Facultad de Ciencias de la Salud - CampCM

City

Ciudad de México

Country

Director

Mario Enrique Rendón Macías

Parent Organisation

Campus Ciudad de México

OrgUnit's Publications

Now showing 1 - 10 of 896

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La aptitud clínica: dos estrategias educativas para su desarrollo en residentes de cardiología. Diseño cuasiexperimental
(Publicidad Permanyer, SLU, 2026)
Leyva-González, Félix A.
;
Gómez-Arteaga, Gress M.
;
Lifshitz-Guinzberg, Alberto
;
Gómez-Clavelina, Francisco J. F.
;
Degollado-Bardales, Lilia
Introducción: Esta indagación en nuestro medio representa el primer trabajo multicéntrico en cardiología, mediante el que se pretende determinar los efectos de dos estrategias educativas: participativa vs. tradicional, con respecto al desarrollo de la aptitud clínica en residentes de cardiología de tres sedes académicas. Métodos: Diseño cuasiexperimental, multicéntrico. Se estudió toda la matrícula. Se construyó un instrumento que evaluó la variable aptitud clínica mediante ocho indicadores y 170 ítems; la validez conceptual/de contenido y confiabilidad se valoró por cinco cardiólogos con experiencia docente e investigación educativa. Estrategia educativa participativa: cada sesión se desarrolló en tres fases con guías de discusión estructuradas. Estrategia educativa tradicional: cada sesión se efectúo en dos fases. Las sesiones se realizaron una vez por semana (2 horas). Duración total: 20 sesiones. El instrumento de medida se aplicó en la 1.ª y 20.ª sesión. Resultados: Por año de residencia, en la calificación global de los indicadores se estimaron diferencias estadísticas entre medición inicial y final, resultando significativas en las tres sedes. Por indicador se realizó este mismo análisis y el resultado fue el mismo. Conclusiones: Una estrategia educativa participativa vs. estrategia tradicional tiene mayores efectos en el desarrollo de la aptitud clínica en residentes de cardiología en la sede experimental. ©Los autores ©© 2026 Hospital Infantil de México Federico Gómez. Background: This investigation represents the first multicenter study in cardiology in our setting, through which it is intended to determine the effects of two educational strategies: participatory vs. traditional, with respect to the development of clinical aptitude in cardiology residents at three academic sites. Methods: Quasi-experimental, multicenter design.The entire enrollment was studied. An instrument was built that assessed the variable “clinical aptitude” by means of eight indicators and 170 items; conceptual/ content validity and reliability were assessed by five cardiologists with teaching and educational research experience. Participatory educational strategy: each session was developed in three phases with structured discussion guides. Traditional educational strategy: each session was conducted in two phases. Sessions were held once a week (2 hours). Total duration: 20 sessions. The measurement instrument was applied in the 1st and 20th session. Results: By year of residency, statistical differences were estimated in the overall rating of the indicators between the initial and final measurements, were found to be significant at all three sites. By indicator, the same analysis was performed and the result was the same. Conclusions: A participatory vs. traditional educational strategy has greater effects on the development of clinical aptitude in cardiology residents at the experimental site. ©The authors © 2026 Hospital Infantil de México Federico Gómez.
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Etiología y tratamiento de las heridas atendidas en el Centro de Salud T-III Dra. Margarita Chorné y Salazar de la jurisdicción sanitaria Coyoacán
(2022)
Hernández Meneses, Erika Geraldynne
;
Cruz Medina, Sandra de la
;
Ramírez Hernández, Victoria
;
Chico Barba, Gabriela
;
López Hernández, Blanca Estela
Introducción: El término herida, se refiere a una condición en la que la estructura anatómica de la piel se rompe o destruye. En el año 2018, en nuestro país, la dirección general de planeación y desarrollo en salud, así como la dirección general de calidad y educación en salud, realizaron la publicación de un escrito dedicado a la homologación del manejo de las heridas en todas las unidades de atención a la salud, llamado “Modelo de Atención de las Clínicas de Heridas”; en donde se estipulan las características y clasificación de las heridas atendidas, según los distintos tipos de unidades médicas.Objetivo: Describir la etiología y tratamiento de las heridas atendidas en el Centro de Salud T-III Dra. Margarita Chorné y Salazar. Metodología: Estudio transversal, descriptivo. Se realizó revisión de expedientes y hojas médicas diarias, en una muestra de 49 pacientes, atendidos en el primer trimestre de 2022, que presentaron lesiones, las variables estudiadas se clasificaron en 3 (características del paciente, características de las