Could physical, technical, and tactical variables differentiate the top players of the 2018 FIFA World Cup?

Abstract Aim: This study aimed to analyze the difference between tactical, technical, and physical variables in selected and unselected top players of the 2018 FIFA World Cup. Methods: A sample data of 1049 soccer players were collected by the multiple-camera computerised tracking system. Subsequently, data were analyzed and divided into two groups: selected (man of the match and top 10 players of the World Cup) and unselected players (other players). Twenty-six performance variables were used to assess tactical (passing), technical (goals, assist, shots, and fouls), and physical variables (height, distance covered, distance with and without the ball, number of sprints, maximal speed, and intensities zone 1 [low] to 5 [high]). Results: The selected players had more tactical (performed and completed more long, middle, and short pass), technical (goal for, assist, shots, shots on goal, fouls committed on them), and physical variables (covered more distance and distance with the ball, more sprints, greater speed and distance in low intensity [zone 1]). However, they were shorter in height and covered less distance in moderate intensity [zones 2 and 3] when compared to unselected players (p < 0.05). Conclusion: This study suggests that the selected players have more tactical, technical, and physical variables than the unselected players. Our findings could be used as a trustworthy tool (performance variables) to characterize the top players of the World Cup.

Sociodemographic profile of elderly persons with the human immunodeficiency virus in a state in the northeast of Brazil / Perfil sociodemográfico de idosos com vírus da imunodeficiência humana em um estado do nordeste brasileiro

Abstract Objective: To describe the sociodemographic profile of elderly persons with human immunodeficiency virus (HIV) in the state of Alagoas, Brazil. Method: An ecological study with a descriptive and quantitative approach was carried out. Data was used from elderly patients with HIV reported in the Notification Disease Information System (or SINAN), from 2012 to 2016. Results: A total of 41 cases of HIV, with a continuous progression of cases, predominantly male, with self-described brown skin, low education and reported heterosexual sexual orientation. Conclusion: It was found that it is necessary to demystify that only sex workers, drug users and homosexual men are vulnerable to the virus and that the elderly are not susceptible to HIV. In this scenario it is essential that the elderly are inserted in environments that approach the theme openly, free of prejudice, essentially starting from the recognition of sexuality, providing greater security and quality of life.

Resumo Objetivo: Descrever o perfil sociodemográfico dos idosos com o vírus da imunodeficiência humana (HIV) no estado de Alagoas, Brasil. Método: Trata-se de um estudo ecológico, descritivo e de abordagem quantitativa. Foram utilizados os dados de pacientes idosos com HIV notificados no Sistema de Informação de Agravos de Notificação (SINAN), no período de 2012 a 2016. Resultados: Foram registrados 41 casos de HIV, com progressão contínua de aumento de casos, predominância do sexo masculino, autoafirmação de cor parda, baixa escolaridade e orientação sexual relatada heterossexual. Conclusão: Constatou-se que é necessário desmitificar que apenas profissionais do sexo, usuários de drogas e homens homossexuais são vulneráveis ao vírus e que os idosos não são suscetíveis ao HIV. Neste cenário é imprescindível que nessa população seja abordada a temática de forma aberta, livre de preconceitos pelos profissionais de saúde, partindo essencialmente do reconhecimento que de que o idoso realiza atividade sexual e que está vulnerável ao vírus do HIV.

Do biological maturity and performance influence the training load of track and field athletes? / A maturação sexual e o desempenho influenciam a carga de treinamento de atletas de atletismo?

