SALUD COOMEVA Magazine December - January

COOMEVA MEDICINA PREPAGADAISSN 1692 - 5556 December 2016 - January 2017 Edition 132 ESPERANZA 1 FRENTE AL VIH THERE IS HOPE FOR HIVwww.revistasaludcoomeva.com



ISSN 1692 - 5556 Diciembre 2016 - Enero 2017 Edición 132COOMEVA MEDICINA PREPAGADA MERRY CHRISTMAS AND HAPPY NEW YEAR! ESPERANZA FRENTE As with every year, we send our We first opened in 2002 in Cali and AL VIH best wishes to all our affiliates, Medellín, and in 2007 we moved onto members and their families. We Bogotá. We arrived to Barranquilla in THERE IS HOPE FOR HIV hope this Christmas is full of joy, pros- 2011 and in 2012 we opened in www.revistasaludcoomeva.com perity and good health so that you can Cartagena, our newest medical center. have a happy 2017. Through providing Our future goal is to expand the regionsEdition 132 expedited and excellent treatment at we cover and open in five other cities.December 2016 - January 2017 each appointment, and promoting Among others, our services includeRevista Salud Founder healthy habits that improve the quality general doctor’s visits, urgent and emer-Gilberto Lotero Muñoz (q.e.p.d.) of our members’ lives, at Coomeva gency care, a medical hotline and patientChairwoman of the Board Private Healthcare, it gives us great transport after medical treatment.María Eugenia Pérez Zea pleasure that Colombia counts on us In closing, we would like to share theExecutive President Of the for their healthcare. joy of Christmas, new year’s and theCooperativo Coomeva Business Group This issue highlights the 15th anniver- anniversary of CEM with all of you. ToAlfredo Arana Velasco sary of Coomeva Emergency Medical all readers of Revista Salud, we extendCEO (CEM) and our in-home healthcare ser- the spirit of the holidays that livens usCoomeva Sector Salud vices. Over these 15 years, we have all and we invite you to take very spe-Gilberto Quinche Toro worked to provide our 90,191 affiliates cial care of your health during this sea-Prepaid Medicine CEO with comprehensive healthcare, highly son of family gatherings, social eventsJorge Alberto Zapata Builes qualified staff, state-of-the-art techno- and public, community celebrations.General Manager logy, complete healthcare services and We invite you to give the gift of love thisXiomara Iveth Campo reliable processes and procedures. year and extend a big smile to others…Editorial CommitteePascual Estrada Garcés Editorial and Graphic Direction, Magazine General Editor Journalists CommercializationNational Director of Prepaid prepress and printing Paula Andrea Montoya T. Isabel Vallejo Jiménez El ColombianoHealthcare El Colombiano Magazine Editor Cristina Calle Cali: 310 544 2354Hernán Darío Rodríguez Tel.: (4) 331 5252 Natalia Estefania Botero C. María Isabel Abad [email protected] National Director [email protected] Graphic Editor Daniela Granada Bogotá: (1)4156764 ext. 1504Blanca Inés Vélez Hugo A. Vásquez E. Ingrid Cruz Medellín: 312 202 7269National Director of Oral Health Design Photography [email protected] Benítez Carolina Salazar L. ShutterStock 313 570 7356Director of Epidemiology [email protected] Patricia ErazoAtención Sinergia Salud National The contents of all Salud Coomeva Medicina Prepagada S.A. magazine articles are illustrative in nature and/or for general knowledge. In no case are theySecurity Chief meant to replace the advice or guidance of a physician. Readers shall not use this information in order to self-diagnose and/or perform an analysis, diagnosis orBertha Lucía Varela Rojas treatment of a disease or health problem without consulting with a certified physician.Jefe Nacional Auditoría Médica The product and service offers made in the ads published in the Salud Coomeva Medicina Prepagada S.A. magazine are the sole responsibility of the adverti-Martha Liliana Cifuentes sers. Also, the company is not liable nor obligated to provide its affiliates the services, procedures or treatments described in the contents of articles that areCoordinadora Nal. de not included in the coverage offered by Coomeva Medicina Prepagada S.A., nor shall they be obligated to include them in their plans and services. All rightsRelacionamiento con Prestadores reserved. May not be reproduced in any form or system. © 2016Claudia Alexandra GarcíaCoordinadora Nacional de PrestaciónSinergia SaludJuan Fernando SaavedraNational Director of Marketing andAdvertisingJulián VillegasNational Chief of RiskManagement in HealthMauricio Castillo PérezInternational Business ManagerEditorPaula Lilián Henao BermúdezEditorial CoordinatorEvelyn Catalina Morales HenaoCollaboratorsMarco Emilio CampoAna María Correa MontañoMabel Irina Calero VargasAlexandra Arango RojasÉrika Ximena López Macías 3

CONTENTSDecember 2016 – January 2017 77 23 47 65 ( )WITH YOUR MIND ( )WITH YOUR BODY ( )WITH YOUR WORLD ( )CORPORATE8 Trends 24 Prevention 48 Keep in mind 66 Prevention Be happy here Prevent injury with New year’s resolutions: Staying healthy at and now a physical It’s that time each phase of life12 Couples 28 Little giants 52 Your generation 70 Institutional Living positively with Struggle-free meal Gyms: more than just a CEM: looking after your your partner times place to exercise health for 15 years18 Grandparents 32 For your smile 56 For her 72 Prevention Be a supportive Heathy teeth Choosing not The challenge is to grandparent, not a from mother to child to have kids take care of yourself partner in crime 36 Prevention 60 Trends 74 Directory The liver, not as Retirement, New professional staff strong as you think a blank canvass and updated contact information 64 Games 40 Focus Health issues Focus on diabetes 44 Infographic Hope for treating HIV4

NUEVO OTZ 10 ANTIEDAD Protección Radiación Infraroja UVA/UVBRADIA CIÓNIR Las pieles jóvenes Terapia preventiva a La radiación IR Tienen la capacidad temprana edad,constituye el son más susceptibles de penetrar generando hábitos de cuidado 50% al daño solar. frente a los efectos nocivos de a capas más profundasdel espectro solar. de la piel. los rayos solares. www.pharmaderm.com.co Pharmaderm & skindrug 5

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20 CON TU MENTEMINUTES A DAY OF LISTENING TO MUSIC ( ))WITH YOUR MINDALLEVIATES THE CHRONIC PAIN THAT IS CAUSEDBY ARTHROSIS, ACCORDING TO A STUDY THE OBJECTIVE OFFROM THE UNIVERSITY OF FLORIDA (U.S.). MUSIC THERAPY IS TO WORK WITH PATIENTS USING MUSIC AND RHYTHM AS THE- RAPEUTIC TOOLS. DEVELOPMENT Improves and fosters communica- tion, learning, expression and move- ment, enhancing the general wellbe- ing of individuals. MOTOR SKILLS Influences and utilizes the emotions, values and creativity of individuals, stimulating the mind and the senses. IT SERVES AS COMPANY This is a motivational form of the- rapy which, when used in medical settings, helps to prevent diseases such as Alzheimer’s and is an ally in rehabilitation treatments. 7

