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Aguascalientes, Mexico

Castaneda O.,Moron and Castaneda Asesores en Salud Ltda | Segura O.,Moron and Castaneda Asesores en Salud Ltda | Ramirez A.N.,Secretaria de Salud
Revista de Salud Publica

Objective 17 cases of dengue were reported from the town of El Playón (7°28'15-N/ 73°12'00-W/altitude 510 masl) during epidemiological study weeks 5-6 and 12-13/ 2010. The Santander Department's Health Secretariat sought outbreak investigation and community knowledge-attitudes-practice (KAP) assessment on 16-4-2010 concerning a dengue fever outbreak in the town after an epidemiological surveillance committee had met; this was to strengthen local action regarding Aedes aegypti vector promotion-prevention-control. Methods This was a descriptive outbreak investigation study using an active search for cases having clinical manifestations of dengue according to protocol definitions, an entomological survey and a KAP survey of 47 people selected by simple-randomsampling. Data was systematised and analysed using Epi-INFO (3.5.1) with measures of central tendency-male ratio, in-house Aegypti (IA), water-storage (WI) and Breatau (BI) indexes. Results 4,774 clinical records were examined. There were 67 records compatible with dengue, 24 cases were notified (75% town-25% department), 15 (63%) being women and 9 (38%) men. 20 (83%) cases occurred in the urban area and 4 (17%) in rural areas. Attack rate/cumulated incidence: initial=0.3% (17/6 303), final=0.4% (24/6 303), male ratio=1.5. 47 houses and 142 water-storage items proved positive: low water-stores=8.7%(4/46), rubber tyres=8.3%(1/12), others=4.4%(2/45), plants=2.9%(1/34). IA=5%, WI=6%, BI=17%, taxonomy confirmed=15%(7/47). 47 KAP, 36 (77%) women, 11 (23%) men; knowledge on disease, symptoms and signs 44 (94%), eliminating larvae deposits 32(68%), asked about dengue 3(6%), informed about responsibilities related to control 25(53%). Conclusions: The local community knows about risk factors and is aware of its responsibility regarding vector control. Community participation should be promoted using the ecosystem as a strategy for mosquito and dengue transmission control. Source

Garibotti E.G.,National University of Comahue | Comar H.,National University of Comahue | Vasconi T.S.C.,Secretaria de Salud | Giannini G.,Consultorios Pediatricos Privados | Pittau C.,Consultorios Pediatricos Privados
Archivos Argentinos de Pediatria

Introduction. This study analyzed the association between psychomotor development and sociodemographic and family stimulation factors in 3-year-old children from San Carlos de Bariloche. Population and Methods. A total of 152 apparently healthy children aged 35-37 months old who attended municipal and private kindergartens were evaluated. Children's performance in personal-social, fine motor, language and gross motor skills development using the National Screening Test was analyzed. The relationship between environmental factors and the achievement of developmental milestones was studied using a multivariate logistic regression model. Results. Twenty seven percent of children did not pass the test. The most common outcome measures associated with altered developmental milestones were no reading, low birth weight, and the parents' lower education level. The association with reading was always positive; and this also occurred in relation to the parents' education level. A low birth weight had a negative association with the possibility of passing four milestones, three of which were gross motor skills. Children who attended municipal kindergartens had a low performance in three language milestones, one personal-social milestone and one fine motor milestone when compared to national profiles. Conclusions. The percentage of children who did not pass the test was 27%. The most common outcome measures associated with altered developmental milestones were lack of reading to the child, low birth weight, and the parents' lower education level. Source

Kuri-Morales P.,National Autonomous University of Mexico | Chavez-Cortes C.,Secretaria de Salud
Gaceta Medica de Mexico

The health of the Mexican population is influenced by several demographic transitions and has a direct impact on the health of the population, which is reflected in the increase of chronic degenerative diseases, as it has reduced the infant mortality rate and increased life expectancy. Although Mexican health system has implemented various campaigns for prevention, treatment and control of infectious and chronic degenerative diseases, it is necessary to generate a transformation in the promotion and prevention strategies to shift from the curative to preventive medicine. Source

Pelaez-Ballestas I.,Hospital General de Mexico | Sanin L.H.,Autonomous University of Chihuahua | Moreno-Montoya J.,Hospital General de Mexico | Burgos-Vargas R.,National Autonomous University of Mexico | And 6 more authors.
Journal of Rheumatology

To estimate the prevalence of musculoskeletal (MSK) disorders and to describe predicting variables associated with rheumatic diseases in 5 regions of México. Methods: This was a cross-sectional, community-based study performed in 5 regions in México. The methodology followed the guidelines proposed by the Community Oriented Program for the Control of the Rheumatic Diseases (COPCORD). A standardized methodology was used at all sites, with trained personnel following a common protocol of interviewing adult subjects in their household. A "positive case" was defined as an individual with nontraumatic MSK pain of > 1 on a visual analog pain scale (0 to 10) during the last 7 days. All positive cases were referred to internists or rheumatologists for further clinical evaluation, diagnosis, and proper treatment. Results: The study included 19,213 individuals; 11,602 (68.8%) were female, and their mean age was 42.8 (SD 17.9) years. The prevalence of MSK pain was 25.5%, but significant variations (7.1% to 43.5%) across geographical regions occurred. The prevalence of osteoarthritis was 10.5%, back pain 5.8%, rheumatic regional pain syndromes 3.8%, rheumatoid arthritis 1.6%, fibromyalgia 0.7%, and gout 0.3%. The prevalence of MSK manifestations was associated with older age and female gender. Conclusion: The prevalence of MSK pain in our study was 25.5%. Geographic variations in the prevalence of MSK pain and specific diagnoses suggested a role for geographic factors in the prevalence of rheumatic diseases. Source

Hernandez-Romieu A.C.,National Autonomous University of Mexico | Elnecave-Olaiz A.,National Autonomous University of Mexico | Huerta-Uribe N.,National Autonomous University of Mexico | Reynoso-Noveron N.,Secretaria de Salud
Salud Publica de Mexico

Objective: Determine the influence of nutritional counseling, exercise, access to social healthcare and drugs, and the quality of medical care on the control of diabetics. Material and Methods: The information and blood samples were obtained in 2005. Glycemic control was defined as good if HbA1c was ≤7.0%, poor from 7.01% - 9.50% and very poor if HbA1c >9.5%. Binary logistic regression models were used to determine the association of these factors with HbA1c>9.5%. Results: Thirty percent of the patients with a medical diagnosis of diabetes had adequate metabolic control. Conclusions: Nutritional guidance was associated with an increase in the degree of control. A majority of diabetics have poor or very poor glycemic control. Strengthening the quality of and access to medical care for these patients is urgently needed. Source

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