( )WCOITNH TYUOCURUEBROPDOY sets The feeling of heartburn you get after you eat at night or when CAUSED BY 12 % you go to bed, and that is caused UNHEALTHY by gastroesophageal reflux OF THE POPULATION IN HABITS COLOMBIA SUFFERS disease (GERD), can improve FROM GERD, ACCOR- when you change your habits. Some of the factors that can affect the DING TO THE onset of this disease include eating large COLOMBIAN WARNING portions, high-fat foods, spicy foods, GASTROENTEROLOGY SIGNS citrus fruits, drinking too much alcohol or ASSOCIATION. coffee, using tight clothing or wearing tight belts, taking certain medications ARCEIFDLUX (especially anti-inflammatories), having a hiatal hernia and being pregnant. Other conditions can also be a cause, however, such as: obesity, cardiovascular disease, thyroid conditions, irritable bowel syn- drome, peptic ulcer, gallbladder disease, sinusitis and some mental illnesses such as depression and anxiety. HEALTHY 2 Some of the different signs, irritations DIGESTION and complications of acid reflux inclu- OR MORE DAYS A de a burning sensation that rises from In addition to a proper diagnosis and WEEK, IN EXTREME your stomach to your pharynx (heart- treatment, some simple habits that CASES, IS HOW OFTEN burn), regurgitation (the act of expe- can help manage and prevent this A PERSON MAY EXPE- lling undigested food through the condition from developing include RIENCE HEARTBURN OR mouth without vomiting), nausea, dis- not going bed on a full stomach, comfort or pain at the stomach’s ope- eating four to five small meals a day, REGURGITATION. ning, and difficulty sleeping as a result not smoking, keeping a list of foods of these symptoms. If not treated on that may cause heartburn in order to time, these symptoms can affect reduce your consumption of them the quality of a person’s life. and having an exercise routine to prevent becoming overweight. MEDICAL ADVISOR MARÍA FERNANDA VARGAS Pharmacology specialist 51
( )CON TU CUERPO FOCUS ON THE SKINThe most extensive organ in the body is also its primary barrier from viruses and diseases. Using sunscreen daily is key to ( )preventing disease. MEDICAL ADVISOR MÓNICA ESCOBAR FRANCO Dermatologist You can learn more about the skin at revistasaludcoomeva.co. 52
( )WCOITNH TYUOUCRUEBROPDOY focus Some of the skin’s essential functions that provide people with tial to keeping your skin healthy, is just a filter and does not provi- health and wellbeing include regulating body temperature, de 100% protection from radiation. This is why people must protecting your body from the dangerous properties of the supplement this filter with hats, protective clothing and sunglas- sun’s rays, synthesizing vitamin D and keeping your liquids in ses,” states dermatologist Mónica Escobar. balance. Because it is an external organ and is the first barrier to protecting the body from bacteria and viruses, it is sensitive and Similarly, other less-known skin diseases such as vitiligo requires special treatment during everyday activities to prevent the and psoriasis, should also receive special treatment. They negative effects of exposure to the sun’s ultraviolet radiation and have a deep impact on the quality of people’s lives and self- from technology such as tanning beds. “Sunscreen, which is essen- esteem, as their side effects may be visible and affect a per- son’s overall health. BASIC 15 SKINCARE MINUTES BEFORE YOU GO The basic and most important steps to taking OUTSIDE IS THE PROPER care of the skin daily are to clean, hydrate and AMOUNT OF TIME TO APPLY protect it. To do this, it is important to know SUNSCREEN. REAPPLY AFTER what type of skin you have (dry, greasy or YOU GO SWIMMING OR mixed), identify any allergies, and determine APPLY EVERY 4 HOURS IF YOU whether the skin is young or mature in order to know what products are appropriate. ARE OUTSIDE. SKIN CANCER 90 % While there are different types of this disease, OF NON-MELANOMA SKIN the most common forms of skin cancer are basal CANCERS ARE RELATED TO cell carcinoma (which occurs in the basal cells of the epidermis) and squamous cell carcinoma EXPOSURE TO THE SUN’S (which originates in the squamous cells of the ULTRAVIOLET RADIATION, same layer of skin). These conditions are caused ACCORDING TO THE SKIN by sun exposure, which is why they are common- ly found on the neck, face or shoulders. CANCER FOUNDATION. 50 OTHER DISEASES IS THE SUN PROTECTION FAC- Other skin pathologies that also require TOR (SPF) THAT IS RECOMMEN- treatment include: dermatitis, which produ- ces skin irritation or inflammation; psoriasis, DED FOR CHOOSING A SUNS- which is characterized by the appearance of red scaly lesions that affect the quality of CREEN, WHETHER IN A GEL, life of those who suffer from it; and vitiligo, which causes depigmented skin spots and SPRAY OR LOTION. requires treatment. 53
( )CON TU CUERPO STRETCHING A STRATEGY FOR PREVENTION By making stretching part of your lifestyle, especially for those who have sedentary jobs, over time, the body will become more flexible and will have greater joint mobility. MEDICAL ADVISOR DAYRA ERAZO - Physiatrist DOING THIS EXERCISE ROUTINE BEFORE YOU GO TO SLEEP AND AFTER YOU WAKE UP WILL HELP YOU TO: ► Release tension and relax the muscles. ► Improve your range of movement ► Strengthen muscle tone. ► Prevent injuries. ► Improve your performance with many activities, including aerobic exercise. ► Reduce exercise-related muscle pain. QUADRICEPS Standing up, bring one of your legs back and gently bring your ankle towards your buttocks. Make sure your thigh is parallel to your other leg. LOWER BACK Sitting on your bed with your feet stretched out directly in front of you and your legs relaxed, slowly stretch your arms out and try to reach the toes of your feet with your hands. Try to keep your back straight while doing this stretch. 54
( )CON TU CUERPO KEEP IN MIND ► Doing a stretch that is too easy or that isn’t long enough is of no benefit to the body and does not improve your joint mobility. ► If the stretch is too intense, it will cause the muscles to contract as a preventative measure and may cause an injury. ► While stretching should be forceful, bring it to a point of resistance without it becoming painful. UPPER BACK 10 With your feet separated at shoulder length and your knees slightly bent, interlace your fingers TO 30 SECONDS IS HOW and push your palms forwards. Extend your arms completely towards the front and hold. LONG EACH STRETCH SHOULD LAST. CORE On the floor or on your bed, get on your hands and knees. Stretch your hands out forward and sit on top of your ankles, bringing your toes together so they touch. Bring your forehead to the floor as you stretch your hands out forward. 55
