Revista medica del Instituto Mexicano del Seguro Social最新文献_第2页

[Mexico facing the measles epidemic: Figures that transcend borders]. 墨西哥面临麻疹疫情：跨越国界的数字。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2026-09-02 DOI: 10.5281/zenodo.21462603

Alfonso Vallejos-Parás, David Alejandro Cabrera-Gaytán, Lumumba Arriaga-Nieto, Porfirio Felipe Hernández-Bautista, Leticia Jaimes-Betancourt, Gabriel Valle-Alvarado, Óscar Cruz-Orozco

{"title":"[Mexico facing the measles epidemic: Figures that transcend borders].","authors":"Alfonso Vallejos-Parás, David Alejandro Cabrera-Gaytán, Lumumba Arriaga-Nieto, Porfirio Felipe Hernández-Bautista, Leticia Jaimes-Betancourt, Gabriel Valle-Alvarado, Óscar Cruz-Orozco","doi":"10.5281/zenodo.21462603","DOIUrl":"10.5281/zenodo.21462603","url":null,"abstract":"Measles is one of the most transmissible vaccine-preventable viral diseases, whose containment depends primarily on the sustained implementation of specific vaccination programs with high population coverage. Over the last decade, the emergence and persistence of outbreaks have been documented in various countries in North America and Europe. In Mexico, following the occurrence of cases in 2020, viral circulation was identified again starting in 2024, evolving by 2026 into a scenario of epidemiological resurgence with nationwide spread and associated fatal cases. This editorial analyzes the epidemiological behavior of measles in Europe, Canada, the United States, and Mexico, as well as the implications that these data represent for the national context. Based on a review of the available evidence and the identified epidemiological findings, a critical reflection is presented on the magnitude and cross-border spread of this disease, as well as on the emerging public health challenges in a scenario characterized by increased population mobility, particularly during mass sporting events and holiday periods.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"64 5","pages":"e7430"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027304","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

[Impact of sarcopenia risk on the functionality of older adults after emergency surgery]. [急诊手术后骨骼肌减少风险对老年人功能的影响]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2026-09-02 DOI: 10.5281/zenodo.21462709

Josafat Francisco Martínez-Magaña, Jessica Ivone Medina-García, Alerick Millán-Pacheco C, Jessica Camacho-Ruíz, Eros Rafael Ricarte-Almeida, Ruiz-Berrones Arianna

{"title":"[Impact of sarcopenia risk on the functionality of older adults after emergency surgery].","authors":"Josafat Francisco Martínez-Magaña, Jessica Ivone Medina-García, Alerick Millán-Pacheco C, Jessica Camacho-Ruíz, Eros Rafael Ricarte-Almeida, Ruiz-Berrones Arianna","doi":"10.5281/zenodo.21462709","DOIUrl":"10.5281/zenodo.21462709","url":null,"abstract":"Background: In the last decades, the growth of the global elderly population has multiplied their needs for care and, therefore, surgical attention. It is important to determine the impact of sarcopenia on the development of functional decline following a surgical procedure. Identifying vulnerable patients helps in setting realistic recovery expectations and early care planning, which is why these should be considered an integral part of care to implement patient-centered interventions.Objective: To determine the association between sarcopenia risk and functional decline 90 days after discharge in general surgery patients aged 65 years or older who underwent emergency abdominal surgery.Material and methods: Prospective cohort study of patients aged 65 years or older, hospitalized with and without sarcopenia in the La Raza Medical National Center's General Surgery Department between 2024 and 2025, who underwent urgent abdominal surgery. The study aimed to assess the patient's functional status at home 90 days after discharge via a telephone call.Results: A total of 51 patients were included. It was observed that sarcopenia risk is a significant predictor of low functionality (Barthel) at 3 months: R2 = 0.75.Conclusion: Sarcopenia risk in older adults contributes to the decline in their functional recovery following emergency surgery.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"64 5","pages":"e7170"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027313","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

[Acute pancreatitis as first manifestation of systemic lupus erythematosus]. [急性胰腺炎是系统性红斑狼疮的首要表现]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2026-09-02 DOI: 10.5281/zenodo.21462930

