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The advancement of technology enables new resources for education. The convergence of accessibility, usability, serious games (SG), and user-centered design (UCD) enables the development of inclusive resources to meet the needs of people with disabilities. This work aims to analyze and synthesize the developments of digital educational games, focusing on technical aspects to facilitate their implementation in the classroom. The criteria and recommendations of the PRISMA protocol (2020) were applied to conduct the search. Keywords were used to explore the Web of Science, Scopus, PubMed databases, and 21 journals, covering the period from 2018 to 2023. Initially, 799 articles were identified, and after the refinement process, 24 publications were analyzed. The results indicate a growing and ongoing interest in the topic. Current trends in the design and use of accessible video games for individuals with intellectual disabilities were identified, along with their impact on learning and educational inclusion.

IntroductionHomelessness is a phenomenon of social exclusion and poverty that has increased alarmingly during recent years. Homeless people (HP) experience violations of several basic human rights or needs that impact their well-being. Therefore, the aim of this research was to assess the health status and self-perceived health of HP and examining the impact of homelessness on their health.MethodsWe used an explanatory sequential mixed-methods approach that integrated a quantitative cross-sectional study within critical social and ethno-sociological qualitative frameworks. Data were collected in Palma, Spain, from December 1, 2020, to January 1, 2023. A total of 198 HP were recruited from the streets and public areas. Basic human needs (Virginia Henderson model), medical diagnoses, substance abuse (DAST-10), diet quality (IASE), depression (PHQ-9), and social support (SSQ-6) were assessed. Then, 17 semi-structured interviews were conducted and were analyzed using thematic content and discourse analysis. Quantitative and qualitative data were integrated and jointly analyzed.ResultsThe 79.3% of the participants were men, mean age of 47.8 ± 12.2 years. The 76.4% were Spanish. The participants reported severe difficulties in accessing the labor market, and that this greatly affected their self-esteem and mental health. The 48.9% of the participants suffered from one or more chronic diseases, and 50.3% were diagnosed with a mental health disorder. The participants generally did not consider health problems as a central concern. The health needs that most affected the participants were related to food, safety, and social support. HP frequently felt unsafe, fearfully, and anxious.ConclusionHomelessness, unemployment, and social exclusion have significant negative impacts on the health and wellbeing of HP. Precarious work conditions and deficiencies in the welfare system contribute significantly to homelessness. These results highlight the need for systemic solutions that extend beyond short-term housing initiatives.

El presente ensayo señala la importancia de la coordinación motriz para el desarrollo de las capacidades físicas en estudiantes del nivel primario. La coordinación motriz es de gran importancia para el desarrollo de capacidades físicas en estudiantes de primaria, por cuanto involucra la capacidad de controlar y combinar movimientos musculares para lograr una acción motriz eficiente. A través de actividades que promueven la coordinación motriz, los estudiantes pueden desarrollar habilidades motrices fundamentales con mayor eficiencia y control, como correr, saltar, lanzar y atrapar, esenciales para realizar actividades físicas, deportivas, recreativas y lúdicas en el aula. Asimismo, la coordinación motriz ejerce un impacto positivo en el desarrollo cognitivo y emocional de los estudiantes, debido a que estimula la conexión entre el cerebro y el cuerpo, lo que puede mejorar la concentración, la memoria y la capacidad de resolución de problemas, lo que puede aumentar la confianza y autoestima de los estudiantes.

