Influência do marketing desportivo na gestão organizacional da Universidade APolitécnica de Moçambique (Original)

Sport, with its characteristic of emotional and pleasurable involvement with different audiences, is constantly used in marketing that involves differentiation, approximation of specific customers and search for the development of fundamental values important for the competitive environment.Thus, this study aimed to analyze how sport was inserted in Higher Education Institutions in Mozambique and how it is used in marketing, through the case study of the Polytechnic University of Mozambique. It was decided to carry out the study in an exploratory way, with a qualitative analysis, in order to obtain more in-depth information on the subject.It was found that sport is a fundamental variable in organizational management much more than a simple communication channel. Initiated through partnerships with traditional clubs in the city of Maputo. Thus, the relationship with sport strengthens the brand in a social context and competitive advantages are obtained in the market, making the institution an example with regard to the union between sport and marketing.O desporto, com sua característica de envolvimento emocional e prazeroso com diferentes públicos, é constantemente utilizado no marketing que envolve diferenciação, aproximação de clientes específicos e busca de desenvolvimento de valores fundamentais importantes para o ambiente competitivo. Assim, este estudo teve como objectivo analisar como o desporto foi inserido nas Instituições de Ensino Superior em Moçambique e como é utilizado no marketing, através do estudo de caso da Universidade A Politécnica de Moçambique. Optou-se por realizar o estudo de forma exploratória, com uma análise qualitativa, a fim de obter informações mais aprofundadas sobre o tema. Verificou-se que o desporto é uma variável fundamental na gestão organizacional muito mais do que um simples canal de comunicação. Iniciado através de parcerias com clubes tradicionais da cidade de Maputo. Assim, a relação com o desporto fortalece a marca num contexto social e são obtidas vantagens competitivas no mercado, tornando a instituição um exemplo no que diz respeito à união entre desporto e marketing

Seminoma gonadal retroperitoneal como causa poco frecuente de oclusión intestinal mecánica. Presentación de caso

Introduction: the testicular neoplasias of germinal cells are between 1-3 % of tumors in men and 4% of all tumors of the genital urinary system. The frequency of these neoplasias has increased and it has become more frequent in young men of 20 to 40 years, with an average age of 32 years and an incidence in the most productive stage of the person.Case presentation: it is presented the case of a 53 year old patient, assisted in the emergency service of surgery at Carlos Manuel de Céspedes General Teaching Province Hospital in June, 2013, with the diagnostic of mechanical intestinal occlusion.Discussion: testicular cancer is a paradigm of a curable tumor and nowadays there are designed new strategies of treatment to obtain, on one hand, a better survival in the patients with worse prognosis, and on the other hand, the late toxicities are attempted to be reduced. The disease is reduced in clinical stage I in 70 % of the cases, with the absence of regional metastasis in the distance, with a healing rate over 95 %, no matter if the post orchiectomy adjuvant therapy is  provided or not.Conclusion: with this presentation it is intended to present an infrequent case of mechanical intestinal occlusion, updating the knowledge about the testicular tumors and emphasizing the importance of the proper physical examination of genitals in the consultations, performed by pediatricians, family doctors, clinics and surgeons, who favor a precocious diagnosis of cryptorchidism and other genital anomalies, to avoid the gonadal cancer, easily diagnosed with a proper use of the clinical method.Introducción: las neoplasias testiculares de células germinales están entre el 1-3% de los tumores del hombre y el 4% de todos los tumores del sistema genitourinario. La frecuencia de estas neoplasias ha venido en aumento y se han hecho más frecuentes en varones jóvenes de 20 a 40 años, con una edad promedio de 32 años, con incidencia en la etapa más productiva del individuo.Presentación de caso: se presenta el caso de un paciente masculino de 53 años, atendido por urgencia, en el servicio de cirugía del Hospital General Provincial Docente “Carlos Manuel de Céspedes” en junio del 2013, con el diagnostico de oclusión intestinal mecánica.Discusión: el cáncer de testículo supone el paradigma de un tumor curable, y actualmente se siguen diseñando nuevas estrategias de tratamiento para conseguir, por un lado, una mejor supervivencia en aquellos pacientes de peor pronóstico y, por otro, intentar reducir las toxicidades tardías. La enfermedad se diagnostica en estadio clínico I en el 70% de los casos, con  ausencia de metástasis regional y a distancia, con una tasa de curación mayor de 95% independiente de si se administra o no terapia adyuvante post orquiectomia.Conclusión: con esta presentación se pretende  presentar un caso poco frecuente de oclusión intestinal mecánica, actualizar el conocimiento acerca de los tumores testiculares y llamar la atención acerca de la importancia del adecuado examen físico de los genitales en las consultas,  por parte de pediatras, médicos de familia, clínicos y cirujanos, que permitan un diagnóstico precoz de las criptorquidias y otras malformaciones genitales para  evitar el desarrollo del cáncer gonadal fácilmente diagnosticable con un uso correcto del método clínico

