Impacto de un entrenamiento robótico de la marcha en pacientes con mielomeningocele / Robotic gait training impact in patients with myelomeningocele

Introducción: Los defectos del tubo neural, en especial el mielomeningocele (MMC), son causa de discapacidad para la marcha con un grado variable de severidad, según el nivel de lesión. Dentro de las intervenciones terapéuticas, se propone utilizar el entrenamiento robótico de la marcha (ERM). Objetivo: Evaluar los efectos del ERM en pacientes con MMC del Centro de Rehabilitación Infantil Teletón (CRIT) Guerrero. Material y métodos: Estudio casi experimental, prospectivo y longitudinal, realizado en 5 pacientes con MMC de grado L3 o más bajo, según la clasificación de Sharrard, en los que se aplicó la escala American Spinal Cord Association (ASIA), la prueba de la caminata de 6 minutos, los cuestionarios Functional Independence Measure (FIM) y Spinal Cord Independence Measure (SCIM III), y los parámetros de Lokomat (distancia recorrida, velocidad, descarga y fuerza guiada), antes y después del tratamiento. En total se proporcionaron 10 sesiones de 30 minutos, 2 veces por semana. Se llevó a cabo la recopilación de los datos mediante el programa Excel versión 2010, y el análisis estadístico con la prueba de la t de Student (p <0,05) para establecer la significación estadística. Resultados: Se encontró significación estadística en las variables de la escala ASIA motor total (p= 0,05) y la funcionalidad, determinada por las escalas SCIM III (p= 0,005) y FIM (p= 0,0005), así como la distancia recorrida en la prueba de la caminata de 6 minutos (p= 0,03) y los parámetros de Lokomat® Pro: fuerza guiada (p= 0,002), velocidad de la marcha (p= 0,03) y descarga de peso (p= 0,0008). Las variables sin cambios fueron la sensibilidad (ASIA) y la distancia recorrida. Conclusiones: El ERM representa una herramienta más en la mejora de la función para la marcha en pacientes con MMC, ya que es posible controlar las variables de entrenamiento de forma constante, ofreciendo la posibilidad de mejorar la fuerza en miotomos preservados y la funcionalidad (AU)

Introduction: Neural tube defects, especially myelomeningocele (MMC), are cause of disability for walking with varying degrees of severity, depending on the level of injury. Within therapeutic interventions intends to use the robotic training run (ERM). Objective: To evaluate the effects of MRA in patients with MMC CRIT Guerrero. Material and methods: Quasi-experimental, prospective and longitudinal study in 5 patients with MMC Sharrard L3 or lower, evaluating the ASIA, walk test six minutes, FIM, SCIM III and Lokomat parameters (distance, speed, download and Guided) strength, before and after treatment. In total 10 sessions of 30 minutes were provided, 2 times a week. Collecting data using Excel version 2010 and statistical analysis with Student t test (p <0.05) to establish statistical significance. Results: Statistical significance was found between the variables of the total score ASIA motor (p= 0.05); functionality: SCIM III (p= 0.005), FIM (p= 0.0005), distance in 6-minute walk (p= 0.03). Lokomat® Pro parameters: guided force (p= 0.002), walking speed (p= 0.03) and discharge weight (p= 0.0008). The variables were unchanged sensitivity (ASIA), and distance. Conclusions: The ERM is a tool to improve gait function in patients with MMC, since it is possible to control training variables constantly, offering the possibility of improving strength in myotomes preserved and functionality (AU)

Intervención con un Programa de Ejercicio Físico en la empresa / Intervention through a physical exercise program at the company

FUNDAMENTOS: Existen evidencias sobre los beneficios que conlleva la participación en Programas de Ejercicio Físico (PEF) en la empresa y por ello es importante que la participación en un PEF sea la mayor posible. El objetivo de este trabajo es hacer un estudio piloto que pueda dar información sobre el perfil de los trabajadores que participan y de los que no participan en un PEF en la empresa. MÉTODOS: Se han utilizado los cuestionarios validados SF-36 de calidad de vida; PSS de estrés percibido; cuestionario de autoestima más una serie de datos demográficos seleccionados. Han sido contestados por los trabajadores de una empresa que realizaba un PEF en el que participaban 17 trabajadores de 42 que forman la plantilla. El tamaño muestral es n=31. La participación ha sido voluntaria. La fuente de información son los trabajadores de esta empresa. Se ha realizado un estudio descriptivo transversal. RESULTADOS: en el grupo de trabajadores que no participaban en el PEF se encontró que la mayoría tienen un contrato de duración limitada (resultado que obtuvo significación estadística), menor nivel de estrés en el cuestionario PSS, mayor nivel de autoestima en el cuestionario de autoestima y/o en el rol físico del cuestionario SF-36; tienen una mejor percepción de salud respecto del otro grupo. CONCLUSIONES: a través de estudios posteriores se podría investigar la relación entre estos perfiles y la participación en PEF de entrenamiento físico en la empresa, para que la implantación de un PEF sea exitosa

