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Home Explore Salud Coomeva Magazine December - January

Salud Coomeva Magazine December - January

Published by El Colombiano, 2017-12-13 15:27:57

Description: Set your goals, give them a deadline and be specific about them, either by yourself or as a family. This will give you
the opportunity to take control of your life and the habits you want to include in it. Your health is your greatest
gift as this new year begins.

Keywords: Coomeva,Salud Coomeva Magazine,Magazine,benefits, health, feeling good, smoking, newborns, healthy eating

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( )WITH YOUR WORLD 51

( )WITH YOUR WORLD VITALITY: NOT Getting physical A MATTER OF AGE and mental exercise, as well as discovering other similar activities, are some ways to experience old age stress-free.52

( )WITH YOUR WORLD grandparents ADVISOR We all age throughout life and (It is not just about physi-LUZ AMPARO reach a certain degree of physi- cal maturity while physical matu- cal maturity. The challenge, rity is part of our natural deve- SALAZAR however, is to work on finding mental and lopment, to stay in good shape we Psychologist spiritual satisfaction. must change our perceptions and stay physically and mentally active. The stage of late adulthood occurs at the same time as retirement. It is when From a biological point of view, one of time begins to slow, and more gaps open the first things to keep in mind is to up: there are no longer any work obliga- approach the implications of this stage of tions, and in most cases, there is no lon- life naturally and with ease, “It is impor- ger a commitment to provide for the tant to conceive of aging as a normal pro- family. It is therefore best to prepare for it cess and to change the beliefs we have and seek out options that help fill these about it. We must take care of our health, gaps: beginning a business, starting a exercise and seek out social support by small company, embarking on that book meeting with friends and groups we have that you always wanted to write, painting, things in common with, and where you doing exercise or traveling. feel like you belong to a community.” “Becoming a senior citizen or entering In addition to physical exercise, to pre- old age is part of the evolutionary cycle of vent the decay of our main functions or a human being. It is a stage that almost all memory loss, it is important to make the of us must go through, and includes many brain work through neuropsychological changes at a physiological, emotional and and mental exercises, as it is no secret that social level. The important thing is for the chances of developing a neurodegene- each of these changes to not come as a sur- rative disease as we age are higher. prise. You need to be prepared and you have to learn to break down the myths “Family plays a very important role surrounding old age, as there are many: because it must initiate a process of elderly people are considered uncapable support and acceptance. Make the elder- of doing anything, not having friends, or ly person continue to feel part of the their health is expected to worsen. Many family. Avoid stereotypes. It is important of these ideas lead people to experience to make them feel useful. Giving them old age in a painful way that is not very responsibilities they are able to do such assertive or fitting,” says psychologist Luz as tasks in the kitchen, fixing clothes, Amparo Salazar. and doing other activities where they feel useful and are comfortable with doing.” DEALING WITH GRIEF A person’s attitude in dealing with these Something that is not often spoken about is that the aging process involves different •changes, shapes their own perception of types of grief. Some of this grief is related to health problems, as while there is not a this stage of life sudden deterioration of health, there is a decrease in physical capacity. There is also emotional grief, as close friends and siblings begin to die. In addition to this, is the condescending way that some families treat their elderly. The psychologist descri- bes this as the “endearment of the elder- ly,” even though being endearing is not the only role they can play. 53

( )WITH YOUR WORLD Every day in the digital world, new pro- grams are developed that help us to orga-GOAL-PLANNING nize our activities: Excel (a tool that is simple and known to many) or applicationsWITH PEN such as Nozbe, Omni Focus, Wunderlist,AND PAPER Google Calendar and even Siri, among many others. Going back to pen and paper is moreMaking objectives and common than what we think, however, notwriting them down in a only because writing by hand allows us to morenotebook helps set a clear easily remember and clarify our lines ofpath to reaching them. thought in a more organized manner, but because each page of the notebook that is used ADVISOR GINA MARGARITA USTARIZ can be personalized, making it a more enjoya- Psychologist, practitioner at Coomeva Medicina Prepagada ble experience. From a psychological point of view and when it comes to actually achieving goals it is very important to set short, medium and long- term goals; as it is a way of mapping out where you want to go and how you want to get there, asserts psychologist Gina Margarita Ustariz. Ustariz is a specialist in clinical psychology and group therapy at institutions and works at Coomeva Private Healthcare at the campamen- to de Mushaisa in Cerrejón. Writing goals down in a journal or planner also helps observe their progress and helps you to write down what you feel after you accom- plish or do not accomplish a goal, “This acts as an emotional release similar how a journal works. In addition to being a way to plan, it is a way to reorganize my day, how I feel, how I am going to do what I have planned; which will54