Contact tracing played a crucial role in minimizing the onward dissemination of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) in the recent pandemic. Previous studies had also shown the effectiveness of preventive measures such as mask-wearing, physical distancing, and exposure duration in reducing SARS-CoV-2 transmission. However, there is still a lack of understanding regarding the impact of various exposure settings on the spread of SARS-CoV-2 within the community, as well as the most effective preventive measures, considering the preventive measures adherence in different daily scenarios. We aimed to evaluate the effect of individual protective measures and exposure settings on the community transmission of SARS-CoV-2. Additionally, we aimed to investigate the interaction between different exposure settings and preventive measures in relation to such SARS-CoV-2 transmission. Routine SARS-CoV-2 contact tracing information was supplemented with additional data on individual measures and exposure settings collected from index patients and their close contacts. We used a case-control study design, where close contacts with a positive test for SARS-CoV-2 were classified as cases, and those with negative results classified as controls. We used the data collected from the case-control study to construct a Bayesian network (BN). BNs enable predictions for new scenarios when hypothetical information is introduced, making them particularly valuable in epidemiological studies. Our results showed that ventilation and time of exposure were the main factors for SARS-CoV-2 transmission. In long time exposure, ventilation was the most effective factor in reducing SARS-CoV-2, while masks and physical distance had on the other hand a minimal effect in this ventilation spaces. However, face masks and physical distance did reduce the risk in enclosed and unventilated spaces. Distance did not reduce the risk of infection when close contacts wore a mask. Home exposure presented a higher risk of SARS-CoV-2 transmission, and any preventive measures posed a similar risk across all exposure settings analyzed. Bayesian network analysis can assist decision-makers in refining public health campaigns, prioritizing resources for individuals at higher risk, and offering personalized guidance on specific protective measures tailored to different settings or environments.

BackgroundDuring the SARS-CoV-2 pandemic, nurses of primary health care has been an important role in Spain. Even so, the data obtained in the tracing have been scarcely used to investigate the possible mechanisms of transmission. Few studies focused on community transmission, evaluating the effectiveness of individual protective measures and exposure environment. The main aim of the study was to evaluate the association between individual protective measures and SARS-CoV-2 transmission in the community and to compare secondary attack rates in different exposure settings.MethodsA case–control study from contact tracing of SARS-CoV-2 index patients. COVID-19 contact tracing was led by nurses at the COVID-19 Coordinating Centre in Majorca (Spain). During the systematic tracing, additional information for this study was collected from the index patient (social-demographic variables, symptoms, the number of close contacts). And also, the following variables from their close contacts: contact place, ventilation characteristics mask-wearing, type of mask, duration of contact, shortest distance, case-contact relationship, household members, and handwashing, the test result for SARS-CoV-2 diagnostic. Close contacts with a positive test for SARS-CoV-2 were classified as “cases” and those negative as “controls.”ResultsA total of 1,778 close contacts from 463 index patients were identified. No significant differences were observed between the sexes but between age groups. Overall Secondary Attack Rate (SAR) was 24.0% (95% CI: 22.0–26.0%), 36.9% (95% CI: 33.2–40.6%) in closed spaces without ventilation and 50.7% (95% CI: 45.6–55.8%) in exposure time > 24 h. A total of 49.2% of infections occurred among household members. Multivariate logistic regression analysis showed that open-air setting (OR 0.43, 95% CI: 0.27–0.71), exposure for less than 1 h (OR 0.19, 95% CI: 0.11–0.32), and wearing a mask (OR 0.49, 95% CI: 0.28–0.85) had a protective effect transmission of SARS-CoV-2 in the community.ConclusionVentilation of the space, mask-wearing and shorter exposure time were associated with a lower risk of transmission in the community. The data obtained allowed an assessment of community transmission mechanisms and could have helped to improve and streamline tracing by identifying close contacts at higher risk.