Vaginal discharge syndrome in twin pregnancy

Introduction: there are several studies made in Guantanamo province related to the vaginal discharge syndrome, but with little emphasis in the links between this condition and the twin pregnancy. Methods: a descriptive, cross-sectional study was undertaken, with the goal of characterizing vaginal discharge syndrome in women with twin pregnancy in the Hogar Materno Provincial (Provincial Maternal Home) ¨Cristina Pérez Pérez¨ in Guantanamo in the period between January 2018 to March 2019. The sample was made out of 45 patients. The variables studied were: age, origin, marital status, personal medical history, cause and treatment. Results: the study shows predominance in women under 35 years of age (n=34; 74.6%) residing in urban areas (n=20; 57.1%) and with no previous apparent medical history (n=29; 82.9%). The most common cause of the vaginal discharge syndrome was bacterial vaginosis (n=19; 42.3%). Most patients had a positive response to the treatment (n=37; 82.2%). Conclusions: vaginal discharge syndrome represents a health problem with several implications in twin pregnancy because it is one of the high risk causes of premature births

Síndrome de flujo vaginal en gestantes con embarazo gemelar

Introduction: there are several studies made in Guantanamo province related to the vaginal discharge syndrome, but with little emphasis in the links between this condition and the twin pregnancy. Methods: a descriptive, cross-sectional study was undertaken, with the goal of characterizing vaginal discharge syndrome in women with twin pregnancy in the Hogar Materno Provincial (Provincial Maternal Home) ¨Cristina Pérez Pérez¨ in Guantanamo in the period between January 2018 to March 2019. The sample was made out of 45 patients. The variables studied were: age, origin, marital status, personal medical history, cause and treatment. Results: the study shows predominance in women under 35 years of age (n=34; 74.6%) residing in urban areas (n=20; 57.1%) and with no previous apparent medical history (n=29; 82.9%). The most common cause of the vaginal discharge syndrome was bacterial vaginosis (n=19; 42.3%). Most patients had a positive response to the treatment (n=37; 82.2%). Conclusions: vaginal discharge syndrome represents a health problem with several implications in twin pregnancy because it is one of the high risk causes of premature births.Introducción: en estudios realizados en la provincia de Guantánamo se constató que existen varios estudios relacionados con el síndrome de flujo vaginal, pero con poco énfasis en la relación de este síndrome con el embarazo gemelar. Objetivo: con el objetivo de caracterizar el síndrome de flujo vaginal en gestantes con embarazo gemelar en el Hogar Materno Provincial “Cristina Pérez Pérez” de Guantánamo.Método: se realizó un estudio descriptivo transversal durante el período desde enero de 2018 hasta marzo de 2019. Se tomó una muestra de 45 gestantes. Se estudiaron las variables siguientes: edad, procedencia, estado civil, antecedentes patológicos personales, causa y tratamiento. Resultados: se muestra un predominio de las gestantes menores de 35 años (n=34; 74,6 %) de procedencia urbana (n=20; 57,1 %) y sin antecedentes aparentes de salud (n=29; 82,9 %). La causa del síndrome de flujo vaginal más común fue la vaginosis bacteriana (n=19; 42,3 %). En cuanto a la respuesta al tratamiento el mayor número de gestantes tuvo una respuesta satisfactoria (n=37; 82,2 %). Conclusiones: el síndrome de flujo vaginal constituye un problema de salud que tiene múltiples implicaciones en las gestantes con embarazo gemelar por ser una de las causas de alto riesgo de prematuridad

