Risk factors and associated factors for calcaneal apophysitis (Sever's disease): a systematic review.

OBJECTIVES: The aim of this review was to identify the potential intrinsic and extrinsic risk factors (RFs), associated factors (AFs) and consequences of developing calcaneal apophysitis (CA). DESIGN: Systematic review. DATA SOURCES: Cochrane Library, Embase, Medline Ovid, PubMed, Web of Science and Evidence, searched from inception to April 2021. ELIGIBILITY CRITERIA: We included cohort, case-control and cross-sectional studies that were conducted in patients younger than 18 years who were exposed to RFs or who presented with factors associated with developing CA. Studies in languages other than English or Spanish were excluded. DATA EXTRACTION AND SYNTHESIS: Two reviewers worked independently to evaluate the risk of bias of included studies. The Newcastle-Ottawa Scale (adapted version) was used. RESULTS: A total of 736 studies were identified and 11 observational studies fully met the inclusion criteria, including 1265 participants with a mean age of 10.72 years. Four studies identified extrinsic factors, 10 identified intrinsic factors and three identified both. The extrinsic and intrinsic RFs, AFs and consequences of CA include limitation of ankle dorsiflexion, foot alignment, stiffness and mobility of the midfoot, plantar pressures and ground reaction force, body mass index, age, gender, presence of other osteochondroses and practice of sport. The risk of bias varied, being either moderate or low. CONCLUSIONS: Regarding the factors and consequences associated with CA (Sever's disease), ankle dorsiflexion limitation is the most frequent intrinsic factor studied, followed by peak plantar pressures and foot malalignment. However, disagreements between the investigators of the included studies were found; in some cases, there is a lack of unanimity between different studies as to which factors are considered to be RFs, AFs and consequences. PROSPERO REGISTRATION NUMBER: CRD42021246366.

Relationship between Kinesiophobia, Foot Pain and Foot Function, and Disease Activity in Patients with Rheumatoid Arthritis: A Cross-Sectional Study.

The main objective of the present study was to determine the relationship between kinesiophobia and pain (general and foot pain), foot function, and disease activity in patients with rheumatoid arthritis (RA). A total of 124 interviews were carried out with participants with RA. Participants were recruited from the Hospital Universitario Virgen de las Nieves de Granada in Spain. Interviews took place in January 2021. Participants completed the following questionnaires during an appointment with their rheumatologist: Foot Function Index (FFI), Tampa Scale for Kinesiophobia (TSK-11), and the Visual Analogue Scale Pain foot (VAS Pain). Furthermore, the Simplified Disease Activity Index (SDAI) was used to measure disease activity. Of the 124 participants, 73% were women, and their mean age was 59.44 years (SD 11.26 years). In the statistical analysis, positive linear correlations (p < 0.001) were obtained between the variables TSK-11 and VAS (related to general pain or foot pain) and FFI (in its three subscales). Additionally, a negative correlation between the TSK-11 and the educational background was shown. This study provided information about the relationship between foot function and pain with different levels of kinesiophobia in patients with RA. Additionally, the educational background of the patient was considered a predictor of whether or not a patient suffered from kinesiophobia.

Dolor, uso de ortesis plantares, calzado y consejos de salud en personas con lupus eritematoso sistémico. Un estudio descriptivo / Pain, use of plantar orthoses, footwear and health advice in people with systemic lupus erythematosus. A descriptive study

Objetivos: Conocer la percepción de los pacientes sobre el dolor y localización en los pies debido al lupus eritematoso sistémico (LES). Identificar los consejos y cuidados recibidos sobre los problemas de sus pies y calzado, y qué profesional los proporcionó. Conocer si los pacientes usaban ortesis plantares o calzado ortopédico. Pacientes y métodos: Estudio observacional, descriptivo, transversal, realizado entre marzo y mayo de 2021 sobre 47 personas con LES. Cinco participantes se excluyeron por no completar el cuestionario, siendo 42 los participantes después de obtener su consentimiento informado. Se confeccionó una hoja de recogida de datos para alcanzar los objetivos. Resultados: El 47.6 % de los pacientes presentaba dolor en los pies atribuido al LES durante la entrevista, con un promedio de dolor de 4.4 (DE = 2.97). El dolor se localizó principalmente en el antepié y los dedos. El 31 % y el 21.4 % recibieron cuidados o consejos para sus problemas en los pies respectivamente, siendo podólogos y reumatólogos los principales prescriptores. El 31 % recibió consejos sobre el calzado adecuado, proporcionados principalmente por podólogos y reumatólogos. El 33.33 % utilizaba ortesis plantares, siendo mayormente prescritas por reumatólogos y podólogos. Solo un 4.8 % utilizaba calzado ortopédico o hecho a medida. Conclusiones: Se encontró una prevalencia significativa de dolor en los pies atribuido al LES, siendo el antepié y los dedos las áreas más afectadas. Un porcentaje limitado de pacientes recibió cuidados y consejos para sus problemas en los pies, y el uso de ortesis plantares y calzado ortopédico fue poco común (AU)

Objectives: To know the perception of patients about pain and location in the feet due to Systemic Lupus Erythematosus (SLE). Identify the advice and care received about the problems of your feet and footwear, and which professional provided it. To know if patients wore plantar orthoses or orthopedic shoes. Patients and methods: Observational, descriptive, cross-sectional study, conducted between March and May 2021 on 47 people with SLE. Five participants were excluded for not completing the questionnaire, with 42 participants after obtaining their informed consent. A data collection sheet was prepared to achieve the objectives. Results: A total of 47.6 % of patients had foot pain attributed to SLE during the interview, with an average pain of 4.4 (SD = 2.97). The pain was mainly localized to the forefoot and fingers. Thirtyone (31 %) and 21.4 % received care or advice for their foot problems respectively, with podiatrists and rheumatologists being the main prescribers. Also, 31 % received advice on proper footwear, provided mainly by podiatrists and rheumatologists. One third (33,33 %) used plantar orthoses, being mostly prescribed by rheumatologists and podiatrists. Only 4.8 % used orthopedic or custom-made shoes.Conclusions: A significant prevalence of foot pain attributed to SLE was found, with the forefoot and toes being the most affected areas. A limited percentage of patients received care and advice for their foot problems, and the use of plantar orthotics and orthopedic footwear was uncommon (AU)

Termografía en el efecto vasodilatador de anestésicos locales para el bloqueo troncular del primer dedo / Thermography of the vasodilator effect of local anaesthetics in ingrown toenail surgery

Objetivos: Los anestésicos locales de tipo amida empleados en cirugía podológica, como la lidocaína o mepivacaína, poseen cierto poder vasodilatador. Puesto que en algunas técnicas quirúrgicas puede haber sangrado postquirúrgico abundante, conocer si alguno de los dos anestésicos tiene mayor o menor efecto vasodilatador podría mejorar la respuesta postquirúrgica a estas técnicas. Así pues, el objetivo de este estudio fue comparar la respuesta térmica en el primer dedo tras la aplicación de los dos anestésicos al 2 %. Pacientes y métodos: Veintiséis participantes sanos se ofrecieron voluntarios para participar en este ensayo clínico aleatorizado con doble ciego. Los sujetos fueron divididos en dos grupos: lidocaína 2 % (n = 13) y mepivacaína 2 % (n = 13). Ambos grupos recibieron 1 cc del anestésico indicado. Se realizó una fotografía termográfica previa y tras 10 minutos al bloqueo troncular del hallux para cuantificar el aumento de temperatura. No se registraron complicaciones ni reacciones adversas. Resultados: Los dos grupos eran similares en cuanto a características antropométricas. No se observaron diferencias significativas entre grupos ni en la media de temperatura pre-anestésica (24.38 °C grupo lidocaína, 24.75 °C grupo mepivacaína, p = 0.918), ni en la media de temperatura postanestésica de los sujetos (31.3 °C para ambos grupos, p = 0.959). Los resultados de la diferencia pre-post anestésica fue de 6.91 °C para el grupo lidocaína y de 6.54 °C para el grupo mepivacaína, siendo esta diferencia estadísticamente no significativa (p = 0.7). Sin embargo, todos los sujetos (n = 26) mostraron un aumento de la temperatura tras la anestesia (p < 0.001). Conclusiones: Ambos fármacos mostraron una elevación de la temperatura en los sujetos y, por tanto, su poder vasoactivo. En cambio, no se evidenciaron diferencias significativas entre grupos...(AU)

