Intervención Educativa para la Prevención de Disfunciones del Piso Pélvico en Mujeres en Tratamiento por Cáncer Ginecológico: Adherencia y Efectividad Clínica

Tesis Materias > Psicología
Materias > Educación
Universidad Internacional Iberoamericana México > Investigación > Tesis Doctorales Cerrado Español Introducción: Las intervenciones sanitarias preventivas requieren la modificación de conductas en las personas. Una de las teorías de aprendizaje más utilizadas para la modificación de comportamiento en salud es la Teoría Socio Cognitiva, que fundamenta esta propuesta. Objetivo: Analizar la adherencia y efectividad clínica de una intervención educativa para prevenir disfunciones de piso pélvico en mujeres con cáncer ginecológico. Método: Estudio mixto explicativo secuencial. Se reclutaron 53 mujeres en tratamiento antineoplásico por cáncer ginecológico, quienes asistieron a sesiones educativas para instrucción de ejercicios de piso pélvico y uso de dilatadores vaginales en domicilio. Se realizó una sesión pre-radioterapia, una sesión al mes post-radioterapia y una tercera sesión cuatro meses post-radioterapia; consignan-do datos sociodemográficos y clínicos. Se realizó un examen físico para evaluar función de piso pélvico y se aplicaron cuestionarios: ICIQ-SF para incontinencia urinaria, EORTC QLQ-C30 y CX24 para calidad de vida y función sexual, y un cuestionario de Autoeficacia y Expectativa de Resultados, traducido y adaptado durante este estudio. Se exploraron barreras y facilitadores de adherencia mediante entrevista semiestructurada. Los datos fueron analizados con estadística descriptiva, inferencial y análisis temático.Resultados: La autoeficacia fue predictora de adherencia. La adherencia fue moderada (45,2%) a los 6 meses de seguimiento. La intervención educativa fue eficaz en el mantenimiento de función de piso pélvico y la calidad de vida en las mujeres adherentes. Se encontraron más facilitadores que barreras en las mujeres adherentes, destacando la alta motivación. La retroalimentación del médico fue facilitador cuando estaba presente o barrera cuando estaba ausente. Conclusión: La autoeficacia fue predictora de adherencia a la práctica de ejercicios del piso pélvico. La intervención educativa fue eficaz para mantener o mejo-rar las variables clínicas estudiadas. Se sugiere que barreras y facilitadores encontrados sean considerados al implementar programas de reeducación del piso pélvico en población con cáncer ginecológico. metadata Araya Castro, Paulina Andrea mail pauli.ac2010@gmail.com (2022) Intervención Educativa para la Prevención de Disfunciones del Piso Pélvico en Mujeres en Tratamiento por Cáncer Ginecológico: Adherencia y Efectividad Clínica. Doctoral thesis, Universidad Internacional Iberoamericana México.

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Resumen

Introducción: Las intervenciones sanitarias preventivas requieren la modificación de conductas en las personas. Una de las teorías de aprendizaje más utilizadas para la modificación de comportamiento en salud es la Teoría Socio Cognitiva, que fundamenta esta propuesta. Objetivo: Analizar la adherencia y efectividad clínica de una intervención educativa para prevenir disfunciones de piso pélvico en mujeres con cáncer ginecológico. Método: Estudio mixto explicativo secuencial. Se reclutaron 53 mujeres en tratamiento antineoplásico por cáncer ginecológico, quienes asistieron a sesiones educativas para instrucción de ejercicios de piso pélvico y uso de dilatadores vaginales en domicilio. Se realizó una sesión pre-radioterapia, una sesión al mes post-radioterapia y una tercera sesión cuatro meses post-radioterapia; consignan-do datos sociodemográficos y clínicos. Se realizó un examen físico para evaluar función de piso pélvico y se aplicaron cuestionarios: ICIQ-SF para incontinencia urinaria, EORTC QLQ-C30 y CX24 para calidad de vida y función sexual, y un cuestionario de Autoeficacia y Expectativa de Resultados, traducido y adaptado durante este estudio. Se exploraron barreras y facilitadores de adherencia mediante entrevista semiestructurada. Los datos fueron analizados con estadística descriptiva, inferencial y análisis temático.Resultados: La autoeficacia fue predictora de adherencia. La adherencia fue moderada (45,2%) a los 6 meses de seguimiento. La intervención educativa fue eficaz en el mantenimiento de función de piso pélvico y la calidad de vida en las mujeres adherentes. Se encontraron más facilitadores que barreras en las mujeres adherentes, destacando la alta motivación. La retroalimentación del médico fue facilitador cuando estaba presente o barrera cuando estaba ausente. Conclusión: La autoeficacia fue predictora de adherencia a la práctica de ejercicios del piso pélvico. La intervención educativa fue eficaz para mantener o mejo-rar las variables clínicas estudiadas. Se sugiere que barreras y facilitadores encontrados sean considerados al implementar programas de reeducación del piso pélvico en población con cáncer ginecológico.

