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Cross‑sectional study of the prevalence of hyperextension of the first metatarsophalangeal joint and its relationship to onycholysis in women with hallux valgus
Full text linkHallux Valgus (HV) deformity is associated with misalignment in the sagittal plane that affects the first
toe. However, the repercussions of the first toe hyperextension in HV have been scarcely considered. The purpose
of this study was to provide evidence of the association between first-toe hyperextension and the risk of first toenail
onycholysis in HV.Fisioterapi
Emotional Competences of Primary Education Teachers: A Need in School Post COVID-19
Full text linkThe COVID-19 pandemic has increased the number of students with mental health problems: depression, anxiety, stress. Faced with this reality, teachers and schools must be prepared to respond quickly and effectively. Therefore, the objective of this article is to analyze the emotional competences of primary school teachers in the city of Valencia based on the following sociodemographic variables: sex, age, professional experience, type of center and whether they have children. For this purpose, a quantitative methodological approach has been followed, through which the emotional competencies of primary education teachers are analyzed. These results allow us to establish teacher profiles according to sociodemographic variables and help to detect possible training deficiencies. A sample of 371 teachers of primary education in the city of Valencia has been analyzed. The Questionnaire on Teaching Competences of Primary Education Teachers, carried out under the Planned Action Model, has been used, and descriptive, univariate, bivariate and cluster analyses have been carried out. The mean, the standard deviation and the interquartile range (IQR) have been analyzed, as well as non-parametric tests such as the Wilcoxon, Kruskal–Wallis or Z test. The most significant results are that teachers have a greater ability to interpret emotions and to listen to students. On the contrary, it is teachers who most reject prejudice, discrimination and racism. Younger teachers are the ones who implement more inclusive learning environments. Finally, in general, all teachers are very respectful of students and claim to know how to manage classroom conflicts. The results obtained, in general terms, coincide with most of the research on teachers’ emotional competencies. Some aspects simply do not coincide with the literature. The teachers who participated in our research perceive themselves as having a greater capacity to observe and interpret students’ emotions, to generate learning situations that cater to diversity and to listen to their students. Other studies place these competencies at lower levels.This research («Diagnóstico de las competencias docentes del profesorado no universitario de la provincia de Valencia e identificación de las nuevas necesidades post-pandemia COVID-19. Propuestas de formación docente») was funded by Conselleria de Innovación, Universidades, Ciencia y Sociedad Digital (GE/2022), grant number I+D+i CIGE/2021/014. The APC was funded by EUR 16.000.Pedagogí
Corrección de la escoliosis idiopática del adolescente mediante tornillos pediculares sin fusión posterior en pacientes inmaduros. Restauración de la morfología vertebral normal y retirada de la instrumentación una vez alcanzada la madurez ósea
Full text linkIntroducción:
Las técnicas actuales de modulación del crecimiento vertebral anterior mediante
impredecible de la deformidad, además de las desventajas de la toracotomía necesaria con tornillos pediculares.
Objetivo:
El objetivo de este estudio fue valorar de la capacidad correctora de una técnica sin
fusión vertebral con un abordaje posterior utilizando tornillos pediculares en pacientes
con AIS.
Métodos:
Se trata de un análisis retrospectivo de datos recogidos prospectivamente. Una serie
de 36 pacientes con AIS (Risser 3 o menor) fueron sometidos a corrección quirúrgica
de sus deformidades mediante tornillos pediculares posteriores sin fusión.
La instrumentación se retiró una vez avanzada la madurez esquelética. La mayoría
de los casos presentaban curvas principales torácicas de Lenke-1. La corrección
de la curva coronal y sagital se evaluó mediante radiografías convencionales en bipedestación
antes y después de la operación, antes de retirar la instrumentación,
altura de la vértebra del ápex en los lados cóncavo y convexo de la curva principal
(MC). El rango de movimiento (ROM) de la columna toracolumbar y la calidad de
(61,0±5,7 meses).
