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El ejercicio como un aliado para el control de las enfermedades 运动是控制疾病的盟友
Pub Date : 2023-06-28 DOI: 10.22201/fm.14058871p.2023.3.85790
Olga Abigail Hernández-Gálvez, Daniela Catherine Hernández-Gálvez
Comunicación con el paciente
与患者沟通
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引用次数: 0
Perception of Prostate Cancer in Mexican Men and Willingness for Digital Rectal Examination 墨西哥男性对前列腺癌的认知及直肠指检意愿
Pub Date : 2023-03-30 DOI: 10.22201/fm.14058871p.2023.2.85025
Objective: identify the association between risk perception for prostate cancer and willingness for a digital rectal examination. Method: cross-sectional analytical study, 361 people participated through a non-probabilistic sampling by convenience. Risk perception was assessed with the health belief model for prostate cancer, a Likert-type scale validated in Mexican population was used for this purpose, and the willingness for a digital rectal examination was determined through a question. The χ2 test was used to explore the relation between the risk perception level for prostate cancer, and willingness to perform a digital rectal examination. or was calculated for the magnitude of association. Results: 13.57% of the participants had a good perception of risk, 33.24% had an inconclusive perception, and 53.19% had a poor perception. 35.18% of the participants were willing for a digital rectal examination, and 64.82% refused. 18.9% of the rectal exams performed were abnormal. There is a statistically significant association between risk perception for prostate cancer, and willingness for a digital rectal examination (p<0.05). Inconclusive and poor risk perception for prostate cancer were risk factors for a digital rectal examination willingness (or=16.72, ci 6.54-42.77, and or=21.5, ci8.62-53.65 respectively), these values were statistically significant. Conclusion: risk perception for prostate cancer can influence men’s decision making, and performance of digital rectal examination. Interventions aimed at patient education are required to increase men’s participation in comprehensive prostate cancer screening.
目的:确定前列腺癌风险认知与直肠指检意愿之间的关系。方法:横断面分析研究,361人参与,为方便起见,采用非概率抽样。采用健康信念模型评估前列腺癌的风险认知,采用在墨西哥人群中验证的李克特量表进行评估,并通过问题确定直肠指检的意愿。采用χ2检验探讨前列腺癌风险感知水平与直肠指检意愿的关系。或被计算为关联的大小。结果:13.57%的参与者对风险感知良好,33.24%的参与者对风险感知不确定,53.19%的参与者对风险感知较差。35.18%的人愿意接受直肠指检,64.82%的人拒绝接受直肠指检。18.9%的直肠检查异常。前列腺癌风险认知与直肠指检意愿之间有统计学意义的相关性(p<0.05)。不确定和对前列腺癌风险认知差是影响直肠指检意愿的危险因素(or=16.72, ci 6.54-42.77; or=21.5, ci8.62-53.65),这些值具有统计学意义。结论:前列腺癌的风险认知会影响男性的诊断决策和直肠指检的表现。针对患者教育的干预措施需要增加男性参与全面的前列腺癌筛查。
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引用次数: 0
Experiencias infantiles adversas y síntomas depresivos en una unidad de medicina familiar en Michoacán 米却肯州家庭医学单位的不良儿童经历和抑郁症状
Pub Date : 2023-03-30 DOI: 10.22201/fm.14058871p.2023.2.85032
Yunuen Moreno-Guzmán, Paula Chacón-Valladares, Naima Lajud-Ávila
Objetivo: determinar la frecuencia de experiencias infantiles adversas y su relación con la presencia de síntomas depresivos en una unidad de medicina familiar en Michoacán. Métodos: se realizó un estudio transversal y analítico en 139 participantes adscritos a la Unidad de Medicina Familiar No. 80 del Instituto Mexicano del Seguro Social. Se aplicó el cuestionario internacional de experiencias infantiles adversas (ace-iq) y el inventario de depresión Beck ii. Se utilizó estadística descriptiva y la prueba de χ2. Se realizó regresión logística por pasos para confirmar asociaciones. Resultados: 88.5% de la muestra reportó al menos una experiencia infantil adversa, mientras que 59% reportó tres o más. La frecuencia de síntomas depresivos fue de 29.5% y 97.6% de los participantes con síntomas depresivos reportaron al menos una experiencia infantil adversa. El análisis de regresión logística mostró que el abuso físico, el abuso emocional y la situación laboral predicen para la presencia de síntomas depresivos. Conclusión: la frecuencia de experiencias infantiles adversas es más alta que la reportada en otros estudios y se asocia con la presencia de síntomas depresivos en el adulto.
