Hace algunos anos se dijo que «la linea mas corta en la ciencia, como en el amor, no es la linea recta»1. Esto resulto ser cierto para Acta Medica del Valle, una revista que inicio sus labores en Cali, Colombia, en 1970. Para entonces, Rodrigo Guerrero et al., sonaron con tener una revista que difundiera la informacion medica proveniente, sobre todo, del suroccidente colombiano. En este mismo sentido, Jorge Lega Siccar, Presidente del Comite Editorial del primer numero de esta revista, tuvo la vision que llegarian manuscritos procedentes de «todo el pais», asi como del extranjero, a la oficina editorial de esta recien nacida revista cien-tifica. iY lo lograron! A continuacion, Francisco Falabella et al., dirigieron la revista desde 1973 hasta 1998, y sonaron con mejorar el impacto y reputacion de la revista en Colombia. Por lo tanto, el nombre de la revista cambio en 1980 a Colombia Medica, y cientos de manuscritos de alta calidad se publicaron en papel durante 25 anos (desde 1970 hasta 1995), apoyados siempre por la Universidad del Valle ubicada tambien en Cali. Durante este tiempo, Colombia Medica publico investigaciones muy importantes. Por ejemplo, Zaninovic et al., publicaron, en 1981, en esta revista, acerca de una enfermedad que se presentaba en habitantes del suroccidente de Colombia. Dicha enfermedad se caracteriza por paraparesia espastica, un trastorno que se asocio, mas tarde, con una serie de cofactores ambientales2; estas investigaciones atrajeron la atencion de la Organizacion Mundial de la Salud a este problema medico. Ademas, entre los suenos de este grupo editorial estuvo la creacion de una edicion electronica de Colombia Medica, cuyo primer numero se publico en la pagina web: http://colombiamedica.univalle.edu.co, en 1995. iY lo lograron!
几年前有人说过:“科学中最短的线，就像爱情中最短的线，不是直线。”1970年在哥伦比亚卡利开始工作的《山谷医学学报》(Acta Medica del Valle)证明了这一点。那时，罗德里戈·格雷罗(Rodrigo Guerrero)等人梦想拥有一份杂志，传播主要来自哥伦比亚西南部的医学信息。在同样的意义上，该杂志第一期编辑委员会主席豪尔赫·莱加·西卡尔(Jorge Lega Siccar)设想，来自“全国各地”以及国外的手稿将被送到新成立的《科学》杂志的编辑部。他们做到了!随后，弗朗西斯科·法拉贝拉(Francisco Falabella)等人从1973年到1998年担任该杂志的编辑，旨在提高该杂志在哥伦比亚的影响力和声誉。因此，1980年该杂志更名为哥伦比亚Medica，在25年的时间里(从1970年到1995年)，数百份高质量的手稿在纸上发表，一直得到同样位于卡利的del Valle大学的支持。在此期间，哥伦比亚医药公司公布了非常重要的研究成果。例如，1981年，Zaninovic等人在该杂志上发表了一种发生在哥伦比亚西南部居民身上的疾病。这种疾病的特征是痉挛性瘫痪，这种疾病后来与一系列环境辅助因素有关2;这些研究引起了世界卫生组织对这一医学问题的注意。此外，该出版集团的梦想之一是创建了《哥伦比亚医学》电子版，第一期于1995年在其网站http://colombiamedica.univalle.edu.co上出版。他们做到了!
