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1.
Codas ; 33(1): e20190206, 2021.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-33886745

RESUMEN

PURPOSE: The study's purpose is to describe the cognitive profile of a sample of functionally illiterate individuals in reading, phonological awareness (PA) and rapid automatized naming (RAN), as well as to correlate the performance of these tasks. Moreover, it sought to understand how the performances in PA and RAN predict results in reading of words and pseudowords. METHODS: 23 functionally illiterate adults were assessed for intelligence, reading, PA and RAN tasks. RESULTS: Participants showed difficulties in PA, performing poorly in tasks involving phoneme analysis and manipulation. In RAN, they found it easier to name alphanumeric items. Regarding reading, they presented difficulties in phonological processing, with errors caused by phonological exchange. Correlation analyses indicated that reading presented higher correlations with RAN than PA. Finally, a regression analysis indicated that performance in RAN can account for more than half of participants' reading results. CONCLUSION: In general, the profile of functionally illiterate adults presents impairment in the abilities assessed that are more evident in PA at phoneme levels as well as in naming of non-alphanumerical items. Moreover, the results in RAN explain those in word and pseudowords reading better than the results in PA.


Asunto(s)
Alfabetización , Lectura , Adulto , Concienciación , Humanos , Inteligencia , Lingüística
2.
Sensors (Basel) ; 21(7)2021 Mar 27.
Artículo en Inglés | MEDLINE | ID: mdl-33801739

RESUMEN

Emotion recognition plays an important role in human-computer interactions. Recent studies have focused on video emotion recognition in the wild and have run into difficulties related to occlusion, illumination, complex behavior over time, and auditory cues. State-of-the-art methods use multiple modalities, such as frame-level, spatiotemporal, and audio approaches. However, such methods have difficulties in exploiting long-term dependencies in temporal information, capturing contextual information, and integrating multi-modal information. In this paper, we introduce a multi-modal flexible system for video-based emotion recognition in the wild. Our system tracks and votes on significant faces corresponding to persons of interest in a video to classify seven basic emotions. The key contribution of this study is that it proposes the use of face feature extraction with context-aware and statistical information for emotion recognition. We also build two model architectures to effectively exploit long-term dependencies in temporal information with a temporal-pyramid model and a spatiotemporal model with "Conv2D+LSTM+3DCNN+Classify" architecture. Finally, we propose the best selection ensemble to improve the accuracy of multi-modal fusion. The best selection ensemble selects the best combination from spatiotemporal and temporal-pyramid models to achieve the best accuracy for classifying the seven basic emotions. In our experiment, we take benchmark measurement on the AFEW dataset with high accuracy.


Asunto(s)
Concienciación , Emociones , Humanos , Estimulación Luminosa , Modalidades de Fisioterapia
3.
Sensors (Basel) ; 21(7)2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33916309

RESUMEN

Internet of Vehicles (IoV) has the potential to enhance road-safety with environment sensing features provided by embedded devices and sensors. This benignant feature also raises privacy issues as vehicles announce their fine-grained whereabouts mainly for safety requirements, adversaries can leverage this to track and identify users. Various privacy-preserving schemes have been designed and evaluated, for example, mix-zone, encryption, group forming, and silent-period-based techniques. However, they all suffer inherent limitations. In this paper, we review these limitations and propose WHISPER, a safety-aware location privacy-preserving scheme that adjusts the transmission range of vehicles in order to prevent continuous location monitoring. We detail the set of protocols used by WHISPER, then we compare it against other privacy-preserving schemes. The results show that WHISPER outperformed the other schemes by providing better location privacy levels while still fulfilling road-safety requirements.


