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2.

Conocimientos, actitudes y prácticas relacionados al autocuidado y calidad de vida que tienen los pacientes con diabetes Mellitus tipo 2 del centro integral de Salud Nueva Suyapa de Tegucigalpa, Honduras durante el mes de Febrero del 2019/ Knowledge, attitudes and practices related to self-care and quality of life that patients with type 2 mellitus diabetes have from the Integral Health Center Nueva Suyapa in Tegucigalpa, Honduras during the month of February 2019

Lopez, Gisela Carolina
| Idioma(s): Español
Objetivo. Determinar los conocimientos, actitudes y prácticas en relación al autocuidado en los pacientes con diabetes que asisten al centro integral de salud Nueva Suyapa, Tegucigalpa, Honduras Febrero 2019. Diseño: Estudio CAP, con pacientes que asistieron a consulta. Se elaboró un instrumento que contenía las variables correspondientes para cada objetivo a desarrollar y cuatro acápites I Características Sociodemográficas de los pacientes, II los conocimientos, III las actitudes y IV las prácticas de los pacientes en relación a la diabetes. Resultados: El 88% de los encuestados tiene conocimiento insuficiente sobre la enfermedad, el 58% tienen buena actitud en cuanto al tiempo para hacer ejercicio, el 46% muestra actitud favorable en cuanto al cuidado de los pies, un 50% usa calzado cómodo, pero tienen muy malas prácticas en cuanto al ejercicio ya que el 100% refieren no realizar ninguna actividad física.. Conclusiones: De los 50 participantes la mayoría de ellos tienen buenas prácticas en cuanto al cuidado de sus pies y el corte de sus uñas ya que lo hacen de forma correcta, en cuanto al ejercicio no practican ninguna actividad física, la mayoría realiza tres tiempos de comida y no hacen merienda. La actitud en cuanto al sobrepeso es muy buena, ya que refieren estar dispuestos a mejorar su dieta en caso de tener que bajar de peso aunque reconocen que es difícil comer comida saludable
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3.

Estilos de vida en pacientes diagnosticados con diabetes mellitus e hipertensión arterial que acuden al "Centro Médico el Porvenir", Municipio de El Porvenir, Francisco Morazán, Honduras; 2018-2020¯/ Lifestyles in patients diagnosed with diabetes mellitus and high blood pressure who come to the "El Porvenir Medical Center", Municipality of El Porvenir, Francisco Morazán, Honduras; 2018-2020

Galo Amador, Marlen Lizeth
| Idioma(s): Español
Objetivo. Caracterizar los estilos de vida en pacientes diagnosticados con Diabetes Mellitus e Hipertensión Arterial que acuden al "Centro Médico el Porvenir" Municipio de El Porvenir, Francisco Morazán, Honduras; 2018-2020. Diseño: El estudio fue realizado en el Centro Médico El Porvenir, Municipio del Porvenir, Francisco Morazán a los 48 pacientes, en la búsqueda de variables de estilos de vida y diagnosticados con Diabetes Mellitus e Hipertensión Arterial, por lo que se utilizó un cuestionario para la recolección de la información, que refleja las características sociodemográficas, antecedentes patológicos, actividad física y consumo de alimentos de los pacientes con estas enfermedades, la recolección, tabulación y análisis de la información fue realizada por la investigadora en el mes de Enero 2020. Resultado: De los 48 pacientes con Diabetes Mellitus e Hipertensión Arterial se demostró que el 58.3% padecen síndrome metabólico, también se evidenció que el 70.8% de los mismos solo realizan actividades de tipo laboral durante la semana y sus hábitos alimenticios son poco saludables al consumir alimentos con alto contenido calórico y porciones grandes de alimentos. Conclusiones: La mayoría de los pacientes son sedentarios, tienen prácticas alimentarias poco saludables, teniendo un riesgo elevado de padecer enfermedades crónicas no transmisibles.
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5.

Study protocol for a stepped-wedge randomized cookstove intervention in rural Honduras: household air pollution and cardiometabolic health.

Young, Bonnie N; Peel, Jennifer L; Benka-Coker, Megan L; Rajkumar, Sarah; Walker, Ethan S; Brook, Robert D; Nelson, Tracy L; Volckens, John; L'Orange, Christian; Good, Nicholas; Quinn, Casey; Keller, Joshua P; Weller, Zachary D; Africano, Sebastian; Osorto Pinel, Anibal B; Clark, Maggie L
| Idioma(s): Inglés
BACKGROUND: Growing evidence links household air pollution exposure from biomass-burning cookstoves to cardiometabolic disease risk. Few randomized controlled interventions of cookstoves (biomass or otherwise) have quantitatively characterized changes in exposure and indicators of cardiometabolic health, a growing and understudied burden in low- and middle-income countries (LMICs). Ideally, the solution is to transition households to clean cooking, such as with electric or liquefied petroleum gas stoves; however, those unable to afford or to access these options will continue to burn biomass for the foreseeable future. Wood-burning cookstove designs such as the Justa (incorporating an engineered combustion zone and chimney) have the potential to substantially reduce air pollution exposures. Previous cookstove intervention studies have been limited by stove types that did not substantially reduce exposures and/or by low cookstove adoption and sustained use, and few studies have incorporated community-engaged approaches to enhance the intervention. METHODS/DESIGN: We conducted an individual-level, stepped-wedge randomized controlled trial with the Justa cookstove intervention in rural Honduras. We enrolled 230 female primary cooks who were not pregnant, non-smoking, aged 24-59 years old, and used traditional wood-burning cookstoves at baseline. A community advisory board guided survey development and communication with participants, including recruitment and retention strategies. Over a 3-year study period, participants completed 6 study visits approximately 6 months apart. Half of the women received the Justa after visit 2 and half after visit 4. At each visit, we measured 24-h gravimetric personal and kitchen fine particulate matter (PM2.5) concentrations, qualitative and quantitative cookstove use and adoption metrics, and indicators of cardiometabolic health. The primary health endpoints were blood pressure, C-reactive protein, and glycated hemoglobin. Overall study goals are to explore barriers and enablers of new cookstove adoption and sustained use, compare health endpoints by assigned cookstove type, and explore the exposure-response associations between PM2.5 and indicators of cardiometabolic health. DISCUSSION: This trial, utilizing an economically feasible, community-vetted cookstove and evaluating endpoints relevant for the major causes of morbidity and mortality in LMICs, will provide critical information for household air pollution stakeholders globally. TRIAL REGISTRATION: ClinicalTrials.gov Identifier NCT02658383 , posted January 18, 2016, field work completed May 2018. Official title, "Community-Based Participatory Research: A Tool to Advance Cookstove Interventions." Principal Investigator Maggie L. Clark, Ph.D. Last update posted July 12, 2018.
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8.

