Colombia Medica最新文献

Global Health in the Age of Trumpism. 特朗普时代的全球健康

IF 1.3 4区医学

Colombia Medica Pub Date : 2025-09-30 eCollection Date: 2025-07-01 DOI: 10.25100/cm.v56i3.7295

Julián A Fernández Niño

引用次数: 0

Correction: Adherence with hormonal therapy in women with breast cancer: a cross-sectional study in Medellin, Colombia. 更正：乳腺癌妇女坚持激素治疗：哥伦比亚麦德林的一项横断面研究。

IF 1.3 4区医学

Colombia Medica Pub Date : 2025-09-30 eCollection Date: 2025-07-01 DOI: 10.25100/cm.v56i3.7103

引用次数: 0

Osteometric analysis of the intertubercular sulcus of the humerus. 肱骨结节间沟的骨计量学分析。

IF 1.3 4区医学

Colombia Medica Pub Date : 2025-09-30 eCollection Date: 2025-07-01 DOI: 10.25100/cm.v56i3.6728

Dragana Radošević, Stefan Dimić, Nikola Vučinić, Dušica Marić, Radmila Perić

{"title":"Osteometric analysis of the intertubercular sulcus of the humerus.","authors":"Dragana Radošević, Stefan Dimić, Nikola Vučinić, Dušica Marić, Radmila Perić","doi":"10.25100/cm.v56i3.6728","DOIUrl":"https://doi.org/10.25100/cm.v56i3.6728","url":null,"abstract":"Background: The anatomical variations and deviations from the expected intertubercular sulcus morphometry are associated with the physiology of the long head of the biceps brachii tendon. These variations may affect tendon biomechanics, potentially impacting shoulder joint stability.Aim: to evaluate the osteometric features of the intertubercular sulcus, including its dimensions, angles, and bony protrusions, and to compare these variables according to side and sex.Methods: The descriptive, cross-sectional study included a sample of 85 humeri. Morphometric analysis involved measurements of the intertubercular sulcus width, depth, and length; distances between its walls and the lesser and greater tubercles; and calculations of angles. Measurements were obtained using ImageJ (version 150i). Additionally, a non-metric method was used to determine sex based on the shape and prominence of structures at the distal end of the humerus.Results: The distances between the head and the greater and lesser tubercles were statistically significantly greater on the right humeri. The length of the lateral lip of the sulcus was greater in males compared with female humeri (114.2 mm vs. 108.7 mm). The right side's opening angle was higher than on the left (78.7° vs. 74.4°). Bony spikes were observed on the greater tubercle in four humeri (4.7%), on the lesser tubercle in seven humeri (8.2%), and supratubercular ridges were identified in a total of 10 humeri (11.8%).Conclusions: The dimensions of the intertubercular sulcus were larger on the right humeri. Analysis of the angles of the intertubercular sulcus provides a more precise account of its morphology.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"56 3","pages":"e2016728"},"PeriodicalIF":1.3,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13082209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

First Urban Case of Rickettsia parkeri (Atlantic Rainforest Strain) Rickettsiosis in Mérida, Mexico. 墨西哥msamrida市首例白氏立克次体（大西洋雨林菌株）立克次体病病例。

IF 1.3 4区医学

Colombia Medica Pub Date : 2025-09-30 eCollection Date: 2025-07-01 DOI: 10.25100/cm.v56i3.5779

Gaspar Peniche-Lara, Karla Dzul-Rosado

{"title":"First Urban Case of Rickettsia parkeri (Atlantic Rainforest Strain) Rickettsiosis in Mérida, Mexico.","authors":"Gaspar Peniche-Lara, Karla Dzul-Rosado","doi":"10.25100/cm.v56i3.5779","DOIUrl":"10.25100/cm.v56i3.5779","url":null,"abstract":"Case description: The first human case in urban ambient of infection by Rickettsia parkeri Atlantic Rainforest strain in an 8-year-old male patient is presented.Clinical findings: The patient reporting a tick bite presented with fever (38 °C), myalgia, abdominal pain, arthralgia, and mild lymphadenopathy in the right axilla. A lesion was observed at the tick-bite site.Treatment and results: A biopsy sample was obtained from the tick bite area for diagnosis by PCR and sequencing of the DNA fragment, resulting in 100% homology towards Rickettsia parkeri Atlantic Rainforest strain reported in human cases in Brazil. Treatment consisted of 100 mg of doxycycline for 10 days, with symptoms ceasing 24 hours after the start of treatment.Clinical relevance: We report the first case of rickettsiosis by Rickettsia parkeri in an urban area in Mexico. Infection is considered mild to moderate, but it is unusual in urban environments. Medics should be concerned about the clinical manifestations associated with tick bites, particularly when lymphadenopathy is present.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"56 3","pages":"e5005779"},"PeriodicalIF":1.3,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12704596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Death anxiety and cyberchondria in patients with chronic obstructive pulmonary disease: a cross-sectional study. 慢性阻塞性肺疾病患者的死亡焦虑和网络疑病症：一项横断面研究