Objectives: Local anaesthetics such as lidocaine or mepivacaine, commonly used in toenail surgery, have an associated vasodilator effect. Although is thought that lidocaine has a greater vasodilator effect than mepivacaine, there´s not strong in vivo evidence of this. So, the aim of this work was to assess the temperature increase experienced by the toes after be injected of 1 ml 2 % mepivacaine or lidocaine. Patients and methods: 26 participants were randomly divided into two groups and a pre-anæsthetic thermal image (Flir E60bx camera) was taken. Patients in group A (n = 13) received 1 ml of 2 % lidocaine, while those in group B (n = 13) received 1 ml of 2 % mepivacaine at four points of the hallux. After 10 minutes a second thermal image (post-anæsthetic image). Mean temperatures were assessed at the proximal phalanx and the pad of the hallux. Results: After application of the anæsthetic, the mean temperatures were 31.3 ± 3.07 °C at point 1 and 30.8 ± 3.08 °C at point 2 in the lidocaine group, and 31.3 ± 2.74 °C at point 1 and 29.5 ± 2.87 °C at point 2 in the mepivacaine group, with not statistically significant differences between them (p = 0.959 and p = 0.798). All the participants experienced temperature increases of between 5.13 °C and 6.91 °C, but there were no significant differences between groups (p = 0.7 and p = 0.0778). Conclusions: Even though most of the literature suggests that lidocaine has more potent vasodilator effect than mepivacaine, the present results do not reflect any real clinical impact distinguishing one drug from the other in the field block of the big toe, as measured with infrared thermal imaging.(AU)

Experiences of patients with rheumatoid arthritis during and after COVID-19-induced quarantine in terms of physical activity and health status: A qualitative study.

AIM: The aim of this study was to explore experiences of people with rheumatoid arthritis during and after COVID-19-induced quarantine in terms of physical activity and health status. BACKGROUND: Rheumatoid arthritis affects multiple facets of the person, both physically and psychologically. Physical activity is considered a safe and effective intervention to improve symptoms and systemic manifestations of rheumatoid arthritis. In the context of the COVID-19, countries like Spain were forced to impose restrictions on mobility, prohibiting outings even to perform physical activity. METHODS: Structured interviews were conducted and developed using the Tampa Scale for Kinesiophobia-11 questionnaire. Data were analysed using a six-step thematic analysis. RESULTS: The results make it clear that even though the patients declared that physical activity is essential for them to deal with their disease, most of the participants affirmed that they significatively reduced their levels of physical activity during the pandemic. CONCLUSIONS: Physical activity should be promoted in people, even in difficult times, to improve disease outcomes, well-being and mental health. IMPLICATIONS FOR NURSING MANAGEMENT: Knowing the experiences of these patients enables nursing managers to develop interventions that ensure the delivery of comprehensive nursing care regarding physical activity and health status, in future situations like this pandemic.

Theory of Mind in Borderline Personality Disorder: A Possible Endophenotypic Factor?

The purpose of this study is to examine whether theory of mind (ToM) is an endophenotypic marker of borderline personality disorder (BPD), thus constituting an etiopathogenic factor of the disease. This would suggest familial vulnerability to BPD. This was a case-control study involving 146 individuals with 57 BPD patients, 32 first-degree relatives, and 57 controls (median age of BPD and control = 33.4 years; relatives = 52.9 years; BPD females and controls = 91.2%; female relatives = 62.5%). All the participants completed the Spanish version of the Movie for the Assessment of Social Cognition test to evaluate the ToM subclassification: interpretation of emotions, thoughts and intentions. BPD patients and their healthy first-degree relatives exhibited significant deficits in the correct interpretation of emotions and intentions compared to healthy controls. Both patients with BPD and their healthy first-degree relatives exhibited significant deficits in ToM, which suggests that it may be an etiopathogenic factor of BPD, and ToM (interpretation of emotions, thoughts and intentions) is a possible endophenotypic marker of BPD, suggesting a genetic predisposition to the disorder. Therefore, ToM could be considered as an indicator for the early detection of the disorder of and intervention for BPD.

Efficacy and safety of condylectomy with minimally invasive surgery in the treatment of interdigital corns of the lesser toes compared to conservative treatment.

