Andean Region University Foundation
Bogota, Colombia
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Numpaque-Pacabaque A.,University of Boyacá | Rocha-Buelvas A.,Andean Region University Foundation
Revista Facultad de Medicina | Year: 2016

Introduction: The SERVQUAL model is used to evaluate the quality of services and SERVQHOS to evaluate the perceived quality of hospital care. Objective: To review the most relevant papers related to SERVQUAL and SERVQHOS models during the period 2010-2015. Materials and methods: An exploratory literature review of PubMed, ScienceDirect, SciELO, LILACS and Cochrane data is presented. Results: Most studies were published between 2012 and 2014, and the most assessed services were hospitalization, nursing care and hemodialysis. Conclusion: The SERVQHOS model is the most popular in Colombia. ©2016, Universidad Nacional de Colombia. All rights reserved.

Hidalgo-Troya A.,University of Narino | Guerrero-Diaz G.F.,University of Narino | Estupinan-Ferrin V.L.,Andean Region University Foundation | Rocha-Buelvas A.,Andean Region University Foundation
Cadernos de Saude Publica | Year: 2017

This study’s objective was to measure the vulnerability index of families in the municipality of Pasto, Colombia. In a sample of 270 families of all socioeconomic strata (239 urban and 31 rural), a confidential survey was conducted using the vulnerability index, consisting of five dimensions: demographic, social, economic, environmental, and geography, forecasting, and prevention. The families in strata 1 and 2 and the houses in the center, west, northwest, and northeast of the urban area showed high vulnerability, even higher than those in rural areas. Fifty percent of the families showed low vulnerability and 42% medium vulnerability. The poorest families were the most vulnerable, but poor families were also vulnerable in the municipality of Pasto. © 2017, Fundacao Oswaldo Cruz. All rights reserved.

Machado-Duque M.E.,Technological University of Pereira | Ramirez-Riveros A.C.,Andean Region University Foundation | Machado-Alba J.E.,Technological University of Pereira
International Journal of Clinical Practice | Year: 2017

Aims: To establish the effectiveness of antidiabetic therapy and the frequency of clinical inertia in the management of type 2 diabetes mellitus in Colombia. Methods: A cross-sectional study with follow-up of patients who had been treated for at least 1 year and were receiving medical consultation for antidiabetic treatment. Effectiveness was established when haemoglobin-A1c levels were <7% and when clinical inertia was reached, which was defined as no therapeutic modifications despite not achieving management controls. Sociodemographic, clinical and pharmacological variables were evaluated, and multivariate analyses were performed. Results: In total, 363 patients with type 2 diabetes mellitus were evaluated, with a mean age of 62.0±12.2 years. A total of 1,016 consultations were evaluated, and the therapy was effective at the end of the follow-up in 57.9% of cases. Clinical inertia was found in 56.8% of patients who did not have metabolic control. The most frequently prescribed medications were metformin (84.0%), glibenclamide (23.4%) and insulin glargine (20.7%). Moreover, 57.6% of the patients were treated with two or more antidiabetic medications. Having metabolic control in the first consult of the follow-up was a protective factor against clinical inertia in the subsequent consultations (OR: 0.08; 95%CI: 0.04-0.15; P<.001). Conclusions: The effectiveness of treatment for patients with type 2 diabetes mellitus has increased in Colombia, and for the first time, clinical inertia was identifiable and quantifiable and found in similar proportions to other countries. Clinical inertia is a relevant condition given that it interferes with the possibility of controlling this pathology. © 2017 John Wiley & Sons Ltd

Leon A.,University of la Salle of Colombia | Estrada J.M.,Andean Region University Foundation | Rosenfield M.,SUNY College of Optometry
Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) | Year: 2016

