Facultad de Ciencias de la Salud - CampCM

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Ciudad de México
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MX
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Mario Enrique Rendón Macías
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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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      4Scopus© Citations 18
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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.
      33  39
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    Virtual reality pain mitigation during elective cesarean surgical delivery
    (Interactive Media Institute, 2019)
    Mosso Vázquez, José Luis  
    ;
    Mosso Lara, Dejanira
    ;
    Lara Vaca, Verónica
    ;
    Wiederhold, Brenda K.
    ;
    Miller, Ian
    We present supplemental virtual reality (VR) relaxation to reduce pain and anxiety during elective cesarean delivery in 4 young women under epidural analgesia. Methodology. Four women voluntarily participated in a VR relaxation group (mean age = 28.5 years) and four women in a control group (mean age = 30.5 years). VR relaxation was initiated for the placement of the epidural block and cesarean procedure until the gynecologist extracted the newborn from the uterus. The mothe's vital signs and pain were measured using physiological monitoring and a visual analog scale before, during and after anesthesia placement and during and after cesarean surgery. Participants viewed an ‘Enchanted Forest’ virtual environment. Three of the four patients’ husbands participated by navigating the virtual environment for his wife using a game controller. Results. Patients presented 91.89 % pain reduction in the VR group—a remarkable result under regional anesthesia. Patients in the control group presented 61 % increases in pain. Conclusions. VR supplemented pain mitigation provides high levels of satisfaction to mothers during elective cesarean delivery and carries no risk for the newborns. The current report highlights an innovative contribution to womens’ healthcare. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
      1  17
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    Sexual Assertiveness in Mexican Homeless Female Youth: A Qualitative Approach
    (Springer Nature Switzerland, 2024)
    Castaños-Cervantes, Susana
    Homeless female youth are among the most vulnerable understudied groups worldwide. They do not know their sexual rights and are denied their right to exercise them. This study qualitatively explored the sexual assertiveness of a group of Mexican homeless female youth to identify factors shaping sexual assertiveness and plausible pathways that may explain its effects. Two hundred homeless females aged 10–19 years old participated in this study. A semi-structured interview assessing dimensions of sexual assertiveness was conducted. The main findings revealed a low level of sexual assertiveness and of exercising sexual rights, a high level of sexual violence, a lack of sexual education and knowledge, and a lack of understanding of sexual rights. This study encourages the design and implementation of effective research-based programs and policies that can positively impact the sexual health of homeless female youth. ©The author ©Springer.
      15
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    Recomendaciones bioéticas en el manejo de límite de esfuerzo terapéutico en neonatología
    (2019)
    Ruiz Macías, Hilda
    ;
    Ruiz Macías, Hilda
    ;
    Casas Martínez, María de la Luz Lina
    ;
    Caballero Velarde, María Cristina
    Se debe reconocer los límites en la práctica médica cuando la muerte es inevitable o las posibilidades de recuperación son nulas. A través de la Limitación de Esfuerzo Terapéutico se busca evitar la obstinación terapéutica en las salas de atención de recién nacidos gravemente enfermos; la aplicación en el actuar médico de los principios bioéticos; y que la toma de decisiones siempre corresponda con el beneficio del paciente en su mejor interés, con uso de los recursos disponibles para una atención en justa proporción.
      17  26
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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.
      2  4
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    Hipotermia terapéutica en recién nacidos con encefalopatía hipóxico-isquémica
    (2020)
    Martínez-Hernández, Araceli
    ;
    Barrón-San Pedro, Rodrigo
    ;
    Garza-Morales, Saúl Jesús
    ;
    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
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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.
      1
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    Adenoma oncocítico de tiroides (adenoma de células de Hürthle). Revisión del espectro morfológico a propósito de cuatro casos
    (2007)
    Miguel-Pérez, Pedro
    ;
    Herrera-Hernández, Miguel
    ;
    Padilla-Rodríguez, Álvaro
    ;
    Martínez-Consuegra, Nayeli
    El cambio oncocítico es un agrandamiento del citoplasma ocasionado por la acumulación de mitocondrias, que se presenta en una amplia variedad de condiciones reactivas y neoplásicas. En la glándula tiroides, dicho cambio es un fenómeno de metaplasia que ocurre en distintas situaciones que provocan estrés celular y en ocasiones da lugar a verdaderas neoplasias benignas y malignas, entre las que destaca el adenoma oncocítico. A propósito de cuatro casos estudiados en el Departamento de Patología del Hospital ABC con características citomorfológicas inusuales que representaron un reto diagnóstico, hacemos una revisión del espectro morfológico de estos tumores. Las características presentadas incluyeron necrosis isquémica masiva posterior a toma de biopsia por aspiración, tamaño mayor al esperado en un adenoma, coexistencia con una neoplasia maligna independiente y características histológicas similares a las observadas en carcinoma papilar. Es de gran importancia para el patólogo conocer estas características, para evitar errores diagnósticos que puedan implicar un inadecuado manejo terapéutico.
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