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1.
Braz. j. biol ; 84: e251566, 2024. tab, graf
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-1355890

RESUMO

Abstract The Seybouse is the second largest river basin in Algeria, hosting an important biodiversity and providing various ecosystem services. This watershed is highly influenced by agricultural and industrial activities, which threaten its biodiversity and ecosystem integrity. The use of benthic macroinvertebrates as biological indicators has a long tradition in developed countries and integrated into all assessments of the ecological quality of river systems. However, the macroinvertebrates of many North African regions are still not well studied, including those of the Seybouse river. The aim of this study is to assess the inventory and ecological role of benthic macroinvertebrates in inland waters of the Seybouse River and determine the impact of pollution on their spatial distributions. We sampled the benthic macrofauna of Wadi Seybouse and its affluents using regular surveys in three sites, of which one was in the upper Seybouse Bouhamdane in Medjez Amar and two in the middle Seybouse. Between December 2019 and May 2020, 10 physico-chemical parameters (pH, EC, OD, water speed, NO3, Salinity, NO2, MES, turbidity, depth) were measured in order to establish a health state diagnosis of these aquatic ecosystems. The complementary biological approach by the analysis of populations of macroinvertebrates identified 7482 individuals and 40 taxa divided into five classes: Crustaceans which were the most dominant, insects with the main orders (Ephemeroptera, Diptera, Trichoptera, Heteroptera and Odonata), Molluscs, Nematodes and Annelids. The physico-chemical analyzes and the application of the organic pollution indices indicated a strong to excessive pollution for all sites, especially in Seybouse upstream


Resumo O Seybouse é um rio no nordeste da Argélia, é o segundo maior rio, tem uma área de captação de cerca de 6.500 km2 que acolhe cerca de 1,5 milhões de habitantes. Importantes atividades agrícolas e industriais são desenvolvidas nesta bacia hidrográfica. O uso de macroinvertebrados bentônicos como indicadores biológicos tem uma longa tradição em países desenvolvidos e está integrado em todas as avaliações da qualidade ecológica dos sistemas fluviais. O objetivo deste estudo foi revisar o inventário e o papel ecológico dos macroinvertebrados bentônicos nas águas interiores do rio Seybouse e determinar o impacto da poluição em suas distribuições. Resultados semelhantes foram relatados para outros países e rios argelinos. Este estudo enfoca a macrofauna bentônica de Wadi Seybouse e seus afluentes. Foram prospectados 03 locais, um no alto Seybousse Bouhamdane em Medjez Amar e dois no meio Seybousse Salah Salah Salah e Oued Zimba. Entre dezembro de 2019 e maio de 2020, dez parâmetros físico-químicos (pH, CE, DO, velocidade da água, NO3, Salinidade, NO2, MES, turbidez, deth) foram medidos para estabelecer um diagnóstico do estado de saúde desses ecossistemas aquáticos. A abordagem biológica complementar pela análise de populações de macroinvertebrados identificou 7.482 indivíduos e 40 táxons divididos em cinco classes: Crustáceos que são os mais dominantes, Insetos com as ordens principais (Ephemeroptera, Diptera, Trichoptera, Heteroptera e Odonata), Moluscos, Nematóides e Anelídeos. As análises físico-químicas e a aplicação dos índices de poluição orgânica, indicaram uma poluição forte a excessiva para todos os locais especialmente Salah Salah Salah.


