Factors that influence treatment delay in patients with colorectal cancer

A prospective study was performed of patients diagnosed with colorectal cancer (CRC), distinguishing between colonic and rectal location, to determine the factors that may provoke a delay in the first treatment (DFT) provided.2749 patients diagnosed with CRC were studied. The study population was recruited between June 2010 and December 2012. DFT is defined as time elapsed between diagnosis and first treatment exceeding 30 days.Excessive treatment delay was recorded in 65.5% of the cases, and was more prevalent among rectal cancer patients. Independent predictor variables of DFT in colon cancer patients were a low level of education, small tumour, ex-smoker, asymptomatic at diagnosis and following the application of screening. Among rectal cancer patients, the corresponding factors were primary school education and being asymptomatic.We conclude that treatment delay in CRC patients is affected not only by clinicopathological factors, but also by sociocultural ones. Greater attention should be paid by the healthcare provider to social groups with less formal education, in order to optimise treatment attentio

Prevention of sexual violence through research as a pedagogical strategy in basic education

La violencia sexual es una problemática de salud pública que viene en aumento, convirtiéndose en un flagelo nacional, presentándose especialmente al interior del núcleo familiar, pero se manifiesta también en las diversas instituciones del colectivo social. El estudio busco prevenir la violencia sexual mediante la investigación como estrategia pedagógica en educación básica. Se guio bajo el enfoque de Investigación como estrategia pedagógica. Donde se utilizaron herramientas como diario de campo y observación participante. La unidad de análisis estuvo conformada por cuarenta (40) estudiantes de la IED Francisco de Paula Santander, Sede Simón Bolívar de Fundación-Magdalena. Los resultados evidenciaron que los alumnos no tenían conocimientos previos sobre violencia sexual, luego de la integración de la IEP al aula de clase desde el área de sociales se logró la apropiación y socialización de los conocimientos adquiridos a través del proceso de indagación por parte de los estudiantes con el apoyo docente.Sexual violence is a problem of public health that is increasing, becoming a national scourge, appearing especially within the family nucleus, but also manifested in the various institutions of the social collective. The study sought to prevent sexual violence through research as a pedagogical strategy in basic education. It was guided under the Research approach as a pedagogical strategy. Where tools were used as field diary and participant observation. The analysis unit consisted of forty (40) students of the IED Francisco de Paula Santander, Simón Bolívar campus of Fundación- Magdalena. The results showed that the students did not have previous knowledge about sexual violence, after the integration of the IEP into the classroom from the social area, the appropriation and socialization of the acquired knowledge was achieved through the process of inquiry by the students. students with teacher support