Revista medica del Instituto Mexicano del Seguro Social最新文献_第7页

[Revista Médica del IMSS: Institutional heritage and Important reference]. [回顾IMSS:制度遗产和重要参考]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064233

Omar Chávez-Martínez, Guillermo Fajardo-Ortíz, Alejandro Moctezuma-Paz

引用次数: 0

[Correlation between consultation time and patient´s satisfaction in primary care]. [就诊时间与初级保健患者满意度的关系]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064307

Erik David Torres-Reyes, Francisco Javier Carranza-Guzmán, Abraham Rubén Tamez-Rodríguez, Neri Alejandro Álvarez-Villalobos

{"title":"[Correlation between consultation time and patient´s satisfaction in primary care].","authors":"Erik David Torres-Reyes, Francisco Javier Carranza-Guzmán, Abraham Rubén Tamez-Rodríguez, Neri Alejandro Álvarez-Villalobos","doi":"10.5281/zenodo.10064307","DOIUrl":"10.5281/zenodo.10064307","url":null,"abstract":"Background: It is important to understand how consultation time relates to patient satisfaction, as these two variables have not been extensively studied together.Objective: To determine the correlation between consultation time and patient satisfaction in primary care settings in Mexico.Materials and methods: Cross-sectional, observational, and analytical study that included patients over 18 years old. Time was measured using a stopwatch, and satisfaction was assessed using the Patient Doctor Relationship Questionnaire (PDRQ-9). The correlation between both variables was analyzed using the Spearman test, and multiple linear regression was employed to associate satisfaction with the consultation.Results: A total of 115 participants were included. The average consultation duration was 12.1 minutes, and 74% of patients reported that the consultation time was adequate. A weak positive correlation (p < 0.001, r = 0.38) was found between actual consultation time and satisfaction. Multiple linear regression demonstrated that for every minute increase in consultation time, level of satisfaction increased in 0.04 units (p = 0.001, CI95%: 0.016-0.063).Conclusion: Most patients reported satisfaction with the duration of their medical consultation, and longer consultation times were associated with higher satisfaction levels.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10712934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300857","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

[Functionality/isokinetic work of quadriceps in patients with gonarthrosis managed with prolotherapy]. [前驱疗法治疗关节病患者的股四头肌功能/等速功]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064325

Daniel Martínez-Barro, Joel Dair Rivera-Bello, Jannet Mercedes Cruz-López, Hermelinda Hernández-Amaro, David Rojano-Mejía

{"title":"[Functionality/isokinetic work of quadriceps in patients with gonarthrosis managed with prolotherapy].","authors":"Daniel Martínez-Barro, Joel Dair Rivera-Bello, Jannet Mercedes Cruz-López, Hermelinda Hernández-Amaro, David Rojano-Mejía","doi":"10.5281/zenodo.10064325","DOIUrl":"10.5281/zenodo.10064325","url":null,"abstract":"Background: Prolotherapy may be a good option in the complementary treatment of knee osteoarthritis (OA) patients, specifically for the increase of functionality.Objective: To determine the effectiveness of prolotherapy in OA grade II - III in the functionality and muscular work of knee flexors and extensors.Material and methods: a double-blind randomized controlled clinical trial was conducted. It included patients diagnosed with OA grades II-III. The experimental group was infiltrated in both knees with 6 ml of 25% glucose solution and 0.05% lidocaine; control group with 0.45% saline solution and 0.05% lidocaine. All patients received a comprehensive rehabilitation program. The isokinetic work of the knee flexor and extensor muscles, pain and functionality were measured, prior to infiltration and at 3-month follow-up. To compare the difference in means, the Student's T test was applied, considering P<0.05 as significant. The project was approved by the local ethics and research committee.Results: 37 patients were recruited, 17 in the prolotherapy group. There were no intergroup differences in functionality, isokinetic knee flexor/extensor work, and pain at baseline, or during follow-up up to 12 weeks.Conclusions: In the present study we identify that both prolotherapy and saline infiltration increased functionality, strength, and decreased pain; however, no statistically significant difference was found between the two group.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10715815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300860","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

[Giant tongue leading to dysphagia in light chain amyloidosis patient]. 【轻链淀粉样变性患者巨舌导致吞咽困难】。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064470

Juan José Gómez-Piña, Dulce Mariana Quiroz, Amairani Sierra-Hernández, Sergio Alberto Mendoza-Álvarez, Olga Lidia Vera-Lastra

