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Examinando AGBC. Investigación en Manejo Clínico - CLINIUDES por Autor "Angarita Fonseca, Adriana"
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- PublicaciónAcceso abiertoAspectos motivacionales de donantes voluntarios de sangre en un móvil de recolección de la ciudad de Bogotá, Colombia(2012) Cruz Bermúdez, Harold Fabián; Moreno Collazos, Jorge Enrique; Angarita Fonseca, Adriana; Calderón Serrano, Claudia Yaneth; Restrepo Sierra, Mónica PatriciaThe demand for blood donation makes it a constant activity, whereby knowing the motivational aspects for its implementation becomes a determinant in the formulation of strategies for the increase of donors and to strengthen the donation programs. The aim of this study was to establish the main motivations for voluntary donation in the population that attended a gathering point of Bogotá (Colombia). A descriptive transversal study was designed with a sample of 500 adults (28.8 ± 10.4 years), 58% female. A survey was done for data collection. The variables used were age, sex, socioeconomic status, residence for the last five years and main motive for blood donating. A descriptive and a bivariate analysis applying the chi2 test were ejecuted. The software used was Stata 11.0. The main motives for donation were the promotion (18% CI 95% 14.7-21.7) and to save lives (14.4% CI 95% 11.4-17.8). People coming from socioeconomic levels I and II donated mainly motivated by the promotion (33.0%) and those from the socioeconomic levels III, IV and V donated mainly to save lives (38.4%). The interviewed population gave clear information about the aspects that motivated voluntarily and willingly blood donation, as to promote more donations and save lives, among others.
- PublicaciónAcceso abiertoAssociation between gross motor function and nutritional status in children with cerebral palsy : A cross-sectional study from Colombia(2016-03-31) Herrera Anaya, Elizabeth; Angarita Fonseca, Adriana; Herrera Galindo, Víctor Mauricio; Martínez Marín, Rocío del Pilar; Rodríguez Bayona, Cindy NAIM.To determine the association between gross motor function and nutritional status inchildren with cerebral palsy (CP) residing in an urban area in a developing country. METHOD.We conducted a cross-sectional study in 177 children (ages 2–12y, 59.3% male) witha diagnosis of CP who were attending rehabilitation centres in Bucaramanga, Colombia(2012–2013). A physiotherapist evaluated patients using the Gross Motor FunctionClassification System (GMFCS, levels I to V). Nutritional status was evaluated by nutritionistsand classified according to the World Health Organization growth charts. We used linear andmultinomial logistic regression methods to determine the associations. RESULTSThere were 39.5%, 6.8%, 5.6%, 16.4%, and 31.6% patients classified in levels I to Vrespectively. The mean adjusted differences for weight-for-age, height-for-age, BMI-for-age,and height-for-weight z-scores were significantly larger for children classified in levels II to Vcompared with those in level I. The children classified in levels IV and V were more likely tohave malnutrition (adjusted odds ratio [OR] 5.64; 95% confidence interval [CI] 2.27–14.0) andstunting (OR 8.42; 95% CI 2.90–24.4) than those classified in GMFCS levels I to III. INTERPRETATIONStunting and malnutrition are prevalent conditions among paediatric patientswith CP, and both are directly associated with higher levels of gross motor dysfunction.
- PublicaciónAcceso abiertoConocimientos y actitudes asociadas al inicio del hábito de fumar durante la vida universitaria(2012-07) Pinilla Vásquez, Clemencia; Angarita Fonseca, AdrianaSe determinó la asociación entre conocimientos y actitudes frente al inicio del hábito de fumar en estudiantes universitarios. Materiales y métodos: Estudio de corte transversal realizado mediante una encuesta auto-diligenciada por 433 estudiantes seleccionados aleatoriamente entre abril y mayo de 2010. Se realizaron análisis de regresión de Poisson simple y múltiple y se calcularon las razones de prevalencia (RP) crudas y ajustadas. Resultados: Se encontró que ser hombre (RP = 1,62; IC95%: 1,21-2,18) y conocer la legislación colombiana sobre tabaco (RP = 1,75; IC95%: 1,25-2,45) aumenta la probabilidad de inicio del hábito tabáquico durante la carrera. En contraste, conocer que generalmente los fumadores mueren más jóvenes (RP = 0,72; IC95%: 0,53-0,98), que la mayoría de pacientes con cáncer de pulmón son o han sido fumadores (RP = 0,64; IC95%: 0,46-0,89) y considerar el fumar un vicio (RP = 0,58; IC95%: 0,42-0,80) o una drogodependencia (RP = 0,48; IC95%: 0,27- 0,82) están asociados con menor probabilidad de inicio del hábito de fumar durante la vida universitaria. Conclusión: El conocimiento sobre los efectos de fumar disminuye el inicio de este hábito durante la carrera.
