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Article ; Online: Proyecto PRIISMA: transformación hacia un IMSS más preventivo, resiliente, integral, innovador, sostenible, moderno y accesible.

Duque-Molina, Célida / Borrayo-Sánchez, Gabriela / Avilés-Hernández, Ricardo / Herrera-Reyna, Paulina

Revista medica del Instituto Mexicano del Seguro Social

2022 Volume 60, Issue Suppl 2, Page(s) S54–S64

Abstract: Two years after the onset of the COVID-19 pandemic, the Mexican Institute for Social Security (IMSS, according to its initials in Spanish) rethought new projects focused on the new needs of the population and social security organizations and ... ...

Title translation	PRIISMA Project: Transformation into a more preventive, resilient, comprehensive, innovative, sustainable, modern and accessible IMSS.
Abstract	Two years after the onset of the COVID-19 pandemic, the Mexican Institute for Social Security (IMSS, according to its initials in Spanish) rethought new projects focused on the new needs of the population and social security organizations and institutions. The Institute, as a cornerstone in the search for the wellbeing of Mexicans, aligned with the National Development Plan and the Strategic Health for Wellbeing Program, sought to direct its transformation towards a preventive, resilient, comprehensive, innovative, sustainable, modern and accessible IMSS. For this reason, the Medical Services Director designed the PRIISMA Project, as the one that over the next three years could make possible to innovate and improve its medical care processes, starting with the recovery of medical services and identifying those groups of beneficiaries who experience the most vulnerable circumstances. The PRIISMA project consisted of five sub-projects: 1. Vulnerable groups; 2. Efficient and effective care; 3. Prevent IMSS plus; 4 IMSS University and 5. Recovery of medical services. The strategies of each project seek to improve medical care for all IMSS beneficiaries and users with a human rights perspective and by priority groups; the goal is reducing the gaps in access to health care, leaving no one behind and leaving no one out; and to surpass the goals for medical services provided before the pandemic. This document provides an overview of strategies and progress of the PRIISMA sub-projects achieved during 2022.
MeSH term(s)	Humans ; Pandemics/prevention & control ; COVID-19/epidemiology ; COVID-19/prevention & control ; Mexico/epidemiology ; Social Security
Language	Spanish
Publishing date	2022-12-19
Publishing country	Mexico
Document type	English Abstract ; Journal Article
ZDB-ID	732133-8
ISSN	2448-5667 ; 0443-5117 ; 0484-7849
ISSN (online)	2448-5667
ISSN	0443-5117 ; 0484-7849
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Article ; Online: The road to recovery: an interrupted time series analysis of policy intervention to restore essential health services in Mexico during the COVID-19 pandemic.

Doubova, Svetlana V / Arsenault, Catherine / Contreras-Sánchez, Saul E / Borrayo-Sánchez, Gabriela / Leslie, Hannah H

Journal of global health

2022 Volume 12, Page(s) 5033

Abstract: Background: Recovery of health services disrupted by the COVID-19 pandemic represents a significant challenge in low- and middle-income countries. In April 2021, the Mexican Institute of Social Security (IMSS), which provides health care to 68.5 million ...

Abstract	Background: Recovery of health services disrupted by the COVID-19 pandemic represents a significant challenge in low- and middle-income countries. In April 2021, the Mexican Institute of Social Security (IMSS), which provides health care to 68.5 million people, launched the National Strategy for Health Services Recovery (Recovery policy). The study objective was to evaluate whether the Recovery policy addressed COVID-related declines in maternal, child health, and non-communicable diseases (NCDs) services. Methods: We analysed the data of 35 IMSS delegations from January 2019 to November 2021 on contraceptive visits, antenatal care consultations, deliveries, caesarean sections, sick children's consultations, child vaccination, breast and cervical cancer screening, diabetes and hypertension consultations, and control. We focused on the period before (April 2020 - March 2021) and during (April 2021 - November 2021) the Recovery policy and used an interrupted time series design and Poisson Generalized Estimating Equation models to estimate the association of this policy with service use and outcomes and change in their trends. Results: Despite the third wave of the pandemic in 2021, service utilization increased in the Recovery period, reaching (at minimum) 49% of pre-pandemic levels for sick children's consultations and (at maximum) 106% of pre-pandemic levels for breast cancer screenings. Evidence for the Recovery policy role was mixed: the policy was associated with increased facility deliveries (IRR = 1.15, 95%CI = 1.11-1.19) with a growing trend over time (IRR = 1.04, 95%CI = 1.03-1.05); antenatal care and child health services saw strong level effects but decrease over time. Additionally, the Recovery policy was associated with diabetes and hypertension control. Services recovery varied across delegations. Conclusions: Health service utilization and NCDs control demonstrated important gains in 2021, but evidence suggests the policy had inconsistent effects across services and decreasing impact over time. Further efforts to strengthen essential health services and ensure consistent recovery across delegations are warranted.
MeSH term(s)	COVID-19/epidemiology ; Child ; Diabetes Mellitus ; Early Detection of Cancer ; Female ; Humans ; Hypertension ; Interrupted Time Series Analysis ; Mexico/epidemiology ; Pandemics/prevention & control ; Policy ; Pregnancy ; Prenatal Care ; Uterine Cervical Neoplasms
Language	English
Publishing date	2022-07-23
Publishing country	Scotland
Document type	Journal Article
ZDB-ID	2741629-X
ISSN	2047-2986 ; 2047-2986
ISSN (online)	2047-2986
ISSN	2047-2986
DOI	10.7189/jogh.12.05033
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Article ; Online: Cardiovascular Diseases: A Challenge for the New Era.

Borrayo-Sánchez, Gabriela / González-Juanatey, José Ramón

Archives of medical research

2019 Volume 49, Issue 8, Page(s) 515

Language	English
Publishing date	2019-02-02
Publishing country	United States
Document type	Editorial ; Introductory Journal Article
ZDB-ID	1156844-6
ISSN	1873-5487 ; 0188-4409 ; 0188-0128
ISSN (online)	1873-5487
ISSN	0188-4409 ; 0188-0128
DOI	10.1016/j.arcmed.2019.01.003
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Article: [Impacto de los nuevos criterios para diagnóstico y tratamiento de la hipertensión arterial sistémica sugeridos por la American College of Cardiology/American Heart Association].

Rosas-Peralta, Martín / Borrayo-Sánchez, Gabriela

Gaceta medica de Mexico

2018 Volume 154, Issue 6, Page(s) 633–637

MeSH term(s)	American Heart Association ; Humans ; Hypertension/diagnosis ; Hypertension/therapy ; Practice Guidelines as Topic ; United States
Language	Spanish
Publishing date	2018-12-10
Publishing country	Mexico
Document type	Editorial
ZDB-ID	425456-9
ISSN	0016-3813
ISSN	0016-3813
DOI	10.24875/GMM.18004690
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Article ; Online: Análisis geográfico de nefropatía diabética e insuficiencia renal en el primer nivel de atención, IMSS 2019.

Reyna-Sevilla, Antonio / Borrayo-Sánchez, Gabriela / Duque-Molina, Célida / Ascencio-Montiel, Iván de Jesús / Torres-Toledano, Marisol

Revista medica del Instituto Mexicano del Seguro Social

2022 Volume 60, Issue 2, Page(s) 156–163

Abstract: Background: In a context where the prevalence of Diabetes Mellitus and Hypertension has increased significantly in recent years, kidney diseases become important for the potential demand for specialized health care and resources required.: Objective: ...

Title translation	Geographic analysis of diabetic nephropathy and renal insufficiency in the primary care, IMSS 2019.
Abstract	Background: In a context where the prevalence of Diabetes Mellitus and Hypertension has increased significantly in recent years, kidney diseases become important for the potential demand for specialized health care and resources required. Objective: To analyze the geographical distribution of Diabetic Nephropathy (DN) and Renal Insufficiency (RI) based on the medical consultations given in first-level units of IMSS during 2019, to identify the medical units with the highest burden of care. Material and methods: Ecological-exploratory study in which indicators were estimated for every thousand persons in relation to medical consultations given by ND and RI according to service time, first-level medical unit (UMF) and representation to analyze the magnitude and geographic distribution at the national level. Results: 45% of medical consultations were by ND and 52.4% by RI. The highest burden per DN was registered in UMF No. 50 Cd. Juarez (Chihuahua) and No. 49 Gabino Barreda (Veracruz Sur), with 1.7 first-time medical consultations and 148.3 subsequent medical consultations per 1,000 persons, respectively. While in UMF No. 40 Manlio Fabio Altamirano and No. 25 Cotaxtla, in Veracruz Norte, the highest burden was for RI, with 4.9 first-time medical consultations and 134.2 subsequent medical consultations per 1000 persons, respectively. Conclusions: The results could contribute to strengthening of medical units where it is necessary and the efficient allocation of resources available to meet the demand for health services of ND and RI in IMSS.
MeSH term(s)	Diabetes Mellitus ; Diabetic Nephropathies/diagnosis ; Diabetic Nephropathies/epidemiology ; Diabetic Nephropathies/therapy ; Humans ; Hypertension/epidemiology ; Prevalence ; Primary Health Care ; Renal Insufficiency/diagnosis ; Renal Insufficiency/epidemiology ; Renal Insufficiency/etiology
Language	Spanish
Publishing date	2022-03-01
Publishing country	Mexico
Document type	Journal Article
ZDB-ID	732133-8
ISSN	2448-5667 ; 0443-5117 ; 0484-7849
ISSN (online)	2448-5667
ISSN	0443-5117 ; 0484-7849
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Article ; Online: Atención a personas que viven con el VIH en el IMSS.