目的:确定米却肯州家庭医学单位不良儿童经历的频率及其与抑郁症状存在的关系。方法:对墨西哥社会保障研究所第80号家庭医学单位的139名参与者进行横断面分析研究。采用国际不良儿童经历问卷(aceiq)和贝克抑郁量表ii。采用描述性统计和χ2检验。我们进行了一步逻辑回归来确认关联。结果:88.5%的样本报告至少一次不良儿童经历,59%报告三次或更多。抑郁症状的频率为29.5%,97.6%的抑郁症状参与者报告至少一次不良儿童经历。logistic回归分析显示,身体虐待、情绪虐待和工作状况预测抑郁症状的存在。结论:儿童不良经历的发生率高于其他研究报道的发生率,并与成人抑郁症状的存在有关。
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引用次数: 0
Presentación de casos clínicos por médicos de pregrado en la entrega de guardia, estudio etnográfico 本科生医生随叫随到的临床病例介绍,民族志研究
Pub Date : 2023-03-30 DOI: 10.22201/fm.14058871p.2023.2.85030
Baltazar Joanico-Morales, Hermes Nolasco-Hesiquio
Objetivo: describir la entrega de guardia y la presentación de casos clínicos en el servicio de pediatría y su impacto en el aprendizaje en médicos internos de pregrado. Métodos: estudio cualitativo con enfoque etnográfico, participaron médicos internos de pregrado que rotaron por el servicio de pediatría durante el bimestre marzo-abril de 2019 y médicos adscritos que participaron en la entrega de guardia. Se realizaron observaciones, videograbaciones y entrevistas, posteriormente se realizó un análisis etnográfico. Resultados: durante la entrega de guardia se identificó la presentación de casos clínicos como una actividad formativa, los médicos internos presentaron historias clínicas y notas de ingreso elaboradas durante la guardia, los médicos adscritos participaron de forma activa mediante preguntas, comentarios, recomendaciones y explicaciones que sirvieron de guía para que los alumnos lograran un mayor aprendizaje en competencias profesionales. Conclusión: la presentación de casos clínicos en la entrega de guardia fue una actividad formativa clave en el desarrollo de dos competencias profesionales en la práctica médica como son diagnóstico y tratamiento.
摘要目的:探讨儿科病房临床病例随叫随到的情况及其对本科住院医师学习的影响。方法:采用民族志方法进行定性研究,参与2019年3月至4月两个月期间在儿科病房轮换的本科生内科医生和参与随叫随到的专科医生。本研究的目的是确定一种方法,在这种方法中,研究对象被认为是一种特定类型的人。结果:交货期间警卫查明提交临床病例是一种培训活动介绍,国内医生诊断记录和笔记期间的警卫,医生收入分别参加了积极地通过问题,意见、建议和指南解释这些学生取得更大的专业技能学习。结论:值班时临床病例的呈现是医疗实践中诊断和治疗两种专业能力发展的关键培训活动。
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引用次数: 0
¿Por qué se deforman y me duelen las articulaciones? 为什么我的关节会变形和疼痛?
