Publications by authors named "Restrepo M"

Interstitial lung disease (ILD) is characterized by chronic inflammation and scarring of the lungs, of which idiopathic pulmonary fibrosis (IPF) is the most devastating pathologic form. Idiopathic pulmonary fibrosis pathogenesis leads to loss of lung function and eventual death in 50% of patients, making it the leading cause of ILD-associated mortality worldwide. Persistent and subclinical microbial infections are implicated in the acute exacerbation of chronic lung diseases.

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Purpose: The Parent-Enhanced Moved by Reading to Accelerate Comprehension in English (Parent EMBRACE) program offers a bilingual parent-training literacy intervention for Latino families. Within the context of shared book reading, the application leverages both the home language and technology to increase parent question-asking during shared reading. Research goals were to (a) examine the potential of the Parent EMBRACE tutoring system at teaching parents to increase the quantity and variety of their question-asking during shared book reading, (b) examine changes to parents' reading attitudes or motivation, and (c) examine whether children's reading attitude is correlated with parent interactions.

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Introduction: Atopic dermatitis (AD) is a frequent disease in infants with diverse clinical evolution. Although multiple studies have assessed inflammatory changes in chronic AD, little is known about the molecular transition from symptomatic stage to clinical remission without pharmacotherapy.

Objective: The aim of the study was to evaluate clinical and inflammatory factors and its relationship with AD clinical evolution.

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  • Chronic Obstructive Pulmonary Disease (COPD) increases the risk of pneumonia in older adults due to complications from lung dysfunction and infection.
  • The article discusses the significant epidemiological impact of COPD on pneumonia, the shared pathophysiology, and the microbial factors that contribute to infections in these patients.
  • It emphasizes the importance of preventive strategies like vaccinations and suggests a comprehensive management plan for Community-Acquired Pneumonia (CAP) in COPD patients, while also encouraging further research to improve patient outcomes.
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  • * The patient was diagnosed with tricuspid valve endocarditis and infection-related glomerulonephritis, and despite antibiotic treatment, his condition worsened, leading to heart problems and a need for urgent surgery.
  • * After surgery, he suffered from severe gastrointestinal hemorrhage and, unfortunately, passed away due to complications from his illness, highlighting the unusual presentation of his infection.
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Hypomineralisation defects with demarcated opacities are also observed in the deciduous dentition and have been found to be a predictive factor for hypomineralisation defects in the permanent dentition. Deciduous molar hypomineralisation (DMH) represents a qualitative enamel defect primarily afflicting deciduous second molars, albeit its presence is not limited solely to deciduous second molars, as it can manifest in deciduous canines and first molars. Thus, the presence of demarcated hypomineralisation defects in deciduous teeth could be called as deciduous teeth hypomineralisation.

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Comprehensively evaluating molar incisor hypomineralisation (MIH) involves the integration of anamnesis and clinical data to diagnose, create a care plan, and predict prognoses. Anamnesis reveals relationships between defects and time, patient expectations, and impacts on the quality of life. Clinical studies emphasize posteruptive breakdown in yellow-brown opacities, highlighting the importance of identifying risk factors.

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  • This study aimed to evaluate dental fear and anxiety (DFA) levels in children aged 8 to 12, specifically comparing those with Molar-Incisor Hypomineralisation (MIH) to those without.
  • A total of 159 children participated, using a variety of methods to assess their DFA, MIH presence, and dental caries lesions.
  • Results indicated that children with both MIH and dental caries reported significantly higher DFA levels, especially influenced by the activity of their caries lesions.
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We explored women's narratives about their experiences as victim-survivors of multiple forms of armed conflict violence and intimate partner violence (IPV) in Colombia and examined pathways that clarify the relationships between these two types of violence. Thematic analysis of 47 interviews identified connections that explain how armed conflict influences IPV at all levels of the socio-ecology. At the societal level, armed conflict events amplified patriarchal notions and intensified men's expressions of hypermasculinity through violence.

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Purpose Of Review: This review explores the similarities and differences between coronavirus disease 2019 (COVID-19)-related and non-COVID-related nosocomial pneumonia, particularly hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP). It critically assesses the etiology, prevalence, and mortality among hospitalized patients, emphasizing the burden of these infections during the period before and after the severe acute respiratory syndrome coronavirus 2 pandemic.

Recent Findings: Recent studies highlight an increase in nosocomial infections during the COVID-19 pandemic, with a significant rise in cases involving severe bacterial and fungal superinfections among mechanically ventilated patients.

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To compare the degree of acceptance of behavior guidance techniques (BGT) in pediatric dentistry between American and Colombian parents. American parents (n=150) and Colombian parents (n=150) of children between three and 12 years of age undergoing pediatric dental treatment participated in this multicenter cross-sectional study. Parents viewed a video depicting 10 BGTs approved by the American Academy of Pediatric Dentistry and rated their acceptance on a visual analog scale.

