1
|
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.
Collapse
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
| |
Collapse
|
2
|
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.
Collapse
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.
| |
Collapse
|
3
|
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.
Collapse
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.
| |
Collapse
|
4
|
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.
Collapse
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
| |
Collapse
|
5
|
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.
Collapse
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
| |
Collapse
|
6
|
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.
Collapse
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
| |
Collapse
|
7
|
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.
Collapse
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
| |
Collapse
|
8
|
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.
Collapse
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
| |
Collapse
|
9
|
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.
Collapse
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.
| |
Collapse
|
10
|
Fuentes-Orozco C, Agredano-Jiménez R, Alvarez-Villaseñor AS, Mares-País R, Barbosa-Camacho FJ, Cortés-Flores AO, Reyes-Elizalde EA, Guzmán-Ramírez BG, Flores-Becerril P, Guzmán-Barba JA, Chejfec-Ciociano JM, Ibarrola-Peña JC, Brancaccio-Pérez IV, González-Ojeda A. Effects of Oral Zafirlukast, Sildenafil, or Pirfenidone on the Formation of Postsurgical Intra-abdominal Adhesions in an Experimental Rat Model. Eur Surg Res 2021; 63:145-154. [PMID: 34818645 DOI: 10.1159/000521036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Accepted: 11/16/2021] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Intra-abdominal adhesions' main etiology is surgical procedures that commonly require reintervention. Oral treatments with Sildenafil, Zafirlukast, and Pirfenidone have yielded decreased severity of fibrotic phenomena secondary to the introduction of foreign material. This study aimed to evaluate the efficacy of oral Zafirlukast, Sildenafil or Pirfenidone treatment on reducing or preventing intra-abdominal adhesions in an experimental rat model. METHODS Four groups, each of 10 male Wistar rats weighing 250-300 g, were used. A midline laparotomy was used to excise an area of 1.5´1.5cm and reconstructed with polypropylene mesh fixed to the abdominal wall. After 12 h, oral doses of Zafirlukast (1.25 mg/kg, group B), Sildenafil (15 mg/kg, group C), or Pirfenidone (500 mg/kg, group D) were given every day for eight days. The control group, A, received no treatment. At day nine, animals were reoperated. The implant was resected after ethically approved euthanasia and specimens were fixed in 10% formaldehyde for histopathology. RESULTS Control group A yielded adhesions with greater fibrovascular density and neighboring organ involvement than the other groups (P = 0.001), as well as intense inflammatory infiltrates and numerous granulomas (P = 0.04). Adhesions in group C had less fibrovascular density (P = 0.03) with decreased serosal injuries (P = 0.001) and less organ involvement. Group D had reduced adhesions without organ involvement (P < 0.01), and less inflammatory infiltrates, collagen fibers, and foreign body granulomas than groups B or C (P < 0.01). CONCLUSIONS Oral administration of these agents did not prevent adhesions but ameliorated them. Oral Pirfenidone offered the best performance and could be recommended for human use.
Collapse
Affiliation(s)
- Clotilde Fuentes-Orozco
- Biomedical Research Unit 02, Western National Medical Center, Social Security Mexican Institute, Guadalajara, Mexico
| | - Ruben Agredano-Jiménez
- Biomedical Research Unit 02, Western National Medical Center, Social Security Mexican Institute, Guadalajara, Mexico
| | | | - Roberto Mares-País
- Biomedical Research Unit 02, Western National Medical Center, Social Security Mexican Institute, Guadalajara, Mexico
| | | | | | - Emilio Alberto Reyes-Elizalde
- Biomedical Research Unit 02, Western National Medical Center, Social Security Mexican Institute, Guadalajara, Mexico
| | | | - Paola Flores-Becerril
- Biomedical Research Unit 02, Western National Medical Center, Social Security Mexican Institute, Guadalajara, Mexico
| | - José Aldo Guzmán-Barba
- Biomedical Research Unit 02, Western National Medical Center, Social Security Mexican Institute, Guadalajara, Mexico
| | | | - Juan Carlos Ibarrola-Peña
- Biomedical Research Unit 02, Western National Medical Center, Social Security Mexican Institute, Guadalajara, Mexico
| | - Irma Valeria Brancaccio-Pérez
- Biomedical Research Unit 02, Western National Medical Center, Social Security Mexican Institute, Guadalajara, Mexico
| | - Alejandro González-Ojeda
- Biomedical Research Unit 02, Western National Medical Center, Social Security Mexican Institute, Guadalajara, Mexico
| |
Collapse
|
11
|
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.
Collapse
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.
| |
Collapse
|