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Item Association of Edentulism with Various Chronic Diseases in Mexican Elders 60+ Years: Results of a Population-Based Survey(MDPI, 2021) Casanova-Rosado, Alejandro Jose; Casanova-Rosado, Juan Fernando; Minaya-Sanchez, Mirna; Robles-Minaya, Jose Luis; Casanova-Sarmineto, Juan Alejandro; Marquez-Corona, Maria de Lourdes; Pontigo-Loyola, America Patricia; Isla-Granillo, Horacio; Mora-Acosta, Mariana; Marquez-Rodriguez, Sonia; Medina-Solis, Carlo Eduardo; Maupome, GerardoObjective: To determine the association of edentulism with different chronic diseases and mental disorders in Mexicans aged 60 years and over. Material and Methods: A cross-sectional study was carried out using data from the World Health Survey for Mexico, in a probabilistic, multi-stage cluster sampling framework. Data for self-report of chronic diseases (diabetes, arthritis, angina pectoris and asthma), mental disorders (depression and schizophrenia) and edentulism were analyzed. Edentulism data were available for 20 of the 32 States of Mexico. Statistical analysis was performed in Stata 14.0 using the svy module for complex sampling (Complex nature under which individuals are sampled). Results: In total 4213 subjects were included, representing a population of 7,576,057 individuals. Mean age was 70.13 ± 7.82 years (range 60 to 98); 56.2% were women. Chronic diseases’ prevalence and mental disorders prevalence were as follows: diabetes 15.0% (N = 1,132,693); arthritis 13.2% (N = 1,001,667); depression 5.5% (N = 414,912); angina pectoris 4.5% (344,315); asthma 3.6% (N = 269,287); and schizophrenia 2.2% (N = 16,988). The prevalence of edentulism was 26.3%, which pertained to 1,993,463 people aged 60 years and over. Angina in women aged 60 to 69 years (p < 0.05) and depression in men aged 70 years and over (p < 0.0001) were associated with higher prevalence of edentulism. Conclusions: There was generally sparse association between edentulism on chronic diseases and mental disorders included in the study, except for women aged 60 to 69 years for angina, and in men aged 70 and over, for depression. Although our findings are misaligned with previous reports, longitudinal studies are required to test causal and temporal relationships between edentulism with chronic diseases and mental disorders.Item Associations between Urinary, Dietary, and Water Fluoride Concentrations among Children in Mexico and Canada(MDPI, 2020-11-08) Green, Rivka; Till, Christine; Cantoral, Alejandra; Lanphear, Bruce; Martinez-Mier, E. Angeles; Ayotte, Pierre; Wright, Robert O.; Tellez-Rojo, Martha M.; Malin, Ashley J.; Cariology, Operative Dentistry and Dental Public Health, School of DentistryFluoride, which may be toxic to the developing brain, is added to salt in Mexico and drinking water in Canada to prevent dental caries. We compared childhood urinary fluoride (CUF) concentrations in Mexico City and Canada to characterize patterns of fluoride exposure in these two populations. We also examined associations of CUF with dietary and water fluoride levels in Mexico City and Canada respectively. We included 561 children (ages 4–6; mean age 4.8 years) from the Programming Research in Obesity, Growth, Environment, and Social Stress (PROGRESS) cohort in Mexico City, and 645 children (ages 2–6; mean age 3.7 years) from the Maternal–Infant Research on Environmental Chemicals (MIREC) cohort in Canada. We applied Spearman correlations, T-tests, ANOVA or covariate-adjusted linear regression to examine associations of CUF (mg/L; adjusted for specific gravity) with demographics and dietary or water fluoride concentrations. We used Welch equivalence testing to compare means across cohorts. Mean (SD) CUF was equivalent (t = 4.26, p < 0.001) in PROGRESS: 0.74 (0.42) and fluoridated Canadian communities: 0.66 (0.47), but lower in non-fluoridated Canadian communities: 0.42 (0.31) (t = −6.37, p < 0.001). Water fluoride concentrations were significantly associated with CUF after covariate adjustment for age and sex in MIREC (B = 0.44, 95% CI: 0.30, 0.59, p < 0.001). In contrast, daily food and beverage fluoride intake was not associated with CUF in PROGRESS (p = 0.82). We found that CUF levels are comparable among children in Mexico City and fluoridated Canadian communities, despite distinct sources of exposure. Community water fluoridation is a major source of fluoride exposure for Canadian children.Item The Calnali Microfinance Project: Three-Year Retrospective and Future Initiatives [poster](2013-04-23) Hook, Sara Anne; Ankenbruck, MaryThe Calnali Microfinance Project officially began in March 2010 with a visit from a delegation from IUPUI. Three years of data clearly demonstrate the feasibility of microfinance, even in the most remote areas of a country and in communities which have not had a tradition of entrepreneurship. The poster will emphasize the importance of partnerships between universities, non-profit organizations at the local, national and international level and leaders in the host community in setting a foundation for long-term success. Among the partner organizations that continue to be integral to the project are Rotary clubs in Indiana, Missouri and Mexico, the Rotarian Action Group for Microfinance, Pro Mujer, the IUPUI BiCCHEC Signature Center, the IUPUI Center for Service and Friends of Hidalgo. The support of newly elected leadership in Calnali was essential in providing the on-the-ground advocacy and cultural/political sensitivity that are necessary to move forward with this type of project. The lessons learned from the project transcend national boundaries. Recent research findings show that what women who participate in microfinance programs want as outcomes are universal: food for their families, a roof over their heads and educational opportunities for their children. The poster will feature photographs of the people and the region, the project website and a brief video. It will provide the most current performance indicators for the project and highlight plans for sustaining and expanding its capacity in the future, such as a major grant proposal to Rotary International and providing health services to the community.Item Camargo Waste to Energy Power Plant(Office of the Vice Chancellor for Research, 2013-04-05) Zamenian, Hamed; Nasser, Eminou; Ray, Matt; Iseley, TomThe Camargo Waste to Energy Power plant project is being proposed to dispose of Municipal Solid Waste (MSW) produced in Mexico. Currently, most urban Municipal Solid Wastes in Mexico are discarded in landfills. The Camargo Waste to Energy (WTE) power station is an opportunity to continue a green path of human ingenuity and technical advancement. The goal of this plant is to achieve a solution that can efficiently deal with the substantial percentages of solid waste, while also creating energy. The facility will be designed to handle 600 pound per hour of MSW collected from Camargo, Monterrey, and other Mexican municipalities. This facility has additional recycling capability by separating glass, ferrous, and non-ferrous metals from raw MSW feedstock. The pyrolytic thermal conversion (PTC) process uses pyrolysis technology to convert organic-based wastes into valuable products like pyro-gas, pyro-oil, and char. Over 99 percent of waste processed by PTC will convert to energy and other saleable and usable products. This facility provides a nearly zero-landfill carbon neutral solution to the waste management field.Item Case Study of the American British Cowdray School of Nursing (ABCSN)(Publisher of original article: Palgrave Macmillan. This is a post-peer-review, pre-copyedit version of an article published in International Journal of Educational Advancement. [BREAK]The definitive publisher-authenticated version of: Thomas Upton "Editorial: Nursing Papers," CASE International Journal of Educational Advancement 3, no. 2 (2002): 163-172, is available online at:[BREAK] [LINK]http://www.palgrave-journals.com/ijea/archive/index.html[/LINK].[BREAK]Access to the original article may require subscription and authorized logon ID/password. IUPUI faculty/staff/students please check University Library resources before purchasing an article. Questions on finding the original article via our databases? Ask a librarian: [LINK] http://www.ulib.iupui.edu/research/askalibrarian [/LINK]., 2002) Upton, Thomas A. (Thomas Albin); Orvananos de Rovzar, MarcelaThis case study is the last of five looking at the influence of culture on fundraising activities in international non-profits. The American British Cowdray School of Nursing (ABCSN), a nonprofit school affiliated with a local Mexican hospital and university, reflects many of the fundraising practices common to Mexican non-profit organizations, which are in fact few. In Mexico, fundraising and philanthropy have never been widely practiced, a restrictive legal and tax framework inhibits fundraising activity, there is a general mistrust of nonprofits, and there is a general lack of knowledge about or skills with fundraising among nonprofit