Pub Date : 2017-12-06DOI: 10.30554/ARCHMED.17.2.1922.2017
J. Castrillón, Aníbal Augusto García Cardona, Santiago Vallejo Corrales, Juan David Vargas Meneses
Objective : in Colombia the frequency of breastfeeding was increasing between 1990 and 2000, but these rates have been declining. The aim of this research is to describe the reasons for abandonment of breastfeeding in mothers of children attending kindergartens in the city of Manizales [Colombia]. Materials and methods: a descriptive study was carried out, the population is constituted by 232 mothers of children between 2 and 4 years old. Demographic variables, breastfeeding and reasons for abandonment are evaluated. Results: 4.3% of mothers do not breastfeed, 43.7% gave exclusive breastfeeding, 33.6% abandoned breastfeeding before 6 months, of these 83.8% for deficiency in the production of milk, 22.1% for rejection of the baby; 17.6% for compliance with the work schedule. Overall reason of abandonment of breastfeeding was 53.9% poor milk production, and fulfillment of working hours by 20.3%. 55.7% breastfed between 6 and 24 months, 29.6% less than 6 months, and 10.4% over 24 months. The average age of the mothers was 31.31 ± 5.94 years and children 3.19 ± 0.83 years. Social stratum 3 52.6%, 21.3% employed additional formulas, and started at an average of 4.73 ± 4.6 months, complementary feeding started at 6.35 ± 2.2 months. Conclusion: to a greater extent, the reasons for abandoning breastfeeding are related to the baby's behavior and physiology of the mother, esthetic reasons and others appear in fairly low proportion.
{"title":"Razones de abandono de la lactancia materna en madres de niños de jardines infantiles, Manizales, Colombia, 2015: estudio descriptivo","authors":"J. Castrillón, Aníbal Augusto García Cardona, Santiago Vallejo Corrales, Juan David Vargas Meneses","doi":"10.30554/ARCHMED.17.2.1922.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.1922.2017","url":null,"abstract":"Objective : in Colombia the frequency of breastfeeding was increasing between 1990 and 2000, but these rates have been declining. The aim of this research is to describe the reasons for abandonment of breastfeeding in mothers of children attending kindergartens in the city of Manizales [Colombia]. Materials and methods: a descriptive study was carried out, the population is constituted by 232 mothers of children between 2 and 4 years old. Demographic variables, breastfeeding and reasons for abandonment are evaluated. Results: 4.3% of mothers do not breastfeed, 43.7% gave exclusive breastfeeding, 33.6% abandoned breastfeeding before 6 months, of these 83.8% for deficiency in the production of milk, 22.1% for rejection of the baby; 17.6% for compliance with the work schedule. Overall reason of abandonment of breastfeeding was 53.9% poor milk production, and fulfillment of working hours by 20.3%. 55.7% breastfed between 6 and 24 months, 29.6% less than 6 months, and 10.4% over 24 months. The average age of the mothers was 31.31 ± 5.94 years and children 3.19 ± 0.83 years. Social stratum 3 52.6%, 21.3% employed additional formulas, and started at an average of 4.73 ± 4.6 months, complementary feeding started at 6.35 ± 2.2 months. Conclusion: to a greater extent, the reasons for abandoning breastfeeding are related to the baby's behavior and physiology of the mother, esthetic reasons and others appear in fairly low proportion.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"369-378"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47473812","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.17.2.2048.2017
Dayana Andrea Quintero Moreno, L. Sánchez, M. Giraldo, Laura Esperanza Valencia Asprilla, J. H. M. Ríos
Malaria is a disease caused by the parasite of the genus Plasmodium , which is transmitted by the bite of the female Anopheles mosquito. Between 2000 and 2015, 212 million cases have been reported worldwide. In Colombia, malaria is considered a public health problem, it is estimated that at least 70% of the territory has the necessary ecological conditions for the transmission of the parasite. To avoid the increase of the number of malaria cases, three pillars of prevention are used: avoiding exposure and performing vector control, chemoprophylaxis and timely diagnosis. After this, the treatment should be provided. The objectives of the treatment are: clinical cure of the patient, radical cure of infection and control of transmission. To diagnosis, there are different methods, which are evaluated and differentiated according to sensitivity and specificity; Based on this, the Gold Standard is defined as the Benchmark test. Nowadays, the Gold Standard for the diagnosis of malaria is a microscopic method call thick gout. However, there are other methods such as: peripheral blood smear, molecular methods and serological methods.
