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  • 1
    In: Menopause, Ovid Technologies (Wolters Kluwer Health), Vol. 29, No. 6 ( 2022-02-21), p. 664-670
    Abstract: To identify the frequency of clinical suspicion of sarcopenic obesity (CSSO) and probable sarcopenic obesity (PSO) and to estimate the association between them and surgical menopause. Methods: A cross-sectional study carried out in women residing in Colombia, ages 60 to 75 years. Body mass index, the SARC-F scale, SARC-CalF 〈 31, and SARC-CalF 〈 33 versions adding the calf circumference measurement in the last two were used to identify CSSO. Muscle strength measurement was added to the above measures to establish PSO. Surgical menopause was defined in women who underwent bilateral oophorectomy simultaneously with hysterectomy before natural menopause. Adjusted and unadjusted logistic regression were performed between CSSO or PSO with surgical menopause, bilateral oophorectomy after natural menopause, and abdominal hysterectomy with ovarian preservation. All participants provided informed consent. P 〈 0.05 was statistically significant. Results: Seven hundred women 67.0 ± 4.8 years old were included; 23.7% were obese, 68.1% had reduced muscle strength, and 4.2% had surgical menopause. CSSO was found in 3.0% with SARC-F and with SARC-CalF 〈 31; whereas 2.0% were found with SARC-CalF 〈 33. PSO was found in 2.4%, 1.5%, and 2.2% with SARC-F, SARC-CalF 〈 31, and SARC-CalF 〈 33, respectively. Surgical menopause was associated with PSO but was not associated with CSSO. Bilateral oophorectomy after menopause and hysterectomy with ovarian preservation were not associated with CSSO or PSO. Conclusions: In a group of older adult women, the frequency of CSSO was up to 3.0% and PSO up to 2.4%. Surgical menopause was statistically significantly associated with PSO. On the contrary, CSSO was not associated.
    Type of Medium: Online Resource
    ISSN: 1530-0374
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2022
    detail.hit.zdb_id: 2071114-1
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  • 2
    In: Iberoamerican Journal of Medicine, Iberoamerican Journal of Medicine, Vol. 5, No. 1 ( 2023-01-16), p. 27-35
    Abstract: Introduction: Quality of life is a set of situations that contribute to people's well-being. In pregnant women, it is necessary to explore the emotional, social and physical aspects. Few studies in the Latin American population explore the quality of life of pregnant women. The objective was to establish the frequency of deterioration of the physical, psychological, social and environmental quality of life and to identify the associated factors in pregnant women residing in cities of the Colombian Caribbean who attended prenatal consultation. Material and methods: A cross-sectional study was conducted on 509 pregnant women who performed daily activities and participated voluntarily and anonymously after signing informed consent. They filled out a form that explored sociodemographic and clinical characteristics and applied the WHOQOL-BREF scale, identifying the poor quality of life. Adjusted logistic regression was performed to estimate the association between quality of life (dependent variable) and biopsychosocial factors (independent variables). Results: The age of the participants was 26.8 ± 6.2 years. In 250 (49.1%) physical or mental deterioration was identified, in 281 (55.2%) deterioration of the social relationship and in 270 (53.0%) of the environmental relationship. Diabetes OR:6.01[95%CI:1.20-18.42], depression OR:4.71[95%CI:1-20-18.42] , living in a rural area OR:2.96[95%CI :1.78-4.91], anguish with pregnancy OR:2.87[95%CI:1.65-5.01] , financial problems OR:2.61[95%CI:1.54-4.40 ] or couple OR:2.60[95%CI:1.03-6.69] , were associated with impaired quality of life (p 〈 0.01). Being cohabiting, compared to being alone, and being a student/employee versus a housewife, were associated with a lower possibility of deterioration in quality of life (p 〈 0.01). Conclusions: Deterioration of each quality of life domain was identified in half of the pregnant women and several biopsychosocial factors were significantly associated. Antenatal care protocols should provide guidelines for intervention on obstetric and non-obstetric factors that impair quality of life. It is necessary to highlight deficiencies in the exploration of the mental, social and environmental health of pregnant women.