BackgroundNumerous studies have shown the beneficial effects of exercise on glycemic control in people with prediabetes. However, the most effective exercise modality for improving glycemic control remains unclear. We aimed to assess which exercise training modality is most effective in improving glycemic control in a population with prediabetes.MethodsWe conducted searches in Pubmed/MEDLINE, EMBASE, SPORTDiscus, Web of Science, PEDro, BVS, and the Cochrane Library from inception to June 2022. Included studies reported fasting plasma glucose (FPG), glycated hemoglobin (HbA1c), and 2-hour postprandial (2hPP) levels and implemented an exercise program lasting at least 12 weeks in adults with prediabetes. We performed a direct meta-analysis using a random-effects model and a network meta-analysis. Cochran’s Q statistic and the inconsistency I2 test were used to assess the heterogenicity between studies.ResultsTwenty trials were included, with 15 trials (comprising 775 participants with prediabetes) combined in the meta-analysis, and 13 in the network meta-analysis. The meta-analysis results did not show a statistically significant reduction in fasting plasma glucose (FPG) after aerobic training (AT) intervention compared to a control group (mean (95%CI) difference = -5.18 (-13.48; 3.12) mg/dL, Z=1.22, p=0.22). However, a difference of -7.25 (-13.79; -0.71) mg/dL, p=0.03, in FPG after interval training (IT) intervention was detected compared to a control group. After resistance training (RT) intervention, FPG was significantly lower -6.71 (-12.65,-0.77) mg/dL, Z=2.21, p=0.03, and HbA1c by -0.13 (-0.55, 0.29), p=0.54, compared to the control group. The impact of RT compared to no intervention on 2hPP was not statistically significant (p=0.26). The network meta-analysis did not show statistical significance. Most of the studies presented an unclear risk of bias, and a low and very low-quality of evidence. According to the GRADE criteria, the strength of the body of evidence was low.ConclusionResistance training and IT had demonstrated benefits on glycemic indices, especially on FPG, in a population with prediabetes. Further studies with larger sample sizes and a more robust methodology that compare different types of exercise modalities, frequencies, and durations, are needed to establish a beneficial exercise intervention.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=370688, identifier CRD42022370688.

El objetivo de este estudio fue evaluar los niveles de actividad física deportiva (AFD) y los perfiles motivacionales en estudiantes del ISFODOSU, República Dominicana. Se empleó un enfoque cuantitativo con un diseño descriptivo y transaccional. Se aplicó una encuesta para evaluar el tiempo promedio, la frecuencia y los motivos de esta práctica, en una muestra de 351 estudiantes. El muestreo que se aplicó fue el probabilístico estratificado proporcional. Los resultados muestran que, a diferencia de las mujeres, los hombres les dan mayor importancia a los motivos: porque le gusta la actividad físico-deportiva, por diversión y pasar el tiempo, porque son buenos en el deporte y le gustan competir. Las mujeres se motivan por: satisfacción personal, por mantener la línea y por escapar de la rutina. Se concluye que los motivos entre hombres y mujeres difieren entre sí, siendo las mujeres más sedentarias que los hombres.

Highlights There is a lack of evidence exploring sex- and age-related differences on the epidemiological risk factors for non-alcoholic fatty liver disease. In our sample, hepatic steatosis assessed by FLI is more prevalent in men than women and is associated with age, lower social class and a dysmetabolic state characterized by prediabetes or diabetes, prehypertension or hypertension and low HDL-cholesterol. Importantly, we observed that although FLI-defined NAFLD is strongly associated with cardiometabolic imbalances in both sexes, its association with diabetes and hypertension is stronger in women than in men, regardless of age. We also observed that such association in women is evident even at stages preceding diabetes and hypertension and at younger ages.

Abstract Background Peripheral intravenous catheters (PIVC) are commonly used in hospital worldwide. However, PIVC are not exempt from complications. Catheter-related bloodstream infections (CRBSI) increase morbidity and mortality rates, and costs for the healthcare organization. PIVC care is shaped by the complex mix of professional and organizational culture, such as knowledge gaps, low perception of impact of PIVCs on patient safety, or lack of hospital guidelines. Aim To explore determinants of decision-making about the prevention of PIVC-BSI among nurses in Spanish hospitals. Methods We conducted a descriptive qualitative study with semi-structured interviews in three public hospitals, the Balearic Islands Health Care Service in Spain. We considered hospital ward nurses working routinely with inpatients at any of the three hospitals for enrolment in the study. We approached relevant informants to identify suitable participants who recruited other participants through a ‘snowball’ technique. Fourteen inpatient nurses from the hospital took part in this study between September and November 2018. We employed several triangulation strategies to underpin the methodological rigour of our analysis and conducted the member checking, showing the information and codes applied in the recording of the interviews to identify the coherence and any discrepancies of the discourse by participants. We used the COREQ checklist for this study. Findings We identified four major themes in the analysis related to determinants of care: The fog of decision-making in PIVC; The taskification of PIVC care; PIVC care is accepted to be suboptimal, yet irrelevant; and chasms between perceived determinants of poor PIVC care and its solutions. Conclusion The clinical management of PIVCs appear ambiguous, unclear, and fragmented, with no clear professional responsibility and no nurse leadership, causing a gap in preventing infections. Furthermore, the perception of low risk on PIVC care impact can cause a relevant lack of adherence to the best evidence and patient safety. Implementing facilitation strategies could improve the fidelity of the best available evidence regarding PIVC care and raise awareness among nurses of impact that excellence of care.