{"title":"[Giant tongue leading to dysphagia in light chain amyloidosis patient].","authors":"Juan José Gómez-Piña, Dulce Mariana Quiroz, Amairani Sierra-Hernández, Sergio Alberto Mendoza-Álvarez, Olga Lidia Vera-Lastra","doi":"10.5281/zenodo.10064470","DOIUrl":"10.5281/zenodo.10064470","url":null,"abstract":"Introduction: Macroglossia as a clinical manifestation of systemic amyloidosis is a rare condition, occurring in less than 9% of all types of amyloidosis. The aim of this report is to present the diagnostic approach of a patient with macroglossia, providing a systematic approach and considering relevant diagnostic possibilities during their evaluation.Clinical case: We present the case of a 60-year-old man who presented with a progressively enlarging giant tongue for six months, causing dysphagia and reduced oral opening. A tongue biopsy was taken, which histopathologically exhibited homogenous eosinophilic amyloid-like material. Congo red staining showed amyloid material with red dye under light microscopy and apple-green birefringence under polarized light. Bone marrow biopsy showed 30% plasma cells, allowing for a definitive diagnosis of soft tissue amyloidosis. Although it is a benign lesion, localized amyloidosis should be differentiated from systemic forms.Conclusions: The approach of patients with macroglossia is complex due to the diagnostic possibilities, from endocrinological causes, neoplastic, and even by deposit; Being an isolated sign in a patient is a challenge in its approach, because the involvement of the airway is the main complication to avoid in these patients.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10727766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300861","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

[Comment on article "Correlation between ultrasonography and thorax portable radiography in patients with COVID-19"]. [对《新型冠状病毒肺炎患者超声与胸部便携式x线片的相关性》一文的评论]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064252

Verónica Choreño-Delgado

引用次数: 0

[Depression in health personnel associated with exposure to COVID-19]. [与接触COVID-19相关的卫生人员抑郁症]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064281

Antonio Rendón-Moras, Patricia Pérez-Martínez, Yazmín Lizeth Martínez-Sánchez, Rafael Arias-Flores, Angelica Atzin Cedillo-López, Blanca Patricia Morales-Esponda

{"title":"[Depression in health personnel associated with exposure to COVID-19].","authors":"Antonio Rendón-Moras, Patricia Pérez-Martínez, Yazmín Lizeth Martínez-Sánchez, Rafael Arias-Flores, Angelica Atzin Cedillo-López, Blanca Patricia Morales-Esponda","doi":"10.5281/zenodo.10064281","DOIUrl":"10.5281/zenodo.10064281","url":null,"abstract":"Background: There are many working factors to do with depression.Objective: To determine the association between the exposure to COVID-19 and depression in physicians and nurses from the four hospitals at \"Centro Médico Nacional Siglo XXI\" (CMN SXXI) took part in: Oncology, Specialties, Cardiology and Pediatrics.Material and methods: A cross-sectional study of 856 participants took place in January 2022, excluding workers, such as physicians and nurses from the CMN SXXI, disabled workers, staff with a union agreement, support staff and/or staff with less than one year of work labour. Through a self-administered questionnaire, the degree of occupational exposure to patients care with COVID-19, a history of COVID-19 infection, and the patient's health quiz were asked (PHQ-9). The analysis included simple frequency measurements, odds ratio (OR), Chi squared and multiple logistics regression with p ≤ 0.05.Results: The prevalence of depression in the medical and nursing staff at CMN SXXI was 32.2% (moderate to severe degree); In the multiple regression, an association was identified with not identifying support by the Institute (OR: 1.60, CI95%: 1.08-2.39, p = 0.02), high occupational exposure (OR: 8.35, CI95%: 3.02-23.09, p ˂ 0.0001), and more than 5 working days a week serving the COVID-19 patients (OR: 2.51, CI95%: 1.35-4.49, p = 0.004) and as a protective factor the fact that they have never had the COVID-19 (OR: 0.61, CI95%: 0.43-0.86, p = 0.01).Conclusions: The prevalence of depression was higher than expected being associated with the degree of occupational exposure in the COVID-19 patients´ assistance.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10712931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300858","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

[Report of two cases of anti-LGI1 autoimmune encephalitis in Mexico]. 墨西哥2例抗lgi1自身免疫性脑炎报告

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064492

Luis Carlos Reyes-Sosa, Daniela Alexia León-Castillo, Juan Carlos Jiménez-Islas, Crhistian Alejandro Aguilar-Vázquez

{"title":"[Report of two cases of anti-LGI1 autoimmune encephalitis in Mexico].","authors":"Luis Carlos Reyes-Sosa, Daniela Alexia León-Castillo, Juan Carlos Jiménez-Islas, Crhistian Alejandro Aguilar-Vázquez","doi":"10.5281/zenodo.10064492","DOIUrl":"10.5281/zenodo.10064492","url":null,"abstract":"Background: Anti-LGI1 encephalitis is characterized by a pattern of inflammation that predominantly affects the limbic system It is part of the autoimmune encephalitis that attack neuronal surface antigens. It is characterized by the triad of subacute dementia, faciobrachial dystonic crises, and hyponatremia, presenting an excellent response to immunotherapy. The aim of this article is to describe the clinical evolution and functional outcome at 6 months of two patients with anti-LGI1 encephalitis using clinical cases.Clinical cases: Case 1: 62-year-old man with 8-week symptoms manifested by changes in mood, disorientation, and focal motor seizures. Case 2 A 72-year-old woman with a 5-month evolution of rapidly progressive dementia, hyponatremia and bitemporal hyperintensities on MRI. In both, due to clinical suspicion, acute dual immunotherapy with steroid and immunoglobulin was given with substantial improvement. Subsequently, the existence of anti-LGI1 antibodies in cerebrospinal fluid was confirmed. Although both patients received a dose of rituximab during their hospitalization, only the patient in the first case continued biannual doses of rituximab. The second patient was not initially considered to continue long-term immunomodulatory treatment and experienced a relapse.Conclusions: These clinical vignettes present the reader with the classic characteristics of this disease. This can facilitate its recognition and timely initiation of treatment, improving the functional prognosis of patients.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10727757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300865","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

