COOMEVA MEDICINA PREPAGADA PROYECTO: SER MADRE PROJECT: MOTHERHOODISSN 1692 - 5556 April - May 2017 - Issue 134www.revistasaludcoomeva.com 1
THE CHALLENGE AHEAD OF US: THINK LESS, HELP MOREIssue 134 A few days ago, we had a wonder- those who have fought tirelessly to giveApril – May 2017 ful visit with the President of the us more minutes of life and who give us Member’s Association, Alirio hope that the impossible is possible; theRevista Salud Founder Osorio García, who brought up some entire medical staff, support staff andGilberto Lotero Muñoz (q.e.p.d.) topics for us to reflect upon. During his the volunteers that have decided toChairwoman of the Board visit, we also completed the audit to dedicate their lives to serving others;María Eugenia Pérez Zea obtain our Gender Equality the youth that choose to care for theirExecutive President Of the Certification, EQUIPARES. The repre- heath more and more, nurturing theirCooperativo Coomeva Business Group sentatives of this program surprised us body and their thoughts in healthyAlfredo Arana Velasco by recognizing our consistent efforts in ways; and all those that want to makeCEO Coomeva Sector Salud social, racial and gender inclusion, con- Colombia a loving and respectful place.Gilberto Quinche Toro tributing to a world where it is possible The world we live in is changing and itPrepaid Medicine CEO to live with respect. would not be right to continue to actJorge Alberto Zapata Builes All these different events have motivated selfishly when we are needed by others.General Manager us to address the topic of helping others. Loving oneself and letting yourself beXiomara Iveth Campo Beginning with gratitude what this con- loved is much more complex than hatingEditorial Committee cept is founded upon when we are truly yourself and letting yourself be hated.Pascual Estrada Garcés grateful about what others contribute to This is why the concept of helpingNational Director of Prepaid us, we are more open to understanding others is part of a future whose pathwayHealthcare that we can live happily together. is currently underway. Millennials areHernán Darío Rodríguez We therefore express our gratitude to the ones who experience this the most,MEC National Director all those who have been with us during which is why are youth are so amazing;Blanca Inés Vélez our journey in healthcare: those who they always have something to teach usNational Director of Oral Health have been members of CoomevaJoas Benítez Private Healthcare for over 40 years; •with their perspective and unique wayDirector of EpidemiologyClaudia Patricia Erazo of living memorable experiences.Atención Sinergia Salud NationalSecurity Chief Editorial and Graphic Direction, Magazine General Editor Journalists CommercializationBertha Lucía Varela Rojas prepress and printing Paula Andrea Montoya T. Isabel Vallejo Jiménez El ColombianoJefe Nacional Auditoría Médica El Colombiano Magazine Editor Ana María López de Mesa Cali: Marisol MonsalveMartha Liliana Cifuentes Tel.: (4) 331 5252 Natalia Estefania Botero C. Daniela Granada 310 544 2354Coordinadora Nal. de [email protected] Graphic Editor Natalia Ospina [email protected] con Prestadores Hugo A. Vásquez E. Liliana Klinkert Bogotá: Ana María EchandíaClaudia Alexandra García Design Ingrid Cruz 3183764776Coordinadora Nacional de Prestación María Piedad Salazar Photography Medellín: Mónica GómezSinergia Salud ShutterStock - Cortesy 312 202 7269Juan Fernando Saavedra [email protected] Director of Marketing andAdvertising The contents of all Salud Coomeva Medicina Prepagada S.A. magazine articles are illustrative in nature and/or for general knowledge. In no case are theyJulián Villegas meant to replace the advice or guidance of a physician. Readers shall not use this information in order to self-diagnose and/or perform an analysis, diagnosis orNational Chief of Risk treatment of a disease or health problem without consulting with a certified physician.Management in Health The product and service offers made in the ads published in the Salud Coomeva Medicina Prepagada S.A. magazine are the sole responsibility of the adverti-Mauricio Castillo Pérez sers. Also, the company is not liable nor obligated to provide its affiliates the services, procedures or treatments described in the contents of articles that areInternational Business Manager not included in the coverage offered by Coomeva Medicina Prepagada S.A., nor shall they be obligated to include them in their plans and services. All rightsEditor reserved. May not be reproduced in any form or system. © 2017Xiomara Iveth CampoEditorial CoordinatorMelissa Arce PérezCollaboratorsPaula Lilian HenaoEvelyn Catalina Morales HenaoMarco Emilio Ocampo OsorioGina Isabel Massi AmbardAna María Correa MontañoDavid Montes CanalViviana Trujillo JiménezClarena Quintero Quintero
CONTENTSApril - May 20177 31 45 65( )WITH YOUR BODY ( ) ( )WITH YOUR MIND ( )CORPORATE WITH YOUR WORLD8 Little giants 32 Trends 46 For him 66 Harmony in health Choosing the right Ideas for breaking up Fatherhood, 10 benefits of being sport for your child. your routine. a learning process. physically active.12 For her 36 Couples 50 For your smile 68 Institutional Preparing for Couples in harmony Foods that are Comprehensive motherhood. with their families. good for your care. child’s teeth.18 Grandparents 40 Harmony in health 72 Institutional Improve your Games help to 52 Prevention Private healthcare, hearing. create connection. Procrastination, benefits you can the habit of putting access easily.20 Keep in mind 43 X-ray things off. Say yes to carbs, Depression. but be sure they are 56 Trends 74 Directory the right kind. Eating healthy New professional staff everyday. and updated contact24 Infographic information. Making the best 60 Go natural out of your bike ride. The hydrating quali- ties of coconut water.26 Prevention Time, the enemy 62 Focus of bad posture. On physical and digital stress.
