Aim. to describe the characteristics and operation of the different groups of community participation that exist in the 16 health centers located in the city of Pachuca, during January-December 2015. Material and Methods. 61 surveys were applied to member of different health committees and 125 surveys were applied to member of self-help groups. Results: over 90% committee´s members are women; schooling was 41% high school. 88% of the committee´s members reported that health personnel decide when and how to meet them.47% members of self-help groups reported that operation depend on health personnel. Conclusions: only if the community is involved in decision making, there is community participation. This is a way to increase the power of communities (empowerment) where democratic decision making is strengthened; this inspires pride and facilitates a genuine participation in the development process. Otherwise the results in community participation will not be entirely positive.

Cervical cancer (CCU), or cancer of the cervix, is the most common carcinoma in women worldwide; is the malignancy that occurs regularly in the cervical epithelium, so it requires periodic analysis. Aim. To determine the impact of gender violence and level of schooling, as well as factors and barriers that interfere in the timely detection of cervical cancer. Methodology. An observational cross-sectional and analytic study was conducted on 384 women from the La Providencia and Bosques del Peñar neighborhoods in Pachuca Hidalgo, Mexico. through a structured survey with prior consent. Results. 12% of women report having a restrictive partner, 23% frequently bother with her, 16% have a possessive partner and 11% have a low level of education. The number of women who underwent the cervical cytology examination once a year were (52%), 11% are performed twice a year, 12% are not performed regularly. The restrictive behavior of the couple is associated with variables such as the level of schooling, with the frequency of attendance at cervical cytology and fundamentally, level of schooling with Couple / Possessive, obtaining the following OR value: 1.66 (p <0.05) and Level of schooling with cervical cytology, with an OR: 1.32. with (p <0.05). Conclusions. School attendance and attendance at the gynecology service, as well as the restrictive / possessive, possessive / aggressive nature of the couple represent barriers that are associated and interfere in the timely detection of cervical cancer.

Introduction: Of the patients who come to the consultation to stop smoking, many do not return to the second consultation, so they do not initiate the treatment. Objective: To assess the follow-up of a smoking cessation program and analyze the characteristics of this population. Patients and Methods: We analyzed 1484 patients who attended the Specialized Smoking Treatment Unit of the University Hospital Complex of Albacete from January 1, 2008 to December 31, 2012, assessing anthropometric and social characteristics. Statistical Analysis: Chi-square and Fishers exact test were used for qualitative variables and Students t for quantitative variables and a logistic regression was performed to avoid confounding variables. The level of significance was established with p <0.05 Results: A total of 1484 patients were included in the study. Of these, 731 subjects abandoned the treatment without going to the second consultation, this is 49.26% of the total. In the logistic regression model that was done, it was not observed that any variable had a significant influence. Conclusion: There is an excess of patients who, despite waiting for time to attend a first appointment, do not continue. This is a failure that we must study

Objective: To determine whether the duration and interruption of sleep, perception of hunger-satiety influence the excessive weight gain in Mexican pregnant women. Materials and Methods: Cross-sectional design, with 305 pregnant women, recruited in a primary care clinic. The duration of sleep was evaluated by interview and a hunger and satiety perception scale was used. Weight was obtained before and during pregnancy. The linear regression model was used to analyze the data. Results: The average number of hours that pregnant women slept was 9.04 hours per night, 83% interrupted sleep and 16.7% gained excessive gestational weight. The pre-gestational body mass index and sleep interruption explained the gestational weight gain. Conclusion: Intervening in factors that influence the interruption of sleep in pregnant women can contribute to prevent excessive weight gain and prevent maternal and child complications.

The study of nosocomial infections originates in the same moment of the creation of Hospitals, several men have stood out for their contributions to the knowledge of them. Infections Associated with Health Care (IAAS), formerly known as nosocomial infections, are defined as localized or systemic infections that are triggered by an adverse reaction to the presence of one or several infectious agent (s) or their toxin (s), without evidence of its presence prior to admission to the respective health care center. The inadequate and irrational use of amphibiates, which is frequent in medical practice, is one of the most important factors in the generation and selection of bacterial resistance. Aim. The objective was to establish the state of the art regarding bacterial resistance in pediatric patients with (IAAS). Methodology. A systematic search was carried out in Google, PubMed, CrossRef. Results. We reviewed 24 publications, 5 from 16 Google, CrossRef and 3 PubMed. Conclusions. Bacterial resistance represents a public health problem associated with the [IAAS] impact on morbidity and mortality, so it is urgent to comply with the strategies of the CDC [Center for Disease Control and Prevention], among which work in the washing of the hands of health personnel, people in general and the irrational use of antibiotics, otherwise, the impact will be negative on the economic and health status.