ABSTRACT
In 1964, medical residents and interns of the Mexican Republic decided to carry out a work stoppage that stretched over for several months. Several prominent doctors decided to join the causes that motivated the movement, among which Dr. Ismael Cosío Villegas, who at that moment was the director general of the Huipulco hospital for tuberculosis patients; his participation and dedication are historical, and his determination caused for his resignation to be demanded. His trajectory remains practically unknown by the medical community.
En 1964, los médicos residentes e internos de la República Mexicana decidieron realizar un paro de labores que se extendió por meses; varios médicos notables decidieron unirse a las causas que motivaron dicho movimiento, entre ellos el director general en ese momento del Sanatorio para Tuberculosos de Huipulco, el doctor Ismael Cosío Villegas, cuya participación y entrega es histórica. La determinación del doctor Cosío Villegas provocó que se le exigiera su renuncia. La comunidad médica aún se desconoce su trayectoria.
Subject(s)
History of Medicine , History, 20th Century , MexicoABSTRACT
Gutiérrez-Samperio hace una excelente narrativa del movimiento denominado «blanco¼ hace medio siglo, encabezado por médicos y otros trabajadores de salud, principalmente enfermeras. Es importante revisar los logros y limitaciones que dicho fenómeno alcanzó. Por ejemplo, actualmente el residente que cursa una especialidad cuenta con un reconocimiento institucional, universitario y de profesiones al término de su formación, además de tener una beca económica (probablemente insuficiente) y días de vacaciones programados.
Subject(s)
Delivery of Health Care/history , History, 20th Century , Humans , Internship and Residency/organization & administration , Mexico , Nurses/organization & administration , Physicians/organization & administrationABSTRACT
Según la Real Academia Española, el término «líder¼ significa «persona que dirige u orienta a un grupo, que reconoce su autoridad¼. Es importante este término ya que es muy ambiguo, porque no reconoce el nivel moral o la empatía que puede ejercer una persona en determinado grupo al reconocerlo como líder, y no solo con la autoridad que este puede ejercer en el mismo, siendo este último concepto algo muy común en el mundo anglosajón, denominándose líder a alguien que tiene un puesto de autoridad, lo cual se puede confundir con lo que conocemos como «jefe¼.
Subject(s)
Drug Industry/ethics , Leadership , Physicians/ethics , Drug Industry/organization & administration , Ethics, Medical , Humans , Physicians/organization & administrationABSTRACT
El Dr. Lifshitz presenta un editorial interesante sobre la campaña de una región de Italia que pretendía que la salud debía ser obligatoria y que quien no la obedeciera tendría pena de muerte. Esta pretensión, que de entrada resulta simpática, quizá muestra la desesperación de un sistema de salud que se ve rebasado presupuestalmente con el incremento de la esperanza de vida y, por ende, de la presentación de enfermedades crónicas degenerativas en la población.
Subject(s)
Delivery of Health Care/methods , Health Status , Life Expectancy , HumansABSTRACT
Delgado-García, et al. presentan una disertación amplia, con revisión histórica profunda, de la lesión torácica que sufrió Alejandro Magno por el disparo de una saeta de dos codos de largo (88 cm) en la batalla contra los malios, donde a través de diversas narraciones se ha considerado que sufrió un neumotórax y que debido a la gravedad de la lesión sus médicos decidieron retirar el objeto punzocortante, obteniéndose aire y sangre posextracción; el emperador perdió el estado de alerta, recuperándose posteriormente la herida y permitiéndole montar a caballo a los pocos días. Los autores finalizan con la frase «Lo sucedido después del flechazo torna inverosímil la posibilidad de un neumotórax¼.
Subject(s)
Pneumothorax/diagnosis , Thoracic Injuries/complications , Famous Persons , History, Ancient , Humans , Pneumothorax/history , Thoracic Injuries/historyABSTRACT
The evidence-based medicine has enjoyed wide acceptance in the last two decades as the necessary tool for the adequate management of information, but it is necessary to reflect that exists after making an analysis of the written and possible implementation to the patient.
Subject(s)
Evidence-Based Medicine , Meta-Analysis as Topic , Certification/standards , Hospitals/standards , Humans , Reproducibility of ResultsABSTRACT
This is a case report of a young adult who died of COVID-19 twelve days after admission, with coronavirus nucleocapsid protein and lipofuscin found in the heart and kidney tissues, providing further evidence of the role of SARS-CoV-2 in cellular senescence.
