19 research outputs found
Factores sociodemográficos y climatéricos relacionados con insomnio subjetivo en mujeres afrodescendientes del Urabá antioqueño en el año 2013
El insomnio es la dificultad para iniciar, mantener o tener un sueño reparador durante al menos un mes asociado a impacto diurno desfavorable. En mujeres climatéricas esta condición es prevalente. El objetivo del estudio fue evaluar los factores sociodemográficos y climatéricos relacionados con insomnio subjetivo (IS) en mujeres afro-descendientes de 40 a 59 años en el Urabá antioqueño durante el año 2013. Estudio descriptivo observacional transversal de fuente secundaria por datos de encuesta sociodemográfica, escala de Atenas (AIS), Índice de calidad del sueño de Pittsburgh (ICSP), escala de estado menopaúsico y calidad de vida (MRS).Resultados: La prevalencia de IS evaluado por AIS en las mujeres afrodescendientes del Urabá antioqueño fue: 39.05% y la mala calidad del sueño por el ICSP fue: 18.44%. Las variables relacionadas con la presencia de IS fueron: resequedad vaginal.(OR:4.5 [IC95%: 2.8-7.2]), edad mayor a 50 años (OR: 4.1 [IC95%: 2.4-7.1]), tener dolor (OR: 4.3 [IC95%: 2.8-6.8]), sentir calor durante la noche (OR: 3.5 [IC95%: 1.9-6.3]), tener pesadillas (OR: 3.4 [2.3-5.2]), molestias cardiacas (OR: 1.8 [IC95%: 1.2-2.9]), obesidad (OR:1.1 [0.7-1.8]), deterioro severo urogenital (OR: 8.2[IC%95:4.8-14.1]), deterioro severo psicológico (OR:5.8[IC%95:2.7-12.2]) y deterioro severo somático (OR:2.9[IC 95%1.5-5.5]. El sobrepeso mostró ser un factor protector (OR: 0.6 [0.3-0.8]). Conclusión: Las mujeres afrodescendientes del Urabá antioqueños presentan alta prevalencia de IS con respecto a mujeres climatéricas del resto de Colombia, la prevalencia de mala calidad del sueño fue baja, el deterioro de los dominio urogenital, psicológico y somático en mujeres del Urabá se relacionó positivamente con la presencia de insomnio subjetivo
Implementation of a clinical guideline for detection of gestational diabetes in primary care
Background: Gestational diabetes (GD) impacts maternal and fetal morbidity.
In 2012, the World Diabetes Foundation provided financing project in
Barranquilla (Colombia), aimed to implement a clinical guide for the diagnosis
and treatment of this condition. Aim: To estimate the adherence of the guide
in primary care centers. Material and Methods: A Cross-sectional study of
pregnant women suspected of having gestational diabetes. Pregnant women
were classified according to the week of admission to the prenatal control program:
< week 24 or later. Women with a fasting blood glucose over 92 mg/dL
and under 126 mg/dL or with some positive result to the oral glucose tolerance
test were included. Results: Nine percent (1,887 women) of 21,699 registries of
pregnant women, were at risk for gestational diabetes. Of these, 1,880 registries
with complete data were analyzed. Sixty nine entered the program at less than
24 weeks of pregnancy and 71% had had a fasting blood glucose measured in
the first control. In 69.2% of these women, criteria for gestational diabetes was
met. A glucose tolerance test was suggested to women with a blood glucose below
92 mg/dl. Among 72% of the latter, the glucose tolerance test met the criteria for
gestational diabetes. Among the 498 women who entered the program after 24
weeks of gestation, 68% met the criteria for gestational diabetes with the fasting
blood glucose levels. In 90 women, a glucose tolerance test was performed and 80%
met the criteria for gestational diabetes. Conclusions: An adequate adherence
to guidelines favors the detection of pregnant women with gestational diabetes
Health-related quality of life (HRQoL) in a population at risk of type 2 diabetes: a cross-sectional study in two Latin American cities
PURPOSE: The purpose of this study was to describe the health-related quality of life (HRQoL) characteristics in a population at risk of developing type 2 diabetes in Barranquilla and Bogotá, Colombia. METHODS: A cross-sectional study with 1135 participants older than 30 years-of-age recruited in Bogotá D.C., and Barranquilla by cluster sampling in 2018 to 2019. The Finnish Diabetes Risk Score (FINDRISC) was used to detect participants at risk of developing type 2 diabetes (T2D). HRQoL was assessed using the EQ-5D-3L questionnaire. Unadjusted and adjusted logistic regression models were used to calculate odds ratios (OR) and their corresponding 95% confidence intervals CI). RESULTS: Moderate or extreme problems appeared more frequently in the dimensions of Pain/Discomfort (60.8%) and Anxiety/Depression (30.8%). The mean score of the EQ-VAS was 74.3 (± 17.3), significantly larger in the state of complete health (11111) compared with those with problems in more than one of the quality-of-life dimensions. Being female and living in Bogota D.C., were associated with greater odds of reporting problems in the Pain (OR 1.6; 95% CI 1.2-2.2) and Discomfort dimensions (OR 1.6; 95% CI 1.2-2.0) respectively and Anxiety/Depression (OR 1.9; 95% CI 1.3-2.7), (OR 9.1; 95% CI 6.6-12.4), respectively. CONCLUSIONS: As living place and sex were associated with dimensions of Pain/Discomfort and Anxiety/Depression in the HRQoL in people at risk of T2D, greater attention should be paid to these determinants of HRQoL to design and reorient strategies with a territorial and gender perspective to achieve better health outcomes. Diabetes is one of the four non-communicable diseases with increasing prevalence in the world, which has made it a serious public health problem. In Colombia, in 2019 diabetes affected 8.4% of the Colombian adult population and more than one million Colombian adults of this age group have hidden or undetected diabetes. This disease is not only characterized by increased premature mortality, loss of productivity, and economic impact, but it also involves a deterioration in the quality of life of people with diabetes with their respective families. However, very Little is known about health-related quality of life (HRQoL) in a population at risk or with prediabetes. This study has evaluated the quality of life in patients at risk of diabetes and their behavior with some variables as sociodemographic, lifestyle, history, and established their difference in two territories of the Colombian Caribbean. The results of this study indicate that the HRQoL of people at risk of type 2 diabetes is affected by factors such as gender, city, dysglycemia, medication for hypertension and education level. Therefore, greater attention should be paid to these determinants of HRQL to design and implement strategies that reduce this risk of developing type 2 diabetes, prevent prediabetes and improve the quality of life in prediabetic or diabetic patients
Health-related quality of life (HRQoL) in a population at risk of type 2 diabetes: a cross-sectional study in two Latin American cities
Purpose: The purpose of this study was to describe the health-related quality of life (HRQoL) characteristics in a population at risk of developing type 2 diabetes in Barranquilla and Bogotá, Colombia. Methods: A cross-sectional study with 1135 participants older than 30 years-of-age recruited in Bogotá D.C., and Barranquilla by cluster sampling in 2018 to 2019. The Finnish Diabetes Risk Score (FINDRISC) was used to detect participants at risk of developing type 2 diabetes (T2D). HRQoL was assessed using the EQ-5D-3L questionnaire. Unadjusted and adjusted logistic regression models were used to calculate odds ratios (OR) and their corresponding 95% confidence intervals CI). Results: Moderate or extreme problems appeared more frequently in the dimensions of Pain/Discomfort (60.8%) and Anxiety/Depression (30.8%). The mean score of the EQ-VAS was 74.3 (± 17.3), significantly larger in the state of complete health (11111) compared with those with problems in more than one of the quality-of-life dimensions. Being female and living in Bogota D.C., were associated with greater odds of reporting problems in the Pain (OR 1.6; 95% CI 1.2–2.2) and Discomfort dimensions (OR 1.6; 95% CI 1.2–2.0) respectively and Anxiety/Depression (OR 1.9; 95% CI 1.3–2.7), (OR 9.1; 95% CI 6.6–12.4), respectively. Conclusions: As living place and sex were associated with dimensions of Pain/Discomfort and Anxiety/Depression in the HRQoL in people at risk of T2D, greater attention should be paid to these determinants of HRQoL to design and reorient strategies with a territorial and gender perspective to achieve better health outcomes. Plain English summary: Diabetes is one of the four non-communicable diseases with increasing prevalence in the world, which has made it a serious public health problem. In Colombia, in 2019 diabetes affected 8.4% of the Colombian adult population and more than one million Colombian adults of this age group have hidden or undetected diabetes. This disease is not only characterized by increased premature mortality, loss of productivity, and economic impact, but it also involves a deterioration in the quality of life of people with diabetes with their respective families. However, very Little is known about