Las redes sociales y el caso de las ligas deportivas durante el covid-19 / Redes sociais e o caso das ligas esportivas durante a covid-19 / Social media and the case of sport leagues during covid-19

Este estudio contribuye a la literatura existente sobre comunicación deportiva proporcionando evidencia sobre cómo las organizaciones deportivas se comunicaron en las redes sociales durante la pandemia del COVID-19. Para tal fin, se realizó un análisis de contenido de las publicaciones de las redes sociales Facebook, Twitter e Instagram de cinco grandes competiciones: Liga ENDESA ACB, TURKISH AIRLINES Euroleague, NBA, La Liga y la UEFA Champions League. En total se analizaron 2.425 publicaciones recopiladas por un período de dos semanas (1 al 15 de abril de 2020). Los resultados mostraron que, a pesar de las diferencias encontradas desde una perspectiva descriptiva, tras el análisis estadístico, las organizaciones deportivas analizadas optaron por una estrategia de gestión similar de sus redes sociales. Estos hallazgos pueden ayudar a comprender cómo las organizaciones deportivas lidiaron con el COVID-19, y ayudarlas a enfrentar crisis futuras con un mayor conocimiento sobre sus acciones pasadas. (AU)

Este estudo contribui para a literatura existente sobre comunicação esportiva, fornecendo evidências sobre como as organizações esportivas se comunicaram nas redes sociais durante a pandemia de covid-19. Para isso, procedeu-se a uma análise de conteúdo das publicações nas redes sociais Facebook, Twitter e Instagram de cinco grandes competições: Liga ENDESA ACB, TURKISH AIRLINES Euroleague, NBA, La Liga e UEFA Champions League. No total, 2.425 publicações coletadas em um período de duas semanas (1º de abril a 15 de abril de 2020) foram analisadas. Os resultados mostraram que, apesar das diferenças encontradas do ponto de vista descritivo, após a análise estatística, as organizações esportivas analisadas optaram por uma estratégia de gestão semelhante para suas redes sociais. Essas descobertas podem ajudar a entender como as organizações esportivas lidaram com a covid-19 e ajudá-las a enfrentar crises futuras com maior percepção de suas ações passadas. (AU)

This study contributes to the existing literature on sports communication by providing evidence on how sports organizations communicated on social media during the COVID-19 pandemic. To this end, a content analysis was carried out on the publications of the social networks Facebook, Twitter, and Instagram of five major competitions: Liga ENDESA ACB, TURKISH AIRLINES Euroleague), NBA, La Liga and the UEFA Champions League. In total, 2,425 publications collected over a period of two weeks (April 1 to April 15, 2020) were analyzed. The results showed that, despite the differences found from a descriptive perspective, after the statistical analysis, the sports organizations analyzed opted for a similar management strategy for their social media. These findings can help understand how sports organizations dealt with COVID-19 and help them face future crises with greater insight into their past actions. (AU)

Estado nutricional, actividad física y consumo de comida chatarra asociados a colelitiasis en huánuco: estudio de casos y controles / Nutritional status, physical activity and consumption of junk food were associating to colelitiasis in huánuco: a case-control study

Resumen Objetivos: Determinar la asociación entre el consumo de comida chatarra, actividad física y estado nutricional en pacientes con colelitiasis a la ecografía (casos), comparados con controles aparentemente sanos sin colelitiasis a la ecografía, en consulta externa del Hospital EsSalud II Huánuco. Materiales y Método: Estudio de casos y controles. Se incluyeron 107 casos y 107 controles. El consumo de comida "chatarra" se valoró con la encuesta validada por RSEQ (Red deportiva estudiantil de Québec), la frecuencia del consumo (días por semana); la actividad física por el cuestionario IPAQ (Cuestionario Internacional de Actividad Física) y el estado nutricional mediante el índice de masa corporal. En el análisis estadístico se empleó el χ2, U de Mann Whitney y Odds Ratio (p < 0,05). Resultados: La edad y la procedencia no fueron significativos. El consumo de comida "chatarra" estuvo asociado a la colecistitis (OR 10,30; IC 95% 5,48-19,37). La actividad física moderada-vigorosa (≥ 600 MET) promovió el diagnóstico de colecistitis (OR 8,38; IC 95% 4,54-15,48) y el estado nutricional (sobrepeso o mayor), en forma significativa, promovía la colecistitis (OR 11,38; IC 95% 6,01-21,55). Ser femenino estuvo asociado al desarrollo de colecistitis (OR 2,06; IC 95% 1,19-3,55). Conclusión: El consumo de comida "chatarra", la actividad física moderada-vigorosa (≥ 600 MET), el estado nutricional (sobrepeso o mayor) y el género (femenino) fueron asociados al desarrollo de colelitiasis diagnosticados mediante ecografía.

