Depresión en madres médicas en México:: un estudio transversal

Mental disorders are prevalent in medical doctors, especially among females. In Mexico, there are studies showing that medical students and residents present a higher frequency of depression compared to the general population, however there are no studies in medical doctors at a later stage. Material and methods: A questionnaire was sent in an online forum for physicians that are mothers based in Mexico with the objective of estimating the point prevalence of depression among this group. The questionnaire included the hospital and anxiety scale (HADS) which assess symptoms of depression. A cut-off score of ≥ 8 or use of antidepressants was used to define depression. Results: A total of 1,170 physicians that are mothers were included in this study. The point prevalence of depression was 10.9%. The group that had depression smoked more and took more sleeping pills that the group that did not present symptoms of depression. The point prevalence of symptoms of depression in this group of physicians in Mexico was estimated to be of 10.9%, which is similar to what is seen in the general population but lower than the estimates for medical interns and residents.Los trastornos mentales son comunes en la comunidad médica, especialmente en las mujeres. En México, hay estudios que demuestran que estudiantes de medicina y residentes presentan con mayor frecuencia depresión, comparadas con la población general. En este estudio se describe la prevalencia de depresión en un grupo de madres médicas hispanas. Material y métodos: Se realizó un estudio prospectivo con base en encuestas a un foro en línea de mujeres con título de Médico Cirujano que son madres y residen en México, con el objetivo de estimar la prevalencia puntual de depresión en este grupo. El cuestionario incluía la escala de ansiedad y depresión hospitalaria (HADS). Una calificación igual o mayor a 8 o el uso de algún antidepresivo fueron usados para definir depresión en este estudio en particular. Resultados: Un total de 1,170 médicas que son madres fueron incluidas en este estudio. La prevalencia puntual de depresión fue de 10.9%. El grupo que presenta depresión fuma más y toma más píldoras para dormir que el grupo que no presenta síntomas de depresión

Facial feminization procedures and its impact on quality of life: A mini review

Introduction: Facial Feminization Surgery (FFS) is a type of gender-affirming surgery (GAS) performed by plastic surgeons. While the importance of FFS in the transitional process for transfeminine patients is heavily discussed, very little literature focuses on the surgical procedures utilized by Male to Female (MTF) patient and their impact on quality of life (QoL). Therefore, this review aims to provide an overview of the FFS in the MTF patient. Methods: A comprehensive search was conducted utilizing the PRISMA guidelines in SCOPUS and PubMed databases, using the terms “quality of life” AND “feminization” AND “transgender.” Articles in non-English languages were excluded. Data related to FFS and its impact on quality of life were extracted. Results: A total of 66 articles were reviewed in detail, and only 12 studies met the inclusion criteria. The most commonly discussed operations in the MTF patient included: forehead augmentation, rhinoplasty, jaw reconstruction, and chondrolaryngoplasty. Pre-operative planning for each of these procedures was heavily emphasized in 5 (41%) of the studies. 7 of the 12 (58%) studies reviewed highlighted the positive impacts of FFS on QoL, while only 16% (2 studies) explored its negative or neutral impact. Conclusion: Our literature review supports the notion that FFS plays an integral role in alleviating gender dysphoria. While the improvement in the QoL of transgender patients after GAS has been documented, there is a persistent gap in the standardization of an assessment to measure the impact of FFS on QoL longitudinally – which is in concordance with other literature