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Conocimiento del personal de salud de una clínica en Bogotá acerca del Sistema Obligatorio de Garantía de Calidad de la Atención de Salud 波哥大一家诊所的卫生工作人员对强制性卫生保健质量保证制度的了解
Pub Date : 2017-08-07 DOI: 10.19052/SV.4034
Wilson Giovanni Jiménez Barbosa, Angie Carolina Martínez Villalba
This research examines the regulations established in Decree 1011 of 2006 in Colombia, which allowed the creation of the standards of the Mandatory Quality Assurance System in Health Care (SOGCS, for its acronym in Spanish). Objective: To evaluate the knowledge of the personnel of the “N” clinic about SOGCS. Materials and methods: A descriptive and evaluative methodology was applied to assess the degree of knowledge of the personnel working at the clinic about these regulations. The sample consisted of 341 randomly selected staff members from all areas of the clinic, who were surveyed for this study. Results: It was possible to demonstrate a lack of awareness about the generalities of Decree 1011 of 2006; the study evidenced, however, that the surveyed personnel know about the normative standards, given that the institution is in the process of qualification and continuously trains its staff. Conclusion: Although the degree of knowledge about SOGCS is good, it is necessary to strengthen the training process of the personnel to improve their specific knowledge about Decree 1011 of 2006.
这项研究考察了哥伦比亚2006年第1011号法令中制定的法规,该法令允许制定医疗保健强制性质量保证体系(SOGCS,西班牙语缩写)的标准。目的:评价N门诊人员对SOGCS的认识。材料和方法:采用描述性和评价性方法来评估诊所工作人员对这些规定的了解程度。样本由341名来自诊所各地区的随机选择的工作人员组成,他们接受了本研究的调查。结果:有可能表明对2006年第1011号法令的一般性缺乏认识;然而,这项研究证明,受访人员了解规范性标准,因为该机构正在进行资格认证,并不断培训员工。结论:尽管SOGCS的知识程度较好,但有必要加强人员的培训过程,以提高他们对2006年第1011号法令的具体知识。
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引用次数: 1
Adaptación de lente de contacto de apoyo escleral en un paciente con queratoplastia penetrante causada por una ectasia unilateral post-LASIK: reporte de caso lasik后单侧扩张引起穿透性角膜成形术患者巩膜支持隐形眼镜的适应:病例报告
Pub Date : 2017-03-08 DOI: 10.19052/SV.4053
E. R. Vásquez
The cornea provides about 70% of the eye’s refractive power; this is where most of the refractive surgeries that exist today, such as LASIK, are practiced. For this reason, it is essential to perform all the pre-surgical and postsurgical exams available, since iatrogenic ectasias can be prevented. Likewise, the biomechanical aspects of the cornea after laser surgery, such as the percentage of altered tissue and residual stromal thickness, provide extremely important data to determine the future behavior of the cornea after procedure. In this case report, the patient presented with penetrating keratoplasty caused by unilateral post-LASIK ectasia. For this reason, he was referred to optometry for visual assessment and rehabilitation, where a complete examination was carried out and the existing alternatives for the correction of the case were analyzed in depth. Finally, a scleral contact lens was adapted.
角膜提供了眼睛70%的屈光力;这是目前大多数屈光手术的实施地点,比如LASIK。因此,必须进行所有术前和术后检查,因为医源性扩张是可以预防的。同样,激光手术后角膜的生物力学方面,如改变组织的百分比和剩余间质厚度,为确定手术后角膜的未来行为提供了极其重要的数据。在这个病例报告中,患者提出了穿透性角膜移植引起的单侧lasik后扩张。因此,他被转介到验光处进行视力评估和康复,在那里进行了全面的检查,并深入分析了现有的矫正方案。最后,换上了巩膜隐形眼镜。
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引用次数: 0
Las Nieves: una descripción de su territorio desde la perspectiva de la calidad de vida y la salud 拉斯尼夫斯:从生活质量和健康的角度描述其领土
Pub Date : 2017-03-08 DOI: 10.19052/SV.3900
Diana Carolina Quiroz Niño, Adriana Pérez Gutiérrez, C. Rodríguez, Cindy Paola Vanegas Roa, Wilson Giovanni Jiménez Barbosa
Objective : To describe the territory of the Las Nieves neighborhood from the perspective of quality of life and health. Methodology : This descriptive and narrative study was developed in two phases: the first phase was a documentary study on the history of the neighborhood, the limits of its territory, its public transportation routes and the main infrastructures that compose it. The second phase consisted of a tour through the neighborhood. Based on the data collected during the two phases, the study described what was observed in the neighborhood and its relation to the history and present reality of the sector. Results : The history of Las Nieves goes back to the origins of Bogota; the neighborhood emerged around the church and the pile of water established in this sector and became a site of manufacturing, commercial, and leisure activities—legal and illegal. The deterioration of the neighborhood was only reversed starting in the late twentieth century, thanks to the private initiatives of universities and companies and to public policies aimed at recovering the center of Bogota. Conclusion : Territory and population are two elements that mutually determine each other. Their confluence generates the quality of life and health of the inhabitants, or the lack thereof. Las Nieves is no exception, even more so when it is a neighborhood of great cultural and historical wealth that has shaped its territory in a particular way, which makes it a stronghold for the city of Bogota.
