Diagnóstico da gestão, estrutura, organização e oferta de atividades de esporte e lazer no estado de Rondônia / Diagnosis of the management, structure, organization and supply of sports and leisure activities in the state of Rondônia

O trabalho apresenta um diagnóstico relativo à gestão, estrutura, organização de esporte e lazer no estado de Rondônia. Realizou-se uma pesquisa exploratória descritiva, com a utilização de métodos qualitativos, junto a gestores de esporte e lazer dos municípios do estado de Rondônia. A amostra foi selecionada por conveniência. Para a coleta de dados utilizou-se um questionário semiestruturado contendo 14 questões que tinham como objetivo identificar o perfil sociodemográfico dos gestores de esporte e lazer e as ações sociais de esporte e lazer da localidade. A pesquisa mostrou que a maioria tem formação em ensino superior, com predominância no curso de Educação Física; são homens, com média de idade de 47 anos. A experiência em gestão ficou entre 1 e 2 anos de prática. Os principais critérios assinalados para o uso dos espaços de esporte e lazer foram "Agendamento" prévio e "Gestão Compartilhada".

The work presents a diagnosis related to the management, structure, organization of sport and leisure in the state of Rondônia. a descriptive exploratory research was carried out, using qualitative methods, with sports and leisure managers from the municipalities of the state of Rondônia. The sample was selected for convenience. For data collection, a semi-structured questionnaire containing 14 questions was used to identify the sociodemographic profile of sport and leisure managers and the social actions of sport and leisure in the locality. The research showed that the majority have higher education training, predominantly in the Physical Education course; are men, with a mean age of 47 years. Management experience was between 1 and 2 years of practice. The main criteria indicated for the use of sports and leisure spaces were prior "Scheduling" and "Shared Management".

Caracterización epidemiológica de pacientes operados por fractura de escápula en Hospital Traumatológico de Concepción durante los años 2019-2022 / Epidemiological characteristics of patients operated for scapular fracture at Hospital Traumatologico de Concepción during the years 2019-2022

Introducción: Las fracturas de escápula tienen una baja frecuencia, se presentan mayoritariamente en población joven tras traumatismos de alta energía. Su tratamiento historicamente ha sido conservador, sin embargo, el tratamiento quirúrgico ha demostrado mejores resultados funcionales en pacientes seleccionados, siendo la indicación quirúrgica aún controversial. La literatura sobre los pacientes tratados de forma quirúrgica es escasa. Objetico general: Caracterizar a los pacientes operados por fractura de escapula en Hospital Traumatológico de Concepción durante los años 2019-2022. Materiales y métodos: Estudio descriptivo que incluye a pacientes operados por fractura de escápula en el Hospital Traumatológico de Concepción durante los años 2019 al 2022, considerando las variables sexo, edad, lateralidad, mecanismo de lesión y lesiones asociadas. Resultados: Se estudiaron 20 pacientes de los cuales 90% fueron hombres, registrándose un promedio de edad de 41 años, sin diferencias significativas en su lateralidad. Los principales mecanismos de lesión fueron accidentes de tránsito y caídas de altura, existiendo lesiones asociadas sólo en 45% de los casos. Conclusión: Las fracturas de escápula tienen alto impacto en la funcionalidad de la extremidad afectada, por lo que su tratamiento hoy en día esta evolucionando hacia uno quirúrgico en pacientes seleccionados, con el fin de obtener mejores resultados funcionales. Los pacientes operados son mayoritariamente adultos de edad media de sexo masculino, con fracturas secundarias a traumatismos de alta energía y presencia de lesiones asociadas de baja morbimortalidad.

