ABSTRACT
OBJECTIVE: To measure the frequency of goiter and the presence of potential goitrogens in a sample of school-age children and pregnant women. METHODS: Cross-sectional study in a purposive sample in three regions, one with known high prevalence of goiter (Huejutla), one with unknown prevalence (Ixmiquilpan) and one with no expected deficiency (Pachuca). Children were sampled from schools and pregnant women from rural reference hospitals. Goiter was evaluated by manual exam and ultrasound. RESULTS: Goiter prevalence in 673 children between 6 and 14 years old was 8 in Pachuca, 9 in Ixmiquilpan, and 14 in Huejutla. In 300 pregnant women, goiter prevalence was 19 in Pachuca, 20 in Ixmiquilpan, and 52 in Huejutla. In 936 interviews on salt consumption, 98 of families consumed table salt, but only 50 of the samples were adequately iodized. Twenty-four percent of families obtained water from wells contaminated with arsenicum and mercury in Pachuca and Ixmiquilpan, and with colibacilli in Ixmiquilpan. CONCLUSIONS: Even at the end of the millenium, endemic goiter is still a public health problem in this sample of school-age children and pregnant women. Despite consumption of iodized salt, ingestions of goitrogens may be contributing to the persistence of this problem.
Subject(s)
Humans , Male , Female , Pregnancy , Child , Adolescent , Adult , Goiter, Endemic/etiology , Pregnancy Complications/etiology , Iodine , Goiter, Endemic/epidemiology , Pregnancy Complications/epidemiology , Cross-Sectional Studies , Mexico , PrevalenceABSTRACT
Para evaluar la asociación entre falta de seguimiento al tratamiento farmacológico y des-control de la hipertensión arterial, se estudiaron 230 pacientes en la Unidad de Medicina Familiar 77, en La Piedad, Michoacán. Se definió como descontrol de la hipertensión al promedio de 140-180/90-105 mm Hg en las tres últimas mediciones de las cifras de tensión arterial. Se consideró incumplimiento del tratamiento farmacológico a la incongruencia entre la información obtenida del paciente respecto a dosis y horarios, y las indicaciones prescritas en la receta y expediente clínico. De los pacientes estudiados, 123 (53 por ciento) se encontraron con descontrol y en ellos la frecuencia de no adherencia al tratamiento farmacológico fue de 78 por ciento. Existió 10 veces más riesgo (ORp 10) de que un sujeto sin adherencia al tratamiento farmacológico tuviera descontrol de las cifras tensionales, comparado con quien sí llevó un seguimiento adecuado de las indicaciones médicas.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Social Security , Treatment Refusal , Hypertension/complications , Hypertension/drug therapy , Patient Selection , Health Behavior , Risk FactorsABSTRACT
Con objeto de identificar la proporción de pacientes diabéticos tipo 2 integrados dentro del programa de diálisis peritoneal continua ambulatoria y evaluar la calidad de vida de los mismos, se revisaron 382 expedientes clínicos de individuos con insuficiencia renal, identificando 38.5 % con tipo 2 y 61.5 % con otras patologías. Se entrevistaron 117 pacientes, hombres en su mayoría. Se utilizó el perfil del impacto de la enfermedad para evaluar las dimensiones física, psicosocial e independiente. Según la puntuación obtenida, 51 % tuvo mala calidad de vida, con mayor deterioro en la dimensión física, es decir, en ambulación, ejercicio, cuidado e higiene del cuerpo. El analfabetismo fue la única variable de comportamiento diferente.
The objective of the study is to identify the ratio of type two diabetic patients included in a continuing ambulatory peritoneal dialysis program (CAPD) and to evaluate their quality of life. 382 clinical files of renal failure patients were reviewed. We found 38.5% type two diabetics, while 61.5% had other pathologies. 117 patients, mostly males, were interviewed. To evaluate the physical, psychosocial and independent dimensions, the Disease Impact Profile was use. According to the score, 51% had poor quality of life, with large damage in the physical dimension, like walking, exercise, care and hygiene of the body. The only one different behavior variable was illiteracy