Ciclo de mejora docente en la asignatura afecciones médicas I del grado de Fisioterapia y el doble grado en Fisioterapia y Ciencias del Deporte

En este ciclo de mejora se ha trabajado partiendo de un caso clínico sobre el que han versado todas las cuestiones que conectaban diferentes temas de la asignatura (4 temas concretamente, todos ellos relacionados con el infarto agudo de miocardio). Los alumnos han trabajado en pequeños grupos con diferentes actividades de contraste, dependiendo de la materia a trabajar (videos, cuestionarios, encuestas de opinión), todas ellas relacionadas con el caso clínico inicial y pensadas para favorecer esta metodología de aprendizaje, el debate entre ellos y la corrección de errores en el aula. La participación e implicación del alumnado ha sido alta, con una tasa de abandono prácticamente nula. Sobre la valoración de la progresión del aprendizaje de los alumnos, esta comunicación muestra la importancia de llevar a cabo una metodología centrada en el proceso de desarrollo de las escaleras de aprendizaje. Pequeños errores en el diseño, pueden subestimar esta herramienta de evaluación tan útil

Relevance of Social, Economic, and Environmental Impacts on Residents’ Satisfaction with the Public Administration of Tourism

Those in charge of tourism destinations face the need to create tourism development models compatible with the essence of the localities that they manage. These models have to be sustainable, both environmentally and socially, and also must become drivers of the local economy. However, tourists also generate negative impacts in the locality which, when they are perceived by the residents, can give rise to a rejection of visitors. Hence, improving the tourism management is necessary. This is why to know the residents’ perceptions about the impacts of tourism is essential. Moreover, measuring the impact effects on their satisfaction with the public administration of the destination can be of great usefulness. This study falls into this research line, as it proposes a model to measure these impacts and their effect on satisfaction. To do so, an empirical study is performed among residents in the city of Seville (southern Spain, one of the most visited destinations in the world), based on subjective economic, social, and environmental indicators. The results show that the citizens value three types of impacts, the social impact coming after the economic impact as to its influence on their satisfaction with the administration. Based on this, we postulate that the efforts made to attract events to the city, or to improve connections to access a broader market, must be approached as public procurements in which selection criteria that are compatible with the destination’s positioning and strategy prevail. Social and environmental criteria should be considered among these criteria

Crónica de Derecho Internacional Privado: análisis de las recientes reformas introducidas por nuestro legislador

En este trabajo se realiza una presentación de las principales novedades normativas en el sector del sector de la competencia judicial internacional, ley aplicable, asistencia judicial internacional y eficacia extraterritorial de resoluciones judiciales extranjeras, fruto de la actividad del legislador estatal durante el año 2015.This paper analyses the new rules on international jurisdiction, applicable law, international legal assistance and recognition and enforcement of foreign judgments, resulting from the activity of the Spanish legislator during 2015.Ministerio de Economía y Competitividad DER 2014-58581-

Influence of obesity on microarchitecture and biomechanical properties in patients with hip fracture.

La obesidad y la osteoporosis (OP) son dos patologías muy prevalentes en nuestra sociedad actual. El efecto de la obesidad sobre la calidad ósea se encuentra en debate en la actualidad. Objetivo: Valorar el efecto del peso corporal sobre la microestructura y las propiedades biomecánicas de hueso trabecular procedente de biopsias de extremidad proximal de fémur de pacientes con fractura de cadera por fragilidad. Material y método: Estudio transversal de 16 pacientes con fractura de cadera. 2 grupos según su IMC: (A) sujetos normopeso y (B) con obesidad. Recogimos biopsias de hueso trabecular de cabeza femoral. Valoramos determinaciones bioquímicas (PTH, 25(OH) vitamina D e IGF-1), marcadores de remodelado óseo (PINP,CTX), masa ósea (DMO cuello y cadera total), microestructura ósea y estudio biomecánico (µCt). El análisis estadístico: t-Student (SPSS 22.0) significación p<0,05. Resultados: Todos los pacientes presentaron DMO de cadera en rango osteoporótico. El grupo de obesos presentó niveles superiores de PTH e inferiores de IGF-1, vitamina D y PINP. No encontramos diferencias en los parámetros relacionados con el metabolismo óseo. El grupo de obesos presentó mejores índices microestructurales alcanzando la significación: mayor volumen óseo (BV/TV: 36,6±12,7 vs. 19,4±11,4%, BS/TV: 5,5±1,1 vs. 3,9±1,3%), mayor número de trabéculas (Tb.N: 1,6±0,4 vs. 1,01±0,4), mayor anchura de trabéculas (Tb.Th: 0,22±0,003 vs. 0,17±0,05) y menor separación trabecular (Tb.Sp: 0,51±0,12 vs. 0,66±0,16). Los parámetros biomecánicos confirman una mayor resistencia del hueso trabecular en pacientes obesos. Conclusión: La obesidad puede ser un factor protector de la calidad ósea en la región femoral y tiene menos efecto sobre la densidad mineral ósea.Obesity and osteoporosis (OP) are two very prevalent diseases in our society today. The effect of obesity on bone quality is currently a subject under discussion. Objective: To assess the effect of body weight on the microstructure and biomechanical properties of trabecular bone biopsies from the proximal end of the femur in patients with hip fracture fragility. Material and methods: Cross-sectional study of 16 patients with hip fracture. The 2 groups are divided according to their BMI: (A) normal weight individuals and (B) those with obesity. We collected biopsies of cancellous bone from the femoral head and assessed biochemical determinations (PTH, 25 (OH) vitamin D and IGF-1), bone remodeling markers (PINP, CTX), bone mass (BMD neck and total hip), bone microstructure and biomechanical study (µCt). Statistical analysis: Student's t test (SPSS 22.0) significance p<0.05. Results: All patients had hip BMD in osteoporotic range. The obese group had higher levels of PTH and lower IGF-1, vitamin D and PINP. We found no differences in the parameters related to bone metabolism. The obese group showed better indices reaching microstructural significance: increased bone volume (BV/TV: 36.6±12.7 vs 19.4±11.4%, BS/TV: 5.5±1.1 vs 3.9±1.3%), higher trabecular number (Tb.N: 1.6±0.4 vs 1,01±0,4), greater trabecular width (Tb.Th: 0.22±0.003 vs 0.17±0.05) and lower trabecular separation (Tb.Sp: 0.51±0.12 vs 0.66±0.16). Biomechanical parameters confirm greater strength of trabecular bone in obese patients. Conclusion: Obesity may be a protective factor of bone quality in the femoral region and has less effect on bone mineral density

