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1.
Cir. Esp. (Ed. impr.) ; 99(10): 707-715, dic. 2021. ilus, tab, graf, mapas
Artigo em Espanhol | IBECS | ID: ibc-218840

RESUMO

La tecnología constituye uno de los pilares de la cirugía del siglo XXI y resulta un factor clave para la consecución de unos mejores resultados quirúrgicos. El proceso quirúrgico actual lleva implícito no solo la técnica operatoria, sino un grado de especialización muy elevado y el conocimiento y empleo de técnicas y dispositivos propios de otros campos. En España no existen estudios publicados a nivel nacional a este respecto.Desde la Sección de Cirugía Mínimamente Invasiva e Innovación Tecnológica (CMI-IT) de la Asociación Española de Cirujanos hemos diseñado un estudio cuyo objetivo principal es evaluar el grado de implantación tecnológica en la especialidad de cirugía general en España, así como analizar los dispositivos disponibles en los diferentes centros del país. Nos planteamos realizar una descripción pormenorizada de las aplicaciones de dichos dispositivos y técnicas por áreas de interés, señalando las patologías y procedimientos en los que se utiliza dicha tecnología. (AU)


Technology is one of the pillars of surgery in the 21st century and is a key factor in achieving better surgical results. The current surgical process involves not only surgical techniques, but also a very high degree of specialisation and the knowledge and use of techniques and devices from other fields. In Spain, there are no studies published at a national level in this regard.From the Minimally Invasive Surgery and Technological Innovation section of the Spanish Association of Surgeons we have designed a study whose main objective is to evaluate the degree of technological implantation in the specialty of General Surgery in Spain, as well as to analyze the devices available in the different centres of the country. We propose to make a detailed description of the applications of these devices and techniques by areas of interest, pointing out the pathologies and procedures in which this technology is used. (AU)


Assuntos
Humanos , Tecnologia , Cirurgia Geral , Sistema Digestório , Espanha , Inquéritos e Questionários , Verde de Indocianina , Procedimentos Cirúrgicos Robóticos
2.
Cir Esp (Engl Ed) ; 99(10): 707-715, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34764063

RESUMO

Technology is one of the pillars of surgery in the 21st century and is a key factor in achieving better surgical results. The current surgical process involves not only surgical techniques, but also a very high degree of specialisation and the knowledge and use of techniques and devices from other fields. In Spain, there are no studies published at a national level in this regard. From the Minimally Invasive Surgery and Technological Innovation section of the Spanish Association of Surgeons we have designed a study whose main objective is to evaluate the degree of technological implantation in the specialty of General Surgery in Spain, as well as to analyze the devices available in the different centres of the country. We propose to make a detailed description of the applications of these devices and techniques by areas of interest, pointing out the pathologies and procedures in which this technology is used.


Assuntos
Procedimentos Cirúrgicos Minimamente Invasivos , Tecnologia , Espanha
3.
Cir Esp (Engl Ed) ; 2021 Mar 18.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-33745719

RESUMO

Technology is one of the pillars of surgery in the 21st century and is a key factor in achieving better surgical results. The current surgical process involves not only surgical techniques, but also a very high degree of specialisation and the knowledge and use of techniques and devices from other fields. In Spain, there are no studies published at a national level in this regard. From the Minimally Invasive Surgery and Technological Innovation section of the Spanish Association of Surgeons we have designed a study whose main objective is to evaluate the degree of technological implantation in the specialty of General Surgery in Spain, as well as to analyze the devices available in the different centres of the country. We propose to make a detailed description of the applications of these devices and techniques by areas of interest, pointing out the pathologies and procedures in which this technology is used.