目的:从生活质量和健康的角度描述Las Nieves社区的范围。方法论:这项描述性和叙述性研究分两个阶段进行:第一阶段是对该社区的历史、领土范围、公共交通路线和构成该社区的主要基础设施的文献研究。第二阶段是参观该社区。根据两个阶段收集的数据,该研究描述了在该社区观察到的情况及其与该行业历史和现状的关系。结果:拉斯·尼维斯的历史可以追溯到波哥大的起源;该社区出现在教堂和该地区建立的一堆水周围,成为制造业、商业和休闲活动的场所——合法和非法。从20世纪末开始,由于大学和公司的私人倡议以及旨在恢复波哥大市中心的公共政策,该社区的恶化才得以扭转。结论:领土和人口是相互决定的两个因素。它们的融合产生了居民的生活质量和健康,或者说缺乏生活质量和卫生。拉斯尼维斯也不例外,当它是一个拥有巨大文化和历史财富的社区,以一种特殊的方式塑造了它的领土,使它成为波哥大市的据点时,情况更是如此。
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引用次数: 0
Rangos de referencia de heteroforias y reservas fusionales entre los 6 y los 60 años de edad 6至60岁的异眼和合并储备的参考范围
Pub Date : 2017-03-08 DOI: 10.19052/SV.4038
Alejandro León Álvarez, S. Muñoz, Mónica Marlene Márquez Galvis
Objective : To describe the reference values for heterophoria measured with the prism cover test (PCT), negative (NFR) and positive (PFR) fusional reserves at 3 m and 0.4 m, and near point of convergence (NPC) in a Colombian population between 6 and 60 years of age. Materials and methods : 632 people from Pereira, Colombia, were included in this study. A routine optometric examination was performed, including evaluation of heterophoria with PCT, NFR and PFR with prism bar, NPC with an accommodative target (AT) and a red filtered light (RF). Results : Median values for fusional reserves at 3 m and 0.4 m (rupture/recovery) were: NFR: 10/6, 14/10; PFR: 20/16, 30/22; NPC: (AT) 7/10, (RF) 10/14; PCT: far 0, near –2. There was no significant change regarding ametropia and age ( p > 0.05), except for PFR, mainly at 0.4 m. Conclusion : The results were slightly higher than those reported by other authors, therefore it is recommended to use as a guide the data reported in the present study.
目的:描述在6至60岁的哥伦比亚人群中,用棱镜盖试验(PCT)、3米和0.4米处的阴性(NFR)和阳性(PFR)融合储备以及近收敛点(NPC)测量的斜视参考值。材料和方法:来自哥伦比亚佩雷拉的632人被纳入本研究。进行了常规验光检查,包括用PCT评估斜视,用棱镜棒评估NFR和PFR,用调节靶(AT)和红色滤光(RF)评估NPC。结果:3m和0.4m处融合储量(破裂/恢复)的中值为:NFR:10/6、14/10;PFR:20/16、30/22;NPC:(AT)7/10,(RF)10/14;PCT:远0,近-2。除了PFR外,屈光不正和年龄没有显著变化(p>0.05),主要在0.4m。结论:结果略高于其他作者的报告,因此建议使用本研究中报告的数据作为指导。
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引用次数: 0
Caracterización de la microbiota conjuntival transitoria y residente de adultos jóvenes 年轻人短暂和常驻结膜微生物群的特征
Pub Date : 2017-03-08 DOI: 10.19052/SV.3994
Victor Algarra, V. Niño, Martha Fabiola Rodríguez Álvarez
Ocular microbiota is mainly found in the conjunctiva and consists of bacteria of the genera Staphylococcus corynebacterium spp., Bacillus spp., Neisseria spp., Moraxella spp., and Streptococcus spp. This diversity may vary according to seasonal conditions, temperature, age, and environmental exposure. Objective: To characterize the diversity of resident and transient conjunctival microbiota in young adults. Methodology: A cross-sectional observational descriptive study including 67 young adults, men and women between 18 and 25 years of age, who met the inclusion criteria and agreed to sign the informed consent form. Two samples from the conjunctival sac were collected from each subject, with an interval of one week. These were cultured on blood agar and chocolate agar at 37 °C for 24 hours. Isolated colonies were identified using the VITEK automated system. Results: Sixteen genera and 29 different species were identified. The most common genus was Staphylococcus (55.6%), followed by Acinetobacter (12.0%), Bacillus (7.0%), Pasterella (4.6%) and Escherichia (3.7%). Resident microbiota consisted primarily of the genus Staphylococcus and its most representative species were S. epidermidis (50.0%) and S. lentus (13.3%). Conclusion: There is a great diversity of bacteria in the conjunctival flora, greater in the transient than in the resident microbiota; this probably depends on the environment in which the individual lives.
