Improvements in Jump Height, Speed, and Quality of Life through an 8-Week Strength Program in Male Adolescents Soccer Players.

This study aimed to assess the enhancement of physical fitness and quality of life through an 8-week strength training program in male adolescent soccer players aged between 12 and 13 years. A lower body muscle group intervention was performed, with 17 players in the experimental group (EG) and 15 players in the control group (CG). The EG carried out soccer training complemented by specific strength work. Pre- and post- intervention assessments included body composition, jump height, speed with change of direction, maximum speed in 20 m, movement velocity in back-squat, perceived fatigue effort, academic performance, and quality of life. A general linear repeated measures model analysis was used considering each variable, the interaction between groups (EG, CG) and time (basal, 8-week), to analyze the differences between and within groups. The results showed a reduction in fat in the upper limbs and trunk, improvements in jump height, maximum speed of 20 m, and changes of direction, and increased quality of life (p < 0.05) in the EG. It was concluded that a strength program could improve some components of physical performance in male adolescent soccer players.

Sociodemographic and Clinical Profile of Long COVID-19 Patients, and Its Correlation with Medical Leave: A Comprehensive Descriptive and Multicenter Study.

The persistent condition of COVID-19 is characterized by a wide range of symptoms that have had a significant impact on both the health status and occupational life of the population. In this observational and multicenter study, the relationship between the sociodemographic and clinical profile of Spanish patients diagnosed with long COVID, and the work-related disability resulting from this pathology was analyzed. The analysis included 689 responses. A descriptive analysis of the variables recorded was performed, together with a bivariate analysis to determine associations between work-related disability and variables such as gender, age, health status, disabling symptoms or comorbidities. The results obtained highlight fatigue and lack of concentration (brain fog) as the most incapacitating symptoms among patients diagnosed with long COVID. Multivariate analysis revealed that time since diagnosis (OR: 0.57, CI95%: 0.36-0.89, p: 0.013), concomitant renal insufficiency (OR: 4.04, CI95%: 1.42-11.4, p: 0.008), and symptoms like fatigue (OR: 0.56, CI95%: 0.33-0.99) and tremors (OR: 2.0, CI95%: 1.06-3.69, p: 0.029), were associated with work-related disability. These findings highlight the need to improve the health and work-related management of this condition in the healthcare system. Besides risk factor control, it is suggested to pay special attention to determining the appropriate timing of medical leave work reintegration, along with coordination between primary care and occupational health services to ensure the gradual and tailored return of patients with long COVID to the workforce.

Beetroot Juice Produces Changes in Heart Rate Variability and Reduces Internal Load during Resistance Training in Men: A Randomized Double-Blind Crossover.

Beetroot juice (BJ) has been used as a sport supplement, improving performance in resistance training (RT). However, its effect on the modulation of the autonomic nervous system has not yet been widely studied. Therefore, the objective of this randomized double-blind crossover study was to assess the effect of acute BJ supplementation compared to placebo in blood pressure (BP), heart rate (HR), heart rate variability (HRV) and internal load during RT measure as Root Mean Square of the Successive Differences between adjacent RR intervals Slope (RMSSD and RMSSD-Slope, respectively). Eleven men performed an incremental RT test (three sets at 60%, 70% and 80% of their repetition maximum) composed by back squat and bench press with. HR, HRV and RMSSD-Slope were measured during and post exercise. As the main results, RMSSD during exercise decrease in the BJ group compared to placebo (p = 0.023; ES = 0.999), there were no differences in RMSSD post-exercise, and there were differences in RMSSD-Slope between groups in favor of the BJ group (p = 0.025; ES = 1.104) with a lower internal load. In conclusion, BJ supplementation seems to be a valuable tool for the reduction in the internal load of exercise during RT measured as RMSSD-Slope while enhancing performance.

Effectiveness of Exercise in Patients with Overweight or Obesity Suffering from Knee Osteoarthritis: A Systematic Review and Meta-Analysis.

