Duazary

3

Authors: Adalberto Campo-Arias , Mirith Vásquez-Munive , Guillermo A. Ceballos-Ospino

Las Instituciones de Educación Superior (IES) colombianas están permanentemente sometidas a esquemas de clasificación que le otorgan mayor o menor visibilidad en el ámbito académico. Esto genera grandes expectativas y por ello la reciente publicación de la clasificación de la IES colombianas, basado en apropiación social del conocimiento (ASC)1, es controversial. Las clasificaciones, como cualquier estrategia que pretende establecer un orden no suelen ser completamente objetivas y se pueden configurar como un dispositivo ideológico y político que promueven la estigmatización y exclusión

10

Authors: Guillermo José Gallardo-Vásquez , Juana Elvira Chávez-Flores , Martha Contreras-Torvisco

The present research aims to evaluate the antibacterial effect of Jatropha Curcas latex “Piñón” against Staphylococcus aureus. The disc diffusion method of Kirby Bauer was used in the research, the concentrations of Jatropha Curcas “Piñón” latex were as follows: 10%, 20%, 30%, 40% and 100% using distilled water as solvent. Phytochemical analysis and solubility test were performed on the latex of the plant under study. Jatropha Curcas “Piñón” latex was very soluble in distilled water, ethanol and methanol. According to the phytochemical analysis the latex presented flavonoids, tannins, phenolic compounds, alkaloids and steroids. The concentration of latex at 40% had the highest antibacterial effect at a 95% confidence level and a relative error of 5%.

11

Authors: Juan Francisco Caldera-Montes , Oscar Ulises Reynoso-González , Diana Nuño-Camarena , Iván Alejandro Caldera-Zamora , Ignacio Pérez-Púlido , Claudia Arcelia Gómez-Álvarez

The objectives of this study were to identify the predictive level that personality dimensions have on the students Body Image, as well as their possible relationships, and to compare such variables according to the sex of the participants. The study population were students of three technical careers at a public educational institution in the state of Jalisco, Mexico. The sample consisted of 567 students. The Body Shape Questionnaire was used to measure the Body Image. The Neo Personality Inventory Revised NEO FFI (reduced version of the NEO PI-R) was used to evaluate the personality. Regarding the results, a multiple linear regression analysis identified the predictive variables of the Body Image —unsatisfied—, the dimension of the personality called “Neuroticism” and the female sex. In addition, significant relationships were found between the dimensions of personality “Neuroticism”, “Extroversion”, “Kindness and Responsibility” with body image and significant differences in it according to sex. It is suggested that later studies include other characteristics that could explain the presence of Body Image dissatisfaction in adolescents and confirm the influence of the predictor variables identified.

13

Authors: Katty Johana Ortiz-Grisolle , Kelly Garcia-Galezo , Angela Patricia Gómez-Cardona , Sindy Julieth Maestre-Álvarez , Graciela Emilia Vargas-Guerrero , Néstor Ramos-Navas , Wilson Giovanni Jiménez-Barbosa

The objective of the study was to determine the degree of adherence to the prenatal care guide in the State Social Enterprises of the first level of complexity of the northern sub-region, department of Magdalena (Colombia), from January to March of 2016. A descriptive study was carried out with a retrospective documentary review, which was developed in the first quarter of 2016. The census of the population was represented by 1164 Prenatal Control clinical records in the hospitals affiliated to the State Social Enterprises; of which 396 were randomly chosen for the construction of the research. The results showed non-adherence to prenatal care guidelines, observing that only hospital two meets 100% OPTIMO with four 66.6%) of the six items evaluated (Classification of obstetric risk, maternal clinical history and maternal cardiology perinatal, provision of micronutrients and reference and counterreferral). It was found that it is necessary to improve the monitoring of the alterations detected during pregnancy, especially as regards the risk classification with the aim of decreasing the maternal mortality rate in the department of Magdalena.

14

Authors: Andrés Ricardo Vigoya-Rubiano , Yury Stefany Osorio-Barajas , Yenny Salamanca-Camargo

The aim of this descriptive study is to analyze characteristics related to suicidal behavior of those who were reported in an event in Tunja, during the period 2012- 2017; taking into account 701 notification cards of attempted suicide of the National Public Health Surveillance System (SIVIGILA); the results from the statistical program SPSS, version 22, indicate that 51.5% of the people were between 16 and 25 years old, 53% were females and 31% had agricultural occupations. In terms of the characteristics of the suicide attempt, a higher percentage is identified as a result of partner problems (39.9%); the method most used was poisoning (62.4%) and there was at least one diagnosis of mental disorder in 37% of the cases recorded. It is concluded that the suicide attempts happen mainly in young population, with figures slightly higher in females, predominance of the urban area and the house as the place of the event. The occupations related to agriculture presented the highest occurrence, corroborating the information obtained at the national level, with the exception of gender.

