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Eva.ua.ion of Ma.dibula. Deprogra.ming Using TEnS (Tra.scuta.eous Electrica. nerve Stimula.ion) in Pa.ients a. the Specia.ty Clinic of the Jua.ez a.tonomous University of Ta.a.co from 2022 to 2024

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Journa. of Biosciences a.d Medicines 2024年第7期12卷 245-251页

作者： Christia. C. a.uila.-Ca.ma. La.dy V. Limonchi-Pa.a.io Crystell G. Guzmán-Priego Jea.nette Ra.írez-Mendoza.José M. Lehma.n-Mendoza.Miguel a. López-a.va.a.o Xa.ier E. Moreno-Enriquez jorda a. albarrán-melzer a.a.emic Division of Hea.th Sciences Juarez Autonomous University of Tabasco Villahermosa Tabasco Mxico Ca.diometa.olism La.ora.ory Academic Division of Health Sciences Juarez Autonomous University of Tabasco Villahermosa Tabasco Mxico

Temporoma.dibula. disorders (TMD) nega.ively a.fect qua.ity of life, ca.sing pa.n a.d restricted ja. movements. This study eva.ua.es the effectiveness of Tra.scuta.eous Electrica. nerve Stimula.ion (TEnS) on TMD pa.ients before orthodontic trea.ment a. the Jua.ez a.tonomous University of Ta.a.co. a.qua.tita.ive, qua.i-experimenta. study wa. conducted with 30 pa.ients who met the inclusion criteria. a.ed 18 to 65 yea.s, with TMJ pa.n symptoms, dia.nosed with temporoma.dibula. disorders using the Helkimo index, a.d who ha. provided informed consent for the study. The ra.ge of ma.dibula. movement a.d the Visua. a.a.og Sca.e (Va.) were mea.ured to record va.ues before thera.y. The electrodes of the TEnS thera.y were positioned on both sides of the ja. in the prea.ricula. a.ea.a.d the ma.seter muscle, the thera.y wa. a.ministered for 40 minutes, utilizing a.frequency of 2 - 4 Hz a.d a.pulse dura.ion of 300 microseconds. Following this, the ra.ge of ma.dibula. movement a.d the Va. were rea.sessed to eva.ua.e the outcomes., significa.tly improved ma.imum mouth opening (37.7 ± 6.4 mm to 44.6 ± 5.88 mm), right la.era.ity (3.86 ± 1.57 mm to 5.43 ± 1.21 mm), left la.era.ity (3.13 ± 1.63 mm to 4.53 ± 1.61 mm), protrusion (4.01 ± 1.7 mm to 5.36 ± 1.32 mm), a.d pa.n perception (4.56 ± 2.045 to 2.03 ± 1.5) (P nS thera.y enha.ces ma.dibula. movement a.d reduces pa.n, ma.ing it a.well-tolera.ed, non-inva.ive complementa.y trea.ment for TMD.

关键词： TEnS Opening Deprogra.ming Electrostimula.ion TMJ (Temporoma.dibula. Joint)

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Level of Trea.ment a.herence in Pa.ients with Type 2 Dia.etes in Prima.y Ca.e

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Journa. of Biosciences a.d Medicines 2021年第10期9卷 146-155页

作者： Muñoz-Sol Ma.io Enrique Guzmán-Priego Crystell Gua.a.upe albarrán-melzer jorda a.eiria La.ora.ory of Ca.diometa.olism Universidad Juárez Autónoma de Tabasco División Académica de Cienicas de la Salud Tabasco México

Introduction: The glycemic control of type 2 dia.etes is a.very importa.t cha.lenge tha. requires a.multidisciplina.y group of specia.ists, a. a.equa.e psychosocia. environment a.d fa.ily support a.d sea.ching for bet... 详细信息

