Dental erosion, an extraesophageal manifestation of gastroesophageal reflux disease. The experience of a center for digestive physiology in Southeastern Mexico.

BACKGROUND: Dental erosion (DE) is the loss of the hard tissues of the tooth produced by the action of gastric juice, pepsin and acid on the dental enamel, its frequency ranges from 5 to 53.41 %. In Mexico there are no reports on the frequency and possible association. OBJECTIVE: To establish the prevalence of dental erosion and its relationship to GERD. PATIENTS AND METHODS: Prospective, observational, descriptive and comparative study was conducted in 60 patients diagnosed with GERD and 60 healthy patients at the Institute of Medical and Biological Research of the Universidad Veracruzana in Veracruz city. Anthropometric characteristics, dietary habits, oral hygiene, alcohol consumption, smoking, ED index and Index of decayed/missing dental pieces/sealed and correlation between severity of ED and GERD were analyzed. RESULTS: 78.67 % of patients with GERD had ED, 23.33 % corresponded to grade 0, 41.67 % to N1, N2 and 23.33 % to 11.67 % to N3. Predominance of females (2,3:1). The mean age was 50.92 +/- 13.52 years. The severity of dental erosion was significantly related to the severity of reflux, halitosis, CPO index and poor eating habits. There was no statistically significant difference in the other variables analyzed. CONCLUSIONS: Dental erosion has a high frequency in patients with GERD and reflux characteristics are directly related to their severity and therefore should be considered as a manifestation of GERD extraesophageal.

Stress symptoms and positive coping during coronavirus disease 2019: The need to look at health from a gender perspective.

BACKGROUND: The emergency derived from coronavirus disease 2019 (COVID-19) has taught us important lessons in public and environmental health, particularly in the alarming numbers of existing noncommunicable diseases. However, one aspect to which little attention has been paid during the pandemic is mental health and its relationship with the gender perspective, in spite of gender being a determinant associated with health. In contrast, regarding health, few schemes and theories consider health from a positive and comprehensive perspective. METHODS: This study was designed to examine the symptoms of stress and positive coping from a gender perspective. For this, the Stress Symptomatology Inventory, the Positive Coping to Life Scale and a general data questionnaire were applied to 665 individuals underwent the severe acute respiratory syndrome coronavirus 2 test at the Center for Health Studies and Services of the Universidad Veracruzana from July 2020 to November 2021. FINDINGS: We found that women presented more stress symptoms and less positive coping in the factor of positive self-regulation of adverse situations and the factors of self-determination and positive self-regulation of important situations. Moreover, significant differences in the associations of these variables were observed between men and women. CONCLUSIONS: Therefore, the needs of women must be considered in the approach to the emergency department due to COVID-19 and in general in the health-disease process; therefore, not considering a gender approach will continue to deepen inequalities between sexes.

Autoantibody Diversity Is Augmented in Women with Breast Cancer and Is Related to the Stage of the Disease.

Breast cancer (BC) is the most frequent malignant neoplasia and leading cause of cancer mortality for women. A timely diagnosis of BC is crucial to ensure the best chances of survival. Among the various screening tools for BC, antibodies directed towards self-antigens or tumor-associated antigens (autoantibodies) have emerged as an alternative to image-based screening modalities. However, little attention has been paid to the global diversity of autoantibodies. This work aimed to analyze the diversity of autoantibodies reactive to antigens expressed by the BC cell line T47D in the sera of Mexican women with BC, benign breast pathology (BBP), or without breast pathology (WBP). We found that the diversity of antibodies in the sera was higher in the BC and BBP groups than in the WBP group. Likewise, the diversity changed with the progression of BC. Our results show and measure the complexity of the antibody response in breast health and disease.

Your health is in your mouth: A comprehensive view to promote general wellness.

Background: Even though various studies recognize the importance of the oral cavity to have general health, in multidisciplinary professional practice it is almost always excluded and on an individual basis, very commonly neglected. Oral diseases are preventable, still, they are highly prevalent. Although some studies consider oral health within integral health, currently, there is no model in which the mouth is integrated within other levels for the achievement of well-being. The objective of this article was to review the importance of oral health and its connection with well-being and, based on these findings, propose a complex and comprehensive perspective for approach and care. Methods: The databases MEDLINE, PubMed, and Google Scholar were revised for randomized controlled trials and reviews that included search terms related to oral health and its relationship with the general health in its different levels (physical, psychological, social and environmental). Results: The review shows that oral health is critical, as the teeth and mouth are not only an integral part of the body, but also, they also support and enable essential human functions. That is, oral health has a multidimensional nature, as it includes the physical, psychological, social, and environmental domains that are essential for overall health and well-being. Likewise, the mouth is the psychological seat of the first physiological needs and emotional gratifications, with it we take a taste of the world around us. Thus, the mouth plays an important role in the feeling of unity and in the constitution of the self. Based on these results we propose an integrative model in which the mouth is the first step for well-being and from this integrative model we build a multidisciplinary approach which could be used in the clinical practice for the promotion of oral care and general health. Conclusion: The effort on the part of oral health professionals is essential for people's well-being and must be integrated as part of health promotion. Dental treatments alone cannot solve this problem, it requires a comprehensive and approach in which the bio-psychological, behavioral, and socio-environmental determinants are included to face this global oral health challenge. That is, without a comprehensive and multidisciplinary approach to medical science that includes dental and oral health, our public policies cannot provide the best answers to health promotion, disease prevention, early detection, and treatment.

