Table of life for beneficiaries of the Institute of Security and Social Services of State Workers (ISSSTE), Mexico 2021.

Objective: Determine the life expectancy in the covered population of the Institute of Security and Social Services of State Workers in México for 2021.

Method: We used the abrogated method from Reed-Merrel, for calculate the life expectancy in age groups.

Results: By 2021, life expectancy general was 79.

Professional burnout syndrome in specialist surgeons: prevalence and risk factors.

Background: Medical surgeons specialists are exposed to risk factors, the most frequent being those of the psychosocial type, where burnout syndrome is included due to the type of exposure and diversification of their activities as a member of the health team and the legal and socio-labor repercussions.

Objective: To determine the prevalence and risk factors of burnout in medical surgeons.

Method: Observational, descriptive and cross-sectional study in 296 specialists.

[2015 life tables of population user of Jalisco’s Instituto Mexicano del Seguro Social services].

Background: The life table is a useful instrument to measure the impact of health care in a population. In this case we report the situation of the population that use the medical services of the Instituto Mexicano del Seguro Social in the state of Jalisco.

Methods: We used the abridged Reed-Merrell method, which shows the life expectancy in five-year age groups.

[Considerations concerning medical knowledge inherited in Mexico from 19th century: the diabetes mellitus case].

In Mexico, as in the entire Western world, during the 19th century and the beginnings of the 20th century, medical knowledge developed in a remarkable way and the case of diabetes mellitus was not the exception. This situation, which arose on the basis of the antique paradigm, and which in turn was overthrown by the positivism as the emergent paradigm (with its clinical and anatomical, as well as physiopathological and etiopathological viewpoints), was reflected during the 19th the century through its actors and the communications that opened the access of Mexican medicine to the modernity.

[Cultural domain of the causes of diabetes in three generations of popular stratum in Guadalajara, Mexico].

Background: The growing prevalence of diabetes must be confronted in several ways. Establishing the generational transmission of cultural knowledge offers some guidelines to prevent and control the disease. Once we identify and compare the semantic structures of shared knowledge we lay the foundations of a culturally comprehensive care.

[Analgesic efficacy of the incisional infiltration of ropivacaine vs ropivacaine with dexamethasone in the elective laparoscopic cholecystectomy].

Background: Incisional pain is the main obstacle for elective laparoscopic cholecystectomy as an outpatient. We evaluated the analgesic efficacy of local infiltration of ropivacaine with dexamethasone (Rop/Dx), compared with ropivacaine (Rop) alone, during the first 24 hours postoperative of this surgery. Our hypothesis is that incisional pain intensity will be lower in patients of the group Rop/Dx.

[Sacrococcygeal teratoma: report of a case and review of the literature].

Sacrococcygeal teratoma is the most common tumor in infants. About 80% of these tumors are types 1 and 2, and are unlikely to cause metastases whose incidence is 10% in the neonatal period, against nearly 100% at the age of 3 years. These tumors can acquire huge and contain large proportions depriving blood flows to the developing fetus, the tumor hypervascularity generates a hyperdynamic state in the fetus, and that as the tumor grows, it increases its flow to behave as a short circuit and to be similar to that of the lower limbs of the fetus, increasing venous return and cardiac output, heart failure causing fetal and maternal eclampsia.

Are differences between patient and provider explanatory models of diabetes associated with patient self-management and glycemic control?

In this study we test whether differences between patient and provider explanatory models of diabetes affect self-management and glucose control in type 2 diabetes patients. Diabetic patients (n=60) and family practice physicians (n=39) in Guadalajara, Mexico, responded to a structured explanatory model interview (130 questions on causes, symptoms, and treatments). A cultural consensus analysis indicated a widely shared model among physicians and provided a single shared set of answers to the questions.

[Analysis of Possible Sociodemographic and Occupational Risk Factors and the Prevalence of Professional Exhaustion Syndrome (Burnout) in Mexican Dentists].

Objectives: To determine the prevalence of professional exhaustion syndrome (burnout) in dentists and to analyze possible sociodemographic and occupational risk factors .

Methods: An observational, descriptive and cross-sectional survey of 203 dental staff of the Metropolitan Zone of Guadalajara, Mexico, from the Mexican Social Security Institute, University of Guadalajara, and those in private practice. A self-reported identification form and the Maslach Burnout Inventory-Human Services Survey were used to gather data.

[Cognitive anthropology applied to the study of the causes of arterial hypertension in Guadalajara, Jalisco, México].

