Roxana De Las Salas, Maira De la Asunción, Claudia Vásquez-Soto, Kevin Orta-Visbal, Vanessa Serrano, Elizabeth Villarreal, Sharell Sepúlveda, María José Montalvo, Jose Atilio Nuñez, Juana Borja
{"title":"Scoping review of the emerging definition of long COVID: implications for future research and clinical practice.","authors":"Roxana De Las Salas, Maira De la Asunción, Claudia Vásquez-Soto, Kevin Orta-Visbal, Vanessa Serrano, Elizabeth Villarreal, Sharell Sepúlveda, María José Montalvo, Jose Atilio Nuñez, Juana Borja","doi":"10.15446/rsap.V27n6.122127","DOIUrl":"10.15446/rsap.V27n6.122127","url":null,"abstract":"<p><strong>Introduction: </strong>Long COVID, Post-COVID19 syndrome and prolonged COVID-19, are concepts classified as the set of signs and symptoms that persist after an acute episode of COVID-19 disease.</p><p><strong>Objective: </strong>To describe what definitions have been published for the term \"long COVID\".</p><p><strong>Methods: </strong>The PRISMA ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) was used as a base for a scoping review, as suggested by Joanna Briggs Institute. A search of databases, Medline via PubMed, Embase, SciELO and The Cochrane Library was undertaken. The data registry and synthesis of the results was carried out independently by two reviewers.</p><p><strong>Results: </strong>Following removal of duplicates, 896 articles were retrieved of which 91 met the eligibility principles and 51 of which included a definition. At least four characteristics of the definitions were identified: time or term, organs affected, symptoms and clinical manifestations.</p><p><strong>Conclusions: </strong>The review identified many concepts and definitions of \"long COVID\". These findings show that there is lack of consensus on the definition of long COVID-19.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 6","pages":"122127"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12755205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luz A Suarez-Jaramillo, Diana P Betancurth-Loaiza, Francisco J Tamayo-Giraldo, Brandon Morales-Osorio
{"title":"[How to select a qualitative meta-synthesis for evidence-based practice in health].","authors":"Luz A Suarez-Jaramillo, Diana P Betancurth-Loaiza, Francisco J Tamayo-Giraldo, Brandon Morales-Osorio","doi":"10.15446/rsap.V27n5.122590","DOIUrl":"https://doi.org/10.15446/rsap.V27n5.122590","url":null,"abstract":"<p><p>Qualitative meta-synthesis allows for the interpretation and integration of knowledge to understand phenomena, inform clinical practice, guide policy, and develop theory. In this way, it becomes a key strategy to overcome reductionist approaches that distort reality.</p><p><strong>Objective: </strong>To identify the methodological and practical contributions of qualitative meta-synthesis to evidence-based practice.</p><p><strong>Method: </strong>A narrative review was conducted. The search covered PubMed, Web of Science, Scopus, Google Scholar, and Connected Papers.</p><p><strong>Results: </strong>Thirty articles were included, identifying six types of meta-synthesis: meta-ethnography, meta-study, meta-synthesis, critical interpretive synthesis, narrative synthesis, and qualitative meta-synthesis.</p><p><strong>Conclusion: </strong>Meta-synthesis is a powerful method in Evidence-Based Practice, enabling critical interpretation of qualitative studies. Each approach responds to different needs: meta-ethnography and qualitative meta-synthesis generate new interpretations, while meta-study and critical interpretive synthesis provide rigorous analyses. The choice of the appropriate method depends on the phenomenon under study.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 5","pages":"122590"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13095115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Knowledge of basic life support and first aid in primary and secondary education students compulsory].","authors":"Brais Ruibal-Lista, Alicia Fernández-Sanabria, Carla Carta-Monje, Sergio López-García","doi":"10.15446/rsap.V27n5.115766","DOIUrl":"10.15446/rsap.V27n5.115766","url":null,"abstract":"<p><strong>Objective: </strong>Early training in cardiopulmonary resuscitation (CPR) and first aid is crucial due to the high incidence of sudden cardiac death. This study examines the knowledge of basic life support and first aid among Primary and Secondary Education students in Valladolid.</p><p><strong>Methods: </strong>A total of 240 students aged 10 to 14 participated through a questionnaire covering sociodemographic dimensions, general BLS knowledge, specific knowledge of adult CPR, and the use of an automated external defibrillator (AED).</p><p><strong>Results: </strong>The results indicate that Primary school students have limited knowledge of BLS, with only 8.6% able to correctly explain cardiac massage and 22.9% understanding the appropriate compression depth. In Secondary school, although knowledge is slightly better, it remains insufficient. Furthermore, prior training showed a significant influence on demonstrated knowledge.</p><p><strong>Conclusions: </strong>Primary and Secondary Education students exhibit low levels of BLS knowledge, highlighting the need to improve training in these skills.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 5","pages":"115766"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12755213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samuel Rey-Robledo, Liliana Cuevas-López, Elio Fabio Sánchez