{"title":"Colombia Médica is now indexed in MEDLINE/Pubmed: A dream come true","authors":"F. E. Leon-Sarmiento","doi":"10.25100/CM.V42I3.871","DOIUrl":"https://doi.org/10.25100/CM.V42I3.871","url":null,"abstract":"Hace algunos anos se dijo que «la linea mas corta en la ciencia, como en el amor, no es la linea recta»1. Esto resulto ser cierto para Acta Medica del Valle, una revista que inicio sus labores en Cali, Colombia, en 1970. Para entonces, Rodrigo Guerrero et al., sonaron con tener una revista que difundiera la informacion medica proveniente, sobre todo, del suroccidente colombiano. En este mismo sentido, Jorge Lega Siccar, Presidente del Comite Editorial del primer numero de esta revista, tuvo la vision que llegarian manuscritos procedentes de «todo el pais», asi como del extranjero, a la oficina editorial de esta recien nacida revista cien-tifica. iY lo lograron! A continuacion, Francisco Falabella et al., dirigieron la revista desde 1973 hasta 1998, y sonaron con mejorar el impacto y reputacion de la revista en Colombia. Por lo tanto, el nombre de la revista cambio en 1980 a Colombia Medica, y cientos de manuscritos de alta calidad se publicaron en papel durante 25 anos (desde 1970 hasta 1995), apoyados siempre por la Universidad del Valle ubicada tambien en Cali. Durante este tiempo, Colombia Medica publico investigaciones muy importantes. Por ejemplo, Zaninovic et al., publicaron, en 1981, en esta revista, acerca de una enfermedad que se presentaba en habitantes del suroccidente de Colombia. Dicha enfermedad se caracteriza por paraparesia espastica, un trastorno que se asocio, mas tarde, con una serie de cofactores ambientales2; estas investigaciones atrajeron la atencion de la Organizacion Mundial de la Salud a este problema medico. Ademas, entre los suenos de este grupo editorial estuvo la creacion de una edicion electronica de Colombia Medica, cuyo primer numero se publico en la pagina web: http://colombiamedica.univalle.edu.co, en 1995. iY lo lograron!","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"34 1","pages":"265-268"},"PeriodicalIF":1.1,"publicationDate":"2011-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73078263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SUMMARY The idealized vision of the physician-patient relationship was characterized by patient trust and physician availability, in a long-term relationship in which physicians knew many things about their patients and their families, being the physician a part of the patient’s community. Physician employers, pharmaceutical companies, and insurance companies have abruptly entered the once private relationship between physicians and patients, changing a true relationship into a simple encounter. The substitution of the generic terms physician and patient for provider and client mirrors the increased impersonality of the encounter based on the commercialization of medicine. The present review analyzes the situations, which have led to the progressive and unavoidable deterioration of the physician-patient relationship within a globalized society.
{"title":"Evolution and changes in the physician-patient relationship","authors":"J. H. Osorio","doi":"10.25100/CM.V42I3.888","DOIUrl":"https://doi.org/10.25100/CM.V42I3.888","url":null,"abstract":"SUMMARY The idealized vision of the physician-patient relationship was characterized by patient trust and physician availability, in a long-term relationship in which physicians knew many things about their patients and their families, being the physician a part of the patient’s community. Physician employers, pharmaceutical companies, and insurance companies have abruptly entered the once private relationship between physicians and patients, changing a true relationship into a simple encounter. The substitution of the generic terms physician and patient for provider and client mirrors the increased impersonality of the encounter based on the commercialization of medicine. The present review analyzes the situations, which have led to the progressive and unavoidable deterioration of the physician-patient relationship within a globalized society.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"23 1","pages":"400-405"},"PeriodicalIF":1.1,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81552482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Villareal, L. Álvarez, K. Jiménez, K. Martínez, E. Martínez, C. Ojeda
Objective: To measure the effectiveness of an educational program, that encourages the adoption of healthy behaviors in caregivers, to prevent diarrheal diseases in children under five years of age. Design: Quasi experimental educational intervention (before-after type), adopting the interrupted time series design with a group (Burns and Grove 2008) and the Health Beliefs theory of Hochbaum. Materials and methods: We repeatedly measured the effect of an educational program to promote the adoption of healthy behaviors toward the prevention of acute diarrheal disease in 17 caregivers of children under 5 years of age in a marginal suburb of the city of Sincelejo (Colombia). A standardized questionnaire and a semi-structured interview was applied on two occasions (before and after) to investigate the beliefs about the perception of severity and identification of risk factors and prevention of disease, an observation guide to follow changes in beliefs was also used. Results: We found a low presence of healthy beliefs in all dimensions before the implementation of the program and a high proportion of variation of change after the intervention, except in the perception of benefits, which turned out to be the same before and after the intervention. The greatest predictor of change was the perception of the severity of the disease, with a coefficient of variation of 100%. Conclusions: The effectiveness of an educational program to adhere to an expected behavior is achieved by using the synergy of educational and communication elements in health behavior theories that go beyond the cognitive to the affective and structure of volition.
