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Evaluation of Mandibular Deprogramming Using TEnS (Transcutaneous Electrical nerve Stimulation) in Patients at the Specialty Clinic of the Juarez Autonomous University of Tabasco from 2022 to 2024

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Journal of Biosciences and Medicines 2024年第7期12卷 245-251页

作者： Christian C. Aguilar-Caamal Landy V. Limonchi-Palacio crystell g. guzmán-priego Jeannette Ramírez-Mendoza José M. Lehmann-Mendoza Miguel A. López-Alvarado Xavier E. Moreno-Enriquez Jorda A. Albarrán-Melzer Academic Division of Health Sciences Juarez Autonomous University of Tabasco Villahermosa Tabasco Mxico Cardiometabolism Laboratory Academic Division of Health Sciences Juarez Autonomous University of Tabasco Villahermosa Tabasco Mxico

Temporomandibular disorders (TMD) negatively affect quality of life, causing pain and restricted jaw movements. This study evaluates the effectiveness of Transcutaneous Electrical nerve Stimulation (TEnS) on TMD patients before orthodontic treatment at the Juarez Autonomous University of Tabasco. A quantitative, quasi-experimental study was conducted with 30 patients who met the inclusion criteria: aged 18 to 65 years, with TMJ pain symptoms, diagnosed with temporomandibular disorders using the Helkimo index, and who had provided informed consent for the study. The range of mandibular movement and the Visual Analog Scale (VAS) were measured to record values before therapy. The electrodes of the TEnS therapy were positioned on both sides of the jaw in the preauricular area and the masseter muscle, the therapy was administered for 40 minutes, utilizing a frequency of 2 - 4 Hz and a pulse duration of 300 microseconds. Following this, the range of mandibular movement and the VAS were reassessed to evaluate the outcomes., significantly improved maximum mouth opening (37.7 ± 6.4 mm to 44.6 ± 5.88 mm), right laterality (3.86 ± 1.57 mm to 5.43 ± 1.21 mm), left laterality (3.13 ± 1.63 mm to 4.53 ± 1.61 mm), protrusion (4.01 ± 1.7 mm to 5.36 ± 1.32 mm), and pain perception (4.56 ± 2.045 to 2.03 ± 1.5) (P nS therapy enhances mandibular movement and reduces pain, making it a well-tolerated, non-invasive complementary treatment for TMD.

关键词： TEnS Opening Deprogramming Electrostimulation TMJ (Temporomandibular Joint)

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Level of Treatment Adherence in Patients with Type 2 Diabetes in Primary Care

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Journal of Biosciences and Medicines 2021年第10期9卷 146-155页

作者： Muñoz-Sol Mario Enrique guzmán-priego crystell g.adalupe Albarrán-Melzer Jorda Aleiria Laboratory of Cardiometabolism Universidad Juárez Autónoma de Tabasco División Académica de Cienicas de la Salud Tabasco México

Introduction: The glycemic control of type 2 diabetes is a very important challenge that requires a multidisciplinary group of specialists, an adequate psychosocial environment and family support and searching for bet... 详细信息

ng>Introduction:ng> The glycemic control of type 2 diabetes is a very important challenge that requires a multidisciplinary group of specialists, an adequate psychosocial environment and family support and searching for better measures for the control and prevention of complications, which encourages the patient to improve his lifestyle. ng>Method: ng>The analysis was made with two primary care medical units, the Mutual Aid group (gAM) from the Los Pinos Medical center, and the Chronic disease Specialized Medical Unit (UnEME EC), which provided integral care in the municipality of San Cristóbal de Las Casas, Chiapas. A sample of 138 patients was obtained through a random sampling with 95% confidence and a margin of error of ±5. The recollection of data was made with the application of the questionnaire “Lifestyle and adherence to pharmacological treatment in patients with type 2 diabetes, which consists of four sections that evaluate 1) socio-demographic data;2) anthropometric and clinical;Pharmacological adherence with Morisky’s 8-item questionnaire (MMSA-8);3) Lifestyle: with the instrument to Measure Lifestyle in Diabetics (IMEVID). ng>Results:ng> 37.6% had an HbA1c lesser than 7%, A prevalence of 50.7% was obtained in patients adhering to the pharmacological treatment, and 39.8% patients with a favorable lifestyle. The association of the patients’ results with an adequate glycemic control demonstrated by an HbA1C lesser than 7% was obtained through Student’s T test in which these patients are related with a better score on questionnaires by IMEVID and MMAS-8. ng>Conclusions:ng> The units with integral care and multidisciplinary treatment are fundamental in the care of patients with type 2 diabetes;the use of questionnaires such as IMEVID or MMAS-8 is useful in the daily clinical practice.

