¿Existe alguna relación entre la capacidad de movimiento funcional y el estado ponderal? Un estudio en escolares españoles

Indexación: Scopus.Background: to examine relations between functional movement patterns and weight status in Spanish primary school children and to determine the differences between sexes. Methods: three hundred and thirty-three, 6-13 years old children (164 boys and 169 girls), participated in this study. The main outcome measures were the body mass index (BMI) and the Functional Movement Screen™ (FMS). Children were classified as normal weight (NW), overweight (OV) or obese (OB) according to international cut-offs. Results: total FMS score was negatively correlated with BMI (p < 0.001). FMS score was different between children from NW, OV and OB groups (p = 0.001), lower with the increased BMI (p < 0.001 between all groups). Significant differences (p < 0.05) between NW, OV and OB were found in deep squat, hurdle step, in-line lunge, shoulder mobility, straight leg-raise and push-up tests. As for the sex differences, girls obtained higher scores (p < 0.05) in in-line lunge, shoulder mobility and straight leg-raise, whereas boys did it in push-up (p = 0.044) test. Conclusions: these results confirm that total FMS score significantly and inversely correlates with BMI in a group of 333 school-age children. As for the sex differences, girls outperform boys in movements requiring flexibility and balance, whilst boys outperform girls in tests where muscular strength is required. © 2018 SENPE and Arán Ediciones S.L.Introducción: examinar la relación entre los patrones de movimiento funcional y el estado ponderal en escolares españoles, determinando también la infl uencia de la variable sexo. Métodos: trescientos treinta y tres niños de 6-13 años de edad (164 niños y 169 niñas), participaron voluntariamente en este estudio. Las variables objeto de estudio fueron el índice de masa corporal (IMC) y la batería de test Functional Movement ScreenTM (FMS). Los niños fueron clasifi cados como normopeso (NW), sobrepeso (OV) y obesos (OB) de acuerdo con los puntos de corte internacionales. Resultados: la puntuación total en el FMS correlacionó de forma negativa y signifi cativa con el IMC (p < 0,001). La puntuación en FMS fue diferente entre las categorías de peso (p = 0,001), hallando un peor rendimiento en FMS conforme aumenta el IMC (p < 0,001 entre todos los grupos). Se hallaron diferencias signifi cativas (p < 0,05) entre NW, OV y OB en los test de deep squat, hurdle step, in-line lunge, shoulder mobility, straight leg-raise and push-up. En cuanto a las diferencias por sexo, las chicas obtuvieron puntuaciones más altas en FMS (p < 0,05) en los test in-line lunge, shoulder mobility and straight leg-raise; mientras los chicos obtuvieron puntuaciones superiores en el test de push-up (p = 0,044). Conclusiones: los resultados confi rman que la puntuación total en el FMS correlaciona signifi cativa y negativamente con el IMC en este grupo de 333 escolares. En cuanto a la infl uencia del sexo, las chicas obtuvieron mayor puntuación que los chicos en los test que requerían fl exibilidad y equilibrio, mientras los chicos fueron superiores en los test en los que predominaba la fuerza muscular.https://www.nutricionhospitalaria.org/index.php/articles/01670/show#

The Utility of a High-intensity Exercise Protocol to Prospectively Assess ACL Injury Risk.

This study investigated the utility of a 5-min high-intensity exercise protocol (SAFT(5)) to include in prospective cohort studies investigating ACL injury risk. 15 active females were tested on 2 occasions during which their non-dominant leg was analysed before SAFT(5) (PRE), immediately after (POST0), 15 min after (POST15), and 30 min after (POST30). On the first occasion, testing included 5 maximum isokinetic contractions for eccentric and concentric hamstring and concentric quadriceps and on the second occasion, 3 trials of 2 landing tasks (i. e., single-leg hop and drop vertical jump) were conducted. Results showed a reduced eccentric hamstring peak torque at POST0, POST15 and POST30 (p<0.05) and a reduced functional HQ ratio (Hecc/Qcon) at POST15 and POST30 (p<0.05). Additionally, a more extended knee angle at POST30 (p<0.05) and increased knee internal rotation angle at POST0 and POST15 (p<0.05) were found in a single-leg hop. SAFT(5) altered landing strategies associated with increased ACL injury risk and similar to observations from match simulations. Our findings therefore support the utility of a high-intensity exercise protocol such as SAFT(5) to strengthen injury screening tests and to include in prospective cohort studies where time constraints apply

Desarrollo de herramienta para ruta de atención efectiva en urgencias acorde al análisis de tiempo de respuesta en triage de una IPS de cuarto nivel en la ciudad de Bogotá D.C.