heridas y características de la atención de las heridas). Resultados: La mayoría de las lesiones atendidas fueron heridas agudas, 32.7% fueron heridas de origen traumático. El 16.3% de heridas por mordedura de perro. Posteriormente la incidencia de heridas observada fue aquella relacionada a enfermedades crónicas de base. El tipo de curación que se les realizó a los pacientes fue curación tradicional (cura seca), no obstante, se reportó un 16.3% de pacientes con heridas a los cuales no se les realizó curación.Conclusión: Los registros subvaloran la realidad de la cantidad de lesiones atendidas en unidades de primer nivel de atención, ya que pudimos observar que un gran porcentaje de los pacientes, no cuentan con el registro adecuado, así como el nulo seguimiento de estos. La unidad médica elegida, es la más importante y con mayor demanda en la atención médica de la Jurisdicción Sanitaria Coyoacán, en ella se atendieron a 49 pacientes que presentaron heridas de distintas etiologías; a los cuales se les otorgó curación a 41 pacientes a base de cura tradicional o seca y a 8 pacientes no se les realizó ningún tipo de curación. La curación húmeda de heridas no se realiza no solo por la falta de recursos materiales, sino también por la poca o nula capacitación y conocimiento del personal de salud en el manejo avanzado de heridas
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Development and validation of a questionnaire to assess the health related Social Capital for Chronic Kidney Disease among Mexican adolescents
(Public Library of Science (PLoS), 2025)
Quiñones-Villalobos, Carolina
;
Prado-Aguilar, Carlos Alberto
;
Obrador, Gregorio
;
Arreola-Guerra, José Manuel
;
Padilla-López, Jannett
Background: Social Capital on health has been studied widely, to date there is no valid and reliable questionnaire that measure it in Chronic Kidney Disease (CKD). Objective: To develop, validate and assess the reliability of Social Capital related to CKD questionnaire for Mexican adolescents. Methods: An instrumental study was employed to validate a questionnaire that assesses the cognitive and structural domains of Social Capital related to CKD. The questionnaire was generated by operationalization of the constructs and validated by assessing the content, face validity, criteria and construct validity. Reliability was assessed through the Cronbach´s alpha. Results: The content validity of the questionnaire was confirmed through Kendall’s W of 0.925 (p = 0.01) and its face validity was evaluated by four focus groups. A principal component analysis on a sample of 281 adolescents indicated that 72.78% of the variance was explained by the cognitive domain and 83.20% by the structural domain. A confirmatory analysis returned a chi-squared value of 142.99 (p = 0.05), a CFI of 0.97, a TLI of 0.96, a RMSEA of 0.040 and a SRMR of 0.07 for the cognitive domain. Similarly, a chi-squared of 408.296 (p < 0.001), a CFI of 0.98, a TLI of 0.97, a RMSEA 0.03 and a SRMR of 0.06 were returned for the structural domain. The validity of the criteria was assessed through a Pearson’s correlation for both the cognitive and structural domains. There was a mild-to-strongly significant correlation (p ≤ 0.001) among items and dimensions within each domain, with correlation coefficients ranging from 0.23 to 0.83. As a determinant of the reliability of the questionnaire, the Cronbach’s alpha was 0.84 and 0.94 for the cognitive and structural domain, respectively. Conclusions: A valid and reliable questionnaire has been developed to measure the influence of Social Capital on health in relation to CKD among Mexican adolescents. ©The authors ©Public Library of Science (PLoS) ©PLOS One.
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Prediction of preeclampsia before 11th week of gestation: a secondary analysis of the ASPIRIN trial
(Elsevier BV, 2025)
Capdeville, Gabriela
;
Godinez-Medina, Andrea
;
Copado-Mendoza, Diana Y.
;
Acevedo-Gallegos, Sandra
;
Rodriguez-Bosch, Mario R.
Background: Early screening for preeclampsia is crucial for preventing adverse maternal and fetal events. Current first-trimester algorithms for predicting preeclampsia are designed to evaluate individual risk between 11.0 and 13.6 weeks of gestation based on various maternal characteristics while integrating biophysical and biochemical features. However, there is limited information regarding risk assessment during earlier stages of pregnancy (i.e., <11.0 weeks gestation). Objective: To develop a prediction model for preeclampsia/eclampsia before 11.0 weeks of gestation as a proof-of-concept in a secondary analysis of the ASPIRIN trial. Study design: This study is a secondary analysis of the ASPIRIN trial, a multinational, randomized, double-blind, placebo-controlled trial. The ASPIRIN trial database, obtained from NICHD DASH, included 11,976 nulliparous pregnant women aged 18–40 with gestational ages of 6.0–13.6 weeks at randomization. Participants