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La orientación profesional es desconocida para el alumnado universitario y su profesorado es reticente a ofrecerla, pese a que los perfiles profesionales asociados al Grado de Publicidad y Relaciones Públicas -RRPP- se han transformado en los últimos años por la influencia de la tecnología. Esta investigación analiza la perspectiva de dichos estudiantes con el objetivo de ofrecerles una herramienta a través de la creación de una aplicación visual e interactiva que canalice las habilidades, competencias e intereses de los alumnos hacia una salida profesional específica y adecúe sus preferencias vocacionales y las integre en su desarrollo personal, educativo, social y laboral. Partiendo del modelo de Investigación Basada en el Diseño (IBD), la metodología incluye una encuesta al alumnado sobre el estado de su orientación profesional y un análisis del contenido de las ofertas de empleo del portal especializado domestika.org. Por último, en base al diagnóstico previo, se propone el desarrollo de una app de orientación profesional, evaluada a través de focus groups y eye-tracking. Los resultados revelan que el 71,90% del alumnado no sabe a qué desea dedicarse profesionalmente y el 87,72% considera que no ha contado con orientación profesional, lo cual pone de manifiesto la importancia de implementar más y mejores recursos en esa línea. Aspiran principalmente a perfiles creativos, siendo residual la preferencia por perfiles de marketing digital por su precariedad, pese al mayor número de ofertas. La app GoalPro (https://goalpro.ucmbrandlab.com) se ha desarrollado para orientar profesionalmente a los estudiantes de manera autónoma.

In recent years we have witnessed a great deal of media interest in climate change, echoing the growing public concern about a complex phenomenon with daunting consequences. This pa­per examines the impact of concepts such as “eco-anxiety” and “solastal­gia” in the Spanish and Latin American written and digital press. These neolo­gisms attempt to explain the emotion­al effects of climate change on men­tal health. Between 2015 and 2019 the words “solastalgia” and “Nature Deficit Disorder (NDD)” slowly made their way into the media, until 2019, when the term “eco-anxiety” became relatively successful in the newspapers. In addition to analysing the factors in­volved in the birth and evolution of this concept, the study describes the most frequently cited emotions, such as fear, anguish, stress, sadness and guilt. The results obtained indicate, on the one hand, that eco-anxiety is still a vague idea and not very present in the media, too often linked to negative emotions, in contradiction of clinical psycholo­gy advice. Meanwhile, emotions such as anger or indignation, which would enable a collective response to climate change, are often neglected.

A la vez que el consenso sobre el cambio climático se ha ido trasladando del ámbito científico a la opinión pública, los argumentos escépticos y negacionistas parecen haberse moderado y adoptan estrategias más sutiles. Sin embargo, pocos trabajos analizan estos discursos a partir de un número relevante de contenidos periodísticos. Este estudio analiza los argumentos escépticos y negacionistas en la prensa española entre 2015 y 2021 con una muestra final de 147 artículos seleccionados a partir de una técnica de búsqueda agregada de conceptos clave en Factiva. Los resultados señalan que el eje argumental es prioritariamente ideológico y que el científico es antes un recurso argumentativo que un eje. Sin embargo, el eje económico dirige principalmente el posicionamiento escéptico sobre las medidas a adoptar ante el cambio climático. Por último, las ideas de verdad y libertad funcionarían como vectores argumentativos del discurso escéptico ante el cambio climático.

A comienzos de los años sesenta algunos locutores se atrevieron a derribar unas barreras musicales y radiofónicas que habían durado veinte años en nuestro país, convirtiéndose en los adalides del rok & roll y el pop y creando nuevas formas de comunicación radiofónica. Mediante el análisis de contenido, la revisión documental, la entrevista en profundidad y el método histórico, se podrá averiguar que fueron el chileno Raúl Matas y el radio de vuelo Ángel Álvarez los más influyentes locutores musicales de este periodo. Analizando su figura y la de su más importante predecesor, Ernesto Lacalle, podremos entender cuán relevantes fueron estas personalidades para la historia de la radio musical y qué legado posterior nos dejaron.

El objetivo principal del presente estudio ha sido analizar las características de la representación del virus SARS-CoV-2 en los informativos de las televisiones españolas y su evolución, así como su relación con las imágenes científicas en las que se han basado. Para ello se ha estudiado una muestra de imágenes de los informativos de cuatro cadenas (RTVE, Antena TV, La Sexta y Cuatro) en 2020 y 2021, en las que la imagen del virus estuviera presente en los fondos de los informativos. Asimismo, se han analizado las imágenes del SARS-CoV-2 publicadas en las páginas web de dos instituciones científicas, el CDC y el NIAID. Los resultados muestran las televisiones siguen utilizando predominantemente imágenes en 3D y se observa una tendencia al uso de un único virión. Asimismo, se constata una convergencia funcional entre imágenes científicas y mediáticas, que se refleja en la manipulación cromática de los registros técnicos obtenidos por microscopía electrónica, por parte de los creadores de las primeras. El estudio contribuye a la investigación sobre el imaginario visual de las pandemias, así como a demostrar los límites cada vez más difusos entre imágenes científicas y comunicativas.

Spanish media has definitely joined branded content, one of the main journalistic trends (Palau-Sampio's, 2021). This research analyzes the way in which Spanish print newspapers indicate that we are in front of a branded content case when reading a climate change-related news item. For this purpose, 87 branded content news published in 36 Spanish newspapers have been analyzed. The number of different formulas used to indicate that a content is sponsored is striking. The result of this diversification strategy could be increased bewilderment among readers, who are confronted with different formulas even in the same newspaper. Although these newspapers are obliged to follow clear rules on the visibility and identification of branded content, each newspaper ends up choosing how to do it. In many cases, the consumer will have to find out if the news is branded content, as in many occasions this fact may go unnoticed.

