2026-06-18T10:19:52Zhttps://repository.urosario.edu.co/oai/requestoai:repository.urosario.edu.co:10336/253922024-08-20T11:48:37Zcom_10336_925com_10336_562col_10336_12382
Prevalencia y factores asociados a las infecciones asociadas a la atención en salud en pacientes ingresados en una unidad de cuidados intensivos. Neiva 2016-2017
Alvarez Diaz, Leidy Johanna
Rodriguez-Leguizamon, Giovanni
Infección asociada a la atención en salud
Prevalencia
Factores asociados
Aims: this research estimated the prevalence of IAAS and the association between associated factors and IAAS in patients admitted to an intensive care unit in Neiva for the years 2016-2017. Methodology: An analytical, observational, retrospective cross-sectional study was conducted. The study population includes all the patients admitted to the ICU during the established time that meet the inclusion criteria. Intrinsic, extrinsic and related to the microorganism factors were considered. An initial descriptive statistic was performed with the calculation of measurements, standard and median deviations, for continuous variables and the calculation of frequencies for qualitative variables. For the contrast between categorical variables, the Chi-square test or Fisher's exact statistic, as appropriate, was used, according to a significance level of 0.05. A WHONET model table was constructed with the information of the patients who contracted AAI in an Excel spreadsheet. For the multivariate analysis of the data the model was estimated with the statistical program SPSS 20 and using the logistic regression procedure. Results: 157 patients were admitted to the ICU. 29 patients contracted IAAS. The most important risk factors for acquiring IAAS in the study were detected from the procedures that occurred during hospitalization: the use of a central venous catheter, a bladder catheter, orotracheal intubation, and artificial mechanical ventilation. Conclusions: The identification of the factors that increase the risk of IAAS is one of the fundamental aspects for the development of strategies and measures that require adequate control and treatment of this disease. The risk factors for IAAS are considered to be more associated with extrinsic factors.
2020-07-13T16:18:02Z
2020-07-13T16:18:02Z
2020-07-13T16:18:02Z
masterThesis
https://doi.org/10.48713/10336_25392
https://repository.urosario.edu.co/handle/10336/25392
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/401732023-07-18T03:00:14Zcom_10336_925com_10336_562col_10336_12382
Compromiso renal como factor pronóstico en pacientes con mieloma múltiple de novo: cohortes retrospectivas, 2015-2020
Guarin Loaiza, Gloria Mercedes
Bautista Toloza, Leonardo
Escobar Franco, Omar Huang
Combariza Vallejo, Juan Felipe
mieloma múltiple
lesión renal aguda
insuficiencia renal crónica
diálisis
supervivencia sin progresión
mortalidad
Introduction: Multiple myeloma is the second most common hematologic malignancy, accounting for approximately 1% of all and 10% to 13% of malignancies. Renal involvement may be present at the time of diagnosis in between 30 to 35% of patients, determining a worse prognosis and quality of life during de course of the disease. Currently, in the Colombian population there is no information regarding progression-free survival, therapeutic safety, increased burden of morbidity, and overall survival in patients with multiple myeloma. Objectives: To determine the differences between the outcomes in patients with a diagnosis of de novo multiple myeloma and renal involvement with those without it. Methodology: Retrospective cohort-type analytical observational study of 165 patients diagnosed with de novo multiple myeloma, one cohort with renal involvement and the other without, at an institution in Bogotá for a minimum follow-up period of 2 years. Results: 165 patients diagnosed with de novo multiple myeloma were included, of whom 64 met the criteria for renal involvement and 101 did not. The mean age was 62.76 (SD: 10.44) years. 54% were men and the remaining 46% were women. The mortality rate occurred in 54.5% of men and 46.7% of women. The presence of renal involvement increased mortality by 1.6 times (1.11-2.31) p=<0.05). The variables like the worst scores in the ISS (p=<0.05) mainly ISS III RR 1.75(1.21-2.55;p=<0.05), the presence of a cytogenetic alteration RR 1.61(1.02-2.55;p=0.0368), relapse or progression RR 1.89(1.36-2.62;p=<0.001) was significantly associated with the mortality outcome of the cohorts. Among the quantitative variables, the greatest age with a mean of 67.3 years among those who died RR 5.1(1.86-8.15;p=<0.001), B2 microglobulin, with a median within the patients who died of 5350 pg/ml (IQR : 3050-14120) and in those who did not die it was 3653 pg/ml (IQR: 2520-6040) (p value <0.05). In patients with renal compromise, dialysis at diagnosis increased the risk of death by 2.21 times (1.85-2.64; p=<0.001). It was evidenced as a protective factor for mortality being taken to a transplant RR 0.42(0.3-0.6;p= p=<0.001). The median overall survival of the cohort was 54.5 months (95% CI; 42.7-64.7). The median progression-free survival was 36.9 months (95% CI; 27-62.3). The overall survival of patients who did not undergo bone marrow transplantation was 29.7 months (95% CI; 23.8-49.6) while in those who underwent transplantation it was not determinable. The overall survival of patients with renal compromise was 35.7 months (95% CI; 22.1-62.3) and the progression-free survival in this analyzed group was 19.1 months (95% CI; 11.7-43.3). Conclusions: Among the factors found in the study related to mortality in the patient cohorts were: renal compromise, hypercalcemia, ISS III, the presence of a cytogenetic alteration, relapse or progression, older age, and B2 microglobulin > 5500pg/ml. In patients with renal compromise, dialysis increased the risk of death by 2.21 times. It was evidenced as a protective factor for mortality being taken to a transplant. The frequency of renal compromise was 38.8%, with a dialysis requirement in 24.2%. The patient cohort had a median overall survival and progression-free survival of 54.5 months and 36.9 months, respectively. Patients without renal involvement had a median overall survival of 64.7 months and patients with renal involvement of 35.7 months.
2023-07-17T13:44:17Z
2023-07-17T13:44:17Z
2023-07-17T13:44:17Z
bachelorThesis
https://doi.org/10.48713/10336_40173
https://repository.urosario.edu.co/handle/10336/40173
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/198752024-08-20T11:49:31Zcom_10336_925com_10336_562col_10336_12382
Comportamiento suicida, su prevalencia y factores familiares asociados en estudiantes de 15 a 17 años en dos colegios de Leticia, Amazonas
Useche Lima, Valeria
Torres de Galvis, Yolanda
Prevalencia
Suicidio
Familia
Factor
Riesgo
Familia
Introduction: Suicidal behavior is the biggest problem of public health in the world, this is shown by the figures of the World Health Organization in which reports that annually, about 800,000 people take their lives and many more try to do so (1), it was opportune to carry out this research with the objective of identifying the Prevalence and family factors associated with suicidal behavior in two schools in the city of Leticia Amazonas in students aged 15 to 17 years. Methodology: Analytical cross-sectional observational in the Leticia amazonas student population. In which previously validated scales were applied, the associated factors and the prediction of suicidal behavior were determined with a multivariate model. Result: a prevalence of 65.5% for the female sex and 89.4% for the middle stratum that presented suicidal behavior, in the same way the behavior was associated with the female sex with a PR = 1.66 (95% CI: 1, 24-2.21), not having support network RP = 1.86 (95% CI 1.30-2.67), alcoholic beverages until drunkenness RP = 1.56 (95% CI 1.18-2, 06), having presented affective disorders RP = 3.06 (95% CI 1.22-7.63) and having gone through some stressful event in life RP = 1.71 (95% CI 1.16-2.54) ) which were predictors of suicidal behavior in the logistic regression model. Conclusions: Suicidal behavior is frequent in the adolescent population, which warrants an important intervention in vulnerable groups and the work of the identified risk factors in order to reduce this behavior.
2019-06-18T20:51:39Z
2019-06-18T20:51:39Z
2019-06-18T20:51:39Z
2019
masterThesis
https://doi.org/10.48713/10336_19875
http://repository.urosario.edu.co/handle/10336/19875
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by/2.5/co/
Atribución 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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25. Arango E. Tipologia de la familia en Medellin y cumplimiento de las funciones familiares. In 1996 UPBM, editor Medellín: Universidad Pontificia Bolivariana Medellín; 1996 p. 4
26. Vásquez NSM. Conceptualización de ciclo vital Familiar - Scielo [Online]; 2015 [cited 2019 02 22 Available from: http://www.scielo.org.co/pdf/cesp/v8n2/v8n2a06.pdf.
27. LA FAMILIA:EL ENTORNO PROTECTOR DE NUESTROS Y NIÑAS Y ADOLESCENTES COLOMBIANOS. [Online]; 2013 [cited 2019 06 03 Available from: https://www.icbf.gov.co/sites/default/files/publicacion-47-a.pdf.
28. Mileydis Alvarez Caballero DVMCCDMBRLYSMyDYFV. Principales factores de riesgo relacionados con el intento suicida en un grupo de adolescentes [Online]; 2017 [cited 2019 06 01. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192017000200004&lng=es.
29. Royert CC. Boletín de salud mental. [Online]; 2018 [cited 2019 02 01 Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENT/boletin-conducta-suicida.pdf.
30. UNESCO. [Online]; 2019 [cited 2019 06 02 Available from: https://es.unesco.org/indigenous-peoples.
31. Banco Mundia [Online]; 2018 [cited 2019 06 01 Available from: https://www.bancomundial.org/es/topic/indigenouspeoples.
32. Analisis de Situación de Salud con el modelo de los determinantes Sociales de Salud 2018. Descriptivo Leticia: Secretaria de Salud Departamental, AMAZONAS; 2018. Report No: 210
33. UNESCO. [Online]; 2019 [cited 2019 06 01 Available from: http://www.unesco.org/new/es/indigenous-peoples/.
34. Española RA [Online; 2018 [cited 2018 04 01. Available from: https://dle.rae.es/?id=P3kMzAQ.
35. Medellin UCAd. Alcaldía de Medellin [Online]; 2009 [cited 2019 01 03 Available from: https://www.medellin.gov.co/irj/go/km/docs/wpccontent/Sites/Subportal%20del%20Ciudadano/Salud/Secciones/Publicaciones/Documentos/2012/Investigaciones/Segundo%20Estudio%20de%20Salud%20Mental%20del%20Adolescente%20Medell%C3%ADn%20-%202009.pdf.
36. Otzen CM&T. Scielo - Los Sesgos en Investigación Clínica [Online]; 2015 [cited 2019 01 03 Available from: https://scielo.conicyt.cl/pdf/ijmorphol/v33n3/art56.pdf.
37. Arenas G&R. Revista Colombiana de Psiquiatría - Scielo [Online]; 2016 [cited 2019 01 13 Available from: http://www.scielo.org.co/pdf/rcp/v45s1/v45s1a10.pdf
38. Forero S. Ideación suicida, funcionalidad familiar y consumo de alcohol en adolescentes en colombia - Scielo [Online]; 2017 [cited 2019 02 01 Available from: http://www.scielo.org.co/pdf/rlcs/v15n1/v15n1a28.pdf.
39. Ministerio de Salud y Protección Social y Oficina de las Naciones Unidas Minsalud [Online]; 2015 [cited 2019 06 01 Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENT/prevencion-consumo-nocivo-alcohol.pdf.
40. Plan Integral Departamental de Drogas [Online]; 2016-2019 [cited 2019 01 04 Available from: http://www.odc.gov.co/Portals/1/politica-regional/Docs/plan-departamental-drogas-amazonas_2016_2019.pdf.
41. Instituto Nacional de Salud [Online]; 2018 [cited 2019 03 01 Available from: https://www.ins.gov.co/buscadoreventos/Informesdeevento/INTENTO%20DE%20SUICIDIO%20PE%20XIII%202018.pdf.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/401772025-08-29T10:34:24Zcom_10336_925com_10336_562col_10336_12382
Revisión sistemática de la efectividad pronóstica del índice ROX como predictor de falla terapéutica con cánula nasal de alto flujo (CNAF) en pacientes con neumonía por COVID-19
Ramírez Mantilla, Daniela
Peréz Reyes, Camilo Ernesto
Ospina Medina, María Cristina
SARS-CoV 2
Neumonía
Indice ROX
Ventilación mecánica
Cánula nasal de alto flujo
Falla terapéutica
Background: Acute Respiratory Distress Syndrome (ARDS) generated by the SARS-CoV-2 virus (COVID-19) is an emerging pathology that has caused worldwide challenges for the diagnosis, follow-up, treatment and management of associated complications. In the literature, there are few scales for predicting clinical severity and therapeutic failure in this context, so the use of the ROX index has been used and validated during this pandemic as a predictor of therapeutic failure with a high-flow nasal cannula (HFNC). Methodology: This is quantitative research with a retrospective and descriptive approach. A systematic review of the literature was carried out in the main databases within the medical literature to evaluate the efficacy of the ROX index as a predictor of therapeutic failure with HHFNC based on the interpretation of statistical values. MeSH terms ( ROX, index, COVID-19) were used to standardize the search terms, and inclusion and exclusion criteria were applied to select the studies to be analyzed. Results: In general, the groups that presented therapeutic failure with CNAF therapy had, on average, lower ROX index values than the successful group and, for the most part, lower average age and lower prevalence of arterial hypertension and diabetes mellitus. The heterogeneity, the methodological characteristics of the study and the risk of confounding bias made it impossible to perform other analyses initially considered significant and of high scientific value for the problem in question. Conclusions: To evaluate the diagnostic effectiveness of the ROX index as a predictor of therapeutic failure to CNAF therapy in patients with critical illness of pulmonary etiology by COVID-19, studies with similar methodological characteristics are required. Standardization of measurement times and cut-off points is considered essential to reduce heterogeneity between studies and thus facilitate the analysis of the statistical validity of the ROX index.
2023-07-17T16:02:24Z
2023-07-17T16:02:24Z
2023-07-17T16:02:24Z
bachelorThesis
https://doi.org/10.48713/10336_40177
https://repository.urosario.edu.co/handle/10336/40177
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
referencias bibliográficas.zip
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/306362020-11-25T03:02:53Zcom_10336_925com_10336_562col_10336_12382
Factores pronóstico para hidratación medicamente asistida en pacientes con cáncer en seguimiento de cuidados paliativos en Bogotá
Garay Fernández, Javier
Hernández Herrera, Gilma Norela
Mera, María Victoria
Cuidado paliativo
Hidratación medica asistida
Pacientes con cáncer
Hidratación en enfermo teminal
Enfermería oncológica
Ecuaciones de estimación generalizadas (GEE)
Introduction: In the end-of-life process of a patient with an oncological condition, different events occur that demand close medical follow-up, in order to intervene in a timely manner and offer quality of life and comfort. However, even for the clinician it is difficult to determine the precise moment in which the patient enters a stage of total functional decline, in which intervention must be made to avoid risks of suffering and pain. For this reason, the identification of measurable variables that can help shape a prognostic model of the hydration requirement at the end of life will provide insight to the clinician and caregivers to offer additional tools for timely care. Objective: To determine a prognostic model for the requirement of medically assisted hydration in oncological patients from the home palliative care program. Methodology: Analytical retrospective observational cohort study of patients from the PHD Contigo program from August 2017 to December 2019. Patient follow-up from admission to the Contigo program until death was evaluated through a binary logistic regression model. defining the outcome variable as the requirement or not of artificial hydration. The independent variables found in the bivariate analysis were included, defined by their biology plausibility and relevance. The Generalized Estimation Equations (GEE) model was used given the characteristic of measuring variables in the same individual on several occasions in time. Conclusions: The determination of factors associated with the hydration requirement at the end of life provides opportunities for early and assertive care in the care of symptomatic control and quality of life. Monitoring for symptoms such as appetite, fatigue, and drowsiness; as well as the evaluation of certain tumors (gastrointestinal, gynecological and CNS) in the clinical context, will help guide the initiation of hydration in a timely manner.
2020-11-25T00:34:24Z
2020-11-25T00:34:24Z
2020-11-25T00:34:24Z
masterThesis
https://doi.org/10.48713/10336_30636
https://repository.urosario.edu.co/handle/10336/30636
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nd/2.5/co/
Atribución-SinDerivadas 2.5 Colombia
Atribución-SinDerivadas 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/464352025-09-10T03:00:28Zcom_10336_925com_10336_562col_10336_12382
Enfermedad de kawasaki en menores de 5 años, su relación fisiopatológica y respuesta inflamatoria frente al sars-cov-2: una revisión sistemática
Cárdenas Angel, Daniel Arturo
Ospina Medina, Maria Cristina
Infecciones por coronavirus
Niño
Vasculitis
Enfermedad de Kawasaki
COVID-19
MIS- C
To present scientific evidence based on a systematic review of the literature (PRISMA) evaluating the association between Kawasaki disease (KD) and COVID-19 in children under five years of age, considering the inflammatory response and its pathophysiology. Methods: For the selection of studies, a combination of Medical Subject Heading Terms (MeSH) was used, along with searches in the Medline (PubMed), SciELO, and Cochrane databases. Results: A total of 71 articles with potential for inclusion were retrieved, of which 21 met the inclusion criteria up to the year 2024. The guiding research question focused on evaluating the association between Kawasaki disease as a predisposing factor for COVID-19 in children under five years of age. Conclusion: The scientific evidence reviewed suggests a relationship between Kawasaki disease (KD) and SARS-CoV-2 infection in children under five years of age, mediated by shared immunological and inflammatory mechanisms. The included studies indicate that the immune hyperreactivity characteristic of KD —particularly the imbalance between Th17 and Treg pathways, inflammasome activation, and the excessive release of pro-inflammatory cytokines such as IL-6, IL-17A, and TNF-α— shares physiopathological similarities with multisystem inflammatory syndrome in children (MIS-C). Although a direct causal relationship cannot be established, the findings support the hypothesis that KD may act as a predisposing or immunological risk factor in the face of viral infections such as COVID-19. Further clinical and molecular research, preferably longitudinal, is needed to confirm this association and better understand the connection between these two clinical entities.
2025-09-09T12:47:59Z
2025-09-09T12:47:59Z
2025-09-09T12:47:59Z
masterThesis
https://doi.org/10.48713/10336_46435
https://repository.urosario.edu.co/handle/10336/46435
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
1. Wessels P, Bingler A. A comparison of Kawasaki disease and multisystem inflammatory syndrome in children. Prog Pediatr Cardiol. 2022;65:101516. DOI: 10.1016/j.ppedcard.2022.101516.
2. Chen M, Kuo H, Lee Y, Chi H, et al. Phenotype, susceptibility, autoimmunity, and immunotherapy between Kawasaki disease and coronavirus disease-19 associated multisystem inflammatory syndrome in children. Front Immunol. 2021;12:632890. DOI:10.3389/fimmu.2021.632890.
3. Fernandez-Cooke E, Grasa CD, et al. Prevalence and clinical characteristics of SARS-CoV-2 confirmed and negative Kawasaki disease patients during the pandemic in Spain. Front Pediatr. 2020;8:617039. DOI: 10.3389/fped.2020.617039.
4. Verdoni L, et al. An outbreak of severe Kawasaki-like disease at the Italian epicentre of the SARS-CoV-2 epidemic: an observational cohort study. Lancet. 2020;395(10239):1771–8.DOI: 10.1016/S0140-6736(20)31103-X
5. Feldstein LR, et al. Multisystem inflammatory syndrome in U.S. children and adolescents. N Engl J Med. 2020;383(4):334–46.DOI: 10.1056/NEJMoa2021680.
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7. Quintero E, Martinez C, Mantilla G, et al. Multisystem inflammatory syndrome and COVID-19: a scoping review. Bol Med Hosp Infant Mex. 2022;79(2):69–82. DOI: 10.24875/BMHIM.21000073.
8. Lambrani L, Manlhiot C, Elias M, et al. Kawasaki disease shock syndrome versus classical Kawasaki disease: a meta-analysis and comparison with SARS-CoV-2 multisystem inflammatory syndrome. CJC Open. 2021;1:1–30. DOI: 10.1016/j.cjca.2021.05.014.
9. Barros R, Santos N, Carvalho J, et al. Oral manifestations of multisystem inflammatory syndrome in children (MIS-C) and Kawasaki disease associated with COVID-19: a systematic review. Spec Care Dentist. 2022;42:266–80. DOI: 10.1111/scd.12669.
10. You Q, Wen X, Bao J. Similarities and differences between multisystem inflammatory syndrome in children associated with COVID-19 and Kawasaki disease: clinical presentations, diagnosis, and treatment. World J Pediatr. 2021;1:1–3. DOI: 10.1007/s12519-021-00435-y.
11. Hara T, Yamamura K, Yasunari K, et al. The up-to-date pathophysiology of Kawasaki disease. Clin Transl Immunology. 2021;10(1):e1284. DOI: 10.1002/cti2.1284.
12. Mauro A, Di Mari C, Casini F, et al. Neurological manifestations of Kawasaki disease and multisystem inflammatory syndrome in children associated with COVID-19: a comparison of two different clinical entities. Front Pediatr. 2023;10:1088773. DOI: 10.3389/fped.2022.1088773.
13. Loke Y, Berul C, Harahsheh A, et al. Multisystem inflammatory syndrome in children: is there a linkage to Kawasaki disease? Trends Cardiovasc Med. 2020;30:389–96. DOI: 10.1016/j.tcm.2020.07.004.
14. Medaglia A, Siracusa L, Cioè C, et al. Kawasaki disease recurrence in the COVID-19 era: a systematic review of the literature. Ital J Pediatr. 2021;47:95. DOI: 10.1186/s13052-021-01041-4.
15. Anna B., Jade C., Grygiel B, et al. SARS-CoV-2 infection in the context of Kawasaki disease and multisystem inflammatory syndrome in children. Med Microbiol Immunol. 2023;212:3–12. DOI: 10.1007/s00430-022-00756-3
16. Munn Z, Peters MDJ, Stern C, Tufanaru C, et al. Systematic review or scoping review? Guidance for conducting systematic scoping reviews. BMC Med Res Methodol. 2018;18:143. DOI:10.1186/s12874-018-0611-x.
17. McGuinness LA, Higgins JPT. Robvis: an R package and web application for visualising risk-of-bias assessments. Res Synth Methods. 2021;12(1):55–61. doi:10.1002/jrsm.1411. DOI: 10.1002/jrsm.1411
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/181082019-09-19T07:37:54Zcom_10336_925com_10336_562col_10336_12382
Impacto de un modelo educativo sobre la transferencia embrionaria en pacientes de Reprotec – Hospital Universitario Fundación Santa Fe de Bogotá en 2016 – 2017
Rodriguez Niño, Juan Nicolas
Castro, Eduardo
Rued, Ricardo
Gutiérrez, Andrés
Martínez del Valle, Anacaona
Reproducción asistida
Transferencia Embrionaria
Embrión único
Educación para el paciente
Introduction: Assisted reproduction is based on any procedure that involves the manipulation of conception. Indistinctly of the intervention that patient and attendants agree to carry out, its purpose is to cause a pregnancy. This is the main idea that provided the ground for the principles of assisted reproduction for decades. However, nowadays it has been evidenced that the intention to provide gestational experience to our society, has generated a significant increase in the number of multiple-pregnancies; Conceptions that will have a greater risk of maternal and perinatal morbidity and mortality. Currently, there are educational models that have shown how the information and sensitization of the single versus multiple embryonic transfer within the usual clinical practice can achieve an impact in the reduction of the number of multiple pregnancies caused by assisted reproduction. Objective: This study aims to produce evidence on the impact of an educational model on the embryo transfer of patients taken to In-vitro fertilization in Reprotec, University Hospital Fundación Santa Fe de Bogotá, Colombia between 2016- 2017. : Quasi-experimental analytical transversal study with intra-subject comparison. The intervention is an educational program in single embryo transfer focused on population that required assisted reproduction techniques. The outcomes of interest were the number of embryos transferred, the perception of single versus twin pregnancies and the change in the intention of the number of embryos to be transferred. Results: 226 women and / or couples were included in the study. The group of women who were receptive to education was characterized by an age equal to or greater than 33 years, without previous abortions, but with a cycle of assisted reproduction, in whom the main diagnosis of infertility was mixed factors. The difference in proportions of the opinions before and after education was statistically significant concerning the number of offspring the woman or couple desire from the pregnancy (p: 0.041). Statistically significant differences were found in the women in whom 1 or two embryos were transferred for age, race, number of previous pregnancies, history of previous abortions, previous treatments of assisted reproduction and types of diagnoses (p: 0.000). Discussion: The women or couples of our study seem to be willing to make complex decisions if they are adequately informed, we have shown how factors such as age, the history of previous abortions and the number of assisted reproduction treatments influence the decision making of single or double embryo transfer; This is why we must work on strategies oriented to the profiles we have characterized in order to make clinical decisions that affect the infertile couple and their desire for a alive and healthy newborn. Conclusion: Education can be an effective strategy in reducing the number of embryos transferred in the cycles of assisted reproduction.
2018-06-22T16:12:39Z
2018-06-22T16:12:39Z
2018-06-22T16:12:39Z
2018
masterThesis
https://doi.org/10.48713/10336_18108
http://repository.urosario.edu.co/handle/10336/18108
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/198732024-04-11T15:34:34Zcom_10336_925com_10336_562col_10336_12382col_10336_18233
Factores asociados a la sífilis gestacional en mujeres colombianas y venezolanas que reciben atención en una institución de alta complejidad en salud, en el departamento de Norte de Santander, año 2017 y 2018
Garcia Sanchez, Brigitt Nathaly
Cubillos Romero, Crhistian Camilo
Sierra Hincapié, Gloria Maria
Mesa Restrepo, Clara Maria
Sífilis Gestacional (SG)
Gestación
Detección temprana
Tratamiento oportuno
Migración
Sífilis primaria
Sífilis secundaria
Sífilis terciaria
The present work allowed us to identify the characteristics associated to the gestational syphilis event in the context of the migratory situation that currently occurs in the border region of Norte de Santander and the increase of syphilis cases in said region. Pregnant patients of Colombian and Venezuelan nationality did not have early diagnosis of syphilis, given difficulties in health insurance. It also sought to strengthen the process of scientific research at the departmental level, generating specific knowledge for the population of Norte de Santander, which can be used in health decision making, mitigating the transmission of this disease and controlling the possible factors associated with the disease. Exposure risk, taking into account that the department is a border area between the countries of Colombia and Venezuela. In 2016, an increase in the number of cases of pregnant women with confirmation of the diagnosis of syphilis was identified. This is how interest arose in recognizing those factors associated with the transmission of gestational syphilis in Colombian and Venezuelan women in the border region of Norte de Santander, which has a highly complex referral hospital care center for the department. In this way, a casecontrol study was carried out, which sought to generate local systematic information on conjunctural issues in the departmental, regional and national context regarding 15 diagnosis, and monitoring of sexually transmitted diseases, as well as access to health services.
2019-06-18T20:35:11Z
2019-06-18T20:35:11Z
2019-06-18T20:35:11Z
2019
masterThesis
https://doi.org/10.48713/10336_19873
http://repository.urosario.edu.co/handle/10336/19873
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Universidad CES
Universidad CES
Maestría en Epidemiología
Salamanca valencia re. nivel de conocimiento sobre sífilis gestacional y congénita en mujeres puérperas atendidas en el hospital de bosa entre agosto y septiembre de 2016 parte ii [internet]. facultad de ciencias de la salud – programa de medicina BOGOTÁ D.C.; 2016. Disponible en: https://repository.udca.edu.co/bitstream/11158/756/1/TRABAJO%20FINAL.pdf
Ministerio de salud de Colombia. Análisis de situación de Salud (ASIS) [Internet]. 2017. Disponible en: http://www.sispro.gov.co/pages/Observatorios/salud_materna.aspx
OMS | Mortalidad materna. WHO [Internet]. 24 de noviembre de 2016; Disponible en: http://www.who.int/mediacentre/factsheets/fs348/es/
Instituto Departamental de Salud. Informe de vigilancia de salud publica. [Internet]. 2017. Disponible en: http://salasituacionalidsnds.weebly.com/informacioacuten.html
constitucional relatoria de corte. Corte Constitucional de Colombia [Internet]. 2018. Disponible en: http://www.corteconstitucional.gov.co/relatoria/2017/SU677-17.htm
Ministerio de Salud. Plan de Respuesta del Sector Salud para el Fenómeno Migratorio. 2018.
Opinión D la. Aumentan partos de alto riesgo en el Meoz [Internet]. La Opinión. [citado 27 de noviembre de 2018]. Disponible en: https://www.laopinion.com.co/cucuta/aumentan-partos-de-alto-riesgo-en-elmeoz-164879
Ministerio de Salud y Protección social, Fondo de Población de las Naciones Unidas - UNFPA. Guía de práctica clínica (GPC) basada en la evidencia para la atención integral de la sífilis gestacional y congénita [Internet]. 2014 [citado 16 de noviembre de 2018]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/INEC/IETS/g pc%20%E2%80%93guia-corta-sifilis.pdf
Instituto Nacional de Salud. Protocolo de Vigilancia en Salud Pública: sífilis Gestacional y sífilis congénita. 2018; Disponible en: https://webcache.googleusercontent.com/search?q=cache:j6Z0FF1VNRsJ:http s://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/IA/INS/protocolovigilancia-sifilis-gestacional.pdf+&cd=3&hl=es-419&ct=clnk&gl=co
Hook EW. Syphilis. The Lancet. abril de 2017;389(10078):1550-7.
Organización Panamericana de la Salud. Preparar a la Región de las Américas para alcanzar el Objetivo de Desarrollo Sostenible sobre la salud [Internet]. 2015 [citado 24 de noviembre de 2018]. Disponible en: http://iris.paho.org/xmlui/bitstream/handle/123456789/10017/9789275318638_s pa.pdf
Valderrama J, Zacarías F, Mazin R. Sífilis materna y sífilis congénita en América Latina: un problema grave de solución sencilla. Rev Panam Salud Pública. septiembre de 2004;16:211-7.
Castillo NV, Buitrago YNC, González CAJ, Muller EÁ, Romero JAR. Tratamiento de la Sífilis Gestacional y prevención de la Sífilis Congénita en un Hospital Público en Bogotá, 2010. Rev Fac Med. 2011;59(3):167.
Díaz Cruz LA, Universidad Nacional de Colombia B. Sífilis gestacional: un problema de salud pública. rev.fac.med. septiembre de 2011;59(3):163-5.
Gonzales GF et al. [sífilis gestacional y factores asociados en los hospitales públicos de Perú durante 2000-2010]. - PubMed - NCBI. 2017; Disponible en: https://www-ncbi-nlm-nih-gov.ez.urosario.edu.co/pubmed/25123857
García G LM, Almanza G RA, Miranda M C, Gaviria B JM, Julio G JM, Paternina G ME, et al. Factores de riesgos asociados a la sífilis congénita en tres instituciones de salud de Sincelejo (Colombia). 20 de mayo de 2011; Disponible en: http://repositorio.unilibrepereira.edu.co:8080/pereira/handle/123456789/190
XIAO Y, LI S-L, LIN H-L, LIN Z-F, ZHU X-Z, FAN J-Y, et al. Factors associated with syphilis infection: a comprehensive analysis based on a case-control study. Epidemiol Infect. 2016;144(6):1165-74.
Galvis YTD, Vélez LPM, Tamayo JDC, Gómez JJO. Factores asociados a mortalidad materna – estudio de casos y controles. Medellín 2001-2003. 2005;28.
Ministerio. Guía de atención de la sífilis congénita (Hace parte de la Resolución 412 del 2000) .VSPCOL - Resultado de la bÃosqueda [Internet]. 2017. Disponible en: http://www.bvs-vspcol.bvsalud.org/cgi-bin/wxis.exe/iah/
Dassah ET, Adu-Sarkodie Y, Mayaud P. Factors associated with failure to screen for syphilis during antenatal care in Ghana: a case control study. BMC Infect Dis [Internet]. diciembre de 2015 [citado 28 de marzo de 2019];15(1). 94 Disponible en: https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879- 015-0868-1
de Macêdo VC, de Lira PIC, de Frias PG, Romaguera LMD, Caires S de FF, Ximenes RA de A. Risk factors for syphilis in women: case-control study. Rev Saúde Pública [Internet]. 3 de agosto de 2017 [citado 20 de abril de 2019];51. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5559218/
Centers for Disease, Control and Prevention (CDC). Instrucciones para la investigación y el informe de casos de sífilis congénita [Internet]. 2103. Disponible en: https://www.cdc.gov/std/program/consyphreporting-instructions7- 10-2014.pdf
Workowski K, Berman S. Sexually Transmitted Diseases Treatment Guidelines, 2010. Recomm Rep. 17 de diciembre de 2010;59(RR-12):1-110.
French P, Gomberg M, Janier M, Schmidt B, Vader P van V, Young H. IUSTI: 2008 European Guidelines on the Management of Syphilis. Int J STD AIDS. 2008;20(5):300–309.
Noreña Pera S, Ramos Alvarez AY, Sabogal Apolinar AL. Análisis del comportamiento sociodemográfico y epidemiológico de la sífilis congénita en Colombia 2008-2009 [Internet]. Universidad del Rosario; 2011. Disponible en: http://ez.urosario.edu.co/login?url=http://search.ebscohost.com/login.aspx?dire ct=true&db=ir00110a&AN=edocur.10336.2357&lang=es&site=edslive&scope=site
Vanegas-Castillo N( 1 ), Cáceres-Buitrago YN( 1 ), Jaimes-González CA( 1 ), Ángel-Muller E( 2 ), Rubio-Romero JA( 3 ). Treatment of gestational syphilis and congenital syphilis prevention in a public hospital in Bogotá, 2010. Rev Fac Med Colomb. 01 de 2011;59(3):167-89.
Castree N, Kitchin R, Rogers A. Migration. En: A Dictionary of Human Geography [Internet]. Oxford University Press; 2013 [citado 16 de noviembre de 2018]. Disponible en: http://www.oxfordreference.com/abstract/10.1093/acref/9780199599868.001.00 01/acref-9780199599868-e-1183
Gascón J. Enfermedades infecciosas e inmigración. Enfermedades Infecc Microbiol Clínica. 1 de diciembre de 2003;21(10):535-9.
Correa Juan R. Humanitarian Heatlh crisis in Venezuela. 2. septiembre de 2017;63:35-6.
Organización Internacional para las Migraciones. Tendencias migratorias nacionales en Américas: República Bolivariana de Venezuela [Internet]. Buenos Aires: Organización Internacional para las Migraciones; 2018. Disponible en: https://robuenosaires.iom.int/sites/default/files/Informes/Tendencias_Migratoria s_Nacionales_en_Americas__Venezuela-Septiembre_2018.pdf
The Lancet. The collapse of the Venezuelan health system. The Lancet. 7 de abril de 2018;391(10128):1331.
Zhou H, Chen X-S, Hong F-C, Pan P, Yang F, Cai Y-M, et al. Risk factors for syphilis infection among pregnant women: results of a case-control study in Shenzhen, China. Sex Transm Infect. octubre de 2007;83(6):476-80.
Mutagoma M, Remera E, Sebuhoro D, Kanters S, Riedel DJ, Nsanzimana S. The Prevalence of Syphilis Infection and Its Associated Factors in the General Population of Rwanda: A National Household-Based Survey. J Sex Transm Dis [Internet]. 2016 [citado 20 de abril de 2019];2016. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4829711/
Magalhães M, Basto L, Areia AL, Franco S, Malheiro ME, Afonso ME, et al. Syphilis in Pregnancy and Congenital Syphilis: Reality in a Portuguese Central University Hospital. Rev Bras Ginecol E Obstet Rev Fed Bras Soc Ginecol E Obstet. 2017;39(6):265-72.
Silva Neto SE da, Silva SSBE da, Sartori AMC. Syphilis in pregnancy, congenital syphilis, and factors associated with mother-to-child transmission in Itapeva, São Paulo, 2010 to 2014. Rev Soc Bras Med Trop. diciembre de 2018;51(6):819-26.
Wendland A, Ehmsen BK, Lenskjold V, Astrup BS, Mohr M, Williams CJ, et al. Undocumented migrant women in Denmark have inadequate access to pregnancy screening and have a higher prevalence Hepatitis B virus infection compared to documented migrants in Denmark: a prevalence study. BMC Public Health [Internet]. 23 de mayo de 2016 [citado 20 de abril de 2019];16. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4877804/
Haley DF, Edmonds A, Belenky N, Hickson DA, Ramirez C, Wingood GM, et al. Neighborhood Health Care Access and Sexually Transmitted Infections among Women in the Southern United States: A Cross-Sectional Multilevel Analysis. Sex Transm Dis. enero de 2018;45(1):19-24.
United Nations High Commissioner for Refugees. Regional Refugee and Migrant Response Plan for Refugees and Migrants from Venezuela. [Internet]. 2018 [citado 25 de abril de 2019]. Disponible en: 96 https://s3.amazonaws.com/unhcrsharedmedia/2018/RMRP_Venezuela_2019_ OnlineVersion.pdf
Domingues RM, Leal Mdo C. [Incidence of congenital syphilis and factors associated with vertical transmission: data from the Birth in Brazil study]. Cad Saude Publica. 20 de junio de 2016;32(6).
AKimc MS. First childbirth experience of international marriage migrant women in South Kore. agosto de 2017; Disponible en: http://dx.doi.org/
Declaración de Helsinki de la AMM - Principios éticos para las investigaciones medicas en seres humanos [Internet]. 2013. Disponible en: http://webcache.googleusercontent.com/search?q=cache:14psl3xJqf8J:www.is ciii.es/ISCIII/es/contenidos/fd-investigacion/fd-evaluacion/fd-evaluacion-eticainvestigacion/Declaracion-Helsinki-2013-Esp.pdf+&cd=1&hl=es419&ct=clnk&gl=co
Domínguez ID, Enríquez OS, Rodríguez A. Caracterización de un grupo poblacional con diagnóstico de infección por Treponema Pallidum. Rev Cuba Obstet Ginecol. 2011;30(1):54-64.
Zhang X, Yu Y, Yang H, Xu H, Vermund SH, Liu K. Surveillance of Maternal Syphilis in China: Pregnancy Outcomes and Determinants of Congenital Syphilis. [Internet]. [citado 20 de abril de 2019]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30370903
Gobierno de Colombia. Registro Administrativo de Migrantes Venezolanos en Colombia 2018. :18.
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Kroeger KA, Sangaramoorthy T, Loosier PS, Schmidt R, Gruber D. Pathways to Congenital Syphilis Prevention: A Rapid Qualitative Assessment of Barriers, and the Public Health Response, in Caddo Parish, Louisiana. Sex Transm Dis. 45(7):442-446
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/138312021-06-03T00:48:20Zcom_10336_925com_10336_562col_10336_12382
Prevalencia del déficit de vitamina D y su relación con la expresión clínica de la Esclerosis Múltiple y Neuromielitis óptica en Bogotá
Ortíz Salas, Paola
Velez Van Meerbeke, Alberto Francisco
Bareño Silva, José
Esclerosis multiple
Neuromielitis optica
Vitamina D
Latitud
Progresion
Espectro neuromielitis optica
Introduction: The hypovitaminosis D is a recent risk factor in multiple sclerosis, optic neuromyelitis and spectrum of optic neuromyelitis, since it has been associated with the development and progression of these diseases. The objective to determine the prevalence of vitamin D deficiency in multiple sclerosis and optic neuromyelitis and its relationship with the clinical. Materials and Methods: Observational cross-sectional study, in which all patients older than 18 years with a diagnosis of Multiple Sclerosis with crteria of Mcdonald, optic neuromyelitis and optic neuromyelitis spectrum were enrolled, attending 3 centers of hospitalization and/or neurology consultation in Bogotá, between January 2014 to December 2016. Outcome: It was found that 71% of patients with these diseases had vitamin D deficiency, with 26. 8 ± 6. 1 ng / ml. No significant difference was found between hypovitaminosis and time (years) with demyelinating disease (p = 0. 55) or disease severity as determined by EDSS score (p = 0. 34), as well as factors that may influence its Prevalence (time of exposure, sunscreen and skin type). Conclusion: Patients with multiple sclerosis and optic neuromyelitis in Bogotá have vitamin D deficits, however, we did not find any relation with the clinical variables of the disease.
2017-10-25T12:28:33Z
2017-10-25T12:28:33Z
2017-10-25T12:28:33Z
2017
masterThesis
https://doi.org/10.48713/10336_13831
http://repository.urosario.edu.co/handle/10336/13831
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Atribución-NoComercial-SinDerivadas 2.5 Colombia
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
Alharbi FM. Update in vitamin D and multiple sclerosis. Neurosciences (Riyadh). 2015;20(4):329-35.
Amezcua L, Chung RH, Conti DV, Langer-Gould AM. Vitamin D levels in Hispanics with multiple sclerosis. J Neurol. 2012;259(12):2565-70.
Tuzun E, Kucukhuseyin O, Kurtuncu M, Turkoglu R, Yaylim I. Reduced serum vitamin D levels in neuromyelitis optica. Neurol Sci. 2015;36(9):1701-2
Papais-AlvarengaRM V, CarraA,CastilloISd,FlorentinS,DiazdeBedoya FH, et al. CentralNervousSystemIdiopathic InflammatoryDemyelinatingDisordersin SouthAmericans:ADescriptive,Multicenter, Cross-SectionalStudy. PLoSONE. 2015;10(7):e0127757
Wingerchuk DM BB, Bennett JL, Cabre P, Carroll W, et al. . International consensus diagnostic criteria for neuromyelitis optica spectrum disorders. Neurology. 2015;14(85):177-89
Holick MF SQ, Liu WW, Chen TC. . The vitamin D content of fortified milk and infant formula. N Engl J Med 1992;327:1637-42
Favus EMJ. Vitamin D: Photobiology, metabolism, mechanism of action, and clinical applications In: Primer on the of minerol metabolism third edition. Philadelphia. New York.: Lippincott. Raver
Reichel H. KH, Norman AW. The role of the vitamin D endocrine system in health and disease. N Engl J Med 1889;320::981-91
Chen TC CF, Lu Z, Mathieu J, Person KS, Zhang A, Kohn N, Martinello S, Berkowitz R, Holick MF. Factors that influence the cutaneous synthesis and dietary sources of vitamin D. Arch Biochem Biophys. 2007;15(460(2)):213-7.
Ascherio A, Munger KL, Simon KC. Vitamin D and multiple sclerosis. Lancet Neurol. 2010;9(6):599-612
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/134232021-06-03T00:48:13Zcom_10336_925com_10336_562col_10336_12382
Evaluación del rendimiento diagnóstico de técnicas ELISA para la Enfermedad de Chagas en Colombia
Caicedo DIaz, Ricardo
Bernal, Oscar Alberto
Flórez Sanchez, Astrid Carolina
Enfermedad de Chagas
Sensibilidad y especificidad
Ensayo de inmunoadsorción enzimática
Introduction: Chagas disease is caused by the protozoan Trypanosoma cruzi, endemic in America Latina. Diagnosis is complex, which currently poses a barrier to treatment access. The World Health Organization recommends chronic phase diagnosis with a combination of two serologic tests with different antigenic configurations. The current procedure in Colombia is initial screening with an ELISA with confirmation by an immunofluorescent assay (IFA).
Objective: Evaluate the diagnostic performance of seven conventional and unconventional ELISA tests for detection of T.cruzi antibodies.
Methodology: This was an observational study using 501 serum samples from Colombian patients which measured operational characteristics of ELISA tests individually and in binomial combinations against current procedures used by the Colombian National Institute of Health, to help configure a new serologic diagnostic algorithm.
Results: Individual sensitivity ranged from 92.5 to 99.6%, and specificity ranged from 94.6 to 97.9%. Use of simultaneous binomial combinations produced higher sensitivity, while specificity was increased with sequential combinations, up to 99.9% in some cases.
Discussion: Total antigen assays performed well for screening of the general Colombian population. Their antigenic configuration permits detection of the majority of positive patients. The majority of recombinant tests were adequate for detection of suspected cases, performing nearly as well as the IFA.
Conclusion: Performance of most of test was appropriate, therefore, two-stage testing should consist of a total antigen assay in the first stage followed by a recombinant or synthetic peptide test. This would allow for replacement of the indirect immunofluorescence assay as a confirmatory test, eliminating an important barrier to diagnosis in Colombia.
2017-05-23T20:13:48Z
2017-05-23T20:13:48Z
2017-05-23T20:13:48Z
2017
masterThesis
https://doi.org/10.48713/10336_13423
http://repository.urosario.edu.co/handle/10336/13423
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Atribución-NoComercial-SinDerivadas 2.5 Colombia
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/317632021-07-02T03:01:33Zcom_10336_925com_10336_562col_10336_12382
Eficacia y seguridad del biosimilar ABP 501 (Adalimumab) comparado con biosimilar CT-P13 (Infliximab) en pacientes adultos con artritis reumatoide. Revisión sistemática
Guiot Riveros, Vivian Gissell
Giraldo Quintero, Sebastian
Buitrago Bejarano, Roberto José
Benavides Solarte, Mario
Uso de biosimilares ABP 501 y CT-P13 en enteramiento de Artritis reumatoide
Analisis de seguridad en el uso de Infliximab (anticuerpo monoclonal quimérico)
Análisis de uso seguro de Amgevita®
Análisis de uso seguro de Remsina®
Análisis de eficacia y seguridad del uso de fármacos de tratamiento biológico
Uso de biosimilares ABP 501 (Adalimumab) y CT-P13 (Infliximab) en el tratamiento de Artritis reumatoide
Introduction: There is no scientific evidence of comparative studies between biosimilars that demonstrate safety and efficacy, this being relevant for clinicians and insurers to feel supported at the time of acquiring and prescribing this type of molecules. In Colombia, since it is a disease with late diagnosis and that consequently presents a greater risk of severity and complication, contemplating a broader portfolio that guarantees the safety profile, quality, and adequate response to treatment would generate a positive impact on access to this type of therapies. Objectives: To determine whether or not there are differences in efficacy according to control of rheumatoid arthritis activity and safety associated with treatment with Biosimilar ABP 501 (Adalimumab), Biosimilar CT-P13 (Infliximab). Methodology: A systematic review of the literature was carried out that included intervention studies, evaluating the clinical responses according to the ACR20, ACR50, ACR 70, DAS 28 PCR, and safety scales evaluated by the formation of anti-drug antibodies and the presence of any adverse events. Results: For ABP 501 80% of the studied population reached an ACR 20 response, 49% for ACR 50 and 26% for ACR 70 at week 24, for CT-P13 71% of the studied population reached an ACR 20 response , 41% ACR 50 and 20% ACR 70 for week 30, while at week 54 and 102 an ACR 20, ACR 50, ACR70 response of 72%, 42% and 33% was evidenced. And 71.7%, 48% and 24.3% respectively. Anti-drug antibodies ABP 502 Week 24 of 38.3%, week 52 54%. CT-P13, week 30, 54, 102 of 40%, 41% and 41% respectively. Discussion: ABP 501 and CT-P13 showed safety and effectiveness in patients with moderate to severe RA, showing a superior clinical response in those patients treated with ABP 501, in long-term safety CT-P13 presented greater safety by presenting a lower proportion of patients with anti-drug antibodies.
2021-07-01T21:45:21Z
2021-07-01T21:45:21Z
2021-07-01T21:45:21Z
masterThesis
https://doi.org/10.48713/10336_31763
https://repository.urosario.edu.co/handle/10336/31763
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/306342020-11-24T03:02:51Zcom_10336_925com_10336_562col_10336_12382
Resultados oncológicos de la histerectomía radical laparoscópica versus por laparotomía en pacientes con cáncer cervical temprano: una cohorte multicéntrica retrospectiva
Rodríguez, Juliana
Posso Valencia, Hector
Pareja, René
Histerectomía
Laparoscopía
Laparotomía
Neoplasias del cuello uterino
Procedimientos quirúrgicos robotizados
Background: Cervical cancer is the fourth leading cause of death from gynecological malignancies worldwide. Management for the early stages is surgical, using laparoscopic approaches or laparotomy. Recent evidence has shown worse oncological outcomes in terms of recurrence and death when minimally invasive surgery is used in this clinical setting. The objective of this study was to compare 4-year disease-free survival in patients who had undergone radical hysterectomy and pelvic lymphadenectomy, either by laparoscopy or laparotomy. Materials and methods: We performed a multicenter, retrospective cohort study of patients with cervical cancer stage IA1 with lymph-vascular invasion, IA2 and IB1(FIGO 2009 classification), between January 1, 2006 to December 31, 2017, at seven cancer centers from 6 countries. We included squamous, adenocarcinoma and adenosquamous histologies. In the main patient-level analysis we used inverse probability of treatment weighting based on propensity score to construct a weighted cohort of women who differed only with respect to surgical approach. We estimated the hazard ratio (HR) for all-cause mortality after radical hysterectomy with weighted Cox proportional hazard models. Results: A total of 1379 patients were included in the final analysis, with 681 (49.4%) operated by laparoscopy, and 698 (50.6%) by laparotomy. Median age was 46 (22-88) years. Median follow-up was 52.1(0.8-201.2) months for laparoscopy, and 52.6 (0.4-166.6) for laparotomy group. Women who underwent laparoscopic radical hysterectomy had inferior 4-year disease-free survival compared with laparotomy group (Hazard ratio [HR] 1.64; 95% Confidence Interval [CI] 1.09-2.46; p= 0.02). After adjustment for adjuvant treatment, the 4-year disease-free survival (HR 1.7; 95% CI 1.13-2.56; p= 0.01) and overall survival (HR 2.14; 95% CI 1.05-4.37; p= 0.03) were also lower in the laparoscopy group. Conclusions: In this retrospective multicenter study, the laparoscopic approach for early stage cervical cancer, was associated with a higher risk of recurrence and also a higher risk of death after adjustment for adjuvant treatment, compared to laparotomy
2020-11-23T23:21:08Z
2020-11-23T23:21:08Z
2020-11-23T23:21:08Z
masterThesis
https://doi.org/10.48713/10336_30634
https://repository.urosario.edu.co/handle/10336/30634
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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http://creativecommons.org/licenses/by-nd/2.5/co/
Atribución-SinDerivadas 2.5 Colombia
Atribución-SinDerivadas 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Falconer H, Palsdottir K, Stalberg K, Dahm-Kähler P, Ottander U, Lundin ES, et al. Robot-assisted approach to cervical cancer (RACC): an international multi-center, open-label randomized controlled trial. Int J Gynecol Cancer. 2019;29(6):1072-6.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/412752023-12-06T16:30:32Zcom_10336_925com_10336_562col_10336_12382
Prevalencia y factores asociados a las malformaciones congénitas gastrointestinales en Bogotá́ 2015-2021
Correa Mazuera, Catalina
Pastrán, Sandra Milena
Rodríguez Grande, Eliana Isabel
Zarante, Ignacio
Anomalías congénitas
Epidemiología
Cirugía
Prevalencia
Enfermedades gastrointestinales
Congénito
Enfermedades del recién nacido
Enfermedades y anomalías neonatales
Congenital malformations develop in intrauterine life, occur in 3-6% of newborns worldwide and are an important cause of fetal death, morbidity and mortality and childhood disability. The congenital gastrointestinal malformations under study require surgical interventions during the first days of life, so knowing the prevalence by locality could guide decision makers in the development of public policies that guarantee timely care, in addition to contributing to the generation of hypotheses for new research projects. Objective: Determine the prevalence of seven congenital gastrointestinal malformations in newborns in the 20 locations of Bogotá, Colombia in a period of six years and explore factors associated with their occurrence. Methodology: This is an analytical cross-sectional observational study carried out using data from mandatory notification form 215 of the Bogotá Health Secretariat between 2015 and 2021. All records available in the database were taken into account where The ICD10 selected for gastrointestinal malformations were reported. Records of newborns whose locality of residence registered in the record was not Bogotá were excluded from the study. In total, 869 records were included in the study. The data received from the Bogotá Health Secretariat was processed in Excel. Descriptive analyzes were performed with the free software Jamovi and Spearman correlation tests were done in SPSS. Results: Gastrointestinal malformations occurred more frequently in male newborns (50.5%) and the highest number of cases corresponded to the town of Kennedy (12.3%). Esophageal atresia was the most frequently reported malformation (25.9%), followed by gastroschisis and anorectal malformation (19%). The prevalence of gastrointestinal malformations in Bogotá, in the period 2015-2021, was 1.42 x 1000 births. The locations with the highest prevalence were La Candelaria (4.76x1000), Antonio Nariño (2.4x1000) and Santa Fe (1.91x1000). No correlation was found between primiparity and the prevalence of the three most common malformations (esophageal atresia, gastroschisis and anorectal malformation) (Rho= 0.089, p=0.009). A weak negative correlation was found between age over 35 years and the prevalence of gastroschisis (rho=-0.175, p<0.001), while a weak positive correlation was found for anorectal malformation (Rho=0.122, p<0.001). The analyzes carried out suggest a strong positive correlation between the consumption of psychoactive or hallucinogenic substances in homes (Spearman's Rho =0.597, p=0.006) and the prevalence of the congenital malformations under study. Attendance at prenatal check-ups had a negative correlation with the prevalence of the malformations of interest in this study (Spearman's rho = -0.597, p=0.006). No significant correlation was found with the other variables analyzed derived from the multipurpose survey. Conclusions: The prevalence of congenital gastrointestinal malformations is higher in localities located in the center-east of the city. The results of this study point out the importance of centralizing neonatal surgical care services for these pathologies in the subnetwork of services that serves that population. The analyzes carried out do not allow us to identify causal associations for the malformations of interest. Additionally, the calculated coefficients show that there is no correlation between the variables primiparity and maternal age with the three most prevalent malformations. Attendance at prenatal check-ups showed a negative correlation indicating that there could be a lower prevalence of congenital malformations when attending prenatal check-ups, while substance use at home was related to a higher prevalence of gastrointestinal malformations.
2023-11-07T14:00:06Z
2023-11-07T14:00:06Z
2023-11-07T14:00:06Z
bachelorThesis
https://doi.org/10.48713/10336_41275
https://repository.urosario.edu.co/handle/10336/41275
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/4.0/
Attribution-NonCommercial-NoDerivatives 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/204992024-08-20T11:46:25Zcom_10336_925com_10336_562col_10336_12382
Accidentes laborales por riesgo biológico en trabajadores de laboratorio clínico. Yopal, Colombia 2016 - 2018
Ochoa Gelvez, Edwin Omar
Trillos Peña, Carlos Enrique
Accidentes de trabajo
Laboratorio clínico
Exposición ocupacional
Riesgo biológico
Lesiones por pinchazo de aguja
Introduction: Clinical laboratory workers were permanent risk to have an accident occupational for exposure to biohazard. Those accidents can cause bloodborne infections such as (HIV, HBV or HCV). Objective: To describe the behavior of accidents for exposure to biohazard, characteristics of injured workers and report accident occupational in Yopal, Casanare clinical laboratory from 2016 to 2018, Methods: Observational descriptive study with exploratory component includes workers and clinical laboratory manager surveys and review report formats accident occupational (FURAT), with exploration related factors. Results: global participation clinical laboratory was 82,3% (14/17), the response rate of questionary for workers was 91,9% (114/124). We estimate an occupational accidentality for period of 24,6% (28/114) (IC 95% 16.7 – 32.5) and an underreporting of 39,3% (11/28) (IC 95% 21.3 – 57.3). The principal reasons for not reporting were perceived lack of time (45.4%) and not consider exposure important (36.4%). Being hired for service time (RP= 0,19; IC95% 0,04 – 0,89, p =0,034) and always use the personal protective equipment RP= 0,14; IC (95%) 0,02 – 0,88; p =0,036 these were associated with the probability of to have fewer accidents occupational. Discussion: Accident statistics in Yopal clinical laboratories reflect the need to systematically reorganize risk management strategies based on the human factor, organizational culture and control mechanisms.
2019-10-29T11:42:10Z
2019-10-29T11:42:10Z
2019-10-29T11:42:10Z
masterThesis
https://doi.org/10.48713/10336_20499
https://repository.urosario.edu.co/handle/10336/20499
spa
info:eu-repo/semantics/embargoedAccess
Restringido (Temporalmente bloqueado)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nd/2.5/co/
Atribución-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/180392019-09-19T07:37:54Zcom_10336_925com_10336_562col_10336_12382
Percepción de coordinación entre niveles de atención y sus factores asociados en dos redes públicas de servicios de salud de Bogotá, 2015
Gallego Ardila, Andrés Daniel
Pinzón Rondón, Ángela María
Mogollón Pérez, Amparo Susana
Coordinación asistencial
Niveles de atención
Redes de servicios de salud
Estudio transversal
Colombia
Background: Coordination across healthcare levels is a priority for healthcare systems. It represents an intermediate aim for Integrated Healthcare Networks (IHNs) to find quality and efficiency in care provision. In Colombia, it has been little studied. The aim is to analyze the experience of doctors related to coordination across healthcare levels and its related factors in two public IHNs in Bogotá. Methods: A cross-sectional study was carried out applying the COORDENA-CO questionnaire to a sample of 363 primary and secondary care doctors who worked in the study networks (Network-1=181; Network-2=182). Descriptive and multivariate analyses were conducted to assess the relationship between factors and a perception of care coordination. Results: Doctors perceived a limited information’s transfer (Network-1=39.2%; Network-2=48.4%), a poor agreement in treatments prescribed across levels (Network-1=40.9%; Network-2=44.5%), a scarce specialists’ recommendations to primary care (network-1=32.8%; network-2=44.8%) and long waiting times to secondary care (Network-1=14.1%; Network-2=22.7%). Factors associated with a better general perception of coordination were: being a woman (95%CI=1.28-1.70), being older than 50 years old (95%CI=1.13-2.46), being a secondary care doctor (95%CI=1.31-2.70), having an experience lower than a year (95%CI=1.10-4.30), working lesser than 20 hours (95%CI=2.43-2.86), being of the Network-1 (95%CI=1.00-1.38), considering that there is enough time for coordination (95%CI=1.34-1.96), having job satisfaction (95%CI=1.97-3.35), and recognizing that insurers do not limit clinical practice (95%CI=1.09-2.67). Conclusion: There are fails over coordination across levels of care. It requires strategies oriented in aspects such as employment conditions, enough time and control of insurer’s barriers, due to their influence over care coordination.
2018-06-06T14:20:50Z
2018-06-06T14:20:50Z
2018-06-06T14:20:50Z
2018
masterThesis
https://doi.org/10.48713/10336_18039
http://repository.urosario.edu.co/handle/10336/18039
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/375902022-12-06T03:05:12Zcom_10336_925com_10336_562col_10336_12382
Factores contextuales, familiares e individuales asociados con violencia física en niños, niñas y adolescentes en Colombia en el año 2018
Abril-Basto, Paula Daniela
Sossa Alarcón, María Camila
Barrios Acosta, Miguel
Cardona Arango, Doris
Maltrato a los niños
Abuso físico
Violencia doméstica
Violencia de pareja
Polivictimización
Colombia
INTRODUCTION: physical violence has been reported as the most frequent type of violence in children and adolescents in the world, and in Colombia it is one of the most frequent types. It has serious consequences for the physical and mental health of those who suffer it and for communities. Thus, there are strategies to deal with it and more should be generated. METODOLOGY: cross-sectional observational study with an analytical component from a secondary information source: "Survey of violence against children and adolescents - Colombia 2018" that included 1090 records. Descriptive, bivariate and binomial logistic regression analyses were carried out to identify contextual, family and individual factors associated with physical violence against children and adolescents in Colombia. RESULTS: Seven factors were found to be associated with and increase the probability of being a victim of physical violence. Two family factors: violence against women by caregivers and violence against siblings perpetrated by caregivers; and five individual factors: perpetrate physical violence, with the highest association, followed by being male, being "mestizo", being a victim of sexual violence and have symptoms of anxiety. DISCUSSION: all the associated factors found, correspond to those reported in the literature, except for being "mestizo". Knowing these factors allows the prioritization of interventions aimed to the population of children and adolescents who present them, since they may have a higher probability of suffering physical violence, through the development of strategies against this problem due to its high prevalence and because it generates a cycle of violence throughout life.
2022-12-05T17:28:55Z
2022-12-05T17:28:55Z
2022-12-05T17:28:55Z
masterThesis
https://doi.org/10.48713/10336_37590
https://repository.urosario.edu.co/handle/10336/37590
spa
info:eu-repo/semantics/embargoedAccess
Restringido (Temporalmente bloqueado)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-sa/2.5/co/
Atribución-NoComercial-CompartirIgual 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Gilbert R, Widom CS, Browne K, Fergusson D, Webb E, Janson S. Burden and consequences of child maltreatment in high-income countries. The Lancet. 2009;373:68–81. Disponible en: https://pubmed.ncbi.nlm.nih.gov/19056114/
Organización Panamericana de la Salud. INSPIRE: Siete estrategias para poner fin a la violencia contra los niños y las niñas. 2016. p. 1–112.
Akmatov MK. Child abuse in 28 developing and transitional countries-results from the Multiple Indicator Cluster Surveys. Int J Epidemiol [Internet]. 2011,40:219–27. Disponible en: http://ije.oxfordjournals.org/
Runyan DK, Shankar V, Hassan F, Hunter WM, Jain D, Paula CS, et al. International variations in harsh child discipline. Pediatrics. 2010;126(3). Disponible en: https://pubmed.ncbi.nlm.nih.gov/20679301/
US Centers for Disease Control and Prevention, United Nations Children’s Fund. Violence against children and young women in malawi findings from a national survey 2013. Malawi; 2014.
United Nations Children’s Fund Kenya Country Office, US Centers for Disease Control and Prevention, Kenya National Bureau of Statistics. Violence Against Children in Kenya Findings from a 2010 National Survey. Nairobi; 2012.
United Nations Children’s Fund, US Centers for Disease Control and Prevention, Muhimbili University of Health and Allied Science. Violence against children in Tanzania. Vol. 148. Tanzania; 2011.
Brown DW, Riley L, Butchart A, Meddings DR, Kann L, Harvey AP. Exposure to physical and sexual violence and adverse health behaviors in African children: results from the Global School-based Student Health Survey. Bull World Health Organ [Internet]. 2009;87(6):447. Disponible en: /pmc/articles/PMC2686210/
United Nations Children’s Fund. Child Disciplinary Practices at Home: evidence from a range of Low and Middle income Countries [Internet]. New York; 2010. Disponible en: https://www.unicef.org/protection/Child_Disciplinary_Practices_at_Home.pdf
Hecker T, Hermenau K, Isele D, Elbert T. Corporal punishment and children’s externalizing problems: A cross-sectional study of Tanzanian primary school aged children. Child Abuse Negl [Internet]. 2013;1–9. Disponible en: http://dx.doi.org/10.1016/j.chiabu.2013.11.007
Lansford JE, Deater-Deckard K. Childrearing Discipline and Violence in Developing Countries. Child Dev [Internet]. 2012;83(1):62–75. Disponible en: https://srcd.onlinelibrary.wiley.com/doi/full/10.1111/j.1467-8624.2011.01676.x
Hillis S, Mercy J, Amobi A, Kress H. Global prevalence of past-year violence against children: a systematic review and minimum estimates. Pediatrics. 2016;137(3). Disponible en: https://pubmed.ncbi.nlm.nih.gov/26810785/
Finkelhor D, Turner H, Ormrod R, Hamby SL. Violence, abuse, and crime exposure in a national sample of children and youth. Pediatrics [Internet]. 2009;124(5):1411–23. Disponible en: www.pediatrics.org/cgi/doi/10.1542/peds.2009-0467
Finkelhor D, Ormrod R, Turner H, Hamby SL. The victimization of children and youth: a comprehensive, national survey. Child Maltreat. 2005;10(1):5–25. Disponible en: https://pubmed.ncbi.nlm.nih.gov/15611323/
Clément MÈ, Chamberland C. Physical violence and psychological aggression towards children: Five-year trends in practices and attitudes from two population surveys. Child Abuse Negl. 2007 Sep 1;31(9):1001–11. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17875322/
Finkelhor D, Turner HA, Shattuck A, Hamby SL. Violence, crime, and abuse exposure in a national sample of children and youth: an update. JAMA Pediatr [Internet]. 2013;167(7):614–21. Disponible en: https://jamanetwork.com/journals/jamapediatrics/fullarticle/1686983
Merrick M, Latzman L. Child Maltreatment: A Public Health Overview and Prevention Considerations. Online J Issues Nurs [Internet]. 2014;19(1). Disponible en: https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeri odicals/OJIN/TableofContents/Vol-19-2014/No1-Jan-2014/ChildMaltreatment.html#ChildWelfare
Know Violence in Childhood. Ending Violence in Childhood. Global Report 2017. New Delhi; 2017.
Finkelhor D, Turner HA, Shattuck A, Hamby SL. Prevalence of childhood exposure to violence, crime, and abuse: results from the National Survey of Children’s exposure to violence. JAMA Pediatr. 2015 Aug;169(8):746–54. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26121291/
Afifi TO, Brownridge DA, Cox BJ, Sareen J. Physical punishment, childhood abuse and psychiatric disorders. Child Abuse Negl. 2006;30:1093–103. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17010436/
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/306332022-11-23T01:01:01Zcom_10336_925com_10336_562col_10336_12382
Evolución de la mortalidad por enterocolitis necrosante en Colombia en el período de 1998 a 2018
Peñaloza Lopez, Iván Felipe
Macías Rincón, Yenifer Andrea
Bareño Silva, José
Enterocolitis necrosante
Mortalidad
Serie de tiempo
Introduction: Necrotizing Enterocolitis (NEC) is the most common gastrointestinal emergency in the neonate and is a major cause of mortality for very low birth weight infants. To date, no studies have been conducted on NEC mortality in Colombia. Objectives: To determine the behavior of NEC mortality in Colombia between 1998 and 2018. Methodology: Analytical, longitudinal, observational study, time series of a follow-up cohort. Mortality records for NEC, reported between 1998 and 2018, were taken from the DANE database. Mortality rates per NEC in Colombia between 1998 and 2018 were calculated and the mortality trend in the country and by department was determined, and a time series analysis was carried out using standardized rates. The association between ECN and gross domestic product (GDP) was determined. Results: Between 1998 and 2018, 5345 deaths were recorded per NEC, of which 80.3% were under 27 days. 43% of the population weighed less than 1500 grams at birth. The death rate from NEC in Colombia was between 2.4/100,000 and 4.0/100,000 live births. No relationship was found between NEC mortality and GDP. Discussion: The NEC mortality rate in Colombia between 1998 and 2018 was lower than that reported in the literature in other countries. No trend was determined for Colombia, but a decrease in mortality was observed from 2002 onwards. Translated with www.DeepL.com/Translator (free version)
2020-11-23T22:52:51Z
2020-11-23T22:52:51Z
2020-11-23T22:52:51Z
masterThesis
https://doi.org/10.48713/10336_30633
https://repository.urosario.edu.co/handle/10336/30633
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
1. Youn, Y. A., Kim, E. K., & Kim, S. Y. Necrotizing Enterocolitis among Very- Low-Birth-Weight Infants in Korea. Journal of Korean medical science; 2015; 30: S75-80.
2. Bellodas J, Kadrofske M. Necrotizing enterocolitis. Neurogastroenterol Motil. 2019 Mar;31.
3. Guía de práctica clínica del recién nacido prematuro. Sistema General de Seguridad Social en Salud – Colombia. 2013
4. Bode L. Human Milk Oligosaccharides in the Prevention of Necrotizing Enterocolitis: A Journey From in vitro and in vivo Models to Mother-Infant Cohort Studies. Frontiers in Pediatrics. 04 December 2018.
5. Cotten M. Modifiable Risk Factors in Necrotizing Enterocolitis. Clin Perinatol 46 (2019) 129–143.
6. Referencia Medscape: https://www.medscape.com/answers/977956- 71387/what-is-the-prognosis-of-necrotizing-enterocolitis-nec.
7. Wiswell T, Robertson C, Jones T et all. Necrotizing enterocolitis in full-term infants. A case-control study. Am J Dis Child. 1988 May;142(5):532-5.
8. https://www.who.int/es/news-room/fact-sheets/detail/children-reducing-mortality
9. O'Hare B, Makuta I, Chiwaula L, Bar-Zeev N. Income and child mortality in developing countries: a systematic review and meta-analysis. J R Soc Med. 2013;106(10):408‐414. doi:10.1177/0141076813489680.
10. Su Y., Wang S, Chou H, Chen C. Morbidity and Mortality of very low birth weight infants in Taiwan – Changes in 15 years: A population-based study. Journal of the Formosan Medical Association (2016) 115, 1039e1045
11. https://www.icbf.gov.co/bienestar/nutricion/encuesta-nacional-situacion- nutricional#ensin3
12. https://www.minsalud.gov.co/Paginas/Ventajas-lactancia-materna-situacion- en-el-pais.aspx#situacionpaislactancia
13. Berman L, Moss RL. Necrotizing enterocolitis: an update. Seminars in fetal and neonatal medicine. 2011 Jun;16(3):145-50
14. Coggins S, Wynn J, Weitkamp J.H. Infectious causes of necrotizing enterocolitis. Clin Perinatol. 2015 March; 42(1): 133–154.
