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Barbosa-Camacho FJ, Rodríguez-Machuca VU, Ibarrola-Peña JC, Chejfec-Ciociano JM, Guzmán-Ruvalcaba MJ, Tavares-Ortega JA, Delgado-Hernandez G, Cervantes-Guevara G, Cervantes-Pérez E, Ramírez-Ochoa S, Fuentes-Orozco C, Gonzalez-Ojeda A. COVID-19 pandemic and its impact on medical interns' mental health of public and private hospitals in Guadalajara. Med Educ Online 2024; 29:2308360. [PMID: 38281205 PMCID: PMC10823882 DOI: 10.1080/10872981.2024.2308360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Accepted: 01/16/2024] [Indexed: 01/30/2024]
Abstract
INTRODUCTION Burnout syndrome is a global burden characterized by exhaustion, work detachment, and a sense of ineffectiveness. It affects millions of individuals worldwide, with a particularly high prevalence among medical students. Factors such as demanding education, exposure to suffering, and the COVID-19 pandemic have contributed to elevated stress levels. Addressing this issue is crucial due to its impact on well-being and health-care quality. MATERIALS AND METHODS This cross-sectional survey study assessed fear of COVID-19 and burnout levels among medical student interns in hospitals in Guadalajara, Jalisco. The study used validated scales and collected data from September 2021 to September 2022. A snowball sampling method was employed and a minimum sample size of 198 participants was calculated. RESULTS This study included 311 medical students (62.1% female and 37.9% male with a mean age of 23.51 ± 2.21 years). The majority were in their second semester of internship (60.5%) and from public hospitals (89.1%). Most students believed that the COVID-19 pandemic affected the quality of their internship (82.6%). Female students had higher personal burnout scores, while male students had higher work-related burnout scores. The mean score for fear of COVID-19 was 13.71 ± 6.28, with higher scores among women (p = 0.004) and those from public hospitals (p = 0.009). A positive weak correlation was found between COVID-19 scores and burnout subscales. CONCLUSION Our study emphasizes the significant impact of various factors on burnout levels among medical students and health-care professionals during the COVID-19 pandemic. Prolonged exposure to COVID-19 patients, reduced staffing, and increased workload contributed to burnout, affecting well-being and quality of care. Targeted interventions and resilience-building strategies are needed to mitigate burnout and promote well-being in health-care settings.
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Affiliation(s)
- Francisco José Barbosa-Camacho
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
- Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
| | | | - Juan Carlos Ibarrola-Peña
- Hospital General y Medicina Familiar de Zona No. 2, Instituto Mexicano del Seguro Social, Nuevo León, Monterrey, México
| | - Jonathan Matías Chejfec-Ciociano
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | - Mario Jesús Guzmán-Ruvalcaba
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | - Jaime Alberto Tavares-Ortega
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | - Gonzalo Delgado-Hernandez
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco, México
| | - Enrique Cervantes-Pérez
- Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
| | - Sol Ramírez-Ochoa
- Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | - Alejandro Gonzalez-Ojeda
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
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Ambriz-Alarcón MA, Arroyo-Espinosa DI, Meugniot-García H, Sánchez-Navarro JP, Rubio-Mora BR, Ramírez-Ochoa S, Cervantes-Guevara G, Robledo-Valdez M, González-Ojeda A, Fuentes-Orozco C, Hernández-Mora FJ, Cervantes-Pérez E. Acute Myocardial Injury Assessed by High-Sensitivity Cardiac Troponin I Levels in Adult Patients with Early Sepsis at a Tertiary Referral Center in Mexico: An Exploratory Study. J Cardiovasc Dev Dis 2024; 11:28. [PMID: 38248898 PMCID: PMC10816110 DOI: 10.3390/jcdd11010028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 01/12/2024] [Accepted: 01/16/2024] [Indexed: 01/23/2024] Open
Abstract
The objective of the study was to describe the frequency of acute myocardial injury (AMI) assessed by high-sensitivity cardiac troponin I (hs-cTnI) levels and to determine the possible initial risk factors (related to the characteristics of the patient, the disease, and the initial management) in a population of adult patients with early sepsis (within the first 72 h of diagnosis) in a single tertiary hospital center in western Mexico. For the inferential statistics, the proportions of the categorical dichotomous variables were compared using the chi-square test. In all analyses, p values less than 0.05 with a 95% confidence interval were considered significant. We included a total of 64 patients diagnosed with early sepsis, of whom 46 presented elevated hs-cTnI and were classified as having AMI. In our study, the frequency of AMI in patients with early sepsis was 71.87%, and no significant differences were found in all of the characteristics of patients with early sepsis with and without AMI, nor was any significant association found with any of the variables analyzed. In the population of western Mexico, the frequency of AMI in patients with early sepsis, assessed by hs-cTnI levels, is high and similar to that reported in other populations worldwide.
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Affiliation(s)
- Mauricio Alfredo Ambriz-Alarcón
- Department of Internal Medicine, Centro Médico Nacional de Occidente “Lic. Ignacio García Téllez”, Instituto Mexicano del Seguro Social, Guadalajara 44350, Jalisco, Mexico; (M.A.A.-A.); (D.I.A.-E.); (H.M.-G.); (J.P.S.-N.); (B.R.R.-M.)
| | - Daniel Iván Arroyo-Espinosa
- Department of Internal Medicine, Centro Médico Nacional de Occidente “Lic. Ignacio García Téllez”, Instituto Mexicano del Seguro Social, Guadalajara 44350, Jalisco, Mexico; (M.A.A.-A.); (D.I.A.-E.); (H.M.-G.); (J.P.S.-N.); (B.R.R.-M.)
| | - Héctor Meugniot-García
- Department of Internal Medicine, Centro Médico Nacional de Occidente “Lic. Ignacio García Téllez”, Instituto Mexicano del Seguro Social, Guadalajara 44350, Jalisco, Mexico; (M.A.A.-A.); (D.I.A.-E.); (H.M.-G.); (J.P.S.-N.); (B.R.R.-M.)
| | - Juan Pablo Sánchez-Navarro
- Department of Internal Medicine, Centro Médico Nacional de Occidente “Lic. Ignacio García Téllez”, Instituto Mexicano del Seguro Social, Guadalajara 44350, Jalisco, Mexico; (M.A.A.-A.); (D.I.A.-E.); (H.M.-G.); (J.P.S.-N.); (B.R.R.-M.)
| | - Brian Rafael Rubio-Mora
- Department of Internal Medicine, Centro Médico Nacional de Occidente “Lic. Ignacio García Téllez”, Instituto Mexicano del Seguro Social, Guadalajara 44350, Jalisco, Mexico; (M.A.A.-A.); (D.I.A.-E.); (H.M.-G.); (J.P.S.-N.); (B.R.R.-M.)
| | - Sol Ramírez-Ochoa
- Department of Internal Medicine, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara 44350, Jalisco, Mexico;
| | - Gabino Cervantes-Guevara
- Department of Gastroenterology, Hospital Civil de Guadalajara Fray Antonio Alcalde, Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44350, Jalisco, Mexico;
- Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Jalisco, Mexico
| | - Miguel Robledo-Valdez
- Translational Nutrition Sciences Program, Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44100, Jalisco, Mexico;
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, Guadalajara 44350, Jalisco, Mexico; (A.G.-O.); (C.F.-O.)
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, Guadalajara 44350, Jalisco, Mexico; (A.G.-O.); (C.F.-O.)
| | - Francisco Javier Hernández-Mora
- Department of Human Reproduction, Growth and Child Development, Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44329, Jalisco, Mexico;
- Department of Obstetrics, Hospital Civil de Guadalajara Fray Antonio Alcalde, Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44350, Jalisco, Mexico
| | - Enrique Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara 44350, Jalisco, Mexico;
- Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico
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Cortés-Ramírez R, Ruíz-Velasco CB, González-Ojeda A, Ramírez-Aguado RA, Barrera-López NG, Gómez-Mejía E, Toala-Díaz K, Delgado-Hernández G, López-Bernal NE, Tavares-Ortega JA, Chejfec-Ciociano JM, Cervantes-Guevara G, Cervantes-Cardona G, Cervantes-Pérez E, Ramírez-Ochoa S, Nápoles-Echauri A, Álvarez-Villaseñor AS, Cortés-Flores AO, Fuentes-Orozco C. External urology consultation quality at a third-level public hospital in Mexico. Actas Urol Esp 2023:S2173-5786(23)00140-3. [PMID: 38159803 DOI: 10.1016/j.acuroe.2023.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Revised: 10/16/2023] [Accepted: 10/17/2023] [Indexed: 01/03/2024]
Abstract
INTRODUCTION Patient satisfaction is the degree of conformity with the healthcare they receive. It is real evidence and one of the most important factors in determining the effectiveness and quality of healthcare systems. OBJECTIVE To identify the quality of care in the Urology outpatient department of a third-level hospital. MATERIALS AND METHODS The NHS (National Health Service) 2018 quality of care questionnaire with 11 sections, 133 items, and duration of approximately 25min was randomly administered to 250 patients attending Urology outpatients at a third-level public hospital in Mexico. RESULTS According to responses, 92% (n=230) knew the reason for the consultation. 64.8% (n=162) had a consultation with the same physician by whom they were initially seen. The longest reported hospital wait time before being seen was more than 2h in 29.6% (n=74). As for consultation time, 212 patients responded and the duration was 11-20min in 52.8% (n=112). Finally, 33.2% (n=83) considered the quality of service to be good. CONCLUSIONS The use of the NHS 2018 survey in the Urology service at a third-level public hospital in Mexico is feasible, since we managed to obtain a significant and continuous improvement in all its indicators which is satisfactory for all.
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Affiliation(s)
- R Cortés-Ramírez
- Instituto Mexicano del Seguro Social, Hospital de Especialidades Centro Médico Nacional de Occidente, Servicio de Urología, Guadalajara, Jalisco, Mexico
| | - C B Ruíz-Velasco
- Instituto Mexicano del Seguro Social, Hospital de Especialidades Centro Médico Nacional de Occidente, Servicio de Urología, Guadalajara, Jalisco, Mexico
| | - A González-Ojeda
- Instituto Mexicano del Seguro Social, Hospital de Especialidades Centro Médico Nacional de Occidente, Unidad de Investigación Biomédica 02, Guadalajara, Jalisco, Mexico
| | - R A Ramírez-Aguado
- Instituto Mexicano del Seguro Social, Hospital de Especialidades Centro Médico Nacional de Occidente, Unidad de Investigación Biomédica 02, Guadalajara, Jalisco, Mexico
| | - N G Barrera-López
- Instituto Mexicano del Seguro Social, Hospital de Especialidades Centro Médico Nacional de Occidente, Unidad de Investigación Biomédica 02, Guadalajara, Jalisco, Mexico
| | - E Gómez-Mejía
- Instituto Mexicano del Seguro Social, Hospital de Especialidades Centro Médico Nacional de Occidente, Unidad de Investigación Biomédica 02, Guadalajara, Jalisco, Mexico
| | - K Toala-Díaz
- Instituto Mexicano del Seguro Social, Hospital de Especialidades Centro Médico Nacional de Occidente, Unidad de Investigación Biomédica 02, Guadalajara, Jalisco, Mexico
| | - G Delgado-Hernández
- Instituto Mexicano del Seguro Social, Hospital de Especialidades Centro Médico Nacional de Occidente, Unidad de Investigación Biomédica 02, Guadalajara, Jalisco, Mexico
| | - N E López-Bernal
- Instituto Mexicano del Seguro Social, Hospital de Especialidades Centro Médico Nacional de Occidente, Unidad de Investigación Biomédica 02, Guadalajara, Jalisco, Mexico
| | - J A Tavares-Ortega
- Instituto Mexicano del Seguro Social, Hospital de Especialidades Centro Médico Nacional de Occidente, Unidad de Investigación Biomédica 02, Guadalajara, Jalisco, Mexico
| | - J M Chejfec-Ciociano
- Instituto Mexicano del Seguro Social, Hospital de Especialidades Centro Médico Nacional de Occidente, Unidad de Investigación Biomédica 02, Guadalajara, Jalisco, Mexico
| | - G Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco, Mexico
| | - G Cervantes-Cardona
- Departamento de Disciplinas Filosóficas, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
| | - E Cervantes-Pérez
- Departamento de Medicina Interna, Hospital Civil de Guadalajara «Fray Antonio Alcalde», Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
| | - S Ramírez-Ochoa
- Departamento de Medicina Interna, Hospital Civil de Guadalajara «Fray Antonio Alcalde», Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
| | - A Nápoles-Echauri
- Departamento de Disciplinas Filosóficas, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
| | - A S Álvarez-Villaseñor
- Coordinación Auxiliar Médica de Investigación en Salud, Instituto Mexicano del Seguro Social, La Paz, BCS, Mexico
| | - A O Cortés-Flores
- Departamento de Cirugía Oncológica, ONKIMIA, Guadalajara, Jalisco, Mexico
| | - C Fuentes-Orozco
- Instituto Mexicano del Seguro Social, Hospital de Especialidades Centro Médico Nacional de Occidente, Unidad de Investigación Biomédica 02, Guadalajara, Jalisco, Mexico.
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Acosta-Santillán PL, Toro-Sashida MF, Rosas-Mendoza AV, Fuentes-Orozco C, Jasso-García K, García de León-Flores P, Mellado-Téllez MP, Ibarra-Camargo SA, Chejfec-Ciociano JM, Barbosa-Camacho FJ, Flores-Prado JA, Cervantes-Guevara G, Cervantes-Pérez E, Cevantes-Cardona GA, Alvarez-Villaseñor AS, González-Ojeda A. Quality of sexual life in Mexican men after spinal cord injury. J Rehabil Med 2023; 55:jrm11641. [PMID: 38124428 PMCID: PMC10802783 DOI: 10.2340/jrm.v55.11641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Accepted: 10/24/2023] [Indexed: 12/23/2023] Open
Abstract
OBJECTIVE To evaluate the quality of sexual life in men with spinal cord injury. DESIGN Cross-sectional analytical study. PATIENTS Males with a history of spinal cord injury who attended an outpatient rehabilitation service. METHODS An analytical study examined adult male patients with complete spinal cord injury in rehabilitation. A modified Sexual Life Quality Questionnaire (SLQQ) examined quality of sexual life, with scores below 50 suggesting significant sexual dysfunction and dissatisfaction. The assessment evaluated age, occupation, marital status, comorbidities, and treatment methods. RESULTS A total of 80 patients were included; 33 (41%) had a thoracic spinal cord injury, and 47 (59%) had a lumbar spinal cord injury. Thirty-seven patients (46%) were dissatisfied with the quality of their sexual life; 29 patients (88%) with thoracic spinal cord injury and 8 patients (17%) with lumbar spinal cord injury were dissatisfied with the quality of their sexual life (p = 0.001). Patients with higher education level experienced less sexual dissatisfaction (p = 0.03). CONCLUSION Human sexuality involves numerous interconnected elements that impact on general health. Sexual pleasure, self-esteem, and personal relationships are crucial for patients with spinal cord injury to identify rehabilitation needs. These results indicate the importance of supporting sexual well-being in recovery. Further studies of sexual enjoyment and quality of life for patients with spinal cord injury are needed, using larger and more diverse populations.
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Affiliation(s)
- Paulina Lucia Acosta-Santillán
- Department of Physical Rehabilitation, Specialties Hospital of the National Medical Center of the West, Mexican Institute of Social Security, Guadalajara, Jalisco, México
| | - Maria Fernanda Toro-Sashida
- Department of Physical Rehabilitation, Specialties Hospital of the National Medical Center of the West, Mexican Institute of Social Security, Guadalajara, Jalisco, México
| | - Alejandra Viridiana Rosas-Mendoza
- Department of Physical Rehabilitation, Specialties Hospital of the National Medical Center of the West, Mexican Institute of Social Security, Guadalajara, Jalisco, México
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Specialties Hospital of the National Medical Center of the West, Mexican Institute of Social Security, Guadalajara, Jalisco, México
| | - Kelvin Jasso-García
- Biomedical Research Unit 02, Specialties Hospital of the National Medical Center of the West, Mexican Institute of Social Security, Guadalajara, Jalisco, México
| | - Paulina García de León-Flores
- Biomedical Research Unit 02, Specialties Hospital of the National Medical Center of the West, Mexican Institute of Social Security, Guadalajara, Jalisco, México
| | - Mel Paul Mellado-Téllez
- Biomedical Research Unit 02, Specialties Hospital of the National Medical Center of the West, Mexican Institute of Social Security, Guadalajara, Jalisco, México
| | - Silvia Alejandra Ibarra-Camargo
- Biomedical Research Unit 02, Specialties Hospital of the National Medical Center of the West, Mexican Institute of Social Security, Guadalajara, Jalisco, México
| | - Jonathan Matías Chejfec-Ciociano
- Biomedical Research Unit 02, Specialties Hospital of the National Medical Center of the West, Mexican Institute of Social Security, Guadalajara, Jalisco, México
| | - Francisco José Barbosa-Camacho
- Department of Psychiatry, Civil Hospital of Guadalajara Fray Antonio Alcalde, University Center of Health Sciences, University of Guadalajara, Guadalajara, Jalisco, México
| | - Juan Armando Flores-Prado
- Biomedical Research Unit 02, Specialties Hospital of the National Medical Center of the West, Mexican Institute of Social Security, Guadalajara, Jalisco, México
| | - Gabino Cervantes-Guevara
- Department of Wellbeing and Sustainable Development, Centro Universitario del Norte, University of Guadalajara, Guadalajara, Jalisco, México
| | - Enrique Cervantes-Pérez
- Department of Internal Medicine, Civil Hospital of Guadalajara Fray Antonio Alcalde, University Center of Health Sciences, University of Guadalajara, Guadalajara, Jalisco. México
| | - Guillermo Alonso Cevantes-Cardona
- Department of Philosophical, Methodological and Instrumental Disciplines, University Center of Health Sciences, University of Guadalajara, Guadalajara, Jalisco, México
| | | | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Specialties Hospital of the National Medical Center of the West, Mexican Institute of Social Security, Guadalajara, Jalisco, México.
