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Search Results: 1 - 10 of 225551 matches for " Mateus Julio César "
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El mito de la pantalla que educa. Televisión y educación en el Perú: tensiones y posibilidades
Julio César Mateus Borea
La Mirada de Telemo , 2008,
Abstract: El artículo no presenta resumen
Ecology and policy for exclusive breastfeeding in Colombia: a proposal
Mateus Solarte, Julio César
Colombia Médica , 2012,
Abstract: Introduction: Breastfeeding promotion is one of the most important strategies against infant mortality and to control child undernourishment. Despite policies and plans to promote and protect breastfeeding in Colombia, its practice is low and its duration is short.Objective: To propose an ecology framework to interpret and incorporate contextual, interpersonal, and individual factors associated with the practice of breastfeeding and duration. Thereby, the plans and policies addressed to promote and protect breastfeeding in Colombia could be reinforced.Conclusions: To implement an ecology framework for Breastfeeding in Colombia, it is necessary to identify the effect of contextual factors in the biggest cultural regions of Colombia, to recognize the limitations of Infant-Friendly Hospital Initiatives to improve exclusive breastfeeding duration, to execute prospective studies in order to identify factors associated with breastfeeding duration, to design and implement plans and policies based on comprehensive planning strategies of healthcare interventions, to develop appropriate and cost-effective extra-institutional strategies aimed at prolonging the duration of breastfeeding, and to implement more reliable breastfeeding surveillance systems.
Predictors of local malaria outbreaks: an approach to the development of an early warning system in Colombia
Mateus, Julio César;Carrasquilla, Gabriel;
Memórias do Instituto Oswaldo Cruz , 2011, DOI: 10.1590/S0074-02762011000900014
Abstract: risk factor surveillance is a complementary tool of morbidity and mortality surveillance that improves the likelihood that public health interventions are implemented in a timely fashion. the aim of this study was to identify population predictors of malaria outbreaks in endemic municipalities of colombia with the goal of developing an early warning system for malaria outbreaks. we conducted a multiple-group, exploratory, ecological study at the municipal level. each of the 290 municipalities with endemic malaria that we studied was classified according to the presence or absence of outbreaks. the measurement of variables was based on historic registries and logistic regression was performed to analyse the data. altitude above sea level [odds ratio (or) 3.65, 95% confidence interval (ci) 1.34-9.98], variability in rainfall (or 1.85, 95% ci 1.40-2.44) and the proportion of inhabitants over 45 years of age (or 0.17, 95% ci 0.08-0.38) were factors associated with malaria outbreaks in colombian municipalities. the results suggest that environmental and demographic factors could have a significant ability to predict malaria outbreaks on the municipal level in colombia. to advance the development of an early warning system, it will be necessary to adjust and standardise the collection of required data and to evaluate the accuracy of the forecast models.
Efectos de la reforma en salud en las acciones de control de tuberculosis en el Valle del Cauca, Colombia
Carvajal,Rocío; Cabrera,Gustavo Alonso; Mateus,Julio César;
Biomédica , 2004,
Abstract: effects of the health sector reform upon tuberculosis control interventions in valle del cauca, colombia implementation of the general system of social security in health (gsssh) was initiated for the control of tuberculosis (tbc) in the state of valle del cauca, colombia, between 1991- 2000. a study of its effects was centered in 7 municipalities of valle del cauca with a complementary set of qualitative and quantitative techniques for data collection and analysis. a reduction in planning, control and regulation of tbc activities by state agencies was observed. new administrative structures and new funding sources did not produce the expected positive effects on tuberculosis control. instead, the quantity and quality of tuberculosis control activity were reduced as a consequence of the health sector reform. in conclusion, gsssh implementation affected negatively tuberculosis control activity.
Physical activity and stages of change behavior
Cabrera Gustavo,Gómez Luis,Mateus Julio César
Colombia Médica , 2004,
Abstract: Objective: To determine the distribution of the stages of change behavior in the regular physical activity of residents of Bogota D.C., Colombia, in 2003. Methods: The prevalence of intention or regular practice of physical activity in urban residents from I to IV socio-economical status were studied. The participants were older than 18 years old and younger than 65 years. The participants were selected through a probabilistic, three stage, stratified cluster sampling. They were interviewed with consent in their address using structured questionnaires. Results: The percentage of answer was of 78% and 3,000 records were considered valid; 13% were considered precontemplates because they didn t practice regular physical activity and didn t have the will to do it in the next six months; 24% had the will to do it in a within a semester; 18% were prepared to initiate it in the next month; 7% are in the action stage because of they have been practicing during the last month; 34% were classified as maintainers and the last 4% quit the activity recently. Conclusions: The distribution of the stages of change in the adult population from I to IV socioeconomical status of the Capital District of Colombia are unfavorable for cardiovascular risk and for other negative comportamental factors associated with the urban life style.