Resultados:
El ángulo de Cobb coronal medio preoperatorio de las curvas MC fue de 53,7° ± 7,5°
(IC 95%: 50,7-56,6°) y se corrigió a 5,5° ± 7,5° (89,7%) inmediatamente después de
la operación. Antes de retirar la instrumentación, se produjo una pérdida de corrección
de 3,4° y otros 2,8° adicionales justo después de la retirada. En la revisión a los
una corrección del 75,4% de la curva inicial. La cifosis T5-T12 mostró una mejora
del seguimiento, el ROM sagital medio del segmento T12-S1 era de 51,2 ± 21,0°.
Las puntuaciones del SRS-22 mejoraron de 3,31 ± 0,25 en el preoperatorio a 3,68 ±
Conclusiones:
En conclusión, un abordaje posterior sin fusión utilizando tornillos pediculares corrigió
las curvas principales escolióticas de forma satisfactoria y permitió la retirada de la
servó un ROM aceptable de los segmentos previamente instrumentados inferiores y
un aumento de la calidad de vida.Introduction:
Current techniques of anterior vertebral growth modulation by vertebral body stapling
or tethering provide an incomplete and unpredictable correction of the deformity, in
addition to the disadvantages of the required thoracotomy. Recently, experimental evidence
of growth modulation of vertebral epiphyseal plates using a posterior approach
Objectives:
This study aimed to report the corrective ability of a fusionless technique using a posterior
approach without fusion in adolescent idiopathic scoliosis (AIS) patients.
Methods:
This was a retrospective analysis of prospectively collected data. A series of 36 patients
with AIS (Risser 3 or less) underwent surgical correction of their deformities using
posterior pedicle screws without fusion. Instrumentation was removed once the maturity
stage advanced, with almost complete fusion of the iliac apophysis. Most cases
had main thoracic Lenke-1 curves. Coronal and sagittal curve correction was assessed
by conventional standing radiographs pre- and postoperatively, before instrumentation
removal, immediately after removal, and at the 2-year follow-up after removal
apex vertebra on the concave and convex sides of the main curve (MC). The range of
motion (ROM) of the thoracolumbar spine and quality of life through the SRS-22 were
Results:
The mean preoperative coronal Cobb angle of the MC curves was 53.7° ± 7.5° (95%
CI: 50.7-56.6°) and was corrected to 5.5° ± 7.5° (89.7%) immediately postoperatively.
Before removal of the instrumentation, there was a loss of correction of 3.4° and
another additional 2.8° just after removal. In the 2-year check-up after removal of the
implants, the mean MC was 13.1°, which is a 75.4% correction of the initial curve.
CI: 13.3–24.8) to 27.1° (95% CI: 20.1–26.1) 2 years after implant removal (29.9% in-
was almost completely corrected. At the end of follow-up, the mean sagittal ROM of the T12-S1 segment was 51.2 ± 21.0°. The SRS-22 scores improved from 3.31 ±
Conclusion:
In conclusion, a fusionless posterior approach using common all-pedicle screws correctly
constructed satisfactory scoliotic main curves and permitted instrumentation
removal once bone maturity was reached. An acceptable ROM of the previously
lower instrumented segments was observed, with an increased quality of life.MedicinaCiencias de la Salu
Illness and (hyper)masculinity in 'HIMM' comics from the USA
Full text linkIn this essay, I analyse HIMM comics from the USA, a specific textualisation of graphic medicine/pathography that deals with a variety of illness experiences by male cartoonists. It is my contention that, in the existing literature, the motif of masculinity in autobiographical health-related comics is an underdeveloped area of academic enquiry. As a result, my analysis focuses on how three North American men depict ill health in their work in relation to existing sociological understandings of male behaviour. The texts I discuss are John Porcellino's The Hospital Suite (2014), a story about his abdominal tumour; Matt Freedman's exploration of adenoid cystic carcinoma in Relatively Indolent but Relentless (2014); and Peter Dunlap-Shohl's My Degeneration (2015), which discusses the cartoonist's experience of Parkinson's disease. At the same time, I use the concept of hypermasculinity to explore the similar visual and verbal strategies through which these men respond to their physical and emotional suffering. It is my intention to illustrate how HIMM comics provide an important, non-medicalised lens through which clinical practitioners and lay readers alike can better see the subjectivised experience of male illness in the early 21st century. With a focus on the concept of bracketing, the representation of pain and vulnerability, men's loss of self-identity and hardiness, I explore how HIMM comics act as important counter-narratives to biomedical discourse by visualising the phenomenological aspects of men's ill health. In this way, the texts in my analytical corpus offer a valuable gender-oriented understanding of the connection between illnesses and (hyper)masculinity.Humanidade
The Role of News Media in Reducing Traffic Accidents
Full text linkConceptualization, A.J.L. and F.A.; methodology, M.F.; formal analysis, A.J.L.
