Valores de referencia para el salto amplio en pie en escolares colombianos el estudio fuprecol: 2767 tablero # 290 3 de junio, 930 AM - 1100 AM

PURPOSE: Muscular power refers to the ability to perform high-intensity exercise for a fraction of a second to several minutes. Therefore, the purpose of this study was to develop age-and sex-specific normative reference values for lower-body muscular power assessed by the standing broad jump (SBJ) in Colombian schoolchildren. METHODS: A total of 7244 children and adolescents (55.7% girls, with a sample age range of 9-17.9 years) completed the SBJ test (median age, in years = 12.8 (SD 2.3); 25th-75th percentile: 11.0-15.0. The distance between takeoff and the heel of the closest foot at landing was recorded in centimeters, and participants were allowed one more try if they landed with their hands behind their feet. Smoothed percentile curves and tables for the 3rd, 10th, 25th, 50th, 75th, 90th and 97th percentiles were calculated using Cole’s LMS method. RESULTS: The one-way ANOVA tests showed that maximum SBJ (cm) was higher in boys than in girls (p<0.01). Post hoc analyses within sexes showed yearly increases in SBJ scores in all ages. In boys, the maximum SBJ scores 50th percentile ranged from 110 to 165 cm. In girls, the 50th percentile ranged from SBJ scores was 96 to 120. Both linear and quadratic age terms were statistically significant predictors of SBJ trends across age. CONCLUSIONS: Our results provide reference standards for sex- and age-specific SBJ scores in Colombian schoolchildren aged 9-17.9 years for the first time. The proposed reference values can be used to interpret SBJ scores in Colombian schoolchildren

Establecimiento de valores de referencia normativos para la prueba de transporte de 20 metros entre niños en edad escolar en Bogotá, Colombia: el estudio fuprecol 2765 Board # 288 3 de junio, 930 AM - 1100 AM

PURPOSE: There is increasing evidence that cardiorespiratory fitness (CRF) is an important health marker in youth. CRF values for children and adolescents from different countries have been published, but there is a scarcity of reference values for Latin American children and adolescents using recommended CRF estimation field tests such as the 20-m shuttle-run test as evidence of CRF in Colombian schoolchildren. In addition to presenting normative reference values, we also aim to establish the proportion of subjects whose aerobic capacity is indicative of future cardiovascular risk. METHODS: A total of 7244 children and adolescents (55.7% girls, with a sample age range of 9-17.9 years) completed the 20 m shuttle-run test (median age, in years = 12.8 (SD 2.3); 25th-75th percentile: 11.0-15.0. We expressed performance as the number of shuttle-runs completed and the estimated peak oxygen consumption (VO2peak). Smoothed percentile curves and tables for the 3rd, 10th, 25th, 50th, 75th, 90th and 97th percentiles were calculated using Cole’s LMS method. In addition, we calculated the number of participants who fell below proposed cut-offs for low CRF based on either completed shuttle-runs or by VO2peak. RESULTS: In general CRF levels increased with age. Among boys CRF, where higher between the ages of 14 and 17 and in girls between the ages of 12 and 14, but this increase was more modest. Shuttles and VO2peak were higher in boys than in girls in all age-specific groups. The proportion of subjects with a CRF indicative of future cardiovascular risk was 11.5%. By sex, 9.65% of boys and 13.1% of girls (X2 p < .001) displayed an unhealthy aerobic capacity in this study. CONCLUSIONS: Our results provide reference standards for sex- and age-specific twenty- meter shuttle-run test scores and VO2peak values in Colombian schoolchildren aged 9-17.9 years for the first time. These values are particularly important in public health and educational settings, and future research should establish a cut-off value for test performance that can predict present or future ill health

Estimulación multipunto mediante captura anódica del ventrículo izquierdo a través de un electrodo cuadripolar: evaluación hemodinámica no invasiva