Las series de televisión se han convertido en un producto especialmente atractivo entre los jóvenes y una fuente de proyección de valores, arquetipos y estilos de vida, también en lo que se refiere al mundo profesional. Entre la literatura analizada, se echa en falta un mayor desarrollo de metodologías específicas para el estudio de los roles profesionales en las series de televisión, dada la importancia que dichos perfiles podrían tener en la elección que hacen los jóvenes tanto de sus estudios como de su futuro profesional. Así, este trabajo propone una metodología, originada inicialmente con el estudio de los roles profesionales del área de la comunicación sobre las series de televisión mejor valoradas en el portal web IMDb, pero que es extrapolable a otras investigaciones sobre roles profesionales en contenidos audiovisuales. Para ello, se analizan varios enfoques metodológicos y los distintos matices necesarios para afinar las herramientas y métodos necesarios en una investigación de este tipo.

Introducción: Los medios de comunicación tradicionales están desempeñando en España un papel destacado en la cobertura informativa de la COVID-19. Objetivo: Estudiar las representaciones del virión del SARSCovid-2 en los informativos de televisión y prensa, las motivaciones que subyacen en su diseño y su relación con las imágenes científicas del mismo. Metodología: Se ha utilizado una metodología mixta cualitativa-cuantitativa con entrevistas a expertos y análisis mediante el estadístico Chi-cuadrado de sendas muestras de 1.732 noticias, extraídas de la versión impresa de 19 diarios españoles, y de 121 representaciones del virión en 37 programas informativos de televisión. Resultados: Un 36,02% de las imágenes de la prensa en papel son ilustraciones científicas, mientras que en los informativos de TV sólo un 11,57%. Conclusiones: Se demuestra que la prensa ha sido más fiel a las imágenes científicas que los informativos televisivos. Las principales cadenas utilizan en sus informativos ilustraciones en 3D del virión donde frecuentemente destacan espículas alargadas terminadas en tentáculos, lo que responde a una motivación estética y de atraer la atención del espectador.

El flat design es una tendencia que nace del diseño web y que combina funcionalidad y estética, simplificando formas y colores para favorecer el recuerdo. Esta investigación analiza la percepción cognitiva que los jóvenes tienen hacia las marcas automovilísticas en términos de recuerdo y representación y el papel que el diseño plano desempeña. Para ello, se ha utilizado una herramienta de dibujo online para recopilar 45 dibujos realizados por estudiantes universitarios de entre 20 y 30 años pertenecientes a diferentes grados y de distintas universidades españolas. Los resultados corroboran que las marcas gráficas más representadas fueron las más sencillas gráficamente. Flat design is a new trend born from web design. It combines aesthetics with functionality with the goal to improve how people remember the graphics through the simplification of the shapes and colors. This research analyzes how this trend influences the cognitive perception that youngsters have towards the car logos. This research leveraged an online drawing tool to compile 45 drawings made by university scholars between 20 and 30 years old. All of them were Spanish and were studying biological science, health, social science and arts. Results show that the graphic marks that were better represented were those graphically simplest.

The COVID-19 pandemic continues to spread rapidly across the globe, and yet media coverage of the pandemic has decreased since the initial flurry of attention received during the beginning of the crisis in early 2020. Despite this decrease, public attention to the COVID-19 pandemic remains high, relative to the public’s attention to other issues, and appears to have largely been supplanted and displaced rather than combined and connected with the attention paid to climate change and other societal challenges. Connections between COVID-19 and climate change, among many intersectional challenges, are varied and complex, and merit further attention in the public sphere.

espanolLas ciudades europeas estan sufriendo en los ultimos anos intensas olas de calor, favorecidas por el cambio climatico. La ciudad es a la vez uno de los grandes contribuyentes a las emisiones de gases de efecto invernadero, pero tambien un espacio clave para la adaptacion y mitigacion del cambio climatico. Este estudio aborda de que forma las ciudades europeas son representadas en 393 noticias periodisticas sobre las olas de calor sufridas durante los meses de junio de 2017 y 2019. Para ello se analiza la cobertura de 19 periodicos de Francia, Reino Unido, Italia, Portugal y Espana. Los resultados senalan que el pais es la variable mas determinante en la rigurosidad y profundidad del tratamiento periodistico, seguido por la orientacion ideologica, la seccion del medio y la autoria. Las noticias sobre las olas de calor en las ciudades europeas que tratan aspectos tecnicos como el efecto Isla de Calor Urbana son las que mejor abordan las medidas estructurales de adaptacion y mitigacion. EnglishIn recent years, European cities have suffered from intense heatwaves which have been exacerbated by climate change. The city is not only one of the major contributors to greenhouse gas emissions but also an important agent for climate change adaptation and mitigation. This study analyses how European cities are represented in 393 news items about the heatwaves suffered in the months of June 2017 and 2019. We analyse the coverage of 19 newspapers in France, the United Kingdom, Italy, Portugal and Spain. The results show the country to be the most decisive variable in the rigour and depth of journalistic coverage, followed by ideological orientation, media section and authorship. News items about heatwaves in European cities that deal with technical aspects such as the Urban Heat Island effect are those that best address structural adaptation and mitigation measures.

¡Jóvenes, venid a la Bauhaus!

