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1. Work climate in Mexican heamodialysis units. A cross-sectional study.

Author

Rojas^Russell, M., Tirado^Gómez, L. L., Pacheco Domínguez, R. L., Escamilla Santiago, R., and López Cervantes, M.

Abstract

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Published
2011
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2. Inequality in primary care interventions in maternal and child health care in Mexico.

Author

Ramírez-Tirado, L. A., Tirado-Gómez, L. L., and López-Cervantes, M.

Abstract

Objective. To analyze the principal indicators associated with maternal mortality and mortality in children under 1 year of age and evaluate coverage levels and variability among the federative entities of Mexico. Methods. Eight interventions in maternal and child primary health care (variables) were studied: complete vaccination series, measles vaccine, and pentavalent vaccine in children under 1 year of age; early breast-feeding; prenatal care with at least one check-up by trained staff; prevalence of contraceptive use among married women of reproductive age; obstetric care in delivery by trained staff; and the administration of tetanus toxoid (TT) to pregnant women. The average and standard deviation of national coverage for each variable was calculated. Within each federative entity the proportion of municipalities with high, medium, and low marginalization was determined. States were ranked by the proportion of municipalities with high marginalization (highest to lowest) and divided into quintiles. Absolute inequality was measured using the observed difference and relative inequality, using the ratio of each variable studied. Results. The average national coverage for the eight variables studied ranged from 86.5% to 97.5%, with administration of TT to pregnant women the lowest and administration of measles vaccine to children under 1 year of age the highest. Obstetric care in delivery, prevalence of contraceptive use, and prenatal checkup were the variables with less equitable coverage. In states with higher levels of marginalization, activities dependent on a structured health system--e.g., obstetric care in delivery--showed lower levels of coverage compared to preventive activities not requiring costly inputs or infrastructure--e.g., early breast-feeding. Conclusions. Interventions exhibiting greater inequity are associated with the lack of medical infrastructure and are more accentuated in federative entities with higher levels of marginalization. Greater public health expenditure is urgently needed to implement feasible, effective alternatives in terms of access and health care. Intersectoral policies and activities should be implemented to create synergies that will equitably improve the health of Mexican mothers and children. [ABSTRACT FROM AUTHOR]

Published
2014

3. Desigualdad en intervenciones de atención primaria para el cuidado de la salud maternoinfantil en México.

Author

Ramírez-Tirado, L. A., Tirado-Gómez, L. L., and López-Cervantes, M.

Subjects
*BREASTFEEDING, *DELIVERY (Obstetrics), *HEALTH services accessibility, *HEALTH status indicators, *IMMUNIZATION, *MATERNAL health services, *PEDIATRICS, *PRIMARY health care, *WOMEN'S health, *DATA analysis software, *DESCRIPTIVE statistics
Abstract

Objective. To analyze the principal indicators associated with maternal mortality and mortality in children under 1 year of age and evaluate coverage levels and variability among the federative entities of Mexico. Methods. Eight interventions in maternal and child primary health care (variables) were studied: complete vaccination series, measles vaccine, and pentavalent vaccine in children under 1 year of age; early breast-feeding; prenatal care with at least one check-up by trained staff; prevalence of contraceptive use among married women of reproductive age; obstetric care in delivery by trained staff; and the administration of tetanus toxoid (TT) to pregnant women. The average and standard deviation of national coverage for each variable was calculated. Within each federative entity the proportion of municipalities with high, medium, and low marginalization was determined. States were ranked by the proportion of municipalities with high marginalization (highest to lowest) and divided into quintiles. Absolute inequality was measured using the observed difference and relative inequality, using the ratio of each variable studied. Results. The average national coverage for the eight variables studied ranged from 86.5% to 97.5%, with administration of TT to pregnant women the lowest and administration of measles vaccine to children under 1 year of age the highest. Obstetric care in delivery, prevalence of contraceptive use, and prenatal checkup were the variables with less equitable coverage. In states with higher levels of marginalization, activities dependent on a structured health system--e.g., obstetric care in delivery--showed lower levels of coverage compared to preventive activities not requiring costly inputs or infrastructure--e.g., early breast-feeding. Conclusions. Interventions exhibiting greater inequity are associated with the lack of medical infrastructure and are more accentuated in federative entities with higher levels of marginalization. Greater public health expenditure is urgently needed to implement feasible, effective alternatives in terms of access and health care. Intersectoral policies and activities should be implemented to create synergies that will equitably improve the health of Mexican mothers and children. [ABSTRACT FROM AUTHOR]

