Mexican Journal of Medical Research ICSA

Cover

2024-01-05T00:10:34-06:00

Editorial committee

2024-01-05T00:10:34-06:00

Conscientious objection in medical practice

2024-01-19T14:41:04-06:00

The medical practice requires a special regimen, due to its interventional and experimental nature, without disregarding the idiosyncrasy of each patient. Therefore, in the evaluation of the biomedical act, scientific, ethical and legal principles are taken as parameters. The scientific principles can be found in the so-called lex artis, that is, the rules and procedures of the medical profession that have been universally accepted and are contemplated in the literature.

Littre´s hernia: a case presentation

2024-01-05T00:10:35-06:00

We report a case of Littre’s hernia in a 64-year old woman, which is a very uncommon condition, consists on an hernia whose content corresponds to a remnant of the omphalomesenteric duct, called Meckel’s diverticulum, that results from incomplete obliteration of the vitelline duct between the fifth and sixth weeks of human gestation as the bowel settles into its permanent position within the abdominal cavity. The diagnosis was made from the clinical findings and supported by diagnostic auxiliaries such as ultrasound and computed axial tomography (CAT). The intervention performed was a pre-peritoneal laparoscopic inguinal transabdominal repair (TAPP). The fact that this condition was diagnosed until the sixth decade of age and that the patient was a woman enhances the rarity of this case.

Self-medication with anxiolytics and antidepressants: main risk factors and repercussions

2024-01-05T00:10:35-06:00

Self-medication refers to the consumption of medications on one's own initiative and without a prescription from a health professional to treat self-diagnosed problems or by an individual who is not medically qualified. Self-medication is a common practice in the world and is generally practiced in both developed and developing countries, with a prevalence ranging between 12.1% and 92.8%, respectively. The aim of this article is to provide information on self-medication with antidepressants and anxiolytics, the consequences that the different groups of drugs bring with them when not properly implemented, the factors that influence the decision making to carry out this practice, so that the general population and especially health professionals, both those who are in training and those who have already graduated, be aware of the risks with this type of medication, identify and act in a timely manner in the event of intoxication, providing patient education on the proper use of them, and positively influence the population to have a positive impact on the statistics., avoiding morbimortality, without leaving out the promotion of mental health, by recognizing the risk factors and taking actions for a timely intervention on the risk groups.

Factors associated with mental health and mental disorders in childhood: Ecosocial and ecological models for public health policies

2024-01-05T00:10:35-06:00

Mental health is a fundamental axis for health, so it is considered a human right to be cared for and protected. Childhood mental disorders alter an individual's physical, psychological and social development, causing various individual and social problems. The Ecosocial and Ecological models allow the identification of the interactions of different protection and risk factors that influence the maintenance of mental health or the appearance of mental disorders. This work aimed to analyze the social determinants of mental health and mental disorders in childhood within the conceptual framework of the Ecosocial and Ecological models, as an initial strategy for developing public policies aimed at the protection of mental health. in the childhood.

Step-by-step one-way ANOVA analysis with the Jamovi program

2024-01-05T00:10:36-06:00

ANOVA is the acronym for Analysis of Variance, which stands for Analysis of Variance, and is used to establish statistically significant differences between the means of two groups. Currently there are several programs that synthesize this work allowing us to analyse statistical data in a simpler way. In this manuscript we will address a one-way or one-factor analysis of variance, which means that we must have an explanatory variable, also known as an independent variable, which must have two or more categories, we must also have a dependent or response variable of the type quantitatively discrete, in a fictitious case we will observe with this method how the independent variables shifted to the dependent variable, using the JAMOVI program, which is a free and easy-to-install advanced calculation program that allows the creation of complex statistical calculations efficiently. for manipulation, filtering, selection and combination of data.

Oral health in pregnancy

2024-01-22T10:09:10-06:00

The changes during pregnancy are of vital importance to maintain an optimal state of health in the mother and proper development for the fetus, however, some of these physiological, hormonal and dietary changes present in pregnancy, have an influence on the oral condition and in turn can alter and increase the risk of developing any oral disease or otherwise accelerate the evolution of any of them. Currently, scientific literature mentions a possible association between diseases and inflammatory conditions present in the oral cavity and the physiological state of pregnancy. Specifically, periodontal diseases such as gingivitis of pregnancy that can have a prevalence ranging from 35 to 100 %, periodontitis that occurs in a lower percentage, but is considerable and ranges from 30 to 40 % and granuloma of pregnancy occupying a prevalence of 1 to 5 %, which have the ability to influence conditions that are associated with pregnancy, such as eclampsia, preeclampsia, diabetes and gestational diabetes. The purpose of this article is to provide information on the complexity of maintaining oral health during this crucial stage of pregnancy and how they can influence both positively and negatively one with the other, as well as the most common diseases in this period and thus can share this information on the importance of maintaining oral health properly in the period of pregnancy.

Development of dyslipidemias in a cohort of Mexican adult patients with HIV/AIDS under highly active antiretroviral therapy

2024-01-05T00:10:36-06:00

Dyslipidemias are comorbidities in seropositive patients under highly active antiretroviral therapy (HAART), which increase their risk of complications and reduce their life expectancy. Objective: evaluate the frequency and development of dyslipidemias in seropositive patients with highly active antiretroviral therapy (HAART). Material and method: retrospective cohort study, in recently diagnosed HIV+ patients: 366 men and 59 women. Serum concentrations of total cholesterol (TC), triglycerides (TGC), HDL cholesterol (HDL-c) and LDL cholesterol (LDL-c) were evaluated before starting and at month 6, 24, 36 and 48 with HAART. Results: in both sexes at the beginning of the HAART, 67.1% of low HDL-C levels were obtained. Dyslipidaemia due to TGC and TC increased significantly in all participants after 48 months of HAART (36.9% vs. 52.7% and 7.1% vs. 22.4%, respectively, p<0.05). however, the HDL-C decreased in patients with nucleoside and non-nucleoside reverse transcriptase inhibitor drugs. Discussion: HIV+ patients with HAART have a higher risk of developing dyslipidaemia, an increase in concentrations occurred after 6 months of treatment, a trend that continued positive until 48 months with HAART. Conclusions: dyslipidemias due to TG and TC, as well as low HDL-C are the most frequent in HIV+ patients, which change depending on the time and the type of drug indicated in the HAART.

DENV and SARS-CoV-2 and their coexistence in an endemic area

2024-01-05T00:10:36-06:00

The circulation of SARS-CoV-2 in endemic regions of dengue fever and its confluence with DENV has been a reason for study. The objective of this study was to determine the epidemiological characteristics of the simultaneous circulation of both viruses in an endemic region and estimate the prevalence of SARS-CoV-2 in patients with dengue infection. A retrospective search of epidemiological databases of both diseases was performed. The records in both databases were classified as Co-infection and reinfection, non-simultaneous infection, and initial dengue diagnosis. The estimated prevalence of SARS-CoV-2 infection in individuals with dengue was 2%. No significant differences were observed in relation to the frequency of symptoms in patients with co-infection versus those with SARS-CoV-2 infection. SARS-CoV-2 was more frequent in non-simultaneous infections as a first infection followed by dengue acquired during the COVID-19 lockdown. Co-infections with both viruses occur in populations from dengue-endemic regions. Due to the similarity of symptoms during the first days of infection, it is important to study the clinical and epidemiological characteristics to reach an opportune diagnosis.