Publications by authors named "Francisco Javier Magos-Vazquez"
Mass violence events, especially in healthcare settings, have devastating consequences and long-lasting effects on the victims and the community. The rate of violent events in Mexico, especially in hospital settings, has increased since 2006, but has become more evident in 2018. Guanajuato State, located in central Mexico, is among the states most affected by the wave of violence, especially active shooter events.
View Article and Find Full Text PDFGestational Diabetes Mellitus Subtypes Classified by Oral Glucose Tolerance Test and Maternal and Perinatal Outcomes: Results of a Mexican Multicenter Prospective Cohort Study "Cuido Mi Embarazo".
Diabetes Metab Syndr Obes
March 2024
Purpose: This study explores the impact of gestational diabetes mellitus (GDM) subtypes classified by oral glucose tolerance test (OGTT) values on maternal and perinatal outcomes.
Patients And Methods: This multicenter prospective cohort study (May 2019-December 2022) included participants from the Mexican multicenter cohort study (CME). Women were classified into four groups per 75-g 2-h OGTT: 1) normal glucose tolerance (normal OGTT), 2) GDM-Sensitivity (isolated abnormal fasting or abnormal fasting in combination with 1-h or 2-h abnormal results), 3) GDM-Secretion (isolated abnormal values at 1-h or 2-h or their combination), and 4) GDM-Mixed (three abnormal values).
Given the barriers to early detection of gestational diabetes mellitus (GDM), this study aimed to develop an artificial intelligence (AI)-based prediction model for GDM in pregnant Mexican women. Data were retrieved from 1709 pregnant women who participated in the multicenter prospective cohort study 'Cuido mi embarazo'. A machine-learning-driven method was used to select the best predictive variables for GDM risk: age, family history of type 2 diabetes, previous diagnosis of hypertension, pregestational body mass index, gestational week, parity, birth weight of last child, and random capillary glucose.
View Article and Find Full Text PDFArticle Synopsis
- The study examines the effectiveness of capillary blood glucose testing compared to the traditional oral glucose tolerance test (OGTT) for detecting gestational diabetes mellitus (GDM) among pregnant women in low-resource settings in Mexico.
- It involved 947 pregnant women, showing that capillary testing had high sensitivity (89.47%) and moderate specificity (66.58%) when compared to venous plasma measurements from the OGTT.
- The findings suggest that capillary blood glucose testing is a valid and feasible alternative for GDM screening in primary healthcare, especially in low-resource settings, without any reported adverse events.