Published
2014

4. The Third National Ovarian Cancer Consensus 2011. Grupo de Investigacion en Cancer de Ovario y Tumores Ginecologicos de Mexico 'GICOM' | Tercer Consenso Nacional de Cáncer de Ovario 2011. Grupo de Investigación en Cáncer de Ovario y Tumores Ginecológicos de México 'GICOM'

Author

Gallardo-Rincón, D., David Cantu-de Leon, Alanís-López, P., Álvarez-Avitia, M. Á, Bañuelos-Flores, J., Herbert-Núñez, G. S., Oñate-Ocaña, L. F., Pérez-Montiel, M. D., Rodríguez-Trejo, A., Ruvalcaba-Limón, E., Serrano-Olvera, A., Ortega-Rojo, A., Cortés-Esteban, P., Erazo-Valle, A., Gerson-Cwilich, R., De-La-Garza-Salazar, J., Green-Renner, D., León-Rodríguez, E., Morales-Vásquez, F., Poveda-Velasco, A., Aguilar-Ponce, J. L., Alva-López, L. F., Alvarado-Aguilar, S., Alvarado-Cabrero, I., Aquino-Mendoza, C. A., Aranda-Flores, C. E., Bandera-Delgado, A., Barragán-Curiel, E., Barrón-Rodríguez, P., Brom-Valladares, R., Cabrera-Galeana, P. A., Calderillo-Ruiz, G., Camacho-Gutiérrez, S., Capdeville-García, D., Cárdenas-Sánchez, J., Carlón-Zárate, E., Carrillo-Garibaldi, Ó, Castorena-Roji, G., Cervantes-Sánchez, G., Coronel-Martínez, J. A., Chanona-Vilchis, J. G., Díaz-Hernández, V., Escudero-De-Los Ríos, P., Garibay-Cerdenares, O., Gómez-García, E., Herrera-Montalvo, L. A., Hinojosa-García, L. M., Isla-Ortiz, D., Jiménez-López, J., Lavín-Lozano, A. J., Limón-Rodríguez, J. A., López-Basave, H. N., López-García, S. C., Maffuz-Aziz, A., Martínez-Cedillo, J., Martínez-López, D. M., Medina-Castro, J. M., Melo-Martínez, C., Méndez-Herrera, C., Montalvo-Esquivel, G., Morales-Palomares, M. Á, Morán-Mendoza, A., Morgan-Villela, G., Mota-García, A., Muñoz-González, D. E., Ochoa-Carrillo, F. J., Pérez-Amador, M., Recinos-Money, E., Rivera-Rivera, S., Robles Flores, J. U., Rojas-Castillo, E., Rojas-Marín, C., Salas-Gonzáles, E., Sámano-Nateras, L., Santibañez-Andrade, M., Santillán-Gómez, A., Silva-García, A., Silva, J. A., Solorza-Luna, G., Tabarez-Ortiz, A. R., Talamás-Rohana, P., Tirado-Gómez, L. L., Torres-Lobatón, A., and Quijano-Castro, F.

5. The first Mexican consensus of endometrial cancer | Primer consenso Mexicano de cáncer de endometrio: Grupo de Investigación en Cáncer de Ovario y Tumores Ginecológicos de México 'GICOM'

Author

Ruvalcaba-Limón, E., David Cantu-de Leon, León-Rodríguez, E., Cortés-Esteban, P., Serrano-Olvera, A., Morales-Vásquez, F., Sosa-Sánchez, R., Poveda-Velasco, A., Crismatt-Zapata, A., Santillán-Gómez, A., Aguilar-Jiménez, C., Alanís-López, P., Alfaro-Ramírez, P., Álvarez-Avitia, M. Á, Aranda-Flores, C. E., Arias-Ceballos, J. H. R., Arrieta-Rodríguez, O., Barragán-Curiel, E., Botello-Hernández, D., Brom-Valladares, R., Cabrera-Galeana, P. A., Cantón-Romero, J. C., Capdeville-García, D., Cárdenas-Sánchez, J., Castorena-Roji, G., Cepeda-López, F. R., Cervantes-Sánchez, G., Cetina-Pérez, L. D. C., Coronel-Martínez, J. A., Cortés-Cárdenas, S. A., Cruz-López, J. C., La Garza-Salazar, J. G., Díaz-Romero, C., Dueñas-González, A., Valle-Solís, A. E., Escudero-De Los Ríos, P., Flores-Álvarez, E., García-Matus, R., Gerson-Cwilich, R., González-Enciso, A., González-De-León, C., Guevara-Torres, A. G., Herbert-Núñez, G. S., Hernández-Hernández, C., Hernández-Hernández, D. M., Isla-Ortiz, D., Jesús-Sandoval, R., Jiménez-Cervantes, C., Kuri-Exsome, R., López-Obispo, J. L., Maffuz-Aziz, A., Martínez-Barrera, L. M., Medina-Castro, J. M., Montalvo-Esquivel, G., Mora-Aguilar, V. H., Morales-Palomares, M. Á, Morán-Mendoza, A., Morgan-Villela, G., Mota-García, A., Muñoz-González, D. E., Murillo-Cruz, D. A., Novoa-Vargas, A., Ochoa-Carrillo, F. J., Oñate-Ocaña, L. F., Ortega-Rojo, A., Palacios-Martínez, A. G., Palomeque-López, A., Pérez-Montiel, M. D., Quijano-Castro, F., Rivera-Rivera, S., Rivera-Rubí, L. M., Robles-Flores, J. U., Rodríguez-Trejo, A., Salas-Gonzáles, E., Silva, J. A., Solorza-Luna, G., Souto-Del-Bosque, R., Tirado-Gómez, L. L., Torrescano-González, S., Torres-Lobatón, A., Trejo-Durán, E., Villavicencio-Valencia, V., and Gallardo-Rincón, D.

