Colombia Medica最新文献

{"title":"Laryngeal Histoplasmosis: report first case in Colombia","authors":"Carlos Alberto Moriones Robayo, Claudia Patricia Guerra Ortiz","doi":"10.25100/CM.V45I4.1656","DOIUrl":"https://doi.org/10.25100/CM.V45I4.1656","url":null,"abstract":"Laryngeal histoplasmosis is a fungal infection that is frequent in Colombia. Laryngeal histoplasmosis usually occurs in immunocompromised patients through the dissemination of the fungus from the lungs to other organs. Histoplasmosis isolated laryngeal (primary) is rare. If a patient presents with a history of immunosuppression by renal transplant, primary laryngeal histoplasmosis with supraglottic granulomatous inflammation that was treated with amphotericin B and Itraconazole, with complete resolution of laryngeal lesions.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"20 1","pages":"186-189"},"PeriodicalIF":1.1,"publicationDate":"2014-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87293775","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":"Injuries are not accidents: Towards a culture of prevention","authors":"F. Bonilla-Escobar, M. I. Gutiérrez","doi":"10.25100/CM.V45I3.1462","DOIUrl":"https://doi.org/10.25100/CM.V45I3.1462","url":null,"abstract":"Injuries are the result of an acute exposure to exhort of energy or a consequence of a deficiency in a vital element that exceeds physiological thresholds resulting threatens life. They are classified as intentional or unintentional. Injuries are considered a global health issue because they cause more than 5 million deaths per year worldwide and they are an important contributor to the burden of disease, especially affecting people of low socioeconomic status in low- and middle-income countries. A common misconception exists where injuries are thought to be the same as accidents; however, accidents are largely used as chance events, without taken in consideration that all these are preventable. This review discusses injuries and accidents in the context of road traffic and emphasizes injuries as preventable events. An understanding of the essence of injuries enables the standardization of terminology in public use and facilitates the development of a culture of prevention among all of us.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"5 1","pages":"132-135"},"PeriodicalIF":1.1,"publicationDate":"2014-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87434680","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":"Frecuencia y variabilidad de la morfología dental en dentición temporal y permanente de un grupo de indígenas Nasa del municipio de Morales (Cauca, Colombia)","authors":"E. Díaz, L. García, Michelle Hernández, L. Palacio, D. Ruiz, Nataly Velandia, Judy Villavicencio, Freddy Moreno","doi":"10.1234/1281","DOIUrl":"https://doi.org/10.1234/1281","url":null,"abstract":"Objetivos: Determinar la frecuencia, la variabilidad, el dimorfismo sexual y la simetria bilateral de 14 Rasgos Morfologicos Dentales Coronales (RMDC) en denticion temporal y permanente de 60 modelos (35 mujeres y 25 hombres) obtenidos de un grupo de indigenas escolares Nasa del cabildo Musse Ukue del Municipio de Morales, Departamento del Cauca. Materiales y metodos: Estudio descriptivo transversal cuantitativo que caracteriza la morfologia dental mediante los sistemas en denticion temporal Dahlberg (winging), ASUDAS (crowding, reduccion de hipocono, metaconulo y cuspide 6), Hanihara (incisivos centrales y laterales en pala y cuspide 7), Sciulli (doble pala, protostilido, pliegue acodado, patron cuspideo y numero de cuspides) y Grine (cuspide de Carabelli); y en denticion permanente ASUDAS (Winging, crowding, incisivos centrales y laterales en pala, doble pala, cuspide de Carabelli, reduccion del hipocono, metaconulo, patron cuspideo, numero de cuspides, pliegue acodado, protostilido, cuspide 6 y cuspide 7). Resultados: Los RMDC mas frecuentes fueron la forma de pala, formas surco y fosa de la cuspide de Carabelli, metaconulo, patron cuspideo Y6, pliegue acodado, protostilido (punto P) y cuspide 6. No se observo dimorfismo sexual y hubo simetria bilateral en la expresion de los rasgos. Conclusiones: La muestra estudiada presenta una alta afinidad con grupos etnicos pertenecientes al Complejo Dental Mongoloide debido a la frecuencia (expresion) y variabilidad (gradacion) de los RMDC, incisivos en pala, la cuspide Carabelli, el Protostilido, la cuspide 6 y la cuspide 7; sin embargo, no se puede descartar influencia del Complejo Dental Caucasoide asociado a procesos etno-historicos.