Mexican Journal of Medical Research ICSA <p>The Mexican Journal of Medical Research ICSA is the official medical research publication of the Área Académica de Medicina, Instituto de Ciencias de la Salud (ICSa) at the Universidad Autónoma del Estado de Hidalgo (UAEH). The journal covers all the latest important developments in health sciences in the areas of experimental, clinical and epidemiological research. The Mexican Journal of Medical Research ICSA is a peer-reviewed, open access journal that publishes original research articles, review articles, and clinical cases in all areas of medical research. Manuscripts published in the journal are free of charge to authors.</p> Universidad Autónoma del Estado de Hidalgo en-US Mexican Journal of Medical Research ICSA 2007-5235 Cover Mario I. Ortiz Copyright (c) 2019 Mexican Journal of Medical Research ICSA 2020-01-05 2020-01-05 8 15 Editorial Committee Mario I. Ortiz Copyright (c) 2019 Mexican Journal of Medical Research ICSA 2020-01-05 2020-01-05 8 15 Not all wise choices are modern nor all nonsense is ancient <p>The development of science in the last three decades, and particularly in the domain of medicine, has been surprising and overwhelming. The result is there for all to see: life expectancy has increased at an unusual level for the first time in the history of humanity.</p> Sergio Trevethan Cravioto Copyright (c) 2019 Mexican Journal of Medical Research ICSA 2020-01-05 2020-01-05 8 15 1 2 Importance of the Evaluation in the Quality of life in bariatric surgery <p>Obesity is a serious health problem that has increased in recent decades. It is a chronic disease responsible for serious physical, psychological and social problems, reaching to alter the quality of life of people who suffer from it. Bariatric surgery is the best treatment for obesity even in its most severe levels, since in addition to reducing excess weight, it achieves a high rate of improvement and remission of metabolic comorbidities, improving the quality and expectation of life of the operated patients. Within bariatric procedures, laparoscopic gastric bypass and laparoscopic sleeve gastrectomy are the most performed worldwide. Quality of life is defined as, the perception that the obese person has of their physical, psychological, and social limitations and the reduction of opportunities. The success of the surgery consists of changing the quality of life of the patient. The results should not be evaluated only according to the initial loss or late weight gain, complications or sequelae of one or another technique or the subsequent need for cosmetic surgery, but a series of factors derived from the patients themselves should be taken into account, which together define the quality of life and even the cost / benefit ratio.</p> Iracema Islas-Vega Alfredo García-Alvarado Juan Roberto González Santamaría Copyright (c) 2019 Mexican Journal of Medical Research ICSA 2020-01-05 2020-01-05 8 15 3 8 10.29057/mjmr.v8i15.3960 Risk Factors Associated with Type 2 Diabetes Mellitus in Adolescents <p>Despite T2DM is considered a nosological entity of adults, it has increased in children under 19 years old. This is due to changes in lifestyles but above all to the increase of overweight and obesity registered in recent years. There are multiple studies focused on describing both the epidemiology and the clinical presentation of T2DM in children and adolescents. In Mexico, there is little research that provides data on the behavior and distribution of this disease in the Mexican population. However, given the characteristics of the population, it is very likely to find more cases than those that are currently reported. That is why this article aims at making a brief analysis of the main risk factors associated with diabetes, epidemiology, physiopathology, clinical presentation as well as diagnosis and treatment in T2DM in adolescents.&nbsp;</p> Zayda Arlette Trejo Osti Jorge Abelardo Falcón Lezama Copyright (c) 2019 Mexican Journal of Medical Research ICSA 2020-01-05 2020-01-05 8 15 9 15 10.29057/mjmr.v8i15.3932 Depression in old age and its impact on public health in Mexico <p>Depression is a major public health problem since it is a disease that affects a significant percentage of the world population where various stressful situations motivate the understanding of emotions to be a subject with a wide variety of options due to the type of characteristics which belongs. This is defined as a frequent mental disorder characterized by the presence of sadness, loss of interest, feelings of guilt or low self-esteem, sleep disturbances or lack of appetite. Depression in people over 65 years has a high prevalence and produces a negative impact on the quality of life, it is represented in various ways because its etiology can only be explained by resorting to various biological and psychosocial mechanisms that coexist in the individual. The prognosis is generally poor, because this disorder in older adults presents greater relapses and higher mortality than in people of other ages. Several studies have shown that the most appropriate treatment for depression is one that combines resilient behavioral psychotherapy. The objective of the present review is to analyse the magnitude and social impact of depression, as well as to explore models that allow a better understanding of the strategies needed for their attention, thereby raising the level of knowledge about this condition through the deepening of the subject, emphasizing avoiding the inappropriate indication of psychotropic drugs due to the serious complications that may occur since a greater understanding of the problem will allow an early diagnosis and an opportune treatment.