La denominada "Escuela de Barcelona"

Tesis Univ. Complutense de Madrid.Depto. de Ciencias de la Comunicación AplicadaFac. de Ciencias de la InformaciónTRUEProQuestpu

La denominada "Escuela de Barcelona"

Tesis Univ. Complutense de Madrid.Depto. de Ciencias de la Comunicación AplicadaFac. de Ciencias de la InformaciónTRUEProQuestpu

Programa de Educación para la Salud sobre Síndrome de Ovario Poliquístico dirigido a las adolescentes

El síndrome de ovario poliquístico (SOP) es la endocrinopatía más común en la mujer, y afecta al 5 – 10 % de las mujeres en edad reproductiva . Es un síndrome heterogéneo, que suele originarse durante el periodo de la adolescencia. Las intensas investigaciones realizadas han contribuido a la expansión de los conocimientos científicos sobre esta misteriosa entidad clínica, que ha evolucionado de una enfermedad ovárica a un trastorno multisistémico, que debe ser considerado como un problema de salud pública. Tras analizar la envergadura actual del problema y su impacto, cabe destacar la relevancia de promocionar estilos de vida saludables y establecer un programa de educación para la salud sobre SOP en adolescentes, ya que en la actualidad carece de la atención que merece. Se debe proclamar la importancia de un seguimiento de las alteraciones menstruales, para poder realizar un diagnóstico temprano de este síndrome

Diseño y análisis EF de una plataforma eléctrica tipo tijera

El presente trabajo tiene como objetivo el diseño conceptual, el cálculo analítico y la simulación en Elementos Finitos (EF) de una plataforma elevadora móvil de personal (PEMP) con estructura extensible tipo tijera, de acuerdo a los criterios establecidos en la Norma UNE-EN 280:2016 en cuanto a cálculos estructurales y de estabilidad.Para lograr este fin, se ha tomado como base un concepto inicial inspirado en modelos comerciales. El objetivo de este primer concepto es tener un diseño base que posteriormente será optimizado, buscando soluciones a los diferentes problemas que se han ido presentando a lo largo de la elaboración de este trabajo. La primera etapa del proceso seguido para la elaboración del presente TFM engloba la determinación de las cargas que actúan sobre la PEMP, de acuerdo con la Norma, el análisis estático de la estructura, los diagramas de sólido libre de los diferentes elementos y por último los diagramas de esfuerzos axiles, cortantes y momentos flectores.La última etapa de desarrollo se centra en el modelado completo de cada una de las piezas que forman la PEMP, mediante el software de diseño CAD 3D SolidWorks y la simulación por EF, mediante el software comercial ANSYS, de los diferentes diseños de las mismas. Los resultados de la simulación EF se comparan con los obtenidos en el análisis analítico, con el fin de validar el modelo EF y a partir de ahí estudiar con más detalle el comportamiento mecánico, en cuanto a tensiones y desplazamientos, del chasis, la estructura extensible y la plataforma de trabajo, finalizando con un estudio de pandeo de la estructura.<br /

Evaluation of the anaesthetic properties and tolerance of 1:100,000 articaine versus 1:100,000 lidocaine. : a comparative study in surgery of the lower third molar

Objectives: To evaluate the anaesthetic properties and tolerance of articaine versus lidocaine at equal vasoconstrictor concentration. Study Design: A total of 96 male and female patients who underwent surgical treatment of the lower third molar participated. Patients were randomly assigned to articaine hydrochloride with epinephrine 1:100,000 and lidocaine hydrochloride with epinephrine 1:100,000. The variables analysed were latency period, duration of anaesthetic effect, tolerance and adverse reactions. Results: Both the latency period and the duration of anaesthetic effect were greater for articaine, although the differences were not statistically significant. Latency: mean difference of 2.70 ± 2.12 minutes (95%CI of -1.51 minutes - 6.92 minutes). Duration: mean difference of -33 minutes 5 seconds ± 31 minutes (95% CI -1 hour 35 minutes - 29 minutes). There were 4 adverse events that did not require the patients to be withdrawn from the study. Conclusions: The anaesthetics in this study have very similar properties for use in surgery and have demonstrated a good safety and tolerability profile. © Medicina Oral

How are information and communication technologies supporting routine outcome monitoring and measurement-based care in psychotherapy? A systematic review

