Revista médica del Instituto Mexicano del Seguro Social
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Rev Med Inst Mex Seguro Soc · Mar 2017
[Relation of red cell distribution width and mean platelet volume with the severity of preeclampsia].
It has been established a strong association between the red cell distribution width (RDW) and mean platelet volume (MPV) with hypertension in non-pregnant patients. However, few studies have been performed in patients with preeclampsia, yielding inconsistent results. Our aim is to evaluate the relationship between RDW and MPV with the severity of preeclampsia. ⋯ We demonstrate that RDW and MPV are accessible and inexpensive measures associated with the severity of preeclampsia.
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Rev Med Inst Mex Seguro Soc · Mar 2017
[Profesionalismo en médicos de un hospital de segundo nivel].
It takes many years to acquire abilities and technical skills necessary to do a good work as a doctor and even more years, for being "good professionals". Much of this training is based on old teaching schemes, but medicine has changed. So far no studies in our medium addressing the problem are known. The aim of this paper was to determine the level of professionalism in physicians that work in a second-level hospital. ⋯ More than a half of physicians surveyed had a competent level of professionalism but only in some dimensions. We observed higher scores with a higher academic grade.
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Rev Med Inst Mex Seguro Soc · Mar 2017
[Protocol for the care of acute myocardial infarction in emergency: Código infarto (The Infarction Code)].
Cardiovascular diseases are a major public health problem because of their they impact on more than 30% of all deaths worldwide. In our country and in the Instituto Mexicano del Seguro Social (IMSS) are also the leading cause of death and the main cause of lost of healthy life years due to disability or premature death. 50% of deaths are premature; most of them are due to acute myocardial infarct. ⋯ To address this problem, the first institutional care program was developed, called "A todo corazón", which aims to strengthen actions to promote healthy habits, prevention and care of cardiovascular diseases. The initial approach is to implement a protocol of care emergency services called "Código infarto", which is intended to ensure the diagnosis and treatment of patients demanding emergency care for acute myocardial infarction and receive reperfusion treatment with primary angioplasty in the first 90 minutes, or fibrinolytic therapy in the first 30 minutes after the admission to the IMSS emergency services.