Salud Publica De Mexico最新文献_第7页

Enfermedad renal en pacientes mexicanos con diabetes mellitus tipo 2 y sus características sociodemográficas. 墨西哥2型糖尿病患者的肾脏疾病及其社会人口特征。

IF 2.4 4区医学

Salud Publica De Mexico Pub Date : 2024-11-05 DOI: 10.21149/15702

Gaudencio Gutiérrez-Alba, Judith Guadalupe Montero-Mora, Romana Gutiérrez-Polo, José Bernabé Ramírez-Cabrera, Benjamín Castro-Miranda

{"title":"Enfermedad renal en pacientes mexicanos con diabetes mellitus tipo 2 y sus características sociodemográficas.","authors":"Gaudencio Gutiérrez-Alba, Judith Guadalupe Montero-Mora, Romana Gutiérrez-Polo, José Bernabé Ramírez-Cabrera, Benjamín Castro-Miranda","doi":"10.21149/15702","DOIUrl":"https://doi.org/10.21149/15702","url":null,"abstract":"Objetivo: Determinar en pacientes sin seguridad social con diabetes mellitus tipo 2, la prevalencia de enfermedad renal (ER), sus características clínicas y sociodemográficas. Material y métodos. Estudio transversal y analítico, participaron 980 pacientes sin diagnóstico de ER de 86 centros de salud. Para la asociación de ER con otras variables se utilizó el test de Fisher y la prueba χ2 de Pearson; también, se ajustó un modelo de regresión logística ordinal múltiple.Resultados: La prevalencia de ER fue de 53%, el estadio 2 con 33.98% y 2.76% para los estadios 4-5. Además, 75% de los pacientes con hemoglobina glucosilada ≥6.5 y múltiples comorbilidades. Los factores asociados con ER fueron la edad, proteinuria y consumo de antinflamatorios no esteroideos.Conclusiones: El reto del sistema de salud es mejorar las competencias del personal de salud para controlar las enfermedades no transmisibles, realizar diagnóstico precoz y brindar atención por estadio de ER.","PeriodicalId":47913,"journal":{"name":"Salud Publica De Mexico","volume":"66 6 (nov-dec)","pages":"788-797"},"PeriodicalIF":2.4,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469734","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

Factores clínicos y sociodemográficos asociados con riesgo suicida en adultos mayores. 与老年人自杀风险相关的临床和社会人口因素。

IF 2.4 4区医学

Salud Publica De Mexico Pub Date : 2024-11-05 DOI: 10.21149/15832

Andrea Cecilia Casas-López, Ismael Aguilar-Salas, Guillermo Velázquez-López

引用次数: 0

Are we missing detection of dementia at early stages in Mexico? A survey of dementia experts. 在墨西哥，我们是否错过了早期痴呆症的检测？一项针对痴呆症专家的调查。

IF 2.4 4区医学

Salud Publica De Mexico Pub Date : 2024-11-05 DOI: 10.21149/15665

Eder Alejandro Camargo-Ortega, Omar Delgado-Martínez, Francisco Manuel Martínez-Carrillo, Carmen García-Peña, Ana Luisa Sosa-Ortiz, Erika Mariana Longoria-Ibarrola, Jesús Ramirez-Bermúdez, Ramiro Gilberto Ruiz Garcia

引用次数: 0

Associations between diabesity and allcause mortality: a prospective analysis of the Chilean National Health Survey 2009-2010. 糖尿病与全因死亡率之间的关系：2009-2010年智利国家健康调查的前瞻性分析。

IF 2.4 4区医学

Salud Publica De Mexico Pub Date : 2024-11-05 DOI: 10.21149/15520

Fabian Lanuza, Felipe Díaz-Toro, Claudia Troncoso-Pantoja, Ana María Leiva, Gabriela Nazar, Yeny Concha-Cisternas, Miquel Martorell, Ana María Labraña, Solange Parra-Soto, Karina Ramírez-Alarcón, Marcelo Villagrán, Nicole Lasserre-Laso, Carolina Ochoa-Rosales, Lorena Mardones, Fernanda Carrasco-Marín, Nicolas Martínez-Maturana, Carlos Celis-Morales, Fanny Petermann-Rocha

