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Hacia dónde vamos en la educación para la salud bucal en Latinoamérica
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Brandizzi, Daniel

; Chicatun, Martin

; López Jordi, María del Carmen

; Rojas Alcayaga, Gonzalo

; López de Blanc, Silvia Adriana

; Escobar, Alfonso

; Cohen, Lois K

; Johnsoni, Newell W

Revista de la Asociación Odontológica Argentina

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feb 2023, Volume 111 N. 1 Pages 1 - 1

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Un grupo de reconocidos científicos investigadores y académicos de varias partes del mundo se encuentran trabajando desde marzo de 2017 para intentar mejorar la salud bucal de las comunidades. Los integrantes del grupo son: Newell W. Johnson (Australia y Reino Unido), Lois K. Cohen (Estados Unidos), Richard Watt (Reino Unido), Gunnar Dahlen (Suecia), Alfonso Escobar (Colombia), Ole Fejerskov (Dinamarca) y Firoze Manji (Canadá y Kenya). Estos referentes han publicado el documento “Declaración de la Cascada” y han dado conferencias manteniendo discusiones sobre el futuro de la profesión odontológica en Colombia, Chile y Brasil, reflejadas en varios artículos publicados. Colegas de Argentina, Chile y Uruguay nos hemos sumado a esta discusión con la propuesta de reflexionar sobre estos temas y trabajar en el desafío de lograr una salud bucal integrada a la salud con equidad. Esta reflexión se publica en simultáneo en la Revista de la Asociación Odontológica Argentina, en la revista Odontoestomatología (publicación de la Facultad de Odontología de la Universidad de la República de Uruguay) y en la Revista Odontológica Científica Chilena (publicación de la Facultad de Odontología de la Universidad de Chile).

Abstract A group of recognized scientific researchers and academics from various parts of the world had been working since March 2017 to try to improve the oral health of communities. The group members are: Newell W. Johnson (Australia and United Kingdom), Lois K. Cohen (United States of America), Richard Watt (United Kingdom), Gunnar Dahlen (Sweden), Alfonso Escobar (Colombia), Ole Fejerskov (Denmark) and Firoze Manji (Canada and Kenya). These experts have published the document “La Cascada Declaration” and have given conferences and facilitated discussions on the future of the dental profession in Colombia, Chile and Brazil, which are reflected in several published articles. Colleagues from Argentina, Chile and Uruguay have joined this discussion with the proposal of reflecting on these issues and work on the challenge of achieving oral health integrated with health with equality. This reflection is being published simultaneously in the Revista de la Asociación Odontológica Argentina, in the journal Odontoestomatología (publication of the School of Dentistry of the University of the Republic of Uruguay) and in the Revista Odontológica Científica Chilena (publication of the School of Dentistry of the University of Chile).

https://doi.org/10.52979/raoa.1110401.1218

Regional analgesia and surgical site infections after colorectal surgery: a retrospective cohort analysis
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Bajracharya, Gausan Ratna

; Esa, Wael Ali Sakr

; Mao, Guangmei

; Leung, Steve

; Cohen, Barak

; Maheshwari, Kamal

; Kessler, Hermann P.

; Gorgun, Emre

; Sessler, Daniel I.

; Turan, Alparslan

Brazilian Journal of Anesthesiology

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jan 2023, Volume 73 N. 1 Pages 10 - 15

Abstract: En | Text: En | PDF: En

Abstract Background The effect of regional analgesia on perioperative infectious complications remains unknown. We therefore tested the hypothesis that a composite of serious infections after colorectal surgery is less common in patients with regional analgesia than in those given Intravenous Patient-Controlled Analgesia (IV-PCA) with opiates. Methods Patients undergoing elective colorectal surgery lasting one hour or more under general anesthesia at the Cleveland Clinic Main Campus between 2009 and 2015 were included in this retrospective analysis. Exposures were defined as regional postoperative analgesia with epidurals or Transversus Abdominis Plane blocks (TAP); or IV-PCA with opiates only. The outcome was defined as a composite of in-hospital serious infections, including intraabdominal abscess, pelvic abscess, deep or organ-space Surgical Site Infection (SSI), clostridium difficile, pneumonia, or sepsis. Logistic regression model adjusted for the imbalanced potential confounding factors among the subset of matched surgeries was used to report the odds ratios along with 95% confidence limits. The significance criterion was p < 0.05. Results A total of 7811 patients met inclusion and exclusion criteria of which we successfully matched 681 regional anesthesia patients to 2862 IV-PCA only patients based on propensity scores derived from potential confounding factors. There were 82 (12%) in-hospital postoperative serious infections in the regional analgesia group vs. 285 (10%) in IV-PCA patients. Regional analgesia was not significantly associated with serious infection (odds ratio: 1.14; 95% Confidence Interval 0.87‒1.49; p-value = 0.339) after adjusting for surgical duration and volume of intraoperative crystalloids. Conclusion Regional analgesia should not be selected as postoperative analgesic technique to reduce infections.

https://doi.org/10.1016/j.bjane.2022.06.002

Hacia donde vamos en la educación de salud bucal en Latinoamérica
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Brandizzi, Daniel

; Chicatun, Martín

; López Jordi, María del Carmen

; Rojas Alcayaga, Gonzalo

; López de Blanc, Silvia Adriana

; Escobar, Alfonso

; Cohen, Lois K.

