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La Hierba y la Cizaña 草和稗子
IF 0.5 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2017-06-30 DOI: 10.30554/archmed.17.1.2016.2017
J. Castrillón
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引用次数: 0
Consumo de alcohol y cigarrillo en trabajadores de la construcción en Santander, Colombia 哥伦比亚桑坦德市建筑工人的酒精和香烟消费情况
IF 0.5 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2017-06-30 DOI: 10.30554/archmed.17.1.1908.2017
R. M. R. Amaya, M. G. Hernández
Objective: To determine the consumption and dependence of liquor and cigarettes on workers in the construction sector. Methodology: A cross-sectional quantitative study was carried out on 186 construction workers in Santander, Colombia. Participants answered the Alcohol Use Disorders Inventory Test (AUDIT) and the Fargerstrom test for cigarette smoking. Results: The mean age was 34,8 years. Among the respondents, 62% reported consuming liquor and in the AUDIT score, 71,5% were in zone I, 26,8% in zone II and 1,6% in zone III. Finally, 23% of workers reported being cigarette users and of them, 2.33% (n = 1) had moderate dependence on their consumption. Conclusions: The consumption of liquor (62%) and cigarette (23%) was high in this sector. Although high levels of dependence were not detected, it is important from primary prevention in health to raise awareness about the personal and labor repercussions of alcohol and cigarette abuse.
目的:了解建筑业工人烟酒消费及对烟酒的依赖情况。方法:对哥伦比亚桑坦德的186名建筑工人进行了横断面定量研究。参与者回答了酒精使用障碍清单测试(AUDIT)和法格斯特罗姆吸烟测试。结果:患者平均年龄34,8岁。在受访者中,62%的人报告饮酒,在审计评分中,71.5%的人在I区,26.8%的人在II区,1.6%的人在III区。最后,23%的工人报告自己是吸烟者,其中2.33% (n = 1)对吸烟有中度依赖。结论:该行业白酒(62%)和香烟(23%)的消费量较高。虽然没有发现高度依赖,但重要的是,从初级卫生预防方面提高人们对酗酒和吸烟滥用对个人和劳动的影响的认识。
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引用次数: 1
Terapia de restricción del lado sano como opción de manejo de personas con secuelas de enfermedad cerebrovascular. 健康侧限制疗法是治疗脑血管疾病后遗症的一种选择。
IF 0.5 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2017-06-30 DOI: 10.30554/ARCHMED.17.1.1585.2017
Leidy Tatiana Ordoñez Mora, Lizeth Johana Delgado Serna, Yuli Esmeralda Gutiérrez Muñoz, M. Bernal, J. C. Ruiz
Constraint induced movement therapy is considered a current alternatives in neurorehabilitation, in this is a lock on the unaffected side, facilitating the development of skills in the hemiplegic side, from the practice of successive task and shaping. Objective: the effects at the level of hand function in adults with spastic hemiplegia from a process of review of the literature contained in different databases. Methods: We performed a literature search in different databases such as Pubmed, PeDro, OtSeeker, Scient Direct, using as a search term "stroke" and "constraint induced movement therapy; the information was collected which will deal about the technique and its application in patients hemiplegics adults. Conclusions: The reviewed literature shows that the therapy of restriction of the healthy side generates multiple benefits in terms of arm function and specifically, to the motor function of upper limb (grips, scope), and therefore in functional independence. It is recommended that the implementation of the most widespread protocols in Latin American population as well as to establish cost-effectiveness and the adoption of this strategy in clinical intervention plans.
