Pub Date : 2017-06-30DOI: 10.30554/ARCHMED.17.1.1804.2017
M. Herrera, Judy Ximena Ramos Garzón, Leidy Johanna Rueda Díaz
Objective: To determine the psychometric properties of the scale of Zarit Burden Interview ZBI using Rasch model in a sample of caregivers from Bucaramanga. Materials and methods : methodological study. We evaluated 125 family caregivers of people with chronic diseases using the scale ZBI. The psychometric characteristics of the instrument were analyzed using a Rasch model. Results : all items showed positive polarity. The fit statistics showed that 6 items did not fit the model. The set of 22 items showed dimensionality. After removing the 9 problematic items, the 13 remaining items presented proper fit and dimensionality. Conclusions : Rasch analysis of the ZBI scale applied to family caregivers in Colombia showed that the 22-item scale is multidimensional. In a considerable proportion, the misfit of the items on the scale may arise due to lack of precision and exclusivity construct questions for construct of burden. Further research is needed to allow refinement of this instrument and establish their behavior with groups of caregivers from different backgrounds and nationalities.
{"title":"Análisis de Rasch de la escala burden interview de Zarit aplicada a cuidadores familiares en Bucaramanga, Colombia.","authors":"M. Herrera, Judy Ximena Ramos Garzón, Leidy Johanna Rueda Díaz","doi":"10.30554/ARCHMED.17.1.1804.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.1.1804.2017","url":null,"abstract":"Objective: To determine the psychometric properties of the scale of Zarit Burden Interview ZBI using Rasch model in a sample of caregivers from Bucaramanga. Materials and methods : methodological study. We evaluated 125 family caregivers of people with chronic diseases using the scale ZBI. The psychometric characteristics of the instrument were analyzed using a Rasch model. Results : all items showed positive polarity. The fit statistics showed that 6 items did not fit the model. The set of 22 items showed dimensionality. After removing the 9 problematic items, the 13 remaining items presented proper fit and dimensionality. Conclusions : Rasch analysis of the ZBI scale applied to family caregivers in Colombia showed that the 22-item scale is multidimensional. In a considerable proportion, the misfit of the items on the scale may arise due to lack of precision and exclusivity construct questions for construct of burden. Further research is needed to allow refinement of this instrument and establish their behavior with groups of caregivers from different backgrounds and nationalities.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"17-26"},"PeriodicalIF":0.5,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43976759","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 describe the level of knowledge, attitude and practices such students of a medical program on HIV / AIDS in the city of Barranquilla. Materials and Methods: Cross-sectional study. A total of 185 medical students from 1 th to 12 th semester were surveyed. There were applied a KAP (Knowledge, Attitudes and Practices) Questionnaire on HIV/AIDS, designed for IPPF (International Planned Parenthood Federation), 26 questions related to the level of knowledge, 25 Related to attitudes and 5 with practices against HIV, in addition to sociodemographic variables (age, sex, semester). It was made univariate analysis (mean, standard deviation, relative frequency and absolute frequency) and bivariate analysis (relative frequency, absolute frequency and square test). Results: Average age of participants: 20.3 years (SD +/- 2.36); No significant differences (p>0,05) by gender, with respect to knowledge, attitudes and practices were found but some differences were obtained per semester (p<0.05), related to treatment, prevention and posture face care patients. Conclusion: Acceptable level of knowledge, but they should be strengthened related to health promotion and to guide better attitudes and practices against patients and disease aspects.
