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Risk, Covid-19 and hospital care in Mexico City: Are we moving toward a new medical practice?

Rubén Muñoz (2023, [Artículo, Artículo])

Covid-19 pandemic has entailed new challenges for health care in the Mexican public health sector, producing changes in clinical practices that are now handling patients infected with covid-19 and also outpatient consultations at tertiary-level care hospitals. Some of these challenges are related to the perception of risk held by physicians regarding the possibility of contracting or transmitting covid-19 during their work,and to the management of risk from the standpoint of biomedical organizational culture linked to the material and symbolic conditions of public health services predating the pandemic. We analyze these issues from a anthropological research based on in-depth interviews to physicians that work with covid-19 patients at “Covid-19 hospitals” or “hybrid hospitals” in Mexico City. Covid-19 has arrived in social relations and perceptions of risk in the arena of health care and involves knowing and transforming some structural and symbolic conditions, resignified with the pandemic, for proper medical care.

Covid-19 percepción de riesgo personal de salud atención médica hospitalaria cultura organizacional biomédica CIENCIAS SOCIALES CIENCIAS SOCIALES risk perception health care workers hospital care biomedical organizational culture

Nivel de sobrecarga en el cuidador primario del adulto y factores predisponentes: estudio piloto

José Conrado Escobedo Martínez CLAUDIA OROZCO GOMEZ YADIRA MEJIA MEJIA ROSA ISELA ARIAS PACHECO (2020, [Artículo])

Introducción: Los cambios del envejecimiento generan pérdida progresiva de la capacidad de adaptación, produce modificaciones de autonomía, situación en la cual el Adulto Mayor (AM) depende de un cuidador para que sea responsable de atender sus necesidades cotidianas, condición que genera sobrecarga.Objetivo: Relacionar el nivel de sobrecarga del cuidador primario formal e informal del AM y sus factores predisponentes en2asilos de Chihuahua.Metodología: Diseño descriptivo, correlacional y transversal. Muestra de 30 cuidadores formales e informales de dos asilos, elegidos por conveniencia. Se utiliza el Instrumento escala de Zarit.Resultados: El 56% fueron cuidadores informales. Los factores predisponentes fueron el tiempo de cuidador y de cuidado al día. El 76% fueron mujeres, tiempo promedio de cuidador de 2.04 años, cuidado al día de 11.2 horas. 36 % con sobrecarga intensa. Correlación significativa con tiempo de cuidador-sobrecarga y tiempo de cuidado al día-sobrecarga, significancia del 95%. Discusión:Factores predisponentes con la sobrecarga, el tiempo de cuidador y tiempo de cuidado al día, resultados similares con otros estudios.Conclusiones:La sobrecarga tiene repercusiones en la salud del cuidador primario, es indispensable brindar atención tomando en cuenta factores que pueden ser controlados para evitar la sobrecarga en este grupo.

Introduction:The changes of aging generate progressive loss of adaptive capacity, produces modifications of autonomy, a situation in which the Elderly (AM) depends on a caregiver to be responsible for attending to their daily needs, a condition that generates overload. Objective:To relate the level of overload of the formal and informal primary caregiver of the AM and its predisposing factors in 2 asylums in Chihuahua. Methodology: Descriptive, correlational and transversal design. Sample of 30 formal and informal caregivers of two nursing homes, chosen for convenience. The Zarit scale instrument is used. Results:56% were informal caregivers. The predisposing factors were caregiver time and day care. 76% were women, average caregiver time of 2.04 years, day care of 11.2 hours. 36% with intense overload. Significant correlation with caregiver-overload time and day-over-care time, significance of 95%. Discussion:Predisposing factors with overload, caregiver time and care time per day, similar results with other studies.Conclusions:Overload has repercussions on the health of the primary caregiver, it is essential to provide care taking into account factors that can be controlled to avoid overload in this group.

MEDICINA Y CIENCIAS DE LA SALUD CIENCIAS MÉDICAS CIENCIAS CLÍNICAS Adulto mayor Cuidadores Sobrecarga Elderly Caregivers Overload

DEPRESSIVE SYMPTOMS (DS) AND CITIES: A SOCIOECONOMIC PERSPECTIVE FOR THE MEXICAN CASE

Jorge López Martínez Déborah Féber González (2023, [Artículo, Artículo])

This article presents an analysis of the proportion of the population that lives in the 20 top cities of Mexico. Population that suffers from moderate to severe Depressive Symptoms (DS) in relation to urban and socioeconomic factors typical of urban territories and comparing them with people living in rural or non-urban environments that suffers DS. To check this, we generated the Complex Index of Socioeconomic and Urban Conditions (CISUC), based on the Mind the GAPS framework, a model that relates the susceptibility or prevention of mental illness in cities based on urban factors, we also used socioeconomic indicators that exist in Mexican cities. For the construction of the ICCSU database, we used data from the National Health and Nutrition Survey in the years 2006, 2012 and 2018-19 and the data of the Mexican Institute for Competitiveness, A.C. and National Institute of Statistics and Geography in the same years. The results obtained from CISUC were reinforced with the use of a panel data model. The findings that we obtained reveal that there is a more important correlation between cities and people who suffer from moderate to severe DS than in rural areas, a condition that intensifies with the socioeconomic conditions of the population, for example, their socioeconomic stratum, their gender, and present urban marginalization. This allows to generate future discussions about other types of diseases such as anxiety, depression, stress, loneliness, and schizophrenia for large population groups. The panel model yields a lower goodness of adjustment, due to the lack of more time points, however, it points out that improvements in socioeconomic and urban conditions slightly reduce depressive symptoms.

