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1.
Emerg Infect Dis ; 30(11): 2391-2395, 2024 Nov.
Article in English | MEDLINE | ID: mdl-39378873

ABSTRACT

Dengue cases rose to record levels during 2023-2024. We investigated dengue in Valle del Cauca, Colombia, to determine if specific virus serotypes or lineages caused its large outbreak. We detected all 4 serotypes and multiple lineages, suggesting that factors such as climatic conditions were likely responsible for increased dengue in Colombia.


Subject(s)
Dengue Virus , Dengue , Disease Outbreaks , Serogroup , Colombia/epidemiology , Humans , Dengue/epidemiology , Dengue/virology , Dengue Virus/genetics , Dengue Virus/classification , Phylogeny , History, 21st Century
2.
Am J Clin Nutr ; 120(3): 656-663, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38971470

ABSTRACT

BACKGROUND: Costa Rica is experiencing a fast demographic aging. Healthy diets may help to ameliorate the burden of aging-related conditions. OBJECTIVE: This study aimed to investigate the association of a traditional dietary pattern and 2 of its major components (beans and rice) with all-cause mortality among elderly Costa Ricans. METHODS: The Costa Rican Longevity and Healthy Aging Study (CRELES), a prospective cohort study of 2827 elderly Costa Ricans (60+ y at baseline), started in 2004. We used a food frequency questionnaire (FFQ) to assess usual diet. We calculated dietary patterns using principal component analysis. Multivariate energy-adjusted proportional-hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs). RESULTS: Over a 15-y follow-up, encompassing 24,304 person-years, 1667 deaths occurred. The traditional Costa Rican dietary pattern was more frequent in rural parts of the country, and it was inversely associated with all-cause mortality. Subjects in the fifth quintile of intake had 18% lower all-cause mortality than those in the first quintile (HR: 0.82; 95% CI: 0.69, 0.98; P-trend = 0.01), particularly among males (HR: 0.73; 95% CI: 0.56, 0.95). Bean intake was associated with lower all-cause mortality among all subjects (HR: 0.79; 95% CI: 0.68, 0.91, highest compared with lowest tertile) and in sex-stratified analysis. Rice consumption was inversely associated with all-cause mortality solely among males (HR: 0.75; 95% CI: 0.60, 0.94, highest compared with lowest tertile). CONCLUSIONS: Our results suggest that a traditional Costa Rican rural dietary pattern is associated with lower all-cause mortality in elderly Costa Ricans. Beans, a major component of this traditional dietary pattern, was also associated with lower all-cause mortality. These findings could have important implications for public health, given the nutritional transition and the reduction of intake of traditional diets in Latin American countries.


Subject(s)
Diet , Longevity , Rural Population , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Central American People , Cohort Studies , Costa Rica/epidemiology , Healthy Aging , Mortality , Oryza , Prospective Studies , Rural Population/statistics & numerical data
3.
medRxiv ; 2024 Jul 18.
Article in English | MEDLINE | ID: mdl-39072046

ABSTRACT

Global dengue cases rapidly rose to record levels in 2023-24. We investigated this trend in Valle del Cauca, Colombia to determine if specific dengue virus serotypes or lineages were responsible for the large outbreak. We detected all four serotypes and multiple lineages, suggesting that other factors, such as climatic conditions, are likely responsible.

4.
Kidney Int ; 105(4): 824-834, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38280517

ABSTRACT

In Mexico, chronic kidney disease of unknown origin is highly prevalent. Screening studies in adolescents have shown persistent microalbuminuria (pACR), adaptive podocytopathy and decreased kidney volume (KV). Here, we sought to develop normality tables of kidney dimensions by ultrasound in the Mexican state of Aguascalientes pediatric population (0 to 18y) and evaluate the relationship between the KV and pACR among the region's adolescents in a cross-sectional study. Kidney length (KL) and KV were determined by ultrasound. Our findings were compared with those in international literature of different populations where tables and graphs of normal kidney dimensions by ultrasound were reported. We compared organ dimensions in individuals above the age of 11 without albuminuria with those in patients with pACR recruited through screening studies in adolescents in Aguascalientes. This included 1068 individuals to construct percentile tables and graphs of the KL. Kidney dimensions were significantly lower when compared with all international comparisons. From a total 14,805 screen individuals, we compared 218 adolescents with pACR and 377 individuals without significant albuminuria. The Total KV adjusted to body surface (TKVBS) was significantly associated with pACR (odds ratio 1.03, 95% confidence interval 1.02-1.03). The upper quartile of TKVBS was highly associated with pACR (7.57, 4.13-13.87), hypertension (2.53, 1.66-3.86), and hyperfiltration (26 vs 11.5%). Thus, TKVBS is directly associated with pACR while greater KV, arterial hypertension, and hyperfiltration in patients with pACR suggest that the increase in volume is secondary to kidney hypertrophy. Additionally, the adaptative podocytopathy with low fibrosis seen on kidney biopsy which was performed in a subset of patients, and the smaller kidney dimensions in our population point to prenatal oligonephronia as the primary cause of the detected kidney disease.


