Association between Cervical Cancer and Dietary Patterns in Colombia.

Cervical cancer is a global public health problem. It is the second leading cause of death among women of childbearing age worldwide. Several factors, including diet, have been shown to influence the risk of persistent HPV infection and tumor progression. This paper determines the relationship between dietary patterns and cervical cancer. It is an ecological study of multiple groups, based on two national sources: the High-Cost Account and the National Survey of Nutritional Situation of Colombia of 2015. The population consisted of 3472 women aged 35 to 64. The incidence of cervical cancer was used as the dependent variable while the independent variables included food consumption according to established patterns, area of residence, age, physical activity, and BMI, among other variables. The statistical analysis performed through associations between variables was evaluated by multiple linear regression using R2. 38.9% of the evaluated population belonged to the first quartile of wealth, and 76.5% resided in the municipal capital. The incidence of cervical cancer in Colombia was associated with being affiliated to a state-subsidized health regime and having diabetes mellitus. A conservative eating pattern, as well as belonging to a rural area, are evidenced as protective factors. These results invite the need to encourage public policies and promote healthy lifestyles.

[Beneficios de la terapia de la risa en los niveles de depresión en niños diagnosticados con cáncer: estudio de caso.] / Benefits of laughing therapy on depression levels in children diagnosed with cancer: a case study.

OBJECTIVE: Pediatric cancer emotionally affects infants causing depression which must be intervened in a timely manner as an essential part of the treatment. Therefore, the present study sought to identify the benefits of laughter therapy on the levels of depression in children diagnosed with cancer in a foundation in Cali, Colombia. METHODS: The sample consisted of six children undergoing cancer treatment, aged between eight and twelve years. The Children's Depression Inventory (CDI) and three laughter therapy workshops were applied. A descriptive analysis was performed, with measures of central tendency for quantitative variables and absolute and relative frequencies for categorical variables. RESULTS: The results indicated that 83% of the children presented an emotional problem due to the disease; favorable changes were evidenced in the depression scores after the laughter therapy interventions. CONCLUSIONS: It is concluded that laughter therapy is an effective non-pharmacological treatment when combined with workshops aimed at strengthening the expression of emotions, self-esteem and life project, which not only improves the health of children, but also prevents and reduces the appearance of emotional disorders.

OBJETIVO: El cáncer pediátrico afecta emocionalmente a los infantes causando depresión, la cual se debe intervenir oportunamente como parte fundamental del tratamiento. Por lo tanto, el presente estudio buscó identificar los beneficios de la terapia de la risa en los niveles de depresión en niños y niñas diagnosticados con cáncer de una fundación de Cali, Colombia. METODOS: La muestra estuvo conformada por seis niños en tratamiento oncológico, con edades entre los ocho y doce años. Se aplicó el Inventario de Depresión Infantil (CDI) y tres talleres de risoterapia. Se realizo un análisis descriptivo, para las variables cuantitativas se realizaron medidas de tendencia central y para las categóricas se reportaron frecuencias absolutas y relativas. RESULTADOS: Los resultados indicaron que el 83% de los niños presentaron un problema emocional debido a la enfermedad; se evidenciaron cambios favorables en los puntajes de depresión posterior a las intervenciones de la terapia de la risa. CONCLUSIONES: Se concluye que la terapia de la risa es un tratamiento no farmacológico eficaz al combinarse con talleres orientados a fortalecer la expresión de las emociones, autoestima y proyecto de vida, que no solo permite mejorar la salud de los infantes, sino que previne y reduce la aparición de trastornos emocionales.

Beneficios de la terapia de la risa en los niveles de depresión en niños diagnosticados con cáncer: estudio de caso / Benefits of laughing therapy on depression levels in children diagnosed with cancer: a case study

Fundamentos: El cáncer pediátrico afecta emocionalmente a los infantes causando depresión, la cual se debe intervenir oportunamente como parte fundamental del tratamiento. Por lo tanto, el presente estudio buscó identificar los beneficios de la terapia dela risa en los niveles de depresión en niños y niñas diagnosticados con cáncer de una fundación de Cali, Colombia. Métodos: La muestra estuvo conformada por seis niños en tratamiento oncológico, con edades entre los ocho y doce años. Se aplicó elInventario de Depresión Infantil (CDI) y tres talleres de risoterapia. Se realizo un análisis descriptivo, para las variablescuantitativas se realizaron medidas de tendencia central y para las categóricas se reportaron frecuencias absolutas y relativas. Resultados: Los resultados indicaron que el 83% de los niños presentaron un problema emocional debido a la enfermedad; seevidenciaron cambios favorables en los puntajes de depresión posterior a las intervenciones de la terapia de la risa. Conclusiones: Se concluye que la terapia de la risa es un tratamiento no farmacológico eficaz al combinarse con talleresorientados a fortalecer la expresión de las emociones, autoestima y proyecto de vida, que no solo permite mejorar la salud de losinfantes, sino que previne y reduce la aparición de trastornos emocionales.(AU)