WCOITNH TYUOCUUREBROPDOY ( )x-ray EYE CARE AS A DIABETIC 12 % With people who are diabetic, REGULAR EYE CHECKUPS OF DIABETIC PATIENTS a regular eye exam can help prevent the IN COLOMBIA ARE development of diabetic macular edema This is a painless disease BLIND, ACCORDING TO that may show few warning THE WORLD HEALTH (DME) as well as degenerative signs at the beginning. The ORGANIZATION. changes in the eyes. most common symptoms are blurry vision with spots and contrast loss. The more advanced the diabetes is, the more likely you are to develop this condition. HOW IT AFFECTS MEDICAL ADVISOR 60 % THE QUALITY OF JUAN GONZALO SÁNCHEZ YOUR VISION OF PEOPLE WITH DIABETES Ophthalmologist IN COLOMBIA ARE DIAGNO- DME affects the macula, located in the center of the retina, the area of the (KEEP IN MIND) SED WITH THIS DME. eye that allows a person to have high- definition vision to distinguish faces, There are several treatments for diffe- Education and prevention are key in read and drive. Problems associated rent retina conditions, but keeping it order for people with diabetes and with this condition occur when the under control successfully depends on their families to be aware that they fluid leaks from the blood are susceptible to developing DME. vessels and accumulate in getting consistent checkups. the retina, affecting the macula and causing swelling or thicke- ning. Keep close track of your blood sugar level and blood pressure and keep your lipids under control to avoid complications with your retina. 56
( )CON TU MUNDO )WITH YOUR WORLD 50 % OF ANTIBIOTICS ARE ADMI- NISTERED WHEN THEY ARE NOT NEEDED, ACCORDING TO THE WHO. ANTIBIOTICS ARE DESIGNED TO TREAT CERTAIN INFECTIONS THAT CAN LEAD TO SERIOUS DISEASES OR ARE FOR PATIENTS WHO ARE AT A HIGH RISK OF CONTRACTING THEM. KNOW THEIR ADVERSE EFFECTS IN CERTAIN CASES, DON’T TAKE THEM FOR YOUR GENERAL WELL-BEING Using them for minor illnesses such as Antibiotic resistance is increasingly It is important to not stop antibiotic the flu or viruses can cause adverse common given how they are misused to treatment before the recommended effects such as rashes, dizziness, or treat conditions they are not actually period, as this may result in reinfection. nausea. effective for. 57
WCOITNH TYUOMURUNWDOORLD ( ) )your generation COMMUNICATION IS THE KEY TO BOUNDARIES Allowing your kids to go out late, go on sleepovers or go on trips are difficult decisions for parents who have teenagers. How to deal with giving them permission and when to say “okay.” MEDICAL ADVISOR ALEXANDER RODRÍGUEZ Family Therapist 58
The concern parents have with setting ( )CON TU MUNDO boundaries and giving permission is largely related to a generational gap. GIVING PERMISSION Setting boundaries, however, gives young people security and protection, allowing 1 A responsible ‘no’ them to set their own limits, improve their home life, develop respect, prepare them It is very important to explain why you do or do not give to live in society and help them to build permission, as this justification makes teenagers feel more their tolerance to frustrations*. To raise secure about their behavior and about complying with their them with love and good judgment, responsibilities. When phrases such as “No, I’m in charge Alexander Rodríguez, family therapist, here and that’s it,“ are used, teenagers become argumentati- suggests that the first step is to understand ve and communication is lost. On the other hand, when you that teenagers are at a stage in their life have purpose-based arguments, you can communicate and where they are creating their own life story, be reflective. “What have you done to earn that privilege?” which is why all dimensions of their life is a question that will make the child reflect and give them must be taken into consideration. peace of mind with their parents’ decision. “Between ages 12 and 17 is when they 2 Fearing the outside world get most of their knowledge from the world that will make them into healthy While many times the child deserves to be given permission, and happy adults. Parents are therefore parents may not agree to the activity the child wants to do responsible for approaching their chil- as they may consider it dangerous or inappropriate for their dren, entering their world and having age, etc. As Rodriguez explains, “When you lay out all the good communication about boundaries cards on the table with a teenager and speak honestly with and the permission they are given,” them, they are able to understand the good judgment their Rodriguez explains. parents have, and may very well give a wonderful response such as: “Mom, you’re right, I’m not going to go,” or “Dad, Respect, setting an example, communi- trust me that you know who your son is.” cation, rules, expressions of love and assertive communication are some keys, 3 Too much repression considering that in the transition from Family therapy professionals agree that what is repressed in being a child to an adult, the brain is full childhood and in the teenage years, later explodes in adul- of stimuli and emotions that are someti- thood and leads to aggressive, repressed adults or who mes not well accepted by the elderly. repeat this pattern of behavior with their children, turning them into people who are insecure and have low self-esteem. The way we communicate is therefore Asking the right questions will help parents make correct and vital to dealing with the generation gap: conscious decisions: Where are you going? Who are you “When fathers or mothers set a rule or going with? How long will you be gone? What address will boundary, this must be done so the young you be at? What adults will be with you? All these questions person understands it in their words, are for their safety and protection. without confusing, threatening or attacking them and always with the pur- 59 pose and perspective of encouragement. In other words, encourage them based on their best qualities,” he added.