15

Authors: Yuly Suárez-Colorado , Carmen Caballero-Domínguez , Jorge Palacio-Sañudo , Raimundo Abello-Llanos

A cross-sectional study was carried out, aimed to establish the academic burnout, engagement, and mental health changes in engineering and health sciences students at the beginning and at the end of the semester studied. 145 students between ages 16-36, from a Colombian public university, were the participants evaluated from February to June in 2015 by the Maslach Burnout Inventory Student Survey, Utrecht Work Engagement Scale Symptom Inventory 90-R. The results indicate increase in exhaustion and cynicism, and reduction on dedication and depression during the semester. Burnout is more severe in engineering at the beginning of the semester, while the engagement is greater in health sciences. It is concluded that there are changes in exhaustion raise (exhaustion-cynicism), decrease in engagement (dedication), and mental health, especially in the symptoms of depression; in addition, there is the distinction of burnout-engagement in engineering and health sciences at the beginning of the semester.

125 - 128

Authors: Ubaldo Enrique Rodríguez-de Ávila; John Fontanelle-Araujo; Mario André Leocadio-Miguel

a Porges Polyvagal Perspective introdujo una nueva idea que relaciona la función autonómica con el comportamiento, que incluye una apreciación del sistema nervioso autónomo como “sistema”, la identificación de circuitos neu-ronales implicados en la regulación del estado autonómico y una interpretación de la reactivi-dad autonómica adaptable dentro del contexto de la filogenia del sistema nervioso autónomo vertebrado, haciendo énfasis en la comprensión de los mecanismos neurofisiológicos y cambios filogenéticos en la regulación neural.

143 - 155

Authors: Ronald Alberto Toro-Tobar; Kerly Vanessa Beltrán-Aguirre; Laura Jimena González-Gómez; Ángela Paola Sabogal-Mancipe; Karolina Reyes-Parra; Luz Mery Guerrero-Ortiz

The transdiagnostic model is based on the evaluation and treatment of the etiological and maintaining variables of mental disorders. The objective was to establish the relationship between the transdiagnostic variables: perfectionism, rumination, positive and negative affect, anxiety sensitivity and intolerance of uncertainty, and, on the other hand, stress, anxiety and depression. 333 adult participants convened by a non-probabilistic incidental sampling, whose ages ranged from 18 to 70 years old (M= 28, SD= 8.70), 37.40% were men and 62.54%, women, single (66.27%), mainly university students (65.57%). The study was a cross-sectional predictive non-experimental study. The results showed significant correlations between anxiety and depression, as well as between intolerance of uncertainty and perfectionism, and depression with positive and negative affect and perfectionism. Regarding stress, significant correlations were found between rumination and emotional style. The predictive model emphasized intolerance of uncertainty, anxiety sensitivity and positive and negative affect to predict anxiety (r2 = .43), depression (r2 = .37) and stress (r2 = .17). It was concluded that the results provide evidence for the transdiagnostic model for anxiety and depression and, to a lesser extent, for stress.

171 - 180v

Authors: Darelys Baños-Sánchez; Yurien Amador-Hernández; Jorge Manuel Flores-Contreras; Aimara García-Martínez; Yoaly de las Mercedes Martínez-Morejón

The insertion of intravenous catheters has become an essential procedure in Pediatric Intensive Care Units. The object of this study is tocaracterize the morbimortality associated with intravenous treatment of severely ill pediatric patients. This is a descriptive, longitudinal prospective study, carried out during 2016, at the Intensive Care Unit of Pepe Portilla Pediatric Hospital, Pinar of the Río. The sample was constituted by 182 patients admitted within the study period and requiring intravenous access. The information was obtained from patients medical history and from the unit’s record of continuous morbility. It was processed with SPSS for Windows, with the hypothesis test of proportions and percentages. 51.12% of the admitted patients had an intravenous access, 31.46% by via femoral; 60.83% of patients were under one year old. Main use of intravenous was the administration of medications (100%), the 56.59% had the procedure over 10 days, the 12.08% of patients presented complications, infection was more frequent. Conclusions are that there is a high incidence of intravenous procedures, being infection for catheter the most frequent correlated complication.