Stutzerimonas balearica (Pseudomonas balearica) has been found principally in oil-polluted environments. The capability of S. balearica to thrive from the degradation of pollutant compounds makes it a species of interest for potential bioremediation applications. However, little has been reported about the diversity of S. balearica. In this study, genome sequences of S. balearica strains from different origins were analyzed, revealing that it is a diverse species with an open pan-genome that will continue revealing new genes and functionalities as the genomes of more strains are sequenced. The nucleotide signatures and intra- and inter-species variation of the 16S rRNA genes of S. balearica were reevaluated. A strategy of screening 16S rRNA gene sequences in public databases enabled the detection of 158 additional strains, of which only 23% were described as S. balearica. The species was detected from a wide range of environments, although mostly from aquatic and polluted environments, predominantly related to petroleum oil. Genomic and phenotypic analyses confirmed that S. balearica possesses varied inherent capabilities for aromatic compounds degradation. This study increases the knowledge of the biology and diversity of S. balearica and will serve as a basis for future work with the species.

The human pathogen Yersinia pestis is responsible for bubonic, septicemic, and pneumonic plague. A deeply comprehensive overview of its historical context, bacteriological characteristics, genomic analysis based on ancient DNA (aDNA) and modern strains, and its impact on historical and actual human populations, is explored. The results from multiple studies have been synthesized to investigate the origins of plague, its transmission, and effects on different populations. Additionally, molecular interactions of Y. pestis, from its evolutionary origins to its adaptation to flea-born transmission, and its impact on human and wild populations are considered. The characteristic combinations of aDNA patterns, which plays a decisive role in the reconstruction and analysis of ancient genomes, are reviewed. Bioinformatics is fundamental in identifying specific Y. pestis lineages, and automated pipelines are among the valuable tools in implementing such studies. Plague, which remains among human history’s most lethal infectious diseases, but also other zoonotic diseases, requires the continuous investigation of plague topics. This can be achieved by improving molecular and genetic screening of animal populations, identifying ecological and social determinants of outbreaks, increasing interdisciplinary collaborations among scientists and public healthcare providers, and continued research into the characterization, diagnosis, and treatment of these diseases.

Este trabajo reflexiona en torno al surgimiento de la universidad latinoamericana y su proceso evolutivo contextualizando épocas que sitúan la modernidad, la posmodernidad y la transmodernidad, siendo transversal la lógica de la cooptación y la dependencia intelectual a un proyecto ‘civilizador’ dominante euroccidental. Para ello, se empleó una metodología documental, de corte ensayístico-reflexivo, concluyendo que, cada una de estos movimientos culturales y políticos ha tenido y tienen aún un impacto relevante en los procesos de generación y producción de conocimiento, y en los focos de construcción de la sociedad. Cada uno de los movimientos presentados tiene como foco de atención la asunción de conocimiento desde la particularidad, no obstante, la apuesta final de este trabajo apunta al pensamiento complejo concebido como el eje dinamizador, multidimensionaly multifactorial de una nueva visión de universidad como institución al servicio social, político, técnico, económico y cultural de una sociedad

