Exposición a temperaturas extremas y su efecto en la gestación en un departamento de Colombia / Exposure to extreme temperatures and its effect on pregnancy in a department of Colombia

Introducción: Diversas investigaciones han establecido la relación entre temperatura y duración del embarazo, la exposición a temperaturas altas durante el embarazo plantea interrogantes en especial el papel que esta juega frente a los partos prematuros y partos de bajo peso, es indispensable determinar si las temperaturas altas o bajas tienen un comportamiento protector o de riesgo sobre el feto durante la gestación en regiones tropicales. Objetivo: describir la relación entre la exposición a temperaturas altas y bajas durante el embarazo y su efecto en la edad gestacional y peso al momento del parto en los recién nacidos del departamento del Guaviare-Colombia. Metodología: Estudio tipo observacional, analítico, retrospectivo de corte transversal que busco determinar la relación entre exposición a temperaturas altas y bajas durante el embarazo y su efecto en la edad gestacional y peso al momento del parto en los recién nacidos, el universo estuvo conformado por 10.137 nacidos vivos, de los cuales 9.932 cumplieron los criterios de inclusión. Se determinó Odds Ratio para estimar la asociación entre las variables. Resultados: Dentro de la semana de retraso 3 el estar expuesto a temperaturas máximas percentil 90 es un factor protector para la ganancia ponderal de peso OR < 1, la exposición a temperaturas mínimas percentil 10 se asoció como factor protector para el parto prematuro en la semana de retraso 1 y 2 OR < 1.Conclusión: A pesar del beneficio de las altas y bajas temperaturas durante el embarazo en la ganancia ponderal de peso y disminución del parto prematuro, es recomendable prevenir la exposición a temperaturas extremas durante el periodo de gestación[AU]

Introduction: Various investigations have established the relationship between temperature and duration of pregnancy. Exposure to high temperatures during pregnancy raises questions, especially the role it plays in premature births and low-weight births. It is essential to determine whether high temperatures or low have a protective or risky behavior on the fetus during pregnancy in tropical regions.Objective: to describe the relationship between exposure to high and low temperatures during pregnancy and its effect on gestational age and weight at the time of delivery in newborns in the department of Guaviare-Colombia.Methodology:Observational, analytical, retrospective cross-sectional study that sought to determine the relationship between exposure to high and low temperatures during pregnancy and its effect on gestational age and weight at the time of delivery in newborns. The universe was made up of 10,137 births. alive, of which 9,932 met the inclusion criteria. Odds Ratio was determined to estimate the association between the variables.Results:Within the 3rd week of delay, being exposed to maximum temperatures at the 90th percentile is a protective factor for weight gain OR < 1, exposure to minimum temperatures at the 10th percentile was associated as a protective factor for premature birth in the week. of delay 1 and 2 OR < 1. Conclusion: Despite the benefit of high and low temperatures during pregnancy in weight gain and reduction in premature birth, it is advisable to prevent exposure to extreme temperatures during the gestation period[AU]

Introdução: Várias investigações estabeleceram a relação entre temperatura e duração da gravidez. A exposição a altas temperaturas durante a gravidez levanta questões, especialmente o papel que desempenha nos partos prematuros e nos nascimentos de baixo peso. É essencial determinar se as temperaturas altas ou baixas têm um comportamento protetor ou de risco para o feto durante a gravidez em regiões tropicais. Objetivo:descrever a relação entre a exposição a altas e baixas temperaturas durante a gravidez e seu efeito na idade gestacional e no peso no momento do parto em recém-nascidos no departamento de Guaviare-Colômbia. Metodologia: Estudo observacional, analítico, retrospectivo e transversal que buscou determinar a relação entre a exposição a altas e baixas temperaturas durante a gravidez e seu efeito na idade gestacional e no peso no momento do parto em recém-nascidos. O universo foi composto por 10.137 nascimentos. vivos, dos quais 9.932 preencheram os critérios de inclusão. O Odds Ratio foi determinado para estimar a associação entre as variáveis. Resultados:Na 3ª semana de atraso, a exposição a temperaturas máximas no percentil 90 é fator de proteção para ganho de peso OR < 1, a exposição a temperaturas mínimas no percentil 10 foi associada como fator de proteção para parto prematuro na semana. de atraso 1 e 2 OR < 1.Conclusão:Apesar do benefício das altas e baixas temperaturas durante a gravidez no ganho de peso e redução do parto prematuro, é aconselhável evitar a exposição a temperaturas extremas durante o período de gestação[AU]

Diversidad de ninfas de Leptohyphidae (Ephemeroptera) en el río Quenane-Quenanito, piedemonte llanero colombiano / Diversity of Leptohyphidae (Ephemeroptera) nymphs in the Quenane-Quenanito river, Colombian plain foothills

