Revista médica del Instituto Mexicano del Seguro Social最新文献_第7页

[Monkeypox: the other pandemic, the other challenge]. [猴痘：另一种流行病，另一种挑战]。

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

David Alejandro Cabrera-Gaytán, Liliana Angélica Alfaro-Martínez

引用次数: 0

[Surgical management of duodenal atresia due to annular pancreas and intestinal atresia IIIb]. [胰腺环形闭锁及肠道闭锁十二指肠闭锁的手术治疗[b]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Néstor Gibrán López-Díaz, Edgar Fernando Oliver-García, Juan Carlos Núñez-Enríquez

{"title":"[Surgical management of duodenal atresia due to annular pancreas and intestinal atresia IIIb].","authors":"Néstor Gibrán López-Díaz, Edgar Fernando Oliver-García, Juan Carlos Núñez-Enríquez","doi":"","DOIUrl":"","url":null,"abstract":"Background: The presence of duodenal atresia related to type IIIb intestinal atresia is a rare association, with few cases reported in the literature, representing a surgical challenge considering that even isolated cases of type IIIb intestinal atresia are a challenge. The objective was to report the successful surgical management of a case of a complex intestinal malformation, characterized by duodenal occlusion secondary to annular pancreas and type IIIb intestinal atresia, with intestinal malrotation by definition and the presence of Meckel's diverticulum.Clinical case: We present the case report of a newborn sent to the second level of care with a diagnosis of duodenal obstruction not diagnosed prenatally, which resulted in duodenal atresia due to annular pancreas and type IIIb intestinal atresia according to the Grosfeld classification. The presence of duodenal atresia with type IIIb intestinal atresia is an extremely rare condition, even more so associated with annular pancreas. These cases are a challenge considering the short length of the small intestine and its consequent need for total parenteral nutrition for a prolonged period.Conclusions: The surgical management of this complex intestinal malformation resulted in a case with an adequate post-surgical evolution, based on the immediate start of enteral feeding with a short period of need for total parenteral nutrition that finally resulted in a short hospital stay.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"123-129"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5f/c4/04435117-61-1-123.PMC10395925.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9937576","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

["Herbalist" supplements maliciously expanding from Mexico to the world. Artriking and company]. ["草药 "补充剂恶意从墨西哥向全世界扩张。Artriking和公司]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Luis Del Carpio Orantes

引用次数: 0

[Clinical evolution of 31 adult patients with immune thrombocytopenia treated with rituximab]. [利妥昔单抗治疗31例成人免疫性血小板减少症的临床进展]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Guillermo Rodolfo Gutiérrez-Espíndola, Jesús Medrano-Contreras, Dafne Itzel Campa-Monroy, Elizabeth Sabbagh-Sánchez, Raúl Martínez-Castro

{"title":"[Clinical evolution of 31 adult patients with immune thrombocytopenia treated with rituximab].","authors":"Guillermo Rodolfo Gutiérrez-Espíndola, Jesús Medrano-Contreras, Dafne Itzel Campa-Monroy, Elizabeth Sabbagh-Sánchez, Raúl Martínez-Castro","doi":"","DOIUrl":"","url":null,"abstract":"Background: Primary immune thrombocytopenia (ITP) is an autoimmune disease that could cause different grades of bleeding, which could even threat the patients' life or make them experience poor quality of life. ITP can be treated with rituximab either as a first or second-line therapy option, resulting in an overall response of 60%. The best results have been observed on young women with a short time of disease evolution.Objective: To report the response and clinical evolution by providing therapy with rituximab, which was used as a rescue in adult patients with either persistent or chronical ITP.Material and methods: 4 weekly doses of rituximab were administered to 31 adult patients and it was made a follow-up with them for a year.Results: Out of the 31 patients, a complete response was observed (CR, platelets ≥ 100 x 109 /L) in 22 patients (71%), and a partial response (PR, platelets ≥ 30 and ≤ 99 x 109 /L) in 5 patients (16%); the global response was of 87%. 3 patients relapsed during follow-up and sustained response after rituximab (≥ 12 months) was held in 24 patients, 21 (67%) with CR and 3 (10%) with PR. Side effects were from low to moderate in 13% of patients.Conclusions: Rituximab showed its effectiveness in patients with ITP as a rescue therapy in both chronical and persistent phases. Sustained response ≥ 12 months was of 77%, with good tolerance and acceptable toxicity.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"21-32"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fb/77/04435117-61-1-21.PMC10395956.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10293570","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

[Maternal-fetal outcomes in women with gestational diabetes in an intensive control program]. [强化控制方案中妊娠期糖尿病妇女的母胎结局]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Rafael Violante-Ortíz, Norma Lidia Fernández-Ordóñez, Claudio Abel Requena-Rivera, Salvador Sabino Mojarro-Bazán, Tania Alemán-Cabrera