195 - 209

Authors: María De los Ángeles-Bacigalupe

The analysis of some behavioral issues which affect communication in people with Parkinson’s Disease (PD) relative to their environment is performed in order to develop a proposal of communication based on relational anthropology. A bibliographical review was developed, along with a theoretical proposal. Behavior is understood as a co-constructive relationship between individuals and their environment, while communication is seen as a condition of this relationship. Several advances and opinions about body language and non-verbal behavior in people with PD are reviewed from the perspective which emphasizes both the deficit as a non-motor sign of Parkinson and compensatory strategies. Taking as a theoretical framework the relational point of view of human behavior, this article puts forward a co-constructive approach of non-verbal behavior in people with PD, which promotes the idea of health in the context of a chronic illness through the same possibilities that the characteristics of behavior offer, primarily through the phenomenon of paradoxical kinesia.

251 - 253

Authors: Renzo Felipe Carranza-Esteban; Raúl Christian Acuña Salinas

en la actualidad, el interés por la construcción de instrumentos de medición se ha incre-mentado notoriamente en las diferentes discipli-nas académicas, ya sea con fines de investigación o de aplicación profesional; pero es necesario que los instrumentos presenten adecuadas pro-piedades psicométricas (validez y confiabilidad) a fin de garantizar su uso responsable.

263 - 272

Authors: Rocío Guil-Bozal; Silvia González-Fernandez; José M. Mestre; Antonio Zayas-García; Cristina Guerrero-Rodríguez; Paloma Gil-Olarte

It is examined if the relationship empirically demonstrated between health and face-to-face social interactions is confirmed when it is virtual. The objective is to know if the perception of psychological well-being and receiving social support would explain the frequency of participation in virtual social networks (VSN). An ex-post-facto design was applied to a sample of 510 university Internet users (age, M = 22.89, SD = 5.67, 78.9% women). The level of psychological well-being (Spanish adaptation of the Ryff Psychological Well-Being Scale), social support (Family Social Support and Friends questionnaire - AFA) and the frequency of use of VSN are evaluated. To determine the relationships between the variables, correlation and hierarchical regression analyzes were carried out. The relative contribution of the perception of psychological well-being and of obtaining social support in the frequency of VSN use is confirmed, controlling the influences of age and gender. Specifically, the perception of having less ability to dominate the social environment and to obtain social support for friendships through VSN explains and allows predicting the increase in the frequency of use of such networks.

281 - 293

Authors: David Jahel García-AvendañoMa; Cristina Ochoa-Estrada; Isaías Iván Briceño-Rodríguez

In the present study we seek to determine the attitude of nurses towards a person’s death process in the intensive care unit. A descriptive, non-probabilistic study was carried out, using convenience sampling of 30 nursing professionalsassigned to a second level institution in the state of Durango, Mexico. The questionnaire on Attitudes to Death (CAM), based on the review of Death Attitudes and Self-Reported Health - Relevant Behaviors, was used in a Cuban version. It includes 33 reactants, grouped in six sub-scales for analysis: avoidance, acceptance, fear, passage, departure and professional perspective. The findings allowed to conclude that the professional nursing is prepared to take care of life, considering that they accept death as an inevitable fact. Nevertheless, from the professional perspective of the nurse practitioner, death is considered as a relief, taking into account the workload experienced by the relatives in the process of death.

307 - 323

Authors: Edwin Causado-Rodríguez; Amira Mojica-Cueto; Arturo Charris-Fontanilla

This article presents part of the results of the research project “Strategies for Increasing Competitiveness through the Conformation of the Health Tourism Cluster in the Metropolitan Area of Bucaramanga -AMB”, required to qualify for the Master’s degree in Business Development of the Faculty of Business Sciences of Universidad del Magdalena. The objective of this paper is to demonstrate the progress of the autonomous conformation of the health tourism cluster in Colombia. In this regard, we assess, in a methodological and rigorous way, the prospects of the health tourism market, from bibliographic review in English and Spanish –of a public, private and scientific institutional nature– by business initiative, as well as from studies carried out in regions of Colombia and worldwide, that have implemented this line as a development option by exploiting surrounding competitive advantages. Among the obtained results, the angles or dimensions of this phenomenon, in the economic and social context, become clear. In addition, the tourism patterns are highlighted, as well as the reasons why progress has been made in the conformation of the different clusters at a national level. This allowed deep insights into the issue, based on the interest multisectoral vision.