El presente proyecto tiene como finalidad el estudio y análisis de la atención en salud del servicio de urgencias para implementar una herramienta tecnológica que a través de preguntas realizadas al encargado del servicio le permita planificar y gestionar de forma oportuna la atención ofertada; teniendo en cuenta las principales causas de inoportunidad dentro de una IPS de IV nivel de complejidad en la ciudad de Bogotá, a continuación se muestra en detalle la situación actual de muchos prestadores de servicios de salud en la capital del país y las causas más relevantes a tener en cuenta para mejorar la prestación del servicio.Tabla de Contenido Introducción 8 Palabras clave 8 1. Título 9 2. Problema de investigación. 9 2.1. Descripción del problema. 9 2.2. Formulación del problema. 10 3. Objetivos 10 3.1. Objetivo General 10 3.2. Objetivos específicos. 10 4. Justificación y delimitación. 11 4.1. Justificación. 11 4.2. Delimitación. 12 4.3 Limitaciones. 12 5. Marcos de referencia. 14 5.1. Estado de arte. 14 5.2. Marco Teórico 20 5.2.1. Gerencia de servicios y calidad total 25 5.2.2. Apropiación de las TICs en el sector salud. 27 5.2.3. Cadena de valor. 29 5.2.4. Auditoría integral en salud 31 5.3. Marco legal 35 6. Marco metodológico de la investigación 37 6.1. Paradigma 37 6.2. Tipo de estudio o tipo de investigación 37 6.3. Fuentes 38 6.4. Recolección de la información 38 6.5. Población. 43 6.6. Técnicas. 43 6.7. Procedimiento 43 6.8. Análisis de la información. 43 7. Resultados. 47 8. Análisis Financiero (costo-beneficio) 59 9. Conclusiones y recomendaciones 59 Lista de referencias 63Esta investigación es de carácter exploratoria descriptivaEspecializaciónEspecialista en Gerencia de Ingeniero HospitalariaEspecialización en Gerencia de Ingeniería Hospitalari

Training Habits of Eumenorrheic Active Women during the Different Phases of Their Menstrual Cycle: A Descriptive Study

This research was supported by the Pre-competitive Projects for Early Stage Researchers Program from the University of Granada (ref: PPJIA2020.03). The authors would like to thank all the participants.This study meets the ethical standards of theWorld Medical Association’s Declaration of Helsinki (2013), and it was approved by the Institutional Review Board (Universidad de La Frontera, Temucho, Chile, 005_19).Informed consent was obtained from all subjects involved in the study.The purpose of this study was to examine the training habits of eumenorrheic active women during their menstrual cycle (MC), and its perceived influence on physical performance regarding their athletic level. A group of 1250 sportswomen filled in a questionnaire referring to demographic information, athletic performance and MC-related training habits. Of the participants, 81% reported having a stable duration of MC, with most of them (57%) lasting 26-30 days. Concerning MC-related training habits, 79% indicated that their MC affects athletic performance, although 71% did not consider their MC in their training program, with no differences or modifications in training volume or in training intensity for low-level athletes (LLA) and high-level athletes (HLA) with hormonal contraceptive (HC) use. However, LLA with a normal MC adapted their training habits more, compared with HLA, also stopping their training (47.1% vs. 16.1%, respectively). Thus, different training strategies should be designed for HLA and LLA with a normal MC, but this is not so necessary for HLA and LLA who use HC. To sum up, training adaptations should be individually designed according to the training level and use or non-use of HC, always taking into account the pain suffered during the menstrual phase in most of the athletes.Pre-competitive Projects for Early Stage Researchers Program from the University of Granada PPJIA2020.0

