Colombia Medica最新文献_第6页

Scientific perspective of emotional management in health professionals. 健康专业人员情绪管理的科学视角。

IF 1.1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Colombia Medica

Pub Date : 2023-06-30 eCollection Date: 2023-04-01 DOI: 10.25100/cm.v54i2.5686

Lourdes Zevallos

This letter focuses on the interesting article entitled “Melancholy as a Healthy Strategy in Times of Great Human Crisis” 1 , where a series of very respectful observations and reflections are made: First, we raise the convenience of reorienting the worldview presented in the article since it establishes a tragic image of life (death). Not only because it implies the idea of the end of the world as the basis of the population’s anxieties and obsessions but also because it presupposes that the modernly conceived world is unlivable due to the level of stress endured because of uncertainty and change. Moreover, it presents melancholy and bitterness as strategies to be applied as a remedy to the living crisis and to achieve mental health. Certainly, behaviors that do not have a profile of harmony or internal coherence in the subject but of disorganization and a healthy lack of response to life. The second observation is a theoretical proposal of a materialistic and systemic, i.e., scientific nature. While it is true that the conditions we live in today are complex, uncertain and changing. It is also true that theoretical proposals such as resilience come from social psychology, which proposes assertive, proactive behaviors that look more positively to the health of citizens without reaching romantic explanations such as the possible exercise of freedom (subjectivism and idealism) or the ideal of the self (patent presence of psychoanalysis). These terms are not only insubstantial but have no known therapeutic correlation. Therefore, the population demands a clear and realistic vision of mental health to structure concrete ways out of their stress, depression, or anxiety.

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引用次数: 0

Response to a critical reader of my essay on melancholy 回应一位批评我那篇关于忧郁的文章的读者

4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Colombia Medica

Pub Date : 2023-06-28 DOI: 10.25100/cm.v54i2.5749

Eduardo Botero Toro

With the title “Scientific perspective of emotional management in health professionals,” the reader presents a series of considerations based on “very respectful observations and reflections”, five in total, to which I wish to respond after thanking the Journal and the reader because with its publication it contributes to stimulating the healthy debate that must exist in the field of knowledge that defines human behavior as an object. But first I want to state that, with the publication of my essay, I move away from any mood aimed at managing emotions in health professionals, whatever this means. Like everyone who publishes, I am encouraged by the desire to be read and the critical reader testifies to this, but, following the line of argument of his criticism of my essay, I depart from considering that the readers of this magazine are waiting for healthy recommendations for their ways of life. With Foucault, I share the radical criticism he makes of this type of psychoanalysis - and other so-called behavioral sciences - that tend to become preaching. I suppose (and desire) an adult reader and able to discern with my writing, in favor or not of this content. As in any essay, I use a vital experience that continues to be nourished by conceptual references produced from various areas of knowledge to fulfill one of the essential objectives of any essay: to investigate a topic and involve the reader and, finally, does not require exhaustiveness and declares mandatory the subjectivity of the essayist with total freedom in the structure, the tone and style of the text.

读者以“健康专业人员情绪管理的科学视角”为标题，在“非常尊重的观察和反思”的基础上提出了一系列考虑，总共有五个，我希望在感谢《华尔街日报》和读者之后做出回应，因为它的出版有助于激发在将人类行为定义为对象的知识领域中必须存在的健康辩论。但首先我想声明的是，随着我的文章的发表，我将远离任何旨在管理健康专业人员情绪的情绪，不管这意味着什么。像每一个出版的人一样，我被被阅读的愿望所鼓舞，批判的读者证明了这一点，但是，按照他批评我的文章的论点，我不认为这本杂志的读者是在等待对他们的生活方式有益的建议。对于福柯，我赞同他对这种精神分析以及其他所谓的行为科学的激进批评，这些批评倾向于成为说教。我想(并渴望)一个成年读者，能够辨别我的写作，赞成或不赞成这个内容。就像在任何文章中一样，我使用一种重要的经验，这种经验继续受到来自不同知识领域的概念性参考的滋养，以实现任何文章的基本目标之一:调查一个主题，让读者参与其中，最后，不需要穷尽，并宣布强制随笔作者的主观性，在结构上完全自由，语气和风格的文本。

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引用次数: 0

Female sexual dysfunction in chronic obstructive pulmonary disease. 女性慢性阻塞性肺病性功能障碍。

IF 1.1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Colombia Medica

Pub Date : 2023-06-18 eCollection Date: 2023-04-01 DOI: 10.25100/cm.v54i2.5633

Müfide Arzu Özkarafakılı, Cemil Kutsal

Background: Sexual life of women with chronic obstructive pulmonary disease (COPD) can be affected by breathing difficulties, a decrease in functional status, depressive mood and fatigue.

