RESUMO
OBJECTIVES: To evaluate limited English proficiency (LEP) Latino caregiver asthma knowledge after exposure to an educational video designed for this target group. METHODS: A cross-sectional, interventional study was performed. We aimed to evaluate the post-test impact on asthma knowledge from baseline after exposure to a patient-centered, evidence-based, and professionally produced Spanish asthma educational video. Participants included LEP Latino caregivers of children 2-12 years old with persistent asthma. Enrollment was performed during ED encounters or scheduled through a local community organization. Asthma knowledge was measured with a validated Spanish parental asthma knowledge questionnaire. Differences in mean scores were calculated with a paired t-test. RESULTS: Twenty caregivers were enrolled. Participants included mothers (100%) from Puerto Rico (75%), with a high-school diploma or higher (85%), with no written asthma action plan (65%), whose child's asthma diagnosis was present for at least 3 years (80%). Mean baseline asthma knowledge scores improved 8 points from 58.4 to 66.4 after watching the educational video (95% CI 5.3-10.7; t(19) = 6.21, p < 0.01). Knowledge improvements were similar across the ED and community groups. Knowledge gains were observed in the areas of ED utilization, medication usage, and activity limitations. CONCLUSIONS: The developed educational video improved caregiver asthma knowledge for a Latino population facing communication barriers to quality asthma care. Dissemination of this educational resource to LEP caregivers has the potential to improve pediatric asthma care in the United States.
Assuntos
Asma/fisiopatologia , Barreiras de Comunicação , Educação em Saúde/métodos , Conhecimentos, Atitudes e Prática em Saúde , Mães/psicologia , Adulto , Antiasmáticos/uso terapêutico , Asma/tratamento farmacológico , Criança , Pré-Escolar , Estudos Transversais , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Hispânico ou Latino , Humanos , Internet , Idioma , Masculino , Pessoa de Meia-Idade , Porto Rico/etnologia , Fatores SocioeconômicosRESUMO
Entre 1961 y 1992 se realizó un estudio retrospectivo revisándose 367 historias clínicas que reportaron 450 fracturas de los dedos de la mano atendidas en la emergencia del Hospital Militar que ameritaron tratamiento hospitalario. Se encontró que las edades estaban comprendidas entre 3 a 45 años con un promedio de 28,62 por ciento, siendo el hombre más afectado que la mujer en una relación de 50 a 1. Las fracturas abiertas representaron un 70,78 por ciento. El trauma directo y las heridas por armas de fuego fueron las causas más importantes. Las lesiones en piel representaron un 13,35 por ciento de las asociadas a la fractura. El tratamiento realizado fue conservador 82,44 por ciento y quirúrgico 17,56 por ciento de acuerdo a las características propias de cada fractura. Las complicaciones fueron observadas en su mayoría en los pacientes tratados conservadoramente