Guillermo Alonso Castaño Pérez

Comorbilidad asociada en un grupo de consumidores de heroína de Medellín

Introduction This article evaluates the physical and mental co morbidity associated to drug consumption in a group of 42 heroin consumers in the city of Medellin, Colombia, who were contacted through treatment centers using the snowball technique.

Artículo originalTrastorno dual en población general de Itagüí, ColombiaDual Pathology in General Population of Itagüí, Colombia

OBJECTIVES To study the prevalence of dual diagnosis (presence of a substance use disorder and an associated mental disorder) in the general population of a small town in the department of Antioquia in Colombia, through secondary analysis of survey data on Mental Health held in this city in 2011. METHODS With a sample of 415 subjects, the interview Composite International Diagnostic Interview (CIDI), WHO CAPI version, was used and statistical analysis was performed using SPSS v.21. RESULTS The prevalence of dual diagnosis, considering that the presence of a diagnosis of mental disorder and a disorder snuff use of different substances was 7.2%. Substances with higher prevalence of use in life for individuals with dual diagnosis were alcohol (96.7%), marijuana (80.0%), cocaine and derivatives (33.3%), heroin (23.3%) and finally no prescription tranquilizers (13.3%), finding statistical association between drug use and dual diagnosis. Major depression (40%), oppositional defiant disorder (36.7%), posttraumatic stress (33.3%), specific phobia and attention deficit (26.7%) are the most prevalent disorders in individuals with dual diagnosis of this sample. Alcohol or drugs consumption and fulfilling diagnostic criteria for dual diagnosis have a significant statistical association for consumption of drugs like marijuana, cocaine, heroin and prescription medications (P<0.001), all with disparity ratios of >1.00, very high when the drug is heroin consumed (RD=38.754) or non-prescription medications (RD=29.462). A family history of disease and drug use has a high statistical association with dual diagnosis, with a higher association with a history of mental illness (P<.001; RD=3.677). CONCLUSIONS The study reports on the prevalence of subjects with dual diagnosis in a Colombian population. Alcohol, marijuana, cocaine and heroin are derivatives and substances mostly consumed by these patients and the most prevalent mental disorders are depression, TOD and posttraumatic stress. These findings motivate clinicians to more actively seek the presence of dual diagnosis, directing a more appropriately treatment plans.Objectives To study the prevalence of dual diagnosis (presence of a substance use disorder and an associated mental disorder) in the general population of a small town in the department of Antioquia in Colombia, through secondary analysis of survey data on Mental Health held in this city in 2011.

Consumo de drogas emergentes en Medellín, ColombiaUse of Emerging Drugs in Medellín, Colombia

Introduction The ongoing emergence of new synthetic substances that are used as drugs is a constant challenge to public health. Emerging drugs is the concept used in this research project to define the emergence of new psychoactive substances at a given time, a specific context and group, the reemergence of others that some epidemiologists considered had lost their prevalence, and the sudden prevalence of drugs that had low levels of consumption.

Diseño de un sistema de vigilancia en salud pública de drogas emergentes Designing a system of public health surveillance of emerging drug Concepção de um sistema de vigilância da saúde pública de droga emergente

Emerging Drugs are defined as the emergence of new psychoactive substances in a given time, in a context and in a particular group, which usually arise first at low levels in specific locations or between population subgroups limited. A significant event is the appearance of the new drug or unknown and the resurgence of other already or believed to have lost their prevalence. The public health surveillance of emerging drug, has relevance in monitoring this event, this discipline to organize and describe the data collected and can be defined as the systematic and continuous process of emerging drug use, being able to provide a tool for proper decision-making which not only seeks to explain the prevalence of consumption, but also on the characteristics of consumers, use of forms and contexts where these are made, all in order to optimize financial, technical and human. This article describes a proposal for the operation of a surveillance system.

Consumo de alcohol en universitarios y su relación con los factores de riesgo, en estudiantes de la Fundación Universitaria Luis Amigó, Medellín, 2010

En este discurso se expone la influencia de factores sociales, culturales y politicos; es decir, que podrian ser responsables tanto de la disminucion o estabilizacion en el consumo de algunas sustancias como del aumento en otras. El objetivo de este estudio fue detectar los factores de riesgo asociados al consumo de alcohol en universitarios de ambos sexos. Fueron medidos sobre la base de un estudio descriptivo y transversal realizado durante 2010. Para el analisis de las relaciones entre variables se utilizo el test de chi-cuadrado de Pearson. Los resultados confirmaron la influencia de los pares y el consumo de sustancias psicoactivas por algun miembro de la familia.

Desarrollo humano como constructo conceptual y de acción para la prevención integral

Se parte de reconocer lo polisemico del concepto de desarrollo humano y a continuacion se enuncian algunas teorias que desde las ciencias sociales han abordado el desarrollo humano. La pretension no es detenerse en ellas, sino que sirvan de memoria de rastreo en la reconstruccion del concepto y se vuelva a los autores clasicos que la formularon.

En prevención, un nuevo paradigma: El enfoque propositivo en la intervención de problemáticas sociales

Desde la Salud Publica el concepto de Vulnerabilidad ha estado ligado a Factores de Riesgo y se ha complementado con el concepto de Nivel de Vulnerabilidad, definido este, como la potencialidad de que se produzca el riesgo, ocurra el dano, o se suceda el problema.