Pub Date : 2018-06-20DOI: 10.30554/archmed.18.1.2156.2018
Juan Gonzales Portillo, Joan Sebastián Arbeláez Caro, Natalia Milena Lopera Orozco, Katerin Johana Valderrama Porras
Objetivo: revisar los niveles del síndrome de burnout en parte del personal asistencial de una clínica oncológica. Materiales y métodos: la investigación fue de tipo descriptiva, la muestra estuvo compuesta por un total de 19 personas, de las cuales 7 son hombres (36.8%) y 12 personas fueron mujeres (63.2%), todos tienen un cargo dentro de la clínica oncológica, se aplicó el M.B.I. y una ficha de caracterización. Resultados: las subescalas del MBI no indican que existe burnout, ya que la mayoría de las personas han puntuando nivel bajo en las escalas de agotamiento emocional y despersonalización, no así para el de realización personal que puntuó alto. Hay un (69%) de personas que no presentan ninguno de los síntomas, en cambio hay un (31,6%) de personas que si manifiestan o puntúan alto o intermedio en algunas de las subescalas agotamiento emocional o despersonalización o baja en realización personal. Conclusiones: No existe evidencia de que las personas que hacen parte del personal asistencial de una clínica oncológica tengan el síndrome de burnout, tampoco hay diferencias significativas entre los grupos asistenciales.
{"title":"Prevalencia del síndrome de burnout en parte del personal asistencial de una clínica oncológica de la ciudad de Armenia (Quindío, Colombia)","authors":"Juan Gonzales Portillo, Joan Sebastián Arbeláez Caro, Natalia Milena Lopera Orozco, Katerin Johana Valderrama Porras","doi":"10.30554/archmed.18.1.2156.2018","DOIUrl":"https://doi.org/10.30554/archmed.18.1.2156.2018","url":null,"abstract":" Objetivo: revisar los niveles del síndrome de burnout en parte del personal asistencial de una clínica oncológica. Materiales y métodos: la investigación fue de tipo descriptiva, la muestra estuvo compuesta por un total de 19 personas, de las cuales 7 son hombres (36.8%) y 12 personas fueron mujeres (63.2%), todos tienen un cargo dentro de la clínica oncológica, se aplicó el M.B.I. y una ficha de caracterización. Resultados: las subescalas del MBI no indican que existe burnout, ya que la mayoría de las personas han puntuando nivel bajo en las escalas de agotamiento emocional y despersonalización, no así para el de realización personal que puntuó alto. Hay un (69%) de personas que no presentan ninguno de los síntomas, en cambio hay un (31,6%) de personas que si manifiestan o puntúan alto o intermedio en algunas de las subescalas agotamiento emocional o despersonalización o baja en realización personal. Conclusiones: No existe evidencia de que las personas que hacen parte del personal asistencial de una clínica oncológica tengan el síndrome de burnout, tampoco hay diferencias significativas entre los grupos asistenciales.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69269190","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}
Pub Date : 2018-06-20DOI: 10.30554/ARCHMED.18.1.2584.2018
Juan Diego Villegas Álzate, L. Sánchez, L. I. J. Jaramillo
La hemofilia es una patología derivada de la deficiencia heredada de factores de la coagulación, comúnmente ligada al cromosoma X que presenta diferentes tipos de hemorragias. Clínicamente la hemofilia se clasifica según la deficiencia del factor de coagulación específico y su cuadro clínico se compone de episodios hemorrágicos y de las complicaciones de los mismos. A pesar de los grandes avances en la medicina, la hemofilia persiste como una enfermedad crónica asociada a importantes secuelas que generan un impacto sobre la calidad de vida. A nivel mundial, 1/10.000 hombres está afectado por esta enfermedad, lo que a nivel local se traduce como 3,8 a 4,3 afectados por cada 100.000 habitantes. La Calidad de vida es un importante concepto que se debe tener en cuenta en el abordaje integral de pacientes que Hemofilia ya que los factores biológicos relacionados con esta patología tienen gran impacto en el deterioro físico, social y psicológico de los pacientes afectados y, obviar su valoración significa perpetuar el deterioro generado por la enfermedad. La medición de la calidad de vida de estos pacientes debe ser de carácter rutinario en la práctica clínica mediante el uso de herramientas internacionalmente validadas.
