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Introduction Scarce evidence is available about the minimum number of valid days wearing the activPAL3 to obtain a precise estimate of sedentary behaviour (SB) and awake-time movement behaviours (ATMB) in nursing home (NH) residents. The study aimed to determine the minimum number of valid days required for accurately estimate SB and ATMB using the activPAL3 device in NH residents. It also investigated how the starting point of a day (the 24-h period) impacted reliability. Methods Participants wore an activPAL3 for 7 consecutive days. The data was classified in two-time blocks (00:00 Ante Meridiem (AM)—00:00 AM midnight vs 12:00 Post Meridiam (PM) -12:00 PM midday) and the sample was stratified into two groups according to their capacity to stand and walk, to examine if timing of sampling or physical functioning affected minimum wear time. SB, ATMB, sociodemographic, and health-related variables were collected. Sensitivity of the time-blocks were tested through the dispersion frequencies and differences between blocks through Kolmogorov–Smirnov test for normality; parametric variables through two-related means T-test and Wilcoxon test for non-parametric data. Reliability was assessed with the Cronbach's Alpha and the intra-class correlation coefficient (ICC), using a one-factor model estimating the reliability for each measurement day loading in the same latent factor. Results Ninety-five NH residents (81.1% women; age = 85.8 ± 7.2 years) were included. The midnight block had higher reliability, sensitivity and no statistically significant differences between days were found. At least three consecutive days of monitoring were necessary to achieve a reliability of ICC ≥ 0.8 for those NH residents able to stand and walk and six days for those unable. Conclusions NH residents who are able to stand and walk require a minimum of three consecutive days wearing the device, while those who are unable require at least six days due to their highly homogenous daily routines and sensitivity to PA events. Regardless of the activPAL3 recording start time, data processing should reference the midnight time block.

Patients with multiple sclerosis (MS) are increasingly demanding access to reliable information regarding their disease. The objective of the INFOSEEK-MS study was to assess what are the strategies people with MS use when searching for information on their disease, including sources, frequency, reliability, and preferred content. A non-interventional, cross-sectional study was conducted. Patients with a diagnosis of MS according to the 2010 McDonald criteria were included. The InfoSeek questionnaire was used to assess patients' strategies when seeking information about the disease. Clinical characteristics and other variables, including disability, quality of life, fatigue, cognition, anxiety and depression, were analysed using the Expanded Disability Status Scale (EDSS), Multiple Sclerosis Impact Scale (MSIS-29), 5-item Modified Fatigue Scale (MFIS-5), Symbol Digit Modalities Test (SDMT), and Hospital Anxiety and Depression Scale (HADS), respectively. Three hundred and two patients were studied (mean age: 42.3 ± 10 years, 64% female, mean disease duration: 9.6 ± 7.0 years, 90% with relapsing-remitting MS, and mean EDSS score: 2.6 ± 1.9). The internet (either via mobile or computer) is a frequently reported source of information. Lifestyle-related information (67.2%), research and emerging treatments (63.6%), symptom control (49.7%), sharing experiences with other patients (46.4%), and disease prognosis (46.4%) were the most searched topics. Neurologists and nurses were the most trusted source of information. Younger patients and higher SDMT scores were associated with all search resources (M = 37.7 and M = 49.97, respectively). The frequency of searches was related to the number of relapses (R = 0.07), EDSS (R = 0.14), MSIS-29 physical and psychological components (R = 0.132) and inversely with depression (R = 0.132). Although healthcare professionals are considered the most reliable source of information for people with MS, searching for information on the Internet is very frequent. An individualized information strategy considering the different factors involved is needed.