Psychological suppressive profile and autoantibodies variability in women living with breast cancer: A prospective cross-sectional study.

Breast cancer (BC) is a leading cause of women's morbimortality worldwide. Unfortunately, attempts to predict women's susceptibility to developing BC well before it becomes symptomatic, based on their genetic, family, and reproductive background have proved unsatisfactory. Here we analyze the matching of personality traits and protein serum profiles to predict women's susceptibility to developing cancer. We conducted a prospective study among 150 women (aged 18-70 years), who were distributed into three groups (n = 50): women without breast pathology and women diagnosed with BC or benign breast pathology. Psychological data were obtained through standardized psychological tests and serum protein samples were analyzed through semiquantitative protein immunoblotting. The matching for psychological and immunological profiles was constructed from these data using a mathematical generalized linear model.The model predicted that women who have stronger associations between high-intensity stress responses, emotional containment, and an increased number and reduced variability of serum proteins (detected by IgG autoantibodies) have the greatest susceptibility to develop BC before the disease has manifested clinically. Hence, the present study endorses the possibility of using psychological and biochemical tests in combination to increase the possibility of identifying women at risk of developing BC before the disease shows clinical manifestations. A longitudinal study must be instrumented to test the prediction ability of the instrument in real scenarios. Trial registration: Committee of Ethical Research of the Hospital General de México "Dr. Eduardo Liceaga," Ministry of Health (DI/12/111/03/064).

Potential for body mass index as a tool to estimate body fat in young people. / Potencial del índice de masa corporal como indicador de grasa corporal en jóvenes.

OBJECTIVE: We aim to determine the anthropometric indicator that is most strongly associated with the percentage of body fat and self-regulation of eating behaviour and physical activity among young university students. METHOD: A cross-sectional study was conducted on 3,869 Mexican university students, of which 53.9% were women. Standard procedures for anthropometry were followed, including weight, height and waist circumference. This data was used for calculating Body Mass Index (BMI), A Body Shape Index, waist-to-height ratio, Body Roundness Index and Conicity index. The self-regulation of eating habits scale and the self-regulation of physical activity scale were used. Mean with standard deviation, percentages and Pearson correlation coefficient were estimated. RESULTS: The group of men shown a higher prevalence of excess weight compared to the women. Inverse correlations between most anthropometric indices and self-regulation of eating behaviour and physical activity were found. However, in all cases the correlations were weak. The percentage of fat had a medium frequency of association with Conicity index and high with BMI, waist circumference, waist-to-height ratio and Body Roundness Index, where the BMI showed the highest correlation coefficient CONCLUSIONS: The BMI shows the highest magnitude of association with percentage of body fat in university students among the indicators analysed. Therefore it is suggested that nurses use BMI to determine obesity because it is easy to calculate.

Design and Psychometric Analysis of the Stressors and Modulators of Gestational Stress Inventory (SMGSI).

Gestational stress is associated with many maternal and child complications, however, this association must be taken with care, since there are studies that find inconsistent results between stress measures and maternal complications. It is believed that the lack of convergence is due to the way in which gestational stress is evaluated.The aim of the present study was to design and validate an instrument based on a bio-psycho-social model of gestational stress. The design and validation process of the inventory was divided into four phases: (a) Construction of the items bank and content validity, (b) construct validity, (c) inventory reliability and (d) convergent and discriminant validity with psychometric instruments that have been used in other investigations to evaluate gestational stress.A valid and reliable Stressors and Modulators of Gestational Stress Inventory (SMGSI) conformed by two scales was developed: (a) Gestational stressors, which is formed by two factors, the psychological stressors and social stressors with a variance of 48.5% and 51.8% and a reliability of .79 and .67, respectively; and (b) gestational stress modulators integrated by 8 items that explain 55.2% of the variance and with a reliability of .92. In conclusion, a valid and reliable tool was obtained that measures gestational stress from a bio-psycho-social perspective. This inventory allows for the identification of allostatic and pantostatic stress, making it useful as a diagnostic tool to prevent maternal and childhood complications that are associated with chronic gestational stress.

