Conocimientos, actitudes y creencias entorno a la elección de la vasectomía en ecatepec-méxico / Knowledge, attitudes, and beliefs about the choice of vasectomy

INTRODUCCION: La vasectomía es uno de los métodos más seguros, sencillos y económicos para la anticoncepción. En México, constituye solo 2% del total de métodos usados comparado contra 10% en otros países. OBJETIVO: Analizar conocimientos, actitudes y creencias entorno a la elección de la vasectomía. MATERIAL Y METODOS: Estudio observacional, analítico de corte transversal, con 111 varones del Servicio de Planificación Familiar de la Unidad de Medicina Familiar Número 93 de Ecatepec-México, de enero a junio del 2016. Se aplicó una encuesta estructurada sometida a validación de contenido por expertos, que incluye conocimientos, actitudes y creencias que determinan la aceptación o rechazo de la vasectomía. Se realizó un análisis multivariado con regresión logística binaria por Método de Wald. RESULTADOS: El alcanzar el total de hijos planeados es el factor principal para optar por la vasectomía con un riesgo superior a dieciocho. En un análisis multivariado mediante regresión lineal binaria se encontró que la paridad satisfecha se debe acompañar de una información clara del procedimiento, una buena relación de pareja y consultar la decisión con la misma. El candidato debe poseer tres o menos parejas sexuales en su vida para asegurar una elección por el método superior al 90%. CONCLUSIONES: Conocimientos, creencias y actitudes del individuo, y de la pareja intervienen en la elección de la vasectomía, conocer un perfil de riesgo acerca de la elección del método permite acercar a mayor población a esta opción anticonceptiva.

INTRODUCTION: Vasectomy is one of the safest, simplest and most economical methods for contraception. In Mexico, it constitutes only 2% of the total methods used compared to 10% in other countries. OBJETIVE: Analyze knowledge, attitudes, and beliefs about the choice of vasectomy. MATERIAL AND METHOD: Analytical cross-sectional study, with 111 males of the Family Planning service of the Family Medicine Unit Number 93 of Ecatepec-Mexico, from January to June 2016. A structured survey was applied subject to validation of content by experts., which includes knowledge, attitudes, and beliefs that determine the acceptance or rejection of vasectomy. A multivariate analysis was performed with binary logistic regression by the Wald method. RESULTS: To reach the total of planned children is the main factor to opt for vasectomy with a risk higher than eighteen. In a multivariate analysis using binary linear regression, it was found that satisfied parity must be accompanied by clear information about the procedure, a good relationship between couples and consultation with the decision. The candidate must have three or fewer sexual partners in his life to ensure a choice by the method of more than 90%. CONCLUSION: Knowledge, beliefs, and attitudes of the individual and the couple involved in the choice of vasectomy, knowing a risk profile about the choice of method allows to approach a larger population to this contraceptive option.

Acantosis nigricansis associated with risk factors related to cardiovascular disease in Mexican children with obesity.

INTRODUCTION: The prevalence of obesity in Mexican children has increased during the last decade, as has the risk of early onset metabolic disorders and cardiovascular disease. OBJECTIVE: To determine the association ofAcantosis nigricans (AN)with dyslipidemia, high blood pressure, body mass index (BMI), and risk factors related to eating behavior in overweight and obese children. PATIENTS AND METHODS: This transverse analytical study, conducted in two Mexico City primary schools, included 300 boys and girls. Information was gathered on hereditary and perinatal background. A physical examination provided data on the presence/absence of AN, blood pressure, weight and height. The BMI and Z-score were calculated. The serum concentration of glucose, cholesterol and triglycerides was quantified and the lipoprotein profile determined. RESULTS: The prevalence of AN was 41.7%. An association was found between ANand risk factors for cardiovascular disease, including BMI (rS 0.432; p < 0.0001), systolic and diastolic blood pressure above the 90th percentile (rS 0.231, p < 0.0001; rS 0.128, p = 0.026; respectively), hypertriglyceridemia (rS 0.156; p = 0.007), and low levels of cHDL (rS -0.160; p = 0.006). ANwas also associated with risk eating behavior, including dieting to lose weight (p = 0.004), losing control over eating (p = 0.023), and body fat percentage above the 90th percentile (χ2 = 35.1; p = 0.0001). No association was observed between ANand serum glucose concentration (rS -0.018; p = 0.759). Logistic regression analysis demonstrated an association of ANwith a low concentration of cHDL (RM: 1.726; p = 0.041) and a high percentage of body fat (> 48%) (RM: 3.591; p = 0.001). CONCLUSION: A high prevalence of ANwas found in overweight and obese children. There was an association between ANand risk factors of cardiovascular disease, including Z-score, BMI, dyslipidemia, and high blood pressure.

