Marta Elena Losa Iglesias

King Juan Carlos University, Мостолес, Madrid, Spain

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Publications (71)77.04 Total impact

  • Journal of tissue viability 08/2015; DOI:10.1016/j.jtv.2015.07.003 · 1.81 Impact Factor
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    ABSTRACT: To discover whether changes in foot morphology and pain tolerance may favor the use of inadequate footwear in old age. 100 participants, mean age 81.60 ± 8.26 years attended an outpatient clinic where self-reported demographic data, frequency checked their feet, measurements of foot sensitivity, foot size and shoe size. Only 19% checked their feet every day, 73% revealed symptoms of neuropathy and 83% used inadequate footwear on at least one foot. In a bivariate analysis, no significant differences were observed. Distinct physical changes affect the feet in the elderly population. Decreased sensitivity and absence of regular foot checks can contribute to use of inadequate footwear. Often, it is necessary to use a different shoe size to ensure that the footwear matches the actual dimensions and true needs of each foot in order to improve functionality and prevent the onset of severe medical conditions and/or foot deformities. Copyright © 2015 Elsevier Inc. All rights reserved.
    Geriatric Nursing 08/2015; DOI:10.1016/j.gerinurse.2015.07.003 · 0.92 Impact Factor
  • Journal of the European Academy of Dermatology and Venereology 03/2015; · 3.11 Impact Factor
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    ABSTRACT: Background The purpose of this study was to delineate the relationship of the terminal extensor hallucis longus tendon insertion to the proximal limit of the nail matrix of the great toe.Material and methodsFifty fresh-frozen human cadaver great toes with no evidence of trauma (average age, 62.5 years; 29 males and 21 females) were used for this study. Under 25X magnification, the proximal limit of the nail matrix and the terminal bony insertion of the extensor hallucis longus tendons were identified. The distance from the terminal tendon insertion to the nail matrix was ascertained using precision calipers, an optical microscope, and autocad® software for windows. Twenty-five great toes were placed in a neutral formalin solution and further analysed by histological longitudinal-sections. The specimens were stained with haematoxylin and eosin and examined microscopically to determine the presence of the extensor hallucis longus tendon along the dorsal aspect of the distal phalanx of each great toe.ResultsThe main result we found in great toes was that the extensor tendon is between the matrix and the phalanx and extends dorsally to the distal aspect of the distal phalanx in all, 100%, specimens. The nail matrix of the great toe is not attached to the periosteum of the dorsal aspect of the base of the distal phalanx as is the case for fingers, because the extensor hallucis tendon is plantar or directly underneath the nail matrix and the tendon is dorsal to the bone.Conclusions We have found that the extensor tendon is between the matrix and the phalanx and extends dorsally to the distal aspect of the distal phalanx. The nail matrix of the great toe is not attached to the periosteum of the dorsal aspect of the base of distal phalanx as is the case in fingers, because the extensor hallucis tendon is plantar or directly underneath the nail matrix and the tendon is dorsal to the bone. Our anatomic study demonstrates that the proximal limit of the matrix and nail bed of the human great toe are dorsal and overlapping the terminal extensor hallucis longus tendon until its distal bony insertion in all specimens.
    Journal of the European Academy of Dermatology and Venereology 03/2015; DOI:10.1111/jdv.13108 · 3.11 Impact Factor
  • Marta Elena Losa Iglesias · Ricardo Becerro de Bengoa Vallejo
    Acta Bioethica 11/2014; 20(2):255-264. DOI:10.4067/S1726-569X2014000200013 · 0.06 Impact Factor
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    ABSTRACT: Functional hallux limitus (FHL) has been implicated in the development of metatarsophalangeal joint osteoarthritis.
    Prosthetics and Orthotics International 09/2014; DOI:10.1177/0309364614550262 · 1.07 Impact Factor