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Ponce-Herrera D, Ramírez-Ochoa S, Flores-Álvarez E, Gómez-Arambulo R, Nava-Román JM, Méndez-Esparza AG, Cervantes-Guevara G, González-Ojeda A, Fuentes-Orozco C, González-Valencia CM, Ambriz-Alarcón MA, Meugniot-García H, Rubio-Mora BR, Cervantes-Pérez E. Colonic Anastomoses Reinforced With Ethyl-2-Cyanoacrylate Compared With Polydioxanone Sutures Alone in Fecal Peritonitis: An Experimental Study in Wistar Rats. Cureus 2023; 15:e49516. [PMID: 38156173 PMCID: PMC10752756 DOI: 10.7759/cureus.49516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/20/2023] [Indexed: 12/30/2023] Open
Abstract
INTRODUCTION The use of tissue adhesives has been proposed as an anastomosis reinforcement; however, their efficacy has not been evaluated in a contaminated environment. The objective of this study was to determine if the use of sutures reinforced with ethyl-2-cyanoacrylate for colonic anastomoses in the presence of fecal peritonitis, in a murine animal model, decreases the frequency of dehiscence. METHODS Wistar rats were used. Fecal peritonitis was established until reaching 18 hours of evolution. Then, resection and anastomosis of the colon were performed with only polydioxanone (PDS) sutures in the control group and reinforcement with ethyl-2-cyanoacrylate in the experimental group. The dehiscence frequency and burst pressure were evaluated six days after the anastomosis was performed. RESULTS We included 30 Wistar rats, all males, with a median age of five months and an average weight of 350.43 g. Anastomotic dehiscence was observed in 53.33% of the control group, in contrast with 13.33% of the experimental group (p = 0.020). There was no significant difference in burst pressure between the two groups. CONCLUSION The use of ethyl-2-cyanoacrylate, in an experimental murine animal model, as reinforcement in colonic anastomoses in the presence of fecal peritonitis decreases the frequency of anastomotic dehiscence, although it does not increase resistance to burst pressure.
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Affiliation(s)
- David Ponce-Herrera
- Department of Surgical Oncology, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX
| | - Sol Ramírez-Ochoa
- Department of Internal Medicine, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX
| | - Efrén Flores-Álvarez
- Department of Surgical Oncology, Centenario Hospital Miguel Hidalgo, Aguascalientes, MEX
| | | | - José M Nava-Román
- Department of Surgery, ISSEA Hospital General Tercer Milenio, Aguascalientes, MEX
| | | | - Gabino Cervantes-Guevara
- Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Guadalajara, MEX
- Department of Gastroenterology, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social, Guadalajara, MEX
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social, Guadalajara, MEX
| | | | - Mauricio A Ambriz-Alarcón
- Department of Internal Medicine, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX
| | - Héctor Meugniot-García
- Department of Internal Medicine, Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social, Guadalajara, MEX
| | - Brian R Rubio-Mora
- Department of Internal Medicine, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX
| | - Enrique Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX
- Tlajomulco University Center, Universidad de Guadalajara, Tlajomulco de Zuñiga, MEX
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Ochoa-Ortiz LI, Cervantes-Pérez E, Ramírez-Ochoa S, Gonzalez-Ojeda A, Fuentes-Orozco C, Aguirre-Olmedo I, De la Cerda-Trujillo LF, Rodríguez-Navarro FM, Navarro-Muñiz E, Cervantes-Guevara G. Risk Factors and Prevalence Associated With Conversion of Laparoscopic Cholecystectomy to Open Cholecystectomy: A Tertiary Care Hospital Experience in Western Mexico. Cureus 2023; 15:e45720. [PMID: 37868578 PMCID: PMC10590211 DOI: 10.7759/cureus.45720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2023] [Indexed: 10/24/2023] Open
Abstract
Introduction Laparoscopic cholecystectomy (LC) is a common procedure used for the treatment of different pathologies caused by gallstones in the gallbladder, and one of the most common indications is acute cholecystitis. The definitive treatment for acute cholecystitis is surgery, and LC is the gold standard. Nevertheless, transoperative complications (like intraoperative bleeding, anatomical abnormalities of the gallbladder, etc.) of LC and some other preoperative factors (like dilatation of bile duct, increased gallbladder wall thickness, etc.) can cause or be a risk factor for conversion to open cholecystectomy (OC). The objective of this study was to determine the risk factors and prevalence associated with the conversion from LC to OC in patients with gallbladder pathology and the indication for LC. Materials and methods This was a prospective cohort study. We included patients of both sexes over 18 years of age with gallbladder disease. To determine the risk factors associated with conversion, we performed a bivariate analysis and then a multivariate analysis. Results The rate of conversion to OC was 4.54%. The preoperative factors associated with conversion, in the bivariate analysis, were common bile duct dilatation (p=0.008), emergency surgery (p=0.014), and smoking (p=0.001); the associated intraoperative variables were: laparoscopic surgery duration (p <0.0001), Calot triangle edema (p=0.033), incapacity to hold the gallbladder with atraumatic laparoscopic tweezers (p=0.036), and choledocholithiasis (p=0.042). Laparoscopic Surgery duration was the only factor with a significant association in the multivariate analysis (p=0.0036); we performed a receiver operating characteristic (ROC) curve analysis and found a cut-off point of 120 minutes for the duration of laparoscopic surgery with a sensitivity and a specificity of 67 and 88%, respectively. Conclusion The prevalence of conversion from LC to OC is similar to that reported in the international literature. The risk factors associated with conversion to OC, in this study, should be confirmed in future clinical studies, in this same population, with a larger sample size.
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Affiliation(s)
- Lourdes I Ochoa-Ortiz
- Department of Surgery, Hospital Civil de Guadalajara Juan I. Menchaca, Guadalajara, MEX
| | - Enrique Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX
- Department of Clinics, Centro Universitario de Tlajomulco, Universidad de Guadalajara, Tlajomulco de Zuñiga, MEX
| | - Sol Ramírez-Ochoa
- Department of Internal Medicine, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX
| | - Alejandro Gonzalez-Ojeda
- Biomedical Research Unit 02, Specialties Hospital - Western National Medical Center, Mexican Institute of Social Security, Guadalajara, MEX
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Specialties Hospital - Western National Medical Center, Mexican Institute of Social Security, Guadalajara, MEX
| | - Itze Aguirre-Olmedo
- Department of Surgery, Hospital Civil de Guadalajara Juan I. Menchaca, Guadalajara, MEX
| | | | | | | | - Gabino Cervantes-Guevara
- Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Guadalajara, MEX
- Department of Gastroenterology, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX
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7
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Castellanos-Bermejo JE, Cervantes-Guevara G, Cervantes-Pérez E, Cervantes-Cardona GA, Ramírez-Ochoa S, Fuentes-Orozco C, Delgado-Hernández G, Tavares-Ortega JA, Gómez-Mejía E, Chejfec-Ciociano JM, Flores-Prado JA, Barbosa-Camacho FJ, González-Ojeda A. Diagnostic Efficacy of Chest Computed Tomography with a Dual-Reviewer Approach in Patients Diagnosed with Pneumonia Secondary to Severe Acute Respiratory Syndrome Coronavirus 2. Tomography 2023; 9:1617-1628. [PMID: 37736982 PMCID: PMC10514805 DOI: 10.3390/tomography9050129] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 08/16/2023] [Accepted: 08/22/2023] [Indexed: 09/23/2023] Open
Abstract
To compare the diagnostic effectiveness of chest computed tomography (CT) utilizing a single- versus a dual-reviewer approach in patients with pneumonia secondary to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), we conducted a retrospective observational study of data from a cross-section of 4809 patients with probable SARS-CoV-2 from March to November 2020. All patients had a CT radiological report and reverse-transcription polymerase chain reaction (PCR) results. A dual-reviewer approach was applied to two groups while conducting a comparative examination of the data. Reviewer 1 reported 108 patients negative and 374 patients positive for coronavirus disease 2019 (COVID-19) in group A, and 266 negative and 142 positive in group B. Reviewer 2 reported 150 patients negative and 332 patients positive for COVID-19 in group A, and 277 negative and 131 positive in group B. The consensus result reported 87 patients negative and 395 positive for COVID-19 in group A and 274 negative and 134 positive in group B. These findings suggest that a dual-reviewer approach improves chest CT diagnosis compared to a conventional single-reviewer approach.
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Affiliation(s)
- Jaime E. Castellanos-Bermejo
- Departamento de Radiología e Imagen, Hospital General Regional 110, Instituto Mexicano del Seguro Social, Guadalajara 44716, Mexico;
| | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Mexico;
- Departamento de Gastroenterología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Universidad de Guadalajara, Guadalajara 44280, Mexico
| | - Enrique Cervantes-Pérez
- Departamento de Medicina Interna, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara 44280, Mexico; (E.C.-P.)
- Centro Universitario de Tlajomulco, Universidad de Guadalajara, Tlajomulco de Zúñiga 45641, Mexico
| | - Guillermo A. Cervantes-Cardona
- Departamento de Disciplinas Filosóficas, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Mexico;
| | - Sol Ramírez-Ochoa
- Departamento de Gastroenterología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Universidad de Guadalajara, Guadalajara 44280, Mexico
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, Unidad Médica de alta especialidad, Hospital de Especialidades Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44329, Mexico; (C.F.-O.); (G.D.-H.); (J.A.T.-O.); (E.G.-M.); (J.M.C.-C.); (J.A.F.-P.)
| | - Gonzalo Delgado-Hernández
- Unidad de Investigación Biomédica 02, Unidad Médica de alta especialidad, Hospital de Especialidades Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44329, Mexico; (C.F.-O.); (G.D.-H.); (J.A.T.-O.); (E.G.-M.); (J.M.C.-C.); (J.A.F.-P.)
| | - Jaime A. Tavares-Ortega
- Unidad de Investigación Biomédica 02, Unidad Médica de alta especialidad, Hospital de Especialidades Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44329, Mexico; (C.F.-O.); (G.D.-H.); (J.A.T.-O.); (E.G.-M.); (J.M.C.-C.); (J.A.F.-P.)
| | - Erika Gómez-Mejía
- Unidad de Investigación Biomédica 02, Unidad Médica de alta especialidad, Hospital de Especialidades Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44329, Mexico; (C.F.-O.); (G.D.-H.); (J.A.T.-O.); (E.G.-M.); (J.M.C.-C.); (J.A.F.-P.)
| | - Jonathan M. Chejfec-Ciociano
- Unidad de Investigación Biomédica 02, Unidad Médica de alta especialidad, Hospital de Especialidades Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44329, Mexico; (C.F.-O.); (G.D.-H.); (J.A.T.-O.); (E.G.-M.); (J.M.C.-C.); (J.A.F.-P.)
| | - Juan A. Flores-Prado
- Unidad de Investigación Biomédica 02, Unidad Médica de alta especialidad, Hospital de Especialidades Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44329, Mexico; (C.F.-O.); (G.D.-H.); (J.A.T.-O.); (E.G.-M.); (J.M.C.-C.); (J.A.F.-P.)
| | - Francisco J. Barbosa-Camacho
- Departamento de Psiquiatría, Hospital Civil de Guadalajara Fray Antonio Alcalde, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44280, Mexico;
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, Unidad Médica de alta especialidad, Hospital de Especialidades Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44329, Mexico; (C.F.-O.); (G.D.-H.); (J.A.T.-O.); (E.G.-M.); (J.M.C.-C.); (J.A.F.-P.)
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8
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Hernández-Mora FJ, Cerda-Guerrero CK, García-Benavides L, Cervantes-Pérez E, Ramírez-Ochoa S, Vázquez-Beltrán JC, Cervantes-Guevara G, Ledezma-Hurtado E, Nápoles-Echauri A, González-Ojeda A, Fuentes-Orozco C, Hernández-Rivas MI, Chávez-Tostado M, Cervantes-Cardona GA. Comparison of Central Aortic Pressure between Women with Preeclampsia and Normotensive Postpartum Women from an Urban Region of Western Mexico. Medicina (Kaunas) 2023; 59:1343. [PMID: 37512152 PMCID: PMC10383829 DOI: 10.3390/medicina59071343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 06/16/2023] [Accepted: 07/20/2023] [Indexed: 07/30/2023]
Abstract
Background and Objectives: Central aortic pressure (CAP) can be measured through noninvasive methods, and CAP wave analysis can provide information about arterial stiffness. The objective of this study was to compare CAP in women with preeclampsia and normotensive postpartum women from an urban region in western Mexico. Materials and Methods: We recruited 78 women in immediate puerperium, including 39 with preeclampsia and 39 with normotension, who received delivery care in our hospital between September 2017 and January 2018. Pulse wave analysis was used to assess central hemodynamics as well as arterial stiffness with an oscillometric device. For this purpose, the measurement of the wave of the left radial artery was obtained with a wrist applanation tonometer and the ascending aortic pressure wave was generated using the accompanying software (V 1.1, Omron, Japan). Additionally, the systolic CAP, diastolic pressure, pulse pressure, heart rate, and rise rate adjusted for a heart rate of 75 bpm were determined. The radial pulse wave was calibrated using the diastolic and mean arterial pressures obtained from the left brachial artery. For all the statistical analyses, we considered p < 0.05 to be significant. Results: The results were as follows: a systolic CAP of 125.40 (SD 15.46) vs. 112.10 (SD 10.12) with p < 0.0001 for women with and without preeclampsia, respectively. Systolic CAP was significantly elevated in women with preeclampsia and could indicate an elevated risk of cardiovascular disease. Conclusion: CAP is an important parameter that can be measured in this group of patients and is significantly elevated in women with postpartum preeclampsia, even when the brachial blood pressure is normal.
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Affiliation(s)
- Francisco J Hernández-Mora
- Department of Human Reproduction, Growth and Child Development, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, Jalisco, Mexico
- Department of Obstetrics, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44200 Guadalajara, Jalisco, Mexico
| | - Claudia K Cerda-Guerrero
- Department of Obstetrics, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44200 Guadalajara, Jalisco, Mexico
| | - Leonel García-Benavides
- Department of Biomedical Sciences, Centro Universitario de Tonalá, Universidad de Guadalajara, 45425 Tonalá, Jalisco, Mexico
| | - Enrique Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44200 Guadalajara, Jalisco, Mexico
- Department of Clinics, Centro Universitario de Tlajomulco, Universidad de Guadalajara, 45641 Tlajomulco de Zúñiga, Jalisco, Mexico
| | - Sol Ramírez-Ochoa
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44200 Guadalajara, Jalisco, Mexico
| | | | - Gabino Cervantes-Guevara
- Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, 46200 Colotlán, Jalisco, Mexico
| | - Ernesto Ledezma-Hurtado
- Department of Obstetrics, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44200 Guadalajara, Jalisco, Mexico
| | - Adriana Nápoles-Echauri
- Department of Philosophical, Methodological and Instrumental Disciplines, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, Jalisco, Mexico
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, 44329 Guadalajara, Jalisco, Mexico
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, 44329 Guadalajara, Jalisco, Mexico
| | - María Isabel Hernández-Rivas
- Odontology Department for the Preservation of Health, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, Jalisco, Mexico
| | - Mariana Chávez-Tostado
- Department of Human Reproduction, Growth and Child Development, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, Jalisco, Mexico
| | - Guillermo A Cervantes-Cardona
- Department of Philosophical, Methodological and Instrumental Disciplines, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, Jalisco, Mexico
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9
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Chávez-Tostado M, Chávez-Tostado KV, Cervantes-Guevara G, Cervantes-Cardona G, Hernandez-Corona DM, González-Heredia T, Méndez-Del Villar M, Corona-Meraz FI, Guzmán-Ornelas MO, Barbosa-Camacho FJ, Álvarez-Villaseñor AS, Cervantes-Pérez E, Fuentes-Orozco C, Barrera-López NG, López-Bernal NE, González-Ojeda A. Breastfeeding Practices and Postpartum Depression in Mexican Women during the COVID-19 Pandemic: A Cross-Sectional Study. Medicina (Kaunas) 2023; 59:1330. [PMID: 37512141 PMCID: PMC10385480 DOI: 10.3390/medicina59071330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 07/12/2023] [Accepted: 07/17/2023] [Indexed: 07/30/2023]
Abstract
Background: Breastfeeding is a characteristic process of mammals that ensures delivery of an adequate nutritional supply to infants. It is the gold standard food source during an infant's first months of life. Since the onset of the COVID-19 pandemic in 2020, people in quarantine have experienced a wide range of feelings, which may make isolation challenging in terms of maternal health. This study focused on the prevalence of breastfeeding practices and postpartum depression (PPD) among Mexican women during the COVID-19 pandemic. Materials and Methods: This cross-sectional study included 586 postpartum women who completed an online survey 4-8 weeks after delivery from April to December 2020 in Guadalajara, Mexico. The aim was to identify potentially depressed mothers according to the Edinburgh Postnatal Depression Scale (EPDS) and describe their breastfeeding practices. Results: The mean maternal age was 30.4 ± 4.6 years, the mean EPDS score was 9.6 ± 5.0, and the PPD prevalence according EPDS scores was 27.1%. Exclusive breastfeeding (EBF) was reported by 32.3% of mothers in the first 48 h and by 70.3% of mothers 48 h after delivery. EBF was associated with a lower prevalence of PPD during the first 48 h (p = 0.015) and after the first 48 h (p = 0.001) after delivery. Skin-to-skin contact (SSC) was reported by 385 (65.7%) mothers. PPD was less frequent in mothers practicing SSC (20.3%) than it was in those not practicing SSC (40.3%) (p = 0.001). A higher percentage of mothers practiced SSC breastfed (66.9%) and used EBF (150, 79.4%) (p = 0.012 and 0.001, respectively). Conclusions: Results suggest that the pandemic emergency and restrictions imposed on the population significantly affected the well-being of mothers after birth, and that these effects may have posed risks to the mental health and emotional stability of postpartum mothers. Therefore, encouraging BF or EBF and SSC may improve or limit depressive symptoms in postpartum mothers.
