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

[Anorectal melanoma: Clinical case]. [肛门直肠黑色素瘤：临床病例]

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278175

Marco Alexis De la Mora-Romero, Enrique Salazar-Rios, Emericella Renee Roldán-Medellín, Raquel Galván-Rojas, Cirilo Galindo-García

{"title":"[Anorectal melanoma: Clinical case].","authors":"Marco Alexis De la Mora-Romero, Enrique Salazar-Rios, Emericella Renee Roldán-Medellín, Raquel Galván-Rojas, Cirilo Galindo-García","doi":"10.5281/zenodo.10278175","DOIUrl":"https://doi.org/10.5281/zenodo.10278175","url":null,"abstract":"Background: Anorectal melanoma (AM) is a rare and aggressive type of tumor, with varied and inconclusive scientific information. Its preoperative diagnosis is challenging due to its rarity and similarity to other anorectal conditions. It represents only 1.3% of melanomas and affects more women than men. Approximately 20-30% of AM cases are amelanotic, complicating endoscopic detection and leading to misdiagnoses. AM is often confused with hemorrhoids, polyps, and rectal cancer in two thirds of patients due to similar symptoms. The causes and risk factors of AM are not well understood, but they are suspected to differ from cutaneous and ocular melanomas. Diagnosis is performed through biopsy and immunohistochemical staining. Colonoscopy helps to characterize the lesions, and histological examination is crucial for definitive diagnosis.Clinical case: 50-year-old woman with rectal bleeding and proctalgia. AM was diagnosed through colonoscopy, and transanal resection with hemorrhoidectomy was performed.Conclusions: Management of AM is complicated by the lack of randomized trials. Resection surgery is the standard treatment, but there is no established protocol. Wide local excision may be an option for limited cases. Further research is needed to improve the management and treatment of AM. Early detection and complete surgical removal are crucial for enhancing survival in these patients.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908718","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

[Right-sided acute appendicitis in situs inversus totalis. Case report]. [全坐位右侧急性阑尾炎。病例报告]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278167

Edgar Jesus Núñez-Vázquez, Ingrid Ailyn González-Lozano, Elda López-Flores, José Eduardo Segura-Buenrostro, Noel Robert Carvajal

{"title":"[Right-sided acute appendicitis in situs inversus totalis. Case report].","authors":"Edgar Jesus Núñez-Vázquez, Ingrid Ailyn González-Lozano, Elda López-Flores, José Eduardo Segura-Buenrostro, Noel Robert Carvajal","doi":"10.5281/zenodo.10278167","DOIUrl":"https://doi.org/10.5281/zenodo.10278167","url":null,"abstract":"Background: Acute appendicitis is widely recognized as the prevailing abdominal surgical emergency globally, exhibiting an annual incidence ranging from 96.5 to 100 cases per 100,000 adults. Conversely, situs inversus totalis is a rare anatomical anomaly characterized by the complete reversal of the chest and abdominal organs, occurring in approximately 1 out of every 10,000 to 50,000 individuals.Clinical case: 53-year-old female patient who presented to the emergency department with a complaint of diffuse abdominal pain of colic nature that had persisted for 5 days. The patient referred systemic hypertension, pre-diabetes mellitus type 2, and situs inversus as relevant medical history. A laparotomy procedure was conducted, revealing a perforated appendix located in the right hypochondrium. Additionally, the patient exhibited situs inversus totalis, with the colon positioned in its normal anatomical location.Conclusions: Due to the low incidence of situs inversus totalis, in cases similar to the one presented, the utilization of image studies and laboratory studies is imperative for accurate diagnosis. In the face of diagnostic suspicions and inconclusive paraclinical studies, the most effective approach is to pursue surgical examination and intervention, preferably utilizing laparoscopic techniques.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908723","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

[Cardiotoxicity from anti-HER-2 therapies in patients with HER-2 positive breast cancer]. [抗 HER-2 疗法对 HER-2 阳性乳腺癌患者的心脏毒性]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278147

Natalia Camejo-Martínez, Cecilia Castillo-Leska, Valeria Rodríguez-Saenz, Guadalupe Herrera-Álvarez, Dahiana Amarillo-Hernández, María Carolina Dörner-Cabrera, Gabriel Krygier-Waltier

