RESUMO
Introduction: Pregnant women and health providers in rural areas of low-income and middle-income countries face multiple problems concerning high-quality obstetric care. This study was performed to identify changes in maternal and perinatal indicators after implementing a model based on education and telecare between a high-complexity hospital in 10 low-complexity hospitals in a southwestern region of Colombia. Methods: A quasiexperimental study with a historic control group and without a pretest was conducted between 2017 and 2019 to make comparisons before and after obstetric emergency care through the use of teleassistance from 10 primary care centers to the referral center (Fundación Valle del Lili, FVL). Results: A total of 470 patients were treated before teleassistance implementation and 154 patients were treated after teleassistance implementation. After program implementation, the maternal clinical indicators showed a 65% reduction in the number of obstetric patients who were referred with obstetric emergencies. The severity of maternal disease that was measured at the time of admission to level IV through the Modified Early Obstetric Warning System score was observed to decrease. Conclusion: The implementation of a model based on education and teleassistance between low-complexity hospitals and tertiary care centers generated changes in indicators that reflect greater access to rural areas, lower morbidity at the time of admission, and a decrease in the total number of emergency events.
RESUMO
Objective: To obtain the mesiodistal and bucolingual diameters of upper and lower permanent central and lateral incisors, cuspids, first and second premolars and first molars by the analysis of 66 plaster casts (27 women and 39 men) belonging to a group of mestizo Caucasoid in the city of Cali, in order to determine the mean diameters of each teeth class, sexual dimorphism, bilateral symmetry and biological distances of the studied sample. Materials and methods: quantitative cross-sectional descriptive study to characterize the dental dimensions through Moorrees method for meso-distal diameter and Kieser method for the buco-lingual diameter systems, using a gauge of thin tips with 0.1 mm of precision. The Student T test and Mann-Whitney test were used to determine sexual dimorphism and bilateral symmetry, respectively (p < 0.05). Results: According to the mesiodistal and bucolingual diameters, the permanent teeth of the studied population not display sexual dimorphism and they have bilateral symmetry. At the same time, a distance matrix with the respective dendrogram was built from the averages of these measurements, resulting in a grouping of the studied sample with microdontes global populations. Conclusions:The studied sample has no sexual dimorphism, presents bilateral symmetry and is considered as a microdonte population...(AU)
Objetivo: Obtener los diámetros meso-dis- tales y vestíbulo-linguales de los incisivos centrales y laterales, caninos, primeros y segundos premolares y primeros molares superiores e inferiores permanentes de 66 modelos de yeso (27 mujeres y 39 hombres) pertenecientes a un grupo de mestizos cau- casoides de la ciudad de Cali, con el fin de determinar los promedios de los diámetros de cada clase de diente, el dimorfismo sexual, la simetría bilateral y las distancias biológicas de la muestra estudiada. Materiales y métodos: Estudio descriptivo transversal cuantitativo que caracteriza las dimensiones dentales mediante los sistemas de Moorrees para el diámetro meso-distal y de Kieser para el diámetro vestíbulo-lingual, y a través de un calibra - dor de puntas finas con exactitud de 0,1 mm. Se empleó la prueba T de Student y el test de Mann-Whitney para determinar el dimorfismo sexual y la simetría bilateral respectivamente (p<0,05). Resultados: De acuerdo a los diámetros meso-distal y vestíbulo-lingual, los dientes permanentes de la población estudiada no presenta dimorfismo sexual y si presentan simetría bilateral. Así mismo, a partir de los promedios de dichas mediciones, se construyó una matriz de distancias con su respectivo dendograma que agrupa la mues - tra estudiada con poblaciones mundiales microdontes. Conclusiones: La muestra estudiada no presenta dimorfismo sexual, presenta simetría bilateral y poblacionalmente se considera microdonte.
