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Desigualdades sociales en la letalidad por COVID-19 en los pueblos indígenas de México COVID19 COVID 19 COVID-1 COVID1 1 COVID-
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Medina-Gómez, Oswaldo

; Medina-Villegas, Jordi Josué

Ciência & Saúde Coletiva

Journal Metrics
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2024, Volume 29 N. 12 elocation e05012024

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo O objetivo do estudo foi estimar a letalidade de casos de COVID-19 na população indígena do México durante os anos de 2020 a 2022, considerando as características clínicas e as condições sociais. Os dados vieram do Sistema de Vigilância Epidemiológica de Doenças Respiratórias (Sistema de Vigilancia Epidemiológica de Enfermedades Respiratorias), identificando casos positivos de COVID-19 entre a população indígena, e a letalidade foi avaliada de acordo com as condições clínicas e as condições de vulnerabilidade devido à privação social. O número de casos positivos de COVID-19 na população indígena representou 0,7% do número total de casos, e a taxa de letalidade na população indígena foi de 9,8%, em contraste com 4,6% na população não indígena. A letalidade foi maior em homens, mas, em contraste com a população não indígena, a associação com diabetes, hipertensão, insuficiência renal crônica, obesidade e tabagismo foi menor entre os indígenas. Observou-se maior vulnerabilidade às condições sociais entre a população indígena em comparação com a população não indígena, principalmente em termos de renda, educação e acesso aos serviços de saúde. COVID19 COVID 19 COVID-1 202 2022 Respiratorias, Respiratorias , Respiratorias) social 07 0 7 0,7 98 9 8 9,8% 46 4 6 4,6 homens mas diabetes hipertensão crônica indígenas Observouse Observou se renda saúde COVID1 1 COVID- 20 0, 9,8 4, 2 9,

Abstract This study aimed to estimate the COVID-19 lethality in the Mexican Indigenous population from 2020 to 2022, considering clinical characteristics and social conditions. Data were retrieved from the Epidemiological Surveillance System of Respiratory Diseases, identifying the COVID-19-positive cases among the Indigenous population. Lethality was evaluated per clinical conditions and vulnerability due to social deprivation. The number of COVID-19-positive cases in the Indigenous population represented 0.7% of the total number of cases. The case fatality rate in the Indigenous population was 9.8% against 4.6% in the non-Indigenous population. Lethality was higher in men. However, the association with diabetes, hypertension, chronic kidney disease, obesity, and smoking was lower in the Indigenous population than in the non-Indigenous population. A greater vulnerability to social conditions was identified among the Indigenous population than the non-Indigenous population, mainly regarding income, education, and access to health services. COVID19 COVID 19 COVID-1 202 2022 Diseases COVID19positive COVIDpositive positive deprivation 07 0 7 0.7 98 9 8 9.8 46 4 6 4.6 nonIndigenous non men However diabetes hypertension disease obesity income education services COVID1 1 COVID- 20 0. 9. 4. 2

Resumen El propósito del estudio fue estimar la letalidad por COVID-19 en la población indígena en México durante los años 2020 al 2022 considerando las características clínicas y sus condiciones sociales. Los datos procedían del Sistema de Vigilancia Epidemiológica de Enfermedades Respiratorias identificando a los casos positivos por COVID-19 entre la población indígena, se evaluó la letalidad de acuerdo con las condiciones clínicas y condiciones de vulnerabilidad por carencias sociales. El número de casos positivos de COVID-19 en población indígena representó el 0,7% del total de casos, la letalidad en población indígena fue de 9,8% en contraste del 4,6% en población no indígena. La letalidad fue mayor en los hombres, sin embargo, en contraste con la población no indígena, la asociación con diabetes, hipertensión, insuficiencia renal crónica, obesidad y tabaquismo fue menor en los indígenas. Una mayor vulnerabilidad de las condiciones sociales se presentó entre la población indígena en contraste con la no indígena, principalmente en el rezago por ingreso económico, educación y el acceso a servicios de salud. COVID19 COVID 19 COVID-1 202 07 0 7 0,7 98 9 8 9,8 46 4 6 4,6 hombres embargo diabetes hipertensión crónica indígenas económico salud COVID1 1 COVID- 20 0, 9, 4, 2

https://doi.org/10.1590/1413-812320242912.05012024

Desigualdades sociales en la letalidad por COVID-19 en los pueblos indígenas de México
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Medina-Gómez, Oswaldo

; Medina-Villegas, Jordi Josué

Ciência & Saúde Coletiva

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2024, Volume 29 N. 12 elocation e05012024