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"177 1","pages":"15-24"},"PeriodicalIF":1.1,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84862339","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":"Deficiency of vitamin B12 and development of Geriatric syndromes","authors":"J. M. Ocampo","doi":"10.25100/CM.V44I1.793","DOIUrl":"https://doi.org/10.25100/CM.V44I1.793","url":null,"abstract":"Vitamin B12 deficiency or cyanocobalamin is a common condition in the elderly. It is repeatedly overlooked due to multiple clinical manifestations that can affect the blood, neurological, gastrointestinal, and cardiovascular systems, skin and mucous membranes. The various presentations of vitamin B12 deficiency are related to the development of geriatric syndromes like frailty, falls, cognitive impairment, and geriatric nutritional syndromes like protein-energy malnutrition and failure to thrive, in addition to enhancing aging anorexia and cachexia. Therefore, interventions must be developed to include their screening and diagnosis to make early and appropriate treatment to prevent its complications before they become irreversible.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"79 1","pages":"42-45"},"PeriodicalIF":1.1,"publicationDate":"2013-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81518798","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":"Valoración del crecimiento y del estado madurativo en población pediátrica y su importancia clínica","authors":"E. González, M. Aguilar","doi":"10.25100/CM.V43I1.1063","DOIUrl":"https://doi.org/10.25100/CM.V43I1.1063","url":null,"abstract":"El crecimiento y el desarrollo constituyen dos procesos organicos fisiologicos por los que los seres vivos incrementan su masa y maduran morfologicamente, y por ello, adquieren una plena capacidad funcional. Si se tiene en cuenta que el crecimiento en la especie humana muestra un ritmo discontinuo, esto es, alternancia de periodos de crecimiento rapido o fases de aceleracion con fases de desaceleracion, su estudio entre la poblacion pediatrica resultara complejo y se hace necesario el uso de modelos matematicos y estandares de referencia. El objetivo de este trabajo ha sido llevar a cabo una revision acerca de los principales modelos o metodos existentes para analizar la curva de crecimiento durante la edad pediatrica, asi como los estandares de referencia mas importantes y los parametros de evaluacion del crecimiento.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"62 1","pages":"86-94"},"PeriodicalIF":1.1,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87973464","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":"Salivary cortisol levels as a predictor of preeclampsia in adolescents","authors":"Jaime Salvador Moysén, J. Aranda, Yolanda López, Mar Durán","doi":"10.25100/cm.v43i1.1058","DOIUrl":"https://doi.org/10.25100/cm.v43i1.1058","url":null,"abstract":"Objetivo: Determinar la utilidad del cortisol salivario como un predictor de preeclampsia en adolescentes. Metodos: Se realizo un estudio de casos y controles anidado en una cohorte.Se obtuvieron datos somatometricos, clinicos y bioquimicos, de un grupo de 100 mujeres adolescentes, embarazadas y sanas. Se les cuantifico cortisol salivario a las 8:00, 12:00 y 20:00 h en dos ocasiones durante el desarrollo de su proceso gestacional, antes de la semana 20 y despues de la semana 30. Los valores de cortisol obtenidos, tanto en el grupo de mujeres que permanecieron sanas, como en el que desarrollo preeclampsia, se compararon empleando las pruebas t de Student, Mann-Whitnney y Wilcoxon; tambien se estimaron los valores predictivos y la curva ROC para los valores de cortisol. Resultados: El grupo que se convirtio en casos presento valores de cortisol >14.9 nmol/L con un valor predictivo de 1 (100%) en relacion con la ocurrencia de preeclampsia; el grupo que fue seleccionado como control tuvo valores de cortisol <10.1 nmol/L con un valor predictivo de 1 (100%) en relacion con la no ocurrencia de preeclampsia. El punto de corte identificado -antes de la semana gestacional 20- en la curva ROC para las integrantes de toda la cohorte fue 13.9 nmol/L. Conclusiones: Los valores de cortisol salivario, que se obtuvieron en las dos evaluaciones realizadas a las integrantes de cada uno de los grupos, mostro diferencias estadisticamente significativas intergrupales a las 8:00 y 12:00 h del dia. Los valores obtenidos permiten establecer gradientes que separan antes de la semana 20, al grupo de mujeres saludables que desarrollaron un cuadro