Assuntos
Humanos , Animais , Ecossistema , Invertebrados , Monitoramento Ambiental , Biodiversidade , Rios
2.
Artigo em Inglês | MEDLINE | ID: mdl-36637397

RESUMO

Background and Objective: An increasing number of countries are deciding to regulate the medicinal and/or recreational use of cannabis (Cannabis sativa L.). However, there is a lack of information on the impact of regular consumption of this substance on public health. In this study, for the first time, regular cannabis consumers in Spain were assessed using health indicators, comparing these data with the general population. Methods: Various items of the Enquesta de Salut de Catalunya (ESCA) and other items related to cannabis use were selected to build a survey and administer it to a representative sample of regular cannabis users in Catalonia. Results: Most of the indicators did not show any deterioration in the health of regular cannabis users compared with the general population. It was observed that users suffered from more sleep problems and about 40% of the sample would like to discontinue cannabis use, suggesting a dependence pattern. About 30% of the sample was able to discontinue the use of prescription medications because of cannabis. Social support and sleep problems, and not cannabis use, were predictors of depression and well-being scores. Conclusions: It seems that regular cannabis use, despite contributing to problems related to sleep quality or dependence, does not have a negative impact on public health in a manner detectable using health indicators.

4.
World J Clin Cases ; 11(2): 385-393, 2023 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-36686353

RESUMO

BACKGROUND: Quantitative studies on the changes in inflammation-related content in tears, especially the effect of diabetes, are lacking. In this study, we measured the preoperative and postoperative tear inflammatory mediator levels in cataract patients, focusing on the expression of inflammatory factors in postoperative cataracts in the diabetic, and investigated the effect of drugs on the control of postoperative inflammation. AIM: To study the expression of inflammatory factors in elderly people with type 2 diabetes after cataract surgery. METHODS: Patients with a mean age of 70.3 ± 6.3 years were divided into group A (composed of elderly patients with cataracts and type 2 diabetes, n = 20 eyes) and group B (patients with age-related cataract, n = 20 eyes). Their tears were collected before each operation and on days 1 and 3, and weeks 1, 2, 3, and 4 post-surgery. Saline (150 µL) was dropped into the conjunctival sac of the surgical eye, followed by oculogyration in four directions. The fluid in the conjunctival sac was extracted using a sterile syringe and stored in Eppendorf tubes at -80 °C until measurement. The expression levels of matrix metalloproteinase-2 (MMP-2), MMP-9, tissue inhibitor of metalloproteinase-1 (TIMP-1), TIMP-2, interleukin-6 (IL-6), and IL-20 in tear fluid were measured using enzyme-linked immunosorbent assays. RESULTS: The postoperative expression levels of MMP-2, MMP-9, TIMP-2, IL-6, and IL-20 in group A were significantly higher than those in group B, whereas the concentration of TIMP-1 in group A remained lower than that in group B. The levels of MMP-2 and IL-6 in both groups continuously increased until the peak in the first postoperative week, and then gradually decreased over the next three weeks. Ultimately, MMP-2 declined to a lower level than that preoperatively at week 4, but IL-6 decreased to the same level as that preoperatively. The level of MMP-9 peaked in the first two weeks postoperative and then returned to the same level as 1-day post-operation. The concentration of TIMP-1 post-operation remained constant at a lower level than before surgery, and TIMP-2 Levels remained stable in both groups. IL-20 content started to increase in the third week after surgery. CONCLUSION: Inflammatory factor levels in tears fluctuated before and post-operation, which indicated more severe postoperative inflammation in the first two weeks.

5.
Foods ; 12(2)2023 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-36673488

RESUMO

Beef is a perishable food product susceptible to deterioration due to microbial growth. Therefore, this study aimed to ascertain how active and intelligent packaging performs by tracking the change in the quality of fresh beef stored at low temperatures. The intelligent packaging method employed indicators with solutions of Bromo Phenol Blue (BPB) and Phenol Red (PR) to monitor the change in beef quality. Additionally, active packaging used garlic extract with various concentrations at 0%, 15%, and 20% to maintain the quality of beef packaged at 10 °C temperatures. The findings illustrated that a packaging indicator label can be implemented to monitor the change in the quality of fresh beef stored at 10 °C temperatures. This was signified by a change in the indicator color from dark yellow to orange and red, fading to purple. Meanwhile, observations on active packaging demonstrated that 15% and 20% of garlic extract were the most effective approaches for preserving beef quality. The correlation level of indicator label color analysis and the effectiveness of active packaging with all beef spoilage metrics demonstrated a positive correlation in preserving quality and identifying the degree of beef damage. Therefore, these active and intelligent packaging indicators can be applied to monitor and retain the quality of packaged beef.

