The impact of immigration and vaccination in reducing the incidence of hepatitis B in Catalonia (Spain)

Science.gov (United States)

2012-01-01

Background The Hepatitis B virus (HBV) infection is a major cause of liver disease and liver cancer worldwide according to the World Health Organization. Following acute HBV infection, 1-5% of infected healthy adults and up to 90% of infected infants become chronic carriers and have an increased risk of cirrhosis and primary hepatocellular carcinoma. The aim of this study was to investigate the relationship between the reduction in acute hepatitis B incidence and the universal vaccination programme in preadolescents in Catalonia (Spain), taking population changes into account, and to construct a model to forecast the future incidence of cases that permits the best preventive strategy to be adopted. Methods Reported acute hepatitis B incidence in Catalonia according to age, gender, vaccination coverage, percentage of immigrants and the year of report of cases was analysed. A statistical analysis was made using three models: generalized linear models (GLM) with Poisson or negative binomial distribution and a generalized additive model (GAM). Results The higher the vaccination coverage, the lower the reported incidence of hepatitis B (p  70%, the reduction in incidence was 2-fold higher than in groups with a coverage Catalonia after the introduction of the universal preadolescent vaccination programme, but the incidence increased in male immigrants of working age. Given the potential severity of hepatitis B for the health of individuals and for the community, universal vaccination programmes should continue and programmes in risk groups, especially immigrants, should be strengthened. PMID:22867276

Application of seasonal forecasting for the drought forecasting in Catalonia (Spain)

Science.gov (United States)

Llasat, Maria-Carmen; Zaragoza, Albert; Aznar, Blanca; Cabot, Jordi

2010-05-01

Low flows and droughts are a hydro-climatic feature in Spain (Alvarez et al, 2008). The construction of dams as water reservoirs has been a usual tool to manage the water resources for agriculture and livestock, industries and human needs (MIMAM, 2000, 2007). The last drought that has affected Spain has last four years in Catalonia, from 2004 to the spring of 2008, and it has been particularly hard as a consequence of the precipitation deficit in the upper part of the rivers that nourish the main dams. This problem increases when the water scarcity affects very populated areas, like big cities. The Barcelona city, with more than 3.000.000 people concentrated in the downtown and surrounding areas is a clear example. One of the objectives of the SOSTAQUA project is to improve the water resources management in real time, in order to improve the water supply in the cities in the framework of sustainable development. The work presented here deals with the application of seasonal forecasting to improve the water management in Catalonia, particularly in drought conditions. A seasonal prediction index has been created as a linear combination of climatic data and the ECM4 prediction that has been validated too. This information has implemented into a hydrological model and it has been applied to the last drought considering the real water demands of population, as well as to the water storage evolution in the last months. It has been found a considerable advance in the forecasting of water volume into reservoirs. The advantage of this methodology is that it only requires seasonal forecasting free through internet. Due to the fact that the principal rivers that supply water to Barcelona, birth on the Pyrenees and Pre-Pyrenees region, the analysis and precipitation forecasting is focused on this region (Zaragoza, 2008).

Proximity Online Media in Catalonia (Spain. The Case Study of Nació Digital Group

Directory of Open Access Journals (Sweden)

Mònica Puntí Brun

2015-04-01

Full Text Available This paper aims to make a conceptualization of proximity digital media. It will define what is local and proximity communication as well as the history and evolution of online journalism and digital media features which are briefly reviewed. Business models that exist nowadays and the state of art in Catalonia (Spain will also be briefly analysed. From this theoretical framework it will be explained the case of Nació Digital and its territorial media. Initially the history of this media group will be developed, as well as its journalistic and business models. The paper seeks to underscore the importance of the journalistic model based on the tradition of the profession, the proximity information and the technology developed for this online media. The Nació Digital is an example of a successful media outlet judging from its audience figures (the second online media in Catalonia and its sustainable model business.

Evolución temporal y distribución geográfica de la mortalidad por suicidio en Cataluña y España (1986-2002 Geographical distribution and time trends of suicide mortality in Catalonia and Spain (1986-2002

Directory of Open Access Journals (Sweden)

María Arán Barés

2006-12-01

Full Text Available Objetivos: Estudiar la evolución temporal de la mortalidad por suicidio en Cataluña (1986-2002 y España (1986-2001, y analizar su distribución geográfica en esta comunidad autónoma. Métodos: Se calcularon las tasas anuales estandarizadas por edad para ambos sexos por el método directo y el porcentaje de cambio anual mediante un modelo de regresión de Poisson, por sexo y grupos de edad para Cataluña (1986-2002 y España (1986-2001. Para Cataluña, se calculó la razón de mortalidad estandarizada por el método indirecto (RME por sexo, para los 46 sectores sanitarios y para todo el período, y la razón de mortalidad comparativa (RMC y los intervalos de confianza (IC del 95% agrupando los años en período 1 (1986-1994 y período 2 (1995-2002. Resultados: En Cataluña, la mortalidad en hombres es inferior que en España y se aprecia un incremento (no significativo en el período estudiado en ambos territorios; en mujeres, la evolución y la magnitud de las tasas son similares a las del conjunto del Estado, y en los dos lugares se observa un ligero descenso (significativo de las tasas. La evolución según la edad y el sexo muestra patrones diferenciados, destacando el descenso de las tasas en edades avanzadas en ambos sexos y el aumento en jóvenes en España y Cataluña. Los sectores sanitarios de la zona central, noreste y sur de Cataluña presentan una mortalidad superior a la media. Conclusiones: La evolución temporal de la mortalidad por suicidio en Cataluña y España muestra patrones diferentes según la edad y el sexo. En la distribución territorial en Cataluña se observa una progresiva homogeneización por sectores sanitarios.Objective: To analyze time trends in Catalonia (1986-2002 and Spain (1986-2001 in suicide mortality and its geographical variation by health areas in Catalonia. Methods: Standard annual mortality rates were calculated by the direct method for Catalonia (1986-2002 and Spain (1986-2001 (standard

Dissemination of periodic mammography and patterns of use, by birth cohort, in Catalonia (Spain)

Science.gov (United States)

Rue, Montserrat; Carles, Misericordia; Vilaprinyo, Ester; Martinez-Alonso, Montserrat; Espinas, Josep-Alfons; Pla, Roger; Brugulat, Pilar

2008-01-01

Background In Catalonia (Spain) breast cancer mortality has declined since the beginning of the 1990s. The dissemination of early detection by mammography and the introduction of adjuvant treatments are among the possible causes of this decrease, and both were almost coincident in time. Thus, understanding how these procedures were incorporated into use in the general population and in women diagnosed with breast cancer is very important for assessing their contribution to the reduction in breast cancer mortality. In this work we have modeled the dissemination of periodic mammography and described repeat mammography behavior in Catalonia from 1975 to 2006. Methods Cross-sectional data from three Catalan Health Surveys for the calendar years 1994, 2002 and 2006 was used. The dissemination of mammography by birth cohort was modeled using a mixed effects model and repeat mammography behavior was described by age and survey year. Results For women born from 1938 to 1952, mammography clearly had a period effect, meaning that they started to have periodic mammograms at the same calendar years but at different ages. The age at which approximately 50% of the women were receiving periodic mammograms went from 57.8 years of age for women born in 1938–1942 to 37.3 years of age for women born in 1963–1967. Women in all age groups experienced an increase in periodic mammography use over time, although women in the 50–69 age group have experienced the highest increase. Currently, the target population of the Catalan Breast Cancer Screening Program, 50–69 years of age, is the group that self-reports the highest utilization of periodic mammograms, followed by the 40–49 age group. A higher proportion of women of all age groups have annual mammograms rather than biennial or irregular ones. Conclusion Mammography in Catalonia became more widely implemented during the 1990s. We estimated when cohorts initiated periodic mammograms and how frequently women are receiving them

[Multidimensional measurement of precarious employment: social distribution and its association with health in Catalonia (Spain)].

Science.gov (United States)

Benach, Joan; Julià, Mireia; Tarafa, Gemma; Mir, Jordi; Molinero, Emilia; Vives, Alejandra

2015-01-01

To show the prevalence of precarious employment in Catalonia (Spain) for the first time and its association with mental and self-rated health, measured with a multidimensional scale. A cross-sectional study was conducted using data from the II Catalan Working Conditions Survey (2010) with a subsample of employed workers with a contract. The prevalence of precarious employment using a multidimensional scale and its association with health was calculated using multivariate log-binomial regression stratified by gender. The prevalence of precarious employment in Catalonia was high (42.6%). We found higher precariousness in women, youth, immigrants, and manual and less educated workers. There was a positive gradient in the association between precarious employment and poor health. Precarious employment is associated with poor health in the working population. Working conditions surveys should include questions on precarious employment and health indicators, which would allow monitoring and subsequent analyses of health inequalities. Copyright © 2015 SESPAS. Published by Elsevier Espana. All rights reserved.

The impact of future summer temperature on public health in Barcelona and Catalonia, Spain

Science.gov (United States)

Ostro, Bart; Barrera-Gómez, Jose; Ballester, Joan; Basagaña, Xavier; Sunyer, Jordi

2012-11-01

Several epidemiological studies have reported associations between increases in summer temperatures and risks of premature mortality. The quantitative implications of predicted future increases in summer temperature, however, have not been extensively characterized. We have quantified these effects for the four main cities in Catalonia, Spain (Barcelona, Tarragona, Lleida, Girona). We first used case-crossover analysis to estimate the association between temperature and mortality for each of these cities for the period 1983 to 2006. These exposure-response (ER) functions were then combined with local measures of current and projected changes in population, mortality and temperature for the years 2025 and 2050. Predicted daily mean temperatures were based on the A1B greenhouse gas emission, "business-as-usual" scenario simulations derived from the ENSEMBLES project. Several different ER functions were examined and significant associations between temperature and mortality were observed for all four cities. For these four cities, the age-specific piecewise linear model predicts 520 (95%CI 340, 720) additional annual deaths attributable to the change in temperature in 2025 relative to the average from the baseline period of 1960-1990. For 2050, the estimate increases to 1,610 deaths per year during the warm season. For Catalonia as a whole, the point estimates for those two years are 720 and 2,330 deaths per year, respectively, or about 2 and 3% of the warm season. In comparing these predicted impacts with current causes of mortality, they clearly represent significant burdens to public health in Catalonia.

Hepatitis A outbreaks in the vaccination era in Catalonia, Spain.

Science.gov (United States)

Martínez, Ana; Broner, Sonia; Torner, Nuria; Godoy, Pere; Batalla, Joan; Alvarez, Josep; Barrabeig, Irene; Camps, Neus; Carmona, Gloria; Minguell, Sofía; Sala, Rosa; Caylà, Joan; Domínguez, Angela

2011-01-01

Hepatitis A outbreaks have a major impact on public health services and involve case investigation and intervention measures to susceptible contacts. At the end of 1998 a universal vaccination program with a combined hepatitis A+B vaccine was started in Catalonia (Spain) in 12-years-old preadolescents. The objective of this study was to compare the characteristics of hepatitis A outbreaks in the periods before and after the introduction of the preadolescent vaccination program and to estimate the preventable fraction of cases associated to outbreaks. The incidence rates of outbreaks, cases and hospitalization associated with each outbreak were calculated. Two periods were considered: before (1991-1998) and after (2000-2007) the introduction of mass vaccination. The preventable fraction and 95% confidence intervals (CI) of cases associated with outbreaks was calculated. The rate of associated cases with outbreaks was higher in the period before the vaccination program than in the post vaccination period (1.53 per 100,000 person-year vs 1.12 ; pcases associated to outbreaks was 19.6%(95%CI 6.7-32.5) in the 0-4 years group and 16.7% (95% CI 6.0-27.5) in the 5-14 years group, but the highest figure (38.6%; 95%CI 21.3-55.9) was observed in the 15-24 years age group. The estimated proportion of cases associated with outbreaks that would theoretically have been prevented with the vaccination program suggests that substantial benefits have been obtained in Catalonia in people aged less than 25 years.

Epidemiology and surveillance of pertussis among infants in Catalonia, Spain, during 1997-2001.

Science.gov (United States)

Moraga, Fernando; Roca, Joan; Méndez, Cristina; Rodrigo, Carlos; Pineda, Valentí; Martinez, Antoni; Baraibar, Romà; Boronat, Mercedes

2005-06-01

Despite high levels of vaccination coverage in Spain and Catalonia (98% in 2002), pertussis is a significant cause of morbidity among infants. The study aim was to estimate the incidence of hospitalizations for pertussis among infants from 1997 through 2001 in Catalonia. A retrospective review of records for patients <12 months of age with a diagnosis of pertussis (International Classification of Diseases, 9th revision, code 033) at discharge from 11 Catalonian hospitals was performed. Three hundred forty-six patients were identified, 62 (1997), 28 (1998), 59 (1999), 150 (2000) and 47 (2001), of whom 284 (82%) were <4 months of age. The incidence of hospitalizations because of whooping cough from 1997 through 2001 in Catalonia was estimated at 118 cases per 100,000 inhabitants <12 months of age. Symptoms included paroxysmal cough (95%), cyanosis (67.9%), vomiting (36.7%) and apneic episodes (27.7%). Three infants (0.8%) died, all <2 months of age. Two hundred thirty-four patients (67.6%) were unvaccinated (222 patients were <3 months of age). Six patients (1.7%) were fully vaccinated (3 doses). Considering that only 220 patients <12 months of age were reported through the Catalonian Notification System in 1997-2001, at least 126 hospitalizations (36.4%) for pertussis were not reported to this system (mean difference per year, 32.6%; range, 8.4-56%). In this study, hospitalizations exceeded the number of notifications by at least 32.6%; therefore, the real incidence is likely to be greatly underestimated. Pertussis incidence remains high among infants, most of whom are <4 months of age and have had no or 1 dose of vaccine.

The current screening programme for congenital transmission of Chagas disease in Catalonia, Spain.

Science.gov (United States)

Basile, L; Oliveira, I; Ciruela, P; Plasencia, A

2011-09-22

Due to considerable numbers of migrants from Chagas disease-endemic countries living in Catalonia, the Catalonian Health Department has recently implemented a screening programme for preventing congenital transmission, targeting Latin American pregnant women who attend antenatal consultations. Diagnosis of Trypanosoma cruzi infection in women is based on two positive serological tests. Screening of newborns from mothers with positive serology is based on a parasitological test during the first 48 hours of life and/or conventional serological analysis at the age of nine months. If either of these tests is positive, treatment with benznidazole is started following the World Health Organization's recommendations. The epidemiological surveillance of the programme is based on the Microbiological Reporting System of Catalonia, a well established network of laboratories. Once a positive case is reported, the responsible physician is asked to complete a structured epidemiological questionnaire. Clinical and demographic data are registered in the Voluntary Case Registry of Chagas Disease, a database administered by the Catalonian Health Department. It is expected that this programme will improve the understanding of the real burden of Chagas disease in the region. Furthermore, this initiative could encourage the implementation of similar programmes in other regions of Spain and even in other European countries.

A database about the tornadic activity in Catalonia (NE Spain) since 1994

Science.gov (United States)

Morales, M. E.; Arús, J.; Llasat, M. C.; Castán, S.

2009-09-01

Although tornadic activity is not the most important hazard in Spain, the damages that tornadoes and downburst generate are considerable in urban areas, giving place in some occasions to casualties. In Spain, the oldest systematic works collecting data about tornadoes, refer to the Balearic Islands, although some series about tornadoes in Spain have also been collected and analysed (Gayà, 2005). These series shows a positive increase that is probably more related to a change in the perception level of the population than to climatic change. In some occasions it is difficult to separate the damages produced by the tornado itself from those produced by other associated hazards like heavy rains, hail or a wind storms. It was the case of the September 2006 event, in which flash floods and tornadoes were recorded. In the same sense in some occasions, damages produced by a downsburt are confused with those that produced by a tornado. Having in mind all these facts, having a good systematic data base about tornadoes is necessary, before to obtain some conclusions not enough justified. This kind of database is not easy to obtain, because of it requires to have detailed information about damages, meteorological observations and testimonies that has to be filtered by a good quality control. After a general presentation about tornadoes and downsbursts in Mediterranean Region, this contribution presents the database that have affected Catalonia during the period 1994-2009, starting with the tornado recorded on the Espluga de Francolí the 31 August 1994.This database has been built in basis to the AEMET information, the Consorcio de Compensación de Seguros (the insurance company of Spain for natural disasters), the newspapers and field visits to the affected places.

Effectiveness of pneumococcal vaccination for elderly people in Catalonia, Spain: a case-control study.

Science.gov (United States)

Dominguez, Angela; Salleras, Lluis; Fedson, David S; Izquierdo, Conchita; Ruiz, Laura; Ciruela, Pilar; Fenoll, Asuncion; Casal, Julio

2005-05-01

Observational studies offer an approach to evaluating the effectiveness of vaccination programs. We evaluated the effectiveness of a 23-valent pneumococcal vaccination program for elderly people in Catalonia, Spain, in a matched-set case-control study. We identified 149 cases of invasive pneumococcal disease among patients aged > or =65 years who were hospitalized in 12 large hospitals in Catalonia during the period of 1 January 2001 through 31 March 2002. We selected 2 hospital control patients and 1 outpatient control subject for each case patient, matching on the basis of age and underlying medical conditions. We obtained their pneumococcal vaccination histories and used conditional logistic regression to determine effectiveness of vaccination. Among all 149 cases of invasive pneumococcal disease, 131 (87.9%) were caused by vaccine or vaccine-related serotypes. In the adjusted analysis, overall effectiveness of vaccination against infections due to all serotypes was 70% (95% confidence interval [CI], 48%-82%). Among immunocompetent subjects with or without high-risk conditions, effectiveness of vaccination was 76% (95% CI, 51%-88%), but among immunocompromised subjects it was 50% (95% CI, -44% to 82%). Among subjects with infections due to vaccine or vaccine-related serotypes, effectiveness of vaccination was 72% (95% CI, 50%-85%) overall and 78% (95% CI, 50%-90%) in those who were immunocompetent, but it was only 46% (95% CI, -54% to 81%) in those who were immunocompromised. Overall effectiveness of vaccination was 65% (95% CI, 35%-81%) during the noninfluenza period. Pneumococcal vaccination was effective in preventing invasive pneumococcal disease among all elderly persons in Catalonia. Effectiveness was greater in immunocompetent persons, most of whom had underlying high-risk conditions. The number of subjects was too small to determine whether vaccination was effective in those who were immunocompromised.

[Shared electronic health record in Catalonia, Spain].

Science.gov (United States)

Marimon-Suñol, Santiago; Rovira-Barberà, María; Acedo-Anta, Mateo; Nozal-Baldajos, Montserrat A; Guanyabens-Calvet, Joan

2010-02-01

Under the law adopted by its Parliament, the Government of Catalonia has developed an electronic medical record system for its National Health System (NHS). The model is governed by the following principles: 1) The citizen as owner of the data: direct access to his data and right to exercise his opposition's privileges; 2) Generate confidence in the system: security and confidentiality strength; 3) Shared model of information management: publishing system and access to organized and structured information, keeping in mind that the NHS of Catalonia is formally an "Integrated system of healthcare public use" (catalan acronym: SISCAT) with a wide variety of legal structures within its healthcare institutions; 4) Use of communication standards and catalogs as a need for technological and functional integration. In summary: single system of medical records shared between different actors, using interoperability tools and whose development is according to the legislation applicable in Catalonia and within its healthcare system. The result has been the establishment of a set of components and relation rules among which we highlight the following: 1) Display of information that collects sociodemographic data of the citizen, documents or reports (radiology, laboratory, therapeutic procedures, hospital release, emergency room), diagnostic health, prescription and immunization plus a summary screen with the most recent and relevant references; 2) Set of tools helping the user and direct messaging between professionals to facilitate their cooperation; 3) Model designed for supranational connections which will allow adding later, with ad hoc rules, clinical data provided by the private health sector or the proper citizen. 2010 Elsevier España S.L. All rights reserved.

Dietary intake of organic pollutants in children from Catalonia, Spain

Energy Technology Data Exchange (ETDEWEB)

Bocio, A.; Falco, G.; Llobet, J.M.; Domingo, J.L. [Lab. of Toxicology and Environmental Health, Reus (Spain); Mueller, L. [SGS GmbH, Antwerpen (Belgium)

2004-09-15

Potential human toxicity of persistent organic pollutants (POPs) is well known. Moreover, it is also well established that dietary intake is the major route of human exposure for most POPs. In recent years, concern on dietary intake of POPs and other organic environmental contaminants has notably increased. Dietary intake of these pollutants is of special interest in children populations, who in relation to their body weights consume greater quantities of food than adults. Consequently, they are more exposed to potentially toxic pollutants. In 2000, a wide survey on dietary intake of a number of organic contaminants by the general population of Catalonia Spain was carried out. The levels of the following pollutants were determined in an important number of food samples belonging to various food groups: polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/PCDFs), polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs), polychlorinated diphenyl ethers (PCDEs), polychlorinated naphthalenes (PCNs), hexachlorobenzene (HCB) and polycyclic aromatic hydrocarbons (PAHs). The present study was undertaken to estimate the dietary intake of the above pollutants by children between 4 and 9 years old, as well as to assess the potential health risks derived from this intake.

Catalonia-Spain political conflict and the potential application of Article 7 TEU

DEFF Research Database (Denmark)

Abat Ninet, Antoni

Catalonia-Spain political conflict and the potential application of Article 7 TEU My presentation will explore the appropriateness of applying Article 7 TEU in response to potential disproportionate measures taken by a Member State as a reaction to the threat of celebration of a referendum for self...... and the rule of law; the limits of the principle of non-intervention; the definition of Nation and the principle of self-determination. The celebration of a referendum without the state´s consent also tensions and contrasts some of the EU founded values (Article 2 TEU) promoted and safeguarded by art. 7 TEU....... On the one hand we have the rule of law and on the other hand we have democracy and freedom of expression. This presentation will focus in the second section of the precedent sentence, meaning the collision of EU founded values. The presentation will follow analysing the meaning of Article 7 TEU designed...

Improving suicide mortality statistics in Tarragona (Catalonia, Spain) between 2004-2012.

Science.gov (United States)

Barbería, Eneko; Gispert, Rosa; Gallo, Belén; Ribas, Gloria; Puigdefàbregas, Anna; Freitas, Adriana; Segú, Elena; Torralba, Pilar; García-Sayago, Francisco; Estarellas, Aina

2016-07-20

Monitoring and preventing suicidal behaviour requires, among other data, knowing suicide deaths precisely. They often appear under-reported or misclassified in the official mortality statistics. The aim of this study is to analyse the under-reporting found in the suicide mortality statistics of Tarragona (a province of Catalonia, Spain). The analysis takes into account all suicide deaths that occurred in the Tarragona Area of the Catalan Institute of Legal Medicine and Forensic Sciences (TA-CILMFS) between 2004 and 2012. The sources of information were the death data files of the Catalan Mortality Register, as well as the Autopsies Files of the TA-CILMFS. Suicide rates and socio-demographic profiles were statistically compared between the suicide initially reported and the final one. The mean percentage of non-reported cases in the period was 16.2%, with a minimum percentage of 2.2% in 2005 and a maximum of 26.8% in 2009. The crude mortality rate by suicide rose from 6.6 to 7.9 per 100,000 inhabitants once forensic data were incorporated. Small differences were detected between the socio-demographic profile of the suicide initially reported and the final one. Supplementary information was obtained on the suicide method, which revealed a significant increase in poisoning and suicides involving trains. An exhaustive review of suicide deaths data from forensic sources has led to an improvement in the under-reported statistical information. It also improves the knowledge of the method of suicide and personal characteristics. Copyright © 2016 SEP y SEPB. Publicado por Elsevier España, S.L.U. All rights reserved.

Estimation of the individual slaughterhouse surveillance sensitivity for bovine tuberculosis in Catalonia (North-Eastern Spain).

Science.gov (United States)

Garcia-Saenz, A; Napp, S; Lopez, S; Casal, J; Allepuz, A

2015-10-01

The achievement of the Officially Tuberculosis Free (OTF) status in regions with low bovine Tuberculosis (bTB) herd prevalence, as is the case of North-Eastern Spain (Catalonia), might be a likely option in the medium term. In this context, risk-based approaches could be an alternative surveillance strategy to the costly current strategy. However, before any change in the system may be contemplated, a reliable estimate of the sensitivity of the different surveillance components is needed. In this study, we focused on the slaughterhouse component. The probability of detection of a bTB-infected cattle by the slaughterhouses in Catalonia was estimated as the product of three consecutive probabilities: (P1) the probability that a bTB-infected animal arrived at the slaughterhouse presenting Macroscopically Detectable Lesions (MDL); (P2) the probability that MDL were detected by the routine meat inspection process and (P3) the probability that the veterinary officer suspected bTB and sent the sample for laboratory confirmation. The first probability was obtained from data collected through the bTB eradication program carried out in Catalonia between 2005 and 2008, while the last two were obtained through the expert opinion of the veterinary officers working at the slaughterhouses who fulfilled a questionnaire administered during 2014. The bTB surveillance sensitivity of the different cattle slaughterhouses in Catalonia obtained in this study was 31.4% (CI 95%: 28.6-36.2), and there were important differences among them. The low bTB surveillance sensitivity was mainly related with the low probability that a bTB-infected animal arrived at the slaughterhouse presenting MDL (around 44.8%). The variability of the sensitivity among the different slaughterhouses could be explained by significant associations between some variables included in the survey and P2. For instance, factors like attendance to training courses, number of meat technicians and speed of the slaughter chain

[Intervention to improve hand hygiene compliance in Catalonia, Spain].

Science.gov (United States)

Sobrequés, Jordi; Espuñes, Jordi; Bañeres, Joaquim

2014-07-01

Hand hygiene (HM) is the single most important measure and effective in reducing the risk of Healthcare acquired infections (IRAS). Although HM is an effective, simple and cheap measure, it is usual to find results of low compliance among health professionals. The main objective of this strategy has been to give new force to the promotion of HM in hospitals and educate professionals about the importance of this single action. The strategy was planned as a multicenter intervention study to promote HM in health centers of Catalonia in 2009-2010. The intervention is based on 4 main areas: a survey of barriers and facilitators, distribution of graphic material, training at different levels and measure of quality indicators. With this strategy a total of 57% of the number of acute beds in the concerted public and private network of hospitals were reached. The survey revealed that training was perceived as the main facilitator of the HM action. 15,376 professionals registered to the on-line training. The overall compliance with HM indications (based on "five moments for HM") was 56.45% in the acute areas. The campaigns and programs to promote HM carried out in the last four years in Catalonia has helped to achieve an increasing number of hospitals associated to the strategy of the Alliance for Patient Safety in Catalonia. The on-line curse acceptance was very high and seems a powerful tool to improve hand hygiene knowledge and compliance among health professionals. The compliance of HM seems to increase in the hospitals of Catalonia evaluated. Copyright © 2014. Published by Elsevier Espana.

Geographical variability of the incidence of Type 1 diabetes in subjects younger than 30 years in Catalonia, Spain.

Science.gov (United States)

Abellana, Rosa; Ascaso, Carlos; Carrasco, Josep L; Castell, Conxa; Tresserras, Ricard

2009-04-04

We decided to assess the geographical variability of the incidence of Type 1 diabetes in Catalonia (Spain) in subjects younger than 30 years at onset during the period 1989-1998. The effect of sex, age at onset, periods of years, and population density was also analyzed. Data were obtained from the prospective Catalan Registry of Diabetes Mellitus. Generalized linear mixed models were used to determine the effects of the risk factors and to find out the geographical distribution. The best model was selected by the AKAIKE information criterion. The crude incidence of type 1 diabetes in subjects younger than 30 years was 11.8/100,000/year (95% CI 11.4-12.3). The incidence was similar between males and females in the 0-14 age group. However, there was a male preponderance in young adults. The incidence did not vary annually and was not associated with population density. The incidence did not present a spatial pattern around Catalonia. There was an unstructured geographical variability. Some regions of Catalonia displayed values of type I diabetes higher or lower than the expected incidence. Counties with extreme values of incidence were specific for each demographic group and in no case did these counties make up clusters, suggesting that there are explanatory factors with patterns of geographic distribution. The incidence of diabetes in young male adults in some counties was similar to that of European countries with a high incidence.

Impact of the Legionella urinary antigen test on epidemiological trends in community outbreaks of legionellosis in Catalonia, Spain, 1990-2004.

Science.gov (United States)

Alvarez, Josep; Domínguez, Angela; Sabrià, Miquel; Ruiz, Laura; Torner, Nuria; Cayla, Joan; Barrabeig, Irene; Sala, M Rosa; Godoy, Pere; Camps, Neus; Minguell, Sofia

2009-11-01

To describe the characteristics of community outbreaks of legionellosis in Catalonia, Spain from 1990 to 2004, to compare two time periods (1990-1996 and 1997-2004), and to assess the influence of outbreak characteristics on the case fatality rate (CFR). This is a descriptive analysis of the outbreaks detected by epidemiological surveillance units in Catalonia. Variables potentially related to the CFR were analyzed by logistic regression. Of the 118 outbreaks involving 690 patients (overall CFR 4.5%), the urinary antigen test (UAT) was used for first case diagnosis in 80.5%. The origin of the outbreak was identified as a cooling tower in 35.6%, as a water distribution system in a public building in 14.4%, and a water distribution system at other sites in 7.6%. Statistically significant differences were found in the CFR (12.2% vs. 3.9%; p=0.018) and detection of the first case by UAT (0.0% vs. 87.2%; pcases involved in outbreaks of legionellosis.

Monitoring of the Gasoline Oxygenate MTBE and BTEX Compounds in Groundwater in Catalonia (Northeast Spain

Directory of Open Access Journals (Sweden)

J. Fraile

2002-01-01

Full Text Available Headspace (HS gas chromatography with flame ionisation detection (HS-GC-FID and purge and trap (P gas chromatography-mass spectrometry (P were used for the determination of methyl-tert-butyl ether (MTBE and benzene, toluene, and xylenes (BTEX in groundwater. In this work, we present the first data on the levels of MTBE and BTEX in different groundwater wells in the area of Catalonia (northeast Spain. This monitoring campaign corresponded to 28 groundwater wells that were located near petrol service stations, oil refinery storage tanks, and/or chemical industry at different locations of Catalonia during the period of 1998/1999. The levels of MTBE detected varied between 4—300 μg/l, but two sites had MTBE levels up to 3 and 13 mg/l. In many cases, the BTEX levels were below 1 μg/l, whereas 7 sites had levels varying from 19 μg/l up to 3 mg/l. Most of them were related to leakage from underground tanks in petrol service stations, while the remaining three corresponded respectively to chemical industrial pollution of undetermined origin and to a leak from high-ground petrol tanks in petrochemical refinery factories. The aquifers involved were constituted by detritus coarse materials, sands, and conglomerates. Piezometric levels were roughly comprised between 3 and 40 m, and permeability (K and transmissivity (T values were estimated from field measurements.

Estimating the biogenic emissions of non-methane volatile organic compounds from the North Western Mediterranean vegetation of Catalonia, Spain

International Nuclear Information System (INIS)

Parra, R.; Gasso, S.; Baldasano, J.M.

2004-01-01

An estimation of the magnitude of non-methane volatile organic compounds (NMVOCs) emitted by vegetation in Catalonia (NE of the Iberian Peninsula, Spain), in addition to their superficial and temporal distribution, is presented for policy and scientific (photochemical modelling) purposes. It was developed for the year 2000, for different time resolutions (hourly, daily, monthly and annual) and using a high-resolution land-use map (1-km 2 squared cells). Several meteorological surface stations provided air temperature and solar radiation data. An adjusted mathematical emission model taking account of Catalonia's conditions was built into a geographic information system (GIS) software. This estimation uses the latest information, mainly relating to: (1) emission factors; (2) better knowledge of the composition of Catalonia's forest cover; and (3) better knowledge of the particular emission behaviour of some Mediterranean vegetal species. Results depict an annual cycle with increasing values in the March-April period with the highest emissions in July-August, followed by a decrease in October-November. Annual biogenic NMVOCs emissions reach 46.9 kt, with monoterpenes the most abundant species (24.7 kt), followed by other biogenic volatile organic compounds (e.g. alcohols, aldehydes and acetone) (16.3 kt), and isoprene (5.9 kt). These compounds signify 52%, 35% and 13%, respectively, of total emission estimates. Peak hourly total emission for a winter day could be less than 10% of the corresponding value for a summer day

Inequalities in suicide mortality rates and the economic recession in the municipalities of Catalonia, Spain.

Science.gov (United States)

Saurina, Carme; Marzo, Manel; Saez, Marc

2015-09-08

While previous research already exists on the impact of the current economic crisis and whether it leads to an increase in mortality by suicide, our objective in this paper is to determine if the increase in the suicide rate in Catalonia, Spain from 2010 onwards has been statistically significant and whether it is associated with rising unemployment. We used hierarchical mixed models, separately considering the crude death rate of suicides for municipalities with more than and less than 10,000 inhabitants as dependent variables both unstratified and stratified according to gender and/or age group. In municipalities with 10,000 or more inhabitants there was an increase in the relative risk of suicide from 2009 onwards. This increase was only statistically significant for working-aged women (16-64 years). In municipalities with less than 10,000 inhabitants the relative risk showed a decreasing trend even after 2009. In no case did we find the unemployment rate to be associated (statistically significant) with the suicide rate. The increase in the suicide rate from 2010 in Catalonia was not statistically significant as a whole, with the exception of working-aged women (16-64 years) living in municipalities with 10,000 or more inhabitants. We have not found this increase to be associated with rising unemployment in any of the cases. Future research into the effects of economic recessions on suicide mortality should take into account inequalities by age, sex and size of municipalities.

Sexual risk behaviour and its determinants among men who have sex with men in Catalonia, Spain.

Science.gov (United States)

Folch, C; Munoz, R; Zaragoza, K; Casabona, J

2009-11-26

To evaluate the prevalence of sexual risk behaviours among men who have sex with men (MSM) in Catalonia and to identify sociodemographic, psychosocial, and behavioural factors associated with unprotected anal intercourse (UAI) with casual partners a convenience sample of 850 MSM was recruited in 2006. An anonymous questionnaire was used to explore risk behaviours during the previous 12 months. Logistic regression models were used to examine the variables associated with UAI. Mean age was 41 years and 20.4% were immigrants. Among those with casual partners (91.7% of all respondents), 31.4% had UAI. The multivariate analysis revealed that the likelihood of UAI was higher in men who were HIV-positive (OR: 1.77), used more than four drugs before sex (OR: 4.90 for +6), were not from Spain (OR: 2.10 for Latin American; OR: 1.86 for other immigrants), had more than 20 sexual partners (OR: 1.56), met casual sex partners on the Internet (OR:1.45) and presented a high level of internalised homophobia (OR: 2.40). HIV/STI prevention programmes for MSM in Catalonia should incorporate activities that strengthen self-esteem, take into account the impact of internalised homophobia, and adapt to the sociocultural reality of immigrants. Furthermore, these programmes should also address substance abuse and alert HIV-positive men about the risk of HIV re-infection and transmission of other STI.

Prevalence of selected infectious disease agents in stray cats in Catalonia, Spain

Directory of Open Access Journals (Sweden)

Sara Ravicini

2016-02-01

Full Text Available Objectives The objective of the current study was to investigate the prevalence rates of the following infectious agents in 116 stray cats in the Barcelona area of Spain: Anaplasma phagocytophilum, Bartonella species, Borrelia burgdorferi, Chlamydia felis, Dirofilaria immitis, Ehrlichia species, feline calicivirus (FCV, feline herpesvirus-1 (FHV-1, feline leukaemia virus (FeLV, feline immunodeficiency virus (FIV, haemoplasmas, Mycoplasma species and Rickettsia species. Methods Serum antibodies were used to estimate the prevalence of exposure to A phagocytophilum, Bartonella species, B burgdorferi, Ehrlichia species and FIV; serum antigens were used to assess for infection by D immitis and FeLV; and molecular assays were used to amplify nucleic acids of Anaplasma species, Bartonella species, C felis, D immitis, Ehrlichia species, FCV, FHV-1, haemoplasmas, Mycoplasma species and Rickettsia species from blood and nasal or oral swabs. Results Of the 116 cats, 63 (54.3% had evidence of infection by Bartonella species, FeLV, FIV or a haemoplasma. Anaplasma species, Ehrlichia species or Rickettsia species DNA was not amplified from these cats. A total of 18/116 cats (15.5% were positive for FCV RNA (six cats, Mycoplasma species DNA (six cats, FHV-1 DNA (three cats or C felis DNA (three cats. Conclusions and relevance This study documents that shelter cats in Catalonia are exposed to many infectious agents with clinical and zoonotic significance, and that flea control is indicated for cats in the region.

Sediment discharge of the rivers of Catalonia, NE Spain, and the influence of human impacts

Science.gov (United States)

Liquete, Camino; Canals, Miquel; Ludwig, Wolfgang; Arnau, Pedro

2009-03-01

SummaryThe environmental and anthropogenic factors controlling sediment delivery to the sea are numerous, intricate and usually difficult to quantify. Mediterranean watersheds are historically amongst the most heavily impacted by human activities in the world. This study analyzes some of these factors for nine river systems from Catalonia, NE Spain, that open into the Northwestern Mediterranean Sea, and discusses the results obtained from sediment yield models and sediment concentration data series. General models indicate that the natural suspended sediment yield by individual Catalan rivers ranged within a fork from 94 to 621 t km -2 yr -1. Such a sediment yield would be noticeably reduced (moving the fork to 7-148 t km -2 yr -1) because of lithological factors and direct anthropogenic and, possibly, climatic impacts. Damming, water extraction and urbanization appear as the most important direct anthropogenic impacts in Catalonia. Water discharge and sediment concentration measurements by basin authorities provide much lower sediment yield estimations, from 0.4 to 19.8 t km -2 yr -1, which is probably due to the lack of measured sediment loads during flood events, as it is the case in many other Mediterranean rivers. The Catalan watersheds have some of the smallest runoff values amongst Mediterranean rivers. Of the nine river systems studied, water discharge tends to decrease in two and to increase in one. The other six river systems do not show any clear tendency. Related to climatic parameters, temperature raised in all the watersheds between 1961 and 1990, while precipitation did not show significant trends.

Geographical differences in whooping cough in Catalonia, Spain, from 1990 to 2010

Science.gov (United States)

2014-01-01

Background Whooping cough is a communicable disease whose incidence has increased in recent years in some countries with vaccination. Since 1981, in Catalonia (Spain), cases must be reported to the Public Health Department. In 1997, surveillance changed from aggregated counts to individual report and the surveillance system was improved after 2002. Catalan public health is universal with equal coverage geographically. The aim of this study was to determine whether there are differences in whooping cough incidence in rural and urban counties. Methods Cases in 1990–2010 were classified as rural or urban. Incidences and risk ratios (RR) between urban and rural counties and 95% CI were calculated. Associations between rural and urban counties and structural changes during the study period were analysed. Results Twelve years of the whole study period showed differences in incidence between rural and urban counties. The incidence was higher in urban counties in seven years and rural counties in five years. There was a positive association of whooping cough incidence in rural and urban counties in four-week periods. Structural changes were detected in the following four-week periods: 4th in 1993, 7th in 1996 and 3rd 2005 in rural counties and 5th 1993, 9th in 1996 and 8th in 2007 in urban counties. Conclusions Differences in whooping cough between rural and urban counties were found. In most years, the incidence was higher in urban than in rural counties. Rural and urban counties show similar cyclic behaviour when four-week periods were considered. PMID:24649975

Environmental performance of construction waste: Comparing three scenarios from a case study in Catalonia, Spain.

Science.gov (United States)

Ortiz, O; Pasqualino, J C; Castells, F

2010-04-01

The main objective of this paper is to evaluate environmental impacts of construction wastes in terms of the LIFE 98 ENV/E/351 project. Construction wastes are classified in accordance with the Life Program Environment Directive of the European Commission. Three different scenarios to current waste management from a case study in Catalonia (Spain) have been compared: landfilling, recycling and incineration, and these scenarios were evaluated by means of Life Cycle Assessment. The recommendations of the Catalan Waste Catalogue and the European Waste Catalogue have been taken into account. Also, the influence of transport has been evaluated. Results show that in terms of the Global Warming Potential, the most environmentally friendly treatment was recycling, followed by incineration and lastly landfilling. According to the influence of treatment plants location on the GWP indicator, we observe that incineration and recycling of construction wastes are better than landfilling, even for long distances from the building site to the plants. This is true for most wastes except for the stony types, than should be recycled close to the building site. In summary, data from construction waste of a Catalan case study was evaluated using the well established method of LCA to determine the environmental impacts. Copyright 2009 Elsevier Ltd. All rights reserved.

Environmental performance of construction waste: Comparing three scenarios from a case study in Catalonia, Spain

International Nuclear Information System (INIS)

Ortiz, O.; Pasqualino, J.C.; Castells, F.

2010-01-01

The main objective of this paper is to evaluate environmental impacts of construction wastes in terms of the LIFE 98 ENV/E/351 project. Construction wastes are classified in accordance with the Life Program Environment Directive of the European Commission. Three different scenarios to current waste management from a case study in Catalonia (Spain) have been compared: landfilling, recycling and incineration, and these scenarios were evaluated by means of Life Cycle Assessment. The recommendations of the Catalan Waste Catalogue and the European Waste Catalogue have been taken into account. Also, the influence of transport has been evaluated. Results show that in terms of the Global Warming Potential, the most environmentally friendly treatment was recycling, followed by incineration and lastly landfilling. According to the influence of treatment plants location on the GWP indicator, we observe that incineration and recycling of construction wastes are better than landfilling, even for long distances from the building site to the plants. This is true for most wastes except for the stony types, than should be recycled close to the building site. In summary, data from construction waste of a Catalan case study was evaluated using the well established method of LCA to determine the environmental impacts.

“Burden of osteoporotic fractures in primary health care in Catalonia (Spain: a population-based study”

Directory of Open Access Journals (Sweden)

Pagès-Castellà Aina

2012-05-01

Full Text Available Abstract Background Knowledge on the epidemiology of non-hip fractures in Spain is limited and somewhat outdated. Using computerized primary care records from the SIDIAP database, we derived age and sex-specific fracture incidence rates for the region of Catalonia during the year 2009. Methods The SIDIAP database contains quality-checked clinical information from computerized medical records of a representative sample of >5,800,000 patients (80% of the population of Catalonia. We conducted a retrospective cohort study including all patients aged ≥50 years, and followed them from January 1 to December 31, 2009. Major osteoporotic fractures registered in SIDIAP were ascertained using ICD-10 codes and validated by comparing data to hospital admission and patient-reported fractures records. Incidence rates and 95% confidence intervals were calculated. Results In total, 2,011,430 subjects were studied (54.6% women. Overall fracture rates were 10.91/1,000 person-years (py [95%CI 10.89–10.92]: 15.18/1,000 py [15.15–15.21] in women and 5.78/1,000 py [5.76–5.79] in men. The most common fracture among women was wrist/forearm (3.86/1,000 py [3.74–3.98], while among men it was clinical spine (1.25/1,000 py [1.18–1.33]. All fracture rates increased with age, but varying patterns were observed: while most of the fractures (hip, proximal humerus, clinical spine and pelvis increased continuously with age, wrist and multiple rib fractures peaked at age 75–80 and then reached a plateau. Conclusions Our study provides local estimates of age, sex and site-specific fracture burden in primary health care, which will be helpful for health-care planning and delivery. A proportion of fractures are not reported in primary care records, leading to underestimation of fracture incidence rates in these data.

Factors determining family planning in Catalonia. Sources of inequity

Directory of Open Access Journals (Sweden)

Saurina Carme

2012-07-01

Full Text Available Abstract Introduction In recent decades, the foreign population in Spain has increased significantly, particularly for Catalonia, an autonomous region of Spain (2.90% in 2000 and 15.95% in 2010 and in particular Girona province (6.18% in 2000 and 21.55% in 2010. Several studies have shown a lower use of family planning methods by immigrants. This same trend is observed in Spain. The objective of this paper is to determine the existence of differences and possible sources of inequity in the use of family planning methods among health service users in Catalonia (Spain by sex, health status, place of birth and socioeconomic conditions. Methods Data were taken from an ad-hoc questionnaire which was compiled following a qualitative stage of individual interviews. Said questionnaire was administered to 1094 Catalan public health service users during 2007. A complete descriptive analysis was carried out for variables related to public health service users’ sociodemographic characteristics and variables indicating knowledge and use of family planning methods, and bivariate relationships were analysed by means of chi-square contrasts. Considering the use (or non-use of family planning methods as a dependent variable and a set of demographic, socioeconomic and health status variables as explanatory factors, the relationship was modelled using mixed models. Results The analysed sample is comprised of 54.3% women and 45.7% men, with 74.3% natives (or from the EU and 25.7% economic immigrants. 54.8% use some method of family planning, the condom (46.7% and the pill (28.0% being the two most frequently used methods. Statistical modelling indicates that those factors which most influence the use of family planning methods are level of education (30.59% and 39.29% more likelihood and having children over 14 (35.35% more likelihood. With regard to the origin of the user, we observe that patients from North Africa,sub. Saharan Africa and Asia are less likely to

Hepatitis delta genotypes in chronic delta infection in the northeast of Spain (Catalonia).

Science.gov (United States)

Cotrina, M; Buti, M; Jardi, R; Quer, J; Rodriguez, F; Pascual, C; Esteban, R; Guardia, J

1998-06-01

Based on genetic analysis of variants obtained around the world, three genotypes of the hepatitis delta virus have been defined. Hepatitis delta virus variants have been associated with different disease patterns and geographic distributions. To determine the prevalence of hepatitis delta virus genotypes in the northeast of Spain (Catalonia) and the correlation with transmission routes and clinical disease, we studied the nucleotide divergence of the consensus sequence of HDV RNA obtained from 33 patients with chronic delta hepatitis (24 were intravenous drug users and nine had no risk factors), and four patients with acute self-limited delta infection. Serum HDV RNA was amplified by the polymerase chain reaction technique and a fragment of 350 nucleotides (nt 910 to 1259) was directly sequenced. Genetic analysis of the nucleotide consensus sequence obtained showed a high degree of conservation among sequences (93% of mean). Comparison of these sequences with those derived from different geographic areas and pertaining to genotypes I, II and III, showed a mean sequence identity of 92% with genotype I, 73% with genotype II and 61% with genotype III. At the amino acid level (aa 115 to 214), the mean identity was 87% with genotype I, 63% with genotype II and 56% with genotype III. Conserved regions included the RNA editing domain, the carboxyl terminal 19 amino acids of the hepatitis delta antigen and the polyadenylation signal of the viral mRNA. Hepatitis delta virus isolates in the northeast of Spain are exclusively genotype I, independently of the transmission route and the type of infection. No hepatitis delta virus subgenotypes were found, suggesting that the origin of hepatitis delta virus infection in our geographical area is homogeneous.

Factors determining family planning in Catalonia. Sources of inequity.

Science.gov (United States)

Saurina, Carme; Vall-Llosera, Laura; Saez, Marc

2012-07-20

In recent decades, the foreign population in Spain has increased significantly, particularly for Catalonia, an autonomous region of Spain (2.90% in 2000 and 15.95% in 2010) and in particular Girona province (6.18% in 2000 and 21.55% in 2010). Several studies have shown a lower use of family planning methods by immigrants. This same trend is observed in Spain. The objective of this paper is to determine the existence of differences and possible sources of inequity in the use of family planning methods among health service users in Catalonia (Spain) by sex, health status, place of birth and socioeconomic conditions. Data were taken from an ad-hoc questionnaire which was compiled following a qualitative stage of individual interviews. Said questionnaire was administered to 1094 Catalan public health service users during 2007. A complete descriptive analysis was carried out for variables related to public health service users' sociodemographic characteristics and variables indicating knowledge and use of family planning methods, and bivariate relationships were analysed by means of chi-square contrasts. Considering the use (or non-use) of family planning methods as a dependent variable and a set of demographic, socioeconomic and health status variables as explanatory factors, the relationship was modelled using mixed models. The analysed sample is comprised of 54.3% women and 45.7% men, with 74.3% natives (or from the EU) and 25.7% economic immigrants. 54.8% use some method of family planning, the condom (46.7%) and the pill (28.0%) being the two most frequently used methods. Statistical modelling indicates that those factors which most influence the use of family planning methods are level of education (30.59% and 39.29% more likelihood) and having children over 14 (35.35% more likelihood). With regard to the origin of the user, we observe that patients from North Africa,sub. Saharan Africa and Asia are less likely to use family planning methods (36.68%, 38.59% and 70

The wildland-urban interface raster dataset of Catalonia

Directory of Open Access Journals (Sweden)

Fermín J. Alcasena

2018-04-01

Full Text Available We provide the wildland urban interface (WUI map of the autonomous community of Catalonia (Northeastern Spain. The map encompasses an area of some 3.21 million ha and is presented as a 150-m resolution raster dataset. Individual housing location, structure density and vegetation cover data were used to spatially assess in detail the interface, intermix and dispersed rural WUI communities with a geographical information system. Most WUI areas concentrate in the coastal belt where suburban sprawl has occurred nearby or within unmanaged forests. This geospatial information data provides an approximation of residential housing potential for loss given a wildfire, and represents a valuable contribution to assist landscape and urban planning in the region. Keywords: Wildland-urban interface, Wildfire risk, Urban planning, Human communities, Catalonia

Effects of the Financial Crisis on Psychotropic Drug Consumption in a Cohort from a Semi-Urban Region in Catalonia, Spain

Science.gov (United States)

Barceló, Maria A.; Coll-Negre, Montserrat; Coll-de-Tuero, Gabriel; Saez, Marc

2016-01-01

Purpose Evidence of whether the recent economic crisis has or has not had an effect on psychotropic drug consumption is very scarce. Our objective was to determine if there had in fact been an increase in psychotropic drug use as a result of the financial crisis. Methods In our study a retrospective cohort (between January 1, 2005, and December 31, 2012) was made up of individuals from the general population in a region in the northeast of Catalonia, Spain. We specified a generalized linear mixed model along with combined ‘selection on observables’ as (propensity scoring) matching and ‘selection on unobservables’ as (random coefficient) the panel data model methods, and performed inferences using a Bayesian framework. Results In the period following the economic crisis (post 2009), there was an increase in the consumption of psychotropic drugs which was significantly higher among those who had already been consuming psychotropic drugs prior to 2009 and those most likely to be unemployed. The increase was of greater significance when consumption was measured by the number of drugs being taken, rather than by the defined daily dose (DDD), with the greatest increase occurring in 2011; the very year in which Spain was most affected by the crisis. Conclusions Once the financial crisis had ended, there was an increase in the severity, rather than the intensity, of mental health disorders in individuals who had already had disorders before the crisis. This increase occurred in those most likely to be unemployed, and the severity was accentuated in the toughest year of the economic crisis. PMID:26872210

[Evaluation of Articles 33 and 59, of the Code of Deontology of Doctors in Catalonia (2005), judicially annulled].

Science.gov (United States)

Collazo Chao, Eliseo

2009-01-01

At the end of the year 2004, the Autonomous Conseil of the Medical School in Catalonia (Spain) approved its Deontology Code. The articles 33 and 59 were then judicially resorted by more than one hundred doctors in Catalonia; nowadays those articles themselves have been annulled by judicial sentence. This research aims to accomplish a valuation ethical and deontological of the annulled articles, according to the statutes.

Health-related quality of life assessment in people with multiple sclerosis and their family caregivers. A multicenter study in Catalonia (Southern Europe

Directory of Open Access Journals (Sweden)

Marta Aymerich

2009-10-01

Full Text Available Marta Aymerich1, Imma Guillamón2, Albert J Jovell3,41Medical Sciences Department, University of Girona, Catalonia, Spain; 2Catalan Agency for Health Technology Assessment and Research, Barcelona, Catalonia, Spain; 3Fundació Biblioteca Josep Laporte, Barcelona, Catalonia, Spain; 4Autonomous University of Barcelona, Catalonia, SpainObjectives: To measure the health-related quality of life (HRQoL of multiple sclerosis (MS patients and their caregivers, and to assess which factors can best describe HRQoL.Methods: A cross-sectional multicenter study of nine hospitals enrolled MS patients and their caregivers who attended outpatient clinics consecutively. The instruments used were the SF-36 for patients and the SF-12 and GHQ-12 for caregivers. Classification and regression tree analysis was used to analyze the explanatory factors of HRQoL.Results: A total of 705 patients (mean age 40.4 years, median Expanded Disability Status Scale 2.5, 77.8% with relapsing-remitting MS and 551 caregivers (mean age 45.4 years participated in the study. MS patients had significantly lower HRQoL than in the general population (physical SF-36: 39.9; 95% confidence interval [CI]: 39.1–40.6; mental SF-36: 44.4; 95% CI: 43.5–45.3. Caregivers also presented lower HRQoL than general population, especially in its mental domain (mental SF-12: 46.4; 95% CI: 45.5–47.3. Moreover, according to GHQ-12, 27% of caregivers presented probable psychological distress. Disability and co-morbidity in patients, and co-morbidity and employment status in caregivers, were the most important explanatory factors of their HRQoL.Conclusions: Not only the HRQoL of patients with MS, but also that of their caregivers, is indeed notably affected. Caregivers’ HRQoL is close to population of chronic illness even that the patients sample has a mild clinical severity and that caregiving role is a usual task in the study context.Keywords: health-related quality of life, multiple sclerosis

Catalan Nationalism and Challenges to the Territorial Integrity of Spain

Directory of Open Access Journals (Sweden)

G. I. Volkova

2016-01-01

Full Text Available At the beginning of the 21st century Spain faced a number of challenges, primarily the growth of separatist sentiments in the regions fraught with the danger of its fragmentation on ethno-national basis. In the context of increased ethno-national mobilization of “small peoples” in Spain one of its most economically developed regions – Catalonia – envisages a rise of the regional identity. Against the backdrop of economic problems generated by the crisis of 2008-2014 the autonomous communities of Spain, including Catalonia, came across the rise of socio-political problems, particularly the growing distance between the society and the central administrative bodies formed in democratic conditions, as well as the two-party administrative system.

A method for livestock waste management planning in NE Spain

International Nuclear Information System (INIS)

Teira-Esmatges, M.R.; Flotats, X.

2003-01-01

A method of decision-making on livestock wastes management in areas with nutrient surplus due to high livestock density is applied in Catalonia (NE Spain). Nutrient balance is made considering soil nitrogen application as the limiting factor. Special attention is paid to the centralized treatment option. The method presented consists of: - minimizing livestock waste generation (at farm scale) as a step previous to any other, both in amount and limiting components,; - applying the nitrogen balance method at regional and municipal scale and providing enough storage capacity in order to apply wastes in an agronomically correct way,; - spatially refining the results of the nitrogen balance by a proposed method that allows precisely pinpointing the hotspots of livestock waste generation, where centralized treatment might be an interesting option, and; - deciding on the waste treatment objectives, provided that treatments be necessary. Knowledge about the wastes, meeting the interests and merging the efforts of the various actors, as well as an adequate budget are necessary ingredients for the success of any waste management plan

An integrative cross-design synthesis approach to estimate the cost of illness: an applied case to the cost of depression in Catalonia.

Science.gov (United States)

Bendeck, Murielle; Serrano-Blanco, Antoni; García-Alonso, Carlos; Bonet, Pere; Jordà, Esther; Sabes-Figuera, Ramon; Salvador-Carulla, Luis

2013-04-01

Cost of illness (COI) studies are carried out under conditions of uncertainty and with incomplete information. There are concerns regarding their generalisability, accuracy and usability in evidence-informed care. A hybrid methodology is used to estimate the regional costs of depression in Catalonia (Spain) following an integrative approach. The cross-design synthesis included nominal groups and quantitative analysis of both top-down and bottom-up studies, and incorporated primary and secondary data from different sources of information in Catalonia. Sensitivity analysis used probabilistic Monte Carlo simulation modelling. A dissemination strategy was planned, including a standard form adapted from cost-effectiveness studies to summarise methods and results. The method used allows for a comprehensive estimate of the cost of depression in Catalonia. Health officers and decision-makers concluded that this methodology provided useful information and knowledge for evidence-informed planning in mental health. The mix of methods, combined with a simulation model, contributed to a reduction in data gaps and, in conditions of uncertainty, supplied more complete information on the costs of depression in Catalonia. This approach to COI should be differentiated from other COI designs to allow like-with-like comparisons. A consensus on COI typology, procedures and dissemination is needed.

Diversity of Language Ideologies in Spanish-Speaking Youth of Different Origins in Catalonia

Science.gov (United States)

Trenchs-Parera, Mireia; Newman, Michael

2009-01-01

To explore language attitudes and ideologies in urban Catalonia, focus group structured interviews were conducted with two groups of adolescents of Spanish-speaking origins: the Autochthonous group, descendents of mid-late twentieth century immigrants from other parts of Spain, and the Immigrant group, who came from Latin America. The…

Empirical evidence of direct rebound effect in Catalonia

International Nuclear Information System (INIS)

Freire Gonzalez, Jaume

2010-01-01

This paper reviews the empirical literature concerning the direct rebound effect in households; it briefly analyzes the main theoretical and methodological aspects, and finally estimates the magnitude of direct rebound effect for all energy services using electricity in households of Catalonia (Spain) using econometric techniques. The main results show an estimated direct rebound effect of 35% in the short term and 49% in the long term. The existence of a rebound effect reduces the effectiveness of energy efficiency policies.

[New design of the Health Survey of Catalonia (Spain, 2010-2014): a step forward in health planning and evaluation].

Science.gov (United States)

Alcañiz-Zanón, Manuela; Mompart-Penina, Anna; Guillén-Estany, Montserrat; Medina-Bustos, Antonia; Aragay-Barbany, Josep M; Brugulat-Guiteras, Pilar; Tresserras-Gaju, Ricard

2014-01-01

This article presents the genesis of the Health Survey of Catalonia (Spain, 2010-2014) with its semiannual subsamples and explains the basic characteristics of its multistage sampling design. In comparison with previous surveys, the organizational advantages of this new statistical operation include rapid data availability and the ability to continuously monitor the population. The main benefits are timeliness in the production of indicators and the possibility of introducing new topics through the supplemental questionnaire as a function of needs. Limitations consist of the complexity of the sample design and the lack of longitudinal follow-up of the sample. Suitable sampling weights for each specific subsample are necessary for any statistical analysis of micro-data. Accuracy in the analysis of territorial disaggregation or population subgroups increases if annual samples are accumulated. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

IS RUSSIAN DECOMMODIFYING IN CATALONIA?

Directory of Open Access Journals (Sweden)

Микел Кабал-Гуарро

2017-12-01

Full Text Available The data collected in an ethnographic study conducted between 2014 and 2016 in tourist areas in Catalonia, Spain shows that the mastery of Russian has become a profitable commodity in Spanish tourism industry. The purpose of this paper is to show where and how Russian is used in the service industry and trace the commodification of the language over time. Against the background of fluctuating numbers of Russian-speaking visitors, this analysis will contribute to a better understanding of processes of language commodification and decommodification and the relationship between wider political and economic con-texts and valorisation of particular languages and speakers.

Effects of the Financial Crisis on Psychotropic Drug Consumption in a Cohort from a Semi-Urban Region in Catalonia, Spain.

Directory of Open Access Journals (Sweden)

Maria A Barceló

Full Text Available Evidence of whether the recent economic crisis has or has not had an effect on psychotropic drug consumption is very scarce. Our objective was to determine if there had in fact been an increase in psychotropic drug use as a result of the financial crisis.In our study a retrospective cohort (between January 1, 2005, and December 31, 2012 was made up of individuals from the general population in a region in the northeast of Catalonia, Spain. We specified a generalized linear mixed model along with combined 'selection on observables' as (propensity scoring matching and 'selection on unobservables' as (random coefficient the panel data model methods, and performed inferences using a Bayesian framework.In the period following the economic crisis (post 2009, there was an increase in the consumption of psychotropic drugs which was significantly higher among those who had already been consuming psychotropic drugs prior to 2009 and those most likely to be unemployed. The increase was of greater significance when consumption was measured by the number of drugs being taken, rather than by the defined daily dose (DDD, with the greatest increase occurring in 2011; the very year in which Spain was most affected by the crisis.Once the financial crisis had ended, there was an increase in the severity, rather than the intensity, of mental health disorders in individuals who had already had disorders before the crisis. This increase occurred in those most likely to be unemployed, and the severity was accentuated in the toughest year of the economic crisis.

Ten years of energy policy in Catalonia

International Nuclear Information System (INIS)

Masalles Roman, I.; Marin Sanchez, J.M.; Gurgui Ferrer, A.; Figuerola Perez, E.

1992-01-01

Catalonia is located in the north-east corner of Spain, on the Mediterranean coast and bordering with France in the north. It is one of the most industrialized and developed regions of Spain, with a per capita income of 10879 ECU per year (1989), 21.9% higher than the Spanish average. It contributes to 20.3% of the Spanish GDP. Primary energy consumption was 16.5 M toe in 1989, covered by the following sources: 3.5% coal, 51.8% oil, 9.4% natural gas, 3.6% hydro, 30.8% nuclear, 0.1% electrical import/export balance and 0.8% waste residuals. Oil dependence is distorted by the existence of a major petrochemical industry that uses more than 2.6 Mtoe of oil derivatives for non-energy purposes. Final energy demand in 1989 was 8.8 Mtoe, 40.9% for industry, 36.9% for transportation and 22.3% for the domestic and services sector. In the 60's, Catalonia's socio-economic development was accompanied by a spectacular increase in the demand for primary energy: from slightly above 2.5 million toe in 1960 to 5.6 Mtoe ten years later. If this decade can be characterized by a steady increase in the total value of consumption, the 70's also constitute years of major changes in the field of energy on an international scale (the oil crisis) and in politics in the Spanish State. 6 refs., 3 figs., 6 tabs

The Evolution of cluster concept in Catalonia : the case of Cork Cluster – AECORK

OpenAIRE

Serarols Tarrés, Joyce

2015-01-01

The aim of this final degree project is two-fold: first, to introduce the evolutionary concept of the cluster in Catalonia from a strategic perspective and, second, to analyse the case of the Catalan Cork cluster located in the province of Girona, that is, the northeast of Spain

Estado de la neumología pública en Cataluña: estudio comparativo entre 1993 y 2003 State of public pneumology in Catalonia (Spain: 1993 versus 2003

Directory of Open Access Journals (Sweden)

Jesús Ribas

2008-06-01

Full Text Available El objetivo de este estudio era realizar un análisis descriptivo de la situación de la neumología pública en Cataluña en el año 2003 y comparar los resultados con datos de 1993. Se remitió un cuestionario a todos los hospitales de la red pública de Cataluña (XHUP solicitando información sobre el número de neumólogos. También se contactó con los servicios de atención primaria (SAP de Cataluña para conocer el número de neumólogos que trabajan en atención primaria. Se ha obtenido respuesta del 100% de los hospitales y SAP contactados. El 83% de los hospitales de la XHUP disponen de servicio de neumología, y se observa un incremento significativo en la proporción de hospitales que disponen de la especialidad respecto a 1993. La tasa de neumólogos por 100.000 habitantes para toda Cataluña es de 3,15. El grado de implantación de la neumología en la XHUP ha mejorado significativamente en el decenio 1993-2003.The aim of this study was to perform a descriptive analysis of the state of public pneumology in Catalonia (Spain in 2003 and to compare the results with data from 1993. A questionnaire was sent to all hospitals of the public hospitals network in Catalonia requesting information on the number of pulmonologists. To determine the number of pulmonologists working in primary care, we also contacted all the primary care services (PCS in Catalonia. All the hospitals and PCS contacted responded. Eighty-three percent of the public network hospitals had a pneumology service. From 1993-2003, the proportion of hospitals with this specialty increased. The rate of pulmonologists per 100,000 persons for the whole of Catalonia was 3.15. The degree of implantation of pneumology in the public hospitals network of Catalonia significantly improved in the decade between 1993 and 2003.

Mumps: a year of enhanced surveillance in Catalonia, Spain.

Science.gov (United States)

Dominguez, Angela; Oviedo, Manuel; Torner, Nuria; Carmona, Gloria; Costa, Josep; Caylà, Joan; Sala, M Rosa; Barrabeig, Irene; Camps, Neus; Minguell, Sofia; Alvarez, Josep; Godoy, Pere; Jansà, Josep M

2009-05-26

Mumps is a vaccine-preventable disease candidate for elimination. Positive predictive value (PPV) of clinical case definition was assessed. During 2007, 410 suspected cases were reported in Catalonia: 348 fulfilled clinical case definition and 159 were laboratory confirmed. Incidence rate was 4.8 per 100,000 for cases that fulfilled the clinical definition, and 2.2 for laboratory confirmed cases. Global PPV was 44.5%; 38.5% in or =15 years (p=0.04). Most laboratory confirmed cases (72.3%) received at least one MMR dose. With sustained high MMR coverage, laboratory confirmation is necessary to control the disease and assess vaccine failure.

Monitoring persistent organic pollutants in an industrial area of Tarragona (Catalonia, Spain)

Energy Technology Data Exchange (ETDEWEB)

Nadal, M.; Schuhmacher, M.; Domingo, J.L. [Rovira i Virgili University, Reus (Spain)

2004-09-15

It is well known that combustion of different materials is one of the most important sources of environmental contamination by persistent organic pollutants (POPs). Therefore, environments affected by this kind of processes should be strictly controlled. In relation to it, the 2001 Stockholm Convention for the regulation of POPs was undertaken in order to establish agreements and mechanisms to erase the release of 12 POPs on a global scale. While polychlorinated dibenzo-p-dioxins and furans (PCDD/Fs) and polychlorinated biphenyls (PCBs) were included in this list, other pollutants such as polychlorinated naphthalenes (PCNs) and polycyclic aromatic hydrocarbons (PAHs) can be added in a near future. Since more than 30 years ago, one of the largest chemical and petrochemical industrial complexes in Southern Europe is located in Tarragona County (Catalonia, Spain). Several chemical industries (such as a PVC production facility and a chlor-alkali plant) and a big oil refinery are located in this residential area (up to 300,000 inhabitants), together with a municipal solid waste incinerator (MSWI) and a hazardous waste incinerator (HWI). Moreover, the presence of a highway and several roads with an important traffic density influences also the environment of the zone. The current study is a preliminary investigation to assess the levels of several POPs (PCDD/Fs, PCBs, PCNs and PAHs) in soil and vegetation samples collected in Tarragona's industrial and residential areas and to compare them with data obtained in unpolluted sites as well as in other industrial and residential zones.

Non-invasive Geophysical Surveys in Search of the Roman Temple of Augustus Under the Cathedral of Tarragona (Catalonia, Spain): A Case Study

Science.gov (United States)

Casas, Albert; Cosentino, Pietro L.; Fiandaca, Gianluca; Himi, Mahjoub; Macias, Josep M.; Martorana, Raffaele; Muñoz, Andreu; Rivero, Lluís; Sala, Roger; Teixell, Imma

2018-04-01

An integrated geophysical survey has been conducted at the Tarragona's Cathedral (Catalonia, NE Spain) with the aim to confirm the potential occurrence of archaeological remains of the Roman Temple dedicated to the Emperor Augustus. Many hypotheses have been proposed about its possible location, the last ones regarding the inner part of the Cathedral, which is one of the most renowned temples of Spain (twelfth century) evolving from Romanesque to Gothic styles. A geophysical project including electrical resistivity tomography (ERT) and ground probing radar (GPR) was planned over 1 year considering the administrative and logistic difficulties of such a project inside a cathedral of religious veneration. Finally, both ERT and GPR have been conducted during a week of intensive overnight surveys that provided detailed information on subsurface existing structures. The ERT method has been applied using different techniques and arrays, ranging from standard Wenner-Schlumberger 2D sections to full 3D electrical imaging with the advanced Maximum Yield Grid array. Electrical resistivity data were recorded extensively, making available many thousands of apparent resistivity data to obtain a complete 3D image after a full inversion. In conclusion, some significant buried structures have been revealed providing conclusive information for archaeologists. GPR results provided additional information about shallowest structures. The geophysical results were clear enough to persuade religious authorities and archaeologists to conduct selected excavations in the most promising areas that confirmed the interpretation of geophysical data. In conclusion, the significant buried structures revealed by geophysical methods under the cathedral were confirmed by archaeological digging as the basement of the impressive Roman Temple that headed the Provincial Forum of Tarraco, seat of the Concilium of Hispania Citerior Province.

Heavy rain prediction using deterministic and probabilistic models - the flash flood cases of 11-13 October 2005 in Catalonia (NE Spain)

Science.gov (United States)

Barrera, A.; Altava-Ortiz, V.; Llasat, M. C.; Barnolas, M.

2007-09-01

Between the 11 and 13 October 2005 several flash floods were produced along the coast of Catalonia (NE Spain) due to a significant heavy rainfall event. Maximum rainfall achieved values up to 250 mm in 24 h. The total amount recorded during the event in some places was close to 350 mm. Barcelona city was also in the affected area where high rainfall intensities were registered, but just a few small floods occurred, thanks to the efficient urban drainage system of the city. Two forecasting methods have been applied in order to evaluate their capability of prediction regarding extreme events: the deterministic MM5 model and a probabilistic model based on the analogous method. The MM5 simulation allows analysing accurately the main meteorological features with a high spatial resolution (2 km), like the formation of some convergence lines over the region that partially explains the maximum precipitation location during the event. On the other hand, the analogous technique shows a good agreement among highest probability values and real affected areas, although a larger pluviometric rainfall database would be needed to improve the results. The comparison between the observed precipitation and from both QPF (quantitative precipitation forecast) methods shows that the analogous technique tends to underestimate the rainfall values and the MM5 simulation tends to overestimate them.

Social demand for multiple benefits provided by Aleppo pine forest management in Catalonia, Spain

DEFF Research Database (Denmark)

Varela, Elsa; Jacobsen, Jette Bredahl; Mavsar, Robert

2017-01-01

This paper estimates the social demand for key benefits provided by Aleppo pine forests in Catalonia that can be enhanced by management. These so-called externalities are the side effects of forest management on citizens’ welfare and can be either positive or negative. The externalities addressed...... are: biodiversity (measured as the number of tree species), accessibility for practicing recreational activities, CO2 sequestration and annual burned area by wildfires. By the use of a choice experiment, an economic valuation method, we estimate in a joint manner people’s preferences...

[Road traffic injuries in Catalonia (Spain): an approach using the minimum data set for acute-care hospitals and emergency resources].

Science.gov (United States)

Clèries, Montse; Bosch, Anna; Vela, Emili; Bustins, Montse

2015-09-01

To verify the usefulness of the minimum data set (MDS) for acute-care hospitals and emergency resources for the study of road traffic injuries and to describe the use of health resources in Catalonia (Spain). The study population consisted of patients treated in any kind of emergency service and patients admitted for acute hospitalization in Catalonia in 2013. A descriptive analysis was performed by age, gender, time and clinical variables. A total of 48,150 patients were treated in hospital emergency departments, 6,210 were attended in primary care, and 4,912 were admitted to hospital. There was a higher proportion of men (56.2%), mainly aged between 20 and 40 years. Men accounted for 54.9% of patients with minor injuries and 75.1% of those with severe injuries. Contusions are the most common injury (30.2%), followed by sprains (28.7%). Fractures mostly affected persons older than 64 years, internal injuries particularly affected men older than 64 years, and wounds mainly affected persons younger than 18 years and older than 64 years. In the adult population, the severity of the injuries increased with age, leading to longer length of stay and greater complexity. Hospital mortality was 0.2%. Fractures, internal injuries and wounds were more frequent in the group of very serious injuries, and sprains and contusions in the group of minor injuries. MDS records (acute hospitals and emergency resources) provide information that is complementary to other sources of information on traffic accidents, increasing the completeness of the data. Copyright © 2014 SESPAS. Published by Elsevier Espana. All rights reserved.

Uneven chances of breastfeeding in Spain

Directory of Open Access Journals (Sweden)

Río Isabel

2012-12-01

Full Text Available Abstract Background No large scale studies on breastfeeding onset patterns have been carried out in Spain. This work aims to explore the prevalence and the risk factors for not initiating breastfeeding in hospitals from Catalonia (CAT and Valencia (V, two regions accounting approximately for 30% of the annual births in Spain. Methods The prevalence of not initiating breastfeeding was calculated by maternal/neonatal characteristics and type of hospital, and logistic regression models were used to estimate crude and adjusted risks of not breastfeeding in each region. Results Prevalence of breastfeeding initiation was 81.7% and 82.5% in Catalonia and Valencia, respectively. We identified conspicuous regional differences in the adjusted-risk of not breastfeeding, especially for multiple [CAT = 3.12 (95% CI: 2.93, 3.31, V = 2.44 (95% CI: 2.23, 2.67] and preterm and low birth weight deliveries [very preterm and very low birth weight: CAT = 7.61 (95% CI: 6.50, 8.92, V = 4.03 (95% CI: 3.13, 5.19; moderate preterm and moderate low birth weight: CAT = 4.28 (95% CI: 4.01, 4.57, V = 2.55 (95% CI:2.34, 2.79]. Conclusions Our results suggest the existence of regional variations in breastfeeding initiation in Spain. Taking into account the known short and long-term benefits of breastfeeding it is recommended that further research should explore these differences in order to prevent potential inequities in neonatal, child and adult health.

