Is type of work associated with physical activity and sedentary behaviour in women with fibromyalgia A cross-sectional study from the al-Ándalus project

Objectives To analyse the association between the type of work (productive vs reproductive work) and the levels of physical activity and sedentary behaviour in women with fibromyalgia. Method This cross-sectional study involved 258 women with fibromyalgia from southern Spain. Of them, 55% performed reproductive work (unpaid, associated with caregiving and domestic roles) exclusively, while 45% had productive job (remunerated, that results in goods or services). Physical activity of light, moderate and vigorous intensity in the leisure time, at home, at work, and totally were measured through the leisure time physical activity instrument and with the physical activity at home and work instrument, respectively. Sedentary behaviour was measured by the Sedentary Behaviour Questionnaire. Results After adjusting for age, fat percentage, education level and marital status, the multivariate analysis of covariance model informed the existence of significant differences between type of work groups (p<0.001). Women with productive work engaged in more light physical activity at work (mean difference =448.52 min; 95 % CI 179.66 to 717.38; p=0.001), and total physical activity of light (809.72 min; 535.91 to 1085.53; p<0.001) and moderate (29

The Imaging Magnetograph eXperiment (IMaX) for the Sunrise balloon-borne solar observatory

The Imaging Magnetograph eXperiment (IMaX) is a spectropolarimeter built by four institutions in Spain that flew on board the Sunrise balloon-borne telesocope in June 2009 for almost six days over the Arctic Circle. As a polarimeter IMaX uses fast polarization modulation (based on the use of two liquid crystal retarders), real-time image accumulation, and dual beam polarimetry to reach polarization sensitivities of 0.1%. As a spectrograph, the instrument uses a LiNbO3 etalon in double pass and a narrow band pre-filter to achieve a spectral resolution of 85 mAA. IMaX uses the high Zeeman sensitive line of Fe I at 5250.2 AA and observes all four Stokes parameters at various points inside the spectral line. This allows vector magnetograms, Dopplergrams, and intensity frames to be produced that, after reconstruction, reach spatial resolutions in the 0.15-0.18 arcsec range over a 50x50 arcsec FOV. Time cadences vary between ten and 33 seconds, although the shortest one only includes longitudinal polarimetry. The spectral line is sampled in various ways depending on the applied observing mode, from just two points inside the line to 11 of them. All observing modes include one extra wavelength point in the nearby continuum. Gauss equivalent sensitivities are four Gauss for longitudinal fields and 80 Gauss for transverse fields per wavelength sample. The LOS velocities are estimated with statistical errors of the order of 5-40 m/s. The design, calibration and integration phases of the instrument, together with the implemented data reduction scheme are described in some detail.Comment: 17 figure

Land- and water-based exercise intervention in women with fibromyalgia: the al-andalus physical activity randomised controlled trial

Background The al-Andalus physical activity intervention study is a randomised control trial to investigate the effectiveness of a land- and water-based exercise intervention for reducing the overall impact of fibromyalgia (primary outcome), and for improving tenderness and pain-related measures, body composition, functional capacity, physical activity and sedentary behaviour, fatigue, sleep quality, health-related quality of life, and cognitive function (secondary outcomes) in women with fibromyalgia. Methods/Design One hundred eighty women with fibromyalgia (age range: 35-65 years) will be recruited from local associations of fibromyalgia patients in Andalucía (Southern Spain). Patients will be randomly assigned to a usual care (control) group (n = 60), a water-based exercise intervention group (n = 60) or a land-based exercise intervention group (n = 60). Participants in the usual care group will receive general physical activity guidelines and participants allocated in the intervention groups will attend three non-consecutive training sessions (60 min each) per week during 24 weeks. Both exercise interventions will consist of aerobic, muscular strength and flexibility exercises. We will also study the effect of a detraining period (i.e., 12 weeks with no exercise intervention) on the studied variables. Discussion Our study attempts to reduce the impact of fibromyalgia and improve patients' health status by implementing two types of exercise interventions. Results from this study will help to assess the efficacy of exercise interventions for the treatment of fibromyalgia. If the interventions would be effective, this study will provide low-cost and feasible alternatives for health professionals in the management of fibromyalgia. Results from the al-Andalus physical activity intervention will help to better understand the potential of regular physical activity for improving the well-being of women with fibromyalgia.This study was supported by the Consejeria de Turismo, Comercio y Deporte (CTCD-201000019242-TRA), the Spanish Ministry of Science and Innovation (I + D + I DEP2010-15639, grants: BES-2009-013442, BES-2011-047133, RYC-2010-05957, RYC-2011-09011), the Swedish Heart-Lung Foundation (20090635), the Spanish Ministry of Education (AP-2009-3173), Granada Research of Excelence Initiative on Biohealth (GREIB), Campus BioTic, University of Granada, Spain and European University of Madrid. Escuela de Estudios Universitarios Real Madrid. 2010/04RM

Problemas éticos en relación a la nutrición y a la hidratación: aspectos básicos Ethical questions related to nutrition and hidration: basic aspects

Las situaciones que plantean problemas éticos en relación con la nutrición y la hidratación son muy frecuentes hoy día, principalmente a nivel hospitalario tanto en pacientes terminales como en otro tipo de pacientes que precisen de hidronutrición. En este artículo se pretende analizar las sencillas en sus fundamentos, a la luz de valores éticos ampliamente aceptados, para intentar enunciar un modo de actuación claro que ayude en su resolución a los clínicos que han de tomar estas difíciles decisiones. Las situaciones problema analizadas incluyen, entre otras, si la hidratación y la nutrición deben considerarse medidas terapéuticas o cuidados básicos, y si presentan iguales aspectos éticos la nutrición enteral y la parenteral.Conditions that pose ethical problems related to nutrition and hydration are very common nowdays, particularly within Hospitals among terminally ill patients and other patients who require nutrition and hydration. In this article we intend to analyze some circumstances, according to widely accepted ethical values, in order to outline a clear action model to help clinicians in making such difficult decisions. The problematic situations analyzed include: should hydration and nutrition be considered basic care or therapeutic measures?, and the ethical aspects of enteral versus parenteral nutrition

Sport habits outside school and their interrelation with the area of Physical Education of Non-Compulsory Secondary Education students Los hábitos deportivos extraescolares y su interrelación con el área de educación física en el alumnado de bachillerato

&lt;p align="justify"&gt;This paper try to offer a general view about the sports habits of the students who are developing the third bachelor course and specially about the frecuency of physical activity practice in their free time, both inside and outside of the school, and about the motivations to do it. By the other hand, is interesting to check how the sports habits of their family members as well as the satisfaction and motivation degree which the students feel in the physical education classes, can influence their decission to participate in this kind of activities. &lt;br /&gt; KEY WORDS: Sports Habits, Physical Education, Students.&lt;/p&gt;<br>&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p align="justify"&gt;El art&amp;iacute;culo que presentamos trata de ofrecer una panor&amp;aacute;mica general acerca de los h&amp;aacute;bitos deportivos que presenta el alumnado que cursa tercero de bachillerato interes&amp;aacute;ndonos fundamentalmente por la frecuencia con la que practican actividades f&amp;iacute;sico-deportivas en su tiempo libre, tanto dentro como fuera del centro, y por las motivaciones que le inducen a ello. Por otro lado, nos resulta muy interesante constatar hasta qu&amp;eacute; punto los h&amp;aacute;bitos deportivos de los familiares m&amp;aacute;s cercanos as&amp;iacute; como el grado de satisfacci&amp;oacute;n y motivaci&amp;oacute;n que experimenta dicho alumnado en las clases de educaci&amp;oacute;n f&amp;iacute;sica, pueden condicionar su participaci&amp;oacute;n en dichas actividades. &lt;br /&gt; PALABRAS CLAVE: H&amp;aacute;bitos Deportivos, Educaci&amp;oacute;n F&amp;iacute;sica, Alumnos.&lt;/p&gt

Problemas éticos en atención primaria durante la pandemia del coronavirus (SARS-CoV-2).

Public health emergencies, such as the current SARS-CoV-2 coronavirus pandemic, have led to tragic resource constraints that prevent lives from being saved. This has led to tensions in patient-centered care as the backbone of the system in normal conditions and the same care in emergencies originating in the COVID-19. In this review we address some of the healthcare, organizational and ethical problems that this scenario has caused in primary care such as: cancellation of programmed activities; scarce home care and follow-up of elderly, chronically ill and immobilized patients; shortage of PPE and the exposure to risk of healthcare professionals, and finally the problems associated with telemedicine and telephone attention to patients

Los hábitos deportivos extraescolares y su interrelación con el área de Educación Física en el alumno de Bachillerato

El artículo que presentamos trata de ofrecer una panorámica general acerca de los hábitos deportivos que presenta el alumnado que cursa tercero de bachillerato interesándonos fundamentalmente por la frecuencia con la que practican actividades físico-deportivas en su tiempo libre, tanto dentro como fuera del centro, y por las motivaciones que le inducen a ello. Por otro lado, nos resulta muy interesante constatar hasta qué punto los hábitos deportivos de los familiares más cercanos así como el grado de satisfacción y motivación que experimenta dicho alumnado en las clases de educación física, pueden condicionar su participación en dichas actividades.This paper try to offer a general view about the sports habits of the students who are developing the third bachelor course and specially about the frecuency of physical activity practice in their free time, both inside and outside of the school, and about the motivations to do it. By the other hand, is interesting to check how the sports habits of their family members as well as the satisfaction and motivation degree which the students feel in the physical education classes, can influence their decission to participate in this kind of activities