The World Health Organization (WHO) states that smoking is a person who daily for the past month, have you smoked any amount of cigarettes, even one. In recent years it has been recognized snuff consumption as a major cause of increased... more
The World Health Organization (WHO) states that smoking is a person who daily for the past month, have you smoked any amount of cigarettes, even one. In recent years it has been recognized snuff consumption as a major cause of increased morbidity of people, partnering directly, respiratory, oncology and other cardiovascular diseases. The aim of this study is to determine the prevalence of smoking in the working population of cardiovascular Hospital del Niño. Methods: Study descriptive cross-sectional survey which was applied as an evaluator instrument identification data of the smoking population, depending where they work, often you smoke and shift to which they belong; his application was about a week; 632 persons, corresponding to 82% of all hospital workers were surveyed. Results: Of the total sample, 109 (17%) people are smokers, of which 41 persons (6.5%) are the group of nursing technicians, 8 (1.3%) group laundry, 8 (1.3 %) to the group of doctors, 7 (1.1%) to the group of g...
Research Interests:
Objective: To assess the presence of depressive symptoms in patients with myocardial revascularization belonging to a cardiac rehabilitation program of institutional. Method: A descriptive cross-sectional study was developed. All patients... more
Objective: To assess the presence of depressive symptoms in patients with myocardial revascularization belonging to a cardiac rehabilitation program of institutional. Method: A descriptive cross-sectional study was developed. All patients undergoing revascularization belonging to cardiac rehabilitation program of the institution were evaluated with the PHQ-9 ® instrument. Results: We included a total of 30 patients, of whom 33.3% were female and 66.6% male. Within the sample 86.7% of patients revascularized show some depressive symptoms.Objetivo: Evaluar la presencia de síntomas depresivos en pacientes con revascularización miocárdica pertenecientes a un programa de rehabilitación cardiaca institucional. Método: Se desarrolló un estudio observacional descriptivo de corte trasversal. Todos los pacientes sometidos a revascularización pertenecientes al programa de rehabilitación cardiaca de la institución fueron evaluados con el instrumento PHQ-9 ®. Resultados: Se incluyeron en total 3...
Research Interests:
Se presenta paciente masculino de 54 anos de edad, diagnosticado con nefritis lupica clase v. el paciente presenta importante compromiso en piel, antecedentes familiares de lupus diagnosticado en hermano y sospecha de lupus en hermana. el... more
Se presenta paciente masculino de 54 anos de edad, diagnosticado con nefritis lupica clase v. el paciente presenta importante compromiso en piel, antecedentes familiares de lupus diagnosticado en hermano y sospecha de lupus en hermana. el paciente presenta adecuada respuesta a tratamiento de induccion y mantenimiento lo cual se ha evidenciado en el seguimiento realizado a los niveles de proteinuria en sangre. Palabras claves: Nefritis lupica, adulto mayor, estudio de caso. ABSTRACT Male patient of 54 years old, diagnosed with lupus nephritis class v is presented. the patient has significant skin involvement, family history of lupus diagnosed in brother and sister suspected lupus. the patient has adequate response to induction therapy and maintenance which has been seen in follow-up after proteinuria levels in blood. Key words: lupus nephritis, elderly, case study.
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Clinical practice guidelines (CPG) are recommendations based on a systematic review of scientific evidence and generally these documents are under constant assess. For this matter, a group of health-professionals which belong to Fundación... more
Clinical practice guidelines (CPG) are recommendations based on a systematic review of scientific evidence and generally these documents are under constant assess. For this matter, a group of health-professionals which belong to Fundación Centro Colombiano de Hipoterapia evaluated the use and quality of the used CPG using AGREE II instrument. The obtained results evidence correlation between both parameters since health-professionals trust in their acquired experience without detracting from the benefits that can be obtained with the use of guidelines. Among the mentioned benefits, improving the quality of care, effectiveness in clinical decisions, and the optimization of costs related to health care can be mentioned. Nonetheless, health-professionals reflect uncertainty in the recommendations generated by the guidelines because of the barriers presented such as strictness in its elaboration, it lacks in updates, audits and evaluations. Key words: Clinical practice guidelines, asses...
