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Haemodynamic effect of a leg compression bandage on the distal posterior tibial artery using 4D flow magnetic resonance imaging: A quantitative study
Get PDFThe uncertainty concerning the physiological effects of compression bandaging
on the peripheral blood flow is a challenge for healthcare professionals. The main
objective was to determine the haemodynamic impact on the distal posterior tibial artery after the application of a high-compression leg multicomponent bandaging system using 4D flow magnetic resonance imaging. Leg dominance
disparities of the posterior tibial artery before and after the application of the
compressive bandage were also analysed. Twenty-eight healthy female volunteers
were recruited (mean: 25.71, standard deviation: 4.74 years old) through a non-
probability convenience sampling. The 4D flow magnetic resonance imaging of
the distal tibial posterior artery was performed in all participants, first under standard resting conditions and after the application of a compression bandage in the
leg. When the strong compressive bandage was applied, the area of the assessed
artery decreased by 14.2%, whilst the average speed increased by 19.6% and the
flow rate increased by 184.8%. There were differences between the haemodynamic parameters of both legs according to dominance, being statistically significantly lower in the dominant leg. The application of strong compressive
bandaging significantly increases the arterial flow and mean velocity in the distal
segment of the posterior tibial artery, in healthy volunteers by 4D flow magnetic
resonance imaging. In this study, leg dominance influenced some of the haemodynamic parameters. According to the results, leg compression bandages cannot
be contraindicated in vascular ulcers with arterial compromise.Enfermerí
Development and psychometric testing of the nutritional and social health habits scale (NutSo-HH): A methodological review of existing tools
Get PDFElena Sandri: Conceptualization, Methodology, Data analysis, Writing – original draft, Writing – review & editing, Investigation,
Validity tests. Michela Piredda: Methodology, Investigation, Data Analysis, Writing – original draft, Writing – review & editing,
Validity tests. Maddalena Di Maria: Methodology, Validity tests, Writing – review & editing, Supervision. Stefano Mancin: Visu-
alization, Writing – review & editing. Marco Sguanci: Visualization, Writing – review & editing. Asensi Cabo: Conceptualization,
Methodology, Data Analysis, Writing – review & editing. Germán Cerdá Olmedo: Conceptualization, Methodology, Writing – review
& editing, Supervision.Habits represent repeated patterns of behavior over time that exert a significant influence on
individual health. While specific tools exist to measure individual habits, the number of instruments capable of simultaneously exploring multiple dimensions of health is limited. This research
had two main objectives: 1) to examine the literature to find existing tools for evaluating health
habits, especially in the Spanish population; 2) through a methodological review, to develop and
validate a tool capable of measuring multiple dimensions of health habits. The Nutritional and
Social Health Habits Scale (NutSo-HH) was conceived, tested, and refined through pilot testing
with cognitive interviews and expert content validation. Construct validity was explored through
confirmatory factor analysis and known-group validity, while criterion validity was verified in
comparison with the “Healthy Nutrition Index for the Spanish Population.’’ Reliability was assessed using omega coefficients. Confirmatory factor analysis yielded satisfactory fit indices. The
final model included two second-order factors (nutritional habits and health habits) and two first-
order factors (Mediterranean diet and alcohol consumption). Omega coefficients ranged from 0.521 to 0.815. The NutSo-HH Scale emerges as a valid and reliable tool to assess nutritional and
social habits among Spanish young adults. This novel instrument fills a gap in the field, allowing exploration of various health determinants through a single scale and providing support for
decision-making in the realm of public health nutrition.Medicin
Interreligious Competence (IRC) in Students of Education:An Exploratory Study
Get PDFThe purpose of this study is to present a scale for the assessment ofinterreligious competence (IRC) and to make a first descriptive appraisal of future educators, focusedon their capacity to cope with conflicts.Educació
Impacto de una intervención educativa sobre seguridad del paciente en enfemeras de unidades de hospitalización de adultos
Get PDFINTRODUCCIÓN: La seguridad del paciente es un componente esencial de la calidad
asistencial y sigue siendo un reto para las organizaciones sanitarias. Gran parte de las
estrategias diseñadas para fomentarla van dirigidas a mejorar la cultura de seguridad y
a disminuir los eventos adversos.
OBJETIVO: Analizar el impacto de una intervención educativa sobre seguridad del
paciente dirigida a enfermeras de unidades de hospitalización de adultos.
MÉTODO: Estudio de intervención comunitaria cuasi experimental antes-después, con
grupo comparación, mediante intervención educativa. La intervención consistió en
varias acciones formativas dirigidas a enfermeras y mandos intermedios enfermeros
de unidades de hospitalización de adultos en un hospital terciario. La cultura de
seguridad se evaluó utilizando la versión española del cuestionario Hospital Survey on
Patient Safety Culture y la incidencia de eventos adversos mediante rondas de
seguridad.
