Publications by authors named "Juliana A Hernandez Vargas"

Context: Several effects of non-sugar-sweetened beverage (NSSBs) intake on health outcomes have been reported; however, the evidence on the association between NSSBs intake and chronic diseases and mortality risk is still inconclusive.

Objective: This umbrella review aimed to summarize the evidence on the association between NSSBs intake and the risk of chronic diseases and mortality.

Data Sources: Embase, ISI Web of Science, Cochrane Central, and PubMed were searched up to September 2023 for relevant meta-analyses of observational prospective cohort studies.

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In the face of rising global urbanisation, understanding how the associated environment and lifestyle impact public health is a cornerstone for prevention, research, and clinical practice. Cardiovascular disease is the leading cause of morbidity and mortality worldwide, with urban risk factors contributing greatly to its burden. The current narrative review adopts an exposome approach to explore the effect of urban-associated physical-chemical factors (such as air pollution) and lifestyle on cardiovascular health and ageing.

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Article Synopsis
  • People living with HIV (PLWHIV) in Colombia have an increased risk of coronary artery disease (CAD), with only 0.53% of a studied cohort (36,483 individuals) diagnosed with CAD.
  • Factors linked to a higher chance of developing CAD include being male, aged 50 or older, having a history of lipoatrophy or lipodystrophy, obesity, diabetes, renal impairment, and being diagnosed with AIDS-defining conditions.
  • The study highlights the importance of recognizing both traditional and HIV-specific risk factors in order to help healthcare professionals mitigate CAD risks in PLWHIV.
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Introduction: We compared the association of glomerular filtration rate (GFR) estimated with the Cockcroft-Gault, Modification of Diet in Renal Disease study (MDRD), Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI), or the new CKD-EPI without race (CKD-EPI-NR) equations, with 4-year all-cause mortality in patients with diabetes.

Research Design And Methods: We analyzed a nationwide, centralized database of all adults diagnosed with diabetes assisted by the Colombian Health System between July 1, 2015, and June 30, 2019. Plasma creatinine was used to calculate baseline estimated glomerular filtration rate (eGFR) and classify each patient in a chronic kidney disease (CKD) stage, by each of the four equations.

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Background: Stomach cancer is among the most frequent, is a leading cause of mortality in low- and middle-income countries. Assessing its survival is important to guide evidence-based health policies.

Aims: To estimate stomach cancer survival in Colombia (2014-2019) with data from the National Cancer Information System (NCIS) and in Cali with data from the Cali Population Cancer Registry (RPCC) (1998-2017).

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Objective: The magnitude of the mortality benefit conferred by good integral metabolic control in diabetes in not sufficiently known, especially among Latin American patients. We prospectively studied the association between sustained control of blood glucose (HbA1c<7%), systolic blood pressure (SBP) (<130 mmHg) and LDL (LDLc, <100mg/dL) and non-HDL (non-HDLc, <130 mg/dL) cholesterol, and death from any cause among all adult patients with diagnosed diabetes in Colombia.

Methods: We retrospectively analyzed data from a nationwide, centralized, mandatory registry of all patients with diagnosed diabetes assisted by the Colombian health system between July 1, 2015, and June 30, 2019.

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Context: The relative importance of the control of different metabolic risk factors for the prevention of chronic kidney disease among patients with diabetes in real life conditions is insufficiently understood.

Objective: We evaluated the effect of the achievement of glycated hemoglobin A (HbA), systolic blood pressure (SBP), and low-density lipoprotein cholesterol (LDLc) or non-high-density lipoprotein cholesterol (non-HDLc) goals (ABC goals) on the development of incident chronic kidney disease (iCKD) among patients with diabetes.

Methods: In a nationwide registry of all individuals diagnosed with diabetes assisted by the health system in Colombia, we analyzed the association between baseline or sustained goal achievement and development of iCKD over a 4-year follow-up.

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Article Synopsis
  • * The study conducted a systematic review and meta-analysis of 5084 references, ultimately including 124 studies, focusing on phage therapy's effectiveness in improving animal survival and reducing bacterial load.
  • * Results indicated that phage therapy significantly enhanced survival rates in various infection models, although a considerable number of the studies had a high risk of bias, leading to reliance on a smaller subset of higher-quality studies for final analysis.
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Aims: To assess the achievement of essential treatment goals among patients with diabetes in Colombia.

Methods: We analyzed data from a nationwide registry of all individuals with diagnosed diabetes, hypertension or CKD assisted by the health system. We explored the prevalence of treatment goals (HbA1c < 7% [<53 mmol/mol], systolic blood pressure (SBP) < 130 mmHg and LDLc < 100 mg/dL), and their variations by race and type of health insurance, between July 1, 2015, and June 30, 2019.

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Background: Chronic Chagas cardiomyopathy (CCM) is ranked among heart failure etiologies with the highest mortality rates. CCM is characterized by alterations in left ventricular function with a typical and unique pattern of myocardial involvement. Left ventricle longitudinal speckle tracking strain is emerging as an important additive method for evaluating left ventricular function and risk of future cardiovascular events.

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Purpose: The National Cancer Information System (NCIS) has been operating since 2014, including information reported by health care insurers and providers on people with cancer diagnosed and treated within the Colombian health system. Its main purpose is to identify barriers to an effective access to cancer diagnosis and treatment across the country. We aimed to describe the methodology, scope and results in terms of access to health services with real-world data provided by the NCIS.

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Article Synopsis
  • Achieving optimal glycemic control is crucial for reducing diabetes-related complications, but the impact of comorbidities on this control is not well understood.
  • A study using data from a Colombian registry found that 85% of people with diabetes had at least one comorbidity, with chronic kidney disease (CKD) and obesity being linked to higher odds of poor glycemic control (PGC).
  • The findings suggest that individuals with diabetes who also have CKD or obesity are at a significantly increased risk for poor glycemic control, emphasizing the need for targeted management strategies in these populations.*
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Article Synopsis
  • Cervical cancer is a major health issue in Colombia, particularly affecting women, and treatment delays are linked to worse outcomes.
  • * A study analyzed 1,249 newly diagnosed cases of cervical cancer in 2018, finding a median time to treatment initiation of 71 days, with only a small percentage starting treatment within 30 days.
  • * Factors like age, type of health insurance, and region significantly influenced delays, highlighting systemic healthcare access issues among various demographics.
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Introduction: Hypertension is a chronic disease with 31% worldwide prevalence in adults. It has been associated with non-adherence to therapeutic regime with a negative impact on the prognosis of the disease and healthcare-associated costs. So, it is necessary to identify effective interventions to improve adherence among the afflicted population.

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Background: Cancer is widely recognized as a global public health problem. Breast, prostate, and cervical cancer are among the most frequent types in developing countries. Assessing their incidence and mortality by regions and municipalities is important to guide evidence-based health policy.

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Introduction: The risk of chronic haemophilic arthropathy (CHA) is related to severity. Evidence suggests that primary prophylaxis (PPr) could reduce CHA incidence and its impact on quality of life.

Aim: To evaluate the association between PPr and CHA in Colombian males with haemophilia B (HB) during 2015 to 2019.

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Objective: To determine the clinical and construct validity of the nursing diagnosis "decreased cardiac output" (DCO) in patients with chronic heart failure.

Methods: Cross-sectional study.

Results: A total of 200 people were studied.

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