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au:Velázquez, María E.

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Ciudad, cólera y covid: una lectura mediada por la religiosidad y la ciencia
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Flores-Rodríguez., Carlos E.

; Fajardo-Velázquez., Luis

; López-Nanco., Rosa María

Íconos. Revista de Ciencias Sociales

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Ago 2023, Nº 76 Páginas 125 - 145

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen Por el tránsito al liberalismo, pero sobre todo por la actuación ante las calamidades que caracterizaron al siglo XIX, este resultó determinante en la configuración de las sociedades de las urbes mexicanas y en particular de sus barrios periféricos. Desde una postura fenomenológica-hermenéutica, y con herramientas tanto etnográficas como historiográficas, en este artículo se discute sobre ello. Tomando como referentes los barrios virreinales de Analco y La Luz, en la barroca ciudad de Puebla, se descubre los elementos históricos que condicionan su proceder ante una emergencia sanitaria. Se muestra también que la cotidianidad de sus habitantes tuvo un carácter dual, puesto que estaba mediada por la religiosidad y la ciencia. Así, la calle funcionaba y funciona como centralidad barrial, lugar simbólico de este sincretismo y sitio para las tácticas vecinales en la búsqueda protectora de su sentido identitario. También en la calle se encuentran lo eventual y lo permanente; deviene espacio donde se es y se habita, símbolo del arraigo y la pertenencia. La relevancia del texto estriba en que se está ante la inmejorable posición testimonial para comprender lo que se realizó y lo que significó, desde la óptica social o colectiva, un evento disruptivo como la covid-19; asimismo, este texto contribuye a documentar el origen de nuevos elementos que se suman al patrimonio inmaterial existente.

Abstract On its way to liberalism and, above all, in relation to the difficulties that characterized this moment, the 19th century was fundamental in the configuration of the societies of Mexican cities and, in particular, of peripheral neighborhoods. This process is discussed in this article from a phenomenological and hermeneutic position and with ethnographic and historiographic tools. It considers the cases of the vice-royal neighborhoods of Analco and La Luz in the baroque city of Puebla. Historical factors are described that shaped its processes during a public health emergency. It is shown that the everyday life of its inhabitants had a dual character, mediated by religiosity and science. Thus, the streets functioned and still do function as the neighborhood center, the symbolic site of this syncretism and the site for neighborhood tactics in the protective search for a sense of identity. Also, the eventual and the permanent are found in the streets, where space becomes where one is and lives, as the symbol of attachment and belonging. The relevance of the text lies in the fact that it offers a privileged testimonial position for understanding what was done and what was understood during a disruptive event like COVID-19 from a social and collective lens. In addition, this text contributes to documenting the origin of new elements that add to existing immaterial heritage.

https://doi.org/10.17141/iconos.76.2023.5479

Cold plasma copolymer with antimicrobial activity deposited on three different substrates
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Ruiz, Erick Osvaldo Martínez

; Rao, Xi

; García, Abril Fonseca

; Vega, Carlos Gallardo

; Canche, Carmen Natividad Alvarado

; López, José Abraham Gonzáles

; Pérez, Antonio Serguei Ledezma

; Medina, Miriam Desiree Davila

; Gaona, Claudia Gabriela Cuellar

; Céspedes, Rosa Idalia Narro

; Arguello, Gustavo Soria

; Velázquez, María Guadalupe Neira

Polímeros

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2023, Volume 33 Nº 4 elocation e20230038

Resumo: En | Texto: En | PDF: En

Abstract A good strategy to prevent early deposition of bacteria that can form biofilms is the application of antimicrobial coatings to existing surfaces, however this field has been little explored and coatings are often non uniform in thickness. A homogeneous film of R-Carvone-Octadiene (ppCop) was deposited on different substrates (coverslip, minced coverslip and fabric) by cold plasma copolymerization to study the influence of the substrate on antimicrobial activity and show clues about the influence of octadiene on copolymerization. The ppCop showed better antimicrobial activity results on the substrate with higher effective contact area, highlighting the influence of this variable on antimicrobial activity. The ppCop deposited on minced coverslip showed an inhibition of E. coli and S. aureus bacteria by 48.69 ±0.08% and 49.31 ±0.58% respectively, with an average roughness of 14.1±0.02 nm and a static water contact angle of 79± 0.4°. The ppCop showed no cytotoxicity to the human cell line.

https://doi.org/10.1590/0104-1428.20220099

Guía de práctica clínica mexicana para el diagnóstico y tratamiento de las dislipidemias y enfermedad cardiovascular aterosclerótica
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Pavía-López, Abel A.

; Alcocer-Gamba, Marco A.

; Ruiz-Gastelum, Edith D.

; Mayorga-Butrón, José L.

; Mehta, Roopa

; Díaz-Aragón, Filiberto A.

; Aldrete-Velasco, Jorge A.

; López-Juárez, Nitzia

; Cruz-Bautista, Ivette

; Chávez-Mendoza, Adolfo

; Secchi-Nicolás, Nikos C.

; Guerrero-Martínez, Francisco J.

; Cossio-Aranda, Jorge E.