</p> Carolina Hernandez Serrano Copyright (c) 2019 Mexican Journal of Medical Research ICSA 2020-01-05 2020-01-05 8 15 16 22 10.29057/mjmr.v8i15.3925 Evaluation of the resistance to insecticides in Aedes aegypti, transmitter of dengue, in Latin America <p>Dengue is an infectious disease with high rates of morbidity and mortality, transmitted by the bite of the female mosquito of the genus <em>Aedes aegypti</em>, vector distributed in tropical and subtropical areas throughout the world. America is one of the most affected regions. This vector is controlled through insecticides that due to its constant use in populations, a resistance phenomenon has been produced. The objective of this review is to identify the situation of insecticide resistance in populations of <em>Aedes aegypti</em> in Latin American countries. In this region, several insecticides have been used for vector control; in the last 10 years insecticides of the pyrethroid and organophosphorus group have been used as adulticides for the control of the mosquito, conditioning resistance. Some insecticides such as organophosphates and deltamethrin, despite of not being intensively used in Latin American countries, also show resistance. Improvements in vector control are required, including the rotation of the insecticides during the different seasons, as well as innovating techniques and forms of vector control</p> Amparo Gabriela Hernández Ramos Copyright (c) 2019 Mexican Journal of Medical Research ICSA 2020-01-05 2020-01-05 8 15 23 28 10.29057/mjmr.v8i15.3912 Vampire bat reservoir and main transmitter of rabies, a public health problem in Mexico <p>Rabies is considered a re-emerging disease due to increased contact with the reservoir. The vampire bat <em>Desmodus rotundus</em> is the reservoir and main transmitter of this disease. Alterations in the natural environment have caused imbalances of impact on the ecology, influencing the movement of the reservoir from natural areas to rural and urban environments, where there are human settlements and the presence of domestic animals. The objective of this work has been to present the most relevant aspects about the role of the vampire bat as a natural reservoir and main transmitter of rabies in the region in order to raise awareness in the population about the risk this is to public health. Attacks by vampire bat <em>Desmodus rotundus</em> on livestock species are becoming more frequent, even in regions that for decades had been considered free from rabies. This represents a public health problem, because these cases can generate contacts between infected animals and people.</p> E. Abigail Amador Martínez Copyright (c) 2019 Mexican Journal of Medical Research ICSA 2020-01-05 2020-01-05 8 15 29 36 10.29057/mjmr.v8i15.3907 Obstetric Hemorrhage, its role in maternal morbidity and mortality and the importance of its diagnosis, prevention and timely management <p><strong>Background:</strong> In recent years, different international and national campaigns have been implemented to combat obstetric haemorrhage. Maternal mortality (MM) is one of the main concerns of public health and represents a good indicator to measure the quality of care, an indicator that also allows to establish the socioeconomic differences between countries. There are still many activities to be carried out and achieve the objective set by the World Health Organization (WHO) and the Latin American Federation of Societies in Obstetrics and Gynaecology (FLASOG) "Zero deaths due to haemorrhage". <strong>Objective:</strong> Based on the scientific evidence available, deepen the knowledge of the role of obstetric haemorrhage as the main avoidable cause of maternal morbidity and mortality. <strong>Methodology:</strong> retrospective study through the search of original articles and systematic reviews in: Elsevier, Lancet, Intramed, PubMed, EMBASE, ScienceDirect and Cochrane Library. The following keywords were used for all sites: "Obstetric haemorrhage", "Maternal mortality and obstetric haemorrhage", "Maternal morbidity and obstetric haemorrhage", "Postpartum, late, secondary haemorrhage". The items with the highest level of evidence were selected. <strong>Conclusions:</strong> Obstetric haemorrhage is still a potential cause of maternal and fetal morbidity and mortality. Its appearance at any time of pregnancy is a cause for concern and alarm. Despite advances in obstetric and anesthetic care, its treatment remains a challenge for the surgical team, anesthesiologist, gynaecologist and Pediatrician.</p> Ixchel Suyapa Reyes Espinoza Copyright (c) 2019 Mexican Journal of Medical Research ICSA 2020-01-05 2020-01-05 8 15 37 44 10.29057/mjmr.v8i15.3906