RESUMEN
During the COVID-19 pandemic, the Mashpee Wampanoag Tribe of southeastern Massachusetts requested US federal government assistance. The tribe collaborated successfully with many partners in response to the COVID-19 pandemic. In this case study, the authors describe the tribe's collaboration with a team from the Centers for Disease Control and Prevention who assisted with epidemiology, case investigation and contact tracing, infection prevention and control, community prevention measures, and vaccination. Collaborative efforts resulted in over 200 public service announcements and videos produced, 55 tribal staff trained, 222 people followed up for contact tracing, 80% of tribal members vaccinated, and 5 COVID-19 response plans written. Deployment response teams learned elements essential to partnering with a Native American tribe. This successful partnership during a rapidly evolving pandemic suggests the US federal government and tribal nations can work together effectively to build response capacity for future infectious disease threats.
Asunto(s)
COVID-19 , Estados Unidos , Humanos , COVID-19/epidemiología , Pandemias/prevención & control , Trazado de Contacto/métodos , Centers for Disease Control and Prevention, U.S.RESUMEN
Objetivo. Comparar el área disponible en tres planos del meato inferior en pacientes operados de fisura labio-máxilo-palatina unilateral, con respecto a la de los pacientes no fisurados. Material y método. Correspondió a un estudio de corte transversal. La muestra consistió en un grupo estudio de 29 pacientes operados de fisura labio-máxilo-palatina unilateral entre 5 y 17 años, controlados en el Hospital San Borja Arriarán y Facultad de Odontología de la Universidad de Chile, y un grupo control de 29 pacientes no fisurados, pareados por género y edad con el grupo estudio. El área disponible del meato inferior fue definida como el espacio anatómicamente disponible en cada meato inferior para el flujo aéreo. Esta área fue medida en cada fosa nasal a distintas profundidades en el eje antero-posterior mediante tomografía computarizada de haz cónico, y sometida a un análisis estadístico de modelos mixtos para datos anidados. Resultados. Los valores del promedio del área disponible del meato inferior en el grupo estudio fueron significativamente menores que en el grupo control, en cada profundidad estudiada (p<0 05 Conclusiones. Los pacientes operados de fisura labio-máxilo-palatina unilateral presentan menor área disponible en cada meato inferior para el flujo aéreo respecto a pacientes no fisurados en el mismo rango de edad. Este hecho debe ser considerado en la evaluación de la deformidad nasal de estos pacientes, con el objeto de optimizar funcionalmente los resultados quirúrgicos(AU)
Objective. To compare the available inferior meatus area in three planes between operated unilateral cleft lip and palate patients and non-cleft patients. Materials and methods. Cross-sectional study design. The study group consisted of 29 complete unilateral cleft patients between 5 and 17 years-old, attending San Borja Arriarán Hospital and the University of Chile's School of Dentistry. Twenty nine non-cleft patients on orthodontic treatment served as controls. The groups were matched by age and sex. The available inferior meatus area was defined as the anatomically available area in each meatus for airflow. This area was measured in each nasal fossa at different depths across the anteroposterior axis by cone-beam computed tomography. A mixed model regression for nested data was performed for data analysis. Results. The available inferior meatus area values in cleft patients were significantly smaller than those in controls, in all depths studied (P<.05). Conclusion. Complete unilateral cleft patients have less available area in each meatus for airflow than non-cleft patients in the same age range. This fact should be considered in the evaluation of the nasal deformity of these patients, with the aim of functionally improving the surgical results(AU)