Telemedicine and intraductal papillary mucinous neoplasms: Analysis of a new follow-up strategy during COVID-19 outbreak.

BACKGROUND: The Coronavirus pandemic outbreak in 2019 and the saturation of healthcare system led to an increased use of digital tools for surveillance. In this study we described our experience using telemedicine to follow-up on patients with intraductal papillary mucinous neoplasms during the COVID-19 era and analyze those factors associated to patients' satisfaction. METHODS: This 1-year retrospective observational study enrolled patients with intraductal papillary mucinous neoplasms followed-up by telemedicine during COVID-19 outbreak. Patients with high-risk features needing on-site physical examination or declining remote follow-up were excluded. A 13-question survey was conducted; demographic, geographic, and employment information was collected. Univariate and multivariate analyses were performed to evaluate those factors associated to patients' satisfaction. RESULTS: Out of 287, a total of 177 patients with intraductal papillary mucinous neoplasms were included: the mean age was 69 (44-87) years and the male/female ratio was 0.78. A total of 80 (45.2%) patients had previously experienced abdominal pain. Most patients (85.3%) were satisfied with telemedicine: at univariate analysis, age ≥70 years (P = .007), retirement (P = .001), and absence of previous abdominal pain (P = .05) were significantly associated with patient satisfaction. At multivariate analysis, the absence of previous abdominal pain was the only factor independently associated with patient satisfaction (odds ratio 5.964, 95% confidence interval 2.21-16.11, P < .001). CONCLUSION: Telemedicine allows a new follow-up strategy that can be used in selected patients with intraductal papillary mucinous neoplasms. The absence of previous abdominal pain is associated with patient satisfaction during follow-up. Further studies are needed to evaluate safety of remote follow-up in patients with intraductal papillary mucinous neoplasms.

EVALUACIÓN MULTICRITERIO DE 44 INTRODUCCIONES DE Tithonia diversifolia (Hemsl.) A. Gray EN CANDELARIA, VALLE DEL CAUCA / MULTI-CRITERIA EVALUATION OF 44 INTRODUCTIONS OF Tithonia diversifolia (Hemsl.) A. Gray IN CANDELARIA, VALLE DEL CAUCA

La producción de forrajes, como fuente principal de alimentación de bovinos, ha generado proteína de alta calidad en carne y leche para satisfacer las necesidades humanas. La elección de forrajes no sólo debe basarse en las virtudes agronómicas, sino también en su valor nutricional, palatabilidad y nivel de toxicidad para el ganado. Este estudio tuvo como objetivo evaluar la respuesta productiva forrajera de 44 introducciones de T diversifolia, provenientes de varias localidades del centro occidente de Colombia, establecidas en una colección en el Centro Experimental Universidad Nacional sede Palmira (CEUNP) Candelaria (Colombia). Coordenadas 2°06' N y 65°03' O, con temperatura de 26 °C y precipitación promedio anual de1532 mm. Se evaluaron indicadores morfoagronómicos y nutricionales de las 44 introducciones; luego estas se clasificaron mediante estadística multivariada y la posterior aplicación de índices integrales (Índice de Potencial Forrajero Ponderado e Índice de Rendimiento y Calidad Ponderado). Se seleccionaron las ocho introducciones más rendidoras y de mejor calidad nutricional; posteriormente solo cuatro fueron identificados como las más promisorias (17,9; 22,14; 13,5 y 1,2). Se concluye que el uso de índices integrales multicriterio facilita la selección de materiales rendidores, con base en diferentes criterios de adaptabilidad, productividad y calidad de las especies.

Fodder production, the main source of cattle feed, has generated high quality protein in meat and milk to meet human needs. Choosing fodder should not only be based on agronomic properties, but also its nutritional value, palatability and toxicity for livestock. This study aimed to evaluate the forage production response of 44 introductions of T diversifolia, from various localities in the west central Colombia, established in a collection at the National University Palmira (CEUNP) Experimental Center, Candelaria (Colombia). Coordinates 2°06' N and 65°03' W, with a temperature of 26 ° C and average annual precipitation de1532 mm. Morpho-agronomic and nutritional indicators of the 44 introductions were evaluated; these are then classified using multivariate statistics and the subsequent implementation of integral indices (Weighted Forage Potential Index and Weighted Index Performance and Quality). Eigth introductions of higher yields and better nutritional quality were selected; then only four were identified as the most promising (17.9; 22.14; 13.5 and 1.2). We conclude that the use of multi-integral indices facilitates the selection of materials yielders, based on different criteria of adaptability, productivity and quality of species.