约束诱导运动疗法被认为是神经康复中目前的一种替代方案,这是对未受影响一侧的锁定,促进偏瘫一侧的技能发展,通过连续任务和塑形的实践。目的:通过对不同数据库中的文献的回顾,了解痉挛性偏瘫患者在手功能水平上的影响。方法:在Pubmed、PeDro、OtSeeker、Scient-Direct、,使用“中风”和“约束性运动疗法”作为检索词,收集了有关该技术及其在成人偏瘫患者中的应用的信息(握把、范围),因此在功能独立性方面。建议在拉丁美洲人群中实施最广泛的方案,并确定成本效益,并在临床干预计划中采用这一策略。
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引用次数: 3
Determinantes sociales de la salud En pacientes con tuberculosis - Manizales – Colombia 2012 -2014. 2012-2014年哥伦比亚马尼萨雷斯结核病患者健康的社会决定因素。
IF 0.5 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2017-06-30 DOI: 10.30554/ARCHMED.17.1.1896.2017
Juan Virgilio López Palacio
Objective:  To describe the behavior of the social determinants of health in patients with tuberculosis.  Materials and methods:  A descriptive study, based on the conceptual reference of the World Health Organization on the social determinants of health. Health and social residents of 273 patients were analyzed in Manizales circumstances during the year prior to diagnosis. The information came from the epidemiological profile, program records, national survey of social identification of beneficiaries and death certificate; the Statistical Package for the Social Sciences was used.  Results:  60% were men; average age 46,2 years +/- 19,1 years; 91,2% with urban residence; 8,4% with extreme social vulnerability; 92% had secondary education or less; 55,2% of low social status. An average of 4,38 people / housing was found; 4% were street dwellers. 93% affiliated to the health system; 80,2% with pulmonary tuberculosis; 12,8% with HIV-AIDS Association; 95,6% new income patients; they exited the program 33,7% cured; 39,9% completed; Failure or neglect 8,4% and 13,9% died. The incidence in the districts ranged between 0,9 and 4,4 per 10 000 people/year.  Conclusions:  The presence and persistence of tuberculosis is related to the material conditions of life of social classes. Several authors have found social gradients related to tuberculosis. People with TB of Manizales have in common various social determinants and are socially categorized influencing mortality, incidence and lethality; It is necessary that coordination coming from various sectors  strengthen research on the social determinants of health.
目的:描述结核病患者健康的社会决定因素的行为。材料和方法:一项描述性研究,基于世界卫生组织关于健康的社会决定因素的概念性参考。在诊断前一年,对马尼萨莱斯273名患者的健康和社会居民进行了分析。这些信息来自流行病学概况、方案记录、全国受益人社会身份调查和死亡证明;使用了《社会科学一揽子统计资料》。结果:男性占60%;平均年龄46,2岁+/- 19.1岁;91.2%为城镇居民;8.4%患有极端社会脆弱性;92%的人受过中等或以下教育;社会地位低的占55.2%。平均发现438人/房;4%是街头居民。93%隶属于卫生系统;肺结核占80.2%;12.8%与艾滋病毒/艾滋病协会有关;新增收入患者95.5%;他们退出了这个项目33.7%的人治愈了;39岁,9%完成;失败或疏忽分别占8.4%和13.9%。这些地区的发病率在每1万人/年0.9至4.4之间。结论:结核病的存在和持续与社会各阶层的物质生活条件有关。一些作者发现社会梯度与肺结核有关。马尼萨莱斯结核病患者共同具有各种社会决定因素,并按社会分类影响死亡率、发病率和致死率;来自各部门的协调必须加强对健康的社会决定因素的研究。
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引用次数: 3
Efecto de un programa de ejercicio físico extraescolar para el alineamiento postural, hallazgos preliminares 课外体育锻炼计划对姿势对齐的影响,初步发现
IF 0.5 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2016-12-31 DOI: 10.30554/ARCHMED.16.2.1702.2016
A. M. A. Jiménez, D. Jaimes, Héctor Haney Aguirre Loaiza, Claudia Marcela Barrios Puerta
Objective: to evaluate the effect of an exercise program on postural alignment students from 8 to 11 years. Materials end methods : A total of eleven students of both sexes randomized, experimental group (GE, n = 6) with mean age 10.0 ± 1.22 years; and control group (CG, n = 5) 9.50 ± 0.54 years. The program was implemented in 36 sessions (duration: 45 minutes each session. Frequency: 3 days per week). Postural alignment was evaluated by photogrammetry and analyzed in the Kinovea 0.8.7 program . Results: The data showed an effectiveness of exercise program significantly reducing the misalignment regions chin and breastbone lowin the previous view, vertex and cervical 7 in the rear view. The GC did not show improvements. Conclusion: The exercise program lasting 12 weeks and linear periodization reduces existing postural misalignment and promotes body alignment in school from 8 to 12 years. The implications for clinical and educational level suggests it is recommended prescribing specific physical exercises for the correction of postural misalignments in this age group. Also, to encourage scientific level future work in this line and control of other environmental factors
目的:评价一种运动方案对8 ~ 11岁学生体位调整的影响。材料结束方法:随机抽取11名男女学生,实验组(GE, n = 6),平均年龄(10.0±1.22)岁;对照组(CG, n = 5) 9.50±0.54岁。该项目分36期实施(每期45分钟)。频率:每周3天)。采用摄影测量法评估体位对齐,并在Kinovea 0.8.7程序中进行分析。结果:数据显示,锻炼计划的有效性显著减少了前视图下颌和胸骨下部,后视图顶点和颈椎7的错位区域。GC没有显示出改进。结论:持续12周的运动项目和线性分期可以减少8 - 12岁学生体位失调,促进体位调整。对临床和教育水平的影响表明,建议在这个年龄组进行特定的体育锻炼来纠正体位失调。同时,鼓励今后在这方面的科学水平工作和控制其他环境因素
