Psychometric characteristics of a questionnaire to assess perceived disability in people with epilepsy.

It has been determined that quality of life in epilepsy is closely related to the perceived disability experienced by individuals with the diagnosis. However, this measure is seldom considered in healthcare processes. The objective of the present study is to establish the psychometric properties of the Perceived Disability Questionnaire in individuals diagnosed with epilepsy within a Latin American context. A cross-sectional, analytical study was conducted involving 325 participants, aged 12 years and older (M 40.42 years), individuals diagnosed with epilepsy in Colombia. The main psychometric properties of the instrument were explored to account for its factorial validity and reliability. The Perceived Disability Questionnaire exhibits high reliability (α = 0.878) and the three subscales comprising the final version of the questionnaire (Dissatisfaction, Pessimism, and Self-Disdain) explain 45.393 % of the total variance in relation to beliefs of disability associated with the diagnosis of epilepsy; the questionnaire significantly correlates with the Quality of Life in Epilepsy Inventory (QOLIE-10). Adequate psychometric properties of the instrument are found, which allows for its proposal as a tool in epilepsy care processes within the Colombian context.

Human rights and support groups to improve quality of life, self-care and disability in epilepsy: [Rights and support groups for epilepsy].

BACKGROUND: People with epilepsy have multiple barriers to recovering their quality of life. The objective of the present study was to determine the impact of a community group intervention focused on the components of mutual aid and human rights, to improve the quality of life in people with epilepsy. METHODS: Prospective quasi-experimental study, incorporating pre- and post-intervention evaluations. There were 102 people who underwent an intervention focused on the central components of mutual aid groups (Active agency, Coping strategies, Emotion recognition and management, Problem solving, Supportive interaction, Identity construction, Trust, and Social networks) and in the QualityRights strategy. As evaluation instruments, scales were used to determine quality of life (QOLIE-10), treatment adherence (Morisky Test), self-care behaviors, perception of disability and quality in the provision of health services. RESULTS: Correlations were shown between the variables proposed for quality of life. The intervention showed an improvement in all variables and a moderate to large effect in the self-care domain. There was a significant effect size in the self-care and quality of life variables with the intervention. Pharmacological adherence showed a moderate effect size in young people, adults and older adults. Regarding the perception of disability, the effect size was found only in adults. The pharmacological adherence variable also had a moderate effect size. This does specify the age groups, but not in the general sample. CONCLUSION: Seizure-free time constitutes a fundamental element in recovery. However, psychosocial conditions constitute key elements to achieve a better quality of life in people with epilepsy.

Mortalidad por accidentes laborales en del Departamento del Meta, años 2010-2015 / Occupational mortality in the Meta Department, 2010-2015 / Mortalidade por acidentes de trabalho no Departamento de Meta, anos 2010-2015Laura inés Plata-Casas*

Introducción:La mortalidad es considerada un factor de medición del estado de salud poblacional, por tanto, resulta indispensable reconocer su comportamiento epi-demiológico. Objetivo: Determinar la epidemiología de los casos de mortalidad por accidente laboral ocurridos en el Meta, durante el periodo comprendido entre 2010-2015. Materiales yMétodos: Estudio descriptivo y análisis de información del re-gistro único de afiliaciones, procesada en SPSS. Se utilizarán: estadística descriptiva, tasas de mortalidad y análisis de tendencias. Resultados: La tendencia en los casos de mortalidad por accidentes laborales ha disminuido, el 81% de la variabilidad de los casos de mortalidad, es explicada por su relación con los años. Conclusión: Los proyectos, programas y políticas de salud deben reflejar un seguimiento y monitoreo a los programas de promoción de la salud laboral. Igualmente, se debe evaluar su impacto, así como la realización de ajustes y su priorización.

Introduction: Mortality is considered a measuring factor of the population health; therefore, it is indispensable to recognize its epidemiological behavior. Objective:Determine the epidemiology of the occupational mortality cases in the Meta De-partment during the 2010-2015 period. Materials and Methods: Descriptive stu-dy and analysis of information from single affiliation records, processed in SPSS. Descriptive statistics, mortality rates and trend analysis will be used. Results: The tendency in occupational mortality has decreased, 81% of the variability in the oc-cupational mortality cases has been explained by its relation with age. Conclusion:The health projects, programs, and policies should reflect follow-up and monitoring of promotion programs in the occupational health area. Also, its impact must be eva-luated, as well as conducting adjustments and prioritization

Introdução: A mortalidade é considerada um indicador do estado da saúde da população, porém, é fundamental reconhecer o seu comportamento epidemiológico. Objetivo: Determinar o compor-tamento epidemiológico da mortalidade por acidentes de trabalho que aconteceram no estado do Meta, durante o período entre 2010 e 2015. Materiais e métodos: Estudo descritivo com análise do registro único de afiliações processada no SPSS. Foi empregada a estatística descritiva, taxas de mortalidade e a análise de tendências. Resultados: A tendência dos casos de mortalidade por acidentes de trabalho tem diminuído, o 81% da variabilidade dos casos de mortalidade explica-se pela sua relação com os anos. Conclusão: Os projetos, programas e politicas de saúde devem mos-trar um acompanhamento e monitoramento aos programas de promoção da saúde do trabalhador. Entretanto, deve-se avaliar o impacto dessas ações assim como ser priorizados e realizados ajustes.