Abstract: En Pt Es | Text: En Pt Es | PDF: En | PDF: Pt | PDF: Es

https://doi.org/10.1590/1413-812320242912.05012024

Diferencias en estilos de vida según el consumo de alcohol en universitarios: estudio longitudinal
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Gómez-Infante, Eduardo Alberto

; Ceballos-Gurrola, Oswaldo

; Moreno-Muciño, Oddete

; Medina-Rodríguez, Rosa Elena

; Enríquez-Reyna, María Cristina

Sanus

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dec 2023, Volume 8 elocation e321

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

Resumen Introducción: Estilos de vida sedentarios, sin control nutricional y consumo de alcohol habitual podrían estar incrementando los riesgos a la salud en población universitaria. Objetivo: Analizar las diferencias en estilos de vida al respecto de la ingesta habitual de nutrimentos, gasto energético y actividad física de acuerdo con el consumo de alcohol en universitarios. Metodología: Estudio descriptivo, correlacional, longitudinal con dos mediciones en una muestra de 67 estudiantes del área de la salud en 2017 y 2020. Se incluyó estudiantes vigentes de la universidad que aceptaran participar de manera voluntaria. Se aplicó cédula de datos personales, el recordatorio de 24 horas de pasos múltiples, el Cuestionario Internacional de Actividad Física y se midió la composición corporal. Análisis inferenciales con pruebas de correlación, U de Mann Whitney y prueba de Wilcoxon. Resultados: El 54.2 % de las mujeres y 73.7 % de los hombres refirieron consumir alcohol actualmente. Hubo diferencias estadísticas en gasto energético total y la ingesta de carbohidratos entre los que consumen y no consumen alcohol con p< 05. En ambos grupos el consumo de proteínas se asoció con la ingesta de lípidos con p<.01. Entre mediciones, se encontraron diferencias estadísticas con índice de masa corporal, el consumo calórico total y el gasto energético total con p< 03. Conclusiones: En esta muestra el consumo de alcohol propició diferencias al respecto de mayor composición corporal, consumo calórico y gasto energético lo que puede incidir en mayor posibilidad de exceso de peso en universitarios.

Abstract Introduction: Sedentary lifestyles without nutritional control that also include regular alcohol consumption could increase the health risks in university population. Objective: Analyze the differences in lifestyles with respect to the regular intake of nutrients, energy consumption and physical activity according to alcohol consumption in university students. Methodology: Descriptive, correlational, and longitudinal study with two measurements in a sample of 67 students from the health area (2017 and 2020). Current university students who voluntarily agreed to participate were included. A personal data card, the 24-hour multi-step reminder, the International Physical Activity Questionnaire were applied, and body composition was measured. Inferential analyzes with correlation tests, Mann Whitney U and Wilcoxon test were also implemented. Results: 54.2% of women and 73.7% of men were reported as current alcohol consumers. Differences were observed regarding total energy consumption and carbohydrate intake between those who drink and those who did not drink alcohol (p <.05). In both groups, protein consumption was associated to lipid intake (p <.01). Between measurements, differences were found regarding body mass index, total caloric consumption, and total energy consumption (p <.03). Conclusion: In this sample, alcohol consumption led to differences regarding greater body composition, caloric consumption, and energy consumption, which may influence a greater possibility of overweight in university students.

Abstrato Introdução: Estilos de vida sedentários, sem controle nutricional e consumo habitual de álcool podem estar aumentando os riscos à saúde da população universitária. Objetivo: Analisar as diferenças nos estilos de vida quanto à ingestão habitual de nutrientes, gasto energético e atividade física de acordo com o consumo de álcool em universitários. Metodologia: Estudo longitudinal, descritivo-correlacional com duas medidas em uma amostra de 67 estudantes da área da saúde em 2017 e 2020. Foram incluídos estudantes universitários atuais que aceitaram participar voluntariamente. Cartão de dados pessoais, recordatório de 24 horas de múltiplos passos, Questionário Internacional de Atividade Física e composição corporal foram medidos. Análises inferenciais com testes de correlação, teste U de Mann Whitney e teste de Wilcoxon. Resultados: 54,2% das mulheres e 73,7% dos homens relataram consumir álcool atualmente. Houve diferenças estatísticas no gasto energético total e ingestão de carboidratos entre aqueles que consomem e não consomem álcool com (p<0,05). Em ambos os grupos, a ingestão de proteínas foi associada à ingestão de lipídios com (p<0,01). Entre as medidas, foram encontradas diferenças estatísticas com índice de massa corporal, ingestão calórica total e gasto energético total com p < 03). Conclusões: Nesta amostra, o consumo de álcool levou a diferenças em termos de maior composição corporal, ingestão calórica e gasto energético, o que pode afetar uma maior possibilidade de excesso de peso em universitários.

https://doi.org/10.36789/revsanus.vi1.321

Desigualdades en la mortalidad por diabetes en México: 2010-2019
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Medina-Gómez, Oswaldo S.