眼部微生物群主要存在于结膜,由棒状杆菌葡萄球菌、芽孢杆菌、奈瑟氏菌、莫拉氏菌和链球菌属细菌组成,其多样性可能因季节条件、温度、年龄和环境暴露而异。目的:了解青年结膜常住菌群和瞬时菌群的多样性。方法:一项横断面观察性描述性研究,包括67名年龄在18 - 25岁之间的年轻成年人,男性和女性,符合纳入标准并同意签署知情同意书。从每个受试者的结膜囊中采集两个样本,间隔一周。分别在血琼脂和巧克力琼脂上37℃培养24小时。使用VITEK自动化系统鉴定分离菌落。结果:共鉴定出16属29种。最常见的属是葡萄球菌(55.6%),其次是不动杆菌(12.0%)、芽孢杆菌(7.0%)、帕斯泰罗菌(4.6%)和埃希氏菌(3.7%)。常驻菌群以葡萄球菌属为主,其中最具代表性的是表皮葡萄球菌(50.0%)和香菇葡萄球菌(13.3%)。结论:结膜菌群具有丰富的多样性,瞬态菌群多于常驻菌群;这可能取决于个体所处的环境。
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引用次数: 4
Control de la miopía con ortoqueratología 角膜矫形术控制近视
Pub Date : 2017-03-08 DOI: 10.19052/SV.3905
Ernesto Ortega Pacific, Adrián Rodríguez Rodríguez
Orthokeratology has had a great boom in the last few years, due to the appearance of new materials and designs that have facilitated its application. For this reason, the study proposed to develop a review that would allow to analyze this technique based on the experience of patients who were treated with it. Objectives : To present scientific evidence of the use of orthokeratology for myopia control. Materials and methods : A bibliometric review of 50 scientific articles written between 1999 and 2015, with grade of recommendation B and level of evidence II−3, according to the United States Preventive Services Task Force (USPSTF) scale. The variables age, refractive defect, axial length and corneal curvature were considered. Results : 47% of the patients were younger than 15 years of age. The most important modifications through orthokeratology were found in patients with refractive values lower than −4.00 D (80%); one month after treatment, reductions of an average of −3.11 D were evidenced. The lenses used in the study mainly had an inverse geometry design, with materials with permeability greater than 100. Conclusions : Orthokeratology retards the progression of myopia; this is evidenced in 100% of the articles analyzed. There is a greater efficacy in the control of low myopia (myopia up to 4 D, according to Borish): 55% of patients with myopia from −0.25 to −1.00 D, while the remaining 45% is distributed between −1.25 and −7.00 D.