Subject(s)
Hypertension , Renal Insufficiency, Chronic , Humans , Child , Adolescent , Albuminuria/diagnosis , Albuminuria/epidemiology , Albuminuria/etiology , Cross-Sectional Studies , Mexico/epidemiology , Glomerular Filtration Rate , Kidney/pathology , Renal Insufficiency, Chronic/diagnosis , Renal Insufficiency, Chronic/epidemiology , Renal Insufficiency, Chronic/complications , Hypertension/pathology
5.
BMC Public Health ; 23(1): 1960, 2023 10 10.
Article in English | MEDLINE | ID: mdl-37817140

ABSTRACT

BACKGROUND: Frailty is a common condition among older adults that results from aging-related declines in multiple systems. Frailty increases older adults' vulnerability to negative health outcomes, including loss of mobility, falls, hospitalizations, and mortality. The aim of this study is to examine the association between frailty and mortality in older adults from Costa Rica and the United States. METHODS: This prospective cohort study uses secondary nationally-representative data of community-dwelling older adults from the Costa Rican Longevity and Healthy Aging Study (CRELES, n = 1,790) and the National Health & Aging Trends Study (NHATS, n = 6,680). Frailty status was assessed using Physical Frailty Phenotype, which includes the following five criteria: shrinking, exhaustion, low physical activity, muscle weakness, and slow gait. We used Cox proportional hazard models to examine the association between frailty and all-cause mortality, including sociodemographic characteristics and health behaviors as covariates in the models. Mortality follow-up time was right censored at 8 years from the date at baseline interview. RESULTS: The death hazard for frail compared to non-frail older adults was three-fold in Costa Rica (HR = 3.14, 95% CI: 2.13-4.62) and four-fold in the White US (HR = 4.02, 95% CI: 3.04-5.32). Older age, being male, and smoking increased mortality risk in both countries. High education was a protective factor in the US, whereas being married/in union was a protective factor in Costa Rica. In the US, White older adults had a lower risk of death compared to all other races and ethnicities. CONCLUSIONS: Results indicate that frailty can have a differential impact on mortality depending on the country. Access to universal health care across the life course in Costa Rica and higher levels of stress and social isolation in the US may explain differences observed in end-of-life trajectories among frail older adults.


Subject(s)
Frailty , Humans , Male , United States/epidemiology , Aged , Female , Cohort Studies , Costa Rica/epidemiology , Prospective Studies , Frail Elderly
6.
Cancer Treat Res Commun ; 34: 100670, 2023.
Article in English | MEDLINE | ID: mdl-36549232

ABSTRACT

PURPOSE: Dual HER2 blockade chemotherapy is the standard of care for localized HER2+ breast cancer (BC). However, despite the efficacy of neoadjuvant therapy, relapses occurring in around 10% of patients highlight the need to improve its clinical approach. Therefore, this study aimed to evaluate the effectiveness/safety of neoadjuvant therapy with subcutaneous (SC) trastuzumab- pertuzumab chemotherapy (real world) to extend the evidence, which comes mainly from clinical trials (selected population; intravenous [IV] trastuzumab). MATERIALS AND METHODS: A prospective, longitudinal, observational study in a Cuban hospital. POPULATION: women aged ≥18 years with histologically confirmed HER2+ early-stage BC (2017-2021) eligible for neoadjuvant treatment (IV pertuzumab, SC trastuzumab, taxane-based chemotherapy). The aim was to determine the pathological complete response (pCR) rate to this scheme, its safety, and the impact of patient's characteristics on the outcomes. RESULTS: Eighty-seven women were included: n=29 (DPT [docetaxel-IV pertuzumab- SC trastuzumab 600 mg; 4 cycles]); n=58 (ddAC-DPT [dose-dense anthracycline-based scheme+DPT]; 8 cycles). The median age was 57 years (range 30-83), ECOG 0: 97%. Time from diagnosis to treatment (median) was 28 days. The overall pCR rate was 62.1% (55.2%, DPT; 66.5%, ddAC-DPT; p =0.351); HR+, 47.7% vs. HR-, 76.7% (p=0.006). There were no statistically significant differences based on nodal status, stage, or Ki-67 levels. Overall, 94.2% of patients experienced ≥1 adverse event related to treatment, all of them grade 1-3 and more common with ddAC-DPT. The main cause of treatment delays (n=19; ddAC-DPT, 16; DPT, 3) was treatment-related toxicities. CONCLUSION: Neoadjuvant trastuzumab (SC) and pertuzumab plus chemotherapy for HER2+ early-stage BC showed benefits in a real-life setting, with an acceptable safety profile.