RESULTADOS: En la fase pre intervención no se encontraron diferencias significativas
entre los grupos a estudio. Tras la intervención la cultura de seguridad mejoró
significativamente en siete dimensiones (notificación de eventos relacionados con la
seguridad, percepción de seguridad, expectativas y acciones de la
dirección/supervisión en la unidad/servicio en apoyo a la seguridad, aprendizaje
organizacional/mejora continua, franqueza en la comunicación, feed-back y
comunicación sobre errores, y respuesta no punitiva a los errores). La percepción del
grado de seguridad aumentó significativamente tras la intervención (p=0.000). No se
registró disminución de la incidencia de eventos adversos respecto a la fase pre
intervención, pero si se observó un aumento de la notificación de eventos en el grupo
intervención (p=0.043).
CONCLUSIÓN: La intervención educativa dirigida a enfermeras de unidades de
hospitalización de adultos de un hospital terciario sobre seguridad del paciente es
efectiva para mejorar la cultura de seguridad y la notificación de eventos adversos,
pero no mostró mejora en la incidencia de eventos adversosINTRODUCTION: Patient safety is an essential component of quality of care and
remains a challenge for healthcare organisations. Many of the strategies designed to
promote it are aimed at improving safety culture and reducing adverse events.
OBJECTIVE: To analyse the impact of an educational intervention on patient safety
aimed at nurses in adult hospitalisation units.
METHOD: Quasi-experimental before-after community intervention study, with a
comparison group, using an educational intervention. The intervention consisted of
several training actions aimed at nurses and middle management nurses in adult
inpatient units in a tertiary hospital. Safety culture was assessed using the Spanish
version of the Hospital Survey on Patient Safety Culture questionnaire and the
incidence of adverse events was assessed by safety rounds.
RESULTS: In the pre-intervention phase no significant differences were found between
the study groups. After the intervention, safety culture significantly improved in seven
dimensions (reporting of safety-related events, perception of safety, expectations and
actions of management/supervision in the unit/service in support of safety,
organisational learning/continuous improvement, openness in communication,
feedback and communication about errors, and non-punitive response to errors).
Perceived safety significantly increased after the intervention (p=0.000). There was no
decrease in the incidence of adverse events compared to the pre-intervention phase,
but there was an increase in event reporting in the intervention group (p=0.043).
CONCLUSION: Patient safety education intervention for nurses in adult inpatient units
of a tertiary hospital is effective in improving safety culture and adverse event
reporting, but did not show improvement in the incidence of adverse eventsEnfermeríaCiencias de la Salu
Effects of menstrual cycle phases on elasticity index in female soccer players
Get PDFÁngel Muñoz: conducted the study intervention and was responsible for writing the article. Carlos Sanchis:
analysed the data and contributed to the results section. Ángel Francisco García: contributed to the design
of the study and reviewed the manuscript. Cristina Monleón: directed the study, contributed to the design the
study and approved the final draft.The aim of this study was to determine the influence of the menstrual cycle on the elasticity index in female soccer players. A quasi-experimental analysis was carried out with a time series design, with a sample of 14 female players between 16 and 23 years (18.50 ± 1.74) where during all the phases of a menstrual cycle they had to perform the Squat Jump and Counter Movement Jump tests in order to calculate the elasticity index. Descriptive, normality, sphericity test and a repeated measures ANOVA with a Bonferroni type Post-Hoc test were performed. The most relevant aspect was that there were significant differences in the elasticity index between the Follicular Phase and the Ovulatory Phase, obtaining higher percentages of elasticity index in this second phase, but there were no significant differences between the other phases. The results obtained determine that the elasticity index is higher in the Ovulatory Phase than in the rest of the phases and this could be mainly due to the oestrogenpeak and that there are no significant differences in the Luteal Phase demonstrates the relevance of this hormone with respect to explosive strength and the elasticity index. This study will allow the use of strategies with the intention of being able to optimally place the loads during plyometric training in reference to the menstrual cycle. While menstrual discomfort is subjective, they should be taken into account. Conversely, the elasticity index provides a reliable objective data that assists in designing personalized training programs.Ciencias de la Actividad Física y del Deport
Lower extremity muscle fibers activation in two Latin dance modalities
Get PDFThe main purpose of this study was to investigate the muscle activity of different
types of muscle fibers between Rumba and Jive dancing styles in eighteen elite
DanceSport athletes (mean age: 19.6 ± 3.2 years). Measurements were carried out
using surface electromyography (EMG) during performance of the choreography.
