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  • Strong Maher posted an update 10 days ago

    bleeding control. Additional investigation is warranted to evaluate the safety, functional outcomes, and oncologic outcomes.

    A surgical peritoneal cancer index of >20 is often used to exclude patients from cytoreductive surgery for colorectal peritoneal metastases. The pathologic peritoneal cancer index in these patients may be <20.

    The purpose of this study was to compare the pathologic and surgical findings and to look at potential pathologic prognostic factors.

    This is a prospective observational study including patients undergoing cytoreductive surgery.

    The study was carried out at 3 peritoneal surface malignancy centers, 1 in France and 2 in India.

    One-hundred patients were included from July 1, 2018, to June 30, 2019.

    The pathologic peritoneal cancer index, peritoneal disease distribution, pathologic response to chemotherapy, factors affecting them and their relation with surgical findings, and potential prognostic value were explored.

    Ninety percent had colonic primaries. Fifty-one percent had left-sided tumors. The median surgical peritoneal cancer index was 4 (range, 0-35). Upper regions were involved iedad en la cavidad peritoneal deben documentarse meticulosamente. La correlación con la supervivencia definirá su valor pronóstico futuro. El sitio anastomótico primario es un sitio común de enfermedad peritoneal y debe evaluarse cuidadosamente en todos los pacientes. Consulte Video Resumen en http//links.lww.com/DCR/Bxxx. (Traducción-Dr. Gonzalo Hagerman).

    Patients with COVID-19 can present functional status and disability alterations in the medium- and long-term. On the international level, a multicentered study is being carried out to validate the Post-COVID-19 Functional Status scale for different nations, thus allowing visualizing the needs for a multidisciplinary approach and planning intervention plans. The objective of this study was to perform a linguistic validation and cross-cultural adaptation of the Post-COVID-19 Functional Status scale for people infected with COVID-19 for the Chilean population.

    A cross-sectional study of scale validation was carried out. The study was performed in two phases (1) forward-translation, reverse-translation and (2) apparent cross-validity adaptation. For the apparent validity analysis, 29 individuals who had been hospitalized in Hospital del Salvador with a COVID-19 infection diagnosis and at the time of the interview were in their homes participated.

    In phase 1 forward-translation, an item required semantical changes. The reverse-translation versions were similar, and the most relevant doubts were resolved in a consensus meeting. In phase 2, the pilot study confirmed adequate understanding and scale applicability.

    Using a systematic and rigorous methodology allowed obtaining a Spanish version of the Post-COVID-19 Functional Status scale for Chile, which is conceptually and linguistically equivalent to the original instrument and adequate to assess the functional status of people infected with COVID-19.

    Using a systematic and rigorous methodology allowed obtaining a Spanish version of the Post-COVID-19 Functional Status scale for Chile, which is conceptually and linguistically equivalent to the original instrument and adequate to assess the functional status of people infected with COVID-19.

    Since March 2020, when COVID-19 pandemic broke out, the world’s healthcare systems’ main concern has been fighting the pandemic. However, patients with other diseases, also requiring rehabilitation evaluations and treatments, continued to need care. Orlistat cost Our rehabilitation unit managed to maintain contact with patients through alternative communication methods even during the lockdown period and in a situation of staff shortage. If face-to-face evaluations and treatments were necessary, preventive measures were followed to avoid hospital-associated contagion. Rehabilitation beds were cleared to leave them to the acute wards, and consultations for the acute care patients were carried out using personal protective equipment. In the future, the lessons from our experience could contribute toward drawing a plan of measures applicable in similar situations and some of these actions could become part of the rehabilitative practice.

    Since March 2020, when COVID-19 pandemic broke out, the world’s healthcare systems’ main concern has been fighting the pandemic. However, patients with other diseases, also requiring rehabilitation evaluations and treatments, continued to need care. Our rehabilitation unit managed to maintain contact with patients through alternative communication methods even during the lockdown period and in a situation of staff shortage. If face-to-face evaluations and treatments were necessary, preventive measures were followed to avoid hospital-associated contagion. Rehabilitation beds were cleared to leave them to the acute wards, and consultations for the acute care patients were carried out using personal protective equipment. In the future, the lessons from our experience could contribute toward drawing a plan of measures applicable in similar situations and some of these actions could become part of the rehabilitative practice.

    Hospice and palliative medicine (HPM) is one of seven accredited fellowship subspecialties available to graduates of physical medicine and rehabilitation (PM&R) residency programs. HPM and PM&R share many of the same principles and practices, and PM&R residency training can be excellent preparation for HPM fellowship. However, unlike the other six PM&R subspecialties, there is currently no requirement for HPM training during PM&R residency. As a result, PM&R residents may encounter limited HPM exposure or education, and lack explicit opportunities to develop the basic set of palliative care symptom management and communication tools that can be applied across the spectrum of physiatry care. Here, we provide five strategies that residents can utilize within their own programs to develop knowledge and experience in HPM.

    Hospice and palliative medicine (HPM) is one of seven accredited fellowship subspecialties available to graduates of physical medicine and rehabilitation (PM&R) residency programs.

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