The study included 116 children (55.2% girls) with a mean age of 3.2 years, with obesity present in 62.1%, Exclusive breastfeeding in 72.4% with mean duration of 2.3 months, and age at introducing solids foods was 5.0 months. There was a difference for breastfeeding and complementary feeding by gender sex (P<.05). A PR=3.9 (95% CI: 1.49-6.34) was calculated for exclusive breastfeeding and risk of obesity. The model showed no association between these variables and obesity in children CONCLUSIONS: Exclusive breastfeeding of less than three months is associated with almost 4 more times in obese children. There was a difference in age of complementary feeding, duration of breastfeeding, and formula milk consumption time for obese and non-obese children.
Objective: To evaluate the impact of a strategy for early detection of diabetic retinopathy in patients with type 2 diabetes mellitus (DMT2) in Quintana Roo, México. Conclusiones: La realización de programas dirigidos a la detección oportuna de enfermedades incapacitantes como la retinopatía diabética tienen impacto en la salud de los derechohabientes, la vinculación efectiva entre los sistemas de atención primaria y segundo nivel ofrecen resultados favorables para la salud de los pacientes.
Methods
Open appendectomy skin closure with a unique absorbable intradermic stitch is safe, with a reduced seroma and abscess incidence, compared to traditional closure, and an equivalent dehiscence and superficial infection incidence, allowing a lower hospital attention cost and length of hospital stay for treatment of complications. The relative risk of complications with traditional skin closure is 2.91 higher, compared to this new technique.
Abbreviations: CH, congenital hypothyroidism; RCT, randomized clinical trials; CCT, controlled clinical trials
Study selection processAfter applying the primary screening, based on the date of publication of the article, main topic, and type of study. We proceeded to the evaluation of the quality of the works according to the suggestions of authors such as Pazzini et al. 7 who proposed a design of selection criteria for the evaluation of the quality of the works, this was taken up and modified to analyze exclusively clinical trials. These criteria can be seen below: i. Study design: randomized clinical trials (RCT), controlled Int J Fam Commun Med. 2018;2(3):148-151.
AbstractIntroduction: Thyroid hormone deficiency in embryonic development is associated with congenital hypothyroidism (CH). CH is the most common endocrine disease in newborns and the biggest preventable cause of mental retardation Objective: Review recent medical evidence of the use of levothyroxine as a hormone replacement therapy for brain protection, improvement of growth and development and decrease cognitive deficits in CH.
Materials and methods:The systematic review of PubMed/Medline databases, Redalyc, EBSCO, Virtual Health Library, Google Scholar. During period 2012-2017. Full text all world.Results: Most authors recommend an initial dose of 10-15μg / kg/day and adjustments according to the patient's age and weight. It must be administered 2 hours before another food to avoid malabsorption. The monitoring of serum values every six to eight weeks helps to decide dose readjustment. The use of higher doses (50 μg/kg/day) and liquid solutions of levothyroxine in cases of severe HC, show improvement in the growth and cognitive development.
Conclusion:The articles demonstrated medical evidence of improvement in somatometric and cognitive status in patients, causing an impact on symptom relief. The untreated CH causes alterations of the growth and mental retardation, its severity produces deep and irreversible neurological alterations, the reason why the opportune treatment after the birth is indispensable.
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