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Sample records for spain biomadrid study

  1. Biomonitoring of exposure to environmental pollutants in newborns and their parents in Madrid, Spain (BioMadrid: study design and field work results Biomonitorización de la exposición a contaminantes ambientales en recién nacidos y sus progenitores en Madrid (BioMadrid: diseño del estudio y resultados del trabajo de campo

    Directory of Open Access Journals (Sweden)

    Nuria Aragonés

    2008-10-01

    Full Text Available In Spain environmental surveillance has mainly relied on measures of selected pollutants in air, water, food and soil. A study was conducted in Madrid to assess the feasibility of implementing a surveillance system of exposure among the general population to specific environmental pollutants, using bio-markers. The project was basically focused on the environment surrounding newborns. Hence, the study population was made up of 145 triplets of pregnant women at around 8 months' gestation, their partners, and newborns from two areas, representing the two main types of urban environments in the region, i.e., the City of Madrid and its outlying metropolitan belt. Multiple biologic substrates were collected from each participant in order to assess the most suitable samples for an environmental surveillance system. The selected contaminants represent the main agents to which a population like that of Madrid is exposed every day, including certain heavy metals, persistent organic pollutants and polycyclic aromatic hydrocarbons, as well as micronuclei in peripheral blood, a commonly used unspecific index of cytogenetic damage. In addition, passive air samplers were placed around subjects' place of residence. This paper reports in detail on the design and response rates, summarizes field work results, and discusses some lessons learned.En España, la vigilancia medioambiental se basa principalmente en medidas de ciertos contaminantes en muestras de aire, agua, alimentos y suelos. En Madrid se ha realizado un estudio para valorar la posibilidad de poner en marcha un sistema de vigilancia de exposiciones a contaminantes ambientales en la población general utilizando biomarcadores. El proyecto ha tenido como eje el estudio del entorno de los recién nacidos. Por tanto, la población de estudio la constituyen 145 «tríos» formados por mujeres en su octavo mes de embarazo, sus parejas y los recién nacidos de dos áreas geográficas, que representan los

  2. 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

  3. 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

  4. 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

  5. Spain

    International Nuclear Information System (INIS)

    2001-01-01

    Spanish low and intermediate level radioactive wastes are disposed of at the El Cabril Disposal Facility, in the province of Cordoba (SPAIN). The fundamental safety objective of the facility consists of the immediate and longer term protection of people and the environment. This objective leads to the need to isolate the wastes from the human surroundings, such that any release of the radionuclides contained in them does not pose any radiological risk for either people or the environment over the necessary time period. Consequently, it is necessary to fully protect the wastes against external aggression, from both the climatic and biological point of view (infiltration of water, temperature variations, chemical action of water, attacks by living macro and microorganisms, plants, etc.). This waste isolation is achieved by means of a multi-barrier system separating the activity stored from the aforementioned actions

  6. Core optimization studies at JEN-Spain

    International Nuclear Information System (INIS)

    Gomez Alonso, M.

    1983-01-01

    The JEN-1 is a 3-MW reactor which uses flat-plate fuel elements. It was originally fueled with 20%-enriched uranium but more recently with 90%-enriched fuel. It now appears that it will have to be converted back to using 20%- enriched fuel. Progress is presently being made in fuel fabrication. Plates with meat thicknesses of up to 1.5 mm have been fabricated. Plates are being tested with 40 wt % uranium in the fuel meat. Progress is also being made in reactor design in collaboration with atomic energy commissions of other countries for swimming pool reactors being designed or under construction in Chile, Ecuador, and Spain itself. The design studies address core optimization, safety analysis report updating, irradiation facilities, etc. Core optimization is specifically addressed in this paper. A common swimming-pool-type reactor such as the JEN-1 served as an example. The philosophy adopted in this study is not to try to match the high enrichment core, but rather to treat the design as new and try to optimize it using simplified neutronic/thermal hydraulic/economic models. This philosophy appears to be somewhat original. As many as possible of the fuel parameters are constrained to remain constant

  7. Postgraduate Studies in Librarianship and Information Science in Spain

    Science.gov (United States)

    Muñoz-Cañavate, Antonio; Larios-Suárez, Verónica

    2017-01-01

    This paper reviews the history and current situation of postgraduate studies in Librarianship and Information Science (LIS) at the university level in Spain before and after the development of the Bologna Process's European Higher Education Area (EHEA). It contextualizes the historical development of these studies, describing how official…

  8. Information systems outsourcing: a Delphi study from Spain

    OpenAIRE

    González Ramírez, María Reyes; Gascó Gascó, José Luis; Llopis Taverner, Juan

    2010-01-01

    Purpose – The widespread growth of information systems (IS) outsourcing on an international scale contrasts sharply with the somewhat limited development of this practice in Spain. The purpose of this paper is to deal with the situation of IS outsourcing in this country. Design/methodology/approach – For this purpose, the paper has used the opinions and comments of those in charge of IS departments at the largest Spanish firms through a normative Delphi study. Findings – Outsourcing makes it ...

  9. Gastronomy, Tourism and Destination Differentiation: A Case Study in Spain

    OpenAIRE

    Tom¨¢s L¨®pez-Guzm¨¢n; Sandra S¨¢nchez-Ca?izares

    2012-01-01

    Gastronomy is becoming a key factor in the competitiveness of tourist destinations. The aim of this paper is to present an analysis of food tourism in the city of Cordoba (Spain) and its relation with the motivation. Similarly, the paper shows the connection between local cuisine and the satisfaction of tourists. The main results of this study reflect the high level of education of this kind of travelers, the importance of gastronomy for visiting this city and the satisfaction with both the l...

  10. Implementation of PV plants in Spain: a case study

    OpenAIRE

    Diez Mediavilla, Montserrat; Alonso Tristán, Cristina; Rodríguez Amigo, María del Carmen; Garcia Calderon, Teofilo

    2010-01-01

    The implementation process of a photovoltaic system and its connection to the national grid in Spain is examined from an economic, an administrative and a legal standpoint. In the first place, this case study describes the solar farm, and it goes on to examine the economic aspects of electricity production, its associated costs, and relevant grants and financial subsidies. Finally, problems related to the administration of the project and the issuing of permits by local and regional authoriti...

  11. Implementation of PV plants in Spain: A case study

    Energy Technology Data Exchange (ETDEWEB)

    Diez-Mediavilla, M.; Alonso-Tristan, C. [Dpto. Ingenieria Electromecanica, Escuela Politecnica Superior. Universidad de Burgos, Avda. Cantabria s/n, 09006 Burgos (Spain); Rodriguez-Amigo, M.C.; Garcia-Calderon, T. [Dpto. Matematicas y Computacion Escuela Politecnica Superior. Universidad de Burgos, Avda. Cantabria s/n, 09006 Burgos (Spain)

    2010-05-15

    The implementation process of a photovoltaic system and its connection to the national grid in Spain is examined from an economic, an administrative and a legal standpoint. In the first place, this case study describes the solar farm, and it goes on to examine the economic aspects of electricity production, its associated costs, and relevant grants and financial subsidies. Finally, problems related to the administration of the project and the issuing of permits by local and regional authorities are discussed. (author)

  12. Chemical quality of tap water in Madrid: multicase control cancer study in Spain (MCC-Spain).

    Science.gov (United States)

    Fernández-Navarro, Pablo; Villanueva, Cristina M; García-Pérez, Javier; Boldo, Elena; Goñi-Irigoyen, Fernando; Ulibarrena, Enrique; Rantakokko, Panu; García-Esquinas, Esther; Pérez-Gómez, Beatriz; Pollán, Marina; Aragonés, Nuria

    2017-02-01

    Chronic consumption of water, which contains contaminants, may give rise to adverse health effects. The Madrid region, covered by the population-based multicase-control (MCC-Spain) study, includes two drinking water supply areas. The different sources of the water, coupled together with the possible differences in water management, mean that there may be differences in drinking water quality. In the context of the MCC study, our aims were to describe contaminant concentrations in tap water drawn from various sampling points distributed around the region, assess these concentrations by reference to guideline values and study possible differences between the two supply areas. Tap water samples were collected from 34 sampling points in 7 towns in the Madrid region (19-29 April 2010), and 23 contaminants (metals, nitrates, disinfection by-product and Mutagen X levels) were quantified. We undertook a descriptive analysis of the contaminant concentrations in the water and compared them between the two water supply areas (Wilcoxon test). We created maps representing the distribution of the concentrations observed at water sampling points and assessed the correlations (Spearman's coefficient) between the different parameters measured. The concentrations of the contaminants were below guideline values. There were differences between the two supply areas in concentration of nitrates (p value = 0.0051) and certain disinfection by-products. While there were positive correlations (rho >0.70) among some disinfection by-products, no correlations were found in metals or nitrates. The differences in nitrate levels could be linked to differences in farming/industrial activities in the catchment areas and in disinfection by-products might be related to the existence of different treatment systems or bromine content in source waters.

  13. Population-based multicase-control study in common tumors in Spain (MCC-Spain): rationale and study design.

    Science.gov (United States)

    Castaño-Vinyals, Gemma; Aragonés, Nuria; Pérez-Gómez, Beatriz; Martín, Vicente; Llorca, Javier; Moreno, Victor; Altzibar, Jone M; Ardanaz, Eva; de Sanjosé, Sílvia; Jiménez-Moleón, José Juan; Tardón, Adonina; Alguacil, Juan; Peiró, Rosana; Marcos-Gragera, Rafael; Navarro, Carmen; Pollán, Marina; Kogevinas, Manolis

    2015-01-01

    We present the protocol of a large population-based case-control study of 5 common tumors in Spain (MCC-Spain) that evaluates environmental exposures and genetic factors. Between 2008-2013, 10,183 persons aged 20-85 years were enrolled in 23 hospitals and primary care centres in 12 Spanish provinces including 1,115 cases of a new diagnosis of prostate cancer, 1,750 of breast cancer, 2,171 of colorectal cancer, 492 of gastro-oesophageal cancer, 554 cases of chronic lymphocytic leukaemia (CLL) and 4,101 population-based controls matched by frequency to cases by age, sex and region of residence. Participation rates ranged from 57% (stomach cancer) to 87% (CLL cases) and from 30% to 77% in controls. Participants completed a face-to-face computerized interview on sociodemographic factors, environmental exposures, occupation, medication, lifestyle, and personal and family medical history. In addition, participants completed a self-administered food-frequency questionnaire and telephone interviews. Blood samples were collected from 76% of participants while saliva samples were collected in CLL cases and participants refusing blood extractions. Clinical information was recorded for cases and paraffin blocks and/or fresh tumor samples are available in most collaborating hospitals. Genotyping was done through an exome array enriched with genetic markers in specific pathways. Multiple analyses are planned to assess the association of environmental, personal and genetic risk factors for each tumor and to identify pleiotropic effects. This study, conducted within the Spanish Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), is a unique initiative to evaluate etiological factors for common cancers and will promote cancer research and prevention in Spain. Copyright © 2014 SESPAS. Published by Elsevier Espana. All rights reserved.

  14. Pakistanis in Spain: a study based on the community living in the city of Barcelona

    Directory of Open Access Journals (Sweden)

    Montserrat Solé Aubia

    2005-01-01

    Full Text Available One of the characteristics of Spain becoming a country of immigration is the greater protagonism that some countries have acquired which had not traditionally been a major source of migration movements towards Spain. Such is the case of Pakistan, whose nationals living in Spain have considerably increased in recent years, mainly in the area of Barcelona. This study seeks to undertake a research line in order to get to know more deeply the reality of this community.

  15. Politeness in Brazil and Spain: a comparative case study

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    Enrique Huelva Unterbäumen

    2011-12-01

    Full Text Available The aim of this paper is to present some results of a comparative study between the politeness strategies that two Spanish and two Brazilian professors would use, both in Portuguese and Spanish, in twelve hypothetical situations presented on a social behavior questionnaire. This work is based on a previous study published by Piatti (2003 in Argentina, where the author observed some pragmatic differences between a group of students of Spanish as a foreign language and a group of native speakers of the language. With her hypotheses as a starting point, the scope was moved to a small group of people with high communicative competence in both languages, in order to give a different insight on of the pragmatic differences that exist between Brazilians and the Spanish. Based on the findings, we have tried to establish some intercultural differences among the politeness strategies used in Brazil and in Spain.

  16. [Giant-cell arteritis: a descriptive study in southwestern Spain].

    Science.gov (United States)

    Calvo Romero, J M; Magro Ledesma, D; Ramos Salado, J L; Bureo Dacal, J C; de Dios Arrebola García, J; Bureo Dacal, P; Pérez Miranda, M

    2000-02-01

    To study the clinical and laboratory features of a series of patients with giant cell arteritis (GCA) or temporal arteritis in south-western Spain (Extremadura). Retrospective study of 25 patients with GCA diagnosed by temporal artery biopsy between 1990 and 1998. Nine patients were males and 16 (64%) females. Sixteen cases (64%) presented polymyalgia rheumatica (PMR). Other clinical findings were: fever/febricula (64%), constitutional syndrome (64%), new headache (96%), visual symptoms (48%), jaw claudication (17%) and abnormal temporal arteries (17%). All patients had an ESR of more than 50 mm/hour and a raised C-reactive protein. Thirteen patients (52%) had anemia (hemoglobin level < 12 g/dl). Eleven cases (44%) presented a platelet count higher than 400,000/mm3. Four patients (16%) had an elevated AST and/or ALT levels and 8 patients (32%) had an elevated GGT and/or alkaline phosphatase levels. In patients with PMR, there was a higher frequency of constitutional syndrome (81 vs 33%, p = 0.02). In females, there was a higher frequency of anemia (75 vs 11%, p < 0.01), platelet count higher than 400,000/mm3 (75 vs 0%, p < 0.01) and elevated AST and/or ALT (25 vs 0%, p < 0.01) and elevated GGT and/or alkaline phosphatase (50 vs 0%, p < 0.01) levels. The clinical and laboratory features of GCA in our series of patients in south-western Spain are similar to that described in other spanish populations, with the exception of a slightly higher frequency of PMR and a lower frequency of jaw claudication and abnormal temporal arteries. In our study, the clinical picture of GCA was more severe in patients with PMR and in females.

  17. Oath Ceremonies in Spain and New Spain in the 18th century: A Comparative Study of Rituals and Iconography

    Directory of Open Access Journals (Sweden)

    Inmaculada Rodríguez Moya

    2017-10-01

    Full Text Available This paper will focus on a comparative study of the royal oath ceremonies in Spain and New Spain starting with the 16th century, when the ritual was established, to later consider some examples from the 18th century. A process of consolidating a Latin American and Hispanic identity began in the 17th century and was reflected in religious and political festivals everywhere. The royal oath ceremony was a renewal of vows of loyalty to the Crown, which was especially important in a monarchy composed a variety of different kingdoms. This ritual was very important in the Viceroyalty of New Spain, where a king ruled from afar over subjects scattered throughout a vast territory that was ethnically and culturally very diverse. The ceremony was therefore used in the 18th century to assert matters of identity through ritual gestures and the images that adorned the ephemeral architecture created for it. Accounts of festivities and prints depicting the event as it took place in places like Lisbon, Barcelona, Valencia, Majorca, Mexico and Lima will be studied from a comparative point of view.

  18. 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...

  19. 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

  20. Gender Dysphoria and Social Anxiety: An Exploratory Study in Spain.

    Science.gov (United States)

    Bergero-Miguel, Trinidad; García-Encinas, María A; Villena-Jimena, Amelia; Pérez-Costillas, Lucía; Sánchez-Álvarez, Nicolás; de Diego-Otero, Yolanda; Guzman-Parra, Jose

    2016-08-01

    Social anxiety in gender dysphoria is still under investigation. To determine the prevalence and associated factors of social anxiety in a sample of individuals with gender dysphoria. A cross-sectional design was used in a clinical sample attending a public gender identity unit in Spain. The sample consisted of 210 individuals (48% trans female and 52% trans male). Mini-International Neuropsychiatric Interview (MINI) for diagnosis of social anxiety disorder, Structured Clinical Interview, Exposure to Violence Questionnaire (EVQ), Beck Depression Inventory (BDI-II), and Functional Social Support Questionnaire (Duke-UNC-11). Of the total sample, 31.4% had social anxiety disorder. Social anxiety disorder was highly correlated with age (r = -0.181; CI = 0.061-0.264; P = .009) and depression (r = 0.345; CI = 0.213-0.468; P social anxiety disorder. This study highlights the necessity of implementing actions to prevent and treat social anxiety in this high-risk population. Copyright © 2016 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.

  1. 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.

  2. 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...

  3. Universal Developmental Screening: Preliminary Studies in Galicia, Spain

    Science.gov (United States)

    Sarmiento Campos, Jose A.; Squires, Jane; Ponte, Jaime

    2011-01-01

    "A_Tempo" is a research project that is currently under development in Galicia, an autonomous community of Spain. Its main aim is to propose an effective universal screening procedure for early identification of developmental disorders in children from zero to three years of age who attend Galician pre-primary schools.…

  4. International Uranium Resources Evaluation Project (IUREP) national favourability studies: Spain

    International Nuclear Information System (INIS)

    1977-10-01

    Spain, with an area of 504 748 km''2, occupies a large part of the Iberian Peninsula. At present the country appears to have about 6300 t of reasonably assured uranium reserves and 8500 t of additional estimated reserves (all at less than $30/lb of U 3 O 8 ). Spain has devoted some $33 million to prospecting for uranium since the beginning of such work. Most of the reasonably assured reserves are located in ores impregnating Cambrian schists intersected by Hercynian granites (of so-called 'Iberian type'); a small amount, however, is found in veins in Hercynian granites of the Spanish Meseta. The additional estimated reserves are situated in the peripheral post-Hercynian continental basins of the Meseta. Apart from these classical ores, sub-ores have been identified in Silurian quartzites with low concentrations of uranium associated with refractory minerals, totalling more than 200,000 t of U (at concentrations of a few hundred ppm); there are likewise uranium-bearing Oligocene lignites in the Ebro Basin with some 140,000 t of U. These facts, and also the very wide distribution of uranium in space and time (from the Cambrian to the Miocene!) and the country's favourable geological characteristics, suggest that Spain ought in fact to have large reserves of uranium, a conclusion unfortunately belied by the paucity of the economic reserves identified so far. Two things must be borne in mind, however; firstly, Spain's financial outlay for uranium prospecting up till now represents only a quarter of what has been invested in France, for example, and, secondly, the nature of the mineralised bodies in Spain makes exploration difficult. In conclusion it seems that prospecting both of the Iberian-type deposits in the Meseta region and of the deposits associated with detrital sediments in the peripheral continental basins - especially blind mineralized bodies - should hold out excellent prospects for Spain. Consequently we propose that Spain should be placed at least in

  5. Changing Occupational Profiles in the Hotel Industry: Case Studies in France, Italy and Spain. Synthesis Report.

    Science.gov (United States)

    Gatti, Mario; Grazia Mereu, Maria; Tagliaferro, Claudio

    Changing occupational profiles in the hotel industry in France, Italy, and Spain were examined in case studies that included interviews with hotel managers, human resource managers, and individuals employed in hotel occupations identified as new or entailing new skills. The study focused on the following topics: (1) changes in the hotel industry…

  6. Why Do Tertiary Education Graduates Regret Their Study Program? A Comparison between Spain and the Netherlands

    Science.gov (United States)

    Kucel, Aleksander; Vilalta-Bufi, Montserrat

    2013-01-01

    In this paper we investigate the determinants of regret of study program for tertiary education graduates in Spain and the Netherlands. These two countries differ in their educational system in terms of the tracking structure in their secondary education and the strength of their education-labor market linkages in tertiary education. Therefore, by…

  7. Comparative study of liberalization process of passengers railway market in Spain and England

    Energy Technology Data Exchange (ETDEWEB)

    Fernandez Morote, G.; Ortuño Padilla, A.; Fernandez Aracil, P.

    2016-07-01

    This article provides an overview of the privatization of railway passengers market in Spain through a background to the most relevant cases studies in Europe, particularly the liberalization process in England. The English case study is a paradigmatic example to assess how the liberalization process was developed and its effect in the present. This assessment has been undertaken to analyse the railway franchise structure, ticketing measures, role of national and regional authorities, etc. and possible analogies to be adapted to the case of Spain. Firstly, this article reviews the origin of the privatization of the railway market in both Spain and England, describing every phase of the liberalization and the success of every stage. Secondly, a critical approach assessment exposes those market failures of the liberalization process in England that caused negative impacts on society. In addition, the role of the Government is analysed to measure their implication in order to solve that situation. Furthermore, the paper expounds a wide analysis of the rail ticketing in England, its effects on increased passenger number. Finally, this article proposes some measures to be followed on the privatization of passenger rail market in Spain, as well as some key concepts to guarantee its success as taken from the case studies that have been reviewed. (Author)

  8. Webs sites of women`s studies universitary centers in spain: selection and evaluation

    Directory of Open Access Journals (Sweden)

    Isabel de Torres Ramírez

    2006-12-01

    Full Text Available After a brief introduction about the level of development of Women’s Studies in Spain and a list of their parent university institutions, Women’s Studies Web sites are assessed by measuring their usability. The aim is to improve use and accessibility of existing Web sites and, above all, provide encouragement and a model to follow by future Web sites in this area.

  9. Extending a model of precarious employment: A qualitative study of immigrant workers in Spain.

    Science.gov (United States)

    Porthé, Victoria; Ahonen, Emily; Vázquez, M Luisa; Pope, Catherine; Agudelo, Andrés Alonso; García, Ana M; Amable, Marcelo; Benavides, Fernando G; Benach, Joan

    2010-04-01

    Since the 1980s, changes in the labor market have modified power relations between capital and labor, leading to greater levels of precarious employment among workers. Globalization has led to a growth in migration, as people leave their countries in search of work. We aimed to describe the dimensions of precarious employment for immigrant workers in Spain. Qualitative study using analytic induction. Criterion sampling was used to recruit 129 immigrant workers in Spain with documented and undocumented administrative status. Data quality was ensured by triangulation. Immigrant workers reported that precarious employment is characterized by high job instability, a lack of power for negotiating employment conditions, and defenselessness against high labor demands. They described insufficient wages, long working hours, limited social benefits, and difficulty in exercising their rights. Undocumented workers reported greater defenselessness and worse employment conditions. This study allowed us to describe the dimensions of precarious employment in immigrant workers. (c) 2010 Wiley-Liss, Inc.

  10. UAV archaeological reconstruction: The study case of Chamartin Hillfort (Avila, Spain)

    OpenAIRE

    Muñoz-Nieto, A. L.; Rodriguez-Gonzalvez, P.; Gonzales-Aguilera, D.; Fernandez-Hernandez, J.; Gomez-Lahoz, J.; Picon-Cabrera, I.; Herrero-Pascual, J. S.; Hernandez-Lopez, D.

    2014-01-01

    Photogrammetry from unmanned aerial vehicles (UAV) is a common technique for 3D modelling in a low-cost way. This technique is becoming essential to analyse the cultural heritage, e.g. historical buildings, monuments and archaeological remains in order not only to preserve them, but for disseminate accurate graphic information. The study case of Chamartin hillfort (Ávila, Spain) provided us the opportunity to apply automation techniques to generate geomatic products with high metric ...

  11. Geomorphological criteria applied to the study of the neotectonic of the internal areas of Spain

    International Nuclear Information System (INIS)

    Gutierrez Elorza, M.; Pena, J.L.; Rodriguez Vidal, J.; Simon Gomez, J.L.

    1984-01-01

    Some geomorphological criteria, based on the study of erosion surfaces, glacis, terraces and slopes, after a brief discussion of the geomorphological methodology, are here applied in several internal areas of NE. Spain, specially in the Iberian Cordillera. Several episodes of neotectonic activity are recognised within this Cordillera: a more intense one at the base of Villafranchian times, a second one at the Pliocene/Pleistocene transitional levels, and a latent, more sporadic, intraquaternary activity. (author)

  12. Profile of osteopathic practice in Spain: results from a standardized data collection study.

    Science.gov (United States)

    Alvarez Bustins, Gerard; López Plaza, Pedro-Victor; Carvajal, Sonia Roura

    2018-04-11

    There is limited research regarding patients' profiles and consumer attitudes and habits of osteopathy in Spain. The purpose of this study was to profile patients who regularly receive osteopathic care in Spain using an internationally developed standardized data collection tool. During the period between April 2014 and December 2015, a UK-developed standardized data collection tool was distributed to Spanish osteopaths who voluntarily agreed to participate in this cross-sectional study. Thirty-six osteopaths participated in this study and returned a total of 314 completed datasets. Of 314 patients, 61% were women and 39% were men, with a mean age of 40 years (SD 17.02 years, range 0 to 83 years). Forty-four percent were full-time salaried workers, and in 78% of cases, receiving osteopathic treatment was the patient's own choice. Chronic spinal pain presentations were the most frequent reasons for consultation. Seventy-five percent of patients presented with a coexisting condition, mainly gastrointestinal disorders and headaches. The main treatment approach consisted of mobilization techniques, followed by soft tissue, cranial and high velocity thrust techniques. Improvement or resolution of the complaint was experienced by 93% of patients after a small number of sessions. Adverse events were minor and occurred in 7% of all cases. This is the first study carried out in Spain analyzing the profile of patients who receive osteopathic care. The typical patient who receives osteopathic care in Spain is middle-aged, presents mainly with chronic spinal pain, and voluntarily seeks osteopathic treatment. Osteopathic treatment produces a significant improvement in the majority of cases with a low rate of minor adverse events reported.

  13. Prescribing Habits for Androgenic Alopecia Among Dermatologists in Spain in 2017: A Cross-Sectional Study.

    Science.gov (United States)

    Pindado-Ortega, C; Saceda-Corralo, D; Buendía-Castaño, D; Fernández-González, P; Moreno-Arrones, Ó M; Fonda-Pascual, P; Alegre-Sánchez, A; Rodrigues-Barata, A R; Vañó-Galván, S

    2018-04-12

    Topical minoxidil and oral finasteride are the only drugs approved for the treatment of androgenetic alopecia (AGA) in Spain. However, the management of this condition is highly variable because numerous treatments are used off-label. The main aim of this study was to describe the prescribing habits of dermatologists in Spain for male AGA (MAGA) and female AGA (FAGA). Descriptive cross-sectional study using online questionnaires completed by dermatologists working in Spain. The responses of 241 dermatologists were analyzed. The most common treatments prescribed for MAGA were minoxidil (98%), oral finasteride (96%), nutricosmetics (44%), topical finasteride (37%), oral dutasteride (33%), platelet-rich plasma (14%), and low-level laser therapy (8%). For premenopausal FAGA, the most common treatments were topical minoxidil (98%), oral contraceptives (81%), nutricosmetics (72%), cyproterone acetate (58%), oral finasteride (39%), topical finasteride (39%), spironolactone (27%), platelet-rich plasma (20%), oral dutasteride (20%), oral flutamide (18%), and low-level laser therapy (7%). Finally, for postmenopausal FAGA, the most common treatments prescribed were topical minoxidil (98%), oral finasteride (84%), nutricosmetics (68%), topical finasteride (50%), oral dutasteride (35%), platelet-rich plasma (21%), spironolactone (16%), cyproterone acetate (16%), oral flutamide (9%), and low-level laser therapy (9%). A limitation of our study is that we did not analyze novel AGA treatments such as oral minoxidil and dutasteride mesotherapy. The most common treatments prescribed for AGA by dermatologists in Spain are topical minoxidil, oral finasteride, and nutricosmetics for MAGA and postmenopausal FAGA and topical minoxidil, oral contraceptives, and nutricosmetics for premenopausal FAGA. Copyright © 2018 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.

  14. Social exclusion and high speed rail: The case study of Spain

    Energy Technology Data Exchange (ETDEWEB)

    Pagliara, F.; Menicocci, F.; Vassallo, J.M.; Gomez, J.

    2016-07-01

    Very few contributions in the literature have dealt with the issue of social exclusion related to High Speed Rail systems. The objective of this manuscript is to understand what are the factors excluding users from choosing High Speed Rail services considering as case study Spain. For this purpose, a Revealed Preference survey was employed in November and December 2015. A questionnaire was submitted to users of the Spanish transport systems travelling for long distance-journeys. The aim was that of investigating their perception of High Speed Rail system and the factors inhibiting passengers or excluding them from its use. Data about their socioeconomic characteristics were collected as well. The main result of the survey has been that a relationship between social exclusion and High Speed Rail in Spain is present, especially in terms of geographical exclusion. (Author)

  15. A qualitative study about immigrant workers' perceptions of their working conditions in Spain.

    Science.gov (United States)

    Ahonen, E Q; Porthé, V; Vázquez, M L; García, A M; López-Jacob, M J; Ruiz-Frutos, C; Ronda-Pérez, E; Benach, J; Benavides, F G

    2009-11-01

    Spain has recently become an inward migration country. Little is known about the occupational health of immigrant workers. This study aimed to explore the perceptions that immigrant workers in Spain had of their working conditions. Qualitative, exploratory, descriptive study. Criterion sampling. Data collected between September 2006 and May 2007 through semi-structured focus groups and individual interviews, with a topic guide. One hundred and fifty-eight immigrant workers (90 men/68 women) from Colombia (n = 21), Morocco (n = 39), sub-Saharan Africa (n = 29), Romania (n = 44) and Ecuador (n = 25), who were authorised (documented) or unauthorised (undocumented) residents in five medium to large cities in Spain. Participants described poor working conditions, low pay and health hazards. Perception of hazards appeared to be related to gender and job sector. Informants were highly segregated into jobs by sex, however, so this issue will need further exploration. Undocumented workers described poorer conditions than documented workers, which they attributed to their documentation status. Documented participants also felt vulnerable because of their immigrant status. Informants believed that deficient language skills, non-transferability of their education and training and, most of all, their immigrant status and economic need left them with little choice but to work under poor conditions. The occupational health needs of immigrant workers must be addressed at the job level, while improving the enforcement of existing health and safety regulations. The roles that documentation status and economic need played in these informants' work experiences should be considered and how these may influence health outcomes.

  16. (North American Studies in Spain: between eclecticism and politics

    Directory of Open Access Journals (Sweden)

    Francisco Collado Rodríguez

    2006-01-01

    Full Text Available At present, the Spanish university system does not offer any specific place for American Studies. In practical terms, this means that there is not such a thing as a degree in (North American Studies for undergraduate students. The study of the history and culture of the United States of America is mostly disseminated all over the country in a number of departments of English, English—and English literature—still being the main subject of study in the only BA degree somehow related to our fie...

  17. Frequency and characteristics of familial melanoma in Spain: the FAM-GEM-1 Study.

    Directory of Open Access Journals (Sweden)

    Iván Márquez-Rodas

    Full Text Available Familial history of melanoma is a well-known risk factor for the disease, and 7% melanoma patients were reported to have a family history of melanoma. Data relating to the frequency and clinical and pathological characteristics of both familial and non-familial melanoma in Spain have been published, but these only include patients from specific areas of Spain and do not represent the data for the whole of Spain.An observational study conducted by the Spanish Group of Melanoma (GEM analyzed the family history of patients diagnosed with melanoma between 2011 and 2013 in the dermatology and oncology departments.In all, 1047 patients were analyzed, and 69 (6.6% fulfilled criteria for classical familial melanoma (two or more first-degree relatives diagnosed with melanoma. Taking into account other risk factors for familial melanoma, such as multiple melanoma, pancreatic cancer in the family or second-degree relatives with melanoma, the number of patients fulfilling the criteria increased to 165 (15.8%. Using a univariate analysis, we determined that a Breslow index of less than 1 mm, negative mitosis, multiple melanoma, and a history of sunburns in childhood were more frequent in familial melanoma patients, but a multivariate analysis revealed no differences in any pathological or clinical factor between the two groups.Similar to that observed in other countries, familial melanoma accounts for 6.6% of melanoma diagnoses in Spain. Although no differences in the multivariate analysis were found, some better prognosis factors, such as Breslow index, seem more frequent in familial melanoma, which reflect a better early detection marker and/or a different biological behavior.

  18. Enhanced On-Site Waste Management of Plasterboard in Construction Works: A Case Study in Spain

    Directory of Open Access Journals (Sweden)

    Ana Jiménez-Rivero

    2017-03-01

    Full Text Available On-site management of construction waste commonly determines its destination. In the case of plasterboard (PB, on-site segregation becomes crucial for closed-loop recycling. However, PB is commonly mixed with other wastes in Spain. In this context, the involvement of stakeholders that can contribute to reversing this current situation is needed. This paper analyzes on-site waste management of PB in Spain through a pilot study of a construction site, with the main objective of identifying best practices to increase waste prevention, waste minimization, and the recyclability of the waste. On-site visits and structured interviews were conducted. The results show five management stages: PB distribution (I; PB installation (II; Construction waste storage at the installation area (III; PB waste segregation at the installation area (IV and PB waste transfer to the PB container and storage (V. The proposed practices refer to each stage and include the merging of Stages III and IV. This measure would avoid the mixing of waste fractions in Stage III, maximizing the recyclability of PB. In addition, two requisites for achieving enhanced management are analyzed: ‘Training and commitment’ and ‘fulfilling the requirements established by the current regulation’. The results show that foremen adopted a more pessimistic attitude than installers towards a joint commitment for waste management. Moreover, not all supervisors valued the importance of a site waste management plan, regulated by the Royal Decree 105/2008 in Spain.

  19. Cattle mortality due to poisoning in Spain: a cross-sectional epidemiological study

    Energy Technology Data Exchange (ETDEWEB)

    García-Arroyo, R.; Míguez, M.P.; Hevia, M.L.; Quiles, A.

    2015-07-01

    The lack of nationwide public databases on poisoning in cattle makes it difficult to investigate this issue. Hence, we conducted an epidemiological study using the data on cattle poisoning provided by an insurance company (2000-2005), to determine the mortality rate due to poisoning in cattle in Spain and to assess the influence of the following variables: type of farming, age, sex, time of year, year and region. We observed a mortality rate of 23.25 per 100,000 animals in Spain with a higher rate in beef than dairy cattle (32.14 vs. 4.51 per 100,000 animals). There were also differences in the mortality rate between breeding cattle and future breeders, affecting dairy and beef cattle in a different way. In dairy cattle, we found differences between the years analysed. In beef cattle, the time of year with highest risk of poisoning was the last quarter (19.45 per 100,000 animals), while the lowest mortality rate was observed in the first quarter (1.33 per 100,000). There were pronounced differences between regions in beef cattle, differences being non-significant in dairy cattle. Lastly, in beef cattle, no differences were found between sexes. In summary, the mortality rate due to poisoning in cattle in Spain is low, and the risk of poisoning is determined by the farming system, animals’ stage of development, time of year and region. (Author)

  20. Work, family and social environment in patients with Fibromyalgia in Spain: an epidemiological study: EPIFFAC study.

    Science.gov (United States)

    Collado, Antonio; Gomez, Emili; Coscolla, Rosa; Sunyol, Ruth; Solé, Emília; Rivera, Javier; Altarriba, Emília; Carbonell, Jordi; Castells, Xavier

    2014-11-11

    Fibromyalgia (FM) is a condition characterized by widespread pain, estimated to affect 2.4% of the Spanish population. Nowadays, there are no consistent epidemiological studies on the actual impact of the disease on work and family of these patients in a representative manner; therefore, the purpose of the study is to analyze the impact on family, employment and social environment in a representative sample of patients with FM attending Primary Public Care Centers in Spain. We carried out an epidemiological study, with a probability sampling procedure, stratified, relative to the municipality size and the number of health centres, seeking territorial representation. The survey was conducted using a self-administered structured questionnaire. A sample of 325 patients with FM was studied in 35 Primary Health Care Centers (PHCCs). The sample is composed of 96.6% of women, 51.9 (8) years of mean (standard deviation- sd) age. Ninety-three percent of the patients have worked throughout their life. Mean (sd) age onset of symptoms was 37 (11) years and diagnosis of FM was established 6.6 (8) years later. Family Environment: Fifty-nine percent of patients have difficulties with their partner. Forty-four percent of the patients report to be fairly or totally dependent on a family member in household chores. The household income decreased a mean (sd) of 708 (504) Euros/month in 65% of the patients. In 81% of the patients, there was an increase in extra expenses related to the disease with a mean (sd) of 230 (192) Euros/month. Working environment: At the moment of the study, 45% of the patients had work activity (34% were working and 11% were at sick leave), 13% were unemployed seeking job and 42% were not in the labor force. Twenty-three percent of patients had some degree of permanent work disability pension. Social Environment: The degree of satisfaction with health care professionals was low and twenty-six percent of the patients were members of specific patients

  1. Oral cancer awareness in Spain: A pilot study.

    Science.gov (United States)

    Varela-Centelles, P; Estany-Gestal, A; Bugarín-González, R; Seoane-Romero, J M

    2018-03-01

    To investigate the level of oral cancer knowledge and awareness in a Spanish general population. A cross-sectional study using an anonymous questionnaire applied in the community to randomly selected laypersons. Sample size for the general population was determined by quota sampling, resulting in 1,041 individuals. A total of 1,707 pedestrians were approached (response: 61%). When the participants were asked about what cancers had they heard about (up to ten), oral cancer was mentioned in first place by 2% of the sample and by 22% in any order. When specifically asked about oral cancer, the percentage of interviewees who were familiar with it raised to 72%. Participants were also asked about the main signs or symptoms of oral cancer, and the most frequently (22%) mentioned as the first warning sign was a non-healing ulcer. Tobacco smoking generally was recognised as the most important (57%) risk factor for oral cancer. This pilot study revealed a low awareness of oral cancer, and a poor knowledge of its signs and symptoms and risk factors. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. All rights reserved.

  2. Methodology for the Study of the Envelope Airtightness of Residential Buildings in Spain: A Case Study

    Directory of Open Access Journals (Sweden)

    Feijó-Muñoz Jesús

    2018-03-01

    Full Text Available Air leakage and its impact on the energy performance of dwellings has been broadly studied in countries with cold climates in Europe, US, and Canada. However, there is a lack of knowledge in this field in Mediterranean countries. Current Spanish building regulations establish ventilation rates based on ideal airtight envelopes, causing problems of over-ventilation and substantial energy losses. The aim of this paper is to develop a methodology that allows the characterization of the envelope of the housing stock in Spain in order to adjust ventilation rates taking into consideration air leakage. A methodology that is easily applicable to other countries that consider studying the airtightness of the envelope and its energetic behaviour improvement is proposed. A statistical sampling method has been established to determine the dwellings to be tested, considering relevant variables concerning airtightness: climate zone, year of construction, and typology. The air leakage rate is determined using a standardized building pressurization technique according to European Standard EN 13829. A representative case study has been presented as an example of the implementation of the designed methodology and results are compared to preliminary values obtained from the database.

  3. Prevalence of rheumatic diseases in adult population in Spain (EPISER 2016 study): Aims and methodology.

    Science.gov (United States)

    Seoane-Mato, Daniel; Sánchez-Piedra, Carlos; Silva-Fernández, Lucía; Sivera, Francisca; Blanco, Francisco J; Pérez Ruiz, Fernando; Juan-Mas, Antonio; Pego-Reigosa, José M; Narváez, Javier; Quilis Martí, Neus; Cortés Verdú, Raúl; Antón-Pagés, Fred; Quevedo Vila, Víctor; Garrido Courel, Laura; Del Amo, Natividad Del Val; Paniagua Zudaire, Inmaculada; Añez Sturchio, Gustavo; Medina Varo, Fermín; Ruiz Tudela, María Del Mar; Romero Pérez, Antonio; Ballina, Javier; Brandy García, Anahy; Fábregas Canales, Dolores; Font Gayá, Teresa; Bordoy Ferrer, Carolina; González Álvarez, Beatriz; Casas Hernández, Laura; Álvarez Reyes, Fátima; Delgado Sánchez, Mónica; Martínez Dubois, Cristina; Sánchez-Fernández, Simón Ángel; Rojas Vargas, Luisa Marena; García Morales, Paula Virginia; Olivé, Alejandro; Rubio Muñoz, Paula; Larrosa, Marta; Navarro Ricos, Noemí; Graell Martín, Eduard; Chamizo, Eugenio; Chaves Chaparro, Lara; Rojas Herrera, Sara; Pons Dolset, Jordi; Polo Ostariz, Miguel Ángel; Ruiz-Alejos Garrido, Susana; Macía Villa, Cristina; Cruz Valenciano, Ana; González Gómez, María Luisa; Morcillo Valle, Mercedes; Palma Sánchez, Deseada; Moreno Martínez, María José; Mayor González, Marta; Atxotegi Sáenz de Buruaga, Joana; Urionagüena Onaindia, Irati; Blanco Cáceres, Boris Anthony; Díaz-González, Federico; Bustabad, Sagrario

    2017-07-31

    To describe the methodology of the EPISER 2016 (study of the prevalence of rheumatic diseases in adult population in Spain), as well its strengths and limitations. The aim of this study is to estimate the prevalence of rheumatoid arthritis (RA), psoriatic arthritis (PsA), ankylosing spondylitis (AS), systemic lupus erythematosus (SLE), Sjögren's syndrome (SS), osteoarthritis (knee, hip, hands, and cervical and lumbar spine), fibromyalgia, gout and clinical osteoporotic fracture. Population-based, multicenter, cross-sectional study, with the participation of 45 municipalities in the 17 Spanish autonomous communities. The reference population will consist of adults aged 20 years and over residing in Spain. A computer-assisted telephone interview (CATI) system will be used for data collection. Diagnostic suspicions and diagnoses received by the participants will be studied by rheumatologists in the referral hospitals in the selected municipalities. the prevalence of the rheumatic diseases will be calculated using estimators and their 95% confidence intervals. Weights will be calculated in each of the sampling stages in accordance with the probability of selection. The distribution of the population in Spain will be obtained from the Spanish Statistics Institute. Sociodemographic and lifestyle changes over the last 16 years justify EPISER 2016. This study will provide current data about the prevalences of RA, AS, PsA, SLE, SS, osteoarthritis, fibromyalgia, gout and clinical osteoporotic fracture. The results will allow comparisons with studies from other countries and EPISER 2000. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

  4. Methodological barriers to studying the association between the economic crisis and suicide in Spain

    Directory of Open Access Journals (Sweden)

    Javier Alvarez-Galvez

    2017-09-01

    Full Text Available Abstract Background The hypothetical relationship between economic recession and the increase in suicides in Spain is subject to various arguments. In addition to the inherent complexity of capturing and explaining the underlining mechanisms that could describe this causal link, different points of contention have been be identified. The period of this association and its possible starting points, the socioeconomic determinants that may explain the variation in suicide rate, and the data sources available are the main focus of controversy. The present study aims to identify the phases of association between different periods of economic recession and suicide rates, and compare the effect of different social determinants of health that have been mentioned in previous studies. Methods We have used interrupted time series analyses to assess the impact of economic recession on national rates of suicide mortality provided by the Spanish Statistical Office (1980–2014. In an attempt to consider the factors that have affected the study of suicide in Spain, different data sources/periods, predictors, and regions in Spain were analysed. Results The analysis revealed a positive and significant relationship between the Great Recession and suicide rates during the second period of economic recession (2011–2014, while appeared to decrease during the first recession period. However, the first decreasing trend was not statistically significant in the global analysis of the evolution of monthly suicide rates for the entire country. Both unemployment and per capita GDP were positively related to suicide trends. Finally, the regional analysis demonstrates a similar pattern in different Spanish areas. Conclusion Although previous studies have mentioned the double-dip in the suicide rate associated with the corresponding period of double recession, our study only identify a positive relationship during the second recession period. These results points out that

  5. Methodological barriers to studying the association between the economic crisis and suicide in Spain.

    Science.gov (United States)

    Alvarez-Galvez, Javier; Salinas-Perez, Jose A; Rodero-Cosano, María Luisa; Salvador-Carulla, Luis

    2017-09-06

    The hypothetical relationship between economic recession and the increase in suicides in Spain is subject to various arguments. In addition to the inherent complexity of capturing and explaining the underlining mechanisms that could describe this causal link, different points of contention have been be identified. The period of this association and its possible starting points, the socioeconomic determinants that may explain the variation in suicide rate, and the data sources available are the main focus of controversy. The present study aims to identify the phases of association between different periods of economic recession and suicide rates, and compare the effect of different social determinants of health that have been mentioned in previous studies. We have used interrupted time series analyses to assess the impact of economic recession on national rates of suicide mortality provided by the Spanish Statistical Office (1980-2014). In an attempt to consider the factors that have affected the study of suicide in Spain, different data sources/periods, predictors, and regions in Spain were analysed. The analysis revealed a positive and significant relationship between the Great Recession and suicide rates during the second period of economic recession (2011-2014), while appeared to decrease during the first recession period. However, the first decreasing trend was not statistically significant in the global analysis of the evolution of monthly suicide rates for the entire country. Both unemployment and per capita GDP were positively related to suicide trends. Finally, the regional analysis demonstrates a similar pattern in different Spanish areas. Although previous studies have mentioned the double-dip in the suicide rate associated with the corresponding period of double recession, our study only identify a positive relationship during the second recession period. These results points out that the major impact of economic problems might have had a delayed effect

  6. 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.

  7. 239PU sorption by suspended matter from Hueznar reservoir (Southern Spain): experimental and modelling study

    International Nuclear Information System (INIS)

    El Mrabet, R.; Abril, J.M.; Barros, H.; Manjon, G.

    2004-01-01

    Kinetic transfer coefficients are important parameters to understand and reliably model the behaviour of non-conservative radionuclides in aquatic environments. This report pertains to a series of radiotracer experiments on 239 Pu uptake in natural unfiltered waters from the Hueznar reservoir (southern Spain). The experimental procedure ensures the preservation of environmental conditions and the dissolved Pu activity was measured by liquid scintillation technique. The data suggest that the main pathways for Pu uptake consist of two parallel and reversible reactions followed by a consecutive reversible reaction. We studied the effects of suspended matter concentrations and the specific surface area on the kinetic transfer coefficients. (author)

  8. Online Gambling Advertising Regulations in Spain. A Study on the Protection of Minors.

    Science.gov (United States)

    Buil, Pilar; Solé Moratilla, Maria José; García Ruiz, Pablo

    2015-09-15

    This article examines the online gambling advertising regulations in Spain currently in effect to assess the actual protection of underage youth. In recent years, online gambling among youth has increased. Through advertising, online gambling companies incite and encourage an involvement that can be harmful for vulnerable audiences. Some studies have demonstrated that advertising influences youths' assessment of gambling by increasing its appeal. We demonstrate that the shortcomings of the legal framework in force results in effective vulnerability of minors. We claim that society should seek to implement a regulatory framework to protect children from the risk of developing an addiction.

  9. New DDT inputs after 30 years of prohibition in Spain. A case study in agricultural soils from south-western Spain

    International Nuclear Information System (INIS)

    Munoz-Arnanz, Juan; Jimenez, Begona

    2011-01-01

    This study provides information on the current status of contamination by DDT in agricultural soils in south-western Spain. A recent use of technical DDT in at least 17% of the soils was found based on the values ( p,p ' /p,p ' =[p,p ' -DDE+p,p ' -DDD]/[p,p ' -DDT]. According to the ratio R o,p ' /p,p ' =[o,p ' -DDT]/[p,p ' -DDT], a dicofol type contamination was detected in about 27% of the soils. A wide range of concentrations was observed (0.08-11.1 ng/g d.w.) regardless of the type of crop soil. Enantiomeric fractions (EFs), based on the chiral analysis of o,p'-DDT residues differed from the racemic value (0.500) in most soils but they were not correlated with the study variables [DDTs], SOM, R p,p ' /p,p ' and R o,p ' /p,p ' . Given the health risks posed by DDT, our findings support how the environmental control of legacy pollutants such as DDT cannot be neglected. - Highlights: → Fresh technical DDT inputs detected in agricultural soils. → A Dicofol type contamination was found in agricultural soils from south-western Spain. → EFs of o,p'-DDT do not provide a good measure for overall DDT degradation. - Based on the isomeric ratio R p,p ' /p,p ' , a plausible recent input of technical DDT was found in agricultural soils from south-western Spain after more than 30 years of DDT ban.

  10. Relationship between global severity of patients with Alzheimer's disease and costs of care in Spain; results from the co-dependence study in Spain.

    Science.gov (United States)

    Darbà, J; Kaskens, L; Lacey, L

    2015-11-01

    The objectives of this analysis were to examine how patients' global severity with Alzheimer's disease (AD) relates to costs of care and explore the incremental effects of global severity measured by the clinical dementia rating (CDR) scale on these costs for patients in Spain. The Codep-EA study is an 18-multicenter, cross-sectional, observational study among patients (343) with AD according to the CDR score and their caregivers in Spain. The data obtained included (in addition to clinical measures) also socio-demographic data concerning the patient and its caregiver. Cost analyses were based on resource use for medical care, social care, caregiver productivity losses, and informal caregiver time reported in the resource utilization in dementia (RUD). Lite instrument and a complementary questionnaire. Multivariate regression analysis was used to model the effects of global severity and other socio-demographic and clinical variables on cost of care. The mean (standard deviation) costs per patient over 6 months for direct medical, social care, indirect and informal care costs, were estimated at €1,028.1 (1,655.0), €843.8 (2,684.8), €464.2 (1,639.0) and €33,232.2 (30,898.9), respectively. Dementia severity, as having a CDR score 0.5, 2, or 3 with CDR score 1 being the reference group were all independently and significantly associated with informal care costs. Whereas having a CDR score of 2 was also significantly related with social care costs, a CDR score of 3 was associated with most cost components including direct medical, social care, and total costs, all compared to the reference group. The costs of care for patients with AD in Spain are substantial, with informal care accounting for the greatest part. Dementia severity, measured by CDR score, showed that with increasing severity of the disease, direct medical, social care, informal care and total costs augmented.

  11. [Clinical stages of patients with Alzheimer disease treated in specialist clinics in Spain. The EACE study].

    Science.gov (United States)

    Alom Poveda, J; Baquero, M; González-Adalid Guerreiro, M

    2013-10-01

    The diagnostic paradigm of Alzheimer disease (AD) is changing; there is a trend toward diagnosing the disease in its early stages, even before the complete syndrome of dementia is apparent. The clinical stage at which AD is usually diagnosed in our area is unknown. Therefore, the purpose of this study is to describe the clinical stages of AD patients at time of diagnosis. Multicentre, observational and cross-sectional study. Patients with probable AD according to NINCDS-ARDRA criteria, attended in specialist clinics in Spain, were included in the study. We recorded the symptom onset to evaluation and symptom onset to diagnosis intervals and clinical status of AD (based on MMSE, NPI questionnaire, and CDR scale). Participants in this study included 437 specialists representing all of Spain's autonomous communities and a total of 1,707 patients, of whom 1,694 were included in the analysis. Mean MMSE score was 17.6±4.8 (95% CI:17.4-17.9). Moderate cognitive impairment (MMSE between 10 and 20) was detected in 64% of the patients, and severe cognitive impairment (MMSEde Neurología. Published by Elsevier Espana. All rights reserved.

  12. Adherence to the "Mediterranean Diet" in Spain and Its Relationship with Cardiovascular Risk (DIMERICA Study).

    Science.gov (United States)

    Abellán Alemán, José; Zafrilla Rentero, María Pilar; Montoro-García, Silvia; Mulero, Juana; Pérez Garrido, Alfonso; Leal, Mariano; Guerrero, Lucía; Ramos, Elena; Ruilope, Luis Miguel

    2016-10-28

    Nutritional studies focus on traditional cultural models and lifestyles in different countries. The aim of this study was to examine the adherence to the Mediterranean diet, life habits, and risk factors associated with cardiovascular diseases among people living in different geographical regions in Spain. A descriptive cross-sectional study was conducted in each region. The sampling scheme consisted of a random three-stage stratified sampling program according to geographic region, age, and gender. A total of 1732 subjects were asked to complete a questionnaire designed to assess their nutrient intake, dietary habits, and exercise. A diet score that assesses the adherence of participants to the Mediterranean diet (range 0-10) was also applied. Southeastern Spain had the lowest score for adherence to the Mediterranean diet because of the low consumption of fish and plant products. A lower adherence score to the Mediterranean diet was strongly associated with the prevalence of hypertension ( p = 0.018). A low level of adherence to the Mediterranean diet is accompanied by a high prevalence of hypertension and, therefore, a raised cardiovascular risk in the country. The adherence score could help identify individuals at greater cardiovascular risk.

  13. Algerian Immigrants to Spain: Study of Attitude to the Donation of Organs for Transplantation.

    Science.gov (United States)

    Ríos, A; Carrillo, J; López-Navas, A I; Martínez-Alarcón, L; Ayala, M A; Garrido, G; Sebastián, M J; Ramis, G; Hernández, A M; Ramírez, P; Parrilla, P

    2018-03-01

    Many Africans are emigrating to the European Economic Community from countries with little knowledge of transplantation. This population has not yet been studied. Analyze the attitude toward donation among the Algerian population living in Spain. We studied the population born in Algeria and residing in Spain, over 15 years old, and stratified by age and sex. Attitude was surveyed using a questionnaire of organ donation for transplantation ("PCID-DTO Ríos"). Support from African immigration associations was needed to advise on the location of potential respondents. The completion was anonymous and self-administered. Verbal consent was obtained to assist in the study. Of the 441 respondents, 27% (n = 119) were in favor of donation after death, 43% (n = 191) were against, and 30% (n = 131) were undecided. The variables associated with the attitude toward the donation were sex (P = .033), having offspring (P = .027), having commented on the subject of organ transplantation at the family level (P organ donation and transplantation (P donation of their own organs. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. The ANIBES Study on Energy Balance in Spain: Design, Protocol and Methodology

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    Emma Ruiz

    2015-02-01

    Full Text Available Energy Balance (EB is an important topic to understand how an imbalance in its main determinants (energy intake and consumption may lead to inappropriate weight gain, considered to be “dynamic” and not “static”. There are no studies to evaluate EB in Spain, and new technologies reveal themselves as key tools to solve common problems to precisely quantify energy consumption and expenditure at population level. The overall purpose of the ANIBES (“Anthropometry, Intake and Energy Balance” Study was to carry out an accurate updating of food and beverage intake, dietary habits/behaviour and anthropometric data of the Spanish population (9–75 years, n = 2009, as well as the energy expenditure and physical activity patterns. Anthropometry measurements (weight, height, body mass index, waist circumference, % body fat, % body water were obtained; diet was evaluated throughout a three-day dietary record (tablet device accompanied by a 24 h-dietary recall; physical activity was quantified by questionnaire and accelerometers were also employed. Finally, information about perception and understanding of several issues related to EB was also obtained. The ANIBES study will contribute to provide valuable useful data to inform food policy planning, food based dietary guidelines development and other health oriented actions in Spain.

  15. Prospective evaluation of indirect costs due to acute rotavirus gastroenteritis in Spain: the ROTACOST study.

    Science.gov (United States)

    Bouzón-Alejandro, Marta; Redondo-Collazo, Lorenzo; Sánchez-Lastres, Juan Manuel; Martinón-Torres, Nazareth; Martinón-Sánchez, José María; Martinón-Torres, Federico

    2011-09-14

    The effect of rotavirus in developed countries is mainly economic. This study aimed to assess the indirect costs induced by rotavirus acute gastroenteritis (RVAGE) in Spain. A prospective observational study was conducted from October 2008 to June 2009. It included 682 children up to 5 years of age with acute gastroenteritis (AGE) who attended primary care (n = 18) and emergency room/hospital settings (n = 10), covering the regions of Galicia and Asturias (North-west Spain). All non-medical expenses incurred throughout the episode were recorded in detail using personal interviews and telephone contact. Among the 682 enrolled children, 207 (30.4%) were rotavirus positive and 170 (25%) had received at least one dose of rotavirus vaccine. The mean (standard deviation) indirect cost caused by an episode of AGE was estimated at 135.17 (182.70) Euros. Costs were 1.74-fold higher when AGE was caused by rotavirus compared with other etiologies: 192.7 (219.8) Euros vs. 111.6 (163.5) Euros (p purchase of material. Patients with RVAGE were admitted to hospital more frequently than those with other etiologies (47.8% vs 14%, p decision-making process of the eventual inclusion of rotavirus vaccine in the national immunization schedule of well developed countries.

