Impacto del confinamiento en el desarrollo curricular de Educación Física en Educación primaria y Secundaria / Impact of confinement on the development of the physical education in primary and secondary education

Debido a la pandemia por el COVID-19, el estado de alarma y el confinamiento domiciliario, la docencia pasó a ser virtual en cuestión de unos pocos días y los docentes tuvieron que adaptar todo su trabajo de manera inexorable. Ante esta situación totalmente inédita en la historia de nuestro sistema educativo mediante esta investigación se ha indagado y descrito el impacto del periodo de confinamiento en el currículo escolar de educación física en Educación Primaria (EP) y Educación Secundaria obligatoria (ES). El instrumento utilizado ha sido un cuestionario realizado en Google Forms mediante la técnica Delphi. La muestra está́ compuesta por 100 docentes de las etapas de Educación Primaria y Educación Secundaria en España, en concreto en la comunidad autónoma Andaluza. Entre las principales conclusiones destacamos que el profesorado ha considerado que los objetivos de salud y los de condición física, fueron los objetivos más trabajados del área. Los docentes consideran que no se consiguieron llevar a cabo los tiempos motrices establecidos, ni la programación, pero si se consiguió que el alumnado realizara una tarea semanal con una implicación de aproximadamente una hora. Se concluyo que el impacto en el aprendizaje fue grande pues no se consiguieron trabajar todos los contenidos y las tareas planteadas no eran evaluables. (AU)

Due to the COVID-19 pandemic, the state of alarm and home confinement, teaching became virtual in a matter of a few days and teachers had to adapt all their work inexorably. Faced with this totally unprecedented situation in the history of our educational system, this research has been used to investigate and describe the impact of the period of confinement on the school curriculum of physical education in primary and compulsory secondary education. The instrument used was a questionnaire made in Google Forms using the Delphi technique. The sample consisted of 100 teachers of the Primary Education (PE) and Secondary Education (SE) stages in Spain, specifically in the autonomous community of Andalusia. Among the main conclusions we highlight that the teachers considered that the objectives of health and physical condition were the most worked objectives in the area. The teachers consider that they did not manage to carry out the established motor times, nor the programming, but they did get the students to carry out a weekly task with an involvement of approximately one hour. It was concluded that the impact on learning was great because not all the contents were worked on and the tasks set were not evaluable. (AU)

Effect of intravenous pulses of methylprednisolone 250 mg versus dexamethasone 6 mg in hospitalised adults with severe COVID-19 pneumonia: An open-label randomised trial.

BACKGROUND: The efficacy and safety of high versus medium doses of glucocorticoids for the treatment of patients with COVID-19 has shown mixed outcomes in controlled trials and observational studies. We aimed to evaluate the effectiveness of methylprednisolone 250 mg bolus versus dexamethasone 6 mg in patients with severe COVID-19. METHODS: A randomised, open-label, controlled trial was conducted between February and August 2021 at four hospitals in Spain. The trial was suspended after the first interim analysis since the investigators considered that continuing the trial would be futile. Patients were randomly assigned in a 1:1 ratio to receive dexamethasone 6 mg once daily for up to 10 days or methylprednisolone 250 mg once daily for 3 days. RESULTS: Of the 128 randomised patients, 125 were analysed (mean age 60 ± 17 years; 82 males [66%]). Mortality at 28 days was 4.8% in the 250 mg methylprednisolone group versus 4.8% in the 6 mg dexamethasone group (absolute risk difference, 0.1% [95% CI, -8.8 to 9.1%]; p = 0.98). None of the secondary outcomes (admission to the intensive care unit, non-invasive respiratory or high-flow oxygen support, additional immunosuppressive drugs, or length of stay), or prespecified sensitivity analyses were statistically significant. Hyperglycaemia was more frequent in the methylprednisolone group at 27.0 versus 8.1% (absolute risk difference, -18.9% [95% CI, -31.8 to - 5.6%]; p = 0.007). CONCLUSIONS: Among severe but not critical patients with COVID-19, 250 mg/d for 3 days of methylprednisolone compared with 6 mg/d for 10 days of dexamethasone did not result in a decrease in mortality or intubation.

Consensus Delphi study on guidelines for the assessment of anterior cruciate ligament injuries in children.

BACKGROUND: Knee examination guidelines in minors are intended to aid decision-making in the management of knee instability. CLINICAL QUESTION: A Delphi study was conducted with a formal consensus process using a validated methodology with sufficient scientific evidence. A group consensus meeting was held to develop recommendations and practical guidelines for use in the assessment of instability injuries in children. KEY FINDINGS: there is a lack of evidence to analyse anterior cruciate ligament injuries in children and their subsequent surgical management if necessary. Diagnostic guidelines and clinical assessment of the patient based on a thorough examination of the knee are performed and a guide to anterior cruciate ligament exploration in children is developed. CLINICAL APPLICATION: In the absence of a strong evidence base, these established guidelines are intended to assist in that decision-making process to help the clinician decide on the most optimal treatment with the aim of benefiting the patient as much as possible. Following this expert consensus, surgical treatment is advised when the patient has a subjective sensation of instability accompanied by a pivot shift test ++, and may include an anterior drawer test + and a Lachman test +. If these conditions are not present, the conservative approach should be chosen, as the anatomical and functional development of children, together with a physiotherapy programme, may improve the evolution of the injury.