; Escobedo-de la Peña, Jorge

Gaceta médica de México

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apr 2023, Volume 159 N. 2 Pages 113 - 118

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Antecedentes: Se ha demostrado que el impacto de la diabetes mellitus se expresa de manera diferenciada entre los grupos sociales. Objetivo: Estimar las brechas en la desigualdad en la mortalidad por diabetes mellitus a través de medidas absolutas y relativas según distribución geográfica y condiciones sociales. Material y métodos: Se analizaron las muertes registradas en México por diabetes mellitus entre 2010 y 2019 y se calcularon las mediciones de desigualdad a nivel estatal por sexo. Resultados: La tasa de mortalidad nacional por diabetes mellitus ajustada por edad mostró un incremento durante el periodo estudiado. Conclusión: Las desigualdades presentes en la mortalidad por diabetes deben considerarse para el diseño de estrategias de salud.

Abstract Background: The impact of diabetes mellitus has been shown to be differentially expressed between social groups. Objective: To estimate inequality gaps in diabetes mellitus mortality through absolute and relative measures according to geographic distribution and social conditions. Material and methods: Diabetes mellitus-related deaths recorded in Mexico between 2010 and 2019 were analyzed, and inequality measurements at the state level were calculated by gender. Results: National age-adjusted diabetes mellitus mortality rate showed an increase during the study period. Conclusion: The inequalities present in diabetes mortality should be considered for the design of health strategies.

https://doi.org/10.24875/gmm.22000298

Impact of social marginalization on oral health-related quality of life in older adults healthrelated health related
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MEDINA GÓMEZ, Oswaldo Sinoe

; VILLEGAS LARA, Beatriz

; ESCOBEDO DE LA PEÑA, Jorge

Brazilian Oral Research

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2023, Volume 37 elocation e095

Abstract: En | Text: En | PDF: En

Abstract The aim of this study was to determine the association between oral health-related quality of life (OHRQoL) and social marginalization in people aged 60 years and older enrolled in social security in Mexico. A cross-sectional and analytical study was carried out in older adults. To assess the OHRQoL, the OHIP-14 instrument was applied, and the degree of social marginalization and sociodemographic characteristics were analyzed. Measures of central tendency and dispersion, simple frequencies and proportions were estimated. Student’s t-test was used for comparison of means, and prevalence ratio (PR) and logistic regression were used to assess associations, all with a significance value of 0.05 and 95% confidence intervals. Perceived OHRQoL in the population measured through the OHIP-14 reached an average value of 9.84 ± 8.91, with the highest value in the dimension of physical pain (2.06 ± 1.91). Perceived treatment need was higher among people with social marginality (p = 0.011). The multivariate analysis shows that marginalized people have a lower OHRQoL. Socially marginalized older adults showed a low a better perception of OHRQoL, independent of demographic and clinical factors. healthrelated health related (OHRQoL 6 Mexico crosssectional cross sectional OHIP14 OHIP 14 OHIP-1 applied analyzed dispersion estimated Students Student s ttest t test means PR (PR associations 005 0 05 0.0 95 intervals 984 9 84 9.8 891 8 91 8.91 2.06 206 2 06 (2.0 1.91. 191 1.91 . 1 1.91) p 0.011. 0011 0.011 011 0.011) factors OHIP1 OHIP- 00 0. 98 9. 89 8.9 2.0 20 (2. 19 1.9 001 0.01 01 8. 2. (2 1. (

https://doi.org/10.1590/1807-3107bor-2023.vol37.0095

Selecting advanced rice lines (Oryza sp.) as an alternative for sustainable management of soils degraded by salinity
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Cobos Mora, Fernando

; Gómez-Pando, Luz Rayda

; Reyes Borja, Walter Oswaldo

; Ruilova Cueva, María

; Medina Litardo, Reina Concepción

; Hufana-Duran, Danilda

Ciencia y Tecnología Agropecuaria

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dec 2022, Volume 23 N. 3 elocation e2398

