Rosanna DâAddosio-Valera, Jhoseidref Josefina Villalobos-Chaparro, C. P. Navarro-Márquez, Kyle Hoedebeck
{"title":"Asociación entre densidad mineral ósea y riesgo de fracturas en posmenopáusicas","authors":"Rosanna DâAddosio-Valera, Jhoseidref Josefina Villalobos-Chaparro, C. P. Navarro-Márquez, Kyle Hoedebeck","doi":"10.24875/rmf.19000177","DOIUrl":"https://doi.org/10.24875/rmf.19000177","url":null,"abstract":"","PeriodicalId":34592,"journal":{"name":"Revista Mexicana de Medicina Familiar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46639437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brenda Garduño-Orbe, Francisco Barbosa-Castañeda, Gabriela GarcÃa-Morales
{"title":"Prevalencia y factores asociados a polineuropatía diabética en una unidad de medicina familiar de Acapulco, Guerrero","authors":"Brenda Garduño-Orbe, Francisco Barbosa-Castañeda, Gabriela GarcÃa-Morales","doi":"10.24875/rmf.19000178","DOIUrl":"https://doi.org/10.24875/rmf.19000178","url":null,"abstract":": Objective: To determine the prevalence of diabetic polyneuropathy (DPN) and its associated factors in patients with diabetes mellitus belonging to the DiabetIMSS group of Family Medicine Unit 9, Mexican Institute of Social Security (IMSS), Acapul-co, Guerrero. Methods: An analytical cross-sectional study was carried out, using non-probabilistic con-venience sampling in 180 patients of the DiabetIMSS group. The DPN was detected with the Michigan Neuropathy Program, which includes two tools: the Michigan Neuropathy Screening Instrument (MNSI) and the Michigan Diabetes Neuropathy Score (MDNS). The programs SPSSTM version 17 and STATATM version 12 were used to perform descriptive statistics and the bivariate analysis that included the factors studied. Results: The prevalence of DPN was 33.9%, with an av-erage age of 56 years; 68.8% belongs to the female gen-der; Class II or moderate neuropathy obtained a greater percentage of 52.4%. A statistically significant association was determined between DPN and patients ≥ 50 years, time of evolution of diabetes mellitus ≥ 6 years, deficient glycemic control and patients with smoking habit. Conclusion: The prevalence of DPN was greater than 30%, of these patients 80% presented symptoms of neuropathic pain, which increases the risk of sequel-ae due to the complications presented, deterioration of daily functioning and negative impact on the quality of life. Faced with this serious health problem, the family doctor must emphasize preventive actions and timely detection of DPN. (Rev Mex Med Fam. 2019;6:118-24)","PeriodicalId":34592,"journal":{"name":"Revista Mexicana de Medicina Familiar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48599846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miguel Ángel Mendoza-Romo, Arantxa Carcoba-Abando, G. G. Zavala-Cruz, Marisabel Pineda-MartÃnez
{"title":"El descontrol de pacientes hipertensos es predominantemente diastólico en ancianos mexicanos","authors":"Miguel Ángel Mendoza-Romo, Arantxa Carcoba-Abando, G. G. Zavala-Cruz, Marisabel Pineda-MartÃnez","doi":"10.24875/rmf.19000181","DOIUrl":"https://doi.org/10.24875/rmf.19000181","url":null,"abstract":"","PeriodicalId":34592,"journal":{"name":"Revista Mexicana de Medicina Familiar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45844518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Santiago MartÃnez-Torre, MarÃa A. Molina-Medina, Olga Elena Tolentino-Ureña, Inmaculada Gómez-Molinero
{"title":"Encondromatosis múltiple: Caso clínico y actualización","authors":"Santiago MartÃnez-Torre, MarÃa A. Molina-Medina, Olga Elena Tolentino-Ureña, Inmaculada Gómez-Molinero","doi":"10.24875/rmf.19000130","DOIUrl":"https://doi.org/10.24875/rmf.19000130","url":null,"abstract":"","PeriodicalId":34592,"journal":{"name":"Revista Mexicana de Medicina Familiar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46379137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medicina centrada en la persona y método clínico centrado en el paciente. ¿Qué son?","authors":"Ismael RamÃrez-Villaseñor","doi":"10.24875/RMF.M18000001","DOIUrl":"https://doi.org/10.24875/RMF.M18000001","url":null,"abstract":"Las escuelas de medicina de finales del siglo XIX se centraban en la enfermedad, lo cual les dio grandes éxitos en el control de las enfermedades infeccionas y carenciales, aunque a costa de pérdidas en las habilidades para tratar a las personas. A mediados del siglo XX, el enorme crecimiento de las enfermedades crónicas y los llamados «trastornos funcionales» y «enfermedades psicosomáticas», entre otros, pusieron en evidencia las limitaciones del enfoque centrado en la enfermedad y su método clínico de diagnóstico diferencial. En 1960, Balint creó el concepto de medicina centrada en la persona (MCP)1, enfatizando que, además del problema biomédico, el paciente debía ser comprendido como persona, como miembro de una familia, de una comunidad y de un ambiente de trabajo. Se trataba de una orientación filosófica, pero faltaba el método clínico que la volviera útil en la práctica clínica. En 1993, después de 20 años de trabajo interdisciplinario y transdisciplinario con médicos familiares, se publicó por primera vez el método clínico centrado en el paciente (MCCP)2. ¿EN QUÉ CONSISTEN LA MEDICINA CENTRADA EN LA PERSONA Y EL MÉTODO CLÍNICO CENTRADO EN EL PACIENTE?","PeriodicalId":34592,"journal":{"name":"Revista Mexicana de Medicina Familiar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43112987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Inmaculada Gómez-Molinero, Olga Elena Tolentino-Ureña, MarÃa Rosa Antón-Pastor, Beatriz de Pedro Huecas
{"title":"Actualización de tumor fibroso solitario pleural. A propósito de un caso","authors":"Inmaculada Gómez-Molinero, Olga Elena Tolentino-Ureña, MarÃa Rosa Antón-Pastor, Beatriz de Pedro Huecas","doi":"10.24875/RMF.19000129","DOIUrl":"https://doi.org/10.24875/RMF.19000129","url":null,"abstract":"The solitary fibrous tumor (SFT) is a neoplasia of mesenchymal fibroblastic origin that can appear in different serous membranes. It is a rare disease that represents less than 2% of all soft tissue tumors. In this assignment, the case presented is a 62-year-old patient with pleural SFT which was discovered with only dyspnoea as a symptom; and was treated with surgery and 2 years later with chemotherapy because of inoperable tumor recurrence. Mex Med Fam. 2019;6:31-5) Corresponding author: Inmaculada Gómez-Molinero, igomezmolinero@gmail.com","PeriodicalId":34592,"journal":{"name":"Revista Mexicana de Medicina Familiar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49638155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miguel Orlando Cueto-Aguilar, Raúl Hernández-Ordóñez, Mª del Pilar Pacheco-Zavala
{"title":"Enfoques de aprendizaje en residentes de la especialidad en medicina familiar en la delegación Guanajuato","authors":"Miguel Orlando Cueto-Aguilar, Raúl Hernández-Ordóñez, Mª del Pilar Pacheco-Zavala","doi":"10.24875/RMF.18000101","DOIUrl":"https://doi.org/10.24875/RMF.18000101","url":null,"abstract":"","PeriodicalId":34592,"journal":{"name":"Revista Mexicana de Medicina Familiar","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42611996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Álvarez-Villalobos, Juan Manuel Millán-AlanÃs
{"title":"Bioestadística médica y práctica clínica: una necesaria pero poco frecuente relación","authors":"N. Álvarez-Villalobos, Juan Manuel Millán-AlanÃs","doi":"10.24875/RMF.19000158","DOIUrl":"https://doi.org/10.24875/RMF.19000158","url":null,"abstract":"Evidence-based medical practice is that which involves the best scientific evidence available, patient priorities and the physician ́s clinical criteria in decision making. For its correct application, adequate critical reading of scientific articles is essential so that clinical decisions are based on high quality evidence; however, currently, a large amount of scientific information presents unreliable results due to methodological bias as well as inappropriate data analysis. For this reason, one of the main abilities that a physician must have is to interpret results of scientific studies. For this, a dominance of biostatistical concepts is imperative. The aim of this study is to approach topics related to the panorama of biostatistics in the medical community, the main concepts that a physician must know and some of the teaching methods of this topic. (Mex Med Fam. 2019;6:28-30) Corresponding author: Neri ALejandro Álvarez-Villalobos, estadistica@meduanl.com","PeriodicalId":34592,"journal":{"name":"Revista Mexicana de Medicina Familiar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42657139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}