Gaceta medica de Mexico最新文献_第9页

Knowledge and use of pericranial nerve blocks in headache treatment in Mexico. 颅周围神经阻滞在墨西哥治疗头痛的知识和应用。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.24000149

Rogelio Dominguez-Moreno, Alejandro Marfil, Luis R Partida-Medina, Miguel Osorno-Guerra

{"title":"Knowledge and use of pericranial nerve blocks in headache treatment in Mexico.","authors":"Rogelio Dominguez-Moreno, Alejandro Marfil, Luis R Partida-Medina, Miguel Osorno-Guerra","doi":"10.24875/GMM.24000149","DOIUrl":"10.24875/GMM.24000149","url":null,"abstract":"Background: In developed countries, most of the neurologists use pericranial nerve blocks to treat headache patients, nevertheless, the knowledge and use patterns of this technique in developing countries are unknown.Objective: Evaluate the knowledge and use patterns of pericranial nerve blocks in headache treatment by Mexican neurologists.Material and methods: We did a cross-sectional study, 90 Mexican neurologists completed a 26-question survey including data about sociodemographics, knowledge and patterns of use of pericranial nerve blocks. All statistical analyses were performed with R (version 4.2.0).Results: The mean age was 43.2 + 9.9 years, 55(61.1%) were men. In terms of knowledge, migraine was correctly identified by 74 participants (82.2%), while cluster headache by 65 participants (72.2%) as indications for pericranial nerve blocks. Regarding the use patterns of pericranial nerve blocks, 87(96.7%) of the neurologists had heard about the technique, but only 12(13.3%) use it in their clinical practice. In terms of education, 19(21.1%) received training during the residency and 27(30%) during the post-residency period.Conclusions: The knowledge and use of pericranial nerve blocks for the treatment of headaches in Mexico is low. Stakeholders should develop strategies to improve the field of headache disorders in Mexico.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 4","pages":"399-403"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004305","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

Recurrence of cervical intraepithelial neoplasia stratified by age. 宫颈上皮内瘤变复发的年龄分层。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.24000131

González-Rodríguez C Julio, Barquet-Muñoz A Salim, Mejorada-Pulido Emmanuel, Ugarte-Julio A Luz, Zepeda-Fong Mariel, Sánchez-Rodríguez Anahí

{"title":"Recurrence of cervical intraepithelial neoplasia stratified by age.","authors":"González-Rodríguez C Julio, Barquet-Muñoz A Salim, Mejorada-Pulido Emmanuel, Ugarte-Julio A Luz, Zepeda-Fong Mariel, Sánchez-Rodríguez Anahí","doi":"10.24875/GMM.24000131","DOIUrl":"https://doi.org/10.24875/GMM.24000131","url":null,"abstract":"Background: Cervical cancer is one of the leading causes of death among women in countries with middle to high income levels.Objective: Stratifying the predictors of recurrence/persistence of grade 2 or 3 CIN after primary conization in different age groups, is the object of analysis of our study.Material and methods: A total of 432 women with cervical intraepithelial neoplasia (CIN) attended from January 2017 to May 2020 were included. Information regarding age at diagnosis, immunosuppression and cytologic, colposcopy, LEEP or cervical cone biopsy and histopathological results were acquired. Recurrence incidence was calculated over follow-up time in months. To evaluate the association between patient's characteristics and recurrence, we calculated hazard ratio (HR) with 95% CI.Results: We observed 25 recurrences from 432 women and 4,869 months of follow-up (5.13 incidence per 1,000 months). Median age was 38 years old. Median follow-up was 6.8 months. The recurrence-free period at 1, 2 and 3 years was 95.47%, 82.18% and 44.09% respectively. In the bivariate analysis, factors associated with the risk of recurrence were the following: high grade cytological diagnosis (HR = 3.04, IC 95% = 1.18-7.31), colposcopy grade 2 or cancer suspected (HR = 3.04, IC 95% = 1.25-7.22), high grade biopsy diagnosis (HR = 3.07, IC95 % = 1.28-7.30), LEEP or hysterectomy (HR = 2.85, IC95 % = 1.19-6.78).Conclusions: High-grade lesions, colposcopy findings and pathological diagnosis were also associated with disease recurrence.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 6","pages":"562-568"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988171","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 the qSOFA score for predicting hospital mortality in cancer patients. qSOFA 评分在预测癌症患者住院死亡率方面的实用性。

IF 0.8 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000857

Georgina Olvera-Alanis, Silvio A Ñamendys-Silva, Bertha M Córdova-Sánchez, José A Mejía-Mejía, Francisco J García-Guillén

