Adaptation of the person centered therapeutic relationship patient version (PCTR‐PT) to a version for physiotherapists (PCTR‐PHYS) and evaluation of its psychometric properties

[EN] Background and Purpose The therapeutic relationship is a central component for developing person-centered care within physiotherapy services. However, it is necessary to understand how this relationship is perceived by both parties involved. The Person Centered Therapeutic Relationship-Patient scale (PCTR-PT) was constructed to identify patients' perceptions. No instruments are currently available to correlate patients' and physiotherapists' perceptions of the therapeutic relationship. This study sought to adapt the PCTR-PT to develop a version for physiotherapists, the Person Centered Therapeutic Relationship Scale for Physiotherapists (PCTR-PHYS) and to determine its psychometric properties. Methods A three-stage study was performed: (1) item generation, (2) pretesting of the questionnaire, (3) analysis of psychometric properties. Factor validity and psychometric properties were analyzed by confirmatory factor analysis (CFA). Convergent validity was calculated. Internal consistency was verified using the Cronbach's alpha coefficient. The intraclass correlation coefficient (ICC) was used to examine temporal stability. Results Thirty-three physiotherapists participated in two rounds of cognitive interviews and 343 participated in the analysis of psychometric properties. The CFA confirmed the four-structure model. Reliability of the tool was confirmed by Cronbach's alpha (α = 0.863) for all four dimensions, as all were above 0.70, ranging from 0.704 (relational bond) and 0.898 (therapeutic communication). Test-retest was performed with 2-week intervals, indicating an appropriate stability for the scale (ICC = 0.908). Discussion The Person Centered Therapeutic Relationship Scale for Physiotherapists is a useful, valid and applicable instrument to evaluate the person-centered therapeutic relationship during physiotherapy interventions. It will enable the comparison of patients' and physiotherapists' perceptions. To provide person-centered care in physiotherapy services, there is a clear need to incorporate specific resources into clinical practice to evaluate the quality of the therapeutic relationship from the perspective of both the persons being treated and the professionals providing care.SIPublicación en abierto financiada por el Consorcio de Bibliotecas Universitarias de Castilla y León (BUCLE), con cargo al Programa Operativo 2014ES16RFOP009 FEDER 2014-2020 DE CASTILLA Y LEÓN, Actuación:20007-CL - Apoyo Consorcio BUCL

The Relationship Between Childhood Physical and Sexual Abuse and Adolescent Cannabis Use: A Systematic Review

Background: Among adolescents, cannabis use is a health concern due to associations with drug addiction and mental health disorders across the life course. It has been shown that childhood maltreatment is associated with drug addiction in adulthood. However, a better understanding of the relationship between maltreatment and drug use may improve targeted prevention and interventions. The aim of this systematic review is to describe the association between exposure to childhood maltreatment, specifically physical and sexual abuse, with adolescent cannabis use. Methods: A systematic search strategy was applied to Embase, PsycINFO, and Ovid MEDLINE(R) databases. Methods followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Abstract and title screening was performed to identify papers which reported an estimate of the association between childhood physical or sexual abuse and adolescent cannabis use. Full text screening of each paper was performed, and data were extracted and study quality assessed. Weighted means meta-analysis was performed on studies reporting odds ratios as effect estimates. Results: Of 8,780 screened articles, 13 were identified for inclusion. Eight papers received a quality rating score indicating lower risk of bias. Eleven papers reported the relationship between childhood sexual abuse and adolescent cannabis use; effect estimates ranged from AOR 0.53-AOR 2.18 (weighted mean OR 1.29, 95% CI 1.08-1.49). The relationship between childhood physical abuse and adolescent cannabis use was reported in 7 papers; effect estimates ranged from AOR 1.25-AOR 1.87 (weighted mean OR 1.39, 95% CI 1.12-1.66). Differences in the strength of the evidence were observed by the method of exposure ascertainment, and there was some evidence of differences in association by gender, age of cannabis initiation, and the severity of the abuse. Conclusions: This systematic review indicates childhood physical or sexual abuse may increase risk of adolescent-onset cannabis use. Few studies considered variation in timing of onset, or by gender. Adolescent cannabis use precedes is strongly associated with increased risk of negative mental health outcomes; further exploration of adolescent cannabis use's place on the causal pathway between childhood abuse and adult mental health problems is warranted to improve intervention