目的:衡量一项教育计划的有效性，该计划鼓励照顾者采取健康行为，以预防五岁以下儿童腹泻疾病。设计:准实验教育干预(前后型)，采用中断时间序列设计(Burns and Grove 2008)和Hochbaum的健康信念理论。材料和方法:我们反复测量了一项教育计划的效果，该计划旨在促进17名照顾5岁以下儿童的人采用健康行为来预防急性腹泻病，这些人生活在哥伦比亚的Sincelejo市的边缘郊区。采用标准化问卷和半结构化访谈两种方式(前后)调查患者对疾病严重性感知、危险因素识别和疾病预防的信念，并采用信念变化观察指南。结果:我们发现，在实施计划之前，健康信念在所有维度上的存在率都很低，而在干预后，健康信念的变化比例很高，除了对利益的感知，干预前后是相同的。变化的最大预测因子是对疾病严重程度的感知，变异系数为100%。结论:坚持预期行为的教育计划的有效性是通过使用健康行为理论中教育和沟通因素的协同作用来实现的，这些因素超越了认知到意志的情感和结构。
{"title":"Educational intervention for the prevention of diarrheal diseases in the Mano de Dios neighborhood Sincelejo Colombia: A success experience.","authors":"G. Villareal, L. Álvarez, K. Jiménez, K. Martínez, E. Martínez, C. Ojeda","doi":"10.25100/CM.V42I3.878","DOIUrl":"https://doi.org/10.25100/CM.V42I3.878","url":null,"abstract":"Objective: To measure the effectiveness of an educational program, that encourages the adoption of healthy behaviors in caregivers, to prevent diarrheal diseases in children under five years of age. Design: Quasi experimental educational intervention (before-after type), adopting the interrupted time series design with a group (Burns and Grove 2008) and the Health Beliefs theory of Hochbaum. Materials and methods: We repeatedly measured the effect of an educational program to promote the adoption of healthy behaviors toward the prevention of acute diarrheal disease in 17 caregivers of children under 5 years of age in a marginal suburb of the city of Sincelejo (Colombia). A standardized questionnaire and a semi-structured interview was applied on two occasions (before and after) to investigate the beliefs about the perception of severity and identification of risk factors and prevention of disease, an observation guide to follow changes in beliefs was also used. Results: We found a low presence of healthy beliefs in all dimensions before the implementation of the program and a high proportion of variation of change after the intervention, except in the perception of benefits, which turned out to be the same before and after the intervention. The greatest predictor of change was the perception of the severity of the disease, with a coefficient of variation of 100%. Conclusions: The effectiveness of an educational program to adhere to an expected behavior is achieved by using the synergy of educational and communication elements in health behavior theories that go beyond the cognitive to the affective and structure of volition.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"3 1","pages":"319-326"},"PeriodicalIF":1.1,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87539982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Recent studies of intervention in sedentary subjects, or those with neurological lesions, suggest that increased motor activity (exercise/physical activity), performed at moderate intensities and habitually, could have beneficial effects on the vascular function. However, the physiological effects of interventions conducted with facilitating techniques of the motor activity, such as Kabat's proprioceptive neuromuscular facilitation techniques (PNF) on vascular function are unknown, even though such physiological effects are proposed in said postulates. This report presents the usefulness of PNF on vascular function in three healthy volunteers. The patterns of Kabat's PNF increase, just like the models or contractile isotonic activity proposed in this test, the tension of vascular friction, which relates to better vascular function.
