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Resumen El objetivo de esta investigación fue comprender la percepción de la prensa en torno a la tuberculosis como enfermedad y el paciente tuberculoso de la Ciudad de Barranquilla (Atlántico, Colombia), durante el periodo comprendido entre 1938 -Creación del Ministerio de Trabajo, Higiene y Previsión Social- y 1946 -Creación del Ministerio de Higiene-, a partir de un análisis documental del diario "La Prensa". Las categorías emergentes comprendieron la percepción de la enfermedad, paciente tuberculoso, prevención, tratamiento antituberculoso e institucionalización. El análisis mostró que el diario "La Prensa" orientaba su percepción a considerar al paciente tuberculoso como pobre, residente en viviendas no higiénicas y con mala higiene privada, evidenciándose una exculpación del Estado e invisibilidad de probables casos de la enfermedad en personas de la élite. Asumiendo además el rol de divulgador de noticias emanadas de instituciones, funcionarios públicos y representantes de organizaciones sociales que defendían su actuar en la Lucha Antituberculosa.

Abstract The aim of this research was to understand the perception about the tuberculosis of the press in the city of Barranquilla (Atlántico, Colombia) during the period from 1938 - creation of the Ministry of Labor, Hygiene and Social prevision-to 1946 -creation of Ministry of Hygiene- by using a documentary analysis of "La Prensa" newspaper. The emergent categories include the perception about the disease, the tuberculous patient, prevention, anti- tuberculosis treatments and institutionalization. The results, appoints that "La prensa" newspaper perceived the tuberculous patient as poor, resident of unhygienic houses and poor personal hygiene, making a clear exculpation of the State and invisibility of cases of illness in people who formed part of the elite of the time. By assuming the role of researcher and news releases from institutions, public employees and social organization representatives that defend their actions in the "Lucha Antituberculosa" institution.

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Objetivo: describir el nivel de conocimientos, tipo de actitud y prácticas de los estudiantes de un programa de medicina sobre el VIH/SIDA de la ciudad de Barranquilla.Materiales y métodos: estudio transversal. Se encuestaron 185 estudiantes de primero a doceavo semestre de medicina, Se aplicó el Cuestionario CAP (conocimientos, actitudes y prácticas) sobre VIH/SIDA, del IPPF (International Planned Parenthood Federation), del cual se tomaron 26 preguntas relacionadas con nivel de conocimiento, 25 relacionadas con actitudes y 5 con prácticas frente a VIH, además se tuvieron en cuenta las variables sociodemográficas (edad, sexo, semestre). Se realizó análisis univariado (promedio, desviación estándar, frecuencia relativa y frecuencia absoluta) y Bivariado mediante (frecuencia relativa, frecuencia absoluta y prueba chi cuadrado).Resultados: promedio de edad de los participantes: 20,3 años (DE+/-:2,36); No seencontraron diferencias significativas (p>0,05) por género, con respecto a los conocimientos, las actitudes y las prácticas, pero sí se obtuvieron diferencias (p<0,05) por semestre, relacionadas con el tratamiento, la prevención y la postura frente a la atención de los pacientes. Conclusión: nivel de conocimientos aceptable, pero deben fortalecerse aspectos relacionados con la promoción de la salud y que orienten a mejores actitudes y prácticas frente a los pacientes y la enfermedad...(AU)

Objective: to describe the level of knowledge, attitude and practices such students of a medical program on HIV / AIDS in the city of Barranquilla. Materials and methods: cross-sectional study. A total of 185 medical students from 1th to 12th semester were surveyed. There were applied a KAP (Knowledge, Attitudes and Practices) Questionnaire on HIV/AIDS, designed for IPPF (International Planned Parenthood Federation), 26 questions related to the level of knowledge, 25 Related to attitudes and 5 with practices against HIV, in addition to sociodemographic variables (age, sex, semester). It was made univariate analysis (mean, standard deviation, relative frequency and absolute frequency) and bivariate analysis (relative frequency, absolute frequency and square test). Results: average age of participants: 20.3 years (SD +/- 2.36); No significant differences (p>0,05) by gender, with respect to knowledge, attitudes and practices were found but some differences were obtained per semester (p<0.05), related to treatment, prevention and posture face care patients. Conclusion: acceptable level of knowledge, but they should be strengthened related to health promotion and to guide better attitudes and practices against patients and disease aspects...(AU)

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Antecedentes. La empatía es un importante atributo que los estudiantes de medicina deben tener y ha sido poco estudiado en América Latina. Objetivo. Determinar el nivel de orientación empática de los estudiantes de medicina de las universidades Libre, seccional Barranquilla, y San Martín, sede Puerto Colombia, Barranquilla. Materiales y métodos. La orientación empática de los estudiantes se midió mediante la aplicación de la Escala de Empatía Médica de Jefferson en español, diseñada para estudiantes -versión S-, validada en otros países de Latinoamérica y adaptada culturalmente a Colombia. La comparación de los datos se realizó mediante análisis de varianza bifactorial -Modelo III-. Resultados. El nivel de orientación empática de los estudiantes tiene valores bajos, ubicados por encima del valor central del rango de la escala, 20 a140. Las diferencias entre las puntuaciones, según cursos y género, no fueron estadísticamente significativas al comparar los promedios de las sumatorias del puntaje de los estudiantes; sin embargo, se observó, un comportamiento diferente según el género entre las universidades: el femenino tuvo valores de orientación empática mejores que el masculino en la Universidad San Martín, mientras que en la Universidad Libre sucedió, relativamente, lo contrario. La comparación de las respuestas permitió observar que existen diferencias entre ellas. Conclusiones. Los resultados de este estudio no explican la contradicción encontrada en relación a las diferencias de género y cursos entre universidades; sin embargo, estos resultados son consistentes con otros trabajos, especialmente realizados en Latinoamérica, que muestran variabilidad de la respuesta empática en estudiantes de medicina. Las diferencias entre las universidades no pueden atribuirse a causas psicológicas solamente, sino a la presencia de otros factores que también influyen en la respuesta empática.

