Colombia MedicaPub Date : 2011-11-01DOI: 10.25100/CM.V42I4.953
E. Herrera, E. Otero, Luis Carlos Hincapié, Rafael Camacho, G. Gómez, C. H. Quintero, C. Guzman, Luis Fernando Paz, P. Otero
{"title":"Heterotopic pregnancy. Presentation of four cases","authors":"E. Herrera, E. Otero, Luis Carlos Hincapié, Rafael Camacho, G. Gómez, C. H. Quintero, C. Guzman, Luis Fernando Paz, P. Otero","doi":"10.25100/CM.V42I4.953","DOIUrl":"https://doi.org/10.25100/CM.V42I4.953","url":null,"abstract":"El embarazo heterotopico se define como la gestacion intrauterina y extrauterina que coexisten de forma simultanea, entidad que ha venido en aumento en los ultimos anos con el desarrollo de las tecnicas de reproduccion asistida. Se presenta 4 casos de embarazo heterotopico, tres de ellos resultado de tecnicas de reproduccion asistida y otro espontaneo; se describen los metodos usados para el diagnostico, conductas terapeuticas, asi como el resultado perinatal.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"17 2","pages":"518-522"},"PeriodicalIF":1.1,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72394093","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}
Colombia MedicaPub Date : 2011-11-01DOI: 10.25100/CM.V42I4.952
María Clara Tovar, P. Sarmiento
{"title":"El diseño curricular, una responsabilidad compartida","authors":"María Clara Tovar, P. Sarmiento","doi":"10.25100/CM.V42I4.952","DOIUrl":"https://doi.org/10.25100/CM.V42I4.952","url":null,"abstract":"y la calidad del curriculo; tambien es indispensable cualificar los procesos y mecanismos de participacion de los demas actores implicados","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"15 1","pages":"508-517"},"PeriodicalIF":1.1,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75107433","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}
Colombia MedicaPub Date : 2011-11-01DOI: 10.25100/CM.V42I4.943
Luis Eduardo Carmona, N. Reyes, Farith González
{"title":"Polymerase Chain Reaction for detection of Streptococcus mutans and Streptococcus sobrinus in dental plaque of children from Cartagena, Colombia","authors":"Luis Eduardo Carmona, N. Reyes, Farith González","doi":"10.25100/CM.V42I4.943","DOIUrl":"https://doi.org/10.25100/CM.V42I4.943","url":null,"abstract":"SUMMARY Objectives: To detect the presence of Streptococcus mutans and Streptococcus sobrinus in dental plaque of children from Cartagena and correlate it to dental caries precavity stages, applying a standardized PCR-based technique for epidemiological purposes. Methods: Descriptive study using a non-probabilistic sample of 50 children between 3 and 5 years of age, preschoolers from a Caribbean population in Colombia. Criteria for selection were that children should exhibit plaque accumulations on the surface of the cervical margins of the rearmost molars, and placed in one of two study groups: carious lesions and sound surfaces. Dental plaque samples from both groups were subjected to molecular analysis and statistical analysis was applied to determine the difference between the two groups using the frequencies of presence of S. mutans, S. sobrinus or both in the two groups applying Fisher’s exact test for association between the presence of microorganisms and the state of the tooth surface from where the dental plaque was taken. Results: The frequency of S. mutans in carious lesions was 76% and 24% in healthy surfaces. The frequency of S. sobrinus in carious lesions was 81.9% and 18.1% in caries-free surfaces. There was statistical significance between the presence of S. mutans and the presence of caries (p=0.001) and between the presence of S. sobrinus (p=0.02) and the presence of caries. There was no statistical significance between the presence of caries and the simultaneous presence of both microorganisms (p=0.08). Conclusions: The presence of S. mutans and S. sobrinus in dental plaque samples is highly prevalent and associated to non cavitated carious lesions, being the molecular identification of these microorganisms by PCR a sensitive, fast, and easy to use detection method for the mutans group of oral bacteria.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"38 1","pages":"430-437"},"PeriodicalIF":1.1,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84039184","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}
Colombia MedicaPub Date : 2011-11-01DOI: 10.25100/CM.V42I4.951
Jesús Alberto Calero, A. Jaimes
{"title":"Caracterización de estudiantes de bachillerato que usan piercings en Cali, Colombia","authors":"Jesús Alberto Calero, A. Jaimes","doi":"10.25100/CM.V42I4.951","DOIUrl":"https://doi.org/10.25100/CM.V42I4.951","url":null,"abstract":"RESUMEN Objetivo: Conocer en una muestra poblacional de bachilleres entre 6° y 12° de cuatro colegios de Cali, Colombia, dediferentes estratos socioeconomicos, las variables sociodemograficas que los caracterizan y los factores que les motivarona utilizar piercings. Materiales y metodos : Se aplico una encuesta con 15 preguntas a 219 estudiantes bachilleres que manifestaron tenerpiercings y se realizo una entrevista en profundidad de forma aleatoria a 10% de la muestra. Resultados: De los 2120 estudiantes matriculados en bachillerato en los cuatro colegios de diferentes estratos socialesque cumplieron los criterios de inclusion del estudio, 219 estudiantes (10.3%) utilizaban piercings, coincidiendo en losestratos alto, medio y bajo el predominio de su uso en jovenes varones, a la edad de 16 anos, con preferencia para colocarselosen los lobulos de las orejas y lengua, en los sitios donde los adquirieron. Conclusion: Los factores que influyeron en la decision de usar los piercings fueron el gusto por estos, mejorar su imagen,la moda y el deseo de explorar nuevas experiencias.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"93 1","pages":"501-507"},"PeriodicalIF":1.1,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85593719","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}