{"title":"Proprioceptive neuromuscular facilitation (PNF) and its impact on vascular function","authors":"Celia Escobar-Hurtado, R. Ramírez‐Vélez","doi":"10.25100/CM.V42I3.885","DOIUrl":"https://doi.org/10.25100/CM.V42I3.885","url":null,"abstract":"Recent studies of intervention in sedentary subjects, or those with neurological lesions, suggest that increased motor activity (exercise/physical activity), performed at moderate intensities and habitually, could have beneficial effects on the vascular function. However, the physiological effects of interventions conducted with facilitating techniques of the motor activity, such as Kabat's proprioceptive neuromuscular facilitation techniques (PNF) on vascular function are unknown, even though such physiological effects are proposed in said postulates. This report presents the usefulness of PNF on vascular function in three healthy volunteers. The patterns of Kabat's PNF increase, just like the models or contractile isotonic activity proposed in this test, the tension of vascular friction, which relates to better vascular function.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"54 1","pages":"373-378"},"PeriodicalIF":1.1,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87010479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objetivo: Se presenta la teoria, metodos y resultados de la evaluacion de efectividad de una intervencion para prevenir y controlar enfermedades cronicas no transmisibles (ECNT), aplicando un modelo de evaluacion de efectividad de intervenciones basado en resultados de sistemas de vigilancia de factores de riesgo (FR), asociados con ECNT. La intervencion evaluada corresponde a una estrategia poblacional para promocionar actividad fisica en la ciudad de Cali, Colombia. La evaluacion utilizo los resultados del Sistema de Vigilancia de Factores de Riesgo Asociados con ECNT (SIFREC), desarrollado en Cali, asi como otras fuentes de informacion cuantitativas y cualitativas. Metodos: El modelo de evaluacion aplicado valoro la efectividad de las intervenciones con base en dos indicadores de resultados: cambios en prevalencias de FR asociados con ECNT y creacion de capacidad institucional para abordar los problemas identificados. Se valoro la significancia estadistica de los cambios observados en las prevalencias de FR, al igual que la calidad y el desempeno, tanto del diseno como de la implementacion de la intervencion. Tambien considero la utilidad de la informacion para planificar intervenciones y motivar la accion intersectorial alrededor de las ECNT. Otras variables centrales del modelo aplicado incluyen la adherencia al protocolo, la fundamentacion de los cambios encontrados, variables de contexto que influyeron tanto los resultados como la implementacion de la intervencion y la suficiencia del tiempo para visualizar los cambios esperados. Resultados: El Modelo de Evaluacion de Efectividad desarrollado permitira que se superen limitaciones tecnicas y vacios metodologicos para obtener evidencia de efectividad de las intervenciones. Se incrementara el uso de los resultados de los sistemas de vigilancia de ECNT y se hara viable y sostenible la evaluacion de efectividad de intervenciones en salud publica. Conclusion: El modelo de evaluacion basado en resultados de vigilancia es una alternativa para convertir la vigilancia en una estrategia de salud publica, rebasando su concepcion instrumental tradicional y convirtiendose en insumo critico para la formulacion de politicas publicas.
{"title":"Articulación de sistemas de vigilancia en salud pública a la evaluación de efectividad de programas","authors":"L. D. Salazar","doi":"10.25100/CM.V42I3.881","DOIUrl":"https://doi.org/10.25100/CM.V42I3.881","url":null,"abstract":"Objetivo: Se presenta la teoria, metodos y resultados de la evaluacion de efectividad de una intervencion para prevenir y controlar enfermedades cronicas no transmisibles (ECNT), aplicando un modelo de evaluacion de efectividad de intervenciones basado en resultados de sistemas de vigilancia de factores de riesgo (FR), asociados con ECNT. La intervencion evaluada corresponde a una estrategia poblacional para promocionar actividad fisica en la ciudad de Cali, Colombia. La evaluacion utilizo los resultados del Sistema de Vigilancia de Factores de Riesgo Asociados con ECNT (SIFREC), desarrollado en Cali, asi como otras fuentes de informacion cuantitativas y cualitativas. Metodos: El modelo de evaluacion aplicado valoro la efectividad de las intervenciones con base en dos indicadores de resultados: cambios en prevalencias de FR asociados con ECNT y creacion de capacidad institucional para abordar los problemas identificados. Se valoro la significancia estadistica de los cambios observados en las prevalencias de FR, al igual que la calidad y el desempeno, tanto del diseno como de la implementacion de la intervencion. Tambien considero la utilidad de la informacion para planificar intervenciones y motivar la accion intersectorial alrededor de las ECNT. Otras variables centrales del modelo aplicado incluyen la adherencia al protocolo, la fundamentacion de los cambios encontrados, variables de contexto que influyeron tanto los resultados como la implementacion de la intervencion y la suficiencia del tiempo para visualizar los cambios esperados. Resultados: El Modelo de Evaluacion de Efectividad desarrollado permitira que se superen limitaciones tecnicas y vacios metodologicos para obtener evidencia de efectividad de las intervenciones. Se incrementara el uso de los resultados de los sistemas de vigilancia de ECNT y se hara viable y sostenible la evaluacion de efectividad de intervenciones en salud publica. Conclusion: El modelo de evaluacion basado en resultados de vigilancia es una alternativa para convertir la vigilancia en una estrategia de salud publica, rebasando su concepcion instrumental tradicional y convirtiendose en insumo critico para la formulacion de politicas publicas.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"23 1","pages":"342-351"},"PeriodicalIF":1.1,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90757724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SUMMARY Objective: The aim of this study was to evaluate the effect of mucosa suspension procedure (MSP) by comparing procedure for prolapse and hemorrhoids (PPH). Methods: We compared the safety, clinical outcome, and cost between PPH and MSP for the surgical treatment of hemorrhoidal disease. A total of 80 patients with II and III degree hemorrhoids were included in the study. MSP group (n=40) and PPH group (n=40) were applied at random. Results: Both MSP and PPH are safe surgical treatments for patients with II and III degree hemorrhoids. Complications of the patients, such as persistent pain and tenesmus in the MSP group were less than the PPH group. Moreover, MSP had lower costs. Conclusion: MSP is a safe, effective, and inexpensive procedure for patients with hemorrhoidal disease. We consider that this technique should be widely used.
