High body fat is related to metabolic syndrome (MetS) in all ethnic groups. Based on the International Diabetes Federation (IDF) definition of MetS, the aim of this study was to explore thresholds of body fat percentage (BF%) and fat mass index (FMI) for the prediction of MetS among Colombian University students. A cross-sectional study was conducted on 1687 volunteers (63.4% women, mean age = 20.6 years). Weight, waist circumference, serum lipids indices, blood pressure, and fasting plasma glucose were measured. Body composition was measured by bioelectrical impedance analysis (BIA) and FMI was calculated. MetS was defined as including more than or equal to three of the metabolic abnormalities according to the IDF definition. Receiver operating curve (ROC) analysis was used to determine optimal cut-off points for BF% and FMI in relation to the area under the curve (AUC), sensitivity, and specificity in both sexes. The overall prevalence of MetS was found to be 7.7%, higher in men than women (11.1% vs. 5.3%; p < 0.001). BF% and FMI were positively correlated to MetS components (p < 0.05). ROC analysis indicated that BF% and FMI can be used with moderate accuracy to identify MetS in university-aged students. BF% and FMI thresholds of 25.55% and 6.97 kg/m2 in men, and 38.95% and 11.86 kg/m2 in women, were found to be indicative of high MetS risk. Based on the IDF criteria, both indexes’ thresholds seem to be good tools to identify university students with unfavorable metabolic profiles.

The health care industry is often overlooked as a major source of industrial pollution, but as this becomes more recognized, many health care facilities are beginning to pursue green efforts. The OR is a prime example of an area of health care that is working to lessen its environmental impact. Nurses can play key roles in identifying areas of waste and presenting ideas about recovering secondary materials. For instance, although infection prevention measures encourage one-time use of some products, nurses can investigate how to reprocess these items so they can be reused. This article examines how the efforts of a Green Team can affect a hospital's waste stream. A health care Green Team can facilitate a medical facility's quest for knowledge and awareness of its effect on the waste stream and environment.

Introducción. La atención en salud se mide en términos de calidad, efectividad, eficiencia y eficacia, a través de la satisfacción por parte de los usuarios. Objetivo. Determinar la percepción de la calidad de atención en salud de consulta externa en una Institución Prestadora de Servicios de Salud-IPS, en el primer semestre del año 2018. Método. Estudio de tipo descriptivo, con diseño transversal, donde se aplica el modelo SERVQUAL que evalúa cinco dimensiones: elementos tangibles, fiabilidad, capacidad de respuesta, seguridad y empatía; con una muestra de 282 usuarios. Resultados. Se obtuvo un promedio de 3,4711 en expectativas, 3,5140 para percepciones y 3,50 general, que equivale a un 70%, lo que significa satisfecho; a la vez, no se da asociación entre la percepción y las características sociodemográficas. Conclusiones. Es importante que generar estrategias organizacionales que permitan la mejora continua en cuanto a la estructura física de las instalaciones, insumos, equipos, personal, señalización, limpieza, comodidad, entre otras, al momento de prestar los servicios de salud.

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