The predictions on the influence of the SARS-CoV-2 pandemic on access to medical services in Romania predicted a 35% drop in oncological hospitalizations in 2020 compared to the previous decade, raising the hypothesis that patients with colorectal cancer can become indirect victims of the ongoing pandemic. Therefore, the aim of the current research was to observe how the COVID-19 pandemic influenced colorectal cancer surgery in Romania, to determine the level of addressability towards specialized care, to compare the cancer staging between the pandemic and pre-pandemic periods, and to observe the risk factors for disease progression. This retrospective study was spread over three years, respectively, from March 2019 to March 2022, and included a total of 198 patients with a history of colorectal cancer surgery. It was decided to perform a parallel comparison of 2019, 2020, and 2021 to observe any significant changes during the pandemic. Our clinic encountered a significant decrease in all interventions during the pandemic; although the number of CRC surgeries remained constant, the cases were more difficult, with significantly more patients presenting in emergency situations, from 31.3% in 2019 to 50.0% in 2020 and 57.1% in 2021. Thus, the number of elective surgeries decreased significantly. The proportion of TNM (tumor-node-metastasis) staging was, however, statistically significant between the pre-pandemic and pandemic period. In 2019, 13.3% of patients had stage IIa, compared with 28.8% in 2020 and 13.1% in 2021. Similarly, the proportion of very advanced colorectal cancer was higher during the pandemic period of 2020 and 2021 (12.0% in 2019 vs. 12.5% in 2020 and 25.0% in 2021), which was represented by a significantly higher proportion of patients with bowel perforation. Patients with an advanced TNM stage had a 6.28-fold increased risk of disease progression, followed by lymphovascular invasion (HR = 5.19). However, the COVID-19 pandemic, represented by admission years 2020 and 2021, did not pose a significant risk for disease progression and mortality. In-hospital mortality during the pandemic also did not change significantly. After the pandemic restrictions have been lifted, it would be advisable to conduct a widespread colorectal cancer screening campaign in order to identify any instances of the disease that went undetected during the SARS-CoV-2 pandemic.
It's time for Western philosophy to reflect on the effects provoked by the technique's invasion developed since the XIX century until nowadays. What's technique today? Who's the human being after technology elements had invaded its life? My research will be based on the relationship between individual and technic and particularly on the transformations produced by it in its origin on human beings existence. In the first volume of The obsolescence of man, Günter Anders reveals the new technologies's danger. His texts try two melt theory and practice, pushing away an exclusive contemplative philosophical life giving back meaning at the Philosophy as a doctrine necessary for an authentic existence.
El profesor Carlos Díaz contribuye con su libro al intento de publicitar y diseminar el pensamiento del filósofo francés Jacques Ellul, olvidado y poco estudiado en Europa y sobre todo en España. En sus pocas páginas el texto tiene una densidad de contenidos elevada.Díaz nos recuerda la importancia de la vida de un autor para su pensamiento y con habilidad nos describe las etapas principales que ayudaron a la formación de las obras del filósofo francés. Recordando la infancia de Jacques Ellul (nacido en Bordeaux el 6 de febrero de 1912), podemos comprender su visión anarquista y cristiana de la vida, cosa que aunque puede parecer de entrada algo contradictorio no lo es tanto, como se puede comprobar con la lectura de este libro. La infancia de Ellul transcurre, como nos dice el profesor Carlos Díaz, en el seno de una familia que pasaba apuros económicos, a pesar de haber conocido con anterioridad momentos de gran esplendor económico. Ambas experiencias le ayudaron a tener una visión de la existencia completa. En la facultad de Derecho de la Universidad de Bordeaux Ellul se encontró azarosamente con el pensamiento de Marx, del cual se convertiría en un arduo investigador. Marx dio al filósofo la posibilidad de comprender su mundo contemporáneo y de vivir una vida más profunda de lo que le enseñaban en la universidad. Díaz nos recuerda, sin embargo, la decepción y el posterior alejamiento por parte de Ellul del Partido Comunista, considerado por el filósofo como el mejor apoyo de Franco, en cuanto destructor de la resistencia de los anarquistas españoles. Marx no afrontaba problemas como el de la muerte y del amor, por lo que Ellul toma la Biblia como referencia, y hace de ella uno de sus textos más importantes. Luego se convierte al protestantismo ya que ve que el mundo
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