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen La investigación se centra en las líneas avanzadas desarrolladas a través de cruces interespecíficos entre Oryza sativa L. ssp. japonica x Oryza rufipogon G., y la línea tipo japónica, cuya tolerancia a las sales bajo condiciones de invernadero y campo se sometieron a evaluación. En la primera fase en invernadero, se sembraron 24 líneas avanzadas de arroz F5, cinco líneas parentales y un cultivar comercial SFL-011 (control) en medio líquido con una concentración de 7,0 dS/m CE salinizado con NaCl y control con 0,2.dS/m CE de agua de riego. En la segunda fase en condiciones de campo se evaluaron líneas de arroz F6 en suelos salinos con 7.44 dS/m CE. Se midieron variables agronómicas y de rendimiento. En condiciones de invernadero se destacaron seis líneas: Puyón/JP003 P11-106716, Puyón/JP002 P8-30552, Puyón/JP003 P11-103115, Puyón/JP002 P8-294930, JP002/JP001 P × P 5P 1322 y JP001/JP003 P1 × 11P 413, con mayor tolerancia que el control en cuanto a vigor de planta, panículas por planta, granos por panícula, peso de 1000 granos y rendimiento (g/planta). En condiciones de campo, dos líneas, Puyón/JP003 P11-106716 y Puyón/JP003 P11-103115, se destacaron por tener mejores resultados agronómicos en cultivares y rendimiento. Los resultados mostraron la importancia del uso de cruces interespecíficos entre O. Sativa ssp. japonica x O. rufipogon, y la línea tipo japónica para mejorar la tolerancia a la salinidad del arroz y garantizar altos rendimientos potenciales en suelos salinizados; de ahí la importancia del cruce en términos de rendimientos agrícolas.

Abstract Research focuses on advanced lines developed through interspecific crosses between Oryza sativa L. ssp. japonica and Oryza rufipogon G. and the japonica type line were evaluated for salts tolerance under greenhouse and field conditions. In the greenhouse, 24 advanced F5 rice lines, five parental lines, and one commercial cultivar SFL-011 (control) were grown in a liquid medium at a concentration of 7.0 dS/m EC salinized with NaCl, and the control was evaluated at 0.2 dS/m EC irrigation water in the first phase. Under field conditions, F6 rice lines were assessed in saline soils with 7.44 dS/m EC in the second phase. Agronomic variables and yield were measured. In greenhouse conditions, six lines stood out: Puyón/JP003 P11-106716, Puyón/JP002 P8-30552, Puyón/JP003 P11-103115, Puyón/JP002 P8-294930, JP002/JP001 P × P 5P 1322, and JP001/JP003 P1 × 11P 413, with greater tolerance than the rice control, concerning plant vigor, panicles per plant, grains per panicle, the thousand-grain weight, and yield (g/plant). Under field conditions, two lines, Puyón/JP003 P11-106716 and Puyón/JP003 P11-103115 stood out for better agronomic cultivars and yields. The results showed the importance of interspecific crosses between O. Sativa ssp. japonica and O. rufipogon and the japonica type line to improve the tolerance to salinity of rice and ensure high potential yields in salinized soils.

https://doi.org/10.21930/rcta.vol23_num3_art:2398

Volviéndonos mejores: necesidad de acción inmediata ante el reto de la obesidad. Una postura de profesionales de la salud
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Barquera, Simón

; Véjar-Rentería, Lesly Samara

; Aguilar-Salinas, Carlos

; Garibay-Nieto, Nayely

; García-García, Eduardo

; Bonvecchio, Anabelle

; Perichart, Otilia

; Torres-Tamayo, Margarita

; Esquivias-Zavala, Héctor

; Villalpando-Carrión, Salvador

; García-Méndez, Rosalba Carolina

; Apolinar-Jiménez, Evelia

; Kaufer-Horwitz, Martha

; Martínez-Montañez, Olga Georgina

; Fajardo Niquete, Ileana

; Aguirre-Crespo, Alejandra

; Gómez-Álvarez, Enrique

; Hernández-Jiménez, Sergio C.

; Denova-Gutiérrez, Edgar

; Batis, Carolina

; Elías-López, Daniel

; Palos-Lucio, Ana Gabriela

; Vásquez-Garibay, Edgar M.