Subject(s)
Breast Neoplasms , Humans , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Trastuzumab/adverse effects , Breast Neoplasms/pathology , Neoadjuvant Therapy/adverse effects , Cuba , Prospective Studies , Receptor, ErbB-2/analysis , Neoplasm Recurrence, Local , Docetaxel/therapeutic use
7.
Rev. cuba. cir ; 59(4): e1030, oct.-dic. 2020. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1149847

ABSTRACT

RESUMEN Introducción: La reconstrucción mamaria inmediata disminuye el impacto psicológico del cáncer de mama y mejora la calidad de vida de las pacientes. Objetivo: Evaluar la simetría en la reconstrucción mamaria inmediata en el Instituto Nacional de Oncología y Radiobiología de Cuba. Método: Se realizó un estudio analítico y prospectivo, de cohorte incidente, en el Servicio de Cirugía Reconstructiva del Instituto Nacional de Oncología y Radiobiología de 2014 al 2017. Se incluyeron 41 pacientes que consintieron participar en el estudio. Se recogieron variables demográficas y onco-reconstructivas. Se utilizó un software creado en la institución para evaluar la simetría mamaria. Los datos se recogieron de la historia clínica. Se aplicaron el test de Chi-cuadrado corregido y la razón de momios para el análisis estadístico. Resultados: El 30,2 por ciento de mujeres reconstruidas pertenecieron al grupo de 30 a 39 años; el 46,3 por ciento tenían sobrepeso. La mejor simetría se encontró con las técnicas oncoplásticas (31,7 por ciento), seguida de la mastectomía ahorradora de piel. La técnica de expansión tisular con la mastectomía presentó mayores complicaciones (63,6 por ciento) y menor simetría. La necrosis parcial de piel fue la mayor complicación en 7,3 por ciento y estuvo relacionadas con las técnicas ahorradoras de piel. Conclusiones: Evaluar de forma objetiva la simetría mamaria permitió conocer la efectividad de las técnicas quirúrgicas reconstructivas. Con las técnicas de cirugía oncoplástica y mastectomía ahorradora de piel se obtuvieron los mejores resultados estéticos y pocas complicaciones. La expansión mamaria inmediata con una mastectomía radical modificada no ofrece ninguna ventaja(AU)


ABSTRACT Introduction: Immediate breast reconstruction reduces the psychological impact of breast cancer and improves the quality of life of patients. Objective: To assess symmetry in immediate breast reconstruction at the of Cuba. Method: An analytical and prospective study of incident cohort was carried out in the reconstructive surgery service at the National Institute of Oncology and Radiobiology (INOR), from 2014 to 2017. Forty-one patients who consented to participate in the study were included. Demographic and oncoreconstructive variables were collected. A software created in the institution was used to assess breast symmetry. The data were collected from the medical histories. The corrected chi-square test and odds ratio were applied for statistical analysis. Results: 30.2 percent of women who received reconstruction belonged to the age group 30-39 years; 46.3 percent were overweight. The best symmetry was found with oncoplastic techniques (31.7 percent), followed by skin-sparing mastectomy. The tissue expansion technique with mastectomy presented greater complications (63.6 percent) and less symmetry. Partial skin necrosis was the major complication, accounting for 7.3 percent of the cases, and was related to skin-sparing techniques. Conclusions: Objectively evaluating breast symmetry allowed us to know the effectiveness of reconstructive surgical techniques. With oncoplastic surgery and skin-sparing mastectomy techniques, the best aesthetic outcomes and few complications were obtained. Immediate breast expansion with a modified radical mastectomy offers no benefit(AU)


Subject(s)
Humans , Female , Adult , Breast Neoplasms/surgery , Mastectomy, Modified Radical/adverse effects , Mammaplasty/methods , Plastic Surgery Procedures/methods , Quality of Life , Prospective Studies , Cohort Studies
8.
Acta neurol. colomb ; 36(2): 63-74, abr.-jun. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1124075

