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  1. Article ; Online: Burden of respiratory failure in pediatric patients: Analysis of a prospective multicenter cohort in Bogotá, Colombia.

    Hernández-Corredor, Laura / Plazas-Pachón, Rocio / Argote-Bolaños, Fernanda / Barrera-Lopez, Pedro / Vanegas, Melisa Naranjo / Moreno-Lopez, Sergio / Rueda-Guevara, Paola / Piñeros, Juan G / Castañeda, Olga Lucía Baquero / Bonilla, Carolina / Mejía, Luz M / Mesa, María L / Restrepo-Gualteros, Sonia / Ramírez Varela, Andrea

    Health science reports

    2023  Volume 6, Issue 11, Page(s) e1617

    Abstract: Background and aims: The approach to the burden of disease is a demographic, economic, and a health problem, which requires the design and application of specific measures of cost of the disease, such as disability-adjusted life years (DALYs), to ... ...

    Abstract Background and aims: The approach to the burden of disease is a demographic, economic, and a health problem, which requires the design and application of specific measures of cost of the disease, such as disability-adjusted life years (DALYs), to establish better public health policies in the pediatric population. The aim of this study is to approach the burden of disease in children with acute respiratory failure (ARF) through the calculation of DALYs.
    Methods: This study was conducted in the framework of a prospective, multicenter cohort in Bogotá, Colombia. Inclusion criteria were all pediatric patients admitted to the emergency department, hospitalization, and intensive care unit with respiratory distress; eligible patients were all those who developed ARF between April 2020 and December 2021. They were followed-up during hospitalization, at 30 and 60 days after admission. The Infant/Toddler Quality of Life Questionnaire and KIDSCREEN quality of life scales were applied for follow-up according to the age group. The results were used to calculate DALYs.
    Results: Six hundred and eighty-five eligible patients, 296 (43.08%) developed ARF, of these 22 (6.08%) patients died (mortality rate = 7.43%). The total DALYs was 277.164 years. For younger than 9 years, the DALYs were 302.64 years, while for older than 10 years were 40.49 years.
    Conclusion: ARF is one of the main causes of preventable mortality in pediatrics, its progression to respiratory failure is a highly prevalent condition in pediatric age, a condition that has a great impact on mortality, morbidity, and disability in our patients.
    Language English
    Publishing date 2023-11-15
    Publishing country United States
    Document type Journal Article
    ISSN 2398-8835
    ISSN (online) 2398-8835
    DOI 10.1002/hsr2.1617
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Use of high-flow cannula in pediatric patients with respiratory failure: A prospective cohort study in three high-altitude hospitals.

    Ante-Ardila, Natalia / Garnica, Camilo Novoa / Umaña, Paola Mora / Castañeda, Olga Lucía Baquero / Cháves, Alexandra Jiménez / Naranjo, Melisa Sofía / Piñeros, Juan G / Bonilla, Carolina / Mejía, Luz M / Mesa-Rubio, María L / Restrepo-Gualteros, Sonia / Barrera, Pedro / Moreno-Lopez, Sergio / Rueda-Guevara, Paola / Varela, Andrea Ramírez

    Health science reports

    2023  Volume 6, Issue 4, Page(s) e1182

    Abstract: Background and aims: Acute respiratory failure (ARF) is a common cause of morbimortality, and a frequent reason for admission to the pediatric intensive care unit (PICU). It requires a high-flow oxygen device as treatment. Our aim is to determine the ... ...