4.
Med Oral Patol Oral Cir Bucal ; 26(2): e208-e215, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-32851982

RESUMO

BACKGROUND: Previous studies have linked apical periodontitis (AP) to inflammatory bowel disease (IBD). The aim of this study was to compare the prevalence of AP and root canal treatment (RCT) in patients with ulcerative colitis (UC) and Crohn´s disease (CD). MATERIAL AND METHODS: A cross-sectional study, including 28 patients with Crohn´s disease and 26 with ulcerative colitis, was conducted. AP was diagnosed as radiolucent periapical lesions (RPLs), using the periapical index score (PAI). Student's t test, 2 test and multivariate logistic regression were used in the statistical analysis. RESULTS: Multivariate logistic regression run with age, gender, number of teeth, number of RFT, periodontal disease and the type of IBD as covariates, taking as dependent variable and outcome "periapical status" (0 = no tooth with RPL; 1 = at least one tooth with RPL), showed that both UC and CD patients had the prevalence apical periodontitis (OR = 1.03; C.I. 95% = 0.25 - 4.31; p = 0.97). The multivariate analysis, including all the above covariates, shows that both in UC and CD patients the prevalence of RCT was similar (OR = 0.76; C.I. 95% = 0.17 - 7.31; p = 0.73). Periapical status was significantly associated with endodontic status (OR = 42.72; C.I. 95% = 3.87 - 472.15; p = 0.002), regardless of IBD type. CONCLUSIONS: The results of the present study show similar frequency of AP and RFT in both UC and CD patients. The type of IBD does not appear to affect the prevalence of radiographically detectable periapical lesions or the prevalence of root canal treatment.


Assuntos
Colite Ulcerativa , Doença de Crohn , Periodontite Periapical , Colite Ulcerativa/complicações , Colite Ulcerativa/epidemiologia , Doença de Crohn/complicações , Doença de Crohn/epidemiologia , Estudos Transversais , Humanos , Periodontite Periapical/epidemiologia , Prevalência , Tratamento do Canal Radicular
5.
Clin Transl Oncol ; 22(11): 2032-2039, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32277348

RESUMO

BACKGROUND AND OBJECTIVES: Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) is an effective but complex treatment for peritoneal metastasis (PM). Our objective was to identify risk factors for postoperative morbidity and mortality following CRS-HIPEC. METHODS: Retrospective study of prospectively collected data of patients undergoing CRS-HIPEC for PM arises from colorectal cancer between January 2008 and December 2017. Perioperative variables were correlated with morbidity outcomes using a logistic regression model. RESULTS: Sixty-seven patients underwent CRS-HIPEC, and overall morbidity and mortality were 31.3% and 4.5% respectively. Major morbidity rate was 19.4%; 7.5% of patients were re-operated. Intraoperative blood transfusion (p = 0.01), liver resection (p < 0.01), and intestinal anastomosis (p < 0.01) were associated with a higher morbidity in univariate analysis. A multivariate analysis identified blood transfusion and liver resection as independent risk factors (OR 3.66, IC 1.13-16.54; OR 4.33, IC 1.17-11.46, respectively). Extension of visceral resection did not correlate with morbidity. Patients with lymph-node infiltration had a higher major complication rate (p = 0.01). CONCLUSIONS: CRS-HIPEC is a feasible treatment for colorectal PM with an acceptable morbi-mortality rate in experienced centers. In our study, digestive anastomosis, perioperative blood transfusion, hepatic resection, and lymph-node infiltration were associated with higher morbidity rates.


Assuntos
Transfusão de Sangue , Neoplasias Colorretais/terapia , Procedimentos Cirúrgicos de Citorredução/métodos , Hepatectomia , Quimioterapia Intraperitoneal Hipertérmica/métodos , Idoso , Neoplasias Colorretais/mortalidade , Neoplasias Colorretais/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Morbidade , Estudos Retrospectivos
6.
Clin Transl Oncol ; 21(4): 451-458, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30218305