[Basic health indicators in the NutrIMSS program: a retrospective study]. [NutrIMSS计划中的基本健康指标:回顾性研究]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064287

María Nayeli Acosta-Gutiérrez, Alma Patricia Hernández-Torres, María Consuelo Escamilla-Nuñez, Julia Blanco-Muñoz, Víctor Manuel Camarillo-Nava, Rosaura Atrisco-Olivos, Julia Del Carmen Rodriguez-Garcia

{"title":"[Basic health indicators in the NutrIMSS program: a retrospective study].","authors":"María Nayeli Acosta-Gutiérrez, Alma Patricia Hernández-Torres, María Consuelo Escamilla-Nuñez, Julia Blanco-Muñoz, Víctor Manuel Camarillo-Nava, Rosaura Atrisco-Olivos, Julia Del Carmen Rodriguez-Garcia","doi":"10.5281/zenodo.10064287","DOIUrl":"10.5281/zenodo.10064287","url":null,"abstract":"Background: The NutrIMSS program is granted to populations with chronic conditions to improve basic health indicators and its effectiveness in this population is unknown.Objective: To analyze the change in the basic health indicators of patients who attended the NutrIMSS Program, at the UMF No. 2 of the IMSS in Mexico City, during the period 2018 to 2019.Material and methods: From 105 files of IMSS beneficiaries, a retrospective cohort study was carried out considering two measurements, before and after the NutrIMSS program. To evaluate the average change over time of health indicators, GEE models (Generalized Estimation Equations) and multiple linear regression models were used. Statistical analysis was used using the statistical program StataCorp 2015.Results: Patients who attended the Program showed changes between the beginning and end of the period with an average of three months of follow-up. They presented a decrease in the following health indicators: body weight of 1 kg, body mass index: 0.8 kg/m2, glucose of 13 mg/dL, triglycerides of 57 mg/dL and cholesterol of 17 mg/dL (p < 0.005 in all cases). There was no difference in the level of blood pressure.Conclusions: The NutrIMSS program influenced the improvement of the health indicators of the population of the program and is an ally to improve the health of the IMSS beneficiary population.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10712927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300913","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

[Scientific integrity faces plagiarism fabricated with the ChatGPT]. [科学诚信面临用ChatGPT捏造的抄袭]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06

Horacio Rivera

{"title":"[Scientific integrity faces plagiarism fabricated with the ChatGPT].","authors":"Horacio Rivera","doi":"","DOIUrl":"","url":null,"abstract":"Among the malpractices that undermine research integrity, plagiarism is a major threat given its frequency and evolving presentations. Plagiarism implies the intentional grabbing of texts, ideas, images, or data belonging to others and without crediting them. However, the different and even masked forms of plagiarism often difficult a clear identification. Currently, the many kinds of fraud and plagiarism account for most retractions in traditional and open access journals. Further, the rate of retracted articles is higher in the Latin American databases LILACS and Scielo than in PubMed and Web of Science. This difference has been related to the typical laxity of our culture and the lack of English writing skills of non-Anglophone researchers. These features explain the conflict experienced by Latin American students in USA where they face a stricter culture regarding academic and scientific plagiarism. In the internet era, the ease of accessing scientific literature has increased the temptation to plagiarize but this ethical breach has been countered by antiplagiarism software. Now, the so-called \"paraphragiarism\" prompted by paraphrasing tools exceeds the infamous \"copy-paste\". For instance, the innovative ChatGPT can be used for plagiarizing and paraphragiarizing. Moreover, its inclusion as coauthor in scientific papers has been banned by prestigious journals and the International Committee of Medical Journal Editors because such chatbot cannot meet the required public responsibility criterium. To avoid plagiarism, it is enough to always give due credit in the proper way. Lastly, I question the ill-fated and now prevailing conjunction of blind faith in progress and zero skepticism that prevents us from foreseeing the negative consequences of technological advances.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10723832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300867","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

[Comment on article "Risk factors at admission associated with intubation in patients with COVID-19"]. [对《新冠肺炎患者入院时插管相关危险因素》一文的评论]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064243

José Nazario López-Taboada

引用次数: 0