Preoperative Assessment of Cervical Involvement in Endometrial Cancer by Transvaginal Ultrasound and Magnetic Resonance Imaging: A Systematic Review and Meta-Analysis.

OBJECTIVE: To compare the diagnostic accuracy of transvaginal ultrasound (TVS) and magnetic resonance imaging (MRI) for detecting cervical infiltration by endometrial carcinoma using meta-analysis assessment. METHODS: An extensive search of papers comparing TVS and MRI for assessing cervical infiltration in endometrial cancer in the same set of patients was performed in Medline (Pubmed), Web of Science, and the Cochrane Database. Quality was assessed using QUADAS-2 tool (Quality Assessment of Diagnostic Accuracy Studies-2). Quantitative meta-analysis was performed. RESULTS: Our extended search identified 12 articles that used both techniques in the same set of patients and were included in the meta-analysis. The risk of bias for most studies was high for patient selection and index tests in QUADAS-2. Overall, the pooled estimated sensitivity and specificity for diagnosing cervical infiltration in women with endometrial cancer were identical for both techniques [69 % (95 % CI, 51 %-82 %) and 93 % (95 % CI, 90 %-95 %) for TVS, and 69 % (95 % CI, 57 %-79 %) and 91 % (95 % CI, 90 %-95 %) for MRI, respectively]. No statistical differences were found when comparing both methods. Heterogeneity was high for sensitivity and moderate for specificity when analyzing TVS and moderate for both sensitivity and specificity in the case of MRI. CONCLUSION: TVS and MRI showed very similar diagnostic performance for diagnosing cervical involvement in women with endometrial cancer.

Prospective Teachers' Knowledge of Physical Activity in Children and Adolescents.

Over the past few years, organizations around the world have tried to reach different populations with recommendations about physical activity (PA), due to this subject playing an important role in the phases of intention development and in preparation for it. Thus, the knowledge of future educators in the fields of health and PA is of vital importance when improving the levels of the latter in students. The objective of this research is to determine what knowledge future teachers have about health and PA, examining possible disparities according to the gender, age, and level of physical exercise of the participants. In addition, the psychometric properties of the instrument used were explored. A total of 321 Colombian university students from the Faculty of Education between the ages of sixteen and thirty-five participated in this study, providing sociodemographic information by filling out the CUAFYS-A questionnaire. Significant differences were found in the scale items according to sex and self-perception of being physically active. Also, the findings revealed a single-factor structure with nine items that had satisfactory reliability (α = 0.71; CR = 0.72) and excellent goodness-of-fit indices (RMSEA = 0.055 (90% CI (0.3, 0.8), RMSR = 0.02, CFI = 0.935, NNFI = 0.912, CMIN/DF = 1.97). Therefore, strategies and campaigns to promote PA knowledge in prospective teachers should be tailored according to gender and PA levels. Similarly, the CUAFYS-A questionnaire can be considered a valid and reliable instrument to identify the PA knowledge of future educators.

Challenges Reconciling Theory and Experiments in the Prediction of Lattice Thermal Conductivity: The Case of Cu-Based Sulvanites.

The exploration of large chemical spaces in search of new thermoelectric materials requires the integration of experiments, theory, simulations, and data science. The development of high-throughput strategies that combine DFT calculations with machine learning has emerged as a powerful approach to discovering new materials. However, experimental validation is crucial to confirm the accuracy of these workflows. This validation becomes especially important in understanding the transport properties that govern the thermoelectric performance of materials since they are highly influenced by synthetic, processing, and operating conditions. In this work, we explore the thermal conductivity of Cu-based sulvanites by using a combination of theoretical and experimental methods. Previous discrepancies and significant variations in reported data for Cu3VS4 and Cu3VSe4 are explained using the Boltzmann Transport Equation for phonons and by synthesizing well-characterized defect-free samples. The use of machine learning approaches for extracting high-order force constants opens doors to charting the lattice thermal conductivity across the entire Cu-based sulvanite family-finding not only materials with κ l values below 2 W m-1 K-1 at moderate temperatures but also rationalizing their thermal transport properties based on chemical composition.

Evaluation of Attitudes toward Corporal Expression in Primary School Students: Validation and Psychometric Properties of a Questionnaire.