Efectos de la pandemia por COVID-19 en la salud mental de adolescentes / Effects of the COVID-19 pandemic on adolescent mental health

Objetivo: Analizar los efectos de la pandemia por COVID-19 en la salud mental de adolescentes. Método: Descriptiva documental. Resultados: 15 articulos relacionados al tema de investigación. Conclusión: Mediante el profundo análisis realizado, se puede concluir que, todas las personas se han visto afectadas por la pandemia , sin embargo la población que más sufrió han sido los adolescentes, debido a que han tenido que adaptarse a mecanismo establecidos para frenar el contagio del COVID-19, dejando así a un lado las actividades cotidianas que antes realizaban cómo asistir a clases presencialmente, interactuar con otras personas y concurrir a espacios o eventos públicos ,como consecuencia en el futuro de estos jóvenes se puede generar una serie de trastornos emocionales , puesto que la adolescencia es una etapa fundamental y crucial para el desarrollo de hábitos sociales.

Objective: To analyze the effects of the COVID-19 pandemic on the mental health of adolescents. Method: Descriptive documentary. Results: 15 articles related to the research topic. Conclusion: By means of the deep analysis carried out, it can be concluded that, all people have been affected by the pandemic , however the population that suffered the most has been the adolescents, due to the fact that they have had to adapt to the mechanism established to stop the contagion of COVID-19, thus leaving aside the daily activities that they previously performed how to attend classes in person, interact with other people and attend public spaces or events ,as a result in the future of these young people can generate a series of emotional disorders , since adolescence is a fundamental and crucial stage for the development of social habits

Acciones docentes para atender la diversidad estudiantil en las clases de la disciplina Estomatología Integral

RESUMEN El adecuado desempeño docente para atender la diversidad estudiantil en la disciplina Estomatología Integral, puede garantizarla formación con calidad del egresado en la carrera de Estomatología. El objetivo de este trabajo es diseñar un sistema de acciones docentes para atender la diversidad estudiantil en las clases de la disciplina Estomatología Integral en la Universidad de Ciencias Médicas de Las Tunas. Se realizó una investigación de desarrollo, principalmente cualitativa, en la institución antes declarada, desde septiembre de 2020 a febrero 2021. La investigación define como objeto el proceso de enseñanza-aprendizaje de las clases de la disciplina Estomatología Integral y como campo las acciones docentes para atender diversidad estudiantil. La investigación se ejecutó en dos etapas, dedicadas a: revisar documentos rectores de la carrera, tesis, artículos, programas y elaborar las acciones. El sistema de acciones docentes para atender la diversidad estudiantil quedó estructurado por un objetivo general, acciones permanentes a realizar en el proceso de enseñanza-aprendizaje (relacionado con: superación docente, diagnóstico pedagógico integral y formación de valores); y acciones al planificar, ejecutar y controlar las clases. Las acciones propuestas promueven la unidad de la unidad de lo instructivo, educativo y desarrollador, de lo cognitivo y afectivo, de la formación del conocimiento y los valores, mediante un sistema didáctico integral y personalizado. Se proponen acciones docentes para atender la diversidad estudiantil, en el proceso enseñanza-aprendizaje de las clases de la disciplina Estomatología Integral, al planificar, ejecutar y controlar.

ABSTRACT The appropriate educational acting to assist the student diversity in the discipline of Family Dentistry, it can guarantee the formation with quality of the students in the Dentistry career. To design a system of educational actions to assist the student diversity in the classes of the of Family Dentistry in the University of Medical Sciences of Las Tunas. A development investigation, mainly qualitative, before in the institution declared, from September of 2020 to February 2021. The investigation defines like object the process of teaching-learning of the classes of the Family Dentistry and I eat field the educational actions to assist student diversity. The investigation was executed in two stages, dedicated to: to revise documents rectors of the career, thesis, articles, programs and to elaborate the actions. The system of educational actions to assist the student diversity was structured by a general objective, permanent actions to carry out in the teaching-learning process (related with: educational preparation, integral pedagogic diagnosis, and values formation); and work when planning, to execute and to control the classes. The proposed actions promote the unit of the unit of the instructive, educational and developer, of the cognitive, and affective, of the formation of the knowledge and the values, by means of an integral and personalized didactic system. They intended educational actions to assist the student diversity, in the process teaching-learning of the classes of the discipline Family Dentistry, when planning, to execute and to control.

