Abstract：
INTRODUCTION:With 333 million cases worldwide predicted for 2015, type 2 diabetes mellitus presents an important global health challenge. Its rising tide calls for health policies emphasizing prevention at the primary care level, including public education as well as early risk identification and intervention. OBJECTIVES:Estimate risk of developing type 2 diabetes in persons with no known glucose abnormalities, registered in a primary care setting in Pinar del Río city, Cuba, using FINDRISK. METHODS:A descriptive, cross-sectional study applied FINDRISK to 620 persons aged ≥18 years randomly selected from a universe of 1058 patients with no known glucose abnormalities, registered in family-doctor-and-nurse office No. 23 in the Turcios Lima Teaching Polyclinic health area, Pinar del Río city. RESULTS:The study population was predominantly aged ≤45 years (53.5%) and 80.2% was overweight or obese. At least moderate risk of diabetes was found in 74.4% of the sample, and 10.5% was at very high risk, meaning an estimated 120 patients in the sample could be expected to develop type 2 diabetes within the next 10 years. CONCLUSIONS:Type 2 diabetes prevalence can be expected to increase substantially in this population over the next decade. We recommend design and timely implementation of intensive lifestyle change programs to eliminate or slow development of type 2 diabetes in at-risk individuals. We propose following cohorts identified by FINDRISK to assess its prognostic value in the Cuban population.
journal_name
MEDICC Revjournal_title
MEDICC reviewauthors
Naranjo AA,Rodríguez ÁY,Llera RE,Aroche Rsubject
Has Abstractpub_date
2013-04-01 00:00:00pages
16-9issue
2eissn
1555-7960issn
1527-3172journal_volume
15pub_type
杂志文章相关文献
MEDICC Review文献大全abstract：:INTRODUCTION Systematic measurement of population physical activity levels is an important component of public health surveillance. OBJECTIVES Describe patterns of physical activity in the Cuban population aged 15-69 years and identify factors associated with regular physical activity. METHODS A descriptive cross-sect...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2016-10-01 00:00:00
abstract：:In April 2013, a consortium of regional health ministries, nongovernmental organizations, aid agencies, clinical specialists and researchers from diverse sectors convened in San Salvador to discuss the epidemic of chronic kidney disease of unknown or non-traditional causes (CKDu) plaguing agricultural communities in C...
journal_title：MEDICC review
pub_type： 面试
doi：
更新日期：2013-07-01 00:00:00
abstract：:Jacinto Duverger received his Bachelor's Degree in Economic Cybernetics from the University of Donetsk, Ukraine in 1988 and his Master's Degree in Information and Communications in 2007 from a joint program between the University of Las Villas and Guant�namo University. Since 1994 he has worked almost exclusively on t...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2008-01-01 00:00:00
abstract：:INTRODUCTION Upper gastrointestinal endoscopy, traditionally performed in Cuba in specialized hospitals, was decentralized to the primary health care level in 2004 to make it more patient-accessible. OBJECTIVES Describe frequency and distribution of the principal symptomatic diseases of the upper gastrointestinal trac...
