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[PMID]:29505512
[Au] Autor:Acosta T; Barengo NC; Arrieta A; Ricaurte C; Tuomilehto JO
[Ad] Endereço:Department of Public Health, Universidad del Norte, Barranquilla, Colombia.
[Ti] Título:A demonstration area for type 2 diabetes prevention in Barranquilla and Juan Mina (Colombia): Baseline characteristics of the study participants.
[So] Source:Medicine (Baltimore);97(1):e9285, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Type 2 diabetes (T2D) imposes a heavy public health burden in both developed and developing countries. It is necessary to understand the effect of T2D in different settings and population groups. This report aimed to present baseline characteristics of study participants in the demonstration area for the "Type 2 Diabetes Prevention in Barranquilla and Juan Mina" (DEMOJUAN) project after randomization and to compare their fasting and 2-hour glucose levels according to lifestyle and T2D risk factor levels.The DEMOJUAN project is a randomized controlled field trial. Study participants were recruited from study sites using population-wide screening using the Finnish Diabetes Risk Score (FINDRISC) questionnaire. All volunteers with FINDRISC of ≥13 points were invited to undergo an oral glucose tolerance test (OGTT). Participant inclusion criteria for the upcoming field trial were either FINDRISC of ≥13 points and 2-hour post-challenge glucose level of 7.0 to 11.0 mmol/L or FINDRISC of ≥13 points and fasting plasma glucose level of 6.1 to 6.9 mmol/L. Lifestyle habits and risk factors for T2D were assessed by trained interviewers using a validated questionnaire.Among the 14,193 participants who completed the FINDRISC questionnaire, 35% (n = 4915) had a FINDRISC score of ≥13 points and 47% (n = 2306) agreed to undergo the OGTT. Approximately, 33% (n = 772) of participants underwent the OGTT and met the entry criteria; these participants were randomized into 3 groups. There were no statistically significant differences found in anthropometric or lifestyle risk factors, distribution of the glucose metabolism categories, or other diabetes risk factors between the 3 groups (P > .05). Women with a past history of hyperglycaemia had significantly higher fasting glucose levels than those without previous hyperglycaemia (103 vs 99 mg/dL; P < .05).Lifestyle habits and risk factors were evenly distributed among the 3 study groups. No differences were found in fasting or 2-hour glucose levels among different lifestyle or risk factor categories with the exception of body mass index, past history of hyperglycaemia, and age of ≥64 years in women. TRIAL REGISTRATION: NCT01296100 (2/12/2011; Clinical trials.gov).
[Mh] Termos MeSH primário: Diabetes Mellitus Tipo 2/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Idoso
Glicemia
Colômbia
Feminino
Seres Humanos
Estilo de Vida
Masculino
Meia-Idade
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Blood Glucose)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180306
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009285


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[PMID]:28460112
[Au] Autor:Aponte S; Guerra ÁP; Álvarez-Larrotta C; Bernal SD; Restrepo C; González C; Yasnot MF; Knudson-Ospina A
[Ad] Endereço:Grupo de Bioquímica y Biología Celular, Instituto Nacional de Salud, Bogotá, D.C., Colombia.
[Ti] Título:Baseline in vivo, ex vivo and molecular responses of Plasmodium falciparum to artemether and lumefantrine in three endemic zones for malaria in Colombia.
[So] Source:Trans R Soc Trop Med Hyg;111(2):71-80, 2017 02 01.
[Is] ISSN:1878-3503
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Background: Colombia began using artemisinin-based combination therapies for the treatment of uncomplicated Plasmodium falciparum malaria in 2006. It is necessary to implement resistance surveillance to antimalarial drugs in order to promptly detect changes in parasite susceptibility. The aim of this study was to establish a susceptibility baseline of P. falciparum to artemether-lumefantrine using three monitoring tools. Methods: Patients with uncomplicated malaria treated with artemether-lumefantrine underwent clinical and parasitological follow-up over 28 days. Ex vivo test was performed using the microtest technique for chloroquine, arthemeter, dihydroartemisinin and lumefantrine. Pfmdr1 copy number and polymorphisms in Pfk13, Pfatp6, Pfcrt and Pfmdr1 genes were analyzed. Results: From a total of 150 screened patients, 49 completed follow-up for 28 days. All treated patients had adequate clinical and parasitological responses. Parasitic clearance showed a drastic reduction of parasite biomass at 24 hours and complete elimination at 48 hours. One hundred eleven isolates were processed, all exhibited high susceptibility to artemisinins and a slight decrease in susceptibility to lumefantrine. No genetic polymorphisms associated with resistance to artemisinin were found. Conclusion: This study generated a susceptibility baseline in response to therapy with Coartem (artemether-lumefantrine) with numerical reference values, which will allow data comparison with future studies to systematically monitor changes in the parasite and to provide an early alert to the health authorities.
