La co-creación de valor, y su influencia en los resultados empresariales en centros deportivos / The co-creation of value, and its influence on business results in sports centres / A co-criação de valor e a sua influência nos resultados empresariais nos centros desportivos

El presente estudio sobre el desarrollo Motor del niño en los primeros meses de vida, tuvo como objetivo verificar la relación entre las Habilidades Motoras Globales, las Habilidades Motoras Finas y la Edad de los niños. Para ello, desarrollamos un estudio de naturaleza cuantitativa, con una muestra de 405 niños de edades comprendidas entre los 12 y los 46 meses, de ambos géneros. Los instrumentos utilizados en el estudio fueron las Peabody Developmental Motor Scales-2 (PDMS-2). En términos globales los resultados indican que existe una tendencia a correlaciones positivas entre las variables Edad, Habilidades Motoras Globales y Habilidades Motoras Finas, resaltando la correlación positiva moderada (p≤0.05, r2=0.265, 0.5≤ r ≤ 0.7) entre la Edad y la Motricidad Fina a su vez una pequeña correlación positiva (p≤0.05, r2=0.217, 0.1≤ r ≤ 0.3) entre la Edad y la Motricidad Global. Podemos así constatar, una mejora de esas habilidades a medida que los niños crecen, evidenciando mejores resultados en la Motricidad Fina. Los resultados obtenidos sugieren la importancia de la relación entre la edad y las habilidades motoras, enfocando la necesidad de desarrollar con más énfasis las Habilidades Motoras Globales

The present study on motor development of the child in the first months of life, at verifying the relationship between Global Motor Skills, Fine Motor Skills and the Age of children. For this purpose, we developed a quantitative study, with a sample of 405 children between the ages of 12 and 46 months of both genders. The instruments used in the study were the Peabody Developmental Motor Scales-2 (PDMS-2). Overall, the results indicate that there is a tendency for positive correlations between the variables Age, Global Motor Skills and Fine Motor Skills, emphasizing the moderate positive correlation (p≤0.05; r2=0.265; 0.5≤ r ≤ 0.7) between Age and Fine Motricity in turn a small positive correlation (p≤0.05; r2=0.217; 0.1≤ r ≤ 0.3) between Age and Global Motricity. We can thus see an improvement of these abilities as children grow, evidencing better results in Fine Motor. The results suggest the importance of the relationship between age and motor skills, focusing on the need to develop with more emphasis the Global Motor Skills

O presente estudo sobre o desenvolvimento Motor da criança nos primeiros meses de vida, teve como objetivo verificar a relação entre as Habilidades Motoras Globais, as Habilidades Motoras Finas e a Idade das crianças. Estudo transversal, com uma amostra de 405 crianças com idades compreendidas entre os 12 e os 46 meses, de ambos os géneros. Os instrumentos usados no estudo foram as Peabody Developmental Motor Scales-2 (PDMS-2). Em termos globais os resultados indicam que existe uma tendência para correlações positivas entre as variáveis Idade, Habilidades Motoras Globais e Habilidades Motoras Finas, salientando a correlação positiva moderada (p≤0.05; r2=0.265; 0.5≤ r ≤0.7) entre a Idade e a Motricidade Fina, e uma correlação positiva pequena (p≤0.05; r2=0.217; 0.1≤ r ≤ 0.3) entre a Idade e a Motricidade Global. Podemos assim constatar, uma melhoria destas habilidades à medida que as crianças vão crescendo, evidenciando melhores resultados na Motricidade Fina. Os resultados obtidos sugerem a importância da relação entre a idade e as habilidades motoras, focando a necessidade de desenvolver com mais ênfase as Habilidades Motoras Globais

Hip osteoarthritis as a predictor of the fracture pattern in proximal femur fractures.

INTRODUCTION: Several authors have suggested a correlation between the fracture patterns of proximal femur fractures and the degree of hip osteoarthritis (HOA), but the current evidence to support this are insufficient. The aim of our study was to demonstrate whether there is an association between the grade of HOA and fracture pattern observed, in patients presenting with a fragility fracture of the proximal femur. MATERIALS AND METHODS: We contacted a retrospective review of all patients presenting to our institution with fragility fractures involving the proximal femur, between March 2012 and October 2013. Pathological fractures, high-energy injuries and patients with less than one year of follow-up were excluded from further analysis. Admission radiographs and severity of HOA were assessed according to Kellgren and Lawrence scale (minimal: Grades 1-2; severe: Grades 3-4). Fractures were classified according to AO/OTA classification. RESULTS: A total of 1003 patients (725 females; 1003 fractures) met the inclusion criteria, having a mean age of 81.5 (46-106 years). With regards to fracture classification, 417 (41.6%) fractures were classified as extracapsular and 586 (58.4%) as intracapsular. A total of 939 (93.9%) patients presented with minimal HOA, whilst 61 (6.1%) of the patients presented with severe HOA. Of the 61 patients presenting with severe HOA, 42 patients (68.9%) sustained a 31A-interthrocanteric fracture and 19 patients (31.1%) sustained a 31B-intracapsular fracture. Regarding the patients presenting with minimal HOA (832 patients in total), 323 patients (38.8%) sustained 31A-intertrochanteric fracture and 509 patients (61.2%) sustained a 31B-intracapsular fracture. Patients presenting with severe HOA were found to have a statistically significant chance to present with an extracapsular fracture (p<0.01). CONCLUSIONS: The degree of HOA is related to the fracture pattern in patients presenting following simple mechanical falls. More specifically, higher grades of HOA are associated with extracapsular fracture patterns, whereas lower grades of HOA are associated with intracapsular fracture patterns.

Metástasis en mano de adenocarcinoma de recto. Un caso excepcional / Hand metastasis of rectal cancer. An unusual case

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