Patterns of Impact Resulting from a 'Sit Less, Move More' Web-Based Program in Sedentary Office Employees

Purpose Encouraging office workers to 'sit less and move more' encompasses two public health priorities. However, there is little evidence on the effectiveness of workplace interventions for reducing sitting, even less about the longer term effects of such interventions and still less on dual-focused interventions. This study assessed the short and mid-term impacts of a workplace web-based intervention (Walk@WorkSpain, W@WS; 2010-11) on self-reported sitting time, step counts and physical risk factors (waist circumference, BMI, blood pressure) for chronic disease. Methods Employees at six Spanish university campuses (n=264; 42 +/- 10 years; 171 female) were randomly assigned by worksite and campus to an Intervention (used W@WS; n=129; 87 female) or a Comparison group (maintained normal behavior; n=135; 84 female). This phased, 19-week program aimed to decrease occupational sitting time through increased incidental movement and short walks. A linear mixed model assessed changes in outcome measures between the baseline, ramping (8 weeks), maintenance (11 weeks) and follow-up (two months) phases for Intervention versus Comparison groups. Results A significant 2 (group) x 2 (program phases) interaction was found for self-reported occupational sitting (F[3]=7.97, p=0.046), daily step counts (F[3]=15.68, p=0.0013) and waist circumference (F[3]=11.67, p=0.0086). The Intervention group decreased minutes of daily occupational sitting while also increasing step counts from baseline (446 +/- 126; 8,862 +/- 2,475) through ramping (+425 +/- 120; 9,345 +/- 2,435), maintenance (+422 +/- 123; 9,638 +/- 3,131) and follow-up (+414 +/- 129; 9,786 +/- 3,205). In the Comparison group, compared to baseline (404 +/- 106), sitting time remained unchanged through ramping and maintenance, but decreased at follow-up (-388 +/- 120), while step counts diminished across all phases. The Intervention group significantly reduced waist circumference by 2.1cms from baseline to follow-up while the Comparison group reduced waist circumference by 1.3cms over the same period. Conclusions W@WSis a feasible and effective evidence-based intervention that can be successfully deployed with sedentary employees to elicit sustained changes on "sitting less and moving more".

O sentido da técnica e a técnica sem sentido: dilemas do ato médico na hipermodernidade

A modernidade caracteriza-se por um período em que ocorreram profundas revoluções em curtos intervalos de tempo. Nela, o mundo analógico foi substituído, gradativamente, pelo digital e o mundo material passou a dividir espaço com a realidade virtual. Inicialmente representada pelo mito prometeico, a modernidade foi tomada pelo impulso fáustico que hoje se traduz no desejo de recriar a condição humana. Os tecnoprofetas da Inteligência Artificial anunciam para breve as maravilhas da pós-humanidade e se ocupam com criação de máquinas espirituais que, acreditam eles, libertarão o homem de sua condição orgânica. Ciente de que a sociedade se organiza em torno da ótica tecnocientífica e de que as inovações alteram significativamente o modo como a maioria dos seres humanos se relaciona com o tempo, com o espaço e com a vida, este estudo discute o modelo de desenvolvimento tecnológico, por entender que ele não mais constitui assunto de domínio exclusivamente técnico, mas, também, de interesse político. Ademais, com vistas a problematizar o que dá sentido à técnica, faz-se uma crítica ao modelo atual, no qual ela, a técnica, subordinada à razão intrumental, funciona como instrumento de alienação e discute as condições necessárias a sua democratização. O estudo começa examinando dois fenômenos considerados determinantes na configuração do cenário atual: o capitalismo cognitivo e a reificação-tecnológica, entendidos como construções monopolizadas pela ótica capital-tecnocientífica. A seguir, faz-se uma análise sobre as noções de técnica, tecnologia e razão técnica e discute-se o impacto do desenvolvimento tecnológico no ato médico. A medicina representa uma atividade de grande valor social para o bem estar humano, embora, nas últimas décadas, venha enfrentando uma quebra no vínculo de confiança entre médicos e pacientes, além de uma crise na identidade desse profissional que hoje enfrenta dificuldades para preservar sua autonomia, face ao mercado das novas tecnologias e estratégias de gestão. Nesse contexto, surgem novas questões a serem elaboradas e a serem respondidas por diferentes atores e áreas de conhecimento da sociedade que desejem contribuir com reflexões e propostas que façam frente aos problemas específicos de nosso tempo. O trabalho sugere, ainda, que noções como Vontade - no sentido arendtiano, ou como o Olhar atento - Josep Esquiról e como Habilidade artesanal - Richard Sennett, podem nos ajudar a compreender as incumbências de uma re-orientação ética, se quisermos construir um diálogo com a razão tecnocientífica em prol da liberdade humana.

