Promoción de la Actividad Física, Recreativa y Deportiva en la Comunidad Universitaria UG

The initiative promotes physical activity and leisure in the university community to improve physical and mental well-being, counteracting the tendency to neglect them due to academic demands. It seeks to create a supportive and enriching environment, highlighting the importance of physical education and sports for comprehensive training. The physiological and psychological benefits are highlighted, such as cardiovascular improvement and the release of endorphins that elevate mood and reduce anxiety and depression. Free time and leisure balance academic responsibilities and individual needs, allowing for reflection, creativity, and the development of non-academic skills. Key strategies include diversifying activities, making schedules more flexible, encouraging active participation, and collaborating with external entities. The interest of the university community in receiving information about healthy habits and their willingness to adopt practices that promote physical and mental well-being is highlighted. Keywords: Promotion, Physical Activity, Recreation, Free Time, University Wellbeing.La iniciativa promueve la actividad física y el ocio en la comunidad universitaria para mejorar el bienestar físico y mental, contrarrestando la tendencia a descuidarlos por las demandas académicas. Busca crear un entorno de apoyo y enriquecimiento, resaltando la importancia de la educación física y deportes para la formación integral. Se subrayan los beneficios fisiológicos y psicológicos, como la mejora cardiovascular y la liberación de endorfinas que elevan el ánimo y reducen ansiedad y depresión. El tiempo libre y el ocio equilibran responsabilidades académicas y necesidades individuales, permitiendo reflexión, creatividad y desarrollo de habilidades no académicas. Estrategias clave incluyen diversificar actividades, flexibilizar horarios, fomentar la participación activa y colaborar con entidades externas. Se destaca el interés de la comunidad universitaria en recibir información sobre hábitos saludables y su disposición para adoptar prácticas que promuevan bienestar físico y mental. Palabras claves: Promoción, Actividad Física, Recreación, Tiempo Libre, Bienestar Universitario. ABSTRACT The initiative promotes physical activity and leisure in the university community to improve physical and mental well-being, counteracting the tendency to neglect them due to academic demands. It seeks to create a supportive and enriching environment, highlighting the importance of physical education and sports for comprehensive training. The physiological and psychological benefits are highlighted, such as cardiovascular improvement and the release of endorphins that elevate mood and reduce anxiety and depression. Free time and leisure balance academic responsibilities and individual needs, allowing for reflection, creativity, and the development of non-academic skills. Key strategies include diversifying activities, making schedules more flexible, encouraging active participation, and collaborating with external entities. The interest of the university community in receiving information about healthy habits and their willingness to adopt practices that promote physical and mental well-being is highlighted. Keywords: Promotion, Physical Activity, Recreation, Free Time, University Wellbeing. Información del manuscrito:Fecha de recepción: 19 de diciembre de 2023.Fecha de aceptación: 19 de febrero de 2024.Fecha de publicación: 25 de marzo de 2024

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)