{"title":"Associations between diabesity and allcause mortality: a prospective analysis of the Chilean National Health Survey 2009-2010.","authors":"Fabian Lanuza, Felipe Díaz-Toro, Claudia Troncoso-Pantoja, Ana María Leiva, Gabriela Nazar, Yeny Concha-Cisternas, Miquel Martorell, Ana María Labraña, Solange Parra-Soto, Karina Ramírez-Alarcón, Marcelo Villagrán, Nicole Lasserre-Laso, Carolina Ochoa-Rosales, Lorena Mardones, Fernanda Carrasco-Marín, Nicolas Martínez-Maturana, Carlos Celis-Morales, Fanny Petermann-Rocha","doi":"10.21149/15520","DOIUrl":"https://doi.org/10.21149/15520","url":null,"abstract":"Objective: To investigate whether patients with diabesity (the combination of both conditions) have a higher mortality risk than isolated obesity or type 2 diabetes (T2D), particularly when waist-circumference (WC) is used as a criterion for obesity.Materials and methods: This longitudinal study included 4 514 Chilean participants from the Chilean National Health Survey 2009 and 2010. Participants were categorized into four groups based on WC and diagnosis of diabetes: a) normal, b) abdominal obesity-only, c) T2D-only, and d) diabesity. Cox proportional hazard models were performed to investigate the associations between diabesity and all-cause mortality. Analyses were also replicated using body mass index (BMI) categories.Results: After a median follow-up of 10.9 years, 445 (9.9%) participants died. In the fully-adjusted model, compared with participants with normal-conditions, those with diabesity had 1.37 (95%CI: 1.01,1.85) times higher all-cause mortality risk.Conclusions: Individuals with diabesity had a higher mortality risk compared to their counterparts. The WC instead of BMI can be a more sensitive predictor of mortality risk in the Chilean population.","PeriodicalId":47913,"journal":{"name":"Salud Publica De Mexico","volume":"66 6 (nov-dec)","pages":"798-806"},"PeriodicalIF":2.4,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469615","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

Sociocultural features as risk factors for intestinal parasitosis in children from Mexico. 社会文化特征是墨西哥儿童肠道寄生虫病的危险因素。

IF 2.4 4区医学

Salud Publica De Mexico Pub Date : 2024-11-05 DOI: 10.21149/15584

Dayane Correia-Gomes, Astrid Contreras-Domínguez, José Enrique Meza-Alvarado, Mario Daniel Caba-Flores, Silvia Socorro Lara-Arellano, Rubi Viveros-Contreras

引用次数: 0

Breaking the gender barrier: a study on enrollment trends in medical specialties at the Universidad Nacional Autónoma de México. 打破性别障碍：关于国立大学Autónoma de mmachico医学专业入学趋势的研究。

IF 2.4 4区医学

Salud Publica De Mexico Pub Date : 2024-11-05 DOI: 10.21149/15437

Michele de L Breda-Yepes, Carlos Garrido-Solano, Viridiana Martínez-Miranda, Xana E Robles-Cacho, Arturo Abundes-Corona, Amin Cervantes-Arriaga, Teresita Corona-Vazquez

{"title":"Breaking the gender barrier: a study on enrollment trends in medical specialties at the Universidad Nacional Autónoma de México.","authors":"Michele de L Breda-Yepes, Carlos Garrido-Solano, Viridiana Martínez-Miranda, Xana E Robles-Cacho, Arturo Abundes-Corona, Amin Cervantes-Arriaga, Teresita Corona-Vazquez","doi":"10.21149/15437","DOIUrl":"https://doi.org/10.21149/15437","url":null,"abstract":"Objective: To analyzes the gender gap among residents enrolled in the medical specialization program of the Graduate Division at the Universidad Nacional Autónoma de México (UNAM), Facultad de Medicina.Materials and methods: We conducted a descriptive observational study of students registered in all 78 medical specialties offered by UNAM over a period of 7 years (2015-2022) at approximately 161 hospitals in Mexico.Results: A total of 79 175 students were studied, we observed a predominance of women 51.69%, compared to 48.30% men. In medical specialties, we found a predominance of women of 57.33%, in contrast to surgical specialties with 44.76% women. The specialties with the most women enrolled were dermatology, neonatology, pediatrics, gynecology, and psychiatry. In men, the specialties with the most enrollment were general surgery, cardiology, neurosurgery, plastic surgery among others.Conclusion: Women predominance is observed in some medical specialties, especially those that require caregiving tasks. However, a gap remains between men and women, particularly in surgical specialties and in higher decision-making positions. We suggest extending support networks to include men as well as women.","PeriodicalId":47913,"journal":{"name":"Salud Publica De Mexico","volume":"66 6 (nov-dec)","pages":"842-848"},"PeriodicalIF":2.4,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469620","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

Cambio de horario, calidad de sueño y somnolencia excesiva diurna en universitarios. 时间表的改变，睡眠质量和大学生白天过度嗜睡。

IF 2.4 4区医学

Salud Publica De Mexico Pub Date : 2024-11-05 DOI: 10.21149/15634

Adrián Poblano, Bernarda Téllez-Alanís, Vania Aldrete-Cortez

引用次数: 0

Brazil’s Unified Health System: the fight for a universal right in an unequal country. 巴西的统一卫生系统：在一个不平等的国家争取普遍权利。

