Salud Coomeva Magazine October - November

( )WITH YOUR MIND armonía es salud Hay quienes recurren a tomar uno que otro medicamento para calmar el dolor de cabeza, de estómago o para la tos, sin saber las consecuencias que esto puede causar.With headaches, stomachaches, or for a cough, some people takecertain medications to “alleviate” symptoms without understanding the consequences that can come from this. Be careful about this. ASESORA ADVISOR NANCY ESTHER NANCY ESTHER KING ARAGÓN KING ARAGÓN Médica internista, adscrita a Internal medicine physician at Coomeva Medicina Prepagada Coomeva Medicina Prepagada“Yo conozco una pastilla que es efecti- “I know of a pill that is good for va para eso”. ¿Cuántas veces hemos that!” How many times have we told dicho esto o nos lo han sugerido? sin ourselves or heard this from others?ser conscientes de que más que un bene- Yet we are not aware that instead of bene-ficio, esto puede representar un riesgo fitting us, doing this can actually be apara quien la consume. La automedica- potential risk. According to experts, self-ción, según los expertos puede terminar medication can lead to intoxication, liveren intoxicación, en daños en el hígado y damage or even overdosing when combi-hasta en dosis letales cuando se combi- ned with other medications.nan con otros fármacos. “To save money or time, sometimes “A veces las personas por ahorrarse people do not want to go to the doctor.plata o tiempo no acuden al médico, inclu- They’ll even check the internet or askso, entran a internet, preguntan y com- around on what to buy, which is where thepran lo que les aconsejan. Ahí es cuando problem begins and people begin to beco-aparecen los problemas, cuando se dan me intolerant or resistant due to drugcasos de intolerancia, de resistencia por abuse or they develop an allergy to it.abuso y de alergias. Los pacientes no saben People do not know what dose they arelas dosis que deben tomarse, se guían de lo taking and they use what friends or familyque ingirió el amigo o el familiar sin saber members take as guides, not understan-que no todas las prescripciones ni las reac- ding that it does not have the same reac-ciones a los medicamentos son iguales tion in everyone, nor that the dose is thepara todo el mundo”, advierte la médica same for everyone,” warns internal medici-internista Nancy Esther King Aragón. ne physician, Nancy Esther King Aragón. Otro agravante más señalado por la Another issue that the World HealthOrganización Mundial de la Salud, OMS, Organization (WHO) points out is thatestá en que el más del 50% de los medica- over 50% of all medications are prescribed, 51

WITH YOUR MIND( )armonía es salud CONSECUENCIAS DE AUTOMEDICARSE CONSEQUENCES OF SELF-MEDICATION 1 Toxicidad: efectos secundarios, 1 Toxicity: side effects, reacciones adversas y en adverse reactions, and in algún caso intoxicación. some cases, intoxication. 2 Falta de efectividad: cuando se 2 A lack of effectiveness from utilizan en situaciones no indicadas. them not being used as they Por ejemplo, la toma de antibióticos should. For example, using para tratar procesos virales contra antibiotics to treat viruses, los cuales estos medicamentos which these medications are no son efectivos. not effective against. 3 Dependencia 3 Dependency o adicción. or addiction. 4 Enmascaramiento de procesos 4 May hide serious clinical clínicos graves y, en consecuencia, conditions, resulting in late retraso en el diagnóstico y tratamiento. diagnosis and treatment. 5 Interacciones con otros medica- 5 Interactions with other medications mentos o alimentos que la persona or foods that the person is taking. esté tomando. Puede haber una This can strengthen or weaken the potenciación o una disminución effects of the medication. del efecto del medicamento. 6 Antibiotic resistance. 6 Resistencias a los antibióticos. The excessive use of antibiotics El uso excesivo puede hacer que los can cause microorganisms to microorganismos desarrollen mecanis- develop defense mechanisms to mos de defensa delante de estos these medications, preventing medicamentos de manera que dejan them from being efficient. de ser eficaces.52

