XV ENCUENTRO NACIONAL DE INVESTIGADORES COMISIÓN COORDINADORA DE INSTITUTOS NACIONALES DE SALUD Y HOSPITALES DE ALTA ESPECIALIDAD "2010, Año de la Patria, Bicentenario del Inicio de la Independencia y Centenario del lnicio de la Revolución".

27 AL 30 DE OCTUBRE, 2010 ACAPULCO, GUERRERO

                           

                        

PRESIDENTE HONORARIO

DR. JOSÉ ÁNGEL CÓRDOVA VILLALOBOS Secretario de Salud

PRESIDENTE

DR. ROMEO SERGIO RODRÍGUEZ SUÁREZ Titular de la Comisión Coordinadora de Institutos Nacionales de Salud y Hospitales de Alta Especialidad

COMITÉ CIENTÍFICO DRA. MARÍA LUCINDA AGUIRRE CRUZ DR. RODOLFO CANO JIMÉNEZ DRA. ALESSANDRA CARNEVALE CANTONI DR. EDMUNDO CHÁVEZ COSIO DR. PEDRO GUTIÉRREZ CASTRELLÓN DR. EDGAR ARMANDO HERNÁNDEZ ANDRADE DR. LUIS ALONSO HERRERA MONTALVO DR. DAVID KERSENOBICH STALNIKOWITZ DR. EDUARDO CÉSAR LAZCANO PONCE DR. ONOFRE MUÑOZ HERNÁNDEZ DRA. PATRICIA OSTROSKY SHEJET DR. FRANCISCO PELLICER GRAHAM DR. MOISÉS SELMAN LAMA DR. ALEJANDRO TREVIÑO BECERRA

APOYO LOGÍSTICO DRA. NORA ALVAREZ ESPINOSA LIC. RICARDO LÓPEZ LOYA DRA. SONIA PATRICIA ROMANO RIQUER LIC. MARÍA ISABEL VIRCHEZ VILLA

     

15º ENCUENTRO NACIONAL DE INVESTIGADORES

                          

352*5$0$&,(17Ë),&2   



   

                    

15º ENCUENTRO NACIONAL DE INVESTIGADORES EN SALUD



0,e5&2/(6'(2&78%5( +25$ 

 



&(5(021,$'(,1,&,2

 







3È*,1$

6$/21&2148,67$'25(6 

  02'(5$'25'53('52*87,e55(=&$675(//Ï1 +25$



75$%$-2





 



/$ 3527(Ë1$ '( &+248( 7e50,&2 '(  .'$ (6 81  %,20$5&$'25 6(16,%/(  D  DxRV@  > D  DxRV@ \  >PiV GH  DxRV@  /DV WDVDV SRU  KDEGHDFXHUGRDJUXSRGHHGDGDD \GHDxRVRPiV IXHURQUHVSHFWLYDPHQWH  ,QFLGHQFLDGHFDVRVQXHYRV\ S    7UDQVPLVLyQ UHFLHQWH   \  S   \   5HDFWLYDFLyQ   \  S   /RV $0 WXYLHURQ PHQRU VLQWRPDWRORJtD ILHEUH   \  S  \ FDUJD EDFLODU   \  S   /RV DGXOWRV PD\RUHV WXYLHURQ PD\RU SUREDELOLGDG GH IUDFDVR DO WUDWDPLHQWR 50 ,&     S   UHWUDWDPLHQWR 55 ,&     S    \ PXHUWH SRU WXEHUFXORVLV 55 ,&     S  DMXVWDQGR SRU FDUDFWHUtVWLFDV VRFLRGHPRJUiILFDV FOtQLFDV EDFWHULROyJLFDV\DxRGHGLDJQyVWLFR  &21&/86,21(6 /RV $0 SUHVHQWDQ ODV WDVDV GH 7%3 PiV DOWDV WDQWR GH WXEHUFXORVLV SRU UHDFWLYDFLyQ FRPR GH WUDQVPLVLyQ UHFLHQWH /DV FDUDFWHUtVWLFDV FOtQLFDV HQ HVWH JUXSR GH HGDG GLILFXOWDQ HO GLDJQyVWLFR $VLPLVPR VH REVHUYy TXHHVWRVSDFLHQWHVWLHQHQPD\RUSUREDELOLGDGGH GHVHQODFHV QHJDWLYRV 6H UHTXLHUHQ HVWUDWHJLDV HQIRFDGDV D HVWH JUXSR SDUD PHMRUDU HO GLDJQyVWLFR \ ORJUDU XQD PD\RU HIHFWLYLGDG GHO WUDWDPLHQWR      )LQDQFLDPLHQWR SDUFLDO SRU ORV  1,+ $, \ .7:  \ ++0, ,'   GH ORV (8$ )XQGDFLyQ :HOOFRPH GHO 58 \ SRU &21$&\7  0 \ )266,6  

