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3. The Efficacy of Virtual Reality-Based Rehabilitation in Improving Motor Function in Patients with Stroke: A Systematic Review and Meta-Analysis

Author

Prajjwal, Priyadarshi, primary, Chandrasekar, Kiran Kishor, additional, Battula, Pavani, additional, Gaviria, Elizabeth, additional, Awe, Mishael Oluwadamilola, additional, Inban, Pugazhendi, additional, Almutairi, Adel S., additional, Das, Arpan, additional, Tekuru, Yogesh, additional, Marsool, Mohammed Dheyaa Marsool, additional, Reddy, Murli Mohan, additional, Mitra, Spandana, additional, Bamba, Hyma, additional, Singh, Gurmehar, additional, and Bhattacharjee, Priyadarshini, additional

Published
2024
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4. Neuroimaging biomarkers for predicting stroke outcomes: A systematic review.

Author

Gaviria, Elizabeth and Eltayeb Hamid, Awab Hamid

Subjects
BIOMARKERS, SCIENTIFIC literature, BRAIN imaging, STROKE patients, STROKE rehabilitation, STROKE
Abstract

Background and Aims: Stroke is a prominent cause of long‐term adult impairment globally and a significant global health issue. Only 14% of stroke survivors achieve full recovery, while 25% to 50% require varying degrees of support, and over half become dependent. The aftermath of a stroke brings profound changes to an individual's life, with early choices significantly impacting their quality of life. This review aims to establish the efficacy of neuroimaging data in predicting long‐term outcomes and recovery rates following a stroke. Methods: A scientific literature search was conducted using the Centre of Reviews and Dissemination (CRD) criteria and PRISMA guidelines for a combined meta‐narrative and systematic quantitative review. The methodology involved a structured search in databases like PubMed and The Cochrane Library, following inclusion and exclusion criteria to identify relevant studies on neuroimaging biomarkers for stroke outcome prediction. Data collection utilized the Microsoft Edge Zotero plugin, with quality appraisal conducted via the CASP checklist. Studies published from 2010 to 2024, including observational, randomized control trials, case reports, and clinical trials. Non‐English and incomplete studies were excluded, resulting in the identification of 11 pertinent articles. Data extraction emphasized study methodologies, stroke conditions, clinical parameters, and biomarkers, aiming to provide a thorough literature overview and evaluate the significance of neuroimaging biomarkers in predicting stroke recovery outcomes. Results: The results of this systematic review indicate that integrating advanced neuroimaging methods with highly successful reperfusion therapies following a stroke facilitates the diagnosis of the condition and assists in improving neurological impairments resulting from stroke. These measures reduce the possibility of death and improve the treatment provided to stroke patients. Conclusion: These findings highlight the crucial role of neuroimaging in advancing our understanding of post‐stroke outcomes and improving patient care. Key points: Stroke is a leading cause of long‐term impairment, with a high number of survivors dependent on others.This study emphasizes the potential of neuroimaging biomarkers in predicting stroke recovery outcomes, marking an advancement in personalized rehabilitation strategies.Neuroimaging biomarkers could revolutionize stroke rehabilitation, allowing for more tailored and effective treatment plans and improving patient outcomes. [ABSTRACT FROM AUTHOR]

Published
2024
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5. La prostitución desde el marco legal en Colombia

Author

Castaño-Bedoya, Alejandro, Miranda-Romero, Angie Nicolle, Castañeda-Gaviria, Elizabeth, Moreno-Espinosa, Gabriela, Manrique-Pachón, Julieth Camila, León-Pirafán, Juanita, Ortiz-Parra, Juan Sebastián, López-Rojas, Karen Natalia, Moreno-Castro, Lina Isabela, Ayala-Trujillo, Samuel David, Cárdenas-Vásquez, Valentina, Infante-Casallas, Julián David, Castaño-Bedoya, Alejandro, Miranda-Romero, Angie Nicolle, Castañeda-Gaviria, Elizabeth, Moreno-Espinosa, Gabriela, Manrique-Pachón, Julieth Camila, León-Pirafán, Juanita, Ortiz-Parra, Juan Sebastián, López-Rojas, Karen Natalia, Moreno-Castro, Lina Isabela, Ayala-Trujillo, Samuel David, Cárdenas-Vásquez, Valentina, and Infante-Casallas, Julián David

Abstract

La prostitución es la actividad de una persona a la que se le paga para mantener relaciones íntimas con otras personas, consiste en sexo por dinero, comida, alquiler, drogas o alguna otra cosa de valor. En otros casos se encuentran las mujeres secuestradas y obligadas a ejercer la prostitución y convertirse en víctimas de las redes de trata de personas. (Tomado de la fuente).