Using a brief questionnaire to assess the overall perception of basketball spectators

Purpose – The purpose of this paper is twofold. The first aim is to obtain a valid and reliable instrument for the holistic analysis of sporting events, and the second is to test a causal model in which future intentions depend on spectators’ perceptions of quality, satisfaction, and value of these events. Design/methodology/approach – A total of 493 spectators of a professional basketball team in the Spanish ACB league responded to a survey to measure the overall performance of the sporting event service. Exploratory factor analysis and further confirmatory factor analysis using structural equation models provides the methodology for testing the reliability and validity of the instrument. Findings – The scales have adequate reliability and validity indices. The path model explains 35.8 percent of the variance in future intentions, 54.0 percent in perceived value, and 49.5 percent in spectators’ satisfaction. Quality proves a better predictor of perceived value than satisfaction. Both perceived value and satisfaction have a similar weight in predicting spectators’ future intentions. The data indicate that quality has an effect on spectators’ future intentions, by altering their perceptions of value and satisfaction. Research limitations/implications – The research findings are somewhat limited, due to the sample consisting entirely of spectators of a single team in the Spanish ACB league. Practical implications – Managers can use these findings to develop loyalty strategies by creating service value and increasing spectators’ satisfaction through quality improvements. Originality/value – This study contributes to the literature on service quality by providing an overall measure to assess service in professional sporting events in a Latin-American context.

El sistema tutorial AgentGeom y su contribución a la mejora de las competencias de los alumnos en la resolución de problemas de matemáticas

En esta comunicación presentamos el sistema tutorial inteligente, al que hemos llamado AGENTGEOM, y analizamos cómo interactúa con un alumno en la resolución de un problema que compara áreas de superficies planas. En esta interacción, el alumno llega a apropiarse de habilidades estratégicas y argumentativas en la resolución de problemas. Observaremos que estas apropiaciones son consecuencia de las formas de comunicación alumno-AGENTGEOM, en las que se combinan construcciones gráficas y sentencias escritas que siguen las normas del lenguaje matemático, y la emisión de mensajes escritos en lenguaje natural.

Aportaciones de la Teoría Antropológica de lo Didáctico a la formación del profesorado de matemáticas de secundaria

Distinguiremos tres contribuciones de la Teoría Antropológica de lo didáctico a la formación del profesorado de secundaria: la manera de plantear el problema de la formación y delimitar el ámbito empírico en el que éste debe situarse y abordarse; la propuesta y experimentación de dispositivos de formación; y, finalmente, la puesta en evidencia de fenómenos que inciden en el desarrollo de esta formación dificultándola o facilitándola. Los resultados obtenidos durante estos últimos años con experiencias concretas de formación del profesorado de matemáticas de secundaria ponen de manifiesto algunas dolencias que no parecen poder remediarse sin una cooperación estrecha entre la propia formación, la investigación en didáctica de las matemáticas y este ente todavía desdibujado que es la profesión de profesor de matemáticas.