journal_title：MEDICC review
pub_type： 杂志文章,多中心研究
doi：
更新日期：2012-01-01 00:00:00
abstract：INTRODUCTION:Estimating childhood cancer incidence globally is hampered by lack of reliable data and uniform age limits for classifying and analyzing data reported. In Cuba, cancer data has been systematically gathered and processed by the National Cancer Registry (NCR) since 1964. The International Classification of C...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2010-04-01 00:00:00
abstract：:INTRODUCTION Double-negative T lymphocytes act as immunomodulators in immune response. This subpopulation is rare in blood but important in the immunopathogenesis of autoimmune diseases, viral infections, cancer and transplant rejection. These disorders have been studied in Cuba using fl ow cytometry, but normal value...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2020-10-01 00:00:00
abstract：INTRODUCTION:Chronic kidney disease is a global pandemic, affecting the majority of countries in the world. Its prevalence is approximately 10% and it is associated mainly with diabetes and high blood pressure. In El Salvador, it is the leading cause of hospital deaths among men. OBJECTIVE:Determine prevalence of chro...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2014-04-01 00:00:00
abstract：:The information gap between rich and poor countries is widening, and the digital divide is more dramatic than any inequity in health or income.[1] Of 3.47 million articles in 4,091 health-related publications reviewed from 1991 to 2002, 90% were contributed by authors in the 20 most developed nations; writers from the...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2007-10-01 00:00:00
abstract：:Empowering scientific innovation, building knowledge management and strengthening research capacity across Africa are fundamental for improving high-level policy decision-making. Such contributions can distinguish the continent as a reputable source of scientific expertise, prepared to manage local and global challeng...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2019-04-01 00:00:00
abstract：:The current pandemic has rocked the lives of human beings every-where in ways never imagined, forcing us to question where our civilization is headed. In this article, we explore and discuss scien-tifi c evidence that helps explain recent events in the context of the COVID-19 pandemic.COVID-19 is caused by infection w...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2020-04-01 00:00:00
abstract：:INTRODUCTION Sepsis is the most common direct cause of death worldwide and septic shock the syndrome's most serious complication. In 2002, the pediatric intensive care unit of the José Luis Miranda Pediatric University Hospital in Santa Clara (Villa Clara Province), Cuba, began implementing the recently published guid...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2014-07-01 00:00:00
abstract：:After leaving Chile during the Pinochet era, Dr Morales studied economics, health administration and international health at the University of Montreal. But his baptism in the field came in Haiti, where he was first PAHO advisor to the health ministry, and then for five years was responsible for human resources and he...
journal_title：MEDICC review
pub_type： 面试
doi：
更新日期：2016-07-01 00:00:00
abstract：:Four months after COVID-19 was declared a pandemic, it has found a new epicenter: the Americas. With over four million cases and nearly half a million deaths at this writing, the United States is providing the best example of a failed response to a crisis in which GDP is not proving the best predictor of success. Zero...
journal_title：MEDICC review
pub_type：
doi：10.37757/MR2020.V22.N3.1
更新日期：2020-07-01 00:00:00
abstract：:Leadership is the perception or acceptance by members of a group of their superior's ability to inspire, influence and motivate them to meet their goals and contribute to the achievement of shared objectives. This article analyzes the characteristics of bioethics and the profile of the bioethicist in relation to the c...
journal_title：MEDICC review
pub_type： 杂志文章
doi：10.1590/s1555-79602012000300009
更新日期：2012-07-01 00:00:00
abstract：:INTRODUCTION To provide equal access, health care provision should be distributed across geodemographic space based on need. In Argentina, the social security, publicly funded health care and private health care subsectors are responsible for delivering health services. In the public subsector, which is responsible fo...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2018-07-01 00:00:00
abstract：:A national cancer program is essentially a population health initiative that goes beyond satisfying the demand for health services to propose modifying specific objective indicators in a defined population through interventions that have a scientifically grounded probability of success. In the case of malignant neopla...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2009-07-01 00:00:00
abstract：INTRODUCTION:CIMAvax EGF is a therapeutic anticancer vaccine developed entirely in Cuba and licensed in Cuba for use in adult patients with stage IIIB/IV non-small-cell lung cancer (NSCLC). The vaccine is based on active immunotherapy by which an individual's immune response is manipulated to release its own effector a...
journal_title：MEDICC review
pub_type： 杂志文章,评审
doi：
更新日期：2010-01-01 00:00:00
abstract：:Since first emerging in the late 1970s, the field of human genetics has advanced with extraordinary speed. In just thirteen years (1990 to 2003), the human genome project deciphered the code of life. Today, by detecting genetic predisposition to certain diseases, we can anticipate their appearance even before the onse...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2009-01-01 00:00:00
abstract：:Worldwide, there has been a progressive demographic shift over the past 50 years resulting in a larger proportion of older adults in the general population. Aging itself is a complex biological phenomenon characterized in part by changes in the immune system known as "immunosenescence", which makes older adults more s...