{"title":"Nivel de conocimientos, tipo de actitud y prácticas de los estudiantes de medicina sobre el vih/sida (Barranquilla, Colombia): estudio descriptivo.","authors":"J. Bilbao, Elvira Crespo Camacho, Gustavo Herrera, Adalgisa Esther Alcocer Olaciregui","doi":"10.30554/ARCHMED.17.1.1918.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.1.1918.2017","url":null,"abstract":"Objective: To describe the level of knowledge, attitude and practices such students of a medical program on HIV / AIDS in the city of Barranquilla. Materials and Methods: Cross-sectional study. A total of 185 medical students from 1 th to 12 th semester were surveyed. There were applied a KAP (Knowledge, Attitudes and Practices) Questionnaire on HIV/AIDS, designed for IPPF (International Planned Parenthood Federation), 26 questions related to the level of knowledge, 25 Related to attitudes and 5 with practices against HIV, in addition to sociodemographic variables (age, sex, semester). It was made univariate analysis (mean, standard deviation, relative frequency and absolute frequency) and bivariate analysis (relative frequency, absolute frequency and square test). Results: Average age of participants: 20.3 years (SD +/- 2.36); No significant differences (p>0,05) by gender, with respect to knowledge, attitudes and practices were found but some differences were obtained per semester (p<0.05), related to treatment, prevention and posture face care patients. Conclusion: Acceptable level of knowledge, but they should be strengthened related to health promotion and to guide better attitudes and practices against patients and disease aspects.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"54-63"},"PeriodicalIF":0.5,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46534939","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 : 2017-06-30DOI: 10.30554/ARCHMED.17.1.1783.2017
Andrea Urrego Vásquez, Juan Sebastián Gaviria García, G. I. M. Domínguez, L. Sánchez, Juan Pablo Boscán Sánchez
Depression is a psychiatric illness that manifests itself through a low mood and somatic symptoms such weakness, sleep disorders, among others. It occurs mainly at early ages, however it has been described at any age; this disease generates high impact in the familiar, social and work environment of the person. Antidepressant therapy includes drug therapy and psychotherapy, both being essential for the remission of this pathology. Therefore, therapeutic adherence, defined as the compliance with doses and times indicated of the prescribed medication and the acceptance of changes in lifestyle, is considered a clinical challenge that despite of being low studied, significantly improves control of depressive symptoms and avoids consequences such as disability.
{"title":"Adherencia a los antidepresivos: reto terapéutico para mejores desenlaces clínicos en pacientes con depresión.","authors":"Andrea Urrego Vásquez, Juan Sebastián Gaviria García, G. I. M. Domínguez, L. Sánchez, Juan Pablo Boscán Sánchez","doi":"10.30554/ARCHMED.17.1.1783.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.1.1783.2017","url":null,"abstract":"Depression is a psychiatric illness that manifests itself through a low mood and somatic symptoms such weakness, sleep disorders, among others. It occurs mainly at early ages, however it has been described at any age; this disease generates high impact in the familiar, social and work environment of the person. Antidepressant therapy includes drug therapy and psychotherapy, both being essential for the remission of this pathology. Therefore, therapeutic adherence, defined as the compliance with doses and times indicated of the prescribed medication and the acceptance of changes in lifestyle, is considered a clinical challenge that despite of being low studied, significantly improves control of depressive symptoms and avoids consequences such as disability.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"150-159"},"PeriodicalIF":0.5,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46659700","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 : 2017-06-30DOI: 10.30554/ARCHMED.17.1.1912.2017
S. M. Z. Bolívar
Objective: This study was based to investigate the personal factors (sociodemographic conditions of a person), functions of the body (specific mental functions, functions related to movement) and environmental factors (physical, social and attitudinal environment in which people live and develop their lives) that are related to the level of incidence of older people in productive and leisure activities, according to the international classification of functioning, disability and health, which for this research was taken as the theoretical model. Since it allows a coherent view of the different dimensions of health from a biological and social perspective. material and methods: a cross-sectional analytical study was carried out through a stratified sampling, where 96 people were effectively surveyed from the 18-hillside zone in Cali. The research was performed through a bivariate analysis using association measures such as Fisher's exact test and the chi-square test. results: It was found that the personal and environmental factors related to the participation of the elderly were civil status, chronic diseases, family relationships and physical barriers of the context which were statistically significant (NS <0.05). conclusions: it is fundamental to create community strategies that encourage the participation of older adults in productive and leisure activities through the formation of social networks and the promotion of social and family support.