15. Neu, J., & Walker, W. A. (2011). Necrotizing enterocolitis. The New England journal of medicine, 364(3), 255-264.
16. Méndez F A, Bancalari M A, Ernst E I. Enterocolitis necrotizante: Experiencia de 15 años. Rev. Chil. Pediatr. 2000; 71( 5 ): 390-397
17. Kiechl-Kohlendorfer U, Simma B, Urlesberger B et al. Low mortality and short-term morbility in very preterm infants in Austria 2011-2016. Acta pediatrica. 2019 Aug;108(8):1419-1426.
18. Berrington J, Hearn R, Bythell M, Wright C, Embleton N. Deaths in Preterm Infants: Changing Pathology Over 2 Decades. The journal of pediatrics. 2012.
19. Fitzgibbons, S. C., Ching, Y., Yu, D., Carpenter, J., Kenny, M., Weldon, C., Lillehei, C., Valim, C., Horbar, J. D., & Jaksic, T. (2009). Mortality of necrotizing enterocolitis expressed by birth weight categories. Journal of Pediatric Surgery, 44(6), 1072–1076.
20. Chu A., Chiu H. Necrotizing Enterocolitis in the Full-Term Infant. Pediatric Annals, 2015; 44(10).
21. Niño D, Sodhi C, Hackam D. Necrotizing enterocolitis: new insights into pathogenesis and mechanisms. Nat Rev Gastroenterol Hepatol. 2016 October ; 13(10): 590–600
22. Gewolb IH, Schwalbe RS, Taciak VL, Harrison TS, Panigrahi P. Stool microflora in extremely low birthweight infants. Arch Dis Child Fetal Neonatal Ed. 1999;80(3):F167‐F173.
23. Cotten CM. Adverse consequences of neonatal antibiotic exposure. Curr Opin Pediatr. 2016;28(2):141‐149.
24. Guillet R, Stoll BJ, Cotten CM, et al. Association of H2‐blocker therapy and higher incidence of necrotizing enterocolitis in very low birth weight infants. Pediatrics. 2006;117: e137‐e142.
25. Preston S. The changing relation between mortality and level of economic development. Population Studies 1975; 29: 231–48, http://www.jstor.org/discover/10.2307/2173509?uid=2&uid=4&sid=21102308 701567).
26. Summers L, Pritchett L. Wealthier is healthier. World Bank Policy Research Working Paper No. 1150. Washington, DC: World Bank; 1993.
27. WHO. Classifications. International Classification of Diseases (ICD). https://icd.who.int/browse10/2019/en
28. The WHO Family of International Classifications. WHO. https://www.who.int/classifications/en/
29. https://icd.who.int/browse10/2019/en
30. Alganabi M, Lee C, BindiE, Pierro A. Recent advances in understanding necrotizing enterocolitis. F1000Research 2019,8.
31. Aceti A, Gori D, Barone G, et al.: Probiotics and Time to Achieve Full Enteral. Feeding in Human Milk-Fed and Formula-Fed Preterm Infants: Systematic. Review and Meta-Analysis. Nutrients. 2016; 8(8): pii: E471.
32. Saez M, Pérez-Hoyos S, Tobias A et al. Métodos de series temporales en los estudios epidemiológicos sobre contaminación atmosférica. Rev Esp Salud Pública 1999; 73: 133-133.
33. Ledesma R, Sanmartín J, Chisvert M. Sesgos en la recogida de datos sobre accidentes de tráfico: evaluación de la actuación del personal técnico en autopistas de peaje. Psicothema. 2000. Vol. 12, Supl. nº 2, pp. 320-326
34. http://microdatos.dane.gov.co/index.php/catalog/663/accesspolicy#page=ac cesspolicy&tab=study-desc
35. Indicadores de salud: aspectos conceptuales y operativos (sección 2). Sección: 2.4.5 estandarización de las tasas de mortalidad. Disponible en: https://www.paho.org/hq/index.php?option=com_content&view=article&id=14402:health-indicators-conceptual-and-operational-considerations-section-2&Itemid=0&lang=es
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/318132021-07-13T03:03:28Zcom_10336_925com_10336_562col_10336_12382
Mortalidad en pacientes con infección respiratoria aguda por SARS-CoV-2 según índice de oxigenación SpO2/FiO2 y valores hematométricos de ingreso a 2500 m s.n.m.
Patiño Aldana, Andrés Felipe
Rodríguez Alvarino, Estefanía Paula
Sanclemente Mariño, Isabella
Pinzón Rondón, Ángela María
Rodríguez Lima, David René
Molano González, Nicolás
Grupo de Investigación Clínica
Relación entre las características hematométricas y de oxigenación con la mortalidad por Covid-19
Desarrollo de IRA y SDRA por Covid-19 en altitud de 2500 metros
Presión arterial de oxígeno / Fracción inspirada de oxigeno (PaO2/FiO2) a 2500 metros de altura en pacientes con SARS-CoV-2
Introduction: Acute respiratory infection (ARIs) due to SARS-CoV-2 is responsible for COVID 19. Its main manifestations occur at a respiratory level and its most severe expression is the Adult respiratory distress syndrome (ARDS). The development of AIRs and ARDS at altitude is a physiological challenge in which hemodynamic adaptive and ventilatory mechanisms to hypobaric hypoxia converge with the pathophysiological and compensatory processes against the disease; as the altitude increases, the oxygen's partial pressure decreases. The environmental hypoxia could be related to more severe hypoxemia that worsens the prognosis of the disease, however, it has been proposed that the adaptive mechanisms to hypobaric hypoxia may generate resistance to hypoxemia improving the delivery and efficient use of O2. It is unknown which are the pathophysiological and prognostic implications in AIRs due to SARS-CoV-2 of the hematological characteristics of patients chronically exposed to hypobaric hypoxia.
Objectives: This study seeks to explore the relationship between the hematometric and oxygenation entry and the mortality of the patients with an acute respiratory infection due to SARS-CoV-2 that were admitted to the Hospital Universitario Mayor Mederi between March and July 2020.
Methodology: A descriptive observational study with an analytical component from a secondary source was carried out about the database of the study “Acute respiratory distress síndrome (ARDS) due to SARS-CoV-2 and clinical results at 2500 meters high” which included the first thousand patients that consult to Hospital Universitario Mayor Mederi. The sociodemographic, clinical, and paraclinical information of entrance was described and the outcome of the hospital residency until de live discharge or death. The population characteristics were described and measures of association with mortality outcome were established according to the type of variable, afterwards, exploratory multivariate models were made to control the confusion or to evaluate the interaction between the variables related to mortality.
Results:
In this study, sociodemographic, clinical and paraclinical admissions characteristics have been described; the exploratory analysis that establish associations between age, sex, hypertension history, and no lineal relations of the SpO2/FiO2, hemoglobin and neutrophil/lymphocytes relation were reported whit the mortality of the patients with ARI due to SARS-CoV2 admitted to HUM between March and July of 2020. In addition, the groups with the patients with higher and lower probability of dying during hospital stay were described according to their oxygen levels, hemoglobin, age, and neutrophil/lymphocytes admission relation.
2021-07-12T16:38:30Z
2021-07-12T16:38:30Z
2021-07-12T16:38:30Z
masterThesis
https://doi.org/10.48713/10336_31813
https://repository.urosario.edu.co/handle/10336/31813
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/2.5/co/
Atribución-NoComercial-CompartirIgual 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Department of Health and Human Services (2018) 2018 Profile of Older Americans. United States of America: The Administration for Community Living; Disponible en: https://acl.gov/sites/default/files/Aging%20and%20Disability%20in%20America/2018OlderAmericansProfile.pdf.Department of Health and Human Services (2018) 2018 Profile of Older Americans. United States of America: The Administration for Community Living; Disponible en: https://acl.gov/sites/default/files/Aging%20and%20Disability%20in%20America/2018OlderAmericansProfile.pdf.Department of Health and Human Services (2018) 2018 Profile of Older Americans. United States of America: The Administration for Community Living; Disponible en: https://acl.gov/sites/default/files/Aging%20and%20Disability%20in%20America/2018OlderAmericansProfile.pdf.
Gu, Yao-Hua; Bai, Jin-Bing; Chen, Xiao-Li; Wu, Wen-Wen; Liu, Xiang-Xiang; Tan, Xiao-Dong (2019) Healthy aging: A bibliometric analysis of the literature. En: Experimental gerontology. Vol. 116; pp. 93 - 105; 1873-6815 0531-5565; Disponible en: 10.1016/j.exger.2018.11.014. Ministerio de Salud y Protección Social de Colombia (1993) Resolucion 8430 de 1993, Octubre 4, por la cual se establecen las normas cientifico tecnicas y administrativas para la investigacion en salud. : Ministerio de salud; Gonzales, Gustavo F. (2012) Impact of high altitude on pregnancy and newborn parameters. En:Revista Peruana de Medicina Experimental y Salud Publica; Vol. 29; No. 2; pp. 242 - 249; Disponible en: 10.1590/S1726-46342012000200013.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/432192025-08-27T15:03:48Zcom_10336_925com_10336_562col_10336_12382
La calidad de vida de los pacientes que estuvieron en una unidad de cuidados intensivos después de una cirugía cardiaca en un hospital de Bogotá
Barreto, Jhon Alexander
Rada, Fernando Andrés
Hernández Herrera, Gilma Norela
Cirugía cardiaca
Calidad de vida
Colombia
To estimate the quality of life of patients undergoing cardiac surgery, to know the most affected cores of the EQ-5D-5L and to determine which clinical factors are associated with a poor quality of life. Design: Cross-sectional study with an analytical component. Location: Third-level hospital of complexity. Participants: Adults undergoing cardiac surgery in 2022 (n: 257). Intervention: Telephone survey. Results: 81.3% of operated patients consider that their quality of life is good. The most compromised cores according to EuroQol of 5 dimensions and 5 levels were pain or discomfort and anxiety or depression. The variables that were associated with a poor quality of life are: Lawton-Brody Scale (OR 0.65), the presence of arterial hypertension (OR 2.65), female sex (OR 1.72) and a poor support network (OR 3.65). Conclusions: The quality of life of patients undergoing surgery is good at an average of 22 months after their surgical intervention. Promoting an adequate support network and an improvement in instrumental activities of daily living can improve quality of life.
2024-08-05T19:06:22Z
2024-08-05T19:06:22Z
2024-08-05T19:06:22Z
bachelorThesis
https://doi.org/10.48713/10336_43219
https://repository.urosario.edu.co/handle/10336/43219
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
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http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/402242023-07-27T03:00:25Zcom_10336_925com_10336_562col_10336_12382
Manifestaciones clínicas predictoras de reflujo laringofaríngeo en adultos en un centro de gastroenterología en Bogotá 2019 – 2022
Rodriguez Orjuela, Alejandra del Pilar
Salcedo Martínez, Valentina
Mora León, Cristian Andrés
Trillos Peña, Carlos Enrique
reflujo gastroesofágico
reflujo laringofaríngeo
prevalencia
pH impedanciometria
valor predictivo
Gastroesophageal reflux (GER) is a highly prevalent pathology around the world. Symptoms of extraesophageal reflux (REE) such as chest pain, laryngitis, esophageal pain, cough, hoarseness, and postnasal drip may be found. The diagnosis becomes challenging given that the symptoms of extraesophageal reflux can occur simultaneously with the symptoms commonly presented in GER, just as there are patients who only present extraesophageal symptoms. The present study aims to evaluate the association between extraesophageal symptoms with the positive result of pH-impedanciometry for pathological gastroesophageal reflux, in a cohort of patients attending a gastroenterology reference center in Bogotá 2019-2022. Cross-sectional study, based on patient records from a cohort of 2,688 patients. The analysis of the Age variable was carried out as a categorical variable through a decision tree, prior to its inclusion in the final Logistic Regression model. Validation of the independence of errors of the regression model through the Durbin-Watson test and calibration with the Hosmer-Lemeshow test. A significant relationship was found between body mass index (BMI), male sex, age over 59.4 years, presence of heartburn, regurgitation, and previous diagnosis of hiatal hernia. In the ROC curve, the area under the curve was 0.677.
2023-07-26T12:42:11Z
2023-07-26T12:42:11Z
2023-07-26T12:42:11Z
bachelorThesis
https://doi.org/10.48713/10336_40224
https://repository.urosario.edu.co/handle/10336/40224
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/4.0/
Attribution-NonCommercial-NoDerivatives 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Humberto Jiménez Fandiño, Luis; Mantilla Tarazona, Natalia; Andrés Ospina Díaz, Javier; Surgeon Director, Maxillofacial (2011) Reflux laryngitis: an Otolaryngologist's perspective.
Kellerman, Rick; Kintanar, Thomas (2017) Gastroesophageal Reflux Disease. En: Primary Care. Vol. 44; No. 4; pp. 561 - 573; W.B. Saunders; Disponible en: 10.1016/j.pop.2017.07.001.
por, Elaborado; Elizabeth Zulema Tomas Gonzales de Palomino, Dra; GUÍA DE PROCEDIMIENTO DE NASOFIBROLARINGOSCOPÍA UNIDAD DE ATENCIÓN INTEGRAL ESPECIALIZADA SUB UNIDAD DE ATENCIÓN INTEGRAL ESPECIALIZADA DEL PACIENTE DE ESPECIALIDADES QUIRÚRGICAS-OTORRINOLARINGOLOGÍA.
Richter, Joel E; Velanovich, Vic (2015) ADVANCES IN GERD Nonmedical Treatment of Gastroesophageal Reflux Disease. En: Gastroenterology & Hepatology. Vol. 11; No. 5;
Del Mar, M; Hernani, Tolín; Calatayud, Guillermo Álvarez; Sánchez Sánchez, César (2013) Impedanciometría intraluminal multicanal esofágica: indicaciones y técnica. En: An Pediatr Contin. Vol. 11; No. 2; pp. 110 - 116;
Maldonado, Anastasia; Diederich, Linda; Castell, Donald O; Gideon, ; R M; Katz, Philip O (2003) Laryngopharyngeal Reflux Identified Using a New Catheter Design: Defining Normal Values and Excluding Artifacts.
Roncero, Laura Pérez (2016) Tema 2 Pirosis Farmacia Comunitaria. En: 29 Farmacia Profesional. Vol. 30;
Wang, Jing; Zhao, Yu; Ren, Jianjun; Xu, Yang (2018) Pepsin in saliva as a diagnostic biomarker in laryngopharyngeal reflux: a meta-analysis. En: European Archives of Oto-Rhino-Laryngology. Vol. 275; No. 3; pp. 671 - 678; Springer Verlag; Disponible en: 10.1007/s00405-017-4845-8.
Weitzendorfer, Michael; Antoniou, Stavros A.; Schredl, Philipp; Witzel, Kai; Weitzendorfer, Isabella C.; Majerus, Alexandra; Emmanuel, Klaus; Koch, Oliver O. (2020) Pepsin and oropharyngeal pH monitoring to diagnose patients with laryngopharyngeal reflux. En: Laryngoscope. Vol. 130; No. 7; pp. 1780 - 1786; John Wiley and Sons Inc.; Disponible en: 10.1002/lary.28320.
Wang, Jing; Zhao, Yu; Ren, Jianjun; Xu, Yang (2018) Pepsin in saliva as a diagnostic biomarker in laryngopharyngeal reflux: a meta-analysis. En: European Archives of Oto-Rhino-Laryngology. Vol. 275; No. 3; pp. 671 - 678; Springer Verlag; Disponible en: 10.1007/s00405-017-4845-8.
Patel, Dhyanesh; Vaezi, Michael F. (2013) Normal esophageal physiology and laryngopharyngeal reflux. En: Otolaryngologic Clinics of North America. Vol. 46; No. 6; pp. 1023 - 1041; Disponible en: 10.1016/j.otc.2013.08.010.
Lechien, Jerome R.; Akst, Lee M.; Hamdan, Abdul Latif; Schindler, Antonio; Karkos, Petros D.; Barillari, Maria Rosaria; Calvo-Henriquez, Christian; Crevier-Buchman, Lise; Finck, Camille; Eun, Young Gyu; Saussez, Sven; Vaezi, Michael F. (2019) Evaluation and Management of Laryngopharyngeal Reflux Disease: State of the Art Review. En: Otolaryngology. Vol. 160; No. 5; pp. 762 - 782; SAGE Publications Inc.; Disponible en: 10.1177/0194599819827488.
Lechien, Jerome R.; Akst, Lee M.; Hamdan, Abdul Latif; Schindler, Antonio; Karkos, Petros D.; Barillari, Maria Rosaria; Calvo-Henriquez, Christian; Crevier-Buchman, Lise; Finck, Camille; Eun, Young Gyu; Saussez, Sven; Vaezi, Michael F. (2019) Evaluation and Management of Laryngopharyngeal Reflux Disease: State of the Art Review. En: Otolaryngology. Vol. 160; No. 5; pp. 762 - 782; SAGE Publications Inc.; Disponible en: 10.1177/0194599819827488.
GINA.
Stabenau, Kaleigh; Johnston, Nikki (2021) How I Approach Laryngopharyngoesophageal Reflux (LPR). En: Current Gastroenterology Reports. Vol. 23; No. 12; Springer; Disponible en: 10.1007/s11894-021-00823-4.
Snow, Grace; Dhar, Shumon I.; Akst, Lee M. (2021) How to Understand and Treat Laryngopharyngeal Reflux. En: Gastroenterology Clinics of North America. Vol. 50; No. 4; pp. 871 - 884; W.B. Saunders; Disponible en: 10.1016/j.gtc.2021.08.002.
Tseng, Wen Hsuan; Hsu, Wei Chung; Hsiao, Tzu Yu; Wu, Jia Feng; Lee, Hui Chuan; Wang, Hsiu Po; Wu, Ming Shiang; Tseng, Ping Huei (2022) Anatomical and physiological characteristics in patients with Laryngopharyngeal Reflux Symptoms: A case-control study utilizing high-resolution impedance manometry. En: Journal of the Formosan Medical Association. Vol. 121; No. 6; pp. 1034 - 1043; Elsevier B.V.; Disponible en: 10.1016/j.jfma.2021.07.025.
Krause, Amanda J.; Walsh, Erin H.; Weissbrod, Philip A.; Taft, Tiffany H.; Yadlapati, Rena (2022) An update on current treatment strategies for laryngopharyngeal reflux symptoms. En: Annals of the New York Academy of Sciences. Vol. 1510; No. 1; pp. 5 - 17; John Wiley and Sons Inc; Disponible en: 10.1111/nyas.14728.
Dore, Maria Pina; Pedroni, Antonietta; Pes, Gianni M.; Maragkoudakis, Emanouil; Tadeu, Vincenza; Pirina, Pietro; Realdi, Giuseppe; Delitala, Giuseppe; Malaty, Hoda M. (2007) Effect of antisecretory therapy on atypical symptoms in gastroesophageal reflux disease. En: Digestive Diseases and Sciences. Vol. 52; No. 2; pp. 463 - 468; Disponible en: 10.1007/s10620-006-9573-7.
Lechien, Jérôme R.; Huet, Kathy; Khalife, Mohamad; Fourneau, Anne Françoise; Finck, Camille; Delvaux, Véronique; Piccaluga, Myriam; Harmegnies, Bernard; Saussez, Sven (2018) Gender differences in the presentation of dysphonia related to laryngopharyngeal reflux disease: a case-control study. En: European Archives of Oto-Rhino-Laryngology. Vol. 275; No. 6; pp. 1513 - 1524; Springer Verlag; Disponible en: 10.1007/s00405-018-4951-2.
Aguilar, Erika María (2011) Hallazgos endoscópicos asociados con el reflujo faringolaríngeo en voluntarios asintomáticos y pacientes sintomáticos. Estudio comparativo.
Artículo original.
Ulualp, Seckin O.; Toohill, Robert J.; Shaker, Reza (2001) Outcomes of acid suppressive therapy in patients with posterior laryngitis. En: Otolaryngology. Vol. 124; No. 1; pp. 16 - 22; SAGE Publications Inc.; Disponible en: 10.1067/mhn.2001.112200.
Ulualp, Seckin O.; Toohill, Robert J.; Shaker, Reza (2001) Outcomes of acid suppressive therapy in patients with posterior laryngitis. En: Otolaryngology. Vol. 124; No. 1; pp. 16 - 22; SAGE Publications Inc.; Disponible en: 10.1067/mhn.2001.112200.
por, Elaborado; Elizabeth Zulema Tomas Gonzales de Palomino, Dra; GUÍA DE PROCEDIMIENTO DE NASOFIBROLARINGOSCOPÍA UNIDAD DE ATENCIÓN INTEGRAL ESPECIALIZADA SUB UNIDAD DE ATENCIÓN INTEGRAL ESPECIALIZADA DEL PACIENTE DE ESPECIALIDADES QUIRÚRGICAS-OTORRINOLARINGOLOGÍA.
Prevalencia_de_sintomas_del_reflujo_gastroesofagic.
Spyridoulias, Alexander; Lillie, Siobhan; Vyas, Aashish; Fowler, Stephen J. (2015) Detecting laryngopharyngeal reflux in patients with upper airways symptoms: Symptoms, signs or salivary pepsin?. En: Respiratory Medicine. Vol. 109; No. 8; pp. 963 - 969; W.B. Saunders Ltd; Disponible en: 10.1016/j.rmed.2015.05.019.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/128682021-06-03T00:45:14Zcom_10336_925com_10336_562col_10336_12382
Factores maternos, neonatales y relacionados con la atención, asociados con admisión a unidad de cuidado intensivo neonatal en recién nacidos a término en una clínica de Bogotá 2016
Llanos González, David Ricardo
García Guarín, Bibiana María
Torres de Galvis, Yolanda
Recién nacido
Factores de riesgo
Cuidado intensivo
Objective: The objective of the study was to identify the factors associated with the inflow of term infants to the Neonatal Intensive Care Unit (NICU)
Introduction: The neonatal care provided through the NICUs allows an optimal result in health care, not only in the preterm infants group frequently studied, but also in term infants, a group that is also vulnerable and increasingly represented in the stays Of NICUs, however this is an increasingly expensive practice and that in our countries with a limited health resource must be efficient in terms of the beds and the human resource required to provide this type of care.
Method: Case-control study defining as case: the newborn at term that enters NICU, and as control: the newborn at term without admission to the NICU. Sample: 94 cases and 376 matched controls by sex and by month of birth.
Statistical analysis: The association with the factors studied at the entrance to the NICU in the bivariate analysis was established through the calculation of adjusted Odds Ratio (OR) with estimation of their intervals and 95% confidence with the following results: instrumented delivery OR: 2.17 (1.087-4.35), neonatal weight under OR, 2.97 (1.54-5.71), social risk OR: 2.7 (1.6-4.5), chorioamnionitis OR: 10 , 26 (3.25-32.3), multiparous OR: 2.18 (1.3-3.4) and apgar under OR: 4.0 (1.15-13.8). The variables with the greatest significance were taken to the multivariate analysis and finally by means of the step-back method an explanatory model was applied as parsimonious as possible allowing the entry of variables: age over 35 years, low weight, diabetes and chorioamnionitis to the model Logistic regression.
Results: By means of conditional logistic regression, the event to be studied (newborn to term that enters the neonatal intensive care unit) was explained by the variables with greater association with the p value with statistical significance p <0.05, which were the Maternal age over 35, Chorioamnionitis, Diabetes Mellitus or Gestational Diabetes, and low birth weight newborns.
CONCLUSIONS: The logistic regression model included factors associated with NICU admission in term infants: age> 35 years OR 50.03 (15.60 to 160.4), low weight OR 5.3 (2 , 27 to 12,34), diabetes OR 4.7 (1.4 to 16.0) and chorioamnionitis OR 17.56 (4.32 to 71.33).
2017-02-06T14:50:57Z
2017-02-06T14:50:57Z
2017-02-06T14:50:57Z
2016
masterThesis
https://doi.org/10.48713/10336_12868
http://repository.urosario.edu.co/handle/10336/12868
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/133872021-06-03T00:48:12Zcom_10336_925com_10336_562col_10336_12382
Análisis de persistencia en la toma de medicamentos de uso crónico en usuarios de un programa de reposición periódica de medicamentos sin costo durante dos años en Colombia
García Rodríguez, María Carmen
Montenegro Montúfar, Álvaro
Massaro Ceballos, Mónica María
Cumplimiento de la medicación
Terapias crónicas
Anticonceptivos
Adherencia
Persistencia
Programa
Reposición gratuita
Reposición sin costo
Medicamentos
Introduction: Adherence and persistence to pharmacological therapies are of the most discussed and studied secondary prevention strategies worldwide. In the last decades, the interest in their role in clinical and social outcomes, has increased considerably; therefore, several research had studied the impact of different pro- adherence techniques compared to non-intervention (usual management), these alternatives have been more effective than non-intervention. However, it is still a challenge for clinicians and general society, not just because of the huge amount of health expenditures generated by the lack of adherence and persistence to prescribed medication, but also because of its negative impact on quality of life and mortality of general population.
Objetive: Compare persistence to chronic contraceptives, lipid-lowerings agents, phlebotonic, antihypertensive and antiresorptive drugs in a non-cost periodic drug replacement program according to demographic, dispensing and replacement model variables in adult patients prescribed with these therapies and followed over two years.
Patients and methods: A case-control study nested in a retrospective cohort was conducted from a database of a national periodic drug replacement program without costs, designed to improve drug adherence and persistence in several therapeutic groups (N = 57,576), living in 378 towns of Colombia, during a two years’ follow-up.
Persistence to a prescribed therapy is defined as frequency of repurchase and duration of use greater than 80% throug the entire treatment. Subsequently, a bivariate analysis was performed to identify the association between studied variables and finally their predictive power in persistence to the evaluated therapy after 6, 12 and 17 months, through a binary logistic regression.
Results: The most relevant predictor variables of persistence as an outcome at six, 12 and 17 months were: age (for contraceptives, lipid-lowering agents and phlebotonics), “type of replacement” for antihypertensives, and “type of delivery” for antiresorptives.
Conclusion: Persistence to chronic therapies and contraceptives, has multifactorial etiology in a no - cost drug replacement program; where patient's, drug’s and replacement model variables are involved. Non-persistence to studied drugs was high in all therapeutic groups, which is striking considering that it is a totally free drug replacement program.
2017-05-17T16:44:59Z
2017-05-17T16:44:59Z
2017-05-17T16:44:59Z
2017
masterThesis
https://doi.org/10.48713/10336_13387
http://repository.urosario.edu.co/handle/10336/13387
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
Atribución-NoComercial 2.5 Colombia
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc/2.5/co/
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/432102025-08-29T11:37:07Zcom_10336_925com_10336_562col_10336_12382
Factores asociados con infección deVPH en una población de mujeres de 18 a 65 años en un hospital de tercer nivel de Bogotá, estudio de corte transversal
Daza Medina, Diana Carolina
Mendivelso Montealegre, Laura Melissa
Acero González, Jilber Andrés
Ospina Medina, María Cristina
Posso Valencia, Héctor Jaime
Infección por el virus del papiloma humano
Sexarquia
Factores asociados
Parejas sexuales
Nivel educativo
Métodos anticonceptivos
Vacunación
The human papillomavirus infection in women is one of the main causes of morbidity and mortality due to cancer in Colombia. To contribute to the primary prevention of this disease, it is necessary to carry out studies that allow identifying the population at risk and the factors that influence its development.Materials and methods: Observational, analytical, cross-sectional study carried out from requests for services ordered in an integrative medical consultation in the Hospital Militar Central of Bogotá, for the fulfillment of a DNA-HPV detection test in cervical samples of 100 women from the ages of 18 to 65 years of age, between the months of December 2023 and March 2024, who authorized their participation in the study by signing an informed consent before performing the procedure.To obtain information about the sociodemographic and clinical variables to be evaluated, data collection was carried out through a semi-structured survey, designed by the researchers based on the review of scientific literature, in order to carry out its analysis and determine the association of the variables as possible protective or risk factors for HPV infection by means of a logistic regression model. The survey was carried out in person, at the time of taking the sample of the DNA-HPV test and the survey data was stored in the REDCap software. For statistical and inferential analysis, the SPSS V.22 software was used. Results: The prevalence of HPV infection in the studied population was 17% 95% IC (9.138-24.862). The bivariate analysis presented that the only factor that showed association with HPV infection was the presence of vasectomy in the partner of participants with crude OR 5.71 IC (1.05-31.2). However, it is believed that this result relates to a lack of barrier methods usage such as condoms, this due to a reduced pregnancy risk thanks to the permanent contraceptive method. Equally, in the multivariate analysis it was identified that the number of sexual partners throughout life and the absence of a contraceptive method, presented a statistically significant association with the presence of HPV infection. Conclusion: The findings suggest that it is necessary to promote awareness campaigns for women, so they become aware of the risks of acquiring HPV, emphasizing on the importance of the use of contraceptive methods and the reduction of high-risk sexual behaviors, including the number of sexual partners throughout life.
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2024-08-02T18:51:26Z
2024-08-02T18:51:26Z
masterThesis
https://doi.org/10.48713/10336_43210
https://repository.urosario.edu.co/handle/10336/43210
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Who.int. [citado el 1 de julio de 2024]. Disponible en: https://gco.iarc.who.int/media/globocan/factsheets/cancers/23-cervix-uteri-fact-sheet.pdf
Human papillomavirus and cancer [Internet]. Who.int. [citado el 1 de julio de 2024]. Disponible en: https://www.who.int/news-room/fact-sheets/detail/human-papilloma-virus-and-cancer
Día Mundial del Cáncer de Cuello Uterino 2024 [Internet]. Cuenta de Alto Costo - Fondo Colombiano de Cuentas de Alto Costo, organismo técnico no gubernamental del Sistema General de Seguridad Social en Salud de Colombia creado mediante el Decreto 2699 de 2007. Cuenta de Alto Costo; 2024 [citado el 1 de julio de 2024]. Disponible en: https://cuentadealtocosto.org/cancer/dia-mundial-del-cancer-de-cuello-uterino-2024/
Trujillo Esperanza, Morales Nicolás, Buitrago Oscar, Posso Héctor, Bravo María Mercedes. Distribución de los genotipos del virus del papiloma humano en mujeres de Bogotá con anomalías en la citología cervicouterina. rev.colomb.cancerol. [Internet]. 2016 Jan [cited 2022 Oct 21] ; 20( 1 ): 3-9.Disponible en http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0123-90152016000100002&lng=en. https://doi.org/10.1016/j.rccan.2015.11.003
Walboomers JM, Jacobs MV, Manos MM, Bosch FX, Kummer JA, Shah KV, Snijders PJ, Peto J, Meijer CJ, Muñoz N. Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. J Pathol. 1999 Sep;189(1):12-9. doi: 10.1002/(SICI)1096-9896(199909)189:1<12:AID-PATH431>3.0.CO;2-F. PMID: 10451482.
World Health Organization (WHO). Cervical cancer. International agency for research on cancer [cited on May 24, 2023]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/cervical-cancer.
Ministerio de salud y protección social Colombia. Cancer de cuello uterino. [cited on October 20, 2022]. Disponible en: https://www.minsalud.gov.co/salud/publica/ssr/Paginas/Cancer-de-cuello-uterino.aspx.
American Cancer Society. Risk factors for cervical cancer. [cited on May 26, 2022]. Disponible en: https://www.cancer.org/cancer/cervical-cancer/causes-risks-prevention/risk-factors.html.
Kashyap N, Krishnan N, Kaur S, Ghai S. Risk Factors of Cervical Cancer: A Case-Control Study. Asia Pac J Oncol Nurs. 2019 jul-Sep;6(3):308-314. doi: 10.4103/apjon.apjon_73_18.
World Health Organization (WHO). Cervical cancer. International agency for research on cancer [cited on October 20, 2022]. Disponible en: https://www.iarc.who.int/cancer-type/cervical-cancer/.
Molano M, Posso H, Weiderpass E, et al. Prevalence and determinants of HPV infection among Colombian women with normal cytology. Br J Cancer. 2002;87:324-33.
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA A Cancer J Clinicians [Internet]. 2018 Nov [cited 2024 Jun 21];68(6):394–424. Disponible en: https://acsjournals.onlinelibrary.wiley.com/doi/10.3322/caac.21492
Colombia. Instituto Nacional de Salud. Protocolo de Vigilancia en Salud Pública de cáncer de mama y cuello uterino. versión 5. [Internet] 2023 https://doi.org/10.33610/infoeventos.51.
Aballéa S, Beck E, Cheng X, Demarteau N, Li X, Ma F, Neine M, Zhao FH. Factores de riesgo para el cáncer cervical en mujeres en China: Un meta-modelo. Salud de la mujer (Lond). 2020 Ene-Dic;16:1745506520940875. doi: 10.1177/1745506520940875. PMID: 32787563; PMCID: PMC7469728.
Feichter G, Meisels A. Informe de consenso del grupo de trabajo sobre los cambios relacionados con el VPH en el tracto genital femenino inferior. Acta Cytol [Internet]. 2002; 46(4):630–2. Disponible en: http://dx.doi.org/10.1159/000326966.
Demarco M, Hyun N, Carter-Pokras O, Raine-Bennett TR, Cheung L, Chen X, Hammer A, Campos N, Kinney W, Gage JC, Befano B, Perkins RB, He X, Dallal C, Chen J, Poitras N, Mayrand MH, Coutlee F, Burk RD, Lorey T, Castle PE, Wentzensen N, Schiffman M. A study of type-specific HPV natural history and implications for contemporary cervical cancer screening programs. EClinicalMedicine. 2020 Apr 25;22:100293. doi: 10.1016/j.eclinm.2020.100293. PMID: 32510043; PMCID: PMC7264956.
Zaldívar Lelo de Larrea Guadalupe, Martín Molina Francisco, Sosa Ferreyra Carlos Francisco, Ávila Morales Javier, Lloret Rivas Miguel, Román Lara Monserrat et al . Cáncer cérvicouterino y virus del papiloma humano. Rev. chil. obstet. ginecol. [Internet]. 2012 [citado 2024 Jun 19] ; 77( 4 ): 315-321. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75262012000400014&lng=es. http://dx.doi.org/10.4067/S0717-75262012000400014.
Zizza A, Banchelli F, Guido M, Marotta C, Di Gennaro F, Mazzucco W, Pistotti V, D’Amico R. Eficacia y seguridad de la vacunación contra el virus del papiloma humano en pacientes infectados por el VIH: una revisión sistemática y metanálisis. Sci Rep. 2 de marzo de 2021; 11(1):4954. doi: 10.1038/s41598-021-83727-7. PMID: 33654181; PMCID: PMC7925667
Garland SM, Joura EA, Ault KA, Bosch FX, Brown DR, Castellsagué X, et al. Human Papillomavirus genotypes from vaginal and vulvar intraepithelial neoplasia in females 15–26 years of age. Obstet Gynecol [Internet]. 2018;132(2):261–70. Disponible en: http://dx.doi.org/10.1097/aog.0000000000002736.
Ministerio de salud y protección social. Lineamientos técnicos y operativos para la vacunación contra el virus del papiloma humano (VPH). Colombia. 2012. Disponible en: https://www.minsalud.gov.co/salud/Documents/Lineamientos%20VPH.pdf.
Liu Z, Li P, Zeng X, Yao X, Sun Y, Lin H, et al. Impacto de la vacunación contra el VPH en la infección por VPH y la carga de enfermedades relacionadas con el cuello uterino en entornos del mundo real (VPH-RWS): protocolo de una cohorte prospectiva. BMC Salud Pública [Internet]. 2022; 22(1). Disponible en: http://dx.doi.org/10.1186/s12889-022-14474-1.
Bruni L, Diaz M, Castellsagué X, Ferrer E, Bosch FX, de Sanjosé S. Prevalencia del virus del papiloma humano cervical en los 5 continentes: metaanálisis de 1 millón de mujeres con hallazgos citológicos normales. J Infect Dis [Internet]. 2010; 202(12):1789–99. Disponible en: http://dx.doi.org/10.1086/657321.
Bosch FX, Lorincz A, Muñoz N, Meijer CJLM, Shah KV. La relación causal entre el virus del papiloma humano y el cáncer de cuello uterino. J Clin Pathol [Internet]. 2002; 55(4):244–65. Disponible en: http://dx.doi.org/10.1136/jcp.55.4.244.
El-Zein M, Ramanakumar AV, Naud P, Roteli-Martins CM, de Carvalho NS, Colares de Borba P, et al. Determinantes de la adquisición y eliminación de la infección por el virus del papiloma humano en mujeres jóvenes no expuestas previamente. Sex Transm Dis [Internet]. 2019; 46(10):663–9. Disponible en: http://dx.doi.org/10.1097/olq.0000000000001053.
Trujillo-Rondan D. Virus papiloma humano, prevalencia y factores de riesgo asociados en mujeres afiliadas al seguro de salud estatal en Posadas, Misiones (Argentina). Rev Chilena Infectol [Internet]. 2021; 38(2):303–303. Disponible en: http://dx.doi.org/10.4067/s0716-10182021000200303.
Devi Puerto., et al. Prevalencia de infecciones por VPH en un grupo de mujeres colombianas no vacunadas de 18-25 años: una medida de referencia para el monitoreo de la vacuna. Revista Colombiana de Cancerología. 2017.21(1), 57–58.
Sánchez-Corredor. Cristhiam David, et al. Prevalencia de infección por virus del papiloma humano de alto riesgo y citologia anormal en la zona de transformación anal en mujeres con displasia cervical. Bogotá, Colombia, 2017-2019. Rev Colomb Obstet Ginecol. 2020: 71(4): 345-355.
Arbeláez-Vásquez Alejandra, Carreño Claudia, Coñazos-Ramírez Lilyan, Castillo Andres. Implementación de la nueva guía práctica clínica para la detección y manejo de lesiones precancerosas de cuello uterino en mujeres de la ciudad de Cali, Colombia. Infect. [Internet]. 2020 Mar [cited 2024 June 21] ; 24( 1 ): 20-26. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0123-93922020000100020&lng=en. https://doi.org/10.22354/in.v24i1.823
Hospital Regional Lambayeque, Perú., Iglesias-Osores S, Serquen-López L, Saavedra-Muñoz D, Vásquez-Fernández M, Vidaurre T. Detección de papilomavirus mediante reacción en cadena de la polimerasa en mujeres atendidas en el norte de Perú. RSOGV [Internet]. 2021 Mar 23 [cited 2024 Jun 21];81(01):33–8. Disponible en: https://www.sogvzla.org.ve/sogvzla20186/cms/svcobtenerpdfrevista.php?id=0000000102&tipo=normal&fila=6
Roset Bahmanyar E, Paavonen J, Naud P, Salmerón J, Chow SN, Apter D, Kitchener H, Castellsagué X, Teixeira JC, Skinner SR, Jaisamrarn U, Limson GA, Garland SM, Szarewski A, Romanowski B, Aoki F, Schwarz TF, Poppe WA, De Carvalho NS, Harper DM, Bosch FX, Raillard A, Descamps D, Struyf F, Lehtinen M, Dubin G; HPV PATRICIA Study Group. Prevalence and risk factors for cervical HPV infection and abnormalities in young adult women at enrolment in the multinational PATRICIA trial. Gynecol Oncol. 2012 Dec;127(3):440-50. doi: 10.1016/j.ygyno.2012.08.033. Epub 2012 Aug 30. PMID: 22940493.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/430652025-08-27T14:51:22Zcom_10336_925com_10336_562col_10336_12382
Efectividad del telemonitoreo estructurado de presión arterial en atención primaria: cohortes de hipertensos no controlados
De la Asunción Ramírez, Diana Judith
Gámez Barrios, Andrés
Hernández Herrera, Gilma Norela
Atención primaria
Automonitoreo
Hipertensión
Hipertensión no controlada
Monitoreo remoto estructurado
Telemonitoreo
Introduction: E-health has emerged as a pivotal resource in healthcare delivery due to its widespread coverage, ease, and acceptance, particularly for chronic diseases. We aim to establish the effectiveness of structured telemonitoring in managing blood pressure among patients with uncontrolled essential arterial hypertension. Methods: An analytical observational retrospective cohort study of uncontrolled hypertensive patients aged ≥ 18 was conducted, with follow-ups at 150 and 240 days. Patients in the telemonitoring cohort were provided with validated digital blood pressure monitors, underwent remote monitoring, and received weekly feedback for 30 days from a multidisciplinary team. Conversely, the non-telemonitoring cohort received usual care consisting of attendance to in-person medical consultations as part of our institution’s cardiovascular-risk program. Results: 350 patients were included, with median ages of 55 and 66 years in the telemonitoring and non-telemonitoring cohorts, respectively. Over the 240-day follow-up, the telemonitoring group achieved a significant reduction in systolic (-20.99 mmHg; 95% CI 14.99- 27.50; p 0.000) and diastolic blood pressure (- 14.99 mmHg; 95% CI 10.00- 18.99; p 0.000) compared to usual care, which demonstrated reductions of 19.99 mmHg (95% CI 16.49- 22.50; p 0.000) in systolic blood pressure and 6.50 mmHg, (95% CI 4.50- 9.00; p 0.000) in diastolic blood pressure. Conclusion: Telemonitoring is an effective strategy for patients with uncontrolled arterial hypertension, leading to earlier and significant blood pressure reductions.
2024-07-18T13:14:36Z
2024-07-18T13:14:36Z
2024-07-18T13:14:36Z
bachelorThesis
https://doi.org/10.48713/10336_43065
https://repository.urosario.edu.co/handle/10336/43065
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Global report on hypertension: the race against a silent killer [Internet]. [citado el 15 de julio de 2024]. Disponible en: https://www.who.int/publications/i/item/9789240081062
Hipertensión [Internet]. [citado el 15 de julio de 2024]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/hypertension
Ettehad D, Emdin CA, Kiran A, Anderson SG, Callender T, Emberson J, et al. Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. Lancet Lond Engl. el 5 de marzo de 2016;387(10022):957–67.
Jesús RG. Encuesta Nacional de Salud Colombia 2007. [citado el 15 de julio de 2024]; Disponible en: https://www.academia.edu/28131628/Encuesta_Nacional_de_Salud_Colombia_2007
Sánchez MSZ, Sánchez CPZ, López PAC, Sanabria MS, Hernández SCH. Prevalencia de hipertensión arterial en Colombia: Acta Médica Colomb [Internet]. el 30 de septiembre de 2019 [citado el 5 de junio de 2024];44(4). Disponible en: https://www.actamedicacolombiana.com/ojs/index.php/actamed/article/view/1293
DANE - Nacimientos y Defunciones [Internet]. [citado el 5 de junio de 2024]. Disponible en: https://www.dane.gov.co/index.php/estadisticas-por-tema/demografia-y-poblacion/nacimientos-y-defunciones
Camacho PA, Gomez-Arbelaez D, Molina DI, Sanchez G, Arcos E, Narvaez C, et al. Social disparities explain differences in hypertension prevalence, detection and control in Colombia. J Hypertens [Internet]. diciembre de 2016 [citado el 15 de julio de 2024];34(12):2344. Disponible en: https://journals.lww.com/jhypertension/pages/articleviewer.aspx?year=2016&issue=12000&article=00009&type=Fulltext
Salud [Internet]. Desarrollo Sostenible. [citado el 15 de julio de 2024]. Disponible en: https://www.un.org/sustainabledevelopment/es/health/
ASSA2030 - Objetivo 9 | OPS/OMS | Organización Panamericana de la Salud [Internet]. [citado el 15 de julio de 2024]. Disponible en: https://www.paho.org/es/assa2030-objetivo-9
Lloyd-Jones DM, Allen NB, Anderson CAM, Black T, Brewer LC, Foraker RE, et al. Life’s Essential 8: Updating and Enhancing the American Heart Association’s Construct of Cardiovascular Health: A Presidential Advisory From the American Heart Association. Circulation [Internet]. el 2 de agosto de 2022 [citado el 15 de julio de 2024];146(5):e18–43. Disponible en: https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000001078
McManus RJ, Mant J, Bray EP, Holder R, Jones MI, Greenfield S, et al. Telemonitoring and self-management in the control of hypertension (TASMINH2): a randomised controlled trial. The Lancet [Internet]. 2010;376(9736):163–72. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0140673610609646
Franssen M, Farmer A, Grant S, Greenfield S, Heneghan C, Hobbs R, et al. Telemonitoring and/or self-monitoring of blood pressure in hypertension (TASMINH4): protocol for a randomised controlled trial. BMC Cardiovasc Disord [Internet]. 2017;17(1):58. Disponible en: http://bmccardiovascdisord.biomedcentral.com/articles/10.1186/s12872-017-0494-5
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines | Hypertension [Internet]. [citado el 16 de julio de 2024]. Disponible en: https://www.ahajournals.org/doi/full/10.1161/HYP.0000000000000065?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org
Unger T, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, et al. 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertens Dallas Tex 1979. junio de 2020;75(6):1334–57.
Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. el 1 de septiembre de 2018;39(33):3021–104.
Ghilencea LN, Chiru MR, Stolcova M, Spiridon G, Manea LM, Stănescu AMA, et al. Telemedicine: Benefits for Cardiovascular Patients in the COVID-19 Era. Front Cardiovasc Med [Internet]. el 20 de julio de 2022 [citado el 16 de julio de 2024];9:868635. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9347362/
Bernocchi P, Scalvini S, Bertacchini F, Rivadossi F, Muiesan ML. Home based telemedicine intervention for patients with uncontrolled hypertension: - a real life - non-randomized study. BMC Med Inform Decis Mak [Internet]. 2014;14(1):52. Disponible en: https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/1472-6947-14-52
Choi WS, Kim NS, Kim AY, Woo HS. Nurse-Coordinated Blood Pressure Telemonitoring for Urban Hypertensive Patients: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. el 27 de junio de 2021;18(13):6892.
Kappes M, Espinoza P, Jara V, Hall A. Nurse-led telehealth intervention effectiveness on reducing hypertension: a systematic review. BMC Nurs. el 17 de enero de 2023;22(1):19.
Adams C, Walpola R, Schembri AM, Harrison R. The ultimate question? Evaluating the use of Net Promoter Score in healthcare: A systematic review. Health Expect [Internet]. 2022 [citado el 15 de julio de 2024];25(5):2328–39. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/hex.13577
Margolis KL, Asche SE, Bergdall AR, Dehmer SP, Groen SE, Kadrmas HM, et al. Effect of home blood pressure telemonitoring and pharmacist management on blood pressure control: a cluster randomized clinical trial. JAMA. el 3 de julio de 2013;310(1):46–56.
Uhlig K, Balk EM, Patel K, Ip S, Kitsios GD, Obadan NO, et al. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 [citado el 5 de junio de 2024]. (AHRQ Comparative Effectiveness Reviews). Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK84604/
McManus RJ, Mant J, Franssen M, Nickless A, Schwartz C, Hodgkinson J, et al. Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of antihypertensive medication (TASMINH4): an unmasked randomised controlled trial. The Lancet [Internet]. marzo de 2018 [citado el 15 de julio de 2024];391(10124):949–59. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S014067361830309X
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/432202025-08-16T16:05:46Zcom_10336_925com_10336_562col_10336_12382
Impacto oncológico de la embolización de vasos pélvicos en pacientes con cáncer de cuello uterino localmente avanzado tratadas en el Instituto Nacional de Cancerología. Bogotá, Colombia
Caicedo, Lina María
Ospina, María Cristina
Ruiz Sternberg, Ángela María
Embolización de arteria uterina
Supervivencia libre de enfermedad
Neoplasia del cuello uterino
Quimioradiación
Hemorragia uterina
Cervical cancer is one of the most common cancers in women worldwide. In Colombia, it ranks fourth in the presentation of cancers in women, with an incidence of 13.7 per 100,000 and a mortality rate of 6.9 per 100,000 women for the year 2022. The treatment for locally advanced stages (IB3– IVA FIGO 2018) is done with concomitant chemo-radiation. The effect of ionizing radiation on tissues occurs directly by damaging DNA, inducing double-strand breaks, leading to the loss of cell populations and secondary functional deficiency, and indirectly through the production of free radicals. A considerable number of patients experience tumor-related bleeding before starting treatment. Although there are treatments for controlling bleeding, such as tranexamic acid, vaginal packing, radiotherapy, and pelvic vessel embolization, there is no evidence showing the superiority of any of them. Pelvic vessel embolization is performed under X-ray imaging guidance to block the blood supply to the uterus and cervix using metal coils, foam, or glue-like agents. When performed before the start of primary treatment, it is believed that the reduction in blood supply to the tumor could cause radio-resistance, affecting the oncological prognosis of patients.
2024-08-05T19:21:06Z
2024-08-05T19:21:06Z
2024-08-05T19:21:06Z
bachelorThesis
https://doi.org/10.48713/10336_43220
https://repository.urosario.edu.co/handle/10336/43220
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nd/4.0/
Attribution-NoDerivatives 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Arbyn M, Weiderpass E, Bruni L, de Sanjose S, Saraiya M, Ferlay J, et al. Estimates of incidence and mortality of cervical cancer in 2022: a worldwide analysis. Lancet Glob Health. 2023;8(2):e191-e203.
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2023;68(6):394-424.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/128562021-06-03T00:48:02Zcom_10336_925com_10336_562col_10336_12382
Prevalencia y factores asociados al virus de la Diarrea Epidémica Porcina (PEDv) en transporte de cerdos a plantas de beneficio en Colombia
Pineda Otiz, María del Pilar
Corrales Morales, Johanna
Trillos Peña, Carlos Enrique
Zambrano Moreno, Diana Corina
Virus de la Diarrea Epidémica Porcina, PEDv
Reacción en Cadena de la Polimerasa
Porcinos
Mataderos
Prevalencia
Epidemiología
Introduction: Epidemic porcine diarrhea is an infectious disease, which mainly attacks neonate piglets, with morbidity from 80 to 100% and mortality from 50 to 90%. The most rapid form of virus spread (PEDV) is the transport of swine. This disease got it to Colombia in 2014 affecting the national production without knowing the epidemiological behavior in the country. It has been previously reported worldwide that the fastest form of virus spread (PEDV) is the swine transport.
Objective: Determine the prevalence of PEDV and factors associated with the transport of pigs to benefit plants.
Methods: The research's design is a cross-sectional study, with a sample of 518 pig transport trucks in the 32 main slaughterhouses authorized in 2014 by the National Drug and Food Surveillance Institute (INVIMA) in the country, with proportional allocation according to the number of vehicle entrances to the plants. Sampling was carried out in the trucks at the entry and exit of the slaughterhouses, which were analyzed by RT-PCR and a survey applied to truck drivers.
Results: The prevalence of PEDv at the ingress to plant was of 71,8% (CI 95% 70,8 - 72,8) vs. 70,5% (CI 95% 69,5 - 71,5) to the exit, p=0,375. Were evidenced as associated factors to the PEDv contamination of the trucks: the type of national slaughterhouse (OR 15,9, CI 95% 4,9 - 51,85) and national - exportation slaughterhouse (OR 9,0 CI 95%: 2,20 - 36,91), the zone of highest slaughter (OR 9,05 CI 95% 2,9 - 27,63) and the non-exclusive use of vehicle to swine transport (OR 3,75, CI 95%: 1,55 - 9,08) and the visit to plants of food concentrates (OR 13,5 CI 95%: 4,1 - 44,12). Were identified as factors that reduce the possibility of PEDv contamination the weekly or daily washing, use of disinfectants on the vehicle and it's the exclusive use to pig transport.
Discussion: The results of the study, with a prevalence of 71.8% of PEDv in the trucks, show that the control measures in the pig transport process in Colombia present faults that facilitated the dissemination of PEDv.
2017-02-06T14:21:16Z
2017-02-06T14:21:16Z
2017-02-06T14:21:16Z
2017
masterThesis
https://doi.org/10.48713/10336_12856
http://repository.urosario.edu.co/handle/10336/12856
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/328152021-11-26T01:01:01Zcom_10336_925com_10336_562col_10336_12382
Clasificación errónea de estudios observacionales analíticos sobre neurociencias de autores afiliados a instituciones colombianas: Una revisión de alcance
Maldonado Morán, Miguel Ángel
Lucio Arias, Diana
Clasificación
Estudio observacional
Neurociencias
Metodología
Introduction: Much of the contemporary medical literature is made up of observational studies, these reaching more than half of the total number of publications from various medical specialties. Proper classification of study designs is important for the review and evaluation of the scientific literature. Recent research published in two of the most influential neurosurgery journals in the world reported that 40% to 60% of observational studies were misclassified. Thus, frequent confusion was evidenced between case-control designs and cohort studies. This misclassification of the type of study can lead to an inadequate analysis of the data or a misinterpretation of the data. Objective: To identify, following a scope review methodology, errors in the classification of case-control and cohort studies published in journals indexed by authors affiliated with Colombian institutions, in the neuroscience category, during the period 2001-2020. Methodology: A scoping review was conducted following both the Joanna Briggs Institute Evidence Synthesis Manual and the recommendations of the PRISMA-ScR Statement. A literature search was carried out —in the Web Of Science and SCOPUS digital libraries— of studies whose subject was neuroscience and at least one of the main authors was affiliated with a Colombian institution. The research period was the period 2001-2020. Results: 25 studies met all the eligibility criteria. Of these, 16 articles were reported by their lead authors as case-control studies, 8 were reported as cohort studies, and 1 was not completely clear regarding their classification. The frequency of misclassification and mislabeling was found to be 16%. In the quality evaluation, it was found that 64% of the articles had a score of 7 to 9 (high quality), 28% had a score of 4 to 6 (high risk of bias) and 8% did not receive a quality evaluation because it was determined that they were cross-sectional studies. Conclusion: The results of our study reveal that in the case-control and cohort studies published by authors affiliated with Colombian institutions in indexed journals in the neuroscience field (period 2001-2020), the phenomenon of design misclassification is present. The finding of the problem is consistent with the existing evidence in the literature, although it was not presented as frequently when compared with the data obtained in similar studies.
2021-10-25T19:12:43Z
2021-10-25T19:12:43Z
2021-10-25T19:12:43Z
bachelorThesis
https://doi.org/10.48713/10336_32815
https://repository.urosario.edu.co/handle/10336/32815
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
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EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Especialización en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/186062019-09-19T07:37:54Zcom_10336_925com_10336_562col_10336_12382
Factores asociados a malformaciones congénitas del sistema nervioso central en recién nacidos de madres con Zika
Guasmayan Cruz, Lesly Milena
Quiroga Rojas, Angélica María
Trillos Peña, Carlos Enrique
Zarante, Ignacio
Zika
Factores de riesgo
Malformaciones del SNC
Microcefalia
Malformaciones congenitas
Sistema Inmunológico
rash
artralgias
In May of 2015, the WHO/PAHO emitted alert for a virus Zika. In Colombia and Bogotá, was detected in October of 2015; Bogota is no an endemic area for not having weather conditions for a development vector, presenting latent risk due to the displacement to nearby endemic areas. In February of 2016, the WHO determined emergency for public health by association of Zika and congenital malformations of SNC. OBJECTIVE: Determine the Sociodemographic, environmental, and clinical factors, associated with the development of congenial malformations, of the SNC in newborns of pregnant women, with Sika infection in Bogota. METHODOLOGY: Case-control studies nested in a cohort of pregnant women, notified between October 2015 and October 2016, and RN from July 2016 to July 2017 in the SIVIGILA district by Sika. There were 159 confirmed by clinical and laboratory, with 40 cases (RN with malformations of the SNC) and 119 controls (RN without malformations of the SNC). RESULTS: The variables that could influence the development of congenital malformations of SNC, are no having presented rash and arthralgia, housewife occupation and less than 8 prenatal controls. CONCLUTIONS: The Sociodemographic factors associated with congenital malforations SNC, are low schooling of parents, belonging to the contributory regimen of social security in health and housewife occupation. The clinical variables that presented association were infections in the first trimester of pregnancy. Less than 8 controls prenatal and having had infection without fever, rash arthralgia or cephalic.
2018-10-04T18:28:54Z
2018-10-04T18:28:54Z
2018-10-04T18:28:54Z
2018
masterThesis
https://doi.org/10.48713/10336_18606
http://repository.urosario.edu.co/handle/10336/18606
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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Molina-Giraldo S, Alfonso-Ospina L, Parra-Meza C, Lancheros-García EA, Rojas-Arias JL, Acuña-Osorio E. [Prevalence in birth defects diagnosed by ultrasound: three years experience in university maternal fetal medicine unit]. Ginecol Obstet Mex. noviembre de 2015;83(11):680-9.
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Zarante AM, Gracia G, Ignacio Zarante. Evaluacion de factores de riesgo asociados con malformaciones congénitas en el programa de vigilancia epidemiológica de malformaciones congénitas (ECLAMC) en Bogota entre 2001 y 2010. Univ Med. marzo de 2012;53(1):11-25.
Instituto Nacional de Salud M de S y la PS. Instrucciones para la Vigilancia en Salud Pública, atención clinica, prevención y control frente a la posible introducción del virus Zika en Colombia. 2015.
Fernando Ruiz Gomes, Ministerio de Salud y la Protección Social. Boletin de Prensa No. 155 de 2016 [Internet]. Bogotá, Colombia; 2016 jul. Disponible en: https://www.minsalud.gov.co/Paginas/Colombia-primer-pais-del-continente-que-cierra-epidemia-de-zika.aspx
Soe MM DA Sullivan KM. OpenEpi. Estadísticas epidemiológicas de código abierto para Salud Pública [Internet]. Universidad de Emory; 2013. Disponible en: http://www.openepi.com/Menu/OE_Menu.htm
Santa Rita TH, Barra RB, Peixoto GP, Mesquita PG, Barra GB. Association between suspected Zika virus disease during pregnancy and giving birth to a newborn with congenital microcephaly: a matched case–control study. BMC Res Notes [Internet]. diciembre de 2017 [citado 3 de junio de 2018];10(1). Disponible en: http://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-017-2796-1
Giovanny Vinícius Araújo de França, PhD1 WK de O MSc. Increase in Reported Prevalence of Microcephaly in Infants Born to Women Living in Areas with Confirmed Zika Virus Transmission During the First Trimester of Pregnancy — Brazil, 2015. US Department of Health and Human Services/Centers for Disease Control and Prevention; 2016 mar p. 242-7. Report No.: Vol. 65 / No. 9.
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Schuler-Faccini L, Ribeiro EM, Feitosa IML, Horovitz DDG, Cavalcanti DP, Pessoa A, et al. Possible Association Between Zika Virus Infection and Microcephaly — Brazil, 2015. MMWR Morb Mortal Wkly Rep. 29 de enero de 2016;65(3):59-62.
de Araújo TVB, Ximenes RA de A, Miranda-Filho D de B, Souza WV, Montarroyos UR, de Melo APL, et al. Association between microcephaly, Zika virus infection, and other risk factors in Brazil: final report of a case-control study. Lancet Infect Dis. marzo de 2018;18(3):328-36.
Singhi P, Griffin DE, Newton CR. Central nervous system infections in childhood [Internet]. 2014 [citado 16 de junio de 2018]. 8-12 p. Disponible en: http://site.ebrary.com/id/10858543
Martin De Wulf. Adolescent fertility rate (births per 1,000 women ages 15-19) [Internet]. PopulationPyramid.net. 2011. Disponible en: https://www.populationpyramid.net/hnp/adolescent-fertility-rate-births-per-1000-women-ages-15-19/2015/
Álvarez Escobar María del Carmen, Torres Álvarez Arnella, Torres Álvarez Arling, Semper Abel Iván, Romeo Almanza Daniel. Dengue, chikungunya, Virus de Zika. Determinantes sociales. RevMedElectrón [Internet]. 31 de julio de 2018;40( 1 ): 120-128.
Rees EE, Petukhova T, Mascarenhas M, Pelcat Y, Ogden NH. Environmental and social determinants of population vulnerability to Zika virus emergence at the local scale. Parasit Vectors [Internet]. diciembre de 2018 [citado 1 de agosto de 2018];11(1). Disponible en: https://parasitesandvectors.biomedcentral.com/articles/10.1186/s13071-018-2867-8
Li C, Shi L, Huang J, Qian X, Chen Y. Factors associated with utilization of maternal serum screening for Down syndrome in mainland China: a cross-sectional study. BMC Health Serv Res [Internet]. diciembre de 2015 [citado 3 de junio de 2018];16(1). Disponible en: http://www.biomedcentral.com/1472-6963/16/8
Pacheco O, Beltrán M, Nelson CA, Valencia D, Tolosa N, Farr SL, et al. Zika Virus Disease in Colombia — Preliminary Report. N Engl J Med [Internet]. 15 de junio de 2016 [citado 1 de agosto de 2018]; Disponible en: http://www.nejm.org/doi/10.1056/NEJMoa1604037
Aubry M, Teissier A, Huart M, Merceron S, Vanhomwegen J, Roche C, et al. Zika Virus Seroprevalence, French Polynesia, 2014–2015. Emerg Infect Dis. abril de 2017;23(4):669-72.
Shapiro-Mendoza CK, Rice ME, Galang RR, Fulton AC, VanMaldeghem K, Prado MV, et al. Pregnancy Outcomes After Maternal Zika Virus Infection During Pregnancy — U.S. Territories, January 1, 2016–April 25, 2017. MMWR Morb Mortal Wkly Rep. 16 de junio de 2017;66(23):615-21.
Hoen B, Schaub B, Funk AL, Ardillon V, Boullard M, Cabié A, et al. Pregnancy Outcomes after ZIKV Infection in French Territories in the Americas. N Engl J Med. 15 de marzo de 2018;378(11):985-94.
Barros JB de S, Silva PAN da, Koga R de CR, Gonzalez-Dias P, Carmo Filho JR, Nagib PRA, et al. Acute Zika Virus Infection in an Endemic Area Shows Modest Proinflammatory Systemic Immunoactivation and Cytokine-Symptom Associations. Front Immunol [Internet]. 3 de mayo de 2018 [citado 16 de junio de 2018];9. Disponible en: http://journal.frontiersin.org/article/10.3389/fimmu.2018.00821/full
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Velez, J.E, Lopez, G,. Malformaciones congénitas: Correlación, diagnóstico ecográfico y clínico. Revista Colombiana de Obstetricia y Ginecología. 2004;Vol. 55(No.3):201-8.
Noronha LD, Medeiros F, Martins VDM, Sampaio GA, SerapiãO MJ, Kastin G, et al. Malformações do sistema nervoso central: análise de 157 necrópsias pediátricas. Arq Neuropsiquiatr. septiembre de 2000;58(3B):890-6.
Bayona R. Informe final vigilancia de defectos congénitos, Colombia, 2014. [Internet]. Bogota, Colombia: Instituto Nacional de Salud; 2014 p. 1-21. Disponible en: http://www.ins.gov.co/buscador-eventos/Informesdeevento/Defectos%20congenitos%202014.pdf
Cuevas, E.L. Informe final vigilancia de defectos congénitos, Colombia, 2015. [Internet]. Bogota, Colombia: Instituto Nacional de Salud, Dirección de Vigilancia y Análisis del Riesgo en Salud Publica; 2015 p. 1-23. Disponible en: http://www.ins.gov.co/buscador-eventos/Informesdeevento/Defectos%20Conge%CC%81nitos%202015.pdf
Cuevas, E.L. Informe final vigilancia de defectos congénitos, Colombia, 2016. [Internet]. Bogota, Colombia: Instituto Nacional de Salud, Dirección de Vigilancia y Análisis del Riesgo en Salud Publica; 2016 p. 1-42. Disponible en: http://www.ins.gov.co/buscador-eventos/Informesdeevento/Defectos%20cong%C3%A9nitos%202016.pdf
Jaenisch T, Rosenberger KD, Brito C, Brady O, Brasil P, Marques ET. Risk of microcephaly after Zika virus infection in Brazil, 2015 to 2016. Bull World Health Organ. 1 de marzo de 2017;95(3):191-8.
Hurtado-Villa P, Puerto AK, Victoria S, Gracia G, Guasmayán L, Arce P, et al. Raised Frequency of Microcephaly Related to Zika Virus Infection in Two Birth Defects Surveillance Systems in Bogotá and Cali, Colombia: Pediatr Infect Dis J. octubre de 2017;36(10):1017-9.
Padmanabha H, Correa F, Rubio C, Baeza A, Osorio S, Mendez J, et al. Human Social Behavior and Demography Drive Patterns of Fine-Scale Dengue Transmission in Endemic Areas of Colombia. Paul R, editor. PLOS ONE. 14 de diciembre de 2015;10(12):e0144451.
Anaya J-M, Rodríguez Y, Monsalve DM, Vega D, Ojeda E, González-Bravo D, et al. A comprehensive analysis and immunobiology of autoimmune neurological syndromes during the Zika virus outbreak in Cúcuta, Colombia. J Autoimmun. febrero de 2017;77:123-38.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/401162023-07-12T03:00:29Zcom_10336_925com_10336_562col_10336_12382
Riesgo de disfunción eréctil e incontinencia urinaria en prostatectomía radical vía abierta, laparoscópica y guiada por robot: revisión sistemática y metaanálisis
Velandia Sánchez, Isabella
Tamayo Velasco, Valentina
Rodríguez Grande, Eliana Isabel
Tunjano Rozo, Yineth Camila
Cáncer de próstata
Complicaciones postoperatorias
Incontinencia urinaria
Disfunción eréctil
Prostatectomía radical
Prostate cancer is the most frequent solid neoplasia in men and the second cause of mortality in Colombia. According to histopathological staging, lymph node involvement and patient prognosis, the best therapeutic approach is determined. Even though fact that the therapeutic approach has improved in recent years, complications are still frequent. Erectile dysfunction and urinary incontinence are the most important sequelae in order of frequency of radical prostatectomy. Less frequently, stricture of the urethrovesical anastomosis, proctitis, or stricture of the urethra may occur. They affect the quality of life of patients, so it is important to determine which factors its development and which approach is more related to postoperative complications.
2023-07-11T16:20:29Z
2023-07-11T16:20:29Z
2023-07-11T16:20:29Z
bachelorThesis
https://doi.org/10.48713/10336_40116
https://repository.urosario.edu.co/handle/10336/40116
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Sekhoacha M, Riet K, Motloung P, Gumenku L, Adegoke A, Mashele S. Prostate Cancer Review: Genetics, Diagnosis, Treatment Options, and Alternative Approaches. Molecules. enero de 2022;27(17):5730.
Barbieri C, Bangma CH, Bjartell A, Catto J, Culig Z, Gronberg, H. The Mutational Landscape of Prostate Cancer. 2013. 64:567-76.
Haas GP, Delongchamps N, Brawley OW, Wang CY, De La Roza G. The worldwide epidemiology of prostate cancer: Perspectives from autopsy studies. 2008. 15:3866-71.
Gómez-Veiga F, Rodríguez-Antolín A, Miñana B, Hernández C, Suárez JF, Fernández-Gómez JM, et al. Diagnóstico y tratamiento del cáncer de prostata clínicamente localizado. Adherencia a las guías clínicas en un estudio poblacional nacional – GESCAP. Actas Urol Esp. julio de 2017;41(6):359-67.
Santana-Ríos Z, Fulda-Graue S, Hernández-Castellanos V, Camarena-Reynoso H, Pérez-Becerra R, Urdiales-Ortiz A, et al. Morbilidad de la prostatectomía radical, complicaciones quirúrgicas tempranas y sus factores de riesgo; experiencia en el Hospital General Dr. Manuel Gea González. Rev Mex Urol. 1 de septiembre de 2010;70(5):278-82.
Nguyen-Nielsen M, Borre M. Diagnostic and Therapeutic Strategies for Prostate Cancer. Semin Nucl Med. noviembre de 2016;46(6):484-90.
Emanu JC, Avildsen IK, Nelson CJ. Erectile Dysfunction after Radical Prostatectomy: Prevalence, Medical Treatments, and Psychosocial Interventions. Curr Opin Support Palliat Care. marzo de 2016;10(1):102-7.
Sebesta EM, Anderson CB. The Surgical Management of Prostate Cancer. Semin Oncol. octubre de 2017;44(5):347-57.
Cáncer de próstata | Diagnóstico y tratamiento médico actual 2021 | AccesoMedicina | McGraw-Hill Medical [Internet]. [citado 5 de abril de 2022]. Disponible en: https://accessmedicine-mhmedical-com.ez.urosario.edu.co/content.aspx?sectionid=249385878&bookid=2957#1175797305
Juan Escudero JU, Ramos de Campos M, Ordoño Domínguez F, Fabuel Deltoro M, Navalón Verdejo P, Zaragozá Orts J. Complicaciones de la prostatectomía radical: evolución y manejo conservador de la incontinencia urinaria. Actas Urol Esp. diciembre de 2006;30(10):991-7.
Capítulo 26 – Cáncer de próstata – Manual de Urología [Internet]. [citado 5 de abril de 2022]. Disponible en: https://manualdeurologia.cl/capitulo-26-cancer-de-prostata/
Farré X. A new prostate cancer classification based on prognostic grade groups. Rev Cuba Urol. 5 de junio de 2017;6(1):28-42.