15º ENCUENTRO NACIONAL DE INVESTIGADORES EN SALUD

127$6

13

15º ENCUENTRO NACIONAL DE INVESTIGADORES EN SALUD

75$%$-2  (9$/8$&,21 '( /$ 5(638(67$ ,1081( .QDXO @ \ VH FRQFHQWUD SULQFLSDOPHQWH HQ OD IURQWHUD QRUWH GHO SDtV GRQGH VyOR HQ  HVWDGRV VH UHJLVWUD HO  GHO WRWDO GH FDVRV >'*(66$6((' @ /D JUDQ SURSRUFLyQ GH LQGLYLGXRV H[SXHVWRV DO KXPR GH WDEDFR DPELHQWDO D QLYHO SREODFLRQDO HV XQD SULRULGDG HQ VDOXG S~EOLFD (Q HO iPELWR QDFLRQDO HO  GH OD SREODFLyQ HQWUH  D  DxRV GH HGDG VRQ IXPDGRUHV DFWLYRV FHUFD GH  PLOORQHV GH PH[LFDQRV \  GH HOORV DGROHVFHQWHV PLHQWUDVTXHFHUFDGHPLOORQHV TXH QXQFD KDQ IXPDGR   KDQ HVWDGR H[SXHVWRV DO 73 GH HVWRV ~OWLPRV  PLOORQHV VRQPXMHUHV>(1$@  2%-(7,92 'HWHUPLQDU OD DVRFLDFLyQ HQWUH OD H[SRVLFLyQ DFXPXODGD \ HQ GLIHUHQWHV YHQWDQDV GHVXVFHSWLELOLGDGSHMPHQDUFDHGDGDOSULPHU SDUWR HWF  D 73 \ HO ULHVJR GH &0 HQ PXMHUHV UHVLGHQWHVGHORVHVWDGRVIURQWHUL]RVGHOQRUWHGH 0p[LFR  0$7(5,$/ WUDVORFDFLyQ GH IRVIDWLGLOVHULQD )6 @  DVt FRPR OD H[SUHVLyQ  GH ROLJRQXFOHRVRPDV HQ OD FDVFDGD WHUPLQDO GH DSRSWRVLV PpWRGR GH 781(/  6H UHDOL]y GHWHUPLQDFLyQ VpULFD GH KRUPRQD DQWLPXOOHULDQD WHVWRVWHURQD IROtFXOR HVWLPXODQWH )6+  \ OXWHLQL]DQWH/+ JOREXOLQDILMDGRUDGHKRUPRQDV HVWHURLGHDV6+%* \SURODFWLQD  (O SRUFHQWDMH GH FpOXODV 5(68/7$'26 HVSHUPiWLFDV FRQ WUDVORFDFLyQ D QLYHO GH

