( )WITH YOUR WORLD grandparents THE VALUE OF RECONNECTING…1 STAYING CON- 2 WITH OR 3 LEARNING NECTED WITHOUT PAY SOMETHING THROUGH NEW THE INTERNET One option is to continue working. According to Moncada, it can be In addition to stimulating the mind The elderly have a wealth of interesting to explore activities that and body, playing an instrument, knowledge that should not be lost, the person always wanted to do learning a language or developing and without a doubt, technology is but never could: inventing models a skill such as dancing are potential one of the most effective commu- of partnership with other friends or activities that after age 60 offer nication tools. Many people that professionals, starting business vitality, happiness and generate thought they could never use a endeavors based on the positive sensations. Over the years, computer and that it was knowledge gained from working our ability to react slows, the something exclusive for their chil- years, or seeking hourly work in speed at which we learn decreases dren or grandchildren, have beco- something the person is passionate and our memories shrink. It is pos- me leaders in the virtual world. about either as a tour guide, spea- sible, however, to slow this process Creating a blog, or even becoming ker or chef. These are ways to stay down and keep the mind active. a youtuber, are ways for the elder- cognitively and socially active and Cognitive stimulation significantly ly to share what they know so well even get an income. reduces the risk of disability and with the world and for others to premature death in older adults. learn from them.4 A BETTER WORLD 5 ALTERNATIVES IN NATURE This is the time to meet together with a group of friends or professionals to establish a club or social Another beneficial way to spend your time as an older adult is network that promotes the flow of ideas on world to focus your creativity on something you find pleasurable. You issues and help find effective solutions. This social don’t always have to try to change the world or create a new interaction is also wonderful, as it is almost always business venture. Happiness is fueled by daily basis sensations unpredictable, so there will always be something new that often go by unnoticed and situations that make us feel to experience. Social contact is a solid strategy for good such as the environment surrounding us, the highway, avoiding loneliness, social isolation and depression, flowers, and the landscape. One way to stimulate your creati- which is very common in this age group. vity in these spaces is to participate in outdoor activities such as joining birdwatching, hiking or traveling clubs. 51
ACDPMIRNISTTEORINCG HILDRENImmediately upon recognizing YEthat pediatric heart failure hascaused a child to collapse, seekthe help of those around youand treat the victim according tothe following guidelines. ADVISOR CAROLINA GÓMEZ, PediatricianIf you are with someone, ask another individual togo get an automatic defibrillator and dial 123 whileyou remain alongside the victim. If you are alone,use the speaker option on your cell phone to call123 while you begin administering CPR. Check the victim’s pulse for 10 seconds. 10’’ Children younger than 1 Children older than 1 CAN YOU FIND A PULSE? YES NO
3-5’’ Provide mouth-to- 2’ Check for a pulse nose resuscitation if every 2 minutes. the victim is younger If no pulse can be USING A than 1, or mouth-to- detected or if the DEFIBRILLATOR mouth resuscitation pulse is less than 60 if the victim is older. beats a minute, begin ► Give 1 breath every cardiopulmonary resuscitation (CPR). 3 to 5 seconds.ES THERE IS A PULSE, BUT THE CHILD IS NOT BREATHING NORMALLY >NO THERE IS NO PULSE OR BREATHING, Step 1. OR THE CHILD IS JUST GASPING FOR AIR Press the “on” button. ► Begin CPR ► Do 30 strong and quick chest compressions without stopping ► After the compressions, give the victim 2 pumps of air or ► 2 breaths CHEST COMPRESSIONS For children younger than 1 Children older than 1 Step 2. ► If you are with someone, ► Place the base of your Position the electrodes and follow place both of your thumbs interlaced hands in the the device’s audio prompts. in-between the infant’s ribs center of the chest on and wrap the rest of your top of the breastbone. Step 3. fingers around the chest in Keep your arms straight When the device indicates, press a light hold. and use the movement ► If you are alone, do this by of your shoulders to do the “shock” button. placing two fingers just compressions. below the nipples on an Immediately after the shock, continue imaginary line that passes with CPR and after 2 minutes, use the through the breastbone. defibrillator to check the heart rate 2’ Continue cardiopulmonary resuscitation by checking the again. Repeat this process until the vic- pulse every 2 minutes until the defibrillator (AED) or tim recovers or professional help arrives. ambulance arrives.