Leonardo Flores-Herrera, Oscar Vidal-Santos, Gabriel Ezequiel Galindo-Magaña, Daniela Hernández-Islas

{"title":"[Acute pancreatitis as first manifestation of systemic lupus erythematosus].","authors":"Leonardo Flores-Herrera, Oscar Vidal-Santos, Gabriel Ezequiel Galindo-Magaña, Daniela Hernández-Islas","doi":"10.5281/zenodo.21462930","DOIUrl":"10.5281/zenodo.21462930","url":null,"abstract":"Background: Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disease with a broad clinical spectrum; gastrointestinal involvement can occur at any stage. SLE-associated pancreatitis is infrequent and exceptional as an initial manifestation, but it is associated with high morbidity and mortality. The objective was to describe a case of severe acute pancreatitis as the initial presentation of SLE and highlight its diagnostic and prognostic relevance.Case report: A 22-year-old female with no significant medical history and a history of inflammatory arthralgia was admitted for intense abdominal pain and intractable vomiting. Acute pancreatitis was documented, progressing to severe necrotizing pancreatitis (Balthazar E), complicated by respiratory failure and admission to the intensive care unit. Given the absence of common risk factors and the presence of hemolytic anemia, a thorough immunological workup was performed, confirming autoimmunity with positive antinuclear and anti-dsDNA antibodies, diagnosing de novo SLE. Patient received high doses of corticosteroid treatment and immunosuppressive therapy, with a favorable clinical outcome.Conclusions: Lupus pancreatitis is a marker of high systemic activity and severity, often underestimated by indices such as SLEDAI. Its timely recognition is fundamental to optimize the prognosis, requiring a multidisciplinary approach with early intensive support and immunosuppressive treatment.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"64 5","pages":"e7149"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027147","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

[Chronic plantar fasciitis: Effectiveness of stretching, ultrasound, and phonophoresis. A randomized clinical trial]. 慢性足底筋膜炎：拉伸、超声和语音电泳的有效性。一项随机临床试验]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2026-09-02 DOI: 10.5281/zenodo.21462666

Alma Yolanda Otero-Varela, David Rojano-Mejía, Luis Alberto Luja-Ramírez, Mauricio Salcedo-Vargas, Angélica Vega-García, Angélica Elizabeth García-Pérez

{"title":"[Chronic plantar fasciitis: Effectiveness of stretching, ultrasound, and phonophoresis. A randomized clinical trial].","authors":"Alma Yolanda Otero-Varela, David Rojano-Mejía, Luis Alberto Luja-Ramírez, Mauricio Salcedo-Vargas, Angélica Vega-García, Angélica Elizabeth García-Pérez","doi":"10.5281/zenodo.21462666","DOIUrl":"10.5281/zenodo.21462666","url":null,"abstract":"Background: Plantar fasciitis (PF) is the main cause of heel pain. Conservative management is broad, but there is no consensus on the most effective adjuvant physical therapy.Objective: To compare the clinical effectiveness of phonophoresis plus stretching, therapeutic ultrasound plus stretching, and isolated stretching in reducing pain in patients with chronic PF.Material and methods: A randomized, single-blind clinical trial conducted in a rehabilitation unit. 60 patients with chronic PF were included, randomly assigned to 3 groups (n = 20 in each group): G1 (phonophoresis + stretching), G2 (ultrasound + stretching), and G3 (stretching only). Pain was assessed using the Visual Analog Scale (VAS) at baseline and after 15 sessions. Paired Student's t test was used for intragroup comparison, and ANOVA with Tukey's post-hoc test was used for intergroup comparison.Results: All 60 participants (76.7% women) completed the study. All groups showed a statistically significant reduction in pain (p < 0.01). The mean VAS reduction was: G1 (4.9 points), G2 (4.3 points), and G3 (6.7 points). The G3 (stretching only) group achieved the lowest final VAS score (0.9 ± 0.5). The intergroup comparison showed a statistically significant difference (p < 0.05) favoring the G3 group over G1 and G2.Conclusion: Isolated stretching demonstrated superior efficacy in pain reduction compared to the addition of ultrasound or phonophoresis in the treatment of chronic PF.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"64 5","pages":"e7022"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13600740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027215","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

