Revista médica del Instituto Mexicano del Seguro Social最新文献_第5页

[Correlation between the shock index and the anaerobic index]. [冲击指数与厌氧指数的相关性]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-05-02

Otoniel Toledo-Salinas, Eric Pereyra-Guzmán

{"title":"[Correlation between the shock index and the anaerobic index].","authors":"Otoniel Toledo-Salinas, Eric Pereyra-Guzmán","doi":"","DOIUrl":"","url":null,"abstract":"Background: Shock is defined as an acute circulatory insufficiency that causes cellular dysfunction. The shock index (SI) and the anaerobic index or the relationship between the veno-arterial gradient of carbon dioxide and the difference between the arterial and venous content of O₂ [∆P(v-a)CO2/ΔC(a-v)O2] are markers of systemic hypoperfusion.Objective: To determine if there is a correlation between the SI and the anaerobic index in patients with circulatory shock.Material and methods: Observational and prospective study in patients with circulatory shock. The SI and the anaerobic index were calculated at admission to the intensive care unit (ICU) and during their stay. Pearson's correlation coefficient was calculated and the association of SI with mortality was explored with bivariate logistic regression.Results: 59 patients aged 55.5 (± 16.5) years, 54.3% men, were analyzed. The most frequent type of shock was hypovolemic (40.7%). They had SOFA score: 8.4 (± 3.2) and APACHE II: 18.5 (± 6). The SI was: 0.93 (± 0.32) and the anaerobic index: 2.3 (± 1.3). Global correlation was r = 0.15; at admission r = 0.29; after 6 hours: r = 0.19; after 24 hours: r = 0.18; after 48 hours: r = 0.44, and after 72 hours: r = 0.66. The SI > 1 at ICU admission had an OR 3.8 (95% CI: 1.31-11.02), p = 0.01.Conclusions: The SI and the anaerobic index have a weak positive correlation during the first 48 hours of circulatory shock. The SI > 1 is a possible risk factor for death in patients with circulatory shock.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 3","pages":"307-313"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f7/5c/04435117-61-3-307.PMC10437227.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10034468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Dental occlusal disruptor as a strategy to moderate caloric intake: two case report]. [牙合干扰剂作为一种适度热量摄入的策略:两例报告]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-05-02

Israel Gerardo Guzmán-Guevara, Laura Juana García-Reyes, Oscar Gustavo Blancas-García

{"title":"[Dental occlusal disruptor as a strategy to moderate caloric intake: two case report].","authors":"Israel Gerardo Guzmán-Guevara, Laura Juana García-Reyes, Oscar Gustavo Blancas-García","doi":"","DOIUrl":"","url":null,"abstract":"Background: Obesity is a global public health challenge, closely related with the progression of other diseases. In recent years, odontology has intervened against obesity through the implementation of intraoral devices that contribute with weight control treatments.Objective: To study the use of a dental occlusal disruptor as a strategy to moderate caloric intake.Material and methods: Pilot study which included 2 patients. It was used a dental occlusal disruptor that has an impact on the smaller amount of food at each bite. Patients attended five appointments in which a stomatological evaluation was carried out and anthropometric measurements were taken. All adverse effects were reported in each patient's clinical history.Results: Patients presented weight and body fat loss, increased muscle mass and decreased both body mass index and waist and hip measurements.Conclusions: The use of the disruptor does not alter the stomatological assessment, it promotes masticatory regulation and the decrease in body weight. It is necessary to analyze its use in a larger number of patients.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 3","pages":"300-306"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/30/04435117-61-3-300.PMC10437222.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10034470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[From genotype to phenotype: amylase gene in childhood obesity]. [从基因型到表型:儿童肥胖的淀粉酶基因]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-05-02

