La ozonoterapia en el tratamiento de la estomatitis subprótesis

La estomatitis subpr��tesis es la patología que con más frecuencia encontramos en los servicios de prótesis estomatológíca, lesión que impide iniciar de forma inmediata una rehabilitación protética. Con el objetivo de valorar la efectividad del oleozón en la estomatitis subprótesis, se aplicó en un grupo de pacientes aceite de girasol ozonizado, terapéutica que tiene como principio activo el ozono y como vehículo el aceite de girasol para conformar el oleozón; se comparó este medicamento con el nistatin ungüento aplicado a un grupo control. La muestra fue de 154 pacientes adultos, de ellos 60 presentaron la patología y se les aplicó oleozón diariamente en tantas visitas a consultas como el caso requería. El criterio de curación fue la desaparición de los signos clínicos de la enfermedad. Se alcanzó el 91 % de pacientes curados con oleozón y el 76 % con nistatin; el tiempo de curación fue menor con el oleozón.Subprothesis stomatitis is the most common pathology found at the dental prosthesis service. This lesion impedes to start immediately a prosthetic rehabilitation. In order to assess the effectiveness of oleozon in the treatment of subprosthesis stomatitis, ozonized sunflower oil was applied to a group of patients. This therapeutics has ozone as an active principle and sunflower oil as a vehicle. This drug was compared with nystatin cream, which was used in the control group. The sample consisted of 154 adult patients. 60 of them presented the pathology and were applied oleozon daily in so many visits as it was necessary. The cure criterion was the disappearance of the clinical signs of the disease. 91 % were cured with oleozon and 16 % with nystatin. It was observed that the cure with oleozon was faster

Lesiones incipientes de caries dental y su relación con la higiene bucal en niños venezolanos Incipient lesions of dental caries and its relation to oral hygiene in Venezuelan children

Se realizó un estudio observacional descriptivo de corte transversal con la finalidad de identificar la prevalencia de lesiones incipientes de caries dental (LIC) y su relación con la higiene bucal en niños de 5-11 años del Área de Salud Integral Comunitaria (ASIC) Macandona, Municipio Maracaibo del Estado de Zulia en Venezuela, en el periodo de enero a diciembre de 2006. El universo fue de 220 niños, de entre ellos se seleccionaron 120 que asistieron a la consulta en el periodo establecido y cumplieron con los criterios de inclusión. Las LIC se detectaron por el método clínico visual-táctil sin presión, el nivel de higiene bucal por índice de higiene bucal revisado y el antecedente de cepillado con flúor se obtuvo al interrogar a los padres. La medida resumen de datos fue el porcentaje y se empleó la prueba de diferencia de proporciones. El 33,3 % de los niños presentó dos LIC, de ellos el 60,7 % correspondió al sexo femenino; el 42,9 % de los niños con 2 LIC mostró higiene bucal inadecuada y los que utilizaron dentífricos fluorados diariamente estaban menos afectados. Ello permite concluir que más de la mitad de los niños presentaron LIC, y que las lesiones incipientes fueron más frecuentes en el sexo femenino, en los niños con deficiente higiene bucal, y en los que no utilizaban dentífricos fluorados diariamente.<br>A cross-sectional, descriptive and observational study was conducted to identify the prevalence of dental caries incipient lesions (CIL) and its relation to oral hygiene in children aged 5-11 of Community Integral Health Area (CIHA) in Macandona municipality, Zulia State, Venezuela from January to December, 2006. Sample included 220 children selecting 120 seen in consultation during the established period and fulfilling the inclusion criteria. The CILs were detected by visual/tactile clinical method without pressure, the oral hygiene level by revised oral hygiene rate and the background of fluorine brushing was achieved by asking parents. The abstract measure of data was the percentage and we used the ratio difference test. The 33.3 % of children had two CILs, from then the 60.7 % was a female sex; the 42.9 % of children with two CILs showed a inappropriate oral hygiene and those used daily fluorine toothpaste were less involved. It allows us to conclude that the half of children had CIL, and that the incipient lesions were more frequent in female sex, in children with a poor oral hygiene, and in those no used fluorine toothpaste daily

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P &lt; 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)