1
|
Bedoya Giraldo JD, Pulido Ángel J, García Valencia J, Aguirre Acevedo DC, Cardeño Castro CA. Factors associated with the intensity of anxiety and depression symptoms in health workers of two centres of reference for COVID 19 patient care in Antioquia, Colombia - A latent class analysis. Rev Colomb Psiquiatr (Engl Ed) 2023; 52:352-361. [PMID: 38008668 DOI: 10.1016/j.rcpeng.2021.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Accepted: 09/20/2021] [Indexed: 11/28/2023]
Abstract
OBJECTIVE To classify the staff of two reference institutions for COVID-19 care in Antioquia according to the intensity of anxiety and depression symptoms, and to determine the factors associated with these classes. METHODS Cross-sectional study in which the GAD-7, PHQ-9, fear of COVID-19, and the Copenhagen Burnout scale were used. Latent class analysis was performed to identify the classes, and the factors associated with these were determined using multinomial logistic regression. RESULTS 486 people participated. The three-class model had the best fit: class I with low scores on the scales; class II with mild degrees of anxiety and depression, and intermediate levels of fear of COVID-19 and perceived stress; and class III with moderate and severe degrees of anxiety, depression, and perceived stress. The factors associated with belonging to class III were age (OR = 0.94; 95%CI, 0.91-0.96), change of residence to avoid exposing relatives (OR = 4.01; 95%CI, 1.99-8.09), and a history of depressive disorder (OR = 3.10; 95%CI, 1.27-7.56), and anxiety (OR = 5.5; 95%CI, 2.36-12.90). Factors associated with class II were age (OR = 0.97; 95%CI, 0.95-0.99), history of depressive disorder (OR = 3.41; 95%CI, 1.60-7.25), living with someone at risk of death from COVID-19 (OR = 1.86; 95%CI, 1.19-2.91), family member being healthcare staff (OR = 1.58; 95%CI, 1.01-2.47), and change of residence to avoid exposing relatives (OR = 1.99; 95%CI, 1.11-3.59). CONCLUSIONS Three classes of participants were obtained, two of them with anxiety and depression symptoms. Younger age and a history of mental disorder were factors associated with the two classes of symptomatic patients; other factors may be causes or consequences of the symptoms.
Collapse
Affiliation(s)
- Jesús David Bedoya Giraldo
- Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Antioquia, Colombia.
| | - Juliana Pulido Ángel
- Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Antioquia, Colombia
| | - Jenny García Valencia
- Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Antioquia, Colombia; Instituto de Investigaciones Médicas, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | | | - Carlos Alberto Cardeño Castro
- Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Antioquia, Colombia; Hospital Universitario San Vicente Fundación, Medellín, Antioquia, Colombia
| |
Collapse
|
2
|
Ruiz GC, Ospina JPZ, Vargas C, Acevedo DCA, López-Jaramillo C. Structural neuroimaging and predominant polarity in patients with type 1 bipolar disorder from Antioquia. Rev Colomb Psiquiatr (Engl Ed) 2022; 51:123-132. [PMID: 35753978 DOI: 10.1016/j.rcpeng.2020.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Accepted: 10/05/2020] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Predominant polarity (PP) has been proposed as a specifier of bipolar disorder (BD) due to its relationship with clinical and prognostic variables. It is possible that this is due to a different underlying neurobiology, in such a way that the changes found by structural nuclear magnetic resonance imaging (sMRI) in BD are different and specific. OBJECTIVES To explore findings of structural neuroimaging in patients with BD type I (BD-I) according to PP. METHODS Cross-sectional study that evaluated 77 patients with BD-I using the DIGS interview. PP was established using the operative definition of two-thirds of all affective episodes throughout life to classify PP as manic (MPP), depressive (DPP) or indeterminate (IPP). MRI was performed during the euthymia phase to measure intracranial structures. The data obtained was analysed using a linear regression model adjusted for confounding variables (drug use, alcohol use, psychoactive substance use) and were compared between the three groups finding the standardised mean difference (SMD). RESULTS Differences with adequate effect size were found in three brain structures after adjusting for confounding variables, specifically in the right fusiform gyrus and the left lingual gyrus, which were greater in the DPP group than in the MPP group (SMD = 0.92; 95% CI = 0.34-1.49 and SMD = 0.78; 95% CI = 0.21-1.35). Likewise, in the right thalamus, it was shown to be greater in the IPP group compared to MPP group (SMD 0.89, 95% CI = 0.31-1.46). CONCLUSIONS A reduction in the thickness of the right fusiform gyrus and the left lingual gyrus, as well as the right thalamic volume was observed in patients with BD-I with PPM, which supports the hypothesis that PP has a plausible neurobiological correlate and could have potential utility as a BD specifier.
