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1.
Salud Publica Mex ; 41(2): 101-9, 1999.
Artigo em Espanhol | MEDLINE | ID: mdl-10343513

RESUMO

OBJECTIVE: This study presents the demographic, socioeconomic profile, working conditions and labor fatigue among fertile age street vendors in Mexico City. MATERIAL AND METHODS: 426 female street vendors were interviewed in Mexico City. This population was described and the association between the components labor fatigue and low birth weight (LBW) was analyzed by logistic regression in a subgroup of women who worked as street vendors during their last pregnancy. RESULTS: Of the interviewed group, 56% works more than 48 h per week, 87% had no social security, and 68% only had primary school level. The risk of LBW increased when workers had to cover selling quotes (OR 6.5, CI95% 1.3-31) when the merchandise were seasonal tools such as accessories or spare parts (OR 6.3, CI95% 1.5-26), when women had to exhibit their merchandise on the floor or carry it (OR 7.7 CI95% 1.8-32) and when financial support to initiate vending activities came from someone other than a close relative or friend (OR 7.4 CI95%, 1.2-44). CONCLUSIONS: These results contribute to identify the female vendors with higher risk of having child with LBW and suggest preventive actions.


Assuntos
Peso ao Nascer , Fadiga/etiologia , Ocupações , Mulheres Trabalhadoras , Trabalho , Adolescente , Adulto , Criança , Feminino , Humanos , Recém-Nascido de Baixo Peso , Recém-Nascido , México , Pessoa de Meia-Idade , Paridade , Gravidez , Cuidado Pré-Natal , Fatores Socioeconômicos
2.
Int J Qual Health Care ; 9(2): 93-9, 1997 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9154495

RESUMO

This study assessed and quantified the effect of quality of care on death preventability, independent of social and biological variables. One hundred and eighty-one avoidable perinatal deaths (cases) were compared to 341 non-avoidable ones (controls). Judgement criteria on death preventability were based predominantly on compliance with explicit hospital medical care standards, determined by peer review. The overall perinatal mortality rate was 24.8 per 1000 births and could be reduced by 35% if all avoidable perinatal deaths were prevented. Sixteen per cent of the deaths presented structural and 31.2% process deficiencies; both predominated among avoidable perinatal deaths (35.4% vs 5.3%, p < 0.000; and 79.3% vs 5.9%, p < 0.000, respectively). Structural deficiencies increased the risk of an avoidable perinatal death eleven-fold (95% confidence interval (CI) 4.1, 26.9; p < 0.001) and process deficiencies eighty-eightfold (95% CI 37.2, 204.5, p < 0.001), after controlling for confounders. The strength of the association between quality of care and preventable perinatal mortality was estimated.


Assuntos
Mortalidade Infantil , Centros de Saúde Materno-Infantil/normas , Qualidade da Assistência à Saúde , Adulto , Causas de Morte , Feminino , Humanos , Recém-Nascido , Modelos Logísticos , Auditoria Médica , México/epidemiologia , Razão de Chances , Gravidez , Estudos Retrospectivos
3.
Int J Fertil Menopausal Stud ; 40(2): 96-101, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-7599666

RESUMO

UNLABELLED: OBJECTIVE -- To determine if intermittent oral bromocriptine administration could be a useful therapeutic alternative in infertile hyperprolactinemic women. DESIGN -- Open, randomized and prospective study. SETTING -- Outpatient infertility clinic of a third-level medical institution. PATIENTS -- Fourteen low-income women, 23 to 36 years of age with anovulatory infertility (1-13 years in duration) secondary to hyperprolactinemia (>35 ng/mL). Endocrine profile ruled out anovulation of other origin. INTERVENTIONS -- After a control period of 30 days, seven women (group 1) received daily oral bromocriptine (2.5-10.0 mg/day) continuously during two consecutive 30-day periods (T-1 and T-2), and seven women (group 2) received oral bromocriptine only from day 1 to 15 of each 30-day period of treatment. Morning blood samples were drawn similarly during the three periods on days 6 to 8, 13 to 15, and 21 to 23. MAIN OUTCOME MEASURES -- FSH, LH, and prolactin were determined in all samples, estradiol only in samples of days 6 to 8 and 13 to 15, and progesterone exclusively between days 21 and 23. RESULTS: Mean serum prolactin levels during the control period were similarly elevated in groups 1 and 2. A marked decrease occurred during period T-1 (P < .004) and further during period T-2 (P < .05) in both groups, but at no time were significant intergroup differences documented. During the control period all women had a serum progesterone < 3.0 ng/mL (<9.54 nmol/L); during period T-2 it was > or = 3.0 ng/mL in three and five women of groups 1 and 2, respectively. Over the following 10 months of treatment, two and three normal pregnancies and deliveries ensued in groups 1 and 2, respectively. CONCLUSION -- The intermittent use of oral bromocriptine may indeed be a useful therapeutic approach in treating infertile hyperprolactinemic women.


