Search

Introduction and purpose A pilonidal cyst also known as a pilondial sinus, is an inflammatory condition that occurs in the intergluteal region, which can lead to serious infections. It most commonly affects young men, with risk factors including the presence of hair in this area, excessive sweating, obesity, and poor hygiene. Symptoms include a lump, pain, and purulent discharge from openings in the skin. Diagnosis involves taking a medical history, a physical examination, and often an ultrasound. The aim of this paper is to present and compare the available methods for treating pilonidal cysts. Materials and methods Literature available in PubMed databases were reviewed using the following keywords: ‘’Pilonidal cyst’’, ‘’Hair cyst’’, ‘’Abscess’’, ‘’Treatment of pilonidal cyst’’,’’ Bascom II method’’,’’ Limberg flap’’,’’ Suchorski technique’’, ‘’V-Y or Z skin flap reconstruction’’,’’ the Karadakis’’ Results The available treatment methods can be divided into conservative and invasive approaches. Conservative methods include hair removal and improved hygiene. Among the surgical methods, there are traditional excision techniques and modern methods such as excision using the Bascom II method, Limberg flap, Suchorski technique, or V-Y or Z skin flap reconstruction. The Karadakis method, which involves shifting a skin flap, is particularly effective for obese patients. Conclusion Treatment of pilonidal cysts depends on the stage and symptoms. Abscesses require urgent surgical intervention, while asymptomatic cysts can be treated conservatively or surgically.

ABSTRACT Coronary artery calcification is probably the main determinant of the poor outcome of percutaneous coronary interventions and is associated with higher rates of adverse events. There are currently different balloon or specific device-based plaque modification techniques available. Knowing their characteristics and proper use is key for the optimal treatment of calcified lesions. This position paper—promoted by the Interventional Cardiology Association of the Spanish Society of Cardiology (ACI-SEC)—describes existing plaque modification techniques currently available and proposes an algorithm for the management of calcified lesions.

Somatotypic studies and their description of the human morphological configuration allow to appreciate impacts on eating habits and sedentary lifestyle. This study determined the somatotypic difference in Mapuche (NM) and non-Mapuche (NNM) children from Malleco, Chile. Through the ISAK protocol, 160 children with a mean age of 12.5 years, height 145.5 ± 3.5 cm and weight 43.7 ± 3 kg were evaluated, obtaining the following classifications: Group 12 years, Mapuche; mesoendomorphs. Non-Mapuche group 12 years; Endomesomorph. Group 13 years old, Mapuche; Mesoendomorphs. Non Mapuche group 13 years old; endomesomorph. The results indicate that for the age of 12 years, the NM presented lower values of endomorphy and higher values of mesomorphy (p≤0.01) than NNM. The 13-year-old NMs presented lower endomorphy and mesomorphy values (p≤0.01) than NNM. In conclusion, Mapuche schoolchildren present a mesomorphic predominance, however, NNM present a predominance of the endomorphic component.

Lipoedema is a chronic progressive disorder of adipose tissue leading to an enlargement of lower extremities. It is considered to be rare; however, the prevalence of the disease is underestimated because it is commonly misdiagnosed as obesity or lymphedema and the general awareness is poor. The etiology of the disorder is considered to be multifarious, including genetic inheritance, hormonal imbalance and microcirculation alterations. Diagnosis is mainly based on medical history and physical examination. Management of lipoedema is focused on reducing the symptoms, improving the quality of life and preventing further progression of the disease. The aim of this paper is to raise the awareness of the disease and provide appropriate clinical guidance for the assessment of lipoedema. We searched through the PubMed/MEDLINE database and took into consideration all of the results available as of 6September, 2020 and outlined the current evidence regarding lipoedema epidemiology, etiology, clinical presentation, differential diagnosis, and management. Better understanding of lipoedema is crucial for establishing an early diagnosis and a proper treatment, which in turn will reduce the psychological and physical implications associated with the disease.