Função renal em idosos diabéticos e hipertensos

Introduction: the decrease in glomerular filtration rate in older adults’ patients with diabetic and hypertensive problems is a consequence of physiological factors to which are added some vascular changes associated with alterations produced by underlying chronic diseases. Objective: to characterize renal function in older adults’ patients with diabetic and hypertensive problems attended at the Family Doctor's Office No. 4, Policlínico Docente "Ángel Alfonso Ortiz Vázquez", Manzanillo, Granma.Method: a descriptive, retrospective study was carried out in 2020 to determine the renal function in 249 older adults with diabetic and hypertension problems. The Cockcroft-Gaulty formula was used. The following variables extracted from the medical records were used: diagnosis of diabetes mellitus, diagnosis of hypertension, age, sex, weight and creatinine text. Results: male sex predominated (52.2 %). The mean age range, between 60 and 87 years, was 68.9 ± 7.3. The minimum glomerular filtration rate was 27.5 ml/min/1.73 m2, and the maximum was 143.7 ml/min/1.73 m2, the mean rate in these patients was 69.2 ± 18.7 ml/min/1.73 m2. For male was 71.4 ± 19.0 ml/min/1.73 m2 and 66.8 ± 18.2 ml/min/1.73 m2 for female. Hypertension predominated (94.4%) over diabetes mellitus (41.8%). The glomerular filtration rate in hypertensive patients (29.7 %) was less than 60 ml/min/1.73 m2. Conclusions: a third of patients with diabetic and hypertension had decreased in glomerular filtration rate, and this decrease was associated with increasing age.Introducción: la disminución del filtrado glomerular en adultos mayores diabéticos e hipertensos es consecuencia de factores fisiológicos a los que se le añaden cambios vasculares dependientes de alteraciones que producen las enfermedades crónicas subyacentes. Objetivo: caracterizar la función renal en adultos mayores diabéticos e hipertensos del Policlínico Docente "Ángel Alfonso Ortiz Vázquez", del municipio Manzanillo en la provincia Granma, durante el año 2020.Método: se realizó un estudio descriptivo, retrospectivo para determinar la función renal en 249 adultos mayores diabéticos e hipertensos. Se empleó la fórmula de Cockcroft-Gault y se extrajeron de las historias clínicas las variables: diagnóstico de diabetes mellitus, diagnóstico de hipertensión arterial, edad, sexo, peso y creatinina. Resultados: predominó el sexo masculino (52,2 %). El rango de edades, comprendido entre 60 y 87 años, tuvo una media de 68,9 ± 7,3. El valor mínimo de filtrado glomerular fue de 27,5 ml/min/1,73 m2, y el máximo fue de 143,7 ml/min/1,73 m2, la media en estos pacientes fue de 69,2 ± 18,7 ml/min/1,73 m2; para los varones fue 71,4 ± 19,0 ml/min/1,73 m2 y de 66,8 ± 18,2 ml/min/1,73 m2 para las mujeres. Predominó la hipertensión arterial (94,4 %) sobre la diabetes mellitus (41,8 %). El filtrado glomerular en los hipertensos (29,7 %) fue inferior a 60 ml/min/1,73 m2. Conclusiones: un tercio de los pacientes diabéticos e hipertensos del estudio presenta disminución del filtrado glomerular, y esta disminución está asociada al incremento de la edad.Introdução: a diminuição da taxa de filtração glomerular em idosos diabéticos e hipertensos é consequência de fatores fisiológicos aos quais se somam alterações vasculares dependentes de alterações produzidas por doenças crônicas de base.Objetivo: caracterizar a função renal em idosos diabéticos e hipertensos pertencentes ao Gabinete Médico de Família No. 4 da Policlínico Docente "Ángel Alfonso Ortiz Vázquez", no município de Manzanillo, província de Granma, durante o ano de 2020.Método: estudo descritivo, retrospectivo, para determinar a função renal em 249 idosos diabéticos e hipertensos. Foi utilizada a fórmula de Cockcroft-Gault e extraídas dos prontuários as variáveis: diagnóstico de diabetes mellitus, diagnóstico de hipertensão arterial, idade, sexo, peso e creatinina.Resultados: prevaleceu o sexo masculino (52,2%). A faixa etária, entre 60 e 87 anos, teve média de 68,9 ± 7,3. O valor mínimo de filtração glomerular foi 27,5 ml/min/1,73 m2 e o máximo foi 143,7 ml/min/1,73 m2, a média nesses pacientes foi 69,2 ± 18, 7ml/min/1,73 m2; para os homens foi de 71,4 ± 19,0 ml/min/1,73 m2 e 66,8 ± 18,2 ml/min/1,73 m2 para as mulheres. A hipertensão arterial (94,4%) prevaleceu sobre o diabetes mellitus (41,8%). A taxa de filtração glomerular em hipertensos (29,7%) foi inferior a 60 ml/min/1,73 m2.Conclusões: um terço dos pacientes diabéticos e hipertensos do estudo apresentam diminuição da taxa de filtração glomerular, e essa diminuição está associada ao aumento da idade

