Revisión Teórica de los Factores que Inhiben en el Ciudadano el Uso del e-Gobierno

El objetivo de la presente investigación fue analizar la literatura relativa a los factores que inhiben el uso de los servicios electrónicos que presta una institución gubernamental mediante el método documental basado en una revisión bibliográfica de los principales autores en materia de gobierno electrónico. Los resultados destacan la importancia del conocimiento de los servicios digitales por parte de los ciudadanos, la facilidad de uso y la calidad del sistema, la influencia del perfil sociodemográfico, así como la satisfacción y confianza del usuario para  utilizarlos. Los hallazgos describen cada uno de los factores y las relaciones entre sí. La relevancia se orientó a visualizar estrategias para mejorar el gobierno electrónico en el contexto mexicano.   The aim of this research is to analyze the literature on the factors that inhibit the use of electronic services provided by a government institution through the documentary method based on a bibliographic review of the main authors in the field of electronic e-government. The results highlight the importance of citizens' knowledge of digital services, the ease of use and the quality of the system, the influence of the sociodemographic profile, as well as the satisfaction and confidence of citizens in using them. The findings attempt to describe each of the factors and whether they are related to each other. The relevance is oriented to visualize strategies to improve e-government in the Mexican context

Revisión Teórica de los Factores que Inhiben en el Ciudadano el Uso del e-Gobierno

El objetivo de la presente investigación fue analizar la literatura relativa a los factores que inhiben el uso de los servicios electrónicos que presta una institución gubernamental mediante el método documental basado en una revisión bibliográfica de los principales autores en materia de gobierno electrónico. Los resultados destacan la importancia del conocimiento de los servicios digitales por parte de los ciudadanos, la facilidad de uso y la calidad del sistema, la influencia del perfil sociodemográfico, así como la satisfacción y confianza del usuario para  utilizarlos. Los hallazgos describen cada uno de los factores y las relaciones entre sí. La relevancia se orientó a visualizar estrategias para mejorar el gobierno electrónico en el contexto mexicano.   The aim of this research is to analyze the literature on the factors that inhibit the use of electronic services provided by a government institution through the documentary method based on a bibliographic review of the main authors in the field of electronic e-government. The results highlight the importance of citizens' knowledge of digital services, the ease of use and the quality of the system, the influence of the sociodemographic profile, as well as the satisfaction and confidence of citizens in using them. The findings attempt to describe each of the factors and whether they are related to each other. The relevance is oriented to visualize strategies to improve e-government in the Mexican context

Revisión Teórica de los Factores que Inhiben en el Ciudadano el Uso del e-Gobierno

El objetivo de la presente investigación fue analizar la literatura relativa a los factores que inhiben el uso de los servicios electrónicos que presta una institución gubernamental mediante el método documental basado en una revisión bibliográfica de los principales autores en materia de gobierno electrónico. Los resultados destacan la importancia del conocimiento de los servicios digitales por parte de los ciudadanos, la facilidad de uso y la calidad del sistema, la influencia del perfil sociodemográfico, así como la satisfacción y confianza del usuario para  utilizarlos. Los hallazgos describen cada uno de los factores y las relaciones entre sí. La relevancia se orientó a visualizar estrategias para mejorar el gobierno electrónico en el contexto mexicano.   The aim of this research is to analyze the literature on the factors that inhibit the use of electronic services provided by a government institution through the documentary method based on a bibliographic review of the main authors in the field of electronic e-government. The results highlight the importance of citizens' knowledge of digital services, the ease of use and the quality of the system, the influence of the sociodemographic profile, as well as the satisfaction and confidence of citizens in using them. The findings attempt to describe each of the factors and whether they are related to each other. The relevance is oriented to visualize strategies to improve e-government in the Mexican context

Heart failure secondary to hypocalcemia associated with hypoparathyroidism: a case report

La insuficiencia cardiaca debida a hipocalcemia es una extraña forma de cardiopatía metabólica, reversible en la mayoría de casos. Presentamos el caso de una mujer de 23 años, a quien se le diagnóstico de insuficiencia cardiaca severa. Durante su hospitalización, se evidenció una prolongación permanente del intervalo Q-T corregido, asociada a hipocalcemia secundaria a hipoparatiroidismo de reciente diagnóstico. Para prevenir el riesgo de muerte súbita, se colocó un cardiodesfibrilador implantable; sin embargo, luego de 6 meses de tratamiento, no se evidenció mejoría en la fracción de eyección, determinando un mal pronóstico de la enfermedad.Heart failure due to hypocalcemia is a strange presentation of metabolic heart disease; it is reversible in most cases, and secondary to endocrinal alterations that cause the persistent decrease in serum calcium, such as hypoparathyroidism. A case of a 23-year-old woman who was diagnosed with severe heart failure is presented. During her hospitalization, there was evidence of symptoms associated with hypocalcemia, secondary to hypoparathyroidism, so the patient was treated with replacement of calcium immediately. To prevent the risk of sudden death, by the persistent prolongation of the Q-T interval, an implantable cardiac defibrillator was placed; however, after 6 months of treatment, despite oral calcium supplementation, there was no improvement in the ejection fraction, determining an uncertain prognosis of the disease

A snapshot of antimicrobial resistance in Mexico. Results from 47 centers from 20 states during a six-month period.

AIM:We aimed to assess the resistance rates of antimicrobial-resistant, in bacterial pathogens of epidemiological importance in 47 Mexican centers. MATERIAL AND METHODS:In this retrospective study, we included a stratified sample of 47 centers, covering 20 Mexican states. Selected isolates considered as potential causatives of disease collected over a 6-month period were included. Laboratories employed their usual methods to perform microbiological studies. The results were deposited into a database and analyzed with the WHONET 5.6 software. RESULTS:In this 6-month study, a total of 22,943 strains were included. Regarding Gram-negatives, carbapenem resistance was detected in ≤ 3% in Escherichia coli, 12.5% in Klebsiella sp. and Enterobacter sp., and up to 40% in Pseudomonas aeruginosa; in the latter, the resistance rate for piperacillin-tazobactam (TZP) was as high as 19.1%. In Acinetobacter sp., resistance rates for cefepime, ciprofloxacin, meropenem, and TZP were higher than 50%. Regarding Gram-positives, methicillin resistance in Staphylococcus aureus (MRSA) was as high as 21.4%, and vancomycin (VAN) resistance reached up to 21% in Enterococcus faecium. Acinetobacter sp. presented the highest multidrug resistance (53%) followed by Klebsiella sp. (22.6%) and E. coli (19.4%). CONCLUSION:The multidrug resistance of Acinetobacter sp., Klebsiella sp. and E. coli and the carbapenem resistance in specific groups of enterobacteria deserve special attention in Mexico. Vancomycin-resistant enterococci (VRE) and MRSA are common in our hospitals. Our results present valuable information for the implementation of measures to control drug resistance

Drug resistance phenotypes and genotypes in Mexico in representative gram-negative species: Results from the infivar network.

AimThis report presents phenotypic and genetic data on the prevalence and characteristics of extended-spectrum β-lactamases (ESBLs) and representative carbapenemases-producing Gram-negative species in Mexico.Material and methodsA total of 52 centers participated, 43 hospital-based laboratories and 9 external laboratories. The distribution of antimicrobial resistance data for Escherichia coli, Klebsiella pneumoniae, Enterobacter cloacae complex, Acinetobacter baumannii complex, and Pseudomonas aeruginosa in selected clinical specimens from January 1 to March 31, 2020 was analyzed using the WHONET 5.6 platform. The following clinical isolates recovered from selected specimens were included: carbapenem-resistant Enterobacteriaceae, ESBL or carbapenem-resistant E. coli, and K. pneumoniae, carbapenem-resistant A. baumannii complex, and P. aeruginosa. Strains were genotyped to detect ESBL and/or carbapenemase-encoding genes.ResultsAmong blood isolates, A. baumannii complex showed more than 68% resistance for all antibiotics tested, and among Enterobacteria, E. cloacae complex showed higher resistance to carbapenems. A. baumannii complex showed a higher resistance pattern for respiratory specimens, with only amikacin having a resistance lower than 70%. Among K. pneumoniae isolates, blaTEM, blaSHV, and blaCTX were detected in 68.79%, 72.3%, and 91.9% of isolates, respectively. Among E. coli isolates, blaTEM, blaSHV, and blaCTX were detected in 20.8%, 4.53%, and 85.7% isolates, respectively. For both species, the most frequent genotype was blaCTX-M-15. Among Enterobacteriaceae, the most frequently detected carbapenemase-encoding gene was blaNDM-1 (81.5%), followed by blaOXA-232 (14.8%) and blaoxa-181(7.4%), in A. baumannii was blaOXA-24 (76%) and in P. aeruginosa, was blaIMP (25.3%), followed by blaGES and blaVIM (13.1% each).ConclusionOur study reports that NDM-1 is the most frequent carbapenemase-encoding gene in Mexico in Enterobacteriaceae with the circulation of the oxacillinase genes 181 and 232. KPC, in contrast to other countries in Latin America and the USA, is a rare occurrence. Additionally, a high circulation of ESBL blaCTX-M-15 exists in both E. coli and K. pneumoniae