Hydraskin LA HIDRATACIÓN Y HUMECTACIÓN PARA EL ROSTRO Y EL CUERPO QUE RESTAURA LA BARRERA HIDROLIPÍDICACorporal Pieles Jóvenes, Grasas y/ó con acné FacialPieles maduras y/ó Atenúa y previene la secas aparición de arrugas Facial VIVE UNA EXPERIENCIA en el cuidado de tu pielwww.pharmaderm.com.co Pharmaderm & skindrug
CON TU CUERPO( ))WITH YOUR BODYBEFORE CHOO-SING A WORKOUTROUTINE, ESTA-BLISH THE GOALSYOU WANT TOACHIEVE ANDWORK HARD TOREACH THEM.PHYSICALSPhysicals are helpful to know how todo sports in a healthy way as theytake your unique traits and needsinto consideration.THE GOALIf you want to lose weight, yoursports activity should be based oncardiovascular exercise and shouldinclude a nutritional plan that helpsyou eliminate toxins from your body.THE CHALLENGEIf your goal is to achieve an athleticfigure, your routine should include aseries of cardio and muscle streng-thening workouts, a healthy diet andgood sleep hygiene.30MINUTES OF EXERCISEA DAY REDUCESYOUR CHANCESOF GETTINGCARDIOVASCULARDISEASE. 7
( )WITH YOUR BODY CHSOPOSOINGRTTHEFROIGHRT YOUR CHILD In addition to helping them acquire physical skills, finding a sport that is right for children is a key part of developing their social lives.8
( )WITH YOUR BODY little giantsADVISOR NORA ISABEL CORREA - Child Psychologist, practitioner at Coomeva Medicina PrepagadaIt is common to hear the stories of life demands. In either case, many parents parents who have had their children ask the question: What is the best sport try a variety of sports at a young age. for my child? Do they have the talent theyAt age four, they are already signed up for need to practice this or that sport? Theseswimming classes, and after a few years are not easy questions to answer.they move on to diving only to find thatthe demanding training schedule wears Child psychologist Nora Isabel Correathem out. As they get older they give soc- Franco believes that finding a sport forcer, basketball, tennis, ballet or artistic children not only results in a healthygymnastics a try. In the end, it becomes a lifestyle, but also helps them acquiretest of trial and error. physical skills, which are crucial for their social lives, “Playing a sport is something Some parents genuinely want their that you should do frequently, even if youchildren to begin to practice a sport while are not talented. It’s like dancing; youothers simply want to keep them busy to should learn to move, even just a little.keep up with the fast pace that modern Sports help children socialize.” Dr. 9
WITH YOUR BODY( )little giants (Playing sports helps children to become more socially integrated and acquire fundamental life values. Among other benefits, it also helps their bodies develop correctly, especially their bones and muscles. Correa Franco explains that this is one something that we are all able to practice, way to enrich their lives that helps prevent especially when this starts at a young age.” making them vulnerable to exploring drugs or sex. The first thing for parents to consider, is that placing their child in a sport is not CHOOSING WHAT THEY LIKE an opportunity for parents to fulfill their Many people say that having the ability to lost childhood dreams. It is important to play a sport is something you are born with, find out what they are interested in. Teach as if it were something chosen by God. and show them what each sport is about Psychology would argue, however, that and provide them with incentives. “Some these abilities can be developed by acqui- sports are helpful to practice because they ring skills. As Dr. Correa Franco states, are necessary life skills, and can even save “Professional athletes are biologically built their lives, such as with swimming. If you to have outstanding abilities. But making learn to swim, you prevent a potential the sport a habit, and doing it over time is hazard from happening and therefore meet a need,” Dr. Correa Franco says.10
3 ( )WITH YOUR BODY TIMES A WEEK AT A MINI- 11 MUM IS IDEALLY HOW OFTEN CHILDREN SHOULD PRACTICE ACTIVITIES RELATED TO EXER- CISING THEIR STRENGTH AND FLEXIBILITY. It is important to consider your finan-cial limitations and make your childrenaware of them, as it is not the same topractice horse riding as it is to play soc-cer. “Our municipal administrationsoffer a variety of options so that youthcan play a sport at an affordable rate,they’re often even free.” One of the risks you run while searchingfor the right sport is quitting. Our expertensures that committing to a decision willhelp children to beat life’s obstacles, “Ifswimming class consists of 10 sessions, thenthey should be completed. This helps us toraise children that will not drop out of colle-ge just because they get bored.” Supporting children’s love for a sportwill help them to keep a greater distancefrom the easiest form of entertainment:technology, as many parents do not knowhow to keep them busy. Correa concludesher advice by saying, “Children need to betaken to the park, taken out on walks, theyneed to see the outdoors, this is the first•step to familiarizing them with a sport.”
( )CON TU CUERPO PREPARARSE PARA SER MADRE PREPARING FOR MOTHERHOOD12
( )CON TU CUERPO para ellas Antes de comenzar la etapa de la maternidad, es importante seguir una serie de recomendaciones para enfrentar mejor y disfrutar más esta experiencia. Following a few recommendations before entering motherhood will help you best prepare for and enjoy this experience. ASESOR Para muchas mujeres ser mamá repre- For many women, being a mother isALONSO PERDOMO senta una experiencia mágica, que a magical experience. One thatMédico ginecobstetra, requiere de preparación y dedicación demands preparation and dedica- para garantizar un buen desarrollo del tion in order to have a healthy preg- adscrito a Coomeva embarazo y de las condiciones del bebé. nancy and create an environment that is Medicina Prepagada Lo primero que debe tener en cuenta best for the baby. una pareja antes de gestar, es que ambos ADVISOR lo deseen. Ser padres es algo único y lo The first thing a couple should be clearALONSO PERDOMO ideal es planificar el proceso para lograr- about before having a baby, is that theyOB/GYN, practitioner lo. Un hijo debe representar un proyecto both want to have a child. Being a de vida y lo ideal es que pueda crecer en parent is a unique experience and it is at Coomeva Private un entorno sano. best to plan for the process of becoming Healthcare one. A child should be a lifelong project Por eso, es importante la preparación físi- and it is important for it to grow up in a ca emocional de las parejas. Según el gine- healthy environment, where it can pro- cobstetra Alonso Perdomo Villa, los futu- perly develop. ros padres deben acudir a una cita pre- concepcional mínimo tres meses antes de If it is therefore crucial for couples to iniciar el proceso. En este control se rea- prepare themselves both physically and liza una valoración de la historia clínica emotionally for having a baby. According médico laboral de ambos, incluyendo un to OB/GYN Alonso Perdomo Villa, futu- análisis de la situación económica y hábi- re parents must go to a pre-conception tos de vida. appointment at least three months prior to conceiving. At this appointment, the Además, en este primer encuentro se eva- medical and labor history of both parents lúan los antecedentes médico quirúrgicos is evaluated, which includes an analysis of y obstétricos, y se realiza un examen físico their financial situation and lifestyles. y pruebas de laboratorio para asegurar que Surgical and obstetrical medical histories hay una condición sana para que se dé un are reviewed and a physical exam and lab proceso normal. tests are conducted to ensure healthy con- ditions for a normal pregnancy. “Este proceso es muy importante para determinar factores de riesgo que inci- “This process is very important for iden- dan en la negación de una autorización tifying risk factors; its purpose is to avoid para la gestación, con el objetivo de evi- risks or maternal-fetal health problems,” tar peligros o enfermedades maternofeta- Perdomo explains. les”, señaló Perdomo. After completing this stage of prepara- Cuando esta etapa culmina, se debe ter- tion, contraceptive methods should no minar el uso de métodos anticonceptivos longer be used in order to start the ferti- 13