WITH YOUR WORLD( )X-ray POLYCYSTIC OVARIAN SYNDROME 75% This is a treatable condition that is A TIMELY DIAGNOSIS OF WOMEN THAT generally associated with hormonal imbalances HAVE THIS SYNDROME that, among other issues, can lead to changes in SUFFER FROM the menstrual cycle, ovarian cysts, and difficul- INFERTILITY. ties getting pregnant. It is critical for patients to see their doctors while they are healthy to prevent subsequent diseases such as high blood pressure and lipid profile disor- der. Similarly, during pregnancy, women who have this disorder will likely develop gestational diabetes or preeclampsia. EACH CASE IS ADVISOR 7% DIFFERENT EUGENIO ESCOBAR OF WOMEN WILL The following symptoms may be OB-GYN SUFFER FROM warning signs: infertility, amenorrhea POLYCYSTIC (absence of menstruation), diabetes, (KEEP IN MIND) the appearance of hair in areas OVARIAN SYNDROME where hair typically grows on men The syndrome is commonly diagno- THROUGHOUT THE (beard and chest), acne, obesity and sed in women between ages 20 COURSE OF pelvic pain. Treatment varies and 30. Symptoms may THEIR LIVES. depending on the cause and present from childhood. on the needs of the patient. If a treatment is not performed ade- While there are ways to quately, the risk of endometrial can- manage this condition, there is no perma- cer increases as the result of the nent cure. hormonal imbalance. This disorder is detected through a transvaginal ultrasound, which helps examine the ovaries accura- tely and thoroughly.54
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WITH YOUR WORLD( )for herMOTHERHOOD ADVISORS WITHOUT LOSING YOUR CARLA M. ÁLVAREZ GALLEGO, Psychologist WOMANHOOD LILIANA FRANCO N., OB-GYN Motherhood brings new challenges. It is easy to disappear into a different Throughout this process, it is important for world when a new being arrives: youwomen to stay in touch with their femininity are tired, you are experiencing physi- cal changes, and it seems that this child a and keep their relationship a priority. new part of the household demands all of your time. As Carla María Álvarez Gallego explains, psychologist at the Prado Clinic, new mothers experience a series of changes in their ways of thinking and feeling, in their lifestyle, and in how they perceive themsel- ves in the family and in a relationship. These transformations must all take place while the mother is creating an emotional bond with their child. “Being a mother is a process that leads to a series of internal or mental conflicts that the woman must resolve little by litt- le as she adapts to her situation and takes the reigns of her experience in motherhood,” explains Álvarez. In an ideal world, she adds, all women would have psychological support once they began their prenatal checkups in addition to medical and nutritional assessments. PHYSICAL ASPECTS During the first few weeks, mothers worry about their body image, as they are diffe- rent now when they look at themselves in the mirror. The weight and loose stomach muscles that remain after the distension of the abdominal wall is one of the most visible changes. While this is a natural part of the process, it can have a psycholo- gical impact because “…many people con- tinue asking her if she is still pregnant, or joke about ‘there being another one in there,’ which has an effect on her. The changes the body undergoes to support the size of the uterus are rather signifi- cant,” affirms Liliana Franco Nolivos, OB- GYN also at the Prado Clinic. There are other more physical situa- tions such as hair loss or the retention of56
( )WITH YOUR WORLDfluids that affect the body. But as Franco that she can call her own. While it is true 1says, “Everything has a solution. Just as that newborns require a lot of attention,we explain that the experiences during she should still be able to enjoy her OF EVERY 6 WOMEN THATpregnancy are side effects and not ill- motherhood; not all of her energy and life GIVE BIRTH EXPERIENCEnesses such as vomiting or back pain the should not revolve around the baby: “She POSTPARTUM DEPRESSIONsame goes for the postpartum period; at should take time to rest and connect with WHERE THEY MAY FEEL FATI-some point everything will return to nor- herself. She is still the same woman she was GUE, SADNESS AND STRESSmal. Everything gets better, so much so, before, just that her situation has changed.” FOR A BRIEF PERIOD BEFO-that women even get excited about havinganother child.” It is important to feel like a woman, feel RE RECOVERING. empowered as a woman, and feel theADAPTING strength of femininity in all of its aspects. POSTPARTUMMaking space for this new one involves pre- This is part of daily life: if she liked to do DEPRESSION?paration; but even if the planning has been exercise before she was pregnant, upondone, each moment of motherhood brings physician approval, she should return to “Many women can experience this con-new challenges. Mothers will encounter a her routine; if she liked meditating or dan- dition