{"title":"[Maternal-fetal outcomes in women with gestational diabetes in an intensive control program].","authors":"Rafael Violante-Ortíz, Norma Lidia Fernández-Ordóñez, Claudio Abel Requena-Rivera, Salvador Sabino Mojarro-Bazán, Tania Alemán-Cabrera","doi":"","DOIUrl":"","url":null,"abstract":"Background: Gestational diabetes mellitus (GDM) is first diagnosed during pregnancy and it is the most frequent maternal hyperglycemia.Objective: To know fetal and maternal outcomes in an intensive control program in pregnant women with and without DMG at the Instituto Mexicano del Seguro Social (Mexican Institute for Social Security) Regional General Hospital No. 6, in Ciudad Madero, Tamaulipas.Material and methods: A descriptive and retrospective study, which included 800 outcomes of pregnant women between January 2009 and June 2020. Anthropometric data and pregnancy outcomes were collected. The intensive control program consisted of face-to-face consultations of 1 to 4 weeks, granted according to the degree of metabolic control, with which it was given nutritional counseling, recommendations for physical activity, and in some cases pharmacological treatment.Results: The prevalence of GDM was 36.2%. There were no statistically significant differences between the two groups, except for respiratory distress syndrome, which was more common in GDM (9.4%, p = 0.06). Patients with GDM had a lower prevalence of macrosomy (6.1%) compared to the control group (6.6%). All women admitted to the program in the first trimester had fewer fetal and maternal complications.Conclusions: This study demonstrates the effectiveness and efficiency of implementing an intensive control program in women with GDM, by reducing and equalizing maternal and fetal outcomes compared to a group of women without the disease.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"61-67"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/52/72/04435117-61-1-61.PMC10395943.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9991269","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

[Critical points to implement an antibiotic form for management of surgical wound infection]. 【实施外科伤口感染处理抗生素表格的关键点】。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Andrea Socorro Álvarez-Villaseñor, Diana Florencia Zeceña-Uribe, Jorge Isaac Morales-Alvarado, Jesús Alberto Castorena-Pérez, Clotilde Fuentes-Orozco, Alejandro González-Ojeda

{"title":"[Critical points to implement an antibiotic form for management of surgical wound infection].","authors":"Andrea Socorro Álvarez-Villaseñor, Diana Florencia Zeceña-Uribe, Jorge Isaac Morales-Alvarado, Jesús Alberto Castorena-Pérez, Clotilde Fuentes-Orozco, Alejandro González-Ojeda","doi":"","DOIUrl":"","url":null,"abstract":"Background: Surgical site infection (SSI) is a major complication of surgical procedures and contributes to morbidity, mortality, and healthcare costs. It is commonly caused by Gram-negative bacteria and should be monitored in hospital units.Objective: To identify critical points to implement an antibiotic form for surgical wound infection management.Material and methods: Descriptive observational study in 100 cultures of wounds with SSI. The most common diagnosis, the microorganism involved, sensitivity to antibiotics and prescription consistency were identified. In addition, demographic variables were assessed and a questionnaire was applied to surgeons in order to identify the critical points to implement a local formulary of antibiotics.Results: 37% of cultures came from female patients. The most common diagnosis was hollow viscus perforation in 31%. The most common microorganism was Escherichia coli ESBL in 20% and 55% of these were sensitive to imipenem. The critical points observed were consistency in the prescription of antimicrobials, which reached only 29%, and that surgeons did not actively participate in strategies for the rational use of antibiotics.Conclusions: As a critical point to implement the antibiotic form, little involvement of surgeons with the hospital infection control team was found. The incidence of SSI was 2.4%, predominantly in emergency surgery. The presence of E. coli ESBL is frequent, with resistance to broad-spectrum antimicrobials.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"47-54"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/35/6e/04435117-61-1-47.PMC10396021.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9991272","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

[Respiratory triage classification in a hospital converted to attend COVID-19 pandemic]. [转到COVID-19大流行医院的呼吸分类]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Nora Mercedes Sánchez-Parada, Jorge Ayón-Aguilar, Israel Aguilar-Cózatl

{"title":"[Respiratory triage classification in a hospital converted to attend COVID-19 pandemic].","authors":"Nora Mercedes Sánchez-Parada, Jorge Ayón-Aguilar, Israel Aguilar-Cózatl","doi":"","DOIUrl":"","url":null,"abstract":"Background: The classification of respiratory triage is important, since its objective is reducing the risk of contagion and identifying the patient with respiratory symptoms.Objective: To compare the respiratory triage classification at admission of patients with COVID-19 and with the National Early Warning Score (NEWS) 2 scale.Material and methods: Observational, comparative, cross-sectional, retrospective study. 398 records of patients admitted to Respiratory Triage of a second level hospital were included. The triage color at admission was compared with the color in the re-classification with NEWS 2 scale. For the statistical analysis, percentages and frequencies were used; for qualitative variables, it was used chi-squared with a p value < 0.05.Results: The average age was 57 years. The most frequent gender was male with 60.3%, and their main signs and symptoms were dyspnea 45.7%, coughing 41.3% and fever 32.7%; for women, the frequency was 39.7% and the main symptoms were dyspnea 32.2%, coughing 26.5% and headache 23.9%. The most frequent comorbidities in male and female were, respectively, cardiovascular disease in 20.3% and 19.7%, type 2 diabetes in 17.9% and 14.5%, and chronic kidney disease in 5.2% and 4.7%. The classified color in Respiratory Triage with the highest percentaje at admission was yellow with 64.%; however, with the NEWS 2 re-classification the color with the highest percentage was red, with 50.8%.Conclusion: The classification was performed inadequately, since only 21.8% were compatible with both classifications.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"42-46"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f3/a5/04435117-61-1-42.PMC10396032.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9991270","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