de preeclampsia del grupo de mujeres que no presentaron la enfermedad. Despues de la semana 30 los gradientes de cortisol entre el grupo con preeclampsia y el grupo control se definen mas nitidamente. La validacion de estos hallazgos en muestras poblacionales mayores permitira la implementacion de este procedimiento como","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"33 1","pages":"46-53"},"PeriodicalIF":1.1,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89708639","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":"Perfil clínico epidemiológico de los pacientes con cáncer tratados en una institución de tercer nivel. Manizales, Colombia, 1995-2004","authors":"C. Villegas, José Arnoby Chacón, J. Cardona, Luz Ángela Correa","doi":"10.25100/CM.V43I1.1054","DOIUrl":"https://doi.org/10.25100/CM.V43I1.1054","url":null,"abstract":"Antecedentes: Los diagnosticos de cancer son cada vez mayores y ello esta asociado con el aumento de la expectativa de vida, la exposicion a carcinogenos, la cobertura en salud, el tamizaje y la busqueda activa de casos. En Estados Unidos se diagnostican 1’000,000 de casos nuevos y mas de 500,000 muertes por ano. Los costos de la atencion y la incapacidad laboral son muy altos. En Colombia, el patron de ocurrencia de esta enfermedad se constituye en un problema de salud publica. En Manizales, en el ano 2004, se diagnosticaron 653 casos nuevos. Objetivo: Describir la poblacion con diagnostico de cancer atendida en el Instituto Oncologico (ION SA) de Manizales, Colombia, desde su fundacion en el ano 1995, hasta diciembre de 2004. Metodos: Se incluyeron 5,000 pacientes tratados durante 1995 a 2004. Las variables demograficas y clinicas se analizaron para establecer las frecuencias de presentacion y los principales aspectos del manejo y los resultados del tratamiento. Resultados: Edad promedio 57 anos +17.3; sexo femenino (65.6%); procedencia urbana (90.2%). La principal categoria ocupacional fue «Oficios varios» (61%) seguida de «Tecnico» (12.1%). Los diagnosticos con mayor frecuencia fueron cancer de mama (18.7%), cancer de cervix (13.1%), linfomas (7.7%), cancer colorectal (6.4%) y cancer gastrico (4.7%). La mayoria de los pacientes (69.1%) consulto despues de dos meses de presentar sintomas. Las etapas clinicas III y IV fueron las mas frecuentes en el momento de la consulta. Segun la escala de Karnofsky, la capacidad funcional era buena al inicio del tratamiento. El manejo general se hizo con cirugia, quimioterapia y radioterapia. La toxicidad medicamentosa se presento en 11.3% (567/5,000). La supervivencia a 5 anos para hombres y mujeres fue de 61.2% y 72.3%, respectivamente (p<0.05). Conclusion: El perfil clinico y epidemiologico de los pacientes atendidos en el ION SA, mantiene las tendencias mundialmente determinadas por otros estudios institucionales. Se resalta la posibilidad de hacer analisis secundarios, porque el registro institucional puede conducir a la mejor comprension del fenomeno local y de otras areas de atencion oncologica. Palabras clave: Cancer; Sobrevida; Tratamiento","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"7 1","pages":"11-18"},"PeriodicalIF":1.1,"publicationDate":"2012-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91068647","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":"Presión arterial por edad, género, talla y estrato socioeconómico en población escolarizada de Cali, Colombia","authors":"Consuelo Restrepo de Rovetto, J. Agudelo, Luis H. Conde, A. Pradilla","doi":"10.25100/CM.V43I1.1060","DOIUrl":"https://doi.org/10.25100/CM.V43I1.1060","url":null,"abstract":"Introduccion: La presion arterial (PA) es un signo vital y su registro en los ninos y adolescentes es fundamental. Los estudios han mostrado que la hipertension arterial en la edad pediatrica puede llevar a enfermedades cardiovasculares del adulto que son la primera causa de muerte en muchos paises y en Colombia. El objetivo de este articulo es mostrar los datos de PA en una poblacion escolar de 7 a 18 anos, de la ciudad de Cali, Colombia. Metodos: Se realizo un estudio descriptivo transversal en Cali, Colombia, para evaluar factores de riesgo de enfermedades cronicas no transmisibles en una poblacion escolarizada que incluyo antropometria, bioquimica sanguinea, capacidad fisica de trabajo, salud oral y dieta; ademas, dos pediatras hicieron un examen fisico completo con toma de presion arterial (PA). Para la toma de PA se utilizo metodo auscultatorio en posicion sentada con el brazalete adecuado de acuerdo con los estandares; se tomo y registro