; Romero-Velarde, Enrique

; Ortiz-Rodríguez, María Araceli

; Almendra-Pegueros, Rafael

; Contreras, Alejandra

; Nieto, Claudia

; Hernández-Cordero, Sonia

; Munguía, Ana

; Rojas-Russell, Mario

; Sánchez-Escobedo, Samantha

; Delgado-Amézquita, Elvia

; Aranda-González, Irma

; Cruz-Casarrubias, Carlos

; Campos-Nonato, Ismael

; García-Espino, Fátima

; Martínez-Vázquez, Sophia

; Arellano-Gómez, Laura P.

; Caballero-Cantú, Idalia

; Hunot-Alexander, Claudia

; Valero-Morales, Isabel

; González-González, Lorena

; Ríos-Cortázar, Víctor

; Medina-García, Catalina

; Argumedo, Gabriela

; Calleja-Enríquez, Carmen Rosa

; Robles-Macías, Edna

; Nava-González, Edna J.

; Lara-Riegos, Julio

; Sánchez-Plascencia, Ana K.

; Hernández-Fernández, Mauricio

; Rodríguez-Núñez, Jose Luis

; Rangel-Quillo, Sarai

; Cancino-Marentes, Martha Edith

; Hernández-Viana, Mónica J.

; Saldivar-Frausto, Mariana

; Álvarez-Ramírez, Miriam

; Sandoval-Salazar, Cuauhtémoc

; Silva-Tinoco, Rubén Oswaldo

; Moreno-Villanueva, Mildred

; Villarreal-Arce, María Elena

; Barriguete, J. Armando

; White, Mariel

; Jauregui, Alejandra

; Tolentino-Mayo, Lizbeth

; López-Ridaura, Ruy

; Rivera-Dommarco, Juan

Salud Pública de México

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apr 2022, Volume 64 N. 2 Pages 225 - 229

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract: In recent decades, the growing obesity epidemic in Mexico has become one of the most important public health challenges faced by the country. With support from the World Obesity Federation, we formed a working group in 2021 to identify and summarize priority actions that Mexico can take to face this epidemic. More than 1 000 health professionals joined the development and discussion process. Recommendations from previously published, high-level documents and guidelines were taken into account. In commemoration of World Obesity Day 2022, this statement is presented as input for health care professionals to develop actions to address obesity. The statement includes 10 recommendations that include population-level and individual-level actions. It emphasizes the importance of social participation, comprehensive interventions with a person- centered perspective, planetary sustainability, on improving education and communication campaigns, as well as fostering a built environment that promotes active living, and shielding prevention and control efforts from conflicts of interest. The statement calls for obesity to be treated seriously, based on scientific evidence, in a timely and comprehensive manner, employing a life-course and ethical approach that does not perpetuate weight stigma in society.

resumen está disponible en el texto completo

https://doi.org/10.21149/13679

Vulnerabilidad al acceso a los servicios de salud de los trabajadores informales en México ante la pandemia por SARS-CoV-2
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Medina-Gómez, Oswaldo Sinoe

Ciência & Saúde Coletiva

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dec 2021, Volume 26 N. 12 Pages 5897 - 5904

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract This critical-reflective essay problematizes the labor dynamics in the framework of informality considered as a determinant for access to the health system in Mexico and discusses the vulnerability of workers to the pandemic caused by the SARS-CoV-2 virus. This analysis aims to contribute to the construction of proposals aimed at improving the lives of male and female workers by guaranteeing their right to health.

Resumen El presente ensayo critico-reflexivo problematiza las dinámicas laborales en el marco de la informalidad considerado como un determinante para acceso al sistema de salud en México y discute la vulnerabilidad de los trabajadores ante la pandemia por el virus SARS-CoV-2. El presente trabajo pretende contribuir en la visibilización del problema para motivar la construcción en propuestas que contribuyan a mejorar la vida de trabajadores y trabajadoras garantizando su derecho a la salud.

https://doi.org/10.1590/1413-812320212612.14112021

Vulnerabilidad al acceso a los servicios de salud de los trabajadores informales en México ante la pandemia por SARS-CoV-2
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Medina-Gómez, Oswaldo Sinoe

Ciência & Saúde Coletiva

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dec 2021, Volume 26 N. 12 Pages 5897 - 5904

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

https://doi.org/10.1590/1413-812320212612.14112021

10.