RESUMO

BACKGROUND: Cytoreductive surgery (CRS) with Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in peritoneal carcinomatosis treatment causes significant hemodynamic, metabolic, and hematological alterations. Studies on the anesthetic intraoperative management are heterogeneous and scarce. There is a great heterogeneity in the anesthetic management of CRS and HIPEC. The aim of this study is to analyze perioperative hemodynamic goal-directed management and to evaluate the complications arisen until the seventh postoperative day. METHODS: Prospective, observational study of all CRS and HIPEC patients from March 2014 to May 2017. Hemodynamic and clinical parameters were registered during surgery and the first 3 postoperative days. We correlated intraoperative data with the postoperative course until the seventh day. RESULTS: A total of 92 patients were included in the study (age 58.5 ± 10.9 years, 47% colorectal carcinoma, and 38% ovarian carcinoma). Peritoneal Carcinomatosis Index (PCI) (median and ranges) was 10 [0-39]. Cardiac Index (CI) 3.15 l/min-1/m-2 [1.79-5.60]) and Systolic Volume Variation (SVV) (10% [3%-17%]) remained within the values of normality in all surgery phases. A large difference was observed between the minimum and maximum ranges of fluid therapy administered (median 9.8 ml/kg/h [5.3-24.3]), showing a great interindividual variation in the fluids requirement. A direct relationship was observed between PCI and surgery duration, fluid therapy, and intraoperative transfusion percentage (p < 0.02). CONCLUSIONS: There is a great variability in the intraoperative fluid therapy needs of the patients. SVV monitoring makes it possible to adjust the fluid therapy needs in each surgery phase. The use of a hemodynamic goal-directed anesthetic protocol in CRS and HIPEC enables to individually adjust the fluid therapy, avoiding over-hydration and ensuring hemodynamic stability in all surgery phases.


Assuntos
Quimioterapia do Câncer por Perfusão Regional/métodos , Neoplasias Colorretais/terapia , Procedimentos Cirúrgicos de Citorredução/métodos , Hipertermia Induzida/métodos , Neoplasias Ovarianas/terapia , Neoplasias Peritoneais/terapia , Complicações Pós-Operatórias , Neoplasias Colorretais/patologia , Terapia Combinada , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Ovarianas/patologia , Neoplasias Peritoneais/secundário , Prognóstico , Estudos Retrospectivos , Taxa de Sobrevida
7.
Int J Colorectal Dis ; 32(11): 1545-1550, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28755243

RESUMO

PURPOSE: The aim of this paper is to evaluate to the safety, feasibility and efficacy of a novel treatment for transsphincteric cryptoglandular fistula: injection of autologous plasma rich in growth factors (PRGF) into the fistula tract accompanied by sealing using a fibrin plug created from the activated platelet-poor fraction of the same plasma. METHOD: This article is a prospective, phase II clinical trial. The procedure was externally audited. Thirty-six patients diagnosed with transsphincteric fistula-in-ano were included. All patients underwent follow-up examinations at 1 week and again at 3, 6 and 12 months after discharge. Main outcome measures safety (number of adverse events), feasibility and effectiveness of the treatment. RESULTS: A total of 36 patients received the study treatment, with the procedure found to be feasible in all patients. A total of seven adverse events (AE) related to the injected product or surgical procedure were identified in 4 of 36 patients. At the end of the follow-up period (12 months), 33.3% of patients (12/36) had achieved complete fistula healing and 11.1% of patients (4/36) had achieved partial healing. In total, this amounted to 44.4% of patients (16/36) being asymptomatic at final follow-up. In successfully healed patients, a gradual reduction in pain was observed, as measured using a Visual Analog Scale (VAS) (p = 0.0278). Compared to baseline, a significant improvement in Wexner score was seen in patients achieving total or partial healing of the fistula (p = 0.0195). CONCLUSIONS: The study treatment was safe and feasible, with apparently modest efficacy rates. Continence and pain improvement following treatment may be considered predictive factors for healing.


Assuntos
Peptídeos e Proteínas de Sinalização Intercelular/farmacologia , Dor , Plasma Rico em Plaquetas , Fístula Retal , Cicatrização/efeitos dos fármacos , Adulto , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica/métodos , Dor/diagnóstico , Dor/etiologia , Manejo da Dor/métodos , Medição da Dor , Fístula Retal/complicações , Fístula Retal/diagnóstico , Fístula Retal/terapia , Resultado do Tratamento
9.
Colorectal Dis ; 19(5): 485-490, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-27634544