( )WITH YOUR MIND armonía es saludmentos se recetan, dispensan o venden de dispensed or sold inappropriately. Addingforma inapropiada. Agrega también que, that half of patients do not follow the ins-la mitad de los individuos tampoco se tructions of medical specialists when theytoman las medicinas según las indicacio- take their medications, which can lead tones del especialista, lo que puede terminar their excessive or insufficient use.en un uso excesivo o deficiente. DRUG INTERACTIONS, THE GREATEST RISKLAS INTERACCIONES, EL MAYOR RIESGO The combination of some components withLa mezcla de unos componentes con otros others and not knowing how they react withy desconocer cómo reaccionan entre sí, es each other is the main problem and greatestla piedra angular y el mayor riesgo de la risk behind self-medication. You have to beautomedicación. En este caso, hay que especially careful when blood-thinners aretener especial cuidado cuando, por deter- prescribed because when they are combi-minación médica, se consumen anticoa- ned with anti-inflammatories, for example,gulantes, pues combinados, por ejemplo, this can strengthen their effect and causecon antiinflamatorios pueden potenciar internal bleeding.su acción y ocasionar sangrados. The same happens with natural medi- Con los remedios naturales ocurre cations. Dr. King warns that people withalgo similar. Al respecto, la internista high-risk diseases such as diabetes, highadvierte que las personas con enfermeda- blood pressure, kidney or liver failure,des de alto riesgo como diabetes, hiper- among others, should not use homeo-tensión, insuficiencia renal o hepática, pathic or natural medications becauseentre otras, no deben consumir medica- “…you don’t always know exactly whatmentos homeopáticos o naturistas por- they contain and they can lead to dange-que “no se sabe exactamente qué contie- rous interactions between them. One ofnen y pueden generar interacciones peli- the most common cases of this occursgrosas entre ellos. Uno de los casos más with moringa, a tree from India that haspopulares ocurre con la moringa (un several benefits attributed to it. It shouldárbol originario de la India) a la que se be taken very carefully because in excess,atribuyen muchos beneficios, pero debe it can lead to hypoglycemia, low blood-tenerse cuidado porque en exceso es posi- sugar levels, insomnia and can make theble que produzca hipoglicemia, bajas de effects of blood-thinners stronger.”azúcar, insomnio y tiene un efecto quepotencia los anticoagulantes”. THE MOST COMMON EFFECTS According to the specialista, if vomiting,LOS EFECTOS MÁS FRECUENTES diarrhea, allergic reactions or insomniaDe acuerdo con la especialista, si hay occur for an unknown reason, it is veryvómito, diarrea, reacciones alérgicas, difi- important to see a doctor and be suspectcultad para dormir y se desconoce la of the medication not being used proper-razón, es prioritario consultar y sospe- ly. As a first aid measure, she also recom-char del abuso de algún medicamento. A mends inducing the person to vomit andla vez que sugiere como medida de ‘pri- drinking a lot of liquids to dilute themeros auxilios’ inducir el vómito y tomar medication and increase urine produc-mucho líquido para diluirlo y aumentar tion.“Once the use of the medication is sus-los niveles de orina. “Una vez suspendi- pended, the person will start to improve anddo, la persona va mejorando y pocas it is very rare for side effects to remain.veces quedan secuelas. El peligro es que Complications with natural medicationsocurra una trombosis cerebral o en can be dangerous, as they can lead to cere- 53

WITH YOUR MIND( )armonía es salud¡ATENCIÓN EMBARAZADAS!Si bien en ninguna etapa de la vida se aconseja la automedicación,con mayor razón debe evitarse durante el embarazo, pues hayfármacos que se absorben fácilmente por la placenta, y quepueden provocar graves daños al feto. Cuando por cuenta propia sedecide tomar un medicamento, se recomienda pedir consejo al médi-co, o leer atentamente la etiqueta para saber si está contraindicado.EXPECTING MOTHERS, BE AWARE!While self-medication is not recommended for any phase in life,it should be avoided even more during pregnancy as there arecertain drugs that are more easily absorbed by the placenta that canseriously harm the fetus. When you decide to take a medication onyour own, ask for your doctor’s advice or read the label carefully tofind out if it should not be used during pregnancy.miembros inferiores, cuando se acude a bral thrombosis or blood clots in the lowerlo naturista”, explica la profesional. limbs,” states Nancy Esther King Aragón. Para evitar que esto ocurra, la OMS, To prevent this from happening, theaconseja evitar tomar medicamentos sin WHO recommends not taking medica-que hayan sido prescritos por un médi- tions that have not been prescribed byco, informar al especialista de los que se physicians, and informing your doctortoma o ha usado (también hierbas medi- about all the medications that you arecinales, vitaminas, suplementos dietéti- taking or have taken (including herbalcos, homeopatía, etc.). Es importante medicines, vitamins, dietary supplements,leer y conservar las recomendaciones de and homeopathic supplements, etc.). It islos medicamentos; así como saber qué se important to read and keep all the instruc-está tomando, para qué, cómo y cuándo tions for all medications, as well as knowlo ingiere. También, evitar la ingesta de what you are taking, what it is for, and howalcohol cuando se esté medicado porque and when to take it. Avoid the consump-esto puede afectar la capacidad de reac- tion of alcohol when taking medicationsción, por ejemplo, en la conducción de because this can affect your response ratevehículos o en la realización de otras when driving vehicles, for example, or whenactividades peligrosas. performing other dangerous activities. Con respecto a la manera de conser- With regard to how to store them, it isvarlos, es importante que se mantengan important to keep them in their originalen su embalaje original porque este con- containers because they contain impor-tiene información importante como la tant information on when they expire, thecaducidad, el lote, si se debe guardar en lot number, and whether they should benevera, entre otros asuntos Además, la stored in the fridge, among other matters.envoltura lo protege y garantiza su adecua- The packaging also protects the medica-da conservación. Cada vez, entonces, que tion and ensures that it is being preserveduna persona sienta un dolor y deba consu- correctly. Every time you take a medica-mir un medicamento, informarse de una tion, use a reliable source to become well•fuente segura es la mejor opción para el •informed and read about its side effectscuidado de la salud and how to take it54

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WITH YOUR MIND( )for herCONTRACEPTIVES: A MATTER OF KNOWING WHAT IS BEST FOR YOU ADVISOR JESÚS VELÁSQUEZ PENAGOS OBGYN from the San Vicente Foundation University Hospital There are different Let’s get back to the basics, to what is planning the number of children theytypes of contraceptives: simple, to what for many, is obvious: wish to have and the best moment to have more than just a way to not have them. There are a lot of options out there, surgical, hormonal and children, birth control is a way to decide and are even discussed at an early age, at barrier methods. when and at what point of your life you schools, in families and in the media. But want to begin a family. “This is a joint what happens when they do not work? In Choose the one that is creation of the couple, so even if men are general, the problem is not with the right for you with the not the direct users of them, they should method, it is how it is used. help of a specialist. be involved in the decision the woman According to the specialist, certain makes,” advises Jesús Velásquez Penagos, methods may be contraindicative for cer- OBGYN from the San Vicente tain conditions, which is why the first step Foundation University Hospital. should be to seek the guidance of a heal- Let it be clear, once again, that birth con- thcare professional. It is also extremely trol is not just the woman’s responsibility. important for the birth control option that In recent years, in addition to the woman, is chosen to be one that both the woman families have also become involved in and her partner can use and adhere to on

SIDE EFFECTS:MYTH OR REALITY?In terms of side effects, hormonal contra-ceptives have the worst reputation. Buthow true is this? To answer this question,Velásquez addresses three common myths.1 Weight gain After several studies, it has been determi- ned that oral or hormonal contraceptives can have an effect on an individual’s weight, which can increase or decrease, but should not exceed more than 4-5 pounds.2 Acne While some are used to help control acne, the appearance of it is not necessarily a side effect. Some women have existing conditions that make them susceptible to developing it.3 The appearance of varicose veins This is related to having large doses of hormones, which is why the methods of today do not cause varicose veins, as their dosage is low. “Varicose veins are highly related to having a genetic predis- position,” our expert explains.a regular basis to ensure its effectiveness.Most importantly, with hormonalmethods, generally speaking, knowingwhether heart disease, high blood pressu-re or blood sugar problems are involved isessential, “It is important to clarify thatthese conditions do not necessarily pre-vent the use of birth control. Your physi-cian will be the one that can best select amethod that works for the woman andher partner,” states our expert.KNOW HOW TO USE THEMContraceptives come in the form of surgi-cal, hormonal and barrier methods. Themost popular form of the barrier method

WITH YOUR MIND ¿?( )for her PREVENTIONBE CAREFUL WITH WHAT PEOPLE SAY WHEN SHOULD THE USE OF CONTRACEPTIVES BEGIN?A lot has been said in conventional wisdom about preventing pregnancy. Some people opt As soon as someone becomesfor the withdrawal method (pull-out method) or believe in bathing after having sex, for sexually active, independent ofexample, but these methods are not backed by science. their age. “Parents, educators and healthcare professional must How about douching Does breastfeeding Withdrawing the reach youth through education after sex? This option prevent pregnancy? penis prior to ejacu- prior to them becoming sexually does not work. False. Women that lating cannot cause active, as some of their first According to the U.S. breastfeed can pregnancy. Also sexual relationships may not be National Library of become pregnant. false. Some semen planned or consent may not be Medicine, sperm can often remains before involved, which is why both men travel to and enter the the penis is comple- and women must know about the cervix in a matter of tely withdrawn, methods for preventing undesired 90 seconds. which is enough to pregnancies,” Velásquez warns. become pregnant. ARE DOCTORS THE ONLYis the condom, which is not always the With methods that are used by peop- ONES THAT CAN PRESCRIBEsafest method. In terms of reliability, our le 35 and over, it is important to take CONTRACEPTIVES?specialist warns that any method has a 1 precautions and try to receive the lowest No. The most important thing isto 2% failure rate, “With long-term or dose of hormones possible if the patient to receive the guidance of apermanent options, over the years, their has high blood pressure or is obese, for healthcare professional. In addi-failure rates may increase.” example. “The best option is to find a tion to doctors, nurses -who method that is non-hormonal, such as have extensive training in this With hormonal methods, however, it the copper T IUD, which is one of the area- may provide this guidance.is important to understand that if the best options because of how long itperson is forgetful, the lower amount of lasts. Surgical or permanent options WHEN SHOULD YOU STOPhormones the contraceptive has, the should also be considered if you are USING BIRTH CONTROL?greater the risk of pregnancy. happy with the number of kids you There is no specific age to stop have,” Velásquez states. using them. In general, after a The recommendation it is to always woman turns 40, their ovula-use the same brand, as not all laborato- Oral contraceptives should be taken tion process begins to slow.ries apply the same standards of quality daily at the same time in order to be Between ages 40 and 45,and sometimes, there is the risk of coun- most effective. however, they continue to ovu-terfeit birth control. late and the chances of beco- If there is a risk of the person for- ming pregnant remain. As long With the injection, our expert suggests getting or adhering to their method, as the woman has regularthat it be applied by the same person each either with pills or injections, subdermal cycles, it is difficult to determi-time, that not even a drop of the vial ne a point in which pregnancyshould be lost, and that it should always •implants or IUDs can last for approxi- cannot occur, making them eli-be administered deep into the muscle. gible to use a contraceptive mately 5 to 7 years method,” Velásquez states.58

KNOW MORE ( )WITH YOUR MINDINTELLIGENCE AND SELF-CARE 59The study, Emotional Intelligence andHealth Risk Behaviors in Students, conduc-ted by the University of Oviedo (Spain),found that students with higher levels ofemotional intelligence lead healthierlifestyles and are even less vul-nerable to engaging in riskybehaviors associated withdrug and alcohol use,physical inactivity andunprotected sex, etc.These lower levels of vulnerability are dueto the fact that emotional intelligence is akey part of having an open mind and ofhaving a greater capability to express one’sfeelings and refuse to take on toxic beha-viors in the search for personal wellbeing. 35,6 MILLION PEOPLE IN THE WORLD ARE AFFECTED BY AGE-RELATED COGNITIVE IMPAIRMENT, ACCORDING TO THE WHO.POSITIVE EMOTIONS, FIGHTING FATIGUE:POSITIVE WELLBEING EXERCISE OR COFFEE?Researchers from the Autonomous A small study (of about 90 female partici-University of Madrid found that experien- pants) summarized in a post on thecing positive emotions contributes to living a Harvard Health blog, found that 10 minuteslonger life. The researchers emphasize the of strenuous exercise, such as going up theimportance of getting exercise or participa- stairs, provides more stimulation thanting in social activities. The study quantified caffeine (50 mg). Consistent exercise, hasthe amount of time that people spent greater long-term effects, however.feeling good and bad throughout the dayand its findings were based on a total of4,753 interviews held with people from auto-nomous communities all throughout Spain.

WWITITHHYYOOUURRMMININDD(( ))couples EMPTYBECOMING AN NESTERSome parents focus Just as little chicklings grow up and Psychologist Gloria Hurtado says, so much on their learn to fly, so do children. The term “This is a very biological concept taken children that they “empty nest syndrome,” refers to when from animals. And yes, while biologically forget about their and children leave the home and parents we are like animals, we are superior in lan- own lives, which experiencing this as a tragedy, or as the guage, history, desire and in conscious- brings a sense of beginning of a breakdown in their rela- ness. Couples that experience this becau- tionship or in the home. se at one point they felt that they lived justloss when their little to reproduce, as it was taught to us that ones grow up and Those who encounter this phenome- family exists just to have and raise chil- leave the home. non, experience a “a deep sense of loss,” dren, and even that only a real family has Mayo Clinic specialists explain in their kids. This concept is outdated.” ADVISOR medical guidelines. This can leave them GLORIA HURTADO CASTAÑEDA vulnerable or lead to depression, alcoho- BE PREPARED FOR WHEN lism or a marriage crisis. THE TIME COMES Psychologist, practitioner at The psychologist states that empty nest Coomeva Medicina Prepagada How does one rebuild their identity syndrome happens to parents that worked after their children have left? This is the and lived just to raise their children; they question asked by many modern-day did not have their own life goals that they parents that must deal with their children worked on at the same time, did not have leaving, as they have young children that seem to be better prepared to do so.60

( )WITH YOUR MIND Movimiento es vida ¡Nos movemos por ti! Atendemos consultas prioritarias de 7:00 a.m. a 7:00 p.m. en todas nuestras sedes de lunes a domingo, en la que te evaluará un ortopedista idóneo que te ayudará a recuperar el movimiento.a professional life was satisfying or gave some parents experienceWhenthem self-value, or did not have another feelings ofchildrenlife project that allowed them to strive forsadness,leave,something that was theirs. emptiness, “About 10 years ago, we started to seecouples whose lives did not revolvearound their children. When they havethem, they love them, but they don’t stopleading their own life an independent lifeas they are people that want to develop(their working lives,” Hurtado explains,adding that these changes began when loneliness andwomen began to realize that their role was sorrow.not exclusively that of being a housewife.So how can you deal with it? Hurtadosays that this is similar to retirement,“When you near retirement, you prepareyourself to be active: some decide to starttheir own business, buy land, they begin (+57) (4) 444 15 16 Cra. 48 #7 - 312 - Sede Poblado Cra. 45 #53 - 38 - Sede Cen6tr1o www.cfmed.co

WITH YOUR MIND( )couples(One way to deal with children leaving the house is to spend time doing what you used to like to do, but stopped in order to take care of the family.to write or the garden. The situation is thesame: if we know that our children aregoing to grow up and leave, it is importantto create plans for this time to continueenjoying life as a couple, so that the rela-tionship does not end.” Preparing to become empty nesters, is aresponsibility of the parents: they mustchange the perspective they have of theirchildren. Children are not property or away to fulfill unmet dreams, and they espe-cially cannot serve as the replacement for apartner. When the relationship with a part-ner is not going well, it is very common forchildren to assume the role of being the res-ponsible one and of providing support,which does not make things any easier. In conclusion, Hurtado explains howimportant it is to not focus your life onyour children, as this plan comes to an endat some point, which parents have no con-trol over, “Get ready to say goodbye, and•do so by working on and for yourselves”STRATEGIES FOR THE EMPTY NESTERTake action: This is the best way to fight the feelings of loss that come with being an empty nester.1 Accept that it is time: 2 Stay in touch: Even 3 Look for support: If this is a 4 Stay positive: In order Try not to compare your though you no longer challenging moment for you, use your support network to share to adapt to this big child’s decision with your live together, make the your feelings (friends, neighbors, change, try to focus on or extended family members, for thinking about the life experiences or effort to stay in con- example). If you are feeling extra amount time you depressed, see your doctor. will have to reconnect expectations. Focus on tact on a regular basis with your old hobbies. what you can do to help by talking on the this be a positive expe- phone, sending emails rience for them. or making video callS.62