{"title":"Malaria, enfermedad tropical de múltiples métodos diagnósticos","authors":"Dayana Andrea Quintero Moreno, L. Sánchez, M. Giraldo, Laura Esperanza Valencia Asprilla, J. H. M. Ríos","doi":"10.30554/ARCHMED.17.2.2048.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.2048.2017","url":null,"abstract":"Malaria is a disease caused by the parasite of the genus Plasmodium , which is transmitted by the bite of the female Anopheles mosquito. Between 2000 and 2015, 212 million cases have been reported worldwide. In Colombia, malaria is considered a public health problem, it is estimated that at least 70% of the territory has the necessary ecological conditions for the transmission of the parasite. To avoid the increase of the number of malaria cases, three pillars of prevention are used: avoiding exposure and performing vector control, chemoprophylaxis and timely diagnosis. After this, the treatment should be provided. The objectives of the treatment are: clinical cure of the patient, radical cure of infection and control of transmission. To diagnosis, there are different methods, which are evaluated and differentiated according to sensitivity and specificity; Based on this, the Gold Standard is defined as the Benchmark test. Nowadays, the Gold Standard for the diagnosis of malaria is a microscopic method call thick gout. However, there are other methods such as: peripheral blood smear, molecular methods and serological methods.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"402-414"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49241613","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.17.2.2403.2017
Hernán David García Botina, Darwin Raúl Lara Botina, F. M. Sánchez, Alejandro Román González
Hypercortisolims is an infrequent disease with multi-systemic compromise and increases morbility and mortality. Cardiovascular disease is one of the most common complications associaded with Cushing syndrome. The prognosis of this disease is affected by the difficulties associated with its diagnosis and treatment. Clearly, Cushing syndrome is still a clinical challenge. Cushing syndrome can be classified in ACTH dependent or ACTH independent. ACTH-dependent causes are more frequent, however, ACTH-independent causes are responsible of less than 15% of Cushing`s syndrome and are secondary to adrenal tumors. Three cases of adrenal Cushing are reported with a review of the main clinical points of Cushing syndrome.
{"title":"Presentación de tres casos y revisión en la literatura: Síndrome de Cushing","authors":"Hernán David García Botina, Darwin Raúl Lara Botina, F. M. Sánchez, Alejandro Román González","doi":"10.30554/ARCHMED.17.2.2403.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.2403.2017","url":null,"abstract":"Hypercortisolims is an infrequent disease with multi-systemic compromise and increases morbility and mortality. Cardiovascular disease is one of the most common complications associaded with Cushing syndrome. The prognosis of this disease is affected by the difficulties associated with its diagnosis and treatment. Clearly, Cushing syndrome is still a clinical challenge. Cushing syndrome can be classified in ACTH dependent or ACTH independent. ACTH-dependent causes are more frequent, however, ACTH-independent causes are responsible of less than 15% of Cushing`s syndrome and are secondary to adrenal tumors. Three cases of adrenal Cushing are reported with a review of the main clinical points of Cushing syndrome.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"415-424"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46949332","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.17.2.2140.2017
Adriana Elena Hernández Gamboa, Yenson Arley Ardila
Objective : Calculate the trauma severity scale RTS Revised Trauma Score and perform a comparative analysis with the classification of patients according to the Triage system. Describe the indicators of opportunity in hospital care and expenditure. The State establishes the system of prioritization of patients who consult the emergency service and defines waiting times according to the classification. It is applied in order to optimize institutional resources . Materials and methods: Retrospective descriptive observational study. The population consisted of 6401 patients, the sample by 248 patients. Results : 81% Triage II (Acute Patient). According to the RTS trauma scale, 92.7% corresponded to mild trauma and 1.6% serious trauma. 40% of the injured were poly-traumatized, 56% had pelvic and lower extremity injuries. Mortality was 2.4%. 48.4% of the injured accessed the emergency room by ambulance, the average time for access was 60 minutes, 39.1% of the victims, 61% required interconsultation by Orthopedics and 26% of the patients required resources from the Social Security System. Conclusions: The RTS score trauma scale uses measurable physiological parameters, classified 1.6% of the injured as serious, which is related to the 2.4% mortality of the victims of the study. The measurement of accessibility and opportunity indicators in health care showed in this highly complex health institution that the times are in accordance with the current regulations of the Ministry of Health.
