Pigmented fungiform papillae of the tongue.

INTRODUCTION: Pigmented fungiform papillae of the tongue is a benign condition frequent in dark skin patients. It usually appears in the second or third decade of life, and it has been reported as autosomal dominant inheritance pattern. The diagnosis is clinical, but dermoscopy could be helpful: a classical rose petal pattern is observed. The pathogenesis is unknown, and no treatments are effective. CASE REPORT: We report a case of a 15-year-old girl with a pigmented fungiform papillae and a compatible dermatoscopy pattern. CONCLUSIONS: Knowing the existence of this entity and its characteristic dermoscopy, avoids additional invasive medical test. We have to know this entity because it is a variant of normality.

INTRODUCCIÓN: La pigmentación de las papilas fungiformes linguales es una condición benigna y relativamente frecuente en pacientes con piel oscura. Suele aparecer en la segunda o tercera décadas de la vida y se han descrito casos de herencia autosómica dominante. El diagnóstico es clínico, pero la dermatoscopia es de gran ayuda: presenta un patrón clásico en pétalos de rosa. La patogénesis se desconoce y no hay tratamientos efectivos. CASO CLÍNICO: Reportamos el caso de una niña de 15 años con pigmentación de las papilas fungiformes y con patrón dermatoscópico compatible. CONCLUSIONES: Conocer la existencia de esta afección y su característica dermatoscopia evita realizar pruebas invasivas adicionales, ya que se trata una variante de la normalidad.

Yearly attained adherence to Mediterranean diet and incidence of diabetes in a large randomized trial.

BACKGROUND: Several large observational prospective studies have reported a protection by the traditional Mediterranean diet against type 2 diabetes, but none of them used yearly repeated measures of dietary intake. Repeated measurements of dietary intake are able to improve subject classification and to increase the quality of the assessed relationships in nutritional epidemiology. Beyond observational studies, randomized trials provide stronger causal evidence. In the context of a randomized trial of primary cardiovascular prevention, we assessed type 2 diabetes incidence according to yearly repeated measures of compliance with a nutritional intervention based on the traditional Mediterranean diet. METHODS: PREDIMED (''PREvención con DIeta MEDiterránea'') was a Spanish trial including 7447 men and women at high cardiovascular risk. We assessed 3541 participants initially free of diabetes and originally randomized to 1 of 3 diets: low-fat diet (n = 1147, control group), Mediterranean diet supplemented with extra virgin olive (n = 1154) or Mediterranean diet supplemented with mixed nuts (n = 1240). As exposure we used actual adherence to Mediterranean diet (cumulative average), yearly assessed with the Mediterranean Diet Adherence Screener (scoring 0 to 14 points), and repeated up to 8 times (baseline and 7 consecutive follow-up years). This score was categorized into four groups: < 8, 8-< 10, 10- < 12, and 12-14 points. The outcome was new-onset type 2 diabetes. RESULTS: Multivariable-adjusted hazard ratios from time-varying Cox models were 0.80 (95% confidence interval, 0.70-0.92) per + 2 points in Mediterranean Diet Adherence Screener (linear trend p = .001), and 0.46 (0.25-0.83) for the highest (12-14 points) versus the lowest (< 8) adherence. This inverse association was maintained after additionally adjusting for the randomized arm. Age- and sex-adjusted analysis of a validated plasma metabolomic signature of the Mediterranean Diet Adherence Screener (constituted of 67 metabolites) in a subset of 889 participants also supported these results. CONCLUSIONS: Dietary intervention trials should quantify actual dietary adherence throughout the trial period to enhance the benefits and to assist results interpretation. A rapid dietary assessment tool, yearly repeated as a screener, was able to capture a strong inverse linear relationship between Mediterranean diet and type 2 diabetes. Trial registration ISRCTN35739639.

The Impact of Service Learning on Academic, Professional and Physical Wellbeing Competences of EFL Teacher Education Students.

In response to the challenges of the 21st century, the European Higher Education Area (EHEA) has been committed to the development of a training model that focuses on the acquisition of cognitive, physical, and social competences, among others, rather than the mere acquisition of knowledge. This approach has gained momentum in recent years, where the learners are the protagonists of their own learning process. This change of approach requires a change in methodology and involves a renewal of the methodological approach in Spanish universities. Service learning (S-L) is an active methodology that is gaining ground across universities due to its experiential, community-based and reflective characteristics. The present study aimed to provide an overview of the impact of S-L by active programs (physical activities, movement games, active tasks, etc.) on the acquisition of professional, linguistic, pedagogical or intercultural competencies, as well as physical wellbeing skills, on English as a foreign language (EFL) teacher education students. Fourteen Spanish EFL university students carried out an S-L active intervention with a migrant group from the Migrant Temporary Stay Centre in the autonomous city of Melilla (Spain). A qualitative study was designed to evaluate the achievement of these competencies. The results show that even though S-L is a challenging methodology, it favours the development of academic, professional, and physical wellbeing competences to succeed in a competitive and changing world, as well as the improvement of the participant students.

