What Opportunities Exist for Making the Food Supply Nutrition Friendly? A Policy Space Analysis in Mexico.

BACKGROUND: As part of a global policy response for addressing malnutrition, food system actions have been proposed. Within food system interventions, policies directed to supply chains have the potential to increase the availability and affordability of a healthy diet. This qualitative study aimed to identify opportunities to integrate nutrition as a priority into the food supply policy space in Mexico. METHODS: Data were collected through analysis of 19 policy documents and 20 semi-structured stakeholder interviews. As an analytical framework, we used policy space analysis and embedded the Advocacy Coalition Framework (ACF) and the steps of the food chain of the conceptual framework of food systems for diets and nutrition. RESULTS: Policy issues relevant to nutrition were viewed differently in the economic and agricultural sectors versus the health sector. Overall, the main policy objective related to nutrition within the economic and agricultural sectors was to contribute to food security in terms of food quantity. Nutrition was an objective in itself only in the health sector, with a focus on food quality. Our policy space analysis reveals an opportunity to promote a new integrated vision with the recent creation of an intersectoral group working on the public agenda for a food system transformation. This newer integrative narrative on food systems presents an opportunity to shift the existing food security narrative from quantity towards considerations of diet quality. CONCLUSION: The political context and public agenda are favorable to pursue a food system transformation to deliver sustainable healthy diets. Mexico can provide a case study for other low- and middle-income countries (LMICs) for putting nutrition at the center of food policy, despite the ongoing constraints on achieving this.

[Personality patterns of kidney donors]. / Personalidad en donadores renales.

BACKGROUND: The renal transplantation occurrence has increased over the last 20 years, increasing as well, the importance of knowing personality traits of both donor and recipient deeply. The aim was to understand and describe the psychological profile (personality and psychopathology) that characterizes kidney donors. METHODS: The Minnesota Multiphase Personality Inventory MMPI (version 1) was applied to 110 subjects who decided to be kidney donors (before undergoing intervention) the results were analyzed by Student t test for comparison of independent groups and to know whether there are gender differences in personality. RESULTS: Significant differences in the scales of introversion and psychasthenia (anxiety) were found, men being the most anxious and women having higher levels of social isolation. CONCLUSIONS: In general, donors tend to seek social recognition, reflecting fear to donation and concern about the effects it may have on their health as well as mild depressive symptoms. That is why we remark the importance of psychological support to kidney donors.

Psicopatología y personalidad de pacientes cardiópatas / Psychopathology and personality of patients with heart disease

PURPOSE: To know the psychological aspects involved in cardiac ailments and whether there was a distinctive personality profile of each disorder. METHODS: We evaluated 137 patients with congenital heart, acute myocardial infarction (AMI) or awaiting a heart transplant who came to the National Institute of Cardiology Ignacio Chavez. We used multiphase Personality Inventory, which provides information on personality traits and psychopathology. RESULTS: There were significant differences between some cardiac sufferings and the scales that the inventory measures, as well as the existence of differences between sexes. CONCLUSIONS: The diseases associated with the heart involve not only some physical and psychological consequences, but also significant psychological consequences depending on the type of heart disease. Those with a congenital heart had better conditions than other emotional heart diseases studied. For their part, those who have suffered IAM are showing higher depressive Levels (being higher in males), while those more concerned about their health in this study were patients awaiting heart transplantation. That is why it is important to take into account the psychological aspects in the cardiac conditions to achieve a better multidisciplinary management.

[Psychopathology and personality in patients with vasovagal syncope]. / Estudio descriptivo de la personalidad y psicopatología en pacientes con síncope vasovagal.

UNLABELLED: Syncope is characterized by a sudden and brief Loss of the normal state of consciousness (fainting), caused by multiple factors (biological, psychological and social), which consequences can be Lethal if it is not timely diagnosed and treated. These episodes affect the total sphere of the subject (on an individual, work, school, social, and family level). PURPOSE OF THE STUDY: Contribute to the study of vasovagal syncope (WS) patients, describing their personality and psychopathological characteristics. METHOD: Minnesota Multiphasic Personality Inventory (MMPI) was used to evaluate psychopathology in a sample of 30 subjects diagnosed with (WS), attended in the National Institute of Cardiology "lgnacio Chávez", making a descriptive analysis of the complete sample, regarding demographic variables and inventory scores. RESULTS: The scales with higher scores found within these subjects were hypochondriasis (= 67.43), depression (= 69.83), hysteria (= 67.83) among others. CONCLUSIONS: In general, patients with (WS) show significant levels of anxiety and depression, dissatisfaction, bad mood, pessimism, concern, somatic complaints, difficulty to solve problems adaptively, among others. This study remarks the importance of knowing these characteristics to implement treatments that manage this disease properly and may improve patients quality of life, as well as their physical and mental health.

Estudio descriptivo de la personalidad y psicopatología en pacientes con síncope vasovagal / Psychopathology and personality in patients with vasovagal syncope

Syncope is characterized by a sudden and brief Loss of the normal state of consciousness (fainting), caused by multiple factors (biological, psychological and social), which consequences can be Lethal if it is not timely diagnosed and treated. These episodes affect the total sphere of the subject (on an individual, work, school, social, and family level). PURPOSE OF THE STUDY: Contribute to the study of vasovagal syncope (WS) patients, describing their personality and psychopathological characteristics. METHOD: Minnesota Multiphasic Personality Inventory (MMPI) was used to evaluate psychopathology in a sample of 30 subjects diagnosed with (WS), attended in the National Institute of Cardiology "lgnacio Chávez", making a descriptive analysis of the complete sample, regarding demographic variables and inventory scores. RESULTS: The scales with higher scores found within these subjects were hypochondriasis (= 67.43), depression (= 69.83), hysteria (= 67.83) among others. CONCLUSIONS: In general, patients with (WS) show significant levels of anxiety and depression, dissatisfaction, bad mood, pessimism, concern, somatic complaints, difficulty to solve problems adaptively, among others. This study remarks the importance of knowing these characteristics to implement treatments that manage this disease properly and may improve patients quality of life, as well as their physical and mental health.

[Psychopathology and personality of patients with heart disease]. / Psicopatología y personalidad de pacientes cardiópatas.

PURPOSE: To know the psychological aspects involved in cardiac ailments and whether there was a distinctive personality profile of each disorder. METHODS: We evaluated 137 patients with congenital heart, acute myocardial infarction (AMI) or awaiting a heart transplant who came to the National Institute of Cardiology Ignacio Chavez. We used multiphase Personality Inventory, which provides information on personality traits and psychopathology. RESULTS: There were significant differences between some cardiac sufferings and the scales that the inventory measures, as well as the existence of differences between sexes. CONCLUSIONS: The diseases associated with the heart involve not only some physical and psychological consequences, but also significant psychological consequences depending on the type of heart disease. Those with a congenital heart had better conditions than other emotional heart diseases studied. For their part, those who have suffered IAM are showing higher depressive Levels (being higher in males), while those more concerned about their health in this study were patients awaiting heart transplantation. That is why it is important to take into account the psychological aspects in the cardiac conditions to achieve a better multidisciplinary management.