were assigned to receive either aspirin (81 mg/day) or placebo until 36.0 weeks or delivery. This secondary analysis included pregnancies delivered at ≥20.0 weeks, excluding those in the aspirin group or with gestational ages ≥11.0 weeks at enrollment. The composite outcome was preeclampsia/eclampsia, as reported in the ASPIRIN trial. Predictor variables available in the dataset included maternal age, education (4 levels), body mass index (BMI kg/m2), gravidity, baseline hemoglobin, baseline systolic blood pressure, and baseline diastolic blood pressure. Logistic regression, with logarithmic transformation for continuous variables, was used to develop the model. The area under the ROC curve with a 95% confidence interval (CI) estimated via bootstrap resampling (1,000 iterations) and the P-value of the Hosmer-Lemeshow statistical test are reported as discrimination and calibration measures. This study used the entire available sample using a complete case approach. Results: A total of 3421 participants met the inclusion criteria, with a cumulative incidence of preeclampsia/eclampsia of 2.9% (99/3,421). Maternal age (21.96 ± 4.13 vs 20.86 ± 3.21, P<.001) and BMI (22.49 ± 4.77 vs 20.79 ± 3.55, P<.001) were significantly higher in the preeclampsia/eclampsia group. Gravidity was lower (P=.023), and hemoglobin levels were slightly elevated (11.88 ± 1.52 g/dL vs 11.50 ± 1.61 g/dL, P=.019) in the preeclampsia/eclampsia group. Educational level (P=.070), systolic blood pressure (P=.720), and diastolic blood pressure (P=.390) showed no significant differences between groups. The logistic regression model yielded an AUC of 0.69 (95% CI 0.63–0.74), and the Hosmer-Lemeshow test P-value was 0.094, indicating acceptable discrimination and calibration. Conclusions: This proof-of-concept logistic regression model using first-trimester maternal characteristics demonstrated acceptable predictive performance for preeclampsia/eclampsia before 11.0 weeks of gestation. During this critical period, several interventions could be proposed to reduce preeclampsia risk, including medication adjustments, lifestyle changes, and appropriate referral if needed. Further studies are required to validate these findings and assess their clinical utility in different settings. © The authors © Elsevier.
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The Ethics of Artificial Intelligence: Principles, Challenges, and Opportunities
(Universidad Panamericana, 2024-12-17)
Ortega Tatiana, Lozano
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Vínculo materno-filial. Neurociencia, cultura y bioética
(Editores De Textos Mexicanos, 2021)
Casas-Martínez, María-de-la-Luz
No es de desconocimiento el conflicto infinito del ser humano, sobre su existencia y su expectativa, entre lo que somos y lo que se espera a llegar a ser, la fragmentación de su personalidad, en malos entendidos metonímicos, en confundir la parte por el todo e imponer el inmanentismo sobre su biología o viceversa, situaciones que complican más el camino y fines del ser humano. Actualmente, nos encontramos ante una expansión de libertades y voluntariedad, de los cual esa nueva libertad se trueque en nuevas coerciones, sin conciencia de los daños y efectos que nos afectan, la mala atención y decisiones durante todo el desarrollo de la vida humana, empezando desde su inicio y su corresponsabilidad. Los académicos que integran la presente obra nos dimos a la tarea, desde el ámbito interdisciplinar y transdisciplinar, de exponer un camino donde se zanje la personalidad humana a través de la ciencia basada en evidencia (biología, psíquica), ética, políticas públicas, antropología filosófica y el derecho, brindando herramientas y estructuras para que el cauce del desarrollo humano sea el más acorde durante toda la existencia. © Los autores © Editores de Textos Mexicanos.
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Relationship between Healthcare Access and Deceased Donor Quality for Kidney Transplant
(2020)
Yuan, Qing
;
Jiménez Collado, David
;
Elias, Nahel
Introduction: The Kidney Donor Prolife Index (KDPI) is a percentile combining clinical parameters and demographics to summarize the quality of deceased donor kidneys (DDK) relative to the past year recovered organs. Lower KDPI values are associated with higher donor quality and expected organ function post-transplant. Under the Kidney Allocation System retrieved DDK with best KDPI (0%-20%) are matched to recipients with the greatest Estimated Post-Transplant Survival (0%-20%). However, the prevalence of best KDPI (0%-20%) DDK across transplant regions is not 20% as the percentile would suggest. We hypothesize that this difference stems from favorable health care quality. © 2020 by Lippincott Williams & Wilkins, Inc.
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Aproximación hacia la evaluación de la aptitud clínica en residentes de cardiología. Diseño multicéntrico
(2022)