( )WITH YOUR MIND BE HAPPY HERE AND NOW While everyone is responsible for their own happiness and their own lives, happiness can also be found in the little things as a way to appreciate and live in the present. ADVISOR There are no recorded risk factors or understanding they have of the context ÓSCAR IGNACIO symptoms of happiness; while it is a that surrounds them. It would be very feeling, it is not a disease. In short, strange, for example, for someone to show GIRALDO happiness can be defined as, “How we signs of happiness in a place where a tra- Psychologist evaluate the events of our lives,” Óscar gedy or a difficult time has occurred. From Ignacio Giraldo explains, Director of the this point of view, our reactions are there- Psychology Department at Universidad de fore influenced by different situations and Antioquia in Medellín. chance events, both small and big; such as with the social obligation to be happy, for We each experience happiness from example,” states Dr. Giraldo. our own perspective; from what we lear- ned in our childhood, from achieving or According to one of the findings of the not achieving the career we want and Study of Adult Development published by from needing to reach the goals we esta- Harvard University (U.S.) this May, the blish for ourselves. We all build a world of key to a happy life lies in the quality of our emotions that are rooted in this overar- relationships whether these are partners, ching feeling, which is difficult to brea- friends or family members. This study kdown into categories and define. followed 700 men and women for 78 years. It has also found that people can “People act in accordance with the8

( )WITH YOUR MINDdeceive themselves with what they feel is us to have a better perspective and to KEEP IN MINDimportant to leading a happy life. accept each situation that happens to us as something that will also pass,” Giraldo Conducted by the NationalHAPPINESS IS POSSIBLE points out. Planning Department, and amongStudies on happiness are relatively new. other findings, the first study ofThey began towards the end of the nine- On this path to mindfulness, we slowly happiness in Colombia foundties together with positive psychology, a learn to find happiness in the simple and that with an average score of 3.5branch of psychology that focuses on the small things: eating ice cream or having over 10, women worry more thanstrengths of individuals instead of on coffee with a friend or family member, men, whose average score wasmental illness. enjoying a beautiful view of nature, taking 3.2. The study’s participants a moment out of your work day to say “I included all age groups and “It is very important for each indivi- love you” to your loved ones, having grati- socio-economic strata.dual to learn to be aware of the present. tude for each new day and making a list ofThe majority of the time our minds are set the things you are grateful for. These can 9on the future and in the past and not on be considered daily exercises for learningthe here and now, on what we are doing. “…to be where you are, in the here andBeing more aware of our surroundings, of now, and not where the mind wants youwhat is happening to us, of what we eat to be.” Make the effort and challengeand of what we are actually doing allows yourself to live in the present.

( )WITH YOUR MIND 2,4% IS THE PERCENTAGE BY WHICH MEN ARE HAPPIER THAN WOMEN IN COLOMBIA, ACCOR- DING TO THE NPD.KEYS TO HAPPINESSTal Ben-Shahar, a specialist in positive psychology and author of the book Even Happier claims that this attitude can be learned the sameway you learn to ski or play golf: through proper technique and practice. This expert provides six general tips for feeling successful andhappy about your life:1 Don’t just pardon your failures, cele- 2 Always be thankful for everything 3 Stay active: Doing gentle exerci- brate them: It is impossible to try and you receive: Don’t take things for se like walking fast for 30 minu- tes a day is enough; working in live your life perfectly and not have granted. Take stock of the good in the garden or dancing are also good activities. any negative feelings; this is part of your life, from your child’s smile to life. Be observant of these feelings and your good health. take responsibility for them.4 Simplify your leisure time and your 5 Learn to meditate: This simple practi- 6 Practice a new skill, resilience: time at work: Identify what is truly ce is learned through observing your Recovering from the ups and downs important to you and focus on that. breath and setting aside time to be of life or from big tragedies Try not to compare yourself with on your own. Meditation helps to depends on your attitude and on others and act in alignment with your fight stress and allows you to be your state of mind, not on what is in life goals. mindful of every moment. your bank account.10

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( )WITH YOUR MIND CONVIVIENDO EN POSITIVO CON TU PAREJA La medicina actual brinda posibilidades para que las personas que viven conVIH puedan disfrutar de una vida sexual plena con su pareja. LIVING POSITIVELY WITH YOUR PARTNER Modern medicine provides people living with HIV with the opportunity to have a normal sex life with their partner.12

( )WITH YOUR MIND a dúo ASESORA ADVISOR MARÍA ANGÉLICA MARÍA ANGÉLICA MAYA MAYA Infectóloga. Infectious disease doctor.Nuestra sociedad conoce sus retos, los problemas que afronta, cuan- Our society is familiar with the cha- do estos llegan a las telenovelas, llenges of AIDS and the problemsantes de eso están vedados, casi ocultos. that it entails when these issuesEn estos guiones aparecen, ya con más fre- appear on soap operas; but before this,cuencia, personajes que resultan infecta- these issues were hidden, almost completelydos con el virus del sida, aunque la mane- removed from society. In these storylines, itra de presentarlo es a través de un drama is more and more common for charactersen el que se debate cómo el personaje that are infected with the AIDS virus toafrontará de ahora en adelante la vida. En appear, yet the way in which the virus is pre-la vida real, los avances de la ciencia médi- sented is through a drama that deals withca han posibilitado que cualquier persona how the character will continue on in theirque adquiera la enfermedad, si es diagnos- life. In reality, the advances of medicalticada a tiempo, pueda vivir plenamente, science have made it possible for anyoneincluso su vida sexual. that contracts the disease to live a full life if diagnosed on time, even a full sex life. Los médicos le han llamado parejas dis-cordantes al encuentro de una pareja Couples where one partner is seropositi-donde hay un seropositivo y un seronega- ve and the other is seronegative have beentivo. Las hay en relaciones heterosexuales, referred to by doctors as discordant couples.homosexuales o bisexuales, y es relativa- These couples are found in heterosexual,mente frecuente que llegue hasta el con- homosexual and bisexual relationships andsultorio de un médico para saber cómo it is quite common for the couple to visit anpueden seguir con su vida. Algunos deci- infectious disease specialist to learn aboutden romper toda la relación, otros conti- how to continue on with their lives. Somenuar con la convivencia y olvidarse del decide to completely end their relationship,sexo, y quedan quienes buscan alternati- others continue to live together and leavevas para no alterar la cotidianidad. sex behind, and there are those that seek alternatives so as not to have to change the La médica infectóloga María Angélica routine of their daily lives.Maya explica que sí puede existir sexoseguro en una pareja discordante, aunque Infectious disease doctor, María Angélicase deben aplicar dos premisas: hacer una Maya, explains that it is possible for a discor-terapia con antirretrovirales y usar siem- dant couple to have safe sex, yet two guideli-pre preservativo de manera correcta. nes should be followed: antiretroviral the- rapy should be started, which can take more “El tratamiento del VIH logra que la than a year, and the use of condoms shouldcantidad de virus en la sangre se dismi- always be applied correctly.nuya y en gran proporción. Está demos-trado que cuando esa cantidad es muy As the specialist explains, “HIV treat-baja, se disminuye el riesgo de transmi- ment works to reduce the quantity of thesión. La cuantificación del virus en san- virus in the blood to a great scale. It hasgre se llama carga viral. Si la carga viral been proven that when virus levels are veryestá bajita y se usa condón, el riesgo de low, the risk of transmission reduces. Thisinfección baja considerablemente. Así, el is what is known as viral load, which can be measured by a test. If the viral load is 13