OBJECTIVES: The main purpose of this study was to review the evidence about the effectiveness of exercise in patients with overweight or obesity suffering from knee osteoarthritis. METHODS: Randomized clinical trials (RCTs) published between January 2002 and May 2022 were included. RESULTS: A total of 64 articles were identified, of which six met the criteria for meta-analysis. The pain scale score was higher in the control group (mean difference 0.95; confidence interval 0.42-1.47; p < 0.001; I2 = 44%). The physical function scale (lower scores indicate lower levels of symptoms or physical disability) presented a higher score in the control group (mean difference 3.74; confidence interval 0.85-6.53; p < 0.05; I2 = 56%). Moreover, the intervention group achieved a greater distance (meters) walking in a 6 min interval (mean difference 38.18; confidence interval 20.01-56.35; p < 0.001; I2 = 0%). CONCLUSIONS: Exercise interventions seem effective in improving quality of life in people with overweight or obesity suffering from knee osteoarthritis, reducing pain and improving physical function.

Acute Effects of Beetroot Juice Supplements on Lower-Body Strength in Female Athletes: Double-Blind Crossover Randomized Trial.

BACKGROUND: Beetroot juice (BRJ) is used as an ergogenic aid, but no previous study has analyzed the effect this supplement has on the production of explosive force and muscular endurance in physically active women. HYPOTHESIS: BRJ improves explosive force and muscular endurance in the lower limbs of physically active women. STUDY DESIGN: Randomized double-blind crossover study. LEVEL OF EVIDENCE: Level 3. METHODS: Fourteen physically active women performed a countermovement jump (CMJ) test, a back squat test for assessing velocity and power at 50% and 75% of one-repetition maximum (1RM), and the number of repetitions on a muscular endurance test consisting of 3 sets at 75% of 1RM in a resistance training protocol comprising 3 exercises (back squat, leg press, and leg extension). The participants performed the test in 2 sessions, 150 minutes after ingesting 70 mL of either BRJ (400 mg of nitrate) or a placebo (PLA). RESULTS: A greater maximum height was achieved in the CMJ after consuming BRJ compared with a PLA (P = 0.04; effect size (ES) = 0.34). After a BRJ supplement at 50% 1RM, a higher mean velocity [+6.7%; P = 0.03; (ES) = 0.39 (-0.40 to 1.17)], peak velocity (+6%; P = 0.04; ES = 0.39 [-0.40 to 1.17]), mean power (+7.3%; P = 0.02; ES = 0.30 [-0.48 to 1.08]) and peak power (+6%; P = 0.04; ES = 0.20 [-0.59 to 0.98]) were attained in the back squat test. In the muscular endurance test, BRJ increased performance compared with the PLA (P < 0.00; ηp2 = 0.651). CONCLUSION: BRJ supplements exert an ergogenic effect on the ability to produce explosive force and muscular endurance in the lower limbs in physically active women. CLINICAL RELEVANCE: If physically active women took a BRJ supplement 120 minutes before resistance training their performance could be enhanced.

Influence of Tunneled Hemodialysis-Catheters on Inflammation and Mortality in Dialyzed Patients.

Older age and comorbidities in hemodialysis patients determines the use of tunneled catheters as vascular access despite their reported clinical and mortality disadvantages. This prospective matched study analyzes the impact of permanent catheters on inflammation and mortality in hemodialysis patients; We studied 108 patients, 54 with AV-fistula (AVF) and 54 with indwelling hemodialysis catheters (HDC) matched by sex, age, diabetes and time under renal-replacement therapy comparing dialysis efficacy, inflammation and micro-inflammation parameters as well as mortality. Cox-regression analysis was applied to determine predictors of mortality, HDC patients presented higher C-reactive-protein (CRP) blood levels and percentage of pro-inflammatory lymphocytes CD14+/CD16+ with worse dialysis-efficacy parameters. Thirty-six-months mortality appeared higher in the HDC group although statistical significance was not reached. Age with a Hazard Ratio (HR) = 1.06, hypoalbuminemia (HR = 0.43), hypophosphatemia (HR = 0.75) and the increase in CD14+/CD16+ monocyte count (HR = 1.02) were predictors of mortality; elder patients dialyzing through HDC show increased inflammation parameters as compared with nAVF bearing patients, although they do not present a significant increase in mortality when matched by covariates. Increasing age and percentage of pro-inflammatory monocytes as well as decreased phosphate and serum-albumin were predictors of mortality and indicate the main conclusions or interpretations.

