Revista medica del Instituto Mexicano del Seguro Social最新文献_第8页

[Incidence and factors associated with delirium in an Emergency Department]. [急诊科谵妄的发病率及相关因素]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2025-01-03 DOI: 10.5281/zenodo.14200014

Jorge Ayón-Aguilar, Laura Serrano-Vértiz, Fernando Vladimir Quiroz-Lara, Montserrat Torres-Macotela

{"title":"[Incidence and factors associated with delirium in an Emergency Department].","authors":"Jorge Ayón-Aguilar, Laura Serrano-Vértiz, Fernando Vladimir Quiroz-Lara, Montserrat Torres-Macotela","doi":"10.5281/zenodo.14200014","DOIUrl":"https://doi.org/10.5281/zenodo.14200014","url":null,"abstract":"Background: Changes in cognition, attention, consciousness, and perception that occur rapidly and evolve unpredictably are the hallmarks of delirium syndrome. Out of hospitalized patients over the age of 65, 20% experience complications during their stay; in Mexico, the incidence is reported to be 12%.Objective: To determine the incidence and factors associated with delirium in an Emergency Department.Material and methods: Prospective study, with 169 patients over 65 years of age, of both sexes, admitted to an Emergency Department for medical and surgical reasons, from November 1, 2022 to April 30, 2023. The Confussion Assessment Method (CAM) scale was administered to them and the incidence of delirium was determined; descriptive and inferential analysis was carried out using chi-squared with a statistical significance ≤ 0.05.Results: There were 92 female patients (56.3%) with a median age of 77 years (65-90). The incidence of delirium was 43.8%. The comorbidities associated with delirium were infections in 22.48% (p = 0.774), arrhythmias in 7.10% (p = 0.551) and heart disease in 5.91% (p = 0.477).Conclusions: Delirium occurred with a higher incidence compared to that reported in national and international literature; no statistically significant association was found between the present pathologies and delirium.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 1","pages":"e6385"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056307","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

[Interleukins involved in bone degeneration from periodontal disease: Systematic review]. [白细胞介素与牙周病骨质退化的关系：系统综述]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2025-01-03 DOI: 10.5281/zenodo.14200998

Yomira Salgado-Martínez, Magali González-Rodríguez, Rosina Eugenia Villanueva-Arriaga, Nelly Molina-Frechero

{"title":"[Interleukins involved in bone degeneration from periodontal disease: Systematic review].","authors":"Yomira Salgado-Martínez, Magali González-Rodríguez, Rosina Eugenia Villanueva-Arriaga, Nelly Molina-Frechero","doi":"10.5281/zenodo.14200998","DOIUrl":"10.5281/zenodo.14200998","url":null,"abstract":"An imbalance between the plaque biofilm and the host's immune system results in the overexpression of several proinflammatory interleukins, the spread of inflammation through the gums leading to the destruction of connective tissue and the subsequent destruction of the gingival tissue. Periodontal diseases are among the most common diseases, since they affect up to 50% of the world population. Often, the lower socioeconomic groups are the most affected, as well as the elderly. Interleukins play a fundamental role in the immune response and they are secreted by various cells, such as macrophages, mast cells, lymphocytes, etcetera. Due to the above, the objective was to carry out a systematic review of articles that relate interleukins and bone degeneration in periodontal disease, and this review was carried out in 4 databases: Scopus, PubMed, SciELO and Springerlink, using the keywords: Proflammatory interleukin and Periodontal disease, applying the following search strategy: IT ((interleukin) AND (periodontal disease or periodontitis) AND (bone)). The search gave a result of 12 scientific articles that corresponded to the topic, and obtained a good evaluation regarding the bias and quality of the article. We concluded that periodontal disease is complex and interleukins have been shown to establish a multidirectional link for the development of this disease.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 1","pages":"e5592"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063786","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

[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

[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

[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

[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