{"title":"Calidad de vida: un aspecto olvidado en el paciente con hemofilia","authors":"Juan Diego Villegas Álzate, L. Sánchez, L. I. J. Jaramillo","doi":"10.30554/ARCHMED.18.1.2584.2018","DOIUrl":"https://doi.org/10.30554/ARCHMED.18.1.2584.2018","url":null,"abstract":"La hemofilia es una patología derivada de la deficiencia heredada de factores de la coagulación, comúnmente ligada al cromosoma X que presenta diferentes tipos de hemorragias. Clínicamente la hemofilia se clasifica según la deficiencia del factor de coagulación específico y su cuadro clínico se compone de episodios hemorrágicos y de las complicaciones de los mismos. A pesar de los grandes avances en la medicina, la hemofilia persiste como una enfermedad crónica asociada a importantes secuelas que generan un impacto sobre la calidad de vida. A nivel mundial, 1/10.000 hombres está afectado por esta enfermedad, lo que a nivel local se traduce como 3,8 a 4,3 afectados por cada 100.000 habitantes. La Calidad de vida es un importante concepto que se debe tener en cuenta en el abordaje integral de pacientes que Hemofilia ya que los factores biológicos relacionados con esta patología tienen gran impacto en el deterioro físico, social y psicológico de los pacientes afectados y, obviar su valoración significa perpetuar el deterioro generado por la enfermedad. La medición de la calidad de vida de estos pacientes debe ser de carácter rutinario en la práctica clínica mediante el uso de herramientas internacionalmente validadas. ","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69269901","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}
Pub Date : 2018-06-20DOI: 10.30554/archmed.18.1.2035.2018
Iván Darío Pinzón Ríos
El ejercicio ha demostrado ser efectivo en el control y reducción del dolor en múltiples patologías. Por lo tanto, esta revisión de literatura tiene como objetivo determinar la dosificación de ejercicio y el efecto sistémico del mismo para la modulación del dolor de diferentes causas, comprendiendo la disfunción orgánica subsecuente que causa alteraciones del movimiento corporal humano. Los resultados incluyeron protocolos de ejercicio con duración, intensidad y frecuencia variada que tienen incidencia clínicamente significativa sobre el dolor en la mayoría de los estudios revisados. Se pudo concluir que la Fisioterapia, aplicando protocolos de ejercicio terapéutico, tiene efectos positivos en la disminución de complicaciones físicas, estancia hospitalaria y mejoría del desempeño físico y funcional.
{"title":"Dolor y Ejercicio","authors":"Iván Darío Pinzón Ríos","doi":"10.30554/archmed.18.1.2035.2018","DOIUrl":"https://doi.org/10.30554/archmed.18.1.2035.2018","url":null,"abstract":"El ejercicio ha demostrado ser efectivo en el control y reducción del dolor en múltiples patologías. Por lo tanto, esta revisión de literatura tiene como objetivo determinar la dosificación de ejercicio y el efecto sistémico del mismo para la modulación del dolor de diferentes causas, comprendiendo la disfunción orgánica subsecuente que causa alteraciones del movimiento corporal humano. Los resultados incluyeron protocolos de ejercicio con duración, intensidad y frecuencia variada que tienen incidencia clínicamente significativa sobre el dolor en la mayoría de los estudios revisados. Se pudo concluir que la Fisioterapia, aplicando protocolos de ejercicio terapéutico, tiene efectos positivos en la disminución de complicaciones físicas, estancia hospitalaria y mejoría del desempeño físico y funcional. ","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69269170","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}
Pub Date : 2018-06-20DOI: 10.30554/archmed.18.1.2583.2018
Freiser Eceomo Cruz Mosquera, A. Caballero, Pedro Enrique Tapia Angulo, Ana Cristina Arango Arango