Caracterización faneróptica del gallo de lidia criollo cubano (Gallus Gallus domesticus)

Aim. To conduct a visual characterization of the Cuban fighting cocks (GLCC). Materials and methods: A total of 1514 adult birds (1227 females and 287 males) belonging to 158 farmers from the western, central, and eastern regions of Cuba were observed, according to five qualitative variables: plumage coloration, crest type, eye color, beak color, and tarsus color. The occurrence frequencies were determined for each variable using FREQ from SPSS 25®. The Chi Square test was used to evaluate the effect of sex on the eye color, crest type, and tarsus color based on the exact method and Bonferroni correction for pair comparison proportions; the binomial test method was used for the crest type. Results and discussion: The proportion of animals with a simple crest was higher (83.12%), with a predominant indigo color (54.28%); the birds with red eyes, yellow tarsus, and yellow-brownish bills showed the highest percentages. Conclusions:  The dark plumage colors were predominant as they were associated with each breeder’s preference. The Cuban fighting rooster has a defined morphological pattern which is similar to the Spanish fighting breeds that originated it. Keywords: visual, fighting cocks, morphology (Source: DeCS)Caracterizar la faneróptica del gallo de lidia criollo cubano (GLCC). Materiales y métodos: Se efectúo la observación de 1514 aves adultas (1227 hembras y 287 machos) pertenecientes a 158 criadores de las regiones occidental, central y oriental de Cuba. Se tuvieron en cuenta cinco variables cualitativas externamente observables: color del plumaje, tipo de cresta, color de los ojos, color del pico y color de los tarsos. Se determinaron las frecuencias para cada sexo en correspondencia con las variables cualitativas, mediante el procedimiento FREQ del paquete estadístico SPSS versión 25®. Para evaluar el efecto del sexo en el color de los ojos, tipo de cresta y color del tarso se utilizó la prueba de Chi cuadrado con el método exacto y comparaciones por pares de proporciones con la corrección de Bonferroni y para el tipo de cresta la prueba binomial. Resultados y discusión: se apreció mayor proporción de animales con cresta simple con 83,12 % y el color de pluma predominante fue el indio 54,28 %, las aves con ojos rojos, tarsos amarillos y picos Amarillo-marron fueron las de mayor percentage de presentación. Conclusiones: Los colores oscuros del plumaje son los predominantes y es el resultado de la preferencia de cada criador. El gallo de lidia criollo cubano posee un patrón morfológico definido semejante a las razas españolas de combate que le dieron origen.  Palabras clave: faneróptica, gallos de pelea, morfología (Fuente: DeCS)   &nbsp

Estrategia didáctica para el tratamiento de la táctica en taekwondistas pioneriles: valoraciones de su aplicación

La táctica es el componente orientado al desarrollo de las habilidades para el combate. En este sentido, el comportamiento táctico constituye la forma de concreción del nivel de desarrollo de este componente, por tanto, a través de este se puede valorar el nivel alcanzado en la táctica y en su proceso de enseñanza-aprendizaje, de manera que se puedan realizar los ajustes necesarios durante este proceso formativo y garantizar con ello un mejor resultado competitivo. La muestra estuvo compuesta por 16 participantes comprendidos entre las edades de 11-12 años, con una experiencia deportiva entre 1-3 años. La valoración de los indicadores definidos permitió determinar el impacto de la estrategia didáctica después de 22 semanas de aplicación. Para ello se empleó el pre-experimento, así como procedimientos de la estadística descriptiva para analizar la tendencia central de los resultados, así como la prueba de correlación de Pearson en virtud de la determinación del nivel de interrelación estadística entre algunos de los indicadores establecidos y sobre esta base realizar inferencias. Este artículo tiene como propósito realizar una comparación de los resultados obtenidos por los taekwondistas del Distrito Antonio Maceo en Santiago de Cuba, antes y después de la aplicación la referida estrategia. De esta manera se constató un mejoramiento en el comportamiento táctico de los atletas mencionados.PALABRAS CLAVE: Taekwondo; táctica; comportamiento táctico; aprendizaje; enseñanza.Didactic strategy for tactic treatment in taekwondo athletes: assessments about the application ABSTRACTTactics is the component oriented to the development of combat skills. In this sense, tactical behavior constitutes the form of concretion of the level of development of this component, therefore, through this; the level reached in tactics and in its teaching-learning process can be assessed, so that they can be carried out. The necessary adjustments during this training process and thereby guarantee a better competitive result. The sample consisted of 16 participants between the ages of 11-12 years, with a sporting experience between 1-3 years. The assessment of the defined indicators allowed determining the impact of the didactic strategy after 22 weeks of application. For this, the pre-experiment was used, as well as descriptive statistics procedures to analyze the central tendency of the results, as well as the Pearson correlation test by virtue of the determination of the level of statistical interrelation between some of the established indicators. The purpose of this article is to make a comparison of the results obtained by the taekwondo players from the Antonio Maceo District in Santiago de Cuba, before and after applying the strategy. In this way, an improvement in the tactical behavior of the athletes was observed.KEYWORDS: Taekwondo; tactic; tactical behavior; learning; teaching.