Abstract It is necessary to clarify if BM and track and field performance can modulate the perception about RPE-session. The purpose of the present study was to verify if biological maturity and track and field-specific performance can be associated with training load (RPE-session method). Seventy-five young athletes (13-15 years old) of both genders participated in the present study. The experimental protocol lasted seven consecutive days. Performance tests (75-m running, long jump, 250-m running, shot put and 1000-m running) were made on the first day. After 48 hours, five days of track and field training it was prescribed, each day represents a training of each performance test. All training sessions had the same duration (120 min). The value of the training load was obtained multiplying the RPE value with training session duration (in minutes). For girls, the training load of 250-m training was correlated with biological maturity (r = -0.36, p = 0.02, n = 37) and specific performance (r = 0.33, p = 0.04, n = 37). All other analyzes indicate that biological maturity and track and field-specific performance do not influence the training load based on RPE-session method. Training load based on RPE-session is not influenced by biological maturity and track and field-specific performance, therefore can be used to control the training load of young track and field athletes. To girls it is necessary a care to control the training sessions intensity of 250-m running.

Resumo É necessário esclarecer se a maturação biológica e o desempenho no atletismo podem modular a PSE da sessão. O objetivo do presente estudo foi verificar se a maturidade biológica e o desempenho específico no atletismo podem estar associados à carga de treinamento (método de PSE da sessão). Setenta e cinco jovens atletas (13-15 anos) de ambos os sexos participaram do presente estudo. O protocolo experimental durou sete dias consecutivos. Testes de desempenho (75 m de corrida, salto em distância, 250 m de corrida, arremesso de peso e 1000 m de corrida) foram feitos no primeiro dia. Após 48 horas, cinco dias de treinamento de atletismo foram prescritos, cada dia representa um treinamento de cada teste de desempenho. Todas as sessões de treinamento tiveram a mesma duração (120 min). O valor da carga de treinamento foi obtido multiplicando o valor do PSE com a duração da sessão de treinamento (em minutos). Para as meninas, a carga de treinamento de 250 m foi correlacionada com a maturidade biológica (r = -0,36, p = 0,02, n = 37) e desempenho específico (r = 0,33, p = 0,04, n = 37). Todas as outras análises indicam que a maturidade biológica e o desempenho específico no atletismo não influenciam a carga de treinamento com base no método da PSE da sessão. A carga de treinamento com base na PSE da sessão não é influenciada pela maturidade biológica e desempenho específico no atletismo, portanto, pode ser usada para controlar a carga de treinamento de jovens atletas de atletismo. Para as meninas é necessário cuidado para controlar a intensidade das sessões de treino de 250m de corrida.

Comparisons of recovery, external and internal load by playing position and match outcome in professional soccer

AIMS: To compare the internal and external load and the recovery by playing position and the match outcome (wins, losses or draws) in professional soccer. METHODS: 23 male professional soccer athletes from a team of the first division of the Brazilian Championship took part into the study (age 26.1 ± 3.8 years old, weight 77.5 ± 5.0 kg, height 177.6 ± 5.1 cm). During the games, athletes were monitored by GPS and the variables of external loads were taken. Additionally, the session rating of perceived exertion (session RPE) and the perceived recovery scale (PRS) were collected 30 minutes and 40h after the end of the matches, respectively. RESULTS: The external load was greater on full-backs and defense midfielders (p<0.05). The full-backs cover higher total distances compared to attackers, and, compared to all the others positions, they have more stimuli > 20 km/h, covering higher distances >20 km/h; these stimuli makes them to perceive less recovered than defenders, defense and attack midfielders (p<0.05). Moreover, the defenders are those who cover lower distances by the minute and the defense midfielders are those who present the lower Peak Velocity (p<0.05). There were no significant differences between GPS variables, internal load and recovery. In addition, it was found a correlation between the external and the internal load (r=0.66; p=0.001). CONCLUSIONS: The GPS variables and the perceived recovery are influenced by the playing position, but not by the match outcome.(AU)

Pontos de transição da frequência cardíaca na marcha atlética / Transition points of heart rate at race walking / Puntos de transición de la frecuencia cardíaca en la marcha atlética

RESUMO Introdução: A frequência cardíaca fornece informações úteis para os treinamentos de marcha atlética. Objetivo: O objetivo do estudo foi analisar o comportamento da frequência cardíaca (FC) e seus pontos de inflexão (PIFC) e deflexão (PDFC) em teste progressivo de marcha atlética (TPMA) antes e depois de 20 sessões de treinamento. Métodos: Participaram 13 jovens atletas (12,46 ± 1,61 anos, 44,29 ± 10,25 kg, 157,93 ± 12,03 cm, 24,39 ± 7,60 %G). O TPMA foi realizado em uma pista oficial de atletismo, antes e depois do treinamento. Os dados de FC e carga foram plotados a cada minuto para identificação dos PIFC e PDFC. Resultados: A FC apresentou comportamento sigmoide, com identificação dos pontos de transição (PT), sendo no pré-treinamento: a) oito sujeitos PIFC (5,31 km·h-1; 125 bpm) e PDFC (7,63 km·h-1; 169 bpm); b) um sujeito somente PIFC (7,00 km·h-1; 149 bpm); c) um sujeito somente PDFC (8,00 km·h-1; 170 bpm); d) três sujeitos sem detecção de PT e no pós-treinamento: a) em 12 sujeitos PIFC (5,46 km·h-1; 125 bpm) e PDFC (7,75 km·h-1; 168 bpm); b) um sujeito somente PDFC (7,50 km·h-1; 184 bpm). O PIFC foi encontrado em carga significativamente inferior ao PDFC no pré (p < 0,001) e no pós-treinamento (p < 0,001). Quando comparamos o PIFC e o PDFC pré e pós, não encontramos diferença significativa, seja em relação à carga (p = 0,87 e p = 0,61) ou FC (p = 0,60 e p = 0,99). Conclusão: Conclui-se que a FC tem relação curvilínea com a carga, sendo possível detectar os seus pontos de transição em TPMA.

ABSTRACT Introduction: Heart rate provides useful information for race walking training. Objective: The objective of study was to analyze the behavior of heart rate (HR) and inflection points (HRIP) and deflection points (HRDP) in a progressive test of race walking (PTRW) before and after 20 training sessions. Methods: Participants were 13 young athletes (12.46 ± 1.61 years, 44.29 ± 10.25 kg, 157.93 ± 12.03 cm, 24.39 ± 7.60 F%). The PTRW was held at an official athletics track before and after training. The HR data and load were plotted every minute to identify the HRIP and HRDP. Results: The HR showed sigmoid behavior with the identification of transition points (TP), being in the pre-training: a) eight subjects HRIP (5.31 km·h-1; 125 bpm)and HRDP (7.63 km·h-1; 169 bpm); b) one subject only HRIP (7.00 km·h-1; 149 bpm); c) one subject only HRDP (8,00 km·h-1; 170 bpm); d) three subjects had no TP observed, and post-training: a) 12 subjects HRIP (5.46 km·h-1; 125 bpm) and HRDP (7.75 km·h-1; 168 bpm); b) one subject HRDP (7.50 km·h-1; 184 bpm). The HRIP was found to be significantly lower than the HRDP in pre-training (p<0.001) and post-training (p<0.001). When we compared HRIP and HRDP in the pre- and post-training we found no significant difference either in relation to the load (p=0.87 and p=0.61) or HR (p=0.60 and p=0.99). Conclusion: It is concluded that the HR has curvilinear relation with the load, and that it is possible to detect its transition points during PTRW.