Collapse
Affiliation(s)
| | - Juan Pablo Zapata Ospina
- Instituto de Investigaciones Médicas, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | - Cristian Vargas
- Grupo de Investigación en Psiquiatría GIPSI, Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | | | - Carlos López-Jaramillo
- Grupo de Investigación en Psiquiatría GIPSI, Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| |
Collapse
|
3
|
Díaz Ortiz AC, Vargas Upeguí C, Zapata Ospina JP, Aguirre Acevedo DC, Pineda Zapata JA, López Jaramillo CA. Correlation between cognitive performance and structural neuroanatomy in patients with type I bipolar affective disorder treated with and without lithium. Rev Colomb Psiquiatr (Engl Ed) 2022; 51:133-145. [PMID: 35717384 DOI: 10.1016/j.rcpeng.2020.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Accepted: 10/05/2020] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Lithium treatment of bipolar disorder (BD) has been associated with less cognitive impairment and fewer changes in structural brain anatomy compared to other treatments. However, the studies are heterogeneous and few assess whether these effects are related. The objective of this study was to evaluate and relate cognitive performance and structural neuroanatomy in patients treated with and without lithium. METHODS Cross-sectional study that included 48 subjects with BD-I, of which 22 were treated with lithium and 26 without lithium. Performance was assessed on Wechsler III (WAIS III), TMT A and B (Trial Making Test) neuropsychological tests, California verbal learning test (CVLT), Rey complex figure test and Wisconsin card sorting test. Brain structures obtained by magnetic resonance imaging (MRI) were evaluated. The standardised mean difference (SMD) between both groups was calculated, adjusted for confounding variables using a propensity score, and the Spearman correlation coefficient (ρ) was used to assess the relationship between cognitive performance and neuroanatomical regions. RESULTS Compared to the group without lithium, the group with lithium had fewer perseverative errors in the Wisconsin test (SMD = -0.69) and greater left and right cortical areas (SMD = 0.85; SMD = 0.92); greater surface area in the left anterior cingulate (SMD = 1.32), right medial orbitofrontal cortex (SMD = 1.17), right superior frontal gyrus (SMD = 0.82), and right and left precentral gyrus (SMD = 1.33; SMD = 0.98); greater volume of the right amygdala (SMD = 0.57), right hippocampus (SMD = 0.66), right putamen (SMD = 0.87) and right thalamus (SMD = .67). In the lithium group, a correlation was found with these errors and the thickness of the left precentral gyrus (ρ = -0.78), the volume of the right thalamus (ρ = -0.44), and the right amygdala (ρ = 0.6). CONCLUSIONS The lithium group had better cognitive flexibility and greater dimension in some frontal and subcortical cortical regions. Furthermore, there was a moderate to high correlation between performance in this executive function and the thickness of the right precentral gyrus, and the volumes of the thalamus and the right amygdala. These findings could suggest a neuroprotective effect of lithium.
