Revista medica del Instituto Mexicano del Seguro Social最新文献_第8页

[Treatment of cardiogenic shock due to right ventricular involvement]. [右心室受累致心源性休克的治疗]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064450

Luis Efrén Santos-Martínez, Gian-Manuel Jiménez-Rodríguez, Jorge Sánchez-Nieto, Sergio Ortiz-Obregón, Diana Romero-Zertuche, Luis-Antonio Moreno-Ruiz

{"title":"[Treatment of cardiogenic shock due to right ventricular involvement].","authors":"Luis Efrén Santos-Martínez, Gian-Manuel Jiménez-Rodríguez, Jorge Sánchez-Nieto, Sergio Ortiz-Obregón, Diana Romero-Zertuche, Luis-Antonio Moreno-Ruiz","doi":"10.5281/zenodo.10064450","DOIUrl":"10.5281/zenodo.10064450","url":null,"abstract":"The right ventricle is susceptible to changes in preload, afterload, and contractility. The answer is its dilation with dysfunction/acute failure; filling is limited to the left ventricle and cardiac output. Systemic venous congestion is retrograde to the right heart, it is involved in the genesis of cardiogenic shock due to right ventricle involvement. This form of shock is less well known than that which occurs due to left ventricular failure, therefore, treatment may differ. Once the primary treatment has been carried out, since no response is obtained, supportive treatment aimed at ventricular pathophysiology will be the next option. It is suggested to evaluate the preload for the reasoned indication of liquids, diuretics or even ultrafiltration. Restore or maintain heart rate and sinus rhythm, treat symptomatic bradycardia, arrhythmias that make patients unstable, use of temporary pacing or cardioversion procedures. Improving contractility and vasomotility, using vasopressors and inotropes, alone or in combination, the objective will be to improve right coronary perfusion pressure. Balance the effect of drugs and maneuvers on preload and/or afterload, such as mechanical ventilation, atrial septostomy and pulmonary vasodilators. And the increasing utility of mechanical support of the circulation that has become a useful tool to preserve/restore right heart function.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10729689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Unusual case of pseudotumoral hip injury due to gout: case report]. 【痛风致假瘤性髋关节损伤1例报告】。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064752

Gabriel Narváez-Carrasquilla, Juan David Paternina-Carballo, Gabriel Narváez-Rodríguez

{"title":"[Unusual case of pseudotumoral hip injury due to gout: case report].","authors":"Gabriel Narváez-Carrasquilla, Juan David Paternina-Carballo, Gabriel Narváez-Rodríguez","doi":"10.5281/zenodo.10064752","DOIUrl":"10.5281/zenodo.10064752","url":null,"abstract":"Background: Gout is known as arthropathy due to the deposit of monosodium urate crystals; This pathology comprises a set of clinical and radiographic tests in the context of the intra-articular presence of said crystals. It is a chronic disease associated with other comorbidities such as arterial hypertension, osteoarthritis, diabetes mellitus, etc. The case of a patient with gouty arthritis with consequent hip lesion with a pseudotumoral appearance difficult to diagnose is presented, in order to highlight the importance of this, as well as the appropriate follow-up and treatment for this chronic pathology.Clinical case: A 51-year-old male patient, with a history of hip osteoarthritis and gout. The symptoms and signs were pain in the right hip with an 8/10 on an analogue pain scale, associated with functional limitation characterized by reduced range of motion and impossibility of standing. Imaging studies are carried out which are suggestive of a tumor lesion at the proximal femur with malignant characteristics, for which a biopsy and subsequent histopathological diagnosis of gouty tophi is performed.Conclusions: Gout is a prevalent disease in the adult population, however, its infrequent joint location can result in a difficult diagnosis, so it is necessary not to rule out this entity and to carry out specific studies for its identification.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10727767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Mixed analysis of the satisfaction survey of the Primary Health Care course of the Institute of Health for Well-being]. [健康福祉研究所初级卫生保健课程满意度调查的混合分析]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064301

Carlos Alberto Juárez-Medel, Rosbel Toledo-Ortiz, Jessica Margarita González-Rojas, Yesenia Romero-Casillas, Malú Aidee Reyna-Álvarez, Sergio Aarón de la Rosa-Cruz, Luz Alejandra Cano-Collado, César Raúl González-Bonilla