68  

PHPEUDQDGH)6IXHVLJQLILFDWLYDPHQWHVXSHULRU FRQIRUPH VH LQFUHPHQWD OD HGDG GHO VXMHWR $129$3  UHVSHFWRDODIUDJPHQWDFLyQGHO $'1QRVHHQFRQWUDURQGLIHUHQFLDVVLJQLILFDWLYDV VLQ HPEDUJR Vt VH HQFRQWUy XQD WHQGHQFLD D OD IUDJPHQWDFLyQ GHO $'1 HQ ORV HVSHUPDWR]RLGHV GH VXMHWRV PD\RUHV GH  DxRV U  (O LQFUHPHQWRGHODHGDGGHOKRPEUHVHFRUUHODFLRQD SRVLWLYDPHQWH FRQ ORV QLYHOHV VpULFRV GH )6+ U   3   6+%* U   3   H tQGLFH GH DQGUyJHQRV OLEUHV U   3   VH HQFRQWUy XQD FRUUHODFLyQ QHJDWLYD HQWUH OD HGDGGHOVXMHWRFRQODFRQFHQWUDFLyQHVSHUPiWLFD U   3    \ OD PRYLOLGDG SURJUHVLYD U   3    1R VH HQFRQWUy DVRFLDFLyQ HQWUH ORV SDUiPHWURV KRUPRQDOHV \ ORV ELRPDUFDGRUHVGHDSRSWRVLV  &21&/86,21(6 (VWH HV HO SULPHU HVWXGLR GHPXHVWUDHOGHWHULRURIXQFLRQDO\SURJUHVLYRGHO HVSHUPDWR]RLGH HYDOXDGR PHGLDQWH OD H[SUHVLyQ FRQELRPDUFDGRUHVGHDSRSWRVLVTXHQRVH[SOLFDQ HOLQFUHPHQWR HQODGLVIXQFLyQUHSURGXFWLYDHQHO HVFHQDULRDFWXDOGHODVWpFQLFDVHQDOWDWHFQRORJtD UHSURGXFWLYD (VWH HVWXGLR FRQILUPD TXH OD HGDG VHDVRFLDFRQXQGHFUHPHQWRHQODFRQFHQWUDFLyQ \PRYLOLGDGHVSHUPiWLFDV 

15º ENCUENTRO NACIONAL DE INVESTIGADORES EN SALUD

127$6

69

15º ENCUENTRO NACIONAL DE INVESTIGADORES EN SALUD

75$%$-2 

6,57 (6 (6(1&,$/ 3$5$ /$ )81&,Ï1 &2*1,7,9$ ,&@ S  (Q HO DQiOLVLV GH KDSORWLSRV HQFRQWUDPRV TXH + LQIOX\H HQ HO QLYHO GH $*7 + &**77&&&* FDVRV >@S  FRQWUROHV  >  @ S  + &**7&&&&*  LQFUHPHQWD HO QLYHO GH $*7 VROR HQ FRQWUROHV  >  @ S   + 7$77&&7&* LQFUHPHQWDHOQLYHOHQVRORHQFDVRV   >  @ S  (O DQiOLVLV GH DVRFLDFLyQ GH ORV KDSORWLSRV FRQ OD KLSHUWHQVLyQ HVHQFLDO PXHVWUD TXH HO KDSORWLSR  VH HQFXHQWUD VREUH UHSUHVHQWDGR HQ HO JUXSR GH KLSHUWHQVRV &DVRVFRQWURO ; \S 6H REVHUYy TXH HO JUDGR GH /' HQWUH ODV YDULDQWHV DVRFLDGDV HVWUHFKD HQ ORV FRQWUROHV GLVPLQX\R HQ ORV FDVRV /' HQWUH 7*&7 FRQWUROHV '    /2'  U  FDVRV ' /2'U   &21&/86,21(6 5HSRUWDPRV  YDULDQWHV DVRFLDGDV FRQ HO FRQWURO GHO QLYHO SODVPiWLFR GH $*7 WDQWR HQ FDVRV FRPR HQ FRQWUROHV (VWDV YDULDQWHV QR VH HQFXHQWUDQ DVRFLDGDV FRQ ULHVJR D KLSHUWHQVLyQ HVHQFLDOSRURWURODGRHQFRQWUDPRVKDSORWLSRV+ + \ +  TXH UHJXODQ HO QLYHO GH $*7 SODVPiWLFR \ XQRGHHOORVVHHQFXHQWUDDVRFLDGRFRQKLSHUWHQVLyQ + (OULHVJRDVRFLDGRFRQORVQLYHOHVGH$*7HQOD SREODFLyQPH[LFDQDIXHSRVLWLYRSHURPDUJLQDO