WCOITNH TYUOMURUNWDOORLD ( ) )your generation 4 Parents who disagree 5 When they get angry 6 Respecting money After not getting permission, several If the teen receives two different mes- different situations can happen: your How much money you give your child sages, they will choose the one that child can take the news respectfully, is a decision each family must make. best suits them. Setting boundaries a dispute can arise or they can leave “My patients tell me that they estima- should be a team effort, otherwise without permission. When they diso- te the cost of round-trip transporta- parents will lose credit when they are bey, the following question is likely tion and then they give them not on the same page. The response to pass through their head: Why something extra to drink or eat “Ask your Dad (or Mom)” is a sign of a don’t they let me if I am a good per- something, or to buy something for a lack of acknowledgement on behalf of son? This is when communication friend,“ the professional explains. the adult, which can hurt the family. becomes more important. Rebellious Rodriguez adds that when they One loving expression that the thera- children need more support, more spend too much money, young peop- pist recommends is: “We will talk dialogue and messages must be le end up developing unhealthy ways about it and we will tell you later so repeated more often, “This is not an to interact with their peers. By giving that you have an answer,“ which is a easy task, but if parents don’t do it, them the minimum or just enough to way to use proactive and appreciative no one else will,“ he added. go out, this teaches them to manage language and shows a good example. their finances and set priorities. 7 Alcohol consumption The law in Colombia prohibits the sale of liquor to minors. Despite this law, it is still a valuable lesson for teens to learn by the example their family sets. According to Rodriguez, by allowing teens to have a beer or drink of rum at home, this is implicit permission for them to do so on the street. In addition to setting an example, it is worth assessing the values the young person is surrounded by to be able to decide to not drink that beer •that their friends are having 60
( )CON TU MUNDO 61
CON TU MUNDO ( )antes de DON’T GET CAUGHT UP! LEISURE TIME IS ALSO A PRIORITY Being able to detect the signs of busy life syndrome is key to preventing your productivity and mental health from being affected. MEDICAL ADVISOR HELDA HOYOS MONTOYA - Psychologist 62
( )CON TU MUNDO Modernity came to fill people’s To determine whether this syndrome may be taking on too many tasks, you lives with new things to do that is taking over a person’s time, employees can put a stop to it and reorganize the occupy much of the time that should be aware of several symptoms activities that are taking up your time. used to be for resting. In the world of such as complaining of forgetfulness This will help you to question whether work, for example, it has become much that was not normal before; difficulties you are able to handle the agenda that more common to be a multitasker: a per- concentrating on activities during the you have imposed upon yourself. son able to do everything at the same time. day; thinking about work all the time, The problem with this pace of life, is that even when resting; or abandoning social “The amount of work that each per- it comes the risk of busy life syndrome. circles and activities altogether. son can handle depends on the type of person they are and the lifestyle they lead. “Those who suffer from it are people “Some patients may get to the point Someone who lives as a couple and with who take on too many obligations because where they forget where they parked their children cannot have the same responsi- they have several different jobs, in addition car, or, even more concerning, they may bilities as someone who is single. to their personal affairs, and think about forget about a work obligation or shift,“ “Couples, of course, in addition to the work all the time. This overloads your brain our specialist explains. demands of their jobs, will have to consi- and the things that you are used to doing, der other household responsibilities that do not turn out well,” explains psychologist A BALANCED LIFE demand more time of them than if they Helda Hoyos Montoya. When become aware of the threat you were single,“ explains Hoyos. 63
( )CON TU MUNDO But if someone who suffers from busy In order to prevent work from overloa- be done with cognitive behavioral the- life syndrome is unable to stop, it is best ding your mental capacity and stealing rapy,” Hoyos explains. for this person to see a specialist in order valuable time from you that can allow you to prevent a more serious disorder that to be happy and lead a balanced routine, It is also important for multitaskers to could affect their mental health. A psy- “the first thing we ask patients is to give not isolate themselves. For their own wellbe- chologist will recommend techniques that structure to their lives and decide what is ing, they must find a way to get back that lei- allow them to improve their well-being, good for them and what is not. In other sure time that other activities have taken depending on the case. words, we ask them to prioritize. This can from them. In the end, one day has 24 •hours to it, why try to make it last longer? PRACTICAL ADVICE Redistribute your tasks: Therapy for this Bring healthy food with you: The fast condition includes planning and reorganiza- pace of work often does not allow for a tion techniques such as eliminating things healthy diet, which can end up getting and making a to-do list so the patient can your mental and physical health out of focus on what is most