    Abstract Background and aims: Acute respiratory failure (ARF) is a common cause of morbimortality, and a frequent reason for admission to the pediatric intensive care unit (PICU). It requires a high-flow oxygen device as treatment. Our aim is to determine the frequency and main indications for the use of high-flow nasal cannula (HFNC), and the prevalence of HFNC failure and its main causes, in three hospitals.
    Methods: It is a multicenter prospective cohort study, developed in three hospitals in Bogota. Eligible patients were children older than 1 month and younger than 18 years who presented ARF and required management with an HFNC. The study was carried out between April 2020 and December 2021. The follow-up was carried out at 1, 6, and 48 h after starting the management.
    Results: Of 685 patients included in the study, 296 developed ARF. The prevalence of patients with ARF who required management with HFNC was 48%. The frequency of the pathologies that cause the ARF was: Bronchiolitis was the most frequent pathology (34.5%), followed by asthmatic crisis (15.5%) and pneumonia (12.7%). The average time of use of HFNC was 81.6 h. Regarding treatment failure with HFNC, 15 patients presented torpid evolution and required invasive mechanical ventilation, with a prevalence of therapeutic failure of the HFNC of 10.6%.
    Conclusion: The use of HFNC is more frequent in patients with bronchiolitis, in children under 2 years of age and in males, which is in line with what has been reported in the literature. In addition, the failure rate of HFNC is low (10.6%), and it may be useful in other pathologies besides bronchiolitis, such as asthma, pneumonia, among others. It opens the possibility to continue evaluating the role of HFNC in pediatric pathology in new studies.
    Language English
    Publishing date 2023-04-01
    Publishing country United States
    Document type Journal Article
    ISSN 2398-8835
    ISSN (online) 2398-8835
    DOI 10.1002/hsr2.1182
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Un enfoque de gobernanza aplicado al análisis de una investigación sobre trabajadores cesantes en Medellín, Colombia.

    Cardona, Alvaro / Nieto, Emmanuel / Mejía, Luz M

    Revista de salud publica (Bogota, Colombia)

    2010  Volume 12 Suppl 1, Page(s) 123–137

    Abstract: Objective: Performing an academic exercise aimed at applying the analytical categories from the governance approach developed by Marc Hufty et al., to understand social actors’ relationships in an investigation and intervention project studying so- ... ...

    Title translation A governance approach applied to analysing research into unemployed workers in the city of Medellin in Colombia.
    Abstract Objective: Performing an academic exercise aimed at applying the analytical categories from the governance approach developed by Marc Hufty et al., to understand social actors’ relationships in an investigation and intervention project studying so-cioeconomic conditions and seeking to guarantee health insurance continuity for those workers who had lost their work in the city of Medellin, Colombia, from 2004 to 2007.
    Methodology: A process of investigation and intervention was examined as a casestudy in which researchers were one of the actors so involved. Characterising stake-holders included: their level of inclusion/involvement in the problem; their power for influencing public policy proposals; their perceptions and proposals’ characteristics, power and dynamics regarding the problem of unemployment and health insurance when someone has lost her/his work; and the characteristics of their interaction with other actors.
    Results: The results showed that the four analytical dimensions proposed by Hufty (actors, social norms, nodal points and processes) were useful for describing and understanding the interaction of the actors involved in the research and intervention proposal being analysed here (i.e. the case-study).
    Conclusions: It was concluded that the analytical governance framework proposed by Hufty was useful for understanding how the social subjects interacted; these were the rules which were taken for describing their interaction, being the most important nodes for interaction and progresses achieved whilst implementing the intervention proposal.
    MeSH term(s) Colombia ; Community Participation ; Decision Making, Organizational ; Government ; Humans ; Interpersonal Relations ; Medically Uninsured ; Models, Theoretical ; Politics ; Power (Psychology) ; Social Security/organization & administration ; Socioeconomic Factors ; Unemployment ; Urban Population
    Language Spanish
    Publishing date 2010-09-18
    Publishing country Colombia
    Document type Journal Article
    ZDB-ID 2060572-9
    ISSN 0124-0064
    ISSN 0124-0064
    DOI 10.1590/s0124-00642010000700009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Análisis de la actualización del Plan Obligatorio de Salud del Sistema de Seguridad Social en Salud colombiano, 2009-2012.

    Cardona, Álvaro / Mejía, Luz M / Vargas, Gilma S / Álvarez, Edwin / Nieto, Emmanuel

    Revista de salud publica (Bogota, Colombia)

    2013  Volume 15, Issue 2, Page(s) 258–270

    Abstract: Objective: Analyzing the updating the Colombian social security system's mandatory health plan (MHP),from a perspective of the right to health, by comparing and contrasting MHP content valid until 31st December 2009 (POS-2009) with MHP content from 1st ... ...

