Psychometric characteristics of the Spanish version of instruments to measure neck pain disability

[EN] Background. The NDI, COM and NPQ are evaluation instruments for disability due to NP. There was no Spanish version of NDI or COM for which psychometric characteristics were known. The objectives of this study were to translate and culturally adapt the Spanish version of the Neck Disability Index Questionnaire (NDI), and the Core Outcome Measure (COM), to validate its use in Spanish speaking patients with non-specific neck pain (NP), and to compare their psychometric characteristics with those of the Spanish version of the Northwick Pain Questionnaire (NPQ). Methods. Translation/re-translation of the English versions of the NDI and the COM was done blindly and independently by a multidisciplinary team. The study was done in 9 primary care Centers and 12 specialty services from 9 regions in Spain, with 221 acute, subacute and chronic patients who visited their physician for NP: 54 in the pilot phase and 167 in the validation phase. Neck pain (VAS), referred pain (VAS), disability (NDI, COM and NPQ), catastrophizing (CSQ) and quality of life (SF-12) were measured on their first visit and 14 days later. Patients' self-assessment was used as the external criterion for pain and disability. In the pilot phase, patients' understanding of each item in the NDI and COM was assessed, and on day 1 test-retest reliability was estimated by giving a second NDI and COM in which the name of the questionnaires and the order of the items had been changed. Results. Comprehensibility of NDI and COM were good. Minutes needed to fill out the questionnaires [median, (P25, P75)]: NDI. 4 (2.2, 10.0), COM: 2.1 (1.0, 4.9). Reliability: [ICC, (95%CI)]: NDI: 0.88 (0.80, 0.93). COM: 0.85 (0.75,0.91). Sensitivity to change: Effect size for patients having worsened, not changed and improved between days 1 and 15, according to the external criterion for disability: NDI: -0.24, 0.15, 0.66; NPQ: -0.14, 0.06, 0.67; COM: 0.05, 0.19, 0.92. Validity: Results of NDI, NPQ and COM were consistent with the external criterion for disability, whereas only those from NDI were consistent with the one for pain. Correlations with VAS, CSQ and SF-12 were similar for NDI and NPQ (absolute values between 0.36 and 0.50 on day 1, between 0.38 and 0.70 on day 15), and slightly lower for COM (between 0.36 and 0.48 on day 1, and between 0.33 and 0.61 on day 15). Correlation between NDI and NPQ: r = 0.84 on day 1, r = 0.91 on day 15. Correlation between COM and NPQ: r = 0.63 on day 1, r = 0.71 on day 15. Conclusion. Although most psychometric characteristics of NDI, NPQ and COM are similar, those from the latter one are worse and its use may lead to patients' evolution seeming more positive than it actually is. NDI seems to be the best instrument for measuring NP-related disability, since its results are the most consistent with patient's assessment of their own clinical status and evolution. It takes two more minutes to answer the NDI than to answer the COM, but it can be reliably filled out by the patient without assistanceS

PERSPECTIVA PSICOSOCIAL DE LOS DERECHOS HUMANOS

Hoy en día es imprescindible abordar el problema de los derechos desde una perspectiva holística que integre la posición que el individuo ocupa en la sociedad y el impacto de los hechos sociales sobre su persona. Esta perspectiva va por lo tanto más allá del enfoque clásico de las violaciones a los derechos civiles y políticos de los ciudadanos sino, también incluye sus derechos económicos, sociales y culturales. Cualquier enfoque de tipo holístico debe entender al ser humano en su ambiente, social, cultural, natural y en función a todas las estructuras existentes, por más sutiles que sean o invisibles que parezcan. Precisamente este libro permite apreciar la dimensión amplia y compleja del ser en sociedad y las interacciones que de ambas partes se generan y las ramificaciones que producen. No es un ejercicio fácil y los editores de este volumen han logrado un salto cuántico al poder congregar en un solo espacio miradas que en otras circunstancias podrían haber sido opuestas y hasta contrarias a nuestra comprensión de problemas que, en efecto, tienen raíces comunes. El libro está dividido en 5 secciones, El espíritu de los tiempos actuales y los Derechos Humanos, Construcción ciudadana y ejercicio de los Derechos Humanos, Violaciones a Derechos Humanos, victimizaciones y su atención, Ejercicio de los Derechos Humanos y situaciones disruptivas y Defensa y defensores de Derechos Humanos.Manuel Gutiérrez Romero Jessica Ruiz Magañ

Adelante / Endavant

Séptimo desafío por la erradicación de la violencia contra las mujeres del Institut Universitari d’Estudis Feministes i de Gènere "Purificación Escribano" de la Universitat Jaume