{"title":"[Cardiotoxicity from anti-HER-2 therapies in patients with HER-2 positive breast cancer].","authors":"Natalia Camejo-Martínez, Cecilia Castillo-Leska, Valeria Rodríguez-Saenz, Guadalupe Herrera-Álvarez, Dahiana Amarillo-Hernández, María Carolina Dörner-Cabrera, Gabriel Krygier-Waltier","doi":"10.5281/zenodo.10278147","DOIUrl":"10.5281/zenodo.10278147","url":null,"abstract":"Background: HER-2 positive (+) breast cancer (BC) accounts for 20-25% of BC, it is more aggressive, and it has a lower survival rate. Since the approval of trastuzumab in 1998, other HER-2-targeted therapies such as pertuzumab and trastuzumab emtansine (TDM1) have been introduced, improving patient survival. However, cardiotoxicity is an adverse effect of these treatments.Objective: To estimate the incidence of cardiotoxicity with trastuzumab, trastuzumab/pertuzumab, and TDM1 in women with HER-2 + BC treated over a 6-year period at the Hospital de Clínicas and the Hospital Departamental de Soriano.Material and methods: Observational, descriptive, and retrospective study which included patients with HER-2 + BC treated with trastuzumab, trastuzumab/pertuzumab, or TDM1.Results: 81 patients were included, with a cardiotoxicity incidence of 23.4%. Cardiotoxicity was determined by a > 10% decrease in left ventricular ejection fraction (LVEF) (57.9%) and a LVEF < 50% evident during treatment (42.1%). Only 1 patient presented symptomatic heart failure. 63.1% of those who discontinued treatment due to cardiotoxicity managed to resume it. No relationship was evident between cardiovascular history or the administration regimen and the development of cardiotoxicity.Conclusion: The study showed a cardiotoxicity incidence similar to the international one. Most did not present cardiac toxicity, and if they did, it was asymptomatic and reversible.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141904084","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

[Epidemiological, clinical, and biochemical characteristics of patients in the LUPUS-IMMex cohort]. [LUPUS-IMMex队列中患者的流行病学、临床和生化特征］

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278103

Mario Cesar Ocampo-Torres, Francisco Martin Bravo-Rojas, Aida Martínez-Badajoz, Ramiro Hernández-Vásquez, Astrid Asminda Ramírez-Pérez, Adolfo Camargo-Coronel, Miguel Ángel Vázquez-Zaragoza, Eleonor Luna-Peña, Fabiola Pazos-Pérez, Juan Carlos H Hernández-Rivera

{"title":"[Epidemiological, clinical, and biochemical characteristics of patients in the LUPUS-IMMex cohort].","authors":"Mario Cesar Ocampo-Torres, Francisco Martin Bravo-Rojas, Aida Martínez-Badajoz, Ramiro Hernández-Vásquez, Astrid Asminda Ramírez-Pérez, Adolfo Camargo-Coronel, Miguel Ángel Vázquez-Zaragoza, Eleonor Luna-Peña, Fabiola Pazos-Pérez, Juan Carlos H Hernández-Rivera","doi":"10.5281/zenodo.10278103","DOIUrl":"https://doi.org/10.5281/zenodo.10278103","url":null,"abstract":"Background: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that can affect multiple organs and body systems.Objective: To describe the sociodemographic, clinical, and biochemical characteristics of the Lupus-IMMS-Mexico (LUPUS-IMMex) patient cohort from a tertiary-level center.Material and methods: Observational descriptive study of 160 patients with diagnosis of SLE belonging to the aforementioned cohort. Various variables were analyzed at the time of diagnosis. For quantitative variables, normality tests were applied, followed by measures of central tendency and dispersion according to their distribution. For categorical variables, frequencies and percentages were calculated.Results: 81.87% of the patients were female, with a median age at diagnosis of 28 years. 18.12% had a family history of SLE, and concurrently with SLE, 32.50% had hypertension, and 11.25% had antiphospholipid syndrome. The most common clinical manifestation was joint involvement (68.12%), renal (49.37%) and hematological (43.75%) manifestations.Conclusions: SLE affects millions globally. Lack of awareness leads to delayed diagnoses, suboptimal management, and diminished quality of life. After analyzing 160 patients with SLE, their clinical, socioeconomic, and therapeutic characteristics are largely like other cohorts, with differences attributable to ethnic and geographical influences. Informing patients about SLE and providing reliable resources are essential for self-care. Awareness promotes research, therapies, and enhances medical care and the lives of patients globally.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899267","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

