Browsing by Author "Daza Arana, Jorge Enrique"
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Item Acerca de autores y pares evaluadores - Modelos teóricos para fisioterapia(Editorial Universidad Santiago de Cali, 2020) Calvo Soto, Andrea Patricia; Gómez Ramírez, Esperanza; Peña Hernández, Paula Andrea; Daza Arana, Jorge Enrique; Soto Franco, Ilse; Calero Saa, Pedro Antonio; Carvajal Tello, Nathali; Perafán González, Diana Yasmín; Orozco Covarrubias, Víctor Horacio; Rodríguez Muñoz, Christian; López Laverde, Jessica; Ordóñez Hernández., Cecilia Andrea;Item Autoimmune Hemolytic Anemia Caused by Cold Agglutinin Antibodies in Systemic Lupus erythematosus—a Rare Association: Case Report(Dove Medical Press Ltd, 2023-09-04) Osorio Toro, Luis Miguel; Quintana Ospina, Jhon Herney; Melo Burbano, Luis Álvaro; Ruiz Jiménez, Paola Andrea; Daza Arana, Jorge Enrique; Rivas Tafurt, Giovanna Patricia; Izquierdo Loaiza, Jorge HernánAutoimmune hemolytic anemias (AIHAs) are rare and heterogeneous disorders characterized by the destruction of redblood cells by warm or cold antibodies. Hemolytic anemia associated with warm antibodies is the most common, whereas coldantibodies are rare and infrequent in cases published in the scientific literature. Herein, we present the case of a young patient withsystemic lupus erythematosus (SLE) and autoimmune hemolytic anemia caused by cold antibodies. Initially, infectious etiology andhematological malignancy were considered, which were ruled out. She required management in the intensive care unit due to severehematological involvement and responded well to immunomodulatory therapy. This case illustrates the importance of a strong clinicalsuspicion of AIHA due to cold agglutinins associated with SLE when faced with similar clinical symptoms in order to achieve a timelydiagnosis and provide optimal therapy.Item Clinical presentation and outcome of patients diagnosed with active tuberculosis in a critical care unit(2021) Lozada Ramos, Heiler; Daza Arana, Jorge EnriqueBackground: Tuberculosis is one of the infectious diseases with the highest mortality worldwide, and also results in high costs and periods of disability. Thus, it is a priority to make timely diagnoses at the Primary Care level, with the aim of initiating early treatments and reducing transmission. Method: This descriptive observational study included a series of cases of 43 patients with a confirmed diagnosis of tuberculosis after admission to intensive care unit (ICU) between 2012 and 2016. The objective of this study was to describe the sociodemographic, epidemiological, and clinical characteristics of this group of patients. Results: The age range was between 21 and 80 years; there was a predominance of male gender (53.5%), those affiliated to the subsidised health regime (90.7%), homeless people (18.6%), and those with drug dependence (35%). The main cause of admission was respiratory failure (65.2%), followed by neurological deterioration (18.6%). Almost two-thirds (65%) of the cases had pulmonary tuberculosis exclusively, and 35% had extrapulmonary tuberculosis. Furthermore, 76.7% of patients had co-infection, with human immunodeficiency virus (HIV) being the most frequent (48.8%), followed by pneumonia (34.9%). Moderate to severe malnutrition was documented in 79% of cases, and anemia was found in 95.3%. The mortality rate during the stay in ICU was 46.5%, with prevalence of male gender and prolonged stay (an average of 19 days). Conclusions: In this case series, there was a predominance of the active working population, those with drug dependence, homeless people, those who were co-infected with HIV, and those with hypoalbuminaemia, anemia, and malnutrition. In addition, around half of the patients died during hospital admission. They had septic shock, an ICU stay and ventilatory support greater than or equal to 8 days. This reflects the need to carry out studies evaluating public health strategies for the early detection of cases in groups of patients with the described characteristics, as well as the importance of always considering tuberculosis as a diagnostic possibility in the ICU.Item Cryptococcal Meningitis in an HCV-Positive and IVDU-and HIV-Negative Patient: A Case Report and Literature Review(Dove