Mis casos clínicos de especialidades odontológicas

Libro que muestra la atención de casos clínicos particulares referente a las diferentes especialidades odontológicasLibro que muestra la atención de casos clínicos particulares referente a las diferentes especialidades odontológicasUniversidad Autónoma de Campeche Universidad Autónoma del Estado de Hidalgo Universidad Autónoma del Estado de Méxic

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Maltrato infantil y comportamiento de los niños y niñas - Caso niño de la Institución Educativa Juanita García Manjarréz [Archivo de computador] /

1 CD-RomPregradoTrabajador SocialTrabajo de grado (Trabajador Social) -- Corporación Universitaria del Caribe. Facultad de Humanidades y Educación. Programa de Trabajo Social. Sincelejo, 2010

Hábitos de estudo dos alunos do ensino secundário no contexto nacional e internacional

The percentage of a sample of 229 high school students diagnosed as having low or deficient study habits was compared with percentages reported in studies carried out in Mexico and other countries. To do this, a search was carried out in various online repositories of research on study habits; The information was concentrated to calculate the percentages corresponding to the low or deficient categories. 26 investigations were collected, mostly Latin American, and to carry out the comparison, the statistical test of difference between population proportions was used. It was found that in 12 studies there is no significant difference; in 14 the proportion was statistically different from that of interest (p≤ ±0.025). It is concluded that study habits are an important variable, since it can be a predictive measure of the student's academic achievement and test scores such as PISA, because there is similarity in the results found with the various OECD reports.Se comparó el porcentaje de una muestra 229 de estudiantes de bachillerato diagnosticados como bajos o deficientes en sus hábitos de estudio con porcentajes reportados en estudios realizados en México y otros países. Para ello, se llevó a cabo una búsqueda en diversos repositorios en internet de investigaciones sobre hábitos de estudio; la información se concentró para calcular los porcentajes correspondientes a las categorías baja o deficiente. Se recolectaron 26 investigaciones, en su mayoría latinoamericanas, y para llevar a cabo la comparación se empleó la prueba estadística de diferencia entre proporciones poblacionales. Se encontró que en 12 estudios no existe diferencia significativa; en 14 la proporción fue estadísticamente diferente a la de interés (p≤ ±0.025). Se concluye que los hábitos de estudio son una variable importante, ya que puede ser una medida predictiva del aprovechamiento escolar del estudiante y de puntajes de pruebas como PISA, debido a que existe similitud en los resultados encontrados con los reportes diversos de la OECD.Comparamos a porcentagem de uma amostra de 229 estudantes do ensino médio diagnosticados como baixos ou deficientes em seus hábitos de estudo com percentuais relatados em estudos realizados no México e em outros países. Para o efeito, foi realizada uma pesquisa em vários repositórios da Internet de investigação sobre hábitos de estudo; As informações foram concentradas para calcular os percentuais para as categorias baixa ou ruim. Foram coletados 26 estudos, a maioria da América Latina, e o teste estatístico de diferença entre proporções populacionais foi utilizado para realizar a comparação. Verificou-se que em 12 estudos não há diferença significativa; Em 14 casos, a proporção foi estatisticamente diferente da de interesse (p≤ ±0,025). Conclui-se que os hábitos de estudo são uma variável importante, uma vez que podem ser uma medida preditiva do desempenho académico do aluno e das pontuações de testes como o PISA, devido à semelhança nos resultados encontrados com os vários relatórios da OCDE

La adicción tecnológica y desempeño neuropsicológico de la concentración, memoria, y atención en el rendimiento escolar de los alumnos del plantel "Dr.Ángel Ma. Garibay Kintana de la UAEM"

La adicción tecnológica en los adolescentes impacta sus relaciones interpersonales, académicas, sociales e identidad. Mediante un estudio correlacional, se planteó como objetivo explorar la relación entre el nivel de adicción tecnológica, el desempeño neuropsicológico de las funciones cognitivas memoria, atención y concentración y su impacto en el rendimiento escolar de los alumnos del Plantel “Dr. Ángel Ma. Garibay Kintana”. Se aplicó el cuestionario de dependencia móvil a una muestra 264 alumnos. Después, se seleccionaron los diez puntajes más altos y diez más bajos, para aplicarles el Test Neuropsi Atención y Memoria, posteriormente se correlacionó con su rendimiento escolar. Se encontró que la adicción tecnológica no está relacionada con la atención, memoria, funciones ejecutivas y el rendimiento académico. Este resultado, fortalece un hallazgo documentado con anterioridad en una población similar, en&nbsp;el que se encontró que el rendimiento académico se encuentra influido por otras variables como los hábitos de estudio de los alumnos

El uso del seguimiento ocular (eye-tracking) para el estudio de la comprensión lectora en la enseñanza-aprendizaje del inglés como segunda lengua (ISL): aspectos lingüísticos y multimodales.

Depto. de Estudios Ingleses: Lingüística y LiteraturaFac. de FilologíaFALSEsubmitte