Revista Científica Salud Uninorte http://rcientificas.uninorte.edu.co/index.php/salud <p align="justify">SALUD UNINORTE es el órgano de divulgación oficial de la División de Ciencias de la Salud de la Universidad del Norte (Barranquilla, Colombia). Publica artículos originales, revisiones sistemáticas, artículos de revisión (esto solo se reciben hasta el 2021 a partir del 2022 solo revisiones sistemáticas), descripción de casos clínicos y artículos especiales que se consideren del ámbito de la revista en medicina clínica, salud pública y ciencias biomédicas. Cada manuscrito es revisado y sometido a un proceso de evaluación por pares.</p> es-ES <!--[if gte mso 10]> <mce:style><! /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:Calibri; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:ES; mso-fareast-language:EN-US;} --> <!--[endif] --> <!--StartFragment--> <p class="MsoNormal" style="text-align: center; mso-layout-grid-align: none; text-autospace: none;" align="center">(COPIE Y PEGUE EL SIGUIENTE TEXTO EN UN ARCHIVO TIPO WORD CON TODOS LOS DATOS Y FIRMAS DE LOS AUTORES, ANEXE AL PRESENTE ENVIO JUNTO CON LOS DEMAS DOCUMENTOS)</p><p class="MsoNormal" style="text-align: center; mso-layout-grid-align: none; text-autospace: none;" align="center"> </p><p class="MsoNormal" style="text-align: center; mso-layout-grid-align: none; text-autospace: none;" align="center"><strong><span style="font-size: 10pt; font-family: Arial;" lang="ES">AUTORIZACIÓN PARA REPRODUCCIÓN, USO, PUBLICACIÓN Y DIVULGACIÓN DE UNA OBRA LITERARIA, ARTISTICA O CIENTIFICA </span></strong></p> <p class="MsoNormal" style="text-align: center; mso-layout-grid-align: none; text-autospace: none;" align="center"><span style="font-size: 11.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></p> <p class="MsoNormal" style="text-align: center; mso-layout-grid-align: none; text-autospace: none;" align="center"><span style="font-size: 11.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></p> <p class="MsoNormal" style="text-align: justify;"><strong><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES">NOMBRE DE AUTOR y/o AUTORES de la obra y/o artículo, </span></strong><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES">mayor de edad, vecino de la ciudad de , identificado con cédula de ciudadanía/ pasaporte No. , expedida en , en uso<strong> </strong>de sus facultades físicas y mentales, parte que en adelante se denominará el<strong> AUTOR,</strong> suscribe la siguiente autorización con el fin de que se realice la reproducción, uso , comunicación y publicación de una obra, en los siguientes términos:</span></p> <p class="MsoNormal"><strong><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></strong></p> <p class="MsoNormal" style="margin-left: 36.0pt; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><strong><span style="font-size: 9.0pt; font-family: Arial; mso-fareast-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: ES-TRAD;" lang="ES-TRAD">1.<span style="font-variant-numeric: normal; font-variant-east-asian: normal; font-weight: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: &quot;Times New Roman&quot;;"> </span></span></strong><!--[endif]--><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: ES-TRAD;" lang="ES-TRAD">Que, independientemente de las reglamentaciones legales existentes en razón a la vinculación de las partes de este contrato, y cualquier clase de presunción legal existente, las partes acuerdan que el <strong>AUTOR </strong>autoriza de manera pura y simple a La UNIVERSIDAD DEL NORTE , con el fin de que se utilice el material denominado en la Revista</span></p> <p class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;"><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: ES-TRAD;" lang="ES-TRAD"> </span></p> <p class="MsoNormal" style="margin-left: 36.0pt; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><strong><span style="font-size: 9.0pt; font-family: Arial; mso-fareast-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: ES-TRAD;" lang="ES-TRAD">2.<span style="font-variant-numeric: normal; font-variant-east-asian: normal; font-weight: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: &quot;Times New Roman&quot;;"> </span></span></strong><!