RESUMO Desempenho adequado de ensino para abordar a diversidade dos alunos na disciplina abrangente de estomatologia pode garantir treinamento de qualidade para graduados nacarreira de estomatologia. O objetivo deste trabalho é projetar um sistema de ações de ensino para abordar a diversidade dos alunos nas classes da abrangente disciplina estomatológica nas ciências da Universidade de Tunas. Uma pesquisa de desenvolvimento, principalmente qualitativa, foi realizada na instituição acima mencionada, a partir de 2020 a fevereiro de 2021. A pesquisa define como objeto o processo de ensino-aprendizagem das classes da disciplina abrangente de estomatologia e como um campo as ações de ensino para a diversidade estudantil. A pesquisa foi realizada em dois estágios, dedicada a: Revisar os documentos orientadores da carreira, tese, artigos, programas e elaborar as ações. O sistema de ações de ensino para abordar a diversidade dos alunos foi estruturado por um objetivo geral, ações permanentes a serem realizadas no processo de ensino-aprendizagem (relacionado a: melhoria dos professores, diagnóstico pedagógico abrangente e formação de valores); e ações ao planejar, executar e controlar as aulas. As ações propostas promovem a unidade da unidade instrutiva, educacional e de desenvolvedora, do cognitivo e afetivo, da formação de conhecimento e valores, através de um sistema didático abrangente e personalizado. As ações de ensino são propostas para abordar a diversidade do aluno, no processo de ensino-aprendizagem das classes da disciplina abrangente de estomatologia, ao planejar, executar e controlar.

Low molecular weight heparin is useful in adult COVID-19 inpatients. Experience during the first Spanish wave: observational study

ABSTRACT BACKGROUND: The intensity of the thromboprophylaxis needed as a potential factor for preventing inpatient mortality due to coronavirus disease-19 (COVID-19) remains unclear. OBJECTIVE: To explore the association between anticoagulation intensity and COVID-19 survival. DESIGN AND SETTING: Retrospective observational study in a tertiary-level hospital in Spain. METHODS: Low-molecular-weight heparin (LMWH) status was ascertained based on prescription at admission. To control for immortal time bias, anticoagulant use was analyzed as a time-dependent variable. RESULTS: 690 patients were included (median age, 72 years). LMWH was administered to 615 patients, starting from hospital admission (89.1%). 410 (66.7%) received prophylactic-dose LMWH; 120 (19.5%), therapeutic-dose LMWH; and another 85 (13.8%) who presented respiratory failure, high D-dimer levels (> 3 mg/l) and non-worsening of inflammation markers received prophylaxis of intermediate-dose LMWH. The overall inpatient-mortality rate was 38.5%. The anticoagulant nonuser group presented higher mortality risk than each of the following groups: any LMWH users (HR 2.1; 95% CI: 1.40-3.15); the prophylactic-dose heparin group (HR 2.39; 95% CI, 1.57-3.64); and the users of heparin dose according to biomarkers (HR 6.52; 95% CI, 2.95-14.41). 3.4% of the patients experienced major hemorrhage. 2.8% of the patients developed an episode of thromboembolism. CONCLUSIONS: This observational study showed that LMWH administered at the time of admission was associated with lower mortality among unselected adult COVID-19 inpatients. The magnitude of the benefit may have been greatest for the intermediate-dose subgroup. Randomized controlled trials to assess the benefit of heparin within different therapeutic regimes for COVID-19 patients are required.

Low molecular weight heparin is useful in adult COVID-19 inpatients. Experience during the first Spanish wave: observational study.

BACKGROUND: The intensity of the thromboprophylaxis needed as a potential factor for preventing inpatient mortality due to coronavirus disease-19 (COVID-19) remains unclear. OBJECTIVE: To explore the association between anticoagulation intensity and COVID-19 survival. DESIGN AND SETTING: Retrospective observational study in a tertiary-level hospital in Spain. METHODS: Low-molecular-weight heparin (LMWH) status was ascertained based on prescription at admission. To control for immortal time bias, anticoagulant use was analyzed as a time-dependent variable. RESULTS: 690 patients were included (median age, 72 years). LMWH was administered to 615 patients, starting from hospital admission (89.1%). 410 (66.7%) received prophylactic-dose LMWH; 120 (19.5%), therapeutic-dose LMWH; and another 85 (13.8%) who presented respiratory failure, high D-dimer levels (> 3 mg/l) and non-worsening of inflammation markers received prophylaxis of intermediate-dose LMWH. The overall inpatient-mortality rate was 38.5%. The anticoagulant nonuser group presented higher mortality risk than each of the following groups: any LMWH users (HR 2.1; 95% CI: 1.40-3.15); the prophylactic-dose heparin group (HR 2.39; 95% CI, 1.57-3.64); and the users of heparin dose according to biomarkers (HR 6.52; 95% CI, 2.95-14.41). 3.4% of the patients experienced major hemorrhage. 2.8% of the patients developed an episode of thromboembolism. CONCLUSIONS: This observational study showed that LMWH administered at the time of admission was associated with lower mortality among unselected adult COVID-19 inpatients. The magnitude of the benefit may have been greatest for the intermediate-dose subgroup. Randomized controlled trials to assess the benefit of heparin within different therapeutic regimes for COVID-19 patients are required.

