Colombia Medica最新文献

{"title":"Proprioceptive neuromuscular facilitation (PNF) and its impact on vascular function","authors":"Celia Escobar-Hurtado, R. Ramírez‐Vélez","doi":"10.25100/CM.V42I3.885","DOIUrl":"https://doi.org/10.25100/CM.V42I3.885","url":null,"abstract":"Recent studies of intervention in sedentary subjects, or those with neurological lesions, suggest that increased motor activity (exercise/physical activity), performed at moderate intensities and habitually, could have beneficial effects on the vascular function. However, the physiological effects of interventions conducted with facilitating techniques of the motor activity, such as Kabat's proprioceptive neuromuscular facilitation techniques (PNF) on vascular function are unknown, even though such physiological effects are proposed in said postulates. This report presents the usefulness of  PNF on vascular function in three healthy volunteers. The patterns of Kabat's PNF increase, just like the models or contractile isotonic activity proposed in this test, the tension of vascular friction, which relates to better vascular function.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"54 1","pages":"373-378"},"PeriodicalIF":1.1,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87010479","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}

{"title":"Articulación de sistemas de vigilancia en salud pública a la evaluación de efectividad de programas","authors":"L. D. Salazar","doi":"10.25100/CM.V42I3.881","DOIUrl":"https://doi.org/10.25100/CM.V42I3.881","url":null,"abstract":"Objetivo: Se presenta la teoria, metodos y resultados de la evaluacion de efectividad de una intervencion para prevenir y controlar enfermedades cronicas no transmisibles (ECNT), aplicando un modelo de evaluacion de efectividad de intervenciones basado en resultados de sistemas de vigilancia de factores de riesgo (FR), asociados con ECNT. La intervencion evaluada corresponde a una estrategia poblacional para promocionar actividad fisica en la ciudad de Cali, Colombia. La evaluacion utilizo los resultados del Sistema de Vigilancia de Factores de Riesgo Asociados con ECNT (SIFREC), desarrollado en Cali, asi como otras fuentes de informacion cuantitativas y cualitativas. Metodos: El modelo de evaluacion aplicado valoro la efectividad de las intervenciones con base en dos indicadores de resultados: cambios en prevalencias de FR asociados con ECNT y creacion de capacidad institucional para abordar los problemas identificados. Se valoro la significancia estadistica de los cambios observados en las prevalencias de FR, al igual que la calidad y el desempeno, tanto del diseno como de la implementacion de la intervencion. Tambien considero la utilidad de la informacion para planificar intervenciones y motivar la accion intersectorial alrededor de las ECNT. Otras variables centrales del modelo aplicado incluyen la adherencia al protocolo, la fundamentacion de los cambios encontrados, variables de contexto que influyeron tanto los resultados como la implementacion de la intervencion y la suficiencia del tiempo para visualizar los cambios esperados. Resultados: El Modelo de Evaluacion de Efectividad desarrollado permitira que se superen limitaciones tecnicas y vacios metodologicos para obtener evidencia de efectividad de las intervenciones. Se incrementara el uso de los resultados de los sistemas de vigilancia de ECNT y se hara viable y sostenible la evaluacion de efectividad de intervenciones en salud publica. Conclusion: El modelo de evaluacion basado en resultados de vigilancia es una alternativa para convertir la vigilancia en una estrategia de salud publica, rebasando su concepcion instrumental tradicional y convirtiendose en insumo critico para la formulacion de politicas publicas.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"23 1","pages":"342-351"},"PeriodicalIF":1.1,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90757724","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}