Miguel Alexander Vázquez-Moreno, Miguel Cruz-López

{"title":"[From genotype to phenotype: amylase gene in childhood obesity].","authors":"Miguel Alexander Vázquez-Moreno, Miguel Cruz-López","doi":"","DOIUrl":"","url":null,"abstract":"Worldwide, Mexico is one of the countries with the highest rate of obesity, which is a condition considered the main risk factor for type 2 diabetes. Among the mechanisms that predispose to obesity, the interaction between food intake and genetic components has been little explored. Recently we evidenced a significant association between the copy number (CN) of AMY1A and AMY2A genes, the enzymatic activity of salivary and pancreatic amylase, and the frequency of childhood obesity in Mexico, a particular population due to the high consumption of starch in the diet and the high prevalence of obesity in children and adults. This review aims to find a better understanding of the role of amylase in obesity through a description of the evolution of the CN of its genes, the association of its enzymatic activity with obesity, and the effect of its interaction with starch intake on Mexican children. In addition, it denotes the importance of the experimental perspectives of further investigation regarding the mechanism by which amylase could regulate the abundance of oligosaccharide-fermenting bacteria and producers of short-chain fatty acids and/or branched-chain amino acids that could contribute to the alteration of the physiological processes associated with intestinal inflammation and metabolic deregulation that predispose to the development of obesity.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 3","pages":"356-362"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/2f/04435117-61-3-356.PMC10437226.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10043523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Cognition in medical residents with and without anxiety in a specialist training hospital]. [专科培训医院住院医师焦虑与非焦虑的认知研究]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-03-01

Janeth Ramírez-Mendoza, Arturo García-Galicia, Alejandra Aréchiga-Santamaría, Álvaro José Montiel-Jarquín, Ingrid Jiménez-Luna, Sandra Maldonado-Castañeda, Jorge Loría-Castellanos

{"title":"[Cognition in medical residents with and without anxiety in a specialist training hospital].","authors":"Janeth Ramírez-Mendoza, Arturo García-Galicia, Alejandra Aréchiga-Santamaría, Álvaro José Montiel-Jarquín, Ingrid Jiménez-Luna, Sandra Maldonado-Castañeda, Jorge Loría-Castellanos","doi":"","DOIUrl":"","url":null,"abstract":"Background: The resident doctor plays an important role in people's health care.Objective: To compare the cognition of medical residents with/without anxiety in a specialist training hospital.Material and methods: Comparative, prospective, cross-sectional study. Medical residents of any grade and specialty were included, who signed informed consent. Those with a diagnosis of cognitive impairment were excluded, and who did not complete the tests were eliminated. AMAS-A test was applied to assess anxiety and NEUROPSI: Attention and memory test for cognitive characteristics. Mann-Whitney's U and Spearman's rho were used, p≤0.05 was considered significant.Results: 155 residents were evaluated, 55.5% men, mean age 32.4 years. Internal Medicine was the predominant specialty (25.2%). AMAS-A identified 94.19% residents with anxiety. NEUROPSI reported Attention and memory domain (38.7%) in normal classification, Memory (34.2%) in high normal, and Attention and executive functions (32.3%) in severe alteration as predominant assessments. Only Memory showed a significant difference between residents with and without anxiety (p=0.015). Attention and executive functions-Physiological anxiety (r=-0.21, p=0.009) and Attention and memory-Social concern (r=-0.268, p=0.001) correlations were significant.Conclusions: The percentage of anxiety and cognitive alterations in residents physicians is high. Anxiety decisively affects memory capacity in these medical doctors.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 2","pages":"147-154"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/46/04435117-61-2-147.PMC10396004.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10312756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Development of autoimmunity in patients with primary immunodeficiencies]. 【原发性免疫缺陷患者自身免疫的发展】。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-03-01

Práxedes Chiunti-Andrade, Carlos Arturo Gallardo-Hernández, Sandra Luz González-Herrera

