Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 8 de 8
Filtrar
Mais filtros










Intervalo de ano de publicação
1.
Gac Sanit ; 35(5): 495-498, 2021.
Artigo em Espanhol | MEDLINE | ID: mdl-32349913

RESUMO

Héctor Abad-Gómez, Colombian physician, university professor, journalist and human rights defender, was murdered in Medellín in 1987. He was a pioneer public health activist engaged in various fields. While being student his restless and dissatisfied mind, led him to fight for a better and safer water and food. He specialized in the University of Minnesota (USA), at his return to the country he led the establishment of the Rural Medical Service. Forced to exile for several years he was WHO consultant to several countries in the Americas and Asia. In 1956 he founded the Preventive Medicine and Public Health Department of the University of Antioquia. He carried out the first recorded mass community vaccination against polio in the world. He initiated a community health agents program known as "Rural health promoters" that later would be implemented nationally. In 1962 he first proposed the application of epidemiological methods to study violence; he was visiting professor at the University of California; he coined the term "polyiatry" for a specialty dedicated to the health populations; he was director of the Colombian National School of Public Health that currently bears his name. Héctor Abad-Gómez ventured into political life, in accordance with Virchow dictum that "politics is medicine on a large scale". The lives of both have interesting similarities except for the tragic and premature death of the former that still receives rejection today in social, political and academic levels, both in Colombia and abroad.


Assuntos
Direitos Humanos , Médicos , História do Século XX , Humanos , Política , Saúde Pública , Violência
2.
Rev. salud pública ; 22(6): e208, nov.-dic. 2020. graf
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1357408

RESUMO

RESUMEN Objetivo Explicar las barreras para la eliminación de la malaria en Guapi (Cauca, Colombia), según la percepción de la comunidad. Método Se realizó un estudio cualitativo descriptivo de tipo exploratorio en Guapi, de octubre a noviembre de 2016, a través del análisis de contenido de grupos focales de ocho mujeres voluntarias y de análisis inductivo e interpretativo. Resultados Basadas en las respuestas de las voluntarias, se construyeron tres categorías, de las cuales se originaron cinco subcategorías relacionadas con barreras (tema) para la eliminación de la malaria que incluyen determinantes sociales del municipio tales como las barreras ambientales, culturales y de atención en salud. Todas ellas requieren de la intervención integral por parte de las diferentes dependencias del Estado, con la inclusión de las características propias de la comunidad guapireña. Conclusión Se identificó que la falta de planeación e infraestructura deficiente en el municipio obstaculiza no solo la eliminación de la malaria sino también la de otras enfermedades transmisibles. El desarrollo de actividades económicas como la minería, las prácticas de automedicación, la poca adherencia a las medidas de prevención por parte de la comunidad, la falta de contratación de profesionales y microscopistas y el difícil acceso a los servicios de salud constituyen las principales barreras para la eliminación de la malaria en este municipio de la región pacífica colombiana.


ABSTRACT Objetive To explain the obstacles for malaria elimination in Guapi (Cauca, Colombia), considering the community perception. Method A qualitative, descriptive and exploratory research was carried out in Guapi, from October to November 2016, through the content analysis of eight female volunteer's focus groups. Inductive and interpretive analyses were also performed. Results Based on the volunteers' responses, three categories were built, from which five subcategories related to obstacles (issue) for malaria elimination emerged; these included municipality social determinants such as environmental, cultural and health care barriers. All of them require of comprehensive interventions by different state agencies and inclusion of the specific characteristics of the local community. Conclusion We found that lack of planning and municipal poor infrastructure limits the elimination of malaria and other communicable diseases alike. Economic activities such as mining, self-medication practices, community poor adherence to prevention measures, lack of professional and microscopists hiring and the difficulties for accessing to health services are the main obstacles for malaria elimination in this municipality of the Colombian Pacific Coast.

