This study examines differences between key socio-demographic groups and the impact of strength of social network, political trust, and fear of COVID-19 on working from home (a key social distancing behaviour) and compulsive buying (a maladaptive behaviour) in response to COVID-19. This study used a correlational cross-sectional survey design. A sample of 411 participants in the United Kingdom (UK) completed measures of strength of social network, political trust, fear of COVID-19, length of selfisolation and compulsive buying. Results showed that older people and lower income groups are less likely to work from home in response to COVID-19; that people with a diagnosed mental health disorder exhibited less political trust, more fear of COVID-19, and more compulsive buying; and that people reporting COVID-19 symptomatology had been in self-isolation for longer and exhibited more compulsive buying than those with no COVID-19 symptomatology. The structural equation model showed that age, having a diagnosed mental health disorder, having COVID-19 symptomatology and strength of social network impacted on working from home and compulsive buying, through the mediators of political trust, fear of COVID-19 and length of self-isolation. The results demonstrate that some groups in the UK population may be vulnerable to maladaptive behaviours and poor social, psychological, and physical health outcomes as a result of the COVID-19 pandemic. These groups may require special support to cope effectively with the effects of COVID-19.
This study examines differences between Christians, Muslims and non-religious people in COVID-19-related fear, social isolation, and compulsive buying. A sample of 411 participants in the United Kingdom completed a survey consisting of measures of political trust, social isolation, compulsive buying behaviours, fear of COVID-19 and their preferred source of information regarding COVID-19. Christians reported a stronger social network, more political trust but more fear of COVID-19 than non-religious people, and Muslims reported more fear of COVID-19 and more compulsive buying than non-religious people. Non-religious people accessed more varied sources of information regarding COVID-19 than Christians and Muslims. Finally, source of information regarding COVID-19 affected levels of political trust, fear of COVID-19, social isolation and compulsive buying behaviours. Religious groups exhibit varying levels of fear, social isolation and compulsive buying. Public health messaging and awareness-raising campaigns tailored to particular religious groups may be effective in reducing the psychological burden of COVID-19.
The oroantral fistula (OAF) is an epithelialized communication between the oral cavity and the maxillary sinus. In most of the cases, this communication occurs after molars and premolars extractions, but other factors may be cause of the communication, such as trauma. This article demonstrates an alternative surgical technique illustrated with a case report in which we perform the surgical treatment of OAF with palatal flap rotation combined with the use of titanium mesh in a victim of gunshot projectile wound in oral cavity.
Introduction: Fractures of the frontal bone correspond to 5 to 15% of all facial fractures. This type of fracture can lead to difficulties in restoring bone congruence and to postoperative secondary aesthetic problems. Objective: This paper aims to present a clinical case report of frontal bone fracture where a late reconstruction was performed using a titanium mesh with the aid of stereolithographic model prototyping. Case report: Female patient, 26 years old, with aesthetic sequelae in the upper third of the face after a motorcycle accident. The imaging exams showed a comminuted frontal bone fracture, as well as upper edge and right orbit ceiling involvement. The planning consisted of reconstruction of the affected area with the use of a titanium mesh pre-shaped in a stereolithographic model. The procedure was performed under general anesthesia and coronal access. After installation of the fixation material, pericranial flap rotation and suture of the surgical wound were performed. The patient progressed well, with considerable improvement in facial aesthetics. Conclusion: This paper reports the importance of good planning in cases of frontal bone fracture sequel, in which the use of model-shaped mesh in a stereolithographic model tends to optimize surgery, bringing aesthetic and psychosocial benefits.
Keywords
Frontal bone; Titanium; Craniocerebral trauma.
O objetivo dessa pesquisa é analisar a comparação, criando uma análise temporal, das internações, valor médio por internação e taxas de mortalidades, entre todas as regiões brasileiras, no que tange a cirurgia de revascularização do miocárdio (CRVM). Trata-se de um estudo ecológico, com abordagem quantitativa e análise de sequências temporais. Foi pesquisada a população brasileira que tenha sido submetida a CRVM no intervalo de 2012 – 2022 em hospitais do Brasil, cujos procedimentos tenham sido financiados pelo Sistema Único de Saúde (SUS). Para análise temporal das sequências das taxas, foram definidas as variáveis: Internações; Região (Norte, Nordeste, Centro-Oeste, Sul e Sudeste); Taxa de mortalidade; Valor Médio AIH; Valor Total. Segundo o banco de dados do DATASUS, durante o período de 2012 a 2022, em todo território brasileiro, das 124.947.182 internações confirmadas pelo SUS, foram identificadas 228.765 CRVM (0,18%) realizadas em todo Brasil. Evidenciando predomínio de internação na região Sul, com valor médio de R$ 13.200,42 no Brasil e uma taxa de mortalidade em crescimento.
O objetivo deste estudo é analisar as principais complicações advindas da colecistectomia laparoscópica (CL) e, como objetivo secundário, identificar fatores de riscos que levam a más desfechos. Tornando-se um procedimento ainda mais seguro para o paciente. O estudo trata-se de uma revisão narrativa, na pesquisa sobre a CL. Foi realizada uma pesquisa de artigos nas bases de dados Medical Literature Analysis and Retrievel System Online (MEDLINE) e Scientific Electronic Library Online (SciELO) com os seguintes Descritores em Ciências da Saúde (DeCS): Cholecystectomy Laparoscopic; Cholecystectomy; General Surgery; Intraoperative Complications; Risk Factors, totalizando 20 artigos selecionados nas duas bases de dados. Foram selecionados artigos entre os períodos de 2009 a 2022, nos idiomas Inglês, Português e Espanhol, para ampliar o nível de relevância e a qualidade da revisão. As principais complicações advindas da realização da CL são as incapacidades de tolerância do pneumopertônio ou a anestesia geral, impedimentos na identificação correta das estruturas anatômicas e a inexperiência do cirurgião, mesmo que sejam mínimas. Pelas vantagens que o pós-operatório possui e a facilidade de manejo, a CL se expandiu rapidamente nos centros cirúrgicos. Mas, a incidência de lesões ductais e arteriais se desenvolveram na mesma proporção, atreladas ao aprendizado da comunidade cirúrgica. Dessa forma, mesmo apresentando mínimas baixas estatísticas de mortalidade e complicações, a CL necessita de atenção ampla e consciência de toda equipe, seja na assepsia ou nos conceitos básicos de segurança.
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