Revista medica del Instituto Mexicano del Seguro Social最新文献_第9页

[HIV self-testing strategy: implementation in Latin America and Mexico. Where are we going]. [艾滋病毒自我检测战略：在拉丁美洲和墨西哥的实施。我们将何去何从]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998649

V Rivera-Mahey

引用次数: 0

[Diabetic cardiomyopathy: a focus on sodium-glucose cotransporter type 2 inhibitors]. [糖尿病心肌病：关注钠-葡萄糖共转运体 2 型抑制剂]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998923

Sarahi Guerrero-Barrios, Socorro Méndez-Martínez, Jorge Ayón-Aguilar, Gabriel Guzmán-Díaz, Sergio Elihu Rodríguez-Alfaro, Máximo Alejandro García-Flores

{"title":"[Diabetic cardiomyopathy: a focus on sodium-glucose cotransporter type 2 inhibitors].","authors":"Sarahi Guerrero-Barrios, Socorro Méndez-Martínez, Jorge Ayón-Aguilar, Gabriel Guzmán-Díaz, Sergio Elihu Rodríguez-Alfaro, Máximo Alejandro García-Flores","doi":"10.5281/zenodo.10998923","DOIUrl":"https://doi.org/10.5281/zenodo.10998923","url":null,"abstract":"Diabetic cardiomyopathy (DCM) is a complication of type 2 diabetes mellitus (T2DM) capable of progressing to the development of symptomatic heart failure (HF), independently of traditional risk factors for it, such as coronary artery disease and hypertension. There is no specific treatment for DCM; however, sodium-glucose cotransporter 2 inhibitors (SGLT2i) are hypoglycemic drugs that act on SGLT2 channels, inhibiting glucose reabsorption in the kidney. In addition, they have cardioprotective effects, which is why their mechanisms at the cardiac level have been studied. According to the results of preclinical studies, SGLT2i act by interfering in the pathophysiology of DCM. Their main effects are: improvement in diastolic function and left ventricular ejection fraction (LVEF), attenuation in the progress of cardiac fibrosis, reduction of oxidative stress and proinflammatory markers. The clinical trials in humans specifically with DCM that have been carried out are limited; however, randomized clinical trials in patients with HF have shown benefits with SGLT2i, regardless of glycemic control in the reduction of hospitalization for HF and mortality from cardiovascular causes. In summary, SGLT2i suggest a treatment in DCM due to their cardiovascular benefits, in preclinical and clinical models of DCM and in the glycemic control of T2DM.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635140","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

[Dislipidemia en pacientes con alto riesgo cardiovascular. Resultados iniciales del estudio REMEXDIS-IMSS]. [心血管高危患者的血脂异常。REMEXDIS-IMSS研究的初步结果]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998749

Arturo García-Galicia, Alejandra Aréchiga-Santamaría, Blanca Estela Cruz-Cruz, Diana López-García, Omar Alejandro Martínez-Fernández, Álvaro José Montiel-Jarquín, Gisela Alonso-Torres, Maricarmen Tapia-Venancio, Nancy Rosalía Bertado-Ramírez