6.
Artigo em Inglês | MEDLINE | ID: mdl-36673748

RESUMO

The evaluation of physical fitness in team sports is enjoying greater importance in the training of professional teams. The objectives of this research were to characterize physical fitness and game indicators based on the game position. This is an empirical study, with a quantitative, descriptive and cross-sectional methodology. In addition, different relationships between the level of physical fitness and the game indicators during the competition were determined. Finally, a predictive analysis of the selected variables was carried out in order to know the importance of the variables in the performance and at what time of the season they had the greatest impact. For this, a professional female basketball team (n = 12) with a mean age of 25.25 ± 7.617 years, height 178.25 ± 9.206 cm and a body mass of 72.33 ± 11.657 kg was analyzed. Each player was equipped with a WIMUPRO inertial device, and all competition statistics were analyzed. The results obtained show that there were no differences among all the skills evaluated and game indicators depending on the game position. Likewise, a relationship was determined between the level of physical fitness and the technical-tactical contribution, being different between different times of the season. Moreover, physical fitness only predicted the player's final performance in the competition for female player centers in the first and second rounds of the championship, and for forwards in the first round. Four physical-physiological profiles with contributions to the different ones during the competition were also determined. Finally, three groups of female players by playing position were identified according to their sport performance, namely PIR, high, medium and low ratings, associated with physical performances. In all groups, there were significant differences between playing positions, PIR and physical performances.


Assuntos
Desempenho Atlético , Basquetebol , Humanos , Feminino , Adolescente , Adulto Jovem , Adulto , Desempenho Atlético/fisiologia , Basquetebol/fisiologia , Estudos Transversais , Aptidão Física , Esportes de Equipe
7.
Biochem Biophys Rep ; 33: 101407, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36593870

RESUMO

Traditional Chinese medicine injection (TCMI) refers to the use of modern technology to make Chinese patent medicines in injectable forms, which shorten the onset time of the traditional Chinese medicine (TCM). Although there have been clinical cases in which Shenmai injection (SMI) was used to treat cardiovascular diseases (CVDs), there are no pharmacological experiments that investigate the efficacy of the drug in vitro or the underlying mechanisms. Aim of the study: We aimed to systemically evaluate the efficacy and investigate the mechanisms of SMI in modulating electrophysiology and calcium (Ca2+) signaling using a microelectrode array (MEA) and a genetically encoded Ca2+ indicator, GCaMP6s, respectively, in human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs). Materials and methods: A MEA system was employed to record field potentials (FPs) in hiPSC-CMs. The QT interval is corrected by the RR interval, the reciprocal of the beating rate. GCaMP6s was used to measure Ca2+ signaling in hiPSC-CMs. Meanwhile, the transcriptome changes in hiPSC-CMs treated with 2% SMI were examined using RNAseq. In addition, the ingredients of SMI were investigated using liquid chromatography-mass spectrometry (LC-MS). Results: It was found that 0.5%, 1%, and 2% (v/v) SMIs could increase corrected QT (QTc) but did not change other FP parameters. GCaMP6s was successfully applied to measure the chronic function of SMI. The full width at half maximum (FWHM), rise time, and decay time significantly decreased after treatment with SMI for 1 h and 24 h, whereas an increased Ca2+ transient frequency was observed. Conclusions: We first used the Ca2+ indicator to measure the chronic effects of TCM. We found that SMI treatment can modulate electrophysiology and calcium signaling and regulate oxidative phosphorylation, cardiac muscle contraction, and the cell cycle pathway in hiPSC-CMs.

