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    The effects of resistance exercise and oral nutritional supplementation during hemodialysis on indicators of nutritional status and quality of life
    (2016)
    Martin-Alemañy, Geovana
    ;
    Valdez-Ortiz, Rafael
    ;
    Olvera-Soto, Guadalupe
    ;
    Gómez-Guerrero, Irma
    ;
    Aguire-Esquivel, Guillermo
    Background: Protein-energy wasting (PEW) is common in patients undergoing hemodialysis (HD). Studies have assessed the positive effect of oral nutritional supplementation (ONS) or resistance exercise (RE) on nutritional status (NS) markers in patients undergoing HD. Methods: The aim of this study was to assess the effect of ONS and RE on NS and the quality of life (QOL) of 36 patients undergoing HD. In a randomized clinical trial, patients were divided into the following two groups: a control group (ONS) that received a can of ONS during their HD sessions and an intervention group (ONS + RE) that received a can of ONS and underwent a 40-min session of RE during their HD sessions. Both interventions lasted 12 weeks. The patients' anthropometric, biochemical, dietetic and bioelectrical impedance measurements as well as their QOL, evaluated using the Kidney Disease Quality of Life Short Form, were recorded.
      1  20Scopus© Citations 79
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    Self-Management and Health Care Transition Among Adolescents and Young Adults With Chronic Kidney Disease: Medical and Psychosocial Considerations
    (2017)
    Díaz-González de Ferris, Maria E.
    ;
    Villar-Vilchis, Marta Del
    ;
    Guerrero, Ricardo
    ;
    Barajas-Valencia, Victor M.
    ;
    Vander-Schaaf, Emily B.
    Health care transition (HCT) is a process that requires preparation as a continuum from pediatric- to adult-focused services. For adolescents and young adults with chronic or ESRD, this process can be prolonged due to their physical, psychological, family, or ecological factors. HCT preparation is a matter of patient safety and patient rights as the consequences of poor preparation at the time of transfer to adult-focused services are great, including rejection of organs, disease relapse, or even death. We present a case to illustrate important points of HCT preparation, with suggestions for intervention by the interdisciplinary team members who serve (and will serve) these survivors of pediatric-onset health conditions. To monitor the HCT process, yearly measurements of skill mastery need to take place guide interventions.
      2  10Scopus© Citations 18
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    A.L.L. Y.O.U. N.E.E.D. I.S. L.O.V.E. Manual on health self-management and patient-reported outcomes among low-income young adult Mexicans on chronic dialysis: Feasibility study
    (2022)
    Brito-Suárez, Juliette Marie
    ;
    Medina-Hernández, Elba
    ;
    Medeiros, Mara
    ;
    ;
    Morales-Buenrostro, Luis Eduardo
    We evaluated disease knowledge/self-management skills among low-income Mexican young adults maintained on dialysis and to test the effectiveness of the A.L.L. Y.O.U. N.E.E.D. I.S. L.O.V.E (AYNIL) Manual – Spanish Version on patient-reported outcomes. This is a low literacy teaching tool designed with patients and educators' input.
      1  11Scopus© Citations 6
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    Decreased Autonomy In Community-Dwelling Older Adults
    (2019)
    Sánchez-García, Sergio
    ;
    García-Peña, Carmen
    ;
    Ramírez-García, Eliseo
    ;
    Moreno-Tamayo, Karla
    ;
    Purpose: The present study aims to explore characteristics associated with low perception of autonomy among community-dwelling older adults. Patients and methods: This original research was derived from a cross-sectional study based on the study COSFOMA with information from 1,252 (60 years and older) community-dwelling older adults whose data was obtained through a questionnaire that included sociodemographic characteristics, as well as different scales of geriatric assessment. The perception of autonomy was evaluated with the autonomy sub-scale of the Quality of Life Scale of Older Adults from the World Health Organization (World Health Organization Quality of Life of Older Adults, WHOQOL-OLD).
      1  8Scopus© Citations 48
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    Análisis de las características sociodemográficas de los pacientes con enfermedad renal crónica terminal: Diferencias en un periodo de seis años
    (2012-07) ;
    Rodríguez, Graciela
    ;
    Luque Coqui, Mercedes
    ;
    Romero, Benjamín
    ;
    Valverde, Saúl
    Background. Chronic renal disease (CRD) is a disease with a strong impact on the childhood Mexican population with short-range limiting and serious consequences. Poverty and a social environment devoid of social justice hinder timely medical attention and long-range rehabilitation. The aim of this study was to determine the differences regarding sociodemographic features in patients under treatment at Hospital Infantil de México Federico Gómez, with a 6-year difference: patients diagnosed in 2003 as compared to those diagnosed in 2009. Methods. A retrospective comparative study was carried out with end-stage chronic renal disease (ESRD) patients with information obtained from the clinical files. Data were obtained on age, gender, renal insufficiency etiology, socioeconomic level, type of financing, place of origin, and whether patient entered a rehabilitation program (dialysis or transplant).