Official language knowledge among foreign-born immigrants in Catalonia, Spain, and implications for their social integration

Directory of Open Access Journals (Sweden)

Miguel Solana

2013-02-01

Full Text Available In recent years, Catalonia has experienced asignificant in flux of international immigrants, added to the already important internal migration flows of prior decades. Now, however, this immigration takes place in a political and social context in which Catalan is the language of official use in all branches of government administration as well as in the education system. Knowledge of the Catalan language has been consideredan essential part of the process of integration for the immigrant population residing in Catalonia. Using the data provided by therecent 2007 National Survey of Immigrants, this article analyzes the immigrant population’s knowledge of Catalan in relation totheir knowledge of Castilian (Spanish. The data indicates that inspite of the offi cial status of the Catalan language in Catalonia,knowledge of Catalan among immigrants to the region is relatively low and much lower than that of Castilian, a situation that invitesrefl ection on the social implications of this reality.

The Phenological Network of Catalonia: an historical perspective

Science.gov (United States)

Busto, Montserrat; Cunillera, Jordi; de Yzaguirre, Xavier

2017-04-01

The Meteorological Service of Catalonia (SMC) began systematic phenological observation in 1932. Forty-four observers registered the phenophases of 45 plant species, the first or last sighting of six bird species and the first sighting of one species of butterfly. The study First results of phenological observation in Catalonia was published in 1936, showing the different behaviour of the vegetal species and birds according to geographical location. The SMC worked against the military fascist uprising during the Spanish Civil War (1936-1939). Therefore, once the war was finished, the organisation was quickly closed by the Franco dictatorship and the National Meteorological Service became the official institution in Spain. This organization created the Spanish Phenological Network in 1943 following similar standards to the former Catalan network. The reintroduction of democracy and the return of the Catalan self-government structures (1977) allowed the re-foundation of the SMC in 1996. The Climatology Department needed phenological data to complement the study of climatic indicators and realised the fragile situation of phenology observations in Catalonia, with very few operational series. Following a preliminary analysis of the different systems of recording and saving data, the Phenological network of Catalonia (Fenocat) was re-established in 2013. Fenocat is an active partner of the Pan European Phenology Database (PEP725) that uses BBCH-scale coding and the USA National Phenology Network observation system. It is an example of citizen science. As at December 2016, Fenocat had recorded more than 450,000 data. The extension of summer climatic conditions in the Western Mediterranean region has resulted in repetition of phenopases in the same year, such as the second flowering of the holm oak (Quercus ilex), almond tree (Prunus dulcis) and sweet cherry tree (Prunus avium), or the delay in the departure data of the swallow (Hirundo rustica) and hoopoe (Upupa epops

The case-fatality rate of meningococcal disease in Catalonia, 1990-1997.

Science.gov (United States)

Domínguez, Angela; Cardeñosa, Neus; Pañella, Helena; Orcau, Angels; Companys, Maria; Alseda, Miquel; Oviedo, Manuel; Carmona, Glòria; Minguell, Sofia; Salleras, Lluis

2004-01-01

The objective was to analyse the case-fatality rate (CFR) of meningococcal disease (MD) in Catalonia, Spain. A retrospective study was carried out. Clinical histories of cases of MD reported for the period 1990-1997 in Catalonia were reviewed. For all cases, the variables gender, age, clinical type, y of presentation, province, phenotype and death by meningococcal disease were collected. The association between death and the other variables was studied by bivariate and unconditional logistic regression analysis. In the 2343 cases studied there were 146 deaths (6.2%) due to meningococcal disease. The CFR was higher in females (OR: 1.5, 95%CI: 1.1-2.1), in the 20 to 49 y (OR: 2.4, 95%CI: 1.2-4.9) and > or = 50 y (OR: 5.3, 95%CI: 2.8-10.1) age groups, in cases with septicaemia (OR: 2.4, 95%CI: 1.6-3.5), in the cases produced by serogroup A (OR: 4.7, 95%CI: 1.0-23.4) and in cases occurring during 1993 (OR: 2.1, 95%CI: 1.1-4.1) or in the province of Lleida (OR: 2.9, 95%CI: 1.2-7.2). In the multivariate analysis, death was associated with the 20-49 y age group (OR: 3.9, 95%CI: 1.8-8.4), the > or = 50 y age group (OR: 7.3, 95%CI: 3.6-14.7), septicaemia (OR: 3.1; 95%CI: 2.0-4.7) and residing in the province of Lleida (OR: 3.2; 95%CI: 1.2-8.5). The CFR of meningococcal disease in Catalonia was not associated with the emergent phenotype C:2b:P1.2,5 strain, which caused an outbreak in other regions of Spain.

Is convective precipitation increasing? The case of Catalonia

Science.gov (United States)

Llasat, M. C.; Marcos, R.; Turco, M.

2012-04-01

A recent work (Turco and Llasat, 2011) has been performed to analyse the trends of the ETCCDI (Expert Team on Climate Change Detection and Indices) precipitation indices in Catalonia (NE Iberian Peninsula) from 1951 to 2003, calculated from a interpolated dataset of daily precipitation, namely SPAIN02, regular at 0.2° horizontal resolution. This work has showed that no general trends at a regional scale have been observed, considering the annual and the seasonal regional values, and only the consecutive dry days index (CDD) at annual scale shows a locally coherent spatial trend pattern. Simultaneously, Llasat et al (2009, 2010) have showed an important increase of flash-flood events in the same region. Although aspects related with vulnerability, exposure and changes in uses of soil have been found as the main responsible of this increase, a major knowledge on the evolution of high rainfall events is mandatory. Heavy precipitation is usually associated to convective precipitation and therefore the analysis of the latter is a good indicator of it. Particularly, in Catalonia, funding was raised to define a parameter, designated as β, related with the greater or lesser convective character of the precipitation (Llasat, 2001). This parameter estimates the contribution of convective precipitation to total precipitation using 1-min or 5-min rainfall intensities usually estimated by rain gauges and it can be also analysed by means of the meteorological radar (Llasat et al, 2007). Its monthly distribution shows a maximum in August, followed by September, which are the months with the major number of flash-floods in Catalonia. This parameter also allows distinguishing between different kinds of precipitation events taking into account the degree of convective contribution. The main problem is the lack of long rainfall rate series that allow analysing trends in convective precipitation. The second one is related with its heterogeneous spatial and temporal distribution. To

Mathematical E-Learning: State of the Art and Experiences at the Open University of Catalonia

Science.gov (United States)

Juan, A.; Huertas, A.; Steegmann, C.; Corcoles, C.; Serrat, C.

2008-01-01

In this article we present a review of the state of the art in mathematical e-learning and some personal experiences on this area developed during the last eleven years at the Open University of Catalonia (UOC), a completely online university located in Spain. The article discusses important aspects related to online mathematics courses offered in…

Wildfire spread, hazard and exposure metric raster grids for central Catalonia

Directory of Open Access Journals (Sweden)

Fermín J. Alcasena

2018-04-01

Full Text Available We provide 40 m resolution wildfire spread, hazard and exposure metric raster grids for the 0.13 million ha fire-prone Bages County in central Catalonia (northeastern Spain corresponding to node influence grid (NIG, crown fraction burned (CFB and fire transmission to residential houses (TR. Fire spread and behavior data (NIG, CFB and fire perimeters were generated with fire simulation modeling considering wildfire season extreme fire weather conditions (97th percentile. Moreover, CFB was also generated for prescribed fire (Rx mild weather conditions. The TR smoothed grid was obtained with a geospatial analysis considering large fire perimeters and individual residential structures located within the study area. We made these raster grids available to assist in the optimization of wildfire risk management plans within the study area and to help mitigate potential losses from catastrophic events. Keywords: Catalonia, Wildfire exposure, Fire transmission, Crown fire activity, Prescribed fires

The catalan language in the educational system of Catalonia

Science.gov (United States)

Siguan, Miquel

1991-03-01

Since the establishment of a democratic regime in Spain, not only does the Constitution recognize the multilingualism of the Spanish State but also, in certain autonomous regions, Catalan, Galician and Basque have been given joint official status with Castillian or Spanish. This article describes the introduction of Catalan into the education system of Catalonia. Previously the system had only taken Spanish into consideration, but the Statute of Autonomy of 1979 ensured the teaching of Catalan to all pupils, and Catalan is gradually becoming the medium of instruction. In a situation in which around half of the six million or so inhabitants of Catalonia have Catalan as their mother tongue which they use at home, and the other half — immigrants — are Castillian-speaking, the educational system lays down that all pupils should, at the end of compulsory schooling, be able to use both languages. It has thus faced complex problems which appear up to the present to have been satisfactorily resolved. The Catalan experience may therefore act as a reference point and a stimulus for other regions with minority languages.

[Prevalence and determinants of obesity in children and young people in Catalonia, Spain, 2006-2012].

Science.gov (United States)

Posso, Margarita; Brugulat-Guiteras, Pilar; Puig, Teresa; Mompart-Penina, Anna; Medina-Bustos, Antonia; Alcañiz, Manuela; Guillén, Montserrat; Tresserras-Gaju, Ricard

2014-12-09

To estimate the prevalence of obesity and overweight in children aged 2 to 14 years in Catalonia, its trends between 2006 and 2010-2012, and to evaluate social determinants and lifestyle associated with obesity. A cross-sectional study, using the data from 4,389 surveys from Catalonia Health Surveys of the years 2006 and 2010-2012, was conducted. Obesity and overweight were determined by World Health Organization criteria. Socioeconomic position, parent's education, usual diet and activity, and hours of sleep were assessed. The prevalence of obesity and overweight were: 15.4 and 20.2% in 2010-2012. The prevalence of obesity was higher in boys (15.5%) compared to girls (12.8%) (Pchildren ranging from 2 to 9 years old (17.5%) than children aged 10 to 14 years (7.7%) (Pobesity and overweight were similar to the prevalence in 2010-2012. Obesity was more frequent in children with parents with a low socioeconomic position and/or a primary or elementary parent's education. During the last 5 years (2006-2012), child obesity and overweight have remained stable in Catalonia, yet they are relatively high in Europe. Public health programmes against obesity must consider conducting an intersectional action taking social determinants and family life styles into account. Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

Multivariate approach to matrimonial mobility in Catalonia.

Science.gov (United States)

Calafell, F; Hernández, M

1993-10-01

Matrimonial mobility in Catalonia was studied using 1986 census data. Comarca (a geographic division) of birth was used as the population unit, and a measure of affinity (a statistical distance) between comarques in spouse geographic origin was defined. This distance was analyzed with multivariate methods drawn from numerical taxonomy to detect any discontinuities in matrimonial mobility and gene flow between comarques. Results show a three-level pattern of gene flow in Catalonia: (1) a strong endogamy within comarques; (2) a 100-km matrimonial circle around every comarca; and (3) the capital, Barcelona, which attracts migrants from all over Catalonia. The regionalization in matrimonial mobility follows the geographically clear-cut groups of comarques almost exactly.

Comorbidity and metabolic syndrome in patients with multiple sclerosis from Asturias and Catalonia, Spain.

Science.gov (United States)

Sicras-Mainar, Antoni; Ruíz-Beato, Elena; Navarro-Artieda, Ruth; Maurino, Jorge

2017-07-17

The impact of comorbidity on multiple sclerosis (MS) is a new area of interest. Limited data on the risk factors of metabolic syndrome (MetS) is currently available. The aim of this study was to estimate the presence of comorbid conditions and MetS in a sample of adult patients with MS. A retrospective, cohort study was conducted using electronic medical records from 19 primary care centres in Catalonia and Asturias, Spain. The number of chronic diseases (diagnoses), the Charlson Comorbidity Index and the individual Case-mix Index were used to assess general comorbidity variables. MetS was defined using the National Cholesterol Education Program Adult Treatment Panel III. Patients were distributed into two groups according to the Expanded Disability Status Scale (EDSS) score: 0-3.5 and 4-10. A total of 222 patients were studied (mean age = 45.5 (SD 12.5) years, 64.4% were female and 62.2% presented a diagnosis of relapsing-remitting MS). Mean EDSS score was 3.2 (SD 2.0). Depression (32.4%), dyslipidaemia (31.1%), hypertension (23.0%) and obesity (22.5%) were the most common comorbidities. Overall MetS prevalence was 31.1% (95% CI: 25.0-37.2%). Patients with an EDSS ≥ 4.0 showed a significantly higher number of comorbidities (OR=2.2; 95% CI: 1.7-3.0; p<0.001). MS patients had a high prevalence of MetS. Screening for comorbidity should be part of standard MS care. Further studies are necessary to confirm this association and the underlying mechanisms of MS and its comorbidities.

Sulphur isotopes as tracers of the influence of a coal-fired power plant on a Scots pine forest in Catalonia (NE Spain)

Science.gov (United States)

Puig, R.; Àvila, A.; Soler, A.

Stable sulphur isotopes and major ionic composition were analysed in precipitation and throughfall samples from a Scots pine ( Pinus sylvestris, L.) forest near the Cercs coal-fired power plant (Catalonia, NE Spain). The purpose of the study was to determine the main sources of sulphur deposition on this pine forest. Sulphur isotope measurements from the SO 2 power plant stack emissions were used to identify the isotopic signature of this source. Net throughfall fluxes of sulphur (26.1 kg S ha 1 yr -1) and nitrogen (16.3 kg N ha -1 yr -1) were higher—5-25 times higher for S and 5-15 times for N—at this site than in other forests in Catalonia. Sulphur isotope analysis confirmed that the net throughfall fluxes of sulphur were mostly due to the dry deposition of the SO 2 power plant emissions onto the pine canopies. Two potential atmospheric end-members were distinguished: regional background rainwater (δ 34S=+7.2‰) and power plant emissions (δ 34S=-2.8‰). By applying a two-component sulphur isotope mixing model, we found that during periods of low power plant activity (⩽10 emission h day -1), 62% of the throughfall sulphate could be attributed to the power plant emissions. At higher activity periods (⩾14 emission h day -1), this contribution rose to 73%. Although power plant contribution to bulk deposition was lower in both cases (34% and 45%), the possible influence of sulphate coming with long-range transport events from the polluted areas in the Mediterranean basin (δ 34S≈0‰) was not discarded.

Gender differences in HIV risk behaviours among intravenous drug users in Catalonia, Spain.

Science.gov (United States)

Folch, Cinta; Casabona, Jordi; Espelt, Albert; Majó, Xavier; Meroño, Mercè; Gonzalez, Victoria; Brugal, Maria Teresa

2013-01-01

To describe gender differences in injection and sexual risks behaviours, and human immunodeficiency virus (HIV) and hepatitis C (HCV) prevalence among injecting drug users (IDU) in Catalonia, Spain. Cross-sectional studies in 2008-2009 (n=748) and 2010-2011 (n=597) in the network of harm reduction centres. Face to face interviews were conducted and oral fluid samples were collected to estimate HIV/HCV prevalence. Female were more likely than male IDU to have had a steady sexual partner (68.2% versus 44.9%), to have had an IDU steady sexual partner (46.6% versus 15.1%) and to have exchanged sex for money or drugs in the last 6 months (25.5% versus 2.3%). There were no gender differences in injecting risk behaviours. HIV prevalence was 38.7% (91/235) in women and 31.5% (347/1103) in men (p=0.031). HIV prevalence among female IDU who reported having exchange sex for money or drugs was 53.3% (32/60). The prevalence of HCV was 67.4% (159/236) and 73.6% (810/1101) in female and male IDU, respectively (p=0.053). After adjustment by immigrant status, age and years of injection, differences among HIV/HCV prevalence by gender were not significant. This study demonstrated differences in sexual risk behaviours between male and female IDU, but failed to find gender differences in injecting risk behaviours. Apart from that, the higher prevalence of HIV among women than among men, together with a lower prevalence of HCV, provides evidence that sexual transmission of HIV is important among female IDU. Additional studies are needed to analyze in-depth these specific risk factors for women in order to develop appropriate prevention and health education programs. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.

Mixed Schools versus Single-Sex Schools: Are There Differences in the Academic Results for Boys and Girls in Catalonia?

Science.gov (United States)

Garcia-Gracia, Maribel; Donoso Vázquez, Trinidad

2016-01-01

This study carries out a comparative analysis of achievement according to gender between mixed and single-sex schools in the region of Catalonia, Spain, for the subjects of Spanish, Catalan, English and Mathematics. After a brief contextualisation, a review of the main findings from international studies on differences in results for mixed schools…

Can Language Attitudes Be Improved? A Longitudinal Study of Immigrant Students in Catalonia (Spain)

Science.gov (United States)

Ianos, Maria-Adelina; Huguet, Ángel; Janés, Judit; Lapresta, Cecilio

2017-01-01

This study explores changes in attitudes towards Catalan, Spanish, and English over a 2-year period, on the part of secondary education students of immigrant origin residing in Catalonia. It aims to provide new data by adopting a longitudinal design and by focusing on the immigrant population, which has raised new challenges for the Catalan…

Six-year surveillance of Newcastle disease virus in wild birds in north-eastern Spain (Catalonia).

Science.gov (United States)

Napp, Sebastian; Alba, Anna; Rocha, Ana Isabel; Sánchez, Azucena; Rivas, Raquel; Majó, Natalia; Perarnau, Mireia; Massot, Cristina; Miguel, Elena San; Soler, Mercé; Busquets, Núria

2017-02-01

Given that Newcastle disease (ND) is one of the major threats for the poultry industry, testing of Newcastle disease virus (NDV) has been carried out since 2010 in cases of mortality in wild birds (passive surveillance) in Catalonia. The objective is to provide an early warning system to prevent the infection of poultry. Since 2010, 35 episodes of mortality in wild birds were attributed to NDV infection. Throughout this period there was a progressive expansion of NDV to new areas, with an increase in the episodes of mortality, although it is not clear whether they were the result of the spread of the virus, or of the improvement of the surveillance. Phylogenetic analyses indicate that two distinct sublineages of NDV, 4a and 4b, were circulating in Catalonia. Both sublineages seem to be endemic in the wild bird population, affecting mainly Eurasian-collared doves, with a clear pattern in relation to its spatial distribution (coincident with the distribution of this species), and its temporal distribution (with the majority of cases between September and February). So far, endemicity in wild birds has not resulted in ND outbreaks in poultry. However, there are still many uncertainties about, for example, whether NDV may expand to new areas of Catalonia (with higher poultry density), or about the threat that the apparently more novel sublineage 4a may represent. Hence, efforts should be made so that measures to prevent infection of poultry farms (particularly in high-risk areas and periods) are encouraged, and surveillance is maintained.

The wildland-urban interface raster dataset of Catalonia.

Science.gov (United States)

Alcasena, Fermín J; Evers, Cody R; Vega-Garcia, Cristina

2018-04-01

We provide the wildland urban interface (WUI) map of the autonomous community of Catalonia (Northeastern Spain). The map encompasses an area of some 3.21 million ha and is presented as a 150-m resolution raster dataset. Individual housing location, structure density and vegetation cover data were used to spatially assess in detail the interface, intermix and dispersed rural WUI communities with a geographical information system. Most WUI areas concentrate in the coastal belt where suburban sprawl has occurred nearby or within unmanaged forests. This geospatial information data provides an approximation of residential housing potential for loss given a wildfire, and represents a valuable contribution to assist landscape and urban planning in the region.

Morbidity, outcomes and cost-benefit analysis of wildlife rehabilitation in Catalonia (Spain.

Directory of Open Access Journals (Sweden)

Rafael Angel Molina-López

Full Text Available There are few studies of careful examination of wildlife casualties in Wildlife Rehabilitation Centers. These studies are essential for detecting menaces to wild species and providing objective criteria about cost-benefit of treatments in those centers. The release rate is considered the main outcome indicator, but other parameters such as length of stay at the center and a cost-benefit index expressed as number of released animals per euro and day, could be used as reliable estimators of the rehabilitation costs.A retrospective study based on 54772 admissions recorded from 1995-2013 in the database of the Wildlife Rehabilitation Center of Torreferrussa (Catalonia, NW Spain assessed the morbidity, outcomes and cost-benefits of the rehabilitation practices.Three hundred and two species were included: 232 birds (n = 48633, 37 mammals (n = 3293, 20 reptiles (n = 2705 and 13 amphibians (n = 141. The most frequent causes of admission were: 39.8% confiscation of protected species (89.4% passerines, 31.8% orphaned young animals (35.3% swifts, 21.7% diurnal raptors and owls and 17.4% trauma casualties (46.7% raptors and owls. The highest proportion of releases was found in the captivity confiscation category [87.4% passerines (median time of stay: 12 days], followed by the orphaned category [78% owls (66 days, 76.5% diurnal birds of prey (43 days, 75.6% hedgehogs (49 days, 52.7% swifts (19 days and 52% bats (55 days]. For the trauma group, 46.8% of releases were hedgehogs (44 days and 25.6% owls (103 days. As regards the cost-benefit index, the trauma casualties and infectious diseases had the worse values with 1.3 and 1.4 released animals/euro/day respectively, and were particularly low in raptors, waders, marine birds and chiroptera. On the contrary, captivity (4.6 and misplacement (4.1 had the best index, particulary in amphibian, reptiles and passerines.Cost-benefit studies including the release rate, the time of stay at the center and the cost

About One Memorable Date in the History of Spain

Directory of Open Access Journals (Sweden)

Galina I. Volkova

2014-01-01

Full Text Available In 1714 the Catalans, being in the camp of the losers in the War of the Spanish Succession, finally lost any hope to gain independence. 300 years later, nationalists, who are in power now in Catalonia, want to take advantage of that memorable date by organizing a regional referendum in order to choose their own path of development. In the aggravating conflict of interests between Madrid and Barcelona both parties use not only political and propaganda measures, but also financial leverages of influence. The ethnonational issue in the multiethnic Spain is far from being solved, because for centuries the process of forming a unified Spanish state was characterized by political union of several genetically related (except Basque ethnic communities, although with significant socio-cultural and linguistic differences among them. It is not coincidental that regional identity in Spain is still extremely strong, while the interethnic consolidation of the Spanish nation can be characterized as incomplete, which can be seen, particularly, in the intensification in recent decades of radical nationalist and separatist sentiments in Catalonia, the Basque Country and some other autonomies. Among reasons which escalated confrontation between supporters and opponents of Catalonian independence, we should mention the global financial crisis that hit the regions of Spain as well as the overall national economy. The separatists have many barriers on their way, starting from the constitutional provisions proclaiming Spain a united and indivisible state which impede to carry out regional plebiscites, and ending by an ambiguous attitude towards the hypothetical independence of Catalonia by both the residents of the region and in other parts of the country. It is important to keep in mind that in today's world the possibility of breaking large multiethnic state into ethnically constituting elements is more possible than 40-50 years ago. Disintegration of Yugoslavia and

Impact of the mass media OBERTAMENT campaign on the levels of stigma among the population of Catalonia, Spain.

Science.gov (United States)

Rubio-Valera, M; Fernández, A; Evans-Lacko, S; Luciano, J V; Thornicroft, G; Aznar-Lou, I; Serrano-Blanco, A

2016-01-01

Reducing public stigma could improve patients' access to care, recovery and social integration. The aim of the study was to evaluate a mass media intervention, which aimed to reduce the mental health, related stigma among the general population in Catalonia (Spain). We conducted a cross-sectional population-based survey of a representative sample of the Catalan non-institutionalized adult population (n=1019). We assessed campaign awareness, attitudes to people with mental illness (CAMI) and intended behaviour (RIBS). To evaluate the association between campaign awareness and stigma, multivariable regression models were used. Over 20% of respondents recognized the campaign when prompted, and 11% when unprompted. Campaign aware individuals had better attitudes on the benevolence subscale of the CAMI than unaware individuals (P=0.009). No significant differences in authoritarianism and support for community mental health care attitudes subscales were observed. The campaign aware group had better intended behaviour than the unaware group (Pstigma campaign had a positive impact to improve the attitudes and intended behaviour towards people with mental illness of the Catalan population. The impact on stigma was limited to attitudes related to benevolence. A wider range of anti-stigma messages could produce a stronger impact on attitudes and intended behaviour. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Prevalence of alcohol-impaired drivers based on random breath tests in a roadside survey in Catalonia (Spain).

Science.gov (United States)

Alcañiz, Manuela; Guillén, Montserrat; Santolino, Miguel; Sánchez-Moscona, Daniel; Llatje, Oscar; Ramon, Lluís

2014-04-01

Sobriety checkpoints are not usually randomly located by traffic authorities. As such, information provided by non-random alcohol tests cannot be used to infer the characteristics of the general driving population. In this paper a case study is presented in which the prevalence of alcohol-impaired driving is estimated for the general population of drivers. A stratified probabilistic sample was designed to represent vehicles circulating in non-urban areas of Catalonia (Spain), a region characterized by its complex transportation network and dense traffic around the metropolis of Barcelona. Random breath alcohol concentration tests were performed during spring 2012 on 7596 drivers. The estimated prevalence of alcohol-impaired drivers was 1.29%, which is roughly a third of the rate obtained in non-random tests. Higher rates were found on weekends (1.90% on Saturdays and 4.29% on Sundays) and especially at night. The rate is higher for men (1.45%) than for women (0.64%) and it shows an increasing pattern with age. In vehicles with two occupants, the proportion of alcohol-impaired drivers is estimated at 2.62%, but when the driver was alone the rate drops to 0.84%, which might reflect the socialization of drinking habits. The results are compared with outcomes in previous surveys, showing a decreasing trend in the prevalence of alcohol-impaired drivers over time. Copyright © 2014 Elsevier Ltd. All rights reserved.

Adaptive capacity of the Adjusted Clinical Groups Case-Mix System to the cost of primary healthcare in Catalonia (Spain): a observational study.

Science.gov (United States)

Sicras-Mainar, Antoni; Velasco-Velasco, Soledad; Navarro-Artieda, Ruth; Prados-Torres, Alexandra; Bolibar-Ribas, Buenaventura; Violan-Fors, Concepción

2012-01-01

To describe the adaptive capacity of the Adjusted Clinical Groups (ACG) system to the cost of care in primary healthcare centres in Catalonia (Spain). Retrospective study (multicentres) conducted using computerised medical records. 13 primary care teams in 2008 were included. All patients registered in the study centres who required care between 1 January and 31 December 2008 were finally studied. Patients not registered in the study centres during the study period were excluded. Demographic (age and sex), dependent (cost of care) and case-mix variables were studied. The cost model for each patient was established by differentiating the fixed and variable costs. To evaluate the adaptive capacity of the ACG system, Pearson's coefficient of variation and the percentage of outliers were calculated. To evaluate the explanatory power of the ACG system, the authors used the coefficient of determination (R(2)). The number of patients studied was 227 235 (frequency: 5.9 visits per person per year), with a mean of 4.5 (3.2) episodes and 8.1 (8.2) visits per patient per year. The mean total cost was €654.2. The explanatory power of the ACG system was 36.9% for costs (56.5% without outliers). 10 ACG categories accounted for 60.1% of all cases and 19 for 80.9%. 5 categories represented 71% of poor performance (N=78 887, 34.7%), particularly category 0300-Acute Minor, Age 6+ (N=26 909, 11.8%), which had a coefficient of variation =139% and 6.6% of outliers. The ACG system is an appropriate manner of classifying patients in routine clinical practice in primary healthcare centres in Catalonia, although improvements to the adaptive capacity through disaggregation of some categories according to age groups and, especially, the number of acute episodes in paediatric patients would be necessary to reduce intra-group variation.

Results of a sector-wide quality improvement initiative for substance-abuse care: an uncontrolled before-after study in Catalonia, Spain.

Science.gov (United States)

Hilarion, Pilar; Groene, Oliver; Colom, Joan; Lopez, Rosa M; Suñol, Rosa

2010-10-23

The Health Department of the Regional Government of Catalonia, Spain, issued a quality plan for substance abuse centers. The objective of this paper is to evaluate the impact of a multidimensional quality improvement initiative in the field of substance abuse care and to discuss potentials and limitations for further quality improvement. The study uses an uncontrolled, sector-wide pre-post design. All centers providing services for persons with substance abuse issues in the Autonomous Community of Catalonia participated in this assessment. Measures of compliance were developed based on indicators reported in the literature and by broad stakeholder involvement. We compared pre-post differences in dimension-specific and overall compliance-scores using one-way ANOVA for repeated measures and the Friedman statistic. We described the spread of the data using the inter-quartile range and the Fligner-Killen statistic. Finally, we adjusted compliance scores for location and size using linear and logistic regression models. We performed a baseline and follow up assessment in 22 centers for substance abuse care and observed substantial and statistically significant improvements for overall compliance (pre: 60.9%; post: 79.1%) and for compliance in the dimensions 'care pathway' (pre: 66.5%; post: 83.5%) and 'organization and management' (pre: 50.5%; post: 77.2%). We observed improvements in the dimension 'environment and infrastructure' (pre: 81.8%; post: 95.5%) and in the dimension 'relations and user rights' (pre: 66.5%; post: 72.5%); however, these were not statistically significant. The regression analysis suggests that improvements in compliance are positively influenced by being located in the Barcelona region in case of the dimension 'relations and user rights'. The positive results of this quality improvement initiative are possibly associated with the successful involvement of stakeholders, the consciously constructed feedback reports on individual and sector

A CHARACEAN THALLUS WITH ATTACHED GYROGONITES AND ASSOCIATED FOSSIL CHAROPHYTES FROM THE MAASTRICHTIAN OF THE EASTERN PYRENEES (CATALONIA, SPAIN)(1).

Science.gov (United States)

Villalba-Breva, Sheila; Martín-Closas, Carles

2011-02-01

The new species Clavatoraxis microcharophorus is described from the Lower Maastrichtian of the Eastern Pyrenees (Catalonia, Spain). Microchara sp. gyrogonites were found in anatomical connection with this thallus, attached to bract-cell rosettes and coated by a structural tunica, formed by an expanded bract cell. This is a feature unknown in extant characeans, which only display lime incrustations similar to tunicae in extremely alkaline and well-illuminated environments. This is the first time that a complete fossil characean is described. The attribution of characean vegetative remains to the genus Clavatoraxis shows that this genus is not exclusive of clavatoraceans as previously thought. The taphonomic study of C. microcharophorus sp. nov. and associated fossil charophytes, along with sedimentological and microfacies analyses, has enabled us to characterize the habitat of this species in the Maastrichtian lake of Vallcebre. They grew forming meadows, and their remains were deposited in the poorly oxygenated lake bottom, where they were well preserved. A number of other characeans and porocharaceans were living in shallower belts. This was the case for Peckichara sp. and Munieria grambasti in the freshwater lacustrine meadows. Another species, Feistiella malladae, was found parautochthonous in brackish lakes. © 2011 Phycological Society of America.

Dataset of herbarium specimens of threatened vascular plants in Catalonia.

Science.gov (United States)

Nualart, Neus; Ibáñez, Neus; Luque, Pere; Pedrol, Joan; Vilar, Lluís; Guàrdia, Roser

2017-01-01

This data paper describes a specimens' dataset of the Catalonian threatened vascular plants conserved in five public Catalonian herbaria (BC, BCN, HGI, HBIL and MTTE). Catalonia is an administrative region of Spain that includes large autochthon plants diversity and 199 taxa with IUCN threatened categories (EX, EW, RE, CR, EN and VU). This dataset includes 1,618 records collected from 17 th century to nowadays. For each specimen, the species name, locality indication, collection date, collector, ecology and revision label are recorded. More than 94% of the taxa are represented in the herbaria, which evidence the paper of the botanical collections as an essential source of occurrence data.

Factors influencing the movements during the breeding season of a female booted eagle (Aquila pennata tagged by satellite in central Catalonia (Spain

Directory of Open Access Journals (Sweden)

Bosch Josep

2016-12-01

Full Text Available Foraging movements during the breeding season are a poorly studied aspect of booted eagle behaviour. We have investigated the relationship between weather and other abiotic factors and foraging behaviour, and also resource use by a female booted eagle, tagged by satellite-GPS transmitter in central Catalonia, during summer 2012 and spring 2013. Generalized Linear Models (GLMs revealed that the distance travelled from the nest was significantly related to temperature, but also to the time of day and the age of chicks. Temperature also had a significant positive influence on flight altitude and the latter on flight speed. The Resource Utilization Function (RUF showed significant resource use in locations close to water (rivers and water bodies and also in agricultural areas, preferably close to urban areas and rivers. On the other hand, unlike in other areas of Spain, the use of the edges between forest and agricultural areas and forest areas themselves showed negative coefficients with values not significant, perhaps related to changes in prey availability in the traditional hunting grounds.

Occurrence and fate of alkylphenols and alkylphenol ethoxylates in sewage treatment plants and impact on receiving waters along the Ter River (Catalonia, NE Spain).

Science.gov (United States)

Céspedes, Raquel; Lacorte, Sílvia; Ginebreda, Antonio; Barceló, Damià

2008-05-01

The partitioning of alkylphenols in the dissolved and particulate matter of influents, effluents, accumulation onto sludge and the impact of sewage treatment plant upon receiving waters was studied along the Ter River basin (Catalonia, NE Spain). A solid-phase extraction or pressurized liquid extraction followed by liquid chromatography-mass spectrometry was developed and permitted to determine target compounds with high efficiency in waters, particulate material and sludge. Nonylphenol mono- and diethoxylate, nonylphenol and octylphenol partitioned preferably upon particulate matter and sludge, whereas long chain NPE(3-15)O prevailed in the dissolved phase and was released by effluents. Within the treatment process, a net accumulation of alkylphenols in sludge was found, producing up to 148g/t/month. The removal efficiency of alkylphenols was of 37-90% and depended on the treatment. Assessment on the fate of these contaminants within STPs is discussed in terms of flow rates, biological oxygen demand and tons of sludge produced.

Political and Territorial Construction of Regional and National Identities in Spain since 1978

DEFF Research Database (Denmark)

Humlebæk, Carsten

2016-01-01

This study focuses on the Statute-related parliamentary debates of the Catalan and Valencian autonomous regions and analyses the conceptions of the political communities defended by the political parties, both of Spain, Valencia and Catalonia and the relationship between them. The goal...... is to analyse the differences over time and across ideologies of the identification patterns and the preferences with regards to the territorial organisation of the Spanish state and the arguments used to legitimise these positions. Unsurprising, the investigation shows that the secessionist crisis in Catalonia...... is reflected in many ways, but it also shows indications of conflict or of highly sensitive areas with conflict potential as early as 1979. Furthermore there are significant differences in the ways the political parties act in Valencia and Catalonia, respectively. The results suggest that the decentralisation...

Effectiveness of family work interventions on schizophrenia: evidence from a multicentre study in Catalonia.

Science.gov (United States)

Tomás, Esther Pousa; Hurtado, Gemma; Noguer, Sílvia; Domènech, Cristina; García, Montse; López, Nuria; Negredo, Maríacruz; Penadés, Rafael; Reinares, María; Serrano, Dolors; Dolz, Montse; Gallo, Pedro

2012-11-01

Despite their proven efficacy, family work interventions on families of patients with schizophrenia are not being implemented in routine clinical practice in contexts where expressed emotion levels among caregivers are relatively high. This study aimed to explore the effectiveness of a family work intervention in a Mediterranean environment in Catalonia, Spain. Participants were 23 patients and 35 key relatives in five different clinical settings. The family intervention was provided by 10 trained health care professionals during a nine-month period. A six-month follow-up was also conducted. Statistically significant improvements were found in patients' clinical status, global functioning and social functioning levels, as well as in caregivers' burden of care. These results were maintained during follow-up. This is the first study to explore the effectiveness of family intervention in a high-expressed emotion context in Catalonia. The findings add weight to the growing literature supporting these interventions in different cultural settings.

Rickettsia felis in fleas from Catalonia (Northeast Spain).

Science.gov (United States)

Nogueras, María-Mercedes; Pons, Immaculada; Ortuño, Anna; Lario, Sergio; Segura, Ferran

2011-05-01

Rickettsia felis produces a syndrome indistinguishable from murine typhus, which has been described in Spain. R. felis is transmitted to humans by fleas. Although no clinical case has been described so far, serologic evidence of infections in humans, cats, and dogs has been obtained in our area. However, no study has been conducted regarding its presence in vectors. Recognition of routes of transmission is of great importance to prevent infection in humans. Taking into account these results, R. felis seems to be present in animals that are in contact with humans. The aim of this study was to determine the presence of R. felis in the fleas of cats and dogs from Northeast Spain, to show the presence of peridomestic cycle in our area. Between May 2006 and July 2008, 78 fleas were collected. Sixty-three fleas were recovered from kennels. Most of them were collected from cages and a few of them on dogs and cats living in kennels. Fifteen fleas were collected from dogs and cats attended at a veterinary clinic. Fleas were rinsed with ethanol, dried, identified, and stored at 4°C. DNA was extracted from each flea individually. Rickettsial DNA was determined by quantitative real-time polymerase chain reaction. OmpB-specific primers and molecular beacon probes targeting specifically R. felis were used. All 78 fleas were identified as Ctenocephalides felis. R. felis was detected in 34 (43.6%) fleas. No nucleic acids were amplified from negative controls and expected results were obtained from positive controls. Eight positive samples were also confirmed by sequencing. R. felis was found in a high percentage of Ct. felis from cats and dogs. It seems that there is a peridomestic cycle in Northeast Spain, which would allow contact of R. felis with humans.

[Surveillance Plan on Recent Outbreak of Measles and Rubella in Catalonia, Spain].

Science.gov (United States)

Jané, Mireia; Torner, Nuria; Vidal, Ma José

2015-01-01

Measles and rubella are two immuno-preventive illnesses. In Catalonia, since 1988 all children are given two doses of measles and rubella vaccine with high levels of vaccination coverage. The measles elimination programme has been carried out since 1990 in Catalonia. This programme includes achieving and keeping high immunization levels among population with high vaccination coverage, intense epidemiological surveillance and an immediate response to the appearance of a case or outbreak. In 2014, the measles incidence rate was 1.9 cases/ 100,000 inhabitants. There were 4 recent outbreaks in 2006, 2011, 2013 and 2014 that affected 381, 289, 31 and 124 people respectively. All outbreaks were triggered by an imported case. In 2011 and 2014 measles outbreaks, 6% and 5.5% of affected people were health care workers. All outbreaks presented a great variety of measles genotypes. Concerning rubella elimination programme, since 2002, 68 cases of postnatal rubella and 5 cases of congenital rubella were confirmed. Regarding measles and rubella surveillance and control, in addition to strengthen vaccination coverage, it is essential immediate notification, within the first 24 hours since suspicion and laboratory confirmation. In addition there is a need to enforce vaccination among health care workers as well as in other susceptible and unvaccinated people. It is recommended to vaccinate all people who were born after 1966 and who have not been vaccinated with two doses of trivalent measles-mumps-rubella vaccine. Furthermore, we have to emphasize that the progress concerning genotypes study allows identifying various imported cases from other European countries with active outbreaks, aspect that makes easier the surveillance of these illnesses.

[Estimating non work-related sickness leave absences related to a previous occupational injury in Catalonia (Spain)].

Science.gov (United States)

Molinero-Ruiz, Emilia; Navarro, Albert; Moriña, David; Albertí-Casas, Constança; Jardí-Lliberia, Josefina; de Montserrat-Nonó, Jaume

2015-01-01

To estimate the frequency of non-work sickness absence (ITcc) related to previous occupational injuries with (ATB) or without (ATSB) sick leave. Prospective longitudinal study. Workers with ATB or ATSB notified to the Occupational Accident Registry of Catalonia were selected in the last term of 2009. They were followed-up for six months after returning to work (ATB) or after the accident (ATSB), by sex and occupation. Official labor and health authority registries were used as information sources. An "injury-associated ITcc" was defined when the sick leave occurred in the following six months and within the same diagnosis group. The absolute and relative frequency were calculated according to time elapsed and its duration (cumulated days, measures of central trend and dispersion), by diagnosis group or affected body area, as compared to all of Catalonia. 2,9%of ATB (n=627) had an injury-associated ITcc, with differences by diagnosis, sex and occupation; this was also the case for 2,1% of ATSB (n=496).With the same diagnosis, duration of ITcc was longer among those who had an associated injury, and with respect to all of Catalonia. Some of the under-reporting of occupational pathology corresponds to episodes initially recognized as being work-related. Duration of sickness absence depends not only on diagnosis and clinical course, but also on criteria established by the entities managing the case. This could imply that more complicated injuries are referred to the national health system, resulting in personal, legal, healthcare and economic cost consequences for all involved stakeholders. Copyright belongs to the Societat Catalana de Salut Laboral.

“Do you want Catalonia to be an independent state in the form of a republic?”

DEFF Research Database (Denmark)

Abat Ninet, Antoni

government that has vowed to use all possible means to stop the referendum from being held. The call triggers another political and legal quarrel with the Spanish government that is inexorably opposed to recognize the right of self-determination of Catalonia. After a brief introduction on the political...... the Catalonia-Spain political issue that highlights many legal and political dilemmas, such as the boundaries of federalism; the undesirable clash between democracy and the rule of law; the limits of the principle of non-intervention; the definition of Nation and the principle of self-determination. After...... of Autonomy. The last section of the paper deals with the Catalan referendum on independence analysing in detail both the Spanish arguments to abort the voting and the Catalan thesis to hold the plebiscite. The section also examines the political alternatives and mechanisms to the referendum on independence...

The Parliament of Catalonia, representing a millenary people

OpenAIRE

Mateu Vilaseca, Marcel

2017-01-01

Catalonia is a millenary nation, which the current Spanish constitutional order frames as an “autonomous community”. However, Catalonia as a nation was not born with the Spanish Constitution in 1978, nor has any possibility for the future been democratically barred. The most important contribution to Catalonia made by the 1978 Constitution was to make it possible for the Catalan Statute to create the Catalan Parliament, an institution that democratically represents the people of Catalonia and...

Explosive cyclogenesis of extra-tropical cyclone Klaus and its effects in Catalonia. A case study of hurricane force gusts.

Science.gov (United States)

Calvo, J.; López, J. A.; Martín, F.; Morales, G.; Pascual, R.

2009-09-01

On 23th and 24th of January 2009, the extra-tropical cyclone Klaus crossed the north of Spain and the south of France producing several deaths and generalized damages. The cyclone of Atlantic origin underwent an explosive deepening of more than 1 hPa per hour at the surface level. Catalonia region was affected by gale-force winds and hurricane gusts. The Atlantic depression underwent a process called explosive cyclogenesis (when a surface cyclone deepens at a rate higher than 1 hPa/hr over 24 hours, approximately) in front of the Spanish Atlantic coasts. In this study we focus on its impact in the Catalonia areas where both synoptic and local effects were important. Also we evaluate the performance of the numerical weather prediction model outputs against observed data.

[Design, implementation and evaluation of a management model of patient safety in hospitals in Catalonia, Spain].

Science.gov (United States)

Saura, Rosa Maria; Moreno, Pilar; Vallejo, Paula; Oliva, Glòria; Alava, Fernando; Esquerra, Miquel; Davins, Josep; Vallès, Roser; Bañeres, Joaquim

2014-07-01

Since its inception in 2006, the Alliance for Patient Safety in Catalonia has played a major role in promoting and shaping a series of projects related to the strategy of the Ministry of Health, Social Services and Equality, for improving patient safety. One such project was the creation of functional units or committees of safety in hospitals in order to facilitate the management of patient safety. The strategy has been implemented in hospitals in Catalonia which were selected based on criteria of representativeness. The intervention was based on two lines of action, one to develop the model framework and the other for its development. Firstly the strategy for safety management based on EFQM (European Foundation for Quality Management) was defined with the development of standards, targets and indicators to implement security while the second part involved the introduction of tools, methodologies and knowledge to the management support of patient safety and risk prevention. The project was developed in four hospital areas considered higher risk, each assuming six goals for safety management. Some of these targets such as the security control panel or system of adverse event reporting were shared. 23 hospitals joined the project in Catalonia. Despite the different situations in each centre, high compliance was achieved in the development of the objectives. In each of the participating areas the security control panel was developed. Stable structures for safety management were established or strengthened. Training in patient safety played and important role, 1415 professionals participated. Through these kind of projects not only have been introduced programs of proven effectiveness in reducing risks, but they also provide to the facilities a work system that allows autonomy in diagnosis and analysis of the different risk situations or centre specific safety issues. Copyright © 2014. Published by Elsevier Espana.

Reduction of Direct Health Costs Associated with Pertussis Vaccination with Acellular Vaccines in Children Aged 0-9 Years with Pertussis in Catalonia (Spain).

Science.gov (United States)

Plans-Rubió, Pedro; Navas, Encarna; Godoy, Pere; Carmona, Gloria; Domínguez, Angela; Jané, Mireia; Muñoz-Almagro, Carmen; Brotons, Pedro

2018-05-14

The aim of this study was to assess direct health costs in children with pertussis aged 0-9 years who were vaccinated, partially vaccinated, and unvaccinated during childhood, and to assess the association between pertussis costs and pertussis vaccination in Catalonia (Spain) in 2012-2013. Direct healthcare costs included pertussis treatment, pertussis detection, and preventive chemotherapy of contacts. Pertussis patients were considered vaccinated when they had received 4-5 doses, and unvaccinated or partially vaccinated when they had received 0-3 doses of vaccine. The Chi square test and the odds ratios were used to compare percentages and the t test was used to compare mean pertussis costs in different groups, considering a p case after taking into account the effect of other study variables, and €200 per case after taking into account pertussis severity. Direct healthcare costs were lower in children with pertussis aged 0-9 years vaccinated with 4-5 doses of acellular vaccines than in unvaccinated or partially vaccinated children with pertussis of the same age.

Occurrence and fate of alkylphenols and alkylphenol ethoxylates in sewage treatment plants and impact on receiving waters along the Ter River (Catalonia, NE Spain)

International Nuclear Information System (INIS)

Cespedes, Raquel; Lacorte, Silvia; Ginebreda, Antonio; Barcelo, Damia

2008-01-01

The partitioning of alkylphenols in the dissolved and particulate matter of influents, effluents, accumulation onto sludge and the impact of sewage treatment plant upon receiving waters was studied along the Ter River basin (Catalonia, NE Spain). A solid-phase extraction or pressurized liquid extraction followed by liquid chromatography-mass spectrometry was developed and permitted to determine target compounds with high efficiency in waters, particulate material and sludge. Nonylphenol mono- and diethoxylate, nonylphenol and octylphenol partitioned preferably upon particulate matter and sludge, whereas long chain NPE 3-15 O prevailed in the dissolved phase and was released by effluents. Within the treatment process, a net accumulation of alkylphenols in sludge was found, producing up to 148 g/t/month. The removal efficiency of alkylphenols was of 37-90% and depended on the treatment. Assessment on the fate of these contaminants within STPs is discussed in terms of flow rates, biological oxygen demand and tons of sludge produced. - Whereas partitioning of nonylphenol upon particulate matter and enrichment in sludge has been detected, long chain NPE n Os were mainly found in the dissolved phase

Estimating the HIV undiagnosed population in Catalonia, Spain: descriptive and comparative data analysis to identify differences in MSM stratified by migrant and Spanish-born population

Science.gov (United States)

Campbell, Colin N J; Vives, Núria; Esteve, Anna; Ambrosioni, Juan; Tural, Cristina; Ferrer, Elena; Navarro, Gemma; Force, Lluis; García, Isabel; Masabeu, Àngels; Vilaró, Josep M; García de Olalla, Patricia; Caylà, Joan Artur; Miró, Josep M; Casabona, Jordi

2018-01-01

Objective Undiagnosed HIV continues to be a hindrance to efforts aimed at reducing incidence of HIV. The objective of this study was to provide an estimate of the HIV undiagnosed population in Catalonia and compare the HIV care cascade with this step included between high-risk populations. Methods To estimate HIV incidence, time between infection and diagnosis and the undiagnosed population stratified by CD4 count, we used the ECDC HIV Modelling Tool V.1.2.2. This model uses data on new HIV and AIDS diagnoses from the Catalan HIV/AIDS surveillance system from 2001 to 2013. Data used to estimate the proportion of people enrolled, on ART and virally suppressed in the HIV care cascade were derived from the PISCIS cohort. Results The total number of people living with HIV (PLHIV) in Catalonia in 2013 was 34 729 (32 740 to 36 827), with 12.3% (11.8 to 18.1) of whom were undiagnosed. By 2013, there were 8458 (8101 to 9079) Spanish-born men who have sex with men (MSM) and 2538 (2334 to 2918) migrant MSM living with HIV in Catalonia. A greater proportion of migrant MSM than local MSM was undiagnosed (32% vs 22%). In the subsequent steps of the HIV care cascade, migrants MSM experience greater losses than the Spanish-born MSM: in retention in care (74% vs 55%), in the proportion on combination antiretroviral treatment (70% vs 50%) and virally suppressed (65% vs 46%). Conclusions By the end of 2013, there were an estimated 34 729 PLHIV in Catalonia, of whom 4271 were still undiagnosed. This study shows that the Catalan epidemic of HIV has continued to expand with the key group sustaining HIV transmission being MSM living with undiagnosed HIV. PMID:29490955

Sensitivity analysis in a life cycle assessment of an aged red wine production from Catalonia, Spain.

Science.gov (United States)

Meneses, M; Torres, C M; Castells, F

2016-08-15

Sustainability in agriculture and food processing is an issue with a clear growing interest; especially in products were consumers have particular awareness regarding its environmental profile. This is the case of wine industry depending on grape production, winemaking and bottling. Also viticulture and generally agricultural production is significantly affected by climate variations. The aim of this article is to determine the environmental load of an aged red wine from a winery in Catalonia, Spain, over its entire life cycle, including sensitivity analysis of the main parameters related to the cultivation, vinification and bottling. The life cycle assessment (LCA) methodology is used for the environmental analysis. In a first step, life cycle inventory (LCI) data were collected by questionnaires and interviews with the winemaker, all data are actual operating data and all the stages involved in the production have been taken into account (viticulture, vinification, bottling and the disposal subsystem). Data were then used to determine the environmental profile by a life cycle impact assessment using the ReCiPe method. Annual variability in environmental performance, stresses the importance of including timeline analysis in the wine sector. Because of that this study is accompanied with a sensitivity analysis carried out by a Monte Carlo simulation that takes into account the uncertainty and variability of the parameters used. In this manner, the results are presented with confidence intervals to provide a wider view of the environmental issues derived from the activities of the studied wine estate regardless of the eventualities of a specific harvesting year. Since the beverage packaging has an important influence in this case, a dataset for the production of green glass was adapted to reflect the actual recycling situation in Spain. Furthermore, a hypothetical variation of the glass-recycling rate in the glass production completes this article, as a key variable

Assessment of different surveillance systems for avian influenza in commercial poultry in Catalonia (North-Eastern Spain).

Science.gov (United States)

Alba, A; Casal, J; Napp, S; Martin, P A J

2010-11-01

Compulsory surveillance programmes for avian influenza (AI) have been implemented in domestic poultry and wild birds in all the European Member States since 2005. The implementation of these programmes is complex and requires a close evaluation. A good indicator to assess their efficacy is the sensitivity (Se) of the surveillance system. In this study, the sensitivities for different sampling designs proposed by the Spanish authorities for the commercial poultry population of Catalonia were assessed, using the scenario tree model methodology. These samplings were stratified throughout the territory of Spain and took into account the species, the types of production and their specific risks. The probabilities of detecting infection at different prevalences at both individual and holding level were estimated. Furthermore, those subpopulations that contributed more to the Se of the system were identified. The model estimated that all the designs met the requirements of the European Commission. The probability of detecting AI circulating in Catalonian poultry did not change significantly when the within-holding design prevalence varied from 30% to 10%. In contrast, when the among-holding design prevalence decreased from 5% to 1%, the probability of detecting AI was drastically reduced. The sampling of duck and goose holdings, and to a lesser extent the sampling of turkey and game bird holdings, increased the Se substantially. The Se of passive surveillance in chickens for highly pathogenic avian influenza (HPAI) and low pathogenicity avian influenza (LPAI) were also assessed. The probability of the infected birds manifesting apparent clinical signs and the awareness of veterinarians and farmers had great influence on the probability of detecting AI. In order to increase the probability of an early detection of HPAI in chicken, the probability of performing AI specific tests when AI is suspected would need to be increased. Copyright © 2010 Elsevier B.V. All rights

Prevalence of measles antibodies among health care workers in Catalonia (Spain) in the elimination era

Science.gov (United States)

2013-01-01

Background Interruption of measles transmission was achieved in Catalonia (Spain) in 2000. Six years later, a measles outbreak occurred between August 2006 and June 2007 with 381 cases, 11 of whom were health care workers (HCW). The objective was to estimate susceptibility to measles in HCW and related demographic and occupational characteristics. Methods A measles seroprevalence study was carried out in 639 HCW from six public tertiary hospitals and five primary healthcare areas. Antibodies were tested using the Vircell Measles ELISA IgG Kit. Data were analyzed according to age, sex, type of HCW, type of centre and vaccination history. The odds ratios (OR) and their 95% CI were calculated to determine the variables associated with antibody prevalence. OR were adjusted using logistic regression. Positive predictive values (PPV) and the 95% confidence intervals (CI) of having two documented doses of a measles containing vaccine (MCV) for the presence of measles antibodies and of reporting a history of measles infection were calculated. Results The prevalence of measles antibodies in HCW was 98% (95% CI 96.6-98.9), and was lower in HCW born in 1981 or later, after the introduction of systematic paediatric vaccination (94.4%; 95% CI 86.4-98.5) and higher in HCW born between 1965 and 1980 (99.0%; 95% CI 97.0-99.8). Significant differences were found for HCW born in 1965–1980 with respect to those born in 1981 and after (adjusted OR of 5.67; 95% CI: 1.24-25.91). A total of 187 HCW reported being vaccinated: the proportion of vaccinated HCW decreased with age. Of HCW who reported being vaccinated, vaccination was confirmed by the vaccination card in 49%. Vaccination with 2 doses was documented in only 50 HCW, of whom 48 had measles antibodies. 311 HCW reported a history of measles. The PPV of having received two documented doses of MCV was 96% (95% CI 86.3-99.5) and the PPV of reporting a history of measles was 98.7% (95% CI 96.7-99.6). Conclusions Screening to detect

Educational Achievement of Immigrant Adolescents in Spain: Do Gender and Region of Origin Matter?

Science.gov (United States)

Vaquera, Elizabeth; Kao, Grace

2012-01-01

This study explores the educational achievement of immigrant youth in Spain employing data from 3 waves of the Longitudinal Study of Families and Childhood (Panel de Families i Infancia), a representative sample of children in Catalonia first interviewed at ages 13-16 in 2006 (N = 2,710). Results suggest consistent disadvantage in achievement…

The Universe Observation Center: an educational center devoted to Astronomy in Catalonia

Science.gov (United States)

Fernández, D.

The Universe Observation Center (in Catalan language, Centre d'Observació de l'Univers, COU) is located in close proximity to the Montsec Astronomical Observatory (Observatori Astronòmic del Montsec, OAM), in eastern Catalonia (Spain). Both centers comprise the Montsec Astronomical Park (Parc Astronòmic Montsec, PAM), managed by the Consorci del Montsec. Montsec Mountain remains the finest location for astronomical observation in Catalonia, as demonstrated by a site-testing campaign conducted by the Astronomy and Meteorology Department of the University of Barcelona. The COU consists of a Central Building (including a permanent exhibition and three classrooms possessing broadband Internet access), the Telescope Park (two astronomical domes equipped with medium-size telescopes, a coelostat for solar observation, and a portable telescope park), the Eye of Montsec (a digital planetarium and, at the same time, an extremely innovative platform for sky observation) and the Garden of the Universe (a tour of the land surrounding the COU, visiting several areas within it). The COU will offer to the Spanish academic community a host of fascinating and unique activities in the fields of astronomy and geology. The Center is open not only to students (from primary school through university), but also to amateur astronomers, people interested in science and the general public.

Foreign Language Competence and Content and Language Integrated Learning in Multilingual Schools in Catalonia: An "Ex Post Facto" Study Analysing the Results of State Key Competences Testing

Science.gov (United States)

Coral, Josep; Lleixà, Teresa; Ventura, Carles

2018-01-01

The member states of the European Union have funded many initiatives supporting the teaching and learning of foreign languages. Content and language integrated learning is one of the experimental language programmes that have been introduced in Catalonia, in the north-east of Spain. The aims of this study are to analyse the results achieved by…

Direct and indirect costs of Multiple Sclerosis in Baix Llobregat (Catalonia, Spain, according to disability

Directory of Open Access Journals (Sweden)

Gubieras Laura

2006-11-01

Full Text Available Abstract Background Multiple sclerosis (MS is an incurable chronic disease that predominantly affects young adults. It has a high socio-economic impact which increases as disability progresses. An assessment of the real costs of MS may contribute to our knowledge of the disease and to treat it more efficiently. Our objective is to assess the direct and indirect costs of MS from a societal perspective, in patients monitored in our MS Unit (Baix Llobregat, Catalonia and grouped according to their disability (EDSS. Methods We analysed data from 200 MS patients, who answered a questionnaire on resource consumption, employment and economical status. Mean age was 41.6 years, mean EDSS 2.7, 65.5% of patients were female, 79.5% had a relapsing-remitting course, and 67.5% of them were receiving immunomodulatory treatment (IT. Patients were grouped into five EDSS stages. Data from the questionnaires, hospital charts, Catalan Health Service tariffs, and figures from Catalan Institute of Statistics were used to calculate the direct and indirect costs. The cost-of-illness method, and the human capital approach for indirect costs, were applied. Sensitivity analyses were performed to strengthen results. Results The mean total annual cost of MS per patient results 24272 euros. This cost varied according to EDSS: 14327 euros (EDSS = 0, 18837 euros (EDSS = 1–3, 27870 euros (EDSS = 3.5–5.5, 41198 euros (EDSS = 6–7 and 52841 euros (EDSS>7.5. When the mean total annual costs was adjusted by the mean % of patients on IT in our Unit (31% the result was 19589 euros. The key-drivers for direct costs were IT in low EDSS stages, and caregiver costs in high stages. Indirect costs were assessed in terms of the loss of productivity when patients stop working. Direct costs accounted for around 60% of total costs in all EDSS groups. IT accounts from 78% to 11% of direct costs, and decreased as disability progressed. Conclusion The total mean social costs of MS in a

Tourism Demand in Catalonia: detecting external economic factors

OpenAIRE

Clavería González, Óscar; Datzira, Jordi

2009-01-01

There is a lack of studies on tourism demand in Catalonia. To fill the gap, this paper focuses on detecting the macroeconomic factors that determine tourism demand in Catalonia. We also analyse the relation between these factors and tourism demand. Despite the strong seasonal component and the outliers in the time series of some countries, overnight stays give a better indication of tourism demand in Catalonia than the number of tourists. The degree of linear association between the macroecon...

Gangs in Catalonia. The approach from the Catalonia Government Police Troopers

Directory of Open Access Journals (Sweden)

Santiago Herrero Blanco

2014-05-01

Full Text Available In 2002, the presence of gangs was detected in Catalonia. The groups had their origins in bands from the American continent, with whom they maintained communication and dependency relationships. Since then, there has been steady increase both in the number of gangs and youth involved in them, as well as the level of criminal activity linked to these groups. The police corps have followed the evolution of these groups closely, although the social context is radically different and the levels of crime and violence are not comparable to the other side of the Atlantic. This article seeks to explain the Catalonia Government Troopers’ approach to this phenomenon during this time.DOI: http://dx.doi.org/10.5377/rpsp.v1i2.1360

Fracture and slope stability monitoring at Puigcercós landslide (Catalonia, Spain)

Science.gov (United States)

Khazaradze, Giorgi; Vasquez, Sebastian; López, Robert; Guinau, Guinau; Calvet, Jaume; Vilaplana, Joan Manuel; Blanch, Xabier; Tapia, Mar; Roig, Pere; Suriñach, Emma

2017-04-01

The village of Puigcercós ( 50 inhabitants) is located in the region of Pallars Jussà (Lleida) in Catalonia, several km south of the town of Tremp. In 1881 the entire village had to be moved from its historical location on top of the hill to its current location. This was caused by a series of landslides caused by continuing rainfall. The most important landslide occurred on January 13th 1881, which displaced more than 5 million cubic meters of sediments and rocks and created an impressive rock scar of approximately 25 m height and 150 m width. The area where the sediments were accumulated is extensive, reaching 8 hectares. During the last years, our group has chosen the site of Puigcercós to conduct pilot studies of landslides and rockfalls using multidisciplinary approach, involving Terrestrial Laser Scanner, Total Station, DGPS, seismic monitoring and geophysical techniques. The geophysical surveys of the zone of the sediment accumulation, can help determine the internal structure of the displaced sediments. The work presented here mainly concerns the deformation monitoring at the site using geodetic techniques. In July 2015, a network of 11 new geodetic points has been established and measured with GPS. The location of these points was chosen with the purpose of answering two important questions in the studies of the stability and geomorphological activity of the Puigcercós landslide: 1) As a result of combined analysis of the tape-meter, total station and GPS measurements, we hope to obtain absolute values of deformation in the upper part of the escarpment, controlling the stability of the escarpment front and the associated fractures near the coronation. For this purpose, two geodetic control points have been established at the hilltop, some 5 meters away from the escarpment itself. 2) Determine the slope stability of the depositional area, where we established nine geodetic points. As of today, these points have been measured twice, in 2015 and 2016

The estimation of probable maximum precipitation: the case of Catalonia.

Science.gov (United States)

Casas, M Carmen; Rodríguez, Raül; Nieto, Raquel; Redaño, Angel

2008-12-01

A brief overview of the different techniques used to estimate the probable maximum precipitation (PMP) is presented. As a particular case, the 1-day PMP over Catalonia has been calculated and mapped with a high spatial resolution. For this purpose, the annual maximum daily rainfall series from 145 pluviometric stations of the Instituto Nacional de Meteorología (Spanish Weather Service) in Catalonia have been analyzed. In order to obtain values of PMP, an enveloping frequency factor curve based on the actual rainfall data of stations in the region has been developed. This enveloping curve has been used to estimate 1-day PMP values of all the 145 stations. Applying the Cressman method, the spatial analysis of these values has been achieved. Monthly precipitation climatological data, obtained from the application of Geographic Information Systems techniques, have been used as the initial field for the analysis. The 1-day PMP at 1 km(2) spatial resolution over Catalonia has been objectively determined, varying from 200 to 550 mm. Structures with wavelength longer than approximately 35 km can be identified and, despite their general concordance, the obtained 1-day PMP spatial distribution shows remarkable differences compared to the annual mean precipitation arrangement over Catalonia.

Concentrations of trace elements and PCDD/Fs around a municipal solid waste incinerator in Girona (Catalonia, Spain). Human health risks for the population living in the neighborhood.

Science.gov (United States)

Rovira, Joaquim; Nadal, Martí; Schuhmacher, Marta; Domingo, José L

2018-07-15

Previously to the modernization of the municipal solid waste incinerator (MSWI) of Campdorà (Girona, Catalonia, Spain) two sampling campaigns (2015 and 2016) were conducted. In each campaign, 8 soil and 4 air samples (PM 10 and total particle phase and gas phase) were collected. The levels of As, Cd, Co, Cr, Cu, Hg, Mn, Ni, Pb, Sb, Sn, Tl and V, and PCDD/Fs were analysed at different distances and wind directions around the MSWI. Environmental levels of trace elements and PCDD/Fs were used to assess exposure and health risks (carcinogenic and non-carcinogenic) for the population living around the facility. In soils, no significant differences were observed for trace elements and PCDD/Fs between both campaigns. In air, significant higher levels of As, Cd, Co, Mn, Ni, Pb, Tl and V were detected in 2016. Regarding soil levels, only Cd (distances) and As, Cu, Mn, and Ni (wind directions) showed significant differences. No differences were noted in the concentrations of trace elements and PCDD/Fs in air levels with respect to distances and directions to the MSWI. No differences were registered in air levels (elements and PCDD/Fs) between points influenced by MSWI emissions and background point. However some differences in congener profile were noted regarding from where back-trajectories come from (HYSPLIT model results), pointing some influence of Barcelona metropolitan area. The concentrations of trace elements and PCDD/Fs were similar -or even lower- than those reported around other MSWIs in Catalonia and various countries. Non-carcinogenic risks were below the safety limit (HQ<1). In turn, carcinogenic risks due to exposure to trace elements and PCDD/Fs were in acceptable ranges, according to national and international standard regulations. Copyright © 2018 Elsevier B.V. All rights reserved.

Correlates of intensive alcohol and drug use in men who have sex with men in Catalonia, Spain.

Science.gov (United States)

Folch, Cinta; Esteve, Anna; Zaragoza, Kati; Muñoz, Rafa; Casabona, Jordi

2010-04-01

The objectives of the study were to determine the prevalence of alcohol and drug use before or during sex among men who have sex with men (MSM) in Catalonia during 2006, and to identify factors associated with variables of intensive alcohol and drug use. Cross-sectional study using self-administered questionnaires. Men were recruited in saunas, sex shops, bars and a public park and by mail to all the members of the Catalonia Gay Federation. 19.6% of men said they were frequent users of alcohol, some type of drug (21.7%), or that they were multidrug users (18%) in the last 12 months. The multivariate analysis showed an association between having suffered discrimination and frequent alcohol and multidrug use. Being human immunodeficiency virus (HIV)-positive was associated with frequent use of drugs and multidrug use. Associations between substance use and sexual risk behaviour also emerged. The high percentage of MSM who use alcohol and drugs before and during sex and association between these substances and sexual risk behaviours reveals the need to intensify interventions to reduce their levels of use and/or to reduce the associated damage and risks. These programs must try to cover MSM-specific psychosocial aspects and include prevention for HIV-positive men.

Widespread increase of empirical carbapenem use in acute care hospitals in Catalonia, Spain.

Science.gov (United States)

Grau, Santiago; Fondevilla, Esther; Echeverría-Esnal, Daniel; Alcorta, Amaia; Limon, Enric; Gudiol, Francesc

2018-04-24

The overall increase in the use of carbapenems could lead to the selection of carbapenem-resistant bacteria. The objectives of this study were to analyze carbapenem use from 2008 to 2015 and their prescription profile in 58 hospitals affiliated to the VINCat Programme (nosocomial infection vigilance system). Retrospective, longitudinal and descriptive study of carbapenem use. Consecutive case-series study, looking for carbapenem prescription characteristics, conducted in January 2016. Use was calculated in defined daily doses (DDD)/100 patient-days (PD); prescription profiles were assessed using a standardized survey. Carbapenem use increased 88.43%, from 3.37 DDD/100-PD to 6.35 DDD/100-PD (pCatalonia. Stewardship interventions are required to prevent carbapenem overuse. Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

Los registros de salud personal: el caso de la Carpeta Personal de Salud de Cataluña Personal health records: the case of the Personal Health Folder of Catalonia (Spain

Directory of Open Access Journals (Sweden)

Francesc Saigí

2012-12-01

Full Text Available Este trabajo explora las posibilidades de la Carpeta Personal de Salud e identifica la brecha entre el potencial de esta herramienta y las aplicaciones que ofrece a través de Internet. Se presenta la Carpeta Personal de Salud, un proyecto vinculado a la Historia Clínica Compartida de Cataluña, que ofrece un punto de acceso a la información sobre la propia salud que es seguro, personalizado y soportado por las tecnologías de la información y la comunicación. La experiencia, realizada íntegramente por la Consejería de Salud de la Generalitat de Cataluña, escogió una metodología mediante encuesta anónima. Los resultados han sido de gran relevancia para obtener información sobre la idoneidad de los datos publicados y las expectativas de una herramienta dirigida a la población en general.The aims of this study were to explore the possibilities of the Personal Health Folder and to identify the gap between the potential applications of this tool and what it offers through the Internet. The Personal Health Folder is presented, a project linked to the Shared Medical Record of Catalonia (Spain, which provides citizens with an access point to information about their health insurance, customized and supported by information and communication technologies. The project was carried out by the Ministry of Health of the Government of Catalonia (Generalitat de Catalunya and data were gathered through an anonymous survey. The results were critical to obtain information on the suitability of the published data and on the expectations of a tool aimed at the general population.

Mortality in Catalonia in the context of the third, fourth and future phases of the epidemiological transition theory

Directory of Open Access Journals (Sweden)

2009-02-01

Full Text Available In the period 1960-2000, male and female life expectancy increased by 8,2 and 10,5 years, respectively, in Catalonia, one of Spain's Autonomous Regions, to one of the highest in the world. Initially, most gains were due to lower infant mortality, but as cardiovascular diseases declined this later shifted to advanced ages. Between the mid-1980s and early 1990s life expectancy improvements stagnated as the mortality risk from traffic accidents and HIV/AIDS in young adults increased. Both the age-delay in old-age mortality and the simultaneous influence of behaviour and life style reflect distinct aspects of the fourth stage of the epidemiological transition. This analysis quantifies the age and cause of death contributions to changes and sex-differences in life expectancy in Catalonia. It subsequently compares the most recent life table for women with the Duchene-Wunsch limited life table to estimate the potential gain in life expectancy when all deaths would be ageing-related and on which ages these improvements would fall.

Environmental analysis of raw cork extraction in cork oak forests in southern Europe (Catalonia--Spain).

Science.gov (United States)

Rives, Jesús; Fernandez-Rodriguez, Ivan; Rieradevall, Joan; Gabarrell, Xavier

2012-11-15

Cork oak grows endemically in a narrow region bordering the western Mediterranean, and especially in the Iberian Peninsula. The importance of cork agro-forestry systems lies in the fact that a natural and renewable raw material - cork - can be extracted sustainably without endangering the tree or affecting biodiversity. This paper describes an environmental analysis of the extraction of raw cork in cork oak forests in Catalonia, using data from five representative local forest exploitations. The evaluation was carried out using life cycle assessment (LCA) methodology, and all the forestry management required to obtain a tonne of raw cork was included. The aim of the study was to evaluate the environmental impacts - in terms of global warming, acidification, eutrophication, human toxicity, and so on - caused by cork extraction and determine the carbon dioxide balance of these forestry systems, with a tree lifespan of about 200 years. During the life cycle extraction of cork in Catalonia, 0.2 kg of CO(2) eq. was emitted per kg of raw cork extracted. Moreover, cork cannot be extracted without the tree, which will be fixing carbon dioxide throughout its technological useful life (200 years), despite the fact that the bark is removed periodically: every 13-14 years. If the emission from extraction and the carbon contained in the material is discounted, the carbon dioxide balance indicates that 18 kg of CO(2) are fixed per kg of raw cork extracted. Therefore, cork is a natural, renewable and local material that can replace other non-renewable materials, at local level, to reduce the environmental impacts of products, and particularly to reduce their carbon footprint. Copyright © 2012 Elsevier Ltd. All rights reserved.

Trends and patterns in the use of computed tomography in children and young adults in Catalonia - results from the EPI-CT study

International Nuclear Information System (INIS)

Bosch de Basea, Magda; Cardis, Elisabeth; Salotti, Jane A.; Pearce, Mark S.; Muchart, Jordi; Riera, Luis; Barber, Ignasi; Pedraza, Salvador; Pardina, Marina; Capdevila, Antoni; Espinosa, Ana

2016-01-01

Although there are undeniable diagnostic benefits of CT scanning, its increasing use in paediatric radiology has become a topic of concern regarding patient radioprotection. To assess the rate of CT scanning in Catalonia, Spain, among patients younger than 21 years old at the scan time. This is a sub-study of a larger international cohort study (EPI-CT, the International pediatric CT scan study). Data were retrieved from the radiological information systems (RIS) of eight hospitals in Catalonia since the implementation of digital registration (between 1991 and 2010) until 2013. The absolute number of CT scans annually increased 4.5% between 1991 and 2013, which was less accentuated when RIS was implemented in most hospitals. Because the population attending the hospitals also increased, however, the rate of scanned patients changed little (8.3 to 9.4 per 1,000 population). The proportions of patients with more than one CT and more than three CTs showed a 1.51- and 2.7-fold increase, respectively, over the 23 years. Gradual increases in numbers of examinations and scanned patients were observed in Catalonia, potentially explained by new CT scanning indications and increases in the availability of scanners, the number of scans per patient and the size of the attended population. (orig.)

