Incremento de las habilidades sociales a través de la expresión corporal: la experiencia en clases de iniciación al baile

El contexto multicultural que diariamente convivimos, invita a pensar que en pleno siglo XXI debemos abrir nuestras concepciones sobre los bienes culturales que transmitimos y contribuimos a reproducir, a la vez que transformar. Sin duda existen modos diferenciados de abordar el movimiento corporal, sean formales o no-formales, sistemáticos o espontáneos y entre estos modos el danzar y el bailar, forma parte de una de las actividades corporales más practicadas por todas las culturas del mundo. Pues no olvidemos que una de las experiencias vinculadas al movimiento que se legitimó desde el origen de la educación física, fueron las danzas nativas

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study

Background: In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods: From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results: A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion: Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Evaluación de una propuesta extraescolar de conductas apropiadas en educación física y deportiva

The aim of this research is to show an extracurricular intervention through an evaluation before and after a didactic proposal, with the final objective of encouraging appropriate behaviours in Physical Education and sport settings. The proposal has been developed in San Clemente (Cuenca) with a group of 28 students, enrolled in the first grade of Primary Education. The programme has been developed during three months. The technique used for data collection was observation, and the tool was a systematic annotation form specifically designed for this purpose to record appropriate habits and behaviours in physical and sport education (engagement, health education, competitiveness and tolerance). The results show that those behaviours were developed initially by 55,27% of the participants, while by the end of the research 87,8% of the participants displayed such behaviours. The behaviour that showed the largest increase was competitiveness both in boys and girls. Finally, it is concluded that there is a need to implement this type of proposals in order to increase the occurrence of positive behaviours in physical education and sport.Este trabajo pretende dar a conocer una intervención en un contexto extraescolar a través de una evaluación pre y post de una propuesta didáctica, con el propósito de favorecer las conductas apropiadas (compromiso, educación para la salud, competitividad y tolerancia) en el ámbito de la Educación Física y el deporte. La propuesta ha tenido lugar en la localidad de San Clemente (Cuenca) con un grupo de 28 alumnos y alumnas (18 niños y 10 niñas), pertenecientes a 1º de Educación Primaria, durante un periodo de tres meses. La técnica utilizada en la recogida de información ha sido la observación y el instrumento de recogida de datos una hoja de anotación sistemática elaborada al efecto sobre los hábitos y conductas apropiados en educación física y deportiva (compromiso, educación para la salud, competitividad y tolerancia). Los resultados obtenidos muestran que dichas conductas eran realizadas inicialmente en un 55,27% entre los participantes, mientras que al final se obtienen valores que reflejan un 87,8%. La conducta con un mayor incremento tanto en las niñas como en los niños ha sido la competitividad. Finalmente, se concluye la necesidad de implementar este tipo de propuestas para mejorar conductas apropiadas en la Educación Física y el Deporte

Informe del GTM sobre Datos e información en la epidemia COVID-19 y propuestas para la evolución digital del sistema de salud

El Grupo de Trabajo Multidisciplinar (GTM) asesora y apoya al Ministerio de Ciencia e Innovación en materias científicas relacionadas con el COVID-19 y sus consecuencias futuras. El GTM está compuesto por: José M. Ordovás (Presidente), Mariano Esteban, Rocío García-Retamero, Beatriz González LópezValcárcel, Alfonso Gordaliza, Marco Inzitari, Pedro Jordano, Itziar de Lecuona, Laura M. Lechuga, Ramón López de Mántaras, José Molero, Agustín Portela, Diego Puga, José Javier Ramasco, Francisco SánchezMadrid y Alfonso Valencia. Enric Banda actúa como observador, y Maria Sol Serrano Alonso como secretaria. Todos los componentes del GTM colaboran de forma desinteresada con el Ministerio de Ciencia e Innovación. Además, en este informe han colaborado de forma desinteresada las siguientes personas: miembros del grupo “acción matemática contra el coronavirus" del Comité Español de Matemáticas (CEMat), Joaquín Dopazo (FPS Junta de Andalucia.es), Pablo Serrano (Hospital 12 Octubre SERMAS), Xavier Pastor (Hospital Clinic), Carlos Parra (Hospital Virgen del Rocío SAS), Salvador Capella y Martin Krallinger (BSC).Este informe analiza exclusivamente las infraestructuras de datos y recursos informáticos necesarios para dar respuesta a cuestiones urgentes relacionadas con la epidemia de COVID-19 sin entrar en aspectos organizativos o legales. En este sentido el informe pretende ofrecer una visión transversal a la asistencial con el propósito de ser útil para impulsar la necesaria transformación digital del Sistema Nacional de Salud. El documento describe las necesidades y plantea las implementaciones necesarias para resolver las carencias detectadas en la organización, acceso y gestión de los datos biomédicos en la respuesta a aspectos específicos de la epidemia. Finalmente, el informe propone como objetivo la consolidación de esos desarrollos en una infraestructura estable de Medicina Personalizada alineada con los desarrollos europeos.N

Hacia una docencia universitaria bilingüe: Análisis y evaluación del interés de los estudiantes pregraduados en Biología por una enseñanza en inglés