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引用次数: 0
Potenciales factores clínicos y sexuales asociados con Actinomyces spp. en un servicio de citología cérvico-uterina de Medellín (Colombia) 2013-2014 medellin(哥伦比亚)2013-2014年宫颈-子宫细胞学服务中与放线菌sp .相关的潜在临床和性因素
IF 0.5 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2016-12-31 DOI: 10.30554/ARCHMED.16.2.1719.2016
Johny Steven Arango Garzón, J. Osorio, Ana Catalina Restrepo Adarve, Diana Marcela Cardona Mazo, Marleny Valencia Arredondo, J. C. Arias
Objetivo : Determinar los potenciales factores clinicos y sexuales asociados a la infeccion por Actinomyces spp ., en pacientes de un servicio de citologia cervico-uterina de una empresa social del estado del regimen subsidiado de Medellin.  Metodos: estudio transversal, realizado con 27.576 registros citologicos recolectados entre 2013-2014. Los datos se analizaron en SPSS 22, con medidas de resumen, frecuencias y estadistica no parametrica con significacion del 0,05, los factores de confusion se controlaron con modelos de regresion logistica binaria.  Resultados: La prevalencia global de Actinomyces spp., fue 0,4%. Las prevalencias especificas fueron mayores en el grupo de mujeres con edad entre 21 y 50 anos. Los factores que presentaron asociacion estadistica con la infeccion fueron el metodo de planificacion, el consumo de tabaco y los hallazgos citologicos de inflamacion. La odds de infeccion entre las mujeres que planifican con el DIU fue 268 veces mayor y de las que usan un metodo de barrera fue 7 veces mayor, en comparacion con las mujeres que no planifican; en las mujeres que no fuman fue 1,76 veces mayor frente a quienes fuman, y de 2,5 en las mujeres sin atrofia en la evaluacion oncologica frente a quienes no presentaron este hallazgo. Conclusion la prevalencia de Actinomyces spp ., fue mayor en mujeres en edad adulta entre 21 y 50 anos, y los potenciales factores clinicos y sexuales que se encontraron fueron: ser usuaria del DIU, no presentar atrofia, no consumir tabaco y usar el metodo de barrera. Hallazgos que, por tanto, requieren de estudios analiticos que puedan dar cuenta de dichos resultados, ademas para poder direccionar y fortalecer los programas de educacion y atencion en salud con respecto a la infeccion por este microorganismo, esto revela la importancia de la investigacion descriptiva en la formulacion de nuevas hipotesis.
本研究的目的是确定放线菌感染的潜在临床和性因素,在Medellin州的一个社会企业的宫颈-子宫细胞学服务的患者。方法:横断面研究,2013-2014年收集27576例细胞学记录。采用SPSS 22进行数据分析,采用总结测量、频率和非参数统计,显著性为0.05,混杂因素采用logistic回归模型控制。结果:放线菌的总体患病率为0.1%。在21 - 50岁的女性中,特定患病率较高。与感染相关的统计因素包括计划方法、吸烟和炎症细胞学结果。与不计划使用宫内节育器的妇女相比,计划使用宫内节育器的妇女的感染几率高出268倍,使用屏障避孕方法的妇女的感染几率高出7倍;在肿瘤评估中,不吸烟的女性比不吸烟的女性高1.76倍,没有萎缩的女性比不吸烟的女性高2.5倍。在21 - 50岁的成年女性中,放线菌的患病率较高,潜在的临床和性因素为:宫内节育器使用者、无萎缩、不吸烟和使用屏障法。analiticos研究结果,因此需要能够意识到这些成果,此外为了齿轮向卫生和加强教育方案和注意关于感染这种微生物,这显示描述性调查重要性formulacion新的hipotesis。
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引用次数: 0
Experiencias resilientes del terapeuta generadoras de cambio a través de expresiones plásticas 治疗师的弹性体验通过可塑性表达产生改变
IF 0.5 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2016-12-31 DOI: 10.30554/archmed.16.2.1834.2016
Martha Lúz Páez Cala
Objectives: the objective of the investigation was to understand the factors that mobilize the change during the therapeutic encounter. The artistic expressions used by the therapist serve as a vehicle that articulates the resilient narratives exposed during a reflexive process with the dilemma of the patient. Materials and methods: during the first therapeutic encounter the existential dilemma of the patient is identified. After this first encounter the therapist/investigator uses various artistic expressions to express him/herself. The therapist can use methods such as sculpture, poems, paintings or photography, amongst various options. During the next encounter the therapist exposes the art to the patient trying to evaluate if there is an innovation or appreciative change. The art transcends the esthetic to generate change. Results: i t was found that the artistic images allow a renovated therapeutic encounter, based on the perspective of generative dialogs, mobilizing various levels of observation and encouraging the reflections and learning process in a co-constructive manner. Conclusions: n ew propositional and innovative alternatives are found, by narrating in different ways the dominant stories that a person brings to the therapeutic encounter.
