Revista medica del Instituto Mexicano del Seguro Social最新文献_第6页

[Airway assessment scales, subjectivity and updates]. [气道评估量表，主观性和更新]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2025-01-03 DOI: 10.5281/zenodo.14199987

Laura Matilde Ubaldo-Reyes

引用次数: 0

[Growth in preterm infants and its relationship with metabolic profile and diet]. [早产儿的生长及其与代谢特征和饮食的关系]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2025-01-03 DOI: 10.5281/zenodo.14200066

Alejandro Ríos-Aguirre, Citlalli Álvarez-Zaragoza, Liuba M Aguirre-Salas, José Luis Farfán-Covarrubias, Enrique Romero-Velarde

{"title":"[Growth in preterm infants and its relationship with metabolic profile and diet].","authors":"Alejandro Ríos-Aguirre, Citlalli Álvarez-Zaragoza, Liuba M Aguirre-Salas, José Luis Farfán-Covarrubias, Enrique Romero-Velarde","doi":"10.5281/zenodo.14200066","DOIUrl":"10.5281/zenodo.14200066","url":null,"abstract":"Background: Preterm birth is common, and it is associated with a high prevalence of growth retardation in the postnatal stage.Objective: To evaluate the growth of preterm infants, their metabolic profile, and their differences according to the type of feeding.Material and methods: Cross-sectional design in apparently healthy preterm infants. Weight, length, mid-arm circumference, and triceps skin fold were measured and the weight/age, length/age, and weight/length indices were calculated. Serum concentrations of glucose, insulin, cholesterol, triglycerides, and IGF-1 were measured. For statistical analysis, children with low weight and length at birth and at the time of evaluation (> -2 SD) were identified; anthropometric indicators and biochemical parameters were compared using Student's t test according to the type of feeding and low weight or length.Results: Eighty premature infants were included, age 6.5 ± 1.7 months; at birth, 20 infants (25%) had low weight and 27 (33.8%) had low length; at the time of the evaluation, underweight increased to 42.7%. Anthropometric indices were lower in those with low birth weight or length (p < 0.05), with no differences by type of feeding. No differences in biochemical values were identified due to a history of low weight or length.Conclusions: The frequency of weight and length deficits in this group of premature infants is high. Low weight or length at birth is associated with slower growth recovery and represents a greater risk for the presence of alterations in nutritional status.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 1","pages":"e6414"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029105","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

[Comments on the article "Changes in hypertensive control 2020-2021 in a family medicine unit"]. [对《家庭医学单位高血压控制变化2020-2021》一文的评论]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2025-01-03 DOI: 10.5281/zenodo.14199999

Joaquín Ahumada-Pérez

引用次数: 0

[Efficacy of chewing gum in post-cesarean ileus: A randomized clinical trial]. [口香糖治疗剖宫产后肠梗阻的疗效：一项随机临床试验]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2025-01-03 DOI: 10.5281/zenodo.14200085

Vania Itzel Cortes-Cernas, María de Lourdes Salas-Gutiérrez, Reyna Mariela Vargas-Ledesma, Marina Cruz-Plascencia, Kevin Alejandro Reveles-Alba, Arturo Maximiliano Reyes-Sosa, Alma Patricia González, Carlos Paque-Bautista, José Luis Felipe Luna-Anguiano, Gloria Patricia Sosa-Bustamante