Leyva-González, Félix A.
;
Gómez-Arteaga, Gress M.
;
Lifshitz, Alberto
;
Gómez-Clavelina, Francisco J. F.
;
Valencia-Chávez, Jesús S.
Introduction: To the best of our knowledge, the research herein presented is the first multicenter study in Mexico to analyze the development of clinical aptitude in medical units that train cardiologists. Objective: To determine the degree of development of clinical aptitude in cardiology residents at three High Specialty Medical Units. Methods: Multicenter, cross-sectional design. All students of the 2019-2020 academic year were included in the study. An instrument was constructed that evaluated clinical aptitude based on eight indicators and 170 items; conceptual/content validity and reliability were assessed by five cardiologists with teaching and educational research experience. © Gaceta Médica de México
Scopus© Citations 1 1 9
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Surrogacy and the Moral Significance of Gestation: Reassessing Procreative Responsibilities
(Wiley, 2026)
Pietrini Sánchez, María José
Practices involving assisted reproductive technologies (ARTs) presuppose the allocation of procreative responsibilities of various types and degrees among clinical embryologists, fertility doctors, and nonmedical individuals such as gamete bank staff and attorneys, while typically exempting them from parental rights and obligations. These individuals are appropriately regarded as third-party participants in assisted reproductive technology (ART) procedures. Surrogates, however, engage in gestational labour which implies a sustained, embodied, and relational form of care fundamentally distinct from the technical or procedural contributions of other third-party participants. This distinction calls into question the adequacy of classifying surrogates as mere third-party contributors. This article rejects that classification and argues that the procreative responsibilities of surrogates are better understood as proto-parental responsibilities grounded on the normative significance of gestation. These responsibilities constitute a prior stage of parenthood, providing the moral basis for subsequent parental rights and obligations. In advancing this view, this article critically engages with the professional model proposed by Ruth Walker and Liezl van Zyl, according to which surrogates' procreative responsibilities should be understood in professional terms. I argue that the professional model undermines the surrogate's reproductive autonomy, trivialises the moral significance of gestation, and obscures the moral importance of the connection between gestation and parenthood. By contrast, the account developed here argues that proto-parental responsibilities arise from gestational proximity and the pregnant woman's capacity to cultivate relationship goods foundational to the parent–child relationship. © The author ©2026 John Wiley & Sons Ltd.
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Hipotermia terapéutica en recién nacidos con encefalopatía hipóxico-isquémica
(2020)
Martínez-Hernández, Araceli
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Barrón-San Pedro, Rodrigo
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Garza-Morales, Saúl Jesús
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De la Cruz-Real, Abril Ariadna
;
Hidalgo-Vázquez, Mónica Magdalena
Hypoxic-ischemic encephalopathy (HIE) is a syndrome of neurological dysfunction secondary to lack of oxygenation of the brain around birth. Therapeutic hyÂpothermia has reduced neonatal mortality and neurological disability. Objectives: To describe the clinical course of neonates with HIE treated with therapeutic hypothermia for 72 hours. Material and methods: In a five-year period, twelve neonates > 34 weeks gestational age, with moderate and severe HIE were treated with therapeutic hypothermia; eight with total body hypothermia and four with selective cranial cooling. Variables recorded were: In-hospital mortality, as well as neurological conditions at hospital discharge, both clinical and those obtained from magnetic resonance imaging (MRI) and neurophysiological studies. Results: The twelve neonates started therapeutic hypothermia before six hours of life, maintaining it for 72 hours. Two patients died after hypothermia. Eight patients were discharged without evidence of neurological impairment. MRI was normal in five patients; three had cerebral edema and two patients had cerebral infarcts. Auditory, visual and somatosensory potentials were normal in five patients; while the rest had alterations in the auditory pathway. Conclusions: Therapeutic hypothermia by total body hypothermia or head cooling in infants with moderate and severe EHI appear to be effective in limiting neurological damage. © 2020 Sociedad Mexicana de Pediatria. All rights reserved.
Scopus© Citations 4 1 10

Facultad de Ciencias de la Salud - CampCM

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