Colombia Medica最新文献_第10页

Frecuencia de linfocitosis monoclonal de células B en familiares de pacientes con leucemia linfoide crónica

IF 1.1 4区医学

Colombia Medica Pub Date : 2016-06-08 DOI: 10.25100/CM.V47I2.1879

Rossana Villegas Gracia, Catalina Franco Alzate, Javier Rendón Henao, José Domingo Torres Hernández, P. Arbelaez

引用次数: 1

Evocación al Dr. Carlos J. Finlay Barrés en el centenario de su fallecimiento 卡洛斯·j·芬利博士逝世一百周年纪念barres

IF 1.1 4区医学

Colombia Medica Pub Date : 2016-02-19 DOI: 10.25100/CM.V47I1.2019

V. Moreno

引用次数: 2

Las visitas de equipos de cuidados paliativos: Estudio cualitativo mediante observación participante 姑息治疗团队访问:参与观察的定性研究

IF 1.1 4区医学

Colombia Medica Pub Date : 2016-02-19 DOI: 10.25100/CM.V47I1.2022

María del Mar Alfaya Góngora, Mª José Bueno Pernias, C. H. Montoro, P. G. Mancilla, R. Juárez, M. P. G. Caro

引用次数: 1

Self-reported vaccination in the elderly: SABE study Bogotá, Colombia 老年人自我报告的疫苗接种:哥伦比亚波哥大<e:1>的SABE研究

IF 1.1 4区医学

Colombia Medica Pub Date : 2016-02-19 DOI: 10.25100/CM.V47I1.2107

C. Cano, C. Reyes-Ortiz, Miguel Germán Borda, Antonio J. Arciniegas

{"title":"Self-reported vaccination in the elderly: SABE study Bogotá, Colombia","authors":"C. Cano, C. Reyes-Ortiz, Miguel Germán Borda, Antonio J. Arciniegas","doi":"10.25100/CM.V47I1.2107","DOIUrl":"https://doi.org/10.25100/CM.V47I1.2107","url":null,"abstract":"Objetivos: determinar la frecuencia de vacunacion en la poblacion adulta mayor de la ciudad de Bogota, y estimar la asociacion con factores sociodemograficos y de salud.Metodos: Este es un analisis secundario de datos del estudio SABE-Bogota, un estudio poblacional transversal que incluyo un total de 2,000 personas mayores de 60 anos. Se obtuvieron porcentajes ponderados del auto-reporte de vacunacion (influenza, neumococo, tetano). La asociacion entre la vacunacion y otras variables se evaluo mediante modelos de regresion logistica.Resultados: el 73.0% se vacuno contra la Influenza, 57.8% contra el Neumococo y el 47.6% recibio la antitetanica. Los factores que estaba independientemente asociados con la vacunacion incluyen: 1-edad (65-74 tenian probabilidad aumentada comparada con 60-64 anos); 2- nivel socioeconomico (NSE) (mayor NSE tenian menos probabilidades de tener vacunas contra la influenza y neumococo, en comparacion con aquellos con menor SES); 3- seguro de salud (con seguro contributivo o subsidiado tenian probabilidades mas altas, (entre 3 y 5 veces mayor) de tener vacunacion contra la influenza, neumococo y tetanos, en comparacion con aquellos que no tienen seguro); 4- aquellos con estado funcional mejor (puntaje mayor Lawton) tenian probabilidades mayores para todas las vacunas; 5- aquellos con morbilidad aumentada tenian probabilidades mayores para tener vacunas de influenza y neumococo.Conclusion: Las campanas de vacunacion se deben fortalecer para incrementan la cobertura, especialmente en el grupo mas reacio a la vacunacion o vulnerable para alcanzarla tales como los adultos mayores con discapacidad.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"121 1","pages":"25-30"},"PeriodicalIF":1.1,"publicationDate":"2016-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79596076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Tratamiento de la enfermedad linfoproliferativa post-trasplante renal con Rituximab y conversión a inhibidor m-TOR. 用利妥昔单抗治疗肾移植后淋巴增生性疾病并转化为m-TOR抑制剂。

IF 1.1 4区医学

Colombia Medica Pub Date : 2016-01-01 DOI: 10.25100/cm.v47i4.1989

J. F. Nieto-Ríos, SM Gómez de los Ríos, L. M. Serna-Higuita, Catalina Ocampo-Kohn, Arbey Aristizábal-Alzate, K. Gálvez-Cárdenas, G. Zuluaga-Valencia