15º ENCUENTRO NACIONAL DE INVESTIGADORES EN SALUD

127$6

93

15º ENCUENTRO NACIONAL DE INVESTIGADORES EN SALUD

75$%$-2  &21&855(17( &21 48,0,255$',27(5$3,$ *(0&,7$%,1$ 62/$ (1 08-(5(6 !  $f26  &21 &È1&(5 &(59,&287(5,12 /2&$/0(17( $9$1=$'2  -XDQ $OEHUWR 6HUUDQR 2OYHUD $OIRQVR 'XHxDV *RQ]iOH] 'DYLG &DQW~ GH /HyQ 'HOLD 3pUH] 0RQWLHO  -DLPH &RURQHO 0DUWtQH] /HVELD 5LYHUD /XFHO\&HWLQD3pUH]  6XEGLUHFFLyQ GH ,QYHVWLJDFLyQ &OtQLFD 6XEGLUHFFLyQ GH ,QYHVWLJDFLyQ %iVLFD 'HSDUDWPHQWR GH *LQHFRRQFRORJtD 'HSDUWDPHQWR GH SDWRORJtD \ 'HSDUWDPHQWR GH 5DGLRWHUDSLD GHO ,QVWLWXWR 1DFLRQDO GH &DQFHURORJtDGH0p[LFR  ÈUHD,QYHVWLJDFLyQ&OtQLFD

 $17(&('(17(6 (O FiQFHU FHUYLFRXWHULQR HV OD VHJXQGD QHRSODVLD PiV IUHFXHQWH HQWUH ODV PXMHUHVODTXLPLRUUDGLRWHUDSLDFRQFXUUHQWHHVHO WUDWDPLHQWR HVWiQGDU SDUD ODV HWDSDV ORFDOPHQWH DYDQ]DGDV GH OD HQIHUPHGDG /D HGDG HV XQ IDFWRUSURQyVWLFRGHODVXSHUYLYHQFLD\SXHGHVHU XQ HOHPHQWR TXH OLPLWD HO WUDWDPLHQWR (Q HVWH HVWXGLR VH UHSRUWD QXHVWUD H[SHULHQFLD FRQ TXLPLRUUDGLRWHUDSLDFRQFXUUHQWHFRQJHPFLWDELQD HQPXMHUHV!DxRVFRQFiQFHUFHUYLFRXWHULQR ORFDOPHQWHDYDQ]DGR  3$&,(17(650  ,&  ±  S  @ DVt FRPR HO VHU H[IXPDGRU >50     S  @ HVWXYLHURQ IXHUWHPHQWH DVRFLDGRV D VHU SDFLHQWH GH )3, /D H[SRVLFLyQ RFXSDFLRQDO D SROYRV KXPRV JDVHV \ VXVWDQFLDV TXtPLFDV \ OD SUHVHQFLD GH UHIOXMR JDVWURHVRIiJLFR WDPELpQ VH DVRFLDURQ D VHU FDVR GH )3, $ GLIHUHQFLD GH HVWXGLRV SUHYLRV GH FDUiFWHU UHWURVSHFWLYR HQ HO DQiOLVLV PXOWLYDULDGR OD '0 QR IXH XQ SUHGLFWRU LQGHSHQGLHQWHGH)3,  &21&/86,21(6 1XHVWURV KDOOD]JRV LQGLFDQ TXH IXQGDPHQWDOPHQWH HO KiELWR GH IXPDU \ OD SUHVHQFLD GH OD HQIHUPHGDG HQ OD IDPLOLD VH DVRFLDQDXQPD\RUULHVJRGH)3,\VXJLHUHQTXH XQ FLHUWR SRUFHQWDMH GH SDFLHQWHV FRQ DSDUHQWH HQIHUPHGDG HVSRUiGLFD WLHQHQ ILEURVLV SXOPRQDU IDPLOLDU  