Resumen Introducción: Varias presiones antrópicas sufren los ecosistemas acuáticos del piedemonte llanero en Colombia. La respuesta a estresores ambientales aún se desconoce en organismos bioindicadores como Leptohyphidae. Objetivo: Determinar la diversidad de ninfas de Leptohyphidae del río Quenane-Quenanito, en dos periodos hidrológicos contrastantes y su relación con algunas variables fisicoquímicas. Métodos: En diciembre (2014) y febrero (2015) se recolectaron organismos con red Surber en seis estaciones a lo largo del río. Se analizó la diversidad alfa y beta y se aplicó análisis de redundancia y modelos lineales generalizados con el fin de establecer la relación entre los taxones y las variables ambientales. Resultados: Se identificaron 369 organismos pertenecientes a cuatro géneros (Amanahyphes, Traverhyphes, Tricorythopsis y Tricorythodes), dos especies y ocho morfoespecies. Se reporta por primera vez para el departamento del Meta Amanahyphes saguassu. Se registró la mayor diversidad de ninfas en la transición a la sequía y la mayor abundancia en sequía. La diversidad beta señaló que la configuración del ensamblaje cambia a nivel espacial y temporal. Conclusiones: Los organismos de Leptohyphidae prefieren hábitats de corrientes, particularmente en el periodo de sequía, donde hallan alimento (hojarasca, detritos) y refugio para establecerse exitosamente; actividades antrópicas como la urbanización afectan notablemente la diversidad. La alta diversidad registrada en este pequeño río de piedemonte llanero refleja la necesidad de incrementar este tipo de trabajos y esfuerzos de recolección de material de estudio en la región.

Abstract Introduction: Various anthropic pressures affect the aquatic ecosystems of the foothills of Colombia. The response to environmental stressors is still unknown in bioindicator organisms such as Leptohyphidae. Objective: To determine the diversity of Leptohyphidae nymphs of the Quenane-Quenanito river, in two contrasting hydrological periods and its relationship with some physicochemical variables. Methods: In December (2014) and February (2015), organisms were collected with a Surber net at six stations along the current. Alpha and beta diversity was analyzed and redundancy analysis and generalized linear model were applied to establish the relationship between taxa and environmental variables. Results: Were identified 369 organisms belonging to four genera (Amanahyphes, Traverhyphes, Tricorythopsis, and Tricorythodes), two species, and eight morphospecies. Amanahyphes saguassu is reported for the first time for the Meta department. High diversity of Leptohyphidae nymphs was recorded in the transition to drought season and greater abundance in drought. Beta diversity indicated that the configuration of the assemblage changes spatially and temporally. Conclusions: Leptohyphidae organisms prefer fast habitats, particularly in the dry period where they find food (leaf litter, detritus) and shelter to establish themselves successfully; anthropic activities such as urbanization notably affect diversity. The high diversity recorded in this small river in the foothills of the plains reflects the need to increase this type of works and collection efforts of study material in the region.

Variación espacio-temporal de la diversidad de escarabajos Geadephaga (Coleoptera: Carabidae, Cicindelidae) en el bosque seco tropical del Caribe colombiano / Spatio-temporal variation in the diversity of Geadephaga beetles (Coleoptera: Carabidae, Cicindelidae), in the tropical dry forest of the Colombian Caribbean

Resumen Introducción: El uso de artrópodos en estudios ecológicos en el bosque seco tropical (Bs-T) de Colombia se centra mayormente en arañas, mariposas, hormigas y escarabajos coprófagos; por lo tanto, es necesario comprender como es la dinámica estacional de otros grupos como Geadephaga en este ecosistema. Objetivo: Evaluar la variación espacio-temporal y el efecto de las condiciones ambientales sobre la diversidad de las comunidades de Geadephaga en dos fragmentos de Bs-T en el Caribe colombiano. Métodos: El estudio se llevó a cabo en cuatro eventos de muestreo entre febrero y junio de 2018; cada uno con una duración de cuatro días y cuatro noches. En cada localidad (Reserva Campesina La Montaña = RCM y Reserva La Flecha = RLF), se marcaron cuatro estaciones distanciadas 350 m, con parcelas de 50×50 m. En el centro de cada parcela se instaló una trampa de luz, mientras que en los cuatro vértices se instalaron trampas de caída, y se realizó captura manual, cernido de hojarasca y perturbación de follaje. Resultados: Se capturó un total de 348 ejemplares de Carabidae y 114 de Cicindelidae. La riqueza y la abundancia presentaron los valores más bajos durante el período seco, mientras que los mayores valores se observaron durante el período de lluvias, en ambos fragmentos. Tetracha affinis (Dejean, 1825) fue la especie más abundante en la RCM durante el período lluvioso. Conclusiones: La variación de la riqueza y abundancia de Geadephaga responde a un patrón estacional en ambos fragmentos. Se encontró una amplia disimilitud entre las comunidades de Geadephaga de ambos fragmentos, pese a tener condiciones ambientales parecidas.

