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1. Intake of dehydrated nopal (Opuntia ficus indica) improves bone mineral density and calciuria in adult Mexican women

Author

María de los Angeles Aguilera-Barreiro, José Alberto Rivera-Márquez, Héctor Miguel Trujillo-Arriaga, Juan Alfredo Tamayo y Orozco, Eduardo Barreira-Mercado, and Mario E. Rodríguez-García

Subjects
calcium intake, bone mineral density, hypercalciuria, low bone mass, dehydrated nopal, osteoporosis, Nutrition. Foods and food supply, TX341-641
Abstract

Background: The intake of dehydrated nopal (DN) at a high stage of maturity along with high calcium content could improve bone mineral density (BMD) and calciuria and thus prevent osteoporosis. Objective: To evaluate the effect of calcium intake from a vegetable source (DN) on BMD and calciuria covering a 2-year period in menopausal and non-menopausal women with low bone mass (LBM). Methods: The study was quasi-experimental, blinded, and randomized, and included 131 Mexican women aged 35–55. Urinary calcium/creatinine index (CCI) was determined; BMD was analyzed on lumbar spine and total hip regions. Four groups were studied: Control group (CG), women with normocalciuria and a minimum dose of DN; experimental group 1 (EG1), women with hypercalciuria and a minimum dose of DN; experimental group 2 (EG2), women with hypercalciuria, and a maximum dose of DN; and normal group (NG) for reference in BMD. Results: After the first semester of treatment, calciuria levels in women from both experimental groups returned to normal, remaining constant for the rest of the treatment. The percentage difference in BMD increased in the total hip region in the CG (pre 4.5% and post 2.1%) and EG2 (pre 1.8% and post 2.5%) groups significantly in comparison to NG and EG1, which exhibited a significant decrease in their BMD. BMD increased only for the lumbar region in the EG2 group (premenopausal). Conclusion: The use of a vegetable calcium source such as nopal improves BMD in women with LBM in the total hip and lumbar spine regions principally in the premenopausal women, maintaining constant and normal calciuria levels.

Published
2013
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2. Distribución y características de la certificación de los reumatólogos en México

Author

Everardo Álvarez-Hernández, Eduardo Barreira-Mercado, Hilda E. Fragoso-Loyo, Cristina Hernández-Díaz, Blanca Mota-Mondragón, Sandra Muñoz-López, Mario Pérez-Cristóbal, Nadina Rubio-Pérez, Alfonso Torres-Jiménez, Angélica Vargas Guerrero, Mónica Vázquez del Mercado, Miguel Ángel Villarreal-Alarcón, César Pacheco-Tena, and Deshiré Alpízar-Rodríguez

Subjects
Rheumatology
Published
2023
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3. Guías de práctica clínica para la atención del embarazo en mujeres con enfermedades reumáticas autoinmunes del Colegio Mexicano de Reumatología. Parte II

Author

María del Carmen Velarde Ochoa, Mario Pérez Cristóbal, C. Alejandro Arce-Salinas, Polita del Rocío Cruz Cruz, Verónica Portillo Díaz, Antonio Sánchez González, José Álvarez Nemegyei, Mary Carmen Amigo Castañeda, Claudia Verónica Cruz Reyes, Antonio Rafael Cabral Castañeda, Gabriela Medina García, María Victoria Goycochea Robles, Claudia Mendoza Pinto, José Eduardo Navarro Zarza, Javier Orozco Alcalá, Luis Javier Jara Quezada, Mario Salazar Páramo, Miguel Ángel Saavedra Salinas, Olga Lidia Vera Lastra, Antonio Barrera Cruz, Antonio Fraga Mouret, Angélica Vargas Guerrero, Margarita Portela Hernández, Noé Hernández Romero, Lilia Andrade Ortega, Eduardo Barreira Mercado, Sara Morales Hernández, and José Luis García Figueroa

Subjects
Rheumatology, business.industry, Medicine, business, Humanities
Abstract

Resumen Antecedentes El embarazo en mujeres con enfermedades reumaticas autoinmunes se asocia a diversas complicaciones materno-fetales. El desarrollo de guias de practica clinica con la mejor evidencia cientifica disponible puede ayudar a homogeneizar la atencion en estas pacientes. Objetivos Proporcionar recomendaciones respecto al control prenatal, el tratamiento y el seguimiento mas efectivo de la mujer embarazada con lupus eritematoso sistemico, artritis reumatoide (AR) y sindrome por anticuerpos antifosfolipidos (SAF). Metodologia Para la elaboracion de las recomendaciones se conformaron grupos nominales de expertos y se realizaron consensos formales, busqueda sistematizada de la informacion, elaboracion de preguntas clinicas, elaboracion y calificacion de las recomendaciones, fase de validacion interna por pares y validacion externa del documento final teniendo en cuenta los criterios de calidad del instrumento AGREE II . Resultados Los grupos de trabajo contestaron las 37 preguntas relacionadas con la atencion materno-fetal en lupus eritematoso sistemico, AR y SAF, asi como de farmacos antirreumaticos durante el embarazo y lactancia. Las recomendaciones fueron discutidas e integradas en un manuscrito final y se elaboraron los algoritmos correspondientes. En esta segunda parte se presentan las recomendaciones para mujeres embarazas con AR, SAF y el uso de farmacos antirreumaticos durante el embarazo y lactancia. Conclusiones La guia mexicana de practica clinica para la atencion del embarazo en mujeres con AR y SAF integra la mejor evidencia disponible para el tratamiento y el seguimiento de estas pacientes.

