Revista de sanidad militar最新文献

History of leprosy in Mexico: from the 15th century to the21st century 墨西哥麻风病的历史：从 15 世纪到 21 世纪

Revista de sanidad militar Pub Date : 2024-07-22 DOI: 10.56443/cjtwfk67

Pamela Sánchez-Pérez, Ana Paula Tejeda-Venegas, Jesús Francisco Meza-Martínez, Kevin Alexis Sernas-Mendoza, María Fernanda Santana-Lugo

{"title":"History of leprosy in Mexico: from the 15th century to the21st century","authors":"Pamela Sánchez-Pérez, Ana Paula Tejeda-Venegas, Jesús Francisco Meza-Martínez, Kevin Alexis Sernas-Mendoza, María Fernanda Santana-Lugo","doi":"10.56443/cjtwfk67","DOIUrl":"https://doi.org/10.56443/cjtwfk67","url":null,"abstract":"Leprosy is an infectious disease transmitted by the bacterium Mycobacterium leprae. While it’s not a new disease, its incidence over time has changed, and in some places, it has been eradicated. However, in other areas, it is still considered a public health problem, and Mexico is one of them. Throughout global history, diagnostic, therapeutic, prevention, control, and surveillance strategies have been implemented to reduce its incidence. Currently, our country is attached to various national and international programs for managing this disease, aiming to reduce its prevalence and eventually eradicate it. Nevertheless, many socioeconomic factors have hindered the complete achievement of these goals, which have been modified but not entirely eliminated.\u0000The purpose of this review was to conduct a retrospective analysis of leprosy management in Mexico, aiming to present the current situation to raise awareness of the potential seriousness of this disease becoming a public health priority again. This review also seeks to promote new research to identify the cause of the recent increase in cases over the past year. It includes a historical breakdown of the epidemiological trends of this disease in the country, as well as the various therapeutic and diagnostic measures and their impact in the current context.","PeriodicalId":86208,"journal":{"name":"Revista de sanidad militar","volume":"10 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141816454","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}

引用次数: 0

Prevalencia de trastornos musculoesqueléticos en el cuidador primario de pacientes con discapacidad física 肢体残疾患者主要照顾者的肌肉骨骼疾病患病率

Revista de sanidad militar Pub Date : 2024-07-22 DOI: 10.56443/esek8813

Heber Adelfo Ruiz-Dávila

{"title":"Prevalencia de trastornos musculoesqueléticos en el cuidador primario de pacientes con discapacidad física","authors":"Heber Adelfo Ruiz-Dávila","doi":"10.56443/esek8813","DOIUrl":"https://doi.org/10.56443/esek8813","url":null,"abstract":"Objective: To estimate the prevalence of musculoskeletal disorders in the primary caregiver of patients with physical disabilities at the Central Military Hospital.\u0000Methodology: Participants who were caregivers of pa tients with a disability were sought to complete the questionnaire. A sociodemographic questionnaire was applied to each person, the Nordic questionnaire for the detection of musculoskeletal symptoms and the Zarit questionnaire to assess the caregiver’s burden, descriptive statistics of these questionnaires were performed.\u0000Results: The final sample was 29 people, the sociodemographic questionnaire showed that the primary caregiver is usually a single woman aged 40 (± 11.5) years, with a daughter relationship, who is dedicated to household activities. The Nordic questionnaire showed that 21% of the caregivers reported pain, the largest areas with pain were back (45 %), shoulder and neck (both with 21 %). The Zarit questionnaire indicated that nearly 90 % of the patients did not present activity overload.\u0000Limitations of the study: Being a study carried out in a military hospital, the results may not be representative of the Mexican population.\u0000Originality: Few are the works focused on the study of the Primary Caregiver both nationally and internationally.\u0000Conclusions: The informal primary caregiver is usuallya vulnerable population with a low educational leveland without any economic remuneration, and whichcontributes a lot to the care of patients with disabilities,therefore measures must be implemented to help trainthem to care for their integrity and that of their relatives.","PeriodicalId":86208,"journal":{"name":"Revista de sanidad militar","volume":"12 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141815877","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}