15º ENCUENTRO NACIONAL DE INVESTIGADORES EN SALUD

127$6

101

15º ENCUENTRO NACIONAL DE INVESTIGADORES EN SALUD

75$%$-2  (67,08/$&,Ï1 '( ,/ 325 /$ 9Ë$ '( /$6 0$3.C6 '85$17( /$ ,1)(&&,Ï1 '(/ 9,586 3$5$,1)/8(1=$  *DOYiQ 0RUDOHV 0LJXHO ÈQJHO &DEHOOR *XWLpUUH] &DUORV 0HMtD 1HSRPXFHQR )LGHQFLR 9DOHQFLD 0DTXHGD(OED0DQMDUUH]=DYDOD0D(XJHQLD   ,QVWLWXWR 1DFLRQDO GH (QIHUPHGDGHV 5HVSLUDWRULDV ,VPDHO &RVtR 9LOOHJDV )DF GH 0HGLFLQD81$0  ÈUHD,QYHVWLJDFLyQ%LRPpGLFD%iVLFD

 $17(&('(17(6(OYLUXVGHSDUDLQIOXHQ]DKXPDQR WLSR  93,  RFDVLRQD SULQFLSDOPHQWH HQIHUPHGDGHV FRPR HO FUXS QHXPRQtD \ EURQTXLROLWLV WRGDV FODVLILFDGDV FRPR LQIHFFLRQHV UHVSLUDWRULDV DJXGDV ODV FXDOHV UHSUHVHQWDQ XQR GHORVSUREOHPDVGHVDOXGPiVLPSRUWDQWHDQLYHO PXQGLDO RULJLQDQGR DOWDV WDVDV GH PRUEL PRUWDOLGDG \ VRQ FDXVD GH KRVSLWDOL]DFLyQ GH UHFLpQ QDFLGRV ODFWDQWHV \ SUHHVFRODUHV (VWRV SDGHFLPLHQWRV DGHPiV GHO DJHQWH LQIHFFLRVR WDPELpQ VRQ HO UHVXOWDGR GH OD UHVSXHVWD LQIODPDWRULD (Q OD LQIHFFLyQ SRU HO YLUXV VLQFLFLDO UHVSLUDWRULR H ,QIOXHQ]D VH KD VXJHULGR TXH OD LQIODPDFLyQ HVWD PHGLDGD SRU OD ,/ 5$17(6 0,3α\RWUDVTXLPLRFLQDV,/HVXQPHGLDGRU LPSRUWDQWH GHO UHFOXWDPLHQWR GH QHXWURILORV PDFUyIDJRV\PDVWRFLWRV\VHKDUHSRUWDGRHQHO LQILOWUDGR GH QHFURSVLDV GH SDFLHQWHV FRQ GLDJQyVWLFR GH HQIHUPHGDGHV LQIODPDWRULDV SRU YLUXV /D SURGXFFLyQ GH HVWD TXLPRFLQD VH KD UHODFLRQDGRFRQODDFWLYDFLyQGH0$3.V0LWRJHQ DFWLYLW\SURWHLQNLQDVH HVSHFtILFDPHQWHGH-1.\ S (VWtPXORV H[WHUQRV D UHFHSWRUHV DXQ QR LGHQWLILFDGRVFRQSUHFLVLyQHVWiQLQYROXFUDGRVHQ OD SURSDJDFLyQ GH  VHxDOHV TXH FRQIOX\HQ HQ OD DFWLYDFLyQ QXFOHDU GH IDFWRUHV GH WUDQVFULSFLyQ \ TXHVHUHIOHMDQHQODSURGXFFLyQGH,/  2%-(7,92 (O REMHWLYR GH HVWH WUDEDMR IXH GHWHFWDU OD SURGXFFLyQ GH ,/ GXUDQWH OD LQIHFFLyQ GHO 93, H LGHQWLILFDU VL HVWD HVWLPXODFLyQHVDWUDYpVGHODYtDGHODV0$3.¶V  0$7(5,$/