{"title":"Evaluation of the treatment of II and III degree hemorrhoids: A comparison of mucosa suspension procedure for prolapse and hemorrhoids, Shenyang city, China, 2006-2009","authors":"D. Song, X. Dai, Chun sheng Chen","doi":"10.25100/CM.V42I2.774","DOIUrl":"https://doi.org/10.25100/CM.V42I2.774","url":null,"abstract":"SUMMARY Objective: The aim of this study was to evaluate the effect of mucosa suspension procedure (MSP) by comparing procedure for prolapse and hemorrhoids (PPH). Methods: We compared the safety, clinical outcome, and cost between PPH and MSP for the surgical treatment of hemorrhoidal disease. A total of 80 patients with II and III degree hemorrhoids were included in the study. MSP group (n=40) and PPH group (n=40) were applied at random. Results: Both MSP and PPH are safe surgical treatments for patients with II and III degree hemorrhoids. Complications of the patients, such as persistent pain and tenesmus in the MSP group were less than the PPH group. Moreover, MSP had lower costs. Conclusion: MSP is a safe, effective, and inexpensive procedure for patients with hemorrhoidal disease. We consider that this technique should be widely used.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"9 1","pages":"219-223"},"PeriodicalIF":1.1,"publicationDate":"2011-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77371923","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}

{"title":"Iatrogenic bladder injury: A single institution´s ten-year experience in treatment and outcome 1999-2009, Kuala Lumpur, Malaysia","authors":"Chee Kong Christopher Ho, H. Alexander, P. Singam, L. B. Cheok, Z. Zainuddin","doi":"10.25100/CM.V42I2.773","DOIUrl":"https://doi.org/10.25100/CM.V42I2.773","url":null,"abstract":"SUMMARY Introduction: This case series is a retrospective review of iatrogenic bladder injuries treated at our institution Universiti Kebangsaan Malaysia, Medical Centre, over a ten-year period, from 1999 to 2009. Materials and methods: A retrospective review of the operating theater database yielded the names and registration numbers of patients who underwent operative repair of bladder injuries. Patients who sustained bladder injuries due to non- surgical reasons (such as traumatic bladder injuries due to pelvic fractures, blunt trauma or penetrating injuries to the pelvis) were excluded. Results: There were 12 cases of iatrogenic bladder injury treated during this time. A total of eight injuries occurred during gynaecological surgery. Five injuries occurred during lower segment caesarean section, two injuries during total abdominal hysterectomy and bilateral salpingo-oopherectomy, and a single injury during Burch colposuspension. Four out of the five injuries during caesarian section had a history of previous caesarian section. Of the four remaining non-gynaecological related injuries, two injuries occurred during hernioplasty, one during exploration of an enterocutaneous fistula and the other was during laparoscopic appendicectomy. Conclusion: Iatrogenic bladder injury should be anticipated in patients undergoing caesarean section who have had multiple previous caesarean sections. Iatrogenic injuries should be identified intra-operatively to enable early repair and the best outcome. These injuries were adequately assessed by ascending cystography. Continuous repair with absorbable sutures together with perivesicle drainage and bladder catheterization produces good outcome.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"13 1","pages":"215-218"},"PeriodicalIF":1.1,"publicationDate":"2011-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73621477","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}

{"title":"HPV infection and carcinogenesis in the upper aero-digestive tract","authors":"Andres Castillo","doi":"10.25100/CM.V42I2.777","DOIUrl":"https://doi.org/10.25100/CM.V42I2.777","url":null,"abstract":"Recently, molecular and epidemiological studies have shown an etiologic role for human papillomavirus (HPV) in a subset of upper aero-digestive tract (UADT) cancers in women and men. Oral HPV infections acquired through oral sex seems to be the main risk factor for HPV-associated oral cancers. The high-risk type HPV-16 was the most prevalent infection HPV-positive in most oral cancers. Therefore, the prophylactic vaccine against HPV-16 could prevent HPV associated oral cancer if the vaccine were demonstrated to be capable of preventing oral HPV-16 infection. Thus, these findings have created new potential opportunities for the primary prevention of oral cancers.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"113 1","pages":"233-242"},"PeriodicalIF":1.1,"publicationDate":"2011-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77007013","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}