CON TU CUERPO( )para ellas para que la pareja goce de fertilidad lization process immediately. Taking a inmediata. Asimismo, lo más recomenda- folic acid supplement is also recommen- ble es que la madre comience a tomar un ded for expecting mothers to prevent con- complemento de ácido fólico para prevenir genital deformities in the baby’s head and malformaciones congénitas de cabeza y spine. Women should begin to take this columna del bebé. Este medicamento se ini- supplement three months prior to trying cia tres meses antes de intentar quedar en to become pregnant and throughout embarazo y a lo largo del primer trimestre. their first trimester. Estos cuidados deben apoyarse en un These precautions should be accompa- plan de alimentación balanceado y sano, nied with a plan for a balanced and heal- en el que se complementen las vitaminas y thy diet supplemented by the vitamins nutrientes necesarios. La extrema delgadez and nutrients necessary for a healthy o el sobrepeso disminuyen las probabilida- pregnancy. Extreme thinness or being des de concebir. Lo ideal es que la mujer overweight reduces the chances of beco- alcance su peso ideal antes de iniciar el ming pregnant. It is best for women to camino a la gestación. have a normal weight prior to gestating. “Una dieta adecuada y un plan de prepa- “A proper diet and a plan to prepare the ración física para ejercitar constantemente body for consistent exercise is key to a el cuerpo son claves en el desarrollo de un good pregnancy,” Perdomo states. buen embarazo”, indicó Perdomo. Future mothers should avoid using Lo mejor que puede hacer una futura tobacco, drugs and alcohol when trying to madre es evitar el tabaco, las drogas y el become pregnant and also during their alcohol. Si es la pareja quien tiene algu- pregnancy. If her partner practices one no de estos hábitos, también es impor- of these habits, it is also important for tante que reduzca el consumo de estas them to reduce consuming these subs- hasta dejarlas por completo. Igualmente, tances until they are no longer used. •estos productos pueden influir en la cali- •These substances can also influence the dad del esperma quality of sperm14
PROCESO ( )CON TU CUERPOCON FINAL FELIZ EJERCICIOS PÉLVICOSEl ginecobstetra Alonso Perdomo Villa invi- PELVIC EXERCISESta a las mujeres que quieren quedar enembarazo a cumplir con un plan de ejerci- Con esta secuencia de ejercicios se podrá tonificarcios pélvicos que les permita una buena los músculos que intervienen en el parto.preparación para tener un parto natural. This series of exercises can help prepare the muscles used in labor. Asimismo, explica que según las necesida-des de la paciente, esta puede ser remitida 15a diferentes profesionales de la salud, conlos cuales es importante que se presenteun alto nivel de confianza y una conexión,que les dé a los futuros padres tranquili-dad y menos estrés. La pareja deberá consultarle sus dudas aeste grupo de especialistas y evitar dejarasuntos sin resolver por temor o vergüenza.La idea es que el proceso de concepciónsea ordenado, sereno y exitoso.PROCESS WITH APOSITIVE OUTCOMEOB/GYN Alonso Perdomo Villa encoura-ges women that want to become pregnantto practice a series of pelvic exercises thatallows them to prepare for a natural birth. He also explains that depending on theirneeds, patients may need to get referralsto be seen by other healthcare professio-nals. It is important for them to have ahigh level of trust with these professionalsand for a connection to be establishedthat makes future parents feel at ease andexperience less stress. The couple should ask this group of spe-cialists any question they may have andavoid leaving issues unresolved because offear or embarrassment. The goal is toexperience an orderly, smooth and suc-cessful birthing process.
CON TU CUERPO( )para ellasHIERRO IRON IODINE VITAMINA B12 VITAMIN B12Es importante para Se encuentra decubrir lo que se pierde Women lose iron Iodine is essential in forma natural en pro- This vitamin isdurante la menstruación ductos animales. Los found naturally iny el incremento de su during menstruation the first days of preg- veganos pueden ase- animal products.demanda en el embara- gurarse de obtenerlo People who followzo. Se encuentra en la and the need for it nancy. It is found in si escogen leche con vegan diets can getcarne, el hígado, nueces, proteína de origen it through milkfrijoles, vegetales de increases during preg- seaweed, seafood and vegetal fortificada that has vegetablehojas verde oscuro y en con vitamina B12. protein fortifiedel tofu. nancy. It is found in iodized salt. with vitamin B12. meat, liver, nuts, beans, dark-green leafy vegetables and tofu.YODO CALCIO CALCIUMEs vital durante los pri- Se encuentra enmeros días de gesta- leches, quesos, pes- Calcium is foundción. Está en algas, cado enlatado, tofu in dairy products,mariscos y sal yodada. y frijoles. whole canned fish (including the bones), tofu and beans. NUTRIENTES ESENCIALESÁCIDO FÓLICO FOLIC ACID ESSENTIAL VITAMINA D VITAMIN DEs crítico antes de NUTRIENTS La mayoría la pro-la concepción y al Folic acid is criti- duce el cuerpo Our body producesinicio de embarazo, cal prior to con- consume cuando la piel es most of its vitaminpero mucha gente ception and at the 400 g/day either expuesta a la luz D when we exposeno recibe lo sufi- beginning of the through supple- del sol. Algunos de our skin to sun-ciente de este pregnancy, but ments or fortified los alimentos natu- light. Some foodsnutriente. A todas many people do foods. It is also ralmente ricos en that are naturallylas mujeres en edad not get enough of found in dark- esta son los aceites high in vitamin Dreproductiva se les this nutrient. It is green leafy vegeta- de pescado, peces include fish, fattyrecomienda consu- recommended that bles such as spi- grasos, hongos y la fish, mushroomsmir 400µg/día a tra- all women of nach, kale, cabba- yema de huevo. and egg yolks.vés de suplementos reproductive age ge and romaine Source: Marko alimentos fortifi- lettuce. Hanson, chair ofcados. También se the FIGO Workinghalla en vegetales Group onde hoja verde oscu- Adolescent,ro como espinaca, Preconception andkale, repollo (col) y Maternal Nutrition.lechuga romana.Fuente: Iniciativa FIGO sobre Adolescentes, Preconcepción y Nutrición Materna.16
( )CON TU CUERPO 17
( )WITH YOUR BODY IMPROVE YOUR HEARING It is natural for the elderly to lose their hearing. Hearing aids can be a useful tool to improve this situation. ADVISOR At age 35 or 40, people begin to extreme sensibility to sound, which can RODRIGO lose an average of one decibel a damage one’s ability to hear. POSADA TRUJILLO year in their perception of sound Ear, Nose and and over time, older adults may even This all depends, however, on the envi- Throat Specialist need hearing aids to improve their hea- ronment where each individual lives. For and Ear Surgeon, ring. In fact, most people over age 60 example, farmers or people that do not practitioner at suffer from conditions such as presbycu- live in the city, are not exposed to much Coomeva Medicina sis (age-related hearing loss) or hyperacu- sound and can handle losing up to 40 Prepagada sis (the inability to tolerate certain decibels before using hearing aids. But, sounds). Both of these conditions are depending on the characteristics of their caused either by the deterioration of the hearing loss, people that are constantly cochlea’s hair cells in the inner ear or by exposed to noise may need hearing aids after a 35-decibel loss.18