Abstract Introduction: The use of arthropods in ecological studies in the tropical dry forest (TDF) of Colombia focused mainly on spiders, butterflies, ants, and dung beetles; therefore, it is necessary to understand the seasonal dynamics of the other groups such as Geadephaga in this ecosystem. Objective: To evaluate the spatio-temporal variations and the effect of environmental conditions on the diversity of the Geadephaga communities in two TDF fragments in the Colombian Caribbean. Methods: This study was conducted during four sampling events between February and June 2018, each lasting four days, and four nights. Four sampling stations were selected in each locality (Reserva Campesina La Montaña = RCM and Reserva La Flecha = RLF), separated 350 m one from another, with square plots of 50 × 50 m. A light trap was installed in the center of each square, while pitfall traps were installed in the four vertices, and manual capture, beating sheets and leaf litter sieve were carried out. Results: A total of 348 Carabidae and 114 of Cicindelidae were captured. In both fragments, the richness and abundance presented the lowest values in dry season, while the highest values were observed during the rainy season. Tetracha affinis (Dejean, 1825) was the most abundant species in RCM during rainy season. Conclusions: The richness variation and abundance of Geadephaga corresponds to a seasonal pattern at both locations. A high dissimilarity between the communities of Geadephaga from the two fragments was found, despite having similar environmental conditions.

Binocular vision parameters and visual performance in bilateral keratoconus corrected with spectacles versus rigid gas-permeable contact lenses / Parámetros de visión binocular y rendimiento visual en queratocono bilateral corregido con gafas versus lentes de contacto rígidos permeables al gas

Purpose: To analyze binocular vision of individuals aged 18 to 35 years diagnosed with keratoconus, utilizing spectacles and rigid gas-permeable (RGP) contact lenses. Research was led by the Universidad Autónoma de Aguascalientes, México and Fundación Universitaria del Área Andina Pereira, Colombia. Methods: A single center, prospective non-randomized, comparative, interventional, open-label study, in which the differences in binocular vision performance with both spectacles and RGP contact lenses was carried out from December 2018 to December 2019. Sampling was performed according to consecutive cases with keratoconus that met the inclusion criteria until the proposed sample size was reached. Results: Rigid gas-permeable (RGP) contact lenses notably enhanced distance and near visual acuity in keratoconus patients compared to spectacles. Visual alignment analysis shows exophoria at both distances and is slightly higher with RGP contact lenses. The difference was statistically significant (p<0.05), with 82.5 % presenting compensated phoria with spectacles and pnly 42.50% with RGP contact lenses. Stereoscopic vision improved while wearing RGP contact lenses (42.59 %), although accommodation and accommodative flexibility remained within normal ranges. Conclusions: Patients with keratoconus fitted with RGP contact lenses have improved binocular vision skills such as visual acuity, stereopsis, and accommodative flexibility. However, even when the vergence and motor system is decompensated with respect to normal ranges, the range between break and recovery points for both fusional reserves and the near point of convergence (NPC) improves with the use of RGP contact lenses, giving indications of an adaptive condition of the motor system from the medium to the long term.(AU)

My culture soothes.

In the poignant words of a 12-year-old indigenous girl from the Pijao ethnicity (Tolima, Colombia), who shared her perspective before succumbing to leukaemia, we gain a profound understanding of health from her unique cultural viewpoint. Growing up in El Escobal, indigenus community, with her sister, she experienced the spiritual strength and unity that their culture attributes to twins. For her, health was deeply intertwined with the traditions and rituals of her people, emphasising the healing powers of plants and spiritual harmonisation.She observed a stark contrast between indigenous and Western perspectives on medicine and spirituality. In her reflection, the young girl highlighted the universal language of mutual learning and support that transcends cultural differences. Her message underscores the importance of cultural harmony and the healing power of shared human experiences, advocating for a world where diverse beliefs and practices contribute to collective strength and understanding.This text was her response to the question, "What is health?" as part of one of the methodological exercises in the doctoral research of Pinzón-Segura MC. Teoría del Intersticio Afectivo: Un nuevo enfoque feminista decolonial de análisis de políticas públicas [Internet]. Bogotá: Repositorio virtual de la Universidad Nacional de Colombia; 2024. The thesis, awarded with the distinction of summa cum laude, included various methods such as participant observation, sociological interviews, and discourse analysis of government documents. The question "What is health?" specifically guided 40 creative narrative workshops, which were an integral component of the ethnography and arts-based research design.

Challenges in access to health for migrants transiting the Darien region. Health service needs and gaps on the border between Colombia and Panama

The Darien region, a vast jungle territory that straddles the border between Colombia and Panama, has historically been one of the most difficult areas in Latin America to traverse. Characterized by rugged terrain and dense vegetation, it represents a challenge for the migrant population trying to cross from South America to Central America and, eventually, to North America. The health of the migrant population in the Darien region is an issue of great importance and concern. Long travel times, lack of access to adequate medical services, and adverse environmental conditions can lead to a variety of physical and mental health problems, including injuries, infectious diseases, and malnutrition. In addition, migrants face the risk of violence and exploitation throughout their journey. The objective of this document is to analyze the relationship between migration and health in the Darien region, and to highlight the main challenges and opportunities in this context. Through a comprehensive review of recent data, inputs from the governments of Colombia and Panama, host communities, and cooperation partners involved in these issues, the intention of this publication is to provide guidance and bring attention to some of the health needs of the region’s migrant and host populations, and to propose recommendations for increasing their access to health services.

