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Para 80% dos infectados a Covid-19, nome da infecção que o novo coronavírus provoca, não passa de uma virose assintomática, com sintomas leves ou moderados. Porém, 5% dos indivíduos infectados desenvolvem sintomas muito graves, cujo tratamento é bastante complexo e pode levá-los a óbito. Difundiu-se na grande imprensa a ideia de que no tratamento desta doença, o conhecimento médico-científico consolidado, ao longo da experiência no tratamento de infecções respiratórias similares não serviria para nada. Desta forma, produziu-se entre os médicos assistentes uma enorme timidez ao explicar à imprensa que a utilização de métodos tradicionais de tratamento ainda era válida e não precisaria de complicados experimentos científicos para justificá-los. No público atingido pelas campanhas movidas pela imprensa observamos efeitos psicopatológicos de angústia intensa, insônia, falta de ar, fantasia de morte iminente e pânico
Pour 80% des personnes infectées par Covid-19, le nom de l'infection que provoque le nouveau coronavirus, il ne s'agit que d'une infection virale asymptomatique avec des symptômes légers ou modérés. Cependant, 5 % des personnes infectées développent des symptômes très graves, dont le traitement est assez complexe et peut les conduire à la mort. Il semble que dans le traitement de cette maladie, les connaissances médico-scientifiques consolidées, grâce à l'expérience acquise dans le traitement d'infections respiratoires similaires, ne sont d'aucune utilité. Ainsi, une énorme timidité s'est manifestée parmi les médecins traitants lorsqu'ils ont eté appelés a expliquer à la presse que l'utilisation des méthodes traditionnelles de traitement était toujours valable et qu'il n'était pas nécessaire de recourir à des expériences scientifiques compliquées pour les justifier. Dans le public touché par les campagnes menées par la presse, nous avons observé des effets psychopathologiques d'angoisse intense, d'insomnie, d'essoufflement, de fantasme de mort imminente et de panique
For 80% of those infected with Covid-19, the name of the infection that the new coronavirus causes, it is nothing more than an asymptomatic viral infection with mild or moderate symptoms. However 5% of infected individuals develop very severe symptoms, whose treatment is quite complex and can lead them to death. It appears that in the treatment of this disease, the consolidated medical-scientific knowledge, throughout the experience in the treatment of similar respiratory infections, is of no use. Thus, an enormous inhibition was produced among the attending physicians when explaining to the press that the use of traditional methods of treatment was still valid and would not need complicated scientific experiments to justify them. In the public affected by the campaigns moved by the press we observed psychopathological effects of intense anguish, insomnia, shortness of breath, fantasy of imminent death and panic
Assuntos
Psicopatologia , Ciência , Terapêutica , Infecções por Coronavirus , Meios de Comunicação de MassaRESUMO
Objective To compare the therapeutic effects of three therapeutics to earlier primary gastric diffuse large B cell lymphoma(PG-DLBCL).Methods By reviewing a data-base of 66 patients with earlier PG-DLBCL from Aug 2000 to Oct 2011 were enrolled,patients were divided into chemotherapy alone(21 cases),radiotherapy combined with chemotherapy(22 cases) and surgery followed chemotherapy group(23 cases),and to comparing the prognosis of the three therapeutics.Results The complete remission rates(CR) of the three groups was 47.6％,77.3％,65.2％ (P ＞ 0.05).The median progression-free survival(PFS)of the three groups in 66 patients was 61.5,90.4 and 79.1 months,the radiotherapy combined group was proven to be significantly better than chemotherapy alone group and surgery followed chemotherapy group(x2 =6.726,P ＜0.05).The 3-year survival rate of the three groups was 81.6％,90.5％ and 82.6％.The five year survival rate was 72.5％,90.5％,82.6％.There was no significant difference (P ＞ 0.05) in 3-year survival rate and 5-year survival rate.Conclusions Radiotherapy combined with chemotherapy can significantly improve the PFS without increasing the risk of other adverse outcomes,and could be the first treatment way for the earlier PG-DLBCL.
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Complications such as infection, seizure, or intracranial hemorrhage are relatively common after depressed skull fractures. However, indications, methods, and efficacy of the surgical treatment are controversial. This study includes 113 patients with depressed skull fractures who were treated at Soonchunhyang University Chonan Hospital between 1989 and 1992. Methods of treatment, complications, and the prognosis were retrospectively collected and the prognostic factors were analysed. Depressed skull fracture was common below the age of 20 years(38%). Male to female ration was 5.3:1. Traffic injury was the most common of depressed skull fracture(68.1%). Glasgow coma score(GCS) on admission was 13-15 in 52%, 9-12 in 18.6%, and closed in 32%. Intracranial injury was accompanied in 43%. The frontal area was the most common site of depression(53%), and the parietal region was the next(28%). In 65% of open fractures and 28% of closed ones, the lesions were surgically corrected. Cranitomy with primary reconstruction was the most common operative procedure. The mean hospital stay was 26 days in surgically treated patients, and it was 17 days in conservatively managed patients. Prophylactic anticonvulsants were administered in 43%. Seizures occured in 6.2%, and infections were encountered in 3.5%. The outcome was favorable(good recovery and moderate disability) in 80% and the mortality rate was 16%. The outcome was better when the GCS on admission was high(P<0.005), the pupillary response was normal(P<0.005), and the lesion was treated by surgery(P<0.005). Seizures were more common when the GCS was low(P<0.005). Although infections were developed in surgically treated patients only, this difference lacked a statistical significance.