--[endif]--><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: ES-TRAD;" lang="ES-TRAD">Que dicha autorización se hace con carácter exclusivo y recaerá en especial sobre los derechos de reproducción de la obra, por cualquier medio conocido o por conocerse, comunicación pública de la obra, a cualquier titulo y aun por fuera del ámbito académico, distribución y comercialización de la obra, directamente o con terceras personas, con fines comerciales o netamente educativos, transformación de la obra, a través del cambio de soporte físico, digitalización, traducciones, adaptaciones o cualquier otra forma de generar obras derivadas. No obstante lo anterior, la enunciación de las autorizaciones es meramente enunciativa y no descartan nuevas formas de explotación económica y editorial no descritas en este contrato por parte del <strong>AUTOR</strong> del artículo, a modo individual.</span></p> <p class="MsoListParagraphCxSpFirst"><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: ES-TRAD;" lang="ES-TRAD"> </span></p> <p class="MsoListParagraphCxSpLast" style="text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><strong><span style="font-size: 10.0pt; font-family: Arial; mso-fareast-font-family: Arial; mso-bidi-font-family: Arial;" lang="ES">3.<span style="font-variant-numeric: normal; font-variant-east-asian: normal; font-weight: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: &quot;Times New Roman&quot;;"> </span></span></strong><!--[endif]--><span style="font-size: 10.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES">Declara que el artículo es original y que es de su creación exclusiva, no existiendo impedimento de ninguna naturaleza para la autorización que está haciendo, respondiendo además por cualquier acción de reivindicación, plagio u otra clase de reclamación que al respecto pudiera sobrevenir. </span></p> <p class="MsoNormal" style="text-align: justify;"><span style="font-size: 10.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></p> <p class="MsoNormal" style="margin-left: 36.0pt; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><strong><span style="font-size: 9.0pt; font-family: Arial; mso-fareast-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: ES-TRAD;" lang="ES-TRAD">4.<span style="font-variant-numeric: normal; font-variant-east-asian: normal; font-weight: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: &quot;Times New Roman&quot;;"> </span></span></strong><!--[endif]--><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES">Que dicha autorización se hace a título gratuito.</span></p> <p class="MsoListParagraphCxSpFirst"><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: ES-TRAD;" lang="ES-TRAD"> </span></p> <p class="MsoListParagraphCxSpLast" style="text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><strong><span style="font-size: 9.0pt; font-family: Arial; mso-fareast-font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: ES-TRAD;" lang="ES-TRAD">5.<span style="font-variant-numeric: normal; font-variant-east-asian: normal; font-weight: normal; font-stretch: normal; font-size: 7pt; line-height: normal; font-family: &quot;Times New Roman&quot;;"> </span></span></strong><!--[endif]--><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: ES-TRAD;" lang="ES-TRAD">Los derechos morales de autor sobre el artículo corresponden exclusivamente al <strong>AUTOR </strong>y en tal virtud, la UNIVERIDAD se obliga a reconocerlos expresamente y a respetarlos de manera rigurosa.</span></p> <p class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;"><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial; mso-ansi-language: ES-TRAD;" lang="ES-TRAD"> </span></p> <p class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;"><strong><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></strong></p> <p class="MsoNormal" style="text-align: justify;"><strong><span style="font-size: 10.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></strong></p> <p class="MsoNormal" style="text-align: justify;"><span style="font-size: 7.