Revista medica del Instituto Mexicano del Seguro Social最新文献_第5页

[Validation of a rapid anesthesia satisfaction scale in the anesthetic procedure]. [麻醉过程中快速麻醉满意度量表的验证]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-09-02 DOI: 10.5281/zenodo.12667986

Arturo García-Galicia, Edgar Bautista-Soto, Álvaro José Montiel-Jarquín, Jared Milagros Hernández-Díaz, Martha Alicia Montes-Alvarado, Diana López-García, Maricarmen Tapia-Venancia, Nancy Rosalía Bertado-Ramírez

{"title":"[Validation of a rapid anesthesia satisfaction scale in the anesthetic procedure].","authors":"Arturo García-Galicia, Edgar Bautista-Soto, Álvaro José Montiel-Jarquín, Jared Milagros Hernández-Díaz, Martha Alicia Montes-Alvarado, Diana López-García, Maricarmen Tapia-Venancia, Nancy Rosalía Bertado-Ramírez","doi":"10.5281/zenodo.12667986","DOIUrl":"https://doi.org/10.5281/zenodo.12667986","url":null,"abstract":"Background: The degree of satisfaction is an indicator of the quality of health care. Its measurement allows to understand the strengths and weaknesses associated with the anesthesia procedure and to improve the quality of service.Objective: To evaluate the validity and consistency of a new rapid scale of patient satisfaction with the anesthetic procedure.Material and methods: Comparative, longitudinal study in patients in post-anesthetic care. It consisted of two phases: Phase 1: Development of a Likert-type rapid scale to assess post-anesthesia patient satisfaction. Patients were pilot tested to evaluate the wording until 2 consecutive rounds were achieved. Phase 2: The developed instrument (ERSAPA according to its initials in Spanish) and the control questionnaire (LPPSq) were administered to patients after their discharge from the Post-Anesthesia Care Unit. Cronbach's alpha was used to evaluate the internal consistency between both tests, and Sperman's rho for convergent validity.Results: A total of 250 patients were surveyed. An overall satisfaction was achieved in 82.46% of the population. The domain with the highest agreement was pre-anesthesia consultation care. The internal consistency (Cronbach's alpha) was 0.84, with a Spearman's convergent validity of 0.719 (p = 0.001), and an intra-observer reliability analysis by intraclass correlation coefficient of 0.945 (p = 0.001).Conclusions: The ERSAPA scale is consistent and valid for assessing patient satisfaction in the Anesthesia Service.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 5","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688776","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

[Factors for spirometric impairment in survivors of severe coronavirus-19 disease]. [严重冠状病毒-19 疾病幸存者肺功能受损的因素]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-09-02 DOI: 10.5281/zenodo.12668030

José Luis Che-Morales, Juan Francisco Sánchez-Cruz, Rosa Esther Moo-Puc

{"title":"[Factors for spirometric impairment in survivors of severe coronavirus-19 disease].","authors":"José Luis Che-Morales, Juan Francisco Sánchez-Cruz, Rosa Esther Moo-Puc","doi":"10.5281/zenodo.12668030","DOIUrl":"10.5281/zenodo.12668030","url":null,"abstract":"Background: Patients with severe coronavirus-19 disease (COVID-19) have more spirometric alterations, especially a restrictive pattern characterized by low forced vital capacity (FVC). Some variables associated with this alteration in lung function have been described, such as hypoxemia, vaccination and hand strength, which in turn are related to the magnitude of lung damage.Objective: To analyze different clinical variables and their association with alterations in spirometry in survivors of severe COVID-19.Material and methods: Retrospective and observational study of survivors of severe COVID-19 sent for their first spirometry, hand dynamometry, and 6-minute walk (6MW) in a secondary care unit during 2021.Results: 2 doses of SARS-CoV-2 vaccine were protective factor (odds ratio [OR]: 0.36, 95% CI [95% CI]: 0.1-0.8, p = 0.02) and hospitalization (> 15 days) was a risk factor for spirometric alterations (FVC < 80% of predicted) (OR: 3.0; 95% CI 1.3-6.8, p = 0.00); hand weakness, SpO2 desaturation > 4% in 6MW, and days of hospitalization were associated with low FVC.Conclusions: A hospitalization > 15 days and having 2 doses of vaccination are risk and protective factors, respectively, of having a low FVC. Days of hospitalization, vaccination status, and FVC allowed to identify clusters of severe COVID-19 survivors with greater deterioration.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 5","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694070","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