[Depression, epidemiological factors, and quality of life in older adults]. [老年人抑郁、流行病学因素和生活质量]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2026-09-02 DOI: 10.5281/zenodo.21462766

Georgina Eunice Meza-Lucero, Osvaldo García-Torres, Gamaliel Rogelio Santiago-Morales, Reyna Lucero Caro-Félix, Tania Paola Anaya-Armenta

{"title":"[Depression, epidemiological factors, and quality of life in older adults].","authors":"Georgina Eunice Meza-Lucero, Osvaldo García-Torres, Gamaliel Rogelio Santiago-Morales, Reyna Lucero Caro-Félix, Tania Paola Anaya-Armenta","doi":"10.5281/zenodo.21462766","DOIUrl":"10.5281/zenodo.21462766","url":null,"abstract":"Background: Depression in older adults is a public health problem that affects functional capacity, reduces quality of life, and it is associated with epidemiological factors such as age, sex, marital status, educational level, the presence of chronic diseases, and level of physical activity.Objective: To evaluate the relationship between depression, quality of life, and epidemiological factors in older adults.Material and methods: A descriptive cross-sectional study was conducted with 127 older adults. Depression was assessed using the Geriatric Depression Scale (GDS-15) and quality of life was measured using the WHOQOL-BREF (World Health Organization Quality of Life). Descriptive analyses, ANOVA, and Kruskal-Wallis tests were performed to determine associations, with significance set at p < 0.05. The study was approved by CLIS 301 and CEI 3018 under protocol number R-2025-301-003.Results: The median age of participants was 69 years, with a predominance of women (57.5%). Depression was significantly associated with lower quality of life (p = 0.001) and lower physical activity levels measured by IPAQ (p = 0.008).Conclusions: These findings reinforce depression as a sensitive indicator of quality of life in older adults and highlight the need to strengthen early detection and promote physical activity as one of the epidemiological factors associated with psychosocial well-being in this population.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"64 5","pages":"e7131"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027213","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

[Predictive factors for retinopathy of prematurity in a hospital from Bajío]. [医院早产儿视网膜病变的预测因素[Bajío]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2026-09-02 DOI: 10.5281/zenodo.21462736

Diana Laura Colmenero-Carrera, Alma Patricia González, Alejandro Moctezuma-Paz, Milagros Danieyis Dorrego-Oduardo, Gloria Patricia Sosa-Bustamante, Carlos Paque-Bautista

{"title":"[Predictive factors for retinopathy of prematurity in a hospital from Bajío].","authors":"Diana Laura Colmenero-Carrera, Alma Patricia González, Alejandro Moctezuma-Paz, Milagros Danieyis Dorrego-Oduardo, Gloria Patricia Sosa-Bustamante, Carlos Paque-Bautista","doi":"10.5281/zenodo.21462736","DOIUrl":"10.5281/zenodo.21462736","url":null,"abstract":"Background: Retinopathy of prematurity (ROP) is a disease that affects the blood vessels of the retina in premature infants (PTIs) and is one of the leading causes of preventable childhood blindness.Objective: To analyze the predictive factors for retinopathy of prematurity in a hospital in the Bajío region of Mexico.Material and methods: Analytical cross-sectional study. PTIs with a gestational age (GA) ≤ 34 weeks and/or birth weight (BW) ≤ 1750 g, and PTIs with a GA > 34 weeks and BW ≥ 1750 g who had an unstable clinical course were included. Demographic and clinical data were collected, as well as retinal examination results.Results: 148 PTIs were analyzed. The main factors associated with ROP were gestational age < 30 weeks (odds ratio [OR] 3.59, p 0.0002), birth weight < 1000 g (OR 4.50, p <0.0001), patent ductus arteriosus with hemodynamic compromise (PDA HS) (OR 2.88, p 0.01), bronchopulmonary dysplasia (BPD) (OR 7.04, p <0.0001), intravenous hemorrhage (IVH) grade ≥ III (OR 5.55, p 0.02), late-onset sepsis (OR 2.28, p 0.02), and red blood cell transfusion (OR 2.6, p 0.01). Exclusive breastfeeding (EBF) was also associated with ROP (OR 0.22, p 0.01). Oxygen therapy ≥ 52 days and invasive mechanical ventilation (IMV) ≥ 11 days were determinants for ROP (AUC 0.60 and 0.74, p < 0.0001).Conclusion: Factors associated with ROP were GA < 30 weeks, BW < 1000 g, as well as PDA HS, stage III HIV infection, late-onset sepsis, and red blood cell transfusion.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"64 5","pages":"e7139"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027279","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

