National registry of haemophilia and other coagulopathies: A multisector initiative in the Colombian Health System.

INTRODUCTION: Haemophilia is an orphan and high-cost disease worldwide and, especially in middle-income countries as Colombia. Given its burden of disease, in 2014, a national administrative registry was created to centralize demographic, clinical and economic information regarding to haemophilia and other coagulopathies. OBJECTIVE: To describe the building and implementation processes of the Colombian registry of haemophilia and other coagulopathies. METHODS: The 'consensus conference' methodology was used to design the registry. It was a multisector process, which included different actors of the health system (healthcare payers and providers, government institutions, academic and scientific organizations and patients). RESULTS: Colombia's national registry includes 95 variables, grouped in four sections: (1) sociodemographic data, (2) clinical condition, (3) economic costs, and (4) administrative updates. According to a resolution, stated by the Ministry of Health, payers and providers of healthcare must report annually to the registry the information of new and existing patients with coagulopathies. CONCLUSIONS: A national registry serves as an organized and interactive system for monitoring morbidity and mortality, assessing healthcare access and its impact on disease complications, as well as associated costs to medical assistance. Furthermore, registry information can guide a rational making decision process to use economic resources efficiently. On the other hand, data about orphan diseases can encourage health research and evidence-based care to improve quality of life and reduce associated disability.

Consejería psicológica virtual en la universidad colombiana: más allá del rendimiento académico

El servicio de consejería psicológica que se ofrece desde el bienestar universitario a los programas educativos virtuales en Colombia se ha centrado principalmente en detectar estudiantes con bajo rendimiento académico y con riesgo de deserción. Por esta razón, se han dejado un poco de lado los problemas psicológicos de los estudiantes, tales como la ansiedad académica, el desgaste emocional que implica trabajar y estudiar, y la prevención de situaciones de crisis que, eventualmente, se podrían presentar. Desde esta perspectiva, el presente artículo plantea una reflexión acerca de los nuevos retos del psicólogo que trabaja en la consejería psicológica virtual de las universidades y de la necesidad que tiene de formarse en el manejo de plataformas virtuales y la importancia de una regulación ética de sus acciones profesionales, de acuerdo con los lineamientos de la American Psychological Association, la Canadian Psychological Association y la New Zealand Psychologists Board.

The psychological counseling service offered by university welfare to virtual educational programs in Colombia, has focused mainly on detecting students with low academic performance and risk of dropping out, leaving aside the psychological problems of students such as academic anxiety, emotional strain caused by working and studying, as well as the prevention of situations of crisis, which could eventually arise. From this perspective, this article proposes a reflection on the new challenges faced by psychologist working in the virtual psychological counseling of the universities, and their need to be trained to use virtual platforms and the importance of an ethical regulation of their professional performance in accordance with the provisions of the American Psychological Association, the Canadian Psychological Association and the New Zealand Psychologists Board.

O serviço de aconselhamento psicológico oferecido pela previdência universitária a programas educacionais virtuais na Colômbia tem se concentrado principalmente na detecção de alunos com baixo desempenho acadêmico e risco de abandono, deixando de lado os problemas psicológicos dos alunos, como a ansiedade acadêmica, o desgaste emocional que envolve trabalhar e estudar, bem como a prevenção de situações de crise, que podem eventualmente surgir. Nessa perspectiva, este artigo propõe uma reflexão sobre os novos desafios do psicólogo que atua no aconselhamento psicológico virtual das universidades e a necessidade de capacitação na gestão de plataformas virtuais e a importância de uma regulação ética de suas ações profissionais de acordo com as diretrizes da American Psychological Association, da Canadian Psychological Association e da New Zealand Psychologists Board.

Control del deterioro microbiológico de filetes de tilapia mediante la aplicación de bacterias lácticas / Control Microbiological Deterioration of Tilapia Fillets by the Application of Lactic Acid Bacteria / Controle de Deterioração Microbiológica da Tilápia Arquiva Através da Aplicação de Bactérias Láticas

Resumen En los últimos años se ha reconocido el potencial de las bacterias ácido lácticas (BAL) como agentes bioconservantes de productos cárnicos, incluido el pescado, al reducir el deterioro microbiológico y químico. El objetivo de este trabajo fue determinar el efecto bioconservante de dos cepas de BAL y el tiempo de impregnación en la calidad microbiológica y química de filetes de tilapia. Se evaluaron dos tiempos de impregnación (1h y 2h) y las BAL Lactobacillus plantarum JCM 1149 y Lactobacillus acidophilus ATCC4356. Los filetes bioconservados (FB) se almacenaron a 5°C y se evaluaron los cambios en el recuento de BAL, mesófilos, psicrófilos y coliformes totales durante 30 días. Los recuentos en los FB fueron de 5.94 de Log UFC/g. de BAL, y <2.7 log UFC/g de coliformes y psicrófilos. Los filetes control presentaron recuentos de 1.2 log UFC/g de BAL mientras los coliformes totales y psicrófilos superaron el límite permitido para consumo humano luego de 10 días. Luego de 10 días. El tratamiento que mantuvo la calidad microbiológica y química de los FB por más tiempo fue L. plantarum con inmersión de una hora. Las BAL estudiadas mostraron un efecto inhibitorio de la microflora deteriorante del pescado y una reducción en la formación de nitrógeno volátil, siendo un método viable para la conservación del pescado.

