Fibrinogen is associated with silent myocardial ischaemia in type 2 diabetes mellitus.

Objective: Because traditional risk factors only partially explain coronary events, it is necessary to search for new ones like fibrinogen which has been related with coronary disease in healthy middle-aged adults. We attempted to determine the impact of fibrinogen on silent myocardial ischaemia (SMI) in diabetic patients.

Methods And Results: In a cross-sectional study, 134 type 2 diabetes patients with no history of cardiovascular disease were assessed for SMI.

[Efficiency of ambulatory services for female adolescent].

Objective: To evaluate effectiveness conditions of ambulatory services for female adolescent within Instituto Mexicano del Seguro Social, (Mexican Institute of Social Security) in Colima State, Mexico.

Methodology: A cross-sectional study was conducted in 10 medical units of Instituto Mexicano del Seguro Social, Colima District, from June 2001 to June 2002. Data were collected using applied questionnaire Evaluation of ambulatory services for adolescents: effectiveness conditions of the Pan American Health Organization, the information collected included eight divisions with the mayor importance areas for the function services.

[Economic cost of care at the Dysplasia Clinic of Colima].

Objective: We studied 1,755 patients in dysplasia clinic in Instituto Mexicano del Seguro Social in Colima city in 2000, to know the economic cost of their attention.

Methodology: Descriptive, quantitative study, for the identification and description of the instruments and human resources needed in each intervention. We estimated the fixed cost and the variable cost to determinate unitary cost.