  16. Prospective evaluation of indirect costs due to acute rotavirus gastroenteritis in Spain: the ROTACOST study

    Directory of Open Access Journals (Sweden)

    Sánchez-Lastres Juan

    2011-09-01

    Full Text Available Abstract Background The effect of rotavirus in developed countries is mainly economic. This study aimed to assess the indirect costs induced by rotavirus acute gastroenteritis (RVAGE in Spain. Methods A prospective observational study was conducted from October 2008 to June 2009. It included 682 children up to 5 years of age with acute gastroenteritis (AGE who attended primary care (n = 18 and emergency room/hospital settings (n = 10, covering the regions of Galicia and Asturias (North-west Spain. All non-medical expenses incurred throughout the episode were recorded in detail using personal interviews and telephone contact. Results Among the 682 enrolled children, 207 (30.4% were rotavirus positive and 170 (25% had received at least one dose of rotavirus vaccine. The mean (standard deviation indirect cost caused by an episode of AGE was estimated at 135.17 (182.70 Euros. Costs were 1.74-fold higher when AGE was caused by rotavirus compared with other etiologies: 192.7 (219.8 Euros vs. 111.6 (163.5 Euros (p Conclusions Rotavirus generates a significant indirect economic burden. Our data should be considered in the decision-making process of the eventual inclusion of rotavirus vaccine in the national immunization schedule of well developed countries.

  17. Epidemiological study of Paget's disease of bone in a zone of the Province of Salamanca (spain)

    International Nuclear Information System (INIS)

    Mironon-Canelo, J.A.; Del Pino-Montes, J.; Vicente-Arroyo, M.; Saenz-Gonzalez, M.C.

    1997-01-01

    Bone Paget's disease is heterogeneously distributed and several foci of high prevalence have been reported in Spain. The aim of the present work was to determine the prevalence of the disease in a zone situated in the northwestern sector of the Province of Salamanca (Spain) using a cross sectional epidemiological study. Sample choice was based on a stratified sampling according to the residence, age and sex of the inhabitants of the zone. A sampling error of 5% and a confidence level of 95% were considered; these afforded a sample of 378 units. Final choice of the subjects was based on a random pathway method. Data collection was accomplished with a personal interview using a 31-item questionnaire and analytical screening (AP and GGT). The field work was carried out over a one-year period. The data were input onto a calculation sheet for analysis and epidemiological interpretation. Finally, clinico-radiological confirmation of the cases deemed positive in the screening was accomplished. The prevalence of PBD in the zone studied is 5.7% (95% CI: 4.5-6.9). The highest percentage of patients lies within the age group between 70-79 years; most of these patients were women. The mean residence time in the zone was 66 years. According to the findings, this geographic zone has a high prevalence of PBD

  18. Applying Data-mining techniques to study drought periods in Spain

    Science.gov (United States)

    Belda, F.; Penades, M. C.

    2010-09-01

    Data-mining is a technique that it can be used to interact with large databases and to help in the discovery relations between parameters by extracting information from massive and multiple data archives. Drought affects many economic and social sectors, from agricultural to transportation, going through urban water deficit and the development of modern industries. With these problems and drought geographical and temporal distribution it's difficult to find a single definition of drought. Improving the understanding of the knowledge of climatic index is necessary to reduce the impacts of drought and to facilitate quick decisions regarding this problem. The main objective is to analyze drought periods from 1950 to 2009 in Spain. We use several kinds of information, different formats, sources and transmission mode. We use satellite-based Vegetation Index, dryness index for several temporal periods. We use daily and monthly precipitation and temperature data and soil moisture data from numerical weather model. We calculate mainly Standardized Precipitation Index (SPI) that it has been used amply in the bibliography. We use OLAP-Mining techniques to discovery of association rules between remote-sensing, numerical weather model and climatic index. Time series Data- Mining techniques organize data as a sequence of events, with each event having a time of recurrence, to cluster the data into groups of records or cluster with similar characteristics. Prior climatological classification is necessary if we want to study drought periods over all Spain.

  19. Where Sustainable School Meets the ‘Tthird Teacher’: Primary School Case Study From Barcelona, Spain

    Directory of Open Access Journals (Sweden)

    Marta Brkovic

    2015-07-01

    Full Text Available Participatory evaluation of aspiring sustainable schools and their pedagogical potential has recently come into focus. A few authors have made a significant start in examining schools as both environmentally and socially sustainable environments, which might simultaneously represent the ‘third teacher’. However, discussion around this idea is new in Spain. This paper describes a participatory post-occupancy study conducted with teachers and pupils in Fort Pienc School, Barcelona, Spain. Findings reveal the pedagogical potential of the school’s spaces and fabric, characterised as ‘sustainable’, and highlight the aspects that the research participants feel are performing and underperforming. The paper concludes that if we want sustainable schools to be a strategy for renovating the educational process and for leading us towards a better tomorrow globally and locally,  new models for exploring the pedagogical potential of sustainable schools should be developed and the efforts of all relevant parties synchronised; from architects to governments, from pupils to teachers.

  20. [The study of social inequalities in child and adolescent health in Spain].

    Science.gov (United States)

    Font-Ribera, Laia; García-Continente, Xavier; Davó-Blanes, M Carmen; Ariza, Carles; Díez, Elia; García Calvente, M del Mar; Maroto, Gracia; Suárez, Mónica; Rajmil, Luis

    2014-01-01

    To identify and describe studies on social inequalities in child and adolescent health conducted in Spain with special emphasis on social determinants. In July 2012, we conducted a systematic review in the PubMed, MEDES, SCOPUS and COCHRANE databases. We included studies on social inequalities in child and adolescent health in Spain published between 2000 and 2012. A total of 2147 abstracts were reviewed by two researchers and 80 manuscripts were fully reviewed by three researchers. Risk of bias was assessed. Seventy-two articles were finally included. A total of 83% of the studies were cross-sectional and the most frequently studied age group consisted of 13-15-year-olds. More than 20 individual or group determinants were identified. The most frequently analyzed determinants were the most advantaged educational level and occupation of the mother or the father. In 38% of the studies analyzing education and occupation, there was no definition of the determinant. Social inequalities were detected in dental health with all determinants and in all age groups (9% of studies with a high risk of bias). Social inequalities were also detected in obesity, physical activity and mental health with some determinants. Specific data were missing for younger children. No social inequalities were found in the use of health services, excluding dental care. Few studies analyzed immigration and 42% of them had a high risk of bias. Wide diversity was found in the measurement of social determinants, with a lack of studies in preschoolers and of studies with longitudinal designs. The results of this study confirm social inequalities in some aspects of health. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

  1. Computer-aided design and engineering: A study of windmills in la Mancha (Spain)

    Energy Technology Data Exchange (ETDEWEB)

    Rojas-Sola, Jose Ignacio [Universidad de Jaen, Escuela Politecnica Superior, Campus de las Lagunillas, s/n, 23071 Jaen (Spain); Gonzalez, Miguel Angel Gomez-Elvira; Martin, Enrique Perez [Universidad Politecnica de Madrid, E.T.S. Ingenieros Agronomos, Ciudad Universitaria, 28080 Madrid (Spain)

    2006-08-15

    This article presents a detailed study, of the Manchegan windmill. This type of windmill is a central symbol in the story of Don Quijote de la Mancha, by Cervantes, which this year celebrates its 4th centenary, and to which this article pays homage. There exist no publications dealing with the technical aspects of these windmills. Studies have been carried out on windmills in the south of Spain, but no comparison has been made between the two types of windmill. This paper studies the technological conditions of the original Manchegan windmills. We carry out a wind evaluation of the region, calculate the power and momentum of the windmills and discuss the results obtained with a comparison with the type of Southern Spanish windmill. (author)

  2. Typological analysis of social linear blocks: Spain 1950-1983. The case study of western Andalusia

    Directory of Open Access Journals (Sweden)

    A. Guajardo

    2017-04-01

    Full Text Available A main challenge that cities will need to face in the next few years is the regeneration of the social housing estates built during the decades of 1950s, 1960s and 1970s. One of the causes of their obsolescence is the mismatch between their hous-ing typologies and the contemporary needs. The main target of this study is to contribute to take a step forward in the un-derstanding of these typologies to be able to intervene on them efficiently. With this purpose, a study on 42 linear blocks built in Spain between 1950 and 1983 in western Andalusia has been carried out. The analysis includes three stages: 1 classification of the houses in recognizable groups; 2 an identification of the most used spatial configurations and 3 definition of their programmatic and size characteristics. As a result, a characterization of linear blocks is proposed as a reference model for future regenerative interventions.

  3. The Prediction of Training Proficiency in Firefighters: A Study of Predictive Validity in Spain

    Directory of Open Access Journals (Sweden)

    Alfredo Berges

    2018-02-01

    Full Text Available The present study provides results of criterion validity in the selection of firefighters in Spain. The predictors were cognitive skills, job knowledge, and physical aptitudes, and the criterion was training proficiency. The process involves 639 candidates, but only 44 complete successfully the selection process. Our results support previous evidence showing that general cognitive ability is the best predictor of training proficiency, with an operational validity of .57. With respect to the other predictors, job knowledge presented an operational validity of .55 and physical tests of .49. In addition, multiple regression analysis showed that cognitive aptitude explains 33% of the variance, but when physical aptitudes are included the explained variance increases to 50%. If we also add job knowledge, explained variance increases to 55%. Our study offers recent results of criterion validity in a barely investigated job, gathered in a country other than the one where prior research had been carried out.

  4. A Comparative Study of Breakfast Habits of Romanian and Spanish Adolescents Enrolled in Southern Spain Schools

    Science.gov (United States)

    Soriano-Ayala, Encarnación; Cala, Verónica C.

    2015-01-01

    Introduction: Globalization has favored intra-European Commission (EC) and extra-EC migration to Spain. One of the most numerous cultural groups that have settled in the southern Spain is from Romania. Coexistence, especially in schools, has made us become interested in knowing the eating habits at breakfast of Romanian and Spanish populations.…

  5. Gender differences in the jealousy-evoking effect of rival characteristics : A study in Spain and Argentina

    NARCIS (Netherlands)

    Buunk, Abraham P.; Castro Solano, Alejandro; Zurriaga, Rosario; Gonzalez, Pilar

    This study examines gender differences in the jealousy-evoking nature of rival characteristics in two Spanish-speaking countries (Argentina and Spain). A total of 388 Spanish students and 444 Argentinean students participated in the study. First, the cross-cultural validity of a Dutch scale

  6. Study of non-Hodgkin's lymphoma mortality associated with industrial pollution in Spain, using Poisson models

    Directory of Open Access Journals (Sweden)

    Lope Virginia

    2009-01-01

    Full Text Available Abstract Background Non-Hodgkin's lymphomas (NHLs have been linked to proximity to industrial areas, but evidence regarding the health risk posed by residence near pollutant industries is very limited. The European Pollutant Emission Register (EPER is a public register that furnishes valuable information on industries that release pollutants to air and water, along with their geographical location. This study sought to explore the relationship between NHL mortality in small areas in Spain and environmental exposure to pollutant emissions from EPER-registered industries, using three Poisson-regression-based mathematical models. Methods Observed cases were drawn from mortality registries in Spain for the period 1994–2003. Industries were grouped into the following sectors: energy; metal; mineral; organic chemicals; waste; paper; food; and use of solvents. Populations having an industry within a radius of 1, 1.5, or 2 kilometres from the municipal centroid were deemed to be exposed. Municipalities outside those radii were considered as reference populations. The relative risks (RRs associated with proximity to pollutant industries were estimated using the following methods: Poisson Regression; mixed Poisson model with random provincial effect; and spatial autoregressive modelling (BYM model. Results Only proximity of paper industries to population centres (>2 km could be associated with a greater risk of NHL mortality (mixed model: RR:1.24, 95% CI:1.09–1.42; BYM model: RR:1.21, 95% CI:1.01–1.45; Poisson model: RR:1.16, 95% CI:1.06–1.27. Spatial models yielded higher estimates. Conclusion The reported association between exposure to air pollution from the paper, pulp and board industry and NHL mortality is independent of the model used. Inclusion of spatial random effects terms in the risk estimate improves the study of associations between environmental exposures and mortality. The EPER could be of great utility when studying the effects of

  7. [Prevalence of hypertension in elderly long-term care residents in Spain. The Geriatric HTA study].

    Science.gov (United States)

    Martín-Baranera, Montserrat; Sánchez Ferrín, Pau; Armario, Pedro

    2006-11-11

    This study aimed to estimate the prevalence of hypertension in elderly long-term care residents in Spain and to describe such population in terms of comorbidity and hypertension treatment and control. A countrywide cross-sectional study was conducted in May 2003 among long-term care residents aged 65 or more. Patients in palliative care units were excluded. Hypertension was defined in patients who fulfilled at least one of the following criteria: diagnosis of hypertension on the medical record, antihypertensive medication and/or highest blood pressure values during the previous year > or = 140/90 mmHg. Overall, 13,272 subjects - mean age (standard deviation) 82.9 (7.5) years (range: 65-106 years) - were included from 223 centres; 70.6% were women. Almost 2 thirds of patients met at least one hypertension criterion (8,242 patients, 62.1%; 95% confidence interval, 61.3-62.9%). In those patients, other frequent cardiovascular risk factors were obesity (26.3%), diabetes (25.7%) and dislipemia (23.8%). A concomitant diagnosis of dementia, peripheral vascular disease, stroke or congestive heart failure was present in 37.1%, 28.3%, 26.0% and 25.1%, respectively. The proportion of hypertensive patients receiving at least one antihypertensive drug was 69.7%. Diuretics were the most commonly used agents (46.3%), followed by angiotensine converting enzyme inhibitors (34.6%). The latest blood pressure measurement was < 140/90 mmHg in 60.4% of the hypertensive patients. Elderly long-term care residents in Spain showed a high prevalence of hypertension and other cardiovascular risk factors, and a substantial degree of associated clinical conditions. The proportion of antihypertensive drug therapy was comparable to those reported in similar studies.

  8. THE DEVELOPMENT OF TOURISTIC SERVICES THROUGH INDIVIDUAL AND ORGANIZATIONAL LEARNING. STUDY CASE: ROMANIA AND SPAIN

    Directory of Open Access Journals (Sweden)

    Dan Popescu

    2011-11-01

    Full Text Available The present research aims to establish and to design the development strategies for services in small and medium-sized enterprises (SMEs that activate in the tourism field of activity (hotels and other accommodation establishments, restaurants, passenger transport, travel agencies, cultural tourism agencies. Organizational learning is focused on the learning process in the organization which has direct influence on the goods and services produced. Learning activities, carried out individually, are not easily transferred at the organizational level. Moreover, in order to better highlight the weaknesses and the strengths of touristic services management approaches and to define recommendations, our research theme is developed as comparative study: similarities and differences within SMEs touristic services and learning organization practices in Romania and other European Union’s country members (the example of Spain was considered.

  9. In situ stresses in rock masses: methodology for its study in tunnel projects in Spain

    International Nuclear Information System (INIS)

    Madirolas Perez, G.; Perucho Martinez, A.

    2014-01-01

    In situ stress is one of the main factors to be taken into account in the design of tunnels, as it can cause inadmissible stresses and strains leading to high deviations in the budgets. For that reason, the stress state is directly introduced into the numerical models used for the design of tunnels. In Spain, although several tunnels have been carried out with an important overburden in tectonically relevant zones, a quantitative determination of the stresses has not been usually included in civil work projects. Therefore, it is considered necessary to implement a routine procedure of study of civil work projects involving tunnels excavated in rock, and a new detailed methodology is proposed. The challenge is that project managers, who face works in which stresses may play a determinant role, may have a practical reference enabling them to optimize available resources and to include the real stress information in the design of underground works. (Author)

  10. [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.

  11. Shift work and colorectal cancer risk in the MCC-Spain case-control study.

    Science.gov (United States)

    Papantoniou, Kyriaki; Castaño-Vinyals, Gemma; Espinosa, Ana; Turner, Michelle C; Alonso-Aguado, Maria Henar; Martin, Vicente; Aragonés, Nuria; Pérez-Gómez, Beatriz; Pozo, Benito Mirón; Gómez-Acebo, Inés; Ardanaz, Eva; Altzibar, Jone M; Peiro, Rosana; Tardon, Adonina; Lorca, José Andrés; Chirlaque, Maria Dolores; García-Palomo, Andrés; Jimenez-Moleon, Jose Juan; Ierssen, Trinidad; Ederra, Maria; Amiano, Pilar; Pollan, Marina; Moreno, Victor; Kogevinas, Manolis

    2017-05-01

    Objectives Shift work that involves circadian disruption has been associated with a higher cancer risk. Most epidemiological studies to date have focused on breast cancer risk and evidence for other common tumors is limited. We evaluated the risk for colorectal cancer (CRC) in relation to shift work history in a population-based case-control study in Spain. Methods This analysis included 1626 incident CRC cases and 3378 randomly selected population controls of both sexes, enrolled in 11 regions of Spain. Sociodemographic and lifestyle information was assessed in face-to-face interviews. Shift work was assessed in detail throughout lifetime occupational history. We estimated the risk of colon and rectal cancer associated with rotating and permanent shift work (ever, cumulative duration, age of first exposure) using unconditional logistic regression analysis adjusting for potential confounders. Results Having ever performed rotating shift work (morning, evening and/or night) was associated with an increased risk for CRC [odds ratio (OR) 1.22, 95% confidence interval (95% CI) 1.04-1.43], as compared to day workers. Having ever worked permanent night shifts (≥3 nights/month) was not associated with CRC risk (OR 0.79, 95% CI 0.62-1.00). OR increased with increasing lifetime cumulative duration of rotating shift work (P-value for trend 0.005) and were highest among subjects in the top quartiles of exposure (3 rd quartile, 20-34 years, OR 1.38, 95%CI 1.06-1.81; 4 th quartile, ≥35 years, OR 1.36, 95% CI 1.02-1.79). Conclusions These data suggest that rotating shift work may increase the risk of CRC especially after long-term exposures.

  12. Informational Literacy and Information and Communication Technologies Use by Secondary Education Students in Spain: A Descriptive Study

    Science.gov (United States)

    Conde, Ma. José Rodríguez; Migueláñez, Susana Olmos; Molina, María Pinto; Abad, Fernando Martínez; Riaza, Blanca García

    2011-01-01

    Informational literacy and the use of technologies by Secondary Education students in Spain: A descriptive study. The development of Information and Communication Technologies (ICTs), together with their application to research carried out on educational areas, are factors which contribute to the promotion of a new educative model constructed on…

  13. Numerical simulation and sensitivity study of a severe hailstorm in northeast Spain

    Science.gov (United States)

    García-Ortega, E.; Fita, L.; Romero, R.; López, L.; Ramis, C.; Sánchez, J. L.

    2007-02-01

    During the afternoon of August 16th 2003 a severe hail event occurred in the town of Alcañiz in the Ebro Valley (Spain). This storm brought with it intense rain and hail precipitation that caused severe floods, damaged cars and street furniture. A diagnosis, using data from ECMWF, showed the presence of a mesolow at surface level centered over the Northeast of Spain, carrying winds from the Mediterranean Sea towards the Central Ebro Valley. At medium and high levels, a trough, whose axis extended over the Northwest of the Iberian Peninsula, moved eastwards preceded at 500 hPa by a thermal trough that caused increasing instability before the arrival of the geopotential trough. A numerical study of this event has been carried out using the MM5 model with a double aim. On the one hand, it attempts to check whether or not the simulation reproduces the storm in Alcañiz. On the other hand, it carries out a sensitivity experiment in order to evaluate the contribution of two specific factors: topography and solar radiation. Compared with radar data, the control simulation reproduces the region affected by the storm reasonably well. The suppression of topography and/or solar radiation substantially modifies the surface mesolow and the spatial distribution of the precipitation. Neither of these factors, considered independently, reproduces the precipitation caused by the storm in Alcañiz. However, the results illustrate the importance of the synergic effect of these two factors on the spatial localization of the storm and on the intensity of the precipitation registered.

  14. Social Inequalities in Cardiovascular Risk Factors Among Older Adults in Spain: The Seniors-ENRICA Study.

    Science.gov (United States)

    Pérez-Hernández, Bibiana; García-Esquinas, Esther; Graciani, Auxiliadora; Guallar-Castillón, Pilar; López-García, Esther; León-Muñoz, Luz M; Banegas, José R; Rodríguez-Artalejo, Fernando

    2017-03-01

    To examine the distribution of the main cardiovascular risk factors (CVRF) according to socioeconomic level (SEL) among older adults in Spain. A cross-sectional study conducted in 2008-2010 with 2699 individuals representative of the noninstitutionalized Spanish population aged ≥ 60 years. Socioeconomic level was assessed using educational level, occupation, and father's occupation. The CVRF included behavioral and biological factors and were measured under standardized conditions. In age- and sex-adjusted analyses, higher educational level was associated with a higher frequency of moderate alcohol consumption and leisure time physical activity, and less time spent watching television. An inverse educational gradient was observed for frequency of obesity (odds ratio [OR] in university vs primary level or below education, 0.44; 95% confidence interval [95%CI], 0.33-0.57; P-trend < .01), metabolic syndrome (OR = 0.56; 95%CI, 0.43-0.71; P-trend < .01), diabetes (OR = 0.68; 95%CI, 0.49-0.95; P-trend < .05), and cardiovascular disease (OR = 0.52; 95%CI, 0.29-0.91; P-trend < .05). Compared with a nonmanual occupation, having a manual occupation was associated with a higher frequency of several CVRF; this association was stronger than that observed for father's occupation. Differences in CVRF across SELs were generally greater in women than in men. There are significant social inequalities in CVRF among older adults in Spain. Reducing these inequalities, bringing the levels of CVRF in those from lower SEL in line with the levels seen in higher SEL, could substantially reduce the prevalence of CVRF in the older adult population. Copyright © 2016 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

  15. Economic crisis, immigrant women and changing availability of intimate partner violence services: a qualitative study of professionals' perceptions in Spain.

    Science.gov (United States)

    Briones-Vozmediano, Erica; Agudelo-Suarez, Andres A; Goicolea, Isabel; Vives-Cases, Carmen

    2014-09-10

    Since 2008, Spain has been in the throes of an economic crisis. This recession particularly affects the living conditions of vulnerable populations, and has also led to a reversal in social policies and a reduction in resources. In this context, the aim of this study was to explore intimate partner violence (IPV) service providers' perceptions of the impact of the current economic crisis on these resources in Spain and on their capacity to respond to immigrant women's needs experiencing IPV. A qualitative study was performed based on 43 semi-structured in-depth interviews to social workers, psychologists, intercultural mediators, judges, lawyers, police officers and health professionals from different services dealing with IPV (both, public and NGO's) and cities in Spain (Barcelona, Madrid, Valencia and Alicante) in 2011. Transcripts were imported into qualitative analysis software (Atlas.ti), and analysed using qualitative content analysis. We identified four categories related to the perceived impact of the current economic crisis: a) "Immigrant women have it harder now", b) "IPV and immigration resources are the first in line for cuts", c) " Fewer staff means a less effective service" and d) "Equality and IPV policies are no longer a government priority". A cross-cutting theme emerged from these categories: immigrant women are triply affected; by IPV, by the crisis, and by structural violence. The professionals interviewed felt that present resources in Spain are insufficient to meet the needs of immigrant women, and that the situation might worsen in the future.

  16. 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

  17. No effect of unemployment on intimate partner-related femicide during the financial crisis: a longitudinal ecological study in Spain.

    Science.gov (United States)

    Torrubiano-Domínguez, J; Vives-Cases, C; San-Sebastián, M; Sanz-Barbero, B; Goicolea, I; Álvarez-Dardet, C

    2015-09-30

    Spain's financial crisis has been characterized by an increase in unemployment. This increase could have produced an increase in deaths of women due to intimate partner-related femicides (IPF). This study aims to determine whether the increase in unemployment among both sexes in different regions in Spain is related to an increase in the rates of IPF during the current financial crisis period. An ecological longitudinal study was carried out in Spain's 17 regions. Two study periods were defined: pre-crisis period (2005-2007) and crisis period (2008-2013). IPF rates adjusted by age and unemployment rates for men and women were calculated. We fitted multilevel linear regression models in which observations at level 1 were nested within regions according to a repeated measurements design. Rates of unemployment have progressively increased in Spain, rising above 20 % from 2008 to 2013 in some regions. IPF rates decreased in some regions during crisis period with respect to pre-crisis period. The multilevel analysis does not support the existence of a significant relationship between the increase in unemployment in men and women and the decrease in IPF since 2008. The increase in unemployment in men and women in Spain does not appear to have an effect on IPF. The results of the multilevel analysis discard the hypothesis that the increase in the rates of unemployment in women and men are related to an increase in IPF rates. The decline in IPF since 2008 might be interpreted as the result of exposure to other factors such as the lower frequency of divorces in recent years or the medium term effects of the integral protection measures of the law on gender violence that began in 2005.

  18. Residential radon and lung cancer: a cohort study in Galicia, Spain

    Directory of Open Access Journals (Sweden)

    Raquel Barbosa-Lorenzo

    Full Text Available Case-control studies show an association between residential radon and lung cancer. The aim of this paper is to investigate this association through a cohort study. We designed an ambispective cohort study using the Galician radon map, Spain, with controls drawn from a previous case-control study. Subjects were recruited between 2002 and 2009. The data were cross-checked to ascertain lung cancer incidence and then analysed using a Cox regression model. A total of 2,127 subjects participated; 24 lung cancer cases were identified; 76.6% of subjects were drawn from the radon map. The adjusted hazard ratio was 1.2 (95%CI: 0.5-2.8 for the category of subjects exposed to 50Bq/m3 or more. This risk rose when subjects from the case-control study were analyzed separately. In conclusion, we did not observe any statistically significant association between residential radon exposure and lung cancer; however, it appears that with a sample of greater median age (such as participants from the case-control study, the risk of lung cancer would have been higher.

  19. Estudios culturales y cine en España Cultural Studies and film in Spain

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    Manuel Palacio Arranz

    2007-10-01

    Full Text Available Este trabajo presenta el uso de las metodologías de los estudios culturales por los docentes e investigadores españoles. Estas metodologías de trabajo todavía resultan periféricas en los estudios de cine en España; sin embargo, está creciendo el número de publicaciones genéricamente adscritas a planteamientos culturalistas; en especial,y lo han hecho los estudios sobre el público del cine y los de género, y en menor medida los de recepción fílmica, la representación de los estereotipos y recientemente los estudios transnacionales. This paper presents the use of the different methodologies in cultural studies by Spanish researchers and academics. These working methodologies are still peripheral in film studies in Spain, although the number of publications generically adhering to cultural studies viewpoints are increasing, above all those studies concerning film audience or gender and, to a lesser extent, those dealing with film reception, stereotype representation and more recently transnational studies.

  20. Profile of advanced nursing practice in Spain: A cross-sectional study.

    Science.gov (United States)

    Sevilla Guerra, Sonia; Miranda Salmerón, Josep; Zabalegui, Adelaida

    2018-03-01

    In this study, we described the profile of advanced nursing practice in Spain. A cross-sectional study design was used to explore the extent and patterns of advanced nursing practice activity within the domains of expert care planning, integrated care, interprofessional collaboration, education, research, evidence-based practice, and professional leadership. Data were collected in 2015/2016. Purposive sampling yielded a sample of 165 specialist and expert nurses employed by a dual tertiary and community hospital in an urban setting. The study included specialist and expert nurses who had a higher practice profile than registered general nurses. The performance of activities according to age, current position, years of experience, nursing grade, and education was compared. Practice domains were more strongly influenced by the predictors of nursing position and professional career ladder. Age and experience predictors were found to be weak predictors of advanced practice domains. This study offers essential information of the nursing workforce, and clarifies both the advanced nursing practice profile and nomenclature in the context of study. © 2017 John Wiley & Sons Australia, Ltd.

  1. Short- versus long-term radon detectors: a comparative study in Galicia, NW Spain

    International Nuclear Information System (INIS)

    Ruano-Ravina, A.; Castro-Bernardez, M.; Sande-Meijide, M.; Vargas, A.; Barros-Dios, J.M.

    2008-01-01

    As reported in previous studies, Galicia (NW Spain) is an area of high radon concentrations. This study was sought to analyze the correlation between short-term (activated carbon) and long-term (alpha particle track) detectors in this geographic area, and ascertain whether there were differences in their readings that might be influenced by other variables. A comparison study, as part of a case-control study was designed in which two detectors, one of each type, were placed in the selected homes. A total of 391 homes yielded readings with both detectors. The results indicated that there was a relatively good correlation between both types of monitors (correlation coefficient 0.608; p < 0.001). The highest correlations between both detectors were observed for unventilated homes, coastal sites, and the oldest buildings. Short-term and long-term detectors do not show a similar performance in all settings or situations. It is advisable to use long-term detectors whenever possible

  2. Short- versus long-term radon detectors: a comparative study in Galicia, NW Spain

    Energy Technology Data Exchange (ETDEWEB)

    Ruano-Ravina, A. [Department of Preventive Medicine and Public Health, School of Medicine, University of Santiago de Compostela, C/San Francisco s/n, 15782 Santiago de Compostela (Spain); Galician Agency for Health Technology Assessment, Galician Health Service, Santiago de Compostela (Spain); CIBER de Epidemiologia y Salud Publica, CIBERESP (Spain)], E-mail: mralbert@usc.es; Castro-Bernardez, M. [Epidemiology Department, Directorate-General for Public Health, Galician Regional Authority (Spain); Sande-Meijide, M. [Preventive Medicine Unit, Ourense Hospital Complex, Galician Health Service (Spain); Vargas, A. [Energy Techniques Institute, Polytechnic University of Catalonia, Barcelona (Spain); Barros-Dios, J.M. [Department of Preventive Medicine and Public Health, School of Medicine, University of Santiago de Compostela, C/San Francisco s/n, 15782 Santiago de Compostela (Spain); CIBER de Epidemiologia y Salud Publica, CIBERESP (Spain); Preventive Medicine Unit, Santiago de Compostela University Hospital, Galician Health Service (Spain)

    2008-07-15

    As reported in previous studies, Galicia (NW Spain) is an area of high radon concentrations. This study was sought to analyze the correlation between short-term (activated carbon) and long-term (alpha particle track) detectors in this geographic area, and ascertain whether there were differences in their readings that might be influenced by other variables. A comparison study, as part of a case-control study was designed in which two detectors, one of each type, were placed in the selected homes. A total of 391 homes yielded readings with both detectors. The results indicated that there was a relatively good correlation between both types of monitors (correlation coefficient 0.608; p < 0.001). The highest correlations between both detectors were observed for unventilated homes, coastal sites, and the oldest buildings. Short-term and long-term detectors do not show a similar performance in all settings or situations. It is advisable to use long-term detectors whenever possible.

  3. Adult Prevalence of Epilepsy in Spain: EPIBERIA, a Population-Based Study

    Directory of Open Access Journals (Sweden)

    Pedro J. Serrano-Castro

    2015-01-01

    Full Text Available Background. This study assesses the lifetime and active prevalence of epilepsy in Spain in people older than 18 years. Methods. EPIBERIA is a population-based epidemiological study of epilepsy prevalence using data from three representative Spanish regions (health districts in Zaragoza, Almería, and Seville between 2012 and 2013. The study consisted of two phases: screening and confirmation. Participants completed a previously validated questionnaire (EPIBERIA questionnaire over the telephone. Results. A total of 1741 valid questionnaires were obtained, including 261 (14.99% raising a suspicion of epilepsy. Of these suspected cases, 216 (82.75% agreed to participate in phase 2. Of the phase 2 participants, 22 met the International League Against Epilepsy’s diagnostic criteria for epilepsy. The estimated lifetime prevalence, adjusted by age and sex per 1,000 people, was 14.87 (95% CI: 9.8–21.9. Active prevalence was 5.79 (95% CI: 2.8–10.6. No significant age, sex, or regional differences in prevalence were detected. Conclusions. EPIBERIA provides the most accurate estimate of epilepsy prevalence in the Mediterranean region based on its original methodology and its adherence to ILAE recommendations. We highlight that the lifetime prevalence and inactive epilepsy prevalence figures observed here were compared to other epidemiological studies.

  4. Adult Prevalence of Epilepsy in Spain: EPIBERIA, a Population-Based Study

    Science.gov (United States)

    Serrano-Castro, Pedro J.; Mauri-Llerda, Jose Angel; Hernández-Ramos, Francisco José; Sánchez-Alvarez, Juan Carlos; Parejo-Carbonell, Beatriz; Quiroga-Subirana, Pablo; Vázquez-Gutierrez, Fernando; Santos-Lasaosa, Sonia; Mendez-Lucena, Carolina; Redondo-Verge, Luis; Tejero-Juste, Carlos; Morandeira-Rivas, Clara; Sancho-Rieger, Jerónimo; Matías-Guiu, Jorge

    2015-01-01

    Background. This study assesses the lifetime and active prevalence of epilepsy in Spain in people older than 18 years. Methods. EPIBERIA is a population-based epidemiological study of epilepsy prevalence using data from three representative Spanish regions (health districts in Zaragoza, Almería, and Seville) between 2012 and 2013. The study consisted of two phases: screening and confirmation. Participants completed a previously validated questionnaire (EPIBERIA questionnaire) over the telephone. Results. A total of 1741 valid questionnaires were obtained, including 261 (14.99%) raising a suspicion of epilepsy. Of these suspected cases, 216 (82.75%) agreed to participate in phase 2. Of the phase 2 participants, 22 met the International League Against Epilepsy's diagnostic criteria for epilepsy. The estimated lifetime prevalence, adjusted by age and sex per 1,000 people, was 14.87 (95% CI: 9.8–21.9). Active prevalence was 5.79 (95% CI: 2.8–10.6). No significant age, sex, or regional differences in prevalence were detected. Conclusions. EPIBERIA provides the most accurate estimate of epilepsy prevalence in the Mediterranean region based on its original methodology and its adherence to ILAE recommendations. We highlight that the lifetime prevalence and inactive epilepsy prevalence figures observed here were compared to other epidemiological studies. PMID:26783554

  5. Clinical audit of COPD in outpatient respiratory clinics in Spain: the EPOCONSUL study

    Directory of Open Access Journals (Sweden)

    Calle Rubio M

    2017-01-01

    Full Text Available Myriam Calle Rubio,1–3 Bernardino Alcázar Navarrete,4 Joan B Soriano,5 Juan J Soler-Cataluña,6 José Miguel Rodríguez González-Moro,7 Manuel E Fuentes Ferrer,2,3,8 José Luis López-Campos9 On behalf of the EPOCONSUL Study 1Pulmonary Department, Hospital Clínico San Carlos, 2Department of Medicine, Faculty of Medicine, University Complutense of Madrid, 3Research Institute of Hospital Clínico San Carlos (IdISSC, Madrid, 4Pulmonary Department, Hospital de Alta Resolución de Noja, Granada, 5Research Institute of Hospital University La Princesa (IISP, University Autónoma of Madrid, 6Pulmonary Department, Hospital de Arnau de Villanova, Valencia, 7Pulmonary Department, Hospital Universitario Principe de Asturias, Alcalá de Henares, Madrid, 8UGC of Preventive Medicine and Research Institute of Hospital Clínico San Carlos, Madrid, 9Pulmonary Department, Hospital University Virgen del Rocio, Institute of Biomedicine of Sevilla (IBiS, Sevilla, Spain Background: Chronic obstructive pulmonary disease (COPD outpatients account for a large burden of usual care by respirologists. EPOCONSUL is the first national clinical audit conducted in Spain on the medical care for COPD patients delivered in outpatient respiratory clinics. We aimed to evaluate the clinical interventions and the degree of adherence to recommendations in outpatients of current COPD clinical practice guidelines.Methodology: This is an observational study with prospective recruitment (May 2014–May 2015 of patients with a COPD diagnosis as seen in outpatient respiratory clinics. The information collected was historical in nature as for the clinical data of the last and previous consultations, and the information concerning hospital resources was concurrent.Results: A total of 17,893 clinical records of COPD patients in outpatient respiratory clinics from 59 Spanish hospitals were evaluated. Of the 5,726 patients selected, 4,508 (78.7% were eligible. Overall, 12.1% of COPD patients

  6. Urea cycle disorders in Spain: an observational, cross-sectional and multicentric study of 104 cases.

    Science.gov (United States)

    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; Del Toro-Riera, Mirella; García-Jiménez, Inmaculada; Sierra-Córcoles, Concepción; Ruiz-Pons, Mónica; Peña-Quintana, Luis J; Vives-Piñera, Inmaculada; Moráis, Ana; Balmaseda-Serrano, Elena; Meavilla, Silvia; Sanjurjo-Crespo, Pablo; Pérez-Cerdá, Celia

    2014-11-30

    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. 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 population. Heterozygous mothers of patients with OTC deficiency were only included if they were on treatment due to being symptomatic or having biochemistry abnormalities. 104 patients from 98 families were included. Ornithine transcarbamylase deficiency was the most frequent condition (64.4%) (61.2% female) followed by type 1 citrullinemia (21.1%) and argininosuccinic aciduria (9.6%). Only 13 patients (12.5%) were diagnosed in a pre-symptomatic state. 63% of the cases presented with type intoxication encephalopathy. The median ammonia level at onset was 298 μmol/L (169-615). The genotype of 75 patients is known, with 18 new mutations having been described. During the data collection period four patients died, three of them in the early days of life. The median current age is 9.96 years (5.29-18), with 25 patients over 18 years of age. Anthropometric data, expressed as median and z-score for the Spanish population is shown. 52.5% of the cases present neurological sequelae, which have been linked to the type of disease, neonatal onset, hepatic failure at diagnosis and ammonia values at diagnosis. 93 patients are following a protein restrictive diet, 0.84 g/kg/day (0.67-1.10), 50 are receiving essential amino acid supplements, 0.25 g/kg/day (0.20-0.45), 58 arginine, 156 mg/kg/day (109-305) and 45 citrulline, 150 mg/kg/day (105-199). 65 patients are being treated with drugs: 4 with sodium benzoate, 50 with sodium phenylbutyrate, 10 with both drugs and 1 with carglumic acid. Studies like this make it

  7. Impact of potash mining in streams: the Llobregat basin (northeast Spain as a case study

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    Ruben Ladrera

    2016-12-01

    Full Text Available Potash mining is significantly increasing the salt concentration of rivers and streams due to lixiviates coming from the mine tailings. In the present study, we have focused on the middle Llobregat basin (northeast Spain, where an important potash mining activity exists from the beginning of the XX century. Up to 50 million tonnes of saline waste have been disposed in the area, mainly composed of sodium chloride. We assessed the ecological status of streams adjacent to the mines by studying different physicochemical and hydromorphological variables, as well as aquatic macroinvertebrates. We found extraordinary high values of salinity in the studied streams, reaching conductivities up to 132.4 mS/cm. Salt-polluted streams were characterized by a deterioration of the riparian vegetation and the fluvial habitat. Both macroinvertebrate richness and abundance decreased with increasing salinity. In the most polluted stream only two families of macroinvertebrates were found: Ephydridae and Ceratopogonidae. According to the biotic indices IBMWP and IMMi-T, none of the sites met the requirements of the Water Framework Directive (WFD; i.e., good ecological status. Overall, we can conclude that potash-mining activities have the potential to cause severe ecological damage to their surrounding streams. This is mainly related to an inadequate management of the mine tailings, leading to highly saline runoff and percolates entering surface waters. Thus, we urge water managers and policy makers to take action to prevent, detect and remediate salt pollution of rivers and streams in potash mining areas.

  8. 20 Questions of Gamblers Anonymous: A Psychometric Study with Population of Spain.

    Science.gov (United States)

    Ursua, María Prieto; Uribelarrea, Luis Llavona

    1998-01-01

    The authors present a psychometric study of the questionnaire proposed by the Gamblers Anonymous organization for the self-assessment of problem gambling. The study was carried out in Spain with two samples: one of 127 problem gamblers (mean age: 41.67; sex: 78.7% men; mean duration of the problem: 5 years) and the other of 142 social gamblers (mean age: 38.46; sex: 60% men). The questionnaire was self-applied, in the presence of one of the investigators in case any doubts arose. The results indicate that it is a good screening instrument, with high reliability (Cronbach's alpha = 0.94), good covergent validity (the correlation with the SOGS questionnaire is high (r = 0.94; p < 0.001)), good factorial validity (the questionnaire's structure is unidimensional and coherent (just one factor explains more than 50% of the variance)), and its discriminative power is high (diagnostic efficacy = 98.88%). The study offers a comparative analysis of this instrument with other measures of problem gambling, emphasizing its extraordinary performance.

  9. Orientalism in Spain: Arab studies and colonialism in Morocco (1894-1943

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    Manuela Marín

    2009-04-01

    Full Text Available This article presents and analyzes the relationship between Arab studies and colonialism in Spain. Arabists like Julián Ribera promoted this relationship and were actively involved in the training of ‘colonial agents’ in the service of the Spanish administration. They supported several initiatives to this end, becoming members of various official institutions such as the ‘Junta de Enseñanza de Marruecos’. However, the Arabists’ departure from the ‘Centro de Estudios Históricos’ in 1916 signalled the abandonment of this line of action, as Arab studies became restricted to the academic arena, and focussed on the study of the Arab-Islamic period in the history of the Iberian Peninsula. The creation of the ‘Escuelas de Estudios Árabes’ in 1932, especially that of Granada, marked a new initiative in Spanish arabists’ attempts at colonial involvement. However, this new project was brought to an abrupt halt by the Spanish Civil War.

  10. Physical activity and gender: comparative study between adolescents from Monterrey, Mexico and Zaragoza, Spain.

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    Oswaldo Ceballos Gurrola

    2009-12-01

    Full Text Available The purpose of this study is to compare medium energy expenditure and levels of physical activity between adolescents from Monterrey, Mexico and Zaragoza, Spain taking into consideration variables such as gender, type of school, and time of the week.  Methods: adolescent students of 12 to 17 years of age from public and private schools in Monterrey (N= 396 and Zaragoza (N= 394.  The Four-by-One-Day Physical Activity Questionnaire was used and a .89 reliability with a test-retest because the test was adapted to this study.  Results: In Zaragoza as well as in Monterrey there is a significant number of students with low levels of physical activity.  Almost half of the students have been classified as inactive and very inactive.  The energy expenditure was very similar for both cities: Monterrey 37.52 ± 2.12 kcal/kg/day and Zaragoza 37.66 ± 2.95 kcal/kg/day.  Conclusions: Regarding gender, men show greater levels of physical activity than women.  This data coincides with the majority of the studies.  Students perform a higher level of physical activity during school days than during weekends.

  11. Population cardiovascular health and urban environments: the Heart Healthy Hoods exploratory study in Madrid, Spain

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    Usama Bilal

    2016-08-01

    Full Text Available Abstract Background Our aim is to conduct an exploratory study to provide an in-depth characterization of a neighborhood’s social and physical environment in relation to cardiovascular health. A mixed-methods approach was used to better understand the food, alcohol, tobacco and physical activity domains of the urban environment. Methods We conducted this study in an area of 16,000 residents in Madrid (Spain. We obtained cardiovascular health and risk factors data from all residents aged 45 and above using Electronic Health Records from the Madrid Primary Health Care System. We used several quantitative audit tools to assess: the type and location of food outlets and healthy food availability; tobacco and alcohol points of sale; walkability of all streets and use of parks and public spaces. We also conducted 11 qualitative interviews with key informants to help understanding the relationships between urban environment and cardiovascular behaviors. We integrated quantitative and qualitative data following a mixed-methods merging approach. Results Electronic Health Records of the entire population of the area showed similar prevalence of risk factors compared to the rest of Madrid/Spain (prevalence of diabetes: 12 %, hypertension: 34 %, dyslipidemia: 32 %, smoking: 10 %, obesity: 20 %. The food environment was very dense, with many small stores (n = 44 and a large food market with 112 stalls. Residents highlighted the importance of these small stores for buying healthy foods. Alcohol and tobacco environments were also very dense (n = 91 and 64, respectively, dominated by bars and restaurants (n = 53 that also acted as food services. Neighbors emphasized the importance of drinking as a socialization mechanism. Public open spaces were mostly used by seniors that remarked the importance of accessibility to these spaces and the availability of destinations to walk to. Conclusion This experience allowed testing and refining

  12. Macronutrients contribution from beverages according to sex and age: findings from the ANIBES Study in Spain.

    Science.gov (United States)

    Ruiz-Moreno, Emma; Rodríguez-Alonso, Paula; Ávila-Torres, José Manuel; Valero-Gaspar, Teresa; Del Pozo de la Calle, Susana; Varela-Moreiras, Gregorio

    2016-07-13

    Methodologies and procedures used in dietary surveys have been widely developed with the aim of evaluating the nutritional status of a population. However, beverages are often either disregarded at national and international assessment of nutrients intake or poorly mentioned. Moreover, there is no standardized questionnaire developed as a research tool for the evaluation of beverages intake in the general population. Moreover, the contribution of different beverages to macronutrients intake is rarely provided. The latter in the context of a continuous expansion and innovation of the beverages market in Spain. Therefore, the main goal of the present study was to evaluate non-alcoholic and alcoholic beverages macronutrients contribution in the ANIBES study in Spain (9-75 years old).As expected, those contributed to dietary macronutrient intake mainly as total carbohydrates and sugar. The contribution to other macronutrients (proteins and lipids) by the beverage groups was of much less importance. For non-alcoholic beverages, contribution to carbohydrates was much higher in younger populations (children: 10.91 ± 9.49%, mean ± SD for boys and 9.46 ± 8.83% for girls; adolescents: 11.97 ± 11.26% for men and 13.77 ± 10.55% in women) than in adults: 9.01 ± 9.84% for men and 7.77 ± 8.73% in women. Finally, a much lower contribution was observed in the elderly: 4.22 ± 6.10% for men and 4.46 ± 6.56% for women. No sex differences, however, across all age groups were found. Results for sugar contribution showed a similar trend: children (23.14 ± 19.00% for boys and 19.77 ± 17.35% for girls); adolescents (28.13 ± 24.17% for men and 29.83 ± 21.82% in women); adults 20.42 ± 20.35% for men and 16.95 ± 17.76% in women, p ≤ 0.01; and elderly: 14.63% ± 9.97 for men and 9.33 ± 12.86% in women. The main contribution corresponded to sugared soft drinks, juices and nectars, more relevant and significant in the younger populations. As for alcoholic beverages, the

  13. Estimation of tourism-induced electricity consumption: The case study of Balearics Islands, Spain

    International Nuclear Information System (INIS)

    Bakhat, Mohcine; Rossello, Jaume

    2011-01-01

    Tourism has started to be acknowledged as a significant contributor to the increase in environmental externalities, especially to climate change. Various studies have started to estimate and compute the role of the different tourism sectors' contributions to greenhouse gas (GHG) emissions. These estimations have been made from a sectoral perspective, assessing the contribution of air transport, the accommodation sector, or other tourism-related economic sectors. However, in order to evaluate the impact of this sector on energy use the approaches used in the literature consider tourism in its disaggregated way. This paper assesses the electricity demand pattern and investigates the aggregated contribution of tourism to electricity consumption using the case study of the Balearic Islands (Spain). Using a conventional daily electricity demand model, including data for daily stocks of tourists the impact of the different population growth rate scenarios on electricity loads is also investigated. The results show that, in terms of electricity consumption, tourism cannot be considered a very energy-intensive sector.

  14. Defining and Estimating Healthy Aging in Spain: A Cross-sectional Study.

    Science.gov (United States)

    Rodriguez-Laso, Angel; McLaughlin, Sara J; Urdaneta, Elena; Yanguas, Javier

    2018-03-19

    Using an operational continuum of healthy aging developed by U.S. researchers, we sought to estimate the prevalence of healthy aging among older Spaniards, inform the development of a definition of healthy aging in Spain, and foster cross-national research on healthy aging. The ELES pilot study is a nationwide, cross-sectional survey of community-dwelling Spaniards 50 years and older. The prevalence of healthy aging was calculated for the 65 and over population using varying definitions. To evaluate their validity, we examined the association of healthy aging with the 8 foot up & go test, quality of life scores and self-perceived health using multiple linear and logistic regression. The estimated prevalence of healthy aging varied across the operational continuum, from 4.5% to 49.2%. Prevalence figures were greater for men and those aged 65 to 79 years and were higher than in the United States. Predicted mean physical performance scores were similar for 3 of the 4 definitions, suggesting that stringent definitions of healthy aging offer little advantage over a more moderate one. Similar to U.S. researchers, we recommend a definition of healthy aging that incorporates measures of functional health and limiting disease as opposed to definitions requiring the absence of all disease in studies designed to assess the effect of policy initiatives on healthy aging.

  15. Study on the contamination by transuranides of Pulmonata gastropoda collected in Palomares (Spain)

    International Nuclear Information System (INIS)

    Aragon, A.; Espinosa, A.; Anton, M.P.

    2006-01-01

    A study on the contamination levels and distribution of plutonium in gastropods collected in Palomares (south-east Spain) has been performed. This region is partially contaminated with actinides following the nuclear accident occurred in 1966. The existence of plutonium in gastropods (Helix albicans and Theba pisana) along with their great gastronomic interest in the area reinforces the concern in studying the incorporation of these radioelements into a trophic level of the alimentary chain. In this work, plutonium concentration levels have been determined in the excrements, washing waters, flesh and shell of different types of gastropods collected in the Palomares most contaminated area. Plutonium analyses have been carried out following normalized procedures for the determination of this radionuclide. The results show the distribution of plutonium in washing and boiling water, excrements, soft tissues and shell of the snails. In addition, it has been estimated that the consumption of one kilogram of snails collected in the most contaminated area of Palomares could contribute up to 1/3 of the effective dose (due to ingestion) to the inhabitants of the area. (author)

  16. Estimation of tourism-induced electricity consumption: The case study of Balearics Islands, Spain

    Energy Technology Data Exchange (ETDEWEB)

    Bakhat, Mohcine, E-mail: mohcine_bakhat@yahoo.com; Rossello, Jaume

    2011-05-15

    Tourism has started to be acknowledged as a significant contributor to the increase in environmental externalities, especially to climate change. Various studies have started to estimate and compute the role of the different tourism sectors' contributions to greenhouse gas (GHG) emissions. These estimations have been made from a sectoral perspective, assessing the contribution of air transport, the accommodation sector, or other tourism-related economic sectors. However, in order to evaluate the impact of this sector on energy use the approaches used in the literature consider tourism in its disaggregated way. This paper assesses the electricity demand pattern and investigates the aggregated contribution of tourism to electricity consumption using the case study of the Balearic Islands (Spain). Using a conventional daily electricity demand model, including data for daily stocks of tourists the impact of the different population growth rate scenarios on electricity loads is also investigated. The results show that, in terms of electricity consumption, tourism cannot be considered a very energy-intensive sector.

  17. Graphical Diagnosis of Performances in Photovoltaic Systems: A Case Study in Southern Spain

    Directory of Open Access Journals (Sweden)

    Isabel Santiago

    2017-11-01

    Full Text Available The starting point of the operation and maintenance tasks in photovoltaic plants is the continuous monitoring and supervision of its components. The great amount of registered data requires a major improvement in the ways this information is processed and analyzed to rapidly detect any potential fault, without incurring additional costs. In this paper, a procedure to perform a detailed graphical supported analysis of the operation of photovoltaic installations, based on inverter data, and using a self-developed application, is presented. The program carries out the automated processing of the registered data, providing their access and visualization by means of color maps. These graphs allow a large volume of data set to be simultaneously represented in a readable way, enabling operation and maintenance operators to quickly detect patterns that would require any type of intervention. As a case study, the operation of a grid-connected photovoltaic plant located in southern Spain was studied during a period of three years. The average daily efficiency values of the PV modules and inverters were in the range of 7.6–14.6%, and 73.5–94% respectively. Moreover, the presence of shadings, as well as the hours and days mainly affected by this issue, was easily detected.

  18. Eco-services for solar thermal systems. Case studies. The Netherlands and Spain

    International Nuclear Information System (INIS)

    Dermelj, M.; Djazalov, A.; Esser, P.; Freire, I.; Grafakos, S.; Kovacs, C.; Villalba, M.P.; Rafaj, P.

    1999-04-01

    To satisfy the consumption requirements from society the demand of materials and energy is increasing. Nowadays the use of conventional energy sources in all economical sectors has negative environmental impacts. The household sector contributes significantly to the CO2 emissions through the use of fossil fuels, as domestic energy sources. The majority of the energy consumed by this sector covers demand for space beating and hot water supply. Some systems, which use renewable energy resources, as solar thermal systems (STS), could be used for the same purpose. If they are integrated in dwellings for hot water provision, the quantity of conventional energy can be reduced significantly. The two main objectives of the study are: (1) Assess the most sustainable consumption pattern for STS (individual or collective use); (2) Assess the most sustainable ownership pattern for STS (owning, leasing or renting) for both consumption patterns. To achieve these two objectives the group focuses the research on the comparison of the consumption and ownership patterns of STS in The Netherlands and Spain. The analysis of environmental, economic and comfort aspects is carried out using the data from relevant case studies in both countries. Each combination of the product/service that results in an environmental benefit without decreasing the economic and comfort benefits is considered as eco-service. The results from this analysis and the recommendations for the target group (European Commission and National governments) are summarised bellow. refs

  19. 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.

  20. 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.

  1. Comparative study of the thermoluminescence properties of natural metamorphic quartz belonging to Turkey and Spain

    International Nuclear Information System (INIS)

    Topaksu, M.; Dogan, T.; Yüksel, M.; Kurt, K.; Topak, Y.; Yegingil, Z.

    2014-01-01

    The aim of this study is to investigate the sensitization of the thermoluminescence (TL) peak of metamorphic quartzes from Adiyaman in Turkey (TMQ) and from Madrid in Spain (SMQ). Quartz samples of two different origins were β-irradiated between ∼6.689 Gy and 4816 Gy at room temperature. X-ray diffraction analysis has indicated that both TMQ and SMQ have the same crystal structure. Chemical analyses of both TMQ and SMQ were performed using the XRF technique. The preheat processes were carried out at 125 °C for 10 s in the TL measurement. TMQ and SMQ samples have different TL properties in two ways. First TMQ has four first order TL glow peaks while SMQ has five first order TL peaks and secondly, the observed dose sensitivity of TMQ samples is higher than the SMQ samples. - Highlights: • The thermoluminescence (TL) peak of metamorphic quartzes was investigated. • Comparable differences were seen between low and high dose levels. • AD and CGCD methods were used

  2. Business models in urban farming: A comparative analysis of case studies from Spain, Italy and Germany

    Directory of Open Access Journals (Sweden)

    Pölling Bernd

    2017-09-01

    Full Text Available The “Urban Agriculture Europe” EU COST-Action (2012–2016 has shown that the complexity of urban agriculture (UA is hardly compressible into classic business management models and has proposed new management models, such as the Business Model Canvas (BMC. Business models of UA have to be different from rural ones. In particular, factors such as differentiation and diversification, but also low cost-oriented specialisation, are characteristic and necessary business models for UA to stay profitable in the long term under challenging city conditions. This paper aims to highlight how farm enterprises have to adjust to urban conditions by stepping into appropriate business models aiming to stay competitive and profitable, and how the BMC is useful to analyse their organisation and performance, both economically and socially. The paper offers an inter-regional analysis of UA enterprises located in Spain, Italy, and Germany, which are further subdivided into: local food, leisure, educational, social, therapeutic, agri-environmental, cultural heritage and experimental farms. The analysis demonstrates that UA is differentially adjusted to specific urban conditions and that the BMC is useful for analysing urban farming. Heterogeneous local food farms and the integration of local and organic food production in social farming business models are most frequent in our case studies.

