RESUMEN
This review article comprehensively examines clinical laboratory strategies for managing pandemic outbreaks, with a particular focus on lessons learned from the COVID-19 pandemic. Drawing upon an extensive analysis of existing literature from databases such as PubMed, Web of Science, and Cochrane, as well as manual searches on Google Scholar, the study aims to provide insights into key aspects of pandemic preparedness and response. The literature review encompasses diverse combinations of medical terminology, emphasizing the role and response of clinical laboratories during pandemics. The primary focus areas include rapid test development and deployment, increased testing capacity, sample collection, and transportation protocols, data management, personnel safety, resource allocation, adaptability, and quality control measures. The inclusion of articles in this study adheres to rigorous criteria, ensuring a thorough and robust review process. The findings highlight the critical importance of rapid and accurate diagnostic testing, especially in the early stages of a pandemic, to facilitate timely interventions and containment. Efficient sample collection and transportation systems are crucial for maintaining the integrity of specimens, while advanced data management and reporting systems contribute to informed decision-making. Adaptability and flexibility are identified as indispensable traits for navigating the dynamic challenges of a pandemic, and stringent quality control measures are foundational for upholding the accuracy of diagnostic testing. The review underscores the collaborative efforts needed among clinical laboratories, public health agencies, and research institutions to strengthen global pandemic preparedness and response strategies.
RESUMEN
Hypertension, commonly referred to as high blood pressure, is characterized by consistently elevated blood force against artery walls. Managing hypertension involves lifestyle adjustments and, when necessary, medication. Telehealth is instrumental in transforming hypertension management, utilizing technology to enhance remote monitoring, engage patients, and enhance overall outcomes. This review seeks to amalgamate existing literature and advancements in telehealth applications specific to hypertension, offering a comprehensive understanding of the present knowledge landscape, identifying gaps, and shedding light on implications for patient outcomes. Telehealth stands as a revolutionary force in hypertension management, providing inventive approaches for remote monitoring, promoting medication adherence, and overall enhancing patient well-being. However, challenges like technological barriers, security concerns, and resistance to change need addressing. Issues surrounding device compatibility, accuracy variations, and limitations in substituting certain in-person examinations also require attention. A holistic strategy, encompassing technological progress, education, and policy evolution, is crucial to overcome these challenges and fully realize telehealth's potential in hypertension management, contributing to improved patient outcomes and a reduced global burden of hypertension and chronic diseases.
RESUMEN
When cartilage-like tissue is present in the synovial membrane of joints, it is known as synovial chondromatosis (SC). The main cause is believed to be the metaplasia of embryonal mesenchymal tissue in the synovial membrane. The metaplastic foci grow within the joint space and can detach from the synovial wall, forming free-floating bodies. While SC is more commonly associated with trauma in the temporomandibular joint (TMJ), the exact relationship between trauma and SC remains unclear. Improved diagnostic techniques, such as CT and MRI, have led to increased recognition of SC in the TMJ. Gender differences in the prevalence of TMJ SC have been observed, with women being more affected. Diagnosis involves imaging techniques like X-rays, CT scans, MRIs, and surgical removal of loose bodies is the preferred treatment. Arthroscopy is recommended for small, isolated loose bodies, while open surgery may be necessary for complete removal. Long-term follow-up is essential to monitor for recurrence. Histopathological findings reveal a mixture of cartilage and bone, with ossification and calcification present.
RESUMEN
Foreign body aspiration or ingestion is an uncommon potential complication during orthodontic dentistry, and it can produce a medical emergency. Obstruction of the airways can be life-threatening, and delayed recognition and management can result in pulmonary complications such as recurrent pneumonia. Dental treatment has been identified as an important cause of the misplacement of foreign bodies in the airway. Objects used in orthodontic treatment are mainly used due to their manufacturing limitations, such as their shape and size, and because they are made of radiolucent materials, which make them easy to aspirate or ingest and difficult to detect with a radiograph. However, few reports have been published on orthodontic dentistry-related foreign body aspiration and pulmonary complications. Furthermore, micro-aspiration due to poor oral hygiene in patients undergoing orthodontic procedures has been investigated in this review since poor oral hygiene is a well-established risk factor for aspiration pneumonia in the elderly population. The association between the aspiration of orthodontic material and aspiration pneumonia is not well established. Aspiration pneumonia is a secondary symptom of misdiagnosis or delayed diagnosis of dental material aspiration. Additionally, poor oral hygiene can also increase the risk of aspiration pneumonia in elderly patients since poor oral hygiene during orthodontic treatment leads to plaque retention, which can lead to increased development of hyperplastic gingivitis and periodontal breakdown, established risk factor for aspiration pneumonia.