La calidad de vida en adultos con diabetes mellitus tipo 2 en centros de salud de Guadalajara, Jalisco (México)

Objetivo: Evaluar la percepción de Calidad de Vida Relacionada con la Salud (CVRS) de Objetivos: Evaluar la relación de la diabetes sobre la calidad de vida, utilizando el cuestionario Diabetes 39 en pacientes diagnosticados como diabéticos que acuden a visita ambulatoria a centros de salud. Materiales y métodos: Con un diseño transversal en una muestra no probabilística determinada por un periodo de tiempo en cuatro centros de salud de la Secretaría de Salud Jalisco (SSJ) en la Zona Metropolitana de Guadalajara, en pacientes que acuden a control de diabetes. Se estudiaron tres variables: calidad de vida, socio-demográficas y específicas de la enfermedad. Resultados: En la muestra de 198 pacientes ambulatorios con diabetes tipo 2 y con un tiempo de evolución de 9.51 ± 8 años, un 76.7% sin complicaciones relacionadas con la diabetes, una mitad (47.9%) fueron tratados con dieta. Con base en los dominios medidos con el Diabetes 39, las puntuaciones más altas se dan en la "calidad de vida" con un dete- rioro en la misma seguida de la percepción que se tiene sobre la "severidad de la diabetes", de los cinco dominios los de "energía y movilidad" y el de "funcionamiento sexual" fueron los que tienen una mayor media del total de la muestra. Las diferencias significativas por género se dan en el dominio de "funcionamiento sexual" para los hombres. Conclusiones: La calidad de vida se ve afectada en pacientes con diabetes, especialmen- te en el dominio de energía y movilidad y en el funcionamiento sexual, lo que indica la necesidad de un programa de intervención en actividades física-recreativas y en asesoría educativa-psicológica. Palabras clave: Diabetes 39, Calidad de vida, Diabetes mellitus, Adultos. Abstract Objectives: To evaluate the relationships of the diabetes on the quality of life, being used questionnaire Diabetes 39 to patients diagnosed like diabetics who go ambulatory visit to health centers. Materials and methods: With a transversal design in a nonrandom sampling determi- ned by a time period in four centers of health of the salubrity secretary was made (SSA) in the Metropolitan Zone of Guadalajara, in patients attending diabetic control. Three variables were studied: quality of life, socio-demographics and the disease specific. Results: In the sample of 198 ambulatory patients with diabetes type 2 iand with a du- ration of 9.51 ± 8 years, 76,7% without diabetes-related complications, one half (47.95) were treated with diet. Based on the dominions measured with Diabetes 39, the highest scores occur in the dominion of "quality of life" with a followed deterioration in their lives and in their perception about the "severity of the diabetes", of the five dominions those of "energy and mobility" and the one of "sexual operation" was those that they have a greater average of the total of the sample. The significant differences by gender differences exist in the domain of "sexual performance" for men. Conclusions: The quality of life is affected in patients with diabetes, especially in the do- minion of energy and mobility and in the sexual operation, which indicates the necessity of a program of intervention in physical-recreational activities and educative-psychological consultant's office. The greater negative impact of the diabetes in the quality of life was associated with man, low entrance to the average and with presence of complications by the diabetes. Keywords: Diabetes 39, Quality of life, Diabetes mellitus, Adults

Planeación, gobernanza y sustentabilidad Retos y desafíos desde el enfoque territorial

Frente a la compleja realidad actual, resulta ineludible el desarrollo de la investigación científica de los fenómenos y procesos urbanos, territoriales y ambientales, que contribuya a su comprensión y la construcción de alternativas de solución a los retos y desafíos vigentes. En este contexto, el abordaje de las ciudades y regiones metropolitanas, el ordenamiento del territorio y la ocupación del espacio, así como la relación sociedad-naturaleza y la complejidad ambiental, precisa la generación de metodologías y procesos de investigación multi e inter disciplinarios que contribuyan a la comprensión de los procesos socioterritoriales, el mejoramiento de las condiciones de vida y la conservación ambiental.Programa de Fortalecimiento de la Calidad Educativa PFCE-2016 proyecto K0313101