引用次数: 0

Therapeutic efficacy of alternative primaquine regimens to standard treatment in preventing relapses by Plasmodium vivax: A systematic review and meta-analysis. 替代伯氨喹方案替代标准治疗预防间日疟原虫复发的疗效：一项系统评价和荟萃分析。

IF 0.7 4区医学

Colombia Medica Pub Date : 2015-12-30

Lina Marcela Zuluaga-Idarraga, María-Eulalia Tamayo Perez, Daniel Camilo Aguirre-Acevedo

{"title":"Therapeutic efficacy of alternative primaquine regimens to standard treatment in preventing relapses by Plasmodium vivax: A systematic review and meta-analysis.","authors":"Lina Marcela Zuluaga-Idarraga, María-Eulalia Tamayo Perez, Daniel Camilo Aguirre-Acevedo","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To compare efficacy and safety of primaquine regimens currently used to prevent relapses by P. vivax.Methods: A systematic review was carried out to identify clinical trials evaluating efficacy and safety to prevent malaria recurrences by P. vivax of primaquine regimen 0.5 mg/kg/ day for 7 or 14 days compared to standard regimen of 0.25 mg/kg/day for 14 days. Efficacy of primaquine according to cumulative incidence of recurrences after 28 days was determined. The overall relative risk with fixed-effects meta-analysis was estimated.Results: For the regimen 0.5 mg/kg/day/7 days were identified 7 studies, which showed an incidence of recurrence between 0% and 20% with follow-up 60-210 days; only 4 studies comparing with the standard regimen 0.25 mg/kg/day/14 days and no difference in recurrences between both regimens (RR= 0.977, 95% CI= 0.670 to 1.423) were found. 3 clinical trials using regimen 0.5 mg/kg/day/14 days with an incidence of recurrences between 1.8% and 18.0% during 330-365 days were identified; only one study comparing with the standard regimen (RR= 0.846, 95% CI= 0.484 to 1.477). High risk of bias and differences in handling of included studies were found.Conclusion: Available evidence is insufficient to determine whether currently PQ regimens used as alternative rather than standard treatment have better efficacy and safety in preventing relapse of P. vivax. Clinical trials are required to guide changes in treatment regimen of malaria vivax.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"46 4","pages":"183-91"},"PeriodicalIF":0.7,"publicationDate":"2015-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4732508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144612388","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

A systematic review of observational studies on oxidative/nitrosative stress involvement in dengue pathogenesis. 氧化/亚硝化应激参与登革热发病机制的观察性研究的系统综述。

IF 0.7 4区医学

Colombia Medica Pub Date : 2015-09-30

Raimundo Castro, Hernando Samuel Pinzón, Nelson Alvis-Guzman

{"title":"A systematic review of observational studies on oxidative/nitrosative stress involvement in dengue pathogenesis.","authors":"Raimundo Castro, Hernando Samuel Pinzón, Nelson Alvis-Guzman","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Our objective was to systematically review the published observational research related to the role of oxidative-nitrosative stress in pathogenesis of dengue.Methods: We searched electronic databases (PubMed, EMBASE, The COCHRANE library, ScienceDirect, Scopus, SciELO, LILACS via Virtual Health Library, Google Scholar) using the term: dengue, dengue virus, severe dengue, oxidative stress, nitrosative stress, antioxidants, oxidants, free radicals, oxidized lipid products, lipid peroxides, nitric oxide, and nitric oxide synthase. Articles were selected for review by title and abstract excluding letter, review, in vivo and in vitro studies, and duplicates studies. Selected articles were reviewed for study design, original purposes, sample size, main outcomes, methods, and oxidative-nitrosative stress markers values.Results: In total, 4,331 non-duplicates articles were identified from electronic databases searches, of which 16 were eligible for full text searching. Data from the observational studies originate from Asian countries (50%; 8/16), South American countries (31.2%; 5/16), and Central America and the Caribbean countries (18.8%; 3/16). Case-control study was the type of design most common in researches reviewed. The 1997 World Health Organization (WHO) dengue case classification criteria were used in all studies included in this review.Conclusions: Based on published data found in peer-reviewed literature, oxidative and nitrosative stress are demonstrated by changes in plasma levels of nitric oxide, antioxidants, lipid peroxidation and protein oxidation markers in patients with dengue infection. Additionally, elevated serum protein carbonyls and malondialdehyde levels appear to be associated with dengue disease severity.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"46 3","pages":"135-43"},"PeriodicalIF":0.7,"publicationDate":"2015-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4640436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144612386","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