Trends and patterns in the use of computed tomography in children and young adults in Catalonia - results from the EPI-CT study

Energy Technology Data Exchange (ETDEWEB)

Bosch de Basea, Magda; Cardis, Elisabeth [Centre for Research in Environmental Epidemiology (CREAL), Barcelona (Spain); Universitat Pompeu Fabra (UPF), Barcelona (Spain); CIBER Epidemiologia y Salud Publica (CIBERESP), Barcelona (Spain); Salotti, Jane A.; Pearce, Mark S. [Royal Victoria Infirmary, Institute of Health and Society, Newcastle University, Sir James Spence Institute of Child Health, Newcastle upon Tyne (United Kingdom); Muchart, Jordi [Hospital Sant Joan de Deu Barcelona, Barcelona (Spain); Riera, Luis [Corporacio Sanitaria Parc Tauli, Sabadell (Spain); Barber, Ignasi [Hospital Universitari Vall d' Hebron, Barcelona (Spain); Pedraza, Salvador [Hospital Universitari de Girona Doctor Josep Trueta, Institut de Diagnostic per la Imatge (IDI), Girona (Spain); Institut d' Investigacio Biomedica de Girona Dr. Josep Trueta (IDIBGI), Girona (Spain); Universitat de Girona, Girona (Spain); Pardina, Marina [Hospital Universitari Arnau de Vilanova, Lleida (Spain); Capdevila, Antoni [Hospital de la Santa Creu i Sant Pau, Barcelona (Spain); Espinosa, Ana [Centre for Research in Environmental Epidemiology (CREAL), Barcelona (Spain); Universitat Pompeu Fabra (UPF), Barcelona (Spain); CIBER Epidemiologia y Salud Publica (CIBERESP), Barcelona (Spain); Hospital del Mar Medical Research Institute (IMIM), Barcelona (Spain)

2016-01-15

Although there are undeniable diagnostic benefits of CT scanning, its increasing use in paediatric radiology has become a topic of concern regarding patient radioprotection. To assess the rate of CT scanning in Catalonia, Spain, among patients younger than 21 years old at the scan time. This is a sub-study of a larger international cohort study (EPI-CT, the International pediatric CT scan study). Data were retrieved from the radiological information systems (RIS) of eight hospitals in Catalonia since the implementation of digital registration (between 1991 and 2010) until 2013. The absolute number of CT scans annually increased 4.5% between 1991 and 2013, which was less accentuated when RIS was implemented in most hospitals. Because the population attending the hospitals also increased, however, the rate of scanned patients changed little (8.3 to 9.4 per 1,000 population). The proportions of patients with more than one CT and more than three CTs showed a 1.51- and 2.7-fold increase, respectively, over the 23 years. Gradual increases in numbers of examinations and scanned patients were observed in Catalonia, potentially explained by new CT scanning indications and increases in the availability of scanners, the number of scans per patient and the size of the attended population. (orig.)

Varicella-zoster virus immunity among health care workers in Catalonia.

Science.gov (United States)

Urbiztondo, L; Bayas, J M; Broner, S; Costa, J; Esteve, M; Campins, M; Borrás, E; Domínguez, A

2014-10-14

To determine varicella-zoster virus (VZV) immunity among healthcare workers (HCWs). Cross-sectional study. HCWs attending voluntary periodic health examinations between June 2008 and December 2010. Six public hospitals and five primary care areas in Catalonia, Spain. A self-administered questionnaire was given to eligible HCWs. Variables including age, sex, professional category, type of centre, history of varicella infection, and VZV vaccination were collected. The study was carried out using a convenience sample. The prevalence of antibodies and positive and negative predictive values (PPV and NPV) of the history of clinical VZV infection or vaccination were calculated. Crude and adjusted odds ratios (OR and ORa) and their 95% confidence intervals (CI) were calculated to determine the variables associated with antibody prevalence. Of 705 HCWs who agreed to participate, 644 were finally included. The overall prevalence of antibodies to varicella was 94.9% (95% CI: 92.9-96.4). Of the variables studied, only age was associated with serological susceptibility to VZV. HCWs aged 25-35 years had the highest serological susceptibility (8.1%, 95% CI: 4.6-13.0). The prevalence of antibodies was 96% in subjects reporting previous VZV infection or vaccination, compared with 93% in subjects who did not report these states or did not know. The high proportion of serologically-susceptible HCWs found in this study indicates the need to develop for screening and vaccination strategies in Catalonia. Due to the high capacity of propagation of the VZV in health settings and its consequences, VZV vaccination programmes in HCWs should be reinforced. Copyright © 2014 Elsevier Ltd. All rights reserved.

Drug use in patients with dementia: a register-based study in the health region of Girona (Catalonia/Spain).

Science.gov (United States)

Avila-Castells, Pilar; Garre-Olmo, Josep; Calvó-Perxas, Laia; Turró-Garriga, Oriol; Alsina, Elisabet; Carmona, Olga; Perkal, Héctor; Roig, Anna Maria; Cuy, Josep Ma; Lozano, Manuela; Molins, Albert; Vallmajó, Natàlia; López-Pousa, Secundino

2013-05-01

To describe the pattern of drug consumption among patients with dementia in a geographically defined general population in Catalonia (Spain), and to determine its association with age, gender, type of dementia and severity indicators. Cross-sectional study that included 1,894 cases of dementia registered by the Registry of Dementias of Girona from 2007 to 2009. Prescribed drugs were categorized according to the Anatomical Therapeutic Chemical (ATC) classification. A descriptive analysis of drug consumption was stratified according to age, gender, dementia subtypes and dementia severity. Binary logistic regression models were adjusted to detect the association of these variables with drug consumption according to the ATC groups. The most commonly prescribed drugs were for the central nervous system (CNS) (96.4 %), cardiovascular system (79.4 %) and digestive and metabolic system categories (77.7 %). No significant differences were found between the use of nervous system drugs and age, gender, dementia subtypes or dementia severity. The use of alimentary tract and metabolism related drugs, as well as cardiovascular and blood system drugs, were positively correlated with age and secondary dementia. The prevalence of use of cardiovascular and musculoskeletal drugs was higher in women than in men (OR: 1.34; OR: 1.26 respectively). A negative association was found between the severity of dementia and the use of musculoskeletal drugs (OR: 0.71), while its use was significantly higher in the youngest patients (OR: 1.71). Almost all patients with dementia received a CNS drug, being at risk of inappropriate treatment. Treatment for comorbidities in patients with dementia should not be withheld on the basis of age or dementia severity, but rather on the benefit/risk ratio of its prescription. Further studies are needed to evaluate potentially inappropriate drug use and possible untreated conditions in this population.

Expectations and perceptions of primary healthcare professionals regarding their own continuous education in Catalonia (Spain): a qualitative study.

Science.gov (United States)

Mundet-Tuduri, Xavier; Crespo, Ramon; Fernandez-Coll, Ma Luisa; Saumell, Montserrat; Millan-Mata, Flor; Cardona, Àngels; Codern-Bové, Núria

2017-11-15

The planning and execution of continuous education in an organization that provides health services is a complex process. The objectives, learning sequences, and implementation strategies should all be oriented to improving the health of the population. The aim of this study was to analyse the expectations and perceptions of continuous educations by primary healthcare professionals (physicians and nurses) and identify aspects that hinder or encourage the process. A qualitative study with 5 focus groups made up of 25 primary healthcare professionals from the Catalan Health Institute, Barcelona (Catalonia, Spain). The focus groups were audio-recorded and the results transcribed. The analysis involved: a) Reading of the data looking for meanings b) Coding of the data by themes and extracting categories c) Reviewing and refining codes and categories d) Reconstruction of the data providing an explanatory framework for the meanings e) Discussion about the interpretations of the findings and f) Discussed with relevant professionals from PHC (physicians and nurses)"Data regarding thematic content were analyzed with the support of Atlasti 5.1 software. The health needs of the population were often at the core of the learning processes but the participants' views did not always spontaneously refer to improvements in these issues. Common themes that could hinder learning and where identified, including contextual aspects such as work constraints (timetables, places being covered during training) and funding policies. New learning strategies to improve the effectiveness of continuous education were proposed such as the exchange of knowledge, the activation of personal commitment to change, and the improvement of organizational aspects. The primary healthcare professionals in our study viewed continuous education as a professional necessity and would like to translate the knowledge acquired to improving the health of the population. Nevertheless, professional, structural, and

Remote sensing observing systems of the Meteorological Service of Catalonia (SMC): application to thunderstorm surveillance

Science.gov (United States)

Argemí, O.; Bech, J.; Pineda, N.; Rigo, T.

2009-09-01

Remote sensing observing systems of the Meteorological Service of Catalonia (SMC) have been upgraded during the last years with newer technologies and enhancements. Recent changes on the weather radar network have been motivated to improve precipitation estimates by radar as well as meteorological surveillance in the area of Catalonia. This region has approximately 32,000 square kilometres and is located in the NE of Spain, limited by the Pyrenees to the North (with mountains exceeding 3000 m) and by the Mediterranean Sea to the East and South. In the case of the total lightning (intra-cloud and cloud-to-ground lightning) detection system, the current upgrades will assure a better lightning detection efficiency and location accuracy. Both upgraded systems help to enhance the tracking and the study of thunderstorm events. Initially, the weather radar network was designed to cover the complex topography of Catalonia and surrounding areas to support the regional administration, which includes civil protection and water authorities. The weather radar network was upgraded in 2008 with the addition of a new C-band Doppler radar system, which is located in the top of La Miranda Mountain (Tivissa) in the southern part of Catalonia enhancing the coverage, particularly to the South and South-West. Technically the new radar is very similar to the last one installed in 2003 (Creu del Vent radar), using a 4 m antenna (i.e., 1 degree beam width), a Vaisala-Sigmet RVP-8 digital receiver and processor and a low power transmitter using a Travelling Wave Tube (TWT) amplifier. This design allows using pulse-compression techniques to enhance radial resolution and sensitivity. Currently, the SMC is upgrading its total lightning detection system, operational since 2003. While a fourth sensor (Amposta) was added last year to enlarge the system coverage, all sensors and central processor will be upgraded this year to the new Vaisala’s total lightning location technology. The new LS8000

Contribution to the improvement of radon risk evaluation in Spain

International Nuclear Information System (INIS)

Ortega, X.; Vargas, A.

2002-01-01

The 96/29/Euratom Directive aims to introduce radon regulation at working places in European Countries. Within the framework, the Spanish Nuclear Regulatory Body, the Nuclear Safety Council (CSN), is interested in obtaining a reliable level of quality for radon measurements in Spain. The radon laboratory group at the Institute of Energetic Techniques of the Technical University of Catalonia in Barcelona (INTE) has been commissioned to adequate its radon chamber for testing radon instruments using standards as IEC 61577 and ISO 13466

Sensitivity analysis in a life cycle assessment of an aged red wine production from Catalonia, Spain

Energy Technology Data Exchange (ETDEWEB)

Meneses, M., E-mail: montse.meneses@uab.cat [Universitat Autònoma de Barcelona, Systems Engineering and Telecomunication Department, ESE, 08193 Bellaterra (Spain); Torres, C.M.; Castells, F. [Universitat Rovira i Virgili, Departament d' Enginyeria Química, Environmental Analysis and Management Group, AGA, Av. Paisos Catalans 26, 43007 Tarragona (Spain)

2016-08-15

Sustainability in agriculture and food processing is an issue with a clear growing interest; especially in products were consumers have particular awareness regarding its environmental profile. This is the case of wine industry depending on grape production, winemaking and bottling. Also viticulture and generally agricultural production is significantly affected by climate variations. The aim of this article is to determine the environmental load of an aged red wine from a winery in Catalonia, Spain, over its entire life cycle, including sensitivity analysis of the main parameters related to the cultivation, vinification and bottling. The life cycle assessment (LCA) methodology is used for the environmental analysis. In a first step, life cycle inventory (LCI) data were collected by questionnaires and interviews with the winemaker, all data are actual operating data and all the stages involved in the production have been taken into account (viticulture, vinification, bottling and the disposal subsystem). Data were then used to determine the environmental profile by a life cycle impact assessment using the ReCiPe method. Annual variability in environmental performance, stresses the importance of including timeline analysis in the wine sector. Because of that this study is accompanied with a sensitivity analysis carried out by a Monte Carlo simulation that takes into account the uncertainty and variability of the parameters used. In this manner, the results are presented with confidence intervals to provide a wider view of the environmental issues derived from the activities of the studied wine estate regardless of the eventualities of a specific harvesting year. Since the beverage packaging has an important influence in this case, a dataset for the production of green glass was adapted to reflect the actual recycling situation in Spain. Furthermore, a hypothetical variation of the glass-recycling rate in the glass production completes this article, as a key variable

Sensitivity analysis in a life cycle assessment of an aged red wine production from Catalonia, Spain

International Nuclear Information System (INIS)

Meneses, M.; Torres, C.M.; Castells, F.

2016-01-01

Sustainability in agriculture and food processing is an issue with a clear growing interest; especially in products were consumers have particular awareness regarding its environmental profile. This is the case of wine industry depending on grape production, winemaking and bottling. Also viticulture and generally agricultural production is significantly affected by climate variations. The aim of this article is to determine the environmental load of an aged red wine from a winery in Catalonia, Spain, over its entire life cycle, including sensitivity analysis of the main parameters related to the cultivation, vinification and bottling. The life cycle assessment (LCA) methodology is used for the environmental analysis. In a first step, life cycle inventory (LCI) data were collected by questionnaires and interviews with the winemaker, all data are actual operating data and all the stages involved in the production have been taken into account (viticulture, vinification, bottling and the disposal subsystem). Data were then used to determine the environmental profile by a life cycle impact assessment using the ReCiPe method. Annual variability in environmental performance, stresses the importance of including timeline analysis in the wine sector. Because of that this study is accompanied with a sensitivity analysis carried out by a Monte Carlo simulation that takes into account the uncertainty and variability of the parameters used. In this manner, the results are presented with confidence intervals to provide a wider view of the environmental issues derived from the activities of the studied wine estate regardless of the eventualities of a specific harvesting year. Since the beverage packaging has an important influence in this case, a dataset for the production of green glass was adapted to reflect the actual recycling situation in Spain. Furthermore, a hypothetical variation of the glass-recycling rate in the glass production completes this article, as a key variable

Primary health care utilization by immigrants as compared to the native population: a multilevel analysis of a large clinical database in Catalonia.

Science.gov (United States)

Muñoz, Miguel-Angel; Pastor, Esther; Pujol, Joan; Del Val, José Luis; Cordomí, Silvia; Hermosilla, Eduardo

2012-06-01

Immigration is a relevant public health issue and there is a great deal of controversy surrounding its impact on health services utilization. To determine differences between immigrants and non-immigrants in the utilization of primary health care services in Catalonia, Spain. Population based, cross-sectional, multicentre study. We used the information from 16 primary health care centres in an area near Barcelona, Spain. We conducted a multilevel analysis for the year 2008 to compare primary health care services utilization between all immigrants aged 15 or more and a sample of non-immigrants, paired by age and sex. Overall, immigrants living in Spain used health services more than non-immigrants (Incidence Risk Ratio (IRR) 1.16 (95% Confidence Interval (CI): 1.15-1.16) and (IRR 1, 26, 95% CI: 1.25-1.28) for consultations with GPs and referrals to specialized care, respectively. People coming from the Maghreb and the rest of Africa requested the most consultations involving a GP and nurses (IRR 1.34, 95% CI: 1.33-1.36 and IRR 1.06, 95% CI: 1.03-1.44, respectively). They were more frequently referred to specialized care (IRR 1.44, 95% CI: 1.41-1.46) when compared to Spaniards. Immigrants from Asia had the lowest numbers of consultations with a GP and referrals (IRR 0.76, 95% CI: 0.66-0.88 and IRR 0.76, 95% CI: 0.61-0.95, respectively. On average, immigrants living in Catalonia used the health services more than non-immigrants. Immigrants from the Maghreb and other African countries showed the highest and those from Asia the lowest, number of consultations and referrals to specialized care.

[Norovirus outbreaks in hospitals and nursing homes in Catalonia, Spain].

Science.gov (United States)

Godoy, Pere; Domínguez, Angela; Alvarez, Josep; Camps, Neus; Barrabeig, Irene; Bartolomé, Rosa; Sala, María Rosa; Ferre, Dolors; Pañella, Helena; Torres, Joan; Minguell, Sofía; Alsedà, Miquel; Pumares, Analía

2009-01-01

The low infectious dose and multiple transmission routes favour the appearance of norovirus outbreaks. The objective of this study was to compare the incidence of norovirus outbreaks in hospitals and nursing homes in Catalonia. A descriptive study of norovirus outbreaks between 15/10/2004 and 30/10/2005 was carried out. An epidemiological survey was completed for each outbreak. Norovirus in clinical samples was determined by PCR techniques. The incidence in each centre and the annual incidence of outbreaks by centre were calculated. Differences were calculated using the chi-square test and the Student's t test, taking a p value of > 0.05 as significant. Seventeen outbreaks (6 in hospitals and 11 in nursing homes) were detected. The global attack rate was 33.4% (652/1951) and was slightly higher in nursing homes (35.2%) than in hospitals (31.4%). A total of 94.1% (16/17) of outbreaks were caused by person-to-person transmission and only 5.9% (1/17) by foods. The mean number of days between the first and last case was 11.4 (SD = 6.9). The mean duration of symptoms was 2.39 days (SD=1.6), and was higher hospitals, 2.63 (SD=1.7), than in nursing homes, 1.97 (SD=1.7) (p < 0.0001). Norovirus is responsible for a large number of outbreaks due to person-to-person transmission. Control should be standardized to reduce the number and duration of outbreaks.

A statistical approach to bioclimatic trend detection in the airborne pollen records of Catalonia (NE Spain)

Science.gov (United States)

Fernández-Llamazares, Álvaro; Belmonte, Jordina; Delgado, Rosario; De Linares, Concepción

2014-04-01

Airborne pollen records are a suitable indicator for the study of climate change. The present work focuses on the role of annual pollen indices for the detection of bioclimatic trends through the analysis of the aerobiological spectra of 11 taxa of great biogeographical relevance in Catalonia over an 18-year period (1994-2011), by means of different parametric and non-parametric statistical methods. Among others, two non-parametric rank-based statistical tests were performed for detecting monotonic trends in time series data of the selected airborne pollen types and we have observed that they have similar power in detecting trends. Except for those cases in which the pollen data can be well-modeled by a normal distribution, it is better to apply non-parametric statistical methods to aerobiological studies. Our results provide a reliable representation of the pollen trends in the region and suggest that greater pollen quantities are being liberated to the atmosphere in the last years, specially by Mediterranean taxa such as Pinus, Total Quercus and Evergreen Quercus, although the trends may differ geographically. Longer aerobiological monitoring periods are required to corroborate these results and survey the increasing levels of certain pollen types that could exert an impact in terms of public health.

Mother Tongue as a Determining Variable in Language Attitudes. The Case of Immigrant Latin American Students in Spain

Science.gov (United States)

Huguet, Angel; Janes, Judit

2008-01-01

Bearing in mind the relevance of immigration in Spain, we consider the linguistic idiosyncrasy of the autonomous community of Catalonia in the present study to describe and analyse language attitudes to Catalan and Spanish in a sample of 225 students of immigrant origin living in different parts of the region. We focus on language attitudes in so…

Do workers’ health surveillance examinations fulfill their occupational preventive objective? Analysis of the medical practice of occupational physicians in Catalonia, Spain

Directory of Open Access Journals (Sweden)

Mari Cruz Rodríguez-Jareño

2017-10-01

Full Text Available Objectives: Although routine workers’ health examinations are extensively performed worldwide with important resource allocation, few studies have analyzed their quality. The objective of this study has been to analyze the medical practice of workers’ health examinations in Catalonia (Spain in terms of its occupational preventive aim. Material and Methods: A cross-sectional study was carried out by means of an online survey addressed to occupational physicians who were members of the Catalan Society of Safety and Occupational Medicine. The questionnaire included factual questions on how they performed health examinations in their usual practice. The bivariate analysis of the answers was performed by type of occupational health service (external/internal. Results: The response rate was 57.9% (N = 168, representing 40.3% of the reference population. A high percentage of occupational physicians had important limitations in their current medical practice, including availability of clinical and exposure information, job-specificity of tests, and early detection and appropriate management of suspected occupational diseases. The situation in external occupational health services – that covered the great majority of Catalan employees – was worse remarkably in regard to knowledge of occupational and nonoccupational sickness absence data, participation in the investigation of occupational injuries and diseases, and accessibility for workers to the occupational health service. Conclusions: This study raises serious concerns about the occupational preventive usefulness of these health examinations, and subsequently about our health surveillance system, based primarily on them. Professionals alongside health and safety institutions and stakeholders should promote the rationalization of this system, following the technical criteria of need, relevance, scientific validity and effectiveness, whilst ensuring that its ultimate goal of improving the health

Scientists and scientific associations in Catalonia (Spain in the early 20th century: manuscript vs. published research in earth sciences

Directory of Open Access Journals (Sweden)

Josep Batlló

2009-06-01

Full Text Available

Culture in Catalonia and, specifically, science had an important rebirth in the second half of the 19th century. But, due to the lack of State support, development of earth physical sciences in Catalonia at the beginning of the 20th century was almost a private enterprise. This situation caused dispersion of the efforts that, in any case, were extensive. The study of the evolution of earth sciences and the recovery and study of the accumulated data in such circumstances requires relying heavily on manuscript information. The present study deals with the problems and possibilities of this situation, shows some study cases and extracts some conclusions of general interest from them.

Variability in the quality of rectal cancer care in public hospitals in Catalonia (Spain): clinical audit as a basis for action.

Science.gov (United States)

Manchon-Walsh, P; Borras, J M; Espinas, J A; Aliste, L

2011-04-01

Clinical practice guidelines in cancer are a relevant component of Catalonian Cancer Strategy aimed at promoting equity of access to therapy and quality of cancer care. The colorectal cancer (CRC) guideline was first published in 2003 and subsequently updated in 2008. This study examined the quality of therapy administered to patients with rectal cancer in public hospitals in Catalonia (Spain) in 2005 and 2007, according to CRC guideline recommendations. We conducted a multicentre retrospective cohort study of patients who underwent curative-intent surgery for primary rectal cancer at Catalonian public hospitals in 2005 and 2007. Data were drawn from clinical records. The study covered 1831 patients with rectal cancer. Performance of total mesorectal excision (TME) was poorly reported by surgeons (46.4%) and pathologists (36.2%). Pre-operative radiotherapy was performed on 52% of stage-II and -III patients. Compared to high-caseload hospitals, those with a low caseload (≤11 cases/year) registered more Hartman's procedures, worse TME quality, a higher rate of post-operative complications and lower adherence to recommended pre-operative radio-chemotherapy. Reporting quality of care is essential for ascertaining current performance status and opportunities for improvement. In our case, there is a need for the quality of the information included in clinical records to be improved, and variability in adherence to guideline recommendations to be reduced. In view of the fact that heterogeneity in the quality of the health care process was linked to hospital caseload, the health authorities have decided to reorganise the provision of rectal cancer care. Copyright © 2011 Elsevier Ltd. All rights reserved.

Radioactive waste management in Spain: co-ordination and projects

International Nuclear Information System (INIS)

2007-01-01

The sixth workshop of the OECD/NEA Forum on Stakeholder Confidence (FSC) was hosted by ENRESA, the Spanish agency responsible for the management of radioactive waste and the dismantling of nuclear power plants, and the Council of Nuclear Safety (CSN), with the support of the Association of Spanish Municipalities in Areas Surrounding Nuclear Power Plants (AMAC). The workshop took place at L'Hospitalet de l'Infant, Catalonia, Spain, on 21-23 November 2005. At this workshop, Spanish stakeholders and delegates from 14 countries discussed current co-ordination of radioactive waste management decision making in Spain. Findings were shared from Cowam-Spain, a co-operative research project on the involvement of local stakeholders, the relationship between national and local levels of decision making, and the long-term sustainability of decisions regarding the siting of a centralized interim storage facility for high-level waste. These proceedings include the workshop presentations and discussions, as well as the rapporteurs' reflections on what was learned about policy making and participative decision making. (author)

A probabilistic approach of the Flash Flood Early Warning System (FF-EWS) in Catalonia based on radar ensemble generation

Science.gov (United States)

Velasco, David; Sempere-Torres, Daniel; Corral, Carles; Llort, Xavier; Velasco, Enrique

2010-05-01

Early Warning Systems (EWS) are commonly identified as the most efficient tools in order to improve the preparedness and risk management against heavy rains and Flash Floods (FF) with the objective of reducing economical losses and human casualties. In particular, flash floods affecting torrential Mediterranean catchments are a key element to be incorporated within operational EWSs. The characteristic high spatial and temporal variability of the storms requires high-resolution data and methods to monitor/forecast the evolution of rainfall and its hydrological impact in small and medium torrential basins. A first version of an operational FF-EWS has been implemented in Catalonia (NE Spain) under the name of EHIMI system (Integrated Tool for Hydrometeorological Forecasting) with the support of the Catalan Water Agency (ACA) and the Meteorological Service of Catalonia (SMC). Flash flood warnings are issued based on radar-rainfall estimates. Rainfall estimation is performed on radar observations with high spatial and temporal resolution (1km2 and 10 minutes) in order to adapt the warning scale to the 1-km grid of the EWS. The method is based on comparing observed accumulated rainfall against rainfall thresholds provided by the regional Intensity-Duration-Frequency (IDF) curves. The so-called "aggregated rainfall warning" at every river cell is obtained as the spatially averaged rainfall over its associated upstream draining area. Regarding the time aggregation of rainfall, the critical duration is thought to be an accumulation period similar to the concentration time of each cachtment. The warning is issued once the forecasted rainfall accumulation exceeds the rainfall thresholds mentioned above, which are associated to certain probability of occurrence. Finally, the hazard warning is provided and shown to the decision-maker in terms of exceeded return periods at every river cell covering the whole area of Catalonia. The objective of the present work includes the

Self-rated health and chronic conditions are associated with blood concentrations of persistent organic pollutants in the general population of Catalonia, Spain.

Science.gov (United States)

Gasull, Magda; Pallarès, Natàlia; Salcedo, Natalia; Pumarega, José; Alonso, Jordi; Porta, Miquel

2015-11-01

Self-rated health (SRH) is a powerful predictor of mortality, morbidity, and need for health services. SRH generally increases with educational level, and decreases with age, number of chronic conditions, and body mass index (BMI). Because human concentrations of most persistent organic pollutants (POPs) also vary by age, education, and BMI, and because of the physiological and clinical effects of POPs, we hypothesized that body concentrations of POPs are inversely associated with SRH. To analyze the relation between serum concentrations of POPs and SRH in the general population of Catalonia, Spain, taking into account sociodemographic factors and BMI, as well as chronic health conditions and mental disorders, measured by the General Health Questionnaire-12 (GHQ-12). POP serum concentrations were measured by gas chromatography with electron-capture detection in 919 participants of the Catalan Health Interview Survey. Individuals with higher concentrations of POPs had significantly poorer SRH; e.g., the median concentration of HCB in subjects with poor SRH was twice as high as in subjects with excellent SRH (366 ng/g vs. 169 ng/g, respectively; p-valuehigher in subjects with POP concentrations in the top quartile. In models adjusted for age or for chronic conditions virtually all ORs were near unity. No associations were found between POP levels and GHQ-12. Individuals with higher concentrations of POPs had significantly poorer SRH, an association likely due to age and chronic conditions, but not to sex, education, social class, BMI, or mental disorders. Copyright © 2015 Elsevier Inc. All rights reserved.

New contributions to the knowledge of the alien flora in Baix Llobregat county (Catalonia, Spain

Directory of Open Access Journals (Sweden)

H. Álvarez

2016-08-01

Full Text Available We provide new records of 17 exotic plants in the Baix Llobregat region observed between the years 2011 and 2014. Two species are the first records for Europe: Acacia rostellifera Benth. and Trichloris crinita (Lag. Parodi; two are new plants for the Iberian Peninsula: Bouteloua dactyloides (Nutt. Columbus and Nassella tenuissima (Trin. Barkworth; three are recorded by their first time in Catalonia: Atriplex semibaccata R. Br., Oenothera speciosa Nutt. and Verbena incompta P. W. Michael; five correspond to first records in Baix Llobregat: Parkinsonia aculeata L., Phacelia tanacetifolia Benth., Physalis peruviana L., Salpichroa origanifolia (Lam. Baill. and Verbena brasiliensis Vell. The remaining species are very rare in the studied area: Abutilon grandifolium (Willd. Sweet, Asperugo procumbens L., Eclipta prostrata (L. L. and Oenothera indecora Cambess.

Environmental levels of PCDD/Fs and metals around a cement plant in Catalonia, Spain, before and after alternative fuel implementation. Assessment of human health risks

Energy Technology Data Exchange (ETDEWEB)

Rovira, Joaquim [Laboratory of Toxicology and Environmental Health, School of Medicine, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Environmental Engineering Laboratory, Departament d' Enginyeria Quimica, Universitat Rovira i Virgili, Av. Països Catalans 26, 43007 Tarragona, Catalonia (Spain); Nadal, Martí, E-mail: marti.nadal@urv.cat [Laboratory of Toxicology and Environmental Health, School of Medicine, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Schuhmacher, Marta [Laboratory of Toxicology and Environmental Health, School of Medicine, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Environmental Engineering Laboratory, Departament d' Enginyeria Quimica, Universitat Rovira i Virgili, Av. Països Catalans 26, 43007 Tarragona, Catalonia (Spain); Domingo, José L. [Laboratory of Toxicology and Environmental Health, School of Medicine, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain)

2014-07-01

The concentrations of As, Cd, Co, Cr, Cu, Hg, Mn, Ni, Pb, Sb, Sn, Tl, V, and Zn, and the levels of polychlorinated dibenzo-p-dioxins and dibenzofurans were determined in samples of soil, vegetation, and air, collected in the vicinity of a cement plant (Catalonia, Spain), before (January 2011 and July 2011) and after (January 2012 and June 2013) alternative fuel partial substitution (fossil fuels by sewage sludge). Seven sampling points were selected at different directions and distances to the facility including two background sampling points. The results were used to assess the health risk assessment for the population living near the facility. Only few significant differences were found before and after alternative fuel partial substitution (Mn in soils and Cd in vegetation). Non-carcinogenic risks were below the safety threshold (HQ < 1), while carcinogenic risks were below 10{sup −5}, or exceeding slightly that value, always in the range considered as assumable (10{sup −6}–10{sup −4}). - Highlights: • The environmental impact of a cement plant using alternative fuel was monitored. • No significant differences in most pollutants were noted after the fuel change. • Traffic has a notable influence on the environmental levels of PCDD/Fs and metals. • Human health risks were below safety thresholds regardless of the used fuel.

Characteristics of pertussis outbreaks in Catalonia, Spain, 1997 to 2010.

Science.gov (United States)

Crespo, Inma; Broner, Sonia; Soldevila, Núria; Martínez, Ana; Godoy, Pere; Sala-Farré, Maria-Rosa; Company, Maria; Rius, Cristina; Domínguez, Angela; Group Of Catalonia, The Pertussis Working

2015-01-01

In Catalonia, pertussis outbreaks must be reported to the Department of Health. This study analyzed pertussis outbreaks between 1997 and 2010 in general and according to the characteristics of the index cases. The outbreak rate, hospitalization rate and incidence of associated cases and their 95%CI were calculated. Index cases were classified in two groups according to age (<15 years and ≥15 years) and the vaccine type received: whole cell vaccine (DTwP) or acellular vaccine (DTaP). During the study period, 230 outbreaks were reported. The outbreak rate was 2.43 × 10(-6) persons-year, and outbreaks ranged from 2 to 32 cases, with a median duration of 18 days. There were 771 associated cases, with an incidence rate of 0.8 × 10(-5) persons-year.   After classifying outbreaks according to the age of the index case, 126 outbreaks (1.3 × 10(-6) persons-year) had an index case aged <15 y and 87 (0.87 × 10(-6) person-year) had an index case aged ≥15 y (RR = 1.44, 95%CI 1.10-1.90; P = 0.007). Between 2003 and 2010, after the introduction of the acellular vaccine, the index case was vaccinated with DTwP vaccine in 25 outbreaks (0.43 × 10(-6) persons-year) and with DTaP vaccine in 32 outbreaks (0.55 × 10(-6) person-year) (RR = 0.78, 95%CI 0.46-1.31; P = 0.35). Of cases, 37.2% were correctly vaccinated, suggesting waning immunity of pertussis vaccine protection and endogenous circulation of pertussis. A greater number of outbreaks had an index case aged <15 y. No changes in the disease incidence, associated cases and hospitalization rate were observed after the introduction of DTaP.

A methodological approach to be used in integrated coastal zone management processes: the case of the Catalan Coast (Catalonia, Spain)

Science.gov (United States)

Sardá, Rafael; Avila, Conxita; Mora, Joan

2005-02-01

Since early 1999, we have been working on an environmental information system as a preliminary phase to develop the National Strategy of the Catalan Coast. Using the tourism industry as the main pressuring driver and the municipality as the territorial unit, we have compiled a vast amount of information that has been converted into an information platform for the general public, politicians, and public administrators. Working in close co-operation with the planning authorities of the Generalitat of Catalonia, we developed decision support tools as a methodological approach for coastal management. The decision support system is composed by: (a) the development of an environmental indicator-based report; (b) the use of a geographical information system (GIS); and (c) the incorporation of different types of graphical packages. These tools have been applied to the 70 municipalities of the Catalan Coast and a specific development of the system was carried out in the region of La Selva, municipalities of Blanes, Lloret de Mar, and Tossa de Mar (southern Costa Brava, Girona). The system has been designed to help coastal managers in Catalonia, and it is thought to be used in the process of developing the National Strategy for Integrated Coastal Zone Management (ICZM) of the Catalan Coast following the EC Recommendation (COM/00/545).

Ten years measuring PCDDs/PCDFs in ambient air in Catalonia (Spain)

Energy Technology Data Exchange (ETDEWEB)

Lluis, G; Gomez, R; Guinart, X; Hernandez, I [Dept. de Medi Ambient de la Generalitat de Catalunya (Spain); Esteban, A; Caixach, J; Manich, A; Rivera, J [Mass Spectrometry Lab., Dept. of Ecotechnologies, IIQAB-CSIC (Spain)

2004-09-15

PCDDs and PCDFs can be formed as unwanted by-products in many anthropogenic processes and their presence in the atmosphere comes mainly from several industrial activities which include, for instance, a variety of thermal processes such as waste management plants, cement kiln plants, sintering plants and other diffuse sources. Furthermore, once released into the atmosphere, these toxicants can be transported far from their original sources and as a result their presence can be determined in remote areas. In this sense, great efforts have been made to increase the knowledge about these pollutants and stringent regulations aiming to protect public health have already been established. Monitoring programs play an important role in public and sanitary decisions. In particular, the presence and trend of this pollutants in the atmosphere have been subject of many environmental studies performed all over the world. In 1994, the Environmental Department (Departament de Medi Ambient) of the Catalonian Government (Generalitat de Catalunya) in collaboration with the Dioxin Laboratory /Mass Spectrometry Laboratory (Dept.of Ecotechnologies) of the Spanish Council for Scientific Research (CSIC) started a surveillance programme on PCDDs/PCDFs in ambient air. The aim of the study was to determine dioxin levels and to assess temporal trends of the atmospheric content of these pollutants in major industrial sites all over Catalonia. Moreover, samples from urban and rural areas as well as other supposedly non-affected sites were also considered. Furthermore, in accordance with the new regulatory framework, a comparison of two different sampling devices, TSP and PM10, has also been performed during the study.

Quality of in-hospital stroke care according to evidence-based performance measures: results from the first audit of stroke, Catalonia, Spain.

Science.gov (United States)

Abilleira, Sònia; Gallofré, Miquel; Ribera, Aida; Sánchez, Emília; Tresserras, Ricard

2009-04-01

Evidence-based standards are used worldwide to determine quality of care. We assessed quality of in-hospital stroke care in all acute-care hospitals in Catalonia by determining adherence to 13 evidence-based performance measures (PMs) of process of care. Data on PMs were collected by retrospective review of medical records of consecutive stroke admissions (January to June, 2005). Compliance with PMs was calculated according to 3 hospital levels determined by their annual stroke case-load (level 1, 350). We defined sampling weights that represented each patient's inverse probability of inclusion in the study sample. Sampling weights were applied to produce estimates of compliance. Factors that predicted good/bad compliance were determined by multivariate weighted logistic regression models. An external monitoring of 10% of cases recruited at each hospital was undertaken, after random selection, to assess quality of data. We analyzed data from 1791 stroke cases (17% of all stroke admissions). Global interobserver agreement was 0.7. Eight PMs achieved compliances >or=75%, 4 of which were more than 90%, and the remaining showed adherences Catalonia was heterogeneous across hospital levels. Rehabilitation-related measures showed poor compliances compared to acute care-related ones, which achieved more satisfactory adherences.

[Outcome mesurement: the case of the "Center of Results" of the public healthcare providers network in Catalonia, Spain].

Science.gov (United States)

Argenter-Giralt, Miquel; Barba-Albós, Genoveva; Román-Martínez, Anna

2010-02-01

The health information system in Catalonia has experienced an important evolution but obtaining integrated data to evaluate the health services is still difficult. At the end of 2008 the basis of the information system of the "Center of Results" and a first set of indicators has been approved by the health system stakeholders. The "Center of Results" is assigned to the Catalan Health Service. It has a Direction Board and a Technical Committee to regulate its operation. The "Center of Results" has the mission to measure, evaluate and disseminate the results obtained in health care by the members of the public health services, to facilitate decision making with shared responsibility at the service of the quality of the health care given to the citizens of Catalonia. The "Center of Results" is based on performance principles that determine their operation: to share and to coordinate the existing information, to stimulate the participation and the co-responsibility of the implied agents, continuous improvement of the health information, promotion of good practices in the use of information and its responsible use, efficient instrumentation of technologies and analytical capacity to transform data into information. A participative process has been made to select and prioritize indicators. This process has reached consensus on a set of indicators. These indicators must contribute to assess the impact of the interventions of the health system on the level of the population's health and how results, with an efficient use of the resources, are obtained. 2010 Elsevier España S.L. All rights reserved.

Distribution of Bartonella henselae Variants in Patients, Reservoir Hosts and Vectors in Spain

Science.gov (United States)

Gil, Horacio; Escudero, Raquel; Pons, Inmaculada; Rodríguez-Vargas, Manuela; García-Esteban, Coral; Rodríguez-Moreno, Isabel; García-Amil, Cristina; Lobo, Bruno; Valcárcel, Félix; Pérez, Azucena; Jiménez, Santos; Jado, Isabel; Juste, Ramón; Segura, Ferrán; Anda, Pedro

2013-01-01

We have studied the diversity of B. henselae circulating in patients, reservoir hosts and vectors in Spain. In total, we have fully characterized 53 clinical samples from 46 patients, as well as 78 B. henselae isolates obtained from 35 cats from La Rioja and Catalonia (northeastern Spain), four positive cat blood samples from which no isolates were obtained, and three positive fleas by Multiple Locus Sequence Typing and Multiple Locus Variable Number Tandem Repeats Analysis. This study represents the largest series of human cases characterized with these methods, with 10 different sequence types and 41 MLVA profiles. Two of the sequence types and 35 of the profiles were not described previously. Most of the B. henselae variants belonged to ST5. Also, we have identified a common profile (72) which is well distributed in Spain and was found to persist over time. Indeed, this profile seems to be the origin from which most of the variants identified in this study have been generated. In addition, ST5, ST6 and ST9 were found associated with felines, whereas ST1, ST5 and ST8 were the most frequent sequence types found infecting humans. Interestingly, some of the feline associated variants never found on patients were located in a separate clade, which could represent a group of strains less pathogenic for humans. PMID:23874563

Estimating the HIV undiagnosed population in Catalonia, Spain: descriptive and comparative data analysis to identify differences in MSM stratified by migrant and Spanish-born population.

Science.gov (United States)

Reyes-Urueña, Juliana Maria; Campbell, Colin N J; Vives, Núria; Esteve, Anna; Ambrosioni, Juan; Tural, Cristina; Ferrer, Elena; Navarro, Gemma; Force, Lluis; García, Isabel; Masabeu, Àngels; Vilaró, Josep M; García de Olalla, Patricia; Caylà, Joan Artur; Miró, Josep M; Casabona, Jordi

2018-02-28

Undiagnosed HIV continues to be a hindrance to efforts aimed at reducing incidence of HIV. The objective of this study was to provide an estimate of the HIV undiagnosed population in Catalonia and compare the HIV care cascade with this step included between high-risk populations. To estimate HIV incidence, time between infection and diagnosis and the undiagnosed population stratified by CD4 count, we used the ECDC HIV Modelling Tool V.1.2.2. This model uses data on new HIV and AIDS diagnoses from the Catalan HIV/AIDS surveillance system from 2001 to 2013. Data used to estimate the proportion of people enrolled, on ART and virally suppressed in the HIV care cascade were derived from the PISCIS cohort. The total number of people living with HIV (PLHIV) in Catalonia in 2013 was 34 729 (32 740 to 36 827), with 12.3% (11.8 to 18.1) of whom were undiagnosed. By 2013, there were 8458 (8101 to 9079) Spanish-born men who have sex with men (MSM) and 2538 (2334 to 2918) migrant MSM living with HIV in Catalonia. A greater proportion of migrant MSM than local MSM was undiagnosed (32% vs 22%). In the subsequent steps of the HIV care cascade, migrants MSM experience greater losses than the Spanish-born MSM: in retention in care (74% vs 55%), in the proportion on combination antiretroviral treatment (70% vs 50%) and virally suppressed (65% vs 46%). By the end of 2013, there were an estimated 34 729 PLHIV in Catalonia, of whom 4271 were still undiagnosed. This study shows that the Catalan epidemic of HIV has continued to expand with the key group sustaining HIV transmission being MSM living with undiagnosed HIV. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Optimizing prescribed fire allocation for managing fire risk in central Catalonia.

Science.gov (United States)

Alcasena, Fermín J; Ager, Alan A; Salis, Michele; Day, Michelle A; Vega-Garcia, Cristina

2018-04-15

We used spatial optimization to allocate and prioritize prescribed fire treatments in the fire-prone Bages County, central Catalonia (northeastern Spain). The goal of this study was to identify suitable strategic locations on forest lands for fuel treatments in order to: 1) disrupt major fire movements, 2) reduce ember emissions, and 3) reduce the likelihood of large fires burning into residential communities. We first modeled fire spread, hazard and exposure metrics under historical extreme fire weather conditions, including node influence grid for surface fire pathways, crown fraction burned and fire transmission to residential structures. Then, we performed an optimization analysis on individual planning areas to identify production possibility frontiers for addressing fire exposure and explore alternative prescribed fire treatment configurations. The results revealed strong trade-offs among different fire exposure metrics, showed treatment mosaics that optimize the allocation of prescribed fire, and identified specific opportunities to achieve multiple objectives. Our methods can contribute to improving the efficiency of prescribed fire treatment investments and wildfire management programs aimed at creating fire resilient ecosystems, facilitating safe and efficient fire suppression, and safeguarding rural communities from catastrophic wildfires. The analysis framework can be used to optimally allocate prescribed fire in other fire-prone areas within the Mediterranean region and elsewhere. Copyright © 2017 Elsevier B.V. All rights reserved.

An approach to the statistics of wild lagomorph captive rearing for releasing purposes in Spain

Directory of Open Access Journals (Sweden)

Carlos Sánchez García-Abad

2012-04-01

Full Text Available Despite the importance of rearing wild lagomorphs in captivity for hunting and predator conservation in Spain, little is known about this production sector.  Taking official data into account, in this work the number and distribution of farms in Spain and the possible number of animals produced were analysed during the period 2005-2010.  In 2010, 114 wild rabbit farms were widely distributed throughout the country (especially Catalonia, Galicia, Andalusia and Castile-La Mancha regions, while 21 hare farms were registered, the majority in Extremadura, Castile-La Mancha and Andalusia.  A possible production figure of 225000-265000 rabbits and 1034 hares was estimated in 2010.  Game farms of wild lagomorphs are established in Spain and placement would be related to a high demand for hunting and predator conservation in certain regions. Although more research is needed, the number of animals produced would be an important part of the total animals released to the wild.

Per- and polyfluorinated compounds (PFCs) in house dust and indoor air in Catalonia, Spain: implications for human exposure.

Science.gov (United States)

Ericson Jogsten, I; Nadal, M; van Bavel, B; Lindström, G; Domingo, J L

2012-02-01

A total of 27 per- and polyfluorinated compounds (PFCs) were determined in both house dust (n=10) and indoor air (n=10) from selected homes in Catalonia, Spain. Concentrations were found to be similar or lower than those previously reported for household microenvironments in other countries. Ten PFCs were detected in all house dust samples. The highest mean concentrations corresponded to perfluorodecanoic acid (PFDA) and perfluorononanoic acid (PFNA), 10.7 ng/g (median: 1.5 ng/g) and 10.4 ng/g (median: 5.4 ng/g), respectively, while the 8:2 fluorotelomer alcohol (FTOH) was the dominating neutral PFC at a concentration of 0.41 ng/g (median: 0.35 ng/g). The indoor air was dominated by the FTOHs, especially the 8:2 FTOH at a mean (median) concentration of 51 pg/m(3) (median: 42 pg/m(3)). A limited number of ionic PFCs were also detected in the indoor air samples. Daily intakes of PFCs were estimated for average and worst case scenarios of human exposure from indoor sources. For toddlers, this resulted in average intakes of ∑ionic PFCs of 4.9ng/day (0.33 ng/kg(bw)/day for a 15 kg toddlers) and ∑neutral PFCs of 0.072 ng/day (0.005 ng/kg(bw)/day) from house dust. For adults, the average daily intakes of dust were 3.6 and 0.053 ng/day (0.05 and 0.001 ng/kg(bw)/day for a 70 kg adult) for ∑ionic and ∑neutral PFCs, respectively. The average daily inhalation of ∑neutral PFCs was estimated to be 0.9 and 1.3 ng/day (0.06 and 0.02 ng/kg(bw)/day) for toddlers and adults, respectively. For PFOS, the main ionic PFC detected in indoor air samples, the median intakes (based on those samples where PFOS was detected), resulted in indoor exposures of 0.06 and 0.11 ng/day (0.004 and 0.002 ng/kg(bw)/day) for toddlers and adults, respectively. Based on previous studies on dietary intake and drinking water consumption, both house dust and indoor air contribute significantly less to PFC exposure within this population. Copyright © 2011 Elsevier Ltd. All rights reserved.

Self-rated health and chronic conditions are associated with blood concentrations of persistent organic pollutants in the general population of Catalonia, Spain

International Nuclear Information System (INIS)

Gasull, Magda; Pallarès, Natàlia; Salcedo, Natalia; Pumarega, José; Alonso, Jordi; Porta, Miquel

2015-01-01

Background: Self-rated health (SRH) is a powerful predictor of mortality, morbidity, and need for health services. SRH generally increases with educational level, and decreases with age, number of chronic conditions, and body mass index (BMI). Because human concentrations of most persistent organic pollutants (POPs) also vary by age, education, and BMI, and because of the physiological and clinical effects of POPs, we hypothesized that body concentrations of POPs are inversely associated with SRH. Objectives: To analyze the relation between serum concentrations of POPs and SRH in the general population of Catalonia, Spain, taking into account sociodemographic factors and BMI, as well as chronic health conditions and mental disorders, measured by the General Health Questionnaire-12 (GHQ-12). Methods: POP serum concentrations were measured by gas chromatography with electron-capture detection in 919 participants of the Catalan Health Interview Survey. Results: Individuals with higher concentrations of POPs had significantly poorer SRH; e.g., the median concentration of HCB in subjects with poor SRH was twice as high as in subjects with excellent SRH (366 ng/g vs. 169 ng/g, respectively; p-value<0.001). In crude models and in models adjusted for sex and BMI, the POPs-SRH association was often dose-dependent, and the likelihood of poor or regular SRH was 2 to 4-times higher in subjects with POP concentrations in the top quartile. In models adjusted for age or for chronic conditions virtually all ORs were near unity. No associations were found between POP levels and GHQ-12. Conclusions: Individuals with higher concentrations of POPs had significantly poorer SRH, an association likely due to age and chronic conditions, but not to sex, education, social class, BMI, or mental disorders. - Highlights: • The relation between POPs and self-rated and mental health has seldom been studied. • Subjects with higher POP levels had poorer self-rated health (SRH) (dose

Self-rated health and chronic conditions are associated with blood concentrations of persistent organic pollutants in the general population of Catalonia, Spain

Energy Technology Data Exchange (ETDEWEB)

Gasull, Magda; Pallarès, Natàlia [Hospital del Mar Medical Research Institute (IMIM), Barcelona, Catalonia (Spain); CIBER de Epidemiología y Salud Pública (CIBERESP) (Spain); School of Medicine, Universitat Autònoma de Barcelona (Spain); Salcedo, Natalia [Hospital del Mar Medical Research Institute (IMIM), Barcelona, Catalonia (Spain); School of Medicine, Universitat Autònoma de Barcelona (Spain); Pumarega, José [Hospital del Mar Medical Research Institute (IMIM), Barcelona, Catalonia (Spain); CIBER de Epidemiología y Salud Pública (CIBERESP) (Spain); Alonso, Jordi [Hospital del Mar Medical Research Institute (IMIM), Barcelona, Catalonia (Spain); CIBER de Epidemiología y Salud Pública (CIBERESP) (Spain); Universitat Pompeu Fabra, Catalonia (Spain); Porta, Miquel, E-mail: mporta@imim.es [Hospital del Mar Medical Research Institute (IMIM), Barcelona, Catalonia (Spain); CIBER de Epidemiología y Salud Pública (CIBERESP) (Spain); School of Medicine, Universitat Autònoma de Barcelona (Spain)

2015-11-15

Background: Self-rated health (SRH) is a powerful predictor of mortality, morbidity, and need for health services. SRH generally increases with educational level, and decreases with age, number of chronic conditions, and body mass index (BMI). Because human concentrations of most persistent organic pollutants (POPs) also vary by age, education, and BMI, and because of the physiological and clinical effects of POPs, we hypothesized that body concentrations of POPs are inversely associated with SRH. Objectives: To analyze the relation between serum concentrations of POPs and SRH in the general population of Catalonia, Spain, taking into account sociodemographic factors and BMI, as well as chronic health conditions and mental disorders, measured by the General Health Questionnaire-12 (GHQ-12). Methods: POP serum concentrations were measured by gas chromatography with electron-capture detection in 919 participants of the Catalan Health Interview Survey. Results: Individuals with higher concentrations of POPs had significantly poorer SRH; e.g., the median concentration of HCB in subjects with poor SRH was twice as high as in subjects with excellent SRH (366 ng/g vs. 169 ng/g, respectively; p-value<0.001). In crude models and in models adjusted for sex and BMI, the POPs-SRH association was often dose-dependent, and the likelihood of poor or regular SRH was 2 to 4-times higher in subjects with POP concentrations in the top quartile. In models adjusted for age or for chronic conditions virtually all ORs were near unity. No associations were found between POP levels and GHQ-12. Conclusions: Individuals with higher concentrations of POPs had significantly poorer SRH, an association likely due to age and chronic conditions, but not to sex, education, social class, BMI, or mental disorders. - Highlights: • The relation between POPs and self-rated and mental health has seldom been studied. • Subjects with higher POP levels had poorer self-rated health (SRH) (dose

First survey on canine leishmaniasis in a non classical area of the disease in Spain (Lleida, Catalonia) based on a veterinary questionnaire and a cross-sectional study.

Science.gov (United States)

Ballart, Cristina; Alcover, M Magdalena; Picado, Albert; Nieto, Javier; Castillejo, Soledad; Portús, Montserrat; Gállego, Montserrat

2013-04-01

The Spanish distribution of canine leishmaniasis (CanL) is heterogeneous and very few data are available for the north of the country, including the province of Lleida (Catalonia, Spain). This work describes the results obtained from a questionnaire sent to veterinarians throughout the province of Lleida. The majority of veterinarians (25/32, 78.1%) believed CanL cases were increasing and that the dogs had been infected locally (30/32, 93.8%). Also, a cross-sectional study was performed on the seroprevalence of CanL in kennel dogs, with and without compatible clinical signs, in the county of Pallars Sobirà (Pyrenees of Lleida), where an autochthonous case of CanL had been previously detected. Four serological tests were used (IFAT, ELISA, Western blot, ICF) and dogs that tested positive with at least two immunological methods were considered seropositive and probably infected. 33.1% (48/145) of the dogs were seropositive. The results of a mixed logistic regression model showed that the risk of seropositivity increased with age (OR=1.35, p-value=0.002), among dogs living in the southern part of Pallars Sobirà (OR=6.20, p-value=0.025) and among dogs whose owners considered their animals to be at risk of leishmaniasis infection (OR=1.26, p-value=0.024) and who were unaware of anti-sand fly preventive methods (OR=11.6, p-value=0.009). The risk decreased when dogs lived in an urban-periurban habitat (OR=0.17, p-value=0.002). The information gathered in the veterinary questionnaires helped us to define the knowledge, perception and awareness of the disease in a naïve region, supporting the hypothesis of an existing CanL focus in Pallars Sobirà, which was confirmed by the seroepidemiological survey. The seroprevalence study carried out on kennel dogs of local origin proved useful for detecting an autochthonous focus of leishmaniasis through the analysis of a small number of animals. Copyright © 2012 Elsevier B.V. All rights reserved.

Main components of PM10 in an area influenced by a cement plant in Catalonia, Spain: Seasonal and daily variations.

Science.gov (United States)

Rovira, Joaquim; Sierra, Jordi; Nadal, Martí; Schuhmacher, Marta; Domingo, José L

2018-05-01

Particulate matter (PM) composition has a key role in a wide range of health outcomes, such as asthma, chronic obstructive pulmonary disease, lung cancer, cardiovascular disease, and death, among others. Montcada i Reixac, a municipality located in the Barcelona metropolitan area (Catalonia, Spain), for its location and orography, is an interesting case- study to investigate air pollution. The area is also characterized by the presence of different industrial emission sources, including a cement factory and a large waste management plant, as well as an intense traffic. In this study, PM 10 levels, trace elements, ions, and carbonaceous particles were determined for a long time period (2013-2016) in this highly polluted area. PM 10 samples were collected during six consecutive days in two campaigns (cold and warm) per year. A number of elements (As, Ba, Be, Bi, Ca, Cd, Ce, Co, Cr, Cs, Cu, Dy, Er, Eu, Fe, Ga, Gd, Ge, Hf, Hg, Ho, K, La, Li, Hg, Mg, Mn, Mo, Nb, Nd, Ni, Pb, Pr, Rb, Sb, Sc, Se, Sm, Sn, Sr, Tb, Th, Ti, Tl, U, V, W, Y, Yb, and Zr), ions (Cl - , SO 4 2- , NO 3 - , and NH 4 + ), and carbonaceous content (total carbon, organic plus elemental carbon, and CO 3 2- ), were analysed. These data were used to identify the PM 10 main components: mineral matter, sea spray, secondary inorganic aerosols, organic matter plus elemental carbon, trace elements or indeterminate fraction. Although a clear seasonality (cold vs. warm periods) was found, there were no differences between working days and weekends. Obviously, the cement plant influences the surrounding environment. However, no differences in trace elements related with the cement plant activity (Al, Ca, Ni and V) between weekdays and weekends were noted. However, some traffic-related elements (i.e., Co, Cr, Mn, and Sb) showed significantly higher concentrations in weekdays. Copyright © 2018 Elsevier Inc. All rights reserved.

Results of the rubella elimination program in Catalonia (Spain), 2002–2011

Science.gov (United States)

Barrabeig, Irene; Torner, Nuria; Martínez, Ana; Carmona, Gloria; Ciruela, Pilar; Batalla, Joan; Costa, Josep; Hernández, Sergi; Salleras, Luis; Domínguez, Angela; Group of Catalonia, the Rubella Surveillance

2013-01-01

Rubella is usually a mild disease with nonspecific symptoms, but can cause congenital rubella syndrome (CRS) when infection occurs during pregnancy. The objective of this study was to evaluate the sensitivity and positive predictive value of different data sources used for surveillance purposes in the Rubella Elimination Program of Catalonia between 2002 and 2011. The Urgent Notification to the Statutory Disease Reporting System, the Individualized Disease Reporting System, screening for other viruses included in the Measles Elimination Program, the Microbiological Reporting System and the Minimum Hospital Discharge Data were evaluated. 100 suspected cases of postnatal rubella and 6 suspected cases of CRS were detected. For postnatal rubella, Urgent Notification had the highest sensitivity (32.5%; 95%CI 18.6–49.1), followed by the Virus screening in Measles Elimination Program (25%; 95%CI 12.7-41.2). Virus screening in the Measles Elimination Program had the highest PPV (76.9%; 95%CI 46.1–94.9), followed by the Individualized Disease Reporting System (57.1%; 95%CI 28.9–82.3). For CRS cases, the Individualized Disease Reporting System had the highest sensitivity (100%, 95%CI 29.2–100) and the highest PPV (60%; 95%CI 14.7–100). Most confirmed postnatal cases (25 cases, 48.1%) were in the 25–44 y age group followed by the 15–24 y age group (11 cases, 21.2%). The highest values of sensitivity and PPV for the detection of confirmed cases corresponded to activities that were specifically introduced in the measles and rubella elimination programs. PMID:23299566

Influenza vaccine coverage, influenza-associated morbidity and all-cause mortality in Catalonia (Spain).

Science.gov (United States)

Muñoz, M Pilar; Soldevila, Núria; Martínez, Anna; Carmona, Glòria; Batalla, Joan; Acosta, Lesly M; Domínguez, Angela

2011-07-12

The objective of this work was to study the behaviour of influenza with respect to morbidity and all-cause mortality in Catalonia, and their association with influenza vaccination coverage. The study was carried out over 13 influenza seasons, from epidemiological week 40 of 1994 to week 20 of 2007, and included confirmed cases of influenza and all-cause mortality. Two generalized linear models were fitted: influenza-associated morbidity was modelled by Poisson regression and all-cause mortality by negative binomial regression. The seasonal component was modelled with the periodic function formed by the sum of the sinus and cosines. Expected influenza mortality during periods of influenza virus circulation was estimated by Poisson regression and its confidence intervals using the Bootstrap approach. Vaccination coverage was associated with a reduction in influenza-associated morbidity (pcase of influenza-associated morbidity, an increase of 5% in vaccination coverage represented a reduction of 3% in the incidence rate of influenza. There was a positive association between influenza-associated morbidity and all-cause mortality. Excess mortality attributable to influenza epidemics was estimated as 34.4 (95% CI: 28.4-40.8) weekly deaths. In conclusion, all-cause mortality is a good indicator of influenza surveillance and vaccination coverage is associated with a reduction in influenza-associated morbidity but not with all-cause mortality. Copyright © 2011 Elsevier Ltd. All rights reserved.

Hospital Costs of Foreign Non-Resident Patients: A Comparative Analysis in Catalonia, Spain.

Science.gov (United States)

Arroyo-Borrell, Elena; Renart-Vicens, Gemma; Saez, Marc; Carreras, Marc

2017-09-14

Although patient mobility has increased over the world, in Europe there is a lack of empirical studies. The aim of the study was to compare foreign non-resident patients versus domestic patients for the particular Catalan case, focusing on patient characteristics, hospitalisation costs and differences in costs depending on the typology of the hospital they are treated. We used data from the 2012 Minimum Basic Data Set-Acute Care hospitals (CMBD-HA) in Catalonia. We matched two case-control groups: first, foreign non-resident patients versus domestic patients and, second, foreign non-resident patients treated by Regional Public Hospitals versus other type of hospitals. Hospitalisation costs were modelled using a GLM Gamma with a log-link. Our results show that foreign non-resident patients were significantly less costly than domestic patients (12% cheaper). Our findings also suggested differences in the characteristics of foreign non-resident patients using Regional Public Hospitals or other kinds of hospitals although we did not observe significant differences in the healthcare costs. Nevertheless, women, 15-24 and 35-44 years old patients and the days of stay were less costly in Regional Public Hospitals. In general, acute hospitalizations of foreign non-resident patients while they are on holiday cost substantially less than domestic patients. The typology of hospital is not found to be a relevant factor influencing costs.

Simultaneous occurrence of nitrates and sulfonamide antibiotics in two ground water bodies of Catalonia (Spain)

Science.gov (United States)

García-Galán, M. a. Jesús; Garrido, Teresa; Fraile, Josep; Ginebreda, Antoni; Díaz-Cruz, M. Silvia; Barceló, Damià

2010-03-01

SummaryIn the present work the occurrence of 19 selected sulfonamides, including one acetylated metabolite, was investigated in ground water samples taken from two ground water bodies in Catalonia (Plana de Vic and La Selva). Both include areas designated as nitrate vulnerable zones, according to Directive 91/676/EEC. A fully automated analytical methodology based on on-line solid-phase extraction-liquid chromatography-tandem mass spectrometry (on-line SPE-LC-MS/MS) was developed for this purpose. The high selectivity and sensitivity achieved (limits of detection between 0.005 and 0.8 ng/L) permitted to demonstrate the ubiquity of these antibiotics in both ground water bodies. Results showed a wide range of concentrations, from 0.01 ng/L up to 3460.57 ng/L. Since sulfonamides are related to livestock veterinary practices, they can be used as a specific indicator of manure contamination. However, the presence of sulfonamides appeared not to be directly related to the concentration of nitrates, as it is reflected on the low correlation coefficients found.

Medicine, religion and ayahuasca in Catalonia. Considering ayahuasca networks from a medical anthropology perspective.

Science.gov (United States)

Apud, Ismael; Romaní, Oriol

2017-01-01

Ayahuasca is a psychoactive beverage from the Amazon, traditionally used by indigenous and mestizo populations in the region. Widespread international use of the beverage began in the 1990s in both secular contexts and religious/spiritual networks. This article offers an analysis of these networks as health care systems in general and for the case of Spain and specifically Catalonia, describing the emergence and characteristics of their groups, and the therapeutic itineraries of some participants. The medical anthropology perspective we take enables us to reflect on the relationship between medicine and religion, and problematize the tensions between medicalization and medical pluralism. Closely linked to the process of medicalization, we also analyze prohibitionist drug policies and their tensions and conflicts with the use of ayahuasca in ritual and 'health care' contexts. The paper ends with a reflection on the problem of ayahuasca as 'medicine', since the connection between religion and medicine is a very difficult one to separate. Copyright © 2016 Elsevier B.V. All rights reserved.

Catalonia's energy metabolism: Using the MuSIASEM approach at different scales

International Nuclear Information System (INIS)

Ramos-Martin, Jesus; Canellas-Bolta, Silvia; Giampietro, Mario; Gamboa, Gonzalo

2009-01-01

This paper applies the so-called Multi-Scale Integrated Analysis of Societal and Ecosystem Metabolism (MuSIASEM), based on Georgescu-Roegen's fund-flow model, to the Spanish region of Catalonia. It arrives to the conclusion that within the context of the end of cheap oil, the current development model of the Catalan economy, based on the growth of low-productivity sectors such as services and construction, must be changed. The change is needed not only because of the increasing scarcity of affordable energy and the increasing environmental impact of present development, but also because of the aging population. Moreover, the situation experienced by Catalonia is similar to that of other European countries and many other developed countries. This implies that we can expect a wave of major structural changes in the economy of developed countries worldwide. To make things more challenging, according to current trends, the energy intensity and exosomatic energy metabolism of Catalonia will keep increasing in the near future. To avoid a reduction in the standard of living of Catalans due to a reduction in the available energy it is important that the Government of Catalonia implement major adjustments and conservation efforts in both the household and paid-work sectors.

Do workers' health surveillance examinations fulfill their occupational preventive objective? Analysis of the medical practice of occupational physicians in Catalonia, Spain.

Science.gov (United States)

Rodríguez-Jareño, Mari Cruz; Molinero, Emilia; de Montserrat, Jaume; Vallès, Antoni; Aymerich, Marta

2017-10-06

Although routine workers' health examinations are extensively performed worldwide with important resource allocation, few studies have analyzed their quality. The objective of this study has been to analyze the medical practice of workers' health examinations in Catalonia (Spain) in terms of its occupational preventive aim. A cross-sectional study was carried out by means of an online survey addressed to occupational physicians who were members of the Catalan Society of Safety and Occupational Medicine. The questionnaire included factual questions on how they performed health examinations in their usual practice. The bivariate analysis of the answers was performed by type of occupational health service (external/internal). The response rate was 57.9% (N = 168), representing 40.3% of the reference population. A high percentage of occupational physicians had important limitations in their current medical practice, including availability of clinical and exposure information, job-specificity of tests, and early detection and appropriate management of suspected occupational diseases. The situation in external occupational health services - that covered the great majority of Catalan employees - was worse remarkably in regard to knowledge of occupational and nonoccupational sickness absence data, participation in the investigation of occupational injuries and diseases, and accessibility for workers to the occupational health service. This study raises serious concerns about the occupational preventive usefulness of these health examinations, and subsequently about our health surveillance system, based primarily on them. Professionals alongside health and safety institutions and stakeholders should promote the rationalization of this system, following the technical criteria of need, relevance, scientific validity and effectiveness, whilst ensuring that its ultimate goal of improving the health and safety of workers in relation to work is fulfilled. Other countries with

[Tuberculosis control in the Central Health Region of Catalonia during the period 1986-2000].

Science.gov (United States)

Miret Cuadras, P; Pina Gutiérrez, J M; López Sanmartín, J L; Sala Farré, M R

2003-10-01

To assess tuberculosis control in the Central Health Region, Catalonia, Spain, from the implementation of the area's Tuberculosis Control Program in 1986 until the year 2000. To study the epidemiological profile of tuberculosis and the outcome of the following control measures in sputum smear-positive patients: final outcome of treatment and monitoring, and the percentage of patients for whom a contact investigation (CI) was carried out. Tuberculosis control is considered effective if the sum of noncompliant patients, plus the cases in which treatment failed, plus the patients transferred out remains below 10% of the cohort of patients studied, and if a CI has been conducted in at least 80% of this cohort. The number of cases reported was 6326, of which 7% were retreatments. A total of 5865 new cases was detected. Of these, 5652 (96%) were patients born in Spain. The number of cases reported annually peaked in 1990 (474) and then declined continuously until 2000, when it was 54% lower (220). Foreign-born patients numbered 213 (4%), and 95% of them came from countries with a high prevalence of tuberculosis. In the cohort of patients studied between 1997 and 2000, the sum of noncompliant patients, plus cases in which treatment failed, plus the patients transferred out came to 11%. Since 1994, a CI has been carried out for over 80% of patients, and this figure reached 92% in 2000. We consider that a substantial degree of tuberculosis control has been achieved given the decline in tuberculosis morbidity among people born in Spain, the fact that the percentage of noncompliant patients, treatment failures and transfers was only slightly over 10%, and that a CI has been conducted for over 80% of patients since 1994 (92% in 2000).

Characterization of a newly established aggregation of the invasive ladybeetle Harmonia axyridis and current status of the invader in Spain

Energy Technology Data Exchange (ETDEWEB)

Pons, X.; Roca, M.; Lumbierres, B.; Lucas, E.

2015-07-01

The multicoloured Asian ladybeetle, Harmonia axyridis (Pallas), an invasive biocontrol agent introduced in North and South America, as well as in Europe for aphid control, drastically affected assemblages of native coccinellid species, local communities and people. Although the insect is common in several European countries and it was released in Spain for aphid control in 1995, no evidence of population establishment has been reported until 2011. In the present paper, 1) we summarize the records of the invasive ladybeetle in Spain and provide numerous new mentions, and 2) we follow for the first time an overwintering aggregation from autumn to spring and characterize some individual features which allow us to determine its phenology of the establishment and spreading. The results establish clearly that: 1) H. axyridis is (until now) restricted to Catalonia (NE Spain) but the invading process is in progress and the insect is able to occupy different habitats; 2) the ladybeetle overwinters successfully in Spain without significant natural mortality or parasitism; 3) the form succinea represents 73-81% of the overwintering individuals, and 4) the invasion takes probably its origin from Southern France. The potential impact of the invasion by H. axyridis in Spain is discussed. (Author)

[Smoking among nursing students in Catalonia: knowledge, attitudes and practice].

Science.gov (United States)

Heras Tébar, A; García Sanchón, C; Hernández López, M C; Ballestín, N; Nebot, M

1997-01-01

Determine the prevalence and characteristics of tobaccoism, as well as some attitudes and their knowledge about tobaccoism in nursing university students in Catalonia. A descriptive study with transversal section has been done. A self-filling anonymous questionnaire was designed following the guidelines of the European Regional Office of the W.H.O. We selected a sample of conglomerates of classrooms at random which was stratified according to levels in all the university schools in Catalonia. The field work was performed during the first term of the academic year 1994-1995 handing the questionnaires individually to the students and collecting them once filled. In the data analysis we used the ji squared test to Pearson with the Yates' correction and the lineal tendency test of Mantel-Haenszel. 904 students answered the questionnaire. The global prevalence of smokers is 38.7% (IC 95%: 35.8-41.6). There were no significant differences when considering levels or sex. The prevalence of tobaccoism in students over 24 years of age is 13% higher (p Catalonia has been observed for the nursing professionals in the year 2000.

La Serra d'Almos (Tarragona): an example of phenological data rescue and preservation in Catalonia

Science.gov (United States)

Busto, Montserrat; Cunillera, Jordi; de Yzaguirre, Xavi; Borrell, Josep

2016-04-01

The interruption of important phenological series and the progressive disappearance of phenological observations in Catalonia led the Meteorological Service of Catalonia (SMC) to design and impulse a new phenological network promoted by the Climate Change Unit of this Met Service. The "Fenocat" network was born in March 2013, and currently has around fifty observers distributed throughout Catalonia that observe plants, birds and butterflies. We are providing data from different plant phenophases to PEP725 database. Besides this new phenological network (Fenocat), one of the aims of SMC is to rescue and preserve historical data from different observation points in Catalonia. We show in this poster the example of rescue and preservation of phenological data from la Serra d'Almos (in Tivissa, near Tarragona, Catalonia, NE Iberian Peninsula), an observation series that began in 1973. After digitalization process and quality control tasks, we show preliminary results of this phenological series, and we compare them with those of similar European series. We show the evolution trends for different observed species, such as almond tree (Prunus dulcis), hazel (Corylus avellana), plum (Prunus domestica), olive tree (Olea europea), apple tree (Malus domestica) or vineyard (Vitis vinifera).

An updated biostratigraphy for the late Aragonian and Vallesian of the Valles Basin (Catalonia)

Energy Technology Data Exchange (ETDEWEB)

Casanovas-Vilar, I.; Garces, M.; Dam, J. van; Garcia-Paredes, I.; Robles, J.M.; Alba, D.M.

2016-07-01

The Valles Basin (Catalonia, Spain) is a classical area for the study of the Miocene land mammal faunas and includes one of the densest and most continuous records in Eurasia. Furthermore, it is the type area for the Vallesian European land mammal age. After decades of study a huge amount of bio- and magnetostratigraphic data have been collected, allowing an unprecedented dating accuracy. Here we provide an updated local biostratigraphy for the late Aragonian, Vallesian and Turolian of the Vallès-Penedès Basin. This new biostratigraphic scheme is almost exclusively based on fossil rodents, which are the most abundant and one of the best known mammal orders in the area. Our proposal represents a significant refinement compared to previous attempts and provides a formal diagnosis and description of each zone, as well as clear definition of boundaries and a reference locality and section. The chronology of zone boundaries and main bioevents is based on detailed magnetostratigraphic data. The defined biozones allow for the correlation of the sites without associated magnetostratigraphical data. Finally, the correlation of the Vallès-Penedès local zones with other detailed local biostratigraphies, such as those of the Calatayud-Montalbán and Teruel basins (east-central Spain) is discussed. The sequence and chronology of the main bioevents is roughly comparable, although the rodent succession and the structure of the assemblage show important differences between these areas. (Author)

Chronic and integrated care in Catalonia

Science.gov (United States)

Contel, Juan Carlos; Ledesma, Albert; Blay, Carles; Mestre, Assumpció González; Cabezas, Carmen; Puigdollers, Montse; Zara, Corine; Amil, Paloma; Sarquella, Ester; Constante, Carles

2015-01-01

Introduction The Chronicity Prevention and Care Programme set up by the Health Plan for Catalonia 2011–2015 has been an outstanding and excellent opportunity to create a new integrated care model in Catalonia. People with chronic conditions require major changes and transformation within the current health and social system. The new and gradual context of ageing, increase in the number of chronic diseases and the current fragmented system requires this transformation to be implemented. Method The Chronicity Prevention and Care Programme aims to implement actions which drive the current system towards a new scenario where organisations and professionals must work collaboratively. New tools should facilitate this new context- or work-like integrated health information systems, an integrative financing and commissioning scheme and provide a new approach to virtual care by substituting traditional face-to-face care with transfer and shared responsibilities between patients, citizens and health care professionals. Results It has been observed some impact reducing the rate of emergency admissions and readmission related to chronic conditions and better outcome related to better chronic disease control. Some initiative like the Catalan Expert Patient Program has obtained good results and an appropriate service utilization. Discussion The implementation of a Chronic Care Program show good results but it is expected that the new integrated health and social care agenda could provoke a real change and transformation. Some of the results related to better health outcomes and a decrease in avoidable hospital admissions related to chronic conditions confirm we are on the right track to make our health and social system more sustainable for the decades to come. PMID:26150763

Chronic and integrated care in Catalonia

Directory of Open Access Journals (Sweden)

Juan Carlos Contel

2015-06-01

Full Text Available Introduction: The Chronicity Prevention and Care Programme set up by the Health Plan for Catalonia 2011–2015 has been an outstanding and excellent opportunity to create a new integrated care model in Catalonia. People with chronic conditions require major changes and transformation within the current health and social system. The new and gradual context of ageing, increase in the number of chronic diseases and the current fragmented system requires this transformation to be implemented. Method: The Chronicity Prevention and Care Programme aims to implement actions which drive the current system towards a new scenario where organisations and professionals must work collaboratively. New tools should facilitate this new context- or work-like integrated health information systems, an integrative financing and commissioning scheme and provide a new approach to virtual care by substituting traditional face-to-face care with transfer and shared responsibilities between patients, citizens and health care professionals. Results: It has been observed some impact reducing the rate of emergency admissions and readmission related to chronic conditions and better outcome related to better chronic disease control. Some initiative like the Catalan Expert Patient Program has obtained good results and an appropriate service utilization. Discussion: The implementation of a Chronic Care Program show good results but it is expected that the new integrated health and social care agenda could provoke a real change and transformation. Some of the results related to better health outcomes and a decrease in avoidable hospital admissions related to chronic conditions confirm we are on the right track to make our health and social system more sustainable for the decades to come.