Brett T. Prostate specific antigen. Aust Fam Physician. julio de 2011;40(7):497-500.
Adamaki M, Zoumpourlis V. Prostate Cancer Biomarkers: From diagnosis to prognosis and precision-guided therapeutics. Pharmacol Ther. diciembre de 2021;228:107932.
Wasim S, Lee SY, Kim J. Complexities of Prostate Cancer. Int J Mol Sci. enero de 2022;23(22):14257.
Egevad L, Delahunt B, Srigley JR, Samaratunga H. International Society of Urological Pathology (ISUP) grading of prostate cancer—An ISUP consensus on contemporary grading. 2016;433-5.
Grozescu T, Popa F. Prostate cancer between prognosis and adequate/proper therapy. J Med Life. 2017;10(1):5-12.
Linton KD, Hamdy FC. Early diagnosis and surgical management of prostate cancer. Cancer Treat Rev. junio de 2003;29(3):151-60.
Demirel HC, Davis JW. Multiparametric magnetic resonance imaging: Overview of the technique, clinical applications in prostate biopsy and future directions. Turk J Urol. 2018;44:93-102.
Le JD, Tan N, Shkolyar E, Lu DY, Kwan L, Marks LS, et al. Multifocality and prostate cancer detection by multiparametric magnetic resonance imaging: Correlation with whole-mount histopathology. Eur Urol. 2015;569-76.
Hovels AM, Heesakkers RA, Adang EM, Jager GJ, Strum S. The diagnostic accuracy of CT and MRI in the staging of pelvic lymph nodes in patients with prostate cancer: A meta-analysis. Clin Radiol. 2008;63:387-95.
Surasi DSS, Chapin B, Tang C, Ravizzini G, Bathala TK. Imaging and Management of Prostate Cancer. Semin Ultrasound CT MR. abril de 2020;41(2):207-21.
Sadovsky R, Brock GB, Gray M, Jensen PK, Gutkin SW, Sorsaburu S. Optimizing treatment outcomes with phosphodiesterase type 5 inhibitors for erectile dysfunction: Opening windows to enhanced sexual function and overall health. J Am Acad Nurse Pract. junio de 2011;23(6):320-30.
Virgo KS, Basch E, Loblaw DA, Oliver TK, Rumble RB. Second-Line Hormonal Therapy for Men With Chemotherapy-Naive, Castration-Resistant Prostate Cancer: American Society of Clinical Oncology Provisional Clinical Opinion. J Clin Oncol. 2017;35:1952-64.
Rebello RJ, Oing C, Knudsen KE, Loeb S, Johnson DC, Reiter RE. Prostate cancer. 2021. 7:9.
Berish RB, Telmer PG, Ronald JA, Leong HS. Translational models of prostate cancer bone metastasis. Nat Rev Urol. 2018;15:403-21.
Secin FP, Bianco FJ. Anatomía quirúrgica de la prostatectomía radical: fascias y esfínteres urinarios. Arch Esp Urol Ed Impresa [Internet]. mayo de 2010 [citado 25 de enero de 2023];63(4). Disponible en: https://www.aeurologia.com/EN/10.4321/S0004-06142010000400002
Weldon VE. Technique of modern radical perineal prostatectomy. Urology. octubre de 2002;60(4):689-94.
Gettman MT, Blute ML. Critical comparison of laparoscopic, robotic, and open radical prostatectomy: techniques, outcomes, and cost. Curr Urol Rep. mayo de 2006;7(3):193-9.
Complicaciones de la prostatectomía radical: evolución y manejo conservador de la incontinencia urinaria [Internet]. [citado 25 de enero de 2023]. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0210-48062006001000005
Kendirci M, Bejma J, Hellstrom WJG. Update on erectile dysfunction in prostate cancer patients. Curr Opin Urol. mayo de 2006;16(3):186-95.
Irwin GM. Urinary Incontinence. Prim Care. junio de 2019;46(2):233-42.
Diokno AC. Post prostatectomy urinary incontinence. Ostomy Wound Manage. junio de 1998;44(6):54-8, 60.
Robles JE. La incontinencia urinaria. An Sist Sanit Navar [Internet]. agosto de 2006 [citado 12 de abril de 2023];29(2). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1137-66272006000300006&lng=en&nrm=iso&tlng=en
Woodard TJ, Manigault KR, McBurrows NN, Wray TL, Woodard LM. Management of Benign Prostatic Hyperplasia in Older Adults. Consult Pharm J Am Soc Consult Pharm. 2016;31(8):412-24.
Juan Escudero JU, Ramos de Campos M, Ordoño Domínguez F, Fabuel Deltoro M, Navalón Verdejo P, Zaragozá Orts J. Complicaciones de la prostatectomía radical: evolución y manejo conservador de la incontinencia urinaria. Actas Urol Esp. enero de 2006;30(10):991-7.
Dean RC, Lue TF. Physiology of Penile Erection and Pathophysiology of Erectile Dysfunction. Urol Clin North Am. noviembre de 2005;32(4):379-v.
Ceballos M del P, Álvarez Villarraga JD, Silva Herrera JM, Uribe JF, Mantilla D. Guía de disfunción eréctil. Sociedad Colombiana de Urología. Urol Colomb. 1 de diciembre de 2015;24(3):185.e1-185.e22.
Lantz A, Bock D, Akre O, Angenete E, Bjartell A, Carlsson S, et al. Functional and Oncological Outcomes After Open Versus Robot-assisted Laparoscopic Radical Prostatectomy for Localised Prostate Cancer: 8-Year Follow-up. Eur Urol. noviembre de 2021;80(5):650-60.
Wu SY, Chang CL, Chen CI, Huang CC. Comparison of Acute and Chronic Surgical Complications Following Robot-Assisted, Laparoscopic, and Traditional Open Radical Prostatectomy Among Men in Taiwan. JAMA Netw Open. 25 de agosto de 2021;4(8):e2120156.
Nyberg M, Hugosson J, Wiklund P, Sjoberg D, Wilderäng U, Carlsson SV, et al. Functional and Oncologic Outcomes Between Open and Robotic Radical Prostatectomy at 24-month Follow-up in the Swedish LAPPRO Trial. Eur Urol Oncol. octubre de 2018;1(5):353-60.
Patient-reported Functional Outcomes Following Open, Laparoscopic, and Robotic Assisted Radical Prostatectomy Performed by High-volume Surgeons at High-volume Hospitals - PubMed [Internet]. [citado 5 de junio de 2023]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28723533/
Magheli A, Busch J, Leva N, Schrader M, Deger S, Miller K, et al. Comparison of surgical technique (Open vs. Laparoscopic) on pathological and long term functional outcomes following radical prostatectomy. BMC Urol. 7 de febrero de 2014;14(1):18.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/205002024-08-20T11:44:53Zcom_10336_925com_10336_562col_10336_12382
Infección de Anopheles SPP por Plasmodium SPP y su importancia en la transmisión de Malaria en comunidades indígenas del Amazonas colombiano
Alvarado Cabrera, Luis Antonio
Patarroyo, Manuel A.
Camargo Pinzón, Sandra Milena
Rodriguez-Leguizamon, Giovanni
Malaria
Plasmodium
Anopheles
Infección
Introduction: The distribution of Plasmodium species has varied in the communities of the Colombian Amazon, with P. vivax and P. malariae being the most frequent. This is due to environmental factors (such as climate change) and social factors (such as population displacement) which have impacted on the ecology and behavior of these vectors, causing changes in parasitic dispersion and the appearance of outbreaks in areas where it was considered controlled. Objectives: To identify the species of anophelin at a taxonomic and molecular level in two communities of the Colombian Amazon, Tipisca (Tp1 / Tp2) and Doce de Octubre (DO) and to determine the frequency of infection of P. vivax, P. malariae and P. falciparum. Methodology: The study was conducted in two indigenous communities located on a tributary of the Amazon River, where mosquitoes were captured from 6 pm to 11 pm in three ecotopes (intradomiciliary, peridomiciliary and extradomiciliary), by the method of human bait protected in June 2016. The morphological taxonomic identification was performed and then confirmed with a Polymerase Chain Reaction (PCR) of a fragment of the Mitochondrial Cytochrome C Oxidase Subunit I (IOC) gene. The identification of the three Plasmodium species was performed by a PCR in 224 pools analyzed. Results: 1086 individuals were collected; 99.2% (n = 1057) corresponded to Anopheles darlingi, 0.4% An. mattogrossensis (n = 4) and 0.4% Culex spp (n = 4). The results showed that Tp1 had the highest abundance of mosquitoes (mean = 26.3), followed by Tp2 (mean = 23.2) and OD (mean = 6.4), an analysis of variances revealed significant differences between Tp1 and OD (p = 0.001) and Tp2 and OD (p = 0.001). At the ecotope level, the highest bite rate occurred in the peridomiciliary (mean = 31.0), followed by the extradomiciliary (mean = 26.6) and the intradomiciliary (mean = 1.1), significant differences were found in the peridomiciliary (p = 0.004) and extradomiciliary (P = 0.004). Of the 224 pools analyzed in 40.6%, Plasmodium was detected; P. vivax being the most prevalent (21.9%), followed by P. malariae (21.0%) and P. falciparum (10.3%). As for mixed infections, 24 (26.4%) of them presented infection by more than one parasitic species, with P. vivax and P. malariae (n = 15; 16.5%) being the most common. For An. mattogrossensis, only P. vivax was found in 50% of the specimens, being the first infection record for this species in Colombia. Discussion: An. darlingi was the dominant species in the area at the time of high transmission. The results follow an anthropophilic and exophageal activity, which indicates a behavioral change of their diet in the study area; Its high abundance and susceptibility to Plasmodium infection indicate its relationship in parasitic transmission as a primary vector. High frequencies of the parasitic species were found, demonstrating the usefulness of the use of molecular techniques in the identification of the parasite. The results of this research seek to provide information that supports the improvement and innovation of strategies aimed at vector control, as an essential step in the design of malaria prevention and control strategies.
2019-10-29T11:55:08Z
2019-10-29T11:55:08Z
2019-10-29T11:55:08Z
masterThesis
https://doi.org/10.48713/10336_20500
https://repository.urosario.edu.co/handle/10336/20500
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nd/2.5/co/
Atribución-SinDerivadas 2.5 Colombia
Atribución-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Magris M, Rubio-Palis Y, Menares C, Villegas L. Vector bionomics and malaria transmission in the Upper Orinoco River, Southern Venezuela. Mem Inst Oswaldo Cruz. 2007;102(3):303–11.
Collins WE, Jefrery GM. Plasmodium malariae: Parasite and disease. Clin Microbiol Rev. 2007;20(4):579–92.
Bass C, Nikou D, Blagborough AM, Vontas J, Sinden RE, Williamson MS, et al. PCR-based detection of Plasmodium in Anopheles mosquitoes: A comparison of a new high-throughput assay with existing methods. Malar J. 2008;7(177):1–9.
Rider MA, Byrd BD, Keating J, Wesson DM, Caillouet KA. PCR detection of malaria parasites in desiccated Anopheles mosquitoes is uninhibited by storage time and temperature. Malar J. 2012;11(193):1–6.
Laporta GZ, Nascimento M, Levy D, Akemi L, Marques T, De Oliveira P, et al. Plasmodium falciparum in the southeastern Atlantic forest: a challenge to the bromeliad-malaria paradigm? Malar J [Internet]. 2015;14(1):1–12.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/204872024-08-20T11:43:17Zcom_10336_925com_10336_562col_10336_12382
Efectividad de la rehabilitación cardíaca en prevención secundaria de adultos con diagnóstico de ACV : revisión sistemática de la literatura y metaanálisis
Moreno Medina, Karen Julieth
Moreno-Montoya, Jose
Rincón Roncancio, Mónica
Villar Centeno, Juan Carlos
Accidente cerebrovascular
Rehabilitación Cardíaca
Rehabilitación
Rehabilitación Neurológica
Recurrencia
Background. Stroke is a disease of high prevalence, the second cause of death and the leading cause of chronic disability in adults in the world. Cardiac rehabilitation programs (CRP) with their components of aerobic exercise and education for modification of risk factors are potentially beneficial for secondary prevention in stroke patients. Objective. To estimate the aggregate effect of CRP, compared to conventional rehabilitation, on the recurrence of stroke and the modification of clinical and functional variables in adult patients diagnosed with stroke. Methods. A systematic literature search was performed. Randomized clinical trials using CRP or conventional rehabilitation, in patients older than 18 years, survivors of stroke, were included. Information of clinical and functional outcomes from primary studies was obtained, a fixed effects model was used to calculate the estimated effect for outcomes that had at least two primary studies. Results. Five randomized clinical trials were included. A total of 409 patients with average age of 65.4 years (SD = 9.1) in the intervention group and of 66 years (SD=7.5) in the control group, 60% male. The aggregate effect of a CRP compared to a control intervention (35 patients receiving CRP and 35 receiving a control intervention), suggests a non-significant reduction for the group undergoing CRP in the Framingham scale score (-3.90 points, 95% CI -7.98, 0.18), total cholesterol level (-0.20 mmol / L, 95% CI -0.48, 0.09), systolic blood pressure (-0.97 mmHg, 95% CI -9.49, 7.56) and diastolic blood pressure (1.00 mmHg, 95% CI -4.05, 6.06). Three of the five studies were rated as "low risk" of bias. Conclusion. The results consistently but inaccurately suggest a reduction in cardiovascular risk score, cholesterol level and systolic and diastolic blood pressure values in patients undergoing CRP. More robust randomized clinical trials evaluating long-term clinical outcomes are required.
2019-10-25T15:29:07Z
2019-10-25T15:29:07Z
2019-10-25T15:29:07Z
masterThesis
https://doi.org/10.48713/10336_20487
https://repository.urosario.edu.co/handle/10336/20487
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2095–2128.
MacDougall NJJ, Amarasinghe S, Muir KW. Secondary prevention of stroke. Expert Rev Cardiovasc Ther 2009;7(9):1103–1115. Available at: http://www.ncbi.nlm.nih.gov/pubmed/19764863.
Feigin VL, Krishnamurthi R. Stroke is largely preventable across the globe: where to next? Lancet 2016;388(10046):733–734.
Solarte KG, Benavides Acosta FP, Rosales Jiménez R. Costos de la enfermedad crónica no transmisible: la realidad colombiana. Rev Cienc Salud 2016;1414(11):103–114.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/402382025-08-27T14:11:06Zcom_10336_925com_10336_562col_10336_12382
Efectividad de la sulfadiazina de plata al 1% vs otros manejos médicos tópicos en quemaduras grado II-III: revisión sistemática
Serrano Báez, Silvia Juliana
Padilla Rodríguez, Karen Alejandra
Bareño Silva, José
Quemaduras
Colagenasa
Sulfadiazina de plata
Nitrofurazona
Apósitos de hidro fibra
Apósitos de hidrocoloide
Apósitos de plata
Burns are one of the causes of morbidity worldwide, which generates prolonged hospitalizations, disability and physical and psychological alterations. Representing a problem not only public health but also economic. The most widely used topical treatments have different functions such as: bacteriostatic, debriding and stimulating re-epithelialization. The objective of the study is to determine the effectiveness of the use of 1% silver sulfadiazine versus other topical treatments in adult patients with grade II-III burns hospitalized in burn units.
2023-07-27T13:47:32Z
2023-07-27T13:47:32Z
2023-07-27T13:47:32Z
bachelorThesis
https://doi.org/10.48713/10336_40238
https://repository.urosario.edu.co/handle/10336/40238
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Quemaduras. Consultado en: 2023/07/25/23:38:55. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/burns.
Moctezuma-Paz, Luis Eduardo; Páez-Franco, Irma; Jiménez-González, Susana; Miguel-Jaimes, Katia Dida; Foncerrada-Ortega, Guillermo; Sánchez-Flores, Ana Yadira; González-Contreras, Norma Alicia; Riva, Nallely Xellic Albores-de la; Nuñez-Luna, Virginia (2015) Epidemiología de las quemaduras en México. En: Revista de Especialidades Médico-Quirúrgicas. Vol. 20; No. 1; pp. 78 - 82; 1665-7330,; Consultado en: 2023/07/25/23:41:06. Disponible en: https://www.redalyc.org/articulo.oa?id=47345916013.
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Castellanos, Jorge Luis Gaviria; Santamaría, Natalia; Patiño, Carol Adriana Velandia; Popo, Cristhian Balanta; Hernández, Alexander Quintero (2019) Georreferenciación de las quemaduras en Bogotá, Colombia. Vol. 25;
García, Guillermo (2020) Usefulness of erythropoietin in seriously burned patient with anemia. Topic review. Vol. 22; pp. 60 - 70;
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/180342019-09-19T07:37:54Zcom_10336_925com_10336_562col_10336_12382
Factores asociados al riesgo de infecciones únicas y mixtas de Plasmodium SP. en población con sintomatología en el trapecio amazónico
González Carreño, Zanony Alberto
Camargo Pinzón, Sandra Milena
Malaria
Trapecio Amazónico
Prevalencia
Asociación
Demográficas
Correspondencias múltiples
Infecciones mixtas
Estudio transversal
Plasmodium spp
Introduction: Malaria is a serious public health problem, in 2015 there were about 214 million cases and 438,000 deaths worldwide. The department of the Amazon, reports higher indicators, where the cases with greater frequency are attributed to P. vivax 61.4%, followed by P. malariae 43.8% and lower percentage P. falciparum 11.8%. Objective: To determine the sociodemographic, clinical and housing factors that are associated with the risk of single and mixed infections by Plasmodium spp. in the municipalities of Leticia and Puerto Nariño. Methodology: Cross-sectional analytical observational study; database with secondary information, Analysis of sociodemographic, clinical and housing factors related to the prevalence of Plasmodium spp. Descriptive analysis, multiple correspondence analysis and binary logistic regression. Results: 50.8% of people with symptoms associated with malaria were men. Associations between zone 1 and mixed infection P. vivax and P. malariae (aOR 2.13: 1.33-3.42 95% CI); access to water service with mixed infections by P. malariae and P. falciparum (aOR 6.90: 4.98-8.28 95% CI) and triple infections (aOR 3.05: 1.20-7.74 95% CI), fever with triple infection (aOR 2.91 : 1.55-4.14 95% CI). Lower association parasitaemia (5,000 to 9,999 parasites / μL blood) in P. malariae and P. falciparum (ORaj 0.18: 0.35-0.93 95% CI). Conclusions: Public health actions and strategies should focus on housing variables and clinics, due to their relation to the risk of Plasmodium spp. the study evidences the underreporting of mixed infections by Plasmodium spp., which occur in endemic area for malaria of the Amazonian trapeze.
2018-06-05T17:53:35Z
2018-06-05T17:53:35Z
2018-06-05T17:53:35Z
2018
masterThesis
https://doi.org/10.48713/10336_18034
http://repository.urosario.edu.co/handle/10336/18034
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
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Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/400312023-07-07T03:00:39Zcom_10336_925com_10336_562col_10336_12382
Resultados quirúrgicos, complicaciones y mortalidad en pacientes nonagenarios llevados a colecistectomía en comparación a los llevados a colecistostomía en el Hospital Universitario Mayor - Méderi entre 2014 – 2022
Vallejo Soto, Juan Carlos
Rico Rivera, Enid Ximena
Isaza Restrepo, Andrés
Ramírez Giraldo, Camilo
Colecistectomía
Nonagenarios
Colecistostomía
Alto riesgo
Clasificación ASA
Comorbilidades
Background. Laparoscopic cholecystectomy (LC) is the standard of care for acute calculous cholecystitis; however, in patients at high risk for surgery, particularly in the elderly, insertion of a percutaneous catheter drainage (PCD) at gallbladder is recommended. Current evidence suggests that PCD may have less favorable outcomes than LC, but also that LC-associated complications increase in direct relation to patient age. There is no recommendation supported by robust evidence to decide between one or the other procedure in super elderly patients. Methods. A retrospective observational cohort study was designed to analyze the surgical outcomes of super elderly patients with cholecystitis who underwent LC versus PCD for treatment. The surgical outcomes of a subgroup of high-risk patients were also analyzed. Results. A total of 96 patients who met the inclusion criteria between 2014 and 2022 were included. The median age of patients were 92 years (IQR: 4.00) with a female predominance (58.33%). The overall morbidity rate in the series was 36.45% and mortality rate was 7.29%. There was no statistically significant difference when compared to the associated morbidity and mortality among patients who underwent LC versus those who underwent PCD, neither in the analysis of the complete series or in the subgroup of high-risk patients. Conclusions. The morbidity and mortality associated with the two most frequently recommended therapeutic options for operating super elderly patients with acute cholecystitis are high. We found no evidence of superiority in outcomes for either of the two procedures in this age group.
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2023-07-06T14:06:48Z
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bachelorThesis
https://doi.org/10.48713/10336_40031
https://repository.urosario.edu.co/handle/10336/40031
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
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http://creativecommons.org/licenses/by-nc-nd/4.0/
Attribution-NonCommercial-NoDerivatives 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/464472025-09-12T03:00:55Zcom_10336_925com_10336_562col_10336_12382
Eficacia del láser de Co2 en el tratamiento del liquen escleroso vulvar refractario
Castillo Medina, Luis Felipe
Rincón Bonilla, Johnnattan Francisco
Ospina Medina, María Cristina
Liquen escleroso y atrófico
Enfermedades genitales
Morfea
Neoplasias de la vulva
Corticoesteroides
Vulvar lichen sclerosus (VLS) is a chronic inflammatory dermatosis that predominantly affects the vulva. It has been described across all age groups, but it is most prevalent in postmenopausal women. The exact cause remains unknown, although it is likely due to a combination of factors. Currently, it is considered an autoimmune disease in genetically predisposed individuals. The objective of this study is to review the existing literature regarding the efficacy of CO₂ laser therapy in the treatment of vulvar lichen sclerosus that is refractory to topical corticosteroid therapy.
2025-09-11T16:26:29Z
2025-09-11T16:26:29Z
2025-09-11T16:26:29Z
masterThesis
https://doi.org/10.48713/10336_46447
https://repository.urosario.edu.co/handle/10336/46447
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/464222025-09-09T03:01:01Zcom_10336_925com_10336_562col_10336_12382
Factores relacionados con el uso de antibióticos en hatos lecheros de Zipaquirá Colombia 2024. Estudio exploratorio
Gallo Castro, Eliana Mireya
Trillos Peña, Carlos Enrique
Buitrago Medina, Daniel Alejandro
Uso responsable de antibióticos
Ganadería de leche
Resistencia antimicrobiana
Prácticas de manejo bovinos
The responsible and prudent use of antimicrobials in animal production is a set of recommended measures and practices aimed at improving animal health and welfare by preventing and reducing the selection, emergence, and spread of antimicrobial-resistant bacteria in animals and humans. Consequently, measures to address antimicrobial resistance involve all sectors of human, animal, and environmental health. Objective: To explore the factors related to the irresponsible use of antibiotics in cattle and buffalo farms dedicated to milk production in the municipality of Zipaquirá, Cundinamarca. Materials and methods: A descriptive, cross-sectional observational study with an exploratory analytical component. A survey was conducted among 258 health officials from dairy farms in the municipality of Zipaquirá between April and June 2025. They authorized their participation in the study by signing an informed consent form. The independent variables included in the study were farm characterization, health management variables, veterinary diagnostic variables, and safety; the dependent variable was irresponsible antibiotic use. Data were digitized into an Excel file; SPSS V.22 software was used for statistical and inferential analysis. Results: The irresponsible use of antibiotics in the sampled farms was 67.1% CI (59% - 74%), the variables low access to veterinary services OR: 3.7 (95% CI: 1.1 - 12.2) p = 0.029 and lack of availability of a veterinary diagnostic laboratory OR: 2.7 (95% CI: 1.1 - 6.3) p = 0.01 remained related to the irresponsible use of antibiotics in both the bivariate analysis and the proposed multivariate model. In the exploration of the bivariate analysis of farm characterization and health management factors, they were related to the irresponsible use of antibiotics. It is concluded that it is necessary to implement training strategies for producers on responsible antibiotic use practices.
2025-09-08T12:28:47Z
2025-09-08T12:28:47Z
2025-09-08T12:28:47Z
masterThesis
https://doi.org/10.48713/10336_46422
https://repository.urosario.edu.co/handle/10336/46422
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/4.0/
Attribution-NonCommercial-NoDerivatives 4.0 International
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Tang, Karen L; Caffrey, Niamh P; Nóbrega, Diego B; Cork, Susan C; Ronksley, Paul E; Barkema, Herman W; Polachek, Alicia J; Ganshorn, Heather; Sharma, Nishan; Kellner, James D; Ghali, William A (2017) Articles Restricting the use of antibiotics in food-producing animals and its associations with antibiotic resistance in food-producing animals and human beings: a systematic review and meta-analysis. Disponible en: www.thelancet.com/. Disponible en: 10.1016/S2542-5196(17)30141-9.
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Series Históricas | Fedegán. Disponible en: https://www.fedegan.org.co/series-historicas.
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EL PLAN DE ACCIÓN DE LA FAO SOBRE LA RESISTENCIA A LOS ANTIMICROBIANOS 20212025 Apoyo a la innovación y la resiliencia en los sectores de la alimentación y la agricultura.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/198502024-08-20T11:37:51Zcom_10336_925com_10336_562col_10336_12382
The role of clinical, biological, and socioeconomic factors on the development of resilience in women with autorimmune rheumatic diseases : a cross-sectional study
Rojas Quintana, Manuel Eduardo
Acosta Ampudia, Yeny Yasbleidy
Molano González, Nicolás
Resilience
Rheumatoid arthritis
Systemic lupus erythematosus
Systemic sclerosis
Sjögren’s síndrome
BACKGROUND: Resilience is considered the capability to positively respond to adverse events. Since this capacity in considered a “continuum” process, long-term stressors and psychosocial factors are thought to be crucial for resilience development, especially in those patients with chronic inflammatory systemic diseases. However, the role of clinical, biological and socioeconomic characteristics in autoimmune rheumatic diseases (ARDs) is still unknown. OBJECTIVE To evaluate the association between resilience and socioeconomic, biological and clinical factors in four autoimmune rheumatic diseases (ARDs) namely: systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), Sjögren’s syndrome (SS) and systemic sclerosis (SSc). METHODS: A cross-sectional study in 188 women with SLE (n= 70), RA (n= 51), SS (n= 32), and SSc (n= 35) was done. Resilience was evaluated by the “Brief Resilience Scale”, whereas independent factors including age, age at onset, duration of disease, socioeconomic status, excersice, severity of symptoms and polyautoimmunity (PolyA) were evaluated by surveys and chart reviews. A panel of 15 serum cytokines and 14 autoantibodies were evaluated simultaneously. Bivariate, classification and regression trees (CART), and multiple linear regressions were used to analyze data. RESULTS: CART analysis showed that patients younger than 48 years with SLE, RA, and SSc who had low socioeconomic status showed the lowest resilience scores, whereas those patients between 48 and 66 years exhibited the highest resilience levels despite socioeconomic status. Interestingly, regular physical activity was associated with highest resilience in SSc. In addition, Interleukin-6 (IL-6) was associated low resilience scores (β= -0.581120, p=0.02) and with severity of symptoms (β=1.8395, p=0.04) in SSc. Neither PolyA nor severity of symptoms influenced resilience in the four ARDs studied. Cytokine levels did not significantly differ between groups based on regular physical activity. CONCLUSIONS: Resilience is a continuum trait associated to socioeconomic status and age. In addition, IL-6 and exercise are key factors for resilience in SSc. These results highlight the relevance of biological and socioeconomic factors in the development of resilience in autoimmunity.
2019-06-12T13:35:10Z
2019-06-12T13:35:10Z
2019-06-12T13:35:10Z
2019
masterThesis
https://doi.org/10.48713/10336_19850
http://repository.urosario.edu.co/handle/10336/19850
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/180382019-09-19T07:37:54Zcom_10336_925com_10336_562col_10336_12382
Factores asociados a Hipovitaminosis D en médicos de urgencias de una institución en Bogotá, Colombia
Díaz Jiménez, Mercy
Espinosa Rico, Zahira Ivonne
Espinosa Aranzales, Ángela Fernanda
Vitamina D
25 hidroxivitamina D
Deficiencia de vitamina D
Profesionales de la salud
Médicos
Factores de riesgo
Introduction: Hypovitaminosis D is one of the most significant and important nutritional deficiencies in adults. It’s prevalence and associated factors in emergency physicians in Bogotá, Colombia, are unknown. In this population would be expected a low prevalence of vitamin D deficiency, because they live in a tropical country and know the risk factors associated with this condition. Objective: The purpose was to identify the association between sociodemographic, environmental and nutritional factors and hypovitaminosis D in emergency physicians of a clinic in Bogotá, Colombia. Type of Study: cross-sectional analysis study which determined, over total population, the serum levels of 25-Hydroxyvitamin D in 44 physicians of the Fundación Clínica Shaio and evaluated associated sociodemographic, environmental and nutritional factors. Results: It was found a high prevalence of hypovitaminosis D (73%). However, none statistically significant association was found with the analyzed factors. It is necessary to carry out complementary studies to evaluate more factors and include more subjects.
2018-06-06T13:38:11Z
2018-06-06T13:38:11Z
2018-06-06T13:38:11Z
2018
masterThesis
https://doi.org/10.48713/10336_18038
http://repository.urosario.edu.co/handle/10336/18038
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/180452019-09-19T07:37:54Zcom_10336_925com_10336_562col_10336_12382
Factores asociados a dentición funcional en adultos mayores usuarios de odontología. Subred Integrada de Servicios de Salud Centro Oriente, Bogotá 2017
Monroy Ramírez, Monica Johanna
Méndez Castilla, José Mauricio
Buitrago Medina, Daniel Alejandro
Dentición
Anciano
Arcada
Edentula
Approach: The World Health Organization (WHO) stated that functional dentition refers to the minimum number of teeth that provides people with the ability to perform functions such as speech and chewing without the need for dental prostheses. Objective: To determine the factors associated with functional dentition and prevalence in a group of older adults using the dentistry service of the Central Eastern Sub-network of the city of Bogotá in 2017. Materials and methods: A cross-sectional study was performed in which the functional dentition was taken as a dependent variable. Using a binary logistic regression model, the independent variables that best explain functional dentition were identified. Data were taken from medical records completed by trained dentists and statistical analyses were performed using SPSS version 24 software. Results: We analyzed 394 clinical records of adults over 60 years old, assessed in the dentistry service, the prevalence of functional dentition was 17%. Multivariate analysis determined that the factors that best explained functional dentition were sex (RP^1.647, 95% CI 1.029 - 2.634), age, presence of comorbidities (RP^3.397, 95% CI 1.318 - 8.758) and use of dental floss (RP^1.955 95% CI 1.112 - 3.437). Conclusions: The data showed low prevalence of functional dentition in the population studied. The prevalence of functional dentition was almost twice as high in the male population as in the female population (95% CI 1.029 - 2.634); in terms of age it was found that for each year of life the functional dentition is reduced by almost 8%; The prevalence of functional dentition was more than three times higher in patients with the presence of comorbidities than in patients without them (95% CI 1.318 - 8.758); patients who flossed also had twice the prevalence of functional dentition than patients who did not floss themselves. The study findings suggest the importance of strengthening the preventive activities component in adulthood.
2018-06-06T19:53:57Z
2018-06-06T19:53:57Z
2018-06-06T19:53:57Z
2018
masterThesis
https://doi.org/10.48713/10336_18045
http://repository.urosario.edu.co/handle/10336/18045
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
Colombia. Ministerio de Salud y Protección Social. IV Estudio Nacional de Salud Bucal. ENSAV IV. Situación en Salud Bucal. 2014.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/430732025-08-27T09:38:54Zcom_10336_925com_10336_562col_10336_12382
Sulfato de magnesio en intubación orotraqueal sin relajantes musculares: revisión sistemática con meta-análisis y análisis secuencial de ensayos
Lasso Andrade, Fabricio Andrés
Bareño Silva, José
Magnesium Sulfate
Rocuronium
Intubation Intratracheal
Intubation
Neuromuscular Blocking Agents
Magnesium Sulfate
In anesthesiology, Magnesium Sulfate acts as a sedative, analgesic and muscle relaxant. Sedation is due to the inhibition of the NMDA receptor, reducing the requirements for halogenated anesthetics and propofol. In analgesia, it modulates the nervous stimulus and decreases the release of catecholamines, being effective in intravenous and epidural infusion to reduce postoperative pain and opioid consumption. In muscle relaxation, it can replace neuromuscular blockers, improving intubation conditions without affecting hemodynamics. Methodology: Systematic review of randomized clinical trials from 2000 to July 2023, which was carried out following the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines, and the group's recommendations for systematic reviews were also taken into account. Cochrane Back and Neck (CBN). The information from the articles will be evaluated and analyzed to test the proposed hypotheses, verifying the level of evidence of each chosen article. Results: The systematic review addressed 5 clinical trials with a total of 468 participants. The meta-analysis revealed a relative risk of 0.20 (95% CI: 0.11-0.36) for Magnesium Sulfate vs. Saline Solution, indicating a significant reduction in the risk of clinically unacceptable intubation conditions. Trial sequential analysis suggests that further studies (n=3442) are needed to confirm these findings. The certainty of the evidence, assessed using GRADE, was classified as 'Moderate' for clinically unacceptable intubation conditions and 'High' for orotracheal intubation conditions. Conclusion: The use of Magnesium Sulfate infusion for at least 10 minutes prior to induction in patients undergoing elective surgery for orotracheal intubation is effective in avoiding clinically unacceptable intubation conditions when compared with placebo.
2024-07-18T19:26:22Z
2024-07-18T19:26:22Z
2024-07-18T19:26:22Z
bachelorThesis
https://doi.org/10.48713/10336_43073
https://repository.urosario.edu.co/handle/10336/43073
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
Derechos Patrimoniales
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/4.0/
Attribution-NonCommercial-NoDerivatives 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Duley, Lelia; Gülmezoglu, A. Metin; Henderson-Smart, David J.; Chou, Doris (2010) Magnesium sulphate and other anticonvulsants for women with pre-eclampsia. En: The Cochrane Database of Systematic Reviews. Vol. 2010; No. 11; pp. CD000025 1469-493X; Disponible en: 10.1002/14651858.CD000025.pub2.
Su, Zhantao; Li, Rui; Gai, Zhongtao (2018) Intravenous and Nebulized Magnesium Sulfate for Treating Acute Asthma in Children: A Systematic Review and Meta-Analysis. En: Pediatric Emergency Care. Vol. 34; No. 6; pp. 390 - 395; 1535-1815; Disponible en: 10.1097/PEC.0000000000000909.
Na, H.-S.; Lee, J.-H.; Hwang, J.-Y.; Ryu, J.-H.; Han, S.-H.; Jeon, Y.-T.; Do, S.-H. (2010) Effects of magnesium sulphate on intraoperative neuromuscular blocking agent requirements and postoperative analgesia in children with cerebral palsy. En: British Journal of Anaesthesia. Vol. 104; No. 3; pp. 344 - 350; 1471-6771; Disponible en: 10.1093/bja/aep379.
Kim, Mi-Hyun; Oh, Ah-Young; Han, Sung-Hee; Kim, Jin-Hee; Hwang, Jung-Won; Jeon, Young-Tae (2015) The effect of magnesium sulphate on intubating condition for rapid-sequence intubation: a randomized controlled trial. En: Journal of Clinical Anesthesia. Vol. 27; No. 7; pp. 595 - 601; 1873-4529; Disponible en: 10.1016/j.jclinane.2015.07.002.
Barbosa, Fabiano Timbó; Neto, Olavo Barbosa de Oliveira; Barbosa, Luciano Timbó; Andrade, Raul Ribeiro de; Ribeiro, Êurica Adélia Nogueira; Rodrigues, Célio Fernando de Sousa (2020) [Effectiveness of magnesium sulfate compared to rocuronium for rapid sequence tracheal intubation in adults: clinical randomized trial]. En: Brazilian Journal of Anesthesiology (Elsevier). Vol. 70; No. 1; pp. 42 - 47; 2352-2291; Disponible en: 10.1016/j.bjan.2019.12.002.
Weiser, Thomas G.; Haynes, Alex B.; Molina, George; Lipsitz, Stuart R.; Esquivel, Micaela M.; Uribe-Leitz, Tarsicio; Fu, Rui; Azad, Tej; Chao, Tiffany E.; Berry, William R.; Gawande, Atul A. (2015) Estimate of the global volume of surgery in 2012: an assessment supporting improved health outcomes. En: Lancet (London, England). Vol. 385 Suppl 2; pp. S11 1474-547X; Disponible en: 10.1016/S0140-6736(15)60806-6.
van Gils, Mark; Korhonen, Ilkka; Yli-Hankala, Arvi (2017) Procedures for Evaluating the Adequacy of Anesthesia. En: Critical Reviews in Biomedical Engineering. Vol. 45; No. 1-6; pp. 187 - 218; 1943-619X; Disponible en: 10.1615/CritRevBiomedEng.v45.i1-6.100.
Venkatraghavan, Lashmi; Royan, Nathan; Boyle, Sarah L.; Dinsmore, Michael; Lu, Nancy; Cushman, Kristina; Massicotte, Eric M.; Prabhu, Atul (2022) Effect of reversal of residual neuromuscular blockade on the amplitude of motor evoked potentials: a randomized controlled crossover study comparing sugammadex and placebo. En: Neurological Sciences: Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology. Vol. 43; No. 1; pp. 615 - 623; 1590-3478; Disponible en: 10.1007/s10072-021-05318-8.
Shuman, Andrew G.; Fox, Erin R.; Unguru, Yoram (2020) COVID-19 and Drug Shortages: A Call to Action. En: Journal of Managed Care & Specialty Pharmacy. Vol. 26; No. 8; pp. 945 - 947; 2376-0540; Consultado en: 2024/07/16/00:11:05. Disponible en: https://www.jmcp.org/doi/10.18553/jmcp.2020.26.8.945. Disponible en: 10.18553/jmcp.2020.26.8.945.
Silva Filho, Sebastião E.; Sandes, Carlson S.; Vieira, Joaquim E.; Cavalcanti, Ismar L. (2021) Analgesic effect of magnesium sulfate during total intravenous anesthesia: randomized clinical study. En: Brazilian Journal of Anesthesiology (Elsevier). Vol. 71; No. 5; pp. 550 - 557; 2352-2291; Disponible en: 10.1016/j.bjane.2021.02.008.
Blake JA (1906) The Treatment of Tetanus by Magnesium Sulphate. En: Annals of surgery. Vol. 44; No. 3; pp. 367 - 367-73; 0003-4932; Consultado en: 2024/07/16/. Disponible en: https://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=17861856&site=eds-live. Disponible en: 10.1097/00000658-190609000-00002.
Gabbe, S. G. (1996) A preliminary report on the intravenous use of magnesium sulphate in puerperal eclampsia. 1925. En: American Journal of Obstetrics and Gynecology. Vol. 174; No. 4; pp. 1390 - 1391; 0002-9378; Disponible en: 10.1016/s0002-9378(96)70690-7.
Altman, Douglas; Carroli, Guillermo; Duley, Lelia; Farrell, Barbara; Moodley, Jack; Neilson, James; Smith, David; Magpie Trial Collaboration Group (2002) Do women with pre-eclampsia, and their babies, benefit from magnesium sulphate? The Magpie Trial: a randomised placebo-controlled trial. En: Lancet (London, England). Vol. 359; No. 9321; pp. 1877 - 1890; 0140-6736; Disponible en: 10.1016/s0140-6736(02)08778-0.
Magpie Trial Follow-Up Study Collaborative Group (2007) The Magpie Trial: a randomised trial comparing magnesium sulphate with placebo for pre-eclampsia. Outcome for women at 2 years. En: BJOG: an international journal of obstetrics and gynaecology. Vol. 114; No. 3; pp. 300 - 309; 1470-0328; Disponible en: 10.1111/j.1471-0528.2006.01166.x.
Sibai, Baha M. (2002) The magpie trial. En: Lancet (London, England). Vol. 360; No. 9342; pp. 1329; - author reply 1331-1332; 0140-6736; Disponible en: 10.1016/S0140-6736(02)11321-3.
Cohagan, Brian; Brandis, Dov (2024) Torsade de Pointes. En: StatPearls. Treasure Island (FL): StatPearls Publishing; Consultado en: 2024/07/16/00:20:41. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK459388/.
Hicks, Matthew A.; Tyagi, Alka (2024) Magnesium Sulfate. En: StatPearls. Treasure Island (FL): StatPearls Publishing; Consultado en: 2024/07/16/00:21:18. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK554553/.
Domitrz, Izabela; Cegielska, Joanna (2022) Magnesium as an Important Factor in the Pathogenesis and Treatment of Migraine-From Theory to Practice. En: Nutrients. Vol. 14; No. 5; pp. 1089 2072-6643; Disponible en: 10.3390/nu14051089.
Knightly, Rachel; Milan, Stephen J.; Hughes, Rodney; Knopp-Sihota, Jennifer A.; Rowe, Brian H.; Normansell, Rebecca; Powell, Colin (2017) Inhaled magnesium sulfate in the treatment of acute asthma. En: The Cochrane Database of Systematic Reviews. Vol. 11; No. 11; pp. CD003898 1469-493X; Disponible en: 10.1002/14651858.CD003898.pub6.
Kirkland, Anna E.; Sarlo, Gabrielle L.; Holton, Kathleen F. (2018) The Role of Magnesium in Neurological Disorders. En: Nutrients. Vol. 10; No. 6; pp. 730 2072-6643; Disponible en: 10.3390/nu10060730.
Bickford, Celeste D.; Magee, Laura A.; Mitton, Craig; Kruse, Marie; Synnes, Anne R.; Sawchuck, Diane; Basso, Melanie; Senikas, Vyta M.; von Dadelszen, Peter; MAG-CP Working Group (2013) Magnesium sulphate for fetal neuroprotection: a cost-effectiveness analysis. En: BMC health services research. Vol. 13; pp. 527 1472-6963; Disponible en: 10.1186/1472-6963-13-527.
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Kim, Mi-Hyun; Oh, Ah-Young; Han, Sung-Hee; Kim, Jin-Hee; Hwang, Jung-Won; Jeon, Young-Tae (2015) The effect of magnesium sulphate on intubating condition for rapid-sequence intubation: a randomized controlled trial. En: Journal of Clinical Anesthesia. Vol. 27; No. 7; pp. 595 - 601; 1873-4529; Disponible en: 10.1016/j.jclinane.2015.07.002.
Park, Seong-Joo; Cho, Youn-Joung; Oh, Ji-Hye; Hwang, Jung-Won; Do, Sang-Hwan; Na, Hyo-Seok (2013) Pretreatment of magnesium sulphate improves intubating conditions of rapid sequence tracheal intubation using alfentanil, propofol, and rocuronium. En: Korean Journal of Anesthesiology. Vol. 65; No. 3; pp. 221 - 227; 2005-6419; Consultado en: 2024/07/16/00:32:01. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3790033/. Disponible en: 10.4097/kjae.2013.65.3.221.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/252552024-08-20T11:29:47Zcom_10336_925com_10336_562col_10336_12382
Síntomas respiratorios por uso de plaguicidas y factores asociados en cultivadores de papa Ventaquemada, Boyacá
Méndez Guzmán, Diana Nathaly
Rozo Silva, Yenny Andrea
Pérez Fierro, Ana María
Varona Uribe, Marcela Eugenia
Enfermedades respiratorias
Agricultura - medidas de seguridad
Exposición por inhalación
Seguridad química
Plaguicidas
Potato crop in Colombia represents one of the principal activities in the agricultural sector. Farmers exposure to pesticides may lead to the appearance of respiratory symptoms due to the inhalation of gasses. Objective: To determine factors that influence the prevalence of respiratory symptoms secondary to pesticide exposure in potato farmers in Ventaquemada, Boyacá, during 2018. Methodology: An analytical cross-sectional study was performed applying a standardized questionnaire to 107 potato farmers to identify the association between the presence of respiratory symptoms and pesticide exposure using logistic regression analysis. Results: 107 surveys were completed, 64.5% of them referred respiratory symptoms, the most prevalent symptoms were cough, dyspnea and rhonchus. Those who used pesticides had a prevalence of respiratory symptoms 2 times higher (RP 2,97 (95%CI=2,26-3,89, p=0,01) than those who did not. The logistic regression model showed that the following variables increase the risk of presenting respiratory symptoms: not wearing a hat or cap 1,67 times (95% CI=0,67-4,13 p=0,26), using 2 or more pesticides 2,39 times (95% CI=0,97-5,88, p=0,05) and residence location in rural area lowered 0.2 (IC95%: 0,03-1,22 p=0,08). Having less than 30 years of work experience as a farmer lowered 0.2 times risk of presenting respiratory symptoms (CI 95% 0.10-0.70, p=0.00), this last variable was the only one statistically significant. Conclusion: It was found that work experience less than 30 years is a protective factor against the probability of presenting respiratory symptoms in farmers. Although relationships between the variables of the model were no statistically significant, they can be considered as independent risk factors. The homogeneity of the sample limits the results, with the possible presence of false negatives in the study. The inadequate manipulation of pesticides (including the non-use of protective measures) by the majority of the subjects, in addition to doubled prevalence of respiratory symptoms compared to the general population, are notable results. This opens an opportunity to continue with more complex investigations in order to improve the working and health conditions of farmers.
2020-06-25T18:37:54Z
2020-06-25T18:37:54Z
2020-06-25T18:37:54Z
masterThesis
https://doi.org/10.48713/10336_25255
https://repository.urosario.edu.co/handle/10336/25255
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Andrea LA, Oscar SM, Hoyos MC, Montes Cortés C. Perfil Nacional de Sustancias Químicas en Colombia [Internet]. Nuevas Edi. Bogotá; 2012. Available from: http://www.minambiente.gov.co/images/AsuntosambientalesySectorialyUrbana/pdf/sustancias_químicas_y_residuos_peligrosos/Perfil_Nacional_de_Sustancias_Quimicas_en_Colombia_2012.pdf
Martínez Valenzuela, Carmen, Gómez Arroyo S. Riesgo Genótóxico por Exposición a Plaguicidas en Trabajadores Agrícolas. Contami. 2007;23(4):185–200.
Ssemugabo C, Halage AA, Neebye RM, Nabankema V, Kasule MM, Ssekimpi D, et al. Prevalence, Circumstances, and Management of Acute Pesticide Poisoning in Hospitals in Kampala City, Uganda. Environ Health Insights. 2017;11.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/345112024-10-22T14:00:42Zcom_10336_925com_10336_562col_10336_12382
Fenotipos metabólicos de CYP2D6 relacionados a efectos adversos y falla terapéutica en pacientes colombianos tratados con tramadol
Ramírez Martínez, Brian Andrés
Trillos Peña, Carlos Enrique
Fonseca Mendoza, Dora Janeth
GENIUROS
Cytochrome P-450 CYP2D6
Tramadol
Adverse Drug Events
Treatment Failure
Pharmacogenetics
Introduction: Tramadol is a medication commonly used in clinical practice for the management of moderate to severe pain; This is a prodrug that needs to be metabolized by CYP2D6, to generate its active metabolite O-Desmethyltramadol, which acts on miu receptors and thus fulfills much of its analgesic action. This drug has been implicated in various adverse effects and therapeutic failure despite adequate dosage and avoiding drug interaction; therefore, it is important to investigate the metabolic phenotypes produced by CYP2D6 polymorphisms in order to establish whether this has a relevant role in the response to medication and which individuals are at risk of presenting a side effect or inadequate effectiveness when using this drug. Methodology: Based on a database from the CIGGUR (Center for Research in Genetics and Genomics of the Universidad del Rosario) as a secondary source of information, a cross-sectional study was proposed in Colombian patients of legal age who have been managed with Tramadol for moderate or severe pain; which determined the proportion of each of the CYP2D6 drug metabolizer phenotype subgroups based on the interpretation of the functional estimate of the genotype by the Clinical Pharmacogenetics Implementation Consortium method (slow PM, normal EM, and ultrarapid UM); Also, by using a stratified bivariate analysis, it was proposed to estimate the relationship between CYP2D6 abnormal metabolizer phenotypes (corresponding to ultra-rapid and slow metabolic profiles), sociodemographic, clinical and pharmacological characteristics with the presence of adverse effects and therapeutic failure in the participants. Results: In the present study with 121 participants, it was found that the sample had 10 different CYP2D6 genotypes, which when interpreted, 83% of the patients had a normal CYP2D6 metabolic phenotype, 6.6% an ultrarapid metabolizer phenotype. and 4.1 a poor metabolizer phenotype; 52.3% of the total presented some adverse effect to the medication and 15.7% therapeutic failure. When exploring the relationship of the independent variables with the occurrence of adverse factors to tramadol, it was found that the variables related in a statistically significant way were chronic pain (PR= 1.57 CI95% 1.12-2.19), single dose of Tramadol (PR=1.54 CI95% 1.11-2.12) and when stratified by confounding variables, showed a relationship between female gender and the enteral route to the administration of the medication. On the other hand, when relating the independent variables with the occurrence of therapeutic failure, we found that the variables age over 60 years (PR= 3.12 CI95% 1.37-7.12), male gender (PR: 4.11 95% CI 1.58-10.7), chronic pain (PR= 2.61 95% CI 1.11-6.15) and when stratified by confounding variables, it showed a relationship between the route of enteral administration. Conclusion: This study is one of the few studies that seeks to demonstrate the relationship between multiple clinical, sociodemographic and pharmacogenetic variables with the occurrence of adverse effects and therapeutic failure in the use of Tramadol; The results of the research show that the variables related to the occurrence of adverse events are: temporality of the pain, being chronic pain, having received a single dose of Tramadol, being female, and having received the medication enterally; On the other hand, the variables related to the occurrence of therapeutic failure were: being a patient over 60 years of age, being male, temporality of pain being chronic pain, and having received enteral medication. It was not possible to demonstrate a relationship between abnormal CYP2D6 metabolic phenotypes and the occurrence of therapeutic failure and adverse event to the use of Tramadol due to the limitations of the study itself.
2022-07-12T13:00:54Z
2022-07-12T13:00:54Z
2022-07-12T13:00:54Z
masterThesis
https://doi.org/10.48713/10336_34511
https://repository.urosario.edu.co/handle/10336/34511
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/432232024-08-06T03:00:55Zcom_10336_925com_10336_562col_10336_12382
Supervivencia en pacientes mayores de 80 años diagnosticados con sepsis e ingresados a unidades de cuidado intensivo en Colombia en el año 2019
Ángel Román, Susana
Hernández Leal, Juan David
Rodríguez Grande, Eliana Isabel
Sepsis
Mortalidad
Octagenarios
Colombia
Introduction: Sepsis is a common reason for hospitalization and admission to intensive care units. This condition involves significant use of human and economic resources. Several factors are associated with reduced survival, among them age. With epidemiological and demographic transitions, life expectancy has increased worldwide, leading to a larger population over the age of 80, with a higher comorbid burden and immune alterations due to aging. Objective: To establish the 30-day survival of patients over 80 years old diagnosed with sepsis and admitted to intensive care units in Colombia during 2019. Methodology: This is a survival study conducted on a national cohort of patients. It included hospital admissions to intensive care units of individuals over 80 years old with a diagnosis of sepsis, identified through ICD-10 codes and the administration of antibiotics indicated for sepsis. Administrative databases from 2019 (RUAF-CUPS-ICD-10) were used. The 30-day survival of this population group was estimated using death certificates obtained from the RUAF database, and adjusted hazard ratios were calculated. A multilevel analysis by region was performed to determine the influence of the geographical location of care on mortality in this population group. Additionally, simple and multiple Cox regressions were conducted within a mixed-effects model where regions were treated as random effects. Results: A total of 2,849 patients were included. The overall 30-day survival was 76% (95% CI 0.748-0.779). Patients aged 85-90 years (HR 1.22, 95% CI 1.03-1.46) and those over 90 years old (HR 1.84, 95% CI 1.51-2.23) had a higher risk of death from sepsis compared to the group of patients aged 80-85 years. It was found that certain comorbidities and the geographical region influence mortality in this population. For instance, patients with chronic kidney disease had an increased risk of death with an HR of 1.81 (95% CI 1.46-2.24), as did those from certain geographic regions of Colombia. Discussion: We found that 30-day survival in patients over 80 years old admitted to intensive care for sepsis is similar to what has been reported in the literature. Variations in mortality could be due to different definitions of sepsis, its modification over time, and the follow-up period found in the literature. Factors such as age, geographic region of care, and a history of chronic kidney disease influence the likelihood of surviving a septic episode in this population. These factors should be considered in decision-making processes focused on the patient, with the hope of improving survival rates and reducing the burden of this potentially devastating disease.
2024-08-05T19:47:12Z
2024-08-05T19:47:12Z
2024-08-05T19:47:12Z
bachelorThesis
https://doi.org/10.48713/10336_43223
https://repository.urosario.edu.co/handle/10336/43223
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/318172021-07-13T03:03:22Zcom_10336_925com_10336_562col_10336_12382
Determinantes económicos, sociales y de salud que inciden en la lactancia materna exclusiva en Colombia para el año 2010
Arocha Zuluaga, Gina Paola
Caicedo Velasquez, Beatriz Elena
Análisis de factores factores asociados al abandono de Lactancia Materna Exclusiva (LME) en Colombia
Estadísticas de lactancia materna en Colombia 2010
Análisis de la Encuesta Nacional de Demografía y Salud (ENDS 2010) en Colombia
Impacto de la LME en la Encuesta Colombiana de Situación Alimentaria y Nutricional del 2010 (ENSIN 2010)
Factores socioeconómicos, demográficos y etnográficos que inciden en el desarrollo de la LME
Correlación de la practica de lactancia materna con la salud y nutrición infantil
The feeding practices are critical to the survival, growth, development, health and nutrition of infants and children under two years of age. Some of the benefits of exclusive breastfeeding are its nutritional contribution, prevention of infectious and chronic diseases, psychosocial and cognitive development. Breast milk is the ideal diet recommended exclusively for the first six months of life. The objective of this study was to establish the determinants associated with the abandonment of exclusive breastfeeding in children under six months of age, based on the information collected in the 2010 Colombian Food and Nutrition Situation Survey (ENSIN 2010) and the National Demographic and Health Survey (ENDS 2010). Materials and methods: an analytical cross-sectional study was conducted, using data from the two population-based surveys mentioned above. The prevalence of exclusive breastfeeding was constructed taking into account the population of children under 6 months of age living with their mother at the time of the survey. To identify the factors associated with the abandonment of exclusive breastfeeding (EBF), a univariate and bivariate analysis was performed, and a multivariate and multilevel logistic regression model was used. The high frequency of abandonment of EML in children under 6 months of age in Colombia and the great variation of this indicator among its 32 departments are highlighted. Individual conditions such as higher maternal schooling, affiliation to social security and not using a bottle favor the time of ECI. The variance percentage participation (VPC) of the adjusted model explains that a 7.3% increase in the probability of EML abandonment would be attributable to community factors. The MOR showed that if any of the mothers moved from a low-risk department for EML dropout to a high-risk department, their individual risk of EML dropout would double. In the full fit model these departmental effects diminish, evidencing little variation across departments in the predisposition to EML dropout. In conclusion, the results presented here are highlighted to contribute to the socially contextualized understanding of the duration of exclusive breastfeeding for the Colombian population, offering an opportunity to continue its analysis with greater understanding and providing evidence for the design of more cost-effective interventions
2021-07-12T20:49:26Z
2021-07-12T20:49:26Z
2021-07-12T20:49:26Z
masterThesis
https://doi.org/10.48713/10336_31817
https://repository.urosario.edu.co/handle/10336/31817
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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DANE (2020) Medida de Pobreza Multidimensional Municipal de Fuente Censal. Bogotá COM-030-PD-001-r-004 V8; Consultado en: 2021/07/08/21:49:57. Disponible en: https://www.dane.gov.co/files/investigaciones/condiciones_vida/pobreza/2018/informacion-censal/bt-censal-pobreza-municipal-2018.pdf.DANE (2020) Medida de Pobreza Multidimensional Municipal de Fuente Censal. Bogotá COM-030-PD-001-r-004 V8; Consultado en: 2021/07/08/21:49:57. Disponible en: https://www.dane.gov.co/files/investigaciones/condiciones_vida/pobreza/2018/informacion-censal/bt-censal-pobreza-municipal-2018.pdf. Mantilla, Barbarita Maria; Arturo Ramírez, Carlos; María, Barbarita; Cardozo, Mantilla; Arturo, Carlos; Sierra, Ramírez; Valbuena Benítez, Sebastián; Marrugo, Lilian Muñoz; Rodrigo, Alirio; Goyes, Bastidas (2017) SO 2 /FIO 2 como predictor de mortalidad en pacientes con exacerbación de EPOC atendidos n el Hospital Militar Central. En:Acta Med colomb; Vol. 42; Mantilla, Barbarita Maria; Arturo Ramírez, Carlos; María, Barbarita; Cardozo, Mantilla; Arturo, Carlos; Sierra, Ramírez; Valbuena Benítez, Sebastián; Marrugo, Lilian Muñoz; Rodrigo, Alirio; Goyes, Bastidas (2017) SO 2 /FIO 2 como predictor de mortalidad en pacientes con exacerbación de EPOC atendidos n el Hospital Militar Central. En:Acta Med colomb; Vol. 42;
Grocott, Michael; Montgomery, Hugh; Vercueil, Andre (2007) High-altitude physiology and pathophysiology: Implications and relevance for intensive care medicine. En:Critical Care; Vol. 11; No. 1; Crit Care; Disponible en: https://pubmed.ncbi.nlm.nih.gov/17291330/. Disponible en: 10.1186/cc5142. Grocott, Michael; Montgomery, Hugh; Vercueil, Andre (2007) High-altitude physiology and pathophysiology: Implications and relevance for intensive care medicine. En:Critical Care; Vol. 11; No. 1; Crit Care; Disponible en: https://pubmed.ncbi.nlm.nih.gov/17291330/. Disponible en: 10.1186/cc5142.
Wang, Benji; Gong, Yuqiang; Ying, Binyu; Cheng, Bihuan (2019) Relation between Red Cell Distribution Width and Mortality in Critically Ill Patients with Acute Respiratory Distress Syndrome. En:BioMed Research International; Vol. 2019; Hindawi Limited; Disponible en: https://pubmed.ncbi.nlm.nih.gov/31016186/. Disponible en: 10.1155/2019/1942078. Wang, Benji; Gong, Yuqiang; Ying, Binyu; Cheng, Bihuan (2019) Relation between Red Cell Distribution Width and Mortality in Critically Ill Patients with Acute Respiratory Distress Syndrome. En:BioMed Research International; Vol. 2019; Hindawi Limited; Disponible en: https://pubmed.ncbi.nlm.nih.gov/31016186/. Disponible en: 10.1155/2019/1942078.
Yu, Xue Shu; Chen, Zhi Qiang; Hu, Yu Feng; Chen, Jia Xiu; Xu, Wen Wei; Shu, Jie; Pan, Jing Ye (2020) Red blood cell distribution width is associated with mortality risk in patients with acute respiratory distress syndrome based on the Berlin definition: A propensity score matched cohort study. En:Heart and Lung; Vol. 49; No. 5; pp. 641 - 645; Mosby Inc.; Disponible en: https://pubmed.ncbi.nlm.nih.gov/32434701/. Disponible en: 10.1016/j.hrtlng.2020.04.008. Yu, Xue Shu; Chen, Zhi Qiang; Hu, Yu Feng; Chen, Jia Xiu; Xu, Wen Wei; Shu, Jie; Pan, Jing Ye (2020) Red blood cell distribution width is associated with mortality risk in patients with acute respiratory distress syndrome based on the Berlin definition: A propensity score matched cohort study. En:Heart and Lung; Vol. 49; No. 5; pp. 641 - 645; Mosby Inc.; Disponible en: https://pubmed.ncbi.nlm.nih.gov/32434701/. Disponible en: 10.1016/j.hrtlng.2020.04.008.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/205192024-08-20T11:39:43Zcom_10336_925com_10336_562col_10336_12382
Falla terapéutica de la Penicilina Benzatinica en Sifilis gestacional. Revisión sistemática y metaanálisis
Calderón Sandoval, Diana Marcela
Quiroga Cruz, Andrea Lorena
Ramos Domínguez, Tania Milena
Manrique Hernández, Rubén Darío
Penicilina G Benzatínica
Sífilis
Embarazo
Insuficiencia del tratamiento
Aborto espontáneo
Sífilis congénita
Nacimiento prematuro
Background: Syphilis is a bacterial infection that is transmitted by sexual contact treatable and curable with the use of antibiotic of first choice (benzathine penicillin). At present, cases of therapeutic failure have not been studied with the recommended regimens for the decrease in the incidence of congenital syphilis. Objective: Estimate the prevalence of therapeutic failure of benzathine penicillin treatment in gestational syphilis through a systematic review and meta-analysis. Search strategies Search sources: We searched the Cochrane Central Registry of Controlled Trials (The Cochrane Library Number 1, 2018), PUBMED and EMBASE, articles published since 1990 in english and spanish. Selection criteria: Cohort observational studies, randomized and non-randomized controlled clinical trials, cases and controls, and case reports evaluating therapeutic failures in the treatment of benzathine penicillin in gestational syphilis. Main results: In total, 6 studies were included in this review involving 3435 women diagnosed with gestational syphilis. A prevalence of congenital syphilis of 11% was found with a 95% CI between 8% and 14% with a random effect’s analysis. Author´s conclusions: The evidence of the 6 studies included in this review suggests that benzathine penicillin therapeutic failure in gestational syphilis has an important prevalence compared to the appropriate use of the regimens established in the different clinical practice guidelines contemplated.
2019-11-01T20:52:35Z
2019-11-01T20:52:35Z
2019-11-01T20:52:35Z
masterThesis
https://doi.org/10.48713/10336_20519
https://repository.urosario.edu.co/handle/10336/20519
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nd/2.5/co/
Atribución-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
• McFarlin, B. L., Bottoms, S. F., Dock, B. S., & Isada, N. B. (1994). Epidemic syphilis: Maternal factors associated with congenital infection. American Journal of Obstetrics and Gynecology, 170(2), 535–540. https://doi.org/10.1016/S0002-9378(94)70223-3
• Alexander, J. M., Sheffield, J. S., Sanchez, P. J., Mayfield, J., & Wendel, G. D. (1999). Efficacy of treatment for syphilis in pregnancy. Obstetrics and Gynecology, 93(1), 5–8. https://doi.org/10.1016/S0029-7844(98)00338-X
• Sheffield, J. S., Sánchez, P. J., Morris, G., Maberry, M., Zeray, F., McIntire, D. D., & Wendel, G. D. (2002). Congenital syphilis after maternal treatment for syphilis during pregnancy. American Journal of Obstetrics and Gynecology, 186(3), 569–573. https://doi.org/10.1067/mob.2002.121541
• Liu, J. B., Hong, F. C., Pan, P., Zhou, H., Yang, F., Cai, Y. M., … Zeegers, M. P. (2010). A risk model for congenital syphilis in infants born to mothers with syphilis treated in gestation: A prospective cohort study. Sexually Transmitted Infections, 86(4), 292–296. https://doi.org/10.1136/sti.2009.037549
• Hong, F. C., Wu, X. B., Yang, F., Lan, L. N., Guan, Y., Zhang, C. L., … Zhou, H. (2017). Risk of Congenital Syphilis (CS) Following Treatment of Maternal Syphilis: Results of a CS Control Program in China. Clinical Infectious Diseases, 65(4), 588–594. https://doi.org/10.1093/cid/cix371
• Stafford, I. A., Berra, A., Minard, C. G., Fontenot, V., Kopkin, R. H., Rodrigue, E., … Hill, J. B. (2019). Challenges in the Contemporary Management of Syphilis among Pregnant Women in New Orleans, la. Infectious Diseases in Obstetrics and Gynecology, 2019. https://doi.org/10.1155/2019/2613962
1) Navarro, Juan Francisco; Ros-Vivancos, Cristina; González-Hernández María, Portilla-Sogorb, Joaquin; Sánchez-Payá JG-TJ. Evolución del tratamiento de la sífilis a lo largo de la historia. Rev Esp Quim. 2018;31(6):485–92.
2) Center for disease control and prevention. Sexually Transmitted Diseases Treatment Guidelines, U.S. Department of Health and Human Services 2015. [Internet]. [cited 2019 Aug 03]. 34 p. Available from: https://www.cdc.gov/std/tg2015/tg-2015-print.pdf
3) Rocío M, Varillas N, Fernando L, Toscano D, Nacional I, Lima DS, et al. Sífilis materna y complicaciones durante el embarazo Maternal syphilis and complications during pregnancy Exposición fetal al Treponema pallidum durante 25 semanas. 2019;80(1):68–72.
4) Ministerio de Salud y Protección Social. Guía de práctica clínica basada en la evidencia para la atención integral de la sífilis gestacional y congénita [Internet]. Bogotá. Colombia; 2014 [cited 2019 Apr 13]. 35 p. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/INEC/IETS/gpc –guia-completa-sifilis.pdf
5) Bravo TC. Sífilis: actualidad, diagnóstico y tratamiento [Internet]. Vol. 46, MG Rev Fac Med UNAM. 2003 [cited 2019 Apr 13]. Available from: https://www.medigraphic.com/pdfs/facmed/un-2003/un036g.pdf
6) Organización Mundial de la Salud. Eliminación mundial de la sífilis congénita:fundamentos y estrategia para la acción [Internet]. 2008 [cited 2019 Apr 13]. Available from: https://apps.who.int/iris/bitstream/handle/10665/43856/9789243595856_spa.pdf;jsessionid=942E6F7EC2E97CF24A0441323E140634?sequence=1
7) Sífilis gestacional y congénita código: 750-740 [Internet]. [cited 2019 Apr 13]. Available from: https://www.ins.gov.co/buscador-eventos/Lineamientos/PRO Sifilis_.pdf
8) Vademécum.Centro colaborador de La Administración Nacional de Medicamentos, alimentos y Tecnología Médica -ANMAT – Argentina; 2012 [citado 4 de octubre de 2019]. Disponible en: https://www.iqb.es/cbasicas/farma/farma04/b008.htm
9) Serrano G, Remon P, Social S, Pueblos L. Eficacia, efectividad y falla terapéutica de los medicamentos. 2006; 31:5–9.
10) Higgins JPT, G. S. (2011). Manual Cochrane de revisiones sistemáticas de intervenciones. (G. S. Higgins JPT, Ed.) (Version 5.1.0). Retrieved from www.cochrane-handbook.org.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/375912022-12-06T03:05:14Zcom_10336_925com_10336_562col_10336_12382
Relación entre transtorno neurocognitivo y determinantes sociales estudio nacional de salud y envejecimiento, México 2003-2018
Rojas Sánchez, Natalia
Venegas Raba, Laura Marcela
Trillos Peña, Carlos Enrique
Hernandez, Gilma
Trastorno neurocognitivo
Determinantes sociales
Envejecimiento
Adulto mayor
Introduction: Aging is a sociodemographic phenomenon related to the increase of chronic diseases and within this the neurocognitive disorder, being a priority in public health secondary to the impact on the functional decline of the older adult. Social determinants identified in the ENASEM were defined and their relationship with neurocognitive disorders in the population over 60 years of age in Mexico was evaluated. Methods: Secondary analysis of data from ENASEM 2003 and 2018, with descriptive statistics and comparison of the two years to establish the association between social determinants and cognitive disorders. Results: In a sample of 373 respondents in 2003 and 375 in 2018, it was possible to measure comprehensive basic cognitive functions and evaluate the presence or absence of neurocognitive disorder; 30.6% (2003) and 15.7% (2018) had the disease, in both years there were more cases in women than in men, the average age was 69.1 years (2003) and 72.2 years (2018). A bivariate analysis was performed and no association was found for p values > 0.05 and each of the confidence intervals crossed 1 equivalent to a non-significant association; it was not possible to define protective factors or risk factors between the variables. There is insufficient evidence to say that there is an association between the dependent variable and the independent variables collected. Conclusion: According to the ENASEM data, no association was found between the neurocognitive disorder and the variables selected for the social determinants.
2022-12-05T20:23:15Z
2022-12-05T20:23:15Z
2022-12-05T20:23:15Z
bachelorThesis
https://doi.org/10.48713/10336_37591
https://repository.urosario.edu.co/handle/10336/37591
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/2.5/co/
Atribución-NoComercial-CompartirIgual 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Tom, Sarah E.; Phadke, Manali; Hubbard, Rebecca A.; Crane, Paul K.; Stern, Yaakov; Larson, Eric B. (2020) Association of Demographic and Early-Life Socioeconomic Factors by Birth Cohort With Dementia Incidence Among US Adults Born Between 1893 and 1949. En: JAMA Network Open. Vol. 3; No. 7; pp. e2011094 2574-3805; Consultado en: 2021/01/26/03:32:33. Disponible en: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768708. Disponible en: 10.1001/jamanetworkopen.2020.11094.
