ABSTRACT
This study addresses the challenge of low blood donation rates in developing countries by examining the effectiveness of a barrier-removal incentive-a one-day transportation voucher-to promote blood donation. Utilizing a longitudinal dataset of 23,750 donors from a Brazilian blood collection agency (BCA) collected between March 2018 and May 2020, we examine the short and long-term effects of this campaign on donation rates. Our results show that the incentive had a large positive influence on both donation attempts and successful donations on the day of the campaign. However, the short-term success of the intervention had an unintended consequence: the significant increase in prospective donors' waiting time at the BCA during the intervention day, which may help explain the negative impact on return rates in the 24-month follow-up. Despite these opposing outcomes, the net effect of the one-day blood donation incentive was still positive, offering valuable insights for BCAs aiming to enhance donor recruitment and retention strategies and emphasizing the need to balance immediate benefits with potential long-term impacts.
Subject(s)
Blood Donors , Motivation , Humans , Blood Donors/psychology , Blood Donors/statistics & numerical data , Male , Female , Adult , Brazil , Middle Aged , Longitudinal Studies , Social BehaviorABSTRACT
La reconstrucción de heridas complejas que asientan sobre miembros amputados resulta un desafío, dada la necesidad de aportar cobertura, pero también de asegurar la funcionalidad del miembro. Se presenta el caso de un paciente masculino de 46 años con una amputación supracondílea del miembro inferior derecho secundaria a complicación vascular por herida de arma de fuego. Se optó por realizar una reconstrucción con un colgajo anterolateral de muslo contralateral libre, con el cual se logró realizar la cobertura además de aportar tejido suficiente para adaptar una exoprótesis. Concluimos que la reconstrucción microquirúrgica con este colgajo en heridas complejas sobre un miembro amputado constituye un excelente recurso con beneficios tanto estéticos como funcionales.
The reconstruction of complex wounds that settle on amputated limbs is a challenge, given the need to provide coverage, but also to ensure its functionality. The case of a 46-year-old male patient with a supracondylar amputation of the right lower limb secondary to a complication of a gunshot wound is presented. It was decided to perform a reconstruction with an anterolateral flap from the contralateral thigh, with which coverage was achieved as well as providing enough tissue to adapt an exoprosthesis. We conclude that microsurgical reconstruction with this flap in complex wounds on an amputated limb is an excellent resource with both aesthetic and functional benefits.
Subject(s)
Humans , Male , Middle Aged , Lower Extremity/surgery , Myocutaneous Flap/surgery , Amputation, Surgical/methodsABSTRACT
La fístula palatina anterior es la comunicación anormal entre la cavidad oral y la nariz que se presenta después del cierre quirúrgico de la fisura palatina, ésta ocurre con más frecuencia en defectos de paladar duro. El colgajo de lengua está indicado para la reconstrucción de grandes fístulas palatinas y con excesivas cicatrices palatinas luego de varios procedimientos insatisfactorios. El colgajo ofrece varias ventajas ya que presenta abundante tejido, excelente irrigación y es de fácil rotación. El resultado fue satisfactorio.
The anterior palatal fistula is the abnormal communication between the oral cavity and nose that occurs after surgical closure of cleft palate, this occurs more frequently in hard palate defects. Tongue flap is indicated for the reconstruction of large fistulas and excessive palatal scars after several unsatisfactory procedures. The flap offers several advantages since it presents abundant tissue, excellent irrigation and easy rotation. The result was satisfactory.
Subject(s)
Humans , Child , Adolescent , Cleft Palate , Cleft Palate/surgery , Fistula/surgery , Palate, Hard/pathology , Surgical FlapsABSTRACT
Estudou-se, num conjunto de 263 gestantes atendidas na maternidade do IMIP, a comparaçao entre a classificaçao ponderal de Rosso e os valores da circunferência braquial da gestante, no intervalo entre 23,0 a 25,5cm, aqui considerado como método experimental. Os melhores resultados, em termos de sensibilidade, especificidade, valores preditivos e outros testes de validaçao estatística, foram obtidos no ponto de corte do perímetro braquial correspondente a 25,0cm.
Subject(s)
Pregnancy , Humans , Female , Mid-Upper Arm Circumference , Nutritional StatusABSTRACT
Eclâmpsia é a causa mais comum de convulsäo ocorrendo no período peri-natal; embora casos típicos de eclâmpsia possam ocorrer até 10 dias post partum, quando convulsöes surgem após as primeiras 24 horas de parto outros diagnósticos devem ser considerados; entre eles, epilepsia prévia, encefalite, meningite, tumor cerebral, crise falciforme, púrpura trombocitopênica trombótica, trombose venosa cerebral, intoxicaçäo por anestésicos locais, intoxicaçäo hídrica e outras. Os autores analisam e comentam 4 casos de convulsöes ocorridas com mais de 24 horas de puerpério
Subject(s)
Adolescent , Adult , Humans , Female , Eclampsia/complications , Pregnancy Complications , Seizures/etiology , Postpartum PeriodABSTRACT
O trabalho analisa a composiçäo da demanda que procurou uma unidade de assistência primária à saúde durante um mês. Os cinco motivos de consulta mais freqüentes foram: procura do Programa de Suplementaçäo Alimentar, vacinaçäo, gripe, dor de garganta e revisäo inespecífica (classificados segundo a International Classification of Primary Care-1984); os cinco diagnósticos mais comuns foram: IVAS, HAS näo complicada, amigdalite bacteriana, exame físico normal e otite média aguda (classificados segundo a International Classification of Health Problems in Primary Care - ICHPPC 2); e os cinco procedimentos mais freqüentemente realizados foram o fornecimento de rancho do Programa de Suplementaçäo Alimentar, de Medicaçäo, vacinaçäo, verificaçäo de TA e exame pré-natal. A faixa etária de 0 a 4 anos foi responsável por 62,3% da demanda. Dos motivos de procura do serviço, 69,5% eram destinados aos auxiliares de saúde, bem como 93,2% dos procedimentos a serem realizados