Encuestas telefónicas para el estudio de costos catastróficos por tuberculosis en Colombia: una herramienta innovadora / Telephone surveys for the study of catastrophic costs due to tuberculosis in Colombia: a novel tool / Pesquisas telefônicas para um estudo de custos catastróficos da tuberculose na Colômbia: uma ferramenta inovadora

[RESUMEN]. El estudio de costos catastróficos que experimentan las personas afectadas por tuberculosis realizado en Colombia durante la pandemia de COVID-19 trajo consigo la oportunidad de implementar encuestas telefónicas como medio para la recopilación de información. Lo anterior se constituye como una innovación metodológica en los estándares establecidos por la Organización Mundial de la Salud (OMS) que, para este tipo de estudios, suelen tener base en el empleo de encuestas cara a cara con los pacientes que acuden a las instalaciones de salud. El diseño del estudio, sus objetivos y metodología fueron adaptados del manual práctico para la realización de encuestas de costos de la tuberculosis de la OMS. Se seleccionaron 1 065 personas afectadas por tuberculosis como participantes del estudio, a quienes se les administró de manera telefónica el cuestionario estándar adaptado al contexto colombiano. Fue posible obtener datos estructurados sobre los costos directos e indirectos que enfrentan los pacientes con tuberculosis y sus familias; de manera general, se observó que todas las variables de recopilación alcanzaron una completitud mayor a 80%, con un tiempo promedio de encuesta de 40 minutos y una tasa de rechazo de 8%. La metodología de encuestas telefónicas desarrollada para determinar la línea base del estudio de costos catastróficos en Colombia resultó innovadora por el formato telefónico, que mantiene los estándares de información requerida para permitir estimaciones comparables a nivel internacional, y es un medio útil en la generación de resultados estandarizados en eventos en los cuales existe limitación para la realización de encuestas cara a cara.

[ABSTRACT]. The study of catastrophic costs incurred by people affected by tuberculosis (TB), conducted in Colombia during the COVID-19 pandemic, provided the opportunity to implement telephone surveys for data collection. This constitutes a methodological innovation regarding the standards established by the World Health Organization (WHO) which, for this type of study, usually rely on face-to-face surveys of patients attending health facilities. The study design, objectives, and methodology were adapted from the WHO publication Tuberculosis patient cost surveys: a handbook. A total of 1065 people affected by tuberculosis were selected as study participants and, by telephone, were administered a standard questionnaire adapted to the Colombian context. This allowed the collection of structured data on the direct and indirect costs faced by TB patients and their families. Greater than 80% completeness was achieved for all variables of interest, with an average survey duration of 40 minutes and a rejection rate of 8%. The described survey method to determine the baseline for further study of catastrophic costs in Colombia was novel because of its telephone-based format, which adheres to the information standards required to allow internationally comparable estimates. It is a useful means of generating standardized results in contexts in which the ability to conduct face-to-face surveys is limited.

[RESUMO]. O estudo dos custos catastróficos incorridos pelas pessoas afetadas pela tuberculose realizado na Colômbia durante a pandemia de COVID-19 representou uma oportunidade de implementar pesquisas telefônicas como forma de coleta de dados. Constitui-se uma inovação metodológica dos padrões estabelecidos pela Organização Mundial da Saúde (OMS), que, para esse tipo de estudo, geralmente se baseiam no uso de pesquisas presenciais com os pacientes que frequentam estabelecimentos de saúde. O delineamento, os objetivos e a metodologia do estudo foram adaptados do manual prático da OMS para a realização de pesquisas de custos da tuberculose. Um total de 1065 pessoas afetadas pela tuberculose foram selecionadas para participar do estudo. O questionário padrão, adaptado ao contexto colombiano, foi aplicado pelo telefone. Foi possível obter dados estruturados sobre os custos diretos e indiretos enfrentados pelos pacientes com tuberculose e suas famílias. Em geral, observou-se que todas as variáveis de coleta atingiram uma completude de mais de 80%, com um tempo médio de pesquisa de 40 minutos e uma taxa de recusa de 8%. A metodologia de pesquisa telefônica desenvolvida para determinar a linha de base do estudo de custos catastróficos na Colômbia foi inovadora devido ao formato telefônico, que mantém os padrões de informação necessários para permitir estimativas comparáveis internacionalmente e é uma forma útil de gerar resultados padronizados em circunstâncias em que há limitações para a realização de pesquisas presenciais.

Exploring Trypanosoma cruzi transmission dynamics in an acute Chagas disease outbreak using next-generation sequencing.

BACKGROUND: Chagas disease (CD), caused by Trypanosoma cruzi, poses a major global public health challenge. Although vector-borne transmission is the primary mode of infection, oral transmission is increasingly concerning. METHODS: This study utilized long-amplicon-based sequencing (long-ABS), focusing on the 18S rRNA gene, to explore T. cruzi's genetic diversity and transmission dynamics during an acute CD outbreak in Colombia, an area without domestic infestation. RESULTS: Analyzing samples from five patients and five T. cruzi-positive marsupial samples, we identified coinfections between T. cruzi and Trypanosoma rangeli, mixed T. cruzi DTUs, suggesting possible links between human and marsupial T. cruzi infections. Coexistence of TcI, TcIV and T. rangeli suggests marsupial secretions as the possible source of T. cruzi transmission. Our investigation revealed diversity loss in DTUs TcIV and T. rangeli in humans after infection and in marsupial samples after culture. CONCLUSION: These findings provide significant insights into T. cruzi dynamics, crucial for implementing control and prevention strategies.