Asunto(s)
Seguridad Computacional , Privacidad , Concienciación , Internet
4.
Artículo en Inglés | MEDLINE | ID: mdl-33809598

RESUMEN

Situation awareness (SA) of pilots' unsafe behavior can ensure safety onboard. Thus, the cognitive mechanism that controls the SA leading to unsafe behavior must be articulated. This study employs the SA model and theory of planned behavior (TPB) to articulate a quantitative model of ship safe piloting. Firstly, the hierarchical classification framework of unsafe behaviors was constructed as an analytical foundation for rational and unconscious behaviors in sight of cognitive processes, and then the measurement elements of the cognitive mechanisms for behaviors were identified. Subsequently, based on the structural model, a hypothetical model of the cognitive path for unsafe behaviors was proposed by using the extended TPB, where there are four independent variables (i.e., attitude (ATD), subjective norm (SN), and perceived behavioral control (PBC)), one mediating variables (i.e., SA) and two dependent variables (i.e., behavioral intention (BI) and unsafe behaviors (BE)). Finally, this hypothetical model was analyzed with the data resources from extended TPB questionnaire of 295 pilots. Analysis results show that relationships of causation and mediation in the cognitive mechanism are in line with the behavior pattern and SA have a pronounced mediating effect and a strong relevance to the causal chain of extended TPB framework. This study integrated the SA three-level model to understand the motivation-cognition-action-feedback (MCAF) mechanism of pilots' unsafe behaviors under cognitive mode of information processing through structural model. It would make a valuable contribution to the assessment and intervention of safety behaviors, and provide a basic framework for monitoring the situation awareness of pilot by man-machine interactive measurement technology in the future.


Asunto(s)
Concienciación , Pilotos , Actitud , Humanos , Intención , Conducta Social , Encuestas y Cuestionarios
5.
Artículo en Inglés | MEDLINE | ID: mdl-33925328

RESUMEN

The current coronavirus disease 2019 pandemic has been reported to influence interoceptive sensibility. This study focused on adaptive and maladaptive aspects of interoceptive sensibility and examined how each aspect of interoceptive sensibility affects depression, anxiety, and somatization symptoms under the mild lockdown in Japan, which was not enforceable and a non-punitive lockdown. We used data from 10,672 participants who lived in prefectures where the emergency declaration was first applied in Japan. Interoceptive sensibility was measured by the Multidimensional Assessment of Interoceptive Awareness (MAIA). The findings show that Noticing, a subscale of the MAIA, significantly contributed to the worsening of psychological and somatic symptoms (all ps < 0.001). Conversely, Not-Distracting, Not-Worrying, Self-Regulation, and Trusting significantly contributed to the decrease of these symptoms (all ps < 0.05). The findings suggest that two aspects of interoceptive sensibility affected mental health in different ways during the mild lockdown. Mindfulness and mindfulness-based interventions would be effective in terms of enhancing adaptive aspects of interoceptive sensibility.


Asunto(s)
Interocepción , Concienciación , Control de Enfermedades Transmisibles , Humanos , Japón/epidemiología , Salud Mental , Pandemias
6.
Arch. argent. pediatr ; 119(2): 123-128, abril 2021. tab
Artículo en Inglés, Español | LILACS, BINACIS | ID: biblio-1151871

RESUMEN

Introducción. Los obstáculos en la comunicación entre médicos y personas sordas/hipoacúsicas pueden comportarse como factores de riesgo para la salud. El servicio de un intérprete profesional de Lengua de Señas Argentina (IPLSA), según la Ley N.º 26378, podría mitigar esto.Objetivo. Estimar la proporción de pediatras que conocen la Ley N.º 26378 y explorar si se asocia a recomendar a un IPLSA.Población y métodos. Estudio transversal con cuestionario electrónico autoadministrado a pediatras registrados en la Sociedad Argentina de Pediatría, que ejercían en la Ciudad Autónoma de Buenos Aires.Resultados. Se evaluaron 381 respuestas. El 15,1 % conocía la Ley, y esto se asoció con recomendar a un IPLSA (OR: 3,7; IC 95 %: 1,1-12,9; p < 0,05).Conclusiones. La proporción de pediatras de la Ciudad Autónoma de Buenos Aires que conocía la ley fue el 15,1 %. Esto se asoció significativamente con recomendar a un IPLSA