Complejidades de la nutrición oncológica pediátrica

Los avances tecnológicos tanto para el diagnóstico como en el tratamiento de la enfermedad oncológica ha permitido que en las últimas décadas se alcancen mayores tasas de supervivencias, lo que representa un reto para alcanzar niveles de calidad de vida elevados en una enfermedad crónica con grandes potencialidades deletéreas. La prevalencia de la desnutrición proteica - nutrimental en el niño oncopediátrico es muy variable influyendo en la misma desde el desarrollo socio – económico hasta el tipo de cáncer que presente el niño. El Soporte Nutrimental reviste una elevada complejidad no solamente por selección de los nutrientes y vía de infusión de los mismos. No existiendo un consenso general acerca del papel modulador de la nutrición en la respuesta a las diferentes modalidades de tratamiento oncológico (quimioterapia, radioterapia y cirugía). El presente trabajo tiene el objetivo de hacer una revisión acerca de las principales complejidades que se establecen durante el tratamiento nutrimental y metabólico del niño oncológico

Fibrosis Severity as a Determinant of Cause-Specific Mortality in Patients With Advanced Nonalcoholic Fatty Liver Disease: A Multi-National Cohort Study

Background & Aims Little is known about the natural course of nonalcoholic fatty liver disease (NAFLD) with advanced fibrosis. We describe long-term outcomes and evaluate the effects of clinical and histologic parameters on disease progression in patients with advanced NAFLD. Methods We conducted a multi-national study of 458 patients with biopsy-confirmed NAFLD with bridging fibrosis (F3, n = 159) or compensated cirrhosis (222 patients with Child-Turcotte-Pugh scores of A5 and 77 patients with scores of A6), evaluated from April 1995 through November 2013 and followed until December 2016, death, or liver transplantation at hepatology centers in Spain, Australia, Hong Kong, and Cuba. Biopsies were re-evaluated and scored; demographic, clinical, laboratory, and pathology data for each patient were collected from the time of liver biopsy collection. Cox proportional and competing risk models were used to estimate rates of transplantation-free survival and major clinical events and to identify factors associated with outcomes. Results During a mean follow-up time of 5.5 years (range, 2.7–8.2 years), 37 patients died, 37 received liver transplants, 88 had initial hepatic decompensation events, 41 developed hepatocellular carcinoma, 14 had vascular events, and 30 developed nonhepatic cancers. A higher proportion of patients with F3 fibrosis survived transplantation-free for 10 years (94%; 95% confidence interval [CI], 86%–99%) than of patients with cirrhosis and Child-Turcotte-Pugh A5 (74%; 95% CI, 61%–89%) or Child-Turcotte-Pugh A6 (17%; 95% CI, 6%–29%). Patients with cirrhosis were more likely than patients with F3 fibrosis to have hepatic decompensation (44%; 95% CI, 32%–60% vs 6%, 95% CI, 2%–13%) or hepatocellular carcinoma (17%; 95% CI, 8%–31% vs 2.3%, 95% CI, 1%–12%). The cumulative incidence of vascular events was higher in patients with F3 fibrosis (7%; 95% CI, 3%–18%) than cirrhosis (2%; 95% CI, 0%–6%). The cumulative incidence of nonhepatic malignancies was higher in patients with F3 fibrosis (14%; 95% CI, 7%–23%) than cirrhosis (6%; 95% CI, 2%–15%). Death or transplantation, decompensation, and hepatocellular carcinoma were independently associated with baseline cirrhosis and mild (<33%) steatosis, whereas moderate alcohol consumption was associated with these outcomes only in patients with cirrhosis. Conclusions Patients with NAFLD cirrhosis have predominantly liver-related events, whereas those with bridging fibrosis have predominantly nonhepatic cancers and vascular events