RESUMO

AIM: Low anterior resection syndrome (LARS) comprises a collection of symptoms affecting patients after restorative surgery for rectal cancer. The aim of the present study was to analyse the incidence of LARS in patients undergoing rectal cancer surgery with and without subsequent ileostomy and to determine whether the interval to ileostomy closure is a factor associated with its occurrence. METHOD: All patients undergoing curative anterior resection for rectal cancer from 2008 to 2012 in our institution were included in the study. They were divided into two groups according to whether or not a defunctioning ileostomy had been performed. Patients were assessed for LARS at a median interval of 23.60 ± 16.73 (12-48) months from anterior resection in those who did not have an ileostomy and at an interval of 11.31 ± 14.24 (12-60) months from closure of the ileostomy in those who did. They underwent a structured telephone interview based on a validated LARS score questionnaire. Univariate and multivariate analysis was carried out to assess possible associations between LARS and the variables studied. RESULTS: There were 150 patients (93 men) of whom 54.7% had no evidence of LARS, 17.3% had minor symptoms and 28% major symptoms of LARS. Univariate analysis showed that male gender, the presence of a temporary ileostomy and neoadjuvant therapy were predisposing factors for LARS. The interval from construction of the ileostomy to its closure did not appear to be a factor associated with LARS. In multivariate analysis, male gender and preoperative neoadjuvant therapy were significant predisposing factors for LARS. CONCLUSION: Male gender and preoperative neoadjuvant therapy are risk factors for LARS. The presence of ileostomy or time to ileostomy closure is not associated with the development of this syndrome.


Assuntos
Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos , Ileostomia/efeitos adversos , Complicações Pós-Operatórias/etiologia , Neoplasias Retais/cirurgia , Reto/cirurgia , Idoso , Anastomose Cirúrgica/efeitos adversos , Colo/cirurgia , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Feminino , Humanos , Ileostomia/métodos , Incidência , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Estudos Retrospectivos , Fatores de Risco , Síndrome , Fatores de Tempo
10.
Rev. int. med. cienc. act. fis. deporte ; 16(64): 775-787, dic. 2016. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-158919

RESUMO

El principal objetivo de este estudio es realizar un estudio previo a la validación de un test de medición del equilibrio en tiro olímpico sin el uso de la pistola. Para ello, se han comparado los resultados del análisis del movimiento del centro de presiones (CP) de dos pruebas de equilibrio estático: en la primera prueba se usó una mancuerna para simular la acción de disparo, mientras que en la segunda se usó la pistola. Se encontró una fuerte correlación entre los dos test en todas las variables del CP y una correlación lineal inversa entre el peso corporal y los movimientos del CP. No se encontró relación alguna entre los movimientos del CP y el rendimiento deportivo. El estudio concluye que el test con mancuerna puede ser válido para la medición del equilibrio específico en tiro olímpico y se recomienda profundizar en el estudio con una muestra de mayor tamaño (AU)


The main objective of the present work is the pre-validation of a test able to provide reliable body sway measurements in Olympic shooting, without the use of a pistol. For this reason the results of the analysis of the body sway data of two static bipodal balance tests have been compared: during the first a dumbbell was used to simulate shooting, while for the second test a pistol was used. A strong correlation between the two tests regarding all variables was found. A statistically significant inverse linear correlation was also found between body weight and the movements of the COP (centre of pressure). No statistically significant relations were found between the movements of the COP and performance. The study concludes that dumbbell tests could be perfectly reliable for measuring specific body sway on Olympic shooting. Future studies on the validation of the same test with larger sample size are recommended (AU)


Assuntos
Humanos , Equilíbrio Postural/fisiologia , Atletismo/fisiologia , Reprodutibilidade dos Testes , Esportes/fisiologia , Força Muscular/fisiologia
11.
Cuad. psicol. deporte ; 16(2): 137-152, 2016. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-155095