Introduction. Barriers in communication between physicians and Deaf or hard of hearing people may be risk factors for health. The services of a professional Argentine Sign Language interpreter (PASLI), by virtue of Act No. 26378, may mitigate this.Objective. To estimate the proportion of pediatricians who have knowledge of Act No. 26378 and whether this is associated with the recommendation of a PASLI.Population and methods. Cross-sectional study with a self-administered electronic questionnaire among pediatricians members of the Sociedad Argentina de Pediatría who practiced in the Autonomous City of Buenos Aires (CABA).Results. A total of 381 surveys were assessed. Of these, 15.1 % knew the Act, and this was associated with the recommendation of a PASLI (OR: 3.7; 95 % CI: 1.1-12.9; p < 0.05).Conclusions. The proportion of pediatricians working in CABA who knew the Act was 15.1 %. This was significantly associated with the recommendation of a PASLL.


Asunto(s)
Humanos , Lengua de Signos , Comunicación , Derecho Sanitario , Argentina , Relaciones Médico-Paciente , Concienciación , Epidemiología Descriptiva , Estudios Transversales , Encuestas y Cuestionarios , Pérdida Auditiva
7.
Br J Oral Maxillofac Surg ; 59(4): 485-489, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33678449

RESUMEN

It is often said that medicine could learn a lot from aviation. Human and system errors affect all complex organisations including healthcare, and there is increasing awareness of the role of non-technical skills in the safe practice of surgery. Comparisons are often drawn between the way in which the aviation industry learns from errors and the paucity of learning from errors in situational judgement in medical practice. Although many of us travel on planes, very few of us fly them, but most surgeons drive regularly. We review a series of motoring incidents that demonstrate poor situational awareness and judgement, and discuss the incidents, predisposing causes, and their relevance to medical practice. These errors are transferrable to medical practice, and perhaps we can learn from them.


Asunto(s)
Aviación , Cirujanos , Concienciación , Prestación de Atención de Salud , Humanos , Errores Médicos
9.
Front Public Health ; 9: 644538, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33643998

RESUMEN

The rapid advancement in vaccine development represents a critical milestone that will help humanity tackle the COVID-19 pandemic. However, the success of these efforts is not guaranteed, as it relies on the outcomes of national and international vaccination strategies. In this article, we highlight some of the challenges that Romania will face and propose a set of solutions to overcome them. With this in mind, we discuss issues such as the infrastructure of vaccine storage and delivery, the deployment and administration of immunisations, and the public acceptance of vaccines. The ways in which Romanian society will respond to a national COVID-19 vaccination campaign will be contingent on appropriate and timely actions. As many of the problems encountered in Romania are not unique, the proposed recommendations could be adapted and implemented in other countries that face similar issues, thereby informing better practices in the management of the COVID-19 pandemic.


Asunto(s)
/prevención & control , Programas de Inmunización/organización & administración , Cooperación del Paciente , Concienciación , Prestación de Atención de Salud , Humanos , Pandemias , Rumanía , Revelación de la Verdad
10.
J Prim Care Community Health ; 12: 2150132721996283, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33648370

RESUMEN

Observational studies, from multiple countries, repeatedly demonstrate an association between obesity and severe COVID-19, which is defined as need for hospitalization, intensive care unit admission, invasive mechanical ventilation (IMV) or death. Meta-analysis of studies from China, USA, and France show odds ratio (OR) of 2.31 (95% CI 1.3-4.1) for obesity and severe COVID-19. Other studies show OR of 12.1 (95% CI 3.25-45.1) for mortality and OR of 7.36 (95% CI 1.63-33.14) for need for IMV for patients with body mass index (BMI) ≥ 35 kg/m2. Obesity is the only modifiable risk factor that is not routinely treated but treatment can lead to improvement in visceral adiposity, insulin sensitivity, and mortality risk. Increasing the awareness of the association between obesity and COVID-19 risk in the general population and medical community may serve as the impetus to make obesity identification and management a higher priority.


