Colombia Medica最新文献_第2页

How can we address the surge of low-quality systematic reviews and their impact on high journal rejection rates? 我们如何解决低质量系统综述的激增及其对期刊高退稿率的影响？

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-12-30 eCollection Date: 2024-10-01 DOI: 10.25100/cm.v55i4.6597

Marilina Santero, Samanta Díaz Menai

引用次数: 0

Limitations of the MBI-HSS in Colombian health personnel psychometric: Evaluation after modification of its response options. MBI-HSS在哥伦比亚卫生人员心理测量中的局限性：修改其反应选项后的评估。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-09-30 eCollection Date: 2024-07-01 DOI: 10.25100/cm.v55i3.5818

Ana Carolina Amaya-Arias, Fabián A Jaimes, Jenny García Valencia

{"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":"Objective: To establish the construct validity, internal consistency, and difficulty and discrimination of the items in the Maslach Burnout Inventory- Human Services Survey, with modified response options, for measuring burnout in healthcare workers in Colombia.Methods: 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.Results: 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.Conclusions: The previously validated version of the Maslach Burnout Inventory- Human Services Survey 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.","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}

引用次数: 0

Evaluation of loneliness and its associated factors in caregivers of patients with dementia: a cross-sectional study. 评估痴呆患者照护者的孤独感及其相关因素：一项横断面研究

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-09-30 eCollection Date: 2024-07-01 DOI: 10.25100/cm.v55i3.6604

Angie Nathalia Hernandez Rico, Bibiana Flórez Vargas, Santiago Guadarrama Vega, Carmen Juliana Pino Pinzón, Claudia Patricia Agamez Insignares

{"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":"Objective: To identify the levels of loneliness and the factors associated with the prevalence of loneliness in caregivers of patients with dementia.Methods: 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.Results: 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, p= 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, p= 0.0104).Conclusions: 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.","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}

引用次数: 0

The contribution of advanced nursing practice to quaternary prevention and universal health coverage. 高级护理实践对四级预防和全民健康覆盖的贡献。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-09-30 eCollection Date: 2024-07-01 DOI: 10.25100/cm.v55i3.6615

Claudia Yaneth Rodriguez Triviño, Diana Marcela Rengifo

{"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":"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 \"One Health,\" 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.","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}

引用次数: 0

Advancing Sustainable Pulmonary Rehabilitation in Latin America. 促进拉丁美洲可持续肺康复。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-09-30 eCollection Date: 2024-07-01 DOI: 10.25100/cm.v55i3.6573

Vicente Benavides-Cordoba, Alejandro Casas Herrera

引用次数: 0

Atypical complication of western equine encephalitis: central hypoventilation syndrome. 西部马脑炎的非典型并发症：中枢性低通气综合征。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-09-30 eCollection Date: 2024-07-01 DOI: 10.25100/cm.v55i3.6404

Laura Rapela, Lucia Derosa, Alberto Quereda, Gaston Capodarco, Mauro Federico Andreu

{"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":"Case description: 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.Clinical findings: 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.Treatment and outcome: 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.Clinical relevance: 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.","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}

引用次数: 0

Evaristo García Piedrahíta 1845-1921. Evaristo Garcia Piedrahita 1845-1921。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-09-30 eCollection Date: 2024-07-01 DOI: 10.25100/cm.v55i3.6683

Rodrigo Guerrero Velasco, Pedro Alejandro Rovetto

引用次数: 0

The obstetrician attached to the obstetric emergency. 产科医生负责产科急诊。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-09-25 eCollection Date: 2024-07-01 DOI: 10.25100/cm.v55i3.6574

Alejandro Lenin Villalobos Rodríguez

引用次数: 0

Quality in aesthetic medicine and surgery: a systematic review of clinical practice guidelines. 美容医学和外科手术的质量：临床实践指南的系统回顾。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-06-30 eCollection Date: 2024-04-01 DOI: 10.25100/cm.v55i2.6257