la PA en los dos brazos. Se reportaron los datos de PA de esta poblacion escolarizada, su relacion con edad, genero, talla, estrato socioeconomico, ingesta de sal e indice de masa corporal (IMC). Resultados: Se evaluaron 2,807 escolares de diferentes instituciones educativas del area urbana de Cali. El 92.2% de la poblacion escolar evaluada presento PA normal inferior a percentil 90%, 3.8% presento PA entre percentiles 90% a 95% o prehipertension y 3.2% es hipertenso con tension arterial superior al percentil 95% para edad, genero y percentil de talla. La PA sistolica y diastolica aumenta con la edad, la talla y en los varones los valores son ligeramente mas altos. No se encontraron diferencias significativas de tension sistolica y diastolica por estrato socioeconomico. No hubo diferencias entre la tension en brazo derecho y brazo izquierdo. A mayor ingesta de sodio en la dieta y mayor IMC, mayores los niveles de PA sistolica. Conclusiones: Los datos encontrados estan de acuerdo con lo reportado en la literatura. El estrato socioeconomico no tiene incidencia directa en los valores de PA en la poblacion estudiada.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"29 1","pages":"63-72"},"PeriodicalIF":1.1,"publicationDate":"2012-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77921607","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":"Del ensayo y del error hasta EQUATOR Network","authors":"M. Gómez","doi":"10.25100/CM.V43I3.1217","DOIUrl":"https://doi.org/10.25100/CM.V43I3.1217","url":null,"abstract":"14.00 The dissemination of science is grounded on the reliability and value of the research literature that, through an editorial process, expresses the necessary detail to meet the reproducibility and refutability demands that underlie the scientific method. Three roles are defined in this editorial process that the researcher may assume at differing times or simultaneously, from the beginning of his career to the end of professional life: those of author, reviewer and editor. Authorship is scientific initiation, and despite identifying ourselves with the scientific method in the development of the research, writing and publication of a manuscript are closer to the methodologies of trial and error during the editorial process. Writing courses on scientific articles favor the structuring of information; however, they cannot cover the individuality of methodological design, and depending on the demands and help provided through editorial work, the published article may have a variable quality that does not reflect the methodological rigor and results of the research that was carried out. Sooner or later, publishing an article means receiving a call from the journals to be a reviewer of another manuscript in which one might be considered an expert, and for this new role there is no schooling. Review guidelines are sent along with the document to be evaluated and these are used indiscriminately for a laboratory experiment, a clinical trial or a qualitative analysis, among others. Experience counts and an academic background may lead a reviewer to evaluate using more formative recommendations, while a more exacting researcher will highlight the weaknesses and points where the writing needs improvement.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"7 1","pages":"182-183"},"PeriodicalIF":1.1,"publicationDate":"2012-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80057419","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":"Breast intracystic papillary carcinoma with areas of infiltration. Report of two cases","authors":"M. Diaz, S. Gutiérrez, M. Gallo, Rosario Noguero Meseguera, I. Prieto","doi":"10.1234/1144","DOIUrl":"https://doi.org/10.1234/1144","url":null,"abstract":"Intracystic papillary carcinoma of the breast associated with areas of infiltration, is a rare, constituting less than 1% of breast cancers. These are tumors whose initial radiological study shows lesions with low suspicion of malignancy in a high proportion of cases. We present two cases of intracystic papillary carcinoma, associated with infiltration diagnosed at the Breast Unit of Hospital Infanta Cristina In both cases the reason for consultation was the palpation of a nodule and initial radiographic approach showed lesions with low suspicion of malignancy.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"31 1","pages":"162-166"},"PeriodicalIF":1.1,"publicationDate":"2012-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86623851","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}