; Johnson, Newell W.

Odontoestomatología

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2023, Volume 25 N. 41 elocation e105

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

https://doi.org/10.22592/ode2023n41e105

Factors associated with complications after percutaneous nephrolithotomy: an analysis of 1,066 cases
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Said, Danniel Frade

; Ferreira, Daniel Beltrame

; Hayek, Kayann Kaled Reda El

; Perrella, Rodrigo

; Mota, Priscila Kuriki Vieira

; Cohen, David Jacques

; Batagello, Carlos Alfredo

; Murta, Claudio Bovolenta

; Claro, Joaquim Francisco de A.

; Vicentini, Fabio Carvalho

Revista da Associação Médica Brasileira

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2023, Volume 69 N. 5 elocation e20221089

Abstract: En | Text: En | PDF: En

SUMMARY OBJECTIVE: The aim of this study was to identify predictive factors for complications after percutaneous nephrolithotomy. METHODS: We prospectively analyzed patients who underwent percutaneous nephrolithotomy from June 2011 to October 2018. The association of preoperative and intraoperative factors with the presence of complications was assessed using univariate and multivariate analyses. The significance level was set at p<0.05. RESULTS: A total of 1,066 surgeries were evaluated, and the overall complication rate was 14.9%. In all, 105 (9.8%) surgeries were performed in the prone position, and 961 (90.2%) were performed in the supine position. Univariate analysis demonstrated that surgical position, upper pole puncture, surgical time, number of tracts, and Guys Stone Score were associated with complications. In multivariate analyses, prone position (odds ratio [OR] 2.10; p=0.003), surgical time ≥90 min (OR 1.76; p=0.014), upper pole puncture (OR 2.48; p<0.001), and Guys Stone Score 3 or 4 (OR 1.90; p=0.033) were independent predictive factors for complications after percutaneous nephrolithotomy. CONCLUSION: Performing percutaneous nephrolithotomy in the supine position, in under 90 min, and avoiding upper pole punctures may reduce complications during the treatment of large kidney stones.

https://doi.org/10.1590/1806-9282.20221089

New species of Polystomoides (Monogenoidea: Polystomatidae) parasitizing the urinary bladder of a freshwater turtle in Brazil Monogenoidea (Monogenoidea Polystomatidae
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Lignon, Julia Somavilla

; Cohen, Simone Chinicz

; Justo, Marcia Cristina Nascimento

; Du Preez, Louis

; Comarella, Carine Glaucia

; Nishimaru, Rogerio Akio

; Souza, Paulo Vinicius Abbade Moreira

; Ataíde, Michelli Westphal de

; Müller, Daniel Curvellho de Mendonça

; Brun, Maurício Veloso

; Monteiro, Silvia Gonzalez

Revista Brasileira de Parasitologia Veterinária

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2023, Volume 32 N. 3 elocation e007823

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Trachemys dorbigni é a espécie de tartaruga de água doce mais abundante do Rio Grande do Sul, no Sul do Brasil. Sabe-se que os quelônios são hospedeiros de uma grande variedade de patógenos, incluindo vírus, bactérias, hemoparasitos e helmintos. Dentre estes, oito gêneros de Polystomatidae (Platyhelminthes: Monogenoidea) infectam tartarugas de água doce: Apaloneotrema, Aussietrema, Fornixtrema, Manotrema, Pleurodirotrema, Polystomoidella, Polystomoides, Uropolystomoides e Uteropolystomoides. No entanto, pouco ainda se sabe sobre a biologia destes parasitos na Região Neotropical. Durante uma citoscopia investigativa, foram observados espécimes de Polystomatidae localizados no interior da bexiga urinária de T. dorbigni. Os espécimes coletados foram fixados e corados para identificação taxonômica. No presente artigo, uma nova espécie de Polystomoides (Monogenoidea: Polystomatidae) parasitando a bexiga urinária de tartaruga de água doce da espécie T. dorbigni no Brasil é descrita. Polystomoides santamariensis n. sp. difere das demais espécies no tamanho dos espinhos genitais, que são maiores. Devido a enorme diversidade de tartarugas de água doce ao redor do mundo, é provável que um grande número de polistomatídeos de quelônios ainda seja desconhecido. Sabese Sabe patógenos vírus bactérias helmintos estes Platyhelminthes (Platyhelminthes Monogenoidea Apaloneotrema Aussietrema Fornixtrema Manotrema Pleurodirotrema Polystomoidella Uteropolystomoides entanto Neotropical investigativa T taxonômica artigo (Monogenoidea descrita n sp genitais maiores mundo desconhecido

