Colombia Medica最新文献_第3页

Main results and public health implications of the National School Health Survey (ENSE), Colombia 2017. 2017年哥伦比亚全国学校健康调查的主要结果和公共卫生影响。

IF 1.1 4区医学

Colombia Medica Pub Date : 2023-06-30 eCollection Date: 2023-04-01 DOI: 10.25100/cm.v54i2.5402

Fabian Méndez Paz, Stefanie Tonguino, Delia Ortega-Lenis

{"title":"Main results and public health implications of the National School Health Survey (ENSE), Colombia 2017.","authors":"Fabian Méndez Paz, Stefanie Tonguino, Delia Ortega-Lenis","doi":"10.25100/cm.v54i2.5402","DOIUrl":"https://doi.org/10.25100/cm.v54i2.5402","url":null,"abstract":"Introduction: The school population represents a fundamental group for health promotion actions, given that the foundations of healthy behaviors in adult life are established in children and adolescents, who can be greatly influenced by the school.Objective: To describe the health-related behavioral factors of schoolchildren between 13 and 17 years of age in secondary and middle school in Colombia.Methods: A national cross-sectional study was conducted (i.e., School Health Survey -ENSE-) that recorded information on dietary practices, physical activity, alcohol and drug consumption, injuries and bullying, and oral, visual and hearing health. Sampling was probabilistic, cluster and multistage.Results: Schoolchildren have low consumption of fruits, vegetables (13.1%) and dairy (76.5 %), high consumption of ultra-processed foods (82.4 %), sugary drinks (74.0 %) and fast foods (14.8 %), frequent addition of salt at the table (43.3 %), low compliance with physical activity recommendations (15.0 %) and high sedentary lifestyle (46.3 %), frequent consumption of alcohol (44.7 %) and psychoactive substances (14.7 %), in addition to prevalent situations of bullying (15.4 %), rejection (8.2 %) and verbal aggression (42.7 %).Conclusions: The ENSE shows critical inequalities by gender, ethnicity and social class, throughout the country. The indicators observed in schoolchildren are precursors of various chronic and degenerative diseases and mental illness, which requires the urgent attention of the different social actors in the country.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"54 2","pages":"e2015402"},"PeriodicalIF":1.1,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4d/ce/1657-9534-cm-54-02-e2015402.PMC10512797.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41156224","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

Scientific perspective of emotional management in health professionals. 健康专业人员情绪管理的科学视角。

IF 1.1 4区医学

Colombia Medica Pub Date : 2023-06-30 eCollection Date: 2023-04-01 DOI: 10.25100/cm.v54i2.5686

Lourdes Zevallos

{"title":"Scientific perspective of emotional management in health professionals.","authors":"Lourdes Zevallos","doi":"10.25100/cm.v54i2.5686","DOIUrl":"10.25100/cm.v54i2.5686","url":null,"abstract":"This letter focuses on the interesting article entitled “Melancholy as a Healthy Strategy in Times of Great Human Crisis” 1 , where a series of very respectful observations and reflections are made: First, we raise the convenience of reorienting the worldview presented in the article since it establishes a tragic image of life (death). Not only because it implies the idea of the end of the world as the basis of the population’s anxieties and obsessions but also because it presupposes that the modernly conceived world is unlivable due to the level of stress endured because of uncertainty and change. Moreover, it presents melancholy and bitterness as strategies to be applied as a remedy to the living crisis and to achieve mental health. Certainly, behaviors that do not have a profile of harmony or internal coherence in the subject but of disorganization and a healthy lack of response to life. The second observation is a theoretical proposal of a materialistic and systemic, i.e., scientific nature. While it is true that the conditions we live in today are complex, uncertain and changing. It is also true that theoretical proposals such as resilience come from social psychology, which proposes assertive, proactive behaviors that look more positively to the health of citizens without reaching romantic explanations such as the possible exercise of freedom (subjectivism and idealism) or the ideal of the self (patent presence of psychoanalysis). These terms are not only insubstantial but have no known therapeutic correlation. Therefore, the population demands a clear and realistic vision of mental health to structure concrete ways out of their stress, depression, or anxiety.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"54 2","pages":"e7005686"},"PeriodicalIF":1.1,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/48/dc/1657-9534-cm-54-02-e7005686.PMC10557474.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41150886","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