Collapse
Affiliation(s)
- Andrés Camilo Díaz Ortiz
- Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
| | - Cristian Vargas Upeguí
- Grupo de Investigación en Psiquiatría (GIPSI), Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | - Juan Pablo Zapata Ospina
- Instituto de Investigaciones Médicas, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | | | | | - Carlos Alberto López Jaramillo
- Grupo de Investigación en Psiquiatría (GIPSI), Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| |
Collapse
|
4
|
García Borrero LM, Aguirre Acevedo DC, Zapata Rueda CM, García García HI. Validity and reliability of the SBI (Spanish Burnout Inventory) in medical surgical specialists. Colomb J Anesthesiol 2021. [DOI: 10.5554/22562087.e1017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Introduction. Burnout Syndrome is the term used to describe the psychological response to patient care-related chronic work stress. Studies have found that the prevalence of practitioner burnout in Colombia ranges between 17.6% and 45%. Given the importance of this phenomenon in our setting, we decided to carry out a validation and reliability study of the Spanish Burnout Inventory (SBI).
Objective. To assess the validity and reliability of the SBI in medical surgical specialists working in fourteen health care facilities in Antioquia (Colombia) in 2018.
Methods. The study was conducted in 14 healthcare institutions among 8 surgical specialties. The tool consists of 20 items collected by means of face-to-face interviews under the supervision of a psychologist, and maintaining confidentiality. The psychometric assessment included content validity (CV), construct validity using confirmatory factor analysis (CFA) and reliability using Cronbach’s Alpha.
Results. The study sample consisted of 234 participants. CV of the tool was 0.82. The CFA showed acceptable model fit, with the results of goodness-of-fit being χ2=384.578 (p<0.000; df: 165), RMSEA = 0.075 [90% CI: 0.066 – 0.085], CFI = 0.953, TLI = 0.946 and WRMR = 1.074. The SBI Cronbach’s alpha was 0.79.
Conclusion. The SBI showed acceptable CV levels for all the items and domains. The SBI is a valid tool with adequate reliability for use in medical surgical specialists of healthcare institutions in Antioquia-Colombia.
Collapse
|
5
|
Giraldo JDB, Ángel JP, Valencia JG, Acevedo DCA, Castro CAC. [Factors associated with the intensity of anxiety and depression symptoms in health workers of two centres of reference for COVID 19 patient care in Antioquia, Colombia - a latent class analysis]. Rev Colomb Psiquiatr 2021; 52:S0034-7450(21)00147-5. [PMID: 34658447 PMCID: PMC8511653 DOI: 10.1016/j.rcp.2021.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Accepted: 09/20/2021] [Indexed: 06/13/2023]
Abstract
Objective: To classify the staff of two reference institutions for COVID-19 care in Antioquia according to the intensity of anxiety and depression symptoms, and to determine the factors associated with these classes.Methods:Cross-sectional study in which the GAD-7, PHQ-9, fear of COVID-19, and the Copenhagen Burnout scale were used. Latent class analysis was performed to identify the classes, and the factors associated with these were determined using multinomial logistic regression.Results: 486 people participated. The three-class model had the best fit: class I with low scores on the scales; class II with mild degrees of anxiety and depression, and intermediate levels of fear of COVID-19 and perceived stress; and class III with moderate and severe degrees of anxiety, depression, and perceived stress. The factors associated with belonging to class III were age (OR=0.94; 95%CI, 0.91-0.96), change of residence to avoid exposing relatives (OR=4.01; 95%CI, 1.99-8.09), and a history of depressive disorder (OR=3.10; 95%CI, 1.27-7.56), and anxiety (OR=5.5; 95%CI, 2.36-12.90). Factors associated with class II were age (OR=0.97; 95%CI, 0.95-0.99), history of depressive disorder (OR=3.41; 95%CI, 1.60-7.25), living with someone at risk of death from COVID-19 (OR=1.86; 95%CI, 1.19-2.91), family member being healthcare staff (OR=1.58; 95%CI, 1.01-2.47), and change of residence to avoid exposing relatives (OR=1.99; 95%CI, 1.11-3.59).Conclusions: Three classes of participants were obtained, two of them with anxiety and depression symptoms. Younger age and a history of mental disorder were factors associated with the two classes of symptomatic patients; other factors may be causes or consequences of the symptoms.