OBJECTIVES: There is evidence of the benefits gained by participating in the Physical Exercise Program (PEP) in the company. The objective of this investigation is to describe the profile of employees who take part and that of employees who do not take part in the PEP. METHODS: We used validated questionnaires, the Short Form-36 Health Survey (SF-36); PSS (stress scale perceived); self-esteem questionnaire and a series of selected demographic data. They were answered by the workers of a company who were on a PEP; 17 out of 42 who formed the workforce were participating on it. The sample size is n=31. Participation was voluntary. The source of information is the employees of the company. We performed a cross sectional study. RESULTS: we found out that most of the workers not involved in the PEP have a fixed-term contract whose result brought statistical significance in showing less stress level in the PSS questionnaire, higher self-esteem in the questionnaire of self-esteem and/or the physical role of the SF-36; they have a better perception of health compared to the other group. CONCLUSIONS: through further studies could investigate the relationship between these profiles and the participation or non- participation in a PEP in the work place, to develop effective strategies to encourage workers to participate in PEP in the work place

Diabetes mellitus tipo 1: breve revisión de los principales factores psicológicos asociados / Type 1 Diabetes mellitus: Brief review of the main associated psychological factors

La diabetes mellitus tipo 1 (DM1) es una enfermedad crónica ampliamente extendida entre la población infantojuvenil. Suele suponer una sobrecarga significativa en el niño y su familia, modificando aspectos en su estilo de vida, necesarios para cumplimentar las exigencias del tratamiento. Nuestro objetivo es estudiar las principales características psicológicas, familiares y de ajuste a la enfermedad de los niños y adolescentes diagnosticados de DM1, haciendo especial hincapié en los factores psicopatológicos asociados. La metodología empleada ha consistido en una búsqueda bibliográfica sistemática en las principales bases de datos científicas. Debido al impacto biopsicosocial que la DM1 suele suponer en la vida del niño y su familia, pudiendo comprometer la calidad de vida y bienestar emocional de ambos, se ha señalado la importancia de identificar el conjunto de factores psicológicos asociados con un buen ajuste a la DM1 infantojuvenil

Type 1 Diabetes Mellitus (T1DM) is a widespread chronic disease among children and adolescents. Diagnosis and evolution usually involves a significant burden on the patient, and their families must change various aspects of their lifestyle to fulfill the demands of treatment. This study aims to identify the main psychological, family, and adjustment to illness features of children and adolescents diagnosed with DM1 and, in particular to highlight the associated psychopathological factors. The methodology involved a systematic literature search in the main scientific databases. Due to the biopsychosocial impact of DM1 usually assumed in the life of the child and family, and how it may compromise the quality of life and emotional well-being of both, different studies have agreed on the importance of identifying the set of psychological factors involved in healthy adjustment to illness in the child and adolescent with DM1

[Type 1 Diabetes Mellitus: brief review of the main associated psychological factors]. / Diabetes mellitus tipo 1: breve revisión de los principales factores psicológicos asociados.

Type 1 Diabetes Mellitus (T1DM) is a widespread chronic disease among children and adolescents. Diagnosis and evolution usually involves a significant burden on the patient, and their families must change various aspects of their lifestyle to fulfill the demands of treatment. This study aims to identify the main psychological, family, and adjustment to illness features of children and adolescents diagnosed with DM1 and, in particular to highlight the associated psychopathological factors. The methodology involved a systematic literature search in the main scientific databases. Due to the biopsychosocial impact of DM1 usually assumed in the life of the child and family, and how it may compromise the quality of life and emotional well-being of both, different studies have agreed on the importance of identifying the set of psychological factors involved in healthy adjustment to illness in the child and adolescent with DM1.

Authentication of organic feed by near-infrared spectroscopy combined with chemometrics: a feasibility study.

Organic products tend to retail at a higher price than their conventional counterparts, which makes them susceptible to fraud. In this study we evaluate the application of near-infrared spectroscopy (NIRS) as a rapid, cost-effective method to verify the organic identity of feed for laying hens. For this purpose a total of 36 organic and 60 conventional feed samples from The Netherlands were measured by NIRS. A binary classification model (organic vs conventional feed) was developed using partial least squares discriminant analysis. Models were developed using five different data preprocessing techniques, which were externally validated by a stratified random resampling strategy using 1000 realizations. Spectral regions related to the protein and fat content were among the most important ones for the classification model. The models based on data preprocessed using direct orthogonal signal correction (DOSC), standard normal variate (SNV), and first and second derivatives provided the most successful results in terms of median sensitivity (0.91 in external validation) and median specificity (1.00 for external validation of SNV models and 0.94 for DOSC and first and second derivative models). A previously developed model, which was based on fatty acid fingerprinting of the same set of feed samples, provided a higher sensitivity (1.00). This shows that the NIRS-based approach provides a rapid and low-cost screening tool, whereas the fatty acid fingerprinting model can be used for further confirmation of the organic identity of feed samples for laying hens. These methods provide additional assurance to the administrative controls currently conducted in the organic feed sector.

[Liver actinomycosis. Report of a case]. / Actinomicosis hepática. Presentación de un caso.

A case of liver actinomycosis is presented. It was diagnosed 15 days after the patient had undergone appendicectomy. Emphasis is made concerning the diagnostic difficulties in the clinical, radiological and bacteriological areas. In the present paper note is made of the low frequency of this disease in Mexico. In this case it was possible arrive at a definitive diagnosis only after the histopathological study of material obtained in a needle liver biopsy which demonstrated the sulfur granules that are characteristic of the lesion. Information is given concerning the clinical and surgical evolution as well as therapeutic management. The case is illustrated with representative roentgenograms and a microphotograph of the lesion.