( )WITH YOUR BODY grandparents As Dr. Rodrigo Posada Trujillo Many patients do not use them even seen by a responsible specialist that canexplains, otolaryngologist and President when they have been prescribed because determine the origin and degree of theof the Colombian Division of the Fisch they think, “What will people think?” and condition and that can recommend surgi-International Microsurgery Foundation, they disregard the main reasons why using cal treatment, if necessary, as not all hea-while age is a factor that makes this con- a hearing aid will allow their ear to func- ring loss can be treated with this device.dition worse, the more noise there is in tion properly.an environment, the greater the risk for If the cause of hyperacusis (hearinghearing loss. As Dr. Posada explains, these tools loss) is chronic ear infections, genetic actually operate like glasses; they don’t work disorders, tumors or something else, theFUNCTIONALITY IS KEY the same for everyone. Each type of hearing most appropriate alternative is to have anWhile using hearing aids does improve loss requires a specific recommendation, otolaryngologist or otologist perform sur-the volume of sound perception, they are and while this article has focused on age, it gery. If it is caused by genetic disordersnot normally used to cure the conditions is necessary to get a hearing test to determi- such as a missing ear canal, osseointegra-that cause hearing loss. These aides allow ne the degree and cause of hearing loss. ted implants (hearing devices inserted inpatients to walk outside without having to the skull behind the ear) will be necessary.fear not being able to hear a honking car, Hearing aids not only have specificthey help patients avoid making others uses, they may also be chosen for their Dr. Posada Trujillo clarifies that pre-uncomfortable when they listen to the aesthetic appeal, which is why some peop- venting hearing loss starts at a young agetelevision too loud or when they make le makes the error of buying “the prettiest by avoiding being around high volumes inthem repeat or shout what they say to be one,” or the one that is least noticeable closed spaces and by wearing earplugs tounderstood, or they simply help patients instead of choosing the most functional events such as concerts. He also states thatparticipate in gatherings with family or aid, and they end up not using them for your ears will thank you if you keep thefriends without being isolated. many different reasons. volume at a moderate level when listening When hearing problems occur, espe- •to music with headphones and if you use cially in the elderly, it is essential to be mufflers on motorcycles BE AWARE OF THE WARNING SIGNS If you experience the following symptoms you should see an ear specialist: ► If you have received treatment with ototoxic drugs (antibiotics that affect the ear not immediately, but over time). ► If you have suffered from diseases such as rubella, syphilis, toxoplasmosis or herpes. ► If you have to turn the volume of your television up because you can’t hear well, but you don’t realize how loud it already is. ► If you do not understand what others say. ► If you need others to repeat themselves or speak loudly to you. ► If you do not hear the doorbell or phone ring. ► If you understand certain words as others that sound similar (for example, “fan” for “van”). ► If you are told that you are talking too loud. 19
( )WITH YOUR BODY SAY YES TO CARBS, BUT BE SURE THEY ARE THE RIGHT KIND20
( )WITH YOUR BODYBe careful about going toextremes in your diet.Carbohydrates should not beeliminated from your meals.ADVISORANTONIA ELENACARRETERO PALACIONutritionist, practitioner atCoomeva Medicina PrepagadaSome people believe that insulin production can occur. by excluding carbohydra- This is when diseases can such tes from their diet, they as hypoglycemia (low bloodwill lose weight more easily. sugar levels) or ketosis (a meta-By doing this, however, they bolic problem that requiresleave out nutrients that are the body to use fat as a sourceessential for the body and of energy) can appear.that are responsible for provi-ding it with enough energy to “It is not okay to restrictfunction properly. carbohydrates, not even with diabetic patients. It is impor- There are two types of car- tant to understand that peoplebohydrates: complex (starches need balanced diets; the bodyand fiber) and simple (sugars). needs carbohydrates to func-They are found in most foods tion properly. We dependsuch as tubers, fruits, grain upon them for energy,”products, beans and legumes, explains nutritionist Antoniawhole grains and bread and Elena Carretero Palacio.pastry products. The suggestion is to follow Eating large quantities of a meal plan that includes non-carbohydrates without any processed carbohydrates,type of control or moderation known as complex carbohydra-results in a greater consump- tes. These are absorbed bettertion of calories and as a result, in the blood and includecan lead to gaining a few flours, whole grains, and grainpounds. If these are restricted, and corn products. This diethowever, medical conditions should be balanced andcan affect the body that arise should combine differentas a result of a lack of energysources and problems with •nutritional components in each meal 21
WITH YOUR BODY( )keep in mind INCLUDE THEM IN EACH MEAL Getting enough complex carbohydrates at breakfast, lunch and dinner is important because they have a high biological value and offer more benefits than simple carbohydrates, which consist of foods like desserts and ice cream. Keep the following recommendations in mind to get the benefits of a healthy diet: ► Include carbohydrates such as bread, arepas, or crackers during breakfast; it is best if these are whole wheat or whole grain. ► At lunch, eat complex carbohydrates such as rice, pasta and legumes. ► The amount of carbohydrates that should be eaten at dinner depends on the nutritional needs of each person.WHAT IS THE RECOMMENDATION FOR PEOPLEWHO HAVE DIABETES?People that are diabetic should not eliminate car- Nutritionist Antonia Elena Carretero Palaciobohydrates from their diet either. While their bodies recommends that to have a balanced diet, thesedo not produce enough insulin or their metabolism patients should quantify their carbohydrate intake.does not process it correctly, these nutrients are The entire process of establishing a meal planimportant sources of energy. If someone who is dia- should be monitored by a professional and supportbetic does not eat these nutrients, they can become should be offered so that it is applied correctlyhypoglycemic or develop other metabolic disorders. and lasts over time.22
( )WITH YOUR BODY ten en cuenta 23
BEFORE GETTING THE BIKING BEST OUT OFTraining can help improve: YOUR BIKESTRENGTH SADDLE• Abdominal, paraspinal, squat • If it is too high, it can cause and calf exercises: Achilles tendonitis (in the heel). Improve performance. • If it is too low, it can cause• Back and shoulder exercises: patellar tendonitis (in the knee). Help correct your posture.RESISTANCE ON A CLIMB THE SIZE OF YOUR BIKE • Long distance training on a SHOULD BE stationary bike. PROPORTIONAL • Bike routes TO YOUR HEIGHT on flat land.POWER• Exercises that increase in intensity.• Series of between 4 and 8 resistance exercises• They should last between 3 and 5 minutes each.