Murata, Chiyoe; Saito, Tami; Saito, Masashige; Kondo, Katsunori (2019) The Association between Social Support and Incident Dementia: A 10-Year Follow-Up Study in Japan. En: International Journal of Environmental Research and Public Health. Vol. 16; No. 2; 1660-4601; Disponible en: 10.3390/ijerph16020239.
Alvarado García, Alejandra María; Salazar Maya, Ángela María (2014) Análisis del concepto de envejecimiento. En: Gerokomos. Vol. 25; No. 2; pp. 57 - 62; 1134-928X; Consultado en: 2021/01/27/03:26:23. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2014000200002&lng=en&nrm=iso&tlng=en. Disponible en: 10.4321/S1134-928X2014000200002.
Aguirre-Acevedo, Daniel Camilo; Henao, Eliana; Tirado, Victoria; Muñoz, Claudia; Giraldo Arango, Diana; Lopera Restrepo, Francisco; Jaimes Barragán, Fabián (2014) Factores asociados con el declive cognitivo en población menor de 65 años. Una revisión sistemática. En: Factors Associated with Cognitive Decline in a Population Less than 65 Years Old. A Systematic Review (English). Vol. 43; No. 2; pp. 113 - 122; 0034-7450; Consultado en: 2021/01/28/02:23:08. Disponible en: http://ez.urosario.edu.co/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edselp&AN=S0034745014000250&lang=es&site=eds-live&scope=site. Disponible en: 10.1016/j.rcp.2014.02.009.
OMS | Datos interesantes acerca del envejecimiento. Consultado en: 2021/03/02/22:33:11. Disponible en: https://www.who.int/ageing/about/facts/es/.
Presidente de la Asamblea General de las Naciones Unidas. Consultado en: 2021/03/02/23:54:51. Disponible en: https://www.un.org/es/ga/president/65/issues/ncdiseases.shtml.
Llibre Rodríguez, Juan; Gutiérrez Herrera, Raúl Fernando (2014) Demencias y enfermedad de Alzheimer en América Latina y el Caribe. En: Revista Cubana de Salud Pública. Vol. 40; No. 3; pp. 378 - 387; 0864-3466; Consultado en: 2021/03/04/. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0864-34662014000300008&lng=es&nrm=iso&tlng=es.
Weltgesundheitsorganisation; Alzheimer's Disease International (2012) Dementia: a public health priority. pp. 102 Geneva 978-92-4-156445-8;
United Nations; Huenchuan, Sandra (2019) Envejecimiento, Personas Mayores y Agenda 2030 para el Desarrollo Sostenible: Perspectiva Regional y de Derechos Humanos. En: ECLAC Books.: UN; 978-92-1-358097-4 978-92-1-058640-5; Consultado en: 2021/03/27/02:14:16. Disponible en: https://www.un-ilibrary.org/content/books/9789210586405.
Esperanza de vida en México 2020. En: Statista. Consultado en: 2021/04/01/01:28:28. Disponible en: https://es.statista.com/estadisticas/1149433/esperanza-de-vida-mexico/.
Cognitive Impairment and Dementia- ClinicalKey. Consultado en: 2021/04/02/. Disponible en: https://www-clinicalkey-es.ez.urosario.edu.co/#!/content/book/3-s2.0-B978032353266200374X?scrollTo=%23hl0000360.
Bayard, Rodolfo Isidro Bosch; Llerena, Tania Zayas; Ulloa, Elaine Hernández; Algunos determinantes sociales y su impacto en las demencias. En: Revista Cubana de Salud Pública. pp. 12
Bayard, Rodolfo Isidro Bosch; Llerena, Tania Zayas; Ulloa, Elaine Hernández; Algunos determinantes sociales y su impacto en las demencias. En: Revista Cubana de Salud Pública. pp. 12
DEMENCIA. Consultado en: 2021/04/09/. Disponible en: https://webcache.googleusercontent.com/search?q=cache:vJ-0huvTQhIJ:https://www.segg.es/download.asp%3Ffile%3D/tratadogeriatria/PDF/S35-05%252017_II.pdf+&cd=1&hl=es-419&ct=clnk&gl=co&client=safari.
Pérez, Esparza; La demencia: diagnóstico y evaluación. pp. 8
Estratificación social: una propuesta metodológica multidimensional para la subregión norte de América Latina y el Caribe. pp. 72
Estratificación social: una propuesta metodológica multidimensional para la subregión norte de América Latina y el Caribe. pp. 72
MHAS. Consultado en: 2021/05/09/22:55:55. Disponible en: http://www.enasem.org/Index_Esp.aspx.
Murata, Chiyoe; Saito, Tami; Saito, Masashige; Kondo, Katsunori (2019) The Association between Social Support and Incident Dementia: A 10-Year Follow-Up Study in Japan. En: International Journal of Environmental Research and Public Health. Vol. 16; No. 2; 1661-7827; Consultado en: 2021/05/09/22:57:09. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352228/. Disponible en: 10.3390/ijerph16020239.
Rusmaully, Jennifer; Dugravot, Aline; Moatti, Jean-Paul; Marmot, Michael G.; Elbaz, Alexis; Kivimaki, Mika; Sabia, Séverine; Singh-Manoux, Archana (2017) Contribution of cognitive performance and cognitive decline to associations between socioeconomic factors and dementia: A cohort study. En: PLoS Medicine. Vol. 14; No. 6; 1549-1277; Consultado en: 2021/05/09/22:57:58. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484463/. Disponible en: 10.1371/journal.pmed.1002334.
Cadar, Dorina; Lassale, Camille; Davies, Hilary; Llewellyn, David J.; Batty, G. David; Steptoe, Andrew (2018) Individual and Area-Based Socioeconomic Factors Associated With Dementia Incidence in England. En: JAMA Psychiatry. Vol. 75; No. 7; pp. 723 - 732; 2168-622X; Consultado en: 2021/05/09/22:58:49. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145673/. Disponible en: 10.1001/jamapsychiatry.2018.1012.
Deterioro cognoscitivo y factores asociados en adultos mayores en México. Consultado en: 2021/05/09/22:59:59. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342007001000006.
Estratificación social: una propuesta metodológica multidimensional para la subregión norte de América Latina y el Caribe. pp. 72
Mejia-Arango, Silvia; Gutierrez, Luis Miguel (2011) Prevalence and Incidence Rates of Dementia and Cognitive Impairment No Dementia in the Mexican Population. En: Journal of aging and health. Vol. 23; No. 7; pp. 1050 - 1074; 0898-2643; Consultado en: 2021/05/15/21:26:32. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557523/. Disponible en: 10.1177/0898264311421199.
Enasem. Consultado en: 2021/05/23/17:31:57. Disponible en: http://www.enasem.org/DocumentationQuestionnaire_Esp.aspx.
Matamoros Pinel, Roberto Antonio; Ceballos Márquez, Alejandro; Matamoros Pinel, Roberto Antonio; Ceballos Márquez, Alejandro (2017) Errores conceptuales de estadística más comunes en publicaciones científicas. En: CES Medicina Veterinaria y Zootecnia. Vol. 12; No. 3; pp. 211 - 229; 1900-9607; Consultado en: 2021/11/28/18:37:42. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S1900-96072017000300211&lng=en&nrm=iso&tlng=es. Disponible en: 10.21615/cesmvz.12.3.4.
Ioannidis, John P. A. (2005) Why Most Published Research Findings Are False. En: PLoS Medicine. Vol. 2; No. 8; pp. e124 1549-1676; Consultado en: 2021/11/29/12:46:52. Disponible en: https://dx.plos.org/10.1371/journal.pmed.0020124. Disponible en: 10.1371/journal.pmed.0020124.
Mejía-Arango, Silvia; Miguel-Jaimes, Alejandro; Villa, Antonio; Ruiz-Arregui, Liliana; Gutiérrez-Robledo, Luis Miguel (2007) Deterioro cognoscitivo y factores asociados en adultos mayores en México. En: Salud Pública de México. Vol. 49; pp. s475 - s481; 0036-3634; Consultado en: 2022/05/07/15:19:21. Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342007001000006&lng=es&nrm=iso&tlng=es. Disponible en: 10.1590/S0036-36342007001000006.
Mejía-Arango, Silvia; Miguel-Jaimes, Alejandro; Villa, Antonio; Ruiz-Arregui, Liliana; Gutiérrez-Robledo, Luis Miguel (2007) Deterioro cognoscitivo y factores asociados en adultos mayores en México. En: Salud Pública de México. Vol. 49; pp. s475 - s481; 0036-3634; Consultado en: 2022/05/07/15:19:54. Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342007001000006&lng=es&nrm=iso&tlng=es. Disponible en: 10.1590/S0036-36342007001000006.
Decreto 1377 de 2013. Consultado en: 2022/05/10/02:07:45. Disponible en: https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=53646.
Hock, Robert A.; Stark, Sharon Wallace; Weiss, Marcia J. (2021) Cognitive changes of aging. En: Salem Press Encyclopedia of Health. Consultado en: 2022/05/15/. Disponible en: https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=93871843&site=eds-live.
Walker, Keenan A.; Power, Melinda C.; Gottesman, Rebecca F. (2017) Defining the relationship between hypertension, cognitive decline, and dementia: a review. En: Current hypertension reports. Vol. 19; No. 3; pp. 24 1522-6417; Consultado en: 2022/05/14/19:41:26. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164165/. Disponible en: 10.1007/s11906-017-0724-3.
Biessels, Geert Jan; Despa, Florin (2018) Cognitive decline and dementia in diabetes: mechanisms and clinical implications. En: Nature reviews. Endocrinology. Vol. 14; No. 10; pp. 591 - 604; 1759-5029; Consultado en: 2022/05/14/21:01:30. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397437/. Disponible en: 10.1038/s41574-018-0048-7.
Preuss, U. W.; Siafarikas, N.; Petrucci, M.; Wong, W. M. (2009) [Depressive disorders in dementia and mild cognitive impairments: is comorbidity a cause or a risk factor?]. En: Fortschritte Der Neurologie-Psychiatrie. Vol. 77; No. 7; pp. 399 - 406; 1439-3522; Disponible en: 10.1055/s-0028-1109454.
Hock, Robert A.; Stark, Sharon Wallace; Weiss, Marcia J. (2021) Cognitive changes of aging. En: Salem Press Encyclopedia of Health. Consultado en: 2022/05/15/. Disponible en: https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=93871843&site=eds-live.
Glosser, Guila; Wolfe, Nicola; Albert, Martin L.; Lavine, Lawrence; Steele, John C.; Calne, Donald B.; Schoenberg, Bruce S. (1993) Cross-Cultural Cognitive Examination: Validation of a Dementia Screening Instrument for Neuroepidemiological Research. En: Journal of the American Geriatrics Society. Vol. 41; No. 9; pp. 931 - 939; 00028614; Consultado en: 2022/09/23/14:49:45. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.1993.tb06758.x. Disponible en: 10.1111/j.1532-5415.1993.tb06758.x.
Consultado en: 2022/10/30/23:40:43. Disponible en: https://enasem.org/Documentation/SurveyDesign_Esp.aspx.
Rivadeneira, Alexander Gómez; Aya, Dayana Ivonne Arenas (2013) Análisis comparado de indicadores demográficos, epidemiológicos. pp. 8
Determinantes sociales de la salud. Consultado en: 2022/11/24/21:21:23. Disponible en: https://www.paho.org/es/temas/determinantes-sociales-salud.
La salud y sus determinantes, promoción de la salud y educación sanitaria. Consultado en: 2022/11/24/21:46:04. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S2529-850X2020000100081.
Tom, Sarah E.; Phadke, Manali; Hubbard, Rebecca A.; Crane, Paul K.; Stern, Yaakov; Larson, Eric B. (2020) Association of Demographic and Early-Life Socioeconomic Factors by Birth Cohort With Dementia Incidence Among US Adults Born Between 1893 and 1949. En: JAMA Network Open. Vol. 3; No. 7; pp. e2011094 2574-3805; Consultado en: 2021/01/26/03:32:33. Disponible en: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768708. Disponible en: 10.1001/jamanetworkopen.2020.11094.
Murata, Chiyoe; Saito, Tami; Saito, Masashige; Kondo, Katsunori (2019) The Association between Social Support and Incident Dementia: A 10-Year Follow-Up Study in Japan. En: International Journal of Environmental Research and Public Health. Vol. 16; No. 2; 1660-4601; Disponible en: 10.3390/ijerph16020239.
Alvarado García, Alejandra María; Salazar Maya, Ángela María (2014) Análisis del concepto de envejecimiento. En: Gerokomos. Vol. 25; No. 2; pp. 57 - 62; 1134-928X; Consultado en: 2021/01/27/03:26:23. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2014000200002&lng=en&nrm=iso&tlng=en. Disponible en: 10.4321/S1134-928X2014000200002.
Aguirre-Acevedo, Daniel Camilo; Henao, Eliana; Tirado, Victoria; Muñoz, Claudia; Giraldo Arango, Diana; Lopera Restrepo, Francisco; Jaimes Barragán, Fabián (2014) Factores asociados con el declive cognitivo en población menor de 65 años. Una revisión sistemática. En: Factors Associated with Cognitive Decline in a Population Less than 65 Years Old. A Systematic Review (English). Vol. 43; No. 2; pp. 113 - 122; 0034-7450; Consultado en: 2021/01/28/02:23:08. Disponible en: http://ez.urosario.edu.co/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edselp&AN=S0034745014000250&lang=es&site=eds-live&scope=site. Disponible en: 10.1016/j.rcp.2014.02.009.
OMS | Datos interesantes acerca del envejecimiento. Consultado en: 2021/03/02/22:33:11. Disponible en: https://www.who.int/ageing/about/facts/es/.
Presidente de la Asamblea General de las Naciones Unidas. Consultado en: 2021/03/02/23:54:51. Disponible en: https://www.un.org/es/ga/president/65/issues/ncdiseases.shtml.
Llibre Rodríguez, Juan; Gutiérrez Herrera, Raúl Fernando (2014) Demencias y enfermedad de Alzheimer en América Latina y el Caribe. En: Revista Cubana de Salud Pública. Vol. 40; No. 3; pp. 378 - 387; 0864-3466; Consultado en: 2021/03/05/. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0864-34662014000300008&lng=es&nrm=iso&tlng=es.
Weltgesundheitsorganisation; Alzheimer's Disease International (2012) Dementia: a public health priority. pp. 102 Geneva 978-92-4-156445-8;
United Nations; Huenchuan, Sandra (2019) Envejecimiento, Personas Mayores y Agenda 2030 para el Desarrollo Sostenible: Perspectiva Regional y de Derechos Humanos. En: ECLAC Books.: UN; 978-92-1-358097-4 978-92-1-058640-5; Consultado en: 2021/03/27/02:14:16. Disponible en: https://www.un-ilibrary.org/content/books/9789210586405.
Esperanza de vida en México 2020. En: Statista. Consultado en: 2021/04/01/01:28:28. Disponible en: https://es.statista.com/estadisticas/1149433/esperanza-de-vida-mexico/.
Cognitive Impairment and Dementia- ClinicalKey. Consultado en: 2021/04/03/. Disponible en: https://www-clinicalkey-es.ez.urosario.edu.co/#!/content/book/3-s2.0-B978032353266200374X?scrollTo=%23hl0000360.
Bayard, Rodolfo Isidro Bosch; Llerena, Tania Zayas; Ulloa, Elaine Hernández; Algunos determinantes sociales y su impacto en las demencias. En: Revista Cubana de Salud Pública. pp. 12
Bayard, Rodolfo Isidro Bosch; Llerena, Tania Zayas; Ulloa, Elaine Hernández; Algunos determinantes sociales y su impacto en las demencias. En: Revista Cubana de Salud Pública. pp. 12
DEMENCIA. Consultado en: 2021/04/10/. Disponible en: https://webcache.googleusercontent.com/search?q=cache:vJ-0huvTQhIJ:https://www.segg.es/download.asp%3Ffile%3D/tratadogeriatria/PDF/S35-05%252017_II.pdf+&cd=1&hl=es-419&ct=clnk&gl=co&client=safari.
Pérez, Esparza; La demencia: diagnóstico y evaluación. pp. 8
Estratificación social: una propuesta metodológica multidimensional para la subregión norte de América Latina y el Caribe. pp. 72
Estratificación social: una propuesta metodológica multidimensional para la subregión norte de América Latina y el Caribe. pp. 72
MHAS. Consultado en: 2021/05/09/22:55:55. Disponible en: http://www.enasem.org/Index_Esp.aspx.
Murata, Chiyoe; Saito, Tami; Saito, Masashige; Kondo, Katsunori (2019) The Association between Social Support and Incident Dementia: A 10-Year Follow-Up Study in Japan. En: International Journal of Environmental Research and Public Health. Vol. 16; No. 2; 1661-7827; Consultado en: 2021/05/09/22:57:09. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352228/. Disponible en: 10.3390/ijerph16020239.
Rusmaully, Jennifer; Dugravot, Aline; Moatti, Jean-Paul; Marmot, Michael G.; Elbaz, Alexis; Kivimaki, Mika; Sabia, Séverine; Singh-Manoux, Archana (2017) Contribution of cognitive performance and cognitive decline to associations between socioeconomic factors and dementia: A cohort study. En: PLoS Medicine. Vol. 14; No. 6; 1549-1277; Consultado en: 2021/05/09/22:57:58. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484463/. Disponible en: 10.1371/journal.pmed.1002334.
Cadar, Dorina; Lassale, Camille; Davies, Hilary; Llewellyn, David J.; Batty, G. David; Steptoe, Andrew (2018) Individual and Area-Based Socioeconomic Factors Associated With Dementia Incidence in England. En: JAMA Psychiatry. Vol. 75; No. 7; pp. 723 - 732; 2168-622X; Consultado en: 2021/05/09/22:58:49. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145673/. Disponible en: 10.1001/jamapsychiatry.2018.1012.
Deterioro cognoscitivo y factores asociados en adultos mayores en México. Consultado en: 2021/05/09/22:59:59. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342007001000006.
Estratificación social: una propuesta metodológica multidimensional para la subregión norte de América Latina y el Caribe. pp. 72
Mejia-Arango, Silvia; Gutierrez, Luis Miguel (2011) Prevalence and Incidence Rates of Dementia and Cognitive Impairment No Dementia in the Mexican Population. En: Journal of aging and health. Vol. 23; No. 7; pp. 1050 - 1074; 0898-2643; Consultado en: 2021/05/15/21:26:32. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557523/. Disponible en: 10.1177/0898264311421199.
Enasem. Consultado en: 2021/05/23/17:31:57. Disponible en: http://www.enasem.org/DocumentationQuestionnaire_Esp.aspx.
Matamoros Pinel, Roberto Antonio; Ceballos Márquez, Alejandro; Matamoros Pinel, Roberto Antonio; Ceballos Márquez, Alejandro (2017) Errores conceptuales de estadística más comunes en publicaciones científicas. En: CES Medicina Veterinaria y Zootecnia. Vol. 12; No. 3; pp. 211 - 229; 1900-9607; Consultado en: 2021/11/28/18:37:42. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S1900-96072017000300211&lng=en&nrm=iso&tlng=es. Disponible en: 10.21615/cesmvz.12.3.4.
Ioannidis, John P. A. (2005) Why Most Published Research Findings Are False. En: PLoS Medicine. Vol. 2; No. 8; pp. e124 1549-1676; Consultado en: 2021/11/29/12:46:52. Disponible en: https://dx.plos.org/10.1371/journal.pmed.0020124. Disponible en: 10.1371/journal.pmed.0020124.
Mejía-Arango, Silvia; Miguel-Jaimes, Alejandro; Villa, Antonio; Ruiz-Arregui, Liliana; Gutiérrez-Robledo, Luis Miguel (2007) Deterioro cognoscitivo y factores asociados en adultos mayores en México. En: Salud Pública de México. Vol. 49; pp. s475 - s481; 0036-3634; Consultado en: 2022/05/07/15:19:21. Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342007001000006&lng=es&nrm=iso&tlng=es. Disponible en: 10.1590/S0036-36342007001000006.
Mejía-Arango, Silvia; Miguel-Jaimes, Alejandro; Villa, Antonio; Ruiz-Arregui, Liliana; Gutiérrez-Robledo, Luis Miguel (2007) Deterioro cognoscitivo y factores asociados en adultos mayores en México. En: Salud Pública de México. Vol. 49; pp. s475 - s481; 0036-3634; Consultado en: 2022/05/07/15:19:54. Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342007001000006&lng=es&nrm=iso&tlng=es. Disponible en: 10.1590/S0036-36342007001000006.
Decreto 1377 de 2013. Consultado en: 2022/05/10/02:07:45. Disponible en: https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=53646.
Hock, Robert A.; Stark, Sharon Wallace; Weiss, Marcia J. (2021) Cognitive changes of aging. En: Salem Press Encyclopedia of Health. Consultado en: 2022/05/16/. Disponible en: https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=93871843&site=eds-live.
Walker, Keenan A.; Power, Melinda C.; Gottesman, Rebecca F. (2017) Defining the relationship between hypertension, cognitive decline, and dementia: a review. En: Current hypertension reports. Vol. 19; No. 3; pp. 24 1522-6417; Consultado en: 2022/05/14/19:41:26. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164165/. Disponible en: 10.1007/s11906-017-0724-3.
Biessels, Geert Jan; Despa, Florin (2018) Cognitive decline and dementia in diabetes: mechanisms and clinical implications. En: Nature reviews. Endocrinology. Vol. 14; No. 10; pp. 591 - 604; 1759-5029; Consultado en: 2022/05/14/21:01:30. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397437/. Disponible en: 10.1038/s41574-018-0048-7.
Preuss, U. W.; Siafarikas, N.; Petrucci, M.; Wong, W. M. (2009) [Depressive disorders in dementia and mild cognitive impairments: is comorbidity a cause or a risk factor?]. En: Fortschritte Der Neurologie-Psychiatrie. Vol. 77; No. 7; pp. 399 - 406; 1439-3522; Disponible en: 10.1055/s-0028-1109454.
Hock, Robert A.; Stark, Sharon Wallace; Weiss, Marcia J. (2021) Cognitive changes of aging. En: Salem Press Encyclopedia of Health. Consultado en: 2022/05/16/. Disponible en: https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=93871843&site=eds-live.
Glosser, Guila; Wolfe, Nicola; Albert, Martin L.; Lavine, Lawrence; Steele, John C.; Calne, Donald B.; Schoenberg, Bruce S. (1993) Cross-Cultural Cognitive Examination: Validation of a Dementia Screening Instrument for Neuroepidemiological Research. En: Journal of the American Geriatrics Society. Vol. 41; No. 9; pp. 931 - 939; 00028614; Consultado en: 2022/09/23/14:49:45. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.1993.tb06758.x. Disponible en: 10.1111/j.1532-5415.1993.tb06758.x.
Consultado en: 2022/10/30/23:40:43. Disponible en: https://enasem.org/Documentation/SurveyDesign_Esp.aspx.
Rivadeneira, Alexander Gómez; Aya, Dayana Ivonne Arenas (2013) Análisis comparado de indicadores demográficos, epidemiológicos. pp. 8
Determinantes sociales de la salud. Consultado en: 2022/11/24/21:21:23. Disponible en: https://www.paho.org/es/temas/determinantes-sociales-salud.
La salud y sus determinantes, promoción de la salud y educación sanitaria. Consultado en: 2022/11/24/21:46:04. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S2529-850X2020000100081.
Tom, Sarah E.; Phadke, Manali; Hubbard, Rebecca A.; Crane, Paul K.; Stern, Yaakov; Larson, Eric B. (2020) Association of Demographic and Early-Life Socioeconomic Factors by Birth Cohort With Dementia Incidence Among US Adults Born Between 1893 and 1949. En: JAMA Network Open. Vol. 3; No. 7; pp. e2011094 2574-3805; Consultado en: 2021/01/26/03:32:33. Disponible en: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768708. Disponible en: 10.1001/jamanetworkopen.2020.11094.
Murata, Chiyoe; Saito, Tami; Saito, Masashige; Kondo, Katsunori (2019) The Association between Social Support and Incident Dementia: A 10-Year Follow-Up Study in Japan. En: International Journal of Environmental Research and Public Health. Vol. 16; No. 2; 1660-4601; Disponible en: 10.3390/ijerph16020239.
Alvarado García, Alejandra María; Salazar Maya, Ángela María (2014) Análisis del concepto de envejecimiento. En: Gerokomos. Vol. 25; No. 2; pp. 57 - 62; 1134-928X; Consultado en: 2021/01/27/03:26:23. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2014000200002&lng=en&nrm=iso&tlng=en. Disponible en: 10.4321/S1134-928X2014000200002.
Aguirre-Acevedo, Daniel Camilo; Henao, Eliana; Tirado, Victoria; Muñoz, Claudia; Giraldo Arango, Diana; Lopera Restrepo, Francisco; Jaimes Barragán, Fabián (2014) Factores asociados con el declive cognitivo en población menor de 65 años. Una revisión sistemática. En: Factors Associated with Cognitive Decline in a Population Less than 65 Years Old. A Systematic Review (English). Vol. 43; No. 2; pp. 113 - 122; 0034-7450; Consultado en: 2021/01/28/02:23:08. Disponible en: http://ez.urosario.edu.co/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edselp&AN=S0034745014000250&lang=es&site=eds-live&scope=site. Disponible en: 10.1016/j.rcp.2014.02.009.
OMS | Datos interesantes acerca del envejecimiento. Consultado en: 2021/03/02/22:33:11. Disponible en: https://www.who.int/ageing/about/facts/es/.
Presidente de la Asamblea General de las Naciones Unidas. Consultado en: 2021/03/02/23:54:51. Disponible en: https://www.un.org/es/ga/president/65/issues/ncdiseases.shtml.
Llibre Rodríguez, Juan; Gutiérrez Herrera, Raúl Fernando (2014) Demencias y enfermedad de Alzheimer en América Latina y el Caribe. En: Revista Cubana de Salud Pública. Vol. 40; No. 3; pp. 378 - 387; 0864-3466; Consultado en: 2021/03/05/. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0864-34662014000300008&lng=es&nrm=iso&tlng=es.
Weltgesundheitsorganisation; Alzheimer's Disease International (2012) Dementia: a public health priority. pp. 102 Geneva 978-92-4-156445-8;
United Nations; Huenchuan, Sandra (2019) Envejecimiento, Personas Mayores y Agenda 2030 para el Desarrollo Sostenible: Perspectiva Regional y de Derechos Humanos. En: ECLAC Books.: UN; 978-92-1-358097-4 978-92-1-058640-5; Consultado en: 2021/03/27/02:14:16. Disponible en: https://www.un-ilibrary.org/content/books/9789210586405.
Esperanza de vida en México 2020. En: Statista. Consultado en: 2021/04/01/01:28:28. Disponible en: https://es.statista.com/estadisticas/1149433/esperanza-de-vida-mexico/.
Cognitive Impairment and Dementia- ClinicalKey. Consultado en: 2021/04/03/. Disponible en: https://www-clinicalkey-es.ez.urosario.edu.co/#!/content/book/3-s2.0-B978032353266200374X?scrollTo=%23hl0000360.
Bayard, Rodolfo Isidro Bosch; Llerena, Tania Zayas; Ulloa, Elaine Hernández; Algunos determinantes sociales y su impacto en las demencias. En: Revista Cubana de Salud Pública. pp. 12
Bayard, Rodolfo Isidro Bosch; Llerena, Tania Zayas; Ulloa, Elaine Hernández; Algunos determinantes sociales y su impacto en las demencias. En: Revista Cubana de Salud Pública. pp. 12
DEMENCIA. Consultado en: 2021/04/10/. Disponible en: https://webcache.googleusercontent.com/search?q=cache:vJ-0huvTQhIJ:https://www.segg.es/download.asp%3Ffile%3D/tratadogeriatria/PDF/S35-05%252017_II.pdf+&cd=1&hl=es-419&ct=clnk&gl=co&client=safari.
Pérez, Esparza; La demencia: diagnóstico y evaluación. pp. 8
Estratificación social: una propuesta metodológica multidimensional para la subregión norte de América Latina y el Caribe. pp. 72
Estratificación social: una propuesta metodológica multidimensional para la subregión norte de América Latina y el Caribe. pp. 72
MHAS. Consultado en: 2021/05/09/22:55:55. Disponible en: http://www.enasem.org/Index_Esp.aspx.
Murata, Chiyoe; Saito, Tami; Saito, Masashige; Kondo, Katsunori (2019) The Association between Social Support and Incident Dementia: A 10-Year Follow-Up Study in Japan. En: International Journal of Environmental Research and Public Health. Vol. 16; No. 2; 1661-7827; Consultado en: 2021/05/09/22:57:09. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352228/. Disponible en: 10.3390/ijerph16020239.
Rusmaully, Jennifer; Dugravot, Aline; Moatti, Jean-Paul; Marmot, Michael G.; Elbaz, Alexis; Kivimaki, Mika; Sabia, Séverine; Singh-Manoux, Archana (2017) Contribution of cognitive performance and cognitive decline to associations between socioeconomic factors and dementia: A cohort study. En: PLoS Medicine. Vol. 14; No. 6; 1549-1277; Consultado en: 2021/05/09/22:57:58. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484463/. Disponible en: 10.1371/journal.pmed.1002334.
Cadar, Dorina; Lassale, Camille; Davies, Hilary; Llewellyn, David J.; Batty, G. David; Steptoe, Andrew (2018) Individual and Area-Based Socioeconomic Factors Associated With Dementia Incidence in England. En: JAMA Psychiatry. Vol. 75; No. 7; pp. 723 - 732; 2168-622X; Consultado en: 2021/05/09/22:58:49. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145673/. Disponible en: 10.1001/jamapsychiatry.2018.1012.
Deterioro cognoscitivo y factores asociados en adultos mayores en México. Consultado en: 2021/05/09/22:59:59. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342007001000006.
Estratificación social: una propuesta metodológica multidimensional para la subregión norte de América Latina y el Caribe. pp. 72
Mejia-Arango, Silvia; Gutierrez, Luis Miguel (2011) Prevalence and Incidence Rates of Dementia and Cognitive Impairment No Dementia in the Mexican Population. En: Journal of aging and health. Vol. 23; No. 7; pp. 1050 - 1074; 0898-2643; Consultado en: 2021/05/15/21:26:32. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557523/. Disponible en: 10.1177/0898264311421199.
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Mejía-Arango, Silvia; Miguel-Jaimes, Alejandro; Villa, Antonio; Ruiz-Arregui, Liliana; Gutiérrez-Robledo, Luis Miguel (2007) Deterioro cognoscitivo y factores asociados en adultos mayores en México. En: Salud Pública de México. Vol. 49; pp. s475 - s481; 0036-3634; Consultado en: 2022/05/07/15:19:21. Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342007001000006&lng=es&nrm=iso&tlng=es. Disponible en: 10.1590/S0036-36342007001000006.
Mejía-Arango, Silvia; Miguel-Jaimes, Alejandro; Villa, Antonio; Ruiz-Arregui, Liliana; Gutiérrez-Robledo, Luis Miguel (2007) Deterioro cognoscitivo y factores asociados en adultos mayores en México. En: Salud Pública de México. Vol. 49; pp. s475 - s481; 0036-3634; Consultado en: 2022/05/07/15:19:54. Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342007001000006&lng=es&nrm=iso&tlng=es. Disponible en: 10.1590/S0036-36342007001000006.
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Hock, Robert A.; Stark, Sharon Wallace; Weiss, Marcia J. (2021) Cognitive changes of aging. En: Salem Press Encyclopedia of Health. Consultado en: 2022/05/16/. Disponible en: https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=93871843&site=eds-live.
Glosser, Guila; Wolfe, Nicola; Albert, Martin L.; Lavine, Lawrence; Steele, John C.; Calne, Donald B.; Schoenberg, Bruce S. (1993) Cross-Cultural Cognitive Examination: Validation of a Dementia Screening Instrument for Neuroepidemiological Research. En: Journal of the American Geriatrics Society. Vol. 41; No. 9; pp. 931 - 939; 00028614; Consultado en: 2022/09/23/14:49:45. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.1993.tb06758.x. Disponible en: 10.1111/j.1532-5415.1993.tb06758.x.
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Estratificación social: una propuesta metodológica multidimensional para la subregión norte de América Latina y el Caribe. pp. 72
Estratificación social: una propuesta metodológica multidimensional para la subregión norte de América Latina y el Caribe. pp. 72
MHAS. Consultado en: 2021/05/09/22:55:55. Disponible en: http://www.enasem.org/Index_Esp.aspx.
Murata, Chiyoe; Saito, Tami; Saito, Masashige; Kondo, Katsunori (2019) The Association between Social Support and Incident Dementia: A 10-Year Follow-Up Study in Japan. En: International Journal of Environmental Research and Public Health. Vol. 16; No. 2; 1661-7827; Consultado en: 2021/05/09/22:57:09. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352228/. Disponible en: 10.3390/ijerph16020239.
Rusmaully, Jennifer; Dugravot, Aline; Moatti, Jean-Paul; Marmot, Michael G.; Elbaz, Alexis; Kivimaki, Mika; Sabia, Séverine; Singh-Manoux, Archana (2017) Contribution of cognitive performance and cognitive decline to associations between socioeconomic factors and dementia: A cohort study. En: PLoS Medicine. Vol. 14; No. 6; 1549-1277; Consultado en: 2021/05/09/22:57:58. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484463/. Disponible en: 10.1371/journal.pmed.1002334.
Cadar, Dorina; Lassale, Camille; Davies, Hilary; Llewellyn, David J.; Batty, G. David; Steptoe, Andrew (2018) Individual and Area-Based Socioeconomic Factors Associated With Dementia Incidence in England. En: JAMA Psychiatry. Vol. 75; No. 7; pp. 723 - 732; 2168-622X; Consultado en: 2021/05/09/22:58:49. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145673/. Disponible en: 10.1001/jamapsychiatry.2018.1012.
Deterioro cognoscitivo y factores asociados en adultos mayores en México. Consultado en: 2021/05/09/22:59:59. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342007001000006.
Estratificación social: una propuesta metodológica multidimensional para la subregión norte de América Latina y el Caribe. pp. 72
Mejia-Arango, Silvia; Gutierrez, Luis Miguel (2011) Prevalence and Incidence Rates of Dementia and Cognitive Impairment No Dementia in the Mexican Population. En: Journal of aging and health. Vol. 23; No. 7; pp. 1050 - 1074; 0898-2643; Consultado en: 2021/05/15/21:26:32. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557523/. Disponible en: 10.1177/0898264311421199.
Enasem. Consultado en: 2021/05/23/17:31:57. Disponible en: http://www.enasem.org/DocumentationQuestionnaire_Esp.aspx.
Matamoros Pinel, Roberto Antonio; Ceballos Márquez, Alejandro; Matamoros Pinel, Roberto Antonio; Ceballos Márquez, Alejandro (2017) Errores conceptuales de estadística más comunes en publicaciones científicas. En: CES Medicina Veterinaria y Zootecnia. Vol. 12; No. 3; pp. 211 - 229; 1900-9607; Consultado en: 2021/11/28/18:37:42. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S1900-96072017000300211&lng=en&nrm=iso&tlng=es. Disponible en: 10.21615/cesmvz.12.3.4.
Ioannidis, John P. A. (2005) Why Most Published Research Findings Are False. En: PLoS Medicine. Vol. 2; No. 8; pp. e124 1549-1676; Consultado en: 2021/11/29/12:46:52. Disponible en: https://dx.plos.org/10.1371/journal.pmed.0020124. Disponible en: 10.1371/journal.pmed.0020124.
Mejía-Arango, Silvia; Miguel-Jaimes, Alejandro; Villa, Antonio; Ruiz-Arregui, Liliana; Gutiérrez-Robledo, Luis Miguel (2007) Deterioro cognoscitivo y factores asociados en adultos mayores en México. En: Salud Pública de México. Vol. 49; pp. s475 - s481; 0036-3634; Consultado en: 2022/05/07/15:19:21. Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342007001000006&lng=es&nrm=iso&tlng=es. Disponible en: 10.1590/S0036-36342007001000006.
Mejía-Arango, Silvia; Miguel-Jaimes, Alejandro; Villa, Antonio; Ruiz-Arregui, Liliana; Gutiérrez-Robledo, Luis Miguel (2007) Deterioro cognoscitivo y factores asociados en adultos mayores en México. En: Salud Pública de México. Vol. 49; pp. s475 - s481; 0036-3634; Consultado en: 2022/05/07/15:19:54. Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342007001000006&lng=es&nrm=iso&tlng=es. Disponible en: 10.1590/S0036-36342007001000006.
Decreto 1377 de 2013. Consultado en: 2022/05/10/02:07:45. Disponible en: https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=53646.
Hock, Robert A.; Stark, Sharon Wallace; Weiss, Marcia J. (2021) Cognitive changes of aging. En: Salem Press Encyclopedia of Health. Consultado en: 2022/05/17/. Disponible en: https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=93871843&site=eds-live.
Walker, Keenan A.; Power, Melinda C.; Gottesman, Rebecca F. (2017) Defining the relationship between hypertension, cognitive decline, and dementia: a review. En: Current hypertension reports. Vol. 19; No. 3; pp. 24 1522-6417; Consultado en: 2022/05/14/19:41:26. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164165/. Disponible en: 10.1007/s11906-017-0724-3.
Biessels, Geert Jan; Despa, Florin (2018) Cognitive decline and dementia in diabetes: mechanisms and clinical implications. En: Nature reviews. Endocrinology. Vol. 14; No. 10; pp. 591 - 604; 1759-5029; Consultado en: 2022/05/14/21:01:30. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397437/. Disponible en: 10.1038/s41574-018-0048-7.
Preuss, U. W.; Siafarikas, N.; Petrucci, M.; Wong, W. M. (2009) [Depressive disorders in dementia and mild cognitive impairments: is comorbidity a cause or a risk factor?]. En: Fortschritte Der Neurologie-Psychiatrie. Vol. 77; No. 7; pp. 399 - 406; 1439-3522; Disponible en: 10.1055/s-0028-1109454.
Hock, Robert A.; Stark, Sharon Wallace; Weiss, Marcia J. (2021) Cognitive changes of aging. En: Salem Press Encyclopedia of Health. Consultado en: 2022/05/17/. Disponible en: https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=93871843&site=eds-live.
Glosser, Guila; Wolfe, Nicola; Albert, Martin L.; Lavine, Lawrence; Steele, John C.; Calne, Donald B.; Schoenberg, Bruce S. (1993) Cross-Cultural Cognitive Examination: Validation of a Dementia Screening Instrument for Neuroepidemiological Research. En: Journal of the American Geriatrics Society. Vol. 41; No. 9; pp. 931 - 939; 00028614; Consultado en: 2022/09/23/14:49:45. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.1993.tb06758.x. Disponible en: 10.1111/j.1532-5415.1993.tb06758.x.
Consultado en: 2022/10/30/23:40:43. Disponible en: https://enasem.org/Documentation/SurveyDesign_Esp.aspx.
Rivadeneira, Alexander Gómez; Aya, Dayana Ivonne Arenas (2013) Análisis comparado de indicadores demográficos, epidemiológicos. pp. 8
Determinantes sociales de la salud. Consultado en: 2022/11/24/21:21:23. Disponible en: https://www.paho.org/es/temas/determinantes-sociales-salud.
La salud y sus determinantes, promoción de la salud y educación sanitaria. Consultado en: 2022/11/24/21:46:04. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S2529-850X2020000100081.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/198772024-08-20T11:40:38Zcom_10336_925com_10336_562col_10336_12382
Relación entre depresión mayor y pobreza multidimensional en adultos en Colombia, 2015
Vargas-Díaz, Lorena María
Trillos Peña, Carlos Enrique
Pobreza
Índice de pobreza multidimensional
Trastorno depresivo mayor
Estudios de corte transversal
Introduction: Depressive disorder is one of the most prevalent mental illnesses, and has been classified as a public health problem worldwide and has been reported in relation to the condition of poverty. Objective: To determine the relationship between multidimensional poverty status and the presence of major depressive disorder (MDD) in the adult population in Colombia. Methodology: Analytical cross-sectional study in which was evaluated the relationship between the multidimensional poverty index and the presence of major depressive disorder in the Colombian population. Results: 10,404 subjects older than 18 years were included. The mean age was 43.39 (SD 16.7) and 59.4% were women. The majority of households (78.8%) were classified as non-poverty according to the MPI, 76.6% were located in urban areas with representation from all regions of the country. A prevalence of MDD of 1.7% was found, with higher prevalence in Bogotá (2.7%) and the Pacific (2.4%). It was found that members of households living in poverty have a higher risk of depression (OR: 1,824 CI: 1,194-2,786), women (OR: 2,198 CI: 1,549-3,118), single, separated, widowed, or divorced (OR: 1,986 CI: 1.46-2.7) and living in urban area (OR: 1.62 IC: 1,139-2,305). Discussion: In the present study the existence of a relationship between the poverty condition and the depressive disorder was found. This relationship was more evident for the MDD in the last 12 months in people who belong to households in a state of poverty.
2019-06-18T21:01:27Z
2019-06-18T21:01:27Z
2019-06-18T21:01:27Z
2019
masterThesis
https://doi.org/10.48713/10336_19877
http://repository.urosario.edu.co/handle/10336/19877
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/251822024-08-20T11:41:30Zcom_10336_925com_10336_562col_10336_12382
Tratamiento de primera línea en pacientes con diagnóstico reciente de Mieloma Múltiple candidatos a trasplante: Network Metaanálisis
Escobar Franco, Omar Huang David
Trillos Peña, Carlos Enrique
Manrique Hernández, Rubén Darío
Mieloma multiple
Reciente diagnostico
Metaanálisis en red
Metaanálisis de múltiples componentes
Primera linea
Terapia de inducción
Introduction: Multiple myeloma is the second most frequent hematological neoplasm, recently diagnosed patients (NDMM) who are candidates for autologous transplantation, require induction therapy that manages to bring the patient to the best response, disease free of progression and survival. Objective: To evaluate the current available evidence about first-line treatments in patients with a recent diagnosis of multiple myeloma eligible for autologous stem cell transplantation. As first objective to determine, to compare directly and indirectly the disease free of progression (PFS) and as second objective the global survival (OS). Methodology: A systematic search was performed in the Pubmed, EMBASE, Scielo, LILACS and clinicaltril.gov databases. All randomized clinical trials of newly diagnosed patients with multiple myeloma and transplant candidates were included. Assessment of biases was carried out based on the “Version 2 of the Cochrane riskof-bias tool for randomized trials (RoB 2)”, the statistical analysis with the R program and the “netmeta” package. Results: In a total of 15 RCTs that included 7272 participants. The global response rate (ORR) achieved with VTD (OR = 2.48, 95% CI: 1.53 - 4.03) and VCD (OR = 3.32, 95% CI: 1.13 - 9.79), showed greater advantage, when analyzing the components separately the drugs Bortezomib and Thalidomide were superior. Regarding overall survival (OS) and progression-free disease (PFS), the greatest advantage was observed with DaraVTD, with HR 0.31 (0.11-0.83) and HR 0.15 (0.03-0.26), respectively. Regarding the analysis of the components, Daratumumab was the drug that showed the greatest superiority in both outcomes. Conclusion / Discussion: The best response achieved after transplantation was with VTD and CyBord, however, due to the great heterogeneity, a meta-regression is required. Overall survival was benefited by Daratumumab and the DaraVTD scheme. Most medications have a very good rate of progression-free disease and this is probably due to maintenance therapies rather than induction therapy evaluated. The DaraVTD scheme has a great association, probably due to the theory of superiority of quadruplets over triplets that is currently being evaluated in the world. Keywords: multiple myeloma, recent diagnosis, eligible transplant, meta-analysis of multiple comparisons.
2020-06-16T19:25:07Z
2020-06-16T19:25:07Z
2020-06-16T19:25:07Z
masterThesis
https://doi.org/10.48713/10336_25182
https://repository.urosario.edu.co/handle/10336/25182
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
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Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Chen R, Tu Y, Cao Y, Liu L, Liang Y. Bortezomib-Dexamethasone or Vincristine-Doxorubicin-Dexamethasone as Induction Therapy Followed by Thalidomide as Maintenance Therapy in Untreated Multiple Myeloma Patients. J Int Med Res. octubre de 2011;39(5):1975–84.
Moreau P, Attal M, Hulin C, Arnulf B, Belhadj K, Benboubker L, et al. Bortezomib, thalidomide, and dexamethasone with or without daratumumab before and after autologous stem-cell transplantation for newly diagnosed multiple myeloma (CASSIOPEIA): a randomised, open-label, phase 3 study. The Lancet. julio de 2019;394(10192):29–38.
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Rosiñol L., Rosiñol L., Oriol A., Teruel A.I., Hernández D., Blanchard M.J., et al. Pretransplant induction with VTD (bortezomib/thalidomide/dexamethasone) significantly improves PFS: Long-term results of the randomized phase 3 PETHEMA/GEM study. Clin Lymphoma Myeloma Leuk. 2015;15((Rosiñol L.; Rosiñol L.; Cibeira M.T.; Bladé J.) Hospital Clínic, IDIBAPS, Barcelona, Spain):e49–50.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/400162023-07-06T03:00:47Zcom_10336_925com_10336_562col_10336_12382
Cambios en los parámetros endoteliales y del grosor central de la córnea en uveítis anterior: una revisión sistemática y metaanálisis
Cifuentes González, Carlo Humberto
Muñoz Vargas, Paula Tatiana
Hernández, Gilma Norela
De La Torre Cifuentes, Ligia Alejandra
Grupo de Neurociencias de la Universidad del Rosario (NEUROS)
Uveítis
Córnea
Endotelio Corneal
Densidad de Células Endoteliales
Hexagonalidad
Coeficiente de variación
Grosor Central Corneal
Objective: To establish the relationship between uveitis and findings in corneal endothelium and corneal central thickness. Methods: A systematic literature review was performed by searching multiple medical databases, including PubMed, EMBASE, Virtual Health Library (VHL) and a gray literature search in medRxiv. Patients with a diagnosis of anterior uveitis, anterior-intermediate uveitis, and panuveitis, who had reports of specular microscopy or pachymetry, were included. Case series studies with more than 10 patients, cross-sectional, case-control and cohort studies were included. We used CLARITY tools, validated scales such as Hassan Murad, et al. and Hoy, et al. were used to perform risk of bias/quality assessment analysis. A narrative synthesis of the information in the articles was performed; additionally, a quantitative analysis was performed by means of a standardized mean difference (SMD) meta-analysis, heterogeneity was assessed by I2. We used funnel plot to assess publication bias, as well as Egger's test. The study is registered in PROSPERO (CRD42023420148) and was approved by the ethics committee of the Universidad del Rosario DVO005 2277- CV1712. Results: The systematic review included a total of 34 eligible studies involving 1,388 eyes of patients with various types of anterior uveitis, including idiopathic, non-infectious and infectious uveitis. Endothelial parameters, including endothelial cell density (SMD = - 0.93 (95% CI -1.12, -0.74) (P <0.00001)), coefficient of variation (SMD = 0.66 (95% CI 0.47, 0.84) (P<0.00001)) and hexagonality (SMD = -0.68 (95% CI -0.85, -0.50) (P<0.00001)), had a significant mean difference in uveitis compared to healthy controls. However, there was no significant difference in corneal thickness between uveitis and controls (P 0.15). In the subgroup analysis of endothelial cell density, active uveitis and chronic-recurrent uveitis were found to have lower endothelial cell density than controls, only chronic-recurrent uveitis was different from the acute uveitis subgroup. On the other hand, the coefficient of variation was found to be increased compared to healthy controls in active, acute and chronic-recurrent uveitis, but no differences were found in the subgroups. Regarding hexagonality inactive, acute and chronic-recurrent uveitis had lower hexagonality than healthy controls and presented significant differences in the analysis by subgroups. The findings in central corneal thickness showed greater thickness in patients with active and acute uveitis versus healthy controls and also versus the subgroup where they were also statistically different. Discussion: Considering the results we can affirm that there is a negative effect of uveitis on the corneal endothelium and corneal thickness. On the other hand, in the analysis by subgroups it was observed that the corneal endothelium variables had more changes in acute uveitis, so we believe that initially the changes may be only transitory, but with the results in chronic-recurrent uveitis we see that inflammation over time may perpetuate the changes. Finally, the cornea has a very interesting behavior as it becomes thicker in patients with active and acute uveitis, which is similar to what happens in the retinal nerve fiber layer, so the number of studies should be increased to determine if this thickness can impact intraocular pressure measurements or also in the decisions made to perform refractive surgeries. Conclusions: Anterior uveitis can potentially damage the corneal endothelium and cause increased corneal thickness. These changes we think may be transient; however, if inflammatory states are perpetuated, they may generate permanent changes on corneal endothelial variables. Our findings raise new doubts about the biases that may be present in the measurement of intraocular pressure and in refractive surgery decisions in these patients. On the other hand, we see that early management is essential to prevent endothelial changes in patients with uveitis. The impact of cataract surgery on endothelial cells and endothelial values in active and acute uveitis require further investigation.
2023-07-05T21:59:11Z
2023-07-05T21:59:11Z
2023-07-05T21:59:11Z
bachelorThesis
https://doi.org/10.48713/10336_40016
https://repository.urosario.edu.co/handle/10336/40016
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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http://creativecommons.org/licenses/by-nc-nd/4.0/
Attribution-NonCommercial-NoDerivatives 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Cho, Sung Woo; Kim, Joon Mo; Choi, Chul Young; Park, Ki Ho (2009) Changes in corneal endothelial cell density in patients with normal-tension glaucoma. En: Japanese Journal of Ophthalmology. Vol. 53; No. 6; pp. 569 - 573; 0021-5155, 1613-2246; Consultado en: 2023/06/01/16:22:44. Disponible en: http://link.springer.com/10.1007/s10384-009-0740-1. Disponible en: 10.1007/s10384-009-0740-1.
Setälä, Kirsi (2009) CORNEAL ENDOTHELIAL CELL DENSITY AFTER AN ATTACK OF ACUTE GLAUCOMA. En: Acta Ophthalmologica. Vol. 57; No. 6; pp. 1004 - 1013; 1755375X; Consultado en: 2023/06/01/16:23:37. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/j.1755-3768.1979.tb00531.x. Disponible en: 10.1111/j.1755-3768.1979.tb00531.x.
Bigar, Francis; Witmer, Rudolf (1982) Corneal Endothelial Changes in Primary Acute Angle-closure Glaucoma. En: Ophthalmology. Vol. 89; No. 6; pp. 596 - 599; 01616420; Consultado en: 2023/06/01/16:24:37. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0161642082347442. Disponible en: 10.1016/S0161-6420(82)34744-2.
Chen, Mei-Ju; Liu, Catherine Jui-Ling; Cheng, Ching-Yu; Lee, Shui-Mei (2012) Corneal Status in Primary Angle-closure Glaucoma With a History of Acute Attack. En: Journal of Glaucoma. Vol. 21; No. 1; pp. 12 - 16; 1057-0829; Consultado en: 2023/06/01/16:25:40. Disponible en: https://journals.lww.com/00061198-201201000-00003. Disponible en: 10.1097/IJG.0b013e3181fc800a.
Cho, Sung Woo; Kim, Joon Mo; Choi, Chul Young; Park, Ki Ho (2009) Changes in corneal endothelial cell density in patients with normal-tension glaucoma. En: Japanese Journal of Ophthalmology. Vol. 53; No. 6; pp. 569 - 573; 0021-5155, 1613-2246; Consultado en: 2023/06/01/16:26:39. Disponible en: http://link.springer.com/10.1007/s10384-009-0740-1. Disponible en: 10.1007/s10384-009-0740-1.
Pathanapitoon, Kessara; Smitharuck, Sarunya; Kunavisarut, Paradee; Rothova, Aniki (2017) Prevalence and Visual Outcome of Glaucoma With Uveitis in a Thai Population. En: Journal of Glaucoma. Vol. 26; No. 3; pp. 247 - 252; 1057-0829; Consultado en: 2023/06/01/16:27:52. Disponible en: https://journals.lww.com/00061198-201703000-00009. Disponible en: 10.1097/IJG.0000000000000592.
Simsek, Mert; Cakar Ozdal, Pinar; Cankurtaran, Mahmut; Ozdemir, Huseyin Baran; Elgin, Ufuk (2021) Analysis of Corneal Densitometry and Endothelial Cell Function in Fuchs Uveitis Syndrome. En: Eye & Contact Lens: Science & Clinical Practice. Vol. 47; No. 4; pp. 196 - 202; 1542-2321; Consultado en: 2023/06/01/16:29:10. Disponible en: https://journals.lww.com/10.1097/ICL.0000000000000717. Disponible en: 10.1097/ICL.0000000000000717.
Sravani, NGeetha; Mohamed, Ashik; Chaurasia, Sunita; Durgam, ShravyaSri; Murthy, SomasheilaI (2020) Corneal endothelium in unilateral Fuchs heterochromic iridocyclitis. En: Indian Journal of Ophthalmology. Vol. 68; No. 3; pp. 447 0301-4738; Consultado en: 2023/06/01/16:30:03. Disponible en: https://journals.lww.com/ijo/Fulltext/2020/68030/Corneal_endothelium_in_unilateral_Fuchs.9.aspx. Disponible en: 10.4103/ijo.IJO_869_19.
Sen, Emine; Ozdal, Pinar; Balikoglu-Yilmaz, Melike; Nalcacioglu Yuksekkaya, Pinar; Elgin, Ufuk; Tirhiş, Mehmet Hakan; Ozturk, Faruk (2016) Are There Any Changes in Corneal Biomechanics and Central Corneal Thickness in Fuchs’ Uveitis?. En: Ocular Immunology and Inflammation. Vol. 24; No. 5; pp. 561 - 567; 0927-3948, 1744-5078; Consultado en: 2023/06/01/16:30:59. Disponible en: https://www.tandfonline.com/doi/full/10.3109/09273948.2015.1037459. Disponible en: 10.3109/09273948.2015.1037459.
Din, Norshamsiah M.; Taylor, Simon R. J.; Isa, Hazlita; Tomkins-Netzer, Oren; Bar, Asaf; Talat, Lazha; Lightman, Sue (2014) Evaluation of Retinal Nerve Fiber Layer Thickness in Eyes With Hypertensive Uveitis. En: JAMA Ophthalmology. Vol. 132; No. 7; pp. 859 2168-6165; Consultado en: 2023/06/01/16:33:26. Disponible en: http://archopht.jamanetwork.com/article.aspx?doi=10.1001/jamaophthalmol.2014.404. Disponible en: 10.1001/jamaophthalmol.2014.404.
Moore, Daniel B.; Jaffe, Glenn J.; Asrani, Sanjay (2015) Retinal Nerve Fiber Layer Thickness Measurements: Uveitis, A Major Confounding Factor. En: Ophthalmology. Vol. 122; No. 3; pp. 511 - 517; 01616420; Consultado en: 2023/06/01/16:34:14. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S016164201400832X. Disponible en: 10.1016/j.ophtha.2014.09.008.
Asrani, Sanjay; Moore, Daniel B.; Jaffe, Glenn J. (2014) Paradoxical Changes of Retinal Nerve Fiber Layer Thickness in Uveitic Glaucoma. En: JAMA Ophthalmology. Vol. 132; No. 7; pp. 877 2168-6165; Consultado en: 2023/06/01/16:35:00. Disponible en: http://archopht.jamanetwork.com/article.aspx?doi=10.1001/jamaophthalmol.2014.954. Disponible en: 10.1001/jamaophthalmol.2014.954.
CLARITY Group, McMaster University; Tool to Assess Risk of Bias in Case Control Studies. En: 2023. Disponible en: https://www.distillersr.com/resources/methodological-resources/tool-to-assess-risk-of-bias-in-case-control-studies-distillersr.
Institute for Statistics and Mathematics, WU (Wirtschaftsuniversität Wien).; The Comprehensive R Archive Network. En: The Comprehensive R Archive Network. Disponible en: https://cran.r-project.org.
External Disease and Cornea.
AMERICAN ACADEMY OF OPHTHALMOLOGY (2020) 2020-2021 BASIC AND CLINICAL SCIENCE COURSE (BCSC), COMPLETE SET. En: 8. S.l.: AMER ACADEMY OF OPHTHALMO; 978-1-68104-400-2;
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/251762024-08-20T11:42:17Zcom_10336_925com_10336_562col_10336_12382
Características de los cuidadores asociadas al acceso a consulta odontológica en niños colombianos menores de 5 años
Barrera López, Julián Enrique
Pinzón Rondón, Ángela María
Niño
Enfermedades orales
Caries
Consulta odontológica
Cuidador
Barreras de acceso
Factores sociodemográficos
Introduction: Early childhood caries is the most prevalent oral pathology in children according to Estudio Nacional de Salud Bucal (ENSAB) IV. Caregivers are primarily responsible for the child's health, and there are sociodemographic factors that could explain why they decide not to attend a dental consultation with them. Objective: To identify the type of caregiver of children under 5 years, their sociodemographic characteristics, and their association with the child's access to dental practice. Methodology: A quantitative, analytical cross-sectional study. 6,389 records from the ENSAB IV study were analyzed. A logistic regression model was used to determine the sociodemographic aspects of caregivers associated with the access to dental practice of the children. Results: Most of the children (59.3%) had utilized oral health services, the main reason for the consultation was preventive checkup (59.9%). Increased dental consultation was observed in children when the caregiver is black (OR = 1.21; CI = 1.026-1.427), or is between 17 and 30 years old (OR = 1.30; CI = 1.153-1.479), or is unemployed (OR = 1.54; CI = 1.114-2.155), or is not insured to the health system (OR = 1.60; CI = 1.311-1.956). Dental consultation in children decreased when the primary caregiver is the father (OR = 0.64; CI = 0.569-0.732) or has a technical educational level (OR = 0.69; CI = 0.537-0.890). Conclusions: There is a significant association between sociodemographic aspects of the caregiver with the access to dental practice of children under 5 years. The reason for consulting is associated with sociodemographic factors. This information can be used to guide public oral health policies.
2020-06-16T17:32:52Z
2020-06-16T17:32:52Z
2020-06-16T17:32:52Z
masterThesis
https://doi.org/10.48713/10336_25176
https://repository.urosario.edu.co/handle/10336/25176
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nd/2.5/co/
Atribución-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Ministerio de Salud y Protección Social, MINSALUD. IV Estudio Nacional De Salud Bucal - ENSAB IV. Bogotá, Colomb. 2014;3:381.
Dhamo B, Elezi B, Kragt L, Wolvius EB, Ongkosuwito EM. Does dental caries affect dental development in children and adolescents ? Bosn J Basic Med Sci. 2018;198–205.
Monte-santo AS, Viana SVC, Maria K, Bonini GAVC. Prevalence of early loss of primary molar and its impact in schoolchildren ’ s quality of life. Int J Paediatr Dent. 2018;(June):595–601.
Kao JK, Yang SC. Ludwig’s angina in children. J Acute Med. 2011;1(1):23–6.
Ruiz Gómez F, Zapata Jaramillo T, Garavito Beltrán L. Colombian health care system: results on equity for five health dimensions, 2003 - 2008. Rev Panam Salud Pública [Internet]. 2013;33(2):107–15.
Hernández JMR, Rubiano DPR, Barona JCC. Barreras de acceso administrativo a los servicios de salud en población Colombiana, 2013. Cien Saude Colet [Internet]. 2015;20(6):1947–58.
Cali A de S de. Principios del Sistema General de Seguridad Social en Salud [Internet]. 2013. p. http://www.cali.gov.co/egov/publicaciones/principi. Available from: http://www.cali.gov.co/egov/publicaciones/principios_del_sistema_general_de_seguridad_social_en_salud_pub
Finlayson TL, Beltran NY, Becerra K. Psychosocial factors and oral health practices of preschool-aged children: a qualitative study with Hispanic mothers. Ethn Heal. 2019;24(1):94–112.
Salud OM de la. Salud Bucodental para todos por medio de sistemas alternativos de atención bucodental: Boca sana vida sana. In 1994.
Herazo B. Clínica del Sano en Odontología.pdf. In: Clínica del Sano en Odontología. 2nd ed. ECOE Ediciones; 2012.
Gobierno de Colombia M de S y PS. Cuidados de salud bucal Niños de 6 meses a 6 años [Internet]. p. 1–43. Available from: www.minsalud.gov.co
Medical Dictionary for the Health Professions and Nursing [Internet]. 2018.
Carvajal MT. Desarrollo de la dentición. La dentición primaria. Rev Latinoam Ortod y Odontopediatría. 2009;
Pitts NB, Bds F, Rcs FDS, Fds E, Edin RCS, Uk F, et al. Guía ICCMS TM para clínicos y educadores. 2014;1–84.
Provider: John Wiley & Sons L, AU - Holan G, AU - Needleman HL, et al. Premature loss of primary anterior teeth due to trauma – potential short- and long-term sequelae REVIEW ARTICLE. Dent Traumatol. 2014;100–6.
Tsai P, Chen Y. Septic cavernous sinus thrombosis and blindness following odontogenic infection. J Dent Sci [Internet]. 2019;11(2):210–1.
Sakamoto H, Aoki T, Kise Y. Descending necrotizing mediastinitis due to odontogenic infections. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2000;89(4):412–9.
Casamassimo PS. Relationships between oral and systemic health. Pediatr Clin North Am. 2000;47(5):1149–57.
Mishu MP, Hobdell M, Khan MH, Hubbard RM, Sabbah W. Relationship between untreated dental caries and weight and height of 6- to 12-year-old primary school children in Bangladesh. Int J Dent. 2013;2013:10–5.
Maldonado-Ramírez MA, Cabrera-Cortina JI. Association between periodontal disease, diabetes mellitus and cardiovascular disease. Asoc entre Enferm periodontal, diabetes Mellit y Enferm Cardiovasc [Internet]. 2017;18(58):1530–6.
Oberoi S, Harish Y, Hiremath S, Puranik M. A cross-sectional survey to study the relationship of periodontal disease with cardiovascular disease, respiratory disease, and diabetes mellitus. J Indian Soc Periodontol. 2016;20(4):446.
Halasa-Rappel YA, Ng MW, Gaumer G, Banks DA. How useful are current caries risk assessment tools in informing the oral health care decision-making process? J Am Dent Assoc [Internet]. 2019;150(2):91-102.e2.
Schwendicke F, Krois J, Splieth CH, Innes N, Robertson M, Schmoeckel J, et al. Cost-effectiveness of managing cavitated primary molar caries lesions: A randomized trial in Germany. J Dent [Internet]. 2018;78(April 2018):40–5.
Donaldson M, Murphy L, Tickle M, Brodison J, Killough S, Greer M, et al. Cost-Effectiveness of Caries Prevention in Practice: A Randomized Controlled Trial. J Dent Res. 2017;96(8):875–80.
Ministerio de Salud y protección Social. Boletín del aseguramiento en salud. 2017;7530(01):24. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VP/DOA/boletin-aseguramiento-i-trimestre-2017.pdf
Ministerio de Salud y Protección Social de Colombia. [Internet]. 2016. Available from: https://www.minsalud.gov.co/proteccionsocial/Regimensubsidiado/Paginas/coberturas-del-regimen-subsidiado.aspx
Cardona-Arias JA. Determinantes sociales del parasitismo intestinal, la desnutrición y la anemia: revisión sistemática. Rev Panam Salud Publica. 2017;41:1–9.
Syed S, Addo OY, De La Cruz-G�ngora V, Ashour FAS, Ziegler TR, Suchdev PS. Determinants of anemia among school-aged children in Mexico, the United States and Colombia. Nutrients. 2016;8(7):1–15.
Alcalá HE, Sharif MZ, Samari G. Social Determinants of Health, Violent Radicalization, and Terrorism: A Public Health Perspective. Heal Equity [Internet]. 2017;1(1):87–95.
Masic I. Public Health Aspects of Global Population Health and Well‑being in the 21st Century Regarding Determinants of Health. Int J Prev Med. 2018;9:1–9.
Bashirian S, Seyedzadeh-Sabounchi S, Shirahmadi S, Soltanian A-R, Karimi-shahanjarini A, Vahdatinia F. Socio-demographic determinants as predictors of oral hygiene status and gingivitis in schoolchildren aged 7-12 years old: A cross-sectional study. PLoS One [Internet]. 2018;13(12):e0208886.
Naidu R, Nunn J, Forde M. Oral healthcare of preschool children in Trinidad: A qualitative study of parents and caregivers. BMC Oral Health [Internet]. 2012;12(1):1. Available from: BMC Oral Health
García-Ramírez JA, Vélez-Álvarez C. América Latina frente a los determinantes sociales de la salud: Políticas públicas implementadas. Rev salud pública [Internet]. 2013;15(5):731–42.
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Paredes S de O, Fernandes JRL, Fernandes JMF de A, Menezes VA. Utilização dos serviços odontólogicos por pré-escolares em um município de pequeno porte do Estado da Paraíba. Rev Odontol da UNESP. 2015;44(3):181–7.
Xu M, Yuan C, Sun X, Cheng M, Xie Y, Si Y. Oral health service utilization patterns among preschool children in Beijing, China. BMC Oral Health. 2018;18(1):1–9.
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Baldani MH, Rocha JS, Fadel CB, Nascimento AC, Antunes JLF, Moysés SJ. Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children. Cad Saude Publica. 2017;33(11):1–15.
Qiu RM, Lo EC, Zhi QH, Zhou Y, Tao Y, Lin HC. Factors related to children’s caries: A structural equation modeling approach. BMC Public Health. 2014;14(1):1–8.
Piovesan C, Mendes FM, Ferreira F V., Guedes RS, Ardenghi TM. Socioeconomic inequalities in the distribution of dental caries in Brazilian preschool children. J Public Health Dent. 2010;70(4):319–26.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/464282025-09-09T03:01:19Zcom_10336_925com_10336_562col_10336_12382
Morbimortalidad por trauma toracolumbar: revisión de alcance
Tovar Velandia, Maricel
Ospina Medina, María Cristina
Educacion Médica y en Ciencias de la Salud
Morbilidad
Mortalidad
Trauma toracolumbar
Lesiones óseas estables
lesiones óseas inestables
Compresiones de la médula espinal
Lesiones de la médula espinal
Introduction: Morbidity and mortality due to thoracolumbar trauma is a relevant topic in clinical-surgical and public health settings. This type of trauma involves stable and unstable bone injuries that can lead to various complications, including spinal cord compression or damage, among others. Objectives: To conduct a scoping review to identify morbidity and mortality associated with thoracolumbar trauma. Methodology: A scoping review was performed using the following databases: PubMed, LILACS, Science Direct, Scopus, EBSCO, among others. Searches were conducted in March 2025. Full- text original research articles published in the last five years, including adults aged 16 to 55, were included. Results: An exhaustive search was carried out and 1372 articles were identified and only seven of them met inclusion criteria. The selected studies were published between 2020 and 2025. The documents consisted of primary articles published in scientific journals. Among the included studies, one was a case series, two were prospective studies, and four were case studies. A total of 82 patients were included (20 women and 62 men). The reported morbidity included: Vertebral fractures, Intervertebral disc damage, Ligamentous injuries, and Bony retropulsion. Complications identified were: Intestinal injury, Major vascular injury, Muscle and ureteral damage, and Bleeding. No mortality was reported. Conclusion: Morbidity and mortality due to thoracolumbar trauma represent a complex issue with significant clinical implications, involving multiple factors. Gaps in the literature were identified, presenting opportunities for further clinical research.
2025-09-08T20:48:33Z
2025-09-08T20:48:33Z
2025-09-08T20:48:33Z
masterThesis
https://doi.org/10.48713/10336_46428
https://repository.urosario.edu.co/handle/10336/46428
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Koyfman A, Long B. The Emergency Medicine Trauma Handbook. United Kingdom: Cambridge University Press; 2020. 400 p.
Bloemers F, Jug M, Nau C, Komadina R, Pape H, Wendt K. Thoracolumbar injuries: operative treatment: indications, techniques, timing and implant removal. Current practice. Eu J Trauma Emerg. 2024;50:1959-1968. doi: https://doi.org/10.1007/s00068-024-02602-y.
Mitchell R, Harvey L, Stanford R, Close J. Health outcomes and costs of acute traumatic spinal injury in New South Wales, Australia. Spine J. 2018;18(7):1172- 1179. doi: 10.1016/j.spinee.2017.11.013.
Martin CR, Rajendram R, Preedy VR. Diagnosis and Treatment of Spinal Cord Injury. The neuroscience of spinal cord injury. India: Elsevier Inc; 2022. 626 p
Mahajan C, Prabhakar H, Kapoor I. Essentials of Anesthesia for Neurotrauma. United States of America: CRC Press; 2018. 650 p.
Zileli M, Sharif S, Fornari M. Incidence and Epidemiology of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations. Neurospine. 2021;18(4):704- 712. doi: 10.14245/ns.2142418.209.