Atención primaria: una inversión necesaria, vigente y rentable 初级保健:一项必要的、当前的和有利可图的投资

IF 1.1 4区医学

Colombia Medica Pub Date : 2015-09-30 DOI: 10.25100/CM.V46I3.2135

Sandra Lorena Girón

{"title":"Atención primaria: una inversión necesaria, vigente y rentable","authors":"Sandra Lorena Girón","doi":"10.25100/CM.V46I3.2135","DOIUrl":"https://doi.org/10.25100/CM.V46I3.2135","url":null,"abstract":"Por tradicion la atencion primaria en salud se ha enfocado en educacion y en campanas de salud, como una parte de la estrategia para abordar las enfermedades de interes en salud publica1. Como muchos de estos problemas aun permanecen en la agenda de salud publica, es apremiante revisar el concepto de la atencion primaria en salud. En el pasado el control de las enfermedades inmunoprevenibles fue su mayor exito2, 3. Para el futuro es necesario considerar la atencion primaria en salud como una estrategia de alto impacto y dejarla de ver como una serie de actividades de bajo costo, circunscrita a los servicios brindados por promotores y voluntarios, con tecnologias de baja complejidad para atender a la poblacion pobre. El Sistema de Salud requiere una atencion primaria en salud lider, digna de verse como una inversion con rentabilidad social, entendida como la superacion de los beneficios en relacion con los costos generados4-6. De esta manera, la atencion primaria en salud podria ser la estrategia que logre integrar los intereses privados y sociales, al lograr que las ganancias de la prevencion contribuyan a la sostenibilidad economica y al mejoramiento de las condiciones de salud de la poblacion en general. Estos deben ser intereses comunes a las instituciones prestadoras de servicios y al sistema de salud.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"77 1","pages":"88-89"},"PeriodicalIF":1.1,"publicationDate":"2015-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87641733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The incorporation of system health care in the Western 西方医疗保健制度的整合

IF 1.1 4区医学

Colombia Medica Pub Date : 2015-09-30 DOI: 10.25100/CM.V46I3.1769

F. Pineda

引用次数: 2

Sodium bicarbonate versus isotonic saline solution to prevent contrast-induced nephropathy : a systematic review and meta-analysis. 碳酸氢钠与等渗盐水预防造影剂肾病：一项系统综述和荟萃分析。

IF 0.7 4区医学

Colombia Medica Pub Date : 2015-09-30

Carlos Andres Zapata-Chica, Diana Bello Marquez, Lina Maria Serna-Higuita, John Fredy Nieto-Ríos, Fabian David Casas-Arroyave, Jorge Hernando Donado-Gómez

{"title":"Sodium bicarbonate versus isotonic saline solution to prevent contrast-induced nephropathy : a systematic review and meta-analysis.","authors":"Carlos Andres Zapata-Chica, Diana Bello Marquez, Lina Maria Serna-Higuita, John Fredy Nieto-Ríos, Fabian David Casas-Arroyave, Jorge Hernando Donado-Gómez","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Contrast-induced nephropathy is one of the main causes of acute kidney injury and increased hospital-acquired morbidity and mortality. The use of sodium bicarbonate for nephroprotection has emerged as a preventative strategy; however, its efficacy is controversial compared to other strategies, such as hydration using 0.9% saline solution.Objective: To compare the effectiveness of sodium bicarbonate vs. hydration using 0.9% saline solution to prevent contrast-induced acute kidney injury.Methods: A systematic review of studies registered in the COCHRANE, PUBMED, MEDLINE, LILACS, SCIELO and EMBASE databases was conducted. Randomized controlled studies that evaluated the use of 0.9% saline solution vs. sodium bicarbonate to prevent contrast-induced nephropathy were included.Results: A total of 22 studies (5,686 patients) were included. Sodium bicarbonate did not decrease the risk of contrast-induced nephropathy (RD= 0.00; 95% CI= -0.02 to 0.03; p= 0.83; I(2)= 0%). No significant differences were found in the demand for renal replacement therapy (RD= 0.00; 95% CI= -0.01 to 0-01; I(2)= 0%; p= 0.99) or in mortality (RD= -0.00; 95% CI= -0.001 to 0.001; I(2)= 0%; p= 0.51).Conclusions: Sodium bicarbonate administration is not superior to the use of 0.9% saline solution for preventing contrast-induced nephropathy in patients with risk factors, nor is it better at reducing mortality or the need for renal replacement therapy.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"46 3","pages":"90-103"},"PeriodicalIF":0.7,"publicationDate":"2015-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4640430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144612387","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