    Type of Medium: Online Resource
    ISSN: 2695-5075
    Language: Unknown
    Publisher: Iberoamerican Journal of Medicine
    Publication Date: 2023
    detail.hit.zdb_id: 3016996-3
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  • 3
    In: Sleep Science, Georg Thieme Verlag KG, Vol. 11, No. 2 ( 2018)
    Type of Medium: Online Resource
    ISSN: 1984-0063
    Language: English
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2018
    detail.hit.zdb_id: 2697016-8
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  • 4
    Online Resource
    Online Resource
    Federacion Colombiana de Obstetricia y Ginecologia ; 2021
    In:  Revista Colombiana de Obstetricia y Ginecología Vol. 72, No. 2 ( 2021-06-30), p. 162-170
    In: Revista Colombiana de Obstetricia y Ginecología, Federacion Colombiana de Obstetricia y Ginecologia, Vol. 72, No. 2 ( 2021-06-30), p. 162-170
    Abstract: Objetivo: elaborar una aproximación a la prevalencia de los problemas de sueño (PDS) en mujeres climatéricas colombianas durante la pandemia COVID-19. Materiales y Métodos: estudio transversal que pertenece al proyecto de investigación Calidad de Vida en la Menopausia y Etnias Colombianas bajo condiciones de pandemia [CAVIMEC+COVID STUDY]. Se incluyeron mujeres naturales y residentes en Colombia entre 40 y 59 años, quienes en los primeros cinco días de junio del 2020 participaron de forma anónima y voluntaria, previo consentimiento informado en el diligenciamiento de un formulario alojado en una plataforma virtual. Los PDS fueron identificados con el tercer ítem de Menopause Rating Scale. Se exploraron características sociodemográficas, la presencia y severidad de los PDS y el estado menopáusico. Se hace estadística descriptiva. Resultados: participaron 984 mujeres, la mediana de edad fue 47,0 [RIC: 42,0-53,5] años. El 84,5% de las participantes eran mestizas, el 13,7% afrodescendientes y 1,7% indígenas. El 39,3% posmenopáusicas. El 70% residían en la región caribe colombiana. Informaron PDS 637 (64,7%) de las participantes y 112 (11,3%) tenían PDS severos. Las posmenopáusicas informaron un 65,1% de PDS, en forma severa el 10,1%, y las premenopáusicas informaron 64,5%, en forma severa el 12,2%. Conclusiones: los PDS podrían ser un problema frecuente en las mujeres en estado premenopáusico y postmenopáusico. Se debe explorar este problema en la consulta ginecológica para ofrecer soluciones. Se requieren estudios poblacionales que confirmen estas observaciones
    Type of Medium: Online Resource
    ISSN: 2463-0225 , 0034-7434
    Language: Unknown
    Publisher: Federacion Colombiana de Obstetricia y Ginecologia
    Publication Date: 2021
    detail.hit.zdb_id: 2102774-2
    SSG: 7,36
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  • 5
    Online Resource
    Online Resource
    SAGE Publications ; 2021
    In:  Journal of Primary Care & Community Health Vol. 12 ( 2021-01), p. 215013272110251-
    In: Journal of Primary Care & Community Health, SAGE Publications, Vol. 12 ( 2021-01), p. 215013272110251-
    Abstract: Quarantine is a measure to control COVID-19 spread, resulting in an increased perception of loneliness. In turn, sleep disorders (SD) may be more frequently reported in uncertain circumstances. Objectives: To identify the association between loneliness and severe SD, in women quarantined due to the COVID-19 pandemic. Methods: A cross-sectional study carried out in women, between 40 and 79 years and living in Colombia. The women were invited through social network to complete 5 digital instruments: de Jong Gierveld Loneliness Scale, Menopause Rating Scale, Fear of COVID-19 Five-item Version, Coronavirus Anxiety Scale, and Francis Religion Scale. Bivariate analysis and adjusted logistic regression between loneliness and SD were performed. Results: 1133 women participated, half of them under 50 years old. 43.1% had emotional loneliness, 39.9% social loneliness and 43.3% general loneliness. SD were identified in 6 out of 10 women, those with mild SD presented an OR of 1.84, 1.85, and 1.64, for emotional, social and general loneliness, respectively. Loneliness was associated twice with moderate SD, and more than twice with severe SD. Very severe SD reached OR:5.81 for emotional loneliness, OR:4.38 social loneliness and OR:4.02 general loneliness. In the presence of religiosity, fear and anxiety due to COVID-19, statistical significance was retained for associations, except intense SD with general loneliness. Conclusions: SD were significantly associated with loneliness in our study population. It is important to assess sleep quality and perception of loneliness in middle-aged women, especially during periods of quarantine due to a pandemic to avoid health implications.
