25 research outputs found

    Dental caries’ experience, prevalence and severity in mexican adolescents

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    Objective Determining dental caries’ experience, prevalence and severity in students applying for degree courses at San Luis Potosi University (UASLP). Material and Methods A cross-sectional study was carried out involving adolescents and young adults (16 to 25 years old) applying for undergraduate courses at UASLP (~10 %, n=1 027). Two standardized examiners undertook dental examinations; DMFT index, prevalence (DMFT and gt;0), severity (DMFT and gt;3 and DMFT and gt;6) and significant caries index (SiC) were calculated. STATA 9.0 non-parametric tests were used for statistical analysis.Results Mean age was 18.20±1.65; 48.0% were female. The DMFT index was 4.04±3.90 and caries prevalence was 74.4%. Regarding caries’ severity, 48.8% had MDFT and gt;3 and 24% DMFT and gt;6. The SiC index was 8.64. Females had higher caries experience than males (4.32±4.01 cf 3.78±3.78; p0.05). Age was associated with both experience (

    IMPACT-Global Hip Fracture Audit: Nosocomial infection, risk prediction and prognostication, minimum reporting standards and global collaborative audit. Lessons from an international multicentre study of 7,090 patients conducted in 14 nations during the COVID-19 pandemic

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    Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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    Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

    Reemergence of Dengue Virus serotype 3, Brazil, 2023

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    Fundação Oswaldo Cruz. Rio de Janeiro, RJ, Brazil / Fundação Oswaldo Cruz. Manaus, AM, Brazil.Centers for Disease Control and Prevention. San Juan, PR, USA.Laboratório Central de Saúde Pública de Roraima. Boa Vista, RR, Brazil.Laboratório Central de Saúde Pública de Roraima. Boa Vista, RR, Brazil.Fundação Oswaldo Cruz. Manaus, AM, Brazil.Fundação Oswaldo Cruz. Manaus, AM, Brazil.Fundação Oswaldo Cruz. Manaus, AM, Brazil.Fundação Oswaldo Cruz. Manaus, AM, Brazil.Fundação Oswaldo Cruz. Manaus, AM, Brazil.Fundação de Vigilância em Saúde Dra. Rosemary Costa Pinto. Manaus, AM, Brazil.Fundação de Medicina Tropical Dr Heitor Vieira Dourado. Manaus, AM, Brazil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil.Laboratório Central de Saúde Pública do Paraná. Curitiba, PR, Brazil.Laboratório Central de Saúde Pública do Paraná. Curitiba, PR, Brazil.Laboratório Central de Saúde Pública do Paraná. Curitiba, PR, Brazil.Fundação Oswaldo Cruz. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Rio de Janeiro, RJ, BrazilFundação Oswaldo Cruz. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Recife, PE, Brazil.Fundação Oswaldo Cruz. Recife, PE, Brazil.Fundação Oswaldo Cruz. Curitiba, PR, Brazil.Universidade Federal do Espírito Santo. Alegre, ES, Brazil.Florida Department of Health. Tampa, FL, USA.Florida Department of Health. Tampa, FL, USA.Centers for Disease Control and Prevention. San Juan, PR, USA.Fundação Oswaldo Cruz. Rio de Janeiro, RJ, Brazil.We characterized 3 autochthonous dengue virus serotype 3 cases and 1 imported case from 2 states in the North and South Regions of Brazil, 15 years after Brazil’s last outbreak involving this serotype. We also identified a new Asian lineage recently introduced into the Americas, raising concerns about future outbreaks
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