RESUMO

The purpose of this study was to evaluate the degree of interobserver reliability for the sport analysis company VIDEOBSERVER(TM). The football match corresponding to the 2014 World Cup final was used as the sample for the study. Data were collected on 28 players, including the actions of the goalkeepers and the players substituted during the match. This study was carried out in four phases: (i) a revision of the literature was performed to define the theoretical frame-work and the procedures to be followed; (ii) an observation system was created with the help of two experienced sports analysis technicians; (iii) a pilot study was carried out with the aim of verifying the operativity of the observation system; and (iv) the main study of inter-observer reliability was developed. The values of the kappa index, the standardized typical error and the intra-class correlation coefficient were used for the statistical analysis. The results showed a high level of inter-operator reliability, a statement which is supported by the high values of the intra-class correlation coefficient (both at the individual and collective level) and the small standardized typical error which were found in this study. This study adds an innovative element of analysis consisting in the fact that the evaluation was carried out not only at the collective level but also at the individual level (AU)


La realización de este estudio se llevó a cabo con el propósito de evaluar el grado de fiabilidad inter-operador de la empresa de análisis deportivo VIDEOBSERVER(TM). Como muestra para la investigación se utilizó un partido de fútbol de la final de la Copa del Mundo del 2014. En la toma de datos se recogieron los datos de 28 jugadores, incluyendo las acciones de los porteros y de los jugadores sustituidos durante el partido. El desarrollo de esta investigación se llevó a cabo en cuatro fases: (i) Se realizó una revisión bibliográfica para definir el marco teórico y los procedimientos a seguir; (ii) De este estudio se creó un sistema de observación con la ayuda de dos técnicos deportivos superiores; (iii) Se realizó un estudio piloto con el objetivo de verificar la operatividad del sistema de observación; (iv) Se ejecutó el estudio principal de validez observacional inter-observadores. Para realizar el análisis estadístico se utilizaron los valores de índice kappa, error típico estandarizado y coeficiente de correlación intra-clase. Los resultados obtenidos muestran una elevada fiabilidad a nivel inter-operador, esta afirmación se encuentra sustentada en los elevados valores del coeficiente de correlación intra-clase (tanto a nivel individual como colectivo) y el reducido error típico estandarizado que se obtuvieron en este estudio. Este estudio añade un elemento de análisis novedoso, que consiste en el hecho de que en este estudio realizado la validación no solo a nivel colectivo sino que también se realiza a nivel individual (AU)


Este estudo foi realizado com o objetivo de avaliar o grau de fiabilidade inter-observador da empresa de analise desportivo VIDEOBSERVER (TM). A amostra utilizada nesta investigação consistiu num jogo de futebol da final da Copa do mundo de 2014. Na recolha de dados registaram-se as informações de 28 jogadores, incluindo as ações dos guarda redes e jogadores substituídos durante o jogo. A construção desta pesquisa foi realizada em quatro fases: (i) Foi realizada uma revisão da literatura para definir o marco teórico e os procedimentos a serem seguidos; (ii) Criação de um sistema de analise com a ajuda de dois técnicos de superiores de desporto; (iii) Realizou-se um estudo piloto com o objetivo de verificar o funcionamento do sistema de observação; (iv) Execução do estudo principal estudo de validade observacional inter-observador. Para realizar a análise estatística utilizou-se os valores de índice kappa, o erro típico e coeficiente de correlação intra-clase. Os resultados obtidos mostram um elevado nível de fiabilidade inter-operador, esta afirmação é suportada pelos valores elevados do coeficiente de correlação intra-clase (tanto a nível individual como coletivo) e o reduzido erro-padrão obtido neste estudo. Este estudo adiciona um elemento de análise inovadora, que consiste no fato de que, no presente estudo não só de realizou uma validação a nível coletivo, mas também é feito a nível individual (AU)


Assuntos
Humanos , Esportes/estatística & dados numéricos , Desempenho Atlético/estatística & dados numéricos , Técnicas de Observação do Comportamento/métodos , Estudos Observacionais como Assunto/métodos , Futebol/estatística & dados numéricos , Comportamento Competitivo , Recursos Audiovisuais
12.
Transplant Proc ; 47(9): 2643-4, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26680059

