Quality of life and labor inclusion of people with disabilities

Introduction: Disability is a generic term that includes deficits, limitations in activity and restrictions in participation indicate the negative aspects of the interaction between an individual and its contextual factors, environmental and personal factors. Objective: The objective of this study was to identify the characteristics of labor inclusion and health-related quality of life of people with disabilities in a population group from the city of Neiva (Colombia). Materials and methods: Descriptive, analytical, cross-sectional study with quantitative approach and non-experimental design, in a sample of 64 people with disabilities. Demographic variables such as age, sex, marital status, education, socioeconomic status, link to the social security system in health, and type of disability were considered. The WHOQOL-BREF, 2004 quality of life scale was applied. Central tendency measures were also calculated with their dispersions and 95% confidence intervals in the continuous quantitative variables. Results: The most frequent disability was physical with 78.13%, followed by visual with 17.18%. The highest percentage of impairment of the quality of life concerning disability is given by the need to move from one place to another, to feel dissatisfaction with their sexual life and the perception of an unhealthy environment. Conclusions: The main factors for the labor inclusion of a person with a disability are subject to sex, the type of disability, access to decent employment, and remuneration according to their potentialities.

Rol del fisioterapeuta y la importancia de la educación sexual integral en la mujer / Physiotherapist role and the importance of comprehensive sex education in women

Introducción. Colombia es un país que enfrenta diversas situaciones provenientes de la falta de educación sexual y educación en salud adecuada: casos de abuso sexual, embarazos en niñas menores de catorce años y la incidencia y prevalencia de la in-continencia urinaria por afectación del piso pélvico. Objetivo. El presente artículo busca dar cuenta del desconocimiento en temas de salud sexual y sus consecuencias, evidenciar los beneficios que podrían generar las intervenciones de educación sexual integral en el país y reflexionar sobre el rol del fisioterapeuta en la rehabilitación y prevención de disfunciones del piso pélvico en las mujeres. Reflexión. Si se incorporaran procesos de fisioterapia pélvica como componente preventivo, que incluya educación, se podría reducir el desconocimiento, el riesgo de vulneración de los derechos sexuales y reproductivos y futuras disfunciones del piso pélvico. La importancia de la educación desde la fisioterapia radica en que las mujeres reconozcan que, al aumentar la fuerza de su musculatura, están cuidando de su piso pélvico hasta edades avanzadas, en las que se estima que la prevalencia de incontinencia urinaria es del 34%. Conclusiones: Un programa de educación sexual impartido desde el currículo po-dría disminuir las condiciones de salud del piso pélvico, así como los factores de riesgo de abuso sexual. Además, permitiría el acompañamiento médico adecuado para orientar el inicio de la vida sexual en un proceso seguro y consciente, así como la expresión de la sexualidad con libertad, al ser concebida como un derecho

Introduction. Colombia is a country that faces various situations stemming from the lack of sexual education and adequate health education: cases of sexual abuse, pregnancies in girls under fourteen years old, and the incidence and prevalence of urinary incontinence due to pelvic floor involvement. Aim. This article seeks to account for the lack of knowledge about sexual health issues and their consequences. Also, to show the benefits that comprehensive sexua-lity education interventions could generate in the country. Finally, to reflect on the physiotherapist's role in the rehabilitation and prevention of pelvic floor dysfunc-tions in women. Reflection. If pelvic physiotherapy processes were incorporated as a preventive component, including sexual education, it could reduce ignorance, the risk of viola-tion of sexual and reproductive rights, and future dysfunctions of the pelvic floor. The importance of physiotherapy ́s education is that women recognize that, by increasing the strength of their muscles, they are taking care of their pelvic floor until advanced ages, in which it is estimated that the prevalence of urinary incontinence is 34%. Conclusions. A sexual education program taught from the curriculum could redu-ce the health conditions of the pelvic floor, as well as the risk factors for sexual abuse. It would also allow adequate medical support to guide the beginning of sexual life in a safe and conscious process, as well as the expression of sexuality with freedom as it is conceived as a right

Behaviors related to chronic non-communicable diseases development in university students

Abstract Introduction: The scientific literature has reported the trend of the impact of non- communicable diseases on public health, and therefore, the investment of resources that interfere in the development of a country. Objective: To identify the presence of specific behaviors associated with the development of chronic non-communicable diseases in university students, since they are a susceptible population to the modification of these tendencies. Materials and methods: This cross-sectional descriptive study was carried out on a 375 university students' sample. The stepwise method was applied to identify risk factors associated with the development of chronic non-communicable diseases. Descriptive statistics and bivariate analysis were used to determine possible relationships between the variables studied. Results: The prevalence of tobacco use was 7.5%, frequent alcohol consumption was 91.5%, fruit intake was 96.3%, and vegetable intake was 95%. Additionally, only 48% of the sample practiced intense physical activity. Also, a relationship among the male sex, with the consumption of tobacco and the practice of low physical activity was found. Conclusions: Behaviors associated with chronic non-communicable diseases such as alcohol and tobacco consumption were identified in university students.