Jansson KA, Blomqvist P, Svedmark P, Granath F, Buskens E, Larsson M, et al. Thoracolumbar vertebral fractures in Sweden: an analysis of 13,496 patients admitted to hospital. Eur J Epidemiol. 2010;25(6):431-7. doi: 10.1007/s10654-010-9461-5.
Fernández-de Thomas R, De Jesus O. Thoracolumbar Spine Fracture. StatPearls. 2023;
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/450042025-02-21T03:00:54Zcom_10336_925com_10336_562col_10336_12382
Evaluación de video educativo de toma de tres signos vitales en personal no sanitario
Rodríguez Prada, Catalina
Moreno Carrillo, Atilio
Jaimes Gelvez, Juan Carlos
Muñoz Velandia, Oscar Mauricio
Gómez Rodríguez, Carolina
Cusca Infante, Álvaro Iván
Ospina Medina, María Cristina
Telemedicina
Temperatura
Frecuencia cardiaca
Frecuencia respiratoria
Educación médica
Signos vitales
Introduction: One of the many applications of telehealth is teleconsultation, however, one of the most important challenges in this field is to guarantee a reliable taking of vital signs by the patients themselves. Methodology: A study of diagnostic tests (concordance by conformity) was designed for the taking of vital signs (heart rate, respiratory rate and temperature) by the participants after the presentation of an educational video compared to the taking of these signs by a health professional, with a vital signs monitor. Results: The sample size was 197 patients for a confidence interval of 95% and a statistical error of 5%. Temperature turns out to be the most reliable measurement value between the participants and the health personnel, followed by heart rate and respiratory rate. Conclusion: A favorable correlation and concordance is observed in the vital signs taken individually by the participants and by the health personnel. Temperature is the most reliable value and respiratory rate turns out to be the least homogeneous value between participants and health personnel.
2025-02-20T23:54:02Z
2025-02-20T23:54:02Z
2025-02-20T23:54:02Z
masterThesis
https://doi.org/10.48713/10336_45004
https://repository.urosario.edu.co/handle/10336/45004
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
States M. Global Observatory for eHealth Vol 2 Telemedicine: Opportunity and developments in Member States. Telemed Oppor Dev Memb States. 2010;2:96
Asiimwe SB, Vittinghoff E, Whooley M. Vital Signs Data and Probability of Hospitalization, Transfer to Another Facility, or Emergency Department Death Among Adults Presenting for Medical Illnesses to the Emergency Department at a Large Urban Hospital in the United States. J Emerg Med. 2020;58(4):570–80
Kellett J, Sebat F. Make vital signs great again – A call for action. Eur J Intern Med. 2017;45:13–9
Ljunggren M, Castrén M, Nordberg M, Kurland L. The association between vital signs and mortality in a retrospective cohort study of an unselected emergency department population. Scand J Trauma Resusc Emerg Med. 2016;24(1):1–11
Haac BE, Gallaher JR, Mabedi C, Geyer AJ, Charles AG. Task Shifting: The Use of Laypersons for Acquisition of Vital Signs Data for Clinical Decision Making in the Emergency Room Following Traumatic Injury. World J Surg. 2017;41(12):3066–73
Abu Abed M, Himmel W, Vormfelde S, Koschack J. Video-assisted patient education to modify behavior: A systematic review. Patient Educ Couns. 2014;97(1):16–22
Davis SA, Carpenter DM, Blalock SJ, Budenz DL, Lee C, Muir KW, et al. A randomized controlled trial of an online educational video intervention to improve glaucoma eye drop technique. Patient Educ Couns. 2019;102(5):937–43
Dahodwala M, Geransar R, Babion J, de Grood J, Sargious P. The impact of the use of video-based educational interventions on patient outcomes in hospital settings: A scoping review. Patient Educ Couns. 2018;101(12):2116–24
Woods M, Rosenberg ME. Educational tools: Thinking outside the box. Clin J Am Soc Nephrol. 2016;11(3):518–26
Heard DG, Andresen KH, Guthmiller KM, Lucas R, Heard KJ, Blewer AL, et al. Hands-Only Cardiopulmonary Resuscitation Education: A Comparison of On-Screen With Compression Feedback, Classroom, and Video Education. Ann Emerg Med. 2019;73(6):599–609
Paglino M, Contri E, Baggiani M, Tonani M, Costantini G, Bonomo MC, et al. A video-based training to effectively teach CPR with long-term retention: the ScuolaSalvaVita.it (“SchoolSavesLives.it”) project. Intern Emerg Med. 2019;14(2):275–9
Liu C, Song X, Hao H. Educational video followed by retelling bowel preparation process to improve colonoscopy bowel preparation quality: A prospective nursing intervention study. Med Sci Monit. 2018;24:6029–37
Cortés-Reyes É, Rubio-Romero JA, Gaitán-Duarte H. Statistical methods for evaluating diagnostic test agreement and reproducibility. Rev Colomb Obstet Ginecol. 2010;61(3):247–55
Bland JM, Altman DG. Measurement Error and Correlation Correlation. Br M. 1996;313:41–2
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/124682021-06-03T00:45:14Zcom_10336_925com_10336_562col_10336_12382
Rinitis alérgica : Tratamiento con montelukast sólo o en combinación con antihistamínicos orales. Revisión sistemática
Jimenez Villa, Luis Guillermo
Ortiz Lozano, Karla Jimena
Castellanos Mateus, Sandra Marcela
Molina Castaño, Carlos Federico
Antileucotrienos
Antagonistas de histamina
Metaanálisis
Loratadina
Cetirizina
Desloratadina
Levocetirizina
Background: Allergic rhinitis is a secondary disease due to exposure to allergens with nasal mucous membrane inflammation mediated by the Ig-E response, with symptoms like sneezing, nasal obstruction, nasal itching and nasal discharge. First-line treatments are oral antihistamines and Montelukast which are given as monotherapy, there is the combination of the two treatments in the market, it is however doubted their combined effectiveness to treat Nasal symptoms. Objective: Determine the efficacy and safety of combined therapy of Montelukast oral antihistamines in the treatment of allergic rhinitis.
Methodology: This is a systematic review meta-analysis of clinical trials that evaluated the efficacy Montelukast plus antihistamines oral combined therapy and both in monotherapy.
Results: 795 articles were published until February 2016 identified in electronic databases and literature grey, was nine studies were selected by consensus. Those studies showed a reduction significant of the Total Nasal Symptom Score of -2.61 (-3.32 to-1.90) of combined Montelukast plus antihistamines oral therapy in comparison with the monotherapy of each one of them. The studies reported that the safety of combined therapy was not different to monotherapy. Conclusions: The combined therapy with Montelukast plus oral antihistamine showed significant reduction of the Total Nasal Symptom Score of -2.61 (-3.32 to-1.90) compared to monotherapy so is effective and safe in patients with rhinitis allergic.
2016-10-21T15:27:47Z
2016-10-21T15:27:47Z
2016-10-21T15:27:47Z
2016
masterThesis
https://doi.org/10.48713/10336_12468
http://repository.urosario.edu.co/handle/10336/12468
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
Baena Cagnani CE, Solé D, González Díaz SN, Zernotti ME, Sisul JC, Sánchez Borges M, et al. Actualización de rinitis alérgica y su impacto en el asma (ARIA 2008). La perspectiva latinoamericana. Rev Alerg México. 56(2):56-63.
Ruby Pawankar SM, Chika Ozu SK. Overview on the pathomechanisms of allergic rhinitis. Asia Pac Assoc Allergy Asthma Clin Immunol. 2011;1:157-67.
Jean Bousquet. Allergic Rhinitis and its Impact on Asthma. J Allergy Clin Immunol. 2001;108:147-336.
Greiner AN, Hellings PW, Rotiroti G, Scadding GK. Allergic rhinitis. Lancet. 2011;378(December 17/24/31):2112-22.
Van Hoecke H, Vandenbulcke L, Van Cauwenberge P. Histamine and Leukotriene Receptor Antagonism in the Treatment of Allergic Rhinitis An Update. Drugs. 2007;67(18):2717-26.
Wheatley LM, Togias A. Allergic Rhinitis. N Engl J Med. 372(5):456-63.
Ibiapina C da C, Sarinho ESC, Camargos PAM, Andrade CR de4, Cruz Filho ÁAS da. Allergic Rhinitis: epidemiological aspects, diagnosis and treatment. J Bras Pneumol. 2008;34(4):230-40.
Arévalo Herrera M, Reyes MA, Victoria L, Villegas A, Badiel M, Herrera S. Asma y rinitis alérgica en pre-escolares en Cali. 15 de enero de 2014 [citado 12 de junio de 2016]; Disponible en: http://bibliotecadigital.univalle.edu.co/handle/10893/6822
Alfredo Mendoza Amatller GMC. Rinitis alérgica. Rev Soc Boliv Pediatría. 2002;41(1):50-3.
Sanjay N. Mandhane, Jigar H. Shah, Rajammanar Thennati. Allergyc rhinitis: an update on desease, present treatments and future pospects. Int Immunopharmacol. 2011;11:1646-62.
Togias A. Current reviews of allergy and clinical immunology rhynitis and asthma: evidence for respiratory system integration. J Allergy Clin Immunol. 2003;111:1171-83.
Berger WE. Pediatric Allergic Rhinitis: Antihistamine Selection. Clin Piediatric. 2005;44:655-64.
Jadad AR. Asessing the quality of reports of randpmizad clinical trials: is blinding necessary? Control Clin Trials. 1996;17:1-12.
Ciebiada M, Barylski M, Ciebiada MG. Nasal eosinophilia and serum soluble intercellular adhesion molecule-1 in patients with allergic rhinitis treated with montelukast alone or in combination with desloratadine or levocetirizine. Am J Rhinol Allergy. 2013;27(2):e58-62.
Horak F, Zieglmayer P, Zieglmayer R, Lemell P. Onset of action of loratadine/montelukast in seasonal allergic rhinitis patients exposed to grass pollen. Arzneimittelforschung. 2010;60(2):249.
Prenner B, Anolik R, Danzig M, Yao R. Efficacy and safety of fixed-dose loratadine/montelukast in seasonal allergic rhinitis: effects on nasal congestion. Allergy Asthma Proc Off J Reg State Allergy Soc. junio de 2009;30(3):263-9.
Day JH, Briscoe MP, Ratz JD, Danzig M, Yao R. Efficacy of loratadine-montelukast on nasal congestion in patients with seasonal allergic rhinitis in an environmental exposure unit. Ann Allergy Asthma Immunol Off Publ Am Coll Allergy Asthma Immunol. abril de 2009;102(4):328-38.
Ciebiada M, Górska-Ciebiada M, DuBuske LM, Górski P. Montelukast with desloratadine or levocetirizine for the treatment of persistent allergic rhinitis. Ann Allergy Asthma Immunol Off Publ Am Coll Allergy Asthma Immunol. noviembre de 2006;97(5):664-71.
Kurowski M, Kuna P, Górski P. Montelukast plus cetirizine in the prophylactic treatment of seasonal allergic rhinitis: influence on clinical symptoms and nasal allergic inflammation. Allergy. marzo de 2004;59(3):280-8.
Nayak AS, Philip G, Lu S, Malice M-P, Reiss TF, Montelukast Fall Rhinitis Investigator Group. Efficacy and tolerability of montelukast alone or in combination with loratadine in seasonal allergic rhinitis: a multicenter, randomized, double-blind, placebo-controlled trial performed in the fall. Ann Allergy Asthma Immunol Off Publ Am Coll Allergy Asthma Immunol. junio de 2002;88(6):592-600.
Wilson AM, Orr LC, Coutie WJR, Sims EJ, Lipworth BJ. A comparison of once daily fexofenadine versus the combination of montelukast plus loratadine on domiciliary nasal peak flow and symptoms in seasonal allergic rhinitis. Clin Exp Allergy J Br Soc Allergy Clin Immunol. enero de 2002;32(1):126-32.
Meltzer EO, Malmstrom K, Lu S, Prenner BM, Wei LX, Weinstein SF, et al. Concomitant montelukast and loratadine as treatment for seasonal allergic rhinitis: a randomized, placebo-controlled clinical trial. J Allergy Clin Immunol. mayo de 2000;105(5):917-22.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/204892024-08-20T11:45:40Zcom_10336_925com_10336_562col_10336_12382
Asociación entre el estado nutricional y el neurodesarrollo en niños de 2 a 5 años que asisten a centros de desarrollo infantil en la localidad de Bosa – Bogotá D.C.
Reyes Ramírez, Marby Alejandra
Velez Van Meerbeke, Alberto Francisco
Neurodesarrollo
Obesidad
Sobrepeso
Baja estatura
Retraso en crecimiento
Desarrollo psicomotor
Cognición
Estado nutricional
Introduction. A high percentage of the population from 2 to 5 years of age presents inadequate nutritional status due to excess (overweight and obesity) or malnutrition. These problems involve serious repercussions that affect the health status of children, including their neurodevelopment status in the short, medium and long term, which raises the need to take measures aimed at improving or improving the nutritional status of the population. Objective. To identify the association that exists between nutritional status and neurodevelopment in children from 2 to 5 years old who attend Child Development Centers in Bosa. Methods. Analytical prevalence study carried out in 207 children from 2 to 5 years old belonging to child development centers in Bosa in Bogotá (Colombia), to which the nutritional status is evaluated by means of anthropometry and was applied on a scale of neurodevelopment assessment. Results. This study found lower scores in the rating scale of development regarding gross motility and hearing/language in children with chronic malnutrition compare with right nutritional status children. Overweight children did not present difference statistically significant compare with right nutritional status children in any neurodevelopment measurements. There were not differences statistically significant among the comparison groups (chronic malnutrition vs right nutritional status and overweight children vs right weight children) compare with the other quantitative and qualitative variables. Conclusions: Chronic malnutrition is associated with neurodevelopment alterations in gross motility and hearing/language. There is not evidence about association of overweight and neurodevelopment alteration.
2019-10-25T16:01:50Z
2019-10-25T16:01:50Z
2019-10-25T16:01:50Z
masterThesis
https://doi.org/10.48713/10336_20489
https://repository.urosario.edu.co/handle/10336/20489
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/328252021-10-26T03:01:24Zcom_10336_925com_10336_562col_10336_12382
La efectividad de la desinfección de alto nivel comparada con la esterilización en el control de infecciones asociadas al reprocesamiento de laparoscopios y artroscopios: Revisión sistémica
Rodríguez Bonilla, Sandra Patricia
Hincapié Soto, Gina Lorena
Bareño Silva, José
Laparoscopios
Artroscopios
Desinfección
Esterilización
Infecciones
Introduction: It is recognized in the literature that critical devices should be sterilized; however, in the Centers for Disease Control and Prevention (CDC) guideline recommended as an alternative for laparoscopes and arthroscopes in case of not being able to perform it, to use sterilizing chemical liquids. In clinical practice, the use of these agents has been observed with immersion times shorter than those recommended, acting on the medical device only as a high-level disinfectant. The objective of this study was to determine the effectiveness of high-level disinfection and sterilization of laparoscopes and arthroscopes used in minimally invasive surgery, identifying their relationship with the development of infections associated with their use. Methods: Systematic literature review that took into account the following inclusion criteria for study selection: primary studies of minimally invasive surgical procedures by laparoscopy or arthroscopy, high-level disinfection, sterilization, health care-associated infections. Fourteen databases were searched: PubMed, EMBASE, CENTRAL, ScienceDirect, BVS, SciELO, LILACS, Google Scholar, Scopus, Web of Science, https://clinicaltrials.gov/, ICTRP, Grey Literature and OpenGray. Results: A total of 833 records were obtained from 11 databases, 178 duplicates were removed, and six primary articles were identified, two of which favored sterilization, one favored disinfection, two were unbiased, and one related to single-use medical devices. Conclusion: It is apparent that there is a lack of studies and clinical trials comparing reprocessing methods, thus it is necessary to develop more research in the area, involving a rigorous methodology and participation of different areas of knowledge.
2021-10-25T21:28:14Z
2021-10-25T21:28:14Z
2021-10-25T21:28:14Z
masterThesis
https://doi.org/10.48713/10336_32825
https://repository.urosario.edu.co/handle/10336/32825
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
International Association of Healthcare Central Service Materiel Management. The Central Service. 8.a ed. 2016.
Malagón G, Álvarez C. Infecciones Hospitalarias. 3.a ed. Colombia; 2010. 859 p.
World Federation for Hospital Sterilisation Sciences. Reusable medical device [Internet]. 2020 [citado 28 de Julio de 2021]. Disponible en: https://wfhssguidelines.com/reusable-medical-device/
Seavey R. High-level disinfection, sterilization, and antisepsis: Current issues in reprocessing medical and surgical instruments. Am J Infect Control. 2013;41(5):111-7.
IAHCSMM. Manual técnico de Servicios Centrales. 7.a ed. Illinois; 2013. 522 p.
Huys J, Gené N. Esterilización de Productos Sanitarios [Internet]. 2.a ed. Wageningen, paises bajos: mhp Verlag gmbh y HEART Consultancy; 2016. 391 p. Disponible en: www.mhp-verlag.de
Rutala W, Weber D. Guideline for disinfection and sterilization in healthcare facilities, 2008 [Internet]. 2008. [citado 28 de julio de 2021]. Disponible en: https://www.cdc.gov/infectioncontrol/guidelines/disinfection/
Corson SL, Block S, Mintz C, Dole M, Wainwright A. Sterilization of laparoscopes. Is soaking sufficient? J Reprod Med. 1979;23(2):49-56.
Rutala W, Weber D. Disinfection and sterilization in health care facilities: What clinicians need to know. Clin Infect Dis. 2004;39(5):702-9.
Rutala W. APIC guideline for selection use of disinfectants. Am J Infect Control. 1996;24(4):313-42.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/180332019-09-19T07:37:54Zcom_10336_925com_10336_562col_10336_12382
Aporte calórico de leche humana según factores socioeconómicos en un banco de leche humana en Bogotá, Colombia en el año 2016
Giraldo, María Camila
Ladino, Liliana
Ladino, Liliana
Leche materna
Aporte calorico
Factores sociodemográficos
Leche donada
Banco de leche
Introduction: Human Milk Banks (HMB) are a strategy that allows to improve the infants health who can not receive breastmilk of their own mothers. BMB are implemented in Colombia since 2011. Aim: to identify if the energy content of human milk from women donors of the USS Kennedy during 2016 in Bogota, Colombia, is related with some socioeconomically factors of the women. Methods: the database registers of the women donors of the HMB of the USS Kennedy in Bogotá, Colombia during 2016 were used. Dependent variable was the energy content of human milk (colostrum, transition and mature), and independent variables were mother´s occupation, socio economical status, living place and offspring´s sex. Two statistical analyzes were carried out by SPSS and STATA software: A) analyzing each donation as an independent measurement and B) grouping the donations of each donor women by averages. The test of Kruskal Wallis was applied. Results: 85 women 29.2 ± 5.7 years old, donors of the three human milk types. Most of them were professionals, living in stratum 3 and in Kennedy town, and 57% of their offspring were male sex. The energy content average of human milk donated was: 20.33 kcal/oz colostrum, 20.40 kcal/oz transition and 18.67 kcal/oz mature when the values were analyzed as independent measures, and when the values were analyzed by averages the energy content was: 20.33 kcal/oz colostrum, 20.53 kcal/oz transition and 19.16kcal/oz mature. In turn, when the analysis type A was performed, a significant relationship between energy content of transition human milk and mother’s occupation was found (p=0.003) and with living place (p=0.006), as well as the energy content of mature human milk and all four mother’s socio economic variables analyzed (p<0.001). Nevertheless, the analysis of pooled measurements (analysis type B) none significant relationship was found (p>0.05). Conclusions: the energy content of transition and mature human milk donated in the BMB of the USS Kennedy in Bogotá, Colombia during 2016 is related with socioeconomically factors of the mothers as occupation, socio economical status, living place and offspring´s sex.
2018-06-05T17:50:13Z
2018-06-05T17:50:13Z
2018-06-05T17:50:13Z
2018
masterThesis
https://doi.org/10.48713/10336_18033
http://repository.urosario.edu.co/handle/10336/18033
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
Organización Mundial de la Salud. Estrategia mundial para la alimentación del lactante y del niño pequeño. 2003;36.
Becerra-bulla F, Net D, Database C. El entorno familiar y social de la madre como factor que promueve o dificulta la lactancia materna. 2015;63(2):217–27.
Macías DSM, Rodríguez S, Ferrer AR De. Leche materna : composición y factores condicionantes de la lactancia. 2006;104(5):423–30.
Colombia C de. Ley 1468 de 2011, República de Colombia. 2011 p. 1–3.
Semana R. A partir del 2017, licencia de maternidad será de 18 semanas [Internet]. 2017. Available from: http://www.semana.com/nacion/articulo/licencia-de-maternidad-sera-de-18-meses/508452
Mendoza Vicente I. Alimentación del recién nacido prematuro: lactancia materna vs. leche de fórmula. Bancos de leche. 2015
Arslanoglu S, Corpeleijn W, Moro G, Braegger C, Campoy C, Colomb V, et al. Donor human milk for preterm infants: current evidence and research directions. J Pediatr Gastroenterol Nutr [Internet]. 2013;57(4):535–42. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24084373
Aceti A, Corvaglia L, Faldella G. Human milk banks : lights and shadows. 2014;3(2):1–6.
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Delfosse N, Ward L, Lagomarchino A. Donor human milk largely replaces formula-feeding of preterm infants in two urban hospitals. J Perinatol [Internet]. 2013;33(6):1–13. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23258498
Dempsey E, Miletin J. Banked preterm versus banked term human milk to promote growth and development in very low birth weight infants. Cochrane Database Syst Rev. 2009;(1).
C., Shellhorn; Valdés V. La Leche Humana, Composicion, Beneficios Y Comparación Con La Leche De Vaca. Man Lact para Prof la Salud [Internet]. 2012; Available from: http://scholar.google.com/scholar?hl=en&btnG=Search&q=intitle:No+Title#0
Sierra Colomina G, García Lara N, Escuder Vieco D, Vázquez Román S, Cabañes Alonso E, Pallás Alonso CR. Características de las mujeres donantes de un banco de leche materna y relación con el tiempo de donación. An Pediatr. 2014;80(4):236–41.
Arslanoglu S, Moro GE, Bellù R, Turoli D, De Nisi G, Tonetto P, et al. Presence of human milk bank is associated with elevated rate of exclusive breastfeeding in VLBW infants. J Perinat Med. 2013;41(2):129–31.
Hytten FE. Clinical and chemical studies in human lactation. IX. Breast-feeding in hospital. Br Med J. 1954;2(4902):1447–52.
Casado ME. Nutrición de la mujer en el posparto. Instituto Chileno de Medicina Reproductiva (ICMER)
Cañarte L. Evaluación del estado nutricional y su relación con el porcentaje de grasa y valor calórico de madres donadoras de leche materna madura entre 18 a 35 años de edad, al banco de leche humana del Hospital Provincial “Dr. Verdi Cevallos Valda” de la ciudad de. 2014.
Al-tamer YY, Mahmood AA. The influence of Iraqi mothers ’ socioeconomic status on their milk-lipid content. 2006;1400–5.
Qian J, Chen T, Lu W, Wu S, Zhu J. Breast milk macro- and micronutrient composition in lactating mothers from suburban and urban Shanghai. 2010;46:115–20.
Bosch V, Golfetto I, Alonso H, Laurentin Z, Materan M. Acidos grasos de la leche materna madura de mujeres venezolanas de estratos socioeconómicos bajos : Influencia de la temperatura y tiempo de almacenamiento. 2009;59:1–5.
Túlio M, Andrade S, Antonio L, Ciampo D, Regina I, Del L, et al. Breast Milk Micronutrients in Lactating Mothers from Ribeirão Preto ( SP ), Brazil. 2014;(July):1196–201.
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Velásquez O, Ladino L. Nutridatos. Manual de nutrición clínica. In: Health Boo. Medellin, Colombia; 2010. p. 654–6.
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Pellegrine JB, Koopmans FF, Rufino CG, Farias HPS. Educação Popular em Saúde Doação de leite humano em comunidade do Rio de Janeiro, Brasil. Interface [Internet]. 2014;18(2):1499–506. Available from: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1414-32832014000701499&lng=en&nrm=iso&tlng=pt
Moles L, Manzano S, Fernández L, Montilla A, Corzo N, Ares S, et al. Bacteriological, biochemical, and immunological properties of colostrum and mature milk from mothers of extremely preterm infants. J Pediatr Gastroenterol Nutr [Internet]. 2015;60(1):120–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25207476
Asociación E de B de LH. Página Web: Asociación Española de Bancos de Leche Humana [Internet]. http://www.aeblh.org/que-es/como-funciona.html. 2016 [cited 2016 May 12]. Available from: http://www.aeblh.org/que-es/como-funciona.html
Mena N. P, Milad A. M. Variaciones en la composición nutricional de la leche materna. Algunos aspectos de importancia clínica. Rev Chil pediatría [Internet]. Sociedad Chilena de Pediatría; 1998 May [cited 2016 Jun 6];69(3):116–21. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0370-41061998000300007&lng=es&nrm=iso&tlng=es
Mayans E MM. Estimación Del Valor Calórico De La Leche Materna Mediante La Técnica Del Crematocrito. Rev Med Uruguay [Internet]. 1994;10:160–4. Available from: http://www.rmu.org.uy/revista/1994v3/art3.pdf
Menezes G, Sc M, Lima-cavalcanti L De, Morais-oliveira AM De, Sc M. Evaluación de la recolección domiciliaria realizada por un banco de leche humana de un hospital universitario de Brasil. 2014;56(3):245–50.
Donoso E, Carvajal JA, Vera C, Poblete JA. La edad de la mujer como factor de riesgo de mortalidad materna, fetal, neonatal e infantil. 2014;168–74.
Leal-mateos M, Giacomin L, Pacheco-vargas LD. Original Índice de masa corporal pregestacional y ganancia de peso materno y su relación con el peso del recién nacido. :160–7.
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Piedrasanta K. Determinación del valor calórico y grados de acidez de Dornic del calostro y su relación con el estado nutricional de puérperas del Hospital Nacional de Totonicapán [Internet]. 2014. Available from: http://eprints.ucm.es/41442/1/T38431.pdf
Vázquez-Román S, Alonso-Díaz C, García-Lara NR, Escuder-Vieco D, Pallás-Alonso CR. [Effect of freezing on the “creamatocrit” measurement of the lipid content of human donor milk]. An Pediatr (Barcelona, Spain 2003) [Internet]. Elsevier; 2014 Sep 1 [cited 2016 Aug 4];81(3):185–8. Available from: http://www.analesdepediatria.org/es/medida-por-crematocrito-del-contenido/articulo/S1695403313003780/
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/432162024-08-06T03:01:10Zcom_10336_925com_10336_562col_10336_12382
Calidad de Vida y Autoestima en personas que se realizaron procedimientos estéticos faciales inyectables comparado con personas que se realizaron procedimientos faciales quirúrgicos en Colombia
Cortés Ballén, Daniela
Jiménez Pérez, Carlos Ernesto
Ospina Medina, María Cristina
Autoestima
Calidad de vida
Procedimientos estéticos
In a cross-sectional analytical study, a virtual self-completion survey was carried out, sociodemographic aspects were analyzed, and the type of procedure performed, whether surgical or injectable, was investigated, considering the motivations that led to its choice. Likewise, the level of satisfaction of the participants was evaluated and the impact of these procedures on their social relationships was explored. To obtain a more complete understanding, the Rosenberg Self-Esteem Scale and the SF-36 quality of life questionnaire were applied, both validated in Colombia. This study included fifty participants who underwent facial aesthetic procedures, either surgical or injectable, in Bogotá, Cali or Medellín. Most participants were women (82%) with a mean age of 37.4 years. A large percentage of those surveyed performed an injectable procedure (72%). According to the Rosenberg scale, all participants (98%) presented a predominance of high self-esteem. However, the quality-of-life variable after the procedure was statistically related to occupation, level of satisfaction with the procedure, and perception of change in their relationships. No significant differences were found when comparing the type of procedure performed
2024-08-05T16:30:52Z
2024-08-05T16:30:52Z
2024-08-05T16:30:52Z
bachelorThesis
https://doi.org/10.48713/10336_43216
https://repository.urosario.edu.co/handle/10336/43216
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-sa/4.0/
Attribution-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Moreno Vallejo B. Autoimagen, autoestima, corporalidad en tiempos de redes sociales. [Madrid]: Universidad Pontificia Comillas; 2021.
Cassuto D, Bellia G, Schiraldi C. An Overview of Soft Tissue Fillers for Cosmetic Dermatology: From Filling to Regenerative Medicine. Clin Cosmet Investig Dermatol. 2021;14:1857–66.
Arora G, Arora S. Medical Aesthetics - Current Trends and a Review of Its Applications. Indian Dermatol Online J. 2023;14(3):309–19.
Murillo Arango L, Tarazona Castellanos AC, Ospina Villarreal I. Impacto en el autoestima y el autoconcepto de las cirugías estéticas : una aproximación fenomenológica. [Bogotá D.C]: Pontificia Universidad Javeriana; 2023.
International Society of Aesthetic Plastic Surgery. ISAPS INTERNATIONAL SURVEY ON AESTHETIC/COSMETIC PROCEDURES. 2023.
Anthony Elliott P. Plástica extrema: auge de la cultura de la cirugía estética. ANAGRAMAS - UNIVERSIDAD DE MEDELLIN. 2011 Jan;9(18):145–64.
Ministerio de Salud y Protección Social. Resolución 006408 de 2016. Por la cual se modifica el Plan de Beneficios en Salud con cargo a la Unidad de Pago por Capitación (UPC) . 2016 Dec.
Ricart Codorniu Ji. Efectos de la cirugía estética en la modificación del estrés y del estado de ansiedad. Dialnet. 2016;
Asociación Científica Colombiana de Medicina Estética (ACICME). Sobre ACICME. 2024.
Parra L. Sociedad Internacional de Rejuvenecimiento Facial (SIRF). 2024.
Pérez L, Almanzar A. Cirugía estética y motivaciones psicosociales. Hacia un estado de la cuestión y perspectivas de investigación. Revista de Ciencias Sociais, Humanas e Engenharias. 2021;7(1):118–31.
Ohlsen L, Ponten B, Hambert G. Augmentation Mammaplasty: A Surgical and Psychiatric Evaluation of the Results. Ann Plast Surg. 1979 Jan;2(1):42–52.
Yoon, S., Kim, Y.A. Cosmetic Surgery and Self-esteem in South Korea: A Systematic Review and Meta-analysis. Aesth Plast Surg 44, 229–238 (2020). https://doi.org/10.1007/s00266-019-01515-1
Markey CN, Markey PM. A correlational and experimental examination of reality television viewing and interest in cosmetic surgery. Body Image. 2010;7(2):165-171. doi:10.1016/j.bodyim.2009.10.006.
Al Ghadeer HA, AlAlwan MA, AlAmer MA, Alali FJ, Alkhars GA, Alabdrabulrida SA, Al Shabaan HR, Buhlaigah AM, AlHewishel MA, Alabdrabalnabi HA. Impact of Self-Esteem and Self-Perceived Body Image on the Acceptance of Cosmetic Surgery. Cureus. 2021 Oct 16;13(10):e18825. doi: 10.7759/cureus.18825. PMID: 34804682; PMCID: PMC8592260
Shridharani, Sachin M. M.D.; Magarakis, Michael M.D.; Manson, Paul N. M.D.; Rodriguez, Eduardo D. M.D., D.D.S.. Psychology of Plastic and Reconstructive Surgery: A Systematic Clinical Review. Plastic and Reconstructive Surgery 126(6):p 2243-2251, December 2010. | DOI: 10.1097/PRS.0b013e3181f445ae
A. Clarke, E.L.E. Hansen, P. White & P.E.M. Butler. (2012) Low priority? A cross sectional study of appearance anxiety in 500 consecutive referrals for cosmetic surgery. Psychology, Health & Medicine 17:4, pages 440-446.
Klassen AF, Cano SJ, Scott A, Snell L, Pusic AL. Measuring patient-reported outcomes in facial aesthetic patients: development of the FACE-Q. Facial Plast Surg. 2010;26(4):303-309. doi:10.1055/s-0030-1262313.
Alimova SM, Sharobaro VI, Shamanaeva LS, Penaeva SA. Psychometric scales in assessing patient satisfaction with the results of aesthetic face and neck correction. Plastic Surgery and Aesthetic Medicine. 2021;4:77-82. doi:10.17116/plast.hirurgia202104177
Sobanko JF, Dai J, Gelfand JM, Sarwer DB, Percec I. Prospective Cohort Study Investigating Changes in Body Image, Quality of Life, and Self-Esteem Following Minimally Invasive Cosmetic Procedures. Dermatologic Surgery. 2018 Aug;44(8):1121–8.
Sadick NS. The impact of cosmetic interventions on quality of life. Dermatol Online J. 2008 Aug 15;14(8):2.
Lugo L, García H, Gómez C. Confiabilidad del cuestionario de calidad de vida en salud SF-36 en Medellín, Colombia. Rev Fac Nac Salud Pública. 2006;24(2).
Gómez-Lugo M, Espada JP, Morales A, Marchal-Bertrand L, Soler F, Vallejo-Medina P. Adaptation, Validation, Reliability and Factorial Equivalence of the Rosenberg Self-Esteem Scale in Colombian and Spanish Population. Span J Psychol. 2016 Oct 14;19:E66.
Raúl Ángel Nahás Herrera, Leonardo Adrián Medrano Gil. Impacto de la cirugía estética sobre el bienestar psicológico: la importancia de la apariencia personal en el funcionamiento psicosocial. Cirugía Plástica. 2015;25(2):114–22.
Mahmood Faris BJ. [Artículo traducido] Uso de rellenos faciales en la práctica clínica: nivel de satisfacción del paciente y visión general de las complicaciones clínicas comunes. Actas Dermosifiliogr. 2024 May;115(5):T458–65.
Rondón RD. Beneficios de los tratamientos de estética en la salud mental. Medicina Estética Revista Científica de la Sociedad Española de Medicina Estética (SEME). 2014 Jun 15;(39).
Olga Lucía García Galindo, Flor Amalfy Narváez Hoyos, Yolanda Leonor Álvarez Yacub. Situación actual de la aplicación de biopolímeros en cirugía estética de glúteos: Una revisión sistemática aplicando la guía PRISMA. Revista Colombiana de Cirugía Plástica y Reconstructiva. 2022 Jun;28(1):28–36.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/180312019-09-19T07:37:54Zcom_10336_925com_10336_562col_10336_12382
Factores asociados con la presencia de dengue grave en pacientes colombianos con diagnóstico confirmado de dengue 2013-2015
Palacios Polania, Evelyn
Rico Turca, Angélica María
Molina Castaño, Carlos Federico
Beltrán Cristancho, Mauricio
Dengue
Dengue grave
Factores asociados
Aedes aegypti
Colombia
Introduction: Dengue is the most important arboviruses around the world. Colombia is hyperendemic for this disease and their severe complication is present in the population Colombian. Objective: To determine the sociodemographic, clinical and laboratory factors associated with the presence of severe dengue in Colombian patients with a confirmed diagnosis of dengue reported to the National Public Health Surveillance System during the years 2013 - 2015.
Methodology: Cross-sectional retrospective analytical observational study. The association between the dependent variable and the independent ones was evaluated by U Mann-Whitney and Chi square or Fisher's exact test. The variables that showed a value of (p <0.25) were included in the multivariate analysis. Results: Of the total cases (1172) with inclusion criteria (1044 dengue and 128 severe dengue), 50% of the patients diagnosed with dengue were under 19 years of age. The multivariate analysis showed: leukocytosis p=0.026, thrombocytopenia p <0.001, presence of manes (OR = 48.97, 95% CI: 7.90-303.30), hemoptysis (OR = 46.71, CI 95 %: 3.59-606.54), hypotension (OR = 12.06, 95% CI: 4.68-31.04), hepatomegaly (OR = 10.34, 95% CI: 3.66-29, 21), gingivorrea (OR = 6.45, 95% CI: 1.76-23.56), petechiae (OR = 2.87, 95% CI: 0.98-8.39), abdominal pain (OR = 2.42, 95% CI: 1.22-4.79), headache (OR = 0.38, 95% CI: 0.19-0.76) and serotype DENV2 (OR 2.62, 95% CI: 1.25-5.50). Conclusions: Most of the variables associated in this study with the presence of severe dengue corresponding to clinical manifestations, where the bleeding have a significant weight within the results; however, the finding associated with serotype DENV2 makes it a relevant finding in the prognostic of severity of the disease, this association was also reported by other authors in different studies worldwide.
2018-06-05T17:33:20Z
2018-06-05T17:33:20Z
2018-06-05T17:33:20Z
2018
masterThesis
https://doi.org/10.48713/10336_18031
http://repository.urosario.edu.co/handle/10336/18031
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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Rodríguez J, Correa C. Predicción Temporal de la Epidemia de Dengue en Colombia: Dinámica Probabilista de la Epidemia. Rev Salud Pública. 2009;11(3):443–53.
Instituto Nacional de Salud. Dirección de Vigilancia y Análisis del Riesgo en Salud Pública Enfermedades Transmitidas por vectores. Boletín Epidemiológico Semanal. [Internet]. Disponible en: http://www.ins.gov.co/boletin-epidemiologico/Boletn Epidemiolgico/2014 Boletin epidemiologico semana 53.pdf
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/134242021-07-20T21:20:41Zcom_10336_925com_10336_562col_10336_12382
Concordancia entre el análisis computarizado de la marcha y el examen físico en pacientes con anteversión femoral aumentada sin alteraciones neurológicas.
De la Pava Cortes, Ivan Camilo
Espinosa Aranzales, Ángela Fernanda
Martínez Del Valle, Anacaona
Marcha
Examen físico
Anteversión ósea
Anomalía Torsional
Fémur
Reproducibilidad de resultados.
Introduction: Human gait is the highest point in a person’s functional independence; therefore, its importance as a movement pattern has led to the development of measuring tools. The aim of the present study is to assess the correspondence between two of those measuring tools: computerized gait analysis (CGA) and the physical examination (PE) only in patients with augmented femoral anteversión (AFA) without neurological alterations. Material and methods: This is an observational analytic study of correspondence and data was obtained retrospectively from 2010 to 2014 in the gait analysis lab from the Children Orthopedics Institute Roosevelt (IOIR) through a single application of the CGA and the PE. Results: It was observed that there are evident alterations in the PE because at hip level the internal-external rotation range decreases in the stance and swing phases. Also, in the knee there is a decrease in the flexion-extension range during the swing phase and in the ankle there is also a decrease in the dorsiflexion-plantarflexion range in the stance and swing phases. Conclusion: This study found that there is no correspondence between the PE and CGA, therefore they are complementary and contribute with information for a differential approach in the decision making at a clinical level.
2017-05-23T20:20:47Z
2017-05-23T20:20:47Z
2017-05-23T20:20:47Z
2017
masterThesis
https://doi.org/10.48713/10336_13424
http://repository.urosario.edu.co/handle/10336/13424
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/198262024-08-20T14:09:50Zcom_10336_925com_10336_562col_10336_12382
Evaluación del desempeño diagnóstico de pruebas rápidas para Leishmaniasis Visceral
Herrera Ossa, Giovanny Andrés
Ramírez González, Juan David
Olivera, Mario
Pruebas rápidas
Desempeño diagnóstico
2019-06-04T20:22:20Z
2019-06-04T20:22:20Z
2019-06-04T20:22:20Z
2019
masterThesis
https://doi.org/10.48713/10336_19826
http://repository.urosario.edu.co/handle/10336/19826
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Larson M, Toepp A, Scott B, Kurtz M, Fowler H, Esfandiari J, et al. Semi-quantitative measurement of asymptomatic L. infantum infection and symptomatic visceral leishmaniasis in dogs using Dual-Path Platform® CVL. Appl Microbiol Biotechnol. 2017;101(1):381-90.
Figueiredo FB, Vasconcelos TCB, Madeira MF, Menezes RC, Maia-Elkhoury ANS, Marcelino AP, et al. Validation of the Dual-path Platform chromatographic immunoassay (DPP® CVL rapid test) for the serodiagnosis of canine visceral leishmaniasis. Mem Inst Oswaldo Cruz. 2018;113(11):e180260.
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Cruz I, Acosta L, Gutierrez MN, Nieto J, Canavate C, Deschutter J, et al. A canine leishmaniasis pilot survey in an emerging focus of visceral leishmaniasis: Posadas (Misiones, Argentina). BMC Infect Dis. 2010;10:342.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/180362019-09-19T07:37:54Zcom_10336_925com_10336_562col_10336_12382
Factores asociados con la adherencia terapéutica en pacientes con diabetes mellitus tipo 2 atendidos en la consulta de medicina interna de un hospital de II nivel de Bogotá
Consuegra Cabally, Diana
Diaz Cedeño, Martha Milena
Espinosa Aranzales, Ángela Fernanda
Diabetes Mellitus
Escala de Adherencia de Morisky 8 ítems
Adherencia Terapéutica
MMAS-8
IMEVID
Abstract: Diabetes Mellitus is one of the diseases considered as a public health problem in the world. Studies show how people who have type 2 Diabetes Mellitus have a tendency to not adhere to treatment. This study aims to determine the factors associated with adherence to the use of medications in adults with type 2 Diabetes Mellitus. Research design and Method: This is a cross sectional, analytical observational study performed with 187 adult patients with type 2 Diabetes Mellitus from an II level hospital in Bogotá, Colombia. A random sampling of systematic selection was performed. Instruments used: IMEVID lifestyle, Morisky Scale and the sociodemographic characteristics and pathological antecedents. The information was verified in the medical record. The reasons for prevalence and logistic regression model were carried out. Results: 187 patients were evaluated, 49% patients are part of the Club of chronic patients with metabolic disorders. The variables that were associated with adherence to treatment were: Favorable lifestyle OR 9,37 (IC 95% 2,72 - 32,27) and consultations with general medicine practitioners > 6 in the last year, OR 2,10 (IC 95% 1,07 – 4,12). Conclusions: There is an important relationship between adherence to treatment by patients with type 2 Diabetes Mellitus and some factors that can be modified such a lifestyle, frequency of medical consultations, and membership of an educational and prevention program.
2018-06-05T22:14:43Z
2018-06-05T22:14:43Z
2018-06-05T22:14:43Z
2017
masterThesis
https://doi.org/10.48713/10336_18036
http://repository.urosario.edu.co/handle/10336/18036
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by/2.5/co/
Atribución 2.5 Colombia
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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Aschner P. Epidemiología de la diabetes en Colombia. Av en Diabetol [Internet]. 2010;Vol. 26. N:95–100. Disponible en: http://www.elsevier.es/es-revista-avances-diabetologia-326-articulo-epidemiologia-diabetes-colombia-S1134323010620054
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Martínez-Domínguez GI, Martínez-Sánchez LM, Rodríguez-Gázquez MDLÁ, Agudelo-Vélez CA, Jiménez-Jiménez JG, Vargas-Grisales N, et al. Adherencia terapéutica y control metabólico en pacientes con diabetes mellitus tipo 2, pertenecientes a una institución hospitalaria, de la ciudad de Medellín (Colombia), año 2011. Arch Med [Internet]. Universidad de Manizales. Facultad de Medicina; 2014 [cited 2018 May 23];14(1):44–50. Disponible en: http://www.redalyc.org/articulo.oa?id=273832164005
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Pinilla ME, Martínez SL, Muñoz RD, Guarnizo JC, Gutiérrez, Espejo JMP, et al. Convenio Interadministrativo de Cooperación No. 1305 – 2014. Bogota, Colombia; 2015. p. 1–56.
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Martín Alfonso Libertad; Grau Jorge A. La investigación de la adherencia terapeutica como un problema de la psicología de la salud. Psicologia y salud, Instituto de Investigaciones Psicologicas [Internet]. Xalapa, Mexico; 2004 [cited 2015 Oct 19];89–99. Disponible en: http://www.redalyc.org/pdf/291/29114110.pdf
Payero MÁ, Castro NML de, Samartín MU, A Martín Vila, Lopez CV, Corrales GP. Medication non- adherence as a cause of hospital admissions. 2014;38(4):328–33.
Vermeire E, Hearnshaw H, Van Royen P DJ. Patient adherence to treatment: three decades of research. A comprehensive review. J Clin Pharm Ther [Internet]. 2001;26:331–42. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2710.2001.00363.x
Franch-Nadal J Labrador Barba E Gómez-García M Buil-Cosiales P Millaruelo J et. al. Patient-reported outcomes in type 2 diabetes mellitus : patients ’ and primary care physicians ’ perspectives in the Spanish health care system. Patient Prefer Adherence. 2015;9:1413–22.
Tan X, Patel I, Chang J. Review of the four item Morisky Medication Adherence Scale (MMAS-4) and eight item Morisky Medication Adherence Scale (MMAS-8). Inov Pharm [Internet]. 2014 Jan 1 [cited 2018 May 26];5(3). Disponible en: https://pubs.lib.umn.edu/index.php/innovations/article/view/347
Shi L, Liu J, Fonseca V, Walker P, Kalsekar A, Pawaskar M. Correlation between adherence rates measured by MEMS and self-reported questionnaires: a meta-analysis. Health Qual Life Outcomes [Internet]. 2010 [cited 2016 Aug 29];8:99. Disponible en: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC2944346
Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care [Internet]. 1986 Jan [cited 2016 Aug 29];24(1):67–74. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/3945130
Chaves N, Echeverri J, Ballesteros D et al. Validación de la escala de morisky de 8 ítems en pacientes con enfermedad renal crónica. Med [Internet]. 2016;24(2):23–32. Disponible en: https://revistas.unimilitar.edu.co/index.php/rmed/article/view/2627
Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive Validity of A Medication Adherence Measure in an Outpatient Setting. J Clin Hypertens. 2008;May(10 (5)):348–54.
Morisky DE, Dimatteo MR. Improving the measurement of self-reported medication nonadherence: Response to authors. J Clin Epidemiol [Internet]. Elsevier Inc.; 2011;64(3):255–7. Disponible en: http://dx.doi.org/10.1016/j.jclinepi.2010.09.002
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/185012019-09-24T01:01:02Zcom_10336_925com_10336_562col_10336_12382
Predictores de remisión clínica en pacientes con artritis reumatoide temprana : revisión sistemática
Castro Campos, Natalia
Jaramillo Arroyave, Daniel
Artritis reumatoide temprana
Artritis temprana de reciente inicio
DAS-28
Remisión
Pronóstico
Revisión sistemática
Background/purpose: Clinical remission is the target in patients with rheumatoid arthritis (RA). Early diagnosis, optimal treatment, and recognize of baseline characteristics represents a crucial step for controlling the progression of the disease and the best opportunity to achieve full disease remission and prevention of joint injury and disability as well. The aim of this systematic review was to recognize and analyze predictors of remission that allow efficient stratification strategies and treatment options for patients with early RA fulfilling the 2010 ACR/EULAR classification criteria. Methods: A systematic literature review was conducted following the PRISMA guidelines. The search was performed in PubMed, Scopus, Embase, Cochrane, Science Citation Index (Web of Science) databases (up to November 2017) for prognostic studies in adults with early RA. The studies’ quality was examined using Quality in Prognosis Studies (QUIPS) tool. Results: A total of nineteen studies which had a total of 11.633 participants. All citations, fulfilled the inclusion criteria and were included in this study. The mayor outcome was clinical remission, defined using the disease activity score in 28 joints (DAS28 ≤ 2.6). The following variables were found to be the independent predictors of early RA remission: demographics: male sex, young age, abstaining from alcohol; genetics markers: high baseline miR-125b expression; Baseline clinical assessment: BMI <25; baseline remission; longer time to first remission; < 5 TJC-28; VERA; Laboratory measurements and radiography assessment: ESR, RF, ACPA, and ANA negativity 25-HydroxyvitaminD ≤ 20 mg/ml; Sharp–van der Heijde method; functional status: baseline MH; lower HAQ at baseline, PGA at 3 months response to treatments: early use of subcutaneous methotrexate, less use of steroids, initial treatment with triple therapy with DMARDs; DMARDs in combination within the 3rd month, fewer increases in medication after the initial visit and FIN-RACo regimen. Conclusion: This study summarized a number of independent predictors of remission in early RA and classify them into six groups. Moreover, this review has significant implications for clinical care and provides a better way to identify and address a risk stratification system, in order to optimize individual treatment strategy options and assure a long good quality of life. Due to many of these factors being modifiable an individual approach must be taken to alleviate and reduce disease progression. However, this study also highlights the need for further research, this patients should be taken into account in future randomized controlled trials.
2018-09-24T19:11:58Z
2018-09-24T19:11:58Z
2018-09-24T19:11:58Z
2018
masterThesis
https://doi.org/10.48713/10336_18501
http://repository.urosario.edu.co/handle/10336/18501
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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Curtis JR, McVie T, Mikuls TR, Reynolds RJ, Navarro-Millan I, O’Dell J, et al. Clinical response within 12 weeks as a predictor of future low disease activity in patients with early RA: results from the TEAR Trial. J Rheumatol. 2013 May;40(5):572–8
MH M, F I, D W, A H, EH C, PD K, et al. Remission in early rheumatoid arthritis: predicting treatment response. In: Journal of rheumatology [Internet]. Canada; 2012. p. 470–5. Available from: http://onlinelibrary.wiley.com/o/cochrane/clcentral/articles/500/CN-00881500/frame.html
T. R, J. A, P. H, T. Y-K, P. E, L. P, et al. Three out of every four patients with DMARD-naive early rheumatoid arthritis meet DAS28 remission at 12 months in Finland. Ann Rheum Dis [Internet]. 2016;75:697–8. Available from: http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L612779419
M.C. G, I. B, F. C, S. F, C. I, G. C, et al. Hypovitaminosis D predicts more aggressive evolution and lower response to treatment in early rheumatoid arthritis after 12 months of follow-up. Ann Rheum Dis [Internet]. 2013;72. Available from: http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L71334386
Arnold MB, Bykerk VP, Boire G, Haraoui BP, Hitchon C, Thorne C, et al. Are there differences between young- and older-onset early inflammatory arthritis and do these impact outcomes? An analysis from the CATCH cohort. Rheumatology (Oxford). 2014 Jun;53(6):1075–86.
Kuriya B, Xiong J, Boire G, Haraoui B, Hitchon C, Pope J, et al. Earlier time to remission predicts sustained clinical remission in early rheumatoid arthritis - Results from the Canadian Early Arthritis Cohort (CATCH). J Rheumatol. 2014;41(11):2161–6.
Schulman E, Bartlett SJ, Schieir O, Andersen KM, Boire G, Pope JE, et al. Overweight and Obesity Reduce the Likelihood of Achieving Sustained Remission in Early Rheumatoid Arthritis: Results from the Canadian Early Arthritis Cohort Study. Arthritis Care Res (Hoboken) [Internet]. :n/a-n/a. Available from: http://dx.doi.org/10.1002/acr.23457
Sandberg MEC, Bengtsson C, Kallberg H, Wesley A, Klareskog L, Alfredsson L, et al. Overweight decreases the chance of achieving good response and low disease activity in early rheumatoid arthritis. Ann Rheum Dis. 2014 Nov;73(11):2029–33.
Quintana-Duque MA, Caminos JE, Varela-Narino A, Calvo-Paramo E, Yunis JJ, Iglesias-Gamarra A. The Role of 25-Hydroxyvitamin D as a Predictor of Clinical and Radiological Outcomes in Early Onset Rheumatoid Arthritis. J Clin Rheumatol. 2017 Jan;23(1):33–9
Quintana-Duque MA, Rondon-Herrera F, Mantilla RD, Calvo-Paramo E, Yunis JJ, Varela-Narino A, et al. Predictors of remission, erosive disease and radiographic progression in a Colombian cohort of early onset rheumatoid arthritis: a 3-year follow-up study. Clin Rheumatol. 2016 Jun;35(6):1463–73
Steunebrink LMM, Versteeg GA, Vonkeman HE, Ten Klooster PM, Kuper HH, Zijlstra TR, et al. Initial combination therapy versus step-up therapy in treatment to the target of remission in daily clinical practice in early rheumatoid arthritis patients: results from the DREAM registry. Arthritis Res Ther. 2016 Mar;18:60.
Kuijper TM, Luime JJ, de Jong PHP, Gerards AH, van Zeben D, Tchetverikov I, et al. Tapering conventional synthetic DMARDs in patients with early arthritis in sustained remission: 2-year follow-up of the tREACH trial. Ann Rheum Dis. 2016 Dec;75(12):2119–23.
Contreras-Yanez I, Pascual-Ramos V. Window of opportunity to achieve major outcomes in early rheumatoid arthritis patients: how persistence with therapy matters. Arthritis Res Ther. 2015 Jul;17:177
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/401912023-07-19T03:00:54Zcom_10336_925com_10336_562col_10336_12382
Relación entre variaciones anatómicas del cayado de la aorta, aneurismas y disección. Estudio de casos y controles en Hospital de Méderi, Bogotá, Colombia 2010-2021
Cerón Falla, María Paula
Luque Bernal, Ricardo Miguel
Urbina Bonilla, Adriana del Pilar
Fajardo Chavarro, Ernesto
Aneurisma aórtico
Disección aórtica
Aorta
Colombia
Variaciones anatómicas
Enfermedades de la aorta
Introduction: Aortic dissection and aneurysm are diseases with low incidence and prevalence. Despite this, they result in high rates of morbidity and mortality, complex procedures that often require long periods of hospitalization in Intensive Care Units, and high costs that impact the healthcare system. Therefore, their prevention and timely diagnosis are fundamental pillars in the field of health. Aortic diseases have a complex etiopathogenesis, and recently, anatomical variations of the aortic arch have been linked to the occurrence of these pathologies. However, the results have been contradictory. Objectives: To determine if there is an association between anatomical variations of the aortic arch and aortic aneurysms and dissections. Methodology: A case-control study was conducted by reviewing all the CT angiography scans of patients treated at the Hospital Universitario Mayor - Méderi between 2010 and 2021. Patients with aortic aneurysm or dissection had their medical records reviewed and were considered as cases, while patients in whom these conditions were ruled out were considered controls. Results: A sample of 562 patients was collected, of which 39.9% had an aneurysm, 9.61% had a dissection, and 14 individuals had ectasia, which were considered as controls, resulting in a total of 284 controls (50.5%). Most men presented aortic pathology (Aneurysm: 66.1%, Dissections: 61.1%), while controls had a higher proportion of women (60.9%). The most frequent type of aortic arch was type I with its three classic branches (77.4%), followed by type II with a frequency of 85 individuals (15.1%), and finally, type III with 4.8%. Twelve cases (2.1%) were found in which no report was found in the existing literature for their classification. Chi-square test and logistic regression were performed, and no statistically significant relationship was found between anatomical variables of the aortic arch and aneurysm or dissection. Discussion: No association was established between aortic aneurysm and dissection and anatomical variations of the aortic arch. However, this does not rule out the relationship between aortic arch variations and aortic pathologies due to the low prevalence found.
2023-07-18T12:08:08Z
2023-07-18T12:08:08Z
2023-07-18T12:08:08Z
bachelorThesis
https://doi.org/10.48713/10336_40191
https://repository.urosario.edu.co/handle/10336/40191
spa
info:eu-repo/semantics/embargoedAccess
Restringido (Temporalmente bloqueado)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/4.0/
Attribution-NonCommercial-NoDerivatives 4.0 International
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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6. Maxwell BG, Harrington KB, Beygui RE, Oakes DA. Congenital anomalies of the aortic arch in acute type-A aortic dissection: Implications for monitoring, perfusion strategy, and surgical repair. J Cardiothorac Vasc Anesth. 2014;28(3):467–72. Disponible en: https://doi.org/10.1053/j.jvca.2013.12.001
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12. Rojas M, Muete W, Quijano Y. Anatomical variations of the aortic arch in a sample of Colombian population. Rev la Fac Med. 2017;65(1):49–54. Disponible en: https://doi.org/10.15446/revfacmed.v65n1.56046
13. Higa C, Guetta J, Borracci RA, Meribilhaa R, Marturano MP, Marenchino R, et al. Registro multicéntrico de disección aórtica aguda. Estudio RADAR. Resultados preliminares. Rev Argent Cardiol [Internet]. 2009;77(5):354–60. Disponible en: http://www.scopus.com/inward/record.url?eid=2-s2.0-77952401367&partnerID=tZOtx3y1
14. Egea M, Fernández-Samos R, Lechón JA, Reparaz L, Álvarez M, Cairols M. Direct health costs and clinical outcomes of open surgery in patients with abdominal aortic aneurysm in Spain. The RECAPTA study. Expert Rev Pharmacoeconomics Outcomes Res. 2018;18(4):423–33. Disponible en: https://doi.org/10.1080/14737167.2018.1486190
15. Cheung K, Boodhwani M, Chan KL, Beauchesne L, Dick A, Coutinho T. Thoracic aortic aneurysm growth: Role of sex and aneurysm etiology. J Am Heart Assoc. 2017;6(2):1–8. DOI: 10.1161/JAHA.116.003792
16. Takayama Y. A Cost-utility Analysis of Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm. J Japanese Coll Angiol. 2016;56(9):123–30. DOI: 10.3400/avd.oa.17-00059
17. Echeverry EJ, Gutiérrez H, Bustamante ME, Borrero ÁJ, Cadavid EA. Experiencia y resultados en cirugía de disección aórtica tipo A durante una década en la Fundación Valle del Lili, Cali, Colombia. Revista Colombiana de Cardiología [Internet]. 2013 Sep 1 [cited 2023 Feb 6];20(5):325–30. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-56332013000500011
18. Larson EW, Edwards WD. Risk factors for aortic dissection: a necropsy study of 161 cases. Am J Cardiol. 1984 Mar 1;53(6):849-55. Disponible en: https://doi.org/10.1016/0002-9149(84)90418-1
19. Nienaber CA, Fattori R, Mehta RH, et al. Gender-related differences in acute aortic dissection. Circulation 2004; 109:3014. Disponible en: https://doi.org/10.1161/01.CIR.0000130644.78677.2C
20. Hagan PG, Nienaber CA, Isselbacher EM, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA 2000; 283:897. DOI: 10.1001/jama.283.7.897
21. Evangelista Masip A. Avances en el síndrome aórtico agudo. Rev Esp Cardiol [Internet]. 2007 [citado el 9 de febrero de 2023];60(4):428–39. DOI: 10.1157/13101646
22. Jaramillo Nicolás I, Alviar Carlos L. Disección de aorta: Aspectos básicos y manejo endovascular. Revista Colombiana de Cardiología. [Internet]. 2005 Aug [cited 2023 Feb 06] ; 12( 2 ): 64-79. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-56332005000400003&lng=en.
23. Lombardi JV, Hughes GC, Appoo JJ, Bavaria JE, Beck AW, Cambria RP, Charlton-Ouw K, Eslami MH, Kim KM, Leshnower BG, Maldonado T, Reece TB, Wang GJ. Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections. J Vasc Surg. 2020 Mar;71(3):723-747. Disponible en: https://doi.org/10.1016/j.jvs.2019.11.013
24. Johnston KW, Rutherford RB, Tilson MD, et al. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg 1991; 13:452. Disponible en: https://doi.org/10.1067/mva.1991.26737
25. Ferro CR, de Oliveira DC, Guerra Fde F, et al. Prevalence and risk factors for combined coronary artery disease and aortic aneurysm. Arq Bras Cardiol 2007; 88:40. Disponible en: https://doi.org/10.1590/S0066-782X2007000100007
26. Booher AM, Eagle KA. Diagnosis and management issues in thoracic aortic aneurysm. Am Heart J 2011; 162:38. Disponible en: https://doi.org/10.1016/j.ahj.2011.04.010
27. Coady MA, Davies RR, Roberts M, et al. Familial patterns of thoracic aortic aneurysms. Arch Surg 1999; 134:361. DOI:10.1001/archsurg.134.4.361
28. Lee JJ, Dimick JB, Williams DM, et al. Existence of abdominal aortic aneurysms in patients with thoracic aortic dissections. J Vasc Surg 2003; 38:671 Disponible en: https://doi.org/10.1016/S0741-5214(03)00727-4
29. De León Ayala IA, Chen YF. Acute aortic dissection: an update. Kaohsiung J Med Sci 2012; 28:299. Disponible en: https://doi.org/10.1016/j.kjms.2011.11.010
30. Natsis KI, Tsitouridis IA, Didagelos M V., Fillipidis AA, Vlasis KG, Tsikaras PD. Anatomical variations in the branches of the human aortic arch in 633 angiographies: Clinical significance and literature review. Vol. 31, Surgical and Radiologic Anatomy. 2009. p. 319–23. Disponible en: https://doi.org/10.1007/s00276-008-0442-2
31. Nayak SR, Pai MM, Prabhu L V., D’Costa S, Shetty P. Anatomical organization of aortic arch variations in the India: Embryological basis and review. J Vasc Bras. 2006;5(2):95–100. Disponible en: https://doi.org/10.1590/S1677-54492006000200004
32. Acosta K, Romero J. Cambio recientes en las principales causas de mortalidad en Colombia [Internet]. Vol. 209, Documentos de trabajo sobre ECONOMIA REGIONAL. 2014.Disponible en: https://www.banrep.gov.co/sites/default/files/publicaciones/archivos/dtser_209.pdf
33. Tarazona MM, Camacho J, Peláez M, Carreño M, Sandoval N, Umaña J. Resultados del tratamiento quirúrgico de los aneurismas de aorta abdominal infrarrenal. Rev Colomb Cardiol. 2015;22(1):54–61. Disponible en: https://doi.org/10.1016/j.rccar.2014.09.005
34. Ortiz NE, Ballesteros LE, Forero PL. Caracterización de las Ramas del Arco Aórtico en una Muestra de Población Colombiana. Un Estudio con Material de Autopsia [Internet]. Vol. 30. Int. J. Morphol; 2012 [citado el 26 de junio de 2023]. Disponible en: https://dx.doi.org/10.4067/S0717-95022012000100008
35. Zainalaabdeen, Z., M. Alotaibi, M., S. Alghamd, M., M. Alsomali, M. ANEURISMA AÓRTICO ABDOMINAL: UNA REVISIÓN INTEGRAL. Diario médico de Al-Azhar , 2016; 45(3): 559-570. DOI: 10.12816/0033123
36. Gómez-Rubio J, Bárcena-Atalaya AB, Caballero-García FJ. Disección aórtica aguda, lo fundamental de la historia clínica y la exploración física. Semergen [Internet]. 2014 [citado el 7 de julio de 2023];40(4):228–31. DOI: 10.1016/j.semerg.2013.12.011
37. Wanhainen A, Björck M, Boman K, Rutegård J, Bergqvist D. Influence of diagnostic criteria on the prevalence of abdominal aortic aneurysm. J Vasc Surg. 2001 Aug;34(2):229-35. Disponible en: https://doi.org/10.1067/mva.2001.115801
38. Higa C, Guetta J, Borracci RA, Meribilhaa R, Marturano MP, Marenchino R, et al. Registro multicéntrico de disección aórtica aguda. Estudio RADAR. Resultados preliminares. Rev Argent Cardiol. 2009;77(5):354-60 Disponible en: http://www.scielo.org.ar/pdf/rac/v77n5/v77n5a04.pdf
39. Mammoto A, Matus K, Mammoto T. Extracellular Matrix in Aging Aorta. Front Cell Dev Biol. 2022 Feb 21;10. Disponible en: https://doi.org/10.1161/JAHA.114.001513
40. Sayed A, Munir M, Bahbah EI. Aortic Dissection: A Review of the Pathophysiology, Management and Prospective Advances. Curr Cardiol Rev. 2021;17(4):e230421186875 Disponible en: https://doi.org/10.2174/1573403x16666201014142930
41. Climent E, Benaiges D, Chillarón JJ, Flores-Le Roux JA, Pedro-Botet J. La diabetes mellitus como factor protector del aneurisma de aorta abdominal: posibles mecanismos. Clin Investig Arterioscler [Internet]. 2018 [citado el 7 de julio de 2023];30(4):181–7. DOI: 10.1016/j.arteri.2018.01.002
42. Shantikumar S, Ajjan R, Porter KE, Scott DJ. Diabetes and the abdominal aortic aneurysm. Eur J Vasc Endovasc Surg. 2010 Feb;39(2):200-7. Disponible en: https://doi.org/10.1016/j.ejvs.2009.10.014
43. Shalhub S, Schäfer M, Hatsukami TS, Sweet MP, Reynolds JJ, Bolster FA, Shin SH, Reece TB, Singh N, Starnes BW, Jazaeri O. Association of variant arch anatomy with type B aortic dissection and hemodynamic mechanisms. J Vasc Surg. 2018 Dec;68(6):1640-1648. Disponible en: https://doi.org/10.1016/j.jvs.2018.03.409
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/198842024-08-20T14:03:27Zcom_10336_925com_10336_562col_10336_12382
Factores de riesgo asociados a complicaciones en cirugía de reconstrucción de pared abdominal: revisión sistematizada de la literatura
Moscoso Daza, Alejandro
De Urena Galvis, Camila
Agudelo Martínez, María Alejandra
Reconstrucción de pared abdominal
Complicaciones de cirugía
Factores de riesgo
Reparación de hernia ventral
Objective: to evaluate the literature on risk factors with greater strength of association for complications of abdominal wall reconstruction surgery. Methods: A systematized review was made in the literature looking at different databases, studies performed on patients with risk factors for complications of abdominal wall reconstruction surgery. Literature was included since 2000. Results: after having entered the terms Mesh and Desc, the application of inclusion and exclusion criteria, qualify the literature and eliminate duplicates, 19 articles were chosen for systematized review. Conclusions: There are some risk factors described in the literature (Diabetes, smoking, obesity, concomitant surgery, Sarcopenia) that could increase the rate of complications in this surgery. Studies should be conducted trying to control these variables to optimize the prehabilitation in patients who are going to be taken to this surgery.
2019-06-18T21:46:33Z
2019-06-18T21:46:33Z
2019-06-18T21:46:33Z
2019
masterThesis
https://doi.org/10.48713/10336_19884
http://repository.urosario.edu.co/handle/10336/19884
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Holihan JL, Alawadi ZM, Harris JW, Harvin J, Shah SK, Goodenough CJ, et al. Ventral hernia: Patient selection, treatment, and management. Curr Probl Surg [Internet]. 2016;53(7):307–54. Available from: http://dx.doi.org/10.1067/j.cpsurg.2016.06.003
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/204882024-08-20T14:06:35Zcom_10336_925com_10336_562col_10336_12382
Eventos adversos en el perioperatorio relacionados con el uso de bloqueantes neuromusculares comparado con no utilizarlos durante la anestesia general en adultos : revisión sistemática de la literatura
Moscote Rivera, Maria Isabel
Pérez Carreño, Juan Guillermo
Gutiérrez Pinzón, Vivian Patricia
Manrique Hernández, Rubén Darío
Anestesia general
Complicaciones postoperatorias
Despertar intraoperatorio
Anafilaxia
Seguridad del paciente
Introduction: Neuromuscular Blockers Agents (NMBA) are routinely used in anaesthesia, although they don´t have anaesthetic properties and adverse events and mortality have been reported. Muscular relaxation is more a result of quality of anaesthesia that a muscular paralysis. Like this, abdominal surgeries are realized under anaesthesia without NMBA. Efforts made to avoid Postoperative Residual Curarization and intraoperative awareness have not diminished their incidence, and risk of use NMBA is not established. Judicious use of NMBA in specific situations may decrease adverse effects and cost of anaesthesia. Objective: Make a comparison of frequency of adverse events on perioperative period of adult patients, who suffer surgical procedures under general anaesthesia, in whose received NMBA with respect those received other techniques without NMBA. Methods: Systematic Review of literature. Eligibility criteria: Clinical trial if were published, observational studies in adults with surgery that reporting adverse events and mortality during perioperative period with use or without NMBAs. Studies on paediatric or obese patient, trauma, obstetric and cardiac surgery were excluded. Search and select Methods: Last fifteen years in PubMed, EMBASE, LILACS, Cochrane, and grey literature, without exclusion languages, seeking with Decs, Mesh, emtree and synonymous. Search strategy was: "Anaesthesia" (P) + "Neuromuscular Blocking Agents" (I) + “Adverse Effects” (O), including synonymous. We will use PRISMA (Preferred Items for Systematic Reviews and Metanalysis) flow chart and checklist. The protocol was registered on PROSPERO with the number CRD42019128550 and only was modified search strategy before beginning. Collect and analysis: Mendeley will be selected as reference manager. Independently, three reviewers seemed, selected and evaluated quality of articles. In disagreement case, a fourth reviewer decided. PRISMA checklist will be used to design of review, Review Manager 5 to analyse cuantitative data. Frequency of adverse events was measured, incidence of residual neuromuscular blockade, relative risk and others according information available and homogeneity of studies. Checklist CONSORT, STROBE, New Castle-Ottawa and risk of bias tool of Cochrane and GRADE System for certainty of evidence. Results: 433 studies were founded after duplicated to be removed. Seven studies were select, and four of them, observational studies with good agreement, methodological and report quality. Metanalysis of four prospective cohort studies were performed, finding an increased risk of postoperative respiratory complications when using NMBA (RR: 2,71 with IC95% 1,99-3,69). Other adverse events of interest could not be evaluated. Conclusions: There is evidence that suggest an increased risk of postoperative respiratory complications when NMBA were used. To establish causality, controlled trials should be performed. There is not enough information about other adverse events.