journal_title：MEDICC review
pub_type： 杂志文章
doi：10.37757/MR2020.V22.N3.11
更新日期：2020-07-01 00:00:00
abstract：:As long as there is no cure for AIDS, the only effective means of containing its spread is prevention, primarily through public education. Cuba's AIDS Prevention Group is a community-based organization whose main purpose is to support the National HIV/AIDS Program's prevention and education efforts. The Group's Memori...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2011-04-01 00:00:00
abstract：:Chronic diseases are Cuba's number one health problem, causing 90% of all deaths. The top three killers (in order) are: heart disease, cancer and cerebrovascular diseases, which together account for nearly 60% of all deaths. ...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2008-04-01 00:00:00
abstract：:The US National Institutes of Health predict climate change will cause an additional 250,000 deaths between 2030 and 2050, with damages to health costing US$2-$4 billion by 2030. Although much debate still surrounds climate change, island ecosystems-such as Cuba's-in the developing world are arguably among the most vu...
journal_title：MEDICC review
pub_type： 面试
doi：
更新日期：2015-04-01 00:00:00
abstract：:INTRODUCTION Systematic surveillance of antituberculosis drug resistance allows identification of multidrug-resistant and extensively drug-resistant isolates of Mycobacterium tuberculosis. Surveillance studies of antituberculosis drug resistance systematically conducted in Cuba for over 15 years have revealed low circ...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2017-01-01 00:00:00
abstract：INTRODUCTION:With a rapidly aging society, geriatric mental health is emerging as an important public health concern. According to the WHO, prevalence of depression in adults aged ≥60 years in developed and developing countries was 0.5 million and 4.8 million respectively in 2004. In India, increased life expectancy le...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2013-10-01 00:00:00
abstract：INTRODUCTION:Lung cancer is one of the leading causes of death worldwide and in Cuba, where its incidence and mortality are on the rise. Diagnostic delay is a variable linked to survival and prognosis. Quantifying this delay and comparing it with data from other national and international sources may lead to planning a...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2015-01-01 00:00:00
abstract：:The first 1000 days of life constitute a short and exceptionally important period when the foundation is established for children's growth, development and lifelong health. Cuba has a comprehensive care system for this population that aims to promote the best start in life so that children can reach their highest deve...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2019-01-01 00:00:00
abstract：:Learning to live and eat differently is essential to turning back the global epidemic of chronic diseases. And Cubans are no exception. As a rule, Cubans scarcely consume whole-grain cereals, fruits, or leafy green and other vegetables. But we have a relatively high consumption of saturated fats, sugars, refined cerea...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2008-04-01 00:00:00
abstract：:Vaccination programs have been successful in Cuba, whatever metrics are used to evaluate them: the population is protected against 13 diseases, well beyond WHO goals; illnesses such as polio, diphtheria, whooping cough and others have been eradicated; and even hepatitis B is slated to disappear. How can these results ...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2008-10-01 00:00:00
abstract：:INTRODUCTION Quantification of lymphocyte subpopulations is useful for evaluating immune response in states of health and disease, including immunodeficiencies, autoimmunity, infections and cancer. Studies have found that concentrations and proportions of different cell subpopulations vary with geographic location, ag...
journal_title：MEDICC review
pub_type： 杂志文章
doi：
更新日期：2019-04-01 00:00:00
abstract：:Cardiovascular disease is the main cause of death for diabetics, and in many cases its presence is silent due to cardiac autonomic neuropathy. Thus, early diagnosis of coronary disease is essential, permitting proper risk stratification and appropriate therapy. This paper examines the usefulness of several noninvasive...
journal_title：MEDICC review
pub_type： 杂志文章
doi：10.1590/s1555-79602013000100008
更新日期：2013-01-01 00:00:00