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></p> <div style="mso-element: para-border-div; border: none; border-bottom: solid windowtext 1.5pt; padding: 0cm 0cm 1.0pt 0cm;"><p class="MsoNormal" style="border: none; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm; mso-padding-alt: 0cm 0cm 1.0pt 0cm;"><strong><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES">EL AUTOR </span></strong></p> <p class="MsoNormal" style="border: none; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm; mso-padding-alt: 0cm 0cm 1.0pt 0cm;"><strong><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></strong></p> <p class="MsoNormal" style="border: none; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm; mso-padding-alt: 0cm 0cm 1.0pt 0cm;"><strong><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></strong></p> <p class="MsoNormal" style="border: none; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm; mso-padding-alt: 0cm 0cm 1.0pt 0cm;"><strong><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></strong></p> <p class="MsoNormal" style="border: none; mso-border-bottom-alt: solid windowtext 1.5pt; padding: 0cm; mso-padding-alt: 0cm 0cm 1.0pt 0cm;"><strong><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></strong></p></div> <p class="MsoNormal" style="text-align: justify;"><strong><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></strong></p> <p class="MsoNormal" style="text-align: justify; tab-stops: 269.6pt;"><strong><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></strong></p> <p class="MsoNormal" style="text-align: justify; tab-stops: 269.6pt;"><strong><span style="font-size: 9.0pt; font-family: Arial; mso-bidi-font-family: Arial;" lang="ES"> </span></strong></p> <p 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{mso-style-name:"Tableau Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:Calibri; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-fareast-language:EN-US;} --> <!--[endif] --> <!--StartFragment--> <p class="MsoNormal" style="margin-bottom: 12.0pt; text-align: justify; line-height: 200%; mso-pagination: none; mso-layout-grid-align: none; text-autospace: none;"><span style="font-family: Arial; mso-ansi-language: ES;" lang="ES">La Biodentine<sup>TM</sup> es un material a base de silicato de calcio que ha sido concebido como un sustituto de la dentina. Es frecuentemente utilizada en diversas situaciones clínicas como el recubrimiento pulpar (directo e indirecto), la pulpotomía, perforaciones endodónticas, apexificación, entre otras. El objetivo de esta revisión es proporcionar un análisis detallado de las propiedades físicas-químicas y biológicas de la Biodentine<sup>TM</sup> y sus principales aplicaciones clínicas. Se realizó una búsqueda electrónica de literatura en las bases de datos: Medline (Pubmed), EBSCO-Host y Science direct (Elsevier) hasta diciembre del año 2017. </span><span style="font-family: Arial; mso-ansi-language: ES-TRAD;" lang="ES-TRAD">El 92 % de los artículos referenciados en esta revisión fueron seleccionados a través de esta búsqueda. </span><span style="font-family: Arial; mso-ansi-language: ES;" lang="ES">Los resultados indican que la Biodentine<sup>TM</sup> es un cemento de uso odontológico con excelentes propiedades que se caracteriza por una manipulación relativamente fácil, bajo costo, alta resistencia a la compresión y flexión, alta biocompatibilidad y una excelente bioactividad. En conclusión, la Biodentine<sup>TM</sup> es un material recomendado en el tratamiento de diversas situaciones clínicas de la práctica odontológica dadas sus características fisicoquímicas y biológicas. Sin embargo, se hace necesario ensayos clínicos controlados aleatorizados que permitan determinar y confirmar que la Biodentine<sup>TM</sup> es realmente un material odontológico capaz de reemplazar la dentina. </span></p> <!--EndFragment--> Victor Hugo Simancas Escorcia Derechos de autor 2021 Revista Científica Salud Uninorte http://rcientificas.uninorte.edu.co/index.php/salud/article/view/10725 lun, 02 nov 2020 00:00:00 -0500 ALTERACIONES EN EL SUEÑO POR EL CONSUMO DE CANNABIS. http://rcientificas.uninorte.edu.co/index.php/salud/article/view/13100 <span id="docs-internal-guid-89359831-7fff-195e-e822-534226efa743"><p style="line-height: 2.4; text-align: justify; margin-top: 0pt; margin-bottom: 0pt;" dir="ltr"><span style="font-size: 12pt; font-family: Arial; background-color: transparent; font-variant-ligatures: normal; font-variant-east-asian: normal; font-variant-position: normal; vertical-align: baseline; white-space: pre-wrap;">Esta es una revisión de algunos ensayos clínicos realizados acerca de las repercusiones en la estructura, arquitectura y percepción del sueño en los consumidores de cannabis. Para la búsqueda bibliográfica, se utilizó consulta en bases de datos con especial