Objetivo: diseñar y establecer la utilidad de una aplicación móvil para el análisis de gases arteriovenosos en una población de estudiantes y profesionales del cuidado respiratorio. Materiales y métodos: inicialmente se diseñó la aplicación “TERAPP” a partir del trabajo conjunto de profesionales de la salud e ingeniería; posteriormente la aplicación fue revisada por expertos en el tema quienes emitieron su concepto al respecto. Tras la revisión se realizó una prueba piloto en una población de profesionales y estudiantes, en los que a través de un diseño de antes y después se evaluaron las interpretaciones gasométricas y el tiempo empleado con y sin la aplicación. Adicionalmente un cuestionario de 8 preguntas fue suministrado para determinar la percepción frente a la aplicación. Resultados: un total de 57 sujetos integraron la muestra, al evaluar las interpretaciones gasométricas con y sin la aplicación se encontró que cuando esta no se usó el 26% no identificó adecuadamente el trastorno ácido –base y el 93% no calculó de manera adecuada las variables relacionadas con el trasporte, difusión y extracción de oxígeno. Al usar la aplicación el total de las pruebas fueron interpretadas correctamente. Con respecto al tiempo empleado para el análisis gasométrico se encontró una diferencia promedio de 9,2 minutos P:< 0,001 cuando se utilizó la aplicación móvil. Conclusiones: TERAPP contribuye a la identificación de alteraciones ácido- base y el cálculo del transporte, difusión y extracción de oxígeno; además disminuye el tiempo empleado para la interpretación gasométrica.
{"title":"Diseño de una aplicación móvil para la interpretación de gases arterio-venosos.","authors":"Freiser Eceomo Cruz Mosquera, A. Caballero, Pedro Enrique Tapia Angulo, Ana Cristina Arango Arango","doi":"10.30554/archmed.18.1.2583.2018","DOIUrl":"https://doi.org/10.30554/archmed.18.1.2583.2018","url":null,"abstract":"Objetivo: diseñar y establecer la utilidad de una aplicación móvil para el análisis de gases arteriovenosos en una población de estudiantes y profesionales del cuidado respiratorio. Materiales y métodos: inicialmente se diseñó la aplicación “TERAPP” a partir del trabajo conjunto de profesionales de la salud e ingeniería; posteriormente la aplicación fue revisada por expertos en el tema quienes emitieron su concepto al respecto. Tras la revisión se realizó una prueba piloto en una población de profesionales y estudiantes, en los que a través de un diseño de antes y después se evaluaron las interpretaciones gasométricas y el tiempo empleado con y sin la aplicación. Adicionalmente un cuestionario de 8 preguntas fue suministrado para determinar la percepción frente a la aplicación. Resultados: un total de 57 sujetos integraron la muestra, al evaluar las interpretaciones gasométricas con y sin la aplicación se encontró que cuando esta no se usó el 26% no identificó adecuadamente el trastorno ácido –base y el 93% no calculó de manera adecuada las variables relacionadas con el trasporte, difusión y extracción de oxígeno. Al usar la aplicación el total de las pruebas fueron interpretadas correctamente. Con respecto al tiempo empleado para el análisis gasométrico se encontró una diferencia promedio de 9,2 minutos P:< 0,001 cuando se utilizó la aplicación móvil. Conclusiones: TERAPP contribuye a la identificación de alteraciones ácido- base y el cálculo del transporte, difusión y extracción de oxígeno; además disminuye el tiempo empleado para la interpretación gasométrica.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69269562","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}
Pub Date : 2017-12-06DOI: 10.30554/ARCHMED.17.2.1986.2017
Olga Janneth Gómez, Gloria Mabel Carrillo González, D. Cárdenas
In order to describe and analyze the pedagogical strategies used for meaningful learning in Nursing Care epistemology teaching, the development of the application of the Smith and Liehr strategy that supports the use of innovative methodological approaches to nursing teaching humanistic and philosophical aspects of human care in the discipline of nursing.The strategy that allows the teaching of nursing epistemology with a reflexive and meaningful learning approach was structured for its application with postgraduate students in subjects of the disciplinary foundation component.This tool is considered useful for teaching nursing, because it facilitates the construction of knowledge in the participants with the use of meaningful experiences, constant inquiry and reflective analysis of the foundation in nursing and its reflection in practice with the accompaniment of an expert teacher, who directs the process.
