Utilidad de un modelo de predicción para la enfermedad renal crónica en una unidad de primer nivel de atención / Utility of a predictive model for chronic kidney disease in level 1 medical care

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Comparación del perfil de funcionamiento familiar en los adolescentes con y sin drogadicción de un colegio de bachilleres / Comparison of family functioning profile in adolescents with and without drug-dependency in a high school

ObjetivosComparar el perfil de funcionamiento familiar en adolescentes con y sin drogadicción.DiseñoEstudio transversal comparativo.EmplazamientoColegio de Bachilleres del Estado de Querétaro, México.ParticipantesSesenta y tres adolescentes con y sin drogadicción de 13–19 años de edad, de ambos sexos, inscritos en el Colegio de Bachilleres; se formaron 2 grupos, uno sin drogadicción (seleccionado de manera probabilística sistemática) al que se lo comparó con un grupo de adolescentes con drogadicción (base de datos).Mediciones principalesPerfil del funcionamiento familiar (alfa de Cronbach de 91). Análisis estadístico, descriptivo e inferencial.ResultadosLos adolescentes con drogadicción (n=20) tenían una media de edad de 17,5±0,4 años (16–19) y el grupo sin drogadicción (n=43), de 16,9±0,1 años (15–18) (p=0,000). El 100% de los adolescentes habitaba en zona urbana, con tipología familiar de predominio nuclear simple, moderna y obrera. El 50% de los adolescentes con drogadicción provenía de familias desintegradas (p=0,002). La fase de dispersión fue un factor protector para no presentar drogadicción (razón de momios [OR]=0,6; intervalo de confianza [IC] del 95%: 1,8–21,0; p=0,003). Hubo diferencia estadísticamente significativa en la autoridad (OR de 29,7; IC del 95%: 5,8–150,5), la supervisión (OR de 10,3; IC del 95%: 2,8–37,2), el apoyo (OR de 0,04; IC del 95%: 5,5–109,8) y la disfuncionalidad familiar global (OR de 1,8; IC del 95%: 1,3–2,3; p=0,000).ConclusiónLa disfuncionalidad familiar es un factor de riesgo para la drogadicción en adolescentes cuando es deficiente la autoridad y la supervisión en la familia, mientras que el apoyo familiar y la fase de dispersión son factores de protección(AU)

ObjectiveTo compare the family functioning profile (FFP) in adolescents addicted to drugs and those not addicted to drugs.DesignCross-sectional study comparative.SettingA high school in Querétaro State, Mexico.ParticipantsStudy of 63 adolescents with and without addiction, of both sexes between the ages of 13 and 19, enrolled in high school; two groups formed, one not addicted to drugs (systematic probabilistic sampling was carried out); and compared with drug addicts (database).Main measurementsFFP(Alpha Cronbach 91). Descriptive and inferential statistical analysis.ResultsAdolescents with drug addiction (n=20), average age 17.5±0.4 (range 16–19), and group of non-addicts (n=43), average age 16.9±0.1 (range 15–18) and P=0.000. All the adolescents lived in an urban area with a predominantly simple nuclear modern, working family type. Half (50%) of addicted adolescents came from broken families P=0.002. The dispersion phase was a protective factor in preventing drug addiction in adolescents (P=0.003 OR 0.6 95% Cl;1.8–21.0). Significant statistical differences were observed in authority (OR=29.7, 95% Cl; 5.8–150.5), supervision (OR 10.3, 95% Cl; 2.8–37.2) and support (OR 0.04, 95% Cl; 5.5–109.8). The overall family dysfunctionality, (P=0.000, OR 1.8, 95% Cl; 1.3–2.3).ConclusionDysfunctional families are a risk factor for drug addiction in adolescents, when there is insufficient authority and supervision within the family. On the other hand, family support, as well as the dispersion phase, are protective factors(AU)

[Comparison of family functioning profile in adolescents with and without drug-dependency in a high school]. / Comparación del perfil de funcionamiento familiar en los adolescentes con y sin drogadicción de un colegio de bachilleres.

OBJECTIVE: To compare the family functioning profile (FFP) in adolescents addicted to drugs and those not addicted to drugs. DESIGN: Cross-sectional study comparative. SETTING: A high school in Querétaro State, Mexico. PARTICIPANTS: Study of 63 adolescents with and without addiction, of both sexes between the ages of 13 and 19, enrolled in high school; two groups formed, one not addicted to drugs (systematic probabilistic sampling was carried out); and compared with drug addicts (database). MAIN MEASUREMENTS: FFP(Alpha Cronbach 91). Descriptive and inferential statistical analysis. RESULTS: Adolescents with drug addiction (n=20), average age 17.5±0.4 (range 16-19), and group of non-addicts (n=43), average age 16.9±0.1 (range 15-18) and P=0.000. All the adolescents lived in an urban area with a predominantly simple nuclear modern, working family type. Half (50%) of addicted adolescents came from broken families P=0.002. The dispersion phase was a protective factor in preventing drug addiction in adolescents (P=0.003 OR 0.6 95% Cl;1.8-21.0). Significant statistical differences were observed in authority (OR=29.7, 95% Cl; 5.8-150.5), supervision (OR 10.3, 95% Cl; 2.8-37.2) and support (OR 0.04, 95% Cl; 5.5-109.8). The overall family dysfunctionality, (P=0.000, OR 1.8, 95% Cl; 1.3-2.3). CONCLUSION: Dysfunctional families are a risk factor for drug addiction in adolescents, when there is insufficient authority and supervision within the family. On the other hand, family support, as well as the dispersion phase, are protective factors.

[Satisfaction of the emergency service users at a hospital of second level]. / Satisfacción de los usuarios en el servicio de urgencias en un hospital de segundo nivel.

OBJECTIVE: To determine the degree of satisfaction of the emergency service users as the area of first hospital contact. METHODS: A descriptive cross-sectional study was made, during a five month period. A questionnaire that included 8 items, with a Likert type scale, validated by 5 experts was answered by 321 emergency service users. It explored the expectations of the users in relation to the treatment received, time of delay, quality of medical attention and facilities. Sample was chosen by a random method. The analysis was made through descriptive and inferential statistics. RESULTS: Average age was 41.60 SD 12.42 years; 60.1% were women. In the overall evaluation of the users, 61.7 % reported satisfied with the service received. The delay time average was 76 minutes SD 52.48. The 56.81% waited more than 61 minutes to receive medical attention, predominating in the night shift, dealings with the patients to be satisfactory, with the physicians attention, 77% of users responded to feel satisfied. The facilities seemed unsatisfactory for 172 patients, 53.6%. CONCLUSIONS: THE degree of satisfaction of the emergency service users was of 61.7% predominantly in the day shift.

Prevalencia de factores pronósticos modificables en el paciente hipertenso / Prevalence of modifiable prognosis factors in hypertense patients

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