      1  31
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    Aspectos bioéticos ante la selección de residentes conforme al perfil de personalidad para subespecialidad oncológica
    (2016)
    Bautista Rodríguez, Humberto
    ;
    Se plantea un análisis bioético sobre una propuesta futura de carácter preventivo generada por una creciente problemática que se ha desarrollado en la unidad médica, correspondiendo esta situación a la interacción del personal que en ella labora, el cual se encuentra en contacto directo con las necesidades médicas y psicológicas del paciente y familiar oncológico, refiriéndose así al actuar médico que afecta a la relación del binomio médico-paciente. El planteamiento se hace para analizar y determinar cuáles podrían ser las repercusiones bioéticas al realizar la selección del personal médico residente, tomando en consideración su perfil de personalidad base y no solamente su perfil académico, porque al conocer el perfil de personalidad de cada médico residente se podrá determinar y pronosticar cómo será su actuar frente al paciente crónico. © 2016 Sociedad Mexicana de Oncología.
    Scopus© Citations 1  1  8
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    Calidad de la atención médica desde un punto de vista bioético en un hospital oftalmológico de Ciudad de México
    (2019)
    Romero-Chávez, Edith
    ;
    Contreras, Daniela
    ;
    Objetivo: Analizar la percepción de la calidad de la atención médica desde un punto de vista bioético. Material y métodos: Estudio trasversal, analítico, descriptivo y cuantitativo. Utilizamos dos cuestionarios para evaluar la percepción la atención médica en cuanto a los principios bioéticos. Hicimos un análisis descriptivo y bivariado con cada una de las variables, y sacamos un puntaje de las preguntas que se relacionaban con los principios bioéticos. Resultados: Incluimos 252 participantes y encontramos que, durante la atención médica, se cumplieron los siguientes principios: 14% autonomía, 72% beneficencia, 51% dignidad, 30% integridad, 42% justicia, 52% no maleficencia y 27% vulnerabilidad. 3% obtuvo todos los principios bioéticos. Conclusiones: Uno de los grandes retos de la medicina es la implementación de modelos de calidad de la atención médica, que garanticen que los pacientes reciban una atención médica que tome en cuenta los principios bioéticos.
      1  2
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    Perceptions of COVID-19 patients in the use of bioethical principles and the physician-patient relationship: a qualitative approach
    (BioMed Central Ltd, 2024) ;
    Gómez-Guerrero, Irma Eloisa
    ;
    Aguiñaga-Chiñas, Nuria
    ;
    López Cervantes, Mariana
    ;
    Jaramillo Flores, Ignacio David
    The COVID-19 pandemic has influenced the approach to the health-disease system, raising the question about the principles of bioethics present in physician–patient relations. The principles while widely accepted may not be sufficient for a comprehensive ethical analysis. Therefore, the aim of this study was to explore the perception of these principles and the physician–patient relationship during a hospital stay through a qualitative approach. Method: Sixteen semi-structured interviews took place to know the patients’ perception during their 2020 hospitalization for COVID-19. The data was analyzed through the constant comparison method, creating categories and comparing them. In the end, seven categories were established and were grouped in three: bioethical principles (dignity, charity, vulnerability, autonomy), doctor-patient relationship (participant commitment, informed consent, health staff-patient relationship) and the experience of the disease (illness, the role of the family). Results: The research found that most patients described a positive experience, with the feeling of having been well cared for with no sense of discrimination or injustice done. The majority also reported that their autonomy was respected in the treatment decisions. The evaluation of these attitudes is an area of opportunity, especially when the patients' vulnerability is at risk. Conclusions: The ethics of virtue offers a better reflection of how human beings manifest themselves by emphasizing the development of virtuous character and behaviors that allow them to realize their values in life. Authorized by the Research Ethics Committee with registration: DI/18/105-B/3/308. © The Author(s) 2024.
      1  17Scopus© Citations 1
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    A Comparative Study of the Traditional Method, and a Point-Score System for Allocation of Deceased-Donor Kidneys: A National Multicenter Study in Mexico
    (2011) ;
    Alberú-Gomez, Josefina
    ;
    Reyes-Acevedo, Rafael
    ;
    Medeiros, Mara
    ;
    Villa, María De La Salud
    Background: The National Transplant Center in Mexico has ruled that deceased-donor kidney allocation is a function of each hospital's Internal Transplant Committee. The aim of this study was to compare and analyze results for of the traditional method and a point-score system in the allocation of deceased patient's kidneys. Methods: The 12 major kidney transplant centers in the country having a deceased-donor program were invited to participate. Only 3 of them replied to the invitation during 2010. A point-score system was proposed to them, comprising blood group, waiting list time, HLA type, and donor and recipient ages. Once the final recipient was chosen, an explanation of reasons for the choice was requested. Thirty-eight transplants were presented. Kappa coefficient was used to measure degree of agreement in both allocation systems. Organs donated for transplantation came from patients between 4 and 54 years old, including 52% female, 52% O+ blood type, 31% A+, and 11% B+, 44% cranial-encephalic trauma, and 44% brain hemorrhage.
    Scopus© Citations 1  1  13
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    Hemodiálisis intermitente
    (2017) ;
    Gómez-Guerrero, Irma
    ;
    Valdez-Ortiz, Rafael
    Señor editor: Enviamos los resultados de una encuesta aplicada a pacientes sometidos a hemodiálisis intermitente en el Hospital General de México (HGM), con el objetivo de indagar las posibles razones de su permanencia en esa situación. ©2017, Salud Pública de México, Instituto Nacional de Salud Publica
      2Scopus© Citations 1  2