health-related quality of life (HRQoL) in a population at risk or with prediabetes. This study has evaluated the quality of life in patients at risk of diabetes and their behavior with some variables as sociodemographic, lifestyle, history, and established their diference in two territories of the Colombian Caribbean. The results of this study indicate that the HRQoL of people at risk of type 2 diabetes is afected by factors such as gender, city, dysglycemia, medication for hypertension and education level. Therefore, greater attention should be paid to these determinants of HRQL to design and implement strategies that reduce this risk of developing type 2 diabetes, prevent prediabetes and improve the quality of life in prediabetic or diabetic patients.This project was financed by the Colombian National Program for Science, Technology, and Health Innovation (COLCIENCIAS) in line with the theme focused on chronic non-transmutable diseases. This was in response to the 744 Call for projects in science, technology, and health innovation of 2016 in association with the Universidad del Norte of Barranquilla and the Colombian Diabetes Association.S
Covid19 en la Región Caribe Colombiana: un análisis documental
Introduction: Knowing the perception of the safety climate within surgical services has become an important task to establish actions that reduce the risk of suffering adverse events during patient care. Objective: To characterize the safety climate in the surgical services of four health institutions in Santander. Materials and methods: Observational cross-sectional study. The Hospital Survey on Patient Safety instrument was applied. The results were reported as the means of positive and negative responses. The characteristics associated with the dimensions with the highest negative perception scores were analyzed. Results: 164 workers participated. The dimensions with the highest positive perception were safe practices (84%), staffing (83.2%) and organizational learning (78.4%); Dimensions with unfavorable perception were non-punitive response to error (40.2%), workload (51.7%), communication (54.3%) and transitions and transfers between services (58.1%). Association between a low perception in transitions and transfers between services with contracting for the provision of services and with the position of Specialist (Physician and Anesthesiologist) was found. Low scores in communication were associated with union hiring. No associated factors were found for the non-punitive response to error and workload dimensions. Conclusions: In general, the perception of safety climate is considered positive, although there are opportunities for improvement. Factors such as type of hiring and position were more associated with negative perception. Workers feel judged when reporting adverse events.Introducción: el impacto social y sanitario que ha generado la pandemia COVID-19 a nivel global permite repensar aspectos de vigilancia epidemiológica y comunicación en tiempos de crisis. Objetivo: describir el comportamiento de la pandemia COVID-19 en los departamentos y distritos especiales de la región caribe colombiana. Materiales y Métodos: análisis documental e interpretativo a partir de fuentes secundarias de vigilancia nacional “SIVIGILA” y datos de entes territoriales. Resultados: Cartagena de Indias es la primera unidad territorial del Caribe en presentar casos por COVID-19, seguido de Santa Marta y Barranquilla. El mayor número de casos se registró en Barranquilla, Atlántico, Cartagena y Córdoba. Así mismo, la mayor tasa de muertes por 100 000 habitantes se registró en Barranquilla, Atlántico, Córdoba, Santa Marta, Sucre y Cartagena. En el Caribe se implementaron estrategias de distanciamiento social como prohibición de eventos masivos y cierre de fronteras. Discusión: Para describir el comportamiento de la pandemia es importante que las autoridades sanitarias continúen asumiendo el reto para la detección, sistematización y manejo oportuno de los casos. El comportamiento de la pandemia ha sido similar en los departamentos del Caribe Colombiano, hay una homogeneidad al momento de acatar las normas del gobierno, y cada región adaptó diferentes estrategias dentro de un marco general para reducir la incidencia de la enfermedad. Se recomienda fortalecer la similitud entre los datos reportados por el Ministerio de Salud, SIVIGILA y los entes territoriales. El talento humano en salud cualificado puede soportar este ejercicio a fin de superar la actuación mediática y avanzar hacia la gobernanza.Introducción: el impacto