Medical Press Ltd, 2024) Lozada Ramos, Heiler; Álvarez Payares, Jorge; Daza Arana, Jorge Enrique; Salas Marín, Luisa MaríaBackground: Cryptococcal meningitis (CM) is a central nervous system (CNS) infection that occurs mainly in immunocompromised individuals such as those with human immunodeficiency virus (HIV) infection. However, the prevalence of CM in immunocompetent patients has increased. Although CM has been reported in patients with hepatitis C virus (HCV) infection, it has not yet been fully established whether there is an association between both conditions. CM has also been reported in patients with intravenous drug use (IVDU), which is related to the immunosuppression caused by these drugs. Case Presentation: We report the case of a 24-year-old man who presented with meningitis secondary to Cryptococcus gattii infection. He had a history of IVDU and HCV infection, was HIV-negative and without antiviral treatment. The patient received adequate antifungal treatment during induction, consolidation, and maintenance phases. His condition relapsed, requiring dose adjustment, with an excellent response during clinical follow-up for both meningitis and HCV infection. A brain biopsy was requested during relapse to rule out other co-infection. Conclusion: The case of an individual diagnosed with cryptococcal meningitis, who had a history of IVDU and HCV infection, is presented. The coexistence of such events could shadow the prognosis of this group of subjects, related to immunosuppression that can be caused through different pathways. Having HCV and being a IVDU simultaneously could increase the risk of Cryptococcus infection.Item Ecthyma Gangrenosum of Fungal Origin: A Case Report(S. Karger AG, 2024) León Sánchez, Germán Andrés; Lozada Ramos, Heiler; Daza Arana, Jorge Enrique; Restrepo Becerra, Andrés Darío; Varela Miranda, RubenIntroduction: Ecthyma gangrenosum (EG) is usually a dermatologic manifestation of a Pseudomonas aeruginosa infection in an immunocompromised individual but may sometimes be caused by other bacteria or fungi in an immunocompromised or nonimmunocompromised individual. Case Presentation: A 75-year-old woman with a history of high blood pressure and sequels of ischemic cerebral infarction presented with a 5-day history of general malaise, cough with yellow sputum, and respiratory distress. The patient had pale mucous membranes, temperature of 38.5°C, tachycardia, normal blood pressure, SaO2 of 85%, intercostal retractions, and severe bronchospasm upon hospital admission. No skin lesions were seen. The patient was admitted to the intensive care unit (ICU) because of her critical condition and was supported with invasive mechanical ventilation. Her blood count showed 8,100 leukocytes/mm3, neutrophils 79%, hemoglobin 10.1 g/dL, creatinine 1.1 mg/dL, and C-reactive protein 328 mg/dL. Arterial blood gases showed metabolic acidosis and moderate hypoxemia. The initial report of blood and urine cultures was negative for bacteria, and positive for influenza A H1N1. The patient was treated with oseltamivir and intravenous methylprednisolone for acute respiratory distress syndrome associated with the viral infection that occurred. Subsequently, violaceus macular and papular lesions appeared, which evolved into ulcerated lesions with erythematous border and necrotic center were seen in the anterior region of the chest and abdomen, from where Candida metapsilosis was isolated. EG was reported in this patient, who was also immunocompromised because of steroid use, had a prolonged stay in the ICU and received broad-spectrum antibiotics. Fungemia and urinary infection due to different fungi were also found. Conclusion: It is worth mentioning that EG can be caused by germs other than P. aeruginosa and fungal infections should not be ruled out.Item Effects of a Physical Exercise Program on the Physical Capacities of Older Adults: A Quasi-Experimental Study(Dove Medical Press Ltd., 2023) Buriticá Marín, Edward David; Daza Arana, Jorge Enrique; Jaramillo Losada, Jennifer; Riascos Zuñiga, Ana Ruth; Ordoñez Mora, Leidy TatianaPurpose: To measure the effects of an exercise program on the physical capacities of older adults such as strength, flexibility, balance, and aerobic capacity. Patients and Methods: This was a quasi-experimental study on a population of 5550 older adults and a sample of 4830 participants in an active aging program designed by the Municipal Health Secretary. The exercise program lasted 12 months, and pre-and post-program intervention measures were recorded using the senior fitness test. Results: Most participants were women (92.4%) and their mean age was 70.7 years (standard deviation, 7.3 years; range, 60–97 years). All areas showed significant differences before and after the program in terms of the participants’ physical capabilities (p < 0.05), muscular strength and flexibility had a more significant mean difference and a large effect (>0.80), except for aerobic capacity, which had a small effect. Conclusion: The present study revealed that a supervised physical exercise program at the community level has positive effects on the physical capacities of coordination, balance, flexibility, strength, and aerobic capacity, which are essential components for a better functional capacity at this stage of life, with improvements that encompassed the improved self-perception of their health status, a reduction of overweight and obesity.Item Effects of muscle energy technique for quadratus lumborum on respiratory muscle strength in patients with breast cancer(Universidad Nacional de Colombia, 2018-04-07) Espinosa López, Andrea Milena; Daza Arana, Jorge Enrique; Pinzón Sanabria, Lina Marcela; Perdomo Quiroga, Yuleidy; Ruiz Jiménez, Jhoana PatriciaIntroduction: Breast cancer is a major cause of morbidity and mortality, leading to functional deficiencies in ventilation, muscle performance, balance and posture. Objective: To describe the effects of the muscle energy technique (MET) for quadratus lumborum on maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) in patients with stage I and II breast cancer. Materials and methods: Quasi-experimental study with a pretest-posttest design conducted in 10 patients treated at a highly specialized healthcare center in Bogotá. Physical therapy assessment and three physiotherapy sessions with the MET to measure MIP and MEP were carried out before and after the intervention using a respiratory pressure meter. Results: The average MIP was 41% of the reference value at the beginning of the intervention, which increased to 69% at the end of the sessions. On the other hand, the initial average MEP was 33%, while the post-intervention average MEP was 51%. The average change rate for MIP was 68% and 57% for MEP. The Wilcoxon signed-rank test was performed, achieving a statistically significant difference (z=-2.807, p=0.005). Conclusion: Applying the MET on the quadratus lumborum muscle improves its performance and increases respiratory muscle strength.Item Eficacia probatoria de las historias clínicas en los procesos judiciales que implican responsabilidad por muerte neonatal(Universidad Santiago de Cali, 2020) Murillo Mosquera, Maricel; Daza Arana, Jorge EnriqueThe obstetric-gynecologist (OBGYN) specialist and the personnel involved in the care of the newborn, can be legally liable in cases of neonatal death; in the medical record all the exams, assessments and procedure descriptions must be recorded, this document is private and therefore constitute documentary evidence as part of acquis in all types of legal proceedings. The general objective: identify the evidential efficacy of the medical records in the legal proceeding that imply responsibility for neonatal death in Colombia. Methodology: casuistry was performed with analysis and interpretation of sentences for lawsuits with medico-legal implications in OBGYN for neonatal death. Results: in one of the cases, the mother visited the health center (EPS) in five different occasions without providers foreseeing the existence of the cephalo-pelvic incompatibility of the fetus. In the second case, an ultrasound taken a month earlier with obvious evidence of coiling of the umbilical cord in the uterine cistern is not taken in consideration and after fail inductions, a cesarean section was performed but the neonate did not survive; there are clear failures in the care provided so a lawsuit is filed and eventually obligates the defendant to compensate the accuser for damages. Conclusions: The medical record