{"title":"[Dislipidemia en pacientes con alto riesgo cardiovascular. Resultados iniciales del estudio REMEXDIS-IMSS].","authors":"Arturo García-Galicia, Alejandra Aréchiga-Santamaría, Blanca Estela Cruz-Cruz, Diana López-García, Omar Alejandro Martínez-Fernández, Álvaro José Montiel-Jarquín, Gisela Alonso-Torres, Maricarmen Tapia-Venancio, Nancy Rosalía Bertado-Ramírez","doi":"10.5281/zenodo.10998749","DOIUrl":"https://doi.org/10.5281/zenodo.10998749","url":null,"abstract":"Background: Epilepsy affects from 0.5 to 1% of children worldwide and has a cognitive impact on the patient.Objective: To assess cognitive characteristics in pediatric patients diagnosed with epilepsy.Material and methods: Analytical, cross-sectional study of patients with epilepsy aged 6 to 16 years in a tertiary hospital in Puebla, Mexico. Type of epilepsy, evolution, treatment, and school performance were evaluated. The Wechsler Intelligence Scale IV was used for cognitive characteristics. Mann-Whitney U and phi coefficients were used. It was considered statistically significant a p < 0.05.Results: 95 patients were included, 61.1% were male. Mean: age 11.16 years (± 2.5), school performance 7.8 (± 0.99), time of development: 2.4 years (± 1.4). They were schoolchildren aged 6-11 years (36.8%) and adolescents aged 12-16 years (63.2%); 79% had generalized epilepsy; 93.6% were treated with monotherapy (47.3% with magnesium valproate). The mean intellectual quotient was 90.3 (± 10.02), decreased in 12 patients (12.6%). Working memory was the most commonly affected domain (31.6%), mostly in adolescents with 40% (p = 0.021). Perceptual reasoning and working memory were significantly correlated with developmental time (phi = 0.17, p = 0.04 and phi = 0.49, p < 0.001, respectively).Conclusions: Working memory was the most affected cognitive characteristic, especially in adolescents. Working memory and perceptual reasoning were affected by time of development.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635143","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

[Effects of the volcano eruptions on human health]. [火山爆发对人类健康的影响]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998899

Ivet Etchegaray-Morales, Claudia Mendoza-Pinto, Pamela Munguía-Realpozo, Maura Cárdenas-García, Mario García-Carrasco

引用次数: 0

[Cutaneous ulcer as the initial manifestation of rheumatoid arthritis. Case report]. [皮肤溃疡是类风湿性关节炎的初期表现。病例报告]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998940

Leslie Moranchel-García, Michael Castillo-Sepúlveda, Pamela Rodríguez-Salgado

{"title":"[Cutaneous ulcer as the initial manifestation of rheumatoid arthritis. Case report].","authors":"Leslie Moranchel-García, Michael Castillo-Sepúlveda, Pamela Rodríguez-Salgado","doi":"10.5281/zenodo.10998940","DOIUrl":"10.5281/zenodo.10998940","url":null,"abstract":"Background: 20-40% of patients with rheumatoid arthritis (RA) present an extra-articular manifestation (EAM) and 1-20% a severe EAM, with an increased risk of death (> 2 times). The associated lesions are: 27.5% rheumatoid nodules, and 0.5% neutrophilic dermatitis, palisaded neutrophilic granulomatous dermatitis, and/or cutaneous vasculitis.Clinical case: 52-year-old woman who suddenly presented with a painful skin ulcer on the dorsum of the left foot with violaceous, well-defined, raised edges and granulation tissue with fibrinopurulent membranes, with an edematous halo, and subsequent crusting and perilesional hyperpigmentation. The lesion did not show improvement despite debridement and antibiotics. Biopsy with abundant neutrophils in the dermis and vasculitis was reported. Paraclinical testing showed: C-reactive protein: 32.5 mg/dL, erythrocyte sedimentation rate: 59 mm/h, and rheumatoid factor (RF): 2460 U/mL, in addition to antinuclear antibodies (1:640), negative anti-DNA, and anti-citrullinated protein/peptide antibodies (ACPA/anti-CCP) positive (221.70 U/mL), confirming the diagnosis of RA.Conclusions: Rheumatoid vasculitis is the most serious EAM of RA, with more than 40% of patients dying 5 years after clinical onset. It is a rare complication and more common in men with longstanding RA. We highlight the importance of suspecting autoimmune pathology, especially RA, in the presence of spontaneous skin ulcers, without an infectious component and with alterations in the basic laboratory tests.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635136","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

[Cognitive function groups in older people and risk factors]. [老年人的认知功能组别和风险因素]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998801

Jessica Camacho-Ruíz, Antonio V, Mario Enrique Rendón-Macías, Mariela Bernabe-García, Emmanuel González-Bautista, Leticia Manuel-Apolinar, Lourdes Basurto-Acevedo, Oscar Orihuela-Rodríguez, Juana M Ruiz-Batalla, Braulio Rojas-Rubio, Roberto A Olivares-Santos, Carlos Paredes-Manjarrez, Rosalinda Sánchez-Arenas