Attitudes toward business creation: A comparative study between Catalonia and Puerto Rico

OpenAIRE

Marinés Aponte; David Urbano; Carlos A. Rodríguez

2006-01-01

In this research the attitudes towards entrepreneurship of two samples of university students from Catalonia and Puerto Rico are analysed. Perceptions of desirability, feasibility and the intention to start a new firm are studied and compared. Institutional Economic Theory is used as a theoretical framework of the research due to its adequacy to the analysis of the conditioning factors to entrepreneurship. Not relevant differences in the attitudes to entrepreneurship between Catalonia and Pue...

Prediction of cervical intraepithelial neoplasia grade 2+ (CIN2+ using HPV DNA testing after a diagnosis of atypical squamous cell of undetermined significance (ASC-US in Catalonia, Spain

Directory of Open Access Journals (Sweden)

Ibáñez Raquel

2012-01-01

Full Text Available Abstract Background A protocol for cervical cancer screening among sexually active women 25 to 65 years of age was introduced in 2006 in Catalonia, Spain to increase coverage and to recommend a 3-year-interval between screening cytology. In addition, Human Papillomavirus (HPV was offered as a triage test for women with a diagnosis of atypical squamous cells of undetermined significance (ASC-US. HPV testing was recommended within 3 months of ASC-US diagnosis. According to protocol, HPV negative women were referred to regular screening including a cytological exam every 3 years while HPV positive women were referred to colposcopy and closer follow-up. We evaluated the implementation of the protocol and the prediction of HPV testing as a triage tool for cervical intraepithelial lesions grade two or worse (CIN2+ in women with a cytological diagnosis of ASC-US. Methods During 2007-08 a total of 611 women from five reference laboratories in Catalonia with a novel diagnosis of ASC-US were referred for high risk HPV (hrHPV triage using high risk Hybrid Capture version 2. Using routine record linkage data, women were followed for 3 years to evaluate hrHPV testing efficacy for predicting CIN2+ cases. Logistic regression analysis was used to estimate the odds ratio for CIN2 +. Results Among the 611 women diagnosed with ASC-US, 493 (80.7% had at least one follow-up visit during the study period. hrHPV was detected in 48.3% of the women at study entry (mean age 35.2 years. hrHPV positivity decreased with increasing age from 72.6% among women younger than 25 years to 31.6% in women older than 54 years (p At the end of the 3 years follow-up period, 37 women with a diagnosis of CIN2+ (18 CIN2, 16 CIN3, 2 cancers, and 1 with high squamous intraepithelial lesions -HSIL were identified and all but one had a hrHPV positive test at study entry. Sensitivity to detect CIN2+ of hrHPV was 97.2% (95%confidence interval (CI = 85.5-99.9 and specificity was 68.3% (95%CI

Construction of the birth weight by gestational age population reference curves of Catalonia (Spain: Methods and development Elaboración de las curvas poblacionales de referencia del peso al nacer, según la edad gestacional, de Cataluña: métodos y desarrollo

Directory of Open Access Journals (Sweden)

Francisca Ramos

2009-02-01

Full Text Available Infant size at birth is a useful indicator to evaluate fetal growth in relation to gestational age. There is no standard model to create anthropometric reference curves in neonates, but the method chosen could determine the reference values estimated. We describe the methods used to construct population-based reference curves of birth weight for gestational age in Catalonia, Spain. These methods included detection of implausible values of birth weight for gestational age by a probabilistic cluster model, utilization of the Generalized Additive Model for Location and Scale method to obtain smoothed percentiles and z-scores, and calculation of 95% confidence intervals by bootstrapping. To our knowledge, these are the first reference curves in neonates constructed through a method allowing asymmetric distributions with kurtosis to be modelled. Estimation of confidence intervals is useful to determine which reference intervals can be employed to assess newborn size.La evaluación del tamaño en el nacimiento es uni ndicador útil para evaluar elcrecimiento fetal en relación con la edad gestacional. No hay un modelo estándar para crear curvas de referencia antropométricas en recién nacidos, pero el método escogido podría determinar los valores de referencia estimados. Describimos los métodos utilizados para elaborar las curvas de referencia poblacionales del peso al nacer según la edad gestacional en Cataluña, España. Estos métodos incluyen la detección de los valores inverosímiles de peso al nacer para la edad gestacional mediante un modelo probabilístico de agrupaciones, la utilización del modelo Generalized Additive Model for Location and Scale para la obtención de los percentiles alisados, y las puntuaciones z y el cálculo de los intervalos de confianza del 95% mediante remuestreos. Hasta donde conocemos, éstas son las primeras curvas de referencia en recién nacidos en las cuales se ha utilizado un método que permite modelar

Estimation of the impacts of different homogenization approaches on the variability of temperature series in Catalonia (North Eastern-Spain), Andorra and South Eastern - France. An experiment under the umbrella of the HOME-COST action.

Science.gov (United States)

Aguilar, E.; Prohom, M.; Mestre, O.; Esteban, P.; Kuglitsch, F. G.; Gruber, C.; Herrero, M.

2008-12-01

The almost unanimously accepted fact of climate change has brought many scientists to investigate the seasonal and interannual variability and change in instrumental climatic records. Unfortunately, these records are nearly always affected by homogeneity problems caused by changes in the station or its environment. The European Cooperation in the Field of Scientific and Technical Research (COST) is sponsoring the action COST-ES0601: Advances in homogenisation methods of climate series: an integrated approach (HOME), which aims amongst others to investigate the impacts of different homogenisation ap-proaches on the observed data series. In this work, we apply different detection/correction methods (SNHT, RhTest, Caussinus-Mestre, Vincent Interpolation Method, HOM Method) to annual, sea-sonal, monthly and daily data of a multi-country quality controlled dataset (17 stations in Catalonia (NE Spain); 3 stations in Andorra and 11 stations in SE France). The different outputs are analysed and the differences in the final se-ries studied. After this experiment, we can state that - although all the applied methods im-prove the homogeneity of the original series - the conclusions extracted from the analysis of the homogenised annual, seasonal, monthly data and extreme indices derived from daily data demonstrate important differences. As an exam-ple, some methods (SNHT) tend to detect fewer breakpoints than others (Caussinus-Mestre). Even if metadata or a pre-identified list of breakpoints is available, the correction factors calculated by the different approaches differ both in annual, seasonal, monthly and daily scales. In the latter case, some methods like HOM - based on the modelling of a candidate series against a reference series - present a richest solution than others based on the mere in-terpolation of monthly factors (Vincent Method), although the former are not al-ways applicable due to lack of good reference stations. In order to identify the best performing

How Do Catalan Students Narrate the History of Catalonia When They Finish Primary Education?

Science.gov (United States)

Sant, Edda; González-Monfort, Neus; Fernández, Antoni Santisteban; Blanch, Joan Pagès; Freixa, Montserrat Oller

2015-01-01

In this article we analyze how a group of Catalan students (aged 11-13, N = 245) narrate the history of Catalonia and we compare their narratives with the official Catalan narrative. From an interpretative approach, we collect data by requiring the students to write down what they remember about the history of Catalonia. The research is conducted…

Comparative analysis of the incidence of bladder cancer in the communities of Andalusia, Catalonia and Madrid in 2011.

Science.gov (United States)

Cózar, J M; Miñana, B; Palou-Redorta, J; Medina, R A; de la Rosa-Kehrmann, F; Lozano-Palacio, F; Ribal-Caparrós, M J; Hernández-Fernández, C; Castiñeiras-Fernández, J J; Requena, M J; Moreno-Sierra, J; Carballido-Rodríguez, J; Baena-González, V

2015-09-01

To determine the incidence of bladder cancer (BC) in the autonomous communities that include the largest number of cases in the national hospital BC registry (Andalusia, Catalonia and Madrid) and report the clinical, pathological and diagnostic differences and similarities of BC in these regions. An observational epidemiological study was performed in 2011 in 12 public hospitals with reference population areas according to the National Health System (Spain). Demographic and clinical variables were collected from new cases and relapses, with histopathologic confirmation of BC. The raw incidence rate was calculated using the number of diagnosed cases in all the participating centers compared with the aggregate total population assigned to each center. The raw rates by age and sex were obtained from the National Institute of Statistics (2011) by weighting the assigned population with the distribution by age and sex. The 3 autonomous communities recorded 51% of the 4285 cases included in the national registration, with relapses corresponding to 42.8% of these cases. The raw annual incidence rate for new episodes was 22.6 (95% CI: 20.7; 24.6) in Andalusia, 23.5 (95% CI: 20.9; 26.0) in Catalonia and 22.0 (95% CI: 19.9; 24.1) in Madrid. Except for the larger proportion of smokers and lower tumor grade of lesions in Andalusia, the 3 autonomous communities studied are similar in terms of clinical characteristics, comorbidities, patient symptoms and diagnostic processes for BC. Copyright © 2014 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

Attitudes toward business creation: A comparative study between Catalonia and Puerto Rico

Directory of Open Access Journals (Sweden)

Marinés Aponte

2006-10-01

Full Text Available In this research the attitudes towards entrepreneurship of two samples of university students from Catalonia and Puerto Rico are analysed. Perceptions of desirability, feasibility and the intention to start a new firm are studied and compared. Institutional Economic Theory is used as a theoretical framework of the research due to its adequacy to the analysis of the conditioning factors to entrepreneurship. Not relevant differences in the attitudes to entrepreneurship between Catalonia and Puerto Rico are found in the research.

Training on radiation protection in university area. Experience of Technical University of Catalonia

International Nuclear Information System (INIS)

Ortega, X.

2007-01-01

This paper presents an overview of the different agents that are involved in training on Radiation Protection in Spain. The main circumstances which can introduce new challenges in radiation protection practices are reviewed, namely the planned modifications in the regulation framework, the mobility of European workers, the consequences of deregulation of the electric system, the moratorium of the Spanish nuclear programme and the changes in Spanish studies resulting from implementation of the European Higher Education Area. In relation to the contributions that university groups can develop in this field, the author makes some suggestions according to his own experience in the Technical University of Catalonia. It is emphasized that this contribution must be characterized by its quality, credibility and independence. It should include activities such as development of R and D studies, the implementation of accredited laboratories, organization of post-graduate courses, preparation of teaching materials and technical publications, and collaboration with public institutions, scientific and professional societies and other organizations. Finally, the other new activity that is stressed is related to the efforts required to improve information and communication to the stake holders and a growing social interest. (Author)

Characteristics of Hospitalized Cases of Pertussis in Catalonia and Navarra, Two Regions in the North of Spain.

Directory of Open Access Journals (Sweden)

Inma Crespo

Full Text Available Pertussis causes a large number of cases and hospitalizations in Catalonia and Navarra. We made a study of household cases of pertussis during 2012 and 2013 in order to identify risk factors for hospitalization in pertussis cases. Each primary case reported triggered the study of their contacts. Close contacts at home and people who were in contact for >2 hours during the transmission period of cases were included. The adjusted OR and 95% confidence intervals (CI was calculated using logistic regression. A total of 1124 pertussis cases were detected, of which 14.9% were hospitalized. Inspiratory whoop (aOR: 1.64; CI: 1.02-2.65, apnoea (aOR: 2.47; CI: 1.51-4.03 and cyanosis (aOR: 15.51; CI: 1.87-128.09 were more common in hospitalized than in outpatient cases. Hospitalization occurred in 8.7% of correctly-vaccinated cases, 41.1% of non-vaccinated cases and 9.4% of partially-vaccinated cases. In conclusion, inspiratory whoop, apnoea and cyanosis were associated factors to hospitalization while vaccination reduced hospitalizations due to pertussis.

Characteristics of Hospitalized Cases of Pertussis in Catalonia and Navarra, Two Regions in the North of Spain.

Science.gov (United States)

Crespo, Inma; Toledo, Diana; Soldevila, Núria; Jordán, Iolanda; Solano, Rubén; Castilla, Jesús; Caylà, Joan A; Godoy, Pere; Muñoz-Almagro, Carmen; Domínguez, Ángela

2015-01-01

Pertussis causes a large number of cases and hospitalizations in Catalonia and Navarra. We made a study of household cases of pertussis during 2012 and 2013 in order to identify risk factors for hospitalization in pertussis cases. Each primary case reported triggered the study of their contacts. Close contacts at home and people who were in contact for >2 hours during the transmission period of cases were included. The adjusted OR and 95% confidence intervals (CI) was calculated using logistic regression. A total of 1124 pertussis cases were detected, of which 14.9% were hospitalized. Inspiratory whoop (aOR: 1.64; CI: 1.02-2.65), apnoea (aOR: 2.47; CI: 1.51-4.03) and cyanosis (aOR: 15.51; CI: 1.87-128.09) were more common in hospitalized than in outpatient cases. Hospitalization occurred in 8.7% of correctly-vaccinated cases, 41.1% of non-vaccinated cases and 9.4% of partially-vaccinated cases. In conclusion, inspiratory whoop, apnoea and cyanosis were associated factors to hospitalization while vaccination reduced hospitalizations due to pertussis.

Operational warnings issued by the SMC in the 8th March snow event in Catalonia

Science.gov (United States)

Vilaclara, E.; Segalà, S.; Andrés, A.; Aran, M.

2010-09-01

The snowfall event of 8th March 2010 was one of the most important of the last years in Catalonia, with high societal impact in the communication and in the power distribution. Since 2002, after an agreement between Meteorological Service of Catalonia (SMC) and Civil Protection authority, the SMC is the agency responsible to carry out meteorological warnings in Catalonia. These warnings are issued depending on the thresholds which are expected to be exceeded (three different probability degrees are defined), and are characterized by a high spatial and temporal resolution. In the snow event of 8th March, forecasting team of the SMC did the first meteorological warning three days before, on 5th March. During the two following days broadcasted four different warnings, taking into account the high probability of exceeding 2 cm of snow above 200 meters, 15 above 400 m and 30 above 800 m. Furthermore, the SMC disseminated also two special press releases with the aim to extend the forecast to the public. In the afternoon of Sunday, 7th March, the snow precipitation started in some areas of Catalonia. From this moment, the SMC followed the surveillance of situation with the remote sensing tools and the Meteorological Observers Network data. This network is formed by a hundred of spotters with mobile phones able to transmit observations in real time to our web site. This surveillance and the conceptual model of snow events in Catalonia allowed the forecasters to improve the estimation of the snow level forecasted by mesoscale meteorological models. In this event, the snow level obtained from these models was higher than the real one. In spite of the accuracy of the forecast, the impact was very important in Catalonia. On one hand, it was due to the exceptionality of the event, with 3 cm of snow in Barcelona in the afternoon of a working day. On the other hand, the large amount of wet snow precipitation (until 100 mm), and the wind, contributed to an important snow

[Health services utilization by the immigrant population in Spain].

Science.gov (United States)

Regidor, Enrique; Sanz, Belén; Pascual, Cruz; Lostao, Lourdes; Sánchez, Elisabeth; Díaz Olalla, José Manuel

2009-12-01

To compare health services utilization between the immigrant and indigenous populations in Spain. We used information provided by the following four health surveys carried out around 2005: Catalonia 2005; city of Madrid 2005, Canary Islands 2004 and the Autonomous Community of Valencia 2005. The health services studied were general practice, specialist services, emergency services, hospitalization, and two preventive services: pap smear test and mammography. In general, most health services were less frequently used by the immigrant population than by the Spanish population. The health services showing the least differences between the two populations were general practice and hospitalization, while the greatest differences were found in the use of specialist and preventive services. The most heterogeneous results were found in general practice and hospitalization, since some immigrant groups showed a relatively high frequency of use in some geographical areas and a relatively low frequency in other areas. The results of the present study reproduce those found in other studies carried out in countries with similar social and economic characteristics to Spain. Like previous results, the present results are difficult to explain. Future research should aim to use other study designs and to test hypotheses not put forward by the scientific community to date.

Cross-National comparison of antiepileptic drug use: Catalonia, Denmark and Norway, 2007-2011

Directory of Open Access Journals (Sweden)

Pili Ferrer-Argeles

2014-07-01

Full Text Available Background: Antiepileptic drug  (AEDconsumption has increased in recent years mainly from those AEDs marketed since 1990. The purpose is to describe and compare AED consumption in Catalonia, Denmark and Norway.Methods: Population-based descriptive study set in the outpatient healthcare sector. Data were retrieved from the Norwegian Prescription Register, Danish Register of Medicinal Product Statistics and DATAMART® in Catalonia, for 2007-2011.We calculated defined daily doses/1000 inhabitants/day (DID, by age and gender. AEDs were defined according to the Anatomical Therapeutic Chemical classification (N03A. We reviewed the population covered by the databases, the drug data source and the definition of outpatient healthcare sector to compare the results across the three settings.Results: Total AED use steadily increased over the study period in the three settings. In 2011, consumption was highest in Catalonia (15.20 DID, followed by Denmark (15.06 DID and Norway (14.24 DID. The “other AEDs” (N03AX subgroup represented 60% of all AED use. The N03A pattern by gender did not differ across the three settings. Marked differences by age and gender appeared when studying lamotrigine, topiramate, gabapentin, pregabalin and levetiracetam.  Differences among the databases were mainly in the definition of outpatient healthcare setting.Conclusions: There was a rapid increase in “other AEDs” in all three settings. Although we did not have information on the indication for the use of AEDs, the drug data source, population coverage of the database and definition of the healthcare setting helped us interpret the results.

Language Policy and Identity: The Case of Catalonia.

Science.gov (United States)

Miller, Henry; Miller, Kate

1996-01-01

Examines the dynamics of language in Catalonia and the development of Catalan educational policy. Discusses the suppression of the Catalan language under Generalissimo Francisco Franco and its reappearance after his death in 1975. Summarizes key arguments concerning the relationships among identity, nationality, education, and language. (MJP)

Latin American students and language learning in Catalonia: what does the linguistic interdependence hypothesis show us?

Science.gov (United States)

Huguet, Ángel

2014-01-01

The massive arrival in Spain of students of immigrant origin has visibly altered the traditional configuration of schools, where ethnic, cultural and linguistic diversity is becoming increasingly manifest. This situation is worth being mentioned insofar as it affects all the different autonomous communities in the country, even more clearly Catalonia, where the educational system is organized under the parameters of bilingual education. One of the theoretical constructs supporting this educational model is the Linguistic Interdependence Hypothesis, developed by Jim Cummins at the beginning of the 1980s. According to the author, whenever the instruction in a given language (Lx) takes place under certain conditions, competence acquired in this language can be transferred onto another (Ly). Bearing this theoretical construct in mind, our study focuses on a sample of 237 Spanish-speaking subjects (123 native and 114 immigrant students) who completed a series of parallel tests evaluating their skills in Catalan and Spanish. Drawing on the data analyzed we can conclude that the Hypothesis accounts for the results in both native and immigrant students with the same L1.

A study of the 21 March 2012 tornadic quasi linear convective system in Catalonia

Science.gov (United States)

Bech, Joan; Arús, Joan; Castán, Salvador; Pineda, Nicolau; Rigo, Tomeu; Montanyà, Joan; van der Velde, Oscar

2015-05-01

This study presents a description of a quasi linear convective system that took place in Catalonia (NE Spain) on 21 March 2012 producing heavy rainfall, moderate lightning activity and a weak tornado in the village of Ivars d'Urgell around 19 UTC after local sunset. A post-event survey indicated EF0 and EF1 damage in houses of the village - roofs and ceilings, broken windows, fences and walls and trees knocked down - along a track approximately 4 km long and about 20 m wide. Doppler radar observations show that the parent thunderstorm that spawned the tornado was one of a series that developed along a convective line that moved from S to N, initiating convective activity in terms of precipitation and lightning in the Mediterranean Sea and moving inland in S Catalonia (Tarragona and Salou coastal areas, producing local flash floods). Convective activity remained several hours with series of thunderstorms developing along the same paths. The synoptic situation was dominated by a high pressure ridge extending from northern Africa to central Europe, with a closed maximum sea level pressure area around 1036 hPa over northern France, southern Germany and Austria. On the other hand a relative low pressure area seen on 850 hPa and upper levels was present over the Iberian Peninsula, favouring a southern maritime flow from the Mediterranean between the forward part of the low pressure area and the high pressure system which blocked the advance of the low to the east. In the study we examine both the synoptic environment and storm scale observations with Doppler radar and total lightning data (cloud to ground and intracloud flashes) that lead to this cool-season severe convective event which is remarkable given the fact that, unlike in this case, most reported tornadoes in the region occur during the warm season (with peaks in August and September) and during daylight hours (6 to 18 UTC).

Updated distribution of Aedes albopictus (Diptera: Culicidae) in Spain: new findings in the mainland Spanish Levante, 2013

Science.gov (United States)

Alarcón-Elbal, Pedro María; Estrella, Sarah Delacour; Arrondo, Ignacio Ruiz; Collantes, Francisco; Iniesta, Juan Antonio Delgado; Morales-Bueno, José; Sánchez-López, Pedro Francisco; Amela, Carmen; Sierra-Moros, María José; Molina, Ricardo; Lucientes, Javier

2014-01-01

In 2004, Aedes (Stegomyia) albopictus (Skuse, 1894) was observed for the first time in Catalonia, northeastern Spain. A decade later, it has spread throughout the eastern Mediterranean region of the country and the Balearic Islands. Framed within a national surveillance project, we present the results of monitoring in 2013 in the autonomous communities of the mainland Levante. The current study reveals a remarkable increase in the spread of the invasive mosquito in relation to results from 2012; the species was present and well-established in 48 municipalities, most of which were along the Mediterranean coastline from the Valencian Community to the Region of Murcia. PMID:25317706

Prediction of cervical intraepithelial neoplasia grade 2+ (CIN2+) using HPV DNA testing after a diagnosis of atypical squamous cell of undetermined significance (ASC-US) in Catalonia, Spain.

Science.gov (United States)

Ibáñez, Raquel; Moreno-Crespi, Judit; Sardà, Montserrat; Autonell, Josefina; Fibla, Montserrat; Gutiérrez, Cristina; Lloveras, Belen; Alejo, María; Català, Isabel; Alameda, Francesc; Casas, Miquel; Bosch, F Xavier; de Sanjosé, Silvia

2012-01-26

A protocol for cervical cancer screening among sexually active women 25 to 65 years of age was introduced in 2006 in Catalonia, Spain to increase coverage and to recommend a 3-year-interval between screening cytology. In addition, Human Papillomavirus (HPV) was offered as a triage test for women with a diagnosis of atypical squamous cells of undetermined significance (ASC-US). HPV testing was recommended within 3 months of ASC-US diagnosis. According to protocol, HPV negative women were referred to regular screening including a cytological exam every 3 years while HPV positive women were referred to colposcopy and closer follow-up. We evaluated the implementation of the protocol and the prediction of HPV testing as a triage tool for cervical intraepithelial lesions grade two or worse (CIN2+) in women with a cytological diagnosis of ASC-US. During 2007-08 a total of 611 women from five reference laboratories in Catalonia with a novel diagnosis of ASC-US were referred for high risk HPV (hrHPV) triage using high risk Hybrid Capture version 2. Using routine record linkage data, women were followed for 3 years to evaluate hrHPV testing efficacy for predicting CIN2+ cases. Logistic regression analysis was used to estimate the odds ratio for CIN2 +. Among the 611 women diagnosed with ASC-US, 493 (80.7%) had at least one follow-up visit during the study period. hrHPV was detected in 48.3% of the women at study entry (mean age 35.2 years). hrHPV positivity decreased with increasing age from 72.6% among women younger than 25 years to 31.6% in women older than 54 years (p < 0.01). At the end of the 3 years follow-up period, 37 women with a diagnosis of CIN2+ (18 CIN2, 16 CIN3, 2 cancers, and 1 with high squamous intraepithelial lesions--HSIL) were identified and all but one had a hrHPV positive test at study entry. Sensitivity to detect CIN2+ of hrHPV was 97.2% (95%confidence interval (CI) = 85.5-99.9) and specificity was 68.3% (95%CI = 63.1-73.2). The odds ratio for CIN2

Predictive ability of severe rainfall events over Catalonia for the year 2008

Science.gov (United States)

Comellas, A.; Molini, L.; Parodi, A.; Sairouni, A.; Llasat, M. C.; Siccardi, F.

2011-07-01

This paper analyses the predictive ability of quantitative precipitation forecasts (QPF) and the so-called "poor-man" rainfall probabilistic forecasts (RPF). With this aim, the full set of warnings issued by the Meteorological Service of Catalonia (SMC) for potentially-dangerous events due to severe precipitation has been analysed for the year 2008. For each of the 37 warnings, the QPFs obtained from the limited-area model MM5 have been verified against hourly precipitation data provided by the rain gauge network covering Catalonia (NE of Spain), managed by SMC. For a group of five selected case studies, a QPF comparison has been undertaken between the MM5 and COSMO-I7 limited-area models. Although MM5's predictive ability has been examined for these five cases by making use of satellite data, this paper only shows in detail the heavy precipitation event on the 9-10 May 2008. Finally, the "poor-man" rainfall probabilistic forecasts (RPF) issued by SMC at regional scale have also been tested against hourly precipitation observations. Verification results show that for long events (>24 h) MM5 tends to overestimate total precipitation, whereas for short events (≤24 h) the model tends instead to underestimate precipitation. The analysis of the five case studies concludes that most of MM5's QPF errors are mainly triggered by very poor representation of some of its cloud microphysical species, particularly the cloud liquid water and, to a lesser degree, the water vapor. The models' performance comparison demonstrates that MM5 and COSMO-I7 are on the same level of QPF skill, at least for the intense-rainfall events dealt with in the five case studies, whilst the warnings based on RPF issued by SMC have proven fairly correct when tested against hourly observed precipitation for 6-h intervals and at a small region scale. Throughout this study, we have only dealt with (SMC-issued) warning episodes in order to analyse deterministic (MM5 and COSMO-I7) and probabilistic (SMC

A survey of mosquitoes breeding in used tires in Spain for the detection of imported potential vector species.

Science.gov (United States)

Roiz, D; Eritja, R; Escosa, R; Lucientes, J; Marquès, E; Melero-Alcíbar, R; Ruiz, S; Molina, R

2007-06-01

The used tire trade has facilitated the introduction, spread, and establishment of the Asian tiger mosquito, Aedes albopictus, and other mosquito species in several countries of America, Africa, Oceania, and Europe. A strategy for detecting these imported mosquito vectors was developed in Spain during 2003-2004 by EVITAR (multidisciplinary network for the study of viruses transmitted by arthropods and rodents). A survey in 45 locations found no invasive species. Eight autochthonous species of mosquitoes were detected in used tires, including Culex pipiens, Cx. hortensis, Cx. modestus, Anopheles atroparvus, An. claviger, Culiseta longiareolata, Cs. annulata, and Aedes caspius. Dominant species were Cx. pipiens and Cs. longiareolata. Aedes caspius was found in only once, near its natural breeding habitat. Considering the recent discovery of an established population of Ae. albopictus in Catalonia, the increasing commerce of used tires in Spain for recycling, storage, and recapping might greatly contribute to the rapid spread of this species across the Iberian Peninsula.

Language Use in the Context of Double Minority: The Case of Japanese-Catalan/Spanish Families in Catalonia

Science.gov (United States)

Fukuda, Makiko

2017-01-01

This study explores language use in Japanese-Catalan/Spanish families in Catalonia with a special attention to Japanese. In a community such as Catalonia wherein two languages of different status are in conflict within its own territory, the ability of families to maintain a socially "weaker" language and transmit yet another language…

[Implementation and evaluation of case management in Catalonia: the ISP-SMD program].

Science.gov (United States)

Balsera Gómez, J; Rodríguez Medina, C; Caba Calvet, R; Vega Prada, R; Ruiz Ureña, H; Berruezo Ortiz, L; Clusa Gironella, D; Rodríguez Montes, M J; Haro Abad, J M

2002-01-01

The pilot study of the Individualized Service Program for people with Severe Mental Disorders (ISP-SMD) consists of the implementation of case management services in Catalonia. The ISP-SMD has been implemented in two health care sectors and will be expanded to the rest of Catalonia in the next years. The program serves people with persistent mental disorders who have serious social or family problems and/or who have inadequate mental health service use (high use of inpatient services, no use of community services). The ISP-SMD is a community intervention program that focuses its activities on direct care and coordination between services. Thirty patients have been included in the evaluation. The results of the pilot study have shown that, compared to the year before entering the program, the patients show better clinical status, they decrease their unmet need level, they have more appropriate use of health services and have lower treatment costs. Satisfaction of the patients, family members and professionals with the program is very high. It is possible to adapt and implement case management services in Catalonia. When implemented, they improve patient quality of life.

Vaccination coverage against pertussis in pregnant women of Catalonia in the first year of implementation of the immunisation program.

Science.gov (United States)

Fernández-Cano, María Isabel; Espada-Trespalacios, Xavier; Reyes-Lacalle, Azahara; Manresa Domínguez, Josep Maria; Armadans-Gil, Lluís; Campins-Martí, Magda; Falguera-Puig, Gemma; Toran Monserrat, Pere

2017-11-01

The re-emergence of pertussis and the severity of its complications in infants younger than 3 months, were determining factors for starting a vaccination program for pregnant women in the third trimester of gestation in Catalonia in February 2014. This was the first autonomous community to introduce it in Spain. The aim of the study was to estimate the coverage of the program in its first year of implementation. A retrospective analysis was performed on the data from the Primary Care Centre computerised medical records of pregnant women attending Sexual and Reproductive Health Care centres of the Metropolitan Nord area of the province of Barcelona, part of the Catalan Institute of Health. The overall coverage was estimated, as well as the sociodemographic variables of Tdap vaccination of women who had registered a delivery of a live birth between August 2014 and August 2015. A total of 6,697 deliveries of live births were recorded, and 1,713 pregnant women were vaccinated, which represented an overall coverage of 25.6% (95% CI; 24.1-26.1). Vaccination coverage was higher in pregnant women under 18 years and Spanish women (P=.018 and P=.036, respectively). The estimation of vaccine coverage against pertussis in pregnant women in the third trimester of pregnancy, after the first year of implementation of the program in a health area of Catalonia was lower than the objective set. Strategies need to be designed in order to improve program coverage. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

Preliminary validation study of the Spanish version of the satisfaction with life scale in persons with multiple sclerosis

NARCIS (Netherlands)

Lucas-Carrasco, Ramona; Sastre-Garriga, Jaume; Galan, Ingrid; Den Oudsten, Brenda L.; Power, Michael J.

2014-01-01

Purpose: To assess Life Satisfaction, using the Satisfaction with Life Scale (SWLS), and to analyze its psychometric properties in Multiple Sclerosis (MS). Method: Persons with MS (n = 84) recruited at the MS Centre of Catalonia (Spain) completed a battery of subjective assessments including the

[Quality of life in Latin American immigrant caregivers in Spain].

Science.gov (United States)

Bover, Andreu; Taltavull, Joana Maria; Gastaldo, Denise; Luengo, Raquel; Izquierdo, María Dolores; Juando-Prats, Clara; Sáenz de Ormijana, Amaia; Robledo, Juana

2015-01-01

To describe perceived quality of life in Latin American caregivers working in Spain and how it varies in relation to certain variables shared by this group. We used the SF-36 to measure perceived quality of life in 517 women residing in five Spanish regions: the Balearic Islands, Catalonia, the Basque Country, the Canary Islands, and Madrid. Several variables related to the socio-demographic profile and migration process were studied using Student's t test, ANOVA and linear regression models. The participants scored very low on the dimensions of physical and emotional roles. The factors associated with lower quality of life scores within the group were working as a live-in caregiver, lack of contract, multitasking, irregular status, and younger age. The vulnerability of these women can be explained by poor working conditions and other factors related to the migratory process. Copyright © 2014 SESPAS. Published by Elsevier Espana. All rights reserved.

Social media and tourism: case study in Catalonia

Directory of Open Access Journals (Sweden)

Joan-Francesc Fondevila-Gascón

2016-10-01

Full Text Available In this article we study the social media use by business tourists coming to Barcelona (Catalonia. The methodology used is a quantitative method that converts the object of study into numerical data, with emphasis on the measurable objective. We devise a quantitative questionnaire. The multiple choices are an instrument for obtaining data and it is used to gather the information needed: facts, opinions, trends. Data collection was carried out for 4 months in 2015 with a final sample of 494 participants. We conclude that Facebook, Twitter, Instagram and Foursquare are the social media more used by young people and gender does not influence their use. However, the degree of use of Google+, Linkedin, TripAdvisor and Booking have no significant relationship, taking into account such variables as age and gender.

Tornadoes and waterspouts in Catalonia (1950-2009)

OpenAIRE

Gayà, M.; Llasat Botija, María del Carmen; Arús Dumenjó, Joan

2011-01-01

This paper presents a preliminary climatology of tornadoes and waterspouts in Catalonia (NE Iberian Peninsula). A database spanning 60 yr (1950–2009) has been developed on the basis of information collected from various sources such as weather reports, insurance companies, newspapers and damage surveys. This database has been subjected to a rigorous validation process, and the climatology describes its main features: timing, spatial pattern, and trends in the tornado and wat...

Integument Mycobiota of Wild European Hedgehogs (Erinaceus europaeus) from Catalonia, Spain.

Science.gov (United States)

Molina-López, R A; Adelantado, C; Arosemena, E L; Obón, E; Darwich, L; Calvo, M A

2012-01-01

There are some reports about the risk of manipulating wild hedgehogs since they can be reservoirs of potential zoonotic agents like dermatophytes. The aim of this study was to describe the integument mycobiota, with special attention to dermatophytes of wild European hedgehogs. Samples from spines and fur were cultured separately in Sabouraud dextrose agar (SDA) with antibiotic and dermatophyte test medium (DTM) plates. Nineteen different fungal genera were isolated from 91 cultures of 102 hedgehogs. The most prevalent genera were Cladosporium (79.1%), Penicillium (74.7%), Alternaria (64.8%), and Rhizopus (63.7%). A lower prevalence of Aspergillus (P = 0,035; χ (2) = 8,633) and Arthrinium (P = 0,043; χ (2) = 8,173) was isolated during the spring time and higher frequencies of Fusarium (P = 0,015; χ (2) = 10,533) during the autumn. The prevalence of Acremonium was significantly higher in young animals (70%, 26/37) than in adults (30%, 11/37) (P = 0,019; χ (2) = 5,915). Moreover, the majority of the saprophytic species that grew at the SDA culture were also detected at the DTM. Finally, no cases of ringworm were diagnosed and no dermatophytes spp. were isolated. Concluding, this study provides the first description of fungal mycobiota of the integument of wild European hedgehogs in Spain, showing a large number of saprophytic species and the absence of dermatophytes.

[Implementation of nurse demand managment in primary health care service providers in Catalonia].

Science.gov (United States)

Brugués Brugués, Alba; Cubells Asensio, Irene; Flores Mateo, Gemma

2017-11-01

To describe and analyse the implementaction of nurse demand managment (NDM) among health care providers in Catalonia from 2005 to 2014. Cross sectional survey. Participants All service providers in Catalonia (n=37). Main measurements Interviews with nurse manager of each health care provides about ht barriers and facilitators concerning NDM. Facilitators and barriers were classified into 3 types: (i)health professional (competence, attitudes, motivation for change and individual characteristics); (ii)social context (patients and companions), and (iii)system related factors (organization and structure, economic incentives). Of the 37 providers, 26 (70.3%) have implemented the Demand Management Nurse (NDM). The main barriers identified are the nurse prescriptin regulation, lack of knowledge and skills of nurses, and the lack of protocols at the start of implantation. Among the facilitators are the specific training of professionals, a higher ratio of nurses to doctors, consensus circuits with all professionals and linking the implementation of NDM to economic incentives. NDM is consolidated in Catalonia. However, the NDM should be included in the curricula of nursing degree and continuing education programs in primary care teams. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

The Strong Wind event of 24th January 2009 in Catalonia: a social impact analysis

Science.gov (United States)

Amaro, J.; Aran, M.; Barberia, L.; Llasat, M. C.

2009-09-01

Although strong winds are frequent in Catalonia, one of the events with the strongest impact in recent years was on January 24th 2009. An explosive cyclogenesis process took place in the Atlantic: pressure fell 30 hPa in less than 24 hours. The strong wind storm pounded the northern of Spain and the south of France with some fatalities and important economic losses in these regions. Several automatic weather stations recorded wind gusts higher than 100 km/h in Catalonia. Emergency services received more than 20.000 calls in 24 hours and there were 497 interventions in only 12 hours. As a consequence of fallen and uprooted trees railway and road infrastructures got damages and more than 30.000 customers had no electricity during 24 hours. Unfortunately there were a total of 6 fatalities, two of them because of fallen trees and the other ones when a sports centre collapsed over a group of children. In Spain, insurance policies cover damages due to strong winds when fixed thresholds are overcome and, according to the Royal Decree 300/2004 of 20th February, extraordinary risk are assumed by the Consorcio de Compensación de Seguros. Subsequently, Public Weather Services (PWS) had an increased on the number of requests received from people affected by this event and from insurance companies, for the corresponding indemnity or not. As an example, during the first month after the event, in the Servei Meteorològic de Catalunya (SMC) more than 600 requests were received only related to these damages (as an average PWS of SMC received a total of 400 requests per month). Following the research started by the Social Impact Research Group of MEDEX project, a good vulnerability indicator of a meteorological risk can be the number of requests reported. This study uses the information received in the PWS of the SMC during the six months after the event, according the criteria and methodology established in Gayà et al (2008). The objective is to compare the vulnerability with the

Screening of cervical cancer in Catalonia 2006-2012.

Science.gov (United States)

de Sanjosé, Silvia; Ibáñez, Raquel; Rodríguez-Salés, Vanesa; Peris, Mercè; Roura, Esther; Diaz, Mireia; Torné, Aureli; Costa, Dolors; Canet, Yolanda; Falguera, Gemma; Alejo, Maria; Espinàs, Josep Alfons; Bosch, F Xavier

2015-01-01

The early detection of intraepithelial lesions of the cervix, through the periodic examination of cervical cells, has been fundamental for the prevention of invasive cervical cancer and its related mortality. In this report, we summarise the cervical cancer screening activities carried out in Catalonia, Spain, within the National Health System during 2008-2011. The study population covers over two million women resident in the area. The evaluation includes 758,690 cervical cytologies performed on a total of 595,868 women. The three-year coverage of cervical cytology among women aged between 25 and 65 years was 40.8%. About 50% of first screened women with negative results had not returned to the second screening round. The introduction of high-risk human papillomavirus DNA (HPV) detection, as a primary screening cotest with cytology among women over age 40 with a poor screening history, significantly improved the detection of cervical intraepithelial neoplasia grade 2 or worse (CIN2+), being far superior to cytology alone. Cotesting did not improve the detection of CIN2+. The use of the HPV test for the triage of atypical squamous cell undetermined significance (ASC-US) improved the selection of women at high risk of CIN2+. Sampling (both cytology and HPV test) was largely performed by midwives (66.7%), followed by obstetricians (23.8%) and nurses (7%). Over half of the centres (54.8%) had full use of online medical records. During the study period, educational activities for professionals and for women were carried out periodically. The organisation of screening as a population activity in which women are actively called to the screening visit and the introduction of HPV testing as a primary screening tool are strongly recommended to ensure the maximum population impact in the reduction of the cervical cancer burden.

Teachers' Perceptions of Factors Affecting the Educational Use of ICT in Technology-Rich Classrooms

Science.gov (United States)

Badia, Antoni; Meneses, Julio; Sigales, Carles

2013-01-01

Introduction: The purpose of this study is to identify the main factors that influence teachers' decision-making regarding the educational use of ICT (Information and Communication Technologies) in technology-rich classrooms. Method: We collected data from 278 teachers in Catalonia (Spain) working in eight primary and secondary education schools…

Predictive ability of severe rainfall events over Catalonia for the year 2008

Directory of Open Access Journals (Sweden)

A. Comellas

2011-07-01

Full Text Available This paper analyses the predictive ability of quantitative precipitation forecasts (QPF and the so-called "poor-man" rainfall probabilistic forecasts (RPF. With this aim, the full set of warnings issued by the Meteorological Service of Catalonia (SMC for potentially-dangerous events due to severe precipitation has been analysed for the year 2008. For each of the 37 warnings, the QPFs obtained from the limited-area model MM5 have been verified against hourly precipitation data provided by the rain gauge network covering Catalonia (NE of Spain, managed by SMC. For a group of five selected case studies, a QPF comparison has been undertaken between the MM5 and COSMO-I7 limited-area models. Although MM5's predictive ability has been examined for these five cases by making use of satellite data, this paper only shows in detail the heavy precipitation event on the 9–10 May 2008. Finally, the "poor-man" rainfall probabilistic forecasts (RPF issued by SMC at regional scale have also been tested against hourly precipitation observations. Verification results show that for long events (>24 h MM5 tends to overestimate total precipitation, whereas for short events (≤24 h the model tends instead to underestimate precipitation. The analysis of the five case studies concludes that most of MM5's QPF errors are mainly triggered by very poor representation of some of its cloud microphysical species, particularly the cloud liquid water and, to a lesser degree, the water vapor. The models' performance comparison demonstrates that MM5 and COSMO-I7 are on the same level of QPF skill, at least for the intense-rainfall events dealt with in the five case studies, whilst the warnings based on RPF issued by SMC have proven fairly correct when tested against hourly observed precipitation for 6-h intervals and at a small region scale.

Throughout this study, we have only dealt with (SMC-issued warning episodes in order to analyse deterministic (MM5 and COSMO-I7

Soil and Water Assessment Tool soil loss simulation at the sub-basin scale in the Alt Penedès-Anoia vineyard region (Ne Spain) in the 2000s

OpenAIRE

Martínez Casasnovas, José Antonio; Ramos Martín, Ma. C. (Ma. Concepción); Benites, Grace

2016-01-01

This paper evaluates soil loss due to water erosion in an area of 32,362 ha with a predominant land use of vineyards (Alt Penedès-Anoia region, Catalonia, Spain). The Soil and Water Assessment Tool (SWAT) was used incorporating daily climatic data for the period 2000-2010 and also detailed soil and land use maps. Particular attention was given to the universal soil loss equation cover and management factor (C factor) of vineyards, with a minimum value of 0·15 being determined for this crop. T...

Iodine nutritional status of women in their first trimester of pregnancy in Catalonia.

Science.gov (United States)

Torres, Maria Teresa; Francés, Lidia; Vila, Lluis; Manresa, Josep María; Falguera, Gemma; Prieto, Gemma; Casamitjana, Roser; Toran, Pere

2017-07-26

Sufficient iodine intake is needed during pregnancy to ensure proper fetal development. The iodine levels of women in their first trimester of pregnancy in Catalonia are currently unknown. This data would help to determine whether our public health services should establish recommendations or interventions in this line. The aim of this study was to investigate the iodine nutritional status, prevalence of urinary iodine pregnancy in our setting. Cross-sectional study. Data were collected during 2008-2009 from women in their first trimester at the primary care centers of the province of Barcelona (Spain). Pregnant women included in the study completed a questionnaire on eating habits and underwent urinary iodine concentration (UIC) assessment. Nine hundred forty five women completed the dietary questionnaire and urinary iodine testing. Median UIC was 172 μg/L, with 407 participants (43.1%) showing levels 2 glasses, OR = 0.593 95% CI (0.37-0.95); iodized salt consumption, OR = 0.678 95% CI (0.51-0. 90); and use of iodine supplementation, OR = 0.410 95% CI (0.31-0.54), protected against the risk of UIC nutritional status according to the criteria established by the WHO and ICCIDD. The risk of urinary iodine <150 μg/L decreased with simultaneous consumption of milk and iodized salt, similar to the decrease seen with iodine supplementation.

Spain: Europe's California.

Science.gov (United States)

Wilvert, Calvin

1994-01-01

Contends that, as Spain integrates into the European Economic Community, it is considered to be Europe's California. Asserts that making regional comparisons between California and Spain can be an effective teaching method. Provides comparisons in such areas as agriculture and tourism. (CFR)

Bacterial diversity of Grenache and Carignan grape surface from different vineyards at Priorat wine region (Catalonia, Spain).

Science.gov (United States)

Portillo, Maria del Carmen; Franquès, Judit; Araque, Isabel; Reguant, Cristina; Bordons, Albert

2016-02-16

Epiphytic bacteria on grape berries play a critical role in grape health and quality, which decisively influence the winemaking process. Despite their importance, the bacteria related with grape berry surface remain understudied and most previous work has been based on culture-dependent methods, which offer a limited view of the actual diversity. Herein, we used high-throughput sequencing to investigate the bacterial diversity on the surface from two grape varieties, Grenache and Carignan, and compared them across five vineyards included within the Priorat region (Spain). We could detect up to 14 bacterial phyla with Firmicutes (37.6% Bacillales and 14% Lactobacillales), Proteobacteria (16.8% Pseudomonadales and 11.6% Enterobacteriales) and Actinobacteria (3.4% Actinomycetales) being the most abundant. Bacterial community was different at each vineyard being grape varietal, geographical situation and orientation related with changes in bacterial populations. The most abundant bacterial taxa and those driving differences between the vineyards and grape varietals were identified. This study indicates that bacterial community heterogeneities can be influenced by geographic factors like orientation. Copyright © 2015 Elsevier B.V. All rights reserved.

Home range and habitat use of little owl (Athene noctua in an agricultural landscape in coastal Catalonia, Spain

Directory of Open Access Journals (Sweden)

Framis, H.

2011-12-01

Full Text Available In recent decades agricultural landscapes in Catalonia have undergone a profound transformation as in most of Europe. Reforestation and urban development have reduced farmland and therefore the availability of suitable habitat for some bird species such as the little owl (Athene noctua. The outskirts of the city of Mataró by the Mediterranean Sea exemplify this landscape change, but still support a population of little owl where agriculture is carried out. Three resident little owls were monitored with telemetry weekly from November 2007 until the beginning of August 2008 in this suburban agricultural landscape. Mean home range ± SD was 10.9 ± 5.5 ha for minimum convex polygon (MCP100 and 7.4 ± 3.8 ha for Kernel 95% probability function (K95. Home ranges of contiguous neighboring pairs overlapped 18.4% (MCP100 or 6% (K95. Home range varied among seasons reaching a maximum between March and early August but always included the nesting site. Small forested patches were associated with roosting and nesting areas where cavities in Carob trees (Ceratonia siliqua were important. When foraging in crop fields, the owls typically fed where crops had recently been harvested and replanted. All three owls bred successfully.

[Performance assessment of health services in Catalonia (Spain): evaluation of initial results of the Catalan healthcare service project].

Science.gov (United States)

García-Altés, Anna; Dalmau-Bueno, Albert; Colls, Cristina; Mendivil, Joan; Benet, Josep; Mompart, Anna; Torné, Elvira; Zara, Corinne; Borrell, Carme; Brugulat, Pilar; Guarga, Alex

2009-01-01

Performance assessment of healthcare services is receiving greater attention due to increasing health care expenditures, greater expectations among the population, and the need to obtain results from the invested resources. Taking advantage of the existing experience of the Agència de Salut Pública de Barcelona and the Consorci Sanitari de Barcelona, which compared the healthcare services of Barcelona and Montreal, a grant from the Agència d'Avaluació de Tecnologia i Recerca Mèdiques, and the health planning interest of the Departament de Salut, the performance assessment of the Catalan healthcare service project was started in Catalonia in 2005. This article aims to present the development of the project, to provide some examples that illustrate the kind of numerical and graphical information that could be obtained and the kind of analysis that could be performed, to provide possible explanations for the results shown, and to discuss some limitations and implications. Currently, the added value of this project is that it identifies the extent to which the healthcare system is achieving its objectives, establishes a set of homogeneous indicators that could be used in the future, and is a key tool in the development of the Central de Resultats del Departament de Salut de la Generalitat de Catalunya.

Relative effects of educational level and occupational social class on body concentrations of persistent organic pollutants in a representative sample of the general population of Catalonia, Spain.

Science.gov (United States)

Gasull, Magda; Pumarega, José; Rovira, Gemma; López, Tomàs; Alguacil, Juan; Porta, Miquel

2013-10-01

Scant evidence is available worldwide on the relative influence of occupational social class and educational level on body concentrations of persistent organic pollutants (POPs) in the general population. The objective was to analyse such influence in a representative sample of the general population of Catalonia, Spain. Participants in the Catalan Health Interview Survey aged 18-74 were interviewed face-to-face, gave blood, and underwent a physical exam. The role of age, body mass index (BMI), and parity was analysed with General Linear Models, and adjusted geometric means (GMs) were obtained. Crude (unadjusted) concentrations were higher in women and men with lower education, and in women, but not men, in the less affluent social class. After adjusting for age, in women there were no associations between POP levels and social class or education. After adjusting for age and BMI, men in the less affluent class had higher p,p'-DDE concentrations than men in class I (p-value=0.016), while men in class IV had lower HCB than men in the upper class (p-valuesocial class were co-adjusted for, some positive associations with education in men remained statistically significant, whereas class remained associated only with p,p'-DDE. Educational level influenced blood concentrations of POPs more than occupational social class, especially in men. In women, POP concentrations were mainly explained by age/birth cohort, parity and BMI. In men, while concentrations were also mainly explained by age/birth cohort and BMI, both social class and education showed positive associations. Important characteristics of socioeconomic groups as age and BMI may largely explain crude differences among such groups in internal contamination by POPs. The absence of clear patterns of relationships between blood concentrations of POPs and indicators of socioeconomic position may fundamentally be due to the widespread, lifelong, and generally invisible contamination of human food webs. Decreasing

Wind Farm Siting and Protected Areas in Catalonia: Planning Alternatives or Reproducing 'One-Dimensional Thinking'?

Directory of Open Access Journals (Sweden)

Katharine N. Farrell

2012-11-01

Full Text Available Wind energy is an emblem of sustainability with the potential to promote a qualitative alternative to current energy systems and nuclear options for CO2 reduction. However, wind farm siting often conflicts with aspirations to conserve traditional landscapes and wildlife habitats. In this paper we adopt a Critical Theory perspective, informed by Herbert Marcuse`s work, to study the discourse concerning wind energy siting in Catalonia, Spain. We give particular attention to how tensions between potentially conflicting sustainability objectives are addressed and by whom. Based on a review of this siting discourse and the application of Marcuse’s theory, we find that the Catalan wind energy siting discourse is both influenced by and reproducing what Marcuse referred to as the ‘one-dimensional thinking’ of technology as ideology: erasing the possibility of critical dialectical thought by subsuming the question of “what should be” under the question of “what is”. This has implications both for how these conflicts are investigated and for the sustainability of decisions taken. We conclude that closer attention to the role of ‘one-dimensional thinking’ in wind energy siting discourses could improve not only the understanding of their logic but might also have the potential to help make them more democratic.

[Smoking in the hospitality sector: an observational study in Barcelona (Spain), 2008].

Science.gov (United States)

Villalbí, Joan R; Baranda, Lucía; López, M José; Nebot, Manel

2010-01-01

To describe the actual presence of smoking in restaurant and hospitality premises after the smoking prevention act banning smoking in workplaces came into force in 2006, with wide exemptions in this sector. We performed an observational, descriptive study in Barcelona (Catalonia, Spain) in 2008 based on cluster sampling, with 1130 premises. The results were stratified by premise type. Up to 85.7% of food shops allowing consumption within their premises (bakeries, pastry shops...) ban smoking, as well as 85% of fast food establishments. Among restaurants, 40% are smoke-free or have separate smoking areas. Bar-cafés and café-restaurants (the most abundant premises) usually allow smoking. There are more smoke-free options in central districts and in shopping malls. Up to 75.4% of all premises allow smoking freely. These results show the limitations of the law. Copyright 2009 SESPAS. Published by Elsevier Espana. All rights reserved.

Analysis of UV filters in tap water and other clean waters in Spain.

Science.gov (United States)

Díaz-Cruz, M Silvia; Gago-Ferrero, Pablo; Llorca, Marta; Barceló, Damià

2012-03-01

The present paper describes the development of a method for the simultaneous determination of five hormonally active UV filters namely benzophenone-3 (BP3), 3-(4-methylbenzylidene) camphor (4MBC), 2-ethylhexyl 4-(dimethylamino) benzoate (OD-PABA), 2-ethylhexyl 4-methoxycinnamate (EHMC) and octocrylene (OC) by means of solid-phase extraction and gas chromatography-electron impact ionization-mass spectrometry. Under optimized conditions, this methodology achieved low method limits of detection (needed for clean waters, especially drinking water analysis), between 0.02 and 8.42 ng/L, and quantitative recovery rates higher than 73% in all cases. Inter- and intraday precision for all compounds were lower than 7% and 11%, respectively. The optimized methodology was applied to perform the first survey of UV absorbing compounds in tap water from the metropolitan area and the city of Barcelona (Catalonia, Spain). In addition, other types of clean water matrices (mineral bottled water, well water and tap water treated with an ion-exchange resin) were investigated as well. Results evidenced that all the UV filters investigated were detected in the water samples analyzed. The compounds most frequently found were EHMC and OC. Maximum concentrations reached in tap water were 290 (BP3), 35 (4MBC), 110 (OD-PABA), 260 (EHMC), and 170 ng/L (OC). This study constitutes the first evidence of the presence of UV filter residues in tap water in Europe.

Economic costs of outbreaks of acute viral gastroenteritis due to norovirus in Catalonia (Spain), 2010-2011.

Science.gov (United States)

Navas, Encarna; Torner, Nuria; Broner, Sonia; Godoy, Pere; Martínez, Ana; Bartolomé, Rosa; Domínguez, Angela

2015-10-01

To determine the direct and indirect costs of outbreaks of acute viral gastroenteritis (AVG) due to norovirus in closed institutions (hospitals, social health centers or nursing homes) and the community in Catalonia in 2010-11. Information on outbreaks were gathered from the reports made by epidemiological surveillance units. Direct costs (medical visits, hospital stays, drug treatment, sample processing, transport, diagnostic tests, monitoring and control of the outbreaks investigated) and indirect costs (lost productivity due to work absenteeism, caregivers time and working hours lost due to medical visits) were calculated. Twenty-seven outbreaks affecting 816 people in closed institutions and 74 outbreaks affecting 1,940 people in the community were detected. The direct and indirect costs of outbreaks were € 131,997.36 (€ 4,888.79 per outbreak) in closed institutions and € 260,557.16 (€ 3,521.04 per outbreak) in community outbreaks. The cost per case was € 161.76 in outbreaks in closed institutions and € 134.31 in community outbreaks. The main costs were surveillance unit monitoring (€ 116,652.93), laboratory diagnoses (€ 119,950.95), transport of samples (€ 69,970.90), medical visits (€ 25,250.50) and hospitalization (€ 13,400.00). The cost of outbreaks of acute viral gastroenteritis due to norovirus obtained in this study was influenced by the number of people affected and the severity of the outbreak, which determined hospitalizations and work absenteeism. Urgent reporting of outbreaks would allow the implementation of control measures that could reduce the numbers affected and the duration of the illness and thus the costs derived from them.

Situación y perspectivas laborales de los técnicos de salud de atención primaria de Cataluña Working conditions of public health workers in the primary care in Catalonia, Spain

Directory of Open Access Journals (Sweden)

Maria Salut Martínez Ferrer

2007-06-01

Full Text Available Objetivos: Explorar la situación laboral de los técnicos de salud adscritos a las unidades docentes de medicina de familia y comunitaria de Cataluña. Métodos: Estudio transversal. Resultados: De 53 posibles técnicos de salud, se obtuvieron 40 respuestas, 29 completas. Más de la mitad de los técnicos de salud del Institut Català de la Salut son interinos. Sus principales actividades son la docencia, el apoyo metodológico a la investigación y la evaluación de servicios y personal sanitario. Desean mayor definición de sus funciones y mejorar sus condiciones de trabajo. Aunque una pequeña proporción considera muy difícil la coordinación en la salud pública, la mayoría muestra disposición a colaborar. Conclusiones: La inestabilidad laboral, las mejoras salariales y la definición de funciones son prioritarias para los técnicos de salud. Consideran deseable la coordinación de la atención primaria con los servicios de salud pública.Objective: To describe the working conditions and tasks of health workers in the health training unit of family medicine in Catalonia, Spain. Methods: Cross-sectional study. Results: Fifty-three public health workers were located. Forty responses were obtained, of which 29 were complete. More than half the health technicians in the Catalan Health Service had temporary contracts. Their main tasks were teaching, providing methodological assistance in research, and auditing healthcare services and healthcare workers. Health technicians wanted more precise job definition and better working conditions. Although a small proportion believed coordination of primary care and public health to be very difficult, most would take part in it. Conclusions: The main issues for public health workers were work instability, better salaries, and greater job definition. Coordination between primary care and public health was considered desirable.

A new miniaturized lizard from the late Eocene of France and Spain.

Science.gov (United States)

Bolet, Arnau; Augé, Marc

2014-03-01

We report here a new lizard genus and species shared by two late Eocene localities situated at both versants of the present Pyrenees (South-Western Europe), one located in France (Escamps, MP19), and the other in Catalonia, Spain (Sossís, MP17a). The recovered specimens are remarkable because of their small size and peculiar morphology. Features of the dentary are interpreted as adaptations to a fossorial or semi-fossorial lifestyle, although such modifications obscure the exact phylogenetic relationships of the new taxon. We suggest that it might represent a further example of scincoid lizard that independently achieved adaptations for burrowing or surface-dwelling. This taxon reinforces the hypotheses that link the Southern Pyrenean assemblages to those from France rather than to those of the rest of the Iberian Peninsula, which are supposed to be somehow isolated and endemic to a certain degree during the middle and late Eocene, forming part of the so-called Western Iberian Bioprovince. Copyright © 2014 Wiley Periodicals, Inc.

Estimating the economic consequences of an increased medication adherence due to a potential improvement in the inhaler technique with Spiromax® compared with Turbuhaler® in patients with moderate-to-severe chronic obstructive pulmonary disease in Spain

Directory of Open Access Journals (Sweden)

Darbà J

2017-02-01

Full Text Available Josep Darbà,1 Gabriela Ramírez,2 Juan L García-Rivero,3 Sagrario Mayoralas,4 José Francisco Pascual,5 Diego Vargas,6 Adi Bijedic7 1Department of Economics, Universitat de Barcelona, 2BCN Health Economics & Outcomes Research S.L., Barcelona, 3Hospital Laredo, Cantabria, 4Hospital Ramón y Cajal, Madrid, 5Hospital General Universitario de Alicante, Alicante, 6Hospital de Alta Resolución el Toyo, Andalusia, 7Market Access and HEOR Department, TEVA Pharmaceutical, Madrid, Spain Objective: The objective of this study was to estimate the economic impact of the introduction of DuoResp® Spiromax®, budesonide/formoterol fixed-dose combination (FDC, focusing on an increase in medication adherence due to an enhancement of the inhalation technique for the treatment of COPD patients in Spain and 5 regions including Andalusia, Catalonia, Galicia, Madrid, and Valencia.Methods: A 4-year budget impact model was developed for the time period of 2015–2018. This study aimed at evaluating the budget impact associated with the introduction of DuoResp Spiromax in comparison with Symbicort® Turbuhaler® and Rilast® Turbuhaler. National and regional data on COPD prevalence were obtained from the literature. Input data on health care resource utilization were obtained by clinical consultation. Resource included primary care visits, specialist visits, hospitalization, and emergency room visits as well as the length of hospital stay. Based on both pharmacological and health care resource costs, overall annual treatment cost per patient was estimated in EUR 2015. Results: It was calculated that 130,777 adults were treated with budesonide/formoterol FDC delivered by a dry powder inhaler, Turbuhaler, in Spain in 2015. However, the target population decreases over the next 4 years. This pattern was observed in 4 regions, but for Andalusia, the treated population increased slightly. The overall budget savings in Spain with the market share of DuoResp Spiromax were

Grapevine yellows diseases in Spain: eight year survey of disease spread and molecular characterization of phytoplasmas involved

Directory of Open Access Journals (Sweden)

Torres, Ester

2005-12-01

Full Text Available Among grapevine yellows phytoplasma diseases in Europe, flavescence dorée (FD is the most devastating and in the last decade has reached Spanish vineyards, mainly in Catalonia. An eight-year survey was carried out in the areas where the disease has spread (Alt Empordà, Catalonia, Northern Spain and in the remaining vine-growing areas of Catalonia. Sequence analyses of a portion of the 16S-23S ribosomal DNA cistron, from selected grapevine samples from Catalonia, showed that the phytoplasmas involved in grapevine yellows belong to 16S ribosomal subgroups V-D (flavescence dorée, FD and XII-A (bois noir, BN. A set of Spanish FD isolates collected during these years were further studied by RFLP analyses of the 16S-23S ribosomal DNA fragment, as well as the rpS3 and SecY genes. All the FD phytoplasma strains studied were related to phytoplasmas belonging to ribosomal protein subgroup rp-E.La flavescencia dorada (FD es la enfermedad más agresiva de entre todas las enfermedades de fitoplasmas que causan amarilleos de vid en Europa, y que en la última década ha alcanzado también a los viñedos de España, principalmente en Cataluña. Se ha realizado un seguimiento durante ocho años en las zonas donde la enfermedad se había difundido (Alt Empordà, Cataluña y en el resto de zonas con cultivo de vid de Cataluña. El análisis del fragmento del gen DNA ribosomal 16S-23S, de una selección de muestras de vides de Cataluña, indica que los fitoplasmas que están implicados en los amarilleos de vid pertenecen a los subgrupos ribosomales 16S V-D (flavescencia dorada, FD y XII-A (bois noir, BN. Una selección de aislados españoles de FD obtenidos durante estos años se ha examinado mediante análisis RFLP del fragmento del gen ribosomal 16S-23S, y de los genes rpS3 y SecY. Todos los aislamientos de fitoplasmas FD estudiados están relacionados con fitoplasmas pertenecientes al subgrupo de proteína ribosomal rp-E.

Urban solid wastes management in Montnegre-Corredor (Catalonia, Spain); La gestion de residos solidos urbanos en parques naturales. El Montnegre- Corredor

Energy Technology Data Exchange (ETDEWEB)

Rieradevall i Pons, J.; Boada i Unca, M.; Fresquet, C. M.

2004-07-01

With a aim to gaining some knowledge about urban solid waste management in the Montnegre- Corredor Park (Catalonia), the most significant related aspects were analyzed: the different public administrations involved, waste collector type of transport, treatment and, finally, waste disposal and its production from 1999 to 2002. Economical, environmental and social aspects of solid waste management at the Park were also studied. From this analysis we can establish that there is no specific plant for solid waste management in the Park, and action is limited to basic waste collection services. Moreover, there is a multiplicity of managers. In terms of maintenance it must be pointed out that selective collection is non-existent, and critical points have been identified in the most popular areas. The study also put forward a new solid waste management plan for the Park, recommending the unification of managers and the reduction of about 23% of emissions from waste collection. The plan is designed to improve the solid waste management peculiar to the Montnegre- Corredor Natural Park (Catalonian). (Author)

Sovereignty, Robustness, and Short-Term Energy Security Levels. The Catalonia Case Study

Energy Technology Data Exchange (ETDEWEB)

Rosas-Casals, Martí, E-mail: rosas@mmt.upc.edu [Sustainability Measurement and Modelling Lab, Universitat Politècnica de Catalunya – Barcelona Tech, Barcelona (Spain); Marzo, Mariano [Geomodels Institute, Department of Stratigraphy, Paleontology and Marine Geosciences, University of Barcelona, Barcelona (Spain); Salas-Prat, Pep [Sustainability Measurement and Modelling Lab, Universitat Politècnica de Catalunya – Barcelona Tech, Barcelona (Spain); SmartGrid.cat, Barcelona (Spain)

2014-05-12

Energy-related impacts and conflicts have been used to account for the emergence, maintenance, and collapse of complex societies. On the other hand in the last years, sustainability science has incorporated different frames of reference in order to facilitate the vision of sustainable futures. Most of them suggest that the search for satisfiers of human needs should be rooted on the local (a) construction of organic articulations of people with nature and technology and (b) generation of growing levels of social, economic, and energy self-reliance. This new regional kind of social agreement implies a redefinition of cultural norms and institutions, which at the same time leads toward increased levels of sovereignty for the social group engaged in this process. Sovereignty must not only be understood here in its political sense (as traditionally found in the literature) but also in its technological and energy acceptations. In this paper, we address this last constituent in terms of energy security levels and hierarchy in energy infrastructures between Spain and Catalonia, the latter being a Spanish autonomous community known for its sovereignty aspirations. We show a remarkable difference in energy security levels between both regions, which clearly hinders Catalonia’s capacity to currently achieve a higher level of self-reliance in energetic terms. We suggest that this result is a consequence of the imperfect hierarchy that characterizes energy infrastructures at the spatial scale, and that it can be generalized to all regions where infrastructural systems have been historically assessed and developed under a nationwide planning scheme.

Sovereignty, Robustness, and Short-Term Energy Security Levels. The Catalonia Case Study

International Nuclear Information System (INIS)

Rosas-Casals, Martí; Marzo, Mariano; Salas-Prat, Pep

2014-01-01

Energy-related impacts and conflicts have been used to account for the emergence, maintenance, and collapse of complex societies. On the other hand in the last years, sustainability science has incorporated different frames of reference in order to facilitate the vision of sustainable futures. Most of them suggest that the search for satisfiers of human needs should be rooted on the local (a) construction of organic articulations of people with nature and technology and (b) generation of growing levels of social, economic, and energy self-reliance. This new regional kind of social agreement implies a redefinition of cultural norms and institutions, which at the same time leads toward increased levels of sovereignty for the social group engaged in this process. Sovereignty must not only be understood here in its political sense (as traditionally found in the literature) but also in its technological and energy acceptations. In this paper, we address this last constituent in terms of energy security levels and hierarchy in energy infrastructures between Spain and Catalonia, the latter being a Spanish autonomous community known for its sovereignty aspirations. We show a remarkable difference in energy security levels between both regions, which clearly hinders Catalonia’s capacity to currently achieve a higher level of self-reliance in energetic terms. We suggest that this result is a consequence of the imperfect hierarchy that characterizes energy infrastructures at the spatial scale, and that it can be generalized to all regions where infrastructural systems have been historically assessed and developed under a nationwide planning scheme.

Sovereignty, robustness and short-term energy security levels. The Catalonia case study

Directory of Open Access Journals (Sweden)

Marti eRosas-Casals

2014-05-01

Full Text Available Energy related impacts and conflicts have been used to account for the emergence, maintenance and collapse of complex societies. On the other hand in the last years, sustainability science has incorporated different frames of reference in order to facilitate the vision of sustainable futures. Most of them suggest that the search for satisfiers of human needs should be rooted on the local (a construction of organic articulations of people with nature and technology and (b generation of growing levels of social, economic and energy self-reliance. This new regional kind of social agreement implies a redefinition of cultural norms and institutions, which at the same time leads toward increased levels of sovereignty for the social group engaged in this process. Sovereignty must not only be understood here in its political sense (as traditionally found in the literature but also in its technological and energy acceptations. In this paper we address this last constituent in terms of energy security levels and hierarchy in energy infrastructures between Spain and Catalonia, the latter being a Spanish autonomous community known for its sovereignty aspirations. We show a remarkable difference in energy security levels between both regions which clearly hinders Catalonia’s capacity to currently achieve a higher level of self-reliance in energetic terms. We suggest that this result is a consequence of the imperfect hierarchy that characterize energy infrastructures at the spatial scale, and that it can be generalized to all regions where infrastructural systems have been historically assessed and developed under a nationwide planning scheme.

A flood geodatabase and its climatological applications: the case of Catalonia for the last century

Science.gov (United States)

Barnolas, M.; Llasat, M. C.

2007-04-01

Floods are the natural hazards that produce the highest number of casualties and material damage in the Western Mediterranean. An improvement in flood risk assessment and study of a possible increase in flooding occurrence are therefore needed. To carry out these tasks it is important to have at our disposal extensive knowledge on historical floods and to find an efficient way to manage this geographical data. In this paper we present a complete flood database spanning the 20th century for the whole of Catalonia (NE Spain), which includes documentary information (affected areas and damage) and instrumental information (meteorological and hydrological records). This geodatabase, named Inungama, has been implemented on a GIS (Geographical Information System) in order to display all the information within a given geographical scenario, as well as to carry out an analysis thereof using queries, overlays and calculus. Following a description of the type and amount of information stored in the database and the structure of the information system, the first applications of Inungama are presented. The geographical distribution of floods shows the localities which are more likely to be flooded, confirming that the most affected municipalities are the most densely populated ones in coastal areas. Regarding the existence of an increase in flooding occurrence, a temporal analysis has been carried out, showing a steady increase over the last 30 years.

Radionuclides in biota collected near a dicalcium phosphate plant, southern Catalonia, Spain

International Nuclear Information System (INIS)

Mola, M.; Palomo, M.; Penalver, A.; Aguilar, C.; Borrull, F.

2013-01-01

Industrial waste containing radioactive U-decay series isotopes was released into the Ebro River, Spain, over a period of >20 years from a dicalcium phosphate (DCP) plant. This release raised activities of several natural radionuclides (e.g. 238 U, 234 U, 230 Th, 232 Th and 226 Ra) in biota taken from the area near the DCP plant. Plants and animals selected for this study included the green algae (Cladophora glomerata), the blue mussel (Mytilus edulis), the zebra mussel (Dreissena polymorpha) and the scavenger catfish (Silurus glanis) because they are all common in the area. Multiple sampling points were chosen for this study: (1) a site in the Riba-Roja Reservoir, above the DCP plant's area of influence, (2) four sites in the area surrounding the DCP plant, close to the town of Flix, and (3) a location in the Ebro Delta Estuary in Fangar Bay. Significant differences in the activities (in Bq kg -1 of dry weight) for the radioisotopes included in this study among samples were attributed to sample location and the species evaluated. For instance, relatively high activities for uranium and radium were obtained in algae collected around the DCP plant, compared to results obtained for algae samples taken from the unimpacted Riba-Roja Reservoir. In contrast, for zebra mussels, enhanced activities were observed for all radionuclides and, in particular, for thorium and radium isotopes within the area of influence. Among catfish samples, activity values from different locations were not significantly different, though slightly higher activities were observed at the sampling point just downstream of the DCP factory. (author)

[Epidemiology of the meningococcal disease in Catalonia before and after vaccination against serogroup C].

Science.gov (United States)

Martínez, Ana I; Domínguez, Angela; Oviedo, Manuel; Minguell, Sofía; Jansà, Josep M; Codina, Gemma; Vázquez, Julio A

2009-01-01

Meningococcal disease remains a serious public health problem worldwide. In Catalonia, after implementing the vaccination program, there has been a significant decrease in cases caused by meningococcus C. Reported cases of meningococcal disease between 1997 and 2008 were analyzed to determine the evolution after the introduction of a conjugated vaccine in Catalonia. In case-fatality-rate increased only in serogroup B (3% and 7.4%). Serosubtype P1.15was the most frequent in serogroup B (31%), mainly associated with serotype 4 (80%), and in serogroup C subtype P1.5 (36%), with serotype 2a (86%). During 2008, 5 apparently unrelated cases of B:2a:P1.5 were identified in the same geographic area, with a case-fatality-rate of 80%. Exhaustive surveillance of circulating meningococcal strains is essential.

[Occupational aspects of emergency medicine practice in Catalonia: the OPENCAT opinion survey].