RESULTS: Mean values of AA obtained using DR were significantly lower than for the two subjective techniques. For the DR findings, no significant change was observed between 5 and 19 years of age (mean AA = 8.3 D) and between 45 and 60 years of age (mean AA = 0.6 D). AA values as a function of age were best fit by the polynomial regression equation: logAA = 1.93 + 0.49(age) - 0.19(age)(2) .PURPOSE: Dynamic retinoscopy (DR) is a procedure for assessing the accommodative response using a standard clinical instrument. The present study compared measurements of the amplitude of accommodation (AA) obtained using this technique with two subjective methods (modified push-down and minus lens). Additionally, the expected ranges for AA when measured by DR were determined.METHOD: AA was measured in 1298 subjects between 5 and 60 years of age using the three techniques described above. Subjects were grouped into 5-year bins, and a descriptive univariate analysis of the data performed. Goodness-of fit plots were constructed to examine the overall model fit. Centile curves were calculated from the final model.CONCLUSION: Measurements of AA determined using DR are significantly lower than the normative subjective findings published previously. This difference is at least partly due to the depth-of-field of the eye. These norms markedly overestimate accommodative responsivity. DR provides a simple technique for quantifying accommodation in the clinical setting. © 2015 The Authors Ophthalmic & Physiological Optics © 2015 The College of Optometrists.

Leon A.A.,Andean Region University Foundation | Medrano S.M.,University of la Salle of Colombia | Rosenfield M.,SUNY College of Optometry
Ophthalmic and Physiological Optics | Year: 2012

Purpose: Dynamic retinoscopy (DR) is an objective technique for assessing maximum accommodative responsivity. The present study examined the test-retest reliability of this procedure when measuring the amplitude of accommodation (AA). Methods: In the first trial, the within-session repeatability of the AA was measured in 79 subjects between 18 and 30years of age using DR and two subjective procedures, namely the modified push-down (MPD) and minus lens (ML) techniques. Data were collected by two different examiners. In a second trial, the inter-session repeatability of the AA was assessed in 76 subjects by a single evaluator with a time interval of 7days between the first and second sessions. The repeatability, reproducibility and agreement between the methods were determined using the mean difference, 95% limits of agreement, intraclass correlation coefficient and concordance correlation coefficient. Results: DR showed the lowest mean value of AA in each trial (average for the two trials=7.44D) while the equivalent mean values for the MPD and ML techniques were 9.84 and 9.43D, respectively. Further, DR showed the best repeatability in both the repeatability trials and poorer inter-examiner agreement was observed for the MPD and ML procedures. The concordance correlation coefficient for DR-MPD, DR-ML and MPD-ML procedures were 0.32, 0.33 and 0.62, respectively for the within-session trial and 0.31, 0.36 and 0.76, respectively for the inter-session trial. Conclusion: The DR technique provides a more veridical measurement of the AA because it avoids the overestimation resulting from the depth-of-field. Moreover, the DR technique exhibited higher reproducibility, when compared with subjective methods. These differences may be important when evaluating accommodative dysfunctions or monitoring accommodative therapy. The fact that the DR procedure can be performed using standard clinical equipment makes this a valuable technique both for vision screening programs and routine eye care. Ophthalmic & Physiological Optics © 2012 The College of Optometrists.

Fajardo-Zapata A.,Andean Region University Foundation | Jaimes-Monroy G.,Antonio Nariño University
Revista Facultad de Medicina | Year: 2016

Background. The examination of the prostate is one of the early detection ways available to prevent prostatic cancer, a pathology that ranks as the first cause of morbidity and the second of mortality in men in Colombia. Ojective. To identify the knowledge, perception and disposition on prostate examination of men older than 40 years old residing in Bogotá. Materials and Methods. A descriptive cross-sectional study was carried out through a survey applied to the participants of this research. Results. Relationships between academic level and knowledge that men have on prostate examination (X2=80.00; p=0.0000), educational level and taking the examination (X2=25.63; p=0.000), and between the academic level and the disposition to do the examination (X2=37.49; p=0.0002) were found. Conclusions. There are determining factors causing that men older than 40 years old residing in Bogotá don’t take the examination of their prostates. Such factors are related to educational level, individual beliefs and the lack of prostate examination promotion by health institutions. © 2016, Universidad Nacional de Colombia. All rights reserved.