    Title translation An analysis of the updating of the Colombian social security system's mandatory health plan, 2009-2012.
    Abstract Objective: Analyzing the updating the Colombian social security system's mandatory health plan (MHP),from a perspective of the right to health, by comparing and contrasting MHP content valid until 31st December 2009 (POS-2009) with MHP content from 1st January 2012 onwards (POS-2012).
    Methodology: This was a descriptive study aimed at ascertaining the quantitative changes made and comparing the characteristics of modifications made in POS-2012 to POS-2009.
    Results: Variation was observed between the two versions of the MHP regarding the number and characteristics of services and drugs;1,724 new procedures and 128 new medicines were included in the 2012 MHP, while 366 procedures and 79 medicines present in the 2009 MHP were excluded from MHP 2012. Some inclusions were related to frequent writs being issued from 2009-2011 demanding access to such procedures and drugs.
    Discussion and conclusions: Significant progress was found regarding the content of the 2012 MHP compared to 2009 provision, thereby addressing some of the population's most frequent writs and plaints.
    MeSH term(s) Colombia ; Cross-Sectional Studies ; Delivery of Health Care/legislation & jurisprudence ; Humans ; Social Security/legislation & jurisprudence ; Time Factors
    Language Spanish
    Publishing date 2013-03
    Publishing country Colombia
    Document type English Abstract ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2060572-9
    ISSN 0124-0064
    ISSN 0124-0064
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Promoting tobacco cessation and smoke-free workplaces through community outreach partnerships in Puerto Rico.

    Díaz-Toro, Elba C / Fernández, Maria E / Correa-Fernández, Virmarie / Calo, William A / Ortiz, Ana Patricia / Mejía, Luz M / Mazas, Carlos A / Santos-Ortiz, Maria del Carmen / Wetter, David W

    Progress in community health partnerships : research, education, and action

    2014  Volume 8, Issue 2, Page(s) 157–168

    Abstract: Background: Puerto Rico (PR) has a lower smoking prevalence than the United States (14.8% vs. 21.2%, respectively); nevertheless, the five leading causes of death are associated with smoking. There is a need to implement evidence-based tobacco control ... ...

    Abstract Background: Puerto Rico (PR) has a lower smoking prevalence than the United States (14.8% vs. 21.2%, respectively); nevertheless, the five leading causes of death are associated with smoking. There is a need to implement evidence-based tobacco control strategies in PR.
    Objectives: The Outreach Pilot Program (OPP) was designed to engage communities, health professionals, and researchers in a network to advance health promotion activities and research to increase the use of the PR Quitline (PRQ) among smokers and promoting policies in support of smoke-free workplaces.
    Methods: Using community-based participatory research (CBPR) methods, the OPP mobilized a network of community and academic partners to implement smoking cessation activities including referrals to the PRQ, adoption of evidence-based smoking cessation programs, and promotion of smoke-free legislation.
    Results: Eighty organizations participated in the OPP. Collaborators implemented activities that supported the promotion of the PRQ and smoke-free workplaces policy and sponsored yearly trainings, including tobacco control conferences. From 2005 to 2008, physician referrals to the PRQ increased from 2.6% to 7.2%. The number of annual smokers receiving cessation services through the PRQ also increased from 703 to 1,086. The OPP shepherded a rigorous smoke-free law through participation in the development, promotion, and implementation of the smoke-free workplaces legislation as well as the creation of the PR Tobacco Control Strategic Plan, launched in 2006.
    Conclusions: This project demonstrates the feasibility of developing a successful and sustainable community-based outreach program model that enlists the participation of academic researchers, community organizations, and health care providers as partners to promote tobacco control.
    MeSH term(s) Community Participation ; Community-Based Participatory Research ; Community-Institutional Relations ; Cooperative Behavior ; Health Policy ; Health Promotion/organization & administration ; Hotlines/organization & administration ; Humans ; Puerto Rico ; Referral and Consultation/organization & administration ; Smoking Cessation/methods ; Tobacco Smoke Pollution/prevention & control ; Universities ; Workplace/organization & administration
    Chemical Substances Tobacco Smoke Pollution
    Language English
    Publishing date 2014-08-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2275483-0
    ISSN 1557-055X ; 1557-0541
    ISSN (online) 1557-055X
    ISSN 1557-0541
    DOI 10.1353/cpr.2014.0032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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