Published
2023

6. La prostitución desde el marco legal en Colombia

Author

Miranda-Romero, Angie Nicolle, Castañeda-Gaviria, Elizabeth, Moreno-Espinosa, Gabriela, Manrique-Pachón, Julieth Camila, León-Pirafán, Juanita, Ortiz-Parra, Juan Sebastián, López-Rojas, Karen Natalia, Moreno-Castro, Lina Isabela, Ayala-Trujillo, Samuel David, Cárdenas-Vásquez, Valentina, and Infante-Casallas, Julián David

Subjects
Necesidad, PROSTITUCIÓN – LEGISLACIÓN- COLOMBIA, PROSTITUCIÓN – PREVENCIÓN- COLOMBIA, Abuso sexual, Abolicionismo, PROSTITUTAS - SITUACIÓN LEGAL- COLOMBIA, PROSTITUCIÓN - ASPECTOS SOCIALES- COLOMBIA, Trata de personas, Libertarismo, Prostitución
Abstract

La prostitución es la actividad de una persona a la que se le paga para mantener relaciones íntimas con otras personas, consiste en sexo por dinero, comida, alquiler, drogas o alguna otra cosa de valor. En otros casos se encuentran las mujeres secuestradas y obligadas a ejercer la prostitución y convertirse en víctimas de las redes de trata de personas. (Tomado de la fuente).

Published
2023

11. Paleoclimate controls on lithium enrichment in Great Basin Pliocene–Pleistocene lacustrine clays.

Author

Gagnon, Catherine A., Butler, Kristina L., Gaviria, Elizabeth, Terrazas, Alexa, Gao, Annabelle, Bhattacharya, Tripti, Boutt, David F., Munk, Lee Ann, and Ibarra, Daniel E.

Abstract

Terminal lakes are important archives of continental hydroclimate and in some cases contain important economic resources. Here, we present an 2.9 m.y. lacustrine carbonate carbon and oxygen stable isotope record from a Great Basin continental drill core. We paired these measurements with bulk lithium concentrations to reveal a relationship between past climate and lithium enrichment in authigenic lacustrine clays. Further, we explored the possible effects of changing seasonality on the isotope record through the use of paired air mass trajectories and modern isotope data. Our findings show the evolution of the basin’s moisture balance over million-year time scales, which we attribute to variations in precipitation seasonality as well as fluctuations in the amount of evaporation associated with changes in atmospheric moisture convergence and divergence. We found a positive correlation between the oxygen isotope values of the lake carbonate and the bulk sediment lithium concentrations, which we argue is indicative of evapoconcentration of the lake environment and subsequent enrichment of the authigenic clays. Our results suggest a link between past hydroclimate changes and the formation of lithium-rich authigenic clays feeding high lithium concentrations in this modern brine aquifer system. [ABSTRACT FROM AUTHOR]

Published
2023
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12. Análisis del tiempo estipulado para la consulta médica en programas de promoción y mantenimiento de la salud en pacientes con enfermedad renal crónica y sus patologías precursoras en Colombia, 2020

Author

Neira Pineda, Lina Margarita, Parra Moncada, Diana Carolina, Rondón Villamizar, Chirley Tatiana, and Gaviria Gaviria, Elizabeth Cristina

Subjects
Consulta médica, Atención médica, Prevention, Auditoría en salud, Promoción de la salud, Health sciences, Quality control, Patología, Medical attention, Medical sciences, Ciencias de la salud, Health audit, Prevención, Control de calidad, Chronic kidney disease, Pathology, Health promotion, Medical consultation, Ciencias médicas, Duración de la consulta médica, Enfermedad renal crónica, Duration of medical consultation
Abstract

