https://hdl.handle.net/20.500.12412/4336 2026-07-06T20:35:12Z 2026-07-06T20:35:12Z Ramos Ruiz, Ismael Ramos-Ruiz, Álvaro https://hdl.handle.net/20.500.12412/7317 2026-06-25T21:00:23Z 2026-04-28T00:00:00Z

Metáforas de fenómenos naturales y prosodia semántica en la cobertura mediática española del Brexit Ramos Ruiz, Ismael; Ramos-Ruiz, Álvaro Introducción: la cobertura mediática de fenómenos político-económicos complejos exige estrategias discursivas que permitan traducir procesos abstractos en marcos comprensibles para el público general. En este contexto, el presente estudio analiza el uso de metáforas de fenómenos naturales y su orientación valorativa (prosodia semántica) en la prensa española sobre el Brexit, desde el marco de la Teoría de la Metáfora Conceptual y los estudios sobre prosodia semántica. Metodología: el análisis se basa en un corpus de 9 035 textos periodísticos publicados entre el 24 de junio de 2016 y el 31 de enero de 2020 en cuatro diarios digitales de referencia en España (El País, El Mundo, La Vanguardia y ABC), recopilados a través de la base de datos Factiva®. La metodología adopta un enfoque léxico-semántico cuantitativo y cualitativo. Este enfoque permite identificar los usos metafóricos a partir de una lista predefinida de términos asociados a fenómenos naturales, organizada en cinco dominios conceptuales. El análisis se realiza mediante un procedimiento semiautomático basado en el método MIP, complementado con una revisión manual sistemática. Resultados: los resultados evidencian un claro predominio de las metáforas hidrológicas y atmosféricas, junto con una presencia secundaria de metáforas biológicas y geológicas, así como una orientación valorativa mayoritariamente negativa en los cuatro medios analizados. Discusión: esta pauta configura una representación del Brexit asociada a la inestabilidad, el desbordamiento y la crisis, con escasas diferencias entre cabeceras, lo que apunta a la existencia de marcos interpretativos compartidos en la prensa generalista española. Conclusiones: el estudio concluye que las metáforas de fenómenos naturales actúan como dispositivos cognitivos y discursivos que contribuyen a naturalizar y dramatizar el proceso político del Brexit, reforzando una lectura predominantemente adversa en el discurso mediático español.

2026-04-28T00:00:00Z Martínez-Miranda, Patricia Muñoz-Fernández, María Jesús Rosales Tristancho, Abel García-Muñoz, Cristina https://hdl.handle.net/20.500.12412/7316 2026-06-25T21:00:29Z 2026-04-28T00:00:00Z

The Comparative Effectiveness of Education Modalities on Patient Adherence in Breast Cancer Survivors: A Systematic Review and Network Meta-Analysis Martínez-Miranda, Patricia; Muñoz-Fernández, María Jesús; Rosales Tristancho, Abel; García-Muñoz, Cristina Abstract Background: Educational interventions are central to breast cancer survivorship care, yet adherence may vary depending on delivery modality. Objective: To compare the effectiveness of face-to-face, online, telephonic, and mixed educational modalities on patient adherence among breast cancer survivors. Methods: A systematic review of randomized controlled trials and Bayesian network meta-analysis were conducted following PRISMA 2020 guidelines. Randomized controlled trials evaluating educational interventions in breast cancer survivors were included. Methodology quality of included studies was assessed using the RoB-2 tool. Pairwise meta-analyses using random-effects models estimated Odds Ratios (ORs) for adherence. A Bayesian network meta-analysis synthesized direct and indirect evidence, and treatment rankings were calculated using SUCRA values. Results: Eleven trials comprising 963 participants were included. In pairwise meta-analysis, no modality demonstrated statistically significant superiority over usual care: face-to-face (OR 0.79; 95% CI 0.44–1.41), mixed (OR 0.42; 95% CI 0.07–2.37), online (OR 0.90; 95% CI 0.49–1.68), and telephonic (OR 0.57; 95% CI 0.18–1.78). The network meta-analysis confirmed the absence of statistically significant differences across modalities. SUCRA rankings suggested that usual care (76.7%) and online modalities (73.1%) had the highest probability of being among the best-performing strategies, followed by face-to-face (51.9%), telephonic (25.4%), and mixed (23.0%). Conclusions: No educational modality demonstrated superior adherence compared to usual care. Delivery format alone may not determine engagement in breast cancer survivorship programs. Decisions should prioritize feasibility and patient preference.

