Colombia Medica最新文献_第6页

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

Bicarbonato de sodio versus solución salina isotónica para la prevención de la nefropatía inducida por medio de contraste: Revisión sistemática y meta-análisis 碳酸氢钠与等渗生理盐水预防造影剂诱发肾病:系统综述和荟萃分析

IF 1.1 4区医学

Colombia Medica Pub Date : 2015-09-30 DOI: 10.25100/CM.V46I3.1925

Carlos Andrés Zapata-Chica, L. Serna-Higuita, J. F. Nieto-Ríos, F. D. Casas-Arroyave, J. donado-góMez

引用次数: 11

In vitro-in vivo Pharmacokinetic correlation model for quality assurance of antiretroviral drugs. 用于抗逆转录病毒药物质量保证的体外-体内药代动力学相关模型。

IF 1.1 4区医学

Colombia Medica Pub Date : 2015-09-30

Ricardo Rojas Gómez, Piedad Restrepo Valencia

{"title":"In vitro-in vivo Pharmacokinetic correlation model for quality assurance of antiretroviral drugs.","authors":"Ricardo Rojas Gómez, Piedad Restrepo Valencia","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The in vitro-in vivo pharmacokinetic correlation models (IVIVC) are a fundamental part of the drug discovery and development process. The ability to accurately predict the in vivo pharmacokinetic profile of a drug based on in vitro observations can have several applications during a successful development process.Objective: To develop a comprehensive model to predict the in vivo absorption of antiretroviral drugs based on permeability studies, in vitro and in vivo solubility and demonstrate its correlation with the pharmacokinetic profile in humans.Methods: Analytical tools to test the biopharmaceutical properties of stavudine, lamivudine y zidovudine were developed. The kinetics of dissolution, permeability in caco-2 cells and pharmacokinetics of absorption in rabbits and healthy volunteers were evaluated.Results: The cumulative areas under the curve (AUC) obtained in the permeability study with Caco-2 cells, the dissolution study and the pharmacokinetics in rabbits correlated with the cumulative AUC values in humans. These results demonstrated a direct relation between in vitro data and absorption, both in humans and in the in vivo model.Conclusions: The analytical methods and procedures applied to the development of an IVIVC model showed a strong correlation among themselves. These IVIVC models are proposed as alternative and cost/effective methods to evaluate the biopharmaceutical properties that determine the bioavailability of a drug and their application includes the development process, quality assurance, bioequivalence studies and pharmacosurveillance.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"46 3","pages":"109-16"},"PeriodicalIF":1.1,"publicationDate":"2015-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4640432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140195438","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

Second toe-to-hand transfer. A surgical option for amputations in the hand 第二次手到脚的转移。手部截肢的手术选择

IF 1.1 4区医学

Colombia Medica Pub Date : 2015-07-01 DOI: 10.25100/CM.V46I2.1551

E. Amador

{"title":"Second toe-to-hand transfer. A surgical option for amputations in the hand","authors":"E. Amador","doi":"10.25100/CM.V46I2.1551","DOIUrl":"https://doi.org/10.25100/CM.V46I2.1551","url":null,"abstract":"Background: The toe to hand transplantation is a method of reconstruction on the unique or multiple amputations of the fingers. It can be used the whole toe or with certain modifications as a wrap-around flap from the big toe or fingertip. It is a widely accepted option for the thumb. Methods: It is a series of patients with amputation of one or more fingers of the hand were operated with second toe to hand transplantation. The survival was evaluated and the sensory recovery by 2-point discrimination. Results: We practiced 12 transplants, 8 thumb, and 4 in other fingers. Ten were adults and 2 children. All transplants survived. Two patients required tenolysis flexor. The sensibility was recovered with good 2-point discrimination of 8 mm. Discussion: In the more proximal finger amputations, a second toe is the most appropriate, with lower morbidity of the donor site. The rates of success are between 95 to 100%. We had a success rate of 100%. The resulting defect is in the foot is minimum when the second toe was used. The decision to use one of these techniques depends on the decision and transplant surgeon training. We always used the second toe for transfers to the hand, considering that it will be thinner than the original thumb; our patients had no complaint about the appearance. Conclusion: Toe-to-hand transplantation is a good technique, providing a very good aesthetic appearance and allowing the recovery of sensitivity. The defect that is created in the foot does not produce significant aesthetic and functional alterations","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"352 1","pages":"71-74"},"PeriodicalIF":1.1,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76615318","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: 2

Increasing collaboration between health professionals: Clues and challenges 加强卫生专业人员之间的合作:线索和挑战

