Experience in colorectal surgery at a quaternary care hospital in Bogotá, Colombia.

INTRODUCTION AND AIMS: Colorectal cancer is among the three most common cancers worldwide. Knowledge and identification of suboptimal outcome-associated factors enable comprehensive patient management. The aim of the present study was to present the results of the surgical management of colorectal cancer at a quaternary care university hospital. MATERIALS AND METHODS: An observational, analytic, cross-sectional study was conducted. Information was collected on a retrospective cohort of patients diagnosed with colorectal cancer from 2013 to 2017 at the Hospital Universitario Mayor Méderi, Bogotá, Colombia. RESULTS: Data on 452 patients, within the study period, were collected. A total of 48.5% of the patients were men, the overall complication rate was 24%, the surgical site infection (SSI) rate was 15.38%, anastomotic dehiscence occurred in 4.18% of the patients, bleeding required reoperation in 1.32%, and the intrahospital mortality rate was 7.47%. CONCLUSION: Colorectal cancer management at a university hospital was as beneficial as that provided by other types of hospitals, showing a direct association with complete R0 dissections; low complication rates, according to international reports; and reduced overall morbidity.

Dermal exposure to pesticides in greenhouses workers: discrimination and selection of variables for the design of monitoring programs.

Dermal exposure to pesticides is one of the main sanitary problems which greenhouses workers face. With the dual aims of establishing both the body part that receives the greatest exposure and the variable that has greatest influence on this exposure level, 22 pesticide application trials were performed. Trials were carried out in different greenhouse vegetable crops, using different pesticides and different spray diameters from the spray gun. In order to determine dermal exposure, the whole body method was used. Pieces of the applicator suit were subject to an extraction procedure and their pesticide content determined using GC-NPD analysis. Multivariate analysis were applied to the data obtained. Principal component analysis showed that all trials produced a high exposure level on lower left leg and lower right leg. Cluster analysis distinguished between three sample groups. The most and the least affected parts were clearly distinguished. Discriminant analysis indicated that the thin drop size of the spray gun is responsible for both the differences between groups and the minimum or maximum exposure level measured on the applicator suit. Therefore, selecting the variables, lower legs and thin drop size, is considered fundamental in designing programs for monitoring pesticide exposure.