Satisfaction of the Service Provider with the Organization of the Timely Cervical Cancer Detection Program

Cervical cancer is a priority health problem in Mexico. The objective of this work was to know the degree of satisfaction of the service provider with the organization of the program of Timely Detection of Cervical Cancer, specifically in taking of the cervical cytology. The study design was observational, transversal and prospective conducted from January to May 2015 in Jurisdiction 1 of the Health Services of San Luis Potosí, Mexico, in 20 health centers. Participants were 87 service providers whose function is to take cervical cytology (Pap smears). A 32-question questionnaire was applied, with Likert scale with 5 levels of response: 1 (dissatisfied), 2 (little satisfied), 3 (indifferent), 4 (satisfied) and 5 (very satisfied). The score range was 32 points (minimum job satisfaction) up to 160 points (Maximum job satisfaction). We analyzed 2 dimensions: 1) intrinsic factors that have to do with motivation and professional recognition, and 2) extrinsic factors related to infrastructure, materials, remuneration and labor policies. Each factor consisted of four categories. Descriptive statistics and linear correlation of Pearson were applied for the analysis of data. Participants signed an informed consent letter. Of 4 categories, in the intrinsic dimension, the one with the highest percentage of satisfaction was “delegation of activities” with 28.8%. In the extrinsic dimension, the category with the highest percentage of satisfaction was “infrastructure and materials” with 49.4%;while satisfaction increase in intrinsic dimensions also does in extrinsic dimensions, such correlations are significant (p < 0.05), except between delegation of activities and remuneration (r = 0.074 and p = 0.497). The higher hierarchical level, the men, the bachelor academic level and older people showed the highest level of satisfaction.

Clinical Parameters of Metabolic Control (HbA_(1c)) and Deterioration of Peripheral Arterial Perfusion in Type 2 Diabetes

Objective: To determine the relationship between clinical parameters (HbA1c) whit metabolic control and deterioration of peripheral arterial perfusion in diabetic patients. Methodology: 108 medical records of patients with type 2 diabetes mellitus were evaluated. We obtained averages of: blood glucose (162.3 ± 73.10 mg/dl), glycated hemoglobin (HbA1c = 7.64% ± 1.77%), cholesterol (189.28 ± 35.25 mg/dl), triglycerides (189.11 ± 87.76 mg/dl), Systolic Blood Pressure (SBP = 119.69 ± 14.95 mmHg), Diastolic Blood Pressure (DBP = 77.15 ± 9.55 mmHg) and Media Blood Pressure (MBP = 91.36 ± 9.89 mmHg). We correlated variable HbA1c with vascular injury symptomatology. Results: Correlation was found between sensitivity dysfunction and HbA1c with a statistical significance of p = 0.01, and a correlation Kendal coefficient w = 0.01, any other parameter of metabolic control was not correlated with symptoms of vascular injury. Conclusion: It is remarkable that the sensitivity dysfunction is a symptom of poorly vascularized lower extremities caused for both functional impairment and structural changes in diabetic patients’ peripheral nerves, even in the preclinical stage of vascular disease. The HbA1c could also be investigated as a likely sensitivity dysfunction biomarker in DM due to the correlation presented in this study but more studies must be realized.

Sexual Attitudes among College Students: An Approach in Mexico

Objective: To develop a predictive model for HIV/AIDS in the sexual behavior of university students from a public university in the state of Guanajuato. Methodology: Correlational study involved 294 university students from 18 to 19 years of age by stratified random sampling. The instruments used were: attitudes, subjective norms, self-efficacy and intentions for HIV/AIDS and sexual behavior. Descriptive statistics, normality test of Kolmogorov-Smirnov test, Spearman correlation and logistic regression was used. Results: In describing sexual behavior of young students at the beginning of sexual life is observed that 61.9% of them have had sexual life, with higher per- centage in men. Of the 182 university students who reported first sexual intercourse used a contraceptive method 138 and 135 specifically used a condom the first time they had sex. The variables that have the ability to predict the sex drive at the start of sexual life, are the attitudes and perceived behavioral control (X2 = 39,638, df = 4, p < 0.000), reporting a 12.6% of explained variance. Conclusions: In general, university students today are perceived as vulnerable to sexual behavior and have safe sex, which leads us to think that protect not get HIV/AIDS and unwanted pregnancies.

Self-Efficacy in Sexual Health:A Focus on Adolescents in Mexico

Self-efficacy is a belief in a person’s ability to perform action or behavior to achieve what is desired independent of the actual capacity of personal outcome. Objective: To determine the level of self-efficacy in adolescents of a public institution in the state of San Luis Potosí. Methodology: A correlational study of 179 adolescents aged 14 to 17 years using stratified random sampling. The instrument used was the self-control scale for the prevention of STIs/ AIDS (SEA-27) consisting of 40 items and Cronbach’s alpha of 0.908. Results: The surveys of the adolescent population correspond to 179 students, of whom 56% are men and 44% are women, the average age being 15 years. The level of self-efficacy of students for HIV-AIDS prevention, where the most relevant data are related to evaluated: 76% corresponds to students who do not induce someone to have self-efficacy, 75% say no to a person whose sexual history is unknown, 74% say no to someone whose drug history is unknown and 70% say no to someone who has drunk and/or consumed alcohol (X2 = 39,638, df = 4 p < 000);Conclusions: In general, adolescents today are perceived as vulnerable to sexual behavior and have safe sex, which leads us to believe that they do not protect against HIV/AIDS and unwanted pregnancies.

Silver Nanoparticles Supported on TiO_(2) and Their Antibacterial Properties:Effect of Surface Confinement and Nonexistence of Plasmon Resonance

Ag/TiO2 nanocomposites are usually regarded as an effective synergy for high antimicrobial performance under ultraviolet-visible light conditions. This study confirmed that the surface plasmon resonance of Ag NPs plays an important role in relation to the NPs size and consequently with the antibacterial effect of the nanocomposite. We observed that under visible light the reactivity of TiO2 cannot be amplified when it is supporting Ag NPs that have an inactive photocatalytically surface. The results confirmed that the antimicrobial effectiveness of nanocomposite based on Ag NPs supported-TiO2 is closely associated to the contact surface area and to the electronic performance of the noble metal.