ABSTRACT
Abstract Objective: Sleep is fundamental for both health and wellness. The advent of "on a chip" and "smartphone" technologies have created an explosion of inexpensive, at-home applications and devices specifically addressing sleep health and sleep disordered breathing. Sleep-related smartphone Applications and devices are offering diagnosis, management, and treatment of a variety of sleep disorders, mainly obstructive sleep apnea. New technology requires both a learning curve and a review of reliability. Our objective was to evaluate which app have scientific publications as well as their potential to help in the diagnosis, management, and follow-up of sleep disordered breathing. Methods: We search for relevant sleep apnea related apps on both the Google Play Store and the Apple App Store. In addition, an exhaustive literature search was carried out in MEDLINE, EMBase, web of science and Scopus for works of apps or devices that have published in the scientific literature and have been used in a clinical setting for diagnosis or treatment of sleep disordered breathing performing a systematic review. Results: We found 10 smartphone apps that met the inclusion criteria. Conclusions: The development of these apps and devices has a great future, but today are not as accurate as other traditional options. This new technology offers accessible, inexpensive, and continuous at home data monitoring of obstructive sleep apnea, but still does not count with proper testing and their validation may be unreliable.
ABSTRACT
Abstract Introduction The novel coronavirus disease 2019 pandemic has rapidly spread worldwide, challenging healthcare resources and communities to an unprecedent degree. Simultaneously, the amount of clinical and scientific information released has overwhelmed journal platforms. Objectives This review aims to summarize the available diagnostic tools and current guidelines to safely assist patients while limiting the exposure of otolaryngologists during this pandemic. Data Synthesis Key articles were retrieved from the following databases: PubMed, Lancet, Springer Nature, BioMed Central, JAMA network and MEDLINE, as well as updated documents from the Spanish Ministry of Health, World Health Organization, Centers for Disease Control and Prevention, Spanish Association of Surgeons, ENT-UK, American College of Surgeons, and American Academy of Otolaryngology-Head and Neck Surgery. The terms used for the search were: COVID-19, Test COVID, Surgery in COVID, 2019-nCoV, 'coronavirus', and SARS-CoV-2. A total of 10,245 papers were retrieved. The inclusion criteria for the review included: COVID-19 testing (n = 531), society guidelines for otolaryngology-head and neck surgery patient care in the outpatient clinic (n = 10) and surgical (n = 18) settings. Studies not related to COVID-19 diagnosis were excluded. Conclusion Healthcare institutions around the world are outlining their own protocols regarding laboratory testing and personnel protective equipment usage based upon medical societies recommendations during the COVID-19 pandemic. We have summarized the available laboratory tests and their respective sensitivity and specificity. Moreover, clinical guidelines from different societies were reviewed and summarized to facilitate guidance for otolaryngologists in the operating room and in the clinical settings.
ABSTRACT
Introduction: Chronic rhinosinusitis (CRS) is a highly prevalent pathology in our society. Due to the prevalence of this condition and to the persisting symptoms despite an appropriate medical treatment, surgical techniques are often required. Lately, minimal invasive techniques have been described, such as lacrimal diversion devices (LDDs). This technique offers a fast and convenient choice for delivery of sinus irrigation and topical medication. Objective: We aimed to describe our experience with LDDs and evaluate the safety and effectiveness of the procedure in patients with moderate to severe CRS without nasal polyposis (CRSsNP) and persistent symptomatology despite medical therapy. Methods: A total of 7 patients underwent bilateral lacrimal stents placement in the operating room. A retrospective observational study was conducted. The Sino-Nasal Outcome Test-20 (SNOT-20) survey was performed and the score obtained was compared before and 1 month after the procedure. Results: The LDDs were used for an average of 80 days. During the follow-up, only three patients had a mild complication with the device (granuloma in the punctum, obstruction, and early extrusion). The mean baseline SNOT-20 score dropped significantly ( p = 0.015) from 25.85 to 11.57 (mean: - 14.29) 1 month after the procedure. Conclusion: According to our experience and results, the use of LDD is a novel, feasible, and less invasive technique to treat refractory CRS. It reduces the risk of mucosal stripping, provides short-term outcomes, and the surgical procedure does not require advanced training in endoscopic sinus surgery. Moreover, it can be performed in-office under local anesthesia or sedation (AU)
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Sinusitis/surgery , Stents , Rhinitis/surgery , Nasal Surgical Procedures/methods , Retrospective Studies , Minimally Invasive Surgical Procedures/methods , Lacrimal Apparatus/surgeryABSTRACT
Las infecciones profundas de cabeza y cuello constituyen actualmente un tema de importancia en la consulta diaria de ORL dado el incremento en frecuencia y potencial mortal. Se realizó un estudio retrospectivo de 278 pacientes de enero de 1994 a diciembre de 2001 en el Servicio de Otorrinolaringología del Hospital Universitario de Caracas. Promedio de edad: 29,01 años. Distribución: 155 masculino, 123 femenino. Se hace un estudio de etiología, clínica, evaluación y tratamiento. 168 pacientes drenaron espontáneamente o necesitaron drenaje quirúrgico. La clindamicina fue el antibiótico más usado, seguido por la penicilina a dosis antianaerobias y en tercer lugar la oxacilina.