help motivate me to achieve these goals and ( )WITH YOUR WORLDanalyze the circumstances of why some goals arenot met. It helps me reconsider why some have 55been left behind and what is preventing mefrom seeing them through… I can analyzemyself and evaluate my resistance to change,among other things, allowing me to detect ifI’m procrastinating and helping me to avoid it.” The benefit pen and paper has over techno-logy, according to Ustariz, is that it is a goodexercise, neuropsychologically speaking,“Without discrediting the convenience oftechnological tools, this type of planning opensup spaces that allow you to do things, it allowsyou to write, to plan in your own style andexpress yourself how you want to.” When you do the exercise of observing,thinking, organizing and writing, more neuro-psychological functions become involved suchas attention, imagination, memory, makingplans, concentration. This action is your motorand brings what you think together with whatyou write down, it also helps you to retain whatyou write. Essentially, you use more of yoursenses when you use pen and paper.FOLLOW-UPGoal-setting sometimes depends on a person’sage. For example, college students may have ashort-term goal of passing their exams and along-term goal of successfully completing theirdegree. If their goals are written in a notebook,they can update them and organize their studytime in order to achieve them to satisfaction. The main rule for setting goals is to makethem measurable and quantifiable, because ifyou set a goal you cannot measure, this takesaway objectivity. This is also important in orderto learn something from them and evaluateyour efforts when you achieve them. To make ameasurable goal, you need numbers: a deadli-ne, an exact amount of what you want to earn,or specifically describing what you want withnumbers. “For example, ‘Buy a house with twobedrooms, a garage, etc.,’ or ‘I want to saveseven thousand dollars;’ things that can bemeasured in order for them to be examined,”the psychologist says.

WITH YOUR WORLD( )prevention CREATIVE GOAL-SETTING ALTERNATIVES THE BULLET JOURNAL This is one of the strategies for schedule activities that is beco- ming more common lately. The idea is to take a moment at the beginning of your day to review your main goals and objectives, and another at the end of the day to evaluate your performan- ce. As you go, include inspiring quotes that motivate you to complete a task or that reassert your effort to complete them.HOW CAN YOU MAKE ONE?There are many tutorials available online that can give you an idea of how to do it. Even the tutorial of the official creator of the Bullet Journalsystem, Ryder Carrol, is available online. Carrol explains how it works in detail on her website, http://bulletjournal.com. The following are few tips:► It is best if you can have a ► Prior to organizing the pages, codes or bullet points to you establish your priorities. notebook or notepad that has know what you want to inclu- place before each task, ► Write short phrases and bullet points. A book with de in your planner. Make a objective, goal, note, activity, lined paper or graph paper yearlong calendar for writing event or idea in order to keywords along with the also helps to organize the your long-term goals in, make mark whether they are pen- numbers that you establish, if space. It is essential to num- a vertical monthly one for ding or have been comple- applicable, to better identify ber the pages in order to your monthly activities that ted, delegated, postponed or them. Be creative when trying index the main contents of faces a page with the lists of migrated to another day. This to use motivational quotes your planner such as with the things that have yet to be will help you evaluate how and convey the feelings that annual, monthly and weekly scheduled. Also, separate much you procrastinate. arise when goals and other calendars. It is also important your activities by week to ► Identify your objectives and tasks are met or not met. to create specific lists of your better oversee them. separate them into tasks that ► Personalize your planner by pursuits such as a workout can be arranged or schedu- decorating it: use ribbon, routine or reading plan, among ► Using colored pens or thin led by date, and if necessary, different designs for each others. And even though you markers also aid in this task, by hour. Select what your week, colors, or even leave it already have a goal, you can especially when tracking your priorities are: what is impor- plain and simple. Everyone is always change it to fit your routines over time and wat- tant or not, and what is free to design it how they see needs with this system. ching your progress. urgent or not. This will help fit and in a way that matches their personality or goals. ► Design and or use icons,56