RESUMEN Introducción: La frecuencia cardiaca proporciona información útil para los entrenamientos de marcha atlética. Objetivo: El objetivo del estudio fue analizar el comportamiento de la frecuencia cardiaca (FC) y sus puntos de inflexión (PIFC) y de deflexión (PDFC) en prueba progresiva de marcha atlética (PPMA) antes y después de 20 sesiones de entrenamiento. Métodos: Participaron 13 atletas jóvenes (12,46 ± 1,61 años, 44,29 ± 10,25 kg, 157,93 ± 12,03 cm, 24,39 ± 7,60 %G). El PPMA fue realizado en una pista oficial de atletismo antes y después del entrenamiento. Los datos de FC y carga fueron trazados cada minuto para identificación de PIFC y PDFC. Resultados: La FC presentó comportamiento sigmoideo, con identificación de los puntos de transición (PT), siendo en el pre-entrenamiento: a) ocho sujetos PIFC (5,31 km·h-1, 125 lpm) y PDFC (7,63 km·h-1; 169 lpm); b) un sujeto solamente PIFC (7,00 km·h-1; 149 lpm); c) un sujeto solamente PDFC (8,00 km·h-1, 170 lpm); d) tres sujetos sin detección de PT y post-entrenamiento: a) 12 sujetos PIFC (5,46 km·h-1, 125 lpm) y PDFC (7,75 Km·h-1; 168 lpm); b) un sujeto solamente PDFC (7,50 km·h-1, 184 lpm). El PIFC fue encontrado en carga significativamente inferior que el PDFC en el pre (p < 0,001) y en el post-entrenamiento (p < 0,001). Al comparar el PIFC y el PDFC pre y post-entrenamiento, no se encontró ninguna diferencia significativa, sea en relación a la carga (p = 0,87 y p = 0,61) o FC (p = 0,60; p = 0,99). Conclusión: Se concluye que la FC tiene relación curvilínea con la carga, siendo posible detectar sus puntos de transición en PPMA.

Comparação entre a PSE planejada pelo treinador com a percebida por jovens atletas de atletismo / Comparison between the RPE planned by coach with perceived by youth athletes of track and field

O sucesso do treinamento esportivo para jovens depende, também, de uma relação ótima entre a intensidade da sessão de treinamento prescrita pelo treinador e percebida pelo atleta, desta maneira, o objetivo do trabalho foi comparar a percepção subjetiva de esforço (PSE) indicada por jovens atletas de atletismo com a planejada pelo treinador para sessão de treinamento. Participaram do estudo 28 voluntários, de ambos os sexos, atletas de atletismo com pelo menos seis meses de treinamento, com média de idade 14,0 ± 1,32 anos, massa corporal 52,4 ± 11,5 e estatura 162,7 ± 9,3 cm, e o treinador da equipe, que tinha seis anos de experiência. O treinador apresentou previamente a execução do treinamento a PSE planejada para cada atleta, e a PSE dos jovens foi coletada 30 minutos após o término de cada sessão. A PSE planejada pelo treinador foi diferente da indicada pelo atleta (3,6 ± 1,2 e 3,1 ± 1,54, respectivamente) e também nas três intensidades; leve 1,80 ± 0,41 e 2,92 ± 1,13, moderada 3,54 ± 0,72 e 4,19 ± 1,45 e forte 7,35 ± 1,33 e 4,46 ± 0,63, respectivamente. Os jovens participantes deste trabalho percebem valores distintos de PSE quando comparada com a planejada pelo treinador, sendo que, para as intensidades leve e moderada sua PSE é menor e para a intensidade pesada é maior do que a planejada. Preconiza-se que haja acompanhamento diário das intensidades percebidas pelos atletas de atletismo durante o treinamento e também comparação constante com o que é planejado pelo treinador...(AU)

The success of sport training for young athletes, also depends, a great relationship between the intensity of the training session prescribed by coach and perceived by athlete, in this way, the aim of this study was to compare the rate of perceived exertion (RPE) indicated by the athlete and coach was planned to training session. The study included 28 healthy volunteers of both sexes , track and field athletes with at least 6 months of training, mean age 14.0 ± 1.32 years, body mass 52.4 ± 11.5 and 162.7 ± height 9.3 cm, and the coach of the team, he had 6 years of experience. The coach had previously done the training PSE planned for each athlete, and PSE youth was collected 30 minutes after the end of each session. The PSE planned by the coach was different from the athlete indicates (3.6 ± 1.2 e 3.1 ± 1.54, respectively), and also in the three intensities; Lightweight 1.80 ± 0.41 and 2.92 ± 1.13 , moderate 3.54 ± 0.72 and 4.19 ± 1.45 strong and 7.35 ± 1.33 and 4.46 ± 0.63, respectively. The young participants of this study perceive different values of RPE compared with planned by the coach and for low and moderate intensities, his RPE is smaller and the strong intensity is higher than planned. We recommend that there is daily monitoring of intensities perceived by track and field athletes during the training and also regular comparison between coaches planned and athletes perceived...(AU)