WITH YOUR MIND( )adúo sistema de salud le ofrece al paciente con low and a condom is used, there is no risk una pareja seronegativa tratamiento anti- of infection. The patient’s healthcare sys- rretroviral, y el gobierno les aprueba un tem offers antiretroviral treatment to número de condones por mes”, explica la patients with seronegative partners, and médica infectóloga. the government grants them a certain number of condoms per month.” Hay que recordar que antes que algún seropositivo entre en una relación debe Keep in mind that someone that is sero- informarle a la pareja que es portador de positive should inform their partner that la enfermedad, de lo contrario caerá en they are a carrier of the disease before they un delito que estipula la Ley. Al estar begin a relationship. If they do not do this, informado, en común acuerdo, deciden they will have committed a crime that is cuál es el camino que quieren tomar. mandated by law. Once the partner is informed, and having reached a mutual “He tenido pacientes que siguen su agreement, the couple then decides the vida sexual común y corriente, y otros que path they want to take. deciden tener la vida juntos, pero sin sexo. Cuando la persona se da cuenta de “I have had patients that continue to que es positivo, entra en shock, algunos have normal sex lives and others that deci- caen en negación y otros más en depre- de to share their lives together, but without sión, sin embargo, hay alternativas para sex. When someone finds out that they are seguir una buena vida. El tratamiento positive, they go into shock, some go into antirretroviral inhibe la carga viral, es denial and others become depressed. decir la baja a lo mínimo, en más o menos There are alternatives to help you live lon- 48 semanas a un año, pero se debe tomar ger, however: antiretroviral treatment takes toda la vida. El paciente debe entender effect after about 48 weeks or one year. The que empieza una convivencia con la enfer- patient must understand that they are medad”, dice la doctora Maya. beginning a new life, a life of living with the disease,” Dr. Maya states. Uno de los puntos clave a tener en cuenta —según la especialista— es el uso One key factor to keep in mind, accor- del condón: “El condón debe usarse ding to the specialist, is the use of a con- durante toda la relación sexual, en algu- dom. When studies or lab tests are conduc- nos casos no se usa en los juegos sexua- ted, all of the right measures and proper les, lo que permite que compartan secre- uses of a condom are applied, which are ciones y se infecten; o se usan lubrican- not applied in reality, “In foreplay, they are tes que pueden poner poroso el preser- not used and yet discharge is prevalent; or vativo e, incluso, hay quieres reutilizan lubricants are used that can make the con- el condón, de esa manera el riesgo de dom porous and there are those that even contagio es muy alto”. reuse the condom, making the risk of trans- mission very high.” Otro de los mitos que existe entre los ciudadanos es que la enfermedad solo Another myth that exists among society está activa cuando se manifiesta, pero en is that the disease is only active when it is realidad esta empieza desde el mismo detected, but in reality it begins upon the momento de la infección. “Un día tienes moment of infection. “Let’s say one day relaciones sexuales con alguien que tiene you have intercourse with someone that VIH y te infecta, desde ese día las células has HIV and you become infected, from van a ser atacadas por el virus, estas célu- this day forward the virus will attack your las se llaman CD4 y son muy importantes cells. These cells are called CD4 cells and para evitar infecciones. El asunto es que are very important for fighting infections. la manifestación de esa anomalía se The problem is that it can take several years puede demorar muchos años, porque to detect this irregularity. These cells have14

( Otro de los mitos que existe ( )WITH YOUR MIND es que la enfermedad solo está activa cuando se manifiesta, pero en realidad esta empieza desde el mismo momento de la infección.( Another myth that exists among society is that the disease is only active when it is detected, but in reality it begins upon the moment of infection.estas células se tienen que disminuir en to be greatly reduced as the body can havegran medida, el cuerpo puede tener unas about 1,200 cells/mm3 and yet it generally1.200 células/mm3 y empieza a ser más only begins to be susceptible to infectionvulnerable a infecciones generalmente when they lower to about 350 cells/mm3.”cuando bajan a unas 350 células/mm3”. It is never too late to keep in mind Nunca está de más recordar que hay that HIV tests can be taken periodically,que hacerse la prueba del VIH de manera especially if you have an open sexualperiódica, sobre todo si se han tenido rela- lifestyle and if you engage in behaviorciones sexuales de riesgo. Según la that can put you at risk. According to theOrganización Mundial de la Salud World Health Organization (WHO),(OMS), a finales de 2014, 14,9 millones de towards the end of 2014, 14.9 millionpersonas estaban recibiendo terapia anti- people throughout the world were onrretrovírica en todo el mundo, lo que antiretroviral therapy, which representsrepresenta el 40 por ciento de los 36,9 40% of the 36.9 million people in themillones de personas que viven con el world that are living with HIV/AIDS.VIH/sida en el mundo. Con las terapias When this therapy is started in the earlyaplicadas en las etapas tempranas de la phases of infection, people have theinfección, es posible que las personas ten- opportunity to lead normal lives. It isgan una vida plena. Es importante, en este important for those living with this disea-contexto, cuidar padecimientos asociados se to take care of conditions that are rela-como el estrés, las adicciones o problemas ted to it such as stress, addiction or psy-•sicológicos que puedan afectar la calidad •chological issues, which can affect thede vida de cada paciente patient’s quality of life 15

WITH YOUR MIND( )adúo Antirretrovirales: tratamiento GLOSARIO Antiretrovirals: pharmaceuti- farmacológico que retiene la cal treatment that prevents actividad de retrovirus como GLOSSARY the growth of retrovirus such el del VIH. as HIV. Seronegativo: así se le llama a CD4 cells: a type of leukocytes, las personas que no contienen also known as helper cells, that en su flujo sanguíneo los anti- help the body to fight disease cuerpos específicos de un and infectious agents. agente infeccioso, especialmen- te los del virus del sida. Retrovirus: a virus whose genes are codified in RNA ins- Células CD4: son un tipo de tead of DNA, and through a leucocitos, también llamados process of reverse transcrip- células cooperantes, que ayu- tion, uses RNA to begin an dan al organismo a luchar infection in cells. They cause contra enfermedades y agen- diseases such as some can- tes infecciosos. cers and AIDS. Seropositivo: es como se Seronegative: refers to a denomina a una persona que person that does not have tiene en su sangre anticuerpos the specific antibodies of an específicos de la infección. infectious agent in their blood stream, especially Retrovirus: es un virus cuyos those of the AIDS virus. genes están codificados en ARN en vez de ADN, y por Seropositive: refers to a per- un proceso de transcripción son that has antibodies in inversa origina un ADN para their blood that are specific comenzar la infección de las to the infection. células. Causa enfermedades como algunos cánceres y el sida.16