as a probative document leads the judges and the different jurisdictional bodies to detect flaws in the care process, even when the mother-child pair have an unregistered pre-existence and find it difficult to establish the causal link, with the cognitivemodel the judicial truth is established by protecting the rules of the burden of proof and sound criticism.Item Evaluación de la función neuromuscular(Editorial Universidad Santiago de Cali, 2020-04-20) Daza Arana, Jorge Enrique; Álvarez Toro, Lina Johanna; Penagos Gómez, Paola Teresa; Valencia Buitrago, Marysol; Giraldo Jiménez, Claudia Fernanda; Pinzón Bernal, Mónica Yamile; Naranjo Aristizábal, María Mercedes; Jaramillo Losada, Jennifer; Carabalí Cachimbo, Sandra Milena; Ordoñez Mora, Leidy Tatiana; Sánchez, Diana Patricia;Item Factores estresores y síntomas somáticos del sistema musculoesquelético en estudiantes universitarios de palmira(Editorial Ciencias Medicas, 2018-07-01) Olmos Botero, Jhovanna Edelmira; Peña Hernández, Paula Andrea; Daza Arana, Jorge EnriqueIntroducción: En el mundo uno de cada cuatro individuos sufre de algún problema grave de estrés y en las ciudades se estima que el 50 % de las personas tienen algún problema de salud mental de este tipo. En este sentido, como factor epidemiológico se considera un aspecto de gravedad, ya que el estrés es un importante generador de diversas patologías. Objetivo: Identificar los factores estresores y síntomas somáticos del sistema musculoesquelético en estudiantes de básicas pertenecientes a diversos programas de una facultad de salud en una universidad de la ciudad de Palmira. Métodos: Se analizaron datos procedentes de tres fuentes: un cuestionario para identificar características sociodemográficas y académicas, la Escala de Síntomas Somáticos (síntomas musculoesqueléticos) y la Escala de Estresores Académicos, estos se aplicaron a muestra conformada por 185 participantes realizando análisis estadístico descriptivo e inferencial. Resultados: Las deficiencias metodológicas del profesorado, la intervención en público y los exámenes, fueron los factores estresores frecuentemente percibidos por los estudiantes; mientras que: los dolores de espalda, zona cervical y cabeza con sensación de tirantez, fueron los síntomas somáticos musculoesqueléticos de mayor periodicidad. Estos resultados sugieren una relación entre los factores estresores y la presencia de somatización como respuesta del cuerpo a situaciones consideradas estresores en el ámbito académico. Conclusiones: De acuerdo a los síntomas somáticos músculos esqueléticos se evidencia una variabilidad en la incidencia en la población a estudio, siendo los más recurrentes los dolores de cabeza con sensación tirantez o tensión, dolores de espalda y dolores en la nuca o zona cervical. Ahora bien, en cuanto a los factores estresores que les genera más percepción de angustia a los estudiantes son las deficiencias metodológicas del profesorado, la intervención en público y los exámenes. Sin embargo, hay otros factores con mediana percepción de angustia como la sobrecarga en el estudiante y la falta de control en rendimiento.Item First case report of tumor lysis syndrome after third line systemic therapy with gemcitabine and pazopanib in a patient with lower extremity soft tissue sarcoma(AME Publishing Company, 2023-12-31) Benitez Escobar, Edith Norela; Galindes Casanova, Duvan Arley; Melo Burbano, Luis Álvaro; Bonilla Bonilla, Diana Marcela; Osorio Toro, Luis Miguel; Daza Arana, Jorge Enrique; Escobar Dávila, Santiago Leandro; Rivas Tafurt, Giovanna PatriciaBackground: Anaplastic lymphoma kinase (ALK) rearrangement generates an oncogenic ALK tyrosine kinase that activates numerous downstream signaling pathways, leading to increased cell proliferation and survival. About 5% of non-small cell lung cancer (NSCLC) patients are being diagnosed with tumor harboring ALK-positive. ALK rearrangement is an important molecular target for the treatment of NSCLC, and alectinib is a potent and highly selective second-generation ALK inhibitor. Alectinib as a neoadjuvant therapy has been reported in previous studies. However, cases of patients undergoing left total pulmonary resection after neoadjuvant therapy are rare. Case Description: In this report, a 52-year-old