Impacto de un botadero a cielo abierto en el desarrollo de síntomas respiratorios y en costos familiares de atención en salud de ni?os entre 1 y 5 a?os en Cali, Colombia
Girón,Sandra Lorena; Mateus,Julio César; Méndez,Fabián;
Biomédica , 2009,
Abstract: introduction. exposure to contaminants of waste disposal sites potentially has negative health effects on population living in close vicinity. however, the impact to the community in terms of illness and health care costs have not been documented in colombia. objective. to determine the effects of an open waste disposal site on the occurrence of respiratory symptoms in children 1-5 year old and on associated household care costs in cali, colombia. material and methods. a cohort of 863 1-5 year old children was assembled-409 exposed to the site and 454 living more distant. over a 6-month period, measurement of respiratory symptoms and estimates of associated costs were undertaken once a month by interviewing the mother or another adult responsible of child health. a longitudinal logistical analysis was used to determine the independent effect of the disposal site on the occurrence of respiratory symptoms. differences in average costs between families of exposed and unexposed children were estimated by non-parametric bootstrap techniques. results. exposure to the disposal site was associated with a larger probability of respiratory symptoms (odds ratio=1.37, 95%ci 1.17-1.60) and with higher household medical costs due to respiratory symptoms were on the average us$ 10.19 higher (95% us$ 2.63 - 16,82). conclusion. living in neighborhoods close to garbage disposal sites has negative effects on the respiratory health of children and results in increased family costs related to treatment of associated respiratory symptoms.
Análisis de costo-efectividad de dos intervenciones para el control de la malaria en el área urbana de Buenaventura, Colombia
Girón,Sandra Lorena; Mateus,Julio César; Castellar,Carlos Enrique;
Biomédica , 2006,
Abstract: introduction. costs and results of two alternatives for malaria control were compared. one constituted by the activities of the national programme, the other by the integration of an educational strategy denominated "integrated alternative" (ia) into the national program in buenaventura on the pacific coast of colombia. objective. to evaluate the cost-effectiveness of two alternatives for malaria control in the urban area of buenaventura. materials and methods. a cost-effectiveness analysis was carried out from an institutional and household perspective. institutional costs were obtained by reviewing records of institutions that implemented each alternative; household costs were obtained from interviews. effectiveness measurement was the number of averted cases per 10.000 inhabitants. results. institutional costs of national programme and integrated alternative were us$3,766 and us$24,932.8 respectively. average household cost in the zone where national programme was implemented was us$36.2, while in the zone where ia was applied it was us$28.4. the number of averted cases per 10,000 inhabitants was 12.9 (ci95%-6.0;31.8) for national programme and 264.6 (ci95%254.1;275.1) for integrated alternative. the institutional cost-effectiveness ratios of national programme and integrated alternative were us$292.4 and us$92.2, respectively. conclusion. integration of the educational strategy into the national programme was the most cost-effective alternative. our data suggest that the educational strategy should be added to the national programme activities.
Cost-effectiveness analysis of two strategies for malaria control in the urban area of Análisis de costo-efectividad de dos intervenciones para el control de la malaria en el área urbana de Buenaventura, Colombia
Sandra Lorena Girón,Julio César Mateus,Carlos Enrique Castellar
Biomédica , 2011,
Abstract: Introduction. Costs and results of two alternatives for malaria control were compared. One constituted by the activities of the National Programme, the other by the integration of an educational strategy denominated "Integrated Alternative" (IA) into the national program in Buenaventura on the Pacific Coast of Colombia. Objective. To evaluate the cost-effectiveness of two alternatives for malaria control in the urban area of Buenaventura. Materials and methods. A cost-effectiveness analysis was carried out from an institutional and household perspective. Institutional costs were obtained by reviewing records of institutions that implemented each alternative; household costs were obtained from interviews. Effectiveness measurement was the number of averted cases per 10.000 inhabitants. Results. Institutional costs of National Programme and Integrated Alternative were US$3,766 and US$24,932.8 respectively. Average household cost in the zone where National Programme was implemented was US$36.2, while in the zone where IA was applied it was US$28.4. The number of averted cases per 10,000 inhabitants was 12.9 (CI95%-6.0;31.8) for National Programme and 264.6 (CI95%254.1;275.1) for Integrated Alternative. The institutional costeffectiveness ratios of National Programme and Integrated Alternative were US$292.4 and US$92.2, respectively. Conclusion. Integration of the educational strategy into the National Programme was the most cost-effective alternative. Our data suggest that the educational strategy should be added to the National Programme activities. Introducción. Se compararon los costos y resultados de dos alternativas para el control de la malaria en el área urbana de Buenaventura, en la costa Pacífica colombiana. Una constituida por las actividades del Programa Nacional, la otra por la integración al programa de una estrategia educativa llamada Alternativa Integrada. Objetivo. Evaluar la costo-efectividad de dos alternativas de intervención para el control de la malaria en el área urbana de Buenaventura. Materiales y métodos. Se realizó un análisis de costo-efectividad, desde los puntos de vista institucional y familiar. Los costos institucionales se obtuvieron revisando los registros de las instituciones responsables de la implementación de cada alternativa. Los costos familiares se obtuvieron a través de entrevistas. La medida de efectividad fue el número de casos evitados por cada 10.000 habitantes. Resultados. Los costos institucionales del Programa Nacional y de la Alternativa Integrada por cada 10.000 habitantes fueron $5.374.082 (US$3,766) y $34'
