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1.
An. psicol ; 37(2): 334-340, mayo-sept. 2021. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-202556

RESUMO

El objetivo del presente estudio es analizar si la curiosidad es una variable moderadora entre la Impulsividad y la Orientación Emprendedora. Se utiliza una muestra multiocupacional de 883 empleados españoles (49 % hombres, 51 % mujeres), obtenidos mediante un muestreo no probabilístico. Se ha utilizado el programa SPSS 23.0. Se encontraron correlaciones estadísticamente significativas entre todas las variables de la investigación a excepcion de la impulsividad Funcional. Finalmente, la evidencia empírica indica que la Curiosidad-D tiene un papel moderador entre la impulsividad Disfuncional y la Orientación Emprendedora mostrada, en el sentido de que la Curiosidad-D (entendida como una variable cuantitativa) afecta la intensidad de la relación entre la Impulsividad Disfuncional (variable predictora) y la Orientación Emprendedora (variable de criterio)


The objective of the present study is to analyze whether the variable Curiosity is a moderating variable between Impulsivity and Entrepreneurial Orientation. The multi-occupational sample of 883 Spanish and Colombian employees (49% men, 51% women) was obtained through non-probabilistic sampling. The data collected were processed with the SPSS 23.0 program. Statistically significant correlations were found among all the research variables except for Functional Impulsivity. Finally, empirical evidence indicates that Curiosity-D plays a moderating role between Dysfunctional Impulsivity and Entrepreneurial Orientation in the sense that Curiosity-D (understood as a quantitative variable) affects the intensity of the relationship between Dysfunctional Impulsivity (predictor variable) and Entrepreneurial Orientation (criterion variable)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Comportamento Exploratório , Impulso (Psicologia) , Empreendedorismo , Comportamento Impulsivo , Inquéritos e Questionários , Inventário de Personalidade , Análise de Regressão , Valores de Referência , Espanha , Colômbia
2.
Artigo em Inglês | MEDLINE | ID: mdl-34201336

RESUMO

Through the strategic use of health communication from their websites, government institutions can achieve greater promotion and prevent health issues for citizens, at whom such websites are aimed. Thus, the transparency of these sites is essential to favor issues such as participation, accountability, and good governance. In the present study, through content analysis, we examined how active transparency and communication in health is built through analyzing the information provided by the different administrative levels with competencies in this field (government, regions, and municipalities) from the following countries: Chile, Colombia, Ecuador, and Spain. The results were projected according to a double axis of analysis. On the one hand, we offer a description of the levels of management of this phenomenon (structural characteristics and available resources). On the other hand, we developed indices based on each of the countries to compare the typologies grouped in these Ibero-American countries. As a general conclusion, the results evinced insufficient transparency in common; however, the deficit was less in countries that had a public health system.


Assuntos
Comunicação , Governo , Chile , Colômbia , Países em Desenvolvimento , Equador , Espanha , Estados Unidos
3.
Artigo em Inglês | MEDLINE | ID: mdl-34204166

RESUMO

Surveillance and control activities for virus-transmitting mosquitoes have primarily focused on dwellings. There is little information about viral circulation in heavily trafficked places such as schools. We collected and analyzed data to assess the presence and prevalence of dengue, chikungunya, and Zika viruses in mosquitoes, and measured Aedes indices in schools in Medellín (Colombia) between 2016-2018. In 43.27% of 2632 visits we collected Aedes adults, creating 883 pools analyzed by RT-PCR. 14.27% of pools yielded positive for dengue or Zika (infection rates of 1.75-296.29 for Aedes aegypti). Ae. aegypti was more abundant and had a higher infection rate for all studied diseases. Aedes indices varied over time. There was no association between Aedes abundance and mosquito infection rates, but the latter did correlate with cases of arboviral disease and climate. Results suggest schools are important sources of arbovirus and health agencies should include these sites in surveillance programs; it is essential to know the source for arboviral diseases transmission and the identification of the most population groups exposed to these diseases to research and developing new strategies.


