Diabetes mellitus en México. El estado de la epidemia

Hernández-Ávila, Mauricio; Gutiérrez, Juan Pablo; Reynoso-Noverón, Nancy

doi:10.21149/spm.v55s2.5108

Cited by 152 publications

(135 citation statements)

References 18 publications

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“…It is already known that any part of the plantar skin may be ulcerate [3]. However, according to ulcers classification, the risks to become insidious are the ischemia and the infection [5].…”

Section: Discussionmentioning

confidence: 99%

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The abrupt temperature changes in the plantar skin thermogram of the diabetic patient: looking in to prevent the insidious ulcers

Renero-Carrillo

2018

Diabetic Foot & Ankle

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Background: One of the complications of the diabetes mellitus is the amputation of the lower limbs. This complication may be developed after an insidious ulcer, that may be raised by the peripheral neuropathy or the ischaemic limb, and that the ulcer get infected. That is, to develop an ulcer, in the diabetic patient, three factors should be taken into the account, the autonomic nervous system, the blood supply and the inmune system. Methods: In this work, the thermogram is used to identify regions on the plantar skin with blood supply deficiencies and the behaviour of the thermoregulation process. Within the thermogram of the plantar skin, it can be identify local regions with low and high temperatures that corresponds to ischemic or inflammatory process on that part of the skin. Results: The findings within the 186 thermograms of diabetic patients, obtained from three hospitals and from INAOE facilities, showed, first, the thermograms of the plantar skin of two diabetic patients, acquired in two different times show that the temperature distribution and the average temperatures, vary slightly for a period of weeks. Second, the thermograms of two patients, who both developed insidious ulcers which evolved favourable, demonstrated the importance of the immune system and the drug therapy. These patients are, one who has a Charcot foot, and in the second one, the patient had loss the sensibility of the feet. Finally, the thermograms of two patients, showing abrupt temperature change within small regions in the plantar skin, are discussed. Conclusion: A diabetic patient, with an asymmetric thermogram, as physiological interpretation of the thermoregulation, may indicate a decrease of the blood supply, which may be corroborated by vascular ultrasound. The regions of abrupt temperature change, cold or hot spots, may correspond to ischaemic or inflammatory processes.

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Section: Discussionmentioning

confidence: 99%

“…However, for the patients the costs are more considerable because their income may be reduced, their activities of the daily life have to change, etc. [1,3]. …”

Section: Introductionmentioning

confidence: 99%

The abrupt temperature changes in the plantar skin thermogram of the diabetic patient: looking in to prevent the insidious ulcers

Renero-Carrillo

2018

Diabetic Foot & Ankle

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“…This definition can then, in future studies, be contrasted with samples from individuals with specific pathologies non-invasive tools that may help out in the early diagnose of the disease. [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Identification and quantification of metabolites in exhaled breath in a sample population in México

Rivera

Gallego

Hernández

et al. 2016

AIP Conference Proceedings

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“…(3,4) The disease affects one in ten Mexicans and thus constitutes a public health problem. (4)(5)(6) In the Mexican Social Security Institute, diabetes is the primary cause of death nationwide. Its complications cause hospitalizations with high mortality and costs.…”

Section: Introductionmentioning

confidence: 99%

“…It is also the leading cause of pension for disability. (5,6) Since 2011, diabetes has been the second most common cause of death in people ascribed to the IMSS-Prospera program. (7) The state of San Luis Potosi is divided into seven sanitary jurisdictions.…”

Section: Introductionmentioning

confidence: 99%

Avaliação do desempenho de enfermagem em um programa de previdência social

Zúñiga¹,

Oviedo

Rivera

et al. 2016

Acta paul. enferm.

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Results: A total of 93.3% of the sample consisted of female certified nurse assistants, 70% with studies at the technician level. The overall measurements of the administrative, care, teaching, and communication functions indicated that 6.7% presented good performance, 40% fair performance, and 53.3% poor performance. Conclusion: Care and teaching functions show significant opportunities for improving patient self-care. Nursing performance evaluation provides evidence for the management of services in the diabetes program. ResumoObjetivo: Avaliar o desempenho da enfermagem no controle do diabetes de pacientes ambulatoriais do IMSS (Instituto Mexicano de Seguro Social) -Hospital Prospera número 44 em Tamazunchale, San Luis Potosi, México. Métodos: Estudo quantitativo, transversal e descritivo, com amostra de 30 enfermeiros recrutados de agosto de 2014 a abril de 2015. Foi utilizado um guia de observação de desempenho que avaliou as funções administrativas, assistenciais, de ensino e de comunicação. O desempenho foi classificado como bom, razoável e ruim por meio de estatísticas descritivas. Resultados: Um total de 93.3% da amostra consistiu de mulheres, auxiliares de enfermagem certificadas; 70% com estudo de nível técnico. As medidas globais das funções administração, assistencial, de ensino e de comunicação indicaram que 6,7% apresentaram desempenho bom, 40% desempenho razoável e 53,3% desempenho ruim Conclusão: As funções de cuidar e ensinar mostraram oportunidades significativas para melhorar o autocuidado ao paciente. A avaliação do desempenho de enfermagem forneceu evidências para a gestão dos serviços no programa de diabetes.

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Diabetes mellitus en México. El estado de la epidemia

Cited by 152 publications

References 18 publications

The abrupt temperature changes in the plantar skin thermogram of the diabetic patient: looking in to prevent the insidious ulcers

The abrupt temperature changes in the plantar skin thermogram of the diabetic patient: looking in to prevent the insidious ulcers

Identification and quantification of metabolites in exhaled breath in a sample population in México

Avaliação do desempenho de enfermagem em um programa de previdência social

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