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INTRODUCTION: A reduction in the number of interventional cardiology procedures has emerged as a result of the COVID-19 pandemic. A survey was performed to quantify this decrease and the impact on the management of myocardial infarction in Latin America. METHODS: A telematic survey was conducted for all countries in Latin America. Diagnostic catheterisations, coronary and structural interventions, as well as the incidence and delay to reperfusion therapy of myocardial infarction (STEMI), were recorded. Two periods were compared: from 24 February to 8 March 2020 (pre-COVID-19) and another 2week period that varied according to country (COVID-19). RESULTS: Responses were obtained from 79 centres in 20 countries. There was a significant decrease in the number of diagnostic procedures (-65.2%), coronary interventions (-59.4%), structural therapeutics (-86.1%) and STEMI care (-51.2%). A decrease was noted in the incidence of STEMI, but also a delay in the time to STEMI reperfusion. While there was a variation in activity in interventional cardiology between countries, patient behaviour was rather homogeneous. CONCLUSIONS: A significant reduction in healthcare activity has been noted during the COVID-19 pandemic, including STEMI care, with the risk of increased mortality and/or morbidity following STEMI. Healthcare providers should encourage patients with suspected symptoms of STEMI to call for emergency care to ensure rapid diagnosis and timely reperfusion treatment.
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Este artículo constituye una contribución al debate actual acerca del problema del diseño, la implementación y la evaluación de estrategias para la promoción de alfabetización académica y del desarrollo de las habilidades argumentativas escritas académicas. Se presentan las cuatro fases de la investigación que corresponden al trabajo realizado, en primer término, para conocer la concepción que tenían los docentes de la cátedra de psicología de CBC de UBA respecto de la lectura y escritura académica; en segundo término, para concientizar a los docentes respecto de su función, como agentes mediadores, para la promoción de habilidades de lectura y escritura académicas, en tercer término, y vinculado con el trabajo de concientización, para diseñar un dispositivo pedagógico didáctico que utilizara la lectura y escritura argumentativa académica colaborativa para el desarrollo de una actitud epistémica del conocimiento disciplinar, y finalmente, para realizar una prueba piloto del dispositivo pedagógico didáctico que evaluara la efectividad del mismo. Se presentan los resultados obtenidos.
This article is a contribution to the current debate about the problem of the design, implementation and evaluation of strategies for the promotion of academic literacy and the development of argumentative academic writting skills. The four phases of the research that correspond to the work done in the first place were presented, to know the conception that teachers of the chair of Psychology at CBC UBA had in respect of academic reading and writing; secondly, to raise awareness among teachers with regard to its role as mediator agents, for the promotion of academic reading and writing skills, thirdly, and linked with the work of awareness, to design a didactic pedagogical device that will use argumentative academic collaborative reading and writing for the development of an epistemic attitude of disciplinary knowledge, and finally, to conduct a pilot test of the didactic pedagogical device that will evaluate the effectiveness of the it. The results are presented.
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Humanos , Universidades , Docentes , Critérios de Admissão EscolarRESUMO
Local rectal cancer recurrences represent a great challenge, as surgical re-excisions or re-irradiation procedures are not always feasible. Moreover, scar or local recurrence is hard to elucidate with conventional diagnosis techniques. Emerging diagnostic and therapeutic procedures may be useful in this setting. A local rectal cancer recurrence radiofrequency ablation is reported. PET scan confirmed the recurrence, defined the target volume and assessed the success of the local therapy.