IF 1.3 4区医学

Colombia Medica Pub Date : 2025-09-30 eCollection Date: 2025-07-01 DOI: 10.25100/cm.v56i3.7027

Zeynep Erdogan, Ayşegul Tomruk Erdem

{"title":"Death anxiety and cyberchondria in patients with chronic obstructive pulmonary disease: a cross-sectional study.","authors":"Zeynep Erdogan, Ayşegul Tomruk Erdem","doi":"10.25100/cm.v56i3.7027","DOIUrl":"10.25100/cm.v56i3.7027","url":null,"abstract":"Introduction: It is suggested that chronic obstructive pulmonary disease (COPD) patients have high death anxiety and the majority of them tend to search for COPD-related information on the internet.Objective: Explore the association between death anxiety and cyberchondria in patients with COPD.Methods: This descriptive, cross-sectional study included 143 patients diagnosed with COPD aged 45 years or older, who had no sensory impairments affecting communication, were cognitively intact, and actively used the internet.Results: A multiple regression analysis examining the Cyberchondria Scale (CS-12) total score in relation to sociodemographic and clinical characteristics found that marital status, regular use of medications, having a COPD exacerbation in the last 6 months, and daily internet use time together explained 35.8% of the variance in the Cyberchondria Scale (CS) score (Adj R2= 0.358, p <0.001). Additionally, it was discovered that doing regular breathing exercises, being hospitalized in the last 6 months, searching for information about the COPD on the internet and use any medication other than those prescribed (such as analgesic, antipyretics, anti-emetics, etc.) by their doctor in the last year explained 37.3% of the variance in the Death Anxiety Score (Adj R2= 0.373, p <0.001).Conclusion: The findings indicate that patients with COPD exhibited moderate levels of cyberchondria and high levels of death anxiety, highlighting the relevance of psychological factors in this patient group.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"56 3","pages":"e2007027"},"PeriodicalIF":1.3,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cutaneous leishmaniasis: immunological insights and clinical challenges. 皮肤利什曼病：免疫学见解和临床挑战。

IF 1.3 4区医学

Colombia Medica Pub Date : 2025-09-15 eCollection Date: 2025-07-01 DOI: 10.25100/cm.v56i3.6750

Héctor Serrano-Coll, Lucero Katherine Aristizábal-Parra, Graciela Olarte, Carolina Salamanca-Leguizamón

{"title":"Cutaneous leishmaniasis: immunological insights and clinical challenges.","authors":"Héctor Serrano-Coll, Lucero Katherine Aristizábal-Parra, Graciela Olarte, Carolina Salamanca-Leguizamón","doi":"10.25100/cm.v56i3.6750","DOIUrl":"https://doi.org/10.25100/cm.v56i3.6750","url":null,"abstract":"Cutaneous leishmaniasis is a neglected tropical disease caused by Leishmania species and transmitted through the bite of infected female sandflies. It primarily affects the skin and mucous membranes, with a broad spectrum of clinical manifestations that depend mainly on the host's immune response. The immune balance between Th1, Th17, and Th2 pathways plays a pivotal role in disease progression and outcome. Hyperergic responses (Th1/Th17) are associated with localized and mucosal forms, while anergic responses (Th2/Treg) underline disseminated and diffuse cutaneous forms. Despite its global prevalence, particularly in tropical and subtropical regions, cutaneous leishmaniasis remains underdiagnosed and mismanaged due to a lack of awareness of its immunopathogenesis, clinical diversity, and diagnostic limitations. Treatment continues to rely primarily on pentavalent antimonial compounds, which have significant toxicity, underscoring the urgent need for safer and more effective therapeutic alternatives. This narrative review aims to examine the immune response, clinical manifestations, diagnostic methods, and medical management strategies for cutaneous leishmaniasis. Understanding the complex interplay between immune responses and clinical manifestations is essential for improving diagnosis and treatment.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"56 3","pages":"e3006750"},"PeriodicalIF":1.3,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12646367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Social Pediatrics Unit: Interdisciplinary and intersectoral care model for patients who are victims of child abuse. 社会儿科科：儿童虐待受害者的跨学科和跨部门护理模式。

IF 1.3 4区医学

Colombia Medica Pub Date : 2025-06-30 eCollection Date: 2025-04-01 DOI: 10.25100/cm.v56i2.6756

