Tendinopatía rotuliana. Modelo de actuación terapéutico en el deporte. Patellar tendinopathy. Therapetic model in the sport

El dolor tendinoso, conocido como tendinopatía, es muy común en individuos físicamente activos, ya sea a nivel competitivo como recreacional. Sin embargo, se ha demostrado que individuos físicamente inactivos también lo sufren. Por lo tanto, se puede afirmar que la actividad física no se puede asociar directamente a la histopatología, y que el ejercicio físico puede ser más importante en la provocación de los síntomas que en ser el causante de la lesión1 and 2. La sobreutilización induce esta condición, pero la etiología y la patogenia no están científicamente clarificadas..

Gene expression and matrix turnover in overused and damaged tendons

Chronic, painful conditions affecting tendons, frequently known as tendinopathy, are very common types of sporting injury. The tendon extracellular matrix is substantially altered in tendinopathy, and these changes are thought to precede and underlie the clinical condition. The tendon cell response to repeated minor injuries or “overuse” is thought to be a major factor in the development of tendinopathy. Changes in matrix turnover may also be effected by the cellular response to physical load, altering the balance of matrix turnover and changing the structure and composition of the tendon. Matrix turnover is relatively high in tendons exposed to high mechanical demands, such as the supraspinatus and Achilles, and this is thought to represent either a repair or tissue maintenance function. Metalloproteinases are a large family of enzymes capable of degrading all of the tendon matrix components, and these are thought to play a major role in the degradation of matrix during development, adaptation and repair. It is proposed that some metalloproteinase enzymes are required for the health of the tendon, and others may be damaging, leading to degeneration of the tissue. Further research is required to investigate how these enzyme activities are regulated in tendon and altered in tendinopathy. A profile of all the metalloproteinases expressed and active in healthy and degenerate tendon is required and may lead to the development of new drug therapies for these common and debilitating sports injuries

Engineering tendon and ligament tissues : present developments towards successful clinical products

Musculoskeletal diseases are one of the leading causes of disability worldwide. Among them, tendon and ligament injuries represent an important aspect to consider in both athletes and active working people. Tendon and ligament damage is an important cause of joint instability, and progresses into early onset of osteoarthritis, pain, disability and eventually the need for joint replacement surgery. The social and economical burden associated with these medical conditions presents a compelling argument for greater understanding and expanding research on this issue. The particular physiology of tendons and ligaments (avascular, hypocellular and overall structural mechanical features) makes it difficult for currently available treatments to reach a complete and long-term functional repair of the damaged tissue, especially when complete tear occurs. Despite the effort, the treatmentmodalities for tendon and ligament are suboptimal, which have led to the development of alternative therapies, such as the delivery of growth factors, development of engineered scaffolds or the application of stem cells, which have been approached in this review

Making a difference to employability through assessment

Students will know some of the benefits and costs of an undergraduate degree. They will be told of the degree 'premium' and that, over a lifetime, they can expect to be better off. A university education will open doors to professions that will seem distant when completing school education. They will anecdotally hear stories about employers expecting a first or upper second. They will also know that some students will never pay back their loans. The reality is that an undergraduate degree can lead to a good job but this is not the case for all students as finding graduate level employment will be very challenging for some. We argue that courses should continually look at ways to enhance the employability of their students. It is understandable that students will see good grades from assessment as the route to a good degree and ultimately to a good job. If assessment can also develop and evidence the skills valued by others, particularly employers, then further benefits are added. There are a number of ways that student employability can be supported, including: careers advice; jobs fairs; visiting speakers and possibly a placement opportunity. We argue that, additionally, assessment can make a difference and with thoughtful design can make an even bigger difference. It is the author's experience that if students are asked what they learnt on their course, they are likely to talk about the outcomes of assessment. If these outcomes also evidence the skills valued by the employer, then this will present a more persuasive response. Assessment is critical for all courses. If assessment can leave the student with outcomes, experience or artefacts that evidence a 'can-do' ability then we argue this must positively impact on employability

The importance of service quality in British Muslim’s choice of an Islamic or non-Islamic bank account

Using an extended SERVQUAL model, this study identifies and compares the importance of service quality to Muslim consumers with an Islamic or non-Islamic bank account in a non-Muslim country, Britain. Eight group discussions and survey with 300 Muslims were conducted. Five dimensions of service quality were identified, i.e. Responsiveness, Credibility, Islamic Tangibles, Accessibility and Reputation. These differ in structure and content from the original SERVQUAL developed in the west and the subsequent CARTER model constructed in a Muslim country. In addition, significant differences were found in the importance rating of items by respondents holding an account with an Islamic bank compared to those with a non-Islamic bank account. This study is one of the first to identify and compare the importance of service quality between Islamic and non-Islamic bank account holders in a western non-Muslim country. The results advance our understanding of the impact of culture on SERVQUAL. The study provides insight into Muslims’ bank choice and helps bank managers of both Islamic and non-Islamic banks to focus their attention on the service quality dimensions that matter most to Muslim customers

exposure science and occupational health: insights from ISES 2022

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Role of homeodomain leucine zipper (HD-Zip) iv transcription factors in plant development and plant protection from deleterious environmental factors

Homeobox genes comprise an important group of genes that are responsible for regulation of developmental processes. These genes determine cell differentiation and cell fate in all eukaryotic organisms, starting from the early stages of embryo development. Homeodomain leucine zipper (HD-Zip) transcription factors are unique to the plant kingdom. Members of the HD-Zip IV subfamily have a complex domain topology and can bind several cis-elements with overlapping sequences. Many of the reported HD-Zip IV genes were shown to be specifically or preferentially expressed in plant epidermal or sub-epidermal cells. HD-Zip IV TFs were found to be associated with differentiation and maintenance of outer cell layers, and regulation of lipid biosynthesis and transport. Insights about the role of these proteins in plant cuticle formation, and hence their possible involvement in plant protection from pathogens and abiotic stresses has just started to emerge. These roles make HD-Zip IV proteins an attractive tool for genetic engineering of crop plants. To this end, there is a need for in-depth studies to further clarify the function of each HD-Zip IV subfamily member in commercially important plant species.William Chew, Maria Hrmova and Sergiy Lopat