[Mh] Termos MeSH primário: Antimaláricos/uso terapêutico
Artemisininas/uso terapêutico
Etanolaminas/uso terapêutico
Fluorenos/uso terapêutico
Malária/tratamento farmacológico
Plasmodium falciparum/efeitos dos fármacos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Antimaláricos/farmacologia
Artemisininas/farmacologia
Criança
Colômbia
Variações do Número de Cópias de DNA
Combinação de Medicamentos
Resistência a Medicamentos/efeitos dos fármacos
Resistência a Medicamentos/genética
Quimioterapia Combinada
Etanolaminas/farmacologia
Feminino
Fluorenos/farmacologia
Seres Humanos
Malária/parasitologia
Masculino
Meia-Idade
Parasitemia/tratamento farmacológico
Plasmodium falciparum/isolamento & purificação
Polimorfismo Genético
Proteínas de Protozoários/genética
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Antimalarials); 0 (Artemisinins); 0 (Drug Combinations); 0 (Ethanolamines); 0 (Fluorenes); 0 (Protozoan Proteins); 0 (artemether-lumefantrine combination); C7D6T3H22J (artemether); F38R0JR742 (lumefantrine)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1093/trstmh/trx021


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[PMID]:29024884
[Au] Autor:Mosquera-Vivas CS; Martinez MJ; García-Santos G; Guerrero-Dallos JA
[Ad] Endereço:Department of Chemistry, Faculty of Science, Universidad Nacional de Colombia, Bogotá D.C. 11001, Colombia. Electronic address: carmencita.mosquera@gmail.com.
[Ti] Título:Adsorption-desorption and hysteresis phenomenon of tebuconazole in Colombian agricultural soils: Experimental assays and mathematical approaches.
[So] Source:Chemosphere;190:393-404, 2018 Jan.
[Is] ISSN:1879-1298
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The adsorption-desorption, hysteresis phenomenon, and leachability of tebuconazole were studied for Inceptisol and Histosol soils at the surface (0-10 cm) and in the subsurface (40-50 cm) of an agricultural region from Colombia by the batch-equilibrium method and mathematical approaches. The experimental K and K (L kg ) values (7.9-289.2) decreased with depth for the two Inceptisols and increased with depth for the Histosol due to the organic carbon content, aryl and carbonyl carbon types. Single-point and desorption isotherms depended on adsorption reversibility and suggested that tebuconazole showed hysteresis; which can be adequately evaluated with the single-point desorption isotherm and the linear model using the hysteresis index HI. The most suitable mathematical approach to estimate the adsorption isotherms of tebuconazole at the surface and in the subsurface was that considering the combination of the n-octanol-water partition coefficient, pesticide solubility, and the mass-balance concept. Tebuconazole had similar moderate mobility potential as compared with the values of other studies conducted in temperate amended and unamended soils, but the risk of the fungicide to pollute groundwater sources increased when the pesticide reached subsurface soil layers, particularly in the Inceptisols.
[Mh] Termos MeSH primário: Adsorção
Modelos Teóricos
Poluentes do Solo/análise
Solo
Triazóis/química
[Mh] Termos MeSH secundário: 1-Octanol
Agricultura
Colômbia
Fungicidas Industriais/análise
Fungicidas Industriais/química
Hidrocarbonetos
Praguicidas
Poluentes do Solo/química
Poluentes do Solo/isolamento & purificação
Solubilidade
Triazóis/isolamento & purificação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Fungicides, Industrial); 0 (Hydrocarbons); 0 (Pesticides); 0 (Soil); 0 (Soil Pollutants); 0 (Triazoles); 0 (histosol); 401ATW8TRW (tebuconazole); NV1779205D (1-Octanol)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171013
[St] Status:MEDLINE


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[PMID]:28453123
[Au] Autor:Quintana-Cepeda A
[Ad] Endereço:Universidad de La Sabana. Bogotá, Colombia. ana.quintana@unisabana.edu.co.
[Ti] Título:[The role of the Constitutional Court on the analysis of contracts of prepaid medicine programs].
[Ti] Título:El papel de la Corte Constitucional en el análisis de los contratos de medicina prepagada..