Monitoring Immobilized Elderly Patients Using a Public Provider Online System for Pressure Ulcer Information and Registration (SIRUPP): Protocol for a Health Care Impact Study

International Registered Report Identifier (IRRID): DERR1-10.2196/13701However, this body played no part in drafting or revising the paper or in approving the final manuscript. The views expressed in the paper are those of the authors and not necessarily those of the Consejería de Salud y Familias, Junta de Andalucía or of FIBAO.PMID: 31407669Background: Pressure ulcers represent a major challenge to patient safety in the health care context, presenting high incidence (from 7% to 14% in Spain) and increased financial costs (€400-600 million/year) in medical treatment. Moreover, they are a significant predictor of mortality. The prevention of pressure ulcers in long-term care centers and patients’ own homes is proposed as a priority indicator of health care quality. Early stage risk assessment and database recording are both crucial aspects of prevention, classification, diagnosis, and treatment. Objective: This project proposes a 3-year study of immobilized patients residing in the Granada-Metropolitan Primary Healthcare District (DSGM) and monitored via the Pressure Ulcer Information and Registration System (SIRUPP, Spanish initials). The project aims to estimate the incidence of PUs among immobilized elderly patients, analyze the health-related quality of life of these patients by using the Pressure Ulcer Quality of Life (PU-QoL) instrument in a sample of 250 patients, determine the average time to complete wound healing, estimate the rate of pressure ulcers–associated mortality, and assess the predictive value of the Braden and Mini Nutritional Assessment risk measurement scales in a sample of 1700 patients. Methods: The DSGM runs SIRUPP, which is linked to patients’ electronic health records. Currently, 17,104 immobilized patients are monitored under this system. Health-related quality of life will be measured by patient self-reports using the Spanish Pressure Ulcer Quality of Life questionnaire, following cross-cultural adaptation and psychometric validation with respect to the English-language version. Results: The project commenced in June 2017 and is expected to conclude in April 2020. Conclusions: This study addresses two main health outcomes—the time needed for wound healing and the mortality associated with pressure ulcers—both of which might be accounted for by variations in clinical practice and the health-related quality of life of patients with pressure ulcers.The SIRUPP study is funded by Fundación Progreso y Salud-FIBAO (Consejería de Salud y Familias, Junta de Andalucía)

The impact of COVID-19 on physical activity on people who participate on running and cycling sporting events people in Spain and Portugal

UIDB/04647/2020 UIDP/04647/2020The aim of this article is to analyze the impact of COVID-19 on physical activity on people who participate on running and cycling sporting events people in Spain and Portugal. It was considered The situation of sports practice in Spain and Portugal prior to the outbreak of COVID-19, as both governments legislate to protect citizens from the pandemic and it was analyzed the consequences of these acts. A descriptive investigation was carried out using a questionnaire (N=2696) and descriptive statistical analysis according to characteristics and distribution (test of normality) of different variables: frequencies, average, maximum and minimum values, median and IQR. From the results, the following can be highlighted: a) almost complete coincidence between both countries, of the generic profile of the practitioners; the order, by percentage, of the variables, and even the percentages of each variable for four of the five dimensions analyzed; b) the dimension that differs the most is how practitioners in Spain and Portugal adapted during the confinement time, and c) at all times the respondents perceived that the adaptations would be temporary and it was a matter of a few months before they returned to the normality. These data allow to understand the effect of COVID-19 pandemic had on physical activity on people who participate on sporting events in the natural environment in Spain and Portugal.publishersversionpublishe

