Saberes de prevención en padres de familia sobre el embarazo en adolescentes.

El embarazo en la adolescencia es aquella gestación que ocurre durante los dos primeros años de edad ginecológica y/o cuando la adolescente mantiene la total dependencia social y económica de la familia parental. La Organización Mundial de la Salud (OMS) establece la adolescencia entre los 10 y los 19 años. El embarazo en adolescentes es un problema en salud pública debido a la magnitud y al impacto biopsicosocial, económico y educativo que provoca. El objetivo de este estudio fue describir los saberes de prevención del embarazo que poseen los padres de familia con hijos adolescentes de 10 a 19 años en las comunidades rurales del departamento de El Progreso. Es un estudio cualitativo, en donde los participantes fueron padres y madres con hijos adolescentes de 10 a 19 años que habitan en las comunidades del Área de Salud de El Progreso, se realizaron 30 grupos focales en 18 comunidades, donde los estudiantes realizaron su práctica rural supervisada; la información fue transcrita conforme a las subcategorías, elaborando un análisis e interpretación por objetivo

Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study

Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19\ub78 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6\ub76 and 2\ub74 per cent respectively before, but 23\ub77 and 5\ub73 per cent, during the pandemic (both P < 0\ub7001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2