DeustoTeka
DeustoTeka recoge la producción científica del personal docente e investigador de la Universidad de Deusto. Su propósito es reunir, archivar, preservar y aumentar la visibilidad en acceso abierto de los resultados de investigación.
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Quality indicators for penitentiary medical reports supporting the adoption of alternative measures to imprisonment on health grounds
(Elsevier España, 2026) Aia Goikoetxea, Nahia; Bengoetxea Martínez, Itxaso; Morentín, Benito; Arostegui Madariaga, Inmaculada; Callado Hernando, Luis Felipe ; Garro Carrera, Enara
Introduction/objectives. Humanitarian release from prison on health grounds is a measure to preserve human dignity, recommended by international human rights bodies and enshrined in the legislation of many countries. A medical report is required for such a judicial decision. The objective of this study was to analyse the quality, content and variability of medical reports used for early release from prison on health grounds.
Methods: a retrospective observational descriptive study was conducted on 164 medical reports for the early release of persons deprived of liberty obtained in the Basque Autonomous Community (BAC) and Catalonia. Structural aspects, clinical content, compliance with the standards of clinical reports in the health system, and relevant medico-legal aspects were evaluated.
Results.The study revealed that there was a high degree of variability, that the importance of the temporary life prognosis for the granting of this type of measure was significant in Spain, and that the health baseline situation of the subjects studied was advanced. Analysis of the quality of the reports revealed significant technical deficiencies and the frequent absence of basic clinical elements. Barriers to accessing information sources limit research.
Conclusions. The absence of standardised guidelines or protocols at the national and international levels for the drafting of this type of report leads us to propose further advancement in this important area of human rights.
Systematic review of the impact of problem-based learning on burnout syndrome in medical students
(Discover, 2026-12-01) Chávez Toro, Enderson Jose; Arruti, Arantza
; Romero Yesa, Susana
Medical education increasingly adopts problem-based learning (PBL) to foster clinical reasoning; however, its impact on student mental health remains unclear. A significant knowledge gap persists regarding whether PBL acts as a protective factor or a risk intensifier for burnout, as current evidence is fragmented and heterogeneous. This systematic review synthesizes empirical evidence to inform curricular decisions following PRISMA guidelines. Eight studies (n = 1,203) were analyzed, with quality assessed via JBI and CASPe tools. Findings reveal a weighted mean burnout prevalence of 31.8%, primarily linked to systemic stressors such as sleep deprivation rather than the curricular model itself. While most studies found no global difference in burnout prevalence between PBL and traditional models, high-rigor research associates PBL with lower emotional exhaustion and higher professional efficacy. PBL is not a universal protective factor against burnout, as the syndrome is driven by the inherent rigors of medical training regardless of methodology. Its success depends on implementation that balances student autonomy with robust faculty support. Institutions must integrate self-care strategies into the PBL framework to mitigate systemic stress.
Therapeutic potential of lymphatic endothelial progenitor cells in secondary lymphedema: a preclinical murine study.
(Multidisciplinary Digital Publishing Institute (MDPI), 2026-08-01) Jaunarena Marin, Ibon; Iglesias Gaspar, Mayte; Arriola Riestra, Ignacio ; Izeta, Ander; Diez Itza, Irene; Lekuona, Arantxa; Lafuente Echevarria, Hector
Background: Secondary lymphedema is a chronic complication of oncologic surgery and radiotherapy for which effective disease-modifying therapies remain lacking. While mesenchymal stem cells (MSCs) have shown partial benefit in experimental models, direct functional comparison with lineage-committed lymphatic endothelial progenitor cells (LEPCs) remains limited. Methods: Secondary lymphedema was induced in C57BL/6J mice by circumferential tail skin excision with disruption of superficial lymphatics. Animals received intradermal phosphate-buffered saline (PBS), MSCs, or adipose-derived LEPCs on postoperative days 1 and 7. Lymphatic function was longitudinally quantified using IVIS-based near-infrared indocyanine green (ICG) imaging with standardized region-of-interest analysis. Tail diameter was measured serially throughout follow-up as a complementary morphometric parameter. Tissue remodeling was assessed by Picrosirius Red staining and qualitative LYVE-1 immunofluorescence. Statistical analysis incorporated mixed-effects modeling to evaluate treatment group, sex, time, and their interaction terms, with estimation of effect sizes and 95% confidence intervals. Results: LEPC-treated mice demonstrated higher IVIS signal intensity than MSC- and PBS-treated animals, consistent with improved lymphatic transport at the injury site. Longitudinal tail diameter analysis showed a more favorable temporal profile in the LEPC group relative to controls, with exploratory analysis suggesting potential variations in temporal profiles between sexes that warrant further investigation in larger cohorts. Histologic analysis showed reduced non-tissue/void area and a more favorable qualitative pattern of LYVE-1 staining in LEPC-treated tissue. Conclusions: LEPC administration enhanced functional and structural recovery in a murine model of secondary lymphedema. These findings support further translational evaluation of LEPC-based approaches as a regenerative strategy for secondary lymphedema.
Adaptación y validación al euskera de una escala para evaluar actitudes hacia la discapacidad en Educación Primaria
(Confederación Española de Organizaciones en favor de las Personas con Discapacidad Intelectual (FEAPS), 2026-06-30) Uria Olaizola, Naroa
; Yurrebaso Atutxa, Garazi
; León Guereño, Patxi
La inclusión educativa requiere no solo marcos normativos adecuados, sino también el fomento de actitudes positivas hacia las personas con discapacidad desde edades tempranas. Este estudio tiene como objetivo validar una versión adaptada y traducida al euskera de la escala CATCH, incorporando cuatro ítems adicionales de la escala EAADEF-EP. La muestra para el análisis factorial exploratorio ha estado compuesta por 314 estudiantes de Educación Primaria (9 a 12 años) y la del análisis factorial confirmatorio por 287 estudiantes, procedentes de seis centros educativos. El cuestionario final consta de 10 ítems en formato Likert de cinco puntos. Tras un proceso riguroso de adaptación lingüística y validación experta, los análisis factoriales han revelado una estructura de tres factores coherente con la teoría tridimensional de las actitudes: cognitivo, afectivo y conductual. Los índices de ajuste del modelo confirmatorio han sido adecuados, lo que respalda la validez estructural de la escala. Las cargas factoriales y la consistencia interna de las dimensiones han resultado satisfactorias. La versión adaptada de la escala CATCH-TSG y EAADEF-EP se presenta como un instrumento válido y fiable para evaluar actitudes hacia la discapacidad, facilitando el diseño de intervenciones educativas inclusivas en el contexto escolar del País Vasco.
Análisis de las novedades incorporadas al delito de corrupción en las transacciones comerciales internacionales por la Ley Orgánica 1/2015, de 30 de marzo
(Universidad de Deusto = Deustuko Unibertsitatea, 2015-07-13) Benito Sánchez, Demelsa
La regulación del delito de corrupción en las transacciones comerciales en el Derecho español deriva del compromiso adquirido al ratificar diversos convenios internacionales en esta materia. Ante la falta de cumplimiento de algunos de estos compromisos, el legislador español ha previsto diversas modificaciones en la última ley de reforma del código penal. Este trabajo analiza esas modificaciones y ofrece propuestas de mejora.