2019-10-25T15:44:04Z
2019-10-25T15:44:04Z
2019-10-25T15:44:04Z
masterThesis
https://doi.org/10.48713/10336_20488
https://repository.urosario.edu.co/handle/10336/20488
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/464232025-09-09T03:01:38Zcom_10336_925com_10336_562col_10336_12382
Precisión Diagnóstica y Utilidad Clínica de las Pruebas de Tamizaje y Diagnóstico para la Detección del Virus del Papiloma Humano (VPH) en Mujeres Adultas : Una Revisión Sistemática.
Riaño Rincón, Magda Flor
Romero, Santiago
Ospina Medina, María Cristina
Virus del Papiloma Humano
VPH
Tamizaje
Diagnóstico
Sensibilidad
Especificidad
Utilidad clínica
Citología
Pruebas moleculares
Revisión sistemática
The Human Papillomavirus (HPV) is the most common sexually transmitted infection (STI) and a key factor in the development of cervical cancer. Although cytology (Pap smear) is widely used, it has limitations in sensitivity, which has driven the adoption of more accurate molecular tests. This systematic review evaluates the diagnostic accu- racy and clinical utility of current HPV tests in adult women. Methodology: Primary stud- ies published between 2020 and 2025 in English or Spanish were reviewed, assessing diagnostic or screening tests in women ≥18 years old. Studies reporting sensitivity, spec- ificity, PPV, NPV, and clinical utility were included. The search was conducted across six databases, following PRISMA 2020 guidelines, and tools such as QUADAS-2 and RoB 2.0 were used to assess bias risk. Results: Out of 385 articles, six studies were included. Molecular tests (Cobas 4800, HC2, 16/18 genotyping) demonstrated higher sensitivity (87.5%–95.5%) than cytology (49.7%–66.7%) and an NPV ≥99%. Self-sampling was ef- fective and well-accepted. A meta-analysis was not performed due to study heterogeneity. Conclusions: Molecular tests outperform cytology in sensitivity and clinical utility, partic- ularly for detecting high-grade cervical lesions. Self-sampling and genotyping improve coverage and risk stratification. The evidence supports the use of HPV testing as a pri- mary screening method.
2025-09-08T12:42:29Z
2025-09-08T12:42:29Z
2025-09-08T12:42:29Z
masterThesis
https://repository.urosario.edu.co/workspaceitems/68242/edit
https://repository.urosario.edu.co/handle/10336/46423
spa
https://repository.urosario.edu.co/workspaceitems/68242/edit
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Murillo Zavala AM, Morales Pinargote MM, Quimiz Lino MB. Virus del papiloma humano: una actualización al diagnóstico y la prevención. Dominio Las Cienc [Internet]. 2022 [citado 12 de mayo de 2025];8(2):9. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=8383431
Organización Mundial de la Salud. Papilomavirus humano y cáncer [Internet]. 2024 [citado 12 de mayo de 2025]. Disponible en: https://www.who.int/es/news-room/factsheets/detail/human-papilloma-virus-and-cancer
Sendagorta-Cudós E, Burgos-Cibrián J, Rodríguez-Iglesias M. Infecciones genitales por el virus del papiloma humano. Enfermedades Infecc Microbiol Clínica [Internet]. 1 de mayo de 2019 [citado 12 de mayo de 2025];37(5):324-34. Disponible en: http://www.elsevier.es/es-revista-enfermedades-infecciosas-microbiologia-clinica-28- articulo-infecciones-genitales-por-el-virus-S0213005X19301223
Llamas Pombo LA, Martínez Consuegra FM. Virus del Papiloma Humano en Latinoamérica: La pandemia de la que poco se habla [Internet]. [Barranquilla]: Universidad del Norte; 2021. Disponible en: https://manglar.uninorte.edu.co/bitstream/handle/10584/10222/1044938350.pdf?sequen ce=1&isAllowed=y
Hernández-Hernández DM, Apresa-García T, Patlán-Pérez RM. Panorama epidemiológico del cáncer cervicouterino. Rev Médica Inst Mex Seguro Soc [Internet]. 15 de mayo de 2015 [citado 12 de mayo de 2025];53(S2):154-61. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=62982
López DPA, Ramos LMC, Monterrubio GED, Ledezma JCR, Ascencio SYC, Pérez CTS, et al. Virus del Papiloma Humano: Conocimiento en alumnas de Secundaria en Pachuca, Hidalgo y su impacto en la prevención. J Negat No Posit Results [Internet]. 21 de agosto de 2020 [citado 12 de mayo de 2025];5(10):1134-44. Disponible en: https://revistas.proeditio.com/jonnpr/article/view/3762
Insinga RP, Glass AG, Rush BB. Diagnoses and outcomes in cervical cancer screening: a population-based study. Am J Obstet Gynecol. julio de 2004;191(1):105-13
Prado-Peláez JG, Hernández-Pacheco I, Ruvalcaba-Ledezma JC, CeruelosHernández M del CA, Prado-Peláez JG, Hernández-Pacheco I, et al. VPH: generalidades, prevención y vacunación. J Negat No Posit Results [Internet]. 2021 [citado 12 de mayo de 2025];6(2):283-92. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S2529- 850X2021000200006&lng=es&nrm=iso&tlng=es
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. mayo de 2021;71(3):209- 49.
Almonacid IC, Garcia YC, Pinzón EF, Cifuentes CE, Almonacid CC. Identificación del virus del papiloma humano (VPH) en diferentes muestras de pacientes con diagnóstico de lesiones de alto grado en cuello uterino. Estudio piloto en una población colombiana. Rev NOVA [Internet]. 1 de mayo de 2023 [citado 12 de mayo de 2025];21(40):181-94. Disponible en: https://revistas.unicolmayor.edu.co/index.php/nova/article/view/2150
Ministerio de Salud y Protección Social. Día mundial del cáncer de cérvix 2022 - Cuenta de Alto Costo [Internet]. 2022 [citado 12 de mayo de 2025]. Disponible en: https://cuentadealtocosto.org/cancer/dia-mundial-del-cancer-de-cervix-2022
Sánchez Pedraza R, Soto De Leon SC, Camargo Pinzón S. Virus del papiloma humano en cinco regiones de Colombia : una realidad latente. 2011 [citado 16 de mayo de 2025]; Disponible en: http://repository.urosario.edu.co/handle/10336/3449 13. Organización Panamericana de la Salud. Pruebas de VPH para el Tamizaje del Cáncer Cervicouterino [Internet]. 2023 [citado 16 de mayo de 2025]. Disponible en: https://www.paho.org/es/temas/cancer-cervicouterino/pruebas-vph-para-tamizajecancer-cervicouterino
Rincón R DF, Morales L LA, Rincón-Orozco B, Rincón R DF, Morales L LA, RincónOrozco B. Modernas metodologías diagnosticas para la detección del Virus del Papiloma Humano y prevención del cáncer de cuello uterino. Rev Univ Ind Santander Salud [Internet]. septiembre de 2017 [citado 16 de mayo de 2025];49(3):478-88. Disponible en: 87 http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0121- 08072017000300478&lng=en&nrm=iso&tlng=es
Lucksom PG, Sherpa ML, Pradhan A, Lal S, Gupta C. Advances in HPV Screening Tests for Cervical Cancer—A Review. J Obstet Gynaecol India [Internet]. febrero de 2022 [citado 16 de mayo de 2025];72(1):13-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8804131/
Instituto Nacional del Cáncer (NIH). El virus del papiloma humano (VPH) y el cáncer [Internet]. 2019 [citado 16 de mayo de 2025]. Disponible en: https://www.cancer.gov/espanol/cancer/causas-prevencion/riesgo/germenesinfecciosos/vph-y-cancer
Jensen JE, Becker GL, Jackson JB, Rysavy MB. Human Papillomavirus and Associated Cancers: A Review. Viruses [Internet]. 26 de abril de 2024 [citado 14 de mayo de 2025];16(5):680. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11125882/
de Villiers EM. Cross-roads in the classification of papillomaviruses. Virology [Internet]. 1 de octubre de 2013 [citado 14 de mayo de 2025];445(1):2-10. Disponible en: https://www.sciencedirect.com/science/article/pii/S0042682213002456
Burd EM. Human Papillomavirus and Cervical Cancer. Clin Microbiol Rev [Internet]. enero de 2003 [citado 14 de mayo de 2025];16(1):1-17. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC145302/ 20. Lehoux M, D’Abramo CM, Archambault J. Molecular Mechanisms of Human Papillomavirus-Induced Carcinogenesis. Public Health Genomics [Internet]. 2009 [citado 14 de mayo de 2025];12(5-6):268-80. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4654617/
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Peeters E, Cornet K, Devroey D, Arbyn M. Efficacy of strategies to increase participation in cervical cancer screening: GPs offering self-sampling kits for HPV testing versus recommendations to have a pap smear taken - A randomised controlled trial. Papillomavirus Res [Internet]. 14 de marzo de 2020 [citado 14 de mayo de 2025];9:100194. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7090330/
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American Cancer Society. Types of HPV | American Cancer Society [Internet]. 2024 [citado 14 de mayo de 2025]. Disponible en: https://www.cancer.org/cancer/riskprevention/hpv/types-of-hpv.html
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Fouéré S, Biver-Dalle C, Prétet JL, Mougin C, Aubin F. Lesiones cutáneas y mucosas asociadas al virus del papiloma humano. EMC - Dermatol [Internet]. 1 de marzo de 2016 [citado 14 de mayo de 2025];50(1):1-12. Disponible en: https://www.sciencedirect.com/science/article/pii/S1761289616763333
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Chelimo C, Wouldes TA, Cameron LD, Elwood JM. Risk factors for and prevention of human papillomaviruses (HPV), genital warts and cervical cancer. J Infect [Internet]. 1 de marzo de 2013 [citado 14 de mayo de 2025];66(3):207-17. Disponible en: https://www.sciencedirect.com/science/article/pii/S0163445312003106
Vaccarella S, Franceschi S, Herrero R, Muñoz N, Snijders PJF, Clifford GM, et al. Sexual behavior, condom use, and human papillomavirus: pooled analysis of the IARC human papillomavirus prevalence surveys. Cancer Epidemiol Biomark Prev Publ Am Assoc Cancer Res Cosponsored Am Soc Prev Oncol. febrero de 2006;15(2):326-33.
Winer RL, Lee SK, Hughes JP, Adam DE, Kiviat NB, Koutsky LA. Genital human papillomavirus infection: incidence and risk factors in a cohort of female university students. Am J Epidemiol. 1 de febrero de 2003;157(3):218-26.
Mitra A, MacIntyre DA, Marchesi JR, Lee YS, Bennett PR, Kyrgiou M. The vaginal microbiota, human papillomavirus infection and cervical intraepithelial neoplasia: what do we know and where are we going next? Microbiome [Internet]. 1 de noviembre de 2016 [citado 14 de mayo de 2025];4:58. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5088670/
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/401362023-07-13T03:01:02Zcom_10336_925com_10336_562col_10336_12382
Factores asociados a barreras administrativas para acceder a los servicios de salud que enfrentan pacientes con cáncer, en una clínica oncológica de Bogotá, D.C. Colombia
Amador Forigua, Diana Patricia
Mora Sepulveda, Magda Rocío
Sierra Hincapie, Gloria María
Cáncer
Accesibilidad a servicios de salud
Seguro médico
Entorno social
Factores demográficos
Introduction: Cancer is a disease of interest in public health, and its forecast depends on timely healthcare provision. However, access to oncology services is delayed or blocked, due to shortcomings in healthcare systems, added to sociocultural and geographical issues. Objective: to determine the demographic and socioeconomic variables, as well as the sociocultural and geographical barriers, that best explain the presence of administrative barriers to access to health services, faced by adults with cancer in a private health services provider in Bogotá. Methodology: analytical, cross-sectional study. Using the data obtained from a survey permitted to make bivariate analysis, prevalence ratio calculation, and binary logistic regression. Results: Within the main administrative obstacles, they were found: fragmentation of services (86.9%), excess of bureaucratic procedures (21.9%), and the absence of insurer offices close to home (20.9%). Differences were found between the patients who had to renew medical authorizations and those over 60 years of age with an educational level below secondary school, rural area residents, and members of the subsidized regime. In addition, these last two characteristics were also a risk factor for having to move to other cities to carry out administrative procedures. Discussion: The increase in procedures to be carried out due to the expiration of orders secondary to delays of at the insurer was mainly related to the vulnerable population and demonstrated inequity of access by affecting people who do not have academic, and legal tools to enforce their rights.
2023-07-13T06:21:31Z
2023-07-13T06:21:31Z
2023-07-13T06:21:31Z
masterThesis
https://doi.org/10.48713/10336_40136
https://repository.urosario.edu.co/handle/10336/40136
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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16. Martinez FL. Barreras geográficas y equidad en el acceso a los servicio de salud en el distrito capital. Fedesalud. 19 de septiembre de 2022;
17. Carlos García-Ubaque J, Quintero-Matallana CS. Barreras Geográficas y Económicas para el Acceso a los Servicios Oncológicos del Instituto Nacional de Cancerología en Bogotá. Rev salud pública. 3 de septiembre de 2008;10(4):583–92.
18. Instituto Nacional de Cancerología, Ministerio de salud de Colombia. Boletín de servicios Oncológicos. 2019;
19. Organización Panamericana de la Salud, Organización Mundial de la Salud. Día mundial contra el cáncer 2022: Por unos cuidados más justos [Internet]. 2022 [citado 12 de noviembre de 2022]. Disponible en: https://www.paho.org/es/campanas/dia-mundial-contra-cancer-2022-por-unos-cuidados-mas-justos
20. Huertas Q JA, Rivillas-García JC, Ospina M ML. Progreso en el logro de los Objetivos de Desarrollo del Milenio: la mortalidad por cáncer de cérvix desciende en Colombia. Revista Facultad Nacional de Salud Pública [Internet]. 15 de mayo de 2015;33(2). Disponible en: https://revistas.udea.edu.co/index.php/fnsp/article/view/19051
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22. Congreso de la República de Colombia. Ley 1122 de 2007. Modificaciones en el Sistema General de Seguridad Social en Salud. Ley 1122 de 2007 República de Colombia; ene 9, 2007 p. 1–18.
23. Congreso de la República de Colombia, Senado de la República. Diario Oficial No. 52204. 2022 [citado 11 de noviembre de 2022]. Constitución política de Colombia. Disponible en: http://www.secretariasenado.gov.co/constitucion-politica
24. Congreso de la República. Ley estatutaria 1751 de 2015. Se regula el derecho fundamental a la salud. Diario Oficial No. 49.427 , Ley estatutaria 1751 de 2015 República de Colombia; feb 16, 2015 p. 1–25.
25. Corte Constitucional Republica de Colombia. Sentencia T-259/19 de la Corte Constitucional. Cubrimiento de gastos de transporte para paciente y acompañante por EPS_ Reglas jurisprudenciales [Internet]. 2019 [citado 13 de noviembre de 2022]. Disponible en: https://www.corteconstitucional.gov.co/relatoria/2019/t-259-19.htm
26. Ministerio de salud y protección social. Decreto 780 de 2016. Decreto Único Reglamentario del Sector Salud y Protección Social. Decreto 780 de 2016 República de Colombia; may 6, 2016 p. 170–1.
27. Ministerio de Salud y protección Social. República de Colombia. Resolución 1552 de 2013. Se reglamentan parcialmente los artículos 123 y 124 del Decreto Ley 019 de 2012. Resolución 1552 de 2013 República de Colombia; may 14, 2013.
28. Ministerio de Salud y Protección Social. Resolución 1604 de 2013. Se reglamenta el articulo 131 del Decreto Ley 019 de 2012. Resolución 1604 de 2013 República de Colombia; may 17, 2013 p. 1–6.
29. Ministerio de Salud y Protección Social. Resolución 3280 DE 2018. Lineamientos técnicos y operativos de la ruta integral para la detección temprana de cáncer de cuello uterino, mama, próstata, colon y recto. Resolución 3280 de 2018 República de Colombia; ago 2, 2018 p. 167–80.
30. Ministerio de Salud y protección Social. Resolución 229 de 2020. Lineamientos de la carta de derechos y deberes de la persona afiliada. Resolución 229 de 2020 República de Colombia; feb 20, 2020 p. 5–19.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/198722024-08-20T12:56:37Zcom_10336_925com_10336_562col_10336_12382
Asociación entre masturbación y disfunciones sexuales en mujeres mayores 18 años en consulta ginecológica
Franco Ayala, Luis Carlos
Molano Franco, Daniel
Disfunción sexual
Anorgasmia
Dispareunia
Masturbación
Vaginismo
Introduction: Sexual dysfunctions affects 25 - 78% of women. Masturbation is a recognized tool in the management of sexual dysfunctions. However, its role in preventing these conditions is unknown. The objective of the study is to determine and understand the association between masturbation and female sexual dysfunctions. Methodology: Multimethod study, the quantitative component is an analytical observational study of retrospective cohorts with bivariate and multivariate analysis correcting the association for the significant variables; the qualitative component was based on grounded theory for the analysis of emerging categories related to the association. Results: 520 women were studied in the quantitative component and 11 in the qualitative component from November 2017 to November 2018. The incidence of sexual dysfunction was 23%. The bivariate analysis between masturbation and dysfunction was significant (RR = 0.6 CI 0.405-0.93), in the multivariate analysis a statistically significant association was not found (corrected OR = 0.67 IC 0.436-1.030). Significant risk factors were stress incontinence (corrected OR = 3.19 IC 1.144-13.4) and history of sexual abuse (corrected OR 7.48 IC 1.37-40.76) the protective factors were education level (corrected OR 0.806 CI 0.637-0.99) and single marital status (corrected OR = 0.802 CI 0.637-0.99). The multidimensional and multifactorial nature of female sexual dysfunction makes it difficult to identify absolute determinants for the condition. Discussion: more studies are required to expand the knowledge about the role of masturbation as a protective factor for female sexual dysfunction. Understanding dysfunction individually is the best approach to help these patients.
2019-06-18T20:28:54Z
2019-06-18T20:28:54Z
2019-06-18T20:28:54Z
2019
masterThesis
https://doi.org/10.48713/10336_19872
http://repository.urosario.edu.co/handle/10336/19872
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Studd J, Schwenkhagen A. The historical response to female sexuality. Maturitas. 2009;63(2):107-11
Castelo-Branco C, Huezo ML, Lagarda JL. Definition and diagnosis of sexuality in the XXI century. Maturitas. 2008;60(1):50-8
Zhang H, Fan S, Yip PS. Sexual dysfunction among reproductive-aged Chinese married women in Hong Kong: prevalence, risk factors, and associated consequences. J Sex Med. 2015;12(3):738-45
Philippsohn S, Hartmann U. Determinants of sexual satisfaction in a sample of German women. J Sex Med. 2009;6(4):1001-10
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/180512019-09-19T07:37:54Zcom_10336_925com_10336_562col_10336_12382
Detección de mamoglobina mediante Rt-Pcr como biomarcador de metástasis en nódulos linfáticos de pacientes con cáncer de seno : una revisión sistemática y metaanálisis
Monsalve Lancheros, Ana Milena
Ramírez Clavijo, Sandra Rocío
Ibáñez Pinilla, Milcíades
Mammaglobina
Neoplasia de seno
Nódulo linfático centinela
Metástasis linfática
Técnicas de amplificación de ácidos nucleicos
This meta-analysis shows evidence about the diagnostic value about mamoglobin detected by the RT-PCR technique, related to the presence of sentinel node metastases from patients with breast cancer. The search terms chosen were used to obtain publications from different databases and the Google Scholar search web page. The quality of the studies was assessed by two researchers, according to CASPe and QUADAS criteria, the agreement between them was evaluated. The studies which published data required to calculate validity diagnostic values were selected. 182 articles were initially obtained, 24 of these were entered into the meta-analysis. The studies presented high heterogeneity, so the random effects method was used. RT-PCR sensitivity was assessed for the detection of mamaglobin in breast cancer patient´s lymph node, this was 85% with CI (83% - 87%), specificity was 92% with CI (91% - 93%). The positive and negative likelihood values were 8.91 IC (6.11 - 13.01) and 0.17 IC (0.12 - 0.24) respectively; the diagnostic OR was 64.95 with IC (39.86 - 105.84). ROC curve: Q = 0.8874; gl = 23, SE (Q) = 0.0131, the probability to identify breast cancer metastasis in the lymph node, by mamoglobin detection was 94.77%. The presence of mamoglobin, identified by RT-PCR in the breast cancer patient´s lymph node indicates with high probability the presence of metastasis. Further research is required to improve this type of tests, reduce the frequency of discrepancies and make the diagnosis in less time.
2018-06-06T20:57:24Z
2018-06-06T20:57:24Z
2018-06-06T20:57:24Z
2017
masterThesis
https://doi.org/10.48713/10336_18051
http://repository.urosario.edu.co/handle/10336/18051
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/318092021-07-10T03:02:54Zcom_10336_925com_10336_562col_10336_12382
Efectividad y seguridad del plasma rico en plaquetas en comparación con otras alternativas de tratamiento para la epicondilitis lateral
Pardo Reyes, Steffy
Valencia Marmolejo, Isabel
Molina Castaño, Carlos Federico
Educacion Médica y en Ciencias de la Salud
Análisis de uso de plasma rico en plaquetas (PRP) en el tratamiento de Codo de tenista
Escala de evaluación para pacientes con codo del tenista (PRTEE)
Codo de tenista (epicondilitis lateral - Bursitis epitróclea - Epicondilitis humeral - Tendinitis en codo)
Introduction: Lateral epicondylitis (LE) is the most diagnosed tendinopathy, with a prevalence between 1-3% in the general population and up to 7% in people exposed to the repetitive forearm and wrist movements, leading to limitation and loss of capacity functional. Its management is mainly conservative, however, due to advances in research and molecular medicine, the use of platelet-rich plasma is considered today as an innovative alternative. Objective: To Determine the effectiveness and safety of the use of Platelet Rich Plasma in the management of lateral epicondylitis in comparison with the other management alternatives described. Methodology: A Systematic Review was carried out following the Cochrane Collaboration standard. The Embase, Medline, Lilacs, and Cochrane databases were consulted. The search strategy based on the PICO question was built using standardized terms Mesh, Decs, and Emtree according to the database, as well as free terms, without any type of restriction or limits. References were selected through an independent paired review of titles and abstracts, as well as quality assessment and extraction of information from the studies. The summary of the evidence followed the GRADE recommendations and the methodological quality assessed according to the design. Results: The results on pain in the relation significant differences in favor of the Platelet Rich Plasma (PRP) in relation to multiple pooled comparators. When specifically compared to placebo and whole blood, significant differences were only found in favor of PRP in the short term. On the contrary, when comparing with steroids and local anesthetics, significant differences were found in favor of PRP in the medium and long term. The results show that the PRP was superior to the control in terms of functionality when evaluated with Patient Rated Tennis Elbow Evaluation Scale (PRTEE) at 6 months. The other comparisons did not change significantly.
2021-07-09T21:37:20Z
2021-07-09T21:37:20Z
2021-07-09T21:37:20Z
masterThesis
https://doi.org/10.48713/10336_31809
https://repository.urosario.edu.co/handle/10336/31809
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/375892023-01-20T07:22:48Zcom_10336_925com_10336_562col_10336_12382
SAR-CoV-2 en América, una revisión sistemática de la literatura sobre la efectividad de las estrategias de intervención no farmaceuticas en la contención del virus
Sánchez Castiblanco, Sergio Alejandro
Guarnizo Bolaños, Sebastián
Ruiz Palma, Erika Alejandra
Molina Castro, Carlos Federico
COVID 19
Medidas
Estrategias
No farmacéuticas
SARS CoV2
Estrategias no farmacéuticas
Bioseguridad
Since 2019, SARS-Cov-2 has generated a health crisis situation that has mainly affected health systems, in addition to being considered a pandemic situation by the World Health Organization, having multisector impacts (health, social, economic, political, security and human rights). This document carried out a systematic review of the literature that allowed establishing the effectiveness of non-pharmaceutical intervention measures as a strategy to contain the virus and its mortality rate. For this, a qualitative research methodology based on the systematic review of the literature was applied, applying the evidence-based practice approach, with a descriptive-inductive approach. Information was searched in the PubMed, Cochrane, Scopus, ScienceDirect, Scielo and Dialnet databases, from which 1223 articles and journals were preselected, to which the established information filtering process was applied, with a selection end of 29 items. The effectiveness of non-pharmaceutical intervention measures focuses on the implementation of compartmental models such us Susceptible, Infectious, Exposed, Recovered, Deaths models, used both post and predictive of the spread of the infectious virus. It is concluded that the evidence shows the effectiveness of non-pharmaceutical intervention strategies in containing the virus, but only as a strategy to flatten the contagion curve, however, this reduced the impact on health systems
2022-12-05T17:04:27Z
2022-12-05T17:04:27Z
2022-12-05T17:04:27Z
masterThesis
https://doi.org/10.48713/10336_37589
https://repository.urosario.edu.co/handle/10336/37589
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
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http://creativecommons.org/licenses/by-nc-sa/2.5/co/
Atribución-NoComercial-CompartirIgual 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Sánchez-Vallejo, Gregorio (2021) Epidemias y pandemias, una aproximación histórica*. En: Acta Medica Colombiana. Vol. 46; No. 3; pp. 3 - 10; Consultado en: 2022/11/30/22:51:39. Disponible en: https://www.redalyc.org/journal/1631/163171414002/.
Jin, Yuefei; Yang, Haiyan; Ji, Wangquan; Wu, Weidong; Chen, Shuaiyin; Zhang, Weiguo; Duan, Guangcai (2020) Virology, Epidemiology, Pathogenesis, and Control of COVID-19. En: Viruses. Vol. 12; No. 4; pp. 372 1999-4915; Disponible en: 10.3390/v12040372.
Coronavirus: la OMS declara la pandemia a nivel mundial por Covid-19. En: Redacción Médica. Consultado en: 2022/11/30/22:54:48. Disponible en: https://www.redaccionmedica.com/secciones/sanidad-hoy/coronavirus-pandemia-brote-de-covid-19-nivel-mundial-segun-oms-1895.
Nations, United; Día Internacional de la Preparación ante las Epidemias | Naciones Unidas. En: United Nations. Consultado en: 2022/11/30/22:58:08. Disponible en: https://www.un.org/es/observances/epidemic-preparedness-day.
COVID-19: cronología de la actuación de la OMS. Consultado en: 2022/11/30/22:59:03. Disponible en: https://www-who-int.ez.urosario.edu.co/es/news/item/27-04-2020-who-timeline---covid-19.
(2020) El coronavirus SARS-CoV-2 es una pandemia. En: Noticias ONU. Consultado en: 2022/11/30/23:00:16. Disponible en: https://news.un.org/es/story/2020/03/1470991.
WHO Coronavirus (COVID-19) Dashboard. Consultado en: 2022/11/30/23:03:00. Disponible en: https://covid19.who.int.
El reto del covid-19 para los sistemas de salud en el mundo. Consultado en: 2022/11/30/23:05:26. Disponible en: https://www.minsalud.gov.co/Paginas/El-reto-del-covid-19-para-los-sistemas-de-salud-en-el-mundo.aspx.
La COVID-19 afectó el funcionamiento de los servicios de salud para enfermedades no transmisibles en las Américas. Consultado en: 2022/11/30/23:08:43. Disponible en: https://www.paho.org/es/noticias/17-6-2020-covid-19-afecto-funcionamiento-servicios-salud-para-enfermedades-no.
La COVID-19 (coronavirus) hunde a la economía mundial en la peor recesión desde la Segunda Guerra Mundial. En: World Bank. Consultado en: 2022/11/30/23:14:36. Disponible en: https://www.bancomundial.org/es/news/press-release/2020/06/08/covid-19-to-plunge-global-economy-into-worst-recession-since-world-war-ii.
(2020) La pandemia de COVID-19 ampliará la brecha de pobreza entre mujeres y hombres. En: Noticias ONU. Consultado en: 2022/11/30/23:15:55. Disponible en: https://news.un.org/es/story/2020/09/1479872.
Guiñez-Coelho, Marcial (2020) Impact of COVID-19 (SARS-CoV-2) Worldwide, Implications and Preventive Measures in Dental Practice and its Psychological Consequences on Patients. En: International journal of odontostomatology. Vol. 14; No. 3; pp. 271 - 278; 0718-381X; Consultado en: 2022/11/30/23:17:26. Disponible en: http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0718-381X2020000300271&lng=en&nrm=iso&tlng=en. Disponible en: 10.4067/S0718-381X2020000300271.
(2020) La salud, el trabajo y la comida: lo que el COVID-19 se llevó en los países más pobres. En: Noticias ONU. Consultado en: 2022/11/30/23:19:49. Disponible en: https://news.un.org/es/story/2020/10/1482302.
El coronavirus llega a todos los países de América Latina. En: BBC News Mundo. Consultado en: 2022/11/30/23:20:39. Disponible en: https://www.bbc.com/mundo/noticias-america-latina-51713166.
Trigésimo Sexto Período Ordinario de Sesiones de la Asamblea General de la OEA. Consultado en: 2022/11/30/23:26:58. Disponible en: https://www.oas.org/36ag/espanol/.
About us. Consultado en: 2022/11/30/23:30:05. Disponible en: https://www.gpmb.org/about-us.
Barón, María Alejandra Santos (2021) Implicaciones del COVID-19 en la seguridad y el rol de la FAC en el marco de la pandemia durante el año 2020*. En: Revista de Relaciones Internacionales, Estrategia y Seguridad. Vol. 16; No. 2; pp. 77 - 96; Consultado en: 2022/11/30/23:32:12. Disponible en: https://www.redalyc.org/journal/927/92770298007/movil/.
Impactos políticos y socio-económicos del COVID-19 en América Latina. Consultado en: 2022/11/30/23:33:45. Disponible en: http://cari.org.ar/recursos/coronavirus29-05-20.html.
Elecciones de Bolivia 2020, en vivo: resultados, estadísticas y votación, en directo. Consultado en: 2022/11/30/23:35:04. Disponible en: https://as.com/diarioas/2020/10/23/actualidad/1603447559_081493.html.
Caribe, Comisión Económica para América Latina y el (2020) COVID-19 tendrá graves efectos sobre la economía mundial e impactará a los países de América Latina y el Caribe. Consultado en: 2022/11/30/23:36:04. Disponible en: https://www.cepal.org/es/comunicados/covid-19-tendra-graves-efectos-la-economia-mundial-impactara-paises-america-latina.
S.A.S, Editorial La República; "Es imposible" postergar las elecciones parlamentarias de Venezuela dijo Nicolás Maduro. En: Diario La República. Consultado en: 2022/11/30/23:37:11. Disponible en: https://www.larepublica.co/globoeconomia/es-imposible-postergar-las-elecciones-parlamentarias-de-venezuela-dijo-nicolas-maduro-3062112.
COVID-19 y derechos humanos. En: OHCHR. Consultado en: 2022/11/30/23:39:22. Disponible en: https://www.ohchr.org/es/stories/2020/03/covid-19-and-human-rights.
Reglamento sanitario international (2005). Consultado en: 2022/11/30/23:48:06. Disponible en: https://www.who.int/es/publications/i/item/9789241580496.
epidemiology noun. Consultado en: 2022/11/30/23:49:05. Disponible en: https://www.oxfordlearnersdictionaries.com/us/definition/english/epidemiology?q=epidemiology.
Qué se sabe del primer caso de coronavirus confirmado en América Latina. En: BBC News Mundo. Consultado en: 2022/11/30/23:54:24. Disponible en: https://www.bbc.com/mundo/noticias-america-latina-51649110.
Castañeda Gullot, Carlos; Ramos Serpa, Gerardo (2020) Principales pandemias en la historia de la humanidad. En: Rev. cuba. pediatr. pp. e1183 - e1183; Consultado en: 2022/11/30/23:58:26. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312020000500014.
Velázquez-Silva, Ricardo Iván (2020) Historia de las infecciones por coronavirus y epidemiología de la infección por SARS-CoV-2. En: Revista Mexicana de Trasplantes. Vol. 9; No. S2; pp. 149 - 159; 2007-6800; Consultado en: 2022/12/01/00:06:14. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=94504.
Duan, Liangwei; Zheng, Qianqian; Zhang, Hongxia; Niu, Yuna; Lou, Yunwei; Wang, Hui (2020) The SARS-CoV-2 Spike Glycoprotein Biosynthesis, Structure, Function, and Antigenicity: Implications for the Design of Spike-Based Vaccine Immunogens. En: Frontiers in Immunology. Vol. 11; pp. 576622 1664-3224; Disponible en: 10.3389/fimmu.2020.576622.
Kok, Tuck-Weng; Chan, Paul K. S. (2021) Emergent human coronaviruses. En: Journal of Virological Methods. Vol. 290; pp. 114095 1879-0984; Disponible en: 10.1016/j.jviromet.2021.114095.
He, Ruyuan; Lu, Zilong; Zhang, Lin; Fan, Tao; Xiong, Rui; Shen, Xiaokang; Feng, Haojie; Meng, Heng; Lin, Weichen; Jiang, Wenyang; Geng, Qing (2020) The clinical course and its correlated immune status in COVID-19 pneumonia. En: Journal of Clinical Virology: The Official Publication of the Pan American Society for Clinical Virology. Vol. 127; pp. 104361 1873-5967; Disponible en: 10.1016/j.jcv.2020.104361.
Wiersinga, W. Joost; Rhodes, Andrew; Cheng, Allen C.; Peacock, Sharon J.; Prescott, Hallie C. (2020) Pathophysiology, Transmission, Diagnosis, and Treatment of Coronavirus Disease 2019 (COVID-19): A Review. En: JAMA. Vol. 324; No. 8; pp. 782 - 793; 1538-3598; Disponible en: 10.1001/jama.2020.12839.
CORONAVIRUS (COVID-19). Consultado en: 2022/12/01/00:15:31. Disponible en: https://www.minsalud.gov.co/salud/publica/PET/Paginas/Covid.aspx.
Perez, Gerardo Tiburcio Lopez; Sandoval, María de Lourdes Patricia Ramírez; Altamirano, Mayra Solyenetzin Torres (2020) Fisiopatología del daño multiorgánico en la infección por SARS-Cov2. En: Acta Pediátrica de México. Vol. 41; No. 4S1; pp. 27 - 41; 2395-8235; Consultado en: 2022/12/01/00:19:00. Disponible en: https://ojs.actapediatrica.org.mx/index.php/APM/article/view/2042. Disponible en: 10.18233/APM41No4S1ppS27-S412042.
Li, Qun; Guan, Xuhua; Wu, Peng; Wang, Xiaoye; Zhou, Lei; Tong, Yeqing; Ren, Ruiqi; Leung, Kathy S. M.; Lau, Eric H. Y.; Wong, Jessica Y.; Xing, Xuesen; Xiang, Nijuan; Wu, Yang; Li, Chao; Chen, Qi; Li, Dan; Liu, Tian; Zhao, Jing; Liu, Man; Tu, Wenxiao; Chen, Chuding; Jin, Lianmei; Yang, Rui; Wang, Qi; Zhou, Suhua; Wang, Rui; Liu, Hui; Luo, Yinbo; Liu, Yuan; Shao, Ge; Li, Huan; Tao, Zhongfa; Yang, Yang; Deng, Zhiqiang; Liu, Boxi; Ma, Zhitao; Zhang, Yanping; Shi, Guoqing; Lam, Tommy T. Y.; Wu, Joseph T.; Gao, George F.; Cowling, Benjamin J.; Yang, Bo; Leung, Gabriel M.; Feng, Zijian (2020) Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. En: The New England Journal of Medicine. Vol. 382; No. 13; pp. 1199 - 1207; 1533-4406; Disponible en: 10.1056/NEJMoa2001316.
Mizumoto, Kenji; Kagaya, Katsushi; Zarebski, Alexander; Chowell, Gerardo (2020) Estimating the asymptomatic proportion of coronavirus disease 2019 (COVID-19) cases on board the Diamond Princess cruise ship, Yokohama, Japan, 2020. En: Euro Surveillance: Bulletin Europeen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin. Vol. 25; No. 10; pp. 2000180 1560-7917; Disponible en: 10.2807/1560-7917.ES.2020.25.10.2000180.
Natural History of Asymptomatic SARS-CoV-2 Infection | NEJM. Consultado en: 2022/12/01/00:25:50. Disponible en: https://www.nejm.org/doi/full/10.1056/NEJMc2013020.
Wu, Zunyou; McGoogan, Jennifer M. (2020) Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. En: JAMA. Vol. 323; No. 13; pp. 1239 - 1242; 1538-3598; Disponible en: 10.1001/jama.2020.2648.
Behzad, Shima; Aghaghazvini, Leila; Radmard, Amir Reza; Gholamrezanezhad, Ali (2020) Extrapulmonary manifestations of COVID-19: Radiologic and clinical overview. En: Clinical Imaging. Vol. 66; pp. 35 - 41; 1873-4499; Disponible en: 10.1016/j.clinimag.2020.05.013.
Datta, S. Deblina; Talwar, Amish; Lee, James T. (2020) A Proposed Framework and Timeline of the Spectrum of Disease Due to SARS-CoV-2 Infection: Illness Beyond Acute Infection and Public Health Implications. En: JAMA. Vol. 324; No. 22; pp. 2251 - 2252; 1538-3598; Disponible en: 10.1001/jama.2020.22717.
Yüce, Meral; Filiztekin, Elif; Özkaya, Korin Gasia (2021) COVID-19 diagnosis -A review of current methods. En: Biosensors & Bioelectronics. Vol. 172; pp. 112752 1873-4235; Disponible en: 10.1016/j.bios.2020.112752.
López, José David Sáenz; Rodríguez, María Camila Sierra; Salcedo, Juan José García (2020) Predictores de mortalidad en pacientes con COVID-19. En: Archivos de medicina. Vol. 16; No. 2; pp. 6 1698-9465; Consultado en: 2022/12/01/00:42:51. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=7467869.
Liao, Danying; Zhou, Fen; Luo, Lili; Xu, Min; Wang, Hongbo; Xia, Jiahong; Gao, Yong; Cai, Liqiong; Wang, Zhihui; Yin, Ping; Wang, Yadan; Tang, Lu; Deng, Jun; Mei, Heng; Hu, Yu (2020) Haematological characteristics and risk factors in the classification and prognosis evaluation of COVID-19: a retrospective cohort study. En: The Lancet. Haematology. Vol. 7; No. 9; pp. e671 - e678; 2352-3026; Disponible en: 10.1016/S2352-3026(20)30217-9.
Lee, Keum Hwa; Yoon, Sojung; Jeong, Gwang Hun; Kim, Jong Yeob; Han, Young Joo; Hong, Sung Hwi; Ryu, Seohyun; Kim, Jae Seok; Lee, Jun Young; Yang, Jae Won; Lee, Jinhee; Solmi, Marco; Koyanagi, Ai; Dragioti, Elena; Jacob, Louis; Radua, Joaquim; Smith, Lee; Oh, Hans; Tizaoui, Kalthoum; Cargnin, Sarah; Terrazzino, Salvatore; Ghayda, Ramy Abou; Kronbichler, Andreas; Shin, Jae Il (2020) Efficacy of Corticosteroids in Patients with SARS, MERS and COVID-19: A Systematic Review and Meta-Analysis. En: Journal of Clinical Medicine. Vol. 9; No. 8; pp. 2392 2077-0383; Disponible en: 10.3390/jcm9082392.
Ye, Qing; Wang, Bili; Mao, Jianhua (2020) The pathogenesis and treatment of the `Cytokine Storm' in COVID-19. En: The Journal of Infection. Vol. 80; No. 6; pp. 607 - 613; 1532-2742; Disponible en: 10.1016/j.jinf.2020.03.037.
Triana-Bedoya, Gloria Alejandra (2020) Tormenta de citoquinas y SARS COV 2: el desafío inmunológico.
Song, Yang; Zhang, Min; Yin, Ling; Wang, Kunkun; Zhou, Yiyi; Zhou, Mi; Lu, Yun (2020) COVID-19 treatment: close to a cure? A rapid review of pharmacotherapies for the novel coronavirus (SARS-CoV-2). En: International Journal of Antimicrobial Agents. Vol. 56; No. 2; pp. 106080 1872-7913; Disponible en: 10.1016/j.ijantimicag.2020.106080.
Yang, Xiaobo; Yu, Yuan; Xu, Jiqian; Shu, Huaqing; Xia, Jia'an; Liu, Hong; Wu, Yongran; Zhang, Lu; Yu, Zhui; Fang, Minghao; Yu, Ting; Wang, Yaxin; Pan, Shangwen; Zou, Xiaojing; Yuan, Shiying; Shang, You (2020) Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. En: The Lancet. Respiratory Medicine. Vol. 8; No. 5; pp. 475 - 481; 2213-2619; Disponible en: 10.1016/S2213-2600(20)30079-5.
Wang, Dawei; Hu, Bo; Hu, Chang; Zhu, Fangfang; Liu, Xing; Zhang, Jing; Wang, Binbin; Xiang, Hui; Cheng, Zhenshun; Xiong, Yong; Zhao, Yan; Li, Yirong; Wang, Xinghuan; Peng, Zhiyong (2020) Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. En: JAMA. Vol. 323; No. 11; pp. 1061 - 1069; 1538-3598; Disponible en: 10.1001/jama.2020.1585.
Fanelli, Vito; Fiorentino, Marco; Cantaluppi, Vincenzo; Gesualdo, Loreto; Stallone, Giovanni; Ronco, Claudio; Castellano, Giuseppe (2020) Acute kidney injury in SARS-CoV-2 infected patients. En: Critical Care (London, England). Vol. 24; No. 1; pp. 155 1466-609X; Disponible en: 10.1186/s13054-020-02872-z.
Long, Brit; Brady, William J.; Koyfman, Alex; Gottlieb, Michael (2020) Cardiovascular complications in COVID-19. En: The American Journal of Emergency Medicine. Vol. 38; No. 7; pp. 1504 - 1507; 1532-8171; Disponible en: 10.1016/j.ajem.2020.04.048.
Ahmad, Imran; Rathore, Farooq Azam (2020) Neurological manifestations and complications of COVID-19: A literature review. En: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia. Vol. 77; pp. 8 - 12; 1532-2653; Disponible en: 10.1016/j.jocn.2020.05.017.
Trottein, François; Sokol, Harry (2020) Potential Causes and Consequences of Gastrointestinal Disorders during a SARS-CoV-2 Infection. En: Cell Reports. Vol. 32; No. 3; pp. 107915 2211-1247; Disponible en: 10.1016/j.celrep.2020.107915.
Klok, F. A.; Kruip, M. J. H. A.; van der Meer, N. J. M.; Arbous, M. S.; Gommers, D. a. M. P. J.; Kant, K. M.; Kaptein, F. H. J.; van Paassen, J.; Stals, M. a. M.; Huisman, M. V.; Endeman, H. (2020) Incidence of thrombotic complications in critically ill ICU patients with COVID-19. En: Thrombosis Research. Vol. 191; pp. 145 - 147; 1879-2472; Disponible en: 10.1016/j.thromres.2020.04.013.
Lansbury, Louise; Lim, Benjamin; Baskaran, Vadsala; Lim, Wei Shen (2020) Co-infections in people with COVID-19: a systematic review and meta-analysis. En: The Journal of Infection. Vol. 81; No. 2; pp. 266 - 275; 1532-2742; Disponible en: 10.1016/j.jinf.2020.05.046.
Koehler, Philipp; Cornely, Oliver A.; Böttiger, Bernd W.; Dusse, Fabian; Eichenauer, Dennis A.; Fuchs, Frieder; Hallek, Michael; Jung, Norma; Klein, Florian; Persigehl, Thorsten; Rybniker, Jan; Kochanek, Matthias; Böll, Boris; Shimabukuro-Vornhagen, Alexander (2020) COVID-19 associated pulmonary aspergillosis. En: Mycoses. Vol. 63; No. 6; pp. 528 - 534; 1439-0507; Disponible en: 10.1111/myc.13096.
Palacios Cruz, M.; Santos, E.; Velázquez Cervantes, M. A.; León Juárez, M. (2021) COVID-19, una emergencia de salud pública mundial. En: Revista Clínica Española. Vol. 221; No. 1; pp. 55 - 61; 0014-2565; Consultado en: 2022/12/01/01:01:40. Disponible en: https://www.sciencedirect.com/science/article/pii/S0014256520300928. Disponible en: 10.1016/j.rce.2020.03.001.
López-Moreno, Sergio; Garrido-Latorre, Francisco; Hernández-Avila, Mauricio (2000) Desarrollo histórico de la epidemiología: su formación como disciplina científica. En: Salud Pública de México. Vol. 42; pp. 133 - 143; 0036-3634, 0036-3634; Consultado en: 2022/12/01/01:03:32. Disponible en: https://www.scielosp.org/article/spm/2000.v42n2/133-143/. Disponible en: 10.1590/S0036-36342000000200009.
Salzberger, Bernd; Buder, Felix; Lampl, Benedikt; Ehrenstein, Boris; Hitzenbichler, Florian; Holzmann, Thomas; Schmidt, Barbara; Hanses, Frank (2021) Epidemiology of SARS-CoV-2. En: Infection. Vol. 49; No. 2; pp. 233 - 239; 1439-0973; Disponible en: 10.1007/s15010-020-01531-3.
Patel, Aditya; Patel, Shraddha; Fulzele, Punit; Mohod, Swapnil; Chhabra, Kumar Gaurav (2020) Quarantine an effective mode for control of the spread of COVID19? A review. En: Journal of Family Medicine and Primary Care. Vol. 9; No. 8; pp. 3867 - 3871; 2249-4863; Disponible en: 10.4103/jfmpc.jfmpc_785_20.
Sultana, Janet; Mazzaglia, Giampiero; Luxi, Nicoletta; Cancellieri, Antonino; Capuano, Annalisa; Ferrajolo, Carmen; de Waure, Chiara; Ferlazzo, Guido; Trifirò, Gianluca (2020) Potential effects of vaccinations on the prevention of COVID-19: rationale, clinical evidence, risks, and public health considerations. En: Expert Review of Vaccines. Vol. 19; No. 10; pp. 919 - 936; 1744-8395; Disponible en: 10.1080/14760584.2020.1825951.
Sharma, Anshika; Ahmad Farouk, Isra; Lal, Sunil Kumar (2021) COVID-19: A Review on the Novel Coronavirus Disease Evolution, Transmission, Detection, Control and Prevention. En: Viruses. Vol. 13; No. 2; pp. 202 1999-4915; Disponible en: 10.3390/v13020202.
Alzyood, Mamdooh; Jackson, Debra; Aveyard, Helen; Brooke, Joanne (2020) COVID-19 reinforces the importance of handwashing. En: Journal of Clinical Nursing. Vol. 29; No. 15-16; pp. 2760 - 2761; 1365-2702; Disponible en: 10.1111/jocn.15313.
La higiene de manos salva vidas. Consultado en: 2022/12/01/01:14:36. Disponible en: https://www.paho.org/es/noticias/17-11-2021-higiene-manos-salva-vidas.
(PDF) Effectiveness of hand wash and sanitizer: COVID19. Consultado en: 2022/12/01/01:15:29. Disponible en: https://www.researchgate.net/publication/343666998_Effectiveness_of_hand_wash_and_sanitizer_COVID19.
Soni, Vijay; Singh, Shiv; Munjal, Neha; Kataria, Sanjay (2020) Effectiveness of hand wash and sanitizer: COVID19. En: Bulletin of Pure & Applied Sciences- Zoology. Vol. 39a; pp. 242 Disponible en: 10.5958/2320-3188.2020.00027.3.
Moore, Lori D.; Robbins, Greg; Quinn, Jeff; Arbogast, James W. (2021) The impact of COVID-19 pandemic on hand hygiene performance in hospitals. En: American Journal of Infection Control. Vol. 49; No. 1; pp. 30 - 33; 1527-3296; Disponible en: 10.1016/j.ajic.2020.08.021.
Lotfinejad, N.; Peters, A.; Pittet, D. (2020) Hand hygiene and the novel coronavirus pandemic: the role of healthcare workers. En: The Journal of Hospital Infection. Vol. 105; No. 4; pp. 776 - 777; 1532-2939; Disponible en: 10.1016/j.jhin.2020.03.017.
Leung, Chi Chiu; Lam, Tai Hing; Cheng, Kar Keung (2020) Mass masking in the COVID-19 epidemic: people need guidance. En: Lancet (London, England). Vol. 395; No. 10228; pp. 945 1474-547X; Disponible en: 10.1016/S0140-6736(20)30520-1.
Rocha, Johanna Ortiz (2020) COVID-19: ¿Qué evidencia existe sobre la eficacia del uso del tapabocas?. En: Universidad de los Andes. Consultado en: 2022/12/01/01:22:42. Disponible en: https://uniandes.edu.co/es/noticias/salud-y-medicina/covid19-que-evidencia-existe-sobre-la-eficacia-del-uso-del-tapabocas.
Ju, Jerry T. J.; Boisvert, Leah N.; Zuo, Yi Y. (2021) Face masks against COVID-19: Standards, efficacy, testing and decontamination methods. En: Advances in Colloid and Interface Science. Vol. 292; pp. 102435 1873-3727; Disponible en: 10.1016/j.cis.2021.102435.
Bagepally, Bhavani Shankara; Haridoss, Madhumitha; Natarajan, Meenakumari; Jeyashree, Kathiresan; Ponnaiah, Manickam (2021) Cost-effectiveness of surgical mask, N-95 respirator, hand-hygiene and surgical mask with hand hygiene in the prevention of COVID-19: Cost effectiveness analysis from Indian context. En: Clinical Epidemiology and Global Health. Vol. 10; pp. 100702 2213-3984; Consultado en: 2022/12/01/01:25:28. Disponible en: https://www.sciencedirect.com/science/article/pii/S2213398421000063. Disponible en: 10.1016/j.cegh.2021.100702.
Darby, Steven; Chulliyallipalil, Krishnakumar; Przyjalgowski, Milosz; McGowan, Paddy; Jeffers, Simon; Giltinan, Alan; Lewis, Liam; Smith, Niall; Sleator, Roy D. (2021) COVID-19: mask efficacy is dependent on both fabric and fit. En: Future Microbiology. Vol. 16; pp. 5 - 11; 1746-0921; Disponible en: 10.2217/fmb-2020-0292.
Talic, Stella; Shah, Shivangi; Wild, Holly; Gasevic, Danijela; Maharaj, Ashika; Ademi, Zanfina; Li, Xue; Xu, Wei; Mesa-Eguiagaray, Ines; Rostron, Jasmin; Theodoratou, Evropi; Zhang, Xiaomeng; Motee, Ashmika; Liew, Danny; Ilic, Dragan (2021) Effectiveness of public health measures in reducing the incidence of covid-19, SARS-CoV-2 transmission, and covid-19 mortality: systematic review and meta-analysis. En: BMJ (Clinical research ed.). Vol. 375; pp. e068302 1756-1833; Disponible en: 10.1136/bmj-2021-068302.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/253982024-08-20T12:54:01Zcom_10336_925com_10336_562col_10336_12382
Masa ósea de la columna lumbar y cadera en pacientes diagnosticados con artritis reumatoidea: prevalencia y factores asociados
Bartolomeu Zúñiga, Manuel Ernesto
Torres De Galvis, Yolanda
Artritis reumatoidea
Osteoporosis
Densidad mineral ósea
Columna lumbar
Cadera
BACKGROUND. Osteoporosis (OP) is a disease that affects the skeleton of the bone and produces a series of alterations where the result is a decrease in bone mass that ultimately results in an increase in bone fragility, with the consequent tendency to fracture. OBJECTIVE. To determine the prevalence of the degree of bone demineralization, measured by the DXA technique (dual X-ray absorptiometry, bone densitometry) in the lumbar spine and hip, in a population of women between the ages of 45 and 75, diagnosed with rheumatoid arthritis ( AR), that meet the EULAR / ACR criteria and thus be able to determine its possible relationship with the clinical and demographic factors of the patients to be studied. METHODOLOGY. Cross-sectional analytical observational study in 278 patients treated at the IPS Riesgo de Fractura S.A. CAYRE, in the city of Bogotá. The prevalence of bone demineralization, the prevalence or disparity ratio (RP) and the 95% confidence intervals (CI) were estimated, applying the logistic regression model to control for confounding variables. RESULTS. A prevalence of bone demineralization or low bone density was found in 17% of the sample and when calculating each of the vertebrae separately, a prevalence was observed in L1: 24%, L2: 23%, L3: 37%, L4 : 37% and hip: 29%. The variables that presented statistical significance in the bivariate analysis were included in the multivariate analysis, these were, age between 45 to 60 years with a RP of 9.09 with 95% CI between 3.78 and 29.67 and the normal value of the DAS28 scale with a RP of 3.49 with a 95% CI between 1.17 and 10.41, accepting its association as risk factors that influence bone demineralization. DISCUSSION. In the present study, a low prevalence of demineralization was found, compared to that reported in the literature.
2020-07-13T18:07:00Z
2020-07-13T18:07:00Z
2020-07-13T18:07:00Z
masterThesis
https://doi.org/10.48713/10336_25398
https://repository.urosario.edu.co/handle/10336/25398
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
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EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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PONTÓN, RB Ching, et al. Factores de riesgo para osteoporosis y osteopenia en 707 mujeres seleccionadas en Bogotá. Revista Española de Enfermedades Metabólicas Oseas, 2001, vol. 10, no 3, p. 86-9
Hauser B, Riches P, Ralston S. Predictors of osteoporosis in rheumatoid arthritis: Retrospective cohort study. Bone. 2012;50:S135
Adami G, Fassio A, Rossini M, et al. Osteoporosis in Rheumatic Diseases. Int J Mol Sci. 2019;20(23):5867. Published 2019 Nov 22. doi:10.3390/ijms20235867
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/328282021-10-26T03:01:23Zcom_10336_925com_10336_562col_10336_12382
Factores asociados y tiempo promedio de recaída en pacientes con cáncer de seno clasificadas por mammaprint
Jauregui Romero, Ilia Marcela
Laguado Aguilar, Deysi Paola
Moreno González, Laura Jimena
Sierra Hincapie, Gloria María
Recaída
Cáncer de mama
Mammaprint
Neoplasia
Introduction: Breast cancer is a really common neoplasia in Colombia and this is an important problem to its public health system, for that reason it is important to tackle this disease above precepts of efficiency, quality and opportunity. This is the most heterogeneous neoplasm that exists, thereby it is very important to sense it with tools that establish effectively the risk in the patients and give them the best therapeutic alternative. Mammaprint is a tool widely used to predict the risk of relapse in 5 years. Colombia does not have any research that evaluate the performance of this test. Therefore, it is important to carry out a study in order to establish which factors are associated with the relapse in the patients with early breast cancer according to the classification that this test showed. Objective: Establish which are the factors associated to the relapse in the Country Clinic’s former patients from the year 2011 with early breast cancer and mean time based on the Mammaprint classification. Materials and method: retrospective observational study with cohort design. The selected patients were above 18 years old with early breast cancer diagnosis who realized MammaPrint like a prognostic test. According to the MammaPrint results they are classified in high and low relapse local and systemic risk. Additionally, it was made a survive analysis to determine the factor associated with the mean time to present relapse. Results: in this study were included 285 patients. 16 presented cancer relapsed, the patients’ following period was of 112 months with a mean time to relapse of 105 months (IC 102.07-108,39). When the patients’ surviving rates were compared the patients were classified like low and high risk through genomic test, Mammaprint did not show differences statistically significant with a p value 0,307. Among the factors associated to relapse it was seen a high prevalence with women younger than 50 years old. The fact that the patients have a professional carrier showed to be a protect factor RR 0.364(IC 95% 0.141- 0.935). Based on TNM, it was observed a high risk to relapse in woman with an advanced cancer who presented an infiltrating ductal carcinoma with 1 to 3 positive lymphatic nodes.
2021-10-26T02:16:17Z
2021-10-26T02:16:17Z
2021-10-26T02:16:17Z
masterThesis
https://doi.org/10.48713/10336_32828
https://repository.urosario.edu.co/handle/10336/32828
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Todua F, Gagua R, Maglakelidze M, Maglakelidze D. Cancer incidence and mortality - Major patterns in GLOBOCAN 2012, worldwide and Georgia. Bull Georgian Natl Acad Sci. 01 de 2015;9(1):168-73.
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Ceballos-Naranjo L, Torres-Soto S, Cardona-Vélez J. Cáncer de mama: la enfermedad del siglo XXI. IBreast Cancer Dis 21st Century. 2017;11(2):36-45.
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Caicedo M. Jose , Robledo A. José, Ramírez F. Maria, Quintero A. Elías, Quintero C. Sebastian. Estado actual del cáncer de mama en Colombia. En: Guzman Abi-Saab Luis Hernan, Vargas Baez Carlos Alberto, Viaña González Luis Fernando, Duque Restreo Alejandro, Serrano Falla Clara Ines, Palazuelos Jimenez Gloria, Sanchez Blandón John Jairo, editor. Manual de Mastología. Colombia: Distribuna Editorial; 2020. p. 1-10.
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Rendón A, Llano S, Garcés I, Rendón L, Llano S, Garcés I. El cáncer de seno: conocimientos, actitudes y prácticas para la detección temprana en Amalfi, Antioquia. Rev Fac Nac Salud Pública. diciembre de 2019;37(3):5-14
Boletín epidemiológico semana 23.pdf [Internet]. [citado 7 de junio de 2021]. Disponible en: https://www.ins.gov.co/buscador-eventos/BoletinEpidemiologico/2018%20Bolet%C3%ADn%20epidemiol%C3%B3gico%20semana%2023.pdf
Piñeros M, Sánchez R, Ocampo R, Cendales R. Demoras en el diagnóstico y tratamiento de mujeres con cáncer de mama en Bogotá, Colombia. Salud Pública México. 2011;53(6):8.
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Anuario estadístico 2017 [Internet]. [citado 7 de junio de 2021]. Disponible en: https://www.cancer.gov.co/recursos_user/files/libros/archivos/AnuarioINC2017
Guzman L, Vargas C, Viaña L, Duque A, Serrano C, Palazuelos G, et al. Factores pronósticos y predictivos en cáncer de mama. En: Manual de mastologia. Distribuna Editorial; 2020. p. 217-38.
Fumagalli C, Ranghiero A, Gandini S, Corso F, Taormina S, De Camilli E, et al. Inter-tumor genomic heterogeneity of breast cancers: comprehensive genomic profile of primary early breast cancers and relapses. Breast Cancer Res. 15 de octubre de 2020;22(1):107.
Bollet MA, de la Rochefordière A, Campana F, Kirova YM, Dendale R, Fourquet A, et al. Age remains the first prognostic factor for loco-regional breast cancer recurrence in young (<40 years) women treated with breast conserving surgery first. Radiother Oncol. 1 de enero de 2007;82(3):272-272-80.
Zabicki K, Colbert JA, Dominguez FJ, Gadd MA, Hughes KS, Jones JL, et al. Breast Cancer Diagnosis in Women ≤ 40 versus 50 to 60 Years: Increasing Size and Stage Disparity Compared With Older Women Over Time. Ann Surg Oncol. 1 de agosto de 2006;13(8):1072-1072-7.
Xu H-B, Liu Y-J, Li L. Aromatase Inhibitor Versus Tamoxifen in Postmenopausal Woman With Advanced Breast Cancer: A Literature-Based Meta-Analysis. Clin Breast Cancer. 1 de agosto de 2011;11(4):246-246-7.
Arpino G, Pensabene M, Condello C, Ruocco R, Cerillo I, Lauria R, et al. Tumor characteristics and prognosis in familial breast cancer. BMC Cancer. 29 de noviembre de 2016;16:924.
Chlebowski RT, Pan K, Col NF. Ovarian suppression in combination endocrine adjuvant therapy in premenopausal women with early breast cancer. Breast Cancer Res Treat. 1 de enero de 2017;161(2):185-90.
Pagani O, Regan MM, Walley BA, Fleming GF, Colleoni M, Láng I, et al. Adjuvant Exemestane with Ovarian Suppression in Premenopausal Breast Cancer [Internet]. http://dx.doi.org.ez.urosario.edu.co/10.1056/NEJMoa1404037. Massachusetts Medical Society; 2014 [citado 26 de julio de 2021]. Disponible en: https://www-nejm-org.ez.urosario.edu.co/doi/10.1056/NEJMoa1404037
Ana Alicia Tejera Hernández, Víctor Manuel Vega Benítez, Juan Carlos Rocca Cardenas, María Isabel Gutiérrez Giner, Juan Carlos Díaz Chico, Juan Ramón Hernández Hernández. Factors predicting local relapse and survival in patients treated with surgery for breast cancer. Asian J Surg. 1 de julio de 2019;42(7):755-755-60.
Geurts YM, Witteveen A, Bretveld R, Poortmans PM, Sonke GS, Strobbe LJA, et al. Patterns and predictors of first and subsequent recurrence in women with early breast cancer. Breast Cancer Res Treat. 1 de octubre de 2017;165(3):709-709-20.
Tan AR. Breast Cancer [Internet]. Vol. 00001. 2010 [citado 10 de junio de 2021]. Disponible en: https://search.ebscohost.com/login.aspx?direct=true&db=e000xww&AN=479073&site=eds-live
Liang Q, Ma D, Gao R-F, Yu K-D. Effect of Ki-67 Expression Levels and Histological Grade on Breast Cancer Early Relapse in Patients with Different Immunohistochemical-based Subtypes. Sci Rep. 6 de mayo de 2020;10:7648.
Hafeez F, Neboori HJ, Harigopal M, Wu H, Haffty BG, Yang Q, et al. Is Ki-67 Expression Prognostic for Local Relapse in Early-Stage Breast Cancer Patients Treated With Breast Conservation Therapy (BCT)? Int J Radiat Oncol Biol Phys. 1 de octubre de 2013;87(2):344-344-8.
Fisher B, Bauer M, Wickerham DL, Redmond CK, Fisher ER, Cruz AB, et al. Relation of number of positive axillary nodes to the prognosis of patients with primary breast cancer. An NSABP update. Cancer. 1 de enero de 1983;52(9):1551-1551-7.
Hamy A-S, Lam G-T, Laas E, Darrigues L, Balezeau T, Guerin J, et al. Lymphovascular invasion after neoadjuvant chemotherapy is strongly associated with poor prognosis in breast carcinoma. Breast Cancer Res Treat. 1 de junio de 2018;169(2):295-295-304.
Yang M, Rajan S, Issa AM. Cost effectiveness of gene expression profiling for early stage breast cancer: a decision-analytic model. Cancer. 15 de octubre de 2012;118(20):5163-5163-70.
Colleoni M, Sun Z, Price KN, Karlsson P, Forbes JF, Thürlimann B, et al. Annual Hazard Rates of Recurrence for Breast Cancer During 24 Years of Follow-Up: Results From the International Breast Cancer Study Group Trials I to V. J Clin Oncol. 20 de marzo de 2016;34(9):927-35.
Ángel J, Mejía A, Guzmán L, Quevedo J, Sánchez R, García O, et al. Mortalidad y recaída en pacientes con cáncer de mama infiltrante sometidas a cirugía conservadora. Rev Colomb Cancerol. 1 de enero de 2015;19(1):18-18-28.
Markopoulos C, Hyams DM, Gomez HL, Harries M, Nakamura S, Traina T, et al. Multigene assays in early breast cancer: Insights from recent phase 3 studies. Eur J Surg Oncol. 1 de abril de 2020;46(4):656-656-66.
Goldhirsch A, Ingle JN, Gelber RD, Coates AS, Thürlimann B, Senn H-J. Thresholds for therapies: highlights of the St Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2009. Ann Oncol. 1 de agosto de 2009;20(8):1319-1319-29.
Lin C, Wu J, Lin L, Fei X, Chen X, Huang O, et al. A Novel Prognostic Scoring System Integrating Gene Expressions and Clinicopathological Characteristics to Predict Very Early Relapse in Node-Negative Estrogen Receptor-Positive/HER2-Negative Breast Cancer. Front Oncol. 11 de septiembre de 2020;10:1335-1335.
Audeh W, Blumencranz L, Kling H, Trivedi H, Srkalovic G. Prospective Validation of a Genomic Assay in Breast Cancer: The 70-gene MammaPrint Assay and the MINDACT Trial. Acta Medica Acad. 1 de enero de 2019;48(1):18-18-34.
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Bueno-de-Mesquita JM, van ’t Veer LJ, Peterse JL, Wesseling J, Wu TS, Atsma D, et al. Use of 70-gene signature to predict prognosis of patients with node-negative breast cancer: a prospective community-based feasibility study (RASTER). Lancet Oncol. 1 de enero de 2007;8(12):1079-1079-87.
Piccart M, van ’t Veer LJ, Poncet C, Lopes Cardozo JMN, Delaloge S, Pierga J-Y, et al. 70-gene signature as an aid for treatment decisions in early breast cancer: updated results of the phase 3 randomised MINDACT trial with an exploratory analysis by age. Lancet Oncol. 1 de abril de 2021;22(4):476-476-88.
Seven M, Bağcivan G, Akyuz A, Bölükbaş F. Women with Family History of Breast Cancer: How Much Are They Aware of Their Risk? J Cancer Educ. 1 de agosto de 2018;33(4):915-915-21.
Gnerlich J, Deshpande AD, Jeffe DB, Sweet A, White N, Margenthaler JA. Elevated breast cancer mortality in young women (<40 years) compared with older women is attributed to poorer survival in early-stage disease. J Am Coll Surg. 2 de septiembre de 2008;207(3):S79.
Bukhari N, Haider G, Yousuf A, Khan S, Hameed MA. The Role of Family History on the Risk of Developing Breast Cancer. Pak J Med Res. 1 de octubre de 2020;59(4):141-141-6.
Foulkes WD, Grainge MJ, Rakha EA, Green AR, Ellis IO. Tumor size is an unreliable predictor of prognosis in basal-like breast cancers and does not correlate closely with lymph node status. Breast Cancer Res Treat. 1 de septiembre de 2009;117(1):199-199-204.
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Niu L, Liang Y, Niu M. Factors influencing fear of cancer recurrence in patients with breast cancer: Evidence from a survey in Yancheng, China. J Obstet Gynaecol Res. 1 de julio de 2019;45(7):1319-1319-27
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/204922024-08-20T12:52:17Zcom_10336_925com_10336_562col_10336_12382
Validez diagnóstica de las pruebas clínicas para el diagnóstico diferencial de dengue en población pediátrica : revisión sistemática
Rubiano Godoy, Mayra Mercedes
Jiménez-Cendales, Beatriz Stella
López García, Juan Carlos
Buitrago García, Diana Carolina
Infección arboviral
Síntomas y signos
Sensibilidad y especificidad
Pruebas diagnósticas
Pediatría
Background: Dengue is a public health problem with a growing incidence and similar clinical presentation to other arbovirosis, whereby In the last five years it has emerged as a dare the implementation of a differential diagnosis based on clinical symptoms and signs and clinical laboratory test, as a strategy to refine diagnosis and improve the management for the most affected: pediatric population. Objective: To determine the diagnostic validity of clinical tests for the differential diagnosis of dengue virus infection in the pediatric population. Methods: A systematic review of the literature was carried out.
2019-10-25T21:11:41Z
2019-10-25T21:11:41Z
2019-10-25T21:11:41Z
masterThesis
https://doi.org/10.48713/10336_20492
https://repository.urosario.edu.co/handle/10336/20492
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
1. Cumakov MP, Doherty RL, Downs WG, Hammon MC, Panthier R, Porterfield JS, et al. Los arbovirus y su importancia en patologia humana.Pdf [Internet]. 1967. p. 1–86. Disponible en: http://apps.who.int/iris/bitstream/10665/38352/1/WHO_TRS _ 369_ spa.pdf
2. Rodriguez-Morales AJ, Villamil-Gómez WE, Franco-Paredes C. The arboviral burden of disease caused by co-circulation and co-infection of dengue, chikungunya and Zika in the Americas. Travel Med Infect Dis. 2016;14(3):177–9.
3. Organización Panamericana de la Salud. Organización Mundial de la Salud Dengue: Guías para el diagnóstico, tratamiento, prevencion y control. La Paz. Bolivia. OPS/OMS 2009: 113–5.
4. San Martín JL, Brathwaite-Dick O. La estrategia de gestión integrada para la prevención y el control del dengue en la región de Las Américas. Rev Panam Salud Pública [Internet]. 2017;21(1):55–63. Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-498920070001 00011&lng=es&nrm=iso&tlng=es
8. Arredondo-García J, Méndez-Herrera A, Medina-Cortina H. Arbovirus en Latinoamérica. Acta Pediatr Mex. 2016 mar;37(2):111–31.
