“APOYO FAMILIAR Y CONTROL GLUCÉMICO EN EL PACIENTE MENOR DE 15 AÑOS DE EDAD, CON DIABETES MELLITUS ATENDIDO EN EL SERVICIO DE ENDOCRINOLOGÍA PEDIÁTRICA EN EL HOSPITAL GENERAL REGIONAL CON UNIDAD DE MEDICINA FAMILIAR NO. 220”

Definición conceptual: Es un conjunto de técnicas encaminadas a fortalecer los vínculos de unión entre los distintos miembros de una familia. La Diabetes mellitus como enfermedad de actualidad y motivo de esta revisión, se menciona con especial importancia no solo por constituir una de las primeras causas de morbi-mortalidad por grupo etáreo, sino por las dificultades que enfrenta el paciente para llevar a cabo su tratamiento para lograr el control glucémico y prevenir sus múltiples complicaciones. Además de la ingesta de medicación se requieren otras medidas de control, primordialmente el ajuste de la alimentación, el control de peso en caso de obesidad que esta descrito como el principal factor de riesgo actualmente, una actividad física adecuada, vigilancia y aseo adecuado de los pies y el cuidado de los dientes. Dichas medidas deben ser cumplidas a lo largo de la vida y efectuadas en el hogar fuera del campo de la atención médica. Esta situación exige un apoyo importante del grupo familiar que lo auxilie en la vigilancia de la enfermedad, en la toma de decisiones y en la ejecución de acciones adecuadas (1). La diabetes mellitus en el paciente y su familia genera una situación de crisis, teniendo consecuencias organizacionales importantes en la familia, disparando un proceso de huida, lo cual da lugar a disfunción familiar y desintegración. Entre los factores que influyen o intervienen en el tratamiento son: La percepción de sus síntomas y su significado, áreas de su vida personal y familiar, miedos, perdida de independencia, invalidez, ceguera, complicaciones indeseables, deterioro cognitivo y sensación de pérdida. Se ha observado que los pacientes con diabetes mellitus que reciben apoyo por su red familiar tienen mejores conductas de autocuidad

Control of Helicopter Using Virtual Swashplate

This article presents a virtual swashplate mechanism for a mini helicopter in classic configuration. The propeller bases are part of a passive mechanism driven by main rotor torque modulaton, this mechanism generates a synchronous and opposite change in the propellers angle of attack, then the thrust vector tilts. This approach proposes to control the 6 degrees of freedom of the aircraft using two rotors. The main rotor controls vertical displacement and uses torque modulation and swing-hinged propellers to generate pitch and roll moments and the horizontal displacement while the yaw moment is controlled by the tail rotor. The dynamic model is obtained using the Newton-Euler approach and robust control algorithms are proposed. Experimental results are presented to show the performance of the proposed virtual swashplate in real-time outdoor hover flights

Omicron-BA.1 Dispersion Rates in Mexico Varied According to the Regional Epidemic Patterns and the Diversity of Local Delta Subvariants

Purpose: The Omicron subvariant BA.1 of SARS-CoV-2 was first detected in November 2021 and quickly spread worldwide, displacing the Delta variant. In this work, a characterization of the spread of this variant in Mexico is presented. Methods: The time to fixation of BA.1, the diversity of Delta sublineages, the population density, and the level of virus circulation during the inter-wave interval were determined to analyze differences in BA.1 spread. Results: BA.1 began spreading during the first week of December 2021 and became dominant in the next three weeks, causing the fourth COVID-19 epidemiological surge in Mexico. Unlike previous variants, BA.1 did not exhibit a geographically distinct circulation pattern. However, a regional difference in the speed of the replacement of the Delta variant was observed. Conclusions: Viral diversity and the relative abundance of the virus in a particular area around the time of the introduction of a new lineage seem to have influenced the spread dynamics, in addition to population density. Nonetheless, if there is a significant difference in the fitness of the variants, or if the time allowed for the competition is sufficiently long, it seems the fitter virus will eventually become dominant, as observed in the eventual dominance of the BA.1.x variant in Mexico

Evaluación y administración de proyectos

Tesis (Ingeniería Topográfica), Instituto Politécnico Nacional, ESIA Ticomán, 2013, 1 archivo PDF, (283 páginas

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

Compilación de Proyectos de Investigacion de 1984-2002

Instituto Politecnico Nacional. UPIICS