RESUMEN
Although infections resulting from cosmetic surgery performed outside the United States have been regularly reported, deaths have rarely been identified. During 2009-2022, 93 U.S. citizens died after receiving cosmetic surgery in the Dominican Republic. The number of deaths increased from a mean of 4.1 per year during 2009-2018 to a mean of 13.0 during 2019-2022 with a peak in of 17 in 2020. A subset of post-cosmetic surgery deaths occurring during peak years was investigated, and most deaths were found to be the result of embolic events (fat emboli or venous thromboembolism) for which a high proportion of the patients who died had risk factors, including obesity and having multiple procedures performed during the same operation. These risk factors might have been mitigated or prevented with improved surgical protocols and postoperative medical care, including prophylactic measures against venous thromboembolism. U.S. citizens interested in receiving elective cosmetic surgery outside the United States should consult with their health care professionals regarding their risk for adverse outcomes. Public health authorities can support provider education on the importance of preoperative patient evaluation and the potential danger of performing multiple cosmetic procedures in one operation.
Asunto(s)
Cirugía Plástica , Tromboembolia Venosa , Estados Unidos/epidemiología , Humanos , República Dominicana/epidemiología , Factores de RiesgoRESUMEN
This study examined the effects of instrument-assisted soft tissue mobilization (IASTM) on ankle range of motion in college athletes. Twenty-five Division II college athletes (18-24 yrs) were randomly selected into two groups: experimental group (n = 11) and control group (n = 14). Baseline measurements for both groups included an initial squat assessment, which measured ankle dorsiflexion during the movement, followed by IASTM with ankle rehabilitation exercises, and a secondary squat assessment. During the following week, the experimental group participated in an additional IASTM with rehabilitation session and squat test, while the control group performed a squat test with no treatment. Finally, both groups performed a final squat assessment during the third week after no IASTM treatment. Angle of the ankle during the deepest part of the squat was measured for all four testing sessions for both groups. On average, the ankle angle significantly decreased from the third session to maintenance session. However, post-hoc analyses revealed that a significant decrease in ankle angle was measured from the third session to the maintenance session in the experimental group only. The decrease in ankle angle in the experimental group shows that IASTM increased range of motion by allowing more dorsiflexion during the deepest part of the squat with greatest gains in range of motion found over time during the maintenance period. Thus, IASTM may be used as a performance enhancing tool that has the potential to temporarily increase range of motion and flexibility in college athletes.
RESUMEN
Se estudió la migración del dioctiladipato en quesos y embutidos envueltos en películas de PVC flexible y del dioctilftalato en refrescos y cervezas envasados en botellas de cristal con retapas de plastisol. Los valores de migración del dioctilftalato estuvieron entre 0,09 y 0,40 mg/L, lo cual no constituye un riesgo para la salud por estar muy por debajo del límite máximo permisible para este plastificantre. Los valores de la migración del dioctiladipato estuvieron entre 341,5 y 677,7 mg/kg en los embutidos y entre 822,9 y 1 450,2 mg/kg en los quesos, en relación directa con el contenido de grasa. No se detectaron cambios organolépticos significativos en estos alimentos atribuibles al dioctiladi. A pesar de que la migración resulta elevada, no se puede asegurar que esto pueda constituir un riesgo para la salud, ya que no existen datos suficientes sobre la toxicidad de este compuesto. Se recomienda continuar el uso de estos materiales de envase manteniendo un control sanitario sobre los mismos
Asunto(s)
Dietilhexil Ftalato/análisis , Queso/análisis , Productos de la Carne/análisis , Bebidas/análisis , Contaminación de AlimentosRESUMEN
Se estudió la migración del dioctiladipato en quesos y embutidos envueltos en películas de PVC flexible y del dioctilftalato en refrescos y cervezas envasados en botellas de cristal con retapas de plastisol. Los valores de migración del dioctilftalato estuvieron entre 0,09 y 0,40 mg/L, lo cual no constituye un riesgo para la salud por estar muy por debajo del límite máximo permisible para este plastificantre. Los valores de la migración del dioctiladipato estuvieron entre 341,5 y 677,7 mg/kg en los embutidos y entre 822,9 y 1 450,2 mg/kg en los quesos, en relación directa con el contenido de grasa. No se detectaron cambios organolépticos significativos en estos alimentos atribuibles al dioctiladi. A pesar de que la migración resulta elevada, no se puede asegurar que esto pueda constituir un riesgo para la salud, ya que no existen datos suficientes sobre la toxicidad de este compuesto. Se recomienda continuar el uso de estos materiales de envase manteniendo un control sanitario sobre los mismos
