Colombia Medica最新文献

{"title":"Prediction of the intramedullary nail size by fibula length in bilateral femur fractures.","authors":"Rubén Darío Hernández-Salazar, Juan Pablo López-García, Nathaly Patiño-Vargas, Andrés Felipe Rivera","doi":"10.25100/cm.v55i4.6078","DOIUrl":"10.25100/cm.v55i4.6078","url":null,"abstract":"<p><strong>Case description: </strong>A 23-year-old male patient, with no relevant medical history, who received direct contusion to the lower limbs at the level of the thighs due to a fall from a sheet bending machine.</p><p><strong>Clinical findings: </strong>Clinical and radiographic findings compatible with bilateral comminuted sub-trochanteric fractures, with extension towards the diaphysis in both, with a Trauma Severity Index of 16.</p><p><strong>Treatment and outcome: </strong>Favorable clinical and radiological outcome after early definitive surgical stabilization of both extremities with cephalomedullary nails, rehabilitation with physical therapy and clinical follow-up.</p><p><strong>Clinical relevance: </strong>High energy trauma, due to different causes, constitutes a challenge for all health personnel, due to the patient's own conditions, the individual inflammatory response, the associated musculoskeletal injuries, some not detected at the beginning, and additionally in other systems. Patients with bilateral femur fractures may present the conditions listed above, which requires early identification of the risks of respiratory and multi-organ failure, knowledge of their metabolic status and definition of their clinical situation, considered potentially or truly critical, which even with timely treatment Mortality figures of 6.9% to 27% are found. According to defined parameters, early and definitive osteosynthesis of fractures can be performed, but its characteristics may represent difficulties for surgical planning.</p>","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 4","pages":"e5006078"},"PeriodicalIF":0.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103036","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}

{"title":"Polygraphy in hospitalized pediatric patients: A real-life practice.","authors":"Daniel Zenteno, Gerardo Torres-Puebla, Camila Sánchez, Víctor Oviedo, Jaime Tapia, Rodrigo Torres-Castro","doi":"10.25100/cm.v55i4.6622","DOIUrl":"https://doi.org/10.25100/cm.v55i4.6622","url":null,"abstract":"<p><strong>Introduction: </strong>The gold standard test for diagnosing sleep-disordered breathing is polysomnography; however, its limited availability has led to the emergence of alternatives such as polygraphy, which is more accessible and cost-effective.</p><p><strong>Objective: </strong>To analyze the association between underlying conditions and obstructive sleep apnea-hypopnea syndrome in children with suspected sleep-disordered breathing.</p><p><strong>Methods: </strong>Retrospective cross-sectional study. Polygraphy studies of hospitalized children aged ≥1 year with suspected sleep-disordered breathing were included. Demographic, clinical, and polygraphic variables were collected. A logistic regression analysis was performed to evaluate the presence of obstructive sleep apnea-hypopnea syndrome according to underlying conditions.</p><p><strong>Results: </strong>Of 1,000 polygraphy studies, 407 were analyzed. The median age was 8.2 years (range 4.1-12.2), with 56% male patients. The main diagnoses were neurological impairment (19.4%), neuromuscular diseases (16.0%), upper airway obstruction (15.5%), and chronic lung disease (15.5%). Abnormal polygraphy was found in 56.0% of cases, with obstructive sleep apnea syndrome classified as mild in 63.0%, moderate in 21.0%, and severe in 16.0%, with obesity and neuromuscular diseases being most prominent. Significant differences were found in age (p=0.001) and apnea-hypopnea index (p=0.002) across diagnostic categories. Children with Down syndrome had a 5.5-fold higher risk of obstructive sleep apnea-hypopnea syndrome compared to those with chronic lung disease.</p><p><strong>Conclusions: </strong>There was a high prevalence of obstructive sleep apnea-hypopnea syndrome, particularly in children with obesity and neuromuscular diseases. Patients with Down syndrome had a higher risk of obstructive sleep apnea-hypopnea syndrome compared to those with chronic lung disease. Polygraphy is a potentially implementable tool in healthcare centers with similar characteristics.</p>","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 4","pages":"e2016622"},"PeriodicalIF":0.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081656","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}