Response to a critical reader of my essay on melancholy 回应一位批评我那篇关于忧郁的文章的读者

4区医学

Colombia Medica Pub Date : 2023-06-28 DOI: 10.25100/cm.v54i2.5749

Eduardo Botero Toro

{"title":"Response to a critical reader of my essay on melancholy","authors":"Eduardo Botero Toro","doi":"10.25100/cm.v54i2.5749","DOIUrl":"https://doi.org/10.25100/cm.v54i2.5749","url":null,"abstract":"With the title “Scientific perspective of emotional management in health professionals,” the reader presents a series of considerations based on “very respectful observations and reflections”, five in total, to which I wish to respond after thanking the Journal and the reader because with its publication it contributes to stimulating the healthy debate that must exist in the field of knowledge that defines human behavior as an object. But first I want to state that, with the publication of my essay, I move away from any mood aimed at managing emotions in health professionals, whatever this means. Like everyone who publishes, I am encouraged by the desire to be read and the critical reader testifies to this, but, following the line of argument of his criticism of my essay, I depart from considering that the readers of this magazine are waiting for healthy recommendations for their ways of life. With Foucault, I share the radical criticism he makes of this type of psychoanalysis - and other so-called behavioral sciences - that tend to become preaching. I suppose (and desire) an adult reader and able to discern with my writing, in favor or not of this content. As in any essay, I use a vital experience that continues to be nourished by conceptual references produced from various areas of knowledge to fulfill one of the essential objectives of any essay: to investigate a topic and involve the reader and, finally, does not require exhaustiveness and declares mandatory the subjectivity of the essayist with total freedom in the structure, the tone and style of the text.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135359547","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

Female sexual dysfunction in chronic obstructive pulmonary disease. 女性慢性阻塞性肺病性功能障碍。

IF 1.1 4区医学

Colombia Medica Pub Date : 2023-06-18 eCollection Date: 2023-04-01 DOI: 10.25100/cm.v54i2.5633

Müfide Arzu Özkarafakılı, Cemil Kutsal

{"title":"Female sexual dysfunction in chronic obstructive pulmonary disease.","authors":"Müfide Arzu Özkarafakılı, Cemil Kutsal","doi":"10.25100/cm.v54i2.5633","DOIUrl":"10.25100/cm.v54i2.5633","url":null,"abstract":"Background: Sexual life of women with chronic obstructive pulmonary disease (COPD) can be affected by breathing difficulties, a decrease in functional status, depressive mood and fatigue.Objetive: To evaluate the sexual dysfunction in female COPD patients and the possible explanatory mechanisms or correlations between these conditions.Methods: The study included 70 female patients with COPD aged between 36-65 and 70 age-matched controls. All the subjects completed questionnaires for the Female Sexual Functional Index (FSFI), BECK depression inventory and, spirometry.Results: Statistically significant sexual dysfunction was noted in COPD patients compared to the non-COPD group (p<0.001). BECK depression inventory scores of the COPD patients were also significantly lower (p<0.001). no correlation between FSFI and BECK depression scores in 'patients' characteristics (r=-0.055, p=0.651). No significant difference was found in age, forced expiratory volume (FEV)1%, and exacerbation history of the previous year according to severity of depression (p>0.005). In linear regression analysis determining depression, no statistically significant factor was found among age, number of comorbidities, and FEV1/ forced vital capacity (FVC) % predicted (p>0.05). In multivariable analysis, only fatigue during intercourse was found to be a statistically significant factor in predicting sexual dysfunction among factors like age, presence of comorbidities, duration of the disease, smoking status, FEV1%, m MRCpoints, 6-minutes walk test, BECK depression scores (p=0.008).Conclusion: Sexual dysfunction is reported in many COPD females and seems to be related not to spirometric measures or exercise capacity but to fatigue. Depression is also a common comorbidity, of which both disorders are often neglected.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"54 2","pages":"e2025633"},"PeriodicalIF":1.1,"publicationDate":"2023-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/46/1657-9534-cm-54-02-e2025633.PMC10561549.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41219288","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

Mortality due to COVID-19 during the vaccination plan against the SARS-CoV-2 virus in Cali, Colombia. 哥伦比亚卡利市 SARS-CoV-2 病毒疫苗接种计划期间 COVID-19 导致的死亡率。