Alobophora sandrae n. gen. n. sp. (Digenea: Caballerotrematidae) infecting Arapaima gigas sensu lato (Osteoglossiformes: Arapaimidae) with a revision of Caballerotrema, key to Caballerotrematidae, and updated phylogeny.

We propose and describe Alobophora sandrae Cajiao-Mora & Bullard n. gen., n. sp. (Digenea: Caballerotrematidae) for specimens we collected from arapaima, Arapaima gigas sensu lato (Osteoglossiformes: Arapaimidae) in the Amazon River near Leticia, Colombia. Alobophora differs from Caballerotrema Prudhoe, 1960 by lacking head collar projections and by having clustered corner spines and a narrow head collar (4-5× wider than pharynx), whereas Caballerotrema has head collar projections, lacks clustered corner spines, and has a broad head collar (7-8× wider than pharynx). We reassign Caballerotrema annulatum (Diesing, 1850) Ostrowski de Núñez & Sattmann, 2002 to the new genus, as Alobophora annulata (Diesing, 1850) Cajiao-Mora and Bullard n. comb., and provide a supplemental description of Caballerotrema brasiliense Prudhoe, 1960 based on specimens we collected from arapaima. We also examined the holotype and a paratype of Caballerotrema piscicola (Stunkard, 1960) Kostadinova & Gibson, 2001 and concluded that C. piscicola is a junior subjective synonym of C. brasiliense. Our 28S phylogeny recovered A. sandrae sister to A. annulata, with that clade sister to a clade comprising C. brasiliense and an innominate species of Caballerotrema. Caballerotrematidae was recovered sister to Echinostomatidae. We also provide a dichotomous key to caballerotrematids based on head collar projections, corner spine arrangement, proportional pharynx and head collar breadth, testes shape and arrangement, body surface spine shape and distribution, vitellarium distribution, and abundance of prostatic cells.

Title: Alobophora sandrae n. gen. n. sp. (Digenea : Caballerotrematidae) infectant Arapaima gigas sensu lato (Osteoglossiformes : Arapaimidae) avec une révision de Caballerotrema, une clé des Caballerotrematidae et une phylogénie mise à jour. Abstract: Nous proposons et décrivons Alobophora sandrae Cajiao-Mora & Bullard n. gen., n. sp. (Digenea : Caballerotrematidae) pour les spécimens que nous avons collectés chez l'arapaïma, Arapaima gigas sensu lato (Osteoglossiformes : Arapaimidae) dans le fleuve Amazone près de Leticia (Colombie). Alobophora diffère de Caballerotrema Prudhoe, 1960 par l'absence de projections du collier céphalique et par la présence d'épines angulaires groupées et d'un collier céphalique étroit (4 à 5 fois plus large que le pharynx), tandis que Caballerotrema présente des projections du collier céphalique, n'a pas d'épines angulaires groupées et a un collier céphalique large (7 à 8 fois plus large que le pharynx). Nous réaffectons Caballerotrema annulatum (Diesing, 1850) Ostrowski de Núñez & Sattmann, 2002 au nouveau genre, sous le nom d'Alobophora annulata (Diesing, 1850) Cajiao-Mora et Bullard n. comb., et fournissons une description supplémentaire de Caballerotrema brasiliense Prudhoe, 1960 basée sur des spécimens que nous avons collectés sur des arapaïmas. Nous avons également examiné l'holotype et un paratype de Caballerotrema piscicola (Stunkard, 1960) Kostadinova & Gibson, 2001 et avons conclu que C. piscicola est un synonyme subjectif junior de C. brasiliense. Notre phylogénie 28S a trouvé A. sandrae groupe-frère d'A. annulata, avec ce clade frère d'un clade comprenant C. brasiliense et une espèce non nommée de Caballerotrema. Les Caballerotrematidae ont été trouvés comme groupe-frère des Echinostomatidae. Nous fournissons également une clé dichotomique des Caballerotrematidae basée sur les projections du collier de la tête, la disposition des épines d'angle, la largeur proportionnelle du pharynx et du collier de la tête, la forme et la disposition des testicules, la forme et la distribution des épines de la surface du corps, la distribution du vitellarium et l'abondance des cellules prostatiques.

[Sociodemographic and dietary factors and health conditions: determinants of malnutrition in the elderly in Colombia]. / Factores sociodemográficos, alimentarios y condiciones de salud: determinantes de la malnutrición en personas mayores de Colombia.