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Affiliation(s)
- Mariana Chávez-Tostado
- Departamento de Reproducción, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44410, Mexico
| | | | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Mexico
| | - Guillermo Cervantes-Cardona
- Departamento de Disciplinas Filosóficas, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44410, Mexico
| | - Diana Mercedes Hernandez-Corona
- Departamento de Ciencias Biomédicas, División de Ciencias de la Salud, Centro Universitario de Tonalá, Universidad de Guadalajara, Tonalá 45425, Mexico
| | - Tonatiuh González-Heredia
- Departamento de Ciencias Biomédicas, División de Ciencias de la Salud, Centro Universitario de Tonalá, Universidad de Guadalajara, Tonalá 45425, Mexico
| | - Miriam Méndez-Del Villar
- Departamento de Ciencias Biomédicas, División de Ciencias de la Salud, Centro Universitario de Tonalá, Universidad de Guadalajara, Tonalá 45425, Mexico
| | - Fernanda Isadora Corona-Meraz
- Departamento de Ciencias Biomédicas, División de Ciencias de la Salud, Centro Universitario de Tonalá, Universidad de Guadalajara, Tonalá 45425, Mexico
| | - Milton Omar Guzmán-Ornelas
- Departamento de Ciencias Biomédicas, División de Ciencias de la Salud, Centro Universitario de Tonalá, Universidad de Guadalajara, Tonalá 45425, Mexico
| | | | | | - Enrique Cervantes-Pérez
- Departamento de Medicina Interna, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Universidad de Guadalajara, Guadalajara 44340, Mexico
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Mexico
| | - Natalia Guadalupe Barrera-López
- Unidad de Investigación Biomédica 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Mexico
| | - Noelia Esthela López-Bernal
- Unidad de Investigación Biomédica 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Mexico
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Mexico
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10
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Salazar-Parra MA, Cruz-Neri RU, Trujillo-Trujillo XA, Dominguez-Mora JJ, Cruz-Neri HI, Guzmán-Díaz JM, Guzmán-Ruvalcaba MJ, Vega-Gastelum JO, Ascencio-Díaz KV, Zarate-Casas MF, González-Ponce FY, Barbosa-Camacho FJ, Fuentes-Orozco C, Cervantes-Guevara G, Cervantes-Pérez E, Cervantes-Cardona GA, Cortés-Flores AO, González-Ojeda A. Effectiveness of Saccharomyces Boulardii CNCM I-745 probiotic in acute inflammatory viral diarrhoea in adults: results from a single-centre randomized trial. BMC Gastroenterol 2023; 23:229. [PMID: 37400812 DOI: 10.1186/s12876-023-02863-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 06/27/2023] [Indexed: 07/05/2023] Open
Abstract
BACKGROUND Probiotics are effective for treating acute infectious diarrhoea caused by bacteria, but there are inconsistent results for the effectiveness of probiotics for diarrhoea caused by viruses. In this article we want to determine whether Sb supplementation has an effect on acute inflammatory viral diarrhoea diagnosed with the multiplex panel PCR test. The aim of this study was to evaluate the efficacy of Saccharomyces boulardii (Sb) as a treatment in patients diagnosed with viral acute diarrhoea. METHODS From February 2021 to December 2021, 46 patients with a confirmed diagnosis of viral acute diarrhoea diagnosed with the polymerase chain reaction multiplex assay were enrolled in a double-blind, randomized placebo-controlled trial. Patients received paracetamol 500 mg as a standard analgesic and 200 mg of Trimebutine as an antispasmodic treatment plus 600 mg of Sb (n = 23, 1 × 109/100 mL Colony forming unit) or a placebo (n = 23) orally once daily for eight days. The improvement in and severity of symptoms were measured using a symptom diary, the Patient Global Impression and the Patient Global Impression of Change scales (days 4 and 8), both answered and recorded by the patient. RESULTS Of the 46 patients who completed treatment, 24 (52%) were men and 22 (48%) were women. The average age was 35.6 ± 12.28 years (range 18 to 61 years). The average duration of the evolution of illness at the time of diagnosis was 0.85 ± 0.73 days (maximum 2 days). On day 4 after the diagnosis, 20% reported pain and 2% reported fever, but on day 8, no patient reported pain or fever. On day 4, 70% of patients in the Sb group and 26% in the placebo group reported improvement (P = 0.03), based on the Patients' Global Impression of Change scale, which assesses patient's rating of overall improvement. These findings suggest that 3 to 4 days of treatment with Sb helped to improve symptoms of diarrhoea caused by a virus. CONCLUSION Treatment with Sb on acute inflammatory diarrhoea of viral aetiology shows no changes regarding the severity of the symptoms; nevertheless, it seems to impact improvement positively. TRIAL REGISTRATION 22CEI00320171130 dated on 16/12/2020, NCT05226052 dated on 07/02/2022.
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Affiliation(s)
- Marcela Ag Salazar-Parra
- Biomedical Research Unit 02, Western National Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez #1000, Colonia Independencia, Guadalajara, Jalisco, 44340, Mexico
- Department of Medical Science, University of Colima, Avenida Universidad #333, Colonia las Víboras, Colima, Colima, 28040, México
| | - Roberto U Cruz-Neri
- Surgeon and Coloproctologist, Puerta de Hierro Sur Medical Center, Tlajomulco de Zúñiga, Avenida Adolfo López Mateos Sur #1401, Colonia La Tijera, Jalisco, 45640, Mexico
| | - Xóchitl Ar Trujillo-Trujillo
- University of Colima, Universitary Center of Biomedical Research, Colonia Villas de San Sebastián, Avenida 25 de Julio #965, Colima, Colima, 28045, Mexico
| | - Juan J Dominguez-Mora
- Puerta de Hierro Medical Center, Tlajomulco de Zúñiga, Avenida Adolfo López Mateos Sur #1401, Colonia La Tijera, Jalisco, 45640, Mexico
| | - Héctor I Cruz-Neri
- High Specialty Geriatric Care Unit, Hospital Civil Fray Antonio Alcalde, Calle Hospital #278, Colonia El Retiro, Guadalajara, Jalisco, 44280, México
| | - Jazmín M Guzmán-Díaz
- Biomedical Research Unit 02, Western National Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez #1000, Colonia Independencia, Guadalajara, Jalisco, 44340, Mexico
| | - Mario J Guzmán-Ruvalcaba
- Biomedical Research Unit 02, Western National Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez #1000, Colonia Independencia, Guadalajara, Jalisco, 44340, Mexico
| | - Jesús O Vega-Gastelum
- Biomedical Research Unit 02, Western National Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez #1000, Colonia Independencia, Guadalajara, Jalisco, 44340, Mexico
| | - Kriscia V Ascencio-Díaz
- Biomedical Research Unit 02, Western National Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez #1000, Colonia Independencia, Guadalajara, Jalisco, 44340, Mexico
| | - Maria F Zarate-Casas
- Biomedical Research Unit 02, Western National Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez #1000, Colonia Independencia, Guadalajara, Jalisco, 44340, Mexico
| | - Fanny Y González-Ponce
- Biomedical Research Unit 02, Western National Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez #1000, Colonia Independencia, Guadalajara, Jalisco, 44340, Mexico
| | - Francisco J Barbosa-Camacho
- Biomedical Research Unit 02, Western National Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez #1000, Colonia Independencia, Guadalajara, Jalisco, 44340, Mexico
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Western National Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez #1000, Colonia Independencia, Guadalajara, Jalisco, 44340, Mexico
| | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Carretera Federal No. 23, Km. 191, Colotlán, Jalisco, C.P. 46200, México
| | - Enrique Cervantes-Pérez
- Departamento de Medicina Interna, Centro Universitario de Ciencias de la Salud, Hospital Civil de Guadalajara Fray Antonio Alcalde, Universidad de Guadalajara, Calle Hospital 278, Col. El Retiro, Guadalajara, Jalisco, 95100, México
| | - Guillermo Alonso Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Sierra Mojada 950 Edificio "N" planta alta, Col. Independencia, Guadalajara, Jalisco, 44340, México
| | - Ana Olivia Cortés-Flores
- Surgical Oncology, Anker Global Oncology, Av. Juan Palomar y Arias 530, Guadalajara, Monraz, Guadalajara, Jal. Mexico, 44670, Mexico
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Western National Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez #1000, Colonia Independencia, Guadalajara, Jalisco, 44340, Mexico.
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11
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Cervantes-Pérez LA, Cervantes-Guevara G, Cervantes-Pérez E, Cervantes-Cardona GA, Nápoles-Echauri A, González-Ojeda A, Fuentes-Orozco C, Cervantes-Pérez G, Reyes-Torres CA, Hernández-Mora FJ, Ron-Magaña AL, Vázquez-Beltrán JC, Hernández-Rivas MI, Ramírez-Ochoa S. Evaluation of the Effects of Atorvastatin and N-Acetyl Cysteine on Platelet Counts in Patients with Primary Immune Thrombocytopenia: An Exploratory Clinical Trial. Medicina (Kaunas) 2023; 59:1122. [PMID: 37374326 DOI: 10.3390/medicina59061122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 06/08/2023] [Accepted: 06/09/2023] [Indexed: 06/29/2023]
Abstract
Objective: We aimed to evaluate the efficacy of the combination of atorvastatin and N-acetyl cysteine in increasing platelet counts in patients with immune thrombocytopenia who were resistant to steroid therapy or had a relapse after treatment. Material and Methods: The patients included in this study received oral treatment of atorvastatin at a dose of 40 mg daily and N-acetyl cysteine at a dose of 400 mg every 8 h. The desired treatment duration was 12 months, but we included patients who completed at least 1 month of treatment in the analysis. The platelet counts were measured prior to the administration of the study treatment and in the first, third, sixth, and twelfth months of treatment (if available). A p value < 0.05 was considered statistically significant. Results: We included 15 patients who met our inclusion criteria. For the total treatment duration, the global response was 60% (nine patients); eight patients (53.3%) had a complete response and one patient (6.7%) had a partial response. Six patients (40%) were considered as having undergone treatment failure. Of the responder group, five patients maintained a complete response after treatment (55.5%), three patients maintained a partial response (33.3%), and one patient (11.1%) lost their response to the treatment. All of the patients in the responder group had significant increases in their platelet counts after treatment (p < 0.05). Conclusion: This study provides evidence of a possible treatment option for patients with primary immune thrombocytopenia. However, further studies are needed.
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Affiliation(s)
- Lorena A Cervantes-Pérez
- Department of Hematology, Hospital Civil de Guadalajaras "Fray Antonio Alcalde", Guadalajara 44280,, Mexico
| | - Gabino Cervantes-Guevara
- Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Mexico
- Department of Gastroenterology, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara 44280, Mexico
| | - Enrique Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44280, Mexico
- Centro Universitario de Tlajomulco, University of Guadalajara, Tlajomulco de Zúñiga 45641, Mexico
| | - Guillermo Alonso Cervantes-Cardona
- Department of Philosophical, Methodological and Instrumental Disciplines, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Mexico
| | - Adriana Nápoles-Echauri
- Department of Philosophical, Methodological and Instrumental Disciplines, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Mexico
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Specialties Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara 44329, Mexico
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Specialties Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara 44329, Mexico
| | - Gabino Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44280, Mexico
| | - Carlos A Reyes-Torres
- School of Health Sciences, Instituto Tecnológico y de Estudios Superiores de Monterrey, Mexico City 14380, Mexico
| | - Francisco Javier Hernández-Mora
- Human Reproduction, Growth and Child Development Clinic, Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44340, Mexico
| | - Ana Lucia Ron-Magaña
- Department of Hematology, Hospital Civil de Guadalajaras "Fray Antonio Alcalde", Guadalajara 44280,, Mexico
| | | | - María Isabel Hernández-Rivas
- Departament of Odontology for the Preservation of Health, Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44280, Mexico
| | - Sol Ramírez-Ochoa
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44280, Mexico
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12
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Ruiz-Gallardo JI, Cervantes-Pérez E, Pérez de Acha-Chávez A, Cervantes-Cardona GA, Ramírez-Ochoa S, Nápoles-Echauri A, González-Ojeda A, Fuentes-Orozco C, Hernández-Mora FJ, Gómez-Sánchez E, Michel-González JI, González-Valencia CM, Cervantes-Guevara G. Clinical and Biochemical Profile Associated with Renal Recovery after Acute Kidney Injury in A Mexican Population: Retrospective Cohort Study. Medicina (Kaunas) 2023; 59:medicina59050889. [PMID: 37241121 DOI: 10.3390/medicina59050889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 04/26/2023] [Accepted: 04/28/2023] [Indexed: 05/28/2023]
Abstract
Background and Objectives: Our primary objective was to study the clinical and biochemical characteristics associated with acute kidney injury (AKI) remission in a group of Mexican patients. Materials and methods: We retrospectively enrolled 75 patients who were diagnosed with AKI and separated the sample into two groups: nonremitting patients (n = 27, 36%) vs. remitting patients (n = 48, 64%). Results: We found significant relationships between nonremitting AKI and previous diagnosis of chronic kidney disease (p = 0.009), higher serum creatinine (Cr) at admission (p < 0.0001), lower estimated glomerular filtration rate (eGFR) (p < 0.0001), maximum serum creatinine during hospitalization (p < 0.0001), higher fractional excretion of sodium (FENa) (p < 0.0003) and 24-h urine protein (p = 0.005), higher serum potassium on admission (p = 0.025), abnormal levels of procalcitonin (p = 0.006), and increased risk of death (p = 0.015). Conclusion: Chronic kidney disease (CKD), lower eGFR, higher levels of serum creatinine during hospitalization, higher FENa and 24-h urine protein, abnormal levels of procalcitonin, and higher serum potassium on admission were associated with nonremitting AKI. These findings may facilitate the rapid identification of patients at risk for nonremitting AKI based on clinical and biochemical characteristics. Furthermore, these findings may inform the design of timely strategies for the vigilance, prevention, and treatment of AKI.
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Affiliation(s)
- Josué I Ruiz-Gallardo
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara 44350, Mexico
| | - Enrique Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara 44350, Mexico
- Tlajomulco Universitary Center, Universidad de Guadalajara, Tlajomulco de Zúñiga 44100, Mexico
| | - Andrea Pérez de Acha-Chávez
- Department of Geriatrics, Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City 14080, Mexico
| | - Guillermo A Cervantes-Cardona
- Department of Philosophical, Methodological and Instrumental Disciplines, Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44100, Mexico
| | - Sol Ramírez-Ochoa
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara 44350, Mexico
| | - Adriana Nápoles-Echauri
- Department of Geriatrics, Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City 14080, Mexico
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, Guadalajara 44350, Mexico
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, Guadalajara 44350, Mexico
| | | | - Eduardo Gómez-Sánchez
- Division of Clinical Disciplines, Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44100, Mexico
| | - Jorge I Michel-González
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara 44350, Mexico
| | | | - Gabino Cervantes-Guevara
- Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Mexico
- Department of Gastroenterology, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara 44350, Mexico
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13
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Plascencia-Cruz M, Plascencia-Hernández A, De Armas-Rodríguez Y, Cervantes-Guevara G, Cervantes-Cardona GA, Ramírez-Ochoa S, González-Ojeda A, Fuentes-Orozco C, Hernández-Mora FJ, González-Valencia CM, Pérez de Acha-Chávez A, Cervantes-Pérez E. Pneumocystis jirovecii Colonization in Mexican Patients with Chronic Obstructive Pulmonary Disease. Trop Med Infect Dis 2023; 8:tropicalmed8030137. [PMID: 36977138 PMCID: PMC10055963 DOI: 10.3390/tropicalmed8030137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 02/20/2023] [Accepted: 02/21/2023] [Indexed: 03/02/2023] Open
Abstract
The prevalence of colonization by Pneumocystis jirovecii (P. jirovecii) has not been studied in Mexico. We aimed to determine the prevalence of colonization by P. jirovecii using molecular detection in a population of Mexican patients with chronic obstructive pulmonary disease (COPD) and describe their clinical and sociodemographic profiles. We enrolled patients discharged from our hospital diagnosed with COPD and without pneumonia (n = 15). The primary outcome of this study was P. jirovecii colonization at the time of discharge, as detected by nested polymerase chain reaction (PCR) of oropharyngeal wash samples. The calculated prevalence of colonization for our study group was 26.66%. There were no statistically significant differences between COPD patients with and without colonization in our groups. Colonization of P. jirovecii in patients with COPD is frequent in the Mexican population; the clinical significance, if any, remains to be determined. Oropharyngeal wash and nested PCR are excellent cost-effective options to simplify sample collection and detection in developing countries and can be used for further studies.