Pub Date : 2023-03-30 DOI: 10.22201/fm.14058871p.2023.2.85036
Comunicación con el paciente
与患者沟通
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引用次数: 0
Impacto de intervención multidisciplinaria en atención primaria sobre la función renal en sujetos no diabéticos 初级保健多学科干预对非糖尿病受试者肾功能的影响
Pub Date : 2023-03-30 DOI: 10.22201/fm.14058871p.2023.2.85035
Guillermo Hernández-Llamas, Graciela Arias-Villegas, Héctor Hernández-Llamas
Carta al editor
文字编辑器
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引用次数: 0
Sarcopenia and Its Connection with Geriatric Dysfunctionality in a Family Medicine Unit 骨骼肌减少症及其与老年功能障碍在家庭医学单位的联系
Pub Date : 2023-03-30 DOI: 10.22201/fm.14058871p.2023.2.85029
Objective:  to identify the prevalence of sarcopenia and its connection with geriatric dysfunction in a family medicine unit. Methods: descriptive study; 174 patients over 65 years of age of both sexes were included. Non-probabilistic convenience non-probabilistic sampling. The sarc-f questionnaire was used for screening, the ewgsop2 algorithm to determine the presence and degree of sarcopenia and the Katz test to assess the degree of functional dependence with basic activities of daily living. Statistical analysis was carried out using the spss v program. 22. To relate the presence and degree of sarcopenia with functional dependence, the χ2 test was used with a significance level of 0.05 and Spearman’s Rho was used. Results: it was observed that women have a higher prevalence of sarcopenia, the highest age was 80 years and older. The variables with association were presence and degree of sarcopenia with the degree of functional dependence, Spearman’s Rho 0.491 and 0.411, respectively; with statistical significance (p<0.000). Conclusion: age and female sex influence the development of sarcopenia. The prevalence of the latter, and the dependence on basic activities of daily living, will depend on the biological and social factors of each individual; because of this, it is necessary to carry out an exhaustive search for cases with risk factors in order to have a timely impact on these patients and avoid complications.
目的:了解某家庭医学单位骨骼肌减少症的患病率及其与老年功能障碍的关系。方法:描述性研究;包括174例65岁以上的男女患者。非概率方便非概率抽样。采用sarc-f问卷进行筛选,采用ewgsop2算法确定肌肉减少症的存在及程度,采用Katz测试评估对基本日常生活活动的功能依赖程度。采用spss v软件进行统计分析。22. 骨骼肌减少症的存在及程度与功能依赖的关系采用χ2检验,显著性水平为0.05,采用Spearman’s Rho。结果:观察到女性骨骼肌减少症患病率较高,最高年龄为80岁及以上。与功能依赖程度相关的变量为肌少症的存在程度和程度,Spearman的Rho分别为0.491和0.411;差异有统计学意义(p<0.000)。结论:年龄和女性性别影响肌少症的发生。后者的流行程度以及对日常生活基本活动的依赖程度将取决于每个人的生物和社会因素;因此,有必要对有危险因素的病例进行详尽的搜索,以便及时对这些患者产生影响,避免并发症。
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引用次数: 0
Characterization of Patients with Type 2 Diabetes Mellitus and covid-19 in Primary Care 初级保健中2型糖尿病和covid-19患者的特征
Pub Date : 2023-03-30 DOI: 10.22201/fm.14058871p.2023.2.85027
Evelyn Morales-González, Gustavo Vázquez-Morales, V. Sánchez-Escalante
Objectives: To describe the characteristics of the population diagnosed with type 2 Diabetes Mellitus (dm2) infected by sars-CoV-2, and to evaluate whether there is an association between dm2 history and covid-19 severity. Methods: non-probabilistic by convenience sampling, information was obtained from the Online Notification System for Epidemiological Surveillance (sinolave) of the Family Medicine Unit No. 28 of the Mexican Institute of Social Security. A total of 1688 confirmed cases of covid-19 were identified and grouped into patients with and without dm2. Bivariate statistical analysis was performed with Excel 2019 and Stata v. 15.1 programs; measures of association were used using Poisson logistic regression and χ2 test with statistical significance <0.05. Results: it was observed that, in patients with covid-19 and dm2, the prevalence ratio of severe acute respiratory infection, diagnosis of pneumonia, hospitalization, and death were higher compared to the group without dm2. Conclusion: the frequency, of unfavorable characteristics, was higher in the group of patients with dm2. Health conditions caused by covid-19 reinforce the relevance of an intentional search for undiagnosed diabetic patients, untreated or under treatment with poor glycemic control, in order to avoid major health complications.