Tipo de Documento: Tesis (Doctoral)
Palabras Clave: ejercicios de piso pélvico, prehabilitación, autoeficacia, educación en salud, cáncer ginecológico
Clasificación temática: Materias > Psicología
Materias > Educación
Divisiones: Universidad Internacional Iberoamericana México > Investigación > Tesis Doctorales
Depositado: 26 Sep 2023 23:30
Ultima Modificación: 26 Sep 2023 23:30
URI: https://repositorio.unini.edu.mx/id/eprint/3402

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Influence of E-learning training on the acquisition of competences in basketball coaches in Cantabria

The main aim of this study was to analyse the influence of e-learning training on the acquisition of competences in basketball coaches in Cantabria. The current landscape of basketball coach training shows an increasing demand for innovative training models and emerging pedagogies, including e-learning-based methodologies. The study sample consisted of fifty students from these courses, all above 16 years of age (36 males, 14 females). Among them, 16% resided outside the autonomous community of Cantabria, 10% resided more than 50 km from the city of Santander, 36% between 10 and 50 km, 14% less than 10 km, and 24% resided within Santander city. Data were collected through a Google Forms survey distributed by the Cantabrian Basketball Federation to training course students. Participation was voluntary and anonymous. The survey, consisting of 56 questions, was validated by two sports and health doctors and two senior basketball coaches. The collected data were processed and analysed using Microsoft® Excel version 16.74, and the results were expressed in percentages. The analysis revealed that 24.60% of the students trained through the e-learning methodology considered themselves fully qualified as basketball coaches, contrasting with 10.98% of those trained via traditional face-to-face methodology. The results of the study provide insights into important characteristics that can be adjusted and improved within the investigated educational process. Moreover, the study concludes that e-learning training effectively qualifies basketball coaches in Cantabria.

Producción Científica

Josep Alemany Iturriaga mail josep.alemany@uneatlantico.es, Álvaro Velarde-Sotres mail alvaro.velarde@uneatlantico.es, Javier Jorge mail , Kamil Giglio mail ,

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Plant stress reduction research has advanced significantly with the use of Artificial Intelligence (AI) techniques, such as machine learning and deep learning. This is a significant step toward sustainable agriculture. Innovative insights into the physiological responses of plants mostly crops to drought stress have been revealed through the use of complex algorithms like gradient boosting, support vector machines (SVM), recurrent neural network (RNN), and long short-term memory (LSTM), combined with a thorough examination of the TYRKC and RBR-E3 domains in stress-associated signaling proteins across a range of crop species. Modern resources were used in this study, including the UniProt protein database for crop physiochemical properties associated with specific signaling domains and the SMART database for signaling protein domains. These insights were then applied to deep learning and machine learning techniques after careful data processing. The rigorous metric evaluations and ablation analysis that typified the study’s approach highlighted the algorithms’ effectiveness and dependability in recognizing and classifying stress events. Notably, the accuracy of SVM was 82%, while gradient boosting and RNN showed 96%, and 94%, respectively and LSTM obtained an astounding 97% accuracy. The study observed these successes but also highlights the ongoing obstacles to AI adoption in agriculture, emphasizing the need for creative thinking and interdisciplinary cooperation. In addition to its scholarly value, the collected data has significant implications for improving resource efficiency, directing precision agricultural methods, and supporting global food security programs. Notably, the gradient boosting and LSTM algorithm outperformed the others with an exceptional accuracy of 96% and 97%, demonstrating their potential for accurate stress categorization. This work highlights the revolutionary potential of AI to completely disrupt the agricultural industry while simultaneously advancing our understanding of plant stress responses.

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Carotenoids Intake and Cardiovascular Prevention: A Systematic Review

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Sandra Sumalla Cano mail sandra.sumalla@uneatlantico.es, Imanol Eguren García mail imanol.eguren@uneatlantico.es, Álvaro Lasarte García mail , Thomas Prola mail thomas.prola@uneatlantico.es, Raquel Martínez Díaz mail raquel.martinez@uneatlantico.es, Iñaki Elío Pascual mail inaki.elio@uneatlantico.es,

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Youth Healthy Eating Index (YHEI) and Diet Adequacy in Relation to Country-Specific National Dietary Recommendations in Children and Adolescents in Five Mediterranean Countries from the DELICIOUS Project

Background/Objectives: The diet quality of younger individuals is decreasing globally, with alarming trends also in the Mediterranean region. The aim of this study was to assess diet quality and adequacy in relation to country-specific dietary recommendations for children and adolescents living in the Mediterranean area. Methods: A cross-sectional survey was conducted of 2011 parents of the target population participating in the DELICIOUS EU-PRIMA project. Dietary data and cross-references with food-based recommendations and the application of the youth healthy eating index (YHEI) was assessed through 24 h recalls and food frequency questionnaires. Results: Adherence to recommendations on plant-based foods was low (less than ∼20%), including fruit and vegetables adequacy in all countries, legume adequacy in all countries except for Italy, and cereal adequacy in all countries except for Portugal. For animal products and dietary fats, the adequacy in relation to the national food-based dietary recommendations was slightly better (∼40% on average) in most countries, although the Eastern countries reported worse rates. Higher scores on the YHEI predicted adequacy in relation to vegetables (except Egypt), fruit (except Lebanon), cereals (except Spain), and legumes (except Spain) in most countries. Younger children (p < 0.005) reporting having 8–10 h adequate sleep duration (p < 0.001), <2 h/day screen time (p < 0.001), and a medium/high physical activity level (p < 0.001) displayed a better diet quality. Moreover, older respondents (p < 0.001) with a medium/high educational level (p = 0.001) and living with a partner (p = 0.003) reported that their children had a better diet quality. Conclusions: Plant-based food groups, including fruit, vegetables, legumes, and even (whole-grain) cereals are underrepresented in the diets of Mediterranean children and adolescents. Moreover, the adequate consumption of other important dietary components, such as milk and dairy products, is rather disregarded, leading to substantially suboptimal diets and poor adequacy in relation to dietary guidelines.

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Editorial: Host-bacteria interactions in fish pathogens

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