Resumen El sindrome del martillo hipotenar es una infrecuente lesion de la arteria cubital a su paso por el canal de Guyon relacionada con los traumatismos repetitivos. Su diagnostico requiere un elevado indice de sospecha y una adecuada historia clinica. Su tratamiento no esta bien definido en la literatura, y va desde tratamiento medico hasta cirugia reconstructiva. Presentamos el caso de un varon de 52 anos con parestesias de los dedos cuarto y quinto tras un traumatismo en la eminencia hipotenar. En el test de Allen destaco la ausencia de vascularizacion por parte de la arteria cubital, por lo que se sospecho una trombosis de la arteria que se confirmo mediante angiorresonancia. Se realizo reseccion del fragmento trombosado y bypass con una vena antebraquial para reconstruir el flujo distal. Presento una evolucion satisfactoria a los 6 meses de seguimiento.

Hypothenar hammer syndrome is an uncommon injury of the ulnar artery in its passage through Guyon's canal, and has been associated with repetitive trauma. Its diagnosis requires of a high level of suspicion and a careful clinical interview. The appropriate treatment is not well defined in the literature, ranging widely from medical treatment to reconstructive surgery. A clinical case is presented of a 52 year-old healthy male, who presented with numbness of his fourth and fifth fingers after a trauma at the hypothenar eminence. The Allen test highlighted an absence of vascularisation from the ulnar artery, thus suspecting an ulnar artery thrombosis, which was later confirmed by angio-MRI. The thrombosed segment was resected and a by-pass with a forearm vein was performed to reconstruct the distal arterial flow, presenting with a good functional outcome at 6months follow-up.

Our purpose was to review the clinical usefulness of the scratch collapse test (SCT) in the diagnosis of proximal entrapment of the median nerve in the forearm. Eighteen consecutive cases were reviewed. The diagnosis was based on the patient’s symptoms and signs. The SCT was positive in the affected forearm in all clinical assessments before surgery and it was negative in all after median nerve release. An anatomical reason for nerve compression was identified in all cases at operation. The SCT is a useful tool for the diagnosis of the proximal entrapment of the median nerve. Level of evidence: IV

Purpose To study the time to wound healing and recurrence rate achieved in the treatment of distal interphalangeal joint mucous cysts using the Zitelli modified bilobed flap. Methods We surgically treated 33 patients from January 2006 to June 2015. We assessed demographic data, comorbidities, location and size of the cyst, time to wound healing, and complications. Results The most affected finger was the right middle finger. All flaps survived and wounds healed in 14 days on average. The mucous cyst recurred in 1 of 33 cases. There were no major complications. Conclusions The Zitelli bilobed flap can provide good-quality skin coverage over the distal interphalangeal joint in a short period. Type of study/level of evidence Therapeutic IV.

Fracture-dislocations of the tarsal navicular are rare and highly complex injuries to the midfoot. The only published data on this type of fracture are clinical case reports. These injuries are normally caused by high-energy trauma, and their pathophysiology and most appropriate treatment remain unclear. We report a clinical case of a dorsal fracture-dislocation of the tarsal navicular bone associated with a medial swivel dislocation of the Chopart joint caused by a bicycle fall in a 20-year-old healthy man. Open reduction and percutaneous pinning in a novel arrangement was performed, with an excellent outcome 18 months after the injury.

Sólo en una tercera parte de los trabajos empíricos sobre comunicación realizados en España es posible identificar algún procedimiento metodológico estandarizado (Martínez y Saperas Lapiedra, 2011). Y aún cuando en la investigación española se habla de metodología, la confusión se mantiene. Es demasiado frecuente presentar unas herramientas de análisis o de muestreo específicas como si fueran en sí mismas la metodología de la investigación. De la misma forma que se confunde en ocasiones el análisis de discurso, la entrevista en profundidad o el grupo focal con el diseño metodológico de tipo cualitativo, el muestreo con aspiración de representatividad se instaura como símbolo inequívoco del correcto diseño de corte cuantitativo, hasta el punto de pretender sustituir dicho diseño. En realidad, el muestreo sólo es una parte del proceso metodológico y de nada sirve si no funciona bajo un diseño previo del mismo y, ni siquiera cuando está bien realizado en el sentido técnico y se logra una muestra representativa, podemos asegurar que cumpla el objetivo para el que fue utilizado. Por tanto, y a pesar de los distintos enfoques existentes sobre el papel que en la investigación debe tener el diseño metodológico, parece evidente que las herramientas o técnicas específicas son instrumentos que sólo funcionan cuando el propio diseño metodológico así lo pide. Poner en valor el papel de una fase de diseño metodológico es, en realidad, conectar con el problema epistemológico a resolver.

Background Ulnar carpometacarpal (CMC) joint dislocations and fracture–dislocations are uncommon injuries that are often overlooked. Most authors advocate surgical stabilization in order to prevent a secondary dislocation assuming that these injuries are inherently unstable. Case Description This is a series of eight ulnar CMC joint dislocations and fracture–dislocations treated by closed reduction and splint immobilization after assessing the joint stability. Mean follow-up was 30.2 months, and minimum follow-up was 12 months. Satisfactory results were obtained in range of motion, grip strength, pain, DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire, and time to return to working activities. In the same period, the closed reduction and cast failed two (20%) cases that were referred for surgery. Literature Review There is little published literature on the nonoperative treatment of these injuries. Most of them are isolated case reports, whereas the largest series reports four cases. All of them have reported satisfactory results. Clinical Relevance Based on our results, we believe that if the diagnosis of an ulnar CMC joint dislocation or fracture–dislocation is early accomplished and a concentric and stable reduction is initially achieved, the nonoperative treatment may be a successful option to take into account but requiring a close follow-up for the first week.