{"title":"Report of a patient with acne conglobata and perifolliculitis capitis abscedens et suffodiens","authors":"M. Cárdenas, F. López, L. H. Moreno","doi":"10.25100/CM.V42I2.775","DOIUrl":"https://doi.org/10.25100/CM.V42I2.775","url":null,"abstract":"Perifoliculitis capitis abscedens et suffodiens, foliculitis disecante, celulitis disecante o enfermedad de Hoffman, es una condicion inflamatoria rara, cronica, que afecta el escalpo de hombres jovenes sobre todo de raza negra, caracterizada por aparicion de nodulos y abscesos que drenan material purulento con formacion de fistulas y trayectos, conduciendo finalmente a alopecia cicatrizal. En la actualidad se entiende esta entidad como un trastorno primario de la queratinizacion folicular, haciendo parte de la triada de oclusion folicular, consistente en la presencia de 3 o 4 de las siguientes entidades: acne conglobata, perifoliculitis capitis abscedens et suffodiens, hidradenitis supurativa y quiste pilonidal. La tercera parte de los casos se asocia con acne conglobata como evento primario. Su manejo, frustrante durante muchos anos, tiene nuevas esperanzas con el uso exitoso de isotretinoina y combinacion de farmacos que intervienen cada uno de sus principios fisiopatologicos.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"75 1","pages":"224-227"},"PeriodicalIF":1.1,"publicationDate":"2011-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87084954","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}

{"title":"Epidemiology of prelingual sensorineural hearing impairment at a children's center in Bogotá, Colombia between 1997 and 2008","authors":"C. Talero-Gutiérrez, L. Romero, Irma Carvajalino, Milcíades Ibáñez","doi":"10.25100/CM.V42I2.771","DOIUrl":"https://doi.org/10.25100/CM.V42I2.771","url":null,"abstract":"Introduction: Hearing loss is a frequent problem in childhood with an incidence of about one case per 1000 births. Control of deafness should be aimed at prevention and early diagnosis in efforts to provide appropriate treatment and stimulate adequate communication in children affected. The objective of this study was to determine the prevalence of different etiologies among deaf children with a diagnosis of prelingual sensorineural hearing loss referred to the Fundacion CINDA in Bogota, Colombia, between 1997 and 2008. Materials and methods: The medical records were selected from those with prelingual hearing loss. Information was gathered in a format containing variables related to the risk factors suggested by the Joint Committee of Infant Hearing. Results: We studied 254 children; boys and girls were equally distributed. The most common etiological diagnosis was «unknown cause», followed by genetic causes (31 cases), and 38 cases from TORCH infections (toxoplasmosis, others – syphilis, rubella, cytomegalovirus, herpes), with rubella as the most common cause. Conclusions: Review of prenatal, perinatal, and postnatal history often reveals the cause of the deafness in children; therefore, appropriate evaluation of pregnant mothers could result in decreased frequency of deafness in children in our country.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"28 1","pages":"199-206"},"PeriodicalIF":1.1,"publicationDate":"2011-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73045305","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}

{"title":"Factors associated with stunted growth in children below 11 years of age in Antioquia, Colombia, 2004","authors":"Bibiana Castro, E. González, Marta Cecilia Álvarez, A. Segura","doi":"10.25100/CM.V42I2.772","DOIUrl":"https://doi.org/10.25100/CM.V42I2.772","url":null,"abstract":"Objective: To explore some factors associated to stunted growth in children below 11 years of age in the Department of Antioquia. Methodology: Cross-sectional study using the databases of alimentary and nutritional profiles in homes of Antioquia in 2004, based on a representative random sample of homes in the department (95% reliability and error margin of 3%). For this study, 100% of the records of children below 11 years of age were used. A model of generalized equations estimation was constructed for stunted growth classified by a Z score smaller than -2 standard deviation with respect to p 50 of the 1978 NCHS (Centro Nacional de Estadisticas de la Salud -  National Center for Health Statistics). Data were analyzed using the GLIMMIX Procedure: SAS version 9.1. Results: We found 18.6% of the children with stunted growth, 75% of the homes with male head of household, 70% of heads of household with maximum 5 years of schooling; 47% of homes were nucleated bi-parental, and 40% extensive with a 5-member median per home; 56.4% poor per unsatisfied basic needs, and 80% in alimentary insecurity. The factors associated to stunted growth were: female gender, 1-5 years of age, head of household with less than 6 years of schooling, more than 5 people in the home, more than two household members under 7 years of age, coming from a poor home per unsatisfied basic needs, belonging to a sub-region different from Medellin, food availability of less than 30 different foods per week, no production of food, and head of household under 40 years of age. Conclusions: Herein, we show evidence of the magnitude of poverty and association of precarious socioeconomic conditions with stunted growth in Antioquia. The study shows the importance of considerin","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"13 1","pages":"207-214"},"PeriodicalIF":1.1,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84210024","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}

