Publicación de PRACTIMAN

CPRE EN PACIENTES CON EDAD AVANZADA En 1988, solo quince años tras el comienzo de la CPRE terapéutica, Summerfield escribió “Biliary obstruction is best managed by endoscopists (Gut 1988; 29: 741-5)”. Pronto se comprobó también que el éxito y las complicaciones del drenaje biliar eran iguales en personas mayores o más jóvenes. Estos datos subrayaron el papel destacado de la CPRE para tratar la obstrucción y otros problemas biliares, en pacientes con edad avanzada. En Cuenca, publicamos los primeros 16 pacientes con más de 90 años en: “Endoscopic retrograde cholangiopancreatography in patients 90 years of age and older: increasing experience on its effectiveness and safety. Journal of Clinical Gastroenterology, 2003”. https://lnkd.in/dWEgdrRK Posteriormente, aumentamos la experiencia con más número de pacientes y la publicamos en: “Advanced age per se should not be a contraindication for ERCP intervention. Gastrointestinal Endoscopy, 2006” https://lnkd.in/dJnkZyF5 Finalmente, en 2007 ampliamos el estudio a los pacientes con edad geriátrica y escribimos un artículo original en la Revista Española de Enfermedades Digestivas (REED), cuya versión en español se encuentra en este enlace: https://lnkd.in/eknb86Vc Sin embargo, el asunto es más complejo. Aunque el éxito y las complicaciones de la CPRE sean similares independientemente de la edad, las complicaciones en los pacientes ancianos conllevan una recuperación más difícil y, a la larga, mayor mortalidad. Por lo tanto, en los pacientes con edad avanzada hay que intentar hacer la CPRE lo más segura posible. A esto nos referimos en el Editorial publicado en la REED, comentando un estudio muy interesante realizado en el Hospital Universitario de Vic. https://lnkd.in/dYhUVtbp

Medical misogyny The following article is a great example of something I raised earlier in the week about the way defaults can shape our thinking and lead to poorer outcomes for groups of society. A similar issue persists today with safety testing of passenger vehicles, with little requirement currently in place to test features such as seatbelts on manikins simulating women (broadly) or pregnant women (more particularly), resulting in a much higher injury and fatality rate from car accidents. This is an area where governments can and should step in to mandate that product design address implicit and explicit gender bias before products ever make it to market. https://lnkd.in/g9Tmtie2

😬Do you constantly tell your child to sit up and look straight when you take photos 🙃Have you noticed that your child is always tilting their head to one side in their school photos 😳Does your child complain of neck pain and headaches regularly on the one side of their neck If you answered YES to the above statements, then your child might have an undiagnosed Torticollis as a baby which wasn't treated and has now left them with a permanent tilt in their head and neck pain. 😳To determine if your child have Torticollis complete the check list below: o Your child's head always tilt to one side when they are resting in sitting. o Your child can turn their head easily to one side more than the other. o Your child says their neck muscles feel tight and stiff on one side more than the other. o Your child can bring their ear to shoulder easily to one side more than the other. o Your child complains of headaches and neck pain always on one side more than the other. If you ticked one or more of the statements above, then your child is likely to have Torticollis causing for their neck pain and stiffness. 🤔Torticollis is caused by the abnormal development of the Sternocleidomastoid muscle that connects the chest bone, to the collar bone to the bone at the base of the head. This muscle was never formed properly while your child was developing as a baby in the womb, as such it is often a tighter and stiffer muscle. If correctly diagnosed and treated as a baby and over the growing years from brith to 21 years old, the impact of Torticollis is minimal as an adult. Unfortunately, many mild cases of Torticolliis is missed and children grow up into adults with a persistent head tilt and neck pain. 😢 So if you are concerned that your child may have an undiagnosed Torticollis causing their head tilt and neck pain, ring Sydney Kids Physio 📱on (02) 9790 4233 or DM us @myfavouritephysio to speak to one of our Expert Paediatric Physiotherapists today!💪 #neckpain #myfavouritephysio #neckpainrelief #torticollis #headaches #headacherelief #physio #physiotherapy #bankstown #peadsphysio #sydneykidsphysio

Valoración neurológica en paciente pediátrico

Falls and spills can sometimes end up with disastrous injuries like broken bones. 😢Broken bones are common injuries and many children will experience one fracture in their growing years. Because children's bones are growing rapidly, they are more flexible and may not break completely. Instead what we see is a Greenstick Fracture, this is where the bone tends to bend but not break completely. 🧐 A greenstick fracture is often treated using a cast or splint for 4 to 8 weeks depending on the location of the break, the severity of the break and the child's age. 👧 After the cast is removed, it is not uncommon to find your child still limping when they walk, like they are still wearing a cast. Or to find your child not using their hand like their used to before the greenstick fracture. Most children will recover within a few weeks, but some children still persist with a limp or not use their arm properly after 2-4 weeks. This is when it is important to seek professional advice.👩⚕️ Persistent limp or avoiding the use of one arm after a fracture can cause secondary problems like hip or knee pain on the opposite leg, or muscle imbalance in the good arm and back. If your child has had a recent greenstick fracture, and is not back to their active self after 2-4 weeks, ring Sydney Kids Physio on📱 (02) 9790 4233 or DM us @sydneykidsphysio to speak to our Paediatric Physiotherapist today. #greenstickfractures #myfavouritephysio #paedsphysio #kidsphysio #brokenbones #physio#physiotherapy #earlyintervention #bankstown #sydneykidsphysio