{"title":"Evaluation of the treatment of II and III degree hemorrhoids: A comparison of mucosa suspension procedure for prolapse and hemorrhoids, Shenyang city, China, 2006-2009","authors":"D. Song, X. Dai, Chun sheng Chen","doi":"10.25100/CM.V42I2.774","DOIUrl":"https://doi.org/10.25100/CM.V42I2.774","url":null,"abstract":"SUMMARY Objective: The aim of this study was to evaluate the effect of mucosa suspension procedure (MSP) by comparing procedure for prolapse and hemorrhoids (PPH). Methods: We compared the safety, clinical outcome, and cost between PPH and MSP for the surgical treatment of hemorrhoidal disease. A total of 80 patients with II and III degree hemorrhoids were included in the study. MSP group (n=40) and PPH group (n=40) were applied at random. Results: Both MSP and PPH are safe surgical treatments for patients with II and III degree hemorrhoids. Complications of the patients, such as persistent pain and tenesmus in the MSP group were less than the PPH group. Moreover, MSP had lower costs. Conclusion: MSP is a safe, effective, and inexpensive procedure for patients with hemorrhoidal disease. We consider that this technique should be widely used.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"9 1","pages":"219-223"},"PeriodicalIF":1.1,"publicationDate":"2011-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77371923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chee Kong Christopher Ho, H. Alexander, P. Singam, L. B. Cheok, Z. Zainuddin
SUMMARY Introduction: This case series is a retrospective review of iatrogenic bladder injuries treated at our institution Universiti Kebangsaan Malaysia, Medical Centre, over a ten-year period, from 1999 to 2009. Materials and methods: A retrospective review of the operating theater database yielded the names and registration numbers of patients who underwent operative repair of bladder injuries. Patients who sustained bladder injuries due to non- surgical reasons (such as traumatic bladder injuries due to pelvic fractures, blunt trauma or penetrating injuries to the pelvis) were excluded. Results: There were 12 cases of iatrogenic bladder injury treated during this time. A total of eight injuries occurred during gynaecological surgery. Five injuries occurred during lower segment caesarean section, two injuries during total abdominal hysterectomy and bilateral salpingo-oopherectomy, and a single injury during Burch colposuspension. Four out of the five injuries during caesarian section had a history of previous caesarian section. Of the four remaining non-gynaecological related injuries, two injuries occurred during hernioplasty, one during exploration of an enterocutaneous fistula and the other was during laparoscopic appendicectomy. Conclusion: Iatrogenic bladder injury should be anticipated in patients undergoing caesarean section who have had multiple previous caesarean sections. Iatrogenic injuries should be identified intra-operatively to enable early repair and the best outcome. These injuries were adequately assessed by ascending cystography. Continuous repair with absorbable sutures together with perivesicle drainage and bladder catheterization produces good outcome.