OTHER METHODS ( )WITH YOUR WORLDWHITEBOARDS 57It is also common to see traditional white-boards or corkboards divided into weeks thatuse Post-its with the tasks to be completed. Inoffices or workplaces, these types of boardsare used to make the short-term tasks andgoals of employees visible, acting as a type ofreminder. People also use corkboards to pinup photographs of their favorite memories orletters and quotes written by their friends orloved ones. “They can be put in your roomand you can use them to post and assess thegoals you have and have not achieved. It’s notas organized as a Bullet Journal, but it is a litt-le more flexible,” says Ustariz.DREAM MAPPINGDream maps are ways to display pictures of thetrips you want to take or of the things you wantto have. They can be similar to the mentionedgoal-setting methods as long as they are objec-tive, realistic, and measurable and allow for theplanning of more strategies.The main recommendation that is always given isto just start, without being afraid of doing it theright or wrong way, just do it. Things becomemore fine-tuned in the mapping process, as itimproves your strategy for designing your pla-nner by providing new tools to help you organi-ze, and helps eliminate those that are not helpful.The important thing is to have the motivation tostart and the discipline to continue on and eva-luate your map regularly. Be flexible with yourselfas you set your goals or objectives so that your•stubbornness does not make you suffer

WITH YOUR WORLD( )xxxxxxxxx CARING FOR YOUR NEWBORN: MYTH-FREE Being a parent for the first time is a responsibility that brings doubts about how to properly attend to the needs and development of the baby.58

( )WITH YOUR WORLD little giants ADVISOR On the Internet, on social networks JAIME ALBERTO and by word of mouth, plenty of MESA FRANCO information is available with Pediatrician – Neonatologist recommendations on how to take care of a newborn. Suggestions and facts someti- mes end up overwhelming and confusing (If the baby is first-time parents, however. For pediatri- intolerant to the protein cian and neonatologist Jaime Alberto in breast milk, do not stop Mesa, “Children grow up, are raised and breastfeeding. Instead, develop with common sense.” This is the have the mother follow a first thing that the doctor explains to diet that reduces her parents, so they may take on their new res- dairy intake. ponsibility with ease. The specialist lists common questions that can often arise during this phase.1 2Why breastfeed? Breastfeeding is How should babies be held 3 When should babies get baths? It and burped? Try to avoid is important to establish hygiene important from a nutritional point of putting pressure on babies’ practices, but not exaggerate. view and due to the bond created According to the doctor, babies can between mother and child. “It provi- abdomens if they have recently take a bath after 24 hours of being born if they can regulate their own des complete nourishment and eaten, as this can cause gas- body temperature, are healthy, and weigh at least 5.5 pounds. Their first meets the nutritional requirements troesophageal reflux and vomi- contact with water can be brief or can involve being wiped down with for proper somatic, physical and inte- ting. When breastfeeding, try warm water and soap. Use a neutral soap, but do not use it every day to llectual development,” the specialist the “belly to belly” position, as protect the layer of acid mantle on the skin. Dry the belly button well says. During their first six months, it is not suggested to feed to prevent infection and clean their perianal area well. Premature or babies should be exclusively them when they are laying underweight children should wait longer before their first bath. breastfed; afterwards, fruits, grains, down. A good breastfeeding vegetables and proteins can be incor- technique, where the baby lat- porated to help their digestion to ches on well to the breast, can develop. Foods such as eggs and fish help prevent them from swa- can be introduced at nine months; llowing air. Afterwards, hold and after a year, they can begin to the baby vertically for between follow a diet similar to that of an 5 and 10 minutes until it burps adult, developing healthy habits. naturally or passes gases.4 Can babies sleep with pets? It is not recommended. There ratory infection and the main cause of hospitalization, espe- is no reason to prohibit the presence of animals in their cially among premature babies. Last, try not to be too meti- company if the spaces of each are respected and good culous about leaving the baby in a closed space; while it is cleanliness and hygiene habits are practiced in the home. good to avoid drafts of air, it is okay for windows to be ope- The pediatrician, however, stresses that there should not be ned in the home. They also should not be covered in too smokers in the home, as smoking in a space with a newborn many layers, as 24 hours after they are born they can regula- makes them more vulnerable to having bronchiolitis, a respi- te their body temperature. 59