Borreliosis de Lyme en población pediátrica: peculiaridades clínicas, diagnósticas y terapéuticas 

🌍 World Cerebral Palsy Day: Empowering Lives Through Healthcare 💚 Cerebral palsy (CP) affects millions of people around the world, impacting movement, coordination, and posture. On this “World Cerebral Palsy Day”, we reflect on how critical it is to support individuals living with CP and work towards a more inclusive and accessible world.  At Hema Laboratories, we understand that healthcare isn’t just about treating illnesses—it’s about improving the quality of life for all. As a pharmaceutical company, we are committed to developing treatments that empower individuals to live healthier, fuller lives. Whether it's through advanced medications, innovation in accessibility, or simply raising awareness, we are here to make a difference. Why Support CP Awareness?  - Cerebral palsy is the most common physical disability in childhood, yet awareness and support remain limited.  - Improved healthcare solutions and treatments can dramatically enhance the lives of those with CP.  - Inclusion and accessibility are key to ensuring everyone has the same opportunities. Today, let's advocate for: - More inclusive health policies.  - Increased funding for CP research and treatment development.  - Accessible environments for all.  💚 Join us in spreading awareness and showing solidarity with individuals and families affected by cerebral palsy. Together, we can create a more inclusive and healthier future. #WorldCerebralPalsyDay #HealthcareForAll #PharmaForLife #CerebralPalsyAwareness #InclusionMatters #PharmaInnovation #HealthcareRevolution #SustainableHealthcare #GlobalHealth #MentalHealthMatters #HealthcareHeroes #FutureOfMedicine #PharmaLeaders #LifeSciences #GreenPharma #PharmaForAll #HemaLaboratories #PharmaSustainability #MedicalBreakthroughs #WellnessJourney #HealthcareFuture

Borreliosis de Lyme en población pediátrica: peculiaridades clínicas, diagnósticas y terapéuticas 

Estoy emocionado de compartir nuestra publicación reciente en Healthcare titulada: “Parental Stress in Autistic Children with Poor Oral Hygiene: A Pilot Study to Develop and Validate a Measurement Scale”. Esta investigación aborda el impacto del estrés parental en familias con niños autistas que enfrentan desafíos en su higiene bucal diaria, y presenta una nueva escala validada para medir este estrés. Nuestro estudio busca ofrecer una herramienta útil para futuras investigaciones e intervenciones que mejoren la calidad de vida tanto de los niños como de sus familias, considerando una dimensión a menudo pasada por alto pero de gran impacto. Los invito a leerlo y compartir sus perspectivas. El artículo está disponible aquí: https://lnkd.in/eETszHSf. #Autismo #SaludOral #Investigación #SaludFamiliar #TerapiaOcupacional #CuidadoIntegral

🤔Thinking of getting a Baby Walker as a gift for someone Not sure if you should get a Baby Walker for your own baby 👶🏻 Contrary to the name Baby Walker, research has shown that Baby Walkers do not 🙅♂️help a baby learn to walk, instead the research shows that babies who did use Baby Walkers were slower to crawl, pull to stand and walk than babies who did not use Baby Walkers! 😳 In fact, the use of Baby Walkers puts a baby at increased risk of the following injuries: 😳Head Injuries - Baby walkers allow babies to move quickly across the floor, which can lead to falls down stairs or other elevated surfaces, such as ramps or uneven terrain. These falls can result in serious injuries, including head injuries and broken bones. 😳Injuries from Tipping - Baby walkers are often top-heavy, making them prone to tipping over. When a baby pushes against a wall or tries to maneuver over a threshold, the walker can tip, causing the baby to fall and potentially get trapped underneath. 😳Burns and Scalds - Babies in walkers can reach higher surfaces, such as stovetops, countertops, or hot appliances, putting them at risk of burns or scalds if they touch hot objects or spill hot liquids. In addition, Baby Walkers tend to encourage babies to learn to walk on their tip toes, a habit that is difficult to break later on. 🤦♀️So don't place your child at unnecessary risks of injuries without any proven benefits for improving their gross motor skills. If you are concerned that your child is not yet crawling, pulling to stand or walking, reach out to speak to one of our 🤓Expert Paediatric Physiotherapists at Sydney Kids Physio on 📱(02) 9790 4233 or DM us @sydneykidsphysio. #babywalking #myfavouritephysio #babywalkers #earlyintervention #beabetteryou #expectmore #paedsphysio #kidsphysio #physiotherapy #physio #bankstown #sydneykidsphysio