Assuntos
Bromocriptina/administração & dosagem , Hiperprolactinemia/tratamento farmacológico , Adulto , Bromocriptina/efeitos adversos , Bromocriptina/uso terapêutico , Estradiol/sangue , Feminino , Hormônio Foliculoestimulante/sangue , Humanos , Infertilidade Feminina/tratamento farmacológico , Infertilidade Feminina/etiologia , Cinética , Hormônio Luteinizante/sangue , Gravidez , Prolactina/sangue , Estudos Prospectivos
4.
Ginecol Obstet Mex ; 61: 96-101, 1993 Apr.
Artigo em Espanhol | MEDLINE | ID: mdl-8406122

RESUMO

As a first step in an extensive project planned to determine serum PRL levels in response to oral metoclopramide in women with a diverse gyneco-obstetric history, it was decided to study 51 clinically healthy nulliparous women, aged 15.8 to 48.2 years, with history of regular menses at least one year before the study (except the three postmenopausal women), with no regular drug ingestion during the last six months. Women were studied on days 18 to 22 of menstrual period, after a 30 minute rest on basal conditions (3 samples) at 60, 90, and 120 minutes after a single 10 mg. oral dose of metoclopramide. Duplicate PRL determinations were performed in all samples and progesterone(P) only in a pool of the three basal samples by radioimmunoanalysis. All women had serum P levels > or = 4.0 ng/ml. A significant linear positive correlation (r > or = 0.6795, p < 0.001) was observed between chronologic age (CA) and serum PRL levels, regardless the way they were expressed. Considering the individual responses it was decided to divide the group according to CA and it was observed that serum PRL levels--expressed in any form were always significantly greater in women aged > 25 years (Group 2) in contrast with women aged < or = 25 years (Group 1). Since differences were evident, percentiles 3, 50 and 97 for serum PRL levels were calculated during each test time for both groups.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Metoclopramida/administração & dosagem , Paridade/efeitos dos fármacos , Prolactina/efeitos dos fármacos , Administração Oral , Adolescente , Adulto , Envelhecimento/sangue , Envelhecimento/efeitos dos fármacos , Análise de Variância , Feminino , Humanos , Ciclo Menstrual/efeitos dos fármacos , Pessoa de Meia-Idade , Prolactina/sangue , Radioimunoensaio/estatística & dados numéricos , Valores de Referência , Fatores de Tempo
5.
Am J Public Health ; 82(7): 1014-7, 1992 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-1609901

RESUMO

In this study birthweight distributions for Mexican Americans and Mexico City were compared. Sharp differences in the two distributions were nearly eliminated by controlling for altitude. The small remaining excess in low birthweight in Mexico City appears to be due to a slight overrepresentation of tertiary hospital deliveries, and possibly to a greater prevalence of pathological conditions. The results are consistent with the favorable low birthweight rate reported for Mexican Americans and illustrate the need to adjust for altitude in studies of low birthweight.


Assuntos
Altitude , Peso ao Nascer , Americanos Mexicanos/estatística & dados numéricos , Características de Residência , Parto Obstétrico/estatística & dados numéricos , Indicadores Básicos de Saúde , Humanos , Recém-Nascido de Baixo Peso , Recém-Nascido , Estilo de Vida , México , Mães , Estado Nutricional , Fatores Socioeconômicos , Sudoeste dos Estados Unidos
6.
Estud Demogr Urbanos Col Mex ; 2(2): 257-71, 382, 1987.
Artigo em Espanhol | MEDLINE | ID: mdl-12314999

RESUMO

"This paper presents the results of the first direct attempt at evaluating the coverage of the perinatal death registration in the Distrito Federal [of Mexico]; this study is based on the information gathered from 574 deaths which took place in 23 hospitals in the Distrito Federal during a three month period in 1984. Both the causes of the failure to register many of these deaths and the quality of the information presented in perinatal death certificates are pointed out and discussed here. According to the evidence analyzed, it is clear that underregistration in the Distrito Federal is extremely marked.... The paper suggests the possibility of establishing a hospital registration system which would keep a record of both deaths and births. It also stresses the need for establishing rules to detect fetal deaths plus the need for unifying criteria regarding the definition of 'live birth'." (SUMMARY IN ENG)


Assuntos
Declaração de Nascimento , Coleta de Dados , Atestado de Óbito , Estudos de Avaliação como Assunto , Morte Fetal , Instalações de Saúde , Hospitais , Mortalidade Infantil , Mortalidade , Registros , Sistema de Registros , Reprodutibilidade dos Testes , Terminologia como Assunto , América , América Central , Atenção à Saúde , Demografia , Países Desenvolvidos , Países em Desenvolvimento , Processamento Eletrônico de Dados , Saúde , América Latina , México , América do Norte , População , Características da População , Dinâmica Populacional , Pesquisa , Projetos de Pesquisa , Estatísticas Vitais
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