important. balance. Keeping homemade healthy Disconnect from the world of work: snacks with you is a good strategy. After you get home, it may even be Do exercise: Either before or after you necessary to turn off your cell phone as go to work, a little exercise will help you receive messages or things to do for clear your mind. Relaxation and medita- work. Also, avoid using your computer or tion techniques, like yoga or mindfulness other technological devices. are perfect for managing stress. Search for opportunities to relax: At Proper sleep hygiene: Going to bed least once during your work day, spend a early is key to counteracting an over- few minutes to connect with your mind. whelming work day. If you manage to Some ideas include reading a book that plan your time and activities well, you you like, listening to music or going for a will be able to sleep the seven hours you short nature walk. need to get replenishing sleep. 64
( )CON TU MUNDO LIFE WITHOUT LIMITS MEDICAL ADVISOR MARÍA FRANCISCA ECHEVERRI Geriatrician Advances in medicine and healthy lifestyles have improved the quality of life of the elderly population. Decades ago, there were very few ding to the World Health Organization people who could celebrate their (WHO), a quarter of this population from 80th birthdays, and even less who throughout the world, excluding Africa, could celebrate their 100th birthdays. will be over 60 by the year 2050, nearly Since the last century, however, this situa- double what it is now. The WHO also tion has been changing thanks to the estimates that the population in their many advances in medicine and to the eighties will triple by this date. awareness people have of their health care. “Vaccines, using antibiotics properly, Each year, the elderly population different medical treatments, making increases around the world and, accor- exercise part of your life, leading a healthy 65
( )CON TU MUNDO (With the increase in life expectancy, the percentage of people older than 60 increased in the world. In Colombia, according to the DANE (Colombia’s overnment statistics agency), this percentage rose by 13.4%. diet, having access to drinking water and Therefore, by adopting a balanced a healthy environment have all led to lifestyle, life after age 60 will be just as much healthier living conditions that enjoyable as any other stage of life, even if allow us to live longer,” explains geriatri- the patient has a medical condition. cian, Maria Francisca Echeverri. “While you may get diagnosed with high blood pressure, that does not mean that This phenomenon brings significant you should stay at home sitting in your opportunities to all societies, especially for house. Blood pressure is something you the elderly, as the idea is that the longer can control and live a normal life with. they live, the better quality of life, health, The same goes for diabetes or other con- independence and dignity they will have. ditions,” our geriatrician states. “As the number of people who live to be much older increases, the more people For those who want to start life after there are that do it the right way. The idea 60 in a healthy way, it is important to is to do everything possible to make know that “It is never too late to start. everyone age this way,” says Dr. Echeverri. Whether we are 8 or 80, we can all build a better future. Any action that we take, TAKE ACTION regardless of our age, is important to Different factors influence how you age. living a good life in the years that lie There are uncontrollable factors – which have to do with genetics, age-related chan- •ahead,” she concludes ges and certain diseases – and there are those you can act upon such as those rela- ted to the environment, lifestyle and each person’s state of mind. “A pessimistic per- son or someone who gives up easily may live for many years, but not in an enjoya- ble way,” Dr. Echeverri explains. 66
( )CON TU MUNDO TAKING CARE OF YOUR- SELF IS WORTH IT! To have a good quality of life in old age, pay attention to the following areas: ► The body: Do 20 to 40 minutes of exercise on a daily basis, depending on your capabili- ties. Activities with rhythm to them are ideal such as dancing, swimming, doing movements in the water and walking. ► The mind: Reading or doing simple or com- plex math problems with exercises such as Sudoku keeps the brain active. Analyzing movies, TV shows or the news is also a great mental exercise. ► Emotions: Having a positive and proactive attitude during old age is key. Set bounda- ries with family members for schedules, preferences and interests, etc. Stay in con- tact with groups of friends or colleagues to spend time together. 67
( )CON TU MUNDO STEPS IN THE MEDICAL ADVISOR JORGE IVÁN PALACIO URIBE Sports Medicine Doctor, practitioner at Coomeva Private Healthcare RIGHT In the struggle against living a seden- DIRECTION tary lifestyle, when talking about a healthy lifestyle, activities as simple as Six keys to making sure that walking have become more pertinent as something as simple as walking is one of the most effective activities when talking about a healthy lifestyle. Going for truly beneficial for your body a walk outside and even walking through the mall are some suggestions, but how and how much should you walk for it to have a positive effect on our health? Walking is an aerobic activity: an acti- vity, “in which a movement is generated and energy is spent,” explains sports medi- cine doctor, Jorge Iván Palacio. Doing this activity with the right intensity not only has cardiovascular benefits, but also has an ove- 68