[Analysis of the unicentric registry of the Infarction Code program: retrospective cohort]. [梗塞代码计划单中心登记分析：回顾性队列]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278115

Otoniel Toledo-Salinas, Saira Sanjuana Gómez-Flores, Ernesto García-Hernández, Verónica Armenta-Pérez, Andrés García-Rincón

{"title":"[Analysis of the unicentric registry of the Infarction Code program: retrospective cohort].","authors":"Otoniel Toledo-Salinas, Saira Sanjuana Gómez-Flores, Ernesto García-Hernández, Verónica Armenta-Pérez, Andrés García-Rincón","doi":"10.5281/zenodo.10278115","DOIUrl":"https://doi.org/10.5281/zenodo.10278115","url":null,"abstract":"Background: Acute coronary syndrome (ACS) is the most serious manifestation of coronary heart disease. The Infarction Code (according to its initialism in Spanish, CI: Código Infarto) program aims to improve the care of these patients.Objective: To describe the clinical presentation and outcomes of CI program in a coronary care unit (CCU).Material and methods: A database of a CCU with 5 years of consecutive records was analyzed. Patients diagnosed with ACS were included. The groups with acute myocardial infarction with and without ST-segment elevation were compared using Student's t, Mann-Whitney U and chi-squared tests. We calculated the relative risk (RR) and 95% confidence intervals (95% CI) of cardiovascular risk factors for mortality.Results: A total of 4678 subjects were analyzed, 78.7% men, mean age 63 years (± 10.7). 80.76% presented acute myocardial infarction with positive ST-segment elevation and fibrinolytic was granted in 60.8% of cases. Percutaneous coronary intervention was performed in 81.4% of patients, which was successful in 82.5% of events. Patients classified as CI presented mortality of 6.8% vs. 11.7%, p = 0.001. Invasive mechanical ventilation had an RR of 26.58 (95% CI: 20.61-34.3) and circulatory shock an RR of 20.86 (95% CI: 16.16-26.93).Conclusions: The CI program decreased mortality by 4.9%. Early fibrinolysis and successful coronary angiography are protective factors for mortality within CCU.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899293","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

[Repeatability of spirometrys expiratory flows]. [肺活量测定的重复性s 呼气流量]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278119

Luis Efrén Santos-Martínez, José Viennue Ávila-Gómez, Adriana Ordoñez-Reyna, Mónica Yuridia Diana Flores-Morales, Javier Quevedo-Paredes

{"title":"[Repeatability of spirometrys expiratory flows].","authors":"Luis Efrén Santos-Martínez, José Viennue Ávila-Gómez, Adriana Ordoñez-Reyna, Mónica Yuridia Diana Flores-Morales, Javier Quevedo-Paredes","doi":"10.5281/zenodo.10278119","DOIUrl":"10.5281/zenodo.10278119","url":null,"abstract":"Background: The quality of the spirometry is estimated with criteria of acceptability and repeatability. The repeatability criteria accepted by consensus is < 0.150 L.Objective: To know the repeatability in quality A spirometry.Material and methods: Analytical cross-sectional design. The demographic variables and the 3 best spirometry curves with normal, suggestive of restriction and bronchial obstruction profiles were obtained from consecutive subjects of both genders from 18 to 80 years of age. The repeatability was analyzed with the mean difference (bias) and the intraclass correlation coefficient.Results: 630 curves from 210 subjects were accepted. Group age 60 ± 15 years. Female predominance 113 (53.8%), occupation: domestic services 61 (29%), and diagnosed with chronic obstructive pulmonary disease: 70 (33.4%). The differences in the curves were < 0.150 L. The mean difference (bias) and the intraclass correlation coefficient (95% confidence interval, 95% CI) of the forced expiratory volume in the first second were 1 vs. 2 maneuver: -0.01 (0.13, -0.14), 0.997 (95% CI 0.996, 0.998); 2 vs. 3 maneuver: 0.00 (0.13, -0.13), 0.997 (95% CI 0.996, 0.998), and maneuver 1 vs. 3: -0.00 (0.16, -0.17), 0.995 (95% CI 0.994, 0.996). Forced vital capacity: 1 vs. 2 maneuver: -0.01 (0.17, -0.18), 0.996 (95% CI 0.995, 0.997); 2 vs. 3 maneuver: 0.01 (0.17, -0.16), 0.997 (95% CI 0.0.996, 0.998), and maneuver 1 vs. 3: -0.00 (0.18, -0.19), 0.996 (95% CI 0.995, 0.997).Conclusion: The repeatability obtained in spirometry with quality A validates the use of the repeatability criterion of 0.150 L.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141904092","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