Asian woman’s chest computed tomography (CT) showed mass shadows in the left lung. Echinoderm microtubule-associated protein-like 4-ALK (EML4-ALK) fusion variant was detected by next-generation sequencing. We administered the targeted drug alectinib at 600 mg twice daily for two and a half months. Positron emission tomography (PET)-CT examination showed that the left lung mass and lymph nodes were significantly reduced. The tumor node metastasis (TNM) stage was reduced from cT4N2M0, IIIb to ycT2aN0M0, IB. Then she underwent thoracoscopic transthoracotomy of the left total lung. Oral alectinib therapy was continued after surgery, and the follow-up duration was one yearItem Frequency of antibiotic prescribing in adults hospitalized for SARS-CoV-2 in a high complexity institution in Santiago de Cali, Colombia(Asociacion Colombiana de Infectologia, 2023-04-23) Melo Burbano, Luis Álvaro; Galindes Casanova, Duván Arley; Benitez Escobar, Edith Norela; Assis Reveiz, Jorge Karim; Daza Arana, Jorge Enrique; Oñate Gutiérrez, José MillánObjective: To determine the frequency of antibiotic use and to know which clinical and socio-demographic variables were related to the probability of suffering infections associated with COVID-19.Methods: Adults hospitalized for COVID-19 who received one or more antibiotics during hospitalization were evaluated. We performed a descriptive analysis of variables in the general population' bivariate analysis in two groups (documented vs. presumed infection) and multivariate logistic regression of factors associated with mortality.Results: We determined that 60.4% of adults hospitalized for COVID-19, received antibiotics. Co-infection was documented in 6.2% and superinfection in 23.3%. Gram-negative germs were reported in 75.8% of cultures, fungi in 17.8% and gram-positive in 14.2%. Variables such as age, comorbidities, ICU, anemia, steroids, mechanical ventilation, hemofiltration were statistically significantly related to documented infection. High-flow cannula was associated as a protective factor. Overall mortality was 43.9%, 57.8% in the first group and 38.1% in the second (p=0.002).Item Frequent Cardiovascular Manifestations Associated With SARS Cov-2 Infection: Experience at a Tertiary Hospital In Cali, Colombia(Sociedade Brasileira de Cardiologia, 2023-11-17) Galindes Casanova, Duvan Arley; Benitez Escobar, Edith Norela; Melo Burbano, Luis Álvaro; Murillo Benitez, Nelson Eduardo; Avila Valencia, Juan Carlos; Daza Arana, Jorge EnriqueBackground: Coronavirus disease 2019 (COVID-19) mainly affects the respiratory system, while the most common extrapulmonary complication of COVID-19 is cardiovascular involvement. Objective: To identify the frequency of electrocardiographic changes and cardiac arrhythmias in patients hospitalized with COVID-19 infection. Methods: This was a cross-sectional study, including patients aged >18 years with diagnosis of severe acute respiratory syndrome coronavirus 2 infection in a high-complexity hospital in Santiago de Cali, Colombia, from March to September 2020. A descriptive analysis with an analytical component and multiple logistic regression analysis were performed; all estimates were established with a 95% confidence level (CI) and a 5% significance level. Results: This study included 183 individuals; of whom 160 were considered for electrocardiographic analysis, 63% of which evidenced significant findings, the most frequent being sinus tachycardia (29.4%). The frequency of myocardial injury was 21.9% and was more common among non-survivors than among survivors (41.7% vs. 12.2%, p < 0.001). Myocardial injury was also significantly more common in patients who presented electrocardiographic findings than those who did not (26.5% vs. 12.1%, p = 0.032) and in those who required intensive care admission (31.8% vs 10.5%, p < 0.001). The strongest mortality-associated factor was the need for mechanical ventilation — odds ratio (OR), 9.14; 95% confidence interval, 3.4–24.5.Item Late-onset Sheehan’s syndrome: a major diagnostic challenge—a case report(BioMed Central Ltd, 2025-02-26) Osorio Toro, Luis Miguel; Ordoñez Guzman, Yessica Alejandra; Montenegro Palacios, Jhon Fernando; Quintana Ospina, Jhon Herney; Pacichana Abadia, Julian Andres; Daza Arana, Jorge