( )CON TU MUNDO rall positive impact: it improves metabo- while it improves the perception we have of 4 lism, keeps blood sugar under control, our bodies due to the results obtained. helps address the inflammatory processes a Magical figures such as 10,000 steps per day THE REST sedentary lifestyle leads to, and optimizes are often heard of, more than just being a YOU NEED enzymatic processes that are beneficial to number, various parameters come into play the body. In addition to this, walking is that must be taken into account in order healthy for the mind as it releases endor- for the exercise to be truly beneficial. The If we are talking about the mini- phins and generates a feeling of wellbeing, following are some of the main ones. mum amount of time you need to walk, it is also important to talk about rest. Someone who walks for five days, for exam- ples, should rest for two days. 1 2 3 With people who choose to exercise for fewer days a week, AN EFFECTI- SETTING A the important thing is to get VE AMOUNT FAST PACE 150 minutes. Our specialist’s OF TIME recommendation is to exercise The intensity of how fast you walk no less than 3 days a week. To prevent being sedentary is one of the most important This means not “becoming a and to obtain benefits for the parameters for measuring its weekend athlete, who are at a heart when walking, this effectiveness. It is not about wal- greater risk of injury, causing action should be performed king just to walk, taking a recrea- some type of serious damage, for at least 150 minutes a tional walk, or going window as for them, it is only a burden to exercise and the rest of the time they are completely sedentary.” week, an average of 30 minu- shopping. Medical guidelines tes five times a week. Walking PERIODSshow that walking should be for a longer period provides done with moderate intensity, but better results at the cardio- how do you know when you OF TIME vascular level. If the goal is to reach this intensity? lose or maintain weight, the The most practical way to do this The minimum recommended amount of physical activity per guideline around the world is is to notice your perception of day is half an hour, this is clear. But is it 30 minutes running to do physical activity for up fatigue when doing this exercise. or doing something else? To achieve the greatest cardiovas- to 300 minutes per week. As Palacio states, “If you are wal- cular benefit, it would be ideal if these were constants. The specialist’s suggestion is king and have to take a breath to However, it is possible to divide your physical activity into to “start small, with 150 minu- continue a conversation, this is smaller periods by walking 15 minutes in the morning and 15 tes and, as your physical moderate intensity.” Walking minutes in the afternoon, for example. According to the resistance improves, add without feeling tired means that World Health Organization (WHO), at a minimum, aerobic more time.” the intensity is very low. activity should be done for 10-minute sessions. 69
WCOITNH TYUOMURUNWDOORLD ( ) )keep in mind 5 MORE THAN JUST 6 HOW ACTIVE WALKING ARE YOU? PERSONALIZE “You cannot say that with wal- YOUR EXERCISE A study conducted by scientists king you do not need to do any from Arizona State University in the other type of exercise,“ Dr. Someone who has not been physically active for United States established the Palacio says. The truth is that 20 years is not the same as someone who does following scale to assess the active even people who only walk for regular exercise routines. Age, gender, height lifestyle of healthy adults. their aerobic exercise and do and even weight are all determining factors for ► Walking less than 5,000 steps a not seek to lose weight or tone setting an exercise regime. their bodies, must also do day is the equivalent of leading muscle strengthening work. a sedentary lifestyle. The WHO’s recommendation is ► Between 5,000 and 7,500 steps to do activities to strengthen is considered moderate physi- large muscle groups at least cal activity. twice a week, as walking invol- ► Between 7,500 and 10,000 ves placing a load on these steps is a “somewhat active” muscles that must be streng- lifestyle. thened to withstand and res- pond adequately to the •► More than 10,000 steps is the equi- demands of the activity. Such valent of leading an active life routines can be done with elas- tic bands or by using light weights. You can learn about this at visits with your sports medicine doctor. 70
( ( )WITCHOYNOTUURMWUONRDLOD current living KNOW MORE EATING DISOR- DERS WITH COG- KEEPING ZIKA UNDER CON- NITIVE EFFECTS TROL THROUGH SCIENCE ► The Psychiatry Research Group from A team of researchers from Spain found a sin- the Universidad Pontificia Bolivariana gle-dose vaccine that was proven to be suc- in Medellín, Colombia, conducted a cessful in controlling viral Zika infections in study to identify the prevalence and rats. Published in the journal, Scientific types of cognitive problems related Reports, the study explains that the vaccine to eating disorders. was designed according to the strategy used by the authors of the vaccines for pathologies ► The research studied 30 elderly such as Ebola, Chikungunya, hepatitis C and patients with anorexia nervosa, buli- HIV (HIV research began with clinical trials mia nervosa and binge-eating disor- and was followed by animal testing). With Zika, ders. It showed how these condi- scientists selected specific genes from the tions affect this population, specifi- virus to trigger an immune response and used cally their motor speed (how they genetic engineering to introduce them into the recognize and process information), DNA of another virus acting as a vector to cognitive flexibility (ability to change reach the body’s cells. between different mental situations), and reaction time (it is difficult for 1 them to complete activities that demand their attention). OF