{"title":"[Mixed analysis of the satisfaction survey of the Primary Health Care course of the Institute of Health for Well-being].","authors":"Carlos Alberto Juárez-Medel, Rosbel Toledo-Ortiz, Jessica Margarita González-Rojas, Yesenia Romero-Casillas, Malú Aidee Reyna-Álvarez, Sergio Aarón de la Rosa-Cruz, Luz Alejandra Cano-Collado, César Raúl González-Bonilla","doi":"10.5281/zenodo.10064301","DOIUrl":"10.5281/zenodo.10064301","url":null,"abstract":"Background: Describing the perception towards the online course on Primary Health Care (PHC) of the Institute of Health for Well-being (INSABI) will allow to establish improvement actions.Objective: Describe the factors that contribute to satisfaction with the PHC course offered online by INSABI.Material and methods: 620 records of the Health Education System for Well-being were studied. Satisfaction was determined using a Likert-type questionnaire with three dimensions: virtual environment, cognitive area, and measurement of learning. A deductive analysis of the open opinions was carried out.Results: 70% of the health personnel approved the course in less than a week, with an initial score of 5.41 ±1.9 points and final score of 7.8 ± 1.2. More than 65% had scores above the average in the three dimensions. Satisfaction with the virtual environment was 15.57 ± 3.4 points, and 15.73 ± 3.3 with the cognitive dimension. Age and gender were associated with dissatisfaction with the virtual environment and in the cognitive dimension, age was associated with dissatisfaction; 27.7% expressed negative comments, 28.5% related to course extension; 15.5% about the didactic techniques, 10.9% about the speakers and 10.4% about the final exam.Conclusions: The course generates significant learning, 62.4% of the students have a positive or neutral opinion. However, 27.8% expressed dissatisfaction, the majority related to the extension of the course.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10712933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Transculturation and validation of a Questionnaire Factors Influencing Organ Donation]. [影响器官捐献因素的问卷调查与验证]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064317

Arturo García-Galicia, Gisela Alonso-Torres, Álvaro José Montiel-Jarquín, Nancy Rosalía Bertado-Ramírez, José Justino Torreblanca-Reyes, Marco Andrés González-Martínez, Jorge Loría-Castellanos

{"title":"[Transculturation and validation of a Questionnaire Factors Influencing Organ Donation].","authors":"Arturo García-Galicia, Gisela Alonso-Torres, Álvaro José Montiel-Jarquín, Nancy Rosalía Bertado-Ramírez, José Justino Torreblanca-Reyes, Marco Andrés González-Martínez, Jorge Loría-Castellanos","doi":"10.5281/zenodo.10064317","DOIUrl":"10.5281/zenodo.10064317","url":null,"abstract":"Background: There are validated questionnaires in Spanish that evaluate the factors that influence organ donation, but they are not designed for the open population or do not delve into various aspects such as the one proposed.Objective: Validate an instrument to evaluate the factors that influence organ donation in Mexico.Material and methods: Phase 1: Development of the instrument. Translation into Spanish of the questionnaire \"Factors Inffluencing Organ Donation in Qatar\", adapted by experts in donation and clinimetry. Simultaneously, the definitive version of the questionnaire \"Factors that Influence Organ Donation\" (FIDO) and the questionnaire \"International Donor Collaborative Project\" were applied to patients, relatives and staff of a tertiary hospital in Puebla, Mexico. Mind a week after 200 respondents. Cronbach's Alpha (AC) (internal consistency), Intraclass Correlation Coefficient (ICC) (external consistency), and Phi (Phi) and Chi square Coefficient (concurrent validity in intention to donate) were obtained.Results: AC and ICC by domain: Knowledge 0.625 and 0.372; Attitudes 0.776 and 0.761; Beliefs 0.649 and 0.633; Intentions 0.126 and 0.123; Phi: 0.976, Chi square: 2.358 (p = 0.125).Conclusions: The FIDO questionnaire is valid and consistent to assess knowledge, attitudes, beliefs and intentions in organ donation in the general Mexican population.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10713010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Tezepelumab: a new option for the treatment of severe asthma]. [Tezepelumab:治疗严重哮喘的新选择]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-11-06 DOI: 10.5281/zenodo.10064422