énfasis en revisiones sistemáticas, metaanálisis, estudios de cohortes, ensayos controlados aleatorios, y estudios de casos y controles. Las palabras claves incluyeron términos que describen el uso del cannabis combinados con otros que se refieren al sueño o anormalidades del sueño (por ejemplo: sueño, insomnio, polisomnografía, tiempo total de sueño, latencia del sueño, sueño de onda lenta, sueño de movimiento ocular rápido y su latencia). Se extrajeron datos relevantes en cada uno de los artículos consultados. Se resumió la literatura disponible sobre: mediciones subjetivas y objetivas, correlaciones clínicas y paraclínicas, diferencias entre el consumo agudo, crónico y la abstinencia, y otros puntos de discusión. Se realizaron varias correlaciones moleculares y anatómicas que explican los cambios en el sueño desde el punto de vista del sistema nervioso central. Finalmente, los resultados demuestran una disminución de la latencia del sueño con el uso agudo a dosis bajas, además menor tiempo de vigilia luego del inicio del sueño, aumento del sueño de ondas lentas y disminución del sueño de movimientos oculares rápidos, estos efectos no permanecen con el uso crónico ya que posteriormente se presenta una peor calidad del sueño; el escenario también varía con la abstinencia en donde puede presentarse insomnio, disminución del tiempo total del sueño de onda lenta y del sueño total.</span></p></span><br /> Ayleen Indira Lubo Gelvez Derechos de autor 2021 Revista Científica Salud Uninorte http://rcientificas.uninorte.edu.co/index.php/salud/article/view/13100 lun, 02 nov 2020 00:00:00 -0500 Niveles de 25-hidroxivitamina D y riesgo cardiovascular en una población estudiantil universitaria de Armenia-Colombia. http://rcientificas.uninorte.edu.co/index.php/salud/article/view/12108 <p class="MsoNormal" style="margin-top: 12.0pt; line-height: 200%;"><span style="font-size: 12.0pt; line-height: 200%; color: #111111;" lang="es">Objetivo: Describir la relación entre los niveles de 25-hidroxivitamina D y el riesgo cardiovascular en universitarios de Armenia-Colombia.<br /> Materiales y métodos</span><em style="mso-bidi-font-style: normal;"><span style="font-size: 12.0pt; line-height: 200%;" lang="es">:</span></em><span style="font-size: 12.0pt; line-height: 200%;" lang="es"> Estudio descriptivo de corte transversal durante 2017-2018. Se calculó el riesgo cardiovascular por las escalas Framingham, Framingham Colombia y OMS/ISH. Se determinaron los niveles de lípidos, insulina, citocinas y 25-hidroxivitamina D. Posteriormente se realizaron pruebas de Anova, regresión múltiple y prueba de Chi-Cuadrado. Se consideró un nivel de significancia cuando <em style="mso-bidi-font-style: normal;">p</em> &lt;0,05.<br /> <span style="color: #111111;">Resultados</span><em style="mso-bidi-font-style: normal;">: </em>La edad promedio fue 21,05 años (IC95: 20,62 - 21,48) y el promedio de vitamina D fue 27,7 ng/ml (IC95: 26,52 - 28,88). Hubo diferencias estadísticamente significativas por sexo (p=0,009), siendo más frecuente la deficiencia e insuficiencia en el sexo femenino. El promedio de Puntaje Framingham fue -4,02±3,7. La variación explicada (R<sup><span style="color: #111111;">2</span></sup><span style="color: #111111;">) del Puntaje Framingham tiene relación con colesterol (p&lt;0,001), cHDL (p&lt;0,001) y vitamina D (p=</span>0,039<span style="color: #111111;">). El Porcentaje Framingham se relaciona con edad (p=0,031), perímetro abdominal (p=0,005), interferón-γ (p&lt;0,001) e interleucina-6 (p=0,050).<br /> Conclusión: La deficiencia e insuficiencia de vitamina D fueron condiciones prevalentes en esta población. La variación explicada</span> del modelo de puntaje Framingham se asoció con colesterol, cHDL y vitamina D. El porcentaje de Framingham <span style="mso-spacerun: yes;"> </span>tuvo relación con la edad, el perímetro abdominal, <span style="color: #111111;">interferón-γ</span> e interleucina-6.