Science.gov (United States)

Jacob, Javier; Gené, Emili; Alonso, Gilberto; Rimbau, Pere; Zorrilla, José; Casarramona, Francesc; Netto, Cristina; Sánchez, Pere; Hernández, Ricard; Escalada, Xavier; Miró, Òscar

2017-01-01

To gather information on the contracting and training of members of the Catalan Society of Emergency Medicine (SoCMUE) who work in emergency medicine and services in Catalonia. To survey their opinions on certain aspects of resource availability and working conditions. Cross-sectional descriptive study based on a survey sent to SoCMUE members. We studied the opinions of 5 types of respondent: hospital physicians, out-of-hospital physicians, hospital nurses, out-of-hospital nurses, and emergency medical technicians. Responses were grouped to compare the opinions of physicians and nurses and workers in hospital and prehospital settings. We received 616 responses from 1273 members (48.4% response rate). More physicians than nurses come from outside Catalonia and have contracts specifically linked to emergency care; in addition, physicians have done less postgraduate training in emergency medicine. More hospital staff than prehospital staff have permanent contracts linked to the department where they work. More hospital physicians are specialized in internal medicine than in family and community medicine. The opinion that emergency services are inadequately staffed was widespread. Most respondents believed that patient transport is good or adequate. However, respondents working in prehospital services expressed a lower opinion of transport. Great difficulty in combining work with family (life achieving work-life balance) was expressed by 13.5% overall, and more often by hospital staff. Some type of aggression was experienced by 88.2%; 60% reported the event to superiors. Nurses reported aggression more often than physicians. A police report was filed by 10.1%. Emergency medicine working conditions can be improved in Catalonia according to members of SoCMUE. Relations between groups of professionals are not optimum in some aspects.

Obtaining the mean relative weights of the cost of care in Catalonia (Spain): retrospective application of the adjusted clinical groups case-mix system in primary health care.

Science.gov (United States)

Sicras-Mainar, Antoni; Velasco-Velasco, Soledad; Navarro-Artieda, Ruth; Aguado Jodar, Alba; Plana-Ripoll, Oleguer; Hermosilla-Pérez, Eduardo; Bolibar-Ribas, Bonaventura; Prados-Torres, Alejandra; Violan-Fors, Concepción

2013-04-01

The study aims to obtain the mean relative weights (MRWs) of the cost of care through the retrospective application of the adjusted clinical groups (ACGs) in several primary health care (PHC) centres in Catalonia (Spain) in routine clinical practice. This is a retrospective study based on computerized medical records. All patients attended by 13 PHC teams in 2008 were included. The principle measurements were: demographic variables (age and sex), dependent variables (number of diagnoses and total costs), and case-mix or co-morbidity variables (International Classification of Primary Care). The costs model for each patient was established by differentiating the fix costs from the variable costs. In the bivariate analysis, the Student's t, analysis of variance, chi-squared, Pearson's linear correlation and Mann-Whitney-Wilcoxon tests were used. In order to compare the MRW of the present study with those of the United States (US), the concordance [intraclass correlation coefficient (ICC) and concordance correlation coefficient (CCC)] and the correlation (coefficient of determination: R²) were measured. The total number of patients studied was 227,235, and the frequentation was 5.9 visits/habitant/year) and with a mean diagnoses number of 4.5 (3.2). The distribution of costs was €148.7 million, of which 29.1% were fixed costs. The mean total cost per patient/year was €654.2 (851.7), which was considered to be the reference MRW. Relationship between study-MRW and US-MRW: ICC was 0.40 [confidential interval (CI) 95%: 0.21-0.60] and the CCC was 0.42 (CI 95%: 0.35-0.49). The correlation between the US MRW and the MRW of the present study can be seen; the adjusted R² value is 0.691. The explanatory power of the ACG classification was 36.9% for the total costs. The R² of the total cost without considering outliers was 56.9%. The methodology has been shown appropriate for promoting the calculation of the MRW for each category of the classification. The results provide

Benefits and limitations of using the weather radar for the definition of rainfall thresholds for debris flows. Case study from Catalonia (Spain).

Science.gov (United States)

Abancó, C.; Hürlimann, M.; Sempere, D.; Berenguer, M.

2012-04-01

Torrential processes such as debris flows or hyperconcentrated flows are fast movements formed by a mix of water and different amounts of unsorted solid material. They occur in steep torrents and suppose a high risk for the human settlements. Rainfall is the most common triggering factor for debris flows. The rainfall threshold defines the rainfall conditions that, when reached or exceeded, are likely to provoke one or more events. Many different types of empirical rainfall thresholds for landslide triggering have been defined. Direct measurements of rainfall data are normally not available from a point next to or in the surroundings of the initiation area of the landslide. For this reason, most of the thresholds published for debris flows have been established by data measured at the nearest rain gauges (often located several km far from the landslide). Only in very few cases, the rainfall data to analyse the triggering conditions of the debris flows have been obtained by weather (Doppler) radar. Radar devices present certain limitations in mountainous regions due to undesired reboots, but their main advantage is that radar data can be obtained for any point of the territory. The objective of this work was to test the use of the weather radar data for the definition of rainfall thresholds for debris-flow triggering. Thus, rainfall data obtained from 3 to 5 rain gauges and from radar were compared for a dataset of events occurred in Catalonia (Spain). The goal was to determine in which cases the description of the rainfall episode (in particular the maximum intensity) had been more accurate. The analysed dataset consists of: 1) three events occurred in the Rebaixader debris-flow monitoring station (Axial Pyrenees) including two hyperconcentrated flows and one debris flow; 2) one debris-flow event occurred in the Port Ainé ski resort (Axial Pyrenees); 3) one debris-flow event in Montserrat (Mediterranean Coastal range). The comparison of the hyetographs from the

Catalan Separatism: Factors of Impact on the Status of the Autonomous Community

Directory of Open Access Journals (Sweden)

Андрей Владимирович Баранов

2013-12-01

Full Text Available The paper defines the resources and strategies of the separatist movement in Catalonia 1990—2000-s., the factors of its impact on the status of the autonomous community of Spain, the causes of radicalization after the adoption of the new Statute of Catalonia. In the spotlight — two interrelated aspects: institutional development of political parties and public opinion in the region.

[Duration of work absence attributable to non work-related diseases by health regions in catalonia].

Science.gov (United States)

Torá Rocamora, Isabel; Martínez Martínez, José Miguel; Delclos Clanchet, Jordi; Jardí Lliberia, Josefina; Alberti Casas, Constança; Serra Pujadas, Consol; Manzanera López, Rafael; Benavides, Fernando G

2010-01-01

This study analyze the duration of episodes of work absence due to non work-related diseases in Catalonia by health regions, assuming a homogeneous distribution of durations between health regions. A retrospective cohort study of 811.790 episodes in 2005 and followed to episode closure through July 2007 provided by the Institut Català d'Avaluacions Mèdiques, describing their median duration (MD) in days for each of the seven health regions of Catalonia. The probability of returning to work was plotted according to Wang_Chang survival curves and median durations were then compared using the Barcelona health region as the referent group. Results were extended through stratification by sex. The Camp de Tarragona health region had the shortest MD (5 days), while the episodes in the Alt Pirineu i Aran region had the longest (MD, 13 days). The Barcelona health region had a MD of 7 days as was the case for Cataluña Central. MD in Girona was 8 days, and in Lleida and Terres de l'Ebre it was 9 days. This latter region also had the highest median duration 13 days. The are significant differences in the duration of work absence between the health regions of Catalonia. These differences persisted after adjusting for age, management of episodes and social security system status, in both men and women.

[Accesibility and use of spirometry in primary care centers in Catalonia].

Science.gov (United States)

Llauger, M Antònia; Rosas, Alba; Burgos, Felip; Torrente, Elena; Tresserras, Ricard; Escarrabill, Joan

2014-01-01

Examine the accessibility and use of forced spirometry (FS) in public primary care facilities centers in Catalonia. Cross-sectional study using a survey. Three hundred sixty-six Primary Care Teams (PCT) in Catalonia. Third quarter of 2010. Survey with information on spirometers, training, interpretation and quality control, and the priority that the quality of spirometry had for the team. Indicators FS/100 inhabitants/year, FS/month/PCT; FS/month/10,000 inhabitants. Response rate: 75%. 97.5% of PCT had spirometer and made an average of 2.01 spirometries/100 inhabitants (34.68 spirometry/PCT/month). 83% have trained professionals.>50% centers perform formal training but no information is available on the quality. 70% performed some sort of calibration. Interpretation was made by the family physician in 87.3% of cases. In 68% of cases not performed any quality control of exploration. 2/3 typed data manually into the computerized medical record.>50% recognized a high priority strategies for improving the quality. Despite the accessibility of EF efforts should be made to standardize training, increasing the number of scans test and promote systematic quality control. Copyright © 2013 Elsevier España, S.L. All rights reserved.

Climatic indicators over Catalonia during the last century

Science.gov (United States)

Busto, M.; Prohom, M.

2010-09-01

The Meteorological Service of Catalonia releases a yearly bulletin whose main objective is to try to detect climate trends over Catalonia during the last decades. Climate indicators are obtained from the analysis of historical daily air temperature, sea temperature and rainfall series. Those series have been first completed, analyzed for quality control and homogenized to ensure its final reliability. Regarding homogenization, monthly air temperature series have been tested and corrected according to the methodology proposed by Caussinus and Mestre (2004). For the two longest air temperature series, the calculated correction factors have been transferred to the daily values following Vincent et al. (2002) recommendations, while no significant inhomogeneities have been detected for precipitation series. The analysis of temperature trends, for the period 1950-2010, of 17 selected climatic series spread across the territory shows a common temperature increase between +0.19 to +0.24 °C/decade. This warming trend is uniform and no specific sub-regional trends are detected. Furthermore, the seasonal approach reveals that mean maximum temperature increases at a higher rate than mean minimum temperature. The summer temperature rise is the most significant, between +0.32 and +0.44 °C/decade, while autumn is the only season showing no significant positive trend. The summer maximum temperature shows the highest increase, exceeding +0.39 °C/decade in all the 17 series. The climatic extremes analysis of the longest Catalan series (Ebre Observatory in Roquetes, Tarragona, since 1905 and Fabra Observatory in Barcelona since 1913) reveals an increase in the number of summer days, tropical nights, minimum of maximum temperature, warm days and warm nights, and a decrease in the number of frost days, cold nights, cold days and cold spell duration indicator. Concerning precipitation, the only significant trend is the reduction of snow days. These trends were calculated according to

Analysis of warm convective rain events in Catalonia

Science.gov (United States)

Ballart, D.; Figuerola, F.; Aran, M.; Rigo, T.

2009-09-01

Between the end of September and November, events with high amounts of rainfall are quite common in Catalonia. The high sea surface temperature of the Mediterranean Sea near to the Catalan Coast is one of the most important factors that help to the development of this type of storms. Some of these events have particular characteristics: elevated rain rate during short time periods, not very deep convection and low lightning activity. Consequently, the use of remote sensing tools for the surveillance is quite useless or limited. With reference to the high rain efficiency, this is caused by internal mechanisms of the clouds, and also by the air mass where the precipitation structure is developed. As aforementioned, the contribution of the sea to the air mass is very relevant, not only by the increase of the big condensation nuclei, but also by high temperature of the low layers of the atmosphere, where are allowed clouds with 5 or 6 km of particles in liquid phase. In fact, the freezing level into these clouds can be detected by -15ºC. Due to these characteristics, this type of rainy structures can produce high quantities of rainfall in a relatively brief period of time, and, in the case to be quasi-stationary, precipitation values at surface could be very important. From the point of view of remote sensing tools, the cloud nature implies that the different tools and methodologies commonly used for the analysis of heavy rain events are not useful. This is caused by the following features: lightning are rarely observed, the top temperatures of clouds are not cold enough to be enhanced in the satellite imagery, and, finally, reflectivity radar values are lower than other heavy rain cases. The third point to take into account is the vulnerability of the affected areas. An elevated percentage of the Catalan population lives in the coastal region. In the central coast of Catalonia, the urban areas are surrounded by a not very high mountain range with small basins and

Prevalencia del consumo de medicamentos en la población adulta de Cataluña Prevalence of drug utilization in the adult population of Catalonia, Spain

Directory of Open Access Journals (Sweden)

S. Sans

2002-04-01

Full Text Available Objetivos: Describir la prevalencia de la utilización de medicamentos según factores sociodemográficos y estado de salud autopercibido en la población adulta. Métodos: Examen de salud transversal del estudio CRONICAT/MONICA-Cataluña realizado en 1994-1996 en una muestra aleatoria de la población general de 25 a 64 años. Se interrogó a 3.421 participantes (tasa de respuesta del 72% con cuestionario abierto sobre los medicamentos consumidos durante las dos semanas previas y otros hábitos de salud. Los medicamentos se codificaron posteriormente según la clasificación ATC (versión 1993. Resultados: Mayor proporción de mujeres (38% que de varones (26% autopercibió peor estado de salud (p Objectives: To describe the prevalence of drug utilization according to sociodemographic factors and self-perceived health in the adult population. Methods: Cross-sectional health survey of the CRONICAT/MONICA-Catalonia study carried out in 1994-96 in a random sample of the general population aged 25-64 years. A total of 3,421 participants (72% response rate were interviewed about drug consumption in the previous two weeks with an open questionnaire. The participants were also asked about other health habits. Drugs were subsequently classified according to the ATC classification (1993 version. Results: A higher proportion of women (38% than men (26% self-perceived poor health status (p < 0.001. Age-adjusted total drug utilization was 57% in men (95%CI: 55-59 and 76% in women (95%CI: 74-78. Excluding contraceptives, regular drug utilization was 35% in men (95%CI: 33-37 and 48% in women (95%CI: 46-51. Twenty-nine percent of men and 48% of women (p < 0.001 took more than one drug. Neither educational level nor marital status influenced drug utilization. Among men, drug consumption was higher in retired individuals and pensioners (68%; 95%CI: 62-74 than in active workers (54%; 95%CI: 52-57. The most frequently used drugs were those for the nervous system

Migrant Women and Labour Integration in Catalonia: The Impact of New Information and Communication Technologies

Directory of Open Access Journals (Sweden)

Mihaela Vancea

2015-09-01

Full Text Available This article uses data from 35 semi-structured interviews of migrant women from three different ethnic backgrounds living in Catalonia to explore the use of ICTs in their economic integration. The results show that the three groups of migrant women studied perceive ICTs as important instruments of economic integration, though they tend to use them rather marginally for this purpose. The mediating role of network capital is not forthcoming, bridging social networks being rather a consequence than a determinant of migrant women’s economic integration. Digital connectivity does not seem to cancel out the relevance of traditional variables of social inequality such as education, age, or origin. Young educated women, and particularly of Romanian and Ecuadorian origins, tend to make a better use of ICTs for their economic integration in Catalonia.

[Evaluation of the management of nonwork-related sick leave lasting more than 15 days in Catalonia (Spain)].

Science.gov (United States)

Benavides, Fernando G; Torá, Isabel; Miguel Martínez, José; Jardí, Josefina; Manzanera, Rafael; Alberti, Constança; Delclós, Jordi

2010-01-01

To compare the length of nonwork-related sick leave among cases managed by an insurance company versus those managed by the National Institute of Social Security (NISS). We performed a retrospective cohort study of 289,686 cases of sick leave lasting for more than 15 days that began in 2005 after certification by a primary care physician in Catalonia, were reported to the Catalonian Institute of Medical Evaluations, and were followed to term. Of the total, 156,676 cases were managed by the NISS. To account for repeat episodes (approximately 25% of the total), the Wang-Chang estimator was used to calculate the median duration and percentiles; comparisons were made using log-logistic regression with shared gamma frailty models, with calculation of time ratios (TR) and their corresponding 95% confidence intervals (95% CI). The median duration of sick leave was 43 days for cases managed by the NISS and 39 days for those managed by the insurance company. This difference was statistically significant both for men employed under contract (TR=0.87; 95% CI: 0.85-0.88) and for those who were self-employed (TR=0.78; 95% CI: 0.75-0.80) as well as for women under contract (TR=0.85; 95% CI: 0.84-0.87) and self-employed women (TR=0.84; 95% CI: 0.81-0.88). These differences persisted after adjustment was performed for age and health region. For sick leave lasting more than 15 days, these results confirm that cases managed by an insurance company ended earlier than for those managed by the NISS, both for contract and self-employed workers. Further research is needed to explore the reasons for these differences. Copyright 2009 SESPAS. Published by Elsevier Espana. All rights reserved.

Needs and Supports of People with Intellectual Disability and Their Families in Catalonia

Science.gov (United States)

Vilaseca, Rosa; Gràcia, Marta; Beltran, Francesc S.; Dalmau, Mariona; Alomar, Elisabeth; Adam-Alcocer, Ana Luisa; Simó-Pinatella, David

2017-01-01

Background: The study assesses the support needs of individuals with intellectual disability and their families in Catalonia. The present authors examine family quality of life (FQoL), identify the individual services required and assess families' perceptions of the extent to which their family member with intellectual disability and they…

Final disposition and quality auditing of the rehabilitation process in wild raptors admitted to a Wildlife Rehabilitation Centre in Catalonia, Spain, during a twelve year period (1995-2007).

Science.gov (United States)

Molina-López, Rafael A; Casal, Jordi; Darwich, Laila

2013-01-01

Variability in reporting and classification methods in previous published data of the final dispositions in the rehabilitation of wild raptors makes use of this data limited in trying to audit the quality of the rehabilitation process. Crude as well as stratified disposition rates are needed if quality auditing of the rehabilitation process is to be adequately performed. Final dispositions of 6221 hospitalized wild raptors admitted at a wildlife rehabilitation centre (WRC) of Catalonia during 1995-2007 were analyzed. These dispositions were calculated as the euthanasia (Er), unassisted mortality (Mr), release (Rr) and captivity rates (Cr)., time to death (Td) for dead and euthanized raptors, and length of stay for released (Tr) raptors was estimated. Stratified analyses by main causes of admission and clinical signs were performed. THE DISPOSITION FOR THE TOTAL POPULATION WERE: Er = 30.6%, Mr = 19.1%, Rr = 47.2%, and Cr = 3%. By main causes of admission, Er was higher in the trauma category (34.2%), whereas Mr was found similar between trauma (37.4%) and non-trauma categories (34.8%). The highest Rr was observed for the orphaned group (77.9%). Furthermore, Cr was low in all the categories (auditing of the rehabilitation process quality.

[Conflicts between nursing ethics and health care legislation in Spain].

Science.gov (United States)

Gea-Sánchez, Montserrat; Terés-Vidal, Lourdes; Briones-Vozmediano, Erica; Molina, Fidel; Gastaldo, Denise; Otero-García, Laura

2016-01-01

To identify the ethical conflicts that may arise between the nursing codes of ethics and the Royal Decree-law 16/2012 modifying Spanish health regulations. We conducted a review and critical analysis of the discourse of five nursing codes of ethics from Barcelona, Catalonia, Spain, Europe and International, and of the discourse of the Spanish legislation in force in 2013. Language structures referring to five different concepts of the theoretical framework of care were identified in the texts: equity, human rights, right to healthcare, access to care, and continuity of care. Codes of ethics define the function of nursing according to equity, acknowledgement of human rights, right to healthcare, access to care and continuity of care, while legal discourse hinges on the concept of beneficiary or being insured. The divergence between the code of ethics and the legal discourse may produce ethical conflicts that negatively affect nursing practice. The application of RDL 16/2012 promotes a framework of action that prevents nursing professionals from providing care to uninsured collectives, which violates human rights and the principles of care ethics. Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.

Nursing workload predictors in Catalonia (Spain: a home care cohort study Variables predictoras de las cargas de trabajo de enfermería en Cataluña: seguimiento de una cohorte de atención domiciliaria

Directory of Open Access Journals (Sweden)

Joan Gené Badia

2011-08-01

Full Text Available Objective: To identify the characteristics of chronic patients and their environment in order to predict the nursing workload required 1 year after their inclusion in a home care program. Methods: A longitudinal study was carried out in 72 primary health care teams in Catalonia (Spain with a 1-year follow-up of 1,068 home care patients over 64 years old. The variables collected from each patient included data on health and social status (Charlson and Barthel indexes and the Pfeiffer, Braden and Gijon scales, carer overburden (Zarit scale, hospital admissions, use of emergency services, self-perceived health (SF-12 and the number of health worker visits. Results: Patients received 7.2 (SD 10.4 visits per year from their nurse-in-charge, out of a total of 8.7 (SD 13.1 nursing visits per year. Risk factors for receiving more nursing visits at home were male gender (IRR=1.42, 95%CI: 1.20-1.67, dependency for daily activities (IRR=1.65, 95%CI: 1.29-2.13, decubitus ulcers (IRR=4.03, 95%CI: 2.27-7.14 and receiving emergency medical care at home (IRR=1.65, 95%CI: 1.31-2.07. In contrast, patients with major cognitive impairment (IRR=0.78, 95%CI: 0.63-0.98 had a lower probability of receiving nursing visits at home. Conclusions: Workload can be predicted by patients' clinical characteristics. The positive correlation of workload with variables related to disease severity and the negative correlation with variables related to cognitive impairment show that home care nursing in Catalonia is basically demand-oriented.Objetivo: Identificar las características basales de los pacientes crónicos y su entorno que predicen la carga de trabajo de enfermería durante el año siguiente a su inclusión en un programa de atención domiciliaria (ATDOM. Métodos: Estudio longitudinal realizado en 72 equipos de atención primaria de salud en Cataluña. Seguimiento durante un año de 1068 pacientes de ATDOM mayores de 64 años de edad. Variables recogidas: nivel de salud

Population-based analysis of patients with COPD in Catalonia: a cohort study with implications for clinical management

Science.gov (United States)

Vela, Emili; Tényi, Ákos; Cano, Isaac; Monterde, David; Cleries, Montserrat; Garcia-Altes, Anna; Hernandez, Carme; Escarrabill, Joan; Roca, Josep

2018-01-01

Background Clinical management of patients with chronic obstructive pulmonary disease (COPD) shows potential for improvement provided that patients’ heterogeneities are better understood. The study addresses the impact of comorbidities and its role in health risk assessment. Objective To explore the potential of health registry information to enhance clinical risk assessment and stratification. Design Fixed cohort study including all registered patients with COPD in Catalonia (Spain) (7.5 million citizens) at 31 December 2014 with 1-year (2015) follow-up. Methods A total of 264 830 patients with COPD diagnosis, based on the International Classification of Diseases (Ninth Revision) coding, were assessed. Performance of multiple logistic regression models for the six main dependent variables of the study: mortality, hospitalisations (patients with one or more admissions; all cases and COPD-related), multiple hospitalisations (patients with at least two admissions; all causes and COPD-related) and users with high healthcare costs. Neither clinical nor forced spirometry data were available. Results Multimorbidity, assessed with the adjusted morbidity grouper, was the covariate with the highest impact in the predictive models, which in turn showed high performance measured by the C-statistics: (1) mortality (0.83), (2 and 3) hospitalisations (all causes: 0.77; COPD-related: 0.81), (4 and 5) multiple hospitalisations (all causes: 0.80; COPD-related: 0.87) and (6) users with high healthcare costs (0.76). Fifteen per cent of individuals with highest healthcare costs to year ratio represented 59% of the overall costs of patients with COPD. Conclusions The results stress the impact of assessing multimorbidity with the adjusted morbidity grouper on considered health indicators, which has implications for enhanced COPD staging and clinical management. Trial registration number NCT02956395. PMID:29511004

[Self-rated health and educational level in Spain: trends by autonomous communities and gender (2001-2012)].

Science.gov (United States)

Aguilar-Palacio, Isabel; Carrera-Lasfuentes, Patricia; Rabanaque, M José

2015-01-01

To identify the trend in self-rated health in Spain by autonomous communities (AC) in the period 2001-2012, as well as differences by gender and age, and the influence of educational level. A cross sectional study was carried out using data from the National Health Surveys from 2001 to 2011-12 and the 2009 European Survey. A descriptive analysis was conducted that included gender, age, educational level, and the AC of residence. Logistic regression analyses were developed to explore the temporal trend and the association between educational level and self-rated health. The predictive capacity of the model was calculated using the C statistic. The prevalence of low self-rated health was higher in women with low educational level. Self-rated health improved in women with high educational level (2001:18.6% vs. 2012:14.6%). The highest prevalence of low self-rated health was observed in Andalusia, the Canary Islands, Galicia and Murcia, with differences by gender. Low educational level was associated with low self-rated health in most AC, with good predictive capacity. In all AC except Asturias, low self-rated health was more frequent in women than in men. In Spain, the prevalence of self-rated health showed no variations in the period analyzed and improved in the Balearic Islands, Catalonia, and Madrid. The prevalence of self-rated health in Spain differed by AC. Although health was unchanged during the period considered, inequalities were found in its temporal trend by educational level and gender, which could lead to an increase in health inequalities in women according educational level. Copyright © 2014 SESPAS. Published by Elsevier Espana. All rights reserved.

A case of respiratory toxigenic diphtheria: contact tracing results and considerations following a 30-year disease-free interval, Catalonia, Spain, 2015.

Science.gov (United States)

Jané, Mireia; Vidal, Maria José; Camps, Neus; Campins, Magda; Martínez, Ana; Balcells, Joan; Martin-Gomez, Maria Teresa; Bassets, Gloria; Herrera-León, Silvia; Foguet, Anton; Maresma, Mar; Follia, Nuria; Uriona, Sonia; Pumarola, Tomàs

2018-03-01

In May 2015, following a 30-year diphtheria-free interval in Catalonia, an unvaccinated 6-year-old child was diagnosed with diphtheria caused by toxigenic Corynebacterium diphtheriae . After a difficult search for equine-derived diphtheria antitoxin (DAT), the child received the DAT 4 days later but died at the end of June. Two hundred and seventeen contacts were identified in relation to the index case, and their vaccination statuses were analysed, updated and completed. Of these, 140 contacts underwent physical examination and throat swabs were taken from them for analysis. Results were positive for toxigenic C. diphtheriae in 10 contacts; nine were asymptomatic vaccinated children who had been in contact with the index case and one was a parent of one of the nine children. Active surveillance of the 217 contacts was initiated by healthcare workers from hospitals and primary healthcare centres, together with public health epidemiological support. Lack of availability of DAT was an issue in our case. Such lack could be circumvented by the implementation of an international fast-track procedure to obtain it in a timely manner. Maintaining primary vaccination coverage for children and increasing booster-dose immunisation against diphtheria in the adult population is of key importance.

The Role of Bullfighting and FC Barcelona in the Emancipation of Catalonia from Spain (El papel de la corrida de toros y FC Barcelona en la emancipación de Cataluña de España

Directory of Open Access Journals (Sweden)

John A. TKac

2015-06-01

Full Text Available Abstract: This paper looks at the role that bullfighting and FC Barcelona have played in the growing independence movement in Catalonia. This article will discuss nations, the importance of bullfighting and soccer to Iberian cultures, Catalan political parties and their role in the nationalist movement, the vote to prohibit bullfighting and FC Barcelona´s increasing political conscious. I conclude that bullfighting and soccer have been used by political parties and those associated with the nationalist movement to foster feelings of difference with Spain. These feelings have been passed from the top down to the Catalan people and risk alienating those who are not in agreement with the nationalist movement.Resumen: Este trabajo examina el papel que la corrida de toros y el equipo de fútbol FC Barcelona han hecho en el movimiento continuo hacia la independencia en Cataluña. Discute el concepto de la nación, la importancia de las corridas y el fútbol en culturas ibéricas, partidos políticos catalanes y su rol en el voto a favor de la prohibición de las corridas en Cataluña y la evolución de la conciencia política cada vez más evidente de FC Barcelona. Concluyo que los partidos políticos y otros asociados con el movimiento hacia la independencia se han aprovechado de las corridas y el fútbol para destacar diferencias culturales con España. Esta actitud de diferencia se ha trasladado de arriba-abajo al pueblo catalán y el movimiento nacionalista corre el riesgo de alienar a los que no comparten sus creencias.

[The Catalan Patient Council: the direct voice of the patient in health policies in Catalonia].

Science.gov (United States)

Vallès Navarro, Roser; Costa Vilar, Núria; Davins Miralles, Josep; Garcia Cirera, Montserrat; Hernando Ortega, Maria Rosario; Iniesta Blasco, Cristina

2015-11-01

The transition from a more paternalistic model of care focused on the disease and on the medical professional's authority towards a more participatory model centered on the rights and duties of informed patients represents a significant change in public health policy. One of the most widespread methods of social participation in Catalonia today is the tendency to form associations around a particular disease. This kind of organizational participation is a pioneering tool in the debate around public health policy. The Government of the Generalitat de Catalunya undertook to promote the Strategic Plan of patient participation within the public health system. The Department of Health created the Patient Advisory Council of Catalonia (CCPC, as per the acronym in Catalan). This initiative constitutes a permanent consultative and participatory body for patient representatives in the Catalan healthcare system. The CCPC was set up with a solid determination to place the patient at the centre of the healthcare system, including them in the decision-making processes which directly affect them. This patient participation plan has defined and developed 8 different lines approved by the government, with consensus approval between regional government and the organisations. The CCPC has proven itself to be an effective tool for fostering active patient participation in health policy and its relationship with the system has evolved from that of a monologue to becoming the mechanism for dialogue it is today. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

Calculation of climatic reference values and its use for automatic outlier detection in meteorological datasets

Directory of Open Access Journals (Sweden)

B. Téllez

2008-04-01

Full Text Available The climatic reference values for monthly and annual average air temperature and total precipitation in Catalonia – northeast of Spain – are calculated using a combination of statistical methods and geostatistical techniques of interpolation. In order to estimate the uncertainty of the method, the initial dataset is split into two parts that are, respectively, used for estimation and validation. The resulting maps are then used in the automatic outlier detection in meteorological datasets.

Crossing the Line in Quebec and Catalonia: The Consequences of the Linguistically "Mixed" Marriage.

Science.gov (United States)

O'Donnell, Paul E.

2000-01-01

The linguistically mixed marriage stands at he crossroads of important factors in the future of French in North American and Catalan in Europe: reversing language shift. While Quebec and Catalonia appear strikingly similar, strong evidence indicates that demographic, linguistic, socioeconomic, and even lifestyle factors may make linguistic exogamy…

[Gender differences in the relationship between long working hours and health status in Catalonia].

Science.gov (United States)

Artazcoz, Lucía; Gutiérrez Vera, Anabel

2012-01-01

To analyze gender differences in the relationship of long working hours with type of contract, psychosocial risk factors and health status in Catalonia. Cross sectional study of a representative sample of the working population in Catalonia who worked up to 60 hours per week, interviewed in the 2005 I Survey of Working Conditions in Catalonia (1624 men and 1221 women). The analysis was conducted separately by sex and multivariate logistic regression models were fitted. The reference category was employees working 30-40 hours per week. In both sexes, working 41 to 60 hours per week was associated with non fixed term temporary contracts, low autonomy, low support from colleagues and high skill discretion. In addition, among women, they were also associated with high psychological demands. No relationship with self-perceived health status was observed, but working 41 to 60 hours a week was associated with job dissatisfaction in both sexes (crude odds ratio, 95% confidence intervals: cOR=1.52; 95%CI 1.05 to 2.18 for men; cOR=2.53; 95% CI 1.44 to 4.45 for women) and in women also with nervous disorders/depression (cOR=3.41; 95%CI 1.42 to 8.22). After adjustment for psychosocial risk factors, these associations disappeared among men but not in women. Long working hours are associated with non-fixed term temporary contracts and more psychosocial hazards, as well as with some health indicators, primarily among women. It is likely that the association with health status in women is partially explained by the sum of hours of paid and domestic and family work. Copyright belongs to the Societat Catalana de Seguretat i Medicina del Treball.

Pioneer Women in Engineering Studies: What Can We Learn from Their Experiences?

Science.gov (United States)

Pardo, P.; Calvet, M. D.; Pons, O.; Martinez, M. C.

2016-01-01

Women's access to higher education in Spain began in the last third of the nineteenth century. However, the full incorporation of women into technical studies did not occur until a century later. This article presents the results of research into the access of the first women to do technical studies in Catalonia (northeast Spain). Data have been…

Language-in-Education Policies, Immigration and Social Cohesion in Catalonia: The Case of Vic

Science.gov (United States)

Edwards, Catrin Wyn

2016-01-01

This paper analyses the language-in-education policies implemented to integrate international immigrants into the Catalan language community in Vic, Catalonia. It focuses on the Catalan Government's "Languages and Social Cohesion Plan" (LIC) plan, Vic city council's local education plans, which were adopted as part of LIC plan, and the…

A database to manage flood risk in Catalonia

Science.gov (United States)

Echeverria, S.; Toldrà, R.; Verdaguer, I.

2009-09-01

We call priority action spots those local sites where heavy rain, increased river flow, sea storms and other flooding phenomena can cause human casualties or severe damage to property. Some examples are campsites, car parks, roads, chemical factories… In order to keep to a minimum the risk of these spots, both a prevention programme and an emergency response programme are required. The flood emergency plan of Catalonia (INUNCAT) prepared in 2005 included already a listing of priority action spots compiled by the Catalan Water Agency (ACA), which was elaborated taking into account past experience, hydraulic studies and information available by several knowledgeable sources. However, since land use evolves with time this listing of priority action spots has become outdated and incomplete. A new database is being built. Not only does this new database update and expand the previous listing, but adds to each entry information regarding prevention measures and emergency response: which spots are the most hazardous, under which weather conditions problems arise, which ones should have their access closed as soon as these conditions are forecast or actually given, which ones should be evacuated, who is in charge of the preventive actions or emergency response and so on. Carrying out this programme has to be done with the help and collaboration of all the organizations involved, foremost with the local authorities in the areas at risk. In order to achieve this goal a suitable geographical information system is necessary which can be easily used by all actors involved in this project. The best option has turned out to be the Spatial Data Infrastructure of Catalonia (IDEC), a platform to share spatial data on the Internet involving the Generalitat de Catalunya, Localret (a consortium of local authorities that promotes information technology) and other institutions.

Traineeship as Vocational Training in Catalonia: Between the Law, the Actors and the Market

Science.gov (United States)

Maria i Serrano, Josep F.

2006-01-01

In-company training undertaken by vocational students can be a very good opportunity to acquire skills; but it is also a very delicate process. The author, who examined the traineeships of students in formal vocational training in Catalonia as part of his doctoral thesis in economics, understands skills acquisition as an interactive process…

Gender differences in sexual risk behaviour among adolescents in Catalonia, Spain Diferencias de género en conductas sexuales de riesgo en adolescentes en Cataluña

Directory of Open Access Journals (Sweden)

Diana Puente

2011-02-01

Full Text Available Objective: To analyze the factors associated with sexual risk behavior in adolescent girls and boys in order to plan future school health interventions. Methods: A cross-sectional study with two-stage cluster sampling that included 97 schools and 9,340 students aged between 14 and 16 years old was carried out in 2005-2006 in Catalonia (Spain. For the survey, a self-administered paper-based questionnaire was used. The questionnaire contained items on sociodemographic variables, use of addictive substances and mood states, among other items. These variables were tested as risk factors for unsafe sexual behavior. Results: This study included 4,653 boys and 4,687 girls with a mean age of 15 years. A total of 38.7% of students had had sexual relations at least once and 82.3% of boys and 63.0% of girls were engaged in sexual risk behaviors. The prevalence of sexual relations and risk behaviors was generally higher in boys than in girls, independently of the variables analyzed. Boys had more sexual partners (PObjetivos: El objetivo de este estudio es analizar aquellos factores relacionados con conductas sexuales de riesgo en chicos y chicas para poder plantear futuras intervenciones. Métodos: Estudio transversal basado en un muestreo por conglomerados bietápico, que incluía 97 escuelas y 9.340 estudiantes de entre 14 y16 años, llevado a cabo en Cataluña durante 2005-2006. La información se recogió mediante una encuesta autoadministrada que incluía, entre otras, variables sociodemográficas, uso de sustancias adictivas y estado de ánimo de los adolescentes. Estas variables fueron analizadas como factores de riesgo de conducta sexual insegura. Resultados: El estudio incluyó 4.653 chicos y 4.687 chicas con una edad media de 15 años. El 30,7% de los estudiantes habían tenido al menos una relación sexual. El 82,3% de los chicos y el 63% de las chicas tenían un aumento de riesgo de experimentar una relación sexual insegura. La prevalencia de

Grazing effect on the species-area relationship: Variation along a climatic gradient in NE Spain

Czech Academy of Sciences Publication Activity Database

De Bello, F.; Lepš, Jan; Sebastia, M.-T.

2007-01-01

Roč. 18, č. 1, (2007), s. 25-34 ISSN 1100-9233 Grant - others:University of Nuoro, the Government of Catalonia(ES) FI-2002-2004 Institutional research plan: CEZ:AV0Z50070508 Keywords : competition * heterogeneity * land use Subject RIV: EH - Ecology, Behaviour Impact factor: 2.251, year: 2007

Environmental assessment of the entire pork value chain in Catalonia - A strategy to work towards Circular Economy.

Science.gov (United States)

Noya, Isabel; Aldea, Xavier; González-García, Sara; M Gasol, Carles; Moreira, María Teresa; Amores, Maria José; Marín, Desirée; Boschmonart-Rives, Jesús

2017-07-01

Pork industry in Catalonia plays a foremost and representative role in the Spanish pork sector. Beyond the economic benefits, conventional practices in the pork industry also imply a number of environmental impacts that need to be dealt with. In this context, the environmental performance of traditional linear pork chain in Catalonia was evaluated through a LCA approach. The outcomes of the analysis showed that both fodder production and transport activities were identified as the critical stages of the system. Accordingly, alternative schemes based on circular economy principles were proposed and potential environmental credits were estimated. Within this framework, comparative results highlighted the advantages of moving towards a closing loop production system, where resource efficiency and waste valorisation were prioritised over final disposal options. Copyright © 2017 Elsevier B.V. All rights reserved.

Španělsko: ekonomika a postavení na mezinárodním trhu cestovního ruchu

OpenAIRE

Trubačová, Klára

2013-01-01

The diploma theses analyzes the influence of global economic crisis on Spanish tourism. The aim of the theses is to evaluate development of tourism in Catalonia after the global economic crisis. Firstly, the theses deals with the current economic situation in Spain and it's impact on tourism. The next part of theses is focused on economic situation and tourism of Catalonia. The impact of the crisis is demonstrated on international arrivals and revenues, hotel occupancy, number of overnights a...

Exposure assessment to ochratoxin A in Catalonia (Spain) based on the consumption of cereals, nuts, coffee, wine, and beer.

Science.gov (United States)

Coronel, M B; Marín, S; Cano-Sancho, G; Ramos, A J; Sanchis, V

2012-01-01

Ochratoxin A (OTA) was analysed in composite samples of cereal-based baby foods, beer, breakfast cereals (corn- and rice and wheat-based), loaf bread, peanuts and pistachios. Foodstuffs were collected in hypermarkets and supermarkets from 12 cities in the Spanish region of Catalonia, and composite samples were prepared for analysis involving liquid-liquid extraction, followed by immunoaffinity column clean-up and HPLC with fluorescence detection. Consumption data for the selected foodstuffs were collected by means of a food-frequency questionnaire. The studied population was grouped by age in infants, children, adolescents and adults; and exposure to OTA through the specified foodstuffs, and through wine and coffee, was assessed. Exposure assessment was done through deterministic and probabilistic modelling of the contamination and consumption data. OTA occurrence and mean of positive samples (ng g(-1) or ng ml(-1), for beer) were the following: 8.7% and 0.233 in baby foods; 88.7% and 0.022 in beer; 2.8% and 0.728 in corn-based breakfast cereals; 25% and 0.293 in wheat-based breakfast cereals; 12.9% and 0.283 in loaf bread; 41.7% and 0.241 in peanuts; and 2.9% and 0.228 in pistachios. The median estimated daily intake of OTA through the foodstuffs by each age group were below the latest provisional tolerable daily intakes (PTDIs) of 17 and 14 ng kg(-1) bw day(-1) recommended by the European Food Safety Authority (EFSA) in 2006 and the Joint FAO/WHO Expert Committee on Food Additives (JECFA) in 2007, respectively, ranging from 1% and 2% of those values in adolescents and children, to 3% and 11% in adults and infants.

[The Health Plan for Catalonia: an instrument to transform the health system].

Science.gov (United States)

Constante i Beitia, Carles

2015-11-01

The Department of Health of the Generalitat in Catalonia periodically draws up the Health Plan, which is the strategic document that brings together the reference framework for initiatives concerning public health in terms of the Catalan health administration. The 2011-2015 version of the Health Plan incorporates key care and system governance-related elements, which, in conjunction with health goals, make up the complete picture of what the health system in Catalonia should look like until 2015. The Plan was drawn up at a time when the environmental conditions were extremely particular, given the major economic crisis that began in 2007. This has meant that the system has been forced to address public health problems using a significant reduction in the economic resources available, while aiming to maintain the level of care provided, both quantitatively and qualitatively, and preserve the sustainability of the system whose defining traits are its universality, equity and the wide range of services on offer. The Health Plan focuses on three areas of action, 9 major courses of action and 32 strategic projects designed to respond to new social needs: addressing the most common health issues, comprehensive care for chronic patients and organizational modernization. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

"Living to the Rhythm of the City": Internationalisation of Universities and Tourism Discourse in Catalonia

Science.gov (United States)

Gallego-Balsà, Lídia; Cots, Josep M.

2016-01-01

This paper explores the impact of the tourism discourse on the self-representation strategies that a university in Catalonia adopts towards international students, and the extent to which these strategies connect with the stance of international students towards their study-abroad experience. The data were ethnographically collected during the…

Togetherness, coexistence or confrontation : the impact of school climate and culture on peer-to-peer social relations in Catalonia, Spain

OpenAIRE

Ponferrada-Arteaga, Maribel; Carrasco-Pons, Silvia

2010-01-01

This paper presents some of the results of the study ‘Coexistence and Confrontation among Peers in Secondary Schools in Catalonia’ commissioned by the Ombudsman’s Office of the Catalan government and carried out at the Institute of Childhood and the Urban World (CIIMU) in Barcelona, Spain, in 2005-2006. It offers a description of the indicators of malaise and exclusion among students at nine public and private secondary schools serving varying social environments in Cataloni...

Distribución geográfica y evolución temporal de la mortalidad evitable en Cataluña (1986-2001 Geographical distribution and time trends in avoidable mortality in Catalonia, Spain (1986-2001

Directory of Open Access Journals (Sweden)

M. Arán Barés

2005-08-01

Full Text Available Objetivos: Analizar la evolución temporal y la distribución geográfica por sectores sanitarios de la mortalidad evitable en Cataluña. Material y métodos: Se analizó la mortalidad evitable según la clasificación utilizada en el Departamento de Salud de Cataluña por sectores sanitarios durante el período 1986-2001 y se agruparon las causas en tratables o prevenibles. Se calcularon las tasas de mortalidad estandarizadas por el método directo e indirecto y la razón de mortalidad comparativa para el grupo de tratables y prevenibles y para los 46 sectores sanitarios. También se calculó el promedio de cambio anual ajustado por edad mediante la regresión de Poisson de la mortalidad evitable y general. Resultados: El total de defunciones evitables fue 61.261 (el 7,3% de la mortalidad general. 10.623 (17,34% se clasificaron como tratables y 50.638 (82,65% como prevenibles. El promedio de cambio anual para las causas evitables fue del -2,43% (intervalo de confianza [IC] del 95%, -2,60 a -2,26, superior al -1,57% (IC del 95%, -1,61 a -1,52 de la mortalidad general. Las tasas fueron más elevadas para las causas prevenibles que para las tratables, aunque en ambos grupos se apreció un descenso de la mortalidad. El sector sanitario del Segrià destaca por presentar sobremortalidad en los 2 períodos y en los 2 grupos de causas. Cuatro sectores sanitarios presentan un aumento significativo de la mortalidad por causas prevenibles, pero ninguno por causas tratables. Conclusiones: En Cataluña, durante el período 1986-2001 se produce un descenso de la mortalidad evitable, mayor que el de la mortalidad general. La distribución geográfica muestra una gran dispersión, aunque se identifican claramente zonas en las que es necesaria la intervención preventiva.Objectives: To analyze time trends and geographical variation in avoidable mortality by health areas in Catalonia. Material and methods: Avoidable mortality was analyzed according to the

Tornadoes and waterspouts in Catalonia (1950–2009

Directory of Open Access Journals (Sweden)

M. Gayà

2011-07-01

Full Text Available This paper presents a preliminary climatology of tornadoes and waterspouts in Catalonia (NE Iberian Peninsula. A database spanning 60 yr (1950–2009 has been developed on the basis of information collected from various sources such as weather reports, insurance companies, newspapers and damage surveys. This database has been subjected to a rigorous validation process, and the climatology describes its main features: timing, spatial pattern, and trends in the tornado and waterspout distribution. Results show the highest concentration of tornadoes from August to October, the highest density in the heavily populated coastal areas and a growing positive trend that is likely more closely linked to an increase in observation and perception rather than a real climatic trend.

“The ghost of the water’s power”: Emil Rathenau and his electrical networks in Chile and Spain

Directory of Open Access Journals (Sweden)

Marion Steiner

2017-12-01

Full Text Available In 1902, the founder of AEG in Berlin, Emil Rathenau, called water power a “ghost ... that has completed his tour around the world.” The vast majority of electrical systems his company had built at that time were based on the use of coal and, in Spain, its thermal power plants already supplied much of the cities. In Chile, on the contrary, according to contracts signed with the municipalities of Santiago and Valparaiso in 1898 and 1902, AEG was obliged to install hydroelectric systems. This article re-constructs the corresponding disputes between the company and the municipality on the use of hydraulic force in Santiago and contrasts them with the situation in Catalonia. Both cases are contextualized from a global perspective of geopolitical analysis that allows for also explaining the global network of actors involved and the strategies implemented by German electric companies and banks to conquer the world market, up to a little beyond the end of World War I.

Assessing knowledge and attitudes towards addictions in medical residents of a general hospital

OpenAIRE

Barral, Carmen; Eiroa-Orosa, Francisco Jose; Navarro-Marfisis, Maria Cecilia; Roncero, Carlos; Casas, Miguel

2014-01-01

Addiction treatment training has been recognized to be an essential part of the curriculum in psychiatry and general medicine. Our objective in this study was to measure the knowledge and attitudes towards addictions among medical residents of a general hospital in Catalonia, Spain.\\ud \\ud Method\\ud Within a sample of medical residents, we administered a questionnaire based on previous literature including attitudes towards patients with drug use problems, evaluation of knowledge and beliefs ...

Perfil de los usuarios de drogas por vía parenteral que mantienen conductas de riesgo relacionadas con la inyección en Cataluña Characteristics of intravenous drug users who share injection equipment in Catalonia (Spain

Directory of Open Access Journals (Sweden)

Cinta Folch

2012-02-01

Full Text Available Objetivos: Estimar la prevalencia de las prácticas de riesgo directas e indirectas relacionadas con la inyección de drogas e identificar los factores asociados en los usuarios de drogas por vía parenteral (UDVP en centros de reducción de daños en Cataluña. Métodos: Estudio transversal realizado entre 2008 y 2009 en centros de reducción de daños. La información conductual se recogió mediante un cuestionario anónimo administrado por entrevistadores previamente formados. Resultados: De los 748 entrevistados, el 31,5% compartió jeringas usadas en los últimos 6 meses y el 55,2% compartió la cuchara, el agua o el filtro, o realizó el front/backloading con jeringas usadas. Los UDVP que se inyectan diariamente (odds ratio [OR]=1,5, se inyectan cocaína (OR=1,6, obtienen menos jeringas gratuitas (OR=2,5 menos de la mitad a ninguna, tienen una pareja sexual UDVP (OR=1,8 y comparten indirectamente (OR=4,1 presentaron una mayor probabilidad de haber compartido jeringas. Por otro lado, tener una fuente de ingresos ilegal (OR=1,5, inyectarse diariamente (OR=1, 5, inyectarse cocaína (OR=1,4, haber compartido jeringas (OR=3,9 y haber tenido alguna sobredosis en la vida (OR=1,5 fueron factores asociados a compartir de forma indirecta. Conclusiones: A pesar de la generalización de los programas de reducción de daños, en Cataluña se mantiene un porcentaje de UDVP que realizan conductas de riesgo relacionadas con la inyección. Sería necesario mejorar el acceso a todo el material estéril de inyección, en especial entre los que se inyectan cocaína y los que se inyectan con mayor frecuencia, e incluir también a las parejas sexuales UDVP en estas intervenciones preventivas.Objectives: To estimate the prevalence of direct and indirect syringe sharing among intravenous drug users (IDUs attending a harm reduction center in Catalonia (Spain and to identify factors associated with risk behaviors. Methods: A cross-sectional study was conducted

[Project Shared Medical Record in Catalonia, Spain: legal framework and enforcement of rights of access, rectification, cancellation and opposition (ARCO)].

Science.gov (United States)

Borrás-Pascual, Maria Josep; Busquets-Font, Josep Maria; García-Martínez, Anna; Manent-González, Martí

2010-02-01

The Constitution and especially the Constitutional Court's jurisprudence have recognized the so-called right of habeas data, providing legal protection at the highest level of personal data. Health information, falls within the scope of protection, but we see that there are peculiarities in the health and development legislation that compels us to treat such information with special characteristics. This article will review the citizen's rights to access to health information, taking into account both the protection of personal data such as regulating access to specific health information and tools that have been developed for the exercise of these rights under the "Shared Medical Record" project developed by the Department of Health of the Generalitat of Catalonia. In particular the rights that are discussed are: the right of access to information, the right of correction, the right of cancellation. The right of access to information enables anyone to know if their personal data are processed, the purpose of treatment and the available information on the origin of personal data. In addition the law also allows to know whether the data have been disclosed to a third party. The right of rectification gives -concerned in this case the patient- the right to correct any data that contain errors. The cancellation right is restricted to situations where it really is exercising a right of correction against information. Finally, the right to object is for patients to be able to oppose their health data is consulted by various health care facilities to generate them. 2010 Elsevier España S.L. All rights reserved.

The relationship between precipitation and insurance data for floods in a Mediterranean region (northeast Spain)

Science.gov (United States)

Cortès, Maria; Turco, Marco; Llasat-Botija, Montserrat; Llasat, Maria Carmen

2018-03-01

Floods in the Mediterranean region are often surface water floods, in which intense precipitation is usually the main driver. Determining the link between the causes and impacts of floods can make it easier to calculate the level of flood risk. However, up until now, the limitations in quantitative observations for flood-related damages have been a major obstacle when attempting to analyse flood risk in the Mediterranean. Flood-related insurance damage claims for the last 20 years could provide a proxy for flood impact, and this information is now available in the Mediterranean region of Catalonia, in northeast Spain. This means a comprehensive analysis of the links between flood drivers and impacts is now possible. The objective of this paper is to develop and evaluate a methodology to estimate flood damages from heavy precipitation in a Mediterranean region. Results show that our model is able to simulate the probability of a damaging event as a function of precipitation. The relationship between precipitation and damage provides insights into flood risk in the Mediterranean and is also promising for supporting flood management strategies.

Epidemiology of Otitis Media with Spontaneous Perforation of the Tympanic Membrane in Young Children and Association with Bacterial Nasopharyngeal Carriage, Recurrences and Pneumococcal Vaccination in Catalonia, Spain - The Prospective HERMES Study.

Science.gov (United States)

Cilveti, Robert; Olmo, Montserrat; Pérez-Jove, Josefa; Picazo, Juan-José; Arimany, Josep-Lluis; Mora, Emiliano; Pérez-Porcuna, Tomás M; Aguilar, Ignacio; Alonso, Aurora; Molina, Francesc; Del Amo, María; Mendez, Cristina

2017-01-01

The Epidemiology of otitis media with spontaneous perforation of the tympanic membrane and associated nasopharyngeal carriage of bacterial otopathogens was analysed in a county in Catalonia (Spain) with pneumococcal conjugate vaccines (PCVs) not included in the immunization programme at study time. A prospective, multicentre study was performed in 10 primary care centres and 2 hospitals (June 2011-June 2014), including all otherwise healthy children ≥2 months ≤8 years with otitis media presenting spontaneous tympanic perforation within 48h. Up to 521 otitis episodes in 487 children were included, showing by culture/PCR in middle ear fluid (MEF): Haemophilus influenzae [24.2%], both Streptococcus pneumoniae and H. influenzae [24.0%], S. pneumoniae [15.9%], Streptococcus pyogenes [13.6%], and Staphylococcus aureus [6.7%]. Culture-negative/PCR-positive otitis accounted for 31.3% (S. pneumoniae), 30.2% (H. influenzae) and 89.6% (mixed S. pneumoniae/H. influenzae infections). Overall, incidence decreased over the 3-year study period, with significant decreases in otitis by S. pneumoniae and by H. influenzae, but no decreases for mixed S. pneumoniae/H. influenzae infections. Concordance between species in nasopharynx and MEF was found in 58.3% of cases, with maximal rates for S. pyogenes (71.8%), and with identical pneumococcal serotype in 40.5% of cases. Most patients (66.6%) had past episodes. PCV13 serotypes were significantly more frequent in first episodes, in otitis by S. pneumoniae as single agent, and among MEF than nasopharyngeal isolates. All non-PCV13 serotypes separately accounted for <5% in MEF. Up to 73.9% children had received ≥1 dose of PCV, with lower carriage of PCV13 serotypes than among non-vaccinated children. Pooling pneumococcal isolates from MEF and nasopharynx, 30% were multidrug resistant, primarily belonging to serotypes 19A [29.8%], 24A [14.3%], 19F [8.3%] and 15A [6.0%]. Our results suggest that increasing PCV13 vaccination would

Epidemiology of Otitis Media with Spontaneous Perforation of the Tympanic Membrane in Young Children and Association with Bacterial Nasopharyngeal Carriage, Recurrences and Pneumococcal Vaccination in Catalonia, Spain - The Prospective HERMES Study.

Directory of Open Access Journals (Sweden)

Robert Cilveti

Full Text Available The Epidemiology of otitis media with spontaneous perforation of the tympanic membrane and associated nasopharyngeal carriage of bacterial otopathogens was analysed in a county in Catalonia (Spain with pneumococcal conjugate vaccines (PCVs not included in the immunization programme at study time. A prospective, multicentre study was performed in 10 primary care centres and 2 hospitals (June 2011-June 2014, including all otherwise healthy children ≥2 months ≤8 years with otitis media presenting spontaneous tympanic perforation within 48h. Up to 521 otitis episodes in 487 children were included, showing by culture/PCR in middle ear fluid (MEF: Haemophilus influenzae [24.2%], both Streptococcus pneumoniae and H. influenzae [24.0%], S. pneumoniae [15.9%], Streptococcus pyogenes [13.6%], and Staphylococcus aureus [6.7%]. Culture-negative/PCR-positive otitis accounted for 31.3% (S. pneumoniae, 30.2% (H. influenzae and 89.6% (mixed S. pneumoniae/H. influenzae infections. Overall, incidence decreased over the 3-year study period, with significant decreases in otitis by S. pneumoniae and by H. influenzae, but no decreases for mixed S. pneumoniae/H. influenzae infections. Concordance between species in nasopharynx and MEF was found in 58.3% of cases, with maximal rates for S. pyogenes (71.8%, and with identical pneumococcal serotype in 40.5% of cases. Most patients (66.6% had past episodes. PCV13 serotypes were significantly more frequent in first episodes, in otitis by S. pneumoniae as single agent, and among MEF than nasopharyngeal isolates. All non-PCV13 serotypes separately accounted for <5% in MEF. Up to 73.9% children had received ≥1 dose of PCV, with lower carriage of PCV13 serotypes than among non-vaccinated children. Pooling pneumococcal isolates from MEF and nasopharynx, 30% were multidrug resistant, primarily belonging to serotypes 19A [29.8%], 24A [14.3%], 19F [8.3%] and 15A [6.0%]. Our results suggest that increasing PCV13 vaccination

Changes in the Linguistic Confidence of Primary and Secondary Students in Catalonia: A Longitudinal Study

Science.gov (United States)

Bretxa, Vanessa; Comajoan, Llorenç; Ubalde, Josep; Vila, F. Xavier

2016-01-01

Previous research in first (L1) and second language (L2) acquisition has provided evidence that linguistic confidence is a key construct that can explain linguistic behaviour. In this paper, we apply previous research in the socio-contextual model of L2 learning to data from Catalonia. More specifically, the paper investigates linguistic…

[Notification of incidents related to patient safety in hospitals in Catalonia, Spain during the period 2010-2013].

Science.gov (United States)

Oliva, Glòria; Alava, Fernando; Navarro, Laura; Esquerra, Miquel; Lushchenkova, Oksana; Davins, Josep; Vallès, Roser

2014-07-01

The aim of this paper is to discover the aggregated results of a general notification system for incidents related to patient safety implemented in Catalan hospitals from 2010 to 2013. Observational study describing the incidents notified from January 2010 to December 2013 from all hospitals in Catalonia forming part of the project to create operational patient safety management units. The Patient Safety Notification and Learning System (SiNASP) was used. This makes it possible to classify incidents depending on the area where they occur, the type of incident notified, the consequences, the seriousness according to the Severity Assessment Code (SAC) and the profession of the notifying party, as the principal variables. The system was accessed via the Internet (SiNASP portal). Access was voluntary and anonymous or with a name given and later removed. During the study period, notification of a total of 5,948 incidents came from 22-29 hospitals. 5,244 of the incidents were handled by the centres and these are the ones analysed in the study. 64% (3,380) affected patients, 18% (950) created a situation capable of causing an incident and 18% (914) did not affect patients. 26% of incidents that affected patients (864) caused some kind of harm. Most incidents occurred during hospitalisation (54%) and in casualty (15%), followed by the ICU (9%) and the surgical block (8%). The most frequent notifying parties were nurses (71%) followed by doctors (15%) and pharmacists (9%). In terms of severity, most incidents were classified as low-risk (37%) or incidents that did not affect the patient (36%). However, 40 cases (0.76%) of extreme risk should be highlighted. In terms of the types of incident notified, most were due to a medication error (26.8%), followed by falls (16.3%) and patient identification (10.6%). The majority of notifications were incidents that affected patients and, of these, 26% caused harm. In general, they occurred in hospitalisation units and notification was

Flash floods in Catalonia: a recurrent situation

Science.gov (United States)

Llasat, M. C.; Lindbergh, S.; Llasat-Botija, M.; Rodríguez, A.; Zaragoza, A.

2009-09-01

A database with information about the social impact produced by all the flood events recorded in Catalonia between 1982 and 2007 has been built. Original information comes from the INUNGAMA database (1900-2000) presented by Barnolas and Llasat (2007), the PRESSGAMA database (1982-2007) (Llasat et al., in rev.) and information from different published works (Barriendos et al, 2003; Barriendos and Pomés, 1993). Social impact has been obtained systematically in basis to news press data and, occasionally, in basis to insurance data. Flood events have been classified in ordinary floods, extraordinary floods and catastrophic ones, following the proposal of Llasat et al (2005). However, having in mind the flash floods effects, some new categories concerning casualties and car damages have also been introduced. The spatial and temporal distribution of these flood events has been analysed. Results have been compared with those obtained for the period 1900-2000 (Barnolas and Llasat, 2007) and 1350-2000 (Barrera et al, 2006). In order to better estimate the social impact and vulnerability some indicators have been defined and analyzed for some specific cases and a specific region. Besides the indicators applied in the INUNCAT Plan to obtain a cartography of flood risk in Catalonia, other ones like the number of cars affected or the number of request received by the meteorological service, has been also taken into account. These indicators allow analyzing global and temporal trends as well as characterizing the events. The selected region has been the Maresme, which is a flood prone region with a great density of population and that experiences every year one or more flash floods. The annual number of floods shows a positive trend that cannot be justified by the rainfall trend. Both vulnerability and hazard components have been considered and a discussion about the flood prevention measures is presented. The third part of this work has been centred in the analysis and

Cross-sectional survey on awareness of colorectal cancer and a screening programme for primary health care professionals in Catalonia, Spain.

Science.gov (United States)

Benito, L; García, M; Binefa, G; Mila, N; Vidal, C; Lluch, M T; Puig, M

2016-11-01

This study aimed to assess whether primary health care professionals have accurate information regarding colorectal cancer (CRC) screening procedures, surveillance recommendations and referral strategies. This cross-sectional descriptive study was based on a survey conducted among primary health care professionals in Barcelona, Spain. The questionnaire was used to gather information regarding CRC screening procedures as well as demographic and professional characteristics of the study subjects. A CRC and screening awareness score (ranging from 0 to 12) was created based on the survey questions. The response rate was 58.9% (206/305). The estimated mean score (standard deviation) was 8.43 (SD: 1.30). For four questions, more than 60% of the answers were incorrect: one related to risk factors, two concerning follow-up colonoscopy, and one related to surveillance. Only 30.8% of the participants believed that they were responsible for determining the appropriate surveillance intervals and for scheduling colonoscopies. Although the professionals had sufficient knowledge of CRC screening, professional knowledge of some aspects related to the major non-modifiable risk factors for the disease and surveillance colonoscopy procedures could be improved. Frequent communication with professionals is necessary to maintain updated screening-related information. Possible methods for facilitating communication could include continuous briefings, regular message reminders or educational websites. © 2016 John Wiley & Sons Ltd.

[Attitude of primary care professionals to gender violence. A comparative study between Catalonia and Costa Rica].

Science.gov (United States)

Rojas Loría, Kattia; Gutiérrez Rosado, Teresa; Alvarado, Ricardo; Fernández Sánchez, Anna

2015-10-01

Describe the relationship between the attitude towards violence against women (VAW) of professionals of the health of primary care with variables such professional satisfaction, workload, orientation of professional practice, knowledge, training and use of network in Catalonia and Costa Rica. Cross-exploratory and comparative study. Primary care in Barcelona and nearby counties and the Greater Metropolitan Area (GAM) of Costa Rica. 235 primary health professionals of Medicine, Nursing, Psychology and Social Work. Questionnaire with eight sections about attitudes, professional satisfaction, and orientation of professional practice, workload, knowledge, training and use of network. Three types of analysis were carried out: a descriptive one by country; a bivariate analysis; and a multivariable linear regression model. Primary Health Professionals attitudes towards VAW health were similar in both contexts (Catalonia: 3.90 IC 95% 3.84-3.96; Costa Rica: 4.03 IC 95% 3.94-4.13). The variables associated with attitudes towards VAW were: Use of network resources (B=0.20, 95% CI -0.14-0.25, P=<.001), Training (B=0.10, 95% CI 0.04 to 0.17, P=<0.001), and country, Costa Rica (B=0.16, 95% CI 0.06 to 0.25, P=<0.001). There was no interaction between the country and the other variables, suggesting that the association between the variables and the attitude is similar in both countries. The results suggest that increased use of network resources and training are related to a positive attitude towards VWA in primary health professionals, both in Catalonia and Costa Rica. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

Pregnancy as an opportunity to diagnose human-immunodeficiency virus immigrant women in Catalonia.

Science.gov (United States)

Soriano-Arandes, Antoni; Noguera-Julian, Antoni; López-Lacort, Mónica; Soler-Palacín, Pere; Mur, Antonio; Méndez, María; Mayol, Lluís; Vallmanya, Teresa; Almeda, Jesús; Carnicer-Pont, Dolors; Casabona, Jordi; Fortuny, Claudia

2018-01-01

Mother-to-child transmission (MTCT) is relevant in the global epidemiology of human-immunodeficiency virus (HIV), as it represents the main route of infection in children. The study objectives were to determine the rate of HIV-MTCT and its epidemiological trend between the Spanish-born and immigrant population in Catalonia in the period 2000-2014. A prospective observational study of mother-child pairs exposed to HIV, treated in 12 hospitals in Catalonia in the period 2000-2014. HIV-MTCT rate was estimated using a Bayesian logistic regression model. R and WinBUGS statistical software were used. The analysis included 909 pregnant women, 1,009 pregnancies, and 1,032 children. Data on maternal origin was obtained in 79.4% of women, of whom 32.7% were immigrants, with 53.0% of these from sub-Saharan Africa. The overall HIV-MTCT rate was 1.4% (14/1,023; 95% CI; 0.8-2.3). The risk of MTCT-HIV was 10-fold lower in women with good virological control (P=.01), which was achieved by two-thirds of them. The proportion of immigrants was significantly higher in the period 2008-2014 (Pde Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

Influenza sentinel surveillance network: a public health-primary care collaborative action to assess influenza A(H1N1)pmd09 in Catalonia, Spain.

Science.gov (United States)

Torner, Nuria; Baricot, Maretva; Martínez, Ana; Toledo, Diana; Godoy, Pere; Dominguez, Ángela

2013-03-01

The aim of this study was to evaluate the outcome of a collaborative action between Public Health services and Primary Care in the context of a case-control study on effectiveness of pharmaceutical and non-pharmaceutical measures to prevent hospitalization in a pandemic situation. To carry out this research the collaborative action of the primary care physicians members of the Influenza surveillance network was needed, they had to recall clinical information from influenza A(H1N1)pmd09 confirmed outpatient cases and negative outpatient controls matching their corresponding hospitalized confirmed case.   A survey questionnaire to assess involvement of Influenza Sentinel Surveillance Primary care physicians' Network of Catalonia (PIDIRAC) regarding the outpatient case and control outreach during the pandemic influenza season was performed. A total of 71,1% of completed surveys were received. Perception of pandemic activity was considered to be similar to seasonal influenza activity in 43.8% or higher but not unbearable in 37.5% of the replies. There was no nuisance reported from patients regarding neither the questions nor the surveyor. Collaborative research between Public Health services and Primary Care physicians enhances Public Health actions and research.

[The estimated incidence and case fatality rate of ischemic and hemorrhagic cerebrovascular disease in 2002 in Catalonia].

Science.gov (United States)

Marrugat, Jaume; Arboix, Adrià; García-Eroles, Lluís; Salas, Teresa; Vila, Joan; Castell, Conxa; Tresserras, Ricard; Elosua, Roberto

2007-06-01

The aim of this study was to obtain an estimate of the incidence of cerebrovascular disease (CVD) in the Spanish population in 2002. The study involved data on patients aged over 24 years for the year 2002 contained in both the death register and the Minimum Basic Data Set from 65 of the 84 Catalan general hospitals (i.e., 90.7% of all acute hospital beds in Catalonia). Total and age-adjusted mortality rates, cumulative incidence, and hospitalization rates, and the 28-day case fatality rate for CVD in the Catalan population were calculated after cases of traumatic and transient disease had been excluded. The unadjusted CVD mortality rate per 100,000 population aged over 24 years in Catalonia was 92 in men and 119 in women. The age-adjusted rates were 58 (95% confidence interval or CI, 56-61) and 43 (95% CI, 41-44), respectively. The cumulative incidence of CVD per 100,000 population was 218 (95% CI, 214-221) in men and 127 (95% CI, 125-128) in women. The unadjusted 28-day case fatality rate in the population was 36.2%: 30.3% in men and 42.0% in women. Some 62.5% of patients (57.2% of men and 66.4% of women) died from CVD outside hospital. These findings indicate that CVD mortality and incidence rates in Catalonia are among the lowest in developed countries. More than half of the deaths that took place within 28 days after the onset of symptoms occurred outside hospital.

Factors associated with commencing smoking in 12-year-old students in Catalonia (Spain: a cross-sectional population-based study

Directory of Open Access Journals (Sweden)

Basora Josep

2010-11-01

Full Text Available Abstract Background Over the last decade notable progress has been made in developed countries on monitoring smoking although experimenting with cigarettes and smoking in young people remains a serious public health problem. This paper reports a cross-sectional study at the beginning of the 3-year follow-up community study TA_BES. The aim was to study the prevalence of smoking in addition to determining predictive factors for when smoking commences in a representative population of 12-year-old first year compulsory secondary education students. Methods Twenty-nine secondary schools (N = 29 from an area of Catalonia participated in the study. In these schools 2245 students answered a questionnaire to study the attitudes, behaviors, and tobacco consumption in the subject's surrounding circle and family in relation to smoking; carbon monoxide measurements were taken by means of co-oximetry on 2 different occasions. A smoker was defined as a student who had smoked daily or occasionally in the last 30 days. For non-smokers the criteria of not considering was set up for those who answered that in the future they would not be smokers and considering those who answered that they did not rule out becoming a smoker in the future. Results Among the total 2245 students included in the analysis 157(7% were classified as smokers. Among non-smokers we differentiated between those not considering smoking 1757 (78.3% and those considering smoking 288 (12.8%. Age is among the factors related to commencing smoking. The risk of becoming a smoker increases 2.27 times/year. The influence of the group of friends with a very high risk for boys OR 149.5 and lower, albeit high, in girls OR 38.1. Tobacco consumption of parents produces different effects in young people. A smoking father does not produce alterations in the smoking behavior of young people. However having a smoking mother or former smoking is a risk factor for boys and a protective factor for girls. We

A press database on natural risks and its application in the study of floods in Northeastern Spain

Directory of Open Access Journals (Sweden)

M. C. Llasat

2009-12-01

Full Text Available The aim of this work is to introduce a systematic press database on natural hazards and climate change in Catalonia (NE of Spain and to analyze its potential application to social-impact studies. For this reason, a review of the concepts of risk, hazard, vulnerability and social perception is also included. This database has been built for the period 1982–2007 and contains all the news related with those issues published by the oldest still-active newspaper in Catalonia. Some parameters are registered for each article and for each event, including criteria that enable us to determine the importance accorded to it by the newspaper, and a compilation of information about it. This ACCESS data base allows each article to be classified on the basis of the seven defined topics and key words, as well as summary information about the format and structuring of the new itself, the social impact of the event and data about the magnitude or intensity of the event. The coverage given to this type of news has been assessed because of its influence on construction of the social perception of natural risk and climate change, and as a potential source of information about them. The treatment accorded by the press to different risks is also considered. More than 14 000 press articles have been classified. Results show that the largest number of news items for the period 1982–2007 relates to forest fires and droughts, followed by floods and heavy rainfalls, although floods are the major risk in the region of study. Two flood events recorded in 2002 have been analyzed in order to show an example of the role of the press information as indicator of risk perception.

Nurses' attitudes to terminally ill patients.

Science.gov (United States)

Román, E M; Sorribes, E; Ezquerro, O

2001-05-01

The care of terminally ill patients is a challenge for nurses that has raised special interest in recent years. Several studies have shown a stereotyped negative attitude in nurses towards terminally ill patients. However, all have used methods with several limitations. The aim of the study presented in this paper was to identify the nurses' attitude to the terminally ill patient in Catalonia, Spain, and the relationship of this attitude to different socio-demographic data (type of centre, shift, years of experience, age and sex) by means of a new quantitative method based on the free word-association test. One hundred and seventy-five nurses working in 18 hospitals and hospices in Catalonia, Spain were included in the study. Data were analysed by the Associative Semantic Field Differential method by means of the computer programme CONTEXT and a quantitative evaluation of the degree of attitudes positivity was obtained. The study revealed a general slight negative trend in attitudes towards the terminally ill patient. A more positive attitude was observed in older caregivers and in women. The positivity in attitude decreased from morning to night shift. No differences were observed between nurses working in hospitals and those working in hospices. We conclude that nursing attitudes can be analysed by methods such as that used in this study. Attempts can be made to modify this attitude in caregivers by means of training programmes and stimulating awareness of an adequate professional approach.

Comparisons in the Organisation, Methods, and Results of the Universidad Nacional de Educacion a Distancia (Spain) and The Open University of The United Kingdom.

Science.gov (United States)

James, Arthur

The organization, methods, and outcomes of the distance education systems at the Universidad Nacional de Educacion a Distancia (UNED) in Spain and The Open University of the United Kingdom are compared. The following topics are covered: higher education in Spain, UNED's ideology, student characteristics in both universities, organization,…

Development of cogeneration in Spain and financing methods

International Nuclear Information System (INIS)

Garcia, G.R.