[So] Source:Rev Salud Publica (Bogota);18(5):827-836, 2016 Sep-Oct.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Since 1991, when the current Colombian Constitution came into force and the Constitutional Court was appointed as its guardian and protector, constitutional values have permeated all subjects and areas of law, even those that were previously considered as private matters. Prepaid medicine contracts are a good example of this phenomenon, since the Colombian Constitutional Court has limited individual freedom of contract to private parties -prepaid medical companies- for the benefit of final users of this service through "acción de tutela", in order to protect the right to healthcare and to prevent some behaviors that violate the principle of good faith. The Court has demanded private companies to assess the health condition of patients and has prohibited pre-existent and exclusion clauses that diminish the responsibilities of said companies. Nevertheless, there is a gap in the law regarding the duties of good faith that concern the user, which will be addressed in this paper.
[Mh] Termos MeSH primário: Contratos/legislação & jurisprudência
Cobertura de Doenças Pré-Existentes/legislação & jurisprudência
Planos de Pré-Pagamento em Saúde/legislação & jurisprudência
[Mh] Termos MeSH secundário: Colômbia
Assistência à Saúde
Regulamentação Governamental
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28453120
[Au] Autor:Mondragón-Cardona Á; Bonilla-Escobar FJ; Álzate-Carvajal V; Rojas-Mirquez JC; Jiménez-Canizales CE; Tobón-García D; Vásquez F; Jaramillo-Sánchez JD
[Ad] Endereço:Internal Medicine Resident, Universidad Surcolombiana, Neiva, Colombia. aemondragon@utp.edu.co.
[Ti] Título:Physical activity in a rural community in Colombia.
[So] Source:Rev Salud Publica (Bogota);18(5):794-807, 2016 Sep-Oct.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:eng
[Ab] Resumo:Objective: To characterize physical activity profiles in a rural community in the southwest of Colombia and to identify knowledge gaps on this issue in the country. Methods : Cross-sectional study conducted in a rural area in Puerto Caldas, Pereira, Risaralda. The population of the study was obtained by convenience sampling from people participating in the activities of the Second Multidisciplinary Camp for Research and Services (CUMIS, for its acronym in Spanish), which was organized by the Colombian Association of Medical Students' Scientific Societies (ASCEMCOL, for its acronym in Spanish). The International Physical Activity Questionnaire (IPAQ) was used in order to measure and classify the physical activity behaviors of this population. Results: Data from 100 subjects with a mean age of 43±18 years were collected. 6 % of the population did not perform any kind of physical activity, while 61 % performed vigorous physical activity. Men spent more time in doing vigorous and moderate physical activity than women did (p<0.05). The World Health Organization (WHO) recommendations on physical activity were followed by 72.29 % (n=60) and 82.35 % (n=14) of the people with an age of 18 to64 and ≥65 years, respectively. Conclusion: It is necessary to build up evidence regarding physical activity in rural areas in order to implement public policies that promote its practice in communities where socioeconomic and health inequities exist. Part of the population living in the community where the study was carried out does not follow the WHO recommendations on physical activity; therefore, the lack of public health interventions is highlighted. A better coherence between international resolutions, national public policies and their implementation could lead to an increase in practice levels of physical activity.
[Mh] Termos MeSH primário: Exercício
População Rural/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Colômbia
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Atividade Motora
Fatores Sexuais
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28453118
[Au] Autor:Barreto-Zorza YM; Velasquez-Gutierrez VF
[Ad] Endereço:Facultad de Medicina. Universidad Nacional de Colombia. Bogotá. ymbarretoz@unal.edu.co.
[Ti] Título:[Community center for human development: program for African-Colombian families based on the participatory action research approach].
[Ti] Título:Centro de Desarrollo Humano Comunitario: programa para familias afrocolombianas desde la investigación acción participativa..
[So] Source:Rev Salud Publica (Bogota);18(5):768-781, 2016 Sep-Oct.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective: To describe the process of construction of a program of Primary Health Care (PHC) for African-Colombian families in Guapi, Cauca. Methodology : Participatory action research (PAR). Results: The PHC program is a collective construction between the IAP Group and the Commission for Support and Follow-up (CAS), carried out in four phases: 1. Field preparation; 2. Approximation to the universe of the African-Colombian families of Guapi; 3. Building the program "Center for Human Development: with strength, joy and love we go 'pa'lante' families"; and 4. Evaluation and socialization of results. Discussion: The collective construction of the program was conducted from the perspective of PHC, PAR and the cultural context, where the experts are the community, health professionals and institutions who have the ability to examine, reflect and participate in the transformation of reality based on their everyday life and view of the world. The starting point involves planning, developing and evaluating actions in healthy environments, relating not only to the physical space, but also to the work with families and community, taking into account needs, perceptions, beliefs, and actions towards health. The "Human Development Center Community" program allows a process of community participation towards achieving healthy environments to improve the health of the African-Colombian population, through the active participation of families, community, institutions and health professionals who, based on reality and knowledge exchange, generate actions directed to health of the large families of Guapi.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Africano
Participação da Comunidade
Promoção da Saúde/organização & administração
Desenvolvimento Humano
Atenção Primária à Saúde/organização & administração
Desenvolvimento de Programas
[Mh] Termos MeSH secundário: Colômbia
Promoção da Saúde/métodos
Pesquisa sobre Serviços de Saúde
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28453117
[Au] Autor:Restrepo-Palacio S; Amaya-Guio J
[Ad] Endereço:Centro de Tecnología para la Academia, Universidad de la Sabana, Colombia. sonia.restrepo@unisabana.edu.co.
