Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

En la II encuesta de salud sexual y reproductiva de Costa Rica se muestra el inicio temprano de la vida sexual, un alto porcentaje de embarazos no deseados y poco uso de métodos anticonceptivos de largo plazo. Mundialmente el uso de anticonceptivos de larga duración (LARCS) se ha implementado como una estrategia para evitar los embarazos no planeados.Se realizó una encuesta para identificar los conceptos y prácticas de los médicos sobre anticoncepción intrauterina en nulíparas. Esta encuesta mostró incongruencias entre los conceptos teóricos y práctica clínica del uso de la anticoncepción intrauterina en esta población, ya que a pesar de considerarlos seguros,eficaces con pocos efectos secundarios no los utilizan.

El bloqueo de conducción atrioventricular de primer grado y el bloqueo de rama derecha del haz de His presentan una característica en común: usualmente son asintomáticos. El trastorno de conducción intraventricular se ha asociado con un aumento en el riesgo cardiovascular y con un aumento en la mortalidad por cualquier causa. Los bloqueos AV, a pesar de ser de I grado, se han asociado a unmayor riesgo de muerte, falla cardiaca y fibrilación atrial. Se presenta un electrocardiograma con estos dos hallazgos y una prolongación marcada de la conducción atrioventricular. Se revisará brevemente los criterios diagnósticos y puntos clave en el manejo de estos pacientes.

La queilitis es una patología de los labios que puede desarrollarse de manera aguda o crónica y que puedepresentar diversas etiologías. Una de las cuales podría estar relacionada con reacciones a medicamentos. La morfología más frecuentemente observada en las erupciones por medicamentos es la reacciónmorbiliforme, en la que se presentan máculas o pápulas eritematosas días después del uso de un medicamento, llegando en algunos casos a comprometer las mucosas. Además, estas erupciones podrían ser provocadas o agravadas por la luz ultravioleta.A continuación, se presentará el caso de una paciente de80 años de edad, con historia de dermatosis localizada alos labios de varios meses de evolución, que no mejoraba con medicamentos y su causa era desconocida.

The speech therapist works for the communicative well-being in different scenarios, one of them the educational, where a more direct and structured relationship between communication and learning is presented. The role of the speech therapist in inclusive education was legitimized by Decree 366 of 2009 of the Ministry of National Education (MEN). Until the year 2017, the Decree 1421 of the MEN regulated the educational attention for the population with disabilities without specifying the participation of these professionals in the education system. Objective: To expose the perception of a group of speech therapists from different regions of Colombia who work in inclusive education, about their professional role and working conditions in this scenario. Me- thod: The study had a qualitative approach on exploratory level. Convenience sampling and field work by remote semi-structured interview were made. Results: The interviewees expressed that the role is very little recognized, that there are bad working  condtions and that it is important to have more education in inclusive education to be able to perform in this scenario. Discussion: The results are consistent with previous studies, therefore few historic transformations are re- cognized, which invite us to debate on the new normative. This is not an exhaustive study, but it intends to provoke a consideration to support the strengthening of Speech Therapy and the recognition of the speech therapist’s role on inclusive education.

At a national and international levels, few studies have been carried out to identify the eating habits of people with disabilities, even more on people with mobility limitations (previously known as physical disabilities). There have not been any studies carried out locally or regionally. Objective: to determine the eating habits of people with limited mobility activities in the city of Neiva. Method: a quantitative, correlational, cross-sectional study was conducted with a sample of 224 people with limited mobility activities in Neiva. The STEP questionnaire, and the item of diet (consumption of fruits and vegetables) were applied for this article. The measurement of nutritional status was made through the Body Mass Index. Results: more than 50% of the po- pulation surveyed consume fruits and vegetables. There was a predominance of normal weight. Also, a level of dependence was found between the variables of Body Mass Index, fruit-vegetable consumption and gender (p <0.05). Discussion: Participants in the  tudy have a BMI in normal weight. However, it was found that only between 50% and 55% of the population surveyed consu- mes fruits and vegetables, this may increase the probability of being overweight as people with disabilities face significant structural obstacles for physical activity.