Valente Armando Maldonado-Ríos, Juan Camilo Ardila-Herrera, Luz María Galicia-Sánchez, Carlos Andrés Celis-Preciado

{"title":"[Tezepelumab: a new option for the treatment of severe asthma].","authors":"Valente Armando Maldonado-Ríos, Juan Camilo Ardila-Herrera, Luz María Galicia-Sánchez, Carlos Andrés Celis-Preciado","doi":"10.5281/zenodo.10064422","DOIUrl":"10.5281/zenodo.10064422","url":null,"abstract":"In Latin America, asthma is a public health problem with a significant impact on both patients and health systems. The greater understanding of the pathophysiology and the recognition of the central role that inflammation has in the severity of asthma has favored the development of monoclonal antibodies that have IL-5, IL-4, IL-13 and IgE as therapeutic targets. Although these therapeutic alternatives promote better control of the disease, not all patients respond favorably to these treatments. Therefore, it is of particular interest to explore monoclonal antibodies such as Tezepelumab, directed against thymic stromal lymphopoietin (TSLP), an alarmin (epithelial cytokine) that participates in the initiation and perpetuation of inflammation in Asthma. Therefore, in this review, we will show the clinical efficacy of tezepelumab in reducing the annual rate of exacerbations, improving lung function, and reducing bronchial hyperreactivity, regardless of the patient's baseline biomarker levels. Therefore, this new molecule is a highly effective therapeutic option for patients with severe asthma.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10723833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Factors associated with benzodiazepines dependence in insomnia patients]. [失眠患者苯二氮卓类药物依赖的相关因素]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-10-02 DOI: 10.5281/zenodo.8319759

Angélica Maravillas-Estrada, Ivonne Analí Roy-García, Rodolfo Rivas-Ruiz, Eduardo Vilchis-Chaparro

{"title":"[Factors associated with benzodiazepines dependence in insomnia patients].","authors":"Angélica Maravillas-Estrada, Ivonne Analí Roy-García, Rodolfo Rivas-Ruiz, Eduardo Vilchis-Chaparro","doi":"10.5281/zenodo.8319759","DOIUrl":"10.5281/zenodo.8319759","url":null,"abstract":"Background: The use of benzodiazepines as a treatment for insomnia can have side effects such as impaired coordination causing falls in adults and even dependence.Objective: To assess the factors associated with dependence on benzodiazepines in patients with insomnia.Methods: Observational, cross-sectional, prospective, and analytical study, at the first level of care. Patients older than 18 years with a diagnosis of insomnia and a benzodiazepine prescription were selected. The dependency was measured with the International Neuropsychiatric Interview.Results: 107 patients were included. Median age 67 years, predominantly female (72%), 74% attended secondary school or more, 71% had more than 3 years of diagnosis, 84% used clonazepam. The 54% presented dependency. In the bivariate analysis, schooling RM 0.392 (95%CI: 0.15-0.96) p = 0.038, moderate and severe clinical insomnia RM 3.618 (95%CI: 1.44-9.08) p = 0.005 and more than 3 years of diagnosis RM 2.428 (95%CI: 1.03-5.71) p = 0.040. In the multivariate model, schooling (p = 0.084), years of diagnosis (p = 0.062) and frequency of consumption (p = 0.065) obtained an R2 of 0.13.Conclusions: Primary schooling showed a lower risk of presenting dependence on benzodiazepines. The risk was increased in those with more than 3 years of diagnosis, and in those with moderate and severe insomnia.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71490735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[ROC curves: general characteristics and their usefulness in clinical practice]. [ROC曲线：一般特征及其在临床实践中的有用性]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-10-02 DOI: 10.5281/zenodo.8319791

Ivonne Analí Roy-García, Carlos Paredes-Manjarrez, Jorge Moreno-Palacios, Rodolfo Rivas-Ruiz, Andrey Arturo Flores-Pulido