2026-04-28T00:00:00Z Gaist, David Gonzáléz-Pérez, Antonio Tore Jørgensen, Kristian Bjerre Høyer, Birgit Möller, Sören Karlsdotter, Kristina Bamber, Luke Xeni, Jason Lowe, Deborah Sharma, Mukul Garcia Rodriguez, Luis Alberto https://hdl.handle.net/20.500.12412/7315 2026-06-25T21:00:24Z 2026-05-23T00:00:00Z

Risk of recurrent ischemic stroke after non‑cardioembolic ischemic stroke in England and Denmark Gaist, David; Gonzáléz-Pérez, Antonio; Tore Jørgensen, Kristian; Bjerre Høyer, Birgit; Möller, Sören; Karlsdotter, Kristina; Bamber, Luke; Xeni, Jason; Lowe, Deborah; Sharma, Mukul; Garcia Rodriguez, Luis Alberto Background Recurrent ischemic stroke (IS) can occur following a non-cardioembolic IS (NCIS), despite following second ary prevention guidelines. We quantified recurrent IS risk following discharge from first-ever NCIS in clinical practice. Methods Adult patients with first-ever NCIS were identified in England (January 2012–February 2020) and Denmark (Janu ary 2012–December 2021) and followed through March 2021 (England) and August 2022 (Denmark). Primary outcome was recurrent IS (incidence rates [IRs] per 100 person years at 12 months and over total follow-up). Cumulative hazard per 100 person years with 95% confidence intervals (CIs) was estimated. Stroke severity at index and recurrent IS were compared in Danish patients. Results Overall, 52,419 English and 62,501 Danish patients were included (respective mean follow-ups: 3.0 and 3.9 years). Recurrent IS events totaled 5857 in England, 9489 in Denmark. IRs/100 person years were similar (England: 3.74 [95% CI 3.64–3.84]; Denmark: 3.87 [95% CI 3.79–3.95]), and highest in the first year (England: 7.39 [95% CI 7.14–7.65]; Denmark: 7.96 [95% CI 7.73–8.20]). Five-year cumulative hazard of recurrent IS was 16.53 (95% CI 16.06–17.01) in England, 18.05 (95% CI 17.64–18.47) in Denmark. Among Danish cases with severity data (n = 5540), versus index strokes, recurrent IS events were more often moderate (13.84% vs 19.01%) or severe (3.57% vs 7.92%). Conclusions Recurrent IS after NCIS was highest in the first year and remained substantial over 5 years. In Denmark, recurrent IS severity was worse than index events. These findings underscore unmet needs for improved secondary stroke prevention.

2026-05-23T00:00:00Z Martínez Calderón, Javier García-Muñoz, Cristina Villar Alises, Olga Heredia Rizo, Alberto Marcos Matías Soto, Javier https://hdl.handle.net/20.500.12412/7314 2026-06-25T21:00:27Z 2026-05-01T00:00:00Z

Virtual reality based-rehabilitation for chronic neck pain: an overview of systematic reviews with meta-analysis of randomized clinical trials Martínez Calderón, Javier; García-Muñoz, Cristina; Villar Alises, Olga; Heredia Rizo, Alberto Marcos; Matías Soto, Javier Purpose This overview of systematic reviews with meta-analysis aimed to synthesize the quality of the evidence of the short-, and intermediate-effects of virtual reality (VR), alone or combined with other interventions, in individuals with chronic neck pain (NP). Methods CINAHL, Embase, Epistemonikos, PubMed, Scopus, SPORTDiscus, and the Cochrane Library were searched from inception until April 2025. The methodological quality of systematic reviews was assessed using the AMSTAR 2 checklist. The degree of overlap between reviews was calculated. Results Nine systematic reviews, with over 2,000 participants, were included. The degree of overlap was very high for all outcomes (40%-100%). The findings of the included systematic reviews were inconsistent about the possible impact of VR on pain intensity, disability, and global perceived effect in the short- and intermediate- terms. Overall, the results show that VR-based rehabilitation was no better than control interventions to manage kinesiophobia, health-related quality of life, and cervical kinematics. Positive effects in favor of VR were only found in the short term for patient satisfaction and cervical range of motion. Conclusion No consistent findings were found in favor of VR-based rehabilitation to manage chronic pain related symptoms in the short- and intermediate- terms. The clinical applicability of these findings is limited by the heterogeneity between reviews in the delivery mode of VR and control interventions, the poor quality of information provided on how VR was delivered, a very high overlap among meta-analyses, and the low/very low certainty of evidence in most meta-analyses when GRADE system was applied.

2026-05-01T00:00:00Z