Alfonso Vallejos-Parás, David Alejandro Cabrera-Gaytán
{"title":"[Dengue, rabies and measles in the post-COVID-19 pandemic era].","authors":"Alfonso Vallejos-Parás, David Alejandro Cabrera-Gaytán","doi":"10.5281/zenodo.12668085","DOIUrl":"https://doi.org/10.5281/zenodo.12668085","url":null,"abstract":"<p><p>After the COVID-19 pandemic, efforts have gradually been focused on medical care, epidemiological surveillance, and preventive health programs. An example of this is the identification during 2023 by the Epidemiological Surveillance System [of Mexico] of the increase in dengue cases and the presence of serotype 3, as well as cases of measles (imported and related to importation) and, at the same time, cases of human rabies with transmission from pet animals. Mexico's health system has been characterized by achievements in vaccine-preventable pathologies, as well as the robust epidemiological surveillance system for febrile exanthematous illness and vector-transmitted diseases. In this essay, the previous and current situation of selected diseases in Mexico in the post-pandemic stage of COVID-19 is presented.</p>","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":"142694069","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}
Francisco Javier Núñez-Martínez, Karla Orozco-Juárez, Brian Humberto Martínez-Sánchez, Alejandro de Jesús Chávez-Lárraga, Jorge Isaac Velasco-Santos, María Fernanda García-Pedroza
{"title":"[Classic presentation of neuromyelitis optica: clinical case and review of the literature].","authors":"Francisco Javier Núñez-Martínez, Karla Orozco-Juárez, Brian Humberto Martínez-Sánchez, Alejandro de Jesús Chávez-Lárraga, Jorge Isaac Velasco-Santos, María Fernanda García-Pedroza","doi":"10.5281/zenodo.12668192","DOIUrl":"10.5281/zenodo.12668192","url":null,"abstract":"<p><strong>Background: </strong>Neuromyelitis optica (NMO or Devic's syndrome), characterized by acute attacks of optic neuritis and transverse myelitis, is associated with antiaquaporin 4 antibodies (anti-NMO-IgG) and it has a higher prevalence in non-Caucasian populations, where multiple sclerosis is less common.</p><p><strong>Clinical case: </strong>41-year-old man, with no significant personal medical history, presented with clinical symptoms including paresthesias in the right hemibody and homonymous hemianopsia in the left eye. Three weeks later, he developed lumbalgia associated with paresthesias in both lower limbs up to the T7 sensory level, as well as acute urinary retention, followed by paraplegia. The magnetic resonance imaging (MRI) displayed multiple hyperintense lesions on T2 and FLAIR sequences and hypointense on T1, located in the periventricular white matter, corpus callosum, bilateral corona radiata, as well as at the spinal level C2-C3, without post-contrast enhancement. The MRI of the spine revealed poorly defined hyperintense areas on T2 sequence, with dilation of the spinal canal from T4 to T11. A qualitative test for anti-NMO-IgG antibodies was positive, confirming the diagnosis of NMO.</p><p><strong>Conclusion: </strong>NMO presents a diagnostic challenge. Timely diagnosis and management are crucial to prevent disability, future exacerbations, and to improve prognosis.</p>","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":"142694067","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}
Hid Felizardo Cordero-Franco, Francisco Javier Guzmán-de la Garza, Ana María Salinas-Martínez
{"title":"[COVID-19 fatality rate conditioned by risk factors in Mexico in 2020].","authors":"Hid Felizardo Cordero-Franco, Francisco Javier Guzmán-de la Garza, Ana María Salinas-Martínez","doi":"10.5281/zenodo.12668018","DOIUrl":"https://doi.org/10.5281/zenodo.12668018","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 fatality rate exhibited significant variations during the first year of the pandemic, and such divergences seem to show different levels of risk of death among populations. Very few studies stratified fatality based on the presence or absence of risk factors.</p><p><strong>Objective: </strong>To identify COVID-19 fatality rates conditioned by risk factors.</p><p><strong>Material and methods: </strong>Secondary analysis using an open health database from the Secretariat of Health of Mexico (Secretaría de Salud), covering patients studied from January 1, 2020, to January 6, 2021. Patients with confirmed COVID-19 result were included; those with 5 risk factors or more, or with rare combinations of factors were excluded. The final sample consisted of 394,537 patients. The database was segmented into groups based on 0, 1, 2, 3, and 4 risk factors. The fatality rate conditioned by risk factors was estimated (83 combinations).</p><p><strong>Results: </strong>Among patients with 0 risk factors, the fatality rate was 2.1%. In those aged ≥ 50 years alone or more, the fatality rate was 20.2%. The combination of factors with the highest fatality rate was age ≥ 50 years + diabetes + obesity (57.1%).</p><p><strong>Conclusions: </strong>COVID-19 fatality rates conditioned by risk factors ranged from 1.7% to 57.1%, according to the presence or absence of specific comorbidities. Studies like this are necessary to address more precisely the risk of death among subpopulations exposed to different risk factors.</p>","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":"142690174","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}