- PublicaciónAcceso abiertoControl de calidad de la leucorredución de plaquetas obtenidas por aféresis por medio de Cámara de Nageotte y Cell-Din Ruby(2014-07) Cruz Bermúdez, Harold Fabián; Moreno Collazos, Jorge Enrique; Castrillón Villada, Liliana; Patiño, Angélica; Forero Rincón, Sandra; Angarita Fonseca, AdrianaObjective: compare using two different methodologies residual white blood cell count in order to provide safer blood components. The blood components obtained from apheresis offer greater safety to patients at the time of blood transfusion; verifying leukoreduction differentiator Material and Methods: A descriptive study was perfor-med cross-sectional in Colombia Hematológica Foundation. Bogotá. Simple random sampling was performed from the list entered in a blood drive for the purpose of ve-rification of residual white blood cell count by Nageotte chamber and Cell Dyn Ruby © © units. For the analysis of the data measures of central tendency and dispersion for quantitative variables were applied (95%) and Spearman correlation analysis for satisfactory procedures (t-test); Data analysis was performed on SPSS Version IBM © program 19. Results: The study population consisted of 124 samples of platelets obtained by apheresis. In relation to cell count for the two methodologies presented an average of 0,057 vs 0,003 cells counted; the maximum value for the two methods was 0.34 to 0.44. Conclusions: The samples analyzed presented residual white blood cell counts below 5.0 x 106 estimated to set the drive as leukoreduced with this finding value puts safety of transfused platelets obtained by apheresis aspects reactions to evidence transfusion rWBC additionally could be used safely leaving platelets into consideration the use of filters to leucorredución.
- PublicaciónAcceso abiertoEstado actual del embarazo gemelar. Revisión de la literatura(2012-12) Vallejo Ardila, Dora Lucía; Rangel Díaz, Andrea; Angarita Fonseca, Adriana; Cardona, Eliana PatriciaEn la actualidad el diagnóstico de embarazo gemelar le confiere al binomio madre e hijo características específicas que los convierte en una población de alto riesgo para patologías que comprometen el estado de bienestar fetal como: prematurez, ruptura prematura de membranas, restricción de crecimiento intrauterino, malformaciones congénitas, problemas de entrecruzamiento del cordón, abruptio placentae, distocias de presentación y síndrome de trasfusión feto-fetal. Además de los determinantes de morbilidad materna, los cuales han incrementado su prevalencia según la etiología asociada, ya sean los trastornos de hipertensión asociados al embarazo, sepsis secundario a ruptura prematura de membranas y hemorragia postparto. En tanto así, recobra vital importancia realizar una revisión acuciosa dirigida por ejes temáticos sobre las patologías de mayor prevalencia asociadas al embarazo gemelar.
- PublicaciónAcceso abiertoEvaluación de la percepción de un grupo universitario de docentes frente a la educación como fenómeno social en Colombia(2016-08-16) Moreno Collazos, Jorge Enrique; Cruz Bermúdez, Harold Fabián; Angarita Fonseca, Adriana; Vélez Ramírez, AmparoObjective: This paper aims to evaluate the perception of a university group of teachers about education as a social phenomenon. An analytical cross-sectional study was conducted with a group of university teachers in Bogota, Colombia, in October 2014. A survey was applied in order to evaluate the perception about education as a social phenomenon; the data analysis was performed using SPSS software version 19. The population studied consisted of 60 university professors with an average age of 42.2 ± 14.4 years, and with 6.15 years of teaching practice. Male gender was predominant with 53% (n = 32). There were statistically significant differences in the results related to the concept of education (p = 0.05 to 0.00) and to the following items: “Do you consider that investment in public education is enough?” (p = 0.02), “Is education a political model?” (P = 0.03); in aggregate age, “Is access to higher education conceived by the Colombian government with social concern?”, “Does the environment influence the Colombian student’s education development?” (p = 0.02 to 0.00); it was the same case for the interpretive sociology for the item “Are patterns of educational assessment adequate in the country?” (p = 0.04). In conclusion, it was found that there are differences in teachers’ conceptions about the construction of education as a social phenomenon.f education as a social phenomenon by finding differences between the conceptions of it in teaching.