El presente estudio tuvo como objetivo estudiar la Educación Física como fundamento para el fortalecimiento de las habilidades motrices en adolescentes. La metodología que se aplicó fue de orientación cualitativa, ya que permitió revisar con criterio epistémico teorías y trabajos de investigación, sirviendo de sustento indagatorio. El diseño aplicado fue la revisión bibliográfica como herramienta en la orientación y selección de 12 autores y trabajos. Se consultaron las bases de datos Scopus, Web of science, SciElo, Dialnet, Redalyc, Google Académico, Trabajos de grado de Maestría y Doctorado, con data a 5 años. Dentro de los resultados, se evidencia que la experiencia deportiva estimula el desarrollo de habilidades motrices, permitiendo a los educandos del nivel secundario una experimentación individual para valorar sus capacidades y ponderar la participación en actividades de mayor complejidad. Se concluye que las diferentes orientaciones didácticas que desarrollan las capacidades físicas de los adolescentes, significan un aporte al conocimiento y al tratamiento efectivo de la formación y en el desarrollo de las actitudes físicas que en su evolución sirven de base para el conocimiento y fortalecimientos de las destrezas motrices y cognoscitivas.

Previous reports suggest that cord blood biomarkers could serve as a prognostic tool for conotruncal congenital heart defects (CHD). We aimed to describe the cord blood profile of different cardiovascular biomarkers in a prospective series of fetuses with tetralogy of Fallot (ToF) and D-transposition of great arteries (D-TGA) and to explore their correlation with fetal echocardiography and perinatal outcome.MethodsA prospective cohort study (2014–2019), including fetuses with isolated ToF and D-TGA and healthy controls, was conducted at two tertiary referral centers for CHD in Barcelona. Obstetric ultrasound and fetal echocardiography were performed in the third trimester and cord blood was obtained at delivery. Cord blood concentrations of N-terminal precursor of B-type natriuretic peptide, Troponin I, transforming growth factorβ (TGFβ), placental growth factor, and soluble fms-like tyrosine kinase-1 were determined.ResultsThirty-four fetuses with conotruncal-CHD (22 ToF and 12 D-TGA) and 36 controls were included. ToF-fetuses showed markedly increased cord blood TGFβ (24.9 ng/ml (15.6–45.3) vs. normal heart 15.7 ng/ml (7.2–24.3) vs. D-TGA 12.6 ng/ml (8.7–37.9); P = 0.012). These results remained statistically significant even after adjusting for maternal body mass index, birth weight and mode of delivery. TGFß levels showed a negative correlation with the pulmonary valve diameter z-score at fetal echocardiography (r = −0.576, P = 0.039). No other differences were found in the rest of cord blood biomarkers among the study populations. Likewise, no other significant correlations were identified between cardiovascular biomarkers, fetal echocardiography and perinatal outcome.ConclusionsThis study newly describes increased cord blood TGFβ concentrations in ToF compared to D-TGA and normal fetuses. We also demonstrate that TGFβ levels correlate with the severity of right ventricle outflow obstruction. These novel findings open a window of research opportunities on new prognostic and potential preventive strategies.

El objetivo principal de la presente investigación fue evaluar la coordinación motriz de los estudiantes de 3ro A del “Centro Educativo Emilio Prud´Homme”, Santiago de los Caballeros, como una forma de observar actividades lúdicas en el fomento del aprendizaje y la integración en el proceso formativo de los estudiantes. Estuvo inserta en el contexto del paradigma cualitativo y el tipo de investigación fue etnográfica, dadas las características de convivencia del grado escolar seleccionado. La coordinación motriz es un proceso evolutivo complejo de adquisición progresiva, donde no solo es la tarea motriz coordinada, sino también el procesar y codificar conocimientos. La edad óptima para este desarrollo es entre los 6 y 11 años (educación primaria). Dentro de los resultados destacan que al saltar con los dos pies se observó descoordinación, en saltos longitudinales hubo muchos tropiezos y poca orientación. Como conclusión, la coordinación motriz fue valorada de forma importante y pertinente.