; Mendoza-Zubieta, Victoria

; Fanghänel-Salmon, Guillermo

; Valdivia-Proa, Martha

; Olmos-Domínguez, Luis

; Aguilar-Salinas, Carlos A.

; Dávila-Maldonado, Luis

; Vázquez-Rangel, Armando

; Pavia-Aubry, Vanina

; Nava-Hernández, María de los A.

; Hinojosa-Becerril, Carlos A.

; Anda-Garay, Juan C.

; Ríos-Ibarra, Manuel O. de los

; Berni-Betancourt, Ana C.

; López-Cuellar, Julio

; Araiza-Garaygordobil, Diego

; Rivera-Reyes, Romina

; Borrayo-Sánchez, Gabriela

; Tapia-Hernández, Mónica

; Cano-Nigenda, Claudia V.

; Guerra-López, Arturo

; Elías-López, Josué

; Figueroa-Morales, Marco A.

; Montaño-Velázquez, Bertha B.

; Velasco-Hidalgo, Liliana

; Rodríguez-Lozano, Ana L.

; Pimentel-Hernández, Claudia

; Baquero-Hoyos, María M.

; Romero-Moreno, Felipe

; Rodríguez-Vega, Mario

Archivos de cardiología de México

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2022, Volume 92 Supl. 1 Páginas 1 - 62

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

resumen está disponible en el texto completo

Abstract Background: Cardiovascular diseases are the leading cause of mortality worldwide and Mexico is no exception. The epidemiological data obtained in 1990 showed that cardiovascular diseases represented 19.8% of all causes of death in our country. This figure increased significantly to 25.5% for 2015. Some national surveys suggest that more than 60% of the adult population has at least one risk factor for cardiovascular disease (obesity or overweight, hypertension, smoking, diabetes, dyslipidemias). On the other hand, data from the Pan American Health Organization have linked the process of atherosclerosis as the first cause of premature death, significantly reducing life expectancy, which has enormous social repercussions. Objective: This document constitutes the Clinical Practice Guide (CPG) prepared at the initiative of the Mexican Society of Cardiology in collaboration with the Mexican Society of Nutrition and Endocrinology, AC, National Association of Cardiologists of Mexico, AC, Mexican Association for the Prevention of Atherosclerosis and its Complications, AC, National Normative Committee of General Medicine, AC, National College of Geriatric Medicine, AC, College of Internal Medicine of Mexico, AC, Mexican Society of Angiology and Vascular and Endovenous Surgery, AC, Mexican Institute of Research Nephrological, AC and the Mexican Academy of Neurology, A.C.; with the methodological support of the Ibero-American Agency for the Development and Evaluation of Health Technologies, in order to establish recommendations based on the best available evidence and agreed upon by an interdisciplinary group of experts. The objective of this document is to provide evidence-based recommendations to help decision makers in the diagnosis and treatment of dyslipidemias in our country. Material and methods: This document complies with international quality standards, such as those described by the Institute of Medicine of the USA, the Institute of Clinical Excellence of Great Britain, the Scottish Intercollegiate Guideline Network and the Guidelines International Network. A multidisciplinary group of clinical experts and methodologists with experience in systematic reviews of the literature and the development of clinical practice guidelines was formed. A scope document was agreed upon, relevant clinical questions were established, the best available evidence critically evaluated in systematic literature reviews was exhaustively identified, and clinical recommendations were developed. The modified Delphi Panel methodology was used to achieve an adequate level of consensus in each of the recommendations contained in this CPG. Results: 23 clinical questions were agreed upon which gave rise to their respective clinical recommendations. Conclusions: We consider that this document contributes to better clinical decision-making and becomes a point of reference for clinicians and patients in the management of dyslipidemias and this contributes to reducing the morbidity and mortality derived from atherosclerotic cardiovascular events in our country.

https://doi.org/10.24875/acm.m22000081 1458 downloads

Guía de práctica clínica para el diagnóstico y el tratamiento de la otitis media aguda en niños
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Mayorga-Butrón, José L.

; Torre-González, Carlos de la

; Boronat-Echeverría, Nuria

; Aguirre-Mariscal, Héctor

; Montaño-Velázquez, Bertha B.

; Figueroa-Morales, Marco A.

; Aguilar-Gómez, Nancy E.

; Flores-Ruiz, Eric M.

; Solórzano-Santos, Fortino

; Gómez-Barreto, Demóstenes

; Moreno-Espinosa, Sarbelio

; González-Zamora, José F.

; Arredondo-García, José L.

; Xóchihua-Díaz, Luis

; Hernández-Porras, Marte

; Chavolla-Magaña, Rogelio

; Sánchez-Reyes, Blas

; Rodríguez-Carrasco, Carlos A.

; Greenawalt-Rodríguez, Sydney

; Cristerna-Tarrasa, Hernán

; Olvera-Salinas, Jorge

; Ávila-Iglesias, María C.

; Tinajero-Iriarte, Mónica G.

; Ramos-Zúñiga, José A.

