June 2023

The use of peripheral blocks is increasing due to the advantages they have over general anesthesia, despite this, the use of general anesthesia is still very high in many parts of the world. The use of interscalene block is successfully employed for shoulder surgery and there is now evidence both for and against its use versus general anesthesia. This study seeks to compare hospital stay between patients undergoing shoulder arthroscopy under general anesthesia vs patients undergoing the same procedure with the use of an interscalene block. Our goal is to identify which group of patients have a longer hospital stay which can correlate with a higher number of complications. This study is a retrospective analysis of 70 subjects where we aimed to compare the number of days every patient stayed in the hospital after surgery. The resulta fo this study were that 14.30 % (n= 10) of the subjects presented some type of postanesthetic complication, where 80.00 % (n= 8) of the subjects underwent general anesthesia and 20.00 % (n= 2) underwent interscalene block, statistically significant distribution (p= 0.040) and when hospital stay was comparedthere was a statistically significant difference for a shorter in-hospital stay in subjects who underwent interscalene block (p < 0.001). These results suggest that interscalene blockade may provide adequate analgesic control as well as a shorter in-hospital stay compared to balanced general anesthesia alone and may be a better management option for the anesthesiologist if appropriately individualized for each patient.

The article examines the necessity of investigating cross-cultural communication in Indonesia and its potential to facilitate comprehension of cultural heterogeneity, foster appreciation for diverse cultures, enhance cross-cultural communication, and cultivate efficacious communication tactics. The anticipated outcome of the article is to enhance comprehension of the obstacles and prospects associated with cross-cultural communication in Indonesia. This investigation aims to contribute insights into cultivating enduring and robust interpersonal connections with individuals, irrespective of their cultural origins. The research demonstrates that comprehending the cultural context and being willing to acknowledge differences are crucial elements for effective cross-cultural communication in Indonesia. To comprehensively comprehend the cultural context, engaging in cultural immersion and carefully observing the dynamics of communication is advisable.

Introduction: The increase in abdominal fat is associated with cardiovascular, metabolic and neoplastic diseases and has an aesthetic interest especially in young women. Ultracavitation, which is a physical agent that applies the mechanical effects of ultrasound on adipocytes, is an option for its approach. Objective: To determine the effect of ultracavitation in the reduction abdominal adiposity in women aged 30 to 40 years. Methodology: Preexperimental study in healthy woman or with overweight or obese, aged 30 to 40 years who received 15 ultracavitation sessions of 15 minutes per flank with multifunctional equipment at 40 kHertz, 40 W / cm2 and 100% of work cycle, 10 cm2 on each flank. Measurements of weight, height, BMI, percentage of fat mass, waist circumference and pliometry were made. Analysis with descriptive statistics, chi-square and Student's t for repeated measurements. Results: We included 24 women aged 34.4 ± 3.7 years. The weight was 81.4 ± 26.7 kg at baseline and 80.2 ± 25.5 kg at the end (p=0.01), basal body fat percentage of 39.7 ± 6.3 and 37.0 ± 6.8 final (p = 0.001), abdominal circumference 96.7 ± 14.9 cm and 92.5 ± 15.6 initial and final respectively (p < 0.001) and abdominal pliometry 38.5 ± 9.5 mm at baseline and 34.6 ± 10.6 final (p < 0.001). Conclusions: The approach to abdominal adiposity with 15 sessions of ultracavitation significantly reduces weight, body fat percentage, abdominal circumference and abdominal skin fold.

The objective of this research was to analyze the situational motivation and academic satisfaction of the students of the Dental Surgeon career, once they return to face-to-face classes after the pandemic generated by COVID-19. The four dimensions that make up situational motivation are analyzed; in addition to academic satisfaction. For the above, a quantitative investigation was carried out with a quasi-experimental descriptive design. The participants of this study were 366 university students of both sexes to whom two instruments were applied. Finally, it was evidenced that the students of the Dental Surgeon career generally have a high situational motivation and are academically satisfied despite adapting to the normality established to resume the face-to-face modality after the COVID-19 pandemic.

Fragility syndrome is defined as a state of decreased physiological reserves and a limited ability to compensate and recover easily. (1) Due to an ageing population, the prevalence of fragility syndrome is increasing. This concept is used in anesthesia as a predictor of complications, transoperatives or post operatives and can guide better decision-making. Frailty is also associated with decreased quality of life, higher number of hospitalizations, increased hospital stay, increased risk of postoperative complications, and higher mortality. However, although several frailty assessment tools are available, routine evaluation is not commonly performed prior to elective surgery and there is also no standardized method of how it should be measured. This review aims to provide an overview of what is discussed in the literature regarding fragility syndrome and its impact on anesthesia.