引用次数: 0

Think fast and slow in the cognitive process for decision making in medicine 医学决策认知过程中的快慢思考

Revista de sanidad militar Pub Date : 2024-07-22 DOI: 10.56443/4jmsfj87

Jorge Luis Díaz-Alday, Caridad Guadalupe Villegas-Delgado, Carlos Héctor Delgado-Villegas

{"title":"Think fast and slow in the cognitive process for decision making in medicine","authors":"Jorge Luis Díaz-Alday, Caridad Guadalupe Villegas-Delgado, Carlos Héctor Delgado-Villegas","doi":"10.56443/4jmsfj87","DOIUrl":"https://doi.org/10.56443/4jmsfj87","url":null,"abstract":"Being a doctor requires making quick and accurate decisions, whether it is diagnosis or therapy, and has implications for patient safety. Several theories have been proposed to explain how clinicians make their reasoning, pointing out differences between skilled and inexperienced clinicians. Our brain has two systems of thought: fast and slow. Fast is associated with intuitive and automatic decisions, requires little energy or attention, allows decisions to be made with little information. Slow cognitive processing involves deeper, more analytical cognitive processing, requires effort, and can be strenuous. Recent research indicates that quick thinking is used in most medical decisions. This form of intuitive thinking is part of the process is very effective, but it is also vulnerable to cognitive errors. The dual theory of reasoning, reflecting the great importance of intuition in most decisions, allows us to better understand how we doctors think in our daily practice. Medical schools should use new didactic spaces in which problem-based learning is greatly facilitated, in subjects such as integrated workshops, medical practice, or integrative sessions, with similar methodology, that provide our students with opportunities to obtain knowledge and critical thinking skills to solve medical problems in a holistic way, in any context, with both systems of thought. More years in the classroom, continuing medical education, certification by advice do not solve the problem, there are those who invoke to eliminate cognitive errors in medical practice, that it must be redesigned and reinvented.","PeriodicalId":86208,"journal":{"name":"Revista de sanidad militar","volume":"15 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141814775","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}

引用次数: 0

Confirmación del diagnóstico clínico-radiográfico de pulpitis reversible e irreversible a través del método histopatológico, en pacientes de 3 a 8 años que acuden a la UEO. Antecedentes, estado actual y prospectiva en la SEDENA 使用组织病理学方法对在世界卫生组织就诊的 3 至 8 岁患者进行可逆性和不可逆牙髓炎的临床放射诊断确认。SEDENA 的背景、现状和前景

Revista de sanidad militar Pub Date : 2024-07-22 DOI: 10.56443/emcwpd88

Melisa González Fischer-Flores

{"title":"Confirmación del diagnóstico clínico-radiográfico de pulpitis reversible e irreversible a través del método histopatológico, en pacientes de 3 a 8 años que acuden a la UEO. Antecedentes, estado actual y prospectiva en la SEDENA","authors":"Melisa González Fischer-Flores","doi":"10.56443/emcwpd88","DOIUrl":"https://doi.org/10.56443/emcwpd88","url":null,"abstract":"Objective: To determine if the histopathological study is associated with the clinical-radiographic diagnosis of reversible and irreversible pulpitis, in patients from 3 to 8 years of age who come to the UEO.\u0000Methodology: Conventional clinical diagnostic methods were used for the clinical-radiographic evaluation of reversible and irreversible pulpitis; Likewise, an excisional biopsy of the pulp tissue of 41 dental organs that presented pulp pathology was performed using dentin cutting spoons. In the research laboratory of the Universidad Autónoma del Estado de México (UAEM), using light microscopy, the pulp tissue was studied by a stomatologist specialist and the histopathological diagnosis of the biopsies was established.\u0000Results: The McNemar statistical test (comparison of proportions for related samples) resulted in no statistically significan difference (p>0.05, 95 % CI) between the presumptive diagnosis and the confirmatory diagnosis.\u0000Limitations: No limitations were considered.\u0000Value: An alternative method can be used in places where all means are not available.\u0000Conclusions: The histopathological diagnosis confirmed the clinical-radiographic diagnosis in this sample, so it is suggested to use all conventional diagnostic methods to establish a more accurate diagnosis and therefore a better treatment.","PeriodicalId":86208,"journal":{"name":"Revista de sanidad militar","volume":"13 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141816148","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}