organizations. This case study examines the organizational structure and fundraising strategies of the ABCSN, and then reflects on the influence the cultural context of the organization has played on shaping them.Item Clinical and Non-Clinical Variables Associated With Preventive and Curative Dental Service Utilisation: A Cross-Sectional Study Among Adolescents and Young Adults in Central Mexico(BMJ Publishing Group, 2019-09-18) Medina-Solís, Carlo Eduardo; García-Cortés, José Obed; Robles-Minaya, José Luis; Casanova-Rosado, Juan Fernando; Mariel-Cárdenas, Jairo; Ruiz-Rodríguez, María del Socorro; Navarrete-Hernández, José de Jesús; Ávila-Burgos, Leticia; Maupomé, Gerardo; Social and Behavioral Sciences, School of Public HealthObjective The present study aimed to identify preventive and curative dental health service utilisation (DHSU) in the context of associated clinical and non-clinical factors among adolescents and young adults in Mexico. Design Cross-sectional study. Setting Applicants to a public university in Mexico. Participants Participants were 638 adolescents and young adults aged 16–25 randomly selected from university applicants. Interventions Data were collected using a self-administered questionnaire filled out by the students. For assessment of dental caries experience, we used the index of decayed, missing and filled teeth. Primary outcome The dependent variable was DHSU in the previous 12 months, coded as 0=non-use, 1=use of curative services and 2=use of preventive services. Results The mean age was 18.76±1.76 years, and 49.2% were women. The prevalence of DHSU was 40.9% (95% CI 37.1 to 44.8) for curative services and 22.9% (95% CI 19.7 to 26.3) for preventive services. The variables associated with curative services were age, sex, mother’s education, dental pain in the previous 12 months, caries experience, use of self-care devices and oral health knowledge. For preventive services, the variables associated were mother’s education, dental pain in the previous 12 months, caries experience, use of self-care devices and self-perception of oral health. Conclusions While differences emerged by type of service, a number of variables (sociodemographic and socioeconomic characteristics as well as dental factors) remained in the final model. Greater oral health needs and socioeconomic inequalities remained as predictors of both types of DHSU. Given the differences revealed by our study, oral health policies should refer those seeking dental care for oral diseases to preventive services, and promote the use of such services among the poorer and less educated population groups.Item Comparative Analysis of Edentulism in a Sample of Mexican Adults with and without Type 2 Diabetes(MDPI, 2022) Islas-Zarazúa, Rosalina; Mora-Acosta, Mariana; Navarrete-Hernández, José de Jesús; Reynoso-Vázquez, Josefina; Villalobos-Rodelo, Juan José; Rojas-Ortega, Laura; Sosa-Velazco, Taurino Amilcar; Márquez-Corona, María de Lourdes; Medina-Solís, Carlo Eduardo; Maupomé, GerardoThe objective of the present study was to compare the prevalence of edentulism in Mexican adults with and without a diagnosis of type 2 diabetes mellitus (T2DM) when they are seeking dental care. A cross-sectional study was conducted on 1921 medical records of Mexican adults 40 years of age and older who sought dental care at clinics of a public university in Mexico. The dependent variable was edentulism, clinically determined through an oral examination. The main independent variable was the self-report of previous T2DM diagnosis made by a physician. Sociodemographic, socioeconomic and behavioral covariates were included in a multivariate binary logistic regression model. Overall edentulism prevalence was 8.4% (95% CI = 7.1–9.6). The prevalence of T2DM was 14.3% (n = 274). The prevalence of edentulism among individuals with T2DM was 13.1%, but only 7.6% among individuals without T2DM. In the multivariate binary logistic regression model, a previous T2DM diagnosis increased the probability of being edentulous 1.61 times (95% CI = 1.03–2.50). For each year a person’s age increased, the likelihood of being edentulous increased by 12% (95% CI = 10–14%). In summary, a higher prevalence of edentulism was present in Mexican adults with T2DM and in those of older age. This information may be used by dental care providers and health policymakers to improve approaches to preventive care, as well as to characterize and anticipate care needs more accurately for the adult and older adult populations.Item Confirmation