{"title":"[Development of autoimmunity in patients with primary immunodeficiencies].","authors":"Práxedes Chiunti-Andrade, Carlos Arturo Gallardo-Hernández, Sandra Luz González-Herrera","doi":"","DOIUrl":"","url":null,"abstract":"The autoimmune diseases include many in which the immune system is directed against the host, leading to life-threatening destruction of organs. The origin of autoimmune disorders can be multifactorial and, there are no specific therapy for these diseases. Primary immunodeficiencies are a group of immune disorders that affect different components of the innate and adaptive responses. Interestingly, patients with primary immunodeficiencies have an increased susceptibility to infectious diseases and non-infectious complications including allergies, malignancies, and autoimmune diseases. The molecular mechanism for development of autoimmunity in immunodeficiencies is unclear. The study of the complex immune regulatory and signaling mechanisms is revealing the relationships between primary immunodeficiency syndromes and autoimmune diseases. Newly, it has been demonstrated that a deficient maturation of immune cells; the deficiency of proteins important for T and B lymphocyte function and impaired signally pathways that include key molecules in regulation and activation of immune cells are associated with the development of autoimmunity in patients with primary immunodeficiencies. The aim of the present work is to review the evidence available to date regarding the cellular and molecular mechanisms involved in the development of autoimmunity in patients with primary immunodeficiencies.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 2","pages":"189-195"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/43/bd/04435117-61-2-189.PMC10395887.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9928158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Cost-effectiveness of treatment of type 2 diabetes mellitus in México]. [墨西哥治疗2型糖尿病的成本效益]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-03-01

Diana L Pérez-Lozano, Víctor Manuel Camarillo-Nava, Tarsila Elizabeth Juárez-Zepeda, José Elpidio Andrade-Pineda, Danae Pérez-López, Jorge Armando Reyes-Pacheco, Zuley Margarita Lucho-Gutiérrez, Liliana Carmona-Aparicio

{"title":"[Cost-effectiveness of treatment of type 2 diabetes mellitus in México].","authors":"Diana L Pérez-Lozano, Víctor Manuel Camarillo-Nava, Tarsila Elizabeth Juárez-Zepeda, José Elpidio Andrade-Pineda, Danae Pérez-López, Jorge Armando Reyes-Pacheco, Zuley Margarita Lucho-Gutiérrez, Liliana Carmona-Aparicio","doi":"","DOIUrl":"","url":null,"abstract":"Background: Type 2 Diabetes Mellitus (DM2) is a public health and socioeconomic problem, generating direct medical costs for its treatment.Objective: To analyze the cost-effectiveness of monotherapy and bitherapy treatments in patients with DM2.Methods: Cost-effectiveness, observational, ambispective, cross-sectional and analytical analysis of files in a first level medical unit. The data in the cost matrix was executed with the Office Excel 2010 program; the most prescribed drug was identified and compared with monotherapy and bitherapy.Results: The annual direct medical costs of the total population were drug cost $118,561.70MN, hospitalization cost $243,756.00MN, consultation cost $327,414.00MN and clinical trial cost $2416.79MN, obtaining an annual total of $692,148.58MN. metformin was the most indicated in monotherapy (88.4%) and as standard therapy it has higher cost-effectiveness compared to glibenclamide. In bitherapy it was metformin/glibenclamide (35.7%) versus the therapeutics of metformin/NPH insulin, metformin/insulin glargine and metformin/dapagliflozin, which had a better cost-effective result, with an incremental cost effectiveness of -$1,128,428.50MN, -$34,365.00 MN, -$119,848.97MN respectively.Conclusions: Metformin presented a better cost-effectiveness ratio in monotherapy, while in bitherapy it was the metformin/NPH insulin association.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 2","pages":"172-180"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3a/42/04435117-61-2-172.PMC10396055.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10312760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Solid pseudopapillary neoplasm. Report of three cases and review of the literature]. 实性假乳头状肿瘤。三例报告及文献复习]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-03-01

Javier Iván Baltazar-Ramos, Gabriela Martínez-Reyes, Miguel Ángel Pérez-Corro, Edmundo Denis-Rodríguez, Guadalupe Melo-Santiesteban

