Gaceta medica de Mexico最新文献_第9页

Evaluation of the quality of medical care in patients with type 2 diabetes mellitus in a National Institute of Health. Clinical results and risk factors.

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.24000238

Marcos N Blancarte-Ibarra, Renée Guevara-Olivera, Paloma Siller-García, Marlene Alvarado-Castillejos, Mariana Lechuga-Ordoñez, Valeria E Gómez-Islas, Kevin R García-Fong, Sofía A Méndez-Bribiesca, Iván Pérez-Diaz

{"title":"Evaluation of the quality of medical care in patients with type 2 diabetes mellitus in a National Institute of Health. Clinical results and risk factors.","authors":"Marcos N Blancarte-Ibarra, Renée Guevara-Olivera, Paloma Siller-García, Marlene Alvarado-Castillejos, Mariana Lechuga-Ordoñez, Valeria E Gómez-Islas, Kevin R García-Fong, Sofía A Méndez-Bribiesca, Iván Pérez-Diaz","doi":"10.24875/GMM.24000238","DOIUrl":"https://doi.org/10.24875/GMM.24000238","url":null,"abstract":"Background: DM2 is a highly prevalent chronic disease.Objective: Evaluate the quality of the medical care provided to patients with DM2 in a National Institute of Health, based on the goals established by the Diabetes Recognition Program (DRP), and identify risk factors for poor glycemic control. Establish a cohort of patients with DM2 for follow-up.Material and methods: This is a descriptive, observational, and retrospective study. We analyzed 7 08 medical charts.Results: According to the National Committee for Quality Assurance (NCQA) parameters, our center obtained the score to be accredited as a center of excellence in the care of patients with DM2 (81/100 points). Patients with poor glycemic control (HbA1c >7%) were younger (62.97 vs 66.06 years, p= 0.0016), their DM2 had been present for a longer period (13.40 vs9.57 years, p= 0.0001), and vitamin D levels were lower (20.49 vs 22.39 ng/ml, p= 0.0021). The risk factors associated with poor glycemic control were younger age, longer course of the disease, and low vitamin D levels.Conclusions: The internal medicine department provides high-quality medical care, and fulfills international standards; however, poor DM2 control, overweight, and obesity are still highly prevalent.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 5","pages":"511-518"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500572","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

Phenotypic and molecular identification of Fusarium spp. clinical and environmental isolates.

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000943

Alexandra M Montoya, Joan Grimaldo, Gloria M González

{"title":"Phenotypic and molecular identification of Fusarium spp. clinical and environmental isolates.","authors":"Alexandra M Montoya, Joan Grimaldo, Gloria M González","doi":"10.24875/GMM.M24000943","DOIUrl":"https://doi.org/10.24875/GMM.M24000943","url":null,"abstract":"Background: Fusarium is a genus of fungi whose identification is based primarily on phenotypic characteristics, although molecular identification procedures have outperformed conventional procedures. In Mexico, there is no information on the species or complexes of the members of this genus.Objective: To identify the species of a collection of 116 Fusarium spp. strains obtained from clinical and environmental samples.Material and methods: Phenotypic identification was carried out by morphology analysis of cultures on the following media: Sabouraud dextrose agar, dextrose potato agar, oat agar, Speziller Nährstoffarmer agar and water agar. Molecular identification was performed by amplification and sequencing of the ITS, TEF1, RPB2 and CL regions.Results: Only 39 Fusarium strains could be identified at the complex level using phenotypic characteristics. The remaining 77 strains were identified using molecular procedures. In addition, molecular confirmation of identification was sought for the 39 strains already mentioned. ITS sequencing was sufficient for the identification of F. oxysporum and F. solani complex species. For the identification of other species, the sequencing of TEF1, RPB2 and/or CL was required.Conclusions: Phenotypic identification was often limited by the lack of fungal structure production when cultured on conventional and some minimal media. Molecular procedures are essential to achieve the precise identification of the species of this genus.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 5","pages":"527-534"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500575","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

Potential protein biomarkers of central nervous system infiltration in childhood acute lymphoblastic leukemia.