9. Instituto Nacional de Salud. Protocolo de Vigilancia en Salud Pública Dengue Versión 4. Bogotá, Colombia, 29 de diciembre de 2017
10. Ministerio de Salud y Protección Social, Instituto Nacional de Salud, OPS/OMS. Guía de atención clínica integral del paciente con dengue. Bogotá, Colombia, 2010.
23. Gratz NG. Emerging and Resurging Vector-Borne Diseases. Annu Rev Entomol. 1999;44:51–75. Disponible en: https://www.annualreviews.org/doi/full/10.1146/ annurev.ento.44.1.51
30. Gómez-Romero SE. Informe de evento Dengue 2017. Inst Nac Salud, Colomb. 2015:1-22. Disponible en: https://www.ins.gov.co/buscador-eventos/ Informesde evento/DENGUE%202017.pdf
40. Simmons CP, Farrar JJ, Nguyen vV, Wills B. Dengue. N Engl J Med. 2012 Apr 12;366(15):1423-32. doi: 10.1056/NEJMra1110265. Disponible en: https://www.nejm.org/ doi/full/10.1056/NEJMra1110265
50. Moher D, Liberati A, Tetzlaff J, Altman DG, Altman D, Antes G, et al. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement (Chinese edition). J Chinese Integr Med. 2009;7(9):889–96.
56. Nunes PC, Sampaio SA, da Costa NR, de Mendonça MC, Lima Mda R, Araujo SE, et al. Dengue severity associated with age and a new lineage of dengue virus-type 2 during an outbreak in Rio De Janeiro, Brazil. J Med Virol. 2016 Jul;88(7):1130-6. doi: 10.1002/jmv.24464. Epub 2016 Feb 9
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/205362024-08-20T12:41:42Zcom_10336_925com_10336_562col_10336_12382
Apendicectomías negativas y apendicitis perforada cuando se usa tomografía computarizada versus abordaje clínico
Castro Cuarán, Maria Fernanda
Torres, Yolanda
Isaza Restrepo, Andrés
Apendicitis
Tomografía computarizada
Apendicectomía
Introduction: Acute appendicitis is the more frequent surgical emergency in the world. Its diagnosis has been mostly clinical with some laboratory tests, however in the last 20 years have been introduced aids like the computed tomography (CT) with evidence in favour and against its routine use. Objectives: Estimate the incidence of negative appendectomy and perforated appendicitis, using the Computed Tomography vs clinical assessment, in the Hospital Universitario Mayor-Méderi, in the period of time between 2015 - 2016. Methods: Retrospective cohort study with revision of medical records of patients with appendectomy, the results were compared between those with CT and those with clinical assessment alone. The outcomes were the incidence of negative appendectomies and perforated appendicitis in the two cohorts. Results: The incidence of negative appendectomy was 10, 9% and the incidence of perforated appendicitis was 31, 2%. In patients with CT, the incidence of negative appendectomy was 8. 1% vs 12, 4% in those with clinical assessment (RR 0,652, CI95% 0,374-1,137, adjusted OR 0,371, CI95% 0,187-0,736). The incidence of perforated appendicitis was 39, 8% in patients with CT vs 26, 9% in patients with clinical assessment alone (RR 1, 48 CI95% 1, 16-1, 88, adjusted OR 0,994 CI95% 0,595-1,659). Conclusion: In patients in whom CT was used, a lower incidence of negative appendectomy was found without finding an increase in the incidence of perforated appendicitis once it was adjusted for confusing variables.
2019-11-13T21:48:00Z
2019-11-13T21:48:00Z
2019-11-13T21:48:00Z
masterThesis
https://doi.org/10.48713/10336_20536
https://repository.urosario.edu.co/handle/10336/20536
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Buckius MT, McGrath B, Monk J, Grim R, Bell T, Ahuja V. Changing Epidemiology of Acute Appendicitis in the United States: Study Period 1993–2008. Journal of Surgical Research. 2012;175(2):185-90.
Unlu C, de Castro SM, Tuynman JB, Wust AF, Steller EP, van Wagensveld BA. Evaluating routine diagnostic imaging in acute appendicitis. Int J Surg. 2009;7(5):451-5
Blomqvist PG, Andersson RE, Granath F, Lambe MP, Ekbom AR. Mortality after appendectomy in Sweden, 1987-1996. Ann Surg. 2001;233(4):455-60
Aranda-Narváez JM, Montiel-Casado MC, González-Sánchez AJ, Jiménez-Mazure C, Valle-Carbajo M, Sánchez-Pérez B, et al. Radiological support for diagnosis of acute appendicitis: Use, effectiveness and clinical repercussions. Cirugia Espanola. 2013;91(9):574-8.
Apisarnthanarak P, Suvannarerg V, Pattaranutaporn P, Charoensak A, Raman SS, Apisarnthanarak A. Original Contribution: Alvarado score: can it reduce unnecessary CT scans for evaluation of acute appendicitis? American Journal of Emergency Medicine. 2015;33:266-70
Jones K, Peña AA, Dunn EL, Nadalo L, Mangram AJ. Are negative appendectomies still acceptable? The American Journal of Surgery. 2004;188(6):748-54.Jones K, Peña AA, Dunn EL, Nadalo L, Mangram AJ. Are negative appendectomies still acceptable? The American Journal of Surgery. 2004;188(6):748-54.
Abdelhalim MA, Stuart JDA, Nicholson GA. Augmenting the decision making process in acute appendicitis: A retrospective cohort study. International Journal of Surgery. 2015;17:5-9
Shaligram A, Pallati P, Simorov A, Meyer A, Oleynikov D. Do you need a computed tomographic scan to evaluate suspected appendicitis in young men: an administrative database review. Am J Surg. 2012;204(6):1025-30; discussion 30
Guss DA, Behling CA, Munassi D. Impact of abdominal helical computed tomography on the rate of negative appendicitis. J Emerg Med. 2008;34(1):7-11.
Krajewski S, Brown CJ, Brown J, Phang PT, Raval M. Impact of computed tomography of the abdomen on clinical outcomes in patients with acute right lower quadrant pain: A meta-analysis. Canadian Journal of Surgery. 2011;54(1):43-53
Rao PM, Rhea JT, Rattner DW, Venus LG, Novelline RA. Introduction of appendiceal CT - Impact on negative appendectomy and appendiceal perforation rates. ANNALS OF SURGERY. 1999;229(3):344-9.
Cuschieri J, Florence M, Flum DR, Jurkovich GJ, Lin P, Steele SR, et al. Negative Appendectomy and Imaging Accuracy in the Washington State Surgical Care and Outcomes Assessment Program. ANNALS OF SURGERY. 2008;248(4):557-62
Frei SP, Bond WF, Bazuro RK, Richardson DM, Sierzega GM, Reed JF. Appendicitis outcomes with increasing computed tomographic scanning. The American Journal of Emergency Medicine. 2008;26(1):39-44
Wagner PL, Eachempati SR, Soe K, Pieracci FM, Shou J, Barie PS. Defining the current negative appendectomy rate: For whom is preoperative computed tomography making an impact? Surgery. 2008;144(2):276-82
Flum DR, Morris A, Koepsell T, Dellinger EP. Has misdiagnosis of appendicitis decreased over time? A population-based analysis. Jama. 2001;286(14):1748-53.
Flum DR, McClure TD, Morris A, Koepsell T. Misdiagnosis of Appendicitis and the Use of Diagnostic Imaging. Journal of the American College of Surgeons. 2005;201(6):933-9.
Hong JJ, Cohn SM, Ekeh AP, Newman M, Salama M, Leblang SD. A prospective randomized study of clinical assessment versus computed tomography for the diagnosis of acute appendicitis. Surg Infect (Larchmt). 2003;4(3):231-9.
Drake FT, Flum DR. Improvement in the diagnosis of appendicitis. Adv Surg. 2013;47:299-328.
Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132(5):910-25
Drake FT, Flum DR. Short- and long-term mortality after appendectomy in Sweden 1987-2006: influence of appendectomy diagnosis, sex, age, co-morbidity, surgical method, hospital volume, and time period--a national population based cohort study. World J Surg. 2013;37(5):982-3.
Wray CJ, Kao LS, Millas SG, Tsao K, Ko TC. Acute Appendicitis: Controversies in Diagnosis and Management. Current Problems in Surgery. 2013;50(2):54-86
Ospina Díaz JM, Barrera Sánchez LF, Buendía Palacios DC, García Martínez IM, Avellaneda Suárez FA. Características diagnósticas de la apendicitis aguda en el hospital regional de Duitama, Colombia en el periodo de Enero-Marzo de 2010. Diagnostic characteristics of acute appendicitis at the regional hospital of Duitama, Colombia during the period of January-march in year 2010. 2011;24(2):151-7.
Aguirre GA, Falla A, Sánchez W. Correlación de los marcadores inflamatorios (proteina C reactiva, neutrofilia y leucocitosis) en las diferentes fases de la apendicitis aguda Correlation of the inflammatory markers (C reactive protein, neutrophilia and leukocytosis) in the different phases of acute appendicites. Revista Colombiana de Cirugía. 2014:110-5
Álvaro S, Mónica M, Luis Carlos D, Valentín V, Camilo O. Validación de la escala diagnóstica de Alvarado en pacientes con dolor abdominal sugestivo de apendicitis en un centro de segundo nivel de complejidad / Validation of the Alvarado diagnostic scale in patients with abdominal pain suggesting appendicitis at a second level health care center. Revista Colombiana de Cirugía. 2010(3):195
Gwynn LK. The diagnosis of acute appendicitis: clinical assessment versus computed tomography evaluation. J Emerg Med. 2001;21(2):119-23
Álvaro S, Luis Carlos D, Charles B, Adriana S. Evaluación de escalas diagnósticas en pacientes con dolor abdominal sugestivo de apendicitis / Evaluation of diagnostic scales for appendicitis in patients with lower abdominal pain. Biomédica. 2007(3):419
Flores-Nava G, Jamaica-Balderas MdL, Landa-García RÁ, Parraguirre-Martínez S, Lavalle-Villalobos A. Apendicitis en la etapa pediátrica: correlación clínico-patológica. Boletín médico del Hospital Infantil de México. 2005;62:195-201
Carr NJ. The pathology of acute appendicitis. Ann Diagn Pathol. 2000;4(1):46-58
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Boonstra PA, van Veen RN, Stockmann HBAC. Less negative appendectomies due to imaging in patients with suspected appendicitis. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES. 2015;29(8):2365-70.
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(ACR) RSoNARaACoR. Seguridad del paciente - Materiales de Contraste. 2016.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/345522022-08-04T09:37:59Zcom_10336_925com_10336_562col_10336_12382
Niveles de anticuerpos totales y específicos contra proteínas de Cryptococcus neoformans y Cryptococcus gattii en sueros de adultos y niños colombianos con y sin diagnóstico de Criptococosis
Becerra Alvarez, Yenny Paola
Firacative Ropero, Sandra Carolina
Quirós Gómez, Óscar
Grupo de Estudios en Microbiología Traslacional y Enfermedades Emergentes MICROS
Criptococosis
Cryptococcus gattii
Cryptococcus neoformans
inmunoglobulinas
Colombia
Introduction: Cryptococcus neoformans and Cryptococcus gattii cause cryptococcosis, a life-threatening mycosis that mainly affects immunocompromised adults worldwide. Objective: To contrast total and specific antibodies against protein antigens of C. neoformans and C. gattii in sera from patients with cryptococcosis and healthy individuals from Colombia. Methodology: Case-control study that included sera from children and adults with (n=109) and without (n=119) cryptococcosis from Colombia. Using ELISA, the total levels of immunoglobulin (Ig)G, IgA and IgM, as well as specific antibodies against cryptococcal proteins were determined in serum samples. Results: Generally, the production of total IgG was higher in people with cryptococcosis than in healthy people, while total IgA and IgM were higher in healthy people than with cryptococcosis. Specific IgG, IgA and IgM levels tended to be higher in people with cryptococcosis than in healthy people, and in adults than in children, with a positive correlation between antibody reactivity and age. All immunoglobulins were more reactive against C. neoformans than against C. gattii proteins. A positive correlation was found between total and specific immunoglobulin levels. Discussion: In patients with cryptococcosis from Colombia, the levels of total and specific immunoglobulins differ with respect to healthy people. Variations were also found in the production of specific immunoglobulins between adults and children with cryptococcosis and between the reactivity of these antibodies with protein antigens from C. neoformans and C. gattii, which highlights the potential role of antibody production against this mycosis.
2022-07-16T19:02:29Z
2022-07-16T19:02:29Z
2022-07-16T19:02:29Z
masterThesis
https://doi.org/10.48713/10336_34552
https://repository.urosario.edu.co/handle/10336/34552
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
1. Kwon-Chung KJ, Fraser JA, Doering TL, Wang Z, Janbon G, Idnurm A, et al. Cryptococcus neoformans and Cryptococcus gattii, the etiologic agents of cryptococcosis. Cold Spring Harb Perspect Med. 2014;4(7):a019760. DOI: 10.1101/cshperspect.a019760.
2. Rajasingham R, Smith RM, Park BJ, Jarvis JN, Govender NP, Chiller TM, et al. Global burden of disease of HIV-associated cryptococcal meningitis: an updated analysis. Lancet Infect Dis. 2017;17(8):873-81. DOI: 10.1016/S1473-3099(17)30243-8
3. Chen SC, Meyer W, Sorrell TC. Cryptococcus gattii infections. Clin Microbiol Rev. 2014;27(4):980-1024. DOI: 10.1128/CMR.00126-13.
4. Velagapudi R, Hsueh YP, Geunes-Boyer S, Wright JR, Heitman J. Spores as infectious propagules of Cryptococcus neoformans. Infect Immun. 2009;77(10):4345-55. DOI: 10.1128/IAI.00542-09.
5. Mitchell TG, Castañeda E, Nielsen K, Wanke B, Lazéra MS. Environmental Niches for Cryptococcus neoformans and Cryptococcus gattii. In: Heitman J, Kozel TR, Kwon-Chung JK, Perfect JR, Casadevall A, editors. Cryptococcus: From Human Pathogen to Model Yeast. Washington, DC: ASM Press; 2011. p. 237-59.
6. Goldman DL, Khine H, Abadi J, Lindenberg DJ, Pirofski L, Niang R, et al. Serologic evidence for Cryptococcus neoformans infection in early childhood. Pediatrics. 2001;107(5):E66.
7. Dromer F, Casadevall A, Perfect J, Sorrell T. Cryptococcus neoformans: Latency and Disease. In: Heitman J, Kozel TR, Kwon-Chung JK, Perfect JR, Casadevall A, editors. Cryptococcus: From Human Pathogen to Model Yeast. Washington, DC: ASM Press; 2011. p. 431-40.
8. Escandón P, Lizarazo J, Agudelo CI, Castañeda E. Cryptococcosis in Colombia: compilation and analysis of data from laboratory-based surveillance. J Fungi (Basel). 2018;4(1). DOI: 10.3390/jof4010032.
9. Escandón P, de Bedout C, Lizarazo J, Agudelo CI, Tobon A, Bello S, et al. Cryptococcosis in Colombia: results of the national surveillance program for the years 2006-2010. Biomedica. 2012;32(3):386-98. DOI: 10.1590/S0120-41572012000300009.
10. Granados DP, Castañeda E. Influence of climatic conditions on the isolation of members of the Cryptococcus neoformans species complex from trees in Colombia from 1992-2004. FEMS Yeast Res. 2006;6(4):636-44. DOI: 10.1111/j.1567-1364.2006.00090.x.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/138302024-01-12T18:32:51Zcom_10336_925com_10336_562col_10336_12382
Factores asociados con la mastitis subclínica bovina en fincas lecheras de Zipaquirá, Cundinamarca
Rojas Rodríguez, Carolina
Benavides, Efrain
Pérez García, Janeth
Factores de riesgo
Infecciones asintomáticas
Industria lechera
Mastitis bovina
Introduction: One of the diseases that affects cattle at worldwide in mastitis. Objective: To identify the association between the presentation of mastitis and the factors of the herd, the intrinsic factors of the productive system and the management practices in the dairy farms Zipaquirá, Cundinamarca. Methods: An observational cross-sectional study from a secondary source. We analyzed variables related to the management of clinical and subclinical mastitis, routine and milking characteristics, dry cow management; Regarding the consideration of mastitis as a problem on the farm by the interviewees and the frequency of occurrence of subclinical mastitis. Contingency tables were done, the association was assessed by a square test (p-value <0.05) and prevalence ratios and confidence intervals (95% CI) were found and a logistic regression model was proposed. Results: There is an association between the producer's perception of bovine mastitis on his farm and the variables: milk rejection by somatic cells (RP 1,4 95% CI [1,2 - 1,6], p < 0,05); Presentation of fever in the animal, (RP 1,2 95% CI [1,0 - 1,5], p <0,05); Product to seal the udder; (RP 0,6 95% CI [0,5 - 0,8], p <0,05) and use of dung; (RP 1,3 95% CI [1,1 - 1,6], p <0,05). There is an association between subclinical mastitis and type of mobile stable, (RP 1,9 95% CI [1,0 – 3,4], p <0,05). The stable type explains the event of presentation of subclinical mastitis according to the logistic regression model. Herds carrying the records are 8,7% less likely to present subclinical disease. Conclusion: Decision-making against the control and prevention of subclinical mastitis in Zipaquirá farms should direct the characteristics of establishments and the management of records.
2017-10-25T12:22:03Z
2017-10-25T12:22:03Z
2017-10-25T12:22:03Z
2017
masterThesis
https://doi.org/10.48713/10336_13830
http://repository.urosario.edu.co/handle/10336/13830
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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Tolosa T, Verbeke J, Piepers S, Supré K, De Vliegher S. Risk factors associated with subclinical mastitis as detected by California Mastitis Test in smallholder dairy farms in Jimma, Ethiopia using multilevel modelling. Prev Vet Med. 2013;112(1–2):68–75.
Ramírez Vásquez N, Arroyave Henao O, Cerón-Muñoz M, Jaramillo M, Cerón J, Palacio LG. Factores asociados a mastitis en vacas de la microcuenca lechera del altiplano norte de Antioquia, Colombia. Rev Med Vet. 2011;(22):31–42.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/318142024-03-27T12:40:09Zcom_10336_925com_10336_562col_10336_12382
Adultos mayores, longevidad excepcional y factores relacionados: un análisis del censo nacional de población y vivienda 2018
López Rippe, Julian
Zapata Bravo, Estefanía
Molano González, Nicolás
Trillos Peña, Carlos Enrique
Latorre Santos, Catalina
Payan-Gomez, Cesar
Grupo de Investigacion en Salud Publica
Personas con mas de 100 años de edad en Colombia
Departamentos de Colombia con adultos mayores de mas de 100 años de edad
Análisis de la población de centenarios colombianos a partir del Censo Nacional de Población y Vivienda de 2018
características sociodemográficas de la población mayor de 100 años en Colombia
Caracterización de la demanda de servicios de salud en población mayor de 100 años en Colombia
Envejecimiento saludable y longevidad excepcional en Colombia
Introduction: The progressive aging of the Colombian population and the consequent increase in morbidity and mortality, economic costs in public health make necessary to know the characteristics related to healthy aging. Under this premise, exceptional longevity models have been proposed, in which it is search to study aspects related to successful aging and its edges. The beginning of this task is based on the description of the oldest old, for which the present research proposed the study of the population of Colombian centenarians based on the 2018 National Census. Objective: To determine the sociodemographic and satisfaction in the demand for health services related to exceptional longevity in the Colombian older adult population based on the 2018 National Census. Methodology: It is a cross-sectional observational study, in which the sociodemographic and social variables were analyzed. Health care in relation to age from the data obtained in the 2018 National Housing Population Census through a national descriptive analysis and an exploratory analysis through a representative sample. An exploratory sub-analysis was carried out that includes the departments with the highest representativeness of centenarians in order to know the factors that better explain the exceptional longevity in the Colombian centennial population. Results: in Colombia for 2018 there were 12,226 centenarians and 5,848,754 older adults (60-99 years), the departments with the highest rates of centenarians were Bolívar, Guaviare and Chocó. Regarding sociodemographic characteristics, behavior was similar in both groups, with the exception of marital status, education and work activities. For this year for every man there were 1.38 women, but at the municipal level (El Retorno, Cordoba and Medio Atrato), a greater number of men were observed than centennial women and older adults. In the logistic regression model, it was observed that having a partner (ORa 1.91; 95% CI 1.81 - 2.02), having some level of formal education (ORa 1.69; 95% CI 1.57 - 1.83) , not belonging to any ethnic group (ORa 1.29; 95% CI 1.16 - 1.43) and not presenting any difficulty in daily life (ORa 1.26; 95% CI 1.19 - 1.35) is associated with reaching the centennial age. Conclusions: centenarians are considered a model of exceptional longevity and since 2005 the population in Colombia has been increasing, the findings are in accordance with those observed worldwide, this is the first investigation carried out with the National Population Census from 2018 to the centennial population. These findings open the doors to future research in select groups of georeferenced centenarians that allow a more reliable understanding of the behavior of this population.
2021-07-12T17:15:46Z
2021-07-12T17:15:46Z
2021-07-12T17:15:46Z
masterThesis
https://doi.org/10.48713/10336_31814
https://repository.urosario.edu.co/handle/10336/31814
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by/2.5/co/
Atribución 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Mazess, Richard B.; Forman, Sylvia H. (1979) Longevity and Age Exaggeration in Vilcabamba, Ecuador1. En: Journal of Gerontology. Vol. 34; No. 1; pp. 94 - 98; 0022-1422; Consultado en: 2021/06/24/03:57:04. Disponible en: https://doi.org/10.1093/geronj/34.1.94. Disponible en: 10.1093/geronj/34.1.94.
Instituto de Estadística de la Organización de las Naciones Unidas para la Educación, la Ciencia y la Cultura ( UNESCO ).; Tasa de alfabetización, total de adultos (% de personas de 15 años o más) | Data. En: Tasa de alfabetización, total de adultos (% de personas de 15 años o más) | Data. Consultado en: 2021/07/06/23:48:19. Disponible en: https://datos.bancomundial.org/indicator/SE.ADT.LITR.ZS.
Ministerio de Salud y Protección Social (2020) Colombia sigue avanzando en la cobertura universal en salud. En: Boletín de Prensa No 920 de 2020. Consultado en: 2021/07/06/23:50:23. Disponible en: https://www.minsalud.gov.co/Paginas/Colombia-sigue-avanzando-en-la-cobertura-universal-en-salud-.aspx.
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DANE (2020) Medida de Pobreza Multidimensional Municipal de Fuente Censal. Bogotá COM-030-PD-001-r-004 V8; Consultado en: 2021/07/08/21:49:57. Disponible en: https://www.dane.gov.co/files/investigaciones/condiciones_vida/pobreza/2018/informacion-censal/bt-censal-pobreza-municipal-2018.pdf.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/430082024-07-16T03:01:27Zcom_10336_925com_10336_562col_10336_12382
Análisis de la calidad del sueño en los estudiantes de posgrado del área de la salud en Bogotá, Colombia
Fontanilla Ramírez, Eduardo Andrés
Valencia Niño, Angie Carolina
Ospina Medina, María Cristina
Trillos Peña, Carlos Enrique
Sueño
Estudiantes
Posgrado
Salud
Latinoamérica
Objective: To determine the sleep quality of postgraduate health students in Bogotá, Colombia. Methods: This observational, descriptive, cross-sectional study included 223 postgraduate health students in Bogotá, Colombia, in 2023. Participants completed an online survey reporting demographic variables, postgraduate program characteristics, as well as coffee consumption, the sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Associations between these variables were evaluated using a lineal regression model. Results: A significant majority of participants (91.03%) reported poor sleep quality. Statistically significant differences in sleep quality were observed when comparing groups based on specific factors: students exclusively dedicated to their studies and those in medical-surgical specializations exhibited worse sleep scores. Additionally, while the bivariate analysis showed a negative association between working while studying and sleep quality, this association was not significant in the linear regression model. No significant differences in PSQI scores were found when comparing by gender or coffee consumption. Discussion: This research revealed that age and exclusive dedication to studies are significantly associated with lower sleep quality among postgraduate health students in Bogotá, Colombia. This finding is consistent with previous studies highlighting academic stress as a risk factor for insomnia in university populations. Interestingly, although most of the respondents indicated that they worked while studying, this factor did not show a significant association with sleep quality in the linear model. Coffee consumption, a known stimulant with the potential to disrupt sleep, was associated with an increase in PSQI scores, aligning with literature documenting coffee's effects on sleep latency and continuity. These results underscore the importance of addressing lifestyles and academic demands in student wellness interventions to improve sleep quality. Given the study's cross-sectional nature, the conduct of longitudinal research is recommended for a deeper understanding of the causality and dynamics over time of these risk factors.
2024-07-15T14:55:30Z
2024-07-15T14:55:30Z
2024-07-15T14:55:30Z
masterThesis
https://doi.org/10.48713/10336_43008
https://repository.urosario.edu.co/handle/10336/43008
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Escobar-Córdoba, Franklin; Benavides-Gélvez, Rafael Eduardo; Montenegro-Duarte, Hilda Gabriela; Eslava-Schmalbach, Javier Hernando (2011) Somnolencia diurna excesiva en estudiantes de noveno semestre de medicina de la Universidad Nacional de Colombia. En: Revista de la Facultad de Medicina. Vol. 59; No. 3; pp. 191 - 200; Disponible en: https://www.redalyc.org/articulo.oa?id=576363545003.
Ez Elarab, H.; Rabie, M.A.M.; Ali, D.H. (2014) Sleep behavior and sleep problems among a medical student sample in relation to academic performance: A cross-sectional questionnaire-based study. En: Middle East Current Psychiatry. Vol. 21; No. 2; pp. 72 - 80; Disponible en: https://doi.org/10.1097/01.XME.0000444452.76469.05. Disponible en: 10.1097/01.XME.0000444452.76469.05.
Fisterra; Guía: Determinación del tamaño muestral. Disponible en: https://www.fisterra.com/formacion/metodologia-investigacion/determinacion-tamano-muestral/.
Flores-Flores, Diego; Boettcher-Sáez, Bárbara; Quijada-Espinoza, Jasonn; Ojeda-Barrientos, Roberto; Matamala-Anacona, Ignacio; González-Burboa, Alexis (2021) Calidad del sueño en estudiantes de medicina de la Universidad Andrés Bello, 2019, Chile. En: Revista Médicas UIS. Vol. 34; No. 3; Universidad Industrial de Santander; Disponible en: 10.18273/REVMED.V34N3-2021003.
Freedy, John R.; Staley, Claire; Mims, Lisa D.; Decastro, Alec O.; Perkins, Suzanne; Berini, Carole; Steyer, Terrence E. (2022) Social, Individual, and Environmental Characteristics of Family Medicine Resident Burnout: A CERA Study. En: Family medicine. Vol. 54; No. 4; pp. 270 - 276; Fam Med; Disponible en: https://doi.org/10.22454/FAMMED.2022.526799. Disponible en: 10.22454/FAMMED.2022.526799.
Gangwar, Anil; Tiwari, Sunita; Rawat, Anita; Verma, Ajay; Singh, Kalpana; Kant, Surya; Garg, Ravindra Kumar; Singh, Prithvi K (2018) Circadian Preference, Sleep Quality, and Health-impairing Lifestyles Among Undergraduates of Medical University. En: Cureus. Vol. 10; No. 6; pp. e2856 - e2856; Disponible en: https://doi.org/10.7759/cureus.2856. Disponible en: 10.7759/cureus.2856.
García-Tudela, Ángel; Simonelli-Muñoz, Agustín Javier; Jiménez-Rodríguez, Diana; Martínez Franco, Patricia; Rivera-Caravaca, José Miguel; Gallego-Gómez, Juana Inés (2023) Sleep analysis of hospital and out-of-hospital emergency professionals. En: International Emergency Nursing. Vol. 71; pp. 101352 - 101352; Elsevier; Disponible en: https://doi.org/10.1016/j.ienj.2023.101352. Disponible en: 10.1016/J.IENJ.2023.101352.
Higbee, M.R.; Gipson, C.S.; El-Saidi, M. (2022) Caffeine Consumption Habits, Sleep Quality, Sleep Quantity, and Perceived Stress of Undergraduate Nursing Students. En: Nurse educator. Vol. 47; No. 2; pp. 120 - 124; Disponible en: 10.1097/NNE.0000000000001062.
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Rosales Vaca, Kimberly Massiel; Cruz Barrientos, Oscar Ivan; Girón López, Samara; Noriega, Sayra; More Árias, Adriana; Guariente, Suzana Maria Menezes; Zazula, Robson (2022) Mental health of healthcare workers of Latin American countries: a review of studies published during the first year of COVID-19 pandemic. En: Psychiatry Research. Vol. 311; pp. 114501 - 114501; Elsevier; Disponible en: 10.1016/J.PSYCHRES.2022.114501.
Sancho-Domingo, Clara; Carballo, José Luis; Coloma-Carmona, Ainhoa; Buysse, Daniel J. (2021) Brief version of the Pittsburgh Sleep Quality Index (B-PSQI) and measurement invariance across gender and age in a population-based sample. En: Psychological Assessment. Vol. 33; No. 2; pp. 111 - 121; American Psychological Association; Disponible en: https://doi.org/10.1037/PAS0000959. Disponible en: 10.1037/PAS0000959.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/402152023-07-25T16:35:18Zcom_10336_925com_10336_562col_10336_12382
Uso perioperatorio del nefopam: Revisión sistemática cualitativa
Durán Mendoza, Edgar Andrés
Pardo Fonseca, Manuel Felipe
García Cespedes, Javier
Analgésicos
Cirugía
Procedimientos quirúrgicos
Nefopam
Acupan
Analgesia postoperatoria
Dolor postoperatorio
Analgésicos no opioides
Técnicas analgésicas
Nefopam clorhidrato
Nefopam is a non-opioid, non-NSAID, centrally acting benzoxazocine derivative analgesic with multiple mechanisms of action that has recently been used as a perioperative analgesic. We conducted a systematic literatura review to evaluate the efficacy of nefopam in postoperative pain management. Applying the search strategy in 5 databases (Embase, LiLACS, ProQuest, Pubmed and Scopus), 684 articles were obtained. After the review, 19 articles on nefopam in monotherapy and 13 articles on nefopam used together with other drugs were included. Regarding analgesic efficacy, nefopam did not prove to be superior to other drugs, but its combined use did reduce perioperative opioid consumption in nearly half of the studies. In conclusion, nefopam can be used as an additional drug to current analgesic management, rather than as a replacement, in order to reduce the consumption of perioperative opioids or in patients with contraindications for other analgesics.
2023-07-24T18:59:29Z
2023-07-24T18:59:29Z
2023-07-24T18:59:29Z
bachelorThesis
https://doi.org/10.48713/10336_40215
https://repository.urosario.edu.co/handle/10336/40215
spa
info:eu-repo/semantics/embargoedAccess
Restringido (Temporalmente bloqueado)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Netter's Atlas of Neuroscience, 3e. Consultado en: 2023/03/10/21:42:31. Disponible en: http://www.pdfdrive.com/netters-atlas-of-neuroscience-3e-e175301407.html.
9781437737912: Interventional and Neuromodulatory Techniques for Pain Management Series. Consultado en: 2023/03/10/22:05:25. Disponible en: https://www.abebooks.com/9781437737912/Interventional-Neuromodulatory-Techniques-Pain-Management-1437737919/plp.
Kim, B. G.; Moon, J. Y.; Choi, J. Y.; Park, I. S.; Oh, A. Y.; Jeon, Y. T.; Hwang, J. W.; Ryu, J. H. (2018) The Effect of Intraoperative Nefopam Administration on Acute Postoperative Pain and Chronic Discomfort After Robotic or Endoscopic Assisted Thyroidectomy: A Randomized Clinical Trial. En: World Journal of Surgery. Vol. 42; No. 7; pp. 2094 - 2101; 1432-2323; Disponible en: 10.1007/s00268-017-4421-9.
Chou, Roger; Gordon, Debra B.; de Leon-Casasola, Oscar A.; Rosenberg, Jack M.; Bickler, Stephen; Brennan, Tim; Carter, Todd; Cassidy, Carla L.; Chittenden, Eva Hall; Degenhardt, Ernest; Griffith, Scott; Manworren, Renee; McCarberg, Bill; Montgomery, Robert; Murphy, Jamie; Perkal, Melissa F.; Suresh, Santhanam; Sluka, Kathleen; Strassels, Scott; Thirlby, Richard; Viscusi, Eugene; Walco, Gary A.; Warner, Lisa; Weisman, Steven J.; Wu, Christopher L. (2016) Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council. En: The Journal of Pain. Vol. 17; No. 2; pp. 131 - 157; 1528-8447; Disponible en: 10.1016/j.jpain.2015.12.008.
Raja, Srinivasa N.; Carr, Daniel B.; Cohen, Milton; Finnerup, Nanna B.; Flor, Herta; Gibson, Stephen; Keefe, Francis J.; Mogil, Jeffrey S.; Ringkamp, Matthias; Sluka, Kathleen A.; Song, Xue-Jun; Stevens, Bonnie; Sullivan, Mark D.; Tutelman, Perri R.; Ushida, Takahiro; Vader, Kyle (2020) The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. En: Pain. Vol. 161; No. 9; pp. 1976 - 1982; 1872-6623; Disponible en: 10.1097/j.pain.0000000000001939.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/463822025-09-03T07:33:15Zcom_10336_925com_10336_562col_10336_12382
Rendimiento diagnóstico de la ultrasonografía endoscópica con punción, en población mayor de 18 años en una institución de referencia de la ciudad de Bogotá/Colombia
Angarita Santos, Oscar Ricardo
Gomez Cristancho, Bryan
Meza Restrepo, Jennifer Paola
Sierra Hincapie, Gloria Maria
Arbelaez Méndez, Victor Humberto
Ultrasonografia endoscopica
Aspiracion con aguja fina
Biopsia con aguja fina
Cancer de pancreas
Tissue acquisition by endoscopic ultrasound (EUS-TA) is a minimally invasive technique that combines high-resolution imaging with the ability to obtain tissue for cytological or histological analysis. It has become a fundamental tool for diagnosing pancreatic, lymph node, and gastrointestinal tract lesions. Despite its increasing use, there is limited evidence in Colombia regarding its diagnostic performance in clinical practice. Therefore, this study aims to evaluate the diagnostic accuracy of EUS-TA in patients over 18 years of age at a referral institution in Bogotá. Objective: This study aims to evaluate the diagnostic performance of endoscopic ultrasound-guided tissue acquisition (EUS-TA) based on the sampling technique in patients over 18 years of age treated at a referral center in Bogotá, Colombia. It seeks to describe the clinical and demographic characteristics of this population, compare the diagnostic performance of fine-needle aspiration (EUS-FNA) versus fine-needle biopsy (EUS-FNB), assess the efficacy of both techniques in terms of sensitivity, specificity, and overall diagnostic yield according to the type of gastrointestinal lesion, explore how clinical, demographic, and epidemiological factors may influence diagnostic outcomes, and evaluate whether the endoscopist's level of experience affects the diagnostic performance of EUS-TA.
2025-09-01T16:44:34Z
2025-09-01T16:44:34Z
2025-09-01T16:44:34Z
masterThesis
https://doi.org/10.48713/10336_46382
https://repository.urosario.edu.co/handle/10336/46382
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/4.0/
Attribution-NonCommercial-NoDerivatives 4.0 International
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/432182024-08-06T03:01:37Zcom_10336_925com_10336_562col_10336_12382
Calidad de vida en pacientes con trastornos por abuso de sustancias psicoactivas en la Subred Sur E.S.E. Bogotá D.C, Colombia
Santos Yate, Jefersson David
Zuleta Motta, Jessica Lohana
Gil Mina, Oscar Javier
Trillos Peña, Carlos Enrique
Grupo de Investigacion en Salud Publica
Trastornos por consumo de sustancias
Calidad de vida
WHOQOL-BREF
Colombia
Servicios de salud
Prevención
Tratamiento
Substance use disorders represent a major challenge to mental health and quality of life, especially in Colombia, a country that faces drug production and consumption. While policies are in place that address mental health issues related to substance use, barriers to effective treatment and improved quality of life remain. Objective: This study aimed to assess the quality of life of people aged 18 to 35 years diagnosed with substance use disorders using the WHOQoL-BREF questionnaire. Methods: A cross-sectional study that included 50 patients between 18-35 years of age, diagnosed with substance use disorders, recruited from the outpatient services of the Integrated Subnetwork of Health Services South E.S.E in Bogotá, Colombia, in 2024. Socioeconomic and clinical data were collected, along with WHOQoL-BREF scores. Principal component analysis identified variables with the greatest impact on quality of life, and a decision tree analysis identified potential intervention targets. Results: The sample (n= 50) had a mean age of 27.4 years (SD=5.36), composed mostly of men (84%) from low socioeconomic backgrounds. The "almost daily" consumption of tobacco, cannabis and cocaine was frequent, generating associated problems, interference in daily activities and family concern. Factors such as satisfaction with relationships, health problems, family preoccupation with consumption and interference with activities impacted quality of life. Conclusion: These findings identify specific risk factors that affect quality of life in people with substance use disorders. In addition, there are specific areas where health services, prevention strategies, and treatment approaches can be adapted to improve the quality of life for people with substance use disorders.
2024-08-05T18:21:03Z
2024-08-05T18:21:03Z
2024-08-05T18:21:03Z
bachelorThesis
https://doi.org/10.48713/10336_43218
https://repository.urosario.edu.co/handle/10336/43218
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Hernández, Claudia López; Pérez, María Clemencia; López, Alejandro Gómez; Mayorga, Manuel Alfredo González; Romero, Diane Moyano; Alcaldía Mayor de Bogotá, D.C.
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Otálvaro, Andrés Felipe Tirado; Gómez, Matilde Ligia Álvarez; Tirado, Juan david Velásquez; Lugo, Luz Helena; Ferrer, Luis Fernando Giraldo; Bermudez, Ana María Suárez; Wiedemann, Julieth (2012) Quality of life of heroin dependent patients from a drug dependence attention center of Medellin (Colombia). En: Investigación y Educación en Enfermería. Vol. 30; No. 1; 2216-0280; Consultado en: 2024/08/03/13:14:08. Disponible en: https://revistas.udea.edu.co/index.php/iee/article/view/8550. Disponible en: 10.17533/udea.iee.8550.
Ray, Lara A.; Meredith, Lindsay R.; Kiluk, Brian D.; Walthers, Justin; Carroll, Kathleen M.; Magill, Molly (2020) Combined Pharmacotherapy and Cognitive Behavioral Therapy for Adults With Alcohol or Substance Use Disorders. En: JAMA Network Open. Vol. 3; No. 6; pp. e208279 2574-3805; Consultado en: 2024/08/03/13:16:04. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305524/. Disponible en: 10.1001/jamanetworkopen.2020.8279.
Administration (US), Substance Abuse and Mental Health Services; General (US), Office of the Surgeon (2016) THE NEUROBIOLOGY OF SUBSTANCE USE, MISUSE, AND ADDICTION. En: Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health [Internet].: US Department of Health and Human Services; Consultado en: 2024/08/03/13:17:39. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK424849/.
Moreira, Taís de Campos; Figueiró, Luciana Rizzieri; Fernandes, Simone; Justo, Fernanda Maia; Dias, Ismael Rodrigo; Barros, Helena Maria Tannhauser; Ferigolo, Maristela (2013) Quality of life of users of psychoactive substances, relatives, and non-users assessed using the WHOQOL-BREF. En: Ciência & Saúde Coletiva. Vol. 18; pp. 1953 - 1962; 1413-8123, 1678-4561; Consultado en: 2024/08/03/13:21:58. Disponible en: https://www.scielo.br/j/csc/a/whwXLN5HzJSzqVxK5vHTWqJ/?lang=en. Disponible en: 10.1590/S1413-81232013000700010.
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https://www.unodc.org/res/WDR-2023/WDR23_ExSum_Spanish.pdf. Consultado en: 2024/08/03/13:50:03. Disponible en: https://www.unodc.org/res/WDR-2023/WDR23_ExSum_Spanish.pdf.
Barati, Majid; Bandehelahi, Khadijeh; Nopasandasil, Tahereh; Jormand, Hanieh; Keshavarzi, Amir (2021) Quality of life and its related factors in women with substance use disorders referring to substance abuse treatment centers. En: BMC Women's Health. Vol. 21; pp. 16 1472-6874; Consultado en: 2024/08/03/13:53:36. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7789253/. Disponible en: 10.1186/s12905-020-01155-7.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/252542024-08-20T12:50:32Zcom_10336_925com_10336_562col_10336_12382
Factores asociados a la pérdida del injerto renal y mortalidad en Colombiana de Trasplantes entre el 2008– 2019
Pinto, Jessica
Hernández Herrera, Gilma Norela
SALCEDO, SERGIO
Riesgos competitivos
Trasplante renal
Sobrevida del injerto renal
Enfermedad injerto-huésped
Kidney transplantation is the treatment of choice in patients with chronic kidney disease in advanced stages; however, there are factors that can be associated with the loss of the graft and the death of the patient; Identifying the factors and generating prediction models is of great clinical utility in the monitoring of kidney transplant patients. Objective: To determine the factors associated with graft loss and mortality of the kidney transplant patient. Methodology: A retrospective analytical study of a historical cohort was carried out in a solid organ transplant center in Colombia. Kidney transplant patients were included between July 22, 2008 and May 31, 2019. Overall survival was estimated with the Kaplan-Meier method at 1, 5 and 10 years and survival curves were compared for donor type subgroups; living vs cadaveric donor. A competing risk analysis was performed taking death into account as a competing risk of graft loss. The subdistribution hazard ratio (sHR) was estimated and the statistically significant variables were taken into account for the estimation of predictive models of graft loss and death, and finally the internal validation of the models was carried out. Results: In the follow-up period, 1,634 kidney transplants were performed in 1,621 patients and 1,454 patients were included in the study. Of the total population, 868 (59.7%) were men and 586 (40.3%) were women; the mean age was 43.58 years (SD +/- 13.21) and a range of 18 - 77 years. Predictive variables for 5-year renal graft loss were: the history of stroke (sHR 9.3 95% CI 1.77 - 48.76; p 0.00), the reactive panel of qualitative class II antibody (sHR 0.56 95% CI 0.43 - 0.71 ; p 0.00), the number of renal biopsies (sHR 1.3 95% CI 1.11 - 1.53; p 0.00), polyomavirus nephropathy (sHR 4.76 95% CI 2.22 - 10.19; p 0.00), acute cell rejection (sHR 2.99 IC 95% 1.45-6.18; p 0.00) and creatinine 12 months after kidney transplantation (sHR 1.80 95% CI 1.59 - 2.03; p 0.00). For death at 5 years; age at transplant (sHR 1.04 95% CI 1.02 - 1.05; p 0.00), living donor transplant (sHR 0.42 95% CI 0.24 - 0.72; p 0.00), range body mass index at time of transplant obesity (sHR 2.11 95% CI 1.14 - 3.89; p 0.01) and cytomegalovirus disease (sHR 2.45 CI eleven 95% 1.48 - 4.06; p 0.00) were found as the predictive variables of death of the kidney transplant patient. Conclusions: The risk stratification and the generation of prediction models based on the identification of the factors associated with graft loss and death in our population is very useful for daily practice in kidney transplantation. The history of stroke, the qualitative class II antibody reactive panel, the number of kidney biopsies, acute cell rejection and creatinine at 12 months were found as predictive variables of loss of the renal graft at 5 years; and age at the time of transplantation, living donor transplant, body mass index in the obesity range at the time of transplantation, and cytomegalovirus disease were found as predictors of death in the 5-year-old kidney transplant patient. External validation of these models is required.
2020-06-25T17:27:24Z
2020-06-25T17:27:24Z
2020-06-25T17:27:24Z
masterThesis
https://doi.org/10.48713/10336_25254
https://repository.urosario.edu.co/handle/10336/25254
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/444982024-12-10T03:01:52Zcom_10336_925com_10336_562col_10336_12382
Trastornos mentales en profesionales de UCI en contexto de la pandemia COVID-19 en hospitales y clínicas universitarias – Colombia
Cuervo Cárdenas, Leidy Carolina
Torres de Galvis, Yolanda
Sierra Hincapié, Gloria María
Grupo de Investigacion en Salud Publica
COVID-19
stress
Mental health
Healthcare worker
Staff
Psychiatry
Coronavirus
Introduction: The COVID-19 Pandemic is mainly infectious in nature, however the great implications and secondary socio-economic impacts also carry with them an impact on the psychosocial components and therefore on the mental health of people, mainly on that of health personnel in charge of caring for the disease given the overload of health systems, identifying mental disorders in intensive care health personnel is essential considering that they are the ones who have the function of caring for and treating the most serious cases of COVID-19. Objective: To diagnose mental health disorders in health professionals who work in the ICUs of hospitals and university clinics in Colombia in the context of the Covid-19 pandemic. Methodology: Quantitative cross-sectional study with 382 participants, health personnel working in Intensive Care Units of hospitals and clinics during the Covid-19 Pandemic - Colombia; The Generalized Anxiety Disorder Scale (GAD-7), the Primary Care Assessment of Mental Disorders Scale (PHQ-9), and the Insomnia Severity Index Scale were used. Results: The prevalence of anxiety disorders, depression, sleep quality index, alcohol and other substance use was calculated. The results were associated with sociodemographic variables and factors related to the pandemic through the epidemiological prevalence ratio measure. The Chi-Square test was used to identify possible relationships between the variables. 96% of the subjects had moderate to severe anxiety symptoms on the GAD-7, 97.6% had moderate to severe symptoms on the PHQ-9, and 34.3% had insomnia symptoms on the ISI. Depression has a positive correlation with anxiety, 98% of respondents who have severe anxiety have severe symptoms of depression, and 97% of those who suffer from severe symptoms of depression suffer from anxiety. Conclusion: Depressive symptoms and insomnia were the two main prevalent psychological symptoms in the present study, with age, length of experience in ICU and the number of hospitals where working being influential factors.
2024-12-09T21:06:38Z
2024-12-09T21:06:38Z
2024-12-09T21:06:38Z
masterThesis
https://doi.org/10.48713/10336_44498
https://repository.urosario.edu.co/handle/10336/44498
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/123982021-06-03T00:45:17Zcom_10336_925com_10336_562col_10336_12382
Tiempo promedio del efecto máximo de la insulina análoga en la glucemia postprandial y factores relacionados
Pachón Espinosa, María Julieta
Rivera Jimenez, Claudia Marcela
Torres de Galvis, Yolanda
Análogos de insulina
Comida
Sistema de Monitoreo continuo
Tiempo pico
Introduction: The average time of maximum effect of rapid insulin in postprandial glycemia using regular insulin has been considered for years of 120 minutes. In patients with Diabetes Mellitus type 1 and 2 using analogue insulin, the time and associated factors to be applied in self-monitoring have not been reported yet. The objective of this study was to calculate the time and factors related to the maximal effect of insulin in postprandial glycemia. Methods: A retrospective longitudinal study was developed from a review of medical history of 80 patients. Descriptive and bivariate analyses were performed with demographic and clinical variables of the population. Results: The average time of peak insulin in patients with DM1 was 78.4 (SD ± 16,512) and DM2 75.01 (SD ± 12.02) minutes. 75% of the population with DM1 and 54.2% in DM2 were female, the average age of DM1 was 42.38 years and DM2 68 years, as to the categorization of BMI 50% of the population in DM1 and 37.5% in DM2 were within the range of obesity. A relationship with respect to the type of food "breakfast-dinner" vs. the average time of maximal effect of insulin calculated for both groups (p = 0.010) was found. Conclusion: The average time of maximal effect of insulin calculated was lower than reported in the clinical literature of 120 minutes. The type of main meal showed a relationship with the average time of maximum effect in both groups.
2016-10-12T16:30:59Z
2016-10-12T16:30:59Z
2016-10-12T16:30:59Z
2016
masterThesis
https://doi.org/10.48713/10336_12398
http://repository.urosario.edu.co/handle/10336/12398
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
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Sachedina N and Pickup JC. Performance assesment of the MedtronicMiniMed Continuous Glucose Monitoring System and its use for measurement of glycaemic control in Type 1 diabetic subjects. Diabetic Medicine 2003.20: 1012-15
Pickup J, Martin M, Kerry S. Glycaemic control with continuous subcutaneous insulin infusion compared with intensive insulin injections in patients with type 1 diabetes: meta-analysis of randomised controlled trials. BMJ 2002 Mar 23; 324: 705–8.
Lenhard MJ, Reeves GD. Continuous subcutaneous insulin infusion: a comprehensive review of insulin pump therapy. Arch Intern Med 2001 Oct 22; 161 (19): 2293–2300.
.Lind M, Polonsky W, Hirsch IB, Heise T, Bolinder J, Dahlqvist S, et al. Design and Methods of a Randomized Trial of Continuous Glucose Monitoring in Persons With Type 1 Diabetes With Impaired Glycemic Control Treated With Multiple Daily Insulin Injections (GOLD Study). J Diabetes Sci Technol 2016 May 3;10(3):754-61
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Jin SM, Kim TH, Bae JC, Hur KY, Lee MS, Lee MK, et al. Clinical factors associated with absolute and relative measures of glycemic variability determined by continuous glucose monitoring: An analysis of 480 subjects. Diabetes Res Clin Pract 2014 May;104(2):266-72.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/375812022-12-05T07:56:21Zcom_10336_925com_10336_562col_10336_12382
Asociación entre el área de vivienda y el uso de alcohol, tabaco y cannabis en Colombia. Análisis de la encuesta nacional de salud mental (2015)
Briceño Patiño, Bibiana
Pinzón Rondón, Ángela María
González Díaz, Jairo Mario
Hernández, Gilma Norela
Sustancias psicoactivas
Abuso de drogas
Consumo de sustancias psicoactivas, aspectos sociales
Trastornos mentales por abuso de sustancias
Consumo de alcohol
Tabaquismo
Salud pública
Encuesta Nacional de Salud Mental (ENSM) 2015
Demografía
Vivienda rural
Vivienda urbana
At least 4.4 million men and 1.2 million women in Latin America suffer from substance use disorders. The health burden falls disproportionately on low- and middle-income countries, where programs for treatment and prevention are not available. This is why it is important to identify the sociodemographic, socioeconomic factors and the housing area associated with the consumption of psychoactive substances in Colombia. Methodology: Cross-sectional analytical study with a secondary source of information. A bivariate analysis was performed and later a multivariate analysis where the prevalence ratio was determined to establish the strength of association. Results: The urban area (RP 1.19), age <44 years (RP = 1.23), male sex (RP 1.23) and married marital status were identified as risk factors (RP 1.28) for alcohol consumption. Regarding tobacco consumption, the urban area (RP 1.26), male sex (RP 1.17) and marital status were risk factors (RP 1.41 and RP 1.33). Finally, the urban area (RP 2.87), marital status (RP 0.52 and RP 0.49) and the male gender (RP 1.45) behaved as risk factors for cannabis use. Conclusion: The findings provide new knowledge about the sociodemographic factors associated with the consumption of psychoactive substances. Important information for carrying out public health policies aimed at reducing the impact of substance use disorders
2022-12-01T15:59:42Z
2022-12-01T15:59:42Z
2022-12-01T15:59:42Z
bachelorThesis
https://doi.org/10.48713/10336_37581
https://doi.org/10.48713/10336_37581
https://repository.urosario.edu.co/handle/10336/37581
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
United Nations Office on Drugs and Crime [Internet]. United Nations: Office on Drugs and crime. 2022 [Citado 24 de octubre]. Disponible en: https://www.undoc.org
Valencia Collazos M. Trastornos mentales y problemas de salud mental. Día Mundial de la Salud Mental 2007. Salud mental. 2007 Apr;30(2):75-80
Substance Abuse | Healthy People 2020 [Internet]. Healthypeople.gov. 2021 [Citado 3 junio 2021]. Disponible en: https://www.healthypeople.gov/2020/leading-healthindicators/2020-lhi-topics/Substance-Abuse/data
Global, regional, and national incidence prevalence and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the global burden of disease study 205. Lancet. 2016; 388 (10053): 1545-602. Doi: 10.1016/S0140- 6736(16)31678-6 PMID: 27733282
Pan American Health Organization. The burden of mental disorders in the region of the Americas
Compton MT, Shim RS. The social determinants of mental health. Focus. 2015 Oct;13(4):419-25
Rocha KB, Pérez K, Rodríguez-Sanz M, Borrell C, Obiols JE. Prevalencia de problemas de salud mental y su asociación con variables socioeconómicas, de trabajo y salud: resultados de la Encuesta Nacional de Salud de España. Psicothema. 2010;22(3):389-95
Drug use epidemiology in Latin America and the Caribbean. Washington, D.C.: Pan American Health Organization; 2009
Colombia M. Colombia mantiene tendencia a la baja en consumo de tabaco [Internet]. Minsalud.gov.co. 2022 [citado 1 septiembre 2022]. Disponible en: https://www.minsalud.gov.co/Paginas/Colombia-mantiene-tendencia-a-la-baja-enconsumo-de-tabaco.aspx
Bremond P. Informe mundial sobre las drogas 2022 - Dianova [Internet]. Dianova. 2022 [Citado 1 septiembre 2022]. Disponible en: https://www.dianova.org/es/noticias/informe-mundial-sobre-las-drogas-2022/#:~:text =En%202020%2C%20se%20calcula%20 que, aumento%20de%20la%20poblaci%C3%B3n%20mundial
Ciudadanos [Internet]. Portal Plan Nacional sobre Drogas - ¿QUÉ RIESGOS Y CONSECUENCIAS TIENE EL CONSUMO DE CANNABIS? [citado 2022 Sep29]. Disponible en: https://pnsd.sanidad.gob.es/ciudadanos/informacion/cannabis/menuCannabis/riesgos Consecuencias.htm#:~:text=El% 20consumo%20de%20cannabis%20puede, consumo%2C%20mayor%20es%20el%20riesgo
Heslin KC. The global epidemiology of mental and substance use disorders. InFoundations of Behavioral Health 2020 (pp. 15-44). Springer, Cham
De la Espriella Guerrero RA, Rodríguez V, Rincón CJ, Morales DC, Rodríguez SJP, Gómez-Restrepo C. Consumo de alcohol en la población colombiana. Encuesta Nacional de Salud Mental 2015. Revista Colombiana de Psiquiatría. 1 de diciembre de 2016; 45:76-88
. [Internet]. Iris.paho.org. 2021 [citado 3 junio 2021]. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/2828/9789275130582_eng.pdf?sequen ce=1&isAllowed=y
Neurociencia del consumo y dependencia de sustancias psicoactivas. Washington, D.C.: Organización Mundial de la Salud; 2005
Haber, S. N. (2017). Anatomy and Connectivity of the Reward Circuit. Decision Neuroscience, 3–19. doi:10.1016/b978-0-12-805308-9.00001-4 18. Pereiro Gómez C. Manual de adicciones para médicos especialistas en formación. [Madrid]: Socidrogalcohol; 2010
Pereiro Gómez C. Manual de adicciones para médicos especialistas en formación. [Madrid]: Socidrogalcohol; 2010
Gfroerer, J. C., Larson, S. L., & Colliver, J. D. (2007). Drug Use Patterns and Trends in Rural Communities. The Journal of Rural Health, 23(s1), 10–15. doi:10.1111/j.1748-0361.2007.00118.x
Alcohol [Internet]. World Health Organization. World Health Organization. [citado 19 de septiembre 2022]. Disponible en: https://www.who.int/news-room/factsheets/detail/alcohol
World Health Organization. Invertir en salud mental. 2004. https://www.who.int/mental_health/advocacy/en/spanish_final.pdf
Guía de consulta de los criterios diagnósticos del DSM-5. Arlington, VA: American Psychiatric Publishing; 2014
Substance Use Disorders - Mental Health Disorders - MSD Manual Consumer Version [Internet]. MSD Manual Consumer Version. 2021 [citado 3 junio 2021]. Disponible en: https://www.msdmanuals.com/home/mental-health-disorders/substance-relateddisorders/substance-use-disorders
Hyman S, Chisholm D, Kessler R, Patel V, Whiteford H. Mental disorders. Disease control priorities in developing countries. 2006 Jan 1; 2:605-25
Carvalho AF, Heilig M, Perez A, Probst C, Rehm J. Alcohol use disorders. The Lancet. 2019 Agosto 31;394(10200):781-92
González-Bautista E, Zavala-Arciniega L, Rivera-Rivera L, Leyva-López A, NateraRey G, Reynales-Shigematsu LM. Factores sociales asociados con el consumo de tabaco y alcohol en adolescentes mexicanos de poblaciones menores a 100 000 habitantes. Salud pública de México. 2021 May 3; 61:764-74
Ahumada-Cortez JG, Gámez-Medina ME, Valdez-Montero C. El consumo de alcohol como problema de salud pública. Ra Ximhai. 2017;13(2):13-24
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/124412021-06-03T00:45:18Zcom_10336_925com_10336_562col_10336_12382
Tratamiento del rechazo mediado por anticuerpos en pacientes trasplantados renales revisión sistemática
Rodriguez Rozo, Jorge Enrique
Molina Castaño, Carlos Federico
trasplante renal
rechazo mediado por anticuerpos
Inmunosupresión
Rechazo de trasplante
Background: Kidney transplantation is the best therapeutic choice for end-stage chronic kidney disease (ES-CKD). Immunosuppressive drugs prevent rejection. Antibody mediated rejection is a frequent complication and implies a decrease in graft function and duration. This study is a systematic review to evaluate the evidence available regarding antibody mediated rejection treatment efficacy and safety in kidney transplant patients. Methods: Systematic review of databases MEDLINE, EMBASE, Scopus and Health Virtual Library (BVS in spanish). The grey literature sources were: google scholar, google academico, www.clinicaltrialsregister.eu, and https://clinicaltrials.gov/. There was a manual search of the references of every article pre-selected, as well as the review articles published previously. The PRISMA guidelines recommendations for identifying potential items, screening and selection were followed considering the inclusion criteria. Data according to variables were extracted and to asses the quality of the articles selected the evaluation of bias risk by Cochrane was used. Results: Nine clinical trials published 1980 and 2016 were selected, included 222 patients (113 at intervention arm, and 109 as control), with an average follow-up of 16 months. Interventions evaluated were plasmapheresis, immunoadsortion and rituximab. There was a wide heterogeneity in the definition of inclusion criteria, diagnostic criteria for rejection and assessment effectiveness of interventions. Three studies was able to demonstrate a statistical significance between treatment groups. Conclusion: The data describing the efficacy of treatments for antibody-mediated rejection in renal allografts are of low. Larger randomized controlled trials are required in order to define the optimal scheme of treatment for these patients.
2016-10-21T13:14:30Z
2016-10-21T13:14:30Z
2016-10-21T13:14:30Z
2016
masterThesis
https://doi.org/10.48713/10336_12441
http://repository.urosario.edu.co/handle/10336/12441
spa
info:eu-repo/semantics/openAccess
Abierto (Texto completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
Kidney Disease: Improving Global Outcomes (KDIGO) Transplant Work Group. KDIGO clinical practice guideline for the care of kidney transplant recipients. Am J Transplant [Internet]. 2009 Nov;9 Suppl 3(Suppl 3):S1–155. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19845597 2.
Instituto Nacional de Salud. Informe ejecutivo Red de Donacion y Trasplantes Colombia 2015 [Internet]. 2015 [cited 2016 Jun 17]. Available from: http://www.ins.gov.co/lineas-de-accion/Red-Nacional-Laboratorios/Estadsticas/Informe ejecutivo Red Donación y Trasplantes 1er semestre 2015.pdf
Puttarajappa C, Shapiro R, Tan HP. Antibody-mediated rejection in kidney transplantation: a review. J Transplant [Internet]. 2012;2012:193724. Available from: http://www.hindawi.com/journals/jtrans/2012/193724/
Djamali A, Kaufman DB, Ellis TM, Zhong W, Matas A, Samaniego M. Diagnosis and management of antibody-mediated rejection: current status and novel approaches. Am J Transplant [Internet]. 2014 Feb;14(2):255–71. Available from: http://doi.wiley.com/10.1111/ajt.12589
Terasaki PI, Cai J. Human leukocyte antigen antibodies and chronic rejection: from association to causation. Transplantation [Internet]. 2008 Aug 15;86(3):377–83. Available from: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00007890-200808150-00002
Roberts DM, Jiang SH, Chadban SJ. The treatment of acute antibody-mediated rejection in kidney transplant recipients-a systematic review. Transplantation [Internet]. 2012;94(8):775–83. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23032865
Sis B, Mengel M, Haas M, Colvin RB, Halloran PF, Racusen LC, et al. Banff ’09 meeting report: antibody mediated graft deterioration and implementation of Banff working groups. Am J Transplant [Internet]. 2010 Mar;10(3):464–71. Available from: http://doi.wiley.com/10.1111/j.1600-6143.2009.02987.x
Abbas AK. Cellular and Molecular Immunology. 8th ed. Abbas AK, Lichtman A, Pillai S, editors. Elsevier Inc.; 2014. 359-382 p.
Boros P, Bromberg JS. New cellular and molecular immune pathways in ischemia/reperfusion injury. Am J Transplant. 2006;6(4):652–8.
Salvadori M, Rosso G, Bertoni E. Update on ischemia-reperfusion injury in kidney transplantation: Pathogenesis and treatment. World J Transplant. 2015;5(2):52–67.
Shrestha BM. Immunology for Renal Transplantation : A Review. J Transplant Technol Res. 2014;4(1):1–7.
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Otterbein LE, Fan Z, Koulmanda M, Thronley T. Innate immunity for better or worse govern the allograft response. 2015;20(1):8–12.
Wood KJ, Goto R. Mechanisms of Rejection : Current Perspectives. 2012;93(1):1–10.
Cheung KP, Kasimsetty SG, Mckay DB. Innate immunity in donor procurement. 2013;18(2):154–60.
Denecke C, Tullius SG. Innate and adaptive immune responses subsequent to ischemia-reperfusion injury in the kidney. Prog Urol. Elsevier; 2014;24 Suppl 1:S13–9.
Mckenna K, Beignon A, Bhardwaj N. Plasmacytoid Dendritic Cells : Linking Innate and Adaptive Immunity MINIREVIEW Plasmacytoid Dendritic Cells : Linking Innate and Adaptive Immunity. J Virol. 2005;79(1):17–27.
Ezzelarab M, Thomson A. Tolerogenic dendritic cells and their role in transplantation. Semin Immunol. 2011;23(4):252–63.
Kumbala D, Zhang R. Essential concept of transplant immunology for clinical practice. World J Transplant. 2013;3(4):113–8.
Thorsby E. A short history of HLA. 2009;(5):101–16.
Nguyen H Do, Williams RL, Wong G, Lim WH. The Evolution of HLA-Matching in Kidney Transplantation. 2013;
Dewolf S, Shen Y, Sykes M. A New Window into the Human Alloresponse. 2016;00(00):1–11.
Chen W, Ghobrial RM, Li XC. The Evolving Roles of Memory Immune Cells in Transplantation. 2015;99(10).
Schwartz RS, Nankivell BJ, Alexander SI. mechanisms of disease Rejection of the Kidney Allograft. N Engl J Med. 2010;363:1451–62.
Haas M, Sis B, Racusen LC, Solez K, Paolo S, Paolo S. Banff 2013 Meeting Report : Inclusion of C4d-Negative Antibody-Mediated Rejection and Antibody-Associated Arterial Lesions. 2014;272–83.
Collins AB, Schneeberger EE, Pascual MA, Saidman SL, Williams WW, Tolkoff-rubin N, et al. Complement Activation in Acute Humoral Renal Allograft Rejection : Diagnostic Significance of C4d Deposits in Peritubular Capillaries. 1999;(11):2208–14.
Touzot M, Nnang E, Beaudreuil S, François H, Durrbach A. Complement modulation in solid-organ transplantation. Transplant Rev [Internet]. Elsevier Inc.; 2014;28(3):119–25. Available from: http://dx.doi.org/10.1016/j.trre.2014.03.001
Sheen JH, Heeger PS. Effects of complement activation on allograft injury. 2015;
Wedel J, Bruneau S, Kochupurakkal N, Boneschansker L, Briscoe DM. Chronic allograft rejection: a fresh look. Curr Opin Organ Transplant. 2015;20(1):13–20.
Cai J, Terasaki PI. Humoral theory of transplantation: Mechanism, prevention, and treatment. Hum Immunol. 2005;66(4):334–42.
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Muduma G, Odeyemi I, Smith-Palmer J, Pollock RF. Review of the Clinical and Economic Burden of Antibody-Mediated Rejection in Renal Transplant Recipients. Adv Ther. Springer Healthcare; 2016;33(3):345–56.
Lefaucheur C, Loupy A, Hill GS, Andrade J, Nochy D, Antoine C, et al. Preexisting donor-specific HLA antibodies predict outcome in kidney transplantation. J Am Soc Nephrol. 2010;21(8):1398–406.
Wiebe C, Gibson IW, Blydt-Hansen TD, Karpinski M, Ho J, Storsley LJ, et al. Evolution and clinical pathologic correlations of de novo donor-specific HLA antibody post kidney transplant. Am J Transplant. 2012;12(5):1157–67.
Gebel HM, Bray RA. Approaches for transplanting the sensitized patient: Biology versus pharmacology. Nephrol Dial Transplant. 2008;23(8):2454–7.
Fehr T, Gaspert A. Antibody-mediated kidney allograft rejection: Therapeutic options and their experimental rationale. Transpl Int. 2012;25(6):623–32.
Sharma S, Oliver K, W D. Advances in Antibody Mediated Rejection BT - (null). 2013;(Chapter 20).
Pascual, Manuel; Saidman, Susan; Tolkoff-Rubin, Nina; Williams, Winfred W.; Mauiyyedi, Shamila; Duan, Ji Ming; Farrell, Mary Lin; Colvin, Robert B.; Cosimi, A. Benedict; Delmonico FL. Plasma exchange and tacrolimus-mycophenolate rescue for acute humoral rejection in kidney transplantation. Transplantation. 1998;66(11):1460–4.
Rummler S, Barz D. Plasma exchange and immunoadsorption of patients with thoracic organ transplantation. Transfus Med Hemotherapy. 2012;39(4):234–40.
Böhmig GA, Wahrmann M, Regele H, Exner M, Robl B, Derfler K, et al. Immunoadsorption in severe C4d-positive acute kidney allograft rejection: a randomized controlled trial. Am J Transplant [Internet]. 2007 Jan;7(1):117–21. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17109725
Vo A a, Lukovsky M, Toyoda M, Wang J, Reinsmoen NL, Lai C-H, et al. Rituximab and intravenous immune globulin for desensitization during renal transplantation. N Engl J Med. 2008;359(3):242–51.
Sautenet B, Blancho G, Büchler M, Morelon E, Toupance O, Barrou B, et al. One-year Results of the Effects of Rituximab on Acute Antibody-Mediated Rejection in Renal Transplantation: RITUX ERAH, a Multicenter Double-blind Randomized Placebo-controlled Trial. Transplantation [Internet]. 2016 Feb;100(2):391–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26555944
Everly MJ, Everly JJ, Susskind B, Brailey P, Arend LJ, Alloway RR, et al. Bortezomib provides effective therapy for antibody- and cell-mediated acute rejection. Transplantation. 2008;86(12):1754–61.
Flechner SM, Fatica R, Askar M, Stephany BR, Poggio E, Koo A, et al. The role of proteasome inhibition with bortezomib in the treatment of antibody-mediated rejection after kidney-only or kidney-combined organ transplantation. Transplantation. 2010;90(12):1486–92.
Pascual J, Zuckermann A, Djamali A, Hertig A, Naesens M. Rabbit antithymocyte globulin and donor-specific antibodies in kidney transplantation — A review. Transplant Rev. The Authors; 2016;30(2):85–91.
Zand MS. B-cell activity of polyclonal antithymocyte globulins. Transplantation. 2006;82(11):1387–95.
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Stegall MD, Diwan T, Raghavaiah S, Cornell LD, Burns J, Dean PG, et al. Terminal complement inhibition decreases antibody-mediated rejection in sensitized renal transplant recipients. Am J Transplant. 2011;11(11):2405–13.
Burbach M, Suberbielle C, Brochériou I, Ridel C, Mesnard L, Dahan K, et al. Report of the inefficacy of eculizumab in two cases of severe antibody-mediated rejection of renal grafts. Transplantation. 2014;98(10):1056–9.
Locke JE, Zachary AA, Haas M, Melancon JK, Warren DS, Simpkins CE, et al. The utility of splenectomy as rescue treatment for severe acute antibody mediated rejection. Am J Transplant. 2007;7(4):842–6.