[Factors associated with the risk of COVID-19 in health-care workers]. / Factores asociados al riesgo de COVID-19 en el personal de salud.

BACKGROUND: Although healthcare personnel are considered a high-risk group for SARS-CoV-2 infection due to their exposure, research on the factors associated with their infection is limited. The objective was to identify factors associated with the acquisition of COVID-19 in healthcare personnel. METHODS: a multicenter, cross-sectional study with nested cases and controls was carried out in 23 hospitals in Argentina. A structured survey was used to collect demographic, institutional and behavioral variables from healthcare personnel with positive RT-PCR for SARS-CoV2 (cases) and healthcare personnel with negative test results (controls). Those variables significantly associated with the condition of having had COVID-19 in the bivariate analysis were included in a multivariate analysis. RESULTS: A total of 2088 workers participated in the study, with an incidence of 1.41 cases per 10 000 worker-hours (95%CI 1.35-1.48). Being male, (OR 1.60; 95%CI 1.32-1.95), working in social security, (OR 1.53; 95%CI 1.13-2.07), being nursing staff, (OR 1.46; 95%CI 1.22-1.74), having personal protective equipment, (OR 0.33; 95%CI 0.18-0.62), sharing unprotected common spaces with other workers, (OR 1.98; 95%CI 1. 60-2.44), living with people confirmed or suspected of COVID-19 (OR 1.69; 95%CI 1.37-2.09), sharing infusions or other drinks and/or food with people in the community (OR 1.31; 95%CI 1.02-1.70), feeling distressed (OR 1.85; 95%CI 1.55-2.21) and were independently associated with the risk of acquiring COVID-19. DISCUSSION: This study allowed us to identify different potentially modifiable factors on which action should be taken to reduce the risk of acquiring COVID-19 by the healthcare personnel.

Introducción: Aunque, el personal sanitario es considerado por su exposición un grupo de alto riesgo de infección por SARS-CoV-2, la investigación sobre los factores asociados a infección resulta limitada. El objetivo fue identificar los factores asociados a la adquisición de COVID-19 en el personal sanitario. Materiales y métodos: Estudio multicéntrico, de corte transversal con casos y controles anidados, en 23 hospitales de Argentina. A través de una encuesta estructurada se recolectaron variables demográficas, institucionales y conductuales del personal sanitario con RT-PCR positiva para SARS-CoV-2 (casos) y del personal sanitario con resultados negativos en el test (controles). Aquellas variables asociadas significativamente con la condición de haber padecido COVID-19 en el análisis bivariado fueron incluidas en un análisis multivariado. Resultados: Participaron del estudio 2088 trabajadores, con una incidencia de 1.41 casos c/10 000 horas-trabajador (IC95% 1.35-1.48). Pertenecer al sexo masculino (OR 1.60; IC95% 1.32-1.95), trabajar en la seguridad social (OR 1.53; IC95% 1.13-2.07), ser personal de enfermería (OR 1.46; IC95% 1.22-1.74), contar con elementos de protección personal (OR 0.33; IC95% 0.18-0.62), compartir con otros trabajadores espacios comunes sin protección (OR 1.98; IC95% 1.60-2.44), convivir con personas confirmadas o sospechadas de COVID-19 (OR 1.69; IC95% 1.37-2.09), compartir infusiones u otras bebidas y/o alimentos con personas de la comunidad (OR 1.31; IC95% 1.02-1.70), sentirse angustiado (OR 1.85; IC95% 1.55-2.21) se asociaron independientemente con el riesgo de adquirir COVID-19. Discusión: Este estudio permitió identificar distintos factores potencialmente modificables, sobre los cuales se debería actuar para reducir el riesgo de COVID-19 en el personal sanitario.

Factores asociados al riesgo de COVID-19 en el personal de salud / Factors associated with the risk of COVID-19 in health-care workers

Resumen Introducción: Aunque, el personal sanitario es considerado por su exposición un grupo de alto riesgo de infección por SARS-CoV-2, la investigación sobre los factores asociados a infección resulta limitada. El objetivo fue identificar los factores asociados a la adquisición de COVID-19 en el personal sanitario. Materiales y métodos: Estudio multicéntrico, de corte transversal con casos y controles anidados, en 23 hospitales de Argentina. A través de una encuesta estructurada se recolectaron variables demográficas, ins titucionales y conductuales del personal sanitario con RT-PCR positiva para SARS-CoV-2 (casos) y del personal sanitario con resultados negativos en el test (controles). Aquellas variables asociadas significativamente con la condición de haber padecido COVID-19 en el análisis bivariado fueron incluidas en un análisis multivariado. Re sultados: Participaron del estudio 2088 trabajadores, con una incidencia de 1.41 casos c/10 000 horas-trabajador (IC95% 1.35-1.48). Pertenecer al sexo masculino (OR 1.60; IC95% 1.32-1.95), trabajar en la seguridad social (OR 1.53; IC95% 1.13-2.07), ser personal de enfermería (OR 1.46; IC95% 1.22-1.74), contar con elementos de protección personal (OR 0.33; IC95% 0.18-0.62), compartir con otros trabajadores espacios comunes sin protección (OR 1.98; IC95% 1.60-2.44), convivir con personas confirmadas o sospechadas de COVID-19 (OR 1.69; IC95% 1.37-2.09), compartir infusiones u otras bebidas y/o alimentos con personas de la comunidad (OR 1.31; IC95% 1.02-1.70), sentirse angustiado (OR 1.85; IC95% 1.55-2.21) se asociaron independientemente con el riesgo de adquirir COVID-19. Discusión: Este estudio permitió identificar distintos factores potencialmente modificables, sobre los cuales se debería actuar para reducir el riesgo de COVID-19 en el personal sanitario.

Abstract Background: Although healthcare personnel are considered a high-risk group for SARS-CoV-2 infection due to their exposure, research on the factors associated with their infection is limited. The objec tive was to identify factors associated with the acquisition of COVID-19 in healthcare personnel. Methods: a multicenter, cross-sectional study with nested cases and controls was carried out in 23 hospitals in Argentina. A structured survey was used to collect demographic, institutional and behavioral variables from healthcare personnel with positive RT-PCR for SARS-CoV2 (cases) and healthcare personnel with negative test results (controls). Those variables significantly associated with the condition of having had COVID-19 in the bivariate analysis were included in a multivariate analysis. Results: A total of 2088 workers participated in the study, with an incidence of 1.41 cases per 10 000 worker-hours (95%CI 1.35-1.48). Being male, (OR 1.60; 95%CI 1.32-1.95), working in social security, (OR 1.53; 95%CI 1.13-2.07), being nursing staff, (OR 1.46; 95%CI 1.22- 1.74), having personal protective equipment, (OR 0.33; 95%CI 0.18-0.62), sharing unprotected common spaces with other workers, (OR 1.98; 95%CI 1. 60-2.44), living with people confirmed or suspected of COVID-19 (OR 1.69; 95%CI 1.37-2.09), sharing infusions or other drinks and/or food with people in the community (OR 1.31; 95%CI 1.02-1.70), feeling distressed (OR 1.85; 95%CI 1.55-2.21) and were independently associated with the risk of acquiring COVID-19. Discussion: This study allowed us to identify different potentially modifiable fac tors on which action should be taken to reduce the risk of acquiring COVID-19 by the healthcare personnel.

Effects of a Personalised Physical Exercise Program on University Workers Overall Well-Being: "UAL-Activa" Program.

Background and objectives: Regular individualised physical exercise (PE) is a habit that not only has consequences for overall health (physical, emotional, social and mental) but can also have positive effects on organisations and institutions, as it helps workers to improve their personal balance and recover from the effort of their working day, showing higher levels of energy, commitment and productivity. The aim of this study was to understand the relationship between the practice of PE and well-being in personal life and at work, as well as job satisfaction, overall health and the assessment of the personal training service provided by final-year students studying for a degree in Physical Activity and Sport Sciences. Methods: This study used a qualitative research methodology. There were 25 employees of the University of Almeria (UAL) (M = 52.16 ± 9.55 years), divided into two focus groups and participating in the physical exercise program "UAL Activa". Results: The following three main themes, based on the results, emerged: (a) social well-being during PE practice, (b) assessment of the personal training service and (c) physical exercise as an emotional benefit at work. Conclusion. The workers' interventions have shown that participating in a personalised PE program led by a personal trainer can improve overall health and mood, with a very positive influence on the working environment.