Treviño-Pérez, Sandra Carlota / Vega-Yáñez, Alfonso / Martínez-Abarca, Christian Ivan / Estrada-Zarazúa, Guadalupe / Pérez-Camargo, Luis Alberto / Borrayo-Sánchez, Gabriela

Revista medica del Instituto Mexicano del Seguro Social

2022 Volume 60, Issue Suppl 2, Page(s) 96–102

Abstract: Infection by the human immunodeficiency virus (HIV) is apublic health problem worldwide, however, the incidence has remained relatively stable. In Mexico, around 10,000 new cases are reported each year. The Instituto Mexicano del Seguro Social (IMSS) has ...

Title translation	Medical Care of people living with HIV in the Instituto Mexicano del Seguro Social.
Abstract	Infection by the human immunodeficiency virus (HIV) is apublic health problem worldwide, however, the incidence has remained relatively stable. In Mexico, around 10,000 new cases are reported each year. The Instituto Mexicano del Seguro Social (IMSS) has been a pioneer in the care of people living with HIV (PLWHA), gradually incorporating the different antiretroviral drugs (ARV). The first ARV used at the institutional level was zidovudine, in the 1990s, and later other agents were incorporated, such as protease inhibitors, drugs from the group of non-nucleoside analogs, and integrase inhibitors. In 2020, the migration to ARV schemes coformulated in a single tablet based on integrase inhibitors, which constitute a highly effective option and timely supply of drugs has been achieved in 99% of the population. In the aspect of prevention, the IMSS has also been a pioneer by being the first institution to implement HIV pre-exposure prophylaxis in 2021 at the national level and since 2022 universal post-exposure prophylaxis is available. The IMSS continues to be at the forefront incorporating the use of different management tools and instruments for the benefit of the population living with HIV. This document summarizes the history of HIV in the IMSS from the beginning of the epidemic to the present time.
MeSH term(s)	Humans ; HIV ; Mexico/epidemiology ; Social Security ; Academies and Institutes ; HIV Infections/drug therapy ; HIV Infections/epidemiology ; Integrase Inhibitors
Chemical Substances	Integrase Inhibitors
Language	Spanish
Publishing date	2022-12-19
Publishing country	Mexico
Document type	English Abstract ; Journal Article
ZDB-ID	732133-8
ISSN	2448-5667 ; 0443-5117 ; 0484-7849
ISSN (online)	2448-5667
ISSN	0443-5117 ; 0484-7849
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Article ; Online: Protocolo de atención Código Infarto, hacia la federalización de IMSS Bienestar.

Robledo-Aburto, Zoé Alejandro / Duque-Molina, Célida / Lara-Saldaña, Gisela Juliana / Borrayo-Sánchez, Gabriela / Avilés-Hernández, Ricardo / Reyna-Sevilla, Antonio

Revista medica del Instituto Mexicano del Seguro Social

2022 Volume 60, Issue Suppl 2, Page(s) S49–S53

Abstract: Since 2015, the Instituto Mexicano del Seguro Social (IMSS) has developed and implemented the Infarct Code emergency care protocol, with the aim of improving the diagnosis and treatment of acute myocardial infarction and thus eventually reducing ... ...