6. The Third National Ovarian Cancer Consensus 2011. Grupo de Investigacion en Cancer de Ovario y Tumores Ginecologicos de Mexico 'GICOM',Tercer Consenso Nacional de Cáncer de Ovario 2011. Grupo de Investigación en Cáncer de Ovario y Tumores Ginecológicos de México 'GICOM'

Author

Gallardo-Rincón, D., Cantú-De-León, D., Alanís-López, P., Álvarez-Avitia, M. Á, Bañuelos-Flores, J., Herbert-Núñez, G. S., Oñate-Ocaña, L. F., Pérez-Montiel, M. D., Rodríguez-Trejo, A., Ruvalcaba-Limón, E., Serrano-Olvera, A., Ortega-Rojo, A., Cortés-Esteban, P., Erazo-Valle, A., Gerson-Cwilich, R., De-La-Garza-Salazar, J., Green-Renner, D., León-Rodríguez, E., Morales-Vásquez, F., Poveda-Velasco, A., Aguilar-Ponce, J. L., Alva-López, L. F., Alvarado-Aguilar, S., Alvarado-Cabrero, I., Aquino-Mendoza, C. A., Aranda-Flores, C. E., Bandera-Delgado, A., Barragán-Curiel, E., Barrón-Rodríguez, P., Brom-Valladares, R., Cabrera-Galeana, P. A., Calderillo-Ruiz, G., Camacho-Gutiérrez, S., Capdeville-García, D., Cárdenas-Sánchez, J., Carlón-Zárate, E., Carrillo-Garibaldi, Ó, Castorena-Roji, G., Cervantes-Sánchez, G., Coronel-Martínez, J. A., Chanona-Vilchis, J. G., Díaz-Hernández, V., Escudero-De-Los Ríos, P., Garibay-Cerdenares, O., Gómez-García, E., Herrera-Montalvo, L. A., Hinojosa-García, L. M., Isla-Ortiz, D., Jiménez-López, J., Lavín-Lozano, A. J., Limón-Rodríguez, J. A., López-Basave, H. N., López-García, S. C., Maffuz-Aziz, A., Martínez-Cedillo, J., Martínez-López, D. M., Medina-Castro, J. M., Melo-Martínez, C., Méndez-Herrera, C., Montalvo-Esquivel, G., Morales-Palomares, M. Á, Morán-Mendoza, A., Morgan-Villela, G., Mota-García, A., Muñoz-González, D. E., Ochoa-Carrillo, F. J., Pérez-Amador, M., Recinos-Money, E., Rivera-Rivera, S., Robles Flores, J. U., Rojas-Castillo, E., Rojas-Marín, C., Salas-Gonzáles, E., Sámano-Nateras, L., Santibañez-Andrade, M., Santillán-Gómez, A., Silva-García, A., Silva, J. A., Solorza-Luna, G., Tabarez-Ortiz, A. R., Patricia Talamás-Rohana, Tirado-Gómez, L. L., Torres-Lobatón, A., and Quijano-Castro, F.