Colombia MedicaPub Date : 2011-11-01DOI: 10.25100/CM.V42I4.955
J. H. Osorio
{"title":"Supplementation with carnitine for weight loss: a biochemical approach","authors":"J. H. Osorio","doi":"10.25100/CM.V42I4.955","DOIUrl":"https://doi.org/10.25100/CM.V42I4.955","url":null,"abstract":"SUMMARY Carnitine is a molecule involved in transporting activated fatty acids among different cellular compartments, which is most likely present in all animal species, and in numerous microorganisms and plants. Recently the trend in the field of weight control is to include carnitine in the diet as an agent responsible for weight loss. In the present review, some findings are discussed from a biochemical point of view to illustrate if the use of carnitine for weight loss can be considered fiction or reality.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"2 1","pages":"529-535"},"PeriodicalIF":1.1,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81141507","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}
Colombia MedicaPub Date : 2011-10-21DOI: 10.25100/CM.V42I3.887
V. Díaz
{"title":"Relación entre sociedad del conocimiento, metodología de la investigación científica y producción científica estudiantil en estudiantes de medicina, Chile","authors":"V. Díaz","doi":"10.25100/CM.V42I3.887","DOIUrl":"https://doi.org/10.25100/CM.V42I3.887","url":null,"abstract":"SUMMARY The literature proposes that the scientific production of the students of medicine and health sciences in Latin American countries is very poor and contradicts one of the key functions of universities when the concept of Knowledge Society is taken into account. The sequential and systematic application of courses related with the Research Methodology decreased the unsatisfactory indicators when applied to students at the Fines Terrae University Medical School (Chile). It was observed that those students who received the aforesaid courses were able to successfully complete their scientific investigation. Some of them were able to present their results in scientific meetings, whilst others could also produce publications. The referred system generates conditions for developing interdisciplinary processes (basic and preclinical subjects and approaching to clinical ones), contributes to diminishing the poor indicators linked to Student Scientific Production, guarantees that all students may acquire investigative competences, even under critical circumstances, and collaborates with the approach between Faculties of Health Sciences and the Knowledge Society.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"11 1","pages":"388-399"},"PeriodicalIF":1.1,"publicationDate":"2011-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82633307","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}
Colombia MedicaPub Date : 2011-10-20DOI: 10.25100/CM.V42I3.877
Liliana Arias, M. L. Vásquez, E. P. Dueñas, Lina María García, Elsa Lucía Tejada
{"title":"Comportamiento sexual y erotismo en estudiantes universitarios, Cali, Colombia","authors":"Liliana Arias, M. L. Vásquez, E. P. Dueñas, Lina María García, Elsa Lucía Tejada","doi":"10.25100/CM.V42I3.877","DOIUrl":"https://doi.org/10.25100/CM.V42I3.877","url":null,"abstract":"Objetivo: Identificar los principales componentes de pensamiento y practicas eroticas de los estudiantes de la Universidad del Valle, Campus San Fernando. Metodo: Se realizo un estudio descriptivo, durante los anos 2008 y 2009 con 1,120 estudiantes estudiantes de dos facultades de una universidad publica en el Valle del Cauca, Colombia, para evaluar sus necesidades en salud sexual y reproductiva. Resultados: Se diseno un sistema informatico para el estudio. Fueron 695 (62%) mujeres con una edad media de 20 anos, con alta proporcion de niveles socioeconomicos bajos. La edad media de inicio de relaciones sexuales fue 16 anos sin diferencias por nivel educativo; 50% tuvo su primer coito antes de la adolescencia final y 42% ha tenido entre dos y cinco parejas sexuales. Las mujeres disfrutan menos las relaciones sexuales (p=0.022) con mayor proporcion de relaciones extrapareja en los hombres (p<0.001). Conclusiones: Los hombres adoptan con mayor frecuencia comportamientos de riesgo en las practicas eroticas tales como mayor numero de parejas sexuales, mayor frecuencia de infidelidad, reportaron mayor placer durante las relaciones sexoeroticas","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"9 1","pages":"309-318"},"PeriodicalIF":1.1,"publicationDate":"2011-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84502139","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}