Ferran Padrós-Blázquez, Gersaín Trujillo-Alonso, María Patricia Martínez-Medina, Conne Lizbeth González-García, Israel David Campos-González, María Isabel Amezcua-Mendoza, Juan Ángeles, Nancy Elizabeth Cortez, José Francisco López-Beltrán, Rocío Montoya-Pérez
{"title":"[Anxiety and burnout in health personnel in times of COVID-19 in Mexico].","authors":"Ferran Padrós-Blázquez, Gersaín Trujillo-Alonso, María Patricia Martínez-Medina, Conne Lizbeth González-García, Israel David Campos-González, María Isabel Amezcua-Mendoza, Juan Ángeles, Nancy Elizabeth Cortez, José Francisco López-Beltrán, Rocío Montoya-Pérez","doi":"10.5281/zenodo.12668061","DOIUrl":"https://doi.org/10.5281/zenodo.12668061","url":null,"abstract":"<p><strong>Background: </strong>The levels of anxiety and mental disorders have increased considerably in the general population due to COVID-19. The risk of health personnel is greater than that of the general population. However, there are no studies that estimate the impact of COVID-19 on the mental health of health personnel in Mexico.</p><p><strong>Objective: </strong>To measure the levels of burnout and anxiety in health personnel, and to compare those levels between medical and nursing personnel, and from those in the COVID-19 Area and those who were not there, as well as to establish the relationship between sex and age.</p><p><strong>Material and methods: </strong>A sample of 211 health workers was captured: 75 (35.5%) were from medical personnel, and 136 (64.5%) from the nursing staff. The Beck Anxiety Inventory (BAI) and the Maslach Burnout Inventory (MBI), which evaluated anxiety and burnout, respectively, were administered online (via internet).</p><p><strong>Results: </strong>Nursing staff showed higher levels in the BAI compared to medical staff, but no differences were observed in the MBI scales. Health personnel who worked in the COVID-19 Area showed higher levels of burnout and anxiety.</p><p><strong>Conclusions: </strong>Due to the high levels of anxiety and burnout we found out, we believe it would be convenient to detect the highest risk cases to be referred to mental health services, and the rest could receive preventive interventions that may be implemented during future pandemics.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 5","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694065","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}
{"title":"[ABCDEF: Tool to transform the systems for the registry of institutional information].","authors":"Ulises Trejo-Amador, Montserrat Legorreta-Rojas","doi":"10.5281/zenodo.12668072","DOIUrl":"https://doi.org/10.5281/zenodo.12668072","url":null,"abstract":"<p><p>Health systems require instruments that allow the generation of real, concrete, specific and objective information that can be named, classified, shared and compared internationally. Nowadays, this premise is possible, thanks to the specific and particular characteristics of information technologies needs in health, the speed in the generation of knowledge, the technological changes in telecommunications and its current development. However, there are areas of opportunity in information systems that make difficult this paradigm. Many of these areas are in the hands of health professionals themselves, who work directly with primary sources of information. Given this panorama, by applying an awareness and measurement tool, we can contribute to identifying areas of opportunity in order to favor the adequate recording of information, mainly hospital discharges, which has an impact on the biased and incorrect generation of morbidity statistics and hospital mortality, the diversion of financial, human, and material resources and, of course, the impossibility of implementing hospital management tools such as diagnostic related groups (DRG). It is interesting that in order for certain areas of opportunity to occur, in this case those related to the clinical record, it is investigated the feeling that each worker has about the work environment in their organization, that is to say, about the work environment, if they feel taken into account, trained, fed back, valued and part of the positive change in their work environment so that they feel motivated to do their work in accordance with regulations.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 5","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694062","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}
Lucía Montserrat Ángel-Aguirre, Gabriela Guadalupe Elizondo-Omaña, Neri Alejandro Álvarez-Villalobos, Fernando Gerardo Ruiz-Hernández, Gloria Navarrete-Floriano, Juan Carlos Romo-Salazar