; Montes-Narváez, Gabriel

Boletín médico del Hospital Infantil de México

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2022, Volume 79 Supl. 1 Páginas 1 - 31

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract Background: Acute otitis media (AOM) is one of the most prevalent acute conditions in the pediatric population worldwide. This work aimed to elaborate a Clinical Practice Guideline with clinical recommendations systematically developed to assist decision-making of specialists, patients, caregivers, and public policymakers involved in managing patients with AOM in children. Methods: This document was developed by the College of Pediatric Otorhinolaryngology and Head, and Neck Surgery of Mexico (COPEME) in compliance with international standards. The SIGN quality of evidence classification was used. On behalf of the COPEME, the Guideline Development Group (GDG) was integrated, including otolaryngologists, infectologists, pediatricians, general practitioners, and methodologists with experience in systematic literature reviews and the development of clinical practice guidelines. Results: A consensus was reached on 18 clinical questions, covering what was previously established by the GDG in the scope document of the guidelines. Scientific evidence answering each of these clinical questions was identified and critically evaluated. The GDG agreed on the final wording of the clinical recommendations using the modified Delphi panel technique. Specialists and patient representatives conducted an external validation. Conclusions: This Clinical Practice Guideline presents clinical recommendations for the prevention, diagnosis, and management of AOM to assist shared decision-making among physicians, patients, and caregivers and improve the quality of clinical care.

Resumen Introducción: La otitis media aguda (OMA) es uno de los padecimientos agudos más prevalentes en la población pediátrica a escala global. El objetivo de este trabajo fue elaborar una guía de práctica clínica con recomendaciones para asistir la toma de decisiones de médicos especialistas, pacientes, cuidadores de pacientes y elaboradores de políticas públicas involucrados en el manejo de la OMA en niños. Métodos: El documento ha sido desarrollado por parte del Colegio de Otorrinolaringología y Cirugía de Cabeza y Cuello Pediátricas de México (COPEME) en cumplimiento con los estándares internacionales. Se empleó la clasificación de calidad de la evidencia de SIGN. En representación del COPEME, se integró el Grupo de Desarrollo de la Guía (GDG), que incluyó otorrinolaringólogos, infectólogos, pediatras, médicos generales y metodólogos con experiencia en revisiones sistemáticas de la literatura y el desarrollo de guías de práctica clínica. Resultados: Se consensuaron 18 preguntas clínicas que abarcaron lo establecido previamente por el GDG en el documento de alcances de la Guía. Se identificó la evidencia científica que responde a cada una de estas preguntas clínicas y se evaluó críticamente. El GDG acordó la redacción final de las recomendaciones clínicas mediante la técnica Delphi de panel. Se llevó a cabo una validación externa por colegas especialistas y representantes de pacientes. Conclusiones: En esta Guía de Práctica Clínica se presentan recomendaciones clínicas para la prevención, el diagnóstico y el manejo de la OMA, con el fin de asistir la toma de decisiones compartidas entre médicos, pacientes y cuidadores con la intención de contribuir a mejorar la calidad de la atención clínica.

https://doi.org/10.24875/bmhim.21000168

Type 1 Diabetes Care in Mexico: An Analysis of the RENACED-DT1 National Registry
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Faradji-Hazán, Raquel N.

; Valenzuela-Lara, Marisol

; Díaz-Barriga Menchaca, Ana P.

; Almeda-Valdes, Paloma

; Antonio-Villa, Neftali E.

; Vidrio-Velázquez, Maricela

; Islas-Ortega, Laura

; Martínez-Ramos-Méndez, Angélica

; Garza-Hernández, Natalia E. de la

; Bustamante-Martínez, Jorge F.

; Sánchez-Ruiz, Karla L.

; Yepez-Rodríguez, Alicia E.

; González-Gálvez, Guillermo

; Niño-Vargas, Ricardo S.

; Sainz de la Maza-Viadero, María E.

; Magis-Rodríguez, Carlos

Revista de investigación clínica

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Ago 2021, Volume 73 Nº 4 Páginas 222 - 230

Resumo: En | Texto: En | PDF: En

Background: Information regarding diagnosis, treatment, and follow-up of patients with type 1 diabetes (PWT1D) in Mexico is limited. We developed an on-line platform Registro Nacional de Pacientes con Diabetes Tipo 1 (RENACED-DT1). Objective: The objective of the study was to describe the characteristics and healthcare of PWT1D registered in RENACED-DT1. Methods: Analyses of 965 PWT1D from July 2014 to January 2018 in different endocrinology clinics around Mexico. Results: Sixty-one percent were female with median age of 21 years, age at diagnosis 11 years, and disease duration at inclusion 8.2 years. Treatment regimen was basal-bolus in 61% and insulin-pumps in 21% (mainly in the private sector); 33.3% with self-monitoring of blood-glucose (SMBG) ≥4 times/day. Mean HbA1c at last follow-up was 8.7 ± 2.1% (72±23 mmol/mol), 18% had HbA1c < 7% (53 mmol/mol), and 35% > 9% (75 mmol/mol). SMBG ≥ 4 times/day was associated with HbA1c < 7%. Time since diagnosis > 10 years, female sex, BMI ≥ 30 kg/m2, SMBG < 4 times/day, and any hypoglycemia were associated with microvascular complications (p < 0.05). Conclusions: Percentage of patients achieving HbA1c < 7% is low; increased blood glucose monitoring is associated with better glycemic control. The achievement of optimal glycemic control must be increased to reduce the incidence of chronic complications and improve quality of life in PWT1D.

https://doi.org/10.24875/ric.20000498 253 downloads

Current status of urologic oncology clinics in Mexico
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Bourlon, María T.