Situación epidemiológica de la intoxicación por sustancias químicas en el departamento del meta-colombia, periodo 2009-2014 / Epidemiological situation of poissoning with chemical substances in the department of meta-colombia, period 2009-2014

Introducción: La intoxicación por sustancias químicas es un problema de salud pública, que afecta a la población de los municipios del departamento del Meta. Objetivo: Describir la situación epidemiológica de la intoxicación por sustancias químicas en el Meta. Metodología: Se realizó un estudio descriptivo de corte transversal, utilizando base de datos estatales de salud pública (2009-2014) constituida por 5.208 casos de intoxicación reportadas en este periodo, se calcularon la incidencia de periodo y la tasa de mortalidad; se analizaron variables epidemiológicas de morbilidad, mortalidad, tipo de sustancia, ubicación geográfica, tipo y vía de exposición, edad y sexo. Resultados: Los plaguicidas ocasionan el mayor número de intoxicaciones del Meta, causando el 68% de la incidencia y el 66% de la mortalidad, otro tipo de sustancias causan el 27,7% de los casos de morbilidad y 34% de la mortalidad. El 52,1% de las intoxicaciones ocurren de manera accidental, seguidas por la intención suicida y ocupacional con el 21,2% y 18,1% respectivamente; las vías de exposición fueron la oral, la respiratoria y la dérmica. Discusión: Meta es un departamento caracterizado por alta producción agrícola y una frontera agrícola en expansión, lo cual explicaría la elevada incidencia de los plaguicidas, la utilización de sustancias químicas en suicidios ocurren debido al fácil acceso que se tiene de las sustancias, la exposición ocupacional está ligada a la actividad agrícola y pecuaria, la exposición accidental ocurre por manejo inadecuado de sustancias químicas en las viviendas y la contaminación ambiental. Conclusiones: la actividad agropecuaria del Meta, junto con actividades cotidianas como la limpieza y el control de plagas en las viviendas, traen consigo la utilización de sustancias químicas, esta proximidad permite la exposición a estas sustancias y la posterior intoxicación que generan morbilidad y mortalidad humana.

Introduction: Chemical poisoning is a public health problem, affecting the population of the municipalities of Meta. Objective: To describe the epidemiological situation of chemical poisoning in the department of Meta. Methodology: A descriptive cross-sectional study was conducted, using statal public health data bases (2009-2014) consisting of 5,208 cases of poisoning reported in this period. The incidence, morbidity, mortality, substance type, geographic location, type and route of exposure, age and sex were analyzed. Results: Pesticides cause the highest number of poisonings of the Meta, causing 68% of incidence and 66% of mortality, and other types of substances cause 27.7% of cases of morbidity and 34% of mortality. 52.1% of the poisonings occur accidentally, followed by suicidal and occupational intent with 21.2% and 18.1% respectively; the routes of exposure were oral, respiratory and dermal. Discussion: Meta is a department characterized by high agricultural production and agricultural frontier expansion, which would explain the high incidence of pesticides, the use of chemicals in suicides occur due to the easy access of substances; occupational exposure is linked to agricultural and livestock activities, accidental exposure occurs through improper handling of chemicals in homes and environmental pollution. Conclusions: Agricultural activity in the department of Meta, along with everyday activities such as cleaning and pest control in homes bring the use of chemicals, this proximity allows exposure to these substances and the subsequent intoxication which generates morbidity and human mortality.

Mortalidad en pacientes menores de edad con diagnóstico de dengue y su relación con el uso de Dipirona / Mortality in minor patients with diagnosis of dengue and its relationship with the use of Dipirone

Introducción: El dengue es una de las diez causas de hospitalización más frecuentes en los servicios de urgencias de pediatría, en la atención sintomática se utiliza la Dipirona como antipirético, la guía clínica de manejo del dengue de la Organización Panamericana de la Salud (OPS) evidencia restricciones para su uso en pacientes con dengue y según la Guía de Atención Clínica Integral del paciente con dengue, no se debe administrar en pacientes pediátricos. Objetivo: Determinar la relación de la Dipirona con casos de mortalidad en menores de 16 años con dengue en el Meta. Materiales y métodos: Se realizó un estudio de casos y controles basado en la mortalidad por dengue en menores de edad reportados al Sistema de Vigilancia en Salud Pública del departamento del Meta, años 2008 a 2011. Resultados: La razón de las ventajas (OR) evidencia que la mortalidad por dengue es 17,6 veces mayor en menores de edad que recibieron Dipirona con un intervalo de confianza de 95% entre 3,7-84,5 y un valor de P de 0,0002. Conclusión: El grupo de casos que recibió Dipirona en su tratamiento presentó una mayor mortalidad, la revisión de literatura no evidencia resultados sobre la relación de la Dipirona y mortalidad en niños con dengue, se debe seguir estudiando el fenómeno para contar con mayor evidencia científica.

