dyslipidemia: recommendations for diagnosis and treatment at the first level of medical contact.","authors":"Ma de Lourdes Basurto, Miguel Abdo-Francis, Carlos A Aguilar-Salinas, Lourdes J Balcázar-Hernández, Gabriela Borrayo-Sánchez, Graciela E Castro-Narro, Adolfo Chávez-Negrete, Alejo Díaz-Aragón, José M Enciso-Muñoz, Carlos Fernández-Barros, Aldo Ferreira-Hermosillo, Antonio González-Chávez, Arturo Guerra-López, Rita Gómez-Díaz, Mario Molina-Ayala, César Rodríguez-Gilabert, Edith Ruiz-Gastelum, Juan C Tomás-López, Héctor R Vargas-Sánchez, Edith Ruiz-Gastelum","doi":"10.24875/GMM.M24000916","DOIUrl":"10.24875/GMM.M24000916","url":null,"abstract":"Cardiovascular disease is the main cause of mortality in Mexico as well as the rest of the world, with dyslipidemia being one of the main risk factors. Despite the importance of its epidemiological impact, there is still -among primary care physicians- a lack of knowledge ranging from the basic concepts for diagnosis to the most recent recommendations for treatment. This document consisting of 10 questions is done by experts in this field. A total of 22 recommendations arise using Delphi methodology. The recommendations include the measurement of the lipid profile starting at 20 years of age, the treatment goals for patients according to their risk, the follow-up of patients with dyslipidemia, and the management approach in primary and secondary prevention.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 4","pages":"354-362"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004301","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

Analysis of changes in the public health system made between 2019 and 2024 to serve the population without social security in Mexico. 分析墨西哥公共卫生系统在2019年至2024年间为服务无社会保障人口所做的变化。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M25000959

Santacruz-Varela Javier, Fajardo-Dolci E Germán, Artaza-Barrientos Osvaldo, Olaiz-Fernández Gustavo

{"title":"Analysis of changes in the public health system made between 2019 and 2024 to serve the population without social security in Mexico.","authors":"Santacruz-Varela Javier, Fajardo-Dolci E Germán, Artaza-Barrientos Osvaldo, Olaiz-Fernández Gustavo","doi":"10.24875/GMM.M25000959","DOIUrl":"https://doi.org/10.24875/GMM.M25000959","url":null,"abstract":"Background: Between 2019 and 2024, changes were made to Mexico's Public Health System to improve health care for the population with social security, which modified the organization and the leadership.Objective: Comprehensively analyze the changes made in the public to serve the population without social security and formulate proposals to achieve universal health.Material and methods: Qualitative research was carried out with a focus group technique to comprehensively analyze the changes made and formulate proposals.Results: Most of the changes made between 2019 and 2024 created the legal framework for the Health System for Welfare and the IMSS-BIENESTAR agency, in order to improve the care of the population without social security, but at the same time modified the leadership in the Public Health System. Opportunities for improvement were identified and proposals were made to strengthen the organization of services, management, financing and training of health personnel.Conclusions: Changes to the health system have weaknesses that can be corrected to improve its sustainability and advance in the construction of a universal health system.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 6","pages":"594-601"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007601","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

Academic trajectories as a tool to identify factors affecting regularity in medical students. 学业轨迹作为识别影响医学生规律性因素的工具。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000956

Martínez-González Adrián, García-Minjares Manuel, Buzo-Casanova R Enrique, Gutiérrez-Cirlos Carlos, Vargas-Castillo A José, Sánchez-Mendiola Melchor

{"title":"Academic trajectories as a tool to identify factors affecting regularity in medical students.","authors":"Martínez-González Adrián, García-Minjares Manuel, Buzo-Casanova R Enrique, Gutiérrez-Cirlos Carlos, Vargas-Castillo A José, Sánchez-Mendiola Melchor","doi":"10.24875/GMM.M24000956","DOIUrl":"https://doi.org/10.24875/GMM.M24000956","url":null,"abstract":"Background: In higher education institutions, the analysis of academic trajectories is key to evaluating training, which can generate interventions to promote regularity and improve terminal efficiency.Objective: To analyze the differences in the academic trajectories of the student body of the 2001 to 2018 generations of the medical degree at the National Autonomous University of Mexico (UNAM).Material and methods: A longitudinal comparative study was conducted with 18,739 UNAM Faculty of Medicine students, integrated by real cohorts from 2001 to 2018. Survival functions were adjusted with the KaplanMeier method and a Cox proportional hazards model was adjusted to evaluate the effect of sex and high school of origin. Failure in first-year students was also analyzed.Results: The study demonstrated that sex and baccalaureate history are variables that impact failure and consequently regularity and terminal efficiency.Conclusions: Due to a lower failure rate, there is a higher regularity and terminal efficiency in men compared to women, and in those that were admitted from external baccalaureates or the National Preparatory School, compared to those from the College of Sciences and Humanities.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 6","pages":"627-638"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003776","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

Social determinants of health in the epidemiological profile of tuberculosis in Puebla, Mexico, during 2022-2023. 2022-2023年墨西哥普埃布拉州结核病流行病学概况中的健康社会决定因素。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000944

Ruth Espinosa-Merino, Mireya Montesano-Villamil, Rosario E Ordóñez-Correa, Mónica Cuaya-Coatl, Sagrario Lobato