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Affiliation(s)
- Marcela Plascencia-Cruz
- Department of Internal Medicine, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara 44280, Jalisco, Mexico
- Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44100, Jalisco, Mexico
| | - Arturo Plascencia-Hernández
- Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44100, Jalisco, Mexico
- Department of Pediatric Infectious Diseases, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara 44280, Jalisco, Mexico
| | | | - Gabino Cervantes-Guevara
- Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Jalisco, Mexico
- Department of Gastroenterology, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara 44280, Jalisco, Mexico
| | | | - Sol Ramírez-Ochoa
- Department of Internal Medicine, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara 44280, Jalisco, Mexico
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Specialties Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara 44329, Jalisco, Mexico
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Specialties Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara 44329, Jalisco, Mexico
| | - Francisco Javier Hernández-Mora
- Human Reproduction, Growth and Child Development Clinic, Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44100, Jalisco, Mexico
| | | | - Andrea Pérez de Acha-Chávez
- Department of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, Mexico
| | - Enrique Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara 44280, Jalisco, Mexico
- Health Sciences University Center, Universidad de Guadalajara, Guadalajara 44100, Jalisco, Mexico
- Correspondence:
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14
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Padilla-Rubio MF, Robledo-Valdez M, Morante-Ruiz M, Acha-Chávez APD, Cervantes-Guevara G, Cervantes-Cardona GA, Ramírez-Ochoa S, Cervantes-Pérez G, González-Ojeda A, Fuentes-Orozco C, Gómez-Sánchez E, Cervantes-Pérez E. Terapia médico-nutricional en pacientes politraumatizados: una carrera contra el tiempo. CIR CIR 2023; 91:122-130. [PMID: 36787600 DOI: 10.24875/ciru.220001901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
A polytraumatized patient is defined as one who has multiple lesions involving different organs and systems, which are usually serious and lead to life-threatening respiratory or circulatory dysfunction. Traumatic stress in the polytraumatized patient results in many metabolic changes that are evident from the first days, but usually persist for weeks, requiring adequate nutritional support as they influence outcomes. Nutritional treatment should be a priority in the comprehensive treatment of polytraumatized patients since it attenuates the metabolic response to trauma and prevents the deterioration of body reserves. It should be noted that some patients present previous nutritional risk. Nutritional intervention should be considered at the same level as any other therapy that supports organic functions, especially in patients in the intensive care unit. Nutritional intervention in polytraumatized patients is a pillar of treatment that has multiple benefits and can improve prognosis. All efforts must be aimed at the early detection of malnourished patients at nutritional risk and providing timely therapies that improve clinical outcomes.
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Affiliation(s)
- María F Padilla-Rubio
- Departamento de Nutriología Clínica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México
| | - Miguel Robledo-Valdez
- Departamento de Reproducción Humana, Crecimiento y Desarrollo Infantil, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México
| | - Miguel Morante-Ruiz
- Servicio de Medicina Interna, Hospital Universitario Fundación Jiménez-Díaz, Madrid, España
| | - Andrea Pérez de Acha-Chávez
- Departamento de Geriatría, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México
| | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco, México.,Departamento de Gastroenterología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México
| | - Guillermo A Cervantes-Cardona
- Departamento de Disciplinas Filosóficas, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México
| | - Sol Ramírez-Ochoa
- Departamento de Medicina Interna, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México
| | - Gabino Cervantes-Pérez
- Departamento de Medicina Interna, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, Hospital de Especialidades, Unidad Médica de Alta Especialidad, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, Hospital de Especialidades, Unidad Médica de Alta Especialidad, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | - Eduardo Gómez-Sánchez
- División de Disciplinas Básicas para la Salud, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México
| | - Enrique Cervantes-Pérez
- Departamento de Disciplinas Filosóficas, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México.,Departamento de Medicina Interna, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México
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15
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Cervantes-Pérez E, Cervantes-Guevara G, González-Ojeda A, Fuentes-Orozco C, Ramírez-Ochoa S, Cervantes-Cardona GA, Torres-Mendoza BM, Cervantes-Pérez G, Gómez-Sánchez E. Two pandemics to fight: metabolic surgery and its effects on COVID-19 and obesity. CIR CIR 2023; 91:437-438. [PMID: 37433140 DOI: 10.24875/ciru.22000206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 04/08/2022] [Indexed: 07/13/2023]
Affiliation(s)
- Enrique Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara
- Health Sciences University Center, Universidad de Guadalajara, Guadalajara
- Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán
| | - Gabino Cervantes-Guevara
- Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán
- Department of Gastroenterology, Hospital Civil de Guadalajara "Fray Antonio Alcalde". Guadalajara
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Specialties Hospital, Western National Medical Center, Mexican Institute of Social Security, Guadalajara
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Specialties Hospital, Western National Medical Center, Mexican Institute of Social Security, Guadalajara
| | - Sol Ramírez-Ochoa
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara
| | - Guillermo A Cervantes-Cardona
- Department of Philosophical, Methodological and Instrumental Disciplines, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara
| | - Blanca M Torres-Mendoza
- Department of Philosophical, Methodological and Instrumental Disciplines, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara
| | - Gabino Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara
| | - Eduardo Gómez-Sánchez
- Division of Basic Health Disciplines, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara. Jalisco, Mexico
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16
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Robledo-Valdez M, Carrera-Quintanar L, Morante-Ruiz M, Pérez-de-Acha-Chávez A, Cervantes-Guevara G, Cervantes-Cardona GA, Torres-Mendoza BM, Ramírez-Ochoa S, Cervantes-Pérez G, González-Ojeda A, Fuentes-Orozco C, Cervantes-Pérez E. Medical nutrition therapy in patients receiving extracorporeal membrane oxygenation: knowledge in progress. Arch Cardiol Mex 2023; 93:348-354. [PMID: 37562137 PMCID: PMC10406468 DOI: 10.24875/acm.22000109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 07/14/2022] [Indexed: 08/12/2023] Open
Abstract
Nutritional support in adult patients receiving extracorporeal membrane oxygenation (ECMO) therapy is controversial. Although there are guidelines for the NS (Nutritional support) in pediatric patients with ECMO, in adults these guidelines are not available for the use, type, route and timing of nutritional therapy. In critically ill patients it is well known that early enteral nutrition is beneficial, however there is the possibility that in patients with ECMO early enteral nutrition leads to gastrointestinal complications. Likewise, there have not been established caloric targets, proteins and doses or types of micronutrients to use for this specific population being a challenge for the clinician. In addition, patients with ECMO are some of the most seriously ill in intensive care units, where malnutrition is associated with increased morbidity and mortality. Regarding the use of parenteral nutrition (NP) it has not been described if it implies a risk of circuit failure at the time of introducing lipids to the oxygenator. Therefore, a correct evaluation and specific nutritional intervention by experts in the field is imperative to improve the prognosis and quality of life in this population, which is a primary goal in the care of adult patients receiving extracorporeal membrane oxygen.
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Affiliation(s)
- Miguel Robledo-Valdez
- Posgrado en Ciencias de la Nutrición Traslacional, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jal., México
| | - Lucrecia Carrera-Quintanar
- Laboratorio de Ciencias de los Alimentos, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Jal., México
| | - Miguel Morante-Ruiz
- Servicio de Medicina Interna, Hospital Universitario Fundación Jiménez-Díaz, Madrid, España
| | - Andrea Pérez-de-Acha-Chávez
- Departamento de Geriatría, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México
| | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jal., México
- Departamento de Gastroenterología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jal., México
| | - Guillermo A. Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jal., México
| | - Blanca M. Torres-Mendoza
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jal., México
| | - Sol Ramírez-Ochoa
- Departamento de Medicina Interna, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jal., México
| | - Gabino Cervantes-Pérez
- Departamento de Medicina Interna, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jal., México
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 2, Hospital de Especialidades, UMAE, CMNO, Instituto Mexicano del Seguro Social, Guadalajara, Jal., México
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 2, Hospital de Especialidades, UMAE, CMNO, Instituto Mexicano del Seguro Social, Guadalajara, Jal., México
| | - Enrique Cervantes-Pérez
- Departamento de Medicina Interna, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jal., México
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17
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Ramírez-Ochoa S, Cervantes-Guevara G, Cervantes-Pérez LA, Cervantes-Cardona GA, Cervantes-Pérez G, Gómez-Sánchez E, Cervantes-Pérez E. The potential effects of metabolic surgery on gut microbiota: novel insights. CIR CIR 2023; 91:719-720. [PMID: 37844894 DOI: 10.24875/ciru.22000240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Accepted: 04/28/2022] [Indexed: 10/18/2023]
Affiliation(s)
- Sol Ramírez-Ochoa
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde". Guadalajara
- Health Sciences University Center, Universidad de Guadalajara, Guadalajara
| | - Gabino Cervantes-Guevara
- Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán
- Department of Gastroenterology, Hospital Civil de Guadalajara "Fray Antonio Alcalde". Guadalajara
| | - Lorena A Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde". Guadalajara
| | - Guillermo A Cervantes-Cardona
- Department of Philosophical, Methodological and Instrumental Disciplines, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara
| | - Gabino Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde". Guadalajara
| | - Eduardo Gómez-Sánchez
- Division of Basic Health Disciplines, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara. Jalisco, Mexico
| | - Enrique Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde". Guadalajara
- Health Sciences University Center, Universidad de Guadalajara, Guadalajara
- Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán
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18
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Ibarrola-Peña JC, Cueto-Valadez TA, Chejfec-Ciociano JM, Cifuentes-Andrade LR, Cueto-Valadez AE, Castillo-Cardiel G, Cervantes-Cardona GA, Cervantes-Pérez E, Cervantes-Guevara G, Guzmán-Ruvalcaba MJ, Sapién-Fernández JH, Guzmán-Barba JA, Esparza-Estrada I, Flores-Becerril P, Brancaccio-Pérez IV, Guzmán-Ramírez BG, Álvarez-Villaseñor AS, Barbosa-Camacho FJ, Reyes-Elizalde EA, Fuentes-Orozco C, González-Ojeda A. Substance Use and Psychological Distress in Mexican Adults during COVID-19 Pandemic: A Cross-Sectional Study. Int J Environ Res Public Health 2022; 20:716. [PMID: 36613036 PMCID: PMC9819856 DOI: 10.3390/ijerph20010716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 12/26/2022] [Accepted: 12/27/2022] [Indexed: 06/17/2023]
Abstract
OBJECTIVES This observational cross-sectional study examined changes in substance use during the coronavirus disease 2019 (COVID-19) pandemic in the Mexican population and evaluated whether depression or anxiety was associated with these new consumption patterns. METHODS An online survey was distributed to the general population. Participants were questioned about their demographics, situation during the COVID-19 pandemic, and substance consumption patterns. The Patient Health Questionnaire-9 for depression and the Coronavirus Anxiety Scale were used. RESULTS A total of 866 individuals completed the survey. The mean scores for the Patient Health Questionnaire-9 and Coronavirus Anxiety Scale were 8.89 ± 6.20 and 3.48 ± 3.22, respectively. The preferred substances were alcohol (19%), tobacco (16.5%), and marijuana (5.6%). Consumption of alcohol (p = 0.042) significantly increased during the pandemic and it was higher in women than in men (p = 0.040). CONCLUSIONS Substance use patterns were affected by the pandemic, with an increase in the number of users and consumption rate, as well as the reported psychiatric symptoms.
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Affiliation(s)
- Juan Carlos Ibarrola-Peña
- Hospital General y Medicina Familiar de Zona No. 2, Instituto Mexicano del Seguro Social, Monterrey 64010, Nuevo León, Mexico
| | - Tania Abigail Cueto-Valadez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
| | - Jonathan Matías Chejfec-Ciociano
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
| | - Luis Rodrigo Cifuentes-Andrade
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
| | - Andrea Estefanía Cueto-Valadez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
| | - Guadalupe Castillo-Cardiel
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
| | - Guillermo Alonso Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico
| | - Enrique Cervantes-Pérez
- Departamento de Medicina Interna, Hospital Civil de Guadalajara Fray Antonio Alcalde, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico
| | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Jalisco, Mexico
| | - Mario Jesús Guzmán-Ruvalcaba
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
| | - José Héctor Sapién-Fernández
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
| | - José Aldo Guzmán-Barba
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
| | - Isaac Esparza-Estrada
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
| | - Paola Flores-Becerril
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
| | - Irma Valeria Brancaccio-Pérez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
| | - Bertha Georgina Guzmán-Ramírez
- Departamento de Pediatría, Hospital Civil de Guadalajara Fray Antonio Alcalde, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico
| | | | - Francisco José Barbosa-Camacho
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
| | - Emilio Alberto Reyes-Elizalde
- Departamento de Traumatología y Ortopedia, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Tlalpan, Ciudad de Mexico 14389, Mexico
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico
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19
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Cervantes-Guevara G, González-Ojeda A, Fuentes-Orozco C, Ramírez-Ochoa S, Cervantes-Pérez LA, Cervantes-Cardona GA, Cervantes-Pérez G, Acha-Chávez APD, Cervantes-Pérez E. Enhanced recovery after surgery (ERAS) nutrition protocol during COVID-19 pandemic. CIR CIR 2022; 90:862-863. [PMID: 36472859 DOI: 10.24875/ciru.22000196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Gabino Cervantes-Guevara
- Department of Gastroenterology, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco.,Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Specialties Hospital, Western National Medical Center, Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Specialties Hospital, Western National Medical Center, Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco
| | - Sol Ramírez-Ochoa
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco.,Health Sciences University Center, Universidad de Guadalajara, Guadalajara, Jalisco
| | - Lorena A Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco
| | - Guillermo A Cervantes-Cardona
- Department of Philosophical, Methodological and Instrumental Disciplines, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco
| | - Gabino Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco
| | - Andrea Pérez de Acha-Chávez
- Department of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City. Mexico
| | - Enrique Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco.,Health Sciences University Center, Universidad de Guadalajara, Guadalajara, Jalisco
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20
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Cervantes-Cardona GA, Cervantes-Guevara G, Cervantes-Pérez E, Fuentes-Orozco C, Barbosa-Camacho FJ, Chejfec-Ciociano JM, Brancaccio-Pérez IV, Zarate-Casas MF, González-Ponce FY, Ascencio-Díaz KV, Guzmán-Ruvalcaba MJ, Cueto-Valadez TA, Cueto-Valadez AE, González-Ojeda A. Prevalence of Depression, Anxiety, and Stress among High School Students during the COVID-19 Pandemic: A Survey Study in Western Mexico. Int J Environ Res Public Health 2022; 19:ijerph192316154. [PMID: 36498227 PMCID: PMC9740571 DOI: 10.3390/ijerph192316154] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 11/28/2022] [Accepted: 11/30/2022] [Indexed: 05/30/2023]
Abstract
Social isolation and school closure may predispose adolescents to higher prevalence rates of depression, anxiety, and stress. In this cross-sectional observational study, the validated Spanish version of the Depression, Anxiety, and Stress Scale was administered to 3112 students aged 14-22 years old. We also collected data on participant gender, age group, school shift (morning or afternoon), school year, family type, whether they or any first-degree relative had been infected with COVID-19, whether any family member had died of COVID-19, and whether either of their parents worked. Mean scores were 8.34 ± 6.33 for depression, 7.75 ± 5.89 for anxiety, and 10.26 ± 5.84 for stress. Female students presented significantly higher scores on all three measures compared with male students. Students who had been infected with COVID-19, who had an infected family member, or who had a family member who died of COVID-19 also presented higher scores on all three measures. Identifying the symptoms and warning signs of depression and anxiety disorders is critical, particularly in vulnerable populations like adolescents.