Collapse
Affiliation(s)
| | - Juliana Pulido Ángel
- Hospital Universitario San Vicente Fundación, Universidad de Antioquia, Medellín, Antioquia, Colombia
| | - Jenny García Valencia
- Instituto de Investigaciones Médicas, Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | - Daniel Camilo Aguirre Acevedo
- Instituto de Investigaciones Médicas, Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | - Carlos Alberto Cardeño Castro
- Hospital Universitario San Vicente Fundación, Universidad de Antioquia, Medellín, Antioquia, Colombia
- Instituto de Investigaciones Médicas, Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| |
Collapse
|
6
|
Díaz Ortiz AC, Upeguí CV, Ospina JPZ, Acevedo DCA, Pineda Zapata JA, Jaramillo CAL. Correlation Between Cognitive Performance and Structural Neuroanatomy in Patients with Type I Bipolar Affective Disorder Treated with and Without Lithium. Rev Colomb Psiquiatr (Engl Ed) 2021; 51:S0034-7450(20)30094-9. [PMID: 33735049 DOI: 10.1016/j.rcp.2020.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Accepted: 10/05/2020] [Indexed: 06/12/2023]
Abstract
INTRODUCTION Lithium treatment of bipolar disorder (BD) has been associated with less cognitive impairment and fewer changes in structural brain anatomy compared to other treatments. However, the studies are heterogeneous and few assess whether these effects are related. The objective of this study was to evaluate and relate cognitive performance and structural neuroanatomy in patients treated with and without lithium. METHODS Cross-sectional study that included 48 subjects with BD-I, of which 22 were treated with lithium and 26 without lithium. Performance was assessed on Wechsler III (WAIS III), TMT A and B (Trial Making Test) neuropsychological tests, California verbal learning test (CVLT), Rey complex figure test and Wisconsin card sorting test. Brain structures obtained by magnetic resonance imaging (MRI) were evaluated. The standardised mean difference (SMD) between both groups was calculated, adjusted for confounding variables using a propensity score, and the Spearman correlation coefficient (ρ) was used to assess the relationship between cognitive performance and neuroanatomical regions. RESULTS Compared to the group without lithium, the group with lithium had fewer perseverative errors in the Wisconsin test (SMD = -0.69) and greater left and right cortical areas (SMD = 0.85; SMD = 0.92); greater surface area in the left anterior cingulate (SMD = 1.32), right medial orbitofrontal cortex (SMD = 1.17), right superior frontal gyrus (SMD = 0.82), and right and left precentral gyrus (SMD = 1.33; SMD = 0.98); greater volume of the right amygdala (SMD = 0.57), right hippocampus (SMD = 0.66), right putamen (SMD = 0.87) and right thalamus (SMD=.67). In the lithium group, a correlation was found with these errors and the thickness of the left precentral gyrus (ρ = -0.78), the volume of the right thalamus (ρ =-0.44), and the right amygdala (ρ = 0.6). CONCLUSIONS The lithium group had better cognitive flexibility and greater dimension in some frontal and subcortical cortical regions. Furthermore, there was a moderate to high correlation between performance in this executive function and the thickness of the right precentral gyrus, and the volumes of the thalamus and the right amygdala. These findings could suggest a neuroprotective effect of lithium.