[Reflections on traditional medicine in Latin America and the Caribbean]. [对拉丁美洲和加勒比地区传统医学的反思]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2026-09-02 DOI: 10.5281/zenodo.21462867

Suleidys Reinoso-Odio, Yordanis Arias-Barthelemy, Sandra Caridad Laurencio-Vallina, Yanay Pérez-Pérez

{"title":"[Reflections on traditional medicine in Latin America and the Caribbean].","authors":"Suleidys Reinoso-Odio, Yordanis Arias-Barthelemy, Sandra Caridad Laurencio-Vallina, Yanay Pérez-Pérez","doi":"10.5281/zenodo.21462867","DOIUrl":"10.5281/zenodo.21462867","url":null,"abstract":"This dialogue seeks to problematize the relevance and implications of calling medicine the systems of knowledge and practices known as ancestral, complementary, natural, and traditional medicine in the context of Latin America and the Caribbean. The current reflection is based on reflective-analytical and constructive-interpretive methods and is guided by the philosophical paradigm of hermeneutics. A spectrum of pragmatic convergences with biomedicine is identified (integration into services and the search for evidence), but divergences in the conception of the relationship between body, health, disease, environment, and the validation of knowledge. The Latin American and Caribbean region shows normative progress, although challenges persist in intercultural implementation and equitable recognition. Power tensions are evident and effective integration requires overcoming assimilationist models, which is why it is necessary to adopt interculturality as an operational principle, develop mixed research methodologies, and guarantee a dialogue of knowledges that respects cognitive justice and health sovereignty in all spaces.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"64 5","pages":"e7192"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027288","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

[Association between anthropometric clinical predictors and HOMA-IR]. [人体测量临床预测指标与HOMA-IR之间的关系]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2026-09-02 DOI: 10.5281/zenodo.21462675

Laura Navarrete-Cortes, Rey David Sánchez-Morales, Imer Guillermo Herrera-Olvera, Aldo Ferreira-Hermosillo, Espiridión Ramos-Martínez

{"title":"[Association between anthropometric clinical predictors and HOMA-IR].","authors":"Laura Navarrete-Cortes, Rey David Sánchez-Morales, Imer Guillermo Herrera-Olvera, Aldo Ferreira-Hermosillo, Espiridión Ramos-Martínez","doi":"10.5281/zenodo.21462675","DOIUrl":"10.5281/zenodo.21462675","url":null,"abstract":"Background: The HOMA-IR index is a test that identifies the early risk of developing type 2 diabetes mellitus (T2DM) by measuring insulin resistance (IR); however, these tests are not readily available in primary care settings. Predictors of IR, such as body mass index (BMI) and waist-to-hip ratio (WHR), are useful for the early detection of this risk.Objective: To associate anthropometric parameters with HOMA-IR, considering BMI.Material and methods: A cross-sectional, comparative study was conducted. Serum glucose and insulin concentrations were determined using non-probability convenience sampling and the difference of proportions formula to calculate the HOMA-IR index in 315 adults without diabetes. Anthropometric parameters and visceral fat were considered, and participants were divided into groups according to BMI: normal weight, overweight, and obesity. Differences between groups were determined by Kruskal-Wallis test and the risk of each variable through multiple logistic regression.Results: Of the 315 participants, 57% showed IR; most of them belonged to the overweight and obesity group. Serum insulin concentrations and IR differed significantly among the 3 BMI groups, primarily in the overweight and obesity groups. WHR is a good predictor of risk for IR.Conclusions: IR can be early detected by using validated indices such as HOMA-IR. At the primary care level, anthropometric parameters such as WHR can be used, as it has proven to be a better predictor of IR, phenomenon that occurs much earlier than hyperglycemia.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"64 5","pages":"e7045"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13600744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027152","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

