Frecuencia y variables asociadas a estigma-discriminación percibido en víctimas del conflicto armado colombiano

Resumen: Se desconoce la frecuencia de complejo estigma-discriminación percibido en víctimas del conflicto armado colombiano. El objetivo del estudio fue establecer la frecuencia y variables asociadas al estigma-discriminación percibido en víctimas del conflicto armado, en municipios del Departamento del Magdalena, Colombia. Se realizó un estudio transversal con víctimas registradas en el Programa de Atención Psicosocial y Salud Integral a Víctimas. Los síntomas depresivos se cuantificaron con cuatro ítems dicotómicos (tres o más se clasificaron como alto nivel de síntomas depresivos) y el estigma-discriminación percibido se cuantificó con seis incisos dicotómicos (dos o más afirmaciones se categorizó como alto estigma-discriminación percibido). Participaron 943 adultos (M = 47,9; DE = 14,2); 67,4%, mujeres; 109 (11,6%) informaron alto nivel de síntomas depresivos y 217 (23%) presentaron alto estigma-discriminación percibido. El alto estigma-discriminación percibido se asoció a alto nivel de síntomas depresivos (OR = 6,47; IC95%: 4,23-9,88). Se concluye que un cuarto de las víctimas del conflicto armado en Magdalena informa alto estigma-discriminación percibido; éste se asocia significativamente a alto nivel de síntomas depresivos

Relaciones sexuales en adolescentes estudiantes de tres colegios privados de Santa Marta, Colombia: factores asociados

ResumenAntecedentes: El comportamiento sexual de los adolescentes está relacionados con enfermedades de trasmisión sexual y embarazos no deseados. Se desconoce la prevalencia de relaciones sexuales y los factores relacionados con éstas en estudiantes de la ciudad de Santa Marta, Colombia.[Ceballos GA, Campo Arias A. Relaciones sexuales en adolescentes estudiantes de tres colegios privados de Santa Marta, Colombia: factores asociados. MedUNAB 2005; 8:171-5]Palabras clave: Relaciones sexuales, prevalencia, factores asociados, adolescentes, estudiantes, estudio transversal

Intermittent hypoxic training and cycling performance in triathletes

Los deportistas incorporan como complemento a su entrenamiento convencional, programas de entrenamiento en altitud para incrementar el rendimiento. El objetivo del estudio fue analizar los efectos sobre el umbral anaeróbico (Uan) producidos por un programa de entrenamiento en hipoxia intermitente (IHT) en triatletas. Participaron 18 triatletas divididos en un grupo de entrenamiento en hipoxia (GIHT: n=9; Edad: 26 ± 6.73 años; Talla 173.33 ± 5.94 cm; Peso: 66.38 ± 5.91 kg) y un grupo control (GC: n=9; Edad: 29.27 ± 6.84 años; Talla 174.89 ± 4.59 cm; Peso: 71.59 ± 6.81 Kg). Se aplicó un programa de IHT, complementario al entrenamiento habitual de 7 semanas al 15-14.5% de FiO2, 2 sesiones semanales de 60 minutos en cicloergómetro a la intensidad del Uan. Se llevó a cabo un test de umbrales lácticos previo y otro posterior al programa. El tratamiento propuesto produce un incremento en la potencia y el esfuerzo percibido en el Uan y disminuye la frecuencia cardiaca en el umbral aeróbico (Uae) y el UanAthletes include altitude training as a complement to their conventional training to improve performance. The aim of the study was to analyze the effects on anaerobic threshold (AT) produced by an IHT program in triathletes. 18 male trained triathletes were divided into intermittent hypoxic training group (GIHT: n=9; age: 26±6.73 years, height 173.33±5.94 cm, weight: 66.38±5.91 kg) and control group (GC: n=9; age: 29.27±6.84 years, height 174.89±4.59 cm, weight: 71.59±6.81 kg). The IHT program consisted of two 60-min sessions per week at intensities over the AT and atmospheric conditions between 14.5 and 15% FiO2. Before and after the program, cycling performance in a lactate thresholds test was determined. The treatment caused an improvement in the power output and perceived exertion in AT and enhanced cardiac performance in the aerobic threshold and AT

La apropiación social del conocimiento como base para la clasificación de las Instituciones de Educación Superior colombianas

 Las instituciones de educación superior (IES) colombianas están permanente sometidas a esquemas de clasificación que le otorgan mayor o menor visibilidad en el ámbito académico. Esto genera grandes expectativas y por ello la reciente publicación de la clasificación de la IES colombianas, basado en apropiación social del conocimiento (ASC), es controversial. Las clasificaciones, como cualquier estrategia que pretende establecer un orden no suelen ser completamente objetivas y se pueden confi­gurar como un dispositivo ideológico y político que promueven la estigmatización y exclusión

Puerta de entrada al consumo de sustancias ilegales en colombia: infracciones a la norma de inicio

Objetivo Establecer la frecuencia de la infracción a la norma del inicio de sustancias ilegales con el uso de alcohol o nicotina en adultos colombianos de la población general.Métodos Se realizó un estudio descriptivo con adultos de la población general de Colombia. Se determinaron las frecuencias de inicio de consumo de sustancias ilegales con sustancias distintas a alcohol o nicotina.Resultados En un total de 4 426 adultos participaron en la investigación y se observó que 127 personas (3,3 %) iniciaron el consumo de sustancias ilegales con el uso de sustancias diferentes a alcohol o nicotina: 2,3 % otra sustancia ilegal antes que marihuana; 0,6 % marihuana antes que alcohol o nicotina; y 0,4 % otra sustancia ilegal antes que alcohol o nicotina.Conclusiones Un número reducido de consumidores de sustancias ilegales en Colombia inicia con sustancias distintas a alcohol o nicotina. Es necesario investigar los factores asociados con este inicio