Assuntos
Vírus da Dengue , Dengue , Infecção por Zika virus , Zika virus , Animais , Colômbia , Dengue/epidemiologia , Mosquitos Vetores , Instituições Acadêmicas , Infecção por Zika virus/epidemiologia
4.
Molecules ; 26(12)2021 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-34208702

RESUMO

Coffee is one of the most often consumed beverages almost all over the world. The multiplicity of beans, as well as the methods and parameters used to brew, encourages the optimization of the brewing process. The study aimed to analyze the effect of roasting beans, the brewing technique, and its parameters (time and water temperature) on antioxidant activity (determined using several in vitro methods), total polyphenols, flavonoids, and caffeine content. The infusions of unroasted and roasted Arabica beans from Brazil, Colombia, India, Peru, and Rwanda were analyzed. In general, infusions prepared from roasted beans had higher antioxidant activity and the content of above-mentioned compounds. The hot brew method was used to obtain infusions with a higher antioxidant activity, while the cold brew with higher caffeine content. The phenolic compound content in infusions prepared using both techniques depended on the roasting process. Moreover, the bean's origin, roasting process, and brewing technique had a significant effect on the tested properties, in contrary to brewing time and water temperature (below and above 90 °C), which had less impact. The results confirm the importance of coffee brewing optimization.


Assuntos
Café/química , Antioxidantes/análise , Bebidas , Compostos de Bifenilo/análise , Brasil , Cafeína/análise , Coffea/química , Colômbia , Índia , Peru , Fenóis/análise , Extratos Vegetais/química , Polifenóis/análise , Sementes/química , Temperatura , Fatores de Tempo , Água/química
5.
Rev Saude Publica ; 55: 44, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34231824

RESUMO

OBJETIVE: To evaluate the skills and practices of pharmacy staff during the dispensing of tramadol (drug with fiscalized substance) in drugstores and pharmacies in Medellin, Colombia. METHODS: A cross-sectional study was performed. The simulated patient technique was used. The main outcomes included the information provided on the dispensed drug (tramadol), the use of tools to provide information, and the information provided on drug precautions and use recommendations. RESULTS: We visited 305 drugstores and pharmacies. The average dispensing time was 2.3 min (SD 1.1 min). In nine drugstores and pharmacies (3.0%), tramadol was not dispensed because it was not in stock. In 17 drugstores and pharmacies (5.7%), the simulated patients were actively informed by the dispensing pharmacy staff; of these, 16 provided oral information and one provided oral and written information. Eight patients (2.7%) received information regarding tramadol use. However, 99% of patients were not informed about tramadol side effects such as dependence, sedation, or hypnosis, and none of the simulated female patients were informed on the precautions related to tramadol use during pregnancy or lactation. CONCLUSIONS: Communication skills and appropriate practices of pharmacy staff are critical to patient self-care. However, this study shows their difficulty in counseling about precautions and use recommendations of drugs with fiscalized substances. These outcomes could inform future studies focusing on the rational use of these drugs in drugstores and pharmacies. It is necessary to improve the pharmacy staff competencies through continuing education programs, to facilitate access to information and training.


Assuntos
Serviços Comunitários de Farmácia , Preparações Farmacêuticas , Farmácias , Farmácia , Brasil , Colômbia , Estudos Transversais , Feminino , Humanos
7.
Artigo em Inglês | MEDLINE | ID: mdl-34206907

RESUMO

The population's behavioral responses to containment and precautionary measures during the COVID-19 pandemic have played a fundamental role in controlling the contagion. A comparative analysis of precautionary behaviors in the region was carried out. A total of 1184 people from Mexico, Colombia, Chile, Cuba, and Guatemala participated through an online survey containing a questionnaire on sociodemographic factors, precautionary behaviors, information about COVID-19, concerns, maintenance of confinement, and medical symptoms associated with COVID-19. Cubans reported the highest scores for information about COVID-19. Colombians reported less frequent usage of precautionary measures (e.g., use of masks), but greater adherence to confinement recommendations in general, in contrast to the low levels of these behaviors in Guatemalans. Chileans reported greater pandemic-related concerns and the highest number of medical symptoms associated with COVID-19. These findings allow a partial characterization of the Latin American population's responses during the second and third phases of the COVID-19 pandemic and highlight the importance of designing and managing public health policies according to the circumstances of each population when facing pandemics.