引用次数: 0

La Revista de Sanidad Militar en su 53/er. Aniversario: globalización, celebración y agenda para el futuro 军事卫生期刊》创刊 53 周年：全球化庆祝活动和未来议程周年：全球化、庆祝活动和未来议程

Revista de sanidad militar Pub Date : 2024-07-08 DOI: 10.56443/kv3t8146

.. J. D. J. Almanza Muñoz

引用次数: 0

Cirugía del hígado. Consecuencias de la isquemia hepática relacionada con el choque hipovolémico en cobayos 肝脏手术。与豚鼠低血容量休克有关的肝缺血后果。

Revista de sanidad militar Pub Date : 2024-07-08 DOI: 10.56443/j3zfzd67

Mario Antonio Cardona Pérez, P. R. Rodríguez Jurado, Luis Pablo Canul Andrade, Osear Martínez Valdés, Juan Uriarte Duque

{"title":"Cirugía del hígado. Consecuencias de la isquemia hepática relacionada con el choque hipovolémico en cobayos","authors":"Mario Antonio Cardona Pérez, P. R. Rodríguez Jurado, Luis Pablo Canul Andrade, Osear Martínez Valdés, Juan Uriarte Duque","doi":"10.56443/j3zfzd67","DOIUrl":"https://doi.org/10.56443/j3zfzd67","url":null,"abstract":"Antecedentes. La maniobra de Pringle se acepta como un buen método de control de la hemorragia en cirugía hepática, sin embargo, se desconoce el daño hepático secundario a la isquemia inducida por dicha maniobra. \u0000Objetivo. Explorar la viabilidad del hígado sometido a diferentes tiempos de isquemia. \u0000Método. Se formaron seis series experimentales de 10 cobayos cada una, a su vez cada serie experimental se divi- dió en dos grupos experimentales según el tiempo de dura- ción del procedimiento realizado, siendo éstos de 30 y 45 minutos. Se les determinaba la función hepática mediante pruebas de función hepática, se analizaron los resultados me- diante ANOVA. Se obtuvieron biopsias de tejido hepático para ser analizadas con microscopia óptica y electrónica. Los resultados se analizaron con la prueba de 2. \u0000Resultados. Los valores de bilirrubina se mantuvieron constantes en todos los grupos de estudio. La AST aumentó progresivamente en las series CQ, 1H y CH y fue mayor en esta última, tanto en grado 11 como en 111, lo cual es significa- tivo (p 0.05). La ALT aumentó de manera importante en la serie CH y fue más notable a 30 minutos y en grado 111. La FA aumentó en las series con choque grado 111 más isquemia a 30 minutos. \u0000Conclusiones. No se encuentra mayor daño en un hígado previamente hipoperfundido que es sometido a isquemia en lo que respecta a las enzimas AST y ALT. Sin embargo, los resultados deben tomarse con prudencia, ya que pudieran ser influidos por la técnica quirúrgica.","PeriodicalId":86208,"journal":{"name":"Revista de sanidad militar","volume":"27 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141836157","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}

