Evaluation of fetal central nervous system (CNS) can be performed with invasive and non-invasive tests but, the implementation of any of both present ethical dilemmas in the prenatal obstetrical management and perinatal therapy. Severely sick fetuses are usually aborted, and such practice is hazardous in third world countries, especially in current times with worldwide spread of Zika virus infection. Rotary International’s four way test give the practitioners a guideline to perform a moral and ethical medical pattern in order to respect the woman and her fetus rights, beneficence and autonomy. Bioethical guidelines in case of an adverse fetal CNS diagnosis is proposed based in this Rotarian moral model.

Aim. To evaluate the nutritional status of the medicine students of the population in Mexico, compare it with previous data and situate the most affected. Material and Methods. The sample consisted of 100 polls y 30 blood count, from the students of UAEH selected, the reference values of weight/age, weight/height and height/age. Results. Overall anemia affects 3 students according to blood count, and we discovered that the common pathologies are intestinal diseases in 23%. Conclusion. The results denote that the main factors for malnutrition are socioeconomic status and inadequate schedules for a balanced diet and therefore suffer from gastrointestinal diseases.

A systematic review (SR) was carried out whose main objective was to identify the prevalence of eating disorders during pregnancy. A systematic review of Cohort Studies was carried out, fulfilling the criteria of the review protocol Preferred Reporting Items for Systematic reviews and Meta-Analyzes (PRISMA). In the searches, the electronic databases were used, applying the inclusion criteria, Web of Science, Scopus and MEDLINE. We identified 72 articles that met the inclusion criteria. After a series of screenings, which are described below, 9 studies were included in the SR. Once the articles were analyzed, it is observed, as a result of them, that there is a higher prevalence of pregnant women who present eating disorders. This may be due to the greater accessibility to assisted reproduction techniques currently available, where women with previous disorders have access to these techniques. No studies have been found that properly guide health professionals in the prevention, early detection and treatment of eating disorders in pregnancy and puerperium.

Introduction and objective: In muscle dysmorphia (MD) the patient thinks he is smaller and less muscular than he really is. As in other addictive diseases, its prevention and early diagnosis are the key to avoid associated disorders. It is established as an objective to determine if there are associated socio- demographic factors. Material and methods: Cross-sectional observational study of 140 men, between 16-45 years old, who practice bodybuilding in gyms of different socioeconomic levels, at least 6 months prior to the study, 4 days / week, 1 hour / day, who signed the informed consent and without chronic illness. The main variable was the presence of symptoms of DM using the muscle appearance satisfaction scale (44 patients) and the secondary variables were age, coexistence, children, educational level and monthly income. Frequencies were used in the qualitative variables, and averages and standard deviations in the quantitative variables, in the bivariate analysis of the Chisquare test and the t-student test respectively and the binary logistic regression (presence / absence of MD) to eliminate confounding factors, the probabilities were calculated associated Results: The gymnasts have an average age of 26.1 (SD = 7.1) years; the majority live with their parents (56.4%); they do not have children (89.3%); the academic levels are balanced and the economic income is mostly low / medium (79.3%). In the bivariate analysis, is observed a higher risk at a younger age (p = 0.027) and when they live with their parents (limit of significance). Significance is not observed with the variables having children, educational level or economic income. In the binary logistic regression these meanings are lost, although the graphic representation of the probability in relation with age seems to be a risk factor, as well as living with the parents or as a couple. Conclusion: Among men who practice bodybuilding, it is usually a risk to suffer MD, to be younger, to live together as a couple and with parents, with no impact on the educational level or economic income.