1994-01-01

From 1980 there is in force in Spain a proper legal framework that could be considered a sound support to further cogeneration development. Despite this cogeneration law, a very few schemes were built. In 1986 IDAE, a state company attached to the Spanish Ministry of Industry and Energy, began a Cogeneration Programme focussed to a higher cogeneration utilisation. This programme has three main foundations: Technology dissemination; Technical support; Investment financing. As a result of these activities more than 1000 MW additional power schemes have been ordered all over the country and, as a consequence, cogenerated electricity will be multiplied by three in respect with the previous situation. A 20% of this new capacity has been developed directly by IDAE, that has invested approximately 90 million US Dollar through third party financing technics. The National Energy Plan 1991-2000 established the energy policy actuations in Spain for the present decade, giving importance to cogeneration development. This paper explains the way this development has been achieved, outlining IDAE's engagement to finance combined heat and power schemes through its comprehensive way of performing third party financing systems. (au)

Estimation of age- and stage-specific Catalan breast cancer survival functions using US and Catalan survival data

Science.gov (United States)

2009-01-01

Background During the last part of the 1990s the chance of surviving breast cancer increased. Changes in survival functions reflect a mixture of effects. Both, the introduction of adjuvant treatments and early screening with mammography played a role in the decline in mortality. Evaluating the contribution of these interventions using mathematical models requires survival functions before and after their introduction. Furthermore, required survival functions may be different by age groups and are related to disease stage at diagnosis. Sometimes detailed information is not available, as was the case for the region of Catalonia (Spain). Then one may derive the functions using information from other geographical areas. This work presents the methodology used to estimate age- and stage-specific Catalan breast cancer survival functions from scarce Catalan survival data by adapting the age- and stage-specific US functions. Methods Cubic splines were used to smooth data and obtain continuous hazard rate functions. After, we fitted a Poisson model to derive hazard ratios. The model included time as a covariate. Then the hazard ratios were applied to US survival functions detailed by age and stage to obtain Catalan estimations. Results We started estimating the hazard ratios for Catalonia versus the USA before and after the introduction of screening. The hazard ratios were then multiplied by the age- and stage-specific breast cancer hazard rates from the USA to obtain the Catalan hazard rates. We also compared breast cancer survival in Catalonia and the USA in two time periods, before cancer control interventions (USA 1975–79, Catalonia 1980–89) and after (USA and Catalonia 1990–2001). Survival in Catalonia in the 1980–89 period was worse than in the USA during 1975–79, but the differences disappeared in 1990–2001. Conclusion Our results suggest that access to better treatments and quality of care contributed to large improvements in survival in Catalonia. On

Journal of Chemical Sciences | Indian Academy of Sciences

Indian Academy of Sciences (India)

Author Affiliations. Miquel Torrent-Sucarrat1 Miquel Duran1 Josep M Luis1 Miquel Solà1. Institut de Química Computacional and Departament de Química, Universitat de Girona, E-17071 Girona, Catalonia, Spain ...

Boycott or buycott?: Internal politics and consumer choices

OpenAIRE

Xavier Cuadras Morató; Josep M. Raya

2014-01-01

Do political tensions affect economic relations? In particular, does politics significantly affect consumer choices? Firms are often threatened by consumer boycotts that pretend to modify their business strategies and behavior. Sometimes these are caused by general political conflicts. The main objective of the paper is to study the consequences of political conflicts between Spain and Catalonia (a region of Spain) and the subsequent boycott calls on sales of Catalan sparkling ...

Separatist Model: Compare and Contrast between the Malay Muslims of Southern Thailand and the Moros of Southern Philippine

Science.gov (United States)

2013-06-13

persisting grievances and pursuits of self determination include disputes over ancestral land, socio-economic opportunities, and exclusion from......focused. Some examples are the Quebec, Canada; Scotland, United Kingdom; and Catalonia , Spain. Insurgency is defined by United States Army Field Manual 3

Official quality controls and the fight against fraud in the olive oil sector in Catalonia. Results 2011–2014

International Nuclear Information System (INIS)

Cugat, G.; Biel, M.R.

2016-01-01

This article highlights the key aspects of the official control procedures concerning quality and in the fight against food fraud in the oil sector implemented in Catalonia by the Ministry for Agriculture, Livestock, Fisheries and Food of the Government of Catalonia and, more specifically, by the Subdirectorate General of Agri-food Inspection and Control. This summarized view focuses on issues related to the legality and competence framework for official controls, the goals and purpose thereof, the area’s object of investigation and technical scope, the stages of the food chain at which measures are carried out, the types of inspection and control actions and the main investigation techniques. It also presents the results of the inspections, with a summary of the types of irregularities detected in the olive oil sector over the 2011–2014 period. [es

Business network and new distribution methods: the spread of franchises in Spain

OpenAIRE

Gámir Orueta, Agustín; Méndez Gutiérrez del Valle, Ricardo

1999-01-01

Summary: Over the last few years, the phenomenon of the franchise as a new way of doing business has been undergoing a notable increase in Spain, with year on year growth rates of around 40%. As a result, Spain’s retail trade is suffering considerable transformations and growing ever closer to a similar profile to that dominant in other countries of the EU. This phenomenon of franchises in Spain, however, goes far beyond a mere modification of business manners, as it can only be correctly und...

Surveillance of hospitalized and outpatient cases of pertussis in Catalonia from 2003 to 2009

Science.gov (United States)

Crespo Fernández, Inma; Soldevila, Núria; Carmona, Gloria; Sala, Maria Rosa; Godoy, Pere; Domínguez, Angela; Group of Catalonia, the Pertussis Surveillance

2013-01-01

Pertussis is a vaccine-preventable disease that generates a large number of cases and hospitalizations. In Catalonia, the vaccination schedule includes three doses of vaccine at 2, 4 and 6 mo and two booster doses at 18 mo and 4–6 y. In 2002, DTPw was replaced by DTPa. The aim of this study was to determine how the vaccination status affects pertussis hospitalizations. Cases were obtained from the epidemiological surveillance system of the Generalitat of Catalonia from 2003 to 2009. Hospitalization, immunization status and type of vaccine received in reported cases were analyzed. OR and 95% confidence intervals (CI) were calculated. To control the effect of age (cases were reported. Cases below vaccination age (cases were hospitalized: 137 (51.7%) had no vaccine administrated, 104 (39.2%) were correctly vaccinated according to age and 24 (9.1%) were poorly vaccinated. Correct vaccination protected against hospitalization (ORMH: 0.33; 95%CI: 0.23–0.47). Of hospitalized cases, 38 (14.3%) had received DTPw and 91 (34.2%) DTPa. Both vaccines were effective in avoiding hospitalization, and comparison showed no differences (ORMH: 0.73; 95%CI: 0.46–1.14). We highlight the importance of a correct follow-up immunization schedule in reducing the number of cases and hospitalizations. PMID:23302866

Costs, outcomes and challenges for diabetes care in Spain

OpenAIRE

Lopez-Bastida, Julio; Boronat, Mauro; Moreno, Juan Oliva; Schurer, Willemien

2013-01-01

Background Diabetes is becoming of increasing concern in Spain due to rising incidence and prevalence, although little information is known with regards to costs and outcomes. The information on cost of diabetes in Spain is fragmented and outdated. Our objective is to update diabetes costs, and to identify outcomes and quality of care of diabetes in Spain. Methods We performed systematic searches from secondary sources, including scientific literature and government data and reports. Results ...

Business networks and new distribution methods: the spread of franchises in Spain

OpenAIRE

Gámir, Agustín; Méndez, Ricardo

2011-01-01

Over the last few years, the phenomenon of the franchise as a new way of doing business has seen a notable increase in Spain, with year on year growth rates of around 40%. As a result, Spain’s retail trade is suffering considerable transformations and growing ever closer to a similar profile to that dominant in other countries of the EU. This phenomenon of franchises in Spain, however, goes far beyond a mere modification of business manners, as it can only be correctly understood if it is pla...

Spain

International Nuclear Information System (INIS)

Zoppo, C.E.

1990-01-01

This paper reports on nuclear export activities in Spain, as elsewhere, which occur in a political, economic, and technological context. The factors operating the process are not always explicitly related in the public and the private sectors, nor between these sectors, by the relevant decision makers. A redefinition of Spain's policies in the nuclear sector has been going on since at least 1984, when a new energy plan was legislated by the newly elected Socialist government. It would be accurate to suggest that this process remains dynamic and not fully completed for policy purposes. This condition has resulted from the fact that Spain underwent a crucial political regime change from dictatorship to parliamentary democracy about a decade ago, with the transition to democracy only recently consolidated. Moreover, no policy in regard to nuclear nonproliferation existed during the Franco regime. Instead, Spain's official position was to maintain the right to preserve a nuclear option for national defense. However, this option was not developed into a concerted program to develop a nuclear military capability

Methods and scales in soil erosion studies in Spain: problems and perspectives

Energy Technology Data Exchange (ETDEWEB)

Garcia-Ruiz, J. M.

2009-07-01

Soil erosion is a major problem in some areas of Spain. Research groups have studied a variety of aspects of this problem indifferent environments, and at a range of scales using a diversity of methods, from piquettes and rainfall simulation to experimental plots, catchment and large regional areas. This has increased knowledge and identified the main problems: farmland abandonment, badlands erosion, the effects of land use changes, and the role of extreme events and erosion in certain crops (particularly vineyards). However, comparison of results among various research groups has been difficult, posing problems in developing solutions from State and Regional administrators. (Author) 73 refs.

Psychiatric disorders in cases of completed suicide in a hospital area in Spain between 2007 and 2010.

Science.gov (United States)

Gómez-Durán, Esperanza L; Forti-Buratti, M Azul; Gutiérrez-López, Beatriz; Belmonte-Ibáñez, Anna; Martin-Fumadó, Carles

2016-01-01

Suicide is an important Public Health problem. One of the most relevant known risk factors for suicide is suffering from a mental health disorder, identified in up to 90-95% of completed suicides, with this risk being increased if comorbidity is present. Findings from international research on the most common psychiatric disorders are dichotomous, divided into mood disorders and psychotic disorders. In Spain, data of this kind are scarce. This study describes the psychiatric and forensic characteristics of completed suicide cases (n=79) ocurred in a psychiatric hospital healthcare area (in Spain), between 2007 and 2010. The forensic data were obtained from the Institute of Legal Medicine of Catalonia and the clinical data by reviewing the clinical records. Most of the subjects in this sample were males (78.5%, 95% CI; 68.4%-87.3%). Almost half of the sample (45.4%, 95% CI; 33.8%-57.1%, 35/77) had records in the Mental Health Services Network (including substance misuse services). Two of the 79 were under 18, so we were not able to access the records. More than half (54.3%, 95% CI; 37.1%-71.4%) of those with psychiatric history suffered from a mood disorder; 37.1% (95% CI; 22.9%-51.4% from a depressive disorder; 14.3% (95% CI; 2.9%-25.7%) from a bipolar disorder, and 17.1% (95% CI; 5.7%-31.4%) suffered from a psychotic disorder. With regard to substance misuse, 42.9% (95% CI; 25.7%-60.0%) presented substance misuse, and 48.6% did not. Psychiatric and forensic characteristics of completed suicide in this Spanish sample confirm previous findings from international studies: there is a high rate of psychiatric disorders in those who complete suicide, and there is a specific pattern as regards the method used to complete it. Copyright © 2013 SEP y SEPB. Published by Elsevier España. All rights reserved.

Outsourcing the State's Responsibilities? Third Sector Organizations Supporting Migrant Families' Participation in Schools in Catalonia and London

Science.gov (United States)

Paniagua, Alejandro; D'Angelo, Alessio

2017-01-01

Based on two case studies of Third Sector Organizations (TSOs) working with schools and parents in Catalonia and London, this paper aims to discuss some of the implications of "participative" programmes aimed at involving those migrant families seen by schools as "hard to reach". First, we describe how an ambiguous notion of…

Epidemiology of Streptococcus pneumoniae causing acute otitis media among children in Southern Catalonia throughout 2007-2013: Incidence, serotype distribution and vaccine's effectiveness.

Science.gov (United States)

Ochoa-Gondar, O; Figuerola-Massana, E; Vila-Corcoles, A; Aguirre, C A; de Diego, C; Satue, E; Gomez, F; Raga, X

2015-12-01

This study investigated incidence and serotype distribution of Streptococcus pneumoniae causing acute otitis media (AOM) in Catalonian children, evaluating vaccination effectiveness in the current era of extended valency pneumococcal conjugate vaccines (PCVs). Population-based surveillance study that included all AOM cases with isolation of pneumococcus (from otic fluids/otorrea) identified among children ≤14 years in the region of Tarragona (Southern Catalonia, Spain) from 01/01/2007 to 31/12/2013. Prevalence of infections caused by serotypes covered by the different PCVs formulations were calculated for the periods before and after 30/06/2010 (date of PCV7/PCV13 replacement). The indirect cohort method was used to estimate PCV7/13 effectiveness against vaccine-type infections. A total of 78 children with a pneumococcal AOM were identified across study period, which meant an incidence rate of 23 cases per 100,000 population-year. Thirty-six cases (46.2%) occurred within the late PCV7 era and 42 cases (53.8%) during the early PCV13 era. Overall, the most common serotypes were type 19A (21.7%), type 3 (13.3%) and type 15B (6.7%). Prevalence of cases caused by serotypes included in PCV7 did not substantially change between the first and the second study period (from 10.3% to 12.9%), whereas prevalence of cases caused by PCV13 serotypes showed a decreasing trend between both periods (from 65.5% to 48.4%). The aggregate PCV7/13 effectiveness against vaccine-type infections was 72% (95% confidence interval: -26 to 94). Pneumococcal conjugate vaccination appears an acceptable preventive option to prevent pneumococcal AOM in infants. However, its serotype coverage and clinical effectiveness are not optimal. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Use of Time-Aware Language Model in Entity Driven Filtering System

Science.gov (United States)

2014-11-01

knowledge graph explo- ration. In the case where no Wikipedia page were found for an entity, the set remains empty; - a set of surface forms found using...Interna- tional Conference on Weblogs and Social Media, Barcelona, Catalonia , Spain, July 17-21, 2011.

Underscreened Women Remain Overrepresented in the Pool of Cervical Cancer Cases in Spain: A Need to Rethink the Screening Interventions

Directory of Open Access Journals (Sweden)

Raquel Ibáñez

2015-01-01

Full Text Available Objective. Audit of women with invasive cervical cancer (CC is critical for quality control within screening activities. We analysed the screening history in the 10 years preceding the study entry in women with and without CC during 2000–2011. Methods. 323 women with CC from six pathology departments in Catalonia (Spain and 23,782 women with negative cytology were compared. Age, previous history of cytologies, and histological type and FIGO stage were collected from the pathology registries. Logistic regression analysis was used to estimate odds ratios (OR and 95% confidence intervals (CI95%. Results. History of cytology was registered in 26.2% of CC cases and in 78% of the control women (P<0.0001 and its frequency decreased with increasing age. Compared to women with squamous cell carcinoma, adenocarcinoma cases were significantly more likely to have a cytology within the 3-year interval preceding cancer diagnosis (OR=2.6 CI 95%: 1.2–5.6 and to have normal cytology results in previous screenings (OR=2.4 CI 95%: 1.2–4.5. FIGO II–IV cases were more common among older women (older than 60 years. Conclusions. Absence of prior screening history was extremely common among CC cases compared to controls. Organized actions to reduce underscreened women and use of highly sensitive HPV-based tests could be important to reduce CC burden.

Analysis on the implementation of the unique model of Services Cards in Catalonia

Directory of Open Access Journals (Sweden)

María del Mar Caraza Cristín

2018-04-01

Full Text Available In Catalonia, services cards have an unique regulation, so far singular. The law on transparency, access to public information and corporate governance of this community has given them statutory and binding legal effects. They have gone from soft to hard law. And this fact has important consequences in the field of administration’s patrimonial responsibility. Two years after the entry into force of this law, it is time to analyze what has been the actual implementation of this new regulation and draw conclusions.

Examining alternative landscape metrics in ecological forest planning: a case for capercaillie in Catalonia

OpenAIRE

Palahi, M.; Pukkala, T.; Pascual, L.; Trasobares, A.

2004-01-01

This study examined the performance of four different landscape metrics in a landscape ecological forest planning situation in Catalonia: (1) proportion of suitable habitat (non-spatial) (%H); (2) spatial autocorrelation; (3) the proportion of habitat-habitat boundary of the total compartment boundary (H-H) and (4) the proportion of habitat-non-habitat boundary (H-nonH). They were analysed in a case study problem that aimed at the maintenance and improvement of capercaillie habitats in two si...

Application, difficulties and perspectives of artificial recharge of groundwater in Spain; Aplicacion, dificultades y perspectivas de la recarga artificial de acuiferos en Espana

Energy Technology Data Exchange (ETDEWEB)

Perez-Paricio, A.

2001-07-01

Artificial recharge of groundwater is an extremely useful techniques for the management of water resources. This is why artificial recharge is viewed as an essential component of water supply systems in some countries. Because spreading scientific-technical knowledge is a key to combat misconceptions, this paper describes the results obtained in an European project, where the author participated as representative of the Technical University of Catalonia. the variety of topics addressed by this project and the status of artificial recharge in other regions contrast notoriously with the current situation in Spain, as explained in the paper. Nowadays, there are symptoms of improvement, but it is still necessary a conceptual change. This requires more imaginative plants that take advantage of treated waste-water and storm water, as well as their integration with alternative measures, such as desalination, reuse, optimization of water distribution and irrigation networks and the management of water demand. (Author) 25 refs.

Effects of External Agentification in Local Government: A European Comparison of Municipal Waste Management

NARCIS (Netherlands)

Torsteinsen, H.; Genugten, M.L. van; Mikuła, Ł.; Puiggròs Mussons, C.; Pano, E.; Koprić, I.; Wollmann, H.; Marcou, G.

2018-01-01

This chapter explores the economic, political, and organisational effects of external agentification in the municipal waste service in four countries: Poland, the Netherlands, Norway and Spain (Catalonia). Using Van Thiel´s typology of agentification, it turns out that the four countries have all

The burden of hospital malnutrition in Spain: methods and development of the PREDyCES® study.

Science.gov (United States)

Planas Vila, M; Álvarez Hernández, J; García de Lorenzo, A; Celaya Pérez, S; León Sanz, M; García-Lorda, P; Brosa, M

2010-01-01

It is well known that hospital malnutrition is a highly prevalent condition associated to increase morbidity and mortality as well as related healthcare costs. Although previous studies have already measured the prevalence and/or costs of hospital nutrition in our country, their local focus (at regional or even hospital level) make that the true prevalence and economic impact of hospital malnutrition for the National Health System remain unknown in Spain. The PREDyCES® (Prevalence of hospital malnutrition and associated costs in Spain) study was aimed to assess the prevalence of hospital malnutrition in Spain and to estimate related costs. Some aspects made this study unique: a) It was the first study in a representative sample of hospitals of Spain; b) different measures to assess hospital malnutrition (NRS2002, MNA as well as anthropometric and biochemical markers) where used both at admission and discharge and, c) the economic consequences of malnutrition where estimated using the perspective of the Spanish National Health System.

Methodology for the assessment of the impact of existing high voltage lines in urban areas

International Nuclear Information System (INIS)

Sumper, Andreas; Boix-Aragones, Oriol; Villafafila-Robles, Roberto; Bergas-Jane, Joan; Ramirez-Pisco, Rodrigo

2010-01-01

This paper presents a methodology for the assessment of the impact of existing high voltage lines in urban areas. This methodology is based on the numeric evaluation of several impacts which are combined with weight factors. The novelty is that it opens up the possibility of citizen participation, basically in the way in which impacts and weighting factors are determined. The proposed methodology has been applied first in the municipality of Rubi, a mid-sized town near Barcelona, and later on in several municipalities in the Catalonia region in Spain. The results were used to prioritise mitigation action in the Catalonia Energy Plan.

Molecular characterization of two high-level ceftriaxone-resistant Neisseria gonorrhoeae isolates detected in Catalonia, Spain.

Science.gov (United States)

Cámara, Jordi; Serra, Judit; Ayats, Josefina; Bastida, Teresa; Carnicer-Pont, Dolors; Andreu, Antònia; Ardanuy, Carmen

2012-08-01

The aim of this study was to characterize the first two extended-spectrum cephalosporin-resistant and multidrug-resistant (MDR) Neisseria gonorrhoeae isolates collected from two sexually related patients (men who have sex with men) in Spain. Antimicrobial susceptibility was studied by Etest. Genes involved in quinolone, ceftriaxone and multidrug resistance were amplified by PCR and sequenced in both directions. The isolates were typed by N. gonorrhoeae multi-antigen sequence typing (NG-MAST). The two isolates had the same MDR profile, showing resistance to penicillin (MIC 0.094 mg/L; β-lactamase negative), ceftriaxone (MIC 1.5 mg/L), cefixime (MIC 1.5 mg/L), cefotaxime (MIC 1 mg/L), ciprofloxacin (MIC >32 mg/L) and tetracycline (MIC 1.5 mg/L). NG-MAST showed that both isolates belonged to sequence type (ST) 1407 (porB-908 and tbpB-110). Ciprofloxacin resistance was due to amino acid substitutions in GyrA (S91F and D95G) and ParC (S87R). An A deletion in the promoter of the MtrCDE efflux pump (mtrR) was detected. No changes were detected in the pilQ gene. The outer membrane protein PorB showed two substitutions at G120K and A121N. An L421P substitution was observed in the PBP1A (ponA) sequence. The sequence of PBP2 (penA) showed a mosaic structure related to genotype XXXIV with a single additional amino acid substitution (A501P). This genotype was identical to a recently described French isolate (F89). This is the first reported case of high-level extended-spectrum cephalosporin-resistant N. gonorrhoeae transmission. The molecular typing and MDR genotype suggest possible European spread of this strain, highlighting the need for surveillance and the importance of testing the susceptibility of N. gonorrhoeae to extended-spectrum cephalosporins.

[Health services' utilization patterns in Catalonia, Spain].

Science.gov (United States)

Medina, Carmen; Salvador, Xavier; Faixedas, M Teresa; Gallo, Pedro

2011-12-01

The purpose of this article is disclose services utilization patterns among the Catalan population with particular emphasis on primary care, specialised care, hospital care and emergency care. A number of logistic regression models were used to explain the utilization of the various types of services. Variables in the analysis included self-perceived need, lifestyles, and sociodemographic variables. Separate analyses were performed for male, female, adults, and children as well as for the general population. Women use all types of services more often than men. Children and people over 64 are more frequent users of primary care. Primary care is also associated to lower socioeconomic conditions. Young adults and the migrant population in general are found to be under users of services, except of emergency care services. The use of specialised care is associated to the better-off, to those with university level education attainment, individual private insurance, and those living in the city of Barcelona. Hospital care is largely associated to need variables. The use of health services is explained by self-perceived need as well as by demographic, socioeconomic and geographical factors. Copyright © 2011 Elsevier España S.L. All rights reserved.

Composting plant of vegetables wastes and sewage sludges in Castesdefells. Plant de compostaje de restos de poda y lodos de depuradora en Castelldefells

Energy Technology Data Exchange (ETDEWEB)

1994-01-01

Castelldefells Municipality (Catalonia, Spain) has set up a recycling plant for vegetable wastes mixed with sewage sludge to obtain compost. The plant treats 48.000 m''3/y. of vegetable wastes, and receive 8.000 m''3/y. of sewage sludge. (Author)

Focus: Spain

International Nuclear Information System (INIS)

Ferguson, M.P.

1992-01-01

Historically, Spain's nuclear program has had its share of successes and challenges. The country currently operates nine nuclear reactors totalling over 7,100 MWe of capacity and accounting for more than a third of Spain's electricity generation. Yet four reactors at advanced stages of construction remain mothballed due to a government-imposed moratorium, and a fire at one reactor in 1989 led to its premature closure and to a revival of anti-nuclear sentiment in the country. In the new national energy plan, Spain opted to continue the moratorium and rely upon conservation measures, additional natural gas imports, and electricity imports to meet expected demand. The current nuclear facilities will continue to operate, and the government will continue to pursue advanced reactor research, and expansion of the country's domestic uranium industry. Spain's integration into the European Community also is affecting the country's energy plans, prompting consolidation within the Spanish electricity sector in order to be more competitive in Europe

Fairness reactions to personnel selection methods: An international comparison between the Netherlands, the United States, France, Spain, Portugal, and Singapore

NARCIS (Netherlands)

Anderson, N.; Witvliet, C.

2008-01-01

This paper reports reactions to employee selection methods in the Netherlands and compares these findings internationally against six other previously published samples covering the United States, France, Spain, Portugal, and Singapore. A sample of 167 participants rated 10 popular assessment

Application of a very detailed soil survey method in viticultural zoning in Catalonia, Spain

Directory of Open Access Journals (Sweden)

Josep Miquel Ubalde

2009-06-01

Significance and impact of study: This study showed how very detailed soil maps, which can be difficult to interpret and put into practice, can be valorised as viticultural zoning maps by means of a simple methodology.

[Analysis of prenatal abuse in catalonia between the years 2011 and 2014].

Science.gov (United States)

Garcia Garcia, Jordi; Campistol Mas, Elena; López-Vilchez, María Ángeles; Morcillo Buscato, María José; Mur Sierra, Antonio

2018-03-01

Foetal abuse is that intentional or negligent act that causes a harmful effect to the foetus. It is a type of abuse difficult to diagnose and handle. Some indicators of suspicion are the absence of gestational control, the maternal consumption of toxic substances, or the problematic maternal social environment. To analyse the cases of foetal abuse registered in Catalonia between 2011 and 2014 to identify the risk profile. A cross-sectional descriptive study was conducted on a sample of 222 cases of prenatal abuse registered in Catalonia between 2011 and 2014. The mean maternal age was 28.11 years, with 63% of Spanish nationality, 76% were unemployed, 60% had not followed correct gestational control, 76% had previous pregnancy interruptions, 20% reported to have been mistreated by the partner, had history of social problems (76% social intervention, 30.5% previous child retention, 13% custody of the mother by the administration, 7% deprivation of liberty), with high rates of mother-to-child transmission of infection (HIV 4.95%, HCV 9%, HIV+HCV co-infection 1.8%), and 73% reported toxic use (in order of frequency, cannabis, cocaine and heroin). In newborns, the rate of prematurity (26.3%) is highlighted, as well as the diagnosis of withdrawal syndrome in 34 cases. Just over half (51.6%) of the infants are currently with their mother. In our reference population with a diagnosis of prenatal abuse, there are high rates of maternal toxic consumption, HIV-HCV infection, unemployment, history of previous social intervention, and poor gestational control. Copyright © 2017 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

Enhancing the Participation of Immigrant Families in Schools through Intermediary Organizations? the Case of Parents' Associations in Catalonia

Science.gov (United States)

Paniagua, Alejandro

2018-01-01

This paper discusses the results of an action-research project developed in a federation of Parents Associations (PAs) in Catalonia, aimed at helping PAs involve immigrant families. First, I nuance the idea of participation in schools to highlight some of the problems associated with participative initiatives targeting"'hard to reach"…

Language Learning Actions in Two 1x1 Secondary Schools in Catalonia: The Case of Online Language Resources

Science.gov (United States)

Calvo, Boris Vázquez; Cassany, Daniel

2016-01-01

This paper identifies and describes current attitudes towards classroom digitization and digital language learning practices under the umbrella of EduCAT 1x1, the One-Laptop-Per-Child (OLPC or 1x1) initiative in place in Catalonia. We thoroughly analyze practices worked out by six language teachers and twelve Compulsory Secondary Education (CSE)…

The Final Year Project (FYP) in Social Sciences: Establishment of Its Associated Competences and Evaluation Standards

Science.gov (United States)

Mateo, Joan; Escofet, Anna; Martinez, Francesc; Ventura, Javier; Vlachopoulos, Dimitrios

2012-01-01

This paper presents the fundamental characteristics of the Final Year Project (FYP), its associated competences and some evaluation standards that derived from a research conducted by the regional government of Catalonia (Spain) and the Catalan University Quality Assurance Agency. More analytically, the paper begins with the definition of the…

Explore: An Action to Bring Science and Technology Closer to Secondary School

Science.gov (United States)

Torras-Melenchon, Nuria; Grau, M. Dolors; Font-Soldevila, Josep; Freixas, Josep

2015-01-01

This paper presents the experience of an initiative, the EXPLORE courses, designed to bring science and technology closer to secondary school. The EXPLORE courses, organised by "EXPLORATORI: Natural Resources" project, are particularly addressed to secondary school teachers and are conducted at Catalonia (North East of Spain). The main…

Absent Others: Perspectives on Marginality in Barcelona Schools. Research Report Number 27.

Science.gov (United States)

Pi-Sunyer, Oriol

This report is designed to examine the construction of cultural memory, specifically the interpretation and transmission of historical knowledge in Spain and Catalonia. The study contends that in modern complex societies the genre commonly categorized as history represents a particular form of cultural construct devoted to the transmission,…

Innovations and trends in meat consumption: an application of the Delphi method in Spain.

Science.gov (United States)

Chamorro, Antonio; Miranda, Francisco J; Rubio, Sergio; Valero, Víctor

2012-12-01

The meat sector in Spain is an important industry. However, traditional consumption is changing as a result of the country's economic crisis and the new structure of households. The objective of the present study was to identify trends in meat consumption in Spain extrapolated to 2016, and the main innovations that should be of interest to firms in the sector. The study was conducted in 2011 using the Delphi method with the participation of 26 experts. The results showed that, while the demand for meat will not vary significantly in amount, it will do so in composition, with chicken replacing beef as the meat of most importance in the shopping basket. In addition, significant growth is expected in certified meat, but the demand for organic meat will not take off. Neither will there be no significant changes in end purchase formats, but there will be a clear trend in consumers' purchasing decision criteria away from price, external appearance and origin towards quality certification and the attributes of the packaging. With respect to end purchase channels, the experts estimate that the current trend will be accentuated with increasing market share for large supermarkets and major distribution brands. Copyright © 2012 Elsevier Ltd. All rights reserved.

Cancer incidence in Spain, 2015.

Science.gov (United States)

Galceran, J; Ameijide, A; Carulla, M; Mateos, A; Quirós, J R; Rojas, D; Alemán, A; Torrella, A; Chico, M; Vicente, M; Díaz, J M; Larrañaga, N; Marcos-Gragera, R; Sánchez, M J; Perucha, J; Franch, P; Navarro, C; Ardanaz, E; Bigorra, J; Rodrigo, P; Bonet, R Peris

2017-07-01

Periodic cancer incidence estimates of Spain from all existing population-based cancer registries at any given time are required. The objective of this study was to present the current situation of cancer incidence in Spain. The Spanish Network of Cancer Registries (REDECAN) estimated the numbers of new cancer cases occurred in Spain in 2015 by applying the incidence-mortality ratios method. In the calculus, incidence data from population-based cancer registries and mortality data of all Spain were used. In 2015, nearly a quarter of a million new invasive cancer cases were diagnosed in Spain, almost 149,000 in men (60.0%) and 99,000 in women. Globally, the five most common cancers were those of colon-rectum, prostate, lung, breast and urinary bladder. By gender, the four most common cancers in men were those of prostate (22.4%), colon-rectum (16.6%), lung (15.1%) and urinary bladder (11.7%). In women, the most common ones were those of breast (28.0%), colon-rectum (16.9%), corpus uteri (6.2%) and lung (6.0%). In recent years, cancer incidence in men seems to have stabilized due to the fact that the decrease in tobacco-related cancers compensates for the increase in other types of cancer like those of colon and prostate. In women, despite the stabilization of breast cancer incidence, increased incidence is due, above all, to the rise of colorectal and tobacco-related cancers. To reduce these incident cancer cases, improvement of smoking control policies and extension of colorectal cancer screening should be the two priorities in cancer prevention for the next years.

6th International Accounting Congress of Barcelona (1929 organised by the Association of Accountants of Catalonia

Directory of Open Access Journals (Sweden)

Josepa Alemany

2017-01-01

Full Text Available Purpose: the work presented is a descriptive, contextual and detailed analysis of the activity, and the conclusions developed in the first international accounting conference held in Barcelona. The 6th International Conference on Accounting which took place in Barcelona coinciding with the International Exhibition of 1929, was organised by the Association Internationale de Comptabilité of Brussels. This association proposed holding regular meetings to discuss and study technical accounting and economic issues related to that time. Approach: the originality of the work lies in being an analytical description of the original documents prepared by the Association of Accountants of Catalonia about the conference. Findings/Originality: this study allows redoing assumptions made in previous works, because the documents before this work were contradictory regarding dates, facts and some of the content covered. Limitations: the biggest limitation of the work comes from the lack of written documentation existing on this conference. Value: the present study continues the research on topics of history of accounting in Catalonia. It is expected to complement this work by a deeper analysis of the contents and the topics covered in the papers presented at the conference, and by linking them with the theoretical accounting lines existing at that time.

Evaluation of sites for the location of WEEE recycling plants in Spain.

Science.gov (United States)

Queiruga, Dolores; Walther, Grit; González-Benito, Javier; Spengler, Thomas

2008-01-01

As a consequence of new European legal regulations for treatment of waste electrical and electronic equipment (WEEE), recycling plants have to be installed in Spain. In this context, this contribution describes a method for ranking of Spanish municipalities according to their appropriateness for the installation of these plants. In order to rank the alternatives, the discrete multi-criteria decision method PROMETHEE (Preference Ranking Organisation METHod for Enrichment Evaluations), combined with a surveys of experts, is applied. As existing plants are located in North and East Spain, a significant concentration of top ranking municipalities can be observed in South and Central Spain. The method does not present an optimal structure of the future recycling system, but provides a selection of good alternatives for potential locations of recycling plants.

Issues in System Boundary Definition for Substance Flow Analysis: The Case of Nitrogen Cycle Management in Catalonia

Directory of Open Access Journals (Sweden)

Jordi Bartrola

2001-01-01

Full Text Available The great complexity of the nitrogen cycle, including anthropogenic contributions, makes it necessary to carry out local studies, which allow us to identify the specific cause-effect links in a particular society. Models of local societies that are based on methods such as Substance Flow Analysis (SFA, which study and characterise the performance of metabolic exchanges between human society and the environment, are a useful tools for directing local policy towards sustainable management of the nitrogen cycle. In this paper, the selection of geographical boundaries for SFA application is discussed. Data availability and accuracy, and the possibility of linking the results with instructions for decision making, are critical aspects for proper scale selection. The experience obtained in the construction of the model for Catalonia is used to draw attention to the difficulties found in regional studies.

Issues in system boundary definition for substance flow analysis: the case of nitrogen cycle management in Catalonia.

Science.gov (United States)

Bartrolí, J; Martin, M J; Rigola, M

2001-10-16

The great complexity of the nitrogen cycle, including anthropogenic contributions, makes it necessary to carry out local studies, which allow us to identify the specific cause-effect links in a particular society. Models of local societies that are based on methods such as Substance Flow Analysis (SFA), which study and characterise the performance of metabolic exchanges between human society and the environment, are a useful tools for directing local policy towards sustainable management of the nitrogen cycle. In this paper, the selection of geographical boundaries for SFA application is discussed. Data availability and accuracy, and the possibility of linking the results with instructions for decision making, are critical aspects for proper scale selection. The experience obtained in the construction of the model for Catalonia is used to draw attention to the difficulties found in regional studies.

DRUG EVALUATION AND DECISION MAKING IN CATALONIA: DEVELOPMENT AND VALIDATION OF A METHODOLOGICAL FRAMEWORK BASED ON MULTI-CRITERIA DECISION ANALYSIS (MCDA) FOR ORPHAN DRUGS.

Science.gov (United States)

Gilabert-Perramon, Antoni; Torrent-Farnell, Josep; Catalan, Arancha; Prat, Alba; Fontanet, Manel; Puig-Peiró, Ruth; Merino-Montero, Sandra; Khoury, Hanane; Goetghebeur, Mireille M; Badia, Xavier

2017-01-01

The aim of this study was to adapt and assess the value of a Multi-Criteria Decision Analysis (MCDA) framework (EVIDEM) for the evaluation of Orphan drugs in Catalonia (Catalan Health Service). The standard evaluation and decision-making procedures of CatSalut were compared with the EVIDEM methodology and contents. The EVIDEM framework was adapted to the Catalan context, focusing on the evaluation of Orphan drugs (PASFTAC program), during a Workshop with sixteen PASFTAC members. The criteria weighting was done using two different techniques (nonhierarchical and hierarchical). Reliability was assessed by re-test. The EVIDEM framework and methodology was found useful and feasible for Orphan drugs evaluation and decision making in Catalonia. All the criteria considered for the development of the CatSalut Technical Reports and decision making were considered in the framework. Nevertheless, the framework could improve the reporting of some of these criteria (i.e., "unmet needs" or "nonmedical costs"). Some Contextual criteria were removed (i.e., "Mandate and scope of healthcare system", "Environmental impact") or adapted ("population priorities and access") for CatSalut purposes. Independently of the weighting technique considered, the most important evaluation criteria identified for orphan drugs were: "disease severity", "unmet needs" and "comparative effectiveness", while the "size of the population" had the lowest relevance for decision making. Test-retest analysis showed weight consistency among techniques, supporting reliability overtime. MCDA (EVIDEM framework) could be a useful tool to complement the current evaluation methods of CatSalut, contributing to standardization and pragmatism, providing a method to tackle ethical dilemmas and facilitating discussions related to decision making.

Speciation of Zn, Fe, Ca and Mg in wine with the Donnan Membrane Technique

NARCIS (Netherlands)

Lao, Mireia; Companys, Encarnació; Weng, Liping; Puy, Jaume; Galceran, Josep

2018-01-01

Free concentrations of Zn2+, Fe3+, Ca2+ and Mg2+ in a red wine (Raimat, Catalonia, Spain) have been determined, with the Donnan Membrane Technique (DMT) for the first time. The required equilibration time benefits from the acceptor solution including major cations. K+ and Na+, mainly unbound to any

Moroccan Mothers' Involvement in Dialogic Literary Gatherings in a Catalan Urban Primary School: Increasing Educative Interactions and Improving Learning

Science.gov (United States)

de Botton, Lena; Girbés, Sandra; Ruiz, Laura; Tellado, Itxaso

2014-01-01

This article analyses a case study on Moroccan mothers' involvement in the Dialogic Literary Gathering (DLG) in an urban primary school in Catalonia (Spain). DLG is a dialogic learning environment that improves reading skills and communicative abilities and promotes school-community links. This activity has been identified in previous European…

The Development of Professional Competences Using the Interdisciplinary Project Approach with University Students

Science.gov (United States)

González-Carrasco, Mònica; Francés Ortega, Jesús; de Castro Vila, Rodolfo; Castañer Vivas, Margarida; San Molina, Joan; Marti Bonmati, Joan

2016-01-01

This work describes an experience conducted by a group of professors from different departments at the University of Girona (Catalonia, Spain) which arose from the need for interdisciplinary work in university classrooms in order to promote competences relevant to the professional sector. As part of this experience, students from different degree…

Methodology for the assessment of the impact of existing high voltage lines in urban areas

Energy Technology Data Exchange (ETDEWEB)

Sumper, Andreas [Centre d' Innovacio Tecnologica en Convertidors Estatics i Accionaments (CITCEA-UPC), Departament d' Enginyeria Electrica, Universitat Politecnica de Catalunya, EU d' Enginyeria Tecnica Industrial de Barcelona, Comte d' Urgell, 187, 08036 Barcelona (Spain); Catalonia Institute for Energy Research (IREC) (Spain); Boix-Aragones, Oriol; Bergas-Jane, Joan [Centre d' Innovacio Tecnologica en Convertidors Estatics i Accionaments (CITCEA-UPC), Departament d' Enginyeria Electrica, Universitat Politecnica de Catalunya, ETS d' Enginyeria Industrial de Barcelona, Av. Diagonal, 647, Pl. 2. 08028 Barcelona (Spain); Villafafila-Robles, Roberto; Ramirez-Pisco, Rodrigo [Centre d' Innovacio Tecnologica en Convertidors Estatics i Accionaments (CITCEA-UPC), Departament d' Enginyeria Electrica, Universitat Politecnica de Catalunya, EU d' Enginyeria Tecnica Industrial de Barcelona, Comte d' Urgell, 187, 08036 Barcelona (Spain)

2010-10-15

This paper presents a methodology for the assessment of the impact of existing high voltage lines in urban areas. This methodology is based on the numeric evaluation of several impacts which are combined with weight factors. The novelty is that it opens up the possibility of citizen participation, basically in the way in which impacts and weighting factors are determined. The proposed methodology has been applied first in the municipality of Rubi, a mid-sized town near Barcelona, and later on in several municipalities in the Catalonia region in Spain. The results were used to prioritise mitigation action in the Catalonia Energy Plan. (author)

Does On-Line Distance Higher Education Pay off for Adult Learners? The Case of the Open University of Catalonia

Science.gov (United States)

Carnoy, Martin; Rabling, Brenda Jarillo; Castano-Munoz, Jonatan; Montoliu, Josep Maria Duart; Sancho-Vinuesa, Teresa

2012-01-01

The increasing opportunities created for adults by on-line distance universities raise important issues about the payoff to such education. This study uses a unique set of survey data gathered by the Open University of Catalonia (UOC) in 2009 to estimate the earnings gains of the 2000-2003 cohorts of UOC students in six programmes of study over an…

A descriptive study of the characteristics of differentiated thyroid cancer in Catalonia during the period 1998-2012. The CECaT registry.

Science.gov (United States)

Zafon, Carles; Puig-Domingo, Manel; Biarnés, Josefina; Halperin, Irene; Bella, Maria Rosa; Castells, Ignasi; González, Cintia; Megía, Ana; Santos, Lola; García-Pascual, Luís; Reverter, Jordi Lluís; Pizarro, Eduarda; Mauricio, Dídac

2015-01-01

The consortium for the study of thyroid cancer (CECaT), including 20 hospitals and one research institute, was recently created in Catalonia (Spain). One of the first initiatives of the group was to perform a descriptive analysis of the characteristics of patients with differentiated thyroid carcinoma (DTC). The cohort included 1,855 patients from 11 hospitals treated over a period of 15 years (1998-2012). In this series, 1.470 (79.2%) patients were women. Mean age was 47.7 (15.7) years old. Age was significantly higher in male than in female patients, 49.3 (15) versus 47.3 (15.8); p=0.02. Papillary thyroid carcinoma accounted for 88.9% of cases. Mean tumor size was 21.5 (16) mm, and was significantly lower in females than in males, 20.1 (14.5) mm and 26.6 (20.3) mm respectively (p<0.001). After a follow-up period of 5.5 (3.7) years, information was available for 1,355 patient, of whom 1065 (78.6%) were free of disease, 239 (17.6%) had no tumor persistence, and 51 (3.8) % had died. The risk of persistent or recurrent disease was significantly associated to older age at diagnosis, male gender, larger tumor size, lymph node metastases at surgery, no signs of thyroiditis in the remaining thyroid tissue, and presence of vascular and/or extraglandular invasion. Patient characteristics analyzed are similar to those reported in other parts of the world. Copyright © 2015 SEEN. Published by Elsevier España, S.L.U. All rights reserved.

Olive oil: composition and health benefits

OpenAIRE

Salazar, D.M.; López Cortés, I.; Salazar García, Domingo C.

2017-01-01

The production of Extra Virgin Olive Oil (EVOO) in Spain is very high, it reached 1 million tonnes in the last olive oil campaign, with over two million hectares planted with olive trees. This crop is distributed in over six different bioclimatic zones and with more than 100 cultivars, many of them native from a pomological point of view. Among the olive areas of Spain, Andalusia, Extremadura, Catalonia and Valencia stand out, next to the Central Region (Castilla-La Mancha). Each one of them ...

"A New World in Our Hearts"

Science.gov (United States)

Payne, John

2009-01-01

In the nineteenth century, Spain was a backward, rural country. Catalonia, by contrast, was industrialising rapidly. Catalan workers suffered from poor wages, worse conditions, exploited child and female labour, and unfit housing. In 1909 Barcelona erupted in a whole week of general strike and riots against the sending of Catalan reservists to…

[Induced abortion and use of contraceptive methods among prostitutes in Almería (Spain)].

Science.gov (United States)

Cabrerizo Egea, María Jesús; Barroso García, María Pilar; Rodríguez-Contreras Pelayo, Rafael

2015-01-01

To analyze the performance of induced abortion (IA) in prostitutes in Almería (Spain) and its association with the use of contraceptive methods. A cross-sectional study was conducted in 110 women. A bivariate analyses using either the χ(2) test or Fisher's exact test was carried out (significance level <0.05), with calculation of odds ratios and 95% confidence intervals. A total of 52.7% of women had undergone at least one IA. All of these women used condoms and 35.5% of them also used another contraceptive method. No statistically significant association was found between condom breakage and the performance of IA or in the use of other contraceptive methods. A high percentage of this group of women had undergone IA, despite widespread condom use. However, there was a high percentage of condom breakage and a low percentage of use of emergency contraceptive pills after risky sexual relationships. Copyright © 2014 SESPAS. Published by Elsevier Espana. All rights reserved.

Spain's uranium industry

International Nuclear Information System (INIS)

Ferguson, M.P.

1992-01-01

Spain currently operates nine nuclear reactors totalling over 7,100 MWe of capacity, contributing about one-third of all electricity generated in Spain. Four reactors at advanced stages of construction remain mothballed as the result of a government-imposed moratorium, and a fire at Vandellos 1 in 1989 led to its premature closure and to a revival of anti-nuclear sentiment in the country. In the new national energy plan, which was sent to the Spanish Parliament on July 25, 1991, Spain opted to continue the nuclear moratorium that began in 1984 and rely upon conservation measures, additional natural gas imports, and electricity imports to meet expected demand. Under the new plan, nuclear power's share of Spain's total installed electrical generating capacity will fall from about 17 percent in 1990, to approximately 14 percent by the end of the century, as only the current nuclear facilities will continue to operate and no new nuclear plants will be built. Spain's integration into the European Community also is affecting the country's energy plans, prompting consolidation within the Spanish electricity sector in order to be more competitive in Europe. To supply the existing reactors, the government is supporting a major expansion of the country's domestic uranium industry

Structural social capital and local-level forest governance: Do they inter-relate? A mushroom permit case in Catalonia.

Science.gov (United States)

Gorriz-Mifsud, Elena; Secco, Laura; Da Re, Riccardo; Pisani, Elena; Bonet, José Antonio

2017-03-01

In diffuse forest uses, like non-timber forest products' harvesting, the behavioural alignment of pickers is crucial for avoiding a "tragedy of the commons". Moreover, the introduction of policy tools such as a harvest permit system may help in keeping the activity under control. Besides the official enforcement, pickers' engagement may also derive from the perceived legitimate decision of forest managers and the community pressure to behave according to the shared values. Framed within the social capital theory, this paper examines three types of relations of rural communities in a protected area in Catalonia (Spain) where a system of mushroom picking permits was recently introduced. Through social network analysis, we explore structural changes in relations within the policy network across the policy conception, design and implementation phases. We then test whether social links of the pickers' community relate to influential members of the policy network. Lastly, we assess whether pickers' bonding and bridging structures affect the rate of permit uptake. Our results show that the high degree of acceptance could be explained by an adequate consideration of pickers' preferences within the decision-making group: local pickers show proximity to members of the policy network with medium-high influence during the three policy phases. The policy network also evolves, with some members emerging as key actors during certain phases. Significant differences are found in pickers' relations among and across the involved municipalities following an urban-rural gradient. A preliminary relation is found between social structures and differential pickers' engagement. These results illustrate a case of positive social capital backing policy design and, probably, also implementation. This calls for a meticulous design of forest policy networks with respect to communities of affected forest users. Copyright © 2016 Elsevier Ltd. All rights reserved.

Has the quality of health care for the immigrant population changed during the economic crisis in Catalonia (Spain)? Opinions of health professionals and immigrant users.

Science.gov (United States)

Porthé, Victoria; Vargas, Ingrid; Ronda, Elena; Malmusi, Davide; Bosch, Lola; Vázquez, M Luisa

2017-06-02

To analyse changes in health professionals' and immigrant users' perceptions of the quality of care provided to the immigrant population during the crisis. A qualitative descriptive-interpretative and exploratory study was conducted in two areas of Catalonia. Semi-structured individual interviews were used with a theoretical sample of medical (n=24) and administrative (n=10) professionals in primary care (PC) and secondary care (SC), and immigrant users (n=20). Thematic analysis was conducted and the results were triangulated. Problems related to technical and interpersonal quality emerged from the discourse of both professionals and immigrants. These problems were attributed to cutbacks during the economic crisis. Regarding technical quality, respondents reported an increase in erroneous or non-specific diagnoses, inappropriate use of diagnostic tests and non-specific treatments, due to reduction in consultation times as a result of cuts in human resources. With regard to interpersonal quality, professionals reported less empathy, and users also reported worse communication, due to changes in professionals' working conditions and users' attitudes. Finally, a reduction in the resolution capacity of the health services emerged: professionals described unnecessary repeated PC visits and limited responses in SC, while young immigrants reported an insufficient response to their health problems. The results indicate a deterioration in perceived technical and interpersonal quality during the economic crisis, due to cutbacks mainly in human resources. These changes affect the whole population, but especially immigrants. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

Students' Performance When Aurally Identifying Musical Harmonic Intervals: Experimentation of a Teaching Innovation Proposal

Science.gov (United States)

Ponsatí, Imma; Miranda, Joaquim; Amador, Miquel; Godall, Pere

2016-01-01

The aim of the study was to measure the performance reached by students (N = 138) when aurally identifying musical harmonic intervals (from m2 to P8) after having experienced a teaching innovation proposal for the Music Conservatories of Catalonia (Spain) based on observational methodology. Its design took into account several issues, which had…

Peer Effects on High School Aspirations: Evidence from a Sample of Close and Not-so-Close Friends

Science.gov (United States)

Mora, Toni; Oreopoulos, Philip

2011-01-01

In this paper we investigate how schoolmates influence high school dropout intentions in Catalonia, Spain. Our analysis uses self-reported friends to identify possible peers by assuming that peer influence flows in one direction in cases where one student identifies another as a friend, but the other does not reciprocate. We first estimate the…

A new code for spectrometric analysis for environmental radiological surveillance on monitors focused on gamma radioactivity on aerosols

Energy Technology Data Exchange (ETDEWEB)

De Blas, Alfredo; Tapia, Carlos; Riego, Albert; Garcia, Roger; Dies, Javier; Diaz, Pedro [Nuclear Engineering Research Group, Departament of Physics and Nuclear Engineering, Technical University of Catalonia, Barcelona (Spain); Toral, Juan [Raditel Serveis, Tarragona (Spain); Batalla, Enric [Radiological Activities Corrdination Service - SCAR, Generalitat de Catalunya. Barcelona (Spain)

2015-07-01

pGamma is a code developed by the NERG group of the Technical University of Catalonia - Barcelona Tech for the analysis of gamma spectra generated by the Equipment for the Continuous Measurement and Identification of Gamma Radioactivity on Aerosols with Paper Filter developed for our group and Raditel Servies company. Nowadays the code is in the process of adaptation for the monitors of the Environmental Radiological Surveillance Network of the Local Government of Catalonia (Generalitat of Catalonia), Spain. The code is a Spectrum Analysis System, it identifies the gamma emitters on the spectrum, determines its Concentration of Activity, generates alarms depending on the Activity of the emitters and generates a report. The Spectrum Analysis System includes a library with emitters of interest, NORM and artificial. The code is being used on the three stations with the aerosol monitor of the Network (Asco and Vandellos, near both Nuclear Power Plants and Barcelona). (authors)

Language & authoritarianism in the 20th century: The cases of Estonia and Catalonia

Directory of Open Access Journals (Sweden)

Delaney Michael Skerrett

2010-05-01

Full Text Available The 20th century saw the Soviet and Francoist regimes enforce their respective ideologies in Estonia and the Catalan-speaking territories in Spain. In both cases, the autochthonous language suffered under the stringent control of the mechanisms of censorship and repression. In fact, Soviet and Spanish leaders—representing both extremes of the political spectrum—tried to replace the use of the autochthonous language in many sociolinguistic domains with their own—Russian and (Castilian Spanish—as these languages embodied the ideologies and the new orders that they wished to establish. This paper compares and contrasts the diverse methods of control over language carried out in Estonia and the Catalan-speaking areas of Spain in order to demonstrate that highly centralised multilingual states—whatever their political ideology—can make use of surprisingly similar means of control, ultimately depriving local linguistic communities of the ability to use and develop their own language.DOI: http://dx.doi.org/10.5128/ERYa6.16

[Social and health resources in Catalonia. Current situation].

Science.gov (United States)

Bullich-Marín, Ingrid; Sánchez-Ferrín, Pau; Cabanes-Duran, Concepció; Salvà-Casanovas, Antoni

The network of social and health care has advanced since its inception. Furthermore, news services have been created and some resources have been adapted within the framework of respective health plans. This article presents the current situation of the different social and health resources in Catalonia, as well as the main changes that have occurred in recent years, more specifically in the period of the Health Plan 2011-2015. This period is characterised by an adaptation of the social and health network within the context of chronic care, for which the development of intermediate care resources has become the most relevant aspect. There is also a need to create a single long-term care sector in which the health care quality is guaranteed. Moreover, in this period, integral and cross-care level is promoted in the health system through a greater coordination between all different levels of care. The social and health network, due to its trajectory and expertise, plays a key role in the quality of care for people with social and medical needs. Copyright © 2017 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.

Circulation types related to lightning activity over Catalonia and the Principality of Andorra

Science.gov (United States)

Pineda, N.; Esteban, P.; Trapero, L.; Soler, X.; Beck, C.

In the present study, we use a Principal Component Analysis (PCA) to characterize the surface 6-h circulation types related to substantial lightning activity over the Catalonia area (north-eastern Iberia) and the Principality of Andorra (eastern Pyrenees) from January 2003 to December 2007. The gridded data used for classification of the circulation types is the NCEP Final Analyses of the Global Tropospheric Analyses at 1° resolution over the region 35°N-48°N by 5°W-8°E. Lightning information was collected by the SAFIR lightning detection system operated by the Meteorological Service of Catalonia (SMC), which covers the region studied. We determined nine circulation types on the basis of the S-mode orthogonal rotated Principal Component Analysis. The “extreme scores” principle was used previous to the assignation of all cases, to obtain the number of final types and their centroids. The distinct differences identified in the resulting mean Sea Level Pressure (SLP) fields enabled us to group the types into three main patterns, taking into account their scale/dynamical origin. The first group of types shows the different distribution of the centres of action at synoptic scale associated with the occurrence of lightning. The second group is connected to mesoscale dynamics, mainly induced by the relief of the Pyrenees. The third group shows types with low gradient SLP patterns in which the lightning activity is a consequence of thermal dynamics (coastal and mountain breezes). Apart from reinforcing the consistency of the groups obtained, analysis of the resulting classification improves our understanding of the geographical distribution and genesis factors of thunderstorm activity in the study area, and provides complementary information for supporting weather forecasting. Thus, the catalogue obtained will provide advances in different climatological and meteorological applications, such as nowcasting products or detection of climate change trends.

The evolution of health status and chronic conditions in Catalonia, 1994-2006: the paradox of health revisited using the Blinder - Oaxaca decomposition.

Science.gov (United States)

García-Altés, Anna; Pinilla, Jaime; Ortún, Vicente

2011-05-23

The paradox of health refers to the improvement in objective measures of health and the increase in the reported prevalence of chronic conditions. The objective of this paper is to test the paradox of health in Catalonia from 1994 to 2006. Longitudinal cross-sectional study using the Catalonia Health Interview Survey of 1994 and 2006. The approach used was the three-fold Blinder - Oaxaca decomposition, separating the part of the differential in mean visual analogue scale value (VAS) due to group differences in the predictors (prevalence effect), due to differences in the coefficients (severity effect), and an interaction term. Variables included were the VAS value, education level, labour status, marital status, all common chronic conditions over the two cross-sections, and a variable for non-common chronic conditions and other conditions. Sample weights have been applied. Results show that there is an increase in mean VAS for men aged 15-44, and a decrease in mean VAS for women aged 65-74 and 75 and more. The increase in mean VAS for men aged 15-44 could be explained by a decrease in the severity effect, which offsets the increase in the prevalence effect. The decrease in mean VAS for women aged 65-74 and 75 and more could be explained by an increase in the prevalence effect, which does not offset the decrease in the severity effect. The results of the present analysis corroborate the paradox of health hypothesis for the population of Catalonia, and highlight the need to be careful when measuring population health over time, as well as their usefulness to detect population's perceptions.

Recursos diagnósticos para las infecciones de transmisión sexual en los laboratorios de Cataluña (España Diagnostic resources for sexually-transmitted infections in laboratories in Catalonia (Spain

Directory of Open Access Journals (Sweden)

Montserrat Calmet

2009-08-01

Full Text Available Objetivo: Describir la capacidad y organización de los laboratorios de Cataluña (España para el diagnóstico de infecciones de transmisión sexual. Para ello, entre noviembre de 2005 y marzo de 2006 se realizó un estudio transversal incluyendo 140 laboratorios. Resultados: 98 realizan alguna prueba diagnóstica, 45 reciben más de 50 muestras vaginales al mes, 42 diagnostican Chlamydia trachomatis, pero solo 6 mediante amplificación de ácidos nucleicos. Ninguno diagnostica el linfogranuloma venéreo. 80 detectan la Neisseria gonorrhoeae (n 1/4 80, 76 de ellos mediante cultivo y 63 analizan su sensibilidad antimicrobiana. En total 23, 22, 22 y 14 laboratorios reciben más de 500 peticiones al mes, respectivamente de hepatitis B, hepatitis C, VIH y sífilis. 84 disponen de pruebas no treponémicas parala sífilis y 51 disponen de pruebas treponémicas. Conclusiones: La actividad de los laboratorios cubre prácticamente todo el espectro patológico, pero es necesario introducir nuevas técnicas y mejorar la eficiencia de los circuitos de muestras.Objective: With the aim of describing both the capacity and organization of the laboratories in Catalonia to diagnose sexually transmitted infections, a cross-sectional study was performed between November 2005 and March 2006, which included 140 laboratories. Results: Ninety-eight laboratories performed some STI tests, 45 received more than 50 vaginal swabs per month, 42 diagnosed Chlamydia trachomatis, but only six used polymerase chain reaction techniques. None diagnosed venereal lymphogranuloma. Eighty were able to detect Neisseria gonorrhoeae, 76 by means of culture and 63 analyzed its antibiotic resistance. A total of 23, 22, 22 and 14 laboratories received more than 500 blood samples for hepatitis B, hepatitis C, HIV and syphilis, respectively. Non-treponemic and treponemic tests were available in 84 and 52 laboratories, respectively. Conclusions: In Catalonia, most STIs can be diagnosed but

Medieval Settlement Formation in Catalonia: Villages, their Territories and communication paths

Directory of Open Access Journals (Sweden)

Jordi BOLÒS

2014-04-01

Full Text Available This study focuses its attention on Catalonia and points to the importance of using several literary sources as a means of identifying the main characteristics of Catalan settlements throughout the Early Middle Ages (6th-10th Centuries. Apart from the need to use written and archaeological documents, the study highlights the importance of understanding and interpreting place-names and of reconstructing landscape history. Special emphasis is placed on the interest of interpreting by means of consulting documents, maps and orthophotomaps as witnesses that allow us to know the boundaries of the Early Medieval settlements. At the centre of these boundaries stand several small population centres (hamlets and a church. Several agricultural territories of various villages are reconstructed. Likewise, the study relates population with communication paths, churches and necropolis of the Early Middle Ages.

[Coordination between pharmaceutical services for integrated pharmacotherapy: the case of Catalonia].

Science.gov (United States)

Costa, Karen Sarmento; Goldbaum, Moisés; Guayta-Escolies, Rafel; Modamio, Pilar; Mariño, Eduardo Luis; Tolsá, José Luis Segú

2017-08-01

Pharmaceutical policies have been considered strategies to contribute to the guarantee of care coordination and clinical integration. This study sought to describe the pharmaceutical services developed at different levels of care in the health network in Catalonia, as well as to identify and analyze the mechanisms and instruments that act as facilitators and/or barriers to the coordination of pharmacotherapy. This is a descriptive study of 12 cases of hospital pharmacy services, primary care and community pharmacies. Advances related to the perception, formalization and clinical and assistance coordination of the pharmaceutical services were identified. However, weaknesses and potential improvements in coordination were observed. The conclusion drawn was that the different tools and instruments implemented appear to facilitate a greater possibility of integration between pharmaceutical services and the latter with the health services network to contribute to integrated pharmacotherapy.

Publisher Correction: Reactive oxygen species regulate axonal regeneration through the release of exosomal NADPH oxidase 2 complexes into injured axons.

Science.gov (United States)

Hervera, Arnau; De Virgiliis, Francesco; Palmisano, Ilaria; Zhou, Luming; Tantardini, Elena; Kong, Guiping; Hutson, Thomas; Danzi, Matt C; Perry, Rotem Ben-Tov; Santos, Celio X C; Kapustin, Alexander N; Fleck, Roland A; Del Río, José Antonio; Carroll, Thomas; Lemmon, Vance; Bixby, John L; Shah, Ajay M; Fainzilber, Mike; Di Giovanni, Simone

2018-03-08

In the version of this Article originally published, the affiliations for Roland A. Fleck and José Antonio Del Río were incorrect due to a technical error that resulted in affiliations 8 and 9 being switched. The correct affiliations are: Roland A. Fleck: 8 Centre for Ultrastructural Imaging, Kings College London, London, UK. José Antonio Del Río: 2 Cellular and Molecular Neurobiotechnology, Institute for Bioengineering of Catalonia, Barcelona, Spain; 9 Department of Cell Biology, Physiology and Immunology, Facultat de Biologia, Universitat de Barcelona, Barcelona, Spain; 10 Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Barcelona, Spain. This has now been amended in all online versions of the Article.

The tuberculosis program of Catalonia's Central Health Region (1986-1993).

Science.gov (United States)

Miret-Cuadras, P; Gonzalez-Fernandez, P; Lopez-Sanmartin, J L; Martin-Ramos, A; Pina Gutierrez, J M

1997-04-01

Catalonia's Central Health Region antituberculosis program, which began in 1985. To evaluate the cooperation of health staff and the program's effectiveness after 8 years. The following data from the nominal notifications and the expanded case reports were processed: epidemiological, clinical and treatment data, each patient's end results and the outcome of the contact investigation. The implementation of the program was evaluated by means of the number of notifications and contact investigations received, and its effectiveness was assessed by the percentage of sputum smear positive cases having completed treatment. There was an increase in the number of patients with an expanded case report (from 74% to 100%), with a final notification (from 61% to 99%) and with contact investigation (from 29% to 79%). The sputum smear positive cases who completed the treatment after 1990 exceeded 85%. The implementation of the program in the Region's health system is good and is improving in parallel with the control of the disease.

Spain: NATO or Neutrality,

Science.gov (United States)

1980-04-01

having Spain as a member. Spain is a traditional country in many ways. Religion is still a strongly-felt part of national life and atheism is looked at... Siglo XXI, 30 April 1979. Pedro J. Ramirez, "Diez Razones a favor de la OTAN," ABC, 17 September 1978, p. 7. 8 Ibid. Il 167 - SPAIN - WHAT’S IN IT...Cordoba and Granada. All three of the country’s major religions lived in relative harmony primarily in Moorish kingdoms, where the arts, commerce, and the

Spain.

Science.gov (United States)

1985-03-01

Spain is a constitutional monarchy with a population of 38.3 million growing at .5%/year. The most striking topographical features are the high plateaus and internal compartmentalization by mountain and river barriers. Nearly 3/4 of the country is arid. The Iberian peninsula was the scene of successive invasions and warfare for centuries. Phoenicians, Greeks, Carthaginians, Moors, Celts, Romans, and Visigoths all invaded at some time. The present language, religion, and laws stem from the Roman Period. The Reconquest from the North African Moors lasted over 700 years until they were driven out in 1492. The unification of present day Spain was complete by 1512. A period of dictatorial rule from 1923-31 ended with establishment of the Second Republic which saw increasing political polarization culminating in the Spanish Civil War. Franco's victory in 1939 was followed by official neutrality but pro-Axis policies during World War II. Spain's economy began to recover during the 1950s, but large scale modernization and development did not occur until the 1960s. Prince Juan Carlos de Borbon y Borbon, Franco's personally designated heir, assumed the title of king and chief of state with Franco's death in 1975. Franco's last prime minister was replaced in July 1976 in order to speed the pace of post-Franco liberalization. Spain's 1st parliamentary elections since 1936 were held in 1977, and a new constitution protecting human and civil rights and granting due process was overwhelmingly approved in 1978. The constitution also authorized creation of regional autonomous governments. By the mid-1970s, Spain had developed a strong and diversified industrial sector and a thriving tourist industry. From 1975-83, there were 8 years of double-digit inflation, an average growth rate of 1.5% in real terms, and an increase in unemployment from about 4.7% to 18.4%. By 1984 there was substantial improvement in inflation and the balance of payments. Goals of current government economic

Determinantes de la transmisión vertical del VIH en Cataluña (1997-2001: ¿es posible su eliminación? Determinants of HIV mother-to-child transmission in Catalonia, Spain [1997-2001]: is it possible to eliminate it?

Directory of Open Access Journals (Sweden)

F. Ramos

2003-07-01

Full Text Available Objetivos: Identificar y describir los factores que han hecho posible la existencia de nuevas infecciones de VIH por transmisión vertical desde la implementación del tratamiento antirretroviral en la gestante seropositiva (1997-2001 en Cataluña. Métodos: Revisión sistemática de casos identificados en servicios de pediatría de todos los hospitales de Cataluña. Resultados: Se identificaron 28 casos de infección pediátrica por VIH: 9, 9, 8, 2 y 0 por año de nacimiento de 1997 a 2001, respectivamente. De 16 madres con diagnóstico de infección por VIH conocido antes o durante el embarazo, 9 realizaron profilaxis antirretroviral durante éste (5 con buena adhesión, uno desconocido y el resto con mala adhesión y 7 no realizaron profilaxis (6 por rechazo y uno no se conoce. De 12 diagnosticadas después del parto, 5 fueron embarazos no controlados y el resto poco o bien controlados. De estos últimos, en 6 no se practicó serología para VIH y en uno fue negativa en el primer trimestre. Conclusiones: La transmisión vertical del VIH en Cataluña ha disminuido en los últimos años, pero se han producido infecciones por la mala implementación en algún caso de las medidas preventivas conocidas. Debería ofrecerse la prueba diagnóstica para VIH a toda gestante no sólo en el primer trimestre de embarazo sino también al final, si se sospecha exposición al virus, y en caso de gestaciones no controladas hay que usar pruebas diagnósticas de lectura rápida en la sala de partos.Objectives: To identify and describe the factors that have led to new cases of HIV infection through mother-to-child transmission since the introduction of antiretroviral therapy in HIV-seropositive pregnant women (1997-2001 in Catalonia. Methods: Systematic review of cases identified in the pediatric services of all the hospitals in Catalonia. Results: Twenty-eight cases of pediatric HIV infection were identified: 9, 9, 8, 2 and 0 per year of birth from 1997 to 2001

Energy Made in Spain

International Nuclear Information System (INIS)

Ruiz del Arbol, M.

2011-01-01

Spain is the first country in Europe and the second worldwide in installed thermoelectric solar power, the second place in Europe and fourth worldwide in wind energy. Moreover, Spain is the second country in photovoltaic energy so in Europe as in the World.

Promoting Interculturality in Spain: Assessing the Use of the Jigsaw Classroom Method

Science.gov (United States)

Santos Rego, Miguel A.; Moledo, M. Del Mar Lorenzo

2005-01-01

This note examines the effectiveness of a program in Spain that uses the Jigsaw learning technique as an educational intervention. We used a quasi-experimental research design with two groups, two measures and an independent variable (the program). Use of the Jigsaw technique is shown to have been fairly effective on a series of measures.

7 CFR 319.56-34 - Clementines from Spain.

Science.gov (United States)

2010-01-01

... 7 Agriculture 5 2010-01-01 2010-01-01 false Clementines from Spain. 319.56-34 Section 319.56-34... Clementines from Spain. Clementines (Citrus reticulata) from Spain may only be imported into the United States... agreement. Clementines from Spain may be imported only if the Government of Spain or its designated...

Groundwater nitrate pollution and climate change: learnings from a water balance-based analysis of several aquifers in a western Mediterranean region (Catalonia).

Science.gov (United States)

Mas-Pla, Josep; Menció, Anna

2018-04-11

Climate change will affect the dynamics of the hydrogeological systems and their water resources quality; in particular nitrate, which is herein taken as a paradigmatic pollutant to illustrate the effects of climate change on groundwater quality. Based on climatic predictions of temperature and precipitation for the horizon of 2021 and 2050, as well as on land use distribution, water balances are recalculated for the hydrological basins of distinct aquifer systems in a western Mediterranean region as Catalonia (NE Spain) in order to determine the reduction of available water resources. Besides the fact that climate change will represent a decrease of water availability, we qualitatively discuss the modifications that will result from the future climatic scenarios and their impact on nitrate pollution according to the geological setting of the selected aquifers. Climate effects in groundwater quality are described according to hydrological, environmental, socio-economic, and political concerns. Water reduction stands as a major issue that will control stream-aquifer interactions and subsurface recharge, leading to a general modification of nitrate in groundwater as dilution varies. A nitrate mass balance model provides a gross estimation of potential nitrate evolution in these aquifers, and it points out that the control of the fertilizer load will be crucial to achieve adequate nitrate content in groundwater. Reclaimed wastewater stands as local reliable resource, yet its amount will only satisfy a fraction of the loss of available resources due to climate change. Finally, an integrated management perspective is necessary to avoid unplanned actions from private initiatives that will jeopardize the achievement of sustainable water resources exploitation under distinct hydrological scenarios.

Spain's marketing sector seeing more changes

International Nuclear Information System (INIS)

Anon.

1992-01-01

This paper reports that Spain's petroleum marketing sector continues to restructure. Partly state owned Repsol SA and Royal Dutch/Shell Group are discussing supplying each other's retail outlets in the UK and Spain. And Portugal's state owned Petroleos de Portugal (Petrogal), seeking to sharply expand retail operations in Spain, complains of government interference with foreign investment in Spanish marketing. Meantime, Conoco Inc. Has agreed with Saras SpA Raffinerie Sarde, Milan, to set up a network of service stations in northern Spain and Portugal at a cost of 100 billion pesetas (%972 million). The two are considering building an oil terminal at the port city of Gijon in Asturias, Spain, and the Exxon Corp., Total, and Shell are interested in participating in the project

Future Opportunities for Collaboration

OpenAIRE

Frick, Rachel; Glinos, Kostas; York, Jeremy; Rieger, Oya Y

2014-01-01

Aligning National Approaches to Digital Preservation: An Action Assembly Biblioteca de Catalunya (National Library of Catalonia) November 18-20, 2013, Barcelona, Spain Auburn University Council on Library and Information Resources (CLIR) Digital Curation Centre (DCC) Digital Preservation Network (DPN) Joint Information Systems Committee (JISC) University of North Texas Virginia Tech Interuniversity Consortium for Political and Social Research (ICPSR) Innovative Inte...

ANADP II Program Committee Closing Remarks 2013

OpenAIRE

Program Committee

2014-01-01

Aligning National Approaches to Digital Preservation: An Action Assembly Biblioteca de Catalunya (National Library of Catalonia) November 18-20, 2013, Barcelona, Spain summary The Aligning National Approaches to Digital Preservation (ANADP) II Action Assembly will align digital preservation efforts internationally between communities—including national libraries, academic libraries, public libraries, research centers, archives, corporations, and funding agencies. ANADP II will be a highly par...

Reflections on the Action Assembly ANADP

OpenAIRE

Farquhar, Adam

2014-01-01

Aligning National Approaches to Digital Preservation: An Action Assembly Biblioteca de Catalunya (National Library of Catalonia) November 18-20, 2013, Barcelona, Spain Auburn University Council on Library and Information Resources (CLIR) Digital Curation Centre (DCC) Digital Preservation Network (DPN) Joint Information Systems Committee (JISC) University of North Texas Virginia Tech Interuniversity Consortium for Political and Social Research (ICPSR) Innovative Inte...

Community Alignment ANADP

OpenAIRE

Halbert, Martin; Bicarregui, Juan; Anglada, Lluis; Duranti, Luciana

2014-01-01

Aligning National Approaches to Digital Preservation: An Action Assembly Biblioteca de Catalunya (National Library of Catalonia) November 18-20, 2013, Barcelona, Spain Auburn University Council on Library and Information Resources (CLIR) Digital Curation Centre (DCC) Digital Preservation Network (DPN) Joint Information Systems Committee (JISC) University of North Texas Virginia Tech Interuniversity Consortium for Political and Social Research (ICPSR) Innovative Inte...

ANADP II Keynote Clifford Lynch - Coalition of Networked Information

OpenAIRE

Lynch, Clifford

2014-01-01

Aligning National Approaches to Digital Preservation: An Action Assembly Biblioteca de Catalunya (National Library of Catalonia) November 18-20, 2013, Barcelona, Spain Auburn University Council on Library and Information Resources (CLIR) Digital Curation Centre (DCC) Digital Preservation Network (DPN) Joint Information Systems Committee (JISC) University of North Texas Virginia Tech Interuniversity Consortium for Political and Social Research (ICPSR) Innovative Inte...

Furthering the understanding of olfaction, prevalence of loss of smell and risk factors: a population-based survey (OLFACAT study)

OpenAIRE

Mullol, Joaquim; Alobid, Isam; Mari?o-S?nchez, Franklin; Quint?, Lloren?; de Haro, Josep; Bernal-Sprekelsen, Manuel; Valero, Antonio; Picado, C?sar; Marin, Concepci?

2012-01-01

Objectives: To investigate olfaction in general population, prevalence of olfactory dysfunction and related risk factors. Design: Cross-sectional population-based survey, distributing four microencapsulated odorants (rose, banana, musk and gas) and two self-administered questionnaires (odour description; epidemiology/health status). Setting: The survey was distributed to general population through a bilingual (Catalan, Spanish) newspaper in Catalonia (Spain), on December 2003. Participants: N...