El problema de la Educación Matemática y la doble ruptura de la Didáctica de las Matemáticas

Este trabajo se estructura en torno a la evolución (no histórica)del problema de la Educación Matemática. Una vez constatado el fracaso de la respuesta pedagógica a dicho problema, surge la Didáctica de las Matemáticas que lo aborda tomando en consideración, de manera integrada, "lo matemático" y "lo pedagógico", lo que provoca una doble ruptura: con la Pedagogía y con los modelos epistemológicos ingenuos, transparentes e incuestionables del conociminento matemático. En la segunda parte del trabajo se esquematizan muy brevemente las respuestas que proporcionan a dicho problema los dos principales Programas de Investigación en Didáctica de las Matemáticas: el Programa Cognitivo y el Programa Epistemológico.

Geometría sintética en la ESO y analítica en el bachillerato. ¿Dos mundos completamente separados?

En este trabajo pretendemos mostrar que la presunta alternativa entre geometría sintética y geometría analítica es, en realidad, una falsa alternativa fruto de un análisis epistemológico superficial. Proponemos una forma de conectar, en la enseñanza de la geometría en secundaria, las técnicas sintéticas con las analíticas a fin de poner de manifiesto su complementariedad.

Datos sobre la vegetación de la Isla Mayor del Mar Menor (Murcia)

La comunidad arbustiva Chamaeropo-Rhamnetum lycioidis withanietosum frutescentis es probablemente la clímax de esta pequeña isla litoral. Se describe también una subasociación nitrófila, pobre y degradada subas. lycietosum intricati.

Sobre los prados de Festuca paniculata subsp. spadicea

Se comentan la estructura y la ecología de los prados de Festuca paniculata subsp. spadicea planta que en los Pirineos halla su óptimo en las solanas de los pisos montano superior y subalpino, sobre terrenos calizos.

Las comunidades del orden Molinietalia caeruleae en los Pirineos

Revisión y breve comentario de las diferentes asociaciones y subasociaciones del orden Molinietalia caeruleae reconocidas hasta ahora en los Pirineos catalanes. Se hace referencia a 10 asociaciones distintas, correspondientes a las alianzas Filipendulion (1 asociación), Calthion palustris (3 asociaciones), Juncion acutiflori (2) y Molinion caeruleae (4), dos de las cuales -Carici (pallescentis)-Molinietum y Epipactidi-Molinietum- se proponen aquí como nuevas. Una tabla sintética en la que figuran, para cada especie, los tantos por ciento de presencia y los coeficientes dc recubrimiento, resume la composición floristica de las d¡versas comunidades.

La vegetación de la clase Epilobietea angustifolii

Dentro de la vegetación de los claros de bosques húmedos (clase Epilobietea angustifolii) en los Pirineos catalanes distinguimos básicamente tres asociaciones: Epilobietum montani-angustifolii as. nova, ampliamente extendida por todo el territorio, aunque a menudo bastante pobre floristicamente; Atropetum belladonnae (Br.-Bl. 1930) Tx. 1950, más bien esporádica y a menudo fragmentaria, y Sambuco-Rubetum idaei O. de Bolós 1979, dentro del que se reconocen dos subasociaciones, rubetosum glandulosi (= typicum), limitada a los valles más occidentales y de carácter más o menos atlántico, y rubetosum idaei nova, de área más general y de ambientes relativamente secos.

Art as an educative and social tool

Since remote times, certain sectors of society have been exposed to inequality and vulnerability, where adequate intervention processes have become conspicuous because of their absence. Nowadays, current societies have the responsibility of contributing, based on their experience and knowledge, with more efficient policies and programs that improve the life quality of the most disadvantaged. It is here where art and its different tools play a very important role, not only on a physical level, but also as an education tool that allows the development of emotional, mental and communicative skills. The aim of this paper is to make clear the potential of art as an instrument of social and educational intervention. It starts by showing worldwide-collected experience related to education and arts, and then, it acquaints the reader with two parallel intervention projects that worked with youths under social vulnerability conditions. These interventions were developed based on a qualitative research (Grounded theory), using as methodology “The Artistic Mediation” with emphasis on body language. This methodology helped researchers to get close to the participants and to know their experiences and emotions. At the same time, it was possible to evidence the positive effects of educative interventions through art. These workshops were based on an artistic methodology especially focused on body language. Data in this work is qualitative, and as such, it permits a special approach to the personal and emotional experiences of the participants; clearly showing the positive effects of the referenced practice on them.