{"title":"How can we address the surge of low-quality systematic reviews and their impact on high journal rejection rates?","authors":"Marilina Santero, Samanta Díaz Menai","doi":"10.25100/cm.v55i4.6597","DOIUrl":"10.25100/cm.v55i4.6597","url":null,"abstract":"<p><p>Journals have experienced a significant rise in submissions of systematic reviews and other types of reviews that often fall short of acceptable quality standards. These shortcomings typically stem from insufficient rigor in their methodology, reporting, or critical appraisal. As a result, these submissions are frequently rejected raising concerns about the standards authors are following when preparing such work. This growing trend of low-quality reviews not only places a burden on editorial teams but also poses a risk to the scientific community by potentially disseminating flawed or unreliable conclusions. Ensuring that articles maintain high standards is crucial for preserving the integrity of the scientific literature and facilitating evidence-based decision-making. In an effort to address this problem, this viewpoint editorial aims to offer concepts and recommendations on available tools for future authors to improve the quality of their reviews, as well as to guide readers and potential journal reviewers on how to critically interpret these articles.</p>","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 4","pages":"e4006597"},"PeriodicalIF":0.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103035","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}

{"title":"Limitations of the MBI-HSS in Colombian health personnel psychometric: Evaluation after modification of its response options.","authors":"Ana Carolina Amaya-Arias, Fabián A Jaimes, Jenny García Valencia","doi":"10.25100/cm.v55i3.5818","DOIUrl":"https://doi.org/10.25100/cm.v55i3.5818","url":null,"abstract":"<p><strong>Objective: </strong>To establish the construct validity, internal consistency, and difficulty and discrimination of the items in the <i>Maslach Burnout Inventory- Human Services Survey</i>, with modified response options, for measuring burnout in healthcare workers in Colombia.</p><p><strong>Methods: </strong>A descriptive study of validation of measurement instruments was conducted. With the support of a panel of experts, the response options were modified, and the new version was administered to 377 healthcare workers. Internal consistency was evaluated, and confirmatory factor analysis was conducted to assess the structural construct validity. The structural Equation Modeling model was calculated using the diagonally weighted least squares estimation method. Finally, item discrimination and difficulty thresholds of the response options were calculated using the generalized partial credit model of Item Response Theory.</p><p><strong>Results: </strong>The emotional exhaustion and personal accomplishment subscales showed good internal consistency (α= 0.87 and 0.77), while the depersonalization subscale was low (0.45). The confirmatory factor analysis indicated an acceptable but not ideal fit (NFI and RFI <0.95; RMSEA >0.06). Inadequate functioning of the response options and measurement bias were identified.</p><p><strong>Conclusions: </strong>The previously validated version of the <i>Maslach Burnout Inventory- Human Services Survey</i> and the adapted version in this study have limitations in Colombian healthcare workers, especially in the depersonalization subscale. A thorough revision is suggested to appropriately measure burnout in healthcare personnel in our context.</p>","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 3","pages":"e2015818"},"PeriodicalIF":0.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048617","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}

{"title":"Evaluation of loneliness and its associated factors in caregivers of patients with dementia: a cross-sectional study.","authors":"Angie Nathalia Hernandez Rico, Bibiana Flórez Vargas, Santiago Guadarrama Vega, Carmen Juliana Pino Pinzón, Claudia Patricia Agamez Insignares","doi":"10.25100/cm.v55i3.6604","DOIUrl":"https://doi.org/10.25100/cm.v55i3.6604","url":null,"abstract":"<p><strong>Objective: </strong>To identify the levels of loneliness and the factors associated with the prevalence of loneliness in caregivers of patients with dementia.</p><p><strong>Methods: </strong>An observational cross-sectional study was conducted, including unpaid caregivers of patients with dementia who were receiving home care in Bogotá, Colombia. The prevalence of loneliness was estimated using the UCLA Loneliness Scale. Participants were also assessed regarding their satisfaction with providing care and whether they felt they received the necessary emotional support from family and friends. The association between loneliness and the patient's clinical variables, as well as the sociodemographic characteristics of the caregiver, was evaluated by calculating the odds ratio (OR) between the groups.</p><p><strong>Results: </strong>A total of 52 caregivers of patients with dementia were included. Severe loneliness was present in 5.77% of caregivers, while 26.92% experienced moderate loneliness. All caregivers reported feeling satisfied with providing care to their relatives, and 71% felt that their family or friends provided the emotional support they required. Loneliness was more common among caregivers of patients with total functional dependence (OR: 4.061, <i>p</i>= 0.0278). Conversely, the perception of receiving emotional support from family and friends was identified as a potential protective factor against loneliness (OR: 0.184, <i>p</i>= 0.0104).</p><p><strong>Conclusions: </strong>The prevalence of loneliness in this study is lower than that reported in previous studies. All caregivers reported satisfaction in providing care; most perceived adequate emotional support from family and friends. These factors could be contributing to the lower prevalence of loneliness observed.</p>","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 3","pages":"e2006604"},"PeriodicalIF":0.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004166","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}

