{"title":"Dyke-Davidoff-Masson syndrome: Adult female patient with refractory epilepsy and global cognitive decline","authors":"David Ríos, Carlos Cárdenas, Patricia Quintero","doi":"10.7705/biomedica.7356","DOIUrl":"10.7705/biomedica.7356","url":null,"abstract":"<p><p>The Dyke-Davidoff-Masson syndrome is characterized by the presence of cerebral hemiatrophy, craneal vault thickening, epileptic seizures, hemiparesis, and cognitive impairment. It is typically diagnosed in childhood and requires specific diagnostic tools for accurate assessment. This report describes the case of a 19-year-old woman who presented with epileptic seizures and regression in neurodevelopment. She was admitted to the emergency department due to high ictal frequency. During her hospitalization, imaging and electroencephalographic findings were consistent with Dyke-Davidoff-Masson syndrome. Additionally, neuropsychological tests revealed global cognitive impairment. After ten days of hospitalization and five days without epileptic seizures, the patient was discharged. Dyke-Davidoff-Masson syndrome is a rare and often unrecognized condition with high morbidity. Clinicians has the responsibility to identify the key characteristics of the syndrome and perform an adequate differential diagnosis.</p>","PeriodicalId":101322,"journal":{"name":"Biomedica : revista del Instituto Nacional de Salud","volume":"45 2","pages":"173-179"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12227181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María Victoria Benjumea, Cristian Santa, Alejandro Estrada
{"title":"Waist-height index curves of Colombian adults","authors":"María Victoria Benjumea, Cristian Santa, Alejandro Estrada","doi":"10.7705/biomedica.7647","DOIUrl":"https://doi.org/10.7705/biomedica.7647","url":null,"abstract":"<p><p>Introduction. Colombia presents a progressive increase in overweight and abdominal obesity in adults, with a higher impact on women.\u0000Objective. To design percentile curves of the waist-height index of Colombian adults by sex and age.\u0000Materials and methods. We did a secondary analysis of the data from the Encuesta Nacional de la Situación Nutricional 2015, which contained waist, weight, and height measurements of adults between 20 and 60 years of age. Generalized additive location, scale and shape additive models with box-cox power exponential transformation to construct the curves. An internal validation was performed to ensure the models fit the data.\u0000Results. We studied 23,759 multiethnic adults from Colombia, 49.8% of whom were women. The waist-height index curves of men were visualized with slight curvature, while those of women appeared flatter. The median waist-height index increased continuously in both sexes: up to 45 years in women (0.45 to 0.49) and up to 55 years in men (0.44 to 0.49). In men, a value of 0.50 was maintained after 55 years, but not in women, since it remained at 0.50 until 53 years and thereafter increased to 0.51.\u0000Conclusion. The curves fitted with the box-cox power exponential distribution explained the increasing behavior of the waist-height index by age and sex and the predictive capacity of the model. The total increase in the median of the waist-height index by age and sex was similar and incremental (women: 0.45-0.51; men: 0.44-0.50).</p>","PeriodicalId":101322,"journal":{"name":"Biomedica : revista del Instituto Nacional de Salud","volume":"45 2","pages":"228-243"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natalia Muñoz-Durango, Juan Pablo Hernández-Ortiz, Jorge E Osorio
{"title":"Vaccines, equity and sovereignty: Science for the world from Colombia","authors":"Natalia Muñoz-Durango, Juan Pablo Hernández-Ortiz, Jorge E Osorio","doi":"10.7705/biomedica.8030","DOIUrl":"10.7705/biomedica.8030","url":null,"abstract":"","PeriodicalId":101322,"journal":{"name":"Biomedica : revista del Instituto Nacional de Salud","volume":"45 2","pages":"169-172"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12225147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra Elizabeth Piñeros, Nathaly Garzón, Zulma Consuelo Urrego, Nikki Coghill, Daniel Samacá, Javier Hernando Eslava
{"title":"Impact of the armed conflict on victims and support workers' mental health in Soacha, Colombia.","authors":"Sandra Elizabeth Piñeros, Nathaly Garzón, Zulma Consuelo Urrego, Nikki Coghill, Daniel Samacá, Javier Hernando Eslava","doi":"10.7705/biomedica.7250","DOIUrl":"10.7705/biomedica.7250","url":null,"abstract":"<p><strong>Introduction: </strong>In the Colombian context, research on victims of armed conflict has demonstrated that exposure to violence impacts different aspects of their lives and represents a challenge for their support workers.</p><p><strong>Objective: </strong>To explore perceptions, beliefs, and knowledge about mental health and support sources among victims of forced migration -due to the internal armed conflict- and their support workers in Soacha, Colombia.</p><p><strong>Materials and methods: </strong>We conducted a qualitative exploratory study. Data were collected from December 2018 to March 2019 using separate focus groups of victims and workers. Thematic content analysis established five deductive categories: perceptions of mental health; the impact of forced displacement and its relationship with mental health; knowledge or perception of institutional support; community networks; and knowledge or perception of the state measures concerning care, assistance, and reparation. We also included some inductive categories that emerged from the analysis.