Asunto(s)
Índice de Masa Corporal , Obesidad/terapia , Índice de Severidad de la Enfermedad , Concienciación , /mortalidad , Mortalidad Hospitalaria , Hospitalización , Humanos , Resistencia a la Insulina , Unidades de Cuidados Intensivos , Grasa Intraabdominal/metabolismo , Obesidad/complicaciones , Obesidad/metabolismo , Oportunidad Relativa , Respiración Artificial , Factores de Riesgo
12.
Front Public Health ; 9: 609716, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33732677

RESUMEN

The coronavirus disease 2019 (COVID-19) pandemic is still evolving and affecting millions of lives. E-government and social media have been used widely during this unprecedented time to spread awareness and educate the public on preventive measures. However, the extent to which the 2 digital platforms bring to improve public health awareness and prevention during a health crisis is unknown. In this study, we examined the influence of e-government and social media on the public's attitude to adopt protective behavior. For this purpose, a Web survey was conducted among 404 Malaysian residents during the Recovery Movement Control Order (RMCO) period in the country. Descriptive and multiple regression analyses were conducted using IBM SPSS software. Social media was chosen by most of the respondents (n = 331 or 81.9%) as the source to get information related to COVID-19. Multiple regression analysis suggests the roles of e-government and social media to be significantly related to people's attitudes to engage in protective behavior. In conclusion, during the COVID-19 outbreak, public health decision makers may use e-government and social media platforms as effective tools to improve public engagement on protective behavior. This, in turn, will help the country to contain the transmission of the virus.


Asunto(s)
Actitud , Gobierno , Difusión de la Información , Salud Pública , Medios de Comunicación Sociales , Adolescente , Adulto , Concienciación , Femenino , Humanos , Malasia , Masculino , Encuestas y Cuestionarios , Adulto Joven
13.
Glob Health Res Policy ; 6(1): 10, 2021 03 13.
Artículo en Inglés | MEDLINE | ID: mdl-33712081

RESUMEN

BACKGROUND: Education institutions promptly implemented a set of steps to prevent the spread of COVID-19 among international Chinese students, such as restrictive physical exercise, mask wear, daily health reporting, etc. Success of such behavioral change campaigns largely depends on awareness building, satisfaction and trust on the authorities. The purpose of this current study is to assess the preventive, supportive and awareness-building steps taken during the COVID-19 pandemic for international students in China, that will be useful for planning such a behavioral change campaign in the potential pandemic situation in other parts of the world. METHODS: We conducted an online-based e-questionnaire survey among 467 international students in China through WeChat. The data collection duration was from February 20, 2020 to March 10, 2020 and we focused on their level of awareness, satisfaction, and trust in authorities regarding pandemic measures. Simple bivariate statistics was used to describe the background characteristics of the respondents along with adoption of the partial least squares-structural equation modeling (PLS-SEM) as the final model to demonstrate the relationship between the variables. RESULTS: In our study, the leading group of the respondents were within 31 to 35 years' age group (39.82%), male (61.88%), living single (58.24%) and doctoral level students (39.8%). The preventive and supportive measures taken by students and/or provided by the respective institution or authorities were positively related to students' satisfaction and had an acceptable strength (ß = 0.611, t = 9.679, p < 0.001). The trust gained in authorities also showed an acceptable strength (ß = 0.381, t = 5.653, p < 0.001) with a positive direction. Again, the personnel awareness building related to both students' satisfaction (ß = 0.295, t = 2.719, p < 0.001) and trust gain (ß = 0.131, t = 1.986, p < 0.05) in authorities had a positive and acceptable intensity. Therefore, our study clearly demonstrates the great impact of preventive and supportive measures in the development of students' satisfaction (R2 = 0.507 indicating moderate relationship). The satisfied students possessed a strong influence which eventually helped in building sufficient trust on their institutions (R2 = 0.797 indicating above substantial relationship). CONCLUSIONS: The worldwide student group is one of the most affected and vulnerable communities in this situation. So, there is a profound ground of research on how different states or authorities handle such situation. In this study, we have depicted the types and magnitude of care taken by Chinese government and educational institutions towards international students to relieve the panic of pandemic situation. Further research and such initiatives should be taken in to consideration for future emerging conditions.