{"title":"Lifestyle and cancer prevention in female employees at a health institution","authors":"G. Canaval, M. Sánchez","doi":"10.25100/CM.V42I2.768","DOIUrl":"https://doi.org/10.25100/CM.V42I2.768","url":null,"abstract":"Objective: To establish the relationship between lifestyle for prevention of cervix and breast cancer and perceptual cognitive factors from the Pender model in working women. Materials and methods: Correlation and cross-sectional study with a random sample of 143 working women. The Lifestyle index is the total score of 5 variables: Papanicolau test, breast self-exam, physical activity, body mass index, and cigarette smoking. Results: The mean age for the sample was 44.4 + 6.2; 87% of the women had higher education and 85% were working in health care services. A total of 89% of the women had unhealthy lifestyles because of the lack of regular physical activity, not having a Papanicolau test according to the norm, not practicing breast self-exams, and having an altered body mass index. There was significant correlation between lifestyle and occupation, and also with self-efficacy perception for breast self-examination. Conclusion: The lifestyles for most of the women sampled were unhealthy. Recommendations: It is also recommend conducting culturally sensitive healthcare campaigns in addition to setting up flexible attention schedules for women.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"10 1","pages":"177-183"},"PeriodicalIF":1.1,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83791034","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}

{"title":"Bioavalaibility and pharmacokinetic comparison of two formulations of metformin 850 mg tablets in healthy Colombian volunteers","authors":"Gloria Holguín, F. Cuesta, R. Archbold, M. Restrepo, Sergio Parra, L. Peña, Blanca Montoya, J. C. Ríos, Victoria Toro, A. Ruiz","doi":"10.25100/CM.V42I1.754","DOIUrl":"https://doi.org/10.25100/CM.V42I1.754","url":null,"abstract":"Pharmaceuticals de Colombia SA (test product) in healthy Colombian volunteers. Methods: A random, double blind, two-period, two-week wash out period, crossover study was performed in 24 healthy male and female volunteers for a single 850-mg dose of metformin tablets administrated with 240 ml of water after 12 hours of fasting. Once the drug was administrated, blood samples were collected before and within 24 hour, and plasma metformin concentration was determined by using a validated HPLC method. Pharmacokinetic parameters such as C max , AUC 0-96h , AUC 0-OO, and T max were determined. The formulations were considered bioequivalent if the logarithmic mean ratios of ln-transformed C max and AUC 0-OO values were within the equivalence range of 80%-125%. Results: ANOVA analysis of the ln-transformed C max and AUC 0-OO indicated that none of the effects examined (formulation, period, within and between-subjet variances and carry over) was statistically significant. The mean (±SD) of C max 1217.38 (± 251.72) ng/ml vs. 1305.25 (± 301.06) ng/ml, AUC 0-96h 1363.49 (± 315.51) ng.h/ml vs. 1584.82 (± 368.75) ng.h/ml, AUC 0-OO, 7155.75 (± 1440.74) ng.h/ml vs. 7777.08 (± 1896.49) ng.h/ml, and T max 2.57 (± 0.93) h vs. 2.22 (± 0.94) h were obtained with test and reference formulations, respectively. These pharmacokinetic parameters presented differences with the results from other published papers. The 90%","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"8 1","pages":"81-87"},"PeriodicalIF":1.1,"publicationDate":"2011-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76779267","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}