Depression symptoms and suicide risk of internal medicine residents before and after first year of the COVID-19 pandemic

IntroductionDepression is a mental health disorder characterized by the presence of sadness or loss of the ability to feel pleasure, with a high incidence in patients with COVID 19. The investigations have focused on patient care and little on the care of health personnel, these being the ones with the highest mortality rate, so the objective of the study was to investigate the prevalence of depression symptoms and suicide risk and understand the association of depressive disorder and suicide risk with levels of serum cholesterol and low levels of serum cortisol among internal medicine fellows in a specialist medical hospital in Leon, Guanajuato, Mexico, before and after COVID-19.MethodsIn this longitudinal study, internal medicine residents were initially monitored for 2months before starting to care for patients with COVID-19. Participants were asked to fill out depression symptoms and suicide risk surveys. We measured the serum cholesterol and cortisol of each participant, and again after 11months of treating COVID-19 patients.ResultsDepression symptoms and suicide risk were assessed; significant differences were found between the two time periods for depression (p < 0.01), and no difference was found for suicide risk (p = 0.182). We found a significant correlation between serum cholesterol levels and suicide risk (r = 0.366, p < 0.01); we also found differences in serum cortisol levels (p < 0.01) and cholesterol (p < 0.0001) before and after the pandemic.ConclusionCaring for patients with COVID-19 in the hospital contributed to an increase in levels of depression symptoms and suicidal ideation, as well as differences in levels of cortisol and cholesterol in resident physicians of internal medicine; among the possible reasons for this change could be the conditions of personal protection while treating patients, the uncertainty in the first months of not knowing how the virus was transmitted and not having or knowing when vaccinations would be available, as well as the lack of a strategy of adequate mental health support from the institutions dedicated to their academic training

Dos diseños de tratamiento para la atención y cuidado del adulto mayor diabético.

The following paper describes the process by which a family intervention for the attention and care of the elderly diabetic in two types of treatments design. One from the perspective of systemic family therapy based on therapeutic models of Minuchin (1982) and White (1993). The other based on the psychoeducational view based bibliotherapy, based on meaningful learning of Ausubel (1982). As a result two treatment manuals were obtained, which was piloted and brought to clinical practice, the results of these findings are still being analyzed but will be exhibited and published in a not very long time. However it can be seen as the family is a cornerstone in the provision of care of the diabetic patient and the active participation of this facilitates achieving the objectives for the proper care of their elderly relative.Se expone el proceso por el cual se desarrolló una intervención familiar para la atención y cuidado del adulto mayor diabético en dos modalidades de tratamientos. Uno desde una perspectiva de la terapia familiar sistémica, fundamentada en los modelos terapéuticos de Minuchin (1982) y White (1993). El otro en base a una perspectiva psicoeducativa basada en la biblioterapia, con base en el aprendizaje significativo de Ausubel (1982). Como resultados se obtuvieron dos manuales de tratamiento, lo cuales se pilotearon y se llevaron a la práctica clínica, los resultados de estos hallazgos están aún en proceso de análisis pero serán expuestos y publicados en un tiempo no muy largo. Sin embargo se puede constatar como la familia es un pilar básico en la provisión de cuidados del paciente diabético y la participación activa de ésta facilita alcanzar los objetivos para la atención adecuada de su familiar mayor

Dos diseños de tratamiento para la atención y cuidado del adulto mayor diabético

The following paper describes the process by which a family intervention for the attention and care of the elderly diabetic in two types of treatments design. One from the perspective of systemic family therapy based on therapeutic models of Minuchin (1982) and White (1993). The other based on the psychoeducational view based bibliotherapy, based on meaningful learning of Ausubel (1982). As a result two treatment manuals were obtained, which was piloted and brought to clinical practice, the results of these findings are still being analyzed but will be exhibited and published in a not very long time. However it can be seen as thefamily is a cornerstone in the provision of care of the diabetic patient and the active participation of this facilitates achieving the objectives for the proper care of their elderly relative.En el presente trabajo perseguimos definir un modelo que explique qué variables condicionan la satisfacción en personas mayores institucionalizadas. El modelo obtenido se ha llevado a cabo por el procedimiento de ecuaciones estructurales, y cumple todos los criterios que la literatura científica propone para considerarlo significativo, obteniéndose valores en diferentes índices de ajuste por encima de los puntos de corte recomendados. Los resultados ponen de manifiesto la relación entre distintas variables analizadas como el deterioro cognitivo, el desempeño en actividades básicas de la vida diaria, el riesgo de caídas, la insulinodependencia, el estado de ánimo, la salud general, la vitalidad, o la salud mental. Las conclusiones permiten destacar la jerarquía que ciertas variables relacionadas con la salud mental tienen en la autopercepción de la propia satisfacción, y enfatizan la importancia que el profesional de la psicogerontología adquiere en los centros para mayores

Effects of anatomical position on esophageal transit time: A biomagnetic diagnostic technique

AIM: To study the esophageal transit time (ETT) and compare its mean value among three anatomical inclinations of the body; and to analyze the correlation of ETT to body mass index (BMI)