8. [The first Mexican consensus of endometrial cancer. Grupo de Investigación en Cáncer de Ovario y Tumores Ginecológicos de México]. | Primer consenso Mexicano de cancer de endometrio

Author

Ruvalcaba-Limón, E., David Cantu-de Leon, León-Rodríguez, E., Cortés-Esteban, P., Serrano-Olvera, A., Morales-Vásquez, F., Sosa-Sánchez, R., Poveda-Velasco, A., Crismatt-Zapata, A., Santillán-Gómez, A., Aguilar-Jiménez, C., Alanís-López, P., Alfaro-Ramírez, P., Alvarez-Avitia, M. A., Aranda-Flores, C. E., Arias-Ceballos, J. H., Arrieta-Rodríguez, O., Barragán-Curiel, E., Botello-Hernández, D., Brom-Valladares, R., Cabrera-Galeana, P. A., Cantón-Romero, J. C., Capdeville-García, D., Cárdenas-Sánchez, J., Castorena-Roji, G., Cepeda-López, F. R., Cervantes-Sánchez, G., Cetina-Pérez, L. C., Coronel-Martínez, J. A., Cortés-Cárdenas, S. A., Cruz-López, J. C., La Garza-Salazar, J. G., Díaz-Romero, C., Dueñas-González, A., Valle-Solís, A. E., Escudero-De Los Ríos, P., Flores-Alvarez, E., García-Matus, R., Gerson-Cwilich, R., González-Enciso, A., González-De-León, C., Guevara-Torres, A. G., Herbert-Núñez, G. S., Hernández-Hernández, C., Hernández-Hernández, D. M., Isla-Ortiz, D., Jesús-Sandoval, R., Jiménez-Cervantes, C., Kuri-Exsome, R., López-Obispo, J. L., Maffuz-Aziz, A., Martínez-Barrera, L. M., Medina-Castro, J. M., Montalvo-Esquivel, G., Mora-Aguilar, V. H., Morales-Palomares, M. A., Morán-Mendoza, A., Morgan-Villela, G., Mota-García, A., Muñoz-González, D. E., Murillo-Cruz, D. A., Novoa-Vargas, A., Ochoa-Carrillo, F. J., Oñate-Ocaña, L. F., Ortega-Rojo, A., Palacios-Martínez, A. G., Palomeque-López, A., Pérez-Montiel, M. D., Quijano-Castro, F., Rivera-Rivera, S., Rivera-Rubí, L. M., Robles-Flores, J. U., Rodríguez-Trejo, A., Salas-Gonzáles, E., Silva, J. A., Solorza-Luna, G., Souto-Del-Bosque, R., Tirado-Gómez, L. L., Torrescano-González, S., Torres-Lobatón, A., Trejo-Durán, E., Villavicencio-Valencia, V., Gallardo-Rincón, D., and Tumores Ginecologicos Mexico, Grupo Investigacion En Cancer Ovario Y.

9. [Drug supplies in primary care units at the Ministry of Health in Mexico].

Author

Gómez-Dantés O, Garrido-Latorre F, Tirado-Gómez LL, Ramírez D, and Macías C

Subjects
Humans, Mexico, Drugs, Essential, Pharmaceutical Services organization & administration, Primary Health Care organization & administration, Public Health Administration
Abstract

Objective: To identify the availability of some essential drugs (ED) at primary health care units of the Mexican Ministry of Health (SSA), using data from a research work conducted in 1996 and 1997., Materials and Methods: A random sample of the 18 sanitary jurisdictions of states participating in the Extension of Coverage Program (ECP) was drawn. All primary care units from selected jurisdictions were evaluated through an inspection visit, using a checklist that included 36 ED. In phase I of the analysis, the absolute number and proportion of units without a single item of any of the 36 drugs were calculated. In the units with available drugs, the median of the distribution was also calculated. In phase II, the medians according to the type of health unit and state was obtained. The statistic utilized for the comparison of the medians was the Scheffé test with one way variance analysis. In addition, the drugs were classified according to their therapeutic indication and the medians and proportion of available drugs were calculated. The differences in proportion were evaluated with the statistic chi 2., Results: During the visits, on average, 18 of the 36 drugs included in the list of the study were found in the health units. The availability of antibiotics, antituberculosis drugs, and antimalarial drugs was particularly poor. In contrast, oral rehydration salts, family planning methods and vaccines were usually available. In general, the PAC3 states presented the best availability figures., Conclusions: The Ministry of Health of México will have to develop an enormous effort to overcome the obstacles related to the supply of essential drugs in primary health care units. Otherwise, all other efforts directed to meet the needs of the non-insured population will end up being useless, and enormous amounts of the already scarce resources of the health sector will be wasted since drugs are a vital component of the long chain of health care.