Published
2015
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4. Guías de práctica clínica para la atención del embarazo en mujeres con enfermedades reumáticas autoinmunes del Colegio Mexicano de Reumatología. Parte I

Author

Miguel Ángel Saavedra Salinas, Antonio Barrera Cruz, Antonio Rafael Cabral Castañeda, Luis Javier Jara Quezada, C. Alejandro Arce-Salinas, José Álvarez Nemegyei, Antonio Fraga Mouret, Javier Orozco Alcalá, Mario Salazar Páramo, Claudia Verónica Cruz Reyes, Lilia Andrade Ortega, Olga Lidia Vera Lastra, Claudia Mendoza Pinto, Antonio Sánchez González, Polita del Rocío Cruz Cruz, Sara Morales Hernández, Margarita Portela Hernández, Mario Pérez Cristóbal, Gabriela Medina García, Noé Hernández Romero, María del Carmen Velarde Ochoa, José Eduardo Navarro Zarza, Verónica Portillo Díaz, Angélica Vargas Guerrero, María Victoria Goycochea Robles, José Luis García Figueroa, Eduardo Barreira Mercado, and Mary Carmen Amigo Castañeda

Subjects
Rheumatology
Published
2015
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5. Clinical Practice Guidelines for the Management of Pregnancy in Women With Autoimmune Rheumatic Diseases of the Mexican College of Rheumatology. Part II

Author

Miguel Ángel Saavedra Salinas, Antonio Barrera Cruz, Antonio Rafael Cabral Castañeda, Luis Javier Jara Quezada, C. Alejandro Arce-Salinas, José Álvarez Nemegyei, Antonio Fraga Mouret, Javier Orozco Alcalá, Mario Salazar Páramo, Claudia Verónica Cruz Reyes, Lilia Andrade Ortega, Olga Lidia Vera Lastra, Claudia Mendoza Pinto, Antonio Sánchez González, Polita del Rocío Cruz Cruz, Sara Morales Hernández, Margarita Portela Hernández, Mario Pérez Cristóbal, Gabriela Medina García, Noé Hernández Romero, María del Carmen Velarde Ochoa, José Eduardo Navarro Zarza, Verónica Portillo Díaz, Angélica Vargas Guerrero, María Victoria Goycochea Robles, José Luis García Figueroa, Eduardo Barreira Mercado, and Mary Carmen Amigo Castañeda

Subjects
General Medicine
Published
2015
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6. Clinical practice guidelines for the management of pregnancy in women with autoimmune rheumatic diseases of the Mexican College of Rheumatology. Part I

Author

Miguel Ángel, Saavedra Salinas, Antonio, Barrera Cruz, Antonio Rafael, Cabral Castañeda, Luis Javier, Jara Quezada, C Alejandro, Arce-Salinas, José, Álvarez Nemegyei, Antonio, Fraga Mouret, Javier, Orozco Alcalá, Mario, Salazar Páramo, Claudia Verónica, Cruz Reyes, Lilia, Andrade Ortega, Olga Lidia, Vera Lastra, Claudia, Mendoza Pinto, Antonio, Sánchez González, Polita Del Rocío, Cruz Cruz, Sara, Morales Hernández, Margarita, Portela Hernández, Mario, Pérez Cristóbal, Gabriela, Medina García, Noé, Hernández Romero, María Del Carmen, Velarde Ochoa, José Eduardo, Navarro Zarza, Verónica, Portillo Díaz, Angélica, Vargas Guerrero, María Victoria, Goycochea Robles, José Luis, García Figueroa, Eduardo, Barreira Mercado, and Mary Carmen, Amigo Castañeda

Subjects
Arthritis, Rheumatoid, Pregnancy Complications, Pregnancy, Antirheumatic Agents, Clinical Decision-Making, Aftercare, Humans, Lupus Erythematosus, Systemic, Female, Prenatal Care, Antiphospholipid Syndrome, Mexico, Decision Support Techniques
Abstract

Pregnancy in women with autoimmune rheumatic diseases is associated with several maternal and fetal complications. The development of clinical practice guidelines with the best available scientific evidence may help standardize the care of these patients.To provide recommendations regarding prenatal care, treatment, and a more effective monitoring of pregnancy in women with lupus erythematosus, rheumatoid arthritis (RA) and antiphospholipid syndrome (APS).Nominal panels were formed for consensus, systematic search of information, development of clinical questions, processing and staging of recommendations, internal validation by peers and external validation of the final document. The quality criteria of the AGREE II instrument were followed.The panels answered 37 questions related to maternal and fetal care in lupus erythematosus, RA and APS, as well as for use of antirheumatic drugs during pregnancy and lactation. The recommendations were discussed and integrated into a final manuscript. Finally, the corresponding algorithms were developed. In this second part, the recommendations for pregnant women with RA, APS and the use of antirheumatic drugs during pregnancy and lactation are presented.We believe that the Mexican clinical practice guidelines for the management of pregnancy in women with RA and APS integrate the best available evidence for the treatment and follow-up of patients with these conditions.

Published
2014

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