</p><p><strong>Results: </strong>Victims demonstrated deteriorated mental health, expressed by emotional, cognitive, and behavioural disturbances. Many of these conducts were exacerbated by the traumatic stress of displacement and exposure to other forms of violence, in addition to social and material deprivation. Emotional avoidance and active search for self-improvement emerged as coping mechanisms used by the victims. Workers experienced high levels of stress assisting trauma victims, and they also needed support for their mental health.</p><p><strong>Conclusions: </strong>The findings showed complex and mainly negative impacts on mental health in both groups. Interventions should aim to address poor mental health and strengthen cultural identity and support networks for victims.</p>","PeriodicalId":101322,"journal":{"name":"Biomedica : revista del Instituto Nacional de Salud","volume":"45 1","pages":"133-150"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12200218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manuel Calvopina, Elías David Guaman-Charco, Jeremmy Erazo-Coello, Verónica Osorio-Pozo, Angelita Cabrera-Aguilar, Mariella Anselmi
{"title":"Chronic pulmonary paragonimiasis in an indigenous Kichwa child infected in the Ecuadorian Amazon","authors":"Manuel Calvopina, Elías David Guaman-Charco, Jeremmy Erazo-Coello, Verónica Osorio-Pozo, Angelita Cabrera-Aguilar, Mariella Anselmi","doi":"10.7705/biomedica.7469","DOIUrl":"10.7705/biomedica.7469","url":null,"abstract":"<p><p>Paragonimiasis is caused by the trematode Paragonimus spp. and is considered a foodborne trematodiasis; it is classified as a neglected tropical disease by the World Health Organization, primarily transmitted through the consumption of infected and undercooked freshwater crustaceans. In Ecuador, it predominantly affects tropical regions such as the Coast and the Amazon.\u0000We present the case of a ten-year-old Kichwa boy from a rural Amazonian community, diagnosed at the Hospital Pediátrico de Quito. The child presented persistent cough and rusty sputum for four years, with a history of eating crabs. Computed tomography indicated pulmonary parenchymal alterations. The diagnosis of pulmonary paragonimiasis was confirmed via microscopic identification of operculated Paragonimus spp. eggs in the sputum. Treatment with triclabendazole for two days resulted in subsequent negative sputum findings during follow-up examinations.\u0000We discuss the possibility of diagnosis in non-endemic regions and the lack of clinical suspicion and laboratory diagnosis in endemic areas. Furthermore, we highlight the shortage of the drugs of choice, triclabendazole, and praziquantel, in Ecuador.</p>","PeriodicalId":101322,"journal":{"name":"Biomedica : revista del Instituto Nacional de Salud","volume":"45 1","pages":"17-24"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana C Amaya-Arias, Fabián Jaimes, Jenny García-Valencia
{"title":"Teamwork and burnout among healthcare workers from a public hospital in Colombia","authors":"Ana C Amaya-Arias, Fabián Jaimes, Jenny García-Valencia","doi":"10.7705/biomedica.7240","DOIUrl":"10.7705/biomedica.7240","url":null,"abstract":"<p><p>Introduction. Previous reports have described a relationship between teamwork and burnout in health workers, involving variables associated with patients’ safety.\u0000Objective. To determine and describe the relationship between teamwork and burnout perceived by health workers from a tertiary-level hospital in Colombia.\u0000Materials and methods. We conducted a cross-sectional, observational, analytical study with a convenience sample of 510 participants. We applied the TeamSTEPPS Teamwork Perceptions Questionnaire and the Copenhagen Burnout Inventory to assess burnout. An additional survey was conducted to collect demographic and employment data. Data was collected digitally. Descriptive analyses were carried out to compare teamwork and burnout across units, by occupation, and according to the average number of hours worked per week. Finally, correlation matrices were calculated with the scores from both tests.\u0000Results. Teamwork levels were moderate to high, and 31.4% of workers reported moderate or high levels of burnout. No significant differences were found based on sex or work unit. Results from the TeamSTEPPS Teamwork Perceptions Questionnaire and the Copenhagen Burnout Inventory were correlated with a low and moderate strength of association, showing an inverse relationship between them.\u0000Conclusion. Teamwork and burnout may have an inverse relationship, where better teamwork results in a lower perception of burnout among healthcare workers. However, the results of this study should be interpreted with caution due to potential biases.</p>","PeriodicalId":101322,"journal":{"name":"Biomedica : revista del Instituto Nacional de Salud","volume":"45 1","pages":"64-79"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12239977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Migration and health in the nationalistic era","authors":"Julián Alfredo Fernández-Niño","doi":"10.7705/biomedica.7930","DOIUrl":"10.7705/biomedica.7930","url":null,"abstract":"","PeriodicalId":101322,"journal":{"name":"Biomedica : revista del Instituto Nacional de Salud","volume":"45 1","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Primaquine-induced methemoglobinemia in a child treated for malaria","authors":"Sara Puerta, Hardenson Rodríguez","doi":"10.7705/biomedica.7194","DOIUrl":"10.7705/biomedica.7194","url":null,"abstract":"<p><p>Methemoglobinemia results from an increased concentration of methemoglobin in the blood, impairing oxygen delivery to tissues. It is considered a rare condition that requires a high diagnostic suspicion.