Bariatric surgery on social media: A cross-sectional study.

INTRODUCTION: Bariatric Surgery (BS) represents a viable option for the treatment of obesity and its risks. Nevertheless, it is still being underused by the eligible patient population because of the general lack of information, false beliefs, and the stigmatization of obesity. Social media seems to be a solution for overcoming this problem. MATERIALS AND METHODS: The search terms "Bariatric surgery", "Metabolic surgery", "Obesity surgery" and "Weight loss surgery" were employed to analyze the Twitter accounts and Facebook pages dedicated to Bariatric Surgery. The most relevant metadata from each account was collected and analyzed with descriptive statistics. RESULTS: 293 Facebook pages and 122 Twitter accounts were analyzed, being most of them created in the US (42%). No significant differences were found between the mean of followers of both platforms. Medical centers were the biggest creator category with 69.24% of the total number of followers. Although the promotion of medical services accounted for 68.65% of the total number of followers, the promotion of medical products had a significant higher mean of followers. (p = 0.002). CONCLUSION: Doctors and businesses acknowledge the importance of social media for informing patients about BS and promoting their services. Accounts with commercial purposes presented the highest number of followers. The high number of supporters this commercial content has, along with the relative lack of followers in educational and support groups, could lead to undeliberate decisions in detriment of the patients and their well-being.

Diarrea aguda infantil: Admisión hospitalaria en menores de tres años: Año 2005 / Infantile acute diarrhea: Hospital admission in children than less three years old: Year 2005

Introducción: la diarrea aguda constituye un severo problema de salud pública en los países en desarrollo. En América latina continúa siendo un flagelo y es causa importante de mortalidad infantil. Las características epidemiológicas, agentes etiológicos y presentación clínica varían dependiendo del país, región o comunidad, por lo que su conocimiento en el ámbito local es útil en el diseño de programas de prevención y control. Objetivos: mantener la vigilancia de esta patología en niños admitidos al Centro Hospitalario Pereira Rossell (CHPR) y disponer de indicadores de casos graves que requirieron internación Material y método: en esta comunicación se describen las características clínicas, etiológicas y evolutivas de los niños menores de 36 meses que ingresaron por diarrea aguda al Departamento de Pediatría del Hospital Pediátrico del CHPR. En esta casuística se Seleccionaron los niños menores de 3 años con esta patología, según definición de la OMS, admitidos durante el año 2005 en la Unidad de Diarrea.Resultados: se incluyeron 393 niños con una mediana para la edad de 6 meses. Recibieron lactancia natural exclusiva durante una mediana de 2 meses previo al ingreso. El 19% de los niños había presentado al menos un episodio previo de diarrea de los cuales el 39% fue admitido por esa razón. El 24% del total de pacientes y la mitad de los reingresos eran desnutridos. La mitad recibieron terapia de rehidratación oral previo al ingreso. Las dos terceras partes de la población estudiada ingresó durante la estación estival. Los motivos de ingreso más frecuentes fueron deshidratación, acidosis y concomitancia de foco infeccioso extraenteral. La mediana de internación fue de 4 días. Se aisló rotavirus en el 18% y adenovirus en el 8% de los niños. El coprocultivo fue positivo en 7/46 casos: Shigella (4), Salmonella (1) y Campilobacter (2). Un subgrupo de 28 niños (7%) tuvo una internación de más de 14 días. No hubo fallecidos...

The Pediatric Department at the Pereira Rossell Hospital of Montevideo makes the follow -up of the patients with acute diarrhea who have serious disease characteristics and required hospital admission. In this study 393 children with the disease younger than 3 years were included according to the definition of the WHO, with a medium age of 6 months. Children were exclusively breast fed for (medium time) two months. 19% had previously one episode of diarrhea at least, 39% of them were admitted for this reason. 24% of the total and 52% of readmissions were undernourished. Half of them were orally rehydrated at home. Two thirds were admitted during the summer season. The most frequent causes of hospitalization were dehydration, acidosis and extraenteral concomitant infectious disease. Average hospital stay was 4 days. Rotavirus was isolated in 18% and Adenovirus in 8% of children. Feces cultures were positive in 7 out of 46 being Shigella (4), Salmonella (1) and Campilobacter (2). A group of 28 (7%) children stayed hospitalizad for more than 14 days. No deaths occured. Criteria for admission have had little modifications in the last years, not following the reduction of other indicators of this pathology in our children.