  3. Economic and Environmental Study of Wineries Powered by Grid-Connected Photovoltaic Systems in Spain

    Directory of Open Access Journals (Sweden)

    Daniel Gómez-Lorente

    2017-02-01

    Full Text Available This research developed a system that can make factories more independent from the grid. The system enhances efficiency since factory operation is powered by the renewable energy generated during the production process. Winemaking is a key sector that can profit from such a system because wineries can recycle much of the waste from the raw materials employed in wine production. Moreover, the solar energy collected at winemaking facilities can also be used to reduce electricity consumption and thus increase energy efficiency. This study investigated the feasibility of using renewable energy sources, such as solar energy, in wineries in Spain, given the quantity of renewable energy produced in the country. For this purpose, cost-effectiveness, power generation, CO2 emissions and the renewable energy fraction were taken into account. The assumption was that the photovoltaic system was grid-connected. Research results showed a reduction in electrical power costs ranging from 4% to 36%. This reduction was accompanied by an increase in the use of renewable energy of up to 57%. The results obtained are based on self-consumption or net metering policy as well as the production capacity of the winery.

  4. Mutational spectrum of Duchenne muscular dystrophy in Spain: Study of 284 cases.

    Science.gov (United States)

    Vieitez, I; Gallano, P; González-Quereda, L; Borrego, S; Marcos, I; Millán, J M; Jairo, T; Prior, C; Molano, J; Trujillo-Tiebas, M J; Gallego-Merlo, J; García-Barcina, M; Fenollar, M; Navarro, C

    Duchenne muscular dystrophy (DMD) is a severe X-linked recessive neuromuscular disease that affects one in 3500 live-born males. The total absence of dystrophin observed in DMD patients is generally caused by mutations that disrupt the reading frame of the DMD gene, and about 80% of cases harbour deletions or duplications of one or more exons. We reviewed 284 cases of males with a genetic diagnosis of DMD between 2007 and 2014. These patients were selected from 8 Spanish reference hospitals representing most areas of Spain. Multiplex PCR, MLPA, and sequencing were performed to identify mutations. Most of these DMD patients present large deletions (46.1%) or large duplications (19.7%) in the dystrophin gene. The remaining 34.2% correspond to point mutations, and half of these correspond to nonsense mutations. In this study we identified 23 new mutations in DMD: 7 large deletions and 16 point mutations. The algorithm for genetic diagnosis applied by the participating centres is the most appropriate for genotyping patients with DMD. The genetic specificity of different therapies currently being developed emphasises the importance of identifying the mutation appearing in each patient; 38.7% of the cases in this series are eligible to participate in current clinical trials. Copyright © 2016 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

  5. Prospective Multicentre Study on the Epidemiology and Current Therapeutic Management of Severe Bronchiolitis in Spain

    Directory of Open Access Journals (Sweden)

    Jose C. Flores-González

    2017-01-01

    Full Text Available Objective. To determine the epidemiology and therapeutic management of patients with severe acute bronchiolitis (AB admitted to paediatric intensive care units (PICUs in Spain. Design. Descriptive, prospective, multicentre study. Setting. Sixteen Spanish PICUs. Patients. Patients with severe AB who required admission to any of the participating PICUs over 1 year. Interventions. Both epidemiological variables and medical treatment received were recorded. Results. A total of 262 patients were recruited; 143 were male (54.6%, with median age of 1 month (0–23. Median stay in the PICU was 7 days (1–46. Sixty patients (23% received no nebuliser treatment, while the rest received a combination of inhalation therapies. One-quarter of patients (24.8% received corticosteroids and 56.5% antibiotic therapy. High-flow oxygen therapy was used in 14.3% and noninvasive ventilation (NIV was used in 75.6%. Endotracheal intubation was required in 24.4% of patients. Younger age, antibiotic therapy, and invasive mechanical ventilation (IMV were risk factors that significantly increased the stay in the PICU. Conclusions. Spanish PICUs continue to routinely use nebulised bronchodilator treatment and corticosteroid therapy. Despite NIV being widely used in this condition, intubation was required in one-quarter of cases. Younger age, antibiotic therapy, and IMV were associated with a longer stay in the PICU.

  6. Enhancing local action planning through quantitative flood risk analysis: a case study in Spain

    Science.gov (United States)

    Castillo-Rodríguez, Jesica Tamara; Escuder-Bueno, Ignacio; Perales-Momparler, Sara; Ramón Porta-Sancho, Juan

    2016-07-01

    This article presents a method to incorporate and promote quantitative risk analysis to support local action planning against flooding. The proposed approach aims to provide a framework for local flood risk analysis, combining hazard mapping with vulnerability data to quantify risk in terms of expected annual affected population, potential injuries, number of fatalities, and economic damages. Flood risk is estimated combining GIS data of loads, system response, and consequences and using event tree modelling for risk calculation. The study area is the city of Oliva, located on the eastern coast of Spain. Results from risk modelling have been used to inform local action planning and to assess the benefits of structural and non-structural risk reduction measures. Results show the potential impact on risk reduction of flood defences and improved warning communication schemes through local action planning: societal flood risk (in terms of annual expected affected population) would be reduced up to 51 % by combining both structural and non-structural measures. In addition, the effect of seasonal population variability is analysed (annual expected affected population ranges from 82 to 107 %, compared with the current situation, depending on occupancy rates in hotels and campsites). Results highlight the need for robust and standardized methods for urban flood risk analysis replicability at regional and national scale.

  7. Multi-Criteria Analyses of Urban Planning for City Expansion: A Case Study of Zamora, Spain

    Directory of Open Access Journals (Sweden)

    Marco Criado

    2017-10-01

    Full Text Available This study has established a methodology to determine the most environmentally suitable area for the expansion of Zamora (Spain using geographic information system (GIS technology. The objective was to develop a GIS-based methodology for the identification of urban peripheral areas that are suitable for the accommodation of new buildings and services, that are compliant with environmental criteria, and that guarantee an adequate quality of life for the future population such that extra construction costs are avoided. The methodological core is based on two multi-criteria analyses (MCAs: MCA-1 determines areas suitable for building—the most environmentally sustainable areas that do not present risks or discomforts to the population—by analyzing the restrictive factors; MCA-2 takes the sectors that received a favorable evaluation in MCA-1, determines which of those have a lower economic overhead for construction, and analyzes the different conditioning criteria related to their pre-existing infrastructures. Finally, the location of the sectors is determined by a decision factor that satisfies some strategic need of the municipality.

  8. Transcultural study on quality of life in patients diagnosed of schizophrenia from Mexico and Spain

    Directory of Open Access Journals (Sweden)

    Maribel Peró Cebollero

    2009-08-01

    Full Text Available The aim of this paper was to evaluate the differences between two samples of schizophrenic patients from two different cultural contexts. Matched by age and gender, each 40-subject sample includes patients with differential diagnosis of schizophrenia. One sample was taken from the Barcelona Hospital network (Spain and the other one from the Hospital Civil Universitario of Guadalajara (Mexico. Several demographic and clinical variables were evaluated and the Health Related Quality of Life Scale (HRQLS was conducted on all the subjects. The HRQLS was adapted to Spanish (Rodriguez, et al., 1995. The results confirmed the factor structure studied and they showed no special differences in the total score of the HRQLS. However, an important effect was found when analyzing the results separately for the three factors: Interpersonal Relationship (IR1, Instrumental Resources (IR2 and Intrapsychic Foundation (IF, or in the items of the Intrapsychic Foundations factor. Given these differences, it is considered that these scales can be used to carry out an exhaustive profile analysis in order to organize a personalized treatment, in comparison to the total score of the HRQLS.

  9. A breast cancer case-control study in Girona, Spain. Endocrine, familial and lifestyle factors.

    Science.gov (United States)

    Viladiu, P; Izquierdo, A; de Sanjosé, S; Bosch, F X

    1996-10-01

    This study was designed to explore risk factors for breast cancer with emphasis on the detection of clinical markers of the hormonal imbalance during the perimenarche. Three hundred and thirty women diagnosed with breast cancer and 346 population controls were identified and interviewed in Girona, Spain between 1986 and 89. Cases were more likely than controls to have had long menstrual periods in the first 5 years after menarche [odds ratio (OR) = 3.0], to experience menopause at a late age (OR = 1.5) and to report acne during adolescence (OR = 1.6). Family history of breast cancer was associated with an increased risk (OR = 2.3). Cases reported a lower use of drug treatments for anxiety and sleep disorders than controls. Moderate alcohol drinkers and smokers were at lower risk for breast cancer. No statistically significant association with breast cancer was observed for number of children, age at last pregnancy, oral contraceptive use, hormonal treatment after menopause and weight perception during the teenage years. Hormonal changes in the years following menarche may be relevant to breast cancer risk. The roles of menstrual period length and acne during adolescence should be further explored.

  10. Prevalence of tics in schoolchildren in central Spain: a population-based study.

    Science.gov (United States)

    Cubo, Esther; Gabriel y Galán, José María Trejo; Villaverde, Vanesa Ausín; Velasco, Sara Sáez; Benito, Vanesa Delgado; Macarrón, Jesús Vicente; Guevara, José Cordero; Louis, Elan D; Benito-León, Julián

    2011-08-01

    Tic disorders constitute a neurodevelopmental disorder of childhood. This study sought to determine the prevalence of tic disorders in a school-based sample. A randomized sample of 1158 schoolchildren, based on clusters (classrooms) in the province of Burgos (Spain), was identified on a stratified sampling frame combining types of educational center and setting (mainstream schools and special education), using a two-phase approach (screening and diagnosis ascertainment by a neurologist). Tics with/without impairment criterion were diagnosed according to Diagnostic and Statistical Manual of Mental Disorders criteria. In mainstream schools, tics were observed in 125/741 students (16.86%; 95% confidence interval, 14.10-19.63), and were more frequent in boys (87/448, 19.42%; 95% confidence interval, 15.64-23.19) compared with girls (38/293, 12.96%; 95% confidence interval, 8.95-16.98; P = 0.03). In special education centers, tics disorders were observed in 11/54 of children (20.37%; 95% confidence interval, 8.70-32.03). Overall, tics with impairment criteria were less frequent than tics without impairment criteria (4.65% vs 11.85%, P tics (6.07%) and Tourette syndrome (5.26%). Tic disorders are common in childhood, and the use or nonuse of impairment criteria exerts a significant impact on tic prevalence estimates. Copyright © 2011 Elsevier Inc. All rights reserved.

  11. Road-corridor planning in the EIA procedure in Spain. A review of case studies

    Energy Technology Data Exchange (ETDEWEB)

    Loro, Manuel, E-mail: manuel.loro@upm.es [Department of Urban and Regional Planning and Environment, Civil Engineering School, Universidad Politécnica de Madrid, Prof. Aranguren s/n, 28040 Madrid (Spain); Transport Research Centre (TRANSyT-UPM) Universidad Politécnica de Madrid, ETSI Caminos, Canales y Puertos, Prof. Aranguren s/n, 28040 Madrid (Spain); Centro de investigación del transporte, TRANSyT-UPM, ETSI Caminos, Canales y Puertos, Universidad Politécnica de Madrid, Prof. Aranguren s/n, 28040 Madrid (Spain); Arce, Rosa M., E-mail: rosa.arce.ruiz@upm.es [Department of Urban and Regional Planning and Environment, Civil Engineering School, Universidad Politécnica de Madrid, Prof. Aranguren s/n, 28040 Madrid (Spain); Transport Research Centre (TRANSyT-UPM) Universidad Politécnica de Madrid, ETSI Caminos, Canales y Puertos, Prof. Aranguren s/n, 28040 Madrid (Spain); Centro de investigación del transporte, TRANSyT-UPM, ETSI Caminos, Canales y Puertos, Universidad Politécnica de Madrid, Prof. Aranguren s/n, 28040 Madrid (Spain); Ortega, Emilio, E-mail: e.ortega@upm.es [Transport Research Centre (TRANSyT-UPM) Universidad Politécnica de Madrid, ETSI Caminos, Canales y Puertos, Prof. Aranguren s/n, 28040 Madrid (Spain); Centro de investigación del transporte, TRANSyT-UPM, ETSI Caminos, Canales y Puertos, Universidad Politécnica de Madrid, Prof. Aranguren s/n, 28040 Madrid (Spain); Department of Construction and Rural Roads, Forestry Engineering School, Universidad Politécnica de Madrid, Ciudad Universitaria s/n, 28040 Madrid (Spain); and others

    2014-01-15

    The assessment of different alternatives in road-corridor planning must be based on a number of well-defined territorial variables that serve as decision making criteria, and this requires a high-quality preliminary environmental assessment study. In Spain the formal specifications for the technical requirements stipulate the constraints that must be considered in the early stages of defining road corridors, but not how they should be analyzed and ranked. As part of the feasibility study of a new road definition, the most common methodology is to establish different levels of Territorial Carrying Capacity (TCC) in the study area in order to summarize the territorial variables on thematic maps and to ease the tracing process of road-corridor layout alternatives. This paper explores the variables used in 22 road-construction projects conducted by the Ministry of Public Works that were subject to the Spanish EIA regulation and published between 2006 and 2008. The aim was to evaluate the quality of the methods applied and the homogeneity and suitability of the variables used for defining the TCC. The variables were clustered into physical, environmental, land-use and cultural constraints for the purpose of comparing the TCC values assigned in the studies reviewed. We found the average quality of the studies to be generally acceptable in terms of the justification of the methodology, the weighting and classification of the variables, and the creation of a synthesis map. Nevertheless, the methods for assessing the TCC are not sufficiently standardized; there is a lack of uniformity in the cartographic information sources and methodologies for the TCC valuation. -- Highlights: • We explore 22 road-corridor planning studies subjected to the Spanish EIA regulation. • We analyze the variables selected for defining territorial carrying capacity. • The quality of the studies is acceptable (methodology, variable weighting, mapping). • There is heterogeneity in the

  12. Two year study of swash zone suprabenthos of two Galician beaches (NW Spain)

    Science.gov (United States)

    Bernardo-Madrid, Rubén; Martínez-Vázquez, Juan M.; Viéitez, José M.; Junoy, Juan

    2013-10-01

    The suprabenthos is considered a major food resource for some fish and birds. Moreover, it plays a key role in the food chain and in nutrient regeneration in the surf zone. The aim of this study was to determine the factors that regulate this fauna and the differences between the suprabenthic groups, to study the possibility of seasonal variations and to compare these results with those of other studies conducted in Europe. A study and geographical comparison was conducted of the temporal patterns of the suprabenthos in the swash zone at two sandy beaches on the NE Atlantic coast (Altar and Ladeira beaches) in the NW of Spain. The study was carried out from September 2005 to August 2007 (24 months). To study the fauna, 60 m2 was sampled monthly with a suprabenthic sledge, and a total of 101 species belonging to Peracarida and Decapoda were recorded. Total densities ranged from 0.42 ind·m- 2 to 178.75 ind·m- 2. Ladeira beach showed higher densities and species richness than Altar beach, and the biocoenosis showed a different dynamic over the 24 months and between years and locations. These results indicate that there is no clear seasonality in the dynamic of suprabenthic species, although the variance of Peracarida orders was explained in diverse degree by environmental variables. The environmental models implemented explained between 27.7% and 93.8% of the faunal data, and hydrodynamic factors and daily global irradiance were selected as the best factors to explain the temporal variations.

  13. Does the Attitude Toward Organ Donation Change as a Function of the Country Where People Emigrate? Study Between Uruguayan Emigrants to the United States and Spain.

    Science.gov (United States)

    Ríos, A; López-Navas, A I; Sánchez, Á; Ayala, M A; Garrido, G; Sebastián, M J; Martinez-Alarcón, L; Ramis, G; Hernández, A M; Ramírez, P; Parrilla, P

    2018-03-01

    The Uruguayan population is sensitized toward transplantation. However, it has not been studied how this awareness can change when emigrating to different countries. To analyze the attitude toward cadaveric organ donation and living organ donation between the Uruguayan population residing in Florida (United States) and the Uruguayan population residing in Spain. Adults born in Uruguay and residing in Florida and Spain were screened. The questionnaire "PCID-DTO Ríos" (donation of cadaveric organs) and "PCID-DVR Ríos" (living renal donation) were used. Subjects were randomly selected according to age and gender stratification. Support from Latin-American immigration associations in Spain and Florida was needed. The survey was anonymized and self-administered. Verbal consent was obtained to collaborate in the study. Because the emigrant population to Spain is far larger than the emigrant population to the United States, a 2:1 proportional sampling was performed (n = 132). Sixty-seven percent of residents in Spain were in favor of organ donation at the time of death compared with 50% among residents in Florida (P = .082), and 100% of residents in Spain were in favor of living renal donation compared with 50% of those living in Florida (P donation is more favorable among Uruguayan emigrants to Spain than emigrants to the United States, especially in related kidney donation. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Transnationality and Social Integration within Lifestyle Migration. A comparative study of two cases in Mexico and Spain

    OpenAIRE

    Lizarraga, Omar; Mantecón Terán, Alejandro; Huete Nieves, Raquel

    2015-01-01

    International mobility in search of amenity spaces for long-stay tourism is a growing phenomenon. U.S. citizens have practiced this lifestyle migration for decades to Latin American countries, especially to Mexico. British citizens move to Spain for similar reasons. In this paper we make a comparative analysis of these two international contexts in order to gain greater insight into the diversity and breadth of this type of migration. The study uses quantitative surveys administered at each f...

  15. Comprehensive Characterization of Palygorskite from Torrejon el Rubio (Spain) Based on Experimental Techniques and Theoretical DFT Studies

    International Nuclear Information System (INIS)

    Fernandez, A.M.; Timon, V.; Cubero, J. J.; Sanchez-Ledesma, D. M.; Gutierrez-Nebot, L.; Martinez, J. J.; Romero, C.; Labajo, M.; Melon, A.; Barrios, I.

    2013-01-01

    New data about the physico-chemical, microstructural and crystal-chemical properties of the mineral paligorskite from Torrejon el Rubio (Caceres, Spain) were obtained by a combination of experimental techniques (XRD, FRX, FTIR, TG-DSC, SEM and chemical analyses), as well as geometry optimization by means of the Density Functional Theory (DFT). This study demonstrates the applicability of the mixed theoretical-experimental work to characterize and understand the properties of clay minerals used in technological applications and environmental remediation. (Author)

  16. Comprehensive Characterization of Palygorskite from Torrejon el Rubio (Spain) Based on Experimental Techniques and Theoretical DFT Studies

    Energy Technology Data Exchange (ETDEWEB)

    Fernandez, A.M.; Timon, V.; Cubero, J. J.; Sanchez-Ledesma, D. M.; Gutierrez-Nebot, L.; Martinez, J. J.; Romero, C.; Labajo, M.; Melon, A.; Barrios, I.

    2013-10-01

    New data about the physico-chemical, microstructural and crystal-chemical properties of the mineral paligorskite from Torrejon el Rubio (Caceres, Spain) were obtained by a combination of experimental techniques (XRD, FRX, FTIR, TG-DSC, SEM and chemical analyses), as well as geometry optimization by means of the Density Functional Theory (DFT). This study demonstrates the applicability of the mixed theoretical-experimental work to characterize and understand the properties of clay minerals used in technological applications and environmental remediation. (Author)

  17. A modelling case study to evaluate control strategies for ozone reduction in Southwestern Spain

    Science.gov (United States)

    Castell, N.; Mantilla, E.; Salvador, R.; Stein, A. F.; Millán, M.

    2009-09-01

    Ozone is a strong oxidant and when certain concentrations are reached it has adverse effects on health, vegetation and materials. With the aim of protecting human health and ecosystems, European Directive 2008/50/EC establishes target values for ozone concentrations, to be achieved from 2010 onwards. In our study area, located in southwestern Spain, ozone levels regularly exceed the human health protection threshold defined in the European Directive. Indeed, this threshold was exceeded on 92 days in 2007, despite the fact that the Directive stipulates that it should not be exceeded on more than 25 days per calendar year averaged over three years. It is urgent, therefore, to reduce the current ozone levels, but because ozone is a secondary pollutant, this reduction must necessarily involve limiting the emission of its precursors, primarily nitrogen oxides (NOx) and volatile organic compounds (VOC). During the central months of the year, southwestern Spain is under strong insolation and weak synoptic forcing, promoting the development of sea breezes and mountain-induced winds and creating re-circulations of pollutants. The complex topography of the area induces the formation of vertical layers, into which the pollutants are injected and subjected to long distance transport and compensatory subsidence. The characteristics of these highly complex flows have important effects on the pollutant dispersion. In this study two ozone pollution episodes have been selected to assess the ozone response to reductions in NOx and VOC emissions from industry and traffic. The first corresponds to a typical summer episode, with the development of breezes in an anticyclonic situation with low gradient pressure and high temperatures, while the second episode presents a configuration characteristic of spring or early summer, with a smooth westerly flow and more moderate temperatures. Air pollution studies in complex terrain require the use of high-resolution models to resolve the complex

  18. Night shift work and stomach cancer risk in the MCC-Spain study.

    Science.gov (United States)

    Gyarmati, Georgina; Turner, Michelle C; Castaño-Vinyals, Gemma; Espinosa, Ana; Papantoniou, Kyriaki; Alguacil, Juan; Costas, Laura; Pérez-Gómez, Beatriz; Martin Sanchez, Vicente; Ardanaz, Eva; Moreno, Victor; Gómez-Acebo, Inés; Fernández-Tardon, Guillermo; Villanueva Ballester, Vicent; Capelo, Rocio; Chirlaque, Maria-Dolores; Santibáñez, Miguel; Pollán, Marina; Aragonés, Nuria; Kogevinas, Manolis

    2016-08-01

    Night shift work has been classified as a probable human carcinogen by the International Agency for Research on Cancer, based on experimental studies and limited evidence on human breast cancer risk. Evidence at other cancer sites is scarce. We evaluated the association between night shift work and stomach cancer risk in a population-based case-control study. A total of 374 incident stomach adenocarcinoma cases and 2481 population controls were included from the MCC-Spain study. Detailed data on lifetime night shift work were collected including permanent and rotating shifts, and their cumulative duration (years). Adjusted unconditional logistic regression models were used in analysis. A total of 25.7% of cases and 22.5% of controls reported ever being a night shift worker. There was a weak positive, non-significant association between ever having had worked for at least 1 year in permanent night shifts and stomach cancer risk compared to never having worked night shifts (OR=1.2, 95% CI 0.9 to 1.8). However, there was an inverse 'U' shaped relationship with cumulative duration of permanent night shifts, with the highest risk observed in the intermediate duration category (OR 10-20 years=2.0, 95% CI 1.1 to 3.6) (p for trend=0.19). There was no association with ever having had worked in rotating night shifts (OR=0.9, 95% CI 0.6 to 1.2) and no trend according to cumulative duration (p for trend=0.68). We found no clear evidence concerning an association between night shift work and stomach cancer risk. 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/

  19. Analysis of and reflection on bachelor thesis in nursing students: A descriptive study in Spain.

    Science.gov (United States)

    Roca, Judith; Gros, Silvia; Canet, Olga

    2018-06-11

    The bachelor thesis, a final year subject to obtain a nursing degree, presents an ideal opportunity for the development and assessment of professional competencies. Thus, it is necessary to specify that the structure of the bachelor thesis works as an element of review and reflection from both a pedagogical and professional perspective. To analyse the main elements of the bachelor thesis in the nursing degree 2015-16 in Spain. A transversal descriptive study was conducted using a quantitative documentary analysis via study guides or grade reports. The variables were the main academic elements of the bachelor thesis subject (credits, competencies, learning outcomes, contents, methodologies, training activities and assessment). A probabilistic sample of 66 institutions was studied using descriptive statistics with statistical measures of central tendency and measures of variability. The results showed a maximum range of 12 and a minimum of 6 European Credit Transfer and Accumulation System. The definition and number of competencies to be developed varied and the learning outcomes were formulated in only 40.9% of the guides consulted. The most widely used teaching methodologies and training activities were academic supervision (87.9%) and autonomous work (80.3%). Regarding types of work, basic investigation (34.8%), care plans (33.3%) and literature review (30,3%) ranked highest. No specific descriptors could be linked to the contents. Finally, two main assessment tools were found: process and product. The rubric is presented as a main element of the assessment. The bachelor thesis is conceived as autonomous, personal and original academic work. But no homogeneity was observed in the key development elements such as competencies, teaching strategies, or type of bachelor thesis. Therefore, the findings from the analysis and the bibliographic review are presented as recommendations as regards the outcome, structure and/or teaching elements linked to the bachelor thesis

  20. Evaluating the Social Media Performance of Hospitals in Spain: A Longitudinal and Comparative Study.

    Science.gov (United States)

    Martinez-Millana, Antonio; Fernandez-Llatas, Carlos; Basagoiti Bilbao, Ignacio; Traver Salcedo, Manuel; Traver Salcedo, Vicente

    2017-05-23

    Social media is changing the way in which citizens and health professionals communicate. Previous studies have assessed the use of Health 2.0 by hospitals, showing clear evidence of growth in recent years. In order to understand if this happens in Spain, it is necessary to assess the performance of health care institutions on the Internet social media using quantitative indicators. The study aimed to analyze how hospitals in Spain perform on the Internet and social media networks by determining quantitative indicators in 3 different dimensions: presence, use, and impact and assess these indicators on the 3 most commonly used social media - Facebook, Twitter, YouTube. Further, we aimed to find out if there was a difference between private and public hospitals in their use of the aforementioned social networks. The evolution of presence, use, and impact metrics is studied over the period 2011- 2015. The population studied accounts for all the hospitals listed in the National Hospitals Catalog (NHC). The percentage of hospitals having Facebook, Twitter, and YouTube profiles has been used to show the presence and evolution of hospitals on social media during this time. Usage was assessed by analyzing the content published on each social network. Impact evaluation was measured by analyzing the trend of subscribers for each social network. Statistical analysis was performed using a lognormal transformation and also using a nonparametric distribution, with the aim of comparing t student and Wilcoxon independence tests for the observed variables. From the 787 hospitals identified, 69.9% (550/787) had an institutional webpage and 34.2% (269/787) had at least one profile in one of the social networks (Facebook, Twitter, and YouTube) in December 2015. Hospitals' Internet presence has increased by more than 450.0% (787/172) and social media presence has increased ten times since 2011. Twitter is the preferred social network for public hospitals, whereas private hospitals

  1. The Application of GIS Viewshed Analysis to Roman Urban Studies: the Case-Study of Empúries, Spain

    Directory of Open Access Journals (Sweden)

    Alan E. Kaiser

    2003-05-01

    Full Text Available This article demonstrates the potential of applying GIS viewshed analysis to Roman urban studies. It examines the visual dynamics of the Roman city of Empúries, Spain, through an analysis of the visibility of, and view from, a temple and a domus within the city. The analysis proves that the two buildings in question would have had wide views of the Gulf of Roses to the east of the city, and could easily have been seen by people in boats in the Gulf, but they were virtually invisible from within the city and would certainly not have dominated the cityscape. The article concludes that the absence of the villa and temple from the intramural cityscape of Empúries cautions modern investigators of ancient cities against simply assuming that currently prominent ruins on hills or ridges were also highly visible from near as well as far in antiquity.

  2. Numerical modelling comparison of slow landslides: the Portalet case study (Central Pyrenees-Spain)

    Science.gov (United States)

    Fernandez-Merodo, Jose Antonio; Garcia-Davalillo, Juan Carlos; Herrera, Gerardo

    2013-04-01

    water table rises during rain events. In the last eight years the cumulative surface displacement exceeds two meters. The comparison made in this paper provides that after a careful and difficult calibration, the proposed models reproduce qualitatively and quantitatively, more or less accurately depending on the complexity of the model, the observed deformation patterns. These models can give successful short-term and medium-term predictions during stages of primary and secondary creep, i.e. at nearly constant strain rate. However, long-time predictions remain uncertain, stability depends strongly on the position of the water table depth and new failures during tertiary creep due to soil temporal micro-structural degradation are difficult to calibrate. References [1] G.Herrera, J.A.Fernández-Merodo, J.Mulas, M.Pastor y G.Luzi. "A landslide forecasting model using ground based SAR data: the Portalet case study". Engineering geology 2009, vol. 105, n° 3-4, pp: 220-230 (10 pág.) DOI: 10.1016/j.enggeo.2009.02.009 [2] J.A.Fernández-Merodo, G.Herrera, P.Mira, J.Mulas, M.Pastor, L.Noferini, D.Mecatti, G.Luzi. "Modelling the Portalet landslide mobility (Formigal, Spain)". International Congress on Environmental Modelling and Software (iEMSs 2008). ISBN: 978-84-7653-074-0 [3] J.A.Fernández-Merodo, J.C.García-Davalillo, G.Herrera, P.Mira, M.Pastor. "2D viscoplastic finite element modelling of slow landslides: the Portalet case study (Spain)". Landslides 2012, DOI: 10.1007/s10346-012-0370-4

  3. Developments in radiological assessment and biosphere modelling studies to support radioactive waste disposal in Spain

    Energy Technology Data Exchange (ETDEWEB)

    Perez-Sanchez, D. [Centro de Investigaciones Energeticas, Medioambientales y Tecnologicas - CIEMAT (Spain); Thorne, M. [Mike Thorne and Associates Limited (United States)

    2014-07-01

    Long-term safety assessments for the disposal of radioactive waste in Spain involve the demonstration that annual radiation doses to humans due to potential releases of radionuclides from the waste disposal facility into the biosphere will satisfy the regulatory criteria. For several years, CIEMAT has been developing, for ENRESA, a conceptual approach and tool to support modelling of the migration and accumulation of radionuclides within environmental media once those radionuclides have been released to some component of the biosphere (atmosphere, water bodies or soils). The CIEMAT modelling approach calculates the concentrations of radionuclides in different components of the biosphere and then the calculated radionuclide concentrations are used to estimate the radiation doses to humans due to various exposure paths. In this paper, we not only describe the methodology and modelling approach, we also describe recent developments of that approach to better quantify the resultant doses to humans. First, we present recent developments in the mathematical model for the behaviour of {sup 79}Se and {sup 238}U-series radionuclides in soils and their uptake by plants, taking into account seasonal variations in soil hydrology in Spain. Initial studies with the model that are reported here demonstrate that it is a powerful tool for exploring the behaviour of redox-sensitive radionuclides and {sup 238}U decay chain members in soil-plant systems under different hydrological regimes. In particular, it permits studies of the degree to which secular equilibrium assumptions are appropriate when modelling the {sup 238}U decay chain. Further studies are currently being undertaken examining sensitivities of model results to input parameter values and also applying the model to sites contaminated with {sup 238}U-series radionuclides. It is anticipated that results from these studies will also be reported. A particular interest in biosphere safety assessment is how environmental

  4. Environmental study of azole-resistant Aspergillus fumigatus and other aspergilli in Austria, Denmark, and Spain

    DEFF Research Database (Denmark)

    Mortensen, Klaus Leth; Mellado, Emilia; Lass-Flörl, Cornelia

    2010-01-01

    . fumigatus isolates from four Danish soil samples displayed elevated azole MICs (8%), and all harbored the same TR/L98H mutation of cyp51A. One A. lentulus isolate with voriconazole MIC of 4 mg/liter was detected in Spain. No azole-resistant aspergilli were detected in compost. Finally, A. terreus...

  5. Three-Dimensional Model Test Study of Modified Caisson Breakwater at Port of Castellon, Spain

    DEFF Research Database (Denmark)

    Nørgaard, Jørgen Harck; Andersen, Thomas Lykke

    caisson breakwater at Port of Castellon, Spain, tested earlier (Nørgaard & Lykke Andersen, 2013). Associate Prof. Thomas Lykke Andersen and M.Sc. Jørgen Quvang Harck Nørgaard were in charge of the model tests. Engineer assistant Niels Drustrup assisted in the laboratory with the construction...

  6. Envisioning the future of transhumant pastoralism through participatory scenario planning: a case study in Spain

    NARCIS (Netherlands)

    Oteros Rozas, E.; González, J.A.; Martín-López, B.; López, C.A.; Palomo, I.; Sotelo Montes, C.

    2013-01-01

    Transhumance is a practice of nomadic pastoralism that was once common in Mediterranean Europe. This livestock-rearing system is associated with the maintenance of cultural landscapes and the delivery of a wide range of ecosystem services. Although transhumance is still practised in Spain on a small

  7. The Treatment of the Holocaust in High School History Textbooks: A Case Study from Spain

    Science.gov (United States)

    González-Delgado, Mariano

    2017-01-01

    The Holocaust was one of the most significant events of contemporary history and still has great relevance for current times. This paper analyses the portrayal of the Holocaust in secondary education history textbooks in Spain. As this type of research has grown in the international arena, the need to review critically this event in Spanish…

  8. Quality of Life, Behaviour and Attitudes towards Actinic Keratosis in Spain: The PIQA Study.

    Science.gov (United States)

    Longo, I; Serra-Guillén, C

    2018-05-01

    This study was aimed to examine patients' knowledge, behaviours and attitudes regarding actinic keratosis (AK) lesions and the impact of the disease on patients' quality of life (QoL). Observational study of patients with AK lesions in Spain. QoL was evaluated with the validated version of Spanish AKQoL questionnaire. Skin self-examination, sun-exposure, habits and attitudes towards AK's treatment were recorded using different questionnaires. The adherence was assessed by means of the Morisky-Green test. Among other variables, QoL and adherence to treatment were compared by using Pearson's χ 2 test and one-way ANOVA tests. Inferential analysis regarding such factors and length of treatment were also performed. A total of 1240 patients (73.6 [10.5] years old) were recruited. Overall, patients that showed higher levels of concern were also showed a higher impairment on QoL. AK had greater effects on women's QoL and those who performed skin self-examination, think that AK is a disease and/or believe that moisturizers can prevent skin aging (P<.05). Adherence and length of treatment were strongly related, since patients with treatments intended for <1week were more likely to show good adherence and complete remission of AK (Odds Ratio [95%CI]: 6.25 [4.55-8.33] and 2.63 [1.96-3.45]), respectively). Concerns due to AK are mainly related to sex and to the consideration of AK as a disease. More concerned patients tend to have lower QoL and good adherence to treatment. Short length of treatment was associated with better adherence and complete remission of AK lesions. Copyright © 2018 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Airborne grass (Poaceae) pollen in southern Spain. Results of a 10-year study (1987-96).

    Science.gov (United States)

    González Minero, F J; Candau, P; Tomás, C; Morales, J

    1998-03-01

    This work reports an exhaustive study of the aerobiology of the Gramineae in Seville, Spain, which is typical of coastal Mediterranean areas. Sampling was done with a Cour trap installed on the roof terrace of the School of Pharmacy, Seville, from 1987 to 1996, both inclusive. The climatic pattern of that period was characterized by two exceptionally wet years (1989 and 1996), between which were 5 consecutive years of drought (1990-5). This typically Mediterranean climate affects grass aerobiology. The annual amounts of total grass pollen are low, never exceeding 2500 grains/m3. The start, length, and intensity of the pollen season are significantly correlated with preseasonal meteorologic factors (precipitation and temperature), but intraseasonal meteorologic conditions have no effect on the three variables. The relationships are stated by three equations that, while further years of observations are anticipated, can be considered models to forecast the characteristics of the pollen season: the starting date depends on the mean temperatures of January and February, and the length and intensity of the season depend on the rainfall between the beginning of January and the starting date of the season. For the study period, the weekly concentrations (pollen curves) throughout the year showed no typical pattern of variation over the years, so that it was impossible to make mid- and long-term forecasts of the variation in weekly concentration. The most noteworthy aspects of grass pollen curves are a long pollen season, which starts in February or March and lasts until September or October; peaks of higher concentration (> 100 grains/m3) in May and June, associated with increases in temperature and absence of precipitation; and other peaks in the summer months that may be as high as the spring peaks.

  10. Study on the contamination of transuranides in Pulmonata gastropoda collected in Palomares (Spain)

    International Nuclear Information System (INIS)

    Aragon, A.; Espinosa, A.; Anton, M.P.

    2006-01-01

    A study on the contamination levels and distribution of plutonium and americium in gastropods collected in Palomares (south-east Spain) was performed. This region is partially contaminated with actinides following the 1966 nuclear accident. The existence of plutonium and americium in gastropods (Helix albicans and Theba pisana), along with their great gastronomic interest in the area, reinforces the concern in studying the incorporation of these radioelements to a trophic level of the alimentary chain. In this work, plutonium concentration levels have been determined in the excrements, washing waters, flesh and shell of different types of gastropods collected in various sampling campaigns. Pretreatment of the snail samples for further transuranics analyses was based on culinary customs of the region. First, the gastropods had a biological rest, allowing the removal of the non-adsorbed or non-retained ingested material, and then the excrements were collected by washing the snails. Water with excrements was filtered using different filters and analyzed separately. Once rinsed, the snails were dipped into salty water to eliminate the slime, finally, after boiling, the soft tissue was separated from the shell. Plutonium and americium analyses have been carried out sequentially, following normalized procedures for the determination of these radionuclides. The results show the distribution of plutonium in washing and boiling water, excrements, soft tissues and shell of the snails. Autoradiographies performed to soft tissues made evident that the contamination was incorporated into the gastropods as radioactive particles. In addition, it has been estimated that the consumption of one kilogram of snails collected in the most contaminated area of Palomares could reach 1/3 of the effective dose (due to ingestion) to the inhabitants of the area. (author)

  11. Predictors of medication use in the Roma population in Spain: a population-based national study.

    Science.gov (United States)

    Martín-Pérez, M; Hernández Barrera, V; López de Andrés, A; Jiménez-Trujillo, I; Jiménez-García, R; Carrasco-Garrido, P

    2015-05-01

    To describe the prevalence of prescribed and self-medicated use of medication in the Spanish Roma population, and identify the associated factors. Descriptive cross-sectional study. Data from the first National Health Survey conducted on the Roma population in Spain were used. The sample comprised 1000 Spanish Roma adults of both sexes aged ≥16 years. Answers (yes/no) to the question, 'In the last two weeks have you taken the following medicines [in reference to a list of medicines that might be used by the population] and were they prescribed for you by a doctor?' were used to ascertain 'medication use'. 'Self-medication' referred to use of these medicines without medical prescription. Using multivariate logistic regression models, odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to identify associated factors. The overall prevalence of medication use in the Roma population for both sexes was 69.1%, and 38.7% was self-medicated. Females reported higher use of medication than males (75.1% vs 62.3%); however, self-medication was higher among males. Analgesics and antipyretics were used most often (35.8%). Among males, the variables that were independently and significantly associated with a higher probability of medication use were: age; negative perception of health; presence of chronic disease (OR 2.81; 95% CI 1.67-4.73); and medical visits (OR 4.51; 95% CI 2.54-8.01). The variables were the same among females, except for age. A high percentage of the Spanish Roma population use medication, and a significant proportion of them self-medicate. The presence of chronic diseases, a negative perception of health and medical consultations were associated with increased use of medication in the study population. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  12. 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.

  13. Inter-regional changes in the performance and interpretation of spirometry in Spain: 3E study.

    Science.gov (United States)

    López-Campos, José Luis; Soriano, Joan B; Calle, Myriam

    2014-11-01

    This report shows the results of a nation-wide survey on spirometry to assess regional differences. Observational cross-sectional study conducted by means of a telephone survey in 805 primary care (PC) and specialized centers (SC) in all regions. The survey contacted technicians in charge of spirometry and consisted of 36 questions related to the test. The results showed major differences between regions. Most centers had 1-2 spirometers. The number of spirometry tests per week ranged from 2 to 8.9 in PC and between 34.3 and 98.3 in SC. Some training had been given in most centers (63.6-100% in PC and 60.0-100% in SC) but not on a regular basis. Most centers used several short-acting bronchodilators for the bronchodilation test, but with insufficient inhalations (2.0-3.8 in PC and 2.0-3.3 in SC) and frequently incorrect waiting time (29.4-83.3% PC and 33.3-87.5% in SC). Daily calibration was not performed in all centers (0-100% in PC and 66.7-100% in SC). Significant inter-regional differences in spirometry quality criteria were observed, with 6 or more criteria met in 9.1-84.6% of PC centers and 37.5-100% in SC. Our results show the current situation of spirometry in primary and specialized care in Spain, highlighting considerable variability and areas for improvement. This information should be considered by health officials to improve the quality and accessibility of such tests. Copyright © 2014 SEPAR. Published by Elsevier Espana. All rights reserved.

  14. Studying radon exhalation rates variability from phosphogypsum piles in the SW of Spain

    Energy Technology Data Exchange (ETDEWEB)

    López-Coto, I., E-mail: israel.lopez@dfa.uhu.es [Dpto. Física Aplicada, Facultad CC. Experimentales, University of Huelva, Campus de El Carmen s/n, 21007 Huelva (Spain); Mas, J.L. [Dpto. Física Aplicada I. Escuela Politécnica Superior, University of Sevilla, C/Virgen de Africa 7, 41012 Sevilla (Spain); Vargas, A. [Universitat Politècnica de Catalunya, Instituto de Técnicas Energéticas, Campus Sud Edificio ETSEIB, Planta 0, Pabellón C, Av. Diagonal 647, 08028 Barcelona (Spain); Bolívar, J.P. [Dpto. Física Aplicada, Facultad CC. Experimentales, University of Huelva, Campus de El Carmen s/n, 21007 Huelva (Spain)

    2014-09-15

    Highlights: • Variability of radon exhalation rates from PG piles has been studied using numerical simulation supported by experimental data. • Most relevant parameters controlling the exhalation rate are radon potential and moisture saturation. • Piling up the waste increasing the height instead of the surface allows the reduction of the exhalation rate. • A proposed cover here is expected to allow exhalation rates reductions up to 95%. - Abstract: Nearly 1.0 × 10{sup 8} tonnes of phosphogypsum were accumulated during last 50 years on a 1200 ha disposal site near Huelva town (SW of Spain). Previous measurements of exhalation rates offered very variable values, in such a way that a worst case scenario could not be established. Here, new experimental data coupled to numerical simulations show that increasing the moisture contents or the temperature reduces the exhalation rate whilst increasing the radon potential or porosity has the contrary effect. Once the relative effects are compared, it can be drawn that the most relevant parameters controlling the exhalation rate are radon potential (product of emanation factor by {sup 226}Ra concentration) and moisture saturation of PG. From wastes management point of view, it can be concluded that piling up the waste increasing the height instead of the surface allows the reduction of the exhalation rate. Furthermore, a proposed cover here is expected to allow exhalation rates reductions up to 95%. We established that the worst case scenario corresponds to a situation of extremely dry winter. Under these conditions, the radon exhalation rate (0.508 Bq m{sup −2} s{sup −1}) would be below though close to the upper limit established by U.S.E.P.A. for inactive phopsphogypsum piles (0.722 Bq m{sup −2} s{sup −1})

  15. Colorectal Cancer and Long-Term Exposure to Trihalomethanes in Drinking Water: A Multicenter Case-Control Study in Spain and Italy

    OpenAIRE

    Villanueva, Cristina M.; Gracia-Lavedan, Esther; Bosetti, Cristina; Righi, Elena; Molina, Antonio José; Martín, Vicente; Boldo, Elena; Aragonés, Nuria; Pérez Gómez, Beatriz; Pollán, Marina; Gómez Acebo, Inés; Altzibar, Jone M.; Jiménez Zabala, Ana; Ardanaz, Eva; Peiró, Rosana

    2016-01-01

    Background: Evidence on the association between colorectal cancer and exposure to disinfection by-products in drinking water is inconsistent. Objectives: We assessed long-term exposure to trihalomethanes (THMs), the most prevalent group of chlorination by-products, to evaluate the association with colorectal cancer. Methods: A multicenter case?control study was conducted in Spain and Italy in 2008?2013. Hospital-based incident cases and population-based (Spain) and hospital-based (Italy) cont...

  16. [What is researched in Spain on childhood accidents and poisonings? A descriptive study of the last 11 years].

    Science.gov (United States)

    Abad Pérez, I; Colmenar Revuelta, J; Gascón Pérez, E; Colmenar Revuelta, C

    1987-04-01

    Situation of research done in childhood accidents an accidental poisoning in Spain must be known to plan future studies. Authors studied 131 publications obtained from IME (Indice Medico Español) data bank (1974-1984). Only 62 of them were epidemiological studies or reviews. Most of them were based on hospital data. Authors were mainly pediatricians who lived in big cities and had articles published in pediatric journals. They conclude that there are few studies on epidemiology of accidents in general populations and on how to prevent them.

  17. Approximation to the constitutional regulation of the participatory democracy in Colombia and Spain. Compared study

    Directory of Open Access Journals (Sweden)

    Alfredo Ramírez Nárdiz

    2015-06-01

    Full Text Available With the constitutions of 1991 and 1978 as a benchmark, Colombia and Spain have respectively regulated various instruments of participatory democracy. This article aims to answer the research question of how to regulate constitutionally participatory democracy in both countries and defends the hypothesis that although the two countries have different regulations, with the Colombian much more developed than the Spanish, the practice in both countries is quite similar, is, low.

  18. Transcultural study on quality of life in patients diagnosed of schizophrenia from Mexico and Spain

    OpenAIRE

    Maribel Peró Cebollero; Mónica Arroyo Medrano; Joan Guàrdia Olmos; Adolfo Jarne Esparcia; Teresita Villaseñor Cabrera

    2009-01-01

    The aim of this paper was to evaluate the differences between two samples of schizophrenic patients from two different cultural contexts. Matched by age and gender, each 40-subject sample includes patients with differential diagnosis of schizophrenia. One sample was taken from the Barcelona Hospital network (Spain) and the other one from the Hospital Civil Universitario of Guadalajara (Mexico). Several demographic and clinical variables were evaluated and the Health Related Quality of Life Sc...

  19. Perceptions about HIV pre-exposure prophylaxis among healthcare professionals in Spain (PERPPRES Study

    Directory of Open Access Journals (Sweden)

    Javier Sánchez-Rubio Ferrández

    2016-07-01

    Full Text Available Objective: To determine the level of support, knowledge and perceptions of pre-exposure prophylaxis (PrEP by Infectious Disease Specialists and Hospital Pharmacists in Spain. Methods: Cross-sectional study through an on-line 31-item survey (sociodemographical data, employment status/experience, knowledge of PrEP, use, identified barriers and economic issues. A univariate analysis was performed to evaluate the variables associated with support for PrEP, and compare the assessments by Specialists and Pharmacists. The questions about support for PrEP and agreement with the indication approval were repeated after showing data from published studies. The significance of the change in the answers was analyzed using the McNemar Test. Results: 211 questionnaires were received (80.1% from Pharmacists. 40.3% had low/no familiarity with PrEP (46.2% Pharmacists vs. 16.7% Physicians; p < 0.01. A 53.6% of them would support the use of PrEP (49.7% Pharmacists vs. 69% Physicians; p = 0.038. The minimum acceptable efficacy in order to support PrEP was 85.0 ± 15.5% (82.6 ± 12.1% by Physicians vs. 85.6 ± 15.0% by Pharmacists; p = 0.02. The variables associated with support were: medical profession (OR = 2.26; 95%CI 1.1-4.6; p = 0.038 and lower demand for efficacy (difference = 10.5%; 95%CI 6.9 to 14.1; p < 0.001. After receiving the information, there was an increase in their support for use and indication approval. Most participants (81.5% did not support its reimbursement. The main barriers identified were: an increase in risk behaviour (24.1%, increase in sexually transmitted diseases (19.0%, resistance (16.6% and cost (16.0%. Conclusions: More than half of participants were familiar with PrEP. The majority of them would support its use and the approval of the indication, but would not reimburse it. The use of PrEP in real practice is currently low.

  20. Anticoagulation Control in Patients With Nonvalvular Atrial Fibrillation Attended at Primary Care Centers in Spain: The PAULA Study.

    Science.gov (United States)

    Barrios, Vivencio; Escobar, Carlos; Prieto, Luis; Osorio, Genoveva; Polo, José; Lobos, José María; Vargas, Diego; García, Nicolás

    2015-09-01

    To determine the current status of anticoagulation control in patients with nonvalvular atrial fibrillation treated with vitamin K antagonists in the primary care setting in Spain. The PAULA study was a multicenter cross-sectional/retrospective observational study conducted throughout Spain. The study included patients with nonvalvular atrial fibrillation who had been receiving vitamin K antagonist therapy during the past year and were attended at primary care centers. International normalized ratio (INR) values over the past 12 months were recorded. The degree of anticoagulation control was defined as the time the patient had remained within the therapeutic range and was determined by both the direct method (poor control < 60%) and by the Rosendaal method (poor control < 65%). The study assessed 1524 patients (mean age, 77.4 ± 8.7 years; 48.6% women; 64.2% in permanent atrial fibrillation; CHADS2 mean, 2.3 ± 1.2; CHA2DS2-VASc, 3.9 ± 1.5, and HAS-BLED, 1.6 ± 0.9). The mean number of INR readings recorded per patient was 14.4 ± 3.8. A total of 56.9% of patients had adequate INR control according to the direct method and 60.6% according to the Rosendaal method. The multivariate analysis identified the following predictors for poor INR control: female sex, dietary habits potentially affecting anticoagulation with vitamin K antagonists, multidrug therapy, and a history of labile INR. Approximately 40% of patients (43.1% by the direct method and 39.4% by the Rosendaal method) with nonvalvular atrial fibrillation who were receiving anticoagulation therapy with vitamin K antagonists in primary care in Spain had poor anticoagulation control during the previous 12 months. Copyright © 2015 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

  1. The national burden of cerebrovascular diseases in Spain: a population-based study using disability-adjusted life years.

    Science.gov (United States)

    Catalá-López, Ferrán; Fernández de Larrea-Baz, Nerea; Morant-Ginestar, Consuelo; Álvarez-Martín, Elena; Díaz-Guzmán, Jaime; Gènova-Maleras, Ricard

    2015-04-20

    The aim of the present study was to determine the national burden of cerebrovascular diseases in the adult population of Spain. Cross-sectional, descriptive population-based study. We calculated the disability-adjusted life years (DALY) metric using country-specific data from national statistics and epidemiological studies to obtain representative outcomes for the Spanish population. DALYs were divided into years of life lost due to premature mortality (YLLs) and years of life lived with disability (YLDs). DALYs were estimated for the year 2008 by applying demographic structure by sex and age-groups, cause-specific mortality, morbidity data and new disability weights proposed in the recent Global Burden of Disease study. In the base case, neither YLLs nor YLDs were discounted or age-weighted. Uncertainty around DALYs was tested using sensitivity analyses. In Spain, cerebrovascular diseases generated 418,052 DALYs, comprising 337,000 (80.6%) YLLs and 81,052 (19.4%) YLDs. This accounts for 1,113 DALYs per 100,000 population (men: 1,197 and women: 1,033) and 3,912 per 100,000 in those over the age of 65 years (men: 4,427 and women: 2,033). Depending on the standard life table and choice of social values used for calculation, total DALYs varied by 15.3% and 59.9% below the main estimate. Estimates provided here represent a comprehensive analysis of the burden of cerebrovascular diseases at a national level. Prevention and control programmes aimed at reducing the disease burden merit further priority in Spain. Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

  2. Study and Evaluation of the Alcublas (Valencia, Spain) forest fire of Summer 2012

    Science.gov (United States)

    Mora Sanchez, Francisco; Lopez-Baeza, Ernesto

    This work studies and quantifies the forest fire that took place in the province of Valencia, Spain, that particularly affected the municipality of Alcublas. This fire was one of the most intense and catastrophic fires that extended over the Valencian Community. Besides quantifying the area affected by the fire according to a severity index, the analysis was carried out from different viewpoints, namely land use, municipal, and cadastral. The data used were, on the one hand, two images from Landsat 7 Enhanced Thematic Mapper Plus (ETM+) satellite, respectively before and after the fire. On the other hand, we also used CORINE Land Cover 2006 Land Use data, a digital terrain model (DTM), the cadastre or land registration from Alcublas and the Spanish topographic map at scale 1:25000 (MTN25). The method used consisted of different steps: atmospheric correction of the images with the dark-object subtraction technique, topographic correction of the images with a 5 m resolution DTM and the Minnaert method, and the elimination of the Landsat 7 Scan Line Corrector (SLC-off) effect by using the Delaunay triangulation method. Once the images were corrected, we computed the Normalized Burn Ratio (NBR) to highlight and characterise the areas that were burnt by means of a standard severity index. The estimation of the affected area was done through the difference of the images respectively before and after the fire that was also trimmed off to actually obtain the affected area. Once the forest fire was classified, the total affected area was estimated for each severity index and overlaid the Spanish topographic map (1:25000) thus being able to calculate the affected area for each municipality, land use and cadastrial property. The total burnt area was 19910 ha, the most affected municipality -in extension- was Andilla with 4966 ha. But the most significant one was precisely Alcublas with 60,64% of its area burnt. The area burnt for each land use was also estimated according to

  3. Study of Chrysopogon Zizanioides ability to decontaminate irrigation water in Southwest Spain

    Science.gov (United States)

    Galea Grajera, F. A.

    2009-04-01

    Conventional agriculture is characterized by the increasing use of agrochemicals to maintain and improve soil fertility. One of the main problems arising from this practise is the generation of leachates, which contain a high concentration of nitrate, nitrite, phosphate and other contaminating components, causing soil and water pollution. This is a common problem in irrigated areas such as Las Vegas Bajas del Guadiana (Extremadura, Spain). Different techniques are being developed and used to control leachate generation, however, these practises happen to be very expensive. In this situation, the emergence of alternative technologies such as phytoremediation, based on the ability of some plants to absorb and accumulate high concentrations of pollutants such as heavy metals, organic compounds and radiactive components, is being explored to restore the degraded lands and it seems very feasible, economical and environment-friendly. The Vetiver grass (Chrysopogon zizanioides) is a perennial grass originally from India, widely known for its ability to retain soil and prevent erosion. Recently, the new use of this grass for phytoremediation has stimulated research in this area. It produces up to two meter high plant with a strong dense and mainly vertical root system with emerging secondary roots which form a dense and strong network that grows horizontally and vertically to depths greater than 5 meters, useful in soil erosion control. It is vegetatively propagated and is non-invasive, resistant to pests and diseases and widely used worldwide for soil and moisture conservation and soil restoration. This study, carried out in Badajoz, in the Southwest of the Iberian Peninsula, focuses in the use of Vetiver in the area. Its adaptation to climatic and soil conditions was tested for three years. Bunches of selected species were first grown in pots and later planted in experimental plots exposed to the weather conditions in the area. When adaptation to edaphic and climatic

  4. Inequalities in mental health in the working population of Spain: a National Health Survey-based study.

    Science.gov (United States)

    Arias-de la Torre, Jorge; Artazcoz, Lucía; Molina, Antonio José; Fernández-Villa, Tania; Martín, Vicente

    2016-01-01

    In the working population, poor mental health is a significant problem whose prevalence rates and associated factors could differ by gender, especially in a period of socioeconomic changes. The aims of this study were: a) to determine the prevalence of poor mental health in the working population of Spain in 2011; b) to identify the association of this prevalence with socioeconomic and work-related variables for men and women separately; c) to determine if the patterns differ by gender. A cross-sectional study was conducted with data from the National Health Survey of Spain (2011). Of the 21,007 participants in the survey, we selected 7396 whose employment status was described as "working" The General Health Questionnaire (GHQ-12) was used as a screening tool to detect poor mental health. Prevalences were calculated and bivariate and multivariate logistic regression models were fitted to verify the association between variables. The prevalence of poor mental health was higher among women (19.9%) than men (13.9%), the overall prevalence being 16.8%. The variables associated with a higher prevalence were type of contract and work-related variables in men, and age and socioeconomic variables in women. This study shows that, in the working population of Spain, the prevalence of poor mental health and its related factors differ by gender. Poor mental health is mainly related to socioeconomic variables in women but is mostly associated with work-related variables in men. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  5. Perceptions, attitudes and knowledge of evidence-based medicine in primary care in Spain: a study protocol

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    Carrillo Ricard

    2009-05-01

    Full Text Available Abstract Background The philosophy of evidence-based medicine (EBM was introduced in the early 90s as a new approach to the practice of medicine, using the best available evidence to make decisions about health care. Despite ongoing controversy, EBM has developed enormously and physicians' attitude towards it is generally positive. Nevertheless, in Spain little is known about this topic. We will therefore undertake a study to explore perceptions, attitudes and knowledge about EBM among primary care physicians. Methods and design A mixed-method study combining qualitative and quantitative designs will target family practitioners in Spain with the objective of evaluating current attitudes and perceptions about evidence-based medicine. The project will consist of two phases: a first phase running focus groups to identify perceptions and attitudes of participants, and a second phase assessing their attitudes and knowledge about EBM by means of a survey. Both phases will explore these issues in three different subgroups: family practitioners, with or without previous formal education in EBM; members of working groups that formulate healthcare recommendations; and physicians in charge of training family practice residents. Additionally, we will undertake a systematic review to identify and synthesize the available evidence on this topic. Discussion The study will identify and gain insight into the perceived problems and barriers to the practice of evidence-based medicine among general practitioners in Spain. The project will also evaluate the main knowledge gaps and training needs, and explore how evidence-based medicine is being taught to family medicine residents, the medical practitioners of the future. Our results will aid researchers and health care planners in developing strategies to improve the practice of evidence-based medicine in our country.