; Remolina-Bonilla, Yuly A.

; Velázquez, Hugo E.

; Ruíz-Morales, Jose M.

; Sobrevilla-Moreno, Nora

; Martin-Aguilar, Ana E.

; Díaz-Alvarado, María G.

; Pérez-Pérez, Perla

; Rivera-Rivera, Samuel

Gaceta mexicana de oncología

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Mar 2021, Volume 20 Nº 1 Páginas 12 - 19

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract Background: Most genitourinary (GU) neoplasms have several treatment options should be discussed by a multidisciplinary team. In Mexico, the status of urologic oncology clinics (UOCs) is unknown. Objective: Our aim was to evaluate the current status of UOC, determine the existence of GU-MTB, and define the resource disparities among centers in Mexico. Methods: A cross-sectional study based on an online survey developed by the Genitourinary Mexican Cooperative Research Group in Oncology. Descriptive statistics were used for analysis. Results: Twenty UOCs were identified and were located in 8 of 32 states. Only 50% reported having a multidisciplinary tumor board (MTB). Medical oncology, urology, and radiation oncology participated in 90% of UOCs; nursing, social work, and research staff participation were absent. Ninety percent of MTBs reported discussing all GU neoplasms, one center exclusively discussed kidney cancer cases Conclusions: There are 20 institutions with these clinics in the country, they are located in only 3 of 32 states. The uneven geographical distribution and the unequal availability of resources reflect the disparity in access to health care services.

Resumen Introducción: Las neoplasias urogenitales cuentan con múltiples alternativas terapéuticas y deben discutirse de forma multidisciplinaria. En México, el estado actual de las clínicas de uro-oncología (CUO) es desconocido Objective: La finalidad de este estudio fue evaluar el estado actual de las CUOs, y establecer las disparidad en los recursos de los diferentes centros participantes. Métodos: Estudio transversal basado en una encuesta, diseñada por el Grupo Cooperativo de Investigación en Oncología sección tumores genito-urinarios. Se empleó estadística descriptiva para el análisis. Resultados: Se identificaron 20 CUO localizadas en 8 de 32 estados. El 50% cuentan con sesiones multidisciplinarias (SM). Las especialidades de oncología médica, urología y radioterapia participan en 90% de las CUO. En contraste, trabajo social, enfermería y personal de investigación estuvieron ausentes. El 90% de las SM discutían todas las neoplasias urogenitales, un centro solo discute casos de cáncer renal. Conclusiones: Existen 20 instituciones con CUOs, pero estan localizadas principalmente en 3 estados. La distribución geográfica desigual y la inequidad en los recursos médicos reflejan disparidad en el acceso a los servicios de salud.

https://doi.org/10.24875/j.gamo.20000074 186 downloads

COVID-19 en el paciente pediátrico
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Campo-Martínez, María de los Ángeles del

; Sánchez-Jara, Berenice

; López-Santiago, Norma C.

; Lozano-Garcidueñas, Mónica

; Soto-Padilla, Janet

; Moreno-González, A. Mansheca

; Ortiz-Torres, María Guadalupe

; González-Llano, Oscar

; Reyes-Espinoza, E. Aaron

; Muñoz-Juárez-Díaz, Lucia M.

; Velázquez-Marmolejo, Lissette

Gaceta médica de México

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2021, Volume 157 Supl. 3 Páginas S120 - S130

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract This document was prepared (June 2020) by and for medical professionals (clinicians and health providers), and it is available as a guideline for pediatric patients with coronavirus disease 2019 (COVID-19). So far, according to available data although children of all ages can acquire COVID-19, they have better outcome than adults, with a little proportion of severe disease, and in mild cases they have a 1 to 2-week recovery after the beginning of the infection. The objective of this document is to provide particularities that we consider important for diagnosis and treatment. Owe to the changing epidemiological situation some concepts and actions can change, so this information must be adapted to each specific case, based on the clinical judgement according to patient requirements and available resources.

Resumen Este documento fue preparado (en junio de 2020) por y para los profesionales médicos (clínicos y proveedores de salud), y está disponible públicamente para propósitos de recomendaciones relacionada con pacientes pediátricos y enfermedad por coronavirus 2019 (COVID-19). Según datos disponibles hasta la fecha, los niños de todas las edades pueden contraer la COVID-19; sin embargo, tienen mejor pronóstico que los adultos, siendo pocos los casos graves reportados, y los casos leves se recuperan en 1-2 semanas después del inicio de la enfermedad. El objetivo de este documento es aportar peculiaridades que consideramos importantes para el diagnóstico y tratamiento. Debido a los cambios en la actual situación epidemiológica se pueden modificar algunos conceptos y acciones, por lo que la información aquí contenida debe ser adaptada a cada paciente, basada en el juicio clínico, necesidades del paciente y recursos disponibles.

https://doi.org/10.24875/gmm.m21000487 256 downloads

Asociación de factores de riesgo independientes con fracaso posextubación en pacientes desconectados de la ventilación mecánica
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Santibañez-Velázquez, Martín

; Medina-García, Gabriela

; Ocharán-Hernández, María E.

