Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study

Background: In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods: From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results: A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion: Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide

Knowledge, practices and attitudes about ICT among nurses of Alto Paraná

Background: ICT competencies are now essential for nurses in optimizing their care services and their training. Objective: To analyze knowledge, attitudes and practices related to ICT, in de population of public hospital and ISP’s nurses of Alto Paraná, Paraguay. Methods: A quantitative, descriptive and transversal study was conducted. Data were collected from 130 professionals, during June and July of the year 2011, through interviews and by application of a questionnaire of open and closed questions and a Likert scale.Results: The dimensions of knowledge and use shows elementary levels, but the attitude toward ICT is favorable. Discussion: This last fact and the finding of a predominantly young population suggest that interventions aimed at training have a high probability of success

Conocimientos, prácticas y actitudes acerca de las Tecnologías de la Información y Comunicación en los profesionales de enfermería del Alto Paraná

Antecedentes: Las competencias en las Tecnologías de la Información y Comunicación (TICs) son imprescindibles actualmente para que los profesionales de enfermería las apliquen en la optimización de sus servicios de cuidado y en su formación continua. Objetivo: Analizar los conocimientos, prácticas y actitudes, relacionadas con las TICs, de los profesionales de enfermería de hospitales públicos y del Instituto de Previsión Social del Alto Paraná, Paraguay Métodos: Se realizó un estudio cuantitativo, descriptivo, observacional y transversal. Participaron 130 profesionales del Departamento. Los datos fueron recogidos durante los meses de junio a julio del año 2011, mediante entrevistas y con la aplicación de un cuestionario de preguntas abiertas y cerradas y una escala de tipo Likert. Resultados: Las dimensiones de conocimiento y uso revelan niveles elementales, pero la actitud hacia dichas tecnologías se muestra favorable. Discusión: La reflexión sobre este último dato y la constatación de una población predominantemente joven sugieren que intervenciones con miras a la formación tengan altas probabilidades de éxito. Abstract Background: ICT competencies are now essential for nurses in optimizing their care services and their training. Objective: To analyze knowledge, attitudes and practices related to ICT, in de population of public hospital and ISP’s nurses of Alto Paraná, Paraguay. Methods: A quantitative, descriptive and transversal study was conducted. Data were collected from 130 professionals, during June and July of the year 2011, through interviews and by application of a questionnaire of open and closed questions and a Likert scale. Results: The dimensions of knowledge and use shows elementary levels, but the attitude toward ICT is favorable. Discussion: This last fact and the finding of a predominantly young population suggest that interventions aimed at training have a high probability of success. Centro de Trabajo: Facultad de Ciencias de la Salud de la Universidad Nacional del Este. Fecha del Trabajo: 04/06/2012 Palabra Clave: Tecnología de la información (TIC); informática aplicada a la enfermería; investigación en enfermería. Key Words: ICT competencies; nursing informatics; nursing research

Conocimientos, prácticas y actitudes acerca de las Tecnologías de la Información y Comunicación en los profesionales de enfermería del Alto Paraná

Background: ICT competencies are now essential for nurses in optimizing their care services and their training. Objective: To analyze knowledge, attitudes and practices related to ICT, in de population of public hospital and ISP’s nurses of Alto Paraná, Paraguay. Methods: A quantitative, descriptive and transversal study was conducted. Data were collected from 130 professionals, during June and July of the year 2011, through interviews and by application of a questionnaire of open and closed questions and a Likert scale. Results: The dimensions of knowledge and use shows elementary levels, but the attitude toward ICT is favorable. Discussion: This last fact and the finding of a predominantly young population suggest that interventions aimed at training have a high probability of success.Antecedentes: Las competencias en las Tecnologías de la Información y Comunicación (TICs) son imprescindibles actualmente para que los profesionales de enfermería las apliquen en la optimización de sus servicios de cuidado y en su formación continua. Objetivo: Analizar los conocimientos, prácticas y actitudes, relacionadas con las TICs, de los profesionales de enfermería de hospitales públicos y del Instituto de Previsión Social del Alto Paraná, Paraguay Métodos: Se realizó un estudio cuantitativo, descriptivo, observacional y transversal. Participaron 130 profesionales del Departamento. Los datos fueron recogidos durante los meses de junio a julio del año 2011, mediante entrevistas y con la aplicación de un cuestionario de preguntas abiertas y cerradas y una escala de tipo Likert. Resultados: Las dimensiones de conocimiento y uso revelan niveles elementales, pero la actitud hacia dichas tecnologías se muestra favorable. Discusión: La reflexión sobre este último dato y la constatación de una población predominantemente joven sugieren que intervenciones con miras a la formación tengan altas probabilidades de éxito

Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study (vol 46, pg 2021, 2022)

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Delaying surgery for patients with a previous SARS-CoV-2 infection

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