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    ABSTRACT: For treatment of ingrown toenails, a phenolization approach is often chosen. Many reports describe a lavage of the wound with alcohol to neutralize any residual phenol; however, it remains uncertain if there is a more effective solution for use in the lavage step. The aim of our study was to analyze the suitability and effectiveness of 0.1% polihexanide solution compared with isopropyl alcohol in the removal of excess phenol after treatment for ingrown toenails. We performed an in vitro study using human matrix and a diffusion cell apparatus to measure the amount of phenol remaining after two lavage washes. The effect of phenol evaporation was also examined.When phenol was irrigated with alcohol alone, 27.43 ± 4.10 mg (57.74%) of the initial amount of phenol was recovered. If irrigated with 0.1% polihexanide, 35.98 ± 2.93 mg (75.74%) of phenol was recovered. These results indicate that a polihexanide lavage step has significantly higher efficiency for removing excess phenol relative to alcohol.
    Dermatologic Therapy 08/2014; 27(6). DOI:10.1111/dth.12157 · 1.48 Impact Factor
  • Ref. No: P201400473, Year: 06/2014
  • Journal of the European Academy of Dermatology and Venereology 03/2014; DOI:10.1111/jdv.12487 · 3.11 Impact Factor
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    ABSTRACT: Phenolization is often used to treat ingrown toenails. Alcohol lavage with or without supplemental chlorhexidine may be used to remove residual phenol, which can contribute to side effects such as persistent oozing or drainage. We sought to compare the effectiveness in removing residual phenol of lavage with alcohol plus chlorhexidine versus alcohol alone. We studied 80 patients who underwent unilateral phenol matricectomy: 40 who received irrigation with alcohol alone and 40 who received irrigation with alcohol plus chlorhexidine. Phenol levels were measured after each of 5 rounds of 3-mL irrigations. After the first irrigation, an average of 44.92% and 38.35% of the phenol remained in the nailfold in the alcohol and the alcohol/chlorhexidine groups, respectively (P < .05). After all 5 irrigations, no difference in efficacy between the 2 solutions was found (P > .005). It was not possible to calculate the quantity of phenol initially introduced into the nail bed. The percentage remaining was calculated from the total amount of phenol recovered. When a single irrigation step is performed after phenolization, alcohol plus chlorhexidine is more effective than alcohol alone for removing residual phenol. When multiple irrigations are performed, the 2 solutions are equally effective.
    Journal of the American Academy of Dermatology 03/2014; 70(6). DOI:10.1016/j.jaad.2014.02.013 · 5.00 Impact Factor
  • Marta Elena Losa Iglesias · Ricardo Becerro de Bengoa Vallejo
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    ABSTRACT: Background : There is a high prevalence of musculoskeletal complaints related to day-to-day work among podiatric physicians. We sought to determine the relationships among musculoskeletal pain, job satisfaction, depression, and anxiety in Spanish podiatric physicians. Methods : A convenience sample of 421 Spanish podiatric physicians was administered a survey that included questions about sociodemographic variables, musculoskeletal pain, job satisfaction, depression, and anxiety. Results : On average, respondents were found to have a high level of pain, a moderate level of job satisfaction, and low-to-moderate levels of depression and anxiety. Young single women had the highest levels of pain and anxiety. Analysis with the Student t test indicated significant differences between the sexes for levels of pain (P < .0001) and anxiety (P < .014). Job satisfaction was inversely related to depression and anxiety. Conclusions : These findings, particularly the increased levels of pain, job dissatisfaction, anxiety, and depression in young single female podiatrists, indicate a need for strategies to reduce the risks posed by the work environment in podiatric medicine, thus minimizing the negative psychological and physical consequences of participating in the profession.
    Journal of the American Podiatric Medical Association 03/2014; 104(2):191-7. DOI:10.7547/0003-0538-104.2.191 · 0.57 Impact Factor
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    ABSTRACT: A hamartoma is a benign, focal malformation resembling a neoplasm in its tissue of origin. This malady has not been reported to be manifested in the nail plate. Here, we describe a rare case of hamartoma under the nail plate of the first toe and its successful excision from a 30-year-old woman. We used palpation, radiologic analyses, excisional surgery, and histopathology to determine the presence of a hamartoma under the nail plate of the first toe. Removal of the mass was successful for the patient, and histopathologic analysis revealed characteristics of hamartoma. The presence of a hamartoma under the nail plate of the first toe is a unique finding that should be made aware to the clinical community.