Published
2001

10. [Medical technology and health. A lot of crunching but few nuts?].

Author

López-Cervantes M, Tirado-Gómez LL, de Icaza-del Río E, and Durán-Arenas L

Subjects
Developing Countries economics, Epidemiologic Methods, Evaluation Studies as Topic, Forecasting, Health Services Accessibility, Humans, Information Services, Mexico, Models, Theoretical, Research, Technology Transfer, Health Status, Medical Laboratory Science economics
Abstract

The present work pretend to describe the development achieved in the field of health technology assessment and to propose a set of criteria to evaluate them, with the intention that it will lead to the development of health programs and policy with a tendency to maximize effectiveness, efficiency and quality, within a frame of increasing needs and scarce technical and economic resources for health care. For this work, a comprehensive review was carried out about the background of health technology adoption in our country, and the context by which to evaluate the accessibility and utilization of the health technology. In the section for technology assessment, it is propose a method to evaluate based upon the natural history of disease, that is, the traditional form of health assessment is restricted to a cross section in time (vertical evaluation), and in this study the authors propose a model with a horizontal approach, that should offer as its main virtues the development of guidelines with regards to prevention, diagnosis and treatment, in addition to cost containment, in support to a more effective and higher quality medical practice.

Published
2000

11. [Breast feeding and weaning: a survey in rural communities of Mexico].

Author

Vandale-Toney S, Rivera-Pasquel ME, Kageyama-Escobar M de la L, Tirado-Gómez LL, and López-Cervantes M

Subjects
Adolescent, Adult, Confidence Intervals, Female, Humans, Infant, Infant, Newborn, Mexico, Odds Ratio, Prevalence, Socioeconomic Factors, Surveys and Questionnaires, Breast Feeding statistics & numerical data, Rural Population statistics & numerical data, Weaning
Abstract

Objective: To determine the prevalence of lactation, the use of industrialized milk and weaning, and the factors related to lack of breast-feeding and early weaning in young infants of rural communities., Material and Methods: Transversal study performed by last year medical students doing Social Service in 222 rural communities in Mexico who applied structured interviews to 5,409 families with children younger than 1 year of age., Results: The percentages of children who were never breast-fed were: in the north (N) 21.4%, in the center (C) 7.6% and in the south (S) 5.3%. Children who were still being breast-fed, either exclusively or with mixed feeding by the third trimester were 35.6% (N), 67.6% (C) and 77.5% (S); in the second trimester, 67.2% (N), 40.9% (C) and 51.6% (S) had been weaned. In the N region it was observed that lack of breast-feeding was associated to the health personnel who attended delivery, mothers with six or more years of education and less than four children, dwellings with permanent material floors, two or more household commodities and a head of the family different from the father. Early weaning was essentially associated to the same factors; additionally, to the child being taken care of by someone different from the mother, artificial lactation by parental decision or due to medical recommendation and the use of health services provided by social security or private physicians., Conclusions: Artificial lactation and early weaning are typical of small families, with high educational level of the mother, better living conditions and contact with medical personnel, especially in the N of the country. Children are weaned before the second semester of life and it is therefore deemed necessary to implement health programs which promote breast-feeding and gradual weaning after the sixth month of life among the infant population of Mexican rural communities.

Published
1997

12. [Mortality from tetanus in children less than 1 year of age, Mexico, 1970-1982].

Author

Tirado-Gómez LL, López-Cervantes M, Lona-Zamora A, Rodríguez-Domínguez J, and Ramírez-Portillo A

Subjects
Female, Humans, Infant, Infant, Newborn, Male, Mexico, Sex Factors, Space-Time Clustering, Tetanus mortality
Abstract

The results of a study about mortality by tetanus in Mexican children under one year of age, during the 1970-1982 period, are reported. This age-group was subdivided in three, as follows: perinatal (less than 7 days), neonatal (less than 29 days) and postneonatal (29 to 364 days). Mortality by tetanus in children under one year of age showed a decreasing trend during the mentioned period, and this was most pronounced from 1979, because of changes in the codification of mortality by tetanus in this group of age. On the other hand, it was found that the greatest proportion of deaths by tetanus happened in the under one year of age group, and particularly in the neonatal group (less than 29 days). The geographic distribution of tetanus in Mexico was studied later, and showed a predominant incidence of the disease in coastal states of the country; an additional finding in this investigation was the displacement of the disease from the Pacific strip to the Gulf of Mexico. Finally, the mortality differentials by sex were studied, and showed that males were the most affected in the three age groups. We cannot explain this finding at the time.

Published
1989

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