{"title":"[Experience in the continuous care of pancreatic cancer at a high-complexity hospital in Bogota].","authors":"Samuel Rey-Robledo, Liliana Cuevas-López, Elio Fabio Sánchez","doi":"10.15446/rsap.V27n5.121373","DOIUrl":"10.15446/rsap.V27n5.121373","url":null,"abstract":"<p><strong>Objective: </strong>To describe and evaluate the care pathway of patients diagnosed with pancreatic ductal adenocarcinoma (PDAC) at Hospital Universitario San Ignacio (HUSI), between 2017-2023.</p><p><strong>Methods: </strong>An analytical, observational, retrospective cohort study was conducted. The study population included patients over 18 years of age with histopathological confirmed diagnosis of PDAC at HUSI. Data were collected on sociodemographics, clinical characteristics, morbidity, mortality, and variables related to the continuum of care. Descriptive and bivariate analyses were performed using Chi-square and Kruskal-Wallis tests.</p><p><strong>Results: </strong>A total of 105 patients were included in the study. The majority (90.5%) received the proposed treatment, with palliative care being the most frequent approach (73.3%). A high prevalence of care fragmentation (CF) was observed in 41.9% of patients. CF was significantly associated with affiliation to a specific Health Benefits Plan Administrator (EAPB), having the intention of curative treatment, and presenting with early-stage pathology. The time interval between surgery and adjuvant therapy was longer in patients with CF.</p><p><strong>Conclusions: </strong>The study identifies a pattern of late diagnosis of PDAC, which frequently leads to an initial palliative treatment approach. There was a high prevalence of CF which, coupled with late diagnosis, suggests the need to improve coordination of care. A significant association between CF and factors such as affiliation to particular EAPBs, the intention to receive curative treatment, and early-stage pathology was identified, highlighting the importance of targeted interventions aimed at optimizing access and continuity of care in this population.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 5","pages":"121373"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12755214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Margareth Corzo-Contreras, Julia K Mejía-Rincón, María C Murgas-Quintero, Juan C García-Ubaque, Belkis V Cuesta-Morato
{"title":"[Maternity and paternity course for pregnant women, in clinical contexts of Valledupar, Colombia].","authors":"Margareth Corzo-Contreras, Julia K Mejía-Rincón, María C Murgas-Quintero, Juan C García-Ubaque, Belkis V Cuesta-Morato","doi":"10.15446/rsap.V27n4.120935","DOIUrl":"10.15446/rsap.V27n4.120935","url":null,"abstract":"<p><strong>Introduction: </strong>Maternity support is a strategy that allows providing timely education to the pregnant couple to facilitate the appropriation of skills to safely face the physical, emotional and social changes of the gestational process. The hospital setting may be a missed opportunity to encourage adherence to this type of course.</p><p><strong>Objective: </strong>To learn about the experiences of hospitalized pregnant women in relation to the implementation of a maternity and paternity course.</p><p><strong>Methodology: </strong>A descriptive phenomenological qualitative study was conducted in a population of 12 pregnant women hospitalized in an IPS of the city of Valledupar using in-depth interviews. Internal and external validation was guaranteed through triangulation. Likewise, fundamental ethical aspects were considered, such as data confidentiality and respect for the dignity of the participants.</p><p><strong>Results: </strong>The participants, mostly primigestants, expressed that the information received allowed them to clarify doubts and strengthen their knowledge on topics such as breastfeeding, humanized childbirth and self-care.</p><p><strong>Conclusion: </strong>The participants highlighted its positive impact on the emotional and practical preparation for motherhood, the correction of myths and the construction of new knowledge. Although the experience was favorably evaluated, the need to improve its dissemination and accessibility, especially in rural areas, was evident.