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( )WITH YOUR MINDBE A SUPPORTIVEGRANDPARENT, NOTA PARTNER IN CRIME When it comes to With all the responsibilities and grandchildren, the ideal commitments that seem to situation is for grandparents grow to an exponential degree, time becomes a precious commodity. to be able to adapt to This is why couples often leave their little different situations, analyze ones in the hands of those they trust the the consequences and say most: grandparents. “no” when necessary. While they can now enjoy being grandpa- rents to their grandchildren, at one point ADVISOR they used to be strict, rule-enforcing parents. LAURA MIER LEÓN Their lives are different now and they seem Psychologist, practitioner at to barely recall this era of parenting; some Coomeva Medicina even joke that their primary task is to spoil their grandchildren and give them whatever Prepagada they ask for. This can become an issue for the modern family that cannot be as present and must pass the task of raising and disci- plining their children onto others, who can sometimes disregard them. It is important to remember, however, that it is one thing to be a supportive grandparent, and anther to be a partner in18

( )WITH YOUR MINDcrime. Psychologist Laura Mier Leónexplains: “Being supportive and flexibleinvolves one’s ability to easily adapt to diffe-rent situations. A grandparent that practicesthese characteristics is someone who adaptsto different situations, analyzes consequen-ces, is capable of saying ‘no’ when necessaryand of saying ‘yes’ when it is appropriate.” With all their life experience, grandpa-rents can serve as an extra source of helpto parents who sometimes lose perspectivefrom being too attached to their child orfeel the need to discipline their child to anextreme. This is when it can be importantto be supportive to children. “The concept of being a partner incrime refers to covering up actions that areotherwise frowned upon. In child rearing,this manifests in being permissive with cer-tain rules or restrictions that have parentshave established. Supportive grandparentscontribute positively to their childhood 19

( )WITH YOUR MIND 6 because they have the opportunity to esta- what the correct path is. This is not only blish and enforce rules, as well as reach true for children but this is a human need OF EVERY 10 CHILDREN compromises and reward children after that we experience throughout our entire THAT LIVE WITH THEIR they have completed a chore they have been lives. When children have an example to PARENTS COME FROM BIG FAMI- assigned. Grandparents that act as partners follow, they will be more confident and LIES THAT HAVE GRANDPA- in crime favor rewards and don’t demand have more direction in their lives.” RENTS, AUNTS, UNCLES, that a chore or responsibility be completed. COUSINS, ACCORDING TO This does not positively contribute to the According to Laura Mier León, “In their child’s upbringing because the child or tee- upbringing, it is important for children to THE WORLD FAMILY nager may grow up to think that they can see their parents as authority figures. This is MAP 2015. achieve something without putting in much achieved when there is a balance between effort,” the psychologist explains. good communication, affection, and esta-20 blishing and following through with rules.” EQUALITY The restrictions parents place on their In addition to an increase in disrespec- children are not only sometimes not tful behavior and temper tantrums, when followed by grandparents, but also by there is a lack of consistency between what aunts, uncles or older siblings. The impor- parents say and do, children may begin to tant thing is to find a balance without stop paying attention to the rules. They having to be an authority figure. may also be more quick to turn to a more permissive authority figure such as In the words of pediatrician Juan grandparents or aunts and uncles in seek Enrique Ángel, “Children need to know •of support when they do not want to follow their parents’ rules

THREE KEYS ( )WITH YOUR MIND TO SUPPORTING CHILDREN 21 1. Be consistent: In order to prevent any miscommunications from happening, it is important for grandparents and other family members to not take away the parents’ authority when it comes to the rules that they have already established. 2. Set boundaries: Children should not see their parents as lacking in authority or feel that their parents do not follow through with the rules they establish at home. 3. Quality over quantity: In today’s world where there is less time to spend with chil- dren, it is important for children to have quality, accepting relationships. These types of relationships allow grandparents to be supportive and also serve as companions for this journey of life.RULES CAN HELPGrandparents should do their best to avoidrunning into problems with how their childrenraise their grandchildren. To do this, try tokeep the following tips in mind:► Do not criticize family decisions, how a household operates or try to set the rules.► Avoid sacrificing your personal time such as trips and social gatherings to take care of your grandchildren.► Set clear expectations for what the exact times for caring for your grandchildren will be and do not hesitate to negotiate if needed.► Give advice to your children when they ask for it as they often times would rather not have an outside opinion.► Remember that there are always limits, even if they are not already established by parents.

WITH YOUR MIND( )Life todayKNOW MOREPUT A LIMIT ON TIPS FORVIDEO GAMES IDENTIFYING AA recent study titled, “Video gaming in school children: How much is enough?” published by NARCISSISTHospital del Mar and the Barcelona Institute for Global Health found that children betweenages 7 and 11 that spend two hours a week playing video games improve their motor skills. ► Researchers have detected new quali-Those who spend nine or more hours a week in front of a screen, however, experience redu- ties of those individuals that are self-ced social skills and are more likely to engage in conflict with others. Researchers from a study centered and that require attention. Inpublished in Annals of Neurology have determined that video games are not inherently good the study published by the Journal ofor bad, it is the amount of time spent doing this activity that makes the difference. Research in Personality, “Self-focused and feeling fine: Assessing state nar- 7,5% cissism and its relation to well-being,” researchers claim that there are subt- ACCORDING TO WHO, THOSE le ways for these individuals to be WHO HAVE A NEGATIVE identified. For example, they do not PERCEPTION OF THEIR OWN do what they are told by others, even AGING PROCESS LIVE 7.5% if they frequently ask for instruction. YEARS LESS THAN OTHERS. ► They also change scheduled meetingNEW ONLINE LIFESTYLES FOR times without reason, they believeBRAIN ATLAS A LONGER LIFE the rules do not apply to them and change or “forget” to follow themThe Allen Institute for Brain Science loca- According to the study, “Men born in 1913 intentionally. They like to annoyted in Seattle (U.S.), has created a detailed followed to age 100 years,” published in the others in disconcerting ways and aredigital map of our nervous system’s main Scandinavian Cardiovascular Journal, not very sensitive to rejection or criticism.organ. In order for this new brain atlas to smoking, maintaining healthy levels of choles-be developed, which can be accessed onli- terol and not drinking more than four cups of (KEEP IN MIND)ne (www.brain-map.org), an extensive, five- coffee a day are some of the daily practicesyear study was conducted and published in that can help us live longer, more fulfilled lives. Going to bed at a set time eachThe Journal of Comparative Neurology. night, getting enough sleep and notThis new tool represents the advances that eating heavy meals at nighttime arehave been made in understanding anatomyand the brain’s genetic activity. some helpful ways to fall asleep.22