Title translation	Infarction Code care protocol, towards the federalization of IMSS Bienestar.
Abstract	Since 2015, the Instituto Mexicano del Seguro Social (IMSS) has developed and implemented the Infarct Code emergency care protocol, with the aim of improving the diagnosis and treatment of acute myocardial infarction and thus eventually reducing mortality. In the context of the federalization and implementation of the new IMSS Bienestar care model in several states, the possibility of increasing the coverage and extension of the protocol service networks is presented, not only to eligible population but also to those who do not have social security and resides in contexts of social marginalization, to comply with article 4o. constitutional. This document describes how the proposal was made to extend and increase the service network of the Infarct Code care protocol, based on material, human and infrastructure resources of the IMSS Ordinario and Bienestar.
MeSH term(s)	Humans ; Academies and Institutes ; Emergency Medical Services/methods ; Mexico/epidemiology ; Myocardial Infarction/diagnosis ; Myocardial Infarction/therapy ; Social Security ; Clinical Protocols
Language	Spanish
Publishing date	2022-12-19
Publishing country	Mexico
Document type	English Abstract ; Journal Article
ZDB-ID	732133-8
ISSN	2448-5667 ; 0443-5117 ; 0484-7849
ISSN (online)	2448-5667
ISSN	0443-5117 ; 0484-7849
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Article ; Online: Modificaciones en el estilo de vida y control de los factores de riesgo en la prevención y el tratamiento de la fibrilación auricular.

Rodríguez-Reyes, Humberto / Asensio-Lafuente, Enrique / Cossío-Aranda, Jorge E / Borrayo-Sánchez, Gabriela / Alcocer-Gamba, Marco / Berni-Betancourd, Ana / Picos-Bovio, Eva M / Gallegos-De Luna, Carlos F / Laguna-Muñoz, César I / Corona-Martínez, Víctor A / Muñoz-Gutiérrez, Luz M / Rodríguez-Muñoz, Karla M

Archivos de cardiologia de Mexico

2024

Abstract: Atrial fibrillation (AF) is the most prevalent arrhythmia and is related with significant morbidity, mortality and costs. In spite of relevant advances in the prevention of embolic events and rhythm control, little has been done to reduce its prevalence, ...

Title translation	Lifestyle modification and risk factor control in the prevention and treatment of atrial fibrillation.
Abstract	Atrial fibrillation (AF) is the most prevalent arrhythmia and is related with significant morbidity, mortality and costs. In spite of relevant advances in the prevention of embolic events and rhythm control, little has been done to reduce its prevalence, progression and impact, since it increases with ageing as well as with common risk factors such as alcohol intake, tobacco use and stress as well as with arterial hypertension, diabetes mellitus, heart failure, sleep apnea, kidney failure, chronic pulmonary obstructive disease, ischemic heart disease and stroke, among other important comorbidities. Fortunately, new evidence suggests that lifestyle modifications and adequate risk factors and comorbidities control could be effective in primary and secondary AF prevention, especially in its paroxysmal presentations. This is why a multidisciplinary approach integrating lifestyle modifications, risk factors and comorbidities control, is necessary in conjunction with rhythm or rate control and anticoagulation. Unfortunately, that holistic approach strategy is not considered, is scarcely studied or is subtilized in general clinical practice. The present statement's objectives are to: 1) review the relationship between habits, risk factors and illnesses with AF, 2) review the individual and common physiopathology mechanisms of each one of those conditions that may lead to AF, 3) review the effect of control of habits, risk factors and co-morbidities on the control and impact of AF, and 4) supply guidelines and recommendations to start multidisciplinary and integrative AF treatment.
Language	Spanish
Publishing date	2024-02-21
Publishing country	Mexico
Document type	English Abstract ; Journal Article
ZDB-ID	2059019-2
ISSN	1665-1731 ; 1665-1731
ISSN (online)	1665-1731
ISSN	1665-1731
DOI	10.24875/ACM.22000236
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Article ; Online: A Geospatial Model to Identify Areas Associated with Late- Stage Breast Cancer: A Spatial Epidemiology Approach.

Reyna-Sevilla, Antonio / Gonzalez-Castañeda, Miguel Ernesto / Ramos-Herrera, Igor Martin / Duque-Molina, Celida / Borrayo-Sanchez, Gabriela / Aviles-Hernandez, Ricardo / Quezada-Sanchez, Carlos / Flores-Morales, Abelardo

Asian Pacific journal of cancer prevention : APJCP

2023 Volume 24, Issue 8, Page(s) 2621–2628

Abstract: Objective: The aim of this study was to show how a geospatial model can be used to identify areas with a higher probability for late-stage breast cancer (BC) diagnoses.: Methods: Our study considered an ecological design. Clinical records at a ... ...