  6. Use of high doses of folic acid supplements in pregnant women in Spain: an INMA cohort study

    Science.gov (United States)

    Navarrete-Muñoz, Eva María; Valera-Gran, Desirée; García de la Hera, Manoli; Gimenez-Monzo, Daniel; Morales, Eva; Julvez, Jordi; Riaño, Isolina; Tardón, Adonina; Ibarluzea, Jesus; Santa-Marina, Loreto; Murcia, Mario; Rebagliato, Marisa; Vioque, Jesus

    2015-01-01

    Objectives We examined the use of low (<400 μg/day, including no use) and high folic acid supplement (FAS) dosages (≥1000 μg/day) among pregnant women in Spain, and explored factors associated with the use of these non-recommended dosages. Design Population-based cohort study. Setting Spain. Participants We analysed data from 2332 pregnant women of the INMA study, a prospective mother-child cohort study in Spain. Main outcome measures We assessed usual dietary folate and the use of FAS from preconception to the 3rd month (first period) and from the 4th to the 7th month (second period), using a validated food frequency questionnaire. We used multinomial logistic regression to estimate relative risk ratios (RRRs). Results Over a half of the women used low dosages of FAS in the first and second period while 29% and 17% took high dosages of FAS, respectively. In the first period, tobacco smoking (RRR=1.63), alcohol intake (RRR=1.40), multiparous (RRR=1.44), unplanned pregnancy (RRR=4.20) and previous spontaneous abortion (RRR=0.58, lower use of high FAS dosages among those with previous abortions) were significantly associated with low FAS dosages. Alcohol consumption (RRR=1.42), unplanned pregnancy (RRR=2.66) and previous spontaneous abortion (RRR=0.68) were associated with high dosage use. In the second period, only tobacco smoking was significantly associated with high FAS dosage use (RRR=0.67). Conclusions A high proportion of pregnant women did not reach the recommended dosages of FAS in periconception and a considerable proportion also used FAS dosages ≥1000 μg/day. Action should be planned by the Health Care System and health professionals to improve the appropriate periconceptional use of FAS, taking into consideration the associated factors. PMID:26603248

  7. Patterns of pharmaceutical use for immigrants to Spain and Norway: a comparative study of prescription databases in two European countries.

    Science.gov (United States)

    Gimeno-Feliu, Luis Andres; Calderón-Larrañaga, Amaia; Prados-Torres, Alexandra; Revilla-López, Concha; Diaz, Esperanza

    2016-02-24

    Although equity in health care is theoretically a cornerstone in Western societies, several studies show that services do not always provide equitable care for immigrants. Differences in pharmaceutical consumption between immigrants and natives are explained by variances in predisposing factors, enabling factors and needs across populations, and can be used as a proxy of disparities in health care use. By comparing the relative differences in pharmacological use between natives and immigrants from the same four countries of origin living in Spain and Norway respectively, this article presents a new approach to the study of inequity in health care. All purchased drug prescriptions classified according to the Anatomical Therapeutic Chemical (ATC) system in Aragon (Spain) and Norway for a total of 5 million natives and nearly 100,000 immigrants for one calendar year were included in this cross-sectional study. Age and gender adjusted relative purchase rates for immigrants from Poland, China, Colombia and Morocco compared to native populations in each of the host countries were calculated. Direct standardisation was performed based on the 2009 population structure of the OECD countries. Overall, a significantly lower proportion of immigrants in Aragon (Spain) and Norway purchased pharmacological drugs compared to natives. Patterns of use across the different immigrant groups were consistent in both host countries, despite potential disparities between the Spanish and Norwegian health care systems. Immigrants from Morocco showed the highest drug use rates in relation to natives, especially for antidepressants, "pain killers" and drugs for peptic ulcer. Immigrants from China and Poland showed the lowest use rates, while Colombians where more similar to host countries. The similarities found between the two European countries in relation to immigrants' pharmaceutical use disregarding their host country emphasises the need to consider specific immigrant-related features

  8. Exploring causes and consequences of sex workers' psychological health: Implications for health care policy. A study conducted in Spain.

    Science.gov (United States)

    Picos, Andrés Palacios; González, Ruth Pinedo; de la Iglesia Gutiérrez, Myriam

    2018-03-22

    The aim of the researchers is to explore the causes and consequences of the psychological health of sex workers as well as provide an intervention model for the prevention of mental disorders in accordance with World Health Organization (WHO) levels. The study sample consisted of 146 sex workers from Spain. Loneliness and maltreatment have a negative influence on psychological health, while self-esteem has a protector role over psychological health. Psychological health has a positive impact on perceived quality of life and other health domains. On the contrary, psychological health has a negative impact on drug use and symptoms of anxiety. Data are discussed.

  9. Building Viable and Sustainable Regional Netchains: Case Studies of Regional Pork Netchains in Spain, Germany, and The Netherlands

    Directory of Open Access Journals (Sweden)

    Rannia Nijhoff‐Savvaki

    2012-06-01

    Full Text Available The present paper aims to give insight into critical issues contributing to the successful building of viable and sustainable regional netchains, focussing on chain governance mechanisms (coordination mechanisms, quality management systems, information systems and social embedding. It uses three representative case studies from the regional pork sector in Spain, Germany, and The Netherlands, illustrating different trajectories to commercially viable and sustainable regional netchains. By analysing the cases on each critical aspect, the present paper describes important issues and proposes specific elements of further research, including on the roles for(nongovernmental organisations.

  10. Determinants of Quality of Life in Ageing Populations: Results from a Cross-Sectional Study in Finland, Poland and Spain.

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    Alberto Raggi

    Full Text Available To comprehensively identify the determinants of quality of life (QoL in a population study sample of persons aged 18-50 and 50+.In this observational, cross-sectional study, QoL was measured with the WHOQOL-AGE, a brief instrument designed to measure QoL in older adults. Eight hierarchical regression models were performed to identify determinants of QoL. Variables were entered in the following order: Sociodemographic; Health Habits; Chronic Conditions; Health State description; Vision and Hearing; Social Networks; Built Environment. In the final model, significant variables were retained. The final model was re-run using data from the three countries separately.Complete data were available for 5639 participants, mean age 46.3 (SD 18.4. The final model accounted for 45% of QoL variation and the most relevant contribution was given by sociodemographic data (particularly age, education level and living in Finland: 17.9% explained QoL variation, chronic conditions (particularly depression: 4.6% and a wide and rich social network (4.6%. Other determinants were presence of disabling pain, learning difficulties and visual problems, and living in usable house that is perceived as non-risky. Some variables were specifically associated to QoL in single countries: age in Poland, alcohol consumption in Spain, angina in Finland, depression in Spain, and self-reported sadness both in Finland and Poland, but not in Spain. Other were commonly associated to QoL: smoking status, bodily aches, being emotionally affected by health problems, good social network and home characteristics.Our results highlight the importance of modifiable determinants of QoL, and provide public health indications that could support concrete actions at country level. In particular, smoking cessation, increasing the level of physical activity, improving social network ties and applying universal design approach to houses and environmental infrastructures could potentially increase QoL of

  11. Determinants of Quality of Life in Ageing Populations: Results from a Cross-Sectional Study in Finland, Poland and Spain.

    Science.gov (United States)

    Raggi, Alberto; Corso, Barbara; Minicuci, Nadia; Quintas, Rui; Sattin, Davide; De Torres, Laura; Chatterji, Somnath; Frisoni, Giovanni Battista; Haro, Josep Maria; Koskinen, Seppo; Martinuzzi, Andrea; Miret, Marta; Tobiasz-Adamczyk, Beata; Leonardi, Matilde

    2016-01-01

    To comprehensively identify the determinants of quality of life (QoL) in a population study sample of persons aged 18-50 and 50+. In this observational, cross-sectional study, QoL was measured with the WHOQOL-AGE, a brief instrument designed to measure QoL in older adults. Eight hierarchical regression models were performed to identify determinants of QoL. Variables were entered in the following order: Sociodemographic; Health Habits; Chronic Conditions; Health State description; Vision and Hearing; Social Networks; Built Environment. In the final model, significant variables were retained. The final model was re-run using data from the three countries separately. Complete data were available for 5639 participants, mean age 46.3 (SD 18.4). The final model accounted for 45% of QoL variation and the most relevant contribution was given by sociodemographic data (particularly age, education level and living in Finland: 17.9% explained QoL variation), chronic conditions (particularly depression: 4.6%) and a wide and rich social network (4.6%). Other determinants were presence of disabling pain, learning difficulties and visual problems, and living in usable house that is perceived as non-risky. Some variables were specifically associated to QoL in single countries: age in Poland, alcohol consumption in Spain, angina in Finland, depression in Spain, and self-reported sadness both in Finland and Poland, but not in Spain. Other were commonly associated to QoL: smoking status, bodily aches, being emotionally affected by health problems, good social network and home characteristics. Our results highlight the importance of modifiable determinants of QoL, and provide public health indications that could support concrete actions at country level. In particular, smoking cessation, increasing the level of physical activity, improving social network ties and applying universal design approach to houses and environmental infrastructures could potentially increase QoL of ageing

  12. [Study protocol on the effect of the economic crisis on mortality and reproductive health and health inequalities in Spain].

    Science.gov (United States)

    Pérez, Glòria; Gotsens, Mercè; Palència, Laia; Marí-Dell'Olmo, Marc; Domínguez-Berjón, M Felicitas; Rodríguez-Sanz, Maica; Puig, Vanessa; Bartoll, Xavier; Gandarillas, Ana; Martín, Unai; Bacigalupe, Amaia; Díez, Elia; Ruiz, Miguel; Esnaola, Santiago; Calvo, Montserrat; Sánchez, Pablo; Luque Fernández, Miguel Ángel; Borrell, Carme

    The aim is to present the protocol of the two sub-studies on the effect of the economic crisis on mortality and reproductive health and health inequalities in Spain. Substudy 1: describe the evolution of mortality and reproductive health between 1990 and 2013 through a longitudinal ecological study in the Autonomous Communities. This study will identify changes caused by the economic crisis in trends or reproductive health and mortality indicators using panel data (17 Autonomous Communities per study year) and adjusting Poisson models with random effects variance. Substudy 2: analyse inequalities by socioeconomic deprivation in mortality and reproductive health in several areas of Spain. An ecological study analysing trends in the pre-crisis (1999-2003 and 2004-2008) and crisis (2009-2013) periods will be performed. Random effects models Besag York and Mollié will be adjusted to estimate mortality indicators softened in reproductive health and census tracts. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  13. A climatological study of sea breeze clouds in the southeast of the Iberian Peninsula (Alicante, Spain)

    Energy Technology Data Exchange (ETDEWEB)

    Azorin-Molina, C. [Grupo de Climatologia, Universidad de Barcelona, Barcelona, Cataluna (Spain)]. E-mail: cazorin@ceam.es; Sanchez-Lorenzo, A. [Grupo de Climatologia, Universidad de Barcelona, Barcelona, Cataluna (Spain); Calbo, J. [Grupo de Fisica Ambiental, Universidad de Girona, Campus Montilivi, Cataluna (Spain)

    2009-01-15

    Sea breezes blow under anticyclonic weather types, weak surface pressure gradients, intense solar radiation and relatively cloud-free skies. Generally, total cloud cover must be less than 4/8 in order to cause a thermal and pressure difference between land and sea air which allows the development of this local wind circulation. However, many numerical and observational studies have analyzed the ability of sea breezes to generate clouds in the convective internal boundary layer and in the sea breeze convergence zone. Accordingly, the aim of this study is to statistically analyze the impact of sea breezes on cloud types in the convective internal boundary layer and in the sea breeze convergence zone. The study area is located in the southeast of the Iberian Peninsula (province of Alicante, Spain) and the survey corresponds to a 6-yr study period (2000-2005). This climatological study is mainly based on surface cloud observations at the Alicante-Ciudad Jardin station (central coastal plain) and on an extensive cloud observation field campaign at the Villena-Ciudad station (Prebetic mountain ranges) over a 3-yr study period (2003-2005). The results confirm the hypothesis that the effect of sea breezes on cloud genera is to increase the frequency of low (Stratus) and convective (Cumulus) clouds. Sea breezes trigger the formation of thunderstorm clouds (Cumulonimbus) at the sea breeze convergence zone, which also have a secondary impact on high-level (Cirrus, Cirrocumulus, Cirrostratus), medium-level (Altostratus, Altocumulus) and low-level clouds (Stratus, Stratocumulus, Nimbostratus) associated with the Cumulonimbus clouds (e.g., Cumulonimbus anvil). [Spanish] Las brisas marinas soplan bajo tipos de tiempo anticiclonicos, debiles gradientes de presion atmosferica, radiacion solar intensa y cielos practicamente despejados. Por lo general, la cobertura nubosa total debe ser inferior a 4/8 para que se genere un diferencial termico y de presion entre el aire sobre las

  14. Popular Legislative Initiative for Spain Surrogacy: A Study of the Role of Notary in Contract Surrogacy

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    Lorena Sales Pallarés

    2016-12-01

    Full Text Available This article analyzes the Popular Legislative Initiative to regulate surrogacy in Spain. It is proposed to regulate this contractual figure guaranteeing the rights of all parties involved in the process by bringing this feature in the figure of the notary. Therefore, this article analyzes this notarial tutelage of the surrogacy contract. It will consider whether the functions of the Notary make possible this proposal or if it would be necessary to make changes either in the draft law on notary functions well.

  15. Barriers in implementing research among registered nurses working in the care of the elderly: a multicenter study in Spain.

    Science.gov (United States)

    Sarabia-Cobo, C M; Sarabia-Cobo, A B; Pérez, V; Hermosilla, C; Nuñez, M J; de Lorena, P

    2015-11-01

    This study identified barriers to the utilization of research results perceived by nurses who work in nursing homes in Spain. An observational, cross-sectional, descriptive, and multicentre study was conducted in 126 nursing homes in different Spanish cities. The BARRIERS to Research Utilization Scale (BARRIERS scale) was used to identify barriers. A total of 756 nurses responded (92.48%). BARRIERS scale variables with the highest scores included Characteristics of the organization (mean=24.89, SD=4.37), followed by Professional features (mean=21.87, SD=4.85). The specific barriers that were rated the highest included "not enough time on the job to implement new ideas" (mean=3.89, SD=0.98), followed by "unknown nursing research" (mean=2.75; SD=1.22) and "Doctors do not cooperate in the implementation" (mean=3.01, SD=1.85). Geriatric nurses perceive time as the main barrier to implementing the results of research in practice. The number and nature of the barriers are consistent with studies from other countries. Knowledge of the barriers is crucial for institutions and educators to instigate measures that improve the implementation of nursing research, especially in an area like elderly care. To our knowledge, this is the first study conducted among geriatric nurses in Spain. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Healthcare professionals' views of the experiences of individuals living with Crohn's Disease in Spain. A qualitative study.

    Science.gov (United States)

    García-Sanjuán, Sofía; Lillo-Crespo, Manuel; Richart-Martínez, Miguel; Sanjuán-Quiles, Ángela

    2018-01-01

    Crohn's Disease (CD) in Spain lacks of a unified National Clinical Pathway and not even any early detection program and professional follow-up outpatient attention once it has been diagnosed. Little is known about the Spanish health professionals' views of the experiences of individuals living with Crohn's Disease nationwide and also about how the Spanish Health System faces this situation. A qualitative research method was conducted to explore this topic through in-depth interviews with eleven healthcare professionals, who represented different clinics treating people with CD from the province of Alicante (Spain). Three topics and seven sub-topics were derived from the analysis of the content emerging from the interviews. The three main topics were: the healthcare system as a hindrance for ongoing treatment of CD, the impact of the disease, support networks. The knowledge of CD gained by healthcare professionals, in the contexts studied here within, with regards to the psychosocial aspects and the experience of those living with the disease and their immediate circles, is poor, if not null on an academic level, becoming experiential on their incorporation into the professional field. Additionally, a priori, they lack the tools to address the doubts and concerns of patients from the moment of diagnosis through the ongoing care of the patient. Organizational hindrances, such as the lack of time and consensual guidelines for adequately monitoring CD patients in Alicante (Spain), further restrict the patient-professional relationship. Due to the consensus established by the National Agency regulating the contents of the Health Professions' Education and Training across the country, we are assuming that the phenomenon highlighted may be similar in other parts of Spain. Therefore, it can be said that healthcare professionals have a limited understanding of the impact of CD on the day-to-day life of those affected, not being considered a part of the CD patients' formal

  17. Adherence to the “Mediterranean Diet” in Spain and Its Relationship with Cardiovascular Risk (DIMERICA Study

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    José Abellán Alemán

    2016-10-01

    Full Text Available Background: Nutritional studies focus on traditional cultural models and lifestyles in different countries. The aim of this study was to examine the adherence to the Mediterranean diet, life habits, and risk factors associated with cardiovascular diseases among people living in different geographical regions in Spain. Methods: A descriptive cross-sectional study was conducted in each region. The sampling scheme consisted of a random three-stage stratified sampling program according to geographic region, age, and gender. A total of 1732 subjects were asked to complete a questionnaire designed to assess their nutrient intake, dietary habits, and exercise. A diet score that assesses the adherence of participants to the Mediterranean diet (range 0–10 was also applied. Results: Southeastern Spain had the lowest score for adherence to the Mediterranean diet because of the low consumption of fish and plant products. A lower adherence score to the Mediterranean diet was strongly associated with the prevalence of hypertension (p = 0.018. Conclusions: A low level of adherence to the Mediterranean diet is accompanied by a high prevalence of hypertension and, therefore, a raised cardiovascular risk in the country. The adherence score could help identify individuals at greater cardiovascular risk.

  18. Terra-cotta figurines from the Roman theatre of Malaga (Spain: An archaeometric study

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    Compaña, J. M.

    2014-06-01

    Full Text Available A series of 22 figured Phoeno-Punic and Roman terra-cottas, of high relevant archaeological and patrimonial values, have been studied. The samples were recovered in the Roman Theatre of Malaga (Spain. A thorough analysis including stereomicroscopy, elemental analysis by WDXRF, mineralogical analysis by XRPD coupled with the Rietveld method, and SEM, has been carried out. Highly diluted fused glass beads probed to be enough for the X-ray fluorescence analyses, minimizing the damage to the samples. For selected samples, in addition to the classical use of the Rietveld method, the G-factor external-standard approach has been employed to get full quantitative crystalline and amorphous phase analysis. The analytical results allow proposing a local regional provenance for the main part of the samples, being a relevant data for several artifacts, not contextualized due to stratigraphic alterations in the site. In addition, some relevant samples, for instance a theatrical mask fragment (TRC005, are likely foreign. The overall amorphous is not negligible in phase quantification, accounting for up to 50 wt %. Technologically, all terra-cotta samples are similar, made of calcareous clays, fired at ~700-950 ºC.Se han estudiado 22 terracotas figuradas feno-púnicas y romanas, de alto valor arqueológico y patrimonial. Las muestras proceden de las excavaciones del Teatro romano de Málaga (España. El análisis realizado incluye estereomicroscopía, análisis elemental mediante WDXRF, análisis mineralógico cuantitativo mediante el método de Rietveld de los datos de XRPD y SEM. Para minimizar el daño realizado a las muestras, se prepararon perlas muy diluidas, que han demostrado ser suficientes para los análisis de fluorescencia de rayos-X. Para muestras selectas, además del análisis usual mediante el método de Rietveld, se ha utilizado el método del estándar externo mediante el factor-G para obtener análisis cuantitativos de fases cristalinas y

  19. Socializing Agents for Sport and Physical Activities in Teenage Students: Comparative Studies in Samples From Costa Rica, Mexico, and Spain.

    Science.gov (United States)

    Ruiz-Juan, Francisco; Baena-Extremera, Antonio; Granero-Gallegos, Antonio

    2017-01-01

    The aim of this study is to analyze a set of socializing agents for sport and physical activities and to establish their relationship with leisure time sport and physical activities behaviors and practice patterns in samples of teenage students with different sociocultural backgrounds. The sample included 2168 students in their first year of secondary education, 423 of them being from Costa Rica, 408 from Mexico, and 1337 from Spain (1052 male students, 1037 female students, and 79 students who did not specify gender) aged 11-16 years old ( M = 12.49; SD = .81). A validated questionnaire with questions about leisure time sport and physical activities and socializing agents was used. Descriptive, inferential, and multinomial logistic regression analyses were carried out with SPSS 17.0 to compare all three countries. Costa Rica had the most active students, best friends' inactivity, and unsupportive parents being the agents predicting inactivity and a low level of sport and physical activities. Mexico has a high dropout rate and inactive students exceed active ones; no agent predicts inactivity or sport and physical activities pattern. Spain has the highest level of sport and physical activities practice, and parents, siblings, and friends are predicting agents of inactivity together with unsupportive parents and friends.

  20. Status of the structure, process and outcoms of pharmaceutical care to HIV patient in Spain. Origen study

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    R. Morillo-Verdugo

    2014-03-01

    Full Text Available Objectives: To describe the structure, process and outcomes with which hospital pharmacist performs health care activity, teaching and research about Pharmaceutical Care (PC in HIV patients in Spain. Methods: Observational, cross-sectional and multicenter study carried out between November 2011-February 2012 in spanish hospitals. The inclusion criteria were: hospitals pharmacy services that dispensed antiretroviral medication to HIV patients. The questionnaire had 41 questions structured in 9 groups: hospital type and person conducting the survey, structure and resources, health care activities, interventions, communication with the rest of the multidisciplinary team, adherence, and quality records, management and pharmacoeconomy and teaching and research. Descriptive analysis was performed. To analyze the existence of statistically significant relationships, we applied fisher test, chi-square or logistic regression Results: 86 hospitals completed the survey. In 93%, PC consultation was not classified by pathologies. 27.9% provided continuing PC to all patients. Adherence was determined regularly or when pharmacist suspected poor adherence (57.5 %. 20% of hospital s teaching had a program that allowed a high level of training in PC to HIV patient. 52,3% of participating centers had published scientific articles related to HIV. Conclusions: Pharmaceutical care to HIV patients in Spain need to adapt to a new situation. For this, hospital pharmacists have to consider several issues such as chronicity, comorbidity, incorporation of new technologies and the stratification of patients in order to make it more efficient.

  1. [Medical empathy of physicians-in-training who are enrolled in professional training programs. A comparative intercultural study in Spain].

    Science.gov (United States)

    Delgado-Bolton, Roberto; San-Martín, Montserrat; Alcorta-Garza, Adelina; Vivanco, Luis

    2016-11-01

    To characterise some of the environmental factors that are sensitive to cultural influence, and are involved in the development of medical empathy in Spanish and Latin American physicians-in-training. Cross-sectional study using questionnaires. Primary care and specialized medicine centres of the Healthcare System of La Rioja, Logroño, Spain. Physicians-in-training MAIN MEASUREMENTS: : Empathy was measured using the Jefferson Scale of Physician Empathy, version for healthcare professionals (JSE-HP). Socio-demographic, academic, and professional background information was collected. A total of 104 residents (67 from Spain and 32 from Latin America) answered and returned the questionnairess. The JSE-HP showed adequate psychometric properties. The empathy mean score of Spanish group was higher than that of the Latin American group (P=.01). Differences in the development of empathy were associated with: the development of professional models (P<.001), the positive encounter with other professionals (P=.001), and with a continuing medical education (P=.008). Some factors involved in the development of empathy that are sensitive to cultural influence have been characterised. The development of future research areas is suggested. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  2. Factors associated with self-medication in Spain: a cross-sectional study in different age groups.

    Science.gov (United States)

    Niclós, Gracia; Olivar, Teresa; Rodilla, Vicent

    2018-06-01

    The identification of factors which may influence a patient's decision to self-medicate. Descriptive, cross-sectional study of the adult population (at least 16 years old), using data from the 2009 European Health Interview Survey in Spain, which included 22 188 subjects. Logistic regression models enabled us to estimate the effect of each analysed variable on self-medication. In total, 14 863 (67%) individuals reported using medication (prescribed and non-prescribed) and 3274 (22.0%) of them self-medicated. Using logistic regression and stratifying by age, four different models have been constructed. Our results include different variables in each of the models to explain self-medication, but the one that appears on all four models is education level. Age is the other important factor which influences self-medication. Self-medication is strongly associated with factors related to socio-demographic, such as sex, educational level or age, as well as several health factors such as long-standing illness or physical activity. When our data are compared to those from previous Spanish surveys carried out in 2003 and 2006, we can conclude that self-medication is increasing in Spain. © 2017 Royal Pharmaceutical Society.

  3. Application of the Putting Women First protocol in a study on violence against immigrant women in Spain.

    Science.gov (United States)

    Torrubiano-Domínguez, Jordi; Vives-Cases, Carmen

    2013-01-01

    In this paper, we describe our experience of using the Putting Women First protocol in the design and implementation of a cross-sectional study on violence against women (VAW) among 1607 immigrant women from Morocco, Ecuador and Romania living in Spain in 2011. The Putting Women First protocol is an ethical guideline for VAW research, which includes recommendations to ensure the safety of the women involved in studies on this subject. The response rate in this study was 59.3%. The prevalence of VAW cases last year was 11.7%, of which 15.6% corresponded to Ecuadorian women, 10.9% to Moroccan women and 8.6% to Romanian women. We consider that the most important goal for future research is the use of VAW scales validated in different languages, which would help to overcome the language barriers encountered in this study. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.

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

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    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.

  5. Determinants of regional labour productivity growth: A study for the hospitality sector in Spain

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    Bienvenido Ortega Aguaza

    2013-01-01

    Full Text Available The aim of this paper is to analyze the determinants of labour productivity growth in the hospitality industry in Spain using regional data over the period 1996-2004. The results obtained suggest that the increase in the number of 3-star hotels and the reduction process in the stock of physical capital per worker are factors which may have contributed to the fall in productivity growth. However, increased regional tourism intensity has a positive impact on the growth of labour productivity. Nonetheless, changes in demand-related factors, such as average length of stay and the seasonality of demand, have not had a significant aggregate impact on labour productivity growth during this period.

  6. CHESS BOOKS IN SPAIN (1900-1939: A BIO-BIBLIOGRAPHIC DIRECTORY AND A BIBLIOMETRIC STUDY

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    Jordi Brasó Rius

    2016-03-01

    Full Text Available The work presents a description and analysis of chess books in Spain in the period 1900 to 1939. The tools used have been the main database of the Spanish libraries, along with bibliographical indexes of the subject matter. This has been contextualized with secondary sources. This allows us to locate the works analyzed in the social context of the time. Subsequently, a bibliometric statistical analysis used to assess and interpret issues of authorship, place of publication, publishers, years of increased circulation of works or controlling specific contents of the contributions. The results are useful to check that Barcelona and Madrid topped the printing of books. Also it manifests high Spanish and foreign production around the year 30. Other data is remarkable the informative function that had the most publications.

  7. The visigothic treasure of Torredonjimeno (Jaen, Spain): A study with IBA techniques

    International Nuclear Information System (INIS)

    Perea, A.; Climent-Font, A.; Fernandez-Jimenez, M.; Enguita, O.; Gutierrez, P.C.; Calusi, S.; Migliori, A.; Montero, I.

    2006-01-01

    The visigothic treasure of Torredonjimeno (Jaen, Spain) was found by chance in the year 1926 buried in an olive grove. The finding consisted of some hundreds fragments of gold objects and gems coming from several votive crowns and crosses, some of them belonging to an unidentified visigothic king. The treasure may belong chronologically to the same period as the Guarrazar treasure or, possibly, to a somewhat later time, but the pieces are fragmented and of less technological workmanship than the latter. This is the reason why the Torredonjimeno treasure has not attracted as much attention from archeologists and art historians as that from Guarrazar. On the occasion of an exhibition showing together all the objects of the treasure, it is normally kept in three different museums in Barcelona, Cordoba and Madrid, a number of pieces were analyzed, using PIXE, PIGE and RBS, at the external microbeam facility installed at the Center for Micro-Analysis of Materials

  8. Mineralogical study of stream waters and efflorescent salts in Sierra Minera, SE Spain

    Science.gov (United States)

    Pérez-Sirvent, Carmen; Garcia-Lorenzo, Maria luz; Martinez-Sanchez, Maria Jose; Hernandez, Carmen; Hernandez-Cordoba, Manuel

    2015-04-01

    Trace elements contained in the residues from mining and metallurgical operations are often dispersed by wind and/or water after their disposal. These areas have severe erosion problems caused by water run-off in which soil and mine spoil texture, landscape topography and regional and microclimate play an important role. Water pollution by dissolved metals in mining areas has mainly been associated with the oxidation of sulphide-bearing minerals exposed to weathering conditions, resulting in low quality effluents of acidic pH and containing a high level of dissolved metals. The studied area, Sierra Minera, is close to the mining region of La Unión (Murcia, SE Spain). This area constituted an important mining centre for more than 2500 years, ceasing activity in 1991. The ore deposits of this zone have iron, lead and zinc as the main metal components. Studied area showed a lot of contaminations sources, formed by mining steriles, waste piles and foundry residues. As a consequence of the long period of mining activity, large volumes of wastes were generated during the mineral concentration and smelting processes. Historically, these wastes were dumped into watercourses, filling riverbeds and contaminating their surroundings. 40 sediment samples were collected from the area affected by mining exploitations, and at increasing distances from the contamination sources in 4 zones In addition, 36 surficial water samples were collected after a rain episode The Zn and Fe content was determined by flame atomic absorption spectrometry (FAAS). The Pb and Cd content was determined by electrothermal atomization atomic absorption spectrometry (ETAAS). The As content was measured by atomic fluorescence spectrometry using an automated continuous flow hydride generation spectrometer and Al content was determined by ICP-MS. Mineralogical composition of the samples was made by X Ray Diffraction (XRD) analysis using Cu-Kα radiation with a PW3040 Philips Diffractometer. Zone A: Water

  9. A Multicriteria GIS-Based Assessment to Optimize Biomass Facility Sites with Parallel Environment—A Case Study in Spain

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    Jin Su Jeong

    2017-12-01

    Full Text Available Optimizing a biomass facility site is a critical concern that is currently receiving an increased attention because of geographically spread biomass feedstock. This research presents a multicriteria GIS assessment with Weighted Linear Combination (WLC (most suitable areas and a sensitivity analysis (implementation strategies applied to various disciplines using suitable criteria to optimize a biomass facility location in the context of renewable energies respecting the environment. The analyses of results with twelve criteria show the most suitable areas (9.25% and constraints in a case study in Extremadura (Spain, where forest and agriculture are typical for land uses. Thus, the sensitivity analysis demonstrates the insight of the most influential criteria for supporting energy planning decisions. Therefore, this assessment could be used in studies to verify suitable biomass plants sites with corresponding geographical and spatial circumstances and available spatial data necessary in various governmental and industrial sectors.

  10. [Books on anesthesiology and resuscitation published in Spain. An approach to their study].

    Science.gov (United States)

    Guardiola, E; Baños, J E

    1998-03-01

    Few authors have examined the publication of medical books. Our aim was to analyze the nature of books published in Spain on anesthesiology and recovery. Books listed by the Spanish ISBN agency were selected if they included anestesi* or reanima* in any field. Duplicates were removed. Multiple editions or references were considered single books, with data for the oldest edition entered into analysis. Multiple volume collections were grouped as complete works. Data analyzed for each book were year of publication, language (of publication and the original), subject (according to ISBN classification) and place of publication. Nine subject classifications were applied: general, recovery, anesthetic techniques, pharmacology, obstetrics/gynecology, pediatrics, veterinary anesthesia, dental anesthesia and miscellaneous. We analyzed 216 books. Years that saw publication of the greatest number of books were 1988 (17), 1993 (16) and 1979 (15), and the five-year period in which the most books were published was 1985 to 1989 (48 books, 22.2%). Most books (114, 52.8%) were originally written in English, Spanish being the second most common original language (58, 26.8%). All books were published in Spanish. The Spanish ISBN classification system identified 11 categories: general diseases/clinical medicine/therapy (161, 74.5%); drugs/pharmacology/physical therapy/toxicology (20, 9.3%); gynecology/obstetrics (9, 4.2%), veterinary medicine (9, 4.2%) and medicine (8, 3.7%). Classification by specific subjects showed a predominance of monographs or treatises on general aspects (42, 19.4%) followed by books on recovery (37, 17.1%), anesthetic techniques (25, 11.6%) and pharmacology (17, 7.9%). Most books were published in Barcelona (142, 65.7%), Madrid (36, 16.7%) or Saragossa (10, 4.6%). Spanish publication of books on anesthesiology and recovery has increased in recent years. Most books are translations usually from English. Spanish ISBN agency data, although it has limitations, can

  11. The burden of premature mortality in Spain using standard expected years of life lost: a population-based study

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    Álvarez-Martín Elena

    2011-10-01

    Full Text Available Abstract Background Measures of premature mortality have been used to guide debates on future health priorities and to monitor the population health status. Standard expected years of life lost (SEYLL is one of the methods used to assess the time lost due to premature death. This article affords an overview of premature mortality in Spain for the year 2008. Methods A population-based study was conducted estimating SEYLL by sex and age groups. SEYLL, a key component of the disability-adjusted life years measure of disease burden, was calculated using Princeton West standard life tables with life expectancy at birth fixed at 80 years for males and 82.5 years for females. Population data and specific death records were obtained from the official registers of the National Institute of Statistics. All data were analysed and prepared in GesMor and Epidat software packages. Results The burden of premature mortality was estimated at 2.1 million SEYLL when age at death is taken into account. Males lost 60.9% and females lost 39.1% of total SEYLL. Malignant tumors (34.5% and cardiovascular diseases (24.0% were the leading categories in terms of SEYLL. Ischaemic heart disease (8.5% and lung cancers (8.0% were the most common specific causes of SEYLL followed by cerebrovascular diseases (5.9%, colorectal cancer (4.1%, road traffic accidents (3.5%, Alzheimer and other dementias (2.9%, chronic obstructive pulmonary disease (2.8%, breast cancer (2.8% and suicides (2.6%. Conclusions In Spain, premature mortality was essentially due to chronic non-communicable diseases. Data provided in this study are relevant for a more balanced health agenda aimed at reducing the burden of premature mortality. This study also represents a first step in estimating the overall burden of disease in terms of premature death and disability.

  12. Comparative study of the main characteristics and composition of the mainstream smoke of ten cigarette brands sold in Spain.

    Science.gov (United States)

    Marcilla, A; Martínez, I; Berenguer, D; Gómez-Siurana, A; Beltrán, M I

    2012-05-01

    In this study 10 commercial top selling cigarette brands in Spain have been machine smoked and the mainstream smoke has been analyzed. Multifunctional analysis has been satisfactorily employed to correlate the effect of the main design features of the cigarettes including amount of tobacco, filter size or paper weight with the amount of smoked tobacco and with the ratio CO(2)/CO. The composition of the vapor phase and that of the particulate matter have been analyzed. The particulate matter retained in the filter of the cigarettes has also been analyzed showing a distinct behavior of the compounds condensed in the cigarette filters and in the traps, related to their retention time. A general trend for the relative yield of some compounds in the different brands have been identified and confirmed by multifunctional analysis. Nevertheless, there are some noticeable compounds that behave differently in the different brands. Copyright © 2012 Elsevier Ltd. All rights reserved.

  13. Sleep patterns, sleep disorders and mammographic density in spanish women: The DDM-Spain/Var-DDM study.

    Science.gov (United States)

    Pedraza-Flechas, Ana María; Lope, Virginia; Moreo, Pilar; Ascunce, Nieves; Miranda-García, Josefa; Vidal, Carmen; Sánchez-Contador, Carmen; Santamariña, Carmen; Pedraz-Pingarrón, Carmen; Llobet, Rafael; Aragonés, Nuria; Salas-Trejo, Dolores; Pollán, Marina; Pérez-Gómez, Beatriz

    2017-05-01

    We explored the relationship between sleep patterns and sleep disorders and mammographic density (MD), a marker of breast cancer risk. Participants in the DDM-Spain/var-DDM study, which included 2878 middle-aged Spanish women, were interviewed via telephone and asked questions on sleep characteristics. Two radiologists assessed MD in their left craneo-caudal mammogram, assisted by a validated semiautomatic-computer tool (DM-scan). We used log-transformed percentage MD as the dependent variable and fitted mixed linear regression models, including known confounding variables. Our results showed that neither sleeping patterns nor sleep disorders were associated with MD. However, women with frequent changes in their bedtime due to anxiety or depression had higher MD (e β :1.53;95%CI:1.04-2.26). Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Geographic variability of fatal road traffic injuries in Spain during the period 2002–2004: an ecological study

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    Jimenez-Puente Alberto

    2007-09-01

    Full Text Available Abstract Background The aim of the present study is to describe the inter-province variability of Road Traffic Injury (RTI mortality on Spanish roads, adjusted for vehicle-kilometres travelled, and to assess the possible role played by the following explicative variables: sociodemographic, structural, climatic and risk conducts. Methods An ecological study design was employed. The mean annual rate of RTI deaths was calculated for the period 2002–2004, adjusted for vehicle-kilometres travelled, in the 50 provinces of Spain. The RTI death rate was related with the independent variables described above, using simple and multiple linear regression analysis with backward step-wise elimination. The level of statistical significance was taken as p Results In the period 2002–2004 there were 12,756 RTI deaths in Spain (an average of 4,242 per year, SD = 356.6. The mean number of deaths due to RTI per 100 million vehicle-kilometres (mvk travelled was 1.76 (SD = 0.51, with a minimum value of 0.66 (in Santa Cruz de Tenerife and a maximum of 3.31 (in the province of Lugo. All other variables being equal, a higher proportion of kilometres available on high capacity roads, and a higher cultural and education level were associated with lower death rates due to RTI, while the opposite was true for the rate of alcohol consumers and the road traffic volume of heavy vehicles. The variables included in the model accounted for 55.4% of the variability in RTI mortality. Conclusion Adjusting RTI mortality rates for the number of vehicle-kilometres travelled enables us to identify the high variability of this cause of death, and its relation with risk factors other than those inherent to human behaviour, such as the type of roads and the type of vehicles using them.

  15. Global change and viticulture in the Mediterranean region: a case of study in north-eastern Spain

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    Joan-Albert Lopez-Bustins

    2014-02-01

    Full Text Available Viticulture in the Mediterranean region has been improved by agronomic methods based on ecophysiological and genetic knowledge of the species and varieties cultivated. Plant growth, yield and quality are highly dependent on climate. Grape sugar content and wine alcohol content are considered as important quality parameters. The objective of our study is to analyse the effects of the current global change on the percentage of alcohol by volume (ABV in red wines from vineyards located in the Montsant Designation of Origin (DO (Priorat County, north-eastern Spain. We present an annual series of percentage of ABV in red wines over the 1984-2008 period (25 years, which is one of the longest series of this viticultural variable in Spain. We do not detect any significant trend of alcohol levels in red wines from the Montsant DO along the 1984-2004 subperiod, but a sharp increase about 1% (by volume is observed after 2004; we statistically checked that the last four years constitute an outlier period in the series. We consider climate evolution over the 1984-2004 period in the study area in order to find some relation with alcohol levels in red wines. Agronomic practices and land cover changes are also taken into account. Results show that the interannual variability of the alcohol levels in red wines are partially explained by temperature and precipitation conditions few days before the vintage. The high percentages of ABV since 2005 may be associated with new trends in viticulture techniques rather than with climate change.

  16. The role of GIS in urban seismic risk studies: application to the city of Almería (southern Spain)

    Science.gov (United States)

    Rivas-Medina, A.; Gaspar-Escribano, J. M.; Benito, B.; Bernabé, M. A.

    2013-11-01

    This work describes the structure and characteristics of the geographic information system (GIS) developed for the urban seismic risk study of the city of Almería (southern Spain), identifying the stages in which the use of this tool proved to be very beneficial for adopting informed decisions throughout the execution of the work. After the completion of the regional emergency plans for seismic risk in Spain and its subsequent approval by the National Civil Defence Commission, the municipalities that need to develop specific local seismic risk plans have been identified. Hence, the next action is to develop urban seismic risk analyses at a proper scale (Urban Seismic Risk Evaluation - Risk-UR). For this evaluation, different factors influencing seismic risk such as seismic hazard, geotechnical soil characteristics, vulnerability of structures of the region, reparation costs of damaged buildings and exposed population are combined. All these variables are gathered and analysed within a GIS and subsequently used for seismic risk estimation. The GIS constitutes a highly useful working tool because it facilitates data interoperability, making the great volume of information required and the numerous processes that take part in the calculations easier to handle, speeding up the analysis and the interpretation and presentation of the results of the different working phases. The result of this study is based on a great set of variables that provide a comprehensive view of the urban seismic risk, such as the damage distribution of buildings and dwellings of different typologies, the mean damage and the number of uninhabitable buildings for the expected seismic motion, the number of dead and injured at different times of the day, the cost of reconstruction and repair of buildings, among others. These results are intended for interpretation and decision making in emergency management by unspecialised users (Civil Defence technicians and managers).

  17. Global change and viticulture in the Mediterranean region: a case of study in north-eastern Spain

    Energy Technology Data Exchange (ETDEWEB)

    Lopez-Bustins, J. A.; Pla, E.; Nadal, M.; Herralde, F. de; Save, R.

    2014-06-01

    Viticulture in the Mediterranean region has been improved by agronomic methods based on eco physiological and genetic knowledge of the species and varieties cultivated. Plant growth, yield and quality are highly dependent on climate. Grape sugar content and wine alcohol content are considered as important quality parameters. The objective of our study is to analyse the effects of the current global change on the percentage of alcohol by volume (ABV) in red wines from vineyards located in the Montsant Designation of Origin (DO) (Priorat County, north-eastern Spain). We present an annual series of percentage of ABV in red wines over the 1984-2008 period (25 years), which is one of the longest series of this viticultural variable in Spain. We do not detect any significant trend of alcohol levels in red wines from the Montsant DO along the 1984-2004 subperiod, but a sharp increase about 1% (by volume) is observed after 2004; we statistically checked that the last four years constitute an outlier period in the series. We consider climate evolution over the 1984-2004 period in the study area in order to find some relation with alcohol levels in red wines. Agronomic practices and land cover changes are also taken into account. Results show that the interannual variability of the alcohol levels in red wines are partially explained by temperature and precipitation conditions few days before the vintage. The high percentages of ABV since 2005 may be associated with new trends in viticulture techniques rather than with climate change. (Author)

  18. New solar components studied in an experimental solar house in Spain

    Energy Technology Data Exchange (ETDEWEB)

    Trimboli, A [IBESA (ES); Cusido, J A; Puigdomenech, J [Escola Tecnica Superior d' Arquitectura del Valles, Barcelona (ES)

    1990-09-01

    A prototype experimental solar building has been built in the School of Architecture of Valles, Spain. Its final design takes advantage of beneficial climatic effects in order to maintain indoor thermal comfort and to lower auxiliary energy usage. The building has 100 sq m of usable surface, 55 sq m of which are habitable. The remaining area is a greenhouse which is intended for experimental hydroponic cultivation. One of the main features is a thermal regulation system named the ''thermal shield''. This device, placed on the South facade of the building, is composed of a series of plastic translucent layers. Fan-forced air passes through the outer layer and circulates through the special recticular structure of the building to provide daytime heating. A heat absorbing fluid circulating through the innermost layer transfers heat via an exchanger to a storage tank of eutectic salts. The diurnal stored energy can be retrieved to heat the house at night. The thermal shield, which is computer controlled, can also be used to reduce solar gains in summer. (author).

  19. Technology mix alternatives with high shares of wind power and photovoltaics—case study for Spain

    International Nuclear Information System (INIS)

    Zubi, Ghassan

    2011-01-01

    The shift to a low carbon society is an issue of highest priority in the EU. For electricity generation, such a target counts with three main alternatives: renewable energies, nuclear power and carbon capture and storage. This paper focuses on the renewables’ alternative. Due to resource availability, a technology mix with a high share of PV and wind power is gaining increasing interest as a major solution for several EU member states and in part for the EU collectively to achieve decarbonization and energy security with acceptable costs. Due to their intermittency, the integration of high shares of PV and wind power in the electricity supply is challenging. This paper presents a techno-economic assessment of technology mix alternatives with a high share of PV and wind power in Spain, as an example. Thereby, the focus is on the option of increasing wind curtailment versus substituting rigid baseload generation in favor of the more flexible gas turbines and combined cycle gas turbines. - Highlights: ► The potential of power generation from renewable energy resources in the EU is illustrated. ► The LEC of the different technologies considered is calculated for today and future scenarios. ► An excel-based model for the technology mix assessment is applied using Spanish data. ► Technology mix alternatives with a high share of PV and wind power are assessed. ► The focus is on increasing wind curtailment vs. relying on more flexible power generation units.

  20. Energy Analysis at a Near Zero Energy Building. A Case-Study in Spain

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    Javier M. Rey-Hernández

    2018-04-01

    Full Text Available This paper develops an energy analysis for an existing near Zero Energy (nZEB and Zero Carbon Emissions building called LUCIA, located at the university campus in Valladolid (Spain. It is designed to supply electricity, cooling and heating needs through solar energy (Photovoltaic Systems, PV, biomass and an Earth–Air Heat Exchanger (EAHE, besides a Combined Heat Power (CHP. It is currently among the top three buildings with the highest LEED certification in the World. The building model is simulated with DesignBuilder version 5. The results of the energy analysis illustrate the heating, cooling and lighting consumptions expected, besides other demands and energy uses. From this data, we carried out an energy balance of the nZEB, which will help to plan preventive actions when compared to the actual energy consumptions, improving the management and control of both the building and its systems. The primary energy indicator obtained is 67 kWh/m2 a year, and 121 kWh/m2 a year for renewable energy generation, with respect to 55 kWh/m2 and 45 kWh/m2 set as reference in Europe. The Renewable Energy Ratio (RER is 0.66. These indicators become a useful tool for the energy analysis of the nZEB according to the requirements in the European regulations and for its comparison with further nZEB.

  1. Transport and low-carbon fuel: A study of public preferences in Spain

    International Nuclear Information System (INIS)

    Loureiro, Maria L.; Labandeira, Xavier; Hanemann, Michael

    2013-01-01

    Transport is essential for the control of future greenhouse gas (GHG) emissions and thus a target for active policy intervention in the future. Yet, social preferences for policies are likely to play an important role. In this paper we first review the existing literature on preferences regarding low-GHG car fuels, but also covering policy instruments and strategies in this area. We then present the results of a survey of Spanish households aimed at measuring preferences for climate change policies. We find a positive willingness to pay (WTP) (in the form of higher car fuel prices) for a policy to reduce GHG emissions through biofuels. There is, however, significant heterogeneity in public preferences due to personal motivations (accounted for via factor analysis of responses to attitudinal questions) and to socio-demographic variables. - Highlights: • Road transport is the cause of important energy-related problems, particularly the emission of greenhouse gases and local pollution. • This paper explores public attitudes and preferences towards low-carbon fuel policies in Spain via contingent valuation. • A factor analysis is performed, showing the existence of pro-social and economic factors related to preferences for policies. • Drivers were willing to pay an extra of 115.5 Euros per year for low-carbon fuels, roughly an extra 0.07 (0.08) Euros/liter for gasoline (diesel). • The results encourage the use of these low-GHG policies as feasible alternatives for climate policies in the transport area

  2. Probabilistic-Multiobjective Comparison of User-Defined Operating Rules. Case Study: Hydropower Dam in Spain

    Directory of Open Access Journals (Sweden)

    Paola Bianucci

    2015-03-01

    Full Text Available A useful tool is proposed in this paper to assist dam managers in comparing and selecting suitable operating rules. This procedure is based on well-known multiobjective and probabilistic methodologies, which were jointly applied here to assess and compare flood control strategies in hydropower reservoirs. The procedure consisted of evaluating the operating rules’ performance using a simulation fed by a representative and sufficiently large flood event series. These flood events were obtained from a synthetic rainfall series stochastically generated by using the RainSimV3 model coupled with a deterministic hydrological model. The performance of the assessed strategies was characterized using probabilistic variables. Finally, evaluation and comparison were conducted by analyzing objective functions which synthesize different aspects of the rules’ performance. These objectives were probabilistically defined in terms of risk and expected values. To assess the applicability and flexibility of the tool, it was implemented in a hydropower dam located in Galicia (Northern Spain. This procedure allowed alternative operating rule to be derived which provided a reasonable trade-off between dam safety, flood control, operability and energy production.

  3. "Carrying Ibuprofen in the Bag": Priority Health Concerns of Latin American Migrants in Spain- A Participatory Qualitative Study.

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    Maria Roura

    Full Text Available An estimated 2.7 million Latin Americans reside in Europe, mostly in Spain. Part of a broader project aimed at developing a research agenda on the health status and determinants of this population, this qualitative study engaged Latin American migrants in the identification of research priorities.We conducted 30 group discussions between November 2012-March 2013 with 84 participants purposively selected for maximum diversity in Madrid and Barcelona (Spain. We facilitated sequences of task-oriented visual activities to explore their views on priority health concerns. We tape-recorded and transcribed discussions and developed a coding frame based on socio-ecological frameworks, which we applied to all the data using NVIVO-10. A final round of eight group discussions allowed us to triangulate and enrich interpretations by including participants' insights.The cumulative toll of daily stresses was the major health concern perceived by a population that conceptualised ill-health as a constellation of symptoms rather than as specific diseases. Work-related factors, legislative frameworks regulating citizenship entitlements and feeling ethnically discriminated were major sources of psycho-social strain. Except for sexually transmitted infections, participants rarely referred to communicable diseases as a concern. The perception that clinicians systematically prescribed painkillers discouraged health seeking and fostered self-medication. Participants felt that the medicalised, chemicalised, sexually liberal and accelerated culture of the host society damaged their own, and the local populations' health.Health systems bear a disproportionate responsibility in addressing health problems rooted in other sectors. Occupational and migration policies should be recognised explicitly as health policies. The mismatch between researchers' emphasis on communicable infections and the health concerns of Latin American migrants highlights the need for greater

  4. Study of the relative humidity dependence of aerosol light-scattering in southern Spain

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    Gloria Titos

    2014-09-01

    Full Text Available This investigation focuses on the characterisation of the aerosol particle hygroscopicity. Aerosol particle optical properties were measured at Granada, Spain, during winter and spring seasons in 2013. Measured optical properties included particle light-absorption coefficient (σap and particle light-scattering coefficient (σsp at dry conditions and at relative humidity (RH of 85±10%. The scattering enhancement factor, f(RH=85%, had a mean value of 1.5±0.2 and 1.6±0.3 for winter and spring campaigns, respectively. Cases of high scattering enhancement were more frequent during the spring campaign with 27% of the f(RH=85% values above 1.8, while during the winter campaign only 8% of the data were above 1.8. A Saharan dust event (SDE, which occurred during the spring campaign, was characterised by a predominance of large particles with low hygroscopicity. For the day when the SDE was more intense, a mean daily value of f(RH=85%=1.3±0.2 was calculated. f(RH=85% diurnal cycle showed two minima during the morning and afternoon traffic rush hours due to the increase in non-hygroscopic particles such as black carbon and road dust. This was confirmed by small values of the single-scattering albedo and the scattering Ångstrom exponent. A significant correlation between f(RH=85% and the fraction of particulate organic matter and sulphate was obtained. Finally, the impact of ambient RH in the aerosol radiative forcing was found to be very small due to the low ambient RH. For high RH values, the hygroscopic effect should be taken into account since the aerosol forcing efficiency changed from −13 W/m2 at dry conditions to −17 W/m2 at RH=85%.

  5. RECORDING AND MODELING OF FORTRESSES AND CASTLES WITH UAS. SOME STUDY CASES IN JAEN (SOUTHERN SPAIN

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    J. Cardenal

    2016-06-01

    Full Text Available The province of Jaen (Southern Spain has one of the largest concentrations of medieval fortresses of all Europe. Moreover ancient Iberian settlements located in oppida (fortified villages and dated at VI-IV BC also are outstanding examples of historical heritage landmarks in the region. Most of these places are being restored or under documentation analysis to prevent their progressive deterioration. These places have several geometric characteristics in common, such as isolated locations, elongated shapes, largemedium size objects (in the order of tens to few hundred of meters, architectural features with vertical development (such as masonry or rammed earth walls, towers, gates, battlements, etc or without it (walls, buildings or paths layouts at ground level. The object size, the required level of details and accuracy (of the order of some few cm and both vertical and horizontal features imply that present UAS techniques can be advantageously used with respect to conventional aerial and terrestrial photogrammetric techniques. Vertical stereoscopic and oblique convergent UAS photogrammetric networks combined with processing techniques based on Structure from Motion (SfM algorithms allow detailed low cost 2D/3D products. The proper selection of the UAS, camera, image acquisition mode (stop and/or cruising, the network and the processing software will determine the quality of final products and their usefulness in metric documentation, 3D modelization or museology. The efficiency of the use of UAS has been analyzed in several selected examples in Jaen (Burgalimar and Berrueco castles, Xth and XIIIth centuries, respectively, and the Iberian Puente Tablas oppidum, Vth-IVth centuries BC.

  6. Hydrological Impacts of Climate Change: A Case Study on the Ebro River Basin (Spain)

    Science.gov (United States)

    Zambrano-Bigiarini, M.; Bellin, A.; Majone, B.; Bovolo, C. I.; Blenkinsop, S.

