Physical Activity Interventions for Adults Aged 60+ Years in Low- and Middle-Income Countries: A Scoping Review.

BACKGROUND: Most reviews investigating physical activity interventions for older people consider evidence primarily from high-income countries. This review examined physical activity interventions for older people from low- and middle-income countries. METHODS: We searched 9 electronic databases to identify randomized controlled trials or quasi-randomized trials studies investigating physical activity interventions for people aged 60+ in low- and middle-income countries. Following study selection, one reviewer extracted relevant data. A second reviewer double-checked the data extraction of a randomly selected sample of interventions (20%). Data were summarized using descriptive statistics. RESULTS: We included 234 studies from 19 countries, investigating 259 distinct physical activity interventions. Studies were mostly conducted in upper middle-income countries (89%), often assessing physical activity interventions through randomized controlled trials (82%). Most studies investigated a mixed population in terms of sex (68%), with a mean age between 65 and 70 years (36%), not selected on the basis of having a specific health condition (55%). The intervention most commonly investigated was structured exercise (63%) and "no intervention" was the most frequent comparator (47%). The outcomes measured more often were intrinsic capacity (59%) and functional ability (51%), whereas physical activity, falls, and social outcomes were rare. Only 2 studies targeted underserved populations. CONCLUSION: Although we identified a substantial number of randomized controlled trials, most evidence for physical activity interventions for older people in low- and middle-income countries is limited to upper middle-income countries. Gaps identified included interventions targeting populations with underserved backgrounds, using sport as an intervention, and assessing the impact of physical activity interventions on physical activity, falls, and social outcomes.

Metástasis meníngea de leiomiosarcoma uterino. Reporte de caso y revisión de literatura / Meningeal metastasis of uterine leiomyosarcoma. Case report and literature review

Las metástasis cerebrales son las lesiones intracraneales que se observan con mayor frecuencia en adultos. Por otra parte, los meningiomas son los tumores intracraneales primarios más frecuentes luego de los gliomas y son bien conocidas las características imagenológicas de estos, tanto en TAC como en RM. Sin embargo, hay lesiones que pueden simular meningiomas en estudios por imágenes, entre las que encontramos metástasis de tumores extracraneanos, afrontándonos a un reto diagnóstico y terapéutico. Presentamos el caso de una paciente con metástasis meníngea de un leiomiosarcoma uterino que no era conocido en el momento de la intervención quirúrgica

Brain metastases are the most commonly seen intracranial lesions in adults. What is more, meningiomas are the most common primary intracranial tumours after gliomas and their imaging characteristics are well known in both CT and MRI scans. However, there are lesions that can mimic meningiomas in imaging studies, including metastases of extracranial tumours, confronting us with a diagnostic and therapeutic challenge. We present the case of a patient with meningeal metastasis of a uterine leiomyosarcoma that was not known at the time of the surgical intervention

[Meningeal metastasis of uterine leiomyosarcoma. Case report and literature review]. / Metástasis meníngea de leiomiosarcoma uterino. Reporte de caso y revisión de literatura.

Brain metastases are the most commonly seen intracranial lesions in adults. What is more, meningiomas are the most common primary intracranial tumours after gliomas and their imaging characteristics are well known in both CT and MRI scans. However, there are lesions that can mimic meningiomas in imaging studies, including metastases of extracranial tumours, confronting us with a diagnostic and therapeutic challenge. We present the case of a patient with meningeal metastasis of a uterine leiomyosarcoma that was not known at the time of the surgical intervention.

Trabajo grupal con padres de niños internados en un CTI neonatal y pediátrico / Group work with parents of children hospitalized in a neonatal and pediatric ICU

La internación de un niño en un centro de tratamiento intensivo es un evento estresante y puede ser generador de enfermedad secundaria en el niño y su familia. La familia y el equipo de salud utilizan diferentes mecanismos para afrontar esta situación, muchas veces generadoras de mayores dificultades y conflictos. Con el objetivo de acompañar a los padres en esta situación, diseñamos un trabajo pionero en nuestro medio con reuniones semanales con los familiares de niños internados en un CTI privado y representantes del equipo de salud. Se presentan los resultados de la experiencia. Se concluye que la experiencia es muy positiva y podría extenderse a otros centros asistenciales.