{"title":"Estrategias para el aprendizaje significativo del cuidado humano en enfermería","authors":"Olga Janneth Gómez, Gloria Mabel Carrillo González, D. Cárdenas","doi":"10.30554/ARCHMED.17.2.1986.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.1986.2017","url":null,"abstract":"In order to describe and analyze the pedagogical strategies used for meaningful learning in Nursing Care epistemology teaching, the development of the application of the Smith and Liehr strategy that supports the use of innovative methodological approaches to nursing teaching humanistic and philosophical aspects of human care in the discipline of nursing.The strategy that allows the teaching of nursing epistemology with a reflexive and meaningful learning approach was structured for its application with postgraduate students in subjects of the disciplinary foundation component.This tool is considered useful for teaching nursing, because it facilitates the construction of knowledge in the participants with the use of meaningful experiences, constant inquiry and reflective analysis of the foundation in nursing and its reflection in practice with the accompaniment of an expert teacher, who directs the process.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"437-444"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41971839","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}
Pub Date : 2017-12-06DOI: 10.30554/ARCHMED.17.2.2064.2017
J. Ricardo, L. Ricardo, A. D. Caballero
Introduction : cleidocranial dysplasia is a rare skeletal condition with an autosomal dominant genetic trait, caused by mutations in the CBFA1 / RUNX2 gene, characterized by delayed cranial suture closure, clavicular hypoplasia or aplasia, narrow thorax and abnormalities Dental procedures. Clinical case : 16-year-old male patient, with short stature, sagging shoulders, narrow chest, poorly developed clavicular pits, great mobility of the shoulders when approaching the anterior midline of the thorax, oral conditions such as delayed eruption of the secondary dentition And dental crowding, radiographically clavicular hypoplasia, bell-shaped thorax and presence of multiple supernumerary teeth, characteristics compatible with cleidocranial dysplasia, the case is reported. Conclusion : the CDD presents clinical and radiographic characteristics that serve as significant parameters to make a correct diagnosis, the study of the family is important since the pathology is of autosomal dominant inheritance.
{"title":"Parámetros diagnósticos de la displasia cleidocraneal: una enfermedad poco frecuente","authors":"J. Ricardo, L. Ricardo, A. D. Caballero","doi":"10.30554/ARCHMED.17.2.2064.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.2064.2017","url":null,"abstract":"Introduction : cleidocranial dysplasia is a rare skeletal condition with an autosomal dominant genetic trait, caused by mutations in the CBFA1 / RUNX2 gene, characterized by delayed cranial suture closure, clavicular hypoplasia or aplasia, narrow thorax and abnormalities Dental procedures. Clinical case : 16-year-old male patient, with short stature, sagging shoulders, narrow chest, poorly developed clavicular pits, great mobility of the shoulders when approaching the anterior midline of the thorax, oral conditions such as delayed eruption of the secondary dentition And dental crowding, radiographically clavicular hypoplasia, bell-shaped thorax and presence of multiple supernumerary teeth, characteristics compatible with cleidocranial dysplasia, the case is reported. Conclusion : the CDD presents clinical and radiographic characteristics that serve as significant parameters to make a correct diagnosis, the study of the family is important since the pathology is of autosomal dominant inheritance.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"428-433"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49396085","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}
Pub Date : 2017-12-06DOI: 10.30554/ARCHMED.17.2.2069.2017
J. A. Salazar, Catherine Sánchez, A. Marín
Objective: Understand the social representations of HIV through the perceptions, beliefs and attitudes of adolescents schooled in grades 9, 10 and 11 of high school. Materials and methods: Participants were applied a semi-structured interview, taking into account criteria of objectification and anchoring, to identify the process of formation of social representations, and the dimensions of information, representation field and attitudes, taking as a theoretical basis Serge Moscovici’s and Jodelet’s approaches and contributions of Mora to the study of social representations. Results: Perception of progressive deterioration (physical, social and family), rejection, discrimination and stigmatization; beliefs of decreased quality of life, rapid death, higher in those who have risk sexual relations; attitudes of rejection towards the HIV carriers and promiscuous people. Social representations of the risk about contracting HIV are organized around poorly informed concepts about the disease, biases related to rejection and avoidance of contact, and misconceptions about contagion. Conclusions: Objectification is related to the social and educational context, so representation is mediated by specialized knowledge and common sense. In anchorage, attitude of rejection before transmission prevails, which restricts the familiarization with the disease, limits the contact and the gradual acceptance of infected person. Misconceptions about forms of contagion, produce rejection attitudes, because adolescents find it difficult to make habitual strange things (anchoring).
