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The degree of positive perfectionism among professional players in football and volleyball in Palestine
No full textPerfectionism plays a pivotal role in shaping an athlete's personality and enhancing their motivation
to achieve peak performance. However, if not managed properly, perfectionism can become a source
of psychological pressure, leading to excessive stress and fear of failure. Therefore, maintaining a
balance between ambition and self-acceptance is essential for enhancing athletic performance without
negatively impacting the athlete's mental well-being. The study aimed to identify the degree of
positive perfectionism among professional football and volleyball players in Palestine, as well as to
determine the differences in positive perfectionism between these two groups. The study employed a
descriptive-analytical approach. The study was conducted on a stratified random sample of 79
professional volleyball players and 43 professional football players in Palestine. To collect data, the
Positive Perfectionism Scale was used. The results showed that the degree of positive perfectionism
among professional football and volleyball players in Palestine was high, with a mean score of
4.03±0.44. Furthermore, the results indicated that the t-value was statistically significant at the
α≤0.05 level for positive perfectionism and its dimensions, favoring professional football players
over volleyball players. The study found that professional athletes in Palestine have high positive
perfectionism, with football players scoring higher than volleyball players
Influence of the ethnotourism offer on visitor satisfaction: the case of San Ambrosio Chalmita, state of Mexico
No full textEn las últimas décadas, el etnoturismo en México ha intentado posicionarse como alternativa sustentable y de conexión con las comunidades originarias a través de experiencias de cultura y tradición tomando relevancia como objeto de estudio, el objetivo del presente artículo es analizar la influencia de la oferta etnoturística sobre la satisfacción de visita de San Ambrosio Chalmita, Estado de México, se aplicó una encuesta a 203 visitantes y la técnica para el tratamiento de datos fue la modelación de ecuaciones estructurales por mínimos cuadrados parciales (PLS-SEM) . Los resultados muestran las variables que constituyen elementos de interés en el servicio turístico ofertado como una forma para generar estrategias de mejoramiento turístico. Como conclusión, se delinean áreas de opor tunidad como la mejora en el servicio ofrecido a fin de mejorar la experiencia y el desarrollo turístico en la comunidad, y como futuras líneas de investigación, se destacan estudios sobre autonomía de las comunidades, pérdida de identidad y mercantilización cultural.In the last decades, ethnotourism in Mexico has tried to position i tself as a sustainable alternative and to connect with the native communities through experiences of culture and tradition, taking relevance as an object of study. The objective of this article is to analyze the influence of the ethnotourism offer on visitor satisfaction in San Ambrosio Chalmita, State of Mexico, a survey was applied to 203 visitors and the technique for data treatment was the partial least squares structural equation modeling ( PLS -SEM). The results show the variables that constitute elements of interest in the tourist service offered as a way to generate tourism improvement strategies. As a conclusion, areas of opportunity are outlined such as the improvement of the service offered in order to improve the tourism experience and development in the community, and as future l ines of research, studies on community autonomy, loss of identity and cultural commodification stand out
Influencia de factores ambientales y hormonales sobre la concentración de glicósidos de esteviol en Stevia rebaudiana (Bertoni)Bert.
No full textLa problemática arraigada a los edulcorantes ha llevado al estudio de nuevos tipos de aditivos alimentarios. Entre ellas, los glicósidos de esteviol se están utilizando como edulcorantes naturales acalóricos que presenta entre 300-400 veces mayor dulzor que la sacarosa. Los glicósidos de esteviol son metabolitos secundarios con características saciantes. Se encuentran en diferentes especies vegetales, sin embargo, la más utilizada para su obtención e investigación es Stevia rebaudiana Bertoni (Bert.). Los glicósidos de esteviol son diterpetos procedentes de la ruta del mevalonato, cuya biosíntesis presenta una parte en común con la biosíntesis del ácido giberélico y otra parte en la que se produce la glicosilación de esteviol. Sin embargo, la concentración de glicósidos de esteviol en las hojas no es la misma debido al perfil genotípico de la planta, el estado de desarrollo, la ubicación de las hojas, la variación ambiental y hormonal o el método de extracción, purificación y cuantificación. Dentro de las variaciones ambientales que provocan un cambio en la concentración de glicósidos de esteviol nos encontramos factores como la sequía, la temperatura, salinidad, la radiación, toxicidad por metales o una deficiencia de nutrientes. Sin embargo, una salinidad elevada no favorece la expresión de las enzimas implicadas en la biosíntesis de glicósidos de esteviol. En cuanto a las variaciones hormonales que repercuten sobre la concentración de glicósidos de esteviol nos podemos encontrar con hormonas como auxina, giberelina, citoquininas, metil-jasmonato, ácido salicílico y hormonas inhibidoras de la biosíntesis de giberelinas, sin embargo, los tratamientos con metil-jasmonato no favorece el aumento de la concentración de glicósidos de esteviol. Además, cabe destacar, que diferentes factores como el aumento de la temperatura, Na2CO3, polietilenglicol, nitrógeno, giberelinas y ácido salicílico favorece la síntesis