and not exactly know that theyseries of emotions that are not always plea- cing, she should spend some time doing are facing a phenomenon that is a natu-sant, such as changes in mood. Mothers these activities; she can also care for her ral part of the changes that occur aftermay even feel guilty for feeling overwhel- own image and wear makeup or get dressed a baby is born,“ explains psychologistmed, despite her desires to have the baby as up to feel beautiful; and she can also return Carla María Álvarez. Some warningpart of her life plans. These emotions are to having fun with her friends or go to a signs of this condition are:related to the hormonal changes that are an movie. In general, she can and should allow ► Changes in mood, irritability, insomniainherent part of the postpartum period. herself to do activities that comfort her. and a lack of appetite. Mothers should pay careful attention to It is also important to not lose sight of ► The mother begins to develop thethe emotions they experience and to the taking time to be a couple. In the first fewthoughts that arise, as this will help them months after a birth, it is very common for feeling that she is not capable ofidentify if they are suffering from postpar- all the parents’ concentration to be placed taking care of her baby or of herself.tum depression, for example, (see Helpful on the newborn. “Not all their energy ► Unease with various areas of theTips), giving them the opportunity to seek should be placed on the baby, even if it’s a mother’s life (relationship and familyhelp if necessary. Being emotionally groun- novelty for the parents. As long as both life) and a loss of interest in activitiesded is key to dealing with this new role. partners have a solid relationship, the work that she once enjoyed. of being a parent will go more smoothly,” Tip: It is important for women to allow Given this new context, how can adds Álvarez. themselves to recognize how this newmothers be a support to themselves to not role makes her feel: vulnerable, inse-lose their femininity? According to psycho- Support from the baby’s father and cure or afraid, “It is therefore recom-logist Carla María Álvarez, the primary from family, as well as knowing that her mended she connect with her ‘self’ torecommendation is for her to have a space take on this role and face her own •child is in good hands, is important to her shortcomings.” feeling at ease 57
WITH YOUR WORLD( )go natural COOKING TECHNIQUES FOR A HEALTHY KITCHEN Cooking healthy requires having the right ingredients and precision. Try different healthy cooking methods such as steaming, baking, barbequing or poaching. ADVISOR Steamed rice without salt or oil and common everyday foods such as beef, MARIANA Spanish tortillas are two examples of chicken and vegetables. ARANGO, chef healthy cooking that can offer both wellbeing and flavor for the ones you feed. The more you avoid fried foods, the better. Eating healthy is not just about selecting the Oil has its nutritional properties, but only in right ingredients. Having the right cooking the right amount. The key is to use other techniques also plays an important role of techniques that, although they appear to be cooking at home by experimenting with •simple, can be accompanied with side dishes to make the dish a little more exciting58
( )WITH YOUR WORLD STEAMING BAKINGSteaming is perfect for In the oven, with the steam thatmeats, vegetables and rice. comes from the water of theBe precise about the time food item itself, and togetherwith this method, as over- with the change in temperatu-cooking can make foods re, this forms an outer crust onlose their nutritional value meats that help retain moistureand leave them dry. Fish or and therefore keeps the juicechicken work well with this in. This technique is perfect fortechnique. Make a sauce chicken, Spanish tortillas, pota-so these foods are not toes with garlic and vinegar,plain. Seafood, vegetables and breaded dishes in general.and potatoes also good As it does not require oil, theoptions. herbs and spices used leaves these dishes tasting great. BARBEQUING POACHING (EN PAPILLOTE)Barbequing does not require This technique is commonlycooking oil, although a little used and recommended bycan be added to the meat chefs. It consists of cooking awhen cooking. One healthy food in a heat-resistantchoice is to barbeque or grill pouch or parcel such as alu-chicken breasts after they minum foil. It can then behave been thawed for a few baked in the oven, placed indays in the refrigerator. a frying pan, grilled or placedAnother alternative is to use in the microwave. Like stea-grilled chicken to make a ming, this technique cookssandwich, salad or soup, the product in its own juices.perhaps with a side of rice. It is also great for cooking fishDo not overcook meats, it is with vegetables on top.okay to eat meats that arestill a little raw. 59
WITH YOUR WORLD( )for him HEMOPHILIA, DOEWSHNENOBLTOOCD LOT In order to prevent serious complications, greater precautions should be taken with the cuts or bumps of those who live with this condition. ADVISOR Why does our blood clot? Put sim- World Federation of Hemophilia (WFH) LAURA DÍAZ ply, this process helps prevent explains that the hemophilia gene is pas- Hematologist the body from bleeding after an sed on from one of the parents to the accident, surgery or any type of injury. For child. For example, if the father has 1.600 people with hemophilia, however, even hemophilia, but the mother does not, the slightest bump can turn into a very none of the male children will develop PEOPLE IN COLOMBIA HAVE delicate situation. this condition; however, all the daughters HEMOPHILIA A AND 361 HAVE While it cannot be prevented or transmi- will carry the gene for it. HEMOPHILIA B, ACCORDING TO tted, it can be inherited. Hemophilia is a As Díaz clarifies, provided that women THE COLOMBIAN ALLIANCE condition that affects men more than have two X chromosomes, if one is alte- women. According to Laura Díaz, hema- red, the healthy one will work twice as FOR HEMOPHILIACS. tologist from the Pablo Tobón Uribe hard, which is why women will not Hospital, women develop the condition develop this condition. Therefore, only in very rare cases, “This is a heredi- because women who are carriers have a tary disorder that affects coagulation normal and altered copy of the gene, and is caused by the lack of an essential they can pass any of these copies onto protein necessary for blood to coagulate. their children. Women then have a It is also associated to the X chromoso- 50% chance of passing the altered gene me, which means that women are onto each child; and the males who carriers, but men are the ones that will inherit the gene from their mother will have the condition.” have hemophilia, while the females will To further understand this issue, the only be carriers.60
( )WITH YOUR WORLDMILD, MODERATE AND SEVERE (Hemophilia is a hereditary bleeding disor-While there are two types of hemophilia der caused by the lack of a blood clotting fac-(hemophilia A and hemophilia B), the tor. When this factor is lacking, blood cannotseverity of this condition is determined by clot to stop the bleeding.how it manifests in each patient. As Díazpoints out, hemophilia A is characterized explains, the main form of treatment is psychologist and a dentist, “If this team ofby having a factor VIII deficiency. This an injection of the clotting factor that is professionals can establish a commonform of hemophilia occurs in approxima- missing in the bloodstream. This can be approach, the patient will be well infor-tely one of every 5,000 to 10,000 live done periodically or when needed. med and can almost lead a normal life,births, and 60% of cases are severe. Preventative treatment like this is without restrictions to their daily activi-Hemophilia B has a factor IX deficiency known as “prophylaxis,” the frequency ties,” Díaz indicates.and occurs in one of every 30,000 live of which is determined by the type of Last, to lead healthy lives, people withbirths, 50% of which are moderate to hemophilia the patient has. hemophilia should include a balancedsevere cases. To manage the disease, it is important for diet and physical activity. Avoiding con-So how can you detect it? In general, its the person to receive multidisciplinary tact sports and competitions is suggested,first indications occur in childhood. If the care under the coordination of a hemato- as well as always using protective gear thathemophilia is mild, however, there may be logist and with the support of a nutritio- is appropriate for the activity, and of cour-no warning signs. Other situations that nist, sports medicine specialist, physiatristcould spark concern include spontaneous or physical therapist, orthopedic doctor, •se, always following the guidelines of ableeding (in the gums, for example), andbleeding after circumcision or after giving specialist in sports medicinea blood sample.With moderate to severe hemophilia, HOW IS THE DISORDER DIAGNOSED?the bleeding is more obvious. Wheninfants who have severe hemophilia are The disorder is diagnosed through a blood test that measures the deficient clo-born, up to 3% can have central ner- tting factor. A healthy person generally has clotting factor concentrations thatvous system hemorrhages or intracranial are greater than 40%. Depending on its severity, however, hemophilia is diagno-hemorrhages. They can also experience sed according to the following indicators:spontaneous hematomas, which may ► Mild: When the factor concentrations in the blood are lower than 40% butoccur in the abdomen or in the joints(known as hemarthrosis) and leave greater than 5%serious damage including permanent ► Moderate: Under or equal to 5%, but greater or equal to 1%neurocognitive deficits, joint problems ► Severe: Factor concentrations under 1%or limited mobility.“If the birth went smoothly and the umbi-lical cord did not bleed, you can begin tobe concerned if child begins to experiencehemostatic challenges; for example, if theimpact of the knee on the floor from cra-wling makes the child bleed, or if theyexperience abnormal bleeding from thenormal traumas that occur when they arelearning to walk,” Díaz warns.HELPS CLOTThere is no cure for hemophilia. As theU.S. National Library of Medicine 61
