Nueva forma de entender las pruebas de condición física en relación con la salud / New Approach to Health-Related Physical Fitness Tests

El objetivo de este trabajo es mostrar una nueva forma de entender la evaluación de la “condición física en relación con la salud”, para evitar la inactividad y el sedentarismo. Los antecedentes se encuentran en las baterías de test utilizadas desde 1976 hasta la actualidad. Se utiliza el concepto de salud de la OMS. Se analizan pruebas con criterios de funcionalidad, economía, validez, fiabilidad y especificidad. Se eligen las siguientes pruebas y se calculan los umbrales: 1425 s UKK Walk test (P75), 6 s en sprint test 20 m (P75), 19 repeticiones en Chair Stand Test (P25), 11 repeticiones Arm Curl Test (P25), -10,5 cm Back Scratch Test (P25), -17,5 cm en Chair Sit and Reach Test. Se propugna la elaboración de una batería de test universal e inclusiva y elaborar percentiles mundiales ayudados por el big data. (AU)

The aim of this research was to propose a new way of understanding health-related physical fitness assessment in order to prevent inactivity and sedentarism. The background lies in the test batteries used from 1976 to the present. WHO's health concept was used. Tests were analysed based on functionality, economy, validity, reliability and specificity criteria. The following tests were chosen and the thresholds were calculated: 1,425s in the UKK walk test (P75), 6s in the 20-m sprint test (P75), 19 repetitions in the chair stand test (P25), 11 repetitions in the arm curl test (P25), -10.5cm in the back scratch test (P25), -17.5cm in the chair sit-and-reach test (P25). It was proposed that a universal and inclusive test battery be developed and the percentiles for the world population are determined with the help of big data. (AU)

Lynch syndrome diagnostics: decision-making process for germ-line testing.

Cancer risks and medical management of Lynch syndrome (LS) differ from other hereditary or familial clustering of colorectal cancer. Differential diagnosis has improved as a result of the growing clinical and molecular knowledge about LS. Appropriate application of these advances in several scenarios constitutes a decision-making process to further decide germ-line testing with accuracy and efficiency. However, an only molecular-screening algorithm, with a limited number of steps and choices, may be difficult to devise. How, when, where and at what expense to use the different diagnostic tools remain dynamic and changeable under different circumstances. From a clinical point of view, it is advisable to discuss conflicting aspects to guide LS diagnosis.

[Four years of pediatric emergencies. Relationship between the increase in their number and personal initiatives in complementary examinations as well as hospital admissions]. / Cuatro años de urgencia pediátrica. Relación de su incremento y de la iniciativa propia en el número de exploraciones complementarias e ingresos hospitalarios.

In 16,848 paediatric emergencies taken care of from 1986 to 1989 in a regional hospital which had started work in 1985, we have confirmed an initial increase of over 20& per year in the number of paediatric emergencies that have become stable as we have reached full coverage of the total paediatric population in area. We have also stated that the volume of personal initiative emergencies has been increasing rather meaningluffly every year, going up from an initial 55% to a 75% in four years. On opposite the number of complementary checkups has decreased significantly from 38% to 35% and children hospital entries including those that required urgency observation have also gone down from a 21,69 in 1986 to a 15,8 in 1989. The growing tendency to overuse paediatric emergencies indiscriminately on the part of the population, leads us to make a serious proposal towards the adaptation and suitabilisation of emergency service in hospitals in order to be prepared to deal with non-urgent pathology.