Nutritional Strategies in the Rehabilitation of Musculoskeletal Injuries in Athletes: A Systematic Integrative Review.

It is estimated that three to five million sports injuries occur worldwide each year. The highest incidence is reported during competition periods with mainly affectation of the musculoskeletal tissue. For appropriate nutritional management and correct use of nutritional supplements, it is important to individualize based on clinical effects and know the adaptive response during the rehabilitation phase after a sports injury in athletes. Therefore, the aim of this PRISMA in Exercise, Rehabilitation, Sport Medicine and Sports Science PERSiST-based systematic integrative review was to perform an update on nutritional strategies during the rehabilitation phase of musculoskeletal injuries in elite athletes. After searching the following databases: PubMed/Medline, Scopus, PEDro, and Google Scholar, a total of 18 studies met the inclusion criteria (Price Index: 66.6%). The risk of bias assessment for randomized controlled trials was performed using the RoB 2.0 tool while review articles were evaluated using the AMSTAR 2.0 items. Based on the main findings of the selected studies, nutritional strategies that benefit the rehabilitation process in injured athletes include balanced energy intake, and a high-protein and carbohydrate-rich diet. Supportive supervision should be provided to avoid low energy availability. The potential of supplementation with collagen, creatine monohydrate, omega-3 (fish oils), and vitamin D requires further research although the effects are quite promising. It is worth noting the lack of clinical research in injured athletes and the higher number of reviews in the last 10 years. After analyzing the current quantitative and non-quantitative evidence, we encourage researchers to conduct further clinical research studies evaluating doses of the discussed nutrients during the rehabilitation process to confirm findings, but also follow international guidelines at the time to review scientific literature.

Plasmocitoma rectal: reporte de casos y revision de la literatura / Rectal plasmocytoma

Las neoplasias de células plasmáticas se originan en la transformación maligna de precursores tempranos de células B.Las células plasmáticas pueden agruparse aisladamente en huesos y otros tejidos blandos sin presentar manifestaciones sistémicas; a éstos se les denomina plasmocitomas. Los plasmocitomas extramedulares son una rara presentación de las neoplasias de células plasmáticas. Sólo el 1 por ciento de estos tumores se presentan por fuera de la médula ósea. Se muestran dos casos de plasmocitoma rectal a uno de los cuales se le realizó radioterapia en pelvis y al otro resección quirúrgica; hasta el momento de esta publicación se encuentran sin evidencia de enfermedad sistémica

Operación de Miles en cáncer del recto: su impacto en la función urinaria, sexual y en la relación con el medio / Miles operation in rectal cancer: impact in urinary and sexual functions and it relationship with enviroment

Se presenta una serie de 34 pacientes operados por cáncer del recto con operación de Miles, sin evidencias de recidiva y con seguimiento mínimo de 18 meses. En ellos se analizó la función urinaria, sexual y el impacto que esta operación significó en la relación de los pacientes con el medio ambiente familiar y laboral. Se puede concluir que el grupo de pacientes sufre consecuencias permanentes en todas las funciones investigadas, las que afectan a un porcentaje mayoritario de ellos