The content of corporal expression, usually forgotten by some teachers, has been shown to have favorable effects on the physical, social, and psychological health of students at all levels of education. Likewise, students' attitudes should be positively influenced in the school environment in order to improve the teaching-learning process of the different contents taught. The purpose of this study was to provide the factor structure and validity of a questionnaire used to gauge pupils' attitudes toward corporal expression. The sample consisted of 709 students in the last cycle of primary school from schools in the region of Extremadura (Spain). Reliability testing as well as confirmatory and exploratory factor analyses were conducted. The findings revealed a factor structure with three dimensions composed of 30 items with high reliability (Cronbach's alpha = 0.85-0.90) and good and exceptional goodness-of-fit values. As a result, the questionnaire can be seen as a quick and simple instrument to use in analyzing students' attitudes toward corporal expression and enabling stakeholders to take action to support it.

Differences in the Perception Regarding Inclusion Preparation among Teachers at Different Educational Stages.

Inclusive education is fundamental, consisting of enabling all students, irrespective of their characteristics, to receive appropriate education and actively participate in school life. Teachers play an important role in this regard; thus, this study aims to analyze teachers' perceptions regarding their preparation for inclusion by assessing possible differences depending on the educational stage (early childhood, primary, or secondary education). A total of 1098 Spanish teachers, from Extremadura, responded to three dichotomic answers about their inclusive education preparation perception and the Evaluation of Teachers' Inclusion Readiness (CEFI-R) questionnaire, a 19-item tool composed of four dimensions: (1) conception of diversity, (2) methodology, (3) support, and (4) community participation. Pearson's chi-square test was used to assess differences between the dichotomous questions and educational stage; Kruskal-Wallis was used to determine whether the educational stage conditioned the CEFI-R dimensions responses, and the Spearman rho was used to test the association between age groups and the CEFI-R dimensions. Statistical differences were found between secondary education and preschool education and primary education teachers in the dimensions (1) conception of diversity, (2) methodology, and (3) support. Significant differences in dimension (4) community participation between preschool education teachers and secondary and primary education teachers were found.

Children's Influence on Their Parents' Satisfaction with Physical Activity in Nature: An Exploratory Study.

Physical activity in nature has several benefits as it is important for good health, offering physical, social, psychological or even ecological benefits. Nevertheless, in order to maintain adherence to this practice, high levels of satisfaction with the practice are necessary. The objective of this study is to explore whether children's characteristics influence parental satisfaction with physical activity in nature, analyzing possible differences according to the gender and age of their children. Two hundred and eighty parents responded to two sociodemographic questions in addition to the Physical Activity Enjoyment Scale (PACES), which consists of 16 items. The normality of the data was determined using the Kolmogorov-Smirnov test. Subsequently, nonparametric tests were used to analyze the variables of gender and age in the items, dimensions and total scores of the questionnaire. Statistical differences were found in some of the positive items, which varied according to the age of the children. However, no significant differences were found in the items with respect to the children's gender or when examining the dimensions or total score of the questionnaire based on both variables. Likewise, age did not show significant correlations with the dimensions and the total score of the questionnaire. Consequently, this study indicates that a child's age may influence parents' positive perceptions of the enjoyment of physical activity in nature. Similarly, the gender of the child does not seem to influence these perceptions.

Development of a new subjective questionnaire: the Freedom from Glasses Value Scale (FGVS).

PURPOSE: To develop a patient self-administered questionnaire assessing the added value of complete independence from spectacles (hereafter referred to as glasses) after multifocal intraocular lens (IOL) surgery. METHODS: Exploratory interviews with five cataract patients and six presbyopic patients with AcrySof ReSTOR IOLs (Alcon Laboratories Inc) implanted in both eyes for at least 6 months were conducted. The questionnaire's conceptual framework was developed after interview analysis. Based on the identified concepts, items were generated simultaneously in French and Spanish using patients' own words, and comprehension tested with six French patients; the Spanish questionnaire underwent clinician review and was further tested with four Spanish patients. French and Spanish versions were accordingly refined. The questionnaire was linguistically validated in UK English and Danish. RESULTS: Interview analysis resulted in the identification of 9 global concepts: global vision, practical constraints related to wearing glasses, impact of eye surgery on the patient's life, improvement of practical issues without glasses, improvement of psychological constraints without glasses, physical appearance/aesthetic aspect, self-image and in the eyes of others, eyesight problems left behind after surgery, and recommendation of surgery to others. The initial version of the test questionnaire contained 23 items; 2 items were deleted and changes were made after clinician review and patient testing. The final questionnaire named Freedom from Glasses Value Scale (FGVS) contained 21 items and four general additional questions. CONCLUSIONS: Beyond functional aspects, this qualitative study identified additional benefits in cataract and presbyopic patients living free of glasses after receiving multifocal IOLs. The FGVS now needs to be psychometrically validated (eg, construct validity and reliability).