Introducción: Un elevado porcentaje de pacientes no responde a la resincronización. La captura anódica izquierda mediante estimulación a alto voltaje, permite una estimulación multipunto que podría aumentar la tasa de respondedores. Objetivo: Evaluar la viabilidad y eficacia hemodinámica aguda de estimulación a alto voltaje mediante el uso del electrodo cuadripolar Quartet 1458Q®. Métodos: Se incluyeron 18 pacientes consecutivos, con electrodo cuadripolar, en quienes se confirmó captura en el modo deseado mediante monitorización electrocardiográfica. Se compararon las diferencias hemodinámicas agudas de captura anódica (electrodos 1-cátodo- y 4-ánodo, máximo voltaje y anchura), biventricular y ventricular derecha. Mediante el Task Force Monitor, se hizo análisis hemodinámico agudo de presión arterial sistólica, diastólica y media, volumen latido e índice, gasto cardiaco e índice. Para cada variable se analizó el valor máximo, mínimo y promedio, durante fases estables de diez minutos. Resultados: Se analizaron 18 pacientes (5 mujeres-27,8%), con edad media de 67,2 años (37-81); 33% con fibrilación auricular permanente y 39% con cardiopatía isquémica (sólo 5,6% ambas). La estimulación anódica aumentó significativamente el volumen latido e índice, así como el gasto cardiaco e índice en comparación con el modo biventricular [76,21 vs. 71,04 ml (p = 0,014); 40,67 vs. 37,88 ml/m2 (p = 0,018); 5,29 vs. 4,89 l/min (p = 0,007); 2,86 vs. 2,65 l/min/m2 (p = 0,007), respectivamente]. En el análisis por subgrupos, se concentró el beneficio en los pacientes en ritmo sinusal. Conclusión: La estimulación multipunto mediante captura anódica a través de un electrodo cuadripolar es factible, demostrándose así diferencias significativas en el volumen latido y gasto cardiaco, aunque limitado a la población en ritmo sinusal

El estado agudo de la lipemia posprandial induce cambios en la variabilidad de la frecuencia cardíaca en adultos sanos: estudio piloto clínico

PURPOSE: Experimental evidence has shown the relationship between heart rate variability (HRV) and cardiac dysfunction. Nevertheless, it is unknown if changes in HRV can be modified after a high fat meal (HFM) intake. The hypothesis of this study was focused on demonstrating that an acute state of postprandial lipemia induces changes in HRV in healthy adults. METHODS: Prospective interventional study in 14 apparently healthy adults of both sexes, (mean age: 30.71 ± 7.9 years; body weight: 71.53 ± 12.9 kg; BMI 26.2 ± 3.4 kg/m2), with no past medical history of cardiovascular or endocrine disease. The HFM consisted of a breakfast with a total weight of 141g and the following nutritional composition: 31 g fat, 69 g carbohydrate, 31 g protein, and a total of 1171 kcal. Pilot studies confirmed that in a rested state this meal produced a transient impairment in endothelial function. HRV was measured by the mean length of the RR interval (ms), after 10-12h fast (0 min, baseline) and after 60 min, 120 min, 180 min and 240 min postprandial. ANOVA for repeated measures was performed for five times, with Bonferroni correction. RESULTS: The basal value of mean RR was 925.2 ± 48.9 ms. It was identified that postprandial lipemia decreases the HRV in the first 60 min (826.9 ± 31.1 ms) by 10.6% (p< .261 for all ANOVA measures). Nevertheless, it increases at 120 minute by 10% (909.8 ± 49.25 ms) regarding to min 60. This increase was maintained at 180 min (907.6 ± 55.4 ms increment 9.7% compared to min 60). Finally, another decrease was identified at 240 min postprandial (845.7 ± 81.1 ms decrease of 8.6%) regarding to baseline. CONCLUSIONS: This study is the first experimental evidence that demonstrates that a high-fat intake changes HRV in healthy subjects. We recommend further studies with larger sample size in order to complement the results found on this study

El estado agudo de la lipemia posprandial induce cambios en la variabilidad de la frecuencia cardíaca en adultos sanos: estudio piloto clínico

PURPOSE: Experimental evidence has shown the relationship between heart rate variability (HRV) and cardiac dysfunction. Nevertheless, it is unknown if changes in HRV can be modified after a high fat meal (HFM) intake. The hypothesis of this study was focused on demonstrating that an acute state of postprandial lipemia induces changes in HRV in healthy adults. METHODS: Prospective interventional study in 14 apparently healthy adults of both sexes, (mean age: 30.71 ± 7.9 years; body weight: 71.53 ± 12.9 kg; BMI 26.2 ± 3.4 kg/m2), with no past medical history of cardiovascular or endocrine disease. The HFM consisted of a breakfast with a total weight of 141g and the following nutritional composition: 31 g fat, 69 g carbohydrate, 31 g protein, and a total of 1171 kcal. Pilot studies confirmed that in a rested state this meal produced a transient impairment in endothelial function. HRV was measured by the mean length of the RR interval (ms), after 10-12h fast (0 min, baseline) and after 60 min, 120 min, 180 min and 240 min postprandial. ANOVA for repeated measures was performed for five times, with Bonferroni correction. RESULTS: The basal value of mean RR was 925.2 ± 48.9 ms. It was identified that postprandial lipemia decreases the HRV in the first 60 min (826.9 ± 31.1 ms) by 10.6% (p< .261 for all ANOVA measures). Nevertheless, it increases at 120 minute by 10% (909.8 ± 49.25 ms) regarding to min 60. This increase was maintained at 180 min (907.6 ± 55.4 ms increment 9.7% compared to min 60). Finally, another decrease was identified at 240 min postprandial (845.7 ± 81.1 ms decrease of 8.6%) regarding to baseline. CONCLUSIONS: This study is the first experimental evidence that demonstrates that a high-fat intake changes HRV in healthy subjects. We recommend further studies with larger sample size in order to complement the results found on this study