Learn the best tricks for training WHILEproperly, preventing injuries and BIKINGenhancing your performance. SUNADVISOR IVÁN LEONARDO DUQUE VERA Sports Medicine Doctor,practitioner at Coomeva Medicina Prepagada. Avoid biking when direct exposure to the sun is at its greatest. • Before 9:00 a.m. / After 5:00 p.m. • Make sure you use sunscreen PREVENT OVEREXERTION - Follow the recommended routes for beginners: • 1 hr. 30 min. - 2 hrs. per ride • 2 or 3 times a week THE KNEE • Should not pass beyond the pedal when the leg is bent. HYDRATION • Drink 200 ml of a sports beverage every 15 minutes. • Stay hydrated even during recovery times. FOOTWEAR • Using a firm sole helps to prevent plantar fasciitis.
WITH YOUR BODY( )prevention TIME, THE ENEMY OF BAD POSTURE Keeping the spine and joints in proper alignment, and having the proper foot position while sitting or sleeping helps improve both your physical performance and your performance at work.26
ADVISOR ( )WITH YOUR BODY ALEXÁNDER ALBARRACÍN PINZÓN 27 Physiatrist, practitioner at Coomeva Medicina PrepagadaAs you read this article, almost auto- matically you are likely to change your posture: straighten your back,align your shoulders, and continue rea-ding. But have you ever asked yourselfhow many hours you have spent in a badposture today? Perhaps it is not an easy question toanswer, but many times, without rea-lizing and it because of our workplaceconditions, implementing a certain pos-ture is something we do not pay muchattention to until muscle and bone painbecome an issue. Sitting correctly, standing properlyand sleeping the right way is almost ascience in itself, as it should be. “Whenyou stay in the same position throughoutthe duration of a work day, sitting forexample, your muscles build up tensionand put pressure on their internal struc-ture, which can cause shoulder, neck andarm pain. Over time, this pain can beco-me uncomfortable,” AlexánderAlbarracín Pinzón explains, a medicalspecialist in physiatry. He adds that standing for long hourscan take a heavy toll on the spine, whichcan lead to back pain, especially in thelower back. 60 YEARS OF AGE IS THE AGE- LIMIT FOR SOMEONE WITHOUT ANY BODY DEFORMATIONS TO MODIFY THEIR POSTURE. THIS IS DUE TO THE AGING OF THE BONES.
WITH YOUR BODY( )prevention Enough can’t be said about those that 5 to 10 in the mirror and include having onespend hours and hours on cell phones shoulder higher than another, a head thatand tablets. The misuse of these electro- MINUTES OF AN ACTIVE slants forward, one hip that is higher thannic devices has already brought on cases of BREAK IS ENOUGH TIME TO the other, and of course having a limp incarpal tunnel, tendonitis and epicondyli- your walk. “Having bad posture day aftertis or “tennis elbow” in those that overuse LET YOUR BODY RELAX day is related to musculoskeletal condi-them or in those that chat for long FROM THE POSITION IT tions including deformities, inflamma-periods of time. Neck pain is also tion, and neurological problems that cancommon in these cases. IS IN. affect the back, limbs and peripheral ner- ves, for example,” Albarracín explains. “If you were to put a human head on a BEYOND PAINscale, it would weigh about 11 pounds. But While pain is the first warning sign of bad When pain symptoms arise, it is bestthe further ahead it is from the body, the posture, other more obvious symptoms to leave behind the unsuitable, viciousheavier it will be. Having your head bent can include tingling sensations, limbs that position of your posture and stretch yourforward is therefore harmful to the neck fall asleep, and muscle fatigue or rapid arms, legs and back. When this pain per-because it can wear down the vertebral muscle fatigue in the neck or back areas sists, however, see your doctor and usediscs, osteophytes (beak-shaped projections prior to doing any physical activity. Once physical remedies such as applying heat,on the vertebrae also known as “bone the problem has been established, howe- cold, and gels or balms to relax the mus-spurs”) and even cause joint degeneration. ver, changes can occur that affect the mus- cles and reduce the pain. It is importantTherefore, the best position is to raise your culoskeletal system. to be careful when self-medicating asarms and bring the device to eye-level so many people do not know if they are aller-that the spine is extending straight and is Other signs that can warn of bad pos- gic to a certain drug or if the pain is thenot bent or in a position that inverts its ture can be detected by just taking a look result of an underlying condition and notnatural curve,” explains Gabriela Christ, a necessarily due to bad posture.chiropractor at the clinic Quirovida. HOW DO I MAINTAIN When using a cell phone to make a GOOD POSTURE?phone call, the recommendation is to go It is important to understand thathands-free. If this is not an option for you, having normal posture helps preventit is important to support your arm on a premature bone degeneration, it addsstructure to avoid creating tension.28
( )WITH YOUR BODYWHETHER SITTING, Nuestras Sedes DOMICILIOSSTANDINGOR LYING DOWN, Sede PereiraTAKE CARE OF Teléfono: 5166740 Ext. 1833YOUR POSTURE Dirección: Pasbisalud, Av 30 de agosto # 39-811 For those who spend most of their day Sede Apartadó sitting: Use a chair that allows you to Teléfono: 5166740 Ext 1836 maintain the natural curves of the spine Dirección: Calle 98 # 101 A – 53 and keep your shoulders relaxed, Sede Quibdó elbows bent at a 90-degree angle, and Dirección: Carrera 23 # 21-21, your wrists straight. Clínica Santiago Quibdó2 For those that spend most of their day 29 standing: Sit down once an hour for between five and ten minutes. One recommendation is to use a support or box in order to alternate the use of your legs and lift them up and rest. Always stand on both feet so as not to alter your balance.3 When sleeping: The recommenda- tion is to lie on your side with a pillow between your knees to keep your hips aligned, to use a pillow that helps keep the spine straight and to hug something to keep the joints aligned. Try not to sleep face down or face up. more years to the body’s physical func- tion, reduces fatigue and prevents the onset of conditions in the bones and muscles at a young age. The general recommendation is to customize your work environment to fit your needs, make sure you have good ergonomic conditions and take 10-minute active breaks every hour. Remember, time is the worst enemy when it comes to trea- ting problems that are a result of bad body •posture. When a problem is detected, it is best to take action
WITH YOUR BODY( )together MODERATE 350 ml Avoiding YOUR SUGAR saturated fats IS THE MAXIMUM DAILY INTAKE AMOUNT SUGARY and sugary drinks are DRINKS SHOULD BE helpful ways to care Reducing your consumption of artifi- CONSUMED. for your heart. This cial drinks flavored with sugar can A HEHAELATHRTY organ’s role is to keep help prevent heart disease. Drinking people alive. these beverages regularly can 10% IS THE MAXIMUM ADVISOR increase your chances of having a PERCENTAGE THAT ÉDISON MUÑOZ heart attack or stroke and can also Cardiologist at the San lead to other problems such as obe- SATURATED FATS Vicente Foundation sity and diabetes. The recommenda- SHOULD BE tion is to prioritize eating foods that Hospital CONSUMED DAILY. have natural sugars. HEALTHY FATSPRACTICES FOR Exclude the trans fatty acids thatPREVENTION are found in processed or manu- factured foods (fried foods, marga-The best ways to help prevent rine or packaged products) andheart disease include doing at least replace them with healthy fats150 minutes of exercise a week, not such as those found in nuts or avo-smoking, avoid drinking alcohol and cados, among others. Trans fats caneating healthy. Reducing stress and raise cholesterol levels in theincreasing your sense of wellbeing blood and increase your risk ofalso help keep the heart healthy. heart disease. Opt for dairy pro-People must be conscious of how ducts, low-fat cheeses and olive orimportant it is to care for this vital sunflower oils.organ throughout their lives.30
WHEN YOU TAKE A CON TU MENTE NAP, THE BRAIN ELIMINATES INFOR- ( ))WITH YOUR MIND MATION THAT IS STORED IN OUR 31 SHORT-TERM MEMORY AND CREA- TES SPACE FOR NEW INFORMATION. THEY MAKE YOU RELAX Naps improve your mood and provide you with a sense of satisfaction and wellbeing that are reflected in day to day activities. THEY HELP YOU LEARN Naps strengthen your ability to perform tasks that include remembering lists of words or objects. This stimulates the hippocampus, the region in the brain in charge of strengthening one’s memory. CREATIVE ABILITY Naps increase your creativity, intuition, imagination, problem-solving skills, and performance, and help to alleviate both physical and mental fatigue.20MINUTES OF REST IN THEMIDDLE OF THE DAY HELPIMPROVE YOUR REFLEXESAND YOUR ABILITY TOCONCENTRATE.