Collapse
Affiliation(s)
- Andrés Camilo Díaz Ortiz
- Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
| | - Cristian Vargas Upeguí
- Grupo de Investigación en Psiquiatría (GIPSI), Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | - Juan Pablo Zapata Ospina
- Instituto de Investigaciones Médicas, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | | | | | - Carlos Alberto López Jaramillo
- Grupo de Investigación en Psiquiatría (GIPSI), Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| |
Collapse
|
7
|
Carreño Ruiz G, Zapata Ospina JP, Vargas C, Aguirre Acevedo DC, López-Jaramillo C. Structural Neuroimaging and Predominant Polarity in Patients with Type 1 Bipolar Disorder from Antioquia. Rev Colomb Psiquiatr (Engl Ed) 2020; 51:S0034-7450(20)30098-6. [PMID: 33734996 DOI: 10.1016/j.rcp.2020.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Accepted: 10/05/2020] [Indexed: 06/12/2023]
Abstract
INTRODUCTION Predominant polarity (PP) has been proposed as a specifier of bipolar disorder (BD) due to its relationship with clinical and prognostic variables. It is possible that this is due to a different underlying neurobiology, in such a way that the changes found by structural nuclear magnetic resonance imaging (sMRI) in BD are different and specific. OBJECTIVES To explore findings of structural neuroimaging in patients with BD type I (BD-I) according to PP. METHODS Cross-sectional study that evaluated 77 patients with BD-I using the DIGS interview. PP was established using the operative definition of two-thirds of all affective episodes throughout life to classify PP as manic (MPP), depressive (DPP) or indeterminate (IPP). MRIwas performed during the euthymia phase to measure intracranial structures. The data obtained was analysed using a linear regression model adjusted for confounding variables (drug use, alcohol use, psychoactive substance use) and were compared between the three groups finding the standardised mean difference (SMD). RESULTS Differences with adequate effect size were found in three brain structures after adjusting for confounding variables, specifically in the right fusiform gyrus and the left lingual gyrus, which were greater in the DPP group than in the MPP group (SMD = 0.92; 95% CI = 0.34 to 1.49 and SMD = 0.78; 95% CI = 0.21 to 1.35). Likewise, in the right thalamus, it was shown to be greater in the IPP group compared to MPP group (SMD 0.89, 95% CI = 0.31 to 1.46). CONCLUSIONS A reduction in the thickness of the right fusiform gyrus and the left lingual gyrus, as well as the right thalamic volume was observed in patients with BD-I with PPM, which supports the hypothesis that PP has a plausible neurobiological correlate and could have potential utility as a BD specifier.
Collapse
Affiliation(s)
| | - Juan Pablo Zapata Ospina
- Instituto de Investigaciones Médicas, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | - Cristian Vargas
- Grupo de Investigación en Psiquiatría GIPSI, Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | | | - Carlos López-Jaramillo
- Grupo de Investigación en Psiquiatría GIPSI, Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| |
Collapse
|
8
|
Abstract
Introducción: la capacidad funcional es uno de los determinantes del estado de salud del adulto mayor. En esta población se presenta una mayor dependencia que conlleva a cambios significativos en los estilos de vida, y en la interacción social y familiar. El presente estudio analiza la relación de factores sociodemográficos y condiciones de salud con el estado funcional en una muestra de adultos mayores de la ciudad de Pasto, Colombia. Materiales y métodos: estudio de corte transversal en una muestra de 391 adultos mayores a quienes se les evaluó su estado funcional con la escala de actividades instrumentales de la vida diaria de Lawton y Brody. Se estudiaron las características demográficas, los antecedentes médicos, el nivel cognitivo global y la sintomatología depresiva. Se calculó como medida de asociación la razón de disparidad —rd— cruda y ajustada con sus respectivos intervalos de con anza del 95%, mediante modelos de regresión logística binaria. Resultados: un 26,3% de los adultos mayores se encontró en un nivel de dependencia funcional, asociado al género masculino (rd = 2,72; IC95% 1,51-4,93), dependencia económica (or = 1,41; IC95% 1,26-4,40), antecedentes de en- fermedad cerebrovascular (or = 3,41; IC95% 1,21-9,61), artritis (or = 2,24; IC95% 1,27-3,98), síntomasdepresivos (or = 3,07; IC95% 1,54-6,123) y deterioro cognitivo (or = 2,04; IC95% 1,15-3,64). Discusión: los resultados del presente estudio determinaron que, con el proceso de envejecimiento, la capacidad funcional se ve condicionada a múltiples factores, lo cual lleva a que el adulto mayor pierda paulatinamente su nivel de independencia, lo que puede impactar en su calidad de vida y, por ende, en el contexto donde interactúa.