Research Interests:
Aortic dissection is a rare diagnosis in pediatric patients. Annuloaortic ectasia and aortic arch aneurysm are primarily associated with genetic diseases and collagen deficiencies that may occur with these complications. For these... more
Aortic dissection is a rare diagnosis in pediatric patients. Annuloaortic ectasia and aortic arch aneurysm are primarily associated with genetic diseases and collagen deficiencies that may occur with these complications. For these patients survival rate is less than 20%. This paper presents the clinical case of a three-year-old male patient referred with aortic dissection. On clinical examination, hypermobility, ascending AA, aortic arch aneurysm, aortic valve regurgitation and Stanford type A aortic dissection, were found. Aneurysmec-tomy was performed, David I conservative reimplantation and reconstruction of the aortic arch. Pathological analysis of the samples where unspecific. Four years RM follow-up was performed with normal findings.
En pacientes pediátricos la Disección de la Aorta (DA) es un diagnóstico poco común. La Ectasia anuloaórtica (EA) y el Aneurisma de la Aorta (AA) están principalmente asocia-dos con enfermedades genéticas y deficiencias en el colágeno que... more
En pacientes pediátricos la Disección de la Aorta (DA) es un diagnóstico poco común. La Ectasia anuloaórtica (EA) y el Aneurisma de la Aorta (AA) están principalmente asocia-dos con enfermedades genéticas y deficiencias en el colágeno que pueden presentarse con esta complicación. El índice de sobrevida de estos pacientes es inferior al 20%. Este trabajo presenta caso clínico de paciente masculino de tres años, remitido con Disección Aórtica. Tras el examen físico, los hallazgos clínicos son hiperlaxitud, AA ascendente, aneurisma del cayado aórtico, insuficiencia valvular aórtica y Disección Aórtica tipo A de Stanford. Se realiza intervención quirúrgica con aneurismectomía, cirugía conservadora tipo Reimplante: David I y reconstrucción del cayado de la aorta. Los análisis de las mues-tras por parte de patología son específicos. Se realiza RM de seguimiento al cuarto año, con hallazgos normales. PalabRas clave: Disección aórtica, aneurisma, síndrome Loeyz Dietz.
Research Interests:
Clinical practice guidelines (CPG) are recommendations based on a systematic review of scientific evidence and generally these documents are under constant assess. For this matter, a group of health- professionals which belong to... more
Clinical practice guidelines (CPG) are recommendations based on a systematic review of scientific evidence and generally these documents are under constant assess. For this matter, a group of health- professionals which belong to Fundación Centro Colombiano de Hipoterapia evaluated the use and quality of the used CPG using AGREE II instrument. The obtained results evidence correlation between both parameters since health-professionals trust in their acquired experience without detracting from the benefits that can be obtained with the use of guidelines. Among the mentioned benefits, improving the quality of care, effectiveness in clinical decisions, and the optimization of costs related to health care can be mentioned. Nonetheless, health-professionals reflect uncertainty in the recommendations generated by the guidelines because of the barriers presented such as strictness in its elaboration, it lacks in updates, audits and evaluations.
Key words: Clinical practice guidelines, assessment, quality.
Carmargo-Cardona, Z.-E., Bernal-Ballen, A., & Cely-Andrade, J.-L. (2018). CLINICAL
PRACTICE GUIDELINES: A STRATEGY FOR EVALUATING PERCEPTION AND QUALITY. 2(6).
Key words: Clinical practice guidelines, assessment, quality.
Carmargo-Cardona, Z.-E., Bernal-Ballen, A., & Cely-Andrade, J.-L. (2018). CLINICAL
PRACTICE GUIDELINES: A STRATEGY FOR EVALUATING PERCEPTION AND QUALITY. 2(6).
Clinical practice guidelines (CPG) are recommendations based on a systematic review of scientific evidence and generally these documents are under constant assess. For this matter, a group of health-professionals which belong to Fundación... more
Clinical practice guidelines (CPG) are recommendations based on a systematic review of scientific evidence and generally these documents are under constant assess. For this matter, a group of health-professionals which belong to Fundación Centro Colombiano de Hipoterapia evaluated the use and quality of the used CPG using AGREE II instrument. The obtained results evidence correlation between both parameters since health-professionals trust in their acquired experience without detracting from the benefits that can be obtained with the use of guidelines. Among the mentioned benefits, improving the quality of care, effectiveness in clinical decisions, and the optimization of costs related to health care can be mentioned. Nonetheless, health-professionals reflect uncertainty in the recommendations generated by the guidelines because of the barriers presented such as strictness in its elaboration, it lacks in updates, audits and evaluations.