Background. Empathy is an important characteristic that medical students must have and which has not been a central subject of study in Latinamerica. Objective. To determine the level of empathic orientation of medicine students from San Martin University, Puerto Colombia campus, and Libre University, Barranquilla campus, both located in Barranquilla, Colombia. Materials and methods. The empathic orientation in medical students was measured by the implementation of the Jefferson Physician Empathy Scale Spanish version for students (S version), validated in other countries of Latin America and culturally adapted to Colombia. Data comparison was carried out through bifactorial analysis of (Model III). Results. The level of empathetic guidance of students is low, with levels situated above the central value of the scale range, 20 to 140. There were no statistically significant differences in the score, in terms of courses and gender, to compare averages of the sums of scores of students. However, a different behavior between the two universities in terms of gender and courses was observed: women had better absolute values of the levels of empathy than men at University of San Martin, but not statistically; while at University Libre statistical differences in gender and the courses were observed. As a result, there are differences between both universities. Conclusions. The results of this study do not explain the contradiction that was found in relation to gender differences between universities and courses. However, these results are consistent with other works, in particular those carried out in Latin America, which show variability of the empathic response in medical students and health. Differences between both universities cannot only be attributed to "psychological reasons", but also to the presence of other factors influencing the empathic response.

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Oronasal actinomycosis is an infection seldom described in the literature, especially in the form of a co-infection with pulmonary tuberculosis. We report the case of a 48-year-old male admitted to the isolation ward due to active pulmonary tuberculosis, with a history of diabetes and alcohol abuse. While hospitalized, the patient complained of dysphagia and nasal regurgitation of food. The examination of the oral cavity revealed an oronasal fistula. The infecting agent was identified, and the treatment was successful. We also present a brief review of the literature, as well as a full description and discussion of the process of investigating this rare clinical case.

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Madelung's disease, or multiple symmetric lipomatosis, is a rare disease, characterized by accumulation of unencapsulated fat, generally located symmetrically around the neck and shoulders. Here, we present the case of a patient with diffuse lipomatosis accompanied by obstructive sleep apnea due to cervical involvement and facial deformity, which made it necessary to use nasal pillows for ventilation. The patient was hospitalized with a diagnosis of pneumonia and required noninvasive ventilation due to severe hypercapnia. A brief review of the literature was made, and we describe and discuss the investigation of this rare clinical case.

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Oronasal actinomycosis is an infection seldom described in the literature, especially in the form of a co-infection with pulmonary tuberculosis. We report the case of a 48-year-old male admitted to the isolation ward due to active pulmonary tuberculosis, with a history of diabetes and alcohol abuse. While hospitalized, the patient complained of dysphagia and nasal regurgitation of food. The examination of the oral cavity revealed an oronasal fistula. The infecting agent was identified, and the treatment was successful. We also present a brief review of the literature, as well as a full description and discussion of the process of investigating this rare clinical case.

A actinomicose oronasal é uma infecção raramente descrita na literatura, especialmente na forma de coinfecção com tuberculose pulmonar. Descrevemos o caso de um paciente de 48 anos de idade, admitido em enfermaria de isolamento por tuberculose pulmonar bacilífera, com história de diabetes e alcoolismo. Durante a internação, o paciente referiu queixas de disfagia e regurgitação alimentar por via nasal. O exame da cavidade oral revelou uma fístula oronasal. O agente infeccioso foi identificado, e o tratamento foi realizado com sucesso. Apresentamos também uma breve revisão da literatura e uma descrição e discussão completa do processo de investigação deste raro caso clínico.

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Madelung's disease, or multiple symmetric lipomatosis, is a rare disease, characterized by accumulation of unencapsulated fat, generally located symmetrically around the neck and shoulders. Here, we present the case of a patient with diffuse lipomatosis accompanied by obstructive sleep apnea due to cervical involvement and facial deformity, which made it necessary to use nasal pillows for ventilation. The patient was hospitalized with a diagnosis of pneumonia and required noninvasive ventilation due to severe hypercapnia. A brief review of the literature was made, and we describe and discuss the investigation of this rare clinical case.

A doença de Madelung ou lipomatose simétrica múltipla é uma doença rara, caracterizada pelo acúmulo de tecido adiposo não-encapsulado, localizado simetricamente ao redor do pescoço e na região escapular. Os autores apresentam um caso de associação entre lipomatose difusa e apneia obstrutiva do sono, devido ao envolvimento cervical e à deformação facial que exigiu a utilização de almofadas nasais para a ventilação. O doente foi admitido com o diagnóstico de pneumonia com necessidade de ventilação não-invasiva devido à hipercapnia grave. É apresentada uma breve revisão da literatura, e descrevemos e discutimos a investigação clínica deste raro caso clínico.

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