[What has been done at IMSS regarding the users's mental health in the COVID-19 pandemic?] [在 COVID-19 大流行病中，IMSS 在用户心理健康方面做了哪些工作？］

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Norma Magdalena Palacios-Jiménez, Célida Duque-Molina, Alejandro Alarcón-López, Fabiana Maribel Zepeda-Arias, Juan Diego Martínez-Franco, Antonio Reyna-Sevilla

{"title":"[What has been done at IMSS regarding the users's mental health in the COVID-19 pandemic?]","authors":"Norma Magdalena Palacios-Jiménez, Célida Duque-Molina, Alejandro Alarcón-López, Fabiana Maribel Zepeda-Arias, Juan Diego Martínez-Franco, Antonio Reyna-Sevilla","doi":"","DOIUrl":"","url":null,"abstract":"Nowadays, mental health has acquired greater relevance and attention as a consequence mainly of the COVID-19 pandemic, to which is attributed a negative impact on the development of life, work and social coexistence of people, along with the magnitude derived from non-communicable diseases. This is why the Instituto Mexicano del Seguro Social (IMSS, Mexican Institute for Social Security) developed the Mental Health Comprehensive Program 2021-2024, whose main purpose was to establish strategies and lines of action for the prevention, early detection and timely management regarding mental health and addictions. Based on this, different actions have been carried out, for example, the identification of the material and human resources available at IMSS to meet the mental health issue; the training of healthcare professionals at the three levels of care; the integration of a census that has reported a prevalence of anxiety and depressive episodes in the users of 39.9 and 3%, respectively, as well as the evaluation of instruments for screening mental disorders. Therefore, this document describes what has been done in the IMSS in relation to the user's mental health in the context of the COVID-19 pandemic.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/34/db/04435117-61-1-1.PMC10395898.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10311802","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

[Comment on article "Variability of hemoglobin and hematocrit determined in blood gas equipment"]. [评论文章 "血气设备测定的血红蛋白和血细胞比容的变异性"]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Esmeralda Campos-Aguirre, Gamaliel Benítez-Arvizu

引用次数: 0

[Gallstone ileus: a diagnostic and therapeutic challenge. Presentation of a clinical case]. 胆结石性肠梗阻:诊断和治疗的挑战。临床病例报告]。

Revista médica del Instituto Mexicano del Seguro Social Pub Date : 2023-01-02

Juan Manuel Reyes-Morales, Laura Karina Hernández-García

{"title":"[Gallstone ileus: a diagnostic and therapeutic challenge. Presentation of a clinical case].","authors":"Juan Manuel Reyes-Morales, Laura Karina Hernández-García","doi":"","DOIUrl":"","url":null,"abstract":"Background: Gallstone ileus represents 4% of the causes of bowel obstruction in general population, but it increases to 25% in patients above 65 years of age. Gallstone ileus does not present with unique symptoms, making diagnosis difficult. It has a high mortality (12 to 27%) due to associated comorbidities and diagnostic delay. The aim of this case report is to communicate the importance of prompt diagnosis and surgical management of gallstone ileus.Clinical case: It is presented the clinical case of a 67-year-old female patient with a history of long-standing diabetes mellitus without medical control, without previous surgical history, who began suffering 2 days prior to admission to the emergency room with signs and symptoms of intestinal occlusion. She was given medical management without improvement and diagnostic delay of mechanical intestinal occlusion that was surgically intervened 7 days after the onset of clinical symptoms, finding gallstone ileus in the exploratory laparotomy, with satisfactory resolution of the pathology despite the diagnostic delay.Conclusions: Gallstone ileus is a difficult clinical entity to diagnose and therefore requires a high index of suspicion. The aim of gallstone ileus treatment is to release the obstruction, which is done through enterolithotomy. It is the recommended technique for gallstone ileus management because of its lower morbidity and mortality, compared with the other techniques.","PeriodicalId":21419,"journal":{"name":"Revista médica del Instituto Mexicano del Seguro Social","volume":"61 1","pages":"106-110"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d5/24/04435117-61-1-106.PMC10395987.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9937573","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