Gaceta médica de México

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Dez 2020, Volume 156 Nº 6 Páginas 549 - 555

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract Introduction: Even with an adequate mechanical ventilation weaning (MVW) protocol, the procedure fails in 15 to 30 % of cases. Objective: To assess the association between independent risk factors (IRFs) and post-extubation failure in patients undergoing MVW in an intensive care unit. Method: Longitudinal, prospective, analytical cohort study in patients on mechanical ventilation for more than 24 hours and who were extubated. Pre-extubation reports of hemoglobin, albumin, phosphorus, waist-hip ratio and SOFA score were obtained. Extubation failure was defined as resumption of mechanical ventilation within 48 hours or less. Results: 123 patients were extubated, out of whom 74 were males (60 %); average age was 50 ± 18 years. Extubation failure occurred in 37 (30 %). Hypoalbuminemia was associated as an independent risk factor in 29 (23.8 %, RR = 1.43, 95 % CI = 1.11-1.85) and hypophosphatemia was in 18 (14.6 %, RR = 2.98, 95 % CI = 1.66-5.35); two or more IRFs were observed in 22.7 % (RR = 1.51, 95 % CI = 1.14-2.00). Conclusions: Identifying independent risk factors prior to MVW can help reduce the risk of extubation failure and associated morbidity and mortality.

Resumen Introducción: Aun con adecuado protocolo de desconexión de la ventilación mecánica (DVM), el procedimiento falla en 15 a 30 % de los casos. Objetivo: Evaluar la asociación entre factores de riesgo independientes y fracaso posextubación en pacientes con DVM en una unidad de cuidados intensivos. Método: Estudio de cohorte, longitudinal, prospectivo, analítico, que incluyó pacientes sometidos a ventilación mecánica por más de 24 horas y que fueron extubados. Se obtuvieron reportes preextubación de hemoglobina, albúmina, fósforo, índice cintura-cadera y puntuación SOFA. Se definió como fracaso de extubación al reinicio de la ventilación mecánica en 48 horas o menos. Resultados: Se extubaron 123 pacientes, 74 hombres (60 %); la edad promedio fue de 50 ± 18 años. Ocurrió fracaso de extubación en 37 (30 %). Como factores de riesgo independentes se asoció hipoalbuminemia en 29 (23.8 %, RR = 1.43, IC 95 % = 1.11-1.85) e hipofosfatemia en 18 (14.6 %, RR = 2.98, IC 95 % = 1.66-5.35); se observaron dos o más factores de riesgo independientes en 22.7 % (RR = 1.51, IC 95 % = 1.14-2.00). Conclusiones: Identificar los factores de riesgo independentes antes de la DVM puede ayudar a reducir el fracaso de la extubación y la morbimortalidad asociada.

https://doi.org/10.24875/gmm.20005479 179 downloads

RENACED-DT1: A National Type 1 Diabetes Registry Initiative in Mexico
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Faradji, Raquel N.

; Valenzuela-Lara, Marisol

; Vidrio-Velázquez, Maricela

; Yepez-Rodríguez, Alicia E.

; González-Galvez, Guillermo

; Sainz de la Maza-Viadero, María E.

Salud Pública de México

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Jun 2020, Volume 62 Nº 3 Páginas 232 - 234

Resumo: Es | Texto: Es | PDF: Es

https://doi.org/10.21149/11185 3 downloads

10.

Pregnancy in teenagers with heart disease
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Cossio-Aranda, Jorge E.

; Gaspar-Hernández, Jorge

; Juanico-Enriquez, Antonio

; Rodríguez-Rosales, Fernando

; López-Jaramillo, Ana M.

; Becerra-Vázquez, David A.

; Pinal-Moreno, Ernestina

; Díaz-Jiménez, María J.

; Velázquez-Ramírez, Norma

; Cortés-Bonilla, Manuel

; Ruiz-Toral, Alejandro

; Pérez-Leos, Daniel

; Buendía-Hernández, Alfonso

; Chávez-Domínguez, Rafael

; Cardona-Pérez, Jorge A.

; Martínez-Ríos, Marco

; Fernández-de la Reguera, Guillermo

Archivos de cardiología de México

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Mar 2020, Volume 90 Nº 1 Páginas 81 - 85

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract The prevalence of pregnancy in adolescent women is high in Mexico and represents a public health problem. The pregnant teenager with heart disease has a high probability of complications during pregnancy and the delivery, which carries a risk of death of both the mother and the product. In many cases the pregnancy should have been avoided, planned or interrupted, however the majority at this age is vulnerable and although certain cases must be interrupted by their high risk of maternal-fetal death, prevention and legal aspects should be considered. In some cases the woman wants a pregnancy although her health condition does not allow it, but there are options of adoption or recourse to a surrogate belly. In response to this growing social problem, the National Cardiology Institute Ignacio Chávez and National Institute of Perinatology, with the coordination of Ministry of Health in Mexico, started a pregnancy prevention module within a clinic of follow-up of cardiopathy and pregnancy. This review raises the global problem in our country that occupies the first place in pregnancies in adolescents, with more than 400,000 pregnancies a year and the form of immediate response in a multidisciplinary way.