{"title":"[Cognitive function groups in older people and risk factors].","authors":"Jessica Camacho-Ruíz, Antonio V, Mario Enrique Rendón-Macías, Mariela Bernabe-García, Emmanuel González-Bautista, Leticia Manuel-Apolinar, Lourdes Basurto-Acevedo, Oscar Orihuela-Rodríguez, Juana M Ruiz-Batalla, Braulio Rojas-Rubio, Roberto A Olivares-Santos, Carlos Paredes-Manjarrez, Rosalinda Sánchez-Arenas","doi":"10.5281/zenodo.10998801","DOIUrl":"https://doi.org/10.5281/zenodo.10998801","url":null,"abstract":"Background: Risk stratification for cognitive impairment in communities originated from autopsies in cognitively healthy individuals. The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) incorporates subjective and objective cognitive function (CF) measures to explore neurocognitive disorders (NCD). It can be applied in communities to explore the factors that may influence positively or negatively.Objective: To obtain the relationship between groups of CF classified using the DSM-5 categories, and sociodemographic factors, habits, comorbidities and motor function in older people living in the community.Material and methods: Cross-sectional study with a probabilistic sample (n = 347). The variables were sociodemographic, habits, comorbidities, and cognitive motor function. The participants were grouped considering subjective and objective CF, plus age, sex, and educational level, and defined according to NCD.Results: 28.5% did not present cognitive disorder, 43.9% had mild disorder < 70 years (mildNCD < 70y), 19% with 70 years or more (mildNCD ≥ 70y), and with major disorder 8.6%. The associated factors for mildNCD < 70y were marital status (MS), physical activity (PA), diabetes mellitus, and frailty; for mildNCD > 70y: MS, occupation, living alone, and heart disease; for majorNCD: PA and grip strength. In the multivariate analysis it was observed greater likelihood in the mildNCD groups than in the non-NCD and majorNCD groups.Conclusions: 4 important groups were identified in a community. The mildNCD was mainly explained by sociodemographic factors, lifestyle, clinical conditions, and motor functionality.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634972","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

[Family health and technologies: new findings in adolescents]. [家庭健康与技术：青少年的新发现]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998832

Omar Edgar Hernández-Morán, Itzel Gutiérrez-Gabriel, Adán Sergio Bonilla-Becerri

{"title":"[Family health and technologies: new findings in adolescents].","authors":"Omar Edgar Hernández-Morán, Itzel Gutiérrez-Gabriel, Adán Sergio Bonilla-Becerri","doi":"10.5281/zenodo.10998832","DOIUrl":"10.5281/zenodo.10998832","url":null,"abstract":"Background: Technologies are important tools and their immoderate use causes alterations in the family system; the main users of technologies are the youngest members. The association between its problematic use and perceived family health in adolescents is unknown.Objective: o determine the association between self-perception of family health status and the problematic use of new technologies in adolescents.Material and methods: Analytical, cross-sectional, observational study. It included 370 adolescents between 12 and 17 years of age, technology users, of both sexes; those in behavioral therapy, addictions or psychiatric treatment were excluded; those who did not complete the surveys were eliminated. Sociodemographic data were collected; the associations between perception of family health and problematic use of 4 technologies (television, video games, cell phone and internet) were analyzed with chi square or Fisher's exact test, depending on the situation.Results: A good state of family health prevailed among adolescents (84.1%). It was found a problematic use of cell phone (66.8%). Good family health is associated with non-problematic use of video games (p = 0.003) and television (p < 0.0001). Problematic cell phone use was associated with family health (p = 0.046). The low-middle economic level (61.9%), secondary school (51.6%) and female participation (54.6%) predominated.Conclusion: Family health status is associated with the use of video games, cell phones and television.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635101","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