The history of the actions that humanity has carried out with the intention of recovering or optimizing the functional abilities of its congeners, that at some point was called rehabilitation, is remote. However, between the end of the nineteenth century and the first two decades of the twentieth century, two historical facts changed substantially the history of rehabilitation. These events were on the one hand: polio, one of the most terrible infectious and contagious diseases in history and on the other hand: The Great War, the bloodiest one until that moment. Two parallel stories that ran without many elements in common, but in reality, they kept some equivalences. In the light of the twentieth century, polio and the Great War, established a dialogue that allowed the formation of a new paradigm in health care, the constitution of elements to resignify disabilities and carve the paths of new professions through the complex task of rehabilitating.

The acuatic therapy is very useful to improve activity of people in immersion, as patients float easily in the water, producing better movement with less effort, and the resistance caused by the water viscosity heps to strength muscles; the pressure from fluids on the whole body (hydrostatic pressure) decreases edema, increases cardiac output, increases intra thoracic pressure, during exercise. Warm water, increases the temperature of superficial tissue creating a sedative effect, reducing secondary muscular tension, improving blood flow, restoring tissue oxygenation, removing wastes, improving nutrition, decreasing rigidity and pain  due to ischemia. Moreover, it speeds up cell metabolic functions, blood and lymph flow. so, an effective work must include activities to experience physical principles of fluids mechanics and physiotherpeutic treatment.

Este documento recoge los resúmenes de las charlas presentadas en el marco del Día Mundial de la Voz 2018, en la jornada de Teleconferencias Nacionales de Evaluación perceptual auditiva de la voz: “Resignifcando lo que hacemos” organizada por la Facultad de Fonoaudiología de la Fundación Universitaria Escuela Colombiana de Rehabilitación (ECR) y el Departamento de la Comunicación Humana de la Universidad Nacional de Colombia (UN),con apoyo de los programas de fonoaudiología de la Corporación Universitaria Iberoamericana y la Universidad del Valle (UNIVALLE). La jornada se originó de forma presencial en el Auditorio Juan Ruíz Mora de la ECR (Bogotá) donde asistieron estudiantes y egresados de la ECR, la Corporación Universitaria Iberoamericana, de la Universidad Manuela Beltrán y la Universidad del Rosario; también se transmitió desde la UN en Bogotá y UNIVALLE en Cali. Se conectaron en directo las siguientes instituciones universitarias con programas de fonoaudiología en el país: Universidad del Cauca, Univesidad de Santander (Bucaramanga), Universidad Metropolitana de Barranquilla, Fundación Universitaria María Cano (Medellín),Universidad Santiago de Cali, Universidad de Sucre (Sincelejo) y la Universidad de San Buenaventura (Cartagena). El evento se realizó de 8 a 12 m del día 16 de abril de 2018, fecha en que se conmemorael Día Mundial de la Voz.De esta forma, estuvieron presentes la mayoría de programas de fonoaudiología colombianos.

The presence of interstitial diseases has become more frequent in our environment. Pulmonary rehabilitation is a beneficial option. However, the behavior and intervention strategies are still scarce. This justifies the research on these kind of diseases in our country. The objective is to describe the patients’ condition upon admission in a pulmonary rehabilitation program considering the socio-demographic and quality of life characteristics related to health as well as the clinical and functional characteristics. Method: Descriptive study made with 41 patients admitted to a pulmonary rehabilitation program. Socio-demographic, clinical and pharmacological data was collected. The 6-Minute Walk Test was used to evaluate the functional capacity. The quality of life related to health was evaluated with St. George’s Respiratory Questionnaire and the anxiety, and its relation with depression was evaluated with the Hospital Anxiety and Depression Scale. Results: Men 56.1%. Mean age 57.6 ± 12.9. The habit of smoking was present in 39% of the cases with a mean of 18.97 ± 17.2 packs / year. Hospitalization was made on 66.7% of patients who visited the emergency department due to respiratory complications, with a mean of 9.7 ± 14.4 days. The distance traveled was 348.2 ± 109 meters. Men walked an average of 108.8 meters more than women. Discussion: The results are discussed within the local and regional context, considering the availability and use of diagnostic tests. The results contrast with the literature regarding the sex of the patients where ILDs predominate. The findings are consistent with the diseases’ course in terms of emergency room visits and hospitalizations.