Sustentabilidad de dos sistemas de producción de arroz, uno en condiciones de salinidad en la zona de Yaguachi y otro en condiciones normales en el sistema de riego y drenaje Babahoyo, Ecuador
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Cobos Mora, Fernando Javier

; Gómez Pando, Luz Rayda

; Reyes Borja, Walter Oswaldo

; Medina Litardo, Reina Concepción

Ecología Aplicada

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jan 2021, Volume 20 N. 1 Pages 65 - 81

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract A study was carried out in the provinces of Guayas and Los Ríos (Ecuador), with the objective of characterizing rice production systems; one under salinity conditions in Yaguachi and the other without salinization problems in the Babahoyo canton. Economic, social and ecological indicators were developed, suitable for the rice systems under study to determine the level of sustainability. The evaluation through indicators allowed to objectively detect critical points in these localities that affect sustainability. In the environmental aspect, the salinity indicator, classified as medium to high risk, and the indicator for the application of agrochemicals, characterized by the intensive use of pesticides and fertilizers, are those that most negatively affect the sustainability, especially, of the rice system in Yaguachi. In the economic dimension, the monoculture system indicator that generates additional income losses and the lack of diversity of products used for sale and food negatively affect the two rice production systems. In the social aspect, the indicators that contribute to greater sustainability were the quality of housing, degree of satisfaction and relationships with other members of the community. The General Sustainability Indices for the two rice production systems in Yaguachi and Babahoyo were 1.92 and 2.12, respectively.

Resumen Se realizó un estudio en las provincias de Guayas y Los Ríos (Ecuador), con el objetivo de caracterizar los sistemas de producción arrocero; uno en condiciones de salinidad en Yaguachi y otro sin problemas de salinización en el Cantón Babahoyo. Se elaboraron indicadores económicos, sociales y ecológicos, adecuados a los sistemas arroceros bajo estudio para determinar el nivel de sustentabilidad. La evaluación, mediante indicadores, permitió detectar de forma objetiva puntos críticos en estas localidades que afectan la sustentabilidad. En el aspecto ambiental, el indicador salinidad, fue calificado de nivel medio a alto riesgo, el indicador aplicación de agroquímicos, caracterizado por el uso intensivo de plaguicidas y fertilizantes es el que afecta más negativamente la sustentabilidad, especialmente, del sistema arrocero Yaguachi. En la dimensión económica, el indicador sistema de monocultivo que genera pérdidas de ingresos adicionales y la falta de diversidad de productos utilizados para la venta y la alimentación afectan en forma negativa a los dos sistemas de producción arroceros. En el aspecto social, los indicadores que contribuyen a una mayor sustentabilidad fueron la calidad de vivienda, grado de satisfacción y relaciones con otros miembros de la comunidad. Los Índices de Sustentabilidad General para los dos sistemas de producción arrocero en Yaguachi y Babahoyo, fueron 1.92 y 2.12, respectivamente.

https://doi.org/10.21704/rea.v20i1.1691

11.

Recomendaciones para el uso racional de la prueba 25-hidroxivitamina D Resumen de política
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Herrera-Molina, Emilio

; González, Nancy Yomayusa

; Low-Padilla, Eduardo

; Oliveros-Velásquez, Juan David

; Mendivelso-Duarte, Fredy

; Gómez-Gómez, Olga Victoria

; Castillo, Ana María

; Barrero-Garzón, Liliana Isabel

; Álvarez-Moreno, Carlos Arturo

; Moscoso-Martínez, Ernesto Augusto

; Ruíz-Blanco, Pilar Cristin

; Luna-Ríos, Joaquín Gustavo

; Ortiz, Natasha

; Herrera, Emiliano Mauricio

; Guevara-Santamaría, Fabián

; Moreno-Gómez, Jairo Enrique

; Cárdenas-Ramírez, Héctor Mauricio

; González-González, Camilo Alberto

; Jannauth, María José

; Patiño-Pérez, Adulkarin

; Pinto, Diego Alejandro

; Acevedo, Juan Ramon

; Torres, Rodolfo Eduardo

; Montero, Jairo Camilo

; Acevedo, Andrés David

; Caceres, Ximena Adriana

; Acuña-Olmos, Jairo

; Arias, Carlos Andrés

; Medardo-Rozo, José

; Castellanos-Parada, Jeffrey

; López-Miranda, Ángelo Mauricio

; Pinzón-Serrano, Estefanía

; Rincón-Sierra, Oswaldo

; Isaza-Ruget, Mario

; Suárez-Ramos, María del Pilar

; Vargas-Rodríguez, Johanna

; Mejia-Gaviria, Natalia

; Moreno-Marín, Sandra Yadira

; García-Guarín, Bibiana María

; Cárdenas, Martha Lucía

; Chavarro, Luis Fernando

; Ronderos-Bernal, Camila

; Rico-Landazabal, Arturo

; Coronado-Daza, Jorge Antonio

; Alfaro-Tejeda, Mercedes Teresa

; Yama-Mosquera, Erica

; Hernández-Sierra, Astrid Patricia

; Restrepo-Valencia, César Augusto

; Arango-Álvarez, Javier

; Rosero-Olarte, Francisco Oscar Fernando

; Medina-Orjuela, Adriana

; Robayo-García, Adriana

; Carballo-Zarate, Virgil

; Rodríguez-Sánchez, Martha Patricia

; Bernal, Dora P.