Assuntos
COVID-19 , Pandemias , Chile/epidemiologia , Colômbia , Guatemala/epidemiologia , Humanos , América Latina/epidemiologia , México , SARS-CoV-2
8.
Bull Math Biol ; 83(8): 89, 2021 07 03.
Artigo em Inglês | MEDLINE | ID: mdl-34216281

RESUMO

This work presents a model-agnostic evaluation of four different models that estimate a disease's basic reproduction number. The evaluation presented is twofold: first, the theory behind each of the models is reviewed and compared; then, each model is tested with eight impartial simulations. All scenarios were constructed in an experimental framework that allows each model to fulfill its assumptions and hence, obtain unbiased results for each case. Among these models is the one proposed by Thompson et al. (Epidemics 29:100356, 2019), i.e., a Bayesian estimation method well established in epidemiological practice. The other three models include a novel state-space method and two simulation-based approaches based on a Poisson infection process. The advantages and flaws of each model are discussed from both theoretical and practical standpoints. Finally, we present the evolution of Covid-19 outbreak in Colombia as a case study for computing the basic reproduction number with each one of the reviewed methods.


Assuntos
Número Básico de Reprodução/estatística & dados numéricos , COVID-19/epidemiologia , COVID-19/transmissão , Pandemias/estatística & dados numéricos , SARS-CoV-2 , Teorema de Bayes , Colômbia/epidemiologia , Simulação por Computador , Intervalos de Confiança , Epidemias/estatística & dados numéricos , Humanos , Conceitos Matemáticos , Modelos Biológicos , Modelos Estatísticos , Distribuição de Poisson
9.
Mem Inst Oswaldo Cruz ; 116: e200441, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34259736

RESUMO

BACKGROUND: A previous phylogeographic study revealed two Aedes aegypti African-related mitochondrial lineages distributed in Colombian's cities with different eco-epidemiologic characteristics with regard to dengue virus (DENV). It has been proposed these lineages might indicate independent invasion sources. OBJECTIVES: Assessing to Colombian population structure and to support evidence of its probable source origin. METHODS: We analysed a total of 267 individuals from cities of Bello, Riohacha and Villavicencio, which 241 were related to the West and East African mitochondrial lineages (termed here as WAL and EAL, respectively). Eight polymorphic microsatellite loci were analysed aiming population structure. FINDINGS: Results indicate substantial gene flow among distant and low-connected cities composing a panmictic population with incipient local differentiation of Ae. aegypti is placed in Colombia. Likewise, genetic evidence indicates no significant differences among individuals related to WAL and EAL is placed. MAIN CONCLUSIONS: Minimal genetic differentiation in low-connected Ae. aegypti populations of Colombia, and lack concordance between mitochondrial and nuclear genealogies suggest that Colombian Ae. aegypti shared a common demographic history. Under this scenario, we suggest current Ae. aegypti population structure reflects a single origin instead of contemporary migration, which founding populations have a single source from a mitochondrial polymorphic African ancient.


Assuntos
Aedes , Dengue , Aedes/genética , Animais , Colômbia , Variação Genética/genética , Humanos , Filogeografia
10.
PLoS One ; 16(7): e0254671, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34255801

RESUMO

COVID-19 represents high morbidity and mortality, its complications and lethality have increased due to bacterial superinfections. We aimed to determine the prevalence of bacterial superinfection in adults with COVID-19, hospitalized in two clinics in Medellín-Colombia during 2020, and its distribution according to sociodemographic and clinical conditions. A cross sectional study was made with 399 patients diagnosed with COVID-19 by RT-PCR. We determined the prevalence of bacterial superinfection and its factors associated with crude and adjusted prevalence ratios by a generalized linear model. The prevalence of superinfection was 49.6%, with 16 agents identified, the most frequent were Klebsiella (pneumoniae and oxytoca) and Staphylococcus aureus. In the multivariate adjustment, the variables with the strongest association with bacterial superinfection were lung disease, encephalopathy, mechanical ventilation, hospital stay, and steroid treatment. A high prevalence of bacterial superinfections, a high number of agents, and multiple associated factors were found. Among these stood out comorbidities, complications, days of hospitalization, mechanical ventilation, and steroid treatment. These results are vital to identifying priority clinical groups, improving the care of simultaneous infections with COVID-19 in people with the risk factors exposed in the population studied, and identifying bacteria of public health interest.