El entorno académico actual está sumergido dentro de las tecnologías. En este escenario, la ética se posiciona como una disciplina formativa, crítica y responsable. Para este artículo, desde un contexto universitario, se presentan las experiencias de cómo la dimensión ética se hace patente en una red universitaria de Aprendizaje-Servicio, denominada InèditNet. El objetivo del artículo es analizar, desde una perspectiva ética, trabajos académicos que se han realizado en la red y que han sido enriquecidos por la Tecnología Educativa (TE). Desde este objetivo se analizan las consideraciones éticas y se cartografían los valores o principios éticos que aparecen en los proyectos. La metodología es cualitativa y de corte hermenéutica y sistemática. Se analizan 22 trabajos académicos que fueron realizados dentro de InèditNet, todos ellos enriquecidos por la TE. Los resultados confirman, por un lado, que hay consideraciones éticas implícitas en la mayoría de los trabajos. Por otro, son recurrentes tres principios transversales: inclusión, compromiso y responsabilidad. En conclusión, la red tiene el reto de consolidar unos criterios éticos de rigor que permitan la formación en los agentes implicados de los proyectos con Aprendizaje-Servicio de un carácter moral basado en la innovación, la inclusión y la responsabilidad.

Introduction: The acquisition of skills and manual dexterity in aesthetic dentistry in undergraduate teaching requires preclinical practices with simulation that should approximate real clinical situations. Objective: We will present a digital procedure for the creation of three‐dimensional (3D) resin models adapted to the practices of the Aesthetic Dentistry course. Material and method: Stereolithography or Standard Tesellation Language (STL) files of a real patient were previously obtained with a 3‐shape intraoral scanner. Using the Exocad computer programme for dental prosthesis design, various modifications were made, such as incisor rotation, surface alterations imitating dysplasias or erosions, the creation of diastemas, or even changes in tooth size. The virtual model was printed in resin for use by students. Once the practices were finished, the students and the teachers evaluated the use of the 3D printed models. Results: The result is the typodont model, in which seven laboratory sessions took place: 1‐Restoration of conoid tooth morphology, 2‐Cervical abrasion/ erosion restoration, 3‐Direct Composite Veneer, 4‐Aesthetic correction in a tooth with rotation, 5‐Diastem closure, 6‐Occlusal abrasions/ erosion, and 7‐Maryland bridge. 90.48% of the students evaluated the designed 3D model as the best method for laboratory practice compared to other methods, obtaining a general assessment of 8.3 out of 10. Conclusion: The method used has provided a reproducible standard analog model for direct aesthetic dental restoration practice, with a good assessment by students and teachers. [ABSTRACT FROM AUTHOR]

Elderly patients have a high incidence of falls that result in facial injuries. Many cases present with dental crown fractures and soft-tissue lacerations. The initial diagnosis is especially important in this type of dental trauma, since an initial error can result in the failure to establish the correct treatment from the very beginning, worsening the prognosis, which, in the worst case, can compromise the teeth affected by the trauma. Case report: We present the case of a patient, a 79-year-old woman, who suffered an accidental fall. The patient was examined by a dentist in the emergency room. She was diagnosed with a simple crown fracture of the right upper central incisor and right upper lateral incisor without any pulpal involvement and with laceration of the lower lip. Months later, she had an episode of inflammation in the lower lip, and she developed edema and pain. An X-ray of the lower lip revealed a radiopaque mass compatible with a fragment of dental tissue due to the inclusion of remnants of the dental tissue resulting from the previous accident fall. Conclusions: The population of geriatric patients is steadily increasing in our society, and a higher frequency of falls has been observed in this age group, affecting the maxillofacial region, with consequent dental trauma on many occasions. Therefore, as professionals, we must pay special attention to the prevention and treatment of this problem, insisting on the importance of routine investigation in the emergency visit for dental trauma, which includes a meticulous examination of the soft tissues accompanied by a radiographic examination, when the inclusion of foreign bodies is suspected.