Background: In medical anthropology, culture is shared knowledge and it can be used to study cultural consensus for development of preventive and control actions in chronic diseases such as high blood pressure. The aim of this study was to characterize the semantic structure and level of cultural consensus regarding the causes of arterial hypertension in persons >15 years of age belonging to families of laborers from "Colonia Fabrica de Atemajac."

Methods: Using a propositive sample of 36 persons >15 year of age of both genders and divided into three age groups, we conducted an anthropological study.

Simultaneous blood pressure measurement in both arms in hypertensive and nonhypertensive adult patients.

Background: When blood pressure (BP) is taken for the first time, it should be measured in both arms; follow-up measurements should be taken in the arm with the highest BP. However, in clinical practice, this recommendation is rarely followed.

Objective: Identify the degree of differences in BP between the right and the left arm in individuals with normal and high BP.

Explanatory models of diabetes in the U.S. and Mexico: the patient-provider gap and cultural competence.

Successful management of type 2 diabetes requires support and collaboration between diabetic patients, their health care providers, family and community. Using data collected in 1994-2001, we describe illness beliefs of physicians, patients, and representative samples of community members in the US and Mexico. We test whether differences in conceptualizations of diabetes are greater across national and linguistic boundaries or between physicians and lay groups.

Cross-cultural perspectives on physician and lay models of the common cold.

We compare physicians and laypeople within and across cultures, focusing on similarities and differences across samples, to determine whether cultural differences or lay-professional differences have a greater effect on explanatory models of the common cold. Data on explanatory models for the common cold were collected from physicians and laypeople in South Texas and Guadalajara, Mexico. Structured interview materials were developed on the basis of open-ended interviews with samples of lay informants at each locale.

[Gender and metabolic control of type 2 diabetes among primary care patients].

Introduction: removing the biological perspective of the sexual differences and understanding the asymmetries related to diabetes, lead to define situations of benefit or deterioration of the population's health.

Objective: to analyze gender situations related to self-care and control of type 2 diabetes in primary care patients.

Methods: we conducted a descriptive observational study in 620 patients with diabetes at the family medicine clinic number 3 of Instituto Mexicano del Seguro Social in Guadalajara, Mexico.

[Food habits and culture factors in pregnant adolescents].

The purpose of this study was to identify the food habits of pregnant adolescents and their perception about which, of her cultural concepts, have higher influence. 54 subjects between 12 and 19 years old from Guadalajara City were included and socioeconomic, dietetic data, as food frequency consumption and cultural concepts about feeding were also explored. Chi square was used for identifying association between variables.

Susto and nervios: expressions for stress and depression.

Folk illnesses that are cultural constructions of psychological distress offer a vehicle for the cross-cultural study of stress and stress-related morbidity. This study explores the relationship between the Latin American folk illnesses susto and nervios and mental health. We hypothesize that these folk illnesses are distinct and that there is a stronger association between current levels of stress and depressive symptoms with past experience of nervios than with susto, because the cultural constructions of these folk illnesses reflect chronic and acute concepts of distress, respectively.

Evaluation and effects of the Omron 725 CIC device for measuring blood pressure in a hypertension clinic.

Background: We compared the Omron 725 CIC device (Omron Healthcare Inc., Vernon Hills, Illinois, USA), which is designed to register the blood pressure on the arm, with a mercury sphygmomanometer. In addition, we evaluated the possible impact that this device might have on the decisions made in a hypertension clinic.

"Diabetes is my companion": lifestyle and self-management among good and poor control Mexican diabetic patients.

This paper identifies naturally occurring lifestyle and self-care practices in managing type 2 diabetes mellitus that are associated with good glycemic control. In-depth, qualitative interviews were conducted in Guadalajara, Mexico, with 31 matched pairs of good and poor control diabetic patients (n=62), who were matched on their duration of disease and use of medications. While many themes were listed by both groups, a comparison of the responses indicated that themes of daily exercise with a preference for walking, eating beef and milk rather than chicken and fish, economic issues, and emotional issues distinguished poor-control patients.

The relative effect of self-management practices on glycaemic control in type 2 diabetic patients in Mexico.

Objective: In this study, we examined the relative impact of self-management activities on glycaemic control in a population at high risk for developing complications.

Methods: Patients diagnosed with diabetes mellitus of at least 1 year in duration at 30 years of age or older were sampled from the Instituto de Mexico Seguro Social (IMSS) Family Medicine Clinics in Guadalajara, Mexico (n=800). Demographic, clinical and health behaviour variables were used to predict good/poor glycaemic control, as measured by haemoglobin Alc (A1C).