Impacto de un botadero a cielo abierto en el desarrollo de síntomas respiratorios y en costos familiares de atención en salud de ni os entre 1 y 5 a os en Cali, Colombia Impact of an open waste disposal site on the occurrence of respiratory symptoms and on health care costs of children
Sandra Lorena Girón,Julio César Mateus,Fabián Méndez
Biomédica , 2009,
Abstract: Introducción. La exposición a agentes contaminantes provenientes de los sitios de disposición final de residuos sólidos, tiene efectos potencialmente negativos en la salud de la población que vive en su área de influencia. Objetivos. Determinar los efectos del botadero municipal a cielo abierto en Cali, conocido como el botadero de Navarro, en el desarrollo de síntomas respiratorios en ni os entre 1 y 5 a os de edad y en los costos familiares relacionados con la atención de estos síntomas. Materiales y métodos. Se ensambló una cohorte de ni os expuestos y no expuestos al botadero y se les hizo seguimiento durante 6 meses. El desarrollo de síntomas respiratorios y los costos relacionados con la atención en salud se evaluaron mensualmente con entrevistas al adulto responsable del cuidado del ni o. Se hizo un análisis logístico longitudinal para determinar el efecto independiente del botadero en el desarrollo de síntomas respiratorios. Mediante técnicas estadísticas no paramétricas de bootstrap, se determinaron las diferencias promedio de costos entre las familias de los ni os expuestos y no expuestos. Resultados. La exposición al botadero se asoció a una probabilidad más alta de desarrollar síntomas respiratorios (OR=1,37, IC95% 1,17-1,60) y a mayores costos familiares relacionados con el desarrollo de esos síntomas en ni os (diferencia promedio: Col$ 24.038,5; IC95% 6.211,0-39.650,4). Conclusiones. La exposición al botadero tiene efectos negativos sobre la salud respiratoria infantil y sobre los costos familiares relacionados con la atención de los síntomas. Introduction. Exposure to contaminants of waste disposal sites potentially has negative health effects on population living in close vicinity. However, the impact to the community in terms of illness and health care costs have not been documented in Colombia. Objective. To determine the effects of an open waste disposal site on the occurrence of respiratory symptoms in children 1-5 year old and on associated household care costs in Cali, Colombia. Material and methods. A cohort of 863 1-5 year old children was assembled—409 exposed to the site and 454 living more distant. Over a 6-month period, measurement of respiratory symptoms and estimates of associated costs were undertaken once a month by interviewing the mother or another adult responsible of child health. A longitudinal logistical analysis was used to determine the independent effect of the disposal site on the occurrence of respiratory symptoms. Differences in average costs between families of exposed and unexposed children were estimated by
Exclusive breastfeeding duration in Cali, Colombia, 2003
Cabrera Gustavo Alonso,Mateus Julio César,Girón Sandra Lorena
Colombia Médica , 2004,
Abstract: Introduction: Exclusive breast-feeding (EB) is the nutritional gold standard of children in their 0-6 months of life and its practice is recommended in the current national plans of health, feeding and nutrition. Objective: To describe the duration of exclusive breastfeeding (EB) in a cohort of women who breastfed, from Cali, Colombia, in 2003. Methods: A cohort of 438 urban women was established, with first singleton live birth in immediate postpartum, whose childbirth was cared without complications, in one of the six institutions (4 public and 2 private) that concentrate 80% of all deliveries from the city, approximately. With the previous consent of each woman and through structured questionnaires, these women were interviewed in the first hours after postpartum; then, they were visited and a face to face interview was applied at home, at days 8, 15, 30, 60, 90, 120, 150 and 180 since the birth, until abandon of EB was identified or woman could not be found. Results: At recruitment, 15 out of 453 puerperal women captured in postpartum rooms refused to participate in the study; 38 (8.5%) women were lost during the following. At the end of the months 1°, 2°, 3°, 4°, 5° and 6°, respectively, only 28%, 15%, 9%, 5%, 2% and 1.6% of the women included to the study kept EB practice, according to the adopted criteria. Conclusion: High participation in the prenatal and delivery care of the institutions selected for this study, low lost of women during the following and broad socio-economic distribution of recruited women, allow to suggest that observations from this cohort characterise the duration of EB in 1, 2, 3 and 4 socio-economic strata of urban area of Cali, Colombia, in 2003. The duration of EB in the studied cohort is very short regarding to national and international recommendations. This fact indicates the scarce effects of both, national packages of National Security System in Health and national and local initiatives addressed to encourage EB in the city.
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