Introduction: Scapula fractures have a low frequency. They occur mainly in the young population after high-energy trauma. Its treatment has historically been conservative; however, surgical treatment has shown better functional results in selected patients, the surgical indication being still controversial. The literature on patients treated surgically is scarce. General Objective: Characterize the patients operated on for scapular fracture at the Hospital Traumatológico de Concepción during the years 2019-2022. Materials and methods: Descriptive study that includes patients operated on for scapula fracture at the Concepción Trauma Hospital during the years 2019 to 2022, considering the variables sex, age, laterality, mechanism of injury and associated injuries. Results: Twenty patients were studied, of whom 90% were men, recording an average age of 41 years, with right scapula fracture being slightly more frequent than left. The main mechanisms of injury were traffic accidents and falls from a height, with associated injuries only in 45% of the cases. Conclusion: Scapula fractures have a high impact on the functionality of the affected limb, so their treatment today is evolving towards surgery in selected patients, in order to obtain better functional results. The patients operated on are mostly middle-aged male adults, with fractures secondary to high-energy trauma and the presence of associated lesions with low morbidity and mortality.

Políticas públicas de esporte e lazer: da teoria aos programas e projetos de intervenção / Public policies on sports and leisure: from theory to intervention programs and projects

Apesar dos termos "esporte" e "lazer" frequentemente caminharem juntos tanto nos aportes legais quanto nas produções científicas e discursos políticos, e ser irrefutável a afinidade entre eles, é importante considerar que estas duas manifestações não se confundem do ponto de vista teórico-metodológico. Isto porque, nem sempre o esporte é lazer; e o lazer não se resume a esporte. Ponderando o exposto, este artigo tem como objetivo estabelecer relação entre alguns aspectos teóricos de lazer, esporte recreativo e os programas e projetos do governo para o setor. Apresenta-se um recorrido que se inicia com concepções teóricas sobre as políticas públicas de esporte e lazer no Brasil, chegando a alguns projetos e programas para sua efetivação.

Despite the terms "sport" and "leisure" often go together both in legal contributions and in scientific productions and political discourses, and the affinity between them is irrefutable, it is important to consider that these two manifestations are not confused from a theoretical-methodological. This is because, sport is not always leisure; and leisure is not just about sport. Considering the above, this article aims to establish a relationship between some theoretical aspects of leisure, recreational sport and government programs and projects for the sector. A tour is presented that begins with theoretical conceptions about public policies on sport and leisure in Brazil, arriving at some projects and programs for their implementation.

Electroencefalograma cuantitativo en la predicción precoz de la isquemia cerebral tardía en hemorragia subaracnoidea aneurismática: reporte de un caso / Quantitative electroencephalogram for prediction of delayed ischemia in subarachnoid haemorrhage: report of one case

Subarachnoid hemorrhage (SAH) is a devastating disease, with a mortality rate of 35%. Among patients who survive the initial bleeding, the leading cause of morbidity and mortality is delayed cerebral ischemia (DCI). Electroencephalography (EEG) can detect cerebral ischemia in the early stages. We report a 66-year-old female patient who consulted for ictal headache and impaired consciousness. On admission, she was confused, dysarthric, and with meningeal signs. Brain angio-CT showed SAH FISHER IV and an aneurysm of the left posterior cerebral artery. After excluding the aneurysm (by coiling), the patient recovered the altered consciousness. Continuous EEG monitoring was initiated. On the sixth day of follow up, she had a transient headache and apathy. The brain MRI showed low cerebral blood flow in the left frontotemporal area, without ischemic lesions. On the seventh day, she presented expression aphasia and right facial-brachial paresis. Angiography confirmed severe vasospasm in M1 and M2 segments bilaterally. Pharmacological angioplasty with nimodipine was performed, with an excellent radiological response, although not clinical. A second MRI was carried out on the eighth day, which showed a left insular infarction and generalized vasospasm. A second therapeutic angiography was performed; the patient persisted with aphasia and left central facial paresis. The quantitative EEG analysis performed retrospectively showed a generalized reduction in the spectral edge frequency 95 (SEF95; meaning slowing in the EEG signal) at the fourth day of follow up, three days earlier than the clinical and imaging diagnosis of DCI was established.