[Biophysical and biochemical differences in CADIMSS patients: Different therapeutic managements]. [CADIMSS患者的生物物理生化差异：不同的治疗方法]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2026-09-02 DOI: 10.5281/zenodo.21462719

Roxana Berger-Ochoa, Tania Zenteno-Savín, Andrea Socorro Álvarez-Villaseñor, Jesús Manuel Salazar-Cabanillas, Luis Javier Ramírez-Jirano, Ramón Gaxiola-Robles

{"title":"[Biophysical and biochemical differences in CADIMSS patients: Different therapeutic managements].","authors":"Roxana Berger-Ochoa, Tania Zenteno-Savín, Andrea Socorro Álvarez-Villaseñor, Jesús Manuel Salazar-Cabanillas, Luis Javier Ramírez-Jirano, Ramón Gaxiola-Robles","doi":"10.5281/zenodo.21462719","DOIUrl":"10.5281/zenodo.21462719","url":null,"abstract":"Background: The Diabetes Care Centers of the Mexican Institute for Social Security (CADIMSS according to its acronym in Spanish) deliver comprehensive, multidisciplinary care, promoting patient and family co-responsibility through monthly medical consultations and educational sessions over a 6-month period. Its primary objective is to optimize diabetes control and prevent chronic complications.Objective: To identify differences in biophysical and biochemical parameters among patients treated in CADIMSS according to the therapeutic regimens used.Material and methods: A retrospective (retrolective) cohort study was conducted, analyzing 500 medical records from the CADIMSS program at the IMSS' General Hospital No. 1, in La Paz, Baja California Sur, between 2022 and 2024. Only 104 records contained complete information. Quantitative variables were described using the median and interquartile range (IQR), due to the non-normal distribution of the data. Comparisons between groups were performed using the Kruskal-Wallis test, with statistical significance set at alpha < 0.05.Results: Patients in group 1 showed better glycemic control, with lower glycated hemoglobin and plasma glucose levels compared to the other groups, with no changes in body mass index.Conclusions: The evaluated therapeutic regimens improved glycemic control, with better performance in group 1; however, diabetes remains an active condition without lifestyle changes, which is why it requires a comprehensive management.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"64 5","pages":"e6866"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13600741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027238","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

[Clinical and sociodemographic characterization of older adults with chronic diseases and advance directives]. [老年慢性病患者的临床和社会人口学特征及预先指示]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2026-09-02 DOI: 10.5281/zenodo.21462754

Eduardo Daniel Anica-Malagón, David de Jesús Scherling-Hernández

{"title":"[Clinical and sociodemographic characterization of older adults with chronic diseases and advance directives].","authors":"Eduardo Daniel Anica-Malagón, David de Jesús Scherling-Hernández","doi":"10.5281/zenodo.21462754","DOIUrl":"10.5281/zenodo.21462754","url":null,"abstract":"Background: Population aging has increased the prevalence of older adults with advanced non-oncological chronic diseases, who face complex end-of-life decisions. Advance directives support autonomy; however, their implementation remains limited.Objective: To describe the clinical and sociodemographic characteristics of older adults with advanced non-oncological chronic diseases and with advance directives.Material and methods: Observational, descriptive, cross-sectional, retrospective study carried out in the Geriatrics Department of the Hospital General de México \"Dr. Eduardo Liceaga.\" Records of patients ≥ 70 years in terminal or dying phases with signed advance directives (May 2023-June 2025) were reviewed; oncological disease was excluded. Descriptive and exploratory inferential analyses were performed using IBM SPSS, version 25.0.Results: Out of 124 records, 89 met criteria. Mean age was 81.6 years; females predominated. Advance directives were mainly formalized during hospitalization and advanced deterioration. Decisions were mostly made by family members, mainly adult children. Limitation of therapeutic effort and symptom control predominated, with no significant associations.Conclusions: Advance directives are established late, reflecting a reactive approach. Decision-making shows a homogeneous pattern toward comfort. Early implementation of advance directives should be promoted.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"64 5","pages":"e7111"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027221","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