目的:调查的目的是了解在治疗过程中调动这种变化的因素。治疗师使用的艺术表达作为一种载体,表达在病人困境的反思过程中暴露的弹性叙述。材料和方法:在第一次治疗过程中,患者的生存困境被确定。在第一次接触之后,治疗师/研究者使用各种艺术表达来表达他/她自己。治疗师可以在各种选择中使用雕塑、诗歌、绘画或摄影等方法。在下一次会面中,治疗师向患者展示艺术,试图评估是否有创新或欣赏变化。艺术超越审美,产生变化。结果:我们发现,艺术图像允许一个更新的治疗遭遇,基于生成对话的角度,调动不同层次的观察,鼓励反思和学习过程,以一种共同建设性的方式。结论:通过以不同的方式叙述一个人带给治疗遭遇的主要故事,发现了新的命题和创新的替代方案。
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引用次数: 3
Primera jornada de actualización en neurociencias. Universidad de Manizales, Manizales, Caldas, Colombia. 16-23 octubre 2015 神经科学的第一天更新。马尼萨莱斯大学,马尼萨莱斯,卡尔达斯,哥伦比亚,2015年10月16-23日
IF 0.5 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2016-12-31 DOI: 10.30554/ARCHMED.16.2.1844.2016
S. Maya
La Universidad de Manizales desde su Facultad de Ciencias de la Salud, realiza  jornadas de actualizacion como estrategia de formacion continua y fortalecimiento de los programas de investigacion y docencia en diferentes temas de interes clinico.  Durante los dias 16 y 23 de octubre del 2015, tuvo lugar la primera Jornada de dedicada las Ciencias Cognitivas y las Neurociencias, contando con la participacion de prestigiosos ponentes locales e invitados de diferentes universidades reconocidas del pais, tales como: Representantes del grupo de Neurociencias de la Universidad de Antioquia, de la Universidad del Norte de Barranquilla, la Universidad Luis Amigo de Medellin, la Universidad Autonoma de Manizales. En consonancia con el perfil de formacion humanistica y cientifico del programa de Medicina de la Universidad de Manizales,  es relevante  y pertinente propiciar encuentros academicos como este, los cuales potencien la comprension del comportamiento humano, integrando las nuevas tendencias y aportes de diferentes academicos, tendiendo redes del saber y del quehacer disciplinar, comprometido con los avances que el pais necesita.
马尼萨雷斯大学从其卫生科学学院开始,举办更新日,作为继续培训的战略,并加强不同临床感兴趣主题的研究和教学方案。2015年10月16日至23日,举行了第一天的认知科学和神经科学活动,来自该国不同知名大学的著名当地发言人和嘉宾参加了活动,例如:安蒂奥基亚大学神经科学小组、北巴兰基亚大学、路易斯·阿米戈·德·梅德林大学、马尼萨雷斯自治大学的代表。根据马尼萨雷斯大学医学课程的人文和科学培训概况,举办这样的学术会议是相关和相关的,这些会议通过整合不同学者的新趋势和贡献,建立知识和学科工作网络,致力于国家所需的进步,从而加强对人类行为的理解。
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引用次数: 0
Enfermedad tiroidea: una aproximación clínica y genética 甲状腺疾病:临床和遗传学方法
IF 0.5 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2016-12-31 DOI: 10.30554/ARCHMED.16.2.1107.2016
Sergio Ramírez Pulgarín, L. Sánchez, L. I. J. Jaramillo
The thyroid gland is one of the endocrine organs responsible for regulating different metabolic processes, synthesizes thyroid hormones, thyroxine and triiodothyronine, necessary for the functioning of the body. Hypothyroidism, a condition in which the thyroid gland cannot produce enough thyroid hormone to meet the requirement for tissue, is the most common thyroid disorder and one of the major endocrine alterations. The most common causes are iodine deficiency and autoimmune chronic lymphocytic thyroiditis. The clinical picture of hypothyroidism is quite broad, affecting different organs and systems. The management of this pathology is made with hormone replacement, levothyroxine is the indication for this. Hyperthyroidism on the other hand, refers to the sustained increase in thyroid hormones due to the increase of biosynthesis and secretion of the thyroid. The main causes include disease Graves Basedow (EG). Its clinical presentation is wide and varies from asymptomatic to a thyroid storm, which compromises the life of the patient. The treatment is based on anti-thyroid medications but other alternatives such as radioactive iodine and thyroidectomy have also designed. Diseases that directly affect the thyroid, such as cancer, are also of importance. Also diseases that directly affect the thyroid, including cancer, are of great importance; evidence from numerous studies suggests that genetic polymorphisms influence the risk of carcinogenesis and the genetic susceptibility is an important factor in cancer development. Genetic advances in this disease have allowed more thorough understanding of the differences in the behavior of thyroid disorders between one person and another, also have created a new starting point for drug treatment.