; Jaramillo, Laura

; Baquero-Rodríguez, Richard

; Mejía-Gaviria, Natalia

; Aroca, Gustavo

Revista Colombiana de Nefrología

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dec 2019, Volume 6 N. 2 Pages 179 - 192

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

resumen está disponible en el texto completo

Abstract The exponential increase in the request for laboratory tests of 25-Hydroxyvitamin D or [25 (OH) D has ignited the alarms and generated a strong call for attention, since it may reflect deficiencies in the standardization of clinical practice and in the use non-systematic scientific evidence for decision-making in real life, which allows to analyze the indications of the test, its frequency, interpretation and even to assess the impact for health systems, especially when contrasted with the minimum or almost. No effects of the strategy of screening or supplying indiscriminately to the general population, without considering a comprehensive clinical assessment of risks and needs of people. From a purely public health impact point of view, the consequence of massive and unspecified requests is affecting most of the health systems and institutions at the global level. The primary studies that determined average population intake values have been widely used in the formulation of recommendations in Clinical Practice Guidelines, but unfortunately misinterpreted as cut points to diagnose disease and allow the exaggerated prescription of nutritional substitution. The coefficient of variation in routine tests to measure blood levels of 25 (OH) D is high (28%), decreasing the overall accuracy of the test and simultaneously, increasing both the falsely high and falsely low values. The most recent scientific evidence analyzes and seriously questions the usefulness and the real effect of the massive and indiscriminate practice of prescribing vitamin D without an exhaustive risk analysis. The available evidence is insufficient to recommend a general substitution of vitamin D to prevent fractures, falls, changes in bone mineral density, incidence of cardiovascular diseases, cerebrovascular disease, neoplasms and also to modify the growth curve of mothers' children. They received vitamin D as a substitute during pregnancy. The recommendations presented in the document are based on the critical analysis of current evidence and the principles of good clinical practice and invite to consider a rational use of 25 (OH) D tests in the context of a clinical practice focused on people and a comprehensive assessment of needs and risks. The principles of good practice suggest that clinicians may be able to justify that the results of the 25 (OH) D test strongly influence and define clinical practice and modify the outcomes that interest people and impact their health and wellness. Currently there is no clarity on how to interpret the results, and the relationship between symptoms and 25 (OH) D levels, which may not be consistent with the high prevalence of vitamin D deficiency reported. For this reason, it is suggested to review the rationale of the request for tests for systematic monitoring of levels of 25 (OH) D or in all cases where substitution is performed. Consider the use of 25 (OH) D tests within the comprehensive evaluation of people with suspicion or confirmation of the following conditions: rickets, osteomalacia, osteoporosis, hyper or hypoparathyroidism, malabsorption syndromes, sarcopenia, metabolic bone disease.

597 downloads

12.

Informalidad laboral y derecho a la salud en México, un análisis crítico
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Medina-Gómez, Oswaldo

; López-Arellano, Oliva

Ciência & Saúde Coletiva

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jul 2019, Volume 24 N. 7 Pages 2583 - 2592

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract In light of the labor conditions defined within the framework of neoliberalism implemented in Mexico, labor dynamics are problematized, the main problems of access to the health and social security system are identified and the systematic violation of rights – especially the right to work, to social security and to health – are discussed. The objective of this article is to contribute with proposals for the construction of a comprehensive, inclusive, healthcare and social security system that contributes to the improvement of the lives of workers.

Resumen Frente a las condiciones de trabajo definidas en el marco del neoliberalismo implementado en México, se problematiza las dinámicas laborales, identifica los principales problemas de acceso al sistema de salud y de seguridad social y discute la vulneración sistemática de derechos, principalmente del derecho al trabajo, a la seguridad social y a la salud. Se propone contribuir con propuestas para la construcción de un sistema de salud y seguridad social integral, incluyente y solidario que coadyuve a mejorar la vida de trabajadores y trabajadoras.

https://doi.org/10.1590/1413-81232018247.14342017

13.