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 4","pages":"120935"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12755216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Right to health in Colombia: compliance with orders of the Constitutional Court to the year 2024].","authors":"Jairo H Restrepo-Zea, Lesny D Palacios-Romaña","doi":"10.15446/rsap.V27n4.121060","DOIUrl":"10.15446/rsap.V27n4.121060","url":null,"abstract":"<p><p>In July 2008, the Constitutional Court of Colombia issued judgment T-760, by which It granted health the status of an autonomous fundamental human right. In the ruling, motivated by the high number of tutela or amparo actions that asked judges to protect the right to health, the Court pointed out structural flaws that prevented the effective enjoyment of the right to health. In response to this problem, the Court issued a series of orders addressed to the actors of the health system and created a special chamber to follow up on these orders. This work aims to identify progress in the implementation of Court orders and changes in the system around benefit plan, coverage and access, financial sustainability, and resource flow. The results indicate that no significant progress has been made by 2024, with assessments similar to those of 2015 and 2018. Although some progress has been identified, it does not reach high levels of compliance, and obstacles persist in access to services and in the flow of resources. It is suggested that analyses be carried out that account for the impact of compliance with the orders on the guarantee of the right to health.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 4","pages":"121060"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12755215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Anthropometric identification of excess adiposity in Argentine adults according to the new concepts of obesity].","authors":"Martín Gustavo Farinola","doi":"10.15446/rsap.V27n3.119461","DOIUrl":"10.15446/rsap.V27n3.119461","url":null,"abstract":"<p><strong>Objective: </strong>To calculate the prevalence of elevated anthropometric component according to new concepts of obesity in a probabilistic sample of Argentine adult population.</p><p><strong>Method: </strong>Results of the Argentine 4th Encuesta Nacional de Factores de Riesgo were used. Subjects aged 18 to 65 years who had their weight, height and waist circumference directly measured were included (n=12,871 participants of both sexes). Prevalence of elevated anthropometric component was calculated according to traditional criteria (BMI>30), European Association for the Study of Obesity (EASO) criteria and international committee of experts (ICE) criteria for the diagnosis of obesity.</p><p><strong>Results: </strong>Prevalences obtained in both sexes were 31.8% with the traditional criterion, between 48.7 and 59.3% according to EASO criterion, and between 32.7 and 33.7% according to the ICE. Differences between men and women were significant.</p><p><strong>Conclusions: </strong>Given the difference in results between the new anthropometric criteria proposed for the diagnosis of obesity, it will be necessary to work on identifying which of them best represents excess adiposity in Argentine adults.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 3","pages":"119461"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12755210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145889674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Red zones: the true color behind the myth of blue zones geographic longevity.","authors":"Jairo Echeverry-Raad, Joachim P Sturmberg","doi":"10.15446/rsap.V27n3.119673","DOIUrl":"https://doi.org/10.15446/rsap.V27n3.119673","url":null,"abstract":"<p><p>This essay critically analyzes the scientific validity of Ancel Keys' Lipid Hypothesis and the concept of Blue Zones (BZ), both widely accepted as paradigms of longevity and health. The Lipid Hypothesis, derived from the \"Seven Countries Study\", linked animal-based saturated fat consumption to cardiovascular disease, fostering \"lipophobia\" and promoting diets rich in carbohydrates and ultra-processed vegetable oils. Paradoxically, these dietary shifts have been associated with a global rise in chronic metabolic diseases such as diabesity. Similarly, the BZ concept, popularized by Dan Buettner and National Geographic, suggested that regions like Sardinia, Okinawa, and Ikaria harbor populations with extreme longevity due to lifestyle factors such as diet, physical activity, and community support. However, the lack of comprehensive global epidemiological studies, biased population selection, and uncontrolled confounding variables compromise these claims. Moreover, recent investigations indicate that many longevity records in BZs may result from clerical errors or fraudulent documentation, especially in regions with unreliable vital records. This paper highlights the emerging evidence that both the low-comorbidity longevity attributed to BZs and the implications of the Lipid Hypothesis are largely based on flawed data. Additionally, it highlights how the food and pharmaceutical industries have leveraged these models to promote the marketing of BZs, excessive medicalization, and high-carbohydrate diets like the Mediterranean diet, exacerbating the current pandemic of chronic diseases.