{"title":"[Efficacy of chewing gum in post-cesarean ileus: A randomized clinical trial].","authors":"Vania Itzel Cortes-Cernas, María de Lourdes Salas-Gutiérrez, Reyna Mariela Vargas-Ledesma, Marina Cruz-Plascencia, Kevin Alejandro Reveles-Alba, Arturo Maximiliano Reyes-Sosa, Alma Patricia González, Carlos Paque-Bautista, José Luis Felipe Luna-Anguiano, Gloria Patricia Sosa-Bustamante","doi":"10.5281/zenodo.14200085","DOIUrl":"10.5281/zenodo.14200085","url":null,"abstract":"Background: The use of chewing gum postoperatively has been shown to be useful in the recovery of postoperative ileus.Objective: To evaluate the efficacy of using chewing gum as simulated feeding for the recovery of postoperative ileus after cesarean section.Material and methods: Randomized, controlled, double-blind clinical trial in women ≥ 18 years, during the postoperative period of cesarean section, distributed in 2 groups, group A (chewing gum, n = 63) and group B (control, n = 63). The postoperative time elapsed until the first flatus, the presence of evacuation during the postoperative period before hospital discharge, and the time elapsed until the first postoperative evacuation and length of hospital stay (HS) were evaluated.Results: 126 patients were included. Postoperative evacuation before hospital discharge was more frequent in group A (p = 0.01); in addition, there was a shorter length of HS (p = 0.04); no patient presented nausea during the postoperative period (p = 0.0001). No difference was observed between the study groups regarding the time to onset of first flatus (p = 0.17), or the time elapsed to first postoperative evacuation (p = 0.07). The number needed to treat (NNT) was 5 and the absolute risk reduction (ARR) was 21%, for both the presence of nausea and the absence of postoperative evacuation. No patient reported complications.Conclusions: The use of chewing gum as simulated feeding after cesarean section is effective and safe for recovery from postoperative ileus.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 1","pages":"e6501"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061816","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

[Early detection program for hearing loss at Bajio's National Medical Center]. [巴吉奥国家医疗中心的听力损失早期检测项目]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2025-01-03 DOI: 10.5281/zenodo.14200056

Atzin Itai Olea-González, Andrea Judith Del Ángel-González, Mariela Pamela Chao-Pérez

{"title":"[Early detection program for hearing loss at Bajio's National Medical Center].","authors":"Atzin Itai Olea-González, Andrea Judith Del Ángel-González, Mariela Pamela Chao-Pérez","doi":"10.5281/zenodo.14200056","DOIUrl":"10.5281/zenodo.14200056","url":null,"abstract":"Background: Having an early hearing detection program aims to ensure comprehensive care for newborns, contributing to a reduction in the prevalence of hearing disability.Objective: To identify the main diagnoses of hearing loss in the early hearing detection program at Specialties Hospital No. 1 from Bajio's National Medical Center.Material and methods: Retrospective study which included 1000 pediatric patients with prevalence in the neonatal period.Results: 1000 patients were attended in a period of 175 days with an average of 6 patients per day. The risk factors for hearing loss were prematurity, low birth weight, hyperbilirubinemia, neonatal hypoxia, stay in the neonatal intensive care unit (NICU), use of ototoxic drugs. Specific diagnostic studies found 14 patients with some degree of hearing loss. It was used descriptive, inferential and multivariate statistics.Conclusions: It is possible to have a service that meets international goals by performing audiological diagnostic studies in a timely manner to a high number of patients, which translates into better opportunities to provide treatment and rehabilitation to improve the neurodevelopment of children.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 1","pages":"e6287"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050758","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 characteristics and cytokine gene expression in patients with post-COVID-19 syndrome]. [covid -19后综合征患者临床特征及细胞因子基因表达]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2025-01-03 DOI: 10.5281/zenodo.14200098

María Magdalena Valencia-Gutiérrez, Modesto Gómez-López, Nadia Mabel Pérez-Vielma, Paulina Lázaro-Aguilar, Víctor Ricardo Aguilera-Sosa

