Children’s improvement of a motor response during backward falls through the implementation of a safe fall program

The World Health Organization has warned that, in children, the second cause of death from unintentional injuries are falls. The objective of this study was to analyze the motor response of primary schoolchildren when a backwards fall occurs. These analyses occurred before and after interventions of the Safe Fall program, which aims to teach safe and protected ways of backward falling. A quasi-experimental research design was used, with a sample of 122 Spanish (Sevillian) schoolchildren in the 10–12 age bracket. The INFOSECA ad-hoc observation scale was used for data collection: this scale registers 5 essential physical reactions throughout the process of a safe and protected backwards fall. After that, a number of descriptive, correlational and contrast statistics were applied. The value used in the McNemar test to establish statistical significance was p < 0.05. Results showed that over 85% of students had developed the competence to correctly perform all five physical motions that allow for a safer backward fall. The teaching of safe and protected techniques for falling backwards in child population in Primary Education is possible through the implementation of the Safe Fall program in Physical Education classes, which can help making falls safer, diminishing the risk and severity of the injuries they cause

Psychometric properties of the spanish version of the pregnancy related anxiety questionnaire (PRAQ)

Although pregnancy increases the vulnerability to anxiety, no specific assessment instruments are usually used to detect it. The objective of this study was to adapt the Pregnancy Related Anxiety Questionnaire (PRAQ) to Spanish population, as well as analyze its validity and reliability. A sample of 367 nulliparous pregnant women with a normal risk status filled in a socio-demographic and obstetric-gynaecological questionnaire, the PRAQ, the Edinburgh Postnatal Depression Scale (EPDS) and the State-Trait Anxiety Inventory (STAI). After performing a factorial analysis, a five-factor model that explains 53.1% of the variance was obtained. Estimates of internal consistency reliability were adequate (range = .78 to .93) for the five factors included in the final confirmatory factor analysis, and for the total scale (.97). Significant correlation among PRAQ, EPDS, and STAI was found (p < .001). The 85th percentile (score 234 or more) was used as a cut-off point to identify those women with high pregnancy-specific anxiety. In accordance with the results obtained, the PRAQ can be considered a useful screening tool to evaluate pregnancy-related anxiety among the Spanish populationS

El turismo en los eventos deportivos

Como consecuencia de la reconversión industrial de los años ochenta, y de la consiguiente reducción de ingresos locales, las ciudades occidentales han ido experimentando nuevas vías para la captación de capitales exteriores. Una de esas vías ellas ha sido el fomento del turismo y en casos concretos la apuesta por la atracción turística que supone la oferta de grandes espectáculos deportivos donde se expone la alta competición en arquitecturas emblemáticas. En general, la aproximación a este análisis ha sido de tipo materialista, y suele abundar en los supuestos beneficios que suponen estas atracciones para las economías locales. Bajo ese marco analizo la sostenibilidad de tales grandes eventos deportivos reinterpretando las consecuencias de sus prácticas. Para ello recurro a la revisión bibliográfica y al análisis de contenido de fuentes indirectas, haciendo especial mención al caso de Sevilla

Psychological distress in health sciences college students and its relationship with academic engagement

P. 715-722Objective: To determine the prevalence of psychological distress and its relationship with academic engagement (absorption, dedication and vigor), sex and degree among students from four public universities. Method: A non-experimental, comparative correlational, quantitative investigation without intervention. Study population: 1840 nursing and physical therapy students. The data collection tool used was a questionnaire. Results: A 32.2% prevalence of psychological distress was found in the subjects; a correlation between vigor and psychological distress was found for all of the subjects and also for women. High absorption and dedication scores and low psychological distress scores predicted higher vigor scores. Conclusion: The risk of psychological distress is high, especially for women. Women seem to have a higher level of psychological distress than men. Vigor, energy and mental resilience positively influence psychological distress and can be a vehicle for better results during the learning and studying process.S

E-Health Interventions for Adult and Aging Population With Intellectual Disability: A Review

[EN]To answer the question about which e-health and e-therapy applications are being used with people with intellectual disabilities, we searched the PsycINFO, Medline, PubMed, ERIC, CINAHL, Scopus, Web of Science, and Cochrane databases. This is an extensive search. Inclusion criteria were academic journals and any design type that addressed the topic of interest. Studies that do not include adults or elderly, and studies that do not focus on people with disabilities but on third parties, were excluded. After an initial selection of 515 articles, 32 full-text articles were subjected to in-depth analysis leading to the final selection of 18 articles. We used the AAID framework definition of intellectual disability to analyze the dimensions explored by the selected studies and found that the majority of studies focused on the use of technology as supports to instrumental activities of daily life. The ISO classification of assistive products allowed us to identify that many e-health products are aimed at providing psychological or medical treatment. In summary, this review suggests that there is a very small number of studies focusing on the use of technology by older persons with intellectual disabilities. The studies present substantial limitations regarding generalization and replication and pay little attention to the maintenance of cognitive abilities in this population. These aspects, together with premature aging generally associated with many conditions that lead to intellectual disability, underscore the need to pay more attention to and develop e-health interventions for cognitive stimulation for this group

Mujer posmenopáusica. ¿Fin de la vida sexual?