)WITH YOUR BODY40%OF A PERSON’SBODYWEIGHTIS MUSCLE MASS.HUMANS ARE BORN WITH MOTOR SKILLS IN ORDER TO EMITMOVEMENTS IN SPECIFIC PARTS OF THE BODY AS WELL AS IN THEENTIRE BODY. WE CAN ALSO IMPROVE THEM.FROM CHILDHOOD CONNECTION WITH THE BODY DIFFERENT TYPESEvidence of these skills first appears Problems in the brain, spinal cord, Even after experiencing damage to theduring childhood game-playing. As it deve- peripheral nerves, muscles or joints can nervous system, fine motor skills (preciselops, these skills become more elaborate cause these skills to get worse. movements) and gross motor skills (largerthrough different stimuli and experiences. and stronger movements) can improve through specific exercises.

( )WITH YOUR BODY PREVENT INJURY WITH A PHYSICAL24

( )WITH YOUR BODY prevention Getting a physical before beginning aphysical activity is key to taking care of your health. ADVISOR WINSTON TOBÓN OCHOA Doctor of Sports Medicine, practitioner at Coomeva Medicina Prepagada.Exercise can have many benefits, but thy way, while taking the unique characte- only if it is done properly. A physi- ristics of each individual into considera- cal exam should be done prior to tion. This analysis can help develop anany physical activity. This allows the indi- exercise plan the fits different needs.vidual that wishes to exercise or participa-te in a sport to be safe and healthy. Everyone should take this exam prior to beginning a new physical activity. It is In order for someone’s physical condi- more pertinent for men and women overtions to be evaluated prior to engaging in the age of 55 to take the exam, however,a particular exercise, the person should as heart risk and potential damage to thereceive a physical exam that specifies their muscles increase after this age.capacities, resistance and strength. “Beginning to play sports without This screening determines each per- knowing your limits can lead to seriousson’s limitations, which are measured consequences such as a variety of injuriesaccording to the intake of oxygen when and a loss in your respiratory capacities.exercising. For example, it evaluates how Physical exams can help avoid these typesmany series and repetitions can a person of problems,” Tobón states.withstand before their health and physi-cal integrity is compromised. “This tool This type of screening should be con-reduces the chances of having a heart ducted routinely as the body is in cons-attack while exercising. It also serves as a tant transformation and its conditionsway to diagnose conditions that may be continuously change. The exam ensuresaffected by your exercise routine,” that individuals are truly prepared to exer-explains Winston Tobón Ochoa, Doctor cise without problem. It also allows themof Sports Medicine. to identify weak points or limitations, which can improve through the physical Prior to testing someone’s physical activity itself by giving your best and figh-capacities, their medical history, inclu- ting to get the best results.ding previous injuries and eating habits, isreviewed. After this information is clear, As the saying goes, “It’s better to bephysical conditions are assessed through a safe, than sorry.” Physical exams providegeneral developmental analysis. The mus- information on the body’s condition. Itculoskeletal system is also reviewed as well is a sort of guidebook for the precau-as strength level and flexibility. tions to take during exercise. It is a roadmap to understanding the resour- This physical exam is very useful for ces you have to work with and what youknowing how to practice sports in a heal- need to work more on. 25

WITH YOUR BODY( )prevention 100% IS THE PERCENTAGE BY WHICH THE RISK FOR HAVING A HEART ATTACK INCREASES AMONG WEEKEND ATHLETES. The objective of this tool is to protect the health of individuals and for the sport to be an agent of positive change for all who participate in it. WHY PLAY SPORTS? Before choosing an exercise routine, it is important to determine the goal of enga- ging in the activity. For example, are you exercising solely for health purposes? Or do you want to lose weight until you reach your goal? Keep in mind that an exercise routine can be repeated in the exact same way by two people, but its results will vary depen- ding on the individual. “It is a good idea for people to reach out to specialists that can help them set specific goals based on their individual needs,” shares fitness tra- iner, Sergio Delbasto. To lose weight, physical activity should be based on cardiovascular exercise together with a meal plan that helps you to eliminate toxins and foods that are not beneficial to your health. If your target is to be healthy and work towards achieving an athletic figure, your exercise routine should be more complex and should include both cardiovascular and muscle workouts. Diet also plays a critical role in this case and your daily routine should be based on healthy prac- •tices such as sleeping well, having good posture, etc26

KEEP IN MIND ( )WITH YOUR BODYTHIS HELPFUL TIPS 271 Lifting too much weight or exercising for too long is one of the most common causes of sports injuries. They are also frequent when a workout routine is not correctly established, which is why it is important to have the guidance of a certified trainer.2 Whether due to a lack of time or lack of experience, some people begin their workouts without warming up beforehand. Spending time warming up the muscles, especially those that will be used during your routine, mini- mizes the risk of injury.3 If you do injure yourself, stop your workout immediately. Continuing to exercise could cause further damage. Even if the discomfort or pain is minor, the best choice is to reduce any inflammation. It is best to rest and apply heat and cold therapy.4 A plan for proper nutrition that suits the exercise you are doing will maximize your results. Refrain from eating right before a workout and do not fill up on food afterwards; instead of achieving the results you want, this causes muscle fatigue as well as overall fatigue.

( )WITH YOUR BODYSTRUGGLE-FREEMEAL TIMESMeal time can turn into a battlebetween parents and children.Setting limits is key. ADVISOR DIANA MARCELA ÁLVAREZ VARGAS Pediatrician, practitioner at Coomeva Medicina Prepagada. In their first years of life, children grow very quickly and their bodies develop according to the foods they eat. If their bodies are built on healthy foods, they grow faster, have greater immune systems and get sick less. Their psychomotor deve- lopment is at its peak and therefore have greater capacities to learn and be healthy and productive adults. Depending on the types of food we eat, our metabolisms are set for the rest of our lives during our first three years of life. The food consumed during pregnancy and the first two years of life determines the chances of developing serious metabo- lic diseases over the decades that follow, such as: obesity, diabetes, high blood pressure, hypercholesterolemia, heart attacks and strokes. In order for parents to instill healthy habits in their children, it is important for them to recognize what their own eating28