Background: Pediatric cancer emotionally affects infants causing depression which must be intervened in a timely manner asan essential part of the treatment. Therefore, the present study sought to identify the benefits of laughter therapy on the levels ofdepression in children diagnosed with cancer in a foundation in Cali, Colombia. Methods: The sample consisted of six children undergoing cancer treatment, aged between eight and twelve years. TheChildren’sDepression Inventory (CDI) and three laughter therapy workshops were applied. A descriptive analysis was performed, with measures ofcentral tendency for quantitative variables and absolute and relative frequencies for categorical variables. Results: The results indicated that 83% of the children presented an emotional problem due to the disease; favorable changeswere evidenced in the depression scores after the laughter therapy interventions. Conclusions: It is concluded that laughter therapy is an effective non-pharmacological treatment when combined with works-hops aimed at strengthening the expression of emotions, self-esteem and life project, which not only improves the health of children,but also prevents and reduces the appearance of emotional disorders.(AU)

Factors Associated with Dietary Patterns in Colombia.

The selection of food depends on various factors such as cultural, social, economic and biological. This paper determines the factors associated with dietary patterns in Colombia. It is an observational, descriptive exploratory study collecting secondary data from the National Survey of Nutritional Status of Colombia (ENSIN, 2015) of 16,216 people between 15 and 64 years of age. The variables were the following: area, age range, sex, educational level, high blood pressure arterial hypertension (HTA), diabetes (DM), cancer, wealth quartile and dietary pattern. For the data analysis, logistic regression models were generated for each pattern and OR was used as a measure of association. Of those studied, 74.6% live in urban areas, all were aged between 15 and 49 years and 45.4% were in the first wealth quartile (Q1). There was a greater probability of traditional and conservative dietary patterns in people with diabetes and hypertension. Consumption of the conservative pattern was associated with being a woman, while consumption of the traditional pattern was associated with people in the first and second wealth level. Consumption of grill/beverage was more likely in men. Socio-demographic factors and chronic non-communicable diseases are associated with dietary patterns. This makes it relevant for health professionals to take into account these characteristics for nutritional interventions.

Signos de vida en la morbilidad de la gestante / Signs of life in the morbidity of pregnant women

Para la valoración de las gestantes es indispensable incorporar parámetros que permitan la identificación de alteraciones de parte del personal de enfermería y medicina. Esta valoración en la atención de salud no se realiza en todas las instituciones en las cuales consultan las gestantes, llevarlo a cabo permite detectar a tiempo las alteraciones clínicas que incrementan la morbilidad y la mortalidad materna. El estudio determina las alteraciones en gestantes cuando se aplica la Escala de Alerta Temprana en una institución de alta complejidad en Colombia. MÉTODO: Investigación observacional descriptiva, en 308 gestantes con más de un día de encontrarse en hospitalización y unidad de cuidados especial obstétrico, recolectando información contenida en las historias clínicas digitales y las evaluaciones realizadas por el personal de salud durante el periodo enero a diciembre del 2017, a través de un formato general de condiciones de salud y la escala de alerta temprana en una institución de alta complejidad. RESULTADOS: La edad de las gestantes se encuentra entre 14 y 45 años. El diagnóstico más frecuente de ingreso fue preclampsia con un 38.2% IC95% (32.62-43.98). La mayor frecuencia de alteraciones está en la tensión arterial sistólica con un 70.1% IC95% (50.75-62.07), tensión diastólica 56.5% IC 95% (50.75-62.07) y alteración respiratoria 28.9% IC (23.97-34.36). Se encontró significancia estadística entre la estancia y los antecedentes patológicos con p < 0.03. Los procedimientos de valoración, diagnóstico y registro oportuno por el personal de enfermería y médico son de vital importancia en la detección precoz de la morbilidad materna extrema

For the assessment of pregnant women, it is essential for nursing and medical staff to incorporate parameters to identify alterations in antenatal health status. This health care assessment is not performed by all institutions that provide antenatal care to pregnant women. Performing antenatal health care assessment assists in the early detection of clinical alterations that can increase morbidity and maternal mortality. The study aims to determine the alterations in pregnant women with the application of the Early Warning Scale in a highly complex institution in Colombia. METHOD: This research is observational, descriptive, and was carried out on 308 pregnant women who were hospitalized or admitted in a Special Obstetric Care Unit (SOCU) for more than one day in a highly complex institution. Data contained in digital medical records were collected and evaluations were carried out by healthcare staff between January 2017 and December 2017, by way of an overall format for health conditions and the Early Warning Scale. RESULTS: The age of pregnant women ranged between 14 and 45 years. The most common diagnosis for admission was preeclampsia with 38.2% CI 95% (32.62-43.98). The highest frequency of alterations was found in systolic blood pressure with 70.1% Confidence Interval (CI) 95% (50.75-62.07), diastolic blood pressure 56.5% CI 95%(50.75-62.07), and respiratory distress 28.9% CI (23.97-34.36). Statistical significance was found between hospital stay and pathological history with p < 0.03. Timely assessment, diagnosis, and registration procedures by nurses and medical staff are of vital importance in the early detection of extreme maternal morbidity