Notes

Fits involving sexually carried an infection expertise amongst delayed adolescents.
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. 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. this website There were difficulties in the number of caregivers needed, since 266(66.6%[61.0-71.8]) have this possibility, and difficulties in 55(32.1%[25.1-39.6]) adults and older adults that do not carry out educational-therapeutic activities. There are feelings of anxiety, distress, or depression in people with disabilities and their caregivers.

In Argentina, it is possible to comply with the WHO recommendations to avoid exposure to the virus and to be prepared in case of infection. Challenges remain to be solved in terms of accompanying people with disabilities in their physical and mental health.
In Argentina, it is possible to comply with the WHO recommendations to avoid exposure to the virus and to be prepared in case of infection. Challenges remain to be solved in terms of accompanying people with disabilities in their physical and mental health.
Hospitalization represents a major factor that may precipitate the loss of functional status and the cascade into dependence. The main objective of our study was to determine the effect of functional status measured before hospital admission on survival at one year after hospitalization in elderly patients.

Prospective cohort study of adult patients (over 65 years of age) admitted to either the general ward or intensive Care units (ICU) of a tertiary teaching hospital in Buenos Aires, Argentina. Main exposure was the pre-admission functional status determined by means of the modified "VIDA" questionnaire, which evaluates the instrumental activities of daily living. We used a multivariate Cox proportional hazards model to estimate the effect of prior functional status on time to all-cause death while controlling for measured confounding. Secondarily, we analyzed the effect of post-discharge functional decline on long-term outcomes.

297 patients were included in the present study. 12.8% died during hospitard of all-cause mortality during follow-up (Hazard Ratio [HR] 0.96; 95% Confidence Interval [CI] 0.94-0.98). Finally, functional decline measured at 15 days after hospital discharge, was associated with higher risk of all-cause death during follow-up (HR 2.19, 95% CI 1.09-4.37) Conclusion Pre-morbid functional status impacts long term outcomes after unplanned hospitalizations in elderly adults. Future studies should confirm these findings and evaluate the potential impact on clinical decision-making.
Lung cancer is the leading cause of cancer-related mortality worldwide. Although lung cancer is predominantly observed in smokers, non-smoking patients account for 20% of cases worldwide. In this article, we present a case of lung adenocarcinoma that originated from a postoperative scar. We present a 62-year-old male patient who, while being studied for Paget's disease of bone, presented a 1.5 cm pulmonary nodule (SUV 1.6) as an imaging finding in the posterior segment of the left lung. He underwent a upper left lung segmentectomy.

During the routine follow-up of his underlying disease, 12 years after the original surgery, a pulmonary nodule was found. The particularity of the sample is based on the macroscopic observation of the tumor piece where the development of the neoplastic mass on the mechanical suture of the previous surgery performed 12 years ago is shown.

We describe a rare cancer development mechanism in clinical practice, from chronic postoperative inflammation due to mechanical suturing.
We describe a rare cancer development mechanism in clinical practice, from chronic postoperative inflammation due to mechanical suturing.The search for the health of all implies the predominance of concepts that have been relegated in the traditional individualistic bioethics the common good, equity, solidarity, fraternity, which contains an emancipatory sense of struggles against multiple social forms of exclusion, submission, arbitrariness, discrimination and humiliation, reciprocity, the well-being of the population and governance, without forgetting concepts already rooted in bioethics and that must be unquestionable, such as respect for people based on a deep sense of equity and Justice.
High-impact sports can cause dysfunction to the female pelvic floor that leads to the occurrence of stress urinary incontinence.

To identify and compare the presence of urine loss between professional and amateur female volleyball athletes during a competition.

A cross-sectional and comparative study was conducted on 75 volleyball athletes, including 30 amateurs and 45 professional athletes. Female athletes 18 years of age or older were included. Urine loss during the competition was evaluated by self-report and measured by a pad test (in grams). Day-to-day urinary incontinence was identified using the Urinary Distress Inventory 6 (UDI-6). Before the beginning of the game, the instruments were applied by individual interview for data collection and the pad was positioned. After the game, the pad was removed and weighed again. Descriptive and inferential statistics were used, with a significance level of 5%.

Half of the professional (50.0%) and amateur (55.6%) athletes have symptoms of urine loss during a competition. Objective urine loss was higher among professional athletes (4.5 ± 1.4 g) compared to amateur athletes (3.8 ± 1.4 g). There was a significant difference (P < .001) in objective urine loss between symptomatic (mean = 5.41, standard deviation [SD] = 0.8) and asymptomatic professional athletes (mean = 3.40, SD = 1.3).

Self-report of urinary incontinence during the competition was common among professional and amateur athletes. However, objective urine loss was significantly higher among professional athletes.
Self-report of urinary incontinence during the competition was common among professional and amateur athletes. However, objective urine loss was significantly higher among professional athletes.'Imperial Satiety Protocol' (I-SatPro) is a new multifaceted approach to weight loss for people with obesity (PwO), encompassing dietary advice, time-restricted eating, physical activity and coaching to support behaviour change. Participants (n = 84) attended fortnightly I-SatPro group sessions for 30 weeks, with 70% of participants completing. On completion at 30 weeks, the mean weight loss was 15.2 ± 1.1 kg (13.2 ± 0.8% from baseline, P less then  .0001), which was maintained to 52 weeks (16.6 ± 1.5 kg, 14.1 ± 1.2%, P less then  .0001). Weight loss was not associated with reduced energy expenditure. In participants with type 2 diabetes and pre-diabetes (n = 16), glycated haemoglobin fell from 50 to 43 mmol/mol (P less then .01). Systolic blood pressure fell by 12 mmHg (P less then  .0001). Triglycerides fell by 0.37 mmol/L (P less then  .01) and high-density lipoprotein rose by 0.08 mmol/L (P less then  .01). Short Form-36 (SF-36) functioning and wellbeing scores increased in all domains post I-SatPro intervention.
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