[Splenectomy as definitive surgical treatment for hemophagocytic lymphohistiocytosis]. [脾切除术作为嗜血细胞淋巴组织细胞增多症的最终外科治疗方法]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278159

José Luis Beristain-Hernández, Arni Alejandro Mendoza-Soto, María de Los Ángeles Macías-Clavijo

{"title":"[Splenectomy as definitive surgical treatment for hemophagocytic lymphohistiocytosis].","authors":"José Luis Beristain-Hernández, Arni Alejandro Mendoza-Soto, María de Los Ángeles Macías-Clavijo","doi":"10.5281/zenodo.10278159","DOIUrl":"https://doi.org/10.5281/zenodo.10278159","url":null,"abstract":"Background: Hemophagocytic syndrome or hemophagocytic lymphohistiocytosis (HL) is an immune hyperactivation of multifactorial etiology, characterized by excessive activation of lymphocytes and macrophages, as well as numerous pro-inflammatory cytokines. It has a non-specific and highly variable clinical presentation, with splenomegaly being one of the clinical manifestations. Due to its nature, it can manifest during childhood or adult life, which is why it is a disease of diagnostic and therapeutic complexity.Clinical case: 38-year-old male patient without comorbidities, who presented with abdominal pain, choluria, fever > 38 °C and diaphoresis of more than 10 days of evolution. A bone marrow aspirate was performed as part of the diagnostic approach with data compatible with hemophagocytosis and cytopenias. The immunosuppressive management did not show the expected response, which is why an open splenectomy was performed as the last therapeutic option with adequate hematological control. A documentary review of the disease was carried out, and of the therapeutic options, emphasizing surgical management in case of refractoriness to medical treatment.Conclusions: Splenectomy increases the overall survival rate and the time free of HL progression, even though there are still no studies to determine with certainty the ideal time to perform a splenectomy in patients with pancytopenia without splenomegaly who suffer from hemophagocytic syndrome.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141904093","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

[Electrodiagnostic support in an atypical form of amyotrophic lateral sclerosis (Vulpian-Bernhardt syndrome)]. [非典型肌萎缩性脊髓侧索硬化症（Vulpian-Bernhardt 综合征）的电诊断支持]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278187

Crhistian Alejandro Aguilar-Vázquez, Sergio de Jesús Aguilar-Castillo, Alejandra Diana Raymundo-Carrillo

{"title":"[Electrodiagnostic support in an atypical form of amyotrophic lateral sclerosis (Vulpian-Bernhardt syndrome)].","authors":"Crhistian Alejandro Aguilar-Vázquez, Sergio de Jesús Aguilar-Castillo, Alejandra Diana Raymundo-Carrillo","doi":"10.5281/zenodo.10278187","DOIUrl":"https://doi.org/10.5281/zenodo.10278187","url":null,"abstract":"Background: Vulpian-Bernhardt syndrome is an atypical form of the motor neuron disease described since the 19th century. The importance of a timely diagnosis lies in the increased survival present in this variant. Due to the clinical rarity and complex diagnosis we report a clinical case of this disease, which is why we describe the typical clinical presentation, the diagnostic approach, and we make a bibliographic review of this neurodegenerative disorder as well.Clinical case: Latin American man whose clinical case onset was characterized by thoracic asymmetric and increasing limb weakness, showing affection from distal to proximal upper limbs area. Subsequently, symptoms worsened to the point of limiting day-to-day activities and conditioning patient's physical independence. Physical examination was consistent with motor neuron disease. Nerve conduction studies were performed and confirmed findings compatible with motor neuron involvement limited to thoracic limbs.Conclusion: Vulpian-Bernhardt syndrome is an uncommon form of motor neuron disease. Due to the rarity of its presentation, it is frequent to confuse clinical profile even for trained physicians. The importance of electrodiagnosis relies in identifying the neurogenic origin of the disease, as well as the active denervation and reinnervation data. Considering that with this syndrome patients have a longer survival than with the classic form of amyotrophic lateral sclerosis, it is important to have a clear diagnosis approach in order to provide a better quality of life and supportive treatment.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908720","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