3.
Genes (Basel) ; 11(2)2020 01 25.
Artigo em Inglês | MEDLINE | ID: mdl-31991774

RESUMO

Presented here are five members of a family that was ascertained from an isolated, consanguineous, indigenous Amerindian community in Colombia that was affected with calpain 3-related, limb-girdle muscular dystrophy type R1. These patients are homozygous for a unique and novel deletion of four bases (TGCC) in exon 3 of the calpain 3 gene (CAPN3) (NM_000070.2; NP_000061.1) (g.409_412del). The mutation site occurs at the CysPc protein domain, triggering a modified truncated protein structure and affecting motifs within the calpain-like thiol protease family (peptidase family C2) region. The patients reported here developed a very severe phenotype with primary contractures, spinal rigidity in the early stages of the disease, and bilateral talipes equinovarus (clubfoot) in the most affected patients who had the selective involvement of their extremities' distal muscles in a way that resembled Emery-Dreifuss syndrome. We recommend mandatory screening for calpainopathy in all patients with an Emery-Dreifuss-like syndrome or those presenting a non-congenital illness with primary contractures and who, because of other data, are suspected of having muscular dystrophy.


Assuntos
Calpaína/genética , Proteínas Musculares/genética , Distrofia Muscular do Cíngulo dos Membros/genética , Distrofias Musculares/genética , Adolescente , Adulto , Criança , Éxons/genética , Família , Feminino , Homozigoto , Humanos , Masculino , Distrofia Muscular do Cíngulo dos Membros/metabolismo , Mutação/genética , Linhagem , Fenótipo , Deleção de Sequência/genética
4.
Rev Salud Publica (Bogota) ; 22(6): 626-633, 2020 11 01.
Artigo em Espanhol | MEDLINE | ID: mdl-36753081

RESUMO

OBJETIVE: To explain the obstacles for malaria elimination in Guapi (Cauca, Colombia), considering the community perception. METHOD: A qualitative, descriptive and exploratory research was carried out in Guapi, from October to November 2016, through the content analysis of eight female volunteer's focus groups. Inductive and interpretive analyses were also performed. RESULTS: Based on the volunteers' responses, three categories were built, from which five subcategories related to obstacles (issue) for malaria elimination emerged; these included municipality social determinants such as environmental, cultural and health care barriers. All of them require of comprehensive interventions by different state agencies and inclusion of the specific characteristics of the local community. CONCLUSION: We found that lack of planning and municipal poor infrastructure limits the elimination of malaria and other communicable diseases alike. Economic activities such as mining, self-medication practices, community poor adherence to prevention measures, lack of professional and microscopists hiring and the difficulties for accessing to health services are the main obstacles for malaria elimination in this municipality of the Colombian Pacific Coast.


OBJETIVO: Explicar las barreras para la eliminación de la malaria en Guapi (Cauca, Colombia), según la percepción de la comunidad. MÉTODO: Se realizó un estudio cualitativo descriptivo de tipo exploratorio en Guapi, de octubre a noviembre de 2016, a través del análisis de contenido de grupos focales de ocho mujeres voluntarias y de análisis inductivo e interpretativo. RESULTADOS: Basadas en las respuestas de las voluntarias, se construyeron tres categorías, de las cuales se originaron cinco subcategorías relacionadas con barreras (tema) para la eliminación de la malaria que incluyen determinantes sociales del municipio tales como las barreras ambientales, culturales y de atención en salud. Todas ellas requieren de la intervención integral por parte de las diferentes dependencias del Estado, con la inclusión de las características propias de la comunidad guapireña. CONCLUSIÓN: Se identificó que la falta de planeación e infraestructura deficiente en el municipio obstaculiza no solo la eliminación de la malaria sino también la de otras enfermedades transmisibles. El desarrollo de actividades económicas como la minería, las prácticas de automedicación, la poca adherencia a las medidas de prevención por parte de la comunidad, la falta de contratación de profesionales y microscopistas y el difícil acceso a los servicios de salud constituyen las principales barreras para la eliminación de la malaria en este municipio de la región pacífica colombiana.