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Affiliation(s)
- Guillermo Alonso Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de La Salud, Universidad de Guadalajara, Guadalajara 44340, Mexico
| | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Mexico
| | - Enrique Cervantes-Pérez
- Departamento de Medicina Interna, Hospital Civil de Guadalajara Fray Antonio Alcalde, Calle Hospital 278, Guadalajara 44280, Mexico
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Mexico
| | - Francisco José Barbosa-Camacho
- Unidad de Investigación Biomédica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Mexico
| | - Jonathan Matías Chejfec-Ciociano
- Unidad de Investigación Biomédica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Mexico
| | - Irma Valeria Brancaccio-Pérez
- Unidad de Investigación Biomédica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Mexico
| | - María Fernanda Zarate-Casas
- Unidad de Investigación Biomédica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Mexico
| | - Fanny Yesenia González-Ponce
- Unidad de Investigación Biomédica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Mexico
| | - Kriscia Vanessa Ascencio-Díaz
- Unidad de Investigación Biomédica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Mexico
| | - Mario Jesús Guzmán-Ruvalcaba
- Unidad de Investigación Biomédica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Mexico
| | - Tania Abigail Cueto-Valadez
- Unidad de Investigación Biomédica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Mexico
| | - Andrea Estefanía Cueto-Valadez
- Unidad de Investigación Biomédica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Mexico
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Mexico
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21
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Cervantes-Cardona GA, Nápoles-Echauri A, Alonso-Estrella N, Hernández-Mora FJ, Cervantes-Pérez E, Cervantes-Guevara G, García-Reyna B, Barbosa-Camacho FJ, López-Bernal NE, Chejfec-Ciociano JM, Fuentes-Orozco C, Cueto-Valadez TA, Cueto-Valadez AE, Brancaccio-Pérez IV, Guzmán-Ruvalcaba MJ, Vega-Gastelum JO, González-Ojeda A. Prevalence of Dysexecutive Symptoms in High School Students during the COVID-19 Pandemic. Int J Environ Res Public Health 2022; 19:15641. [PMID: 36497715 PMCID: PMC9740397 DOI: 10.3390/ijerph192315641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 11/18/2022] [Accepted: 11/20/2022] [Indexed: 06/17/2023]
Abstract
This is an observational cross-sectional study designed to ascertain the prevalence and severity of dysexecutive symptoms in high school students during the COVID-19 pandemic. The validated Spanish version of the Dysexecutive Questionnaire (DEX) was used. A total of 2396 participants aged 14-22 years were included. Our sample yielded a mean DEX scale score of 28.14 ± 17.42. By the DEX classification, 889 (37.1%) students achieved optimal scores, 384 (16%) reported mild dysexecutive symptoms, 316 (13.2%) reported moderate dysexecutive symptoms, and 807 (33.7%) reported strong dysexecutive symptoms. We found a significant difference between those with and those without employed mothers, with the former scoring higher (p = 0.004), the same as those with both parents employed (p = 0.004). Adolescents face emotional susceptibility and changes in their family, social, and educational environment related to isolation, resulting in altered emotional responses and social interaction.
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Affiliation(s)
- Guillermo Alonso Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico
| | - Adriana Nápoles-Echauri
- Escuela Vocacional, Sistema de Educación Media Superior Universidad de Guadalajara, Guadalajara 44430, Jalisco, Mexico
| | - Nicolas Alonso-Estrella
- Escuela Vocacional, Sistema de Educación Media Superior Universidad de Guadalajara, Guadalajara 44430, Jalisco, Mexico
| | - Francisco Javier Hernández-Mora
- Departamento de Clínicas de la Reproducción Humana, Crecimiento y Desarrollo Infantil, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44348, Jalisco, Mexico
| | - Enrique Cervantes-Pérez
- Departamento de Medicina Interna Hospital Civil de Guadalajara Fray Antonio Alcalde, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44280, Jalisco, Mexico
| | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Jalisco, Mexico
| | - Benjamín García-Reyna
- Unidad Médica de Alta Especialidad Pediatría, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44280, Jalisco, Mexico
| | - Francisco José Barbosa-Camacho
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Noelia Esthela López-Bernal
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Jonathan Matías Chejfec-Ciociano
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Tania Abigail Cueto-Valadez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Andrea Estefanía Cueto-Valadez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Irma Valeria Brancaccio-Pérez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Mario Jesús Guzmán-Ruvalcaba
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Jesús Oswaldo Vega-Gastelum
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
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22
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Maciel-Saldierna M, Elizondo-Hernández E, Cervantes-Guevara G, Cervantes-Pérez E, Cervantes-Cardona GA, Guzmán-Ramírez BG, Brancaccio-Pérez IV, Chejfec-Ciociano JM, Guzmán-Ruvalcaba MJ, Cifuentes-Andrade LR, Cueto-Valadez AE, Cueto-Valadez TA, Ibarra-Camargo SA, Mellado-Tellez MP, Barbosa-Camacho FJ, Fuentes-Orozco C, González-Ojeda A. Prevalence of Depression, Anxiety, and Stress in Junior High School Students in Guadalajara, Mexico: A Cross-Sectional Survey Study. Int J Environ Res Public Health 2022; 19:15463. [PMID: 36497537 PMCID: PMC9736080 DOI: 10.3390/ijerph192315463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 11/18/2022] [Accepted: 11/19/2022] [Indexed: 06/17/2023]
Abstract
Confinement and a lack of social interaction are associated with depressive symptoms, low self-esteem, and suicidal thoughts. We report the results of a cross-sectional survey of 1414 junior high school students. The aim was to evaluate the prevalence of depression, anxiety, and stress in Guadalajara, Mexico, during the COVID-19 pandemic. Mean scores on the validated Spanish version of the Depression, Anxiety, and Stress Scale (DASS-21) were found to be 6.15 ± 5.6 for depression, 5.8 ± 5.2 for anxiety, and 8.08 ± 5.3 for stress. Female students scored higher in all three conditions (p < 0.001). Students who had relatives infected with COVID-19 showed significantly more anxiety than those who did not (p < 0.004). Although certain demographic groups are at higher risk of manifesting depression, anxiety, and stress, the student population has also been affected by the global impact of the pandemic.
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Affiliation(s)
| | | | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Jalisco, Mexico
| | - Enrique Cervantes-Pérez
- Servicio de Medicina Interna, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara 44280, Jalisco, Mexico
| | - Guillermo Alonso Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, México
| | - Bertha Georgina Guzmán-Ramírez
- Departamento de Pediatría, Hospital Civil de Guadalajara Fray Antonio Alcalde, Universidad de Guadalajara, Guadalajara 44280, Jalisco, Mexico
| | - Irma Valeria Brancaccio-Pérez
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Jonathan Matías Chejfec-Ciociano
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Mario Jesús Guzmán-Ruvalcaba
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Luis Rodrigo Cifuentes-Andrade
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Andrea Estefanía Cueto-Valadez
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Tania Abigail Cueto-Valadez
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Silvia Alejandra Ibarra-Camargo
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Mel Paul Mellado-Tellez
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Francisco José Barbosa-Camacho
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Alejandro González-Ojeda
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
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23
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Ibarrola-Peña JC, Barbosa-Camacho FJ, Almanza-Mena YL, Chejfec-Ciociano JM, Reyes-Elizalde EA, Romero-Limón OM, Zaragoza-Organista R, Cervantes-Pérez E, Sapién-Fernández JH, Guzmán-Barba JA, Flores-Becerril P, Ochoa-Rodríguez I, Nájar-Hinojosa R, Cueto-Valadez AE, Cueto-Valadez TA, López-Zendejas M, Fuentes-Orozco C, Cervantes-Guevara G, Miranda-Ackerman RC, González-Ojeda A. Preventive measures against the COVID-19 pandemic in Mexico: A cross-sectional study. Front Public Health 2022; 10:932010. [PMID: 36304240 PMCID: PMC9596139 DOI: 10.3389/fpubh.2022.932010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Accepted: 09/12/2022] [Indexed: 01/24/2023] Open
Abstract
Introduction Understanding how Mexicans behave during the pandemic could present a complete picture of the phenomenon in our country and provide better management of it. Objective This study aimed to analyze the Mexican population's behavior and preventive measures. Methods This was a cross-sectional study in which a total of 4,004 participants from the general population responded to the survey. Results Almost 99% of the participants mentioned knowing the symptoms of COVID-19. Although 77.5% of participants considered that they followed proper social distancing measures, 60% of them mentioned that they knew at least six individuals who did not follow social distancing measures. Furthermore, 96.2% of participants reported using preventive measures at least 50% of the time. Only 51.3% used a certified mask. Conclusion The COVID-19 pandemic outcomes in Mexico are the result of multiple negative factors, such as high rates of comorbidities, high number of people living together at home, many people breaking social isolation, and most of the population using non-certified preventive measures that may not be effective enough.
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Affiliation(s)
- Juan Carlos Ibarrola-Peña
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | - Francisco José Barbosa-Camacho
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | - Yolanda Lorelei Almanza-Mena
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | - Jonathan Matías Chejfec-Ciociano
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | - Emilio Alberto Reyes-Elizalde
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | | | - Rafael Zaragoza-Organista
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | - Enrique Cervantes-Pérez
- Departamento de Nutrición Clínica, Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, Ciudad de Mexico, Mexico
| | - José Héctor Sapién-Fernández
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | - José Aldo Guzmán-Barba
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | - Paola Flores-Becerril
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | - Itzel Ochoa-Rodríguez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | - Rodrigo Nájar-Hinojosa
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | - Andrea Estefania Cueto-Valadez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | - Tania Abigail Cueto-Valadez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | | | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico
| | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico,Department of Gastroenterology, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Universidad de Guadalajara, Guadalajara, Mexico
| | | | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico,*Correspondence: Alejandro González-Ojeda
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Robledo-Valdez M, Cervantes-Pérez E, Cervantes-Guevara G, Cervantes-Cardona GA, Ramírez-Ochoa S, González-Ojeda A, Fuentes-Orozco C, Padilla-Rubio MF, Rico-de la Rosa L, Cervantes-Pérez G, Cervantes-Pérez LA, Nápoles-Echauri A. Conceptos actuales sobre el soporte nutricional preoperatorio: ¿cómo, cuándo y por qué? CIR CIR 2022; 90:556-563. [DOI: 10.24875/ciru.20000893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Barbosa-Camacho FJ, Romero-Limón OM, Ibarrola-Peña JC, Almanza-Mena YL, Pintor-Belmontes KJ, Sánchez-López VA, Chejfec-Ciociano JM, Guzmán-Ramírez BG, Sapién-Fernández JH, Guzmán-Ruvalcaba MJ, Nájar-Hinojosa R, Ochoa-Rodriguez I, Cueto-Valadez TA, Cueto-Valadez AE, Fuentes-Orozco C, Cortés-Flores AO, Miranda-Ackerman RC, Cervantes-Cardona GA, Cervantes-Guevara G, González-Ojeda A. Depression, anxiety, and academic performance in COVID-19: a cross-sectional study. BMC Psychiatry 2022; 22:443. [PMID: 35773635 PMCID: PMC9243721 DOI: 10.1186/s12888-022-04062-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 06/10/2022] [Indexed: 11/11/2022] Open
Abstract
Depression and anxiety are common after months of social isolation, and they can have a negative impact on anyone's quality of life if they are not treated promptly and appropriately. The aim of this study was to determine if the change to online modality courses and the presence of depression or anxiety symptoms during the COVID-19 pandemic was associated with a difference in the college student's academic achievement. This study was a cross-sectional survey in which we used the Patient Health Questionnaire-9 (PHQ-9) and the General Anxiety Disorder-7 (GAD-7). Also, we examined the students' perceptions of their academic performance using the Academic Self-Concept Scale (ASCS). A total of 610 students responded to the survey. The average score on the Academic Self-Concept Scale was 2.76 ± 0.35, the students presented a risk of 61.5% for possible depressive disorder and 52.1% for possible generalized anxiety disorder. The intensity of depression and anxiety symptoms had a significant effect on Academic Self-Concept Scale scores (p < 0.001 and p < 0.05, respectively). The findings indicate that the COVID-19 pandemic has had a direct effect on students' mental health and academic performance.
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Affiliation(s)
- Francisco José Barbosa-Camacho
- grid.419157.f0000 0001 1091 9430Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco México
| | - Olaya Moramay Romero-Limón
- grid.419157.f0000 0001 1091 9430Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco México ,grid.412890.60000 0001 2158 0196Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Universidad de Guadalajara, Guadalajara, Jalisco Mexico
| | - Juan Carlos Ibarrola-Peña
- grid.419157.f0000 0001 1091 9430Hospital General de Zona y Medicina Familiar number 2, Instituto Mexicano del Seguro Social, Nuevo León Monterrey, México
| | - Yolanda Lorelei Almanza-Mena
- grid.419157.f0000 0001 1091 9430Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco México
| | | | - Verónica Alexandra Sánchez-López
- grid.419157.f0000 0001 1091 9430Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco México
| | - Jonathan Matías Chejfec-Ciociano
- grid.419157.f0000 0001 1091 9430Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco México ,grid.416850.e0000 0001 0698 4037Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, Ciudad de México, Mexico
| | - Bertha Georgina Guzmán-Ramírez
- grid.419157.f0000 0001 1091 9430Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco México
| | - José Héctor Sapién-Fernández
- grid.419157.f0000 0001 1091 9430Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco México
| | - Mario Jesús Guzmán-Ruvalcaba
- grid.419157.f0000 0001 1091 9430Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco México ,grid.412890.60000 0001 2158 0196Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Universidad de Guadalajara, Guadalajara, Jalisco Mexico
| | - Rodrigo Nájar-Hinojosa
- grid.419157.f0000 0001 1091 9430Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco México
| | - Itzel Ochoa-Rodriguez
- grid.419157.f0000 0001 1091 9430Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco México
| | - Tania Abigail Cueto-Valadez
- grid.419157.f0000 0001 1091 9430Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco México
| | - Andrea Estefanía Cueto-Valadez
- grid.419157.f0000 0001 1091 9430Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco México
| | - Clotilde Fuentes-Orozco
- grid.419157.f0000 0001 1091 9430Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco México
| | | | | | - Guillermo Alonso Cervantes-Cardona
- grid.412890.60000 0001 2158 0196Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de La Salud, Universidad de Guadalajara, Guadalajara, Jalisco Mexico
| | - Gabino Cervantes-Guevara
- grid.412890.60000 0001 2158 0196Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Universidad de Guadalajara, Guadalajara, Jalisco Mexico ,grid.412890.60000 0001 2158 0196Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco México
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02. Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
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Chejfec-Ciociano JM, Martínez-Herrera JP, Parra-Guerra AD, Chejfec R, Barbosa-Camacho FJ, Ibarrola-Peña JC, Cervantes-Guevara G, Cervantes-Cardona GA, Fuentes-Orozco C, Cervantes-Pérez E, García-Reyna B, González-Ojeda A. Misinformation About and Interest in Chlorine Dioxide During the COVID-19 Pandemic in Mexico Identified Using Google Trends Data: Infodemiology Study. JMIR Infodemiology 2022; 2:e29894. [PMID: 35155994 PMCID: PMC8805460 DOI: 10.2196/29894] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/24/2021] [Revised: 06/01/2021] [Accepted: 12/07/2021] [Indexed: 01/06/2023]
Abstract
BACKGROUND The COVID-19 pandemic has prompted the increasing popularity of several emerging therapies or preventives that lack scientific evidence or go against medical directives. One such therapy involves the consumption of chlorine dioxide, which is commonly used in the cleaning industry and is available commercially as a mineral solution. This substance has been promoted as a preventive or treatment agent for several diseases, including SARS-CoV-2 infection. As interest in chlorine dioxide has grown since the start of the pandemic, health agencies, institutions, and organizations worldwide have tried to discourage and restrict the consumption of this substance. OBJECTIVE The aim of this study is to analyze search engine trends in Mexico to evaluate changes in public interest in chlorine dioxide since the beginning of the COVID-19 pandemic. METHODS We retrieved public query data for the Spanish equivalent of the term "chlorine dioxide" from the Google Trends platform. The location was set to Mexico, and the time frame was from March 3, 2019, to February 21, 2021. A descriptive analysis was performed. The Kruskal-Wallis and Dunn tests were used to identify significant changes in search volumes for this term between four consecutive time periods, each of 13 weeks, from March 1, 2020, to February 27, 2021. RESULTS From the start of the pandemic in Mexico (February 2020), an upward trend was observed in the number of searches compared with that in 2019. Maximum volume trends were recorded during the week of July 19-25, 2020. The search volumes declined between September and November 2020, but another peak was registered in December 2020 through February 2021, which reached a maximum value on January 10. Percentage change from the first to the fourth time periods was +312.85, -71.35, and +228.18, respectively. Pairwise comparisons using the Kruskal-Wallis and Dunn tests showed significant differences between the four periods (P<.001). CONCLUSIONS Misinformation is a public health risk because it can lower compliance with the recommended measures and encourage the use of therapies that have not been proven safe. The ingestion of chlorine dioxide presents a danger to the population, and several adverse reactions have been reported. Programs should be implemented to direct those interested in this substance to accurate medical information.