( )WITH YOUR BODY little giantsstyles are. Are you a controlling, indul-gent, passive or receptive parent when itcomes to food? Receptive eating styles arethe most recommended (For tips, see theReceptive Parenting section). Food is more than nutrition, however. Itis also a ritual and is an opportunity to bewith family. Children are therefore encou-raged to: eat at the table together with theirfamilies so they may learn to appreciate thetextures, flavors and colors of the foods theyeat; eat without distractions (television orelectronic devices); and learn by example ina stress-free and relaxed environment wherethe main focus is conversation.FRUITS AND VEGETABLESIf parents want their children to eat foodsthat are rich in vitamins, such as fruitsand vegetables, they must serve as anexample and eat plenty of these foodswhile at the table. Children learn more byimitating than by suggestion or throughrules that are imposed upon them. With all three meals, at least five diffe-rent colors should be represented both forchildren and adults. In order to consumethe vitamins needed in a healthy diet, atleast three portions of fruits and vegeta-bles should be consumed a day. If children are exposed to these foodsbefore they are born, they will be morereceptive to eating different fruits andvegetables. If mothers eat wide varieties offruits and vegetables while they are preg-nant and breastfeeding, the baby will beexposed to these flavors through thebreastmilk’s amniotic fluid; these flavorswill later stimulate their taste buds, easingthe supplementary feeding process. This process begins when the baby isbetween four and six months old.Depending on the child’s development,the infant should be fed different typesof fruits and vegetables in various forms(both liquid and solid). Without pressu-ring them, allow the infant to touch thefood, to feed themselves and to tasteand become familiar with the flavors 29

WITH YOUR BODY WHAT TO AVOID( )little giants The following should not be included in children’s diets:and textures of the newly introduced ► Food products with low nutritionalfruits and vegetables. values such as candy, juice boxes or soft If the child does not want to eat fruits drinks, potato chips (for the high saltor vegetables, do not force them. Avoid content) or other packaged foods (theyusing bribes or prizes. While the infant are high in preservatives).may be eating, albeit reluctantly, what they ► Salty or smoked foods or foods that areare actually learning with this behavior is ► very sweet.that eating is a sacrifice that is rewarded in ► Foods with a high fat content (aged chee-the form of a prize. ses, processed meats, and fried foods). ► Packaged cookies and cakes. The best way to encourage children toeat is to allow them to make their own RECEPTIVEdecisions by asking them, for example, PARENTING“Do you want a banana or an apple?” Receptive parents are parents that helpSWEETS guide their child’s eating habits, are atten-Most foods, especially carbohydrates and tive to their signs of hunger and thirst,fresh fruits, have the right amounts of and that place pre-determined limits onnatural sugars in order to provide children them such as: what, when and wherewith all the energy they need for their their child will eat. This will improve chil-daily activities. dren’s eating habits, provided that parents also: The general recommendation is to not ► Feed them when they are hungry.add sugar, honey or panela (unrefined ► Do not force them to eat when theycane sugar) to an infant’s diet before theyturn one. Adding sugar to the diets of chil- are full.dren under this age may contribute to the ► Trust that their child only eats thefuture onset of diabetes. The consumptionof honey prior to this age can also cause a amount that their body needs.very serious illness called botulism. ► Talk about food in a positive light and The simple sugars in sweets or candies is serve as an example of healthy eating.addictive because it stimulates the release of ► Establish meal times and snack times.pleasure-inducing neurotransmitters that ► Do not provide drinks other thancan have a euphoric effect on the brain andcan leave you with the sensation of being water between meals and snacks (thisfull. Children that eat sweets frequently are helps to build up children’s appetites).never hungry when it is time to eat meals, ► Offer a variety of healthy options in aappear to have no appetite, reject healthy fun or appealing way at each meal.foods more often and have more cavities. There is no need to go to the extremeof not allowing children to have sweets.Healthy choices should be offered, howe-ver, such as delicious fruit desserts andoptions that are part of the basic foodgroups (foods that play a rule in the child’sgrowth and development). A more nutritious alternative to a pieceof chocolate, for example, could be a scoopof ice cream with a snowman face made ofgrapes for eyes, a strawberry for the nose•and a peach for the mouth. Give it a try!30

( )¿Paolrmqoumé eenstiomdpeorttuanllatemlaadianpfaorramsoalcicióitnarqnuueensotrsoWsIuTsHemYrOivUnRiciBsiOtoDr?Yas La atención en salud se clasifica de acuerdo a un estándar nacional llamado TRIAGE suministrado por el Ministerio de Salud Colombiano y de acuerdo a este se brinda atención oportuna según cada caso. En CEM, nuestro personal realiza esta clasificación de acuerdo a la información que nos facilitas.Prioridad I Requiere atención inmediata. La condición clínica del paciente representa un riesgo vital y una alteración de la integridad física, funcional o psicológicaEmergencia comprometiendo la vida del individuo y haciendo necesaria la atención inmediata.Prioridad • Alteraciones del estado de conciencia • Dificultad para respirar II y III • Dolor en el pecho con factores de riesgo • Heridas con abundante hemorragia • Fractura expuesta (con exposición Urgencia (Género Masculino, mayores de 55 años, Diabetes, Hipertensión y cigarrillo) de tejidos) • Convulsiones • Traumas múltiples • Hemorragia en gestantes Evento de aparición súbita que no implica riesgo para la vida o integridad del paciente, quien se encuentra estable desde el punto de vista fisiológico, sin embargo, requiere de atención oportuna para que no empeore la condición hacia un rápido deterioro, o incrementar el riesgo para la pérdida de un miembro u órgano, probablemente requiere un examen complementario. • Fractura cerrada (no hay exposición • Intoxicaciones que no de tejidos) comprometan la vía respiratoria • Crisis hipertensivas • Quemaduras grado I-II sin • Dolor abdominal agudo (de aparición compromiso de la vía respiratoria reciente) • Crisis asmática • Diabetes (alteración en los niveles • Dolor Extremo • Dolor abdominal en gestante de azúcar) • Heridas menores que requieran suturaPrioridad IV Servicio considerado de baja complejidad pero que requiere de algún grado de prioridad. El paciente presenta condiciones médicas que no comprometen su Consulta estado general, ni representan un riesgo evidente para la vida o pérdida de un Prioritaria miembro u órgano. • Diarrea o vomito con síntomas de deshidratación. • Crisis migrañosas • Dolor abdominal con signos de alarma (fiebre, escalofrio) • Tos fuerte, resfriado, congestión nasal con dificultad respiratoriaPrioridad V Son situaciones de salud no complejas o relacionada con problemas agudos o crónicos de salud que no comprometen la vida del paciente y no representa un Consulta riesgo evidente en la funcionalidad de miembro u órgano y cuya atención podría realizarse por consulta externa. • Dolores de más de 3 días de evolución • Fiebre sin síntomas de alarma no incapacitante (escalofrío, dolor, vómito). • Dolores musculares no • Dolor de cabeza sin signos de alarma (fiebre, escalofrío, vómito) incapacitantes • Resfriado común • Diarrea sin deshidratación 31

( )WITH YOUR BODY HEALTHY TEETH FROM MOTHER TO CHILD A long life of healthy teeth begins in the mother’s womb. It is also important to prevent gum disease and maintain a balanced diet.32

