scholarly journals Risk, Covid-19 and hospital care in Mexico City: Are we moving toward a new medical practice?

2022 ◽  
Vol 31 (1) ◽  
pp. 26-46
Author(s):  
Rubén Muñoz Martínez
Author(s):  
Paul Ramírez

From 1736 to 1739 an outbreak of matlazahuatl, likely typhus, ravaged the Valley of Mexico. In Mexico City, public responses in the form of hospital care, processions, and numerous devotional acts were documented by Cayetano Cabrera y Quintero, an eyewitness and promoter of the cult of the Virgin of Guadalupe. His plague chronicle provides a point of departure for a deeper history of the dramaturgy of epidemic outbreaks, in which public pageantry and appeals to beloved saints transformed cities and towns into thoroughfares of saints and devotees. This chapter examines how these performances were both sponsored by corporate bodies and solicited by laypeople well into the eighteenth century, when administrators aggressively pursued sanitation and hygiene campaigns alongside divine succor.


2020 ◽  
Vol 32 (3) ◽  
pp. 190-195
Author(s):  
Yvonne de Man ◽  
Stef Groenewoud ◽  
Mariska G Oosterveld-Vlug ◽  
Linda Brom ◽  
Bregje D Onwuteaka-Philipsen ◽  
...  

Abstract Objective To examine the regional variation in hospital care utilization in the last 6 months of life of Dutch patients with lung cancer and to test whether higher degrees of hospital utilization coincide with less general practitioner (GP) and long-term care use. Design Cross-sectional claims data study. Setting The Netherlands. Participants Patients deceased in 2013–2015 with lung cancer (N = 25 553). Main Outcome Measures We calculated regional medical practice variation scores, adjusted for age, gender and socioeconomic status, for radiotherapy, chemotherapy, CT-scans, emergency room contacts and hospital admission days during the last 6 months of life; Spearman Rank correlation coefficients measured the association between the adjusted regional medical practice variation scores for hospital admissions and ER contacts and GP and long-term care utilization. Results The utilization of hospital services in high-using regions is 2.3–3.6 times higher than in low-using regions. The variation was highest in 2015 and lowest in 2013. For all 3 years, hospital care was not significantly correlated with out-of-hospital care at a regional level. Conclusions Hospital care utilization during the last 6 months of life of patients with lung cancer shows regional medical practice variation over the course of multiple years and seems to increase. Higher healthcare utilization in hospitals does not seem to be associated with less intensive GP and long-term care. In-depth research is needed to explore the causes of the variation and its relation to quality of care provided at the level of daily practice.


2004 ◽  
Vol 10 (3) ◽  
pp. 215-220 ◽  
Author(s):  
G.P. Westert ◽  
P.P. Groenewegen ◽  
H.C. Boshuizen ◽  
P.M.M. Spreeuwenberg ◽  
M.P.M. Steultjens

Peyote Effect ◽  
2018 ◽  
pp. 73-89
Author(s):  
Alexander S. Dawson

After several decades in which scientists produced a slow trickle of scholarship on the potential uses of peyote/mescaline for mental health afflictions, in the 1950s this genre of psychiatric research into hallucinogens expanded significantly. Mexico remained a relative backwater for this type of work until 1957, when Dr. José Rodríguez at the Sanatorio Psiquiatrico Santiago Ramírez Moreno in Mexico City initiated a mescaline study, in which a young Mexican doctor named Salvador Roquet participated. Though terrified and initially incapacitated by his experience, over time, Roquet came to believe that the psychedelics he took in this session offered profoundly powerful tools for psychiatry. Over the course of a decade, he sought to learn as much as he could about these drugs from their traditional users, the shamans of the Mazatec and Huichol communities, and to build a medical practice in Mexico City that translated that knowledge into something that would be useful for his urban, ladino, and generally well-educated patients. His Clínica de Psicosíntesis operated in Mexico City from 1967 to 1974.


2011 ◽  
Vol 6 (3) ◽  
pp. 48
Author(s):  
M. ALEXANDER OTTO
Keyword(s):  

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