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Introduction. The Institutional Pharmacovigilance Program (PIFv) is a component of the National Pharmacovigilance Program (PNFv) executed by the Health Service Provider Institutions (IPS). Objective. Analyze the influence of operational risk factors in the PIFv of IPS with medium and high complexity pharmaceutical service in the Department of Córdoba in 2019. Methodology. Observational, cross-sectional study of association and quantitative approach; the population as well as the sample was formed by IPS with a medium and high complexity pharmaceutical service that were the subject of a technical assistance visit to the PIFv by the health section, to collect the information from the survey, the "HPE Software - PIFv" version 00 was designed with which the "HENRI PIFv Scale for the qualification of the implementation of the pharmacovigilance program in IPS" was automated; descriptive and inferential statistics were applied. Results. The technological tool consolidated the findings of each visit into a record, reducing the survey time by 50%. 13.8% of the IPS were of a public nature and 86.2% were from the private sector; 65.5% of the institutions studied classified the PIFv status as "not implemented", 31.1% as "in implementation" and 3.4% as "implemented"; 55.1% of the IPS presented 100% underreporting of Adverse Drug Event (ADE) in 2019; 31% of the IPS that received a technical assistance visit presented a status of the PIFv “not implemented” and underreporting of EAM of 100%; Inferential statistics did not identify significant statistical associations between the variables studied. Conclusion. In the human talent responsible for the PIFv it was observed that work itinerancy, work overload and / or a low training in pharmacovigilance can constitute operational risk factors for PIFv in the IPS studied, the same effect can produce the absence of a program of pharmacovigilance in the health section.

Introducción Se considera la accidentalidad como eventos involuntarios generados al menos por un vehículo en movimiento que causa daño a personas o bienes involucrados en el mismo. Objetivo Determinar el comportamiento del incidente vial en Montería 2011 a 2015. Método. Estudio Descriptivo1, retrospectivo2 con comunicación y abordaje cuantitativo3. El presente estudio es de la investigación cuantitativa4, enfoque analítico. Se utilizó la información contenida en la base de datos de la Secretaria de tránsito y transporte de Montería; de los años 2011 a 2015. Resultados. De enero de 2011 a 31 de diciembre de 2015 se registraron 2.598 IV, los resultados del análisis del incidente vial en Montería 2011 – 2015 evidencian que ocurre un IV con lesiones personales cada 12 horas; la mortalidad es más frecuente entre motociclistas (71,3%) y parrilleros (26%) que en otras formas de transporte; el grupo de edad más afectado es el de mayores de 18 años (66%); las zonas de mayor accidentalidad son Centro, La Castellana y Mocarí; las tres vías coinciden con zonas de alto tráfico y pueden ser clasificadas como de alto riesgo, la imprudencia y la velocidad se ha demostrado como la principal causa de incidentes viales en las ciudades. Conclusión El comportamiento del incidente vial en Montería, muestra la aparente influencia del número de motocicletas, el deficiente estado del parque automotor como origen probable de los accidentes con lesiones personales y fallecimientos. Recomendaciones. Es importante identificar las causas que no han permitido avanzar decididamente en la reducción del incidente vial.

Reconstruir las trayectorias de vida de un grupo de mujeres que lograron salir del ciclo de la violencia en sus relaciones de pareja. Conocer estas trayectorias permitirá acercarnos a la comprensión del fenómeno de estudio y plantear estrategias que contribuyan al cuidado integral de mujeres que presenten esta situación

The serological evaluation of SARS-CoV-2 is an alternative that allows knowing the prevalence and dynamics of this infection in populations. Aim. To determine the clinical and socio-demographic dynamics of SARS-CoV-2 infection in a region of the Colombian Caribbean. Methods. Between July and November 2020, a cross-sectional observational study was carried out. The work was carried out in Córdoba, located in the northeast of Colombia in the Caribbean area. Eight municipalities with the largest population were chosen, and 2,564 blood samples were taken. The commercial ELISA was used with the recombinant protein antigen N of SARS-CoV-2. The people included in the study were asked for sociodemographic and clinical data related to pulmonary and extra-pulmonary manifestation of this disease, which were analyzed by statistical methods. Results. A seroposivity of 40.8% was obtained for SARS-CoV-2 in the Cordoba region of the Colombian Caribbean. In the bivariate analysis, no differences were observed in seropositivity against SARS-CoV-2 about gender or age range (P> 0.05). Higher seropositivity was found in low socioeconomic status and symptomatic patients (P <0.0001). 30.7% of the asymptomatic patients were seropositive for SARS-CoV-2, which would be linked to the spread of this infection. In the multivariate analysis, seroconversion was related to poverty and clinical manifestations such as anosmia and ageusia (P <0.05). Conclusions. The high seropositivity in the department of Córdoba would be related to a possible community immunity. Seropositivity would be related to clinical manifestations such as anosmia and ageusia. In addition, the association between seropositivity and socioeconomic level suggests an appropriate context for the transmission of the virus, this being determined by informal economic activities in low-income groups.

