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de la Rosa Parra J.A.,Institute Salud Del Estado Of Mexico Isem | de la Rosa Parra J.A.,National Autonomous University of Mexico | Garduno-Alanis A.,Institute Salud Del Estado Of Mexico Isem | Meneses-Calderon J.,Institute Salud Del Estado Of Mexico Isem | And 3 more authors.
Gaceta Medica de Mexico | Year: 2013

Pregnancy presents a large number of metabolic adaptations and requirements of micro and macronutrients could be increased, which are not always covered by the diet making necessary to supplement some of them. The micronutrients are an important part of metabolic reactions and both; their deficiency as their excess could participate in damage to organs and tissues of the mother and the fetus. Actually the hypertension pregnant states (HPS) participate in the leading causes of death during pregnancy, making necessary the search for interventions to prevent or reduce the consequences. The oxidative stress levels are linked with the risk to develop HPS, which has created assumptions about the use of micronutrients with antioxidant power and its possible role as protectors in these pathologies, however, the information is still uncertain and the metabolic action of the use of micronutrients supplementation is not precisely known because some micronutrients have shown a protective effect on the development of HPS. It is necessary to evaluate the nutritional status before and during pregnancy, as well to realize more studies about it and strengthen public policies about the use of micronutrients during the pregnancy. Source


Garduno-Alanis A.,Institute Salud Del Estado Of Mexico Isem | Vazquez-de Anda G.,National Autonomous University of Mexico | Valdes-Ramos R.,University of Central Mexico | Talavera J.O.,University of Central Mexico | And 3 more authors.
Nutricion Hospitalaria | Year: 2015

Objective: To determine the predictors of hypercholesterolemia and of hypertriglyceridemia during the first half of pregnancy in Mexican women. Methods: Cross-sectional comparative study of pregnant women with less than 21 weeks of gestational age. Measurements: Demographic information, obstetric history, prepregnancy body mass index, cholesterol and triglycerides. Cross tabulations and multiple logistic regression were used for statistical analysis. Results: 230 participants; 61 women with normal prepregnancy body mass index, 108 with overweight, and 61 with obesity. Dyslipidemia was defined as elevated cholesterol (>180 mg/dL) or triglycerides (>170 mg/dL). After adjusting by potential confounders, independent predictors of hypercholesterolemia included being overweight (OR=2.8, 95% CI 1.4-5.9), being obese (OR=3.7 95% CI 1.6-8.4) or being on the second trimester of pregnancy. The same predictors were found for hypertriglyceridemia, respectively OR=2.8, 95% CI 1.4-5.6, OR=2.9, 95% CI 1.3-6.5, OR=2.6, 95% CI 1.4-4.7. Conclusion: Mexican women with prepregnancy overweight or obesity have greater risk of suffering hypercholesterolemia and hypertriglyceridemia during pregnancy. Women in the second trimester had higher levels of both lipids as compared to the first one. This is the first Mexican study that confirms the increase of lipids as gestational age progresses. © 2015, Grupo Aula Medica S.A. All rights reserved. Source


Osnaya-Moreno H.,Institute Salud Del Estado Of Mexico Isem | Romero-Espinosa J.F.,Institute Salud Del Estado Of Mexico Isem | Mondragon-Chimal M.A.,Institute Salud Del Estado Of Mexico Isem | Ochoa-Gonzalez G.,Institute Salud Del Estado Of Mexico Isem | Escoto-Gomez J.A.,Institute Salud Del Estado Of Mexico Isem
Cirugia y Cirujanos | Year: 2014

Background: Traumatic hand injuries are among the principal types of injuries. These injuries refer to any acute damage caused to the hand by an external agent. The aim of this study was to determine the characteristics of these injuries in our unit.Objective: To determine the characteristics of hand injuries at the Plastic and Reconstructive Surgery of the Centro Médico "Licenciado Adolfo López Mateos" (CMLALM) and compare the results with those reported in other countries.Methods: Retrospective study of patients diagnosed with traumatic hand injury treated at the Plastic and Reconstructive Surgery service at CMLALM during the period from September 6, 2010 to September 5, 2011.Results: One hundred five cases were treated. There was a predominance of males (82.9%). The most affected group was 20-29 years old (44.8%). The right hand was the most injured (46.7%). The most common mechanism of injury was due to abrasion (41%) followed by sharp objects (32.4%). The dominant hand was the most damaged (50.47%). The most common injuries were open type (88.6%) and single type (84.8%).Conclusions: Hand injuries were more common in men and were occupationally related; therefore, occupational safety programs must be improved. The characteristics of traumatic hand injuries in our unit were very similar to those seen worldwide. © 2014 Cir Cir. Source

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