Objetive: To evaluate the sexual dysfunction in female COPD patients and the possible explanatory mechanisms or correlations between these conditions.

Methods: The study included 70 female patients with COPD aged between 36-65 and 70 age-matched controls. All the subjects completed questionnaires for the Female Sexual Functional Index (FSFI), BECK depression inventory and, spirometry.

Results: Statistically significant sexual dysfunction was noted in COPD patients compared to the non-COPD group (p<0.001). BECK depression inventory scores of the COPD patients were also significantly lower (p<0.001). no correlation between FSFI and BECK depression scores in 'patients' characteristics (r=-0.055, p=0.651). No significant difference was found in age, forced expiratory volume (FEV)₁%, and exacerbation history of the previous year according to severity of depression (p>0.005). In linear regression analysis determining depression, no statistically significant factor was found among age, number of comorbidities, and FEV₁/ forced vital capacity (FVC) % predicted (p>0.05). In multivariable analysis, only fatigue during intercourse was found to be a statistically significant factor in predicting sexual dysfunction among factors like age, presence of comorbidities, duration of the disease, smoking status, FEV₁%, m MRCpoints, 6-minutes walk test, BECK depression scores (p=0.008).

Conclusion: Sexual dysfunction is reported in many COPD females and seems to be related not to spirometric measures or exercise capacity but to fatigue. Depression is also a common comorbidity, of which both disorders are often neglected.

背景：患有慢性阻塞性肺病（COPD）的女性的性生活可能受到呼吸困难、功能状态下降、抑郁情绪和疲劳的影响。目的：评价女性COPD患者的性功能障碍及其可能的解释机制或相关性。方法：该研究包括70名年龄在36-65岁至70岁之间的女性COPD患者作为对照。所有受试者都完成了女性性功能指数（FSFI）、BECK抑郁量表和肺活量测定的问卷调查。结果：与非COPD组相比，COPD患者的性功能障碍具有统计学意义（ppp=0.651）。根据抑郁症的严重程度，在年龄、用力呼气量（FEV）1%和前一年的加重史方面没有发现显著差异（p>0.05）。在确定抑郁症的线性回归分析中，在年龄、合并症数量和预测的FEV1/用力肺活量（FVC）%之间没有发现统计学上显著的因素（p>0.05）。在多变量分析中，在年龄、是否存在合并症、疾病持续时间、吸烟状态、FEV1%、m MRC点等因素中，只有性交疲劳是预测性功能障碍的统计学上显著因素，6分钟步行测试，BECK抑郁评分（p=0.008）。结论：据报道，许多COPD女性出现性功能障碍，似乎与肺活量测量或运动能力无关，而是与疲劳有关。抑郁症也是一种常见的共病，这两种疾病往往被忽视。

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引用次数: 0

Mortality due to COVID-19 during the vaccination plan against the SARS-CoV-2 virus in Cali, Colombia. 哥伦比亚卡利市 SARS-CoV-2 病毒疫苗接种计划期间 COVID-19 导致的死亡率。

IF 0.7 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Colombia Medica

Pub Date : 2021-12-30 eCollection Date: 2021-10-01 DOI: 10.25100/cm.v52i3.5047

Carlos Reina, Miyerlandi Torres, Edgar Muñoz, Elvia Karina Grillo Ardila, Rodrigo Guerrero Velasco, Luis Eduardo Bravo

引用次数: 0

Reply to a letter from Robert Colebunders entitled COVID-19: The African Enigma 回复Robert Colebunders题为“COVID-19:非洲之谜”的信