{"title":"[Solid pseudopapillary neoplasm. Report of three cases and review of the literature].","authors":"Javier Iván Baltazar-Ramos, Gabriela Martínez-Reyes, Miguel Ángel Pérez-Corro, Edmundo Denis-Rodríguez, Guadalupe Melo-Santiesteban","doi":"","DOIUrl":"","url":null,"abstract":"Background: Solid pseudopapillary neoplasm, or Frantz-Gruber tumor, is a diagnostic challenge for the surgical pathologist. It is classified by the WHO as a malignant epithelial tumor of the pancreas, its prevalence is low, it occurs in only 1 to 2% of all malignant tumors of the pancreas, it usually affects mainly young women, its origin is still unclear, it is generally It presents as a solitary, encapsulated lesion, without invasion of peripancreatic tissues with rare cases of metastasis, which is why it is considered a low-grade malignant tumor by the WHO. The objective of this article is to present three clinical cases and to evaluate the epidemiology, clinical manifestations, morphology and immunohistochemical expression of the tumor in a review of the bibliography, as well as to compare it with the cases already reported on the subject.Clinical case: Three cases of Frantz tumor were diagnosed by the pathology department of a tertiary hospital are presented, which correspond to two women aged 17 and 34, as well as a 52-year-old man whose presentation by age and sex is rare.Conclusions: After the bibliographical review and the analysis of the cases presented, we verified the difficulty to make a correct diagnosis, since its presence is rare in the daily practice of the surgical pathologist. The morphological patterns of the solid pseudopapillary tumor are varied and can often be reminiscent of neuroendocrine tumors of the pancreas, whose presentation rate is higher.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 2","pages":"212-219"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/39/79/04435117-61-2-212.PMC10395929.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10312763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The impact of COVID-19 in a cohort of patients with systemic sclerosis]. [COVID-19对系统性硬化症患者队列的影响]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-03-01

María Del Pilar Cruz-Domínguez, Susana Isabel Morales-Montalvo, Olga Lidia Vera-Lastra, Berenice López-Zamora, Irvin Ordoñez-González, Gabriela Medina-García, Cinthya Paola López-Burgos, Daniel Héctor Montes-Cortés, Luis Javier Jara-Quezada

{"title":"[The impact of COVID-19 in a cohort of patients with systemic sclerosis].","authors":"María Del Pilar Cruz-Domínguez, Susana Isabel Morales-Montalvo, Olga Lidia Vera-Lastra, Berenice López-Zamora, Irvin Ordoñez-González, Gabriela Medina-García, Cinthya Paola López-Burgos, Daniel Héctor Montes-Cortés, Luis Javier Jara-Quezada","doi":"","DOIUrl":"","url":null,"abstract":"Background: COVID-19 brought with it unknowns related to systemic sclerosis.Objective: To know the clinical evolution and prognosis of COVID-19 in a cohort of patients with systemic sclerosis.Methods: During the pandemic, we had digital contact with a cohort of 197 patients with SSc. If they had any condition that met the suspected definition of COVID-19, they underwent polymerase chain reaction testing for SARS-CoV-2; they were treated on an outpatient or hospital basis without interfering with their treatment. They followed their evolution every 24 hours until they became asymptomatic or died.Results: Thirteen patients (6.6%), nine diffuse cutaneous (dcSSc), and four limited cutaneous (lcSSc) developed COVID-19 during nine months of follow-up. The immunosuppressants used at the time of the disease were: mycophenolate mofetil, methotrexate, and prednisone, in low doses. Seven patients had interstitial lung disease (ILD). The main symptoms were chest pain, cough, dyspnea, dysgeusia, and anosmia, 1 with mild symptoms without pneumonia, 11 with mild pneumonia, and one with severe pneumonia that required hospital management. Only one (7.7%) presented severe pneumonia, was hospitalized, and died.Conclusions: COVID-19 disease in patients with SSc can be overcome in most cases, even when they are ILD and were using immunosuppressants at the time of infection with the SARS-CoV-2 virus.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 2","pages":"163-171"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/17/81/04435117-61-2-163.PMC10395891.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9937842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Six minute walk test in young native high altitude residents]. [六分钟步行测试在年轻的本地高海拔居民]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-03-01