8.
Microb Drug Resist ; 29(1): 1-9, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36656989

RESUMO

Data on Point Prevalence Surveys (PPSs) in India are limited yet. We report findings of a PPS conducted in a core "National Antimicrobial Consumption Network site" under National Centre for Disease Control - WHO project "Point prevalence survey of antimicrobial consumption at healthcare facilities." A cross-sectional survey was conducted as per the "WHO methodology for PPS on antibiotic use in hospitals" in a tertiary care hospital in India in December 2021. Data were collected using predesigned and pretested questionnaire in separate hospital, ward, and patient forms. Eight hundred two inpatients (excluding ICUs) were covered out of whom 299 (37.3%) were on antibiotics with 11.7% receiving 3 or more antibiotics. Surgical prophylaxis (SP) (42.5%) and community acquired infections (32.8%) were the most common indications for antibiotic use. Of the patients, 92.5% received SP for more than 24 hrs. Most commonly prescribed antibiotics were penicillins with beta-lactamase inhibitors (22.3%). Of the total antibiotic prescriptions, 81.5% were from WHO essential medicines list and 12% from "not recommended" WHO AWaRe classification. Of the antibiotic prescriptions, 84.6% were parenteral. Few prescriptions complied with standard treatment guidelines (1.9%), documented indication for antibiotic use (11.6%), and stop/review date (4.4%) in notes. Double anaerobic cover accounted for 6.8% of the total prescriptions. Some identified areas for improvement were: formulation of hospital antibiotic guidelines, promoting culture of sending cultures, improvement in surgical antibiotic prophylaxis, decreasing use of antibiotic combinations and double anaerobic cover, fostering IV to oral switch of antibiotics, and ensuring effective communication among health care workers by documenting adequate information in medical notes.


Assuntos
Antibacterianos , Pacientes Internados , Humanos , Antibacterianos/farmacologia , Prevalência , Estudos Transversais , Prescrições de Medicamentos , Testes de Sensibilidade Microbiana , Inquéritos e Questionários , Penicilinas , Inibidores de beta-Lactamases/uso terapêutico , Índia/epidemiologia , Organização Mundial da Saúde
9.
Animals (Basel) ; 13(2)2023 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-36670782

RESUMO

This study presents the hematological and serum biochemical values of physically captured roe deer (Capreolus capreolus). The study material was blood sampled from roe deer captured with the use of a specialist trap mesh and no anesthesia. Blood samples were collected from 122 roe deer from January to April in 2016, 2017, and 2018 in the Lublin region of Poland. The hematological and biochemical variables were determined with results showing statistically significant differences between the mean values of RBC, HCT, and HB according to sex. Reference intervals should be more specific to the broad physical versus chemical capture categories.

10.
Cancers (Basel) ; 15(2)2023 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-36672287

RESUMO

Ovarian cancer survival in the UK lags behind comparable countries. Results from the ongoing National Ovarian Cancer Audit feasibility pilot (OCAFP) show that approximately 1 in 4 women with advanced ovarian cancer (Stage 2, 3, 4 and unstaged cancer) do not receive any anticancer treatment and only 51% in England receive international standard of care treatment, i.e., the combination of surgery and chemotherapy. The audit has also demonstrated wide variation in the percentage of women receiving anticancer treatment for advanced ovarian cancer, be it surgery or chemotherapy across the 19 geographical regions for organisation of cancer delivery (Cancer Alliances). Receipt of treatment also correlates with survival: 5 year Cancer survival varies from 28.6% to 49.6% across England. Here, we take a systems wide approach encompassing both diagnostic pathways and cancer treatment, derived from the whole cohort of women with ovarian cancer to set out recommendations and quality performance indicators (QPI). A multidisciplinary panel established by the British Gynaecological Cancer Society carefully identified QPI against criteria: metrics selected were those easily evaluable nationally using routinely available data and where there was a clear evidence base to support interventions. These QPI will be valuable to other taxpayer funded systems with national data collection mechanisms and are to our knowledge the only population level data derived standards in ovarian cancer. We also identify interventions for Best practice and Research recommendations.

