Gac Med Mex
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Atherosclerotic carotid artery disease (CAD) is a major risk factor for cerebrovascular disease. ⋯ In asymptomatic subjects without a history of ischemic stroke, age and hypertension were the most important risk factors for macrovascular disease. Diabetes mellitus was associated with microvascular disease. Obesity alone was not a major determinant of CAD or WMD.
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The promotion of health is carried out in preventive services of medical units, in educational programs and textbooks from the general perspective of the population. ⋯ The educational program implemented can promote empowerment in health from childhood.
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Observational Study
Clasificación de patrones anormales de autofluorescencia retiniana en el edema macular diabético.
Patients with diabetic macular edema can develop fundus autofluorescence alterations; thus far, these alterations have been more widely studied with scanning or confocal laser systems. ⋯ Different fundus autofluorescence phenotypic patterns are observed with flash camera systems in patients with diabetic macular edema. A more accurate phenotypic classification could help establish prognostic factors for visual loss or for the design of clinical trials for diabetic macular edema.
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Multi-frequency bio-impedance analysis (BIA) accurately evaluates body composition. ⋯ Phase angle is inversely and independently associated with malnutrition risk in patients with ESRD, which suggests that BIA-assessed body composition might be better than BMI in the clinical assessment of patients with ESRD.
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In Mexico, there are no appropriate statistical data on aortic disease, which can be treated with medical management or open or endovascular surgical approach. ⋯ An elevated rate of complications is reported for aortic pathologies due to underdiagnosis, which results in management being more complicated and prognosis unfavorable. The creation of a national aortic disease registry is crucial to standardization in the approach and optimization of results.