The academic major of community manager is scarcely present in the curricula of Communication degrees, despite the growing importance of social media as a source of employment and the fact that 75% of the job offers that include community manager tasks have a profile that is exclusive and different from those of other jobs in the digital area. Based on a sample of 731 employment offers with community manager tasks published in domestika.org, the main job portal specializing in this sector, an analysis of this professional profile has been made during the decade 2009-2018. The management of social media is no longer the sole domain of programmers and web designers. In fact, this position has experienced a transformation into a professional Communication profile, and each year more competencies and skills are demanded of the community manager, yet within a context of greater job instability. Furthermore, this position seems to be evolving toward the management of influencers.

Background: Management and indications for surgery in the tetraplegic patient are highly complex because of the substantial functional deficits that they present and their effect on their daily activity. Our purpose was to evaluate the functional outcome in tetraplegic patients who underwent biceps-to-triceps transfer surgery according to Zancolli’s modified technique. Methods: This is a retrospective study of 6 biceps-to-triceps transfers using Zancolli’s modified technique in 4 patients. Mean follow-up was 45 months. We evaluated each patient’s DASH (Disabilities of the Arm, Shoulder and Hand) score before surgery and 12 months later. Results: In the 6 arms that underwent surgery, full and active elbow extension against gravity at 12 months after surgery was achieved. The mean DASH score was 73.2 preoperatively and 20.8 twelve months postoperatively. One complication occurred. One patient reported loss of elbow flexion preventing thigh lift for transfers. This was resolved with a program of rehabilitation and specific muscle strengthening Conclusions: Zancolli’s modified technique is simple and effective, with few complications, whereby we can provide more autonomy for the tetraplegic patient.

Objectives The aim of this study is to analyse the outcomes of the surgical treatment of metacarpophalangeal stiffness by dorsal teno-arthrolysis in our centre, and present a review the literature. Material and methods This is a retrospective study of 21 cases of metacarpophalangeal stiffness treated surgically. Dorsal teno-arthrolysis was carried out on all patients. A rehabilitation programme was started ten days after surgery. An evaluation was performed on the aetiology, variation in pre- and post-operative active mobility, complications, DASH questionnaire, and a subjective satisfaction questionnaire. Results The mean age of the patients was 36.5 years and the mean follow-up was 6.5 years. Of the 21 cases, the most common cause was a metacarpal fracture (52.4%), followed by complex trauma of the forearm (19%). Improvement in active mobility was 30.5°, despite obtaining an intra-operative mobility 0–90° in 80% of cases. Mean DASH questionnaire score was 36.9 points. The outcome was described as excellent in 10% of our patients, good in 30%, poor in 40%, and bad in the remaining 20%. There was a complex regional pain syndrome in 9.5% of cases, and intrinsic muscle injury in 14.3%. Conclusion Because of its difficult management and poor outcomes, surgical treatment of metacarpophalangeal stiffness in extension is highly complex, with dorsal teno-arthrolysis being a reproducible technique according to our results, and the results reported in the literature.

Resumen Objetivo Analizar los resultados obtenidos en el tratamiento quirurgico de la rigidez metacarpofalangica en extension mediante tenoartrolisis dorsal en nuestro centro y revisar la literatura al respecto. Material y metodo Estudio retrospectivo de 21 rigideces metacarpofalangicas intervenidas. En todos los pacientes se realizo tenoartrolisis dorsal de forma ambulatoria, comenzando la rehabilitacion a los diez dias postoperatorios. Se registro etiologia, variacion de la movilidad activa tras la cirugia, complicaciones, cuestionario DASH y una encuesta de satisfaccion con el resultado. Resultados El seguimiento medio fue de 6,5 anos y la edad media de 36,5 anos. La causa mas frecuente fue la fractura de un metacarpiano (52,4%) seguida de los traumatismos complejos de antebrazo (19%). A final del seguimiento la mejoria en la movilidad activa fue de 30,5° pese a obtener una movilidad intraoperatoria de 0-90° en mas del 80% de los casos. En el cuestionario DASH la puntuacion media fue de 36,9, calificando el resultado como excelente el 10% de nuestros pacientes, bueno el 30%, regular el 40% y malo el 20% restante. En el 9,5% de los casos se produjo un sindrome de dolor regional complejo y en el 14,3% lesion de la musculatura intrinseca. Conclusion Por su dificil abordaje y pobres resultados, el tratamiento quirurgico de la rigidez metacarpofalangica en extension es de gran dificultad mostrandose la tenoartrolisis dorsal como una tecnica reproducible en relacion con nuestros resultados y a los resultados publicados en la literatura.

Objetives In the treatment of anterior shoulder instability there are have been described many surgical techniques, all of them with advantages and disadvantages. Our goal is to study the half term results on patients that underwent open Bristow-Latarjet surgery considering the preoperative ISIS value. Method This is a retrospective study of 33 patients that underwent open Bristow-Latarjet surgery in our center between 2005 and 2012. Average age of 33 (21-68) years and follow up of 6 (2-9) years. Results were taken by Rowe and Constant scores, DASH questionnaire and we also recorded a subjective assessment of the result by each patient. Results No recurrence was reported. No reoperations. Mean Rowe score was 74.6 (15-100) points and mean Constant score was 70 (32-98) points. In the disability questionnaire (DASH), the mean value was 22.9 (0-73) points. Seventy-nine percent of patients were satisfied with surgery result. The migration of a screw occurred in one patient Conclusions We believe that Bristow-Latarjet technique is a reliable technique, with few complications and with an low rate of recurrence in treatment of chronic shoulder instability as reported in literature. We believe, therefore, that it should be used as primary surgery in some cases and the preoperative ISIS is an excellent and simple guide to select correctly the surgical technique for each patient.