Abstract Trachemys dorbigni is the most abundant freshwater turtle species in Rio Grande do Sul, southern Brazil. Chelonians are known to host a wide variety of pathogens, including viruses, bacteria, hemoparasites and helminths. Among these, nine genera of polystomatid flatworms (Monogenoidea; Polystomatidae) infect freshwater turtles: Apaloneotrema, Aussietrema, Fornixtrema, Manotrema, Pleurodirotrema, Polystomoidella, Polystomoides, Uropolystomoides and Uteropolystomoides. However, little is known about the biology of these parasites in the Neotropical Realm. Through investigative cystoscopy, specimens of Polystomatidae were located inside the urinary bladder of the host T. dorbigni. Retrieved specimens were fixed and stained whole mounts prepared for taxonomic identification. In the present paper, a new species of Polystomoides (Monogenoidea: Polystomatidae) parasitizing the urinary bladder of a freshwater turtle of the species T. dorbigni in Brazil is described. Polystomoides santamariensis n. sp. differs from the congeneric species on the length of the genital spines, which are longer. Given the enormous diversity of freshwater turtles around the world, it is likely that a large number of chelonian polystomatids are still unknown. Sul pathogens viruses bacteria helminths Monogenoidea (Monogenoidea Apaloneotrema Aussietrema Fornixtrema Manotrema Pleurodirotrema Polystomoidella Uteropolystomoides However Realm cystoscopy T identification paper described n sp spines longer world unknown

https://doi.org/10.1590/s1984-29612023045

The Use of Physical Screening Tools to Identify Injury Risk Within Pre-Professional Ballet Dancers: An Integrative Review
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MacSweeney, Niall

; Pedlar, Charles

; Cohen, Daniel

; Mahaffey, Ryan

; Price, Phil

Revista de investigación e innovación en ciencias de la salud

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dec 2022, Volume 4 N. 2 Pages 95 - 120

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Objetivo: Llevar a cabo una revisión integradora de toda la investigación relevante sobre los factores de riesgo físico de las lesiones en los bailarines de ballet preprofesionales, para proporcionar una visión que pueda beneficiar a los profesionales de estas instituciones y resaltar las áreas para futuras investigaciones en esta población especializada. Diseño: Los estudios se identificaron en las siguientes bases de datos electrónicas: MEDLINE vía PubMed, SPORTDiscus vía EBSCOhost y Web of Science Core Collection vía Web of Science. Se identificaron 8.415 títulos durante el proceso de búsqueda electrónica. Cinco estudios cumplieron los criterios de inclusión y se incluyeron en la revisión. Para evaluar la calidad de los estudios, se utilizó la escala modificada de la Agency for Healthcare Research and Quality (AHRQ) para estudios observacionales. Resultados: La revisión identificó que las siguientes características físicas pueden influir en el riesgo prospectivo de lesiones en los bailarines de ballet preprofesionales: edad y estado de maduración, antropometría y composición corporal, fuerza y potencia, movilidad articular y amplitud de movimiento, función específica de la danza y aptitud cardiorrespiratoria. Limitaciones: La investigación identificada carecía de calidad metodológica. Esto, combinado con el bajo número de estudios identificados, hace que el diseño de protocolos de detección sea un reto para los profesionales. Originalidad: Las revisiones anteriores no han utilizado una estrategia de búsqueda sistemática ni han investigado ambos sexos en esta cohorte. Debido a las exigencias únicas del ballet, la comprensión de la interacción entre las lesiones y las características físicas es un paso fundamental para reducir la carga de lesiones. Conclusiones: Esta revisión logró determinar los factores de riesgo de lesiones dentro de esta población, pero, debido a la insuficiencia de evidencia, no pudo proporcionar recomendaciones sólidas de cribado.

Abstract Objective: To conduct an integrative review of all relevant research investigating the physical risk factors for injury within pre-professional ballet dancers, to provide insight that may benefit practitioners within these institutions and highlight areas for future research within this specialised population. Design: Studies were identified from the following electronic databases: MEDLINE via PubMed, SPORTDiscus via EBSCOhost, and Web of Science Core Collection via Web of Science. 8,415 titles were identified during the electronic search process. Five studies satisfied the inclusion criteria and were included in the review. The modified Agency for Healthcare Research and Quality (AHRQ) scale for observational studies was used to assess study quality. Results: The review identified that the following physical characteristics may influence prospective injury risk in pre-professional ballet dancers: age and maturation status, anthropometrics and body composition, strength and power, joint mobility and range of motion, specific dance function, and cardiorespiratory fitness. Limitations: The research identified lacked methodological quality. This, combined with the low number of studies identified, makes the design of screening protocols challenging for practitioners. Originality: Despite the number of pre-professional balletic institutions worldwide, previous reviews have not used a systematic search strategy or investigated both sexes in this cohort. Due to the unique demands of ballet, an understanding of the interaction between injury and physical characteristics is a critical step in order to reduce injury burden. Conclusions: This review succeeded in determining risk factors for injury within this population, but, due to insufficient evidence, could not provide robust screening recommendations.

https://doi.org/10.46634/riics.154

Ultrasound guided endoscopic combined Intrarenal surgery – 10 steps for the success
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Vicentini, Fabio C.