{"title":"Factores relacionados con el nivel de participación del adulto mayor de la comuna 18 Cali – Colombia en actividades productivas y de tiempo libre.","authors":"S. M. Z. Bolívar","doi":"10.30554/ARCHMED.17.1.1912.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.1.1912.2017","url":null,"abstract":"Objective: This study was based to investigate the personal factors (sociodemographic conditions of a person), functions of the body (specific mental functions, functions related to movement) and environmental factors (physical, social and attitudinal environment in which people live and develop their lives) that are related to the level of incidence of older people in productive and leisure activities, according to the international classification of functioning, disability and health, which for this research was taken as the theoretical model. Since it allows a coherent view of the different dimensions of health from a biological and social perspective. material and methods: a cross-sectional analytical study was carried out through a stratified sampling, where 96 people were effectively surveyed from the 18-hillside zone in Cali. The research was performed through a bivariate analysis using association measures such as Fisher's exact test and the chi-square test. results: It was found that the personal and environmental factors related to the participation of the elderly were civil status, chronic diseases, family relationships and physical barriers of the context which were statistically significant (NS <0.05). conclusions: it is fundamental to create community strategies that encourage the participation of older adults in productive and leisure activities through the formation of social networks and the promotion of social and family support.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"100-110"},"PeriodicalIF":0.5,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48321122","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 : 2017-06-30DOI: 10.30554/ARCHMED.17.1.1910.2017
M. Fernández
Objective : to analyze the occupational wear and the psychosomatic manifestations in teachers of the city of Santa Marta-Colombia. Materials and Methods : The sample consisted of 76 participants, from the city of Santa Marta-Colombia, were applied the Occupational Wear Scale. The study was a quantitative, non-experimental, descriptive and cross-sectional study. Results : The results suggest that the majority of teachers surveyed have low occupational wear, however, there are some teachers with high occupational wear (1.3%, 3.9% and 1.3% in exhaustion, depersonalization and dissatisfaction achievement) respectively or at risk for, since, among the middle level and the level above the average there is a significant percentage that has exhaustion (18.4%), depersonalization (42.1%) and dissatisfaction achievement (3.9%). In addition, no statistically significant differences were found between the sexes in any of the dimensions and it was evidenced that there is a statistically significant correlation between occupational wear, socio-labor variables and psychosomatic manifestations. Conclusion : burnout could be reflected in the health of teachers through psychosomatic manifestations, suggesting actions of promotion and prevention in health.
{"title":"Relación entre Desgaste ocupacional y manifestaciones psicosomáticas en una muestra de docentes colombianos de la ciudad de Santa Marta.","authors":"M. Fernández","doi":"10.30554/ARCHMED.17.1.1910.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.1.1910.2017","url":null,"abstract":"Objective : to analyze the occupational wear and the psychosomatic manifestations in teachers of the city of Santa Marta-Colombia. Materials and Methods : The sample consisted of 76 participants, from the city of Santa Marta-Colombia, were applied the Occupational Wear Scale. The study was a quantitative, non-experimental, descriptive and cross-sectional study. Results : The results suggest that the majority of teachers surveyed have low occupational wear, however, there are some teachers with high occupational wear (1.3%, 3.9% and 1.3% in exhaustion, depersonalization and dissatisfaction achievement) respectively or at risk for, since, among the middle level and the level above the average there is a significant percentage that has exhaustion (18.4%), depersonalization (42.1%) and dissatisfaction achievement (3.9%). In addition, no statistically significant differences were found between the sexes in any of the dimensions and it was evidenced that there is a statistically significant correlation between occupational wear, socio-labor variables and psychosomatic manifestations. Conclusion : burnout could be reflected in the health of teachers through psychosomatic manifestations, suggesting actions of promotion and prevention in health.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"78-90"},"PeriodicalIF":0.5,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41920505","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 : 2017-06-30DOI: 10.30554/ARCHMED.17.1.1924.2017
Enrique Vergara- Amador, M. Hernández
Objectives : calcaneus osteomyelitis is an uncommon bone infection in children, with subtle clinical findings and no important immunologic response, requiring diagnostic imaging to make a diagnosis. This is a clinical study made with patients diagnosticated with calcaneus osteomielitis. Materials and methods : this is a retrospective study of patients with calcaneus ostomyelitis during a 5-year follow up. The variables analyzed were age, gender, affected side, previous trauma or disease, time to diagnosis and treatment period. Results : nine patients were recluted. Six of them with secretion cultures; which 4 were positive with S. aureus. (three with methicillin-resistant S. aureus and one case methicillin - sensitive) and Pseudomonas aeruginosa in two cases. Magnetic resonance imaging (MRI) was neccesary in 6 patients, with findings sugestive of osteomyelitis in all of them. Conclusion: a high-suspect index is essential to diagnosis, besides imaging studies and laboratory exams. Inicial VSG and PCR were positive in all patients and had a tendency to lowering during treatment. CRP correlated with clinical improvement and was an important marker to iniciate orally antymicrobial treatment. MRI and bone scan were an accurate resource in diagnosis. Staphylococcus aureus is the most common microorganism in this and other studies. P. aeruginosa was associated with accidental heel puncture.Early antimicrobial therapy is the main choice. Surgery is needed in some selected cases.