关键词： Diabetes Pharmacological Adherence Lifestyle glycemic Control Multidisciplinary Care

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Pancreatic Pseudocyst Rupture: Cause of Acute Abdomen

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Case Reports in Clinical Medicine 2023年第8期12卷 324-331页

作者： Joel Iván Cruz-gonzález Miguel Ángel Miranda-Del Olmo Benito Antonio garcía-Ramón Brenda Hernández-garcía crystell g.adalupe guzmán-priego Alejandro Jiménez-Sastré Social Security Institute of the State of Tabasco Villahermosa Mexico Cardiometabolism Laboratory Academic Division of Health Sciences Juarez Autonomous University of Tabasco Villahermosa Mexico

Case report of a 23-year-old male patient with a pancreatic pseudocyst, initially was treated by the Interventional Radiology service by placing percutaneous drainage with poor evolution, abruptly presented abdominal pain, Systemic Inflammatory Response Syndrome and peritoneal irritation, so an urgent exploratory laparotomy was performed with a finding of rupture of the pancreatic pseudocyst into the abdominal cavity. He presented septic shock and died in the immediate postoperative period. Computerized Axial Tomography represents the ideal diagnostic method. Spontaneous rupture is extremely rare and requires urgent surgical intervention.

关键词： Rupture Pancreatic Pseudocyst Acute Abdomen

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Effect of Pregabalin and gabapentin on nociceptive Behaviors Induced by Spinal nerve Ligation

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Journal of Biosciences and Medicines 2022年第3期10卷 114-123页

作者： Itzel I. Ramos-Rodríguez crystell g. guzmán priego Erick J. Rodríguez-Palma g.adalupe del C. Baeza-Flores Jorge E. Torres-López Pain Mechanisms Laboratory Divisi&oacute n Acadé mica de Ciencias de la Salud Universidad Ju&aacute rez Autó noma de Tabasco Villahermosa Mexico neurobiology of Pain Laboratory Departamento de Farmacobiología Neurobiology of Pain Departamento de Farmacobiología Cinvestav Sede Sur México City México

Pain is defined as an unpleasant sensory and emotional experience, associated with actual or potential tissue damage. According to its neurobiological mechanism, pain is classified into nociceptive, inflammatory, dysfunctional, and neuropathic. neuropathic pain (nP) is caused by a lesion or disease of the somatosensory nervous system. Both pregabalin and gabapentin are pharmaceuticals used as validation drugs in experimental models of nP. Pregabalin was shown to produce significant antihyperalgesic and antiallodynic effects. gabapentin is used as a reference compound for new analgesics and reduces tactile allodynia in rats. The aim of this work is to evaluate pregabalin and gabapentin effects on nociceptive behaviors induced by spinal nerve ligation (SnL). Female Wistar rats of 140 - 160 g were used, divided into five groups: naive, SHAM, SnL rats treated with saline solution, SnL rats treated with pregabalin 30 mg/kg p.o., SnL rats treated with gabapentin 300 mg/kg p.o. nociceptive behaviors were determined by the up and down method. In the establishment of SnL-induced allodynic behavior, a reduction in paw withdrawal threshold was observed in the time course, which was present from day 1 and it was maintained for 28 days post-ligation. With the administration of pregabalin and gabapentin, anti-allodynic behavior was observed in the time course and in the areas under the curve (AUC) of the time course of anti-allodynic behavior, significant difference was observed between pregabalin, and gabapentin groups compared to vehicle with a value of p gabalin and gabapentin induce an antinociceptive effect in rats subjected to SnL.