    2009-12-01

    Uncertainty in projections from climate models limits the understanding of future hydrological impacts and complicates the assessment of mitigation policies. This work presents hydrological simulations of the Ebro River Basin (Spain), using both control (1961-1990) and future (2071-2100) climate scenarios, in order to investigate the effect of climate change on the water availability of the basin. Using the SWAT model, hydrological simulations were carried out for four catchments with different climatological regimes. Sets of model parameters were identified using sensitivity analysis, long-term calibration and uncertainty analysis procedures, which enabled the historical behaviour of the catchments to be reproduced. Following validation, the parameters were used to simulate the effects of climate change on future streamflow. Bias-corrected daily time series of precipitation and mean temperature from an ensemble of 6 Regional Climate Models (RCMs), using the SRES A2 emissions scenario, were used as drivers of the hydrological simulations during the future scenarios. Important annual and seasonal differences in the projected future precipitation and temperature fields were observed among the RCMs. However, a general decrease in annual mean precipitation and an increase in annual mean temperature relative to the control period were observed, with the strongest differences during the summer season. When these changes were used to project future streamflows, a general decrease was observed at the outlet of the catchments. Changes in streamflows were in general agreement with the projections of daily precipitation and temperature fields, with a larger drop in predicted monthly streamflows for catchments with more semi-arid climatological regimes, and seasonal differences that are related to the elevation range of the catchments.

  7. Regionalised spatiotemporal rainfall and temperature models for flood studies in the Basque Country, Spain

    Directory of Open Access Journals (Sweden)

    P. Cowpertwait

    2013-02-01

    Full Text Available A spatiotemporal point process model of rainfall is fitted to data taken from three homogeneous regions in the Basque Country, Spain. The model is the superposition of two spatiotemporal Neyman–Scott processes, in which rain cells are modelled as discs with radii that follow exponential distributions. In addition, the model includes a parameter for the radius of storm discs, so that rain only occurs when both a cell and a storm disc overlap a point. The model is fitted to data for each month, taken from each of the three homogeneous regions, using a modified method of moments procedure that ensures a smooth seasonal variation in the parameter estimates.

    Daily temperature data from 23 sites are used to fit a stochastic temperature model. A principal component analysis of the maximum daily temperatures across the sites indicates that 92% of the variance is explained by the first component, implying that this component can be used to account for spatial variation. A harmonic equation with autoregressive error terms is fitted to the first principal component. The temperature model is obtained by regressing the maximum daily temperature on the first principal component, an indicator variable for the region, and altitude. This, together with scaling and a regression model of temperature range, enables hourly temperatures to be predicted. Rainfall is included as an explanatory variable but has only a marginal influence when predicting temperatures.

    A distributed model (TETIS; Francés et al., 2007 is calibrated for a selected catchment. Five hundred years of data are simulated using the rainfall and temperature models and used as input to the calibrated TETIS model to obtain simulated discharges to compare with observed discharges. Kolmogorov–Smirnov tests indicate that there is no significant difference in the distributions of observed and simulated maximum flows at the same sites, thus supporting the use of the spatiotemporal

  8. Night shift work and chronic lymphocytic leukemia in the MCC-Spain case-control study.

    Science.gov (United States)

    Costas, Laura; Benavente, Yolanda; Olmedo-Requena, Rocío; Casabonne, Delphine; Robles, Claudia; Gonzalez-Barca, Eva-Maria; de la Banda, Esmeralda; Alonso, Esther; Aymerich, Marta; Tardón, Adonina; Marcos-Gragera, Rafael; Gimeno-Vázquez, Eva; Gómez-Acebo, Inés; Papantoniou, Kyriaki; Castaño-Vinyals, Gemma; Aragonés, Nuria; Pollán, Marina; Kogevinas, Manolis; de Sanjosé, Silvia

    2016-11-01

    Chronic lymphocytic leukemia (CLL) has few known modifiable risk factors. Recently, circadian disruption has been proposed as a potential contributor to lymphoid neoplasms' etiology. Serum melatonin levels have been found to be significantly lower in CLL subjects compared with healthy controls, and also, CLL prognosis has been related to alterations in the circadian molecular signaling. We performed the first investigation of an association between night shift work and CLL in 321 incident CLL cases and 1728 population-based controls in five areas of Spain. Participants were interviewed face-to-face by trained interviewers to collect information on sociodemographic factors, familial, medical and occupational history, including work shifts and other lifestyle factors. We used logistic regression models adjusted for potential confounders to estimate odds ratios (OR) and 95% confidence intervals (CI). Seventy-nine cases (25%) and 339 controls (20%) had performed night work. Overall, working in night shifts was not associated with CLL (OR = 1.06; 95% CI = 0.78-1.45, compared with day work). However, long-term night shift (>20 years) was positively associated with CLL (OR(tertile 3 vs . day-work)  = 1.77; 95% = 1.14-2.74), although no linear trend was observed (P trend = 0.18). This association was observed among those with rotating (OR(tertile 3 vs . day-work)  = 2.29; 95% CI = 1.33-3.92; P trend = 0.07), but not permanent night shifts (OR(tertile 3 vs . day-work) = 1.16; 95% CI = 0.60-2.25; P trend = 0.86). The association between CLL and long-term rotating night shift warrants further investigation. © 2016 UICC.

  9. Media-politics interaction in times of economic crisis: a comparative study of Spain and the Netherlands

    NARCIS (Netherlands)

    Vliegenthart, R.; Mena, N.

    2013-01-01

    This paper investigates the multi-directional causal relationships between stock market ratings, negative economic coverage in two national newspapers and parliamentary questions addressing negative aspects of the economy in Spain and the Netherlands. Weekly-level Vector Autoregression (VAR)

  10. Upgraded biogas from municipal solid waste for natural gas substitution and CO2 reduction--a case study of Austria, Italy, and Spain.

    Science.gov (United States)

    Starr, Katherine; Villalba, Gara; Gabarrell, Xavier

    2015-04-01

    Biogas is rich in methane and can be further purified through biogas upgrading technologies, presenting a viable alternative to natural gas. Landfills and anaerobic digestors treating municipal solid waste are a large source of such biogas. They therefore offer an attractive opportunity to tap into this potential source of natural gas while at the same time minimizing the global warming impact resulting from methane emissions in waste management schemes (WMS) and fossil fuel consumption reduction. This study looks at the current municipal solid waste flows of Spain, Italy, and Austria over one year (2009), in order to determine how much biogas is generated. Then it examines how much natural gas could be substituted by using four different biogas upgrading technologies. Based on current waste generation rates, exploratory but realistic WMS were created for each country in order to maximize biogas production and potential for natural gas substitution. It was found that the potential substitution of natural gas by biogas resulting from the current WMS seems rather insignificant: 0.2% for Austria, 0.6% for Italy and 0.3% for Spain. However, if the WMS is redesigned to maximize biogas production, these figures can increase to 0.7% for Austria, 1% for Italy and 2% for Spain. Furthermore, the potential CO2 reduction as a consequence of capturing the biogas and replacing fossil fuel can result in up to a 93% reduction of the annual national waste greenhouse gas emissions of Spain and Italy. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. A radiological study of some ornamental stones: the bluish granites from Extremadura (Spain

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    D. Pereira

    2012-02-01

    Full Text Available In the area of Trujillo (Extremadura, Spain we have found a variety of striking bluish and secondary yellow granites outcropping within the Plasenzuela pluton. They are all quarried under different names and are characterized by leucocratic minerals in which a bluish phosphate is dispersed throughout the rock. Their physical and mechanical properties make these granites a perfect option for most applications as ornamental rocks. Within the pluton the radiological background is fairly homogeneous, with no significant differences between the gamma ray fluxes of the different facies. U (6.4 ± 0.51 ppm, Th (2.9 ± 0.47 ppm and K2O (4.32 ± 0.26% contents determined in the laboratory by gamma-ray spectrometry from representative samples are in good accordance with fast in situ measurements carried out with the same technique and also with conventional chemical analysis. Estimated activities for K-40, Ra-226 and Th-232 were, on average, 1022 ± 36 Bq kg−1, 84 ± 9 Bq kg−1 and 6.8 ± 1.6 Bq kg−1. On the basis of these results, the I index of EU technical document 112 was determined, with an average result of 0.66 ± 0.03. This suggests that the rock can be used with no restrictions for all types of construction purposes. Striking differences were observed between the blue facies and the yellow facies in radon exhalation tests from crushed material (0.03 Bq kg−1 vs. 0.20 Bq kg−1. Since both granites have similar uranium contents (6.3 ppm and 6.5 ppm, respectively, these results can probably be explained in terms of important differences in the mineralogical distribution of this chemical element, radon emanation being enhanced in the yellow facies. However, due to the ordinary use as ornamental stone, the yellow facies does not present a radiological risk in terms of excess effective dose due to internal exposure to radon.

  12. Radar Interferometry for Monitoring the Vibration Characteristics of Buildings and Civil Structures: Recent Case Studies in Spain.

    Science.gov (United States)

    Luzi, Guido; Crosetto, Michele; Fernández, Enric

    2017-03-24

    The potential of a coherent microwave sensor to monitor the vibration characteristics of civil structures has been investigated in the past decade, and successful case studies have been published by different research teams. This remote sensing technique is based on the interferometric processing of real aperture radar acquisitions. Its capability to estimate, simultaneously and remotely, the displacement of different parts of the investigated structures, with high accuracy and repeatability, is its main advantage with respect to conventional sensors. A considerable amount of literature on this technique is available, including various case studies aimed at testing the ambient vibration of bridges, buildings, and towers. In the last years, this technique has been used in Spain for civil structures monitoring. In this paper, three examples of such case studies are described: the monitoring of the suspended bridge crossing the Ebro River at Amposta, the communications tower of Collserola in Barcelona, and an urban building located in Vilafranca del Penedès, a small town close to Barcelona. This paper summarizes the main outcomes of these case studies, underlining the advantages and limitations of the sensors currently available, and concluding with the possible improvements expected from the next generation of sensors.

  13. Anthropometric Status and Nutritional Intake in Children (6-9 Years) in Valencia (Spain): The ANIVA Study.

    Science.gov (United States)

    Morales-Suárez-Varela, María; Rubio-López, Nuria; Ruso, Candelaria; Llopis-Gonzalez, Agustín; Ruiz-Rojo, Elías; Redondo, Maximino; Pico, Yolanda

    2015-12-18

    The aim of our study was to assess nutritional intake and anthropometric statuses in schoolchildren to subsequently determine nutritional adequacy with Spanish Dietary Reference Intake (DRIs). The ANIVA study, a descriptive cross-sectional study, was conducted in 710 schoolchildren (6-9 years) in 2013-2014 in Valencia (Spain). Children's dietary intake was measured using 3-day food records, completed by parents. Anthropometric measures (weight and height) were measured according to international standards, and BMI-for-age was calculated and converted into z-scores by WHO-Anthro for age and sex. Nutrient adequacy was assessed using DRI based on estimated average requirement (EAR) or adequate intake (AI). Pearson's chi-square and Student's t-test were employed. Of our study group (47.61% boys, 52.39% girls), 53.1% were normoweight and the weight of 46.9% was inadequate; of these, 38.6% had excess body weight (19.6% overweight and 19.0% obesity). We found intakes were lower for biotin, fiber, fluoride, vitamin D (p nutritional adequacy to Spanish recommendations in overweight children. Our findings suggest that nutritional intervention and educational strategies are needed to promote healthy eating in these children and nutritional adequacies.

  14. 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)

  15. Mortality decrease according to socioeconomic groups during the economic crisis in Spain: a cohort study of 36 million people.

    Science.gov (United States)

    Regidor, Enrique; Vallejo, Fernando; Granados, José A Tapia; Viciana-Fernández, Francisco J; de la Fuente, Luis; Barrio, Gregorio

    2016-11-26

    Studies of the effect of macroeconomic fluctuations on mortality in different socioeconomic groups are scarce and have yielded mixed findings. We analyse mortality trends in Spain before and during the Great Recession in different socioeconomic groups, quantifying the change within each group. We did a nationwide prospective study, in which we took data from the 2001 Census. All people living in Spain on Nov 1, 2001, were followed up until Dec 31, 2011. We included 35 951 354 people alive in 2001 who were aged between 10 and 74 years in each one of the four calendar years before the economic crisis (from 2004 to 2007) and in each one of the first four calendar years of the crisis (from 2008 to 2011), and analysed all-cause and cause-specific mortality in those people. We classified individuals by socioeconomic status (low, medium, or high) using two indicators of household wealth: household floor space (104 m 2 ) and number of cars owned by the residents of the household (none, one, and two or more). We used Poisson regression to calculate the annual percentage reduction (APR) in mortality rates during 2004-07 (pre-crisis) and 2008-11 (crisis) in each socioeconomic group, as well as the effect size, measured by the APR difference between the pre-crisis and crisis period. The annual decline in all-cause mortality in the three socioeconomic groups was 1·7% (95% CI 1·2 to 2·1) for the low group, 1·7% (1·3 to 2·1) for the medium group, and 2·0% (1·4 to 2·5) for the high group in 2004-07, and 3·0% (2·5 to 3·5) for the low group, 2·8% (2·5 to 3·2) for the medium group, and 2·1% (1·6 to 2·7) for the high group in 2008-11 when individuals were classified by household floor space. The annual decline in all-cause mortality when people were classified by number of cars owned by the household was 0·3% (-0·1 to 0·8) for the low group, 1·6% (1·2 to 2·0) for the medium group, and 2·2% (1·6 to 2·8) for the high group in 2004-07, and 2·3% (1·8 to 2

  16. Discourses and values underpin public debate on fracking in Spain: A case study at the crossroad

    Science.gov (United States)

    Hermelinda Lopera Pareja, Emilia; García Laso, Ana; Martín Sánchez, Domingo Alfonso

    2015-04-01

    In the EU context extraction of shale and oil gas by hydraulic fracturing (fracking) differs from country to country in terms of legislation and implementation. While fossil fuel extraction using this technology is currently taking place in the UK, Germany and France have adopted respective moratoria. In between is the Spanish case, where hydrocarbon extraction projects through fracking have to undergo mandatory and routine environmental assessment in accordance with the last changes to environmental regulations. Nowadays Spain is at the crossroad with respect to the future of this technology. We presume a social conflictt in our country since the position and strategy of the involved and confronted social actors -national, regional and local authorities, energy companies, scientists, NGO and other social organization- are going to play key and likely divergent roles in its industrial implementation and public acceptance. In order to improve knowledge on how to address these controverted situations from the own engineering context, the affiliated units from the Higher Technical School of Mines and Energy Engineering at UPM have been working on a transversal program to teach values and ethics. Over the past seven years, this pioneering experience has shown the usefulness of applying a consequentialist ethics, based on a case-by-case approach and costs-benefits analysis both for action and inaction. As a result of this initiative a theoretical concept has arisen and crystallized in this field: it is named Inter-ethics. This theoretical perspective can be very helpful in complex situations, with multi-stakeholders and plurality of interests, when ethical management requires the interaction between the respective ethics of each group; professional ethics of a single group is not enough. Under this inter-ethics theoretical framework and applying content analysis techniques, this paper explores the articulation of the discourse in favour and against fracking technology

  17. Perceptions and Acceptance of Desalinated Seawater for Irrigation: A Case Study in the Níjar District (Southeast Spain

    Directory of Open Access Journals (Sweden)

    José A. Aznar-Sánchez

    2017-06-01

    Full Text Available In the context of increasing demand for irrigation water—but, at the same time, with the constraints in the supply from traditional resources—desalinated seawater has been recognized as one of the alternative sources of water to increase the supply for agricultural irrigation. However, its use among farmers has not yet started to expand. Policy makers need to understand what is causing the low acceptance levels of farmers, and how their attitudes could be improved. This is the first study that has conducted an analysis of farmers’ perceptions and acceptance of the use of desalinated seawater for irrigation. The study is based on collected data from a survey completed by farmers in southeastern Spain who do not use desalinated seawater. The main results indicate that desalinated seawater as a water supply source has the lowest acceptance level for farmers. Barriers for its use are price, the need for additional fertilization, and the perception that it would negatively affect the yield and crop quality. The farmers’ general level of knowledge about the impact of using desalinated seawater in agriculture is extremely low. Furthermore, farmers consider it a priority that their startup investment should be subsidized and that water prices should be reduced. Based on the study findings, this paper makes recommendations for the decision-making process in order to improve farmers’ acceptance levels.

  18. Dealing with uncertainties in impact studies of climate change on hydrometeorological series over Segura River Basin (Spain)

    Science.gov (United States)

    Garcia Galiano, S. G.; Garcia Cardenas, R.; Tetay Botia, C.; Giraldo Osorio, J.; Erena Arrabal, M.; Baille, A.

    2011-12-01

    The Segura River Basin (SRB) located in the South East of Spain, is affected by recurrent drought and water scarcity episodes. This basin presents the lowest percentage of renewable water resources of all the Spanish basins. Intensive reforestation has been carried out in the region, to halt desertification and erosion, which added to climate change and variability, do not allow the default assumption of stationarity in the water resources systems. Therefore, the study of effects in hydrometeorological series should be addressed by nonstationary probabilistic models that allow describing the time evolution of their probability distribution functions (PDFs). In the present work, the GAMLSS (Generalized Additive Models for Location, Scale and Shaper) approach is applied to identify of spatio-temporal trends in observed precipitation (P) and potential evapotranspiration (PET), at basin scale. Several previous studies have addressed the potential impacts of climate change in water supply systems, focusing on the sensitivity analysis of runoff to climate. Considering the use of a conceptual hydrological model with few parameters, the impacts on runoff and its trend from historical data, are assessed. The conclusions of this study represent a breakthrough in the development of methodologies to understand and anticipate the impacts on water resources systems, in the light of current and future climate conditions, considering hydroclimatic non-stationarity. These findings are expected to contribute to the management of conditions of water resources scarcity and droughts, such as the observed in the SRB, as support to decision-making process by stakeholders.

  19. The association of air pollution and greenness with mortality and life expectancy in Spain: A small-area study.

    Science.gov (United States)

    de Keijzer, Carmen; Agis, David; Ambrós, Albert; Arévalo, Gustavo; Baldasano, Jose M; Bande, Stefano; Barrera-Gómez, Jose; Benach, Joan; Cirach, Marta; Dadvand, Payam; Ghigo, Stefania; Martinez-Solanas, Èrica; Nieuwenhuijsen, Mark; Cadum, Ennio; Basagaña, Xavier

    2017-02-01

    Air pollution exposure has been associated with an increase in mortality rates, but few studies have focused on life expectancy, and most studies had restricted spatial coverage. A limited body of evidence is also suggestive for a beneficial association between residential exposure to greenness and mortality, but the evidence for such an association with life expectancy is still very scarce. To investigate the association of exposure to air pollution and greenness with mortality and life expectancy in Spain. Mortality data from 2148 small areas (average population of 20,750 inhabitants, and median population of 7672 inhabitants) covering Spain for years 2009-2013 were obtained. Average annual levels of PM 10 , PM 2.5 , NO 2 and O 3 were derived from an air quality forecasting system at 4×4km resolution. The normalized difference vegetation index (NDVI) was used to assess greenness in each small area. Air pollution and greenness were linked to standardized mortality rates (SMRs) using Poisson regression and to life expectancy using linear regression. The models were adjusted for socioeconomic status and lung cancer mortality rates (as a proxy for smoking), and accounted for spatial autocorrelation. The increase of 5μg/m 3 in PM 10 , NO 2 and O 3 or of 2μg/m 3 in PM 2.5 concentration resulted in a loss of life in years of 0.90 (95% credibility interval CI: 0.83, 0.98), 0.13 (95% CI: 0.09, 0.17), 0.20years (95% CI: 0.16, 0.24) and 0.64 (0.59, 0.70), respectively. Similar associations were found in the SMR analysis, with stronger associations for PM 2.5 and PM 10 , which were associated with an increased mortality risk of 3.7% (95% CI: 3.5%, 4.0%) and 5.7% (95% CI: 5.4%, 6.1%). For greenness, a protective effect on mortality and longer life expectancy was only found in areas with lower socioeconomic status. Air pollution concentrations were associated to important reductions in life expectancy. The reduction of air pollution should be a priority for public health

  20. 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

  1. Food groups and nutrient intake and risk of colorectal cancer: a hospital-based case-control study in Spain.

    Science.gov (United States)

    Banqué, Marta; Raidó, Blanca; Masuet, Cristina; Ramon, Josep M

    2012-04-01

    Although evidence supports that colorectal cancer (CRC) has an environmental etiology, the potential influence of diet appears to be one of the most important components. We studied the relation between food groups and nutrient intake and the risk of CRC. A hospital-based case-control study was conducted in Spain between 2007 and 2009. The authors matched 245 patients with incident histologically confirmed CRC by age, gender, and date of admission with 490 controls. Information about nutrient intake was gathered by using a semiquantitative frequency food questionnaire. Univariate analysis was done with individual food items. Odds ratios (ORs) for consecutive tertiles of nutrient intake were computed after allowance for sociodemographic variables and consumption of food groups. Vitamin B6 (OR: 0.26), vitamin D (OR: 0.45), vitamin E (OR: 0.42), polyunsaturated fatty acids (OR: 0.57), and fiber (OR: 0.40) were inversely associated with CRC, whereas carbohydrates (OR: 1.82) were significantly associated with CRC risk for the upper tertile. In multivariate analysis adjusting for major covariables (energy, age, and gender), vitamin D (OR:0.45), vitamin E (OR:0.36), and fiber (OR:0.46) remained associated with CRC. Data suggest that the etiology of colorectal cancer is not due to lifestyle and dietary patterns being important the effect of single nutrients.

  2. Exposure to tobacco, alcohol and drugs of abuse during pregnancy. A study of prevalence among pregnant women in Malaga (Spain).

    Science.gov (United States)

    Blasco-Alonso, Marta; González-Mesa, Ernesto; Gálvez Montes, Milagros; Lozano Bravo, Isabel; Merino Galdón, Federico; Cuenca Campos, Francisco; Marín Schiaffino, Gema; Pérez Torres, Sergio; Herrera Peral, José; Bellido Estévez, Inmaculada

    2015-06-17

    The prevalence of substance abuse in women who become pregnant is similar to that of the general population, resulting in a high fetal exposure rate during the most vulnerable period regarding neurodevelopment and organogenesis. The present study was intended to assess the level of prenatal exposure to tobacco, alcohol or illicit drugs in the city of Málaga (Spain). It was designed as a cross-sectional study, and based on the anonymous self-reports of participants. A total of 451 pregnant women were recruited in the first, second or third trimester. The prevalence in each of the quarters respectively was 21.2%, 18.5% and 13.3% for smoking, 40.7%, 23.1% and 17.1% for alcohol and 4.8%, 1.9% and 1.2% for cannabis. We also found that a higher educational level was associated with a lower consumption of tobacco (RR 0.659 [0.537-0.810] p<0.0001) and greater exposure to alcohol (RR 1.87 [1.30-2.69] p<0.0007). These results, particularly in regard to alcohol intake, are sufficiently alarming to alert obstetric care providers about the need to implement preventive measures.

  3. Perception of quality of care among residents of public nursing-homes in Spain: a grounded theory study.

    Science.gov (United States)

    Rodríguez-Martín, Beatriz; Martínez-Andrés, María; Cervera-Monteagudo, Beatriz; Notario-Pacheco, Blanca; Martínez-Vizcaíno, Vicente

    2013-06-28

    The quality of care in nursing homes is weakly defined, and has traditionally focused on quantify nursing homes outputs and on comparison of nursing homes' resources. Rarely the point of view of clients has been taken into account. The aim of this study was to ascertain what means "quality of care" for residents of nursing homes. Grounded theory was used to design and analyze a qualitative study based on in-depth interviews with a theoretical sampling including 20 persons aged over 65 years with no cognitive impairment and eight proxy informants of residents with cognitive impairment, institutionalized at a public nursing home in Spain. Our analysis revealed that participants perceived the quality of care in two ways, as aspects related to the persons providing care and as institutional aspects of the care's process. All participants agreed that aspects related to the persons providing care was a pillar of quality, something that, in turn, embodied a series of emotional and technical professional competences. Regarding the institutional aspects of the care's process, participants laid emphasis on round-the-clock access to health care services and on professional's job stability. This paper includes perspectives of the nursing homes residents, which are largely absent. Incorporating residents' standpoints as a complement to traditional institutional criteria would furnish health providers and funding agencies with key information when it came to designing action plans and interventions aimed at achieving excellence in health care.

  4. Mercury in air and plant specimens in herbaria: A pilot study at the MAF Herbarium in Madrid (Spain)

    International Nuclear Information System (INIS)

    Oyarzun, R.; Higueras, P.; Esbri, J.M.; Pizarro, J.

    2007-01-01

    We present data from a study of mercury concentrations in air and plant specimens from the MAF Herbarium in Madrid (Spain). Hg (gas) emissions from old plant collections treated with mercuric chloride (HgCl 2 ) in herbaria may pose a health risk for staff working in installations of this type. This is an issue not yet properly addressed. Plants that underwent insecticide treatment with HgCl 2 at the MAF Herbarium until the mid 1970s have persistent high concentrations of Hg in the range 1093-11,967 μg g -1 , whereas untreated specimens are in the range of 1.2-4.3 μg g -1 . The first group induces high concentrations of Hg (gas) in the main herbarium room, with seasonal variations of 404-727 ng m -3 (late winter) and 748-7797 ng m -3 (early summer) (baseline for Hg: 8 ng m -3 ). A test survey at another herbarium in Madrid showed even higher concentrations of Hg (gas) above 40,000 ng m -3 . The World Health Organization guidelines for chronic exposure to Hg (gas) are estimated at a maximum of 1000 ng m -3 . While staff was aware of the existence of HgCl 2 treated plants (the plant specimen sheets are labelled as 'poisoned'), they had no knowledge of the presence of high Hg (gas) concentrations in the buildings, a situation that may be relatively common in herbaria

  5. Energy Modelling and Automated Calibrations of Ancient Building Simulations: A Case Study of a School in the Northwest of Spain

    Directory of Open Access Journals (Sweden)

    Ana Ogando

    2017-06-01

    Full Text Available In the present paper, the energy performance of buildings forming a school centre in the northwest of Spain was analyzed using a transient simulation of the energy model of the school, which was developed with TRNSYS, a software of proven reliability in the field of thermal simulations. A deterministic calibration approach was applied to the initial building model to adjust the predictions to the actual performance of the school, data acquired during the temperature measurement campaign. The buildings under study were in deteriorated conditions due to poor maintenance over the years, presenting a big challenge for modelling and simulating it in a reliable way. The results showed that the proposed methodology is successful for obtaining calibrated thermal models of these types of damaged buildings, as the metrics employed to verify the final error showed a reduced normalized mean bias error (NMBE of 2.73%. It was verified that a decrease of approximately 60% in NMBE and 17% in the coefficient of variation of the root mean square error (CV(RMSE was achieved due to the calibration process. Subsequent steps were performed with the aid of new software, which was developed under a European project that enabled the automated calibration of the simulations.

  6. Listeria monocytogenes and ready-to-eat seafood in Spain: study of prevalence and temperatures at retail.

    Science.gov (United States)

    González, David; Vitas, Ana Isabel; Díez-Leturia, María; García-Jalón, Isabel

    2013-12-01

    The aim of this study was to obtain data from refrigerated ready-to-eat seafood products at retail in Spain (young eels, crabstick and smoked salmon), regarding prevalence and levels of Listeria monocytogenes, storage temperatures and the impact of transport conditions (type of bag) on the temperature of the product. The one-year surveillance period was carried out according to the EC Regulation No. 2073/2005, taking 5 units/batch and analyzing 250 samples following ISO 11290-1/A1 and ISO 11290-2/A methodologies. Low prevalence of L. monocytogenes was observed in surimi products, while 4.8% of smoked salmon samples were positive for Listeria with low levels (<10 cfu/g) and uneven pathogen distribution. A single company was responsible for 80% of the positive lots. All purchased products showed values higher than 4 °C at retail and an average increase of 2.5 °C or up to 6.2 °C was recorded when isothermal or plastic shopping bags were used for transport, respectively. To avoid noncompliance of the Food Safety Objective for L. monocytogenes in seafood RTE products more efforts from all stakeholders are needed, with special attention so as to improve control and maintenance of refrigerators at retail and to enhance consumer education regarding food safety practices. Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. Trace element accumulation in woody plants of the Guadiamar Valley, SW Spain: A large-scale phytomanagement case study

    International Nuclear Information System (INIS)

    Dominguez, Maria T.; Maranon, Teodoro; Murillo, Jose M.; Schulin, Rainer; Robinson, Brett H.

    2008-01-01

    Phytomanagement employs vegetation and soil amendments to reduce the environmental risk posed by contaminated sites. We investigated the distribution of trace elements in soils and woody plants from a large phytomanaged site, the Guadiamar Valley (SW Spain), 7 years after a mine spill, which contaminated the area in 1998. At spill-affected sites, topsoils (0-25 cm) had elevated concentrations of As (129 mg kg -1 ), Bi (1.64 mg kg -1 ), Cd (1.44 mg kg -1 ), Cu (115 mg kg -1 ), Pb (210 mg kg -1 ), Sb (13.8 mg kg -1 ), Tl (1.17 mg kg -1 ) and Zn (457 mg kg -1 ). Trace element concentrations in the studied species were, on average, within the normal ranges for higher plants. An exception was white poplar (Populus alba), which accumulated Cd and Zn in leaves up to 3 and 410 mg kg -1 respectively. We discuss the results with regard to the phytomanagement of trace element contaminated sites. - There is a low trace element transfer from contaminated soils to the aboveground parts of afforested woody plants under a semi-arid climate

  8. The "El Alamo" project (1990-1997): two consecutive hospital-based studies of breast cancer outcomes in Spain.

    Science.gov (United States)

    Martín, M; Mahillo, E; Llombart-Cussac, A; Lluch, A; Munarriz, B; Pastor, M; Alba, E; Ruiz, A; Antón, A; Bermejo, B

    2006-07-01

    The "Alamo" project is a retrospective analysis of 14,854 patients diagnosed of breast cancer between 1990 and 1997 in 50 Spanish hospitals. Alamo I (AI) consisted of 4,532 patients diagnosed with breast cancer between 1990 and 1993. Data were collected in 2000. Alamo II (AII) consisted of 10,322 patients diagnosed between 1994 and 1997. Data were collected in 2003. At presentation, there were (AI vs. AII) 17.6% vs. 24.3% at stage I; 55.5% vs. 53.1% at stage II; 18.7% vs. 15% at stage III; 7.2% vs. 5.9 at stage IV. Median age was 57 (AI) vs. 58 years (AII) and 65.9% vs. 67.2% (AI vs. AII) were post-menopausal. Firstline treatment for disease stages I, II and III was surgery in 91% of patients in both studies. Breast conserving surgery rate increased from 20.2% (AI) to 32.7% (AII). Adjuvant systemic treatments were administered to 87.6% (AI) and 92.8% (AII) of patients. Recurrence rate diminished from 36.6% (AI) to 22.5% (AII) and the 9-year survival rate increased from 63.2% (95% CI: 61.5-64.9) to 70.1% (95% CI: 68.5-71.8). Breast cancer outcomes in Spain have improved from 1990-1993 to 1994-1997, likely because of breast cancer screening program implementation and new therapies.

  9. Object-Based Greenhouse Horticultural Crop Identification from Multi-Temporal Satellite Imagery: A Case Study in Almeria, Spain

    Directory of Open Access Journals (Sweden)

    Manuel A. Aguilar

    2015-06-01

    Full Text Available Greenhouse detection and mapping via remote sensing is a complex task, which has already been addressed in numerous studies. In this research, the innovative goal relies on the identification of greenhouse horticultural crops that were growing under plastic coverings on 30 September 2013. To this end, object-based image analysis (OBIA and a decision tree classifier (DT were applied to a set consisting of eight Landsat 8 OLI images collected from May to November 2013. Moreover, a single WorldView-2 satellite image acquired on 30 September 2013, was also used as a data source. In this approach, basic spectral information, textural features and several vegetation indices (VIs derived from Landsat 8 and WorldView-2 multi-temporal satellite data were computed on previously segmented image objects in order to identify four of the most popular autumn crops cultivated under greenhouse in Almería, Spain (i.e., tomato, pepper, cucumber and aubergine. The best classification accuracy (81.3% overall accuracy was achieved by using the full set of Landsat 8 time series. These results were considered good in the case of tomato and pepper crops, being significantly worse for cucumber and aubergine. These results were hardly improved by adding the information of the WorldView-2 image. The most important information for correct classification of different crops under greenhouses was related to the greenhouse management practices and not the spectral properties of the crops themselves.

  10. Climate change and drought effects on rural income distribution in the Mediterranean: a case study for Spain

    Science.gov (United States)

    Quiroga, Sonia; Suárez, Cristina

    2016-06-01

    This paper examines the effects of climate change and drought on agricultural incomes in Spanish rural areas. Present research has focused on the effects of these extreme climatological events through response functions, considering effects on crop productivity and average incomes. Among the impacts of droughts, we focused on potential effects on income distribution. The study of the effects on abnormally dry periods is therefore needed in order to perform an analysis of diverse social aspects in the long term. We estimate crop production functions for a range of Mediterranean crops in Spain and we use a measure of the decomposition of inequality to estimate the impact of climate change and drought on yield disparities. Certain adaptation measures may require a better understanding of risks by the public to achieve general acceptance. We provide empirical estimations for the marginal effects of the two impacts considered: farms' average income and income distribution. Our estimates consider crop production response to both biophysical and socio-economic aspects to analyse long-term implications on competitiveness and disparities. As for the results, we find disparities in the adaptation priorities depending on the crop and the region analysed.

  11. The Evolving Nature of Infective Endocarditis in Spain: A Population-Based Study (2003 to 2014).

    Science.gov (United States)

    Olmos, Carmen; Vilacosta, Isidre; Fernández-Pérez, Cristina; Bernal, José L; Ferrera, Carlos; García-Arribas, Daniel; Pérez-García, Carlos N; San Román, J Alberto; Maroto, Luis; Macaya, Carlos; Elola, Francisco J

    2017-12-05

    Little information exists regarding population-based epidemiological changes in infective endocarditis (IE) in Europe. This study sought to analyze temporal trends in IE in Spain from 2003 to 2014. This retrospective, population-based, temporal trend study analyzed the incidence, epidemiological and clinical characteristics, and outcome of all patients discharged from hospitals included in the Spanish National Health System with a diagnosis of IE, from January 2003 to December 2014. Overall, 16,867 episodes of IE were identified during the study period, 66.3% in men. The rate of IE significantly increased, from 2.72 in 2003 to 3.49 per 100,000 person-years in 2014, and this rise was higher among older adults. The most frequent microorganisms were staphylococci (28.7%), followed by streptococci (20.4%) and enterococci (13.1%). Twenty-three percent of patients underwent cardiac surgery. The in-hospital mortality rate was 20.4%. Throughout the study period, the proportion of patients with previously known heart valve disease and diabetes mellitus significantly increased, whereas the prevalence of intravenous drug use decreased. Regarding microorganisms, Staphylococcus aureus and streptococci slightly declined, whereas coagulase-negative staphylococci and enterococci consistently increased over the years. In-hospital complications and cardiac surgery rates significantly increased across the years. The risk-adjusted in-hospital mortality rate diminished (0.2% per year) during the study period. The incidence of IE episodes significantly increased over the decade of the study period, particularly among older adults. Relevant changes in clinical and microbiological profile included older patients with more comorbidity and a rise in enterococci and coagulase-negative staphylococcal infections. Adjusted mortality rates slightly declined over the study period. Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights

  12. 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.

  13. Ergonomics and musculoskeletal pain among postgraduate students and faculty members of the School of Dentistry of the University of Barcelona (Spain). A cross-sectional study

    OpenAIRE

    Harutunian, Karmen; Gargallo Albiol, Jordi; Barbosa de Figueiredo, Rui Pedro; Gay Escoda, Cosme

    2011-01-01

    Objectives: To evaluate the intensity and location of musculoskeletal pain suffered by students and professors from different postgraduate programs of the School of Dentistry of the University of Barcelona (Spain), to identify the variables related to the occurrence of musculoskeletal symptoms and signs, and to establish possible preventive measures for such disorders. Materials and Methods: A cross-sectional study was made among students and faculty members from different postgraduate course...

  14. 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.

  15. Chronic obstructive pulmonary disease history assessment in Spain: a multidimensional chronic obstructive pulmonary disease evaluation. Study methods and organization.

    Science.gov (United States)

    López-Campos, José Luis; Peces-Barba, Germán; Soler-Cataluña, Juan José; Soriano, Joan B; de Lucas Ramos, Pilar; de-Torres, Juan P; Marín, José M; Casanova, Ciro

    2012-12-01

    This present paper describes the method and the organization of the study known as the COPD History Assessment In SpaiN (CHAIN), whose main objective is to evaluate the long-term natural history of a chronic obstructive pulmonary disease (COPD) patient cohort from a multidimensional standpoint and to identify clinical phenotypes, in comparison with another non-COPD control cohort. CHAIN is a multicenter, observational study of prospective cohorts carried out at 36 Spanish hospitals. Both cohorts will be followed-up during a 5-year study period with complete office visits every 12 months and telephone interviews every 6 months in order to evaluate exacerbations and the vital state of the subjects. The recruitment period for cases was between 15 January 2010 and 31 March 2012. At each annual visit, information will be collected on: (i) clinical aspects (socio-economic situation, anthropometric data, comorbidities, smoking, respiratory symptoms, exacerbations, quality of life, anxiety-depression scale, daily life activities, treatments); (ii) respiratory function (spirometry, blood gases, hyperinflation, diffusion, respiratory pressures); (iii) BODE index (main study variable); (iv) peripheral muscle function, and (v) blood work-up (including IgE and cardiovascular risk factors). In addition, a serum bank will be created for the future determination of biomarkers. The data of the patients are anonymized in a database with a hierarchical access control in order to guarantee secure information access. The CHAIN study will provide information about the progression of COPD and it will establish a network of researchers for future projects related with COPD. Copyright © 2012 SEPAR. Published by Elsevier Espana. All rights reserved.

  16. The Persistence of Gender Stereotypes in Teaching History. A Study Through Textbooks and Perceptions of Students in Compulsory Secondary Education in Spain

    Directory of Open Access Journals (Sweden)

    Cosme Jesús Gómez-Carrasco

    2016-08-01

    Full Text Available The aim of this paper is to study the persistence of gender stereotypes in History Education. This study is conducted through an iconographic analysis of textbooks and the perception of students in Secondary Education in Spain. The educational reforms carried out in Spain over the last twenty five years have improved some aspects of gender equality, especially the introduction of some cross-cutting themes related to this subject. However, investigations related to sexism in school materials have revealed the persistence of some gender clichés. To do this research, we have analysed 128 pictures on three History textbooks for fourth grade students of Compulsory Secondary Education in Spain. In the analysis, various categories were combined and they allowed a multifactorial study. Furthermore, these data have been contrasted with the answers given to a questionnaire on gender stereotypes by 152 students of two grades. The results show that, despite the improvement of textbooks, an imbalance still survives in the representation of male and female genders and in the images associated with them. In the answers to the questionnaire, disparate findings are also perceived. Although some sexist prejudices seem to be overcome, especially those related to the role of men and women at home, images and negative stereotypes about gender relations and women’s role still persist.

  17. Life Cycle Assessment in Building: A Case Study on the Energy and Emissions Impact Related to the Choice of Housing Typologies and Construction Process in Spain

    Directory of Open Access Journals (Sweden)

    Antonio Ángel Rodríguez Serrano

    2016-03-01

    Full Text Available While there exists an international trend to develop zero or near zero emissions building solutions by 2020, and European governments continuously update their building regulations to optimize the building envelope and energy systems to achieve this during the building use stage, at least in Spain the building regulations do not take into account the impact of emissions resulting from urbanization and construction activities prior to building use. This research studies in detail the entire emissions balance (and how it may be related to energy efficiency in a newly built residential cluster project in Mancha Real (Jaén, Spain, and influences due to the choice of different urban typologies. For comparison, terraced housing and low-density, four-floor, multi-family housing alternatives have been studied. The present work assessed the life cycle of the building with the help of commercial software (CYPE, and the energy efficiency and emissions according to the legal regulations in Spain with the official software LIDER and CALENER VYP. After a careful choice of building and systems alternatives and their comparison, the study concludes that the major emissions impact and energy costs of urbanization and building activity occurs during construction, while later savings due to reductions in building use emissions are very modest in comparison. Therefore, deeper analysis is suggested to improve the efficiency of the construction process for a significantly reduced emission footprint on the urban environment.

  18. A procedure to derive intra-and inter-annual changes on vegetation from NDVI time series. A case study in Spain

    International Nuclear Information System (INIS)

    Gilabert, M. A; Martinez, B.; Melia, J.

    2009-01-01

    The objective of this work is to study the spatial patterns of vegetation activity over spain and its temporal variability throughout the period 1989-2002. A multi-resolution analysis (MRA) bases on the wavelet transform has been implemented on NDVI time series from the MEDOKADS database. The MRA decomposes the original signal as a sum of series associated with temporal scales. Specifically, the intra-annual series is processed to define several key features in relation with the vegetation penology. In contras, the inter-annual components of the signal is used to detect trends by means of a Mann-Kendall test and map the magnitude of the land-cover change. Finally, a comprehensive identification of the areas presenting a negative value of the magnitude of change is carried out to select those linked to land degradation processes. Results show a major presence of these areas the Southeast of Spain. (Author) 5 refs.

  19. A procedure to derive intra-and inter-annual changes on vegetation from NDVI time series. A case study in Spain

    Energy Technology Data Exchange (ETDEWEB)

    Gilabert, M. A; Martinez, B.; Melia, J.

    2009-07-01

    The objective of this work is to study the spatial patterns of vegetation activity over spain and its temporal variability throughout the period 1989-2002. A multi-resolution analysis (MRA) bases on the wavelet transform has been implemented on NDVI time series from the MEDOKADS database. The MRA decomposes the original signal as a sum of series associated with temporal scales. Specifically, the intra-annual series is processed to define several key features in relation with the vegetation penology. In contras, the inter-annual components of the signal is used to detect trends by means of a Mann-Kendall test and map the magnitude of the land-cover change. Finally, a comprehensive identification of the areas presenting a negative value of the magnitude of change is carried out to select those linked to land degradation processes. Results show a major presence of these areas the Southeast of Spain. (Author) 5 refs.

  20. Night shift work, chronotype and prostate cancer risk in the MCC-Spain case-control study.

    Science.gov (United States)

    Papantoniou, Kyriaki; Castaño-Vinyals, Gemma; Espinosa, Ana; Aragonés, Nuria; Pérez-Gómez, Beatriz; Burgos, Javier; Gómez-Acebo, Inés; Llorca, Javier; Peiró, Rosana; Jimenez-Moleón, Jose Juan; Arredondo, Francisco; Tardón, Adonina; Pollan, Marina; Kogevinas, Manolis

    2015-09-01

    Night shift work has been classified as a probable human carcinogen based on experimental studies and limited human evidence on breast cancer. Evidence on other common cancers, such as prostate cancer, is scarce. Chronotype is an individual characteristic that may relate to night work adaptation. We evaluated night shift work with relation to prostate cancer, taking into account chronotype and disease severity in a population based case-control study in Spain. We included 1,095 prostate cancer cases and 1,388 randomly selected population controls. We collected detailed information on shift schedules (permanent vs. rotating, time schedules, duration, frequency), using lifetime occupational history. Sociodemographic and lifestyle factors were assessed by face-to-face interviews and chronotype through a validated questionnaire. We used unconditional logistic regression analysis adjusting for potential confounders. Subjects who had worked at least for one year in night shift work had a slightly higher prostate cancer risk [Odds Ratio (OR) 1.14; 95%CI 0.94, 1.37] compared with never night workers; this risk increased with longer duration of exposure (≥ 28 years: OR 1.37; 95%CI 1.05, 1.81; p-trend = 0.047). Risks were more pronounced for high risk tumors [D'Amico classification, Relative Risk Ratio (RRR) 1.40; 95%CI 1.05, 1.86], particularly among subjects with longer duration of exposure (≥28 years: RRR 1.63; 95%CI 1.08, 2.45; p-trend = 0.027). Overall risk was higher among subjects with an evening chronotype, but also increased in morning chronotypes after long-term night work. In this large population based study, we found an association between night shift work and prostate cancer particularly for tumors with worse prognosis. © 2014 UICC.

  1. Potential Impact of Climate Change on Suspended Sediment Yield in NW Spain: A Case Study on the Corbeira Catchment

    Directory of Open Access Journals (Sweden)

    M. Luz Rodríguez-Blanco

    2016-10-01

    Full Text Available Soil losses and the subsequent sediment delivery constitute significant environmental threats. Climate change is likely to have an impact on the availability of water and therefore on sediment yield in catchments. In this context, quantifying the sediment response to an increased atmospheric CO2 concentration and climate change is of utmost importance to the proper management of rural catchments. However, quantitative assessment of climate change impact remains a complex task. In this study, the potential medium (2031–2060 and long-term (2069–2098 impacts of projected changes of temperature, rainfall and CO2 concentration on sediment yield in a small rural catchment located in NW Spain were evaluated using the Soil and Water Assessment Tool (SWAT model. Climate change scenarios were created using future climate data projected by regional climate models from the ENSEMBLES project and two CO2 concentration scenarios (550 and 660 ppm. The results showed that climate change would have a noticeable impact on suspended sediment if the forecast temperature, rainfall and CO2 concentration changes included in this study were met. Overall, suspended sediment is expected to decrease (2031–2060: −11%, 2069–2098: −8% compared to the baseline period (1981–2010, mainly due to decreased streamflow. However, an increase in sediment transport in winter is predicted, possibly associated with increased erosion in cultivated areas (11%–17%, suggesting that, at this time of the year, the effect of soil detachment prevails over sediment transport capacity. Consequently, management practices aimed at reducing soil erosion in cultivated areas should be carried out, because these are the main source of sediment in the study area.

  2. 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

  3. A long-term retrospective study on rehabilitation of seabirds in Gran Canaria Island, Spain (2003-2013.

    Directory of Open Access Journals (Sweden)

    Natalia Montesdeoca

    Full Text Available The aims of this study were to analyze the causes of morbidity and mortality in a large population of seabirds admitted to the Tafira Wildlife Rehabilitation Center (TWRC in Gran Canaria Island, Spain, from 2003 to 2013, and to analyze the outcomes of the rehabilitation process.We included 1,956 seabirds (133 dead on admission and 1,823 admitted alive in this study. Causes of morbidity were classified into nine categories: light pollution (fallout, fishing gear interaction, crude oil, poisoning/intoxication, other traumas, metabolic/nutritional disorder, orphaned young birds, other causes, and unknown/undetermined. The crude and stratified (by causes of admission rates of the three final disposition categories (euthanasia Er, unassisted mortality Mr, and release Rr, the time until death, and the length of stay were also studied for the seabirds admitted alive.Yellow-legged Gull (Larus michahellis was the species most frequently admitted (46.52%, followed by Cory's Shearwater (Calonectris diomedea borealis (20.09%. The most frequent causes of morbidity were light pollution (fallout (25.81%, poisoning/intoxication (24.69%, and other traumas (18.14%. The final disposition rates were: Er = 15.35%, Mr = 16.29%, and Rr = 68.34%. The highest Er was observed in the 'other traumas' category (58.08%. Seabirds admitted due to metabolic/nutritional disorder had the highest Mr (50%. The highest Rr was observed in the light pollution (fallout category (99.20%.This survey provides useful information for the conservation of several seabird species. We suggest that at least the stratified analysis by causes of admission of the three final disposition rates, and the parameters time until death and length of stay at the center should be included in the outcome research of the rehabilitation of seabirds. The high release rate for seabirds (68.34% achieved at the TWRC emphasizes the importance of wildlife rehabilitation centers for the conservation of seabirds.

  4. The Effectiveness of Teaching Critical Thinking Skills through Literature in EFL Context: A Case Study in Spain

    Directory of Open Access Journals (Sweden)

    Svetlana Stefanova

    2017-09-01

    Full Text Available The present study investigates the effectiveness of teaching critical thinking skills through literary texts in the EFL classroom, based on the combination of reader-centered critical reading and critical literacy pedagogy. Our proposal seeks to address both language teaching and literacy education from a transnational perspective by dealing with critical thinking skills as a set of processes whose main aspects include the interpretation of the world, self-reflection, intercultural awareness, critical awareness, problem-solving, and language use. For the purpose of this study, a series of activities based on Caryl Phillips’s novel The Lost Child (2015 have been designed, following the four curricular components of Multiliteracies pedagogy (Kalantzis & Cope, 2000. Conducted in an EFL classroom in Spain, the study aims to validate the model of teaching critical skills built on working with current social issues, such as immigration, discrimination, and bullying. To evaluate the effectiveness of the model, teacher assessment and self-assessment questionnaires have been completed by the teacher and the students, respectively. A close analysis of the results reveals that both students and their teacher perceive the model as highly effective, in particular, in terms of self-reflection. Additionally, intrinsically motivating activities and frequent opportunities to discuss literary texts and relate them to current issues have proved to be highly beneficial for the students, providing them with a broader perspective that helps them interpret real-world problems properly. The assessment grid has proved effective, although for a wider application of the grid, the descriptors might have to be adapted to the students’ age.

  5. Ingested Nitrate and Breast Cancer in the Spanish Multicase-Control Study on Cancer (MCC-Spain)

    Science.gov (United States)

    Espejo-Herrera, Nadia; Gracia-Lavedan, Esther; Pollan, Marina; Aragonés, Nuria; Boldo, Elena; Perez-Gomez, Beatriz; Altzibar, Jone M.; Amiano, Pilar; Zabala, Ana Jiménez; Ardanaz, Eva; Guevara, Marcela; Molina, Antonio J.; Barrio, Juan Pablo; Gómez-Acebo, Ines; Tardón, Adonina; Peiró, Rosana; Chirlaque, Maria Dolores; Palau, Margarita; Muñoz, Montse; Font-Ribera, Laia; Castaño-Vinyals, Gemma; Kogevinas, Manolis; Villanueva, Cristina M.

    2016-01-01

    Background: Ingested nitrate leads to endogenous formation of N-nitroso compounds that are breast carcinogens in animals, but human evidence is limited. Objective: We evaluated ingested nitrate as a risk factor for breast cancer (BC) in a multicase–control study. Methods: Hospital-based incident BC cases and population-based controls were recruited in eight Spanish regions in 2008–2013; participants provided residential and water consumption from 18 years of age and information on known BC risk factors. Long-term nitrate levels (1940–2010) were estimated and linked with residential histories and water consumption to calculate waterborne ingested nitrate (milligrams/day). Dietary ingested nitrate (milligrams/day) was calculated using food frequency questionnaires and published dietary nitrate contents. Interactions with endogenous nitrosation factors and other variables were evaluated. A total of 1,245 cases and 1,520 controls were included in the statistical analysis. Results: Among the study regions, average ± SD waterborne ingested nitrate ranged from 2.9 ± 1.9 to 13.5 ± 7.5 mg/day, and dietary ingested nitrate ranged from 88.5 ± 48.7 to 154 ± 87.8 mg/day. Waterborne ingested nitrate was not associated with BC overall, but among postmenopausal women, those with both high nitrate (> 6 vs. Zabala AJ, Ardanaz E, Guevara M, Molina AJ, Barrio JP, Gómez-Acebo I, Tardón A, Peiró R, Chirlaque MD, Palau M, Muñoz M, Font-Ribera L, Castaño-Vinyals G, Kogevinas M, Villanueva CM. 2016. Ingested nitrate and breast cancer in the Spanish Multicase-Control Study on Cancer (MCC-Spain). Environ Health Perspect 124:1042–1049; http://dx.doi.org/10.1289/ehp.1510334 PMID:26942716

  6. Prevalence of plasma lipid abnormalities and its association with glucose metabolism in Spain: the di@bet.es study.

    Science.gov (United States)

    Martinez-Hervas, Sergio; Carmena, Rafael; Ascaso, Juan F; Real, Jose T; Masana, Luis; Catalá, Miguel; Vendrell, Joan; Vázquez, José Antonio; Valdés, Sergio; Urrutia, Inés; Soriguer, Federico; Serrano-Rios, Manuel; Rojo-Martínez, Gemma; Pascual-Manich, Gemma; Ortega, Emilio; Mora-Peces, Inmaculada; Menéndez, Edelmiro; Martínez-Larrad, Maria T; López-Alba, Alfonso; Gomis, Ramón; Goday, Albert; Girbés, Juan; Gaztambide, Sonia; Franch, Josep; Delgado, Elías; Castell, Conxa; Castaño, Luis; Casamitjana, Roser; Calle-Pascual, Alfonso; Bordiú, Elena

    2014-01-01

    Dyslipidemia is a significant contributor to the elevated CVD risk observed in type 2 diabetes mellitus. We assessed the prevalence of dyslipidemia and its association with glucose metabolism status in a representative sample of the adult population in Spain and the percentage of subjects at guideline-recommended LDL-C goals. The di@bet.es study is a national, cross-sectional population-based survey of 5728 adults. A total of 4776 subjects were studied. Dyslipidemia was diagnosed in 56.8% of subjects; only 13.2% of subjects were treated with lipid lowering drugs. Lipid abnormalities were found in 56.8% of Spanish adults: 23.3% with high LDL-C, 21.5% high TG, 35.8% high non-HDL-C, and 17.2% low HDL-C. Most normal subjects showed an LDL-C ≤ 3.36 mmol/l. Pre-diabetics presented similar proportion when considering a goal of 3.36 mmol/l, but only 35% of them reached an LDL-C goal ≤ 2.6 mmol/l. Finally, 45.3% of diabetics had an LDL-C ≤ 2.6 mmol/l, and only 11.3% achieved an LDL-C ≤ 1.8 mmol/l. Our study demonstrates a high prevalence of dyslipidemia in the adult Spanish population, and a low use of lipid-lowering drugs. Moreover, the number of subjects achieving their corresponding LDL-C goal is small, particularly in subjects at high cardiovascular risk, such as diabetics. Copyright © 2013 Sociedad Española de Arteriosclerosis. Published by Elsevier España. All rights reserved.

  7. Collaborative Action Research between Schools, a Continuing Professional Development Centre for Teachers and the University: A Case Study in Spain

    Science.gov (United States)

    González Alfaya, Maria Elena; Olivares García, Maria Ángeles; Mérida Serrano, Rosario

    2017-01-01

    This article describes a collaborative action research project developed over the course of the 2011/12 academic year in the Faculty of Education at Cordoba University (Spain). The RIECU school-continuing professional development centre for teachers-university learning network is part of this research process. The aim is to create and consolidate…

  8. Quantifying the effects of land conditions on rice growth : a case study in the Ebro Delta (Spain) using remote sensing

    NARCIS (Netherlands)

    Casanova, D.

    1998-01-01

    This thesis represents detailed research on the "rice-soils-weather" system of the Ebro Delta (Spain) providing knowledge on how temperature, radiation, soil properties and farm management determine rice growth. After an introductory chapter, the findings are developed step-by-step. (i)

  9. A Comparative Study of the Professional and Curricular Conceptions of the Secondary Education Science Teacher in Spain

    Science.gov (United States)

    del Pozo, Martin R.; Martinez-Aznar, M.; Rodrigo, M.; Varela, P.