Heart rate variability to assess ventilatory thresholds in professional basketball players

AbstractPurposeThe aim of this study was to determine if heart rate variability (HRV) during incremental test could be used to estimate ventilatory threshold (VT) in professional basketball players, with sufficient precision to be used in their training. Furthermore, the second aim was to analyse the association between HRV and three methods of VT determination by gas analysis.MethodsTwenty-four professional basketball players (age: 23.4 ± 4.9 years; height: 195.4 ± 9.8 cm; body mass: 92.2 ± 11.9 kg) performed an incremental running test to exhaustion. First ventilatory threshold (VT1) was determined by ventilatory equivalent (VE) and HRV and second ventilatory threshold (VT2) was determined by three methods of gases analysis (V-slope, VE and gas exchange ratio (R), and HRV). Pearson's coefficient (r) was used to detect differences between data and the strength of each relationship. The mean of absolute differences and Bland–Altman analysis were used to evaluate whether there was agreement.ResultsThe results showed no significant differences in HR and oxygen consumption (VO2) at VT1 between the two methods. Furthermore, no significant differences among the methods of gases analysis and HRV were observed in speed, HR, and VO2 at VT2. Moreover, VTs estimated using HRV and gas methods were significantly correlated. Correlation was higher between R and HRV (r = 0.96) and VE and HRV (r = 0.96) than V-slope and HRV (r = 0.90).ConclusionThese findings provide a practical, inexpensive approach for evaluating specific training loads when determining VT2 in basketball players. Therefore, HRV is an alternative method to determine VT2 without the application of expensive technology that limits its use to laboratories

Neuromuscular and mobility responses to a vibration session in hypoxia in multiple sclerosis

The aim of this study was to investigate the acute effects of vibration training (WBVT) under hypoxic and normoxic conditions on the voluntary rate of force development (RFD), balance and muscle oxygen saturation (SMO2) in persons with Multiple Sclerosis (MS). 10 participants completed the study (30 % males, 44.4±7.7 years, 164.3±8.9cm, 65.2±11.1kg, 2.5±1.3 Expanded Disability Status Scale, 24.1± 4.0 kg.m− 2 BMI). Maximal force, RFD during isometric knee extension, static balance with eyes open and closed and sit-to-stand test were evaluated before and immediately after one session of WBVT (12 60-s bout of vibration; frequency 35Hz; amplitude 4mm; 1-min rest intervals) under both normoxic and hypoxic conditions. In addition, SMO2 of the gastrocnemius lateralis was assessed during each condition. No changes were found in force, static balance and sit-to-stand test. Time-to-peak RFD increased in the left leg (p = 0.02) and tended to increase in the right leg (p = 0.06) after the hypoxic session. SMO2 resulted in significant increases from the initial to final intervals of the WBVT under both hypoxic and normoxic conditions (p < 0.05). Increases in SMO2 during WBVT demonstrates muscle work that may contribute to the observed muscle adaptations in long-term WBVT programs without inducing decreases in neuromuscular activation, physical function and balance within a session

Acute Physiological and Performance Responses to High-Intensity Resistance Circuit Training in Hypoxic and Normoxic Conditions.

The aim of this study was to analyze physical performance and physiological variables during high-intensity resistance circuit training (HRC) with the addition of 2 levels (moderate and high) of systemic hypoxia. Twelve resistance-trained young male subjects participated in the study. After a 6 repetition maximum testing session, participants performed 3 randomized trials of HRC: normoxia (NORM: fraction of inspired oxygen [FiO2] = 0.21; ∼0 m altitude), moderate hypoxia (MH: FiO2 = 0.16; ∼2.100 m altitude), or high hypoxia (HH: FiO2 = 0.13; ∼3.800 m altitude), as controlled by a hypoxic generator. Bench press force, heart rate and heart rate variability, rating of perceived exertion, resting metabolic rate, energy cost, and countermovement jump were assessed in each session. Heart rate variability in HH was significantly lower (standard deviation of all normal NN intervals [intervals between two "normal" beats] = 111.9 vs. 86.7 milliseconds; standard deviation of the difference between consecutive NN intervals = 19.5 vs. 17.0 milliseconds; p ≤ 0.05) in comparison with NORM. There were significant differences in rating of perceived exertion between NORM and HH (11.6 vs. 13.8 points). Peak and mean force on the bench press were significantly lower (p ≤ 0.05) in HH when compared with MH (peak: 725 vs. 488 N; mean: 574 vs. 373 N). Energy cost was significantly higher (p ≤ 0.01) in both hypoxic conditions compared with NORM (NORM: 10.4; MH: 11.7; HH: 13.3 kJ·min). There were no differences between conditions in heart rate and countermovement jump variables. These results indicate that hypoxic stimuli during HRC exercise alter physical performance and physiological variables and affect how strenuous the exercise is perceived to be. High-intensity resistance circuit training in hypoxia increases the stress on the performance and physiological responses, and these differences must be taken into account to avoid an excessive overload.Actividad Física y Deport