EMG was recorded in both legs from rectus femoris (RF), biceps femoris (BF), tibialis
anterior (TA), and gastrocnemius medialis (GM) and analyzed. In Rumba, the whole
activation of RF (median, 115.95; IQR, 36.00 mV) was lower as compared to BF
(median, 146.68; IQR, 10.02 mV; p = .002) and to GM (median, 149.81; IQR, 85.66
mV; p = .035). In Jive, the highest global activation corresponded to the BF (median,
155.40; IQR, 44.89 mV), and differences were statistically significant as compared to
the TA activation (median, 123.09; IQR, 51.24 mV; p = .028). Significant differences
were found between the Rumba and Jive in RF type I fibers (p ≤ .05), TA type IIa
fibers (p ≤ .05); and GM type IIb fibers (p ≤ .05) in both male and females. In male
dancers, there were differences GM type IIb fibers (p ≤ .05) and TA type I fibers in
females (p ≤ .05). This study shows experimental evidence of significantly different
muscular activation for the lower limb in dances with different tempo. The results of
this study provide relevant information for optimizing high-performance training and
injury prevention programs, which are key to the success of DanceSport careers.Ciencias de la Actividad Física y del Deport
Model of Pleistocene geomorphological evolution in active Alpine neotectonics controlled margins in the western Mediterranean area: The case of SE Iberian Peninsula
Get PDFTrinidad Torres: Conceptualization, Funding acquisition, Writing –
original draft, Supervision. Jos´e E. Ortiz: Investigation, Methodology,
Writing – original draft, Funding acquisition. Rosa Mediavilla: Inves-
tigation, Methodology. Juan I. Santisteban: Investigation, Methodol-
ogy. Ana Bl´azquez: Investigation, Methodology. Francisco J. Sierro:
Investigation, Methodology. Yolanda S´anchez-Palencia: Investigation,
Methodology. Ignacio L´opez Cilla: Investigation, Methodology.
Rogelio de la Vega: Investigation.At the northern tip of the Betic realm (SE Iberian Peninsula), some troughs (synclines) and elevations (anticlines)
alternate, marking the present-day coastal lobed morphology of cape-bounded bays, where subsidence and uplift
conditions prevailed, respectively. In this study, we were able to establish a clear coastal evolution. To this end,
we considered the sedimentological and palaeoenvironmental conditions, the palaeogeographical reconstruction,
and recent tectonics until Middle Pleistocene times (MIS 5) through the interpretation of onshore cores, raised
marine deposits and geophysical profiles. In this regard, as reflected by both onshore and offshore information,
there seems to be a stratigraphical gap from the end of the Pliocene to MIS 15 (Middle Pleistocene). In areas
under uplift conditions, linked to tardive Alpine tectonics, the deposits of ancient shorelines and raised beaches
were located at different post-depositional elevations, which were dated from odd MIS 15 to MIS 5 using amino
acid racemization. Only deposits aged MIS 7 and MIS 5 are roughly at the present-day sea level or some meters
above. In the troughs, which remain mostly as lagoons and salt marshes, subsidence did not allow the sedimentary record to be discerned. However, many borehole cores were recovered, attesting lagoonal, marsh,
sabkha, or alluvial environmental conditions, which were usually unconnected from the sea. Micropaleontological and amino acid racemization dating revealed these cores to be of MIS15 to MIS5 age. Offshore seismic
research revealed five erosive-bounded deposits that are stacked accretionary prisms corresponding to highstands between odd MIS 15 and MIS 5. In contrast, even MISs can be correlated to the erosive horizons that
separated the seismic units, reflecting lowstands. In this regard, some bars, at a range of distances from the
present-day coastline, protected wetlands from marine influence, allowing the development of diverse subenvironments under changing paleogeographical and paleoclimatological conditions.Ciencias del Ma
Muscle Changes during Direct Attack under Different Conditions in Elite Wheelchair Fencing
Get PDFAuthor Contributions: Conceptualization J.M.-R. and L.R.-S.; methodology, J.M.-R. and L.R.-S.;
formal analysis, L.R.-S.; investigation, J.M.-R., J.A.-J., N.d.B., I.T.-G., X.I. and L.R.-S.; resources,
J.M.-R.; data curation, L.R.-S., I.T.-G., J.A.-J. and N.d.B.; writing—original draft preparation, J.M.-R.;
writing—review and editing, J.M.-R.; visualization, J.M.-R., J.A.-J., I.T.-G. and N.d.B.; supervision,
J.M.-R. and L.R.-S.; funding acquisition, J.M.-R. All authors have read and agreed to the published
version of the manuscriptWheelchair fencing is a medium-distance combat sport in which the wheelchair is fixed to
the floor. This requires a maximum concentration and gestational speed. Refined techniques and
fatigue tolerance are essential to achieve competitive results. Aim: The main objective of this study
was to measure the speed and muscular participation of a direct attack gesture with and without
fatigue in a sample of elite wheelchair fencers. Methods: The maximal isometric force, gestural speed,
and resistance to gestural velocity were estimated in 10 elite performed direct fencers. Results: The
results revealed that sitting height and wingspan were important factors in achieving the highest
speed, especially in women (r = 0.9; p = 0.07). Other factors, such as the elbow angle where the closed
position was better, affected muscle contraction in both categories of athletes (p = 0.01). The onset of
fatigue was earlier in category B than in category A, with greater variation in direct attack movement.