{"title":"Iatrogenic bladder injury: A single institution´s ten-year experience in treatment and outcome 1999-2009, Kuala Lumpur, Malaysia","authors":"Chee Kong Christopher Ho, H. Alexander, P. Singam, L. B. Cheok, Z. Zainuddin","doi":"10.25100/CM.V42I2.773","DOIUrl":"https://doi.org/10.25100/CM.V42I2.773","url":null,"abstract":"SUMMARY Introduction: This case series is a retrospective review of iatrogenic bladder injuries treated at our institution Universiti Kebangsaan Malaysia, Medical Centre, over a ten-year period, from 1999 to 2009. Materials and methods: A retrospective review of the operating theater database yielded the names and registration numbers of patients who underwent operative repair of bladder injuries. Patients who sustained bladder injuries due to non- surgical reasons (such as traumatic bladder injuries due to pelvic fractures, blunt trauma or penetrating injuries to the pelvis) were excluded. Results: There were 12 cases of iatrogenic bladder injury treated during this time. A total of eight injuries occurred during gynaecological surgery. Five injuries occurred during lower segment caesarean section, two injuries during total abdominal hysterectomy and bilateral salpingo-oopherectomy, and a single injury during Burch colposuspension. Four out of the five injuries during caesarian section had a history of previous caesarian section. Of the four remaining non-gynaecological related injuries, two injuries occurred during hernioplasty, one during exploration of an enterocutaneous fistula and the other was during laparoscopic appendicectomy. Conclusion: Iatrogenic bladder injury should be anticipated in patients undergoing caesarean section who have had multiple previous caesarean sections. Iatrogenic injuries should be identified intra-operatively to enable early repair and the best outcome. These injuries were adequately assessed by ascending cystography. Continuous repair with absorbable sutures together with perivesicle drainage and bladder catheterization produces good outcome.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"13 1","pages":"215-218"},"PeriodicalIF":1.1,"publicationDate":"2011-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73621477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Recently, molecular and epidemiological studies have shown an etiologic role for human papillomavirus (HPV) in a subset of upper aero-digestive tract (UADT) cancers in women and men. Oral HPV infections acquired through oral sex seems to be the main risk factor for HPV-associated oral cancers. The high-risk type HPV-16 was the most prevalent infection HPV-positive in most oral cancers. Therefore, the prophylactic vaccine against HPV-16 could prevent HPV associated oral cancer if the vaccine were demonstrated to be capable of preventing oral HPV-16 infection. Thus, these findings have created new potential opportunities for the primary prevention of oral cancers.
{"title":"HPV infection and carcinogenesis in the upper aero-digestive tract","authors":"Andres Castillo","doi":"10.25100/CM.V42I2.777","DOIUrl":"https://doi.org/10.25100/CM.V42I2.777","url":null,"abstract":"Recently, molecular and epidemiological studies have shown an etiologic role for human papillomavirus (HPV) in a subset of upper aero-digestive tract (UADT) cancers in women and men. Oral HPV infections acquired through oral sex seems to be the main risk factor for HPV-associated oral cancers. The high-risk type HPV-16 was the most prevalent infection HPV-positive in most oral cancers. Therefore, the prophylactic vaccine against HPV-16 could prevent HPV associated oral cancer if the vaccine were demonstrated to be capable of preventing oral HPV-16 infection. Thus, these findings have created new potential opportunities for the primary prevention of oral cancers.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"113 1","pages":"233-242"},"PeriodicalIF":1.1,"publicationDate":"2011-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77007013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Perifoliculitis capitis abscedens et suffodiens, foliculitis disecante, celulitis disecante o enfermedad de Hoffman, es una condicion inflamatoria rara, cronica, que afecta el escalpo de hombres jovenes sobre todo de raza negra, caracterizada por aparicion de nodulos y abscesos que drenan material purulento con formacion de fistulas y trayectos, conduciendo finalmente a alopecia cicatrizal. En la actualidad se entiende esta entidad como un trastorno primario de la queratinizacion folicular, haciendo parte de la triada de oclusion folicular, consistente en la presencia de 3 o 4 de las siguientes entidades: acne conglobata, perifoliculitis capitis abscedens et suffodiens, hidradenitis supurativa y quiste pilonidal. La tercera parte de los casos se asocia con acne conglobata como evento primario. Su manejo, frustrante durante muchos anos, tiene nuevas esperanzas con el uso exitoso de isotretinoina y combinacion de farmacos que intervienen cada uno de sus principios fisiopatologicos.