Asunto(s)
Concienciación , Conocimientos, Actitudes y Práctica en Salud , Satisfacción Personal , Estudiantes/psicología , Adulto , China , Femenino , Humanos , Internacionalidad , Análisis de los Mínimos Cuadrados , Masculino , Persona de Mediana Edad , Modelos Teóricos , Servicios Preventivos de Salud/estadística & datos numéricos , Grupos de Autoayuda/estadística & datos numéricos , Adulto Joven
14.
PLoS One ; 16(3): e0248243, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33720988

RESUMEN

In this work, a SEIR-type mathematical model of the COVID-19 outbreak was developed that describes individuals in compartments by infection stage and age group. The model assumes a close well-mixed community with no migrations. Infection rates and clinical and epidemiological information govern the transitions between stages of the disease. The impact of specific interventions (including the availability of critical care) on the outbreak time course, the number of cases and the outcome of fatalities were evaluated. Data available from the COVID-19 outbreak from Spain as of mid-May 2020 was used. Key findings in our model simulation results indicate that (i) universal social isolation measures appear effective in reducing total fatalities only if they are strict and the number of daily interpersonal contacts is reduced to very low numbers; (ii) selective isolation of only the elderly (at higher fatality risk) appears almost as effective as universal isolation in reducing total fatalities but at a possible lower economic and social impact; (iii) an increase in the number of critical care capacity directly avoids fatalities; (iv) the use of personal protective equipment (PPE) appears to be effective to dramatically reduce total fatalities when adopted extensively and to a high degree; (v) extensive random testing of the population for more complete infection recognition (accompanied by subsequent self-isolation of infected aware individuals) can dramatically reduce the total fatalities only above a high percentage threshold that may not be practically feasible.


Asunto(s)
/patología , Modelos Teóricos , Factores de Edad , Concienciación , /virología , Brotes de Enfermedades , Humanos , Cuarentena , España/epidemiología
15.
Neonatal Netw ; 40(2): 117-120, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33731379

RESUMEN

During the 2009 H1N1 pandemic, containment strategies aimed at limiting the spread of the virus were implemented but not to the extent as the current COVID-19 pandemic. Research is ongoing regarding disease symptomatology, transmission, and treatment for COVID-19. There are limited data regarding the effects of social distancing practices and restrictive hospital-visitation policies on the parent-infant dyad. The purpose of this commentary is to explore the implications of isolation practices on the parent-infant dyad during a pandemic.


Asunto(s)
/psicología , Apego a Objetos , Relaciones Padres-Hijo , Aislamiento Social/psicología , Concienciación , Humanos , Lactante , Autoimagen
16.
Percept Mot Skills ; 128(3): 1078-1090, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33535900

RESUMEN

Mindfulness-acceptance commitment interventions in sport and exercise contexts have been helpful to increasing a positive psycho-physiological state among competitive athletes and recreational exercise participants. In the current study, we sought to extend research in this area by identifying the effect of a brief-mindfulness intervention on psychophysiological functioning among healthy but sedentary young adults. Our mixed gender sample (n = 42) of inactive individuals performed a brief cycling task without training (control condition) followed by task completion with brief mindfulness training (15-minute audio engagement with mindfulness techniques and specific present moment 'anchors'). We found that participants self-reported more accurate ratings of perceived exertion (i.e., self-ratings better matched actual physiological indices of exertion) following the mindfulness intervention, suggesting that mindfulness techniques can increase bodily awareness. Better body awareness may be useful to helping sedentary participants appreciate physiological changes experienced through exercise. The mindfulness manipulation also increased participants' absorption into the activity, suggesting greater attentiveness to the exercise task with less distraction from irrelevant external and internal cues. In sum, mindfulness may be a complementary psychological training tool for inactive, sedentary young adults attempting to re-engage with exercise. We provide recommendations for future research.