Although the association between risk factors and non-surgical root canal treatment (NSRCT) failure has been extensively studied, methods to predict the outcomes of NSRCT are in an early stage, and dentists currently make the treatment prognosis based mainly on their clinical experience. Since this involves different sources of error, we investigated the use of machine learning (ML) models as a second opinion to support the clinical decision on whether to perform NSRCT. We undertook a retrospective study of 119 confirmed and not previously treated Apical Periodontitis cases that received the same treatment by the same specialist. For each patient, we recorded the variables from a newly proposed data collection template and defined a binary outcome: Success if the lesion clears and failure otherwise. We conducted tests for detecting the association between the variables and the outcome and selected a set of variables as the initial inputs into four ML algorithms: Logistic Regression (LR), Random Forest (RF), Naive-Bayes (NB), and K Nearest Neighbors (KNN). According to our results, RF and KNN significantly improve (p-values < 0.05) the sensitivity and accuracy of the dentist’s treatment prognosis. Taking our results as a proof of concept, we conclude that future randomized clinical trials are worth designing to test the clinical utility of ML models as a second opinion for NSRCT prognosis.

Al desarrollar este trabajo se consideró como propósito principal estudiar la dramatización pedagógica para optimizar el estadio cognoscitivo-emocional en estudiantes de Educación Física del Instituto Superior de Formación Docente Salomé Ureña (ISFODOSU), el cual se desarrolló durante el cuatrimestre 3-2021. La metodología aplicada fue un enfoque descriptivo transversal, basado en un componente de carácter cualitativo. La técnica de recolección de datos utilizada fueron los Test de Inteligencia Emocional y de Desarrollo Emocional. La población considerada fue de 289 estudiantes y la muestra fue de 14 estudiantes, todos de la Licenciatura en Educación Física. La organización y discriminación de la información fue realizada a través del programa Atlas. Ti. Los resultados obtenidos de los instrumentos indican que los estudiantes mostraron ciertas debilidades en lo cognitivo y en el manejo de las emociones en las actividades regulares de clases, cuya superación fue fortalecida en el desarrollo de la aplicación de la herramienta de dramatización. Se concluyó, mediante una caracterización de los hallazgos, que la dramatización constituye un recurso pedagógico adecuado para lograr el desarrollo del estadio emocional-cognitivo, en las diferentes dimensiones abordadas. Es una posibilidad didáctica y de acompañamiento en los procesos formativos.

Abstract Purpose The objectives of this study were to analyze the psychometric properties of the Sense of Coherence scale (SOC-13), determine the role of the method effect in the performance of the instrument, and identify the relationship with health perception, quality of life, and sleep quality in patients at cardiovascular risk. Methods The final sample consisted of 293 patients at cardiovascular risk, with a mean age of 61.9 years (SD = 8.8), 49.8% of whom were women. The SOC-13, the Patient Health Questionnaire (PHQ-9), and the Medical Outcomes Study-Sleep Scale (MOS-Sleep) were administered. In addition, the participant's self-perceived health and quality of life were also evaluated. All analyses were carried out with SPSS 26.0 and EQS 6.1 statistical software. Results The results showed adequate reliability for the SOC-13, with a Cronbach's alpha of .789. The fit of the structures was not adequate in any of the cases (.26 to .62 for one factor, .26 to.73 for three factors, .20 to .54 for one second-order factor, and .25, .42, and .54 for three first-order factors). The three structure models showed an improved fit when adding a latent factor resulting from the method effect (.6 to .85 for one factor, .11 to.90 for three factors, and .11 to .96 for one second-order factor). Moreover, positive correlations were found with health perception, perceived quality of life, and perceived sleep quality. Conclusion The SOC-13 is a suitable instrument for patients with cardiovascular risk in Spain, and it is also an indicator of health perception, quality of life, and perceived quality of sleep. Control of the method effect improves the fit of the instrument’s structure. As a future direction, it is recommended to conduct new studies in this and other samples and using different versions of the SOC. Trial registration International Standard Randomized Controlled Trial Number: ISRCTN76069254, 08/04/2015 retrospectively registered.