Acciones docentes para atender la diversidad estudiantil en las clases de la disciplina Estomatología Integral / Work educational to assist the student diversity in the classes of the discipline of Family Dentistry

El adecuado desempeño docente para atender la diversidad estudiantil en la disciplina Estomatología Integral, puede garantizar la formación con calidad del egresado en la carrera de Estomatología. El objetivo de este trabajo es diseñar un sistema de acciones docentes para atender la diversidad estudiantil en las clases de la disciplina Estomatología Integral en la Universidad de Ciencias Médicas de Las Tunas. Se realizó una investigación de desarrollo, principalmente cualitativa, en la institución antes declarada, desde septiembre de 2020 a febrero 2021. La investigación define como objeto el proceso de enseñanza-aprendizaje de las clases de la disciplina Estomatología Integral y como campo las acciones docentes para atender diversidad estudiantil. La investigación se ejecutó en dos etapas, dedicadas a: revisar documentos rectores de la carrera, tesis, artículos, programas y elaborar las acciones. El sistema de acciones docentes para atender la diversidad estudiantil quedó estructurado por un objetivo general, acciones permanentes a realizar en el proceso de enseñanza-aprendizaje (relacionado con: superación docente, diagnóstico pedagógico integral y formación de valores); y acciones al planificar, ejecutar y controlar las clases. Las acciones propuestas promueven la unidad de la unidad de lo instructivo, educativo y desarrollador, de lo cognitivo y afectivo, de la formación del conocimiento y los valores, mediante un sistema didáctico integral y personalizado. Se proponen acciones docentes para atender la diversidad estudiantil, en el proceso enseñanza-aprendizaje de las clases de la disciplina Estomatología Integral, al planificar, ejecutar y controlar(AU)

The appropriate educational acting to assist the student diversity in the discipline of Family Dentistry, it can guarantee the formation with quality of the students in the Dentistry career. To design a system of educational actions to assist the student diversity in the classes of the of Family Dentistry in the University of Medical Sciences of Las Tunas. A development investigation, mainly qualitative, before in the institution declared, from September of 2020 to February 2021. The investigation defines like object the process of teaching-learning of the classes of the Family Dentistry and I eat field the educational actions to assist student diversity. The investigation was executed in two stages, dedicated to: to revise documents rectors of the career, thesis, articles, programs and to elaborate the actions. The system of educational actions to assist the student diversity was structured by a general objective, permanent actions to carry out in the teaching-learning process (related with: educational preparation, integral pedagogic diagnosis, and values formation); and work when planning, to execute and to control the classes. The proposed actions promote the unit of the unit of the instructive, educational and developer, of the cognitive, and affective, of the formation of the knowledge and the values, by means of an integral and personalized didactic system. They intended educational actions to assist the student diversity, in the process teaching-learning of the classes of the discipline Family Dentistry, when planning, to execute and to control(EU)

Proposal for a Clinical Analysis of Patellar Tendon Pathologies: In Search of Efficient Therapeutic Indications.

Development and advances in our understanding of basic sciences such as anatomy, biochemistry, histology, and biomechanics have led to a better knowledge of tendon injuries. Likewise, technological advances in available therapies have conditioned the rise of new therapeutic techniques, turning both diagnosis and therapeutic indications into the foundation of treatment for patellar tendon disorders. Furthermore, we often find no correlation between patellar tendon function and structure, as studied and diagnosed from images taken and referred symptoms. This statement proposes an analytic procedure that ensures a specific therapeutic goal instead of applying a specific drug or therapeutic technique, with the aim of establishing parameters that define the kind of tendinopathy clinicians see, taking into account all conditioning factors that may affect a patellar tendinopathy. These include etiological factors, systemic illnesses affecting tendons, local mechanical causes and clinical presentation, range of clinical presentations, symptom persistence, and pain location, as well as those factors described by echography, with or without the presence of neoangiogenesis and location of the pathology, and magnetic resonance imaging. Diagnosing patellar tendinopathies requires deployment of a complex and thorough assessment process for each individual case and should include all variables that basic sciences have provided. Once a diagnosis has been made, a therapeutic strategy that includes all existing variables should be established. The more precise a diagnosis is, the more selective the treatment options become.

[Clinical Practice Guide for Anaphylaxis in Latin America (Galaxia-Latam)]. / Guía de Actuación en Anafilaxia en Latinoamérica. Galaxia-Latam.

Anaphylaxis is a severe allergic reaction with a rapid onset and it is potentially life-threatening. Its clinical manifestations are varied; they may affect the skin, the cardiovascular system, the respiratory system, and the digestive system, among others. The treatment of choice, which is an intra-muscular injection of epinephrine (adrenaline), must be applied promptly. Therefore, being prepared to recognize it properly is of crucial importance. The objective of this clinical practice guide is to improve the knowledge of health professionals about anaphylaxis and, consequently, to optimize the treatment and long-term management of this reaction. This guide is adapted to the peculiarities of Latin America; especially in matters regarding the treatment. The need to introduce epinephrine auto-injectors in countries that don't have them yet is highlighted.