Resumen La prevalencia de embarazo en mujeres adolescentes es muy alta en México, y representa un problema de salud pública. La adolescente embarazada con cardiopatía tiene altas posibilidades de complicaciones durante el embarazo y su resolución, lo que pone en riesgo la vida tanto de la madre como del producto. En muchos casos el embarazo debió ser evitado, planeado o interrumpido, sin embargo la mayoría a esta edad es vulnerable y si bien ciertos casos deben ser interrumpidos por su alto riesgo de muerte materno-fetal, es fundamental considerar la prevención y los aspectos legales. En algunos casos la mujer desea un embarazo aunque su condición de salud no se lo permite, pero existen opciones de adopción o recurrir a un vientre subrogado. Atendiendo este problema social cada vez más creciente, el Instituto Nacional de Cardiología Ignacio Chávez, en coordinación con la Comisión Coordinadora de la Secretaría de Salud y el Instituto Nacional de Perinatología, echaron a andar un módulo de prevención de embarazo dentro de una clínica de seguimiento de cardiopatía y embarazo. Esta revisión plantea el problema global en nuestro país, que ocupa el primer lugar en embarazos en adolescentes, con más de 400 mil embarazos al año y la forma de dar respuesta inmediata de manera multidisciplinaria.

https://doi.org/10.24875/acme.m20000087 387 downloads

11.

Resumen ejecutivo de ARIA 2019: vías integradas de atención para la rinitis alérgica en Argentina, España y México
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Ivancevich, Juan Carlos

; Cardona, Victoria

; Larenas Linnemann, Désirée

; Mullol, Joaquim

; Neffen, Hugo

; Zernotti, Mario

; Asayag, Estrella

; Blua, Ariel Eduardo

; Gómez, R. Maximiliano

; Jares, Edgardo

; Máspero, Jorge

; Anto, Josep M.

; Dedeu, Toni

; Rodríguez-González, Mónica

; Huerta-Villalobos, Yunuen Rocío

; Fuentes-Pérez, José Miguel

; Rodríguez-Zagal, Eréndira

; Valero, Antonio

; Bartra, Joan

; Alobid, Isam

; Castillo-Vizuete, José Antonio

; Dordal, Teresa

; Hijano, Rafael

; Picado, César

; Sastre, Joaquín

; Bedolla-Barajas, Martín

; Burguete-Cabañas, María Teresa

; Costa-Domínguez, María del Carmen

; Domínguez-Silva, Margarita

; Espinoza-Contreras, Jesús Guillermo

; Gálvez-Romero, José Luis

; García-Cobas, Cecilia Yvonne

; García-Cruz, María de la Luz Hortensia

; Hernández-Velázquez, Luiana

; Luna-Pech, Jorge A.

; Matta, Juan José

; Mogica-Martínez, María Dolores

; Rivero-Yeverino, Daniela

; Ruiz, Lucy Tania

; Río-Navarro, Blanca E. Del

; Gómez-Vera, Javier

; Macías-Weinmann, Alejandra

; Agache, Ionna

; Ansotegui, Ignacio

; Bachert, Claus

; Bedbrook, Anna

; Canonica, Giorgio Walter

; Casale, Thomas B.

; Cruz, Álvaro

; Fokkens, Wytske

; Hellings, Peter

; Samolinski, Bolesław

; Bousquet, Jean

Revista alergia México

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Dez 2019, Volume 66 Nº 4 Páginas 409 - 425

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract The health and economic impact of allergic diseases are increasing rapidly, and changes in management strategies are required. Its influence reduces the capacity of work and school performance by at least a third. The ICPs of the airways (integrated care pathways for respiratory diseases) are structured multidisciplinary healthcare plans, promoting the recommendations of the guidelines in local protocols and their application to clinical practice. This document presents an executive summary for Argentina, Mexico, and Spain. Next-generation ARIA guidelines are being developed for the pharmacological treatment of allergic rhinitis (AR), using the GRADE-based guidelines for AR, tested with real-life evidence provided by mobile technology with visual analogue scales. It is concluded that in the AR treatment, H1-antihistamines are less effective than intranasal corticosteroids (INCS), in severe AR the INCS represent the first line of treatment, and intranasal combination INCS + anti-H1 is more effective than monotherapy. However, according to the MASK real-life observational study, patients have poor adherence to treatment and often self-medicate, according to their needs.

resumen está disponible en el texto completo

https://doi.org/10.29262/ram.v66i4.643 3239 downloads

12.

MASK (Mobile Airways Sentinel Network), a mobile App with ARIA’s comprehensive solution in Spanish-speaking countries
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Larenas-Linnemann, Désirée

; Mullol, Joaquim

; Ivancevich, Juan Carlos

; Anto, Josep M.

