Revista médica del Instituto Mexicano del Seguro Social
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Rev Med Inst Mex Seguro Soc · May 2020
Prevalence and factors associated with type 2 diabetes mellitus in the indigenous population of Mexico: systematic review.
Currently, diabetes represents a serious health problem, due to the complications it entails and because of its high mortality rate. Type 2 diabetes mellitus (T2DM) is the most prevalent and it is characterized by insulin resistance. The objective was to analyze the available scientific literature on prevalence and factors associated to T2DM in indigenous population of Mexico. ⋯ There is little evidence of the prevalence of T2DM in indigenous groups in Mexico. Studies found suggest a diversity of prevalences, ranging from lower to greater prevalences. Considering the risk factors associated with T2DM is essential to generate prevention strategies according to the context of each ethnic group, in order to improve the epidemiological landscape of diabetes in indigenous groups of Mexico.
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Acute myocardial infarction is one of the most frequent causes of admittance and the first cause of death in an intensive care unit from a second-level hospital where the infrastructure, installed capacity and location withheld access to optimal reperfusion treatment. ⋯ Fibrinolysis diminished the risk of death, mechanical ventilation requirement, length of stay and cardiovascular and non-cardiovascular complications.