Timing óptimo en la suplementación con creatina para la mejora del rendimiento deportivo / Optimal timing in creatine supplementation to improve sports performance

La creatina es un suplemento deportivo con una elevada evidencia científica sobre sus efectos en el rendimiento y con resultados emergentes en la salud, incluida la de deportistas vegetarianos y adultos mayores. El tipo de creatina y las dosis efectivas, han sido bien estudiadas presentando resultados consistentes. Sin embargo, no son muchos los estudios que han evaluado el momento de la ingesta en cuanto a su interacción con los efectos de la creatina. El objetivo de esta revisión, es analizar la diferente literatura científica existente sobre los protocolos de suplementación con creatina y su interacción con el momento de la ingesta, con el fin de evaluar si existe un efecto mayor de la dosis ergogénica considerada efectiva de creatina cuando esta es ingerida antes, después del entrenamiento o en otro momento del día. Los resultados de este trabajo presentaron diferentes tipos de protocolos y dosis en la suplementación con creatina, a pesar de ser diversos los protocolos mostrados en la literatura, el más efectivo constó de un consumo de 0,3 g/kg/d durante cinco días, seguido de un consumo de 0,03 g/kg/d consiguiendo de esta forma, una mayor reserva de PCr en el músculo esquelético. Los estudios mostraron mayores beneficios cuando la ingesta de creatina se realizó en los momentos cercanos al entreno debido al mayor flujo sanguíneo, apuntando los estudios a mejoras significativas en un consumo post-entreno, debido a que la creatina puede aumentar la formación de glucógeno en el músculo y aumentar la sensibilidad a la insulina

Creatine is a sports supplement with high scientific evidence on its effects on performance and with emerging health's results, including for vegetarian athletes and older adults. The creatine type and effective doses have been well studied, presenting consistent results. However, not many studies have evaluated the ingestion timing in terms of its interaction with the creatine effects. The aim of this review is to analyze the different existing scientific literature on creatine supplementation protocols and their interaction with the timing of ingestion, in order to assess whether there is a greater effect of the ergogenic dose of creatine considered effective when It is ingested before, post workout or at another time of the day. The results of this work presented different types of protocols and doses in creatine supplementation, despite being diverse the protocols shown in the literature, the most effective consisted of a consumption of 0.3 g/kg/d for five days, followed by a consumption of 0.03 g/kg/d, thus achieving a greater reserve of PCr in skeletal muscle. Studies showed greater benefits when creatine intake was carried out in the moments close to workout due to greater blood flow, the studies pointing to significant improvements in post-workout consumption, since creatine can increase the rate of glycogen uptake in muscle and increase insulin sensitivity

Morning versus Evening Intake of Creatine in Elite Female Handball Players.

A great deal of evidence has been gathered on the use of creatine as an ergogenic supplement. Recent studies show greater benefits when creatine ingestion is performed close in time to training, but few studies tackle the way that circadian rhythms could influence creatine consumption. The aim of this study was therefore to observe the influence circadian rhythms exert on sports performance after creatine supplementation. Our method involved randomly assigning fourteen women players of a handball team into two groups in a single-blind study: one that consumed the supplement in the morning and one that consumed it in the evening, with both groups following a specific training program. After twelve weeks, the participants exhibited a decreased fat percentage, increased body weight and body water, and improved performance, with these results being very similar in the two groups. It is therefore concluded that, although circadian rhythms may influence performance, these appear not to affect creatine supplementation, as creatine is stored intramuscularly and is available for those moments of high energy demand, regardless of the time of day.

Awareness of the European Code Against Cancer of Family Medicine Residents and Nursing and Medicine Students in Spain.