social y sanitario que ha generado la pandemia COVID-19 a nivel global permite repensar aspectos de vigilancia epidemiológica y comunicación en tiempos de crisis. Objetivo: describir el comportamiento de la pandemia COVID-19 en los departamentos y distritos especiales de la región caribe colombiana. Materiales y Métodos: análisis documental e interpretativo a partir de fuentes secundarias de vigilancia nacional “SIVIGILA” y datos de entes territoriales. Resultados: Cartagena de Indias es la primera unidad territorial del Caribe en presentar casos por COVID-19, seguido de Santa Marta y Barranquilla. El mayor número de casos se registró en Barranquilla, Atlántico, Cartagena y Córdoba. Así mismo, la mayor tasa de muertes por 100 000 habitantes se registró en Barranquilla, Atlántico, Córdoba, Santa Marta, Sucre y Cartagena. En el Caribe se implementaron estrategias de distanciamiento social como prohibición de eventos masivos y cierre de fronteras. Discusión: Para describir el comportamiento de la pandemia es importante que las autoridades sanitarias continúen asumiendo el reto para la detección, sistematización y manejo oportuno de los casos. El comportamiento de la pandemia ha sido similar en los departamentos del Caribe Colombiano, hay una homogeneidad al momento de acatar las normas del gobierno, y cada región adaptó diferentes estrategias dentro de un marco general para reducir la incidencia de la enfermedad. Se recomienda fortalecer la similitud entre los datos reportados por el Ministerio de Salud, SIVIGILA y los entes territoriales. El talento humano en salud cualificado puede soportar este ejercicio a fin de superar la actuación mediática y avanzar hacia la gobernanza
Enfermedades crónicas
Adherencia al tratamiento farmacológico y relación con el control metabólico en pacientes con DM2Aluminio en pacientes con terapia de reemplazo renal crónico con hemodiálisis en Bogotá, ColombiaAmputación de extremidades inferiores: ¿están aumentando las tasas?Consumo de edulcorantes artificiales en jóvenes universitariosCómo crecen niños normales de 2 años que son sobrepeso a los 7 añosDiagnóstico con enfoque territorial de salud cardiovascular en la Región MetropolitanaEfecto a corto plazo de una intervención con ejercicio físico, en niños con sobrepesoEfectos de la cirugía bariátrica en pacientes con síndrome metabólico e IMC < 35 KG/M2Encuesta mundial de tabaquismo en estudiantes de profesiones de saludEnfermedades crónicas no transmisibles: Consecuencias sociales-sanitarias de comunidades rurales en ChileEpidemiología de las muertes hospitalarias por patologías relacionadas a muerte encefálica, Chile 2003-2007Estado nutricional y conductas alimentarias en adolescentes de 4º medio de la Región de CoquimboEstudio de calidad de vida en una muestra del plan piloto para hepatitis CEvaluación del proceso asistencial y de resultados de salud del GES de diabetes mellitus 2Factores de riesgo cardiovascular en población universitaria de la Facsal, universidad de TarapacáImplicancias psicosociales en la génesis, evolución y tratamiento de pacientes con hipertensión arterial esencialInfarto agudo al miocardio (IAM): Realidad en el Hospital de Puerto Natales, 2009-2010Introducción de nuevas TIC y mejoría de la asistencia a un programa de saludNiños obesos atendidos en el Cesfam de Puerto Natales y su entorno familiarPerfil de la mortalidad por cáncer de cuello uterino en Río de JaneiroPerfil del paciente primo-consultante del Programa de Salud Cardiovascular, Consultorio Cordillera Andina, Los AndesPrevalencia de automedicación en mujeres beneficiarias del Hospital Comunitario de Til-TiPrevalencia de caries en población preescolar y su relación con malnutrición por excesoPrevalencia de retinopatía diabética en comunas dependientes del Servicio de Salud Metropolitano Occidente (SSMOC)Problemas de adherencia farmacológica antihipertensiva en población mapuche: Un estudio cualitativoRol biológico de los antioxidantes innatos en pacientes portadores de VIH/SidaSobrepeso en empleados de un restaurante de una universidad pública del estado de São Paul
Detección y prevencion de diabetes tipo 2 en personas con riesgo de desarrollarla. Experiencias de Colombia y Polonia
Tesis doctoral inédita leída en la Universidad Autónoma de Madrid, Facultad de Medicina, Departamento de Medicina Preventiva, Salud Pública y Microbiología. Fecha de lectura: 05-12-2018Esta tesis tiene embargado el acceso al texto completo hasta el 05-06-202
Factores de riesgo cardiovasculares modificables en población urbana y Rural-Indígena en Colombia.
