Problematic Internet Use in University Students: associated factors and differences of gender

El objetivo del presente trabajo es realizar un análisis descriptivo del uso problemático de Internet en estudiantes universitarios, evaluando la posible asociación con problemas de salud y conductas adictivas, así como diferencias de género en los tipos utilización. Un total de 2780 alumnos participaron en el estudio entre los años 2011 – 2014, siendo un 29% varones (edad 20.8 ± 5.1 años) y un 71% mujeres (edad de 20.3 ± 4.4 años). La prevalencia de uso problemático de Internet evaluada mediante el Internet Addiction Test fue del 6.08%. Ser menor de 21 años y cursar titulaciones diferentes a ciencias de la salud fueron factores asociados a una mayor frecuencia de este problema, no existiendo diferencias en función del sexo o tipo de domicilio. Los resultados muestran una asociación significativa con algunos problemas de salud (migrañas, dolor lumbar, sobrepeso u obesidad, descanso insuficiente), aspectos psicológicos (riesgo de trastornos de la conducta alimentaria, riesgo de trastorno mental, depresión), problemas familiares y discriminación; no encontrándose asociaciones con consumo de sustancias adictivas (alcohol, tabaco o cannabis). Respecto al tiempo de uso de Internet, las horas de conexión semanales fueron significativamente mayores en las mujeres que en los hombres, tanto en el tiempo total como por motivos de ocio. El análisis del perfil de utilización en usuarios problemáticos reveló que los varones se relacionan más con aspectos de ocio como los juegos o las compras online y las mujeres con aspectos de socialización, como el chat o las redes sociales

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Holocene and ‘Little Ice Age’ glacial activity in the Marboré Cirque, Monte Perdido Massif, Central Spanish Pyrenees

The Marboré Cirque, which is located in the southern Central Pyrenees on the north face of the Monte Perdido Peak (42°40′0″N; 0.5°0″W; 3355 m), contains a wide variety of Holocene glacial and periglacial deposits, and those from the ‘Little Ice Age’ (‘LIA’) are particularly well developed. Based on geomorphological mapping, cosmogenic exposure dating and previous studies of lacustrine sediment cores, the different deposits were dated and a sequence of geomorphological and paleoenvironmental events was established as follows: (1) The Marboré Cirque was at least partially deglaciated before 12.7 kyr BP. (2) Some ice masses are likely to have persisted in the Early Holocene, although their moraines were destroyed by the advance of glaciers during the Mid Holocene and ‘LIA’. (3) A glacial expansion occurred during the Mid Holocene (5.1 ± 0.1 kyr), represented by a large push moraine that enclosed a unique ice mass at the foot of the Monte Perdido Massif. (4) A melting phase occurred at approximately 3.4 ± 0.2 and 2.5 ± 0.1 kyr (Bronze/Iron Ages) after one of the most important glacial advances of the Neoglacial period. (5) Another glacial expansion occurred during the Dark Age Cold Period (1.4–1.2 kyr), followed by a melting period during the Medieval Climate Anomaly. (6) The ‘LIA’ represented a clear stage of glacial expansion within the Marboré Cirque. Two different pulses of glaciation were detected, separated by a short retraction. The first pulse occurred most likely during the late 17th century or early 18th century (Maunder Minimum), whereas the second occurred between 1790 and ad 1830 (Dalton Minimum). A strong deglaciation process has affected the Marboré Cirque glaciers since the middle of the 19th century. (7) A large rock avalanche occurred during the Mid Holocene, leaving a chaotic deposit that was previously considered to be a Late Glacial moraine. © The Author(s) 2014.This work was supported by HORDA (ref: 83/2009), funded by the Organismo Autónomo de Parques Nacionales, and by INDICA (CGL2011-27753-C02-01 and -02) and CGL2012-35858, funded by the Spanish Ministry of Economy and Competitiveness. Financial support for the Research Group on Geomorphology and Global Change was provided by the Aragón Government and the European Social Fund (ESF-FSE).Peer Reviewe

Infecção do trato urinário relacionada com a utilização do catéter vesical de demora: resultados da bacteriúria e da microbiota estudadas

OBJETIVO: Avaliar o momento do início da bacteriúria e o germe mais freqüentemente relacionado à infecção urinária nos pacientes submetidos à sondagem vesical de demora. MÉTODO: No período de setembro de 2003 a outubro de 2004, foram avaliados os pacientes com 13 anos ou mais, submetidos à operações eletivas com cateterismo vesical de demora. Na inserção do cateter foi colhida a primeira amostra de urina, denominada Amostra 1, e outras seqüencialmente a cada 12 horas. Estas foram analisadas quanto a bacteriúria, leucocitúria, e cultura. A infecção do trato urinário foi definida como a presença de 100.000 unidades formadoras de colônias ou mais, após o isolamento da mesma bactéria ou fungo em culturas de urina de amostras distintas, desde a inserção até a remoção do cateter urinário; a leucocitúria como contagem de leucócitos igual ou superior a 10.000 leucócitos/mm³; e bacteriúria como presença de bactéria de uma única espécie na amostra analisada. RESULTADOS: A amostra foi composta de 63 pacientes, 46 sexo masculino (73%) e 17 sexo feminino (27%). Apenas três deles apresentaram leucocitúria na primeira coleta. Nas Amostras 1 houve variação de 1.000 a 20.000 leucócitos/mm³, todas com cultura negativa. O número de amostras variou de 1 a 8 (84h após a realização do cateterismo vesical). As leucocitúrias nas amostras finais variaram de 1.000 a 204.000 leucócitos/mm³, todas com urocultura e bacteriúria negativa. 62 pacientes (98,4%) utilizaram antibioticoterapia de curta duração para o sítio cirúrgico. CONCLUSÃO: Até 84h - 3,5 dias - não houve Infecção em nenhuma das amostras coletadas e cultivadas. A antibioticoterapia de curta duração pode ter contribuído para o resultado observado

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AimThe SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery.MethodsThis was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin.ResultsOverall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P ConclusionOne in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease