Objective: To determine the association between increased abdominal circumference and secondary dyslipidemia or insulin resistance in obese adolescents treated at the National Institute of Child Health (INSN). Method: Analytical, cross-sectional and retrospective study. Anthropometric data are expressed in standard deviations (SD) and biochemical data according to reference ranges. To demonstrate an association between increased abdominal circumference (AC) and secondary dyslipidemia or insulin resistance, the Pearson Chi 2 test was used, with a significance level of less than 0.05. To assess the correlation between the CA and CA/height indicators with the various parameters, a multiple regression model was performed (p<0.05). Results: 181 cases (52.5% males) were admitted; average of 12.1 years; 22.1% prepubertal and 77.9% pubertal. The mean SD-BMI was 2.7 (2.0 - 4.9) and 25.9% had s...

Objective: To determine the association between increased abdominal circumference and secondary dyslipidemia or insulin resistance in obese adolescents treated at the National Institute of Child Health (INSN). Method: Analytical, cross-sectional and retrospective study. Anthropometric data are expressed in standard deviations (SD) and biochemical data according to reference ranges. To demonstrate an association between increased abdominal circumference (AC) and secondary dyslipidemia or insulin resistance, the Pearson Chi 2 test was used, with a significance level of less than 0.05. To assess the correlation between the CA and CA/height indicators with the various parameters, a multiple regression model was performed (p<0.05). Results: 181 cases (52.5% males) were admitted; average of 12.1 years; 22.1% prepubertal and 77.9% pubertal. The mean SD-BMI was 2.7 (2.0 - 4.9) and 25.9% had s...

Este trabajo refleja la adquisición de capacidades cognitivas, procedimentales y actitudinales logradas durante las prácticas preprofesionales del Internado de Medicina Humana, enmarcadas en una situación particular y especial devenida por la Pandemia COVID-19 que llevó a cambios en la estructura prevista para el desarrollo del último año de formación de pregrado. Además, intenta reflejar el reto que ha significado para el interno de medicina integrar sus capacidades logradas en un modelo de formación biomédico a uno en un contexto biopsicosocial al haberse visto en la necesidad de participar en un primer nivel de atención de salud e interactuar directamente con la comunidad. El trabajo, describe cronológicamente los eventos sucedidos desde el inicio del internado en enero 2020 en cumplimiento de lo ya estructurado; la declaratoria de la Pandemia COVID-19; la suspensión de a...