RESUMEN
A vascular access device is defined as a catheter inserted into veins allowing fluids and medicines to be delivered intravenously1. The need for such devices in acutely unwell patients has remained steady throughout the COVID-19 pandemic. We describe here our experience of up-skilling the resident plastic surgery and maxillofacial surgical registrars to provide a vascular access service to reduce the workload on our intensive care colleagues. We hope that our practice and an 'all hands on deck' approach to the utilisation of baseline skills within the existing workforce will inform other departments to help ease the burden on critical care departments as we progress through the next stages of the COVID-19 pandemic.
Asunto(s)
COVID-19 , Cirugía Plástica , Humanos , Pandemias , SARS-CoV-2 , Recursos HumanosAsunto(s)
Traumatismos Craneocerebrales/epidemiología , Anomalías Craneofaciales/epidemiología , Traumatismos Faciales/epidemiología , Hospitales Pediátricos/estadística & datos numéricos , Derivación y Consulta/estadística & datos numéricos , Especialidades Quirúrgicas/estadística & datos numéricos , Distribución por Edad , Preescolar , Fisura del Paladar/epidemiología , Estudios de Cohortes , Craneosinostosis/epidemiología , Vías Clínicas , Femenino , Medicina General , Humanos , Lactante , Irlanda , Masculino , Auditoría Médica , Neonatología , Pediatría , Plagiocefalia/epidemiología , Estudios RetrospectivosRESUMEN
BACKGROUND: Greig cephalopolysyndactyly syndrome (GCPS) is an uncommon entity characterised by polysyndactyly and craniofacial features. The syndrome is not defined by classic signs. Instead there is a high variability in phenotypes observed. This is due to the large number of different mutations in the glioma-associated oncogene 3 (GLI3) that can give rise to the syndrome. We present a case series of five un-related individuals with GCPS treated in our hand surgery unit with different phenotype presentations of GCPS. CONCLUSION: An awareness of the diversity in phenotypes is important for diagnosis and early referral for genetic confirmation and counselling.
Asunto(s)
Acrocefalosindactilia/cirugía , Procedimientos de Cirugía Plástica/métodos , Acrocefalosindactilia/genética , Acrocefalosindactilia/patología , Preescolar , Humanos , Lactante , Factores de Transcripción de Tipo Kruppel/genética , Masculino , Mutación/genética , Proteínas del Tejido Nervioso/genética , FenotipoRESUMEN
We determined the prevalence and correlates of depression, alcohol abuse and suicidal ideation among medical and business students in Trinity College, Dublin and University College, Dublin. We rated depression and suicidal ideation in the past month with the Beck Depression Inventory (BDI) and alcohol abuse with the CAGE. Of 539 students registered, 338 (62.7%) responded. 47 (13.9%) students were depressed, scoring > or = 10 on the BDI. 83 (24.6%) students had an alcohol use disorder (CAGE > or = 2). Alcohol abuse was more common among business students than medical students (AOR = 2.9; 95% C.I. = 1.7-5.1); there were no other inter-faculty differences. 20 (5.9%) students reported suicidal ideation in the last month. Suicidal ideation correlated positively with stressful life events (AOR = 1.4; 95% C.I.= 1.1-1.7), and negatively with social support (AOR = 0.6; 95/ C.I. =0.5-0.7). These findings suggest that students are a vulnerable group, and underscore the need for mental health education and psychosocial support services in universities.
