Publications by authors named "Gregorio Zuniga-Villanueva"
Comparing the Need and Development of Pediatric Palliative Care in Mexico: A Geographical Analysis.
J Pain Symptom Manage
October 2024
Context: The Global Atlas of Palliative Care (GAPC) ranked Mexico's palliative care services at a preliminary integration stage into mainstream healthcare services. However, this data does not reflect pediatric palliative care (PPC) development.
Objectives: To analyze the current need and level of development of PPC within Mexico.
Objectives: The COVID-19 pandemic compelled a portion of healthcare to be delivered virtually. As the pandemic waned, health systems strived to find a balance between re-incorporating in-person care while maintaining virtual care. To find when virtual or in-person encounters are more appropriate, we surveyed pediatricians' perceptions when comparing the suitability of virtual care to in-person care.
View Article and Find Full Text PDFChanges in cannabis legalization have generated interest in medicinal cannabinoids for therapeutic uses, including those that target the gastrointestinal (GI) tract. These effects are mediated through interactions with the endocannabinoid system. Given the increasing societal awareness of the therapeutic potential of cannabinoids, it is important to ensure pediatric representation in clinical studies investigating cannabinoid use.
View Article and Find Full Text PDFArticle Synopsis
- Pediatric palliative care (PPC) is an emerging field facing resource shortages, especially in Latin America, where services are underdeveloped compared to other regions.
- A lack of consensus exists regarding quality indicators and outcome measurements for PPC, which complicates program development.
- The article examines the unique sociocultural factors in Latin America that influence the perception and implementation of PPC, highlighting the need for tailored standards of care and indicators relevant to the local context.
Article Synopsis
- Grief and bereavement support is essential in palliative care, but not all services provide it, highlighting a significant gap in practice.
- The compassionate communities (CC) approach seeks to empower communities to take responsibility for grief support, promoting a collective effort.
- This study outlines the features and progress of a grief support program utilizing the CC approach to enhance grief support in palliative care settings.
Objective: The aim of this study is to assess the impact of specialized pediatric palliative care (PPC) on neonates with life-limiting conditions compared to standard care.
Study Design: MEDLINE, PsycINFO, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL, Scopus, and Embase databases were searched from January 2000 to September 2018. Randomized clinical trials, experimental or observational studies, and secondary administrative database analyses published in English, Spanish, French, and German were included.
Background: Early skin-to-skin contact promotes infant physiologic stability, provides warmth and makes breast milk readily available. Despite the known benefits of early skin-to-skin contact, this practice is not included within standard care in the Mexican public healthcare system. After birth, newborns are usually taken to an incubator in the nursery where they transition to extrauterine life and receive either dextrose 5% or infant formula for their first feed.
View Article and Find Full Text PDFObjective: To summarize and analyze the impact of specialized pediatric palliative care (SPPC) programs on communication and decision-making for children with life-threatening conditions.
Methods: Our search strategy covered MEDLINE, PsycINFO, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL, Scopus, and Embase through September 2018.
Results: We reviewed 13 studies analyzing the impact of SPPC programs on communication and decision-making using a wide range of outcome indicators.
Background:: Lack of education and training in palliative care has been described to be one of the most important barriers to pediatric palliative care implementation.
Objective:: To examine what factors determine the degree of knowledge and level of comfort Mexican pediatricians have providing pediatric palliative care.
Methods:: A questionnaire that assessed palliative care concepts was developed and applied online to Mexican pediatricians, both generalists and specialists.
Article Synopsis
- Specialized pediatric palliative care programs aim to enhance the quality of life for patients and families facing illness, but require more development based on measurable outcomes for various stakeholders.
- A scoping review was conducted to identify and compare definitions of indicators assessing the impact of these specialized programs, with research sourced from multiple reputable databases.
- Results highlighted a lack of consensus on indicators, with 82 different indicators identified, and emphasized the need for standardized measures that include the perspectives of children to further improve research and practices in pediatric palliative care.