Práctica basada en la evidencia : creencias, actitudes, conocimientos y habilidades entre fisioterapeutas colombianos

Objetivo: Describir en un grupo colombiano de fisioterapeutas las i) creencias y actitudes hacia la practica basada en la evidencia (PBE), ii) la educación, el conocimiento y las habilidades para implementar la PBE; iii) el uso de la literatura relevante en la práctica clínica; iv) el acceso y la disponibilidad de información científica; y v) la percepción de las barreras para la inclusión de la PBE. Métodos: Se realizó un estudio transversal en 1,064 fisioterapeutas colombianos. El estudio usó el cuestionario que consta de 50-ítems para estimar las actitudes, creencias, conocimientos y habilidades hacia la PBE. Dicho instrumento fue adaptado y validado en Colombia por Flórez-López et al. Resultados: La mayoría de la población participante fueron mujeres (77.2%) en edades comprendidas entre 22 y 29 años (79.4%). El 87.7% de los encuestados eran titulados en fisioterapia. Los fisioterapeutas manifestaron tener actitudes y creencias positivas hacia la PBE. Una mayoría respondió que estaba de acuerdo o muy de acuerdo en que es necesaria la PBE (71.6%), en que la literatura es útil para la práctica clínica (61.3%), que la PBE mejora la calidad de la atención a los pacientes (64.1%), y en que la evidencia ayuda en la toma de decisiones clínicas (44.5%). El 41.0% de los encuestados indicaron que la falta de habilidades de investigación era la barrera más importante para el uso de la evidencia científica en la práctica clínica. Conclusiones: Los fisioterapeutas manifestaron una actitud positiva acerca la PBE y estaban interesados en aprender o mejorar las habilidades necesarias para adoptar la PBE en la práctica clínica.Objective: The main purpose of this study was to describe a group of Colombian physical therapists’ beliefs and attitudes towards Evidence-Based Practice (EBP), their education, knowledge and skills for implementing EBP, the use of relevant literature in clinical practice, access to and availability of scientific information and perceived barriers to including EBP in practice. Methods: This was a cross-sectional study which involved 1,064 Colombian physical therapists. The study used a 50-item screening questionnaire EBP developed to estimate attitudes, beliefs, knowledge and skills regarding. This instrument has been adapted and was validated previously in Colombia by Flórez-López et al. Results: The population mostly consisted of young females (77.2%) aged 22 to 29 years old (79.4%). Most respondents had an undergraduate degree (87.7%). The physical therapists stated that they had positive attitudes and beliefs regarding EBP, most of them answering that they agreed or strongly agreed that EBP is necessary (71.6%), the relevant literature is useful for practice (61.3%), EBP improves the quality of patient care (64.1%) and evidence helps in decision-making (44.5%). Forty-one percent of the respondents indicated that a lack of research skills was the most important barrier to the use of evidence in practice. Conclusion: The physical therapists reported that they had a positive attitude to EBP and were interested in learning about or improving the skills necessary to adopt EBP in their clinical practice

Práctica basada en la evidencia : creencias, actitudes, conocimientos y habilidades entre fisioterapeutas colombianos