IF 1.1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Colombia Medica

Pub Date : 2021-04-24 DOI: 10.25100/CM.V52I2.4833

Rodrigo Guerrero, L. Bravo, E. Muñoz, Elvia Karina Grillo Ardila, E. Guerrero

We thank Dr. Colebunders for his comments regarding our manuscript. Our study was an ecological study prompted by the low frequency of cases and deaths from the SARS-CoV-2 COVID-19 virus in some African countries. We agree with Dr. Colebunders that other factors could explain the observed association between APOC countries and COVID-19 mortality. However, these unmeasured confounders would have to be strongly associated with Covid-19 mortality to explain the observed 28% reduction. In updated information, as of 12-17-20, APOC countries had a 42% lower risk of death than the non-APOC countries, adjusted for confounders. (Not published) Hellwig et al., in addition to reporting similar findings to ours for African and Asian countries, surmised that they may be connected to ivermectin’s ability to inhibit SARS-CoV-2 replication suggesting other pathways must exist to explain the persistence of such an inhibitory effect after serum levels of ivermectin have declined. As mentioned by Mbow et al. “, it is increasingly recognized that the immune system is shaped not only by genetics but also by environmental factors, such as exposure to microorganisms and parasites. This educates the immune system to protect against invading pathogens not only specifically but also nonspecifically through, for example, “trained immunity,” which involves the reprogramming of innate cells that, on secondary encounter with a pathogen, can show a stronger response.” Those infections, such as onchocerciasis, may downregulate immune responses and potentially inactivate the inflammatory signalling pathways that may induce acute respiratory distress syndrome (ARDS), one of the causes of death in COVID-19 infected persons, seems very attractive explanation.

我们感谢Colebunders博士对我们手稿的评论。我们的研究是一项生态研究，这是由于一些非洲国家的SARS-CoV-2 COVID-19病毒病例和死亡频率较低而引起的。我们同意Colebunders博士的观点，即其他因素可以解释APOC国家与COVID-19死亡率之间观察到的关联。然而，这些未测量的混杂因素必须与Covid-19死亡率密切相关，才能解释观察到的28%的下降。在最新信息中，截至2012年12月17日，经混杂因素调整后，疟疾控制地区国家的死亡风险比非疟疾控制地区国家低42%。(未发表)Hellwig等人除了报告了与我们在非洲和亚洲国家的类似发现外，还推测它们可能与伊维菌素抑制SARS-CoV-2复制的能力有关，这表明在伊维菌素血清水平下降后，必须存在其他途径来解释这种抑制作用的持久性。正如Mbow等人所提到的，“人们越来越认识到，免疫系统不仅受遗传因素的影响，还受环境因素的影响，例如暴露于微生物和寄生虫。这就教育了免疫系统，使其不仅能特异性地保护病原体，还能非特异性地保护病原体，例如，通过“训练免疫”，对先天细胞进行重新编程，使其在第二次遇到病原体时能表现出更强的反应。盘尾丝虫病等感染可能下调免疫反应，并可能使炎症信号通路失活，从而诱发急性呼吸窘迫综合征(ARDS)，这是COVID-19感染者死亡的原因之一，这似乎是一个非常有吸引力的解释。

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引用次数: 0

Inequities in the emergence, manifestations and consequences of COVID19 covid - 19的出现、表现和后果方面的不公平现象

IF 1.1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Colombia Medica

Pub Date : 2021-03-18 DOI: 10.25100/CM.V52I1.4778

F. Paz

引用次数: 1

Response to comment made by Angulo-Ramos and Merino-Soto entitled “Effect size: comment on the study on the Factors associated with the practice of exclusive breastfeeding 对anglo - ramos和Merino-Soto发表的题为“效应大小:对纯母乳喂养相关因素研究的评论”的评论的回应

IF 1.1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Colombia Medica

Pub Date : 2020-09-03 DOI: 10.25100/cm.v51i1.4529

Julio César Mateus Solarte, Gustavo Alonso Cabrera Arana

This letter focuses on recent and interesting work on breastfeeding, to emphasize two observations. The first observation refers to the fact that, in Mateus and Cabrera’s manuscript It was hardly discussed whether the referred knowledge and skills may be relevant to understanding the mothers’ behavior regarding their commitment to breastfeeding. The relevance of these cognitive aspects requires more attention due to their relationship with breastfeeding practices, and in general with the long-term mother-infant dyad.Because the knowledge and skills to maintain successful breastfeeding have implications for developing instructional content in interventions for mothers as well, great attention needs to be paid to the size of the effect of differences between reported frequencies in pregnancy and the immediate puerperium. In Table 3, these differences were examined by the McNemar statistical test, which allows obtaining the statistical significance of the rejection of the null hypothesis of no differences. But neither this test nor the size of its p-value inform about the degree or size of the differences. An estimate of the size or magnitude of the differences, represented as point values or confidence intervals (as reported in Tables 4 and 5), tend to better specify tests of statistical significance.