Assuntos
Malária , Humanos , Feminino , Colômbia/epidemiologia , Malária/epidemiologia , Malária/prevenção & controle , Mineração , Grupos Focais
5.
Rev. salud pública ; 21(1): 9-16, ene.-feb. 2019. tab
Artigo em Espanhol | LILACS | ID: biblio-1058859

RESUMO

RESUMEN Objetivo Describir las estrategias para la eliminación de la malaria a partir de la percepción de pobladores afro-colombianos residentes en Guapi en el contexto de la Estrategia de Gestión Integrada para la promoción, prevención y control de las Enfermedades Transmitidas por Vectores en Colombia (EGI). Métodos Estudio de tipo cualitativo basado en el análisis de discurso de grupos focales. Ocho participantes residentes en zona urbana de Guapi, divididas en dos grupos: el primero correspondió a tres mujeres auxiliares de enfermería, denominadas "mujeres con mayor experiencia", trabajadoras en el actual sistema de salud y funcionarias del antiguo Servicio de Erradicación de la Malaria. El segundo correspondió a cinco mujeres auxiliares de enfermería, denominadas "mujeres con limitada experiencia", trabajadoras en el actual sistema de salud y no tuvieron formación directa con el programa de malaria. Análisis inductivo e interpretativo. Resultados Emergieron ocho subcategorias enmarcadas en la EGI, con énfasis en la promoción y prevención orientadas a disminuir la malaria, especialmente en el área rural. El abordaje del problema debe hacerse de forma integral incluyendo otras problemáticas en salud y determinantes sociales que los afectan como: saneamiento básico, acceso al servicio de salud, falta de educación, uso de tratamientos populares, fragilidad de infraestructura, entre otros. Conclusión Las participantes consideran que la malaria en Guapi se puede reducir pero no eliminar. Se requiere abordar este problema desde una perspectiva institucional y comunitaria, teniendo en cuenta las diferencias culturales, a partir de estrategias que incluyan el empoderamiento comunitario y fortalecimiento administrativo e institucional del programa.(AU)


ABSTRACT Objective To describe strategies for malaria elimination based on the perception of Afro-Colombian residents in Guapi, in the context of the Integrated Management Strategy for the Promotion, Prevention and Control of Vector-Borne Diseases in Colombia (EGI-ETV). Materials and Methods Qualitative study based on focus group discourse analysis. Eight participants from the urban area of Guapi were divided into two groups. The first group included three female nursing assistants, and was called "women with more experience"; they were workers in the current health system and former Malaria Eradication Service officers. The second group was made up of female nursing assistants, and was called "women with limited experience"; they were workers in the current health system and were not directly trained in the malaria program. An inductive and interpretative analysis was performed. Results Eight subcategories emerged, framed in the EGI-EVT, making emphasis on promotion and prevention aimed at reducing malaria, especially in rural areas. This problem must be addressed comprehensively, including other health issues and social determinants that affect them, such as: basic sanitation, access to health services, lack of education, use of popular treatments, and lack of infrastructure, among others. Conclusion Participants consider that malaria in Guapi can be reduced but not eliminated. This problem needs to be addressed from an institutional and community perspective, taking into account cultural differences, based on strategies that include community empowerment and administrative and institutional strengthening of the program.(AU)


Assuntos
Humanos , Participação da Comunidade , Erradicação de Doenças/organização & administração , Doenças Transmitidas por Vetores/prevenção & controle , Malária/epidemiologia , Colômbia/epidemiologia , Pesquisa Qualitativa
6.
Rev Salud Publica (Bogota) ; 21(1): 9-16, 2019 01 01.
Artigo em Espanhol | MEDLINE | ID: mdl-33206933

RESUMO

OBJECTIVE: To describe strategies for malaria elimination based on the perception of Afro-Colombian residents in Guapi, in the context of the Integrated Management Strategy for the Promotion, Prevention and Control of Vector-Borne Diseases in Colombia (EGI-ETV). MATERIALS AND METHODS: Qualitative study based on focus group discourse analysis. Eight participants from the urban area of Guapi were divided into two groups. The first group included three female nursing assistants, and was called "women with more experience"; they were workers in the current health system and former Malaria Eradication Service officers. The second group was made up of female nursing assistants, and was called "women with limited experience"; they were workers in the current health system and were not directly trained in the malaria program. An inductive and interpretative analysis was performed. RESULTS: Eight subcategories emerged, framed in the EGI-EVT, making emphasis on promotion and prevention aimed at reducing malaria, especially in rural areas. This problem must be addressed comprehensively, including other health issues and social determinants that affect them, such as: basic sanitation, access to health services, lack of education, use of popular treatments, and lack of infrastructure, among others. CONCLUSION: Participants consider that malaria in Guapi can be reduced but not eliminated. This problem needs to be addressed from an institutional and community perspective, taking into account cultural differences, based on strategies that include community empowerment and administrative and institutional strengthening of the program.