Assuntos
COVID-19/microbiologia , Infecções por Klebsiella/epidemiologia , Infecções Estafilocócicas/epidemiologia , Superinfecção/epidemiologia , Idoso , COVID-19/complicações , Colômbia , Tratamento Farmacológico/estatística & dados numéricos , Feminino , Humanos , Tempo de Internação/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Prevalência , Respiração Artificial/estatística & dados numéricos
13.
Artigo em Inglês | MEDLINE | ID: mdl-34203596

RESUMO

(1) Background: Diener's Scale of Positive and Negative Experiences (SPANE) assesses the presence and intensity of positive and negative affects, since these are considered basic aspects of the study of well-being. This article studies its psychometric properties in the general Colombian population. (2) We conducted a cross-sectional study of a sample of 1255 Colombians and we used structural equation modeling to confirm the bifactor structure. Additionally, we studied invariance by gender, and convergent and concurrent validity. (3) We found acceptable fit indicators for the bifactor model (CFI = 0.889, RMSEA = 0.046, SRMR = 0.059) as well as for the convergent (CFI = 0.909, RMSEA = 0.050, SRMR = 0.063) and concurrent (CFI = 0.966, RMSEA = 0.036, SRMR = 0.041) validity models. We did not confirm total invariance across gender, although we found configural and metric invariance, so percentiles by sex were provided. (4) Conclusions: The SPANE is a valid and reliable measure to assess well-being among the Colombian population, although we alert researchers to the risk of comparing affectivity average scores between sexes.


Assuntos
Psicometria , Colômbia , Estudos Transversais , Análise Fatorial , Reprodutibilidade dos Testes , Inquéritos e Questionários
14.
Trop Anim Health Prod ; 53(3): 391, 2021 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-34224021

RESUMO

Neosporosis is a parasitic disease that causes abortions and economic losses in bovine production systems, but no studies have been found concerning its effect on the Creole cattle breed, Blanco Orejinegro (BON). The aim of this research was to establish the serological status of Colombian BON cattle against Neospora caninum and to determine the factors associated with seropositivity. Blood samples were taken from 363 animals from 13 herds in six states of Colombia, and analyzed by indirect ELISA using a commercial test. Information on sex, herd, generation group, and state was recorded. A survey was carried out with 26 questions related to productive, reproductive, and health factors per herd. A logistic regression analysis was performed and the ORs for significantly associated variables were estimated using the R software. General seropositivity of 73.5% (95% CI 68.6-77.9%) was obtained, and sex, age group, and herd were the variables significantly associated with seropositivity (p < 0.05). For the sex variable, seroprevalence levels of 79.6% (95% CI 74.3-84.1%) were recorded for females and 54.5% (95% CI 43.6-65.1%) for males. Herd seroprevalence varied between 58.3 and 95.8%, and the last generation showed the lowest positivity (51.2%, 95% CI 42.1-60.2%). The inadequate disposal of fetuses was a risk factor, while carrying out serological tests to new animals that enter the herd, the use of new gloves and palpation utensils for each animal, supplementation, and stabling were stated as protective factors. No effect of positivity was found in the last calving interval. The implementation of bovine neosporosis control programs to support breeding and conservation programs of the BON breed in Colombia is recommended.


Assuntos
Doenças dos Bovinos , Coccidiose , Neospora , Animais , Anticorpos Antiprotozoários , Bovinos , Doenças dos Bovinos/epidemiologia , Coccidiose/epidemiologia , Coccidiose/veterinária , Colômbia/epidemiologia , Feminino , Masculino , Gravidez , Fatores de Risco , Estudos Soroepidemiológicos
15.
Sensors (Basel) ; 21(12)2021 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-34198627

RESUMO

In this paper, we group South American countries based on the number of infected cases and deaths due to COVID-19. The countries considered are: Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, Peru, Paraguay, Uruguay, and Venezuela. The data used are collected from a database of Johns Hopkins University, an institution that is dedicated to sensing and monitoring the evolution of the COVID-19 pandemic. A statistical analysis, based on principal components with modern and recent techniques, is conducted. Initially, utilizing the correlation matrix, standard components and varimax rotations are calculated. Then, by using disjoint components and functional components, the countries are grouped. An algorithm that allows us to keep the principal component analysis updated with a sensor in the data warehouse is designed. As reported in the conclusions, this grouping changes depending on the number of components considered, the type of principal component (standard, disjoint or functional) and the variable to be considered (infected cases or deaths). The results obtained are compared to the k-means technique. The COVID-19 cases and their deaths vary in the different countries due to diverse reasons, as reported in the conclusions.