[Factors that interfere in the surgical programming in a second-level hospital in Mexico]. [干扰墨西哥一家二级医院外科手术计划的因素]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-09-02 DOI: 10.5281/zenodo.12667910

Rodrigo López-Cisneros, Svetlana V Doubova, Alma Lucila Sauceda-Valenzuela

{"title":"[Factors that interfere in the surgical programming in a second-level hospital in Mexico].","authors":"Rodrigo López-Cisneros, Svetlana V Doubova, Alma Lucila Sauceda-Valenzuela","doi":"10.5281/zenodo.12667910","DOIUrl":"https://doi.org/10.5281/zenodo.12667910","url":null,"abstract":"Background: Surgical programming is a priority for hospital management due to its impact on health.Objective: To analyze the aspects that affect the surgical programming in a secondary care hospital in Mexico.Material and methods: Hospital operating room programming records for 2021 were consulted. Surgical interventions, operating room usage times, causes of deferrals, surgical delay and turnover times were described. Percentages, mean and standard deviation were estimated; the analysis was carried out with chi-squared and Student's t. A panel of experts was integrated to identify the factors that affect the performance of operating rooms.Results: In 2021, the hospital had 2660 records of surgical programming for 2317 patients; 2.7% of surgeries were deferred. Mostly urgent (46.1%) and scheduled (43.5%) surgeries were performed. The average surgical delay time was 65 minutes and the turnover time was 92 minutes; these times were inadequate in emergency surgeries, in night and evening schedules surgeries (p < 0.05). Deficiencies in surgical time management and surgery scheduling with a degree of urgency ≥ 7 days mainly affected the performance of the operating room.Conclusion: Surgical programming of the hospital presents areas of opportunity for improvement and shows factors that affect surgical management, useful for similar hospitals.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 5","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684116","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

[The role of immunosenescence and inflammaging in aging-associated diseases]. [免疫衰老和炎症在衰老相关疾病中的作用]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-09-02 DOI: 10.5281/zenodo.12668114

María Teresa García-de la Rosa, Isabel Wong-Baeza, Lourdes Andrea Arriaga-Pizano

{"title":"[The role of immunosenescence and inflammaging in aging-associated diseases].","authors":"María Teresa García-de la Rosa, Isabel Wong-Baeza, Lourdes Andrea Arriaga-Pizano","doi":"10.5281/zenodo.12668114","DOIUrl":"https://doi.org/10.5281/zenodo.12668114","url":null,"abstract":"With the increase in the number of people with advanced age (> 60 years) worldwide, it is necessary to understand the processes that lead to healthy aging. Cellular senescence, immunosenescence and inflammaging are part of the natural process of aging and are associated with age-related diseases. Cellular senescence is characterized by the arrest of the cell cycle in the G1 phase. Senescent cells can be identified by different markers (surface or intracellular), by changes in their functions, and by their gene expression profile. Immunosenescence causes dysregulation of the immune response, with persistent (chronic) increases in inflammatory mediators and decreases in the effectiveness of immune effector responses, which promotes the development and severity of chronic-degenerative diseases and fragility. When immunosenescence is related with advanced age, it is known as inflammaging. New strategies to revert immunosenescence are currently being investigated, with senotherapy with senolytic drugs that eliminate senescent cells, and with senomorphic drugs that inhibit the secretion of senescence-promoting mediators. Senolytic drugs may be useful during the aging process, to delay, prevent and/or improve age-related diseases.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 5","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693986","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

[Infectious diseases: circumstances, chance... anything can be...] [传染病：环境、机遇......一切皆有可能......]

