Assuntos
Competência Clínica , Instrução por Computador , Avaliação Educacional/métodos , Medicina de Emergência/educação , Internet , Internato e Residência , Pediatria/educação , Insuficiência Respiratória/diagnóstico , Estudantes de Medicina/psicologia , Obstrução das Vias Respiratórias/complicações , Obstrução das Vias Respiratórias/diagnóstico , Obstrução das Vias Respiratórias/terapia , Bronquiolite/complicações , Bronquiolite/diagnóstico , Criança , Pré-Escolar , Instrução por Computador/economia , Instrução por Computador/métodos , Crupe/complicações , Crupe/diagnóstico , Grupos Diagnósticos Relacionados , Emergências , Serviço Hospitalar de Emergência , Estudos de Viabilidade , Humanos , Lactente , Curva de Aprendizado , Psicometria , Valores de Referência , Insuficiência Respiratória/etiologia , Insuficiência Respiratória/terapia , Taxa Respiratória , Gravação em VídeoRESUMO
INTRODUCTION: Colorectal cancer (CRC) is a common type of malignancy encountered in the United States. A significant proportion of patients with CRC will seek emergency medical care during the course of their illness and treatment. BACKGROUND: Emergent presentations can be the result of either local tumor invasion, regional progression, or therapeutic techniques. Specific complications of CRC which present emergently include rectal bleeding, abdominal pain, and bowel obstruction. Less common issues encountered include malignant ascites, neutropenic enterocolitis, and radiation enteropathy. CONCLUSION: The care of CRC patients in the setting of an acute severe illness typically requires the joint efforts of the emergency medical team in consultation with surgical, medical, and radiation oncology. A high degree of suspicion for the typical and atypical complications of CRC is important for all clinicians who are responsible for the care of these patients.
Assuntos
Neoplasias Colorretais/complicações , Neoplasias Colorretais/terapia , Emergências , HumanosRESUMO
Expansion of the tourism industry in the Dominican Republic has had far-reaching health consequences for the local population. Research suggests families with one or more members living in tourism areas experience heightened vulnerability to HIV/STIs due to exposure to tourism environments, which can promote behaviors such as commercial and transactional sex and elevated alcohol use. Nevertheless, little is known about how tourism contexts influence family dynamics, which, in turn, shape HIV risk. This qualitative study examined family relationships through in-depth interviews with 32 adults residing in Sosúa, an internationally known destination for sex tourism. Interviewees situated HIV risk within a context of limited employment opportunities, high rates of migration, heavy alcohol use, and separation from family. This study has implications for effective design of health interventions that make use of the role of the family to prevent HIV transmission in tourism environments.