IF 1.1 4区医学

Colombia Medica Pub Date : 2015-04-01 DOI: 10.25100/CM.V46I2.1526

N. Aguirre-Duarte

{"title":"Increasing collaboration between health professionals: Clues and challenges","authors":"N. Aguirre-Duarte","doi":"10.25100/CM.V46I2.1526","DOIUrl":"https://doi.org/10.25100/CM.V46I2.1526","url":null,"abstract":"Background:\u0000\u0000Scholars have recently started to pay more attention in the potential of the inter-professional relationship between general practitioners and specialists to improve outcomes, through consideration given to the effect on prescribing practices. However, more empirical research is needed.\u0000Objective:\u0000\u0000To explore inter-professional network factors that may explain effects on General Practitioners prescription behaviours.\u0000Methods:\u0000\u0000A qualitative study was conducted in an integrated diabetes care program. Data was collected through semi-structured interviews from 16 health practices and a hospital diabetes clinic, using a convenience sample of general practitioners, practices nurses, diabetes nurse specialists and endocrinologists. A conceptual mapping was performed to identify factors underlying networks and effects on patient outcomes.\u0000Results:\u0000\u0000Four themes with their concepts emerged from the conceptual map. These demonstrated the need for building effective channels of communication to share experience and knowledge timely in diabetes care. Communication, collaboration and coordination are critical factors to influence prescription behaviours within primary and secondary care.\u0000Conclusions:\u0000\u0000conceptual mapping allowed understanding factors that might explain how links between health professionals can improve patient outcomes at the primary and secondary care interface.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"106 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88045799","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: 8

Práctica basada en la evidencia: creencias, actitudes, conocimientos y habilidades entre fisioterapeutas colombianos 循证实践:哥伦比亚物理治疗师的信念、态度、知识和技能

IF 1.1 4区医学

Colombia Medica Pub Date : 2015-03-30 DOI: 10.25100/CM.V46I1.1654

R. Ramírez-Vélez, Jorge Enrique Correa-Bautista, Diana Isabel Muñoz-Rodríguez, Lorena Ramírez, Katherine González-Ruíz, Maria Andrea Dominguez-Sánchez, Diana Durán-Palomino, M. Girabent-Farrés, M. E. Flórez-López, M. C. Bagur-Calafat

{"title":"Práctica basada en la evidencia: creencias, actitudes, conocimientos y habilidades entre fisioterapeutas colombianos","authors":"R. Ramírez-Vélez, Jorge Enrique Correa-Bautista, Diana Isabel Muñoz-Rodríguez, Lorena Ramírez, Katherine González-Ruíz, Maria Andrea Dominguez-Sánchez, Diana Durán-Palomino, M. Girabent-Farrés, M. E. Flórez-López, M. C. Bagur-Calafat","doi":"10.25100/CM.V46I1.1654","DOIUrl":"https://doi.org/10.25100/CM.V46I1.1654","url":null,"abstract":"Objective: The main purpose of this study was to describe a group of Colombian physical therapists’ beliefs and attitudes towards Evidence-Based Practice (EBP), their education, knowledge and skills for implementing EBP, the use of relevant literature in clinical practice, access to and availability of scientific information and perceived barriers to including EBP in practice. Methods: This was a cross-sectional study which involved 1,064 Colombian physical therapists. The study used a 50-item screening questionnaire EBP developed to estimate attitudes, beliefs, knowledge and skills regarding. This instrument has been adapted and was validated previously in Colombia by Florez-Lopez et al. Results: The population mostly consisted of young females (77.2%) aged 22 to 29 years old (79.4%). Most respondents had an undergraduate degree (87.7%). The physical therapists stated that they had positive attitudes and beliefs regarding EBP, most of them answering that they agreed or strongly agreed that EBP is necessary (71.6%), the relevant literature is useful for practice (61.3%), EBP improves the quality of patient care (64.1%) and evidence helps in decision-making (44.5%). Forty-one percent of the respondents indicated that a lack of research skills was the most important barrier to the use of evidence in practice. Conclusion: The physical therapists reported that they had a positive attitude to EBP and were interested in learning about or improving the skills necessary to adopt EBP in their clinical practice. Article history:","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"57 1","pages":"33-40"},"PeriodicalIF":1.1,"publicationDate":"2015-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83225628","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: 17

Diagnóstico temprano de retinopatía diabética en el primer nivel de atención 糖尿病视网膜病变的早期诊断在一级护理

IF 1.1 4区医学

Colombia Medica Pub Date : 2015-03-30 DOI: 10.25100/CM.V46I1.1681

María Valeria Jiménez-Báez, H. Márquez-González, Rodolfo Bárcenas-Contreras, Carlos Morales-Montoya, Laura Fátima Espinosa-García

引用次数: 4

Laryngeal Histoplasmosis: report first case in Colombia 喉组织胞浆菌病:哥伦比亚报告首例病例

IF 1.1 4区医学

Colombia Medica Pub Date : 2014-12-26 DOI: 10.25100/CM.V45I4.1656

Carlos Alberto Moriones Robayo, Claudia Patricia Guerra Ortiz

引用次数: 12

Injuries are not accidents: Towards a culture of prevention 伤害不是意外:走向预防文化