[Ti] Título:[Learning about social determinants of health through chronicles, using a virtual learning environment].
[Ti] Título:Aprendiendo sobre determinantes sociales de la salud a través de crónicas, mediante un ambiente virtual de aprendizaje..
[So] Source:Rev Salud Publica (Bogota);18(5):756-767, 2016 Sep-Oct.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective: To describe the contributions of a pedagogical strategy based on the construction of chronicles, using a Virtual Learning Environment for training medical students from Universidad de La Sabana on social determinants of health. Methodology: Descriptive study with a qualitative approach. Design and implementation of a Virtual Learning Environment based on the ADDIE instructional model. Results: A Virtual Learning Environment was implemented with an instructional design based on the five phases of the ADDIE model, on the grounds of meaningful learning and social constructivism, and through the narration of chronicles or life stories as a pedagogical strategy. During the course, the structural determinants and intermediaries were addressed, and nine chronicles were produced by working groups made up of four or five students, who demonstrated meaningful learning from real life stories, presented a coherent sequence, and kept a thread; 82% of these students incorporated in their contents most of the social determinants of health, emphasizing on the concepts of equity or inequity, equality or inequality, justice or injustice and social cohesion. Conclusions: A Virtual Learning Environment, based on an appropriate instructional design, allows to facilitate learning of social determinants of health through a constructivist pedagogical approach by analyzing chronicles or life stories created by ninth-semester students of medicine from Universidad de La Sabana.
[Mh] Termos MeSH primário: Instrução por Computador
Educação Médica/métodos
Aprendizagem
Determinantes Sociais da Saúde
Estudantes de Medicina
[Mh] Termos MeSH secundário: Adulto
Colômbia
Seres Humanos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28453115
[Au] Autor:Rodríguez Miranda JP; García-Ubaque CA; García-Ubaque JC
[Ad] Endereço:Facultad del Medio Ambiente y Recursos Naturales. Universidad Distrital Francisco José de Caldas. Bogotá, Colombia. jprodriguezm@udistrital.edu.co.
[Ti] Título:[Waterborne diseases and basic sanitation in Colombia].
[Ti] Título:Enfermedades transmitidas por el agua y saneamiento básico en Colombia..
[So] Source:Rev Salud Publica (Bogota);18(5):738-745, 2016 Sep-Oct.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective : To analyze the relationship of sewerage coverage and wastewater treatment with waterborne disease behaviour. Methods: A descriptive retrospective study was conducted using secondary sources (document review and information available in databases) about basic sanitation coverage, treatment of domestic sewage in the country and the prevalence of waterborne diseases during the period 2008-2014. Results : The country invested USD 1,100 million in the implementation of wastewater treatment systems from 2011 until the first half of 2013. However, the incidence of waterborne diseases, such as acute diarrheal disease, foodborne diseases and typhoid and paratyphoid fever did not decrease during the period 2008-2014; only hepatitis A registered a decrease. Discussion: Investment in water supply and sewerage systems is relevant to improve health conditions of the population and to reduce the incidence and prevalence of various health conditions; however, it is necessary to address other aspects such as health education and social empowerment to address this problem more efficiently.
[Mh] Termos MeSH primário: Saneamento
Esgotos
Gerenciamento de Resíduos/normas
Doenças Transmitidas pela Água/epidemiologia
[Mh] Termos MeSH secundário: Colômbia/epidemiologia
Seres Humanos
Estudos Retrospectivos
Abastecimento de Água
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Sewage)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28453114
[Au] Autor:Leal-Bohórquez AF; Castro-Osorio CM; Wintaco-Martínez LM; Villalobos R; Puerto-Castro GM
[Ad] Endereço:Instituto Nacional de Salud. Bogotá. Colombia. andres_leal@yahoo.com; ccastro@ins.gov.co; mairawm@hotmail.com; gpuerto@ins.gov.co.