- PublicaciónAcceso abiertoHealth related quality of life and urinary incontinence in women with overweight and obesity in Bucaramanga, Colombia(2015-01-13) Carreño, Lina María; Angarita Fonseca, Adriana; Pinto, Alba Lucía; Delgado, Alejandra Nancy; García, Lina MarcelaObjetivo: Determinar la asociación entre calidad de vida relacionada con salud (CVRS) e incontinencia urinaria (IU) en una población de mujeres con exceso de peso del área urbana de Bucaramanga, Colombia. Materiales y métodos: Estudio analítico de corte transversal realizado entre marzo y mayo de 2012. La muestra estuvo conformada por 63 mujeres seleccionadas aleatoriamente, mediana de edad 46 años, con un mínimo de 18 y un máximo de 65 años, 76% con sobrepeso y 24% con obesidad. Se evalúo la CVRS con el SF-36 y el cuestionario de calidad de vida para mujeres con síntomas del tracto urinario bajo (ICIQ-FLUTSqol), la incontinencia urinaria se evaluó mediante la forma corta del cuestionario modular creado por el grupo Consulta Internacional sobre Incontinencia (ICIQ-IU Short Form). Resultados: La prevalencia de IU global fue de 39,7%, IU esfuerzo 28,6% e IU mixta 11,1%. No se encontraron diferencias estadísticamente significativas en las 8 dimensiones del SF-36 entre mujeres con y sin IU. La dimensión con menor puntaje en las mujeres con IU fue vitalidad (63,4). El puntaje de CVRS evaluado con el cuestionario ICIQ-FLUTSqol obtuvo una mediana de 27 con un mínimo de 20 y máximo 52. Conclusión: En mujeres con exceso de peso no se observaron diferencias estadísticamente significativas en las 8 dimensiones de la CVRS al comparar las mujeres con y sin IU.
- PublicaciónAcceso abiertoImaginarios sociales de donantes voluntarios de sangre en un punto fijo de recolección. Bogotá - Colombia(2011-07) Cruz Bermúdez, Harold Fabián; Moreno Collazos, Jorge Enrique; Angarita Fonseca, Adriana; Calderón Serrano, Claudia Yaneth; Martínez Fonseca, Silvia Inés; Restrepo Sierra, Mónica PatriciaSangre; se pretende incrementar la recolección de componentes sanguíneos a partir de conocer los imaginarios frente al proceso. Objetivo: establecer los principales imaginarios sociales relacionados con la donación voluntaria de sangre Metodología: se realizó un estudio trasversal descriptivo en una muestra de 100 adultos. La recolección de la información se realizó aplicando una encuesta mediante entrevista durante el periodo de julio a diciembre de 2010. Las variables fueron: edad, sexo, procedencia, estrato socioeconómico, nivel educativo y principal imaginario relacionado con la donación de sangre. Se realizó un análisis descriptivo; el software utilizado fue Epi Info versión 3.5.1 Resultados: el principal imaginario de las mujeres fue “subir de peso” con el 70,59%, mientras que para los hombres fue “La sangre es comercializada” con un 36.36%. Discusión: la edad descrita en el estudio y los aspectos socioculturales se comportan según lo determinado; los imaginarios sociales los establece principalmente el sexo femenino con el aumento de peso. Conclusiones: los imaginarios sociales hacen que los sujetos tengan una mayor predisposición negativa hacia la donación voluntaria de sangre.