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Affiliation(s)
- Jonathan Matias Chejfec-Ciociano
- Unidad de Investigación Biomédica 02 Hospital de Especialidades del Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social Guadalajara Mexico
| | - Juan Pablo Martínez-Herrera
- Unidad de Investigación Biomédica 02 Hospital de Especialidades del Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social Guadalajara Mexico
| | - Alexa Darianna Parra-Guerra
- Unidad de Investigación Biomédica 02 Hospital de Especialidades del Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social Guadalajara Mexico
| | - Ricardo Chejfec
- Max Bell School of Public Policy McGill University Montreal, QC Canada
| | - Francisco José Barbosa-Camacho
- Unidad de Investigación Biomédica 02 Hospital de Especialidades del Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social Guadalajara Mexico
| | - Juan Carlos Ibarrola-Peña
- Unidad de Investigación Biomédica 02 Hospital de Especialidades del Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social Guadalajara Mexico
| | - Gabino Cervantes-Guevara
- Hospital Civil de Guadalajara "Fray Antonio Alcalde" Universidad de Guadalajara Guadalajara Mexico.,Departamento de Bienestar y Desarrollo Sustentable Centro Universitario del Norte Universidad de Guadalajara Colotlán Mexico
| | - Guillermo Alonso Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales Centro Universitario de Ciencias de la Salud Universidad de Guadalajara Guadalajara Mexico
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02 Hospital de Especialidades del Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social Guadalajara Mexico
| | - Enrique Cervantes-Pérez
- Departamento de Nutriología Clínica Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán" Ciudad de Mexico Mexico
| | | | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02 Hospital de Especialidades del Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social Guadalajara Mexico
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Ramírez-Casale FI, Cervantes-Pérez E, Robledo-Valdez M, Padilla-Rubio MF, Villaseñor-Ochoa A, Cervantes-Guevara G, Cervantes-Cardona GA, Ramírez-Ochoa S, Nápoles-Echauri A, Cervantes-Pérez G, Ruiz-Gallardo JI. Actualización sobre el papel de la terapia nutricional en pacientes sometidos a trasplante renal: de la enfermedad renal al trasplante. NEFRO 2021. [DOI: 10.24875/nefro.20000045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Medina-Diaz-Cortés G, Brancaccio-Pérez IV, Esparza-Estrada I, Barbosa-Camacho FJ, Fuentes-Orozco C, González-Hernández PG, Chejfec-Ciociano JM, Ramírez-Sánchez MV, Sánchez-López VA, Cortés-Flores AO, Álvarez-Villaseñor AS, Chávez-Tostado M, Cervantes-Pérez E, Cervantes-Guevara G, Cervantes-Cardona GA, González-Ojeda A. Differences in Postoperative Pain, Nausea, and Vomiting After Elective Laparoscopic Cholecystectomy in Premenopausal and Postmenopausal Mexican Women. World J Surg 2021; 46:356-361. [PMID: 34731260 DOI: 10.1007/s00268-021-06367-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Postoperative symptoms and pain after laparoscopic cholecystectomy (LC) are common in women. However, there is no evidence of differences in incidence and severity among different age groups. We evaluated whether adverse postoperative symptoms were more common in younger than in older women after LC. METHODS One hundred and fifty premenopausal (mean age 37.6 ± 3.6 y) and 145 postmenopausal women (59 ± 5.2 y) were included in this retrospective cohort study. Clinical and anthropometric parameters were analyzed. Study endpoints were the incidences of postoperative nausea and vomiting (PONV) and pain, and the additional analgesics and antiemetics needed after surgery. RESULTS Body mass index was normal in 42.7% of patients in the younger group and 64.8% in the older group (P < 0.001). Reported pain was more frequent and intense in the younger group throughout the study period (P < 0.01). Additional narcotics were required in 18% of premenopausal versus 7.6% of postmenopausal women (P = 0.001), and the doses used to reduce pain were higher for premenopausal women (P = 0.02). PONV was more frequent in the younger group at 1 and 6 h after surgery (P < 0.005). Rescue antiemetics were required in 29 premenopausal and 13 postmenopausal women (P = 0.01). Hospital stay was shorter for the older patients (P = 0.01). Minor morbidity was observed in both groups (0.7% and 2.1%). There was no mortality. CONCLUSIONS Early PONV and pain after LC were more frequent in premenopausal women, who also required more rescue analgesic and antiemetic medication.
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Affiliation(s)
- Guillermo Medina-Diaz-Cortés
- Biomedical Research Unit 02. Specialties Hospital, Western Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Irma Valeria Brancaccio-Pérez
- Biomedical Research Unit 02. Specialties Hospital, Western Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Isaac Esparza-Estrada
- Biomedical Research Unit 02. Specialties Hospital, Western Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Francisco José Barbosa-Camacho
- Biomedical Research Unit 02. Specialties Hospital, Western Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02. Specialties Hospital, Western Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Paola Guadalupe González-Hernández
- Biomedical Research Unit 02. Specialties Hospital, Western Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Jonathan Matías Chejfec-Ciociano
- Biomedical Research Unit 02. Specialties Hospital, Western Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Marco Vinicio Ramírez-Sánchez
- Biomedical Research Unit 02. Specialties Hospital, Western Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Veronica Alexandra Sánchez-López
- Biomedical Research Unit 02. Specialties Hospital, Western Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Ana Olivia Cortés-Flores
- Biomedical Research Unit 02. Specialties Hospital, Western Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Andrea Socorro Álvarez-Villaseñor
- Medical Auxiliary Coordination of Health Research, Mexican Institute of Social Security, Calle Francisco I. Madero 315, 23020, La Paz, Baja California Sur, Mexico
| | - Mariana Chávez-Tostado
- Department of Human Reproduction, Health Sciences University Center, Universidad de Guadalajara, Calle Hospital 320, 44280, Guadalajara, Jalisco, Mexico
| | - Enrique Cervantes-Pérez
- Department of Internal Medicine, Hospital Civil de Guadalajara Fray Antonio Alcalde, Calle Hospital 278, 44280, Guadalajara, Jalisco, Mexico
| | - Gabino Cervantes-Guevara
- Department of Welfare and Sustainable Development, University Center of the North, University of Guadalajara, Carretera Federal 23, Km 191, 46200, Colotlán, Jalisco, Mexico
| | - Guillermo Alonso Cervantes-Cardona
- Department of Philosophical, Methodological and Instrumental Disciplines, Health Sciences University Center, University of Guadalajara, Sierra Mojada 950, 44340, Guadalajara, Jalisco, Mexico
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02. Specialties Hospital, Western Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico.
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García-Reyna B, Castillo-García GD, Barbosa-Camacho FJ, Cervantes-Cardona GA, Cervantes-Pérez E, Esparza-Estrada I, Brancaccio-Pérez IV, Silva-González G, Fuentes-Orozco C, Pintor-Belmontes KJ, Guzmán-Ramírez BG, Navarro DR, Ibarrola-Peña JC, López VAS, Chejfec-Ciociano JM, Sapién-Fernández JH, González-Ojeda A, Cervantes-Guevara G. Anxiety and COVID-19: Coronavirus Anxiety Scale scores in medical and non-medical personnel in urban hospitals in Guadalajara. A cross-sectional survey study. Death Stud 2021; 46:581-589. [PMID: 34181508 DOI: 10.1080/07481187.2021.1936297] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The world is facing the worst health crisis in modern history. In addition to general concerns about the effects of COVID-19 on health, hospital personnel are developing numerous mental health conditions. This cross-sectional survey study evaluated the prevalence and severity of anxiety caused by the COVID-19 pandemic using the Coronavirus Anxiety Scale (CAS) in 2136 hospital employees. For the employees who presented scores ranging from 1-20 (n = 1090, 51%), the CAS mean score was 4.22 (SD = 3.95). The mean score was higher in women than men. By work category, non-clinical hospital personnel presented the highest CAS scores.
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Affiliation(s)
| | | | - Francisco José Barbosa-Camacho
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Guillermo Alonso Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, México
| | - Enrique Cervantes-Pérez
- Departamento de Nutrición Clínica, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Ciudad de México, México
| | - Isaac Esparza-Estrada
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Irma Valeria Brancaccio-Pérez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Gabriela Silva-González
- Departamento de Odontología para la Preservación de la Salud, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, México
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Kevin Josue Pintor-Belmontes
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Bertha Georgina Guzmán-Ramírez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Dinorah Rodríguez Navarro
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Juan Carlos Ibarrola-Peña
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Veronica Alexandra Sánchez López
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Jonathan Matias Chejfec-Ciociano
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - José Héctor Sapién-Fernández
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Gabino Cervantes-Guevara
- Centro Universitario del Norte, Universidad de Guadalajara, Colotlan, Mexico
- Hospital Civil de Guadalajara "Fray Antonio Alcalde", Universidad de Guadalajara, Guadalajara, México
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Cervantes-Pérez LA, Cervantes-Pérez G, Cervantes-Guevara G, Cervantes-Pérez E. La carga económica global de la COVID-19: Cada día más lejos de la Agenda 2030 para el Desarrollo Sostenible. CIR CIR 2021; 89:418-419. [PMID: 34037606 DOI: 10.24875/ciru.20001420] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Lorena A Cervantes-Pérez
- Unidad de Trasplante de Médula Ósea, Instituto Nacional de Cancerología, Ciudad de México. México
| | - Gabino Cervantes-Pérez
- Departamento de Gastroenterología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco. México
| | - Gabino Cervantes-Guevara
- Departamento de Gastroenterología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco. México.,Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco. México
| | - Enrique Cervantes-Pérez
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco. México.,Departamento de Nutriología, Clínica Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México. México.,Departamento de Medicina Interna, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco. México
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Cervantes-Pérez LA, Cervantes-Guevara G, Cervantes-Pérez E. Covid-19 en receptores de trasplante de médula ósea. Salud Publica Mex 2021; 63:328-330. [PMID: 34098621 DOI: 10.21149/11825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 01/07/2021] [Indexed: 11/06/2022] Open
Abstract
No disponible.
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Affiliation(s)
- Lorena A Cervantes-Pérez
- Unidad de Trasplante de Médula Ósea, Instituto Nacional de Cancerología. Ciudad de México, México.
| | - Gabino Cervantes-Guevara
- Departamento de Gastroenterología, Hospital Civil de Guadalajara Fray Antonio Alcalde. Guadalajara, Jalisco, México; Centro Universitario del Norte, Departamento de Bienestar y Desarrollo Sustentable, Universidad de Guadalajara. Colotlán, Jalisco, México.
| | - Enrique Cervantes-Pérez
- Centro Universitario del Norte, Departamento de Bienestar y Desarrollo Sustentable, Universidad de Guadalajara. Colotlán, Jalisco, México; Departamento de Nutriología Clínica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Ciudad de México, México; Departamento de Medicina Interna, Hospital Civil de Guadalajara Fray Antonio Alcalde. Guadalajara, Jalisco, México.
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Rosa LRDL, Robledo-Valdez M, Cervantes-Pérez E, Cervantes-Guevara G, Cervantes-Cardona GA, Ramírez-Ochoa S, González-Ojeda A, Fuentes-Orozco C, Padilla-Rubio MF. Medical and nutritional implications in chronic heart failure: strengths and limitations. Arch Cardiol Mex 2021; 91:221-228. [PMID: 33887757 PMCID: PMC8295859 DOI: 10.24875/acm.20000260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Heart failure (HF) is one of the most important global public health problems, as there is an increase in its prevalence and an estimated 23 million of the world's population live with this problem. HF is defined by the presence of structural and functional abnormalities of the cardiac muscle leading to an impairment of ventricular filling and ejection. Multiple comorbidities have been associated with an increased risk of developing cardiovascular diseases. Hypertension has been recognized as one of the most important factors, however, obesity, metabolic syndrome, as well as diabetes also play an important role in the onset of the disease. It is common to find in decompensated heart failure hospitalized patients an impaired nutritional status characterized mainly by the presence of nutritional deficiencies and sarcopenia, which can sometimes progress to cachexia. Therefore, an adequate evaluation through the correct use of nutritional risk tools should be the cornerstone to the prevention of risks. Multiple anthropometric and biochemical parameters are available to establish the nutritional status of hospitalized patients, however, alterations in blood volume presented in patients with HF may alter the result of such assessment. The effectiveness of dietary modifications in the prevention and treatment of different cardiovascular diseases enhanced by appropriate adherence to eating patterns such as the DASH and Mediterranean diet have been inversely associated with the incidence of HF.
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Affiliation(s)
- Lucero Rico-de la Rosa
- Departamento de Nutriología Clínica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México
| | - Miguel Robledo-Valdez
- Departamento de Nutriología Clínica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México
| | - Enrique Cervantes-Pérez
- Departamento de Nutriología Clínica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México.,Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jal
| | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jal.,Servicio de Gastroenterología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jal
| | - Guillermo A Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jal
| | - Sol Ramírez-Ochoa
- Servicio de Medicina Interna, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jal
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, UMAE, Hospital de Especialidades, Centro Médico Nacional de Occidente, IMSS, Guadalajara, Jal. México
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, UMAE, Hospital de Especialidades, Centro Médico Nacional de Occidente, IMSS, Guadalajara, Jal. México
| | - Ma Fernanda Padilla-Rubio
- Departamento de Nutriología Clínica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México
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García-Reyna B, Castillo-García GD, Barbosa-Camacho FJ, Cervantes-Cardona GA, Cervantes-Pérez E, Torres-Mendoza BM, Fuentes-Orozco C, Pintor-Belmontes KJ, Guzmán-Ramírez BG, Bernal-Hernández A, González-Ojeda A, Cervantes-Guevara G. Correction to: Fear of COVID-19 Scale for Hospital Staff in Regional Hospitals in Mexico: a Brief Report. Int J Ment Health Addict 2021; 21:1. [PMID: 33526993 PMCID: PMC7840074 DOI: 10.1007/s11469-021-00487-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
[This corrects the article DOI: 10.1007/s11469-020-00413-x.].
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Affiliation(s)
- Benjamín García-Reyna
- Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco Mexico
| | | | - Francisco José Barbosa-Camacho
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional deOccidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco Mexico
| | - Guillermo Alonso Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Cienciasde la Salud, Universidad de Guadalajara, Guadalajara, Jalisco Mexico
| | - Enrique Cervantes-Pérez
- Departamento de Nutrición Clínica, Instituto Nacional de Ciencias Médicas y Nutrición“Salvador Zubirán”, Ciudad de Mexico, Mexico
| | - Blanca Miriam Torres-Mendoza
- Departamento de Bienestar y Desarrollo Sostenible, Centro Universitario del Norte, Universidad deGuadalajara, Km. 191, México 45D No. 23, 46200 Colotlán, Jalisco Mexico
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional deOccidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco Mexico
| | - Kevin Josue Pintor-Belmontes
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional deOccidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco Mexico
| | - Bertha Georgina Guzmán-Ramírez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional deOccidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco Mexico
| | - Aldo Bernal-Hernández
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional deOccidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco Mexico
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional deOccidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco Mexico
| | - Gabino Cervantes-Guevara
- Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco Mexico
- Departamento de Bienestar y Desarrollo Sostenible, Centro Universitario del Norte, Universidad deGuadalajara, Km. 191, México 45D No. 23, 46200 Colotlán, Jalisco Mexico
- Hospital Civil de Guadalajara“Fray Antonio Alcalde”, Universidad de Guadalajara, Guadalajara, Jalisco Mexico
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Cervantes-Guevara G, Maciel-Saldierna M, Elizondo-Hernández E, Cervantes-Pérez LA, Cervantes-Cardona GA, García-Reyna B, Ibarrola-Peña JC, Almanza-Mena YL, Barbosa-Camacho FJ, Fuentes-Orozco C, Chejfec-Ciociano JM, Guzmán-Barba JA, Flores-Becerril P, Reyes-Elizalde EA, González-Ojeda A. Fear of COVID-19 in High School Personnel: a Survey Study in Western Mexico. Int J Ment Health Addict 2021; 20:1687-1694. [PMID: 33519317 PMCID: PMC7831620 DOI: 10.1007/s11469-020-00473-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/15/2020] [Indexed: 11/29/2022] Open
Affiliation(s)
- Gabino Cervantes-Guevara
- Centro Universitario del Norte, Universidad de Guadalajara, Colotlan, Jalisco Mexico.,Hospital Civil de Guadalajara "Fray Antonio Alcalde", Universidad de Guadalajara, Guadalajara, Jalisco México
| | - Manuel Maciel-Saldierna
- Secundaria 56 Mixta "Juana de Asbaje", Secretaría de Educación Jalisco, Guadalajara, Jalisco Mexico
| | | | | | - Guillermo Alonso Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco Mexico
| | - Bejanmín García-Reyna
- Centro Universitario del Norte, Universidad de Guadalajara, Colotlan, Jalisco Mexico
| | - Juan Carlos Ibarrola-Peña
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Belisario Domínguez 1000 Col. Independencia, Guadalajara, Jalisco Mexico
| | - Yolanda Lorelei Almanza-Mena
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Belisario Domínguez 1000 Col. Independencia, Guadalajara, Jalisco Mexico
| | - Francisco José Barbosa-Camacho
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Belisario Domínguez 1000 Col. Independencia, Guadalajara, Jalisco Mexico
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Belisario Domínguez 1000 Col. Independencia, Guadalajara, Jalisco Mexico
| | - Jonathan Matias Chejfec-Ciociano
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Belisario Domínguez 1000 Col. Independencia, Guadalajara, Jalisco Mexico
| | - José Aldo Guzmán-Barba
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Belisario Domínguez 1000 Col. Independencia, Guadalajara, Jalisco Mexico
| | - Paola Flores-Becerril
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Belisario Domínguez 1000 Col. Independencia, Guadalajara, Jalisco Mexico
| | - Emilio Alberto Reyes-Elizalde
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Belisario Domínguez 1000 Col. Independencia, Guadalajara, Jalisco Mexico
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Belisario Domínguez 1000 Col. Independencia, Guadalajara, Jalisco Mexico
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García-Reyna B, Castillo-García GD, Barbosa-Camacho FJ, Cervantes-Cardona GA, Cervantes-Pérez E, Torres-Mendoza BM, Fuentes-Orozco C, Pintor-Belmontes KJ, Guzmán-Ramírez BG, Hernández-Bernal A, González-Ojeda A, Cervantes-Guevara G. Fear of COVID-19 Scale for Hospital Staff in Regional Hospitals in Mexico: a Brief Report. Int J Ment Health Addict 2020; 20:895-906. [PMID: 33169075 PMCID: PMC7640993 DOI: 10.1007/s11469-020-00413-x] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/16/2020] [Indexed: 01/08/2023] Open
Abstract
The presence of COVID-19 has had psychological consequences among health personnel; these include fear, anxiety, and depression. In the current study, we used the Fear of COVID-19 Scale (FCV-19S) to assess the response to fear within health staff in Mexico. This was a cross-sectional survey study in which we administered the Spanish version of the FCV-19S to hospital staff. The FCV-19S is a seven-item questionnaire that assesses the severity of fear caused by COVID-19. A total of 2860 participants—1641 female and 1218 male personnel from three hospitals—were included in the study. The internal reliability of the scale was good, with Cronbach’s alpha of .902. A confirmatory factor analysis (CFA) was conducted on the seven items of the FCV-19S, showing good model fit (χ2 (7) = 29.40, p < .001; CFI = .99; TLI = .99; RMSEA = .03; SRMR = .010; AIC = 71.40). We found a global FCV-19S mean score of 19.3 ± 6.9, with a significant difference in scores between women and men. Our survey shows a significantly higher level of fear in nursing and administrative personnel, which may be explained by the nursing staff being in close contact with infected patients and the administrative staff lacking understanding of the possible implications of the infection, compared with nonclinical hospital personnel. Our results are consistent with those of other researchers. We must remember that fear is a reaction and that we must be courageous enough to trust validated infection prevention practices to provide the highest standard of care, in the safest environment that we can, for as long as we can.