Pacinian corpuscles are rapidly adapting mechanoreceptors mainly distributed in the dermis of the fingers and palm of the hand. A neuroma of the Pacinian corpuscle is a rare and extremely painful condition with a few cases reported in the literature, most of them, associated with local or repetitive trauma. We present a 71-year-old man with history of pain and swelling on his left index without history of previous trauma initially diagnosed as tenosynovitis resistant to conservative treatment in which we observed, directly in the subcutaneous plane, spherical, gray and in clusters lesions closer to the collateral nerve which were described by the pathological study as neuroma of the Pacinian corpuscles.

espanolMas de cien anos despues de la publicacion de De lo espiritual en el arte y justo en el primer centenario de la Bauhaus, este estudio recupera el cuestionario sobre las correspondencias forma-color de Vasili Kandinsky para aplicarlo a estudiantes universitarios en los tres grados en el area de comunicacion de la Facultad de Ciencias de la informacion de la Universidad Complutense de Madrid durante el curso 2018-2019. Un alumnado sensible al desarrollo de las ideas esteticas y a la cultura visual pero sin una formacion especifica en teoria del color. Para ello se adapto el cuestionario de Kandinsky de 1923 a soporte digital y se conto con una muestra de 357 personas en total. El resultado de este estudio, en linea con otras experiencias similares previas, ofrece unas correspondencias que difieren de manera significativa con las de Kandinsky. En este sentido, los resultados muestran unas correspondencias mas influidas por la iconosfera de nuestra actual cultura visual que por una educacion artistica especifica o un conocimiento profundo sobre teoria del color o historia del diseno. EnglishMore than a hundred years after the publication of Concerning the Spiritual in Art and just in the first centenary of the Bauhaus, this study retrieves the questionnaire about the interrelation between colour and form of Vasili Kandinsky. This test has been applied to university students in the three communication degrees of ​​the Media & Communication Science Faculty at the Complutense University of Madrid during the 2018-2019 academic year. A student body sensitive to the development of aesthetic ideas and visual culture but without specific training in colour theory. To this end, the Kandinsky questionnaire of 1923 was adapted to digital support and a sample of 357 people was included. The result of this study, in line with previous similar experiences, offers interrelations that differ significantly with those of Kandinsky. The results show some correspondences more influenced by the iconosphere of our current visual culture than by a specific artistic education or a deep knowledge about colour theory or design history.

Purpose To assess the clinical and functional outcomes of proximal interphalangeal (PIP) joint denervation using a volar approach in the treatment of PIP joint osteoarthritis. Methods We retrospectively reviewed 11 cases treated from June 2007 to June 2016. The patients were identified and outcomes collected through a single institution’s registry, collecting demographic data, comorbidities, preoperative and postoperative visual analog scale (VAS) for pain, and Disorders of the Arm, Shoulder, and Hand (DASH) questionnaire. Results The ring finger was the most commonly treated. The VAS for pain improved from 7.8 to 1.4, and the DASH questionnaire improved from 43.6 to 8.7. The PIP joint active range of motion also improved from 52° to 79°. Two patients reported postoperative digital paresthesia that resolved spontaneously. There were no major complications. Conclusions Proximal interphalangeal joint denervation is a safe technique. It achieves good clinical results and, in case of failure, a more traditional and aggressive operation remains possible. Type of study/level of evidence Therapeutic IV.

Resumen Introduccion y objetivo La epicondilitis es una lesion muy frecuente en la poblacion. La mayoria de los pacientes mejoran con el tratamiento conservador, pero en un pequeno porcentaje sera necesaria la cirugia. Nuestro objetivo es analizar los resultados clinicos obtenidos mediante una intervencion consistente en «4 gestos quirurgicos». Material y metodo Estudio retrospectivo de 35 codos intervenidos con un seguimiento medio de 5,3 anos. En todos los casos se realizo denervacion epicondilea, extirpacion del nucleo de degeneracion angiofibroblastica, epicondilectomia y liberacion del nervio interoseo posterior. Se recogieron los resultados mediante Broberg and Morrey Rating System (BMRS), Mayo Elbow Performance Score (MEPS), Escala Visual Analogica (EVA), cuestionario DASH y una encuesta de valoracion subjetiva por parte del paciente. Resultados La puntuacion media del BMRS fue de 97,2 puntos, MEPS de 95,71 puntos. La reduccion media en la EVA fue de 8,12 puntos y la puntuacion media en el DASH fue de 1,68 puntos. El 94,3% de los pacientes valoraron el resultado como excelente o muy bueno. Se produjo una recidiva que se solvento con una nueva cirugia y una neuroapraxia del nervio interoseo posterior en 2 casos, recuperados integramente en 10 semanas. Conclusiones Con esta intervencion basada en 4 gestos, se ha conseguido la resolucion clinica en el 97,1% de los casos en la primera cirugia, por ello, consideramos esta tecnica efectiva, reproducible y con una aceptable tasa de complicaciones en el tratamiento quirurgico de la epicondilitis resistente a tratamiento conservador.

