Implementación de ciclo de mejora docente en la asignatura Fisioterapia en atención temprana del Grado en Fisioterapia

El Ciclo de Mejora Docente (CMD) ha sido llevado a cabo en la asignatura de Fisioterapia en Atención Temprana (AT), asignatura optativa del Grado en Fisioterapia. Se ha realizado en un total de 7 horas, programadas en dos semanas lectivas. Basándonos en el mapa de contenidos, problemas y actividades, hemos realizado un cuestionario inicial para conocer los esquemas mentales de los alumnos y adaptarnos a ellos. Se han llevado a cabo 5 actividades de aprendizaje diferentes para abordar todos los contenidos conceptuales, procedimentales y actitudinales. Posteriormente se ha administrado un cuestionario final para observar el aprendizaje del alumnado, y una encuesta de evaluación del ciclo de mejora y de la docente para analizar la visión y perspectiva del alumnado. En general, la progresión de los alumnos y su grado de implicación y participación han sido bastante altos, por lo que ha resultado una experiencia enriquecedora para todos

From Glass to Glaze in al-Andalus: Local Invention and Technological Transfer

We would like to thank Isabel Larrea and the Gerencia de Urbanismo del Ayuntamiento de Cordoba for providing the samples analysed from the Cordoba potters' quarter. This project received funding from the European Union's Horizon 2020 research and innovation programme under the Marie Skodowska-Curie scheme (grant agreement IGATO no. 702019 to ES), an ERC Consolidator Grant (grant agreement no. 647315 to Nadine Schibille), and from MINECO (Spain) (grant no. MAT2016-77753-R to Trinitat Pradell). The funding organization had no influence on the study design, data collection and analysis, decision to publish, or preparation of the manuscript.It has long been assumed that lead glazing technology preceded glassmaking in the Western world and that the technological transfer was from glazes to glass. Here, we present new evidence for the reverse, the indigenous innovation of glassmaking and its transfer to glazes in early Islamic al-Andalus (Spain). Compositional analyses show that Islamic lead glazes from Córdoba are intimately related to a distinct type of high-lead glass, suggesting a connection between the two technologies. The archaeological remains from a pottery workshop indicate that the glazing process initially involved the production of a lead glass and is not linked to earlier Roman or other contemporary glazing technologies. The data also demonstrate that the potters not only used the same materials and techniques but borrowed stylistic and decorative models from glassmaking.European Commission 702019 European Research Council (ERC) 647315Spanish Government MAT2016-77753-

Sedimentology and geochemistry of gas hydrate rich sediments from the Oregon margin (Ocean Drilling Program Leg 204)