[Association between induced abortion and depression: A systematic review and meta-analysis]. [人工流产与抑郁症之间的关系：系统回顾和荟萃分析]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278156

Nadia Jenniffer Stefany Montoya-Gambini, Jessica Jennifer Apaza-García, Oscar Fausto Munares-García

{"title":"[Association between induced abortion and depression: A systematic review and meta-analysis].","authors":"Nadia Jenniffer Stefany Montoya-Gambini, Jessica Jennifer Apaza-García, Oscar Fausto Munares-García","doi":"10.5281/zenodo.10278156","DOIUrl":"10.5281/zenodo.10278156","url":null,"abstract":"This article is a systematic review (SR) and meta-analysis (MA) whose objective was to identify the association between induced abortion and the development of depression, based on the Cochrane guidelines for SRs. A systematic search was carried out in the WoS, PubMed and Scopus databases. Retrospective and prospective cohort studies, carried out until November 2020, that evaluated a population of women in childbearing age (12 to 46 years) with at least 1 induced and/or provoked abortion, including pharma-cological and surgical abortion. Only studies with healthy women at the beginning of the research were included, i.e., with absence of psychiatric pathology prior to induced abor-tion. The quality of the included studies was measured with the Newcastle-Ottawa Scale (NOS), and for the MA random-effects models were specified using the DerSimonian & Laird method, grouping them into follow-up after abortion before and after one year. The results of the SR were measured with relative risk (RR), hazard ratio (HR), odds ratio (OR), and the chi-square test, which assessed the intensity of the statistical relationship between population and exposure. Systematic review demonstrated an OR of 1.38 (95% CI 1.14-1.68) of depression after induced abortion. Meta-analysis demonstrated a statis-tically significant association between depression and induced abortion when the as-sessment after one year was performed OR: 1.37 (95% CI 1.09-1.71). The risks, harms and mental health consequences of induced abortion, such as depression, should be in-vestigated and warned.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141904083","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

[COVID-19 and the predominant groups of preventive behaviors and associated factors: semi-urban area]. [COVID-19 和预防行为的主要群体及相关因素：半城市地区]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-01-08 DOI: 10.5281/zenodo.10278092

Adriana Romero-Gomora, Laura Becerril-Díaz, Michelle Yesenia-Ávila, Adriana Díaz-Medina, María Guadalupe Berumen-Lechuga, Francisco Abraham Jiménez-Armenta, Jessica Camacho-Ruíz, Salvador Vázquez-Vega, Rosalinda Sánchez-Arenas

{"title":"[COVID-19 and the predominant groups of preventive behaviors and associated factors: semi-urban area].","authors":"Adriana Romero-Gomora, Laura Becerril-Díaz, Michelle Yesenia-Ávila, Adriana Díaz-Medina, María Guadalupe Berumen-Lechuga, Francisco Abraham Jiménez-Armenta, Jessica Camacho-Ruíz, Salvador Vázquez-Vega, Rosalinda Sánchez-Arenas","doi":"10.5281/zenodo.10278092","DOIUrl":"https://doi.org/10.5281/zenodo.10278092","url":null,"abstract":"Background: Non-pharmacological interventions (NFI) or preventive actions (PA) are the best alternatives to control future pandemics, especially in vulnerable populations, such as semi-urban areas.Objective: To describe the predominant health behavior groups (HBG) and associated factors during the third wave of COVID-19 in a semi-urban area.Material and methods: A survey which included characteristics, factors related to COVID-19, perceptions of health behavior and PA was applied in a probabilistic sample in a first-level hospital in the State of Mexico. People of both sexes over 18 years of age were included. Using a hierarchical cluster analysis, HBGs were obtained and characterized with a descriptive and multivariate statistical analysis.Results: In a probabilistic sample (n = 260), 4 HBGs were identified: 2 of high-risk (HRG) and 2 of low-risk (LRG), and the proportions were 43.5% y 56.5%, respectively. The sociodemographic characteristics of both groups were similar. Perceptions of severity and COVID-19-related barriers significantly influenced health behaviors in LRG. In HRG, low security played a significant role, highlighting the importance of comorbidities as a clinical factor.Conclusions: In a semi-urban area, 2 crucial health behaviors were identified: one associated with low risk and the other with high risk. In the HRG, the perception of insecurity was particularly relevant, emphasizing the importance of comorbidities as a clinical factor.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899296","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