{"title":"Osteomielitis de calcáneo en niños. Observaciones de una serie de casos.","authors":"Enrique Vergara- Amador, M. Hernández","doi":"10.30554/ARCHMED.17.1.1924.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.1.1924.2017","url":null,"abstract":"Objectives : calcaneus osteomyelitis is an uncommon bone infection in children, with subtle clinical findings and no important immunologic response, requiring diagnostic imaging to make a diagnosis. This is a clinical study made with patients diagnosticated with calcaneus osteomielitis. Materials and methods : this is a retrospective study of patients with calcaneus ostomyelitis during a 5-year follow up. The variables analyzed were age, gender, affected side, previous trauma or disease, time to diagnosis and treatment period. Results : nine patients were recluted. Six of them with secretion cultures; which 4 were positive with S. aureus. (three with methicillin-resistant S. aureus and one case methicillin - sensitive) and Pseudomonas aeruginosa in two cases. Magnetic resonance imaging (MRI) was neccesary in 6 patients, with findings sugestive of osteomyelitis in all of them. Conclusion: a high-suspect index is essential to diagnosis, besides imaging studies and laboratory exams. Inicial VSG and PCR were positive in all patients and had a tendency to lowering during treatment. CRP correlated with clinical improvement and was an important marker to iniciate orally antymicrobial treatment. MRI and bone scan were an accurate resource in diagnosis. Staphylococcus aureus is the most common microorganism in this and other studies. P. aeruginosa was associated with accidental heel puncture.Early antimicrobial therapy is the main choice. Surgery is needed in some selected cases.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"9-16"},"PeriodicalIF":0.5,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45872384","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 : 2017-06-30DOI: 10.30554/ARCHMED.17.1.1839.2017
Javier Oswaldo Rodríguez Velásquez, M. Zamora, R. Marín
Objective: the establishment of the interpretation of intrapartum fetal heart rate monitoring led to the creation of a diagnostic methodology based on probability and entropy law, which evaluates the tracing of fetal monitoring in an objective and reproducible way. The objective of the present study is to confirm the reproducibility and clinical applicability of this methodology to evaluate the tracing of normal and abnormal fetal monitoring in a physical-mathematical context. Materials and methods: there were taken 40 traces of fetal monitoring, divided into two groups, 15 of which were normal and 25 showed loss of fetal well-being. The frequency of occurrence of cardiac frequencies, presented in discrete time intervals, was calculated from the probability and S / k ratios of the entropy. Subsequently, the mathematical diagnosis was applied to make distinctions between normal fetal cardiac dynamics and pathological ones. Results: the values of the S/k ratios of the fetal monitoring evaluated, differentiated normal from abnormal fetal cardiac monitoring. Conclusions: with the established mathematical diagnosis, the reproducibility and clinical applicability of the methodology developed for the evaluation of the tracing of fetal monitoring were confirmed.