Health professionals and students in training are key for early diagnosis of cancer. The objective of this study was to evaluate the awareness of Family Medicine (FM) residents and Medicine and Nursing undergraduate students in Spain regarding the European Code Against Cancer (ECAC). This was a descriptive, cross-sectional, and multicenter study. LOCATION: Teaching Units of FM of Cordoba and Ceuta and Schools of Medicine and Nursing of the Universities of Cordoba and Francisco de Vitoria of Madrid (Spain). PARTICIPANTS: residents of FM and Medicine and Nursing undergraduate Spanish students. INTERVENTION: self-administered questionnaire to assess the awareness about the ECAC. A total of 651 subjects participated (52.4% [95% CI 48.5-56.2] Nursing students, 34% [95% CI 30.3-37.6] Medicine students, and 13.6% [95% CI 11.0-16.3] FM residents). Of the total subjects participated, 74.8% were women. Mean age: 22.34 years (standard deviation, 4.68; range, 18-52; 95% CI, 21.98-22.70). A total of 76.8% (95% CI 73.5-80.1) declared to be unaware of the ECAC. Those referring to be aware of the ECAC mainly knew it through degree subjects (7.5% [95% CI 5.5.5-9.6]). Residents of FM (p < 0.001), older participants (p < 0.001), and those belonging to the Teaching Units (p = 0.002) showed a better awareness of the ECAC. Our findings reveal the unawareness on the ECAC in three out of four participants. The access to the advice described in the ECAC through the Medicine and Nursing Schools and FM Teaching Units is poor. The awareness of the ECAC of postgraduate residents is higher than that the awareness of the undergraduate students.

Impact of a Comprehensive Anti-Smoking Program at a Regional University Hospital and Predictive Variables of Being a Smoker among Hospital Workers.

The objective of this study was to evaluate the impact of a comprehensive anti-smoking health program conducted over twelve years at a regional university hospital in southern Spain. Prevalence of tobacco was compared retrospectively using data collected during occupational health assessments (n = 4291). Bivariate and logistic regression analyses were carried out to evaluate tobacco consumption differences according to age, sex, professional category, and workplace building. The results show a reduction in the active smoking rate among hospital staff evaluated (from 22.8% to 19.8%) with significant differences between non-health and health workers. Accumulated smoking consumption fell to 13.45 ± 14.60 packs/year with men presenting a higher consumption (p < 0.001). The predictive variables of tobacco use were sex (greater consumption among men, p = 0.021), number of cigarettes (greater consumption among professionals who smoked less than 1 pack/day, p < 0.001), and time smoking (greater use among professionals with more than 10 years smoking, p < 0.001). There was a higher rate of staff smokers at the hospital building with a majority of mental health inpatients. This study provides a practical example of making the optimum use of digital medical records in the evaluation of a comprehensive anti-smoking health program.

Acute Effects of Beetroot Juice Supplements on Resistance Training: A Randomized Double-Blind Crossover.

The ingestion of beetroot juice (BJ) has been associated with improvements in physical performance in endurance sports, however the literature on resistance training (RT) is scarce. The aim of this study was to investigate the acute effects of BJ compared to a placebo (PLA) on muscular endurance and movement concentric velocity during RT. Twelve healthy men performed an incremental RT test (back squat and bench press) with three sets, at 60%, 70%, and 80% of their repetition maximum (1-RM). Movement velocity variables, total number of repetitions performed until concentric failure, blood lactate, and ratings of perceived effort post-training were measured. A higher number of repetitions were recorded with BJ compared to those with PLA (13.8 ± 14.4; p < 0.01; effect size (ES) = 0.6). Differences were found at 60% 1-RM (9 ± 10; p < 0.05; ES = 0.61) and 70% 1-RM (3.1 ± 4.8; p < 0.05; ES = 0.49), however, no differences were found at 80% 1-RM (1.7 ± 1; p = 0.12; ES = 0.41). A greater number of repetitions was performed in back squat (13.4 ± 13; p < 0.01; ES = 0.77), but no differences were observed in bench press (0.4 ± 5.1; p = 0.785; ES = 0.03). No differences were found for the rest of the variables (p > 0.05). Acute supplementation of BJ improved muscular endurance performance in RT.