</span></p> Laura Juliana Panesso-Valencia, Daniel Celis-Giraldo, Olga Alicia Nieto-Cárdenas Derechos de autor 2021 Revista Científica Salud Uninorte http://rcientificas.uninorte.edu.co/index.php/salud/article/view/12108 lun, 02 nov 2020 00:00:00 -0500 Multidrug-resistant bacteria in child care centers http://rcientificas.uninorte.edu.co/index.php/salud/article/view/11845 <p class="Cuerpo" style="margin: 0cm 0cm 0.0001pt; font-size: medium; font-family: Calibri, sans-serif; border: none; text-align: justify; line-height: 24px;"><span class="Ninguno"><strong><em><span style="font-family: Arial, sans-serif;" lang="EN-US">Purpose:</span></em></strong></span><span class="Ninguno"><span style="font-family: Arial, sans-serif;" lang="EN-US">To describe the antibiotic resistance of isolated bacteria on the surfaces of child care centers. <strong><em>Methods:</em></strong>Swabs were used to sample the surfaces in 266 child care centers in Bogotá (Colombia). Bacterial characterization and susceptibility patterns were verified using a computerized system. <strong><em>Results:</em></strong>A total of 151 different bacteria were obtained, primarily in the kitchens (36%). <em>Staphylococcus</em>was a frequent find, especially: <em>S. hominis, S. saprophyticus</em>and <em>S. epidermidis;</em>2.7% were resistant to methicillin. <em>Klebsiella oxytoca</em>was the most isolated bacteria in kitchens, with high resistance to antibiotics. <strong><em>Conclusion:</em></strong>This investigation shows the importance of identifying the bacteria present in different environments to which children are exposed to continuously supervise hygiene habits in child day care centers.</span></span></p><p class="Cuerpo" style="margin: 0cm 0cm 0.0001pt; font-size: medium; font-family: Calibri, sans-serif; border: none; text-align: justify; line-height: 24px;"><span class="Ninguno"><span style="font-family: Arial, sans-serif; color: windowtext;" lang="EN-US"> </span></span></p> Virginia Soto Lesmes, Arlen Patricia Gomez Ramirez, Martha Fabiola Rodríguez, Yaneth Parrado Lozano, Olga Gómez Ramírez Derechos de autor 2021 Revista Científica Salud Uninorte http://rcientificas.uninorte.edu.co/index.php/salud/article/view/11845 lun, 02 nov 2020 00:00:00 -0500 Carga mental y la calidad de vida relacionada con salud en trabajadores Oncológicos http://rcientificas.uninorte.edu.co/index.php/salud/article/view/11843 <p class="MsoNormal" style="text-align: justify; line-height: normal;"><strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;"><span style="font-size: 12.0pt; font-family: &quot;Arial&quot;,sans-serif;">Objetivo</span></em></strong><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; font-family: &quot;Arial&quot;,sans-serif;">: </span></strong><span style="font-size: 12.0pt; font-family: &quot;Arial&quot;,sans-serif;">analizar la relación entre la Carga Mental de Trabajo (CMT) y la Calidad de Vida relacionada con Salud (CVRS), percibida por trabajadores que se desempeñan en Unidades Oncológicas y Cuidados paliativos de una región de Chile. <strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;">Materiales y métodos</em>: </strong>estudio no experimental, correlacional, transversal, de abordaje cuantitativo. Se censó a 110 trabajadores sanitarios (médicos, enfermeras, psicólogos/as entre otros), que corresponden al 91,6% del total de la población. En la recolección de datos se utilizó instrumento dividido en tres partes: a) Antecedentes biosociodemográficos (como edad, sexo); b) Escala de Carga Mental de Trabajo (ESCAM), adaptada y validad para población chilena; y c) Cuestionario de Calidad de Vida relacionada con Salud SF-36v2, validado y estandarizado para Chile. Para el análisis estadístico descriptivo e inferencial se utilizó el software SPSS versión 18.0. La investigación contó con la autorización de los Comités Ético-Científico de la Universidad Católica del Maule y del Servicio de Salud del Maule. <strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;">Resultados</em>: </strong>Las personas participantes perciben una carga mental global media alta. Por otra parte, perciben mejores resultados en el componente de salud física (</span><span style="font-size: 12.0pt; font-family: &quot;Cambria Math&quot;,serif; mso-bidi-font-family: &quot;Cambria Math&quot;;"> Flérida Rivera-Rojas, Paula Ceballos-Vásquez, Vivian Vilchez-Barboza Derechos de autor 2021 Revista Científica Salud Uninorte http://rcientificas.uninorte.edu.co/index.php/salud/article/view/11843 lun, 02 nov 2020 00:00:00 -0500 Mortality from Cardiovascular Diseases in Colombia 1993 - 2017. http://rcientificas.uninorte.edu.co/index.php/salud/article/view/13259 <p class="MsoNormal" style="text-align: justify; line-height: 200%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 200%; font-family: &quot;Arial&quot;,sans-serif; mso-fareast-font-family: Arial; mso-ansi-language: EN-US;" lang="EN-US">Objective</span></strong></p> <p class="MsoNormal" style="text-align: justify; line-height: 200%;"><span style="font-size: 12.0pt; line-height: 200%; font-family: &quot;Arial&quot;,sans-serif; mso-fareast-font-family: Arial; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;" lang="EN-US">Estimate and georeferenced the prevalence of CVD mortality, explore possible associated factors and analyze whether public policies generated in Colombia have managed to control or reduce CVD mortality.