Abstract In recent years, it has recognized the potential of lactic acid bacteria (LAB) as biopreservatives agents for meat products, including fish, by reducing the microbiological and chemical spoilage. The aim of this study was to determine the effect of two strains biopreservative LAB and impregnation time on the microbiological and chemical quality of tilapia fillets. Two impregnation time (1h and 2h) and two LAB (Lactobacillus plantarum JCM 1149 and Lactobacillus acidophilus ATCC4356 were evaluated. The biopreserved fillets (BF) were stored at 5 ° C and the changes of the LAB count, mesophilic, psychrophilic and total coliforms., were evaluated for 30 days. The microbiological analysis show for the BF 5.94 log CFU / g. of LAB and <2.7 log CFU / g of coliform and psychrophilic bacteria. The control Fillets showed 1.2 log CFU / g of LAB while the psychrophile and total coliforms exceeded the allowed limit for human consumption after 10 days. The treatment kept the microbiological and chemical quality of the BF longer was L. plantarum with one hour of impregnation. The LAB studied showed an inhibitory effect of the spoilage microflora of fish and a reduction in the formation of volatile nitrogen compounds, being a viable fish preservation method.

Resumo Nos últimos anos tem se reconhecido o potencial das bactérias ácido lácticas (BAL) como agentes bioconservantes de pro dutos carnicos, incluído o peixe ao diminuir o deterioro microbiológico e químico. O propósito deste estudo foi determinar o efeito bioconservante de duas cepas de BAL e a avaliação do tempo de impregnação requerido para obter uma boa qua lidade microbiológica e química de filetes de tilapia. Foram avaliados dois tempos de impregnação (1h e 2h) com as BAL Lactobacillus plantarum JMC 1149 e Lactobacillus acidophilus ATCC4356. Os filetes biopreservados (FB) foram estocados a 5oC e valoradas as modificações na contagem de microorganismos BAL, mesófilos, psicrófilos, coliformes totais durante 30 dias. As contagens microbianas nos FB foram de 5.94 de log UFC/g e <2.7 log UFC/g de coliformes e psicrofilos. Os filetes controle apresentaram valores de 1.2 log UFC/g de BAL, não entanto os coliformes totais e psicrófilos superaram o limite permitido para consumo humano após 10 dias de estocagem. O tratamento que manteve a qualidade microbiológica e química dos FB por maior tempo foi de imersão com Lactobacillus plantarum por uma hora. As BAL estudadas amostraram um efeito inibitório da microflora deteriorante dos peixes e uma redução na formação de nitrogênio volátil se apresentan do como um método viável para a preservação de filete de peixe

A first description of the Colombian national registry for rare diseases.

OBJECTIVE: Orphan diseases must be considered a public health concern, underlying country-specific challenges for their accurate and opportune diagnosis, classification and management. Orphan disease registries have not yet been created in South America, a continent having a population of ~ 415 million inhabitants. In Colombia ~ 3 million of patients are affected by rare diseases. The aim of the present study was to establish the first Colombian national registry for rare diseases. The registry was created after the establishment of laws promoting the development of clinical guidelines for diagnosis, management, census and registry of patients suffering rare diseases. RESULTS: In total, 13,215 patients were recorded in the Colombian registry. The survey reported 653 rare diseases. The most common diseases were congenital factor VIII deficiency (hemophilia A) (8.5%), myasthenia gravis (6.4%), von Willebrand disease (5.9%), short stature due to growth hormone qualitative anomaly (4.2%), bronchopulmonary dysplasia (3.9%) and cystic fibrosis (3.2%). Although, a marked under-reporting of cases was observed, some pathologies displayed similar behavior to that reported by other initiatives and databases. The data currently available in the registry provides a baseline for improvement regarding local and regional surveys and the start for better understanding rare diseases in Colombia.

Rapid Development and Distribution of Mobile Media-Rich Clinical Practice Guidelines Nationwide in Colombia.

Development and electronic distribution of Clinical Practice Guidelines production is costly and challenging. This poster presents a rapid method to represent existing guidelines in auditable, computer executable multimedia format. We used a technology that enables a small number of clinicians to, in a short period of time, develop a substantial amount of computer executable guidelines without programming.

Más allá de la evaluación de las competencias del psicólogo colombiano: necesidad de un modelo de formación básico y común a nivel nacional / Beyond the evaluation of colombian psychologist's competences: the need of a basic and common national formation model

La presente investigación está relacionada con la enseñanza de la psicología en Colombia, y tiene como objetivo caracterizar las competencias de los psicólogos que definen los principales modelos nacionales e internacionales, para analizarlas y plantear un modelo de formación por competencias del psicólogo colombiano. El método utilizado fue la revisión y análisis de documentos de cada modelo a partir de: la definición del concepto de competencia, el tipo de competencias definido, las estrategias de formación y evaluación de las competencias, y las áreas curriculares asociadas con las competencias. Como conclusión, se estableció que la mayoría de modelos definen las competencias desde una perspectiva profesional centrada en los servicios psicológicos al usuario, pero ésta no se relaciona directamente con el proyecto de vida de los psicólogos, por lo que se propone un modelo de formación por competencias que responda a esta necesidad.

The present research is related to the teaching of psychology in Colombia. Its objective are: to characterize psychologist's competences that define the main international and national models of competences, to analyze them and finally, to propose a new model for the formation of the psychologist in Colombia. The method used was the review and analysis of documents of each model taking into account: the definition of the concept of competence, the classification of competences, the educational strategies for the development and evaluation of such competences; and the curricular areas associated with such competences. As a conclusion, it's was established that the majority of the models define competences since a professional approach focused on the psychological service delivered to users, but this definition is not related to the life project of psychologists, so that's why it` s proposed a new model of competences to response to that need.

Colera revisión para el personal de atención primaria de salud

Esta es una revision sobre la epidemiologia, cuadro clinico, tratamiento y prevención del colera dirigida al personal de atención primaria en salud, que recibe pacientes con diarrea aguda.