Introduction: The National Scientific Congress (NSC) is an annual event held in Peru in which medical students from all over the country present their research work. Objectives: To determine the publication rate in indexed scientific journals of research papers submitted to the NSCs held between 2010 and 2014, as well as the factors associated with their publication, and to describe the characteristics of the published papers. Materials and methods: Retrospective study in which 407 abstracts of research papers were reviewed. A publication time window of 6 years (from submission) was considered. A bivariate analysis was performed to assess differences between categorical and numerical variables using the chi-square and Mann-Whitney U tests, respectively. In addition, a multivariate analysis was performed using Poisson regression models (a crude and an adjusted model), calculating relative risk (RR) values with their respective 95% confidence intervals (95%CI) to determine the factors associated with the publication of papers. A significance level of p

Full text (en español)

Some considerations on the writing of scientific papers

About paper Level of knowledge about smoking and its relation with oral cavity

In the sixteenth and seventeenth centuries, people commonly wore words, names, letters, symbols, and images about their bodies for protection or healing. Drawing on French sources, this article examines the widespread practice of wearing textual amulets in this period as revelatory of an enduring belief in the power of words and images to protect and heal the individual who wore them. It analyzes the vehement critique of this practice by period theologians, both Protestant and Catholic, who attacked their contemporaries’ investment in the materiality of the textual object as superstition. En los siglos XVI y XVII, la gente usaba con frecuencia palabras, nombres, letras, símbolos e imágenes sobre sus cuerpos como protección o como cura. Partiendo de fuentes francesas, este artículo examina la extendida práctica de usar amuletos textuales en ese periodo de tiempo como una revelación de la creencia permanente en el poder de las palabras y las imágenes para proteger y curar a los individuos que las usaban. Se analiza la crítica vehemente de dicha práctica por los teólogos de la época, tanto protestantes como católicos, que atacaban a la inversión de sus contemporáneos en la materialidad de los objetos textuales como una superstición.

Admission Dysfunctions of the lumbosacral spine are among the most common problems related to the movement of contemporary society throughout the world, and its incidence increases with age. In recent years, increased interest in the issues fascia, which until recently was neglected in the etiology of low back pain. One of the therapeutic options that can be applied in the case of chronic pain syndrome lumbar-sacral spine techniques are easing myofascial (ang. Myofascial release, MFR), which is one of the latest methods in the field of manual medicine. Objective of the work The aim of the work was overview AD recently published study on the effectiveness of techniques easing myofascial pain in chronic lumbar-sacral spine. Material and methods To find the current investigate research (publications of the last 5 years) dedicated to MFR in the treatment of chronic pain, lumbar-sacral spine searched the following databases: PubMed, PEDro (Physiotherapy Evidence Database), ScienceDirect and Academic Search Premier. The following keywords: myofascial release, myofascial release therapy, myofascial pain, chronic low back pain. Results 9 qualified to review the studies investigating the effect of loosening myofascial pain and range of motion, functional limitations, muscles, as well as the quality of life in people with chronic pain lumbosacral spine. Conclusions The results of this review show that there is little research on the MFR employs treat ailments low back pain lumbar - sacral. Based on the studies included in this review can be concluded that the MFR can be an effective treatment for back pain lumbar - sacral, but there is a need for further research with a well-developed research procedure that will allow the standardization of this therapeutic method.

The NBOMes are classified as new psychoactive substances and have recently become popular as drugs of abuse, being associated with several intoxication cases and even deaths, leading to its ban in several countries. Until now, the most widely used analytical instrument among forensic laboratories in Brazil is GC-MS. In this study, this instrumentation was employed for routine analyzes of twenty blotter paper seizure by Brazilian Federal Police (BFP) in the southernmost state of the country. However, to acquire more information about these samples, LC-QTOF/MS was used as a supplementary analysis to determinate degradation products, metabolites and unknown compounds. The GC-MS analysis detected only 25B-NBOMe, while the LC-QTOF/MS analysis detected 25B-NBOMe, 2C-B and MDMA. The compounds found in these analyzes are quite different from that found in the national profile of seizures by BFP, suggesting that another rout or supplier act in this region. For research and drug intelligence purposes the use of more versatile, sensitive and specific analytical tool provides a greater number of information that could be employed as a valuable strategy in the drug trafficking combat.

Publishing scientific papers is the last process in the research chain. Publishing is a long and exhausting process, which, in many cases, does not have a happy end. In high-impact management journals publishing original works in the health area, only about 10% of the articles passed to the first round of peer review, and only 5 % of all papers subject to review are eventually published. My paper discusses some useful tips that can help your papers to belong to that 5%-elite. Even if you find it is difficult, it is not impossible.