Carla Ximena Murillo-Jáuregui, Luis Efren Santos-Martínez, Juan José López-Mamani, María Catherine Romero-Pozo, Ivonee Clorinda Contreras-Tapia, Martha Teresa Aguilar-Valerio

{"title":"[Six minute walk test in young native high altitude residents].","authors":"Carla Ximena Murillo-Jáuregui, Luis Efren Santos-Martínez, Juan José López-Mamani, María Catherine Romero-Pozo, Ivonee Clorinda Contreras-Tapia, Martha Teresa Aguilar-Valerio","doi":"","DOIUrl":"","url":null,"abstract":"Background: The 6-minute walk test is widely used and evaluates the functional capacity to perform sub-maximal exercise, its behavior in healthy young native hight-altitude resident is unknown.Objective: To describe the behavior of the 6-minute walk test in healthy young native hight-altitude resident.Material and methods: Analytical cross-sectional design. Consecutive subjects born and residents of the cities of La Paz and El Alto (Bolivia), both genders, without cardiopulmonary disease or physical limitation were studied. Their altitude, hematological, demographic and simple spirometry variables were informed. The differences were calculated with the t-test for independent or dependent groups according to the type of comparison. A p < 0.05 was considered significant.Results: 110 subjects were studied, at an altitude of 3673 ± 250 meters above sea level, age 24 ± 5 years old, 67 (60.90%) were women. The hemoglobin was 15.20 ± 2.46 g/dL. Prior to the test in 37 (33.63%) subjects the partial oxygen saturation was < 92% (90.92 ± 0.92%), its correlation whit meters walked, r = - 0.244, p < 0.010. Total meters walked: 581 ± 35 (627.3 ± 52.88 sea level); with the reference equations from Enright PL: 542 ± 75 and Osses AR: 459 ± 104, both obtained at < 1000 meters above sea level. Vital signs were whitin normal limits.Conclusion: Sub-maximal exercise capacity estimated with the six-minute walk test at high altitude is lower than that reported at sea level.Reference equations underestimated the meters walked at high altitude.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 2","pages":"181-188"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/15/89/04435117-61-2-181.PMC10395997.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10312762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Controversies between mental health and disability standards in Mexico]. [墨西哥精神健康与残疾标准之间的争议]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-03-01

Gabriel Eugenio Sotelo-Monroy, Clarisa Villaseñor-Robledo, Guillermo Peñaloza-Solano, Fabiola Tafoya-Ramos

{"title":"[Controversies between mental health and disability standards in Mexico].","authors":"Gabriel Eugenio Sotelo-Monroy, Clarisa Villaseñor-Robledo, Guillermo Peñaloza-Solano, Fabiola Tafoya-Ramos","doi":"","DOIUrl":"","url":null,"abstract":"There are controversies between the practice of psychiatry, current international standards and mental disorders or conditions with disabilities, framed in social care models. The objective of this work is to provide evidence and analyze the main gaps in mental health such as: the invisibility of some people with disabilities for the design of policies, legislation, or public programs; the predominance of the medical model, in which the substitution of decision-making in informed consent prevails, which violates the rights of legal personality, equality, freedom, security and respect for personal integrity, among others. This analysis highlights the importance of: a) integrating the legal provisions on health and disability to international standards, and complying with the Human Rights framework of the Political Constitution of the United States of Mexico, especially the pro personae principle and to the conforming interpretation clause; b) reform the General Health Law in matters of mental health and general health, in order to change the paradigm of asylum care to move towards that of community care with a focus on primary health care, adjacent to the services of the National System of Health; c) prohibit the institutionalization of people with mental disorders, as well as coercive measures as containment measures, and instead train and encourage verbal de-escalation techniques.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 2","pages":"204-211"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7f/b2/04435117-61-2-204.PMC10395880.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9937836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0