EVERY SEVEN PEOPLE IN THE WORLD HAVE SOME TYPE OF DISABI- (KEEP IN MIND) LITY, ACCORDING TO THE WHO. MORE THAN 100 MILLION ARE CHILDREN. The characteristics of water are exceptional: Water is the only liquid MUSHROOMS IMPROVE EQUALLY APT YOUR NEURAL RESERVE that is vital to life and is a major A study presented at the annual convention component of the human body. According to research by scientists from of the Endocrinology Society indicates that the University of Coimbra in Portugal, women are as capable as men at withstanding published in the scientific journal demanding physical tests. This breaks down Oncotarget, the mushroom known as the the myth that the reproductive system and “turkey tail” mushroom could help prevent stress responses are more sensitive to the memory loss. This mushroom is fan-shaped negative effects of intense exercise. and grows from tree stumps. Eating this mushroom may help increase the contact the neurons in the hippocampus of the brain have, increasing the number of neu- ron branches, called dendrites. 71
CON TU MUNDO ( )pasatiempos CRUCIGRAMA H I J KL Nivel fácil SUDOKU A B C D E FG VERTICALES Nivel medioSOLUCIONES 1 A. Practicarlo ayuda a prevenir enfermedades y Horizontales disminuir factores de riesgo. Estiramiento-Aire-An-Oro-Insomnio-Uh-Ne-Pa- 2 Tiara-Pintar-Ogro-Araza-CI-Dalí-Arra-Ue-Asís- B. Clase de sociedad. Incluirla en la rutina bene- Er-Inane-Tea-Fe-Deporte-Aló-Capul-Diálogo- 3 ficia la salud dental. Estar a la moda. JA-On-Positivo Verticales 4 C. Familiar cercano. Voz de mando. Municipio de Autocuidado-Sa-Higiene-In-Tio-Ar-Apía-Ir- Risaralda. Rodano-Lp-Reina-Aser-Oo-Ne-Alí-Gs-Más- 5 Priste-Oi-Inopia-Manzana-Así-Non-Tar-Ap- D. Apostar. Río de Europa central. Disco de larga Tripa-Reflujo-OOO-Areola 6 duración. 7 E. Dama del ajedrez. Rabino de Babilonia. Doble vocal abierta. 8 F. Neón. Yerno de Mahoma. Consonantes. 9 G. Adverbio de cantidad. Pez sierra. Escuché. H. Pobreza. 10 I. Es una fruta refrescante, hidratante, rica en 11 fibra y mejora el tránsito intestinal. De este modo. 12 J. Impar. Rumiante del Himalaya. Agencia de noticias. 13 K. Intestino. Se origina cuando hay exceso en el consumo de calorías y alcohol. HORIZONTALES L. Ceros de mil. Círculo rojizo que rodea las heridas y llagas. 1. Realizarlo diariamente beneficia la postura, la flexibilidad y el buen descanso. 2. Parecido entre las personas. Prefijo negativo. Metal precioso. 3. Se trata de una de las alteraciones del sueño más comunes. 4. Universidad Hispanoamericana. Prefijo que indica privación. Voz cariñosa. 5. Mitra. Conectarse con este tipo de arte favo- rece la salud mental. 6. Monstruo. Fruto cítrico. 7. 101 romanos. El esposo de Gala. Lo que se da como prenda. 8. Unión Española. Patria de San Francisco. Terminación verbal. 9. Vano. Antorcha. Mueve montañas. 10. Aumentar su práctica resulta en una mejor salud cardiovascular. Respuesta telefónica. 11. Cabello sobre la frente. 12. Este hábito ayuda a tener relaciones más flui- das y cercanas entre padres e hijos. Forma de risa. 13. Sufijo aumentativo. Este tipo de lenguaje per- mite que los niños tengan más seguridad a la hora de tomar decisiones. Nivel medio Nivel fácil 72
60 % )CORPORATE IS THE SURVIVAL RATE THAT THE WHO SEEKS TO ACHIEVE BY 2030 FOR CHILDREN WITH CANCER. ADVANCES IN CANCER TREATMENTS FOR CHILDREN HAVE HELPED INCREASE SURVIVAL RATES AND REDUCE THE ONSET OF SECONDARY CANCERS. SPECIAL CONDITIONS TIMELY CARE FUTURE QUALITY OF LIFE Cancer treatment for children is not always The best way to increase survival rates The after effects of surviving cancer the same as it is for adults. A specialty is to get an early diagnosis, and to make additional treatment and care medical field exists just for them that has treat, follow up and manage the disea- necessary and requires an interdiscipli- specialty resources and methodologies. se in an opportune way. nary medical team.
( )CONTIGO KIDNEYS: CLEANING MACHINES Two organs – each the size of a fist and the shape of a bean – filter about 190 liters of blood a day. Learn how to protect them. Located under the ribs, along each side triol, which is what keeps the bones of the spine, these little motors have stocked with calcium. the capacity to filter out approxima- tely two liters of waste and water from the A LITTLE ARMY OF CLEANERS bloodstream a day, turning into urine. Nephrons, the kidney’s functional units, are responsible for cleaning the insides Waste comes from the processing of the kidneys, each of which has about foods in order to obtain energy. If this one million nephrons. They retain com- waste if not eliminated properly, it pounds such as sodium, phosphorus builds up and can be harmful to how the and potassium. body normal operates. These units can be affected by heredi- In addition to this cleansing process, tary conditions or poor lifestyle practi- the kidneys release three hormones: ces, which can eventually lead to decrea- EPO, which stimulates the production sed renal function. The most common of red blood cells; renin, responsible for causes of kidney failure are hereditary regulating blood pressure; and calci- 74