{"title":"[Clinical characteristics and cytokine gene expression in patients with post-COVID-19 syndrome].","authors":"María Magdalena Valencia-Gutiérrez, Modesto Gómez-López, Nadia Mabel Pérez-Vielma, Paulina Lázaro-Aguilar, Víctor Ricardo Aguilera-Sosa","doi":"10.5281/zenodo.14200098","DOIUrl":"10.5281/zenodo.14200098","url":null,"abstract":"Background: Post-COVID-19 syndrome occurs 3 months after COVID-19 infection and lasts at least 2 months. There is insufficient information on the genes associated with immune system dysregulation.Objective: To evaluate gene expression and its relationship with post-COVID-19 syndrome.Material and methods: Cross-sectional, retrolective and analytical study which included 56 patients with post-COVID-19 syndrome. Clinical characteristics were recorded and serotonin IL-4, IL-1β, SOCS3, ILF13, and IFNL4 genes were analyzed with TRIzol® Reagent and PCR-RT techniques.Results: The prevalence of post-COVID-19 syndrome was 82.1%, with no differences in relation to the severity of symptoms or comorbidities. The clinical characteristics related to the presence of the syndrome were female sex with an odds ratio (OR) of 4.25 (95% confidence interval [95% CI] 1.02-17.69), and drug consumption with an OR of 8.25 (95% CI 0.97-70.50). Protective factors for fatigue were serotonin expression with an OR of 0.238 (95% CI 0.060-0.949); for concentration problems, SOCS3 with an OR of 0.188 (95% CI 0.037-0.946), and for memory impairment the IFNL4 with an OR of 0.094 (95% CI 0.015-0.586).Conclusions: The associated factors with post-COVID-19 syndrome were female sex, drug use, and gene dysregulation of serotonin, INFL4 and SOCS3.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 1","pages":"e6275"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028957","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

[Urology in medieval medicine explained through the saints]. [通过圣人解释中世纪医学中的泌尿学]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2025-01-03 DOI: 10.5281/zenodo.14201231

Ricardo Estrada-Hernández, Alejandro Rivera-Chairez, Jorge Moreno-Palacios

{"title":"[Urology in medieval medicine explained through the saints].","authors":"Ricardo Estrada-Hernández, Alejandro Rivera-Chairez, Jorge Moreno-Palacios","doi":"10.5281/zenodo.14201231","DOIUrl":"10.5281/zenodo.14201231","url":null,"abstract":"The Middle Ages were a period influenced by the Christian faith. In medicine the saints were venerated as intercessory figures in the cure of diseases. Particularly, urology has 6 saints that stand out: firstly, the couple of Saint Cosmas and Saint Damian, venerated for healing diseases related to the urinary tract and kidney stones. There is also Saint Margaret of Antioch, who is represented with a belt that surrounds the kidneys, which is why she is associated as the protector of nephrology. St. Liborius of Le Mans healed an archbishop from \"the disease of stones,\" which made him the patron saint of kidney stones. St. Zoilo of Cordoba was a martyr who was tortured with the removal of his kidneys before his execution, which made him a symbol of healing for kidney problems and urinary retention. Lastly, St. Roch of Montpellier was a martyr associated with the \"plague of pleasure,\" syphilis, since he devoted his life to the treatment of patients with plague. Medieval urological practice is noted as well due to uroscopy, a 6000-year-old method consisting of macroscopic analysis of urine that evolved from ancient Babylonian texts, went to the observations recorded by Hippocrates, and ended in the systematization by Theophilus of Constantinople in his work De Urinis. Uroscopy, although primitive, represented a significant step towards a medicine based on observation and systematic analysis of diseases.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 1","pages":"e6561"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001962","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 the COVID-19 pandemic on the number of otorhinolaryngology consultations]. 【新冠肺炎疫情对耳鼻喉科会诊人数的影响】。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2025-01-03 DOI: 10.5281/zenodo.14200076

Salomón Waizel-Haiat, Marco Antonio Figueroa-Morales, Tania Colín-Martínez, Raquel Espinosa-Soto, Carlos Alfonso Romero-Gameros