Asunto(s)
Atención Plena , Atención , Concienciación , Humanos , Esfuerzo Físico , Adulto Joven
17.
J Affect Disord ; 282: 1210-1219, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33601698

RESUMEN

BACKGROUND: Interoceptive dysfunction is emerging as an important biomarker for mental illnesses, such as depression which is a leading cause of disability and death worldwide. Little empirical research explains the relationship between interoception and depression. METHODS: Using multivariable linear regression models and cross-sectional baseline data from a randomized control trial of primary care patients (N = 281), we analyzed the relationship between depression severity (none/slight, mild, and moderate/severe via the PROMIS depression scale) and the Multidimensional Assessment of Interoceptive Awareness (MAIA) subscales (noticing, not distracting, not worrying, attention regulation, emotional awareness, selfregulation, body listening and trusting). RESULTS: Adjusted results suggest moderate/severe depression was inversely associated with body trusting (p < .001), body listening (p < .01), noticing (p < .01), emotional awareness (p < .01), and self-regulation (p < .05). Mild depression was inversely associated with body trusting (p <.01). After correction for multiple comparisons, the relationship between MAIA body trusting and mild and moderate/severe depression remained significant. LIMITATIONS: Our findings may not be generalizable to other populations or healthcare settings. Additionally, findings cannot be interpreted as causal due to our inability to establish temporality. CONCLUSIONS: Lack of body trust appears important for understanding how individuals with depression interpret or respond to interoceptive stimuli and may represent the leading edge of interoceptive dysregulation seen in depressive disorders. Our findings support a hypothesis about mechanisms of action underlying hypoactivation in depression. Further, these results support clinical identification of subtypes of depression, such as those with high levels of co-occurring anxiety.


Asunto(s)
Interocepción , Confianza , Concienciación , Estudios Transversales , Depresión , Humanos , Atención Primaria de Salud , Sensación
18.
Medicine (Baltimore) ; 100(6): e23589, 2021 Feb 12.
Artículo en Inglés | MEDLINE | ID: mdl-33578510

RESUMEN

RATIONALE: Postoperative intracranial hemorrhage is a serious and even fatal complication after non-traumatic craniotomy, in which epidural hematoma and intracerebral hematoma are relatively common. Postoperative subdural hematoma is rare, and its pathogenic mechanism remains unclear. PATIENT CONCERNS: In the present study, we report 2 cases with postoperative subdural hematoma after non-traumatic craniotomy. DIAGNOSES: The diagnosis of acute subdural hematoma (aSDH) was rendered according to the imaging features. INTERVENTIONS: Hematoma evacuation was performed immediately. OUTCOMES: Two months later, the first patient continued to have impaired consciousness and sensorimotor deficiency in the right extremities. And the second one remained unconscious and continued to have sensorimotor disturbance in the right extremities after 6 weeks of rehabilitation. LESSONS: Neurosurgeons should be aware of potential subdural hematoma after non-traumatic craniotomy, since this condition is usually latent and associated with poor prognosis. Early identification and surgical evacuation should be highlighted.