; Hayek, Kayann Kaled Reda El

; Szwarc, Marcelo

; Perrella, Rodrigo

; Kuriki, Priscila

; Cohen, David

; Beltrame, Daniel

; Batagello, Carlos Alfredo

; Murta, Claudio

; Claro, Joaquim Francisco de Almeida

International braz j urol

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oct 2022, Volume 48 N. 5 Pages 874 - 875

Abstract: En | Text: En | PDF: En

ABSTRACT Background: Endoscopic combined intrarenal surgery (ECIRS) has been used to treat complex kidney stones (1). The combined use of ultrasound (US) has the potential to improve safety and reduce radiation exposure, however, it is still underutilized (2). Objectives: Our objective is to describe, in a step-by-step manner, the ultrasound-guided ECIRS (USG ECIRS) technique, in order to facilitate learning by urologists. Materials and Methods: We describe the 10 standardized steps that we recommend to achieve a good outcome, based on our previous experience on a high-volume kidney stone center. We recorded a case of a 37-year-old female patient with complex bilateral kidney stones that underwent a left simultaneous combined retrograde and antegrade approach. The 10 described steps are: 1 - case evaluation with CT scan (3); 2 - preoperative care with antibiotics and tranexamic acid; 3 - warm-up and training with phantoms; 4 - patient positioning in Barts flank free position; 5 - retrograde nephroscopy with flexible ureteroscope; 6 - US and endoscopic guided puncture; 7 - tract dilation under endoscopic view; 8 - stone fragmentation; 9 - status free checking and 10, kidney drainage. Images were captured by external and internal cameras, promoting a complete understanding of the procedure. The patient has signed a written informed consent form. Results: Puncture was achieved under US guidance with one attempt. Another puncture was necessary in the lower pole, parallel to the initial puncture, due to a large fragment. Surgical time was 140 min. Stone-free status was verified by retrograde and antegrade view. Kidney drainage was done with ureteral stent on string, removed after 7 days. Hb drop was 1.1 Hb/dL. The first postoperative day CT scan showed no residual stones and no complications. The patient was discharged after the CT and urethral catheter removal. Conclusion: The USG ECIRS seems to be a very efficient and reproducible technique for the treatment of complex kidney stones. Its use should be widespread.

https://doi.org/10.1590/s1677-5538.ibju.2022.0029

Predictive factors for success after supine percutaneous nephrolithotomy: an analysis of 961 patients
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El Hayek, Kayann Kaled Reda

; Perrella, Rodrigo

; Ferreira, Daniel Beltrame

; Batagello, Carlos Alfredo

; Mota, Priscila Kuriki Vieira

; Cohen, David Jacques

; Murta, Claudio Bovolenta

; Claro, Joaquim Francisco de Almeida

; Vicentini, Fabio Carvalho

Revista da Associação Médica Brasileira

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jun 2022, Volume 68 N. 6 Pages 780 - 784

Abstract: En | Text: En | PDF: En

SUMMARY OBJECTIVE: The aim of this study was to evaluate the predictive factors for success following percutaneous nephrolithotomy in the supine position. METHODS: Patients who underwent percutaneous nephrolithotomy in the supine position from June 2011 to October 2018 were evaluated. Age, sex, body mass index, the American Society of Anesthesiologists physical status classification, hemoglobin level, number of previous surgeries, stone size, and the Guy’s Stone Score were analyzed. Success was considered if no fragments were observed on the computed tomography scan on the first postoperative day. Univariate and multivariate analyses were performed to determine significant parameters. RESULTS: We evaluated 961 patients; of them, 483 (50.2%) underwent previous stone-related surgery, and 499 (51.9%) had Guy’s Stone Score 3 or 4. The overall success rate in a single procedure was 40.7%, and complication rate was 13.7%. The univariate analysis showed that the maximum diameter of the stone (25.10±10 mm; p<0.001), previous percutaneous nephrolithotomy (OR 0.52; p<0.001), number of previous percutaneous nephrolithotomy (OR 0.15; p<0.001), the Guy’s Stone Score (OR 0.28; p<0.001), and the number of tracts (OR 0.32; p<0.001) were significant. In the multivariate analysis, the number of previous percutaneous nephrolithotomy (OR 0.54; p<0.001) and the Guy’s Stone Score (OR 0.25; p<0.001) were statically significant. CONCLUSIONS: Guy’s Stone Score and the number of previous percutaneous nephrolithotomy are predictors of success with the supine position. Complex cases and with previous percutaneous interventions may require technical improvements to achieve higher stone-free rates.

https://doi.org/10.1590/1806-9282.20211340

Barreras para la producción y el mercado de biocombustibles sólidos forestales en México desde la perspectiva de las empresas
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Orozco-Ramírez, Quetzalcóatl

; Cohen-Salgado, Daniel

; Arias-Chalico, Teresita

; García, Carlos A.

; Martínez-Bravo, René

; Masera, Omar

Madera y bosques

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2022, Volume 28 N. 1 elocation e2812404

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract Bioenergy is an important alternative for the reduction of fossil fuel use and the mitigation of greenhouse gases (GHGs) emissions. There is a growing global market for forest energy carriers (FECs), such as wood pellets and wood chip fuel. Mexico has a large potential for forest resources to be used as sustainable FECs. However, there are important barriers for the production, commercialization, and use of these biofuels. This study is based on the perspective of forest enterprises to identify the barriers for the production and market of these products in Mexico. Representatives from 58 enterprises were interviewed. These companies operate in the country’s major forest regions. They produce or have the potential to produce one or several of the following FECs: charcoal, fuelwood, wood chip, wood pellets, industrial fuelwood, bark, and sawdust. The results indicate that market entry barriers, such as the current low demand and low prices of FECs, limit their production and use. Other limiting factors include low management and technical capacities, as well as inadequate infrastructure and equipment to produce carriers (such as charcoal, wood chips, and wood pellets). Results also prove that barriers depend on the type of company and the type of TEF they produce. Enterprises producing more than one FEC face more barriers because they are generally not specialized and produce residues from the saw milling process.