WITH YOUR WORLD( )little giants5 How should they be brought home from the hospital? After their birth, a protocol should be followed so that mother and child return home in optimal conditions. Twenty-four hours after childbirth, the baby should have had their first bowel movement, called meconium. Warning signs and certain conditions are checked for and a physical exam is conducted in order to dismiss birth defects or blood type and Rh incompatibilities. It is suggested to see a doctor again after 72 hours, or the first week after giving birth.6 How often should we visit the pedia- trician? A baby’s first year is a period of tremendous development and growth that is only comparable with the growth of the fetus and the growth spurts of teenagers. It is important to visit your pediatrician monthly during the first year, then every three months until they are two, and every six months from age two to five. “A child is someone that requires a lot of care and assistance in order to encourage them to become autonomous and independent, which is why it is best to not exaggerate and take on the parent role with intelligence and common sense,” the pediatrician indicates.WARNING SIGNS WORTHY OF A DOCTOR’S VISITIf newborns exhibit any of the following circles their belly button and may be as cyanosis and is generally due to abehaviors, parents should talk to their a sign of infection lack of oxygen in the blood.doctor immediately: ► Persistent vomiting ► Shows significant or extreme signs of► Refuses to be fed or does not want to eat. ► Difficulty breathing (when the ribs jaundice, which is when the skin and► Has a fever and an axillary pull inward), known as retraction. whites of the eyes turn yellow. Jaundice ► The mucous membrane of the skin is caused by an excess amount of temperature of 99.5° F. turns a purple color, for example► Shows signs of omphalitis, redness when they are feeding. This is known •bilirubin, a liquid that secretes from the measuring over one centimeter that liver and helps digest food60

( )WITH YOUR WORLD 61

WITH YOUR WORLD( )together CONSTRUCTIVE 5 Meditation THOUGHTS TO 15 MINUTES A DAY OF MEDI- Among its many advanta- Our thoughts have been shown to be TATION IS THE RECOMMENDED ges, meditation heightens connected to emotion, causing AMOUNT FOR WHEN YOU your awareness, stimulates BEGIN THIS PRACTICE. physiological changes, whether good the regions of the brain or bad (depending on how you think). attributed to happiness, Thinking positively releases dopami- and boosts your IQ. ne in the brain, a chemical substance ADVISOR related to wellbeing, pleasure and FELIPE CAMACHO happiness. Negative thoughts cause the nervous system to release corti- Psychologist sol, a hormone related to stress and MEDITATION AN ENCOUNTER the onset of disease. WITH THE SELF 3.000BENEFICIAL YEARS IS THE Meditating is not about losingHABITS NUMBER OF YEARS consciousness or transporting MEDITATION HAS yourself to another universe. It isThrough neuroscience, Harvard BEEN PRACTICED about dedicating a moment eachUniversity found that by practicing five FOR, MAINLY IN THE day to be in silence with yourself,actions, it is possible to gain more control EASTERN WORLD. in an attempt to quiet constantof the amygdala, the part of the brain internal dialogue. With practice,that controls your emotions. When these the brain gets better at it, which isactions become a routine, they stimulate why it should be a habit.peace of mind, prevent anxiety, and redu- Meditation makes you relax andce stress and the onset of certain condi- slows brain activity; the less braintions (migraines, cardiovascular disease, activity you have, the more youand certain types of cancer). These learn, making it easier to tell it toactions include: positive thinking, medita- think better and more positively.ting, having good interpersonal rela-tionships, exercising and laughing.62