; Cardona, Victoria

; Dedeu, Toni

; Rodríguez-González, Mónica

; Huerta-Villalobos, Yunuen Rocío

; Neffen, Hugo

; Fuentes-Pérez, José Miguel

; Rodríguez-Zagal, Eréndira

; Valero, Antonio

; Zernotti, Mario

; Bartra, Joan

; Alobid, Isam

; Castillo-Vizuete, José Antonio

; Dordal, Teresa

; Hijano, Rafael

; Picad, César

; Sastre, Joaquín

; Blua, Ariel Eduardo

; Jares, Edgardo

; Lavrut, Alberto Jorge

; Máspero, Jorge

; Bedolla-Barajas, Martín

; Burguete-Cabañas, María Teresa

; Costa-Domínguez, María del Carmen

; Domínguez-Silva, Margarita

; Espinoza-Contreras, Jesús Guillermo

; Gálvez-Romero, José Luis

; García-Cobas, Cecilia Yvonne

; García-Cruz, María de la Luz Hortensia

; Hernández-Velázquez, Luiana

; Luna-Pech, Jorge A.

; Matta, Juan José

; Mogica-Martínez, María Dolores

; Rivero-Yeverino, Daniela

; Ruiz, Lucy Tania

; Río-Navarro, Blanca E. Del

; Gómez-Vera, Javier

; Macías-Weinmann, Alejandra

; Murray, Ruth

; Onorato, Gabrielle

; Laune, Daniel

; Bedbrook, Anna

; Bousquet, Jean

Revista alergia México

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Jun 2019, Volume 66 Nº 2 Páginas 263 - 268

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract Although there are high quality clinical guidelines about allergic rhinitis, many patients receive deficient treatment, partly due to the high level of self-medication. MASK (Mobile Airways Sentinel Network) is an integral part of a project against chronic diseases which it is focused on active and healthy aging and is supported by the European Union. It forms the third phase of ARIA (Allergic Rhinitis and its Impact on Asthma) in which, through a mobile app on a smart device, the purpose is to guide patients in the control of their multimorbidity, allergic rhinitis or conjunctivitis, or asthma. The "Allergy Diary" app by MACVIA-ARIA is free and it is available for Android and iOS; on it, patients indicate how unpleasant the symptoms are on a daily basis through five screens with an analogous visual scale; two more screens were recently added (sleep affectation). With the app, it is also possible to download the information of the “Allergy Diary” on the physician’s computer through a QR code at the moment of the medical consultation. In this article, we review the first year of experience in Spain, Mexico and Argentina, where the Spanish version is used.

resumen está disponible en el texto completo

https://doi.org/10.29262/ram.v66i2.628 404 downloads

13.

Modifications of the non-linear parameters of the heart rate variability related to the systematic practice of physical exercise
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González-Velázquez, Victor Ernesto

; Cobiellas-Carballo, Lázaro Ibraín

; Rebustillo-Escobar, Roxana María

; Semanat-Gabely, Walfrido

; Bueno-Revilla, David de J.

; López-Galán, Erislandis

; Sánchez-Hechavarría, Miguel E.

; Escalante Batista, Salvador

Revista Cubana de Investigaciones Biomédicas

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Mar 2019, Volume 38 Nº 1 elocation e122

Resumo: En | Texto: En | PDF: En

ABSTRACT Introduction: In recent years, the relationship between the systematic practice of physical exercise, cardiovascular dynamics and the functioning of the autonomic nervous system has been recognized. Objective: To determine the modifications that non-linear parameters undergo in the autonomic cardiovascular regulation of the heart rate variability with the systematic practice of physical exercise. Methods: A retrospective cohort analytical study was conducted from February 2016 to August 2018. Population and sample: 36 individuals (Group 1: 18 high- performance baseball athletes; Group 2: 18 medical students). The data were collected in the Biomedical Basic Sciences Laboratory at Medical school 1, University of Santiago de Cuba, through the 8-channel PowerLab polygraph, and stored using the Kubios Software version 3.0.4 Premium. Results: Statistically significant differences between means were found in heart rate values (p = 0.000); SD1 (p = 0.025); SD2/SD1 ratio (p = 0.007); sample entropy (p = 0.011); short-term fluctuations α 1 (p = 0.019); mean line length (p = 0.016); max line length (p = 0.001); recurrence rate (p = 0.034); determinism (p = 0.010) and Shannon entropy (p = 0.015). The parameters of SD1 (C = 0.906) and sample entropy (C = 0.712) were significantly associated with a heart rate ≤ 70 beats per minute. Conclusions: With the systematic practice of physical exercise, the non-linear parameters of the autonomic cardiovascular regulation of the heart rate variability undergoes modifications that respond to a better adaptability of the autonomic nervous system, and to a greater capacity to regulate cardiovascular function.

14.