目的:描述2型糖尿病(dm2)感染sars-CoV-2人群的特征,并评价dm2病史与covid-19严重程度之间是否存在关联。方法:采用非概率抽样方法,从墨西哥社会保障研究所第28家庭医学单元流行病学监测在线通报系统(sinolave)获取信息。共发现1688例covid-19确诊病例,并将其分为患有和不患有dm2的患者。采用Excel 2019和Stata v. 15.1程序进行双变量统计分析;相关指标采用泊松logistic回归和χ2检验,差异均有统计学意义<0.05。结果:合并dm2患者的严重急性呼吸道感染患病率、肺炎诊断率、住院率、死亡率均高于未合并dm2组。结论:dm2组出现不良特征的频率较高。covid-19造成的健康状况加强了有意寻找未确诊、未经治疗或正在治疗且血糖控制不良的糖尿病患者的重要性,以避免重大健康并发症。
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引用次数: 0
Hematoma subdural agudo traumático por accidente con patinete eléctrico
Pub Date : 2023-03-30 DOI: 10.22201/fm.14058871p.2023.2.85034
José-Félix Martínez-Juste
El aumento del uso del patinete eléctrico ha provocado también un aumento importante del número de accidentes relacionados con este método de transporte. Aquí se presenta el caso de una mujer que sufrió un accidente con el patinete y que, a pesar de estar inicialmente asintomática, presentó un hematoma subdural agudo que necesitó drenaje quirúrgico.
电动滑板车使用的增加也导致与这种交通方式有关的事故数量显著增加。这是一名妇女的案例,她遭受了摩托车事故,尽管最初没有症状,但出现了急性硬膜下血肿,需要手术引流。
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引用次数: 0
Sarcopenia y su relación con disfuncionalidad geriátrica en una unidad de medicina familiar 家庭医学单位的肌肉减少症及其与老年功能障碍的关系
Pub Date : 2023-03-30 DOI: 10.22201/fm.14058871p.2023.2.85028
Josefina de Monserrat Valencia-Reyes, J. L. Vega-Blancas
Objetivo: identificar la prevalencia de sarcopenia y su relación con disfuncionalidad geriátrica en una unidad de medicina familiar. Métodos: estudio descriptivo; participaron 174 pacientes mayores de 65 años de ambos sexos. Se realizó muestreo no probabilístico por conveniencia. Se aplicó el cuestionario sarc-f como cribado, el algoritmo de ewgsop2 para determinar la presencia y el grado de sarcopenia y el test de Katz para evaluar el grado de dependencia funcional con las actividades básicas de la vida diaria. El análisis estadístico se llevó a cabo mediante el programa spss v. 22. Para relacionar la presencia y grado de sarcopenia con la dependencia funcional se usó la prueba de χ2 con nivel de significancia de 0.05 y se utilizó Rho de Spearman. Resultados: se observó que las mujeres presentan mayor prevalencia de sarcopenia, la edad más alta fue de 80 años y más. Las variables con asociación fueron presencia y grado de sarcopenia con el grado de dependencia funcional, Rho de Spearman 0.491 y 0.411, respectivamente; con significancia estadística (p<0,000). Conclusión: la edad y el sexo femenino influyen en el desarrollo de sarcopenia. La prevalencia de esta última, y la dependencia de las actividades básicas de la vida diaria, dependerá de los factores biológicos y sociales de cada individuo; debido a esto, es necesario realizar una búsqueda exhaustiva de los casos con factores de riesgo para incidir oportunamente en estos pacientes y evitar complicaciones.
摘要目的:探讨家庭医学单位骨骼肌减少症的患病率及其与老年功能障碍的关系。方法:描述性研究;研究对象为174名65岁以上的男女患者。为了方便,进行了非概率抽样。采用sarc-f问卷作为筛选,ewgsop2算法确定肌肉减少症的存在和程度,Katz测试评估日常生活基本活动的功能依赖程度。采用spss v. 22程序进行统计分析。本研究的目的是评估肌肉减少症的存在和程度与功能依赖之间的关系,采用显著性水平为0.05的χ2检验和Spearman Rho检验。结果:我们观察到女性肌少症的患病率较高,最高年龄为80岁及以上。相关变量为肌少症的存在和程度与功能依赖程度,Spearman Rho分别为0.491和0.411;具有统计学意义(p< 0.000)。结论:年龄和女性性别影响骨骼肌减少症的发展。后者的流行程度以及对日常生活基本活动的依赖将取决于每个人的生物和社会因素;因此,有必要对有危险因素的病例进行详尽的搜索,以便及时影响这些患者,避免并发症。
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引用次数: 0
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Atención Familiar
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