BACKGROUND: Minimally invasive surgery (MIS) procedures cause less trauma to the patient and might improve recovery. This study aimed to determine the efficacy and safety of condylectomy with MIS to treat interdigital corns of the lesser toes. METHODS: This prospective cohort study was conducted in seven podiatry centers. Patients with interdigital corns of the lesser toes, progressing for more than a year, with one or more recurrences in the last year following conservative treatments were eligible. The recruited patients were classified according to their treatment: conservative or surgical (condylectomy with MIS) and were compared. Patient satisfaction, pain, the clinical and functional status of the foot and the appearance of sequelae were assessed at 3 and 6 months after treatment. RESULTS: At 6 months, patients in the surgical treatment group showed no pain on pressure, which significantly differed from the conservative treatment group (p <  0.001). They also improved clinical and functional status of the foot, reaching values comparable to those of the standard population. No paresthesia, joint stiffness or instability, toe malalignment, or corn transfer to a contiguous site resulted from the surgical treatment. CONCLUSIONS: Condylectomy with MIS is effective and safe to treat interdigital corns of the lesser toes.

Gouty Involvement of Foot and Ankle: Beyond Flares / Implicación de los tobillos y pies en gota: Algo más que ataques

The foot and ankle are common locations of deposition of monosodium urate (MSU) crystals, as indicated by the clinical manifestations presented by patients with gout, which are not limited to the acute inflammation of the big toe. We present a narrative literature review aimed to update the gout involvement of foot and ankle and how it affects the quality of life. Cumulative reports indicate that gout, even at the non-tophaceous stage, could cause pain, gait impairment and limit the mobility at lower limbs. These patients may present difficulties in some activities of daily living such as choosing footwear, thus leading to an impaired quality of life. Gout is a curable disease by dissolving MSU crystals but remains unclear how this could modify some of these foot and ankle manifestations, especially when structural damage has already occurred. Furthermore, a collaboration between rheumatologists and podiatrists seems helpful to understand, relieve these symptoms and improve the quality of life in gouty patients.(AU)

El pie y el tobillo son lugares comunes de depósito de cristales de urato monosódico (UMS), como indican las manifestaciones clínicas que presentan los pacientes con gota, que no se limitan a la inflamación aguda del primer dedo del pie. Presentamos una revisión narrativa de la literatura con el objetivo de actualizar la implicación de la gota en pie y tobillo y cómo afecta a la calidad de vida. En la literatura se describe que la gota, incluso en la etapa no tofácea, podría causar dolor, deterioro de la marcha y limitaciones de la movilidad en las extremidades inferiores. Estos pacientes pueden presentar dificultades en algunas actividades de la vida diaria, como la elección de calzado, lo cual implica una calidad de vida deteriorada. La gota es una enfermedad curable si se disuelven los cristales de UMS, pero resulta incierto cómo esto podría modificar algunas de estas manifestaciones en pie y el tobillo, especialmente cuando el daño estructural ya ha ocurrido. Además, una colaboración entre reumatólogos y podólogos sería de utilidad para comprender y aliviar estos síntomas así como mejorar la calidad de vida de los pacientes con gota.(AU)

Validity of an Instrument to Detect Cheating Confirmed by the Elicited Emotional Reactions.

Cheating forms part of a complex emotional and cognitive process. However, although a relatively mundane phenomenon, instruments to evaluate cheating and its effects socially are scarce. This paper presents a five-stage approach aimed at providing validity to an instrument designed to assess cheating - specifically, its detection, and emotional reactions towards it once detected. An instrument was designed after (1) reviewing the relevant literature on cheating, in order to (2) design a bank of stimuli, (3) formulate a Delphi panel to judge the most coherent and pertinent ones, and (4) perform three pilot studies to adjust the final version of the instrument. Results from Stages 1 to 4 show that content validity was achieved for the Instrument for Detecting Cheating and its Emotional Reactions (INDETRAE, in Spanish: Instrumento para la Detección de Trampa y sus Reacciones Emocionales). Stimuli were grouped into five categories of 18 different scenarios, for a total of 90 vignettes: meaning, the INDETRAE is a 5-category, vignette-based questionnaire consisting of contrasting social cost-benefit scenarios, where the cheating situation affects an undefined, a first or a third person, and also a neutral category with no cheating. In Stage 5, several chi-squared tests (p < 0.0005) revealed significant differences between categories, proving that the instrument can indeed be used to detect cheating and to identify differentiated emotional reactions - for example, anger when there was detriment to a third person as opposed to neutral situations, or glad when there was a case of cheating which benefited the first person. The last stage counts as the first approximation to support construct validity of the INDETRAE. The most important contribution of this work consists in developing an instrument to detect cheating, confirmed by the resulting emotional reactions, which therefore demonstrate its validity.