En: Doxa Comunicación. e-ISSN 2386-3978 n. XXVII, Monográfico: Nuevos perfiles profesionales y transformación del espacio comunicativo, 2018, pp Los sectores de la comunicación y el diseño se mueven en escenarios profesionales cambiantes y dinámicos, entre otras razones, debido a su participación en el mundo digital y las nuevas tecnologías interactivas. A través de las ofertas de empleo publicadas en Domestika, el principal portal especializado en el sector, podemos realizar un diagnóstico de los perfiles más demandados y mejor remunerados, pero también de los requisitos que se identifican con este tipo de perfiles. Este diagnóstico revela que, en el ámbito de la comunicación, lo digital lidera la oferta de empleo, aunque no siempre implique una mayor remuneración salarial. Existen perfiles profesionales vinculados a las redes sociales, actividad que normalmente identificamos como una tendencia digital, que presentan una remuneración inferior a lo esperado. Sin embargo, destacan los empleos vinculados al big data, el user experience (UX) y la coordinación de los departamentos de marketing digital y diseño como las ofertas de empleo mejor remuneradas. El perfil full-stack y su perspectiva integral, desde la experiencia de usuario hasta la infraestructura que soporta los servicios, aparece como una realidad entre este tipo de trabajos mejor pagados. Communication and design are dynamic sectors with regard to career opportunities. This is due to their involvement in the digital world and the new interactive technologies, among other reasons. By analyzing job offers published in Domestika, the principle specialized web portal in the sector, we have carried out a diagnosis of the most highly demanded and best paid professional profiles as well as the requirements for these types of profiles. This study reveals that in the area of communication, the digital world is the leader in employment offers, although a higher salary is not always implied by this situation. There are professional profiles linked to social networks,an activity that we usually identify as a digital trend, which have a lower remuneration than would be expected. However, the best paying jobs are those linked to big data, user experience (UX),and digital marketing and design department coordination. The full-stack profile and its integrated perspective from the user’s experience to the infrastructure that supports services, is a reality among these types of higher-paying jobs.

Proximal radioulnar synostosis is a rare but highly disabling posttraumatic complication in periarticular elbow injuries. Surgical treatment is an option for functionally limiting proximal radioulnar synostosis; however, the approach can endanger local neurovascular structures, especially if the synostosis affects the level of the bicipital tuberosity. We report two cases of proximal radioulnar synostosis with a preoperative prono-supination range of motion of 0° and 15° treated by a reverse Sauve-Kapandji procedure resecting a 1-cm section of the radial shaft distal to the bicipital tuberosity and leaving the synostosis in place. An improvement in prono-supination arc of motion of 82.5° was achieved at 2 years of follow-up with no complications associated with the technique. The reverse Sauve-Kapandji procedure could be an option in the treatment of proximal radioulnar synostosis in selected cases.

Background: Axial carpal dislocations and fracture-dislocations remain difficult to understand and to treat. The outcome is directly related to the injury pattern and long-term results are not good in most cases. Methods: 39-year-old male admitted to our emergency department after his left hand was caught between 2 rollers for 10 minutes. He was diagnosed of an open axial carpal dislocation type B (perihamate peripisiform) and type E (peritrapezium) of Garcia-Elias. An extensive debridement, reduction of the carpometacarpal dislocations and stabilization with Kirschner wires was performed requiring a full thickness skin graft 14 days after the trauma. Results: At 4-year follow-up, he had 70° of wrist extension, and 78° of wrist flexion, grip strength of 65% compared to the healthy side and x-ray showed mild signs of osteoarthritis. He was satisfied and returned to the same job. Conclusions: Axial carpal dislocations continue to be difficult injuries to address but also to classify. Since the prognosis depends on the injury pattern and other associated lesions, we believe that adding a type G which include the association of different patterns to the classification of Garcia-Elias could be useful not in changing the treatment but probably indicating a worse prognosis.

ResumenEl desarrollo de un neuroma es una temida complicación tras la cirugía de los nervios periféricos. El tratamiento es de gran complejidad, especialmente cuando afecta a los principales nervios a nivel de la muñeca. Presentamos un caso de neuroma en continuidad del nervio mediano tratado mediante neurolisis y cobertura mediante un colgajo sinovial.AbstractDeveloping a neuroma is a feared complication following peripheral nerve surgery. Treatment is very complicated, especially when one of the main nerves of the wrist is affected. A clinical case is presented of neuroma-in-continuity of the median nerve treated by neurolysis and covered with a local synovial flap.

La irrupción en 2007 del cambio climático en el debate público ha venido acompañada de un nuevo marco comunicativo en el ámbito empresarial, la Responsabilidad Social Corporativa, donde la gran empresa se ubica a sí misma como agente clave a la hora de afrontar el reto que supone el calentamiento global. Pero la perspectiva propositiva de este agente de gran relevancia comunicativa recae en la eficiencia energética, el optimismo tecnológico y, sobre todo, en una sociedad de consumo desconectada de los impactos sociales y medioambientales que produce. La desconexión entre el escaparate de la tienda y el patio trasero de la producción, elemento constitutivo de la sociedad de consumo para la gran clase media global, renace en el mito del desacoplamiento absoluto entre el crecimiento económico y sus requerimientos e impactos materiales. Así que es esa idea de eficiencia tecnológica, recurso publicitario constante, el que hoy guía un mito que intenta salvaguardar de forma desesperada la idea de crecimiento económico y consumo para las clases medias.

Pacinian corpuscles are rapidly adapting mechanoreceptors distributed in the dermis of the fingers and palm of the hand. A neuroma of the pacinian corpuscle is rare and extremely painful, with only a few cases reported in the literature. A 71-year-old man with pain and swelling on his left index finger, initially diagnosed as tenosynovitis resistant to nonsurgical treatment, was referred to our center. During surgery, a cluster of spherical, gray lesions close to the digital nerve was found and excised. The pathological diagnosis was neuroma of the pacinian corpuscles. Two years later, he reported the same clinical findings on his right index finger with no improvement after nonsurgical treatment. During surgery, the same lesions were found and also identified as pacinian corpuscle neuromas.