Conocimientos y prácticas del manejo de los residuos hospitalarios por parte de los fisioterapeutas, Neiva / Knowledge and practices of medical waste management models by physiotherapists, Neiva

Introducción: El deterioro de las fuentes de agua y el medio ambiente, con la tala indiscriminada de árboles, la extracción de minerales y el consumo de combustibles fósiles han llevado al planeta a situaciones catastróficas comolas sequías y enfermedades que afectan al mundo, El medio ambiente es un elemento relevante en el proceso de salud – enfermedad, el manejo inadecuado de los residuos hospitalarios por parte de profesionales de la salud contribuye a la contaminación del mismo, probablemente por falta de conocimiento y/o prácticas inadecuadas. Métodos: Estudio descriptivo, transversal diseño no experimental, con una población y muestra de 78 fisioterapeutas de 7 Instituciones Prestadoras de Salud (IPS) de la ciudad de Neiva, que tienen convenio docencia-servicio, para el desarrollo de las prácticas clínicas de estudiantes del programa de Fisioterapia Fundación Universitaria María Cano (FUMC) durante el periodo 2012-2013. Resultados: se observó que la mayoría (85,9 porciento) de los fisioterapeutas entrevistados tenían conocimiento sobre clasificación, el procedimiento de autocuidado, así como la normatividad existente acerca de los desechos o residuos hospitalarios; en cuanto a las practicas el (82.1 porciento) manifestaron tener unas prácticas adecuadas sobre manejo de residuos hospitalarios. Conclusión: Las prácticas inadecuadas en el manejo de los residuos o desechos hospitalarios contribuyen al daño ambiental y de salud incrementando el desarrollo de enfermedades, es necesario tener en cuenta la normatividad existente y fortalecer la capacitación en las diferentes instituciones de salud, en pro a la seguridad del paciente y del medio ambiente.

Introduction: The deterioration of the water sources and the environment,with the indiscriminate deforestation, mineral extraction and consumption offossil fuels have brought the planet to catastrophic events such as droughtsand diseases that affect the world. The environment is a relevant element inthe health - disease process, inadequate management of medical waste fromhealth professionals contributes to pollution of the same, probably due tolack of knowledge and / or inadequate practices. Methods: Descriptive andtransversal study, with non-experimental design, population and sample of78 therapists, 7 Health Provider Institutions (IPS) of the city of Neiva, whohave teaching-service agreement for the development of clinical practice ofstudents from the Physiotherapy program in the University Foundation MaríaCano (FUMC) during the period of 2012-2013. Results: It was observedthat most (85.9%) of physiotherapists interviewed knew about classification,the process of self-care, as well as the existing regulations on hospital waste;regarding to practices, (82.1%) reported having adequate on hospital wastemanagement practices. Conclusion: Inadequate handling of hospital wastepractices contributes to environmental and health damage by increasingthe development of diseases, it is necessary to take into account the existingregulations and strengthen training in the various health institutions in favorof patients and environment safety .

Combinación de estrategias de intervención fisioterapéuticas sobre función y funcionalidad en tenorrafia rotuliana / Effect of a combination of intervention strategies physiotherapy function and functionality after tenorrhaphy patella

Se documenta el proceso cursado por un usuario de 48 años de edad, género masculino, con diagnósti-co médico ruptura del tendón de cuádriceps, del miembro inferior izquierdo. Ingresó a fisioterapia, se realizó valoración e intervención, bajo el modelo de intervención A.P.T.A (American Physical Therapy Association). El tratamiento en esta lesión es difícil debido al acortamiento del tendón, requiriendo un reforzamiento externo a nivel quirúrgico y de la utilización de diversas técnicas fisioterapéuticas (Matus, 2010). Desde fisioterapia, la técnica de Kabat y balonterapia, permiten potencializar la capacidad fun-cional, logrando la recuperación de la flexibilidad y la fuerza sin generar dolor ni molestias musculares. Como objetivo se buscó determinar la efectividad de diferentes modalidades terapéuticas como técnica de Kabat, balonterapia, hidroterapia (baño simple), y la hidrocinesiterapia, propendiendo a una recuperación funcional en el menor tiempo posible, sin dolor. El estudio corresponde a un estudio explicativo intrasu-jeto. Se realizó evaluación inicial, luego se realizó la aplicación durante 12 semanas de la técnica de Kabat, combinada con hidroterapia (baño simple) e hidrocinesiterapia (Pazos, 2002); dichas técnicas se ajustaron al programa de rehabilitación de Chaler (2001). Se logró efectos en el sistema musculo esquelético una recuperación sin dolor, a nivel de propiocepción, integridad articular y movilidad, rango de movimiento, desempeño muscular, postura, marcha, locomoción y balance, factores determinantes en el logro de la funcionalidad para la realización de a actividades de la vida diaria. Se documenta efecto positivo de la combinación de las diferentes modalidades terapéuticas en la recuperación funcional, en menor tiempo y sin dolor

The process completed by a user of 48 years of age, male gender, with medical diagnosis quadriceps ten-don rupture, the left lower limb is documented. Joined physiotherapy assessment and intervention was performed under the intervention model APTA (American Physical Therapy Association). The treatment for this injury is difficult due to the shortening of the tendon, requiring an external reinforcement surgical level and using various physiotherapy techniques (Matus, 2010). Since physiotherapy technique balontera-pia Kabat and allow potentiate functional capacity, making the recovery of flexibility and strength without causing pain or muscle aches. Objective is to ascertain the effectiveness of different therapeutic modali-ties such technique Kabat, balonterapia, hydrotherapy (simple bath), and hydrokinesitherapy, tending to functional recovery in the shortest time possible without pain. The study corresponds to a within-explana-tory study. Initial evaluation was performed after the application was made for 12 weeks Kabat technique combined with hydrotherapy (simple bath) and hydrokinesitherapy (Pazos, 2002); such techniques were adjusted rehabilitation program Chaler (2001). Effect was achieved in the musculoskeletal system reco-very without pain, level of proprioception, joint integrity and mobility, range of motion, muscle strength, posture, gait, locomotion and balance, determinants in achieving functionality for performing factors ac-tivities of daily living. Positive effect of the combination of different therapeutic modalities on functional recovery in less time