TORTURA Y PROTOCOLO DE ESTABMBÚL: Perspectivas, alternativas y contextos

La obra presenta el tema central de la tortura que esta presente en la sociedad mexicana. Sus perspectivas, alternativas y contextos.El libro consta de 23 capítulos en los cuales los autores presentan de forma analítica y crítica el contexto de la tortura en México; sus efectos, alcances y perspectivas

Calidad de vida relacionada con la salud y trabajo en pacientes con tuberculosis en Guadalajara, (México)

Objetivo: Evaluar la percepción de Calidad de Vida Relacionada con la Salud (CVRS) de pacientes con diagnóstico de tuberculosis y la relación con su trabajo. Materiales y métodos: Se utilizó el SF-36 y la dimensión de trabajo del Sickness Impact Profile (SIP). Resultados: Las dimensiones del SF-36 percibidas como malas fueron rol físico, vitalidad, salud mental y percepción de la salud general. El 60 % del total manifestó que no tenía trabajo al momento del estudio. Conclusiones: El 80 % de los pacientes estuvieron en edad productiva, por lo que además de su CVRS se afecta su ingreso familiar al dejar de trabajar, lo cual aumenta el impacto social de la enfermedad.

La calidad de vida en adultos con diabetes mellitus tipo 2 en centros de salud de Guadalajara, Jalisco (México)

Objetivo: Evaluar la percepción de Calidad de Vida Relacionada con la Salud (CVRS) de Objetivos: Evaluar la relación de la diabetes sobre la calidad de vida, utilizando el cuestionario Diabetes 39 en pacientes diagnosticados como diabéticos que acuden a visita ambulatoria a centros de salud. Materiales y métodos: Con un diseño transversal en una muestra no probabilística determinada por un periodo de tiempo en cuatro centros de salud de la Secretaría de Salud Jalisco (SSJ) en la Zona Metropolitana de Guadalajara, en pacientes que acuden a control de diabetes. Se estudiaron tres variables: calidad de vida, socio-demográficas y específicas de la enfermedad. Resultados: En la muestra de 198 pacientes ambulatorios con diabetes tipo 2 y con un tiempo de evolución de 9.51 ± 8 años, un 76.7% sin complicaciones relacionadas con la diabetes, una mitad (47.9%) fueron tratados con dieta. Con base en los dominios medidos con el Diabetes 39, las puntuaciones más altas se dan en la "calidad de vida" con un dete- rioro en la misma seguida de la percepción que se tiene sobre la "severidad de la diabetes", de los cinco dominios los de "energía y movilidad" y el de "funcionamiento sexual" fueron los que tienen una mayor media del total de la muestra. Las diferencias significativas por género se dan en el dominio de "funcionamiento sexual" para los hombres. Conclusiones: La calidad de vida se ve afectada en pacientes con diabetes, especialmen- te en el dominio de energía y movilidad y en el funcionamiento sexual, lo que indica la necesidad de un programa de intervención en actividades física-recreativas y en asesoría educativa-psicológica. Palabras clave: Diabetes 39, Calidad de vida, Diabetes mellitus, Adultos. Abstract Objectives: To evaluate the relationships of the diabetes on the quality of life, being used questionnaire Diabetes 39 to patients diagnosed like diabetics who go ambulatory visit to health centers. Materials and methods: With a transversal design in a nonrandom sampling determi- ned by a time period in four centers of health of the salubrity secretary was made (SSA) in the Metropolitan Zone of Guadalajara, in patients attending diabetic control. Three variables were studied: quality of life, socio-demographics and the disease specific. Results: In the sample of 198 ambulatory patients with diabetes type 2 iand with a du- ration of 9.51 ± 8 years, 76,7% without diabetes-related complications, one half (47.95) were treated with diet. Based on the dominions measured with Diabetes 39, the highest scores occur in the dominion of "quality of life" with a followed deterioration in their lives and in their perception about the "severity of the diabetes", of the five dominions those of "energy and mobility" and the one of "sexual operation" was those that they have a greater average of the total of the sample. The significant differences by gender differences exist in the domain of "sexual performance" for men. Conclusions: The quality of life is affected in patients with diabetes, especially in the do- minion of energy and mobility and in the sexual operation, which indicates the necessity of a program of intervention in physical-recreational activities and educative-psychological consultant's office. The greater negative impact of the diabetes in the quality of life was associated with man, low entrance to the average and with presence of complications by the diabetes. Keywords: Diabetes 39, Quality of life, Diabetes mellitus, Adults