Las ferias como medio para la promoción de la salud en la comunidad universitaria: pasos hacia una educación positiva / Fairs as a means of promoting health in the university community: steps towards a positive education

Objetivo: la promoción de la salud en términos positivos y de bienestar, implica concebirla como el proceso en el que la comunidad aumenta el control sobre su salud, y la mejora. Las universidades tienen grandes capacidades para ello; por ejemplo, en ferias de salud que rompen los esquemas tradicionales unidireccionales y pasivos de los programas de salud. El programa de salud integral de la Universidad Veracruzana (México) implementó en su primera etapa estrategias para la promoción, prevención y tratamiento de enfermedades. Más tarde incorporó una visión más integral acorde a las necesidades enmarcadas en los objetivos sostenibles y la promoción de la salud comenzó a realizarse a través de ferias. No obstante, la comunidad universitaria dudaba que su realización tuviera beneficios. Materiales y métodos: se evaluó el efecto de las ferias en la salud y bienestar percibido por los estudiantes y su entorno y se identificaron las virtudes y fortalezas de carácter, las cuales son esenciales para la vida en bienestar. Resultados: la participación de los estudiantes en las ferias de salud les aporta conocimientos y habilidades para mejorar su salud, así como para adoptar estilos de vida acordes al autocuidado y la sustentabilidad. Además, las 24 fortalezas están presentes en todos los estudiantes, aunque el autocontrol fue la fortaleza menos presente. Conclusiones: las ferias son espacios que promueven la salud, al lograr transmitir y apropiar información, al mismo tiempo que acercan y educan a diferentes públicos de manera efectiva lúdica..Au

Objective: the promotion of health in positive and well-being terms implies conceiving it as the process in which the community increases control over its health and improves it. Universities in this sense have great capacities for their promotion, for example, health fairs break the traditional unidirectional and passive schemes of health programs. The comprehensive health program of the Universidad Veracruzana, implemented in its first stage strategies for the promotion, prevention and treatment of diseases. Later, it incorporated a more comprehensive vision according to the needs framed in the sustainable objectives and the promotion of health began to be carried out through fairs. However, there was a perception in the university community that its implementation had no benefits. Materials and methods: the effect of the fairs on the perceived health and well-being of the students and their environment was evaluated, and the virtues and strengths of character, which are essential for life in well-being, were identified. Results: the participation of the students provides them with knowledge and skills to improve their health, as well as to adopt lifestyles consistent with self-care and sustainability. In addition, the 24 strengths are present in all students, although self-control was the least present strength. Conclusions: fairs are spaces that promote health, by transmitting and appropriating information, at the same time that they approach and educate different audiences in an effective playful way..Au

Positive education in college students: the effects of the "self-knowledge and soul care" workshop on the emotions and character strengths / Educación positiva en estudiantes universitarios: efectos del taller "autoconocimiento y cuidado del alma" sobre las emociones y fortalezas del carácter

Objective: most healthy and unhealthy behaviors are acquired or consolidated during youth, thus a good investment in the future of any nation, should be to promote the development of young people, incorporating them into projects and programs that aspire to increase their subjective wellbeing and personal health. The Psycho-Educational Intervention (PEI) presented here has been shown to have effects on the health and wellbeing of students as well as on their academic performance. However, its effects on strength of character, emotional balance and emotional intelligence are unknown. Materials and methods: in this paper it was shows the effects of this PEI on positive education in a group of 18 students through three questionnaires: VIA-240, PANAS-20 and PIEMO. To estimate the effects of the PEI, a comparison was made between the scores obtained on the three questionnaires before and after the PEI sessions.Results: the results show that not only did character strengths, positive affect and emotional intelligence improve with PEI, but that also the character strengths and the emotional bearings arranged in a network topography changed with intervention. Also, there were some changes in the most connected nodes of the network. Conclusions: these results show that PEI improved the previous reported variables, they also show the way in which the balance of the positive and negative affects, the development of emotional intelligence and the enhancement of character strengths give access to the three pillars of positive psychology..(Au)