关键词： Tactile Allodynia neuropathic Pain Pregabalin gabapentin

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Endovascular Emergency Management of Hepatic Pseudoaneurism with Vascular Plug 4 System with Sacrifice of the Aneurism nutrient Artery (Report of 2 Cases)

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Case Reports in Clinical Medicine 2022年第8期11卷 321-329页

作者： Alejandro Jiménez-Sastré Reynaldo Ramírez-Chacón Miguel Ángel Miranda-Del Olmo Humberto Azuara-Forcelledo Fernando Enrique Mayans-Canabal Jesús Maximiliano granados-Villalpando crystell g.adalupe guzmán-priego Center of Medical Specialties Instituto de Seguridad Social del Estado de Tabasco (ISSET) Villahermosa Mexico Cardiometabolism Laboratory Research Center División Académica de Ciencias de la Salud (DACS) Universidad Juárez Autónoma de Tabasco (UJAT) Villahermosa Mexico

Pseudoaneurisms are arterial wounds that affect all layers of an artery;although very rare they are mostly lethal and most of them are iatrogenic. Herein, we present two different cases of hepatic artery pseudoaneurysms derived from previous surgeries which were assessed by computed tomography angiographies and consequent conservative endovascular approaches with arteriographies, posterior cannulations and the placement of Amplatzer Vascular Plug 4 (AVP 4) systems in order to treat the pseudoaneurysm. Computed control tomographies were conducted showing no later complications. The purpose of this article is to demonstrate the importance and current clinical applications of AVP in the field of interventional radiology.

关键词： Endovascular Hepatic Pseudoaneurysm Interventional Radiology Vascular Plug

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Rhinoplasty in Cleft Lip and Palate

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Case Reports in Clinical Medicine 2023年第11期12卷 439-446页

作者： Enrique Hernandez Vidal Enrique Hernandez Del Moral Omar Hernandez Del Moral Erick Daniel Hernandez Del Moral Juan Daniel Madera Brito Erik Ramos garcia crystell g.adalupe guzmán-priego Institute of High Specialty in Ear Nose Throat and Surgery of Head and Neck Villahermosa Mexico Cardiometabolism Laboratory Academic Division of Health Sciences Juarez Autonomous University of Tabasco Villahermosa México

Various surgical techniques and approaches have been described to repair cleft nose deformities. It is necessary to consider that since it is a congenital deformity, surgical management must consider the patient’s growth process, as well as the healing itself from the surgery. The present study aims to evaluate an alternative solution to secondary rhinology, aesthetic, and functional alterations to unilateral or bilateral cleft lift palate to minimize deformities and ensure good results. 11 patients were studied between 1995 to 2002, ten male and one female. In 8 cases, the patients had a history of cleft lip and palate on the left side, 2 patients with cleft lift palate on the right, and 1 patient with bilateral cleft lip and palate. 100% of the patients increased their naso-labial angle. This improved their appearance and structure, starting from a preoperative arithmetic mean of 39 degrees to a postoperative arithmetic mean of 96 degrees. Such intervention increased the naso-labial angle by 57 degrees. At the base of the nose, it was possible to improve the inclination of the alar line (line B) in 10 of the cases with a variation of 2 to 3 mm in relation to the perpendicular line A and only one case remained with the same inclination.

关键词： Cleft Lip and Palate naso-Labial Angle Inclination Appearance

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Risk groups and Mortality in Patients with SARS-CoV-2 from Family Medicine Unit no. 43 in Southeastern Mexico

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Journal of Biosciences and Medicines 2023年第1期11卷 116-122页

作者： Abel Pérez-Pavón Sigrid Lorena Martínez-Vazquez Jorge Iván Martínez-Pérez Jorda Aleiria Albarrán-Melzer Juan Antonio Córdova-Hernández Sergio De Jesús Romero-Tapia Sergio Quiroz-gomez crystell g. guzmán-priego Social Security Institute of the State of Tabasco Villahermosa Mexico Cardiometabolism Laboratory Academic Division of Health Sciences Juarez Autonomous University of Tabasco Villahermosa México