Gouty Involvement of Foot and Ankle: Beyond Flares.

The foot and ankle are common locations of deposition of monosodium urate (MSU) crystals, as indicated by the clinical manifestations presented by patients with gout, which are not limited to the acute inflammation of the big toe. We present a narrative literature review aimed to update the gout involvement of foot and ankle and how it affects the quality of life. Cumulative reports indicate that gout, even at the non-tophaceous stage, could cause pain, gait impairment and limit the mobility at lower limbs. These patients may present difficulties in some activities of daily living such as choosing footwear, thus leading to an impaired quality of life. Gout is a curable disease by dissolving MSU crystals but remains unclear how this could modify some of these foot and ankle manifestations, especially when structural damage has already occurred. Furthermore, a collaboration between rheumatologists and podiatrists seems helpful to understand, relieve these symptoms and improve the quality of life in gouty patients.

Twelve tips to make successful medical infographics.

In the health sciences, professionals must keep up to date to conduct their evidence-based practise. Hence, there is a growing need to share medical knowledge efficiently among healthcare professionals, patients, and undergraduate health science students. Infographics (text and image) are a hybrid element that serves to represent information in an attractive and meaningful visual format. Actually, with the use of the Internet and social networks, infographics have become a popular format for sharing medical information around the world.On the basis of a published literature review, we provide 12 tips in this article to make a successfully health-related infographic with the aim of assisting clinicians, educators, and researchers in their task of communicating and transforming complex information into a visual, attractive, didactic and shareable format.By following these basic recommendations, it is possible to improve the dissemination of scientific and health-related knowledge to different audiences who can benefit from infographics.

Social cognition and social functioning in people with borderline personality disorder and their first-degree relatives.

BACKGROUND: A few papers studying healthy, first-degree relatives of people with borderline personality disorder (BPD) have found that this group presents attention and memory problems. However, current research has not analyzed their social cognition. MATERIALS AND METHODS: We designed an age-, gender- and education-level matched case-control study involving 57 people with BPD, 32 of their first-degree relatives, and 57 healthy controls in Spain in 2018-2019. All were assessed for social cognition and functioning using the Movie for Assessment of Social Cognition and the Social Functioning Scale; other potential confounders were also collected (marital status, occupation and household variables). RESULTS: There were differences in the social cognition domain of overmentalizing errors, with the BPD group scoring significantly higher than controls; however, there was no significant difference with relatives; in the social functioning domain of family relationships, with the controls showing the highest scores. Social engagement/withdrawal, interpersonal behavior, independence-competence, prosocial activities, full scale and categorization domains showed the same pattern: the BPD group had lower scores than their relatives and the controls. Relatives were significantly different from BPD patients in family relationships, social engagement/withdrawal and interpersonal behavior, as well as on the full Social Functioning Scale (both as a linear and categorical variable). However, only controls showed differences with relatives in family relationships. CONCLUSIONS: All in all, relatives show similar levels of social cognition and functioning compared with controls, and people with BPD show some alterations in different domains of both social cognition and functioning.

Description of the surgical technique for condylectomy with minimally invasive surgery to treat interdigital helomas on the lesser toes: a Delphi study.

BACKGROUND: Descriptions of the techniques for condylectomies via minimally invasive surgery (MIS) to treat interdigital helomas of the lesser toes are scarce in the literature. This study aimed to define and describe this surgical technique. METHODS: This observational study was performed using the Delphi method. We collected the anonymous opinions of a multidisciplinary international panel of ten experts by answering a 43-items questionnaire via e-mail. Statements with an average score ≥ 3 were included in the next round, as were those in which none of the three statements reached the minimum score of 3 within the same item. RESULTS: Response rate: 90%. Three rounds were needed to reach consensus on proposed items. A new statement that combined two statements was proposed in round 3. Eleven recommendations regarding the incision and instruments used to perform this surgical technique were obtained based on the expert consensus. CONCLUSIONS: A longitudinal incision to the distal pulp of the toe or an incision to the centre of the plantar aspect of the head of the proximal phalanx should be performed according to the affectation, and a Beaver 64 scalpel blade, a blunt elevator and a Shannon-Isham burr are the most acceptable tools for this kind of surgery.