Aim: To determine the association between junk food consumption, physical activity and nutritional status in patients with cholelithiasis on ultrasound (cases), compared with apparently healthy controls without cholelithiasis on ultrasound, in an outpatient EsSalud II Hospital, Huánuco Hospital, 2017. Materials and Method: Case-control study. 107 cases and 107 controls were included. The consumption of junk food was assessed with the survey validated by RSEQ (Québec Student Sports Network), the frequency of consumption (days per week); Physical activity through the IPAQ questionnaire (International Physical Activity Questionnaire) and nutritional status through the Body Mass Index. The chi-square, Mann Whitney U and Odds Ratio (p < 0.05) were used in the statistical analysis. Results: Gender, age and origin were not significant. None or low consumption of "junk" food were associated with cholecystitis (OR 0.097; 95% CI 0.052-0.182). Low physical activity (< 600 MET) did not promote the diagnosis of cholecystitis (OR 0.119; 95% CI 0.064-0.22) and the nutritional status (normal weight), significantly, did not promote cholecystitis (OR 0.09; 95% CI 0.05-0.167). Being male was associated with the non-development of cholecystitis (OR 0.48; 95% CI 0.281-0.838). Conclusión: Low or no consumption of "junk" food, low physical activity (< 600 MET), nutritional status (normal) and gender (male) were associated for the non-development of cholelithiasis diagnosed by ultrasound.

Device-associated infection rates, mortality, length of stay and bacterial resistance in intensive care units in Ecuador: International Nosocomial Infection Control Consortium's findings.

AIM: To report the results of the International Nosocomial Infection Control Consortium (INICC) study conducted in Quito, Ecuador. METHODS: A device-associated healthcare-acquired infection (DA-HAI) prospective surveillance study conducted from October 2013 to January 2015 in 2 adult intensive care units (ICUs) from 2 hospitals using the United States Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN) definitions and INICC methods. RESULTS: We followed 776 ICU patients for 4818 bed-days. The central line-associated bloodstream infection (CLABSI) rate was 6.5 per 1000 central line (CL)-days, the ventilator-associated pneumonia (VAP) rate was 44.3 per 1000 mechanical ventilator (MV)-days, and the catheter-associated urinary tract infection (CAUTI) rate was 5.7 per 1000 urinary catheter (UC)-days. CLABSI and CAUTI rates in our ICUs were similar to INICC rates [4.9 (CLABSI) and 5.3 (CAUTI)] and higher than NHSN rates [0.8 (CLABSI) and 1.3 (CAUTI)] - although device use ratios for CL and UC were higher than INICC and CDC/NSHN's ratios. By contrast, despite the VAP rate was higher than INICC (16.5) and NHSN's rates (1.1), MV DUR was lower in our ICUs. Resistance of A. baumannii to imipenem and meropenem was 75.0%, and of Pseudomonas aeruginosa to ciprofloxacin and piperacillin-tazobactam was higher than 72.7%, all them higher than CDC/NHSN rates. Excess length of stay was 7.4 d for patients with CLABSI, 4.8 for patients with VAP and 9.2 for patients CAUTI. Excess crude mortality in ICUs was 30.9% for CLABSI, 14.5% for VAP and 17.6% for CAUTI. CONCLUSION: DA-HAI rates in our ICUs from Ecuador are higher than United States CDC/NSHN rates and similar to INICC international rates.

Donovanosis / Donovanosis

Enfermedad específica probablemente sistémica, producida por el micro-organismo Calymmato Donovania Bactedrium Granulomatis. De poca frecuencia presentamos a un paciente habido en nuestro hospital, de 50 años, inicia sus enfermedad 3 meses antes, con prurito anal persistente y aparición de masa dura en la región anal, dolorosa y escaso sangrado, luego ulceración central de la lesión. Progresivamente malestar general, astenia y baja de peso. Al tacto rectal, lesiones "acartonadas" con múltiples induraciones que estrechan la luz. En el examen instrumental: dificultad estenótica y de visión por presencia de tejido friable y sangrante.

Corioangioma: un raro tumor placentario / Chorioangioma: a rare placentary tumor

Se presenta un caso de Carioangioma de placenta con desenlace fatal del producto pretérmino por insuficiencia respiratoria por atelectasia pulmonar bilateral. Se realiza una revisión sobre este raro rumor, entre cuyas principales complicaciones asociadas se encuentra el Polihidramnios, que en este caso no habría sido ocasionado por compromiso de la circulación fetal.

Gonadoblastoma en un paciente con disgenesia gonadal mixta 45, XO/46,XY / Gonadoblastome in a patient with gonadal disgenesia mixed 45, XO/46, XY

Se presenta un caso de Gonadoblastoma en un paciente con Disgenesia Gonadal Mixta, cromatina sexual negativa y cario tipo 45,XO/46,XY, fenotipo femenino. Se hace una revisión sobre este raro tumor gonadal, presentándose algunos alcances clínicos, genéticos y terapéuticos.