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Affiliation(s)
- Benjamín García-Reyna
- Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco Mexico
| | | | - Francisco José Barbosa-Camacho
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco Mexico
| | - Guillermo Alonso Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco Mexico
| | - Enrique Cervantes-Pérez
- Departamento de Nutrición Clínica, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Ciudad de Mexico, Mexico
| | - Blanca Miriam Torres-Mendoza
- Departamento de Bienestar y Desarrollo Sostenible, Centro Universitario del Norte, Universidad de Guadalajara, Km. 191, México 45D No. 23, 46200 Colotlán, Jalisco Mexico
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco Mexico
| | - Kevin Josue Pintor-Belmontes
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco Mexico
| | - Bertha Georgina Guzmán-Ramírez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco Mexico
| | - Aldo Hernández-Bernal
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco Mexico
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco Mexico
| | - Gabino Cervantes-Guevara
- Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco Mexico.,Departamento de Bienestar y Desarrollo Sostenible, Centro Universitario del Norte, Universidad de Guadalajara, Km. 191, México 45D No. 23, 46200 Colotlán, Jalisco Mexico.,Hospital Civil de Guadalajara "Fray Antonio Alcalde", Universidad de Guadalajara, Guadalajara, Jalisco Mexico
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Cervantes-Pérez E, Cervantes-Guevara G, Martínez-Soto Holguín MC, Cervantes-Pérez LA, Cervantes-Pérez G, Cervantes-Cardona GA, González-Ojeda A, Fuentes-Orozco C, Ramírez-Ochoa S. Medical Nutrition Therapy in Hospitalized Patients With SARS-CoV-2 (COVID-19) Infection in a Non-critical Care Setting: Knowledge in Progress. Curr Nutr Rep 2020; 9:309-315. [PMID: 33125628 PMCID: PMC7596628 DOI: 10.1007/s13668-020-00337-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/16/2020] [Indexed: 02/07/2023]
Abstract
Purpose of Review As of 13 September 2020, almost 28 million confirmed cases of COVID-19 including more than 920,000 deaths have been reported to the World Health Organization. The SARS-CoV-2 pandemic represents a potential threat to patients and healthcare systems worldwide. Patients with the worst outcomes and higher mortality are reported to include older adults, polymorbid individuals, and malnourished people in general. The purpose of this review is to provide concise guidance for the nutritional management of individuals with COVID-19 based on the current literature and focused on those in the non-ICU setting or with an older age and polymorbidity, which are independently associated with malnutrition and its negative impact on mortality. Recent Findings Prolonged hospital stays are reported to be required for individuals with COVID-19, and longer acute setting stays may directly worsen or cause malnutrition, with severe loss of skeletal muscle mass and function, which may lead to poor quality of life and additional morbidity. Nutritional therapy is among the mainstay of therapeutic principles and one of the core contents of comprehensive treatment measures. Summary The current COVID-19 pandemic is unprecedented. The prevention, diagnosis, and treatment of malnutrition should therefore be routinely included in the management of individuals with COVID-19.
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Affiliation(s)
- Enrique Cervantes-Pérez
- Department of Clinical Nutrition, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga, 15, Col. Belisario Domínguez Sección XVI, Del. Tlalpan. CP, 14080, Mexico City, Mexico. .,Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco, Mexico.
| | - Gabino Cervantes-Guevara
- Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco, Mexico.,Department of Gastroenterology, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco, Mexico
| | - Martha C Martínez-Soto Holguín
- Department of Clinical Nutrition, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga, 15, Col. Belisario Domínguez Sección XVI, Del. Tlalpan. CP, 14080, Mexico City, Mexico
| | | | - Gabino Cervantes-Pérez
- Department of Gastroenterology, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco, Mexico
| | - Guillermo Alonso Cervantes-Cardona
- Department of Philosophical, Methodological and Instrumental Disciplines, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Specialties Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Specialties Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico
| | - Sol Ramírez-Ochoa
- Department of Internal Medicine, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco, Mexico
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Cervantes-Pérez E, Cervantes-Guevara G, Martínez-Soto-Holguín MC. COVID-19 and clinical nutrition. Why is it important? GAC MED MEX 2020. [DOI: 10.24875/gmm.m20000412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Cervantes-Pérez E, Cervantes-Guevara G, Cervantes-Pérez LA, Cervantes-Cardona GA, González-Ojeda A, Fuentes-Orozco C. Gastric leiomyoma casusing gastrointestinal bleeding. CIR CIR 2020; 88:116-119. [PMID: 32963385 DOI: 10.24875/ciru.20001766] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Los leiomiomas gástricos son tumoraciones submucosas benignas, poco comunes, que se originan del músculo liso. Clínicamente son asintomáticos, con buen pronóstico y con pocas complicaciones a largo plazo. Reportamos el caso de un joven de 16 años que se presenta a la clínica con melena y dolor abdominal. En la endoscopia se reporta una tumoración prepilórica, ulcerada y cubierta de fibrina. El estudio histopatológico mostró una neoplasia mesenquimal con positividad inmunohistoquimica para desmina y actina, así como negatividad para C-kit, DOG-1 y S-100, compatible con leiomioma gástrico. Fue intervenido quirúrgicamente realizándose antrectomía laparoscópica con reconstrucción en Y de Roux de manera exitosa. Gastric leiomyomas are rare, benign submucosal tumors originating from smooth muscle cells. They are usually asymptomatic, having good prognosis with limited long-term complications. A 16-year-old young man comes to our clinic and reports melena and abdominal pain. Upper endoscopy revealed a prepyloric, ulcerated, fibrin-covered tumor. Histopathological examination showed a positive immunohistochemical stain mesenchymal neoplasm for desmin and muscle actin, being negative for C-kit, DOG-1 and S100 proteins, consistent with gastric leiomyoma. Antrectomy with Roux-en-Y gastrojejunostomy was successfully performed.
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Affiliation(s)
- Enrique Cervantes-Pérez
- Departamento de Nutriología Clínica, Instituto Nacional de Ciencias Médicas y Nutrición Dr. Salvador Zubirán, Ciudad de México. México.,Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco. México
| | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán, Jalisco. México.,Clínica de Esófago, Estómago y Duodeno, Servicio de Gastroenterología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco. México
| | - Lorena A Cervantes-Pérez
- Servicio de Hematología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco. México
| | | | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, Unidad Médica de Alta Especialidad (UMAE), Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social, Guadalajara, Jalisco. México
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, Unidad Médica de Alta Especialidad (UMAE), Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social, Guadalajara, Jalisco. México
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Salazar-Parra M, Guzman-Ramirez BG, Pintor-Belmontes KJ, Barbosa-Camacho FJ, Bernal-Hernández A, Cruz-Neri RU, Fuentes-Orozco C, Aguirre LLR, Rodríguez-Navarro D, Brancaccio-Pérez IV, Esparza-Estrada I, Cervantes-Pérez E, Cervantes-Guevara G, Cervantes-Cardona GA, González-Ojeda A. Gender Differences in Postoperative Pain, Nausea and Vomiting After Elective Laparoscopic Cholecystectomy. World J Surg 2020; 44:4070-4076. [PMID: 32812138 DOI: 10.1007/s00268-020-05744-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/09/2020] [Indexed: 01/17/2023]
Abstract
BACKGROUND Although reports suggest that pain and postoperative nausea and vomiting (PONV) may be more frequent in women, the evidence is inconsistent. The objective of this study was to investigate whether women are more sensitive to pain and PONV after laparoscopic cholecystectomy (LC). METHODS A total of 370 women and 275 men were included in a retrospective cohort study. All underwent LC under standardized general anesthesia. The variables analyzed included clinical and anthropometric parameters. End points were the incidence of nausea, vomiting, pain, and the requirement for additional pain relievers and antiemetics to control these. RESULTS The women were younger and had lower body weight than the men (p < 0.001). Body mass index was within the normal range for 50% of women and 30% of men (p < 0.001). Pain was more common in women at 1, 6, 12 and 24 h after surgery (p < 0.02). Narcotics in addition to the doses used to lessen pain intensity (p = 0.01) were required in 60 women and 19 men (p < 0.001). PONV was more frequent in women at 1 and 6 h after surgery (p < 0.01). Rescue antiemetics were required in 35 women and 11 men (p = 0.008). Hospital stay was shorter for men (p < 0.001). Four patients in each group developed postoperative complications (p = 0.14). There was no mortality. CONCLUSIONS Early postoperative pain, nausea and vomiting after LC were more common in women, who more frequently required analgesic and antiemetic rescue medication.
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Affiliation(s)
- Marcela Salazar-Parra
- Postgraduate Research Division, Faculty of Medicine, University of Colima, Avenida Universidad 333, Las Víboras, 28040, Colima, Col., Mexico.,02-Biomedical Research Unit, Western Medical Center, Specialties Hospital, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Bertha Georgina Guzman-Ramirez
- 02-Biomedical Research Unit, Western Medical Center, Specialties Hospital, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Kevin Josue Pintor-Belmontes
- 02-Biomedical Research Unit, Western Medical Center, Specialties Hospital, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Francisco José Barbosa-Camacho
- 02-Biomedical Research Unit, Western Medical Center, Specialties Hospital, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Aldo Bernal-Hernández
- 02-Biomedical Research Unit, Western Medical Center, Specialties Hospital, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Roberto Ulises Cruz-Neri
- Postgraduate Research Division, Faculty of Medicine, University of Colima, Avenida Universidad 333, Las Víboras, 28040, Colima, Col., Mexico.,02-Biomedical Research Unit, Western Medical Center, Specialties Hospital, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Clotilde Fuentes-Orozco
- 02-Biomedical Research Unit, Western Medical Center, Specialties Hospital, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Laura Lizeth Reyes Aguirre
- 02-Biomedical Research Unit, Western Medical Center, Specialties Hospital, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Dinorah Rodríguez-Navarro
- 02-Biomedical Research Unit, Western Medical Center, Specialties Hospital, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Irma Valeria Brancaccio-Pérez
- 02-Biomedical Research Unit, Western Medical Center, Specialties Hospital, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Isaac Esparza-Estrada
- 02-Biomedical Research Unit, Western Medical Center, Specialties Hospital, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico
| | - Enrique Cervantes-Pérez
- Department of Clinical Nutrition, National Institute of Medical Sciences and Nutrition Salvador Zubirán, University of Mexico, Mexico City, Mexico
| | - Gabino Cervantes-Guevara
- Department of Welfare and Sustainable Development, University Center of the North, University of Guadalajara, 46200, Colotlan, Jalisco, Mexico
| | - Guillermo Alonso Cervantes-Cardona
- Department of Philosophical, Methodological and Instrumental Disciplines, Health Sciences University Center, University of Guadalajara, 44340, Guadalajara, Jalisco, Mexico
| | - Alejandro González-Ojeda
- 02-Biomedical Research Unit, Western Medical Center, Specialties Hospital, Mexican Institute of Social Security, Avenida Belisario Domínguez 1000, 44430, Guadalajara, Jalisco, Mexico.
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Cervantes-Pérez E, Cervantes-Guevara G, Martínez-Soto-Holguín MC. COVID-19 y la nutrición clínica. ¿Por qué es importante? GAC MED MEX 2020; 156:363. [DOI: 10.24875/gmm.20000388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Chávez-Tostado M, Cervantes-Guevara G, López-Alvarado SE, Cervantes-Pérez G, Barbosa-Camacho FJ, Fuentes-Orozco C, Hernández-Corona DM, González-Heredia T, Cervantes-Cardona GA, González-Ojeda A. Comparison of nutritional screening tools to assess nutritional risk and predict clinical outcomes in Mexican patients with digestive diseases. BMC Gastroenterol 2020; 20:79. [PMID: 32216787 PMCID: PMC7098076 DOI: 10.1186/s12876-020-01214-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Accepted: 03/04/2020] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND The prevalence of malnutrition remains high in hospitals but no "gold standard" has been established to identify nutritional risks adequately. The Nutrition Risk Screening-2002 (NRS-2002), Subjective Global Assessment (SGA), and Controlling Nutritional Status Index (CONUT) are widely used screening tools, but their efficacy has not yet been compared in Mexican patients. Here, we aimed to compare the efficacy of these tools in identifying nutritional risks within the first 48 h of admission in a group of patients with gastrointestinal diseases. METHODS This was a cross-sectional study of 196 patients. The results of the screening tools, length of hospital stay, serum albumin and cholesterol concentrations, lymphocyte counts, age, body mass index (BMI), complications, and mortality were analyzed. Kappa (κ) statistics were applied to determine the degree of agreement between tools. The performances of the screening tools in predicting complications and mortality were assessed using binary logistic regression. RESULTS The NRS-2002, SGA, and CONUT tools identified nutritional risk in 67, 74, and 51% of the patients, respectively. The observed agreements between tools were: NRS2002/SGA, κ = 0.53; CONUT/NRS-2002, κ = 0.42; and SGA/CONUT, κ = 0.36. Within age groups, the best agreement was found in those aged 51-65 years (κ = 0.68). CONUT and length of stay were both predictive for the number of complications. The number of complications and serum cholesterol concentrations were predictive for mortality. CONCLUSIONS The proportion of patients identified as having nutritional risk was high using all three screening tools. SGA, NRS-2002, and CONUT had similar capacities for screening risk, but the best agreement was observed between NRS-2002 and SGA. Only CONUT predicted complications, but none of these tools performed well in predicting mortality.
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Affiliation(s)
- Mariana Chávez-Tostado
- Departamento de Clínicas de la Reproducción Humana, Crecimiento y Desarrollo Infantil, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340, Guadalajara, Jalisco, Mexico
| | - Gabino Cervantes-Guevara
- Department of Welfare and Sustainable Development, University Center of the North, University of Guadalajara, 46200, Colotlan, Jalisco, Mexico
| | - Sandra Estefanía López-Alvarado
- Department of Biomedical Sciences, Health Sciences Division, Tonala University Campus, University of Guadalajara, 45425, Guadalajara, Jalisco, Mexico
| | - Gabino Cervantes-Pérez
- Department of Welfare and Sustainable Development, University Center of the North, University of Guadalajara, 46200, Colotlan, Jalisco, Mexico
| | - Francisco José Barbosa-Camacho
- Biomedical Research Unit 02, Western National Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez # 1000, Col. Independencia, 44340, Guadalajara, Jalisco, Mexico
| | - Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Western National Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez # 1000, Col. Independencia, 44340, Guadalajara, Jalisco, Mexico
| | - Diana Mercedes Hernández-Corona
- Department of Biomedical Sciences, Health Sciences Division, Tonala University Campus, University of Guadalajara, 45425, Guadalajara, Jalisco, Mexico
| | - Tonatiuh González-Heredia
- Department of Biomedical Sciences, Health Sciences Division, Tonala University Campus, University of Guadalajara, 45425, Guadalajara, Jalisco, Mexico
| | - Guillermo Alonso Cervantes-Cardona
- Department of Philosophical, Methodological and Instrumental Disciplines, Health Sciences University Center, University of Guadalajara, 44340, Guadalajara, Jalisco, Mexico
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Western National Medical Center, Mexican Institute of Social Security, Avenida Belisario Domínguez # 1000, Col. Independencia, 44340, Guadalajara, Jalisco, Mexico.