and M.F.; investigation, F.A., M.F. and A.J.; resources, F.A.; data curation, A.J.L.; writing—original
draft preparation, M.F. and A.J.; writing—review and editing, M.F. and A.J.; supervision, F.A.; project
administration, A.J.L. All authors have read and agreed to the published version of the manuscript.Traffic accidents represent a major problem worldwide. Public and private entities launch
communication campaigns in order to educate the population about this problem. The aim of this
study is to analyze the evolution of the presence of road safety in the Spanish media and its influence
on the reduction of road accidents. A content analysis of six major Spanish newspapers between
2000 and 2008 (an important period in the reduction of the accident rate in Spain) was carried out
in which the presence of news related to traffic accidents and the intensity of them were quantified
using a set of criteria designed for this study. Furthermore, the correlation between the accident rates
and the presence and intensity of news in the same time frame was measured. There has been an
evident increase in the news related to traffic accidents during the analyzed period, both in terms of
the presence of such news in general and in terms of intensity. The correlation analysis also shows a
strong relationship between the increase in news presence and intensity and a sharp fall in accident
rates in Spain. Although correlation analysis is not enough to establish a causal relationship between
the variables studied here, the findings suggest that informative campaigns had a positive effect on
encouraging pro-social behavior, were successful in disseminating related information, and, therefore,
contributed significantly to lowering accident rates, although that was not the only reason.Humanidade
Unmasking Elder Abuse: Depression and Dependency in the Post-Pandemic Era
Full text linkConceptualization, I.I.-M., C.A.-A. and M.J.J.-I.; methodology, I.I.-M., M.J.J.- I., M.J.B.-A. and C.M.-T.; formal analysis, I.I.-M., M.J.J.-I. and C.M.-T.; data curation, all authors; writing—original draft preparation, all authors; writing—review and editing, all authors; project administration, I.I.-M. All authors have read and agreed to the published version of the manuscript.The aim of this study was to analyze elder abuse in people over 65 years of age and its relationship with some risk factors—depression symptoms, dependency, gender and age—in the Spanish population.Psicologí
PTCy vs CNI–based GVHD prophylaxis in HLA-matched transplants for Hodgkin lymphoma: a study of the LWP of the EBMT
Full text linkStudies comparing the efficacy of posttransplant cyclophosphamide (PTCy) to conventional
calcineurin inhibitor (CNI)–based graft-versus-host disease (GVHD) prophylaxis regimens in
patients with Hodgkin lymphoma (HL) are scarce. This study aimed to compare the outcomes of
patients with HL undergoing hematopoietic stem cell transplantation (HSCT) from HLA-matched
donors who received GVHD prophylaxis with either PTCy- or conventional CNI-based regimens,
using data reported in the European Society for Blood and Marrow Transplantation database
between January 2015 and December 2022. Among the cohort, 270 recipients received
conventional CNI-based prophylaxis and 176 received PTCy prophylaxis. Notably, PTCy
prophylaxis was associated with delayed hematopoietic recovery but also with a lower risk of
chronic (25% vs 43%; P < .001) and extensive chronic GVHD (13% vs 28%; P = .003) compared with
the CNI-based cohort. The 2-year cumulative incidence of nonrelapse mortality and relapse was
11% vs 17% (P = .12) and 17% vs 30% (P = .007) for PTCy- and CNI-based, respectively. Moreover,
the 2-year overall survival (OS), progression-free survival (PFS), and GVHD-free, relapse-free