- PublicaciónAcceso abiertoPrevalencia y caracterización de la población en condición de discapacidad del municipio de Los Santos (Santander, Colombia), 2011(2012-05) Hijuelos Cárdenas, Martha Liliana; Angarita Fonseca, Adriana; Martínez Marín, Rocío del Pilar; Criado Guerrero, Libeth-Yajaira; Rojas Cruz, Angie Melissa; Rangel Mantilla, Luz Adriana; Torres Vega, Yanina AlejandraObjective: To determine the prevalence and characterize the condition of disabled people in the municipality Los Santos, Santander in 2010 and 2011. Materials and methods: A descriptive study was conducted using the tool of record “Survey of Persons with Disabilities and its attendant”. Physiotherapy and bacteriology students from University of Santander (UDES), previously trained, collected the information by interview. We use descriptive statistics applying central tendency measures and absolute and relative frequencies. Results: We found 108 people with disabilities; the prevalence of disability in this population was 1.3% (95% CI 1.1 -1.6), the place with the highest prevalence was Los Teres (9.4%; 95% CI 5.1-15.5). Of the 108 disabled people, 48% were female and 47.2% were between 15 and 44 years old. The body structure more impairment was nervous system with a 64.8% and general tasks and demands were the most affected (57.4%). Problems with services, transport systems and policies, social security, health, and education were the main facilitator (57.4%). Conclusion: Disability as a public health problem affecting the activities, participation and performance of the people with disabilities decreasing their individual development and opportunities for integration into society.
- PublicaciónAcceso abiertoReproducibilidad de las pruebas Arm Curl y Chair Stand para evaluar resistencia muscular en población adulta mayor(2012-07-06) Boneth Collantes, Milena del Carmen; Ariza García, Claudia Lucía; Angarita Fonseca, Adriana; Parra Patiño, Javier; Monsalve, Andrea; Gómez, ElianaObjective: to assess the test-retest reliability and level of agreement between measures of the 30 second (30-s) Arm Curl and 30-s Chair Stand test in a sample of older adults from Bucaramanga.Materials and methods: a study of evaluation of diagnostic technology was done. Both tests were administered by the same evaluator to 111 adults older than 59 year-old (70,4 ± 7,3), on two occasions, with an interval of time between measures of 4 to 8 days. In the analysis, test-retest reliability was determined using the Intraclass Correlation Coefficient ICC= 2,1 with their confidence interval 95% (CI 95%) respective. The agreement level was established by the Bland and Altman method. Results: the test-retest reproducibility of the 30-s Arm Curl test was very good ICC= 0,88 and to the Chair Stand test was good ICC= 0,78. The agreement was very good for both tests of muscle endurance. The CI 95% were between -3,8 and 3,2 stands to 30-s Chair Stand test and between -3,1 and 2,8 curls to 30-s Arm Curl test. Conclusion: the 30-s Arm Curl and 30-s Chair Stand test have good reliability and agreement to assess muscle endurance in older adults functionally independent.
- PublicaciónAcceso abiertoReproducibilidad interevaluador del Formato de Observación Sistemática de la Alineación Corporal en estudiantes universitarios(2013-07) Alfonso Penaloza, Y.; Cepeda López, J.; Navarro Valencia, M.; Tirado Todaro, Angélica M.; Quintero Moya, S.; Ramírez, P.; Angarita Fonseca, AdrianaObjective To estimate the inter-rater reliability of the Body Alignment Systematic Observation Form (BASOF) applied to young adults in a private university in Bucaramanga (Colombia). Methodology A study of diagnostic tests was performed in a sample of 123 college students, aged 18 to 29, who met the inclusion criteria. Three examiners (an expert in posture, a physiotherapist with experience and a last semester student of physiotherapy) performed the postural examination, analyzing 7 printed photographs: one posterior, two right laterals, two left laterals and two anterior. We studied 63 deficiencies, which were registered in the BASOF. Results The inter-rater reliability to determine postural deficiencies ranged from poor to acceptable. The level obtaining the best reliability according to the global Kappa index was the posterior one in which 26.5% of the deficiencies obtained a kappa Index greater than 0.40. The scoliosis in S variable had the highest reliability with a kappa value of 1.00, obtained on the item expert vs student on the posterior plane. Conclusions The low inter-rater reliability leads to the conclusion that postural examination by direct observation method is not suitable for use in research. However, it allows the practitioner to detect marked postural deficiencies and therefore should not be excluded from the physiotherapy examination. Moreover, the BASOF can become a useful tool in the future academic career in physical therapy to establish methodically the process of observing body alignment.