11.
Polymers (Basel) ; 15(2)2023 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-36679315

RESUMO

With the rapid pace of advancements in additive manufacturing and techniques such as fused filament fabrication (FFF), the feedstocks used in these techniques should advance as well. While available filaments can be used to print highly customizable parts, the creation of the end part is often the only function of a given feedstock. In this study, novel FFF filaments with inherent environmental sensing functionalities were created by melt-blending poly(lactic acid) (PLA), poly(ethylene glycol) (PEG), and pH indicator powders (bromothymol blue, phenolphthalein, and thymol blue). The new PLA-PEG-indicator filaments were universally more crystalline than the PLA-only filaments (33-41% vs. 19% crystallinity), but changes in thermal stability and mechanical characteristics depended upon the indicator used; filaments containing bromothymol blue and thymol blue were more thermally stable, had higher tensile strength, and were less ductile than PLA-only filaments, while filaments containing phenolphthalein were less thermally stable, had lower tensile strength, and were more ductile. When the indicator-filled filaments were exposed to acidic, neutral, and basic solutions, all filaments functioned as effective pH sensors, though the bromothymol blue-containing filament was only successful as a base indicator. The biodegradability of the new filaments was evaluated by characterizing filament samples after aging in soil and soil slurry mixtures; the amount of physical deterioration and changes in filament crystallinity suggested that the bromothymol blue filament degraded faster than PLA-only filaments, while the phenolphthalein and thymol blue filaments saw decreases in degradation rates.

12.
Sensors (Basel) ; 23(2)2023 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-36679771

RESUMO

Image registration is one of the most important image processing tools enabling recognition, classification, detection and other analysis tasks. Registration methods are used to solve a large variety of real-world problems, including remote sensing, computer vision, geophysics, medical image analysis, surveillance, and so on. In the last few years, nature-inspired algorithms and metaheuristics have been successfully used to address the image registration problem, becoming a solid alternative for direct optimization methods. The aim of this paper is to investigate and summarize a series of state-of-the-art works reporting evolutionary-based registration methods. The papers were selected using the PRISMA 2020 method. The reported algorithms are reviewed and compared in terms of evolutionary components, fitness function, image similarity measures and algorithm accuracy indexes used in the alignment process.


Assuntos
Algoritmos , Processamento de Imagem Assistida por Computador , Processamento de Imagem Assistida por Computador/métodos
13.
Sci Total Environ ; : 161329, 2023 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-36603617

RESUMO

Policymakers are increasingly moving towards greater investments in research in the renewable energy sector in order to reduce costs, making private investment affordable, so as to accelerate the achievement of grid parity. This evidence boosts for investigating how the convenience of investing in a solar photovoltaic (PV) system, in Italy, is unrelated to any form of public incentive. This paper designs a residential 3 kW PV system and provides a full set of indicators to assess the comprehensive performance of the PV system. Particularly, the energy and environmental indicators, likewise the Energy Payback Time (EPBT), Energy Return on Investment (EROI) and Environmental Impact Mitigation potential (EIMP), which are 1.35 years, 7.05 and 23,215 kg CO2 eq, respectively, allowed the authors to investigate the sustainability of a residential PV system in Italy, while using the Levelized Cost of Energy (LCOE), that is 0.15064 €/kWh, Net Present Value (NPV) equal to € 2881 and Payback Period (PBP) of 8.26 years to evaluate the economic and financial feasibility of the PV system modelized. The variations of EPBT and EROIEL with respect to solar radiation and the efficiency of the PV system and LCOE to discount rate and initial investment cost have been investigated through a sensitivity analysis.