Since work organizations became the subject of scientific research, how to operationalize and measure dimensions of work design has been an issue, mainly due to concerns about internal consistency and factor structure. In response, Morgeson and Humphrey (2006) built the Work Design Questionnaire –WDQ–, an instrument that identifies and measures these dimensions in different work and organizational contexts. This paper presents the instruent’s adaptation into Spanish using reliability and validity analysis and drawing on a sample of 1035 Spanish workers who hold various jobs in an array of occupational categories. The total instrument’s internal consistency was Cronbach’s alpha of .92 and the various scales’ reliability ranged from .70 to .96, except for three dimensions. There was initially a difference in the comparative fit of the two versions’ factor structures, but the model with 21 work characteristics (motivational -task and knowledge-, social, and work context) showed the highest goodness of fit of the various models tested, confirming previous results from the U.S. version as well as adaptations into other languages and contexts. CFA results indicated goodness of fit of factor configurations corresponding to each of the four major categories of work characteristics, with CFI and TLI around .90, as well as SRMR and RMSEA below .08. Thus it brings to the table a reliable, valid measure of work design with clear potential applications in research as well as professional practice, applications that could improve working conditions, boost productivity, and generate more personal and professional development opportunities for workers.

The following study will present findings on the validity of the adaptation of the Burger and Cooper's Desirability of Control Scale into Spanish. Two samples are present: the first involving 1,999 people to study their psychometric properties. In the second sample, 111 people were included to estimate test/ retest reliability. Cultural adaptation was performed using the translation & back-translation method. Item analysis, internal consistency and test/re-test reliability were assessed, then evidence of the validity of the internal structure was determined by using exploratory and confirmatory factor analysis. Subject recruitment was performed to gather the 1,999 subjects stratified by age, gender quotas as designed in the sampling plan. Of the subjects, 51% were female, average age of 45 years old (SD = 17.5). All items from the original scale were understood correctly, while five items presented ceiling effect. Cronbach's alpha = .736 and a test-retest correlation r = .713 were obtained. The factor structure indicated the presence of four dimensions: forecast, autonomy, power and influence and reactance which were reassured in the confirmatory analysis (x2/df = 4.805, CFI =.932, TLI =.954, RMSEA = .062). The basic dimensions of the scale have shown to be stable and well-defined, though not perfect. The scope, possible applications of the scale and further research are later proposed and discussed. Se presenta la adaptación y validación al español de la Escala de Deseo de Control de Burger y Cooper. Se emplearon dos muestras. Para estudiar las propiedades psicométricas de la escala se contó con una primera muestra de 1999 (Medad = 45 años, DS = 17,5; 51% mujeres). Para estimar la fiabilidad test-retest se contó con una segunda muestra de 111 personas. La adaptación cultural se llevó a cabo mediante el procedimiento de traducción–retrotraducción. Se presentan las evidencias de validez de la estructura interna de la escala mediante los resultados de sendos análisis factoriales, exploratorio y confirmatorio. El análisis de ítems reveló que todos los elementos presentaron unos valores aceptables, aunque cinco de ellos mostraron efecto techo. El Alfa de Cronbach fue de .736 y la Fiabilidad test-retest fue de .713. La estructura factorial indicó la presencia de cuatro dimensiones: previsión, autonomía, poder e influencia y reactancia. La estructura fue corroborada en el análisis confirmatorio (x2/df = 4.805, CFI = .932, TLI = .954, RMSEA = .062). Las dimensiones de la escala son estables y específicas, aunque no perfectas. Se discute el alcance y posibles aplicaciones de la escala y se proponen futuras investigaciones.

Se compara la precisión en la recuperación de parámetros del Análisis de Estructura de Covarianza (ACOV) y el Modelo de Rutas mediante Mínimos Cuadrados Parciales (PLS-PM), en un modelo simple con variables manifiestas simuladas con escala ordinal de 5 puntos. Se utiliza un diseño experimental, manipulando el método de estimación, tamaño muestral, nivel de asimetría y tipo de especificación del modelo. Se valora la media de las diferencias absolutas para el modelo estructural. ACOV presenta estimaciones más precisas que PLS-PM en distintas condiciones experimentales. Cuando se utiliza un tamaño muestral pequeño ambas técnicas son igualmente precisas. Se sugiere utilizar ACOV frente a PLS-PM. Se desaconseja fundamentar la elección de PLS-PM frente a ACOV en la utilización de una muestra pequeña.

En el presente estudio se plantea la relevancia de conocer cuál es la representación de quienes ostentan un rol de poder o experto respecto a la imagen que tienen los trabajadores de su organización. Se propone que la pertenencia a un determinado grupo de expertos ejerce un efecto diferencial sobre la representación de esta imagen (metarrepresentación). Para ello, expertos en Organización y Recursos Humanos pertenecientes a diversas organizaciones e instituciones evaluaron siete dimensiones que estructuran la imagen organizacional (contexto, estructura, procesos organizacionales, clima, cultura, satisfacción y eficacia). Los resultados obtenidos sugieren que la pertenencia a una categoría de experto (directivos o mandos, académicos, consultores, técnicos o representantes de los trabajadores) modulaba la metarrepresentación. Se encontró una relación entre la opinión de los expertos sobre la imagen que tienen los trabajadores de su organización con su grupo de pertenencia. Específicamente, la representación de los directivos difería del resto de representaciones estudiadas, especialmente respecto a los grupos de técnicos y representantes de los trabajadores. Se discuten las implicaciones de los resultados.

En el presente estudio se plantea la relevancia de conocer cuál es la representación de quienes ostentan un rol de poder o experto respecto a la imagen que tienen los trabajadores de su organización. Se propone que la pertenencia a un determinado grupo de expertos ejerce un efecto diferencial sobre la representación de esta imagen (metarrepresentación). Para ello, expertos en Organización y Recursos Humanos pertenecientes a diversas organizaciones e instituciones evaluaron siete dimensiones que estructuran la imagen organizacional (contexto, estructura, procesos organizacionales, clima, cultura, satisfacción y eficacia). Los resultados obtenidos sugieren que la pertenencia a una categoría de experto (directivos o mandos, académicos, consultores, técnicos o representantes de los trabajadores) modulaba la metarrepresentación. Se encontró una relación entre la opinión de los expertos sobre la imagen que tienen los trabajadores de su organización con su grupo de pertenencia. Específicamente, la representación de los directivos difería del resto de representaciones estudiadas, especialmente respecto a los grupos de técnicos y representantes de los trabajadores. Se discuten las implicaciones de los resultados. Effect of ingroup membership on organizational meta-representation. The present study considers the importance of analyzing what very powerful or influential people think about their employees. We assumed that belonging to a specific category has a differential effect on the perception of others’ thoughts in the organization («meta-representation»). Therefore, experts in organization and human resources from diverse organizations and institutions assessed seven dimensions which structure the organizational image (context, structure, organizational processes, working climate, culture, satisfaction and efficacy). The results showed that belonging to a group (managers or leaders, academicians, consultants, technicians or employees’ representatives) modulated the meta-representation, as the experts’ opinion about what they think that the employees consider important was related to their group. This was specifically the case for the managers’ and leaders’ representations, which differed from the other groups and especially from that of the technicians and employees’ representatives. The implications of the present findings are discussed.

The present study considers the importance of analyzing what very powerful or influential people think about their employees. We assumed that belonging to a specific category has a differential effect on the perception of others' thoughts in the organization (\"meta-representation\"). Therefore, experts in organization and human resources from diverse organizations and institutions assessed seven dimensions which structure the organizational image (context, structure, organizational processes, working climate, culture, satisfaction and efficacy). The results showed that belonging to a group (managers or leaders, academicians, consultants, technicians or employees' representatives) modulated the meta-representation, as the experts' opinion about what they think that the employees consider important was related to their group. This was specifically the case for the managers' and leaders' representations, which differed from the other groups and especially from that of the technicians and employees' representatives. The implications of the present findings are discussed.