Eficiencia en la cosecha manual de follaje de moté (Erythrina americana Miller)
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Oliva Hernández, Jorge

; López Herrera, María Aurelia

; Velázquez Jiménez, Erika

; López Enríquez, Giovani

; Vélez Pérez, Irving Iván

Revista mexicana de ciencias forestales

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2019, Volume 10 Nº 51 Páginas 53 - 67

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract: Moté (Erythrina americana Miller) is a deciduous tree of the family Fabaceae widely distributed in the Mexican tropical region whose foliage can be incorporated into programs of sheep feeding. However, there are few studies on the efficiency of the manual harvest of foliage in plantations which have not received previous management. The aim of the study was to determine the influence of the technician-harvester on the efficiency of foliage harvest of E. americana. A completely random design was used, where the study factor was the technician-harvester (four harvesters). The process of pruning and manual harvest of foliage was carried out during the north winds season. In the foliage, dry matter, ashes, organic matter, crude protein, neutral detergent fiber and acid detergent fiber were determined. The evaluated variables were: harvested foliage and branches (kg) in one and three hours (on wet and dry basis), foliage branches-1 ratio and crude protein obtained from harvested foliage. Wide variation was detected in the foliage harvest (41 % of CV). The technician-harvester did not affect (p> 0.05) any of the variables studied. In live fences with E. americana without previous pruning management, the technician-harvester did not influence the efficiency of foliage harvesting.

Resumen: El moté (Erythrina americana) es un árbol caducifolio considerado como especie multiusos de la familia Fabaceae; está ampliamente distribuido en la región tropical de México, y por su contenido de proteína cruda y carbohidratos estructurales en las hojas, se ha convertido en un recurso atractivo como complemento alimenticio para pequeños rumiantes como los ovinos. Sin embargo, existen pocos estudios relativos a la eficiencia en la cosecha manual de follaje en plantaciones que no han recibido manejo previo. Por lo tanto, se llevó a cabo un estudio durante la época climática de nortes, en el que se siguió un diseño completamente al azar, para conocer la influencia del técnico-cosechador sobre la eficiencia de cosecha de follaje de E. americana. De este material se determinaron materia seca, cenizas, materia orgánica, proteína cruda, fibra detergente neutro y fibra detergente ácido. Las variables evaluadas fueron: follaje y ramas cosechadas (kg) en una y tres h (en base húmeda y seca), relación follaje ramas-1 y proteína cruda. Los resultados indican una amplia variación en la cosecha de follaje (41 % de CV), pero el técnico-cosechador no afectó (p>0.05) ninguna de las variables estudiadas. En cercos vivos de E. americana sin manejo previo de poda, este agente no tuvo ningún efecto.

https://doi.org/10.29298/rmcf.v10i51.201 704 downloads

15.

Evaluation of the Inhibition of Angiotensin-converting Enzyme by New Thiomorpholine Compounds Using Capillary Zone Electrophoresis
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Vázquez-Valadez, Víctor H.

; Carrillo C., Ivonne

; Ramírez C., Nayeli

; Velázquez-S., Ana María

; Abrego, Víctor H.

; López Castañares, Rafael

; Angeles, E.

Journal of the Mexican Chemical Society

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Set 2018, Volume 62 Nº 3 Páginas 75 - 85

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract The inhibition capacity of the angiotensin converting enzyme (ACE) was determined by 5 different methylthiomorpholine compounds: (4-tert-butyl-2-(thiomorpholin-4-ylmethyl)phenol (LQM318), 4-tert-butyl-2,6-bis(thiomorpholin-4-ylmethyl)phenol (LQM319), 3,5-bis(thiomorpholin-4-ylmethyl) pyrogallol (LQM322), 4-methoxy-2-thiomorpholin-4-ylmethyl-1-phenol (LQM328) and 3,6-bis(thiomorpholin-4-ylmethyl)benzene-1,2-diol (LQM329), using Captopril as a reference. This last drug is used as an antihypertensive agent and known for its biological effect over ACE. The study was done using the capillary electrophoresis technique, with an in-line reaction using hippuryl-histidyl-leucine (HHL) as substrate to produce hippuric acid (HA). HA was detected at 254 nm, which is the detection wavelength to get the quantification of this compound. That was performed under the experimental conditions reported for such interaction. From this, the electrophoretic mobility of hippuric acid was computed in order to deduce the effective migration time and the recovered quantity, to prove and quantify the in-line activity of the enzyme.

Resumen La capacidad de inhibición de la enzima convertidora de angiotensina (ACE) se determinó mediante 5 compuestos diferentes derivados de la metiltiomorfolina: (4-terc-butil-2- (tiomorfolin-4-ilmetil) fenol (LQM318), 4-tert-butil-2,6-bis ( tiomorfolin-4-ilmetil) fenol (LQM319), 3,5-bis (tiomorfolin-4-ilmetil) pirogalol (LQM322), 4-metoxi-2-tiomorfolin-4-ilmetil-1-fenol (LQM328), 3,6 -bis (tiomorfolin-4-ilmetil) benceno-1,2-diol (LQM329) usando como referencia al Captopril. Este fármaco es utilizado como agente antihipertensivo y conocido por su efecto biológico sobre la ACE. El estudio se realizó utilizando la técnica de electroforesis capilar, con una reacción en línea utilizando hippuril-histidil-leucina (HHL) como sustrato para producir ácido hipúrico (HA). El HA se detectó a 254 nm, que es la longitud de onda de detección para obtener la cuantificación de este compuesto. Eso se realizó bajo las condiciones experimentales reportadas para tal interacción. A partir de esto, se calculó la movilidad electroforética del ácido hipúrico para deducir el tiempo efectivo de migración y la cantidad recuperada, esto para probar y cuantificar la actividad en línea de la enzima.

https://doi.org/10.29356/jmcs.v62i3.453 283 downloads

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