Calidad de vida de los pacientes afectados de trastornos de la alimentación

ResumenObjetivoAnalizar la calidad de vida percibida de pacientes ambulatorios con trastornos de la alimentación en relación a la gravedad de su sintomatología y en comparación a otros trastornos psiquiátricos y con la población general.MétodosEstudio descriptivo transversal de la calidad de vida de 180 pacientes reclutados en una unidad de trastornos de la alimentación. Para estudiar diferentes aspectos de la calidad de vida relacionada con la salud, se utilizaron los cuestionarios SF-36, EAT y HAD. Los resultados del SF-36 fueron comparados con los de una muestra de la población general del mismo sexo y edad, así como con otros estudios de trastornos psiquiátricos en los que se utilizó el SF-36.ResultadosLos pacientes con trastornos de la alimentación presentaron peor calidad de vida que la población general de su mismo sexo y edad y similar a la de pacientes con otros trastornos psiquiátricos, como esquizofrenia, depresión y trastornos de pánico. No se apreciaron diferencias significativas entre los pacientes con diagnóstico de anorexia restrictiva, anorexia purgativa y bulimia. Las áreas del SF-36 más afectadas fueron salud mental, rol emocional y vitalidad.ConclusionesEste estudio muestra la gravedad de estos trastornos, que tienen una gran incidencia entre mujeres jóvenes en edad escolar y laboral. Esto supone un grave problema de salud pública y plantea la necesidad de una asistencia especializada.SummaryObjectiveTo evaluate the quality of life of ambulatory patients with eating disorders in relation to the severity of their symptomatology and in comparison with other psychiatric disorders and general population values.MethodsCross-sectional descriptive study of the quality of life of 180 patients recruited at an eating disorders unit. In order to study different aspects of their Health Related Quality of Life, the SF-36, the EAT and the HAD questionnaires were used. The results of the SF-36 were compared to population values of the same gender and age, and to other studies of psychiatric disorders where the SF-36 questionnaire was used.ResultsPatients with eating disorders presented worse quality of life than the general population of the same gender and age, and similar to patients with other psychiatric diagnoses, as schizophrenia, depression or panic disorder. No significant differences were found between patients with diagnoses of restrictive anorexia, purgative anorexia and bulimia. Mental health, rol emotional and vitality were the most affected areas of the SF-36.ConclusionsThis study shows the severity of these disorders, which have a special incidence in young active women. This fact is becoming an important public health problem and raises the need of specialised assistance

Use of rasch methodology to develop a short version of the Health Related Quality of life for Eating Disorders questionnaire: a prospective study

<p>Abstract</p> <p>Background</p> <p>To confirm the internal structure of the Health Related Quality of Life for Eating Disorders version 2 questionnaire (HeRQoLEDv2) and create and validate a shortened version (HeRQoLED-S).</p> <p>Methods</p> <p>324 patients with eating disorders were assessed at baseline and one year later (75.6% of whom responded). We performed a confirmatory factor analysis of the HeRQoLEDv2 using baseline data, and then a Rasch analysis to shorten the questionnaire. Data obtained at year one was used to confirm the structure of the HeRQoLED short form and evaluate its validity and reliability.</p> <p>Results</p> <p>Two latent second-order factors -- social maladjustment and mental health and functionality -- fit the data for the HeRQoLEDv2. Rasch analysis was computed separately for the two latent second-order factors and shortened the HeRQoLEDv2 to 20 items. Infit and outfit indices were acceptable, with the confirmatory factor analysis of the HeRQoLED short form giving a root mean square error of approximation of 0.07, a non-normed fit index and a comparative fit index exceeding 0.90. The validity was also supported by the correlation with the convergent measures: the social maladjustment factor correlated 0.82 with the dieting concern factor of the Eating Attitudes Test-26 and the mental health and functionality factor correlated -0.69 with the mental summary component of the Short Form-12. Cronbach alphas exceeded 0.89.</p> <p>Conclusions</p> <p>Two main factors, social maladjustment and mental health and functionality, explain the majority of HeRQoLEDv2 scores. The shortened version maintains good psychometric properties, though it must be validated in independent samples.</p