{"title":"The contribution of advanced nursing practice to quaternary prevention and universal health coverage.","authors":"Claudia Yaneth Rodriguez Triviño, Diana Marcela Rengifo","doi":"10.25100/cm.v55i3.6615","DOIUrl":"https://doi.org/10.25100/cm.v55i3.6615","url":null,"abstract":"<p><p>Advanced Nursing Practice (ANP) is a key strategy for achieving universal health coverage as it focuses on the individual. Additionally, it is evidence-based, which improves health outcomes. This strategy contributes to achieving \"Health for All,\" an initiative led by the United Nations within the Sustainable Development Goals, by reducing costs and expanding care in underserved areas. Since its inception in the United States, ANP has taken on roles in diagnosis, prescription, and treatment coordination, becoming established in primary care and other clinical settings. In this century, ANP has strengthened quaternary prevention by protecting individuals from overmedicalization through ethical and personalized care, enhancing the quality of life, and optimizing health system efficiency. This paper will focus on the role of ANP in achieving \"<i>One Health</i>,\" promoted by the World Health Organization, and on how it will contribute to improving coverage and transforming the health system according to the population's needs while maintaining a preventive and holistic.</p>","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 3","pages":"e4006615"},"PeriodicalIF":0.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12023882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990891","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}

{"title":"Advancing Sustainable Pulmonary Rehabilitation in Latin America.","authors":"Vicente Benavides-Cordoba, Alejandro Casas Herrera","doi":"10.25100/cm.v55i3.6573","DOIUrl":"https://doi.org/10.25100/cm.v55i3.6573","url":null,"abstract":"","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 3","pages":"e1006573"},"PeriodicalIF":0.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058953","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}

{"title":"Atypical complication of western equine encephalitis: central hypoventilation syndrome.","authors":"Laura Rapela, Lucia Derosa, Alberto Quereda, Gaston Capodarco, Mauro Federico Andreu","doi":"10.25100/cm.v55i3.6404","DOIUrl":"https://doi.org/10.25100/cm.v55i3.6404","url":null,"abstract":"<p><strong>Case description: </strong>A 49-year-old male patient, a rural worker, presented with a two-day history of fever. Initial treatment for suspected community-acquired pneumonia was followed by the development of confusion and signs of meningeal irritation. Western Equine Encephalitis Virus infection was confirmed. The patient required prolonged intensive care due to central hypoventilation syndrome, a complication not previously described for this condition.</p><p><strong>Clinical findings: </strong>The patient exhibited hypercapnia-related encephalopathy, with MRI revealing pontine lesions. Respiratory drive testing confirmed central hypoventilation. Peripheral muscular strength was preserved, ruling out muscular or peripheral neurological involvement. Persistent metabolic alkalosis secondary to failed ventilator weaning attempts was noted.</p><p><strong>Treatment and outcome: </strong>Treatment included mechanical ventilation, nocturnal invasive ventilation, and acetazolamide to address post-hypercapnic metabolic alkalosis. Gradual improvement led to successful decannulation after 46 days. At the 30-day follow-up, the patient reported full independence and returned to work, maintaining stable respiratory function and acid-base balance.</p><p><strong>Clinical relevance: </strong>This case highlights central hypoventilation syndrome as a rare but significant complication of Western Equine Encephalitis Virus infection. The administration of acetazolamide proved effective in managing metabolic alkalosis, supporting its potential role in similar cases. Further investigation is needed to better understand this complication and to establish evidence-based management strategies.</p>","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 3","pages":"e5006404"},"PeriodicalIF":0.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996909","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}

{"title":"Evaristo García Piedrahíta 1845-1921.","authors":"Rodrigo Guerrero Velasco, Pedro Alejandro Rovetto","doi":"10.25100/cm.v55i3.6683","DOIUrl":"https://doi.org/10.25100/cm.v55i3.6683","url":null,"abstract":"","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 3","pages":"e6006683"},"PeriodicalIF":0.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042616","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}

{"title":"The obstetrician attached to the obstetric emergency.","authors":"Alejandro Lenin Villalobos Rodríguez","doi":"10.25100/cm.v55i3.6574","DOIUrl":"https://doi.org/10.25100/cm.v55i3.6574","url":null,"abstract":"<p><p>Damage control surgery in obstetrics is a technique aimed at managing catastrophic obstetric hemorrhage when conventional methods have failed. Its main objective is to control the bleeding and stabilize the patient, allowing for the correction of metabolic alterations and coagulopathies. This intervention is carried out in stages: it begins with an abbreviated laparotomy, followed by abdominal tamponade and culminates with transfer to the intensive care unit for subsequent stabilization. The proper application of this approach has been shown to improve survival rates in cases of massive hemorrhage, and the article provides a detailed review of the techniques, indications, complications and outcomes associated with this procedure.</p>","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 3","pages":"e3006574"},"PeriodicalIF":0.7,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042617","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}