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-

Is it possible to improve the involvement of students in the subject of Fundamentals of Physiotherapy of the Degree in Physiotherapy? Analysis through the application of a Classroom Improvement Cycle (CIMA)

La asignatura en la que se ha llevado a cabo este Ciclo de Mejora en el Aula (CIMA) propuesto corresponde a “Fundamentos de Fisioterapia”, asignatura cuatrimestral obligatoria del 1º curso del Grado en Fisioterapia. Esta asignatura consta de docencia teórica (30 horas por grupo) y docencia práctica obligatoria (30 horas por grupo). Este CIMA ha realizado en la docencia práctica, la cual es de obligada asistencia para los alumnos. Se ha hecho en un grupo práctico completo, en las prácticas correspondientes a dos módulos (Análisis de la Fisioterapia Actual, 6 horas, y en Historia Clínica en Fisioterapia, 8 horas), con un total de 14 horas. Dichas prácticas tienen una frecuencia semanal, con una duración de dos horas cada una

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

Teaching innovation through the application of a Improvement Cycle in Classroom (ICIC) in the subject “Paediatric Physiotherapy” of the Physiotherapy Degree

La asignatura en la que se ha llevado a cabo este Ciclo de Mejora en el Aula (CIMA) propuesto corresponde a “Fisioterapia Pediátrica”, asignatura cuatrimestral obligatoria del 4º curso del Grado en Fisioterapia. Esta asignatura consta de docencia teórica (44 horas por grupo) y docencia práctica obligatoria (16 horas por grupo). Se ha realizado en la docencia teórica, la cual no es de obligada asistencia para los alumnos. El horario de la misma es los miércoles, de 9 a 10 horas y de 13 a 15 horas, en semanas alternas

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

Observational Gait Assessment Scales in Patients with Walking Disorders: Systematic Review

Objective. To compile and analyze the characteristics and methodological quality of observational gait assessment scales validated to date. Methods. PubMed, Scopus, the Cochrane Library, Physiotherapy Evidence Database, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Dialnet, Spanish Medical Index, and Nursing, Physiotherapy, and Podiatry databases were searched up to August 2019. ,e main inclusion criteria were validated tools based on a conceptual framework developed to evaluate gait, validation design studies of observational scales in their entirety, and articles written in English or Spanish. Evaluators extracted descriptive information of the scales and the metric properties of the studies, which were further analyzed with Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) and COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN checklist). Results. Eighteen articles based on 14 scales were included. ,e populations were neurological patients (72.22%), musculoskeletal disorders (11.11%), and other areas such as vestibular disorders (11.11%). ,e most addressed items were orthopedic aids (64.29%); phases of the gait cycle and kinematics of the leg and trunk (57.14% each one); and spatial and temporal parameters (50%). All studies analyzed criterion validity, and five included content or structural validity (27.78%). Fifteen articles considered reliability (83.33%). Regarding the seven-item scale QUADAS-2, five studies obtained six results on “low” risk of bias or “low” concerns regarding applicability. Nine articles obtained at least a “fair” result on COSMIN checklist. Conclusions. A necessary compilation of the observational gait assessment scales validated to date was conducted. Besides, their characteristics and methodological quality were analyzed. Most scales were applied in neurological signs. ,e most approached topics were orthopedic aids, phases of the gait cycle, and kinematics of the leg and trunk. ,e scale that demonstrated a higher methodological quality was Visual Gait Assessment Scale, followed by CHAGS, Salford Gait Tool, and Edinburgh Visual Gait Score

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.

Safety, Efficacy, and Visual Performance of an Orthokeratology Lens with Increased Compression Factor

The aim was to evaluate the safety, efficacy, and visual performance of an orthokeratology lens with an increased compression factor (ICF) of 1.25 D in a 3-month follow-up. Thirty-six myopic patients (5 males and 31 females; 24.2 ± 5.8 years) were fitted with Alexa AR (Tiedra Farmacéutica S.L., Madrid, Spain) contact lenses (CLs) and twenty participants finished the follow-up. Visual acuity (VA), subjective refraction, primary spherical and primary coma aberrations, keratometry, central pachymetry, and ocular surface evaluation were performed at baseline and after 1 night, 1 week, 1 month, and 3 months of CL wear. The differences among visits were analyzed using a repeated-measures analysis of variance or the Friedman test. The spherical equivalent decreased (p ≤ 0.005), and the uncorrected VA improved (p < 0.001) until the first week. Corneal and ocular aberrations showed a significant increase (p ≤ 0.02). A significant decrease (p < 0.001) was found for keratometry values. No significant changes were observed in either central pachymetry or ocular surface parameters among study visits. In conclusion, an orthokeratology CL with an ICF of 1.25 D provides good safety, efficacy, and visual performance in a 3-month follow-up. Seven days of orthokeratology wear are enough to achieve the full myopic compensation, resulting in satisfactory VA.E.M.-P., A.M.-M., and D.P.P. received funding from Tiedra Farmacéutica S.L. within the framework of the research project TIEDRA1-21A in collaboration with the University of Alicante. Likewise, these authors received funding from Centro Internacional para la Investigación del Envejecimiento, Fundación de la Comunidad Valenciana (ICAR) for the performance of this research within the framework of the research project PRESBYSIM. Furthermore, E.M.-P. has been also supported by the European Union—NextGenerationEU (Orden UNI/551/2021; CONVREC-2021-18)

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