Gac Med Mex
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Randomized Controlled Trial
Impact of a prenatal education intervention in pregnant women to prevent overweight in infants.
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Practice Guideline
Tratamiento de la esquizofrenia en México: recomendaciones de un panel de expertos.
La esquizofrenia es una enfermedad compleja que actualmente no tiene cura. Existen, sin embargo, numerosas terapias que, solas o en combinación, son eficaces para tratar los síntomas de la enfermedad y mantenerla bajo control. La elección del tratamiento debe ser siempre individualizada, y basarse en la presentación clínica de la enfermedad, el estado general del paciente y la eficacia del fármaco, si bien hay que considerar también el costo y el acceso a servicios y al fármaco, que en México tiene algunas limitaciones. ⋯ There are, however, numerous therapies that, alone or in combination, are effective in treating the symptoms of the disease and keeping it under control. The choice of treatment must always be individualized, and based on the clinical presentation of the disease, the general condition of the patient and the efficacy of the drug, although the cost and access to services and to the drug must also be considered, as in Mexico it has some limitations. A panel of 12 Mexican experts met virtually to review the latest published data and establish evidence-based treatment recommendations in Mexico that guarantee comprehensive, homogeneous, efficient, and quality medical care.
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Shear-wave elastography (SWE) has been shown to be predictive of malignancy in thyroid nodules. ⋯ SWE-determined stiffness is useful to detect nodules that require surgical evaluation.
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A pregnant woman rectally or vaginally colonized by group B Streptococcus can infect her newborn. ⋯ The percentage of colonization in this population was low. A routine cervicovaginal and rectal culture program in pregnant women and the intrapartum antimicrobial prophylaxis program are controversial in our region.
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Coronary ectasia has a low prevalence in the general population. Its risk factors may differ from those of coronary artery disease. ⋯ A high prevalence of coronary ectasia was found, with the main risk factors being a history of herbicide use and hypercholesterolemia. PLR was found to be elevated in these patients. Early detection is important due to its association with acute coronary events.