WITH YOUR MIND( )trends IDEAS FOR BREAKING UP YOUR ROUTINE32
Investing in your ( )WITH YOUR MINDmental health andputting a stop to daily Ctasks are very Mimportant. Do activities Ythat help you relax. CM MY ADVISOR CY ISABEL CRISTINA CASTRILLÓN CMY Psychologist KSome of the recommended activities for 33 improving mental health are music the- rapy, drawing, painting mandalas, medi-tating or reading. Having good mental healthshould be understood not as the absence ofdisease or problems, but as the ability to beokay in different circumstances and to func-tion in work, academic and family environ-ments and in interpersonal relationships. To be at peace mentally and emotionally,it is important to distance yourself fromthose everyday duties and activities that gene-rally involve using electronic tools or techno-logy. This change in activity can be achievedthrough activities that are completely diffe-rent from your daily tasks. “These types of activities allow us to dis-connect from technology, and allow us toreconnect with ourselves -in the here andnow- or even with other people or withnature,” explains psychologist IsabelCristina Castrillón. These exercises should be paired with ahealthy diet, enough sleep and regular exerci-se. The correct implementation of these heal-thy life practices will help keep the brain inbalance and will positively impact people’squality of life and their ability to concentrateand analyze. These practices will also allow
WITH YOUR MIND( )trends the individual to spend time on themsel- se of positively effecting your quality of ves and get to know themselves better. life, not avoiding real-life situations. These activities should be understood as “Many people that receive psychothe- tools that help us increase our percep- rapy practice mindfulness to learn to tion of wellbeing, disconnect us from the accept their emotions and use the five sen- everyday demands of life and that help ses in their daily lives,” Castrillón states. •us face the fast-paced life that we Taking a break from your routine should be done regularly with the purpo- currently lead WHAT ARE THE BEST WAYS TO DO THIS? The following activities are not classified by 1 PRACTICE MINDFULNESS how effective they are. They represent people’s Being mindful is as simple as closing your actual preferences and reactions. The recom- eyes and noticing your breath. Try to inha- mendation is to find a hobby or therapy that le while taking ten steps, holding your completely removes you from your daily routi- breath for two seconds, and breathing ne and stimulates your brain to activate your out while counting to ten again. senses and achieve a higher state of relaxation. 2 COLOR You can find coloring books that inclu- de anything from cities to gardens or mandalas. Choosing the tones and using the coloring pencils are stress- reducing activities. You can color alone or with friends. 3 MUSIC THERAPY Listening to music is one of the most enjoyable activities out there. You may use headphones and listen to a long song or choose a specific genre. 4 GARDEN Being in contact with nature is an excellent way to spend hours creating and to improve your wellbeing. It is also an opportunity to be active and get exercise such as walking. 5 LETTERING YouTube has several tutorials that explain how to use fountain pens or markers that can help you develop your own creativity. It is an excellent therapy for disconnecting from the digital world.34
( )WITH YOUR MIND 35
CWOITNHTYUOMUERNMTIEND( ))couplesCOUPLES IN HARMONYWITH THEIR FAMILIESIn a marriage, you not only marry your fiancé, but their family aswell. The secret to making this relationship successful is to base iton accepting the other’s life story.36
( )CON TU MENTE ADVISOR When establishing a union, a heal- family will always have philosophies or ROSA GUEVARA thy practice is for the couple to beliefs that we will not approve of. We are Psychologist and comprehend that each person is all free to have a belief or feeling about not just an individual version of themsel- this,” she explains. sexologist, ves, and to understand that each has a practitioner at family history that comes with them. A BALANCING ACTCoomeva Medicina The fact is that there is no such thing as “Two individuals do not become com- families that are more conflictive than Prepagada. plete when they unite as a couple. They are others, or more dysfunctional than others, already two complete beings. or perfect or unhappy couples. We are all Understanding this allows each person to just human beings with our own characte- have their own history, which is the essence ristics and identities. of their behavior,” explains psychologist and sexologist Rosa Guevara. “The balancing act of a relationship and the families involved in one can be compro- In other terms, the professional explains mising when it comes to our differences. that each individual represents something We must accept that we are two people with more than just themselves, and only when our own qualities that have chosen a new we see them as part of something bigger system of living as a couple and as a family. and still choose to love them, can a healthy Everything in life has two sides to it and union be established. couples are no different. Marriage is not like a straightjacket or a place to be limi- We ask Guevara, “So you don’t just ted,” Guevara indicates. marry your fiancé, but you marry their family too?” She responds, “In the end, If this advice is followed, the following people fall in love with an individual that phrases should not have to be heard: “Every belongs to an entire system and that has time I hear you talk, I feel like I’m listening been educated and raised with their to your mother instead of you,” “Our rela- parent’s values and traditions.” tionship is not just the two of us, it is the three of us,” “We would have a lot less pro- It is therefore essential for the two peop- blems if you listened to me instead of your le that are about to walk down the altar to siblings,” and “I feel like your parents are have their priorities clear when it comes to always invading our space.” Work towards family, to make sure they dance to the same preventing this type of dialogue from threa- beat and that things flow naturally, avoi- tening the stability and harmony of your ding having to swim upstream. This means future home, where both partners choose accepting your fiancé’s parents, siblings and grandparents, becoming enriched from •to live in a consensual, comfortable and these relationships and learning to respect all that that the person is. “The other’s constructive union A TRUE COMMITMENT In his book Happy Life, Happy Love,* Swami Prajnanpad of India, identifies five crite- ria for recognizing the profound value of a partner: 1 The relationship should be 3 The partner’s family members easy and should flow without should be true friends and should much effort. also feel companionship. 2 The two beings should not be too 4 The couple should have complete incompatible, nor too different. faith and trust in each other. *Translation proposed by the translator 37
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( )CON TU MENTE GAMES HELP40 TO CREATE CONNECTION Engaging in activities together is an important part of strengthening family bonds and of teaching values. ADVISOR JUDITH Playing games is the quintessential MEDINA VARGAS. social activity. Games allow us to Clinical psychologist, learn about each individual’s perso- nal character traits, as long as they are not practitioner at games played on a mobile device. Coomeva Medicina Technology has a large influence on family dynamics and notably affects inter- Prepagada personal relationships and our understan- ding of others’ behaviors. According to Judith Medina Vargas, a clinical psychologist that specializes in families, while it is true that we all must learn to coexist with the advances of technology, especially with using social networks, these advances tend to distance the members of a family and favor indivi- dualism. They isolate people, which inhi- bits face to face communication, conversa- tions, family gatherings and family unity. This situation is becoming more and more common and is magnified by the fact that the modern world is a fast world, and time with family gets lost in it.