Food-borne diseases (FBD) constitute a growing and important public health problem, causing morbidity and mortality mainly in children, the elderly and pregnant women; in addition to economic problems worldwide. In order to know their behavior and establish foundations, what to do, create policies, programs and strategies for their control and prevention, a descriptive, retrospective and longitudinal study of the cases of FBD reported to the Department of Health Secretariat of Córdoba (DHSC ) in the period between 2012 and 2017. In the observation window, 2,533 cases of FBD were notified to the surveillance system -SIVIGILA, allowing an incidence rate of 25 cases per 100.000 inhabitants in the Department to be estimated. The reports made it possible to establish that the population most affected by pathologies associated with food during this period was female. Likewise, the age group most affected are infants and children from 0 to 4 years old and the ethnic group called "other", characterized as people who do not identify themselves in any ethnic group. Most of the reported cases were found in the urban capital, especially in Montería, Tierralta, Sahagún, Chinú and Cereté. The prevalent place was the home, followed by street sales and educational institutions. Regarding the implicated food and etiological agent, the DHSC has little information in this regard, however, it was found that most of the samples analyzed present as a result "Pending" or "Not identified" and that the agents frequently identified were E. coli, Salmonella spp., total coliforms and Sthaphylococcus aureus. Also, all food samples collected in the field investigation were cheese.

La realización de esta Monografía tuvo como objetivo proponer un protocolo para el manejo y disposición final de aceites lubricantes vehiculares usados, en la ciudad de Montería, Córdoba, con el fin de comprender el peligro que presenta para el medio ambiente y la Salud pública la inadecuada gestión de estos residuos peligrosos. El interés de hacer esta propuesta se origina por la observación del mal manejo de los establecimientos de Mecánica preventiva y correctiva de los Aceites lubricantes usados en el Municipio de Montería, porque al momento de realizar el cambio de aceites lubricantes a motocicletas y automóviles, no siguen un modelo o unas normas para minimizar la contaminación. La metodología para el desarrollo de la propuesta fue realizada a través de investigación de campo, se obtuvieron fotografías de algunos establecimientos de mecánica del municipio de Montería, recolección de información de sitios web, informes entro otros. La propuesta de un protocolo para el manejo y disposición final de Aceites lubricantes Vehículares usados se apoyó en instrucciones sobre el manejo y almacenamiento temporal del aceite lubricante usado, por gestores de nivel internacional. Lo que se plantea con la propuesta de disposición final de los aceites lubricantes usados, es presentar una manera adecuada de como los establecimientos de Mecánica pueden reducir la generación de estos residuos o desechos peligrosos, siguiendo unos estándares, principios, técnicas apropiadas y normas nacionales e internacionales.

Dengue has become a disease of interest in Public Health, the most important arbovirus of all time due to the socioeconomic burden it produces and the number of cases that are reported daily. To date, an effective vaccine has not been created for its cure or prevention, today it is known that safe practices at home and in the community to control its main vector, Aedes Aegypti, are the only effective way to prevent it since it may be present in containers resulting from human activity, among other factors. that favor its appearance such as climate change and sanitary conditions Objective: To determine the factors that act as facilitators and barriers in the adoption of daily preventive practices of dengue in families from Montería, Córdoba. Materials and methods: Quantitative, descriptive, correlational and cross-sectional study, with a sample of187 individuals from Montería who suffered from dengue or a member of their family. The data were obtained through structured surveys through home visits and telephone calls. Results: a large percentage of individuals have good knowledge about dengue and how to prevent it, but risk behaviors persist, community participation to carry out preventive activities is very deficient, as well as the support, monitoring, evaluation and control by the authorities in the execution of dengue prevention campaigns or activities. Conclusions: more barriers were found than facilitators, which is why more regular interventions are necessary by the entities in charge of health education and strategies related to behavioral change.