{"title":"Social determinants of health in the epidemiological profile of tuberculosis in Puebla, Mexico, during 2022-2023.","authors":"Ruth Espinosa-Merino, Mireya Montesano-Villamil, Rosario E Ordóñez-Correa, Mónica Cuaya-Coatl, Sagrario Lobato","doi":"10.24875/GMM.M24000944","DOIUrl":"https://doi.org/10.24875/GMM.M24000944","url":null,"abstract":"Background: Tuberculosis (TB) has been considered a social disease, and the World Health Organization regards it as a severe global public health problem.Objective: To determine the epidemiological profile of TB in Puebla, Mexico, in 2022 and 2023 and its relationship with the Social Determinants of Health (SDH).Material and methods: Correlational and retrospective study with 2,002 subjects. Variables: TB profile (anatomical location, comorbidities, and drug resistance) and SDH (marginalization, educational level, and occupation).Results: Negative correlations were found between educational level and occupation with TB and comorbidities (p = 0.05). No correlation was found between marginalization and TB profile (p = 0.05). The correlation between drug resistance and SDH was low or not significant (p > 0.05).Conclusions: Our study suggests that, although marginalization did not show a significant association with TB in the region, other determinants, such as educational level and occupation, did exhibit an inversely proportional relationship with the presence of the disease and its comorbidities.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 5","pages":"537-543"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500590","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

Hospital discharges for hip fracture in older adults, Mexico 2013-2022. 2013-2022 年墨西哥老年人因髋部骨折出院情况。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000899

Eliseo Ramírez-García, Ma Claudia Espinel-Bermúdez, José D Martínez-Ezquerro, Juan H Medina-Chávez, Luz A Solís-Cordero, Diego Dávila-Uribe, Violeta Ríos-Escalante, Sergio Sánchez-García

{"title":"Hospital discharges for hip fracture in older adults, Mexico 2013-2022.","authors":"Eliseo Ramírez-García, Ma Claudia Espinel-Bermúdez, José D Martínez-Ezquerro, Juan H Medina-Chávez, Luz A Solís-Cordero, Diego Dávila-Uribe, Violeta Ríos-Escalante, Sergio Sánchez-García","doi":"10.24875/GMM.M24000899","DOIUrl":"https://doi.org/10.24875/GMM.M24000899","url":null,"abstract":"Background: The most common traumatic injury among older individuals worldwide is hip fracture. Higher incidence after 70 years old and women (80-85%). Hospital discharges in Mexico have little evidence.Objective: Describe hospital discharges from hip fractures in the Mexican public health system from 2013 to 2022.Material and methods: A descriptive study using open data on hospital discharges from the Mexican public health system from 2013-2022, available by the General Direction of Health Information of the Secretary of Health, focused on discharge reports for hip fractures in people aged ≥ 60 years and any sex. The study describes individual variables, hospital discharge, and the federal entities where health care was provided.Results: Between 2013 and 2022, there have been 230,060 (2.11%) discharges due to hip fractures in people aged ≥ 60 years within the Mexican public health system; the highest concentration in patients with ≥ 80 years old and women (69.2%). The Mexican Social Security Institute reported the highest number of discharges (n = 126,093), with the highest percentage due to improvement (93.7%).Conclusions: Hip fracture is a problem that requires more significant care resources in Mexico.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 3","pages":"313-321"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738861","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

Nutritional label use and understanding among Mexican older persons: a secondary study of National Health and Nutrition Survey (ENSANUT 2021). 墨西哥老年人对营养标签的使用和理解：全国健康与营养调查（ENSANUT 2021）的二次研究。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.24000182

Olaf Montes de Oca-Juárez, Julio M Fernández-Villa, Mariana González-Lara, Carmen García-Peña

{"title":"Nutritional label use and understanding among Mexican older persons: a secondary study of National Health and Nutrition Survey (ENSANUT 2021).","authors":"Olaf Montes de Oca-Juárez, Julio M Fernández-Villa, Mariana González-Lara, Carmen García-Peña","doi":"10.24875/GMM.24000182","DOIUrl":"https://doi.org/10.24875/GMM.24000182","url":null,"abstract":"Background: Front package warning labeling (FWL) was implemented in Mexico in 2020 as part of a strategy to raise food-related knowledge. However, limited media coverage, a lack of awareness among health professionals, and the usage of technical terminology appear to be impediments affecting many groups of the population, particularly older persons.Objective: Analyze the profile of nutritional label use and understanding among older persons taking into account different factors that might have an effect on it.Material and method: The use and knowledge of FWL were assessed using a representative sample of 1884 older individuals from the 2021 National Health and Nutrition Survey (ENSANUT). Logistic regression was used to determine the association of knowing or using FWL, adjusted by age, sex, able to read, educational level, living with diabetes, hypertension, and social security status.Results: The probability of reading and using the FWL was influenced by lower age, being female, higher education level and having social security. There was no discernible effect of living with diabetes or hypertension.Conclusions: Nutritional education tailored to the circumstances of older persons in Mexico is timely.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 3","pages":"283-289"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739146","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

Health needs of older people: a challenge for primary health care. 老年人的健康需求：初级保健的挑战。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000895

Gerardo Santoyo-Sánchez, Hortensia Reyes-Morales

引用次数: 0

The ethics in research using data from the Instituto Nacional de Acceso a la Informacion. 使用国家信息获取研究所数据的研究伦理。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000924

Gerardo Gamba, Norma A Bobadilla

引用次数: 0