这封信的重点是最近关于母乳喂养的有趣工作，以强调两个观察结果。第一个观察到的事实是，在Mateus和Cabrera的手稿中，几乎没有讨论提到的知识和技能是否可能与理解母亲在母乳喂养承诺方面的行为有关。这些认知方面的相关性需要更多的关注，因为它们与母乳喂养的关系，一般来说，与长期的母婴死亡。由于保持母乳喂养成功的知识和技能也影响到为母亲制定干预措施的教学内容，因此需要高度注意怀孕期间和产褥期报告的频率之间差异的影响程度。在表3中，这些差异通过McNemar统计检验进行检验，该检验允许获得拒绝无差异原假设的统计显著性。但是这个测试及其p值的大小都不能说明差异的程度或大小。用点值或置信区间表示的差异大小或幅度的估计(如表4和表5所述)往往能更好地指定统计显著性检验。

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引用次数: 0

Non-suicidal self-injury in patients with eating disorders: nuclear aspects 饮食失调患者的非自杀性自伤:核方面

IF 1.1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Colombia Medica

Pub Date : 2020-05-15 DOI: 10.25100/CM.V52I1.4342

Á. Rodríguez-López, Erika Rodríguez-Ortíz, Borja Romero-Gonzalez

Background: Through the culture of thinness, increasingly promoted in our society as a beauty canon, it is not surprising that the number of people affected by eating disorders is increasing. Objective: This research aims to study the relationship between non-suicidal self-injuries and nuclear aspects of eating disorders specified along with this article. Methods: The sample consisted of 60 women diagnosed with anorexia and bulimia. Questionnaires assessing impulsivity, body satisfaction, alexithymia, body attitude and self-esteem were administered. Participants with non-suicidal self-harm were compared with those without, and participants with anorexia with and without self-harm and participants with bulimia with and without self-harm were compared. Results: Differences were found in body dissatisfaction = 5,71; p ≤ ,01), body attitudes = 4,80; p ≤ ,02), self-esteem = 14,09; p ≤ .00) and impulsivity (t = 3,39; p ≤ ,01) between participants with and without non-suicidal self-harm. Conclusions: These are key factors for the clinic in the treatment of eating disorders to prevent the presence of self-harm, as it allows focusing the treatment target on those aspects such as dissatisfaction and impulsivity, which are key in the development of self-harm.

背景:随着瘦文化在我们的社会中越来越多地被推崇为一种美丽的标准，受饮食失调影响的人数越来越多也就不足为奇了。目的:本研究旨在探讨非自杀性自我伤害与本文所述进食障碍核心方面的关系。方法:60名诊断为厌食症和贪食症的女性。对冲动性、身体满意度、述情障碍、身体态度和自尊进行问卷调查。将非自杀性自残者与无自杀性自残者进行比较，将厌食症伴与不伴自残者、暴食症伴与不伴自残者进行比较。结果:对身体不满意程度有差异= 5,71;P≤，01)，身体态度= 4,80;P≤，02)，自尊= 14,09;P≤.00)和冲动性(t = 3,39;P≤，01)。结论:这些因素是临床治疗饮食失调预防自我伤害存在的关键因素，因为它可以将治疗目标集中在自我伤害发展的关键方面，如不满和冲动。

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引用次数: 1

Survey on health, well-being and aging. SABE Colombia 2015: Technical Report. 健康、幸福和老龄化调查。SABE哥伦比亚2015：技术报告。

IF 1.1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Colombia Medica

Pub Date : 2019-06-30 DOI: 10.25100/cm.v50i2.4557

Delia Ortega-Lenis, Fabian Mendez

Introduction: Colombian population is getting old in an accelerated manner, causing economic, social and health services effects. The Ministry of Health and Social Protection in the National System of Population Studies and Surveys for Health implemented the first health, well-being and aging survey- SABE-2015 Colombia- to know the living conditions of people 60 years of age or older.

Objective: Describe the design of the method, statistical sampling and quality control of information from the SABE-2015 survey.

Methods: A cross-sectional study, with quantitative and qualitative approaches, representative for the population in urban and rural areas aged 60 or over. Information was collected on socioeconomic variables, physical and social environment, behavior, cognition and affection, functionality, mental well-being, health conditions, and the use and access to health services.

Results: 23,694 surveys were conducted, 17,189 in urban population (72.5%) and 6,505 in rural population. The percentage of effective national response was 66% in 244 municipalities. Supervision was made in 40% of the surveys and telephone re-contact in 25%. The consistency of 100% surveys was reviewed and double entry was developed in 5% of them. National estimates have a 5% margin error.