    Type of Medium: Online Resource
    ISSN: 2150-1327 , 2150-1327
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2021
    detail.hit.zdb_id: 2550221-9
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  • 6
    Online Resource
    Online Resource
    SAGE Publications ; 2023
    In:  Journal of International Medical Research Vol. 51, No. 8 ( 2023-08)
    In: Journal of International Medical Research, SAGE Publications, Vol. 51, No. 8 ( 2023-08)
    Abstract: To identify the frequencies of clinical suspicion of sarcopenia (CSS) and probable sarcopenia (PS) and their association with ethnic groups. Methods This cross-sectional study categorized 700 women into Afro-descendant and mestizo ethnic groups. Calf circumference, muscle strength, and gait speed were measured. CSS was assessed using a sarcopenia risk scale and the measurement of calf circumference; the muscle strength of the dominant hand was used to establish PS. Unadjusted logistic regressions assessed associations between CSS/PS and ethnicity. Two adjusted logistic regression models included relevant covariates. Results CSS and PS were identified in 10.4% to 20.7% and 7.8% to 14.1% of study participants, respectively. Compared with mestizos, Afro-descendants had a more favorable sarcopenia risk score, greater calf circumference, and greater muscle strength and were associated with a lower risk for CSS (odds ratio [OR]: 0.13, 95% confidence interval [CI] : 0.06–0.28 and OR: 0.12, 95% CI: 0.07–0.21) and PS (OR: 0.12, 95% CI: 0.05–0.30 and OR: 0.11, 95% CI: 0.06–0.21). Conclusion Compared with mestizos, CSS and PS were less frequent among Afro-descendants, who had 87% to 88% lower probability of CSS and 88% to 89% lower probability of PS.
    Type of Medium: Online Resource
    ISSN: 0300-0605 , 1473-2300
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2082422-1
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  • 7
    In: MedUNAB, Universidad Autonoma de Bucaramanga, Vol. 23, No. 2 ( 2020-07-22), p. 195-213
    Abstract: Introducción. Las epidemias pueden generar angustia en la población general y en los profesionales de la salud, y la pandemia causada por el virus del COVID-19 no es la excepción. El objetivo del presente estudio es determinar la presencia de síntomas de estrés laboral, ansiedad y miedo al COVID-19 en médicos generales, además de estimar la asociación según el ente territorial donde trabajaban. Metodología. Este es un estudio transversal que exploró síntomas y percepciones durante la pandemia del COVID-19 en médicos generales colombianos sometidos a cuarentena obligatoria que ejercieron su profesión en marzo del 2020. Previo consentimiento informado, anónima y voluntariamente, los participantes diligenciaron un formulario virtual con preguntas generales sobre COVID-19. El cuestionario buscaba encontrar problemas psicosomáticos sirviéndose de la Escala para el Trastorno de Ansiedad Generalizada (GAD-7, por sus siglas en inglés) y el FCV-19S (Fear of COVID-19). Los participantes se clasificaron en Municipio no capital o Municipio capital según el ente territorial en donde laboraban. Regresión logística entre el ente territorial (que acá es tomada como variable independiente) con los síntomas de ansiedad, estrés laboral y miedo al COVID-19 (que en este caso es tomado como variable dependiente). Resultados: Participaron 531 médicos generales con edad promedio de 30 años. El 73.3% laboraban en Municipio capital. Un tercio de los encuestados presentó estrés laboral leve, mientras que el 6% presentó estrés laboral alto o severo, esto sin diferencias entre los grupos (p 〈 0.05). Se identificaron síntomas de ansiedad en el 72.9%, más frecuente entre quienes laboraban en las capitales (p=0.044). El 37.1% presentó síntomas de miedo al COVID-19 (FCV-19S). No se observó asociación en la regresión logística realizada. Discusión: Factores psicosociales y psicosomáticos asociados al miedo son el común denominador de los síntomas de ansiedad y estrés laboral en las pandemias. Conclusión: Siete de cada diez participantes presentó síntomas de ansiedad o estrés laboral, mientras que cuatro presentaron síntomas de FCV-19S. No se observó asociación con la clasificación del municipio donde laboraban.