AUDITORÍA DE GESTIÓN DEL CONOCIMIENTO. RETROSPECTIVA Y CONSTRUCCIÓN DEL CONCEPTO

RESUMEN El conocimiento representa un activo intangible y estratégico que genera ventajas competitivas en las organizaciones, de ahí la importancia de auditar su gestión. El objetivo del presente trabajo es construir una definición de auditoría de gestión del conocimiento (AGC) a partir del análisis crítico de 50 conceptos y las variables para el estudio de la AGC (adaptadas de Shahmoradi et al. (2015)). Se analiza la frecuencia de aparición de las variables en las definiciones, la relación de los autores con las variables definidas con el software UCINET 6.0. Se construye la definición de AGC con el uso de un mapa conceptual de AGC y el empleo del software Cmaps Tools, versión 5.03 Lite. PALABRAS CLAVE: auditoría de gestión del conocimiento, definiciones, variables. REFERENCIAS BIBLIOGRÁFICAS (estilo APA de citas) Alexandru, G. (2011). Above and beyond knowledge auditing. Sibiu Alma Mater University Journals, 4(2). Antonova, A., & Gourova, E. (2009). Business patterns for knowledge audit implementation within SMEs. http://ceur-ws.org/Vol-566/C2_KnowledgeAudit.pdf Burnet, S., Illingworth, L., & Webster, L. (2004). Knowledge Auditing and Mapping: A pragmatic Approach. Knowledge and Process Management, 11(1), 25-37. Dalkir, K. (2005). Knowledge Management in Theory and Practice. Oxford: Elsevier

Staging Parkinson’s disease according to the MNCD classification correlates with caregiver burden

Malaltia de Parkinson; Cuidador; Símptomes no motorsParkinson's disease; Caregiver; Non-motor symptomsEnfermedad de Parkinson; Cuidador; Síntomas no motoresBackground and objective: Recently, we demonstrated that staging Parkinson's disease (PD) with a novel simple classification called MNCD, based on four axes (motor, non-motor, cognition, and dependency) and five stages, correlated with disease severity and patients’ quality of life. Here, we analyzed the correlation of MNCD staging with PD caregiver's status. Patients and methods: Data from the baseline visit of PD patients and their principal caregiver recruited from 35 centers in Spain from the COPPADIS cohort from January 2016 to November 2017 were used to apply the MNCD total score (from 0 to 12) and MNCD stages (from 1 to 5) in this cross-sectional analysis. Caregivers completed the Zarit Caregiver Burden Inventory (ZCBI), Caregiver Strain Index (CSI), Beck Depression Inventory-II (BDI-II), PQ-10, and EUROHIS-QOL 8-item index (EUROHIS-QOL8). Results: Two hundred and twenty-four PD patients (63 ± 9.6 years old; 61.2% males) and their caregivers (58.5 ± 12.1 years old; 67.9% females) were included. The frequency of MNCD stages was 1, 7.6%; 2, 58.9%; 3, 31.3%; and 4–5, 2.2%. A more advanced MNCD stage was associated with a higher score on the ZCBI (p < .0001) and CSI (p < .0001), and a lower score on the PQ-10 (p = .001), but no significant differences were observed in the BDI-II (p = .310) and EUROHIS-QOL8 (p = .133). Moderate correlations were observed between the MNCD total score and the ZCBI (r = .496; p < .0001), CSI (r = .433; p < .0001), and BDI-II (r = .306; p < .0001) in caregivers.Conclusion: Staging PD according to the MNCD classification is correlated with caregivers’ strain and burden.Fundación Española de Ayuda a la Investigación en Enfermedades Neurodegenerativas y/o de Origen Genético; Alpha Bioresearch; Spanish Ministry of Economy and Competitiveness, Grant/Award Number: PI16/0157

Estudis de validació de proves per a l’anàlisi de la potència aeròbica en atletes tetraplègics

El següent estudi presenta una revisió de la literatura des de l’any 1980 fins a l’any 2011 que té com a objectius, trobar metodologies originals per a l’avaluació de la Potència Aeròbica en atletes amb tetraplegia, descriure els procediments metodològics utilitzats i presentar els possibles errors metodològics analitzats perquè altres recerques incideixin en el desenvolupament de protocols més fidedignes i adequats per a aquestapoblació. S’han consultat les bases de dades ScienceDirect, Scopus, Pubmed i Medlineutilitzant les paraules clau “Wheelchair Users”, “Spinal Cord Injury”, “Field Test”, “Validation” i “Peak Oxygen Consumption”. Després de l’anàlisi en profunditat dels manuscrits, van ser seleccionats 10 articles, tots d’autoria internacional. Es pot concloure que la utilització d’aquests recursos és una important àrea d’interès en el camp del rendiment paraesportiu, encara que es presenten algunes restriccions a causa dels tipus de discapacitat, la dificultat d’aconseguir mostres homogènies i la dificultat d’obtenir grups de mostra en nombres considerats suficients per a la realització de procediments estadístics. Malgrat l’evolució dels processos d’avaluació en l’àmbit paraesportiu, més estudis haurien de ser proposats perquè els protocols de camp es tornin més fidedignes i adequats per a aquesta població