ABSTRACT

RESUMEN INTRODUCCIÓN: En marzo 2020 la Organización Mundial de la Salud decretó la pandemia por covid-19. Se han informado casos de ACV relacionados con esta infección viral. OBJETIVOS: Conocer la experiencia de diferentes partes del mundo respecto al ACV y covid-19 con el fin de mejorar el reconocimiento y saber qué hacer cuando se empiecen a presentar estos pacientes en nuestro medio. MÉTODOS: Se hizo una revisión de los estudios observacionales disponibles utilizando PubMed, Scopus, así como otras fuentes de literatura gris para las publicaciones sobre ACV y covid-19. Se identificaron datos demográficos, tiempo de aparición del ACV desde el diagnóstico de covid-19. Principales hallazgos radiológicos, laboratorios y pronóstico. RESULTADOS: Se obtuvieron ocho estudios, con 43 sujetos que tuvieron ACV isquémico e infección por SARS-CoV-2. La edad promedio fue de 67,4 años, siendo en su mayoría hombres (58,1%).Un hallazgo importante fue el número de casos de ACV con oclusión de vaso grande en 22 de 31 casos reportados (71%). La mediana de NIHSS fue de 14,5 puntos. Se presentó una mortalidad del 27,5% de los sujetos con ACV El estadio más frecuente por covid-19 fue el de condición severa 58,3%. La aparición del ACV luego de la infección por SARS-CoV-2 fue de 10,6 días en promedio. En los laboratorios se identificó una elevación del fibrinógeno (92%), dímero-D (76%) y LDH (82%) respectivamente. El tratamiento recibido de forma más frecuente para el ACV fue la antiagregación, en 51%, mientras que las terapias de reperfusión se hicieron en el 30% de los casos. La mayoría de los pacientes (93%) presentaron síntomas de covid-19, solo 3 pacientes (7%) no presentaron síntomas típicos de esta enfermedad, sin embargo tuvieron alteración del estado de conciencia asociado al ACV CONCLUSIÓN: Los estados de inflamación e hipercoagulabilidad que se presentan durante la infección por SARS-CoV-2 probablemente están en relación con el desarrollo de ACV, lo cual en este caso podrá explicar el gran número de oclusiones de vaso grande. Los marcadores de inflamación generalmente están presentes. Establecer códigos protegidos de ACV es una medida a efectuar en nuestro medio.


SUMMARY INTRODUCTION: In March 2020, COVID-19 was declared a pandemic by the World Health Organization and cases of stroke related to the virus soon were reported. OBJECTIVES: To become aware of the experiences different parts of the world have encountered with stroke and COVID 19 in order to enhance our knowledge, improve recognition and response to patients in our clinical setting. METHODS: A review of the available observational studies was done using PubMed, Scopus and other sources of gray literature for the publications on stroke and COVID-19. Demographic data, time of stroke onset since the diagnosis of COVID-19, main radiological findings, lab tests and prognosis were identified. RESULTS: Eight studies were selected with 43 subjects who had ischemic stroke and SARS-CoV-2 infection. The average age was 67.4 years, being mostly men (58%). An important finding was the number of stroke cases with large vessel occlusion, with 22 of 31 cases reported (71%). The NIHSS median was 14.5 points, and 27.5% of subjects with stroke and COVID-19 died. The most frequent disease severity for COVID-19 was "severe", accounting for 58% of the cases. The onset of stroke after SARS-CoV-2 infection was 10.6 days on average. In the laboratories an elevation of fibrinogen (92%), D-Dimer (76%) and LDH (82%) were respectively identified. The most frequent treatment received for stroke were antiplatelet medications (51%), while reperfusion therapy was done in 30% of cases. Most patients presented to the hospital with typical symptoms of COVID-19 (93%), (7%) 3 patients did not have respiratory symptoms, however they presented with a decreased level of consciousness associated with stroke findings. CONCLUSION: Inflammation and hypercoagulability, both present during the infection by SARS-CoV-2, are probably related to the development of a stroke, which in this case could explain the large number of large vessel occlusions. Protected stroke code is a protocol that should be implemented in our region.


