Prevalence of flatfoot in school between 3 and 10 years. Study of two different populations geographically and socially / Prevalencia de pie plano en escolares entre 3 y 10 años. Estudio de 2 poblaciones diferentes geográfica y socialmente

Children present with flatfoot from birth and it resolves along infancy. There have been several risk factors identified for the development of flatfoot: male sex, young age, overweight and obesity. The prevalence of flatfoot decreases with age.The aim of this study was to determine the prevalence of flatfoot in two different populations with different social, cultural and geographically characteristics in Colombia.Patients and methods: This is a cross sectional study made on school children between 3 to 10 years of age, from several schools in Bogota and Barranquilla. From 940 total children 60% were from Bogota. Flatfoot was diagnosed according to physical exam.Results: We found a global prevalence of flatfoot of 15.74%, distributed 20,8% in Bogota and 7.9% in Barranquilla. The children from 3 to 5 years had a prevalence of 30,9%, decreasing significantly after this age. It was found that children 3 to 5 years old from Bogota had a prevalence of flatfoot of 38.3% while children from Barranquilla only 17.3%, decreasing significantly in children older than 6 years. In the multivariate analysis we found an association between flatfoot with age, city, gender and body mass index.Discussion: We found a bigger prevalence of flatfoot in the population of Bogota compared to Barranquilla suggesting an influence of social, cultural and racial factors in the development of flatfoot. The diminished prevalence of flatfoot in children over 6 years of age suggest that therapeutic measures before this age are not recommended

Efectividad de la gota gruesa en el diagnostico del paludismo: su importancia respecto al extendido periferico / Effectiveness of thick drop in diagnosis of malaria: its importance respect to peripheral extend

El paludismo en Colombia es una enfermedad grave, que esta creando problemas de salud publica a las comunidades de los sitios donde la transmision es severa; por esta razon se requiere que el equipo de salud tome conciencia de este importante problema sobre todo los profesionales que se dedican al diagnostico microscopico para que utilicen la gota gruesa como unico medio de diagnostico, ya que se puede observar a traves de esta investigacion, que no cabe duda que este medio desplaza a los metodos tradicionales por su alta confiabilidad y validez, demostrada en el analisis estadistico en donde la diferencia de los promedios con relacion al extendido de las tres variables consideradas, fueron significativas. Por lo anterior el grupo considera que la facultad de enfermeria implante en su plan de estudio la ensenanza de esta patologia en los aspectos que podria manejar la enfermera, como la toma, coloracion de las muestras y cuidado directo a los pacientes...