En este artículo se presentan los resultados de un análisis de percepción de la calidad de la educación superior privada en Monterrey, (Nuevo León, México). Para llevar a cabo este estudio se realizó una encuesta semiestructurada y con la información recabada se efectuó un modelo de ecuaciones estructurales que permitió explicar la forma en que los estudiantes clasifican sus percepciones sobre la calidad de diferentes factores que ofrecen este tipo de instituciones educativas. Entre los principales resultados se encontró que los estudiantes dan mayor peso a la formación y desarrollo integral que reciben por parte de la planta docente. Asimismo, valoran que sus universidades cuenten con instalaciones y equipo tecnológico de primer nivel.
Background
Patients with obesity have an increased risk for adverse COVID-19 outcomes. Body mass index (BMI) does not acknowledge the health burden associated this disease. The performance of the Edmonton Obesity Staging System (EOSS), a clinical classification tool that assesses obesity-related comorbidity, is compared with BMI, with respect to adverse COVID-19 outcomes.
Methods
1071 patients were evaluated in 11 COVID-19 hospitals in Mexico. Patients were classified into EOSS stages. Adjusted risk factors for COVID-19 outcomes were calculated and survival analysis for mechanical ventilation and death was carried out according to EOSS stage and BMI category.
Results
The risk for intubation was higher in patients with EOSS stages 2 and 4 (HR 1.42, 95% CI 1.02–1.97 and 2.78, 95% CI 1.83–4.24), and in patients with BMI classes II and III (HR 1.71, 95% CI 1.06–2.74, and 2.62, 95% CI 1.65–4.17). Mortality rates were significantly lower in patients with EOSS stages 0 and 1 (HR 0.62, 95% CI 0.42–0.92) and higher in patients with BMI class III (HR 1.58, 95% CI 1.03–2.42). In patients with a BMI ≥ 25 kg/m2, the risk for intubation increased with progressive EOSS stages. Only individuals in BMI class III showed an increased risk for intubation (HR 2.24, 95% CI 1.50–3.34). Mortality risk was increased in EOSS stages 2 and 4 compared to EOSS 0 and 1, and in patients with BMI class II and III, compared to patients with overweight.
Conclusions
EOSS was associated with adverse COVID-19 outcomes, and it distinguished risks beyond BMI. Patients with overweight and obesity in EOSS stages 0 and 1 had a lower risk than patients with normal weight. BMI does not adequately reflect adipose tissue-associated disease, it is not ideal for guiding chronic-disease management.
In Mexico, the prevalence of major depressive disorders is higher among older adults than among the rest of the adults. Hence, as the prevalence of this problem grows, the need for appropriate mental health attention will increase in Mexico.
El objetivo del t rabajo consiste en analizar el impa cto de ciert as actitudes proactivas y de algunos conocimientos que tienen las personas sobre el consumo de la energía eléctrica en los hogar es. Para ello, se ap lica una encuesta a 1100 hogares en el Área M etropolitana de Mont errey en el E stado de Nuevo León en México. Empleando un análisis de regresión se en cuentra que los n iveles de ingresos son importantes para det erminar los hábitos de uso, por lo que, un mayor ingreso implica una mayor disposición a con sumir energía eléctrica en el h ogar. Asimismo, se encuentra que el precio del servicio de energía, es u na variable que ayuda a racionar el uso de electricidad, al igual que algunas actitudes y creencias.
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