{"title":"Clasificación de lesionados en tránsito, oportunidad en la atención y gasto hospitalario en una institución de salud de alta complejidad en el departamento de Santander (Colombia)","authors":"Adriana Elena Hernández Gamboa, Yenson Arley Ardila","doi":"10.30554/ARCHMED.17.2.2140.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.2140.2017","url":null,"abstract":"Objective : Calculate the trauma severity scale RTS Revised Trauma Score and perform a comparative analysis with the classification of patients according to the Triage system. Describe the indicators of opportunity in hospital care and expenditure. The State establishes the system of prioritization of patients who consult the emergency service and defines waiting times according to the classification. It is applied in order to optimize institutional resources . Materials and methods: Retrospective descriptive observational study. The population consisted of 6401 patients, the sample by 248 patients. Results : 81% Triage II (Acute Patient). According to the RTS trauma scale, 92.7% corresponded to mild trauma and 1.6% serious trauma. 40% of the injured were poly-traumatized, 56% had pelvic and lower extremity injuries. Mortality was 2.4%. 48.4% of the injured accessed the emergency room by ambulance, the average time for access was 60 minutes, 39.1% of the victims, 61% required interconsultation by Orthopedics and 26% of the patients required resources from the Social Security System. Conclusions: The RTS score trauma scale uses measurable physiological parameters, classified 1.6% of the injured as serious, which is related to the 2.4% mortality of the victims of the study. The measurement of accessibility and opportunity indicators in health care showed in this highly complex health institution that the times are in accordance with the current regulations of the Ministry of Health.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"350-360"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42649792","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.17.2.2039.2017
E. Mulett-Vásquez, Lázaro Antonio Arango-Molano
Introduction: colon polyp self-amputation is a rare clinical identity, scarcely reported in the literature and can lead to low digestive bleeding of variable clinical intensity and impact. We present the case of a patient who consults for low digestive bleeding and this pathology is found. Case report: male patient in the fifth decade of life, who consults to emergency room for low digestive bleeding. It is taken to hemodynamic resuscitation and later to total colonoscopy, finding only the stem of the polyp. Conclusion: Self-amputation of the colon polyps is a phenomenon that is reported with some frequency in children, but rarely in adults, causing episodes of low digestive bleeding, which can lead to hemodynamic instability.
{"title":"Autoamputación de pólipo del colon: presentación del caso y revisión de la literature","authors":"E. Mulett-Vásquez, Lázaro Antonio Arango-Molano","doi":"10.30554/ARCHMED.17.2.2039.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.2039.2017","url":null,"abstract":"Introduction: colon polyp self-amputation is a rare clinical identity, scarcely reported in the literature and can lead to low digestive bleeding of variable clinical intensity and impact. We present the case of a patient who consults for low digestive bleeding and this pathology is found. Case report: male patient in the fifth decade of life, who consults to emergency room for low digestive bleeding. It is taken to hemodynamic resuscitation and later to total colonoscopy, finding only the stem of the polyp. Conclusion: Self-amputation of the colon polyps is a phenomenon that is reported with some frequency in children, but rarely in adults, causing episodes of low digestive bleeding, which can lead to hemodynamic instability.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"425-427"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44841260","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.17.2.1981.2017
Laura Isabel Jaramillo, Paula Andrea Velásquez-Viveros, A. E. M. Castro, Melissa Ramirez-Palacio, E. Cañas
Objective : to evaluate the clinical score usefulness of the HAS - BLED and CHA2DS - VASc scales to predict episodes of major bleeding and cardiovascular events. Materials and methods: An analytical study cohort was conducted with the retrospective review of medical records and following a year of evolution of active patients on anticoagulation program in a health center of high level of complexity. Results: A total of 76 patients were collected, 56.6% of whom were female, with a mean age of 73.5 years. The risk to present an event of major bleeding in patients who have a HAS-BLED in the category of high risk is 2.09 times higher compared to the other categories of risk (RR 3.09, 95% CI 1.15 - 8.31). Conclusions : HAS-BLED and the CHA2DS2-VASc scales remain as important tools in predicting bleeding and thromboembolic events respectively; like the CHA2DS2-VASc for bleeding events.