{"title":"Representaciones sociales de los adolescentes acerca del riesgo de contraer VIH","authors":"J. A. Salazar, Catherine Sánchez, A. Marín","doi":"10.30554/ARCHMED.17.2.2069.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.2069.2017","url":null,"abstract":"Objective: Understand the social representations of HIV through the perceptions, beliefs and attitudes of adolescents schooled in grades 9, 10 and 11 of high school. Materials and methods: Participants were applied a semi-structured interview, taking into account criteria of objectification and anchoring, to identify the process of formation of social representations, and the dimensions of information, representation field and attitudes, taking as a theoretical basis Serge Moscovici’s and Jodelet’s approaches and contributions of Mora to the study of social representations. Results: Perception of progressive deterioration (physical, social and family), rejection, discrimination and stigmatization; beliefs of decreased quality of life, rapid death, higher in those who have risk sexual relations; attitudes of rejection towards the HIV carriers and promiscuous people. Social representations of the risk about contracting HIV are organized around poorly informed concepts about the disease, biases related to rejection and avoidance of contact, and misconceptions about contagion. Conclusions: Objectification is related to the social and educational context, so representation is mediated by specialized knowledge and common sense. In anchorage, attitude of rejection before transmission prevails, which restricts the familiarization with the disease, limits the contact and the gradual acceptance of infected person. Misconceptions about forms of contagion, produce rejection attitudes, because adolescents find it difficult to make habitual strange things (anchoring).","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"234-250"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43584171","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}
Pub Date : 2017-12-06DOI: 10.30554/ARCHMED.17.2.1987.2017
Jhon Fredy Betancur Pérez, B. Arias, P. T. U. Echeverry, Cristhian Núñez
Helicobacter pylori infects more than 50% of the world population and it has been associated to the development of gastroduodenal pathologies such as: chronic gastritis, duodenal and gastric ulcers, gastric cancer and MALT lymphoma (lymphoid tissue lymphoma associated to mucosa). In the last years, a significant number of publications have appeared which suggest the existence of a relationship between Helicobacter pylori and pathologies that deviate from the digestive system (extraintestinal) such is the case of vascular type pathologies (such as ischemic coronary disease), dermatological pathologies (such as rosacea), endocrine type pathologies and immunological diseases, among others. This article aims to deal with cardiovascular type pathologies.
{"title":"Manifestaciones extraintestinales de la infección por Helicobacter pylori: un enfoque en las patologías cardiovasculares.","authors":"Jhon Fredy Betancur Pérez, B. Arias, P. T. U. Echeverry, Cristhian Núñez","doi":"10.30554/ARCHMED.17.2.1987.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.1987.2017","url":null,"abstract":"Helicobacter pylori infects more than 50% of the world population and it has been associated to the development of gastroduodenal pathologies such as: chronic gastritis, duodenal and gastric ulcers, gastric cancer and MALT lymphoma (lymphoid tissue lymphoma associated to mucosa). In the last years, a significant number of publications have appeared which suggest the existence of a relationship between Helicobacter pylori and pathologies that deviate from the digestive system (extraintestinal) such is the case of vascular type pathologies (such as ischemic coronary disease), dermatological pathologies (such as rosacea), endocrine type pathologies and immunological diseases, among others. This article aims to deal with cardiovascular type pathologies.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"445-457"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49329979","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}
Pub Date : 2017-12-06DOI: 10.30554/ARCHMED.17.2.1929.2017
M. Vivas, Edith Samara Rengifo, Lina María García Mendieta
Objective. Neonatal infection is an important cause of mortality of newborns in Colombia. The objective of this study was to establish the epidemiological characteristics of patients with neonatal sepsis reported in a hospital in Cali . Materials and methods . we conducted a analytical, cross-sectional study from 215 clinical medical charts of patients diagnosed with neonatal sepsis during 2014. Risk factors and their association with the development of sepsis type were established using the chi-square test and Odds Ratio (OR) with the IBM, SPSS statistical package Vs 22.0. Results . 67.9% of the patients were diagnosed with early-onset neonatal sepsis and 32.1% with late-onset sepsis. Low-birth-weigh and preterm infants were found in 12.1% and 15.8%, respectively. Premature rupture of membrane was the most prevalent maternal antecedent (25.1%) with 2,970 times more likely to develop early sepsis in 83.3% of cases. CRP was positive in 80.5% of cases, and in 69,9% of infants with early sepsis. Conclusion. Premature rupture of membrane was the factor determined for the development of early sepsis. CRP was positive mainly in neonates with early-onset neonatal sepsis, confirming its usefulness as a positive predictor. Prenatal control and monitoring of pregnant mothers to prevent infection or bacterial colonization are needed to reduce disease.