SARS-CoV-2 infection is a viral disease that causes respiratory infections that can cause multiple complications. Patients with adjacent morbidities have a higher chance of complications and mortality. The national Health and nutrition Survey (EnSAnUT) in 2018 reported that in Mexico, 75.2% of adults aged 20 years and over are overweight and obese, both situations are closely related to the cases reported as severe COVID and even with a higher risk of mortality. The main objective was to evaluate the risk and mortality groups in patients with SARS-CoV-2 from family medicine in the south of México. The study was carried out during the 2020 year, in the Family Medicine Unit no. 43 of Villahermosa, Tabasco, a cross-sectional, retrospective investigation was carried out with an analytical approach, and the sample was obtained using the formula of n for infinite populations that correspond to 215, patients were included who met the selection criteria;3 groups were integrated: DM2, HAS and obesity. Descriptive statistics andχ2 formula were used, using the SPSS version 25 Windows program. The female gender presented the highest number of infections 122 (56.7%) and mortality: 5 (2.32%), obesity comorbidity presented the highest number of infections: 194 (90.2%), HAS: 153 (71.2%), and MD: 44 (20.46%). Complications were observed in 23 (10.69%), distributed in: SIRA: 7 (3.3%), multiple organ failure: 6 (2.8%), heart failure: 6 (2.8%) and pneumonia 4 (1.9%). The observed mortality was 8 (3.72%). The comorbidities of patients with the highest mortality were: SAH: 6 (75%) (χ2 = 9.169;df = 1;p = 0.010) and obesity: 6 (75%) (χ2 = 9.169;df = 1;p = 0.010). The group with the highest risk for SARS-CoV-2 was patients with overweight/obesity comorbidities. Mortality was 3.7%. The patients who died had at least one or more comorbidities. The main complications were ARIS, heart failure, and multiple organ failure.

关键词： Pandemic COVID-19 SARS-CoV-2 Hypertension Diabetes Obesity Mortality

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Evaluation of the Radiological Characteristics of Patients with COVID-19 in a general Hospital of Tabasco

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Journal of Biosciences and Medicines 2022年第12期10卷 217-224页

作者： Ady g. Córdova-Álvarez José E. Serrano-garcía Elías Hernández-Cornelio Humberto Azuara-Forcelledo Ana P. Ovando-Rodríguez Copany Martínez-De la Cruz Jesús M. granados-Villalpando Erick M. Cabrera-Pérez Eduardo Ávila-guillen crystell g. guzmán-priego Cardiometabolism Laboratory Academic Division of Health Sciences Juarez Autonomous University of Tabasco Villahermosa México Cardiometabolism Laboratory Academic Division of Health Sciences Juarez Autonomous University of Tabasco Villahermosa México Social Security Institute of the State of Tabasco Villahermosa Mexico

According to various studies, it has been found that due to the lack of reagents for the RT-PCR test for the accurate diagnosis of SARS-CoV-2 infection, tomography began to be used as a criterion to achieve diagnostic support in patients with lack of a definitive diagnosis. The objective of this work is to describe the tomographic findings in patients with COVID-19 and their relationship with the clinical presentation in each of the radiological patterns. According to the Feinstein Criteria, the analytical type of study, with quantifiable, non-experimental data, was cross-sectional from October 2020 to June 2021, obtaining a sample of 227 patients hospitalized in the UAER of the CMJPP. Statistical analysis was performed using Microsoft Excel (2021) and SPSS. According to the radiological classifications, 6.17% (14) presented in the Initial (early) phase of the disease, 46.7% (106) were in progression and 47.14% (107) in the advanced phase of the latter with a higher percentage in the CORADS classification at level 3 with 74.5% in both;Similarly, in advanced onset, the extension with the greatest presentation was severe with 86.96% (93). Tomographic studies played an important role during the COVID-19 pandemic, together with the application of international classifications such as CO-RADS and the classification issued by InER, being considered diagnostic support tools for COVID-19 and patient evolution.

关键词： COVID-19 TAC CO-RADS Appearance/Attenuation Extension

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Pancreatic Pseudocyst Rupture: Cause of Acute Abdomen

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Case Reports in Clinical Medicine（临床医学病理报告） 2023年第8期

作者： Joel Iván Cruz-gonzález Miguel Ángel Miranda-Del Olmo Benito Antonio garcía-Ramón Brenda Hernández-garcía crystell g.adalupe guzmán-priego Alejandro Jiménez-Sastré

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Rhinoplasty in Cleft Lip and Palate

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Case Reports in Clinical Medicine（临床医学病理报告） 2023年第11期

作者： Enrique Hernandez Vidal Enrique Hernandez Del Moral Omar Hernandez Del Moral Erick Daniel Hernandez Del Moral Juan Daniel Madera Brito Erik Ramos garcia crystell g.adalupe guzmán-priego

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