</span><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 200%; font-family: &quot;Arial&quot;,sans-serif; mso-fareast-font-family: Arial; mso-ansi-language: EN-US;" lang="EN-US"></span></strong></p> <p class="MsoNormal" style="text-align: justify; line-height: 200%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 200%; font-family: &quot;Arial&quot;,sans-serif; mso-fareast-font-family: Arial; mso-ansi-language: EN-US;" lang="EN-US">Materials and methods</span></strong></p> <p class="MsoNormal" style="text-align: justify; line-height: 200%;"><span style="font-size: 12.0pt; line-height: 200%; font-family: &quot;Arial&quot;,sans-serif; mso-fareast-font-family: Arial; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;" lang="EN-US">Mortality data were taken between 1993 and 2017, deaths were classified according to the International Classification of Diseases standard (ICD-10). The average percentage of deaths due to CVD was calculated, associated factors were identified. An approach was made around public policies and the State's action to guarantee the right to health.</span></p> <p class="MsoNormal" style="text-align: justify; line-height: 200%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 200%; font-family: &quot;Arial&quot;,sans-serif; mso-fareast-font-family: Arial; mso-ansi-language: EN-US;" lang="EN-US">Results</span></strong></p> <p class="MsoNormal" style="text-align: justify; line-height: 200%;"><span style="font-size: 12.0pt; line-height: 200%; font-family: &quot;Arial&quot;,sans-serif; mso-fareast-font-family: Arial; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;" lang="EN-US">The average percentage of deaths by CVD to 2017 was 29.2%. In the age group of 15 to 45 years, there was a higher percentage of deaths in men. Since 2011 the world average was exceeded, from 1993 to 2017 the average percentage of mortality increased by 18.2%.</span></p> <p class="MsoNormal" style="text-align: justify; line-height: 200%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 200%; font-family: &quot;Arial&quot;,sans-serif; mso-fareast-font-family: Arial; mso-ansi-language: EN-US;" lang="EN-US">Conclusions</span></strong></p> <p class="MsoNormal" style="text-align: justify; line-height: 200%;"><span style="font-size: 12.0pt; line-height: 200%; font-family: &quot;Arial&quot;,sans-serif; mso-fareast-font-family: Arial; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;" lang="EN-US">In Colombia there are public policies regarding controlling the burden and mortality of noncommunicable diseases, these policies conform to international conventions, although the statistics have shown results contrary to those expected. A rigorous application of the policies adopted by the state and an active participation of the private sector are urgently needed.</span></p> <p class="MsoNormal" style="text-align: justify; line-height: 200%;"> </p> Fabián Leonardo Muñoz, Angélica María Orozco Molina, José Rodrigo Núñez Montes, Fabian Leonardo Muñoz Derechos de autor 2021 Revista Científica Salud Uninorte http://rcientificas.uninorte.edu.co/index.php/salud/article/view/13259 lun, 02 nov 2020 00:00:00 -0500 Empathy and family functioning in medical students of the University of Azuay, Cuenca, Ecuador. http://rcientificas.uninorte.edu.co/index.php/salud/article/view/12524 <p class="MsoNormal" style="text-align: justify; line-height: 200%;"><strong style="mso-bidi-font-weight: normal;"><span style="color: black; mso-themecolor: text1; mso-ansi-language: EN-US;" lang="EN-US">Objective: </span></strong><span style="color: black; mso-themecolor: text1; mso-ansi-language: EN-US;" lang="EN-US">To explore the distribution of general and particular levels of empathy among the different family functioning styles of medical students of the University of Azuay in the city of Cuenca, Ecuador.