{"title":"Usefulness of the qSOFA score for predicting hospital mortality in cancer patients.","authors":"Georgina Olvera-Alanis, Silvio A Ñamendys-Silva, Bertha M Córdova-Sánchez, José A Mejía-Mejía, Francisco J García-Guillén","doi":"10.24875/GMM.M24000857","DOIUrl":"https://doi.org/10.24875/GMM.M24000857","url":null,"abstract":"Background: The quick Sequential Sepsis-related Organ Failure Assessment (qSOFA) is a score that has been proposed to quickly identify patients at higher risk of death.Objective: To describe the usefulness of the qSOFA score to predict in-hospital mortality in cancer patients.Material and methods: Cross-sectional study carried out between January 2021 and December 2022. Hospital mortality was the dependent variable. The area under the ROC curve (AUC) was calculated to determine the discriminative ability of qSOFA to predict in-hospital mortality.Results: A total of 587 cancer patients were included. A qSOFA score higher than 1 obtained a sensitivity of 57.2%, specificity of 78.5%, a positive predictive value of 55.4% and negative predictive value of 79.7%. The AUC of qSOFA for predicting in-hospital mortality was 0.70. In-hospital mortality of patients with qSOFA scores of 2 and 3 points was 52.7 and 64.4%, respectively. In-hospital mortality was 31.9% (187/587).Conclusion: qSOFA showed acceptable discriminative ability for predicting in-hospital mortality in cancer patients.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 1","pages":"62-67"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140957141","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

Risk factors associated with COVID-19 mortality in Mexico. 墨西哥 COVID-19 死亡率的相关风险因素。

IF 0.8 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000844

Anna Fomina, Antonio Villa-Romero, Guadalupe S García de la Torre, Laura Leticia Tirado, Rosa M Wong-Chew

{"title":"Risk factors associated with COVID-19 mortality in Mexico.","authors":"Anna Fomina, Antonio Villa-Romero, Guadalupe S García de la Torre, Laura Leticia Tirado, Rosa M Wong-Chew","doi":"10.24875/GMM.M24000844","DOIUrl":"https://doi.org/10.24875/GMM.M24000844","url":null,"abstract":"Background: On December 31, 2019, one of the most serious pandemics in recent times made its appearance. Certain health conditions, such as obesity and diabetes mellitus, have been described to be related to COVID-19 unfavorable outcomes.Objective: To identify factors associated with mortality in patients with COVID-19.Material and methods: Retrospective cohort of 998,639 patients. Patient sociodemographic and clinical characteristics were analyzed, with survivors being compared with the deceased individuals. Cox proportional hazards model was used to identify variables predictive of COVID-19-associated mortality.Results: Among the deceased patients, men accounted for 64.3%, and women, for 35.7%, with the difference being statistically significant. Subjects older than 80 years had a 13-fold higher risk of dying from COVID-19 (95% CI = 12,469, 13,586), while chronic kidney disease entailed a risk 1.5 times higher (95% CI = 1,341, 1,798), and diabetes mellitus involved a risk 1.25 times higher (95% CI = 1.238,1.276).Conclusions: Age, sex, diabetes mellitus and obesity were found to be predictors of COVID-19 mortality. Further research related to chronic obstructive pulmonary disease, cardiovascular diseases, smoking and pregnancy is suggested.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 1","pages":"9-16"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140957178","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

Certification exams evaluated with serial case reports: theoretical and problematic approach. 用系列案例报告评估认证考试：理论和问题方法。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000877

Víctor H Olmedo-Canchola, Pierre Jean-Aurelus, Miguel Á Vásquez-Luna, José I Santos-Preciado

{"title":"Certification exams evaluated with serial case reports: theoretical and problematic approach.","authors":"Víctor H Olmedo-Canchola, Pierre Jean-Aurelus, Miguel Á Vásquez-Luna, José I Santos-Preciado","doi":"10.24875/GMM.M24000877","DOIUrl":"https://doi.org/10.24875/GMM.M24000877","url":null,"abstract":"The objective of this issue is a theoretical approach to the disadvantages involved in taking the certification exams of medical specializations through serial case reports and analyzing them with the Classical Test Theory (TCT). The certification exams of medical specializations correspond to criterial summative exams with high consequences. Therefore, it is imperative to maintain the highest quality standards in all the processes involved in preparing the exam. At present, it has been detected that some councils of medical specialties conduct the certification exams with tests that contain serial case reports and the psychometric analysis that they conduct is supported by the TCT; however, the structure of this type of test violates the fundamental assumptions of the TCT. The violation of the fundamental assumptions of the TCT in the tests constructed through serial case reports can lead to biases or misinterpretations of the results. Due to the above, it is advisable to use other psychometric models for the analysis of this type of test, or to avoid the use of serial case reports in the certification exams of medical specialties.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 2","pages":"121-127"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906337","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 "The ethics in research using data from the Instituto Nacional de Acceso a la Informacion". 回复“使用国家信息获取研究所数据进行研究的伦理问题”信函。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000925