    Journal of the American Podiatric Medical Association 01/2014; 104(1):99-102. DOI:10.7547/0003-0538-104.1.99 · 0.57 Impact Factor
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    Marta Elena Losa Iglesias · Ricardo Becerro de Bengoa Vallejo
    Acta Bioethica 11/2013; 19(2):293-297. DOI:10.4067/S1726-569X2013000200014 · 0.06 Impact Factor
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    ABSTRACT: Transposition of the flexor digitorum longus tendon has been widely reported for the correction of flexible claw and hammertoe deformities. The most common technique uses two cutaneous incisions, one plantar and another dorsal. We performed a cadaveric study to determine whether the flexor digitorum longus tendon could be transferred to the dorsum of the proximal phalanx of the toe from its lateral or medial aspect through a unique single longitudinal central dorsal incision. The rationale for this novel approach was to minimize the risk of vascular compromise to the digit associated with the two-incision approach. Transposition of the flexor digitorum longus tendon was attempted in 120 toes of cadaveric feet (60 each second and third digits) through a central longitudinal dorsal incision. The flexor digitorum longus tendon segment was long enough to be successfully transposed between the flexor digitorum brevis hemitendons of the second and third toes in 100% of the cases using the central longitudinal dorsal incision approach, with a resection arthroplasty at the proximal interphalangeal joint. Transfer of the flexor digitorum longus tendon to the dorsum of the proximal phalanx can be performed for the correction of claw and hammertoe deformities in the second and third digits. The meticulous longitudinal incision of the flexor tendon sheath to expose the flexor digitorum brevis tendon and its longitudinal incision are essential to the successful transfer of the flexor digitorum longus tendon between the flexor digitorum brevis hemitendons.
    Journal of the American Podiatric Medical Association 09/2013; 103(5):430-7. DOI:10.7547/1030430 · 0.57 Impact Factor
  • Journal of the American Podiatric Medical Association 07/2013; 103(4):260-273. DOI:10.7547/1030260 · 0.57 Impact Factor
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    ABSTRACT: Background: For treatment of ingrown toenails, a phenolization is often chosen. Many reports describe an intra-operative irrigation, or lavage, of the wound with alcohol to neutralize any residual phenol. There are conflicting reports in the literature as to whether a true neutralization is required or merely effective removal of excess phenol. We hypothesized that intra-operative irrigation with 70% alcohol after the application of phenol does not remove enough phenol and a quantity of phenol still remains in the wound nail fold performing its action. Objective: The aim of our study was to analyze the suitability and effectiveness of the alcohol lavage step during the treatment of ingrown toenails with a phenolization procedure. Methods: We performed an in vivo study in 29 patients who underwent unilateral phenol chemical matricectomy to measure the amount of phenol remaining after five irrigations with a total of 15 ml of alcohol. Results: There were measurable amounts of phenol collected after five alcohol irrigation steps, suggesting that phenol was not neutralized by the alcohol. After the first irrigation, only 45.74% of phenol was eliminated. An additional 12 ml of alcohol were necessary to eliminate the remaining 54.25% in the nail bed. Conclusions: A single alcohol lavage step after the phenolization procedure did not eliminate enough phenol. However, 15 ml of alcohol can serve as a suitable and effective means of diluting and removing any excess or residual phenol from the exposed area by its drag effect.
    06/2013; 23(3). DOI:10.1684/ejd.2013.2056
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    Marta Elena Losa Iglesias · Ricardo Becerro de Bengoa Vallejo
    Acta Bioethica 06/2013; 19(1):113-123. DOI:10.4067/S1726-569X2013000100012 · 0.06 Impact Factor