The results highlight the importance of analyzing direct attacks for the best application of quick force,
speed, and muscle participation, as well as identifying the onset of technical deterioration to devise
a competitive strategy. These parameters may allow for precise design of conditioning sessions for
elite wheelchair shooters.Fisioterapi
Los retos de la enseñanza del inglés en aulas trilingües: una exploración de las creencias de los futuros docentes
Get PDFEn este trabajo exploramos las percepciones y creencias de los futuros
docentes de la asignatura de Inglés como Lengua Extranjera (ILE) en
la Comunidad Autónoma de Valencia. En concreto, centramos nuestra
investigación en las percepciones y creencias sobre la efectividad de la
instrucción en lengua inglesa en los niveles de educación infantil y primaria,
así como los retos que enfrentan los docentes.Educació
Cellular Immunity of SARS-CoV-2 in the Borriana COVID-19 Cohort: A Nested Case–Control Study
Get PDFAuthor Contributions: Conceptualization, S.D.-M., J.P.-B., A.A.-P., M.R.P.-S., A.O.-S., L.G.-L., M.S.-U.,
L.A.-E. and D.J.-S.; methodology, A.A.-P., S.D.-M., M.R.P.-S., L.G.-L., D.S.-T., J.C.-S., M.G.-F., C.N.-R.,
O.P.-O. and M.A.R.-G.; software, A.A.-P., J.P.-B., M.R.P.-S. and C.D.-L.; validation, S.D.-M., J.P.-B.,
A.O.-S., D.S.-T., P.S.-M., M.G.-F., N.H.-P., O.P.-O. and R.R.-P.; formal analysis, A.A.-P. and J.P.-B.;
investigation, S.D.-M., L.G.-L., D.S.-T., C.D.-L., A.D.R.-G., M.S.-U., P.S.-M.,L.A.-E., G.B.-M., R.B.-G.,
J.C.-S., M.G.-F., N.H.-P., D.J.-S., L.L.-D., C.N.-R., O.P.-O., M.A.R.-G. and R.R.-P.; resources, S.D.-M.,
A.O.-S., M.G.-F., L.L.-D. and O.P.-O.; data curation, M.R.P.-S., A.D.R.-G., M.S.-U., L.A.-E., J.C.-S.,
D.J.-S. and A.A.-P.; writing—original draft preparation, A.A.-P., J.P.-B., D.S.-T. and M.R.P.-S.; writing—
review and editing, A.A.-P.; J.P.-B., S.D.-M. and M.R.P.-S.; visualization, L.G.-L., M.S.-U., G.B.-M.,
R.B.-G., J.C.-S. and D.J.-S.; supervision, S.D.-M., L.L.-D. and A.O.-S.; project administration, S.D.-M.,
A.O.-S. and A.A.-P.; funding acquisition, S.D.-M., A.O.-S. and J.P.-B. All authors have read and agreed
to the published version of the manuscript.Our goal was to determine the cellular immune response (CIR) in a sample of the Borriana COVID-19 cohort (Spain) to identify associated factors and their relationship with infection, reinfection and sequelae. We conducted a nested case–control study using a randomly selected sample of 225 individuals aged 18 and older, including 36 individuals naïve to the SARS-CoV-2 infection and 189 infected patients. We employed flow-cytometry–based immunoassays for intracellular cytokine staining, using Wuhan and BA.2 antigens, and chemiluminescence microparticle immunoassay to detect SARS-CoV-2 antibodies. Logistic regression models were applied. A total of 215 (95.6%) participants exhibited T-cell response (TCR) to at least one antigen. Positive responses of CD4+ and CD8+ T cells were 89.8% and 85.3%, respectively. No difference in CIR was found between naïve and infected patients. Patients who experienced sequelae exhibited a higher CIR than those without. A positive correlation was observed between TCR and anti-spike IgG levels. Factors positively associated with the TCR included blood group A, number of SARS-CoV-2 vaccine doses received, and anti-N IgM; factors inversely related were the time elapsed since the last vaccine dose or infection, and blood group B. These findings contribute valuable insights into the nuanced immune landscape shaped by SARS-CoV-2 infection and vaccination.Medicin