337 - 346

Authors: Edwin Herazo; Adalberto Campo-Arias; Nelson Alexander Dávila

It is well established that vital stressors during childhood, particularly sexual abuse, are associated with anxiety disorders and posttraumatic stress disorder. However, there is less information about the relationship between different kinds of abuse and the current category of anxiety disorders proposed by the American Psychiatric Association. The objective of this study was to perform a meta-review of the association between vital stressors during infancy (emotional, physical and sexual abuse and neglect) and anxiety disorders (panic disorder, generalized anxiety disorder and social anxiety disorder). It was conducted a meta-review of systematic reviews and meta-analyzes that analyzed the association between vital stressors during childhood and anxiety disorders, published in Medline between January 2000 and June 2016. The quality of the reviews was assessed with the AMSTAR questionnaire. Three studies that showed that vital stressors during childhood and anxiety disorders were significantly associated (odds ratios (OR) between 2.0 and 3.0). It is concluded that vital stressors during childhood increase the risk of anxiety disorders. New interventions are needed to prevent child maltreatment and associated morbidity.

11 - 12

Authors: Adalberto Campo-Arias

ala fecha, Duazary, Revista Internacional de Ciencias de la Salud ha publicado catorce volúmenes, 28 números regulares y un suplemento en trece años ininterrumpidos de divulgación científica nacional e internacional. Sin embargo, no se cuenta con la publicación de una carta al editory ello se evidencia claramente en las publicaciones de los años más recientes en que está modalidad ha crecido notablemente.

23 - 38

Authors: Felipe E. García; Félix Cova-Solar; Flor Bustos-Torres; Érica Reyes-Pérez

The working conditions in intensive care units (ICUs) are related to a high risk of burnout. In this study we aim to measure the influence of rumination and social support on burnout and psychological well-being in members of the staff of an ICU in a reference hospital in Chile. We proposed a model showing an indirect influence of brooding mediated by social support and burnout on the psychological well-being. We surveyed one hundred and thirty six employees (81.9% of the total) of ages 23 to 59 years of age. This sample consisted of 85.3% women and 14.7% men. We used the Maslach Burnout Inventory (MBI), the Ryff Scales of Psychological Well-Being (PWB), Zimet’s Multidimensional Scale of Perceived Social Support (MSPSS), and the Ruminative Responses Scale by Treynor et al (RRS). Results indicated direct relations between social support and well-being, and between brooding and burnout. They also indicated inverse relations between social support and burnout, and between brooding and well-being. The mediation model showed adequate fitting indices.

51 - 59

Authors: Carlos Alejandro Pineda-Roa; Adalberto Campo-Arias

Increase in information about the prevention of human immunodeficiency virus (HIV-AIDS) infection has not changed the attitudes towards HIV-AIDS. For this reason, the HIV / AIDS-65 questionnaire was designed to quantify knowledge and attitudes towards infection. The psychometric performance of this instrument has not been lately reviewed. The objective of the study was to analyze the performance of the dimensions that quantify attitudes towards HIV-AIDS. A validation study was designed in 190 students of psychology from two Colombian schools. The students were between 18 and 30 years old, mean = 21.7 (SD = 3.1); 72.1% women and 27.9% men. The students completed the 25 items of the dimensions of HIV-AIDS-65 attitudes (positive attitudes, negative attitudes, attitude towards the condom, susceptibility and self-efficacy). The psychometric performance was assessed by exploratory factor analysis (AFE) and confirmatory (AFC), parallel analysis (ANP), and internal consistency. The AFE, AFC and ANP showed a poor dimensionality. The internal consistency was very low (Cronbach and McDonald <0.70) for negative attitudes, attitude towards the condom and susceptibility and excessively high (Cronbach and McDonald> 0.95) for positive attitudes and self-efficacy. It is concluded that in students of psychology the dimensions of attitudes of HIV-AIDS-65 present are inadequate.

71 - 85

Authors: Miriam Belber-Gómez; Fátima Valencia-Agudo; María Eugenia De la Viuda-Suárez

In this article the psychological experience and needs shown in the discourse of women diagnosed with breast cancer in a psychological group intervention were analyzed. The sessions are transcribed and a discourse analysis is performed, selecting the most prevailing topics. The main psychological difficulties perceived by the participantsare the following: body identity change, sexuality changes, new quality of interpersonal relationships, implications of positive thinking culture, fear of recurrence, the relationship with the hospital staff, and change after diagnosis. The aspects that the group considered helpful are also addressed, i.e. feeling understood by the others, seeing the rest of participants as coping models, changing their relationship with the illness. Several clinical implications are highlighted in order to improve a comprehensive care.