Ciencias de la salud basada en la evidencia: hechos y reflexiones para la práctica clínica / No disponible

Actualmente, el ejercicio clínico de los profesionalessanitarios se basa, por un lado, en el conocimientoclínico personal acumulado en el paso de los añosy, por otro, en el afecto a procedimientos estándarsustentados largamente en el tiempo, es decir, enlo que se podría llamar como “ciencias de la saludbasada en la experiencia”. Esto es un problema queafecta generalmente a todas las ciencias de la salud;medicina, terapia ocupacional, fisioterapia, podología,...y produce que la atención podológica, eneste caso, varíe mucho entre un podólogo y otro. Elproblema es que es prácticamente imposible para unprofesional sanitario mantenerse actualizado, ya quela nueva información que aparece cada año es muygrande. Algunos autores establecieron hace unos 10años que, para mantenerse al día, actualmente unmédico de medicina general debe leer 19 artículosal día los 365 días del año. Esto plantea algunos problemasal podólogo que quiera tomar una decisiónactualizada con respecto al diagnóstico, pronósticoo tratamiento de un paciente. Más aún, si tenemosen cuenta que muchos artículos no tienen una relevanciaclínica de importancia o presentan erroresmetodológicos, o no son publicados en revistas deimpacto. La respuesta la podemos encontrar en laciencias de la salud basada en la evidencia o en nuestrocaso de la Podología basada en la evidencia, queproviene de la practica de la medicina basada en laevidencia, la que ha sido definida como el uso racionalde la mejor evidencia posible, según la experiencia clínicay el conocimiento de las preferencias del paciente ypara recomendar el tratamiento correcto, al tiempo correcto para el paciente indicado...(AU)

Currently the exercise of clinical health professionalsis based on the one hand on the knowledge accumulatedclinical staff in the years pass and another onaffection to standard procedures based on the longtime that is, in what might be called as a “experiencebased health sciences” This is a problem that usuallyaffects all health sciences, medicine, occupationaltherapy, physiotherapy, podiatry, ... And producesthat podiatry attention, in this case, differ greatlyfrom one another and podiatrist. The problem is thatit is virtually impossible for health care professionalskeep up, because the new information that appearsevery year is very large. Some authors establishedsome 10 years ago that to keep up, now a general practitionermust read 19 articles a day, 365 days a year.This raises some problems podiatrist who wants totake a decision with regard to the current diagnosis,prognosis or treatment of a patient. Moreover, if weconsider that many items have no clinical relevanceor importance of methodological errors, or are notpublished in journals impact. The answer can befound in the Evidence-based Health Sciences or inour case of Evidence-based Podiatry, which comesfrom the practice of evidence-based medicine, whichhas been defined as the rational use of the best evidencepossible, according to the clinical experienceand knowledge of the preferences of the patient andrecommend the proper treatment, the time is rightfor the patient indicated. The evidence-based healthsciences allows us to maintain a continuing education,avoiding falling into the routine clinical, clearlyidentifying what is not known about a particular topic. Restructuring at the same time, the mannerby which we solve the clinical problems(AU)

Dimetiléter-propano; una alternativa para el tratamiento de las verrugas plantares en podología. Parte II / No disponible

En esta segunda parte, se revisa el procedimientode aplicación y descripción de la técnica, estandoindicada tanto en niños, como en adultos y ancianos.También se revisa el coste económico de latécnica, y las posibles complicaciones que puedenaparecer(AU)

In this second part, there is checked the procedureof application and description of the skill, beingindicated so much in children, since in adultsand elders. Also the economic cost of the skill ischecked, and the possible complications that canappear(AU)

Temas valorados críticamente: un aprendizaje basado en la evidencia / No disponible

En la práctica clínica diaria, se nos plantean dudasconstantes sobre la etiología, diagnóstico, tratamientoo pronóstico de las distintas afecciones de los piesde nuestros pacientes. Para resolver estas dudas,proponemos utilizar los Temas Valorados Críticamente,del inglés Critical Appraisal Topic. Aunqueesta metodología requiere de un esfuerzo mayorque el que requiere solventar dudas mediante otrosmétodos, sigue una sistemática de trabajo basada enla Medicina Basada en la Evidencia, la cual le otorgauna gran validez. Los Temas Valorados Críticamenteson documentos en forma de resumen breve de laspruebas científicas más relevantes, en relación a unapregunta clínica específica. Mediante este métodose intenta formular preguntas correctas, surgidasdurante la práctica clínica diaria, para buscar lamejor evidencia disponible, una vez encontrada seorganiza, resume, integra y se lleva a la práctica.Dando respuesta, en tiempo real, a cuestiones quesurgen durante la práctica diaria, facilitando elproceso de toma de decisiones(AU)