Angela García Cifuentes

{"title":"Social Pediatrics Unit: Interdisciplinary and intersectoral care model for patients who are victims of child abuse.","authors":"Angela García Cifuentes","doi":"10.25100/cm.v56i2.6756","DOIUrl":"10.25100/cm.v56i2.6756","url":null,"abstract":"Background: Children and adolescents (CHI) who experience child abuse face serious consequences for their physical, mental, and social development (perpetuation of violence, poverty, and inequality). The WHO recognizes this as a public health problem, highlighting the need to heal complex trauma and ensure its non-repetition. Although an intersectoral pathway in Colombia exists involving health, protection, and justice, the lack of specialized centers leads to revictimization, reprocessing, and failures in comprehensive care. Additionally, the Ministry of Health guidelines do not include outpatient protocols for trauma healing.Methods: In response, the Universidad del Valle and the Hospital Universitario del Valle Evaristo García (HUV) at Cali, Colombia developed an innovative program based on the ecological model of health, the WHO INSPIRE strategy, and the Convention on the Rights of the Child.Results: The Social Pediatrics Unit offers person-centered interprofessional care, integrating clinical actions and actions from the justice and protection sectors, preventing revictimization, improving processes, and ensuring trauma healing. The narrative describes the challenges to program sustainability, lessons learned from the model's implementation, and intersectoral work.Conclusions: After providing care to 3,602 children and adolescents, 1,454 of whom suffered child abuse, it can be concluded that these programs are essential for breaking cycles of violence, demonstrating that comprehensive, person-centered, and evidence-based care can mitigate the impact of child abuse on the individual and the region.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"56 2","pages":"e4006756"},"PeriodicalIF":1.3,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12577731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Colombia Medica: A decade of transformation and growth. 哥伦比亚医药：转型与成长的十年。

IF 1.3 4区医学

Colombia Medica Pub Date : 2025-06-30 eCollection Date: 2025-04-01 DOI: 10.25100/cm.v56i2.7003

Luis Eduardo Bravo, Rodrigo Guerrero, Yezid Solarte, Lorena Matta, Lena Barrera, Enrique Herrera, Carlos Andrés Fandiño

引用次数: 0

Description of Hospital Youth Violence Prevention Program in a level 1 Latin American trauma hospital: beyond physical trauma care. 拉丁美洲一级创伤医院的医院青少年暴力预防计划描述：超越物理创伤护理。

IF 1.3 4区医学

Colombia Medica Pub Date : 2025-06-30 eCollection Date: 2025-04-01 DOI: 10.25100/cm.v56i2.6997

Adolfo González-Hadad, Marisol Badiel, Jaime Arley González Arias, Mario Alain Herrera

{"title":"Description of Hospital Youth Violence Prevention Program in a level 1 Latin American trauma hospital: beyond physical trauma care.","authors":"Adolfo González-Hadad, Marisol Badiel, Jaime Arley González Arias, Mario Alain Herrera","doi":"10.25100/cm.v56i2.6997","DOIUrl":"10.25100/cm.v56i2.6997","url":null,"abstract":"Background: Youth hospitalized for violence-related injuries remain at high risk of rehospitalization and death from subsequent violent events. This study describes the results of the first hospital-based intervention program (HVIP) for the prevention of youth violence in Colombia.Methods: Data were obtained from the prospective registry of the Transforming the Circle of Violence (TCV) Program at a high-complexity university hospital. The registry includes young people who survived trauma-related injuries and were admitted to the Hospital-based Violence Intervention Program (HVIP) during hospitalization. Data were collected between May 1, 2018 and June 30, 2023, and included demographic and outcome variables. The program is attended by a multidisciplinary team of psychological, emotional and spiritual support, and once they leave the hospital, the support continues, including school support and personal development.Results: In a period of 5 years, 290 young people between 13 and 29 years old, average age 20 years, 93% of them male, 75% had low schooling and 89% with dysfunctional families entered the TCV-HUV Registry. The reentry rate dropped from 40% to 10%, death rates from 20% to 3% and recidivism in delinquent activities dropped from 50% before the program to 10% for the years 2019 and 2023 respectively.Conclusion: The HVIP implemented at HUV in Cali, Colombia, appears to reduce the risk of readmission and death from new violence-related injuries, and to decrease recidivism in violent or criminal activities among young people hospitalized for interpersonal violence. LEVEL OF EVIDENCE: II - III.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"56 2","pages":"e2026997"},"PeriodicalIF":1.3,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12599536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From reader to editor: A journey with Colombia Medica. 从读者到编辑：哥伦比亚医药之旅。

IF 1.3 4区医学

Colombia Medica Pub Date : 2025-06-30 eCollection Date: 2025-04-01 DOI: 10.25100/cm.v56i2.7070

Mauricio Palacios Gómez

引用次数: 0