ng>Introduction:ng> The glycemic control of type 2 dia.etes is a.very importa.t cha.lenge tha. requires a.multidisciplina.y group of specia.ists, a. a.equa.e psychosocia. environment a.d fa.ily support a.d sea.ching for better mea.ures for the control a.d prevention of complica.ions, which encoura.es the pa.ient to improve his lifestyle. ng>Method: ng>The a.a.ysis wa. ma.e with two prima.y ca.e medica. units, the Mutua. a.d Group (Ga.) from the Los Pinos Medica. center, a.d the Chronic disea.e Specia.ized Medica. Unit (UnEME EC), which provided integra. ca.e in the municipa.ity of Sa. Cristóba. de La. Ca.a., Chia.a.. a.sa.ple of 138 pa.ients wa. obta.ned through a.ra.dom sa.pling with 95% confidence a.d a.ma.gin of error of ±5. The recollection of da.a.wa. ma.e with the a.plica.ion of the questionna.re “Lifestyle a.d a.herence to pha.ma.ologica. trea.ment in pa.ients with type 2 dia.etes, which consists of four sections tha. eva.ua.e 1) socio-demogra.hic da.a.2) a.thropometric a.d clinica.;Pha.ma.ologica. a.herence with Morisky’s 8-item questionna.re (MMSa.8);3) Lifestyle: with the instrument to Mea.ure Lifestyle in Dia.etics (IMEVID). ng>Results:ng> 37.6% ha. a. Hba.c lesser tha. 7%, a.preva.ence of 50.7% wa. obta.ned in pa.ients a.hering to the pha.ma.ologica. trea.ment, a.d 39.8% pa.ients with a.fa.ora.le lifestyle. The a.socia.ion of the pa.ients’ results with a. a.equa.e glycemic control demonstra.ed by a. Hba.C lesser tha. 7% wa. obta.ned through Student’s T test in which these pa.ients a.e rela.ed with a.better score on questionna.res by IMEVID a.d MMa.-8. ng>Conclusions:ng> The units with integra. ca.e a.d multidisciplina.y trea.ment a.e funda.enta. in the ca.e of pa.ients with type 2 dia.etes;the use of questionna.res such a. IMEVID or MMa.-8 is useful in the da.ly clinica. pra.tice.

关键词： Dia.etes Pha.ma.ologica. a.herence Lifestyle Glycemic Control Multidisciplina.y Ca.e

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Risk Groups a.d Morta.ity in Pa.ients with Sa.S-CoV-2 from Fa.ily Medicine Unit no. 43 in Southea.tern Mexico

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Journa. of Biosciences a.d Medicines 2023年第1期11卷 116-122页

作者： a.el Pérez-Pa.ón Sigrid Lorena.Ma.tínez-Va.quez Jorge Iván Ma.tínez-Pérez jorda a.eiria.albarrán-melzer Jua. a.tonio Córdova.Hernández Sergio De Jesús Romero-Ta.ia.Sergio Quiroz-Gomez Crystell G. Guzmán-Priego Socia. Security Institute of the Sta.e of Ta.a.co Villahermosa Mexico Ca.diometa.olism La.ora.ory Academic Division of Health Sciences Juarez Autonomous University of Tabasco Villahermosa México

Sa.S-CoV-2 infection is a.vira. disea.e tha. ca.ses respira.ory infections tha. ca. ca.se multiple complica.ions. Pa.ients with a.ja.ent morbidities ha.e a.higher cha.ce of complica.ions a.d morta.ity. The na.iona. Hea.th a.d nutrition Survey (EnSa.UT) in 2018 reported tha. in Mexico, 75.2% of a.ults a.ed 20 yea.s a.d over a.e overweight a.d obese, both situa.ions a.e closely rela.ed to the ca.es reported a. severe COVID a.d even with a.higher risk of morta.ity. The ma.n objective wa. to eva.ua.e the risk a.d morta.ity groups in pa.ients with Sa.S-CoV-2 from fa.ily medicine in the south of México. The study wa. ca.ried out during the 2020 yea., in the Fa.ily Medicine Unit no. 43 of Villa.ermosa. Ta.a.co, a.cross-sectiona., retrospective investiga.ion wa. ca.ried out with a. a.a.ytica. a.proa.h, a.d the sa.ple wa. obta.ned using the formula.of n for infinite popula.ions tha. correspond to 215, pa.ients were included who met the selection criteria.3 groups were integra.ed: DM2, Ha. a.d obesity. Descriptive sta.istics a.dχ2 formula.were used, using the SPSS version 25 Windows progra.. The fema.e gender presented the highest number of infections 122 (56.7%) a.d morta.ity: 5 (2.32%), obesity comorbidity presented the highest number of infections: 194 (90.2%), Ha.: 153 (71.2%), a.d MD: 44 (20.46%). Complica.ions were observed in 23 (10.69%), distributed in: SIRa. 7 (3.3%), multiple orga. fa.lure: 6 (2.8%), hea.t fa.lure: 6 (2.8%) a.d pneumonia.4 (1.9%). The observed morta.ity wa. 8 (3.72%). The comorbidities of pa.ients with the highest morta.ity were: Sa.: 6 (75%) (χ2 = 9.169;df = 1;p = 0.010) a.d obesity: 6 (75%) (χ2 = 9.169;df = 1;p = 0.010). The group with the highest risk for Sa.S-CoV-2 wa. pa.ients with overweight/obesity comorbidities. Morta.ity wa. 3.7%. The pa.ients who died ha. a. lea.t one or more comorbidities. The ma.n complica.ions were a.IS, hea.t fa.lure, a.d multiple orga. fa.lure.

关键词： Pa.demic COVID-19 Sa.S-CoV-2 Hypertension Dia.etes Obesity Morta.ity

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