Enrique; Escobar Vargas, Hector Fabio; Restrepo Erazo, Katherine; García Ramos, Andrés FelipeBackground Sheehan’s syndrome is a form of maternal hypopituitarism resulting from excessive blood loss during or after childbirth. This extensive bleeding may reduce blood flow to the pituitary gland, causing pituitary cell damage and death (necrosis). The incidence of Sheehan’s syndrome has decreased in developed countries, whereas in developing countries, it remains a substantial cause of morbidity and mortality among at-risk populations. Case presentation We describe the case of a 59-year-old patient of mestizo ethnicity, with an unusual presentation of Sheehan’s syndrome 38 years after postpartum hemorrhage that affected hormone secretion at the adenohypophysis. During hospitalization, central adrenal insufficiency, low free thyroxine levels, decreased pituitary gland size, hypogonadotropic hypogonadism, and growth hormone deficiency were noted. The patient was treated with hydrocortisone and levothyroxine, with satisfactory clinical progress and improvement in her quality of life.Item Modelos teóricos en fisioterapia cardiovascular y respiratoria(Editorial Universidad Santiago de Cali, 2020) Daza Arana, Jorge Enrique; Carvajal Tello, NathaliEn la actualidad la práctica de la fisioterapia cardiovascular y pulmonar debe estar respaldada por modelos teóricos con orientación fisiológica y científica que permitan una práctica educativa, investigativa y clínica fundamentada. Estos modelos brindan un abordaje que facilita la unificación de conceptos, que a su vez pretenden mejorar la toma de decisiones basadas en un juicio clínico estandarizado, además de proporcionar un fundamento para la resolución lógica de problemas clínicos, cuyo fin último es el de mejorar los procesos de evaluación e intervención.Item Modelos teóricos para fisioterapia(Editorial Universidad Santiago de Cali, 2020) Calvo Soto, Andrea Patricia; Gómez Ramírez, Esperanza; Peña Hernández, Paula Andrea; Daza Arana, Jorge Enrique; Soto Franco, Ilse; Calero Saa, Pedro Antonio; Carvajal Tello, Nathali; Perafán González, Diana Yasmín; Orozco Covarrubias, Víctor Horacio; Rodríguez Muñoz, Christian; López Laverde, Jessica; Ordóñez Hernández, Cecilia AndreaEl presente libro proviene de la motivación del Programa de Fisioterapia de la Universidad Santiago de Cali en contribuir a la comunidad académica y profesional con un texto que compile los principales paradigmas teóricos que aportan al desarrollo disciplinar, y que han permitido abordar diversas problemáticas de investigación y de la práctica en diferentes contextos de desempeño del fisioterapeuta en el entramado de lo clínico y social.Item Oxaliplatin-Associated Takotsubo Cardiomyopathy in a Patient with Metastatic Gastric Cancer: A Case Report(2023-08-14) Osorio Toro, Luis Miguel; Bonilla Bonilla, Diana Marcela; Escobar Dávila, Santiago Leandro; Quintana Ospina, Jhon Herney; Melo Burbano, Luis Alvaro; Benitez Escobar, Edith Norela; Galindes Casanova, Duván Arley; Daza Arana, Jorge Enrique; Rivas Tafurt, Giovanna PatriciaWe present the case of a 64-year-old female with stage IV gastric adenocarcinoma, pulmonary, and abdominal wall metastases, and no history of cardiovascular disease. In palliative care, she received systemic cytotoxic treatment with fluorouracil, leucovorin, oxaliplatin, and docetaxel protocol, which was well tolerated over five cycles. During cycle 6, she presented with cardiovascular symptoms with hemodynamic consequences while receiving oxaliplatin injection without docetaxel or 5-fluorouracil. She was transferred to the emergency department and then to the intensive care unit. She developed no complications during the hospital stay and was discharged after 10 days with preserved systolic function and no structural changes at the myocardial level. The electrocardiogram, echocardiogram, cardiac catheterization, and magnetic resonance imaging findings indicated an oxaliplatin-associated Takotsubo syndrome. The immunochemistry analysis showed PD-L1 expression level TPS: 40% and the foundation one genomic profiling revealed high mutation load, microsatellite instability, and HER2 not found. The patient is currently asymptomatic and on pembrolizumab monotherapy with good tolerance