Análise dos espaços públicos de esporte e lazer: um ensaio a partir da informação imagética / Analysis of the public spaces of sport and leisure: a test from imaging information

As metodologias atuais para estudo da qualidade dos espaços públicos de esporte e lazer consideram as dimensões espaciais e a existência de algum tipo de infraestrutura físico-técnica específica, além de outras, relativas a conforto, segurança e acessibilidade. As anotações destas variáveis ocorrem de modo descritivo. Por outro lado, sabe-se que as imagens trazem consigo uma força persuasiva que advém dos achados. Justifica-se este ensaio considerando-se as limitações qualitativas das metodologias de avaliação atuais para analisar com rigor de detalhes, alguns ambientes de esporte recreativo e lazer. Propõe-se o uso da fotografia como recurso técnico para estudos voltados a estes tipos de espaços. Pretende ser uma contribuição inicial para análise dos espaços esportivos de lazer, podendo ser utilizado tanto como técnica independente quanto como instrumento complementar das metodologias existentes.

Current methodologies for the study of the quality of public sports and leisure spaces consider the spatial dimensions and the existence of some kind of specific physical-technical infrastructure, in addition to others relating to comfort, safety and accessibility. The annotations of these variables occur descriptively. On the other hand, it is known that the images bring with them a persuasive force that comes from the findings. This essay is justified by considering the qualitative limitations of current assessment methodologies to analyze with detail some recreational and sports environments. The use of photography is proposed as a technical resource for studies focused on these types of spaces. It is intended as an initial contribution to the analysis of leisure sports spaces, and can be used as an independent technique or as a complementary instrument to existing methodologies.

Prevenção de recaídas baseada em mindfulness no tratamento do tabagismo - Brasil / Relapse Prevention Based on Mindfulness in the Treatment of Tobacco Dependence - Brazil / Prevención de recaídas basada en Mindfulness en el tratamiento del tabaquismo - Brasil

Resumo Realizou-se um ensaio clínico randomizado com o objetivo de analisar os efeitos de um programa de Prevenção de Recaídas baseado em mindfulness no tratamento do tabagismo. O estudo foi conduzido no Centro de Atenção Psicossocial de Álcool e Drogas (CAPSad) em 2017 na cidade de Porto Velho, capital de Rondônia, Brasil. Participaram da pesquisa 52 pacientes em tratamento para o tabagismo, com idades entre 29 a 60 anos de ambos os sexos, usuários apenas de tabaco. Para a realização deste trabalho foram formados dois grupos: G1=experimental e G2=controle, ambos formados por 26 cada um. No pré-teste, os dados mostraram não haver diferença significativa entre esses dois grupos. Na comparação do pós-teste ocorreu uma diferença significativa na diminuição dos sintomas de ansiedade (p = 0,043) e nível de monóxido de carbono-CO2 (p = 0,03) nos pulmões dos participantes. No resultado da análise de proporção, houve diferença no G1 pós-intervenção com diminuição de sintomas de ansiedade (p == <0,001), depressão (p = 0,012) e monóxido de carbono (p = <0,001), respectivamente. Estes achados mostraram efeitos significativos do mindfulness para a pre- venção de recaídas e diminuição de sintomas de ansiedade, depressão e nível de monóxido de carbono nos pulmões, no G1 pós-intervenção nos pacientes fumantes e fumantes dependentes em tratamento no CAPSad.