Psychotherapy has proven to be effective for a wide range of mental health problems. However, not all patients respond to the treatment as expected (not-on-track patients). Routine outcome monitoring (ROM) and measurement-based care (MBC), which consist of monitoring patients between appointments and using this data to guide the intervention, have been shown to be particularly useful for these not-on-track patients. Traditionally, though, ROM and MBC have been challenging, due to the difficulties associated with repeated monitoring of patients and providing real-time feedback to therapists. The use of information and communication technologies (ICTs) might help reduce these challenges. Therefore, we systematically reviewed evidence regarding the use of ICTs for ROM and MBC in face-to-face psychological interventions for mental health problems. The search included published and unpublished studies indexed in the electronic databases PubMed, PsycINFO, and SCOPUS. Main search terms were variations of the terms "psychological treatment", "progress monitoring or measurement-based care", and "technology". Eighteen studies met eligibility criteria. In these, ICTs were frequently handheld technologies, such as smartphone apps, tablets, or laptops, which were involved in the whole process (assessment and feedback). Overall, the use of technology for ROM and MBC during psychological interventions was feasible and acceptable. In addition, the use of ICTs was found to be effective, particularly for not-on-track patients, which is consistent with similar non-ICT research. Given the heterogeneity of reviewed studies, more research and replication is needed to obtain robust findings with different technological solutions and to facilitate the generalization of findings to different mental health populations

Masseter and temporalis muscle electromyography findings after lower third molar extraction

Background: The main clinical application of electromyography is to detect abnormalities in muscle function, to assess muscle activity for purposes of recruitment, and in the biomechanics of movement. Objectives: To analyze electromyography (EMG) findings for masticatory muscles during chewing following surgical extraction of lower third molars, and to determine any correlation between pain, inflammation, trismus, and the EMG data registered. Material and Methods: This prospective study included 31 patients. Surface EMG was used to study masseter and temporalis muscle function before lower third molar extraction and 72 hours and seven days after surgery. Clinical variables, pain, inflammation, and trismus were registered before and after surgery. Results: Studying the area and size of the masticatory muscles, higher values were found for temporalis than masseter muscles, regardless of the surgical side, which points to the greater involvement of the temporalis muscle in mastication. Comparing the side where surgery had been performed with the non-surgical side, a sharp and statistically significant reduction in amplitude and area were noted on the surgical side reflecting major functional affectation. One week after surgery, amplitude and area had almost returned to base-line values, indicating almost complete recovery. While pain decreased progressively after surgery, inflammation peaked at 72 hours, while mouth opening reached a minimum at this time, returning to normality within the week. Conclusions: Surgical extraction of lower third molars produces changes to electromyography activity that are more evident during the first hours after surgery and closely related to the intensity of pain suffered and the patient?s inflammatory responses, although they are not related to mouth opening capacity

Examination of the Feynman-Hibbs Approach in the Study of NeN_N-Coronene Clusters at Low Temperatures

Feynman-Hibbs (FH) effective potentials constitute an appealing approach for investigations of many-body systems at thermal equilibrium since they allow us to easily include quantum corrections within standard classical simulations. In this work we apply the FH formulation to the study of Ne$_N$-coronene clusters ($N=$ 1-4, 14) in the 2-14 K temperature range. Quadratic (FH2) and quartic (FH4) contributions to the effective potentials are built upon Ne-Ne and Ne-coronene analytical potentials. In particular, a new corrected expression for the FH4 effective potential is reported. FH2 and FH4 cluster energies and structures -obtained from energy optimization through a basin-hoping algorithm as well as classical Monte Carlo simulations- are reported and compared with reference path integral Monte Carlo calculations. For temperatures $T> 4$ K, both FH2 and FH4 potentials are able to correct the purely classical calculations in a consistent way. However, the FH approach fails at lower temperatures, especially the quartic correction. It is thus crucial to assess the range of applicability of this formulation and, in particular, to apply the FH4 potentials with great caution. A simple model of $N$ isotropic harmonic oscillators allows us to propose a means of estimating the cut-off temperature for the validity of the method, which is found to increase with the number of atoms adsorbed on the coronene molecule

Clinical repercussions and epidemiological considerations of supernumerary canines : a 26 case series

To establish the prevalence of supernumerary canines (SNC) in a sector of the population of Madrid (Spain), as well possible complications associated with this unusual developmental variation. This observational study was performed between 2005 and 2017, among 21,615 patients seeking dental treatment at the Faculty of Dentistry, Complutense University of Madrid (Spain), and at the Virgen de la Paloma Hospital, Madrid (Spain); 22 patients with 26 SNCs were diagnosed. These 22 patients underwent clinical and radiological exploration, registering patient data. SNCs presented a prevalence of 0.10% of the study population. The supernumerary teeth (SNT) were located in the upper maxilla more frequently (61.54%) than the mandible (38.46%). 69.23% were found to be impacted, also causing the impaction of the permanent canine in 53.85% of these cases. In 15.38%, follicular expansion > 3mm was observed. SNCs were associated with other SNT in only four patients. Despite of the fact that the SNCs are usually diagnosed casually in the course of radiological exploration, in the present study over half of them (53.85%) caused impaction of the permanent canine. Early diagnosis allows optimal patient management and treatment planning, with intervention at an appropriate time to prevent complications in development and so reduce later treatment need