ADVISOR ( )WITH YOUR BODY LILIANA MARÍA ORTIZ Pediatric Dentist por tu sonrisa Practitioner at Coomeva Medicina Prepagada. 33Forty weeks in the life of a mother is a relatively small period of time; it is a defining period, however, in thelife of their child. All the preventativemeasures that expecting mothers can takeduring this crucial period will later impactnot just the health of their baby, but alsothe health of the man or woman that theywill grow to be. Included in these preventative measu-res are those related to dental health. Forexample, it is important for expectingmothers to be free of cavities and of gumdiseases, as the bacteria involved in thesediseases can be passed on to the baby. Pregnant women should also have gooddental hygiene, as a relationship has beenestablished between gum disease and pre-mature births. Because pregnant womenoften experience nausea or vomiting, thesemay lead to cavities, which is why womenare recommended to brush their teeth aftervomiting and to use a mixture of water andbaking soda as a mouthwash to improvetheir oral hygiene. It is also suggested thatthey maintain a diet that is low in sugarand choose gum that is sweetened with xyli-tol (no more than 3 times a day) in order toreduce their risk of cavities. Women that are pregnant are able tocontribute important vitamins and mine-rals to the dental health of their growingchild such as vitamins A, B, C, and D,and calcium and phosphorus. Vitamin Dhelps develop healthy teeth and bones inthe baby, which is why pregnant womenshould spend ten minutes a day in the sunin order for this vitamin to be activated. The consumption of folic acid is alwaysrecommended in the form of a supple-ment (prior to becoming pregnant) orthrough maintaining a diet that is rich inspinach, chard, nuts, seeds, meat, milkproducts and fish. They should also eat

WITH YOUR BODY( )for your smilelegumes, fruits and beans such as lentils, med and will produce discomfort. In RECOMMENDA-pinto beans and garbanzo beans. order to manage this sensation, you can TIONS FOR give your baby a teether or a carrot; both HEALTHY Just as you can contribute to benefiting should be cold to counteract inflamma- TOOTH HYGIENEthe dental health of your child, you can tion. Topical anesthetics should not bealso cause them harm by taking any medi- applied to your baby at this age because it ► It is important for expectingcations that alter the development of the not suitable for children under the age of mothers to be free of cavities andteeth. You should therefore consult with two, unless its use is strictly monitored by of gum disease, as the bacteriayour gynecologist or physician before con- a pediatrician or pediatric dentist. involved in these diseases can besidering to take any medications. passed on to the baby. BRUSHING YOUR BABY’S TEETH Included in these preventative measures The American Academy of Pediatric ► Because pregnant women oftenis abstaining from the consumption of Dentistry (AAPD) recommends using too- experience nausea or vomiting,drinks that contain stimulants, abstaining thpaste with fluoride twice a day in a contro- this may lead to cavities. Womenfrom liquor and not smoking. These mea- lled amount, such as 1,100 ppm fluoride. As who experience this are recom-sures should be taken not just because your the 2015-2016 AAPD Reference Manual mended to brush their teeth andgeneral health indirectly impacts the health shows in the adjacent image, the amount of use a mixture of water and bakingof your baby, but because these harmful toothpaste that should be applied is similar soda as a mouthwash to improvesubstances can cause neurological damage. to the size of a grain of rice for children their oral hygiene. under age three, and the size of pea for chil- Once your baby has been born, this dren between ages three and six. ► The American Academy ofnew addition to the family needs protec- Pediatric Dentistry Referencetion. In first caring for your child, it is When children want to brush their Manual recommends using fluori-important to clean their gums, tongue teeth on their own, provide them with de toothpaste twice a day in aand palate either with clean gauze or with toothpaste that does not contain fluoride. controlled amount.a silicone finger toothbrush and water. Parents should then use toothpaste withThis should be done in a gentle manner fluoride when they inspect and brush ► When children want to brush theirand can take place during bath times. their child’s teeth afterwards. Having the teeth on their own, provide them right amount of toothpaste is crucial, you with toothpaste that does not con- Babies begin teething between four tain fluoride. Parents should thenand six months. When this happens, the •should always follow instructions on the use toothpaste with fluoride whenbaby will drool more and will constantly they inspect and brush theirplace their hand in their mouth as emer- recommended amount child’s teeth afterwards.ging teeth causes gums to become infla- ► Medical and dental checkups during pregnancy and during the baby’s first year of life are impor- tant keys to achieving proper oral health all throughout life. ► The Dental Elite program offered by Coomeva Private Healthcare includes preventative care visits and several additional benefits.34

( )WITH YOUR BODY 35

( )WITH YOUR BODY THE LIVER, NOT AS STRONG AS YOU THINK The number of those who suffer from fatty liver disease seems to be growing. Recommendations to prevent it include avoiding alcoholic beverages and only taking herbal medicines with the advice of a doctor. ADVISOR JUAN CARLOS RESTREPO - Hepatologist36

( )WITH YOUR BODY preventionWhen boxing matches escalate, the 45% strong blows boxers make to their opponent’s liver does not come IS THE PERCENTAGE OF ALCOHOLwithout a cost. When this vital organ hurts, it IN HARD LIQUOR. THIS PERCEN-can bring even the biggest of builds to the TAGE VARIES BETWEEN 12 -15%floor. The greatest blows to the liver, however,do not come from the outside, they come IN WINE. MEN SHOULD HAVEdirectly from a careless diet: an excess intake of NO MORE THAN TWOfat, alcohol, sugar and salt. GLASSES A DAY. The liver is the body’s largest, most complex to avoid the excess consumption of flours,and most active organ. Its functions ae vital to sugars and fats.” Restrepo points out that whilekeep the body going: it filters the blood that some people seem to be able to exaggeratepasses through it from the digestive tract, pro- their intake of fat and sugar, sooner or later thetects us from infections and helps to eliminate body ends up rejecting these practices and it isthe bilirubin in the blood (a byproduct of becoming more common to meet young peop-decomposed red blood cells. Who can forget le that suffer from fatty liver disease.Juan Luis Guerra’s catchy song from the 90’s,“La bilirrubina,” (bilirubin)? Except it’s not “If someone is diagnosed with a conditionlove that make bilirubin levels rise (as the song such as fatty liver disease, they should visit agoes), it’s not taking care of our liver. hepatologist to determine whether this organ is inflamed or not and to detect its causes, as they Damage to this organ is caused by practices can vary among patients. I have seen cases ofthat can sometimes turn into daily habits. First individuals that do not drink alcoholic bevera-and foremost is the excessive use of alcohol. ges, but that perhaps they frequently ate friedThis damages and destroys the liver’s cells, foods, which can lead to the onset of this disea-which deteriorates it down and allows for fat to se. It is important to remember that all of ouraccumulate in it, known as “fatty liver.” The bodies are different and some are more likelyliver becomes inflamed and can result in to become ill than others,” Restrepo states.cirrhosis, which is essentially the scarring of theliver, and can lead to death. One of the greatest risks of fatty liver disea- se or cirrhosis is that they can lead to cancer, The second leading cause of damage to the which in most cases is devastating and actsliver is self-medication. Some may think that quickly. Other liver diseases include hepatitisthis refers to taking a pill for a headache or for A, B and C, which are caused by consuminggeneral discomfort. However, vitamins and contaminated foods, obesity, allergic reactionsherbal or weight loss supplements also play a or are sexually transmitted.role here as well as all those trending medica-tions that are used without the advice of an Experts recommend eating five portionsindependent doctor whose interest is not in of fruit and vegetables a day (always fresh andmaking a profit. Taking these types of “medici- well rinsed), drinking plenty of water, main-nes” can lead to liver failure or to serious levelsof toxicity in the liver. •taining a balanced diet and avoiding beco- According to Juan Carlos Restrepo hepato- ming overweightlogist, professor and coordinator of the LiverTransplant Group at Universidad deAntioquia the best way to care for the liver is toavoid “…consuming alcoholic beverages, unre-gistered herbal products, self-medication and 37