122-130

Authors: Oskarly Pérez-Anaya, Guillermo Augusto Ceballos-Ospino, Diana Milena González-Gélvez, Jesús David Suescún-Arregocés

This study aimed at analyzing the scientific information of the Duazary Journal, between 2012 and 2016. To this end, a descriptive and cross-sectional bibliometric analysis was performed, including 98 published papers, based on the following indexes: paper typology, number of papers per year, institutional affiliation, collaboration index, topic, citations, and language. The results show that international contributions have increased since 2014 and papers classified in the areas of health sciences and clinical medicine (95%) predominate. Likewise, it was found that more than 50% of the total manuscripts correspond to original research papers, written mostly in Spanish. Therefore, increasing the number of papers published in English constitutes an opportunity for the journal improvement.

141-148

Authors: Gisela Gómez-Avellaneda, Carolina Tarqui-Mamani

Dyslipidemia and obesity are modifiable risk factors of cardiovascular risk. To determine the prevalence of overweight,obesity and dyslipidemia in health care workers. Cross-sectional study was conducted. It carried out a sampling random with affixation proportional. The sample size was 163 health care workers. Body mass index and waist circumference anthropometric technique was evaluated. Considered high total cholesterol > 200 mg/dl, high LDL-C>100 mg/dl, low HDL-C (men HDL-C<40 mg/dL and women HDL-C<50 mg/dl), and triglycerides≥ 150 md/d. The prevalence of hypercholesterolemia was 30.1%, 40.5% triglycerides, 69.3% low HDL-C, high LDL-C 55.2%, and global dyslipidemia was 87.7%. The median triglycerides (p = 0.034) and LDL-C was higher in males than in females (p=0.038). The dyslipidemia increased as age increased in LDL-C (p=0.015). Dyslipidemia, overweight,obesity and obesity abdominal were higher in workers women. The prevalence of overweight was 41.1%, 25.8% obesity and the obesity abdominal was 37.5%. The prevalence of dyslipidemia global was high and more than half of health workers were overweight or obese and one-third had abdominal obesity

160 - 168

Authors: Lucy Margarita Villafañe-Ferrer, Rocío Margarita González-Navarro

Sexually transmitted infections are an epidemiologic and clinical problem of first order in all the world by effect that can produce and their economic consequences. Adolescents and young are in most risk to have these diseases byfacts such as premature sexual relationships and promiscuity. The objective of this investigation was to determine risk behaviors and level of knowledge about sexually transmitted infections in students’ community. Correlational cross-sectional study. A questionnaire was applied to determine risk behaviors and level of knowledge about sexually transmitted infections to 128 students’ community. In this study was found 78.1% of students had sexual relationships. 55% of students drink alcohol before a sexual relationship. By means of statistical analysis was found association between sexually transmitted infections and drug use (p=0.042). Students had a regular level of knowledge. It not was found association between risk behaviors and level of knowledge (p>0.05). Results found in this investigation demonstrate the necessity of making activities for prevention of these infections and motivating changes of behaviors for reducing risk of contagion of these infections.

179 - 187

Authors: José Alonso Andrade-Salazar, Lowell Duffay-Pretel, Paola Andrea Ortega-Maya, Elberney Ramirez-Avilés, Jorge Erik Carvajal-Valencia

This is an empirical-analytic correlational research whose intent is to find the relationship between levels of self-esteem and hopelessness in adolescents in an educational institution of Quindío-Colombia. The Beck Hopelessness Scale and the Self-Esteem Scale Rosenberg were applied. It was found that the risk of suicide or grade of hopelessness “none or minimal” is 59.4%, “mild” 26.8%, “moderate” 12.9% and “high” 0.9%. The type of suicide risk is minimal in women 33.5% and high 0.9 %, while in the men is minimal 29.5 %, mild 17 %, and moderate 7.1%. Expressing as conclusion that hopelessness is increase for motivational and cognitive factors that shape suicidal ideation and raise the risk of suicide. Low self-esteem is not a consistent factor in suicidal ideation.

197 - 203

Authors: Franklin J. Espitia-de la Hoz

It is aimed to review the literature regarding the clinical evaluation of female urinary incontinence in gynecologic consultation. An exploration of the literature in several different electronic databases, books printed texts in indexed journals and recognized scientific societies, to identify relevant literature was trying to find the best evidence in the clinical assessment of urine leakage in gynecological consultation. They are not allowing sufficient scientific documents suggest which is the most specific clinical examination in the assessment of incontinence in gynecologic consultation, but the correlation of findings from each other, facilitates the same. The literature shows that the methods of clinical evaluation of urinary incontinence in gynecologic consultation play an important role in the correct diagnosis of patients and proper treatment thereof; therefore, it is necessary to turn our eyes to the appropriate clinical evaluation in gynecological consultation.