Falta de implementacion de actividades de promocion, prevencion y control de la hipertension arterial en diferentes localidades de colombia: ipiales, chinchina, florencia, pasto, santander de quilichao

En este trabajo nos propusimos realizar un estudio sobre la ausencia de actividades tendientes a la promoción, prevención y control de una enfermedad crónica, asintomática y de fácil detección, como lo es la Hipertensión Arterial, pero que puede convertirse en grave y mortal si no es tratada a tiempo o, como sucede con la mayoría de las personas encuestadas en la presente investigación, si no se sigue la prescripción médica. Encuestamos a 100 personas de ambos sexos (51 mujeres y 49 hombres) en Ipiales, Chinchiná, Florencia, Pasto y Santander de Quilichao (20 por cada ciudad), con edades que oscilan entre los 20 y los 90 años. Nuestro trabajo empieza haciendo un recorrido histórico de la enfermedad, sus fundamentos teóricos y los antecedentes del tema. Sigue con el recuento de las estrategias metodológicas utilizadas para la recopilación de la información, luego el análisis de los datos y la interpretación de los resultados que nos condujeron a las conclusiones y recomendaciones finales. La principal conclusión a la que llegamos es que la falta de adherencia terapéutica es la causa más importante por la cual se dificulta alcanzar la prevención de la hipertensión arterial y que lo más pertinente es que el personal de salud busque concientizar a la comunidad, por medio de conferencias, charlas o volantes, sobre los daños irreversibles producidos por esta enfermedad. Nuestro estudio termina relacionando los planes territoriales de salud de las ciudades seleccionadas para llevar a cabo la investigación y la encuesta empleada para la recolección de los datos.In this work, we undertook a study on the lack of activities for the promotion, prevention and control of chronic disease, asymptomatic and easy detection, such as arterial hypertension, but it can become severe and fatal if not treated in time or, as with the majority of respondents in this investigation, if it does not follow the prescription. We surveyed 100 people of both sexes (51 women and 49 men) in Ipiales, Chinchiná, Florencia, Pasto and Santander de Quilichao (20 from each city), aged between 20 and 90 years. Our work begins by a historical overview of the disease, its theoretical and background of the subject. Keep the count of the approaches used for the collection of information, then the data analysis and interpretation of the results that led us to the conclusions and recommendations. The main conclusion we draw is that the lack of adherence is the most important which is difficult to achieve the prevention of hypertension and that the most relevant is that health personnel look sensitize the community through conferences, lectures or flyers, on the irreversible damage caused by this disease. Our study ends linking territorial health plans of the cities selected to carry out the research and the survey used to collect data

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries