The education of diabetic patients about their foot self-care : Our experiences in the Unit of Diabetic foot in the University of Malaga.

Diabetes Mellitus (DM) is currently one of the most prevalent chronic diseases, with rising figures that reflect a pandemic scenario. .The International Diabetes Federation (IDF) estimated that 366 million people worldwide have DM. The foot is in the core of the problem in patients with DM Furthermore, patients qualified as low-risk can develop complications relatively fast in the absence of good glycemia monitoring and adequate self-care practices. The education of diabetic patients about their foot care is a major issue to avoid complications like amputations and ulcers. Specific tools aimed to assess patient's knowledge in this area are needed. The study was conducted at the University of Malaga (Spain), podiatric clinics and a Diabetic Foot Unit A total of 209 diabetic patients responded to the questionnaire. Of the sample, 108 (51.7%) were females and 101 (48.3%) were males. The average age was 61.33 years (±16.74 year), the average duration of the diabetes was 13.44 years (±10.90), the mean glycemia was 134.43 (±40.16), and the mean glycosylated hemoglobin was 7.1 (±1.20) The results of the foot health questionnaire showed the educational level is important in the self-care of the diabetic patientsUniversidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

The custom-made foot orthosis using the Central Stabilizer Element: nex concept of element

Foot orthoses have been applied for the management of lower limb disorders, mainly for those who develop foot pain. The Central Stabilizer Element (CSE) is a new element that contains the midfoot laterally when a plantar insole is manufactured. OBJECTIVES: - To determine the effect on foot pain of adding the Central Stabilizer Element during the manufacturing process of foot orthosis, -- - To describe the proportions of Central Stabilizer Element in terms of width and length of this element. METHODS: A sample comprising 130 patients (57 males and 73 females) with foot pain was recruited for this study, with the patients having supinated, neutral, pronated and overpronated feet. All the patients received a custom-made foot orthosis with the Central Stabilizer Element. The Central Stabilizer Element was made of resins of polyvinyl chloride, and is a device insert in foot orthosis that contains the midfoot laterally to control pronation and supination movements. Conclusion •The students know how to design the insole. •They know how to match different foot posture with the different types of insoles •We make our decisions based on the scientific evidence foundUniversidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Systematic review of the psychometric properties of patient-reported outcome measures for foot and ankle in rheumatoid arthritis

Background Foot problems and pain are common in patients with rheumatoid arthritis. Patient-reported outcome measures provide a standardized method of capturing patients’ perspectives of their functional status and wellbeing. There are many instruments specific to people with feet affected by rheumatoid arthritis but knowledge of their psychometric validation or methodological quality is lacking Objectives To identify patient-reported outcome measures specific to the foot and ankle and rheumatoid arthritis and investigate their methodological quality and psychometric properties Design Systematic review. Data source : A search was conducted for psychometric or validation studies on patient-reported outcomes in Rheumatoid Arthritis published in different languages, by examining the Pubmed; Scopus, CINAHL; PEDro and Google Scholar databases. Review methods . The systematic review performed was based on the following inclusion criteria: psychometric or clinimetric validation studies on patient-reported outcomes specific to the foot and ankle that included patients with Rheumatoid arthritis. Two authors independently assessed the quality of the studies and extracted datas Results Of the initial 431 studies, fourteen instruments met the inclusion criteria. Significant methodological flaws were detected in most with only SEFAS met the COSMIN quality criteria. Conclusion SEFAS had the best quality and was ranked most appropriate for use with patients living with Rheumatoid Arthriti

Primer registro fotográfico de la acción depredadora de cerdos asilvestrados sobre crías de carpinchos en la Reserva Natural Iberá

Presentamos evidencias fotográficas de un evento de depredación de crías de carpincho, Hydrochoerushydrochaeris (Brisson, 1762), por chanchos asilvestrados, Sus scrofa (Linnaeus, 1758), recolectadas mediante cámaras trampa en la Reserva Natural Iberá. Si bien es conocido el impacto negativo de esta especie sobre los ecosistemas, el registro presentado aporta evidencias que, sumada a la información obtenida por observación directa, respaldan la hipótesis de que los chanchos asilvestrados afectan a la fauna nativa, no solo por la modificación del hábitat y competencia, sino también por depredación. Por otra parte, se resalta la importancia de los registros fotográficos como herramienta para mejorar la visualización de la problemática.We present photographic evidence of a predation event of capybara offspring, Hydrochoerus hydrochaeris (Brisson, 1762), by feral pigs, Sus scrofa (Linnaeus, 1758) registered by camera traps in the Iberá Nature Reserve. Although the negative impact of this species on ecosystems is well known, direct observations and the record presented herein provides evidence to support the hypothesis that, in addition to the information obtained by visual encounters, feral pigs affect native fauna, not only by habitat modification and competition, but also by direct predation. On the other hand, the importance of photographic records is highlighted as a tool to improve the visualization of the problem.Fil: Avila, Ana Belen. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Nordeste. Instituto de Biología Subtropical. Instituto de Biología Subtropical - Nodo Puerto Iguazú | Universidad Nacional de Misiones. Instituto de Biología Subtropical. Instituto de Biología Subtropical - Nodo Puerto Iguazú; ArgentinaFil: de Angelo, Carlos Daniel. Universidad Nacional de Rio Cuarto. Facultad de Cs.exactas Fisicoquimicas y Naturales. Instituto de Ciencias de la Tierra, Biodiversidad y Ambiente. - Consejo Nacional de Investigaciones Cientificas y Tecnicas. Centro Cientifico Tecnologico Conicet - Cordoba. Instituto de Ciencias de la Tierra, Biodiversidad y Ambiente.; Argentin

Impact of in shoe and barefoot placed frontal wedges on plantar loading: A systematic review

Eleven papers were included in the final review. Four were cross-over studies, other four were quasi-experimental studies and three were RCTs. These eleven studies included 320 patients, with ages ranging from 20 to 60 years. Regarding the risk of bias, most of the observational studies and RCTs had a moderate level of quality. Conclusions: The results suggest that lateral wedges are more effective, producing a lateral shift of the centre of pressure and increasing the pressure. Regarding the impact on the peak impact force there seems to be less consensus among the published data.Funding for open access charge is provided by Universidad de Malaga/CBUA

Diccionario Podológico Español-Ingles Términos podológicos de uso común en el Grado de Podología (Cuaderno de ayuda para el alumno)

Diccionario con terminos utilizados en el ambito de la podologia tanto en ingles como en español, y su definicion en ambos idiomas.Se pretende sea un documento de uso dentro de las asignaturas del Grado de Podologia para facilitar uso de terminos en ambos idiomasUniversidad de Málaga. Campus de Excelencia Internacional Andalucía Tech .Incluido en el Proyecto de Inovacion Docente (PIE15/77

Variations in the Thickness of the Plantar Fascia After Training Based in Training Race. A Pilot Study

Plantar fascia (PF) is a connective tissue made up of mostly type 1 collagen that is subjected to constant loads. This study evaluated the effect of continuous running on tissue stress in the PF by measuring changes in the thickness of the PF using ultrasound scans. It was a cross-sectional study involving 24 runners from the University of Valencia, recruited as volunteers between December 2018 and February 2019. A variety of data was recorded: (age, body mass index, type of footwear, number of workouts per week, KM run per week, sports injuries in the last year, pre and postrace ultrasound PF measurements). There were significant differences in the 3 postrace measurements of the left foot (<0.001). PF thicknesses were measured before and after running, with a minimal average difference of 0.4 mm in the medial and central fascicles, and 0.3 mm in the lateral fascicle. We observed PF thicknesses above 4mm in asymptomatic patients with no signs of vascularisation, proving that increased PF thickness is not the only criterion for diagnosis of plantar fasciitis

How susceptible are our Achilles Tendons? Sonoanatomical assessment. A cross-sectional study

Objective: the aim of this study is to observe whether there are ultrasound changes between men and women in the Achilles tendon at rest, at maximum passive force is applied and during walking. Material and methods: it was a cross-sectional study involving 27 healthy young participants recruited as volunteers between April to July 2022. A variety of data was recorded: (age, Body Mass Index, sex, smoking, current injury status, allergies, medications, previous surgeries, type of sport, and number of weekly workouts) and ultrasound measurements at rest and at passive force (Cross Sectional Area Achilles Tendon length, tendon thickness, Cross Sectional Area and pennation angle of the soleus muscle to the Achilles Tendon). Results: women demonstrated a statistically significant lower proximal and median thickness both at rest (4.5 vs 5.1 mm with p < 0.001 for proximal thickness; 4.4 vs 5.3 mm with p < 0.001 for median thickness) as well as during maximum eccentric contraction (4.3 vs 4.8 mm with p=<0.001 for proximal thickness; 4.1 vs 4.8 mm with p < 0.001 for median thickness). Conclusion: there are significant sonoanatomical differences in vivo Achilles tendon between men and wome

¿Mejoran las redes sociales la actitud del estudiantado en los grados de Ciencias de la Salud?

La innovación en cuanto a cómo realizar y evaluar las prácticas del estudiantado en Ciencias de la Salud y concretamente en el Grado de Podología y Enfermería y, hacerlos más atractivos, nos lleva a realizar este estudio. Nuestro objetivo será implementar la red Tik Tok como herramienta para evaluar prácticas tradicionalmente evaluadas con un examen escrito o portafolios en documento Word o PDF. Pretendemos favorecer la motivación del estudiantado y crear una red de conocimiento y de trabajo colaborativo que quedará para otros/as estudiantes, profesores/as y resto de la comunidad que se interese por el contenido de las asignaturas. Metodología: Creación de una cuenta de TikTok para las asignaturas implicadas, contribuyendo a la divulgación del conocimiento y favoreciendo el trabajo y aprendizaje cooperativo. Resultados y Discusión. Con este proyecto se pretende llegar a conocer si al final de la evaluación el/la estudiante prefiere esta forma de ser evaluados frente a la tradicional y con cual sienten que crean y adquieren más conocimientos.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Factores de estrés del estudiantado ante las prácticas clínicas en Ciencias de la Salud

Las prácticas clínicas son un elemento fundamental en la formación del alumnado de Ciencias de la Salud, especialmente en las áreas de Enfermería y Podología. El entorno a nivel clínico suele proporcionar muchos estímulos generadores de estrés, sin embargo son muy poco investigados. Por ello, es importante conocer las situaciones percibidas como más estresantes por el alumnado en el desarrollo de sus prácticas clínicas para intervenir con actividades educativas de entrenamiento en estrategias de afrontamiento, para reducir no sólo los estresores más comunes sino para intervenir de modo que se favorezca un aprendizaje autónomo y reflexivo además de instaurarse como aprendizaje para toda la vida. Se desarrolló, en este sentido, un modelo docente innovador a través de técnicas y metodologías basadas en Tecnologías de la Información y Comunicación (TIC), simulaciones y resolución de casos clínicos realesUniversidad de Málaga. Campus de Excelencia Internacional Andalucía Tec