of symmetrical distributions of clinical attachment loss and tooth loss in a homogeneous Mexican adult male population(Elsevier, 2010-09) Minaya-Sánchez, Mirna; Vallejos-Sánchez, Ana A.; Casanova-Rosado, Alejandro J.; Casanova-Rosado, Juan F.; Medina-Solís, Carlo E.; Maupomé, Gerardo; Márquez-Corona, María de L.; Islas-Granillo, Horacio; Social and Behavioral Sciences, School of Public HealthBackground/purpose To ascertain whether or not clinical attachment loss and tooth loss are present with similar severity and prevalence across the two sides of the mouth in a homogeneous sample of urban male adults. Materials and methods A cross-sectional study was carried out on 161 policemen (a largely homogeneous group in terms of ethnic background, socioeconomic status, sex, occupation, and medical/dental insurance) in Campeche, Mexico. Periodontal examinations were undertaken using the Florida Probe System in a dental chair by one trained and standardized examiner (kappa ≥ 0.60) to determine clinical attachment loss and tooth loss. We examined six sites in all teeth present in the mouth (a maximum of 168 sites, no third molars). Because of correlated data between observations, McNemar (for tooth loss) and Wilcoxon (for attachment loss) signed-rank tests were used to compare right and left sites within the same patient. Results The mean age was 38.4 ± 11.0 years. The mean number of teeth present was 24.4 ± 4.6; the mean number of periodontal sites/person was 146.7 ± 27.8. All P values were ≥ 0.05 (except for attachment loss in the upper first premolars), suggesting that there were no statistically significant differences between the right and left sides for the frequency of presentation of these two conditions. Conclusion Tooth loss and attachment loss measurements largely resemble each other on both sides of the mouth.Item Country Report 2018: Mexico(2018) García-Colín, Jacqueline Butcher; Sordo Ruz, SantiagoPhilanthropic organizations do not have legal impediments from the government, but the registration process might prove costly and time-consuming. Furthermore, clear information about the exact steps to take to complete the process is not widely available, and completing registration usually requires the involvement of different authorities. In general, there is no unique government body tasked with processing the whole application.Item Diabetes or hypertension as risk indicators for missing teeth experience: An exploratory study in a sample of Mexican adults(Medknow Publications, 2017-01-01) Delgado-Pérez, V. J.; Rosa-Santillana, R. De La; Márquez-Corona, M. L.; Ávila-Burgos, L.; Islas-Granillo, H.; Minaya-Sánchez, M.; Medina-Solís, C. E.; Maupomé, G.; Periodontics and Allied Dental Programs, School of DentistryBackground: To determine an exploratory estimation of the strength of type 2 diabetes mellitus (T2DM) and hypertension diagnoses as risk indicators for missing teeth in a sample of Mexican adults.Materials and Methods: A comparative cross‑sectional study of sixty adult patients in a health center in Mexico included as dependent variable, the number of missing teeth (and having a functional dentition) and as independent variables, diagnoses for diabetes or hypertension, age, sex, maximum level of schooling, and tobacco use. Of the 60 participants, 20 were diagnosed with T2DM, 13 with hypertension, and 27 were otherwise diagnosed as healthy in their most recent medical checkup. A negative binomial regression (NBR) model was generated. Results: Mean age was 50.7 ± 16.2 and 50.0% were women. Mean number of missing teeth was 4.98 ± 4.17. In the multivariate NBR model, we observed that individuals with T2DM had higher risk of more missing teeth (incidence rate ratios [IRRs] = 3.13; 95% confidence interval [CI] = 2.09–4.69), followed by those with hypertension (IRRs = 2.63; 95% CI = 1.77–3.90). In addition, participants with current tobacco use were significantly more likely to have suffered tooth loss (P < 0.05) than those who were never smokers or former smokers, just like older participants (P < 0.05). Conclusions: T2DM and hypertension are independently associated with higher experience of missing teeth in an open adult population in Mexico. Future studies with a more sophisticated epidemiological design and encompassing a more detailed landscape of chronic diseases, type and length of use of long‑term medications, and patterns of dental care use are needed to better delineate these associations.Keywords: Adult, hypertension, Mexico, tooth loss, type 2 diabetes