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"Are you LISTENING?" may be one of the most frequent questions preschoolers hear from their parents and teachers, but can children be taught to listen carefully-and thus better comprehend language-and if so, what changes occur in their brains? Twenty-seven four- and five-year-old children were taught a language simulation strategy to use while listening to stories: first, they practiced moving graphics on an iPad to correspond to the story actions, and then they practiced imagining the movements. Compared to a control condition, children in the intervention answered comprehension questions more accurately when imagining moving the graphics and on a measure of transfer using a new story without any instruction and with only immovable graphics. Importantly, for children in the intervention, the change in comprehension from the first to the sixth day was strongly correlated with changes in EEG mu and alpha desynchronization, suggesting changes in motor and visual processing following the intervention.

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Continued improvements in the treatment of pulmonary infections have paradoxically resulted in a growing challenge of individuals with postinfectious pulmonary complications (PIPCs). PIPCs have been long recognized after tuberculosis, but recent experiences such as the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic have underscored the importance of PIPCs following other lower respiratory tract infections. Independent of the causative pathogen, most available studies of pulmonary infections focus on short-term outcomes rather than long-term morbidity among survivors.

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  • The global population is aging rapidly, leading to an increased need for comprehensive healthcare services, particularly for the elderly who are vulnerable to conditions like severe aspiration pneumonia.
  • Aspiration pneumonia is a serious lung infection caused by inhaling food or liquid, often affecting elderly patients with pre-existing health issues, which complicates their care.
  • The text focuses on the importance of understanding the epidemiology, diagnosis, treatment, and prevention of severe aspiration pneumonia to improve health outcomes and reduce costs for this high-risk group.
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Nontuberculous mycobacteria (NTM) are prevalent among patients with bronchiectasis. However, the long-term natural history of patients with NTM and bronchiectasis is not well described. To assess the impact of NTM on 5-year clinical outcomes and mortality in patients with bronchiectasis.

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  • A lab-in-the-field experiment with 214 Colombian rural workers explored their choices between cash or voucher payments for completing tasks, revealing that voucher uptake increased from 32% to 56% as their values became more generous.
  • The study found that these uptake rates were significantly higher than those of a local group of undergraduate students, suggesting the rural workers were more receptive to vouchers.
  • Additionally, presenting voucher options in descending order led to higher uptake compared to ascending order, indicating that the perceived risk reduction associated with vouchers creates an endowment effect.
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Severe community-acquired pneumonia (sCAP) is the most frequent admission for acute respiratory failure in intensive care medicine. Observational studies have found a correlation between patients who were admitted with CAP and the development of cardiovascular events. The risk of acute myocardial damage in patients with CAP is particularly high within the first 30 days of hospitalization.

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  • Intensive care unit-acquired weakness is a common complication that negatively impacts patients' recovery during and after hospital stays.
  • A clinical trial assessed a multi-component early mobility protocol compared to standard care in ICU patients, focusing on pain control and delirium prevention.
  • Results showed that the intervention group had significantly less muscle weakness and better mobility scores at discharge, although there were no notable differences in ventilation-free days or mortality rates.
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  • Nosocomial pneumonia, which is a lung infection that people can get while in the hospital, leads to higher rates of sickness and death and costs a lot to treat, especially in ICUs (Intensive Care Units).
  • Most cases of this type of pneumonia happen in patients on ventilators, which helps them breathe.
  • The PneumoINSPIRE study is looking at how this pneumonia is diagnosed and treated in ICUs from over 20 countries to gather important information about it and improve future care.
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  • The study investigates the patterns and outcomes of using combined non-invasive respiratory support (NIRS) in patients with acute hypoxemic respiratory failure (AHRF) at an intensive care unit.
  • The research found that patients switching from High-Flow Nasal Cannula (HFNC) to Non-Invasive Ventilation (NIV) experienced higher failure rates, while switching from NIV to HFNC led to improved respiratory status.
  • The results suggest that specific switching strategies, like performing fewer transitions, can significantly influence patient mortality and length of hospital stay.
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  • * Researchers evaluated records from 290 patients and found a high prevalence of DDE at 77.2%, with specific defects linked to different clefts and surgical histories.
  • * Key findings indicated that demarcated hypomineralization was prevalent in cleft palate types, while hypoplasia was more common in certain clefts and after specific surgeries, highlighting the need for dental monitoring based on cleft types.
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Objective: To evaluate the impact of obesity on ICU mortality.

Design: Observational, retrospective, multicentre study.

Setting: Intensive Care Unit (ICU).

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