{"title":"[ROC curves: general characteristics and their usefulness in clinical practice].","authors":"Ivonne Analí Roy-García, Carlos Paredes-Manjarrez, Jorge Moreno-Palacios, Rodolfo Rivas-Ruiz, Andrey Arturo Flores-Pulido","doi":"10.5281/zenodo.8319791","DOIUrl":"10.5281/zenodo.8319791","url":null,"abstract":"The use of diagnostic tests to determine the presence or absence of a disease is essential in clinical practice. The results of a diagnostic test may correspond to numerical estimates that require quantitative reference parameters to be transferred to a dichotomous interpretation as normal or abnormal and thus implement actions for the care of a condition or disease. For example, in the diagnosis of anemia it is necessary to define a cut-off point for the hemoglobin variable and create two categories that distinguish the presence or absence of anemia. The method used for this process is the preparation of diagnostic performance curves, better known by their acronym in English as ROC (Receiver Operating Characteristic). The ROC curve is also useful as a prognostic marker, since it allows defining the cut-off point of a quantitative variable that is associated with greater mortality or risk of complications. They have been used in different prognostic markers in COVID-19, such as the neutrophil/lymphocyte ratio and D-dimer, in which cut-off points associated with mortality and/or risk of mechanical ventilation were identified. The ROC curve is used to evaluate the diagnostic performance of a test in isolation, but it can also be used to compare the performance of two or more diagnostic tests and define which one is more accurate. This article describes the basic concepts for the use and interpretation of the ROC curve, the interpretation of an area under the curve (AUC) and the comparison of two or more diagnostic tests.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71490655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Saturation index and fraction of inspired oxygen as a predictor in COVID-19]. [饱和指数和吸入氧气分数作为新冠肺炎的预测因素]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-10-02 DOI: 10.5281/zenodo.8319752

Shareni Berenice Castro-Arellano, Laura Elizabeth Sandoval-Mosqueda, Francisco Javier Flores-Murrieta

{"title":"[Saturation index and fraction of inspired oxygen as a predictor in COVID-19].","authors":"Shareni Berenice Castro-Arellano, Laura Elizabeth Sandoval-Mosqueda, Francisco Javier Flores-Murrieta","doi":"10.5281/zenodo.8319752","DOIUrl":"10.5281/zenodo.8319752","url":null,"abstract":"Background: Coronavirus disease leads to silent hypoxia, ARDS, and organ failure. The saturation and fraction of inspired oxygen have been related to the degree of lung damage, can be considered as a monitoring tool for lung function during hospitalization and a predictor of mortality in patients with pneumonia by COVID-19.Objective: To evaluate the usefulness of the oxygen saturation index and fraction of inspired oxygen as a predictor of mortality in patients with COVID-19 pneumonia.Material and methods: A retrospective, longitudinal, analytical study. Files of eligible patients with a diagnosis of SARS-CoV-2 pneumonia were admitted to HGR No.2, complete file, recording of oxygen saturation and inspired fraction of oxygen, were included. Patients dependent on supplemental oxygen, who did not require supplemental oxygen during their hospitalization, incomplete records, patients who have died from non-pulmonary causes, were excluded.Results: A sample of 175 files with a diagnosis of pneumonia with SARS-CoV-2 was obtained. A logistic regression model was performed including age over 60 years BE of 2.68, with CI (1.09-6.5), DM2 with a BE of 2.35 with CI (0.99-5.59), HTA with a BE of 0.80, with CI (0.32-2.02), SAFI index less than 310 with a BE of 6.63, with a CI (2.64-16.65), endotracheal intubation with a BE 48.43, and a CI (2.64-16.65).Conclusion: The SpO2/Fio2 index can be used for continuous monitoring of lung function in patients with COVID-19 pneumonia, in an accessible, easy and economical way. A relationship with mortality was obtained in patients with SpO2/FiO2 less than 310 associated with other factors.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10735272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71490657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Effect of weight gain on the development of gestational diabetes]. 【体重增加对妊娠期糖尿病发展的影响】。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-10-02 DOI: 10.5281/zenodo.8319773

María Guadalupe Suárez-Cruz, Rodolfo Rivas-Ruíz, Dulce Kristel Sarmiento-Galván, Paloma Gabriela Martínez-Valle, Eva Xóchitl Mondragón-Sandoval, Marco Antonio López-Farias, Juan Carlos Rivera-Mendoza, Eduardo Abasolo-Ramírez, Fairt Vladimir Carmona-Sierra