and partial treatment response.Item Prevalence of Anti-SARS-CoV-2 Antibodies and Associated Factors Among Health Care Workers in Santiago De Cali, Colombia(Dove Medical Press Ltd, 2023-02-23) Osorio Toro, Luis Miguel; Bonilla Bonilla, Diana Marcela; Daza Arana, Jorge Enrique; Aristizábal, Juan Carlos; Ávila Valencia, Juan Carlos; Ramírez Marmolejo, RobertoPurpose: This study aims to determine the seroprevalence of coronavirus disease (COVID-19) among health care workers and describe the associated sociodemographic and labor features. Patients and Methods: An observational study with an analytical component was conducted at a clinic in Cali, Colombia. The sample size was 708 health workers and they were selected by stratified random sampling. A Bayesian analysis was developed to determine the raw and adjusted prevalence. A Poisson regression model was used to estimate the prevalence ratios. Results: Overall seroprevalence of COVID-19 among healthcare workers was 29%. Miscellaneous services workers, healthcare, and administrative workers, was 38%, 33%, and 32%, respectively. Factors related to seropositivity were having a contact with a COVID-19 patient for >120 minutes and being diagnosed with COVID-19 by laboratory tests. Conclusion: The present study shows a adjusted seroprevalence of 29% in health workers, indicating a high level of disease transmission and an increased risk of infection in this population group.Item Prólogo - Modelos teóricos para fisioterapia.(Editorial Universidad Santiago de Cali, 2020) Calvo Soto, Andrea Patricia; Gómez Ramírez, Esperanza; Peña Hernández, Paula Andrea; Daza Arana, Jorge Enrique; Soto Franco, Ilse; Calero Saa, Pedro Antonio; Carvajal Tello, Nathali; Perafán González, Diana Yasmín; Orozco Covarrubias, Víctor Horacio; Rodríguez Muñoz, Christian; López Laverde, Jessica; Ordóñez Hernández., Cecilia AndreaEl presente libro proviene de la motivación del Programa de Fisioterapia de la Universidad Santiago de Cali en contribuir a la comunidad académica y profesional con un texto que compile los principales paradigmas teóricos que aportan al desarrollo disciplinar, y que han permitido abordar diversas problemáticas de investigación y de la práctica en diferentes contextos de desempeño del fisioterapeuta en el entramado de lo clínico y social.Item Prolonged Mechanical Ventilation Following Coronary Artery Bypass Graft in Santiago De Cali, Colombia(Dove Medical Press Ltd, 2022) Daza Arana, Jorge Enrique; Lozada Ramos, Heiler; Ávila Hernández, Daniel Felipe; Ordoñez Mora, Leidy Tatiana; Sánchez, Diana PatriciaPurpose: The purpose of this study was to describe factors associated with prolonged ventilatory support in subjects undergoing coronary artery bypass graft. Patients and Methods: This was an analytical retrospective case–control study. Cases were defined as subjects requiring prolonged mechanical ventilation (>48 hours) following isolated coronary artery bypass graft. Subjects older than 18 years who had undergone surgery were included, while subjects with missing clinical record data, subjects in coma or subjects with prior cardiac surgery were excluded. Variables were measured at the three time points surrounding surgery. Results: A total of 204 cases and 408 controls were included. The final logistic model showed an association between prolonged mechanical ventilation and the following presurgical variables: chronic obstructive pulmonary disease (OR 1.85; 95% CI: 1.06–3.23, p = 0.03) and chronic kidney disease (OR 1.90; 95% CI: −3.31; p = 0.02). The associated transurgical variable was the use of intra-aortic balloon pump (OR 3.63; 95% CI: 1.73–7.61, p = 0.00), and associated postsurgical variables were venous oxygen saturation <60% (OR 2.00; 95% CI: 1.18–3.40, p = 0.01), mediastinitis (OR 18.51; 95% CI: 4.06–84.40, p = 0.00), inotrope use (OR 2.82; 95% CI: 1.77–4.48, p = 0.00), pleural effusion requiring drainage (OR 3.57; 95% CI: 2.02–6.32, p = 0.00) and delirium (OR 3.45; 95% CI: 1.91–6.25, p = 0.00). Conclusion: This study identifies factors associated with prolonged mechanical ventilation in subjects subject to coronary artery bypass graft over the presurgical, transurgical and postsurgical periods, identifying a new factor, delirium, for this type of population.