{"title":"Caracterización de un grupo de pacientes del programa de anticoagulación de una institución de salud y evaluación de los resultados de la escala HAS - BLED y la escala CHA2DS2 – VASc, Medellín (Colombia), 2011 - 2012.","authors":"Laura Isabel Jaramillo, Paula Andrea Velásquez-Viveros, A. E. M. Castro, Melissa Ramirez-Palacio, E. Cañas","doi":"10.30554/ARCHMED.17.2.1981.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.1981.2017","url":null,"abstract":"Objective : to evaluate the clinical score usefulness of the HAS - BLED and CHA2DS - VASc scales to predict episodes of major bleeding and cardiovascular events. Materials and methods: An analytical study cohort was conducted with the retrospective review of medical records and following a year of evolution of active patients on anticoagulation program in a health center of high level of complexity. Results: A total of 76 patients were collected, 56.6% of whom were female, with a mean age of 73.5 years. The risk to present an event of major bleeding in patients who have a HAS-BLED in the category of high risk is 2.09 times higher compared to the other categories of risk (RR 3.09, 95% CI 1.15 - 8.31). Conclusions : HAS-BLED and the CHA2DS2-VASc scales remain as important tools in predicting bleeding and thromboembolic events respectively; like the CHA2DS2-VASc for bleeding events.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"303-310"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48409172","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.17.2.1920.2017
L. Sánchez, Paula Andrea Velásquez Viveros, Felipe Osorio Ospina, Sergio Ramírez Pulgarín, L. I. J. Jaramillo, J. Valencia, M. A. R. Gázquez
Objective: Determine the epidemiological profile of hyperthyroid and hypothyroid patients that receive endocrinological services from a medical institution in Medellin (Colombia) between 2013 and 2015. Materials and Methods: A descriptive, retrospective study was conducted and included the clinical records of patients diagnosed with hyperthyroidism or hypothyroidism. A univariate analysis was applied using descriptive statistics by means of absolute frequencies and proportions in the IBM SPSS software, version 19.0. Results: A sample of 149 patients was obtained 131 patients with hypothyroidism and 18 with hyperthyroidism, the average age was 57,8±17,8 years and 48,2±15,1 years, respectively. The frequency of female sex with hypothyroidism was greater than those patients with hyperthyroidism (86,3% versus 66,7%). Post-surgery hypothyroidism had a high prevalence 11,5% followed by the Hashimoto disease 5,3%. The principal etiologies in hyperthyroidism were Graves disease 33,3% and thyrotoxicosis 22,2%. With relation to the signs and frequent symptoms in the studied patients, the goiter was common in 14,5% of the patients with hypothyroidism versus 38,9% of those patients with hyperthyroidism. The most frequent diseases on past medical history in both groups of patients were high blood pressure and Diabetes Mellitus. Conclusion: The results of the present study are in agreement with the information existing in the literature, the presentation of thyroid pathologies is more common in the female sex; and the main etiology is surgery and Graves' disease for hypo and hyperthyroidism respectively.