Gas hydrates have been recently recognized as a key factor affecting a number of global processes such as the climatic change, sea floor stability, etc. In this thesis we present the multidisciplinary study of gas hydrate rich sediments recovered during ODP Leg 204. The main objective of this thesis is to study how the textural characteristics of marine sediments can affect the main pathways and intensity of fluid flow and how fluid flow determines the distribution of gas hydrates in the continental margins, as well as the main geochemical processes that occur during early diagenesis.To reach these objectives, a complete sedimentary and geochemical study of 581 sediment samples from southern Hydrate Ridge was carried out. The methods and techniques that were applied include: complete textural analyses, mineralogy, physical properties and geochemistry.The southern Hydrate Ridge sediments are mainly made up of four lithofacies defined as: hemipelagites, turbidites, ash layers and debrites. Mass&#8208;transport deposits such as turbidites and debrites are more abundant in Lithostratigraphic Unit III and II, as well as in Lithostratigraphic Unit IA in the slope basin of southern Hydrate Ridge. Some increasing trends with depth can be observed in the smectite content in the clay mineral assemblages. These features suggest that the transport in suspension of fine sediments through the California Current was more effective during the Pliocene and early Pleistocene period. Bedload transport of coarse material from local and distal areas was more effective during the middle Pleistocene and Holocene due to the tectonic reactivation of the southern Hydrate Ridge uplift. During the Pleistocene and owing to the pervasive fluctuation of sealevel, gas hydrate dissociation together with the seismic movements in the Oregon margin seems a plausible triggering mechanism for mass&#8208;movements.The results presented here confirm that the sedimentation patterns in the Hydrate Ridge region are controlled by climate and tectonic parameters such as the regional intensity of the California Current or the local tectonic movements that lead to the uplift of the Ridge. These parameters mainly control the clay mineral distribution as well as the sedimentary facies that were produced.The sedimentary fabric of gas hydrate&#8208;rich intervals is disturbed during core recovery due to gas hydrate dissociation. The two main disturbance fabrics generated through this process are mousselike and soupy. The gas hydrate&#8208;rich sediments analyzed for this thesis are coarser grained in respect to the hemipelagite sediments. The coarse&#8208;grained layers such as turbidites and ash layers could act as conduits for fluids in the southern Hydrate Ridge region because of their higher porosity and permeability. In this context, methane&#8208;rich fluids migrate through these layers from deep in the sedimentary sequence and into the gas hydrate stability zone. A number of barium fronts have been identified in southern Hydrate Ridge sediments and interstitial waters. Barite fronts were formed as a result of the barite recycling process during early diagenesis, which is controlled by the availability of methane&#8208;rich fluids, in situ decomposition of organic matter and the sulphate gradient. Modelling of these data shows that these processes were active at southern Hydrate Ridge for a period of up to one thousand years.A number of geochemical and sedimentological processes are proposed in this thesis as plausible mechanisms to allow the survival of the barite fronts during diagenesis. The sedimentary texture plays an important role in controlling the major fluid flow pathways in the continental margins. The temporal evolution of the fluid flow can be studied in a given area through the distribution of the mineral phases that form during early diagenesis, as well as the interstitial water composition.EXTRACTE DE TESI:Aquesta tesi integra els resultats de l'anàlisi sedimentológica i geoquímica de sediment marins rics en hidrats de gas, recuperats durant la campanya "Ocean Drilling Program" Leg 204 en el marge d'Oregon (USA). L'objectiu principal d'aquest estudi és conèixer les característiques sedimentàries que afecten el fluxe de fluids i gasos a través del sediment i com els fluids afecten la distribució d'hidrats de gas en aquesta àrea, així com alguns processos geoquímics que operen durant la diagènesi inicial. Els mètodes i tècniques aplicats inclouen l'anàlisi de sedimentològia, mineralogia, susceptibilitat magnètica i geoquímica.Els sediments de southern Hydrate Ridge estan formats per 4 litofàcies: hemipelagita, turbidita, cendra volcànica i debrita. La sedimentació està controlada per factors climàtics i tectònics com ara la intensitat del corrent oceànic Californià o moviments tectònics locals. Aquests paràmetres exerceixen un control fonamental en la distribució dels minerals d'argila i de les fàcies sedimentàries en el marge continental. La seva evolució des del Pliocè és discutida en aquesta tesi.Els sediments analitzats rics en hidrats de gas són més grollers que els sediments hemipelàgics. Els sediments més grollers actuen com a conductes preferents per a la circulació de fluids degut a la seva porositat i permeabilitat. En aquest context, fluids rics en metà migren des dels sediments profunds cap a la zona d'estabilitat dels hidrats de gas, on possibiliten la seva formació.Diversos fronts de barita han estat identificats en els sediments de southern Hydrate Ridge. Es formen com a resultat del reciclatge de barita durant la diagènesi inicial, controlada per la presència de fluids rics en metà, la degradació de matèria orgànica i la presència de sulfat. La modelització de les dades obtinguda mostra que aquest procés va ser actiu durant un període de >1000 anys. En aquesta tesi, es discuteixen els possibles processos geoquímics i sedimentaris que permetrien la supervivència de la barita durant la diagènesis.La textura sedimentària juga un paper molt important en el flux de fluids als marges continentals. La seva evolució temporal en una àrea determinada pot ser deduïda estudiant les fases minerals que es formen durant la diagènesi.</i

Agreement of Tear Break-Up Time and Meniscus Height between Medmont E300 and Visionix VX120+

The goal of this study was to analyze the agreement between the Medmont E300 and the Visionix VX120+ systems in terms of non-invasive tear break-up time (NIBUT) and tear meniscus height (TMH) measurements. A total of 60 eyes (30 healthy subjects) were enrolled. NIBUT and TMH were evaluated with Medmont E300; first NIBUT, NIBUT50%, and TMH were evaluated with Visionix VX120+. Both evaluations were performed in a random order by the same clinician for right, left, and both eyes. The Medmont E300 provided significantly higher NIBUT than Visionix VX120+ for first NIBUT in right, left, and both eyes (p ≤ 0.003) and NIBUT50% in left and both eyes (p ≤ 0.042). The TMH measured with VX120+ was significantly higher than with Medmont E300 considering both eyes (p = 0.037). No significant correlations were found between both devices for either NIBUT (p ≥ 0.11) or TMH (p ≥ 0.09). Passing–Bablok regression analyses revealed poor agreement between devices for NIBUT and TMH outcomes. VX120+ is expected to provide substantial lower first NIBUT values than the NIBUT measured by Medmont E300. Clinicians should consider not using both instruments as interchangeable for dry eye diagnosis.The author D.P.P. has been supported by the Ministry of Economy, Industry and Competitiveness of Spain within the program Ramón y Cajal, RYC-2016-20471. This research received no external funding. E.M.P. has been supported by European Union-NextGenerationEU