Introduction and objectives Lateral epicondylitis is a common injury in the population. Most patients improve with conservative treatment, but in a small percentage surgery is necessary. The aim of this study is to analyse the clinical results obtained by a “4 surgical tips” technique. Materials and method This is a retrospective study of 35 operated elbows, with a mean follow-up of 5.3 years. In all cases epicondylar denervation, removal of the angiofibroblastic degeneration core, epicondylectomy, and release of posterior interosseous nerve, was performed. Each patient was evaluated using the Broberg and Morrey Rating System (BMRS), Mayo Elbow Performance Score (MEPS), Visual Analogue Scale (VAS), DASH questionnaire, and a survey of subjective assessment. Results BMRS mean score was 97.2 points, with 95.71 points with the MEPS. The mean decrease in VAS was 8.12 points, and the mean score on the DASH was 1.68 points. The results were rated as excellent or very good by 94.3% of patients. There was one recurrence, which resolved with further surgery. Two neuropraxia of the posterior interosseous nerve occurred, which completely recovered in 10 weeks. Conclusions Using the “4 surgical tips” technique, clinical resolution of symptoms in 97.1% was achieved at the first operation. Therefore, it appears to be an effective, reproducible technique with few complications, in the surgical treatment of lateral epicondylitis resistant to conservative treatment.

Background: The anterior interosseous nerve (AIN) is a motor nerve innervating the deep muscles of the forearm. Its compression is rare, its diagnosis is not easy, and the existence of 2 really differentiated injuries (anterior interosseous syndrome and Pronator Teres syndrome) seems to be, at least, questionable from a clinical point of view. Purpose: The purpose of this study was to study the results obtained after surgical treatment of patients clinically diagnosed of AIN compression by the Scratch Collapse Test (SCT). Materials and Methods: From June 2013 to January 2016, 20 patients underwent surgery for proximal compression of the median nerve. The diagnosis was made based on the patient’s symptoms and positivity of the SCT in three consecutive consultations. In all patients, electromyogram (EMG) and magnetic resonance imaging (MRI) were performed to exclude other space-occupying injuries that could justify the symptoms. They were 13 men and 7 women. Average age at surgery was 32 (13-53) years and follow-up was 14 (1-32) months. All surgeries were carried out by the same surgeon and all areas of possible nerve compression were released. In 4 cases, the diagnosis of “double crush syndrome” was made and the carpal tunnel was also released. Results: EMG was reported as abnormal only in patients diagnosed of “double crush syndrome.” MRI showed any abnormality in 4 patients. In all patients, the SCT was negative at the first postoperative consultation. All patients returned to their normal activities without sequelae but 4 of them developed a keloid scar. Conclusions: Based on our results, we believe that the SCT is a useful test in clinical diagnosis and postoperative monitoring of anterior interosseous nerve compression.

Background: The coronoid process has not received much attention in the treatment of traumatic injuries of the elbow until recent years. In addition, there are few studies in the literature that explore the arthroscopic treatment thereof. Purpose: To study the feasibility of arthroscopically assisted treatment of coronoid process types I and II fractures. Materials and Methods: From February 2009 to October 2015, 11 patients underwent surgery for a coronoid process fracture associated with other injuries. There were all males with a mean age of 43 (28-61) years and follow-up of 14.5 (4-28) months. In all patients, arthroscopic reduction and transosseous fixation of the fracture were carried out using a FiberWire (Arthrex, Naples, Florida) suture, and the associated bony and ligamentous injuries were also repaired. After surgery, a splint was used for 18 days, and physical therapy was started after its removal. Range of motion was measured, function was assessed with the Mayo Elbow Performance Scoring (MEPS) questionnaire, pain by Visual Analogue Scale (VAS), and disability using the Disabilities of Arm, Shoulder and Hand (DASH) questionnaire. Results: Ten fractures were type II and 1 fracture was type I. Nine patients had an associated injury of the radial collateral ligament, whereas 1 had an associated injury of the ulnar collateral ligament. Six had an associated fracture of the radial head (5 osteosynthesis and 1 fragment excision). Six patients were diagnosed as terrible triad of the elbow. Mean time to bone healing was 5 weeks. All patients had a stable elbow. The range of flexion and extension at the end of follow-up was 131.5° (120-140) to 9.5° (0-25), and pronosupination was 89° (80-90) to 86° (70-90). MEPS was 90.7 (70-100) points, VAS at rest 0 points, active VAS 0.6 (0-2), and force VAS 2.6 (0-5); finally, DASH questionnaire was 13.6 (4.5-20.5) points. No postoperative complications were reported. One patient developed mild residual pain. Conclusions: Although our series presents a limited number of cases, we believe this work shows the feasibility of an arthroscopically assisted treatment in fractures of the coronoid process using a high strength transosseous suture fixation and repairing the associated injuries when necessary.

During epidemiological crises, tradi­tional media have played an essential informational role. In this paper we analyze the imaginary of COVID-19 and, specifically, of the representa­tion of the virion of the SARS-CoV-2 virus through news reports from the main Spanish TV channels. This virion, represented as an “invisible enemy” that has confined half of the world population, is presented in the news using 3D illustrations that highlight its roughened surface and elongated spikes ending in tentacles, an image that does not cor-respond to scientific illustrations. These and other attributes suggest that the imaginary of COV­ID-19 has inherited the imaginary of other previous episodes of coronavirus­es being not scientifically accurate but motivated by the journalistic objective of representing the main characteris­tics of the virus and the severity of the danger. Keywords: visual communication, health risk communication, television news, COVID-19, pandemic.