14.
J Pediatr Nurs ; 2023 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-36609027

RESUMO

BACKGROUND: Quality of life (QoL) is a widely studied term concerning asthma because it allows the impact of the disease on the patient's life to be assessed through the patient's perception. The study aims to analyze which asthma-related, psychological, and family variables affect the QoL of adolescents with asthma. DESIGN AND METHODS: This cross-sectional design involves 150 patients diagnosed with asthma aged between 12 and 16 years. The patients' emotional symptomatology, the threat of illness, self-esteem, bonds, quality of life, family, and disease variables were assessed. Statistical analyses were performed using QCA models. RESULTS: The results indicate that girls have a poorer QoL, and age is negatively associated. QCA models found that the variables that best explained the quality of life of these patients, in the case of the medical indicators, were control, good compliance, shorter diagnosis times, and improvement. Regarding psychological variables: a lower threat of illness, less emotional distress, and better parental mood explained the high QoL. CONCLUSIONS AND PRACTICAL IMPLICATIONS: Adolescent QoL is affected by variables related to their asthma that are beyond their control and other psychological and family variables that may increase the perception of their QoL.

15.
Artigo em Inglês | MEDLINE | ID: mdl-36617367

RESUMO

This comprehensive research has been conducted to consider the distribution of PTEs in the surface sediments of a recently developed Dar-e-Allo copper mine in dependence on the potential ecological and human health risks. Field sampling was carried out discreetly at preselected sampling spots including the natural background, the streams around the mine, waste rock drainages, evaporative deposits, sediments containing Fe oxy-hydroxides and secondary phases. Distribution of target elements (Al, As, Cd, Co, Cr, Cu, Fe, Mn, Mo, Ni, Pb, S, Sb, Se, and Zn) showed high levels of crustal elements. As regards, Fe, Al, and S are identified to exist as the most copious elements in the earth's crust, so have the major portion of potentially toxic elements (PTEs) in the sediment concentrations. Evaluating environmental indices reflected that in general, Cu, S, and Mo have a higher quota of contamination in sedimentary systems. the pollution load index (PLI), modified contamination degree (mCd), Contamination factor (Cf), Sediment potential index (SPI), Geo-accumulation index (Igeo) and Contamination degree (Cd) confirm that sedimentary systems of mining area are heavily contaminated by PTEs and were not found within the guideline acceptable values. The potential ecological risk index (PERI) displayed a high or severe risk level for Cu with a peak in green-blue sediments containing secondary minerals. The results of total carcinogenic risk (TCRs) show that As has high toxicity level and carries a risk of carcinogenicity among children and adults. The TCRs for Cd, Cr, Ni, and Pb with carcinogenic potential are found only in children and they are classified as the prime concern elements that have serious dangers to children's public health. The results of contamination source presumed that the sources of PTEs contamination were principally geogenic along with the anthropogenic sources in the study area. Therefore, the present study has highlighted the implication of human health risks of PTEs in sedimentary systems of copper mining, also will grant advice for prime stakeholders, including mine managers, Environmental Protection Agency, the government and public organizations in connection to protecting the environment, aquatic biota and consumer's health.

16.
Artigo em Inglês | MEDLINE | ID: mdl-36596971

RESUMO

While it is known that exposure to disinfection by-products (DBPs), including trihalomethanes (THMs), impairs liver function, few epidemiological studies have explored this association. Here, we determined the concentrations of four urinary trihalomethanes (chloroform [TCM], and three Br-THMs, bromodichloromethane [BDCM], dibromochloromethane [DBCM], and bromoform [TBM]), and nine serum liver function indicators in 182 adults ≥ 18 years of age, examined at a medical examination center in Wuxi, China, in 2020 and 2021. Generalized linear model analysis revealed positive associations between urinary DBCM and alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (TBIL), total protein (TP), and albumin (ALB). Urinary Br-THMs and total THMs (TTHMs) were positively associated with ALT, AST, TBIL, indirect bilirubin (IBIL), TP, and ALB (all P < 0.05). Urinary THMs were not associated with alkaline phosphatase (ALP) or glutamine transaminase (GGT) (all P > 0.05). Generalized additive model-based penalized regression splines were used to confirm these associations. In conclusion, THM exposure was associated with altered serum biomarkers of liver function.