Sistema de auriculares en teleoperadores: estudio en una central de llamadas del sur de España / Headset System in Teleoperators: Study in a Call Centre in Southern Spain

Introducción: El personal teleoperador de las centrales de llamadas telefónicas, está sometido a ruido ambiental y al nivel sonoro de los auriculares con el posible desarrollo de pérdida auditiva. Objetivos: El objetivo principal del estudio fue evaluar si el tipo de sistema de auriculares empleado por los teleoperadores de una central de llamadas influía sobre la aparición de pérdida auditiva asimétrica. Material y métodos: Estudio observacional descriptivo realizado en teleoperadores de una central de llamadas del sur de España. Muestreo oportunista a partir del examen de vigilancia de salud de 2018, con audiometría y cuestionario auto-cumplimentado. La variable dependiente fue la presencia de pérdida auditiva asimétrica (diferencia de umbral interaural de 15 dB o más en al menos una frecuencia). Se realizó análisis bivariante, y se usaron los programas estadísticos SPSS versión 25 y EPIDAT versión 4.2. Resultados: La pérdida auditiva asimétrica en la muestra estudiada se relacionaba significativamente con la edad de los sujetos (Z = -3,606, p < 0,000), pero no con el tipo de sistema de auriculares utilizado ni con otras variables sociodemográficas, laborales o clínicas analizadas. Conclusiones: El uso de auriculares del sistema monoaural no parece influir sobre la pérdida auditiva asimétrica en el personal teleoperador de la muestra estudiada

Introduction: The Call Center Phone Operator is subject to environmental noise and to the headphones volume sound with possible hearing loss effects. Objectives: The main objective of the study was to assess whether the type of headphone system used by call center operators incidenced the asymmetrical hearing loss. Material and methods: Descriptive observational study carried out on teleoperators of a call centre in the south of Spain. Opportunity sampling technique carried out from the health surveillance examination from 2018, with audiometry and self-completed questionnaire. The dependent variable was the presence of asymmetric hearing loss (interaural threshold value of 15 dB or more in at least one frequency). Bivariate analysis was performed, and statistical programs SPSS version 25 and EPIDAT version 4.2 were used. Results: Asymmetric hearing loss in the studied sample was significantly related to the age of the subjects (Z = -3,606, p < 0,000), but not to the type of headphone system used or to other socio-demographic, occupational or clinical variables analysed. Conclusions: The use of mono headphones does not seem to be related with an asymmetric hearing loss in the telephone operators of the studied sample

Prevalence of tobacco consumption among young physicians at a regional university hospital in southern Spain: a cross-sectional study.

INTRODUCTION: The aim of the study is to analyse the prevalence of smoking among resident physicians at a regional university hospital. In addition, we examined the trends in the smoking behaviour of physicians in relation to results obtained in other studies carried out previously at this hospital, as well as those published nationally and internationally METHOD: A cross-sectional observational study evaluating tobacco consumption in young physicians was carried out at the level of secondary healthcare in a regional university hospital in Cordoba, Spain. All the study subjects were resident physicians who underwent a mandatory preliminary occupational health examination between 2012 and 2016. There was no sampling selection as anyone who took this examination was considered to be within the target population. We calculated the proportions of smokers, former smokers and non-smokers, with 95% CIs. Univariate and multivariate analyses (binary logistic regression) were used to analyse the results (P<0.05). RESULTS: The response rate was 99.4%, with a sample size of 324 out of a possible 326 physicians. The average age was 28.6±3.7-DT-(95% CI 28.2 to 29.0), and 62.3% (202/324; 95% CI 57.3 to 67.2) were women. Smoking prevalence was 6.5% (21/324; 95% CI 3.5 to 9.3) with a further 5.2% (17/324; 95% CI 2.7 to 7.8) being ex-smokers. There were no significant differences in the prevalence of tobacco consumption according to age (P=0.266), sex (9.0% for men and 5.0% for women; P=0.128), medical specialty (P=0.651) or year of residency (P=0.975). A 52.7% decline in the number of young physician smokers was noted between 1986 and 2016 (95% CI -44.0 to -63.5), together with a 64.4% increase in non-smokers (95% CI 55.2 to 77.3). CONCLUSIONS: We observed a significantly low prevalence of tobacco use among trainee physicians in the cohort, an effect of new antismoking laws, with positive role model implications for new physicians and medical students.