引用次数: 0

Ciprofloxacina en el tratamiento de la rinoescleroma respiratoria 环丙沙星治疗呼吸道鼻咽癌

Revista de sanidad militar Pub Date : 2024-07-08 DOI: 10.56443/ncn2j739

Osiel Méndez Gonzaga, A. L. Chavira

{"title":"Ciprofloxacina en el tratamiento de la rinoescleroma respiratoria","authors":"Osiel Méndez Gonzaga, A. L. Chavira","doi":"10.56443/ncn2j739","DOIUrl":"https://doi.org/10.56443/ncn2j739","url":null,"abstract":"Introducción. La rinoescleroma es una enfermedad de difícil diagnóstico y evolución lenta, que es resistente a la mayoria de los antibióticos. La ciprofloxacina tiene caracte- rísticas que sugieren su utilidad para el tratamiento de dicho padecimiento. \u0000Objetivos. Determinar la utilidad de la ciprofloxacina en el tratamiento de la rinoescleroma. \u0000Métodos. Con un diseño descriptivo, prospectivo y abier- to, se estudiaron 12 pacientes con rinoescleroma respirato- ria registrando su sintomatología y la respuesta clínica a la administración de ciprofloxacina. El plan de análisis inclu- yó la descripción de variables y de valores porcentuales así como la evaluación cualitativa de los resultados. \u0000Resultados. El 100% presentó rinorrea fétida y conges- tión nasal. En siete casos se encontró afectación del septum; se observó velamiento maxilar y etmoidal en 100%. La cepa más frecuente reportada fue la Klebsiella rhinoescleromatis (58.3%), y la respuesta clínica fue apropiada. \u0000Discusión. Las características de la muestra estudiada, así como los hallazgos radiológicos y los sitios de afección fueron congruentes con los reportados en la literatura. La respuesta clínica al tratamiento con ciprofloxacina fue ade- cuada. \u0000Conclusiones. La ciprofloxacina parece ser eficaz en el tratamiento de rinoescleroma y tiene diversas ventajas sobre otros esquemas de manejo. Es necesario replicar los presen- tes resultados.","PeriodicalId":86208,"journal":{"name":"Revista de sanidad militar","volume":"19 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141836432","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}

引用次数: 3

Mujer de 58 años con diabetes, hipertensión y hemiparesia izquierda de inicio repentino 58 岁女性，患有糖尿病、高血压和突发性左侧偏瘫。

Revista de sanidad militar Pub Date : 2024-07-08 DOI: 10.56443/tw11b332

M. Loyola, Oscar Benavides Aguilar, J. A. C. Lima, M. A. Flores

{"title":"Mujer de 58 años con diabetes, hipertensión y hemiparesia izquierda de inicio repentino","authors":"M. Loyola, Oscar Benavides Aguilar, J. A. C. Lima, M. A. Flores","doi":"10.56443/tw11b332","DOIUrl":"https://doi.org/10.56443/tw11b332","url":null,"abstract":"Sesión clinicopatológica del 12 de mayo del 2001. Mujer de 58 años, con antecedentes de diabetes mellitus, hipertensión arterial, en el último año con depresión y abuso de alcohol posterior al fallecimiento de su esposo. Ingresó al hospital con hemiparesia izquierda y disartria de inicio repentino. El estudio de tomografía axial demostró hemorragia talámica derecha extendida a la región parahipocampal derecha y diseminación al sistema ventricular, con desplazamiento leve de la línea media a la izquierda, y evidencia de infartos lacunares pontinos antiguos. La paciente se hospitalizó en la unidad de cuidados intensivos y presentó deterioro progresivo de sus constantes hemodinámicas, así como de su condición neurológica. Evolucionó al estado de choque con edema pulmonar falleciendo finalmente. El estudio posmortem demostró la hemorragia cerebral y los infartos lacunares observados en la tomografía de cráneo, arteriosclerosis generalizada grado III-A con infarto cardiaco antiguo con hipertrofia del ventrículo izquierdo, trombos sépticos en la aurícula derecha, tromboembolia pulmonar como causa directa de la muerte, bronconeumonía y edema pulmonar, pielonefritis crónica, hígado graso secundario a alcoholismo, infiltración adiposa del páncreas, y un adenoma paratiroideo como hallazgo incidental. Se trata de un caso típico de complicaciones de enfermedades crónicas comunes.","PeriodicalId":86208,"journal":{"name":"Revista de sanidad militar","volume":"8 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141836636","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}

引用次数: 0

Criterios de selección para animales de laboratorio: una guía práctica para investigadores 实验动物的选择标准：研究人员实用指南

Revista de sanidad militar Pub Date : 2024-07-08 DOI: 10.56443/0q9tfk87

Sergio Ramírez Silva

引用次数: 0

Oxigenoterapia hiperbárica 高压氧疗法

Revista de sanidad militar Pub Date : 2024-07-08 DOI: 10.56443/53aqq791

Luis Alfredo Pérez Bolde Hernández

引用次数: 0