Resource Alignment ANADP

OpenAIRE

Grindley, Neil; Cramer, Tom; Schrimpf, Sabine; Wilson, Tom

2014-01-01

Aligning National Approaches to Digital Preservation: An Action Assembly Biblioteca de Catalunya (National Library of Catalonia) November 18-20, 2013, Barcelona, Spain Auburn University Council on Library and Information Resources (CLIR) Digital Curation Centre (DCC) Digital Preservation Network (DPN) Joint Information Systems Committee (JISC) University of North Texas Virginia Tech Interuniversity Consortium for Political and Social Research (ICPSR) Innovative Inte...

Alignment Exemplars and Current Opportunities for Collaboration ANADP

OpenAIRE

Walters, Tyler O.; Greer, Chris; Hartman, Cathy; Skinner, Katherine; Jung, Joachim

2014-01-01

Aligning National Approaches to Digital Preservation: An Action Assembly Biblioteca de Catalunya (National Library of Catalonia) November 18-20, 2013, Barcelona, Spain Auburn University Council on Library and Information Resources (CLIR) Digital Curation Centre (DCC) Digital Preservation Network (DPN) Joint Information Systems Committee (JISC) University of North Texas Virginia Tech Interuniversity Consortium for Political and Social Research (ICPSR) Innovative Inte...

Capacity Alignment ANADP

OpenAIRE

Davidson, Joy; Whitehead, Martha; Molloy, Laura; Molinaro, Mary

2014-01-01

Aligning National Approaches to Digital Preservation: An Action Assembly Biblioteca de Catalunya (National Library of Catalonia) November 18-20, 2013, Barcelona, Spain Auburn University Council on Library and Information Resources (CLIR) Digital Curation Centre (DCC) Digital Preservation Network (DPN) Joint Information Systems Committee (JISC) University of North Texas Virginia Tech Interuniversity Consortium for Political and Social Research (ICPSR) Innovative Inte...

Studies on pharmaceutical ethnobotany in the high river Ter valley (Pyrenees, Catalonia, Iberian Peninsula).

Science.gov (United States)

Rigat, Montse; Bonet, Maria Angels; Garcia, Sònia; Garnatje, Teresa; Vallès, Joan

2007-09-05

An ethnobotanical study has been carried out in the high river Ter valley (Catalonia, Iberian Peninsula) a small area located in the eastern Pyrenees, with 294 km(2) and 4526 inhabitants. Through 42 interviews with 60 informants of a mean age of 71.1, 220 species belonging to 71 botanical families were reported, 90.6% of which were used in human medicine and 7.8% in veterinary therapy. The present paper is focused on human medicinal plant uses. One fungal and four vascular plant species have not, or have very rarely been cited as medicinal, and for other taxa some very scarcely reported medicinal uses have been recorded (110 uses concerning 78 species).

Evaluating the impact of the administrative procedure and the landscape policy on grid connected PV systems (GCPVS) on-floor in Spain in the period 2004–2008: To which extent a limiting factor?

International Nuclear Information System (INIS)

Hoz, Jordi de la; Martín, Helena; Martins, Blanca; Matas, José; Miret, Jaume

2013-01-01

The growth of the Spanish photovoltaic (PV) sector in the period 2004–2008 rendered Spain a prominent place among top worldwide countries. Yet, this growth was rather uneven across the different Spanish regions which raised the interest on the drivers ultimately effecting these disparities. Especially controversial were the arguments about the influence of the administrative procedure and the landscape policy on the development of GCPVS on-floor. This study therefore discloses both two elements and evaluates their impact in a group of PV prominent Spanish regions and Catalonia, the latter used as a benchmark because of its comprehensive and stringent regulation on landscape protection, which was accused by the PV industry of thwarting the development of the GCPVS on-floor. Both quantitative and qualitative analyses were carried out. In particular two indexes were elaborated to determine the consistency of the arguments pointing to the landscape protection policy as a decisive barrier to GCPVS growth. First, when the analysis is made in relative terms, the ranking of PV prominent regions changes and many of the differences vanish. Second, rather than the preeminence of a landscape protection policy what really matters for GCPVS on-floor growth is the administrative procedure and the processing enabling its implementation. - Highlights: • The study of PV evolution relative to land availability bends regional differences. • Regions with lower administrative complexity are likely to have better PV ratios. • Landscape protection policy is not per se a barrier to GCPVS on-floor growth. • The administrative procedure was not proven a tool of energy planning in Catalonia. • Pointing the drivers of PV regional differences demands a keen analysis of data

Forum on stakeholder confidence: Spain

International Nuclear Information System (INIS)

Vari, A.; Pescatore, C.

2006-01-01

The FSC workshop in Spain provided an important opportunity to carry out an in-depth examination of decision-making processes undertaken in an NEA member country, and to reflect on the evolution that has taken place over time. It offered a well-rounded perspective on the inclusion of stakeholders in decision making, and the atmosphere of the meetings was conducive to an honest and open exchange of ideas. The workshop started with the introduction of two case studies: the earlier attempt in Spain to locate a potential site for a high-level waste (HLW) disposal facility, and the dismantling of the Vandellos-I nuclear power plant. This was followed by two days of presentations and round-table discussions based on the recent COWAM Spain initiative (stemming from the EU-wide project on Community Waste Management), which aims at developing recommendations for institutional arrangements and decision-making processes concerning the siting of waste management facilities in Spain. This article provides a brief summary of the case studies and the COWAM Spain initiative, followed by some of the lessons learnt from an international perspective. (authors)

Epidemiology of Acute Gastroenteritis Outbreaks Caused by Human Calicivirus (Norovirus and Sapovirus) in Catalonia: A Two Year Prospective Study, 2010-2011

Science.gov (United States)

Martinez, Ana; Moreno, Antonio; Camps, Neus

2016-01-01

Background The epidemiology of cases of acute gastroenteritis (AGE) of viral etiology is a relevant public health issue. Due to underreporting, the study of outbreaks is an accepted approach to investigate their epidemiology. The objective of this study was to investigate the epidemiological characteristics of AGE outbreaks due to norovirus (NoV) and sapovirus (SV) in Catalonia. Material and Methods Prospective study of AGE outbreaks of possible viral etiology notified during two years in Catalonia. NoV and SV were detected by real time reverse transcription polymerase (RT-PCR). Results A total of 101 outbreaks were registered affecting a total of 2756 persons and 12 hospitalizations (hospitalization rate: 0.8x1,000,000 persons-year); 49.5% of outbreaks were foodborne, 45.5% person to person and 5% waterborne. The distribution of outbreaks according to the setting showed a predominance of catering services (39.6%), nursing homes and long term care facilities (26.8%) and schools (11.9%). The median number of cases per outbreak was 17 (range 2–191). The total Incidence rate (IR) was 18.3 per 100,000 persons-years (95%CI: 17.6–19.0). The highest IR was in persons aged ≥65 years (43.6x100,000 (95% CI: 41.0–46.2)) (p<0.001). A total of 1065 samples were analyzed with a positivity rate of 60.8%. 98% of positive samples were NoV (GII 56.3%; GI 4.2%; GII+GI 4.2%; non- typable 33.0%). SV was identified in two person-to-person transmission outbreaks in children. Conclusions These results confirm the relevance of viral AGE outbreaks, both foodborne and person-to-person, especially in institutionalized persons. SV should be taken into account when investigating viral AGE outbreaks. PMID:27120472

State of the art of reservoir sedimentation management in Spain

OpenAIRE

Avendaño Salas, Cándido; Sanz Montero, Esther; Cobo Rayán, Rafael

2000-01-01

Part of the total reservoir storage capacity in Spain (56 km3) is lost due to sedimentation processes taking place. Surveys carried out in 121 reservoirs indicate that 6% of them have undergone a capacity reduction of over 50%. However, most of them (81%) are characterised by a reservoir capacity loss below 20%. The most frequent methods used to control reservoir sedimentation in Spain fall into one of the following groups: reduction of sediment yield through basin management and removal of t...

The "Prediflood" database of historical floods in Catalonia (NE Iberian Peninsula) AD 1035-2013, and its potential applications in flood analysis

Science.gov (United States)

Barriendos, M.; Ruiz-Bellet, J. L.; Tuset, J.; Mazón, J.; Balasch, J. C.; Pino, D.; Ayala, J. L.

2014-12-01

"Prediflood" is a database of historical floods that occurred in Catalonia (NE Iberian Peninsula), between the 11th century and the 21st century. More than 2700 flood cases are catalogued, and more than 1100 flood events. This database contains information acquired under modern historiographical criteria and it is, therefore, suitable for use in multidisciplinary flood analysis techniques, such as meteorological or hydraulic reconstructions.

The labour trajectories of immigrant women in Spain: Are there signs of upward social mobility?

Directory of Open Access Journals (Sweden)

Elena Vidal-Coso

2014-08-01

Full Text Available Background: In Spain, foreign-born women are disproportionately employed in housework or care work, and quantitative research has shown that female migrants are disadvantaged relative to male migrants in the occupational status of their first job in Spain. However, the process that created this female penalty has not yet been explored. Objective: In this paper, we focus on female occupational mobility at migration and during settlement in Spain. First, we compare female and male labour mobility at migration. Second, we identify the main socio-demographic factors which increase the likelihood that the first job a foreign-born woman holds in Spain will be as a cleaner or a domestic worker. Third, we investigate female labour mobility from the time of migration, particularly trajectories that lead away from the cleaning and domestic occupations, and consider the importance of the assimilation process in occupational mobility. Methods: We apply quantitative methods to Spain's 2007 National Immigrant Survey (Encuesta Nacional de Inmigrantes, using descriptive (mobility matrixes and simple and multinomial logistic regression analyses. We include the main socio-demographic, family, and migratory characteristics of immigrants in the explanatory models. Results: The results of our analysis revealed that female migrants to Spain are more likely than their male counterparts to experience occupational downgrading at the time of migration, and that 41.6Š of women work in domestic services in their first job in Spain. Finally, our results have demonstrated that, although occupational immobility is common among female migrants in Spain, movement out of domestic services is possible, especially for the most assimilated immigrant women. Conclusions: This paper contextualises female immigration in Spain, attributing the labour market choices made by female migrants to the externalisation of domestic and cleaning occupations in private households, and to the

Archaeological Palimpsest Dissection at Cova del Parco (Lleida, Spain) through Microstratigraphic Investigation of Combustion Structures. Preliminary Results.

Science.gov (United States)

Égüez, Natalia; Mallol, Carolina; Mangado, Xavier; Tejero, José Miguel; Fullola, Josep Maria

2014-05-01

We present preliminary data from ongoing microstratigraphic investigations of Cova del Parco (Lleida, Spain), a Magdalenian karstic cave site in North western Catalonia. Excavations of the Upper Magdalenian levels are currently underway, with radiometric dates between 15,690 and 16,390 cal BP. This period has yielded a complex anthropogenic sedimentary deposit including combustion features and local accumulations of anthropogenic debris near the cave walls. On of the working hypothesis is that the Magdalenian hunter-gatherers who occupied the site did so for short periods, possibly seasonally. Support of this hypothesis comes the presence of overlapping, very thin flat combustion structures, which appear to have been short-lived and close to each other in time. In order to investigate this issue, we carried out micromorphological analysis of some of the mentioned combustion features. Preliminary results show significant microstratification and presence of unburned spherulites mixed in with reprecipitated calcitic wood ash, both of which point towards the existence of hiatuses between combustion events. This is supported by the observation of scattered, lightly burned microscopic flint and bone fragments in the sediment between ash layers, which could represent renewed occupation floor debris. Our case study adds to the growing number of combustion feature microstratigraphic investigations contributing to a correct characterization of anthropogenic palimpsest deposits. Key words: Microstratigraphy; Micromorphology; Magdalenian; Combustion features; Wood ash; Palimpsest; Iberian Peninsula.

Modelling Local Sea-Breeze Flow and Associated Dispersion Patterns Over a Coastal Area in North-East Spain: A Case Study

Science.gov (United States)

Soler, M. R.; Arasa, R.; Merino, M.; Olid, M.; Ortega, S.

2011-07-01

The structure and evolution of the sea breeze in the north-west part of the Mediterranean (Catalonia, north-east Spain) is studied both experimentally and, predominantly, using numerical models to increase understanding of sea-breeze structure and three-dimensional (3D) pollution distributions in coastal environments. Sea-breeze components are modelled and analyzed using the fifth-generation Pennsylvania State University-National Centre for Atmospheric Research Mesoscale Model (MM5). The results show that the growth and structure of the sea-breeze circulation is modulated by the synoptic flow and especially by the complex topography of the area. 3D pollution transport in a sea breeze is modelled by coupling the MM5 to the Community Multiscale Air Quality (CMAQ) model, with results indicating that topography and synoptic flow are the main factors modulating horizontal and vertical pollutant transport in sea-breeze episodes. In this way, horizontal dispersion is limited by the complex topography of the area, whilst the sea-breeze flow is intensified by anabatic upslope winds that contribute to vertical pollutant transport. The numerical model results also indicate that the sea-breeze circulation with a weak return flow at upper levels grows due to a synoptic onshore wind component. However, such a sea-breeze circulation is capable of transporting pollutants towards the coast.

A youth-led social marketing intervention to encourage healthy lifestyles, the EYTO (European Youth Tackling Obesity) project: a cluster randomised controlled0 trial in Catalonia, Spain.

Science.gov (United States)

Llauradó, Elisabet; Aceves-Martins, Magaly; Tarro, Lucia; Papell-Garcia, Ignasi; Puiggròs, Francesc; Arola, Lluís; Prades-Tena, Jordi; Montagut, Marta; Moragas-Fernández, Carlota M; Solà, Rosa; Giralt, Montse

2015-07-03

The encouragement of healthy lifestyles for obesity prevention in young people is a public health priority. The European Youth Tackling Obesity (EYTO) project is a multicentric intervention project with participation from the United Kingdom, Portugal, the Czech Republic and Spain. The general aim of the EYTO project is to improve lifestyles, including nutritional habits and physical activity practice, and to prevent obesity in socioeconomically disadvantaged and vulnerable adolescents. The EYTO project works through a peer-led social marketing intervention that is designed and implemented by the adolescents of each participating country. Each country involved in the project acts independently. This paper describes the "Som la Pera" intervention Spanish study that is part of the EYTO project. In Spain, the research team performed a cluster randomised controlled intervention over 2 academic years (2013-2015) in which 2 high-schools were designated as the control group and 2 high-schools were designated as the intervention group, with a minimum of 121 schoolchildren per group. From the intervention group, 5 adolescents with leadership characteristics, called "Adolescent Challenge Creators" (ACCs), were recruited. These 5 ACCs received an initial 4 h training session about social marketing principles and healthy lifestyle theory, followed by 24 sessions (1.30 h/session) divided in two academic years to design and implement activities presented as challenges to encourage healthy lifestyles among their peers, the approximately 180-200 high-school students in the intervention group. During the design of the intervention, it was essential that the ACCs used the 8 social marketing criteria (customer orientation, behaviour, theory, insight, exchange, competition, segmentation and methods mix). The expected primary outcomes from the Spanish intervention will be as follows: increases in the consumption of fruits and vegetables and physical activity practice along with

The Catalonia World Health Organization demonstration project for palliative care implementation: quantitative and qualitative results at 20 years.

Science.gov (United States)

Gómez-Batiste, Xavier; Caja, Carmen; Espinosa, Jose; Bullich, Ingrid; Martínez-Muñoz, Marisa; Porta-Sales, Josep; Trelis, Jordi; Esperalba, Joaquim; Stjernsward, Jan

2012-04-01

Catalonia (Spain) has a total population of 7.3 million citizens for whom the National Health Service (NHS) provides health care that is free at the point of access. The prevalence of terminally ill patients is between 30,100 and 39,600. Twenty years ago, the World Health Organization (WHO), in collaboration with the Catalan Department of Health and the Catalan Institute of Oncology, began a demonstration project (WHO Demonstration Project) in palliative care (PC) with the aim of implementing specialist PC services, generating experience in this field, identifying areas for improvement, and introducing educative procedures (clinical and nonclinical). Over the past 20 years, 237 PC clinical services (72 home care support teams, 49 hospital support teams, 60 units with 742 dedicated beds, 50 outpatient clinics, and six psychosocial support teams) have been implemented. In the five years since the previous evaluation, 57 new clinical services (15 new hospital support teams, 36 outpatient clinics, and six psychosocial support teams among others) and four nonclinical services (education, research, WHO Collaborating Center, and planning) have been implemented. During the year 2010, a total of 46,200 processes were undertaken for the care of 23,100 patients, of whom 12,100 (52%) had cancer and 11,000 (48%) had other chronic advanced diseases. The overall yearly costs are around €52,568,000, with an overall savings of €69,300,000 (€2275 per patient, net savings to the NHS of €16,732,000). In the last five years, three qualitative evaluations and a benchmarking process have been performed to identify weak points and inequities in care provision among districts. Systematic assessments indicate high cost-effectiveness of care as well as high levels of satisfaction by patients and their relatives, thus reinforcing the principle that access to PC under the auspices of the NHS at the end of life is a basic human right. Copyright © 2012 U.S. Cancer Pain Relief Committee

Demand for radiotherapy in Spain.

Science.gov (United States)

Rodríguez, A; Borrás, J M; López-Torrecilla, J; Algara, M; Palacios-Eito, A; Gómez-Caamaño, A; Olay, L; Lara, P C

2017-02-01

Assessing the demand for radiotherapy in Spain based on existing evidence to estimate the human resources and equipment needed so that every person in Spain has access to high-quality radiotherapy when they need it. We used data from the European Cancer Observatory on the estimated incidence of cancer in Spain in 2012, along with the evidence-based indications for radiotherapy developed by the Australian CCORE project, to obtain an optimal radiotherapy utilisation proportion (OUP) for each tumour. About 50.5 % of new cancers in Spain require radiotherapy at least once over the course of the disease. Additional demand for these services comes from reradiation therapy and non-melanoma skin cancer. Approximately, 25-30 % of cancer patients with an indication for radiotherapy do not receive it due to factors that include access, patient preference, familiarity with the treatment among physicians, and especially resource shortages, all of which contribute to its underutilisation. Radiotherapy is underused in Spain. The increasing incidence of cancer expected over the next decade and the greater frequency of reradiations necessitate the incorporation of radiotherapy demand into need-based calculations for cancer services planning.

1977-2017: Nursing research in Spain after 40 years in the University.

Science.gov (United States)

Morales Asencio, José Miguel; Hueso Montoro, César; de Pedro-Gómez, Joan Ernest; Bennasar-Veny, Miquel

Nursing research in Spain cannot be understood without analyzing the development of this profession over the last 40 years. The social, political and economic context has determined the evolution of nursing research, and an analysis of the current situation is necessary to confront the immediate challenges the nursing profession has to handle. To offer a global perspective of care research in Spain as a framework for reflection and discussion on possible short and medium-term strategies that guide the planning and decision making of the different stakeholders involved in nursing research in Spain. A multi-method study combining documentary analysis with bibliometric methods was carried out. Some isolated policies to promote nursing research have been identified, a significant increase in doctoral training (49 doctoral programs) and 89 nurse research groups (1.92 groups per million inhabitants) responsible for a scientific production that puts Spain in seventh place in the world ranking of scientific production in the area of nursing. The increase in public expenditure on R & D &I and the growth in bibliometric impact are associated with a higher density of nursing research groups. Nursing research in Spain is sensitive to research promotion policies and resources, although there is no consolidated and uniform strategy that overcomes current barriers. The impact of the academic development of Spanish nNursing in scientific production is still unknown. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

[Occupational injury in foreign workers by economic activity and autonomous community (Spain 2005)].

Science.gov (United States)

López-Jacob, Ma José; Ahonen, Emily; García, Ana M; Gil, Angel; Benavides, Fernando G

2008-01-01

While the immigrant collective in Spain has grown considerably in recent years, little is known about working conditions and their corresponding effects on occupational injury in this group. The objective of this study was to compare the incidences for both fatal and non-fatal injuries in foreign workers to that of Spanish workers in 2005, by autonomous community and economic activity. injury data came from the accident registry of the ministry of labor and social issues, and denominators were taken from available social security affiliation statistics from general and coal mining social security system. Incidence indices for fatal and non-fatal occupational injuries for foreign and spanish workers were calculated. In addition, relative risks and their 95% confidence intervals (95% CI) were calculated by autonomous community and economic activity, using spanish workers as the reference group. Overall, relative risk for occupational injury in foreign workers in 2005 was superior to base risk for both fatal (1.34; 95% CI: 1.11-1.62) and non-fatal injury (1.13; 95% CI: 1.13-1.14), though there were important differences by autonomous community and activity sectors. Compared with Spanish workers, risk for occupational injury was higher for foreign workers in industrial activities, while it was lower in construction, commerce and restaurants and hotels. By autonomous community, Aragón and Catalonia showed the highest risks for foreign workers. A higher risk for occupational injury among foreign workers is confirmed, and may be higher than that observed. The differences in risk among economic activities and autonomous communities require more detailed analysis.

The Second Stroke Audit of Catalonia shows improvements in many, but not all quality indicators.

Science.gov (United States)

Abilleira, Sònia; Ribera, Aida; Sánchez, Emília; Tresserras, Ricard; Gallofré, Miquel

2012-01-01

Periodic audits allow monitoring of healthcare quality by comparing performances at different time points. Aims To assess quality of in-hospital stroke care in Catalonia in 2007 and compare it with 2005 (post-/preguidelines delivery, respectively). Data on 13 evidence-based performance measures were collected by a retrospective review of medical records of consecutive stroke admissions (January-December 2007) to 47 acute hospitals in Catalonia. Adherence was calculated according to the ratio (patients with documented performance measures' compliance) (valid cases for that measure). Sampling weights were applied to produce estimates of compliance. The proportions of compliance with performance measures in both audits were compared using random-effects logistic regressions, with each performance measure as the dependent variable and audit edition as the explanatory variable to determine whether changes in stroke care quality occurred along time. We analyzed 1767 events distributed among 47 hospitals. In 2007, there was an increase in tissue plasminogen activator administrations (2·8% vs. 5·9%) and stroke unit admissions (16·6% vs. 22·6%) and a reduction in seven-day mortality (9·5% vs. 6·8%). Logistic regression models provided evidence of improved adherences to seven performance measures (screening of dysphagia, management of hyperthermia, baseline computed tomography scan, baseline glycemia, rehabilitation needs, early mobilization, and anticoagulants for atrial fibrillation), but worsening of management of hypertension, dyslipidemia, and antithrombotics at discharge. The remaining three performance measures showed no changes. The Second Stroke Audit showed improvements in most dimensions of care, although unexpectedly a few but relevant performance measures became worse. Therefore, periodic stroke audits are needed to check changes in quality of care over time. © 2011 The Authors. International Journal of Stroke © 2011 World Stroke Organization.

Impact on healthcare resource utilization of multiple sclerosis in Spain.

Science.gov (United States)

Sicras-Mainar, Antoni; Ruíz-Beato, Elena; Navarro-Artieda, Ruth; Maurino, Jorge

2017-12-29

Multiple sclerosis (MS) is a chronic disease with a high socioeconomic impact. The aim of this study was to assess healthcare resources utilization and costs in a sample of patients with MS. A retrospective, cohort study was conducted using electronic medical records from 19 primary care centres in Asturias and Catalonia, Spain. Adult patients diagnosed with MS were distributed into two groups according to the Expanded Disability Status Scale (EDSS) score: 0-3.5 (no-moderate disability) and 4-9.5 (severe disability). Healthcare (direct cost) and non-healthcare costs (work productivity losses) were analysed. An analysis of covariance (ANCOVA) was used for correction, p < 0.05. A multiple regression model was performed to obtain the variables associated with costs. A total of 222 patients were analyzed; mean (SD) age: 45.5 (12.5) years, 64.4% female, and 62.2% presented a diagnosis of relapsing-remitting MS. Median EDSS score was 2.5, with 68.5% of the patients with no to moderate disability. The mean annual cost per MS patient was €25,103. For no-moderate and severe disability, the ANCOVA-adjusted mean annual cost was €23,157 and €29,242, respectively (p = 0.013). Direct costs and MS disease-modifying therapy accounted for 39.4% and 31.7% of the total costs, respectively. The total costs were associated with number of relapses (β = 0.135, p = 0.001), time since diagnosis (β = 0.281, p = 0.023), and age (β = 0.198, p = 0.037). Multiple sclerosis imposes a substantial economic burden on the Spanish National Health System, patients and society as a whole. Costs significantly correlated with disease progression.

7 CFR 319.56-31 - Peppers from Spain.

Science.gov (United States)

2010-01-01

... 7 Agriculture 5 2010-01-01 2010-01-01 false Peppers from Spain. 319.56-31 Section 319.56-31... from Spain. Peppers (fruit) (Capsicum spp.) may be imported into the United States from Spain only... subpart: (a) The peppers must be grown in the Alicante or Almeria Province of Spain in pest-proof...

Oil sector in Spain: Final adaptation

International Nuclear Information System (INIS)

Marin-Quemada, J.M.

1992-01-01

This paper analyzes organizational and marketing changes occurring in Spain's oil industry as a result of its conversion from a state run monopoly system to a free market system. The analysis uses statistical data to indicate national oil production, import and consumption trends and compares these with overall trends in the European Communities. An explanation of the way in which oil is marketed in Spain makes reference to data on Spain's refining capacity and pipeline network, deemed to be amongst the most complete and modern in Europe. Comments are also made on the efficacy of Spain's national energy policies which stress energy source diversification to lessen this country's heavy dependence on foreign supplied oil

Multi-component determination of atmospheric semi-volatile organic compounds in soils and vegetation from Tarragona County, Catalonia, Spain.

Science.gov (United States)

Domínguez-Morueco, Noelia; Carvalho, Mariana; Sierra, Jordi; Schuhmacher, Marta; Domingo, José Luis; Ratola, Nuno; Nadal, Martí

2018-08-01

Tarragona County (Spain) is home to the most important chemical/petrochemical industrial complex in Southern Europe, which raises concerns about the presence and effects of the numerous environmental contaminants. In order to assess the levels and patterns of five classes of semi-volatile organic compounds (SVOCs) - polycyclic aromatic hydrocarbons (PAHs), synthetic musks (SMs), polychlorinated biphenyls (PCBs), brominated flame retardants (BFRs) and one organochlorine pesticide, hexachlorobenzene (HCB), 27 samples of soil and vegetation (Piptatherum L.) from different areas (petrochemical, chemical, urban/residential, and background) of Tarragona County were analysed. The results show that PAHs levels in soils ranged from 45.12 to 158.00ng/g and the urban areas presented the highest concentrations, mainly associated with the presence of a nearby highway and several roads with heavy traffic. PAHs levels in vegetation samples ranged from 42.13 to 80.08ng/g, where the greatest influence came from the urban and petrochemical areas. In the case of SMs, levels in soils and vegetation samples ranged from 5.42 to 10.04ng/g and from 4.08 to 17.94ng/g, respectively, and in both cases, background areas (at least 30km away from the main SVOCs emission sources) showed the highest levels, suggesting an influence of the personal care products derived from beach-related tourism in the coast. PCBs (from 6.62 to 14.07ng/g in soils; from 0.52 to 4.41ng/g in vegetation) prevailed in the chemical area in both matrices, probably associated with the presence of two sub-electrical stations located in the vicinities. In general terms, BFRs and HCB values recorded in soil and vegetation samples were quite similar between matrices and sampling areas. Copyright © 2018. Published by Elsevier B.V.

Gender, Family Negotiations and Academic Success of Young Moroccan Women in Spain

Science.gov (United States)

Tarrés, Marta Bertran; Ponferrada-Arteaga, Maribel; Rovira, Jordi Pàmies

2016-01-01

This article examines the lives of pioneering young women from Morocco, the first to enjoy educational and social success in Catalonia, by analyzing the family negotiations entered into during this process. The study is based on the life stories of these young Moroccan women and on ideas that emerge from discussion groups involving the women…

The Actual Problems of Modern Spain

Directory of Open Access Journals (Sweden)

Natalya E. Anikeeva

2014-01-01

Full Text Available The important aim of national and Spanish historiography and political science is to study history and foreign policy of modern Spain. The author studied articles and monographies of spanish politicians and researchers ( M. Rahoy, I. Aries, A. Rubalcaba, I. Molina for the preparation of this article during the scientific trip to Madrid (Complutense University, Faculty of Political Science and Sociology, which was held in the framework of cooperation between the Bank Santander and MGIMO (University. The paper analyzes the political and economic aspects of life in Spain, and its foreign policy of the period of government of Mariano Rajoy (from 2011 to the present time. The article is dedicated to actual problems of modern Spain: the economy and the priorities of the government of M.Rajoy, the problem of separatism and political system of the country. Modern Spain is still recovering economically from the euro debt crisis and continues to struggle with near-record unemployment. Domestic economic recovery of Spain and the country's foreign position are closely linked. The European integration process still remains the main strategic task of the spanish foreign policy. Spain increases its role in world politics and obtains a non-permanent UN's Security Council seat for the 2015-2016 term.

La atención hospitalaria al paciente con ictus en Cataluña: Resultados del «Primer Audit Clínic de l'Ictus. Catalunya, 2005/2006» In-hospital stroke care in Catalonia [Spain]: Results of the «First Clinical Audit of Stroke. Catalonia, 2005/2006»

Directory of Open Access Journals (Sweden)

Sònia Abilleira

2008-12-01

clinical practice guideline (CPG on stroke by determining adherence to specific recommendations of the CPG. Methods: We retrospectively reviewed the case notes of consecutive patients with stroke (defined with ICD-9 codes: 431, 433.x1, 434.x1, and 436 admitted to 48 Catalan hospitals within the first half of 2005. Data were collected on indicators of the healthcare process selected on the basis of their scientific evidence and/or clinical relevance. The participating hospitals included 20, 40 or 60 stroke cases according to their annual stroke caseload. After random selection, up to 9.3% of all cases recruited at each study center were externally monitored to assess the quality of the data gathered. Indicators were grouped into six different dimensions related to distinct aspects of clinical practice. Results: We analyzed data from 1,791 stroke cases (53.9% men, mean age: 75.6 [12.4] years. Overall inter-observer agreement was 0.7. Compliance with the six dimensions was as follows (mean percentage [95%CI]: quality of medical records, 78.5% (77.5-79.4; initial interventions, 92.4% (91.5-93.2; neurological assessment, 38.3% (37.3-39.3; assessment of rehabilitation needs, 44.9% (43.2-46.7; prevention and management of medical complications, 68.4% (66.9-70, and initial preventive measures, 78.9% (77.3-80.4. Conclusions: In the first half of 2005, in-hospital stroke care in Catalonia showed room for improvement particularly in aspects related to the neurological assessment and follow-up of patients and their rehabilitation process.

Nuclear material control in Spain

International Nuclear Information System (INIS)

Velilla, A.

1988-01-01

A general view about the safeguards activities in Spain is presented. The national system of accounting for and control of nuclear materials is described. The safeguards agreements signed by Spain are presented and the facilities and nuclear materials under these agreements are listed. (E.G.) [pt

Stratigraphic and structural controls on groundwater flow in an outcropping fossil fan delta: the case of Sant Llorenç del Munt range (NE Spain)

Science.gov (United States)

Anglés, Marc; Folch, Albert; Oms, Oriol; Maestro, Eudald; Mas-Pla, Josep

2017-12-01

Hydrogeological models of mountain regions present the opportunity to understand the role of geological factors on groundwater resources. The effects of sedimentary facies and fracture distribution on groundwater flow and resource exploitation are studied in the ancient fan delta of Sant Llorenç de Munt (central Catalonia, Spain) by integrating geological field observations (using sequence stratigraphy methods) and hydrogeological data (pumping tests, hydrochemistry and environmental isotopes). A comprehensive analysis of data portrays the massif as a single unit, constituted by different compartments determined by specific layers and sets of fractures. Two distinct flow systems—local and regional—are identified based on pumping test analysis as well as hydrochemical and isotopic data. Drawdown curves derived from pumping tests indicate that the behavior of the saturated layers, whose main porosity is given by the fracture network, corresponds to a confined aquifer. Pumping tests also reflect a double porosity within the system and the occurrence of impervious boundaries that support a compartmentalized model for the whole aquifer system. Hydrochemical data and associated spatial evolution show the result of water-rock interaction along the flow lines. Concentration of magnesium, derived from dolomite dissolution, is a tracer of the flow-path along distinct stratigraphic units. Water stable isotopes indicate that evaporation (near a 5% loss) occurs in a thick unsaturated zone within the massif before infiltration reaches the water table. The hydrogeological analysis of this outcropping system provides a methodology for the conceptualization of groundwater flow in similar buried systems where logging and hydrogeological information are scarce.

The productive efficiency of organic farming: the case of grape sector in Catalonia

Energy Technology Data Exchange (ETDEWEB)

Guesmi, B.; Serra, T.; Kallas, Z.; Gil Roig, J. M.

2012-11-01

Knowledge about productivity and efficiency differences between conventional and organic farms has important implications for the evaluation of the economic viability of these two agricultural practices. The main purpose of this study was to compare the efficiency ratings of organic and conventional grape farms in Catalonia. To do so, we fit a stochastic production frontier to cross sectional, farm-level data collected from a sample of 141 Catalan farms that specialize in grape growing. Results show that organic farmers, on average, are more efficient than their conventional counterparts (efficiency ratings are on the order of 0.80 and 0.64, respectively). Apart from adoption of organic practices, experience is also found to improve technical efficiency. Conversely, technical efficiency tends to decrease with the relevance of unpaid family labor, farm location in less favored areas, and farmers strong environmental preservation preferences. (Author) 41 refs.

[The White Paper of the health professions of Catalonia].

Science.gov (United States)

Pomés, Xavier; Oriol, Albert; de Oleza, Rafael; Ania, Olinda; Avila, Alicia; Branda, Luis; Brugulat, Pilar; Gual, Arcadi; Creus, Mariona; Zurro, Amando Martin

2003-01-01

The White Paper of the Health Professions of Catalonia (WPHPC) is a strategic document for the development of the health professions. It deals with the main components of the manpower development (education, management and planning) in relation to the health services development required to attain the objectives defined in the Catalan Health Plan. The WPHPC fosters the coherence between social needs and professional competencies required to respond to them, as well as to the quantitative aspects of service needs under adequate standards of quality, effectiveness and efficiency. The WPHPC has followed a methodological process with maximum stakeholder participation and transparency. Citizens, professionals and health organizations have contributed significantly. The conclusions and recommendations of the WPHPC are organized around four axis: the citizenship, the professionals, the health care organizations and the health care model. Key elements are: the requirement of a new social contract between the different stakeholders, the values of professionalism, the need for a new credentialism of professional competencies, innovation in the education process, innovation of governance and management for organization of knowledge, the redistribution of work inside teams requires deregulation and reregulation of the professions, the need for actualized data on workforce and job positions and the permanent requirement of sociological research.

Climate change adaptation & mitigation strategies for Water-Energy-Land Nexus management in Mediterranean region: Case study of Catalunya (Spain).

Science.gov (United States)

Kumar, Vikas; Schuhmacher, Marta

2016-04-01

Water-Energy-Land (WEL) Nexus management is one of those complex decision problems where holistic approach to supply-demand management considering different criteria would be valuable. However, multi-criteria decision making with diverse indicators measured on different scales and uncertainty levels is difficult to solve. On the other hand, climate adaptation and mitigation need to be integrated, and resource sensitive regions like Mediterranean provide ample opportunities towards that end. While the water sector plays a key role in climate adaptation, mitigation focuses on the energy and agriculture sector. Recent studies on the so-called WEL nexus confirm the potential synergies to be derived from mainstreaming climate adaptation in the water sector, while simultaneously addressing opportunities for co-management with energy (and also land use). Objective of this paper is to develop scenarios for the future imbalances in water & energy supply and demand for a water stressed Mediterranean area of Northern Spain (Catalonia) and to test the scenario based climate adaptation & mitigation strategy for WEL management policies. Resource sensitive area of Catalonia presents an interesting nexus problem to study highly stressed water demand scenario (representing all major demand sectors), very heterogeneous land use including intensive agriculture to diversified urban and industrial uses, and mixed energy supply including hydro, wind, gas turbine to nuclear energy. Different energy sectors have different water and land requirements. Inter-river basin water transfer is another factor which is considered for this area. The water-energy link is multifaceted. Energy production can affect water quality, while energy is used in water treatment and to reduce pollution. Similarly, hydropower - producing energy from water - and desalination - producing freshwater using energy - both play important role in economic growth by supplying large and secure amounts of 'green' energy or

Final disposition and quality auditing of the rehabilitation process in wild raptors admitted to a Wildlife Rehabilitation Centre in Catalonia, Spain, during a twelve year period (1995-2007.

Directory of Open Access Journals (Sweden)

Rafael A Molina-López

Full Text Available BACKGROUND: Variability in reporting and classification methods in previous published data of the final dispositions in the rehabilitation of wild raptors makes use of this data limited in trying to audit the quality of the rehabilitation process. Crude as well as stratified disposition rates are needed if quality auditing of the rehabilitation process is to be adequately performed. METHODOLOGY: Final dispositions of 6221 hospitalized wild raptors admitted at a wildlife rehabilitation centre (WRC of Catalonia during 1995-2007 were analyzed. These dispositions were calculated as the euthanasia (Er, unassisted mortality (Mr, release (Rr and captivity rates (Cr., time to death (Td for dead and euthanized raptors, and length of stay for released (Tr raptors was estimated. Stratified analyses by main causes of admission and clinical signs were performed. RESULTS: THE DISPOSITION FOR THE TOTAL POPULATION WERE: Er = 30.6%, Mr = 19.1%, Rr = 47.2%, and Cr = 3%. By main causes of admission, Er was higher in the trauma category (34.2%, whereas Mr was found similar between trauma (37.4% and non-trauma categories (34.8%. The highest Rr was observed for the orphaned group (77.9%. Furthermore, Cr was low in all the categories (<4%. By clinical signs, the highest Er was found in animals suffering musculoskeletal (37.9% or skin (32.3% lesions; Mr was high in infectious/parasitic diseases (66.7% and in case of neurological symptoms (64.5%. The euthanized birds had a median Td = 1 day (P10 = 0-P90 = 59 for both trauma and non-trauma categories, and Td = 36 days for the orphaned young group (P10 = 0; P90 = 596. The median Td in the unassisted dead birds was 2 days for all the categories (P10 = 0-P90 = 31. Finally, the median Tr in the centre was variable among categories. CONCLUSIONS/SIGNIFICANCE: Reporting of final dispositions in wildlife rehabilitation should include the crude and stratified rates (Er, Mr, Rr, and Cr, by causes and clinical presentation, as well

Epidemiology of vaccine-preventable invasive diseases in Catalonia in the era of conjugate vaccines

Science.gov (United States)

Ciruela, Pilar; Martínez, Ana; Izquierdo, Conchita; Hernández, Sergi; Broner, Sonia; Muñoz-Almagro, Carmen; Domínguez, Àngela; of Catalonia Study Group, the Microbiological Reporting System

2013-01-01

We investigated the incidence and distribution of cases of invasive pneumococcal disease (IPD), invasive meningococcal disease (IMD) and invasive Hemophilus influenzae disease (IHiD) notified by hospital laboratories to the Microbiological Reporting System of Catalonia between 2005 and 2009. Incidence rates were compared using the rate ratio (RR) and 95% CI were calculated. A value of p cases, 6,012 were IPD, 436 IMD and 213 IHiD. The global annual incidence per 105 inhabitants was 16.62 (95% CI 16.20–17.04) for IPD, 1.21 (95% CI 1.09–1.32) for IMD and 0.59 (95% CI 0.51–0.67) for IHiD. IPD increased in 2009 compared with 2005 (RR:1.55, 95%CI: 1.43–1.70) and IMD and IHiD remained stable. Pneumonia was the most-frequent clinical manifestation of IPD (75.6%) and IHiD (44.1%) and meningoencephalitis with or without sepsis for IMD (70.6%). The male:female ratio was 1.37 for IPD, 1.0 for IMD and 1.15 for IHiD. The age groups with the highest incidence were the ≤ 2 y and 2–4 y groups for IPD (66.40 and 50.66/100,000 persons-year) and IMD (14.88 and 7.26/100,000 persons-year) and the ≤ 2 y and ≥ 65 y groups for IHiD (1.88 and 1.89/100,000 persons-year). The most-frequent serotypes were serotype 1 (19.0%) in IPD and untypeable serotypes (60.8%) in IHiD. Serogroup B (78.3%) was the most frequent in IMD. S. pneumoniae is the most-frequent agent causing invasive disease in Catalonia. The main clinical manifestations were pneumonia in IPD and IHiD and meningitis in IMD. The main causative agent of meningitis was N. meningitidis in people aged < 20 y and S. pneumoniae in people aged ≥ 20 y. Vaccination with conjugate vaccines may reduce the risk of infectious disease in our setting. PMID:23303166

[Primary health care professionals attitudes towards influenza immunzation in Catalonia].

Science.gov (United States)

Torner, Nuria; Godoy, Pere; Soldevila, Núria; Toledo, Diana; Rius, Cristina; Domínguez, Angela

2016-03-01

Health personnel are at risk of acquiring influenza infection and of nosocomial influenza transmission. The objective of this study was to assess the relationship between the knowledge and attitudes of primary care health personnel in Catalonia as regards influenza vaccine and the factors related to the uptake of this vaccine. A cross-sectional study using a web survey. Primary care health personnel of the Catalan Health Institute. A total of 1212 primary health care personnel were included in the survey. Those who had medical reasons for being or not being vaccinated were excluded. A total of 423 replies were valid, with a 46.6% overall vaccination coverage. Vaccination rate was higher among 45 to 54 year-olds, paediatricians, those vaccinated in preceding seasons, and those living with chronic patients. There was an association between having received the vaccine and considering vaccination the best preventive action, advocating vaccination to at risk population, concern about acquiring influenza, and considering health personnel vaccination important. Actions taken to increase vaccination rate among health personnel should aim at correcting lack of knowledge and misconceptions about influenza vaccination of health personnel. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

The 1448 earthquake in Catalonia. Some effects and local reactions

Directory of Open Access Journals (Sweden)

R. Salicrù i Lluch

1995-06-01

Full Text Available The May 1448 earthquake. the last destructive one that took place in Catalonia in the Middle Ages, was known chiefly from several chronistic and narrative medieval sources. To these sources I add new previously unknown data proceeding Eroin documentary archival sources in Barcelona, and other data that up to now have been wrongly considered as a consequence of the weak quake recorded in September 1450. They allow us to locate the epicentre in the Vall&s Oriental, around Llinars, to deny the existence of two almost simultaneous earthquakes, and to extend the range of the earthquake damage. to pinpoint them better and to suppose that the effects of the 1448 earthquake were more important than we had previously thought. All this information leads to several reflections on compulsory critical analysis of historical seismic documentary sources in order for them to be useful to historical seismicity. Finally. by the opposition of the three lands of documentary sources that refer to the damage caused by the earthquake in the township of Mataro. I show how natural catastrophes could be manipulated, and the skill of a society in exploiting them to deal with an adverse situation.

Early Childhood Inclusion in Spain

Science.gov (United States)

Giné, Climent; Balcells-Balcells, Anna; Cañadas, Margarita; Paniagua, Gema

2016-01-01

This article describes early childhood inclusion in educational settings in Spain. First, we address the legislative framework of preschool education in Spain and offer a brief analysis of some relevant issues, including the current situation of early childhood education and inclusion at this stage. Second, current policies and practices relating…

Marked differences in GPs' diagnosis of pneumonia between Denmark and Spain: a cross-sectional study

DEFF Research Database (Denmark)

Christensen, S.F.; Jørgensen, L.C.; Cordoba Currea, Gloria Cristina

2013-01-01

importance to dyspnoea/polypnoea and C-reactive protein levels >50mg/L. None of the other typical symptoms of pneumonia had a significant influence. CONCLUSIONS: Our results indicate that GPs' diagnostic criteria for pneumonia differ substantially between Denmark and Spain. The high prevalence of pneumonia...... and Spain) and to compare which symptoms and clinical tests are of most importance for the GP when choosing a diagnosis of pneumonia rather than acute bronchitis. METHODS: A cross-sectional study including GPs from Denmark and Spain was conducted as part of the EU-funded project HAPPY AUDIT. A total of 2......,698 patients with LRTI were included. RESULTS: In Denmark, 47% of the patients with LRTI were classified with a diagnosis of pneumonia compared with 11% in Spain. In Spain, fever and a positive x-ray weighted significantly more in the diagnosis of pneumonia than in Denmark. Danish GPs, however, attached more...

Molecular Gastronomy in Spain

OpenAIRE

García-Segovia, Purificación; Garrido, María Dolores; Vercet Tormo, Antonio; Arboleya, Juan Carlos; FISZMAN DAL SANTO, SUSANA; Martínez Monzó, Javier; Laguarda, Sergio; Palacios, Victor; Ruiz Carrascal, Jorge

2014-01-01

[EN] Beyond the overwhelming international success of Ferrán Adria, Spain has been one of the countries with a more active implication in molecular gastronomy as a scientific discipline but also in the use of ingredients, technologies, and equipment from the scientificand technological universe in the culinary area. Nowadays, this is a well-established discipline in Spain, with a number of research groups covering related topics, several companies commercializing appliances and additives worl...

Social risk perception: recent findings in Spain

International Nuclear Information System (INIS)

Prades-Lopez, A.; Martinez-Arias, R.; Diaz-Hidalgo, M.

1998-01-01

The purpose of this paper is to present our main results from a survey carried out in Spain in the context of social risk perception. This survey is included in a broad project (PRISP) sponsored by the UE and the national Civil Protection Service, and carried out simultaneously in three countries: Spain, Italy and UK. The project combined qualitative and quantitative assessment methods, although only survey results are presented here. A random sample of 600 subjects from two different Spanish communities close to a COMAH chemical site was selected for the research. Main findings regarding, differential perception between both community populations, sex differences, and 'bias perception' of risks among others have been achieved. Main dimensions were obtained by multidimensional scaling and Factor Analysis. Dimensions reported here are similar to the usual findings from the psychometric paradigm. (authors)

Entrepreneurship research in Spain: developments and distinctiveness.

Science.gov (United States)

Sánchez, José C; Gutiérrez, Andrea

2011-08-01

This article presents a review of research on entrepreneurship in Spain, paying particular attention to its beginnings, nature and main focus of interest. We have developed a database based on the review of 471 works produced between 1977 and 2009, including articles published in national and international journals and dissertations (read in Spain) that allowed us to extract the following results. There is a preference for qualitative methods, conceptual contributions and the entrepreneurial process as the privileged research theme. There is also a strong focus of interest on micro and small enterprises. These characteristics of Spanish research in areas of entrepreneurship can make a distinctive contribution to international research. However, the dissemination of knowledge and inadequate strategies for international publication limit the diffusion of Spanish research in entrepreneurship. Lastly, we discuss the implications for future research.

Exploring the links between social metabolism and biodiversity distribution across landscape gradients: A regional-scale contribution to the land-sharing versus land-sparing debate

OpenAIRE

Marull López, Joan; Tello, Enric; Bagaria Morató, Guillem; Font i Castell, Xavier; Cattaneo, Claudio; Pino i Vilalta, Joan

2018-01-01

The debate about the relative merits of the 'land-sparing' and 'land-sharing' approaches to biodiversity conservation is usually addressed at local scale. Here, however, we undertake a regional-scale approach to this issue by exploring the association between the Human Appropriation of Net Primary Production (HANPP) and biodiversity components (plants, amphibians, reptiles, birds and mammals) across a gradient of human-transformed landscapes in Catalonia, Spain. We propose an Intermediate Dis...

PSA results and trends for Spain's NPPs

International Nuclear Information System (INIS)

Carretero, J.A.

1993-01-01

The Spain regulatory authority CSN demanded performance of PSA for all Spain nuclear power plants. The specific data analysis carried out as a part of the PSA has contributed to the realistic view on the results which could be achieved by the PSA. The main characteristics of the PSA in Spain and PSA trends in the development are presented in the paper

Taking the Concept of Citizenship in Mental Health across Countries. Reflections on Transferring Principles and Practice to Different Sociocultural Contexts

Science.gov (United States)

Eiroa-Orosa, Francisco José; Rowe, Michael

2017-01-01

Transferring principles and practices to different sociocultural and professional contexts in the field of mental health can be very complex. Previous research on public health policy points to difficulties in different areas such as the understanding the new concepts, their applicability in different health systems, and suitable approaches to its effective implementation. The purpose of this article is to describe and analyze the process of transferring the concept of Citizenship, from its United States origins in mental health outreach work with persons who are homeless to Catalonia, Spain. We define Citizenship as promoting the rights, responsibilities, roles, resources and relationships of persons with mental illnesses, along with a sense of belonging that is validated by other citizens. The process of this transition involves embedding Citizenship in the mental health “first-person” (internationally known as Consumer/Survivor/Peer) movement in Catalonia. The paper includes a discussion of the concept of transference, including a case example of the adoption of the concept of mental health recovery in different countries. Following this, we describe the United States Citizenship model and key elements of its development. We then turn to Spain and the evolution of its mental health system, and then to Catalonia for a brief case history of transference of the principles and practices of Citizenship to that region. The “take home message” of this work is that concepts being brought from one sociocultural and national context to another, must focus on contextualization in the ‘adoptee’s’ practices, including the balance between personal involvement and professional rigor, the involvement of key actors, and ongoing evaluation of actions taken. PMID:28680412

Taking the Concept of Citizenship in Mental Health across Countries. Reflections on Transferring Principles and Practice to Different Sociocultural Contexts.

Science.gov (United States)

Eiroa-Orosa, Francisco José; Rowe, Michael

2017-01-01

Transferring principles and practices to different sociocultural and professional contexts in the field of mental health can be very complex. Previous research on public health policy points to difficulties in different areas such as the understanding the new concepts, their applicability in different health systems, and suitable approaches to its effective implementation. The purpose of this article is to describe and analyze the process of transferring the concept of Citizenship, from its United States origins in mental health outreach work with persons who are homeless to Catalonia, Spain. We define Citizenship as promoting the rights, responsibilities, roles, resources and relationships of persons with mental illnesses, along with a sense of belonging that is validated by other citizens. The process of this transition involves embedding Citizenship in the mental health "first-person" (internationally known as Consumer/Survivor/Peer) movement in Catalonia. The paper includes a discussion of the concept of transference, including a case example of the adoption of the concept of mental health recovery in different countries. Following this, we describe the United States Citizenship model and key elements of its development. We then turn to Spain and the evolution of its mental health system, and then to Catalonia for a brief case history of transference of the principles and practices of Citizenship to that region. The "take home message" of this work is that concepts being brought from one sociocultural and national context to another, must focus on contextualization in the 'adoptee's' practices, including the balance between personal involvement and professional rigor, the involvement of key actors, and ongoing evaluation of actions taken.

La nación en la prensa durante la Transición española: la posición de Catalunya y Euskadi

Directory of Open Access Journals (Sweden)

Cristina Perales García

2016-10-01

Full Text Available El artículo estudia los discursos periodísticos sobre el encaje catalán y vasco que proyectaban los diarios ABC, El País, La Vanguardia, Avui, El Correo y Deia en un período que va desde noviembre de 1975 hasta octubre de 1979. A través del enfoque multidisciplinar que permite el análisis crítico del discurso (ACD, se ha constatado que los rotativos no hacían una explicación exhaustiva de la posibilidad de ejercer el derecho a la autodeterminación. En ocasiones, se ofrecía información sesgada y falacias que legitimaban y perpetuaban ideas y opiniones alineadas a ideologías de formaciones políticas con las que se sentían próximos. The nation in the press during the Spanish Transition: the position of Catalonia and the Basque Country Abstract This study explores the ways in which the political position of Catalonia and the Basque Country inside Spain was represented in the ABC, El País, La Vanguardia, Avui, El Correo and Deia newspapers between November 1975 and October 1979. We adopt a multidisciplinary approach of critical discourse analysis (CDA. We found that the press often fails to present the aspiration for self-determination of Catalonia and the Basque Country in a thorough, balanced way. On occasions we find that the information is incomplete or biased; the papers make gratuitous or fallacious statements to legitimise and perpetuate the positions of the political parties closest to them in terms of ideology. Keywords: CDA, nationalism, Spain, self-determination, political journalism

Taking the Concept of Citizenship in Mental Health across Countries. Reflections on Transferring Principles and Practice to Different Sociocultural Contexts

Directory of Open Access Journals (Sweden)

Francisco José Eiroa-Orosa

2017-06-01

Full Text Available Transferring principles and practices to different sociocultural and professional contexts in the field of mental health can be very complex. Previous research on public health policy points to difficulties in different areas such as the understanding the new concepts, their applicability in different health systems, and suitable approaches to its effective implementation. The purpose of this article is to describe and analyze the process of transferring the concept of Citizenship, from its United States origins in mental health outreach work with persons who are homeless to Catalonia, Spain. We define Citizenship as promoting the rights, responsibilities, roles, resources and relationships of persons with mental illnesses, along with a sense of belonging that is validated by other citizens. The process of this transition involves embedding Citizenship in the mental health “first-person” (internationally known as Consumer/Survivor/Peer movement in Catalonia. The paper includes a discussion of the concept of transference, including a case example of the adoption of the concept of mental health recovery in different countries. Following this, we describe the United States Citizenship model and key elements of its development. We then turn to Spain and the evolution of its mental health system, and then to Catalonia for a brief case history of transference of the principles and practices of Citizenship to that region. The “take home message” of this work is that concepts being brought from one sociocultural and national context to another, must focus on contextualization in the ‘adoptee’s’ practices, including the balance between personal involvement and professional rigor, the involvement of key actors, and ongoing evaluation of actions taken.

Relationship between Healthy Lifestyle and Sociodemographic Factors in Adolescents in Catalonia: Application of VISA-TEEN Questionnaire.

Directory of Open Access Journals (Sweden)

Lluís Costa-Tutusaus

Full Text Available There is a clear relationship between the way of life and the health of individuals, and therefore, we can speak of healthy and unhealthy lifestyles. There are different surveys and questionnaires that evaluate the lifestyles of adolescents, but none of them offers a final score that can quantify the healthfulness of an adolescent's lifestyle. It was with this goal that the VISA-TEEN questionnaire is developed and validated. The objective of this study is to apply the questionnaire to a sample of adolescents who attend school in Catalonia to evaluate the healthfulness of their lifestyles and to relate the scores obtained to different sociodemographic variables.Cross-sectional study. A total of 2,832 students from 25 schools in Catalonia responded to the questionnaire. A descriptive analysis was performed, calculating the mean (Standard deviation, median (p25, p75, and confidence interval. The results were calculated for the total population, factoring according to gender, age, urban/rural population, origin (native/immigrant, and family wealth, which was based on the Family Affluence Scale (FAS II. The significance of the difference was calculated for each factor with the appropriate statistical test.For the total score of healthy lifestyle, the youngest students and those with the highest family wealth obtained higher scores. With respect to eating habits, girls scored higher than boys, and higher scores were observed in natives and those with high family wealth. For physical activity, boys scored higher, as well as younger individuals, natives, and those from rural areas. With respect to substance abuse, the worst scores were found in older individuals, students from rural areas, and natives. The rational use of leisure technology was only associated with age (worsening scores with older age. Lastly, hygiene was better with girls, decreased with age, and was worse with natives than immigrants.

An analysis of the evolution of hydrometeorological extremes in newspapers: the case of Catalonia, 1982-2006

Science.gov (United States)

Llasat, M. C.; Llasat-Botija, M.; Barnolas, M.; López, L.; Altava-Ortiz, V.

2009-07-01

This contribution analyzes the evolution of perception of certain natural hazards over the past 25 years in a Mediterranean region. Articles from newspapers have been used as indicator. To this end a specific Spanish journal has been considered and an ACCESS database has been created with the summarized information from each news item. The database includes data such as the location of each specific article in the newspaper, its length, the number of pictures and figures, the headlines and a summary of the published information, including all the instrumental data. The study focused on hydrometeorological extremes, mainly floods and droughts, in the northeast of the Iberian Peninsula. The number of headlines per event, trends and other data have been analyzed and compared with "measured" information, in order to identify any bias that could lead to an erroneous perception of the phenomenon. The SPI index (a drought index based on standardized accumulated precipitation) has been calculated for the entire region, and has been used for the drought analysis, while a geodatabase implemented on a GIS built for all the floods recorded in Catalonia since 1900 (INUNGAMA) has been used to analyze flood evolution. Results from a questionnaire about the impact of natural hazards in two specific places have been also used to discuss the various perceptions between rural and urban settings. Results show a better correlation between the news about drought or water scarcity and SPI than between news on floods in Catalonia and the INUNGAMA database. A positive trend has been found for non-catastrophic floods, which is explained by decrease of the perception thresholds, the increase of population density in the most flood-prone areas and changes in land use.

The impact of climate change on natural risks in the context of sustainable development: the case of Catalonia

Science.gov (United States)

Llasat, Maria-Carmen; Queralt, Arnau

2013-04-01

The evidence of the impact of the anthropogenic activity over the climate change, as well as the consequent impacts in temperature, snow cover and sea level has been widely demonstrated (IPCC, 2007). However, the impact of climate change on natural risks is still not clear, and the degree of uncertainty is high. The main problem lays in the complexity of the factors involved in the production of natural disasters, mainly those related with the vulnerability (in the more holistic sense of the expression), that is continuously being modified. In terms of the impact of climate change on hazards, the analysis is still complicated, and this difficulty increases when meteorological hazards that combine meteorological factors with other ones (human and/or natural) are considered (i.e. floods, wet landslides, forest fires, etc.). The Advisory Council for the Sustainable Development of Catalonia (CADS) is an advisory body which gives strategic advice to the Catalan Government in the field of sustainable development. This contribution shows the main results of a recent report elaborated by the CADS that analyses the present and potential evolution of natural risks in Catalonia (NE of Iberian Peninsula) and the influence of climate change in it. The analysis is made from the point of view of sustainable development, having in mind the international approach (IPCC, 2007, 2011; UNISDR, 2009; Molin, 2009; Brauch, 2010) and with special incidence in potential problems related with security and civil protection. Conclusions identify as main problems those that will affect health (as a consequence of the increase of heat waves and temperature extremes) and water scarcity.

A budget impact analysis of Spiromax® compared with Turbuhaler® for the treatment of moderate to severe asthma: a potential improvement in the inhalation technique to strengthen medication adherence could represent savings for the Spanish Healthcare System and five Spanish regions

Directory of Open Access Journals (Sweden)

Darbà J

2016-09-01

Full Text Available Josep Darbà,1 Gabriela Ramírez,2 Juan L García-Rivero,3 Sagrario Mayoralas-Alises,4 José Francisco Pascual,5 Albert Roger,6 Diego Vargas,7 Adi Bijedic8 1Department of Economics, Universitat de Barcelona, 2BCN Health Economics & Outcomes Research SL, 3Hospital Laredo, Cantabria, 4Hospital Ramón y Cajal, Madrid, 5Hospital General Universitario de Alicante, Alicante, 6Hospital Universitario Germans Trias i Pujol, Barcelona, 7Hospital de Alta Resolución el Toyo, Andalusia, 8Market Access and HEOR Department, TEVA Pharmaceutical, Madrid, Spain Objective: To assess the economic impact of the introduction of DuoResp® Spiromax® by focusing on a potential improvement in the inhalation technique to strengthen medication adherence for the treatment of moderate to severe asthmatics in Spain and five Spanish regions including Andalusia, Catalonia, Galicia, Madrid, and Valencia.Methods: A 4-year budget impact model was developed for the period 2015–2018 from the Spanish Healthcare System perspective. Budesonide–formoterol fixed-dose combination delivered by Turbuhaler® was considered to be the most appropriate comparator for assessing the budget impact with the introduction of DuoResp® Spiromax®. National and regional data on asthma prevalence were obtained from the literature. Input parameters on health care resources were obtained by consulting experts from different Spanish hospitals. Resources used included medical visits, emergency room visits, and hospitalizations. The average numbers of primary care and specialist visits per year were also gathered. Based on health care resource use per patient, the total treatment cost per patient was estimated.Results: The population with moderate to severe asthma treated with budesonide–formoterol fixed-dose combinations delivered by Turbuhaler® in 2015 was estimated to be 166,985 in Spain. Region-specific prevalence data resulted in 25,081, 12,392, 16,097, 17,829, and 15,148 patients in Andalusia

Opportunities and contradictions in maritime heritage and small-scale fishing--a case study of Catalonia.

Science.gov (United States)

Carbonell, Eliseu

2014-03-01

Much has been written in recent years about the crisis in fisheries caused by the critical reduction in catches and about the strategies developed by local communities of fishers in response. The aim of this article is to demonstrate that the use of maritime heritage can also be considered part of these strategies. Like fishers elsewhere, Catalan small-scale fishers face severe threats to their professional survival. Recently some of them have became involved in activities related to maritime heritage as a strategy to draw the attention of policy makers and the general public to their problems, a strategy not without clear contradictions. But beyond these contradictions, the article points out the opportunities that use of maritime heritage offers to fishers in Catalonia as well as elsewhere.

Spain: Success story in space

Science.gov (United States)

Longdon, Norman

From the early 1960's, European governments were aware that they had to take part in the exploration, and potential exploitation, of space, or be left behind in a field of high-technology that had far-reaching possibilities. It was also realized that financial and manpower constraints would limit the extent to which individual nations could carry out their own national programs. They, therefor, joined forces in two organizations: the European Space Research Organization (ESRO) and the European Launcher Development Organization (ELDO). By 1975, when the potential of space development had been more fully appreciated, the two organizations were merged into the Europeans Space Agency (ESA) of which Spain was a founding member. ESA looks after the interest of 13 member states, one associated member state (Finland), and one cooperating state (Canada) in the peaceful uses of space. Its programs center around a mandatory core of technological research and space science to which member states contribute on the basis of their Gross National Product. Spain in 1992 contributes 6.46% to this mandatory program budget. The member states then have the chance to join optional programs that include telecommunications, observation of the earth and its environment, space transportation systems, microgravity research, and participation in the European contribution to the International Space Station Freedom. Each government decides whether it is in its interest to join a particular optional program, and the percentage that it wishes to contribute to the budget. Although in the early days of ESA, Spain participated in only a few optional programs, today Spain makes a significant contribution to nearly all of ESA's optional programs. This document presents Spain's contributions to particular ESA Programs and discusses Spain's future involvement in ESA.

Underscreened Women Remain Overrepresented in the Pool of Cervical Cancer Cases in Spain: A Need to Rethink the Screening Interventions.

Science.gov (United States)

Ibáñez, Raquel; Alejo, María; Combalia, Neus; Tarroch, Xavier; Autonell, Josefina; Codina, Laia; Culubret, Montserrat; Bosch, Francesc Xavier; de Sanjosé, Silvia

2015-01-01

Audit of women with invasive cervical cancer (CC) is critical for quality control within screening activities. We analysed the screening history in the 10 years preceding the study entry in women with and without CC during 2000-2011. 323 women with CC from six pathology departments in Catalonia (Spain) and 23,782 women with negative cytology were compared. Age, previous history of cytologies, and histological type and FIGO stage were collected from the pathology registries. Logistic regression analysis was used to estimate odds ratios (OR) and 95% confidence intervals (CI95%). History of cytology was registered in 26.2% of CC cases and in 78% of the control women (P < 0.0001) and its frequency decreased with increasing age. Compared to women with squamous cell carcinoma, adenocarcinoma cases were significantly more likely to have a cytology within the 3-year interval preceding cancer diagnosis (OR = 2.6 CI 95%: 1.2-5.6) and to have normal cytology results in previous screenings (OR = 2.4 CI 95%: 1.2-4.5). FIGO II-IV cases were more common among older women (older than 60 years). Absence of prior screening history was extremely common among CC cases compared to controls. Organized actions to reduce underscreened women and use of highly sensitive HPV-based tests could be important to reduce CC burden.

48 CFR 252.229-7005 - Tax exemptions (Spain).

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Tax exemptions (Spain... of Provisions And Clauses 252.229-7005 Tax exemptions (Spain). As prescribed in 229.402-70(e), use the following clause: Tax Exemptions (Spain) (JUN 1997) (a) The Contractor represents that the...

EL PRINCIPIO CONSTITUCIONAL DE SOLIDARIDAD INTERTERRITORIAL EN ESPAÑA Y EN ALEMANIA: APLICACIÓN Y LÍMITES

Directory of Open Access Journals (Sweden)

Alberto Vega García

2014-10-01

Full Text Available This article analyses the application of the constitutional principle of fiscal equalization in Spain and Germany focusing on the issue of its limits. To begin with, the Spanish case is presented, including both the autonomous communities under the common system and the Basque Country and Navarre, and paying articular attention to the limits to solidarity which had been foreseen by the Statute of Autonomy of Catalonia and which have been partly declared unconstitutional due to their unilateral character. Given that these statutory provisions had been inspired to a large extent by the principles followed in Germany, such as the prohibition of a complete fiscal equalization, the second part of the article analyses the legal framework of this country and its interpretation in the constitutional case law. In general, the current situation in both States is not so different, given that, despite the decision of the Spanish Constitutional Court on the Statute of Autonomy of Catalonia, the general financing system of 2009 still applies these principles. However, in contrast to the situation in Germany, a notable difference is the asymmetry which exists in Spain due to the limited contribution of the Basque Country and Navarre to fiscal equalization transfers, which is unjustified and therefore should be corrected.

Final Disposition and Quality Auditing of the Rehabilitation Process in Wild Raptors Admitted to a Wildlife Rehabilitation Centre in Catalonia, Spain, during a Twelve Year Period (1995–2007)

Science.gov (United States)

Molina-López, Rafael A.; Casal, Jordi; Darwich, Laila

2013-01-01

Background Variability in reporting and classification methods in previous published data of the final dispositions in the rehabilitation of wild raptors makes use of this data limited in trying to audit the quality of the rehabilitation process. Crude as well as stratified disposition rates are needed if quality auditing of the rehabilitation process is to be adequately performed. Methodology Final dispositions of 6221 hospitalized wild raptors admitted at a wildlife rehabilitation centre (WRC) of Catalonia during 1995–2007 were analyzed. These dispositions were calculated as the euthanasia (Er), unassisted mortality (Mr), release (Rr) and captivity rates (Cr)., time to death (Td) for dead and euthanized raptors, and length of stay for released (Tr) raptors was estimated. Stratified analyses by main causes of admission and clinical signs were performed. Results The disposition for the total population were: Er  = 30.6%, Mr = 19.1%, Rr  = 47.2%, and Cr  = 3%. By main causes of admission, Er was higher in the trauma category (34.2%), whereas Mr was found similar between trauma (37.4%) and non-trauma categories (34.8%). The highest Rr was observed for the orphaned group (77.9%). Furthermore, Cr was low in all the categories (<4%). By clinical signs, the highest Er was found in animals suffering musculoskeletal (37.9%) or skin (32.3%) lesions; Mr was high in infectious/parasitic diseases (66.7%) and in case of neurological symptoms (64.5%). The euthanized birds had a median Td  = 1 day (P10 = 0-P90 = 59) for both trauma and non-trauma categories, and Td  = 36 days for the orphaned young group (P10 = 0; P90 = 596). The median Td in the unassisted dead birds was 2 days for all the categories (P10 = 0-P90 = 31). Finally, the median Tr in the centre was variable among categories. Conclusions/Significance Reporting of final dispositions in wildlife rehabilitation should include the crude and stratified rates (Er, Mr, Rr

Rationale and design of the DP-TRANSFERS project: diabetes prevention-transferring findings from European research to society in Catalonia.

Science.gov (United States)

Costa, Bernardo; Castell, Conxa; Cos, Xavier; Solé, Claustre; Mestre, Santiago; Canela, Marta; Boquet, Antoni; Cabré, Joan-Josep; Barrio, Francisco; Flores-Mateo, Gemma; Ferrer-Vidal, Daniel; Lindström, Jaana

2016-04-27

Compelling evidence has been accumulated to support the effectiveness of intensive lifestyle intervention in delaying progression to Type 2 diabetes even in people identified as being at high risk determined by the Finnish diabetes risk score. The DE-PLAN-CAT project (diabetes in Europe-prevention using lifestyle, physical activity and nutritional intervention-Catalonia) evidenced that intensive lifestyle intervention was feasible and cost-effective on a short scale in real-life primary care settings, at least over 4 years. However, transferring such lifestyle interventions to society remains the major challenge of research in the field of diabetes prevention. The derived DP-TRANSFERS (diabetes prevention-transferring findings from European research to society) is a large scale national programme aimed at translating a tailored lifestyle intervention to the maximum of primary care centres where feasible through a core proposal agreed with all the partners. The method is built upon a 3-step (screening, intervention and follow-up) real-life, community-wide structure on the basis of a dual intensity lifestyle intervention (basic and continuity modules) and supported by a 4-channel transfer strategy (institutional relationships, facilitators' workshops, collaborative groupware and programme WEB page). Participation will initially cover nine health departments (7 million inhabitants) through nine coordinating centres located in metropolitan (3.2 million), semi-urban (2.9 million) and rural (0.9 million) areas from which it is expected accessing 25 % of all primary care settings, equivalent to 90 associated centres (1.6-1.8 million people) with an estimate of 0.32 million participants aged 45-75 years at high risk of future development of diabetes. To ascertain sustainability, effect, satisfaction and quality of the translation programme statistical analyses will be performed from both the entire population (facilitators and participants) and a stratified

Spain investigates PLEX options

International Nuclear Information System (INIS)

Hevia, F.

1990-01-01

Spain's nuclear generation capacity will be reduced by some 6000MWe by the year 2015 if decommissioning of the units currently in operation takes place at the end of their 40-year design life. Bearing this in mind, in 1988 the Santa Maria de Garona BWR and the Jose Cabrera PWR were chosen by their respective owners as reference units for plant life extension (PLEX) activities. These plants are the oldest of their types operating in Spain and PLEX programmes were already under way. (author)

Marriage strategies among immigrants in Spain

NARCIS (Netherlands)

Sánchez-Domínguez, M.; de Valk, H.A.G.; Reher, D.S.

2011-01-01

This paper studies patterns of endogamous marriages of immigrants in Spain by using data from the National Immigrant Survey of Spain (2007). First of all, we examine patterns of endogamous marriage and links between migration and marriage. Second, we assess the factors influencing the likelihood of

Milk, social acceptance of a new food in Europe: Catalonia, 19th-20th centuries.

Science.gov (United States)

Nicolau-Nos, Roser; Pujol-Andreu, Josep; Hernández, Ismael

2010-01-01

In this article we analyse the time course of the consumption of fresh milk in different regions of Europe between the 1870s and 1930s. Working from the case of Catalonia, we affirm that the increasing consumption of milk in that period must be especially linked to the spreading of new scientific knowledge in microbiology and nutrition that followed Pasteur's discoveries. We particularly highlight the information dissemination activities in this direction carried out by health sector professionals (medical doctors and pharmacists), governing local institutions and the milk industry. The initiatives developed by these groups changed people's preferences--fresh milk became accepted as a necessary food-stuff, and demand for it increased. However, the evolution of consumption was not the same in all regions of Europe due to their different environmental and agronomic conditions.

Acid Deposition Maps in Spain

International Nuclear Information System (INIS)

Artinano, B.; Cabal, H.; Garcia, C.

1998-01-01

Animal and monthly deposition velocity and total sulfur deposition maps have been performed for the peninsular Spain for 1992 by using the inferential method. To do this, updated databases with high space and time resolution, for land uses (CORINE) and meteorological information from analysis modelling for the same year, have been utilized. The final result are deposition maps in a 5x5 Km 2 grid which allow to assess the methodology used in Europe to obtain the maps of excedances over the critical loads of pollutants. (Author) 32 refs

Essentialism in Spanish parents' descriptions of their transnationally adopted teenagers

OpenAIRE

Báñez Tello, Tomasa

2017-01-01

This preliminary qualitative study of 24 adoptive families in Catalonia, Spain asks how adoptive parents of teens describe the things they dislike about their children. This question matters because prior research shows that parents' views of their children can affect their parenting style and their relationships with their children. I show that in describing their dislikes, parents draw on essentialist beliefs about their children's culture of origin and about their personality traits. My an...

Empirical Evidence of Stakeholder Management in Sports Clubs: The Impact of the Board of Directors

OpenAIRE

Esteve, M.; Di Lorenzo, F.; Inglés, E.; Puig, N.

2011-01-01

A major challenge for non-profit sports organizations is how to raise resources from their stakeholders. The present article empirically assesses how the management of stakeholders can affect the resources raised by non-profit sports organizations. The moderating effect of particular characteristics of the Board of Directors is also considered. Evidence is obtained by surveying a large sample of sports clubs from Catalonia, Spain. Results indicate how the quality of relations between sports c...

[Scientific production in microbiology and affinity areas in Spain during 1990-2002].