Collapse
|
9
|
Giraldo Giraldo NA, Paredes Arturo YV, Idarraga Idarraga Y, Aguirre Acevedo DC. Factores asociados a la desnutrición o al riesgo de desnutrición en adultos mayores de San Juan de Pasto, Colombia: Un estudio transversal. Rev Esp Nutr Hum Diet 2017. [DOI: 10.14306/renhyd.21.1.288] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Introducción. La desnutrición es un problema común en los adultos mayores relacionada tanto con los cambios propios del envejecimiento como con otros factores de salud, sociales y económicos. El objetivo de este estudio fue determinar la frecuencia de desnutrición o riesgo de desnutrición y los factores asociados, en adultos mayores de San Juan de Pasto, Nariño, Colombia.Material y métodos. Estudio transversal en una muestra de 261 adultos mayores. Para valorar el estado nutricional se utilizó el Mini Nutritional Assessment (MNA) y para la evaluación cognitiva se aplicó el Mini-Mental State Examination (MMSE). Los síntomas depresivos se determinaron a través de la escala Yesavage y el grado de independencia funcional con la escala de Lawton y Brody. Para establecer la asociación entre los factores sociodemográficos y clínicos con el MNA, se realizó un modelo de regresión logística y se calculó la Odds Ratio (OR) crudo y ajustado con su respectivo intervalo de confianza del 95% (IC95%).Resultados. El 60,1% de los adultos mayores presentó riesgo de desnutrición y el 6,5% desnutrición. Quienes pertenecían a niveles socioeconómicos bajos (OR=2,07; IC95%: 1,18-3,64), con nivel de dependencia funcional (OR=2,74; IC95%: 1,07-5,53) y sintomatología depresiva (OR=7,02; IC95%: 2,08-23,74), presentaron mayor desnutrición o riesgo de desnutrición.Conclusiones. Estos hallazgos muestran un alto porcentaje de adultos mayores con desnutrición o riesgo de desnutrición asociados a un nivel socioeconómico bajo, implicación o dependencia funcional y sintomatología depresiva. Se requiere un manejo integral orientado hacia la valoración e intervención planificada, teniendo en cuenta los factores asociados a esta condición nutricional.
Collapse
|
10
|
Zuluaga Idarraga LM, Tamayo Perez ME, Aguirre Acevedo DC. Therapeutic efficacy of alternative primaquine regimens to standard treatment in preventing relapses by Plasmodium vivax: A systematic review and meta-analysis. Colomb Med (Cali) 2015. [DOI: 10.25100/cm.v46i4.2098] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Objective:
To compare efficacy and safety of primaquine regimens currently used to prevent relapses by P. vivax.
Methods:
A systematic review was carried out to identify clinical trials evaluating efficacy and safety to prevent malaria recurrences by P. vivax of primaquine regimen 0.5 mg / kg / day for 7 or 14 days compared to standard regimen of 0.25 mg/kg/day for 14 days. Efficacy of primaquine according to cumulative incidence of recurrences after 28 days was determined. The overall relative risk with fixed-effects meta-analysis was estimated.
Results:
For the regimen 0.5 mg/kg/day/7 days were identified 7 studies, which showed an incidence of recurrence between 0% and 20% with follow-up 60-210 days; only 4 studies comparing with the standard regimen 0.25 mg/kg/day/14 days and no difference in recurrences between both regimens (RR= 0.977, 95% CI= 0.670 to 1.423) were found. 3 clinical trials using regimen 0.5 mg/kg/day/14 days with an incidence of recurrences between 1.8% and 18.0% during 330-365 days were identified; only one study comparing with the standard regimen (RR= 0.846, 95% CI= 0.484 to 1.477). High risk of bias and differences in handling of included studies were found.