{"title":"[Impact of the COVID-19 pandemic on the number of otorhinolaryngology consultations].","authors":"Salomón Waizel-Haiat, Marco Antonio Figueroa-Morales, Tania Colín-Martínez, Raquel Espinosa-Soto, Carlos Alfonso Romero-Gameros","doi":"10.5281/zenodo.14200076","DOIUrl":"10.5281/zenodo.14200076","url":null,"abstract":"Background: The COVID-19 pandemic has modified several aspects of medical care, resulting in a change in the profile of visits to the Emergency Department.Objective: To compare the number and reasons for consultation related to the specialty of Otolaryngology in the Emergency Department of a tertiary-care hospital, in the periods defined as: pre-COVID-19 (from March 13, 2019, to March 12, 2020) and COVID-19 (from March 13, 2020, to March 13, 2021).Material and methods: An observational, retrospective, cross-sectional and analytical study was conducted. It included 2409 patients, out of which 1764 belonged to the pre-COVID-19 period and 645 to the COVID-19 period. Odds ratios were estimated for the association between the period of presentation and the type of emergency.Results: We observed an increase in consultations for epistaxis (from 19.16 to 26.82%), followed by tracheostomy care (from 3.17 to 5.89%), laryngotracheal stenosis (from 0.96 to 2.5%) and otalgia (from 4.47 to 6.67%), during the COVID-19 period. Similarly, there was an increase in the proportion of actual emergencies during the COVID-19 period.Conclusions: Overall, there was a 63% of decrease in the number of urgent Ear, Nose and Throat (ENT) consultations during the COVID-19 period, with a significant increase in the number of attendances secondary to epistaxis, tracheostomy care, laryngotracheal stenosis and a significant percentage in cochleovestibular pathology care.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 1","pages":"e5768"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056292","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

[Undiagnosed sleep disorders in children from a hospital in Puebla, Mexico]. [墨西哥普埃布拉一家医院未确诊的儿童睡眠障碍]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2025-01-03 DOI: 10.5281/zenodo.14200128

Emely González-Mendoza, Arturo García-Galicia, María Guadalupe González-de la Rosa, Velia Hernández-Márquez, Diana López-García, Álvaro José Montiel-Jarquín

{"title":"[Undiagnosed sleep disorders in children from a hospital in Puebla, Mexico].","authors":"Emely González-Mendoza, Arturo García-Galicia, María Guadalupe González-de la Rosa, Velia Hernández-Márquez, Diana López-García, Álvaro José Montiel-Jarquín","doi":"10.5281/zenodo.14200128","DOIUrl":"10.5281/zenodo.14200128","url":null,"abstract":"Background: Sleep-related problems are rarely discussed during the healthy children consultation. Up to 50% of children experience a sleep problem and 4% have an adequate diagnosis. The American Academy of Pediatrics considers the prevalence of sleep disorders to be 20-30%. These disorders can be triggered by multiple etiologies: from organic to behavioral and environmental disorders.Objective: To identify the frequency and clinical characteristics of sleep disorders in children in a second-level hospital in Mexico.Material and methods: Observational, and prospective study. The extended Pediatric Sleep Questionnaire (PSQ) was administered to ambulatory pediatric patients aged 2 to 17 years. Those with a psychiatric diagnosis or known sleep disorder were excluded. Those who did not complete 33% of affirmative answers of the PSQ were eliminated. They were interviewed to corroborate sleep disorders. Descriptive statistics were used in tables and graphs for frequencies.Results: 334 patients were included, and 82 corroborated the diagnosis. The most frequent disorders were periodic leg movements (36 patients, 44%), somniloquy (24, 29%), nocturnal awakenings (20, 24%), bruxism (18, 22%), nightmares (16, 19%), sleepwalking (15, 18%) and enuresis (14, 17%).Conclusions: In this study we found a high presence of unidentified sleep disorders in the pediatric outpatient clinic, even higher than the one reported in similar studies.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 1","pages":"e6499"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061543","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

[Levels of prevention of non-clinical adverse events in a health unit]. [卫生单位非临床不良事件的预防水平]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2025-01-03 DOI: 10.5281/zenodo.14199978

Miguel Ángel Bedolla-González, Edith Valdez-Martínez

引用次数: 0