La anafilaxia es una reacción alérgica grave de instauración rápida y potencialmente mortal. Sus manifestaciones clínicas son muy variadas, pudiendo afectar la piel, el sistema cardiovascular, el aparato respiratorio y el digestivo, entre otros. El tratamiento de elección, mediante la inyección intramuscular de adrenalina, debe ser precoz. Por lo anterior, es vital estar preparados para reconocerla adecuadamente. El objetivo de la presente guía de actuación clínica es mejorar el conocimiento de los profesionales sanitarios sobre anafilaxia y, consecuentemente, optimizar el tratamiento y manejo a largo plazo de esta entidad. La guía está adaptada a las peculiaridades de América Latina, especialmente en los aspectos relativos al tratamiento. Se destaca la necesidad de introducir los autoinyectores de adrenalina en los países que no dispongan de ellos.

Estrategias y contenidos considerados más eficaces por los jóvenes para la prevención del virus del papiloma humano desde Facebook / Young people's preferences about strategies and contents considered more effective for the human papillomavirus prevention from Facebook

El virus del papiloma humano es la enfermedad de transmisión sexual más común a nivel global con una gran incidencia en jóvenes. El desconocimiento, los prejuicios y una vida sexual activa los convierten en un grupo de alto riesgo en la infección del papilomavirus y su futuro desarrollo en cáncer. Actualmente, gracias a su popularidad entre jóvenes, redes sociales como Facebook son herramientas apropiadas para intervenciones en educación sexual que permitan superar estas barreras. En este sentido, escuchar la opinión de los jóvenes, sus intereses sobre la enfermedad y la forma de comunicar más atractiva hará que las intervenciones resulten más relevantes y útiles. Objetivo: identificar las preferencias de los jóvenes sobre estrategias y contenidos más interesantes para un perfil en Facebook sobre el papilomavirus que permita el diseño de programas y campañas de prevención atractivas en redes sociales. Métodos: se realizó un estudio descriptivo transversal de opiniones, preferencias y motivaciones de 120 jóvenes universitarios mediante un cuestionario basado en investigaciones previas. Resultados: los resultados muestran que los jóvenes prefieren perfiles de especialistas o instituciones. Están interesados en pruebas, tratamiento, vacunas y prevención. Los recursos más atractivos son la multimedia, los artículos y los testimonios, así como una "comunidad" y la posibilidad de realizar consultas (en privado por temor a las críticas). Conclusiones: este estudio ofrece información sobre las preferencias de los jóvenes que deben ser consideradas en el diseño de las estrategias de prevención en redes sociales para que resulten realmente eficaces y ayuden a la comprensión del virus entre los jóvenes(AU)

Human papillomavirus is the most common sexually transmitted disease worldwide, with a high incidence among young people. Ignorance, prejudice and an active sexual life turn the young into a high-risk group for papillomavirus infection and its future development into cancer. Due to its popularity with youngsters, social networks like Facebook have become appropriate tools for sexual education interventions aimed at overcoming such barriers. Interventions will be more relevant and useful if account is taken of young people's opinions about the disease, their interests in this respect and the forms of communication they consider to be the most attractive. Objective: the purpose of the study is to analyze young people's preferences concerning more interesting strategies and contents for a Facebook profile about papillomavirus leading to the design of attractive prevention campaigns and programs for social networks. Methods: to achieve this end, a cross-sectional descriptive study was conducted of the opinions, preferences and motivations of 120 university students using a questionnaire based on previous research findings. Results: young people prefer specialist or institutional profiles. They are interested in tests, treatment, vaccines and prevention. The most attractive resources are multimedia, articles and testimonies, as well as a community and the possibility of making inquiries (in private for fear of criticism). Conclusions: the study provides information about young people's preferences to be considered in the design of prevention strategies for social networks, so that they are really effective and foster understanding of the disease among the youth(AU)

Estrategias y contenidos considerados más eficaces por los jóvenes para la prevención del virus del papiloma humano desde Facebook / Young people's preferences about strategies and contents considered more effective for the human papillomavirus prevention from Facebook

El virus del papiloma humano es la enfermedad de transmisión sexual más común a nivel global con una gran incidencia en jóvenes. El desconocimiento, los prejuicios y una vida sexual activa los convierten en un grupo de alto riesgo en la infección del papilomavirus y su futuro desarrollo en cáncer. Actualmente, gracias a su popularidad entre jóvenes, redes sociales como Facebook son herramientas apropiadas para intervenciones en educación sexual que permitan superar estas barreras. En este sentido, escuchar la opinión de los jóvenes, sus intereses sobre la enfermedad y la forma de comunicar más atractiva hará que las intervenciones resulten más relevantes y útiles. Objetivo: identificar las preferencias de los jóvenes sobre estrategias y contenidos más interesantes para un perfil en Facebook sobre el papilomavirus que permita el diseño de programas y campañas de prevención atractivas en redes sociales. Métodos: se realizó un estudio descriptivo transversal de opiniones, preferencias y motivaciones de 120 jóvenes universitarios mediante un cuestionario basado en investigaciones previas. Resultados: los resultados muestran que los jóvenes prefieren perfiles de especialistas o instituciones. Están interesados en pruebas, tratamiento, vacunas y prevención. Los recursos más atractivos son la multimedia, los artículos y los testimonios, así como una "comunidad" y la posibilidad de realizar consultas (en privado por temor a las críticas). Conclusiones: este estudio ofrece información sobre las preferencias de los jóvenes que deben ser consideradas en el diseño de las estrategias de prevención en redes sociales para que resulten realmente eficaces y ayuden a la comprensión del virus entre los jóvenes(AU)