[Ti] Título:[Tuberculosis caused by Mycobacterium bovis in workers of bovine tuberculosis sanitation farms in Antioquia, Boyacá and Cundinamarca].
[Ti] Título:Tuberculosis por Mycobacterium bovis en trabajadores de fincas en saneamiento para tuberculosis bovina, de Antioquia, Boyacá y Cundinamarca..
[So] Source:Rev Salud Publica (Bogota);18(5):727-737, 2016 Sep-Oct.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective: To perform classic and molecular epidemiological surveillance of human tuberculosis caused by Mycobacterium bovis in bovine supply chains at farms with PPD positive bovines in the departments of Antioquia, Boyacá and Cundinamarca during a one-year period. Methods: Livestock farms with PPD positive bovines or buffalos were visited in the study departments according to information obtained in the "Programa Nacional de Tuberculosis bovina" (National program on bovine Tuberculosis) released by ICA (Colombian Agriculture and Livestock Institute). Data on socio-demographic information and tuberculosis risk factors associated to the occupation were collected through a survey applied to all workers at the visited farms. Sputum samples were obtained after informed consent. The sputa underwent microbiological and molecular testing to identify members of the M. tuberculosis complex. Results : Thirty-three livestock farms were visited and information of 164 workers from the bovine supply chain was collected. Staying in a PPD positive farm for more than a year, ignorance about the disease and the presence of possible vectors, like dogs and cats, were identified as possible risk factors for developing tuberculosis. No cases of tuberculosis caused by M. bovis or M. tuberculosis in workers of the visited farms were found. Conclusion : No cases of the disease caused by this zoonotic agent were documented in the departments of Antioquia, Boyacá and Cundinamarca.
[Mh] Termos MeSH primário: Doenças dos Trabalhadores Agrícolas/microbiologia
Criação de Animais Domésticos
Fazendas
Mycobacterium bovis
Tuberculose/microbiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Doenças dos Trabalhadores Agrícolas/diagnóstico
Animais
Gatos
Bovinos
Colômbia
Vetores de Doenças
Cães
Escolaridade
Seres Humanos
Meia-Idade
Mycobacterium tuberculosis
Saneamento
Escarro/microbiologia
Tuberculose/diagnóstico
Tuberculose Bovina
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28453112
[Au] Autor:Mogollón-Pastrán SC; García-Ubaque JC
[Ad] Endereço:Universidad Nacional de Colombia. Bogotá, Colombia. scmogollonp@unal.edu.co.
[Ti] Título:[Trend and causes of infant mortality in border areas in Colombia from 2005 to 2011].
[Ti] Título:Tendencia y causas de la mortalidad infantil en municipios de frontera en Colombia, 2005-2011..
[So] Source:Rev Salud Publica (Bogota);18(5):700-713, 2016 Sep-Oct.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective: To evaluate the registered trends and main causes of Infant Mortality (IM) in border areas of Colombia between 2005 and 2011. Methodology: Ecological study in border areas, developed from the analysis of institutional information on IM and its causes, using the list of leading causes of death of infants and children by the WHO. For analysis, descriptive statistics and cluster analysis techniques were measured using Excel and the R-Project processing software. Results: IM decreased steadily in the country and border areas between 2005 and 2011.The existence of significantly higher numbers in some of the municipalities studied was evident. Municipalities with lower IM had significantly higher average scores related to congenital malformations, deformations and chromosomal abnormalities (conditions originated during the perinatal period), circulatory system diseases, digestive system diseases, and tumors and neoplasms. In contrast, municipalities with higher IM rates presented higher average scores related to endocrine, nutritional and metabolic diseases, infectious and parasitic diseases, and respiratory system diseases, many of them considered preventable. Discussion: Border areas are affected by economic, political and cultural aspects that make them risk zones and generate interest for health. Findings reveal inequalities in the IM behavior when compared to the rest of the country. Understanding the peculiarities in these municipalities is crucial for the health sector to implement strategies and to pose health services that adequately meet the needs, and, thus, achieve health equity for these populations.
[Mh] Termos MeSH primário: Mortalidade Infantil/tendências
[Mh] Termos MeSH secundário: Doenças Cardiovasculares
Causas de Morte/tendências
Colômbia/epidemiologia
Feminino
Geografia
Disparidades em Assistência à Saúde
Seres Humanos
Lactente
Masculino
Neoplasias
Gravidez
Doenças Respiratórias
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE



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