COVID-19 in hospitalized HIV-positive and HIV-negative patients : A matched study

CatedresObjectives: We compared the characteristics and clinical outcomes of hospitalized individuals with COVID-19 with [people with HIV (PWH)] and without (non-PWH) HIV co-infection in Spain during the first wave of the pandemic. Methods: This was a retrospective matched cohort study. People with HIV were identified by reviewing clinical records and laboratory registries of 10 922 patients in active-follow-up within the Spanish HIV Research Network (CoRIS) up to 30 June 2020. Each hospitalized PWH was matched with five non-PWH of the same age and sex randomly selected from COVID-19@Spain, a multicentre cohort of 4035 patients hospitalized with confirmed COVID-19. The main outcome was all-cause in-hospital mortality. Results: Forty-five PWH with PCR-confirmed COVID-19 were identified in CoRIS, 21 of whom were hospitalized. A total of 105 age/sex-matched controls were selected from the COVID-19@Spain cohort. The median age in both groups was 53 (Q1-Q3, 46-56) years, and 90.5% were men. In PWH, 19.1% were injecting drug users, 95.2% were on antiretroviral therapy, 94.4% had HIV-RNA < 50 copies/mL, and the median (Q1-Q3) CD4 count was 595 (349-798) cells/μL. No statistically significant differences were found between PWH and non-PWH in number of comorbidities, presenting signs and symptoms, laboratory parameters, radiology findings and severity scores on admission. Corticosteroids were administered to 33.3% and 27.4% of PWH and non-PWH, respectively (P = 0.580). Deaths during admission were documented in two (9.5%) PWH and 12 (11.4%) non-PWH (P = 0.800). Conclusions: Our findings suggest that well-controlled HIV infection does not modify the clinical presentation or worsen clinical outcomes of COVID-19 hospitalization

How do women living with HIV experience menopause? Menopausal symptoms, anxiety and depression according to reproductive age in a multicenter cohort

CatedresBackground: To estimate the prevalence and severity of menopausal symptoms and anxiety/depression and to assess the differences according to menopausal status among women living with HIV aged 45-60 years from the cohort of Spanish HIV/AIDS Research Network (CoRIS). Methods: Women were interviewed by phone between September 2017 and December 2018 to determine whether they had experienced menopausal symptoms and anxiety/depression. The Menopause Rating Scale was used to evaluate the prevalence and severity of symptoms related to menopause in three subscales: somatic, psychologic and urogenital; and the 4-item Patient Health Questionnaire was used for anxiety/depression. Logistic regression models were used to estimate odds ratios (ORs) of association between menopausal status, and other potential risk factors, the presence and severity of somatic, psychological and urogenital symptoms and of anxiety/depression. Results: Of 251 women included, 137 (54.6%) were post-, 70 (27.9%) peri- and 44 (17.5%) pre-menopausal, respectively. Median age of onset menopause was 48 years (IQR 45-50). The proportions of pre-, peri- and post-menopausal women who had experienced any menopausal symptoms were 45.5%, 60.0% and 66.4%, respectively. Both peri- and post-menopause were associated with a higher likelihood of having somatic symptoms (aOR 3.01; 95% CI 1.38-6.55 and 2.63; 1.44-4.81, respectively), while post-menopause increased the likelihood of having psychological (2.16; 1.13-4.14) and urogenital symptoms (2.54; 1.42-4.85). By other hand, post-menopausal women had a statistically significant five-fold increase in the likelihood of presenting severe urogenital symptoms than pre-menopausal women (4.90; 1.74-13.84). No significant differences by menopausal status were found for anxiety/depression. Joint/muscle problems, exhaustion and sleeping disorders were the most commonly reported symptoms among all women. Differences in the prevalences of vaginal dryness (p = 0.002), joint/muscle complaints (p = 0.032), and sweating/flush (p = 0.032) were found among the three groups. Conclusions: Women living with HIV experienced a wide variety of menopausal symptoms, some of them initiated before women had any menstrual irregularity. We found a higher likelihood of somatic symptoms in peri- and post-menopausal women, while a higher likelihood of psychological and urogenital symptoms was found in post-menopausal women. Most somatic symptoms were of low or moderate severity, probably due to the good clinical and immunological situation of these women