( )CON TU MENTEAN ACTIVITY TO DO TOGETHER (Playing games as a family helps stimulate creativity and imagination, pro-Games are an ideal way to help human motes communication and allows familyrelationships grow. They help develop members to get to know each other.creativity, imagination and foster face toface conversation with others as they ments and body language of others whorequire the participation of two or more have the task of communicating informa-players for them to work. When a family tion to others. People have to communica-gathers together in a specific environ- te the feelings that arise as they play:ment, for example to play a board game, happiness, frustration, friendship andopportunities arise to pass on values such effort. As these gestures and movementsas respect, collaboration, tolerance and become recognized, it becomes easier topatience; all of which are necessary ele- identify and become familiar with thements of game playing and apply perfectly feelings of others.to our daily lives. Also, depending on how parents look These games are not as efficient, at their children when they do somethinghowever, if parents themselves do not take wrong during the game, they may learn toon the role of providing the example, as feel at ease or they may learn to feel sca-this is how children learn the values thatcan arise during a game. Another advantage of this activity isnot only the opportunity to laugh andlearn from what is being discussed, but itis also a way to understand the move- 41
WITH YOUR MIND( )harmony in health red. What they learn is what they will enhanced by the tone of voice and the ges- share later with their friends or with the tures that go along with the words. There rest of the family. should be an opportunity to listen attenti- vely to another and acquire arguments to While playing video games together support opinions, disagree with others can serve to stimulate conversation bet- and reach a compromise. It is important ween parents and children, the recom- for people to be able to share their mendation is to pay attention so that feelings, thoughts and opinions with these games do not become a source of those that surround them. conflict. More importantly, parents should truly connect with the child’s When parents and children have con- world and should learn to use this techno- versations with each other, decision- logy to teach values and communicate making, establishing rules and abiding by with their children them, and understanding and transmi- tting parental love can become more par- THE IMPORTANCE OF CONVERSATION ticipatory activities. Face to face, direct, Face to face communication is slowly clear and positive communication is becoming lost not only in society, but important to have a united family and a within families, the foundation of society. healthy emotional family environment, At least two people are needed to have a where spaces for misinterpretations are conversation. Conversation should not reduced to a minimum and where just consist of the exchange of written assumptions and technology do not lead words, like with chatting. It should be about talking, and what is said should be •to unnecessary arguments, or even to separation or divorce42
( )WITH YOUR MIND X-ray DEPRESSION350 Each year, on April 7th, TALK ABOUT ITMILLION PEOPLE IN THE World Health Day is celebrated. With a focusWORLD ARE AFFECTED on reflecting on mental health, the theme for The stigmatization of mentalBY DEPRESSION ACCOR- illness continues to be anDING TO WHO. 2017 is depression. Social connections are important in order to address this condition. obstacle to those who seek help. As a vital part of hea- ling from this condition, WHO’s initiative is to empha- size the importance of tal- king about this issue. It is also important to combine talk therapy with medication prescribed by a specialist.TAKE ACTION 20%WHEN THEREARE SYMPTOMS IS THE INCIDENCE RATE OF EARLY DEATH CAU-Depression can be described as a per-sistent feeling of sadness and a loss of SED BY EXTREME LONE-interest in everyday activities during a LINESS, ACCORDING TOperiod of at least two weeks. Peopletend to experience symptoms such RESEARCHERS FROMas loss of energy, changes in THE UNIVERSITY OFappetite, the need to sleep CHICAGO.more or less, anxiety,restlessness, hopeless- (KEEP IN MIND) Fostering social and familial connec-ness and thoughts of tions and having an emotional supportsuicide or of doing Youth between ages 15 and 24 network are important to helping pre-self-harm. and the elderly are the groups where this issue requires special vent this condition from being fatal. This illness can affect anyone regardless of their age, attention. gender or social status. 43
WITH YOUR MIND( )preventionKNOW MORE WHAT TO DO WITH EXPIREDFINDING THE UPSIDE MEDICATIONOF FEELING DOWN ► A study from National University inBeing able to identify reason why we are Colombia found that medicationssad and deal with it is important to having that are disposed of do not alwaysgood mental health. “many of us distract reach the right final destination. Mostourselves from unpleasant feelings by people (62.5% of interviewees) throwentertaining ourselves on our cell phones them in the garbage and 7.4% flushor by watching TV,” explains Ronald Siegel, them down the toilet.psychologist at Harvard Medical School.The solution is to create distractions that ► It is important to properly dispose ofare applicable to our lives such as planning containers, packages, boxes, bottles,what we will do in our next vacation. injection vials, and expired medica-Seeking satisfaction at all costs can be pro- tions and medications that have onlyblematic, however: some resort to eating, been partly consumed.or become gamblers or compulsiveshoppers. So, the next time you have this ► Colombia has an initiative calledfeeling, specialists suggest asking yourself if Punto Azul (http://puntoazul.com.co),you are actually irritated, anxious, angry or which helps bring these drugs to spe-if you are scared. cialized sites to be incinerated. 235 (KEEP IN MIND) MILLION PEOPLE THROUGHOUT THE Remember to store medications WORLD SUFFER FROM ASTHMA, A CHRO- in safe places in your home, NIC RESPIRATORY DISEASE (WHO). far away from the reach of children or pets.BEING POSITIVE, ANANTI-AGING TREATMENTAccording to researchers from the Salk DRINKING WINE IN MODE-Institute for Biological Studies, and RATION, CAN BE BENEFI-published in the study The Telomere Effect: CIAL TO DIABETICSA Revolutionary Approach to LivingYounger, Healthier, Longer, one of the keys According to researcher Rosa María Lamuelato stopping aging can be found in chromo- of the international congress on Wine andsomes that are affected by stress. The best Health, studies show that drinking wine instrategy to fighting a stressful situation is to moderation improves how people with dia-take a step away and imagine the situation betes metabolize glucose and also helps toas if it were a scene out of a movie and you increase good cholesterol (HDL).are just a part of the audience.44
TAKING PREVEN- CON TU MUNDOTIVE MEASURESAND BEING ( ))WITH YOUR WORLDPROACTIVE AREWAYS TO ENSURE 1GOOD VISUALHEALTH. VISIT A YEAR IS THE RECOMMENDEDGOOD LIGHT NUMBER OF TIMES YOULighting is an important part of pre- SHOULD SEE YOURventing eye strain. It is recommen- OPHTHALMOLOGIST,ded to not watch TV in the dark and EVEN IF YOU HAVE NOto try to avoid lights from reflecting VISION PROBLEMS.off the screen. 45BALANCED DIETVitamins A, C and E and mineralssuch as zinc are essential to thehealth of the retina and help slow theaging process of the eye structure.PROTECT THEMToo much exposure to the sun dama-ges the retina and accelerates theonset of conditions such as cata-racts. As a preventative measure,use sunglasses.