Abstract	Objective: The aim of this study was to show how a geospatial model can be used to identify areas with a higher probability for late-stage breast cancer (BC) diagnoses. Methods: Our study considered an ecological design. Clinical records at a tertiary care hospital were reviewed in order to obtain the place of residence and stage of the disease, which was classified as early (0-IIA) and late (IIB-IV) and whose diagnoses were made during the 2013-2017 period. Then, they were geolocated to identify the distribution and spatial trend. Subsequently, the pattern of location, i.e. scattered, random and concentrated, was statistically assessed and a geospatial model was elaborated to determine the probability of late diagnoses in the state of Jalisco, Mexico. Result: There were 1 954 (N) geolocated BC diagnoses: 58.3% were late. During the five-year period, a southwest-northeast trend was identified, nearly 9.5% of the surface of Jalisco, where 6 out of 10 (n= 751) late- stage diagnoses were concentrated. A concentrated and statistically significant pattern was identified in the southern, central and northern Pacific area of Jalisco, where the geospatial model delimited the places with the highest probability of late clinical stages (p <0.05). Conclusion: The geographical differences associated with the late diagnoses of BC suggest it is necessary to adapt and focus the strategies for early detection as an alternative to create a major impact on the population. Reproducible analysis tools were used in other contexts where geolocation data are available to complement public policies and strategies aimed to control BC.
MeSH term(s)	Humans ; Female ; Breast Neoplasms/diagnosis ; Breast Neoplasms/epidemiology ; Mexico/epidemiology ; Probability ; Public Policy
Language	English
Publishing date	2023-08-01
Publishing country	Thailand
Document type	Journal Article
ZDB-ID	2218955-5
ISSN	2476-762X ; 1513-7368
ISSN (online)	2476-762X
ISSN	1513-7368
DOI	10.31557/APJCP.2023.24.8.2621
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Article ; Online: Infectious endocarditis without intracardiac devices or underlying structural heart disease.

Flores-Morales, Abelardo / Jacobo-Ruvalcaba, Andrés / Acevedo-Meléndez, Ariana C / Fernández-Muñoz, María J / Carmona-Ruiz, Héctor A / Borrayo-Sánchez, Gabriela / Chaparro-Sánchez, Alberto / Orihuela-Rodríguez, Óscar

Cirugia y cirujanos

2023 Volume 91, Issue 4, Page(s) 535–541

Abstract: Objective: To describe clinical, microbiological and echocardiographic aspects of endocarditis in a specific group of patients without intracardiac devices or underlying structural heart disease.: Method: Retrospective study, clinical records and ... ...

Title translation	Endocarditis infecciosa sin dispositivos intracardiacos ni cardiopatía estructural subyacente.
Abstract	Objective: To describe clinical, microbiological and echocardiographic aspects of endocarditis in a specific group of patients without intracardiac devices or underlying structural heart disease. Method: Retrospective study, clinical records and echocardiographic reports were reviewed during the period 1997 to 2020. Duke's modified criteria were applied. Statistical analysis: univariate expressed in frequencies, using measures of dispersion and central tendency. Results: 30,000 echocardiographic reports were reviewed, only 1350 had infectious endocarditis as a reason for sending, of which 248 cases were selected. The mean age was 48.1 ± 16.7 years. 140 men (56%) and 108 women (44%). The most frequent echocardiographic sign was vegetation, in 278 (93.60%), and most common location was mitral (35.55%), with a higher number of cases in the right ventricle than expected. The most common systemic disease was kidney disease, in 135 (41.08%). A case of Streptococcus thoraltensis not previously reported in Mexico was identified. Conclusions: The presence of infectious endocarditis has increased due to invasive in-hospital and drug procedures. Due to their complexity, multidisciplinary teams are indispensable.
MeSH term(s)	Male ; Humans ; Female ; Adult ; Middle Aged ; Retrospective Studies ; Heart Diseases/diagnostic imaging ; Heart Diseases/epidemiology ; Heart Diseases/etiology ; Endocarditis/diagnostic imaging ; Endocarditis/epidemiology ; Echocardiography ; Hospitals
Language	English
Publishing date	2023-09-07
Publishing country	Mexico
Document type	Case Reports ; Journal Article
ZDB-ID	730699-4
ISSN	2444-054X ; 0009-7411
ISSN (online)	2444-054X
ISSN	0009-7411
DOI	10.24875/CIRU.21000666
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