Ultrasound meal accommodation test in critically ill patients with and without feeding intolerance UMAT-ICU.

Background: Gastrointestinal dysfunction (GID) is one of the leading causes of nonavoidable discontinuing or delayed enteral feeding in critically ill patients. The ultrasound meal accommodation test (UMAT) has been used in ambulatory patients to evaluate dyspepsia. The objective of this study was to determine differences in the UMAT scores of critically ill patients with and without feeding intolerance (FI).

[Posición de la Academia Nacional de Medicina de México con relación con el decreto presidencial por el que se reforman y adicionan diversas disposiciones de la Ley General de Salud, en específico aquella donde faculta a la Secretaría de Salud para diseñar y ejecutar políticas públicas que regulen el uso medicinal y científico de los derivados farmacológicos de la Cannabis sativa indica americana o marihuana, entre los que se encuentra el tetrahidrocannabinol, sus isómeros y variantes estereoquímicas, así como para normar la investigación y producción nacional de los mismos].

As a consequence of the Presidential Decree that reforms and additions the General Statute of Health with regard to medicinal and scientific use of tetrahydrocannabinol, its isomers and stereochemical variants, the National Academy of Medicine of Mexico declares its position in favor of regulating investigation and national production thereof.

[Postura de la Academia Nacional de Medicina de México en relación con las decisiones sobre el final de la vida].

There are decisions at the end of life that currently are relevant as humanistic values. Respect for human life and dignity are part of human rights. The National Academy of Medicine of Mexico declares its posture about end-of-life decisions that include treatment refusal, limitation of the therapeutic effort, advance directives and palliative sedation, among others, with the purpose to favor a peaceful death.

[Tratamientos estéticos. Posición de la Academia Nacional de Medicina de México].

In Mexico there is a proliferation of "centers for aesthetic medicine" that offer different treatments with laser beam, mesotherapy and hyaluronic acid and botulinum toxin injections. In numerous centers of this type, offered and performed by medical personnel that are neither trained or certified to ensure the quality of services. The National Academy of Medicine of Mexico and the National Normative Council for Medical Specialties (CONACEM) communicate their posture on this matter.

[At 50 years of the description of acute respiratory distress syndrome].

In 1967, Ashbaugh et al. published in the Lancet the description of a new entity, for which they coined the name "adult respiratory distress syndrome". On that article, they thoroughly described 12 patients who had respiratory distress with bilateral pulmonary infiltrates and oxygen therapy-refractory hypoxemia.

[Effect of exercise on the serum concentrations of leptin and adiponectin in adolescents with risk factors of developing diabetes].

Background: Type 2 diabetes mellitus (T2DM) is an increasing health issue. Physical activity (PA) in early stages is a preventive measure in the development of degenerative diseases. It has been documented the association between exercise and leptin and adiponectin concentrations.

[New therapeutics alternative in severe preeclampsia].

Introduction: Vasoconstriction is a major pathophysiologic finding in preeclampsia due to hyperactivity of the sympathetic nervous system and a consequent increase in concentration of plasmatic catecholamine. Thus, vasodilatation produced by secondary sympathetic block to lumbar epidural blockade favors control of high blood pressure in patients with severe preeclampsia.

Objective: Our objective was to evaluate whether lumbar epidural blockade with bupivacaine 0.

[Presence of equinocyte in the preeclampsia-eclampsia syndrome. Is this a subclinical manifestation of the syndrome?].

Objective: To determine the relationship between erythrocyte deformations and preeclampsia-eclampsia syndrome before presentation of the triad high blood pressure-edema-proteinuria.

Material And Methods: Aleatory study. A total of 308 patients were studied without evidence of preeclampsia, with negative erythrocyte deformation smear, between 12 and 18 weeks of pregnancy.