Human papillomavirus is the most common sexually transmitted disease worldwide, with a high incidence among young people. Ignorance, prejudice and an active sexual life turn the young into a high-risk group for papillomavirus infection and its future development into cancer. Due to its popularity with youngsters, social networks like Facebook have become appropriate tools for sexual education interventions aimed at overcoming such barriers. Interventions will be more relevant and useful if account is taken of young people's opinions about the disease, their interests in this respect and the forms of communication they consider to be the most attractive. Objective: the purpose of the study is to analyze young people's preferences concerning more interesting strategies and contents for a Facebook profile about papillomavirus leading to the design of attractive prevention campaigns and programs for social networks. Methods: to achieve this end, a cross-sectional descriptive study was conducted of the opinions, preferences and motivations of 120 university students using a questionnaire based on previous research findings. Results: young people prefer specialist or institutional profiles. They are interested in tests, treatment, vaccines and prevention. The most attractive resources are multimedia, articles and testimonies, as well as a community and the possibility of making inquiries (in private for fear of criticism). Conclusions: the study provides information about young people's preferences to be considered in the design of prevention strategies for social networks, so that they are really effective and foster understanding of the disease among the youth(AU)

Spanish Consensus Statement: Clinical Management and Treatment of Tendinopathies in Sport.

On October 15, 2016, experts met at Clínica CEMTRO in Madrid, Spain, under the patronage of the Spanish Society for Sports Traumatology (SETRADE), the Spanish Society of Sports Medicine (SEMED), the Spanish Association of Medical Services for Football Clubs (AEMEF), the Spanish Association of Medical Services for Basketball Clubs (AEMB), F.C. Barcelona, and Clínica CEMTRO. The purpose was to consider the most appropriate clinical management and treatment of tendinopathies in sports, based on proven scientific data described in the medical literature as well as on each expert's experience. Prior to the meeting, each expert received a questionnaire regarding clinical management and treatment of tendinopathies in sports. The present consensus document summarizes the answers to the questionnaire and the resulting discussion and consensus regarding current concepts on tendinopathies in sports.

Actividad física de adolescentes: implicación de sustancias nocivas, modalidad practicada y familia / Physical activity in adolescents: involvement of harmful substances, and practiced family mode / Atividade física por adolescentes: implicação de substâncias nocivas, modalidade praticada e família

Los objetivos de la investigación fueron: determinar los niveles de práctica de actividad física en adolescentes, consumo de tabaco y alcohol como fenómeno social, establecer qué tipo de actividad y nivel federativo y dictaminar el nivel de AF en los progenitores; y apreciar cómo influye en la práctica de actividad física regular, el consumo de sustancias, el tipo de deporte practicado y el nivel de práctica de padres y madres. Participaronun total de 2.134 adolescentes, empleándose una hoja de autoregistro para las variables: Práctica de AF, Modalidad, Estado Federativo y Nivel de Actividad Física Familiar; el FTND para determinar elConsumo de Tabacoy el AUDIT para elConsumo de Alcohol.Los principales resultados indican que los adolescentes que practican actividad física no consumen habitualmente sustancias nocivas, están influenciadospor parámetros familiares, realizanen mayor medida deportes de tipo colectivo y están federados en ellos.(AU)

The objectives of the research were: to determine the levels of physical activity in adolescents, consumption of snuff and alcohol as a social phenomenon, establish what type of activity and federal level and determine the level of PA in parents, and see how it affects the practice of physical activity regular substance use, the type of sport and level of practice of parents.A total of 2,134 adolescents, using a sheet of self-registration for the variables: Practice AF mode, and federal state level Family Physical Activity, the FTND to determine Snuff consumption and AUDIT for Alcohol Consumption. The main results indicate that adolescents who practice physical activity does not usually consume harmful substances, parameters are influenced by family, made ​​further collective sports type and are federated in them.(AU)

Os objetivos da investigação foram: determinar os níveis de prática de atividade física em adolescentes, o consumo de tabaco e álcool como fenômeno social, estabelecer o tipo de atividade e nível federativo e determinar o nível de AF nos progenitores; verificar a influência da prática regular de atividade física, o consumo de substâncias, o tipo de esporte praticado e o nível de prática de pais e mães. Participaram 2.134 adolescentes, utilizando-se uma folha de autorregistro para as variáveis: Prática de AF, Modalidade, Estado Federativo e Nível de Atividade Física Familiar; o FTND para determinar o Consumo de Tabaco e o AUDIT para o Consumo de Álcool. Os principais resultados indicam que os adolescentes que praticam atividade física habitualmente não consomem substâncias nocivas, estão influenciados por parâmetros familiares, realizam mais esportes de tipo coletivo e estão federados neles.(AU)