Resumen La bioenergía es una alternativa importante para la reducción del uso de combustibles fósiles y para la mitigación de gases de efecto invernadero. Existe un mercado global creciente para los trasportadores energéticos forestales (TEF), tales como los pellets o las astillas combustibles. México cuenta con un gran potencial de recursos y residuos forestales que pueden ser utilizados como TEF de manera sustentable. Sin embargo, existen barreras importantes para la producción, comercialización y uso de estos biocombustibles. El presente estudio parte de la perspectiva de las empresas forestales para identificar las barreras a la producción y comercio de estos productos en México. Se entrevistó a representantes de 58 empresas distribuidas en las regiones forestales más importantes del país, las cuales producen o tienen el potencial de producir: carbón vegetal, leña de monte, astilla, pellets, leña industrial, corteza o aserrín. Los resultados indican que las barreras de mercado, como la escasa demanda actual y los precios bajos de los TEF, son las que más limitan su producción. También se encontró que la falta de estudios de mercado, así como la poca infraestructura y equipo para la producción de transportadores como la astilla o el pellet son otros factores limitantes. Las barreras dependen del tipo de empresa y del tipo de TEF que produzcan. Las empresas que producen más de un producto enfrentan más barreras que las que se especializan en uno, porque en la mayoría de los casos estos son subproductos de aserrío.

https://doi.org/10.21829/myb.2022.2812404 6 downloads

10.

POSTERIOR VERSUS ANTERIOR APPROACH TO TOTAL HIP ARTHROPLASTY: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS
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FAGOTTI, LORENZO

; FALOTICO, GUILHERME GUADAGNINI

; MARANHO, DANIEL AUGUSTO

; AYENI, OLUFEMI R.

; EJNISMAN, BENNO

; COHEN, MOISES

; ASTUR, DIEGO COSTA

Acta Ortopédica Brasileira

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dec 2021, Volume 29 N. 6 Pages 297 - 303

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Realizar uma revisão sistemática e metanálise para comparar os resultados clínicos e cirúrgicos entre a via posterior e via anterior para ATQ. Métodos: Este estudo seguiu as diretrizes Cochrane e PRISMA (Principais Itens para Relatar Revisões Sistemáticas e Meta-Análises). Dois investigadores independentes procuraram estudos randomizados controlados nas plataformas de busca PubMed, Cochrane e Biblioteca Virtual em Saúde. Estudos comparando a via posterior com a via anterior para ATQ primária com pelo menos um escore funcional de resultado clínico foram incluídos. Resultados: Dez estudos com 774 pacientes foram incluídos. A via posterior foi associada a um tempo operatório menor (média de 15.98 minutos menor, IC 95% 11.21 a 20.76, p < 0.00001), enquanto a via anterior foi associada a um tempo de internação hospitalar menor (0.31 dia ou cerca de oito horas a menos, IC 95% 0.12 a 0.51, p = 0.002) e melhora superior dos resultados funcionais em até seis meses após a cirurgia (Harris Hip Score médio de 4.06 pontos maior, IC 95% 2.23 a 5.88, p < 0.0001). Conclusão: A via posterior foi associada a um tempo operatório menor, enquanto a via anterior tem o potencial de diminuir o tempo de hospitalização e fornecer melhor recuperação funcional no curto prazo. Nível de Evidência I, Revisão Sistemática e Metanálise.

ABSTRACT Objective: To perform a systematic review and meta-analysis to compare clinical and surgical outcomes of posterior versus anterior approach to primary total hip arthroplasty (THA). Methods: This study followed the standard methodology established by the Cochrane Handbook and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two independent reviewers searched for randomized controlled trials comparing posterior an anterior approach to primary THA with at least one quantifiable functional outcome published in the PubMed, Cochrane, and Virtual Health Library databases. Results: The analysis included ten randomized controlled trials conducted with 774 patients. The posterior approach was associated with shorter operative time (mean of 15.98 minutes shorter, 95% CI 11.21 to 20.76, p < 0.00001) while the anterior approach was associated with shorter length of hospital stay (0.31 days or about eight hours shorter, 95% CI 0.12 to 0.51, p = 0.002) and greater earlier improvement in functional outcomes up to six months from the procedure (mean Harris Hip Score of 4.06 points greater, 95% CI 2.23 to 5.88, p < 0.0001). Conclusion: Whereas the posterior approach to primary THA is associated with a shorter operative time, the anterior approach has the potential to decrease the length of stay and provide greater short-term functional restoration. Level of evidence I, Systematic Review and Meta-Analysis.

https://doi.org/10.1590/1413-785220212906244610 7 downloads

11.

Powerful Pedagogies in Times of COVID: An Online Pedagogical Collaboration Between EFL Students and ESL Teacher Candidates
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Cohen, Sarah L.