Covid19 en la Región Caribe Colombiana: un análisis documental
Introducción: el impacto social y sanitario que ha generado la pandemia COVID-19 a nivel global permite repensar aspectos de vigilancia epidemiológica y comunicación en tiempos de crisis. Objetivo: describir el comportamiento de la pandemia COVID-19 en los departamentos y distritos especiales de la región caribe colombiana. Materiales y Métodos: análisis documental e interpretativo a partir de fuentes secundarias de vigilancia nacional “SIVIGILA” y datos de entes territoriales. Resultados: Cartagena de Indias es la primera unidad territorial del Caribe en presentar casos por COVID-19, seguido de Santa Marta y Barranquilla. El mayor número de casos se registró en Barranquilla, Atlántico, Cartagena y Córdoba. Así mismo, la mayor tasa de muertes por 100 000 habitantes se registró en Barranquilla, Atlántico, Córdoba, Santa Marta, Sucre y Cartagena. En el Caribe se implementaron estrategias de distanciamiento social como prohibición de eventos masivos y cierre de fronteras. Discusión: Para describir el comportamiento de la pandemia es importante que las autoridades sanitarias continúen asumiendo el reto para la detección, sistematización y manejo oportuno de los casos. El comportamiento de la pandemia ha sido similar en los departamentos del Caribe Colombiano, hay una homogeneidad al momento de acatar las normas del gobierno, y cada región adaptó diferentes estrategias dentro de un marco general para reducir la incidencia de la enfermedad. Se recomienda fortalecer la similitud entre los datos reportados por el Ministerio de Salud, SIVIGILA y los entes territoriales. El talento humano en salud cualificado puede soportar este ejercicio a fin de superar la actuación mediática y avanzar hacia la gobernanza
Implementation of a clinical guideline for detection of gestational diabetes in primary care
Background: Gestational diabetes (GD) impacts maternal and fetal morbidity.
In 2012, the World Diabetes Foundation provided financing project in
Barranquilla (Colombia), aimed to implement a clinical guide for the diagnosis
and treatment of this condition. Aim: To estimate the adherence of the guide
in primary care centers. Material and Methods: A Cross-sectional study of
pregnant women suspected of having gestational diabetes. Pregnant women
were classified according to the week of admission to the prenatal control program:
< week 24 or later. Women with a fasting blood glucose over 92 mg/dL
and under 126 mg/dL or with some positive result to the oral glucose tolerance
test were included. Results: Nine percent (1,887 women) of 21,699 registries of
pregnant women, were at risk for gestational diabetes. Of these, 1,880 registries
with complete data were analyzed. Sixty nine entered the program at less than
24 weeks of pregnancy and 71% had had a fasting blood glucose measured in
the first control. In 69.2% of these women, criteria for gestational diabetes was
met. A glucose tolerance test was suggested to women with a blood glucose below
92 mg/dl. Among 72% of the latter, the glucose tolerance test met the criteria for
gestational diabetes. Among the 498 women who entered the program after 24
weeks of gestation, 68% met the criteria for gestational diabetes with the fasting
blood glucose levels. In 90 women, a glucose tolerance test was performed and 80%
met the criteria for gestational diabetes. Conclusions: An adequate adherence
to guidelines favors the detection of pregnant women with gestational diabetes