survival (GRFS) were all significantly better in the PTCy group compared with the CNI-based
group: 85% vs 72% (P = .005), 72% vs 53% (P < .001), and 59% vs 31% (P < .001), respectively. In
multivariable analysis, PTCy was associated with a lower risk of chronic and extensive chronic
GVHD, reduced relapse, and better OS, PFS, and GRFS than the CNI-based platform. Our findings
suggest that PTCy as GVHD prophylaxis offers more favorable outcomes than conventional CNIbased prophylaxis in adult patients with HL undergoing HSCT from HLA-matched donors.Medicin
A Systematic Review on Drugs Acting as Nicotinic Acetylcholine Receptor Agonists in the Treatment of Dementia
Full text linkAuthor Contributions: Conceptualization, A.M.T. and A.C.; Methodology, E.L.; Software, E.L., E.F.
and A.A.; Validation, N.V., N.L. and A.M.T.; Formal Analysis, E.C., P.R. and A.A.; Investigation, R.R.,
E.F., A.A., P.P. and P.R.; Data Curation, P.P., A.C., E.C. and R.R.; Writing—Original Draft Preparation,
A.C., E.C., P.P., P.R. and R.R.; Writing—Review and Editing, A.C., E.C., P.P., P.R., R.R., N.L. and A.M.T.;
Supervision, P.P, A.M.T., N.L. and N.V.; Project Administration, A.C.; Funding Acquisition, N.V. All
authors have read and agreed to the published version of the manuscript.Acetylcholine signaling is attenuated in early Alzheimer’s disease (AD) and other dementias.
A significant reduction in the expression of nicotinic acetylcholine receptors (nAChRs) in the brain
of AD patients has also been reported in several molecular biological and in situ labeling studies.
The modulation of the functional deficit of the cholinergic system as a pharmacological target could
therefore have a clinical benefit, which is not to be neglected. This systematic review was conducted
to identify clinical trials, which evaluated the safety and efficacy of nicotinic acetylcholine receptor
agonists using Clinicaltrial (CT) and EudraCT databases. Structured searches identified 39 trials,
which used 15 different drugs designed to increase the function of the nAChRs. Most of the identified
clinical trials were phase II trials, with some of them classified as ongoing for several years. The
systematic screening of the literature led to the selection of 14 studies out of the 8261 bibliographic
records retrieved. Six trials reported detailed data on adverse events associated with the intervention,
while twelve trials reported data on efficacy measures, such as attention, behavior and cognition.
Overall, smost of the physical side effects of cholinergic agonists were reported to be well tolerated.
Some trials also reported improvements in attention. However, the efficacy of these drugs in other
cognitive and behavioral outcomes remains highly controversial.Medicin
Effects of a physical activity program of postural correction and muscle activation for the prevention of low back pain in Physical Education students in 3th and 4th grade of Compulsory Secondary Education
Full text linkEl objetivo consiste en valorar postural, articular y muscularmente la salud lumbar de una muestra de mujeres adolescentes y medir su mejora tras la llevar a cabo un programa preventivo.The aim is to assess postural, joint and muscular lowbackhealth in a sample of adolescent women and to measure their improvement after carrying out a preventive programme.Ciencias de la Actividad Física y del Deport
Current challenges for bilingual teacher education - the multilingual classroom
No full textIn this chapter, we set out to explore the perceptions of future teachers about the usefulness of English as a language of international communication and their beliefs about learning English in a multilingual context, as well as the challenges faced by practitioners in the multilingual classroom.Educació