; Calderón-Aponte, Daniel

Íkala, Revista de Lenguaje y Cultura

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dec 2021, Volume 26 N. 3 Pages 731 - 745

Abstract: Es En Fr | Text: Es En Fr | PDF: Es | PDF: En | PDF: Fr

Resumen En el contexto de la pandemia global de COVID-19, educadores de todos los ámbitos se vieron en la necesidad de reimaginar sus prácticas docentes para responder a la necesidad de dictar todas sus clases en línea. Este artículo presenta la colaboración entre los instructores de dos universidades para crear un modelo transnacional de Aprendizaje en el contexto de la pandemia de COVID-19. Gracias a esta colaboración, los estudiantes de inglés como lengua extranjera (ILE) de una importante universidad pública en Colombia participaron en cuatro sesiones en línea y se unieron con docentes en formación que tomaban un curso de certificación para la enseñanza de inglés como segunda lengua en Estados Unidos. Esta colaboración en línea brindó a los estudiantes colombianos de ILE una oportunidad auténtica de practicar lo aprendido del idioma inglés y a los candidatos a docentes en Estados Unidos les brindó un contexto significativo para realizar evaluaciones de lengua auténticas. Con datos tomados de entrevistas y cuestionarios, el presente estudio cualitativo de caso exploró las experiencias de los estudiantes de ILE. Los datos demuestran que los intercambios en línea pueden brindar a los estudiantes acceso a oportunidades significativas de desarollo de la lengua. Los resultados también muestran que el aprendizaje en línea puede enriquecerse mediante colaboraciones entre universidades y contextos transnacionales para beneficios de ambas partes.

Abstract In the context of the global COVID-19 pandemic, educators at all levels had to re-imagine their teaching practices to respond to the necessity of conducting all courses on-line. This article reports on the collaboration of two university instructors to create a trans-national model of learning in the context of the COVID-19 pandemic. By virtue of this collaboration, the EFL students based at a large public university in Colombia were engaged in four online sessions and paired with teacher candidates taking an ESL endorsement course in the United States. This online collaboration afforded the Colombian EFL students an authentic opportunity to practice their English learning and the us teacher candidates a meaningful context in which to conduct authentic language assessments. Using interview and questionnaire data, this qualitative case study explored the experiences of the EFL students. The data demonstrate that online exchanges can afford students meaningful opportunities for language development. The results further show that online learning can be enriched through mutually beneficial collaborations across universities and transnational contexts.

Résumé Dans le contexte de la pandémie globale de COVID-19, les enseignants de tous les horizons ont jugé nécessaire de réinventer leurs pratiques d’enseignement pour répondre au besoin d’enseigner tous leurs cours en ligne. Cet article présente la collaboration parmi les instructeurs de deux universités pour créer un modèle d’apprentissage transnational dans le contexte de la pandémie de COVID-19. Grâce à cette collaboration, des étudiants d'anglais langue étrangère d’une université publique très connue en Colombie ont participé à quatre sessions en ligne et ont été jumelés à des enseignants en formation suivant un cours de certification pour l’enseignement de l’anglais langue seconde aux États-Unis. Cette collaboration en ligne a fourni aux étudiants colombiens de l’ALE une opportunité authentique de mettre en pratique leurs compétences en anglais et aux enseignants en formation aux États-Unis un contexte significatif pour passer des évaluations linguistiques authentiques. À l’aide de données extraites d’entretiens et de questionnaires, cette étude de cas qualitative a exploré les expériences des étudiants de l’ALE. Les données montrent que les échanges en ligne peuvent donner aux étudiants l’accès à des opportunités significatives de développement linguistique. Les résultats montrent que l’apprentissage en ligne peut être enrichi grâce à des collaborations mutuellement bénéfiques entre des universités dans des contextes transnationaux.

https://doi.org/10.17533/udea.ikala.v26n3a14 20 downloads

12.

Consenso de MINOCA. Infarto Agudo de Miocardio sin Enfermedad Coronaria Obstructiva
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CHARASK, ADRIÁN

; COHEN ARAZI, HERNÁN

; RIVERO, MIRZA

; ALLIN, JORGE

; ÁLVAREZ, JOSÉ

; CAMPISI, ROXANA

; CASEY, MARCELO

; COSTABEL, JUAN PABLO

; DEVIGGIANO, ALEJANDRO

; DURONTO, ERNESTO

; FERNÁNDEZ, HORACIO

; GARCÍA ZAMORA, SEBASTIÁN

; GÓMEZ SANTA MARÍA, HÉCTOR

; HIGA, CLAUDIO

; LOWENSTEIN, JORGE

; MASOLI, OSVALDO

; PALACIOS, ALEJANDRO

; PÉREZ DE ARENAZA, DIEGO

; SAAD, ARIEL

; VILLARREAL, RICARDO

; BARRERO, CARLOS MANUEL

; BELARDI, JORGE

; NAVARRO ESTRADA, JOSÉ LUIS

; SALVATI, ANA

; TAJER, CARLOS DANIEL

Revista argentina de cardiología

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dec 2021, Volume 89 N. 6 Pages 558 - 579

Abstract: Es | Text: Es | PDF: Es

https://doi.org/10.7775/rac.es.v89.i6.20466 71 downloads

13.

Consenso de manejo del paciente con diabetes mellitus y patología cardiovascular. Sociedad Argentina de Cardiología (SAC)-Sociedad Argentina de Diabetes (SAD)
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Giorgi, Mariano Aníbal

; Litwak, León E.