\u0000We report the case of a pediatric patient with malaria who presented with cyanosis and hypoxemia as manifestations of methemoglobinemia induced by primaquine treatment.\u0000The patient responded adequately after antimalarial drug suspension and ascorbic acid administration.</p>","PeriodicalId":101322,"journal":{"name":"Biomedica : revista del Instituto Nacional de Salud","volume":"45 1","pages":"9-16"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carlos Sermeño-Correa, Alexander Bedoya-Polo, Erwin Camacho, Eduar Bejarano-Martínez
{"title":"Sticky traps for Aedes aegypti surveillance and targeted vector control in Sincelejo, Colombia","authors":"Carlos Sermeño-Correa, Alexander Bedoya-Polo, Erwin Camacho, Eduar Bejarano-Martínez","doi":"10.7705/biomedica.7290","DOIUrl":"10.7705/biomedica.7290","url":null,"abstract":"<p><strong>Introduction: </strong>Entomological surveillance of adult Aedes aegypti mosquitoes provides better risk indicators than in immature stages.</p><p><strong>Objective: </strong>To determine the usefulness of MosquiTRAP™ traps for Ae. aegypti surveillance, targeted vector control, and the design of dengue prevention measures in Sincelejo, Colombia.</p><p><strong>Materials and methods: </strong>Forty-nine MosquiTRAP™ traps were deployed over six months to capture gravid Ae. aegypti females in two neighborhoods with historical reports of dengue cases. Entomological indices were calculated to monitor mosquito population dynamics, and the infection frequency of the captured mosquitoes with dengue, zika, and chikungunya virus were assessed. The rates of trap approval and adherence were evaluated, and risk maps were developed based on mosquito abundance. These maps facilitated the identification of specific areas for targeted vector control interventions.</p><p><strong>Results: </strong>A total of 1,475 mosquitoes were captured, of which 99.1% were identified as A. aegypti. The trap positivity index ranged from 85.7 to 42.9% per inspection, with a mean female Aedes index of two to three mosquitoes per house. Evidence of Ae. aegypti infestation was observed in both neighborhoods, although specific hotspots of high mosquito abundance were identified. No viral infection was detected in the captured mosquitoes.</p><p><strong>Conclusions: </strong>MosquiTRAP™ traps are useful for Ae. aegypti surveillance as a potential tool to guide vector control and prevention measures for diseases transmitted by this mosquito species.</p>","PeriodicalId":101322,"journal":{"name":"Biomedica : revista del Instituto Nacional de Salud","volume":"45 1","pages":"118-132"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Resilience and self-compassion affect selfhandicapping in Turkish undergraduate nursing students: A correlational study","authors":"Sinem Yalnızoğlu Çaka, Sümeyra Topal","doi":"10.7705/biomedica.7578","DOIUrl":"10.7705/biomedica.7578","url":null,"abstract":"<p><strong>Introduction: </strong>Psychological resilience and self-compassion are qualities that nurses should have when helping people with health problems.</p><p><strong>Objective: </strong>To determine the effect of resilience on self-handicapping and self-compassion in nursing students.</p><p><strong>Materials and methods: </strong>This research has a correlational design. The study sample included nursing students who met the inclusion criteria (n = 369). Data were collected using the Connor-Davidson Resilience Scale, Self-Handicapping Scale, and Self-Compassion Scale questionnaires.</p><p><strong>Results: </strong>The questionnaire scores of the nursing students were above the average, with 63.91 ± 14.54 for the Connor-Davidson Resilience Scale and 82.68 ± 11.32 for the Self-Handicapping Scale; their self-compassion level was high, with a mean of 13.92 ± 2.87 points on the Self-Compassion Scale. We found a significant negative correlation between the mean scores of the Connor-Davidson Resilience Scale (r = -0.409; p = 0.000) and the Self-Compassion Scale (r = -0.524; p = 0.000) with the Self-Handicapping Scale. We also obtained a positive and significant correlation between the mean scores of the Connor-Davidson Resilience Scale and the Self-Compassion Scale (r = 0.486; p = 0.000). According to the regression analysis, the effect of these two scales on the Self-Compassion Scale was 30.2%.</p><p><strong>Conclusions: </strong>Considering the study results, we can argue that as the students' resilience and self-compassion increase, their tendency to self-handicap decreases. For health professionals and patients' safety, it is very important to determine the levels of resilience, self-handicapping, and self-compassion because these factors may increase anxiety and stress in nursing students, affecting the proper care of patients during the work period.</p>","PeriodicalId":101322,"journal":{"name":"Biomedica : revista del Instituto Nacional de Salud","volume":"45 1","pages":"39-50"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12173476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}