de glicósidos de esteviol, mientras que los tratamientos con ZnO, CuO, prolina, KH2PO4, citoquininas y auxinas estimula la síntesis de rebaudiósido A.The problem rooted in sweeteners has led to the study of new types of food additives. Among them, steviol glycosides are being used as natural a caloric sweetener that present between 300-400 times greater sweetness than sucrose. Steviol glycosides are secondary metabolites with satiating characteristics. They are found in different plant species, however, the most commonly used for obtaining and researching them is Stevia rebaudiana Bertoni (Bert.). Steviol glycosides are diterpenes from the mevalonate pathway, whose biosynthesis has a part in common with the biosynthesis of gibberellic acid and another part in which the glycosylation of steviol is produced. However, the concentration of steviol glycosides in the leaves is not the same due to the genotypic profile of the plant, the stage of development, the location of the leaves, the environmental and hormonal variation or the method of extraction, purification and quantification. Among the environmental variations that cause a change in the concentration of steviol glycosides we can find factors such as drought, temperature, salinity, radiation, metal toxicity or a deficiency of nutrients. However, a high salinity does not favor the expression of the enzymes involved in the biosynthesis of steviol glycosides. As for the hormonal variations that affect the concentration of steviol glycosides, we can find hormones such as auxin, gibberellin, cytokinins, methyljasmonate, salicylic acid and hormones inhibitors of gibberellin biosynthesis, however, the treatments with methyl- Jasmonate does not favor the increase in the concentration of steviol glycosides. In addition, it should be noted that different factors such as increased temperature, Na2CO3, polyethylene glycol, nitrogen, gibberellins and salicylic acid support the synthesis of steviol glycosides, while treatments with ZnO, CuO, proline, KH2PO4, cytokinins and auxins stimulate the synthesis of rebaudioside A
Medical conferences in the digital era : a necessary reflection on hybrid models in continuing medical education
No full textIn the current context of digital transformation, it is timely to re-examine the traditionalmodel of exclusively in-person medical conferences. This reflection analyses the true cost of thisformat—including economic, professional, and personal dimensions—as well as the availableevidence on the effectiveness of online and hybrid models in continuing medical education. It alsodiscusses the influence of funding structures on the design of educational events. Finally, it advocatesfor the adoption of deliberately designed hybrid formats, focused on educational impact andimproved accessibility for healthcare professionals.En el contexto actual de transformación digital, resulta pertinente revisar el modelo tradicional de congresos médicos exclusivamente presenciales. Esta reflexión analiza el coste real (económico, laboral y personal) de dicho formato, así como la evidencia disponible sobre la eficacia de modelos online e híbridos en educación médica continua. Se discute además la influencia de los modelos de financiación en el diseño de los eventos formativos. Finalmente, se propone la adopción de formatos híbridos diseñados de forma deliberada, centrados en el impacto educativo y en una mayor accesibilidad para los profesionales sanitarios
Beyond apoptosis: Implications of annexin-V binding to myeloid cells in DARC (Detection of Apoptosing Retinal Cells) imaging
No full textThe constraints of excellence: Embodiment, exploitation, and violence in the neoliberal university
No full textToday's university is prey to a set of uneases that are founded on the precarization processes derived from the neoliberal doxa in relation to academic work. However, the university environment suffers from another type of more specific violence, centered on the development of the research trajectory itself and the hegemony of the so-called “culture of excellence”, whose demands are somatized, pushing those who dedicate themselves to research to the limit. Some of these uneases cross institutional and labor variables, since due to the existing asymmetries and hierarchies, they facilitate the exercise of tremendously harmful symbolic violence -such as mobbing and sexual harassment-. On the other hand, the logic of publish or perish induces a productivist vision of academic work, subordinated to metrics that have little to dowith the social utility of knowledge or its value in public debate. In our article we will address testimonies of symbolic violence, labor precariousness as well as the most relevant effects of the dynamics of the culture of excellence in the field of research. Finally, we will consider what “research excellence” can mean in a context as eroded as the one we live in.La universidad actual se encuentra presa de un conjunto de malestares que tienen como base los procesos de precarización derivados de la doxa neoliberal en relación con el trabajo académico. Sin embargo, el entorno universitario acusa otro tipo de violencias más específicas, centradas en el desarrollo de la propia trayectoria investigadora y la hegemonía de la llamada “cultura de la excelencia”, cuyas exigencias se somatizan, llevando al límite a quienes se dedican a la investigación. Algunos de estos malestares cruzan variables institucionales y laborales, pues debido a las asimetrías y jerarquías existentes, facilitan el ejercicio de una violencia simbólica tremendamente dañina –como el mobbing y el acoso sexual–. Por otro lado, las lógicas del publish or perish inducen una visión del trabajo académico productivista, subordinada a métricas que poco tienen que ver con la utilidad social de la filosofía o su valor en el debate público. En nuestro artículo abordaremos testimonios de violencia simbólica, precariedad laboral así como los efectos más relevantes de las dinámicas de la cultura de la excelencia en el ámbito investigador. Finalmente, nos plantearemos qué puede significar la "excelenciainvestigadora" en un contexto tan erosionado como el que habitamos