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    ABSTRACT: BACKGROUND: A phenolization approach is often chosen for treatment of ingrown toenails. Many reports describe lavage of the wound with alcohol to neutralize any residual phenol. The aim of our study was to compare the suitability and effectiveness of a solution consisting of alcohol plus chlorhexidine with that of alcohol alone in a lavage step during the treatment of ingrown toenails using a phenolization procedure. METHODS: We performed an in vitro study using human matrix and a diffusion cell apparatus to measure the amount of phenol remaining after various lavage washes. The effect of phenol evaporation was also examined. RESULTS: When phenol was irrigated with alcohol alone, total phenol recovered was 29.9 ± 4.8 mg (62.9% of the initial amount). When the phenol was irrigated with isopropyl alcohol plus 0.5% chlorhexidine, 39.8 ± 1.7 mg (83.8%) of phenol was recovered. CONCLUSION: A lavage step including alcohol and chlorhexidine is more effective than alcohol alone for removal of excess phenol. The addition of chlorhexidine also contributed to inhibition of the action of phenol. This approach provides a suitable and effective means of diluting and removing any excess or residual phenol from the exposed area.
    Dermatologic Surgery 05/2013; 39(9). DOI:10.1111/dsu.12236 · 1.56 Impact Factor
  • Ricardo Becerro de Bengoa Vallejo · Marta Elena Losa Iglesias · Joseph Zeni · Stephen Thomas
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    ABSTRACT: Background: Abnormal plantar pressures are the hallmark characteristic of several conditions and pathologic abnormalities. Pressure platforms allow for quick and accurate screening of patients and help guide clinical treatment. However, it is essential to evaluate the reliability and repeatability of these devices before making clinical decisions. The purpose of this study was to determine the reliability of the EPS-Platform during static and dynamic activities. Methods: Fifty-six healthy individuals stood and walked onto the pressure platform. Five trials were performed during two separate testing sessions to determine intrasession and intersession reliability. Pressure data were obtained and several variables of interest were calculated for intrasession and intersession reliability using intraclass correlation coefficients (ICCs), SEM, percent error, and coefficient of variation. Results: Static and dynamic intrasession and intersession reliability produced moderate-to-excellent ICCs, low SEMs, low percent errors, and low coefficients of variation. Static trials had higher ICCs, lower percent errors, and lower coefficients of variation compared with dynamic trials. Intersession reliability also had higher ICCs, lower percent errors, and lower coefficients of variation compared with intrasession reliability. Conclusions: This study demonstrates that the EPS-Platform is a reliable device for collecting gait plantar pressures. Static trials produce better reliability, most likely owing to the large inherent variability during dynamic gait. Intersession reliability was higher than intrasession reliability owing to the intersession measures being calculated with an average of five trials. By averaging the trials, the variability of gait is decreased, and this improves the accuracy of the results. These results can be used as the basis for future studies and to determine a priori sample sizes for investigations that use the EPS-Platform.
    Journal of the American Podiatric Medical Association 05/2013; 103(3):197-203. DOI:10.7547/1030197 · 0.57 Impact Factor
  • Marta Elena Losa Iglesias · Cristina Pascual · Ricardo Becerro de Bengoa Vallejo
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    ABSTRACT: Death can be difficult to accept, unimaginable, and unexpected. Critical care nurses are directly involved with patients and their families, and their experience can identify the best practices for end-of-life care. The purpose of this descriptive study was to identify the relative importance of helpful behaviors and obstacles that affect caring for dying patients and families in both adult and pediatric intensive care units as perceived by critical care nurses. The results show that for end-of-life care, nurses most strongly value factors that focus on the well-being of the family, and similar opinions were held by nurses from both adult and pediatric intensive care units.
    Dimensions of critical care nursing: DCCN 03/2013; 32(2):99-106. DOI:10.1097/DCC.0b013e3182808429

Publication Stats

110 Citations
77.04 Total Impact Points

Institutions

  • 2008–2015
    • King Juan Carlos University
      • Facultad de Ciencias de la Salud
      Мостолес, Madrid, Spain
  • 2008–2013
    • Complutense University of Madrid
      • • Department of Microbiology III
      • • Department of Pharmacy and Pharmaceutical Technology
      • • Department of Nursing
      Madrid, Madrid, Spain
  • 2002–2004
    • European University of Madrid
      Madrid, Madrid, Spain