Stewartcochran4486
Cohort report: SCREEN-RA: design and style, methods as well as perspectives of a Switzerland cohort examine of first-degree loved ones of patients with rheumatism.
ferent orthopedic subspecialties. This classification may be a useful tool for documenting complications in orthopedic surgery.
Classification systems are internationally used tools to characterize the functions of children and young people with cerebral palsy (CP), for clinical and research use. The aim of this study was to characterize the different classification systems available and describe the usefulness of each of the classifications, describing their use in clinical practice.
An exhaustive bibliographic revision was performed using the Cochrane Database, MEDLINE, LILACS y Google Scholar databases. The search period was from 1997 to 2019 using key words. Classification systems were included that focused on functions and body structures, considered the International Classification of Functioning, Disability and Health, were validated and in English and Spanish. The quality of the works was assessed according to the AGREE reporting checklist.
Six classification systems were found for children with CP regarding their functions and body structures. Selleck Gemcitabine Each of the systems focuses on a specific function or skill, which are gross motor function, manual skills, communication functions, eating and drinking skills, MRIs, and visual functions.
All systems have been validated, standardized and used internationally. They serve to more fully describe the functional levels and body structure of children with CP both at the clinical, population and research levels.
All systems have been validated, standardized and used internationally. They serve to more fully describe the functional levels and body structure of children with CP both at the clinical, population and research levels.
Pleuro-biliary fistula is a rare complication that originates from various causes, including liver resections. There is no consensus on how to manage them. There are 2 types of treatment surgical and conservative. Both can be combined. The latter involves the combination of minor surgical procedures such as pleural drainage placement, image-guided percutaneous procedures, and endoscopic procedures. Surgical treatment includes more aggressive approaches such as thoracotomy and / or laparotomy, and can be performed at the start of fistula management or in the event of failure of conservative treatment. In these cases open thoracotomy is the most used approach according to the literature.
We present the case of a patient undergoing a postoperative right hepatectomy for hepatoarcinoma that complicates with an external biliary fistula and then with a pleuro-biliary fistula with empyema, in which thoracoscopy is used as part of the treatment.
the patient resolved the complication and the pleural drainage was removed 7 days later.
thoracoscopy is a safe and effective approach in the treatment of this complication.
thoracoscopy is a safe and effective approach in the treatment of this complication.Objetivo Medición de la eficacia y relevamiento de las complicaciones asociadas a la a realización de traqueostomía percutánea (TP) guiada por videobroncoscopia en un hospital universitario de alta complejidad. Materiales y métodos Estudio observacional retrospectivo realizado entre mayo de 2017 y agosto de 2019. El criterio para la indicación de TP fue desvinculación prolongada de la ventilación mecánica en todos los casos. Incluyó pacientes mayores de 18 años en que se realizó TP electiva guiada por videobroncoscopia. Se registraron variables demográficas, APACHE II y días de ventilación mecánica previos a la TP. La eficacia del procedimiento fue evaluada en base a la tasa de éxito en la ejecución, la necesidad de conversión a técnica abierta. Asimismo, se registraron las complicaciones observadas. Resultados Se evaluaron 235 procedimientos (149 hombres y 86 mujeres) en pacientes con edad media de 61 años ± 19, un score APACHE II 18 ± 8. La TP pudo ser ejecutada en forma rápida y satisfactoria en todos los t can be done in intensive care units with a low rate of complications.
After the World Health Organization (WHO) declared the COVID-19 outbreak, global measures were implemented with the aim of containing its progression. On March 20, 2020, the mandatory preventive quarantine began in Argentina. As a result of these events, previous studies conducted in the framework of this pandemic in China, have shown psychological consequences.
The aim of this study is to explore, through a self-administered electronic survey, attitudes and fears regarding COVID-19, the development of depressive symptoms and the pattern of alcohol consumption among the argentinian population during quarantine (n = 759).
As a result, we observed that fear of COVID-19 was greater in 55 to 59 years old people, with an abrupt drop above 70; that depressed mood and the increased of alcohol consumption were more frequent in youngest subjects, and that depressed mood was also frequent among subjects who lost their jobs during quarantine. Finally, we observed an elevated degree of agreement with the quarantine measure, even in some people who suffered a decrease in their income greater than 80% during quarantine. These results are useful for obtaining information about risk groups, enabling specific preventive and therapeutic strategies could be designed.
As a result, we observed that fear of COVID-19 was greater in 55 to 59 years old people, with an abrupt drop above 70; that depressed mood and the increased of alcohol consumption were more frequent in youngest subjects, and that depressed mood was also frequent among subjects who lost their jobs during quarantine. Finally, we observed an elevated degree of agreement with the quarantine measure, even in some people who suffered a decrease in their income greater than 80% during quarantine. These results are useful for obtaining information about risk groups, enabling specific preventive and therapeutic strategies could be designed.
In the context of the COVID-19 pandemic, WHO published considerations regarding people with disabilities. The aim of this work was to know if these considerations can be fulfilled and if there are differences in their fulfillment between age groups.
Descriptive study aimed at people with disabilities in Argentina. A survey was conducted about the four WHO recommendations for this population in online mode, between the 28th and 39th days of preventive and compulsory social isolation. Statistical analysis was according to the nature of the variables, X2 with Fisher's correction was used to determine the differences between groups.
309 surveys were collected from 18 provinces of Argentina. 230(74.4%[69.1-79.1]) were answered by caregivers and 79(25.5%[20.7-30.7]) by people with disabilities. Persons with disabilities were 138(44.7%[39.0-50.4]) children and adolescents and 171(55.3%[49.5-60.9]) adults and older adults. Selleck Gemcitabine People with disabilities were able to comply with the WHO recommendations regarding reducing exposure to COVID-19 and to be prepared in case of contracting it.