{"title":"[Effect of weight gain on the development of gestational diabetes].","authors":"María Guadalupe Suárez-Cruz, Rodolfo Rivas-Ruíz, Dulce Kristel Sarmiento-Galván, Paloma Gabriela Martínez-Valle, Eva Xóchitl Mondragón-Sandoval, Marco Antonio López-Farias, Juan Carlos Rivera-Mendoza, Eduardo Abasolo-Ramírez, Fairt Vladimir Carmona-Sierra","doi":"10.5281/zenodo.8319773","DOIUrl":"10.5281/zenodo.8319773","url":null,"abstract":"Background: Gestational diabetes mellitus (GDM) refers to diabetes diagnosed in the second or third trimester of pregnancy. Assessing the weight gain in each pregnant women's appointment is a common task of primary care during their visit. However, the implications of this increase in weight for the development of GDM are unknown.Objective: Evaluate if the greater than expected weight gain (HEWG) in pregnancy is a risk factor for the development of GDM.Methods: Analytical, observational, longitudinal, retrolective study, which included pregnant women between 15 and 40 years of age with complete follow-up of the preg-nancy with > 2 prenatal check-ups, somatometry and complete medical history was made. During follow-up, the GPME was determined. Odds ratio (OR) and 95% confi-dence intervals (95% CI) were calculated. Variables with significance were entered into a multiple logistic regression model (MLR), where the dependent variable was DMG. The sample size calculation was for convenience.Results: 1000 pregnant women with a median age of 28 years were included. In the MLR The pre-gestational body mass index (BMI) with overweight had an RM of 1.3 (95% CI 0.86-1.98), BMI with obesity an OR of 2.57 (95% CI 1.6-4.14), the HEWG during pregnancy had an OR 1.14 95% CI (0.71-1.81), Age> 30 years shows an RM of 2.24 (95% CI 1.55-3.25).Conclusions: HEWG during pregnancy is not an independent risk factor for the devel-opment of GDM. The main ones are age> 30 years and pre-gestational obesity.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71490733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Impact of attend to day care associated with healthy weight in infants and preschoolers]. [参加日托对婴儿和学龄前儿童健康体重的影响]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2023-10-02 DOI: 10.5281/zenodo.8319739

Felipe Lua-Bernal, Blanca Sandra Ruíz-Betancourt, Rodolfo Rivas-Ruiz, Ruth Mery López-Mayorga

{"title":"[Impact of attend to day care associated with healthy weight in infants and preschoolers].","authors":"Felipe Lua-Bernal, Blanca Sandra Ruíz-Betancourt, Rodolfo Rivas-Ruiz, Ruth Mery López-Mayorga","doi":"10.5281/zenodo.8319739","DOIUrl":"10.5281/zenodo.8319739","url":null,"abstract":"Background: Being overweight affects millions of infants and preschoolers in the world, affecting their quality and life expectancy. Exposure to day care centers may play an important role in preventing unhealthy weight (UW).Objective: To point out the prevalence and association of day care exposure and other factors associated with UW in infants and preschoolers.Methods: An analytical cross-sectional study was carried out. Infant population aged 6-47 months without comorbidities that compromised their nutritional status were included, and those with formal childcare different from the selected day care were excluded. Exposure to day care, and other factors (perinatal, physical activity, nutritional, and familiar) were evaluated. A z score > 1 SD was considered UW. Prevalence, odds ratios (OR), 95% confidence intervals (95%CI) and adjusted RM by low birth weight, initiation of complementary feeding, consumption of sugary drinks, daytime naps, maternal nutritional status, and family income quintile through logistic regression.Results: The overall prevalence of UW was 17.84% (95%CI: 14.93-21.16), 11.84 (95%CI: 8.54-16.14) for children exposed to day care, and 23.78% (95%CI: 19.21-29.02) in unexposed infant population, showing significant differences between both prevalences (p < 0.001). The adjusted OR for UW presentation was 0.39 (95% CI: 0.23-0.66).Conclusions: Exposure to IMSS day care has shown to be a possible protective environment against the development of a UW.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71490737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0