{"title":"[Frequency and perception of gender violence in primary care].","authors":"Lucía Montserrat Ángel-Aguirre, Gabriela Guadalupe Elizondo-Omaña, Neri Alejandro Álvarez-Villalobos, Fernando Gerardo Ruiz-Hernández, Gloria Navarrete-Floriano, Juan Carlos Romo-Salazar","doi":"10.5281/zenodo.12668066","DOIUrl":"10.5281/zenodo.12668066","url":null,"abstract":"<p><strong>Background: </strong>Gender-based violence (GBV) is a widely underestimated issue in middle-income countries. Despite the fact that there is documented evidence of its existence, it is unknown the frequency and perception of GBV in primary care. Understanding this is crucial for the development of intervention strategies that can mitigate the impact of GBV in these communities.</p><p><strong>Objective: </strong>To determine the frequency and perception of GBV in women attending a primary care clinic in the North of Mexico.</p><p><strong>Material and methods: </strong>A descriptive, observational, and cross-sectional survey study was conducted on female adults, beneficiaries from a family medical unit. Demographic data were collected, and the VIDOFyP questionnaire (Domestic Violence: Frequency and Perception Inventory) was used to assess the frequency and perception of GBV in different domains. Results were compared according to demographic variables, using the JASP software.</p><p><strong>Results: </strong>A total of 385 women with an average age of 44.2 years were surveyed. Social violence was the most common, followed by psychological and economic violence. The perception of severity was highest for physical violence. Significant differences in the perception of violence were found based on marital status, with separated women reporting higher levels in various domains.</p><p><strong>Conclusions: </strong>GBV must be addressed in different domains, especially in separation contexts. The results provide valuable information for developing interventions and policies aimed at preventing and supporting women in vulnerable situations.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 5","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694073","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}
José Antonio Vera-Bernal, Salvador Abel Valencia-Medina, Erick Reay-Mandujano, José Luis Beristain-Hernández
{"title":"[Negative pressure therapy as complementary treatment in tropical diabetic hand syndrome].","authors":"José Antonio Vera-Bernal, Salvador Abel Valencia-Medina, Erick Reay-Mandujano, José Luis Beristain-Hernández","doi":"10.5281/zenodo.12668245","DOIUrl":"10.5281/zenodo.12668245","url":null,"abstract":"<p><strong>Background: </strong>Diabetic hand syndrome is a complication of diabetes mellitus that is rarely described in Mexico. It covers a wide spectrum of nervous, tendinous and infectious disorders. The tropical variant of the disease is described as a necrotizing infection in the upper extremity, generally secondary to superficial trauma. Treatment includes metabolic control, antibiotics and different surgical techniques. Currently, complementary therapies include surgical debridement, flap reconstruction, negative pressure therapy, larval debridement, and stem cell grafting. The objective was to describe negative pressure therapy (NPT) as an adjunctive treatment for a case of tropical diabetic hand syndrome (TDHS) complicated by abscess and compartment syndrome, and we also made a literature review.</p><p><strong>Clinical case: </strong>50-year-old male patient with diabetic hand syndrome complicated by abscess and compartment syndrome. Fasciotomy and surgical drainage were performed, complementing the treatment with negative pressure therapy. After 10 days of complementary therapy and 20 more days of follow-up, the patient presented adequate remission.</p><p><strong>Conclusion: </strong>The use of NPT in the treatment of TDHS helped to limit the infection damage, and allowed the patient to be monitored on an outpatient basis, reducing his hospital stay.</p>","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":"142693535","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}
Laura Carina Bautista-Justo, Omar Edgar Hernández-Morán, Itzel Gutiérrez-Gabriel, Adán Sergio Bonilla-Becerri, Flor de Areli Serrano-Campos, Sandra Saldaña-Barrientos
{"title":"[Importance of an educational intervention: Knowledge, attitudes and practices on breastfeeding].","authors":"Laura Carina Bautista-Justo, Omar Edgar Hernández-Morán, Itzel Gutiérrez-Gabriel, Adán Sergio Bonilla-Becerri, Flor de Areli Serrano-Campos, Sandra Saldaña-Barrientos","doi":"10.5281/zenodo.12668009","DOIUrl":"https://doi.org/10.5281/zenodo.12668009","url":null,"abstract":"<p><strong>Background: </strong>Although the benefits of breastfeeding are well known, it has been observed that some mothers abandon it, sometimes due to a lack of training in this area. It is unknown whether the level of breastfeeding knowledge, attitudes and practices increase after an educational intervention.</p><p><strong>Objective: </strong>To determine the knowledge, attitudes and breastfeeding practices of mothers of children under 1 year of age before and after an educational intervention.</p><p><strong>Material and methods: </strong>Quasi-experimental, analytical and longitudinal study. It included 216 mothers with children under 12 months of age; it excluded those with medical contraindications to breastfeeding; those that did not complete the surveys were eliminated. Sociodemographic data were collected. Medians of knowledge, attitudes and practices in breastfeeding before and after the educational intervention were compared with the Wilcoxon test.</p><p><strong>Results: </strong>High school education (54.6%), married marital status (48.7%), housewife occupation (66.2%) and worker socioeconomic level (61.6%) predominated. After the educational intervention, 213 mothers (98.6%) obtained a good level of knowledge, 216 (100%) acquired a good attitude, and 203 of them (94%) achieved good practices about breastfeeding. There were statistically significant differences between the medians of knowledge (p < 0.0001), attitudes (p < 0.0001) and practices (p = 0.014) before and after the educational intervention on breastfeeding, all of which increased their levels.</p><p><strong>Conclusions: </strong>There was a change in the level of knowledge, attitudes and practices in breastfeeding before and after the educational intervention.</p>","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":"142690177","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}