An Intervention of 12 Weeks of Nordic Walking and Recreational Walking to Improve Cardiorespiratory Capacity and Fitness in Older Adult Women.

(1) Background: The main aim of this study was to examine the effect of an intervention of 12 weeks in three groups on anthropometric measurement and heart rate (HR) variables, fitness index, and maximal oxygen consumption (VO2max) in older women. (2) Methods: In total, 166 Serbian adult women, aged 50 to 69 years old, participated in this study, comprising a control group (60 participants, µage = 57.8 + 6.6), Nordic-walking (NW) group (53 participants, µage = 57.5 + 6.8), and recreational-walking (RW) group (53 participants, µage = 57.8 + 6.6) in a physical fitness programme for 12 weeks. (3) Results: Anthropometric measurement variables were measured using a stadiometer and an electronic scale. The data showed differences in walking heart rate (bt/min) (p < 0.001; η2 = 0.088) between control, NW, and RW groups in the pretest analysis. Moreover, there were significant differences in walking heart rate (bt/min) (η2 = 0.155), heart rate at the end of the test (bt/min) (η2 = 0.093), total time of fitness index test (min) (η2 = 0.097), fitness index (η2 = 0.130), and VO2max (η2 = 0.111) (all, p < 0.001) between control, NW, and RW groups in the posttest analysis. (4) Conclusions: NW group training resulted in slightly greater benefits than RW group training. The present study demonstrated that both groups could act as modalities to improve the functionality and quality of life of people during the ageing process, reflected mainly in HR variables; UKK test measurements, and VO2max. It also contributes to the extant research on older women during exercise and opens interesting avenues for future research.

Environmental Education in Initial Training: Effects of a Physical Activities and Sports in the Natural Environment Program for Sustainable Development.

Training for sustainable development is an educational challenge of prime importance. Physical activity and sports in natural environments provide training committed to sustainability and environmental education. The objective of this study was to assess the effects of an undergraduate training program in Physical Activities and Sports in Natural Environments concerned with sustainable development. A total of 113 students from the Autonomous University of Madrid (Spain) who are studying a Bachelor's Degree in Physical Activity and Sports Sciences and a Master's Degree in Teacher Training for Secondary Education and High School (specializing in Physical Education) were involved. Specifically, we aimed to assess the impact of this training program on three dimensions related to Environmental Education (knowledge, behaviors, and attitudes). Its effect was also examined bearing in mind students' sex, age and educational profile (sportive and educational). Mixed-methods were used: for the quantitative approach, data were collected with the Environmental Attitude in Physical Activities in Natural Environments validated scale; for the qualitative approach individual reflective diaries completed by students that attended the program were analyzed. The results show positive effects on the students regarding the three dimensions of Environmental Education, for both the sportive and educational training profiles. The quantitative results do not present significant differences concerning the gender variable, although the qualitative information shows that female students perceived a greater environmental sensitivity during their practices. Regarding the age variable, significant differences are found in the youngest students with an educational profile. To conclude, the study ratifies that the program carried out generated improvements in terms of knowledge, behaviors and attitudes toward the environment and sustainable development. Future research should use larger samples and consider other variables related to education for sustainability.

Validation of a Lagrangian model for large-scale macroplastic tracer transport using mussel-peg in NW Spain (Ría de Arousa).

Marine debris is a growing problem in recent years due to population growth around the world. The incorrect management of plastic waste causes these bodies reach the seas and oceans, becoming a worldwide problem. Once they reach the seas and oceans, they begin a long period of degradation, moving from a macro state (plastics whose diameter is greater than 0.5 cm) to a micro state (diameter less than 0.5 cm). The microplastics spread throughout the oceans, entering the food chain of marine species and, subsequently, of humans. Therefore, it is important to stop the problem while it remains at the macroscale. In this work, a validation of a recently developed Lagrangian computational model to track the movement of macro plastics in seas and oceans is presented. This validation is performed on a regional scale, in the Ría de Arousa, one of the most important estuaries for mussel cultivation in northwestern Spain. During mussel cultivation in rafts, a type of floating plastic stick are released, the mussel-pegs. The potential of this study is that we can compare the accumulation results of the model with the accumulation data collected on the Galician beaches. In a general framework, the influence of wind on the spatial distribution of the accumulations given by the model was observed. For the monitoring data, similar results were found for the accumulation trends over the entire total period. For the monthly representation, some discrepancies were observed. These differences can be attributed to particular synoptic situations, poor reproduction of the coastline or to the very orientation of the study area with respect to the intertidal dynamics.