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000945

Laura S Rangel-Cova, Silverio Soto-Álvarez, Enrique Estudillo, Lidia F E Huerta-Núñez

引用次数: 0

Posting sensitive personal data in social media: opportunities for improvement. 在社交媒体上发布敏感的个人数据：改进的机会。

IF 0.8 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000848

Aldo Barajas-Ochoa, César Ramos-Remus

引用次数: 0

New perspectives in the management of SARS-CoV-2 Pirola variants and the development of long COVID syndrome: anti-Ro52/TRIM21 antibodies and qRT-PC. 抗ro52 /TRIM21抗体和qRT-PC在SARS-CoV-2 pi罗拉变异体治疗和长冠状病毒综合征发展中的新视角

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000922

César E Rabadán-Martínez

引用次数: 0

Diabetes and economy, a problem for the population. 糖尿病和经济，是人口的问题。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000929

Henry C Rivas-Sucari

引用次数: 0

Application of the 6-SNP elevated LDL-cholesterol polygenic risk score in individuals with familial hypercholesterolemia phenotype from an Argentine population. 6-SNP升高ldl -胆固醇多基因风险评分在阿根廷人群家族性高胆固醇血症表型个体中的应用

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000918

Virginia Bañares, Javier Martini, Graciela López, Pablo Corral, Laura Schreier

{"title":"Application of the 6-SNP elevated LDL-cholesterol polygenic risk score in individuals with familial hypercholesterolemia phenotype from an Argentine population.","authors":"Virginia Bañares, Javier Martini, Graciela López, Pablo Corral, Laura Schreier","doi":"10.24875/GMM.M24000918","DOIUrl":"https://doi.org/10.24875/GMM.M24000918","url":null,"abstract":"Introduction: LDL-cholesterol greater than 190 mg/dL indicates severe hypercholesterolemia (HS) of monogenic and/or polygenic origin. Genetic risk scores (GRS) evaluate potential polygenic causes.Objective: we applied a GRS of 6-SNP (GRS-6) in HS individuals.Material and methods: 69 subjects from the Familial Hypercholesterolemia (HF) Detection registry in Argentina (Da Vinci).Results: with 44 individuals with HF-phenotype, not carriers of genetic variants that indicate a monogenic origin (HF/M-) and 26 controls, the GRS-6 cut-off value was established, > 0.76, sensitivity 0.59, specificity 0.69. 15/44(34 %) HF/M- presented GRS-6+. The mean GRS-6 values in HF/M-, HF/M+ and controls were 0.72 ± 0.17, 0.66 ± 0.17, and 0.70 ± 0.13 respectively (p = 0.43). There were no significant differences in cholesterol values, or in the clinical score, between cases with positive vs negative GRS-6. The GRS-6 was positive in 32 % of the cases vs 20 % of the previously applied GRS-10 (p = 0.003), significantly increasing the detection of polygenic contribution.Conclusions: We present an estimate of the first cut-off value for the GRS-6 in a Latin American population, and we conclude that the GRS-6 could contribute to the evaluation of the polygenic contribution in cases with severe hypercholesterolemia in our population in a similar way to that of other European populations.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 4","pages":"413-419"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004291","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

Special issue: aging. 特刊：老龄化。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000893

Carmen García-Peña, Germán E Fajardo-Dolci

引用次数: 0

Concordance of grip strength measurement between a digital handheld dynamometer and a Hydraulic dynamometer. 数字式手持测力计和液压式测力计测量握力的一致性。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.24000109

Amor A Segura-Duarte, Gerardo Méndez-Suárez, Laura P Burgos-Morelos, José J Rivera-Sánchez

{"title":"Concordance of grip strength measurement between a digital handheld dynamometer and a Hydraulic dynamometer.","authors":"Amor A Segura-Duarte, Gerardo Méndez-Suárez, Laura P Burgos-Morelos, José J Rivera-Sánchez","doi":"10.24875/GMM.24000109","DOIUrl":"https://doi.org/10.24875/GMM.24000109","url":null,"abstract":"Background: Assessment of muscle strength is of great interest for the study of age-associated pathologies, including frailty and sarcopenia. However, the cost of some of the equipment necessary for its evaluation could be prohibitive for its generalized use in some settings.Objective: The purpose of the present study was to compare two handheld dynamometers to evaluate the measure of concordance between the measurements. Material and methods The study was conducted in the outpatient Geriatrics clinics where 120 community-dwelling participants aged 60 years and more were evaluated using two devices: the JAMAR® Hydraulic Hand Dynamometer and the digital hand dynamometer CAMRY® EH101.Results: We observed a positive correlation between the two devices for dominant hand (DH) Pearson r 0.974 (p < 0.001) and a Spearman ρ 0.973 (p < 0.001) for non-dominant hand (NDH) Lin's coefficient for the DH was 0.98 (p < 0.001) and for the NDH 0.97 (p < 0.001). The intraclass correlation coefficient was 0.971 (95% CI, 0.95-0.97; p < 0.001) for DH and 0.975 (95% CI, 0.96-0.98; p < 0.001) for NDH.Conclusions: In this study, the Camry dynamometer was observed to be reliable for measuring hand grip strength in community-dwelling people 60 years or older.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 3","pages":"308-312"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739316","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

ChatGPT: opportunities, risks, medical care, teaching, and research. ChatGPT：机遇、风险、医疗、教学和研究。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.23000497

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0