Conclusion:
Available evidence is insufficient to determine whether currently PQ regimens used as alternative rather than standard treatment have better efficacy and safety in preventing relapse of P. vivax. Clinical trials are required to guide changes in treatment regimen of malaria vivax.
Collapse
|
11
|
Restrepo Múnera LM, Hernández Cárdenas N, Henao Pérez J, Cadavid Velásquez LG, Jaramillo Velásquez S, Aguirre Acevedo DC. Tratamiento de la enfermedad arterial periférica de las extremidades inferiores con células mononucleares de médula ósea autólogas: reporte de seguimiento a un año. Iatreia 2012. [DOI: 10.17533/udea.iatreia.13128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Abstract
Introducción: las células mononucleares de la médula ósea son efectivas para el tratamiento de pacientes con enfermedad arterial periférica (EAP). Los factores de crecimiento que ellas sintetizan se usan para inducir angiogénesis.Objetivo: establecer en Colombia la seguridad, factibilidad y resultado del tratamiento de la EAP utilizando células autólogas, para evitar su progreso a estadios más avanzados.Métodos: previo consentimiento, se hizo aspirado de médula ósea bajo anestesia local. Las células obtenidas se concentraron y se inyectaron intramuscularmente en los gastrocnemios de las extremidades isquémicas. El grupo control retrospectivo no recibió células. La evaluación clínica incluyó varios parámetros. Las células se analizaron por citometría de flujo.Resultados: edad media de los pacientes: 69 ± 11 años; viabilidad celular: 99,15% ± 0,76%; número de células inyectadas: 9,2 x 108 ± 6,2 x 108. Los análisis angiográficos postratamiento mostraron formación de vasos colaterales nuevos en las extremidades afectadas, con mínimo engrosamiento. Se observaron aumento en la distancia caminada libre de dolor y mejoría del dolor en reposo. La obtención y aplicación de las células no se asoció con ninguna complicación.Conclusiones: este estudio preliminar demostró que la terapia celular autóloga es segura, factible y cambia positivamente la historia natural de la EAP. Se sugiere el estudio de un número mayor de pacientes antes de establecer este tratamiento en Colombia.
Collapse
|
12
|
Pineda Salazar DA, Trujillo Orrego N, Aguirre Acevedo DC, Arango Mejía CP, Hincapié Henao L, Montoya Arenas DA, Lopera Restrepo F, Pineda Álvarez DE, Arcos Burgos OM, Muenke M. Utilidad de la escala Wender-Utah y de las escalas de síntomas para el diagnóstico del trastorno por déficit de atención/hiperactividad familiar en adultos. Validez convergente y concurrente. Rev Neurol 2010. [DOI: 10.33588/rn.5004.2009250] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
13
|
Luna Maldonado E, Aguirre Acevedo DC, García Ospina GP, Lopera Restrepo F. Enfermedad periodontal como signo clínico precoz de la arteriopatía cerebral autosómica dominante con infartos subcorticales y leucoencefalopatía (CADASIL). Rev Neurol 2009. [DOI: 10.33588/rn.4910.2009122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
14
|
Ruiz Rizzo AL, Tirado Pérez V, Moreno Carrillo C, Aguirre Acevedo DC, Murillo O, Lopera Restrepo F. Comparación del desempeño neuropsicológico según la edad de inicio en sujetos con enfermedad de Parkinson y parkinsonismo. Rev Neurol 2009. [DOI: 10.33588/rn.4903.2008475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
15
|
Trujillo Orrego N, Pineda Salazar DA, Arango Mejía CP, Puerta Lopera IC, Lopera Restrepo F, Aguirre Acevedo DC, Hincapié Henao L, Pineda Álvarez DE, Arcos Burgos OM, Muenke M. Dimensiones del fenotipo conductual del trastorno por déficit de atención/hiperactividad en adultos de familias antioqueñas utilizando la escala Wender-Utah en español. Rev Neurol 2009. [DOI: 10.33588/rn.4808.2008513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