This study aimed to estimate the prevalence of malnutrition using clustered anthropometric indicators and to describe the sociodemographic and dietary factors and health conditions that determine malnutrition in elderly Colombians. This was a secondary analysis of the study Health, Well-being and Ageing (SABE) Colombia, 2015. The survey included 23,694 people aged ≥ 60 years. Malnutrition excess was defined by clustering two indicators: body mass index (BMI) and waist circumference; weight deficit was defined by clustering BMI and arm and calf circumferences. The chi-square test was used to associate malnutrition with sociodemographic variables, dietary and health conditions, and to determine the heterogeneity of malnutrition, a latent class analysis was performed. Overweight was 31.9%, whereas underweight, according to BMI and calf circumference, was 7.9%, and increased to 18.8% when arm circumference was also taken into account. Five latent classes of malnutrition were generated - class 1: no overweight and deteriorated health conditions; class 2: no weight deficit and deteriorated health conditions; class 3: no malnutrition and deteriorated health conditions; class 4: overweight and multimorbidity; and class 5: low protein food intake without being underweight or overweight. It is concluded that a high prevalence of malnutrition in older adults exists, with excess rather than deficit. Sociodemographic and dietary factors and health conditions are associated differently with overweight and underweight.

El objetivo del estudio fue estimar la prevalencia de malnutrición por indicadores antropométricos agrupados y describir los factores sociodemográficos, alimentarios y condiciones de salud determinantes de malnutrición en personas mayores colombianas. Se realizó un análisis secundario del estudio Salud, Bienestar y Envejecimiento (SABE) Colombia, 2015. Incluyó 23.694 personas ≥ 60 años. La malnutrición por exceso se definió agrupando dos indicadores: índice de masa corporal (IMC) y circunferencia de cintura; el déficit de peso se definió agrupando el IMC y las circunferencias de brazo y pantorrilla. Para asociar la malnutrición con variables sociodemográficas, alimentarias y condiciones de salud se usó la prueba chi-cuadrado y para determinar la heterogeneidad de la malnutrición se realizó un análisis de clases latentes. El exceso de peso fue 31,9%; mientras que el déficit de peso según IMC y circunferencia de pantorrilla fue 7,9%, e incrementó a 18,8%, al tener en cuenta además la circunferencia del brazo. Se generaron cinco clases latentes para malnutrición, clase 1: sin exceso de peso y con deterioro en condiciones de salud; clase 2: sin déficit de peso y con deterioro en condiciones de salud; clase 3: sin malnutrición ni deterioro en condiciones de salud; clase 4: exceso de peso y multimorbilidad, y clase 5: bajo consumo de alimentos proteicos sin déficit ni exceso de peso. Se concluye que existe una prevalencia de malnutrición elevada en las personas mayores, representando más el exceso que el déficit. Tanto los factores sociodemográficos, alimentarios y condiciones de salud, se asocian de forma diferente al exceso que al déficit de peso.

O objetivo do estudo foi estimar a prevalência da desnutrição por meio de indicadores antropométricos agrupados e descrever os fatores sociodemográficos, alimentares e condições de saúde determinantes da desnutrição em idosos colombianos. Foi realizada uma análise secundária do estudo Saúde, Bem-estar e Envelhecimento (SABE) Colômbia, 2015. A pesquisa incluiu 23.694 pessoas com idade ≥ 60 anos. O excesso de desnutrição foi definido pelo agrupamento de dois indicadores: índice de massa corporal (IMC) e circunferência da cintura; o déficit de peso foi definido pelo agrupamento do IMC e das circunferências do braço e da panturrilha. Para associar a desnutrição a variáveis sociodemográficas, condições alimentares e de saúde, foi usado o teste do qui-quadrado e, para determinar a heterogeneidade da desnutrição, foi realizada uma análise de classe latente. O excesso de peso foi de 31,9%, enquanto o baixo peso, de acordo com o IMC e a circunferência da panturrilha, foi de 7,9%, e aumentou para 18,8% quando a circunferência do braço também foi levada em conta. Foram geradas cinco classes latentes para a desnutrição - classe 1: sem excesso de peso e condições de saúde deterioradas; classe 2: sem déficit de peso e condições de saúde deterioradas; classe 3: sem desnutrição e condições de saúde deterioradas; classe 4: excesso de peso e multimorbidade; e classe 5: baixa ingestão de alimentos proteicos sem déficit de peso ou excesso de peso. Conclui-se que há uma alta prevalência de desnutrição em idosos, com excesso em vez de déficit. Fatores sociodemográficos, alimentares e condições de saúde estão associados de forma diferente ao sobrepeso e ao baixo peso.

Biotechnological sovereignty is not a mere nationalist concept, it is a necessity for Colombia and Latin America.

During the pandemic, Latin American countries suffered the collapse of their health systems. This was caused by the high demand for care of patients infected with SARS-CoV-2, which was added to the care of patients with other diseases. The significant increase in demand for health services caused medical and laboratory supplies to decline rapidly. The COVID-19 pandemic exacerbated a health crisis in several developing countries, mainly caused by insufficient systematic policies for integrating scientific knowledge. The current Colombian government must formulate a Biotechnological or Biosecurity Sovereignty Law that guarantees scientific autonomy, ensuring that Colombia is self-sufficient in Science, Technology, and Innovation. Colombian government should also focus on establishing and developing pharmaceutical chemical production by acquiring active chemical ingredients from other countries. This strategy could reduce the production costs and final prices of medicines, as well as generate high-level employment and wealth for the country. In this way, the Colombian government could prevent shortage of essential medicines and excessive price increases by commercial intermediation. In conclusion, the manuscript focuses on the lack of biotechnological sovereignty in Colombia. We propose a model of a Latin American Science and Technology ecosystem to achieve biotechnological sovereignty via state funding of research, strengthening universities, and fostering participation among private companies and Ministries of Science, Education, Trade, and Health. Scientific autonomy based on innovative processes that strengthen biotechnological independence can contribute to the economy by generating gross added value, creating high-quality employment, and facilitating the appropriation and social dissemination of knowledge, and cost reduction.