An Exploratory Data Analysis on the Influence of Role Rotation in a Small-Sided Game on Young Soccer Players.

The aim of the present study was to analyze the behavior of players in a standard small-sided game (SSG) according to the role played (offensive (OF), defensive (DF), and wildcard (W)) and its relationship with physical demands (PHYD), technical performance (TP), and internal load (RPE). A total of 24 young highly trained male soccer players (under 16: n = 12; under 19: n = 12) participated. During the SSG, the players alternated the three roles (OF, DF, and W). The duration of each repetition was 4 min with a passive rest of 3 min between them. Furthermore, it emphasized the high demand in all defensive parameters. In addition, DF roles showed higher values in PHYD and RPE, followed by the OF roles, and finally by the W roles. A complementary, positive moderate correlation was found between PHYD and RPE in the U16 dataset (r = 0.45, p < 0.006). Very large positive correlations were also found between PHYD and RPE in the U19 and merged dataset (r = 0.78, p < 0.001 and r = 0.46, p < 0.63, respectively). This information could be useful for coaches in order to structure the roles in SSGs and control training load.

Neuroeducation, Motivation, and Physical Activity in Students of Physical Education.

In recent years, neuroscience and neurodidactics have demonstrated significant progress in improving the teaching and learning process for various subjects, such as physical education [...].

Why Being Physically Active or Inactive Affects Older Women's Physical Role?

BACKGROUND: Active aging is aimed at promoting quality of life in older adults. Nevertheless, the relationship between physical role and the practice of physical activity (PA) can be influenced by bodily pain feeling and by a low level of health-related quality of life (HRQoL). Passive and active strategies are susceptible to being modified and constitute an important psychological predictor of adaptation to pain. This cross-sectional study (1) analyzed the differences between inactive/active older adult women in terms of clinical and sociodemographic characteristics, pain coping strategies, and HRQoL; (2) studied the associations between pain coping strategies, the dimensions of the HRQoL questionnaire, and physical role; and (3) determined if passive strategies, bodily pain, physical function, and general health were significant mediators in the link between being inactive/active and physical role. METHODS: Participants of the present cross-sectional study completed measures of clinical and sociodemographic characteristics, HRQoL using the Short-Form Health Survey-36, and active and passive strategies using the Vanderbilt Pain Management Inventory (VPMI). RESULTS: A total of 157 inactive (69.9 ± 7.1 years) and 183 active (68.8 ± 5.3 years) women from rural areas were included in the study. Both groups significantly differed in the majority of the clinical and sociodemographic characteristics measured, pain coping strategies, and HRQoL. Bodily pain, physical function, and general health predicted physical role. Moreover, passive strategies, bodily pain, physical function, and general health mediated the link between inactive/active participants and physical role. CONCLUSIONS: Being physically active or inactive contributes to a better understanding of the link between PA, pain coping strategies, and physical role in older women.

Predicting mortality for Covid-19 in the US using the delayed elasticity method.

The evolution of the pandemic caused by COVID-19, its high reproductive number and the associated clinical needs, is overwhelming national health systems. We propose a method for predicting the number of deaths, and which will enable the health authorities of the countries involved to plan the resources needed to face the pandemic as many days in advance as possible. We employ OLS to perform the econometric estimation. Using RMSE, MSE, MAPE, and SMAPE forecast performance measures, we select the best lagged predictor of both dependent variables. Our objective is to estimate a leading indicator of clinical needs. Having a forecast model available several days in advance can enable governments to more effectively face the gap between needs and resources triggered by the outbreak and thus reduce the deaths caused by COVID-19.

Contributions of Service-Learning on PETE Students' Effective Personality: A Mixed Methods Research.

Service-learning (SL) is a pedagogical model focused on achieving curricular goals while providing a community service. Previous research suggests that SL might promote qualities such as self-esteem, motivation, problem-focused coping, decision-making, empathy, and communication, which are associated with a psychological construct known as students' Effective Personality (EP). These studies, however, did not specifically analyse the direct effects of SL on this construct. The aim of this study is to explicitly analyse the effect of SL on Physical Education Teacher Education (PETE) students' EP using a mixed methods approach. The quantitative part of the approach followed a quasi-experimental design using the validated "Effective Personality Questionnaire for University Students", which includes four dimensions: "Academic self-efficacy", "Social self-realisation", "Self-esteem", and "Resolutive self-efficacy". A non-probabilistic sampling on a total of 181 PETE students was then carried out, with 98 participating in the experimental group (42 male, 56 female), and 83 in the control group (34 male, 49 female). The comparisons revealed significant improvements in the experimental group, especially in the social self-realisation and resolutive self-efficacy dimensions. These findings were complemented by a qualitative analysis of 12 students' semi-structured interviews. In conclusion, the study reported a positive influence of SL on the PETE students' EP, providing valuable design patterns for future SL implementations.