IF 0.7 4区医学

Colombia Medica Pub Date : 2021-12-30 eCollection Date: 2021-10-01 DOI: 10.25100/cm.v52i3.5047

Carlos Reina, Miyerlandi Torres, Edgar Muñoz, Elvia Karina Grillo Ardila, Rodrigo Guerrero Velasco, Luis Eduardo Bravo

引用次数: 0

Reply to a letter from Robert Colebunders entitled COVID-19: The African Enigma 回复Robert Colebunders题为“COVID-19:非洲之谜”的信

IF 1.1 4区医学

Colombia Medica Pub Date : 2021-04-24 DOI: 10.25100/CM.V52I2.4833

Rodrigo Guerrero, L. Bravo, E. Muñoz, Elvia Karina Grillo Ardila, E. Guerrero

{"title":"Reply to a letter from Robert Colebunders entitled COVID-19: The African Enigma","authors":"Rodrigo Guerrero, L. Bravo, E. Muñoz, Elvia Karina Grillo Ardila, E. Guerrero","doi":"10.25100/CM.V52I2.4833","DOIUrl":"https://doi.org/10.25100/CM.V52I2.4833","url":null,"abstract":"We thank Dr. Colebunders for his comments regarding our manuscript. Our study was an ecological study prompted by the low frequency of cases and deaths from the SARS-CoV-2 COVID-19 virus in some African countries. We agree with Dr. Colebunders that other factors could explain the observed association between APOC countries and COVID-19 mortality. However, these unmeasured confounders would have to be strongly associated with Covid-19 mortality to explain the observed 28% reduction. In updated information, as of 12-17-20, APOC countries had a 42% lower risk of death than the non-APOC countries, adjusted for confounders. (Not published) \u0000Hellwig et al., in addition to reporting similar findings to ours for African and Asian countries, surmised that they may be connected to ivermectin’s ability to inhibit SARS-CoV-2 replication suggesting other pathways must exist to explain the persistence of such an inhibitory effect after serum levels of ivermectin have declined. As mentioned by Mbow et al. “, it is increasingly recognized that the immune system is shaped not only by genetics but also by environmental factors, such as exposure to microorganisms and parasites. This educates the immune system to protect against invading pathogens not only specifically but also nonspecifically through, for example, “trained immunity,” which involves the reprogramming of innate cells that, on secondary encounter with a pathogen, can show a stronger response.” Those infections, such as onchocerciasis, may downregulate immune responses and potentially inactivate the inflammatory signalling pathways that may induce acute respiratory distress syndrome (ARDS), one of the causes of death in COVID-19 infected persons, seems very attractive explanation. ","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"15 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2021-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72803544","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

Inequities in the emergence, manifestations and consequences of COVID19 covid - 19的出现、表现和后果方面的不公平现象

IF 1.1 4区医学

Colombia Medica Pub Date : 2021-03-18 DOI: 10.25100/CM.V52I1.4778

F. Paz

引用次数: 1

Response to comment made by Angulo-Ramos and Merino-Soto entitled “Effect size: comment on the study on the Factors associated with the practice of exclusive breastfeeding 对anglo - ramos和Merino-Soto发表的题为“效应大小:对纯母乳喂养相关因素研究的评论”的评论的回应

IF 1.1 4区医学

Colombia Medica Pub Date : 2020-09-03 DOI: 10.25100/cm.v51i1.4529

Julio César Mateus Solarte, Gustavo Alonso Cabrera Arana

{"title":"Response to comment made by Angulo-Ramos and Merino-Soto entitled “Effect size: comment on the study on the Factors associated with the practice of exclusive breastfeeding","authors":"Julio César Mateus Solarte, Gustavo Alonso Cabrera Arana","doi":"10.25100/cm.v51i1.4529","DOIUrl":"https://doi.org/10.25100/cm.v51i1.4529","url":null,"abstract":"This letter focuses on recent and interesting work on breastfeeding, to emphasize two observations. The first observation refers to the fact that, in Mateus and Cabrera’s manuscript It was hardly discussed whether the referred knowledge and skills may be relevant to understanding the mothers’ behavior regarding their commitment to breastfeeding. The relevance of these cognitive aspects requires more attention due to their relationship with breastfeeding practices, and in general with the long-term mother-infant dyad.\u0000\u0000Because the knowledge and skills to maintain successful breastfeeding have implications for developing instructional content in interventions for mothers as well, great attention needs to be paid to the size of the effect of differences between reported frequencies in pregnancy and the immediate puerperium. In Table 3, these differences were examined by the McNemar statistical test, which allows obtaining the statistical significance of the rejection of the null hypothesis of no differences. But neither this test nor the size of its p-value inform about the degree or size of the differences. An estimate of the size or magnitude of the differences, represented as point values or confidence intervals (as reported in Tables 4 and 5), tend to better specify tests of statistical significance.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"76 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2020-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86578218","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

