Esofagitis Infecciosa En Inmunocompetentes: Serie De Casos En Un Hospital De Tercer Nivel

Introduccion: La prevalencia de esofagitis infecciosa en individuos inmunocompetentes es inusual. El principal agente etiologico es el VHS 1, afectando en la mayoria de los casos a menores de 40 anos con odinofagia intensa y disfagia como sintomas principales. Se desconoce si la infeccion por SARS-CoV-2 o la administracion de su vacuna son factores predisponentes. Objetivos: Determinar las principales caracteristicas clinicas, diagnosticas, endoscopicas y la respuesta al tratamiento de pacientes diagnosticados de esofagitis virica desde el inicio de la pandemia. Metodos: Se incluye una serie de casos de pacientes inmunocompetentes con esofagitis virica en el Complejo Asistencial Universitario de Leon desde marzo 2020 hasta enero 2022. Resultados: Un total de cinco pacientes fueron diagnosticados de esofagitis virica. Los datos personales, clinicos, diagnosticos y terapeuticos de todos los casos se recogen en la tabla. Conclusiones: La esofagitis virica en pacientes inmunocompetentes es infrecuente, lo que conlleva su infradiagnostico. Se deben sospechar ante un cuadro agudo de odinofagia intensa. En nuestra serie el diagnostico histologico fue compatible solo en el 40%. Al tratarse de una infeccion autolimitada en individuos inmunocompetentes, existen discrepancias entre administrar aciclovir o unicamente tratar los sintomas. La infeccion por SARS-CoV-2 o la administracion de sus vacunas podrian actuar como factores predisponentes, aunque se necesitan mas estudios para establecer dicha relacion. [Table presented]Copyright © 2023 Elsevier Espana, S.L.U. Todos los derechos reservados.

EFFECTS OF TELEWORK AND DIGITALIZATION ON SHARED READING BETWEEN PARENTS AND CHILDREN

INTRODUCTION. There are several benefits associated with shared reading. The time families invest to read with their children may be influenced by different demographic (e.g., family type and structure) and personal factors (e.g., time availability). Society experiments subsequent changes and the time dedicated to shared reading at home may be influenced by them. This study has two main objectives: first, it analyzes differences in shared reading time by considering those demographic variables that other studies have identified as relevant (e.g., parents' sex, children's age, number of children);secondly, it aims to analyze the differences in shared reading time regarding two variables strongly affected by the pandemic, that is, the employment status and reading medium (paper reading vs. digital reading). METHOD. The responses of 659 parents to a survey about reading habits before and after confinement were analysed through a descriptive-comparative analysis of demographic variables, parents' employment status and reading support. RESULTS AND DISCUSSION. The main results indicate that families spent increasing amounts of time on shared reading throughout confinement. In this sense, mothers spent more time reading with their children than fathers before and during confinement. Regarding the reading me-dium, paper continued to be used more widely for shared reading during confinement, although the time dedicated to shared reading using a digital device increased compared to its use before confinement. Finally, parents who teleworked did not invest more time on shared reading than those who worked outside the home, so that, contrary to expectations, teleworking during the pandemic did not allow for a better family-profession reconciliation or greater dedication to chil-dren's literacy. © 2023, Sociedad Espanola de Pedagogia. All rights reserved.

Dentists' Perceptions of Personal Infection Control Measurements in Response to COVID-19.

OBJECTIVE: To explore through focus groups (FGs) the perceptions of dental practitioners (DPs) from different countries of the challenges of implementing coronavirus disease 2019 (COVID-19) related biosafety measures, especially personal protection equipment (PPE), during the COVID-19 pandemic period. METHODS: DPs from Colombia, Germany, the United Kingdom, and the United States were invited to participate in country-based FGs. These were facilitated by an experienced moderator who explored the factors that guided the implementation of COVID-19 related biosafety measures and PPE use. Data were analyzed through thematic analysis on the basis of categories defined by the researchers deductively and inductively. RESULTS: A total of 25 DPs participated in 3 FGs (Colombia:n = 8; United Kingdom: n = 7; United States: n = 9) and 1 in an in-depth interview (Germany). DPs described using several processes to judge which guidance document to adopt and which aspects of the guidance were important in their practice. These included making judgments concerning the views of any indemnity organization to which the DPs were responsible, the staff's views in the practice, and the views of patients. In the absence of a single overarching guidance document, DPs filtered the available information through several considerations to find a level of PPE that they deemed "implementable" in local practice. CONCLUSIONS: The findings suggest that the implementation of evidence-based practice is subject to modification through a lens of what is "feasible" in practice. KNOWLEDGE TRANSFER STATEMENT: Clinicians, educators, and policy makers can use the results of this study to understand the process through which guidance is transformed into implementable patient care pathways in the dental practice.