ABSTRACT
Mr. Editor: I have read carefully and with great interest, the article called Anxiety level of rst-year medical students from (1) a private university in Peru in times of Covid-19 by Saravia-Bartra et al. published in the journal of the Facultad de Medicina Humana URP where the grade of anxiety present among freshman medical students of a private university is presented. Let me complement the information given in this new article by exposing some factors that can predispose to this condition.
Sr. Editor: He leído con detenimiento y gran interés el artículo Nivel de ansiedad de estudiantes de medicina de primer año de una universidad privada del Perú en tiempos de Covid-191 de Saravia-Bartra y cols. publicado en la revista Facultad de Medicina Humana URP donde se da a conocer el grado de ansiedad presente en estudiantes de medicina del primer año de una universidad privada. Permítame complementar la información dada de este novedoso artículo exponiendo algunos factores que pueden predisponer esta condición.
ABSTRACT
The goal of this study was to examine the prevalence, assessment and management of pediatric pain in a public teaching hospital. The study sample consisted of 121 inpatients (70 infants, 36 children, and 15 adolescents), their families, 40 physicians, and 43 nurses. All participants were interviewed except infants and children who could not communicate due to their clinical status. The interview included open-ended questions concerning the inpatients’ pain symptoms during the 24 h preceding data collection, as well as pain assessment and pharmacological/non-pharmacological management of pain. The data were obtained from 100% of the eligible inpatients. Thirty-four children/adolescents (28%) answered the questionnaire and for the other 72% (unable to communicate), the family/health professional caregivers reported pain. Among these 34 persons, 20 children/adolescents reported pain, 68% of whom reported that they received pharmacological intervention for pain relief. Eighty-two family caregivers were available on the day of data collection. Of these, 40 family caregivers (49%) had observed their child’s pain response. In addition, 74% reported that the inpatients received pharmacological management. Physicians reported that only 38% of the inpatients exhibited pain signs, which were predominantly acute pain detected during clinical procedures. They reported that 66% of patients received pharmacological intervention. The nurses reported pain signs in 50% of the inpatients, which were detected during clinical procedures. The nurses reported that pain was managed in 78% of inpatients by using pharmacological and/or non-pharmacological interventions. The findings provide evidence of the high prevalence of pain in pediatric inpatients and the under-recognition of pain by health professionals.
Subject(s)
Adolescent , Child , Child, Preschool , Humans , Infant , Infant, Newborn , Nursing Assessment/statistics & numerical data , Pain Measurement , Pain Management/methods , Caregivers , Hospitals, Teaching/statistics & numerical data , Practice Patterns, Physicians' , Prevalence , Pain/epidemiology , Surveys and QuestionnairesABSTRACT
El objetivo de esta presentación es evaluar los resultados terapeuticos sobre 174 casos de SIL de alto grado de cuello uterino tratados mediante resección electroquirúrgica o método Leep, habiendose obtenido una curación del 92 por ciento. Se analizan las causas del 8 por ciento entre persistencia y recidivas y se encuentra que no hay relación de las mismas con el márgen de seguridad de la resección, con el compromiso grandular, ni con la afectación del conducto endocervical, pero sí con el número de cuadrantes afectados por la lesión. Finalmente se analiza el alto porcentaje de deserción en los controles a largo plazo (17.24 por ciento al año y 48.25 por ciento a los 4 años) replanteándose la veracidad de la tasa de curación obtenida a 12 meses
Subject(s)
Humans , Female , Adult , Middle Aged , Uterine Cervical Dysplasia/diagnosis , Cervix Uteri/surgery , Uterine Cervical Neoplasms , ArgentinaABSTRACT
Apresentacoa de um caso raro de duplicacao intestinal em recem-nascido com massa palpavel no hipocondrio esquerdo, diagnosticado radiologicamente antes da cirurgia. A radiografia simples de abdome, transito intestinal e enema opaco mostraram grande massa intra-abdominal no hipocondrio esquerdo, deslocando o estomago para a direita. A urografia excretora foi normal. A tomografia computadorizada mostrou grande massa cistica, com paredes finas, no hipocondrio esquerdo
Subject(s)
Infant, Newborn , Humans , Male , Congenital Abnormalities , Intestines , Tomography, X-Ray ComputedABSTRACT
Os autores descrevem algumas caracteristicas medico-sociais de 100 casos que procuraram o Servico de Triagem Ambulatorial do Instituto da Crianca. A renda mensal per capita da maioria das familias estudadas varia de Cr$ 4.000,00 a Cr$ 12.000,00, predominando as ocupacoes de tipo manual, especializada ou nao. Os domicilios concentram-se no proprio Municipio de Sao Paulo, sobretudo na zona oeste. A maioria dos casos foi encaminhada pelo Servico de Consultas de Urgencia e Triagem da propria Instituicao. Predominam as queixas de saude relacionadas aos aparelhos respiratorio, gastrintestinal e urinario alem de problemas comportamentais. Houve interesse dos familiares no seguimento de saude a longo prazo apos a resoluccao da quiexa basica que motivou a procura do Servico