Data published in the literature about humeral resurfacing prostheses are not conclusive with good functional results but with large differences in the revision rate. The aim of our study was to evaluate the clinical and functional outcomes in patients operated at our center.Retrospective study of 19 cases in 18 patients. Follow-up of 31 (12-61) months. Surgery was indicated in cases of primary or secondary osteoarthritis. Demographic data, Constant scale, DASH questionnaire, complications and satisfaction were analyzed. Three patients were lost to follow-up due to death unrelated to surgery.Mean age of 56 (25-80) years. Constant normalized of 73 (23-104) points. DASH questionnaire of 31 (7-84) points. Ninety four percent of the patients resumed their recreational activities and 81% sports activities. In seven cases, inferior conflict in the glenoid with varus implant was observed radiologically. There were five complications; a conservatively resolved capsulitis, three reinterventions due to symptomatic inferior glenoid usury and another to uncontrollable pain in a conservative way. Patients without rotator cuff lesion presented better scores on the functional questionnaires. All patients were satisfied with the symptomatic improvement over the previous situation and would be operated again if necessary.The functional outcomes reported are similar to those previously published and, based on them, we believe that the resurfacing prosthesis is an option to be considered in cases of primary or secondary osteoarthritis when there is no rotator cuff injury, regardless of age.Los resultados funcionales de las prótesis de superficie en el húmero proximal son aceptables, pero con grandes diferencias en la tasa y causa de revisión según las diferentes series. El objetivo de nuestro trabajo fue analizar los resultados clínicos obtenidos en nuestro centro y tratar de definir al paciente ideal para este implante.Estudio retrospectivo de 19 casos. Seguimiento de 31 (12-61) meses. La cirugía se indicó en casos de artrosis primaria o secundaria. Se analizaron datos demográficos, escala de Constant normalizada, cuestionario DASH, complicaciones y satisfacción. Hubo tres pérdidas durante el seguimiento por fallecimiento sin relación con la cirugía.Edad media de 56 (25-80) años. La puntuación en la escala de Constant normalizada fue 73 (23-104) puntos y en el cuestionario DASH 31 (7-84) puntos. Noventa y cuatro por ciento de los pacientes retomaron sus actividades de ocio. En siete casos se objetivó radiológicamente colocación en varo del implante generando un conflicto inferior en la glena. Se produjo una capsulitis adhesiva resuelta de forma conservadora, tres reintervenciones por usura glenoidea sintomática y una por dolor incontrolable. Los pacientes sin lesión del manguito rotador presentaron mejor puntuación en los cuestionarios funcionales. Todos los pacientes refirieron estar satisfechos con la mejoría sintomática respecto a la situación previa.Los resultados funcionales obtenidos son similares a los publicados previamente. Creemos que la prótesis de superficie debe ser considerada una opción en los casos de artrosis primaria o secundaria sin lesión del manguito rotador, independientemente de la edad.

Our purpose was to assess the effectiveness of hyaluronic acid infiltrations for chronic shoulder pain as an alternative to the non-surgical and surgical treatments that are currently available.This is a prospective study of 80 consecutive patients suffering from chronic shoulder pain followed for twelve months. Five subacromial hyaluronic acid injections on five consecutive weeks were administrated to all patients.A significant improvement within the whole group after six months was observed. Constant score improved by 7.7 points, DASH questionnaire decreased by 5 points and Visual Analog Scale for pain decreased by 1.6 points. Patients with history of less than 24 months of pain responded better to treatment. Females responded better. Patients with decreased subacromial space or cuff tear in the MRI improved but patients diagnosed by the MRI of acromioclavicular osteoarthritis worsened in all scales assessed.Subacromial hyaluronic acid injections are specially effective in patients with history of less than 24 months of pain, a decreased subacromial space or partial or total cuff tear but, in our experience, its result is not good in patients with acromioclavicular osteoarthritis.Nuestro objetivo fue evaluar la efectividad de las infiltraciones subacromiales de ácido hialurónico en el tratamiento del dolor crónico de hombro como alternativa a los tratamientos quirúrgicos y no quirúrgicos actualmente disponibles.Estudio prospectivo de 80 pacientes consecutivos con dolor crónico de hombro seguidos durante 12 meses. Se realizaron cinco infiltraciones subacromiales con ácido hialurónico durante cinco semanas consecutivas y se analizaron los resultados clínicos obtenidos.La puntuación en la escala de Constant mejoró en 7.7 puntos, el cuestionario DASH disminuyó en cinco puntos y la puntuación en la escala visual analógica para el dolor disminuyó 1.6 puntos por término medio. Los pacientes que presentaban dolor de menos de 24 meses de evolución respondieron mejor al tratamiento. Las mujeres respondieron mejor. Los pacientes con disminución del espacio subacromial o lesión del manguito rotador según la resonancia magnética mejoraron, pero los pacientes que mostraron signos de artrosis acromioclavicular en la resonancia empeoraron en todas las escalas evaluadas.Las infiltraciones subacromiales de ácido hialurónico son especialmente efectivas en el tratamiento del dolor crónico de hombro de menos de 24 meses de evolución, con disminución del espacio subacromial o lesión parcial o total del manguito rotador, pero en nuestra experiencia, su resultado no es bueno en pacientes con artrosis acromioclavicular.