WITH YOUR WORLD( )for him FATHERHOOD, A LEARNING PROCESS While it is impossible to completely understand this experience ahead of time, going to seminars and workshops and receiving advice can help you prepare for a future with your children. ADVISOR Let’s be honest: nobody is ready to be book, it is his turn to tell the story and we LUZ AMPARO a father. There are no manuals, witness the contradiction he has between there is no perfect age when a man the enormous amount of love he has for SALAZAR is completely ready to take on the respon- his family and the dilemmas that are put Psychologist sibility, and there is no form of required on him by them every day. His writing preparation. Having a child is like playing projects seem to take a backseat to the an extreme sport: you only know what you futile needs of his children: dressing need to know, and when it is time for you them, feeding them, taking them to dayca- to go, you have to pull yourself up by your re and doing this while minding the res- bootstraps and go. ponsibilities he has with his partner. Literature on this topic abounds. A few Knausgard discovers that there is no years ago, the literary work of Karl Ove way to prepare to be a father, you just Knausgard became very famous in become one; and you can only unders- Norway. The series was given the well-ear- tand the true dimensions of this responsi- ned titled, My Struggle, and consists of six bility once you are immersed in the role. parts including A Death in the Family And it is true, there are situations that you (Archipelago Books, 2012) and A Man in will never be completely ready for, Love (Harvill Secker, 2013). The first although experts argue that it is possible book talks profusely about the strange to be close to having an idea of what it is relationship he had with his father, a very like, or at least to having a somewhat sig- cold man, who he never really managed to nificant perspective of it. completely understand. In the second According to psychologist Luz Amparo46
( )WITH YOUR WORLDSalazar, modern day parents have distan- (It is important to lead an activeced themselves greatly from traditional fatherhood, which means trying to get as close asparents, who saw themselves as having a possible to the baby and engaging fully in caring forpurely financial role, “They were parents it. This will help you get to know it better and willthat had children and felt that the only create a strong bond with the child and vice versa.thing that they had to do was provide forthem and discipline them because fami-lies worked differently back then. Mothersstayed at home raising their offspring andfathers went out to search for ways tofinancially support them.” The role of modern day parents requiresgreater commitment: it is not just aboutfinancially supporting the home, a rolethat is now shared with the mother, youalso have to be involved in other aspectsthat used to just be the responsibility ofwomen: raising, loving, feeding, changingand bathing them, and staying up late andgetting bottles ready. “Fathers are alreadydoing this very willingly because somethinghas already changed in the mentality of the 47
WITH YOUR WORLD( )for him modern Colombian man. He’s less macho for couples that explain what they can and he understands that having a child is a expect as future parents and teach them shared effort, not just a financial responsi- things that are essential for the first weeks bility,” the expert explains. of the child’s life. It’s good for partners to go with mothers to these types of events, For men that want to be fathers, yet do as fathers can also learn a lot.” not know how to approach the challenge, Salazar recommends that it can be a good While the best way to learn is to get experience to start by meeting up with hands-on experience, it never hurts to go friends that already have children, talking to a talk or a workshop for couples. But about shared experiences and sometimes what is most important, is to want that even taking care of a brother’s or an future and once you are in it, to feel the uncle’s children. “Healthcare institutions now offer seminars designed specifically •intensity of it, just like how intense it feel to hold a baby in your arms DILEMMAS YOU WILL HAVE TO FACE One of the many challenges is finding a you may find that answering the following balance between work and family. questions with your partner or as a family Many fathers feel guilty for “not being can be helpful: What is the main priority? there” for a crucial moment in their child’s Who will be in charge of taking care of the lives, which is why it is important to plan incident? Who will ask to take time off from how you will handle your many responsibili- work? How will you stay up to date with ties. For example, in a medical emergency school activities?48
( )WITH YOUR WORLD 49
WITH YOUR WORLD( )your smile FOODS THAT ARE GOOD FOR YOUR CHILD’S TEETH Some foods are better than others for children’s teeth. Keep this in mind when preparing their school snacks or lunches. ADVISOR Taking a good lunch or snack to cranberries, raisins, plums, dates, figs,CLAUDIA RIVEROS school is important for meeting the apricots and peaches. It is also important caloric demands that growing chil- to include foods such as raw carrots, coco- Pediatric dentist, dren require throughout a long school nut and celery sticks. practitioner at day, they are also important to help them achieve good oral health, which includes Drinking water is also important, as it Coomeva Medicina preventing cavities, gum disease, tooth helps us staying hydrated. This promotes Prepagada decay and TMJ disorders (these disorders healthy gums and stimulates the produc- affect the temporal bones and mandibu- tion of saliva, which neutralizes bacteria. la), among others. Cheese is rich in calcium and phospho- rus, minerals that are vital to dental These foods should be rich in protein, health and that help balance the mouth’s vitamins A, C and D and in minerals such pH in addition to stimulating the saliva as calcium. The recommendation is that production. Dairy products contain cal- they eat mostly snacks that are hard in tex- cium, phosphates and vitamin D, which ture, dry and full of fiber as they have an are all also important to dental health. important role in the development of the jaw. For example, it is important to consu- Fruits, vegetables and grains that are me nuts and seeds such walnuts, almonds, rich in fiber such as bananas, apples, pistachios, hazelnuts and peanuts as well pears, mandarins, peaches, plums and as dried fruits with natural sugars such as lettuce stimulate the flow of saliva, which dilute the sugars and acids in foods.50
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