Evaluation of the impact of nursing clinics in the rheumatology services

Nursing clinics in rheumatology (NCRs) are organisational care models that provide care centred within the scope of a nurse���s abilities. To analyse the impact of NCR in the rheumatology services, national multicenter observational prospective cohort studied 1-year follow-up, comparing patients attending rheumatology services with and without NCR. NCR was defined by the presence of: (1) office itself; (2) at least one dedicated nurse; and (3) its own appointment schedule. Variables included were (baseline, 6 and 12 months): (a) test to evaluate clinical activity of the disease, research and training, infrastructure of unit and resources of NCR and (b) tests to evaluate socio-demographics, work productivity (WPAI), use of services and treatments and quality of life. A total of 393 rheumatoid arthritis and ankylosing spondylitis patients were included: 181 NCR and 212 not NCR, corresponding to 39 units, 21 with NCR and 18 without NCR (age 53 + 11.8 vs 56 + 13.5 years). Statistically significant differences were found in patients attended in sites without NCR, at some of the visits (baseline, 6 or 12 months), for the following parameters: higher CRP level (5.9 mg/l �� 8.3 vs 4.8 mg/l �� 7.8; p < 0.005), global disease evaluation by the patient (3.6 �� 2.3 vs 3.1 �� 2.4), physician (2.9 �� 2.1 vs 2.3 �� 2.1; p < 0.05), use of primary care consultations (2.7 �� 5.4 vs 1.4 �� 2.3; p < 0.001) and worse work productivity. The presence of NCR in the rheumatology services contributes to improve some clinical outcomes, a lower frequency of primary care consultations and better work productivity of patients with rheumatic diseases.

Balance evaluation in haemophilic preadolescent patients using Nintendo Wii Balance Board��

Introduction: Alterations in the musculoskeletal system, especially in the lower limbs, limit physical activity and affect balance and walking. Postural impairments in haemophilic preteens could increase the risk of bleeding events and deteriorate the physical condition, promoting the progression of haemophilic arthropathy. Aim: This study aims to evaluate static postural balance in haemophilic children, assessed by means of the Wii Balance Board�� (WBB). Methods: Nineteen children with haemophilia and 19 without haemophilia aged 9-10 years, have participated in this study. Postural balance was assessed by performing four tests, each one lasting 15 s: bipodal eyes open (BEO), bipodal eyes closed (BEC), monopodal dominant leg (MD) and monopodal non-dominant leg (MND). Two balance indices, standard deviation of amplitude (SDA) and standard deviation of velocity (SDV) were calculated in the anterior-posterior (AP) and medial-lateral (ML) directions. Results: Index values were higher in haemophilic group and the differences were statistically significant (P < 0.05) in only six (SDAAP in BEO, BEC and MD conditions, SDAML in BEO, SDVAP in BEO and SDVML in MND condition) of 16 parameters analysed. Conclusion: Tests performed indicate a poorer static postural balance in the haemophilic cohort compared to the control group. Accordingly, physiotherapy programmes, physical activity and sports should be designed to improve the postural balance with the aim of preventing joint deterioration and improving quality of life. �� 2016 John Wiley & Sons Ltd.

Inteligencia Emocional y Comunicaci��n: la conciencia corporal como recurso

Los cambios producidos en los procesos de ense��anza��� aprendizaje requieren de los docentes formaci��n competencial que motive a los alumnos para que sean capaces de desarrollarse como personas y realizar aprendizajes significativos a lo largo de toda su vida. En l��nea con este objetivo es necesaria una formaci��n espec��fica del profesorado que promueva el desarrollo de las competencias de tipo emocional. En el contexto educativo, una de las claves del ��xito (la consecuci��n de un proceso de ense��anza���aprendizaje efectivo y de calidad) se encuentra en el modo en el cual se establecen las din��micas interpersonales. Un buen docente es aquel que no s��lo ���sabe���, sino que ���es���. La presencia del docente en el aula, su cercan��a al alumno, su capacidad para gestionar sus emociones, para comunicarse de modo eficaz y empatizar con ��l, son todos ellos aspectos que inciden sin lugar a dudas en el clima de trabajo, en el grado de motivaci��n del alumno, en los resultados de aprendizaje, y claro est��, en su desarrollo personal. Cuando hablamos de aspectos comunicativos, aquellos de tipo no verbal cobran una gran importancia. Los docentes apenas reciben formaci��n de tipo experiencial sobre aspectos relacionados con la presencia del cuerpo y su expresi��n. El conocimiento enactivo a trav��s de un programa de concienciaci��n corporal y comunicaci��n no ���verbal posibilita el desarrollo de competencias intra e interpersonales. Se presentan en este trabajo los resultados preliminares de un programa de formaci��n realizado en este ��mbito con profesores universitarios de distintas ��reas de conocimiento.

Influence of fat percentage, front thigh skinfold and girth on the maximum radial displacement of the dominant rectus femoris

4.171 JCR (2013) Q1, 6/81 Sport sciences

Standardized review of atrial anatomy for cardiac electrophysiologists

2.691 JCR (2013) Q2, 50/125 Cardiac & cardiovascular systems, 51/122 Medicine, research & experimental

Changes in the mechanical characteristics of the knee musculature in professional female volleyball players

The technical efficiency in volleyball is closely related to the ability to perform displacements or jump (1). Therefore, it is necessary that precise, individualized, and localized evaluation of the muscles frequently involved in volleyball practice be studied (2,3). The aim of this study was to analyze the neuromuscular changes of the knee musculature in professional volleyball players using Tensiomyography (TMG) and jump tests.

Blood and urinary abnormalities induced during and after 24-hour continuous running: A case report

In this reported clinical case, a healthy and well-trained male subject [aged 37 years, maximal oxygen uptake (V[Combining Dot Above]O2max) 64 mL��kg��min] ran for 23 hours and 35 minutes covering 160 km (6.7 km/h average running speed). The analysis of hematological and biochemical parameters 3 days before the event, just after termination of exercise, and after 24 and 48 hours of recovery revealed important changes on muscle and liver function, and hemolysis. The analysis of urine sediments showed an increment of red and white blood cells filtrations, compatible with transient nephritis. After 48 hours, most of these alterations were recovered. Physicians and health professionals who monitor such athletic events should be aware that these athletes could exhibit transient symptoms compatible with severe pathologies and diseases, although the genesis of these blood and urinary abnormalities are attributable to transient physiological adaptations rather to pathological status.

Does multiparametric MRI increase Oncologic outcomes in prostate cancer?

The purpose of this study is to compare the 4-year biochemical disease-free survival (BDFS) of patients with prostate cancer (PCa) staged according to multiparametric MRI (mpMRI) and treated with radical prostatectomy (RP) versus intensity-modulated radiation therapy (IMRT) ���76 Gy �� hormonal therapy (HT).