Medicina del deporte versus del trabajo: caminos divergentes de dos especialidades con un pasado común / Sports medicine vs occupational medicine: two divergent specialties with a common past

La Medicina de la Educación Física y el Deporte, y la Medicina del Trabajo son dos especialidades con un pasado común, el régimen de «escuela», que han evolucionado de forma divergente. El motivo de este artículo es revisar la normativa y otros documentos para ayudar a comprender la situación actual. Para ello se ha consultado legislación básica, la relacionada con la formación especializada y aquella otra relativa a puestos de trabajo asociados. La revisión muestra diferencias respecto: al formato del programa formativo, la existencia o inexistencia de un reglamento que desarrolle la Ley pertinente, la exigencia o no de la obligatoriedad para ejercer como especialista en su ámbito profesional, la correlación o no de una categoría laboral asociada, las convocatorias de ofertas públicas de empleo y/o la presencia/ausencia de puestos de trabajo públicos en todas las Comunidades Autónomas. Básicamente se concluye que, mientras una de ellas (la del Trabajo) se ha consolidado en el sistema de formación médica especializada; la otra (del Deporte) ha desaparecido en la oferta de las últimas convocatorias. El hecho de que una de ellas tenga un soporte legal que obliga a contratar especialistas en su ámbito de actuación (los servicios de prevención) ha favorecido tanto su permanencia en el sistema para la formación de especialistas médicos como la inserción laboral en el sector de la sanidad pública y privada. Aun así, el presente y el futuro inmediato brindan oportunidades de trabajo para ambas especialidades, con un ámbito competencial común en lo que a la prevención y promoción de la salud de la población general, laboral y deportista se refiere. En este sentido, sería fundamental el desarrollo de la Ley del Deporte en forma de Reglamento, con el apoyo de las Sociedades Médicas de referencia, para clarificar las funciones de las diversas profesiones y concretar la especialidad competente para realizar los reconocimientos médicos de aptitud del deportista

Sports & Physical Education Medicine and Occupational Medicine are two medical specialties with a common past, the «school regime», which have evolved divergently. The purpose of this article is to review the regulations and documents to help understand the current situation of both specialties. To this, basic legislation has been revised, the related specialized training ones and other documents. The results show differences in the format of the training program, the existence/nonexistence of a regulation to develop the relevant law, the requirement or not mandatory to practice as a specialist in his professional field, the presence or not of an employment category associated, calls for public jobs and/or the presence/absence of public jobs in all the State Autonomous Communities. Basically we can say that while one of them (Occupational) has been consolidated in the system of specialized medical training; the other one (Sport) has disappeared in the latest calls. The fact that one of them has a legal support forcing hire doctors work in its scope (prevention services) has favored in the author’s opinion, not only to stay in the internal specialist residence system but also its best employment both in the public health sector and private. Still, the present and the immediate future provide job opportunities for both specialties, with a common jurisdictional area in which to promote the health of the general population, workers and sports people. In this sense, would be essential to develop the Sports Act in the form of regulations, with the support of the Medical Societies reference to clarify the roles of the various professions and the realization of the specialty as competent to conduct medical examinations of fitness in sports activities and competitions

European Code Against Cancer: what does the Spanish population know and think about its recommendations?

The aim of this study was to evaluate the Spanish population's knowledge of and beliefs regarding the European Code Against Cancer (ECAC) recommendations. This was a cross-sectional, observational, multicentric study that used self-administered surveys. Ten individuals, between the ages of 15 and 69 years old, were enrolled by each participating primary care professional in their respective surgery consultations. This study used 2058 individuals who were recruited by 205 professionals from 106 health centres. Their average age was 41.5 years (52.2% women). The majority believe that smoking [94.1%; 95% confidence interval (CI): 93.1-95.2], sun exposure (91%; 95% CI: 89.7-92.3) and alcoholism (72.1%; 95% CI: 70.1-74.1) are factors related to cancer. The least relevant are infection by the hepatitis B virus (25.7%; 95% CI: 23.8-27.7) and having multiple sexual partners (25%; 95% CI: 23.1-26.9). In all, 86.7% (95% CI: 85.2-88.2) had never heard about the ECAC. Patients adequately identify the carcinogenic effect of tobacco, alcohol or sun exposure. Moreover, they inadequately identify having hepatitis B and multiple sexual partners as being related to cancer. A large majority of individuals have not heard of the ECAC, which raises the need to conduct outreach campaigns at an institutional level and/or through scientific associations and activities promoting health education among primary care professionals.