Gender, Physical Self-Perception and Overall Physical Fitness in Secondary School Students: A Multiple Mediation Model.

Background: Physical self-perception is often related with better physical fitness perception in adolescents. Moreover, it is an important social cognitive perspective to provide suitable mental health in this population. However, this relationship is unequal between boys and girls. The physical fitness is a marker of health in young population. The aims of the present study were the following: (1) to compare physical self-perception and self-reported overall physical fitness (OPF) between boys and girls (gender) and body mass index (BMI) status, and (2) to determine the mediating role of all physical self-perception subscales (except physical condition) and BMI status in the link between gender and OPF in adolescent students. Methods: This cross-sectional study consisted of 85 adolescent students of secondary school between 12 and 17 years of age; 41 were boys (Mage = 14.6, SD = 1.7) and 44 were girls (Mage = 14.4, SD = 1.6). Adolescent participants completed all clinical characteristics by body composition measures (age, body weight, body height, and BMI). Physical self-perception was assessed by the physical self-perception profile (PSPP) whereas the international fitness scale (IFIS) was used to predict the self-reported OPF of adolescents in the present study. Results: Gender (boys and girls) differed significantly in all PSPP subscales and OPF, whereas the BMI status (underweight = 19 students, normal weight = 53 students, overweight/obese = 13 students) showed significant differences in all clinical characteristics, physical condition (PSPP), and OPF. A multiple mediation analysis was performed using bias corrected bootstrap. This multiple mediation analysis revealed that all PSPP subscales were significant mediators between gender and OPF: attractive body (p = 0.013), sport competence (p = 0.009), physical strength (p = 0.002), and self-confidence (p = 0.002). The total direct effect of gender on OPF was significant (p = 0.002). Moreover, the multiple mediation estimated a completely standardized indirect of X on Y for attractive body (effect = 0.109), sport competence (effect = 0.066), physical strength (effect = 0.130), and self-confidence (effect = 0.193). Conclusions: These findings contribute to understanding the link between gender and OPF in adolescent students and the mediation of physical self-perception and OPF in this relationship. In addition, strategies focused to improve self-confidence and physical self-perception are necessary in female adolescent students, because boys showed better physical self-perception in all PSPP subscales. Girls are a risk group because they report low physical self-confidence with their respective insecurity feelings and psychological disorders. Thus, personal physical self-perception must be considered as an important social cognitive perspective to provide suitable mental health in children and adolescents.

Cutaneous leishmaniasis: A pathological study of 360 cases with special emphasis on the contribution of immunohistochemistry and polymerase chain reaction to diagnosis.

BACKGROUND: Traditional methods for the diagnosis of leishmaniasis yield poor sensitivity, which limits its effectiveness in lesions with a low parasite burden. METHODS: Retrospective pathologic study of 360 cases of cutaneous leishmaniasis and analysis of the different diagnostic methods used. RESULTS: In 93% of the lesions, histopathology showed a dense and diffuse inflammatory infiltrate, consisting of lymphocytes, histiocytes and plasma cells, which occupied the superficial and mid dermis and variably extended to deep dermis and superficial subcutis (standard pattern). The remaining cases exhibited atypical features, such as perivascular, interstitial or perifollicular inflammatory patterns, folliculitis or panniculitis. Granulomas were identified in 84% of biopsies, most of them as small, poorly formed, non-necrotizing histiocytic aggregates. Amastigotes were visualized by routine histopathologic exam in 36% of biopsies. Immunohistochemistry stained 17 of 26 lesions (65%) negative by conventional stains. PCR provided the correct diagnosis in 218 cases (58% of the series) negative for Leishmania by other techniques. CONCLUSIONS: Biopsies negative for Leishmania by traditional diagnostic methods that show the histopathologic standard pattern, those with atypical features from patients with clinical suspicion of cutaneous leishmaniasis in endemic areas, should be studied by immunohistochemistry and/or PCR for Leishmania in order to reach the definitive diagnosis.