Monitoring the training intensity and recovery with a psychometrics approach: a gender comparison with young athletes

AIMS: The purpose of present study was verify if the RPE-training session differs between females and males during the track and field training and if biological maturity (BM) has interference on this response. METHODS: Seventy-five athletes (13-15 years old) have participated of study, with 38 male 37 female. Five training sessions of track and field were prescribe and monitoring by RPE-training session (intensity) and Total Quality Recovery (TQR) (recovery). RESULTS: There was no statistical difference between males and females on 75-meters run, long jump and shot put. Otherwise, for training of 250 and 1000-meters females related higher RPE-values than males 3.68 ± 0.79, 3.26 ± 0.56, p < 0.01 and 4.14 ± 0.94, 3.72 ± 0.89, p < 0.05; respectively. Even when controlling the effect of biological maturity the same results were observed to 250-meters F1,73 = 2.060; p = 0.002 and 1000-meters F1,73 = 0.997; p = 0.036. There was no difference for TQR between genders. CONCLUSION: The comparison the RPE-training session of females and males indicated there were difference to 250 and 1000-m training sessions, females have more RPE-training sessions than males. Additionally, there were no differences between genders for recovery parameters, even controlling BM.(AU)

Índice de Vulnerabilidade à Saúde e triagem auditiva neonatal: diferenciais intraurbanos / Health Vulnerability Index and newborn hearing screening: urban inequality

RESUMO Objetivo Analisar os diferenciais intraurbanos associados ao resultado da triagem auditiva neonatal (TAN) de crianças residentes em Belo Horizonte e avaliadas em um Serviço de Referência de TAN, tendo como referência o Índice de Vulnerabilidade à Saúde (IVS). Método Estudo observacional com amostra de crianças residentes em Belo Horizonte e avaliadas por um Serviço de Referência de TAN, entre 2010 e 2011. O IVS do setor censitário de cada criança foi obtido por georreferenciamento de seu respectivo endereço. Foi elaborado modelo estatístico para as variáveis respostas: “resultado da TAN”, “resultado no reteste”, “absenteísmo no reteste” e realizada análise multivariada, utilizando-se a técnica de árvore de decisão. Foi elaborado mapa temático de pontos para representar a distribuição espacial das crianças avaliadas pelo Programa, segundo seu resultado na TAN. Resultados A probabilidade de falhar na TAN para as crianças residentes em áreas de IVS muito elevado é 1,5 vez maior do que para as crianças residentes nas demais áreas. Para as crianças que residem em áreas de IVS baixo, médio e elevado e que fizeram a TAN após os 30 dias de vida, a probabilidade de falhar é 2,1 vezes maior nas crianças que apresentam indicador de risco para deficiência auditiva (17,2%), em relação às sem indicador de risco (8,1%). Observou-se também distribuição heterogênea de realização da TAN e de resultado da avaliação entre as regiões do município. Conclusão Foram evidenciados importantes diferenciais intraurbanos no Município de Belo Horizonte, indicando associação entre a vulnerabilidade à saúde e o resultado da TAN.

ABSTRACT Purpose To analyze the intra-urban differentials related to the outcome of the Newborn Hearing Screening (NHS) of children living in Belo Horizonte tested in a reference service using the Health Vulnerability Index (HVI). Methods cross-sectional study with children living in Belo Horizonte evaluated by a Newborn Hearing Screening Reference Service (NHSRS) between 2010 and 2011. The HVI of the census tract of each child was obtained by the georeferencing of their respective addresses. Multivariate analysis was conducted using the decision tree technique, considering a statistical model for each response. A thematic map of points representing the geographic distribution of the children evaluated by the NHS program was also developed. Results The NHS failure rate for children living in areas with very high HVI, or without HVI data, was 1.5 times higher than that for children living in other census tracts. For children living in areas of low, medium, and high HVI, who underwent NHS after 30 days of life, the NHS failure rate was 2.1 times higher in children that presented Risk Indicator for Hearing Loss (RIHL) (17.2%) than in those who did not (8.1%). Uneven distribution was observed between areas for children that underwent the NHS and those who failed it. Conclusion Significant intra-urban differentials were found in Belo Horizonte, indicating correlation between health vulnerability and NHS outcomes.

