Ultrasonographic evaluation of urethrovesical junction mobility: correlation with type of delivery and stress urinary incontinence

A relationship between urinary incontinence and hypermobility of the urethrovesical junction (UVJ) during pregnancy has been described. The aim of the study was to compare the effects of vaginal delivery (VD) and caesarean section (CS) on UVJ mobility

Nuova metodologia per proteggere gli studenti delle professioni sanitarie dalle ferite accidentali da punta e taglio durante il periodo formativo

Lo scorretto utilizzo di dispositivi medici taglienti o acuminati sono tra le pratiche assistenziali che mettono maggiormente a rischio la sicurezza sia del paziente che dell'operatore sanitario. scopo di questo lavoro è stato sia di fornire agli studenti delle professioni sanitarie un unico strumento atto a prevenire le ferite da taglio e da punta, e garantire la formazione e l'acquisizione di abilità in procedure che tengano conto della sicurezza del paziente e minimizzino il rischio clinico a cui sono sottoposti; sia di valutare la percezione che gli studenti delle professioni sanitarie hanno del rischio biologico da ferite da taglio e da punta e di individuare il numero di infortuni che si verificano durante le ore di tirocinio evidenziando il problema della sottonotifica di tali incidenti

A transnacionalização do espiritismo kardecista brasileiro: uma discussão inicial

No presente artigo ensaia-se uma investigação preliminar sobre a transnacionalização do espiritismo kardecista brasileiro para o exterior. A partir do exame de alguns elementos históricos, como o papel desempenhado pela Federação Espírita Brasileira e a atuação do líder e médium Divaldo Franco na exportação da tradição espírita "made in Brazil", busca-se entender as metamorfoses e adaptações sofridas por esta religião na migração e fixação de imigrantes brasileiros em outros países. Neste cenário de participação hegemônica do kardecismo brasileiro na organização internacional do movimento espírita, discute-se: 1) a difusão deste modelo para o mundo ibérico e latino, o papel adaptador do kardecismo; 2) seu papel como organizador simbólico de cosmologias familiares de imigrantes brasileiros já estabelecidos nos Estados Unidos e na Europa.<br>In the present article we present a preliminary investigation on the transnationalization of the Brazilian Kardecism to foreign countries. From the examination of historical elements, such as the role performed by the Brazilian Spiritist Federation and the actions of the leader and medium Divaldo Franco in the exportation of a "made in Brazil" Spirit tradition, we try to understand the metamorphosis and adaptations endured by this religion in the migration and settlement of Brazilian immigrants in other countries. In this scenery of hegemonic participation of the Brazilian Kardecism in the international organization of the Spirit movement, we discuss: 1) the dissemination of this model to the iberic and latin world, Kardecism's adaptive role; 2) its role as a symbolic organizer of family cosmologies of Brazilian immigrants already settled in the United States and in Europe

Sars-Cov-2 Infection in Patients on Long-Term Treatment with Macrolides in Spain: A National Cross-Sectional Study

The aim of this study was to know the prevalence and severity of COVID-19 in patients treated with long-term macrolides and to describe the factors associated with worse outcomes. A cross-sectional study was conducted in Primary Care setting. Patients with macrolides dispensed continuously from 1 October 2019 to 31 March 2020, were considered. Main outcome: diagnosis of coronavirus disease-19 (COVID-19). Secondary outcomes: symptoms, severity, characteristics of patients, comorbidities, concomitant treatments. A total of 3057 patients met the inclusion criteria. Median age: 73 (64–81) years; 55% were men; 62% smokers/ex-smokers; 56% obese/overweight. Overall, 95% of patients had chronic respiratory diseases and four comorbidities as a median. Prevalence of COVID-19: 4.8%. This was in accordance with official data during the first wave of the pandemic. The most common symptoms were respiratory: shortness of breath, cough, and pneumonia. Additionally, 53% percent of patients had mild/moderate symptoms, 28% required hospital admission, and 19% died with COVID-19. The percentage of patients hospitalized and deaths were 2.6 and 5.8 times higher, respectively, in the COVID-19 group (p &lt; 0.001). There was no evidence of a beneficial effect of long-term courses of macrolides in preventing SARS-CoV-2 infection or the progression to worse outcomes in old patients with underlying chronic respiratory diseases and a high burden of comorbidity