    Type of Medium: Online Resource
    ISSN: 2382-4603 , 0123-7047
    Language: Unknown
    Publisher: Universidad Autonoma de Bucaramanga
    Publication Date: 2020
    detail.hit.zdb_id: 2149035-1
    SSG: 7,36
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  • 8
    Online Resource
    Online Resource
    Modestum Ltd ; 2021
    In:  Electronic Journal of General Medicine Vol. 18, No. 6 ( 2021-09-08), p. em320-
    In: Electronic Journal of General Medicine, Modestum Ltd, Vol. 18, No. 6 ( 2021-09-08), p. em320-
    Type of Medium: Online Resource
    ISSN: 2516-3507
    Language: Unknown
    Publisher: Modestum Ltd
    Publication Date: 2021
    detail.hit.zdb_id: 3143867-2
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  • 9
    Online Resource
    Online Resource
    Sociedad de Obstetricia y Ginecologia de Venezuela ; 2022
    In:  Revista de Obstetricia y Ginecología de Venezuela Vol. 82, No. 01 ( 2022-01-25), p. 47-58
    In: Revista de Obstetricia y Ginecología de Venezuela, Sociedad de Obstetricia y Ginecologia de Venezuela, Vol. 82, No. 01 ( 2022-01-25), p. 47-58
    Abstract: Objective: To estimate the frequency of muscle and joint pain and to identify if other menopausal symptoms, age, nutritional status, metabolic risk, and menopausal status were associated factors. Methods: A Cross-sectional study which is part of the CAVIMEC project (Calidad de vida en la menopausia y Etnias Colombianas) was carried out in climacteric Afro-descendant women, between 40 and 59 years old, living in the Colombian Caribbean. They were surveyed in their own residences, prior informed consent. The Menopause Rating Scale was applied, this instrument assesses menopausal symptoms. Logistic regression was performed and the Spearman correlation coefficient was estimated. P value 〈 0.05 was statistically significant. Results: 420 women were studied, median age 50.0 ± 6.1, 22.8% postmenopausal and 82.8% with abdominal obesity. 243 (57.9%) had muscle and joint pain. All menopausal symptoms were more frequent among women with muscle and joint pain. Depressed mood OR: 4.20 (95 % CI:1.55-11.74), age 50-54 years OR: 3.68 (95 % CI:1.53-8.82), heart palpitations OR:3.00 (95 % CI:1.51-5.98), age 55-50 years OR: 2.48 (95 % CI:1.08-5.64) and hot flashes OR: 1.92 (95 % CI:1.11-3.31) were associated with muscle and joint pain. The same was identified with the abdominal circumference OR: 0.322 (95 % CI:0.233-0.405) and hip circumference OR: 0.318 (95 % CI:0.229-0.401). Conclusions: High frequency of muscle and joint pain was identified. Aging, psychological and somato/vegetative symptoms, as well as abdominal and hip circumference, were significantly associated with muscle and joint pain. Keywords: Climacteric, Menopause, Arthralgia, Ethnic Groups, African Continental Ancestry Group.
    Type of Medium: Online Resource
    ISSN: 0048-7732 , 0048-7732
    URL: Issue
    Language: Unknown
    Publisher: Sociedad de Obstetricia y Ginecologia de Venezuela
    Publication Date: 2022
    detail.hit.zdb_id: 2127225-6
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  • 10
    Online Resource
    Online Resource
    Iberoamerican Journal of Medicine ; 2021
    In:  Iberoamerican Journal of Medicine Vol. 3, No. 3 ( 2021-04-26), p. 271-275
    In: Iberoamerican Journal of Medicine, Iberoamerican Journal of Medicine, Vol. 3, No. 3 ( 2021-04-26), p. 271-275
    Abstract: Streptococcus agalactiae (S. agalactiae) is a microorganism that asymptomatically colonizes the female genital and gastrointestinal tracts of humans. It produces infections in extreme ages of life and in pregnant women. The case of an adult male is presented, with frequent heterosexual intercourse with different partners. He consulted for itching and burning in the penis' glans. His partner had marked vaginal dryness as a result of early ovarian failure. The patient had ulcerative, non-painful, erythematous lesions with raised edges and little yellow-green discharge. No Donovan bodies were found in the discharge smear and the culture was positive for S. agalactiae. His asymptomatic partner had negative microbiological tests. Both with negative serologies for Chlamydia, HIV and syphilis. No information was obtained from other sexual contacts. It cannot be ascertained that it was a venereal event, it is more likely that the injuries are related to repeated coital trauma.
    Type of Medium: Online Resource
    ISSN: 2695-5075
    Language: Unknown
    Publisher: Iberoamerican Journal of Medicine
    Publication Date: 2021
    detail.hit.zdb_id: 3016996-3
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