OBJECTIVE -To describe the clinical characteristics of the diabetic population that formed part of a population-based survey conducted in México.RESEARCH DESIGN AND METHODS -In 2000, information was obtained from 42,886 subjects aged Ն20 years using a multistage sampling procedure. Standardized questionnaires were used. Anthropometric measurements, blood pressure, and capillary glucose concentrations were taken.RESULTS -Type 2 diabetes was found in 3,597 subjects (age-adjusted prevalence 8.18%), of which 2,878 (80%) had previously been diagnosed. The average age of the diabetic participants was 55.2 Ϯ 13.5 years; 13% were Ͻ40 years of age. Nine percent had been diagnosed for Ͼ10 years. The average BMI was 29.2 Ϯ 5.7 kg/m 2 ; three-quarters of the cases had BMI Ͼ25 kg/m 2 . The average waist circumference was 102 Ϯ 13.4 cm, and increased waist circumference was more common among women. Arterial hypertension was found in half of the cases and, of those on treatment, only one-third had a blood pressure Ͻ140/90 mmHg. Smoking was reported in 34% of the diabetic group, a higher rate than in the nondiabetic subjects. There was at least one modifiable coronary risk factor in 67.6% of the cases. Very few followed an exercise or dietary regimen and a small percentage used insulin.CONCLUSIONS -Diabetes affects a large proportion of Mexican adults (8.18%). This figure may be underestimated. The majority of the subjects had modifiable risk factors for the chronic complications of diabetes. Only a few achieved adequate blood pressure control and other treatment goals.

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Objective: This cross sectional study intended to evaluate two bedside tests (Neuropad and VibraTip) as screening tools for distal symmetrical polyneuropathy (DSPN) in Latin American patients with type 2 diabetes mellitus (T2D). Subjects and methods: Ninety-three Colombian patients diagnosed with T2D were recruited. Anthropometric variables, glycemic control parameters, lipid profile and renal function were assessed for each patient. DSPN was defined by a Michigan Neuropathy Screening Instrument (MNSI) clinical score greater than 2. Both Neuropad and Vibratip tests were applied to each patient. Contingency analyses were performed to evaluate the diagnostic power of both tools. Results: The prevalence of DSPN determined clinically by MNSI was 25.8%. DSPN in these patients was associated with age, worsening renal function, and insulin treatment. The sensitivity and specificity of the Neuropad test for DSPN was 66.6% and 63% respectively. Its negative predictive value (NPV) was 84.6%. The VibraTip test exhibited a sensitivity of 54.1% and specificity of 91.3%, with a NPV of 85.1%.

Introducción. Las intervenciones para reducir el consumo riesgoso de alcohol son una prioridad en todos los escenarios clínicos, incluido el hospitalario. Objetivos. Describir las características sociodemográficas, familiares y clínicas en personas con consumo riesgoso de alcohol atendidas en un hospital universitario y evaluar la asociación entre estos factores y la intención de disminuir el consumo, medida según la etapa de cambio comportamental y denominada en este estudio como “intención de cambio”. Materiales y métodos. Estudio descriptivo transversal realizado en 176 pacientes entre 19 y 64 años con consumo riesgoso de alcohol (según puntaje AUDIT) atendidos o valorados entre abril de 2018 y marzo de 2020 en un hospital de cuarto nivel de Bogotá D.C., Colombia. Se realizó un análisis bivariado (Chi-cuadrado) y uno multivariado (regresión logística ordinal) para evaluar las asociaciones entre las variables independientes (características sociodemográficas, familiares, clínicas y relacionadas con el consumo de alcohol) y la intención de cambio. Se calcularon Odds Ratio ajustados (ORa) y se consideró un nivel de significancia de p<0.05 Resultados. La prevalencia de consumo riesgoso de alcohol fue de 4.88% (IC95%: 4.17-5.58) (176/3609). La mayoría de participantes eran hombres (82.95%) con más de 30 años (71.02%) y estaban en la etapa “preparación” de cambio comportamental (63.63%). En el análisis multivariado, ser mayor de 30 años se asoció con mayor intención de cambio (31-45 años: OR=3.68, IC95%:1.56-9.06; 46-64 años: OR=2.63; IC95%: 1.20–5.86) y, por el contrario, ser de un estrato socioeconómico alto se asoció con una menor intención (OR=0.06; IC95%: 0.01-0.50). Conclusiones. Se observó una mayor intención de disminuir el consumo de alcohol en los participantes mayores de 30 años, aquellos con mayor percepción de los beneficios de dicha disminución, aquellos con mayor percepción de autoeficacia, y en los pacientes con intentos previos de disminución; en contraposición, el estrato socioeconómico alto se asoció con menor intención de cambio.

Background: The aim of this study is to present the design of a proposal for the implementation of the Comprehensive Health Care Routes (RIAS, by its Spanish acronym) in the municipality of Vista Hermosa (Meta, Colombia). We are trying to get a real and broad view of the health context in the municipality; identify the health assets, problems, and needs, as well as the enablers and barriers for the implementation of the RIAS; and draft a series of recommendations for the implementation of the RIAS. The fieldwork was developed with people living in the urban area of Vista Hermosa and in the rural settlement of Santo Domingo. Methods: This is a quasi-experimental with quantitative and qualitative methods developed in four phases. In the first, we identified the area and worked on the bases. In the second, we conducted community-based research to characterize the population; identify health beliefs, values, and needs, as well as enablers and barriers to accessing the health system; and evaluate the implementation of the RIAS for Health Promotion and Maintenance and the RIAS for Maternal-Perinatal Health in the municipality. In the third, we designed a methodology for implementing the RIAS, and developed six health interventions with their respective deliverables. In the fourth, we transferred the constructed knowledge to the local community, the Health Care Talent (HCT) and the government authorities in Vista Hermosa. Results: We made a diagnosis of the health of the residents of Vista Hermosa and specifically, of the study participants, based on the RIAS for Health Promotion and Maintenance, and the RIAS for Maternal-Perinatal Health. We also developed a compendium of their values and beliefs about health, grouped into five categories: health and disease processes; health, body, and territory; health care; care networks; and barriers to access. Finally, we mapped the municipality's capacity to implement the RIAS. We divided it into three categories: key actors, resources, and facilitators. Discussion: This study made important contributions in three areas: a) the communities located in the urban areas of Vista Hermosa and Santo Domingo; b) the ongoing implementation of the RIAS in Vista Hermosa; and c) the field of research on peacebuilding health interventions. Finally, we identified challenges and limitations that may affect the implementation of the RIAS, as well as some recommendations to address the latter.