Non-suicidal self-injury in patients with eating disorders: nuclear aspects 饮食失调患者的非自杀性自伤:核方面

IF 1.1 4区医学

Colombia Medica Pub Date : 2020-05-15 DOI: 10.25100/CM.V52I1.4342

Á. Rodríguez-López, Erika Rodríguez-Ortíz, Borja Romero-Gonzalez

{"title":"Non-suicidal self-injury in patients with eating disorders: nuclear aspects","authors":"Á. Rodríguez-López, Erika Rodríguez-Ortíz, Borja Romero-Gonzalez","doi":"10.25100/CM.V52I1.4342","DOIUrl":"https://doi.org/10.25100/CM.V52I1.4342","url":null,"abstract":"Background: Through the culture of thinness, increasingly promoted in our society as a beauty canon, it is not surprising that the number of people affected by eating disorders is increasing. \u0000Objective: This research aims to study the relationship between non-suicidal self-injuries and nuclear aspects of eating disorders specified along with this article. \u0000Methods: The sample consisted of 60 women diagnosed with anorexia and bulimia. Questionnaires assessing impulsivity, body satisfaction, alexithymia, body attitude and self-esteem were administered. Participants with non-suicidal self-harm were compared with those without, and participants with anorexia with and without self-harm and participants with bulimia with and without self-harm were compared. \u0000 Results: Differences were found in body dissatisfaction = 5,71; p ≤ ,01), body attitudes = 4,80; p ≤ ,02), self-esteem = 14,09; p ≤ .00) and impulsivity (t = 3,39; p ≤ ,01) between participants with and without non-suicidal self-harm. \u0000Conclusions: These are key factors for the clinic in the treatment of eating disorders to prevent the presence of self-harm, as it allows focusing the treatment target on those aspects such as dissatisfaction and impulsivity, which are key in the development of self-harm.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"15 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2020-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83541174","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: 1

Survey on health, well-being and aging. SABE Colombia 2015: Technical Report. 健康、幸福和老龄化调查。SABE哥伦比亚2015：技术报告。

IF 1.1 4区医学

Colombia Medica Pub Date : 2019-06-30 DOI: 10.25100/cm.v50i2.4557

Delia Ortega-Lenis, Fabian Mendez

{"title":"Survey on health, well-being and aging. SABE Colombia 2015: Technical Report.","authors":"Delia Ortega-Lenis, Fabian Mendez","doi":"10.25100/cm.v50i2.4557","DOIUrl":"https://doi.org/10.25100/cm.v50i2.4557","url":null,"abstract":"Introduction: Colombian population is getting old in an accelerated manner, causing economic, social and health services effects. The Ministry of Health and Social Protection in the National System of Population Studies and Surveys for Health implemented the first health, well-being and aging survey- SABE-2015 Colombia- to know the living conditions of people 60 years of age or older.Objective: Describe the design of the method, statistical sampling and quality control of information from the SABE-2015 survey.Methods: A cross-sectional study, with quantitative and qualitative approaches, representative for the population in urban and rural areas aged 60 or over. Information was collected on socioeconomic variables, physical and social environment, behavior, cognition and affection, functionality, mental well-being, health conditions, and the use and access to health services.Results: 23,694 surveys were conducted, 17,189 in urban population (72.5%) and 6,505 in rural population. The percentage of effective national response was 66% in 244 municipalities. Supervision was made in 40% of the surveys and telephone re-contact in 25%. The consistency of 100% surveys was reviewed and double entry was developed in 5% of them. National estimates have a 5% margin error.Conclusion: The SABE Colombia 2015 survey is representative of the main indicators of health, well-being and aging in Colombia. The design allows regional comparisons, between large cities and urban and rural population.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"50 2","pages":"128-138"},"PeriodicalIF":1.1,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.25100/cm.v50i2.4557","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41219289","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: 10