16
|
Marín Monsalve CAA, Palacio Suaza YJ, Orrego Barrios Y, Aguirre Acevedo DC. A description of the mental health and copying strategies in victims of assault with a weapon in the city of Medellín (Colombia). Int J Psychol Res (Medellin) 2008. [DOI: 10.21500/20112084.915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
The study looked to describe the state of mental health and coping strategies expressed during and after assault with a deadly weapon, from October 2006 to March 2007, in the city of Medellin, Colombia. Participants were 50 adults differentiated by sex. The clinical interview International Neuropsychiatric Inventory (MINI), and the protocol of characterization of assault with a deadly weapon designed by the researchers, were applied to the victims. Comparisons with averages of males and females were made, in relation to mental health and coping strategies used during and after the assault. There were no significant differences in clinical symptoms between men and women, who showed state health perturbations with symptoms of post traumatic stress and anguish disorders sometimes in life. Differences were found in copying strategies during and after assault; during assault women reactions were immobility and/or silence, men reactions were physical or verbal aggression; after assault women requested for psychological support and company while men used security devices.
Collapse
|
17
|
Henao Arboleda E, Aguirre Acevedo DC, Muñoz C, Pineda Salazar DA, Lopera Restrepo F. Prevalencia de deterioro cognitivo leve de tipo amnésico en una población colombiana. Rev Neurol 2008. [DOI: 10.33588/rn.4612.2007569] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
18
|
Tirado Pérez V, Motta Artunduaga M, Aguirre Acevedo DC, Pineda Salazar DA, Lopera Restrepo F. Análisis de las intrusiones en una prueba de memoria como posible marcador preclínico de enfermedad de Alzheimer en portadores de la mutación E280A de la presenilina-1. Rev Neurol 2008. [DOI: 10.33588/rn.4706.2008148] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
19
|
Aguirre Acevedo DC, Gómez RD, Moreno Másmela S, Henao Arboleda E, Motta Artunduaga M, Muñoz C, Arana A, Pineda Salazar DA, Lopera Restrepo F. Validez y fiabilidad de la batería neuropsicológica CERAD-Col. Rev Neurol 2007. [DOI: 10.33588/rn.4511.2007086] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
20
|
Henao Arboleda E, Aguirre Acevedo DC, Pacheco C, Yamile Bocanegra O, Lopera Restrepo F. Seguimiento de las características cognitivas en una población con enfermedad cerebrovascular hereditaria (CADASIL) en Colombia. Rev Neurol 2007. [DOI: 10.33588/rn.4512.2007504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
21
|
Lara Useche E, Pineda Salazar DA, Henao Arboleda E, Arboleda Ramírez A, Aguirre Acevedo DC, Lopera Restrepo F. Descripción del desempeño en memoria semántica en una muestra de la población antioqueña. Rev Neurol 2006. [DOI: 10.33588/rn.4205.2004639] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
22
|
López Campo GX, Gómez Betancur LÁ, Aguirre Acevedo DC, Puerta Lopera IC, Pineda Salazar DA. Componentes de las pruebas de atención y función ejecutiva en niños con trastorno por déficit de atención/hiperactividad. Rev Neurol 2005. [DOI: 10.33588/rn.4006.2004368] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
23
|
Gómez Betancur LÁ, Pineda Salazar DA, Aguirre Acevedo DC. Conciencia fonológica en niños con trastorno de la atención sin dificultades en el aprendizaje. Rev Neurol 2005. [DOI: 10.33588/rn.4010.2004109] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|