(( )COCROPONTRIAGTOE special predisposition, diabetes and high blood WASTE THAT IS UNWANTED pressure. With diabetes, the glucose Another less-serious yet very painful problem that is not processed properly turns into this organ and have is the internal accumula- poison for the nephrons. With high tion of kidney stones. While the onset of this blood pressure, however, the blood problem is related to genetic or environmen- vessels in the kidneys is what affects tal factors, it can affect anyone, especially if how they function. your diet is high in salt and low in liquids. This is what causes calcium to build up in the Renal function can decrease between kidneys, forming small stones that the 30% and 40% without being too proble- kidneys will try to – unsuccessfully – expel matic, which is why people can live nor- through the urine, which is why this condi- mally with only one kidney. When it tion is so painful. Kidney stones can be elimi- goes below this limit, people can have nated with minimally invasive surgical serious health problems, which may end methods such as with an endoscope, shorte- up requiring renal replacement thera- ning hospitalization or inpatient service times pies or a transplant. Fuentes: National Institute of Diabetes and Digestive and Kidney Diseases. Dr. Felipe Águila - Universidad de Chile. Asociación Colombiana de Nefrología e Hipertensión Arterial. WORLD KIDNEY DAY Every year, the second Thursday of March is dedicated to this organ. According to the Colombian Nephrology Association, the increase in chronic kidney disease in the world is a problem. According to Elizabeth Ardina, National Coordinator of the 2019 World Kidney Day campaign, in Colombia, the high rates of this condition in the indigenous population are of particular concern. The theme for this year’s World Kidney Day will be “Health for Everyone, Everywhere.” Among the activities held on this day, there will be a presentation of a study on the prevalence of chronic kidney disease in Colombian indigenous communities. This presen- tation will take place during the First Conference on the Prevention of Renal Disease in Indigenous Communities. BEER OR LEMON? Beer is believed to help eliminate kidney stones, however, all of the hydration this beverage provides with its water content is lost in its volume of alcohol. Lemonade has a better effect, however. It con- tains citrate, which inhibits the crystallization of calcium salts. 75
( ))CORNPTOIGROATE prevention WATER A RESOURCE FOR LIFE Whether it is to drink, make food or for sanitation, at Coomeva Private Healthcare, we encourage you to watch your personal water use. Of the 17 Sustainable Development world’s population in 2015 had sustainable SMALL ACTIONS, Goals the United Nations propo- and safe access to water, with more critical GREAT CHANGE sed to its member states, goal six situations occurring in African countries. advocates for clean water and sanitation The situation in Colombia is more promi- ► Turn off the water to the sink or as a fundamental to preventing the trans- sing, however: according to the country’s shower while you lather up, brush mission of diseases and to protecting life. National Department of Statistics (DANE, your teeth or wash your hands. Spanish acronym), in 2016, more than If water is contaminated, it can spread 90% of the population had access to qua- ► Avoid throwing waste and conta- diseases such as cholera, diarrhea, dysen- lity water and aqueducts, coverage that con- minants, such as soap, in draina- tery, hepatitis A, typhoid fever and tinues improving each year. ge basins. poliomyelitis. In its proper state, with hand washing, water helps prevent the A bigger problem the world is dea- ► Use rainwater to water your gar- spread of common infections such as the ling with, however, is the estimated den or flowers. flu. It is also essential on a daily basis as, water shortage that is expected due to depending on their bodyweight, a person global warming. It is therefore necessary ► When you wash your clothes, do must consume between 1.5 and 2 liters of for all people to be aware of their water full loads in order to wash less water a day to stay hydrated. use, and that each action we take is a often. step closer to conserving the planet’s According to figures from the World Health Organization (WHO), 71% of the •most important resource 76
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( )CONTIGO COMPASSIONATE AND PROFESSIONAL MEDICAL CARE Coomeva Emergency Medicine is always there for its members 24-hours a day. You don’t have to be sick to access Ocampo Palacios, Manager of Coomeva 215 the services of Coomeva Emergency Emergency Medicine. Medicine (CEM). In fact, this servi- THOUSAND HOUSE VISITS ARE ce is designed to help people who, like Some of our additional services include HOW MANY VISITS COOMEVA many, may be vulnerable to the different emergency dental care, contract service agre- symptoms of a disease or who may expe- ements with specialty doctors, laboratories EMERGENCY MEDICINE rience an unexpected health problem. and pharmacies, a 24-hour 7-day a week MAKES A YEAR CEM is an at-home medical service that hotline, and telephone assistance with nutri- has more than 95,000 affiliates in tionists, psychologists and other specialists. 97 % Bogotá, Cali, Medellín, Barranquilla and Cartagena. For 2019, we seek to offer this As Ocampo explains, “Coomeva OF CASES ARE RESOLVED AT service throughout the nation through Emergency Medicine is a service that all THE POINT OF CARE. virtual and in-person services in Santa people should have. We often think that Marta, Rionegro, Valledupar, Montería, because we eat well and exercise, we Bucaramanga and Pereira, also providing don’t need this type of coverage and we medical care services to treat priority, prefer to buy a cell phone instead of sig- urgent and emergency cases. “We are not ning up for a healthcare program, well an ambulance company, but if the medi- aware that we are not exempt from cal services we provide requires being getting sick.” Additionally, this service transported to a hospital, we also provide prevents patients from having to go to that service. Our objective is to save lives emergency rooms for symptoms that and provide wellbeing through our quali- don’t merit the visit, providing patients fied staff,” states Gustavo Adolfo with a better quality of life in the comfort of their home or wherever they •want to receive their service 78