Se presenta el caso clínico de un paciente de 3 a ˜ nos con Persistencia del Conducto Arterioso (PCA) tra-tado previamente con dispositivo septal migrado a aorta torácica descendente. El caso fue atendido en nuestra institución un a ˜ no... more
Se presenta el caso clínico de un paciente de 3 a ˜ nos con Persistencia del Conducto Arterioso (PCA) tra-tado previamente con dispositivo septal migrado a aorta torácica descendente. El caso fue atendido en nuestra institución un a ˜ no después de presentarse la complicación, por lo cual se requirió del manejo quirúrgico bajo complejas técnicas de resección y reconstrucción aórtica y manejo según protocolos de hipotermia profunda. En este artículo se describen las técnicas y los tiempos utilizados para lograr el objetivo propuesto con una evolución satisfactoria del paciente. a b s t r a c t Clinical case of a three years old male case with persistent ductus arteriosus, previously treated with Septal Occluder Device, migrated to descendent thoracic aorta, this case were treated in our hospital after one year of complication; so it was required under complex surgical management techniques aortic resection and reconstruction and application of deep hypothermic protocol. This article describes time and technics used to get therapeutic objectives with a patient favorable evolution.
RESUMEN Objetivo: Evaluar la presencia de síntomas depresivos en pacientes con revascularización miocárdica pertenecientes a un programa de rehabilitación cardiaca institucional. Método: Se desarrolló un estudio observacional descriptivo... more
RESUMEN Objetivo: Evaluar la presencia de síntomas depresivos en pacientes con revascularización miocárdica pertenecientes a un programa de rehabilitación cardiaca institucional. Método: Se desarrolló un estudio observacional descriptivo de corte trasversal. Todos los pacientes sometidos a revascularización pertenecientes al programa de rehabilitación cardiaca de la institución fueron evaluados con el instrumento PHQ-9 ®. Resultados: Se incluyeron en total 30 pacientes de los cuales 33.3% fueron mujeres y el 66.6% hombres. Dentro de la muestra el 86.7% de los pacientes revascularizados muestran algún síntoma depresivo.
Se presenta paciente masculino de 54 años de edad, diagnosticado con nefritis lupica clase v. el paciente presenta importante compromiso en piel, antecedentes familiares de lupus diagnosticado en hermano y sospecha de lupus en hermana. el... more
Se presenta paciente masculino de 54 años de edad, diagnosticado con nefritis lupica clase v. el paciente presenta importante compromiso en piel, antecedentes familiares de lupus diagnosticado en hermano y sospecha de lupus en hermana. el paciente presenta adecuada respuesta a tratamiento de inducción y mantenimiento lo cual se ha evidenciado en el seguimiento realizado a los niveles de proteinuria en sangre. ABSTRACT Male patient of 54 years old, diagnosed with lupus nephritis class v is presented. the patient has significant skin involvement, family history of lupus diagnosed in brother and sister suspected lupus. the patient has adequate response to induction therapy and maintenance which has been seen in follow-up after proteinuria levels in blood.
Se presenta el caso clínico de un paciente de 3 a ˜ nos con Persistencia del Conducto Arterioso (PCA) tra-tado previamente con dispositivo septal migrado a aorta torácica descendente. El caso fue atendido en nuestra institución un a ˜ no... more
Se presenta el caso clínico de un paciente de 3 a ˜ nos con Persistencia del Conducto Arterioso (PCA) tra-tado previamente con dispositivo septal migrado a aorta torácica descendente. El caso fue atendido en nuestra institución un a ˜ no después de presentarse la complicación, por lo cual se requirió del manejo quirúrgico bajo complejas técnicas de resección y reconstrucción aórtica y manejo según protocolos de hipotermia profunda. En este artículo se describen las técnicas y los tiempos utilizados para lograr el objetivo propuesto con una evolución satisfactoria del paciente. a b s t r a c t Clinical case of a three years old male case with persistent ductus arteriosus, previously treated with Septal Occluder Device, migrated to descendent thoracic aorta, this case were treated in our hospital after one year of complication; so it was required under complex surgical management techniques aortic resection and reconstruction and application of deep hypothermic protocol. This article describes time and technics used to get therapeutic objectives with a patient favorable evolution.