    2004-01-01

    This article presents a comparison between the professional and curricular conceptions of two samples of secondary education science teachers in Spain, who differed in their years of teaching experience and in whether or not they had participated in a long-duration scientific-pedagogical refresher course. Using the data from their responses to a…

  10. Do heavy metals existing in abandoned mining sites represent a real health risk? A study case in the SE Spain.

    Science.gov (United States)

    Martinez-Sanchez, Maria Jose; Perez-Sirvent, Carmen; García-Lorenzo, Mari Luz; Martínez-López, Salvadora; Perez-Espinosa, Victor; Hernández-Cordoba, Manuel; Bech, Jaime

    2013-04-01

    Mining activities have been carried out for centuries in Sierra Minera (SE Spain) giving rise to a large number of sites distributed throughout the zone in which residues are accumulated. This communication reports studies as regards metal mobilization and analysis of the health risk that could be posed by inhalation, dermic contact or occasional ingestion of this type of sediments. Lead was used as the metal for the studies due to its particular abundance in the zone. A large number of samples were taken and general analytical determinations (pH, particle size, organic matter, equivalent calcium carbonate content and mineralogical composition) were carried out in order its characterization. An in vitro method for obtaining formation on Pb bioaccessibility in these mine waste materials was also carried out. Our results prove that mineral associations, different alteration states and sorption/desorption processes play an important role in the bioavailability of lead. In addition, it is noteworthy that the metal fraction dissolved by the proposed in vitro methodology is lower than 100%, both in the stomach and intestinal phases. Finally an assessment of the risk posed by lead is achieved. To this respect it should be noted that the IRIS database provide cancer slope factor and reference dose, as a way to assess the risk caused by arsenic, cadmium and copper but no for lead, probably due to the wide variety of real situations, and the discrepancy of the sources. The way here suggested is a novelty in this sense, and the results could be extrapolated to other similar zones and be incorporated to the general protocol of risk assessment applied to contaminated sites.

  11. 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.

  12. The influence of anthropic actions on the evolution of an urban beach: Case study of Marineta Cassiana beach, Spain.

    Science.gov (United States)

    Pagán, J I; Aragonés, L; Tenza-Abril, A J; Pallarés, P

    2016-07-15

    Coastal areas have been historically characterized as being a source of wealth. Nowadays, beaches have become more relevant as a place for rest and leisure. This had led to a very high population pressure due to rapid urbanisation processes. The impacts associated with coastal tourism, demand the development of anthropic actions to protect the shoreline. This paper has studied the impacts of these actions on the Marineta Cassiana beach, in Denia, Spain. This particular Mediterranean beach has traditionally suffered a major shoreline regression, and the beach nourishments carried out in the 1980s would not have achieved the reliability desired. This research has analysed the historic evolution of the beach and its environment for a period of 65years (1950-2015). A Geographic Information System (GIS) has been used to integrate and perform a spatial analysis of urban development, soil erosion, stream flow, swell, longshore transport, submerged vegetation species and shoreline evolution. The results show how the anthropic actions have affected the shoreline. After the excessive urban development of the catchments, there is no natural sediment supply to the beach. The change in the typology of the sediment, from pebbles to sand, during the beach nourishments has led to a crucial imbalance in the studied area. Moreover, the beach area gained has disappeared, affecting the Posidonia oceanica meadow, and incrementing the erosion rates. The findings obtained are relevant, not only in the management and maintenance of the beaches, but also, in the decision-making for future nourishments. Copyright © 2016 Elsevier B.V. All rights reserved.

  13. Traditional knowledge of wild edible plants used in the northwest of the Iberian Peninsula (Spain and Portugal: a comparative study

    Directory of Open Access Journals (Sweden)

    Lastra Juan

    2007-06-01

    Full Text Available Abstract Background We compare traditional knowledge and use of wild edible plants in six rural regions of the northwest of the Iberian Peninsula as follows: Campoo, Picos de Europa, Piloña, Sanabria and Caurel in Spain and Parque Natural de Montesinho in Portugal. Methods Data on the use of 97 species were collected through informed consent semi-structured interviews with local informants. A semi-quantitative approach was used to document the relative importance of each species and to indicate differences in selection criteria for consuming wild food species in the regions studied. Results and discussion The most significant species include many wild berries and nuts (e.g. Castanea sativa, Rubus ulmifolius, Fragaria vesca and the most popular species in each food-category (e.g. fruits or herbs used to prepare liqueurs such as Prunus spinosa, vegetables such as Rumex acetosa, condiments such as Origanum vulgare, or plants used to prepare herbal teas such as Chamaemelum nobile. The most important species in the study area as a whole are consumed at five or all six of the survey sites. Conclusion Social, economic and cultural factors, such as poor communications, fads and direct contact with nature in everyday life should be taken into account in determining why some wild foods and traditional vegetables have been consumed, but others not. They may be even more important than biological factors such as richness and abundance of wild edible flora. Although most are no longer consumed, demand is growing for those regarded as local specialties that reflect regional identity.

  14. First contribution of mites (Acari) to the forensic analysis of hanged corpses: a case study from Spain.

    Science.gov (United States)

    Saloña-Bordas, Marta I; Perotti, M Alejandra

    2014-11-01

    This case study from North Spain, highlights the importance of the collection of mites in addition to insects, from crime scenes or corpses subjected to environmental constraints that reduce or minimise insect activity, such as hanged corpses. In addition, this analysis highlights the relevance of arthropods' collection in the field, even after the corpse has been moved away for autopsy. Four species of mites, phoretic on carrion (Silphidae) and rove (Staphylinidae) beetles, complemented and reinforced the autopsy analysis as well as the scarce information provided by insect activity. Poecilochirus carabi Canestrini & Canestrini, 1882 and Poecilochirus (Physoparasitus) davydovae Hyatt, 1980 (Mesostigmata: Parasitidae) were found in association with two Silphidae, Nicrophorus Fabricius, 1775 and Necrodes Leach, 1815, only when sampled in the autopsy room; this is suggestive of host-switching of mites and was likely due to the lack of availability of specific carriers in the field. The interpretation of the activity of Parasitidae mites both in the field and the autopsy room allows a better understanding of the timing and circumstances of decomposition. Phoretic deutonymphs of Pelzneria Scheucher 1957 (Astigmata: Histiostomatidae) were highly abundant, mostly P. crenulata Oudemans, 1909 and are reported for the first time on a Staphylinidae rove beetle, Creophilus maxillosus (L., 1758). Surprisingly, in this case study no Pelzneria were associated with the Silphidae found, which are their most common hosts, such as Necrodes littoralis (L., 1758) and Nicrophorus interruptus (Stephens, 1830). All histiostomatids were removed from the staphylinid (rove beetle) collected from the soil, at the scene of death, suggesting a recent arrival of the beetle. The occurrence of Staphylinidae beetles and their associated mites, such as Parasitidae and Pelzneria, and the information they provided would have been easily overlooked or lost if only the autopsy sampling would have been

  15. How a deliberative approach includes women in the decisions of screening mammography: a citizens' jury feasibility study in Andalusia, Spain

    Science.gov (United States)

    Baena-Cañada, José M; Luque-Ribelles, Violeta; Quílez-Cutillas, Alicia; Rosado-Varela, Petra; Benítez-Rodríguez, Encarnación; Márquez-Calderón, Soledad; Rivera-Bautista, Juan Manuel

    2018-01-01

    Objectives To verify whether a citizens' jury study is feasible to the Andalusian population and to know if women, when better informed, are able to answer the research question of whether the Andalusian Public Health System must continue offering screening mammography to women aged 50–69. The reasons for the pertinent decision and recommendations to the political authorities will be stated. Design Qualitative research study with the methodology of citizens' jury. Setting Breast cancer screening programme in Andalusia (Spain). Participants Thirteen women aged 50–69 with secondary school or higher education accepted to participate as a jury. Two epidemiologists were the expert witnesses. The main researcher was the neutral moderator. Interventions Jury met on Monday, 15 February 2016. The moderator indicated to the jury that it had to assess the screening programme’s key benefits and main harm. On Tuesday, 16 February, the expert witnesses positioned for and against the programme. On Thursday, 18 February, the jury deliberated, reached final conclusions, submitted its vote and stated its recommendations to politicians. The deliberation session was transcribed and analysed with the support of ATLAS.ti.5.2 software. Primary and secondary outcome measures Feasibility in the Andalusian population, women’s vote and opinion, reasons for votes and recommendations to political authorities. Results Eleven participants voted yes and two voted no. There are three reasons to vote ‘yes’: health, the test nature, and individual freedom. Some women invoke the lack of efficacy and the cost to justify their negative vote, at least in universal terms. On completion, they made suggestions to be submitted to the pertinent authorities for the improvement of information, psychology services and research. Conclusions The deliberative strategy is feasible and causes a favourable positioning regarding screening mammography, although information changes the opinion of some women

  16. Lung cancer risk and pollution in an industrial region of Northern Spain: a hospital-based case-control study.

    Science.gov (United States)

    López-Cima, María Felicitas; García-Pérez, Javier; Pérez-Gómez, Beatriz; Aragonés, Nuria; López-Abente, Gonzalo; Tardón, Adonina; Pollán, Marina

    2011-01-25

    Asturias, an Autonomous Region in Northern Spain with a large industrial area, registers high lung cancer incidence and mortality. While this excess risk of lung cancer might be partially attributable to smoking habit and occupational exposure, the role of industrial and urban pollution also needs to be assessed. The objective was to ascertain the possible effect of air pollution, both urban and industrial, on lung cancer risk in Asturias. This was a hospital-based case-control study covering 626 lung cancer patients and 626 controls recruited in Asturias and matched by ethnicity, hospital, age, and sex. Distances from the respective participants' residential locations to industrial facilities and city centers were computed. Using logistic regression, odds ratios (ORs) and 95% confidence intervals (95%CIs) for categories of distance to urban and industrial pollution sources were calculated, with adjustment for sex, age, hospital area, tobacco consumption, family history of cancer, and occupation. Whereas individuals living near industries displayed an excess risk of lung cancer (OR = 1.49; 95%CI = 0.93-2.39), which attained statistical significance for small cell carcinomas (OR = 2.23; 95%CI = 1.01-4.92), residents in urban areas showed a statistically significant increased risk for adenocarcinoma (OR = 1.92; 95%CI = 1.09-3.38). In the Gijon health area, residents in the urban area registered a statistically significant increased risk of lung cancer (OR = 2.17; 95%CI = 1.25-3.76), whereas in the Aviles health area, no differences in risk were found by area of exposure. This study provides further evidence that air pollution is a moderate risk factor for lung cancer.

  17. 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.

  18. [Study of prognostic factors and prevalence of post-thrombotic syndrome in patients with deep vein thrombosis in Spain].

    Science.gov (United States)

    Ordi, Josep; Salmerón, Luis; Acosta, Fernando; Camacho, Isabel; Marín, Núria

    2016-01-15

    The prevalence of post-thrombotic syndrome (PTS) in Spain is not known accurately at present. The main objective of this study was to determine the prevalence of PTS and the possible prognostic factors related to its development and impact on quality of life. This was an observational, multicenter, cross-sectional and retrospective study of patients who had suffered a deep vein thrombosis (DVT) between March 2010 and March 2011. The Villalta scale was applied as a standardized assessment of PTS at the enrollment visit. According to the score, distribution was: patients with PTS (score>4) and patients without PTS (score ≤4). Subsequently, DVT data and risk factors were collected retrospectively. The quality of life of patients was evaluated. In total 511 patients with DVT were enrolled, of which 7 patients were excluded as they did not meet the inclusion/exclusion criteria. The prevalence of PTS was 53%, with 56.2% having a mild character, 20.6% moderate, and 23.2% severe. The presence of risk factors for DVT including immobilization, hormonal therapy and obesity was significantly higher in patients with PTS than in patients without PTS. There were not significant differences in the location of the DVT. The perception of patients about their health was significantly worse in patients with DVT. The prevalence of PTS in patients with DVT is very high. The presence of risk factors for DVT clearly contributes to a greater predisposition to suffering PTS in an average time of 2 years. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  19. Type 2 Diabetes and Hemorrhagic Stroke: A Population-Based Study in Spain from 2003 to 2012.

    Science.gov (United States)

    Muñoz-Rivas, Nuria; Méndez-Bailón, Manuel; Hernández-Barrera, Valentín; de Miguel-Yanes, José M; Jimenez-Garcia, Rodrigo; Esteban-Hernández, Jesus; Lopez-de-Andrés, Ana

    2016-06-01

    The objective of this study is to compare trends in outcomes for intracerebral hemorrhagic stroke in people with or without type 2 diabetes in Spain between 2003 and 2012. We selected all patients hospitalized for hemorrhagic stroke using national hospital discharge data. We evaluated annual incident rates stratified by diabetes status. We analyzed trends in the use of diagnostic and therapeutic procedures, patient comorbidities, in-hospital mortality (IHM), length of hospital stay, and readmission rate in 1 month. We identified a total of 173,979 discharges of patients admitted with hemorrhagic stroke (19.1% with diabetes). Incidences were higher among those with than those without diabetes in all the years studied. Diabetes was positively associated with stroke (incidence rate ratio [IRR] = 1.38, 95% confidence interval [CI] 1.35-1.40 for men; IRR = 1.31, 95% CI 1.29-1.34 for women). Length of stay decreased significantly and readmission rate remained stable for both groups (around 5%). We observed a significant increase in the use of decompressive craniectomy from 2002 to 2013. Mortality was positively associated with older age, with higher comorbidity and atrial fibrillation as risk factors. We found a negative association with the use of decompressive craniectomy. Mortality did not change over time among diabetic men and women. In those without diabetes, mortality decreased significantly over time. Suffering diabetes was not associated with higher mortality. Type 2 diabetes is associated with higher incidence of hemorrhagic stroke but not with IHM. Incidence among diabetic people remained stable over time. In both groups, the use of decompressive craniectomy has increased and is associated with a decreased mortality. Copyright © 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  20. Retrospective study of pestivirus infection in Pyrenean chamois (Rupicapra pyrenaica) and other ungulates in the Pyrenees (NE Spain).

    Science.gov (United States)

    Marco, Ignasi; Cabezón, Oscar; Rosell, Rosa; Fernández-Sirera, Laura; Allepuz, Alberto; Lavín, Santiago

    2011-04-21

    In 2001 a new Pestivirus (Family Flaviviridae) was associated with an outbreak of a previously unreported disease in Pyrenean chamois (Rupicapra pyrenaica) in the Pyrenees (NE Spain). Molecular characterization assigned this virus to the Border Disease Virus (BDV) cluster, BDV-4 genotype. A retrospective study was performed in archived sera and spleen of 74 Pyrenean chamois and in archived sera of 28 mouflon (Ovis ammon), 56 red deer (Cervus elaphus), 43 roe deer (Capreolus capreolus) and 29 fallow deer (Dama dama) from the Pyrenees between the years 1990 and 2000. Thirty six of 74 (48.6%) sera of Pyrenean chamois, one of mouflon and one of red deer were positive by an ELISA antibody test. Comparative virus neutralization tests were performed on 26 seropositive chamois, one mouflon and one red deer, using five pestivirus strains. An ELISA antigen test was performed on 37 seronegative chamois and yielded positive results in one chamois and inconclusive result in two. RT-PCR and virus isolation performed on spleen samples from these three animals gave positive results in the positive and one inconclusive animal. Sequence analysis in the 5' unstranslated region revealed that they were grouped into the BDV-4 genotype. Virological and serological data of the present study indicate that BDV infection has been present in the chamois population since at least 1990, 11 years before the first outbreak of disease. Therefore, the emergence of the disease in 2001 is apparently due to other factors rather than the introduction of a new virus in the chamois population. Copyright © 2010 Elsevier B.V. All rights reserved.

  1. Singing and Vocal Instruction in Primary Schools: An Analysis from Six Case Studies in Spain

    Science.gov (United States)

    Cuadrado, Albina; Rusinek, Gabriel

    2016-01-01

    This is an analysis of how specialist music teachers sing and teach how to sing, based on data collected from six case studies carried out in Spanish primary schools. The study aimed at understanding classroom singing practices, and in particular the provision or absence of vocal instruction in relation with teachers' singing models. The findings…

  2. The catazonal poly-metamorphic rocks of Cabo Ortegal (NW Spain), a structural and petrofabric study

    NARCIS (Netherlands)

    Engels, J.P.

    1972-01-01

    The petrological study of the southern part of the Cabo Ortegal area is a complement of Vogel’s (1967) investigation of the northern half. The present investigations include a structural as well as a petrofabric study. The rocks belong to an eugeosynclinal sequence which during the Precambrian

  3. Experiences of University Life for Students with Asperger's Syndrome: A Comparative Study between Spain and England

    Science.gov (United States)

    Casement, Sue; Carpio de los Pinos, Carmen; Forrester-Jones, Rachel

    2017-01-01

    Research has consistently shown that young people with Asperger's Syndrome (AS) are likely to experience increased anxiety during new social situations; yet, studies have been regionally and culturally bound. The aim of this study was to explore how higher education students with AS experienced attending university in two European countries: the…

  4. Upgraded biogas from municipal solid waste for natural gas substitution and CO2 reduction – A case study of Austria, Italy, and Spain

    International Nuclear Information System (INIS)

    Starr, Katherine; Villalba, Gara; Gabarrell, Xavier

    2015-01-01

    Highlights: • Biogas can be upgraded to create biomethane, a substitute to natural gas. • Biogas upgrading was applied to landfills and anaerobic digestors in 3 countries. • Up to 0.6% of a country’s consumption of natural gas could be replaced by biomethane. • Italy could save 46% of the national CO 2 emissions attributed to the waste sector. • Scenarios were created to increase biomethane production. - Abstract: Biogas is rich in methane and can be further purified through biogas upgrading technologies, presenting a viable alternative to natural gas. Landfills and anaerobic digestors treating municipal solid waste are a large source of such biogas. They therefore offer an attractive opportunity to tap into this potential source of natural gas while at the same time minimizing the global warming impact resulting from methane emissions in waste management schemes (WMS) and fossil fuel consumption reduction. This study looks at the current municipal solid waste flows of Spain, Italy, and Austria over one year (2009), in order to determine how much biogas is generated. Then it examines how much natural gas could be substituted by using four different biogas upgrading technologies. Based on current waste generation rates, exploratory but realistic WMS were created for each country in order to maximize biogas production and potential for natural gas substitution. It was found that the potential substitution of natural gas by biogas resulting from the current WMS seems rather insignificant: 0.2% for Austria, 0.6% for Italy and 0.3% for Spain. However, if the WMS is redesigned to maximize biogas production, these figures can increase to 0.7% for Austria, 1% for Italy and 2% for Spain. Furthermore, the potential CO 2 reduction as a consequence of capturing the biogas and replacing fossil fuel can result in up to a 93% reduction of the annual national waste greenhouse gas emissions of Spain and Italy

  5. Upgraded biogas from municipal solid waste for natural gas substitution and CO{sub 2} reduction – A case study of Austria, Italy, and Spain

    Energy Technology Data Exchange (ETDEWEB)

    Starr, Katherine [Sostenipra, Department of Chemical Engineering, Universitat Autonoma de Barcelona, Bellaterra (Spain); Villalba, Gara, E-mail: gara.villalba@uab.es [Sostenipra, Department of Chemical Engineering, Universitat Autonoma de Barcelona, Bellaterra (Spain); Sostenipra, Institute de Ciencia i Technologia Ambientals (ICTA), Universitat Autonoma de Barcelona, Bellaterra (Spain); Gabarrell, Xavier [Sostenipra, Department of Chemical Engineering, Universitat Autonoma de Barcelona, Bellaterra (Spain); Sostenipra, Institute de Ciencia i Technologia Ambientals (ICTA), Universitat Autonoma de Barcelona, Bellaterra (Spain)

    2015-04-15

    Highlights: • Biogas can be upgraded to create biomethane, a substitute to natural gas. • Biogas upgrading was applied to landfills and anaerobic digestors in 3 countries. • Up to 0.6% of a country’s consumption of natural gas could be replaced by biomethane. • Italy could save 46% of the national CO{sub 2} emissions attributed to the waste sector. • Scenarios were created to increase biomethane production. - Abstract: Biogas is rich in methane and can be further purified through biogas upgrading technologies, presenting a viable alternative to natural gas. Landfills and anaerobic digestors treating municipal solid waste are a large source of such biogas. They therefore offer an attractive opportunity to tap into this potential source of natural gas while at the same time minimizing the global warming impact resulting from methane emissions in waste management schemes (WMS) and fossil fuel consumption reduction. This study looks at the current municipal solid waste flows of Spain, Italy, and Austria over one year (2009), in order to determine how much biogas is generated. Then it examines how much natural gas could be substituted by using four different biogas upgrading technologies. Based on current waste generation rates, exploratory but realistic WMS were created for each country in order to maximize biogas production and potential for natural gas substitution. It was found that the potential substitution of natural gas by biogas resulting from the current WMS seems rather insignificant: 0.2% for Austria, 0.6% for Italy and 0.3% for Spain. However, if the WMS is redesigned to maximize biogas production, these figures can increase to 0.7% for Austria, 1% for Italy and 2% for Spain. Furthermore, the potential CO{sub 2} reduction as a consequence of capturing the biogas and replacing fossil fuel can result in up to a 93% reduction of the annual national waste greenhouse gas emissions of Spain and Italy.

  6. Feasibility study of thermal water illumination in the area of Calnu sugar, Colonia Spain, Artigas department

    International Nuclear Information System (INIS)

    Carrion, R.; Pena, S.; Cicalese, H.; Pacheco, A.

    1999-01-01

    This work is about the hydrogeological study carried in Artigas department (Calnu sugar) with the proposal to determine the lighting chance on thermal water. By geophysical methods is possible to estimate the thickness and alluvial characteristics, sedimentary deposits, failures or alteration mantles. The results obtained allowed to determine the geometry, magnitude and relative depth of the body studied. The measured parameter is the apparent resistivity. This resistivity variation is measured by vertical electrical soundings

  7. Mercury in air and plant specimens in herbaria: A pilot study at the MAF Herbarium in Madrid (Spain)

    Energy Technology Data Exchange (ETDEWEB)

    Oyarzun, R. [Departamento de Cristalografia y Mineralogia, Facultad de Ciencias Geologicas, Universidad Complutense, 28040 Madrid (Spain)], E-mail: oyarzun@geo.ucm.es; Higueras, P.; Esbri, J.M. [Departamento de Ingenieria Geologica y Minera, Escuela Universitaria Politecnica de Almaden, Universidad de Castilla-La Mancha, Plaza M. Meca 1, 13400 Almaden (Spain); Pizarro, J. [Departamento de Biologia Vegetal II, Facultad de Farmacia, Universidad Complutense, 28040 Madrid (Spain)

    2007-11-15

    We present data from a study of mercury concentrations in air and plant specimens from the MAF Herbarium in Madrid (Spain). Hg (gas) emissions from old plant collections treated with mercuric chloride (HgCl{sub 2}) in herbaria may pose a health risk for staff working in installations of this type. This is an issue not yet properly addressed. Plants that underwent insecticide treatment with HgCl{sub 2} at the MAF Herbarium until the mid 1970s have persistent high concentrations of Hg in the range 1093-11,967 {mu}g g{sup -1}, whereas untreated specimens are in the range of 1.2-4.3 {mu}g g{sup -1}. The first group induces high concentrations of Hg (gas) in the main herbarium room, with seasonal variations of 404-727 ng m{sup -3} (late winter) and 748-7797 ng m{sup -3} (early summer) (baseline for Hg: 8 ng m{sup -3}). A test survey at another herbarium in Madrid showed even higher concentrations of Hg (gas) above 40,000 ng m{sup -3}. The World Health Organization guidelines for chronic exposure to Hg (gas) are estimated at a maximum of 1000 ng m{sup -3}. While staff was aware of the existence of HgCl{sub 2} treated plants (the plant specimen sheets are labelled as 'poisoned'), they had no knowledge of the presence of high Hg (gas) concentrations in the buildings, a situation that may be relatively common in herbaria.

  8. [Morbidity and mortality in newborns at the limit of viability in Spain: a population-based study].

    Science.gov (United States)

    García-Muñoz Rodrigo, F; García-Alix Pérez, A; García Hernández, J A; Figueras Aloy, J

    2014-06-01

    Perinatal care in extremely immature newborns is a clinical and ethical problem of great importance for professionals and families, and requires that the available information on the chances of child survival is of the highest quality. The aim of this study was to determine the specific rates of survival at hospital discharge, and survival without major morbidity in newborns with a gestation age (GA) ≤ 26 weeks in Spain. We included live newborns ≤ 26 weeks admitted to the collaborating centers of the SEN1500 network (2004-2010). Out born patients, infants who died in delivery room, and those with congenital anomalies incompatible with life were excluded. A total of 3,236 patients were included. GA specific survival was 12.5, 13.1, 36.9, 55.7, and 71.9% at 22, 23, 24, 25, and 26 weeks of GA, respectively. Survival without severe intracranial hemorrhage, periventricular leukomalacia, bronchopulmonary dysplasia, and/or retinopathy of prematurity was 1.5, 9.5, 19.0, and 29.9% at 23, 24, 25 and 26 weeks GA, respectively. Survival without major morbidity in infants less than 23 weeks GA is exceptional, and scarce in newborns with 23 and 24 weeks GA. Infants ≥ 25 weeks GA have reasonable chances of survival and, in the absence of major malformations or other relevant complications, should be offered active resuscitation and intensive care. The continuous updating of the results of individual centers is of utmost importance, as well as their comparison with the reference population-based results. Copyright © 2013 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  9. Factors Related to Unemployment in Europe. A Cross-Sectional Study from the COURAGE Survey in Finland, Poland and Spain

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    Matilde Leonardi

    2018-04-01

    Full Text Available Background: Research addressing the impact of a large number of factors on unemployment is scarce. We aimed to comprehensively identify factors related to unemployment in a sample of persons aged 18–64 from Finland, Poland and Spain. Methods: In this cross-sectional study, factors from different areas were considered: socio-demographic indicators, health habits, chronic conditions, health state markers, vision and hearing indicators, and social networks and built environment scores. Results: Complete data were available for 5003 participants, mean age 48.1 (SD 11.5, 45.4% males. The most important factors connected to unemployment were health status indicators such as physical disability (OR = 2.944, self-rated health (OR = 2.629, inpatient care (OR = 1.980, and difficulties with getting to the toilet (OR = 2.040, while the most relevant factor related to employment were moderate alcohol consumption (OR = 0.732 for non-heavy drinkers; OR = 0.573 for infrequent heavy drinkers, and being married (OR = 0.734, or having been married (OR = 0.584. Other factors that played a significant role included presence of depression (OR = 1.384 and difficulties with near vision (OR = 1.584 and conversation hearing (OR = 1.597. Conclusions: Our results highlight the importance of selected factors related to unemployment, and suggest public health indications that could support concrete actions on modifiable factors, such as those aimed to promote physical activity and healthy behaviors, tackling depression or promoting education, in particular for the younger.

  10. Use and satisfaction with the Healthcare System of the chronic pain patients in Spain: results from a nationwide study.

    Science.gov (United States)

    Dueñas, María; Ojeda, Begoña; Salazar, Alejandro; Fernández-Palacín, Fernando; Micó, Juan Antonio; Torres, Luis Miguel; Failde, Inmaculada

    2016-11-01

    To analyze the use of healthcare resources by chronic pain (CP) patients in Spain and their satisfaction with them. A nationwide, cross-sectional study was carried out on a representative sample of 1957 Spanish adults. A telephone survey was conducted with the aim of analyzing the prevalence of CP, the characteristics and consequences of pain, the use of healthcare resources and patients' satisfaction with them. Descriptive, bivariate and multivariate analyses were performed. Of the 1957 subjects interviewed, 325 suffered CP. The mean duration of CP was 10 years (SD: 11.3) and 48.9% of the CP sufferers reported severe/unbearable pain. Moreover, about 30% felt sad/very sad or anxious/very anxious, 24.4% had been on sick leave, 12% had left/lost their jobs and 47.2% considered their pain affected their families. Likewise, 92.9% had consulted a healthcare professional due to their CP, on average 3.49 times (SD: 3.9), and 69.2% took medication. In addition, 67.3% and 63.8% were satisfied/very satisfied with the care and the healthcare information they received, respectively. Individuals who reported headache (OR = 0.34) and feeling sad (OR =0.38) were least satisfied with the care they received. In addition, CP sufferers who made greater use of consultations were those who had left/lost their jobs (β = 1.44), those who took medication (β = 1.67), those who considered their pain affected their families (β = 0.97) and those with a shorter duration of pain (β = -0.003). CP produces relevant demands on healthcare resources, conditioned by the consequences within the family and the effects on their employment. To achieve greater patient satisfaction, professionals need to pay particular attention to certain sites of pain and to patients' mental health.

  11. An approach for quantifying geomorphological impacts for EIA of transportation infrastructures: a case study in northern Spain

    Science.gov (United States)

    Bonachea, Jaime; Bruschi, Viola Maria; Remondo, Juan; González-Díez, Alberto; Salas, Luis; Bertens, Jurjen; Cendrero, Antonio; Otero, César; Giusti, Cecilia; Fabbri, Andrea; González-Lastra, José Ramón; Aramburu, José María

    2005-03-01

    A methodological proposal for the assessment of impacts due to linear infrastructures such as motorways, railways, etc. is presented. The approach proposed includes a series of specific issues to be addressed for each geomorphological feature analysed—both 'static' and 'dynamic'—as well as a series of steps to be followed in the process. Geomorphic characteristics potentially affected were initially identified on the basis of a conceptual activities/impacts model that helps to single out geomorphic impacts related to environmental concerns for the area. The following issues were addressed for each individual impact: nature of potential effects; indicators that can be used to measure impacts; criteria of 'geomorphologic performance'; procedure for measurement/prediction of changes; translation of geomorphologic impacts into significant terms from the viewpoint of human concerns; possible mitigation and/or compensation measures. The procedure has been applied to a case study corresponding to a new motorway in the Basque Country, northern Spain. Geomorphological impacts considered in this analysis included: (1) consumable resources; (2) sites of geomorphological interest; (3) land units with high potential for use, high productivity or value for conservation; (4) visual landscape; (5) slope instability processes. The procedure has been designed for implementation in a Geographic Information System (GIS) environment. Details are given on the application of the method to each individual impact analysed and results are presented in both numerical and map form. Impacts assessed were initially expressed by means of heterogeneous magnitudes, depending on the geomorphological feature considered. Those geomorphological impacts were then translated into significant terms and homogeneous magnitudes. Integration was carried out on the basis of impact values thus obtained. Final integrated results were also expressed in numerical and map form. The method proposed enables

  12. Studies of variability in response to UV in lymphocytes of people exposed to pesticides and reference group from Spain

    International Nuclear Information System (INIS)

    Cebulska-Wasilewska, A.; Panek, A.; Dyga, W.; Marcos, R.

    2000-01-01

    Pesticides, which are appertained to a group of the modern agrochemicals, create a potential risk to the environment and human health. As a result of their dangerous action, DNA damage may be produced in the cell and as a consequence, may lead to the cancer. The aim of this study was to assess potential genotoxic risk of occupational exposure to pesticides. The DNA damages and repair capacities of lymphocytes in four groups of people from various countries were assessed by the use of single cell gel electrophoresis (SCGE) also known as the Comet assay. All groups of donors had a similar age, sex and occupation. The results from the analysis performed in the Spanish group are presented in this paper. Among the donors 44 of them belonged to the control and 49 belonged to the exposed to pesticides groups. Average age in the control group was 37.8 and in the exposed group 33,5. In general, all donors were free of major health problems. In the control group there were 66% smokers, 23% non-smokers and 11% were former smokers. In the group exposed to pesticides 51% were smokers, 45% non-smokers and 4% former smokers. Lymphocytes were collected in Spain, whole blood samples were isolated and frozen, then were transported in dry ice to Poland for DNA damage analysis. Part of the defrosted lymphocytes were tested for viability and presence of DNA damage. Results did not show statistically significant differences in the level of DNA damages between the control and the exposed to pesticides groups. Another part of defrosted lymphocytes was irradiated with 6 J/m 2 of UV-C and incubated for 2 hours with or without the presence of phytohemoglutinin (PHA). Comparison of the efficiency of the UV induced dimmers excision process did not indicate differences between these groups. However, lymphocytes from exposed to pesticides donors have shown a statistically lower repair rate than lymphocytes from unexposed group.(author)

  13. Study on environmental pollution in slurry ponds in the region of Murcia (Spain)

    International Nuclear Information System (INIS)

    Olivares, A. B.; Faz, A.; Ramos, G.

    2009-01-01

    In Murcia the importance of the pig industry is both economically and environmentally, as it involves the proper management of organic waste produced. The necessary protection of the environment makes the development of appropriate studies to define the effects that this type of waste produced in the subsoil, in order to make appropriate recommendations to ensure the continuation of this activity, in a sustainable manner. In this way, this work studies different locations representing the Region on the slurry to be deposited, either with or without artificial waterproofing to check to what extent it has affected the underground waste. (Author) 10 refs.

  14. 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…

  15. Bringing Headteachers' Voices to the Professional Development Debate: A Case Study from Spain

    Science.gov (United States)

    Hernández, María J.; Martínez, María A.

    2016-01-01

    This study seeks to broaden the existing knowledge about education and professional development in educational leadership by analysing the characteristics of "good" training programmes according to international theoretical frameworks and to educational leaders' views. To do so, 100 headteachers of infant, primary and secondary schools…

  16. Book Clubs: An Ethnographic Study of an Innovative Reading Practice in Spain

    Science.gov (United States)

    Álvarez-Álvarez, Carmen

    2016-01-01

    The most innovative reading practices currently rely on the paradigm of dialogic reading. Book clubs, literary gatherings and study circles are emerging in different social spaces to promote reading and literary discussion amongst adults, and libraries, bookshops, cultural centres, etc. are increasingly developing strategies in this direction.…

  17. Entrepreneurial Intentions of University Students: A Study of Design Undergraduates in Spain

    Science.gov (United States)

    Ubierna, Francisco; Arranz, Nieves; Fdez de Arroyabe, J. C.

    2014-01-01

    This paper presents an analysis of the entrepreneurial intentions of university undergraduate students, with particular regard to those studying design. Attitudinal, social and capabilities variables are analysed in order to determine the profile of an entrepreneur. Using a sample of 521 undergraduate students, the findings show that design…

  18. A follow-up study to assess the determinants and consequences of physical activity in pregnant women of Cuenca, Spain

    Directory of Open Access Journals (Sweden)

    Raquel Poyatos-León

    2016-05-01

    Full Text Available Abstract Background In recent years, the influence of physical exercise on pregnancy outcomes has been widely debated. Despite the numerous studies addressing the relationship between maternal physical activity and pregnancy outcomes, the evidence for consistent and significant impact of regular exercise during pregnancy on fetal growth remains lacking. The aims of this study were, first, to assess the level of physical activity performed throughout the pregnancy by objective (accelerometer and self-reported (questionnaire measurements, and, second, to ascertain pre-pregnancy physical activity levels, to estimate the relationship between levels of physical activity and some pregnancy and neonatal outcomes. Methods/design This was a prospective cohort study. Participants were pregnant women (n = 194 aged 18 to 40 years who attended for three quarterly appointments for pregnancy ultrasound scans at the Virgen de la Luz Hospital in Cuenca, Spain. All participants provided written informed consents to participate in the study. Physical activity during the pregnancy follow-up was assessed by a self-reported Pregnancy Physical Activity Questionnaire and sleep log; also objectively by a GT3X accelerometer (ActiGraph. Furthermore, pregnancy symptoms inventory, nutritional behavioural assessment, socio-demographic characteristics, and anthropometry and body composition were measured. At the end of the follow up, the following main outcomes were determined: pregnancy outcomes (incidence of gestational diabetes mellitus, pre-eclampsia, pregnancy-induced hypertension, weight gain during pregnancy, type of delivery, and neonatal outcomes (gestational age, birth weight, gender, Apgar score 1 min/5 min, type of resuscitation (I/II/III/IV, and pH of umbilical cord blood. Descriptive statistics for cross-sectional data, linear mixed regression models for absolute differences in changes baseline-final measurements were used as statistical analyses

  19. First epidemiological study of contact dermatitis in Spain - 1977. Spanish Contact Dermatitis Research Group.

    Science.gov (United States)

    Camarasa, J M

    1979-01-01

    The present work is the first epidemiological study carried out by the Spanish Contact Dermatitis Research Group during 1977. During this year 2806 patients were studied with patch test among 30873 dermatological patients. The 60-62% of the totality had reactivity to one or more patches. Four major groups of allergens were able to consider, following the incidence in their power of sensitize. First group with strong incidence include: Nickel, Chromate, Cobalt, T.M.T.D.,P.P.D.A., Mercapto mix., and Wood tars. Second and third groups with medium incidence contain: Caines, Carbonates, Neomycin, Balsam of Peru, Mercury, Lanolin, Naphtyl mix., Formaldehyde, Benzalkonium chloride, P. P. D. A. mix, and Turpentine. Four group show very low incidence substances, as: Epoxi, Sulfonamides, Etilendiamine, Parabens, Chinoform, Colophony and Cinnamon oil. Few comments about age and occupations are included.

  20. A Study to Improve the Quality of Street Lighting in Spain

    Directory of Open Access Journals (Sweden)

    Alberto Gutierrez-Escolar

    2015-01-01

    Full Text Available Street lighting has a big impact on the energy consumption of Spanish municipalities. To decrease this consumption, the Spanish government has developed two different regulations to improve energy savings and efficiency, and consequently, reduce greenhouse-effect gas emissions. However, after these efforts, they have not obtained the expected results. To improve the effectiveness of these regulations and therefore to optimize energy consumption, a study has been done to analyze the different devices which influence energy consumption with the intention of better understanding their behavior and performance. The devices analyzed were lamps, ballasts, street lamp globes, control systems and dimmable lighting systems. To improve their performance, they have been analyzed from three points of view: changes in technology, use patterns and standards. Thanks to this study, some aspects have been found that could be taken into account if we really wanted to use energy efficiently.

  1. Epidemiology of Barrett's esophagus and esophageal adenocarcinoma in Spain: a unicentric study

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    Quetzalihuitl Arroyo-Martínez

    Full Text Available Background: Barrett's esophagus (BE is an acquired disease defined by the presence of intestinal metaplasia with goblet cells in the distal esophagus. The prevalence of BE has increased dramatically over the last years. Aims: The primary aims of the study were to analyze the characteristics of BE and esophageal adenocarcinoma (EAC in a Spanish health district during a follow-up period. Methodology: Sociodemographic factors, alcohol consumption and cigarette smoking were analyzed. We also studied the histological behavior and cause of death in each group. Results: In the present study 430 patients were included, 338 with BE and 92 with EAC. Incidence rates have risen from 2.25 and 1.25 per 100,000 inhabitants in 1996 to 6.5 and 4.75 per 100,000 in 2011, respectively. In the EAC group, male gender, age and alcohol consumption were higher in comparison to the BE group, and the overall survival was 23 months. In the BE group, the main causes of death were non-esophageal cancer and cardiovascular disease. Conclusions: The incidence and prevalence rates of AEC and BE have risen over the past years. Risk factors for these conditions were male gender, age and alcohol consumption. Long BE (> 3 cm is involved in dysplasia progression. AEC diagnosis mainly occurs after neoplasia is detected and, in a few cases, due to a previous BE. Cardiovascular diseases and non-esophageal cancers have been found to be the main cause of death in BE patients.

  2. Clinical audit of COPD patients requiring hospital admissions in Spain: AUDIPOC study.

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    Francisco Pozo-Rodríguez

    Full Text Available BACKGROUNDS: AUDIPOC is a nationwide clinical audit that describes the characteristics, interventions and outcomes of patients admitted to Spanish hospitals because of an exacerbation of chronic obstructive pulmonary disease (ECOPD, assessing the compliance of these parameters with current international guidelines. The present study describes hospital resources, hospital factors related to case recruitment variability, patients' characteristics, and adherence to guidelines. METHODOLOGY/PRINCIPAL FINDINGS: An organisational database was completed by all participant hospitals recording resources and organisation. Over an 8-week period 11,564 consecutive ECOPD admissions to 129 Spanish hospitals covering 70% of the Spanish population were prospectively identified. At hospital discharge, 5,178 patients (45% of eligible were finally included, and thus constituted the audited population. Audited patients were reassessed 90 days after admission for survival and readmission rates. A wide variability was observed in relation to most variables, hospital adherence to guidelines, and readmissions and death. Median inpatient mortality was 5% (across-hospital range 0-35%. Among discharged patients, 37% required readmission (0-62% and 6.5% died (0-35%. The overall mortality rate was 11.6% (0-50%. Hospital size and complexity and aspects related to hospital COPD awareness were significantly associated with case recruitment. Clinical management most often complied with diagnosis and treatment recommendations but rarely (<50% addressed guidance on healthy life-styles. CONCLUSIONS/SIGNIFICANCE: The AUDIPOC study highlights the large across-hospital variability in resources and organization of hospitals, patient characteristics, process of care, and outcomes. The study also identifies resources and organizational characteristics associated with the admission of COPD cases, as well as aspects of daily clinical care amenable to improvement.

  3. The costs of stroke in Spain by aetiology: the CONOCES study protocol.

    Science.gov (United States)

    Mar, J; Álvarez-Sabín, J; Oliva, J; Becerra, V; Casado, M Á; Yébenes, M; González-Rojas, N; Arenillas, J F; Martínez-Zabaleta, M T; Rebollo, M; Lago, A; Segura, T; Castillo, J; Gállego, J; Jiménez-Martínez, C; López-Gastón, J I; Moniche, F; Casado-Naranjo, I; López-Fernández, J C; González-Rodríguez, C; Escribano, B; Masjuan, J

    2013-01-01

    Patients with stroke associated with non-valvular atrial fibrillation (NVAF) are a specific group, and their disease has a considerable social and economic impact. The primary objective of the CONOCES study, the protocol of which is presented here, is to compare the costs of stroke in NVAF patients to those of patients without NVAF in Spanish stroke units from a societal perspective. CONOCES is an epidemiological, observational, naturalistic, prospective, multicentre study of the cost of the illness in a sample of patients who have suffered a stroke and were admitted to a Spanish stroke unit. During a 12-month follow-up period, we record sociodemographic and clinical variables, score on the NIH stroke scale, level of disability, degree of functional dependency according to the modified Rankin scale, and use of healthcare resources (hospitalisation at the time of the first episode, readmissions, outpatient rehabilitation, orthotic and/or prosthetic material, medication for secondary prevention, medical check-ups, nursing care and formal social care services). Estimated monthly income, lost work productivity and health-related quality of life measured with the generic EQ-5D questionnaire are also recorded. We also administer a direct interview to the caregiver to determine loss of productivity, informal care, and caregiver burden. The CONOCES study will provide more in-depth information about the economic and clinical impact of stroke according to whether or not it is associated with NVAF. Copyright © 2012 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

  4. Functions and values of hunting and its management in Spain: scientific studies on the hunting community

    Directory of Open Access Journals (Sweden)

    Miguel Delibes-Mateos

    2018-01-01

    Full Text Available We summarize information provided by some recent scientific studies in relation to the opinions, views and attitudes of Spanish hunters regarding hunting and its management. In particular, we discuss the different functions (economic, ecological and social that hunters attribute to hunting, as well as their moral judgements associated with the different motives for hunting. In addition, we explore how hunters value different game management tools (including predator control, releases of farm-reared animals and the regulation of hunting pressure, and we discuss how such valuations affect their decision-making. Finally, we assess potential future trends of hunting, as expressed by the hunters themselves.

  5. Modelling hydrological connectivity in burned areas. A case study from South of Spain

    OpenAIRE

    Martínez-Murillo, Juan F.; López-Vicente, Manuel

    2016-01-01

    Overland flow connectivity depends on the spatio-temporal interactions of hydrological and geomorphic processes as well as on the human footprint on the landscape. This study deals with the modelling of hydrological connectivity in a burned area with different levels of fire severity. Namely, the objectives are to: i) characterize and ii) modelling the pre- (PreF) and post-fire (PostF) scenarios, as well as iii) evaluate the effect of the vegetation changes due to the fire and the initial ...

  6. [Head masters' perception of school-based hostility in Alicante, Spain: a qualitative study].

    Science.gov (United States)

    Martínez Fernández, Carmen; Hernández-Aguado, Ildefonso; Torres Cantero, Alberto M

    2006-01-01

    There is growing social concern about school violence but little is known about how this situation is experienced in the schools. The objective of this study was to know the perception that School's head masters have of the school-based hostility, on their causes, how they value current preventive strategies, and their recommendations to develop future preventive interventions. We conducted an exploratory study with 14 semistructured interviews of School's head masters. Interviews were conducted at the Schools between May and June 2003 in 1 independent school, 9 state comprehensive schools, and 4 other comprehensive schools within the city of Alicante. The perception of the head masters is that the prevalence of violence is low, more verbal than physical and within gender. They identify lack of punctuality, absenteeism and lack of interest as forms of hostility. As causes they identified age, family problems, school environment, society, media (TV and video-games) and poor language skills. Preventive methods in use were, on one hand, extra-lessons and transversal contents foreseen in the Education Law and common to all schools, and, on the other hand, ideological and pedagogical contents which were specific of some centres. Recommendations focused in demands for increased economic support and skilled human resources. School-based violence is not perceived as an alarming school issue, nor by its magnitude neither by the immediate causes and students' characteristics to which it is associated. A heavier emphasis is placed on external and environmental causes perceived as much more difficult to confront.

  7. AULA-Advanced Virtual Reality Tool for the Assessment of Attention: Normative Study in Spain.

    Science.gov (United States)

    Iriarte, Yahaira; Diaz-Orueta, Unai; Cueto, Eduardo; Irazustabarrena, Paula; Banterla, Flavio; Climent, Gema

    2016-06-01

    The present study describes the obtention of normative data for the AULA test, a virtual reality tool designed to evaluate attention problems, especially in children and adolescents. The normative sample comprised 1,272 participants (48.2% female) with an age range from 6 to 16 years (M = 10.25, SD = 2.83). The AULA test administered to them shows both visual and auditory stimuli, while randomized distractors of ecological nature appear progressively. Variables provided by AULA were clustered in different categories for their posterior analysis. Differences by age and gender were analyzed, resulting in 14 groups, 7 per sex group. Differences between visual and auditory attention were also obtained. Obtained normative data are relevant for the use of AULA for evaluating attention in Spanish children and adolescents in a more ecological way. Further studies will be needed to determine sensitivity and specificity of AULA to measure attention in different clinical populations. (J. of Att. Dis. 2016; 20(6) 542-568). © The Author(s) 2012.

  8. DIACHRONIC RECONSTRUCTION OF LOST CULTURAL HERITAGE SITES. STUDY CASE OF THE MEDIEVAL WALL OF AVILA (SPAIN

    Directory of Open Access Journals (Sweden)

    P. Rodríguez-Gonzálvez

    2018-05-01

    Full Text Available The integration of the fourth dimension into the geospatial data allows to generate a diachronic model of Cultural Heritage (CH assets, namely, a set of 3D models to represent it in various historical phases. This kind of reconstruction pursues a better understanding of the CH site/scenario, enriching the historical hypotheses as well as contributing to the conservation and decisionmaking process. Although the new geotechnologies have reduced the amount of fieldwork, the generation of 4D model implies the interpretation of heterogeneous historical information sources and their integration. However, this situation could reach a critical point when the study elements are no longer present. Their reconstruction will allow the digital preservation and maintenance of our culture. The main challenge is to harmonize the different historical and archaeological data sources available in relation with the current remains, to recover the lost CH assets with a high degree of reliability. This manuscript aims to examine the study case of a diachronic reconstruction by means of the use of the geotechnology Mobile Laser System (MLS and reverse engineering techniques for a lost urban CH element, the citadel or Alcázar Gate of Ávila. Within this aim, the derived product is evaluated in terms of the achieved accuracy to assess its suitability on the basis of constructive interpretations required to integrate the historical sources in relation to current remains and the surrounding.

  9. Association of tic disorders with poor academic performance in central Spain: a population-based study.

    Science.gov (United States)

    Cubo, Esther; Trejo, José; Ausín, Vanesa; Sáez, Sara; Delgado, Vanesa; Macarrón, Jesus; Cordero, José; Louis, Elan D; Kompoliti, Katie; Benito-León, Julián

    2013-07-01

    To analyze the association between tic disorders and poor academic performance in school-aged children. This was a cross-sectional, observational study conducted in a randomly selected sample of mainstream school-aged children (aged 6-16 years). The sampling frame included different types of schools and educational levels. Children with poor academic performance (eg, repeating a grade, special needs), and tic disorders (defined based on Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision criteria) were identified. Children with and without tics and children with and without poor academic performance were compared in terms of clinical features (ie, medical history and neurologic and psychiatric comorbidities), school, and environmental characteristics. Logistic regression analyses were performed using school performance (dependent variable) and tic disorders (independent variable), after adjusting for confounding variables. The study cohort comprised 1867 children (mean age, 10.9 + 2.9 years; 1007 males [53.9%]). Tics were present in 162 children (8.6%), and poor academic performance was noted in 223 (11.9%). Overall poor academic performance was associated with age (OR, 1.71; P family history of school dysfunction (OR, 2.43; P = .02) and was negatively associated with higher IQ score (OR, 0.90; P academic performance in our cohort. Early academic support and modification of environmental characteristics are needed for children at higher risk for school dysfunction, to enhance academic performance. Copyright © 2013 Mosby, Inc. All rights reserved.

  10. Green roof systems: a study of public attitudes and preferences in southern Spain.

    Science.gov (United States)

    Fernandez-Cañero, Rafael; Emilsson, Tobias; Fernandez-Barba, Carolina; Herrera Machuca, Miguel Ángel

    2013-10-15

    This study investigates people's preconceptions of green roofs and their visual preference for different green roof design alternatives in relation to behavioral, social and demographical variables. The investigation was performed as a visual preference study using digital images created to represent eight different alternatives: gravel roof, extensive green roof with Sedums not in flower, extensive green roof with sedums in bloom, semi-intensive green roof with sedums and ornamental grasses, semi-intensive green roof with shrubs, intensive green roof planted with a lawn, intensive green roof with succulent and trees and intensive green roof with shrubs and trees. Using a Likert-type scale, 450 respondents were asked to indicate their preference for each digital image. Results indicated that respondents' sociodemographic characteristics and childhood environmental background influenced their preferences toward different green roof types. Results also showed that green roofs with a more careful design, greater variety of vegetation structure, and more variety of colors were preferred over alternatives. Copyright © 2013 Elsevier Ltd. All rights reserved.

  11. [Utilization of carbamazepine and oxcarbazepine in pediatric patients with partial epilepsy in Spain. An observational study].

    Science.gov (United States)

    Rufo Campos, M; Carreño, M

    2009-01-01

    It is important to conduct studies on the utilization of new antiepileptic drugs in order to improve their use. Our objective is to describe the use patterns of carbamazepine and oxcarbazepine. Observational, cross-sectional, national study with 58 investigators that included 185 pediatric patients with partial epilepsy. We recorded prescription patterns, quality of life (QoL) using the QoL scale in childhood epilepsy (CAVE) and use of resources. 134 patients were under treatment with oxcarbazepine (72.4 %), with a mean dose of 22.3 mg/kg/day; standard deviation (SD): 8.04; 95 % confidence interval (CI): 20.9 to 23.7, and 51 (27.6%) with carbamazepine, mean dose of 14 mg/kg/day; SD: 6.2; 95 % CI: 12.3 to 15.8. A total of 19.4% and 21.6 %, respectively, followed multiple drug treatment. The mean scores on functional dimensions of CAVE were (out of 5): school attendance: 4.5; SD: 0.7; social relationships: 4.1; SD: 0.9, and autonomy: 3.9; SD: 1.9. Patients receiving multiple drug therapy had worse results in quality of life (p used in lower doses than recommended and the dosing is not adjusted for weight. Underdosing may lead to regimes of multiple drug therapy that should be reviewed individually.

  12. Factors influencing farmers’ willingness to participate in water allocation trading. A case study in southern Spain

    Directory of Open Access Journals (Sweden)

    Giacomo Giannoccaro

    2016-03-01

    Full Text Available This study aims to uncover the factors that influence farmers’ attitudes towards water allocation trading. In the study, we simulate two water availability scenarios, an average year and a drought year, in a contingent valuation experiment with 241 farmers. A survey was held in the spring of 2012 in the Guadalquivir and Almanzora River Basins. First, we estimated a multinomial logit model to determine the factors that influence farmers to decide to participate in our hypothetical market. We then analysed the structural and socio-economic factors determining the monetary value of traded water using Heckman’s two-step model. Our results indicate that those farmers who are more innovative and have had agricultural training show a higher willingness to participate in water trading. Additionally, low water-supply guarantee and appropriate information about seasonal water availability increase the probability of participation. Higher willingness to pay (WTP for water is found in horticulture and among farmers who grow citrus and other permanent crops; lower water selling value (WTA is found in farms with extensive annual crops and traditional olive groves. However, monetary values (WTP/WTA are strongly dependent on the current cost of irrigation water services. While findings of this research seem to support the idea of diffusion innovation theory, the existence of ethical concerns that might influence farmers’ acceptance of irrigation water markets needs further analysis.

  13. Factors influencing farmers’ willingness to participate in water allocation trading. A case study in southern Spain

    Energy Technology Data Exchange (ETDEWEB)

    Giannoccaro, G.; Castillo, M.; Berbel, J.

    2016-11-01

    This study aims to uncover the factors that influence farmers’ attitudes towards water allocation trading. In the study, we simulate two water availability scenarios, an average year and a drought year, in a contingent valuation experiment with 241 farmers. A survey was held in the spring of 2012 in the Guadalquivir and Almanzora River Basins. First, we estimated a multinomial logit model to determine the factors that influence farmers to decide to participate in our hypothetical market. We then analysed the structural and socio-economic factors determining the monetary value of traded water using Heckman’s two-step model. Our results indicate that those farmers who are more innovative and have had agricultural training show a higher willingness to participate in water trading. Additionally, low water-supply guarantee and appropriate information about seasonal water availability increase the probability of participation. Higher willingness to pay (WTP) for water is found in horticulture and among farmers who grow citrus and other permanent crops; lower water selling value (WTA) is found in farms with extensive annual crops and traditional olive groves. However, monetary values (WTP/WTA) are strongly dependent on the current cost of irrigation water services. While findings of this research seem to support the idea of diffusion innovation theory, the existence of ethical concerns that might influence farmers’ acceptance of irrigation water markets needs further analysis. (Author)

  14. Citizens’ Perceptions on Social Responsibility in Public Administration Organizations: A Case Study on Spain

    Directory of Open Access Journals (Sweden)

    José Luis VÁZQUEZ

    2016-06-01

    Full Text Available This paper analyzes citizens’ expectations on social responsibility of public administration organizations in comparison to other public and private organizations, and argues that the mission attributed to different institutions in society might guide citizens’ perceptions and thresholds of satisfaction with sustainability standards. Three different survey studies were carried out to analyze citizens’ expectations of social responsibility of public administration organizations, private companies and a public university in the same Spanish region. A list of indicators defining internal and external social responsibility practices was developed to compare expectations in the three institutional contexts, and MANOVA was used to test differences between participants in the three surveys. Results support the notion that citizens’ expectations of social responsibility are related to perceived organizational goals in private and public contexts and the specific dimension of responsibility considered. Particularly, participants displayed higher expectations of external social responsibility in public administration organizations than in private companies and the public university analyzed, whereas citizens’ expectations of internal social responsibility were more homogeneous in public and private contexts. Implications of the study and suggestions for further research are discussed.