A Mixed Methods Study to Examine the Influence of CLIL on Physical Education Lessons: Analysis of Social Interactions and Physical Activity Levels.

Physical Education is often selected for applying multilingual initiatives through the use of a content and language integrated learning (CLIL) approach. However, it is still unclear whether the introduction of such an approach might entail losing the essence of physical education and distorting its basic purposes. The aim of this study is to analyze the impact of CLIL on physical education lessons. Given the purpose of this study, a mixed methodological approach based on a sequential exploratory design divided into two different phases is used. We begin with initial qualitative data collection (phase I), consisting of the analysis of interviews with 12 participants (8 teachers and 4 students). Based on its analysis, two foci are identified: social relationships and physical activity. Then, informed by the results obtained, a quantitative approach is used (phase II), differentiating these two sets of data to make a more in-depth analysis of them. On the one hand, a sociometric questionnaire was applied to analyze the social relationships between CLIL students. On the other hand, a quasi-experimental design (n = 49) was implemented using accelerometry to measure moderate to vigorous physical activity (MVPA) in the physical education sessions. Regarding physical activity, the results show that levels of MVPA are higher in the experimental group (CLIL) than in the control group, a result which clarifies the divergent viewpoints of the interviewees. However, focusing on social relationships, the sociometric questionnaire results show that there were no statistically significative changes, although some signs of a slight effect on students' relationships arise depending on their gender. Therefore, more research would be necessary to further study the effect of CLIL in this regard.

Effects of Service Learning on Physical Education Teacher Education Students' Subjective Happiness, Prosocial Behavior, and Professional Learning.

PURPOSE: This study aims to analyze the effects of a service learning (SL) program on the subjective happiness (SH), prosocial behavior (PB), and professional learning (PL) perceptions of Physical Education Teacher Education (PETE) students as well as to examine the correlations among these variables. METHODS: The study used a quasi-experimental design of two non-equivalent groups (control and experimental) comparing pre-test and post-test data. The instruments used were the Subjective Happiness Scale, the Prosocial and Civic Competence questionnaire, and the Impact of Service Learning during Initial Training of Physical Activity and Sports questionnaire. RESULTS: Data indicated that SL only had a significant influence on SH when the students compared themselves with their peers. On the other hand, the effect of SL on promoting PB and PL perceived was significant in several of their dimensions. Finally, the results showed a greater correlation of the perceived PL with the PB than with the SH. DISCUSSION/CONCLUSION: The results of the study provide educational researchers with valuable information to better understand how SL influences the training of PETE students.

Association of objectively measured sedentary behavior and physical activity levels with health-related quality of life in middle-aged women: The FLAMENCO project.

OBJECTIVE: The aim of the study was to analyze the association of objectively measured sedentary time and physical activity with health-related quality of life in middle-aged women. METHODS: The present cross-sectional analyses were performed in a total of 182 middle-aged women (52.6 ±â€Š4.6 years old) from the Fitness League Against MENopause COst (FLAMENCO) project. Sedentary time and physical activity were objectively measured through accelerometry. Participants' health-related quality of life was assessed with the Short-Form Health Survey 36 (SF-36). RESULTS: Lower sedentary time was associated with a better SF-36 emotional role (B: -0.03; 95% confidence interval: -0.07 to -0.00). Greater light physical activity was associated with a better SF-36 emotional role (B: 0.04; 95% confidence interval: 0.00-0.08). Greater moderate-vigorous physical activity was associated with a greater SF-36 physical function (B: 0.01; 95% confidence interval: 0.00-0.02) and SF-36 vitality (B: 0.02; 95% confidence interval: 0.00-0.03). Greater vigorous physical activity was associated with a better SF-36 physical function (B: 0.34; 95% confidence interval: 0.02-0.66), SF-36-bodily pain (B: 0.63; 95% confidence interval: 0.02-1.25), and the SF-36 physical component scale (B: 0.20; 95% confidence interval: 0.00-0.39). Greater total physical activity was associated with a better SF-36 emotional role (B: 0.03; 95% confidence interval: 0.00-0.07). Moderate physical activity was not associated with any SF-36 dimension (all, P > 0.05). CONCLUSIONS: Spending less time in sedentary behavior and greater physical activity levels, especially vigorous physical activity, are associated with better health-related quality of life in middle-aged women. Vigorous physical activity is associated with a better SF-36 physical component scale, which might mean a reduction in exercise time with similar improvements for women's quality of life.ClinicalTrials.gov Identifier: NCT02358109. Date of registration: 05/02/2015.