[Immunoglobulin G4 disease with pancreatic affectation: the mimicker of malignancy]. [免疫球蛋白 G4 病伴有胰腺影响：恶性肿瘤的模仿者]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998957

Karen Paola Rodríguez-Arellano, Melisa Alejandra Muñoz-Hernández, Marco Antonio Camacho-Rodríguez

引用次数: 0

[Anterior myocardial infarction associated with anomalous origin of the left main coronary artery]. [与左冠状动脉主干起源异常有关的心肌梗死]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10999003

Ana Livia Martínez-Raga, Werner Schlie-Villa, Marisol Martínez-Galindo, Jesús Guadalupe González-Jasso, Jorge Hilario Jiménez-Orozco

{"title":"[Anterior myocardial infarction associated with anomalous origin of the left main coronary artery].","authors":"Ana Livia Martínez-Raga, Werner Schlie-Villa, Marisol Martínez-Galindo, Jesús Guadalupe González-Jasso, Jorge Hilario Jiménez-Orozco","doi":"10.5281/zenodo.10999003","DOIUrl":"10.5281/zenodo.10999003","url":null,"abstract":"Background: Coronary anomalies are those conditions characterized by the abnormal origin or course of the epicardial arteries. This generates challenges at the time of diagnosis by catheterization, which is why it is important that the cardiologist is related to these variations. The origin of the left coronary artery in the right sinus of Valsalva has a low incidence. It is reported the case of a patient with myocardial infarction who presented this anomaly with total thrombotic occlusion.Clinical case: 69-year-old man who presented myocardial infarction with ST segment elevation in the anteroseptal region. The catheterization reported left coronary artery with anterior origin and the right coronary sinus. The anterior descending artery presented thrombotic occlusion, which is why a stent was placed successfully. Subsequently, the tomography of the coronary arteries confirmed the anomalous origin of the left coronary artery from the right sinus of Valsalva, with a lateral and anterior course to the right ventricle.Conclusions: Patients with anomalous origin of the coronary arteries are exposed to greater events of ischemia and sudden death. However, some patients present with no previous history of acute coronary syndrome associated with thrombotic occlusion, which can represent a diagnostic challenge at the time of catheterization and coronary intervention due to the anatomic variability they may present.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635250","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

[Implementation of isotermic PCR for detection of SARS-CoV-2 virus]. [采用等温 PCR 检测 SARS-CoV-2 病毒]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998931

Esmeralda Campos-Aguirre, Nelly Dávila-Estrella, Gamaliel Benítez-Arvizu

{"title":"[Implementation of isotermic PCR for detection of SARS-CoV-2 virus].","authors":"Esmeralda Campos-Aguirre, Nelly Dávila-Estrella, Gamaliel Benítez-Arvizu","doi":"10.5281/zenodo.10998931","DOIUrl":"https://doi.org/10.5281/zenodo.10998931","url":null,"abstract":"During the SARS CoV-2 pandemic, measures were implemented to reduce contagion in hospitals. Among those measures it was included RT-PCR (reverse transcriptose polymerase chain reaction) tests, with an estimated result delivery time of approximately 3 hours. The Abbott ID NOW™ COVID-19 assay (Abbott Laboratories Chicago, IL) is performed on a portable device using isothermal technology for nucleic acid amplification that can produce a qualitative result in 13 minutes. The purpose of this article was to determine if the concordance of isothermal PCR with RT-PCR is good for its implementation in hematopoietic stem cell (HSC) donors. To do this, the concordance of isothermal PCR with RT-PCR was determined using samples with both positive and negative results for the latter method. Follow-up was then carried out in the transplant program, using isothermal PCR to detect COVID-19 in HSC donors prior to collection. A comparison of opinions was made between other studies and what was observed in our hospital unit, contrasting firstly the concordance found (0.949) and secondly the experience with the implementation of isothermal PCR as a detection method, with which we conclude that the Abbott ID NOWTM COVID-19 assay is concordant with conventional RT-PCR for the detection of SARS-CoV-2, and it is useful when reducing response time is required.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635234","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