Research Interests:
Se presenta paciente masculino de 54 años de edad, diagnosticado con nefritis lupica clase v. el paciente presenta importante compromiso en piel, antecedentes familiares de lupus diagnosticado en hermano y sospecha de lupus en hermana. el... more
Se presenta paciente masculino de 54 años de edad, diagnosticado con nefritis lupica clase v. el paciente presenta importante compromiso en piel, antecedentes familiares de lupus diagnosticado en hermano y sospecha de lupus en hermana. el paciente presenta adecuada respuesta a tratamiento de inducción y mantenimiento lo cual se ha evidenciado en el seguimiento realizado a los niveles de proteinuria en sangre. ABSTRACT Male patient of 54 years old, diagnosed with lupus nephritis class v is presented. the patient has significant skin involvement, family history of lupus diagnosed in brother and sister suspected lupus. the patient has adequate response to induction therapy and maintenance which has been seen in follow-up after proteinuria levels in blood.
Research Interests:
The World Health Organization (WHO) states that smoking is a person who daily for the past month, have you smoked any amount of cigarettes, even one. In recent years it has been recognized snuff consumption as a major cause of increased... more
The World Health Organization (WHO) states that smoking is a person who daily for the past month, have you smoked any amount of cigarettes, even one. In recent years it has been recognized snuff consumption as a major cause of increased morbidity of people, partnering directly, respiratory, oncology and other cardiovascular diseases.
The aim of this study is to determine the prevalence of smoking in the working population of cardiovascular Hospital del Niño. Methods: Study descriptive cross-sectional survey which was applied as an evaluator instrument identification data of the smoking population, depending where they work, often you smoke and shift to which they belong; his application was about a week; 632 persons, corresponding to 82% of all hospital workers were surveyed. Results: Of the total sample, 109 (17%) people are smokers, of which 41 persons (6.5%) are the group of nursing technicians, 8 (1.3%) group laundry, 8 (1.3 %) to the group of doctors, 7 (1.1%) to the group of general services, 5 (0.8%) nursing group, 15 (2.4%) to other professionals, 2 (0.31%) correspond to the rehabilitation group.
Of the 632 respondents, 47 of the men surveyed were smokers (43.11%) and 62 women are smokers (56.88%).
Conclusions: Smoking is prevalent in the male sex. It was found that the dependence where there’s smoking population is the nursing technicians, followed by other professionals and physicians. Also, it was found that 41 persons smoking more than 5 cigarettes a day
The aim of this study is to determine the prevalence of smoking in the working population of cardiovascular Hospital del Niño. Methods: Study descriptive cross-sectional survey which was applied as an evaluator instrument identification data of the smoking population, depending where they work, often you smoke and shift to which they belong; his application was about a week; 632 persons, corresponding to 82% of all hospital workers were surveyed. Results: Of the total sample, 109 (17%) people are smokers, of which 41 persons (6.5%) are the group of nursing technicians, 8 (1.3%) group laundry, 8 (1.3 %) to the group of doctors, 7 (1.1%) to the group of general services, 5 (0.8%) nursing group, 15 (2.4%) to other professionals, 2 (0.31%) correspond to the rehabilitation group.
Of the 632 respondents, 47 of the men surveyed were smokers (43.11%) and 62 women are smokers (56.88%).
Conclusions: Smoking is prevalent in the male sex. It was found that the dependence where there’s smoking population is the nursing technicians, followed by other professionals and physicians. Also, it was found that 41 persons smoking more than 5 cigarettes a day
Research Interests:
Objective: To assess the presence of depressive symptoms in patients with myocardial revascularization belonging to a cardiac rehabilitation program of institutional. Method: A descriptive cross-sectional study was developed. All patients... more
Objective: To assess the presence of depressive symptoms in patients with myocardial revascularization belonging to a cardiac rehabilitation program of institutional. Method: A descriptive cross-sectional study was developed. All patients undergoing revascularization belonging to cardiac rehabilitation program of the institution were evaluated with the PHQ-9 ® instrument. Results: We included a total of 30 patients, of whom 33.3% were female and 66.6% male. Within the sample 86.7% of patients revascularized show some depressive symptoms.