International Business Email Communication in ELF (English as Lingua Franca)

E-mail correspondence has become one of the most useful ways for global communication, and more precisely for international business communication. As it is explained in the introductory section diverse studies of global communication in English have been carried out concerning ELF (English as lingua franca) and BELF (Business English as lingua franca). The purpose of this research is to bring to the forth the latest variation patters in business email communication in English. The study aims to analyze an authentic corpus of 90 emails written in English by business managers of different chemical companies set up in 14 different countries around the world, including native and non-native speakers of English who use this language as lingua franca for commercial and distribution purposes. The central research targets are to observe: first, the main register patterns of variation towards a more informal and conversational nature; secondly, the main communicative strategies to achieve the required communicative competence in BELF for international business purposes; and third, the prototypical move structure fluctuation from the standard structure of, for instance, business letters to a more relaxed pattern. The conclusions reveal an inclination towards a more informal, co-operative and goal-oriented international business email communication

Spacecraft magnetic attitude control using approximating sequence Riccati equations

This paper presents the results of a spacecraft attitude control system based on magnetic actuators designed for low Earth orbits. The control system is designed by using a nonlinear control technique based on the approximating sequence of Riccati equations. The behavior of the satellite is discussed under perturbations and model uncertainties. Simulation results are presented when the control system is able to guide the spacecraft to the desired attitude in a variety of different conditions

Rescue of endemic states in interconnected networks with adaptive coupling

We study the Susceptible-Infected-Susceptible model of epidemic spreading on two layers of networks interconnected by adaptive links, which are rewired at random to avoid contacts between infected and susceptible nodes at the interlayer. We find that the rewiring reduces the effective connectivity for the transmission of the disease between layers, and may even totally decouple the networks. Weak endemic states, in which the epidemics spreads when the two layers are interconnected but not in each layer separately, show a transition from the endemic to the healthy phase when the rewiring overcomes a threshold value that depends on the infection rate, the strength of the coupling and the mean connectivity of the networks. In the strong endemic scenario, in which the epidemics is able to spread on each separate network -and therefore on the interconnected system- the prevalence in each layer decreases when increasing the rewiring, arriving to single network values only in the limit of infinitely fast rewiring. We also find that rewiring amplifies finite-size effects, preventing the disease transmission between finite networks, as there is a non zero probability that the epidemics stays confined in only one network during its lifetime

Learning to Avoid Risky Actions

When a reinforcement learning agent executes actions that can cause frequent damage to itself, it can learn, by using Q-learning, that these actions must not be executed again. However, there are other actions that do not cause damage frequently but only once in a while, for example, risky actions such as parachuting. These actions may imply punishment to the agent and, depending on its personality, it would be better to avoid them. Nevertheless, using the standard Q-learning algorithm, the agent is not able to learn to avoid them, because the result of these actions can be positive on average. In this article, an additional mechanism of Q-learning, inspired by the emotion of fear, is introduced in order to deal with those risky actions by considering the worst results. Moreover, there is a daring factor for adjusting the consideration of the risk. This mechanism is implemented on an autonomous agent living in a virtual environment. The results present the performance of the agent with different daring degrees.The funds provided by the Spanish Government through the project called “A New Approach to Social Robotics” (AROS), of MICINN (Ministry of Science and Innovation) and through the RoboCity2030-IICM project (S2009/DPI-1559), funded by Programas de Actividades I+D en la Comunidad de Madrid and cofunded by Structural Funds of the EU