Asunto(s)
Craneotomía/efectos adversos , Hematoma Subdural Agudo/etiología , Complicaciones Posoperatorias/cirugía , Adulto , Concienciación , Diagnóstico Precoz , Hematoma Subdural Agudo/diagnóstico por imagen , Hematoma Subdural Agudo/cirugía , Humanos , Masculino , Persona de Mediana Edad , Neurocirujanos , Complicaciones Posoperatorias/patología , Periodo Posoperatorio , Pronóstico , Tomografía Computarizada por Rayos X/métodos
19.
Mo Med ; 118(1): 81-84, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33551491

RESUMEN

The public health community has used contact tracing to address pandemics since the eighteenth century. With the emergence of COVID-19, these classical skills are the primary defense for communities to limit morbidity and mortality during the pandemic. Here we describe the methods, strengths, and challenges of contact tracing.


Asunto(s)
/prevención & control , Trazado de Contacto/métodos , Pandemias/prevención & control , Concienciación , /epidemiología , Trazado de Contacto/estadística & datos numéricos , Brotes de Enfermedades/prevención & control , Desinfección de las Manos/métodos , Humanos , Missouri/epidemiología , Aislamiento de Pacientes/métodos , Salud Pública/métodos , Salud Pública/normas , Cuarentena/métodos , /aislamiento & purificación
20.
Rev. ADM ; 78(1): 28-32, ene.-feb- 2021. tab
Artículo en Español | LILACS | ID: biblio-1177455

RESUMEN

Objetivo: Determinar el conocimiento y la conciencia que tienen los médicos sobre la osteonecrosis relacionada con bifosfonatos. Material y métodos: Se realizó un estudio transversal, en el cual se encuestó a médicos generales y especialistas con la finalidad de identificar el nivel de conocimientos y conciencia que tienen sobre el tema. Resultados: Se entrevistó a un total de 475 médicos generales y especialistas, de los cuales 210 (44.2%) mencionaron prescribir bifosfonatos, de este grupo 58.1% no envía a los pacientes con el odontólogo para eliminar factores de riesgo, a pesar de que 61.8% de los mismos mencionó conocer las reacciones adversas; 36 médicos (17.4%) han visto a algún paciente con osteonecrosis por bifosfonatos. El 37% de los médicos que prescriben medicamentos consideran que no es necesario remitir a los pacientes al odontólogo. Conclusiones: La prescripción de bifosfonatos en la práctica médica va en aumento, los médicos deben tener el conocimiento adecuado sobre las reacciones adversas de estos medicamentos para así poder referir oportunamente al odontólogo, educar al paciente y poder prevenir complicaciones como la osteonecrosis relacionada con bifosfonatos (AU)


Objectives : To evaluate the knowledge and awareness of physicians about bisphosphonate-related osteonecrosis of the jaws. Material and methods: A cross-sectional survey was carried out among general practitioners and specialized physicians to determine their knowledge and awareness of bisphosphonate-related osteonecrosis of the jaws. Results: Of the 475 interviewed general practitioners and specialized physicians, 210 (44.2%) claimed to prescribe bisphosphonates. A total of 58.1% of these physicians did not refer their patients to the dentist for the elimination of risk factors, despite the fact that 61.8% of them reported knowledge of the adverse reactions of these drugs. Thirty-six physicians (17.4%) had seen some patient with bisphosphonate-related osteonecrosis of the jaws. A total of 37% of the physicians that prescribed drugs considered it not necessary to refer patients to the dentist. Conclusions: Bisphosphonate prescription is increasingly common in medical practice, and physicians must have adequate knowledge of the adverse reactions of these drugs in order to ensure opportune patient referral to the dentist, educate their patients, and avoid complications such as bisphosphonate-related osteonecrosis of the jaws (AU)


Asunto(s)
Humanos , Masculino , Femenino , Médicos/psicología , Conocimientos, Actitudes y Práctica en Salud , Difosfonatos/efectos adversos , Osteonecrosis de los Maxilares Asociada a Difosfonatos , Derivación y Consulta , Concienciación , Estudios Transversales , Análisis Estadístico , Factores de Riesgo , Encuestas Epidemiológicas , México
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