{"title":"Perfil clínico y epidemiológico de pacientes atendidos por hipertiroidismo e hipotiroidismo en el servicio de endocrinología de una institución hospitalaria de Medellín (Colombia) entre 2013 y 2015","authors":"L. Sánchez, Paula Andrea Velásquez Viveros, Felipe Osorio Ospina, Sergio Ramírez Pulgarín, L. I. J. Jaramillo, J. Valencia, M. A. R. Gázquez","doi":"10.30554/ARCHMED.17.2.1920.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.1920.2017","url":null,"abstract":"Objective: Determine the epidemiological profile of hyperthyroid and hypothyroid patients that receive endocrinological services from a medical institution in Medellin (Colombia) between 2013 and 2015. Materials and Methods: A descriptive, retrospective study was conducted and included the clinical records of patients diagnosed with hyperthyroidism or hypothyroidism. A univariate analysis was applied using descriptive statistics by means of absolute frequencies and proportions in the IBM SPSS software, version 19.0. Results: A sample of 149 patients was obtained 131 patients with hypothyroidism and 18 with hyperthyroidism, the average age was 57,8±17,8 years and 48,2±15,1 years, respectively. The frequency of female sex with hypothyroidism was greater than those patients with hyperthyroidism (86,3% versus 66,7%). Post-surgery hypothyroidism had a high prevalence 11,5% followed by the Hashimoto disease 5,3%. The principal etiologies in hyperthyroidism were Graves disease 33,3% and thyrotoxicosis 22,2%. With relation to the signs and frequent symptoms in the studied patients, the goiter was common in 14,5% of the patients with hypothyroidism versus 38,9% of those patients with hyperthyroidism. The most frequent diseases on past medical history in both groups of patients were high blood pressure and Diabetes Mellitus. Conclusion: The results of the present study are in agreement with the information existing in the literature, the presentation of thyroid pathologies is more common in the female sex; and the main etiology is surgery and Graves' disease for hypo and hyperthyroidism respectively.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"311-318"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42488225","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.17.2.2036.2017
S. Maya, Carmen Dussán Lubert, Diana Marcela Montoya Londoño
Objective: to characterize the quality of sleep and excessive daytime sleepiness in undergraduate medical students. Materials and methods : this is a cross-sectional descriptive research. A non-probabilistic sample of 259 students was used during the 1st. Semester of 2016 who were enrolled in the Medicine program at the University of Manizales and that met the following inclusion criteria: age between 16 to 30 years; Absence of neurological, psychiatric alterations, or history of repetition, delay or school failure; Signature of informed consent. Epworth Sleepiness Scale and the Pittsburgh Sleep Quality Index (PSQI) were used as instruments. Results : a total of 149 women (57.7%) and 110 men (42.5%) were found to have a quality of sleep requiring medical attention and treatment in 91.9% of the cases, and that 68.7% of the students presented somnolence or moderate. Taking into account that the study contributes to confirm the poor quality of sleep and the presence of excessive daytime sleepiness in the evaluated university population, it is recommended to implement education programs to improve sleep efficiency and hygiene.
{"title":"Caracterización de la calidad del sueño y de la somnolencia diurna excesiva en una muestra estudiantes del programa de medicina de la universidad de Manizales (Colombia)","authors":"S. Maya, Carmen Dussán Lubert, Diana Marcela Montoya Londoño","doi":"10.30554/ARCHMED.17.2.2036.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.2036.2017","url":null,"abstract":"Objective: to characterize the quality of sleep and excessive daytime sleepiness in undergraduate medical students. Materials and methods : this is a cross-sectional descriptive research. A non-probabilistic sample of 259 students was used during the 1st. Semester of 2016 who were enrolled in the Medicine program at the University of Manizales and that met the following inclusion criteria: age between 16 to 30 years; Absence of neurological, psychiatric alterations, or history of repetition, delay or school failure; Signature of informed consent. Epworth Sleepiness Scale and the Pittsburgh Sleep Quality Index (PSQI) were used as instruments. Results : a total of 149 women (57.7%) and 110 men (42.5%) were found to have a quality of sleep requiring medical attention and treatment in 91.9% of the cases, and that 68.7% of the students presented somnolence or moderate. Taking into account that the study contributes to confirm the poor quality of sleep and the presence of excessive daytime sleepiness in the evaluated university population, it is recommended to implement education programs to improve sleep efficiency and hygiene.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"278-289"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44962931","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.17.2.2060.2017
L. F. Agudelo
Objective : to determine the knowledge, attitudes and practices that have doctors dedicated to the medicine prevailing in the colombian health system, about alternative and / or complementary medicine. Materials and methods : a cross-sectional descriptive study was carried out, for which a survey sent by electronic platform to 400 physicians of some Colombian cities was applied during the month of April 2016. Results : were analyzed 127 surveys. 62% of the participants were women, 54% of the respondents were from the city of Medellin and 40% had postgraduate degree. The most popular or known areas among the respondents were: Acupuncture, Homeopathy and Neural Therapy. The level of self-perception of knowledge in all areas was low. About 89% of respondents are not familiar with World Health Organization strategies about alternative medicine. Very few of the respondents have undergone undergraduate or continuing training in these areas. In general there is a tendency of opinion indifferent to the subject. 78.74% would be willing to refer patients to a specialist in complementary and alternative medicine. Less than 50% recommend to their patients to seek help in alternative medicine. Conclusions : despite the great lack of knowledge and an indifferent opinion regarding complementary and alternative medicine, there is a positive attitude in integrating the complementary and alternative medicine into the current medical system, which is regulated by the authorities and exercised by suitable professionals.