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WITH YOUR WORLD( )gamesCROSSWORDS SUDOKU A B C D E FG HI J KL1 Nivel fácil2345678 Nivel medio910111213HORIZONTALES VERTICALES SOLUTIONS1. Se produce la mayoría de las veces en los pies, A. Enfermedad que consiste en la pérdida Horizontales especialmente, en el dedo mayor. de tejido óseo en los huesos por Onicomicosis-Sánale-Creatinina- Elat-Uu-Oi- descalcificación. Emociones-Piel-Sor-Ve-Fonación-Reto-Nio-Or-2. Cúrale. Confianza-Ai-Aa-A-r-Inmovilizar-Se-Sir-Vejez-3. Examen que muestra el estado del funciona- B. Sodio. Cincuenta y dos romanos. Oro-Oo-Rosa Terminación verbal. Nuevo. miento del riñón. Verticales4. Ciudad de Israel. Doble vocal cerrada. C. Peruano. Comer, en inglés. En la mañana. Osteoporosis-Na-LII-Er-Neo-Inca-Eat-Am-5. Escuché. Se diferencian de los sentimientos D. Anuncio o aviso en lugar público con fines Cartel-Ocioso-Ole-Vi-Mea-Oso-Nairo-Tacón- Fal-Caí-Iraní-IV-Nao-Cia-Zer-Sai-Ion-Ajo-Nuevo- porque son más espontáneos y circunstanciales. informativos o publicitarios. Que no trabaja. Zares-Ausentar-Za6. Cuero curtido. Religiosa. Mira. E. Grito taurino. Seis romanos.7. Problema causado por la mala F. Orina. Carnívoro úrsido. Nombre oclusión (mordida). de ciclista colombiano.8. Se programa año a año en búsqueda de alcanzar G. Pieza semicircular que va unida a la suela logros personales. Isla griega. del zapato. Dueño de la piedra del9. Conjunción inglesa. Se promueve para incentivar destino, entre los celtas. H. Perdí el equilibrio. Natural de Irán. la autoestima y el amor propio. Cuatro romanos.10. Perezoso de Suramérica. Sigla abstemia. I. Nave. Pequeña compañía. Ciudad fortificada de Neftalí. Voz de mando. J. Servicio de Atención Inmediata.11. Proceso que se realiza para evitar que una Átomo. Condimento. K. Recién creado o fabricado. extremidad sufra una lesión mayor. Pl. , emperador de Rusia.12. Conozco. Tratamiento inglés. Aceptar y L. Hacer que alguien parta o se aleje de un lugar. Voz para ahuyentar a los perros. prepararse para esta fase inaplazable de la vida de una manera tranquila.13. Metal precioso. Doble vocal abierta. La reina de las flores. Nivel medio Nivel fácil 64

)CORPORATE75,4 HEALTH RISKS ARE THE PRACTICES,YEARS OF AGE IS THE AVERAGE CIRCUMSTANCESLIFE EXPECTANCY IN OR CONDITIONSCOLOMBIA, ACCORDING TO THAT INCREASETHE GLOBAL BURDEN OF THE CHANCES OFDISEASE (GBD) STUDY. HAVING A DISEASE OR COMPLICATION. GET THE CAUSES UNDER CONTROL Environment, work, genes and beha- viors such as smoking and physical inactivity increase the chances of having a health condition. RELATED CONDITIONS Having conditions that go untreated such as obesity, high blood pressure or diabetes increase one’s health risk. SOME SOLUTIONS Following a balanced diet, having a stable partner, working on thinking positively and going to the doctor’s regularly all help to keep health pro- blems under control.