Conclusion: The SABE Colombia 2015 survey is representative of the main indicators of health, well-being and aging in Colombia. The design allows regional comparisons, between large cities and urban and rural population.

简介：哥伦比亚人口老龄化速度加快，对经济、社会和卫生服务产生影响。国家卫生人口研究和调查系统中的卫生和社会保护部实施了第一次健康、福祉和老龄化调查——SABE-2015哥伦比亚——以了解60岁或60岁以上人群的生活条件。目的：描述SABE-2015调查信息的方法设计、统计抽样和质量控制。方法：一项横断面研究，采用定量和定性方法，代表城市和农村60岁或以上的人口。收集了有关社会经济变量、身体和社会环境、行为、认知和情感、功能、心理健康、健康状况以及使用和获得医疗服务的信息。结果：共进行了23694次调查，其中城市人口17189次（72.5%），农村人口6505次。244个市镇的国家有效应对率为66%。40%的调查中进行了监督，25%的调查中再次进行了电话联系。审查了100%调查的一致性，并在其中5%的调查中形成了双重输入。国家估计有5%的边际误差。结论：SABE哥伦比亚2015年的调查代表了哥伦比亚健康、幸福和老龄化的主要指标。该设计允许在大城市和城乡人口之间进行区域比较。

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引用次数: 10

Cultural adaptation and validation of the Geriatric Oral Health Assessment Index - GOHAI - Colombian version. 老年人口腔健康评估指数- GOHAI -哥伦比亚版本的文化适应和验证。

IF 1.1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Colombia Medica

Pub Date : 2019-06-30 DOI: 10.25100/CM.V50I2.3999

B. Quiceno, María Teresa Calzada Gutiérrez, A. Losada

Objective: This study aims to carry out the cultural adaptation and the validation of the GOHAI scale for the Colombian population. Methods: Translation process, cultural adaptation, and content and face validity were carried out with a sample of 63 participants as a pretest. The validation counted with a sample of 7,200 subjects, divided into two groups: a work sample (WS) with 3,628 subjects and a confirmatory sample (CS) with 3,572 subjects. Construct, criterion validity and internal consistency were performed for both samples. Test-retest reliability was assessed with a sub-sample of 75 participants Results: The GOHAI showed an appropriate face and content validity, the pre-test revealed an understandable questionnaire, the scale showed a unidimensional factorial structure and a Cronbach’s Alpha of 0.8. Convergent validity with a self-perception on general health scale pointed to a significant correlation ( p = 0.0001), while discriminant validity showed significant differences regarding groups according to age group, skin color, educational level, socio-economic level, healthcare affiliation and self-perception about need of dental prostheses. Gender groups did not show significant differences among groups within either sample. The CS showed similar results, differences existed among factorial structures of 2 and 3 factors, and for discriminant validity, the CS showed statistically significant differences for the Area variable not in the WS. Kendall’s test-retest analysis’s correlation is 0.85 ( p = 0.0000). Conclusions: The GOHAI scale is valid and reliable enough to be used as a measure of Oral-Health-Related Quality of Life in the Colombian elderly population, also could be applied for other Latin-American populations.

目的:本研究旨在对哥伦比亚人群进行文化适应和GOHAI量表的验证。方法:以63人为样本进行翻译过程、文化适应、内容效度和面孔效度的前测。验证的样本有7200名受试者，分为两组:工作样本(WS)有3628名受试者，验证样本(CS)有3572名受试者。对两个样本进行了结构、效度和内部一致性测试。结果:GOHAI量表具有适当的面孔效度和内容效度，前测问卷具有可理解性，量表呈一维因子结构，Cronbach’s Alpha值为0.8。与一般健康量表自我知觉的趋同效度呈显著相关(p = 0.0001)，而不同年龄、肤色、文化程度、社会经济水平、所属医疗机构和对修复体需求自我知觉的差异显著。在两个样本中，性别组之间没有显着差异。CS结果相似，2因子和3因子的析因结构存在差异，区分效度方面，非WS的Area变量CS差异有统计学意义。Kendall的test-retest分析的相关系数为0.85 (p = 0.0000)。结论:GOHAI量表具有足够的有效性和可靠性，可作为哥伦比亚老年人群口腔健康相关生活质量的衡量标准，也可用于其他拉丁美洲人群。

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引用次数: 8