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Bonomini V, Vangelista A, Frascà GM, Di Felice A, Liviano D’Arcangelo G. Effects of plasmapheresis in renal transplant rejection. A controlled study. Trans Am Soc Artif Intern Organs [Internet]. 1985;31:698–703. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3915622
Zarkhin V, Li L, Kambham N, Sigdel T, Salvatierra O, Sarwal MM. A randomized, prospective trial of rituximab for acute rejection in pediatric renal transplantation. Am J Transplant [Internet]. 2008 Dec;8(12):2607–17. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18808404
Allen NH, Dyer P, Geoghegan T, Harris K, Lee HA, Slapak M. Plasma exchange in acute renal allograft rejection. A controlled trial. Transplantation [Internet]. 1983 May;35(5):425–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/6342220
Kirubakaran MG, Disney AP, Norman J, Pugsley DJ, Mathew TH. A controlled trial of plasmapheresis in the treatment of renal allograft rejection. Transplantation [Internet]. 1981 Aug;32(2):164–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7027553
Soulillou JP, Guyot C, Guimbretiere J, Girard M, Ythier A, Bignon JD, et al. Plasma exchange in early kidney graft rejection associated with anti-donor antibodies. Nephron [Internet]. 1983;35(3):158–62. Available from: http://www.ncbi.nlm.nih.gov/pubmed/6355877
Zhu D, Qi G, Tang Q, Li L, Yang C, Lin M, et al. Combination of Total Lymphoid Irradiation, Low-Dose IVIG and ATG as Rescue Therapy for Highly Sensitized and Antibody-Mediated Rejection Renal Transplant Recipients. Clin Transpl [Internet]. 2014;215–21. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26281148
Blake P, Sutton D, Cardella CJ. Plasma exchange in acute renal transplant rejection. Prog Clin Biol Res [Internet]. 1990;337:249–52. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2191316
Haas M, Sis B, Racusen LC, Solez K, Glotz D, Colvin RB, et al. Banff 2013 meeting report: inclusion of c4d-negative antibody-mediated rejection and antibody-associated arterial lesions. Am J Transplant [Internet]. 2014 Feb;14(2):272–83. Available from: http://doi.wiley.com/10.1111/ajt.12590
Lefaucheur C, Nochy D, Andrade J, Verine J, Gautreau C, Charron D, et al. Comparison of combination Plasmapheresis/IVIg/anti-CD20 versus high-dose IVIg in the treatment of antibody-mediated rejection. Am J Transplant [Internet]. 2009 May;9(5):1099–107. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19422335
Allen N, Dyer P, Geoghegan T, Harris K, Lee H, Slapak M. PLASMA EXCHANGE IN ACUTE RENAL ALLOGRAFT REJECTION. Transplantation. 1983;35(5):425–8.
KirubakaranM., Disney A, Norman J, Pugsley D, Mathew T. A CONTROLLED TRIAL OF PLASMAPHERESIS IN THE TREATMENT OF RENAL ALLOGRAFT REJECTION. Transplantation. 1981;32(2):164–5.
Eskandary F. Bortezomib in Late Antibody-mediated Kidney Transplant Rejection (BORTEJECT) [Internet]. Available from: https://clinicaltrials.gov/ct2/results?term=NCT01873157&Search=Search
Legendre C. Bortezomib in Rejection of Kidney Transplants (TRIBUTE) [Internet]. Available from: https://clinicaltrials.gov/ct2/results?term=NCT02201576&Search=Search
Kulkarni S. Eculizumab Therapy for Chronic Complement-Mediated Injury in Kidney Transplantation [Internet]. Available from: https://clinicaltrials.gov/ct2/results?term=NCT01327573&Search=Search
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/185992019-10-04T01:01:02Zcom_10336_925com_10336_562col_10336_12382
Factores asociados a infección de vías urinarias por E. Coli y K. Pneumoniae con resistencia Blee. Estudio de casos y controles en una institución de salud con enfoque en el cuidado de la mujer
Beltrán Majé, Diana Marcela
García Laverde, Germán Eduardo
Birchenall Jiménez, Claudia Ines
Gómez Rincón, Carlos Miguel
bacteriuria sintomática
bacteriuria asintomática
mujer
infección de vías urinarias
resistencia bacteriana
enterobacterias
antibiótico
beta-lactamasas
Escherichia coli
Klebsiella pneumoniae
Objective: To identify the factors associated with the generation of urinary tract infection produced by E. coli and K. pneumoniae with ESBL resistance in a health institution in Bogotá between January 2013 and April 2018. Materials and methods: Observational study, type cases and controls in women between 18 and 50 years of age with a diagnosis of urinary tract infection caused by Escherichia coli and Klebsiella pneumoniae, with ESBL-type resistance, who attended the emergency room and / or who were hospitalized. Results: 165 women, 55 cases and 110 controls were included; in the multivariate analysis it was found that the use of antibiotics in the last year (OR 17.44) p <0.00 and the days before the use of antibiotic (OR 0.98) p <0.00 were the significant variables. Discussion: Several factors have been associated with the presentation of E. coli and Klebsiella pneumoniae infections with ESBL resistance; but within the statistical models found the common factor is the use of previous antibiotics, it is at this point where the question posed, how long ago did the antibiotic use, becomes very important, since it was evidenced that in the case group the average it was 35 days, and in the control group it was 78 days. Conclusions: A very significant association was found with the use of antibiotics in the last year with an OR of 17,44, as with the previous days of antibiotic use, where at a shorter previous time of use, the risk is higher.
2018-10-03T21:05:39Z
2018-10-03T21:05:39Z
2018-10-03T21:05:39Z
2018
masterThesis
https://doi.org/10.48713/10336_18599
http://repository.urosario.edu.co/handle/10336/18599
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
Universidad del Rosario
Facultad de medicina
Maestría en Epidemiología
Pérez H, Robles A. Aspectos básicos de los mecanismos de resistencia bacteriana. Rev Med (Puebla) [Internet]. 2013;4(4):186–91. Available from: http://www.medigraphic.com/pdfs/revmed/md-2013/md133i.pdf
Högberg LD, Heuer O. Surveillance report: Antimicrobial resistance surveillance in Europe 2014. 2014.
Frieden T. Antibiotic resistance threats in the United States, 2013, CDC. Current [Internet]. 2013;114. Available from: http://www.cdc.gov/drugresistance/threat-report-2013/index.html
Hernández-Gómez C, Blanco VM, Motoa G, Correa A, Maya JJ, De la Cadena E, et al. Evolución de la resistencia antimicrobiana de bacilos Gram negativos en unidades de cuidados intensivos en Colombia. Biomédica [Internet]. 2013;34(0):91. Available from: http://www.revistabiomedica.org/index.php/biomedica/article/view/1667
Orrego-Marín cols CP. Prevalencia de infeccion urinaria , uropatogenos y perfil de susceptibilidad antimicrobiana. Acta medica Colomb [Internet]. 2014;39(4):352–8. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-24482014000400008&lng=en&nrm=iso&tlng=es
Martinez E, Osorio J, Delgado J, Esparza GE, Motoa G, Blanco VM, et al. Infecciones del tracto urinario bajo en adultos y embarazadas: consenso para el manejo empírico. Infectio [Internet]. 2013;17(3):122–35. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0123939213707197
Andreu A. Patogenia de las infecciones del tracto urinario. 2005;23:15–21.
Andreu A, Cacho J, Coira A, Antonio J. Diagnóstico microbiológico de las infecciones del tracto urinario. 2011;29(1):52–7.
Factors R, Foxman B. Urinary tract infection syndromes. 2014;28:1–13.
Mulvey MA. Microreview Adhesion and entry of uropathogenic Escherichia coli. 2002;4:257–71.
Lucía A, Alberto J, Arias G, Victoria M, Yamile S, Buitrago G, et al. Emergencia de fenotipos resistentes a cefalosporinas de tercera generación en Enterobacteriaceae causantes de infección del tracto urinario de inicio comunitario en hospitales de Colombia. 2013;31(5):298–303.
Carmen M. Infecciones causadas por bacterias gramnegativas multirresistentes : enterobacterias , Pseudomonas aeruginosa , Acinetobacter baumannii y otros bacilos gramnegativos no fermentadores ଝ. 2013;31(6):402–9.
Rodríguez-angeles G, C M. Principales características y diagnóstico de los grupos patógenos de Escherichia coli. 2002;44(5).
Puerta-García EA, Mateos-Rodríguez F. Enterobacterias. Medicine (Baltimore). 2010;10(51):3426–31.
Miranda-estrada LI, Ruíz-rosas M, Molina-lópez J, Parra-rojas I. Relación entre factores de virulencia , resistencia a antibióticos y los grupos filogenéticos de Escherichia coli uropatógena en dos localidades de México. 2017;35(7):426–33.
Shah AA, Hasan F, Ahmed S, Hameed A. Characteristics , epidemiology and clinical importance of emerging strains of Gram-negative bacilli producing extended-spectrum β -lactamases. 2004;155:409–21.
Mack D, Stu E. Extended-spectrum b -lactamases : implications for the clinical microbiology laboratory , therapy , and infection control. 2003;4453:273–95.
Ghafourian S, Sadeghifard N, Soheili S, Sekawi Z. Extended Spectrum Beta-lactamases : Definition , Classification and Epidemiology. 2015;11–22.
Tumbarello M, Sali M, Trecarichi EM, Leone F, Rossi M, Fiori B, et al. Bloodstream infections caused by extended-spectrum-β-lactamase- producing Escherichia coli: Risk factors for inadequate initial antimicrobial therapy. Antimicrob Agents Chemother. 2008;52(9):3244–52.
Ali J, Rafiq QA, Ratcliffe E. Antimicrobial resistance mechanisms and potential synthetic treatments. 2018;4.
Daza D. Resistencia bacteriana a antimicrobianos: su importancia en la toma de decisiones en la práctica diaria. Inf ormaciónTerapeutica del Sist Nac Salud [Internet]. 1998;22(3):57–67. Available from: http://www.msc.es/fr/biblioPublic/publicaciones/docs/bacterias.pdf
Peleg AY, Hooper DC. Hospital-acquired infections due to gram-negative bacteria. N Engl J Med. 2010;362(19):1804–13.
Fuentes J. Resistencia Bacteriana. Iatreia. 1993;6(1):46–50.
Gómez J, García-Vázquez E, Hernández-Torres E. Los betalactámicos en la práctica clínica. Rev Española Quimioter. 2015;28(1):1–9.
Marín M. Antibióticos betalactámicos. 2003;21(1):42–54.
Ramón J, Pascual Á, Cantón R, Martínez-martínez L, Estudio G De, Hospitalaria DI, et al. Escherichia coli y Klebsiella pneumoniae productores de betalactamasas de espectro extendido en hospitales españoles ( Proyecto GEIH-BLEE 2000 ). 2003;21(2):77–82.
Lezameta L, Gonzáles-Escalante E, Tamariz JH. Comparación de cuatro métodos fenotípicos para la detección de beta-lactamasas de espectro extendido. 2010;27(3):345–51.
Pineda-Posada M, Arias G, Suárez-Obando F, Bastidas A, Ávila-Cortés Y. Factores de riesgo para el desarrollo de infección de vías urinarias por microorganismos productores de betalactamasas de espectro extendido adquiridos en la comunidad , en dos hospitales. 2017;21(3):141–7.
Leal AL, Álvarez CA, Cortes JA, Ovalle MV. Boletín Grupo de resistencia bacteriana de Bogota GREBO 2013. 2014;6(2027).
Martı L, Miguel A. Escherichia coli y Klebsiella pneumoniae productoras de betalactamasas ˜ oles : segundo estudio de espectro extendido en hospitales espan multice. 2010;27(9):503–10.
Jiménez A, Alvarado A, Gómez F. Factores de riesgo asociados al aislamiento de Escherichia coli o Klebsiella pneumoniae productoras de betalactamasas de espectro extendido en un hospital de cuarto nivel en Colombia. Biomédica [Internet]. 2014;34(1):16–22. Available from: http://www.scielo.org.co/pdf/bio/v34s1/v34s1a03.pdf
Beltran J. Factores de riesgo para infección de vías urinarias por enterobacterias productoras de Betalactamasasde espectro extendido o AmpC adquiridas en la comunidad. 2013;
Bermejo J, Bencomo B, Arnesi N, Lesnaberes P, Borda N. Alta correlación entre el consumo de ciprofloxacina y la prevalencia de. 2006;23(4):316–20.
1. Pérez H, Robles A. Aspectos básicos de los mecanismos de resistencia bacteriana. Rev Med (Puebla) [Internet]. 2013;4(4):186–91. Available from: http://www.medigraphic.com/pdfs/revmed/md-2013/md133i.pdf 2. Högberg LD, Heuer O. Surveillance report: Antimicrobial resistance surveillance in Europe 2014. 2014. 3. Frieden T. Antibiotic resistance threats in the United States, 2013, CDC. Current [Internet]. 2013;114. Available from: http://www.cdc.gov/drugresistance/threat-report-2013/index.html 4. Hernández-Gómez C, Blanco VM, Motoa G, Correa A, Maya JJ, De la Cadena E, et al. Evolución de la resistencia antimicrobiana de bacilos Gram negativos en unidades de cuidados intensivos en Colombia. Biomédica [Internet]. 2013;34(0):91. Available from: http://www.revistabiomedica.org/index.php/biomedica/article/view/1667 5. Orrego-Marín cols CP. Prevalencia de infeccion urinaria , uropatogenos y perfil de susceptibilidad antimicrobiana. Acta medica Colomb [Internet]. 2014;39(4):352–8. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-24482014000400008&lng=en&nrm=iso&tlng=es 6. Martinez E, Osorio J, Delgado J, Esparza GE, Motoa G, Blanco VM, et al. Infecciones del tracto urinario bajo en adultos y embarazadas: consenso para el manejo empírico. Infectio [Internet]. 2013;17(3):122–35. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0123939213707197 7. Andreu A. Patogenia de las infecciones del tracto urinario. 2005;23:15–21. 8. Andreu A, Cacho J, Coira A, Antonio J. Diagnóstico microbiológico de las infecciones del tracto urinario. 2011;29(1):52–7. 9. Factors R, Foxman B. Urinary tract infection syndromes. 2014;28:1–13. 10. Mulvey MA. Microreview Adhesion and entry of uropathogenic Escherichia coli. 2002;4:257–71. 11. Lucía A, Alberto J, Arias G, Victoria M, Yamile S, Buitrago G, et al. Emergencia de fenotipos resistentes a cefalosporinas de tercera generación en Enterobacteriaceae causantes de infección del tracto urinario de inicio comunitario en hospitales de Colombia. 2013;31(5):298–303. 12. Carmen M. Infecciones causadas por bacterias gramnegativas multirresistentes : enterobacterias , Pseudomonas aeruginosa , Acinetobacter baumannii y otros bacilos gramnegativos no fermentadores ଝ. 2013;31(6):402–9. 13. Rodríguez-angeles G, C M. Principales características y diagnóstico de los grupos patógenos de Escherichia coli. 2002;44(5). 14. Puerta-García EA, Mateos-Rodríguez F. Enterobacterias. Medicine (Baltimore). 2010;10(51):3426–31. 15. Miranda-estrada LI, Ruíz-rosas M, Molina-lópez J, Parra-rojas I. Relación entre factores de virulencia , resistencia a antibióticos y los grupos filogenéticos de Escherichia coli uropatógena en dos localidades de México. 2017;35(7):426–33. 16. Shah AA, Hasan F, Ahmed S, Hameed A. Characteristics , epidemiology and clinical importance of emerging strains of Gram-negative bacilli producing extended-spectrum β -lactamases. 2004;155:409–21. 17. Mack D, Stu E. Extended-spectrum b -lactamases : implications for the clinical microbiology laboratory , therapy , and infection control. 2003;4453:273–95. 18. Ghafourian S, Sadeghifard N, Soheili S, Sekawi Z. Extended Spectrum Beta-lactamases : Definition , Classification and Epidemiology. 2015;11–22. 19. Tumbarello M, Sali M, Trecarichi EM, Leone F, Rossi M, Fiori B, et al. Bloodstream infections caused by extended-spectrum-β-lactamase- producing Escherichia coli: Risk factors for inadequate initial antimicrobial therapy. Antimicrob Agents Chemother. 2008;52(9):3244–52. 20. Ali J, Rafiq QA, Ratcliffe E. Antimicrobial resistance mechanisms and potential synthetic treatments. 2018;4. 21. Daza D. Resistencia bacteriana a antimicrobianos: su importancia en la toma de decisiones en la práctica diaria. Inf ormaciónTerapeutica del Sist Nac Salud [Internet]. 1998;22(3):57–67. Available from: http://www.msc.es/fr/biblioPublic/publicaciones/docs/bacterias.pdf 22. Peleg AY, Hooper DC. Hospital-acquired infections due to gram-negative bacteria. N Engl J Med. 2010;362(19):1804–13. 23. Fuentes J. Resistencia Bacteriana. Iatreia. 1993;6(1):46–50. 24. Gómez J, García-Vázquez E, Hernández-Torres E. Los betalactámicos en la práctica clínica. Rev Española Quimioter. 2015;28(1):1–9. 25. Marín M. Antibióticos betalactámicos. 2003;21(1):42–54. 26. Ramón J, Pascual Á, Cantón R, Martínez-martínez L, Estudio G De, Hospitalaria DI, et al. Escherichia coli y Klebsiella pneumoniae productores de betalactamasas de espectro extendido en hospitales españoles ( Proyecto GEIH-BLEE 2000 ). 2003;21(2):77–82. 27. Lezameta L, Gonzáles-Escalante E, Tamariz JH. Comparación de cuatro métodos fenotípicos para la detección de beta-lactamasas de espectro extendido. 2010;27(3):345–51. 28. Pineda-Posada M, Arias G, Suárez-Obando F, Bastidas A, Ávila-Cortés Y. Factores de riesgo para el desarrollo de infección de vías urinarias por microorganismos productores de betalactamasas de espectro extendido adquiridos en la comunidad , en dos hospitales. 2017;21(3):141–7. 29. Leal AL, Álvarez CA, Cortes JA, Ovalle MV. Boletín Grupo de resistencia bacteriana de Bogota GREBO 2013. 2014;6(2027). 30. Martı L, Miguel A. Escherichia coli y Klebsiella pneumoniae productoras de betalactamasas ˜ oles : segundo estudio de espectro extendido en hospitales espan multice. 2010;27(9):503–10. 31. Jiménez A, Alvarado A, Gómez F. Factores de riesgo asociados al aislamiento de Escherichia coli o Klebsiella pneumoniae productoras de betalactamasas de espectro extendido en un hospital de cuarto nivel en Colombia. Biomédica [Internet]. 2014;34(1):16–22. Available from: http://www.scielo.org.co/pdf/bio/v34s1/v34s1a03.pdf 32. Beltran J. Factores de riesgo para infección de vías urinarias por enterobacterias productoras de Betalactamasasde espectro extendido o AmpC adquiridas en la comunidad. 2013; 33. Bermejo J, Bencomo B, Arnesi N, Lesnaberes P, Borda N. Alta correlación entre el consumo de ciprofloxacina y la prevalencia de. 2006;23(4):316–20. 34. Han JH, Kasahara K, Edelstein PH, Bilker WB, Lautenbach E. Risk Factors for Infection or Colonization with CTX-M Extended-Spectrum β-Lactamase (ESBL)-Positive Escherichia coli. 2012;(August).
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/401682025-08-27T14:51:05Zcom_10336_925com_10336_562col_10336_12382
Polineuropatía diabética y factores asociados en pacientes hospitalizados en una institución de tercer nivel de Bogotá, Colombia
Ruíz Barrera, Miguel Ángel
Hernández Herrera, Gilma Norela
Polineuropatía diabética, Michigan Neuropathy Screening Instruments, Monofilamento semmes-weinstein, úlcera plantar, diabetes mellitus, pie diabético
Introduction: The proportion of diabetic polyneuropathy (DPN) reported in the literature varies between 35% to 50%. However, this frequency remains undetermined in Colombia. Methods: Analytical cross-sectional study of 132 hospitalized diabetic patients, to whom the Michigan Neuropathy Screening Instrument tests and the 10gr Semmes-Weinstein monofilament tests were applied. Frequent tables, central tendency, and dispersion statistics were used as descriptive methods. For bivariate analysis, OR-type association measures were calculated, while a multiple logistic regression model was developed for multivariate analysis. Results: The proportion of DPN in this study was 60.6% (95% CI 0.52 - 0.68). The main associated factors were loss of vibratory sensitivity (OR 3.4, 95% CI 1.1 ‒ 10.9), loss of the Achilles reflex (OR 12.4, 95% CI 1.5 ‒ 102.9), sensation of numbness in the feet (OR 2.6, 95% CI % 1.1 ‒ 6.2), and nocturnal exacerbation of sensory symptoms (OR 3.4, 95% CI 1.3 ‒ 9.0). Conclusions: The proportion of DPN in this study was higher than that reported in the literature (p < 0.001). It is recommended to encourage the use of simple diagnostic tests in primary care centers and educate patients to achieve early identification of DPN symptoms. Additional studies are required to determine the prevalence of DPN in the community and in low-complexity care centers.
2023-07-17T12:58:28Z
2023-07-17T12:58:28Z
2023-07-17T12:58:28Z
bachelorThesis
https://doi.org/10.48713/10336_40168
https://repository.urosario.edu.co/handle/10336/40168
spa
info:eu-repo/semantics/embargoedAccess
Restringido (Temporalmente bloqueado)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/4.0/
Attribution-NonCommercial-NoDerivatives 4.0 International
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Figuerola Pino, D; Reynals de Blasis, E; Vidal-Puig, A; Aschner Montoya, P. (2016) Diabetes mellitus. En: Farreras Rozman Medicina Interna. Vol. 2; pp. 1824 - 1862; 9788491135456;
Aschner Montoya, Pablo; Muñoz Velandía, Óscar Mauricio; Girón Cardozo, Diana Marcela; García Morales, Olga Milena; Fernández Ávila, Daniel Gerardo; Casas, Luz Ángela; Casas, Luz Ángela; Arango Toro, Clara Maria; Bohórquez Villamizar, Luisa Fernanda; Arango Toro, Clara María; Carvajal Gutiérrez, Liliana; Ramírez De Peña, Doris Amanda; Sarmiento, Juan Guillermo; Colón, Cristian Alejandro; Correa González, Nestor Fabian; Alarcon Robles, Pilar; Bustamante, Álvaro Andrés (2017) Guía colombiana de práctica clínica para el tratamiento de la diabetes mellitus tipo 2: falla al tratamiento inicial. En: Universitas Médica. Vol. 58; No. 4; Disponible en: http://revistas.javeriana.edu.co/index.php/vnimedica/article/view/20250. Disponible en: 10.11144/Javeriana.umed58-4.dmft.
Organización Mundial de la salud (2018) Diabetes, datos y cifras. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/diabetes.
Jurado, J.; Ybarra, J.; Romeo, J. H.; Pou, J. M. (2009) Clinical screening and diagnosis of diabetic polyneuropathy: the North Catalonia Diabetes Study. En: European Journal of Clinical Investigation. Vol. 39; No. 3; pp. 183 - 189; Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2362.2008.02074.x. Disponible en: 10.1111/j.1365-2362.2008.02074.x.
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/375742023-01-30T01:01:01Zcom_10336_925com_10336_562col_10336_12382
Efectividad y seguridad de la insulina frente a otros antidiabéticos y la terapia convencional en el manejo de la enfermedad de Alzheimer: Revisión sistemática de la literatura
Abella Morales, Laura Milena
Cárdenas Barrantes, Sandra Patricia
Mayorquin Moreno, Lady Carolina
Palencia Sánchez, Diana Paola
Bareño, José
Estrada Orozco, Kelly Patricia
Efectividad
seguridad
insulina
Enfermedad de Alzheimer
Enfermedad neurodegenerativa primaria
.Background and objectives Late-onset Alzheimer's disease (AD) is a primary neurodegenerative disease in which the use of intranasal insulin has been suggested as a treatment alternative, given the strong presence of metabolic factors that increase the risk of its development and progression. Methods A systematic review of the literature was performed and randomized clinical trials were included in the search of publications for the evaluation of effectiveness. Risk of bias assessment was performed with the Cochrane RoB 2 tool; reporting was performed following PRISMA recommendations. Results All studies compared intranasal insulin versus placebo. It was not possible to demonstrate the effectiveness of insulin use in controlling or reducing cognitive symptoms in patients with AD, due to inconsistency in the results, risk of bias in the studies, and serious imprecision in the estimators. Safety outcomes indicate that the use of intranasal insulin has mild respiratory symptoms as the most frequent adverse effects, and no studies reported severe adverse effects. Conclusions It was not possible to demonstrate the effectiveness of intranasal insulin in the reduction of cognitive symptoms or effects on the progression of AD, since the confidence in the estimate of the effects of the included studies, for the outcomes analyzed, is very low. Regarding the safety of this intervention, there seem to be no major risks with its use
2022-11-29T16:17:42Z
2022-11-29T16:17:42Z
2022-11-29T16:17:42Z
masterThesis
https://doi.org/10.48713/10336_37574
https://repository.urosario.edu.co/handle/10336/37574
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Avgerinos, Konstantinos Ioannis; Kalaitzidis, Grigorios; Malli, Antonia; Kalaitzoglou, Dimitrios; Myserlis, Pavlos Gr; Lioutas, Vasileios-Arsenios (2018) Intranasal insulin in Alzheimer's dementia or mild cognitive impairment: a systematic review. En: Journal of Neurology. Vol. 265; No. 7; pp. 1497 - 1510; 1432-1459; Disponible en: 10.1007/s00415-018-8768-0.
White, John R. (2014) A Brief History of the Development of Diabetes Medications. En: Diabetes Spectrum : A Publication of the American Diabetes Association. Vol. 27; No. 2; pp. 82 - 86; 1040-9165; Consultado en: 2022/08/27/23:02:32. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4522877/. Disponible en: 10.2337/diaspect.27.2.82.
Freiherr, Jessica; Hallschmid, Manfred; Frey, William H.; Brünner, Yvonne F.; Chapman, Colin D.; Hölscher, Christian; Craft, Suzanne; De Felice, Fernanda G.; Benedict, Christian (2013) Intranasal Insulin as a Treatment for Alzheimer’s Disease: A Review of Basic Research and Clinical Evidence. En: CNS Drugs. Vol. 27; No. 7; pp. 505 - 514; 1172-7047; Consultado en: 2022/08/27/23:01:22. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3709085/. Disponible en: 10.1007/s40263-013-0076-8.
Seguí Díaz, Mateu (2018) Uso de inhibidores de la dipeptidil peptidasa 4 en pacientes con diabetes en situaciones especiales. En: Medicina de Familia. SEMERGEN. Vol. 44; pp. 18 - 25; 11383593; Consultado en: 2022/11/26/00:06:54. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S113835931830371X. Disponible en: 10.1016/S1138-3593(18)30371-X.
Carramiñana Barrera, Francisco Carlos (2018) Seguridad de los inhibidores de la dipeptidil peptidasa 4. En: Medicina de Familia. SEMERGEN. Vol. 44; pp. 10 - 17; 11383593; Consultado en: 2022/11/26/00:10:35. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1138359318303708. Disponible en: 10.1016/S1138-3593(18)30370-8.
Katsenos, Andreas P.; Davri, Athena S.; Simos, Yannis V.; Nikas, Ilias P.; Bekiari, Chryssa; Paschou, Stavroula A.; Peschos, Dimitrios; Konitsiotis, Spyridon; Vezyraki, Patra; Tsamis, Konstantinos I. (2022) New treatment approaches for Alzheimer’s disease: preclinical studies and clinical trials centered on antidiabetic drugs. En: Expert Opinion on Investigational Drugs. Vol. 31; No. 1; pp. 105 - 123; 1354-3784, 1744-7658; Consultado en: 2022/11/26/00:16:58. Disponible en: https://www.tandfonline.com/doi/full/10.1080/13543784.2022.2022122. Disponible en: 10.1080/13543784.2022.2022122.
Ali, Eunüs S.; Hua, Jin; Wilson, Claire H.; Tallis, George A.; Zhou, Fiona H.; Rychkov, Grigori Y.; Barritt, Greg J. (2016) The glucagon-like peptide-1 analogue exendin-4 reverses impaired intracellular Ca 2+ signalling in steatotic hepatocytes. En: Biochimica et Biophysica Acta (BBA). Vol. 1863; No. 9; pp. 2135 - 2146; 01674889; Consultado en: 2022/11/26/01:09:52. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0167488916301409. Disponible en: 10.1016/j.bbamcr.2016.05.006.
(2018) Minsalud. APLICACIÓN DE LA METODOLOGÍA PARA LA DEFINICIÓN DE SUBGRUPOS TERAPÉUTICOS, FARMACOLÓGICOS O QUÍMICOS Y CÁLCULO DE VALOR DE RECONOCIMIENTO: DIABETES MELLITUS TIPO 2. : Ministerio de Salud y Proteccion Social;
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/253172024-08-20T12:46:54Zcom_10336_925com_10336_562col_10336_12382
Hallazgos endoscopicos de bloqueos de las vías de ventilación en pacientes con otitis media crónica simple estudio de prevalencia analítico de corte transversal en centro especializado otológico
Plaza Ruíz, Adelaida
Ruíz Sternberg, Jaime Enrique
Rivas, José Antonio
CSOM
Otitis media crónica
Protímpano
Trompa de Eustaquio
Cirugía endoscópia de oído
Tensor fold
Istmos timpánicos
Vías de ventilación de oído medio
Regarding the middle ear ventilation routes in CSOM more detailed studies are required to establish the relevance and practical surgical implications. Objectives: 1) To describe the frequency of middle ear ventilation routes blockages in CSOM and normal ears. 2) To compare those findings in order to accept or reject the null hypothesis of similar distribution of variables in both groups. Design: Cross sectional, prevalence analytic study. Method: 46 CSOM ears taken to Tympanoplasty and 17 normal ears (cadavers). Results: Bivariate on middle ear ventilatory routes blockage between both groups were done, statistically significant difference was found for the distribution in both groups for blockage of the protympanum, isthmus, Eustachian tube diameter at the infundibulum in mm with p<0,05. Complete Tensor fold failed to demonstrate any statistically difference when compared in both groups. Eustachian tube diameter was reclassified in < ó ≥1,5 and it was introduced to a regression model with the other middle ear ventilation variables, the former demonstrated its capacity to explain the variability of the CSOM presence in 40%. Discussion: There was a statistically significant difference comparing both groups of CSOM and normal ears respect to the middle ear ventilatory routes blockage and the Eustachian tube diameter, this is relevant from a surgical and physio pathological point of view.
2020-07-07T18:08:36Z
2020-07-07T18:08:36Z
2020-07-07T18:08:36Z
masterThesis
https://doi.org/10.48713/10336_25317
https://repository.urosario.edu.co/handle/10336/25317
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/418682023-12-12T03:01:12Zcom_10336_925com_10336_562col_10336_12382
Bienestar en animales de compañía, según conocimientos y prácticas de prevención de propietarios en Chía
Silva Igua, Angela del Pilar
Restrepo Guerrero, Héctor Fabio
Bareño Silva, José
Animales de compañía
Bienestar
Corte transversal
Conocimientos y prácticas de prevención
Propietarios
A cross-sectional analytical observational study was carried out to identify the frequency, magnitude and distribution of welfare in conventional companion animals (dogs and cats), according to the level of knowledge and primary prevention practices of their owners in the city of Chía, Cundinamarca. Using a survey as a technique for collecting and analyzing the information, designed by the principal investigator in the absence of a standardized measurement instrument for the quantitative assessment of welfare in these species.By means of univariate and bivariate analysis and binary logistic regression model for the prediction of well-being in canines and felines.
2023-12-11T19:48:28Z
2023-12-11T19:48:28Z
2023-12-11T19:48:28Z
bachelorThesis
https://doi.org/10.48713/10336_41868
https://repository.urosario.edu.co/handle/10336/41868
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-sa/4.0/
Attribution-NonCommercial-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Regina Hofmann-Lehmann, Margaret J. Hosie , Katrin Hartmann , Herman Egberink, Uwe Truyen, Séverine Tasker, Sándor Belák, Corine Boucraut-Baralon, Tadeusz Frymus, Albert Lloret, Fulvio Marsilio, Maria Grazia Pennisi, Diane D. Addie, Hans Lutz, Etienne Thiry, Alan D. Radford and Karin Möstl. Calicivirus Infection in Cats. Viruses 2022, 14, 937, En: https://pubmed.ncbi.nlm.nih.gov/35632680
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/252532024-08-20T12:48:57Zcom_10336_925com_10336_562col_10336_12382
Calidad de vida en pacientes con distrofia muscular de duchenne y sus cuidadores pertenecientes a la Fundación Colombiana de Distrofia Muscular en el año 2019
Barros Valderrama, Istria Beatriz
Villabona, Silvia
OSPINA LADINO, MARIA CRISTINA
Rivera-Nieto, Carolina
Duchenne
Enfermedades Huérfanas
Distrofia Muscular
Calidad de vida
Psicosocial
Psicométrico
When addressing the issue of quality of life impairment in patients with Duchenne muscular dystrophy (DMD), it became necessary to know about the terms of this disease and its inherited condition. Likewise, we sought to publicize the special routine health care procedures that this disease requires. DMD, according to Muntoni et al., (2003), is the most severe form of dystrophinopathy and originates due to the total absence of functioning dystrophin. On the other hand, DMD, although present from birth, clinically debuts at the age of 2 years, at which time regression in walking skills begins to be observed with unstable steps and frequent falls. The loss of muscle strength is progressive and predominantly affects the proximal limb muscles and the flexor muscles of the neck.
2020-06-25T16:45:36Z
2020-06-25T16:45:36Z
2020-06-25T16:45:36Z
masterThesis
https://doi.org/10.48713/10336_25253
https://repository.urosario.edu.co/handle/10336/25253
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nd/2.5/co/
Atribución-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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Crisafulli S, Sultana J, Fontana A, Salvo F, Messina S & Trifiro G. Global epidemiology of Duchenne muscular dystrophy: an updated systematic review and meta-analysis. Orphanet Journal of Rare Diseases. 2020; 15 (141). DOI: https://doi.org/10.1186/s13023-020-01430-8
Ryder S, Leadley RM, Armstrong N, Westwood M, De Kock S, Butt T, et al. The burden, epidemiology, costs and treatment for Duchenne muscular dystrophy: an evidence review. Orphanet Journal of Rare Diseases. 2017; 12 (79). DOI 10.1186/s13023-017-0631-3
Hellebrekers D, Lionarons J, Faber C, Klinkenberg S, Vles J & Hendriksen J. Instruments for the Assessment of Behavioral and Psychosocial Functioning in Duchenne and Becker Muscular Dystrophy; a Systematic Review of the Literature. Journal of Pediatric Psychology. 2019; 44 (10): 1205-1223. Doi: 10.1093/jpepsy/jsz062
Daoud et al. Analysis of Dp71 contribution in the severity of mental retardation through comparison of Duchenne and Becker patients differing by mutation consequences on Dp71 expression. Hum Mol Genet. 2009; 18(20):3779-94
Thayer S, Bell C & McDonald C. The Direct Cost of Managing a Rare Disease: Assessing Medical and Pharmacy Costs Associated with Duchenne Muscular Dystrophy in the United States. Journal of Managed Care & Specialty Pharmacy. 2017; 23 (6): 633-641
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Sánchez R. Caracterización Molecular de CNVs. Mutaciones Sin Sentido y de Splicing en Enfermedades Metabólicas Hereditarias. Investigación en terapias personalizadas. Universidad Autónoma de Madrid, Tesis Doctoral [Internet]. 2012 [citado 12 jun 2020]: 1-179. Disponible en: https://repositorio.uam.es/bitstream/handle/10486/11257/56169_sanchez_alcudia_rocio.pdf?sequence=1&isAllowed=y
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Guapi H. y García J. Distrofia muscular de Duchenne: reportes de caso. Univ Med. 2017; 58(4):1-6. doi: Recuperado de: http://dx.doi.org/1 0.11144/Javeriana.umed58-4.duch
Chaustre D. y Chona W. Distrofia muscular de Duchenne. Perspectivas desde la rehabilitación. Revista Med. 2014; 19 (1): 45-55. Disponible en: http://www.scielo.org.co/pdf/med/v19n1/v19n1a05.pdf
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/317812021-07-08T03:02:54Zcom_10336_925com_10336_562col_10336_12382
Identificación de indicadores de calidad de la atención para fisioterapia: una revisión sistemática
Soto Mora, Jahir Alexander
Rangel Piñeros, Maria Camila
Torres Narváez, Martha Rocío
Rivera Amezquita, Laura Victoria
Ciencias de la Rehabilitación
Indicadores de Calidad de la Atención de Salud
Calidad de la Atención de Salud
Modalidades de Fisioterapia
Evaluación de Resultado en la Atención de Salud
Indicadores para la evaluación de la calidad de la atención en fisioterapia
Evaluación de procesos en Fisioterapia
Introduction: Despite the emerging role of indicators for the evaluation of quality of care in physical therapy, these have been developed mainly for other health areas and only some are relevant and applicable to physical therapy as they lack specificity since they were not designed for the profession. Objective: To identify quality indicators described or developed in the literature that can be used to evaluate quality (QI) in the provision of physical therapy services. Methodology: we searched Medline, Embase, Web of science SciELO, LILACS and OPEN GREY databases, with no year limit. Two reviewers independently selected the studies if they were published in Spanish, English and Portuguese and if they described the development of quality indicators specifically for physical therapy practice. The methodological quality of the studies was assessed using the Appraisal of Indicators through Research and Evaluation (AIRE) instrument. The CIs found were classified following the Donabedian model. Results: 8 sets of CIs developed for physical therapy were identified, with a total of 199 potential indicators. Sixty-two point five percent (n=5) of the identified CI sets were process-related and most indicators were developed for the care of musculoskeletal pathologies applicable to the clinical area. No indicator achieved a score higher than 50% in all domains, 62.5% of the total CIs achieved this score in two domains and 37.5% in three domains. Conclusions: the applicability and implementation of the CIs in current practice is possibly limited by the lack of pilot tests of the same and that most of them are specifically designed for their respective national contexts taking into account their health system, so their international adaptation could be minor.
2021-07-07T20:21:53Z
2021-07-07T20:21:53Z
2021-07-07T20:21:53Z
masterThesis
https://doi.org/10.48713/10336_31781
https://repository.urosario.edu.co/handle/10336/31781
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/252462024-08-20T12:43:13Zcom_10336_925com_10336_562col_10336_12382
Tipo de alimentación y severidad del acné: Estudio de casos y controles en un centro de referencia en Colombia.
Plaza Arteaga, Nathalia Elena
Torres De Galvis, Yolanda
Acné vulgaris
Dieta
Índice de severidad de la enfermedad
Acné en hombres
Acne is one of the main dermatological consultations. The severity and response to treatment can be affected by various primary or secondary factors such as diet, this association has been very controversial. Objective: To evaluate the influence of the type of diet and the severity of acne in men treated at a reference institution in Colombia. Methods: Case-control study. The data was taken from patients of the Hospital Universitario Centro Dermatológico Federico Lleras Acosta E.S.E. Bogotá, through a validated survey on the type of diet in men between the ages of 10 and 22 in the second half of 2019. A univariate statistical analysis was carried out with measures of central tendency and dispersion or absolute frequencies and proportions. In the bivariate, Chi squared tests and Fisher's exact test for categorical variables. The confidence level is 95%. Odds ratio (OR) was calculated and logistic regression was applied to estimate the adjusted RD. Results: Association is evidenced as risk factors for pasta consumption (OR 3,259; 95% CI 1,370-7,753; p <0.05), age (OR 1,229; 95% CI 1,087-1,389; p <0.05 ) and association as protective factors: Socioeconomic stratum (OR 0.365; 95% CI 0.140-0.953; p <0.05. Conclusions: this study showed a possible association between the high consumption of paste and the severity of acne, as well as the age, prospective cohort and intervention studies are recommended to explore whether a causal relationship could be obtained.
2020-06-24T17:39:22Z
2020-06-24T17:39:22Z
2020-06-24T17:39:22Z
masterThesis
https://doi.org/10.48713/10336_25246
https://repository.urosario.edu.co/handle/10336/25246
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
Burris J, Rietkerk W, Woolf K. Acne: the role of medical nutrition therapy. J Acad Nutr Diet [Internet]. 2013 Mar 1 [cited 2018 Aug 11];113(3):416–30. DOI: 10.1016 / j.jand.2012.11.016
Dréno B, Bettoli V, Araviiskaia E, Sanchez Viera M, Bouloc A. The influence of exposome on acne. J Eur Acad Dermatol Venereol [Internet]. 2018 May [cited 2018 Aug 11];32(5):812–9. DOI: 10.1111 / jdv.14820
Cordain L, Lindeberg S, Hurtado M, Hill K, Eaton SB, Brand-Miller J. Acne Vulgaris. Arch Dermatol [Internet]. 2002 Dec 1 [cited 2018 Oct 7];138(12):1584–90. Available from: http://archderm.jamanetwork.com/article.aspx?doi=10.1001/archderm.138.12.1584
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/346012024-08-16T17:55:21Zcom_10336_925com_10336_562col_10336_12382
Aproximación al valor de la caminata de 6 minutos para pronosticar deterioro clínico en pacientes con diagnóstico de hipertensión pulmonar (HTP) arterial a la altura de Bogotá
Rodríguez Cortés, Camilo A.
Fandiño, Viviana
Ruíz Sternberg, Jaime Enrique
Rodríguez Cortés, Camilo A.
Conde, Rafael
Hipertensión pulmonar arterial
caminata de 6 metros
grandes alturas
deterioro clínico
Pulmonary arterial hypertension (PAHT) is a progressive and debilitating disease that has partially transformed from devastating to inevitably fatal in recent decades. Within the internationally accepted goals for the follow-up of this group of patients, the 6-minute walk has been established as one of the most critical tests. It is currently the most widely used exercise test in the world in the different HTPA centers. Most have performed on patients in cities less than 500m above sea level. It is unknown if these should be the same parameters to be considered in the towns of great heights, that is, above 2500mt above sea level. Objective: Approximate the value of the 6-minute walk to predict clinical deterioration in patients diagnosed with pulmonary arterial hypertension (PAHT) at the height of Bogotá Methods: Study with a quantitative and descriptive approach of a retrospective cohort. All patients from the Fundacion Neumoloica from Bogotá with pulmonary arterial hypertension diagnosed by cardiac catheterization residing in Bogotá were chosen. A demographic analysis of the population and disease status, classification, type of treatment, and oxygen use was performed. Contingency tables were used to evaluate the association and differences of the clinical deterioration variable with the delta of oxygen saturation during walking, heart rate recovery, and meters walked. A subgroup of analysis was performed according to the use or not of oxygen during the walk to determine the difference in its association with the clinical deterioration outcome. Results: 134 patients diagnosed with HTPA with a 6-minute walk performed at Fundacion Neumologica Colombiana were analyzed. Of these, the majority were women (82.1%) with an average age of 46. Within the classification, the most frequent etiology was congenital heart disease (49%), followed by idiopathic (32%). Most of this population was at intermediate risk for pulmonary hypertension (52.2%). It was identified that 41% of the patients evaluated required the use of supplemental oxygen during the first walk. 23.9% of the patients assessed presented some clinical deterioration. A statistically significant association was found between clinical deterioration, and the distance in meters walked (p = 0.05). The patients who presented clinical deterioration had a median of 448 meters walked, while those who did not have this deterioration presented a median of 509 meters. Finally, it was found that of the patients who used oxygen during the walk, 29.4% presented clinical deterioration, while of those who did not use it, only 13.5% presented deterioration; however, no significant associations were found between the variables (heart rate recovery, clinical deterioration, oxygen saturation delta, and distance in meters walked). Conclusions: This study shows differences in meters in the 6-minute walk test in patients with HTPA around Bogotá compared to international reference studies. Specifically, patients at the height of Bogotá walk more meters despite the same disease severity compared to the other records corresponding to patients who live in cities not classified as high altitudes. The need to be replicated in other centers around Bogotá and to increase the sample size to establish specific prognostic cut-off points is suggested. The requirement for oxygen uses in patients with HTPA at the height of Bogotá is lower compared to the international reference cohorts; even despite hypobaric hypoxemia due to altitude and the same degree of severity of the disease, these cohorts are represented in their entirety by patients who live in cities not classified as high altitudes. The differences found in the meters walked and the need for oxygen for patients with the same disease, but living at the height of Bogotá, strongly suggests that the hypobaric hypoxemia of the altitude affects the behavior of the disease with different clinical outcomes for the values of meters walked that internationally would have cut-off points very different from those found in the study population at the height of Bogotá.
2022-07-25T15:35:49Z
2022-07-25T15:35:49Z
2022-07-25T15:35:49Z
masterThesis
https://doi.org/10.48713/10336_34601
https://repository.urosario.edu.co/handle/10336/34601
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
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http://creativecommons.org/licenses/by-nc-sa/2.5/co/
Atribución-NoComercial-CompartirIgual 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/205142024-08-20T12:45:04Zcom_10336_925com_10336_562col_10336_12382
Uropatogenos : su resistencia antimicrobiana en 10 países y el comportamiento de la edad y sexo como factores asociados
Contreras Parra, Diana Paola
Otero Rosales, Aurelio
Parra Abaunza, Katherine
Torres De Galvis, Yolanda
Resistencia antimicrobiana
Agentes antibacterianos
β-lactamasas y resistencia a antibióticos
E. coli
Orina
Antibacterianos
Farmacorresistencia bacteriana
Edad
Sexo
BACKGROUND: Bacterial resistance is a global public health problem. It can cross national and international borders. In addition to the global concern for the increase in bacterial resistance is the significant decrease in the development of new molecules with antimicrobial activity approved by the regulatory agency of food and medicine (fda), which is generating the “perfect storm.” JUSTIFICATION: Antibiotics are among the most prescribed and used drugs in clinical practice. Between 20-50% are not well used, being one of the causes of the development of multidrug-resistant microorganisms. If actions are not taken in a timely manner to reduce the increase in bacterial resistance, it is estimated that by 2050 the number of deaths caused by this cause will reach 10 million annually and a cumulative cost of USD $100 trillion to the global economy would be generated. OBJECTIVE: The objective is to determine if factors such as sex and age are associated with the development of antimicrobial resistance in two most prevalent uropathogens and analyze the SMART epidemiological surveillance program from 2013 to 2017 in 10 countries. METHODOLOGY: To use a mega cross-sectional analytical observational study using 9,090 records from the SMART database from 2013 to 2017, which meet the inclusion and exclusion criteria in three stages: the first, descriptive where demographic and clinical variables were characterized; the second one consisted of bivariate analysis to estimate the association between the dependent variable (antimicrobial resistance) and the independent ones estimating prevalence. 95% CI and RD confidence intervals; and the third one obtaining prediction models that determine the impact of the factors and strength of association. RESULTS: 9,090 records were included: 6,332 (69.7%) of the female sex, 68.2%> 51 years; 24.1% adults, 2.4% adolescents, and 5.3% children. 48.8% of the records corresponded to patients with 48 or more hours of hospitalization and 7% were hospitalized in the intensive care unit; 94.5% of uropathogens were isolated in urine. Factors associated with the resistance of E. coli to Ertapenem were: male gender (RD 1.69; 95% CI 1.28-2.23), hospitalization time greater than 48 hours (RD 1.50; CI 95 %: 1.14-1.98), and being in ICU (RD 1.82; 95% CI: 1.17-2.85). Regarding E. coli when the treatment is with Ceftriaxone, the following factors were significantly associated: male gender (RD 1.69; 95% CI 1.52-1.89), more than 48 hours hospitalized (RD 1.68; 95% CI: 1.52-1.86). In Klebsiella pneumoniae, the factors that explain the development of antimicrobial resistance were: male gender (RD 1.54; 95% CI: 1.24-1.91), more than 48 hours of hospitalization (RD 1.72; 95% CI : 1.39-2.14), ICU care (RD 2.02; 95% CI: 1.48-2.75) adolescent age (RD 2.79; 95% CI: 1.09-7.15 ), adult (RD 2.91; 95% CI: 1.43-5.93), and senior (RD 2.62; 95% CI: 1.32-5.20). Regarding Ceftriaxone resistance, it is explained by the following factors: male gender (RD 1.61; 95% CI 1.34-1.92), more than 48 hours hospitalized (OR 1.84; 95% CI: 1, 54-2,19), and ICU (OR 1.61; 95% CI: 1.21-2.15). CONCLUSIONS: According to the finding of the study of the male gender, hospital stay longer than 48 hours explain the decrease in the susceptibility of E. coli and Klebsiella pneumoniae to Ertapenem and Ceftriaxone. In addition, antimicrobial resistance is directly proportional to the increase in age. In our study, being under 8 years old was a protective factor. New research is necessary to evaluate other clinical factors that were not included in the present study, as well as the associated resistance mechanisms.
2019-10-31T12:02:08Z
2019-10-31T12:02:08Z
2019-10-31T12:02:08Z
masterThesis
https://doi.org/10.48713/10336_20514
https://repository.urosario.edu.co/handle/10336/20514
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
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Universidad del Rosario
Universidad CES. Facultad de Medicina
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/401172025-08-27T14:51:15Zcom_10336_925com_10336_562col_10336_12382
Evaluación del control glucémico intrahospitalario no UCI en pacientes con Diabetes Mellitus en un hospital de tercer nivel en Colombia 2022
Mora Garzón, Edwin Ronald
González Montoya, Alexandra
Hernández Herrera, Gilma Norela
Diabetes Mellitus
Control glucémico
Tiempo en rango
Paciente hospitalizado
Variabilidad glucémica
Resultados adversos
Introduction: Diabetes mellitus is a disease with a high prevalence worldwide that carries a high burden of morbidity and mortality. Its high prevalence makes DM a frequent condition in emergency rooms and hospitalizations, where both hyperglycemia, hypoglycemia, and low blood glucose have been found to be associated with in-hospital adverse outcomes. It is essential to evaluate the glycemic control of diabetic patients hospitalized in general wards, in order to know, initially, the local epidemiology and, later, determine the pattern of incidences of adverse health outcomes associated with poor glycemic control and implement corrective measures. Methodology: Cross-sectional analytical study in a third level hospital in the city of Manizales, Colombia. The medical records of patients over 18 years of age with a history of diabetes mellitus hospitalized in general wards for medical or surgical reasons in the period between January and July 2022 were evaluated. A descriptive analysis of the baseline and hospital management characteristics and a statistical analysis of the variables associated with poor metabolic control and the occurrence of in-hospital adverse outcomes and their association with poor glycemic control were performed, this being defined by an HbA1c >7.0%. , an average blood glucose measurement outside of 100 to 180mg/dl, time in ranges (TER) less than 70%, a coefficient of glycemic variability (CVG) greater than 36% and hypoglycemia (<70mg/dl). Results: A total of 330 medical records were included. The average age was 69.9 years (SD 14.7), 52% were women, the average BMI was in the overweight range (27.2kg/m2, SD 5.41) and close to 1 in 5 patients (22%) were in obesity range. 39% had a diagnosis of diabetic nephropathy, followed by coronary disease in 23%. Infection was the most frequent reason for hospital admission (35.5%). The most used treatment scheme was corrective (47%). The mean HbA1c on admission was 8.17% (SD 2.63). When poor glycemic control is established by means of glucometries, the prevalence was 27.6%, 33% due to high variability and 64.8% due to low time in range, and hypoglycemia occurred in 28.8%. The variables associated with poor in-hospital metabolic control were HbA1c on admission, CKD, BMI, and reason for admission. Mortality was 8.8%. Mean off-target blood glucose measurements (ORc 4.3 95%CI 1.98-9.52), time in off-target range (ORc 5.21 95%CI 1.54-17.6) and HbA1c (ORc 2.9995%CI 1.19-7.56) were associated with higher mortality , the average blood glucose was also associated with renal injury (ORc 1.92 95%CI 1.1-3.3), a low time in ranges was additionally associated with transfer to the ICU (ORc 2.54 95%CI 1.08-5.98), a high CVG was associated with intrahospital infection (ORc 1.99 95% CI 1.11-3.58), delirium (ORc 1.74 95% CI 1.07-2.81) and hypoglycemia. (p <0.001). Hypoglycemia was associated with transfer to the ICU (ORc 2.66 IC95% 1.33-5.33), intrahospital infection (ORc 2.14 IC95% 1.18-3.88) and delirium (ORc 1.99 IC95% 1.21-3.26). Conclusion: In diabetic patients hospitalized in general wards, the disease glycemic control assessed by different metrics was associated with adverse health outcomes. CVG and TER are new metrics that should be incorporated into glycemic control objectives given their association with mortality. These results serve to highlight the importance of trying to achieve better in-hospital metabolic control and implementing strategies in order to improve outcomes in these patients.
2023-07-11T16:56:48Z
2023-07-11T16:56:48Z
2023-07-11T16:56:48Z
bachelorThesis
https://doi.org/10.48713/10336_40117
https://repository.urosario.edu.co/handle/10336/40117
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-sa/4.0/
Attribution-ShareAlike 4.0 International
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
ElSayed NA, Aleppo G, Aroda VR, Bannuru RR, Brown FM, Bruemmer D, et al. 16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2023. Diabetes Care [Internet]. 2022 Dec 12;46(Supplement_1):S267–78. Available from: https://doi.org/10.2337/dc23-S016
Williams R, Colagiuri S, Chan J, Gregg E, Ke C, Lim L-L, et al. IDF Atlas 9th Edition 2019 [Internet]. 2019. Available from: https://diabetesatlas.org/upload/resources/material/20200302_133351_IDFATLAS9e-final-web.pdf
Dhatariya K, Corsino L, Umpierrez GE. Management of Diabetes and Hyperglycemia in Hospitalized Patients. In: Feingold KR, Anawalt B, Blackman MR, Boyce A, Chrousos G, Corpas E, et al., editors. South Dartmouth (MA); 2000.
Dungan KM, Binkley P, Nagaraja HN, Schuster D, Osei K. The effect of glycaemic control and glycaemic variability on mortality in patients hospitalized with congestive heart failure. Diabetes Metab Res Rev. 2011 Jan;27(1):85–93.
Nair BG, Neradilek MB, Newman S-F, Horibe M. Association between acute phase perioperative glucose parameters and postoperative outcomes in diabetic and non-diabetic patients undergoing non-cardiac surgery. Am J Surg. 2019 Aug;218(2):302–10.
Lachin JM, Bebu I, Bergenstal RM, Pop-Busui R, Service FJ, Zinman B, et al. Association of Glycemic Variability in Type 1 Diabetes With Progression of Microvascular Outcomes in the Diabetes Control and Complications Trial. Diabetes Care. 2017 Jun;40(6):777–83.
Avari P, Uduku C, George D, Herrero P, Reddy M, Oliver N. Differences for Percentage Times in Glycemic Range Between Continuous Glucose Monitoring and Capillary Blood Glucose Monitoring in Adults with Type 1 Diabetes: Analysis of the REPLACE-BG Dataset. Diabetes Technol Ther. 2020 Mar;22(3):222–7.
Cook CB, Kongable GL, Potter DJ, Abad VJ, Leija DE, Anderson M. Inpatient glucose control: A glycemic survey of 126 U.S. hospitals. J Hosp Med. 2009;4(9):7–14.
Swanson CM, Potter DJ, Kongable GL, Cook CB. Update on inpatient glycemic control in hospitals in the United States. Endocr Pract Off J Am Coll Endocrinol Am Assoc Clin Endocrinol. 2011;17(6):853–61.
Umpierrez G, Isaacs S, Bazargan N et al. Hyperglycemia: An independent marker of in-hospital mortality in patients with undiagnosed diabetes [1] (multiple letters). J Clin Endocrinol Metab. 2002;88(3):1402.
Russo MP, Fosser SNM, Elizondo CM, Giunta DH, Fuentes NA, Grande-Ratti MF. In-Hospital Mortality and Glycemic Control in Patients with Hospital Hyperglycemia. Rev Diabet Stud. 2021 Nov;17(2):50–6.
Ferreira L, Moniz AC, Carneiro AS, Miranda AS, Fangueiro C, Fernandes D, et al. The impact of glycemic variability on length of stay and mortality in diabetic patients admitted with community-acquired pneumonia or chronic obstructive pulmonary disease. Diabetes Metab Syndr. 2019;13(1):149–53.
Zargar AH, Wani AI, Masoodi SR, Bashir MI, Laway BA, Gupta VK, et al. Causes of mortality in diabetes mellitus: data from a tertiary teaching hospital in India. Postgrad Med J. 2009 May;85(1003):227–32.
Papazafiropoulou A, Tentolouris N, Bousboulas S, Sotiropoulos A, Tamvakos E, Peppas T, et al. In-hospital mortality in a tertiary referral hospital: causes of death and comparison between patients with and without diabetes. Exp Clin Endocrinol diabetes Off journal, Ger Soc Endocrinol [and] Ger Diabetes Assoc. 2010 May;118(5):315–9.
Ostling S, Wyckoff J, Ciarkowski SL, Pai C-W, Choe HM, Bahl V, et al. The relationship between diabetes mellitus and 30-day readmission rates. Clin Diabetes Endocrinol. 2017;3(1):1–8.
Pasquel FJ, Lansang MC, Dhatariya K, Umpierrez GE. Management of diabetes and hyperglycaemia in the hospital. Lancet Diabetes Endocrinol [Internet]. 2021;9(3):174–88. Available from: http://dx.doi.org/10.1016/S2213-8587(20)30381-8
Wang J, Zhu C-K, Yu J-Q, Tan R, Yang P-L. Hypoglycemia and mortality in sepsis patients: A systematic review and meta-analysis. Heart Lung. 2021;50(6):933–40.
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Akirov A, Grossman A, Shochat T, Shimon I. Mortality among hospitalized patients with hypoglycemia: Insulin related and noninsulin related. J Clin Endocrinol Metab. 2017;102(2):416–24.
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Milligan PE, Bocox MC, Pratt E, Hoehner CM, Krettek JE, Dunagan WC. Multifaceted approach to reducing occurrence of severe hypoglycemia in a large healthcare system. Am J Heal Pharm AJHP Off J Am Soc Heal Pharm. 2015 Oct;72(19):1631–41.
Maynard G, Kulasa K, Ramos P, Childers D, Clay B, Sebasky M, et al. Impact of a hypoglycemia reduction bundle and a systems approach to inpatient glycemic management. Endocr Pract Off J Am Coll Endocrinol Am Assoc Clin Endocrinol. 2015 Apr;21(4):355–67.
Gómez AM, Umpierrez GE, Muñoz OM, Herrera F, Rubio C, Aschner P, et al. Continuous Glucose Monitoring Versus Capillary Point-of-Care Testing for Inpatient Glycemic Control in Type 2 Diabetes Patients Hospitalized in the General Ward and Treated With a Basal Bolus Insulin Regimen. J Diabetes Sci Technol. 2015 Aug;10(2):325–9.
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/328482021-11-27T01:01:27Zcom_10336_925com_10336_562col_10336_12382
Asociación entre la alteración de la función tiroidea y factores de riesgo cardiovascular
Mancera Rincón, Pedro
Barrera Garavito, Edgar Camilo
Sierra Hincapié, Gloria María
Sierra Hincapié
Riesgo Cardiovascular
Tiroides
Síndrome metabólico
Hipotiroidismo subclínico
Triglicéridos
Hipertiroidismo subclínico
Framingham
Introduction: Thyroid disorders have been related to alterations in different cardiovascular risk factors and in turn to an increased risk of significant cardiovascular outcomes. Objective of the study: establish the association between the alteration of thyroid hormones (TSH - T4T) and modifications in different cardiovascular risk factors. Methodology: A cross-sectional study was carried out in the population attending the executive check-up program during 2019. Of 3917 individuals between 35 and 75 years old, 925 participants were selected through simple random sampling. The characteristics of the population were described, an association was sought between risk factors according to thyroid status, linear correlation between thyroid hormones, and cardiovascular risk factors. Linear and logistic regression between thyroid hormones and diagnosis of thyroid disorder with cardiovascular risk factors. Results: 4.9% presented subclinical hypothyroidism, 1.19% subclinical hyperthyroidism, and 0.22% manifest hyperthyroidism. Cardiovascular risk was higher in subclinical hypothyroid compared with euthyroid (19.5% vs 3% p = <0.001). In the linear regression, statistical significance was found between TSH and triglycerides (p = <0.001, R2 = 0.0127). Binomial logistic regression found an association between the diagnosis of subclinical hypothyroidism and metabolic syndrome (OR 2.71 CI 1.32 - 5.53). Conclusion: In the present study, subclinical hypothyroidism is associated with alterations in the lipid profile, increased cardiovascular risk, and a greater possibility of diagnosing metabolic syndrome.
2021-10-27T04:48:04Z
2021-10-27T04:48:04Z
2021-10-27T04:48:04Z
masterThesis
https://doi.org/10.48713/10336_32848
https://repository.urosario.edu.co/handle/10336/32848
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-sa/2.5/co/
Atribución-CompartirIgual 2.5 Colombia
Universidad del Rosario
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
oai:repository.urosario.edu.co:10336/375792022-12-05T07:57:21Zcom_10336_925com_10336_562col_10336_12382
Incidencia de lesión renal aguda inducida por medio de contraste asociado al uso continuo de inhibidores del sistema renina angiotensina aldosterona: revisión sistemática y meta-análisis
Carrillo Villamizar, Ruben Dario
Piñeros Vargas, Jairo Enrique
Currea Manrique, Camilo Antonio
Pinto Ramirez, Jessica Liliana
Lesión renal aguda
Inhibidores de la enzima convertidora de angiotensina (IECAS)
Bloqueadores de los receptores de la angiotensina II (BRA)
Medios de contraste
Angiografía
Interrupción del tratamiento
Introduction: Contrast-induced acute kidney injury (AKI - CP) is an important outcome in hospitalization and Intensive Care Unit admissions, which is associated with increased morbidity, hospital stay, mortality and costs. However, it is not known exactly whether the continuous use of ACEI/BRA in exposure to contrast media increases the incidence of AKI. Objective: To determine the incidence of contrast media-induced acute kidney injury associated with continuous use of renin angiotensin aldosterone inhibitors. Methods: Systematic review based on PRISMA guidelines. Eligibility criteria: randomized clinical trial (RCT) and prospective cohort type studies with patients ≥ 16 years, hospitalized in general ward, on chronic ACEI/ARB therapy ≥ 1 month; in which it is continued or transiently discontinued before being exposed to arterial contrast medium. Exclusion criteria: patients with renal transplantation, stage 5 chronic kidney disease, hyperkalemia, shock, hemodynamic instability or pregnant women. The search was conducted between January 1 to April 30, 2022 with the keywords PUBMED, MEDLINE, EMBASE, The Virtual Health Library, WEB OF SCIENCE, LILACS and gray literature. The quality of the report was assessed with the CONSORT or STROBE checklist and the potential risk of bias with ROBIS-I or Cochrane ROBIS-I. Data synthesis and statistical analysis was performed in EPIDAT 3.1 and JAMOVI software. Results: 5 studies were included, one prospective cohort and four RCTs, a sample of 803 participants: 389 patients continued ACEI/BRA and 414 patients discontinued treatment. The studies used the same definition of AKI-PC, four studies withdrew ACEI/ARB treatment 24 hours before the procedure and one study 36 hours before. The overall effect estimated continuing ACEI/ARB before a procedure with arterial contrast medium as a risk factor for AKI-PC with a RR 1.7 CI: 1.09 - 2.65. Discussion: This systematic review supports that withdrawal of ACEI/BRA before an arterial contrast procedure can be considered in clinical practice, taking into account the individualized risk-benefit of each patient. However, the most important limitation of the study is publication bias. Conclusion: The incidence of AKI-PC may increase with continued use of ACEI/ARB during the arterial contrast procedure. Translated with www.DeepL.com/Translator (free version)
2022-12-01T14:19:04Z
2022-12-01T14:19:04Z
2022-12-01T14:19:04Z
masterThesis
https://doi.org/10.48713/10336_37579
https://doi.org/10.48713/10336_37579
https://repository.urosario.edu.co/handle/10336/37579
spa
info:eu-repo/semantics/openAccess
Abierto (Texto Completo)
EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.
EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.
--------------------------------------
POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
Atribución-NoComercial-SinDerivadas 2.5 Colombia
Universidad del Rosario
Universidad CES. Facultad de Economía
Escuela de Medicina y Ciencias de la Salud
Maestría en Epidemiología
texto-FADE72D5479C-1.
BVS-LILACS.
F1000Research. Disponible en: https://f1000research.com.
(PDF) PRIMER CONSENSO COLOMBIANO EN LESIÓN RENAL AGUDA. Disponible en: https://www.researchgate.net/publication/305397112_PRIMER_CONSENSO_COLOMBIANO_EN_LESION_RENAL_AGUDA.
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Web of Science.
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Abdalla, Mohira A; Ahmed, Kannan O; Yousef, Bashir A (2022) Incidence and Risk Factors of Contrast-Induced Acute Kidney Injury in Sudanese Patients Undergoing Coronary Angiography: A Descriptive Prospective Study. En:Cureus; Cureus, Inc.;
Bainey, K R; Rahim, S; Etherington, K; Rokoss, M L; Natarajan, M K; Velianou, J L; Brons, S; Mehta, S R; Investigators, CAPTAIN (2015) Effects of withdrawing vs continuing renin-angiotensin blockers on incidence of acute kidney injury in patients with renal insufficiency undergoing cardiac catheterization: Results from the Angiotensin Converting Enzyme Inhibitor/Angiotensin Receptor Bloc. En:AMERICAN HEART JOURNAL; Vol. 170; No. 1; pp. 110 - 116; ["Univ Alberta, Mazankowski Alberta Heart Inst, Edmonton, AB, Canada", "McMaster Univ, Intervent Cardiol Res Grp, Hamilton, ON L8S 4L8, Canada", "McMaster Univ, Dept Med, Div Cardiol, Hamilton, ON L8S 4L8, Canada", "Hamilton Hlth Sci Hamilton, Hamilton, O
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Baris, N; Ozpelit, E; Dogan, N B; Kangul, H; Gul, S; Akdeniz, B; Guneri, S (2013) The effects of chronic usage of enzyme inhibitors and angiotensin receptor blockers on contrast-induced nephropathy in low-risk patients. En:ANATOLIAN JOURNAL OF CARDIOLOGY; Vol. 13; No. 3; pp. 245 - 250; Dokuz Eylul Univ, Fac Med, Dept Cardiol, TR-35340 Izmir, Turkey CR
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Bhagat, Aditi A; Greene, Stephen J; Vaduganathan, Muthiah; Fonarow, Gregg C; Butler, Javed (2019) Initiation, Continuation, Switching, and Withdrawal of Heart Failure Medical Therapies During Hospitalization. En:JACC. Heart failure; Vol. 7; No. 1; pp. 1 - 12; Disponible en: 10.1016/j.jchf.2018.06.011.
Chaabouni, E; Jbali, H; Mariem, N; Khadija, M; Karim, Z M (2021) THE EFFECT OF RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM BLOCKADE MEDICATIONS ON CONTRAST-INDUCED NEPHROPATHY IN PATIENTS UNDERGOING CORONARY ANGIOGRAPHY. En:NEPHROLOGY DIALYSIS TRANSPLANTATION; Vol. 36; pp. 275 - 275; ["La Rabta, Nephrol, Tunis, Tunisia", "Charles Nicolle Hosp, Nephrol, Tunis, Tunisia", "Habib Thameur Hosp, Cardiol, Tunis, Tunisia PU
Chalikias, George; Drosos, Ioannis; Tziakas, Dimitrios N. (2016) Contrast-Induced Acute Kidney Injury: An Update. En:Cardiovascular Drugs and Therapy; Vol. 30; No. 2; pp. 215 - 228; Disponible en: 10.1007/s10557-015-6635-0.
Chávez-Iñiguez, Jonathan Samuel; García-García, Guillermo; Lombardi, Raúl (2018) Epidemiología y desenlaces de la lesión renal aguda en latinoamérica. En:Gaceta Medica de Mexico; Vol. 154; pp. S6 - S14; Disponible en: 10.24875/GMM.M18000067.
Cirit, M; Toprak, O; Yesil, M; Bayata, S; Postaci, N; Pupim, L; Esi, E (2006) Angiotensin-converting enzyme inhibitors as a risk factor for contrast-induced nephropathy. En:NEPHRON CLINICAL PRACTICE; Vol. 104; No. 1; pp. C20 - C27; ["Ataturk Training & Res Hosp, Dept Nephrol, Izmir, Turkey", "Ataturk Training & Res Hosp, Dept Cardiol 1, Izmir, Turkey", "Ataturk Training & Res Hosp, Dept Radiol, Izmir, Turkey CR
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instname:Universidad del Rosario
reponame:Repositorio Institucional EdocUR
qdc///col_10336_12382/100