Protocolo para la vigilancia de la salud del profesorado con atención a la enfermedad profesional / No disponible

El docente es uno de los principales sectores laborales cuantitativa y cualitativamente, siendo esencial un nivel óptimo de salud laboral para realizar adecuadamente su tarea. Desde la entrada en vigor del Real Decreto 1299/2006, los "Nódulos de las cuerdas vocales a causa de los esfuerzos sostenidos de la voz por motivos profesionales" constituyen una enfermedad profesional en el profesorado, cuestión novedosa para este colectivo. El objetivo de este trabajo es la propuesta de un protocolo para la vigilancia de la salud del profesorado. Cuestión que surge tras realizar un estudio epidemiológico para conocer la forma de enfermar del profesorado de secundaria, a partir de una muestra representativa, considerando variables de salud laboral. Analizamos la patología más frecuente que aparece en la población encuestada, entre la que figura los trastornos de la voz, incluidos los nódulos de las cuerdas vocales. La importancia de diagnosticar esta enfermedad obliga a tenerla en cuenta en los reconocimientos médicos para la Vigilancia de la Salud realizados en el profesorado. De ahí que propongamos un protocolo para facilitar el examen de salud específico, así como una secuencia de actuación ante su posible diagnóstico

Teachering is one of the quantitatively and qualitatively main economical sectors, being essential an optimum level of occupational health to adequately perform their task. Since the entry into force of Real Decreto 1299/2006, "Nodules of the vocal cords because of the sustained efforts of the voice for professional reasons" constitute an occupational disease for teachers, a new issue for this group. The purpose of this paper is the proposal of a procedure for monitoring the health of the teaching staff. This is a matter that arises from an epidemiological research in order to find out how a representative sample of secondary education teaching staff could fall ill, considering variables of occupational health. We have analyzed the most frequent pathology appearing in the surveyed population, among which disorders of the voice are found including vocal cord nodules. The importance of diagnosing this disease requires it to be included in medical check-ups done to the teaching staff for the Health Surveillance. Hence, we propose a procedure to facilitate the specific health exam, as well as a following approach faced with its possible diagnosis

Burnout, variables fisiológicas y antropométricas: Un estudio en el profesorado / No disponible

Trabajos previos echan en falta estudios que relacionen el Test de Maslach para medir el Burnout con variables biológicas. De ahí que hayamos enfrentado las tres dimensiones del test (cansancio emocional, despersonalización y realización profesional) con variables fisiológicas y bioquímicas (presión arterial, glucemia y colesterolemia), así como con el Índice de Masa Corporal en una muestra de 186 profesores de secundaria, a partir de los exámenes médicos de la vigilancia de la salud realizados en junio de 2005. El análisis estadístico lo realizamos mediante el programa Epi info. Hemos aplicado el test de "Chi cuadrado" para el análisis de las variables cualitativas, y la prueba de análisis multivariante regresión logística para conocer qué variables formaban parte de la ecuación que predecía el burnout. Los resultados indican la existencia de diferencias significativas entre el componente "realización profesional" del test y el Índice de Masa Corporal (p<0.05). De forma que quienes puntuaron con una mejor realización profesional tenían un Índice de Masa Corporal más favorable. No hemos encontrado asociación entre los componentes del test, ni con las variables fisiológicas, ni con las bioquímicas; aunque sí con la variable edad (p< 0.05)

Previous studies have so far pointed out that papers correlating the Maslach Burnout Inventory with biological items are required. Therefore, we have correlated the three test dimensions (emotional exhaustion, depersonalization and professional accomplishment) with physiological (blood pressure), and biochemical measurements (glucose and cholesterol serum levels) as well as the Body Mass Index in a random sample of 186 secondary teachers who attended the occupational medical exam in June 2005. Our results show a significant difference between the personal accomplishment item and the Body Mass Index (p< 0.05). So, we conclude that the better personal accomplishment you have, the better Body Mass Index you have. Moreover, none of the Maslach Burnout Inventory items were correlated either with high arterial pressure or with biochemical parameters, but correlated with the age item (p< 0.05)