mental health depressive symptoms (DS) urban marginalization socioeconomic factors cities salud mental sintomatología depresiva (SD) ciudades marginación urbana factores socioeconómicos CIENCIAS SOCIALESCIENCIAS SOCIALES CIENCIAS SOCIALES

Influence of poverty concerns on demand for healthier processed foods: A field experiment in Mexico City

Marrit Van den Berg Jason Donovan (2023, [Artículo])

Living in poverty can present cognitive biases that exacerbate constraints to achieving healthier diets. Better diets could imply food choice upgrades within certain food categories, such as electing processed foods with an improved nutritional profile. This study evaluated the influence of monetary and health concerns on the willingness to pay (WTP) for healthier processed foods in a low-income section of Mexico City. We employed priming techniques from the scarcity literature, which are applied for the first time to healthier food purchasing behaviours in low-income settings. Our predictions are based on a dual system framework, with choices resulting from the interaction of deliberative and affective aspects. The WTP was elicited through a BDM mechanism with 423 participants. Results showed that induced poverty concerns reduced the valuations of one of the study's healthier food varieties by 0.17 standard deviations. The latter effect did not differ by income level. The WTP for a healthier bread product but one with relatively high sugar and fat content was reduced by induced poverty concerns only among certain consumers without bread purchasing restrictions (78% of the sample). Potential mechanisms were assessed through regression analysis and structural equation modelling. The relationship between poverty concerns and WTP was mediated by increased levels of stress. While we could not rule out impact on cognitive load, it was not deemed a mediator in this study. Our findings signal that improvements in economic and psychological well-being among low-income consumers may aid to increase their demand for healthier processed foods.

Healthier Diets Poverty Psychology Dual System Model CIENCIAS AGROPECUARIAS Y BIOTECNOLOGÍA DIET POVERTY PSYCHOLOGY STRESS WILLINGNESS TO PAY

Potential impact of prosthetic biomaterials on the periodontium: a comprehensive review.

NATIVIDAD CASTRO ALARCON Artak Heboyan Gustavo Fernandes Norma Samanta Romero Castro (2023, [Artículo])

The success of a prosthetic treatment is closely related to the periodontal health of the individual. The aim of this article was to review and present the importance of prosthetic restorative materials on the condition of the periodontium, the changes that occur in the composition of the subgingival microbiota and the levels of inflammatory markers in gingival crevicular fluid. Articles on the influence of different prosthetic restorative materials on subgingival microbiota and proinflammatory cytokines were searched for using the keywords ¿prosthetic biomaterials¿, ¿fixed prosthesis¿, ¿periodontal health¿, ¿subgingival microbiota¿, ¿periodontal biomarkers¿ and ¿gingival crevicular fluid¿ in PubMed/Medline, Science Direct, Scopus and Google Scholar. The type of material used for prosthesis fabrication together with poor marginal and internal fit can result in changes in the composition of the subgingival microbiota, as well as increased accumulation and retention of dentobacterial plaque, thus favoring the development of periodontal disease and prosthetic treatment failure. Biological markers have helped to understand the inflammatory response of different prosthetic materials on periodontal tissues with the main purpose of improving their clinical application

in patients who need them. Metal-free ceramic prostheses induce a lower inflammatory response regardless of the fabrication method; however, the use of CAD/CAM systems is recommended for their fabrication. In addition, it is presumed that metal-ceramic prostheses cause changes in the composition of the subgingival microbiota producing a more dysbiotic biofilm with a higher prevalence of periodontopathogenic bacteria, which may further favor periodontal deterioration.

prosthetic biomaterials fixed prosthesis periodontal health MEDICINA Y CIENCIAS DE LA SALUD CIENCIAS MÉDICAS SALUD PÚBLICA

Conocimientos y prácticas en enfermería para el cuidado de pacientes con diabetes mellitus tipo 2

ELIZABETH ESCALADA SOLÓRZANO (2022, [Otro, Trabajo terminal, especialidad])

La diabetes tipo 2 es un problema de Salud Pública por la magnitud de sus

complicaciones que conlleva una carga para la sociedad, para los familiares y para la

misma persona; puede haber afectaciones por las dificultades en el tratamiento y el

control constante con el fin de prevenir el avance de la enfermedad. Objetivo: Identificar

los conocimientos de enfermería en el manejo de personas con DM-2 que redundara en

el cuidado puedan llevar un mejor tratamiento, para prevenir complicaciones ocasionadas

por la falta adherencia al tratamiento, cuidados y estilos de vida.

Type 2 diabetes is a Public Health problem due to the magnitude of its

complications that entail a burden for society, for family members and for the person

themselves; there may be effects due to difficulties in constant treatment and control in

order to prevent the progression of the disease. Objective: Identify nursing knowledge in

the management of people with DM-2 that will result in better treatment, to prevent

complications caused by lack of adherence to treatment, care and lifestyles.

MEDICINA Y CIENCIAS DE LA SALUD CIENCIAS MÉDICAS paciente, Diabetes Mellitus tipo 2, cuidado de enfermería. Patient, Diabetes Mellitus type 2, nursing care.