Publications by authors named "Carlos Alberto Castro"

Background: In Colombia, the average age of first sexual intercourse is between 14 and 15, and it has one of the highest fertility rates among adolescents in Latin America, which reflects poor access to health services and a lack of knowledge about contraception. Some laws support comprehensive sex education as a learning process that families and schools should provide. The objective of this work was to assess the frequency of adequate knowledge and attitudes of acceptance towards contraception in students, their associated factors, sexual behaviours in sexually active students, and experiences with sex education.

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Background: Multidisciplinary care (MDC) remains a cornerstone for breast cancer management as it is associated with improved quality of care and patient outcomes. However, the adoption of MDC practice is heterogeneous and has been poorly explored in Latin America. The objective was to describe barriers and possible facilitators for providing MDC to breast cancer patients in five Latin American countries.

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Article Synopsis
  • The study aimed to evaluate how a comprehensive care model (CCM) affects treatment adherence in rheumatoid arthritis patients receiving subcutaneous anti-TNF drugs.
  • An observational study of 131 RA patients showed an increase in adherence from 87.8% at the start to 96.2% after 24 months of implementing the CCM.
  • Results indicated that the CCM contributed to a 9.4% increase in overall adherence, with patients using golimumab showing 4.5% higher adherence compared to those on etanercept and adalimumab.
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Article Synopsis
  • The study focused on analyzing pediatric patients in Bogotá who had urinary tract infections (UTIs) caused by community-acquired extended-spectrum b-lactamase (ESBL)-producing enterobacteriaceae from their first urine cultures.
  • Over a six-year period, 2657 positive urine cultures were reviewed, and data from 132 patients were specifically analyzed, revealing a 5% frequency of ESBL-producing bacteria in these UTIs.
  • The findings indicated that most affected patients were preschool-aged females and that the infections were primarily in the lower urinary tract, with the bacteria showing good sensitivity to amikacin and nitrofurantoin.
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Introduction: Rheumatoid arthritis (RA) is a chronic and progressive pathology, present in between 0.5% and 1% of adults. Sexual disorders (SDs) occur in between 31% and 70% of all patients with RA.

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Background: By 2015, the World Health Organization reported that 1% of the world population suffered from rheumatoid arthritis (RA) and in Latin America (LA) between 0.5% and 1%. Previously, in May 2014, a consensus meeting was held in Barranquilla, Colombia, where the Project for Implementation and Accreditation of Centers of Excellence (CoE) in RA in LA was established, which then became an official special group of the Pan American League of Associations for Rheumatology (PANLAR).

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Background: Multiple sclerosis is an inflammatory and neurodegenerative demyelinating disease. Current treatment of multiple sclerosis focuses on the use of immunomodulatory, immunosuppressant, and selective immunosuppressant agents. Some of these medications may result in high risk of opportunistic infections including tuberculosis.

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