Assuntos
COVID-19 , Pandemias , Argentina , Brasil , Chile , Colômbia , Equador , Humanos , Peru , Análise de Componente Principal , SARS-CoV-2 , Uruguai , Venezuela
16.
F1000Res ; 10: 86, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34249334

RESUMO

Background: Childhood cancer is considered one the most important causes of death in children and adolescents, despite having a low incidence in this population. Spatial analysis has been previously used for the study of childhood cancer to study the geographical distribution of leukemias. This study aimed to identify the presence of space-time clusters of childhood of cancer excluding leukemia in Colombia between 2014 and 2017. Methods: All incident cancer cases (excluding leukemia) in children under the age of 15 years that had been confirmed by the National Surveillance System of Childhood Cancer between 2014 and 2017 were included. Kulldorf's circular scan test was used to identify clusters using the municipality of residence as the spatial unit of analysis and the year of diagnosis as the temporal unit of analysis. A sensitivity analysis was conducted with different upper limit parameters for the at-risk population. Results: A total of 2006 cases of non-leukemia childhood cancer were analyzed, distributed in 432 municipalities with a mean annual incidence rate of 44 cases per million children under the age of 15. Central nervous system (CNS) tumors were the most frequent type. Four spatial clusters and two space-time clusters were identified in the central and southwest regions of the country. In the analysis for CNS tumors, a spatial cluster was identified in the central region of the country.  Conclusions: The distribution of non-leukemia childhood cancer seems to have a clustered distribution in some Colombian regions that may suggest infectious or environmental factors associated with its incidence.


Assuntos
Leucemia , Neoplasias , Adolescente , Criança , Cidades , Análise por Conglomerados , Colômbia/epidemiologia , Humanos , Leucemia/epidemiologia , Neoplasias/epidemiologia
17.
BMC Ophthalmol ; 21(1): 248, 2021 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-34088276

RESUMO

BACKGROUND: Eye injury is a serious worldwide public health problem that may cause blindness. In children, blindness has functional impact and psychosocial implications. As indicated in many worldwide studies, identification of risk factors associated with the socio-cultural context may prevent eye injuries. The objetive of the study is to describe the sociodemographic and epidemiological characteristics of pediatric eye injury and its effects on ocular structures in a public hospital from Colombia. METHOD: A retrospective cross-sectional study was carried out between January 1, 2015, and December 31, 2017, in a tertiary public hospital of a medium-sized city located in the Northeast of Colombia. Children under 15 years old with trauma to the eyeball or its adnexa were included. The Birmingham Eye Trauma Terminology System (BETTS) was used. Eye burns and Ocular adnexa were also included. RESULTS: 61 cases of eye injuries were recorded, 67.21% (41 cases) of which were males. 57.37% (35 cases) corresponded to closed-globe injuries both contusion and lamellar laceration. Visual acuity fluctuated between 20/20 and 20/40. 14.75% (9 cases) were open-globe injuries while 50% (4 cases) were penetrating trauma. 27.86% of the injuries (17 cases) did not directly compromise the eyeball, 58.82% (10 of these cases) of which corresponded to eyelid wounds, and neither of those had visual acuity information. CONCLUSION: The study showed that the majority of eye injuries in children under 15 years old, from a public hospital in the Northeast of Colombia, are closed globe, caused by blows, and occur in males.


Assuntos
Traumatismos Oculares , Adolescente , Criança , Colômbia/epidemiologia , Estudos Transversais , Traumatismos Oculares/epidemiologia , Feminino , Hospitais Públicos , Humanos , Masculino , Estudos Retrospectivos
18.
Environ Monit Assess ; 193(7): 396, 2021 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-34105029

