Alcohol consumption among college medical students in Pasto (Colombia)

 Objective: To evaluate the reliability of the Spanish version of the AUDIT and assess the rate of problematic alcohol consumers and associated risk factors among medical students in Pasto (Colombia). Materials and Methods: A cross-sectional study was carried out in a random sample of 340 medical school students. All subjects were interviewed by two trained researchers. According to socio-demographic characteristics, variables such as age, sex, residence, socioeconomic status (SES), marital status, and study year were included. The 10-item Alcohol Disorder Identification Test (AUDIT) was used for assessing alcohol consumption. The inter-item correlations and Cronbach’s α coefficient were calculated as measures of the internal consistency of the AUDIT. Results: Factor analysis for the AUDIT items supported a single factor solution, with an eigenvalue of 4.8. Using a cut-off score of 8 for the AUDIT analysis indicated 39.1 % had problematic drinking (52.4 % men and 28.2 % women). There were significant statistical differences according to socio-demographics variables such as age, sex and study year. Conclusion: The AUDIT principal component analysis resulted in a single-factor solution. The estimated occurrence of problematic drinking was high in these medical students. In terms of risk factors, variables such as age, sex and study year were related to higher scores. Preventive programs are needed to educate students about the risks associated to alcohol use

Muerte fetal única en la gestación múltiple: un reporte de caso

Objetivo: describir el caso clínico de una institución de III nivel de la ciudad de Cali de una paciente que presentó un embarazo múltiple con muerte fetal única, el abordaje del mismo y el desenlace final. Presentación del caso: Paciente de 30 años de edad, G2P1V1, sin antecedentes conocidos cursando con embarazo de 26.5 semanas, gemelar monocorial biamniótico, con muerte del co-gemelo datado por ecografía. Estudios fetales complementarios negativos: TORCH, citoquímico y cultivo de líquido amniótico, Doppler Fetal, Ecocardiograma fetal, neurosonografía. Estudios maternos complementarios por riesgo de CID y síndrome de Ballantyne, con reportes iniciales negativos. Además, con hipertensión gestacional asociada por lo que se indujo trabajo de parto en semana 36, con atención del parto sin complicaciones, Recién nacido #1 2500 gramos, APGAR 9-10, placentas fusionadas, áreas necróticas extensas y calcificaciones, líquido amniótico de ambas bolsas eutérmico, no fétido; óbito, 700 gramos esfacelado, sin signos de malformaciones. Se realizó una revisión de la literatura en las diferentes bases de datos consultando artículos donde no se realizó discriminación de idioma usando palabras clave. Discusión: El embarazo múltiple es considerado de alta complejidad y se asocia a mayor morbimortalidad comparado con los embarazos únicos. Una de sus complicaciones es la muerte del co-gemelo in útero, descrito hasta en un 6.2 % y el feto sobreviviente está expuesto a riesgo de muerte y/o injuria neurológica: siendo mayor en las gestaciones monocoriales vs. Bicoriales. Conclusiones: La muerte del co-gemelo in útero es un problema clínico grave y poco frecuente que tiene un espectro amplio de patologías que pueden llevar a dicho resultado y ocasiona consecuencias en el feto sobreviviente como en la madre

Alcohol consumption among college medical students in Pasto (Colombia)

 Objective: To evaluate the reliability of the Spanish version of the AUDIT and assess the rate of problematic alcohol consumers and associated risk factors among medical students in Pasto (Colombia). Materials and Methods: A cross-sectional study was carried out in a random sample of 340 medical school students. All subjects were interviewed by two trained researchers. According to socio-demographic characteristics, variables such as age, sex, residence, socioeconomic status (SES), marital status, and study year were included. The 10-item Alcohol Disorder Identification Test (AUDIT) was used for assessing alcohol consumption. The inter-item correlations and Cronbach’s α coefficient were calculated as measures of the internal consistency of the AUDIT. Results: Factor analysis for the AUDIT items supported a single factor solution, with an eigenvalue of 4.8. Using a cut-off score of 8 for the AUDIT analysis indicated 39.1 % had problematic drinking (52.4 % men and 28.2 % women). There were significant statistical differences according to socio-demographics variables such as age, sex and study year. Conclusion: The AUDIT principal component analysis resulted in a single-factor solution. The estimated occurrence of problematic drinking was high in these medical students. In terms of risk factors, variables such as age, sex and study year were related to higher scores. Preventive programs are needed to educate students about the risks associated to alcohol use