Denova-Gutierrez E.,University of Central Mexico |
Halley-Castillo E.,Institute Salud Del Estado Of Mexico |
Borges G.,Metropolitan Autonomous University |
Flores M.,Research Center en Nutricion y Salud |
Salmeron J.,Instituto Nacional Of Salud Publica
Annals of Nutrition and Metabolism | Year: 2012
Background/Objective: Insulin resistance (IR) is a metabolic disorder that is increasing worldwide and has been associated with several negative health outcomes. The aim of this study was to evaluate the relationship between different dietary patterns and IR among Mexican children and adolescents. Methods: We performed a cross-sectional analysis on baseline data from Mexican children and adolescents aged 7-18 years participating in the Health Workers Cohort Study. We included 916 children and adolescents of both sexes. Fasting serum glucose and insulin levels were determined by standardized methods. We defined IR using the homeostasis model assessment (HOMA) as ≥ 3.5. Factor analysis was used to identify dietary patterns. The associations of interest, those between IR and dietary patterns, were analyzed with multiple logistic regression models. Results: IR prevalence was 20.3% among girls and boys aged 7-18 years, for whom the prevalence of overweight and obesity was 29.7%. We identified 3 major dietary patterns in this group: 'Western', 'prudent' and 'high protein/fat'. For the purposes of this analysis we compared the upper versus the lower quintile of each dietary pattern. Independently of other covariates, participants in the highest quintile of the Western pattern had 92% greater odds of IR (OR 1.92, 95% CI: 1.08-3.43) compared with those in the lowest quintile. Conclusions: These findings support the hypothesis that high carbohydrate diets like our Western dietary pattern may increase IR in young people. This result emphasizes the importance of preventive nutrition interventions geared toward Mexican children and adolescents. Copyright © 2012 S. Karger AG, Basel.
Mejia Cornejo J.J.,Institute Salud Del Estado Of Mexico |
Peralta Calcaneo J.A.,Adscrito Al Servicio Of Endocrinologia Del Hospital General |
Sanchez Pedraza V.,Adscrito Al Servicio Of Endocrinologia Del Hospital General |
Palacios Ruiz E.P.,Residente Of Tercer Ano Of Medicina Interna Del Hospital General
Medicina Interna de Mexico | Year: 2012
Objective: Case report of acromegaly associated with insulin resistance. Case report: Woman with diabetes mellitus (DM) type 2 diagnosed at 55 years and acromegaly at 60 years of age. Her laboratory studies confirmed IGF-1 levels of 690nmol / L (75-212 nmol / L RIA), GH (Growth Hormone) 98.5ng/ml baseline (QL) in hyperglycemia and nuclear magnetic resonance (NMR) with pituitary macroadenoma. Transcranial neurosurgical treatment received twice. Persisted in the postoperative period with active acromegaly and pituitary tumor remnant. She was admitted several times to the endocrinology unit because persisted with uncontrolled blood glucose. She kept regular adherence to diet and pharmacological treatment. In April 2012 was admitted to the hospital for treatment adjustment; and total insulin requirements with the averages of the reported glucometrics in the day one were with 92 UI and capillary glucose 260 mg/dL, day two with 126 UI and capillary glucose 187 mg/dL, day three 144 UI and capillary glucose 210 mg/dL; day four 142 UI and capillary glucose 165 mg/dL, and day five 134 UI and average blood glucose levels 145 mg/dL, documenting 2.27 U/kg/día insulin requirements. She improved her glucose levels by associating a sensitizer to the intensive insulin scheme. Comment: severe insulin resistance is defined by elevated insulin requirements in order to achieve glycemic control targets and reduce or delay chronic complications of diabetes, reduce mortality and improve quality of life. Importantly, several scenarios that can coexist in the diabetic glycemic control and difficult challenges arise in the doctor's treatment decisions.
Lopez E.C.B.,Institute Seguridad Social Del Estado Of Mexico Y Municipios |
Sebastialn J.A.S.,Institute Seguridad Social Del Estado Of Mexico Y Municipios |
Castro J.M.M.,Institute Seguridad Social Del Estado Of Mexico Y Municipios |
Cuevas G.O.,Comisionado Nacional de Proteccion en Salud |
And 2 more authors.
Gaceta Mexicana de Oncologia | Year: 2015
The mucosa-associated lymphoid tissue (MALT) non-Hodgkin lymphoma of the marginal zone is an extranodal lymphoma morphologically comprised by small and heterogeneous B-immunophenotype cells, including cells of the marginal zone (centroblastic type). Infiltration occurs at the epithelium level, resulting in lymphoepithelial lesions. MALT lymphomas account for 7-8% of all B-cell lymphomas, and for up to 50% of primary lymphomas of the stomach. Most cases occur in adults with a mean of 61 years, with a slight predominance in women (male: female ratio: 1:1.2). Hussell et al. have demonstrated that constant cell stimulation by H. pylori activates lymphoid T-cells. In the case of ocular annexes MALT lymphomas, C. psittaci-associated infections have been associated. Fifty percent of this type of lymphomas account for gastric maltomas, whereas non-gastric maltomas are more common in the head, neck, lung, and ocular orbit. A case report is presented of a patient with an orbital non-Hodgkin MALT-type lymphoma who was treated with radiotherapy. © 2015, Sociedad Mexicana de Oncología.
