RESUMO
OBJECTIVES: To analyze the temporal trends of premature mortality from diabetes in Costa Rica in the period 2000-2020, at a national level and by province, and the effect of the COVID-19 pandemic on diabetes mortality during the year 2020. METHODS: We studied the temporal trends of mortality from diabetes in Costa Rica in the period between 2000 and 2020. Age-standardized mortality rates and corresponding 95% confidence intervals were calculated for each year, sex and province. RESULTS: We analyzed the data of 17,968 deceased persons. The mean age was 72.5 years (range 1 to 109 years), and 51.5% of the population (n = 9253) was younger than 75 years. In both men and women, we observed a significant decrease in mortality from 2000 to 2014, followed by the opposite trend from 2014 to 2020, with average yearly increases of 13.9% in men and 11.6% in women. CONCLUSIONS: Premature mortality from diabetes has been growing from 2014. The COVID-19 pandemic changed the mortality pattern, increasing premature diabetes deaths in Costa Rica in 2020.
Assuntos
COVID-19 , Diabetes Mellitus , Masculino , Humanos , Feminino , Lactente , Pré-Escolar , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Costa Rica/epidemiologia , Mortalidade Prematura , Pandemias , COVID-19/epidemiologia , Diabetes Mellitus/epidemiologiaRESUMO
El transporte óseo consiste en la movilización de un segmento de hueso, en dirección longitudinal, bajo los principios de tensión-estrés, permitiendo la osteogénesis. Esta técnica es una opción para el tratamiento de grandes pérdidas de sustancias óseas, usualmente superiores a 4 cm. La tasa óptima de distacción es de 1mm/día. Las principales complicaciones son: retraso en la consolidación, refractura del hueso neoformado, consolidación prematura, deformidades angulares, e infección del trayecto del material de osteosíntesis (pin)...