Patricia Frías-Álvarez, Gustavo Ortiz-Millán

引用次数: 0

Is dementia a tragedy? A philosophy of ambiguity perspective. 痴呆症是悲剧吗？模糊哲学的视角

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000902

Juan F Flores-Vázquez, Rodrigo Gómez-Martínez, Luis M F Gutiérrez-Robledo

引用次数: 0

Forgotten older people: health system debt. 被遗忘的老年人：医疗系统的债务。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000894

Carmen García-Peña, Raúl H Medina-Campos, Mario U Pérez-Zepeda, Jimena Vázquez-García, Diego Terán, Alethse de la Torre-Rosas

引用次数: 0

Social determinants of health: Peruvian validation of Steps to Better Health Questionnaire (STBH-Q). 健康的社会决定因素：秘鲁对改善健康步骤问卷（STBH-Q）的验证。

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000941

Bladimir Becerra-Canales, Edmundo Galarza-Porras, Alejandro Alata-Pimentel, María Dávalos-Almeyda, Carmen Chauca, Freddy E Tataje-Napuri, Domizbeth Becerra-Huamán

{"title":"Social determinants of health: Peruvian validation of Steps to Better Health Questionnaire (STBH-Q).","authors":"Bladimir Becerra-Canales, Edmundo Galarza-Porras, Alejandro Alata-Pimentel, María Dávalos-Almeyda, Carmen Chauca, Freddy E Tataje-Napuri, Domizbeth Becerra-Huamán","doi":"10.24875/GMM.M24000941","DOIUrl":"https://doi.org/10.24875/GMM.M24000941","url":null,"abstract":"Background: The social determinants of health translate into social factors that influence health and access to health care. Therefore, it is necessary to detect them with validated and easy-to-administer instruments.Objective: Validation of the Steps to Better Health Questionnaire (STBH-Q) on social determinants of health in the Peruvian population.Material and methods: Instrumental research in 420 adult participants. The STBH-Q was used and underwent translation, content validation and piloting. Construct validity and reliability were explored.Results: A version of 16 items grouped into five factors that explained 70.03 % of the total variance and an acceptable model fit (χ2/gl = 1.30, NFI = 0.996, CFI = 0.997, SRMR = 0.049, RMSEA = 0.027 [90 % CI = 0.10-0.40]) was corroborated. Discriminant, correlation, tautological and convergent validity with non-communicable diseases were adequate, as well as internal consistency.Conclusions: The STBH-Q is valid and reliable for use in the Peruvian population. Its use in research and validation studies is recommended.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 5","pages":"519-526"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500591","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

Clinical subtypes of psoriasis and their associated comorbidities in a Mexican population. 墨西哥人群牛皮癣临床亚型及其相关合并症

IF 0.6 4区医学

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI: 10.24875/GMM.M24000940

Samantha P Bermúdez-Rodríguez, Andrea Malagón-Liceaga, Rebeca Palafox-Romo, Verónica M Díaz-Sánchez, Fanny C López-Jiménez, Olivo E Vilchis-Flores, Silvia Méndez-Flores, Judith G Domínguez-Cherit

{"title":"Clinical subtypes of psoriasis and their associated comorbidities in a Mexican population.","authors":"Samantha P Bermúdez-Rodríguez, Andrea Malagón-Liceaga, Rebeca Palafox-Romo, Verónica M Díaz-Sánchez, Fanny C López-Jiménez, Olivo E Vilchis-Flores, Silvia Méndez-Flores, Judith G Domínguez-Cherit","doi":"10.24875/GMM.M24000940","DOIUrl":"10.24875/GMM.M24000940","url":null,"abstract":"Background: Psoriasis is an inflammatory, systemic, and chronic disease affecting 2.9% of Mexicans, It is associated with metabolic and inflammatory comorbidities.Objective: To determine the distribution of psoriasis subtypes and associated comorbidities in a tertiary hospital in Mexico City.Material and methods: Descriptive, observational, retrospective, and crosssectional study conducted on patients with psoriasis (1999-2023). Data collected included age, sex, subtype, year of diagnosis and death, disease progression, severity index (PASI), and comorbidities. Qualitative variables were described in frequencies and percentages; quantitative variables with mean and standard deviation. Logistic regression was performed to evaluate associations.Results: The study included 221 patients (116 men) with an average age of 55 years. Plaque psoriasis was the most frequent subtype (85%), and the main comorbidities were dyslipidemia (33%) and hypertension (33%). Men showed a higher proportion of plaque psoriasis (97% versus 75%), while women had more palmoplantar psoriasis (9.5% versus 0.9%).Conclusions: The association with metabolic and cardiovascular comorbidities highlights the need for multidisciplinary management and early detection. This study underscores the importance of researching psoriasis in Mexico to improve prevention and treatment and guide public health policies.","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 5","pages":"504-510"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500569","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