  15. Professionals' perception of intimate partner violence in young people: a qualitative study in northern Spain.

    Science.gov (United States)

    Maquibar, Amaia; Vives-Cases, Carmen; Hurtig, Anna-Karin; Goicolea, Isabel

    2017-07-20

    Intimate partner violence (IPV) is a public health problem with devastating effects on young women's health. These negative effects increase when the exposure to IPV lasts for a long time and exposure at an early age increases the risk of adult IPV. Despite efforts made in the last few decades, data show little progress has been made towards its reduction. Thus, the aim of the study reported here is to explore professionals' perceptions regarding intimate partner violence (IPV) among young people, focusing on the characteristics of the phenomenon and their perceptions about existing programmes and campaigns aimed at addressing it. Twelve professionals from education, health and municipal social services were interviewed. All but one of the interviews were recorded and transcribed verbatim. Data were analysed according to the methodology of inductive thematic analysis, with the support of Atlas.ti software. The transcripts were read several times and coded line by line. Afterwards, codes were grouped into themes. The developed themes were refined into two phases with the participation of all the authors. From the analysis, the following three themes were identified: "A false sense of gender equity", "IPV among young people: subtle, daily and normalized", and "Mass media campaigns do not fit young people's needs". According to the participants, psychological abuse in the form of controlling behaviour by their partners is the most common type of IPV young women are exposed to, although exposure to other types of IPV was also acknowledged. This violence was described as something subtle, daily and normalized and, consequently, not something that is easy to recognize for the girls that are exposed to it, nor for adults working with young people. The study participants showed good knowledge of the characteristics IPV has among young people. This knowledge was reflected in locally implemented IPV prevention projects, which they considered successful in addressing young

  16. Bereaved relatives' decision about deceased organ donation: An integrated psycho-social study conducted in Spain.

    Science.gov (United States)

    López, Jorge S; Martínez, José M; Soria-Oliver, María; Aramayona, Begoña; García-Sánchez, Rubén; Martín, María J; Almendros, Carmen

    2018-05-01

    Family refusal to organ donation of a deceased relative represents one of the most important barriers to organ transplantation. Although a large literature about family decisions has amassed, the existing evidence needs further integration and structuring. This study seeks to analyse relationships between bereaved relatives' decisions and a wide range of factors that converge in the family decision process, including interactions and complex relationship patterns, and taking psychosocial theoretical frameworks as reference to conceptualize empirical findings. This observational study examined 16 Spanish hospitals during a 36-month period. Transplant coordination teams collected data of 421 cases of family decision processes about donation (338 donations/83 refusals) through a previously validated instrument. Indicators of the following factors were collected: deceased's characteristics; circumstances of death; bereaved relatives' characteristics, beliefs, and expressions; behaviour of health and coordination staff; and family's emotional responses. Three global hypotheses related to bivariate and multivariate relations of factors with family decisions and relationships/interactions among factors were tested. Relatives' beliefs about the deceased's wishes concerning donation are the strongest predictor of family decisions. However, family decisions are also related to the deceased's characteristics, relatives' characteristics, satisfaction with medical attention, satisfaction with personal treatment and relatives' emotional responses, and other factors. Relatives' emotional reactions are related to satisfaction with health-staff interventions and condition family decision, even if deceased's will concerning donation is known and positive. Relatives' beliefs about deceased's wishes concerning donation vary as a function of deceased's characteristics and according to relatives' characteristics. Understanding of family decisions underlying organ donation may greatly

  17. Geotechnical zoning of urban foundations: Avilés case study (N Spain)

    Science.gov (United States)

    María Díaz-Díaz, Luis; Arias, Daniel; López-Fernández, Carlos; Pando, Luis

    2014-05-01

    The purpose of this paper is to carry out a geotechnical evaluation of the underground within an urban setting in relation to types of foundations, and particularly at expansion zones. The ultimate aim is to produce a foundation zonation map at the scale 1:10,000. Furthermore, a general methodology that way be extrapolated to other cities is proposed. This work focused on the city of Aviles like a case study; a medium-sized city which has significant industrial and port areas and singular equipment in its surroundings. This city is located in the Spanish north coast and spread out on both flanks of the Avilés stuary. This means that there are an important development of recent deposits that implies different geotechnical units with a highly variable behavior, generally poor. In contrast, the bedrock is more homogenous, formed by Permo-Triassic red clay and marl. Locally there are also outcrops of carbonates and conglomeratic Jurassic levels. Also, on the whole area is important to note the presence of heterogeneous anthropic deposits along the whole area as a consequence, mainly, of an intense industrial activity. Permo-Triassic clayey and marly materials imply special engineering issues in foundations as a consequence of their composition (likely weathering, presence of gypsum, low bearing capacity). Moreover, recent deposits (marine and alluvial origin) show different geotechnical behaviors depending on their geometry and grain size. Hence, many areas of the city are especially problematic when designing and implementing foundations. The methodology followed in this study consisted in elaborating a geological-geotechnical exhaustive survey of the urban underground on a scale of 1/10.000. Based on this, a multi criteria analysis of the identified geotechnical units was carried out taking into consideration all the lithological, geomorphological, hidrogeological and geotechnical aspects. Taken into account all of these criteria, a number of areas are defined based

  18. MiSight Assessment Study Spain (MASS). A 2-year randomized clinical trial.

    Science.gov (United States)

    Ruiz-Pomeda, Alicia; Pérez-Sánchez, Belén; Valls, Isabel; Prieto-Garrido, Francisco Luis; Gutiérrez-Ortega, Ramón; Villa-Collar, César

    2018-05-01

    To compare myopia progression in children randomized to MiSight contact lenses (CLs) versus children corrected with single-vision spectacles (SV) over a 2-year period. Subjects aged 8 to 12 with myopia (-0.75 to -4.00 D sphere) and astigmatism (< -1.00 D cylinder) were assigned to the lens study group (MiSight) or the control group (single vision). Measurements of visual acuity and subjective refraction were taken at 6-month intervals, and axial length, anterior chamber, corneal power, and cycloplegic autorefraction were measured at the baseline, 12-month, and 24-month visits. Eighty-nine subjects were recruited. Forty-fix children were assigned to the MiSight group, and 33 to the single-vision spectacle group. In total, 74 children completed the clinical trial, with the following parameters at the beginning of the study: n =  41 in the MiSight group (age: 11.01 ± 1.23 years, spherical equivalent: -2.16 ± 0.94 D, gender: male: 21, female: 20) and n = 33 in the single-vision group (age: 10.12 ± 1.38 years, spherical equivalent: -1.75 ± 0.94 D, gender: male: 12, female: 21). After 2 years of follow-up, myopia progressed slowly in the MiSight group compared to the control group (0.45 D vs 0.74 D, p < 0.001) and there was less axial elongation in the MiSight group compared to the single-vision group (0.28 mm vs 0.44 mm, p < 0.001). Therefore, use of MiSight CLs produced lower myopia progression (39.32%) and lower axial growth of the eye (36.04%) at 2 years compared to spectacle use. MiSight contact lens wear reduces axial elongation and myopia progression in comparison to distance single-vision spectacles in children. ClinicalTrials.gov Identifier: NCT01917110.

  19. 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)

  20. 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.

  1. Evaluation of coastal management: Study case in the province of Alicante, Spain.

    Science.gov (United States)

    Palazón, A; Aragonés, L; López, I

    2016-12-01

    The beaches are complex systems that can be studied from different points of view and meet more than a mission to protect the coast. Their management consists of assigning solutions to problems and for this to be correct all factors involved have to be taken into account. In order to understand how management is done on the coast of the province of Alicante, surveys have been conducted among the managers of the 19 coastal municipalities of Alicante coast, covering the 91 beaches. The aim of the surveys is to try to know the problems and situations relating to the management, depending on different factors such as the level of urbanization and type of sediment. In addition, it has been investigated whether this management is aimed to protect the coastline, maintain the flora and fauna or is just a recreational management since the main economic activity is tourism. The beaches are conceived of as products offered to the user, which is what most concerns its economic importance in an area where the sun and beach tourism has a special share of the GDP. The ignorance as to the major problems regarding their physical functioning and the inability to solve them is due to a complex administrative system with which the coastal system is regulated inefficiently. The integral approach is essential for a complete and effective management of the coastal environment. Copyright © 2016 Elsevier B.V. All rights reserved.

  2. Renewable energy research 1995–2009: a case study of wind power research in EU, Spain, Germany and Denmark

    DEFF Research Database (Denmark)

    Sanz-Casado, Elias; Garcia- Zorita, J. Carlos; Serrano-López, Antonio Eleazar

    2013-01-01

    The paper reports the developments and citation patterns over three time periods of research on Renewable Energy generation and Wind Power 1995–2011 in EU, Spain, Germany and Denmark. Analyses are based on Web of Science and incorporate journal articles as well as conference proceeding papers...... terms to map knowledge export areas. Findings show an increase in citation impact for Renewable Energy and Wind Power research albeit hampered by scarcely cited conference papers. Although EU maintains its global top position in producing Renewable Energy and Wind Power research the developments of EU...... Wind Power research are EU-self citations. An expected intensified EU collaboration in the Wind Energy field does not come about. The most productive research institutions in Denmark and Spain are also the most cited ones....

  3. Renewable energy research 1995-2009: a case study of wind power research in EU, Spain, Germany and Denmark

    OpenAIRE

    Sanz Casado, Elías; García Zorita, Carlos; Serrano-López, Antonio Eleazar; Larsen, Birger; Ingwersen, Peter

    2013-01-01

    The original publication is available at www.springerlink.com The paper reports the developments and citation patterns over three time periods of research on Renewable Energy generation and Wind Power 1995&-2011 in EU, Spain, Germany and Denmark. Analyses are based on Web of Science and incorporate journal articles as well as conference proceeding papers. Scientometric indicators include publication collaboration ratios, top-player distribution as well as citedness and correspondence analy...

  4. ‘Agrofood local productive systems’ (ALPS): a case study of Castilla y León, Spain

    OpenAIRE

    Juan José Juste Carrión

    2007-01-01

    IntroductionThe agrofood industry in Spain has undergone a deep transformation during the last two decades and the acceleration of technological innovation and economic globalization processes are impelling a complex process of productive restructuration within all industrial activities – which has provoked a noticeable increase in the requirements of flexibility and competitiveness for food and drink manufacturers Trends towards a gradual fragmentation of the market, due to the progressive p...

  5. A study of natural recovery in an aquatic ecosystem affected by mining: the Rodrigatos stream (El Bierzo, Leon, Spain)

    International Nuclear Information System (INIS)

    Lacal, M.; Herrero, T.; Rodriguez, V.; Alberruche, E.; Vadillo, L.

    2009-01-01

    This work takes place into the Bierzo Region, located in northeast of the province of Leon (Spain). In this area numerous open-pit and underground coal mines exist. Some of them are still in activity but almost have been abandoned. In any case, mining implies the presence of coal adits, spoil dumps, tailing dams, and coal-washing plants at the river bank. Most of them persist when mining have finished. (Author)

  6. The Social Situation of Immigrant Farm Workers : A Comparative Study between Spain and the U.S.

    OpenAIRE

    Izcara Palacios, Simón Pedro; Yamamoto, Yasutaka; Sawauchi, Daisuke; Sajiki, Takahiro; Demura, Katsuhiko

    2009-01-01

    In Spain and in the United States domestic farm laborers are not available in sufficient numbers during peak harvest seasons. Therefore, intensive farm production has a dependence on immigrant workers, mainly laborers who lack proper documentation to legally reside or work. Moreover increases in the labor supply, prompted by continued unauthorized entries and employment has adversely affected the wages and working conditions in the farming sector, speeding the exit of local workers from agric...

  7. Ingested Nitrate and Breast Cancer in the Spanish Multicase-Control Study on Cancer (MCC-Spain).

    Science.gov (United States)

    Espejo-Herrera, Nadia; Gracia-Lavedan, Esther; Pollan, Marina; Aragonés, Nuria; Boldo, Elena; Perez-Gomez, Beatriz; Altzibar, Jone M; Amiano, Pilar; Zabala, Ana Jiménez; Ardanaz, Eva; Guevara, Marcela; Molina, Antonio J; Barrio, Juan Pablo; Gómez-Acebo, Ines; Tardón, Adonina; Peiró, Rosana; Chirlaque, Maria Dolores; Palau, Margarita; Muñoz, Montse; Font-Ribera, Laia; Castaño-Vinyals, Gemma; Kogevinas, Manolis; Villanueva, Cristina M

    2016-07-01

    nitrate and breast cancer in the Spanish Multicase-Control Study on Cancer (MCC-Spain). Environ Health Perspect 124:1042-1049; http://dx.doi.org/10.1289/ehp.1510334.

  8. A long-term retrospective study on rehabilitation of seabirds in Gran Canaria Island, Spain (2003-2013)

    Science.gov (United States)

    Montesdeoca, Natalia; Calabuig, Pascual; Corbera, Juan A.

    2017-01-01

    Aims The aims of this study were to analyze the causes of morbidity and mortality in a large population of seabirds admitted to the Tafira Wildlife Rehabilitation Center (TWRC) in Gran Canaria Island, Spain, from 2003 to 2013, and to analyze the outcomes of the rehabilitation process. Methods We included 1,956 seabirds (133 dead on admission and 1,823 admitted alive) in this study. Causes of morbidity were classified into nine categories: light pollution (fallout), fishing gear interaction, crude oil, poisoning/intoxication, other traumas, metabolic/nutritional disorder, orphaned young birds, other causes, and unknown/undetermined. The crude and stratified (by causes of admission) rates of the three final disposition categories (euthanasia Er, unassisted mortality Mr, and release Rr), the time until death, and the length of stay were also studied for the seabirds admitted alive. Results Yellow-legged Gull (Larus michahellis) was the species most frequently admitted (46.52%), followed by Cory’s Shearwater (Calonectris diomedea borealis) (20.09%). The most frequent causes of morbidity were light pollution (fallout) (25.81%), poisoning/intoxication (24.69%), and other traumas (18.14%). The final disposition rates were: Er = 15.35%, Mr = 16.29%, and Rr = 68.34%. The highest Er was observed in the ‘other traumas’ category (58.08%). Seabirds admitted due to metabolic/nutritional disorder had the highest Mr (50%). The highest Rr was observed in the light pollution (fallout) category (99.20%). Conclusions This survey provides useful information for the conservation of several seabird species. We suggest that at least the stratified analysis by causes of admission of the three final disposition rates, and the parameters time until death and length of stay at the center should be included in the outcome research of the rehabilitation of seabirds. The high release rate for seabirds (68.34%) achieved at the TWRC emphasizes the importance of wildlife rehabilitation

  9. THE EUROPEAN UNION EXPOSED TO THE RISK OF THE SOVEREIGN DEBT CRISIS. CASE STUDY: SPAIN AND PORTUGAL

    Directory of Open Access Journals (Sweden)

    Ioana-Iulica, MIHAI

    2013-12-01

    Full Text Available The global economic crisis, intensely debated, started almost six years ago, subjected the EU to new resistance tests because of the macroeconomic imbalances in the Euro Zone, generated by the increase of sovereign debts, especially in the PIIGS countries (Portugal, Ireland, Italy, Greece, Spain. The situation has degenerated because of the lack of legal leverages through which the member countries should be forced to correct the fiscal imbalances and to meet the macroeconomic convergence criteria imposed. The Treaty on Fiscal Governance in the EU, signed on 2 March 2012, appears to be the key to the macroeconomic recovery in the Euro Zone, due to the more severe budgetary discipline it imposes. This paper, by means of deductive analysis and causal explanations, outlines the current economic situation of the Euro Zone, under the impact of the member countries’ sovereign debt crisis, focusing on Spain and Portugal. In addition to reliable statistics, the paper also presents the EU’s economic recovery strategy that anticipates its future. Unfortunately, the perspective of the Euro Zone is still in a fairly high degree of uncertainty, strongly influenced by the economic development of the member countries and by solving the problems they face. Spain and Portugal are the actual example.

  10. FTIR microspectroscopy and SIMS study of water-poor cordierite from El Hoyazo, Spain: Application to mineral and melt devolatilization

    Science.gov (United States)

    Della Ventura, Giancarlo; Bellatreccia, Fabio; Cesare, Bernardo; Harley, Simon; Piccinini, Massimo

    2009-12-01

    This paper reports the microchemical and microspectroscopic FTIR study of cordierite from a partially melted graphite-bearing granulitic enclave within the dacitic lava dome of El Hoyazo (SE Spain). Optically transparent single-crystals, hand picked from the rock, were oriented using X-ray diffraction and studied by Fourier-transform infrared (FTIR). Single-crystal FTIR spectroscopy shows that the examined cordierite is CO 2-rich and almost H 2O-free. Two weak and sharp peaks are observed at 3708 and 3595 cm - 1 , respectively, which are strongly polarised for E // a. These peaks are assigned to combination modes of CO 2. Very weak bands due to H 2O molecules oriented with the H…H vector // c (type I water) are occasionally observed in certain zones of the grains, associated with absorptions due to hydrated inclusions of alteration products. The very intense bands observed in the 2600-2000 cm - 1 region are assigned to CO 2 molecules oriented // a; the spectra also show the presence of 13C and 18O, and weak amounts of CO in the sample. Microspectrometric mapping shows that the distribution of C is relatively homogeneous, whereas that of H 2O is complicated by a very broad absorption extending from 3700 to 3100 cm - 1 . High-resolution FTIR imaging, done using a focal-plane array of detectors, shows that this broad absorption is associated with microfractures. SIMS analyses give an average concentration of H 2O = 0.033 ± 0.007 wt.% and CO 2 = 0.21 ± 0.07 wt.%. On the basis of these data, molar absorption coefficients can be calibrated for CO 2: ɛiCO2 (integrated) = 11,000 ± 4000 l/(mol cm - 2 ) and ɛlCO2 (linear) = 800 ± 250 l/(mol cm - 1 ). Due to the extremely low amount of H 2O and its inhomogeneous distribution, calibration of absorption ɛH2O coefficients is unreliable. The very low H 2O contents in the El Hoyazo cordierite indicate continued mineral-melt volatile exchange during decompression from ˜ 5 kbar to significantly shallower levels.

  11. [Epidemiological and clinical characteristics of infants admitted to hospital due to human parechovirus infections: A prospective study in Spain].

    Science.gov (United States)

    Martín Del Valle, Fernando; Calvo, Cristina; Martinez-Rienda, Inés; Cilla, Amaia; Romero, María P; Menasalvas, Ana Isabel; Reis-Iglesias, Leticia; Roda, Diana; Pena, María J; Rabella, Nuria; Portugués de la Red, María Del Mar; Megías, Gregoria; Moreno-Docón, Antonio; Otero, Almudena; Cabrerizo, María

    2018-02-01

    Human parechovirus (HPeV) is one of the recently described picornaviridae viruses that have been associated with fever of unknown origin (FUO), clinical sepsis, gastroenteritis, meningitis, or encephalitis in very young infants. The aim of this study is to describe the epidemiology and clinical features of these viruses. A prospective multicentre 3-year study was conducted in 12 hospitals in Spain. Out of 850 specimens examined, 47 were positive (5.52%), with HPeV-3 being the most frequent (29 cases). Infections occurred throughout the year, but mainly in May and July, and a biennial distribution was observed. More than half (57%) were neonates, and only 2 children were older than 3 months. Fever was present in all children, with irritability in 45%, rash in 18.6%, and diarrhoea in 14%. The results of biochemical tests were all in normal range. The most common final diagnosis was FUO (61%), followed by clinical sepsis (29%). Up to 29% of infants were admitted to the intensive care unit, but only one patient had sequelae. Out of 850 specimens examined, 47 were positive (5.52%) for HPeV, with HPeV-3 being the most frequent (29 cases). Infections occurred throughout the year, but mainly in May and July, and a biennial distribution was observed. More than half (57%) were neonates, and only 2 children were older than 3 months. Fever was present in all children, with irritability in 45%, rash in 18.6%, and diarrhoea in 14%. The results of biochemical tests were all in normal range. The most common final diagnosis was FUO (61%), followed by clinical sepsis (29%). Up to 29% of infants were admitted to the intensive care unit, but only one patient had sequelae CONCLUSIONS: HPeV circulates in our country, mainly during spring and summer, and affects young infants with a FUO and clinical sepsis. Molecular diagnostic techniques in all hospitals could help in improving the management of patients with these infections. Copyright © 2016 Asociación Española de Pediatr

  12. Study on some risk factors and effects of bovine ketosis on dairy cows from the Galicia region (Spain).

    Science.gov (United States)

    Viña, C; Fouz, R; Camino, F; Sanjuán, M L; Yus, E; Diéguez, F J

    2017-10-01

    The study was designed to determine the relation between β-hydroxybutyrate (BHB) concentrations in milk from dairy cows after calving and the length of the previous lactation, the dry period and the 305-day normalized production, and to assess the influence of BHB concentrations on culling and test-day milk productions and somatic cell counts (SCC) throughout the lactation that followed the BHB measurement. The data used in the study were obtained from 59 187 cows in the Galicia region (Spain). BHB determination was performed using Fourier-transformed infrared spectrometry from the milk samples collected from each cow on the first post-partum test day. For statistical analysis, the following methods were applied: (i) ordinal regression to assess the effect of the length of the previous lactation, the dry period and the 305-day normalized milk production on milk BHB, (ii) a Cox model to estimate the influence of the BHB concentration on risk of culling (overall and for a variety of reasons) and (iii) linear regression to assess the link between BHB and the milk yield and SCC obtained from each of the tests day performed throughout lactation. The probability of having higher BHB concentrations increased when the length of the previous lactation (p = 0.006), the dry period (p = 0.003) and the 305-day normalized milk yield (p = 0.005) increased. However, the slight increase observed (especially for the case of the dry period and the 305-day milk yield) would not justify that measures be implemented to reduce these traits. Higher concentrations of BHB led to an increased risk of culling due to 'death' (p ≤ 0.001) and 'urgent slaughter' (p ≤ 0.002) (both causes of involuntary culling). It also led to a reduction in milk production (p < 0.001) and an increase in SCC (p < 0.001) in the post-partum; from that moment onward (including peak lactation), there were no differences in those two parameters depending on the BHB levels. Journal of Animal

  13. 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.

  14. The diet of diabetic patients in Spain in 2008-2010: accordance with the main dietary recommendations--a cross-sectional study.

    Directory of Open Access Journals (Sweden)

    Maritza Muñoz-Pareja

    Full Text Available BACKGROUND: No previous study has assessed the diet of the diabetic patients in the general population of an entire country in Europe. This study evaluates accordance of the diet of diabetic adults in Spain with nutritional recommendations of the European Association for the Study of Diabetes (EASD, American Diabetes Association (ADA, and the Mediterranean diet (MD. METHODS AND FINDINGS: Cross-sectional study conducted in 2008-2010 among 12,948 persons representative of the population aged ≥18 years in Spain. Usual food consumption was assessed with a dietary history. EASD accordance was defined as ≥6 points on a score of 12 nutritional goals, ADA accordance as ≥3 points on a score of 6 goals, and MD accordance as ≥7 points on the Mediterranean Diet Adherence Screener. In the 609 diagnosed diabetic individuals, the diet was rich in saturated fat (11.2% of total energy, but trans fat intake was relatively low (1.1% energy and monounsaturated fat intake was high (16.1% energy. Carbohydrate intake was relatively low (41.1% energy, but sugar intake was high (16.9% energy. Intake of cholesterol (322 mg/day and sodium (3.1 g/day was also high, while fiber intake was insufficient (23.8 g/day. EASD accordance was observed in 48.7% diabetic patients, ADA accordance in 46.3%, and MD accordance in 57.4%. The frequency of EASD, ADA and MD accordance was not statistically different between diagnosed and undiagnosed diabetic individuals. CONCLUSIONS: Only about half of diabetic patients in Spain have a diet that is consistent with the major dietary recommendations. The lack of dietary differences between diagnosed and undiagnosed diabetic individuals reflects deficiencies in diabetes management.

  15. Eating symptomatology and general psychopathology in patients with anorexia nervosa from China, UK and Spain: A cross-cultural study examining the role of social attitudes

    Science.gov (United States)

    Brewin, Nicola; Chen, Jue; Granero, Roser; Kang, Qing; Fernandez-Aranda, Fernando; Arcelus, Jon

    2017-01-01

    Cultural studies exploring differences in the manifestation of anorexia nervosa (AN) have primarily focus on Western and non-Western cultures. However, no study so far has considered the role that social attitudes (i.e. Collectivist vs. Individualist cultural values) have in the clinical manifestations of eating disorders, including AN patients. With this in mind, the aim of this study is to compare eating and general psychopathology in a large sample of individuals diagnosed with AN from China, Spain, and United Kingdom (UK), in order to study the differences according to belonging to Western or non-Western country, or the country's Individualist Index (IDV). The total sample comprised on 544 adults with a diagnosis of AN recruited from People´s Republic of China (n = 72), UK (n = 117), and Spain (n = 355). Assessment measures included the Eating Disorders Inventory and the Symptom Checklist-90-Revised. Our results show significant differences in most of the eating and psychopathological indices between the three countries. Patients from Western societies (Spain and UK) share more similarities regarding psychopathological expression of AN than the non-Western country (China). While Western countries show higher levels of body dissatisfaction, somatization and overall psychopathology, Chinese patients tend to deny or minimize depression, anxiety and other psychopathological symptoms. Besides, the IDV shows cultural differences in the interpersonal sensitivity scale, being AN patients from UK (the more individualistic society) who presented with higher levels of interpersonal sensitivity (i.e. discomfort during interpersonal interactions and more negative expectations concerning interpersonal behavior). In conclusion, our findings suggest that psychopathological expression of AN is better explained by Western/Eastern influence than by individualist/collectivist values. Although the diagnosis for the eating disorder may be the same, differences in the

  16. Eating symptomatology and general psychopathology in patients with anorexia nervosa from China, UK and Spain: A cross-cultural study examining the role of social attitudes.

    Science.gov (United States)

    Agüera, Zaida; Brewin, Nicola; Chen, Jue; Granero, Roser; Kang, Qing; Fernandez-Aranda, Fernando; Arcelus, Jon

    2017-01-01

    Cultural studies exploring differences in the manifestation of anorexia nervosa (AN) have primarily focus on Western and non-Western cultures. However, no study so far has considered the role that social attitudes (i.e. Collectivist vs. Individualist cultural values) have in the clinical manifestations of eating disorders, including AN patients. With this in mind, the aim of this study is to compare eating and general psychopathology in a large sample of individuals diagnosed with AN from China, Spain, and United Kingdom (UK), in order to study the differences according to belonging to Western or non-Western country, or the country's Individualist Index (IDV). The total sample comprised on 544 adults with a diagnosis of AN recruited from People´s Republic of China (n = 72), UK (n = 117), and Spain (n = 355). Assessment measures included the Eating Disorders Inventory and the Symptom Checklist-90-Revised. Our results show significant differences in most of the eating and psychopathological indices between the three countries. Patients from Western societies (Spain and UK) share more similarities regarding psychopathological expression of AN than the non-Western country (China). While Western countries show higher levels of body dissatisfaction, somatization and overall psychopathology, Chinese patients tend to deny or minimize depression, anxiety and other psychopathological symptoms. Besides, the IDV shows cultural differences in the interpersonal sensitivity scale, being AN patients from UK (the more individualistic society) who presented with higher levels of interpersonal sensitivity (i.e. discomfort during interpersonal interactions and more negative expectations concerning interpersonal behavior). In conclusion, our findings suggest that psychopathological expression of AN is better explained by Western/Eastern influence than by individualist/collectivist values. Although the diagnosis for the eating disorder may be the same, differences in the

  17. Eating symptomatology and general psychopathology in patients with anorexia nervosa from China, UK and Spain: A cross-cultural study examining the role of social attitudes.

    Directory of Open Access Journals (Sweden)

    Zaida Agüera

    Full Text Available Cultural studies exploring differences in the manifestation of anorexia nervosa (AN have primarily focus on Western and non-Western cultures. However, no study so far has considered the role that social attitudes (i.e. Collectivist vs. Individualist cultural values have in the clinical manifestations of eating disorders, including AN patients. With this in mind, the aim of this study is to compare eating and general psychopathology in a large sample of individuals diagnosed with AN from China, Spain, and United Kingdom (UK, in order to study the differences according to belonging to Western or non-Western country, or the country's Individualist Index (IDV. The total sample comprised on 544 adults with a diagnosis of AN recruited from People´s Republic of China (n = 72, UK (n = 117, and Spain (n = 355. Assessment measures included the Eating Disorders Inventory and the Symptom Checklist-90-Revised. Our results show significant differences in most of the eating and psychopathological indices between the three countries. Patients from Western societies (Spain and UK share more similarities regarding psychopathological expression of AN than the non-Western country (China. While Western countries show higher levels of body dissatisfaction, somatization and overall psychopathology, Chinese patients tend to deny or minimize depression, anxiety and other psychopathological symptoms. Besides, the IDV shows cultural differences in the interpersonal sensitivity scale, being AN patients from UK (the more individualistic society who presented with higher levels of interpersonal sensitivity (i.e. discomfort during interpersonal interactions and more negative expectations concerning interpersonal behavior. In conclusion, our findings suggest that psychopathological expression of AN is better explained by Western/Eastern influence than by individualist/collectivist values. Although the diagnosis for the eating disorder may be the same, differences in the

  18. Sources and timing of pyroxenite formation in the sub-arc mantle: Case study of the Cabo Ortegal Complex, Spain

    Science.gov (United States)

    Tilhac, Romain; Grégoire, Michel; O'Reilly, Suzanne Y.; Griffin, William L.; Henry, Hadrien; Ceuleneer, Georges

    2017-09-01

    Pyroxenites exposed in ophiolites and orogenic peridotite massifs may record petrogenetic processes occurring in mantle domains generated and/or transferred in supra-subduction environments. However, the timing of their formation and the geochemical characteristics of their source region commonly are obscured by metamorphic and metasomatic overprints. This is especially critical in arc-related environments, where pyroxenites may be formed during the differentiation of primitive magmas. Our approach combines Sr- and Nd-isotope geochemistry and geochronology, and modelling of REE diffusion, to further constrain the origin of a well-characterized set of pyroxenites from the arc-related Cabo Ortegal Complex, Spain. In the light of petrological constraints, Sr- and Nd-isotope systematics consistently indicate that cpx and amphibole have acquired disequilibrium during two main episodes: (1) a magmatic/metasomatic episode that led to the formation of the pyroxenites, coeval with that of Cabo Ortegal granulites and corresponding to the incipient stage of a potential Cadomian arc (459-762 Ma; isochron and second-stage Nd model ages); (2) an episode of metamorphic amphibolitization upon the percolation of relatively unradiogenic and LREE-enriched hydrous fluids, subsequent to the delamination of the pyroxenites from their arc-root settings during Devonian subduction. Calculations of diffusional timescale for the re-equilibration of REE are consistent with this scenario but provide only poor additional constraints due to the sensitivity of this method to grain size and sub-solidus temperature. We thus emphasize the necessity to combine isochron ages and Nd model ages corrected for radiogenic ingrowth to put time constraints on the formation of subduction- and/or collision-related pyroxenites, along with petrological and geochemical constraints. Homogeneous age-corrected 143Nd/144Nd of 0.5121-0.5125 (εNd between 0 and +7.5) and 87Sr/86Sr of 0.7037-0.7048 provide information

  19. Costs of ulcerative colitis from a societal perspective in a regional health care area in Spain: A database study.

    Science.gov (United States)

    Aldeguer, Xavier; Sicras-Mainar, Antoni

    2016-01-01

    To estimate the management of UC associated costs from the societal perspective in Spain. Observational, longitudinal study with retrospective data collection based on reviews of outpatient health records. Socio-demographic, clinical and sick leave information was gathered. Patients diagnosed of UC between 2002 and 2012, older than 18 years, followed-up by a minimum of 12 months post diagnosis, with at least two clinical and use of resources data recorded, were included. 285 UC patients [51.2% men; 44.5 (SD: 15.6) years old; 88.4% without family history of UC; 39.3% proctitis; 5.6 (2.5) years disease follow-up] participated. More than half (65.6%) were active workers, 75.9% were on sick leave for reasons different from UC [mean 0.66 (0.70) times per year] during (mean) 28.43 (34.45) days. Only 64 patients were on UC-related sick-leaves, lasting (mean) 26.17 (37.43) days. Absenteeism due to medical visits caused loss of 29.55 (21.38) working hours per year. Mean direct and indirect annual cost per UC patient were €1754.10 (95%CI: 1473.37-2034.83) and €399.32 (282.31-422.69), respectively. Absenteeism was estimated at €88.21(32.72-50.06) per patient per year, in which sick-leaves were the main component of indirect costs (88.2%). Age, UC family history, diarrhea at diagnosis, blood and blood-forming organs diseases and psychological disorders were the main predictors of indirect costs. UC is a costly disease for the society and the Spanish National Healthcare System. Indirect costs imply a major burden by affecting the most productive years of patients. Further research is needed considering all components of productivity loss, including presenteeism-associated costs. Copyright © 2015 Elsevier España, S.L.U. and AEEH y AEG. All rights reserved.

  20. Contribution of the climatic transect approach application to the study of soil degradation in South of Spain.

    Science.gov (United States)

    Ruiz-Sinoga, José D.; Gabarrón-Galeote, Miguel A.; Cerdà, Artemi; Martínez-Murillo, Juan F.

    2014-05-01

    Since 1990s, the climatic transect approach has been widely applied to Mediterranean mountainous areas where climatic conditions are modified in few kilometres, from semiarid to humid conditions. The target in most of the cases was to evaluate the climatic change effect on the spatial variability of eco-geomorphological system, runoff and erosion and soil degradation processes, especially, in abandoned fields and Mediterranean rangeland. The Physical Geography and Land Management Research Group from the University of Málaga is applying this experimental approach since 2001. The study area corresponded to the Mediterranean Cordillera Bética in South of Spain, from the Strait of Gibraltar to Cabo de Gata, where a longitudinal climatic transect can be observed: from humid Mediterranean climate in the West (>1,500 mm/y) to nearly arid Mediterranean climate in the East (200 mm/y). More specifically, the investigations were focussed on the spatial and temporal variability of eco-geomorphological system (vegetation, soil and water relationship), runoff and erosion processes and controlling factors affecting to abandoned fields located in steep hillslopes of metamorphic and acid bedrocks (phyllites, schists and mica-schists) but differing in climatic conditions (humid, subhumid, dry and semiarid Mediterranean climate). The aim of this contribution is to share our findings and challenges from the last 13 years being some of the most important ones: i) Mediterranean summer drought homogenise the functioning of eco-geomorphological system independently of the geographical location along the climatic transect; ii) drought period affects more dramatically to humid and subhumid Mediterranean areas, especially, to the vegetation cover and pattern; iii) areas characterised by dry-Mediterranean climate are found as threshold areas and in risk of aridification due to Climate Change; iv) runoff and erosion processes can be similar in humid and semiarid abandoned lands as it has to

  1. Gastro-enteritis outbreak among Nordic patients with psoriasis in a health centre in Gran Canaria, Spain: a cohort study

    Directory of Open Access Journals (Sweden)

    Rose Angela MC

    2004-10-01

    Full Text Available Abstract Background Between November 2 and 10, 2002 several patients with psoriasis and personnel staying in the health centre in Gran Canaria, Spain fell ill with diarrhoea, vomiting or both. Patient original came from Norway, Sweden and Finland. The patient group was scheduled to stay until 8 November. A new group of patients were due to arrive from 7 November. Methods A retrospective cohort study was conducted to assess the extent of the outbreak, to identify the source and mode of transmission and to prevent similar problems in the following group. Results Altogether 41% (48/116 of persons staying at the centre fell ill. Norovirus infection was suspected based on clinical presentations and the fact that no bacteria were identified. Kaplan criteria were met. Five persons in this outbreak were hospitalised and the mean duration of diarrhoea was 3 days. The consequences of the illness were more severe compared to many other norovirus outbreaks, possibly because many of the cases suffered from chronic diseases and were treated with drugs reported to affect the immunity (methotrexate or steroids. During the two first days of the outbreak, the attack rate was higher in residents who had consumed dried fruit (adjusted RR = 3.1; 95% CI: 1.4–7.1 and strawberry jam (adjusted RR = 1.9; 95% CI: 0.9–4.1 than those who did not. In the following days, no association was found. The investigation suggests two modes of transmission: a common source for those who fell ill during the two first days of the outbreak and thereafter mainly person to person transmission. This is supported by a lower risk associated with the two food items at the end of the outbreak. Conclusions We believe that the food items were contaminated by foodhandlers who reported sick before the outbreak started. Control measures were successfully implemented; food buffets were banned, strict hygiene measures were implemented and sick personnel stayed at home >48 hours after last

  2. [The users of centers for AIDS information and prevention in the Comunidad Valenciana, Spain: a study based on cluster analysis].

    Science.gov (United States)

    González Aracil, J; Ruiz Pérez, I; Aviñó Rico, M J; Hernández Aguado, I

    1999-01-01

    To measure the usefulness of multiple correspondence analysis (MCA) and cluster analysis applied to the epidemiological research of HIV infection. The specific are to explore the relationships between the different variables that characterize the users of the AIDS Information and Prevention Center (CIPS) and to identify clusters of characteristics which in terms of the attendance to these centers, could be considered similar. The clinical history the CIPS in the Valencian region in Spain was used as data source. The target population target were intravenous drug users (IDUSs) attending these centers between 1987 and 1994 (n = 6211). Information about socio-demographic and HIV type I infection-related variables (drug use and sexual behaviour) was collected by means of a semistructured questionnaire. A MCA was carried out to obtain a group of quantitative factors that were used in a cluster analysis. A 44.8% HIV type I prevalence was found. Five factors were detected by MCA that explain 51.14% of the total variability, of which sex, age and the usual sexual partner were the variables best explained. Cluster analysis allowed to describe 5 different subgroups of CIPS users according to their socio-demographics characteristics, risk behaviours and serologic status. It is necessary to highlight the categories 1 and 2, which collect the serologic status and the most relevant characteristics of HIV infection. Category I contains users with a negative serology and characterized by being mainly single adolescent men, with a low educational level; they stated that they have no steady sexual partner, do not share syringes and have been intravenous drug users between 3 and 10 years. They mainly come from the city of Alicante. Category 2 contains mainly people that are HIV positive and older. They also share syringes and have been intravenous drug users for a longer time; they have a higher education level and most of them come from the city of Valencia. The proposed method of

  3. Clinical course after five years of insulin therapy in patients with type 2 diabetes in Spain: results of the EDIN study.

    Science.gov (United States)

    Rodríguez, Angel; Tofe, Santiago; Reviriego, Jesus

    2014-01-01

    The primary study objective was to assess the proportion of patients with type 2 diabetes and an HbA1c value ≤ 6.5% from the start of insulin therapy to five years later in the outpatient setting in Spain. This was an observational, multicenter, naturalistic study with retrospective collection of clinical data. Investigators were endocrinologists or internal medicine specialists from all over Spain. During standard clinical care, patients started insulin therapy, which was continued for at least 5 years. The clinical records of 405 patients were reviewed. The final analysis set included records from 346 patients. At baseline (start of insulin therapy), 51.2% of patients were female; mean (SD) age was 64.6 (9.0) years; body mass index, 29.8 (4-5) kg/m(2); time since diagnosis, 8.8 (6.8) years; HbA1c, 9.4% (1.5); fasting glucose, 223.7 (55.9) mg/dL; and mean 2-hour postprandial glucose, 293.6 (71.0) mg/dL. When insulin therapy was started, 1.0% of patients had an HbA1c value ≤ 6.5%. At 5 years, 10.3% of patients achieved the HbA1c goal of ≤ 6.5% (mean, 7.72%). All glucose parameters (HbA1c, fasting glucose, and 2-hour postprandial glucose) improved at 5 years as compared to values at the start of insulin therapy. Glucose parameters improved over time in patients with type 2 diabetes in this naturalistic study. However, blood glucose control exceeded the internationally recommended target values. These results therefore suggest that there is still some margin for improvement in outpatient care in Spain. Copyright © 2013 SEEN. Published by Elsevier Espana. All rights reserved.

  4. The clinical profile of women with stable ischaemic heart disease in Spain. More effort is needed in secondary prevention. SIRENA study.

    Science.gov (United States)

    Gámez, J M; Ripoll, T; Barrios, V; Anguita, M; Pedreira, M; Madariaga, I

    2016-01-01

    Cardiovascular diseases are the leading cause of death for women, especially ischaemic heart disease, which is still considered a man's disease. In Spain, there are various registries on ischaemic heart disease, although none are exclusively for women. The objectives of the SIRENA study were to describe the clinical profile of women with ischaemic heart disease treated in cardiology consultations, to estimate its prevalence of cardiovascular risk factors and understand its clinical management. A multicentre observational study was conducted with a sample of 631 women with stable ischaemic heart disease, consecutively included during cardiology consultations. Forty-one researchers from all over Spain participated in the study. The mean age was 68.5 years. The clinical presentation was in the form of acute coronary syndrome in up to 67.2% of the patients. The prevalence of cardiovascular risk factors was high (77.7% of the patients had hypertension, 40.7% had diabetes and 68% had dyslipidaemia), with 30.7% having uncontrolled hypertension, 78.4% having LDL-cholesterol levels higher than 70mg/dL and 49.2% having HbA1c levels greater than 7%. The considerable majority of the patients underwent optimal medical treatment with antiplatelet agents, beta-blockers, renin-angiotensin-aldosterone system blockers and hypolipidaemic agents. Coronary angiography was performed for 88.3% of the patients, and 63.4% underwent percutaneous coronary intervention. Women with stable ischaemic heart disease in Spain initially present some form of acute coronary syndrome and a high prevalence of inadequately controlled cardiovascular risk factors, despite undergoing optimal medical therapy. A high percentage of these women undergo coronary revascularisation. Increased efforts are required for secondary prevention in women with stable ischaemic heart disease. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

  5. Metallurgical study of the iberian weapons found in jutia valley (Nerpio-Yeste, Albacete, Spain. Work, weaponry, rituals and mountain communities

    Directory of Open Access Journals (Sweden)

    Marc Gener Moret

    2016-11-01

    Full Text Available We present a metallurgical study of weapons of the Iberian Iron Age documented in the high-altitude valley of Jutia (Nerpio-Yeste, Albacete, Spain integrated in the analysis of their specific archaeological context and as part of our ongoing research about the forms of organization of mountain landscapes during the Iron Age. The results are especially valid in the case of a soliferreum, whose metallographic analysis allows us to characterize the technology of its production process, and a lance tip, whose analysis raises arguments about the complex social life and the various social actions potentially linked to the objects placed in ritual and funerary contexts.

  6. Application of specific extraction chromatographic methods to the Rb-Sr, Sm-Nd isotope study of geological samples: The Hombreiro-Santa Eulalia Granite (Lugo, NW Spain)

    OpenAIRE

    Santos Zalduegui, J. F.; Pin, C.; Aranguren, A.; Gil Ibarguchi, José Ignacio

    1996-01-01

    The analytical application to geological samples of three new chromatographic resins, TRU-Spec ®, Sr-Spec ® and LN-Spec ®) has been investigated. Seven samples of the Hombreiro massif (Lugo, NW Spain) have been studied, that yield a Rb-Sr age of 298 ±5 Ma (SrQ = 0.7086, MSWD = 7.64) for the magma crystallization. Sm-Nd data results for the same massif give eNd values dose to -2 at 300 Ma. This suggests that the origin of the magma might be related to the partial melting of immature sediments,...

  7. External-beam PIXE spectrometry for the study of Punic jewellery (SW Spain): The geographical provenance of the palladium-bearing gold

    International Nuclear Information System (INIS)

    Ontalba Salamanca, M.A.; Gomez-Tubio, B.; Ortega-Feliu, I.; Respaldiza, M.A.; Luisa de la Bandera, M.; Ovejero Zappino, G.; Bouzas, A.; Gomez-Moron, A.

    2006-01-01

    This paper presents the study of a set of Punic gold items (400 B.C.), from the Museum of Cadiz (Spain). An external beam set-up has been employed for the absolutely non-destructive analysis of the objects. PIXE spectrometry has been performed in order to characterize the metallic alloys and the manufacturing techniques. Compositional differences have been found and soldering procedures have been identified. By comparison with the rings and other coetaneous jewellery, the presence of palladium in the bulk alloy of the earrings can be pointed out. The geographical provenance of the palladium-bearing gold is discussed based on geological and archaeological considerations

  8. External-beam PIXE spectrometry for the study of Punic jewellery (SW Spain): The geographical provenance of the palladium-bearing gold

    Energy Technology Data Exchange (ETDEWEB)

    Ontalba Salamanca, M.A. [Departamento de Fisica, Escuela Politecnica, Universidad de Extremadura, Avda. de la Universidad s/n., 10071 Caceres (Spain)]. E-mail: ontalba@unex.es; Gomez-Tubio, B. [Centro Nacional de Aceleradores, Sevilla (Spain); Ortega-Feliu, I. [Centro Nacional de Aceleradores, Sevilla (Spain); Respaldiza, M.A. [Centro Nacional de Aceleradores, Sevilla (Spain); Luisa de la Bandera, M. [Departamento de Arqueologia, Universidad de Sevilla (Spain); Ovejero Zappino, G. [Cobre Las Cruces SA, Gerena, Sevilla (Spain); Bouzas, A. [Instituto Andaluz de Patrimonio Historico, Sevilla (Spain); Gomez-Moron, A. [Instituto Andaluz de Patrimonio Historico, Sevilla (Spain)

    2006-08-15

    This paper presents the study of a set of Punic gold items (400 B.C.), from the Museum of Cadiz (Spain). An external beam set-up has been employed for the absolutely non-destructive analysis of the objects. PIXE spectrometry has been performed in order to characterize the metallic alloys and the manufacturing techniques. Compositional differences have been found and soldering procedures have been identified. By comparison with the rings and other coetaneous jewellery, the presence of palladium in the bulk alloy of the earrings can be pointed out. The geographical provenance of the palladium-bearing gold is discussed based on geological and archaeological considerations.

  9. 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

  10. Health services utilization, work absenteeism and costs of pandemic influenza A (H1N1) 2009 in Spain: a multicenter-longitudinal study.

    Science.gov (United States)

    Galante, Mariana; Garin, Olatz; Sicuri, Elisa; Cots, Francesc; García-Altés, Anna; Ferrer, Montserrat; Dominguez, Àngela; Alonso, Jordi

    2012-01-01

    The aim of this study was to estimate healthcare resource utilization, work absenteeism and cost per patient with pandemic influenza (H1N1)2009, from its beginning to March 2010, in Spain. We also estimated the economic impact on healthcare services. Longitudinal, descriptive, multicenter study of in- and outpatients with confirmed diagnosis of influenza A (H1N1) in Spain. Temporal distribution of cases was comparable to that in Spain. Information of healthcare and social resources used from one week before admission (inpatient) or index-medical visit (outpatient) until recovery was gathered. Unit cost was imputed to utilization frequency for the monetary valuation of use. Mean cost per patient was calculated. A sensitivity analysis was conducted, and variables correlated with cost per patient were identified. Economic impact on the healthcare system was estimated using healthcare costs per patient and both, the reported number of confirmed and clinical cases in Spain. 172 inpatients and 224 outpatients were included. Less than 10% were over 65 years old and more than 50% had previous comorbidities. 12.8% of inpatients were admitted to the Intensive Care Unit. Mean length of hospital stay of patients not requiring critical care was 5 days (SD = 4.4). All working-inpatients and 91.7% working-outpatients went on sick leave. On average, work absenteeism was 30.5 days (SD = 20.7) for the first ones and 9 days (SD = 6.3) for the latest. Caregivers of 21.7% of inpatients and 8.5% of outpatients also had work absenteeism during 10.7 and 4.1 days on average respectively. Mean cost was €6,236/inpatient (CI95% = 1,384-14,623) and €940/outpatient (CI95% = 66-3,064). The healthcare economic burden of patients with confirmed influenza was €144,773,577 (IC95% 13,753,043-383,467,535). More than 86% of expenditures were a result of outpatients' utilization. Cost per H1N1-patient did not defer much from seasonal influenza estimates. Hospitalizations and work absenteeism

  11. The Discriminatory Ability of the Fibromyalgia Rapid Screening Tool (FiRST): An International Study in Spain and Four Latin American Countries.

    Science.gov (United States)

    Collado, Antonio; Torres, Xavier; Messina, Osvaldo D; Vidal, Luis F; Clark, Patricia; Ríos, Carlos; Solé, Emília; Arias, Anna; Perrot, Serge; Salomon, Patricia A

    2016-05-01

    To assess the transcultural equivalency of the Spanish version of the Fibromyalgia Rapid Screening Tool (FiRST) and its discriminatory ability in different Latin American samples. Validation study. Departments of Rheumatology in general hospitals and private centers; fibromyalgia unit in a university hospital. 350 chronic pain patients from Spain, Argentina, Mexico, Peru, and Ecuador. The cultural relevance of the Spanish version of the FiRST was evaluated. The ability of the FiRST as a screening tool for fibromyalgia was assessed by logistic regression analysis. To determine the degree to which potential confounders, such as differences in demographics, pain, affective distress, catastrophizing, and disability, might affect the discriminatory ability, the tool was reassessed by hierarchical multivariate logistic regression. Slightly different versions of the FiRST were recommended for use in each Latin American subsample. The FiRST showed acceptable criterion validity and was able to discriminate between fibromyalgia and non-fibromyalgia patients even after controlling for the effect of potential confounders. However, low specificities were observed in samples from Spain and Mexico. The Spanish version of the FiRST may be used as a screening tool for fibromyalgia in several Latin American subsamples, even in those patients with high scores on potential confounders. In Spain and Mexico, the low specificity of the FiRST suggests, however, that it would be best used to support a suspected diagnosis of fibromyalgia, rather than to exclude the diagnosis. © 2015 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  12. 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

  13. 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

  14. Adherence to nutrition-based cancer prevention guidelines and breast, prostate and colorectal cancer risk in the MCC-Spain case-control study.

    Science.gov (United States)

    Romaguera, Dora; Gracia-Lavedan, Esther; Molinuevo, Amaia; de Batlle, Jordi; Mendez, Michelle; Moreno, Victor; Vidal, Carmen; Castelló, Adela; Pérez-Gómez, Beatriz; Martín, Vicente; Molina, Antonio J; Dávila-Batista, Verónica; Dierssen-Sotos, Trinidad; Gómez-Acebo, Inés; Llorca, Javier; Guevara, Marcela; Castilla, Jesús; Urtiaga, Carmen; Llorens-Ivorra, Cristóbal; Fernández-Tardón, Guillermo; Tardón, Adonina; Lorca, José Andrés; Marcos-Gragera, Rafael; Huerta, José María; Olmedo-Requena, Rocío; Jimenez-Moleon, José Juan; Altzibar, Jone; de Sanjosé, Silvia; Pollán, Marina; Aragonés, Núria; Castaño-Vinyals, Gemma; Kogevinas, Manolis; Amiano, Pilar

    2017-07-01

    Prostate, breast and colorectal cancer are the most common tumours in Spain. The aim of the present study was to evaluate the association between adherence to nutrition-based guidelines for cancer prevention and prostate, breast and colorectal cancer, in the MCC-Spain case-control study. A total of 1,718 colorectal, 1,343 breast and 864 prostate cancer cases and 3,431 population-based controls recruited between 2007 and 2012, were included in the present study. The World Cancer Research Fund/American Institute for Cancer Research (WCRC/AICR) score based on six recommendations for cancer prevention (on body fatness, physical activity, foods and drinks that promote weight gain, plant foods, animal foods and alcoholic drinks; score range 0-6) was constructed. We used unconditional logistic regression analysis adjusting for potential confounders. One-point increment in the WCRF/AICR score was associated with 25% (95% CI 19-30%) lower risk of colorectal, and 15% (95% CI 7-22%) lower risk of breast cancer; no association with prostate cancer was detected, except for cases with a Gleason score ≥7 (poorly differentiated/undifferentiated tumours) (OR 0.87, 95% CI 0.76-0.99). These results add to the wealth of evidence indicating that a great proportion of common cancer cases could be avoided by adopting healthy lifestyle habits. © 2017 UICC.

  15. 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...

  16. Internal Migration Patterns of Foreign-Born Immigrants in Spain. A study based on the National Immigrant Survey (ENI-2007

    Directory of Open Access Journals (Sweden)

    Silvestre, Javier

    2011-04-01

    Full Text Available This article extends the existing literature on the internal migration patterns of the foreign-born in Spain. We analyze the spatial distribution of immigrants and their patterns of mobility at different levels. Socio-demographic characteristics of immigrants and characteristics of places of origin and destination are considered. We also examine repeat migration, duration of residence in each destination, as well as return migration within Spain. To this end, we make use of a new micro database corresponding to the National Immigrant Survey (Encuesta Nacional de Inmigrantes, ENI-2007.

    Este artículo contribuye a la literatura sobre la migración interna de los inmigrantes nacidos fuera de España. En él se analiza la distribución espacial y las pautas de movilidad de los inmigrantes, considerando aspectos como las características sociodemográficas de los individuos y las características de los orígenes y destinos dentro de España. También se analiza la emigración repetida, la duración de la residencia en cada destino y la emigración de retorno (dentro de España. Para todo ello, se utiliza la nueva base de datos micro derivada de la Encuesta Nacional de Inmigrantes, ENI-2007.

  17. 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.

  18. An exposure study to assess the potential impact of fipronil in treated sunflower seeds on honey bee colony losses in Spain.

    Science.gov (United States)

    Bernal, José; Martin-Hernandez, Raquel; Diego, Juan C; Nozal, María J; Gozalez-Porto, Amelia V; Bernal, José L; Higes, Mariano

    2011-10-01

    There is great concern about the high losses and strong depopulation of honey bee colonies in some areas of Spain. Some beekeepers have suggested that sunflower seeds treated with the insecticide fipronil could be an important factor in causing those losses. Therefore, an in-depth field study has been carried out in two regions of Spain where sunflower production is intense (Cuenca and Andalucía) and where, for some crops and varieties, fipronil has been used as seed insecticide. Samples of adult bees and pollen were analysed for bee pathogens and pesticide residues respectively. Neither fipronil residues nor its metabolites were detected in any of the samples analysed, indicating that short-term or chronic exposure of bees to fipronil and/or its metabolites can be ruled out in the apiaries surveyed. Varroa destructor and Nosema ceranae were found to be very prevalent. The combination of the two pathogens could augment the risk of colony death in infected colonies, without fipronil residues exerting a significant effect in the given field conditions. Indeed, in this study the losses observed in apiaries located close to sunflower crops were similar to those in apiaries situated in forested areas with wild vegetation. Copyright © 2011 Society of Chemical Industry.

  19. Human urine-based therapeutics in Spain from the early 20th century to the present: a historical literature overview and a present-day case study.

    Science.gov (United States)

    Vallejo, José Ramón; Aparicio Mena, Alfonso J; González, José Antonio

    2017-06-01

    Human urine is currently the subject of biomedical investigations as a potential therapeutic resource and it continues to be used in remedies in different cultures and societies, including the Spanish culture. In this study we gather etnomedical knowledge about urotherapy and determine their associated symbolisms in Spain. A literature overview and a case study were carried out to compile urine-based remedies and as a direct analysis of symbolic systems. Urotherapy is widespread in Spanish folk medicine. Among the 204 collected remedies, those related to treatment of diseases or skin conditions predominate (63%). Remedies have been reported for the treatment of skin diseases such as eczema, chloasma, alopecia, etc. to treat or alleviate burns, chilblains, wounds or skin chapping, and as a treatment of venomous bites. Most of the collected remedies have an associated naturalist symbolism, based on local traditions and the transmission of empirical initial knowledge. The use of urine in Spain is a result of the interaction of two types of practice: a local and traditional urotherapy, rural and with a utilitarian purpose, and a technical urotherapy, limited to an urban environment and a naturopathic medicine.