La evolución de destinos turísticos litorales consolidados. Análisis comparado de Balneario Camnoriú (Brasil) y Benidorm (España)

El objetivo de este trabajo consiste en estudiar la evolución de los destinos turísticos litorales consolidados a partir del análisis comparado entre Balneario Camboriú y Benidorm. Se trata de dos destinos localizados en contextos territoriales y turísticos diferentes, en los que se contrastan de manera empírica los indicadores de evolución de los destinos y se vinculan las dinámicas evolutivas con el modelo territorial-turístico resultante en cada destino. El análisis realizado permite contrastar los postulados de los modelos evolutivos clásicos (Butler, 1980) e incorporar los nuevos planteamientos de la geografía económica evolutiva. La investigación delimita cronológicamente los periodos de desarrollo de ambos destinos para identificar los factores con mayor incidencia en la evolución de los mismos. Una evolución marcada, fundamentalmente, por la ubicación geográfica, la planificación y gestión urbanoturística a diferentes escalas, la dependencia de determinados mercados emisores y la influencia de factores macroeconómicos. Un conjunto de factores interrelacionados que dibujan trayectorias dispares para los destinos analizados.

Gaze and power. A post-structuralist interpretation on Perseus’ myth

Gaze hierarchizes, manages and labels reality. Then, according to Foucault, gaze can be understood as a practice of power. This paper is inspired by his theories, and it applies them to one of the most powerful symbolic spheres of Western culture: Greek Myths. Notions such as visibility, invisibility and panopticism bring new light into the story of Perseus and Medusa, and they enable a re-reading of this Myth focused on the different ways of power that emerge from the gaze.

A Randomized, Double-Blind, Dose-Finding, Multicenter, Phase 2 Study of Radium Chloride (Ra 223) in Patients with Bone Metastases and Castration-Resistant Prostate Cancer

BACKGROUND: Patients with castration-resistant prostate cancer (CRPC) and bone metastases have an unmet clinical need for effective treatments that improve quality of life and survival with a favorable safety profile. OBJECTIVE: To prospectively evaluate the efficacy and safety of three different doses of radium chloride (Ra 223) in patients with CRPC and bone metastases. DESIGN, SETTING, AND PARTICIPANTS: In this phase 2 double-blind multicenter study, 122 patients were randomized to receive three injections of Ra 223 at 6-wk intervals, at doses of 25 kBq/kg (n=41), 50 kBq/kg (n=39), or 80 kBq/kg (n=42). The study compared the proportion of patients in each dose group who had a confirmed decrease of =50% in baseline prostate-specific antigen (PSA) levels. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Efficacy was evaluated using blood samples to measure PSA and other tumor markers, recorded skeletal-related events, and pain assessments. Safety was evaluated using adverse events (AEs), physical examination, and clinical laboratory tests. The Jonckheere-Terpstra test assessed trends between groups. RESULTS AND LIMITATIONS: The study met its primary end point with a statistically significant dose-response relationship in confirmed =50% PSA declines for no patients (0%) in the 25-kBq/kg dose group, two patients (6%) in the 50-kBq/kg dose group, and five patients (13%) in the 80-kBq/kg dose group (p=0.0297). A =50% decrease in bone alkaline phosphatase levels was identified in six patients (16%), 24 patients (67%), and 25 patients (66%) in the 25-, 50-, and 80-kBq/kg dose groups, respectively (p