Impact of the COVID-19 pandemic on the outcomes of a multifaceted program on antibiotic prescribing in primary care among children under three years of age
No full textBackground/objective: Inappropriate antibiotic use in paediatric populations is a leading driver of antimicrobial resistance. In the Murcia Region, Spain, the Purapi program promotes the rational use of antibiotics among children under 3 years of age. This study aimed to analyse antibiotic use in this age group during the pandemic period (2020–2023) and to assess the impact of the COVID-19 pandemic on the effectiveness of a multifaceted program promoting appropriate antibiotic use. Methods: A retrospective, multicentre, population-based study was conducted in primary care using data from 2019 to 2024. Systemic antibiotic use (ATC J01 group) among children under three years was measured as defined daily doses per 1000 inhabitants per day (DHD). Differences across years and healthcare areas were assessed using analysis of variance (ANOVA) with Bonferroni correction. Results: Antibiotic consumption decreased by 49% in 2020 compared to 2019, coinciding with the implementation of national COVID-19 containment measures. From 2021 onward, agradualincrease wasobserved; however, by2024, levels remained 9%below pre-pandemic values. Penicillins account for 75% of prescriptions, mainly amoxicillin and amoxicillin–clavulanic acid. While variability across healthcare areas decreased during the pandemic, variability among primary care centres increased. Conclusions: The pandemic resulted in a temporary reduction in antibiotic use, followed by a partial reboun
Alteration in epithelium and stroma of post-INTACS cornea: Ultrastructure and 3D transmission electron tomography
No full textThis study was conducted to investigate the
ultrastructure of the epithelium and stroma of post
INTACS corneas. INTACS were surgically inserted into
the corneas of three patients to remodel the keratoconus
shape. INTACS were inserted with the IntraLase
femtosecond laser. Patients 1, 2, and 3 returned to the
clinic 8, 6, and 9 years, respectively, after surgery due to
their deteriorating vision. The lamellae above the
INTACS were removed surgically and processed for
light and electron microscopy. 2D and 3D digital images
of lamellae, collagen fibrils (CFs), and proteoglycans
(PGs) were captured by a bottom-mounted camera and
analysed using iTEM software. The epithelium and
stromal lamellae had degenerated. A large number of
aggregates of microfilaments were present in the
Bowman’s layer (BW) and throughout the stroma. In the
stroma, just above the INTACS insertion, lamellae were
completely disorganised and running randomly in the
large electron-lucent spaces. The CF diameter was
significantly smaller than in the normal cornea. 3D
images showed microfibrils within the CF were less in
the post-INTACS cornea than in the normal cornea. We
believe that insertion of the INTACS disturbed the
lamellar organisation and uniform distribution of CFs.
This non-uniform CF distribution increased over time,
resulting in vision impairment
Soft Skills in Health Sciences Education : A Scoping Reviewof Their Curricular Integration
No full textIntroducción. Las habilidades blandas —como la comunicación, la empatía, el trabajo en equipo, lainteligencia emocional, la resiliencia y el liderazgo— son esenciales para una atención sanitariasegura, humanizada y centrada en la persona. Sin embargo, su enseñanza y evaluación en los planes de estudio de las ciencias de la salud siguen siendo heterogéneas y poco estandarizadas. Objetivo. Sintetizar la evidencia procedente de revisiones sistemáticas y revisiones de alcance sobrecómo se desarrollan, enseñan, evalúan e integran curricularmente las habilidades blandas en la educación en ciencias de la salud. Metodología. Se realizó una revisión panorámica de revisiones sistemáticas, revisiones mixtas y revisiones de alcance, siguiendo la guía PRISMA-ScR. Se buscaron estudios
publicados entre 2020 y 2025 en PubMed, Scopus, ScienceDirect, Cochrane Library,Epistemonikos, Web of Science y la Biblioteca Virtual en Salud (BVS). Se extrajeron datos sobre lascaracterísticas de las intervenciones, las competencias abordadas, los métodos pedagógicos, lasestrategias de evaluación y los resultados. La calidad metodológica se evaluó con listas deverificación del Joanna Briggs Institute (JBI) y con AMSTAR-2; la certeza de la evidencia se valorómediante GRADE. Resultados. Se incluyeron 26 revisiones sobre comunicación clínica, empatía,inteligencia emocional, educación interprofesional, habilidades no técnicas, aprendizaje basado en problemas, resiliencia y uso de tecnologías emergentes (realidad virtual e inteligencia artificial). La mayoría de las intervenciones —basadas en simulación, metodologías activas, aprendizaje basadoen proyectos y práctica supervisada— reportó mejoras consistentes en habilidades blandas y, enalgunos casos, efectos favorables en comportamientos vinculados con la atención al paciente. Noobstante, predominaron diseños cuasiexperimentales, heterogeneidad conceptual y escasaestandarización de los instrumentos de evaluación. Conclusión. La evidencia respalda la integración estructurada y longitudinal de las habilidades blandas en los currículos de las cienciasde la salud. Sin embargo, es necesario avanzar hacia marcos conceptuales compartidos, instrumentos de evaluación validados y estudios robustos que vinculen estas competencias conmresultados clínicos, organizacionales y de bienestar profesional