Psychological and environmental factors for older adults to exercise: A systematic review / Factores psicológicos y ambientales para que los adultos mayores hagan ejercicio: Una revisión sistemática / Fatores psicológicos e ambientais para o exercício de adultos mais velhos: uma revisão sistemática

Research investigation concerning potential motivators and psychological influences on health and physical exercise participation have increased worldwide in the last two decades. In contrast, few investigations have analysed this phenomenon in older people living in different contexts. Older adults suffer a notable diminution of physical functions that may be followed by psychological disorders and are detrimental to their affective and social relationships. Therefore, it is of great importance to find strategies that increase the participation of older adults' in regular exercise. A systematic review of 945 studies was conducted. All of the 27 studies reviewed, that met the inclusion criteria, have undertaken mixed-method, qualitative and qualitative approaches. The data were extracted based on the following variables: the methodology and the instrument/questionnaire used, the type of article, number of participants, duration and intensity of the interventions, profile of the older adults, most relevant findings and the country where the study was developed. The instruments used in the studies, were mainly semi-structured interviews, discussion groups and questionnaires, focusing mainly on the United States and Canada. The knowledge of psychological and environmental factors is a key aspect relevant to both the social and physical aspects and has a strong influence on older people's commitment to exercise, influencing their wellbeing. The aim of this study was to explore barriers and facilitators of adherence to a physical exercise programme for older adults

Las investigaciones sobre los posibles factores motivadores e influencias psicológicas sobre la salud y la participación en el ejercicio físico han aumentado en todo el mundo en las últimas dos décadas. En contraste, pocas investigaciones han analizado este fenómeno en adultos mayores que viven en varios contextos. Los adultos mayores sufren una disminución notable de las funciones físicas que pueden ser seguidas por trastornos psicológicos y un detrimento de las relaciones afectivas y sociales. Por lo tanto, es de suma importancia encontrar estrategias para aumentar la participación regular de los adultos mayores en prácticas de ejercicio físico dirigido. Se realizó una revisión sistemática de 945 estudios. Todos los 27 estudios revisados, que cumplieron con los criterios de inclusión, han adoptado métodos mixtos, cuantitativos y cualitativos. Los datos se extrajeron de acuerdo con las siguientes variables: metodología científica, el instrumento / cuestionario utilizado, tipo de artículo, número de participantes, duración e intensidad de las intervenciones, perfil del colectivo de adultos mayores, los hallazgos más relevantes y el país donde se realizó el estudio. Los instrumentos utilizados en los estudios fueron principalmente entrevistas semiestructuradas, grupos de discusión y cuestionarios, centrados principalmente en Estados Unidos y Canadá. El conocimiento sobre los factores psicológicos y ambientales es un aspecto clave que se encuentra adyacente tanto a los aspectos físicos como a los sociales y tiene una influencia relevante en el ejercicio y el bienestar de los adultos mayores. El objetivo de este estudio fue explorar las barreras y los facilitadores a la hora de realizar un programa de ejercicio físico para adultos mayores

Pesquisas sobre possíveis fatores motivadores e influências psicológicas na saúde e participação em exercícios físicos aumentaram em todo o mundo nas últimas duas décadas. Por outro lado, poucas investigações analisaram esse fenômeno em idosos que vivem em vários contextos. Os idosos sofrem uma diminuição notável nas funções físicas que podem ser seguidas por distúrbios psicológicos e um prejuízo para as relações afetivas e sociais. Portanto, é de extrema importância encontrar estratégias para aumentar a participação regular de idosos em práticas direcionadas de exercícios físicos. Uma revisão sistemática de 945 estudos foi realizada. Todos os 21 estudos revisados, que atenderam aos critérios de inclusão, adotaram métodos mistos, quantitativos e qualitativos. Os dados foram extraídos de acordo com as seguintes variáveis: metodologia científica, instrumento / questionário utilizado, tipo de artigo, número de participantes, duração e intensidade das intervenções, perfil do grupo de idosos, achados mais relevantes e país onde o estudo foi realizado. Os instrumentos utilizados nos estudos foram principalmente entrevistos semiestruturadas, grupos de discussão e questionários, focados principalmente nos Estados Unidos e no Canadá. O conhecimento de fatores psicológicos e ambientais é um aspecto fundamental, adjacente aos aspectos físicos e sociais, e tem uma influência relevante no exercício e no bem-estar dos idosos. O objetivo deste estudo foi explorar as barreiras e facilitadores na realização de um programa de exercícios físicos para idosos