Subject(s)
Abscess , Head , NeckABSTRACT
Se hizo un estudio retrospectivo de 64 pacientes de enero a diciembre 1996 en el Hospital Universitario de Caracas. Promedio de edad: 29,98 años, 34 masculino 30 femenino. Se hace un estudio de etiología, clínica, evaluación y tratamiento. 47 pacientes necesitaron drenaje quirúrgico
Subject(s)
Humans , Male , Female , Adolescent , Adult , Blood Chemical Analysis/methods , Clindamycin/therapeutic use , Head/pathology , Head/physiology , Head/surgery , Infections/diagnosis , Neck/pathology , Neck/physiology , Neck/surgery , RadiographyABSTRACT
El hemangioma es el tumor más común en la infancia. En el el servicio de otorrinolaringología del Hospital Universitario de Caracas se presentaron 2 casos en el último año, el primero un hemangioma capilar de Rinofaringe, y el segundo un hemangioma cavernoso que infiltraba maxilar superior derecho, donde se manejaron alternativas de tratamiento como: administración de sustancias esclerosantes, corticoesteroides, radioterapia y cirugía. Cada caso fue evaluado en forma individual y se determinó que en los casos donde setiene un acceso adecuado al tumor, pueden ser tratados quirúrgicamente, haciendo reecciones exitosas
Subject(s)
Adolescent , Humans , Male , Female , Hemangioma/diagnosis , Hemangioma/surgery , Magnetic Resonance Spectroscopy , Tomography, X-Ray ComputedABSTRACT
Se realizó una revisión de la incidencia de Cardiopatía Congénita en recién nacidos en el Hospital Privado Centro Médico de Caracas en los últimos diez años, lapso comprendido entre 1976 y 1986. Estructuramos nuestros hallazgos de acuerdo a los siguientes factores: Sexo, lugar de procedencia, diagnóstico de la lesión de la cardiopatía, sometimiento a intervención quirúrgica y condiciones al egreso. En cada una de las categorías se realizó un análisis interpretativo de los hallazgos
Subject(s)
Infant, Newborn , Humans , Male , Female , Heart Defects, Congenital/surgery , Respiratory Distress Syndrome, Newborn , Thoracic Surgery , VenezuelaABSTRACT
Se hizo un estudio retrospectivo de la experiencia en cirugía cardíaca en los últimos cuatro años en el Centro Médico de Caracas haciendo una revisión bibliográfica previa sobre la experiencia en otros centros y sobre los criterios clínicos y fisiopatológicos considerados en un post-operatorio normal. Se estudió la población de pacientes intervenidos por: edad, sexo, tipo de intervención, condición en que se practicó la misma, entidades patológicas asociadas a la enfermedad de base y complicaciones post-operatorias intrahospitalarias. Se hizo un análisis de los resultados en base a la literatura recopilada al respecto y a los datos estadísticos obtenidos del estudio
Subject(s)
Postoperative Complications , Thoracic SurgeryABSTRACT
Se realizó un estudio de los niveles de plomo en sangre y sus repercusiones orgánicas en la población de expendedores de gasolina en las estaciones de servicio de Maracay, Edo. Aragua, como también las diferentes variables que influyen en la contaminación con este metal pesado. La exploración realizada nos afirmó que existe una franca intoxicación en los trabajadores. Notamos que la esfera neurológica es la más afectada y que también influye en la intoxicación variables como tiempo de exposición, hábitos higiénicos, alimenticios y tabáquicos