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WITH YOUR MIND( )gamesCRUCIGRAMA Nivel fácil SUDOKU A B C D E FG H I J K L SOLUCIONES1 Horizontales Creatividad-Ma-Anemia-Límites-El-Galón-Efe-2 Seno-Altar-To-Sueño-Ga-End-Mail-Escritura- Olla-Ona-Li-Rr-Gluten-Manos-Otero-Natación-3 Lot-Ara-Aro-Masa Verticales4 Colesterol-Na-Ileón-Limar-Del-Ata-Amigos- Sarna-Tata-Roca-El-Euro-Sir-Vaso-Ing-OO-5 In-Nao-Talón-Dea-Mu-Ut-Am-Et-Ar-Tela- Disfagia-Eros-Eral-Anota678 Nivel medio910111213HORIZONTALES VERTICALES Nivel medio Nivel fácil1. Capacidad que todos los seres humanos A. El cuerpo la necesita para su funcionamien- tienen por naturaleza. to, pero en niveles altos ocasiona proble- mas cardiovasculares. Sodio.2. Voz cariñosa. Empobrecimiento de la sangre.3. Se establecen con el objetivo de educar hijos B. Porción del intestino delgado. Poner la super- ficie de la madera, del metal, de las uñas, u libres, autónomos y responsables. otra cosa lisa y sin asperezas con la lima.4. Título divino. Insignia que indica la jerarquía mili- C. Contracción gramatical. Amarra. tar. Agencia de noticias. D. Son fundamentales a la hora de cons-5. Pequeña cavidad que se forma en una llaga. truir relaciones enfocadas en la com- Lugar elevado, mesa o piedra donde se realizan prensión y la estabilidad. Enfermedad ritos religiosos, sacrificios u ofrendas. contagiosa de la piel.6. Preposición del inglés. Necesidad fisiológica, en E. Niñera. Piedra grande. la que el cerebro consolida la memoria e infor- F. Pronombre. Moneda del viejo continente. mación recibida durante el día. Galio. Tratamiento inglés.7. Fin de la película. Correo electrónico. G. Recipiente para beber. Gerundio del inglés.8. Sirve como terapia para liberarse y dejar salir sentimientos. Doble abierta.9. Utensilio de cocina. Fueguino. H. Estar a la moda. Nave. Parte posterior del10. 51 romanos. Consonante repetida. Eliminar esta pie humano, de forma redondeada. proteína de la dieta sin razón puede ocasionar I. Organismo antidrogas. Voz de la vaca. problemas de salud. Do, antes.11. Lavárselas antes y después de manipular alimen- J. Temprano. Conjunción latina. Voz de tos evita enfermedades diarreicas. Cerro aislado mando. Nube que se forma sobre la niña que domina un llano. del ojo.12. Se dice que es uno de los ejercicios más com- K. Se caracteriza por presentar molestias en pletos por sus efectos positivos sobre la salud. el pecho, episodios de acidez, tos y carras- Patriarca hebreo. pera. Dios romántico.13. Altar. Argolla. Mezcla espesa, blanda y consisten- L. Joven novillo. Apunta. te formada al deshacer en un líquido una sustan- cia sólida o pulverizada.64

CONTIGO ( ))CORPORATEVACCINES HELPINACTIVATE ORWEAKEN THEMICROORGANISMSTHAT CAUSEDISEASE.FOR CHILDRENChildren under age six shouldbecome vaccinated in accordancewith the national immunizationschedule, which includes 21 vacci-nes and prevents 25 diseases.SHORT-TERM EFFECTSSome symptoms that may occurinclude pain at the site of the injec-tion, fever or rash. These shouldimprove after a few hours.GET AN ASSESSMENTParents are recommended to keepan immunization record for theirchild and to protect them fromdiagnoses such as polio androtavirus, among others. 2 TO 3 MILLION DEATHS A YEAR ARE PREVENTED BY VACCINES, ACCORDING TO THE MINISTRY OF HEALTH AND SOCIAL PROTECTION OF COLOMBIA. 65

( )CORPORATE STAYING HEALTHY AAs we celebrate the International Day of Older Persons, which is AS YOU AGE held on October 1 each year, Coomeva Private Healthcare would like to Establishing safe environments highlight a few tips that can help in caring and fostering healthy habits in for the elderly and in meeting their main old age, makes this phase of needs and requirements. adulthood more enjoyable. The idea is to provide them with pro- per care that benefits their health and integrity when dealing with potential changes that can occur with old age. These changes can include a decline in hearing, vision and mobility, and even the onset of other diseases, as the World Health Organization explains in the World Report on Aging and Health. The report states that life expectancy can reach 80 years or more in developed countries, a piece of information that can •encourage us to give more importance to the activities of this phase of life66

