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Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Biomedica is the property of Centro de Investigaciones Regionales Dr. Hideyo Noguchi; Facultad de Medicina, UADY and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Biomedica is the property of Centro de Investigaciones Regionales Dr. Hideyo Noguchi; Facultad de Medicina, UADY and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introducción. En Colombia, Cali reporta la cifra más alta de homicidios, 53 por cada 100.000 habitantes siendo superior a la tasa promedio nacional, 23 por cada 100.000 habitantes. Al revisar el comportamiento de los homicidios, se encuentra de forma sistemática que los hombres, la población entre 18 y 24 años y las comunas 13, 14 y 15 concentran el mayor número de casos; además de esta dinámica, la agudización del fenómeno de las pandillas generó que el Alcaldía Municipal diseñara e implementara un modelo de prevención social de la violencia. Objetivo. Evaluar el diseño y el proceso de implementación del modelo en uno de los territorios piloto, el barrio Charco Azul. Materiales y métodos. Se trata de un estudio de caso con métodos cualitativos; se utilizaron como técnicas de recolección: el método Delphi modificado, entrevistas semiestructuradas, grupos focales y revisión documental. Resultados. El modelo de prevención de violencia comprende estrategias de interrupción de violencia, intervención, prevención primaria y secundaria y acciones que impactan entornos para la vida. Se logró articular la oferta institucional de doce programas que fueron implementados en forma coordinada en los territorios priorizados dentro del plan de desarrollo. Conclusiones. El modelo de prevención tiene coherencia interna y externa, los programas en su conjunto aportan al problema público y están sustentados en normativas municipales; frente al proceso de implementación existen diferencias. [ABSTRACT FROM AUTHOR]

Introduction: The desire to improve one’s physical appearance through simple and economical methods has resulted in the indiscriminate application of modeling substances. As a result, iatrogenic allogenosis has emerged as an increasingly prevalent disease in Latin America. Objective: To describe the epidemiological characteristics and adverse effects arising from the use of modeling substances in a group of patients from Cali, Colombia. Materials and methods: We conducted a retrospective review of the medical records of patients who consulted for complications arising from the use of modeling substances during a six-year period. Results: A total of 1,322 patients were included of whom 95.5% were women. Patients’ ages ranged from 19 to 83 years, with an average of 39 years. The most infiltrated anatomical site showing adverse effects due to modeling substances was the buttocks. The asymmetry and increased volume of the infiltrated site were the most common signs while pain, mood disturbances, and depression or anxiety were the most commonly perceived symptoms. A total of 41.8% of patients ignored what substances they had received, and 28.5% received biopolymers; these procedures were mostly performed by non-qualified personnel. Conclusions: The care of these patients requires multidisciplinary teams to establish treatment alternatives to improve their quality of life. In addition, the regulation of establishments, as well as the surveillance, inspection, and control of the imports and use of these substances should be warranted.