( )CORPORATE preventionROUTINE MEDICAL EXAMS,A HEALTHYHABITThese tests are an essential partof prevention in order fordoctors to make a gooddiagnosis, and monitor andensure the health of patients.ADVISOR JULIÁN ALBERTO HURTADO MONDRAGÓNGeneral Physicians, practitioner at Coomeva Medicina PrepagadaEveryone should get regular exams at prevent bleeding). them. Leukocyte levels should range bet- least once a year, even if people do Hemoglobin in women should range ween 5,000 and 10,000 mm3. not have symptoms; and dependingon the condition one has, this should be between 12 and16 g/dL and between 14 Lastly, platelets should range betweendone every three to six months. and 18 g/dL in men. Hemoglobin counts 150,000 and 400,000 mm3. are complimentary to screening tests that Exams themselves are not a diagnosis, are done in order to assess diseases that GLYCEMIA AND GLYCOSYLATED HEMO-but together with a person’s medical cause anemia. For example, a decrease in GLOBINrecords and a physical exam, they can provi- the amount of hemoglobin in red blood These results help determine if the patientde valuable information about a patient’s cells and a reduction in its diameter may be has diabetes. The first test shows thestate of health. They help to prevent, moni- indicative of iron deficiency. current status of glucose (sugar) levels intor, treat and cure diseases. the blood, which should be between 70 to Measuring hematocrit levels is an 110 mg/dL. A person is considered to be Physician Julián Hurtado Mondragón important part of assessing anemia. If hypoglycemic if the number is below 70shares some information on the more these levels are high, this can be a sign of and hyperglycemic if it is above 110. Theimportant routine lab exams. pulmonary problems. In women, these second test helps determine how the levels range between 37% and 47% and blood glucose levels have behaved in theCOMPLETE BLOOD COUNT (CBC) from 42% to 52% in men. last three months. If they are below 4%,This test helps establish the state of a this is indicative that the person has hypo-patient’s immune system. It determines the High levels of leukocytes are markers of glycemia; if they are between 6% to 6.5%,levels of hemoglobin in the blood (a red infections such as appendicitis or of a virus. the test goal for the diabetic patient wasblood cell protein that carries oxygen), With other conditions, the increase of met; if they are from 6.6% to 7%, thehematocrit (the number of red blood cells), abnormal or immature leukocyte cells can levels are balanced; and if they are aboveleukocytes (white blood cells) and platelets be an indicator of a leukemia diagnosis. 7%, the diabetic patient’s condition will(small components of blood cells that form Too many of these cells, however, may indi- be difficult to manage.blood clots, which help heal wounds and cate that something is wrong in the bone marrow, which is responsible for producing66