El objetivo de este proyecto era evaluar el interés de los estudiantes de Biología por un grado bilingüe. Mediante cuestionarios, seminarios informativos y clases en inglés se identificaron las variables que afectan a la demanda y la perspectiva de éxito. Demostramos que los estudiantes del Grado en Biología tienen buen nivel de inglés y están muy interesados en una docencia en inglés. Desearían cursos o clases en inglés a partir del primer curso. El interés se basa sobre todo en el deseo de poder trabajar y estudiar en el extranjero. Actividades en inglés y seminarios informativos incrementarían el interés y la demanda de docencia en inglés

Ultrasound Cut-Off Values for Rectus Femoris for Detecting Sarcopenia in Patients with Nutritional Risk

Background: A nationwide, prospective, multicenter, cohort study (the Disease-Related caloric-protein malnutrition EChOgraphy (DRECO) study) was designed to assess the usefulness of ultrasound of the rectus femoris for detecting sarcopenia in hospitalized patients at risk of malnutrition and to define cut-off values of ultrasound measures. Methods: Patients at risk of malnutrition according to the Malnutrition Universal Screening Tool (MUST) underwent handgrip dynamometry, bioelectrical impedance analysis (BIA), a Timed Up and Go (TUG) test, and rectus femoris ultrasound studies. European Working Group on Sarcopenia in Older People (EWGSOP2) criteria were used to define categories of sarcopenia (at risk, probable, confirmed, severe). Receiver operating characteristic (ROC) and area under the curve (AUC) analyses were used to determine the optimal diagnostic sensitivity, specificity, and predictive values of cut-off points of the ultrasound measures for the detection of risk of sarcopenia and probable, confirmed, and severe sarcopenia. Results: A total of 1000 subjects were included and 991 of them (58.9% men, mean age 58.5 years) were evaluated. Risk of sarcopenia was detected in 9.6% patients, probable sarcopenia in 14%, confirmed sarcopenia in 9.7%, and severe sarcopenia in 3.9%, with significant differences in the distribution of groups between men and women (p 2 and 3.66 cm2 for CSA, 32.57 mm and 40.21 mm for the X-axis, and 7.85 mm and 10.4 mm for the Y-axis. In general, these cut-off values showed high sensitivities, particularly for the categories of confirmed and severe sarcopenia, with male patients also showing better sensitivities than women. Conclusions: Sarcopenia in hospitalized patients at risk of malnutrition was high. Cut-off values for the better sensitivities and specificities of ultrasound measures of the rectus femoris are established. The use of ultrasound of the rectus femoris could be used for the prediction of sarcopenia and be useful to integrate nutritional study into real clinical practice

How do women living with HIV experience menopause? Menopausal symptoms, anxiety and depression according to reproductive age in a multicenter cohort

CatedresBackground: To estimate the prevalence and severity of menopausal symptoms and anxiety/depression and to assess the differences according to menopausal status among women living with HIV aged 45-60 years from the cohort of Spanish HIV/AIDS Research Network (CoRIS). Methods: Women were interviewed by phone between September 2017 and December 2018 to determine whether they had experienced menopausal symptoms and anxiety/depression. The Menopause Rating Scale was used to evaluate the prevalence and severity of symptoms related to menopause in three subscales: somatic, psychologic and urogenital; and the 4-item Patient Health Questionnaire was used for anxiety/depression. Logistic regression models were used to estimate odds ratios (ORs) of association between menopausal status, and other potential risk factors, the presence and severity of somatic, psychological and urogenital symptoms and of anxiety/depression. Results: Of 251 women included, 137 (54.6%) were post-, 70 (27.9%) peri- and 44 (17.5%) pre-menopausal, respectively. Median age of onset menopause was 48 years (IQR 45-50). The proportions of pre-, peri- and post-menopausal women who had experienced any menopausal symptoms were 45.5%, 60.0% and 66.4%, respectively. Both peri- and post-menopause were associated with a higher likelihood of having somatic symptoms (aOR 3.01; 95% CI 1.38-6.55 and 2.63; 1.44-4.81, respectively), while post-menopause increased the likelihood of having psychological (2.16; 1.13-4.14) and urogenital symptoms (2.54; 1.42-4.85). By other hand, post-menopausal women had a statistically significant five-fold increase in the likelihood of presenting severe urogenital symptoms than pre-menopausal women (4.90; 1.74-13.84). No significant differences by menopausal status were found for anxiety/depression. Joint/muscle problems, exhaustion and sleeping disorders were the most commonly reported symptoms among all women. Differences in the prevalences of vaginal dryness (p = 0.002), joint/muscle complaints (p = 0.032), and sweating/flush (p = 0.032) were found among the three groups. Conclusions: Women living with HIV experienced a wide variety of menopausal symptoms, some of them initiated before women had any menstrual irregularity. We found a higher likelihood of somatic symptoms in peri- and post-menopausal women, while a higher likelihood of psychological and urogenital symptoms was found in post-menopausal women. Most somatic symptoms were of low or moderate severity, probably due to the good clinical and immunological situation of these women