Acantosis nigricans is associated with risk factors related to cardiovascular disease in Mexican children with obesity / La Acantosis nigricans se asocia con factores de riesgo para enfermedades cardiovasculares en niños mexicanos con obesidad

Introduction: The prevalence of obesity in Mexican children has increased during the last decade, as has the risk of early onset metabolic disorders and cardiovascular disease. Objective: To determine the association of Acantosis nigricans (AN) with dyslipidemia, high blood pressure, body mass index (BMI), and risk factors related to eating behavior in overweight and obese children. Patients and methods: This transverse analytical study, conducted in two Mexico City primary schools, included 300 boys and girls. Information was gathered on hereditary and perinatal background. A physical examination provided data on the presence/absence of AN, blood pressure, weight and height. The BMI and Z-score were calculated. The serum concentration of glucose, cholesterol and triglycerides was quantified and the lipoprotein profile determined. Results: The prevalence of AN was 41.7%. An association was found between AN and risk factors for cardiovascular disease, including BMI (rS 0.432; p < 0.0001), systolic and diastolic blood pressure above the 90th percentile (rS 0.231, p < 0.0001; rS 0.128, p = 0.026; respectively), hypertriglyceridemia (rS 0.156; p = 0.007), and low levels of cHDL (rS -0.160; p = 0.006). AN was also associated with risk eating behavior, including dieting to lose weight (p = 0.004), losing control over eating (p = 0.023), and body fat percentage above the 90th percentile (χ2 = 35.1; p = 0.0001). No association was observed between AN and serum glucose concentration (rS -0.018; p = 0.759). Logistic regression analysis demonstrated an association of AN with a low concentration of cHDL (RM: 1.726; p = 0.041) and a high percentage of body fat (> 48%) (RM: 3.591; p = 0.001). Conclusion: A high prevalence of AN was found in overweight and obese children. There was an association between AN and risk factors of cardiovascular disease, including Z-score, BMI, dyslipidemia, and high blood pressure (AU)

Introducción: la mayor prevalencia de obesidad en la población infantil mexicana durante la última década incrementa el riesgo de presentar trastornos metabólicos y enfermedades cardiovasculares a edades cada vez más tempranas. Objetivo: determinar la asociación entre Acantosis nigricans(AN) con dislipidemia, hipertensión arterial, índice de masa corporal (IMC) y conductas alimentarias de riesgo en niños con sobrepeso y obesidad. Pacientes y métodos: estudio transversal analítico realizado en dos escuelas públicas de la zona metropolitana de la ciudad de México donde participaron 300 niños, de ambos sexos, obteniéndose información de los antecedentes heredofamiliares y perinatales. Con la exploración física se valoró la presencia o ausencia de AN y presión sanguínea. Se pesó y midió a los escolares, se calculó el IMC y se estimó su puntaje Z. Se cuantificó la concentración sérica de glucosa, colesterol, triglicéridos y perfil de lipoproteínas. Resultados: la prevalencia de AN fue 41,7%, al determinar la asociación entre la AN y los factores de riesgo cardiovascular, se identificó una asociación con el IMC (rS 0.432; p 48%) (RM: 3.591; p = 0,001). Conclusión: se observó una alta prevalencia de AN en niños con sobrepeso u obesidad y su asociación con factores de riesgo cardiovascular: puntaje Z del IMC, dislipidemia y las cifras tensionales elevadas (AU)

[Clinical control after diabetic and hypertension therapy group sessions]. / Control clínico posterior a sesiones grupales en pacientes con diabetes e hipertensión.

INTRODUCTION: To get good results in the treatment of chronic diseases, we need the participation of patients who take decisions, where education is the most relevant factor. We analyze the limits and impact of an educational strategy during six group sessions through a month. OBJECTIVE: To evaluate clinical control in patients with diabetes and hypertension after group sessions. MATERIAL AND METHODS: It was included a group of 172 patients with diabetes and hypertension who went to a help group in 2003; There were two groups, a Group A with 88 patients who finished the educational strategy and a group B with 88 patients who left after the second session. RESULTS: The group A diminish glucose average -82 mg/dL (p<0.0001) and also lowered the systolic arterial tension -11.7 mm Hg (p<0.0001) and the diastolic tension -6.9 mm Hg (p<0.0001); there were not significant changes in group B. We used a repeated measured model 4 months before, during and 4 months after educational strategy, and there was a difference between the groups (p=0.008) and also the persistent effect after the educative strategy. CONCLUSION: We consider that improvement in clinical control was associated with the strategy used, because education motivate patients to take decisions to face real problematic situations, and helps them to think over life circumstances, and to have health live styles to control both diabetes and hypertension.