Anthropometric physical-conditional potentialities of Athletes with intellectual disabilities for Special Olympics

El trabajo tiene como objetivo central valorar la condición física en atletas con discapacidad intelectual del Programa de Olimpiadas Especiales en el Atletismo, a partir de indicadores antropométricos físicas-condicionales. Se realizó un estudio descriptivo, exploratorio, no experimental desarrollado bajo un paradigma cualitativo, donde participaron 10 atletas con discapacidad intelectual, integrantes del equipo de Atletismo del Programa de Olimpiadas Especiales en Villa Clara. Se emplearon los métodos el análisis de documentos, la encuesta, la entrevista, la medición, análisis estadístico. Además, se realizaron mediciones antropométricas en miembros superiores e inferiores como alcances, longitudes y circunferencias, así como, indicadores de capacidades físicas condicionales como flexibilidad, fuerza de brazos, abdomen y piernas; rapidez y resistencia. Se utilizó el criterio de inclusión. Los resultados arrojaron las principales características antropométricas físicas-condicionales que distinguen a los atletas, así como, su análisis en función de las potencialidades para el deporte, a partir del comportamiento de los valores medios de cada indicador. La confiabilidad y validez de los instrumentos, nos arrojaron un intervalo de confianza del (95%), con un valor significación es (p<0.05)The main objective of this work is to evaluate the physical condition of athletes with intellectual disabilities of the Special Olympics Program in Athletics, based on physical-conditional anthropometric indicators. A descriptive, exploratory, non-experimental study was carried out under a qualitative paradigm, with the participation of 10 athletes with intellectual disabilities, members of the Athletics team of the Special Olympics Program in Villa Clara. The methods used were document analysis, survey, interview, measurement, statistical analysis. In addition, anthropometric measurements were taken in upper and lower limbs such as reaches, lengths and circumferences, as well as indicators of conditional physical capacities such as flexibility, strength of arms, abdomen and legs; speed and endurance. Inclusion criteria were used. The results showed the main physical-conditional anthropometric characteristics that distinguish the athletes, as well as their analysis according to the potentialities for the sport, from the behavior of the mean values of each indicator. The reliability and validity of the instruments showed a confidence interval of 95%, with a significance value of (p<0.05)

Autonomic impairment of patients in coma with different Glasgow coma score assessed with heart rate variability

Primary objective: The objective of this study is to assess the functional state of the autonomic nervous system in healthy individuals and in individuals in coma using measures of heart rate variability (HRV) and to evaluate its efficiency in predicting mortality. Design and Methods: Retrospective group comparison study of patients in coma classified into two subgroups, according to their Glasgow coma score, with a healthy control group. HRV indices were calculated from 7 min of artefact-free electrocardiograms using the Hilbert–Huang method in the spectral range 0.02–0.6 Hz. A special procedure was applied to avoid confounding factors. Stepwise multiple regression logistic analysis (SMLRA) and ROC analysis evaluated predictions. Results: Progressive reduction of HRV was confirmed and was associated with deepening of coma and a mortality score model that included three spectral HRV indices of absolute power values of very low, low and very high frequency bands (0.4-0.6 Hz). The SMLRA model showed sensitivity of 95.65%, specificity of 95.83%, positive predictive value of 95.65%, and overall efficiency of 95.74%. Conclusions: HRV is a reliable method to assess the integrity of the neural control of the caudal brainstem centres on the hearts of patients in coma and to predict patient mortality

Procedure for the analysis of the first running steps of sprinters

La presente investigación surge como demanda tecnológica por las deficiencias técnicas en la ejecución de la fase inicial de aceleración, específicamente en los cuatro primeros pasos en las carreras de velocidad manifestadas por los atletas juveniles de la Escuela de Iniciación Deportiva Escolar de Villa Clara, Cuba; mediante el diagnóstico de las deficiencias técnicas se determinaron las variables cinemáticas a estudiar, en aras del perfeccionamiento técnico de esta fase. Los objetivos son establecer procedimientos biomecánicos para el análisis de los primeros pasos de carrera de los velocistas juveniles. Conocer el nivel de satisfacción de los usuarios con el procedimiento propuesto. Se emplearon métodos del nivel teórico y empírico; además del programa biomecánico Kinovea para obtener los grados de los diferentes partes del cuerpo, nos permitió constar los deficientes resultados que experimenta esta disciplina a nivel nacional y de la necesidad de contar con un procedimiento biomecánico que orienten el proceso de entrenamiento de los velocistas juveniles. Como principal resultado se obtuvo un procedimiento biomecánico para el análisis de los primeros pasos de las carreras de velocidad, donde los usuarios están muy satisfechos.The present research arises as a technological demand due to the technical deficiencies in the execution of the initial phase of acceleration, specifically in the first four steps in sprint races manifested by the juvenile athletes of the School of School Sports Initiation of Villa Clara, Cuba; through the diagnosis of the technical deficiencies, the kinematic variables to be studied were determined, for the sake of the technical improvement of this phase. The objectives are to establish biomechanical procedures for the analysis of the first running steps of juvenile sprinters. To know the level of satisfaction of the users with the proposed procedure. Theoretical and empirical methods were used; in addition to the biomechanical program Kinovea to obtain the degrees of the different parts of the body, it allowed us to note the deficient results experienced by this discipline at national level and the need to have a biomechanical procedure to guide the training process of juvenile sprinters. As a main result, we obtained a biomechanical procedure for the analysis of the first steps of sprint races, where the users are very satisfie

Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Disfunción autonómica cardiovascular en enfermos y presintomáticos de la ataxia espinocerebelosa tipo 2

La ataxia espinocerebelosa tipo 2 (SCA2) es un problema de salud en Cuba. En dicha enfermedad se han descrito alteraciones disauton&amp;oacute;micas cardiovasculares en su fase sintom&amp;aacute;tica. Esta investigaci&amp;oacute;n se propuso evaluar la integridad funcional del sistema nervioso aut&amp;oacute;nomo cardiovascular en 55 pacientes (E-SCA2) y 48 presintom&amp;aacute;ticos (PS-SCA2), por medio de la sintomatolog&amp;iacute;a, el an&amp;aacute;lisis de la variabilidad de la frecuencia cardiaca (VFC) y de la tensi&amp;oacute;n arterial durante la realizaci&amp;oacute;n de pruebas estandarizadas. Se identific&amp;oacute; predominio de s&amp;iacute;ntomas gastrointestinales y genitourinarios en PS-SCA2 y E-SCA2, con similares proporciones. Los &amp;iacute;ndices de la VFC en reposo y durante las maniobras activas mostraron en ambos grupos diferencias significativas con sus controles y con los valores de normalidad reconocidos internacionalmente. Se identificaron signos positivos de neuropat&amp;iacute;a auton&amp;oacute;mica cardiovascular (NACv) con diferentes grados de intensidad en el 71 % de los E-SCA2 y el 27 % de los PS-SCA2. El an&amp;aacute;lisis de la VFC y de la TA para el diagn&amp;oacute;stico de la NACv, constituyeron m&amp;eacute;todos incruentos y potencialmente &amp;uacute;tiles en el control cl&amp;iacute;nico evolutivo de la SCA2, lo que resulta de inestimable valor en la personalizaci&amp;oacute;n de la evaluaci&amp;oacute;n neurol&amp;oacute;gica y terap&amp;eacute;utica, considerando los riesgos atribuidos a la presencia de NACv

Disfunción autonómica cardiovascular en enfermos y presintomáticos de la ataxia espinocerebelosa tipo 2

La ataxia espinocerebelosa tipo 2 (SCA2) es un problema de salud en Cuba. En dicha enfermedad se han descrito alteraciones disauton&amp;oacute;micas cardiovasculares en su fase sintom&amp;aacute;tica. Esta investigaci&amp;oacute;n se propuso evaluar la integridad funcional del sistema nervioso aut&amp;oacute;nomo cardiovascular en 55 pacientes (E-SCA2) y 48 presintom&amp;aacute;ticos (PS-SCA2), por medio de la sintomatolog&amp;iacute;a, el an&amp;aacute;lisis de la variabilidad de la frecuencia cardiaca (VFC) y de la tensi&amp;oacute;n arterial durante la realizaci&amp;oacute;n de pruebas estandarizadas. Se identific&amp;oacute; predominio de s&amp;iacute;ntomas gastrointestinales y genitourinarios en PS-SCA2 y E-SCA2, con similares proporciones. Los &amp;iacute;ndices de la VFC en reposo y durante las maniobras activas mostraron en ambos grupos diferencias significativas con sus controles y con los valores de normalidad reconocidos internacionalmente. Se identificaron signos positivos de neuropat&amp;iacute;a auton&amp;oacute;mica cardiovascular (NACv) con diferentes grados de intensidad en el 71 % de los E-SCA2 y el 27 % de los PS-SCA2. El an&amp;aacute;lisis de la VFC y de la TA para el diagn&amp;oacute;stico de la NACv, constituyeron m&amp;eacute;todos incruentos y potencialmente &amp;uacute;tiles en el control cl&amp;iacute;nico evolutivo de la SCA2, lo que resulta de inestimable valor en la personalizaci&amp;oacute;n de la evaluaci&amp;oacute;n neurol&amp;oacute;gica y terap&amp;eacute;utica, considerando los riesgos atribuidos a la presencia de NACv

Impact of ambulatory EEG in the management of patients with epilepsy in resource-limited Latin American populations

Objective: Ambulatory electroencephalography (AEEG) monitoring allows for prolonged recordings in normal environments, such as patients’ homes, and is recognized as a cost-effective alternative to inpatient long-term video-EEG primarily in resource-limited countries. We aim to describe the impact of AEEG on the assessment of patients with suspected or confirmed epilepsy in two independent Latin-American populations with limited resources. Methods: We included 63 patients who had undergone an AEEG due to confirmed/suspected epilepsy. Clinical (demographic, current antiseizure medication and indication) and electroencephalographic (duration of the study, result, and impact on clinical decision-making) were reviewed and compared. Results: The main indication for an AEEG was the differentiation of seizures from non-epileptic events with 57% of patients. It was categorized as positive in 36 patients and did have an impact on the clinical decision-making process in 57% of patients. AEEG captured clinical events in 35 patients (20 epileptic and 15 non-epileptic). Conclusions: AEEG proves to be a valuable tool in resource-limited settings for assessing suspected or confirmed epilepsy cases, with a significant impact on clinical decisions. Significance: Our study provides valuable insights into the use of AEEG in under-resourced regions, shedding light on the challenges and potential benefits of this tool in clinical practice