由于新材料和设计的出现促进了角膜塑形术的应用,角膜塑形术在过去几年中取得了巨大的发展。因此,该研究建议进行一项综述,以便根据接受该技术治疗的患者的经验对该技术进行分析。目的:为使用角膜塑形术控制近视提供科学证据。材料和方法:根据美国预防服务工作队(USPSTF)的量表,对1999年至2015年间撰写的50篇科学文章进行文献计量学综述,推荐等级为B,证据等级为II−3。考虑了年龄、屈光缺损、眼轴长度和角膜曲率等因素。结果:47%的患者年龄在15岁以下。角膜塑形术中最重要的改变发生在屈光度低于-4.00 D的患者身上(80%);治疗一个月后,平均减少了−3.11 D。研究中使用的镜片主要采用反几何设计,材料的渗透率大于100。结论:角膜塑形术可延缓近视的发展;100%的分析文章都证明了这一点。在控制低度近视(根据Borish的说法,近视高达4 D)方面有更大的疗效:55%的近视患者在-0.25至-1.00 D之间,而其余45%的近视患者分布在-1.25至-7.00 D之间。
{"title":"Control de la miopía con ortoqueratología","authors":"Ernesto Ortega Pacific, Adrián Rodríguez Rodríguez","doi":"10.19052/SV.3905","DOIUrl":"https://doi.org/10.19052/SV.3905","url":null,"abstract":"Orthokeratology has had a great boom in the last few years, due to the appearance of new materials and designs that have facilitated its application. For this reason, the study proposed to develop a review that would allow to analyze this technique based on the experience of patients who were treated with it. Objectives : To present scientific evidence of the use of orthokeratology for myopia control. Materials and methods : A bibliometric review of 50 scientific articles written between 1999 and 2015, with grade of recommendation B and level of evidence II−3, according to the United States Preventive Services Task Force (USPSTF) scale. The variables age, refractive defect, axial length and corneal curvature were considered. Results : 47% of the patients were younger than 15 years of age. The most important modifications through orthokeratology were found in patients with refractive values lower than −4.00 D (80%); one month after treatment, reductions of an average of −3.11 D were evidenced. The lenses used in the study mainly had an inverse geometry design, with materials with permeability greater than 100. Conclusions : Orthokeratology retards the progression of myopia; this is evidenced in 100% of the articles analyzed. There is a greater efficacy in the control of low myopia (myopia up to 4 D, according to Borish): 55% of patients with myopia from −0.25 to −1.00 D, while the remaining 45% is distributed between −1.25 and −7.00 D.","PeriodicalId":31094,"journal":{"name":"Ciencia y Tecnologia para la Salud Visual y Ocular","volume":"15 1","pages":"69-78"},"PeriodicalIF":0.0,"publicationDate":"2017-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47191393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluación de la actividad proteolítica de una solución empleada en la limpieza de lentes de contacto: proyecto de aula 用于隐形眼镜清洁的溶液的蛋白水解活性评价:课堂项目
Pub Date : 2017-03-08 DOI: 10.19052/SV.4076
J. Castro, Luis Eduardo Chacua Mazabel, Karent Paola Mahecha Bernal, Nicoll Andrea Márquez Buitrago, Lucy Rivera Rojas
En cada lagrima existe una alta concentracion de proteinas y en la mayoria de los materiales empleados en lentes de contacto estas se adhieren, y ello genera depositos e incomodidad en el usuario. De ahi que sea necesaria la limpieza de los lentes para asegurar la eliminacion de tales depositos. Uno de los metodos mas efectivos es la desproteinizacion, mediante la actividad proteolitica de las proteasas. Objetivos : evaluar la actividad proteolitica de una solucion empleada en la limpieza de lentes de contacto, como proyecto final de aula del espacio academico Bioquimica, del programa de Optometria de la Universidad de La Salle. Materiales y metodos : se desarrollaron cuatro ensayos con diferentes concentraciones de la solucion limpiadora frente a la misma concentracion de solucion de albumina. Se utilizo el reactivo de Biuret y el espectrofotometro PRIM. Asi mismo, se repitieron los mismos ensayos, pero esta vez se utilizo como disolvente de los reactivos la solucion indicada por el fabricante. Resultados : se encontro una disminucion en la absorbancia en las soluciones de albumina tratadas con las diferentes concentraciones de la solucion limpiadora, lo que indica su actividad proteolitica. La actividad enzimatica no se altera al usar agua destilada en lugar de la solucion indicada. Conclusiones : se encontro degradacion de proteinas por accion de la solucion limpiadora en los ensayos realizados. Se considera importante el uso de soluciones con actividad proteolitica en la limpieza y cuidado de lentes de contacto. Se recomienda su empleo entre los usuarios de estos.