Science.gov (United States)

Ramos, José Manuel; Gutiérrez, Félix; Royo, Gloria

2005-01-01

To analyze the production and repercussions of the scientific activity of Spanish authors in the fields of microbiology, mycology, parasitology and virology. Documents published during the period of 1990 to 2000 compiled on the MEDLINE database >(WEBSPIRS 4.2) were retrieved using the following search terms ("Spain" OR "Espana") AND ("microb*" OR "virol*" OR "parasit*" OR "bacter*" OR "micol*" OR "mycol*" OR "retrovirus*) in the field, author's address. A total of 5259 documents were retrieved. Over the period studied, the number of documents published annually increased two-fold, from 256 documents in 1990 to 512 in 2002 (r = 0.92; p < 0.001), particularly those in foreign journals, from 175 to 447 documents (r = 0.95; p < 0.001). 50.9% of the documents came from universities, 35.8% from hospitals, 5.4% from the Consejo Superior de Investigaciones Científicas (CSIC) (5.4%), and 5.3% from the Instituto de Salud Carlos III. The CSIC centers (r 2 = 0.90), and universities (r 2 = 0.88) showed the highest rate of growth in the number of publications. The University of Barcelona (5.3%) had the largest number of publications among teaching institutions and Hospital Ramón y Cajal (2.9%) was the first among hospitals. The Autonomous Communities of Madrid (29.2%) and Catalonia (17.5%) showed the highest scientific production. The mean expected impact factor for all the published documents was 2.340. The expected impact factor grew from 1.977 in 1990 to 2.507 en 2002 (r 2 = 0.81). The published scientific production of Spanish researchers and the repercussion of these studies in the field of microbiology and related areas increased during the period of 1990 to 2002, particularly in the number of articles published in foreign journals. The Universities are the most productive institutions in this field.

An analysis of the evolution of hydrometeorological extremes in newspapers: the case of Catalonia, 1982–2006

Directory of Open Access Journals (Sweden)

V. Altava-Ortiz

2009-07-01

Full Text Available This contribution analyzes the evolution of perception of certain natural hazards over the past 25 years in a Mediterranean region. Articles from newspapers have been used as indicator. To this end a specific Spanish journal has been considered and an ACCESS database has been created with the summarized information from each news item. The database includes data such as the location of each specific article in the newspaper, its length, the number of pictures and figures, the headlines and a summary of the published information, including all the instrumental data. The study focused on hydrometeorological extremes, mainly floods and droughts, in the northeast of the Iberian Peninsula. The number of headlines per event, trends and other data have been analyzed and compared with "measured" information, in order to identify any bias that could lead to an erroneous perception of the phenomenon. The SPI index (a drought index based on standardized accumulated precipitation has been calculated for the entire region, and has been used for the drought analysis, while a geodatabase implemented on a GIS built for all the floods recorded in Catalonia since 1900 (INUNGAMA has been used to analyze flood evolution. Results from a questionnaire about the impact of natural hazards in two specific places have been also used to discuss the various perceptions between rural and urban settings. Results show a better correlation between the news about drought or water scarcity and SPI than between news on floods in Catalonia and the INUNGAMA database. A positive trend has been found for non-catastrophic floods, which is explained by decrease of the perception thresholds, the increase of population density in the most flood-prone areas and changes in land use.

El turismo en Cataluña: evolución histórica y retos de futuro

Directory of Open Access Journals (Sweden)

Jiménez, Sole

2006-01-01

Full Text Available This article features, in a brief introduction, the history, present situation and main future challenges of tourism in Catalonia. Catalonia, as a region, is the first tourist destination in Spain according to the number of visitors and total income. Its particular geography and socio-cultural characteristics turn Catalonia into an interesting laboratory for studying the evolution of tourism in South Europe. On one hand, Costa Brava, mainly, and Costa Dorada have been a classical destination for ‘sun and beach’ tourism. On the other hand, its mountains and, above all the wide Pyrenean range have also promoted the development of winter tourism, which has reached its peak in Baqueria-Beret winter sports resort, and has forwarded the introduction of country tourism and adventure tourism. Cultural tourism, finally, which has always counted on complementary incentives such as the Roman city of Tarraco, the Greco-Roman archaeological site of Ampurias, the singularities of Montserrat or the works of Dalí, Picasso, Miró… has strongly taken off in Barcelona since the last restructuring and promotion of the city, because of the Olympic Games in 1992. All these facts make tourism a key sector in Catalonia, around which momentous debates take place, not always, perhaps, with the needed strict criteria. That is why we feel convenient to offer this panoramic view, which in its modest scope, may allow scholars in other parts of the world to have some essential information on this matter

[Literary, biographic and autoethnographic contributions in Spanish medical anthropology: the case of Catalonia].

Science.gov (United States)

Alegre-Agís, Elisa; Riccò, Isabella

2017-01-01

The autoethnographic method has been an important contribution to the development of medical anthropology in Spain. This article first reviews and explores documents published before 1980 that are usually classified as literature and autobiography and are linked to the health-disease-care process, a paradigmatic example of which is Ramona Via's diary Com neixen els Catalans [How Catalans are born] published in 1972. The second part of the article is focused on contributions carried out since the 1980s using the concept of autoethnography, which have as their object the body, health and illness based on a subjective ethnographic experience. This period, unlike the first, is characterized by the emergence of anthropologist authors who have promoted the development of this method, legitimized by the Tarragona School and substantialized in the first Spanish conference of autoethnography in 2015.

78 FR 6227 - Importation of Fresh Apricots From Continental Spain

Science.gov (United States)

2013-01-30

.... APHIS-2011-0132] RIN 0579-AD62 Importation of Fresh Apricots From Continental Spain AGENCY: Animal and... continental Spain. As a condition of entry, fresh apricots from continental Spain would have to be produced in... organization of Spain certifying that the fruit is free from all quarantine pests and has been produced in...

INES in Spain

International Nuclear Information System (INIS)

Zarzuela, J.

1997-01-01

The presentation discusses the INES activities in Spain addressing the following issues: applicability; rating procedure; public information; activities in 1997; events above level 0 (October 1996 - September 1997); difficulties

Teaching Gender and Geography in Spain

Science.gov (United States)

Garcia-Ramon, Maria-Dolors

2011-01-01

Since the introduction of gender themes into university teaching in geography in Spain in 1989, significant gains have been made but challenges remain in relation to placing gender into undergraduate curricula and developing teaching resources in local languages. Geographers in Spain have to meet those challenges in the near future in order to…

An analysis of the costs of treating schizophrenia in Spain: a hierarchical Bayesian approach.

Science.gov (United States)

Vázquez-Polo, Francisco-Jose; Negrín, Miguel; Cabasés, Juan M; Sánchez, Eduardo; Haro, Joseph M; Salvador-Carulla, Luis

2005-09-01

Health care decisions should incorporate cost of illness and treatment data, particularly for disorders such as schizophrenia with a high morbidity rate and a disproportionately low allocation of resources. Previous cost of illness analyses may have disregarded geographical aspects relevant for resource consumption and unit cost calculation. To compare the utilisation of resources and the care costs of schizophrenic patients in four mental-health districts in Spain (in Madrid, Catalonia, Navarra and Andalusia), and to analyse factors that determine the costs and the differences between areas. A treated prevalence bottom-up three year follow-up design was used for obtaining data concerning socio-demography, clinical evolution and the utilisation of services. 1997 reference prices were updated for years 1998-2000 in euros. We propose two different scenarios, varying in the prices applied. In the first (Scenario 0) the reference prices are those obtained for a single geographic area, and so the cost variations are only due to differences in the use of resources. In the second situation (Scenario 1), we analyse the variations in resource utilisation at different levels, using the prices applicable to each healthcare area. Bayesian hierarchical models are used to discuss the factors that determine such costs and the differences between geographic areas. In scenario 0, the estimated mean cost was 4918.948 euros for the first year. In scenario 1 the highest cost was in Gava (Catalonia) and the lowest in Loja (Andalusia). Mean costs were respectively 4547.24 and 2473.98 euros. With respect to the evolution of costs over time, we observed an increase during the second year and a reduction during the third year. Geographical differences appeared in follow-up costs. The variables related to lower treatment costs were: residence in the family household, higher patient age and being in work. On the contrary, the number of relapses is directly related to higher treatment costs

Surveying wolves without snow: a critical review of the methods used in Spain

OpenAIRE

Blanco, Juan Carlos; Cortés, Yolanda

2011-01-01

Wolves (Canis lupus) are difficult to survey, and in most countries, snow is used for identifying the species, counting individuals, recording movements and determining social position. However, in the Iberian peninsula and other southern regions of its gobal range, snow is very scarce in winter, so wolves must be surveyed without snow. In Spain and Portugal, wolves are surveyed through estimating number of wolf packs in summer by means of locating litters of pups when they are at rendezvous ...

Water footprint, extended water footprint and virtual water trade of the Cantabria region, Spain. A critical appraisal of results, uncertainties and methods.

Science.gov (United States)

Diaz-Alcaide, Silvia; Martinez-Santos, Pedro; Willaarts, Barbara; Hernández-Moreno, Enrique; Llamas, M. Ramon

2015-04-01

Water footprint assessments have gradually gained recognition as valuable tools for water management, to the point that they have been officially incorporated to water planning in countries such as Spain. Adequate combinations of the virtual water and water footprint concepts present the potential to link a broad range of sectors and issues, thus providing appropriate frameworks to support optimal water allocation and to inform production and trade decisions from the water perspective. We present the results of a regional study carried out in Cantabria, a 5300 km2 autonomous region located in northern Spain. Our approach deals with the municipal, shire and regional scales, combining different methods to assess each of the main components of Cantabria's water footprint (agriculture, livestock, forestry, industry, mining, tourism, domestic use and reservoirs), as well as exploring the significance of different approaches, assumptions and databases in the overall outcomes. The classic water footprint method is coupled with extended water footprint analyses in order to provide an estimate of the social and economic value of each sector. Finally, virtual water imports and exports are computed between Cantabria and the rest of Spain and between Cantabria and the world. The outcome of our work (a) highlights the paramount importance of green water (mostly embedded in pastures) in the region's water footprint and virtual water exports; (b) establishes the role of the region as a net virtual water exporter; (c) shows the productivity of water (euro/m3 and jobs/m3) to be highest in tourism and lowest in agriculture and livestock; and (d) demonstrates that statistical databases are seldom compiled with water footprint studies in mind, which is likely to introduce uncertainties in the results. Although our work shows that there is still plenty of room for improvement in regional-scale water footprint assessments, we contend that the available information is sufficient to

75 FR 51113 - Chlorinated Isocyanurates From China and Spain

Science.gov (United States)

2010-08-18

... Isocyanurates From China and Spain AGENCY: United States International Trade Commission. ACTION: Scheduling of... and Spain. SUMMARY: The Commission hereby gives notice of the scheduling of expedited reviews pursuant... revocation of the antidumping duty orders on chlorinated isocyanurates from China and Spain would be likely...

[[Abortion, Stigma and Conscientious Objection: Experiences and Opinions of Gynecologists in Italy and Catalonia].

Science.gov (United States)

De Zordo, Silvia

This article discusses the issue of abortion stigma and conscientious objection based on the main results of a qualitative study carried out in hospitals providing abortion care in Italy and Spain (Catalunya). This study was aimed at examining obstetricians-gynaecologists' experiences and attitudes to abortion, or voluntary interruption of pregnancy. The abortion law is relatively liberal in these two Catholic countries (much more liberal in Spain than in Italy). However, abortion still is strongly stigmatized in the public debate on human and reproductive rights, whose focus has shifted, over the last decade, from women's rights to the "rights of the conceived". Based on a study carried out in Italy in 2011-2012 and in Spain in 2013- 2015, this article discusses the impact of the stigmatization of abortion on the quality of obstetricians-gynaecologists' training and on their professional choices concerning conscientious objection and shows how physicians contribute to reproduce abortion stigma in the two countries.

The quality of reporting methods and results of cost-effectiveness analyses in Spain: a methodological systematic review.

Science.gov (United States)

Catalá-López, Ferrán; Ridao, Manuel; Alonso-Arroyo, Adolfo; García-Altés, Anna; Cameron, Chris; González-Bermejo, Diana; Aleixandre-Benavent, Rafael; Bernal-Delgado, Enrique; Peiró, Salvador; Tabarés-Seisdedos, Rafael; Hutton, Brian

2016-01-07

Cost-effectiveness analysis has been recognized as an important tool to determine the efficiency of healthcare interventions and services. There is a need for evaluating the reporting of methods and results of cost-effectiveness analyses and establishing their validity. We describe and examine reporting characteristics of methods and results of cost-effectiveness analyses conducted in Spain during more than two decades. A methodological systematic review was conducted with the information obtained through an updated literature review in PubMed and complementary databases (e.g. Scopus, ISI Web of Science, National Health Service Economic Evaluation Database (NHS EED) and Health Technology Assessment (HTA) databases from Centre for Reviews and Dissemination (CRD), Índice Médico Español (IME) Índice Bibliográfico Español en Ciencias de la Salud (IBECS)). We identified cost-effectiveness analyses conducted in Spain that used quality-adjusted life years (QALYs) as outcome measures (period 1989-December 2014). Two reviewers independently extracted the data from each paper. The data were analysed descriptively. In total, 223 studies were included. Very few studies (10; 4.5 %) reported working from a protocol. Most studies (200; 89.7 %) were simulation models and included a median of 1000 patients. Only 105 (47.1 %) studies presented an adequate description of the characteristics of the target population. Most study interventions were categorized as therapeutic (189; 84.8 %) and nearly half (111; 49.8 %) considered an active alternative as the comparator. Effectiveness of data was derived from a single study in 87 (39.0 %) reports, and only few (40; 17.9 %) used evidence synthesis-based estimates. Few studies (42; 18.8 %) reported a full description of methods for QALY calculation. The majority of the studies (147; 65.9 %) reported that the study intervention produced "more costs and more QALYs" than the comparator. Most studies (200; 89.7 %) reported favourable

La contribució del Parlament al procés de consolidació i desenvolupament de l'autogovern de Catalunya i a la defensa de la seva identitat nacional

Directory of Open Access Journals (Sweden)

Carles Viver Pi-Sunyer

2013-10-01

Full Text Available This article analyses the specific contribution of the Catalan Parliament to the development and consolidation of self-government and national identity in Catalonia. In this sense, the article examines the resolutions, motions and declarations which have been adopted by the Plenary and the committees of the Catalan Parliament since its re-establishment in 1980, on four fundamental topics: first, the enlargement and improvement of the quality of the competences, as well as the establishment of a fair financial regime for Catalonia; second, the right to self-determination and the “right to decide”; third, the defence of the recognition of Catalonia as a nation and fourth, the defence of the Catalan language as the own language of Catalonia (“national language”. Regarding the first topic, the article showsthat self-government demands and complaints about the recentralizationtrends exhibited by central government are both old claims which started by claiming reinterpretations of the Spanish Constitution (right in the 1980s and followed by proposals of constitutional amendments, reform of theCatalan Statute, and by the proposal of new financial regime for Catalonia (the “Fiscal Pact Proposal”. On the second topic, that about the claim for self-determination, the article shows that it has been a persistent issue of parliamentary debates: it was included in 11 resolutions during the period 1989-1991. While the earlier resolutions were just expressing the existence of such right, the most recent ones are the expression of a political will andestablish the course of action for its actual implementation. On the third topic, that referred to the “national recognition of Catalonia”, the article analyses the failed attempts to obtain the recognition of Catalonia as a nation from the Spanish Government. Regarding the defence of the Catalan language as the “national” language, the article shows how the Parliament has extensively devoted a

78 FR 32183 - Importation of Avocados From Continental Spain

Science.gov (United States)

2013-05-29

.... APHIS-2012-0002] RIN 0579-AD63 Importation of Avocados From Continental Spain AGENCY: Animal and Plant... continental Spain (excluding the Balearic Islands and Canary Islands) into the United States. This action will... avocados from continental Spain (excluding the Balearic Islands and Canary Islands) into the United States...

The social impact of the snowfall of 8 March 2010 in Catalonia

Science.gov (United States)

Amaro, J.; Llasat, M. C.; Aran, M.

2010-09-01

The snowfall of 8 March 2010 affected almost all Catalonia, but especially the northeast where snow thickness was between 20 and 30 cm, locally with higher values up to 60 cm. Strong winds followed the event, exceeding 90 km/h in some places. As a result, infrastructures and public services, also private properties were damaged. Thousands of people were left stranded by the circulatory collapse, suspensions of railway service and by falling branches or trees on road infrastructures blocking accesses to residential areas. The regional government approved funds of 21.4 millions of Euros to mitigate the damage caused by this event, mainly invested in forest cleanup operations and in repairing road damage. The social impact of this event has been so high that 210 news have been published in a newspaper until 23 April, 190 of them during the month of March. From the study of the characteristics of this episode it can be stated that in the coast and pre-costal area, temperature at the same moment of precipitation was between 0ºC and 2ºC and humidity was high. In these zones, the type of precipitation was wet snow. It has to be considered that the combination of wet snow and wind can be a risk because of the ice-weight accumulated on objects (trees, electricity pylons...). As a consequence important damage happened in power network with significant collateral effects and more than 450,000 customers were affected by a power outage during some days. In this study we will compare the consequences of this event with others by means of information published in press. As a result, some set of consequences that are repeated regardless of the magnitude of the phenomenon will be identified. Finally, this event is also an example of the incision of social networks. This snowfall has been classified by mass media as the first "snowfall 2.0": 81600 entrances in Google, 132 Facebook groups and 750 videos made by amateurs in internet. From this study, we will present some reflexions

Cost effectiveness of palivizumab in Spain: An analysis using observational data

NARCIS (Netherlands)

M.J.C. Nuijten (Mark); W. Wittenberg (Wolfgang)

2010-01-01

textabstractObjectives: To assess the cost effectiveness of palivizumab for prevention of severe respiratory syncytial virus (RSV) disease in high-risk infants in Spain, incorporating country-specific observational hospitalisation data. Methods: An existing decision tree model, designed using data

An alternative radiometric method for calculating the sedimentation rates: Application to an intertidal region (SW of Spain)

Energy Technology Data Exchange (ETDEWEB)

Ligero, R.A., E-mail: rufino.ligero@uca.e [Departamento de Fisica Aplicada, Universidad de Cadiz, 11510 Puerto Real, Cadiz (Spain); Casas-Ruiz, M. [Departamento de Fisica Aplicada, Universidad de Cadiz, 11510 Puerto Real, Cadiz (Spain); Barrera, M. [Departamento de Medio Ambiente, CIEMAT, Madrid 28040 (Spain); Barbero, L. [Departamento de Ciencias de la Tierra, Universidad de Cadiz, 11510 Puerto Real (Spain); Melendez, M.J. [Departamento de Fisica Aplicada, Universidad de Cadiz, 11510 Puerto Real, Cadiz (Spain)

2010-09-15

A new method using the inventory determined for the activity of the radionuclide {sup 137}Cs, coming from global radioactive fallout has been utilised to calculate the sedimentation rates. The method has been applied in a wide intertidal region in the Bay of Cadiz Natural Park (SW Spain). The sedimentation rates estimated by the {sup 137}Cs inventory method ranged from 0.26 cm/year to 1.72 cm/year. The average value of the sedimentation rate obtained is 0.59 cm/year, and this rate has been compared with those resulting from the application of the {sup 210}Pb dating technique. A good agreement between the two procedures has been found. From the study carried out, it has been possible for the first time, to draw a map of sedimentation rates for this zone where numerous physico-chemical, oceanographic and ecological studies converge, since it is situated in a region of great environmental interest. This area, which is representative of common environmental coastal scenarios, is particularly sensitive to perturbations related to climate change, and the results of the study will allow to make short and medium term evaluations of this change.

Archeological glass from the Ciutadella de Roses site (Empordà, Girona, NE Spain): chemical characterization

Science.gov (United States)

Garcia-Valles, M.; Puig, A. M.; Gimeno, D.; Aulinas, M.

2012-04-01

The town of Roses is placed in the homonymous bay some 15 km north of the greek-roman city of Emporium, in the Empordà Country (Catalonia, NE Spain). The north sector of the Empordà constitutes a fertile river plain located within the Pyrenees Range and the Montgrí calcareous block that has been extensively occupied at least since Neolitic times. The Roses fortress is a space of more than 130.000 m2 of renaissance style built in 1543 that constitutes one of the rare fort places preserved in Catalonia after the Succession War (1701-1714). The archaeological excavations conducted in the area of the Ciutadella have shown the rests of the Greek city of Rhode, founded at 776 B.C. by Rhodian people; the Hellenistic quartier (especially important at IV-III centuries B.C.; a roman villa (occupied between centuries II B.C. and VI D.C.); a romain-lombard monastery (Santa Maria, century XI), and a series of rests till century XIX. The excavations conducted in the period 1993-1996 provided glass remnants of several ages in a number of strata at several places within the Ciutadella walls. A number of 25 samples were chosen and cleaned in order to characterize its main chemistry by EMPA. Samples were mounted on a epoxy resin, cut and polished, and external sectors with surface alteration were avoided during analysis. The major constituents Si, Al, Na, K, Fe, Mn, Ca, Mg, Ti and P were analysed, as well as a number of trace elements (metals) that give indication on the colour of glass: Co, Cu, Cr, Sb and Pb. The archaeological data allow dating the concerned strata in several periods: end of VI century-beginning of VII (3 samples) and from middle XVI century to XVIII century. The scope of this work is to provide a first characterization of the glass chemical composition variation along time since late roman times in a near to permanent occupied site. All the studied glass fragments show a sodic-lime composition, being the ones corresponding to VI-VII of low magnesia and

Detecting which teaching competences should be reinforced in an engineering lecturer training program

OpenAIRE

López Álvarez, David; Pérez Poch, Antoni

2016-01-01

In Catalonia (Spain), each university is required by law to offer lecturers a learning framework. This requirement is met by specialized centers: at our technical university, Universitat Politècnica de Catalunya (UPC) this center is the Institute for Education Sciences (ICE), to which the authors of this article belong. This institute offers training to both new and senior lecturers. This training is voluntary because no specific teacher training background is required for teaching at the uni...

Unequal distribution of salary from a gender perspective and the impact of recession on the catalan labor market

OpenAIRE

Adillón, M.Jesús Gómez; Piqué, M.Àngels Cabasés

2014-01-01

In order to highlight the uneven impact of recession on the labor market in Catalonia (Spain), especially regarding wage structure, this study examines the evolution of its main variables in the period 2005-2012 from a gender perspective. For ten years prior to recession, female employment improved, mainly due to the expansion of the tertiary sector and public sector and numerous new political and legislative actions. These actions aimed at the interdiction of certain long-held and deep-roote...

Revision, uptake and coding issues related to the open access Orchard Sports Injury Classification System (OSICS) versions 8, 9 and 10.1

OpenAIRE

Orchard, John; Rae, Katherine; Brooks, John; H?gglund, Martin; Til, Lluis; Wales, David; Wood, Tim

2010-01-01

John Orchard1, Katherine Rae1, John Brooks2, Martin Hägglund3, Lluis Til4, David Wales5, Tim Wood61Sports Medicine at Sydney University, Sydney NSW Australia; 2Rugby Football Union, Twickenham, England, UK; 3Department of Medical and Health Sciences, Linköping University, Linköping, Sweden; 4FC Barcelona, Barcelona, Catalonia, Spain; 5Arsenal FC, Highbury, England, UK; 6Tennis Australia, Melbourne, Vic, AustraliaAbstract: The Orchard Sports Injury Classification Sys...

Marketing channels for small wineries: a means – end chain approach.

OpenAIRE

Escobar Gonzalez, Cristina; Gil Roig, José María

2016-01-01

The wine sector in Catalonia (Spain) is clearly dual: there are some big companies that contrast with the many small wineries that face difficulties to remain profitable. For these wineries, gaining access to the markets is of paramount importance. Our work explores the distributor’s main business motivations, and the possibilities to pursue these in their business relationships with the wineries. To tackle this issue we carried out a vertical differentiation of the service “wine supply” by m...

A Catalan code of best practices for the audiovisual sector

OpenAIRE

Teodoro, Emma; Casanovas, Pompeu

2010-01-01

In spite of a new general law regarding Audiovisual Communication, the regulatory framework of the audiovisual sector in Spain can still be defined as huge, disperse and obsolete. The first part of this paper provides an overview of the major challenges of the Spanish audiovisual sector as a result of the convergence of platforms, services and operators, paying especial attention to the Audiovisual Sector in Catalonia. In the second part, we will present an example of self-regulation through...

Sustainability assessment of straight vegetable oil used as self-supply biofuel in agriculture

OpenAIRE

Baquero Armans, Grau; Esteban Dalmau, Bernat; Puig Vidal, Rita; Riba Ruiz, Jordi-Roger; Rius Carrasco, Antoni

2011-01-01

This work proposes and analyses a model for an agricultural fuel self-supply exploitation. The model is based on the current extended crop rotation of wheat and barley in Anoia region (Catalonia, Spain). The introduction of rapeseed to the current crop rotation and its conversion into oil to be used as agricultural fuel is presented. Life cycle assessment methodology is used to carry out an environmental and an economic assessment. Environmental results show a preference for the vegetable oil...

The economic effects of a Spanish trade boycott against Catalan products

OpenAIRE

Xavier Cuadras Morató; Modest Guinjoan

2011-01-01

We study the potential consequences of a hypothetical trade boycott against Catalan products organized by some sectors of the Spanish society mainly for political reasons. A symmetric trade boycott would have two effects: a reduction of Catalan exports to Spain and a partial process of import substitution in Catalonia. In order to quantify the economic impact of the boycott, we compare the "actual" Catalan economy, as described in the input-output table for 2005, with a "simulated" Catalan ec...

Právo národa na sebaurčenie: príklad Katalánska

OpenAIRE

Sleziaková, Zuzana

2012-01-01

This bachelor thesis analyzes the right of nations to self-determination on the example of Spain's autonomous region of Catalonia, which has been showing increasing separatist tendencies over the past few years. The first part presents the evolution of the right of nations to self-determination and discusses the ultimate subject of this right. For that matter, the thesis distinguishes between the terms state, nation, nationality, ethnic group and national minority. The thesis also defines the...

A Path Loss Model for Non-Line-of-Sight Ultraviolet Multiple Scattering Channels

Science.gov (United States)

2010-01-01

scattering is self -governed, and the distances and angles for different scattering events are conditioned on previous quantities. Therefore, the arrival...solid angle of the receiver determined by the receiver area and distance rn. Note that no integration over rn is needed because it is a function of...www.eurasip.org). This year edition will take place in Barcelona, capital city of Catalonia (Spain), and will be jointly organized by the Centre Tecnològic de

Looking for the best flash floods indicators in Mediterranean Region

Science.gov (United States)

Llasat, Maria-Carmen; Llasat-Botija, Montserrat; Turco, Marco

2010-05-01

Flash floods are a recurrent hazard in Mediterranean Region. From a global point of view, a distinction between two kinds of floods can be made (Llasat, 2009): a) Short-lived and strongly convective events (cases recorded between 2005 and 2006. This sample has been increased with some selected cases of the European project HYDRATE. Information from all the flash-floods recorded in Catalonia (Spain) since 1982, completed with data about population density and so on, has also been considered.

Epidemiology and clinical management of type 2 diabetes mellitus and associated comorbidities in Spain (e-Management study).

Science.gov (United States)

Franch Nadal, Josep; Mata Cases, Manel; Mauricio Puente, Dídac

2016-11-01

Type 2 diabetes mellitus is currently the most frequent chronic metabolic disease. In spain, according to the di@bet.es study, its prevalence is 13.8% in the adult population (although it is undiagnosed in 6%). The main risk factor for type 2 diabetes mellitus is obesity. The severity of type 2 diabetes mellitus is determined not only by the presence of hyperglycaemia, but also by the coexistence of other risk factors such as hypertension or dyslipidaemia, which are often associated with the disease. Its impact on the presence of chronic diabetic complications varies. While hyperglycaemia mainly influences the presence of microvascular complications, hypertension, dyslipidaemia and smoking play a greater role in macrovascular atherosclerotic disease. One of the most powerful ways to study the epidemiology of the disease is through the use of large databases that analyse the situation in the routine clinical management of huge numbers of patients. Recently, the data provided by the e-Management Project, based on the SIDIAP database, have allowed updating of many data on the health care of diabetic persons in Catalonia. This not only allows determination of the epidemiology of the disease but is also a magnificent starting point for the design of future studies that will provide answers to more questions. However, the use of large databases is not free of certain problems, especially those concerning the reliability of registries. This article analyses some of the data obtained by the e-Management study and other spanish epidemiological studies of equal importance. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

Urea cycle disorders in Spain: an observational, cross-sectional and multicentric study of 104 cases

OpenAIRE

Martín-Hernández, Elena; Aldámiz-Echevarría, Luis; Castejón-Ponce, Esperanza; Pedrón-Giner, Consuelo; Couce, María Luz; Serrano-Nieto, Juliana; Pintos-Morell, Guillem; Bélanger-Quintana, Amaya; Martínez-Pardo, Mercedes; García-Silva, María Teresa; Quijada-Fraile, Pilar; Vitoria-Miñana, Isidro; Dalmau, Jaime; Lama-More, Rosa A; Bueno-Delgado, María Amor

2014-01-01

Background Advances in the diagnosis and treatment of urea cycle disorders (UCDs) have led to a higher survival rate. The purpose of this study is to describe the characteristics of patients with urea cycle disorders in Spain. Methods Observational, cross-sectional and multicenter study. Clinical, biochemical and genetic data were collected from patients with UCDs, treated in the metabolic diseases centers in Spain between February 2012 and February 2013, covering the entire Spanish populatio...

Change in cognitive performance is associated with functional recovery during post-acute stroke rehabilitation: a multi-centric study from intermediate care geriatric rehabilitation units of Catalonia.

Science.gov (United States)

Pérez, Laura Mónica; Inzitari, Marco; Roqué, Marta; Duarte, Esther; Vallés, Elisabeth; Rodó, Montserrat; Gallofré, Miquel

2015-10-01

Recovery after a stroke is determined by a broad range of neurological, functional and psychosocial factors. Evidence regarding these factors is not well established, in particular influence of cognition changes during rehabilitation. We aimed to investigate whether selective characteristics, including cognitive performance and its change over time, modulate functional recovery with home discharge in stroke survivors admitted to post-acute rehabilitation units. We undertook a multicenter cohort study, including all patients discharged from acute wards to any geriatric rehabilitation unit in Catalonia-Spain during 2008. Patients were assessed for demographics, clinical and functional variables using Conjunt Mínim Bàsic de Dades dels Recursos Sociosanitaris (CMBD-RSS), which adapts the Minimum Data Set tool used in America's nursing homes. Baseline-to-discharge change in cognition was calculated on repeated assessments using the Cognitive Performance Scale (CPS, range 0-6, best-worst cognition). The multivariable effect of these factors was analyzed in relation to the outcome. 879 post-stroke patients were included (mean age 77.48 ± 10.18 years, 52.6% women). A worse initial CPS [OR (95% CI) = 0.851 (0.774-0.935)] and prevalent fecal incontinence [OR (95% CI) = 0.560 (0.454-0.691)] reduced the likelihood of returning home with functional improvement; whereas improvement of CPS, baseline to discharge, [OR (95% CI) = 1.348 (1.144-1.588)], more rehabilitation days within the first 2 weeks [OR (95% CI) = 1.011 (1.006-1.015)] and a longer hospital stay [OR (95% CI) = 1.011 (1.006-1.015)] were associated with the outcome. In our sample, different clinical characteristics, including cognitive function and its improvement over time, are associated with functional improvement in stroke patients undergoing rehabilitation. Our results might provide information to further studies aimed at exploring the influence of cognition changes during rehabilitation.

Quality assurance in Spain

International Nuclear Information System (INIS)

Villate, J.

1980-01-01

The first part of this lecture is devoted to present the energy program in Spain and the three generations of nuclear plants. The evolution of QA is outlined pointing out how IAEA Codes of Practice on QA is now a requirement and also how USA regulations, codes and standards have constituted, up to now, the main framework to develop QA activities in Spain. A general idea is given of the Spanish program of courses to qualify the personnel to be involved in QA tasks in nuclear power plants. Finally a general scheme is given, emphasizing the three main aspects: design, procurement and fabrication; construction (QA on site). (orig./RW)

Analysis of cerebrovascular mortality trends in Spain from 1980 to 2011.

Science.gov (United States)

Cayuela, A; Cayuela, L; Escudero-Martínez, I; Rodríguez-Domínguez, S; González, A; Moniche, F; Jiménez, M D; Montaner, J

2016-01-01

In recent decades, mortality rates for cerebrovascular diseases (CVD) have declined significantly in many countries. This study analyses changes in CVD mortality rates in Spain (1980-2011) to determine if previously observed trends remain. Data on CVD mortality rates and the population data needed for the analysis were provided by Spain's National Statistics Institute. We calculated age-specific mortality rate, age-standardised overall mortality, and age-truncated mortality (35-64 years) using the direct method and standard European population structure. Joinpoint analysis was used to estimate the percentage of annual change in rates and identify significant changes in trends. CVD mortality rate decreased considerably and continuously over the last 32 years in all age groups and in both sexes in Spain. For both sexes, joinpoint analysis identifies a final period with more marked decline: 2005-2011 in women (-6.3%) and 2007-2011 in men (-7.2%). CVD mortality rates displayed a marked and continuous decline in Spain between 1980 and 2011. Due to the ageing of the population, doctors expect an increase in CVD prevalence and therefore its magnitude in terms of disability and healthcare costs, which poses a challenge to our health system. Copyright © 2014 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

Police governmentality of fear on social movements around 15M in Catalonia (2011-2012

Directory of Open Access Journals (Sweden)

Rubén Amor Benedicto Salmerón

2016-11-01

Full Text Available The financial crisis of 2008 began a period of major global structural changes that are significantly affecting the lives of many countries and social protest increases. To implement these changes, it is resorting to forms of governmentality of exception related to military logic. In these logics, fear is often used as a tool for driving the behavior of the population. In this article, we asked about the use of fear as a tool of governmentality; we analyzed how is fear management in policing on the social movements and their possible consistent with those warlike logic of exception in the situation in Catalonia, in times of social mobilization around 15M, also known as the indignados (2011 -2012. We conducted a field research in everyday life through which we locate numerous government and policing activity relatable to the management of fear. Key words: 15M; Political Repression; Governmentality of Exception; Fear

ITER site selection studies in Spain

International Nuclear Information System (INIS)

Medrano, M.; Alejaldre, C.; Doncel, J.; Garcia, A.; Ibarra, A.; Jimenez, J.A.; Sanchez de Mora, M.A.; Alcala, F.; Diez, J.E.; Dominguez, M.; Albisu, F.

2003-01-01

The studies carried out to evaluate and select a candidate site for International Thermonuclear Experimental Reactor (ITER) construction in Spain are presented in this paper. The ITER design, completed in July 2001, considered a number of technical requirements that must be fulfilled by the selected site. Several assumptions concerning the ITER site were made in order to carry on the design before final site selection. In the studies undertaken for ITER site selection in Spain, the referred technical requirements and assumptions were applied across the whole of Spain and two areas were identified as being preferential. These areas are on the Mediterranean coast and are situated in the Catalan and Valencian regions. A comparative evaluation based on technical characteristics for the concrete plots, proposed within the preferential areas, has been done. The result of these studies was the selection of a site that was deemed to be the most competitive--Vandellos (Tarragona)--and it was proposed to the European Commission for detailed studies in order to be considered as a possible European site for ITER construction. Another key factor for hosting ITER in Spain, is the licensing process. The present status is summarised in this paper

Analysis of employment rate and social status in young adults with childhood-onset rheumatic disease in Catalonia.

Science.gov (United States)

Díaz-Mendoza, Ana Carolina; Modesto Caballero, Consuelo; Navarro-Cendejas, José

2015-07-11

Rheumatic diseases of childhood, in particular juvenile idiopathic arthritis, are chronic conditions associated with considerable morbidity and mortality that can have repercussions on aspects of adult life. The aim of this study was to determine the employment rate and social status of patients with childhood-onset rheumatic disease attending a pediatric rheumatology transition unit. A census was taken of patients seen in the Pediatric Rheumatology Transition Unit of Hospital Vall d'Hebron (Barcelona, Spain). We collected demographic and clinical variables and determined the patients' functional capacity. All patients seen during the period of September to December 2013 underwent a survey containing items related to their social situation, maximum academic level achieved, and working life. Correlations were sought between clinical variables associated with a poor prognosis and the patients' job performance. The data were analyzed and compared with those of an age-matched cohort from the general population of Catalonia. Of 130 patients included in the census, 96 responded to the survey. Steinbrocker grade III and IV disability (poorer functional capacity) (p = 0.0025) and longer disease duration (p = 0.017) were significantly related to greater difficulty getting a job. Patients with grade III and IV disability and those with more severe disease showed trends to having more problems carrying out work-related tasks. Our cohort included a higher percentage of students than the age-matched comparison population (50 % vs 24 %, respectively) (p = 0.0001); 82 % of patients had completed studies beyond the compulsory education level. The employment rate was lower in our patient cohort than in the comparison cohort (38.3 % vs 59.9 %) (p = 0.0001), whereas the percentage of unemployed was similar. Patients with milder disease had a higher probability of living with their parents up to a later age (OR = 3.2, 95 % CI 0.38-6.15; p = 0

Spain succeeds on the PWR learning curve

International Nuclear Information System (INIS)

Varley, J.

1982-01-01

The development of nuclear power in Spain is described. Although the programme has been delayed and cut back, success has been achieved in carrying out technology transfer. Spain now has an industry capable of exporting nuclear components, equipment and expertise. An architect-engineering capability has also developed. (U.K.)

Genotyping of Coxiella burnetii from domestic ruminants in northern Spain

Directory of Open Access Journals (Sweden)

Astobiza Ianire

2012-12-01

Full Text Available Abstract Background Information on the genotypic diversity of Coxiella burnetii isolates from infected domestic ruminants in Spain is limited. The aim of this study was to identify the C. burnetii genotypes infecting livestock in Northern Spain and compare them to other European genotypes. A commercial real-time PCR targeting the IS1111a insertion element was used to detect the presence of C. burnetii DNA in domestic ruminants from Spain. Genotypes were determined by a 6-loci Multiple Locus Variable number tandem repeat analysis (MLVA panel and Multispacer Sequence Typing (MST. Results A total of 45 samples from 4 goat herds (placentas, N = 4, 12 dairy cattle herds (vaginal mucus, individual milk, bulk tank milk, aerosols, N = 20 and 5 sheep flocks (placenta, vaginal swabs, faeces, air samples, dust, N = 21 were included in the study. Samples from goats and sheep were obtained from herds which had suffered abortions suspected to be caused by C. burnetii, whereas cattle samples were obtained from animals with reproductive problems compatible with C. burnetii infection, or consisted of bulk tank milk (BTM samples from a Q fever surveillance programme. C. burnetii genotypes identified in ruminants from Spain were compared to those detected in other countries. Three MLVA genotypes were found in 4 goat farms, 7 MLVA genotypes were identified in 12 cattle herds and 4 MLVA genotypes were identified in 5 sheep flocks. Clustering of the MLVA genotypes using the minimum spanning tree method showed a high degree of genetic similarity between most MLVA genotypes. Overall 11 different MLVA genotypes were obtained corresponding to 4 different MST genotypes: MST genotype 13, identified in goat, sheep and cattle from Spain; MST genotype 18, only identified in goats; and, MST genotypes 8 and 20, identified in small ruminants and cattle, respectively. All these genotypes had been previously identified in animal and human clinical samples from several

Transparency and Good Governance in Spain

Directory of Open Access Journals (Sweden)

Catalina Larach

2015-06-01

Full Text Available Nowadays, transparency and Governance are relevant for Spain. Especially, for the dissatisfied citizenship and the weakness in national and local institutions over the last few years, with results like not trusting, less guarantee on healthcare and education system, the corruption in public administration, politics-economic issues, and so on. Although, in the European Union, Spain has been one of the last countries to regulate this issue, whit Act 19/2013 there are new objectives relating to open government, citizenship, technology, accountability. Moreover in relation with the structure of administration because the “commission for transparency and good governance” was initiated on last 19th January. In general, its effectiveness in moderating this issue and applying measures in order to get administration systems cleaner in countries like Spain.

Light pollution in Spain 2010

Science.gov (United States)

Sánchez de Miguel, A.; Zamorano, J.; Pila-Díez, B.; Rubio, J.; Ruiz, R.; Rodríguez-Herranz, I.; González-Pérez, A.

2011-11-01

The most recent data on electricity consumption for public lighting inSpain is presented and compared with light pollution measurements asderived from night satellite imagery. NOAA-MSP images (low-resolution)and higher resolution images obtained with conventional DSLR cameras on board the International Space Station (ISS) have been used.We show that the data can be related to night sky brightness maps with a study conducted within the Comunidad Autónoma de Madrid. Weintend to extend our work to the rest of Spain through tight collaborationwith amateur astronomers.

78 FR 32184 - Importation of Fresh Apricots From Continental Spain

Science.gov (United States)

2013-05-29

.... APHIS-2011-0132] RIN 0579-AD62 Importation of Fresh Apricots From Continental Spain AGENCY: Animal and... United States of fresh apricots from continental Spain. This action will allow interested persons... importation of fruits and vegetables to allow the importation of fresh apricots from continental Spain into...

Life cycle and hydrologic modeling of rainwater harvesting in urban neighborhoods: Implications of urban form and water demand patterns in the US and Spain.

Science.gov (United States)

Petit-Boix, Anna; Devkota, Jay; Phillips, Robert; Vargas-Parra, María Violeta; Josa, Alejandro; Gabarrell, Xavier; Rieradevall, Joan; Apul, Defne

2018-04-15

Water management plays a major role in any city, but applying alternative strategies might be more or less feasible depending on the urban form and water demand. This paper aims to compare the environmental performance of implementing rainwater harvesting (RWH) systems in American and European cities. To do so, two neighborhoods with a water-stressed Mediterranean climate were selected in contrasting cities, i.e., Calafell (Catalonia, Spain) and Ukiah (California, US). Calafell is a high-density, tourist city, whereas Ukiah is a typical sprawled area. We studied the life cycle impacts of RWH in urban contexts by using runoff modeling before (i.e. business as usual) and after the implementation of this system. In general, cisterns were able to supply >75% of the rainwater demand for laundry and toilet flushing. The exception were multi-story buildings with roofs smaller than 200m 2 , where the catchment area was insufficient to meet demand. The implementation of RWH was environmentally beneficial with respect to the business-as-usual scenario, especially because of reduced runoff treatment needs. Along with soil features, roof area and water demand were major parameters that affected this reduction. RWH systems are more attractive in Calafell, which had 60% lower impacts than in Ukiah. Therefore, high-density areas can potentially benefit more from RWH than sprawled cities. Copyright © 2017 Elsevier B.V. All rights reserved.

Economic crisis and nursing in Spain.

Science.gov (United States)

Zabalegui, Adelaida; Cabrera, Esther

2010-07-01

The purpose of the present study is to describe the economic context in Spain and its impact on the health care sector and in nursing schools. The global economic crisis is affecting nursing in Spain. This study analyses and compares indicators related to health care and nursing schools among European countries. Some new strategies to cope with the challenges arising from the health care crisis are suggested. Health care costs are increasing as a result of the ageing of the Spanish population, immigration, chronicity of health problems and new medical technology. Nursing education has changed in 2010 from a 3-year diploma programme to a 4-year University degree in Nursing. This change requires new resources involving staff, facilities and equipment, all of which are lacking because of the economic crisis in Spain. The worldwide economic crisis has affected Spain more than it has other European Union (EU) countries. This global crisis has an impact on the health care sector as well on nursing schools. It is essential for nursing management to develop creative approaches to maintain cost effective patient care. New programmes and technology must be carefully evaluated in terms of cost effectiveness before being implemented. All health care professionals should be well informed and have a solid understanding of this situation.

Has the economic crisis widened the intraurban socioeconomic inequalities in mortality? The case of Barcelona, Spain.

Science.gov (United States)

Maynou, Laia; Saez, Marc; Lopez-Casasnovas, Guillem

2016-02-01

There is considerable evidence demonstrating socioeconomic inequalities in mortality, some of which focuses on intraurban inequalities. However, all the studies assume that the spatial variation of inequalities is stable over the time. We challenge this assumption and propose two hypotheses: (i) have spatial variations in socioeconomic inequalities in mortality at an intraurban level changed over time? and (ii) as a result of the economic crisis, has the gap between such disparities widened? In this paper, our objective is to assess the effect of the economic recession on the spatio-temporal variation of socioeconomic inequalities in mortality in Barcelona (Catalonia, Spain). We used a spatio-temporal ecological design to analyse mortality inequalities at small area level in Barcelona. Mortality data and socioeconomic indicators correspond to the years 2005 and 2008-2011. We specified spatio-temporal ecological mixed regressions for both men and women using two indicators, neighbourhood and year. We allowed the coefficients of the socioeconomic variables to differ according to the levels and explicitly took into account spatio-temporal adjustment. For men and women both absolute and, above all, relative risks for mortality have increased since 2009. In relative terms, this means that the risk of dying has increased much more in the most economically deprived neighbourhoods than in the more affluent ones. Although the geographical pattern in relative risks for mortality in neighbourhoods in Barcelona remained very stable between 2005 and 2011, socioeconomic inequalities in mortality at an intraurban level have surged since 2009. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

University Teacher’s Evaluation in Spain

Directory of Open Access Journals (Sweden)

Francisco Javier Tejedor Tejedor

2008-08-01

Full Text Available This article intends to make a brief overview about the performance evaluation for university teachers in democratic Spain. It contents: a considerations about teaching evaluation, in order to delimit the authors’ position in this matter, due to the fact that this position obviously conditions any revision; b a brief summary of the history of university teachers evaluation in Spain during the last years, since the Spanish Constitution of 1978 approval; c a typology of the evaluation plans, in order to define a map of the planning lines for evaluations applied in Spain; d the technical guidelines for teachers´ evaluation and presentation of the current model, exampled by its application in the university of Salamanca; and e as a conclusion, some considerations about the consequences of evaluation and its entailment with the professionalization of university teachers.

Artroplastias de cadera y rodilla en Cataluña desde 1994 a 2005 Hip and knee arthroplasties in Catalonia (Spain from 1994 to 2005

Directory of Open Access Journals (Sweden)

Alejandro Allepuz

2008-12-01

Full Text Available Objetivo: Las artroplastias de cadera y rodilla están entre los procedimientos quirúrgicos más frecuentes en Cataluña. El objetivo de este estudio fue describir su evolución y los cambios en sus características entre 1994 y 2005. Métodos: Estudio transversal de altas por artroplastias totales primarias de cadera (ATC o rodilla (ATR y de revisión seleccionadas del Conjunto Mínimo Básico de Datos al Alta Hospitalaria: códigos 81.51, 81.53, 81.54 y 81.55 (CIE-9-MC. Se calcularon las tasas de ATC y ATR estandarizadas por edad y sexo, y la carga de revisión, analizando su evolución mediante la regresión de joinpoint. Se definieron 4 períodos y se analizaron las características de los pacientes y de los episodios asistenciales comparando los períodos 4 y 1 a partir de modelos de regresión logística. Resultados: Las tasas por 10.000 habitantes se incrementaron entre 1994 y 2000 en ATC, pasando de 4,1 a 6,6, y entre 1994 y 2005 en ATR, pasando de 2,6 a 15,5. La carga de revisión aumentó en la cadera hasta 2001 y en la rodilla durante todo el período de estudio. El principal motivo de artroplastia primaria fue la artrosis. Los pacientes de 75 años o mayores y la comorbilidad aumentaron en ATC y ATR. Conclusiones: El incremento de las tasas y el cambio del perfil de los pacientes reflejan una posible ampliación de los criterios de indicación. El previsible aumento de la cirugía de revisión se podría reducir mediante sistemas de evaluación de la supervivencia de las prótesis y el desarrollo de guías de práctica clínica.Objective: Hip and knee arthroplasties are the most frequent surgical procedures in Catalonia. The aim of this study was to describe changes in the rates of these procedures and in their characteristics between 1994 and 2005. Methods: We performed a cross-sectional study of total hip (THR and knee (TKR primary and revision joint replacement discharges using the Minimum Data Set (ICD-9-CM codes 81.51, 81

[Nuclear medicine in Spain: high technology 2013].

Science.gov (United States)

Soriano Castrejón, A M; Prats Rivera, E; Alonso Farto, J C; Vallejo Casas, J A; Rodriguez Gasen, A; Setoain Perego, J; Arbizu Lostao, J

2014-01-01

This article details the high technology equipment in Spain obtained through a survey sent to the three main provider companies of equipment installed in Spain. The geographical distribution of high technology by Autonomous Communities and its antiquity have been analyzed. Copyright © 2014 Elsevier España, S.L.U. y SEMNIM. All rights reserved.

Construction industry accidents in Spain.

Science.gov (United States)

Camino López, Miguel A; Ritzel, Dale O; Fontaneda, Ignacio; González Alcantara, Oscar J

2008-01-01

This paper analyzed industrial accidents that take place on construction sites and their severity. Eighteen variables were studied. We analyzed the influence of each of these with respect to the severity and fatality of the accident. This descriptive analysis was grounded in 1,630,452 accidents, representing the total number of accidents suffered by workers in the construction sector in Spain over the period 1990-2000. It was shown that age, type of contract, time of accident, length of service in the company, company size, day of the week, and the remainder of the variables under analysis influenced the seriousness of the accident. IMPACT ON INJURY PREVENTION: The results obtained show that different training was needed, depending on the severity of accidents, for different age, length of service in the company, organization of work, and time when workers work. The research provides an insight to the likely causes of construction injuries in Spain. As a result of the analysis, industries and governmental agencies in Spain can start to provide appropriate strategies and training to the construction workers.

Implementation of the new maintenance rule in Spain

International Nuclear Information System (INIS)

Coello, A. L.; Gerez, L.

2000-01-01

The maintenance rule involving a change in philosophy both for the facilities and regulations has been implemented in Spain nuclear power plants as from April 1st this year. The authors describe this rule and detail its fulfillment in Spain. (Author)

Sustainable energy communities: a study contrasting Spain and Germany

International Nuclear Information System (INIS)

Romero-Rubio, Carmen; Andrés Díaz, José Ramón de

2015-01-01

In recent years, several governments and organisations in the developed world have encouraged the creation of sustainable energy communities (SECs) as a strategy for achieving their energy and environmental targets. However, whereas in some of these countries (e.g., Germany), numerous SECs have been founded, there are other countries, such as Spain, where the creation and growth of SECs has been much slower. The purpose of this article is to analyse the case of Spain, to determine the causes of the lack of SECs in this country, and to propose actions adapted to the Spanish context aimed at accelerating the creation of SECs. To facilitate these tasks, we have taken the German case as a reference. The key finding is that, in contrast to Germany, in Spain, SECs have scarcely contributed to the development of RE (Renewable energy) infrastructures, despite having similar incentives for renewable electricity (until recently). Moreover, in Spain, these incentives have been drastically cut recently. Therefore, it has become even more difficult to finance a renewable electricity generation plant. That is why strategies in sectors other than renewable electricity have been suggested for the encouragement of SECs in Spain. -- Highlights: •Collective-ownership models for RE (Renewable energy) infrastructures are very widespread in Germany. •Approximately 22% of the installed renewable electricity capacity in Germany is owned by SECs. •In contrast, collective ownership of RE infrastructures is rare in Spain. •In Spain, incentives for renewable electricity have been drastically cut recently. •To encourage SECs, energy activities other than renewable electricity production are proposed

Building Friendship Networks and Intercultural Spaces: The Case of Japanese Women in Spain

Directory of Open Access Journals (Sweden)

Rosalia Avila Tapies

2008-12-01

Full Text Available This study examines the associationism of Japanese women living in Spain who are members of the Tanpopo-no-kai/Sociedad Tanpopo, and their intercultural experiences through their written personal narratives. This associationism has resulted in attempts to create a social network and space for intercultural communication at a national level between Hispanic-Japanese families and Japanese residents in Spain. The research is based on numerical data and narrative data, however Japanese narratives from the quarterly association bulletins provide the main source of information. By using the narrative analysis method in the form of questions we have been able to study the writings in order to explore issues such as: their transcultural experiences, their processes of adapting to life in Spain, the evolution of their identity, their interpretation of the social reality around them and the passing on of their social and cultural heritage to their children, among others. The study of the Tanpopo association has demonstrated a close-knit and relaxed transcultural and female space for intraethnic communication. It reveals a joint strategy of emotional and instrumental support to overcome the isolation, the loss of social networks and the geographical separation from their own cultural region, resulting from the immigration through marriage of Japanese women living in Spain.

Rickettsioses in Latin America, Caribbean, Spain and Portugal

Directory of Open Access Journals (Sweden)

Marcelo B. Labruna

2011-05-01

Full Text Available Data on genus and infectious by Rickettsia were retrospectively compiled from the critical review literature regarding all countries in Latin America, Caribbean islands, Portugal and Spain. We considered all Rickettsia records reported for human and/or animal hosts, and/or invertebrate hosts considered being the vector. In a few cases, when no direct detection of a given Rickettsia group or species was available for a given country, the serologic method was considered. A total of 13 Rickettsia species have been recorded in Latin America and the Caribbean. The species with the largest number of country confirmed records were Rickettsia felis (9 countries, R. prowazekii (7 countries, R. typhi (6 countries, R. rickettsii (6 countries, R. amblyommii (5 countries, and R. parkeri (4 countries. The rickettsial records for the Caribbean islands (West Indies were grouped in only one geographical area. Both R. bellii, R. akari, and Candidatus ‘R. andeane’ have been recorded in only 2 countries each, whereas R. massiliae, R. rhipicephali, R.monteiroi, and R. africae have each been recorded in a single country (in this case, R. africae has been recorded in nine Caribbean Islands. For El Salvador, Honduras, and Nicaragua, no specific Rickettsia has been reported so far, but there have been serological evidence of human or/and animal infection. The following countries remain without any rickettsial records: Belize, Venezuela, Guyana, Surinam, and Paraguay. In addition, except for a few islands, many Caribbean islands remain without records. A total of 12 Rickettsia species have been reported in Spain and Portugal: R. conorii, R. helvetica, R. monacensis, R. felis, R. slovaca, R. raoultii, R. sibirica, R. aeschlimannii, R. rioja, R. massiliae, R. typhi, and R. prowazekii. Amongst these Rickettsia species reported in Spain and Portugal, only R. prowazekii, R. typhi, R. felis, and R. massiliae have also been reported in Latin America. This study summarizes

AUSTRALIA AND CATALONIA: A COMPARATIVE STUDY ON THE PROTECTION OF MINORITY LANGUAGES FROM A LEGAL STANDPOINT. EDUCATION IN THE MOTHER TONGUE. IS THE LANGUAGE A FACTOR OF INTEGRATION OR A BARRIER?

Directory of Open Access Journals (Sweden)

Alessia Vacca

2011-01-01

Full Text Available This article is a comparative study of the education system in minority languages between Catalonia and Australia from a legal standpoint. Catalonia has a complex legislation: National Constitution, Statute of Autonomy, Regional Laws, a strong legal framework, a language always alive as a political instrument to get the power. Australia has not a legal framework in this area and has a confused planning system. In Europe, the Council of Europe has been in charge of the protection of human rights. Australia signed and ratified some International Conventions which are not a strong legal basis to claim an education system in aborigines’ languages. The Catalan Law on Linguistic Normalization n. 7 of 1983, replaced by the Law on Linguistic Policy n. 1 of 1998, has, among the other purposes, also that to stimulate the use of Catalan as language of education in all levels of teaching. The school has a fundamental importance for the transmission of the culture of minorities. If the educational systems didn’t have any regime of teaching in the mother tongue all policies are not efficient.

Gambling in Spain: update on experience, research and policy.

Science.gov (United States)

Jiménez-Murcia, Susana; Fernández-Aranda, Fernando; Granero, Roser; Menchón, Jose Manuel

2014-10-01

To describe the current situation of gambling in Spain, sketching its history and discussing the regulations and legislation currently in force within the framework of the European Union (EU), and to review the epidemiology of gambling in Spain, the self-help groups and professional treatments available, and their potential effectiveness. A systematic computerized search was performed in three databases (EMBASE, PubMed and PsychINFO, including articles and chapters) and the reference lists from previous reviews to obtain some of the most relevant studies published up to now on the topic of pathologic gambling in Spain. Similar to other EU countries, Spain has a high prevalence of pathologic gambling, focused on specific culturally bounded types of gambling. Expenditure in online gaming has risen significantly in the last few years, prompting the Spanish government to draft new legislation to regulate gaming. The gaming industry is expected to be one of the fastest growing sectors in Spain in the coming years owing to the rise of new technologies and the development of online gaming. © 2013 Society for the Study of Addiction.

Type 2 diabetes mellitus and cardiovascular disease in Spain: A narrative review

NARCIS (Netherlands)

H. Bueno (Hector); R. Hernáez (Rubén); A.V. Hernández (Adrián)

2008-01-01

textabstractIntroduction. In spite of having a high prevalence of diabetes mellitus the prevalence of ischemic heart disease is low in Spain. Methods. A narrative review of the bibliography was performed to search for potential particularities in the epidemiology, pathogenecity, and care of diabetes

Polycentricity, Performance and Planning: Concepts, Evidence and Policy in Barcelona, Catalonia

Directory of Open Access Journals (Sweden)

Jaume Masip-Tresserra

2017-11-01

that is located in Spain. The study on the multiple links among polycentricity, performance, and planning within the Barcelona metropolitan region yields learning potential for other metropolitan regions because there exists, for example, a strong historical planning tradition in Catalonia and ideas on polycentric development have been around for many decades. This enables the study of transition patterns in the conceptualization of polycentric development in planning over time. Even the most recent plan for the Barcelona metropolitan region, the 2010 Barcelona Metropolitan Territorial Plan, is influenced by a planning vision of polycentricity that was coined by the 1966 Director Scheme of the Barcelona Metropolitan Area. The latter plan was one of the first to break with the then-popular concentric model of green belts and satellite cities and to propose networked, polycentric spatial configurations to resolve the pressure of urbanization on metropolitan regions’ central cities. Research methods This dissertation employs several research methods to explore how the multiple relationships among polycentricity, performance, and planning manifest themselves in the Barcelona metropolitan region. The methods used include qualitative methods such as policy/discourse analysis to answer the first general research question about how the conceptualization of polycentric development in spatial plans has evolved over time and what can be learned from this evolution. Additionally, this thesis employs quantitative methods such as descriptive statistics, correspondence analysis, simple regression models, and advanced regression models (in which both spatial autocorrelation and endogeneity issues are controlled to avoid biased estimation results to address the second general question, which refers to how polycentricity has been identified and measured in research and how this identification and measurement of polycentricity can inform planning practice. Finally, this research uses

Road accidents and business cycles in Spain.

Science.gov (United States)

Rodríguez-López, Jesús; Marrero, Gustavo A; González, Rosa Marina; Leal-Linares, Teresa

2016-11-01

This paper explores the causes behind the downturn in road accidents in Spain across the last decade. Possible causes are grouped into three categories: Institutional factors (a Penalty Point System, PPS, dating from 2006), technological factors (active safety and passive safety of vehicles), and macroeconomic factors (the Great recession starting in 2008, and an increase in fuel prices during the spring of 2008). The PPS has been blessed by incumbent authorities as responsible for the decline of road fatalities in Spain. Using cointegration techniques, the GDP growth rate, the fuel price, the PPS, and technological items embedded in motor vehicles appear to be statistically significantly related with accidents. Importantly, PPS is found to be significant in reducing fatal accidents. However, PPS is not significant for non-fatal accidents. In view of these results, we conclude that road accidents in Spain are very sensitive to the business cycle, and that the PPS influenced the severity (fatality) rather than the quantity of accidents in Spain. Importantly, technological items help explain a sizable fraction in accidents downturn, their effects dating back from the end of the nineties. Copyright © 2016 Elsevier Ltd. All rights reserved.

Childbearing patterns among immigrant women and their daughters in Spain: Over-adaptation or structural constraints

Directory of Open Access Journals (Sweden)

Amparo González-Ferrer

2017-09-01

Full Text Available Background: Spain, a country with one of the lowest fertility levels in the world, has recently received intense immigration flows that may contribute to fertility recovery. Objective: The objective of this study is to examine whether the childbearing behaviour of immigrant women and their descendants shows a pattern of convergence with that of Spanish women born in or after 1950. Methods: After merging data from the Fertility and Values Survey (2006 and the National Immigrants Survey (2007, we analyse the transition to first, second, and third birth using event history models, to identify variations in timing and incidence of birth transitions between native Spanish women and immigrant groups. Results: Previous literature has found that migration disrupts immigrants' fertility only temporarily; however, in the case of Spain, most migrant women who moved before starting family formation do not seem to fully compensate for migration-related disruption of fertility at a later stage. Our findings challenge the widespread belief that immigrants' childbearing alone will allow Spain to leave behind the current lowest-low and latest-late fertility scenario. Contribution: This article analyzes for the first time the fertility of different immigrant generations in Spain compared to native women, applying event history techniques. Our findings challenge conventional wisdom that immigration will improve very low fertility levels in Spain.

Analysis of a potential meteorite-dropping event over the south of Spain in 2007

Science.gov (United States)

Madiedo, J. M.; Trigo-Rodríguez, J. M.

2008-09-01

Introduction Four potential meteorite-dropping events happened over Spain during 2007. All them are being carefully studied in the framework of the SPanish Meteor Network (SPMN). Due to the large range of visibility of these events, they usually appear far away from the recording stations, or in broad daylight. The later was the case of the most remarkable of these events: the diurnal bolide witnessed by thousands of people in the afternoon of May 10, at 17h57m01±5s UTC. That magnificent daylight event produced the Puerto Lápice meteorite, an eucrite with a total known weight of about 500 grams [1, 2]. Other wonderful event happened during the afternoon of March 2, 2007 at 18h51m06±1s UTC: a magnificent bolide (Fig. 1) was seen over the Pyrenees by several eyewitnesses located in Catalonia and Aragon, but also from the South of France. Unfortunately it was not recorded by SPMN stations and a very limited number of visual reports were received. Figure 1. The appearance of the March 2, 2007 bolide as drawn made by the second author and fortunate eyewitness from Sant Celoni (Barcelona). Another potential meteorite-dropping diurnal bolide was witnessed from several locations over the south of Spain on the afternoon of June 29. A sonic boom was reported by witnesses located near from the estimated impact area, in the province of Huelva (Andalusia). In some cases these also reported that the bolide generated electrophonic sounds and that the sonic boom was accompanied by vibration of objects inside their houses. However, despite several expeditions to the impact area have been made, the meteorite produced by this bolide has not been found yet. This is mainly due to the high uncertainty in the calculation of the impact point, as the region is quite unpopulated and just about a dozen of eyewitnesses could be interviewed. On the other hand, the characteristics of the vegetation that grows in the area also poses important difficulties to the search tasks. Besides, as in

Nuclear energy in Spain

International Nuclear Information System (INIS)

Isla, M.

1984-01-01

The 'Plan Energetico Nacional de 1983' (1983 National Energy Program)(PEN-83) was approved recently by the Spanish Government and presented to the 'Cortes Espanolas' (Spanish Parliament) in May 1984. The PEN-83 is being discussed at present in the Parliament and it is possible that some modifications be introduced, but expectedly will be rather limited and minor. PEN-83 covers the period 1983-1992. It includes a comparative analysis of the evolution and situation in OECD countries and in Spain. In Spain the offer, supply and consumption of primary energy and of the interrelation with other economic indicators, such as the gross domestic product, inflation rate and unemployment compared with that of the industrialized OECD countries, has shown a much lower capability to adapt its structure to the energy price increases

Inspection of nuclear fuel transport in Spain

International Nuclear Information System (INIS)

Lobo Mendez, J.

1977-01-01

The experience acquired in inspecting nuclear fuel shipments carried out in Spain will serve as a basis for establishing the regulations wich must be adhered to for future transports, as the transport of nuclear fuels in Spain will increase considerably within the next years as a result of the Spanish nuclear program. The experience acquired in nuclear fuel transport inspection is described. (author) [es

Pharmaceutical costs of assisted reproduction in Spain.

Science.gov (United States)

Lorente, Maria-Reyes; Hernández, Juana; Antoñanzas, Fernando

2013-11-01

Assisted reproduction is one of the health services currently being considered for possible limitation or exclusion from the public health services portfolio in Spain. One of the main reasons claimed for this is the impact on the budget for pharmaceutical expenditure. The objective of this study was to assess the significance of the pharmaceutical costs of assisted reproduction in Spain. This study focused on medical practice in Spain, and is based on the opinions of experts in assisted reproduction and the results provided by professional societies' publications. The reference year is 2012 and the setting was secondary care. We have included all existing pharmaceutical modalities for assisted reproduction, as well as the most common drug for each modality. We have considered the pharmaceutical cost per cycle for artificial insemination, in vitro fertilisation with or without intracytoplasmic sperm injection (IVF_ICSI), and cryotransfer and donated fresh oocytes reception. In Spain, artificial insemination has a pharmaceutical cost per cycle of between €69.36 and €873.79. This amounts to an average cycle cost of €364.87 for partner's sperm and €327.10 for donor sperm. The pharmaceutical cost of IVF_ICSI ranges between €278.16 and €1,902.66, giving an average cost per cycle of €1,139.65. In the case of cryotransfer and donated fresh oocytes reception, the pharmaceutical cost per cycle is between €22.61 and €58.73, yielding an average cost of €40.67. The budgetary impact of pharmaceutical expenditure for assisted reproduction in Spain for the year 2012 was estimated at €98.7 million. In Spain, the total pharmaceutical cost of assisted reproduction is substantial. According to our results, we can say that about 29% of the total pharmaceutical expenditure for assisted reproduction techniques is funded by the National Health System and the rest represents 2.4% of the total annual out-of-pocket family expenditure on drugs.

Europeanization and Secession

DEFF Research Database (Denmark)

Bourne, Angela

2014-01-01

In this article, I examine and compare discourses and strategies mobilized by pro- and anti-independence movements in the UK and in Spain in order to examine how the EU as an actor or as a political institutional context affects contemporary secessionist politics within member states. I argue tha...... actively employed by activists to justify or criticize the premises underpinning reasons to support or reject secession, although more research is needed to determine whether these arguments about Europe resonated with voting publics in Scotland and Catalonia....

[Transparency in public health decision-making].

Science.gov (United States)

García-Altés, Anna; Argimon, Josep M

2016-11-01

Improving the quality and transparency of governmental healthcare decision-making has an impact on the health of the population through policies, organisational management and clinical practice. Moreover, the comparison between healthcare centres and the transparent feedback of results to professionals and to the wider public contribute directly to improved results. The "Results Centre" of the Catalan healthcare system measures and disseminates the results achieved by the different healthcare centres in order to facilitate a shared decision-making process, thereby enhancing the quality of healthcare provided to the population of Catalonia (Spain). This is a pioneering initiative in Spain and is aligned with the most advanced countries in terms of policies of transparency and accountability. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

Declaración de los nuevos diagnósticos de infección por el VIH en Cataluña: Implementación y resultados Reporting of newly diagnosed HIV infections in Catalonia. Barcelona. Spain: Implementation and results

Directory of Open Access Journals (Sweden)

Amparo Romaguera

2005-10-01

Full Text Available Objetivos: Describir los resultados de la notificación de nuevos diagnósticos de infección por el virus de la inmunodeficiencia humana (NDIVIH en Cataluña (2001-2003, y comparar las características de la epidemia como resultado de la utilización de este nuevo sistema de información junto con el Registro de casos de sida de Cataluña, con las halladas únicamente en el Registro de casos de sida. Métodos: Datos de las notificaciones de NDIVIH y de casos de sida entre 2001 y 2003 en Cataluña. Resultados: Entre los NDIVIH (n = 1.765, la vía de transmisión más frecuente fue las relaciones heterosexuales (46,8%, seguida de las relaciones homosexuales entre varones (26,7% y el uso de drogas por vía parenteral (19,9%. Entre los 1.210 casos de sida, la forma de transmisión más frecuente fue el uso de drogas por vía parenteral (42,2%, seguida de relaciones heterosexuales (34,5% y de las relaciones homosexuales entre varones (18,0%. La diferencia de utilizar una o 2 fuentes de información respecto a la variable vía de transmisión de la infección fue estadísticamente significativa. Conclusiones: El sistema de información basado en los datos sobre NDIVIH es viable, ha sido útil para conseguir los objetivos previstos en el sistema de vigilancia epidemiológica del VIH y proporciona información más precisa que el Registro de sida para describir los actuales patrones de transmisión del virus. La exhaustividad del nuevo sistema de información podría mejorar mediante la incorporación del diagnóstico de infección al sistema de enfermedades de declaración obligatoria.Objectives: To describe newly diagnosed HIV infections from the HIV Reporting System in Catalonia (2001-2003, and to compare the characteristics of the epidemic based on the use of the HIV Reporting System and the Catalonian AIDS Registry versus those based on the Catalonian AIDS Registry alone. Methods: Data were collected from newly diagnosed HIV infections and AIDS

Arthroplasty knee registry of Catalonia: What scientific evidence supports the implantation of our prosthesis?

Science.gov (United States)

Samaniego Alonso, R; Gaviria Parada, E; Pons Cabrafiga, M; Espallargues Carreras, M; Martinez Cruz, O

2018-02-28

In our environment, it is increasingly necessary to perform an activity based on scientific evidence and the field of prosthetic surgery should be governed by the same principles. The national arthroplasty registries allow us to obtain a large amount of data in order to evaluate this technique. The aim of our study is to analyse the scientific evidence that supports the primary total knee arthroplasties implanted in Catalonian public hospitals, based on the Arthoplasty Registry of Catalonia (RACat) MATERIAL AND METHODS: A review of the literature was carried out on knee prostheses (cruciate retaining, posterior stabilized, constricted and rotational) recorded in RACat between the period 2005-2013 in the following databases: Orthopedic Data Evaluation Panel, PubMed, TripDatabase and Google Scholar. The prostheses implanted in fewer than 10 units (1,358 prostheses corresponding to 62 models) were excluded. 41,947 prostheses (96.86%) were analysed out of 43,305 implanted, corresponding to 74 different models. In 13 models (n = 4,715) (11.24%) no clinical evidence to support their use was found. In the remaining 36 models (n = 13,609) (32.45%), level iv studies were the most predominant evidence. There was a significant number of implanted prostheses (11.24%) for which no clinical evidence was found. The number of models should be noted, 36 out of 110, with fewer than 10 units implanted. The use of arthroplasty registries has proved an extremely useful tool that allows us to analyse and draw conclusions in order to improve the efficiency of this surgical technique. Copyright © 2018 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.

Efficacy of amoxycillin versus amoxycillin/clavulanate in acute exacerbations of chronic pulmonary obstructive disease in primary care

Directory of Open Access Journals (Sweden)

Carl Llor

2008-10-01

Full Text Available Carl Llor1, Silvia Hernández1, Anna Ribas2, Carmen Álvarez3, Josep Maria Cots4, Carolina Bayona5, Isabel González6, Marc Miravitlles7, BRAMOX Study Group 1Primary Care Centre Jaume I, Tarragona, Spain; 2Primary Care Centre Santa Eugènia de Berga, Spain; 3Primary Care Centre Manlleu, Spain; 4Primary Care Centre La Marina, Barcelona, Spain; 5Primary Care Centre Valls, Spain; 6Primary Care Centre Maragall, Barcelona, Spain; 7Pneumology Department. Institut Clínic del Tòrax (IDIBAPS, Hospital Clínic, Barcelona, CIBER de Enfermedades Respiratorias (CIBERES, SpainBackground: Amoxycillin/clavulanate is considered first-line treatment for ambulatory exacerbations of COPD. However, narrow-spectrum antibiotics may be as useful for mild to moderate patients.Objective: To compare the clinical efficacy of amoxycillin versus amoxicyllin/clavulanate in exacerbations of COPD in primary care.Methods: A randomized, double-blind, noninferiority clinical trial was carried out in eight primary care centers in Catalonia, Spain. Spirometrically-diagnosed patients older than 40 years with COPD, without criteria of hospitalization and Anthonisen’s types I or II exacerbations were included. The main outcome was clinical cure at the end of treatment (EOT visit on day 10.Results: A total of 137 patients were enrolled in the study (68 assigned to amoxycillin and 69 to amoxycillin/clavulanate. The mean forced expiratory flow in one second was 61.6% and the mean age was 71.4 years. At EOT, 92.8% of patients in the amoxycillin/clavulanate and 90.9% in the amoxycillin group were considered clinically cured, a statistically non-significant difference. Adverse effects were observed in 11 subjects, 3 in the amoxycillin group and 8 in the amoxycillin/clavulanate group, 2 of whom required a change in treatment.Conclusions: Amoxycillin was at least as effective clinically and as safe as amoxycilin/clavulanate in the treatment of acute exacerbations of COPD in mild to