Spatial and Temporal Trends of Global Pollination Benefit

Pollination is a well-studied and at the same time a threatened ecosystem service. A significant part of global crop production depends on or profits from pollination by animals. Using detailed information on global crop yields of 60 pollination dependent or profiting crops, we provide a map of global pollination benefits on a 5′ by 5′ latitude-longitude grid. The current spatial pattern of pollination benefits is only partly correlated with climate variables and the distribution of cropland. The resulting map of pollination benefits identifies hot spots of pollination benefits at sufficient detail to guide political decisions on where to protect pollination services by investing in structural diversity of land use. Additionally, we investigated the vulnerability of the national economies with respect to potential decline of pollination services as the portion of the (agricultural) economy depending on pollination benefits. While the general dependency of the agricultural economy on pollination seems to be stable from 1993 until 2009, we see increases in producer prices for pollination dependent crops, which we interpret as an early warning signal for a conflict between pollination service and other land uses at the global scale. Our spatially explicit analysis of global pollination benefit points to hot spots for the generation of pollination benefits and can serve as a base for further planning of land use, protection sites and agricultural policies for maintaining pollination services

Global overview of the management of acute cholecystitis during the COVID-19 pandemic (CHOLECOVID study)

Background: This study provides a global overview of the management of patients with acute cholecystitis during the initial phase of the COVID-19 pandemic. Methods: CHOLECOVID is an international, multicentre, observational comparative study of patients admitted to hospital with acute cholecystitis during the COVID-19 pandemic. Data on management were collected for a 2-month study interval coincident with the WHO declaration of the SARS-CoV-2 pandemic and compared with an equivalent pre-pandemic time interval. Mediation analysis examined the influence of SARS-COV-2 infection on 30-day mortality. Results: This study collected data on 9783 patients with acute cholecystitis admitted to 247 hospitals across the world. The pandemic was associated with reduced availability of surgical workforce and operating facilities globally, a significant shift to worse severity of disease, and increased use of conservative management. There was a reduction (both absolute and proportionate) in the number of patients undergoing cholecystectomy from 3095 patients (56.2 per cent) pre-pandemic to 1998 patients (46.2 per cent) during the pandemic but there was no difference in 30-day all-cause mortality after cholecystectomy comparing the pre-pandemic interval with the pandemic (13 patients (0.4 per cent) pre-pandemic to 13 patients (0.6 per cent) pandemic; P = 0.355). In mediation analysis, an admission with acute cholecystitis during the pandemic was associated with a non-significant increased risk of death (OR 1.29, 95 per cent c.i. 0.93 to 1.79, P = 0.121). Conclusion: CHOLECOVID provides a unique overview of the treatment of patients with cholecystitis across the globe during the first months of the SARS-CoV-2 pandemic. The study highlights the need for system resilience in retention of elective surgical activity. Cholecystectomy was associated with a low risk of mortality and deferral of treatment results in an increase in avoidable morbidity that represents the non-COVID cost of this pandemic

Reviewing the use of resilience concepts in forest sciences

Purpose of the review Resilience is a key concept to deal with an uncertain future in forestry. In recent years, it has received increasing attention from both research and practice. However, a common understanding of what resilience means in a forestry context, and how to operationalise it is lacking. Here, we conducted a systematic review of the recent forest science literature on resilience in the forestry context, synthesising how resilience is defined and assessed. Recent findings Based on a detailed review of 255 studies, we analysed how the concepts of engineering resilience, ecological resilience, and social-ecological resilience are used in forest sciences. A clear majority of the studies applied the concept of engineering resilience, quantifying resilience as the recovery time after a disturbance. The two most used indicators for engineering resilience were basal area increment and vegetation cover, whereas ecological resilience studies frequently focus on vegetation cover and tree density. In contrast, important social-ecological resilience indicators used in the literature are socio-economic diversity and stock of natural resources. In the context of global change, we expected an increase in studies adopting the more holistic social-ecological resilience concept, but this was not the observed trend. Summary Our analysis points to the nestedness of these three resilience concepts, suggesting that they are complementary rather than contradictory. It also means that the variety of resilience approaches does not need to be an obstacle for operationalisation of the concept. We provide guidance for choosing the most suitable resilience concept and indicators based on the management, disturbance and application context