17.
Oral Dis ; 2023 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-36597156

RESUMO

BACKGROUND: Head and neck dermatofibrosarcoma protuberans (HNDFSP) is extremely rare and not entirely understood. OBJECTIVE: To investigate the clinicopathological features of HNDFSP and identify the expression of its clinically relevant indicators, with the expectation of improving the existing treatment strategies. METHODS: A long-term follow-up of patients with HNDFSP who received treatment between 2000 and 2021 at Shanghai Ninth People's Hospital was conducted. The clinical, histological, and immunohistochemical data of the patients were retrieved and analyzed. The endpoint of the study was the incidence of significant disease-related clinical events (recurrences or metastasis). RESULTS: A total of 49 patients with HNDFSP were included in the study, with males (92.7%) predominating than females (7.3%). Eighteen patients developed recurrent disease (36.8%) after surgery, and the median time of recurrence was 48 months (interquartile, 20-74 months). Metastasis occurred in two cases (4.1%). Two patients died during follow-up, both with local recurrence, and one of them with intestinal metastasis. Post-operation radiotherapy was administered to eight patients (16.3%) and the effect in local control was remarkable. Age, tumor size, and negative margins with sufficient safety width were the main independent factors affecting the disease-free survival. Several potential targeted therapeutic indicators, including EZH2 (80.0%), EGFR (91.4%), PDGF (97.1%), PD-L1 (77.1%), and VEGF (77.1%), were positively expressed in most tumor samples. CONCLUSION: HNDFSP is rare, significantly challenging to control locally, and has a worse prognosis with current treatment strategies. Wide local excision and long-term follow-up are needed. Radiotherapy could improve the prognosis of patients with HNDFSP.

18.
Acta Med Port ; 2023 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-36602411

RESUMO

INTRODUCTION: Head and neck cancers remain a significant health burden worldwide. Standardizing the care provided to these patients through the systematic measurement of established indicators is key to improve their outcomes. The aim of this study was to establish a relevant set of outcome indicators in this condition and identify measurement tools and requirements to do so. MATERIAL AND METHODS: One scientific committee and two regional working groups worked in a stepwise manner to narrow down an initial list of potential outcome indicators retrieved from an exhaustive literature review to a smaller set of outcome indicators according to their clinical practice. This was assessed by one representative of a head and neck cancer patient association until a final set of indicators was reached. RESULTS: A total of 164 outcome indicators comprising case-mix, outcomes, and adverse events dimensions were retrieved from the literature. These were reduced to a working set of 79 outcome indicators by the Scientific Committee and divided into seven categories including demographics, clinical status, tumor-related parameters, nutritional status, treatment, health and quality of life parameters and survival. Subsequently, these indicators were further reduced to a set of 50 indicators by the regional working groups and to a set of 49 indicators by the final Scientific Committee assessment. Finally, the discussed indicators were appraised by a head and neck cancer patient association, which added the 'rehabilitation' category, a key parameter to these patients. CONCLUSION: An initial set of outcome indicators for head and neck cancer was systematically developed aiming to standardize the care provided to these patients across institutions at national level and identify measurement tools and requirements to measure those indicators. This standard set should be continuously improved and consistently adopted in the different clinical and national settings.