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 3","pages":"119673"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13095116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marco T Bustos-Gutiérrez, Marjorie Liz Morales-Casetti, Olga A Vásquez-Palma, Luis R Bustos-Gutiérrez
{"title":"[Social determinants of health that influence pap smear and mammography screening in Chilean women].","authors":"Marco T Bustos-Gutiérrez, Marjorie Liz Morales-Casetti, Olga A Vásquez-Palma, Luis R Bustos-Gutiérrez","doi":"10.15446/rsap.V27n3.114162","DOIUrl":"10.15446/rsap.V27n3.114162","url":null,"abstract":"<p><strong>Introduction: </strong>In Chile cancer will be the main cause of mortality in the following years. Pap smears and Mammography are the recommended requirements to detect cervical and breast cancer early. The presence of negative social determinants of health can influence the non-taking of Pap smears and Mammography in the Chilean female population.</p><p><strong>Objective: </strong>Estimate the influence that social determinants of health have on not taking Pap smears and Mammography exams in Chilean women.</p><p><strong>Methods: </strong>Descriptive-analytical, cross-sectional secondary-based study. Considers the female population responding to the National Socioeconomic Characterization Survey 2022, over 18 years of age. For Mammography 19,220 women. For Pap smears 33,992 women. Bivariate and multivariate analyzes were carried out on the social determinants of health that may influence not taking Pap smears and Mammography.</p><p><strong>Results: </strong>Not having a Mammogram is associated with being unemployed, being poor, having a public health system, not having had a health check in more than 12 months and not having had a Pap smear in the last three years. Age, not having a health check-up in more than 12 months and not having had a Mammogram in the last three years, is associated with not having a Pap smear.</p><p><strong>Conclusions: </strong>Chilean women with worse social determinants of health are more likely to not have Pap smears and mammography.</p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 3","pages":"114162"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12755211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Regulation and ban of asbestos in Latin America and the Caribbean: a comparative policy analysis].","authors":"Fabio A Escobar-Díaz, Carlos A Orozco-Castaño","doi":"10.15446/rsap.V27n2.118081","DOIUrl":"10.15446/rsap.V27n2.118081","url":null,"abstract":"<p><strong>Introduction: </strong>Asbestos is a mineral used in different industrial activities, but it has a significant impact on the health of the working population. Several countries have established policies to prohibit or regulate its use.</p><p><strong>Objective: </strong>Comparatively characterize public policy measures to prohibit and regulate asbestos in Latin America and the Caribbean.</p><p><strong>Methods: </strong>Qualitative design using the comparative policy analysis method. Documentary sources based on current national standards were consulted and six categories were constructed based on inductive coding.</p><p><strong>Results: </strong>The comparison between public policies of the countries of the region reflects some relevant aspects such as: scope of the prohibition, multisectoral surveillance organizations and sanctioning actions; conditions and exceptions for asbestos substitution; prevention, monitoring and health care activities; disposal and management of asbestos waste and formulation of specific policies or programs.</p><p><strong>Conclusions: </strong>Only a small group of countries in the region have a total ban on asbestos, reflecting the international situation. It is important to continue advancing in studies that analyze political processes and evaluations of policy implementation in each country <i>(source: MeSH, NLM).</i></p>","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"27 2","pages":"118081"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12755208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145889736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}