A trauma registry experience from the main referral center of Honduras: A call for action.

Rodriguez, Cristina; Bonilla-Escobar, Francisco J; Restrepo-Lopera, Catalina; Markovtsova, Anastasia; Medina, Marco T; Puyana, Juan Carlos
| Idioma(s): Inglés
BACKGROUND: Honduras is one of the most violent countries in the world and it has limited epidemiological data that describes the extent of intentional and unintentional injuries. This research is needed to develop and inform prevention programs in Honduras, as well as to spread international awareness. METHODS: A cross-sectional study was carried out on a paper-based injury surveillance system (InSS) with the help of Honduras' University Medical School Hospital (UMSH), the main referral medical center in Tegucigalpa-Honduras. Descriptive statistics and bivariate analysis were carried out using data from all registered injuries in 2013. RESULTS: Of the 17,971 injuries reported, intentional injuries made up 18.14% of all injuries. Interpersonal violence from gun violence, robberies, and physical altercations accounted for 14.68%. Self-inflicted injuries made up 3.46% of injuries, with suicide falls and poison intoxications being the most frequent (1.9% and 1.2%, respectively). Sexual harassment was minimally reported (0.27%, n = 48). Unintentional injuries made up 81.79% of the total injuries. The most common causes of unintentional injuries were falls (38.01%) and road traffic injuries (16.65%). Motorocyclists made up 35.4% of those injured by road traffic accidents. In general, injuries occured during the weekend and mainly affected men during the ages when they would be most likely to work and maintain jobs. The modified Kampala trauma score (M-KTS) showed that most of the injuries were mild (range 3-11), with 59.59% of the patients with a M-KTS of 9, and an overall mortality rate of 0.65% (n = 117). CONCLUSION: The description of injuries provides the basis for prevention. The disproportionate number of unintentional injuries (4:1) seen in Honduras' referral hospital calls for further research in: 1) trauma care logistics and emergency systems, 2) mortality and lethality of intentional injuries, and 3) analysis of the types of unintentional injuries. Further research is necessary to evaluate interventions and identify the socioeconomic effects of injuries in the region.
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10.

Health system strategies to increase HIV screening among pregnant women in Mesoamerica.

El Bcheraoui, Charbel; Zúñiga-Brenes, Paola; Ríos-Zertuche, Diego; Palmisano, Erin B; McNellan, Claire R; Desai, Sima S; Gagnier, Marielle C; Haakenstad, Annie; Johanns, Casey; Schaefer, Alexandra; Hernandez, Bernardo; Iriarte, Emma; Mokdad, Ali H
| Idioma(s): Inglés
BACKGROUND: To propose health system strategies to meeting the World Health Organization (WHO) recommendations on HIV screening through antenatal care (ANC) services, we assessed predictors of HIV screening, and simulated the impact of changes in these predictors on the probability of HIV screening in Guatemala, Honduras, Mexico (State of Chiapas), Nicaragua, Panama, and El Salvador. METHODS: We interviewed a representative sample of women of reproductive age from the poorest Mesoamerican areas on ANC services, including HIV screening. We used a multivariate logistic regression model to examine correlates of HIV screening. First differences in expected probabilities of HIV screening were simulated for health system correlates that were associated with HIV screening. RESULTS: Overall, 40.7% of women were screened for HIV during their last pregnancy through ANC. This rate was highest in El Salvador and lowest in Guatemala. The probability of HIV screening increased with education, household expenditure, the number of ANC visits, and the type of health care attendant of ANC visits. If all women were to be attended by a nurse, or a physician, and were to receive at least four ANC visits, the probability of HIV screening would increase by 12.5% to reach 45.8%. CONCLUSIONS: To meet WHO's recommendations for HIV screening, special attention should be given to the poorest and least educated women to ensure health equity and progress toward an HIV-free generation. In parallel, health systems should be strengthened in terms of testing and human resources to ensure that every pregnant woman gets screened for HIV. A 12.5% increase in HIV screening would require a minimum of four ANC visits and an appropriate professional attendance of these visits.
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