Validación de pruebas para el análisis de la potencia aeróbica en atletas tetrapléjicos

El siguiente estudio presenta una revisión de textos, entre los años 1980 y 2011, cuyos objetivos son encontrar metodologías originales para la evaluación de la potencia aeróbica en atletas con tetraplejia, describir los procedimientos metodológicos utilizados y presentar los posibles errores metodológicos analizados para que otras investigaciones incidan en el desarrollo de protocolos más fidedignos y adecuados para dicha población. Se han consultado las bases de datos ScienceDirect, Scopus, Pubmed y Medline utilizando las palabras clave “Wheelchair Users”, “Spinal Cord Injury”, “Field Test”, “Validation” y “Peak Oxygen Consumption”. Tras el análisis en profundidad de los manuscritos, se seleccionaron 10 artículos de autorías internacionales. Se puede concluir que la utilización de estos recursos es una importante área de interés en el campo del rendimiento paradeportivo, aunque se presentan algunas restricciones a causa de los tipos de discapacidad, la dificultad de conseguir muestras homogéneas y la dificultad de obtener grupos de muestra en números considerados suficientes para la realización de procedimientos estadísticos. A pesar de la evolución de los procesos de evaluación en el ámbito paradeportivo, se deberían proponer más estudios para que los protocolos de campo se vuelvan más fidedignos y adecuados para esta població

Yield and production bienniality of dense coffee plantations under different levels of N and K

O objetivo deste trabalho foi avaliar o efeito da adubação com N e K sobre a produtividade e a bienalidade de produção de cafeeiros em plantio adensado, em estudo de longa duração. Foram avaliados dois experimentos, na região da Zona da Mata de Minas Gerais, conduzidos em blocos ao acaso, com parcelas subdivididas no tempo. No primeiro experimento, realizado no espaçamento de 1,5x0,7 m (9.523 plantas por hectare), foram avaliados os efeitos de sete doses de N + K2O na proporção 1:1 (0, 200, 400, 600, 800, 1.000 e 1.200 kg ha‑1 por ano), durante oito safras (2001/2002 a 2008/2009). Como o fertilizante utilizado tinha proporção 1:1, para obter a dose utilizada de cada elemento (N ou K2O), deve-se dividir a dose total por dois. O segundo experimento foi conduzido no espaçamento de 2,5x0,6 m (6.666 plantas por hectare), em arranjo fatorial, com cinco doses de N (0, 150, 300, 450 e 600 kg ha‑1 por ano) e cinco doses de K2O (0, 150, 300, 450 e 600 kg ha‑1 por ano), durante seis safras (2005/2006 a 2010/2011). As doses associadas à máxima produtividade de café beneficiado variaram de 424 a 560 kg ha‑1, para N, e de 21 a 338 kg ha‑1, para K2O. A adubação com N reduz os efeitos da bienalidade da produção do cafeeiro, e a adubação com K, em anos de baixa produtividade, favorece a recuperação da produtividade do cafeeiro no ano seguinte.The objective of this work was to evaluate the effect of N and K fertilization on the yield and production bienniality of dense coffee plantations, in a long‑term study. Two experiments were evaluated in the Zona da Mata region of Minas Gerais, Brazil, under a randomized complete block design, split‑plotted in time. In the first experiment, carried out with 1.5x0.7 m spacing (9,523 plants per hectare), the effects of seven doses of N + K2O in the proportion of 1:1 were evaluated (0, 200, 400, 600, 800, 1,000, and 1,200 kg ha‑1 per year) during eight crop seasons (2001/2002 to 2008/2009). Since the fertilizer had 1:1 proportion, in order to obtain the dose for each nutrient (N or K2O), the total dose must be divided by two. The second experiment was done with 2.5x0.6 spacing (6,666 plants per hectare), under a factorial arrangement, with five doses of N (0, 150, 300, 450, and 600 kg ha‑1 per year) and five doses of K2O (0, 150, 300, 450, and 600 kg ha‑1 per year), during six crop seasons (2005/2006 to 2010/2011). The doses related to the maximum yield of processed coffee ranged from 424 to 560 kg ha‑1, for N, and from 21 to 338 kg ha‑1, for K2O. Nitrogen fertilization reduces the effect of production bienniality of coffee plants, and K2O fertilization, in years of low productivity, promotes yield recovery of coffee plants in the next year