Marta Maes-Carballo, Carlos Roberto Estrada-López, Carmen Martínez-Martínez, Claudia Alberca-Remigio, Cristina Cámara-Martínez, Benito Miguel Josa-Martínez, Rubén Trigueros

{"title":"Quality in aesthetic medicine and surgery: a systematic review of clinical practice guidelines.","authors":"Marta Maes-Carballo, Carlos Roberto Estrada-López, Carmen Martínez-Martínez, Claudia Alberca-Remigio, Cristina Cámara-Martínez, Benito Miguel Josa-Martínez, Rubén Trigueros","doi":"10.25100/cm.v55i2.6257","DOIUrl":"10.25100/cm.v55i2.6257","url":null,"abstract":"Background: Guidelines in medicine are essential tools to provide quality and standardised medical care. We analysed the quality of aesthetic medicine guidelines.Methods: A systematic review with a prospective registration protocol (https://osf.io/8pdyv) of databases (MEDLINE, EMBASE, Web of Science, Scopus, CDSR), web pages of scientific societies and grey literature was done from inception to February 2023 and without language restrictions. Quality was evaluated using AGREE II (% of the maximum score), RIGHT (% of the total 35 items) and a shared decision making (SDM) quality assessment tool (31 items score) individually and in duplicate, respectively.Results: Six (86%) guidelines were classified as not recommended; one (14%) was recommended with modifications, and all were classified as poorly reported (7/7; 100%). The median overall quality was 27% (IQR: 26-43) and 26% (IQR 15-36) for AGREE II and RIGHT, respectively. No document used these tools for its development. SDM appeared superfluity in almost all of the guidelines explored.Conclusions: Aesthetic medicine and surgical guidelines had low quality and must be improved. There is a wide range of improvement, especially in applicability, reporting of evidence, recommendations, conflict of interest, quality control and SDM. These guidelines require a rigorous methodology based on systematic reviews to ensure quality evidence-based recommendations.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 2","pages":"e2016257"},"PeriodicalIF":0.7,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11637547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820059","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

Simultaneous periodontal and endodontic surgery: report of four clinical cases. 牙周与牙髓同时手术：附4例临床报告。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-06-30 eCollection Date: 2024-04-01 DOI: 10.25100/cm.v55i2.6363

Pablo Emilio Molano, Juan Sebastián Duque F, Deisy Milena Urbano Gómez

{"title":"Simultaneous periodontal and endodontic surgery: report of four clinical cases.","authors":"Pablo Emilio Molano, Juan Sebastián Duque F, Deisy Milena Urbano Gómez","doi":"10.25100/cm.v55i2.6363","DOIUrl":"10.25100/cm.v55i2.6363","url":null,"abstract":"Case description: Four cases of patients aged 41, 33, 43 and 68 years who presented periapical lesions and needed periodontal surgery for pre-prosthetic purposes.Clinical findings: The first case presented an intra-radicular retainer that was difficult to remove and likely to generate a root fracture. In addition, asymmetry of the gingival zenith was observed. The second case presented a complete crown at 16 with mesial marginal mismatch and subgingival margins distally. The third case presented a vestibular fistula with inflammation at the cervical level. The fourth case presented a vestibular fistula in the upper right lateral incisor. All patients showed apical lesions.Treatment and outcome: The first three cases received coronal lengthening and apical surgery in the same surgical procedure. In the fourth case, apical surgery was performed, and placement of implants 13 and 15 with a pontic of 14. During the clinical control and radiographs performed after the surgical procedures, bone filling of the lesion was found.Clinical relevance: Considering the results obtained, performing the periodontal and endodontic surgery procedures in a single surgical act is suggested. This reduces costs, travel, number of appointments, medication intake and post-surgical complications.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 2","pages":"e5006363"},"PeriodicalIF":0.7,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774397","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