WITH YOUR WORLD( )your generationHELPING YOUTHBUILD THEIR FUTUREYouth ages 15 - 24 that neither study or work have beengiven the name ninis in the Spanish-speaking world, theequivalent of the English term, NEET: a young personwho is “Not in Education, Employment, or Training.”Help these youth integrate into society. ASESORES One of every five youth in Latin In another study conducted by the JUAN DIEGO America, fall into this category: Development Bank of Latin America, in TOBÓN LOTERO they neither study nor work. In Colombia the “ninis phenomenon,” as Spanish, these youth are popularly refe- the report referred to it, is at a rate of Psychologist rred to as ninis (ni estudia, ni trabaja) 20.6%. The report also proposes a concept HERNANDO and account for over 20 million people that can serve as a foundation forBERNAL ZULUAGA in Latin America between ages 15 and analyzing other causes that lead to situa- Psychoanalyst 24, a figure from a study published by tions like these, “Adolescence the connec- the World Bank in 2016. The study’s tion between childhood and adulthood is report explains that the most common a unique time in life when people make way people become part of this group is the transition between the educational sys- by abandoning their studies to begin to tem and the job market. Instability is not work, often in the informal sector. unfamiliar to this transition period and is Unemployment often follows as well as part of the need people have to adapt and a lack of opportunities for working in discover during each new stage of life.” the formal sector as a result of this lack of education. Hernando Bernal Zuluaga, professor of the Psychology and Psychoanalysis It is a vicious cycle. While studies Program at Luis Amigó University in report that almost 60% of this group Medellin, says that this is a modern issue, come from poor or vulnerable “…that has become exacerbated this cen- households, this situation is not exclusive tury. It’s like a symptom of contempora- to low socioeconomic sectors. neity or a symptom of society, if you will.”62
( )WITH YOUR WORLDA NEW “WORK” ORDER that many of them “get used to,” settingFamilies should pay attention to the inte- there are very few of them.” For Juan them up for a situation where they do notrests youth have; if they are motivated Diego Tobón, we need to regain society’s want to study or work even more. “If youabout any type of work endeavor, it is trust in life and continue developing think about the first half of the last century,best to support them. It may be a reality, alternatives to be together. “It is impor- this almost never happened or was rare, asas Hernando Bernal Zuluaga points out, tant to continue to support the act of the children were responsible for studyingthat many think about becoming business self-questioning, as it often appears that or working. Even if the child did not study,professionals and earning a fortune the outside world is what needs to be the father would send them to work.”without the skills to do so, “while there changed, when really, we need to changemay be situations of this happening, how we see ourselves and our reality.” DIFFERENT CAUSES If you were to ask several groups of youthAccording to Bernal, questions need to be order and helps exert an authority that from different socioeconomic sectors andasked that delve beyond the causes of a lack leads to responsibility getting passed onto different public and private schools if theyof opportunity or economic shortcomings. its members including children, of course. had ever thought of quitting their studies What is going on that makes paternal func- at some point in their lives, explains psy- “We have to ask what is happening with tion appear as if it is not working?” chologist Juan Diego Tobón, most wouldour society, what is happening with our say “yes.” But not all drop out or opt outfamilies, and especially what is happening In Bernal’s opinion, these issues need to of the working world.with what psychoanalysis calls ‘paternal be brought up because “…someone ends upfunction,’ which sort of keeps the family in having to support these kids,” a situation Beyond being a socioeconomic issue, the ninis phenomenon also seems to be related to a vital and existential phenome- 63
