José Manuel Ramírez-Aranda

Genesis of Preeclampsia: An Epidemiological Approach

There are analyzed some of the main aspects related to the causality of preeclampsia, privileging two types of models: the clinic model and the epidemiologic model, first one represented by the hypothesis of the reduced placental perfusion and the second one considering the epidemiologic findings related to the high levels of psychosocial stress and its association with preeclampsia. It is reasoned out the relevance of raising the causality of the disease from an interdisciplinary perspective, integrating the valuable information generated from both types, clinical and epidemiologic, and finally a tentative explanatory model of preeclampsia is proposed, the subclinical and sociocultural aspects that predispose and trigger the disease are emphasized making aspects to stand out: the importance of reduced placental perfusion as an indicator of individual risk, and the high levels of physiological stress, as a result of the unfavorable conditions of the psychosocial surroundings (indicator of population risk) of the pregnant women.

Absence of antibodies against Bordetella pertussis in pregnant women and newborns in the state of Nuevo Leon.

Abstract Aims: To assess placental transfer of antibodies to the child at birth and at 2 months of age. Materials and methods: For the quantification of anti-PT IgG antibodies, we used an indirect enzyme-linked immunosorbent assay standardized by The National Institute of Epidemiologic Diagnosis and Reference (InDRE). Samples were considered negative from 0 to 48 IU/mL, indeterminate from 49 to 93 IU/mL and positive at ≥94 IU/mL. We performed a cross-sectional assessment of anti-PT IgG antibody levels in the mother, umbilical cord, and child. Results: There was a higher concentration of IgG anti-TP in the umbilical cord (4.3%) and in the mother (1.4%), but a total absence was observed in the child (0%). Conclusion: The vulnerability of children to Bordetella pertussis shows the need to implement effective immunization strategies, whether actively, in the child, or passively through the mother, adolescents, and adults who are in contact with the child.

La ludopatía, problema de salud actual: ¿qué puede hacer el médico familiar?

Addiction to gambling or pathological gambling manifests itself in the inability to control the desire to make bets and as a consequence, this can cause the destruction of the economic, emotional, family, and social capital of a person. The Family Physician, by his profile, is located in a privileged position to prevent addiction to gambling, making early detection of people with “problem to play”; in addition to offer a comprehensive treatment, with the support of a multidisciplinary team.

‘Health is primary’ launches to much fanfare at aafp assembly

86 workshop at the WONCA Asia Pacific Conference in 2015 in Taipei11,25 • The Embassy Conversations model will be promoted as a promising approach for engaging policy makers and lawmakers in health systems innovation • Promote participatory research methodology as a meaningful tool for engagement with stakeholders • Promote the value of international comparative outcome research for health systems’ innovation: • The 4 funding agencies have committed to ongoing informal discussions to consider opportunities for collaboration over shared areas of interest • Pursue the development of a standardized set of primary health care-sensitive outcome measures. Chris van Weel1,2; Deborah Turnbull1,3; Emma Whitehead1; Andrew Bazemore4; Felicity Goodyear-Smith5; Claire Jackson6; Cindy L. K. Lam7; Barbara A. van der Linden8; David Meyers9; Maria van den Muijsenbergh1; Robert Phillips10; Jose M. Ramirez-Aranda11; Robyn Tamblyn12; Evalyn van Weel-Baumgarten1. 1Radboud University, Nijmegen, NL; 2Auralian National University, Aus; 3University of Adelaide, Aus; 4Robert Graham Center, USA; 5University of Auckland, NZ; 6University of Queensland, Aus; 7University of Hong Kong; 8ZonMw, NL; 9AHRQ, USA; 10ABFM, USA; 11Autonomous University of Nuevo Leon, Mexico; 12CIHR; McGill University, Canada

Percepción del estrés en pacientes con síntomas físicos médicamente no explicados

identify the association between stress and patients with physical symptoms medically not explained (psmne), in order to define a strategy of approach. Material and methods: cross-sectional, prospective, comparative, observational study with a total sample of 230 patients. 115 patients participated in each group. Self-assessment scales were used to evaluate the perception of stress. It was used the spss 20 for Windows, with descriptive statistics for demographic data; χ 2 for crossing stress perceived in group 1 and group 2; Pearson correlation per group to score stress; p<0.05 statistical significance. Results: in both groups the female sex dominated (Group 1: 94% and group 2: 80%). Bloated stomach was the most frequent reason for consultation with 52% in the psmne group. Stress perceived score in patients with psmne was 26.9% vs. 23.5% in the group without psmne (p=0.01). Conclusions: the perception of stress was greater in patients with psmne than in patients with an organic disease.

Prevalencia de esteatohepatitis no alcohólica en pacientes con síndrome metabólico

Resumen Objetivo determinar la prevalencia de esteatohepatitis no alcoholica en pacientes adultos con sindrome metabolico de la consulta externa del Hospital Universitario “Dr. Jose Eleuterio Gonzalez” de la Universidad Autonoma de Nuevo Leon, Mexico. Material y metodos se seleccionaron pacientes con enfermedades cronico-degenerativas, quienes se clasificaron en dos grupos: el grupo 1 con sindrome metabolico, y el grupo 2 sin sindrome metabolico; se les realizaron estudios de laboratorio, ultrasonido de abdomen superior, y a aquellos que resultaron con esteatosis hepatica se les solicito FibroMax. Resultados de los 71 pacientes, 55 se clasificaron en el grupo 1, y 16 en el grupo 2; 42 del grupo 1 y nueve del grupo 2 resultaron con esteatosis. A 18 pacientes del grupo 1 y a dos del grupo 2 se les diagnostico esteatohepatitis no alcoholica. Conclusion la prevalencia de esteatohepatitis no alcoholica en este estudio fue de 25.3%, mayor al 4.5% reportado por otros investigadores.