传染Perifoliculitis症abscedens et suffodiens foliculitis霍夫曼干燥剂,干燥剂或蜂窝组织炎疾病,是一个古怪的条件炎症,cronica escalpo,损害男性年轻人尤其是黑人,其特点是aparicion nodulos和abscesos drenan感染与编队飞行fistulas材料和伤疤的路程,开车终于来到秃头症。目前指该实体作为一个主要障碍queratinizacion卵泡,三合一的一部分oclusion卵泡,存在下列实体的3或4:acne conglobata传染,perifoliculitis症abscedens et suffodiens hidradenitis supurativa和囊肿pilonidal。三分之一的病例与集聚性痤疮作为主要事件有关。它的管理，多年来令人沮丧，有了新的希望，成功地使用异维甲酸和联合药物干预每一个病理生理原则。
{"title":"Report of a patient with acne conglobata and perifolliculitis capitis abscedens et suffodiens","authors":"M. Cárdenas, F. López, L. H. Moreno","doi":"10.25100/CM.V42I2.775","DOIUrl":"https://doi.org/10.25100/CM.V42I2.775","url":null,"abstract":"Perifoliculitis capitis abscedens et suffodiens, foliculitis disecante, celulitis disecante o enfermedad de Hoffman, es una condicion inflamatoria rara, cronica, que afecta el escalpo de hombres jovenes sobre todo de raza negra, caracterizada por aparicion de nodulos y abscesos que drenan material purulento con formacion de fistulas y trayectos, conduciendo finalmente a alopecia cicatrizal. En la actualidad se entiende esta entidad como un trastorno primario de la queratinizacion folicular, haciendo parte de la triada de oclusion folicular, consistente en la presencia de 3 o 4 de las siguientes entidades: acne conglobata, perifoliculitis capitis abscedens et suffodiens, hidradenitis supurativa y quiste pilonidal. La tercera parte de los casos se asocia con acne conglobata como evento primario. Su manejo, frustrante durante muchos anos, tiene nuevas esperanzas con el uso exitoso de isotretinoina y combinacion de farmacos que intervienen cada uno de sus principios fisiopatologicos.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"75 1","pages":"224-227"},"PeriodicalIF":1.1,"publicationDate":"2011-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87084954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Talero-Gutiérrez, L. Romero, Irma Carvajalino, Milcíades Ibáñez
Introduction: Hearing loss is a frequent problem in childhood with an incidence of about one case per 1000 births. Control of deafness should be aimed at prevention and early diagnosis in efforts to provide appropriate treatment and stimulate adequate communication in children affected. The objective of this study was to determine the prevalence of different etiologies among deaf children with a diagnosis of prelingual sensorineural hearing loss referred to the Fundacion CINDA in Bogota, Colombia, between 1997 and 2008. Materials and methods: The medical records were selected from those with prelingual hearing loss. Information was gathered in a format containing variables related to the risk factors suggested by the Joint Committee of Infant Hearing. Results: We studied 254 children; boys and girls were equally distributed. The most common etiological diagnosis was «unknown cause», followed by genetic causes (31 cases), and 38 cases from TORCH infections (toxoplasmosis, others – syphilis, rubella, cytomegalovirus, herpes), with rubella as the most common cause. Conclusions: Review of prenatal, perinatal, and postnatal history often reveals the cause of the deafness in children; therefore, appropriate evaluation of pregnant mothers could result in decreased frequency of deafness in children in our country.
{"title":"Epidemiology of prelingual sensorineural hearing impairment at a children's center in Bogotá, Colombia between 1997 and 2008","authors":"C. Talero-Gutiérrez, L. Romero, Irma Carvajalino, Milcíades Ibáñez","doi":"10.25100/CM.V42I2.771","DOIUrl":"https://doi.org/10.25100/CM.V42I2.771","url":null,"abstract":"Introduction: Hearing loss is a frequent problem in childhood with an incidence of about one case per 1000 births. Control of deafness should be aimed at prevention and early diagnosis in efforts to provide appropriate treatment and stimulate adequate communication in children affected. The objective of this study was to determine the prevalence of different etiologies among deaf children with a diagnosis of prelingual sensorineural hearing loss referred to the Fundacion CINDA in Bogota, Colombia, between 1997 and 2008. Materials and methods: The medical records were selected from those with prelingual hearing loss. Information was gathered in a format containing variables related to the risk factors suggested by the Joint Committee of Infant Hearing. Results: We studied 254 children; boys and girls were equally distributed. The most common etiological diagnosis was «unknown cause», followed by genetic causes (31 cases), and 38 cases from TORCH infections (toxoplasmosis, others – syphilis, rubella, cytomegalovirus, herpes), with rubella as the most common cause. Conclusions: Review of prenatal, perinatal, and postnatal history often reveals the cause of the deafness in children; therefore, appropriate evaluation of pregnant mothers could result in decreased frequency of deafness in children in our country.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"28 1","pages":"199-206"},"PeriodicalIF":1.1,"publicationDate":"2011-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73045305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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