{"title":"Conocimientos, actitudes y prácticas de algunos médicos colombianos acerca de la medicina alternativa y/o complementaria","authors":"L. F. Agudelo","doi":"10.30554/ARCHMED.17.2.2060.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.2060.2017","url":null,"abstract":"Objective : to determine the knowledge, attitudes and practices that have doctors dedicated to the medicine prevailing in the colombian health system, about alternative and / or complementary medicine. Materials and methods : a cross-sectional descriptive study was carried out, for which a survey sent by electronic platform to 400 physicians of some Colombian cities was applied during the month of April 2016. Results : were analyzed 127 surveys. 62% of the participants were women, 54% of the respondents were from the city of Medellin and 40% had postgraduate degree. The most popular or known areas among the respondents were: Acupuncture, Homeopathy and Neural Therapy. The level of self-perception of knowledge in all areas was low. About 89% of respondents are not familiar with World Health Organization strategies about alternative medicine. Very few of the respondents have undergone undergraduate or continuing training in these areas. In general there is a tendency of opinion indifferent to the subject. 78.74% would be willing to refer patients to a specialist in complementary and alternative medicine. Less than 50% recommend to their patients to seek help in alternative medicine. Conclusions : despite the great lack of knowledge and an indifferent opinion regarding complementary and alternative medicine, there is a positive attitude in integrating the complementary and alternative medicine into the current medical system, which is regulated by the authorities and exercised by suitable professionals.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"326-337"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48414583","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}
Objective: To identify social inequalities in the distribution of obesity in the Colombian adult population. Materials and methods: The secondary analysis of the 2010 National Nutrition Situation Survey is performed in adults of both sexes between 18 and 64 years of age, with a total of 11,621 analyzed records. To measure inequalities, we used absolute differences, Lorenz curve and Gini coefficient. Results: Patients between 40 and 64 years of age (OR1, 807, CI 1.637 - 1.998) were more likely to be obese and without higher education (OR 1,196, CI 1,036-1,382). Women were more likely to be obese than men (OR 1.24, CI 1.122-1.37). The analysis of the prevalence of obesity by Colombian departments according to the proportion of inhabitants with Unsatisfied Basic Needs (NBI) reported variations from 11.7% in Vaupes to 26.6% in San Andres. Conclusions: Socioeconomic status affects the distribution of obesity; Women are women in greater proportion due to obesity, with an excess risk of 1.8%, there is a minimal inequality in the distribution of prevalence of obesity in Colombia (CG: 0.0004).
{"title":"Desigualdad social y obesidad en la población adulta colombiana","authors":"Katty Escobar Velasquez, Keydis Sulay Ruidíaz Gómez","doi":"10.30554/ARCHMED.17.2.2338.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.2.2338.2017","url":null,"abstract":"Objective: To identify social inequalities in the distribution of obesity in the Colombian adult population. Materials and methods: The secondary analysis of the 2010 National Nutrition Situation Survey is performed in adults of both sexes between 18 and 64 years of age, with a total of 11,621 analyzed records. To measure inequalities, we used absolute differences, Lorenz curve and Gini coefficient. Results: Patients between 40 and 64 years of age (OR1, 807, CI 1.637 - 1.998) were more likely to be obese and without higher education (OR 1,196, CI 1,036-1,382). Women were more likely to be obese than men (OR 1.24, CI 1.122-1.37). The analysis of the prevalence of obesity by Colombian departments according to the proportion of inhabitants with Unsatisfied Basic Needs (NBI) reported variations from 11.7% in Vaupes to 26.6% in San Andres. Conclusions: Socioeconomic status affects the distribution of obesity; Women are women in greater proportion due to obesity, with an excess risk of 1.8%, there is a minimal inequality in the distribution of prevalence of obesity in Colombia (CG: 0.0004).","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"338-349"},"PeriodicalIF":0.5,"publicationDate":"2017-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46851565","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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