{"title":"Caracterización epidemiológica de pacientes con Sepsis Neonatal en un hospital de la ciudad de Cali (Colombia), 2014","authors":"M. Vivas, Edith Samara Rengifo, Lina María García Mendieta","doi":"10.30554/ARCHMED.17.2.1929.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.1929.2017","url":null,"abstract":"Objective. Neonatal infection is an important cause of mortality of newborns in Colombia. The objective of this study was to establish the epidemiological characteristics of patients with neonatal sepsis reported in a hospital in Cali . Materials and methods . we conducted a analytical, cross-sectional study from 215 clinical medical charts of patients diagnosed with neonatal sepsis during 2014. Risk factors and their association with the development of sepsis type were established using the chi-square test and Odds Ratio (OR) with the IBM, SPSS statistical package Vs 22.0. Results . 67.9% of the patients were diagnosed with early-onset neonatal sepsis and 32.1% with late-onset sepsis. Low-birth-weigh and preterm infants were found in 12.1% and 15.8%, respectively. Premature rupture of membrane was the most prevalent maternal antecedent (25.1%) with 2,970 times more likely to develop early sepsis in 83.3% of cases. CRP was positive in 80.5% of cases, and in 69,9% of infants with early sepsis. Conclusion. Premature rupture of membrane was the factor determined for the development of early sepsis. CRP was positive mainly in neonates with early-onset neonatal sepsis, confirming its usefulness as a positive predictor. Prenatal control and monitoring of pregnant mothers to prevent infection or bacterial colonization are needed to reduce disease.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"225-233"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44422544","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}
Pub Date : 2017-12-06DOI: 10.30554/ARCHMED.17.2.2063.2017
José Luis D’Addino, María Mercedes Pigni, C. Salvatori, Santiago Corradetti, Gonzalo Lagunas, Adriano Soraceo
It is presented a case of a48 year male who was treated initially by temporomandibular malfunction; lately was diagnosed a styloid process longer than 8 cm that extended up to hyoids bilaterally. He referred an intense pain especially in the left side of head and neck. The panoramic radiography and the tomography scan with 3 dimension reconstruction allowed us to evaluate the process dimension. We underwent an external access surgery on the more symptomatic side. The evolution was good without complications.
{"title":"Síndrome de Eagle, apófisis estiloides con prolongación hasta el hioides. (reporte de un caso)","authors":"José Luis D’Addino, María Mercedes Pigni, C. Salvatori, Santiago Corradetti, Gonzalo Lagunas, Adriano Soraceo","doi":"10.30554/ARCHMED.17.2.2063.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.2063.2017","url":null,"abstract":"It is presented a case of a48 year male who was treated initially by temporomandibular malfunction; lately was diagnosed a styloid process longer than 8 cm that extended up to hyoids bilaterally. He referred an intense pain especially in the left side of head and neck. The panoramic radiography and the tomography scan with 3 dimension reconstruction allowed us to evaluate the process dimension. We underwent an external access surgery on the more symptomatic side. The evolution was good without complications.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"434-436"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42967268","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}
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