1 ( )CORPORATE specialEAT WELL 23Eat foods that help lead to a STRENGTHEN CHECK VISIONbalanced diet including fruits THE MEMORY AND HEARINGand vegetables. It is importantto reduce the intake of salt, Do exercises that stimulate the These two senses are the senses that aresugar and alcohol, as well as brain. Staying socially active most affected in old age. Glasses or hea-prepare foods that are easy to and finding new hobbies such ring aids should not be used without thechew and digest. as reading or doing crossword advice of a doctor, however. It is best to puzzles are good options for see a specialist at least once a year or4 keeping the mind active. according to a doctor’s recommendations.EXERCISE 5 6Swimming and even walking at least PREVENT WATCH ORAL30 minutes a day not only improves FALLS HEALTHstrength, it also helps prevent cardio-vascular disease, diabetes or condi- Avoid walking on moist or closed- It is important to have good tooth or denturetions related to being overweight. off floors. Hold on to something hygiene. If dentures are used, brush and clean when using the stairs and always them every day and place them in a glass of7 use shoes with a non-slip sole. water at night. See your dentist regularly.MONITOR 8MEDICATION GET GOOD SLEEPBe sure to tell doctors about all medi- This is one of the main problems ofcations that are being taken. Write old age. Follow a set schedule fordown the instructions for taking them going to bed and waking up, avoidand always take them at the same taking long naps, and have a placetime. Do not self-medicate. that is quiet, the right temperature and is relatively dark. 67

( ))CONRPTOIGROATE xxxxxxxxxPERSONAL HEALTHORAL HEALTH: A REFLECTION OF YOUR Conditions of the mouth such as cavities or gum disease, may be related to different disorders and health conditions such as cardiovascular disease, diabetes and gastrointestinal problems. 68

ADVISOR ( )CORPORATE OLGA NANCY GALEANO RUIZ 69 Dentist, practitioner at Coomeva Medicina PrepagadaThere is increasing evidence of the close relationship between oral health and overall health.Accumulated food and bacteria in theteeth and gums causes changes in the PHof the oral cavity, which can lead to cavitiesand gum disease. These two conditions arerisk factors for developing or worseningsystemic diseases or organ damage such asheart problems, kidney problems, diabe-tes, cancer, anemia, high blood pressureand HIV/AIDS, among others. Heart disease has been found to be rela-ted to gum disease, as the bacteria and theprocess of periodontitis can have an effecton the vascular system. This can lead tothe accumulation of cholesterol, causingarteriosclerosis or thrombosis, which inturn may lead to this heart condition. A study conducted by the ErieCounty Medical Center in the U.S.found a connection between the presen-ce of bacteria and plaque, and respira-tory conditions such as pneumonia. People with poorly controlled diabe-tes are three times more likely to havegum disease. This disease affects one ofevery four people between ages 35 and45. With 4 of every 10 people over age65, it can be a precursor to and lead tothe developing diabetes.CONDITIONS OF THE MOUTHDentist Olga Nancy Galeano Ruizexplains that according to a recent articlepublished in the journal Dentistry Today,studies have found evidence for there tobe a connection between oral health andsystemic diseases, as these affect thehealth of the tissues in the oral cavity. Depending on the seriousness of thedisease, this can cause bleeding gums,tooth migration, chronic bad breath orsalivary problems (acidic or turbid saliva).

( )CORPORATE for your smile PREVENTION Social and lifestyle factors such as education, poverty levels, restricted access to immediate healthcare ser- vices, and family practices and habits can lead to oral health conditions. This is why it is important to take self-care actions such as: ► Becoming educated on oral health and setting healthy habits ► Maintaining a healthy diet ► Visiting the dentist regularly ► Limiting alcohol consumption ► Not smoking Caring for someone’s health requires a multidisciplinary approach between dentists and other healthcare profes- sionals such as endocrinologists, cardiologists, gynecologists and pri- mary care physicians. Malocclusion (a problem in the DENTAL ELITE alignment of the upper and lower teeth when chewing) can also lead to digestive Coomeva Private Healthcare has a problems as food is not chewed properly Dental Elite program that is designed and nutrients are not absorbed properly for patients to achieve and maintain during digestion, which can lead to good oral health. nutrition problems. To learn more, call 018000931666 or go to our webpage: http://medicina- During pregnancy, hormonal changes prepagada.coomeva.com.co. occur that affect the gums and mouth and can cause the gums to become infla- Dr. Galeano suggests that oral health med, gingivitis and gum disease. During conditions, and those that are caused by this time of life, oral health and special them, be treated by an interdisciplinary care from a professional is necessary. •team in order to stabilize the patient’s Studies have found that the conditions of the oral cavity can be a risk factor for health quickly pre-eclampsia and may be tied to the baby’s development and growth related to them being underweight or premature. Prenatal and postnatal visits to the dentist during each trimester of the preg- nancy are recommended in order to pro- vide timely intervention.70