Purpose To evaluate the 2-year results of an absorbable subacromial spacer in patients with irreparable posterosuperior rotator cuff tears. Methods Prospective longitudinal study of a consecutive case series of 16 subjects with irreparable tears of the posterosuperior rotator cuff in which the InSpace ® subacromial spacer was arthroscopically implanted. A full clinical evaluation that included the Constant test, Simple Shoulder Test (SST) and the QuickDash questionnaire was performed preoperatively and at 12 and 24 months follow-up. The primary outcome for assessing the success of the procedure was a variable composed of a clinically relevant variation of the Constant (established in an improvement greater than 10 points) and the absence of surgical reintervention. Results Fifteen subjects (11 women/4 men, median age = 69.4 years [interquartile range 7.50], range 60–80 years) completed the 2-year of follow-up. According to the main evaluation criteria, only 6 patients (40%) had a successful outcome. Five subjects required reconversion to a reverse shoulder arthroplasty (at a median of 9.8 months postoperatively) due to absence of clinical improvement or worsening of symptoms. Of the ten remaining subjects, only 6 had improvements greater than 10 points in the Constant score. Despite of this, these 10 subjects had, on average, some improvement in the Constant test (preoperative Constant: median 35.0 [27.0–52.5] vs Constant at 24 months: 53.5 [55.0–84.0], significant differences p  = 0.02), in the SST (3.0 [2.0–4.0] vs 6.0 [3.25–7.75], p  = 0.039) and in the QuickDASH test (37.0 [33.25–40.0] vs 27.5 [20.5–32.75], p  = 0.012). Conclusions The outcomes of the implantation of the subacromial biodegradable spacer at 2-year follow-up are not satisfactory. In this small case series only 40% of patients seem to clearly benefit from surgery. One in three required revision to a reverse shoulder arthroplasty. The described technique does not seem a reasonable alternative for the management of the majority of patients with irreparable ruptures of the rotator cuff. The indications of this device should be more clearly defined. Level of evidence IV.

Purpose To evaluate with computed tomography (CT) the incidence of anchor-related osteolysis after implantation of two types of all-suture anchors for the management of labral lesions in shoulder instability. Methods Single-cohort, observational study with 12-month follow-up. Thirty-three participants (27 males/6 females; age 38.3 years [SD 11.3]) with anterior labral lesions in which 143 all-suture anchors (71 Iconix 1.4 mm and 72 Suturefix 1.7 mm) were implanted were evaluated with a CT performed a mean of 15.4 [3.85] months after surgery. The volume of the bone defects was measured in the CT. Every anchor was classified into one of four groups: (1) no bone defect. (2) Partial bone defect (defects smaller than the drill used for anchor placement). (3) Tunnel enlargement (defects larger than the drill volume but smaller than twice that volume). (4) Cystic lesion (defects larger than twice the drill volume). Results No bone defect was identified in 16 anchors (11.2%, [95% CI 6.5–17.5%]). A partial bone defect was found in 84 anchors (58.7% [50.2–66.9%]). Tunnel enlargement was found in 43 anchors (30.11% [22.6–37.6%]). No anchor caused cystic lesions (0% [0–2.5%]). The defect volume was a mean of 27.8 mm 3 (SD 18.4 mm 3 , minimum 0 mm 3 , maximum 94 mm 3 ). Neither the position in the glenoid nor the type of implant used had a significant effect in the type or size of the defects. Conclusion When using all-suture anchors in the glenoid during instability surgery, relevant bone osteolytic defects are rare at 1-year follow-up. Most anchor insertion tunnels will fill completely (11%) or partially (59%) with bone. Tunnel enlargement will develop in 30% of anchors. No cystic defects larger than 0.125 cm 3 were observed. There is a low risk that all-suture anchors cause significant osteolytic bone defects in the glenoid. These implants can be used safely. Level of evidence IV