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-09-02 DOI: 10.5281/zenodo.12667886

David Alejandro Cabrera-Gaytán, Alejandro Moctezuma-Paz

引用次数: 0

[Mental health in postgraduate medicine: an urgency in the systematization of strategies]. [医学研究生的心理健康：战略系统化的紧迫性]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-09-02 DOI: 10.5281/zenodo.12668169

Gabriel Guzmán-Díaz, Sarahí Guerrero-Barrios, Sergio Elihu Rodríguez-Alfaro, Máximo Alejandro García-Flores, Jorge Ayón-Aguilar, Israel Aguilar-Cózatl, Socorro Méndez-Martínez

{"title":"[Mental health in postgraduate medicine: an urgency in the systematization of strategies].","authors":"Gabriel Guzmán-Díaz, Sarahí Guerrero-Barrios, Sergio Elihu Rodríguez-Alfaro, Máximo Alejandro García-Flores, Jorge Ayón-Aguilar, Israel Aguilar-Cózatl, Socorro Méndez-Martínez","doi":"10.5281/zenodo.12668169","DOIUrl":"10.5281/zenodo.12668169","url":null,"abstract":"Several studies about mental health report a higher illness prevalence in physicians than in general population. Mental health Illness is multifactorial, and its negative consequences range from stress, anxiety, depression, burnout, somatic manifestation to suicide. Health professionals are educators and know the importance of creating and training compassionate and competent physicians. The aim of this study was to describe mental health strategies in postgraduate doctors. Out of a total of 494 articles, only 9 were analyzed which mentioned some strategy for mental health improvement, such as diffusion, timely detection of mental health conditions, in-person or online training, integral care, support groups, socialization, pairing, physical activity, follow-up and support, reinforcement of institutional norms and values, including strategies from the Puebla Decentralized Administrative Operating Body. The strategies implemented in the optimization of mental health in trainee doctors increase resilience and optimism while simultaneously reduce the prevalence of mental health conditions. In addition, they provide the necessary tools for self-care. The Mexican Institute for Social Security (IMSS, according to its initialism in Spanish) is aware of this, which is why it systematizes the different strategies.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 5","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692950","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

[Use of disease-modifying therapies in spinal muscular atrophy 5q in Mexico]. [墨西哥 5q 型脊髓性肌萎缩症患者使用改变病情疗法的情况]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-09-02 DOI: 10.5281/zenodo.12668159

María Elena Meza-Cano, Carlos Molina-Castillo

引用次数: 0

[Linear power and mortality in COVID-19 respiratory difficulty syndrome]. [COVID-19呼吸困难综合征的线性功率和死亡率]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-09-02 DOI: 10.5281/zenodo.12668053

Alejandro Lizama-Aguilar, Edgar Bravo-Santibáñez, Karen Elena Ortega-Verdugo, Diego Ernesto Pacheco-Zavala, José Luis Moreno-Rivera

{"title":"[Linear power and mortality in COVID-19 respiratory difficulty syndrome].","authors":"Alejandro Lizama-Aguilar, Edgar Bravo-Santibáñez, Karen Elena Ortega-Verdugo, Diego Ernesto Pacheco-Zavala, José Luis Moreno-Rivera","doi":"10.5281/zenodo.12668053","DOIUrl":"https://doi.org/10.5281/zenodo.12668053","url":null,"abstract":"Background: Acute respiratory distress syndrome (ARDS) secondary to COVID-19 crowded intensive care units in the world with high mortality. Mechanical ventilation was fundamental in the treatment; however, the evidence of ventilatory markers associated with mortality is not entirely clear. In 2021 it was described the linear power, which was superior to other markers. At the moment its possible utility in patients with ARDS due to COVID-19 has not been described.Objective: To evaluate linear power as a risk factor for mortality in patients with ARDS due to COVID-19 in intensive care.Material and methods: Retrospective cohort study in patients admitted to intensive care with ARDS secondary to COVID-19. Linear power was calculated for patients who died and patients who survived in intensive care. Mann-Whitney U test and multivariable Cox regression (hazard ratio [HR] with 95% confidence intervals [95% CI]) were performed.Results: 60 patients were studied with a mortality of 43.3%. Those who died had a higher linear power (89.5 vs. 78, p = 0.031) and the best cut-off point was 84 cmH2O/rpm (AUC 0.663, p = 0.031, LR 2.02); in addition, those with linear power < 84 (p = 0.050) had a better cumulative survival.Conclusions: Linear power is a possible risk factor for mortality in patients with ARDS secondary to COVID-19 in intensive care.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 5","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692732","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