WITH YOUR WORLD( )your generation 66% non: “disillusionment with the standards TOO COMFORTABLE for adult life, a lack of credibility among OF NINIS ARE WOMEN, ACCOR- the rhetoric of established institutes and Fixing this phenomenon is a societal DING TO FIGURES FROM THE the establishment of new parameters of commitment. For families and parents modern pleasure (hedonism). This has that do not manage to pass the responsibi- WORLD BANK. become more critical throughout the last lity of their children’s future onto them, decades, but it is not a global or all-encom- that do not encourage their children to passing phenomenon. There are hun- think about what they will to do, or about dreds of thousands of youth that clearly what type of profession they want to have, enjoy school and work life that develop Hernando Bernal Zuluaga invites them to pathways for their lives and are greatly give this issue some thought. Many “… motivated, both internally and externally. parents have turned into providers and spoil and please their children too much. The individual factors of each person Why would they want to study or work? also influence this situation: “While those They are comfortable where they’re at.” in upper socioeconomic sectors 5 and 6* may experience factors that discourage As Juan Diego Tobón states, it is cru- them, those living in disadvantageous situa- cial for social networks to be created tions may experience factors that encourage among parents, schools and society: “The them. There will always be an issue that development of youth doesn’t just must be understood in different ways and suddenly happen; they are also a product from an endless variety of perspectives.” of the opportunities adults have created for them. And more than being ‘our fault,’ the way they approach things has to do with how we interpret the world and create a reality. It’s a group effort.” While a case by case analysis would need to be done, the majority of these youth do not think of the future or of planning, but of living day by day, as the specialists suggest. They may experience the social pressures of not working or studying, but depending on their personal situation, they do not manage to move beyond that, or put things off because it’s easier or because of a lack of opportuni- ties. They often prioritize enjoying the here and now over the future. Ninis are a sign of social transforma- tion that has an impact on two spheres of development: education and employment. Whether because of socioeconomic rea- sons, disillusionment with what life has to offer, or any other reason that leads them to veer away from these two spheres, work must be done for them to develop their potential and bridge the gap. Let this be an •invitation to think of ourselves as indivi- duals, as family and as society64
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WITH YOUR WORLD SUDOKU( )gamesCROSSWORDS Nivel fácil Nivel medioHORIZONTALES VERTICALES SOLUTIONS1. En una elaboración, puede alterar el contenido A. Es la manipulación a la que se someten Horizontales de nutrientes. ciertos alimentos para prepararlos. Una Temperatura-Ene-Mo-Aga-Papillot-Noa-In-Ra- técnica culinaria que mejor conserva el Microondas-Clo-Aa-Oo-Aura-Plancha- Fin-Al-2. Cantidad indeterminada. Molibdeno. Pimiento valor nutricional de los ingredientes. Veo-Fritura-Sara-Sa-Nn-Paicol-Trios-Salteado- de las Indias. Re.Loa-Renta B. Preposición. Lutecio. Verticales3. Se trata de una cocción que se hace en el C. Transformación de una cosa en otra. Técnica-Vapor-En-Lu-Metamorfosis-Ai- mismo jugo del alimento. D. Perezoso de Suramérica. Embarcación Acal-Empaca-Rolo-Roa-Rap-Falta-Pio-Lar- Trino-Alistar-Non-Tarde-Ral-Doc-Ion-4. Río de España. Estar a la moda. Radio. mexicana. Agora-Horno-Atasca-Ansía5. Buen método de descongelación de carnes, ver- E. Alista sus maletas. Bogotano. F. Parte de la quilla,. Ritmo moderno. Escasez. duras, entre otros. G. Devoto. Hogar.6. Voz propia de la gallina clueca. Sigla abstemia. H. Gorjeo. Preparar. I. Impar. Fuera del tiempo considerado opor- Doble vocal abierta.7. Viento suave y apacible. Es una forma ideal para tuno. J. Artesa chilena. El doctor, en casa. Átomo. la elaboración rápida de un menú. K. Plaza griega. Es una táctica lenta, pero per-8. Término. Contracción gramatical.9. Miro. Consiste en crear una costra en el exterior mite cocinar piezas más grandes. L. Atora. Anhela. del bocado.10. Madre de Isaac. Clase de sociedad. Sin identifi- cación.11. Municipio del Huila. Conjuntos de tres.12. Es una cocción rápida en sartén que permite remover y voltear la comida.13. Nota musical. Alaba. Alquiler. Nivel medio Nivel fácil66
)CORPORATE 5 MINUTES IS HOW LONG THE PROCEDURE LASTS. WHILE IT CAN BE UNCOMFORTABLE, IT IS NOT PAINFUL.WOMEN WHO ARE SEXUALLY ACTIVE SHOULD GET ANNUALEXAMS, WHICH HELPS WITH RECEIVING A TIMELY DIAGNOSISAND REDUCES THE RISK OF CERVICAL CANCER.THE PROCESS REQUIREMENTS FOR THE PROCEDURE BE CONSISTENTA tissue sample is taken from the cervix The woman cannot be menstruating and It is important to repeat the exam eachto detect abnormalities which helps should allow for at least three days to year. Precancerous lesions and cancer inidentify cancerous lesions on the cervix. pass after her cycle has ended. Sexual its initial stages often present themsel- relations should be abstained from three ves without warning signs or symptoms. days prior to the exam.