Introduction: Dengue is one of the ten most frequent causes of hospitalization in the emergency department of pediatrics where Dipyrone is used as an antipyretic in the symptomatic care. The clinical management guide for dengue of the Panamerican Health Organization (PHO) evidences restrictions for its use in patients with dengue, and according to the Integral Clinical Care Guide for patients with dengue, it should not be administered in pediatric patients. Objective: To determine the relationship between the uses of Dipyrone with the cases of mortality in children under 16 who suffered from dengue in Meta. Materials and methods: A case-control study was conducted based on mortality from dengue in minors reported to the Surveillance System in Public Health in the department of Meta, from 2008 to 2011. Results: The odds ratio (OR) shows that dengue mortality is 17.6 times greater in children Dipyrone treated with a confidence interval of 95% between 3.7 to 84.5 and a P value of 0.0002. Conclusion: The case group who received Dipyrone in their treatment had a higher mortality. There is no evidence or results in the literature review about the relationship of Dipyrone and mortality in children with dengue. This phenomenon should continue to be studied to have greater scientific evidence.

Factores asociados a la no adherencia al tratamiento anti tuberculosis / Factors associated with non-adherence to anti-tuberculosis treatment / Fatores associados à não-adesão ao tratamento anti-tuberculose

Objetivo: describir los factores de riesgo asociados a la no adherencia al tratamiento en los pacientes adscritos al programa de tuberculosis en el Municipio de Villavicencio, cohorte 2012. Materiales y Métodos: se ha realizado un estudio descriptivo de corte transversal con enfoque cuantitativo. Se obtuvieron datos de caracterización sociodemográfica sobre factores de riesgo de personas que abandonaron el tratamiento para la enfermedad- cohorte 2012- mediante la aplicación de un instrumento diseñado por el investigador y revisado por expertos. Los datos fueron tabulados y analizados mediante la herramienta Microsoft Excel® 2007 y Epi-info 7.0. Resultados: el 75% de los pacientes pertenecen al género masculino; el promedio de edad es de 30 años, el 63% pertenecen al régimen subsidiado de salud. Las principales causas de abandono fueron: efectos adversos a los medicamentos (58%), inadecuada atención del personal de salud (43%), dificultad de acceso al servicio (32%). Los factores sociales encontrados fueron hacinamiento 67% y desempleo 62%. Conclusiones: algunos factores no modificables como la edad y el género, así como factores modificables como estilos de vida inadecuados y efectos adversos; cuyo control mejoraría el cumplimiento; contribuyen al abandono del tratamiento. Las variables psicológicas y sociales deben ser evaluadas para que se conviertan en predictores de probables abandonos o irregularidades en el tratamiento antituberculoso.

Goal: to describe the risk factors associated with non-adherence to the treatment in patients enrolled in the tuberculosis program in Villavicencio city, cohort 2012. Materials and Methods: a descriptive cross-sectional study with quantitative approach. Socio-demographic data and characterization of risk factors for people who discontinued treatment for the disease. Datawere obtained by applying 2012 cohort instrument designed by the researcher and reviewed by experts. Data were tabulated and analyzed using Microsoft Excel 2007 and Epi-info 7.0 tool. Results: 75% of patients are male; the average age is 30 years, 63% of them belong to the subsidized health system. The main causes of abandonment were: adverse effects to medicines (58%),an inadequate health staff care (43%),some difficulties to access to the service (32%). The social factors were overcrowding found 67% and 62% unemployment. Conclusions: non-modifiable factors such as age and gender, as well as modifiable factors such as inadequate lifestyle and adverse effects; People in charge of the control would improve compliance; contribute to cessation of therapy. The psychological and social variables should be evaluated to become predictors of probable dropouts or irregularities in TB treatment.

Objetivo: descrever os fatores de risco associados à não-adesão ao tratamento em participar do programa de tuberculose na cidade de Villavicencio paciente coorte de 2012. Materiais e Métodos: um estudo descritivo transversal, com abordagem quantitativa. dados sócio-demográficos e caracterização dos fatores de risco para as pessoas que interromperam o tratamento para a doença foram obtidos através da aplicação de coorte 2012 instrumento concebido pelo investigador e revisados por especialistas. Os dados foram tabulados e analisados usando o Microsoft Excel 2007 e Epi-info 7.0 ferramenta. Resultados: 75% dos pacientes são masculinos; a média de idade é de 30 anos, 63% pertencem ao sistema de saúde subsidiado. As principais causas de abandono foram: efeitos adversos a medicamentos (58%), profissionais de saúde inadequada (43%), dificuldade de acesso ao serviço (32%). Os fatores sociais foram encontrados superlotação 67% e% de desemprego 62. Conclusões: os fatores não modificáveis, como idade e sexo, bem como fatores modificáveis, tais como estilos de vida inadequados e efeitos adversos; cujo controle seria melhorar o cumprimento; contribuir para a interrupção da terapia. variáveis psicológicas e sociais devem ser avaliados para se tornar preditores de abandono prováveis ou irregularidades no tratamento da TB.