EFECTOS DE LA COMUNICACIÓN INTEGRADA DE MARKETING A TRAVÉS DE LA CONSISTENCIA ESTRATÉGICA: UNA PROPUESTA TEÓRICA Y METODOLÓGICA

RESUMENMucho se ha hablado hasta ahora acerca de la gestión integrada de las herramientas que conforman el mix de comunicación (Comunicación Integradade Marketing). Sin embargo, la mayoría de los estudios desarrollados al respecto se han dedicado a analizar los efectos económico-financieros que esta forma de gestión puede tener para las empresas, de manera que muy poco se ha constatado acerca de la eficacia que posee una campaña integrada de comunicación desde el punto de vista del consumidor. Partiendode la consistencia estratégica como vía de integración, en el presentetrabajo se plantean los efectos que puede ejercer una campaña integradasobre el procesamiento de la informacióny sobre las evaluaciones que el consumidor hace de la campaña.Comunicación Integrada de Marketing(CIM), consistencia estratégica, consumidor.

Clinical Validation of a New Optical Biometer for Myopia Control in a Healthy Pediatric Population

To assess the clinical validation of the Myah device in a pediatric population by evaluating the repeatability of biometric evaluations and analyzing its agreement with the Myopia Master system. A total of 51 children (51 eyes) were enrolled. Repeated measurements of flat (K1) and steep (K2) corneal radius, white-to-white (WTW) distance and axial length (AL) were performed with the Myah device. The same parameters were obtained from a subgroup (30 eyes) with the Myopia Master for the agreement analysis. The repeatability was assessed using the intrasubject standard deviation (Sw) and the intraclass correlation coefficient (ICC). The agreement was analyzed using the Bland–Altman method and the paired Student t-test. The Sw was 0.018 D, 0.021 D, 0.071 mm and 0.017 mm for K1, K2, WTW and AL, respectively (ICC ≥ 0.971). The mean difference and limits of agreement when comparing instruments were −0.013 (−0.102/0.077) for K1 (p = 0.16), −0.058 (−0.127/0.012) for K2 (p < 0.001), 0.151 (−0.370/0.673) for WTW (p < 0.001) and 0.030 (−0.091/0.151) for AL (p = 0.009). In conclusion, the Myah device provides consistent measurements of corneal radius, WTW distance and AL in a healthy pediatric population, validating their usefulness in clinical practice. These measurements could be used interchangeably with those provided by the Myopia Master device, although with some caution.E.M.-P. has been supported by European Union-NextGenerationEU

Refractive error study in young subjects: results from a rural area in Paraguay

AIM: To evaluate the distribution of refractive error in young subjects in a rural area of Paraguay in the context of an international cooperation campaign for the prevention of blindness. METHODS: A sample of 1466 young subjects (ranging from 3 to 22 years old), with a mean age of 11.21±3.63 years old, were examined to assess their distance visual acuity (VA) and refractive error. The first screening examination performed by trained volunteers, included visual acuity testing, autokeratometry and non-cycloplegic autorefraction. Inclusion criteria for a second complete cycloplegic eye examination by an optometrist were VA <20/25 (0.10 logMAR or 0.8 decimal) and/or corneal astigmatism ≥1.50 D. RESULTS: An uncorrected distance VA of 0 logMAR (1.0 decimal) was found in 89.2% of children. VA <20/25 and/or corneal astigmatism ≥1.50 D was found in 3.9% of children (n=57), with a prevalence of hyperopia of 5.2% (0.2% of the total) in this specific group. Furthermore, myopia (spherical equivalent ≤-0.5 D) was found in 37.7% of the refracted children (0.5% of the total). The prevalence of refractive astigmatism (cylinder ≤-1.50 D) was 15.8% (0.6% of the total). Visual impairment (VI) (0.05≤VA≤0.3) was found in 12/114 (0.4%) of the refracted eyes. Main causes for VI were refractive error (58%), retinal problems (17%, 2/12), albinism (17%, 2/12) and unknown (8%, 1/12). CONCLUSION: A low prevalence of refractive error has been found in this rural area of Paraguay, with higher prevalence of myopia than of hyperopia

Early Intervention in Unilateral Cerebral Palsy: Let’s Listen to the Families! What Are Their Desires and Perspectives? A Preliminary Family-Researcher Co-Design Study