Seudoartrosis de la diáfisis humeral tratada mediante impactación intramedular / Pseudoarthrosis of the humeral shaft treated by intramedullary impaction

INTRODUCCIÓN: la seudoartrosis de la diáfisis del húmero es una de las complicaciones más desafiantes para los ortopédicos. OBJETIVO: mostrar las alternativas quirúrgicas ante una seudoartrosis de húmero incluida la impactación intramedular. CASO CLÍNICO: paciente de 39 años de edad, femenina, que al año y seis meses de una fractura diafisiaria conminuta del húmero derecho fue operada de una seudoartrosis. CONCLUSIONES: la impactación ósea intramedular en la seudoartrosis de la diáfisis del húmero se convierte en una opción más por su fácil aplicación y sus buenos resultados(AU)

INTRODUCTION: Pseudoarthrosis of the humeral shaft is one of the most challenging complications for orthopedists. OBJECTIVE: Show alternatives to surgical humeral pseudoarthrosis including intramedullary impaction. CASE REPORT: 39-year-old female patient. She underwent pseudoarthrosis surgery after a year and six months fracture of the right humerus in a comminuted shaft. CONCLUSIONS: Intramedullary impaction bone pseudoarthrosis of the humeral shaft becomes a choice for its easy implementation and good results(AU)

Seudoartrosis de la diáfisis humeral tratada mediante impactación intramedular. Presentación de un caso / Nonunion of the Humeral Shaft Treated by Intramedullary Impaction. A Case Report

La seudoartrosis de la diáfisis del húmero es una de las complicaciones más desafiantes para los ortopédicos. Se presenta el caso de una paciente de 39 años de edad, femenina, que sufrió un traumatismo el cual le causó fractura conminuta del tercio proximal de la diáfisis humeral derecha; recibió tratamiento conservador con órtesis enyesada durante seis meses sin signos de consolidación. Al año y seis meses de dicha fractura fue operada de una seudoartrosis, para lo cual se realizó impactación ósea intramedular, con resultados satisfactorios. Por esa razón se decidió la publicación del caso con el objetivo de mostrar que esta opción es válida para el manejo de la seudoartrosis de la diáfisis del húmero por su fácil aplicación y sus buenos resultados.

The nonunion of the humeral shaft is one of the most challenging orthopedic complications. The case of a 39-year-old female patient who suffered a trauma resulting in a comminuted fracture of the proximal third of the right humeral shaft is presented; she received conservative treatment with a cast brace for six months without showing signs of bone consolidation. A year and six months after the fracture, the patient underwent an intramedullary impaction for repairing the nonunion with satisfactory results. This case is presented in order to show the validity of this option for the management of nonunions of the humeral shaft due to its easy application and favorable results.

Reducción de la fractura de Colles cerrada con electroacupuntura.: Reporte de un caso / Reduction of Colles´s closed fracture with electroacupuncture.: A case report

Se presenta el caso de un paciente de 18 años de edad, blanco, con antecedentes de salud anterior, que acudió al cuerpo de guardia de nuestro centro por presentar dolor intenso en la mano derecha con deformidad de la articulación de la muñeca, la cual se produjo por una caída. Se comprobó el diagnóstico clínico a los rayos X, se apreció fractura de Colles cerrada. Se aplicó tratamiento con electroacupuntura con el objetivo de evaluar la eficacia de este método acupuntural para lograr realizar la reducción manual de esta fractura. La electroacupuntura se realizó en el mismo lado de la lesión, mediante los puntos locales intestino grueso 4 (Ig 4: Hegu) y Sanliao 5 (Sj 5: Waiguan) con fines analgésicos con el empleo del equipo electroacupuntural multipropósito KWD 808 II, de fabricación china, con la onda continua a una intensidad tolerable por el paciente y alta frecuencia (100 herz), luego se procedió a realizar la maniobra reductiva de la fractura y se evaluó la técnica a través de la variable dolor durante la manipulación. La maniobra reductiva resultó eficaz con el uso de ésta técnica ya que se pudo realizar la misma sin dolor ni quejas por el paciente.

