ObjectiveValidation of the intracerebral haemorrhage (ICH) score in patients with a diagnosis of spontaneous ICH admitted to the intensive care unit (ICU).MethodsA multicentre cohort study was conducted in all consecutive patients with ICH admitted to the ICUs of three hospitals with a neurosurgery department between 2009 and 2012 in Andalusia, Spain. Data collected included ICH, Glasgow Coma Scale (GCS) and Acute Physiology and Chronic Health Evaluation II (APACHE-II) scores. Demographic data, location and volume of haematoma and 30-day mortality rate were also collated.ResultsA total of 336 patients were included. 105 of whom underwent surgery. Median (IQR) age: 62 (50–70) years. APACHE-II: 21(15–26) points, GCS: 7 (4–11) points, ICH score: 2 (2–3) points. 11.1% presented with bilateral mydriasis on admission (mortality rate=100%). Intraventricular haemorrhage was observed in 58.9% of patients. In-hospital mortality was 54.17% while the APACHE-II predicted mortality was 57.22% with a standardised mortality ratio (SMR) of 0.95 (95% CI 0.81 to 1.09) and a Hosmer-Lemenshow test value (H) of 3.62 (no significant statistical difference, n.s.). 30-day mortality was 52.38% compared with the ICH score predicted mortality of 48.79%, SMR: 1.07 (95% CI 0.91 to 1.23), n.s. Mortality was higher than predicted at the lowest scores and lower than predicted in the more severe patients, (H=55.89, p<0.001), Gruppo Italiano per la Valutazione degli Interventi in Terapia Intensiva calibration belt (p<0.001). The area under a receiver operating characteristic (ROC) curve was 0.74 (95% CI 0.69 to 0.79).ConclusionsICH score shows an acceptable discrimination as a tool to predict mortality rates in patients with spontaneous ICH admitted to the ICU, but its calibration is suboptimal.
El presente estudio tiene como objetivo determinar y analizar las relaciones y diferencias existentes entre el clima motivacional, en base al nivel competitivo en judocas no profesionales. Participaron un total de 121 judocas chilenos no profesionales (70 hombres y 51 mujeres) con edades comprendidas entre los 18 y 40 años, provenientes de siete clubes de judo. Completaron una hoja de autoregistro de variables sociodemográficas y un cuestionario de clima motivacional (PMCSQ-2). Los resultados indican que en los judocas aficionados predomina el clima tarea y a medida que se asciende en el nivel, en deportistas amateurs cobra una mayor importancia el clima ego. Como principal conclusión destaca que los judocas amateurs distinguen en mayor proporción la diferencia entre la superación personal y el esfuerzo (clima tarea) y demuestran mayor habilidad física que los demás. Al contrario que sucede en los aficionados, donde la correlación entre ambos es inferior, aunque sigue siendo negativa.
<p><span style="font-family: Garamond;">The aim of this research was to develop an explanatory model of body mass index (BMI), health-related quality of life, and physical activity, and to analyse the effects of the physical variables on the levels of physical activity, self-esteem and health-related quality of life. A cross-sectional study was conducted on a sample of 631 Spanish schoolchildren (12.5 ± 1.4 years old).<strong> </strong>They completed questionnaires on self-esteem (Rosemberg test), physical activity (PAQ-C), Mediterranean diet (KIDMED), quality of life (KIDSCREEN-27) and had their BMI and maximum oxygen uptake measured. Structural equations constituted the statistical analyses. A correlation was found between lower BMI and fewer hours of self-reported screen time which was also conducive to higher cardio-respiratory levels and greater engagement in physical activity. More physical activity and better dietary care were related generally with higher health-related quality of life and self-esteem. The model demonstrated acceptable goodness of fit. Findings of the study suggest physical activity and positive dietary behaviours should be promoted in Spanish schools as incremental improvements have the potential to concordantly improve a large range of healthful outcomes including health-related quality of life, self-esteem and BMI.</span></p>
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