RESUMO
OBJECTIVE: To determine the prevalence of tobacco consumption among the active insured population of the Mexican Social Security Institute. MATERIAL AND METHODS: A cross-sectional study in which the active insured population from the 36 political delegations was interviewed by means of a structured and self-applicable questionnaire on tobacco consumption, age of initiation, amount of cigarettes consumed and suspension. RESULTS: The sample consisted of 45 117 subjects, of which approximately half were men and half women. Smoking prevalence in men was 40% and in women, 17.6%. Prevalence was highest in the north of the country. There is an effect of age on tobacco consumption and more than half started smoking during adolescence. CONCLUSIONS: Smoking prevalence was found to be high, however, the average number of cigarettes is low. Suspension index is low. Public health measures are necessary to diminish this addiction.
Assuntos
Fumar/epidemiologia , Previdência Social , Adolescente , Adulto , Distribuição por Idade , Idoso , Feminino , Humanos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Prevalência , Distribuição por Sexo , Abandono do Hábito de Fumar/estatística & dados numéricos , Previdência Social/estatística & dados numéricos , Inquéritos e QuestionáriosRESUMO
OBJECTIVE: The objective of this study is to present dynamic changes within the population over 65 years of age who are covered by the Mexican Institute of Social Security (MISS), through morbidity and mortality analysis, during the last 6 and 10 years respectively. MATERIAL AND METHODS: Based on data from the Epidemiologic Bulletins from 1990 to 1995 and from 1985 to 1994, the morbidity and mortality rates, respectively, were calculated for the Mexican population over 65 who are covered by the MISS. Incidence of diseases was used as a measure of occurrence and the ratio of morbidity and mortality rates was calculated as the measure of effect. RESULTS: An epidemiological transition exists, with a tendency towards aging among this population. In terms of morbidity, infectious and chronic diseases coexist; as for mortality, chronic-degenerative diseases predominate. CONCLUSIONS: This represents a challenge for health care within institutional services, as this population group begins to compete with other priority groups and emergency needs. Epidemiological surveillance and research is essential to support decision-making.
Assuntos
Idoso , Morbidade , Mortalidade , Humanos , México , Previdência SocialAssuntos
Síndrome da Imunodeficiência Adquirida , Vacinas contra a AIDS , Síndrome da Imunodeficiência Adquirida/complicações , Síndrome da Imunodeficiência Adquirida/economia , Síndrome da Imunodeficiência Adquirida/epidemiologia , Síndrome da Imunodeficiência Adquirida/prevenção & controle , Síndrome da Imunodeficiência Adquirida/terapia , Análise Custo-Benefício , Custos e Análise de Custo , Previsões , Saúde Global , Reforma dos Serviços de Saúde , Direitos Humanos , Humanos , América Latina , México/epidemiologia , Saúde Pública , Qualidade da Assistência à Saúde , Previdência Social , Nações UnidasAssuntos
Duodenopatias/etiologia , Obstrução Duodenal/complicações , Intussuscepção/etiologia , Síndrome da Artéria Mesentérica Superior/complicações , Adulto , Duodenopatias/diagnóstico por imagem , Duodenopatias/cirurgia , Feminino , Humanos , Intussuscepção/diagnóstico por imagem , Intussuscepção/cirurgia , RadiografiaRESUMO
Siendo el duodeno un organo fijo, la invaginacion sobre si mismo es una rareza. No hemos encontrado informe en la literatura mundial de caso similar, por lo que consideramos de interes informar de una paciente con obstruccion parcial por invaginacion duodeno-duonenal secundaria a un sindrome de pinza mesenterica superior de larga evolucion. Se efectuo duodeno-yeyunoanastomosis latero-lateral retrocolica, con resultados satisfactorios.Se revisa la literatura y se hacen consideraciones en relacion al diagnostico diferencial y tratamiento de las alteraciones congenitas del duodeno. Conclusiones: La obstruccion parcial cronica del duodeno puede ocasionar una invaginacion que requiere tratamiento quirurgico