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( )WITH YOUR BODY FOCUS ON DIABETES Prevention and awareness: allies for controlling blood( )sugarlevels.40

( )WITH YOUR BODYDiabetes is a chronic and irreversible disease health, cells become dehydrated, and the body 422 millionof the metabolism that is triggered when the is left without fuel.pancreas loses its ability to produce enough This medical condition is one of the four non- PEOPLE IN THE WORLDinsulin or when the body cannot process insu- communicable diseases (NCDs) that require SUFFER FROM DIABETESlin efficiently. priority attention due to how widespread it is.Insulin is the hormone that is responsible for In addressing this, the World Health AND ONLYtransferring the glucose from food to cells, Organization (WHO) and its Diabetes HALF RECEIVEwhere it becomes a main source of energy for Programme is focusing its efforts on ways to A DIAGNOSIS.the body. When this does not function nor- “…prevent diabetes whenever possible and,mally, sugar accumulates in the blood until it where not possible, to minimize complica-reaches levels that are dangerous to your tions and maximize quality of life.”TYPES OF DIABETES WITH TYPE 2 DIABETES, the body is able to produce insulin, but cannot use it effi-TYPE 1 DIABETES (JUVENILE ciently. At least 90% of diabetes patientsDIABETES) cannot be prevented. It have this type of diabetes whose causes areis caused by a genetic predisposi- associated with physical inactivity, beingtion that permanently and irreversi- overweight and poor eating habits.bly destroys the cells responsiblefor producing insulin. PATIENTS CAN LIVE NORMAL, LONG AND HEALTHY LIVES WITH BOTH TYPES OF DIABETES.THIS LARGELY DEPENDS, HOWEVER, ON THE PATIENT’S COMMITMENT TO THEIR WELLBEING AND TO THEIR FUTURE. Treatment begins with an early diagnosis and by understanding that once you are diagnosed, there is no way back. Proper treatment should include:LIVING WITH ► Monitoring blood sugar levels ► Maintaining a healthy diet DIABETES ► Injecting or taking insulin if needed, ► Not smoking ► Controlling your blood pressure following your doctor’s instructions ► Visiting your medical specialist regularly ► ExerciseCHILDREN In 2030 1.5 millionThe greatest concern is that while only adults used to develop diabe- DIABETES WILL BE THE PEOPLE DIED FROMtes type 2, the rise in the consumption of fast food, soft drinks and SEVENTH CAUSE OF DIABETES IN 2012.foods high in sugar has increased the development of this conditionamong children. It is important for parents and educators to be beco- DEATH IN THE WORLD.me more aware of this issue and to pass on healthy eating habits totheir children in addition to an active, sports-oriented lifestyle. Go to Revistasaludcoomeva.com to learn more about diabetes. 41Fuentes: Organización Mundial de la Salud - American Diabetes Association

WITH YOUR BODY( )life todayKNOW MORE THE TRUTH BEHIND PROBIOTICS IN TESTOSTERONE BREASTMILK High levels of this steroid hormone which is ► Researchers from Universidad fundamental to male sexual development Nacional (Colombia) have detected used to be associated with a lack in this microorganisms in breastmilk that gender’s ability to be generous. Contrary to have the potential to improve the this belief, a study published by the journal gastrointestinal tract of newborns. By Proceedings of The National Academy of studying fecal material, researches Sciences, “Testosterone, aggression, and not only observed the relationship generosity in human males,” found that tes- that these bacteria have between tosterone contributes to behaviors that lead newborns and their mothers, they them to reaching a higher social status. This were also able to measure their posi- means that while this hormone is related to tive effects. more aggressive attitudes, it is also related to generous ones as well. “This can result in ► “We are a microbiome, which is why prosocial behavior among males, which can we want people to understand that be beneficial to others; giving this hormone probiotics must be included in chil- a more complex role in human behavior that dren’s diets in order for them to have what was thought.” healthy digestive systems, and to avoid allergies and an irritated colon,” 13% states Olga Inés Montoya Campuzano, professor and resear- OF THE POPULATION OF COLOMBIA cher at the School of Biosciences. BETWEEN AGES 12 AND 65 ARE ADDICTED TO CIGARETTES, (KEEP IN MIND) REVEALS THE NATIONAL NUTRITION SURVEY OF COLOMBIA. The Pan-American Health Organization (PAHO) has declaredDOSAGE OF ANTI- AIR QUALITY: VITAL that is the region of the Americas isINFLAMMATORIES: TAKE CAUTION TO YOUR HEALTH the first in the world to have elimi-The seven nonsteroidal anti-inflammatory drugs Air pollution increases the risk of nated measles.(NSAIDs) that are most widely-used throughout suffering from acute and recurrentthe world (ibuprofen, diclofenac, naproxen, indo- respiratory infections as well as car-methacin, ketorolac, nimesulide, and piroxicam) diovascular and cerebrovascularhave been found to, “…increase the risk of hospital disease. According to WHO, 90% ofadmission for heart failure.” Part of the SOS air quality-related deaths occur inProject and published in the British Medical low and middle-income countries.Journal, this finding analyzed data from patientsfrom four European countries over a period of tenyears. In sum, avoid self-medication and be carefulwith dosage amounts.42

( )WITH YOUR BODY 43

( )WITH YOUR BODYHOPE FORTREATING HIVWorld AIDS Day is heldeach year on December 1in order to send a life-long message.ADVISORS WHO, UNAIDS AND THE NATIONAL HEALTH INSTITUTE (COLOMBIA) 15,8 HIV destroys the white blood cells million that fight infection and damages the immune system. people in the world infected by HIV as of mid-2015 This puts people at risk of contracting serious diseases were being treated with antiretroviral therapy. and certain types of cancer. It is transmitted through It is becoming easier unprotected sex, and faster to take an HIV test. sharing needles and through The blood from a finger prick infected blood transfusions. is all that is needed to run a blood test. The result is ready in just 10 minutes.44