Objetivo: Describir en un grupo colombiano de fisioterapeutas las i) creencias y actitudes hacia la practica basada en la evidencia (PBE), ii) la educación, el conocimiento y las habilidades para implementar la PBE; iii) el uso de la literatura relevante en la práctica clínica; iv) el acceso y la disponibilidad de información científica; y v) la percepción de las barreras para la inclusión de la PBE. Métodos: Se realizó un estudio transversal en 1,064 fisioterapeutas colombianos. El estudio usó el cuestionario que consta de 50-ítems para estimar las actitudes, creencias, conocimientos y habilidades hacia la PBE. Dicho instrumento fue adaptado y validado en Colombia por Flórez-López et al. Resultados: La mayoría de la población participante fueron mujeres (77.2%) en edades comprendidas entre 22 y 29 años (79.4%). El 87.7% de los encuestados eran titulados en fisioterapia. Los fisioterapeutas manifestaron tener actitudes y creencias positivas hacia la PBE. Una mayoría respondió que estaba de acuerdo o muy de acuerdo en que es necesaria la PBE (71.6%), en que la literatura es útil para la práctica clínica (61.3%), que la PBE mejora la calidad de la atención a los pacientes (64.1%), y en que la evidencia ayuda en la toma de decisiones clínicas (44.5%). El 41.0% de los encuestados indicaron que la falta de habilidades de investigación era la barrera más importante para el uso de la evidencia científica en la práctica clínica. Conclusiones: Los fisioterapeutas manifestaron una actitud positiva acerca la PBE y estaban interesados en aprender o mejorar las habilidades necesarias para adoptar la PBE en la práctica clínica.Objective: The main purpose of this study was to describe a group of Colombian physical therapists’ beliefs and attitudes towards Evidence-Based Practice (EBP), their education, knowledge and skills for implementing EBP, the use of relevant literature in clinical practice, access to and availability of scientific information and perceived barriers to including EBP in practice. Methods: This was a cross-sectional study which involved 1,064 Colombian physical therapists. The study used a 50-item screening questionnaire EBP developed to estimate attitudes, beliefs, knowledge and skills regarding. This instrument has been adapted and was validated previously in Colombia by Flórez-López et al. Results: The population mostly consisted of young females (77.2%) aged 22 to 29 years old (79.4%). Most respondents had an undergraduate degree (87.7%). The physical therapists stated that they had positive attitudes and beliefs regarding EBP, most of them answering that they agreed or strongly agreed that EBP is necessary (71.6%), the relevant literature is useful for practice (61.3%), EBP improves the quality of patient care (64.1%) and evidence helps in decision-making (44.5%). Forty-one percent of the respondents indicated that a lack of research skills was the most important barrier to the use of evidence in practice. Conclusion: The physical therapists reported that they had a positive attitude to EBP and were interested in learning about or improving the skills necessary to adopt EBP in their clinical practice

The genomic landscape of Mexican Indigenous populations brings insights into the peopling of the Americas

Indigenous populations, including in those in Mexico are underrepresented in genetic studies. Here, the authors perform a population genetics study of indigenous peoples in Mexico to explore demographic histories of the region in the context of geography and cultural influences

Discovering HIV related information by means of association rules and machine learning

Acquired immunodeficiency syndrome (AIDS) is still one of the main health problems worldwide. It is therefore essential to keep making progress in improving the prognosis and quality of life of affected patients. One way to advance along this pathway is to uncover connections between other disorders associated with HIV/AIDS-so that they can be anticipated and possibly mitigated. We propose to achieve this by using Association Rules (ARs). They allow us to represent the dependencies between a number of diseases and other specific diseases. However, classical techniques systematically generate every AR meeting some minimal conditions on data frequency, hence generating a vast amount of uninteresting ARs, which need to be filtered out. The lack of manually annotated ARs has favored unsupervised filtering, even though they produce limited results. In this paper, we propose a semi-supervised system, able to identify relevant ARs among HIV-related diseases with a minimal amount of annotated training data. Our system has been able to extract a good number of relationships between HIV-related diseases that have been previously detected in the literature but are scattered and are often little known. Furthermore, a number of plausible new relationships have shown up which deserve further investigation by qualified medical experts

Promoción turística sostenible de la reserva de la biosfera Tajo-Tejo Internacional

Convocatoria proyectos de innovación de Extremadura 2020/2021Se describe un proyecto llevado acabo por varios centros educativos ubicados en la zona de la Reserva de la Biosfera Tajo-Tejo Internacional (RBTTI) que pretendía contribuir a la transformación sostenible del entorno mediante su conocimiento y promoción, implementando las competencias digital, social y ciudadana y la cultura emprendedora mediante metodologías activas como el aprendizaje servicio. Entre los objetivos principales del proyecto destacan: dar a conocer las implicaciones de la RBTTI; diseñar una campaña de promoción de la RBTTI mediante trípticos y vídeos promocionales; conocer la Reserva a través de las principales vías pecuarias y caminos que comunican los pueblos; descubrir los principales elementos socioculturales, históricos y tradicionales de la Reserva; valorar la importancia del territorio para conservar la biodiversidad: paisajes, ecosistemas, fauna y flora representativa; relacionar la trashumancia y las vías pecuarias como rasgos identificativos de la Reserva, vinculándolo con la historia y rasgos culturales de los pueblos y valorar el emprendimiento y la iniciativa personal, el asosiacionismo y creación de redes de cooperación en y entre pueblos como motor de desarrolloExtremaduraES