Socioeconomic determinants of small and medium-sized dairy farms in the Ecuador-Colombia border area.

The socioeconomic factors influencing small-scale dairy producers in the border area between Ecuador and Colombia were meticulously identified. Employing a non-experimental design, the study leveraged multivariate statistical analysis to discern key determinants. Data processing was executed using the statistical software SPSS v27, facilitating comprehensive analysis. A random survey was administered to 532 small and medium-scale dairy producers in the Carchi province of Ecuador, employing a structured questionnaire supplemented with a Likert scale for nuanced insights. Based on 35 original variables, seven determining factors were identified in dairy farms: political representation, adequate housing, equipment, innovation, empathy, profitability, social welfare, which combined explain 60.95% of the system's variability. Such factors affect production, the level of household income, as well as their effect on the standard of living of households. Three groups were formed, the first with a low perception of economic development (Traditionalists 33.3%); the second with a better expectation of economic development (Modernizers 27.6%); and the third, identified with greater economic development (Innovators 10.3%). Each group presents cases with a low to high standard of living perspective. The groups have peculiarities in terms of their performance that can be applied to the entire population. A significant relation was established between socioeconomic factors and standard of living.

Development and Validation of Nosocomial Bacterial Infection Prediction Models for Patients With Systemic Lupus Erythematosus.

BACKGROUND: Hospital-acquired bacterial infections are associated with high morbidity and mortality rates in patients with systemic lupus erythematosus (SLE). This study aimed to develop and validate predictive models for the risk of hospital-acquired bacterial infections in patients with SLE. METHODS: A historical cohort study was designed for development, and another bidirectional cohort study was used for external validation. The risk of bacterial infection was assessed upon admission and after 5 days of hospitalization. Predictor selection employed the least absolute shrinkage and selection operator (LASSO) techniques. Multiple imputations were used to handle missing data. Logistic regression models were applied, and the properties of discrimination, calibration, and decision curve analysis were evaluated. RESULTS: The development cohort comprised 1686 patients and 237 events (14.1%) from 3 tertiary hospitals. The external validation cohort included 531 patients and 84 infection outcomes (15.8%) from 10 hospital centers in Colombia (secondary and tertiary level). The models applied at admission and after 120 hours of stay exhibited good discrimination (AUC > 0.74). External validation demonstrated good performance among patients from the same tertiary institutions where the models were developed. However, geographic validation at other institutions has been suboptimal. CONCLUSIONS: Two predictive models for nosocomial bacterial infections in patients with SLE are presented. All infection prevention recommendations should be maximized in patients at moderate/high risk. Further validation studies in diverse contexts, as well as clinical impact trials, are necessary before potential applications in research and clinical care.

Clinical and diagnostic evaluation of a wild ocelot (Leopardus pardalis) specimen.

Background: Monitoring the health of wild animals under the principles of one health contributes to the prevention of diseases and the preservation of human and animal health, thus contributing to the conservation of species. Aim: The current study describes the clinical and paraclinical status of an ocelot (Leopardus pardalis) captured in Buriticá, Antioquia, Colombia, for research purposes with the aim of contributing to the construction of animal health reference values in the wild, considering the scarcity of published data for the country on capture, management, and paraclinical parameters related to this species. Methods: For this, hematological parameters, blood chemistry, urine cytochemical analyses, and coprological examinations were carried out. Results: The hematological values of the captured individual do not show relevant differences concerning those reported in the literature in both captive and free specimens. However, differences were identified between the reference blood chemistry and urine cytochemical values between reports of animals in captivity and the wild, revealing the need to develop reference standards for animals in the wild that guarantee adequate management of these species and favor their conservation. A possible picture of renal failure and multiple parasitic infections of epidemiological importance was found. Conclusion: This study reports for the first time a urine infection by Capillaria sp. and an infection by Dicrocoelium spp. in fecal matter for the species.

Environmental impacts of extensive beef production in Colombia by life cycle assessment: a case study.

