Síndrome de Susac. A propósito de las encefalitis autoinmunes / Susac's syndrome. A case of autoimmune encephalitis

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Effects of a physical activity programme in the school setting on physical fitness in preschool children.

AIM: The purpose of this study was to examine the effects of a 10-week aerobic games programme on physical fitness. METHODS: One hundred eleven children, aged 3 to 6 years, participated in this study; 60 children were male (age: 4.28 ± 0.61 years old), and 51 were female (age 4.59 ± 0.49 years old). Participants were randomly assigned to an experimental group (EG; n = 56) and a control group (CG; n = 55). A fitness test battery previously validated for preschoolers was used. The children in the EG performed 3 weekly training sessions of physical activity in a classroom during a 10-week period. Every EG session lasted about 30 min. RESULTS: There were no significant differences in any variable in the pretest between groups. In the posttest, the EG achieved better results in horizontal jump and sprint. In relation to posttest-pretest differences, the EG showed a greater increase in horizontal jump, sprint, and endurance. CONCLUSION: An aerobic games programme in the school setting improved physical fitness in preschool children.

Physical fitness in preschool children: association with sex, age and weight status.

BACKGROUND: Because fitness level is a potent biomarker of health from an early age, the improvements of physical fitness performance through the promotion of physical activity could be important for the health of preschool children, particularly in obesity prevention. OBJECTIVE: The purpose of this study is to determine the physical fitness in children aged 3-6 years, discriminating performance by sex, age and body mass index (BMI). METHOD: A total of 3868 children from 3 to 6 years agreed voluntarily to participate. Demographic characteristics revealed that 1961 children were male (age: 55.71 ± 11.11 months old, BMI = 16.03 ± 1.93 kg/m2 ), and 1907 were female (age 56.16 ± 0.97 months old, BMI = 15.85 ± 1.89 kg/m2 ), and they were selected from 51 schools in southern Spain. RESULTS: Significant differences were found between sexes: boys showed a greater performance on cardio respiratory endurance, reaction time, strength and running speed. We found significant differences by sex in the different age groups (3, 4, 5 and 6 years old). CONCLUSIONS: Sex differences in physical fitness are evident at an early age; in addition, the relationship between physical fitness and BMI is inconsistent in preschool children. The improvements of physical fitness performance and its association with physical activity could be important for the health of children, particularly in obesity prevention.

Cómo instaurar un plan de calidad asistencial en un servicio clínico / How to stabilish a health care quality plan in a clinical service

El control de calidad debe incorporarse al proyecto asistencial de cualquier servicio clínico. El Plan General de Calidad debe evaluar los aspectos científicos y técnicos de la actuación, los cuidados humanos recibidos, la seguridad del enfermo y la eficacia de la atención prestada. Su metodología se fundamenta en el análisis de la estructura organizativa y funcional, el estudio del proceso asistencial y la medición de los resultados obtenidos. Para ello se utilizan como instrumentos de valoración criterios, estándares e indicadores, que son los encargados de definir la idoneidad de la asistencia y establecer la vigilancia sistematizada de la actividad. Las medidas correctoras y los ajustes de las desviaciones detectadas se establecen mediante protocolos y guías de práctica clínica específicas. La estrategia para su implantación y desarrollo tiene que ser progresiva y participativa, siendo conveniente nombrar un responsable directo. El objetivo final es la mejora continua de la atención al paciente y familiares y el perfeccionamiento profesional (AU)