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Barbosa-Camacho FJ, Miranda-Ackerman RC, Vázquez-Reyna I, Jimenez-Ley VB, Barrera-López FJ, Contreras-Cordero VS, Sánchez-López VA, Castillo-Valverde TJ, Lamas-Abbadie CDC, González-Adán BA, Cortes-Flores AO, Morgan-Villela G, Cervantes-Cardona GA, Cervantes-Guevara G, Fuentes-Orozco C, González-Ojeda A. Association between HEXACO personality traits and medical specialty preferences in Mexican medical students: a cross-sectional survey. BMC Psychol 2020; 8:23. [PMID: 32171327 PMCID: PMC7071694 DOI: 10.1186/s40359-020-0390-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Accepted: 02/28/2020] [Indexed: 11/17/2022] Open
Abstract
Background Medical specialty is a critical choice in a physician’s life because it determines their professional future and medical practice. While some are motivated to choose a specific specialty based on the monetary gain it can provide, others are inspired by seeing the work performed by a physician or by a patient’s recovery. It is common to stereotype doctors’ personalities by their specialty. Methods This was a cross-sectional survey study in which we administered the 100-item HEXACO Personality Inventory-Revised to 292 medical students between September 2018 and March 2019. We evaluated six different domains of personality traits. We also included questions about their medical specialty of choice, their least preferred specialty, and the motivation behind these choices. The participants included 175 women (59.9%) and 117 men (40.1%). Results When the participants were asked about their preferred type of medical specialty, 52.4% indicated a preference for surgical specialties (surgical group) vs 47.6% who preferred clinical specialties (clinical group). We found that the surgical group showed significantly higher scores for Extraversion and Organization domains, while the clinical group showed significantly higher scores on the Honesty–Humility, Emotionality, and Agreeableness domains. We identified critical differences within the overall group of medical students by their medical specialty preference. Conclusions Some classical stereotypes were confirmed by our results, such as surgical specialists tending to be more extroverted and organized, whereas clinical specialists were prone to being more introverted, anxious, and more emotionally attached to their patients.
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Affiliation(s)
- Francisco José Barbosa-Camacho
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Avenida Belisario Domínguez # 1000, Col. Independencia, 44340, Guadalajara, Jalisco, Mexico
| | | | | | - Vania Brickelia Jimenez-Ley
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Avenida Belisario Domínguez # 1000, Col. Independencia, 44340, Guadalajara, Jalisco, Mexico
| | - Francisco Javier Barrera-López
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Avenida Belisario Domínguez # 1000, Col. Independencia, 44340, Guadalajara, Jalisco, Mexico
| | - Vianca Seleste Contreras-Cordero
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Avenida Belisario Domínguez # 1000, Col. Independencia, 44340, Guadalajara, Jalisco, Mexico
| | | | | | | | - Brenda Alicia González-Adán
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Avenida Belisario Domínguez # 1000, Col. Independencia, 44340, Guadalajara, Jalisco, Mexico
| | | | | | | | | | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Avenida Belisario Domínguez # 1000, Col. Independencia, 44340, Guadalajara, Jalisco, Mexico
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Avenida Belisario Domínguez # 1000, Col. Independencia, 44340, Guadalajara, Jalisco, Mexico. .,Centro Universitario de Tonalá, Universidad de Guadalajara, Tonalá, Jalisco, Mexico.
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Miranda-Ackerman RC, Barbosa-Camacho FJ, Sander-Möller MJ, Buenrostro-Jiménez AD, Mares-País R, Cortes-Flores AO, Morgan-Villela G, Zuloaga-Fernández del Valle CJ, Solano-Genesta M, Fuentes-Orozco C, Cervantes-Cardona GA, Cervantes-Guevara G, González-Ojeda A. Burnout syndrome prevalence during internship in public and private hospitals: a survey study in Mexico. Med Educ Online 2019; 24:1593785. [PMID: 30957686 PMCID: PMC6461102 DOI: 10.1080/10872981.2019.1593785] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Revised: 02/18/2019] [Accepted: 03/04/2019] [Indexed: 05/20/2023]
Abstract
Burnout syndrome is a psychological condition that commonly affects health professionals, medical students, and others in professions with long shifts. It is defined by a high amount of emotional exhaustion, depersonalization, and low personal job satisfaction. We aimed to determine the prevalence of burnout syndrome in medical interns and establish the relationships between this condition and the time and type of hospital at which students worked during their medical internship. This was a survey study in which we used the Maslach Burnout Inventory, applied to fifth-year medical students on an internship at private and public hospitals in Mexico. The participants were 96 women (54.5%) and 80 men (45.5%), with ages ranging from 21 to 34 years old. We found burnout syndrome in 20% of these medical students 22% of the women and 18.6% of the men in the sample. Second-semester interns suffered burnout at a rate of 29%, in contrast to 15% of first-semester students. Emotional exhaustion and depersonalization scores were higher in second-semester interns who worked in public hospitals. However, the prevalence did not differ between public and private hospitals. Our study reports a higher prevalence of burnout syndrome during the second semester of internship. Students who practiced their internship in a public hospital showed higher scores in emotional exhaustion and depersonalization than those who practiced in a private hospital.
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Affiliation(s)
| | - Francisco José Barbosa-Camacho
- Departamento de Educación e Investigación, Hospital de Especialidades del Centro Médico Puerta de Hierro Norte, Zapopan, Jalisco, México
| | | | | | - Roberto Mares-País
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | | | | | | | | | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02 Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México
| | | | | | - Alejandro González-Ojeda
- Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México
- CONTACT Alejandro González-Ojeda Avenida Belisario Domínguez # 1000., Col. Independencia, Guadalajara, Jalisco44340, México
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Fuentes-Orozco C, Garcia-Salazar SJ, Gómez-Navarro B, González-Espinoza E, Zepeda-González A, Ramírez-Robles JN, Castañeda-Espinoza R, Yáñez-Sánchez I, Gálvez-Gastelum FJ, Cervantes-Guevara G, Cervantes-Cardona GA, Contreras-Hernández GI, Pérez-Landeros JE, García-Martinez D, González-Ojeda A. Anti-Inflammatory Effect of Atorvastatin on the Kidney Graft of Living Donor Transplants. Ann Transplant 2018; 23:442-449. [PMID: 29955032 PMCID: PMC6248064 DOI: 10.12659/aot.908521] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
Background Recent studies have demonstrated that statins have anti-inflammatory and immunomodulatory properties, which could be considered beneficial in kidney transplantations. This study assesses the anti-inflammatory effect of atorvastatin on the kidney grafts of living donor transplants. Material/Methods In a randomized clinical trial, kidney donors were divided into 2 groups. The study group constituted 24 donors who received 40 mg atorvastatin, and 24 donors who received a placebo control, 4 weeks prior to transplantation. Serum C-reactive protein (CRP) levels were measured before and after atorvastatin administration. CRP and renal function of kidney recipients were measured at baseline and 1, 6, and 24 hours after transplantation. Results After 4 weeks of treatment, the CRP level was 5.62±3.82 mg/dL in the control group and 3.27±0.62 mg/dL in the study group (P=0.007). Upon reperfusion, CRP levels in recipients at 1 hour were, 5.8±3.9 and 3.8±1.0 mg/dL, respectively (P=0.04). Twenty-four hours after the kidney transplantations, serum creatinine levels were 2.5±1.5 mg/dL in the study group and 3.7±2.4 mg/dL in the control group (P=0.04). Conclusions Our study suggests that the use of atorvastatin prior to allograft procurement of kidney transplant, reduces the acute kidney inflammatory burden profile, and promotes an improved kidney function recovery following transplantation.
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Affiliation(s)
- Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Specialties Hospital, Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Jalisco, Mexico
| | | | - Benjamín Gómez-Navarro
- Department of Nephrology, Specialties Hospital, Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Jalisco, Mexico
| | - Eduardo González-Espinoza
- Department of Transplant Surgery, Specialties Hospital, Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Jalisco, Mexico
| | - Alonso Zepeda-González
- Department of Surgical Division of Pediatrics, Specialties Hospital, Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Jalisco, Mexico
| | - Juan Narciso Ramírez-Robles
- Department of Transplant Surgery, Specialties Hospital, Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Jalisco, Mexico
| | - Rafael Castañeda-Espinoza
- Department of Transplant Surgery, Specialties Hospital, Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Jalisco, Mexico
| | - Irinea Yáñez-Sánchez
- Laboratory of Pathology, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
| | | | | | | | - Guadalupe Ivette Contreras-Hernández
- Biomedical Research Unit 02, Specialties Hospital, Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Jalisco, Mexico
| | - Jacob Esau Pérez-Landeros
- Biomedical Research Unit 02, Specialties Hospital, Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Jalisco, Mexico
| | - David García-Martinez
- Biomedical Research Unit 02, Specialties Hospital, Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Jalisco, Mexico
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Specialties Hospital, Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Jalisco, Mexico
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Cortés-Flores AO, Vargas-Meza A, Morgan-Villela G, Jiménez-Tornero J, del Valle CJZF, Solano-Genesta M, Miranda-Ackerman RC, Vázquez-Reyna I, García-González LA, Cervantes-Cardona GA, Cervantes-Guevara G, Fuentes-Orozco C, González-Ojeda A. Sexuality Among Women Treated for Breast Cancer: A Survey of Three Surgical Procedures. Aesthetic Plast Surg 2017; 41:1275-1279. [PMID: 28842752 DOI: 10.1007/s00266-017-0960-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2017] [Accepted: 08/09/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND The quality of life of Mexican patients with breast cancer has been studied, but female sexual function has only been explored superficially. The Female Sexual Function Index (FSFI) questionnaire has been validated as a tool to measure sexual function among women with cancer. However, no study in Mexico has been published. PURPOSE To evaluate and compare female sexuality of breast cancer survivors treated with three surgical procedures. MATERIALS AND METHODS This is a cross-sectional questionnaire survey applied in patients without active disease and free of any oncologic treatment who underwent conservative mastectomy, and mastectomy with and without reconstruction. Patients included in this study had no evidence of active disease after at least 2 years of postoperative follow-up and agreed to complete the FSFI questionnaire during a surveillance visit. RESULTS Seventy-four patients were included: 37.8% had undergone conservative mastectomy, 29.7% radical mastectomy, and 32.4% radical mastectomy plus reconstruction. Patients in the radical mastectomy group were older than those in the other groups (p = 0.002). Female sexual dysfunction was observed in 34% of patients, but in patients who underwent radical mastectomy, it was 63% by contrast with 14 and 29% in women treated with conservative mastectomy and radical mastectomy with reconstruction (p = 0.001). CONCLUSIONS We found a lower prevalence of female sexual dysfunction in patients treated with conservative mastectomy or reconstruction after radical mastectomy. Alternatively, radical mastectomy was offered to older patients, a condition that could contribute together with a loss of female perception to a higher prevalence of sexual dysfunction. LEVEL OF EVIDENCE III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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González-Ojeda A, Cervantes-Guevara G, Chávez-Sánchez M, Dávalos-Cobián C, Ornelas-Cázares S, Macías-Amezcua MD, Chávez-Tostado M, Ramírez-Campos KM, Ramírez-Arce ADR, Fuentes-Orozco C. Platelet count/spleen diameter ratio to predict esophageal varices in Mexican patients with hepatic cirrhosis. World J Gastroenterol 2014; 20:2079-2084. [PMID: 24616574 PMCID: PMC3934478 DOI: 10.3748/wjg.v20.i8.2079] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2013] [Revised: 10/25/2013] [Accepted: 11/05/2013] [Indexed: 02/07/2023] Open
Abstract
AIM: To validate whether the platelet count/spleen size ratio can be used to predict the presence of esophageal varices in Mexican patients with hepatic cirrhosis.
METHODS: This was an analytical cross-sectional study to validate the diagnostic test for hepatic cirrhosis and was performed between February 2010 and December 2011. Patients with a diagnosis of hepatic cirrhosis were included and stratified using their Child-Pugh score. Biochemical parameters were evaluated, and ultrasound was used to measure the longest diameter of the spleen. The platelet count/spleen diameter ratio was calculated and analyzed to determine whether it can predict the presence of esophageal varices. Upper gastrointestinal endoscopy was used as the gold standard. Sensitivity and specificity, positive and negative predictive values, and positive and negative likelihood ratios were determined, with the cutoff points determined by receiver-operating characteristic curves.
RESULTS: A total of 91 patients were included. The mean age was 53.75 ± 12 years; 50 (54.9%) were men, and 41 (45.0%) women. The etiology of cirrhosis included alcohol in 48 (52.7%), virally induced in 24 (26.3%), alcoholism plus hepatitis C virus in three (3.2%), cryptogenic in nine (9.8%), and primary biliary cirrhosis in seven (7.6%). Esophageal varices were present in 73 (80.2%) patients. Child-Pugh classification, 17 (18.6%) patients were classified as class A, 37 (40.6%) as class B, and 37 (40.6%) as class C. The platelet count/spleen diameter ratio to detect esophageal varices independent of the grade showed using a cutoff value of ≤ 884.3, had 84% sensitivity, 70% specificity, and positive and negative predictive values of 94% and 40%, respectively.
CONCLUSION: Our results suggest that the platelet count/spleen diameter ratio may be a useful tool for detecting esophageal varices in patients with hepatic cirrhosis.
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Fuentes-Orozco C, Cervantes-Guevara G, Muciño-Hernández I, López-Ortega A, Ambriz-González G, Gutiérrez-de-la-Rosa JL, Gómez-Herrera E, Hermosillo-Sandoval JM, González-Ojeda A. L-alanyl-L-glutamine-supplemented parenteral nutrition decreases infectious morbidity rate in patients with severe acute pancreatitis. JPEN J Parenter Enteral Nutr 2008; 32:403-11. [PMID: 18596311 DOI: 10.1177/0148607108319797] [Citation(s) in RCA: 63] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
BACKGROUND The effect of parenteral GLN on recovery from severe acute pancreatitis has not been thoroughly investigated. The aims of this study were to determine whether parenteral GLN improves nutrition status and immune function, and to determine its ability to reduce morbidity and mortality in patients with this condition. METHODS In a randomized clinical trial, 44 patients with severe acute pancreatitis were randomly assigned to receive either standard PN (n = 22) or l-alanyl-l-glutamine-supplemented PN (n = 22) after hospital admission. Nitrogen balance, counts of leukocytes, total lymphocytes, and CD4 and CD8 subpopulations, and serum levels of immunoglobulin A, total protein, albumin, C-reactive protein, and serum interleukin (IL)-6 and IL-10 were measured on days 0, 5, and 10. Hospital stay, infectious morbidity, and mortality were also evaluated. RESULTS Demographics, laboratory characteristics, and pancreatitis etiology and severity at entry to the study were similar between groups. The study group exhibited significant increases in serum IL-10 levels, total lymphocyte and lymphocyte subpopulation counts, and albumin serum levels. Nitrogen balance also improved to positive levels in the study group and remained negative in the control group. Infectious morbidity was more frequent in the control group than in the study group. The duration of hospital stay was similar between groups, as was mortality. CONCLUSION The results suggest that treatment of patients with GLN-supplemented PN may decrease infectious morbidity rate compared with those who treated with nonenriched PN.
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Affiliation(s)
- Clotilde Fuentes-Orozco
- Medical Research Unit in Clinical Epidemiology, Western Medical Center, Mexican Institute of Social Security, Guadalajara, Jalisco, Mexico
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Fuentes-Orozco C, Anaya-Prado R, González-Ojeda A, Arenas-Márquez H, Cabrera-Pivaral C, Cervantes-Guevara G, Barrera-Zepeda LM. l-Alanyl-l-glutamine-supplemented parenteral nutrition improves infectious morbidity in secondary peritonitis. Clin Nutr 2004; 23:13-21. [PMID: 14757388 DOI: 10.1016/s0261-5614(03)00055-4] [Citation(s) in RCA: 70] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
BACKGROUND & AIMS A growing number of randomized clinical trials suggest that glutamine (Gln) supplementation may be beneficial in a selected group of patients and conditions. However, the effects of Gln-enriched total parenteral nutrition (TPN) on recovery from acute intra-abdominal infection have not been thoroughly investigated. Therefore, the aim of this study was to investigate whether the provision of Gln-enriched TPN after surgical and medical treatment of secondary peritonitis improves infectious morbidity. METHODS Thirty-three patients with secondary peritonitis were randomly assigned to receive either standard (n=16) TPN or L-alanyl-L-glutamine-supplemented (n=17) TPN, after medical and surgical treatment of the infectious focus. The two TPN formulae were isonitrogenous and isocaloric, which commenced the morning after surgery and ran continuously for 10 consecutive days. The control group received standard TPN, while the treatment group was given L-alanyl-L-glutamine, 0.40 g/kg/d (Dipeptiven, Fresenius Kabi, Bad Homburg, Germany). Infectious morbidity, nitrogen balance, leukocytes, lymphocytes, subpopulations CD(4) and CD(8), Immunoglobulin A (IgA), total proteins, albumin, hospital and intensive care unit (ICU) stays, and mortality were evaluated. Statistical analysis included one-way ANOVA, the unpaired Student's t-test, the Mann-Whitney U-test, chi(2) test, or Fisher's exact test. RESULTS Patients in both groups were comparable prior to the operation. Nitrogen balance and the levels of albumin and IgA were significantly better than those in the control group. Also, a significant reduction in the infectious morbidity was found in the Gln-treated group. Lymphocyte counts as well as subpopulations CD(4) and CD(8), and proteins showed a propensity to improvement and a tendency to reduced rates of mortality were observed when comparing the groups. Hospital and ICU stays were similar. CONCLUSION L-alanyl-L-glutamine-supplemented TPN improved the infectious morbidity of patients with secondary peritonitis. Gln supplementation to parenteral nutrition may be an alternative for enhancing host defenses and improving infectious morbidity.
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Affiliation(s)
- Clotilde Fuentes-Orozco
- Medical Research Unit in Clinical Epidemiology at Western Medical Center, Mexican Institute of Social Security, Guadalajara, Jalisco, Mexico
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