Abstract A randomized clinical trial was conducted to analyze the effects of a Mindful-ness-based relapse prevention program for tobacco dependence treatment. The study was conducted at the Center for Psychosocial Care of Alcohol and Drugs (CAPSad), in the city of Porto Velho, capital of Rondônia, Brazil, 2017. 52 patients aged between 29 to 60, of both sexes, who were only tobacco users, participated in the research. To carry out this study, two groups were made up: G1 = experimental and G2 = control, both consisted of 26 people. In the pre-test, the data showed that there was no significant difference between these two groups. In the post-test comparison, there was a considerable difference in the reduction of anxiety symptoms (p = 0.043) and carbon monoxide-CO2 level (p = 0.03) in the lungs of smoking patients. In the result of the proportion analysis, there was a difference in G1 post-intervention with decreased symptoms of anxiety (p = <0.001), depression (p = 0.012) and carbon monoxide (p = <0.001), respectively. These fin-dings showed significant effects of mindfulness in preventing relapse and reducing symptoms of anxiety, depression and carbon monoxide level the post-intervention group of smokers and dependent smokers treated at CAPSad.

Resumen Se realizó un ensayo clínico aleatorizado con el objetivo de analizar los efectos de un programa de prevención de recaídas basado en Mindfulness para el tratamiento del tabaquismo. El estudio se realizó en el Centro de Atención Psicosocial del Alcohol y las Drogas (CAPSad), en 2017, en la ciudad de Porto Velho, capital de Rondônia, Brasil. Participaron en la investigación 52 pacientes, de ambos sexos, con edades comprendi-das entre 29 y 60 años, consumidores de tabaco solamente. Para la realización de este trabajo, se formaron dos grupos: G1 = experimental y G2 = control, formados por 26 personas cada uno. En la prueba previa, los datos mostraron que no había diferencia significativa entre los grupos. En la comparación de los resultados en la prueba pos-terior se halló una diferencia significativa en la reducción de los síntomas de ansiedad (p = 0.043) y en el nível de monóxido de carbono-CO2 (p = 0.03) em los pulmones de los participantes. Como resultado del análisis de proporciones, se presentó una diferencia en el G1 en la prueba posterior, con síntomas disminuidos de ansiedad (p = <0.001), depresión (p = 0.012) y monóxido de carbono (<0.001), respectivamente. Estos hallazgos mostraron los efectos significativos del mindfulness para la pre-vención de recaídas y reducción de los síntomas de ansiedad, depresión y nível de monóxido de carbono em los pulmones, en el grupo de experimento posterior a la intervención en fumadores y fumadores dependientes que reciben tratamiento en el CAPSad.

Contribution of formative research to design an environmental program for obesity prevention in schools in Mexico City / Contribución de la investigación formativa para el diseño de un programa para la prevención de obesidad en escuelas de la Ciudad de México

Objective. This paper describes the methods and key findings of formative research conducted to design a school-based program for obesity prevention. Materials and methods. Formative research was based on the ecological model and the principles of social marketing. A mixed method approach was used. Qualitative (direct observation, indepth interviews, focus group discussions and photo-voice) and quantitative (closed ended surveys, checklists, anthropometry) methods were employed. Results. Formative research key findings, including barriers by levels of the ecological model, were used for designing a program including environmental strategies to discourage the consumption of energy dense foods and sugar beverages. Conclusion. Formative research was fundamental to developing a context specific obesity prevention program in schools that seeks environment modification and behavior change.

Objetivo. Describir los aspectos metodológicos y principales resultados de una investigación formativa realizada para diseñar un programa ambiental para la prevención de obesidad en escuelas. Material y métodos. La investigación formativa se basó en el modelo ecológico y los principios del mercadeo social. Se utilizó un enfoque de métodos mixtos: cualitativos (observación directa, entrevistas en profundidad, grupos de discusión y foto-voz) y cuantitativos (cuestionarios cerrados, inventarios de alimentos y bebidas, antropometría). Resultados. Los principales resultados de la investigación formativa, incluyendo las barreras identificadas en los niveles del modelo ecológico, fueron contemplados para el diseño del programa, que incluyó estrategias ambientales para desincentivar el consumo de alimentos de alta densidad energética y bebidas azucaradas. Conclusión. La investigación formativa fue fundamental para diseñar un programa de prevención de obesidad para la modificación del ambiente y cambios de comportamientos, factible y adaptado al contexto de las escuelas públicas de la Ciudad de México.