Full text (en español).

This article is a reflection of the work of the physiotherapist in community settings, from a glance at the history of the practice community health at the University of Cauca. Initially, the text is a revision of the Colombian legislation on the commitments of universities with their environment (also embodied in the explicit mission of the University of Cauca and the program of physical therapy) and some at the international level on what should be the practice of physiotherapy. In light of this, the second part of the text a description of the historical development of community health practice in the physiotherapy program at the University of Cauca since 2003 until today. The final section presents conclusions and outlines the challenges ahead for this and other similar programs.

The International Agency for Research on Cancer (IARC) proposed this international historical cohort study trying to solve the controversy about the increased risk of cancer in the workers of the Pulp and Paper Industry. One of the most important aspects presented by this study in Brazil was the strategies used to overcome the methodological challenges, such as: data access, data accuracy, data availability, multiple data sources, and the large follow-up period. Through multiple strategies it was possible to build a Brazilian cohort of 3,622 workers, to follow them with a 93 percent success rate and to identify in 99 percent of the cases the cause of death. This paper, has evaluated the data access, data accuracy and the effectiveness of the strategies used and the different sources of data.

Este artigo objetiva identificar as associações das morbidades comuns e dos acidentes de trabalho com setor, descrevendo as cargas de trabalho e realizando um amplo controle de fatores de confusão. Através de delineamento transversal, estudou-se a totalidade dos trabalhadores de uma indústria de celulose e papel (n=671). Realizaram-se entrevistas nesta indústria, caracterizando a percepção dos trabalhadores sobre as exposições ocupacionais e a morbidade. A área industrial caracterizou-se pelo excesso de problemas auditivos (RO>2,5), respiratórios (RO>2,7) e acidentes (RO>4,7), possivelmente relacionados com ruído, poeira, mudanças bruscas de temperatura e exposições a substâncias químicas, além do trabalho físico pesado e exposições a situações de risco. A administração apresentou um aumento de problemas nos olhos, dor nas costas, irritação e nervosismo (RO>1,7), que parecem ter relação com a falta de autonomia e criatividade no trabalho, problemas ergonômicos e esforço visual. Confirmaram-se não só as altas prevalências de morbidades comuns, mas também sua relação com as particularidades do processo de trabalho sintetizadas pela categoria setor.The purpose of this study was to identify associations between common morbidity and work accidents and the respective departments in a pulp and paper industry, describing work loads and performing broad control of potential confounding factors. We studied all the workers from a specific pulp and paper industry, using a cross-sectional design and interviews at the workplace (n=671) with a standardized questionnaire. We characterized workers' perceptions of their occupational exposures and health problems. The industrial area had an excess in auditory problems (OR>2.5) and respiratory problems (OR>2.7) as well as accidents (OR>4.7). These diseases were probably related to the high prevalence of noise, dust, sudden temperature changes, exposure to various chemicals, and excessive effort and high-risk situations. Moreover, the management group showed an excess in eye problems, backache, irritation, and nervousness (OR>1.7), apparently related to lack of autonomy and creativeness at work, ergonomic problems, and strained eyesight. The study confirmed not only a high prevalence of common diseases, but also their relationship to specific features of the work process indicated by each department category.

Para nadie, que reflexione sobre la historia y desarrollo del conocimiento moderno, resulta un misterio que el camino natural que sigue una determinada profesión o campo disciplinar va desde la ciencia pura,aquella que nace como una genuina inquietud, pasión e inconformismo frente a lo que nos rodea o -mas específicamente- frente a una parte de ese “todo” que habitamos.Posteriormente, esta inquietud, evoluciona en una disciplina que circunscribe sus prácticas y discursos a un determinado conocimiento,consensuado por los miembros de la misma. Finalmente, este desarrollo culmina su evolución cuando se asimilan las normas, reglas y tradiciones de trasmisión del conocimiento, que caracterizan a toda profesión.Nos puede resultar sin embargo extraño, o al menos curioso, que una determinada línea de conocimiento -llegado a este punto de su escala evolutiva- manifieste una aparente quietud desde la gestación del conocimiento, no así en la “gestión” del conocimiento ya producido. (....)