; Sanabria, Hugo

; Lavalle Cobo, Augusto

; Musso, Carla

; Salmeri, Emiliano

; Álvarez, José

; Aranguren, Florencia

; Belcastro, Fernando

; Brites, Fernando

; Buso, Carlos

; Calvagno, Marta

; Caroli, Christian

; Celano, Leonardo

; Cohen Arazi, Hernán

; Comtesse, Daniel

; Corral, Pablo

; Costabel, Juan Pablo

; Elbert, Alicia

; Faingold, Cristina

; Fuente, Graciela

; García Merletti, Pablo

; Giorgi, Mariano Aníbal

; Giunta, Gustavo

; Gómez Santamaría, Héctor

; González Naya, Enrique

; Hadid, Claudio

; Kraselnik, Ariel

; Lavalle Cobo, Augusto

; Litwak, León

; Lobo, Martín

; Lozada, Alfredo

; Majul, Claudio

; Masson, Walter

; Musso, Carla

; Nogueira, Juan

; Persi, Gabriel

; Rodríguez, Martín

; Salmeri, Emiliano

; Sanabria, Hugo

; Schraier, Silvio

; Sinay, Isaac

; Siniawski, Daniel

; Thierer, Jorge

; Salzberg, Susana

; Suárez Cordo, Cristian

; Lerman, Jorge

; Sosa Liprandi, Álvaro

Revista de la Sociedad Argentina de Diabetes

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mar 2021, Volume 55 Suppl. 1 Pages 3 - 70

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

resumen está disponible en el texto completo

Abstract This Consensus comes to light in the midst of one of the worst global health crises in the last 100 years. SARS-CoV-2 and its clinical manifestation, COVID-19, have caused a disruption in how doctors and patients interact. Although it is an infectious disease, one of the most notable characteristics is that its mortality increases in patients with chronic non-communicable diseases and, in particular, with a history of diabetes and cardiovascular disease. In this context, then, we believe that the recommendations made in this document, which aim to identify and protect these patients, become more relevant, while the implementation, beyond the statements, of specific cardiometabolic prevention policies becomes a priority. Methodology: this consensus is the result of the will of two Scientific Societies that have recognized the need to complement the focus on the same problem: that of patients with diabetes mellitus (DM) and cardiovascular disease (CVD), or who are at risk to suffer it. Both the Argentine Society of Cardiology (SAC) and the Argentine Society of Diabetes (SAD) have a recognized track record in the production of practice guidelines and consensus documents, although each has different work practices and cultures. Consequently, the first task that was faced was to agree, not only on the agenda and the approach to the different issues, but also on common working methods: general objective of the document, how to analyze and evalua-te the weight of the information, define the levels of evidence and determine the degrees of recommendation. It was agreed to adopt the modality used by the SAC in all the documents produced by the Consensus and Standards Area, set out in the following table: The experts who collaborated in the drafting of the Consensus were selected and invited to participate with the unanimous agreement of the group of Directors and Secretaries belonging to both Scientific Societies. Colleagues with recognized experience in the disciplines addressed were summoned to analyze the evidence and write the recommendations. All the methodological aspects and the final recommendations of this document were defined by agreement between the group of Directors and Consensus Secretaries.The information consolidation process was slow: from the decision of both companies until the writing of this document, the field of DM and CVD management underwent profound transformations that transcend the appearance of new therapeutic agents. What has been developed is a new approach model that is, in the words of Dr. Alicia Elbert, transdisciplinary. This has implied waiting and being able to understand and "process" all the information that has emerged in these years. This document, which aims to assist physicians in daily practice, has tried to adopt this new integrative perspective.

14.

Renal injury after open versus laparoscopic non-cardiac surgery: a retrospective cohort analysis
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Essber, Hani

; Cohen, Barak

; Artis, Amanda S.

; Leung, Steve M.

; Maheshwari, Kamal

; Khan, Mohammad Zafeer

; Sessler, Daniel I.

; Turan, Alparslan

; Ruetzler, Kurt

Brazilian Journal of Anesthesiology

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feb 2021, Volume 71 N. 1 Pages 50 - 57

Abstract: En | Text: En | PDF: En

Abstract Background: Laparoscopic surgical approaches enhance recovery, reduce postoperative pain, and shorten hospital length-of-stay. Nevertheless, increased intra-abdominal pressure is associated with decreased renal blood flow, renal hypoxia and acute kidney injury. When combined with Trendelenburg positioning, renal function may further deteriorate. We tested the primary hypothesis that the combination of laparoscopic surgical approach and Trendelenburg position is associated with larger reductions in estimated Glomerular Filtration Rate (eGFR) within the initial 48 postoperative hours compared to open surgery without Trendelenburg positioning. Secondarily, we tested, if laparoscopic procedures are associated with greater incidence of postoperative acute kidney injury. Methods: Adults who had laparoscopic colorectal surgery in Trendelenburg position at the Cleveland Clinic Main Campus from 2009 to 2016 were propensity-matched to patients who had comparable open procedures. Patients with pre-existing renal impairment were excluded. Results: Among 7,357 eligible patients, 1,846 laparoscopic cases with Trendelenburg were matched to 1,846 open cases. No association was found between laparoscopic approach and postoperative eGFR. A significant protective effect of the laparoscopic procedure on the odds of having AKI was found. Patients who had laparoscopic surgeries were an estimated 0.70 (95% CI 0.55, 0.90, pHolm-adj = 0.006) times as likely to have AKI as open surgical patients. Conclusion: Despite compelling potential mechanisms, laparoscopic approach with Trendelenburg position in adult colorectal surgeries did not worsen postoperative eGFR, and actually reduced postoperative acute kidney injury. Given the other advantages of laparoscopic surgery, the approach should not be avoided for concerns about renal injury.

https://doi.org/10.1016/j.bjane.2020.12.008 175 downloads

15.