{"title":"Diagnóstico matemático del trazado de la monitoria fetal fundamentado en la relación S/k de la entropía.","authors":"Javier Oswaldo Rodríguez Velásquez, M. Zamora, R. Marín","doi":"10.30554/ARCHMED.17.1.1839.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.1.1839.2017","url":null,"abstract":"Objective: the establishment of the interpretation of intrapartum fetal heart rate monitoring led to the creation of a diagnostic methodology based on probability and entropy law, which evaluates the tracing of fetal monitoring in an objective and reproducible way. The objective of the present study is to confirm the reproducibility and clinical applicability of this methodology to evaluate the tracing of normal and abnormal fetal monitoring in a physical-mathematical context. Materials and methods: there were taken 40 traces of fetal monitoring, divided into two groups, 15 of which were normal and 25 showed loss of fetal well-being. The frequency of occurrence of cardiac frequencies, presented in discrete time intervals, was calculated from the probability and S / k ratios of the entropy. Subsequently, the mathematical diagnosis was applied to make distinctions between normal fetal cardiac dynamics and pathological ones. Results: the values of the S/k ratios of the fetal monitoring evaluated, differentiated normal from abnormal fetal cardiac monitoring. Conclusions: with the established mathematical diagnosis, the reproducibility and clinical applicability of the methodology developed for the evaluation of the tracing of fetal monitoring were confirmed.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"27-37"},"PeriodicalIF":0.5,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47924499","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 : 2017-06-30DOI: 10.30554/ARCHMED.17.1.1917.2017
L. Sánchez, Luis Felipe Álvarez Hernández, L. I. J. Jaramillo
Otorhinolaryngological diseases have a high incidence in the general population; about 40% of the consultations to the health services are for reasons that referal that include alterations of ear, nose and pharyngolaringeal. Such pathologies commonly receive an erroneous approach that makes it difficult to establish the specific diagnosis leading to an inadequate therapeutic approach. Currently, there are different molecular techniques that facilitate the timely identification of some pathogens and offer new alternatives for treatment and management, although many of these still require more rigorous studies, offer the possibility of developing new ways of approaching patient.
{"title":"Enfermedades otorrinolaringológicas: una mirada genética.","authors":"L. Sánchez, Luis Felipe Álvarez Hernández, L. I. J. Jaramillo","doi":"10.30554/ARCHMED.17.1.1917.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.1.1917.2017","url":null,"abstract":"Otorhinolaryngological diseases have a high incidence in the general population; about 40% of the consultations to the health services are for reasons that referal that include alterations of ear, nose and pharyngolaringeal. Such pathologies commonly receive an erroneous approach that makes it difficult to establish the specific diagnosis leading to an inadequate therapeutic approach. Currently, there are different molecular techniques that facilitate the timely identification of some pathogens and offer new alternatives for treatment and management, although many of these still require more rigorous studies, offer the possibility of developing new ways of approaching patient.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"142-149"},"PeriodicalIF":0.5,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48136815","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 : 2017-06-30DOI: 10.30554/ARCHMED.17.1.1897.2017
F. J. E. L. Hoz
Objective : to evaluate the prevalence of sexual dysfunction in medical women, from the coffee field, during the climacteric stage. Materials and methods : An analytical and cross-sectional study of 132 female climacteric women in the main cities of the Coffee Hub between January 2013 and June 2016. An instrument was used to obtain socio-demographic data and the Index of female sexual function (IFSF). Results : the mean age in this group of women is 48,6±4,5 years (range: 42-63 years); The mean age of the menopause was 49,7±3,4 years. The average female sexual function index was 24,3; (Range: 7,0-34,2±4,8 points). 46,96% of the women had sexual dysfunction. The female sexual function index was less than 26,55 in women over 55 years of age and in those who had coital sexual activity less than once a week (p=0,0207). Desire disorder was the domain with the highest percentage for sexual dysfunction (75,0%). Orgasm was altered (59,09%) in women with exclusive coital sexual activity, and was statistically significant in relation to other types of sexual practice (p=0,00558). Pain (p=0,0174) and dissatisfaction (p=0,0002) were higher in women who did not wish to have coital sexual activity compared to those who wished. Conclusion : A high prevalence of sexual dysfunction was detected in the studied population; being sexual desire the main disorder, followed by difficulties with orgasm.