( )10%Descuento delCORPORATE en la Rebaja Virtual Como usuario de Coomeva Medicina Prepagada, Coomeva Emergencia Médica (CEM) y Coomeva Salud Oral disfruta de este beneficio exclusivo:Términos y condiciones del convenio: 10% de descuento en larebajavirtual.com Indispensable registrarse e iniciar sesión en larebajavirtual.com antes de hacer la primera compra. El descuento no es válido para compras hechas en puntos de venta físicos. Válido para todo tipo de pago. El descuento por la tienda virtual no aplica en leches, cereales infantiles, leches formuladas o maternizadas, cigarrillos, celulares, recargas, pines, tarjetas prepago, planes de telefonía celular voz y datos. No aplica tampoco al valor de los servicios de domicilio, entrega nacional, baloto, servicio de báscula, glucometría, inyectología y toma de presión. larebajavirtual.com es el canal de ventas por internet de La Rebaja Droguerías y Minimarkets. El descuento aplica para medicamentos, productos para el cuidado personal, productos de aseo y hogar, alimentos y bebidas. Conoce más en: medicinaprepagada.coomeva.com.co Medicina Prepagada Nos facilita la vida 71

( )CORPORATE preventionESTABLISHING A ROUTINE FOR AHEALTHY DAYCoomeva Private Healthcare For many, taking care of oneself is part of a invites its members to lifestyle that was learned as a child. For others, this is a transformation that must use the following guide to occur by changing one’s habits, which can have have an energy-filled day. a direct and positive impact on people’s everyday lives. It is important to remember, however, that emotions can also manifest in the body, which is •why it is so important to have peace of mind. So smile, think positively and live a happy life Remember to visit www.cuidarteesquererte.com to learn about more health tips.72

Con Coomeva Emergencia Médica ( )CORPORATEtienes 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. 73 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 directory UPDATED CONTACT INFORMATION NEW PROVIDERS MEDELLÍN RIONEGRO MEDELLÍN Head and neck surgery, chest Clinics, medical centers Cardiac Electrophysiology surgery, hepatobiliary and hospitals Jorge E. Velásquez Vélez surgery, oncologic plastic Centro Médico Santa Ana S.A.S Address: Cra. 43 # 36 - 02, cons surgery, oncologic dermato- Address: Calle 52 # 51 - 41, 1106, Centro Comercial San logy, gynecology and Intermédica Diego, Torre Falabella, Piso 11 obstetrics, diagnostic 3220573 2626110 imaging, clinical and patholo- gical laboratory, mastology, Gynecology and Obstetrics Pediatrics clinical oncology, pain treat- Jaime Betancourt Marín Claudia V. Uribe Echeverri ment and palliative care, Address: Calle 42 # 56-39, cons. 211 Address: Diag. 75 B # 2A - 80, and urologic oncology. 5314829 cons 209, Torre Médica Fundación Colombiana de Las Américas Cancerología Clínica Vida Orthopedics and Orthopedic 3459202 Located at: Surgery 1. Av. 33 # 63A - 18 Gustavo Consuegra Restrepo RIONEGRO 2. Calle 7 # 39 - 197, piso 3, Address: Medical Center, km 2.2, General Medicine Torre Intermédica towards the airport, in Llano Jhon Jairo Hoyos Betancourt 4440016 - 3225302 Grande, vereda La Convención. Address: Calle 30 # 30 - 65, 4483333 El Carmen de Viboral Dermatology 5432173 Víctor D. Grajales Hernández Address: Cra. 46 # 54 - 14, cons. 1505, Edificio Comedal 2515835 Ophthalmology Ana María Rodríguez Gómez Address: Cra. 48 # 19A - 40, cons. 1519, Clínica Oftalmológica 4442869 Orthopedics and Orthopedic Surgery Luis F. Galindo González Address: Calle 4 sur # 43 AA - 26, cons. 202, Edificio Formacol Torre Plaza 2681199, ext. 23174

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