OBJETIVO: Describir las estrategias para la eliminación de la malaria a partir de la percepción de pobladores afro-colombianos residentes en Guapi en el contexto de la Estrategia de Gestión Integrada para la promoción, prevención y control de las Enfermedades Transmitidas por Vectores en Colombia (EGI). MÉTODOS: Estudio de tipo cualitativo basado en el análisis de discurso de grupos focales. Ocho participantes residentes en zona urbana de Guapi, divididas en dos grupos: el primero correspondió a tres mujeres auxiliares de enfermería, denominadas "mujeres con mayor experiencia", trabajadoras en el actual sistema de salud y funcionarias del antiguo Servicio de Erradicación de la Malaria. El segundo correspondió a cinco mujeres auxiliares de enfermería, denominadas "mujeres con limitada experiencia", trabajadoras en el actual sistema de salud y no tuvieron formación directa con el programa de malaria. Análisis inductivo e interpretativo. RESULTADOS: Emergieron ocho subcategorias enmarcadas en la EGI, con énfasis en la promoción y prevención orientadas a disminuir la malaria, especialmente en el área rural. El abordaje del problema debe hacerse de forma integral incluyendo otras problemáticas en salud y determinantes sociales que los afectan como: saneamiento básico, acceso al servicio de salud, falta de educación, uso de tratamientos populares, fragilidad de infraestructura, entre otros. CONCLUSIÓN: Las participantes consideran que la malaria en Guapi se puede reducir pero no eliminar. Se requiere abordar este problema desde una perspectiva institucional y comunitaria, teniendo en cuenta las diferencias culturales, a partir de estrategias que incluyan el empoderamiento comunitario y fortalecimiento administrativo e institucional del programa.


Assuntos
Atitude do Pessoal de Saúde , População Negra , Erradicação de Doenças/métodos , Malária/prevenção & controle , Adulto , Colômbia/epidemiologia , Assistência à Saúde Culturalmente Competente , Erradicação de Doenças/organização & administração , Feminino , Grupos Focais , Política de Saúde , Acessibilidade aos Serviços de Saúde , Humanos , Malária/etnologia , Pessoa de Meia-Idade , Programas Nacionais de Saúde , Assistentes de Enfermagem , Pesquisa Qualitativa , Saúde da População Rural , Serviços de Saúde Rural , Determinantes Sociais da Saúde , Saúde da População Urbana
8.
Univ. odontol ; 29(63): 29-36, jul.-dec. 2010.
Artigo em Espanhol | LILACS | ID: lil-587061

RESUMO

La Atención Primaria de Salud (APS) sigue representado el mayor esfuerzo internacional de los países por alcanzar la salud mundial. Los planteamientos y las necesidades que se deben asumir continúan vigentes 30 años después de la Conferencia Internacional de Alma-Ata de 1978. La lucha por la Salud para Todos y las estrategias para lograrlo son largas y difíciles. No parte de Alma-Ata, como se lee en la mayoría de los textos, pero lo más sorprendente es que muchas personas pioneras de la APS están olvidadas en los documentos de APS más citados. Las nuevas generaciones de profesionales y trabajadores de la salud no conocen a personajes como Henry Sigerist, Salvador Allende, Gustavo Molina, Sidney Kark, Franco Basaglia, César Uribe Piedrahíta, Héctor Abad o Santiago Rengifo. Recuperar a las personas que lucharon tiene enorme importancia para la salud pública colombiana hoy.


Primary Health Care (PHC) still represents the biggest international effort by countries to reach health worldwide; the approach and needs to be assumed are still valid 30 years after the International Conference of Alma-Ata 1978. The struggle to achieve Health for All and its strategies are long and convoluted. It does not start in Alma Ata as it appears in most of the texts, but most stunning is that most pioneers of PHC are ignored in the most cited PHC documents. The new generations of health professionals and workers do not know about people such as Henry Sigerist, Salvador Allende, Gustavo Molina, Sidney Kark, Franco Basaglia, Cesar Uribe Piedrahita, Hector Abad or Santiago Rengifo. Retrieving the names of people who fought is very important today for the Colombian public health.


Assuntos
Atenção Primária à Saúde , Saúde Pública
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...