University of Boyacá

The article examinesthe methodological challenges involved in capturing the urban representations of children and young people, a group whose spatial experience deserves further enrichment and documentation in urban studies. With the aim of exploring tools for understanding these perceptions, the study analyzes the pilot testing of three participatory mapping exercises carried out in Tunja, Colombia, as part ofthe training strategies in research methodology and practice ofthe Graphic Design program at the Universidad de Boyac & aacute;. The methodology combined observation, graphic data collection, and qualitative analysis of the maps produced. The results show that these practices make it possible to identify significant elements of urban experience, as well as patterns of space use and appropriation. Advantages highlighted include participation and the generation of a sense of community; however, limitations were also recognized, such as biases introduced by accompanying adult and difficulties in participant selection. It is concluded that these exercises contribute to the study of urban representations and enrich the methodological debate on how to approach citizens'perceptions of childhood and youth.

The study of human anatomy involves practical exercises and dissections on cadaveric material laboratory settings. Students have demonstrated diverse reactions. Therefore, this study aimed to analyze the physical and emotional changes in medical students between their first and last anatomy practice sessions, including dissection. Methodologically, this a quantitative observational study with a single-cohort, descriptive design and a multicenter approach. 306 students from five Colombian universities participated voluntarily. They shared common exposure to the practice sessions. The instrument "Study of Perception in Dissection Practice-2 Parts-Short Version EPPD-2p" was applied. At the end of the instrument, a descriptive Candido, scope concept was generated for each of the four dimensions, and an optional space for comments was included. Reliability Chiou, and construct validation of the EPPD-2p was performed. Perception measurements were taken after the first and laboratory sessions, and the results of the two sessions were then percepcionescompared. Univariate and bivariate analyses were performed, and dethe Student's exact t test was used to determine the difference between these time points. In contrast, the results show significant decrease in reactions such as vertigo, nausea, palpitations, tremors, and sweating; a slight increase in the consequences of insomnia and loss of appetite; and coping with experimentales positive aspects such as relaxation and the use of biosafety las implements, while negative aspects such as the use of tranquilizers objetowere noted. It is concluded that the decrease in physical and emotional changes may be related to a process of psychological adaptation, mediated by the time elapsed between the two moments, combined with the coping mechanisms that students interpretaci & oacute;n adopt to respond to the actions and decisions related to the proper handling of human material, as well as to their learning process enand the future challenges they will face in their medical work.

Los usuarios de silla de ruedas tienen un perfil cardiometabólico distintivo asociado a menor capacidad cardiorrespiratoria, cambios en la composición corporal y mayor riesgo cardiovascular. Sin embargo, la evidencia sobre su integración en programas de rehabilitación cardíaca es limitada y heterogénea. Se mapeó la evidencia disponible sobre las adaptaciones en la evaluación funcional y en la prescripción del ejercicio en personas usuarias de silla de ruedas dentro del contexto de la rehabilitación cardíaca. Se efectuó una búsqueda sistemática en PubMed, Scopus y Web of Science sin restricción de fecha o idioma. Se incluyeron estudios originales en adultos usuarios de silla de ruedas que evaluaran capacidad cardiorrespiratoria, fuerza muscular, composición corporal y características de la prescripción del ejercicio. Se incluyeron diecisiete estudios. La evaluación funcional se basó principalmente en pruebas de ejercicio en miembros superiores mediante cicloergometría de brazos y medición del consumo de oxígeno. La fuerza muscular se evaluó mediante repeticiones máximas y dinamometría de agarre, mientras que la composición corporal se valoró con bioimpedancia, densitometría y circunferencia abdominal. Las intervenciones de ejercicio incluyeron entrenamiento aeróbico, interválico de alta intensidad y entrenamiento de fuerza, con frecuencias de tres a cinco sesiones por semana y duración de cuatro a dieciséis semanas, mostrando mejoras en la capacidad cardiorrespiratoria. La evaluación funcional y la prescripción del ejercicio en personas usuarias de silla de ruedas requieren adaptaciones específicas, pero pueden integrarse de manera efectiva en programas de rehabilitación cardíaca, favoreciendo la inclusión y el abordaje integral del riesgo cardiovascular.

Listeria monocytogenes (LM) rhombencephalitis is a rare but severe manifestation of neurolisteriosis, typically reported in immunocompromised or elderly patients and often associated with high morbidity and mortality. We describe a 66-year-old immunocompetent man who presented initially with peripheral facial paralysis, an uncommon early manifestation reflecting cranial neuritis, before rapidly developing brainstem dysfunction, respiratory failure, and multiple abscesses. Diagnosis was confirmed by cerebrospinal fluid (CSF) multiplex polymerase chain reaction (PCR) and blood cultures, and despite targeted antimicrobial therapy the patient developed severe neurological sequelae. This case underscores that cranial neuritis may present as an early clue of neurolisteriosis.

IntroductionGait speed is a simple and clinically relevant indicator of physical function in older adults; however, population-specific reference values are needed for its interpretation. This study aimed to establish reference values and a percentile model for usual gait speed among community-dwelling Colombian older adults and to examine factors associated with slow gait speed.MethodsData from 11,945 community-dwelling older adults participating in the Survey on Health, Wellbeing, and Aging in Latin America and the Caribbean (SABE) were analyzed. Slow gait speed was defined as <0.8 m/s. Univariate associations between gait speed and age, sex, height, calf circumference, waist circumference, and urban/rural residence were examined. Reference percentiles for gait speed were modeled using Generalized Additive Models for Location, Scale, and Shape (GAMLSS), incorporating age, sex, height, calf circumference, waist circumference, and body mass index. Model selection was guided by Q statistics and the Generalized Akaike Information Criterion (GAIC).ResultsGait speed ranged from 0.6 to 1.4 m/s, with a mean of 0.79 m/s and a median of 0.76 m/s. Slow gait speed was more frequent among female than male participants (56% of those with slow gait speed were female). Participants with slow gait speed were older than those without slow gait speed (69.21 vs. 67.53 years). Slow gait speed was significantly associated with older age, female sex, shorter height, lower calf circumference, higher waist circumference, and rural residence. Height accounted for a substantial proportion of the sex-related differences in gait speed, particularly among the oldest participants.DiscussionThis study provides population-specific reference values and percentile estimates for usual gait speed among community-dwelling Colombian older adults. The findings highlight the importance of considering anthropometric characteristics, particularly height, when interpreting sex-related differences in gait speed. These normative values may facilitate the clinical interpretation of gait speed and support assessment and intervention planning in the Colombian older population