Objetivo: las conductas más saludables y no saludables se consolidan durante la juventud, por lo que una buena inversión de futuro de cualquier nación, debe ser promover su desarrollo, incorporándolos en proyectos que aspiren a incrementar su bienestar subjetivo y su salud. Se ha demostrado que la Intervención Psicoeducativa (IPE) que aquí se presenta tiene efectos en la salud y el bienestar de los estudiantes, así como en su rendimiento académico. Sin embargo, se desconocen sus efectos sobre las fortalezas de carácter, el equilibrio emocional y la inteligencia emocional. Materiales y métodos: en este trabajo se muestran los efectos de esta PEI en la educación positiva en un grupo de 18 estudiantes a través de tres cuestionarios: VIA- 240, PANAS-20 y PIEMO. Para su estimación, se realizó una comparación entre las puntuaciones obtenidas en los tres cuestionarios antes y después de las sesiones de la PEI. Resultados: los resultados muestran que no solo mejoraron las variables analizadas, sino que también las fortalezas del carácter y las emociones que están dispuestos en una topografía de red, cambiaron con la intervención. Además, hubo algunos cambios en los nodos más conectados de la red. Conclusiones: estos resultados muestran que la PEI mejoró las variables reportadas anteriormente, también muestran la forma en que el balance de los afectos positivos y negativos, el desarrollo de la inteligencia emocional y la potenciación de las fortalezas del carácter dan acceso a los tres pilares de la psicología positiva..(Au)

Análisis estructural de la Escala de Bienestar Psicológico de Ryff en universitarios mexicanos / Structural analysis of the Ryff’s Psychological Well-Being Scale among Mexican college students

Objetivos: realizar el análisis de la estructura interna de la versión en español de la Escala de Bienestar Psicológico de Ryff (PWBS-E) en estudiantes universitarios (n = 1700; 54.75% mujeres; Medad = 19.23) de una institución pública en Veracruz, México. Método: La estructura interna de la PWBS-E fue evaluada mediante el análisis factorial confirmatorio (CFA), el modelamiento de ecuaciones estructurales exploratorio (ESEM) y el análisis factorial exploratorio (EFA). La confiabilidad del constructo fue estimada con el coeficiente α y de las puntuaciones con el coeficiente α. Resultados: indicaron que una estructura unidimensional y breve (19 ítems) posee mayor respaldo empírico. Además, se evidenció la existencia de un factor de método asociado a ítems invertidos en los modelos multidimensionales. En cuanto a la confiabilidad, se hallaron indicadores aceptables en ambos niveles (constructo y puntuaciones). Conclusiones: se discuten los hallazgos y las implicancias prácticas de la versión breve de la PWBS-E en universitarios

Objectives: This paper aimed to analyze the internal structure of the Spanish version of the Ryff ’s psychological well-being scale (PWBS-E) among college students (n = 1700, 54.75% females, Mage = 19.23) who attend a public institution located in Veracruz, Mexico. Method: The internal structure of the PWBS-E was assessed using the confirmatory factor analysis (CFA), exploratory structural equation modeling (ESEM) and exploratory factor analysis (EFA), while the reliability of the construct was estimated with the ù coefficient and the reliability of the scores, with the α coefficient. Results: Suggested that a short and unidimensional structure (19 items) provides greater empirical support. In addition, a method factor associated with inverted items in multidimensional models was evidenced. Regarding the reliability, acceptable indicators were found in both levels (construct and scores). Conclusions: This paper addresses both the findings and practical implications of the short version of the PWBS-E among college students.

Desgaste dental y bruxismo / Tooth wear and bruxism

Introducción: el bruxismo es común y multifactorial que puede producir desgaste dental. Objetivo: identificar la relación de desgaste dental y bruxismo en universitarios. Material y métodos: estudio prospectivo, longitudinal, observacional, mediante examen odontológico y cuestionario directo de las molestias del bruxismo y su desgaste dental. Resultados: se encuestaron 78 universitarios con desgaste dental, 24 femeninos (30.76 por ciento) y 54 masculinos (69.23 por ciento), que perciben el desgaste dental , 65 casos (83.33 por ciento), 22 femeninos (34.92 por ciento) con edad media de 22.5 años y desviación estándar de 7.7781; 41 masculinos (65.07 por ciento) con edad media de 30.5 años y desviación estándar de 19.01918. Que no percibían hasta ese momento el desgaste dental 15 casos (19.23 por ciento), la mayoría sin conciencia de rechinar los dientes por la noche y sin molestias, pero con percepción muy clara de bruxismo en situaciones emocionales y percepción de desgaste dental en la mayoría de los casos. Para atender adecuadamente al bruxópata con desgaste dental deben tomarse en cuenta factores familiares, emocionales y alteraciones temporomaxilares que deben ser diagnosticadas y tratadas adecuadamente. Conclusiones: es muy elevado el desgaste dental en universitarios con bruxismo, hay predominio del sexo masculino con pocas molestias y percepción del desgaste