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RESUMEN Introducción: la detección de enfermedad arterial periférica permite identificar a un grupo de alto riesgo cardiovascular. La prueba del índice tobillo-brazo con esfigmomanómetro digital es una técnica muy fiable, fácil de aplicar y de interpretar. Objetivos: determinar la frecuencia y características clínicas de la enfermedad arterial periférica en sujetos adultos de Atención Primaria de Areguá, Paraguay, en el 2019. Metodología: estudio observacional, descriptivo, prospectivo, multicéntrico. Se incluyó a varones y mujeres mayores de 50 años que asisten a tres Unidades de Salud Familiar de Areguá, Paraguay, en el 2019. Previo consentimiento informado, todos fueron sometidos a determinaciones socioeconómicas, clínicas y detección del índice tobillo-brazo con esfigmomanómetro digital. Se consideró anormal todo índice tobillo-brazo <0,9. Resultados: se incluyeron 124 pacientes, con edad media 64±8 años. Predominaron los sujetos del sexo femenino, con escolaridad primaria, casados y sin independencia económica. Las comorbilidades más frecuentes fueron la hipertensión arterial y diabetes mellitus. Se detectaron 7 casos (5,6%) compatibles con arteriopatía periférica. Entre éstos, sólo 43% referían claudicación intermitente de miembros. Conclusiones: la frecuencia de índice tobillo-brazo compatible con arteriopatía periférica fue 5,6%. Entre éstos, los síntomas de claudicación de miembros fueron referidos por 43%.
ABSTRACT Introduction: The detection of the peripheral arterial disease allows identifying a group of high cardiovascular risk. The ankle-brachial index test with a digital sphygmomanometer is a very reliable technique, easy to apply and interpret. Objectives: To determine the frequency and clinical characteristics of peripheral arterial disease in adult subjects of Primary Care in Areguá, Paraguay, in 2019. Methodology: This was an observational, descriptive, prospective, multicenter study. Men and women over 50 years of age who attended three Family Health Units of Areguá, Paraguay, in 2019 were included prior informed consent. They all underwent socioeconomic and clinical measurements and detection of the ankle-brachial index with a digital sphygmomanometer. All ankle-brachial indexes <0.9 were considered abnormal. Results: One hundred and twenty-four patients were included, with a mean age of 64±8 years. Female subjects predominated, with primary education, married and without economic independence. The most frequent comorbidities were high blood pressure and diabetes mellitus. Seven cases (5.6%) compatible with peripheral artery disease were detected. Among these, only 43% reported intermittent limb claudication. Conclusions: The frequency of the ankle-brachial index compatible with peripheral artery disease was 5.6%. Among these, limb claudication symptoms were reported by 43%.
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Background: Sparse data exist to describe national population-level trends in short sleep duration among Latinos. Because short sleep duration is associated with several health conditions that are common in Latinos, such as obesity, diabetes, and hypertension, understanding sleep trends among this population may be key to reducing their disease burden. This study aimed to document Latino subgroup differences in self-reported sleep duration by nativity and country of origin relative to Whites. Design and Setting: Pooled cross-sectional analysis of self-reported data from the National Health and Interview Survey (NHIS), 2004-2017. Participants: 303,244 respondents, aged 18 to 84 years, who self-identified as non-Latino US-born White, US-born Mexican, foreign-born Mexican, US-born Puerto Rican, island-born Puerto Rican, US-born Cuban, foreign-born Cuban, US-born Dominican, foreign-born Dominican, US-born Central/South American, foreign-born Central/South American, US-born "other" Latino, and foreign-born "other" Latino. Methods: Multinomial logistic regression models were used to predict sleep duration controlling for demographics, acculturation, socioeconomic, and health-related factors. Results: We found that all Latino subgroups (except US-born Cubans) were more likely to report poor sleep duration relative to non-Latino Whites, net of demographic, acculturation, socioeconomic, and health-related characteristics. However, the magnitude of disadvantage varies by Latino subgroup. We also found that poor sleep duration is concentrated among certain age groups for the various Latino subpopulations. Conclusions: Given that Latinos in the United States are at higher risk for obesity, diabetes, and hypertension, understanding the patterns of sleep among this population can help identify strategies to improve sleep habits in order to reduce disease burden.
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Aculturação , Hispânico ou Latino/estatística & dados numéricos , Transtornos do Sono-Vigília/etiologia , Sono , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Diabetes Mellitus/etnologia , Feminino , Humanos , Hipertensão/etnologia , Modelos Logísticos , Masculino , México , Pessoa de Meia-Idade , Obesidade/etiologia , Porto Rico , Inquéritos e Questionários , Estados Unidos , Adulto JovemAssuntos
Argentina , Meio Ambiente , Água Subterrânea , Abastecimento de Energia , Recursos HídricosRESUMO
1.Ubicacion y extension del area.2.Antecedentes.3.Caracteristicas hidrologicas generales.4.Caracteristicas morfologicas generales.5.Climatologia.6.Agua superficial.7.Balance hidrologico.8.Aguas subterraneas.9.Usos del agua.10.Posibilidades de desarrollo.11.Conclusiones. Bibliografia
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Hidrogeologia , Água SubterrâneaRESUMO
1.Ubicacion y extension del area.2.Antecedentes.3.Caracteristicas hidrologicas generales.4.Caracteristicas morfologicas generales.5.Climatologia.6.Agua superficial.7.Balance hidrologico.8.Aguas subterraneas.9.Usos del agua.10.Posibilidades de desarrollo.11.Conclusiones. Bibliografia