José Ramos Galván

Influence of depression in a sample of people with hallux valgus

Hallux valgus (HV) is a highly-prevalent forefoot deformity associated with progressive subluxation and osteoarthritis of the first metatarsophalangeal joint; it is believed to be associated with depression. The aim of the present study was to determine the association of patients with varying degrees of HV involvement to depression using the Beck Depression Inventory (BDI). The sample consisted of 102 participants (mean age: 45.1 ± 1.6), who attended an outpatient centre where self-report data were recorded. The degree of HV deformity was determined in both feet, and the scores on the BDI were compared. A total of 38.24% of the sample had depression, with an average BDI score of 10.55 ± 12.36 points. There was a statistically-significant association between the degree and presence of HV in both feet (P = 0.0001). People with a greater degree of HV deformity in any foot also have a significant increase in depression based on BDI scores, regardless of sex.

Filling and wetting transitions on sinusoidal substrates: a mean-field study of the Landau–Ginzburg model

We study the interfacial phenomenology of a fluid in contact with a one-dimensional array of infinitely long grooves of sinusoidal section, characterized by the periodicity length L and amplitude A. The system is modelled by the Landau-Ginzburg-Wilson functional, with fluid-substrate couplings which control the wettability of the substrate. We investigate the filling and wetting phenomena within the mean-field approximation, and compare with the predictions of the macroscopic and interfacial Hamiltonian theories. For large values of L and under bulk coexistence conditions, we observe first-order filling transitions between dry (D) and partially filled (F) interfacial states, and wetting transitions between partially filled F and completely wet (W) interfacial states of the same order as for the flat substrate. Depending on the order of the wetting transition, the transition temperature is either shifted towards lower temperatures for first-order wetting or it coincides with the wetting temperature on the flat substrate for continuous wetting. On the other hand, if the groove height is of order of the correlation length, only wetting transitions between D and W states are observed under bulk coexistence conditions. For this case, the transition temperature shift obeys approximately Wenzels phenomenological law if the substrate favors first-order wetting, but it remains unshifted for continuous wetting. The borderline between the small and large L regimes correspond to a D - F - W triple point if wetting is first-order, and a D - F critical point for continuous wetting. Beyond bulk coexistence conditions, filling and first-order wetting transitions continue into off-coexistence filling and prewetting lines, which end up at critical points. Our findings show that the macroscopic theory only describes accurately the filling transition close to bulk coexistence and large L, while microscopic structure of the fluid is essential to understand wetting and filling away from bulk coexistence.

History of professional education on podiatry emergencies and disasters: a Spanish point of view

Mainstreaming between podiatry practice and podiatry studies is needed. Podiatry practice evolution in Spain has allowed this medical discipline to obtain its own academic, institutional and legislative framework to increase and improve professional decisions in the podiatric medical practice. For that reason, there is a great interest and relevancy on emergencies and urgencies education in podiatry clinical and welfare activity. It is an essential component, the different and inherent risk conditions of welfare activity require to give an immediate, accurate and sure response that protects people life. Podiatry faculties could and should establish joint actions that integrate on an effective way the complexity and multiplicity of vital situations that the podiatric activity involves, as well as to establish strategic plans in the activity of professional podiatrists that come together in an improvement of graduates.

Approach to the history of bioethics in the professional education of podiatry in Spain.

Bachelor of Medicine and Surgery from Universidad de Santiago de Compostela. Specialist in Preventive Medicine and Public Health, Spain. Medical Doctor. Universidade da Coruna – Health and Podiatry Research Unit. Department of Health Sciences. Faculty of Nursing and Podiatry. Universidade da Coruna, Ferrol, Spain

Experiences in the Promotion of Foot Health Among School Children

We believe that the health of the feet must continually be encouraged, for it has implemented a program of Podiatric School Health, which has continuously maintained over the last 20 years. This program has been carried out in the city of Seville, with the aim of preventing and promote child health. To achieve these goals two stages are marked. The first is to early detection of podiatric pathologies, describe the level of podiatric health, meet the most frequent alterations in the feet of schoolchildren 3-15 years and identify possible risk factors through a podiatric exploration which is done to each school. In the second stage, activities of Health Education develop. Throughout this work strategies and methods are identified, and what were some of the concepts and guidelines related to health promotion and work in the community, who have inspired us and given the scientific support. During the period 2004-2016 have been explored, in schools, a total of 4970 schoolchildren. For diagnostic confirmation and application of treatment have been treated in the Podiatric Clinical Area at the University of Seville, 766 schoolchildren. Activities of health education on foot care have attended a total of 7705 people. We believe that to meet the new and growing demands on health care by the society, they should be implemented more preventive activities and encourage adaptation to new care podiatry under Community status (Podiatry Community).

Conscientious objection in Spanish podiatrists students: a questionnaire survey

Objective: To explore attitudes towards conscientious objections among podiatrists students in Spain. Methods: Podiatrists students at University of A Coruna, King Rey Juan Carlos University, University of Sevilla and Complutense University of Madrid were emailed a link to complete an anonymous online questionnaire, hosted by an online survey company. A total of 432 podiatrists students responded. Results: Nearly half of the students in this survey stated that they believed in the right of podiatrist to conscientiously object to any procedure. Demand for the right to conscientiously object is greater in Roman Catholic podiatrists students when compared with other groups of religious podiatrists students. Discussion: Examining patients and podiatric treatments continues to be controversy issues among podiatrists students and this may contribute to the looming crisis in podiatry services over next years. This project sheds some light on how future podiatrist view some of their ethical rights and obligations. Using empirical evidence, it reveals that conscientious objection is an issue in the Spain podiatrists student body today. These data could help anticipate problems that may arise when these podiatrists students qualify and practice podiatry in the community. Conclusion: Clearer guidance is needed for podiatrists students about the issue of conscientious objection at podiatry school.