Actividad física de adolescentes: implicación de sustancias nocivas, modalidad practicada y familia / Physical activity in adolescents: involvement of harmful substances, and practiced family mode / Atividade física por adolescentes: implicação de substâncias nocivas, modalidade praticada e família

Los objetivos de la investigación fueron: determinar los niveles de práctica de actividad física en adolescentes, consumo de tabaco y alcohol como fenómeno social, establecer qué tipo de actividad y nivel federativo y dictaminar el nivel de AF en los progenitores; y apreciar cómo influye en la práctica de actividad física regular, el consumo de sustancias, el tipo de deporte practicado y el nivel de práctica de padres y madres. Participaronun total de 2.134 adolescentes, empleándose una hoja de autoregistro para las variables: Práctica de AF, Modalidad, Estado Federativo y Nivel de Actividad Física Familiar; el FTND para determinar elConsumo de Tabacoy el AUDIT para elConsumo de Alcohol.Los principales resultados indican que los adolescentes que practican actividad física no consumen habitualmente sustancias nocivas, están influenciadospor parámetros familiares, realizanen mayor medida deportes de tipo colectivo y están federados en ellos.

The objectives of the research were: to determine the levels of physical activity in adolescents, consumption of snuff and alcohol as a social phenomenon, establish what type of activity and federal level and determine the level of PA in parents, and see how it affects the practice of physical activity regular substance use, the type of sport and level of practice of parents.A total of 2,134 adolescents, using a sheet of self-registration for the variables: Practice AF mode, and federal state level Family Physical Activity, the FTND to determine Snuff consumption and AUDIT for Alcohol Consumption. The main results indicate that adolescents who practice physical activity does not usually consume harmful substances, parameters are influenced by family, made ​​further collective sports type and are federated in them.

Os objetivos da investigação foram: determinar os níveis de prática de atividade física em adolescentes, o consumo de tabaco e álcool como fenômeno social, estabelecer o tipo de atividade e nível federativo e determinar o nível de AF nos progenitores; verificar a influência da prática regular de atividade física, o consumo de substâncias, o tipo de esporte praticado e o nível de prática de pais e mães. Participaram 2.134 adolescentes, utilizando-se uma folha de autorregistro para as variáveis: Prática de AF, Modalidade, Estado Federativo e Nível de Atividade Física Familiar; o FTND para determinar o Consumo de Tabaco e o AUDIT para o Consumo de Álcool. Os principais resultados indicam que os adolescentes que praticam atividade física habitualmente não consomem substâncias nocivas, estão influenciados por parâmetros familiares, realizam mais esportes de tipo coletivo e estão federados neles.

Autoconcepto, actividad física y familia: Análisis de un modelo de ecuaciones estructurales / Self-concept, physical activity and family: analysis of a structural equation model / Autoconceito, actividade física e família: análise de um modelo de equações estruturais

El presente estudio fue realizar un análisis psicosocial del autoconcepto en adolescentes españoles, considerando de manera simultánea variables personales, familiares, académicas y físico-deportivas. Los participantes fueron 2.134 adolescentes de ambos sexos, procedentes de veinte centros educativos de Educación Secundaria Obligatoria, con edades comprendidas entre los 15 y 18 años. Se llevó a cabo un modelo de ecuaciones estructurales que explica la varianza en un 63.12% y se explora el efecto que tenía la práctica de actividad física, sobre las dimensiones del Test de Autoconcepto Forma-5 (AF-5) de García y Musitu (1999). Los resultados, señalan que el modelo se ajusta correctamente, y que de todas las dimensiones la familiar es la que mayor peso presenta, y la práctica de actividad física no es causa del resto de variables de este modelo (AU)

This study was made to carry out a psychosocial analysis of self-concept in Spanish adolescents, simultaneously considering personal, physical, sports, family and academic variables. The participants were 2,134 adolescents of both genders, from twenty Secondary Schools, aged between 15 and 18 years old. A structural equation model was made that explained the variance at 63.12% and explored the effect that physical activity had using the dimensions of the Autoconcepto Forma-5 (AF-5) Test by García and Musitu (1999). The results show that the model was correctly adjusted and that, out of all the dimensions, family has the greatest weight and that the practice of physical activity is not a cause of other variables in the model (AU)

O presente estudo visou realizar uma análise psicossocial do autoconceito em adolescentes espanhóis, considerando simultaneamente variáveispessoais, familiares académicas e físico-desportivas. Os participantes foram 2.134 adolescentes de ambos os sexos, precedentes de vinte centros educativasde Educação Secundária Obrigatória, com idades compreendidas entre os 15e os 18 anos. Foi realizado um modelo de equações estruturas que explica63.12% da variância, explorando-se de igual modo o efeito que teria a prática de actividade física, sobre as dimensões do Teste de Autoconceito Forma-5(AF-5) de García e Musitu (1999). Os resultados, demonstram que o modelo se ajusta correctamente, e que de todas as dimensões, a familiar é a quemaior peso apresenta, e a prática de actividade física não é causa das restantes variáveis deste modelo

Spanish Consensus Statement: The Treatment of Muscle Tears in Sport.