Subject(s)
Transit-Oriented Development
9.
Univ. sci ; 16(3): 243-253, sept.-dic. 2011. ilus, mapas, tab, graf
Article in Spanish | LILACS | ID: lil-619191

ABSTRACT

Objetivo. La presente investigación buscó detallar aspectos del Tuno roso (Centronia mutisii) como su distribución, estado poblacional y propagación debido a la presión que sufre su hábitat, restringido a un sector de Cundinamarca y del Distrito Capital, y por encontrarse catalogada como una especie vulnerable (VU) según la IUCN. Materiales y métodos. Se identificó la distribución potencial de C. mutisii (modelación de nicho), fue evaluado el estado de conservación de la población y se realizaron tratamientos de propagación y manejo ex situ. Resultados. Los resultados señalan que su distribución geográfica potencial es restringida y a la fecha solo se registra en una población en una localidad; hay un marcado efecto de borde sobre la estructura poblacional y dificultades para su propagación. Conclusiones. Se propone a esta especie como prioritaria para la conservación por su distribución extremadamente localizada, la estructura poblacional afectada por procesos que están afectando su hábitat e iniciar el debate sobre la recategorizacón del nivel de amenaza actual. Es necesario que tomadores de decisiones introduzcan a C. mutisii en las agendas de investigación e inversión para adelantar estrategias de conservación ex situ e in situ...


The worrying situation of Centronia mutisii (Melastomataceae). Objective. Our study was intended to detail aspects of Centronia mutisii such as its distribution, population status and propagation, due to the anthropogenic pressure on its habitat which is restricted to a localized area in Cundinamarca and the District Capital, and because it is listed as a vulnerable species (VU) by the IUCN. Materials and methods. We identified the potential distribution of C. mutisii (niche modeling), assessed the conservation status of the population, and applied plant propagation ex situ management treatments. Results. The potential geographic distribution is restricted and until now a single population has been recorded in a locality. There is a marked edge effect on the population structure and propagation is difficult. Conclusions. We propose this species as a conservation priority due to its extremely localized distribution and population structure being affected by processes that affect its habitat, and also to begin a discussion on the reclassification of its current threat level. Decision makers should include C. mutisii in research and investment agendas to develop in situ and ex situ conservation strategies...


Centronia mutisii (Melastomataceae) uma espécie em perigo crítico. Objetivo. O presente estudo pesquisou aspectos do “Tuno Roso” (Centronia mutisii) tais como sua distribuição, estado populacional e propagação, devido à pressão em seu habitat, restrito num setor de Cundinamarca e do Distrito Capital, e por ser listada como uma espécie vulnerável (VU) de acordo com a IUCN. Materiais e métodos. Foi identificada a distribuição potencial de C. mutisii (modelagem de nicho), foi avaliado o estado de conservação da população e foram realizados tratamentos de propagação e gestão ex situ. Resultados. Os resultados indicam que sua distribuição geográfica potencial é restrita e na atualidade só registra-se uma população numa localidade; há um efeito de borda marcado na estrutura da população e dificuldades na sua propagação. Conclusões. Esta espécie é proposta com prioridade para a conservação por sua distribuição extremamente localizada, por ter a estrutura da população afetada devido aos processos que afetam seu habitat e iniciar o debate sobre recategorização do nível de ameaça atual. É necessário que os tomadores de decisões tenham presente a C. mutisii nas agendas de pesquisa e investimento para promover estratégias de conservação ex situ e in situ...


Subject(s)
Melastomataceae , Melastomataceae/classification , Melastomataceae/growth & development , Colombia
10.
Ginecol. & obstet ; 53(1): 28-34, ene.-mar. 2007. tab
Article in Spanish | LIPECS | ID: biblio-1108640

ABSTRACT

Objetivos: Identificar las principales complicaciones maternas y perinatales en las primigestas adolescentes, al compararlas con un grupo control. Diseño: Estudio observacional, analítico, tipo caso-control. Lugar: Servicio de Gineco-obstetricia, Hospital Nacional Sergio E. Bernales, hospital docente. Participantes: Adolescentes primigestas. Intervenciones: Se dividió a la población en dos grupos homogéneos de 162 participantes cada uno, escogidas aleatoreamente y distribuidas por edad en grupo caso (10 a 19 años) y control (20 a 29 años). Principales Medidas de resultados: Complicaciones en la gestación. Resultados: El promedio de edad de las adolescentes fue 17,5 años, 61,2 por ciento no tenía secundaria completa, solo 8,6 por ciento era estudiante, 83 por ciento ama de casa. El 71 por ciento de las parejas de las adolescentes era mayor de edad. Las adolescentes tenían menos control prenatal que las adultas, 83 por ciento frente a 89 por ciento, aunque con p menor que 0,05. La complicación más frecuente en la adolescente fue la infección urinaria (p=0,00). Numéricamente, hubo mayor incidencia de anemia, preeclampsia, rotura prematura de membranas, distocia ósea, distocia funicular, senescencia placentaria, trabajo de parto prolongado y expulsivo prolongado, infección puerperal y retención de secundinas; pero, sin diferencias estadísticas significativas respecto al grupo control. La cesárea también fue más frecuente en el grupo control, frente al grupo de adolescentes, pero con p mayor que 0,05. La condición de recién nacido grande para la edad gestacional fue la única complicación, con p menor que 0,05 respecto al grupo control. La prematuridad, los pequeños para edad gestacional, peso bajo y el traumatismo obstétrico fueron mas frecuentes en las adolescentes, pero con p mayor que 0,05. Conclusiones: Solamente la infección urinaria y grande para edad gestacional fueron más frecuentes en las adolescentes.


Objectives: To identify main maternal and perinatal complications in adolescents carrying their first pregancy, compared with a control group. Design: Observational, analytical, case-control study. Setiing: Gynecology and Obstetrics Service, Sergio E. Bernales National Hospital, a teaching hospital. Participants: Adolescents carrying their first pregnancy. Interventions: Two groups of 162 participants each according to age: 10 to 19 year-old was the case group, and 20 to 29 year-old, the control group. Main outcome measures: Pregnancy complications. Results: Main adolescents age was 17,5 years, 61,2 per cent did not complete high school, only 8,6 per cent currently studied, 83 per cent was housewife; 71 per cent of the male couples had older age. Adolescents had less pre natal control than the adult pregnant women, 83 per cent versus 89 per cent, but p more than 0,05. Most frequent adolescent complications were urinary tract infection (p=0,00), anemia, preeclampsia, premature rupture of membranes, bone dystocia, cord dystocia, placental aging, prolonged labor and prolonged second stage, puerperal infection, and placenta fragments retention, but without significant statistical differences in regards to the control group. Cesarean section was also more frequent in the control group, but with P less than 0,05. The only complication of the newborn was large newborn for gestational age, P less than 0,05. Prematurity, small for gestational age, low weight and obstetrical trauma were more frequent in adolescents, but p more than 0,05. Conclusions: Only urinary tract infection and large for gestational age were more frequent in adolescents. Maternal and perinatal complications represent an important problem only in adolescents over 16 year-old. ln older adolescents psychological and social factors appear more relevant and with higher impact.


Subject(s)
Female , Humans , Adolescent , Adult , Pregnancy Complications , Pregnancy in Adolescence , Observational Studies as Topic , Case-Control Studies
11.
Asunción; s.n; 1999. 56 p. tab, graf. (PY).
Thesis in Spanish, English | LILACS, BDNPAR | ID: biblio-1018395

ABSTRACT

Estudio descriptivo de 10 cursos de Formación de Auxiliares de Enfermería en el Departamento Central. Describe la situación general actual de los cursos, que incluye desde los antecedentes históricos, la preparación, utilización e inclusive el marco legal en el que se desarrollan


Subject(s)
Nursing Assistants/classification , Nursing Assistants/education
12.
Invest. educ. enferm ; 11(1): 35-46, mar. 1993.
Article in Spanish | LILACS, BDENF - Nursing | ID: lil-457948

ABSTRACT

El individuo hospitalizado se ve limitado en su acción por el problema de salud que lo afecta, el medio que lo rodea y el personal de salud que lo atiende. En este contexto la actividad física, recreativa y de relajación se convierte en una herramienta terapéutica que permite obtener bienestar físico; proporcionar la oportunidad de aprender, crear, divertirse; y establecer relaciones interpersonales. Todo lo anterior representa un reto para el profesional de enfermería, quien debe interesarse y motivar al personal a cargo para que realice actividades que mantengan el bienestar biopsicosocial del paciente hospitalizado. En este artículo se muestran los resultados de las actividades realizadas con el fin de utilizar el tiempo libre de pacientes en el Hospital Universitario San Vicente de Paúl y en el Hospital General de Medellín Luz castro de Gutiérrez durante el mes de Septiembre de 1991.


Subject(s)
Mental Health , Hospitalization , Recreation
13.
Santa Cruz, 2003; .
Thesis in Spanish | LILACS-Express | LIBOCS, LIBOSP | ID: biblio-1330480
14.
Santa Cruz, 2003; .
Thesis in Spanish | LILACS-Express | LIBOCS, LIBOSP | ID: biblio-1324072
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