RESUMO

Metropolitan areas in Andean industrialized valleys with a strong geomorphological structure and a pronounced climate experience an increasing degradation of air quality, which motivates environmental policies that include the expansion of tree coverage in urban areas among the mitigation measures. Using the metropolitan area of the Aburrá Valley, Colombia, as a study case, we evaluate the removal of PM2.5 by urban trees with the Urban Forest Effects (UFORE) methodology, considering the potential effect of changing tree covers in the valley for several projected meteorological conditions under climate change and different urban management practices. The estimated removals are sensitive to the number and distribution of available ground stations, with a tendency to overestimate with fewer stations. We found that the marginal gains in removal by additional tree plantings are low in the urbanized settings. In the environmental scenarios, the main limiting factor in the removal is precipitation, compared to changes in tree cover and levels of pollution. Spatially, the increase in total removal depends on the increase in tree cover, with more benefits obtained when trees are in areas with high concentrations of PM2.5. Trees with low values of leaf area index (LAI) seem to optimize the effectiveness of the removal. Seasonally, the greatest removal occurs in rainy months when pollution levels are the highest. Based on our results, the scenarios that meet the plans and programs aimed at improving air quality would achieve removal effectiveness of around 2.5% of the total emissions of PM2.5 with urban trees. Air quality would achieve removal effectiveness of around 2.5% of the total emissions of PM2.5 with urban trees.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Poluentes Atmosféricos/análise , Poluição do Ar/análise , Colômbia , Monitoramento Ambiental , Material Particulado/análise , Árvores
19.
Artigo em Inglês | MEDLINE | ID: mdl-34071535

RESUMO

(1) Background: The COVID-19 pandemic has created a great impact on mental health in society. Considering the little attention paid by scientific studies to either students or university staff during lockdown, the current study has two aims: (a) to analyze the evolution of mental health and (b) to identify predictors of educational/professional experience and online learning/teaching experience. (2) Methods: 1084 university students and 554 staff in total from four different countries (Spain, Colombia, Chile and Nicaragua) participated in the study, affiliated with nine different universities, four of them Spanish and one of which was online. We used an online survey known as LockedDown, which consists of 82 items, analyzed with classical multiple regression analyses and machine learning techniques. (3) Results: Stress level and feelings of anxiety and depression of students and staff either increased or remained over the weeks. A better online learning experience for university students was associated with the age, perception of the experience as beneficial and support of the university. (4) Conclusions: The study has shown evidence of the emotional impact and quality of life for both students and staff. For students, the evolution of feelings of anxiety and depression, as well as the support offered by the university affected the educational experience and online learning. For staff who experienced a positive professional experience, with access to services and products, the quality-of-life levels were maintained.


Assuntos
COVID-19 , Educação à Distância , Chile , Colômbia , Controle de Doenças Transmissíveis , Humanos , Nicarágua , Pandemias , Qualidade de Vida , SARS-CoV-2 , Espanha , Estudantes , Universidades
20.
Cad Saude Publica ; 37(5): e00078820, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34076096

RESUMO

Historically, human migrations have determined the spread of many infectious diseases by promoting the emergence of temporal outbreaks between populations. We aimed to analyze health indicators, expenditure, and disability caused by tuberculosis (TB) and HIV/AIDS burden under the Colombian-Venezuelan migration flow focusing on the Northeastern border. A retrospective study was conducted using TB and HIV/AIDS data since 2009. We consolidated a database using official reports from the Colombian Surveillance System, World Health Organization, Indexmundi, the Global Health Observatory, IHME HIV atlas, and Joint United Nations Programme on HIV/AIDS (UNAIDS). Disability metrics regarding DALYs (disability adjusted life years) and YLDs (years lived with disability), were compared between countries. Mapping was performed on ArcGIS using official migration data of Venezuelan citizens. Our results indicate that TB profiles from Colombia and Venezuela are identical in terms of disease burden, except for an increase in TB incidence in the Colombian-Venezuelan border departments in recent years, concomitantly with the massive Venezuelan immigration since 2005. We identified a four-fold underfunding for the TB program in Venezuela, which might explain the low-testing rates for cases of multidrug-resistant TB (67%) and HIV/AIDS (60%), as well as extended hospital stays (150 days). We found a significant increase in DALYs of HIV/AIDS patients in Venezuela, specifically, 362.35 compared to 265.37 observed in Colombia during 2017. This study suggests that the Venezuelan massive migration and program underfunding might exacerbate the dual burden of TB and HIV in Colombia, especially towards the Colombian-Venezuelan border.


Assuntos
Infecções por HIV , Tuberculose , Brasil , Colômbia/epidemiologia , Emigração e Imigração , Infecções por HIV/epidemiologia , Humanos , Estudos Retrospectivos , Tuberculose/epidemiologia , Venezuela/epidemiologia
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