La enfermedad renal crónica (ERC) se relaciona con cronicidad, mortalidad y discapacidad. Además, existe mayor incidencia y prevalencia de enfermedades como Hipertensión arterial y Diabetes Mellitus, que son patologías precursoras de la ERC. Los esfuerzos están enfocados en la atención primaria en salud para prevenir la progresión de la ERC, dado los estadios avanzados se consideran patología de alto costo. En Colombia la consulta médica es de 20 minutos, y la meta es que en 2021 se mantenga el 85% de las personas sin ERC o en estadio 1 y 2, pero el último reporte muestra que el número de casos que no fueron estudiados para ERC aumentó. Se realizó esta monografía para analizar la eficiencia del tiempo destinado para la consulta médica en Colombia para pacientes con ERC y sus patologías precursoras, con relación a los tiempos a nivel mundial. Como resultado se logró evidenciar que no se encontraron estudios específicos para este tema, por lo cual los resultados se basaron en tiempos de consulta de atención primaria, describiendo variables que afectan el tiempo de consulta y enumerando las actividades que se realizan durante el tiempo de consulta. Se describió el tiempo de consulta en otros países y las recomendaciones que se dieron en los diferentes estudios. De lo investigado se concluye que se requiere de estudios a nivel internacional y en Colombia que contemplen evaluar la eficiencia de ese tiempo de consulta y permitan a los encargados de tomar decisiones en temas de salud formular sus recomendaciones. Universidad CES 1. FORMULACIÓN DEL PROBLEMA ................................................................. 18 1.1. ELECCIÓN DEL TEMA Y CONFIGURACIÓN DEL PROBLEMA DE CONOCIMIENTO ............................................................................................... 18 1.2. JUSTIFICACIÓN ....................................................................................... 19 2. REFERENTE TEÓRICO Y CONCEPTUAL ..................................................... 22 2.1. ANATOMÍA Y FISIOLOGÍA RENAL.......................................................... 22 2.1.1. Los detalles del riñón ............................................................................. 22 2.1.2. El filtrado glomerular: donde la tasa importa ......................................... 24 2.1.3. Funciones principales del riñón. ............................................................ 24 2.2. DEFINICIÓN Y ETIOLOGÍA DE LA ERC .................................................. 25 2.3. EPIDEMIOLOGIA DE ERC ....................................................................... 27 2.4. MANEJO DE LA ERC ESTADIOS INICIALES .......................................... 27 2.4.1. Hipertensión arterial .............................................................................. 28 2.4.2. Proteinuria ............................................................................................. 28 2.4.3. Hiperglicemia ......................................................................................... 28 2.4.4. Obesidad ............................................................................................... 28 2.5. TERAPIAS DE REEMPLAZO RENAL ...................................................... 29 2.6. ERC COMO ENFERMEDAD DE ALTO COSTO ...................................... 29 2.7. GESTIÓN DEL RIESGO DE LA ENFERMEDAD RENAL ......................... 30 2.8. NORMATIVA EN COLOMBIA - ATENCIÓN PRIMARIA COMO PILAR DEL MANEJO DE ERC .............................................................................................. 32 2.9. NORMATIVA CONSULTA MEDICA EN COLOMBIA ............................... 34 3. OBJETIVOS .................................................................................................... 38 3.1 GENERAL .................................................................................................... 38 3.2 ESPECÍFICOS.............................................................................................. 38 4. METODOLOGIA .............................................................................................. 39 4.1. DEFINICIÓN Y DESCRIPCIÓN DE LOS CRITERIOS DE BÚSQUEDA .. 39 4.1.1. Metodología de investigación ................................................................ 39 4.1.2. Diseño ................................................................................................... 40 4.1.3. Fuente de la información ....................................................................... 40 4.1.4. Obtención de la información .................................................................. 40 4.1.5. Idioma de la información........................................................................ 40 4.2. TÉCNICAS DE BÚSQUEDA ..................................................................... 40 4.2.1. Técnica .................................................................................................. 40 4.2.2. Población de referencia: ........................................................................ 41 4.2.3. Muestra.................................................................................................. 41 4.2.1. Criterios de inclusión ............................................................................. 41 4.2.2. Criterios de Exclusión ............................................................................ 41 4.3. PROCESO DE ORDENAMIENTO Y SELECCIÓN DE MATERIAL BIBLIOGRÁFICO ................................................................................................ 42 4.4. PLAN DE EVALUACIÓN, ANÁLISIS Y SÍNTESIS DE LOS HALLAZGOS 43 4.5. TÉCNICAS DE PROCESAMIENTO Y ANALISIS DE MATERIAL ............ 44 4.5.1. Procesamiento ....................................................................................... 44 4.5.2. Análisis del material ............................................................................... 44 4.6. PLAN DE DIVULGACIÓN DE LOS RESULTADOS ................................. 44 5. CONSIDERACIONES ÉTICAS ....................................................................... 46 6. ASPECTOS ADMINISTRATIVOS ................................................................... 47 6.1. CRONOGRAMA ....................................................................................... 47 6.2. PRESUPUESTO ....................................................................................... 48 7. RESULTADOS ................................................................................................ 50 7.1. VACÍO EN EL CONOCIMIENTO .............................................................. 50 7.2. ANALISIS DE RESULTADOS .................................................................. 50 7.2.1. Descripción y análisis de las variables .................................................. 50 7.2.2. Análisis de resultados ............................................................................ 51 7.2.3. Recomendaciones orientadas a la optimización de los tiempos de consulta .............................................................................................................. 61 8. CONCLUSIONES ............................................................................................ 65 9. RECOMENDACIONES ................................................................................... 68 BIBLIOGRAFÍA ...................................................................................................... 69 ANEXOS ................................................................................................................ 75 Especialización Chronic kidney disease (CKD) is associated with chronicity, mortality, and disability. In addition, there is greater incidence and prevalence of diseases such as high blood pressure and Diabetes Mellitus, which are precursor diseases of CKD. Efforts are focused on primary care in health to prevent the progression of CKD, given the stages advanced pathologies are considered high cost pathology. In Colombia the medical consultation is 20 minutes, and the goal is that in 2021 85% of the people without CKD or stage 1 and 2, but the last report was that the number of cases that were not studied for CKD increase. This monograph was conducted to analyze the efficiency of the time allocated for medical consultation in Colombia for CKD patients and their pathologies pioneers, in relation to the times worldwide. As a result it managed to show that no specific studies were found for this topic, so the results were based on primary care consultation times, variables were described that affect the consultation time, the activities carried out were listed during consultation time. Consultation time was described in other countries and the recommendations given in the different studies. Of what investigated, it is concluded that international studies are required and in Colombia that contemplate evaluating the efficiency of this consult and allow decision makers on issues health formulate their recommendations.