Remember to visit www.cuidarteesquererte.com to learn more health tips. ( )CORPORATE KEEP IN MIND ► In order to not affect their results, patients should fast before getting some of these exams. It is okay to drink water, however. ► For the glycemia test, it is important not to do physical exercise the day of the exam. For the lipid profile, alcohol should not be consumed 48 hours before. ► Prior to having a urinalysis, the patient should clean their genitals, dry them well, urinate, and in the middle of urinating, place the container for collecting the sample in the stream. Close the contai- ner well and deliver it to the laboratory within two hours, otherwise refrigerate it. ► For pap smears, unless a condom is used, the patient should refrain from having intercourse 24 hours prior to the exam.CREATININE disease of the joints). This test should range TSHCreatinine is a measure of kidney function. from 3.4 to 7 mg/dL. Determines how the thyroid is functioning.Its range should fall between 0.70 to 1.30 Its normal range should be between 4%mg/dL. Levels higher than this are indicati- URINALYSIS and 6%.ve of kidney failure. Through physical, chemical and microsco- pic methods, this test is the study of the PAP SMEARLIPID PROFILE appearance and color of urine, its density Women should get this exam afterDetermines how cholesterol and triglyceride and acidity (pH), and of its different chemi- their first sexual relationship. It is alevels are. HDL cholesterol is beneficial for cal elements (bilirubin, glucose, hemoglo- simple test consisting of taking a smallthe body and LDL cholesterol is harmful, as bin, etc.) and biological elements (bacteria, sample of tissue from the cervix to beit clogs the arteries. Triglycerides are a type red and white blood cells and other cells) analyzed in the laboratory in order toof fat in the blood that leads to coronary whose presence in the urine could be indi- detect the presence of abnormal or can-artery disease. This test’s indicators are as cative of a condition or disease. cerous cells. The test takes approxima-follow: total cholesterol should be as high as tely three minutes and does not cause200 mg/dL, HDL cholesterol (the good A urinalysis examines how the kidneys pain. It is used to have an early diagno-kind) should be higher than 40 mg/dL, are functioning, the regulation of fluids in sis of abnormalities in the cells or wallsLDL cholesterol (the bad kind) should be the body, the regulation of microorganisms of the cervix.lower than 150 mg/dL and triglycerides (bacteria) that may be indicative of infec-should be no higher than 160 mg/dL. tion, the concentration of hormones and This painless procedure is the mostResults that do not fall within these parame- other organic substances that, if abnormal, effective way to detect Humanters may indicate cardiovascular risk. may indicate changes or diseases. Papillomavirus (HPV), the main cause of cervical cancer. It also allows for this typeURIC ACID TEST It is also part of the regular testing or of cancer to be detected early, whichThis test indicates if the patient has gout (a periodic check-ups that are aimed at moni- toring a person’s state of health and detec- •helps in treating the condition in a ting health conditions early. timely manner 67

( )CONTIGO institucionalPIONEERSIN BIOMETRICAUTHENTICATION By using new mobile devices with effective and secure service. This new fingerprint recognition, access to technology aims to minimize waiting times for service requests, as well as their health services is modernizing. verification and authorization processes. The over 368 thousand members of The use of this technology makes Coomeva Private Healthcare will Coomeva Private Healthcare a pioneer in now be the first to experience the Colombia’s health sector. By using mobi- company’s new modern technology pro- le biometric authentication devices, this cess: mobile biometric authentication innovative approach is a great step for- devices. The installation of these devices ward: it implements the use of an applica- will make it easier for users to access diffe- tion tailored to meet the needs of mem- rent health services at outpatient visits. bers to get their health services authori- zed, improves the value Coomeva Private Between the end of 2017 and the first Healthcare offers by modernizing the way quarter of 2018, thousands of doctor’s health services are accessed, streamlines offices and clinics throughout the country the processes for members in receiving will be set up with new devices that can services, decreases waiting periods for recognize the fingerprints of patients. making requests and minimizes paper- These devices will integrate and streamli- work with providers. ne their information, allowing for a more By implementing integrated, streamli- ned, safe, accurate and reliable processes for the health services of its members, this technology is a tremendous contribution •to the modernization and technological progress of Colombia’s health system68

( )CONTIGO 69

WHEN IT COMES TO TREATING DIABETES,PREVENTION IS KEYAn early diagnosis of this condition can help patientshave a better quality of life. ADVISOR HUGO OCAMPO DOMÍNGUEZ Retina Specialist and Coordinator of the Diabetes Unit at the Clínica Oftalmológica de Cali, S.A. The message is clear, “You shouldn’t wait to become diabetic to take pre- ventative measures against this disease,” explains the Retina Specialist at the Cali Ophthalmology Clinic, Hugo Ocampo. This is why it is important for everyone to be aware of the importance of leading a healthy and nutritious diet, exer- cising, and getting regular medical checkups that include eye exams. Making these routine exams a priority can help prevent many conditions from developing over time, or can at least keep them under control through early treatment. With the objective of improving the quality of life of its members and families, Coomeva Private Healthcare uses a diabe- tes risk management program to guide patients and encourage them to reduce their risk factors such as obesity, high blood pressure, high cholesterol, physical inactivity and a poor diet. The idea of this program is to achieve a better quality of life. “The problem with diabetes is that it is a disease that attacks several organs: the heart, the brain, the kidneys and mainly the eyes. When there is too much sugar in the blood, small arteries called capillaries (responsible for nourishing the organs) are damaged in different ways, causing liquids to escape in areas where they are