Portello J.K.,SUNY College of Optometry | Rosenfield M.,SUNY College of Optometry | Bababekova Y.,SUNY College of Optometry | Estrada J.M.,Andean Region University Foundation | Leon A.,Andean Region University Foundation
Ophthalmic and Physiological Optics | Year: 2012

Purpose: Many individuals report visual symptoms during office work and specifically computer use. This study determined the prevalence of symptoms in a population of office workers, and examined the association between these symptoms and both dry eye disease and other demographic factors. Method: A written questionnaire was used to quantify the prevalence of symptoms in 520 New York City office workers, and to determine the effect of risk factors including gender, ethnicity, age, smoking, type of refractive correction and hours spent doing computer work. The questionnaire also examined the prevalence of ocular surface disease. Results: A significant positive correlation was observed between the symptom score and the number of hours spent working on a computer in a typical day. The most prevalent symptom was tired eyes, which was reported by approximately 40% of subjects as occurring 'at least half the time'. 32% and 31% of subjects reported symptoms of dry eye and eye discomfort, respectively. Symptoms varied significantly with gender (being greater in females), ethnicity (being greater in Hispanics) and the use of rewetting drops. A significant positive correlation was observed between computer-related visual symptoms and the Ocular Surface Disease Index (OSDI), a measure of dry eye. Conclusions: Visual symptoms associated with computer use occur frequently in the general population producing discomfort for extended periods of time. They are strongly associated with ocular surface disease. Therapeutic regimens need to be developed for this widespread condition. © 2012 The College of Optometrists.

Introduction: the traditional midwife is a childbirth care provider who has consolidated her position in the rural areas of the developing countries. Objective: to describe the factors having an impact on the rural women's preference for the traditional midwife. Methods: qualitative documentary study. Several original articles published in Spanish, English and Portuguese and indexed in EBSCO, Pubmed, Ovid Health and ScienceDirect, Scielo, Cantarida, Lilacs were analyzed. The subject headings were traditional midwife, traditional childbirth care, childbirth at home, perception, experience, personal satisfaction, preference and qualitative research. The search covered the period of 2008 through 2013. The data treatment was based on the contents analysis. Results: eleven studies conducted in Africa and Asia in rural settings and populations were included. Three categories were defined: economic reasons, traditional midwife-related reasons, and health service aspects. Conclusions: a fundamental factor found in the study is the economic restrictions that hinder the access to institutionalized childbirth care. Women trust traditional midwives because they are at short distance; belong to the same cultural group; the families and the community leaders exert pressure over the women so that they are cared for by this traditional agent. These elements together with low quality hospital services are additional factors that indicate female preferences for midwives in rural settings. It is then necessary to rethink over the best ways of filling the gaps between the health care sector and the traditional childbirth care for the benefit of the maternal and perinatal health. © 2015,Editorial Ciencias Medicas. All rights reserved.

This interview had as its object, counting the experience of the researcher Celmira Laza Vásquez, in a geographic region living the socially and armed conflict in Colombia and discuss the topic of health care in peasant people by the traditional caregivers, from their cultural knowledgement, all of what has contributed to mantain a social movement of pacific resistance experienced in the political field. © 2013 Fundación Index.

Fajardo-Zapata A.L.,Andean Region University Foundation
Iatreia | Year: 2014

Introduction: A common and growing problem in hospitals is hypersensitivity to rubber latex antigens, since many products, including gloves, are manufactured from this material, with the consequent possibility of producing allergy in persons who use them.Objective: To find out if health workers at a fourth level clinic in Bogotá, Colombia, are allergic to rubber latex, in relation to the use of gloves.Materials and methods: Descriptive, cross-sectional study of a non-probabilistic intentional-type sample in each one of four hospital units. A survey was applied to participants.Results: 16 of the 26 persons (61.5%) with history of allergic processes manifested some kind of reaction when they had contact with latex gloves; the problem was more significant in the nursing personnel compared to physicians.Conclusions: The exposure to latex gloves may be generating the appearance of allergic occupational disease in health workers. © 2014, Universidad de Antioquia. All rights reserved.

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