Published
2020

13. Mejoramiento de la adherencia alas buenas prácticas de bioseguridad a través del diseño e implementación de rondas de seguridad en el instituto de diagnóstico médico de la ciudad de Bucaramanga

Author

Castro Barón, Yuri Patricia, Peñaloza Chávez, Bleidys Lizzet, Restrepo Villamizar, Mónica Esther, and Gaviria Gaviria, Elizabeth Cristina

Subjects
Occupational health, Medicina, Research, Investigaciones, Bioseguridad, Clinical laboratories, Health audit, Laboratorios clínicos, Biosecurity, Auditoria en salud, Medicine, Técnicas sanitarias, Sanitary techniques, Salud ocupacional
Abstract

Especialización

Published
2018

14. The efficacy of virtual reality-based rehabilitation in improving motor function in patients with stroke: a systematic review and meta-analysis.

Author

Prajjwal P, Chandrasekar KK, Battula P, Gaviria E, Awe MO, Inban P, Almutairi AS, Das A, Tekuru Y, Marsool MDM, Reddy MM, Mitra S, Bamba H, Singh G, Jain H, Gadam S, and Hussin OA

Abstract

Background: Stroke is a major cause of adult disability, prompting the exploration of innovative rehabilitation methods. Virtual rehabilitation (VR), leveraging technological advances, has gained popularity as a treatment for stroke recovery., Methodology: The authors conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) published in English within the last decade, adhering to the PRISMA guidelines. The authors searched databases such as Medline/PubMed, and the Cochrane Library using specific search keywords and Medical Subject Headings (MeSH). The methodological quality was assessed using the PEDro scale, focusing on RCTs involving adult stroke patients undergoing VR rehabilitation, with outcomes related to motor function and quality of life., Results: The authors included 15 studies in our meta-analysis. VR rehabilitation offers several advantages over traditional therapy, such as enhanced feedback and increased patient motivation. Engaging VR environments helps improve focus during treatment, potentially boosting recovery from post-stroke impairments. VR therapies significantly benefit motor function, which can improve activities of daily living and overall quality of life., Conclusion: VR has demonstrated efficacy in improving motor function and quality of life for stroke survivors. Future research should explore patient variability and refine intervention methods. Incorporating VR into rehabilitation programs could optimize stroke recovery outcomes., Competing Interests: All authors do not have any conflict of interest.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article., (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)

Published
2024
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