The increase in the negative effects of global change promotes the search for alternatives to supply the demand for food worldwide aligned with the Sustainable Development Goals (SDGs) to ensure food security. Animal protein, which is a main source of nutrients in the diet of today's society, especially beef, which is one of the most demanded products nowadays, has been criticized not only for its high water consumption and land occupation for production but also for the emission of greenhouse gases (GHG) from enteric methane generated in the fermentation process within the bovine rumen and deforestation for the adaptation of pastures. This study is mainly motivated by the lack of quantifiable scientific information in Colombia on the environmental impacts of beef production. Therefore, it is intended to estimate some of the impacts of beef production in extensive systems using the life cycle assessment (LCA) method under a particular scenario considering all the production phases (from raw material to fattening, where the cattle are ready to be slaughtered). The study was conducted with data supplied by a farm in Antioquia, Colombia, and the functional unit (FU) was defined as 1 kg of live weight (LW). The scope of this study was gate-to-gate. "The 2019 Refinement to the 2006 IPCC Guidelines for National Greenhouse Gas Inventories" (IPCC  2006; IPCC 2019) was used to calculate methane and nitrous oxide emissions. LCA modeling was developed with Ecoinvent database v3.8 and the Umberto LCA + software. It was found that the most affected category of damage was ecosystem quality, which represents 77% of the total, followed by human health at 17% and resources at 6%. The category impact of agricultural land occupation is the one that represents the most significant contribution to the ecosystem quality endpoint, with a percentage of 87%, due to the soil's compaction and the loss of the soil's properties. Additionally, the obtained carbon footprint for the system was 28.9 kg of CO2-eq/kg LW.

Spatiotemporal analysis of suicide attempts in Colombia from 2018 to 2020.

Suicide is one of the leading death causes worldwide, mainly among young adults, and Colombia has experienced an increase during the XXI century. The suicide impact has diverged between age groups and locations in Colombia, where young adults have taken higher incidences than the other age groups. The COVID-19 lockdown induced changes in mental health, affecting the previous suicide trends in the country. We conducted a spatiotemporal analysis of suicide attempts in Colombia per age group, adopting Bayesian models that represent 85,526 individual records in 1,121 municipalities from 2018 to 2020 using R-INLA. We found that Colombia exhibited an increase in suicide-attempt incidence from 2018 to 2019, and suddenly, the incidence fell in the first semester of 2020. The fixed effect of the models evidenced the highest risk in overall municipalities per trimester in the age group between 15-19 years old. The spatial random effect per model evidenced municipalities with the highest risk in the age groups between 10 to 59 years, mainly in the states in the Andean region of Colombia, and other states such as Putumayo, Vaupés, Arauca, Córdoba, Amazonas, and Meta. The temporal random effect evidenced a decay in suicide trends from the fourth trimester of 2019 to 2020, except in the age group > 59 years old. Geographically, our study pinpointed specific regions in Colombia, particularly in the central, southwest, and southeast areas, where the incidence of suicide attempts exceeded 100 cases per 100,000 inhabitants. The nuanced breakdown of incidence across different age groups further underscores the importance of tailoring preventive strategies based on age-specific and regional risk factors.

Potentially pathogenic bacteria in the plastisphere from water, sediments, and commercial fish in a tropical coastal lagoon: An assessment and management proposal.

Microplastics in aquatic ecosystems harbor numerous microorganisms, including pathogenic species. The ingestion of these microplastics by commercial fish poses a threat to the ecosystem and human livelihood. Coastal lagoons are highly vulnerable to microplastic and microbiological pollution, yet limited understanding of the risks complicates management. Here, we present the main bacterial groups, including potentially pathogenic species, identified on microplastics in waters, sediments, and commercial fish from Ciénaga Grande de Santa Marta (CGSM), the largest coastal lagoon in Colombia. DNA metabarcoding allowed identifying 1760 bacterial genera on microplastics, with Aeromonas and Acinetobacter as the most frequent and present in all three matrices. The greatest bacterial richness and diversity were recorded on microplastics from sediments, followed by waters and fish. Biochemical analyses yielded 19 species of potentially pathogenic culturable bacteria on microplastics. Aeromonas caviae was the most frequent and, along with Pantoea sp., was found on microplastics in all three matrices. Enterobacter roggenkampii and Pseudomonas fluorescens were also found on microplastics from waters and fish. We propose management strategies for an Early Warning System against microbiological and microplastic pollution risks in coastal lagoons, illustrated by CGSM. This includes forming inter-institutional alliances for research and monitoring, accompanied by strengthening governance and health infrastructures.

Respiratory and physical health consequences in older adults in a high-risk volcanic area: Comparison of two rural villages.

INTRODUCTION: Volcanism is an important natural producer of pollution that impacts health and the quality of the environment. Lung changes caused by exposure to volcanoes have been previously studied. However, limited information exists regarding the effects of prolonged exposure to volcanic compounds. So, this study aimed to analyze the pulmonary effects and stress tolerance in older adults for chronic exposure to the volcanic ashes of the Galeras volcano. METHODS: A descriptive cross-sectional study of association included rural inhabitants aged over 60 years from Genoy, a village located in a high volcanic hazard zone of Galeras volcano, 2603 meters above sea level. Those in this group, called exposed, were contrasted with a sample of El Encano inhabitants with similar socioeconomic and cultural characteristics. Both villages belong to the rural area of San Juan de Pasto in Colombia. RESULTS: It was found that of 31 exposed participants, 18 had obstructive alteration, and in the control group, it was found that of 31 subjects, 6 presented this alteration. The difference between the two groups was significant (p<0.001). A similar situation occurred with distal airway obstruction assessed with the forced expiratory flow of 25-75%. No significant differences were found in restrictive alteration between the exposed and unexposed groups. CONCLUSION: Chronic exposure to volcanic compounds has generated obstructive changes in the population, and these changes were greater in number and severity than those in the control group of unexposed people.