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

Evaluation of an Accessible Home Control and Telecare System

Part 1: Long and Short PapersInternational audienceThe article presents part of the research carried out within a project aimed at procuring interaction of people with disabilities and elderly with their environment through the use of information and communication technologies. We present methodological aspects related to participation models, user experience, technology acceptance and peer training. Technology was designed to test the effectiveness of systems and interfaces developed. Evaluation was conducted in an automation environment with older people as users

CAJA 194 - LEGAJO II - SIGNATURA 02

Fausto Muñoz, litógrafo de Málaga, presenta a la Sociedad sus trabajos de oleografía, así como el dictamen que han merecido de la Sociedad Económica Matritense. Informe de la Sección de Industria y Artes.Muñoz, F.; Sociedad Económica de Amigos del País. Madrid (1874). Fausto Muñoz, litógrafo de Málaga, presenta a la Sociedad sus trabajos de oleografía, así como el dictamen que han merecido de la Sociedad Económica Matritense. Informe de la Sección de Industria y Artes. Real Sociedad Económica de Amigos del País de Valencia. http://hdl.handle.net/10251/23688Importación Masiv

Personalización automática de interfaces de usuario para el control domótico accesible

En este artículo se presenta un prototipo para el control domótico accesible, desarrollado en el contexto del proyecto INREDIS, en su plataforma del entorno del hogar digital. Este prototipo habilita nuevos canales de interacción entre los usuarios y los diferentes dispositivos y servicios tecnológicos presentes en el hogar. El sistema desarrollado permite la personalización automática de las interfaces de acceso a la funcionalidad e información de dichos servicios según las necesidades y preferencias funcionales del usuario, así como las capacidades tecnológicas del dispositivo desde el que desea interactuar. El impacto social y sostenibilidad tecnológica de los resultados obtenidos han sido optimizados mediante un proceso de diseño dirigido por sus potenciales usuarios finales. En el artículo se exponen, adicionalmente, las principales conclusiones y líneas futuras derivadas de la validación tecnológica por parte de un grupo heterogéneo de personas mayores, así como una representación del colectivo de personas con discapacidad auditiva

Quinientos aNos de reumatologia en Galicia

Lecture to become an Academia member. Answering lecture by the Academia member Jose Luis Vazquez IglesiasCentro de Informacion y Documentacion Cientifica (CINDOC). C/Joaquin Costa, 22. 28002 Madrid. SPAIN / CINDOC - Centro de Informaciòn y Documentaciòn CientìficaSIGLEESSpai

Short- and Long-Term Impact of Smoking Donors in Lung Transplantation: Clinical and Pathological Analysis

The use of smoking donors (SD) is one strategy to increase the organ pool for lung transplantation (LT), but the benefit-to-risk ratio has not been demonstrated. This study aimed to evaluate the impact of SD history on recipient outcomes and graft alterations