Subject(s)
Disease Outbreaks , Influenza, Human/epidemiology , Humans , Mexico/epidemiology , PandemicsABSTRACT
OBJECTIVES: We evaluated the VE and the mutations of the viruses present in the Mexican population at the beginning of 2018. METHODS: We diagnosed influenza in outpatients with a high-performance Rapid Influenza Diagnostic Test (RIDT) qRT-PCR. Descriptive statistics were used to describe the study population, while the chi-square test was used to determine clinical variables. VE was analyzed through a negative test design. We sequenced the hemagglutinin (HA) gene, performed a phylogenetic analysis, and analyzed the nonsynonymous substitutions both in and outside antigenic sites. RESULTS: Of the 240 patients analyzed, 42.5% received the trivalent vaccine, and 37.5% were positive for influenza. The VE for the general population for any influenza virus type or subtype was 37.0%, while the VE for the predominant influenza A(H3N2) subtype was the lowest (19.7%). The phylogenetic analysis of HA showed the co-circulation of clades and subclades 3C.2a1, 3C.2a1b, 3C.2a2, 3C.2a2re, 3C.2a3, and 3C.3a with identities approximately 97-98% similar to the vaccine composition. CONCLUSION: Low VE was related to the co-circulation of multiple clades and subclades of influenza A(H3N2), with sufficient genetic and phenotypic distance to allow for the infection of vaccinated individuals.
Subject(s)
Influenza Vaccines , Influenza, Human , Humans , Influenza, Human/diagnosis , Influenza, Human/epidemiology , Influenza, Human/prevention & control , Influenza A Virus, H3N2 Subtype/genetics , Phylogeny , Seasons , Mexico/epidemiology , Vaccine Efficacy , Hemagglutinin Glycoproteins, Influenza Virus/genetics , RNA, Viral/genetics , Antigenic Variation , Hemagglutinins/geneticsABSTRACT
Health is not only a biological condition; it is configured as a social, cultural and legal good that the state can´t promote, improve or protect without the participation of health professionals, states and educational and research institutions; but, above all, it must have the active intervention of all citizens. The aim is for services to be carried out with equity, quality and social protection.
La salud no es únicamente una condición biológica, sino que se configura como un bien social, cultural y jurídico que el Estado no puede promover, mejorar ni proteger sin la participación de los profesionales de la salud, las entidades federativas y las instituciones educativas y de investigación; pero, sobre todo, debe contar con la intervención activa de todos los ciudadanos. Se busca que los servicios de salud se realicen con equidad, calidad y protección social.
Subject(s)
Forecasting , HumansABSTRACT
With regards to the article "Workplace bullying during specialty training in a pediatric hospital in Mexico: a little-noticed phenomenon", this letter shows a reflection about the thin line between discipline and bullying in the teacher student relationships in medical education in Mexico.
En relación con el artículo "Acoso laboral durante la formación como especialista en un hospital de pediatría en México: un fenómeno poco percibido", el autor de esta carta reflexiona en torno a la delgada línea que hay entre la disciplina y el bullying en la relación profesor-estudiante en la educación médica en México.
Subject(s)
Bullying , Organizational Culture , Humans , Interprofessional Relations , MexicoABSTRACT
BACKGROUND: Early tuberculosis (TB) diagnostic is one of the critical steps to TB control. GeneXpert MTB/RIF has been widely proven for a prompt TB diagnosis. The use of GeneXpert MTB/RIF assay with transbronchial lung cryobiopsy samples may increase diagnostic accuracy. We aim to assess the diagnostic of TB with GeneXpert MTB/RIF assay with transbronchial lung cryobiopsy. METHODS: Patients with suspected diagnosis of TB and negative smear microscopies, with TB culture and GeneXpert MTB/RIF assay with transbronchial lung cryobiopsy were included in this cross-sectional study. Participants were enrolled from 2016 to 2018 at National Institute of Respiratory Diseases, Mexico. RESULTS: We included 54 patients (77.8% males) aged 30 to 65 years. The sensitivity of the GeneXpert MTB/RIF assay with transbronchial lung cryobiopsy was 81.3% (95% CI, 62.1-100%), with a specificity of 100% (95% CI, 100-100%) and a negative predictive value of 92.7% (95% CI, 84.7-100%). Twenty-two patients of the total population have HIV, the sensitivity of the test in these patients was 87.5% (95% CI, 64.6-100%). Also, 28 patients with a peripheral localized lesion which had a solid pattern were identified (51.9%). The sensitivity in patients with peripheral localized lesions was 88.9% (68.4-100%). CONCLUSIONS: The GeneXpert MTB/RIF assay with transbronchial lung cryobiopsy test is as efficient as broncho alveolar lavage for TB diagnosis. Transbronchial lung cryobiopsy increases a major diagnostic opportunity when the nature of illness is malignant. Transbronchial lung cryobiopsy is efficient in HIV patients, especially in patients with peripheral localized lesion.