IF 2.4 4区医学

Salud Publica De Mexico Pub Date : 2024-09-17 DOI: 10.21149/16309

Cristiani Vieira-Machado, Luciana Dias de Lima

{"title":"Brazil’s Unified Health System: the fight for a universal right in an unequal country.","authors":"Cristiani Vieira-Machado, Luciana Dias de Lima","doi":"10.21149/16309","DOIUrl":"https://doi.org/10.21149/16309","url":null,"abstract":"This article analyzes Brazil's Unified Health System (SUS), established by the 1988 Constitution. The article initially presents the previous trajectory of national health policy and the context of democratization in the 1980s, which favored health reform and created a public, universal, and comprehensive health system. It then explores the advances and contradictions recorded in more than three decades of implementation of the SUS. The main advances observed were the creation of institutional mechanisms compatible with the federative arrangement and social participation, political and administrative decentralization, the national expansion of access to health, changes in the health care model, including strengthening primary care, and improvements in health indicators. On the other hand, the persistence of structural problems and disputes between different health agendas, with differences between governments, led to contradictions in financing and public-private relations in health. Despite the differences between countries, the analysis of the Brazilian case provides lessons on the challenges in building universal health systems in Latin America.","PeriodicalId":47913,"journal":{"name":"Salud Publica De Mexico","volume":"66 5, sept-oct","pages":"726-731"},"PeriodicalIF":2.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469365","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

Formación de personal médico de pregrado en atención primaria. El caso de la Universidad de la Salud. 在初级保健领域培训初级医务人员。卫生大学的案例。

IF 2.4 4区医学

Salud Publica De Mexico Pub Date : 2024-09-17 DOI: 10.21149/15712

Juan Manuel Esteban Castro-Albarrán

{"title":"Formación de personal médico de pregrado en atención primaria. El caso de la Universidad de la Salud.","authors":"Juan Manuel Esteban Castro-Albarrán","doi":"10.21149/15712","DOIUrl":"https://doi.org/10.21149/15712","url":null,"abstract":"La atención primaria de salud (APS) es una estrategia intersectorial para el desarrollo de la salud de las personas. Comprende la organización de los sistemas de atención médico-sanitarios y acciones de desarrollo social sobre los determinantes de la salud, bajo principios de derecho, equidad, justicia social, respeto a la diversidad cultural, promoción de la salud, cobertura y acceso universal a todos los servicios preventivos y curativos, además, el uso de tecnologías apropiadas e impulso a la participación social y comunitaria. Por ende, el modelo de atención a la salud MAS-Bienestar en México considera la APS como fundamento de la sostenibilidad del sistema público de salud. Requiere una decidida política de formación estratégica de recursos humanos para la salud, orientados hacia la APS. Por esta razón, se revisan experiencias clave en formación de médicos en APS, presentándose el caso de la Universidad de la Salud (Unisa) y la propuesta curricular de la Licenciatura en Medicina General y Comunitaria, como pistas para reorientar la formación en medicina general. El mayor desafío para la formación de profesionales de la salud con enfoque de APS es ejercer la dirección conjunta entre el sector educativo y de salud, para crear un sistema nacional de formación estratégica del personal sanitario, a partir del cual éste garantiza su inserción en el sistema público.","PeriodicalId":47913,"journal":{"name":"Salud Publica De Mexico","volume":"66 5, sept-oct","pages":"753-758"},"PeriodicalIF":2.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469532","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

La importancia del Servicio Nacional de Salud Pública en la reestructuración del sistema público de salud. 国家公共卫生服务在公共卫生系统重组中的重要性。

IF 2.4 4区医学

Salud Publica De Mexico Pub Date : 2024-09-17 DOI: 10.21149/15877

Mauricio López-Manning, Ruy Lopez-Ridaura

{"title":"La importancia del Servicio Nacional de Salud Pública en la reestructuración del sistema público de salud.","authors":"Mauricio López-Manning, Ruy Lopez-Ridaura","doi":"10.21149/15877","DOIUrl":"https://doi.org/10.21149/15877","url":null,"abstract":"La reestructuración del sistema de salud en México avanza paralelamente en sus dos ejes, la atención individual y la atención colectiva. En materia de salud colectiva, la transformación tiene dos objetivos objetivos centrales, robustecer la capacidad rectora del Estado mexicano en materia sanitaria y brindarle a la Secretaría de Salud federal un brazo operativo para el ejercicio de sus atribuciones. Para ello la Secretaría de Salud creó el Servicio Nacional de Salud Pública (SNSP), un cuerpo personas servidoras públicas que tiene como misión salvaguardar y proteger la salud de la población a través del fortalecimiento de las Funciones Esenciales de la Salud Pública. En ese sentido, la transformación sanitarista se materializa con tres acciones claves para el SNSP; reorganizar el ejercicio de la salud colectiva en el país por funciones (gerencia, operaciones, logística e inteligencia) en lugar de programas temáticos verticales, consolidar funcional y orgánicamente a las personas servidoras públicas dedicadas a salud pública con una identidad profesional definida, y redefinir la acción rectora de la Secretaría de Salud como un acompañamiento territorial desplegado de manera constante a lo largo de todo el territorio nacional.","PeriodicalId":47913,"journal":{"name":"Salud Publica De Mexico","volume":"66 5, sept-oct","pages":"661-669"},"PeriodicalIF":2.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469628","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