On the 21st of March, 2015, experts met at Clínica CEMTRO in Madrid, Spain, under the patronage of The Spanish Society for Sports Traumatology (SETRADE), The Spanish Federation of Sports Medicine (FEMEDE), The Spanish Association of Medical Services for Football Clubs (AEMEF), and The Spanish Association of Medical Services for Basketball Clubs (AEMB) with the aim of establishing a round table that would allow specialists to consider the most appropriate current general actions to be taken when treating muscle tears in sport, based on proven scientific data described in the medical literature. Each expert received a questionnaire prior to the aforementioned meeting comprising a set of questions concerning therapeutic indications generally applied in the different stages present during muscle repair. The present Consensus Document is the result of the answers to the questionnaire and resulting discussion and consensus over which are the best current indications in the treatment of muscle tears in sport. Avoiding immobilization, not taking nonsteroidal anti-inflammatory drugs (NSAIDs) randomly, fostering early mobilization, increasing vascularization of injured, site and regulating inflammatory mechanisms-without inhibiting these from the early stages of the recovery period-all stood out as main points of the Consensus Document. Additionally, there is controversy concerning cell stimulation techniques and the use of growth factors or cell inhibitors. The decision concerning discharge was unanimous, as was the criteria considered when it came to performing sport techniques without pain.

Hospital-wide survey of the adequacy in the number of vascular catheters and catheter lumens.

BACKGROUND: Removal of unnecessary catheters has been proposed as an important measure to reduce catheter-related morbidity. Nevertheless, there is scarce information about the potential magnitude of such intervention. OBJECTIVE: The present study was aimed at analyzing the appropriateness of use of vascular catheters and catheter lumens in the inpatient setting. DESIGN: Cross-sectional survey. SETTING: The entire population of adult inpatients admitted to a 1368-bed tertiary-care hospital in a single day. MEASUREMENTS: We used a set of preestablished criteria to evaluate the appropriateness of use of vascular catheters and catheter lumens according to the number and administration regimen of intravenous drugs. RESULTS: Out of 834 patients, 575 (68.9%) had ≥1 vascular catheters in place on the day of the survey. The type and distribution of the 703 surveyed catheters were peripheral venous catheter, 80.6%; central venous catheter, 15.8%; and arterial catheter, 3.6%. We found an overall mean of 2.06 ± 0.82 lumens per catheter, with significant differences between intensive care units and conventional wards (P < 0.0001). Based on our criteria, 126 out of 575 patients (21.9%) had an inappropriate number of catheters (medical wards, 20.0%; surgical wards, 23.9%; intensive care units, 26.3%), and 631 out of 14248 nonarterial catheter lumens (43.6%) were considered unnecessary. CONCLUSIONS: Significant room exists for improving the adequacy of the number of vascular catheters and catheter lumens as a potentially useful tool for decreasing the incidence of catheter-related bloodstream infection.

O futuro imediato do filme distópico rollerball" temas geradores para estimular a imaginação sociológica nos estudos de ciências da Educação Física e esportes / The near future in rollerball dystopian movie: fictional generative themes to stimulate sociological imagination within Physical Education and sports studies

O cinema é um poderoso dispositivo de pedagogia pública cujo potencial é ignorado pelo sistema educativo. Neste contexto, este artigo apresenta como um filme sobre esportes (Rollerball) pode servir para estimular o exercício da imaginação sociológica nos estudos de Educação Física e Esportes. Para isso, centramo-nos num reduzido número de conceitos/imagens selecionados pela sua capacidade para gerar uma praxis pedagógica dialógica em torno de um pequeno grupo de assuntos significativos relativos à cultura, à ideologia, à pedagogia e ao esporte. A nossa premissa tácita é que os textos não tradicionais são uma ferramenta muito útil para ensinar teoria social a uma "audiência" que se apresenta muito mais predisposta à prática da atividade física que à prática teórica.

Cinema is a powerful device of public pedagogy whose potential is to a great extent neglected by the educational system. In this context, this paper illustrates how sport-related films (Rollerball) may be used pedagogically to stimulate the exercise of the sociological imagination within PE/Sports studies. To do so, we focus on a few concept/ images with generative power to encourage a dialogical approach to a bunch of significant topics related to culture, ideology, pedagogy and sport. Our underlying premise is that nontraditional texts constitute a useful tool for teaching social theory to an 'audience' much more prone to physical activity than theoretical practice.

El cine es un poderoso dispositivo de pedagogía pública cuyo potencial es ignorado por El sistema educativo. En este contexto, este artículo muestra el modo en que una película deportiva(Rollerball) puede servir para estimular el ejercicio de la imaginación sociológica en los estudios de EF y Deporte. Para ello, nos centramos en un reducido número de conceptos/imágenes seleccionados por su capacidad para generar una praxis pedagógicadialógica en torno a un pequeño grupo de significativos asuntos relativos a la cultura, la ideología, la pedagogíay el deporte. Nuestra premisa tácita es que los textos no-tradicionales son una herramienta muy útil para enseñar teoría social a una 'audiencia' que se muestra mucho más predispuesta a la práctica de la actividad física que a la práctica teórica.