The case of a white, 18-year-old patient is presented, with previous health antecedents that came to the emergency room by presenting intense pain in the right hand with deformity of the articulation of the wrist, which was produced by a fall. The clinical diagnosis to the X-rays was verified, a Colles´s closed fracture was appreciated. Electroacupuncture treatment with the objective to evaluate the efficacy of this acupunctural method to achieve the manual reduction of this fracture was applied. Electroacupuncture in the same side of the lesion was performed, by means of the local points large intestine 4 (Ig 4: Hegu) and Sanliao 5 (Sj 5: Waiguan) with analgesic purposes with the employment of the KWD 808 II multipurpose electroacupunctural equipment, of Chinese production, with continuous wave to a tolerable intensity for the patient and high frequency (100 herz), then it was proceeded to carry out the reductive maneuver of the fracture and the technique through the variable pain during manipulation was evaluated. The reductive maneuver turned out to be efficient with the use of this technique since it could be carried out without pain neither complaints by the patient.

Incidencia hospitalaria de la sinovitis vellosa nodular / Hospital incidence of villonodular synovitis

Se realizó un estudio clínico-quirúrgico descriptivo, retrospectivo en 8 pacientes con sinovitis vellosa nodular pigmentada en el Hospital "Dr. Octavio de la Concepción y de la Pedraja" durante los últimos 10 años (1991-2000). Se demostró la localización de esta afección fundamentalmente en la articulación de la rodilla en pacientes del sexo masculino, menores de 25 años. El tratamiento de elección y definitivo fue quirúrgico con sinovectomía total, pues solo 1 paciente requirió tratamiento con radioterapia después de operado. Predominó la forma difusa sobre la localizada, lo que fue diagnosticado por anatomía patológica. Hubo 2 pacientes con recidivas por no poder realizarle una sinovectomía total de más amplio abordaje y por el difícil acceso a la región posterior de la rodilla, lo que concuerda con la bibliografía revisada

Frecuencia y sintomatología de las disfunciones temporomandibulares / Frecuency and symptoms of temporomandibular dysfunctions

Se estudiaron 204 pacientes de la consulta de Otorrinolaringología del Hospital Docente Clinicoquirúrgico "Calixto García" comprendidos entre los 15 y 64 años de edad, 109 del sexo femenino y 95 del sexo masculino. Se encontró que de la totalidad de los pacientes estudiados, 81 (39,7 por ciento) presentaron el síndrome dolor disfunción, con mayor frecuencia en el sexo femenino. Se halló asociación entre las sintomatologías auditivas y el síndrome dolor disfunción, además se observó que el cansansio muscular y el dolor a la palpación del músculo Pterigoideo medial es muy frecuente en los pacientes con sintomatologías auditivas

Trastornos psicológicos y psiquiátricos en pacientes diabéticos

Tomamos 25 pacientes diabéticos del Instituto Nacional de Diabetes y Endocrinología (Nov. 1984 a Nov. 1985), INDEN, los cuales habían sido referidos a la consulta interna de psiquiatría; éstos se les hizo revisión de historial clínico y seguimiento abarcando un total de 5 a 6 consultas sucesivas, habiéndose encontrado que del total fueron casos de neurosis depresivas (10 pacientes), entre otros, predominando el sexo femenino en los pacientes estudiados; resultando como evento importante que el 68% de los pacientes (descompesados) tratados por psiquiatría reaccionaron satisfactoriamente, normalizándose sus niveles glicémicos los cuales eran resistentes al tratamiento habitual con hipoglicemiantes solamente