19.
Cir. pediátr ; 36(1): 17-21, Ene. 2023. tab
Artigo em Espanhol | IBECS | ID: ibc-214575

RESUMO

Introducción. La cirugía mayor ambulatoria (CMA) es un modelo de gestión de asistencia quirúrgica que permite tratar de forma eficiente y segura a pacientes seleccionados. Nuestro objetivo es evaluar la calidad de esta actividad a través de indicadores de calidad estandarizados, analizando si se han visto modificados durante la pandemia por COVID-19. Material y métodos. Estudio descriptivo observacional y comparativo entre 2019 y 2020 de los indicadores de calidad (IC) de CMA de nuestra unidad de Cirugía Pediátrica. De acuerdo con la International Association for Ambulatory Surgery (IAAS) y las recomendaciones del Ministerio de Sanidad y Consumo, valoramos los indicadores de calidad básicos para CMA, así como el grado de satisfacción de las familias depacientes intervenidos en este régimen. Resultados. En total 848 y 652 intervenciones realizadas en 2019 y 2020, respectivamente, con edad media de 6 y 7 años. 539 (índice de ambulatorización (IA) 63,6%) y 465 (IA 71,3%) cirugías en régimen de CMA en 2019 y 2020. En 2019, índice de sustitución (IS) global 96,8%, índice de hospitalización (IH) 1,67%, índice de suspensión 5,94% e índice de reingreso 1,48%. En el año 2020, IS global 98,3%, IH 0,86%, índice de suspensión 4,73% e índice de reingreso 1,72%. No hemos encontrado diferencias en el grado de satisfacción entre ambos años. Conclusiones. Los IC permiten conocer y analizar el funcionamiento y los resultados de las distintas unidades de gestión. En nuestra Unidad, la pandemia por COVID-19 no ha reducido la calidad de la asistencia en régimen de CMA.(AU)


Introduction: ajor Outpatient Surgery (MOS) is an organizational and management model for surgical care that allows selected patients to be treated efficiently and safely. Our objective was to evaluate the quality of the different activities through standardized quality indicators, analyzing whether they have been modified during the COVID-19 pandemic. Materials and methods: An observational and comparative descriptive study of the quality indicators (QI) of MOS in our Pediatric Surgery Department from 2019 to 2020 was carried out. In accordance with the International Association for Ambulatory Surgery (IAAS) and the recommendations of the Spanish Ministry of Health and Consumer Affairs, we assessed the basic quality and the degree of family satisfaction of patients undergoing MOS. Results: A total of 848 and 652 interventions were performed in 2019 and 2020, respectively, with a mean age of 6 and 7 years. 539 (ambulatory rate (AR) 63.6%) and 465 (AR 71.3%) MOS surgeries were conducted in 2019 and 2020. In 2019, the overall substitution rate (SR) was 96.8%, hospitalization rate (HR) was 1.67%, suspension rate was 5.94%, and readmission rate was 1.48%. In 2020, the overall IS was 98.3%, HR was 0.86%, suspension rate was 4.73%, and readmission rate was 1.72%. No differences were found in terms of satisfaction between 2020 and 2019. Conclusions: QI allow us to know and analyze the performance and results of the different management units. In our department, the COVID-19 pandemic has not reduced the quality of CMA care.(AU)


Assuntos
Humanos , Masculino , Feminino , Criança , Indicadores de Qualidade em Assistência à Saúde , Pandemias , Infecções por Coronavirus/epidemiologia , Procedimentos Cirúrgicos Ambulatórios , Pediatria , Cirurgia Geral
20.
Res Dev Disabil ; 134: 104424, 2023 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-36638672

RESUMO

BACKGROUND: Although dyslexia is the most common learning disorder in children, it has not received adequate attention in Saudi Arabia. AIMS: This study aimed at determining the prevalence of dyslexia among Saudi students in Grades 3-6, exploring associations between severity of dyslexia, its behavioral indicators, gender and grade, and the moderating role of grade in the relationship between severity and behavioral indicators. METHODS AND PROCEDURES: The sample consisted of 2848 female students and 2647 male students in Zulfi governorate, Saudi Arabia. A survey-based mixed-methods design was chosen including a structured interview with teachers and three assessments using the Diagnostic Assessment Scale for Dyslexia, the Arabic Reading Test, and the Dyslexia Behavioral Indicators Scale. OUTCOMES AND RESULTS: Dyslexia was assessed in 5.86 % of the total sample. It was twice as prevalent among male students as among female students (6.54 % and 3.83 %, respectively). The mean score for behavioral indicators of dyslexia was also significantly higher for male than for female students. The correlation between dyslexia severity and behavioral indicators score was high and significant, with grade level as a significant moderator. CONCLUSIONS AND IMPLICATIONS: We found that, for children with dyslexia in Saudi Arabia, dyslexia was twice as prevalent among male students as among female students. Early dyslexia diagnosis and intervention services are suggested to reduce the risk for reading problems.

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