RESUMO

Biliary atresia (BA) is a neonatal progressive cholangiopathy of unknown etiology and one of the most common reasons for liver transplantation (LT) in children. Kasai portoenterostomy (KP) improves survival of the native liver, although LT remains the only ultimate treatment. In some cases KP makes it possible to defer the ultimate LT until adulthood. We report our experience regarding 5 cases of BA treated with LT during adulthood. KP was performed in all patients at an average age of 176 days (range, 60-280), which allowed an average survival of the native liver of 19.01 years (range, 14.06-22.32). Five-year survival rate was 100%. Ten-year survival rate did not reach 100% because of a death 9.55 years after LT due to chronic graft rejection, in a patient who was already prepared for a new LT. Our results corroborate that KP remains the first-line treatment of BA. Early performance of the KP provides children with the best chance of survival, allowing the delay of the LT to adulthood. LT during adulthood in these patients achieves good post-LT survival rate; we have not found any data regarding this group of patients in the literature.


Assuntos
Atresia Biliar/cirurgia , Transplante de Fígado/mortalidade , Portoenterostomia Hepática/efeitos adversos , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Fígado/cirurgia , Transplante de Fígado/métodos , Masculino , Taxa de Sobrevida , Fatores de Tempo , Resultado do Tratamento , Adulto Jovem
13.
Int. j. morphol ; 30(3): 945-951, Sept. 2012. ilus
Artigo em Espanhol | LILACS | ID: lil-665507

RESUMO

El objetivo del estudio fue comprobar si existen diferencias entre el lado dominante y no dominante de las medidas antropométricas en los mejores jugadores y jugadoras españoles de bádminton, así como verificar si el lado del cuerpo donde se realiza la medición puede influir en el cálculo de la composición corporal y del somatotipo. Participaron voluntariamente en el estudio 46 jugadores de bádminton de élite, 31 eran hombres (edad=21,7+/-4,3 años) y 15 mujeres (edad=19,1+/-4,4 años). Se tomaron las medidas de 6 pliegues cutáneos, 3 diámetros, 3 longitudes y 5 perímetros del lado dominante y no dominante de los sujetos. Se calculó la composición corporal y el somatotipo con los valores registrados en cada uno de los lados. No se encontraron diferencias en los pliegues ni en las longitudes entre el lado dominante y no dominante, como consecuencia tampoco se encontraron diferencias significativas en el porcentaje de grasa (dominante=11,20+/-4,45 por ciento; no dominante=11,12+/-4,48 por ciento; ns). Aparecieron valores superiores (p<0,05) en los diámetros óseos y en los perímetros en el lado dominante. El porcentaje óseo fue mayor calculado a partir de las mediciones del lado dominante (dominante=16,37+/-1,14 por ciento, no dominante=15,66+/-1,12 por ciento; p<0,001). El porcentaje muscular fue mayor calculado a partir de las mediciones del lado no dominante (dominante=49,39+/-2,60 por ciento, no dominante=50,18+/-2,69 por ciento; p<0,001). Como conclusión podemos afirmar que existen asimetrías corporales en los jugadores de bádminton de alto nivel, al encontrarse diferencias en los diámetros óseos y en los perímetros entre el lado dominante y no dominante. Al calcular la composición corporal con el lado dominante de los jugadores de bádminton se está sobreestimando el porcentaje óseo e infraestimando el porcentaje muscular...


The purpose of this study was to determine whether differences exist between the dominant and non-dominant side in anthropometric measurements in the best Spanish badminton players, and to verify if the side of the body where the measurement was made could influence the calculation of body composition and somatotype. Forty-six elite badminton players voluntarily participated in the study, 31 were men (age=21.7+/-4.3 years) and 15 women (age=19.1+/-4.4 years). Anthropometric measurements consisting of 6 skinfolds, 3 lengths, 3 breadths and 5 girths, were taken on the dominant and non-dominant side of each participant. Body composition and somatotype were calculated with the values ??recorded on each side. No differences were found in the skinfolds or the lengths between the dominant and non-dominant side, as a result neither were significant differences found in the fat percentage (11.20 +/- 4.45 percent dominant; 11.12 +/- 4.48 percent, non-dominant, ns). Values were higher (p <0.05) in bone breadths and girths on the dominant side. Bone percentage was greater when calculated from measurements on the dominant side (dominant=16.37+/-1.14 percent, non-dominant=15.66+/-1.12 percent; p<0.001). Muscle percentage was higher when calculated from measurements on the non-dominant side (dominant=49.39+/-2.60 percent, non-dominant=50.18+/-2.69 percent; p<0.001). In conclusion we can confirm that there are body asymmetries in high level badminton players, because differences were found in bone breadths and girths between the dominant and non-dominant side. When calculating the body composition with the badminton players' dominant side, bone percentage was overestimated and muscle percentage was underestimated...