In the daily clinical practice, constant doubts appearon the etiology, diagnosis, treatment or predictionof the different affections of the feet of our patients.To solve these doubts, we propose to use the CriticalAppraisal Topic. Though this methodology needsof a major effort that the one that it needs to settledoubts by means of other methods, follows the systematicalone of work based on the Evidence BasedMedicine, which grants a great validity to him. TheTopics Valued Critically are documents in the shapeof brief summary of the most relevant scientifictests, in relation to a clinical specific question. Bymeans of this method one tries to formulate correctquestions arisen during the clinical daily practice, tolook for the best available evidence, once opposingone organizes, summarizes, integrates and removesto the practice. Giving response, in real time, toquestions that arise during the daily practice, facilitatingthe process of capture of decisions(AU)

Fascitis plantar / No disponible

No disponible

El síndrome de Proteus: del mundo griego a la medicina / No disponible

El mundo griego se encuentra presente en la sociedad actualen muchas facetas, música, arte, deporte, filosofía...llegando incluso a la medicina y las ciencias de la salud.Y es que la cultura griega tiene un papel privilegiadodentro de las ciencias médicas, siendo el griego el idiomade la medicina científica durante toda la antigüedadclásica. Además, en la actualidad, una gran mayoría detérminos médicos provienen del griego junto con el latín,recurriendo aún en la actualidad al griego y al latín paracrear neologismos. La influencia de la cultura griega estal que incluso algunas enfermedades son conocidas conel nombre de algún héroe, leyenda o mito griego, comoes el caso que ocupa la presente revisión, el Síndrome deProteus. El Síndrome de Proteus hace referencia al diosde la mitología griega “Proteo, el polimorfo”, debido a sucapacidad para cambiar de forma a su voluntad con elobjetivo de no ser cazado.Este síndrome consiste en una alteración del crecimiento,donde existe un crecimiento excesivo del tejido epidérmico,el adiposo u óseo. Se trata de una tumoración formadapor una mezcla anómala de elementos constitutivos deun tejido, implicando a sistemas diferentes y con unagran variabilidad clínica. Tanto la descripción como elnombre del síndrome, fue establecido en el último cuartode siglo XX. Es un síndrome poco frecuente, afectandoa menos de 200 personas en el mundo. Afecta por igualal sexo femenino que masculino, con una prevalencia demenos de 1 por cada millón de nacimientos.Así, se puede apreciar que incluso en tiempos másactuales, a la hora de dar nombre a nuevas patologías oafecciones emergentes, se observa una tendencia de losprofesionales sanitarios a utilizar conceptos del mundogriego de forma rutinaria, hecho que es evidenciado,por ejemplo, en el síndrome de Proteus(AU)

The Greek world is present in today’s society in manyfacets, music, art, sports, philosophy ... Even medicineand health sciences. And is that the Greek culture has aprivileged role in the medical sciences, where the Greeklanguage of scientific medicine throughout classicalantiquity. Moreover, at present, a large majority ofmedical terms come from the Greek along with Latin,drawing even at present the Greek and Latin to createneologisms. The influence of Greek culture is such thateven some diseases are known as a hero, Greek myth orlegend, as was the case before this revision, the ProteusSyndrome. The Proteus Syndrome refers to the god ofGreek mythology “Proteus, polymorphous,” becauseof its ability to change shape at will with the aim ofnot being hunted.This syndrome is a disturbance of growth, where thereis an excessive growth of epidermal tissue, fat or bone.It is a tumor composed of a mixture of anomalouselements of the fabric, involving different systems andwith a high degree of variability clinic. Both the descriptionand the name of the syndrome, was establishedin the last quarter-century. It is a rare syndrome, affectingfewer than 200 people in the world. Subsequentalike females to males, with a prevalence rate of lessthan 1 per million births.Thus, we can see that even in current times, whennaming a new emerging diseases or conditions, thereis a tendency for healthcare professionals to use Greekconcepts of the world routinely, a fact that is evidenced,for example, Proteus syndrome(AU)

Estudio de las dermopatías que se presentan con mayor frecuencia en el pie del deportista / Study of the most frequent dermal foot lesions in athletes

No disponible

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