( )CORPORATE special PREVENTION IS THE BEST MEDICINE With a proper diagnosis, it is possible to reduce the chances of having cancer as well as its risk factors. At Revistasaludcoomeva.com you can access more information on cancer prevention Sources: World Health Organization and the National Cancer Institute
OTHER RISK FACTORS ► Viral hepatitis B and C cause liver cancer, human papillomavirus (HPV) infection causes cervical cancer, and the bacterium Helicobacter pylori increases the risk of stomach cancer. ► Air, water and soil contamination from chemical products causes between 1% and 4% of all cases of cancer. Exposure to carcinogens can also occur through food that is contami- nated by these types of substances. ► Ultraviolet radiation, and solar radiation in particular, cause skin conditions.Each year on February 4, World Cancer Day is held as an opportu- nity to increase awareness and bringattention to the fact that all of us as indivi-duals and as a collective can help preventand control the rising number of cancerdiagnoses through strategies that targetprevention, early detection and palliativecare. In this vein, Coomeva PrivateHealthcare welcomes its affiliates and theirfamilies to identify the most common fac-tors that can be modified to decrease therisk of the onset and development of thisdisease such as tobacco use, not consu-ming enough fruits and vegetables, theexcess consumption of alcohol and a lackof physical activity. Implementing thesepreventative measures can help reduce thisdisease’s mortality rates. According to the World HealthOrganization, the most preventable formsof cancer include breast cancer, cervicalcancer, oral cancer and colon cancer as theyhave the highest chances of being cured ifthey are detected early and treated correctly.The following are five important aspects toconsider when dealing with this condition.
( )CORPORATE 1 special REDUCE 2 3 ALCOHOL CONSUMPTION QUIT AVOID EXCESS SMOKING WEIGHT This reduces the risk of having oral cancer, throat cancer, laryn- This is this is the primary Leading a balanced diet and geal cancer, esophageal cancer, measure for preventing lung getting regular exercise is key intestinal cancer, breast cancer cancer. While there are other to reducing the chances of and liver cancer. Due to the grea- factors that can cause it, the onset of these 10 types of ter incidence of hepatitis C virus, cigarettes are responsible for cancers: intestinal, breast, tobacco use and higher alcohol 80% of all cases. uterus, ovarian, pancreas, consumption rates, liver cancer is TREAT- 5esophageal, kidney, liver, 4three times more common among MENTS: prostate and gall bladder. men than women. The National Cancer Institute explains the prin- PALLIATIVE EARLY cipal cancer treatments: CARE DETECTION Surgery: Removes tumors. Radiotherapy: Destroys This is a comprehensive form of This the most effective secon- cancer cells with radiation support that improves the qua- dary prevention measure for at and shrinks tumors. lity of life of patients and their least four types of cancer that Chemotherapy: Uses phar- families who are dealing with cause the most number of maceutical drugs to kill life threatening diseases, as it deaths in Colombia and in the cancer cells. helps mitigate pain and other world: breast cancer, cervical Immunotherapy: Stimulates symptoms. Palliative care provi- cancer, prostate cancer and the body’s natural defenses des spiritual and psychological colon cancer. Getting tested to fight cancer. support from the time of diag- and screened at the recom- Targeted therapy: Takes nosis through the end of life mended frequency helps diag- specific actions on the and during the bereavement nose the onset of the disease changes that are furthering in order to fight it and increase the growth, division and •period, thereby easing potentia- survival rates. spread of cancer cells. Others: Hormone therapy lly challenging situations and stem cells transplants.70
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( )CORPORATE ADVISOR MARTHA DIUZA, CEM Telesalud institutional CoordinatorMEDICAL The affiliates of Coomeva Emergency Medicine (CEM) andHELP LINE Coomeva Private Healthcare can receive comprehensive healthcare orienta-This service, known as Telesalud, provides tions by phone with Telesalud. This servi-affiliates with orientation from a team of ce can help save a trip to a healthcare faci-professionals. It is another alternative to lity and eases access to immediate orienta-visiting your doctor. tion. Nutritionists, psychologists, nurses and general practitioners are available and trained to provide assistance when it is most needed. “With the safety and support of professionals, we seek to provi- de a tool that offers immediate access in meeting the needs our users; promoting self-care and having a positive impact on the health of our affiliates,” indicates Martha Diuza, CEM Telesalud Coordinator. The program offers the following branches of service: SERVICE LINE ► Teleassistance: Orientation for affiliates in four areas of healthcare: psychology, Affiliates can use this service by calling the free nationwide hotline at 01-800-091-8082 nutrition, nursing and general medicine. Monday through Friday, 7:00 a.m. to 8:00 p.m., and Saturdays from 7:00 a.m. to 3:00 p.m. This phone line provides education, support, security and eases the minds of72 users and their support networks to help to improve their state of health. ► Telecare: Guides and follows up with patients who have chronic health risks or conditions that have been previously iden- tified by CEM. By helping educate patients on preventing health risks, this service encourages patients to adhere to their treatments and improves the quality of life of users and their support networks. ► Follow-up care: Helps complete the pro- cess of at-home medical care service patients receive by focusing on how their health is evolving after a visit with the CEM at-home medical team. The helps verify the patient is following the doctor’s instructions and prescribed treatment, provides education, and offers recom- mendations, among others.