Assuntos
Humanos , Masculino , Adolescente , Adulto , Feminino , Adulto Jovem , Composição Corporal , Músculo Esquelético/anatomia & histologia , Esportes com Raquete , Somatotipos , Antropometria
15.
Neth J Med ; 70(4): 168-71, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22641624

RESUMO

Acute severe pancreatitits may be complicated by the development of 'walled-off pancreatic necrosis' (WOPN), which is characterised by a mixture of solid components and fluids on imaging studies as a consequence of organised pancreatic tissue necrosis. We present here an overview of the definition, clinical features, and diagnostic and therapeutic management of this clinical condition, which is mostly based on consensus as adequate clinical trials are lacking.


Assuntos
Pâncreas/patologia , Pancreatite Necrosante Aguda/patologia , Doença Aguda , Consenso , Humanos , Pâncreas/cirurgia , Pancreatite Necrosante Aguda/cirurgia , Prognóstico
16.
J Thromb Haemost ; 8(6): 1176-84, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20230414

RESUMO

BACKGROUND AND OBJECTIVES: Patients with polyvascular arterial disease have a greater risk of suffering a new atherothrombotic episode than those with involvement of only one vascular territory. We have studied the predictive prognostic value of the detection of non-diagnosed peripheral arterial disease, determined by measuring the ankle-brachial index in a population of elderly patients with stable chronic cardiac or cerebrovascular disease. METHODS: This was a multicenter, prospective cohort study with consecutive inclusion of patients between 65 and 85 years of age with a previous atherothrombotic event, but without previously established peripheral arterial disease. RESULTS: A total of 1096 patients were evaluated during 11.7 (+ or - 2.2) months of follow-up. An ankle-brachial index of < 0.9 was observed in 29.9% and > 1.4 in 6.9%. The detection of an ankle-brachial index < 0.9 was clearly associated with the presence of a combined primary event of cardiovascular death and non-fatal cardiovascular event [HR 1.99 (95% CI, 1.49-2.66; P < 0.001)]. There was also a significant relationship between ankle-brachial index > 1.4 and total (P = 0.001) or cardiovascular (P = 0.020) deaths. The predictive value of both ranges of the ankle-brachial index was maintained after adjusting for age, sex, diabetes mellitus, vascular territory, macroalbuminuria or glomerular filtration rate. CONCLUSIONS: The detection of non-diagnosed peripheral arterial disease in patients with stable coronary or cerebrovascular events identifies a very high risk population that might benefit from more intensive treatment.


Assuntos
Índice Tornozelo-Braço , Doenças Cardiovasculares/fisiopatologia , Idoso , Idoso de 80 Anos ou mais , Doença Crônica , Humanos , Prognóstico , Estudos Prospectivos
17.
Cuad. psicol. deporte ; 9(supl.): 9-9, jul.-dic. 2009.
Artigo em Espanhol | IBECS | ID: ibc-106938

RESUMO

El objetivo del presente artículo es conocer que factores afectan a los jugadores de baloncesto en la transición deportiva que se produce cuando pasan del baloncesto amateur y junior al baloncesto profesional y senior. Por transición, se entiende cualquier suceso que acarrea una modificación en la concepción de uno mismo y del mundo, lo cual requiere del correspondiente cambio en la forma de comportarse y relacionarse de uno mismo (Schlossberg, 1981). Hasta el momento, la transición más estudiada es la finalización de la vida deportiva (e.g.; Gónzalez & Bedoya, 2008). Son pocos los estudios que analizan las transiciones durante la carrera deportiva. En baloncesto, Čačija (2007), destacó como factores de carácter deportivo: a) la exigencia física de los entrenamientos; b) tener que demostrar constantemente su capacidad; c) una mayor exigencia mental; d) un nuevo tipo de relación con el entrenador; v) tener menor responsabilidad dentro del equipo; y e) vivir en un entorno más reglado. Además, los jugadores también experimentaron nuevas exigencias fuera del contexto deportivo como: a) tener que priorizar y planificarse mejor; b) cambios de lugar de residencia; c) los estudios universitarios; y d) el entorno cambiante del alto rendimiento. Para superar dichas exigencias, los jugadores fundamentalmente se apoyaron en su red social, en sus características individuales, en el apoyo económico, y en otras actividades fuera del ámbito deportivo (AU)


Assuntos
Humanos , Basquetebol/psicologia , Desempenho Atlético/psicologia , Logro , Esportes/psicologia , Apoio Social , Relações Interpessoais
18.
Cuad. psicol. deporte ; 9(supl.): 11-11, jul.-dic. 2009. tab
Artigo em Espanhol | IBECS | ID: ibc-106940

RESUMO

En este estudio se analizaron los contraataques (CA) con el objetivo de conocer de qué forma se desarrollan en baloncesto de máximo nivel, determinando qué opciones de juego obtienen mejores resultados y analizando las diferencias en baloncesto masculino y femenino (AU)


Assuntos
Humanos , Basquetebol/psicologia , Comportamento Competitivo , Logro , Esportes/psicologia
19.
Cuad. psicol. deporte ; 9(supl.): 26-26, jul.-dic. 2009. tab
Artigo em Espanhol | IBECS | ID: ibc-106955

RESUMO

Actualmente el bloqueo directo es una de las acciones más habituales es su utilización dentro de los sistemas ofensivos de los equipos de baloncesto (Ivanovic, 2006), y en contrastre una de las menos atendidas por la investigación, existiendo escasos estudios sobre esta opción de ataque. Concerniente a la toma de decisión en baloncesto destacamos los trabajos de Bar-Eli & Tracktinsky (2000) los cuales determinaron como la calidad de la decisión disminuía ante situaciones críticas, y Busemeyer & Townsend (1993) los cuales desarrollaron el Decision Field Theory para facilitar la compresión de la decisión en situaciones deportivas. En el presente estudio realiazamos un análisis y comparación en el uso del bloqueo directo por parte de las selecciones internacionales absolutas y clubes pertenecientes a la ACB, para así determinar las diferencias existentes en ambas categorias (AU)


Assuntos
Humanos , Basquetebol/psicologia , Comportamento Competitivo , Tomada de Decisões , Planejamento Estratégico , Desempenho Atlético
20.
Cuad. psicol. deporte ; 9(supl.): 51-51, jul.-dic. 2009.
Artigo em Espanhol | IBECS | ID: ibc-106978

RESUMO

El análisis de los deportes es un requisito fundamental a la hora de diseñar las situaciones de aprendizaje en los mismos. Normalmente este análisis viene de la mano del estudio de las acciones de juego tanto en ataque como en defensa, el rol específico de los jugador/es en el campo de juego, así como del análisis de las dimensiones tácticas, técnicas y estratégicas del propio juego. El objetivo del profesorado del Grupo de Innovación Educativa “Deportes Colectivos” de la Facultad de Ciencias del Deporte - INEF (Universidad Politécnica de Madrid) ha sido la creación de un DVD didáctico que favorezca la adquisición de conocimientos del alumnado en asignaturas relacionadas con la iniciación a los deportes. Los objetivos de este estudio han sido: a) estructurar y desarrollar una base común y específica en la enseñanza y aprendizaje de la iniciación a determinados deportes colectivos (baloncesto, fútbol y baloncesto en silla de ruedas); b) seleccionar y editar el material audiovisual específico de los deportes colectivos seleccionados y c) diseñar y elaborar el citado DVD (AU)


Assuntos
Humanos , Basquetebol/educação , Esportes/educação , Materiais de Ensino , Pessoas com Deficiência/reabilitação
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