在每一滴眼泪中都有高浓度的蛋白质,在隐形眼镜中使用的大多数材料中,蛋白质都会粘附在一起,这会给使用者带来沉积物和不适。因此,有必要清洁镜片,以确保清除这些沉积物。最有效的方法之一是通过蛋白酶的蛋白水解活性进行脱蛋白。目的:评估用于清洁隐形眼镜的溶液的蛋白质水解活性,作为拉萨尔大学验光计划生物化学学术空间的最终课堂项目。材料和方法:在相同浓度的白蛋白溶液中,用不同浓度的清洁液进行了四次试验。使用缩二脲试剂和Prim分光光度计。同样,重复了同样的测试,但这一次,制造商指定的溶液被用作试剂的溶剂。结果:不同浓度的洗液处理后,白蛋白溶液的吸光度下降,表明其蛋白水解活性。使用蒸馏水代替所示溶液不会改变酶活性。结论:在所进行的试验中,发现清洗液的作用导致蛋白质降解。在接触镜的清洁和护理中使用具有蛋白质水解活性的溶液被认为是重要的。建议在这些用户中使用。
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引用次数: 0
Aspectos clínicos relevantes en el diagnóstico de las oclusiones venosas retinianas: revisión 视网膜静脉闭塞诊断的相关临床方面:综述
Pub Date : 2017-03-08 DOI: 10.19052/SV.3983
Sara Lucía Pineda Ocampo, Marcelo Carrizosa Murcía
Objective : To describe central retinal vein occlusion (CRVO) and branch retinal vein occlusion (BRVO), their clinical characteristics, diagnosis, treatment, and risk factors, using the most up-todate information. Materials and methods : A systematized search was developed in the PubMed, Science Direct, ProQuest, and Medline databases, among others; in addition, literary texts with information on the topic were included. Documents and information were selected from a publication period between 2005 and 2016. Conclusion : CRVO and BRVO are prevalent pathologies in the daily practice; the diagnostic approach used in optometry is of vital importance, since correct referral is beneficial for patients.
目的:利用最新信息描述视网膜中央静脉阻塞(CRVO)和视网膜分支静脉阻塞(BRVO)的临床特征、诊断、治疗和危险因素。材料和方法:在PubMed、Science Direct、ProQuest和Medline数据库等中进行了系统化搜索;此外,还收录了与该主题相关的文学文本。文件和信息选自2005年至2016年的出版期。结论:CRVO和BRVO是日常生活中常见的病理;验光中使用的诊断方法至关重要,因为正确的转诊对患者有益。
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引用次数: 3
Cambios en la película lagrimal con el uso simultáneo de lentes de contacto y tratamientos anticonceptivos hormonales 同时使用隐形眼镜和激素避孕治疗的泪膜变化
Pub Date : 2017-03-08 DOI: 10.19052/SV.4001
A. Caro, Claudia Jiménez Forero
At present, increasingly more men and women have begun to use contraceptive methods in order to limit the number of children they wish to have. Contraceptives are composed of hormones such as progestin and estrogens. Their use produces hormonal changes that systemically affect the body, which can cause ocular alterations, specifically in the tear film (TF). Similarly, TF can undergo transformations in its structure with the use of contact lenses (CL). The objective of this article is to inform visual health professionals about the changes that occur in TF with the simultaneous use of CL and hormonal contraceptive treatments, in order to improve clinical practice, especially in the adaptation of CL. The research was based on a bibliographical review to collect and correlate studies, articles and literature that examine the topic. In conclusion, it can be affirmed that sexual hormones such as estrogens, progesterone, prolactin and androgens can reduce the quality of TF. Alterations in hormone concentration and CL produce changes in the lipids and proteins of the meibomian glands (MG), which causes dry eye problems.
目前,越来越多的男子和妇女开始使用避孕方法,以限制他们希望生育的孩子的数量。避孕药由黄体酮和雌激素等激素组成。它们的使用会产生激素变化,对身体产生系统性影响,从而导致眼部变化,特别是泪膜(TF)。同样,使用隐形眼镜(CL), TF也会发生结构转变。本文的目的是告知视觉健康专业人员,同时使用CL和激素避孕治疗时TF发生的变化,以改善临床实践,特别是在CL的适应方面。这项研究是基于文献综述,以收集和关联研究,文章和文献研究的主题。综上所述,可以肯定的是,雌激素、黄体酮、催乳素、雄激素等性激素会降低TF的质量。激素浓度和CL的改变会引起睑板腺(MG)的脂质和蛋白质的变化,从而引起干眼症。
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引用次数: 2
Experiencia en investigación formativa: Semillero de Investigación en Salud Visual y Ocular 培训研究经验:视觉和眼睛健康研究的温床
Pub Date : 2017-03-08 DOI: 10.19052/SV.4208
Íngrid Astrid Jiménez Barbosa
{"title":"Experiencia en investigación formativa: Semillero de Investigación en Salud Visual y Ocular","authors":"Íngrid Astrid Jiménez Barbosa","doi":"10.19052/SV.4208","DOIUrl":"https://doi.org/10.19052/SV.4208","url":null,"abstract":"","PeriodicalId":31094,"journal":{"name":"Ciencia y Tecnologia para la Salud Visual y Ocular","volume":"15 1","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"2017-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42987516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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