Viajar es la mejor experiencia ( )cuando sabes queCOtRuPOsRAaTElud está protegida A través de nuestra cobertura de Assist Card, cuentas con asistenciamédica internacional ante cualquier emergencia cuando sales del país.Afíliate y disfruta ésta y muchas más coberturas:Programa Oro 35.000 USD o Euros hasta por 90 días 5.000 USD de preexistencia Programa 50.000 USD Oro Plus hasta por 90 díasCooperando es posible Medicina Prepagada Nos facilita la vida El servicio de Assist Card hace parte de las coberturas de los Programas Oro y Oro Pl7u3s y no es necesario activarlo al momento de su viaje.
( )CORPORATE directory UPDATED CONTACT Ophthalmology CARTAGENA INFORMATION María L. Fernández de Castro Vascular Surgery Address: cra. 52 # 84 -98, Jorge Luis Martínez Monterrosa BARRANQUILLA cons. 204 Address: Av. Piñango, Coloproctology, Gastrointestinal 3738919 - 3776323 calle 5A # 6 - 131 Endoscopy and Proctology 3168229345 José Luis Montes Villalobos Orthopedic Surgery Address: cra. 47 # 84 - 141 Alberto Vieco Reyes HATONUEVO 3576069 - 3735966 -3116855080 Address: calle 85 # 50 -159, General Dentistry cons. 413, ed. Quantum Tower. Cenith Pahola Romero Caro Clinics, Medical Centers 3776219 - 3052256245 Address: calle 14 # 15 - 04 and Hospitals 3013719805 Clínica Oftalmológica del Caribe Ear, Nose and Throat Doctor Addresses: Fiorella Arcieri Frend SAN JUAN DEL CÉSAR Cra. 51B # 87 - 50, local 337 - 2A Address: cra. 50 # 82 -168, General Dentistry C.C. Viva cons. 1002 Chislaine Brisson Mendoza Calle 85 # 50 - 37, 3783954 Address: cra. 2 # 6 - 05 Torre Médica del Mar, piso 9 7743049 3363770 CARTAGENA General Surgery URUMITA Clinical Laboratory Roy Sebastián Ballestas Larios General Dentistry Laboratorio Clínico Khenneyzir Address: Av. Jiménez, Óscar L. Fernández Paredes Fayad Ltda calle 26 # 18 - 22, barrio Manga Address: calle 9 # 8A - 57 Address: calle 85 # 50 - 37, 6611614 3002812542. Torre Médica del Mar, cons. 510 - 511 - 512 NEW PROVIDERS VALLEDUPAR 3177978 - 3853163 Allergology and Immunology BARRANCAS Jorge Fonseca Avendaño Psychology, Psychiatry and General Dentistry Address: calle 13 # 16 - 45 Occupational Therapy Yeis Paola Ureche Bolívar 5710816 Centro Terapéutico Address: calle 11 # 7 - 68 Re-Encontrarse S.A.S 3156720035 Pediatric Dentistry Address: cra. 45 # 84 - 197 Mildreth Jazet Martínez Arcon 3596770 - 3597069 BARRANQUILLA Address: calle 16 # 15 - 51, cons. 2 - 7 Mastology 5712569 - 3006974070 Neurosurgery Juan Felipe Arias Blanco Pablo de la Peña Páez Address: cra. 30, Corredor Address: cra. 49C # 80 - 13, Universitario 1 - 850, Torre Médica cons. 504 Clínica Portoazul, cons. 528 3451275 3114208102 - 3114289152 Physical Therap Neurosurgery Clara Inés Buitragro Consuegra Alberto F. Caballero Restrepo Address: cra. 50 # 80 - 18, Address: cra. 30, Corredor cons. 215, Unimec Universitario 1 - 850, Torre Médica 3563691 Clínica Portoazul, cons. 527. 3776585.74
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