甲状腺是内分泌器官之一,负责调节不同的代谢过程,合成甲状腺激素、甲状腺素和三碘甲状腺原氨酸,是机体功能所必需的。甲状腺功能减退症是一种甲状腺不能产生足够的甲状腺激素以满足组织需要的疾病,是最常见的甲状腺疾病,也是主要的内分泌改变之一。最常见的原因是碘缺乏和自身免疫性慢性淋巴细胞性甲状腺炎。甲状腺功能减退症的临床表现相当广泛,影响不同的器官和系统。这种病理的处理是用激素替代,左旋甲状腺素是指征。甲状腺机能亢进则是指由于甲状腺的生物合成和分泌增加,导致甲状腺激素持续增高。主要原因包括Graves Basedow (EG)。它的临床表现是广泛的,从无症状到甲状腺风暴,危及患者的生命。治疗的基础是抗甲状腺药物,但也设计了其他替代方案,如放射性碘和甲状腺切除术。直接影响甲状腺的疾病,如癌症,也很重要。此外,直接影响甲状腺的疾病,包括癌症,也非常重要;大量研究表明,遗传多态性影响致癌风险,遗传易感性是癌症发生的重要因素。这种疾病的遗传进展使人们能够更彻底地了解人与人之间甲状腺疾病行为的差异,也为药物治疗创造了新的起点。
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引用次数: 1
Actitudes hacia el ejercicio físico y práctica de actividad física en profesionales de la salud: estudio de corte transversal, 2015. 健康专业人员对体育锻炼和体育活动的态度:横断面研究,2015。
IF 0.5 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2016-12-31 DOI: 10.30554/ARCHMED.16.2.1295.2016
J. S. Delgado, Soel Ginneth Escobar Pinzón, José David Camacho, Anghelo Javier Porras Solano, A. A. Fonseca
Objective: to describe attitudes towards exercise and compliance with the recommendations of Physical Activity (PA) of health professionals belonging to an Institutional Health Service Providers (IHSP) from Bucaramanga. Methods: A descriptive exploratory study, conducted in 33 subjects (36.06 ± 7.77 years, 72.73% women) who were given a questionnaire that included 7 questions in a Likert-type scale, two multiple-choice single answers, and the short version of the IPAQ. Results: Most reports have a good attitude towards physical exercise and 42.4% meet the recommendations of PA according to WHO. In the exploratory analysis, the attitude related to achieving the recommendations of physical activity was, I am satisfied with the education in physical exercise I have received. Those who reported disagree, strongly disagree, neither agree nor disagree met lesser extent these recommendations (p = 0.039). Conclusions: All the participants evaluated recommend having good physical activity habits, exercising, and also they suggest AF to prevent and deal with illnesses. On the other hand, it was noticed that not being satisfied with the academic knowledge learned about physical exercise can be an obstacle to follow all the physical activity recommendations
目的:描述布卡拉曼加一家机构卫生服务提供商(IHSP)的卫生专业人员对运动的态度和对体育活动(PA)建议的遵守情况。方法:采用描述性探索性研究,对33例(36.06±7.77岁,72.73%为女性)受试者进行问卷调查,问卷采用李克特量表7道,单道选择题2道,IPAQ简易版。结果:大多数报告对体育锻炼有良好的态度,42.4%的报告符合WHO的PA建议。在探索性分析中,与实现体育锻炼建议相关的态度是,我对我所接受的体育锻炼教育感到满意。那些报告不同意、强烈不同意、既不同意也不反对的人在较小程度上满足了这些建议(p = 0.039)。结论:所有参与者都建议有良好的体育活动习惯,锻炼,并建议房颤预防和治疗疾病。另一方面,人们注意到,对体育锻炼的学术知识不满意可能会成为遵循所有体育锻炼建议的障碍
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引用次数: 2
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