Cerebral palsy (CP) is a clinical diagnosis based on a combination of clinical and neurological signs, which occurs between the ages of 12 and 24 months. Cerebral palsy or a high risk of cerebral palsy can be accurately predicted before 5–6 months, which is the corrected age. This would allow the initiation of intervention at an early stage. Parents must be more involved in the development and implementation of the early therapy, increasing opportunities for parent–child interaction. The aim of this study was to learn from the perspectives of families with children under 12 months with unilateral cerebral palsy (UCP), what ingredients (barriers and facilitators) should be involved in early intervention so that we could co-design (researchers and families) a multidisciplinary guideline for a global intervention addressed to the needs of the child and the family. Semi-structured interviews were conducted at a time and venue convenient for the families. A total of ten families with experience in early intervention were invited to attend the interview with open questions: (1) What components should early intervention have for a baby diagnosed with UCP? (2) What components should early intervention have for the family? (3) What should the involvement of the family be in early intervention? (4) What barriers included in early intervention should be removed? From the data analysis, three key topics emerged and were subsequently named by focus group participants: (1) UCP early intervention components, (2) family involvement in early intervention of UCP, and (3) removing barriers and creating facilitators within early intervention. The participation of the families (mothers) in the co-design of the necessary ingredients within the scope of a multidisciplinary early intervention guide aimed at children with UCP under 12 months allows learning about their reality and not that of the therapist. The following list highlights the present barriers as perceived by the parents: intervention as spectators, therapeutic goals, clinic environment, and lack of empathy, and the possible facilitators determined by the parents during the implementation comprised teamwork, the family’s goals, motivation during the intervention, and learning at home. Thus, an early intervention program to improve global functionality should address family involvement through multidisciplinary coaching and the modification of the environment, encouraging family goals and family support through the family–therapist team

Evidence for Involvement of the Salmonella enterica Z-Ring Assembly Factors ZapA and ZapB in Resistance to Bile

Genes annotated as ygfE and yiiU in the genome of Salmonella enterica serovar Typhimurium encode proteins homologous to Escherichia coli cell division factors ZapA and ZapB, respectively. ZapA− and ZapB− mutants of S. enterica are bile-sensitive. The amount of zapB mRNA increases in the presence of a sublethal concentration of sodium deoxycholate (DOC) while zapA mRNA remains unaffected. Increased zapB mRNA level in the presence of DOC is not caused by upregulation of zapB transcription but by increased stability of zapB mRNA. This increase is suppressed by an hfq mutation, suggesting the involvement of a small regulatory RNA. We provide evidence that such sRNA is MicA. The ZapB protein is degraded in the presence of DOC, and degradation appears to involve the Lon protease. We propose that increased stability of zapB mRNA in the presence of DOC may counter degradation of bile-damaged ZapB, thereby providing sufficient level of functional ZapB protein to permit Z-ring assembly in the presence of bile.España , Ministerio de Economía, Industria y Competitividad BIO2016-75235-

Feasibility and safety of an immersive virtual reality-based vestibular rehabilitation programme in people with multiple sclerosis experiencing vestibular impairment: a protocol for a pilot randomised controlled trial

Introduction: Vestibular system damage in patients with multiple sclerosis (MS) may have a central and/or peripheral origin. Subsequent vestibular impairments may contribute to dizziness, balance disorders and fatigue in this population. Vestibular rehabilitation targeting vestibular impairments may improve these symptoms. Furthermore, as a successful tool in neurological rehabilitation, immersive virtual reality (VRi) could also be implemented within a vestibular rehabilitation intervention. Methods and analysis: This protocol describes a parallel-arm, pilot randomised controlled trial, with blinded assessments, in 30 patients with MS with vestibular impairment (Dizziness Handicap Inventory ≥16). The experimental group will receive a VRi vestibular rehabilitation intervention based on the conventional Cawthorne-Cooksey protocol; the control group will perform the conventional protocol. The duration of the intervention in both groups will be 7 weeks (20 sessions, 3 sessions/week). The primary outcomes are the feasibility and safety of the vestibular VRi intervention in patients with MS. Secondary outcome measures are dizziness symptoms, balance performance, fatigue and quality of life. Quantitative assessment will be carried out at baseline (T0), immediately after intervention (T1), and after a follow-up period of 3 and 6 months (T2 and T3). Additionally, in order to further examine the feasibility of the intervention, a qualitative assessment will be performed at T1. Ethics and dissemination: The study was approved by the Andalusian Review Board and Ethics Committee, Virgen Macarena-Virgen del Rocio Hospitals (ID 2148-N-19, 25 March 2020). Informed consent will be collected from participants who wish to participate in the research. The results of this research will be disseminated by publication in peer-reviewed scientific journals