Effectiveness of the Heart Age tool for improving modifiable cardiovascular risk factors in a Southern European population: a randomized trial.

AIMS: To test whether communicating cardiovascular diseases (CVD) risk using a novel risk assessment tool (Heart Age) will be able to motivate a population to adopt healthier lifestyles and improve CVD risk profile over the use of a traditional percentage-based tool. METHODS: A single-blind randomized intervention study was carried out in a Caucasian population. A total of 3153 subjects were randomly allocated to one of three study groups: control (conventional medical advice was given to the subjects), Framingham REGICOR (10-year percentage risk score, calibrated to Spanish population was given to the subjects), or Heart Age group (Heart Age tool was administered to the subjects). Anthropometrical and metabolic parameters were measured and lifestyle habits were recorded at recruitment and 12-months post intervention. RESULTS: Both the Framingham REGICOR and the Heart Age intervention groups demonstrated significant decreases in their risk scores at post intervention compared to the control group, with the improvement being of a greater magnitude in the Heart Age group. No differences per gender were observed in the Heart Age group. CONCLUSIONS: Informing patients about their CVD risk expressed as the new Heart Age tool results in a reduction in their CVD risk higher than the one observed when the Framingham REGICOR risk score was used.

Influencia de variables socio demográficas y hábitos saludables en la aparición de síndrome metabólico en trabajadores de diferentes sectores productivos del área mediterránea / Influence of sociodemographic variables and healthy habits on the occurrence of metabolic syndrome in workers from different productive sectors of the Mediterranean area

Objetivo: Determinar Introducción: Son muchas las escalas existentes para determinar el riesgo cardiovascular, entre ellas el síndrome metabólico es una de las más importantes. Material y método: estudio descriptivo y transversal en 60.798 trabajadores (25972 mujeres y 34826 hombres) del área mediterránea española en el periodo comprendido entre enero de 2011 y diciembre de 2012. Se determina la relación entre diferentes variables socio demográficas y hábitos saludables en la aparición de síndrome metabólico con los modelos NCEP ATPIII e IDF. Resultados: las variables que influyen en la aparición del síndrome metabólico son edad, sexo, nivel de estudios, clase social, consumo de tabaco, no actividad física y mala alimentación. Las odds ratio más elevadas con ambos modelos aparecen en trabajadores que no realizan actividad física (OR 25,30 IC 95% 18,86-33,94 para NCEP ATPIII y 16,31 IC 95% 12,94-20,56 para IDF). Conclusiones: La mayoría de variables analizadas influyen en la presencia o no de síndrome metabólico en nuestro estudio (AU)

Objective: To Introduction: There are many scales to determine cardiovascular risk between them the metabolic syndrome is one of the most important. Material and method: a descriptive and cross-sectional study of 60,798 workers (25,972 women and 34,826 men) in the Spanish Mediterranean area during the period covered between January 2011 and December 2012. The relationship between different sociodemographic variables and healthy habits is determined in the onset of metabolic syndrome with the NCEP ATPIII and IDF models. Results: The variables that influence the onset of the metabolic syndrome are age, sex, level of education, social class, smoking, non-physical activity and poor diet. The highest odds ratios with both models appear in workers who do not perform physical activity (OR 25.30 95% CI 18.86-33.94 for NCEP ATPIII and 16.31 95% CI 12.94-20.56 for IDF). Conclusions: The majority of variables analyzed influence the presence or absence of metabolic syndrome in our study (AU)

Comunicación, colaboración en equipo y clima laboral: repercusión en la seguridad del paciente / Communication, team cooperation and working environment: impact on patient's safety

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