MATERIAL Y MÉTODOSe trata de un estudio observacional/transversal/ descriptivo que recurrió a la recogida y análisis de los datos secundarios disponibles en los libros de registros de las Consultas/Urgencias/Salas de tratamiento de ORL y de los Bloque Central/ ABSTRACT Introduction: In developing countries, the problem of foreign bodies (FB) in ENTServices is poorly studied and the literature related to the subject is rare. This study was performed to characterize the epidemiological profile in patients treated with FB in ENT Department/Maputo Central Hospital (MCH) (1983-2009 period).Aim: This study was performed to characterize the epidemiological profile in patients treated with foreign bodies in ENT Department of Maputo Central Hospital (MCH)
Inicialmente os distúrbios no paladar e olfacto não foram considerados sintomas da COVID-19, todavia, posteriormente, a maioria dos pacientes com esta doença relatou algum distúrbio no olfacto e/ou paladar e, muita das vezes foi a única manifestação da doença. Para entender os distúrbios no olfacto (anosmia) e paladar (ageusia) em pacientes infectados por SARS-CoV-2 durante a pandemia da COVID-19 foi realizada uma revisão de literatura, do tipo descritivo exploratória. Concluiu-se que os pacientes com quadro de distúrbios no olfacto e/ou paladar, em meio a esta crise de saúde, devem ser vistos como possíveis portadores dos vírus e, devem isolar-se até que sejam obtidos os resultados do teste de PCR, de modo a evitar a propagação do vírus.
Introducción y objetivo: En los países de bajos ingresos, la situación de los cuerpos extraños está relativamente poco estudiada. Aunque la literatura es relativamente escasa, los estudios publicados muestran que representan un problema de salud pública cada vez más importante. Material y método: Se realizó un estudio retrospectivo que utilizó la recopilación y el análisis de los datos disponibles en los libros del registro del quirófano diagnosticados como cuerpos extraños traqueobronquial consecutivamente durante un período de 26 años (1983-2009) en Hospital Central de Maputo (Mozambique). Resultados: se estudiaron 118 pacientes. De estos, 21 se localizaron en la tráquea (17.80%) y 97 en los bronquios (82.20%). La mayoría de los pacientes observados fueron hombres (59.30%). La edad promedio de los pacientes en este estudio fue de 4.39 años (moda 2, mediana 2.50; desviación estándar 6.004, el rango fue de 2 meses a 45 años). Se observaron más casos en niños de 2 años (19.5%). Las semillas fueron los cuerpos extraños más frecuentes, responsables del 31.40% de todos los cuerpos extraños diagnosticadas, seguidas por el plástico (26.30%) y el metal (22%). Se presentaron 5 casos de complicaciones. Conclusiones: Aunque este estudio aporta evidencia que puede considerarse importante desde el punto de vista de la salud pública, debe tenerse en cuenta que se trata de una investigación hospitalaria con sus propias limitaciones. Sin embargo, este estudio presenta una compilación única de casos de pacientes con cuerpos extraños traqueobronquial que cubre un período relativamente largo, lo que constituye una importante fuente de información sobre el tema.
Background Robot-assisted cholecystectomy (RC) has seen increasing adoption into clinical practice despite a lack of evidence to demonstrate superiority over conventional methods. Consistency in outcome selection, definition and reporting between studies is required for effective evidence synthesis and to minimise research waste. The aim of this study was to conduct an in-depth analysis of the outcomes reported in studies of RC. This work will inform the need for a core outcome set (COS). Method Systematic searches identified all published studies reporting RC, from inception to February 2020. Outcomes reported in each manuscript were recorded verbatim and categorised into domains. All outcomes were coded in duplicate. Where reported, the follow up period of each study was documented. Results Of 1425 abstracts screened, ninety studies met the criteria for inclusion. A total of 878 outcomes were reported. Each study included a median of 8 outcomes (range 3-26). Outcome selection was heterogeneous, with those relating to technical/operative factors (n = 383, 88 studies), complications (n = 245, 81 studies) and health economics (n = 139, 72 studies) used most frequently. No single outcome, or outcome domain, was reported in all studies. Only 30 studies reported a follow-up period, which ranged from 14 days to 46 months. In thirteen, the follow-up was for less than or equal to one month. Conclusions We identified significant heterogeneity in the selection and reporting of outcomes in studies of RC and support calls for standardisation and development of a COS.
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