Con Coomeva Emergencia Médicatienes a tu disposiciónuna amplia gamade servicios y beneficios. Te invitamos a conocerlos y disfrutarlos. Atención médica Suministro de insumos Traslado primario a la Vehículos dedonde te encuentres. y medicamentos. institución de atención. alta tecnología.Interpretación de exámenes Asesoría telefónica con Descuentos Sin franquicias por correo electrónico. nutricionista y psicólogo. en farmacias. ni copagos. Atención de urgencias Llamadas Historia clínica Sin límiteodontológicas domiciliarias. post-atención. electrónica. de consultas.Afíliate ya ingresando a teacompañamossiempre.co Tenemos muchos canales a tu servicio para que llames cuando nos necesites. Línea de Atención Directa: 01 8000 931 555, marcando #586 desde móviles Claro, Movistar y Tigo.Líneas locales Cali: 524 5454, Bogotá: 747 7612, Medellín: 444 9977, Barranquilla: 385 1040 y Cartagena: 693 3232. Disponible en Cali, Bogotá, Medellín, Cartagena y Barranquilla. Sujeto a área de cobertura.

( )CORPORATE special normally not found. With the eyes, when professional. The recommendation is to the liquid escapes, it causes the eye’s reti- visit your ophthalmologist at least once a na to thicken, a condition called a macu- year; however, with certain diseases such lar edema. The macula, which is the cen- as diabetes, more frequent checkups may tral part of the retina, loses its function be necessary to avoid vision damage cau- when it thickens. The function of the sed by this diagnosis, which is sometimes macula is to produce clear images for the determined through an eye exam. activities of everyday life (reading, seeing colors, calculating distances, etc.). The “We have to start changing our men- retina is the only part of the eye that to tality so that as a society, we all unders- this date, technology has not been able to tand that prevention is a worthwhile replace or transplant. “That means that if effort,” he adds. The following highlights the damage progresses a lot and becomes the pillars of the diabetes risk manage- chronic, it can be irreparable,” says the •ment program for each person to include in their day to day livesPRECAUTIONARY MEASURESA Eye exam. All people need a yearly B Nutrition. Food provides the energy C Exercise. Regular exercise and physi- eye exam to detect whether they and nutrients a person needs to be cal activity help keep weight under have a problem. Many adults, howe- healthy: proteins, carbohydrates, fats, control, reduce the risk of heart disea- ver, need more than one exam or will vitamins, minerals and water. The key se, and control blood sugar levels and always need to get their pupils dila- to healthy eating consists of consu- insulin in the body. These activities ted. This exam is important because ming a variety of foods, including also improve mental health and mood some diseases may not provide war- vegetables, fruits and whole grain food and preserve your thinking, learning ning signs, which help to detect products: lean meats, poultry, fish and and judgment skills as you get older. diseases at their initial stages when low-fat dairy products. Salt intake They also strengthen the bones and they are easier to treat. Just as impor- should also be reduced in addition to muscles, reduce the risk of some tant as it is to go see a professional, sugar, alcohol, and saturated and trans types of cancer, reduce falls, help so should establishing the habit of fats. It is important to get an assess- people get good sleep and increase conducting a daily self-check. ment from a nutritionist. the chances of living longer.HOW TO PERFORM AN EYE SELF-CHECK AT HOME► Every day, at the same time and place, and verify that it actually looks straight. is distorted or there is a loss cover one eye with the help of your hand ► At the same time, keeping your eyes on the ► of the peripheral visual field, an without pressing on it. line, check the peripheral field of your ophthalmologist should be seen. The► With the uncovered eye, focus on a straight vision. Repeat the same process with the recommendation is to do this exercise one line (the edge of a picture frame or the eye that was covered. minute a day, as it can detect eye problems space between a tile) for a few seconds ► When a person notices that the straight line and allow for early treatment.72

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