RESUMEN Introducción: la etapa del climaterio y la menopausia ha sido motivo de menciones históricas, literarias y culturales, a pesar de que en muchas ocasiones es ignorada y hasta subestimada por las mujeres y por muchos profesionales. Objetivos: identificar los cambios en la respuesta sexual después de la menopausia. Material y Métodos: se realizó un estudio descriptivo de corte transversal a 223 mujeres posmenopáusicas, en el consultorio No. 6 del Policlínico «Federico Capdevila». En el período comprendido entre septiembre del 2008 y febrero del 2009 fueron seleccionadas las pacientes mediante la revisión de fichas familiares. Se escogieron como criterios de inclusión el consentimiento informado, ser residente del área, no tener trastornos cognitivos ni depresivos. Se aplicó una encuesta, la muestra estuvo constituida por 223 mujeres, de un universo de 263. Resultados: prevalecieron las mujeres posmenopáusicas con prácticas sexuales, en el subgrupo de 65 a 69 años, la edad promedio de la menopausia quedó entre los 50 y 54 años, y lo que más se modificó de la respuesta sexual fue la fase del deseo, siendo esta la principal causa de prácticas sexuales no satisfactorias. Conclusiones: se demuestra que en esta etapa de la vida, la mujer sigue teniendo deseos y relaciones sexuales satisfactorias, y que la solidez y la comunicación con su pareja son vitales para una relación feliz en este período final de la vida. Palabras clave: posmenopausia, vida sexual, respuesta sexual. </p

Results of the introduction of an automated external defibrillation programme for non-medical personnel in Galicia

Objectives: To describe the plan and development of a programme for the introduction of automated external defibrillation for non medical personnel and to report the results of the first 10 months of activity in a community which is predominently rural, such as Galicia. Methods: The plan for introduction of the project included aspects of logistics, training and control. We studied cardiac arrests, that were treated in basic life support ambulances (BLS-A) equipped with automated external defibrillators (AEDs), from 1st March to 31st December 2001. Results: Our community benefits from pioneering legislation in Spain. During the 10 months of study, 28 AEDs were in service, mostly in urban areas. In all cases, a thorough control of the quality of the service in which AEDs was used was carried out. 12% of the patients, who were victims of sudden cardiac death (SCD) and were found in ventricular fibrillation (VF), survived and were discharged from hospital. However, the percentage of patients found in VF is only around 26%. This is due to long assistance intervals (from the call to the arrival on site), and an important delay from the moment when circulatory collapse takes place until the emergency service 061 is called, more than 5 min in half the cases. Conclusions: The programme followed for the introduction of AEDs in Galicia was adapted to the socio-demographic characteristics of the population. The prehospital emergency assistance model was developed, executed and controlled by the Public Emergency Health Foundation of Galicia 061 (PEHF-061). The overall results of our first 10 months experience with the automated external defibrillation programme were as to be expected. In general, they are comparable to other published reports; however, ways of shortening the times from the point of collapse to defibrillation must be found, mainly by training the population and through the extension of automated external defibrillation provision to other first responders

Causal Attribution for Poverty in Young People: Sociodemographic Characteristics, Religious and Political Beliefs

Poverty is a multidimensional phenomenon that includes a lack of education, health or housing; it is a relevant factor of social vulnerability that could lead to a situation of social exclusion. According to studies, poverty can be explained by external/social, internal/individual or cultural fatalistic factors. The aim was to confirm the structure of causal attributions of poverty and their relationships with sociodemographic characteristics, as well as religious and political beliefs, in young people. This is a cross-sectional study with a non-probabilistic convenience sample of undergraduate students on different degree courses. A survey was administered to 278 participants (45.4% women) with an average age of 21.59. They were young people studying health science degrees (78.4%) who self-identified as belonging to the lower or middle–lower class (57.2%), without any religious beliefs (56.5%) and as left wing (37.8%; n = 94) or center-left (27.7%; n = 69) in their political orientation. Confirmatory factorial analysis and multiple regression analysis supported the results in previous literature (CFI = 0.90, SRMR = 0.07, RMSEA = 0.06), indicating that there are cultural (C), external (E-S) and internal (I) attribution factors of poverty. The results show moderate relationships between the cultural factor and internal or external factors. The findings show that political affiliation and sex are the most consistent predictors of attributions for poverty.The APC was funded by Miguel Hernández University (Open access publishing grants (OPEN ACCESS)

Low-dimensional representation of monthly electricity demand profiles

This paper addresses the problem of reducing the number of values required to characterize an electricity demand profile, which is usually known as its dimensionality. This reduction may have a significant impact on the computational efforts and storage capacities required to analyze and process high volumes of electricity load curves. Also, the reduction to 2 or even 1 component enables its graphic representation. Specifically, this work is mainly focused on profiles defined by their monthly demand values, and where the clients are aggregated by locations and/or economic activities. This approach is of great interest for marketing analysis and decision-making of electricity retailers. In this sense, the use of dimensionality reduction techniques based on knowledge (calendar and temperature) along with the application of data-driven procedures (Principal Component Analysis and autoencoders), are explored in the paper. The results of this research show that autoencoders clearly outperform the other techniques, yielding errors in the reduction process between 15% to 40% lower and preserving distances between profiles in the low-dimensional spaces, with a correlation of 0.93 with the distances in high dimensional space. Additionally, the bidimensional graphical representation of a profile can easily be interpreted in a polar way, where the angle denotes the shape of the profile, and the radius reveals its scale. To reach these results, a very large dataset has been employed, with about half a million aggregated profiles corresponding to the electricity consumption during 3 years of more than 27 million clients in Spain