[Obstetric-gynecological and social factors for the development of cervical intraepithelial neoplasia]. [宫颈上皮内瘤变的妇产科和社会因素]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-09-02 DOI: 10.5281/zenodo.12667984

José Alfredo Villanueva-Duque, Isis Carolina Castro-Valdés, Nancy García-Cervantes

{"title":"[Obstetric-gynecological and social factors for the development of cervical intraepithelial neoplasia].","authors":"José Alfredo Villanueva-Duque, Isis Carolina Castro-Valdés, Nancy García-Cervantes","doi":"10.5281/zenodo.12667984","DOIUrl":"https://doi.org/10.5281/zenodo.12667984","url":null,"abstract":"Background: Cervical intraepithelial neoplasia (CIN) precedes cervical cancer and it is associated with risk factors that can be identified in the population, which contribute to timely diagnosis and treatment.Objective: To identify associated risk factors for the development of CIN in women attended at the first level of care.Material and methods: A cross-sectional and retrospective study was conducted in women in the 2020-2022 period. Frequencies and means were obtained. For the differences, chi-squared and Student's t were used. Odds ratios (OR) were obtained to assess the risk.Results: ORs were determined in the group of women with CIN II/CIN III, obtaining risks of almost twice the risk factors analyzed compared to the CIN I group, which had the same factors. When analyzed by age groups < or > 40 years, significant associations were determined in the factors of parity, first cytology in life and positive for smoking. In the group < 40 years and with CIN II/III significant risks were determined in age at first pregnancy < 18 (OR 8.33), first cytology in life (OR 3.77), positive for smoking (OR 3.0), sexual intercourse initiation (SII) before 18 years of age (OR 3.1) and parity (OR 1.3).Conclusions: According to the results obtained, sexual and reproductive behavioral factors are of high risk for the development of CIN.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 5","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690178","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

[Rapidly progressive dementia by late neurosyphilis (general paresis). Case report]. [晚期神经梅毒（全身瘫痪）导致的快速进展性痴呆。病例报告]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-09-02 DOI: 10.5281/zenodo.12668198

Gil Arturo Atzin-Vela, Carlos Humberto González-Rodríguez, Florencio Alejandro Chable-Guerrero, Hillary Stephanie Bernal-González

{"title":"[Rapidly progressive dementia by late neurosyphilis (general paresis). Case report].","authors":"Gil Arturo Atzin-Vela, Carlos Humberto González-Rodríguez, Florencio Alejandro Chable-Guerrero, Hillary Stephanie Bernal-González","doi":"10.5281/zenodo.12668198","DOIUrl":"https://doi.org/10.5281/zenodo.12668198","url":null,"abstract":"Background: The term rapidly progressive dementia (RPD) describes a disorder with rapid progression which leads to a major cognitive decline in less than 1 or 2 years. Neurosyphilis is an infectious cause of RPD and it is classified clinically into early and late forms. The latter affect the brain and spinal cord parenchyma. The objective of this report is to present a case of RPD caused by neurosyphilis.Clinical case: 55-year-old man, with no past medical history, who in July 2022 had a clinical presentation of aggressiveness, irritability, lability, difficulty in performing simple activities, amnesia, hallucinations, delusions, abulia, low responsiveness, all of which affected his independence and quality of life. Initially, it was treated as schizophrenia with no signs of improvement and clinical deterioration. When atypical data and rapid progression were evident at patient's consultation in January 2023, there was a suspicion of the presence of RPD, highlighting positive VDRL and IgM-IgG anti-Treponema pallidum antibodies in cerebrospinal fluid (CSF). Computed tomography (CT) and magnetic resonance imaging (MRI) showed global cortical atrophy, predominantly frontal. Treatment with ceftriaxone was started for 14 days, with clinical improvement observed in the MOCA test from 13/30 to 23/30.Conclusions: The etiological identification of RPD is a clinical challenge due to the wide variety of causes, which is why it is important a specific diagnostic approach and a timely treatment in order to avoid the progression of potentially reversible causes.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 5","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693592","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