Colombia MedicaPub Date : 2011-10-20DOI: 10.25100/CM.V42I3.876
I. Osorio, Mauricio Hernández
{"title":"Prevalencia de deserción escolar en embarazadas adolescentes de instituciones educativas oficiales del Valle del Cauca, Colombia, 2006","authors":"I. Osorio, Mauricio Hernández","doi":"10.25100/CM.V42I3.876","DOIUrl":"https://doi.org/10.25100/CM.V42I3.876","url":null,"abstract":"Antecedentes: Partiendo de la institucion educativa, se investigo la relacion entre embarazo adolescente y desercion escolar y como influia el grado escolar y la edad de la embarazada en su riesgo de desercion. Materiales y metodos: Se aplico una encuesta voluntaria en 180 instituciones educativas oficiales del departamento del Valle del Cauca, correspondiente a 112,470 estudiantes mujeres, encontrando 605 embarazadas. De estas, a 564 se les realizo una entrevista por un profesional en psicologia al inicio del periodo academico y seguimiento a lo largo del ano lectivo, identificando las deserciones escolares en este grupo. Resultados: Del total de las adolescentes escolarizadas embarazadas, 24.6% desertaron de su institucion educativa durante el periodo (8 veces el porcentaje de desercion escolar esperada en mujeres). Al analizar la informacion se encontro que las escolarizadas embarazadas en edades entre 16 y 18 anos desertan significativamente menos (p=0.011","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"2012 1","pages":"303-308"},"PeriodicalIF":1.1,"publicationDate":"2011-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82651664","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}
Colombia MedicaPub Date : 2011-10-18DOI: 10.25100/CM.V42I3.873
Fabián Méndez Paz
{"title":"El papel de la epidemiología ambiental en el desarrollo disciplinar de la epidemiología","authors":"Fabián Méndez Paz","doi":"10.25100/CM.V42I3.873","DOIUrl":"https://doi.org/10.25100/CM.V42I3.873","url":null,"abstract":"SUMMARY Introduction: Despite past contributions to health sciences, epidemiology has not extensively developed particular theories to help provide, as has been requested, the scientific bases for the public health practice. However, when environmental epidemiology studies and intervenes environmental and health problems, it has needed the rethinking of its discipline tasks, along with its sense and perspectives. Objectives: This paper arises from the practice of environmental epidemiology and seeks to justify how the practice of epidemiology can contribute to develop disciplinary thinking. Conclusions: Issues to be developed in epidemiology are: focus on exposures, interdisciplinary work, investigation of systemic roots of problems and their consequences, integration of community points of view in research, connection of health problems to related economic and policy processes, and make visible the inequity problems.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"47 5 1","pages":"278-285"},"PeriodicalIF":1.1,"publicationDate":"2011-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79457084","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}
Colombia MedicaPub Date : 2011-10-18DOI: 10.25100/CM.V42I3.874
Leonor Córdoba, J. Tamayo, M. González, M. Martínez, A. Rosales, S. Barbato
{"title":"Adaptation and validation of the Maslach Burnout Inventory-Human Services Survey in Cali, Colombia","authors":"Leonor Córdoba, J. Tamayo, M. González, M. Martínez, A. Rosales, S. Barbato","doi":"10.25100/CM.V42I3.874","DOIUrl":"https://doi.org/10.25100/CM.V42I3.874","url":null,"abstract":"SUMMARY Objective: The objective of this study was to establish the psychometric properties of reliability and validity of the «Maslach Burnout Inventory-Human Services Survey» (MBI-HSS). Methods: The work was conducted by a process of translation and back-translation of the original instrument, instrument adaptation, translation and adaptation of the application manual, pilot study, and implementation of the adapted version of the instrument with 314 health professionals in Cali, according to the guidelines of the International Test Commission (ITC). Results: The results showed that the scale has good internal consistency (a=0.767); however, the dimension of «depersonalization» has the lowest internal consistency (a=0.518). Regarding validity, in comparing between the factor structure of the modified scale with the original version, we identified that the size of the validated version largely coincides with that of the original version; in the dimension of emotional fatigue, item 6 is excluded because it will be part of the depersonalization scale, items 15 and 21 were also excluded given their poor discriminatory ability. Conclusion: It is necessary to overcome the stability problems of the MBI-HSS depersonalization subscale in health professionals and reformulate the response options to make them more understandable for professionals within the Colombian context.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"5 1","pages":"286-293"},"PeriodicalIF":1.1,"publicationDate":"2011-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89474209","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}