{"title":"Evaluación de la prevalencia de disfunción sexual en mujeres médicos, del Eje Cafetero colombiano, en etapa de climaterio.","authors":"F. J. E. L. Hoz","doi":"10.30554/ARCHMED.17.1.1897.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.1.1897.2017","url":null,"abstract":"Objective : to evaluate the prevalence of sexual dysfunction in medical women, from the coffee field, during the climacteric stage. Materials and methods : An analytical and cross-sectional study of 132 female climacteric women in the main cities of the Coffee Hub between January 2013 and June 2016. An instrument was used to obtain socio-demographic data and the Index of female sexual function (IFSF). Results : the mean age in this group of women is 48,6±4,5 years (range: 42-63 years); The mean age of the menopause was 49,7±3,4 years. The average female sexual function index was 24,3; (Range: 7,0-34,2±4,8 points). 46,96% of the women had sexual dysfunction. The female sexual function index was less than 26,55 in women over 55 years of age and in those who had coital sexual activity less than once a week (p=0,0207). Desire disorder was the domain with the highest percentage for sexual dysfunction (75,0%). Orgasm was altered (59,09%) in women with exclusive coital sexual activity, and was statistically significant in relation to other types of sexual practice (p=0,00558). Pain (p=0,0174) and dissatisfaction (p=0,0002) were higher in women who did not wish to have coital sexual activity compared to those who wished. Conclusion : A high prevalence of sexual dysfunction was detected in the studied population; being sexual desire the main disorder, followed by difficulties with orgasm.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"70-77"},"PeriodicalIF":0.5,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47442359","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 : 2017-06-30DOI: 10.30554/ARCHMED.17.1.1980.2017
S. M. Polanco, J. Rosales, J. A. Vallés
Introduction: Colon cancer is one of the most frequent and mortal digestive tumors. Complications of this disease could be several and in a few cases, could be rare and infrequent. This article present a case of patient with an abdominal wall abscess due to a malignant transverse colonic tumor. Clinic presentation: Male 56 years-old patient with sepsis and a mass in left superior quadrant on abdomen. The patient was underwent to exploratory laparotomy and findings were a large tumor in transverse colon with penetrance to abdominal wall, invasion to proximal jejunum, and greater omentum. Resection of tumor, transverse colon and greater omentum was done, leaving macroscopic margins on jejunum. Discussion and conclusions: It does not exist a consensus about this complication, but case reports in literature could orientate about diagnostic and therapeutic approaches. However, in second health level care hospitals, doctors must adapt resources to use the best therapeutic for these patients, always thinking in the best treatment for every patient.
{"title":"Absceso de pared abdominal por tumor maligno de colon transverso.","authors":"S. M. Polanco, J. Rosales, J. A. Vallés","doi":"10.30554/ARCHMED.17.1.1980.2017","DOIUrl":"https://doi.org/10.30554/ARCHMED.17.1.1980.2017","url":null,"abstract":"Introduction: Colon cancer is one of the most frequent and mortal digestive tumors. Complications of this disease could be several and in a few cases, could be rare and infrequent. This article present a case of patient with an abdominal wall abscess due to a malignant transverse colonic tumor. Clinic presentation: Male 56 years-old patient with sepsis and a mass in left superior quadrant on abdomen. The patient was underwent to exploratory laparotomy and findings were a large tumor in transverse colon with penetrance to abdominal wall, invasion to proximal jejunum, and greater omentum. Resection of tumor, transverse colon and greater omentum was done, leaving macroscopic margins on jejunum. Discussion and conclusions: It does not exist a consensus about this complication, but case reports in literature could orientate about diagnostic and therapeutic approaches. However, in second health level care hospitals, doctors must adapt resources to use the best therapeutic for these patients, always thinking in the best treatment for every patient.","PeriodicalId":44458,"journal":{"name":"Archivos de Medicina","volume":"17 1","pages":"192-197"},"PeriodicalIF":0.5,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45596848","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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