Food insecurity in recent years has increased worldwide due to many planetary events such as the COVID-19 pandemic, geopolitical conflicts, the climate crisis, and globalization of markets. Adolescents are a particularly vulnerable group to food insecurity, as they enter adulthood with less parental supervision and greater personal autonomy, but less legislative or institutional protection. The experience of food insecurity in adolescents is influenced by several environmental factors at different levels (interpersonal, organizational, community, and societal), although they are not usually addressed in the design of interventions, prioritizing the individual behavioural factors. We present a scoping review protocol for assessing and identifying the environmental factors that could influence adolescents' food insecurity. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) and the PRISMA guidelines for Scoping Reviews (PRISMA-ScR) to prepare the protocol. The search strategy will be performed in the following databases: Pubmed/Medline, EMBASE, Biblioteca Virtual de Salud, EBSCOHost, Scopus, Web of Science, and Cochrane Library Plus. The reference list of the included studies will also be hand-searched. Grey literature will be search through the electronic database Grey Literature Report, and local, provincial, national, and international organisations' websites. Assessment of eligibility after screening of titles, abstract and full text, and the resolution of discrepancies will be performed by three independent reviewers. This scoping review will contribute to refine the "logic model of the problem" which constitutes the first step in the intervention mapping protocol. The "logic model of the problem" from the intervention mapping protocol will serve to classify and analyse the environmental factors. The findings from this review will be presented to relevant stakeholders that have a role in shaping the environmental factors.

BackgroundLoneliness is a significant well-being issue that affects older adults. Existing, commonly used social connection platforms do not contain facilities to break the cognitive cycle of loneliness, and loneliness interventions implemented without due processes could have detrimental effects on well-being. There is also a lack of digital technology designed with older adults. ObjectiveWe aimed to iteratively design a user-centered smartphone app that can address loneliness in older adults. The aim of this study was to investigate the loneliness-related psychological processes that our conceptual smartphone app promotes. We also identified the emergent needs and concerns that older adults raised regarding the potential benefits and detriments of the app. MethodsWe used technology probes to elicit older adults’ reflections on the concept of using the app in 2 studies as follows: concept focus groups (n=33) and concept interviews (n=10). We then conducted a prototype trial with 1 week of use and follow-up interviews (n=12). ResultsThematic analysis explored the experiences and emergent challenges of our app through the design process. This led to the development of 4 themes as follows occurring in all 3 qualitative data sets: reflection on a digital social map is reassuring; app features encourage socializing; the risk of compounding loneliness; and individuals feel more control with mutual, socially beneficial activities. ConclusionsSmartphone apps have the potential to increase older adults’ awareness of the richness of their social connections, which may support loneliness reduction. Our qualitative approach to app design enabled the inclusion of older adults’ experiences in technology design. Thus, we conclude that the older adults in our study most desired functionalities that can support mutual activities and maintain or find new connections rather than enable them to share an emotional state. They were wary of the app replacing their preferred in-person social interaction. Participants also raised concerns about making the user aware of the lack of support in their social network and wanted specific means of addressing their needs. Further user-centered design work could identify how the app can support mutual activities and socializing.

BackgroundIt is known that people with prediabetes increase their risk of developing type 2 diabetes (T2D), which constitutes a global public health concern, and it is associated with other diseases such as cardiovascular disease.MethodsThis study aimed to determine those factors with high influence in the development of T2D once prediabetes has been diagnosed, through a Bayesian network (BN), which can help to prevent T2D. Furthermore, the set of features with the strongest influences on T2D can be determined through the Markov blanket. A BN model for T2D was built from a dataset composed of 12 relevant features of the T2D domain, determining the dependencies and conditional independencies from empirical data in a multivariate context. The structure and parameters were learned with the bnlearn package in R language introducing prior knowledge. The Markov blanket was considered to find those features (variables) which increase the risk of T2D.ResultsThe BN model established the different relationships among features (variables). Through inference, a high estimated probability value of T2D was obtained when the body mass index (BMI) was instantiated to obesity value, the glycosylated hemoglobin (HbA1c) to more than 6 value, the fatty liver index (FLI) to more than 60 value, physical activity (PA) to no state, and age to 48–62 state. The features increasing T2D in specific states (warning factors) were ranked.ConclusionThe feasibility of BNs in epidemiological studies is shown, in particular, when data from T2D risk factors are considered. BNs allow us to order the features which influence the most the development of T2D. The proposed BN model might be used as a general tool for prevention, that is, to improve the prognosis.