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Hernandez-Garduno E.,Institute Seguridad Social Del Estado Of Mexico Y Municipios Issemym | Gomez-Garcia E.,Institute Seguridad Social Del Estado Of Mexico Y Municipios Issemym | Campos-Gomez S.,Institute Seguridad Social Del Estado Of Mexico Y Municipios Issemym
Salud Publica de Mexico | Year: 2017

Objective. To determine prevalence trends of using Wood as the Main Cooking Fuel (WMCF) in Mexico and household characteristics that predict its use. Materials and methods. Estimates were obtained from the 1990, 2000 and 2010 censuses and from a national survey performed in 2012 and 2013. Results. In 2012-2013, 9.5% of the 66 321 surveyed households and 10.9% of their 252 011 residents used WMCF. Prevalence was higher in rural (40.5%) than urban areas (1.5%), p < 0.0001. From 1990 to 2013 wood use decreased by 53% overall and by 28.6% in rural areas, gas use increased respectively by 17.5 and 52.7%. Predictors of using WMCF were living in rural or suburban areas and those associated with low socioeconomic status. Conclusion. Use of WMCF has decreased substantially in Mexico but at a slower pace in rural areas. Improving household characteristics and socioeconomic status may decrease use of WMCF at a higher rate.


Montes Dimas G.,Institute Seguridad Social Del Estado Of Mexico Y Municipios Issemym | Rivero Navarro M.A.,Centro Medico ISSEMYM | Mendieta Zeron H.,University of Central Mexico
Medicina Interna de Mexico | Year: 2011

Background: There have been some studies on the usefulness of C-reactive protein (CRP) in diagnosis and as prognostic factor for community-acquired pneumonia (CAP), but there are few studies in geriatric patients. Objective: was to determine the association of serum CRP and the response to antimicrobial therapy in elderly patients with CAP. Methods: We performed a prospective cohort study in the geriatric service at the ISSEYM Medical Center, Toluca. Serum levels of CRP were determined by immunoturbidimetric analysis (Roche, Hitachi model 9l7). Results: We included 19 patients, mean age 80 ± 5.6 years, range 71 to 91, with an average follow-up of 10 ± 2 days (range 7 to 15), its distribution was 12 men (63%) and 7 women (37%). By multivariate analysis we found that subjects who had a serum level of CRP above 10 mg / dL after the treatment had a relative risk (RR) of 1.5 (95% CI, 0.67-3.33, P = 0.158) to have a torpid evolution. Conclusion: serum CRP> 10 mg/dL is an indicator of severity for CAP.


Pedraza-Hervert C.,Institute Seguridad Social Del Estado Of Mexico Y Municipios Issemym | Alamilla-Sanchez M.,Institute Seguridad Social Del Estado Of Mexico Y Municipios Issemym | Hermida-Escobedo C.E.,Institute Seguridad Social Del Estado Of Mexico Y Municipios Issemym | Nolasco-de la Rosa A.L.,Institute Seguridad Social Del Estado Of Mexico Y Municipios Issemym
Revista del Instituto Nacional de Enfermedades Respiratorias | Year: 2014

Empyema necessitatis is a collection of exudative fluid in the pleural space extending across the parietal pleura into the surrounding tissue forming a fistulous tract. The most common etiologic agents are: Mycobacterium tuberculosis, Actinomyces israelii, Streptococcus pneumoniae, Escherichia coli, Pseudomonas aeruginosa, Aspergillus sp, anaerobes and less frequently by Staphylococcus aureus. The cases of empyema necessitatis are reported more frequently in immunosuppressed patients with risk factors such as type 2 diabetes, chronic alcoholism, poor dental health, chronic obstructive pulmonary disease, smoking, cachexia and bronchiectasis. We report the case of 54 years old male with a history of chronic alcohol abuse and poorly controlled type 2 diabetes, with history of 2 weeks of fever, progressive dyspnea, chest pain and erythema, hyperthermia and swelling in the right subclavian region. Clinically with pleural effusion syndrome. With tomographic evidence of fistulous tract and bacterial isolation the diagnosis was made. The patient had a severe infectious condition requiring antibiotic treatment and surgical resolution with excellent evolution. © 2014 Instituto Nacional de Enfermedades Respiratorias. All rights reserved.


PubMed | Institute Seguridad Social Del Estado Of Mexico Y Municipios Issemym
Type: Journal Article | Journal: Revista de gastroenterologia de Mexico | Year: 2010

The prevalence of serum markers of viral hepatitis in health-care workers seems to be similar to that described in the general population, even though this group would appear at increased risk because exposure to potentially infectious material. There is scarce information available in Mexico in this regard.To define the prevalence of serum markers for hepatitis C (anti-HCV antibodies) and hepatitis B (hepatitis B surface antigen, HBsAg) in health-care workers at the Instituto de Seguridad Social del Estado de Mexico y Municipios (ISSEMYM) and to establish the presence of viremia in subjects with positive serum markers.Health-care workers from ISSEMyM with unknown hepatitis serologic status participated voluntarily in this trial. They completed a written questionnaire detailing potential risk factors for viral hepatitis and provided a blood sample.A total of 374 health-care workers were included. Seven subjects (1.8%) were positive, 5 for anti-HCV antibodies (1.3%) and 2 for HBsAg (0.5%). None of these subjects had detectable serum HCV RNA or HBV DNA on further testing.The frequency of positive serum markers for viral hepatitis in this group of healthcare workers is similar to the estimated prevalence among the general population in Mexico. No case of active infection defined by positive viremia was encountered in this group of subjects.

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