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1.
Eur J Paediatr Dent ; 24(1): 10-14, 2023 Feb.
Article de Anglais | MEDLINE | ID: mdl-36853220

RÉSUMÉ

AIM: During the COVID-19 pandemic, restrictive rules were imposed around the world to limit the spread of the virus. The present study aims to investigate how the pandemic and the consequent restrictions have affected the lives and oral health of Italian families with children aged 0-14 years. MATERIALS: Through a questionnaire distributed online from December 2020 to March 2021 the following aspects were investigated: family income during the pandemic, fear of the pandemic, dietary habits, perceived risk of infection in a dental practice and perceived children oral health status during the pandemic. CONCLUSION: The pandemic has not drastically changed the socio-economic conditions, the dietary habits and the oral health condition of most Italian children. Nevertheless, the pandemic seems to have highlighted significant macro-regional differences regarding the satisfaction with the response of the regional health services to the pandemic. The continuation of the pandemic and the possible socio-economic effects could favour new changes in lifestyles, oral health and discrepancies regarding health care access, which deserve to be the subject of further investigation.


Sujet(s)
COVID-19 , Santé buccodentaire , Humains , Enfant , Études transversales , Pandémies , Italie/épidémiologie , Parents
2.
Eur J Surg Oncol ; 46(9): 1683-1688, 2020 09.
Article de Anglais | MEDLINE | ID: mdl-32220542

RÉSUMÉ

INTRODUCTION: Transverse colon cancer (TCC) is poorly studied, and TCC cases are often excluded from large prospective randomized trials because of their complexity and their potentially high complication rate. The best surgical approach for TCC has yet to be established. The aim of this large retrospective multicenter Italian series is to investigate the advantages and disadvantages of both hemicolectomy and transverse colectomy in order to identify the best surgical approach. MATERIALS AND METHODS: This was a retrospective cohort study of patients with mid-transverse colon cancer treated with a segmental colon resection or an extended hemicolectomy (right or left) between 2006 and 2016 in 28 high-volume (more than 70 procedures/year) Italian referral centers for colorectal surgery. RESULTS: The study included 1529 patients, 388 of whom underwent a segmental resection while 1141 underwent an extended resection. A higher number of complications has been reported in the segmental group than in the extended group (30.1% versus 23.6%; p 0.010). In 42 cases the main complication was the anastomotic leak (4.4% versus 2.2%; p 0.020). Recovery outcomes also showed statistical differences: time to first flatus (p 0.014), time to first mobilization (p 0.040), and overall hospital stay (p < 0.001) were significantly shorter in the extended group. Even if overall survival were similar between the groups (95.1% versus 97%; p 0.384), 3-year disease-free survival worsened after segmental resection (78.1% versus 86.2%; p 0.001). CONCLUSIONS: According to our results, an extended right colon resection for TCC seems to be surgically safer and more oncologically valid.


Sujet(s)
Désunion anastomotique/épidémiologie , Colectomie/méthodes , Côlon transverse/chirurgie , Tumeurs du côlon/chirurgie , Durée du séjour/statistiques et données numériques , Infection de plaie opératoire/épidémiologie , Sujet âgé , Sujet âgé de 80 ans ou plus , Côlon transverse/anatomopathologie , Tumeurs du côlon/anatomopathologie , Survie sans rechute , Femelle , Humains , Italie/épidémiologie , Mâle , Adulte d'âge moyen , Stadification tumorale , Complications postopératoires/épidémiologie , Études rétrospectives , Taux de survie , Facteurs temps
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