Verónica Neri-Flores, Carmen Lizette Gálvez-Hernández, Angélica Riveros-Rosas, Claudia Haydeé Arce-Salinas, Christian Oswaldo Acosta-Quiroz, Irma Yolanda Del Río-Portilla F
{"title":"[Perceived stress in Mexican patients newly diagnosed with breast cancer].","authors":"Verónica Neri-Flores, Carmen Lizette Gálvez-Hernández, Angélica Riveros-Rosas, Claudia Haydeé Arce-Salinas, Christian Oswaldo Acosta-Quiroz, Irma Yolanda Del Río-Portilla F","doi":"10.5281/zenodo.12667976","DOIUrl":"https://doi.org/10.5281/zenodo.12667976","url":null,"abstract":"<p><strong>Background: </strong>Cancer diagnosis has been described as a significant factor causing psychological stress, which may increase a vulnerability to develop psychological disorders, decrease quality of life levels and affect the response to cancer treatment.</p><p><strong>Objective: </strong>To validate the Newly Diagnosed Breast Cancer Stress Scale (NDBCSS) and to explore the differences concerning clinical and sociodemographic variables.</p><p><strong>Material and methods: </strong>Cross-sectional study. Patients recently diagnosed with breast cancer on the day they received the definitive cancer diagnosis were invited to participate. The Perceived Stress Scale (PSS) and the NDBCSS were completed; the latter previously underwent a validation process into Spanish (reliability, content validity, structure -EFA- and convergent validity).</p><p><strong>Results: </strong>176 patients participated; their mean age was of 52.8 years. The scale obtained a content validity of 0.53 and reliability of 0.791; the EFA showed 2 factors explaining 42.31% of the variance. Stress levels were 23.05 (PSS) and 13.2 (NDBCSS). Concern about side effects, the progression of the illness and the lack of information were reported as the most critical stressors for these patients.</p><p><strong>Conclusions: </strong>The NDBCSS showed acceptable psychometric properties for its application in Mexican patients and probably for patients with similar personal characteristics and linguistic and cultural contexts. Based on the results, it is possible to design precise interventions addressed to the stressors they face, such as the impact of the disease and the treatment.</p>","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":"142690180","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}
Soledad Heredia-Gutiérrez, María Eugenia Carbarín-Carbarín, Antonio Heredia-Gutiérrez
{"title":"[Cavernous hemangioma of the cauda equina: A case report].","authors":"Soledad Heredia-Gutiérrez, María Eugenia Carbarín-Carbarín, Antonio Heredia-Gutiérrez","doi":"10.5281/zenodo.11397229","DOIUrl":"10.5281/zenodo.11397229","url":null,"abstract":"<p><strong>Background: </strong>Cavernous hemangiomas are vascular malformations formed by groups of dilated sinusoids, organized in channels with a single layer of endothelium. Cavernous hemangiomas represent only 3% of all intradural lesions, and of these 5-12 % correspond to spinal cord lesions and those of the cauda equina are rare.</p><p><strong>Clinic case: </strong>A 57 years-old male patient is presented , without history of radiotherapy, who showed low back pain and contracture of the dorsal and paraspinal muscle during 6 months, evaluated in another hospital and diagnosed with a lumbar disc herniation, he was managed with analgesics and physiotherapy for two months, however the theraphy failed, the symptoms worsened and dysesthesias appeared in the gluteal and perianal region, with reduction of strength in both legs with predominance in the left leg, as well bladder sphincter dysfunction . A simple magnetic resonance imaging of the lumbosacral spine was performed, revealing an intraspinal and intradural lesion at the L1-2 level. He was diagnosed with cauda equina syndrome and surgery was carried out. After surgery the patient presented clinical improvement and resolution of symptoms. During follow-up in the outpatient clinic, one month after surgery, the patient was able to walk independently and is currently asymptomatic. The pathological anatomy result reported a cavernous hemangioma.</p><p><strong>Conclusions: </strong>Cavernous hemangiomas of the cauda equina are rare, and when they are associated with a cauda equina syndrome, early surgery is recommended like the first option treatment to avoid permanent neurological injury.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 4","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640473","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}