Facilitadores y barreras percibidos en la práctica de la actividad física en adolescentes escolarizados en Piedecuesta (Santander), en 2016: análisis cualitativo
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Otero-Wandurraga, Johanna Alejandra

; Cohen, Daniel Dylan

; Delgado-Chinchilla, Diana María

; Camacho-López, Paul Anthony

; Amador-Ariza, Mónica Andrea

; Rueda-Quijano, Sandra Milena

; López-Jaramillo, José Patricio

Revista Facultad Nacional de Salud Pública

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aug 2020, Volume 38 N. 2 elocation e337834

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

Resumen Objetivo: Describir la percepción que tienen adolescentes escolarizados entre 12 y 16 años, en Piedecuesta (Santander), en 2016, sobre los facilitadores y las barreras que influyen en la práctica de la actividad física. Metodología: Análisis cualitativo desde un enfoque fenomenológico, con la participación de 20 adolescentes escolarizados que, mediante entrevistas semiestructuradas y un grupo focal, conversaron sobre la práctica, los beneficios, los entornos y la influencia y la compañía en relación con la actividad física, para identificar barreras y facilitadores. Resultados: La práctica de la actividad física se limitaba a las clases de educación física en la mayoría de los casos. El compañero principal en la práctica extracurricular era el padre del mismo sexo. La actividad física representaba una oportunidad para el disfrute, mejorar la salud física y mental, así como la contextura corporal, y para romper con la rutina diaria. La falta de tiempo por compromisos académicos fue la razón principal para no realizar actividad física. Los lugares públicos no siempre estaban disponibles, a menudo no se consideraban seguros. En la escuela, el espacio y las instalaciones eran inadecuados, y el uso estaba restringido. Conclusiones: La escuela es un punto de convergencia importante para la práctica de la actividad física, lo que sugiere la necesidad de fortalecer el plan de estudios al respecto; este entorno es un facilitador potencial para aumentar el nivel de actividad física en adolescentes. También se percibe como barrera, dado que la práctica interfiere con las actividades académicas. Las mejoras en la seguridad y el atractivo estético en el entorno comunitario se visibilizan como un facilitador para promover la actividad física.

Abstract Objective: Describe the perception of adolescents aged between 12 and 16 years, in Piedecuesta (Santander), in 2016, about the facilitators and barriers that influence physical activity. Methodology: Qualitative analysis from a phenomenological approach, with the participation of 20 adolescents who talked about the practice, benefits, environments, influence and company in connection with physical activity , to identify barriers and facilitators, through semi-structured interviews and a focus group. Results: Physical activity was limited to physical education classes in most cases. The main companion in extracurricular physical activity was the parent of the same sex. Physical activity represented an opportunity for enjoyment, improvement of physical and mental health, as well as body composition, and to have a break in their daily routine. Lack of time due to academic commitments was the main reason for not doing physical activity. Public places were not always available and they were often not considered to be safe. Space and facilities at school were inadequate, and their use was restricted.. Conclusions: The school is an important point of convergence for doing physical activity, suggesting the need to strengthen the curriculum in this respect; this environment is a potential facilitator to increasing the level of physical activity in adolescents. It can also be seen as a barrier, given that the practice interferes with academic activities. Improvements in safety and aesthetic appeal in the surrounding community are seen as a facilitator to promoting physical activity.

Resumo Objetivo: Descrever a percepção que os adolescentes entre 12 e 17 anos de Piedecuesta em Santander, tiveram em 2016 sobre os facilitadores e as barreiras que influenciaram na prática da atividade física. Metodologia: Análise qualitativa partindo de um foco fenomenológico, com a participação de 20 adolescentes em idade escolar que, através de entrevistas semiestruturadas e um grupo focal, conversaram sobre a prática, os benefícios, os entornos, a influência e o acompanhamento relacionados com a atividade física, para identificar barreiras e facilitadores. Resultados: Na maioria dos casos, a prática da atividade física limitava-se às aulas de educação física. O companheiro principal na prática extracurricular era o genitor ou genitora do mesmo sexo. A atividade física representava uma oportunidade para disfrutar, melhorar a saúde física e mental, além da estrutura corporal e para sair da rotina diária. A falta de tempo devido às responsabilidades escolares foi a principal razão para não realizarem atividade física. Os lugares públicos nem sempre estavam disponíveis e geralmente não são considerados seguros. Na escola, o espaço e as instalações eram inadequados e o uso estava restrito. Conclusões: A escola é um importante ponto de convergência para a prática da atividade física, o que determina a necessidade de fortalecer o currículo relacionado; esse ambiente é um facilitador potencial para aumentar o nível de atividade física nos adolescentes. Também se percebe como barreira, já que a prática interfere com as atividades escolares. As melhorias na segurança e um espaço comunitário mais atraente do ponto de vista estético são determinantes como facilitadores para a promoção da atividade física.

https://doi.org/10.17533/udea.rfnsp.e337834 1136 downloads

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