Informalidad laboral y derecho a la salud en México, un análisis crítico
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Medina-Gómez, Oswaldo

; López-Arellano, Oliva

Ciência & Saúde Coletiva

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jul 2019, Volume 24 N. 7 Pages 2583 - 2592

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

https://doi.org/10.1590/1413-81232018247.14342017 2938 downloads

14.

Conocimiento de la vacuna contra el VPH y factores asociados con su aceptación en niñas de 9 a 12 años
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Millán-Morales, Rebeca Carolina

; Medina-Gómez, Oswaldo Sinoe

; Villegas-Lara, Beatriz

Ginecología y obstetricia de México

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2019, Volume 87 N. 10 Pages 660 - 667

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract: OBJECTIVE: Evaluate the degree of knowledge about the vaccine against HPV and associated factors that determine its acceptance in mothers of women from 9 to 12 years old. MATERIALS AND METHODS: Observational, prospective, cross-sectional, analytical study from November 2017 to October 2018 to mothers of girls aged 9 to 12 who attended the Family Medicine Unit 15 IMSS in Mexico City. The selection was made by non-probabilistic sampling for convenience to mothers or guardians whose daughters had not received the HPV vaccine. A questionnaire was applied to know the degree of knowledge about the vaccine against HPV and associated socioeconomic factors. Measures of central tendency and dispersion were estimated. Student's t test for comparison of means and hypothesis test with χ2 of Mantel-Haenszel. Prevalence ratio (PR), with 95% confidence intervals, and multivariate analysis was performed through a non-conditional logistic regression. RESULTS: A total of 407 mothers were interviewed, obtaining 32.92% with a high level of knowledge about the HPV vaccine. The 39.3% were referred by the family doctor for its application. Those with less knowledge about the vaccine had less schooling. A higher percentage of what was reported in previous studies was obtained in terms of women with low knowledge. CONCLUSIONS: The level of knowledge of mothers about the HPV vaccine is associated with the level of schooling, type of religion and marital status. A low level of knowledge about the vaccine increases the possibility of cervical cytology being considered unnecessary. Information campaigns that consider the sociocultural characteristics of the population are required to guarantee a greater impact.

Resumen: OBJETIVO: Evaluar el grado de conocimiento en relación con la vacuna contra el VPH y los factores asociados que determinan su aceptación en madres de niñas de 9 a 12 años. MATERIALES Y MÉTODOS: Estudio observacional, prospectivo, transversal y analítico, efectuado en madres de niñas de 9 a 12 años que acudieron a la Unidad de Medicina Familiar 15 del IMSS, en la Ciudad de México, entre noviembre de 2017 y octubre de 2018. La selección de pacientes se realizó mediante muestreo no probabilístico por conveniencia, principalmente madres o tutoras de hijas que no habían recibido la vacuna contra el VPH. Se aplicó un cuestionario para evaluar el grado de conocimiento acerca de la vacuna contra el VPH y los factores socioeconómicos asociados. Se estimaron medidas de tendencia central y dispersión. Se utilizó la t de Student para la comparación de medias y prueba de hipótesis con χ2 de Mantel-Haenszel; razón de prevalencia (RP), con intervalo de confianza de 95%. Se realizó el análisis multivariado a través de regresión logística no condicional. RESULTADOS: Se entrevistaron 407 madres, de quienes se obtuvo 32.9% de alto grado de conocimiento de la vacuna contra el VPH. El 39.3% fue enviada por el médico familiar para su aplicación. Las participantes con menor conocimiento de la vacuna tuvieron menos escolaridad. Se obtuvo mayor porcentaje de lo reportado en estudios previos en cuanto a mujeres con bajo conocimiento de la vacuna. CONCLUSIONES: El grado de conocimiento de las madres acerca de la vacuna contra el VPH se asoció con escolaridad, religión y estado civil. El bajo grado de conocimiento referente a la vacuna incrementa la posibilidad de considerar innecesaria la citología cervical. Se requieren campañas de información que consideren las características socioculturales, para garantizar mayor repercusión en la población.

https://doi.org/10.24245/gom.v87i10.3065 265 downloads

15.

El análisis de las desigualdades en salud: comentarios a Julio Pisanty-Alatorre
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Medina-Gómez, Oswaldo Sinoe

; Espinosa-Felix, Jacqueline

; Ramos-Orenday, Karla Sarahí

Salud Pública de México

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oct 2018, Volume 60 N. 5 Pages 495 - 495

Abstract: Es | Text: Es | PDF: Es

https://doi.org/10.21149/9252 173 downloads

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