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( )CONTIGO ABOUTTI ADDS TELEMEDICINE TO ITS PORTFOLIO OF SERVICES Technology and communication join together to improve health care. 2.500 The accessibility, timely service and “The partnership with Spectator will the availability of medical treat- be an added benefit to us because they PATIENTS FROM THE ments that our Aboutti marketpla- have advanced technology to monitor CARIBBEAN ISLANDS IS HOW ce offers our international patients will patients and through the devices and MANY PATIENTS OUR INTER- now be stronger as the result of a new applications they have designed, we will partnership with the Dutch company, integrate all of the patient’s healthcare NATIONAL BUSINESS Spectator, which will provide the techno- together,” Castillo explains. UNIT SERVES. logy and communication platform for implementing our telemedicine model. In addition, Aboutti will have the 80 opportunity to treat different types of As Mauricio Castillo explains, patients. Initially, the program will begin Strategy and International Business with the option to have phone consulta- Manager for Coomeva’s healthcare cen- tions. Later on, however, we will also be ter, the integration of the Aboutti and able to treat those who require special Spectator platforms will provide patients monitoring through looking at x-rays, from abroad with general and speciali- interpreting MRIs, and managing zed medicine phone consultations as patients’ medical histories and their spe- well as digital diagnostics. This big step cialty visits, such as with dermatology forward, which involves innovative appointments for example. From rooms technology on information and medici- that are equipped with sensors and spe- ne, will optimize healthcare services pro- cialized equipment, this new platform viding patients with more opportune will even be able to provide comprehen- and effective care. This will also increase sive medical care: connecting with the efficiency of contact with patients patients in-person in one place and and reduce operational costs, as pre- finishing the diagnosis or treatment in viously, many patients had to travel to another. Aboutti’s new proposal is a cost- Colombia or other areas to receive spe- effective way of detecting a patient’s state cialized medical care; while now they of health and ensuring their quality of can do so without leaving their country. •life with help of technology
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( ))CORNPTOIGROATE directory NEW PROVIDERS UPDATED CONTACT INFORMATION BUCARAMANGA BUCARAMANGA Dermatology Pain Clinic Gynecology and Obstetrics Sociedad Médica Los Samanes Clínica del Dolor y Cuidado Rafael Augusto Ortega Mendoza Av. 12E # 4-38, Quinta Oriental Paliativo Aliviar Cra. 26 # 48-26, cons. 109 Unidad Phone number: 5784979 ext. 201 Calle 158 # 20-95 Médica San Luís Phone numbers: Fosunab, cons. 304 Phone num- 6431574 - 6479865 Gynecology and Obstetrics bers: 6395873 - 6798358 Sociedad Médica Los Samanes Medical Imaging (CAT Scans) Av. 12E # 4-38, Quinta Oriental Centro Médico Carlos Ardila Catme S.A. Phone number: 5784979 ext. 201 Lülle, torre B, piso 9, módulo 61. Cra. 27A # 50-49 Phone numbers: 6395873 - Phone number: 6477474 Internal Medicine 6798358 Javier Ramírez Figueroa González Florez Radiología Calle 13A # 2E-87, cons. 1 Dermatology Especializada SAS IPS Bioreuma Karina Cabeza Buelvas Calle 42 # 35-58 Phone number: 5730138 Av. González Valencia # 55A-54, Centro Clínico Quirúrgico cons. 505. Edificio Dek Tower. Phone number: 6352754 Pulmonology Phone number: 6578576 Clínica Neumológica y del Sueño Pediatrics Av. 1 # 21B-55, Rosal Hematology María Andrea Toro Ludemann Phone number: 5837837 Diana Lorena Valencia Libreros Calle 158 # 20-95, torre C, cons. 511 Centro Internacional de Fosunab Orthopedics and Orthopedic Especialistas, complejo médico Phone number: 7009503 Surgery HIC, piso 11, cons. 1107. Sociedad Médica Los Samanes Phone number: 6385215 MRIs Medisamanes Av. 12E # 4-38, Catme S.A. Quinta Oriental Phone number: Periodontology Cra. 27A # 50-49 5784979 ext. 201 Julio César Plata González Phone number: 6477474 Cra. 27A # 49-33, cons. 2 Giancarlo Botta Fernández Phone number: 6474101 CÚCUTA Av. 12E # 4-38, Quinta Oriental Hand and upper limb Sociedad Médica Los Samanes Pain Treatment Center Sociedad Médica Los Samanes Phone number: 5751163 and Palliative Medicine Av. 12E # 4-38, Quinta Oriental Clínica del Dolor y Cuidado Phone number: 5784979 ext. 201 Orthopedics and Hand Surgery Paliativo Aliviar Calle 158 # 20-95 José Ignacio Bravo Torres Fosunab, cons. 304 Phone num- General Surgery Av. 12E # 4-38, Quinta Oriental bers: 6395873 - 6798358 Sociedad Médica Los Samanes Sociedad Médica Los Samanes Av. 12E # 4-38, Quinta Oriental Phone number: 5751163 Centro Médico Carlos Ardila Phone number: 5784979 ext. 201 Lülle, torre B, piso 9, módulo 61. Ear, Nose and Throat Doctor Phone numbers: 6395873 - Plastic Surgery Sociedad Médica Los Samanes 6798358 Sociedad Médica Los Samanes Av. 12E # 4-38, Quinta Oriental Av. 12E # 4-38, Quinta Oriental Phone number: 5784979 ext. 201 CÚCUTA Phone number: 5784979 ext. 201 Radiology Center Respiratory Therapy Juan Manuel Franco Fernández Clinics, medical centers and Clínica Neumológica y del Sueño Av. Libertadores # 1 Norte-49, hospitals Av 1 # 21B-55, Rosal local 3B. Phone numbers: Sociedad Médica Los Samanes Phone number: 5837837 5893430 – 5948368 Medisamanes Av. 12E # 4-38, Quinta Oriental Urology Phone number: 5784979 ext. 201 Sociedad Médica Los Samanes Av. 12E # 4-38, Quinta Oriental Phone number: 5784979 ext. 201 82
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