Hernandez-Garduno E.,Hospital Monica Pretelini Saenz |
Mendoza-Damian F.,Institute Salud Del Estado Of Mexico |
Garduno-Alanis A.,Hospital Monica Pretelini Saenz |
Ayon-Garibaldo S.,Institute Salud Del Estado Of Jalisco
Tuberculosis and Respiratory Diseases | Year: 2015
Background: The aim was to compare tuberculosis trends in Mexico and United States and to evaluate Mexican diagnostic methods and contact investigation. Methods: Retrospective comparative study of tuberculosis cases and incidence rates between both countries (1990-2010). Diagnostic methods and contact investigations were also evaluated for Mexico. Estimates were obtained from official websites. Results: In Mexico, no clear trend was found over time for cases. Pulmonary (PTB) and all forms of tuberculosis (AFTB) incidence decreased 2.0% annually. There was a negative correlation between the mean contacts examined per case and AFTB incidence (r2=-0.44, p=0.01) with a 33% reduction in AFTB incidence. In United States, PTB and AFTB cases have been decreasing 6.0% and 5.6% annually, respectively. The incidence decreased 7.3% and 6.8%, respectively. Conclusion: The incidence of tuberculosis in Mexico is decreasing slightly over time at 2% annually. In the United States, cases and incidence rates have been decreasing at a higher rate (5% to 7% annually). The inverse association between number of contacts examined per state and incidence rates in Mexico underscore the importance of reinforcing and improving contact investigations with the likely translation of a decrease of TB incidence at a higher rate. Copyright © 2015. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.
Martinez-Madrigal M.,Hospital Materno Perinatal Monica Pretelini |
Munoz-Gonzalez D.E.,Instituto Nacional Of Cancerologia |
Ochoa-Carrillo F.J.,Instituto Nacional Of Cancerologia |
Camacho-Beiza I.R.,Institute Salud Del Estado Of Mexico |
And 2 more authors.
Gaceta Mexicana de Oncologia | Year: 2012
Uterine sarcomas are a rare and heterogeneous group of neoplasm, with an aggressive behavior leading to an early dissemination and death. In the absence of phase III, prospective randomized studies, treatment recommendations for patients with uterine sarcoma must be based on the results of retrospective studies making their management difficult. The principal treatment is surgery with a controversial role of the adjuvant therapy. The present review analyzes clinic-pathologic studies, prognostic factors and current management of uterine sarcomas.
Applicability of the analysis by multiple cause of death by cervical cancer: The experience in Mexico [Aplicabilidad del análisis por causa múltiple de muerte para el cáncer cervicouterino: La experiencia en México]
Bustamante-Montes L.P.,University of Central Mexico |
Alvarez-Solorza I.,University of Central Mexico |
Valencia A.D.,Institute Salud Del Estado Of Mexico |
Hernandez-Valero M.A.,Minority |
And 2 more authors.
Ciencia e Saude Coletiva | Year: 2011
The study explores the applicability of the multiple-cause-of-death analysis for cervical-uterine cancer. Methods. A proportional mortality hazard design and the analysis of all causes of death due to cervical-uterine cancer from 367 death certificates of women older than 18 years of age from the State of Mexico, and 515 age and year adjusted sample of death certificates of women from the same region who died from other causes. Results. A basic multiple cause of death of 2.9 was observed in the death certificates, i.e., for every basic cause there were 2.9 multiple causes. When adjusting the multiple-causes-of-death analysis for cervical-uterine cancer by age, education, marital and insurability status, the most contributing and associated causes of death were malignant tumors from unspecified sites [OR=18.98 (2.28-157.56) and OR=14.25 (1.67-121.0)] respectively; Diabetes Mellitus as a contributing [OR=1.82 (1.02-3.27) and associated cause [OR=7.78 (1.46-41.37], and systemic arterial hypertension as an associated cause [OR=3.00 (1.40-6.47)]. Conclusions. The multiple-cause-of-death analysis is an adequate to observe the diseases that contribute condition and are associated to the cervical-uterine cancer.
Incidence of congenital heart disease and factors associated with lethality in children born in two hospitals of the state of Mexico [Incidencia de las cardiopatías congénitas y los factores asociados a la letalidad en niños nacidos en dos hospitales del estado de México]
Mendieta-Alcantara G.G.,Institute Salud del Estado |
Santiago-Alcantara E.,Institute Salud Del Estado Of Mexico |
Mendieta-Zeron H.,Institute Salud Del Estado Of Mexico |
Dorantes-Pina R.,Institute Salud del Estado |
And 2 more authors.
Gaceta Medica de Mexico | Year: 2013
We studied the incidence, survival, and risk factors for mortality in a cohort of infants for a period of five years, born in two hospitals, one a second-level General Hospital, the second a tertiary perinatal hospital, both in the City of Toluca. The analysis of survival was performed with the Kaplan-Meier method, and Cox regression was used to estimate the risk of death according to different factors. We found an overall incidence of 7.4 per 1,000 live births; in preterm infants, the rate was 35.6 per 1,000, and in term newborns it was 3.68 per 1,000. The most common heart disease was the ductus arteriosus in the overall group and in preterm infants; in term newborns the most common was the atrial septal defect. The specific mortality was 18.64%, follow-up was 579 days, where we found, according to Kaplan-Meier, survival of an average of 437.92 days, with 95% confidence intervals of 393.25 to 482.6 days, with a standard error of 22.79 days; the cumulative probability of survival was 0.741, with a standard error of 0.44. In Cox regression, two variables had a high hazard ratio (HR): these were the presence or absence of cyanosis and the hospital where they were treated as newborns.