Gac Med Mex
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Randomized Controlled Trial
Preventive analgesia with pregabalin in laparoscopic cholecystectomy post-operated patients.
Preventive analgesia is the administration of an analgesic drug with the aim of attenuating post-operative pain, hyperalgesia and allodynia. Its use is justified in order to offer analgesia and reduce anxiety in patients undergoing laparoscopic procedures. ⋯ The use of pregabalin as preventive analgesia turns out to be effective in the post-operative period and the pre-operative anxiety with minimal adverse effects in the post-operated patients of laparoscopic cholecystectomy.
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Morphea, or localized scleroderma, is a rare disease of the connective tissue that manifests itself with localized sclerosis of the skin and, in some cases, with extracutaneous manifestations. Its etiology is not fully understood, but it is believed that there is genetic predisposition, in addition to environmental triggering factors. Classification of the disease is not simple due to its multiple presentations; however, it is useful in order to define the treatment, which should be individualized and started early to avoid cosmetic and functional complications. In this review, we summarize the most important practical aspects of the classification, diagnostic methods and evaluation of morphea activity, as well as available therapeutic options, with an emphasis on existing clinical evidence regarding their efficacy and safety.
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Multicenter Study
Detección y genotipificación de Pneumocystis jirovecii en muestras de pacientes mexicanos VIH positivos y negativos.
Pneumocystis jirovecii is an atypical fungus particularly detected in HIV-positive or transplant patients. ⋯ The frequency of Pneumocystis jirovecii infection was high in the studied Mexican population. The most common genotype was different from those reported in other countries. It is necessary to address this health problem through early detection of this infection.
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Biography Historical Article
Manuel González Rivera. Promotor de la educación higiénica en México durante la década de 1940.
This article revisits Doctor Manuel González Rivera's work as a promoter of hygiene education in Mexico during the 1940s. From his classroom at the School of Public Health and head of the Hygiene Education Department of the Ministry of Health and Assistance, González Rivera produced an interesting bibliography on the meaning and importance of hygiene education. Based on three of his most important books, Educación Higiénica (Hygiene Education) (1943), Doña Eugenesia y otros personajes. ⋯ Popular hygiene education materials) (1943) and Enfermedades transmisibles. Cartilla para maestros rurales (Communicable diseases. A booklet for rural teachers) (1944), this article highlights his pedagogical and social work in the design of strategies and tools for health personnel and rural teachers to educate the population in matters of prevention and hygiene habits promotion.
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Multicenter Study
Actitudes de los médicos familiares mexicanos sobre el uso de placebos en la práctica clínica.
The use of placebo has spread in clinical practice despite being controversial. In Mexico, the practice of family medicine is predominantly institutional and works with an essential medications list. ⋯ More impure placebos were used, mainly in healthy worried patients and in those with chronic conditions.