</span></p> <p class="MsoNormal" style="text-align: justify; line-height: 200%;"><strong style="mso-bidi-font-weight: normal;"><span style="color: black; mso-themecolor: text1; mso-ansi-language: EN-US;" lang="EN-US">Materials and methods:</span></strong><span style="color: black; mso-themecolor: text1; mso-ansi-language: EN-US;" lang="EN-US"> Exploratory and cross-sectional study. Student empathy levels were measured through the Jefferson Medical Empathy Scale, S-version in Spanish and family functioning through the Family Functioning Scale Faces-20 in a sample of 278 medical students. The comparison of data was carried out by means of analysis of bifactorial variance model III. The level of significance used was </span><span style="color: black; mso-themecolor: text1;">α</span><span style="color: black; mso-themecolor: text1; mso-ansi-language: EN-US;" lang="EN-US">≤ 0.05 and 1- </span><span style="color: black; mso-themecolor: text1;">β</span><span style="color: black; mso-themecolor: text1; mso-ansi-language: EN-US;" lang="EN-US"> ≤ 0.20.</span></p> <p class="MsoNormal" style="text-align: justify; line-height: 200%;"><strong style="mso-bidi-font-weight: normal;"><span style="color: black; mso-themecolor: text1; mso-ansi-language: EN-US;" lang="EN-US">Results:</span></strong><span style="color: black; mso-themecolor: text1; mso-ansi-language: EN-US;" lang="EN-US"> The analysis of the general empathy variance was significant </span><span style="color: black; mso-themecolor: text1; mso-ansi-language: EN;" lang="EN">(p &lt;0.05) for the family functioning style factor. The results on the dimensions of empathy:” Take on perspective” and “Ability to understand the situation of the other” were significant (p = 0.035; p = 0.044) for the family functioning style factor. Regarding the “Care with compassion” dimension, no significant differences were observed (p&gt; 0.05). On the other hand, it was found that extreme family functioning styles have empathy values ​​greater than the intermediate style, with significant differences between them (p &lt;0.05). </span><strong><span lang="EN">Conclusion:</span></strong><span lang="EN"> There is a relationship between the type of family functioning and empathy. Extreme family functioning style have higher empathy values ​​than intermedium families. Regarding the gender factor, these differences were not presented.</span></p><p class="MsoNormal" style="text-align: justify; line-height: 200%;"><span lang="EN"></span></p> Víctor Patricio Díaz-Narváez, Yolanda Dávila Pontón, Ximena Velez Calvo, Ambar Celleri Gomezcoello, Juan Aguilera Muñoz, Aracelis Calzadilla Núñez, Alejandro Reyes Reyes, Pilar Torres Martínez Derechos de autor 2021 Revista Científica Salud Uninorte http://rcientificas.uninorte.edu.co/index.php/salud/article/view/12524 lun, 02 nov 2020 00:00:00 -0500 50 años de reconocer la bioética. ¿ y nuestros Comités cómo avanzan de cara a la globalización?. http://rcientificas.uninorte.edu.co/index.php/salud/article/view/13739 La normativa vigente en Colombia sobre aspectos éticos y bioéticos. Nuevos retos, el alcance actual de la normativa de cara a la globalidad y el rol de la formación en bioética Rafael de Jesùs Tuesca-Molina Derechos de autor 2021 Revista Científica Salud Uninorte http://rcientificas.uninorte.edu.co/index.php/salud/article/view/13739 lun, 02 nov 2020 00:00:00 -0500 Ventana aortopulmonar: Reporte de caso. http://rcientificas.uninorte.edu.co/index.php/salud/article/view/10964 <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-ansi-language: ES-CO;">Resumen: </span></strong><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; mso-ansi-language: ES-CO;">La ventana aortopulmonar constituye una infrecuente anomalía cardíaca congénita<strong style="mso-bidi-font-weight: normal;">. </strong>En la literatura mundial se han publicado alrededor de 300 casos. Se ha asociado a defectos cardíacos complejos, lo cual dificulta su diagnóstico. Se presenta el caso de un lactante menor con sintomatología de falla cardíaca congestiva; durante estancia en unidad de cuidados intensivos cursa con múltiples comorbilidades; posterior a lo cual, es llevado a cirugía cardíaca correctiva con peso inferior a 2000 gramos, con evolución satisfactoria. 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