El deporte y la educación física escolar en Medellín

The present paper is part of the investigation. It aimed to identify and describe the status of sport and physical education in the town of Medellin from the assessments of teachers attending basic primary education in the town of Medellin, for which he used the quantitative approach from one study experimental descriptive, where 140 teachers from public and private educational institutions participated Medellin. Its main contributions are in the context of educational institutions and sports training, defining routes for improvement for both scenarios from complementary dimensions in policies, infrastructure, ongoing teacher training and discipline for professionals that serve the area and their extracurricular activities. It is striking that only 26.4% of teachers serving in primary area have specific training in Physical Education, Recreation and Sports, none of the participating teachers have doctoral degrees, only 26.4% of teachers Basic Elementary have exclusive Physical Education, Recreation and Sport dedication, among other findings. This entails a development path for the teaching and discipline of teachers of Physical Education, Recreation and Sports Primary Basic that must be addressed from the design of public policies, access to training posgradual levels, the establishment of teacher training programs discipline and permanent alliance from the Ministry of Education and the universities of the region in Antioquia and Colombia.El presente escrito es producto de investigación 1 . Pretendió identificar y describir la situación actual del deporte y la educación física escolar en el municipio de Medellín a partir de las apreciaciones de los docentes que atienden la educación básica primaria en el municipio de Medellín, para lo cual empleó el enfoque cuantitativo desde un estudio no experimental descriptivo, donde participaron 140 docentes de instituciones educativas públicas y privadas del Municipio de Medellín. Los principales aportes están en el contexto de las instituciones educativas y el deporte formativo, definiendo rutas de mejora para ambos escenarios desde dimensiones complementarias en políticas, infraestructura, formación pedagógica y disciplinar permanente para los profesionales que atiendan el área y sus acciones extraescolares. Llama la atención, que solo un 26,4 % de los docentes que atienden el área en Primaria tienen formación específica en Educación Física, Recreación y Deporte, ninguno de los docentes participantes tiene título de doctor, solo un 26,4 % de los docentes de Básica Primaria tienen dedicación exclusiva a Educación Física, recreación y deporte, entre otras conclusiones. Se genera así una ruta para el desarrollo pedagógico y disciplinar de los profesores de Educación Física, Recreación y Deporte de Básica Primaria que debe ser atendida desde el diseño de políticas públicas, el acceso a niveles de formación posgradual y la conformación de programas de formación pedagógica y disciplinar permanente en alianza desde la Secretaría de Educación y las Universidades de la Región en Antioquia y Colombia

The management of acute venous thromboembolism in clinical practice. Results from the European PREFER in VTE Registry

Venous thromboembolism (VTE) is a significant cause of morbidity and mortality in Europe. Data from real-world registries are necessary, as clinical trials do not represent the full spectrum of VTE patients seen in clinical practice. We aimed to document the epidemiology, management and outcomes of VTE using data from a large, observational database. PREFER in VTE was an international, non-interventional disease registry conducted between January 2013 and July 2015 in primary and secondary care across seven European countries. Consecutive patients with acute VTE were documented and followed up over 12 months. PREFER in VTE included 3,455 patients with a mean age of 60.8 ± 17.0 years. Overall, 53.0 % were male. The majority of patients were assessed in the hospital setting as inpatients or outpatients (78.5 %). The diagnosis was deep-vein thrombosis (DVT) in 59.5 % and pulmonary embolism (PE) in 40.5 %. The most common comorbidities were the various types of cardiovascular disease (excluding hypertension; 45.5 %), hypertension (42.3 %) and dyslipidaemia (21.1 %). Following the index VTE, a large proportion of patients received initial therapy with heparin (73.2 %), almost half received a vitamin K antagonist (48.7 %) and nearly a quarter received a DOAC (24.5 %). Almost a quarter of all presentations were for recurrent VTE, with &gt;80 % of previous episodes having occurred more than 12 months prior to baseline. In conclusion, PREFER in VTE has provided contemporary insights into VTE patients and their real-world management, including their baseline characteristics, risk factors, disease history, symptoms and signs, initial therapy and outcomes