  20. Access to Preventive Health Care for Undocumented Migrants: A Comparative Study of Germany, The Netherlands and Spain from a Human Rights Perspective

    Directory of Open Access Journals (Sweden)

    Veronika Flegar

    2016-02-01

    Full Text Available The present study analyzes the preventive health care provisions for nationals and undocumented migrants in Germany, the Netherlands and Spain in light of four indicators derived from the United Nations Committee on Economic, Social and Cultural Rights’ General Comment 14 (GC 14. These indicators are (i immunization; (ii education and information; (iii regular screening programs; and (iv the promotion of the underlying determinants of health. It aims to answer the question of what preventive health care services for undocumented migrants are provided for in Germany, the Netherlands and Spain and how this should be evaluated from a human rights perspective. The study reveals that the access to preventive health care for undocumented migrants is largely insufficient in all three countries but most extensive in the Netherlands and least extensive in Germany. The paper concludes that a human rights-based approach to health law and policy can help to refine and concretize the individual rights and state obligations for the preventive health care of undocumented migrants. While the human rights framework is still insufficiently clear in some respects, the research concedes the added value of a rights-based approach as an evaluation tool, advocacy framework and moral principle to keep in mind when adopting or evaluating state policies in the health sector.

  1. Chemostratigraphical Characterisation of the Lower Silurian Formigoso Formation: A Case Study from Aralla (Cantabrian Mountains, Province Leon, NW Spain)

    Science.gov (United States)

    Ferriday, T.; Montenari, M.

    2012-04-01

    The Silurian black shale deposits of the peri-Gondwanan region are one of the most important Palaeozoic source rocks for hydrocarbons world-wide. Despite intensive research, questions regarding the genesis and the palaeoenvironmental and palaeogeographic factors controlling the deposition of these shales are a matter of ongoing debate. The area investigated lies within the Cantabria-Asturias Arc of Northern Spain in the autonomous region of Castilla y León. The Cantabrian Arc formed as a result of the collision between Gondwana and Laurussia during the formation of the supercontinent Pangea and has been divided into five major tectonostratigraphic units. The 'Folds and Nappes' unit is of particular interest, especially the contained Somiedo-Corecillas thrust system, as here the best preserved Formigoso-sections and exposures can be found. This study focuses on the deposition of the L-Silurian black shales of the Formigoso Formation (Fm) within the Somiedo-Corecillas thrust system at Aralla, approximately 10km east-southeast of San Emiliano. A high resolution geochemical analysis of major and trace elements has been utilised on a 25cm scale throughout the section. A total of 241 samples were prepared and analysed using a NITON XL3t X-ray fluorescence instrument. The data obtained have provided new insights into the sedimentation patterns and the prevailing environmental conditions during deposition of the Formigoso Fm. Initial results show prominent regular cycles within the concentrations of red/ox-sensitive chemical elements, starting from the very onset of the anoxic black shales; these repetitions become less apparent towards to top of the formation. Eight cyclic pulses are clearly evident in the concentrations of the elements Uranium (U), Thorium (Th), Vanadium (V) and Chromium (Cr) and apparent in Rubidium (Rb), Zinc (Zn), Copper (Cu), Nickel (Ni), Titanium (Ti), Sulphur (S) and Barium (Ba). The cyclic behaviour of U4+ between 'Anoxia'-U enriched (18ppm)- and

  2. Determination of wetland ecosystem boundaries and validation of land use maps using remote sensing: Fuente de Piedra case study (Spain)

    Science.gov (United States)

    Sánchez, Antonio; Malak, Dania Abdul; Schröder, Christoph; Martinez-Murillo, Juan F.

    2016-04-01

    Remote sensing techniques (SRS) are valid tools for wetland monitoring that could support wetland managers in assessing the spatial and temporal changes in wetland ecosystems as well as in understanding their condition and the ecosystem services they provide. This study focuses on the one hand, on drawing hydro-ecological guidelines for the delimitation of wetland ecosystems; and on the other hand, to assess the reliability of widely available satellite images (Landsat) in estimating the land use/ land cover types covering wetlands. This research develops comprehensive guidelines to determine the boundaries of the Fuente de Piedra wetland ecosystem located in Andalusia, Spain and defines the main land use/ land cover classes covering this ecosystem using Landsat 8 images. An accuracy of the SRS results delivered is tested using the regional inventory of land use produced by the regional government of Andalusia in 2011. By using the ecological and hydrological settings of the area, the boundaries of the Fuente de Piedra wetland ecosystem are determined as an alternative to improve the current delimitations methodology (the Ramsar and Natura 2000 delineations), used by the local authorities so far and based mainly on administrative reasoning. In terms of the land use land cover definition in the area, Fuente de Piedra wetland ecosystem shows to cover a total area of 195 km2 composed mainly by agricultural areas (81.46%): olive groves, non-irrigated arable land and pastures, being 54.82%, 25.71% and 0.93% of the surface respectively. Wetland related land covers (water surface, wetland vegetation) represent 6.85% while natural vegetation is distributed in forest, 1.67%, and shrub areas, 4.14%, being 5.81% in total. 4.58% of the area corresponds to urban and other artificial surfaces. The rest, 1.30%, is composed of different areas without vegetation (sands, bare rock, dumps, etc.). The classification of the Landsat images made with the newly developed SWOS toolbox

  3. [The odysseys of Ulysses. A study of tales in a normal working day of the family doctor in Paraguay, Mexico, Peru, and Spain].

    Science.gov (United States)

    Báez-Montiel, Brenda Beatriz; Gutiérrez-Islas, Elizabeth; Bolaños-Maldonado, Margarita; Samarín, Elena; Turabián, José Luis

    2014-02-01

    To examine the professional profile of the family doctor in different countries and the social welfare context where their work is carried out. Qualitative Methodology of production of field diaries of a normal day. Primary Heath Care of Toledo and Tenerife in Spain, and Paraguay, Mexico, and Peru. Non-random sampling, intentional, followed by snowball sample until data saturation. Participants wrote a diary of a typical day's work, their circumstances and socio-health context, and were studied by content analysis. Techniques to control the biases were used the check the participants and the triangulation between the obtained results and the existing bibliography, and data found on the Internet daily. We performed a mental map to transcribe the results graphically and in a comprehensive form. A total of 24 diaries of a normal day were obtained (9 doctors in Spain, 7 in Mexico, 4 in Paraguay, and 4 in Peru). We found some similarities, but many differences between countries. In contexts of humble but spirited, rural, with traditional roots and undemanding, there was a wider range of tasks of the family doctor, the coexistence of public and private work, and modern and traditional medicine, with greater presence of family and community care, more physician satisfaction and better patient-physician relationship. The professional profile of the family doctor is diverse and a context-dependent variable, and is not derived directly from external theory of family medicine. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  4. The impact of droughts and climate change on sinkhole occurrence. A case study from the evaporite karst of the Fluvia Valley, NE Spain.

    Science.gov (United States)

    Linares, Rogelio; Roqué, Carles; Gutiérrez, Francisco; Zarroca, Mario; Carbonel, Domingo; Bach, Joan; Fabregat, Ivan

    2017-02-01

    This work introduces the concept that sinkhole frequency in some karst settings increases during drought periods. This conception is tested in a sector of the Fluvia River valley in NE Spain, where subsidence phenomena is related to the karstification of folded Eocene evaporite formations. In the discharge areas, the evaporites behave as confined aquifers affected by hypogene karstification caused by aggressive artesian flows coming form an underlying carbonate aquifer. A sinkhole inventory with chronological data has been constructed, revealing temporal clusters. Those clusters show a good correlation with drought periods, as revealed by precipitation, river discharge and piezometric data. This temporal association is particularly obvious for the last and current drought starting in 1998, which is the most intense of the record period (1940-present). Climatic projections based on recent studies foresee an intensification of the droughts in this sector of NE Spain, which could be accompanied by the enhancement of the sinkhole hazard and the associated risks. Copyright © 2016 Elsevier B.V. All rights reserved.

  5. [Nutrition sciences in Spain in the second half of the twentieth century: a descriptive bibliometric study of the journal Anales de Bromatologia (1949-1993)].

    Science.gov (United States)

    Bernabeu-Mestre, J; Ureña Alberola, M T; Esplugues Pellicer, J X; Trescastro-López, E M; Galiana-Sánchez, M E; Castelló Botía, I

    2012-11-01

    To analyse the institutionalisation of nutrition sciences in Spain in the second half of the twentieth century, and evaluate the activities of the journal Anales de Bromatología. Descriptive bibliometric study of the original articles. Full names of the authors and the complete article title were recorded. Using key words, each article was assigned by consensus of the researchers to a single main subject in accordance with the thirteen subject areas addressed by the Spanish Society of Bromatology in its meetings. An analysis was conducted of the distribution and trends of general productivity indicators and their characteristics. A total of 917 original articles were published, with a mean of 20.8 papers/year. The subjects for which the highest percentage of articles was recorded were foreign substances in foods, foods of plant origin and nutrition. A total of 874 authors contributed, with a collaboration rate of 2.43 and a transience rate of 70.1%. Distribution of the number of authors per article was close to that indicated by Lotka's law of scientific productivity. The top twelve producers, predominantly women, participated in 49.9% of the articles published. The journal showed low productivity and was of an endogamous nature, with a predominance of authors related to the School of Bromatology in the Faculty of Pharmacy, at the Complutense University. The subjects addressed reflected the demands of the nutrition transition in Spain.

  6. 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.

  7. Accident data study of concrete construction companies' similarities and differences between qualified and non-qualified workers in Spain.

    Science.gov (United States)

    López-Arquillos, Antonio; Rubio-Romero, Juan Carlos; Gibb, Alistair

    2015-01-01

    The aim of this paper is to discuss findings from an analysis of accidents in concrete construction companies in Spain and to compare the accident rates of qualified and non-qualified workers. A total of 125,021 accidents between 2003 and 2008 involving both blue-collar and white-collar workers were analysed, comparing the variables of occupation, age, company staff, length of service, location of the accident, together with the severity of the accidents. Results showed that lack of experience in the first month is more significant in non-qualified workers and experienced supervisors and that head injuries are more likely to lead to fatalities. The most remarkable similarity was that fatal accidents to and from the worksite are a problem common to both groups of workers.

  8. Numerical study of the October 2000 torrential precipitation event over eastern Spain: analysis of the synoptic-scale stationarity

    Directory of Open Access Journals (Sweden)

    V. Homar

    2002-12-01

    Full Text Available A torrential precipitation event affected eastern Spain during 21 to 24 October 2000. Total accumulated rainfall higher than 500 mm was registered at some locations, with values up to 300 mm in a 24-h period. The synoptic-scale charts for these days show the presence of a cold cutoff low aloft, south of the Iberian Peninsula, as a part of an W-blocking structure over Europe. At low levels, persistent easterly winds, established between a dominant anticyclone over eastern Europe and a cyclone over Morocco, are found over the western Mediterranean throughout the entire period. Satellite images show the advance and breaking away of a trough, with an associated cold front, over the Iberian Peninsula, which resulted in the cutoff low formation. Later, scattered convective cells are detected along the eastern Spanish coast during more than 3 days. Numerical simulations reveal that the convective environment was developed by the low-level advection of warm and moist air from central Mediterranean, being charged of moisture by evaporation from the sea. Sensitivity runs confirm that the synoptic-scale persistent low-level easterly flow, and specifically, the presence of a low level jet, was crucial for the subsynoptic processes leading to the long lasting torrential rainfall over the exposed terrains of eastern Spain. The stagnancy of the low-level flow is attributed to the quasi-stationary characteristics of the upper level cutoff low located south of the Iberian Peninsula. Experiments with modified upper-level potential vorticity distributions reveal that slight deviations from the observed configuration result in enhanced mobility of the low-level flow pattern, and thereby a reduction of the precipitation persistence. This suggests the major importance of a correct representation in the model initial conditions of the intensity and location of the upper level features, in order to obtain valuable numerical forecasts of these heavy rainfall events

  9. 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

  10. Study of the thermal behaviour of traditional wine cellars: the case of the area of ''Tierras Sorianas del Cid'' (Spain)

    Energy Technology Data Exchange (ETDEWEB)

    Guerrero, I.C.; Ocana, S.M. [Universidad Politecnica de Madrid (Spain). Dpto. de Construccion y Vias Rurales

    2005-01-01

    This article studies the hygro-thermal behaviour of two traditional underground wine cellars from Morcuera (Soria, Spain). The differences between them are analyzed and our hypothesis is that one of these constructions is better than the other for the ageing of wines. The hypothesis takes into consideration the existence of a temperature difference of over 20{sup o}C between them as a basis for reaching the aforementioned conclusion. However, the relative humidity inside both of them is 100%, which could pose problems if the presence of mould is not controlled. This study is based on fieldwork for the inventory and cataloguing of traditional agrarian constructions in the ''Tierras Sorianas'' area. The objective of this investigation is to highlight some advantages of traditional building techniques over modern construction practices from the energy-saving viewpoint. (author)

  11. [Initial antiretroviral treatment in human immunodeficiency virus-infected patients in Spain: Decisions made in relation to particular immunovirological characteristics (PERFIL-es study)].

    Science.gov (United States)

    Viciana, Pompeyo; Ocampo, Antonio; Hevia, Henar; Palazuelos, Marta; Ledesma, Francisco

    2014-02-01

    The purpose of Perfil-es study was to identify the proportion of patients starting ARV treatment based on NNRTIs or PI/r, and to identify the variables involved in the therapeutic decision-making in standard clinical practice. An observational retrospective study performed in 65 Spanish hospitals. Was a total of 1,687 starts: 53% with NNRTI-based regimen and 42% with PI/r, and of the 642 patients analyzed, 72% had a CD4 count<350 cells/μl. The initiation of ARV treatment is still late in Spain. NNRTIs are the more frequent choice, although PI/r plays an important role. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  12. Mental health self-assessment in patients with moderate to severe psoriasis: an observational, multicenter study of 1164 patients in Spain (the VACAP Study).

    Science.gov (United States)

    Pujol, R M; Puig, L; Daudén, E; Sánchez-Carazo, J L; Toribio, J; Vanaclocha, F; Yébenes, M; Sabater, E; Casado, M A; Caloto, M T; Aragón, B

    2013-12-01

    Poor self-assessed mental health appears to be related to the severity of psoriasis. To evaluate the impact of psoriasis severity on mood and anxiety disorders. A prospective, observational, multicenter study was conducted by 123 dermatologists in Spain. Patients (n=164; mean [SD] age, 45.11 [13.92] years; 60.8% males) with moderate to severe psoriasis were evaluated at baseline and 4 months later. Psoriasis severity was measured using the Psoriasis Area and Severity Index (PASI), with a score range of 0 (mild) to 72 (severe); body surface area involvement (BSA); and physician global assessment (PGA) scores, with a range of 1 (mild) to 7 (severe). Mental health was assessed using the Hospital Anxiety and Depression Scale (HADS), with a total possible score of 0-42 (higher scores representing worse mental health). Mean first and second visit scores were compared. Mean (SD) scores improved between the first and second visit as follows: 13.24 (9.50) to 5.07 (6.03) for PASI, 12.52 (7.92) to 10.78 (7.32) for overall HADS, 7.83 (4.55) to 6.85 (4.21) for the HADS anxiety subscale, and 4.72 (4.12) to 3.95 (3.76) for the HADS depression subscale (P<.001 in all cases). Multivariate analyses showed that the main factors related to anxiety were psoriasis severity, sex, and completion of graduate studies. The independent variables included in the model for depression were psoriasis severity, sex, and psoriasis located on the head. Reductions in disease severity improve self-assessed mood and anxiety disorders in patients with moderate to severe psoriasis. Copyright © 2012 Elsevier España, S.L. and AEDV. All rights reserved.

  13. Lipid profile and dietary habits in an elderly rural population in the southern Spain: the Sierra de Huelva study

    Directory of Open Access Journals (Sweden)

    Vicario, Isabel M.

    2009-07-01

    Full Text Available We have assessed serum lipids, systolic (SBP and diastolic (DBP blood pressure in a healthy, free living population over 70 years old residing for more than 20 years in a rural area located in the southern Spain, the Sierra de Huelva. 401 elderly, 229 women (F and 179 men (M mean age 79.36 ± 6.9 were included in this cross-sectional observational study. Dietary habits were assessed by means of a Modification of the Mediterranean Diet Score (MDDS, which comprised 11 components. A total score ranging from 0-44 was calculated. Mean concentration for lipids were: Total cholesterol (TC 193.8 ± 23.1, M 195.2 ± 25.7 and F 192.7 ± 20.8 (p = 0.29; HDLc 60.3 ± 7.6 mg/dl, M 60.0 ± 8.0 and F 60.5 ± 7.2 (p = 0.49; TC/HDLc 3.3 ± 1.1 mg/dl, M 3.4 ± 1.2 and F 3.3 ± 1.1 mg/dl (p Hemos evaluado los lípidos séricos, la presión sistólica (SBP y diastólica (DBP en un grupo de ancianos no institucionalizados de más de 70 años que residen en una zona rural localizada en el sur de España, la Sierra de Huelva. 401 ancianos, 229 mujeres (F and 179 hombres (M con una edad media de 79,36 ± 6,9 años, se incluyeron en este estudio observacional transversal. Los hábitos alimentarios fueron evaluados mediante una modificación del Mediterranean Diet Score MMDS que incluyó a 11 grupos de alimentos. Se obtuvo una puntuación total que oscilaba entre 0-44. La concentración media de lípidos fue: colesterol total (TC 193,8 ± 23,1, M 195,2 ± 25,7 y F 192,7 ± 20,8 (p = 0,29; HDLc 60,3 ± 7,6 mg/dl, M 58,0 ± 8,0 y F 60,5 ± 7,2 (p = 0,49; TC/HDLc 3,3 ± 1,1 mg/dl, M 3,4 ± 1,2 and F 3,3 ± 1,1 mg/dl (p < 0,35; LDLc 127,3 ± 30,1 mg/dl, M 129,0 ± 32.9 F 127,3 ± 30,1 mg/dl (p < 0,33; TG 137,7 ± 18,8, M 138,8 ± 19,4 y F 136,0 ± 17,4 (p < 0,30. La prevalencia total de hipercolesterolemia (TC 200 mg/dl fue de 8,7%, F 7,9% y M 9,9%; 10,7% de la población presentó niveles de LDLc≥160 mg/dl. La edad se correlacionó negativamente (p < 0,05 con TC, LDLc, TG

  14. 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)

  15. 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)

  16. Numerical study of the October 2000 torrential precipitation event over eastern Spain: analysis of the synoptic-scale stationarity

    Directory of Open Access Journals (Sweden)

    V. Homar

    Full Text Available A torrential precipitation event affected eastern Spain during 21 to 24 October 2000. Total accumulated rainfall higher than 500 mm was registered at some locations, with values up to 300 mm in a 24-h period. The synoptic-scale charts for these days show the presence of a cold cutoff low aloft, south of the Iberian Peninsula, as a part of an W-blocking structure over Europe. At low levels, persistent easterly winds, established between a dominant anticyclone over eastern Europe and a cyclone over Morocco, are found over the western Mediterranean throughout the entire period. Satellite images show the advance and breaking away of a trough, with an associated cold front, over the Iberian Peninsula, which resulted in the cutoff low formation. Later, scattered convective cells are detected along the eastern Spanish coast during more than 3 days. Numerical simulations reveal that the convective environment was developed by the low-level advection of warm and moist air from central Mediterranean, being charged of moisture by evaporation from the sea. Sensitivity runs confirm that the synoptic-scale persistent low-level easterly flow, and specifically, the presence of a low level jet, was crucial for the subsynoptic processes leading to the long lasting torrential rainfall over the exposed terrains of eastern Spain. The stagnancy of the low-level flow is attributed to the quasi-stationary characteristics of the upper level cutoff low located south of the Iberian Peninsula. Experiments with modified upper-level potential vorticity distributions reveal that slight deviations from the observed configuration result in enhanced mobility of the low-level flow pattern, and thereby a reduction of the precipitation persistence. This suggests the major importance of a correct representation in the model initial conditions of the intensity and location of the upper level features, in order to obtain valuable numerical forecasts of these

  17. Diagnosis and treatment of male patients with lower urinary tract symptoms in Spain - The MERCURY Study. Do urologists follow the recommendations of the European guidelines?

    Science.gov (United States)

    Errando-Smet, C; Müller-Arteaga, C; Hernández, M; Roset, M

    2018-02-07

    To explore the management of lower urinary tract symptoms (LUTS) in men in Spain and assess the compliance with recommendations established in the European Association of Urology (EAU) guidelines. MERCURY was an epidemiological and cross-sectional study which involved 227 Urology Units across Spain assessing adult male patients with mixed LUTS and persisting storage symptoms. Sociodemographic, clinical and resource use data for the 6 months prior to study inclusion were collected. Additionally, through a theoretical clinical case, clinicians described their attitude toward the diagnostic and therapeutic management of males with mixed LUTS and persisting storage symptoms during the first and second visits. Answer options given to clinicians about LUTS management were aligned with those recommended by EAU guidelines. 610 patients included in the study were evaluated. 87.7% of them consumed some health resource mainly due to: urologist visits (79.7%), PSA determination (76.6%) and treatment with alpha-blockers (37.5%) and alpha-blockers plus antimuscarinics (37.2%). According to the theoretical clinical case, urologists preference toward diagnostic tools and pharmacological treatment in first visit were mainly PSA determination (97.7%), digital rectal examination (91.4%) and treatment with alphablockers as monotherapy (56.6%), whereas in the second visit uroflowmetry (48.9%), voiding diary (40.3%) and treatment with alpha-blockers plus antimuscarinics (70.6%) were mainly preferred. Urologists attitude toward management of male patients with mixed LUTS and persisting storage symptoms is aligned with that recommended in the EAU guidelines. Copyright © 2018 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  18. Atmospheric corrosion in subtropical areas: XRD and electrochemical study of zinc atmospheric corrosion products in the province of Santa Cruz de Tenerife (Canary Islands, Spain)

    Energy Technology Data Exchange (ETDEWEB)

    Morales, J. [Departamento de Quimica Fisica, Universidad de La Laguna, 38071 La Laguna, Tenerife (Spain)]. E-mail: jmorales@ull.es; Diaz, F. [Departamento de Quimica Fisica, Universidad de La Laguna, 38071 La Laguna, Tenerife (Spain); Hernandez-Borges, J. [Departamento de Quimica Analitica, Nutricion y Bromatologia, Universidad de La Laguna, 38071 La Laguna, Tenerife (Spain); Gonzalez, S. [Departamento de Quimica Fisica, Universidad de La Laguna, 38071 La Laguna, Tenerife (Spain)

    2006-02-15

    In the present paper, zinc sheets have been exposed for 4 years to the action of different atmospheres in 35 test sites located in the province of Santa Cruz de Tenerife, Canary Islands, Spain. Corrosion products formed on the surface of the samples have been identified by means of X-ray diffraction (XRD) for the first and second year of exposure. Zincite, hydrozincite, simonkolleite, zinc chlorohydroxysulphate, zinc oxysulphate and zinc hydroxysulphate have been identified in the test sheets. Preliminary results of an electrochemical study of the breakdown potential of zinc samples are also presented in order to test the protective effect of the film formed on the surface of the samples. It was found that the protective effect of this film increases linearly with exposure time.

  19. Prevalence of diabetic retinopathy and its relationship with glomerular filtration rate and other risk factors in patients with type 2 diabetes mellitus in Spain. DM2 HOPE study.

    Science.gov (United States)

    López, Maribel; Cos, Francesc Xavier; Álvarez-Guisasola, Fernando; Fuster, Eva

    2017-09-01

    Diabetic retinopathy (DR) is the leading cause of blindness in working age population in developed countries. Albuminuria and estimated glomerular filtration rate (eGFR) have been considered biomarkers for DR. This study aimed to investigate the prevalence of DR and its relationship with eGFR and other risk factors in type 2 diabetic patients (T2DM) in Spain. A cross-sectional and descriptive study has been performed in 14,266 patients. Clinical records were reviewed. Demographic data, clinical diagnoses, clinical variables, and results from laboratory tests were recorded. Prevalence rates of DR were calculated. Logistic regression analysis was applied to assess predictors of the DR presence/absence. DR prevalence was 14.9%, being more prevalent in women (p = 0.0087) and in older patients (p < 0.0001). Duration of disease (OR = 5.3, IC95% = 3.8-7.4; p < 0.0001), eGFR < 60 ml/min/1.73 m 2 (OR = 2.0, IC95% 1.6-2.4; p < 0.0001), levels of HbA1c ≥ 7% (OR = 1.9, IC95% = 1.5-2.3; p < 0.0001) and high blood pressure (OR = 1.6, IC95% = 1.2-2.1; p = 0.0032) were associated with higher risk of DR. DR was also more frequent in patients taking insulin (32,6% vs. 10,2%; p < 0.0001). Around one in seven patients with T2DM has DR after nine years since diagnosis. Time since diagnosis, insulin therapy, cardiovascular profile, and renal dysfunction are associated with DR in patients with T2DM in Spain.

  20. Designing incentive schemes for promoting energy-efficient appliances: A new methodology and a case study for Spain

    International Nuclear Information System (INIS)

    Galarraga, Ibon; Abadie, Luis M.; Kallbekken, Steffen

    2016-01-01

    The energy-efficiency gap has been high on research and policy agendas for several decades. Incentive schemes such as subsidies, taxes and bonus-malus schemes are widely used to promote energy-efficient appliances. Most research, however, considers instruments in isolation, and only rarely in the context of political constraints on instrument use, or for alternative policy goals. This paper presents a methodology for the optimal design of incentive schemes based on the minimisation of Dead Weight Loss for different policy goals and policy restrictions. The use of the methodology is illustrated by designing optimal combinations of taxes and subsidies in Spain for three types of appliance: dishwashers, refrigerators and washing machines. The optimal policies are designed subject to different policy goals such as achieving a fixed reduction in emissions or a certain increased market share for efficient appliances, and for policy constraints such as budget neutrality. The methodology developed here can also be used to evaluate past and current incentive schemes. - Highlights: • A new methodology for the optimal design of incentive schemes is presented. • This is done minimising the Dead Weight Loss for different goals and restrictions. • Efficient bonus malus schemes can be designed with this method.

  1. Systematic study of the contamination of wastewater treatment plant effluents by organic priority compounds in Almeria province (SE Spain).

    Science.gov (United States)

    Barco-Bonilla, Nieves; Romero-González, Roberto; Plaza-Bolaños, Patricia; Martínez Vidal, José L; Garrido Frenich, Antonia

    2013-03-01

    The occurrence of priority organic pollutants in wastewater (WW) effluents was evaluated in a semi-arid area, characterized by a high agricultural and tourism activity, as Almeria province (Southeastern Spain). Twelve wastewater treatment plants (WWTPs) were sampled in three campaigns during 2011, obtaining a total of 33 WW samples, monitoring 226 compounds, including pesticides, polycyclic aromatic hydrocarbons (PAHs), phenolic compounds and volatile organic compounds (VOCs). Certain banned organochlorine pesticides such as aldrin, pentachlorobenzene, o,p'-DDD and endosulfan lactone were found, and the most frequently detected pesticides were herbicides (diuron, triazines). PAHs and VOCs were also detected, noting that some of these pollutants were ubiquitous. Regarding phenolic compounds, 4-tertoctylphenol was found in all the WW samples at high concentration levels (up to 89.7 μg/L). Furthermore, it was observed that WW effluent samples were less contaminated in the second and third sampling periods, which corresponded to dry season. This evaluation revealed that despite the WW was treated in the WWTP, organic contaminants are still being detected in WW effluents and therefore they are released into the environment. Finally the risk of environmental threat due to the presence of some compounds in WWTP effluents, especially concerning 4-tertoctylphenol must be indicated. Copyright © 2013 Elsevier B.V. All rights reserved.

  2. A comparative study on the health and well-being of adolescent immigrants in Spain and Portugal

    Directory of Open Access Journals (Sweden)

    Ángel Hernando

    2013-06-01

    Full Text Available The terms on which the integration of new generations of immigrants into Portuguese and Spanish societies happens will have a decisive influence in the future of both countries. Therefore, promoting their health, well-being, and psychosocial adaptation is a matter of strategic interest. This paper analyses psychosocial factors associated with well-being and psychological adjustment on a sample of 108 adolescents (55 males and 53 females, children of immigrants from Huelva (Spain and Algarve (Portugal, aged between 10 and 17 years. Adolescents were assessed for demographic characteristics and perceived well-being. We used the "KIDSCREEN-5", a self-report questionnaire that yields detailed profile information for children aged 8 to 18 years for the following ten dimensions: Physical well-being, Psychological well-being, Moods and emotions, Self-perception, Autonomy, Parental relationships and home life, Financial resources, Social support and peers, School environment, and Social acceptance (Bullying. Overall, significant differences were found between the Spanish and Portuguese samples on physical well-being, psychological well-being, mood, financial resources and social acceptance (bullying. Boys perceived themselves as having a better physical well-being than girls. Mothers' educational level was associated with psychological well-being and mood. Also, results suggested that residence location and other socio-demographical variables were not associated with the adolescents' well-being and psychological adjustment.

  3. Perceptions and experiences of parenthood and maternal health care among Latin American women living in Spain: a qualitative study.

    Science.gov (United States)

    Barona-Vilar, Carmen; Más-Pons, Rosa; Fullana-Montoro, Ana; Giner-Monfort, Jordi; Grau-Muñoz, Arantxa; Bisbal-Sanz, Josep

    2013-04-01

    to explore the experiences and perceptions of parenthood and maternal health care among Latin American women living in Spain. an exploratory qualitative research using focus groups and thematic analysis of the discussion. three focus groups with 26 women from Bolivia and Ecuador and three focus groups with 24 midwives were performed in three towns in the Valencian Community receiving a large influx of immigrants. the women interpreted motherhood as the role through which they achieve fulfilment and assumed that they were the ones who could best take care of their children. They perceived that men usually make decisions about sex and pregnancy and recognised a poor or inadequate use of contraceptive methods in planning their pregnancies. Women reported that it was not necessary to go as soon and as frequently for health examinations during pregnancy as the midwives suggested. The main barriers identified to health-care services were linked to insecure or illegal employment status, inflexible appointment timetables for prenatal checkups and sometimes to ignorance about how public services worked. empowering immigrant women is essential to having a long-term positive effect on their reproductive health. Antenatal care providers should be trained to build maternity care that is culturally sensitive and responds better to the health needs of different pregnant women and their newborns. Copyright © 2012 Elsevier Ltd. All rights reserved.

  4. Risk-informed local action planning against flooding: lessons learnt and way forward for a case study in Spain

    Directory of Open Access Journals (Sweden)

    Castillo-Rodríguez J.T.

    2016-01-01

    Full Text Available After 29 years of the largest flood event in modern times (with the highest recorded rainfall rate at the Iberian Peninsula with 817 mm in 24 hours, the municipality of Oliva faces the challenge of mitigating flood risk through the development and implementation of a local action plan, in line with other existent and ongoing structural measures for flood risk reduction. Located 65 km from Valencia, on the South-Eastern coast of Spain, Oliva is affected by pluvial, river and coastal flooding and it is characterized by a complex and wide-ranging geography and high seasonal variation in population. A quantitative flood risk analysis has been performed to support the definition of flood risk management strategies. This paper shows how hazard, exposure and vulnerability analyses provide valuable information for the development of a local action plan against flooding, for example by identifying areas with highest societal and economic risk levels. It is concluded that flood risk management actions, such as flood warning and monitoring or evacuation, should not be applied homogenously at local scale, but instead actions should be adapted based on spatial clustering. Implications about the impact of education and training on flood risk reduction are also addressed and discusse

  5. Dietary Intake of Trans Fatty Acids in Children Aged 4–5 in Spain: The INMA Cohort Study

    Directory of Open Access Journals (Sweden)

    Alexander Scholz

    2016-10-01

    Full Text Available Trans fatty acid (TFA intake has been identified as a health hazard in adults, but data on preschool children are scarce. We analyzed the data from the Spanish INMA Project to determine the intake of total, industrial and natural TFA, their main sources and the associated socio-demographic and lifestyle factors in children aged 4–5 (n = 1793. TFA intake was estimated using a validated Food Frequency Questionnaire, and multiple linear regression was used to explore associated factors. The mean daily intakes of total, industrial and natural TFA were 1.36, 0.60, and 0.71 g/day, respectively. Ten percent of the children obtained >1% of their energy intake from TFA. The main sources of industrial TFA were fast food, white bread and processed baked goods. Milk, red and processed meat and processed baked goods were the main sources of natural TFA. Having parents from countries other than Spain was significantly associated with higher natural TFA (in mg/day intake (β 45.5 and television viewing was significantly associated with higher industrial TFA intake (β 18.3. Higher fruits and vegetables intake was significantly associated with lower intakes of all TFAs, whereas higher sweetened beverages intake was significantly associated with lower total and natural TFA intake. Thus, total and industrial TFA intake was associated with less healthy food patterns and lifestyles in Spanish preschool children.

  6. Frequency of breast cancer with hereditary risk features in Spain: Analysis from GEICAM "El Álamo III" retrospective study.

    Science.gov (United States)

    Márquez-Rodas, Iván; Pollán, Marina; Escudero, María José; Ruiz, Amparo; Martín, Miguel; Santaballa, Ana; Martínez Del Prado, Purificación; Batista, Norberto; Andrés, Raquel; Antón, Antonio; Llombart, Antonio; Fernandez Aramburu, Antonio; Adrover, Encarnación; González, Sonia; Seguí, Miguel Angel; Calvo, Lourdes; Lizón, José; Rodríguez Lescure, Álvaro; Ramón Y Cajal, Teresa; Llort, Gemma; Jara, Carlos; Carrasco, Eva; López-Tarruella, Sara

    2017-01-01

    To determine the frequency of breast cancer (BC) patients with hereditary risk features in a wide retrospective cohort of patients in Spain. a retrospective analysis was conducted from 10,638 BC patients diagnosed between 1998 and 2001 in the GEICAM registry "El Álamo III", dividing them into four groups according to modified ESMO and SEOM hereditary cancer risk criteria: Sporadic breast cancer group (R0); Individual risk group (IR); Familial risk group (FR); Individual and familial risk group (IFR) with both individual and familial risk criteria. 7,641 patients were evaluable. Of them, 2,252 patients (29.5%) had at least one hereditary risk criteria, being subclassified in: FR 1.105 (14.5%), IR 970 (12.7%), IFR 177 (2.3%). There was a higher frequency of newly diagnosed metastatic patients in the IR group (5.1% vs 3.2%, p = 0.02). In contrast, in RO were lower proportion of big tumors (> T2) (43.8% vs 47.4%, p = 0.023), nodal involvement (43.4% vs 48.1%, p = 0.004) and lower histological grades (20.9% G3 for the R0 vs 29.8%) when compared to patients with any risk criteria. Almost three out of ten BC patients have at least one hereditary risk cancer feature that would warrant further genetic counseling. Patients with hereditary cancer risk seems to be diagnosed with worse prognosis factors.

  7. After the demise of luz: a first technology assessment and pre-feasibility study for segs technology in Spain

    International Nuclear Information System (INIS)

    Aringhoff, R.

    1993-01-01

    This paper gives an overview of activities planned for the next years since LUZ, the company which designed, built and operated the world's largest solar power plants, filed for bankruptcy towards the end of 1991. With some degree of certainty, there will be no new solar thermal trough collector power plant projects in nearest future in the California energy market. In order to avoid rupture of the technology development as well as not to loose track of the learning curve achieved with the nine projects in California, FLAGSOL is committed to concentrate on further project developments in Southern Europe and the Maghreb region. For the first time, a major European utility company, ENDESA, is interested in analysing the potential of trough collector technology for regional capacity increments in their supply area. In order to support further technology dissemination in high insolation areas, the leading Moroccan solar development agency CDER is willing to join this cooperation in order to evaluate SEGS technology potential for their own fast growing electricity demand as well as to analyse future prospects for an interconnected grid with Spain. (Author) 5 refs

  8. Assessing spatial patterns of extreme droughts associated to return periods from observed dataset: Case study of Segura River Basin (Spain)

    Science.gov (United States)

    García Galiano, Sandra G.; Diego Giraldo Osorio, Juan

    2013-04-01

    In basins of South-eastern Spain, such as the Segura River Basin (SRB), a strong decrease in runoff from the end of the 1970s has been observed. In the SRB, due to intensive reforestation aimed at halting desertification and erosion, added to climate variability and change, the default assumption of stationarity in water resources systems cannot be guaranteed. Therefore there is an important need for improvement in the ability of monitoring and predicting the impacts associated with the change of hydrologic regime. It is thus necessary to apply non-stationary probabilistic models, which are able to reproduce probability density functions whose parameters vary with time. From a high-resolution daily gridded rainfall dataset of more than 50 years (1950-2007 time period), the spatial distribution of lengths of maximum dry spells for several thresholds are assessed, applying GAMLSS (Generalized Additive Models for Location Scale and Shape) models at grid site. Results reveal an intensification of extreme drought events in some headbasins of the SRB important for water supply. The identification of spatial patterns of drought hazards at basin scale, associated to return periods, contribute to designing strategies of drought contingency preparedness and recovery operations, which are the leading edge of adaptation strategies.

  9. Molecular gastronomy in Spain

    DEFF Research Database (Denmark)

    García-Segovia, P.; Garrido, M. D.; Vercet, A.

    2014-01-01

    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 scientific and technological universe...... with scientists for facing the future of Spanish gastronomy....

  10. Addressing the multi-scale lapsus of landscape : multi-scale landscape process modelling to support sustainable land use : a case study for the Lower Guadalhorce valley South Spain

    NARCIS (Netherlands)

    Schoorl, J.M.

    2002-01-01

    "Addressing the Multi-scale Lapsus of Landscape" with the sub-title "Multi-scale landscape process modelling to support sustainable land use: A case study for the Lower Guadalhorce valley South Spain" focuses on the role of

  11. Sex Education in Spain: Teachers' Views of Obstacles

    Science.gov (United States)

    Martinez, Jose L.; Carcedo, Rodrigo J.; Fuertes, Antonio; Vicario-Molina, Isabel; Fernandez-Fuertes, Andres A.; Orgaz, Begona

    2012-01-01

    This paper offers an overview of the current state, difficulties, limitations and future possibilities for sex education in Spain. On the basis of a study involving 3760 teachers from all provinces in Spain, a detailed analysis of the obstacles at legislative, school and teacher levels was developed. Significant weaknesses were found at each of…

  12. Habitat fragmentation in arid zones: a case study of Linaria nigricans under land use changes (SE Spain).

    Science.gov (United States)

    Peñas, Julio; Benito, Blas; Lorite, Juan; Ballesteros, Miguel; Cañadas, Eva María; Martinez-Ortega, Montserrat

    2011-07-01

    Habitat fragmentation due to human activities is one of the most important causes of biodiversity loss. In Mediterranean areas the species have co-evolved with traditional farming, which has recently been replaced for more severe and aggressive practices. We use a methodological approach that enables the evaluation of the impact that agriculture and land use changes have for the conservation of sensitive species. As model species, we selected Linaria nigricans, a critically endangered plant from arid and semiarid ecosystems in south-eastern Spain. A chronosequence of the evolution of the suitable habitat for the species over more than 50 years has been reconstructed and several geometrical fragmentation indices have been calculated. A new index called fragmentation cadence (FC) is proposed to quantify the historical evolution of habitat fragmentation regardless of the habitat size. The application of this index has provided objective forecasting of the changes of each remnant population of L. nigricans. The results indicate that greenhouses and construction activities (mainly for tourist purposes) exert a strong impact on the populations of this endangered species. The habitat depletion showed peaks that constitute the destruction of 85% of the initial area in only 20 years for some populations of L. nigricans. According to the forecast established by the model, a rapid extinction could take place and some populations may disappear as early as the year 2030. Fragmentation-cadence analysis can help identify population units of primary concern for its conservation, by means of the adoption of improved management and regulatory measures.

  13. Prevalence of diabetic retinopathy and its relationship with glomerular filtration rate and other risk factors in patients with type 2 diabetes mellitus in Spain. DM2 HOPE study

    Directory of Open Access Journals (Sweden)

    Maribel López

    2017-09-01

    Conclusion: Around one in seven patients with T2DM has DR after nine years since diagnosis. Time since diagnosis, insulin therapy, cardiovascular profile, and renal dysfunction are associated with DR in patients with T2DM in Spain.

  14. Aversive racism in Spain: testing the theory

    NARCIS (Netherlands)

    Wojcieszak, M.

    2015-01-01

    This study applies the aversive racism framework to Spain and tests whether aversive racism depends on intergroup contact. Relying on a 3 (qualifications) by 3 (ethnicity) experiment, this study finds that aversive racism is especially pronounced against the Mexican job applicant, and emerges among

  15. Geological-geophysical techniques applied to urban planning in karst hazardous areas. Case study of Zaragoza, NE Spain

    Science.gov (United States)

    Pueyo Anchuela, O.; Soriano, A.; Casas Sainz, A.; Pocoví Juan, A.

    2009-12-01

    Industrial and urban growth must deal in some settings with geological hazards. In the last 50 years, the city of Zaragoza (NE Spain) has developed an increase of its urbanized area in a progression several orders higher than expected from its population increase. This fast growth has affected several areas around the city that were not usually used for construction. Maps of the Zaragoza city area at the end of the XIXth century and beginning of the XXth reveal the presence of karst hazards in several zones that can be observed in more modern data, as aerial photographs taken during a period ranging from 1927 to present. The urban and industrial development has covered many of these hazardous zones, even though potential risks were known. The origins of the karst problems are related to the solution of evaporites (mainly gypsum, glauberite and halite) that represent the Miocene substratum of the Zaragoza area underlying the Quaternary terraces and pediments related to the Ebro River and its tributaries. Historical data show the persistence of subsidence foci during long periods of time while in recent urbanized areas this stability is not shared, observing the increase of activity and/or radius affection in short periods of time after building over. These problems can be related to two factors: i) urban development over hazardous areas can increase the karst activity and ii) the affection radius is not properly established with the commonly applied methods. One way to develop these detailed maps can be related to the geophysical approach. The applied geophysical routine, dependent on the characteristics of the surveyed area, is based on potential geophysical techniques (magnetometry and gravimetry) and others related to the application of induced fields (EM and GPR). The obtained results can be related to more straightforward criteria as the detection of cavities in the subsoil and indirect indicators related to the long-term activity of the subsidence areas

  16. Recycling of water, carbon, and sulfur during subduction of serpentinites: A stable isotope study of Cerro del Almirez, Spain

    Science.gov (United States)

    Alt, Jeffrey C.; Garrido, Carlos J.; Shanks, Wayne C.; Turchyn, Alexandra; Padrón-Navarta, José Alberto; López Sánchez-Vizcaíno, Vicente; Gómez Pugnaire, María Teresa; Marchesi, Claudio

    2012-01-01

    We use the concentrations and isotope compositions of water, carbon, and sulfur in serpentinites and their dehydration products to trace the cycling of volatiles during subduction. Antigorite serpentinites from the Cerro del Almirez complex, Spain, contain 9–12 wt.% H2O and 910 ± 730 ppm sulfur, and have bulk δ18O values of 8.6 ± 0.4‰, δD = − 54 ± 5‰, and δ34S = 5.0‰, consistent with serpentinization at temperatures of ~ 200 °C by seawater hydrothermal fluids in a seafloor setting. The serpentinites were dehydrated to chlorite–harzburgite (olivine + orthopyroxene + chlorite) at 700 °C and 1.6–1.9 GPa during subduction metamorphism, resulting in loss of water, and sulfur. The chlorite–harzburgites contain 5.7 ± 1.9 wt.% H2O, and have bulk δ18O = 8.0 ± 0.9‰, and δD = − 77 ± 11‰. The rocks contain 650 ± 620 ppm sulfur having δ34S = 1.2‰. Dehydration of serpentinite resulted in loss of 5 wt.% H2O having δ18O = 8–10‰ and δD = − 27 to − 65‰, and loss of 260 ppm sulfur as sulfate, having δ34S = 14.5‰. The contents and δ13C of total carbon in the two rock types overlap, with a broad trend of decreasing carbon contents and δ13C from ~ 1300 to 200 ppm and − 9.6 to − 20.2‰. This reflects mixing between reduced carbon in the rocks (210 ppm, δ13C ≈ − 26‰) and seawater-derived carbonate (δ13C ≈ − 1‰). Our results indicate: 1) Serpentinized oceanic peridotites carry significant amounts of isotopically fractionated water, carbon and sulfur into subduction zones; 2) Subduction of serpentinites to high P and T results in loss of water, and sulfur, which can induce melting and contribute to 18O, D, and 34S enrichments and oxidation of the sub-arc mantle wedge; and 3) Isotopically fractionated water, carbon, and sulfur in serpentinite dehydration products are recycled deeper into the mantle where they can contribute to isotope heterogeneities and may be significant for volatile budgets of the deep Earth.

  17. Fertilizer standards for controlling groundwater nitrate pollution from agriculture: El Salobral-Los Llanos case study, Spain

    Science.gov (United States)

    Peña-Haro, S.; Llopis-Albert, C.; Pulido-Velazquez, M.; Pulido-Velazquez, D.

    2010-10-01

    SummaryAlthough the legislation on groundwater quality targets pollutant concentration, the effects of measures on non-point source pollution control are often evaluated in terms of their emission reduction potential at the source, not on their capacity of reducing the pollutant concentration in groundwater. This paper applies a hydro-economic modelling framework to an aquifer, El Salobral-Los Llanos aquifer (Mancha Oriental, Spain), where nitrate concentrations higher than those allowed by the EU Water Framework Directive and Groundwater Directive are locally found due to the intense fertilizer use in irrigated crops. The approach allows defining the economically optimal allocation of spatially variable fertilizer standards in agricultural basins using a hydro-economic model that links the fertilizer application with groundwater nitrate concentration at different control sites while maximizing net economic benefits. The methodology incorporates results from agronomic simulations, groundwater flow and transport into a management framework that yields the fertilizer allocation that maximizes benefits in agriculture while meeting the environmental standards. The cost of applying fertilizer standards was estimated as the difference between the private net revenues from actual application and the scenarios generated considering the application of the standards. Furthermore, the cost of applying fertilizer standards was compared with the cost of taxing nitrogen fertilizers in order to reduce the fertilizer use to a level that the nitrate concentration in groundwater was below the limit. The results show the required reduction of fertilizer application in the different crop areas depending on its location with regards to the control sites, crop types and soil-plant conditions, groundwater flow and transport processes, time horizon for meeting the standards, and the cost of implementing such a policy (as forgone benefits). According to the results, a high fertilizer price

  18. 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

  19. Total Effective Xenoestrogen Burden in Serum Samples and Risk for Breast Cancer in a Population-Based Multicase–Control Study in Spain

    Science.gov (United States)

    Pastor-Barriuso, Roberto; Fernández, Mariana F.; Castaño-Vinyals, Gemma; Whelan, Denis; Pérez-Gómez, Beatriz; Llorca, Javier; Villanueva, Cristina M.; Guevara, Marcela; Molina-Molina, José-Manuel; Artacho-Cordón, Francisco; Barriuso-Lapresa, Laura; Tusquets, Ignasi; Dierssen-Sotos, Trinidad; Aragonés, Nuria; Olea, Nicolás; Kogevinas, Manolis; Pollán, Marina

    2016-01-01

    Background: Most studies on endocrine-disrupting chemicals and breast cancer have focused on single compounds and have produced inconclusive findings. Objectives: We assessed the combined estrogenic effects of mixtures of xenoestrogens in serum and their relationship to breast cancer risk. Methods: A total of 186 incident pretreatment breast cancer cases and 196 frequency-matched controls were randomly sampled from a large population-based multicase–control study in Spain. The total effective xenoestrogen burden attributable to organohalogenated xenoestrogens (TEXB-α) and endogenous hormones and more polar xenoestrogens (TEXB-β) was determined in serum samples using high-performance liquid chromatography and E-Screen bioassay. Odds ratios for breast cancer comparing tertiles of serum TEXB-α and TEXB-β were estimated using logistic models, and smooth risk trends were obtained using spline models. Results: Cases had higher geometric mean TEXB-α and TEXB-β levels (8.32 and 9.94 Eeq pM/mL, respectively) than controls (2.99 and 5.96 Eeq pM/mL, respectively). The fully adjusted odds ratios for breast cancer (95% confidence intervals) comparing the second and third tertiles of TEXB-α with the first tertile were 1.77 (0.76, 4.10) and 3.45 (1.50, 7.97), respectively, and those for TEXB-β were 2.35 (1.10, 5.03) and 4.01 (1.88, 8.56), respectively. A steady increase in risk was evident across all detected TEXB-α levels and a sigmoidal trend was observed for TEXB-β. Individual xenoestrogens showed weak and opposing associations with breast cancer risk. Conclusions: This is the first study to show a strong positive association between serum total xenoestrogen burden and breast cancer risk, highlighting the importance of evaluating xenoestrogen mixtures, rather than single compounds, when studying hormone-related cancers. Citation: Pastor-Barriuso R, Fernández MF, Castaño-Vinyals G, Whelan D, Pérez-Gómez B, Llorca J, Villanueva CM, Guevara M, Molina-Molina JM

  20. Nuclear power in Spain

    International Nuclear Information System (INIS)

    1979-01-01

    the plans of the Spanish Government to reduce their dependence on oil over the next ten years by a considerable increase in nuclear generating capacity are outlined. Data on the type, generating power, location and commissioning data of a number of nuclear power stations in Spain are tabulated. The use of foreign companies for the design and construction of the nuclear stations and the national organisations responsible for different aspects of the programme are considered. (UK)

  1. Snakebite poisoning in Spain.

    Science.gov (United States)

    Martín-Sierra, Cristina; Nogué-Xarau, Santiago; Pinillos Echeverría, Miguel Ángel; Rey Pecharromán, José Miguel

    2018-01-01

    Emergencies due to snakebites, although unusual in Spain, are potentially serious. Of the 13 species native to the Iberian peninsula, only 5 are poisonous: 2 belong to the Colubridae family and 3 to the Viperidae family. Bites from these venemous snakes can be life-threatening, but the venomous species can be easily identified by attending to certain physical traits. Signs denoting poisoning from vipers, and the appropriate treatment to follow, have changed in recent years.

  2. [Heart failure mortality in Spain: is there an andalusian paradox?].

    Science.gov (United States)

    Jiménez-Navarro, M; Gómez-Doblas, J; Molero, E; Galván, E de Teresa

    2006-06-01

    Congestive heart failure has a high mortality, as reflected in different clinical trials and observational studies. Spain, as other countries around the Mediterranean basin, have a relatively low rate of coronary deaths, attributed to the so-called Mediterranean lifestyle. Andalusia, in the southern most part of Spain, constitutes the paradigm of Mediterranean lifestyle. However, different reports show that the prevalence of ischemic heart disease is higher in Andalusia than in other zones of Spain. Thus the mortality rate due to heart failure in Spain in the year 2000 per 100,000 inhabitants was 27.3 in men and 28.88 in women and each one of the eight Andalusia provinces had greater rates than the national mean in both men and woman. Even in countries with a relatively low prevalence of coronary heart disease as is the case in Spain, heart failure mortality seems to be parallel to local differences in IHD prevalence.

  3. Colorectal Cancer and Long-Term Exposure to Trihalomethanes in Drinking Water: A Multicenter Case–Control Study in Spain and Italy

    Science.gov (United States)

    Villanueva, Cristina M.; Gracia-Lavedan, Esther; Bosetti, Cristina; Righi, Elena; Molina, Antonio José; Martín, Vicente; Boldo, Elena; Aragonés, Nuria; Perez-Gomez, Beatriz; Pollan, Marina; Acebo, Ines Gomez; Altzibar, Jone M.; Zabala, Ana Jiménez; Ardanaz, Eva; Peiró, Rosana; Tardón, Adonina; Chirlaque, Maria Dolores; Tavani, Alessandra; Polesel, Jerry; Serraino, Diego; Pisa, Federica; Castaño-Vinyals, Gemma; Espinosa, Ana; Espejo-Herrera, Nadia; Palau, Margarita; Moreno, Victor; La Vecchia, Carlo; Aggazzotti, Gabriella; Nieuwenhuijsen, Mark J; Kogevinas, Manolis

    2016-01-01

    Background: Evidence on the association between colorectal cancer and exposure to disinfection by-products in drinking water is inconsistent. Objectives: We assessed long-term exposure to trihalomethanes (THMs), the most prevalent group of chlorination by-products, to evaluate the association with colorectal cancer. Methods: A multicenter case–control study was conducted in Spain and Italy in 2008–2013. Hospital-based incident cases and population-based (Spain) and hospital-based (Italy) controls were interviewed to ascertain residential histories, type of water consumed in each residence, frequency and duration of showering/bathing, and major recognized risk factors for colorectal cancer. We estimated adjusted odds ratios (OR) for colorectal cancer in association with quartiles of estimated average lifetime THM concentrations in each participant’s residential tap water (micrograms/liter; from age 18 to 2 years before the interview) and estimated average lifetime THM ingestion from drinking residential tap water (micrograms/day). Results: We analyzed 2,047 cases and 3,718 controls. Median values (ranges) for average lifetime residential tap water concentrations of total THMs, chloroform, and brominated THMs were 30 (0–174), 17 (0–63), and 9 (0–145) μg/L, respectively. Total THM concentration in residential tap water was not associated with colorectal cancer (OR = 0.92, 95% CI: 0.66, 1.28 for highest vs. lowest quartile), but chloroform concentrations were inversely associated (OR = 0.31, 95% CI: 0.24, 0.41 for highest vs. lowest quartile). Brominated THM concentrations showed a positive association among men in the highest versus the lowest quartile (OR = 1.43, 95% CI: 0.83, 2.46). Patterns of association were similar for estimated average THM ingestion through residential water consumption. Conclusions: We did not find clear evidence of an association between detailed estimates of lifetime total THM exposure and colorectal cancer in our large case

  4. A case-control study to assess the effectiveness of pertussis vaccination during pregnancy on newborns, Valencian community, Spain, 1 March 2015 to 29 February 2016.

    Science.gov (United States)

    Bellido-Blasco, Juan; Guiral-Rodrigo, Silvia; Míguez-Santiyán, Ana; Salazar-Cifre, Antonio; González-Morán, Francisco

    2017-06-01

    In the Valencian Community (Spain), the programme of maternal pertussis vaccination during pregnancy started in January 2015. The objective of this study was to estimate in this region the vaccine effectiveness (VE) in protecting newborns against laboratory-confirmed pertussis infection. A matched case-control study was undertaken in the period between 1 March 2015 and 29 February 2016. Twenty-two cases and 66 controls (+/- 15 days of age difference) were included in the study. Cases were non-vaccinated infants case three unvaccinated controls were selected. Odds ratios (OR) were calculated by multiple conditional logistic regression for association between maternal vaccination and infant pertussis. Other children in the household, as well as mother- and environmental covariates were taken into account. The VE was calculated as 1 - OR. Mothers of five cases (23%) and of 41 controls (62%) were vaccinated during pregnancy. The adjusted VE was 90.9% (95% confidence interval (CI): 56.6 to 98.1). The only covariate in the final model was breastfeeding (protective effect). Our study provides evidence in favour of pertussis vaccination programmes for pregnant women in order to prevent whooping cough in infants aged less than 3 months. This article is copyright of The Authors, 2017.

  5. Coal Transition in Spain. An historical case study for the project 'Coal Transitions: Research and Dialogue on the Future of Coal'

    International Nuclear Information System (INIS)

    Del Rio, Pablo

    2017-01-01

    This is one of the 6 country case-studies commissioned to collect experience on past coal transitions. The 6 countries are: Czech Republic, the Netherlands, Poland, Spain, UK, USA. Their role in the Coal Transitions project was to provide background information for a Synthesis Report for decision makers, and provide general lessons for national project teams to take into account in developing their coal transitions pathways for the future. Spain has had a long tradition of coal mining at least since the 18. century. However, it is also one of the jurisdictions committing to phase-out of subsidies and implementing it in recent times. This case study discusses the main features of the coal transition in Spain, the factors influencing this transition as well as the policies which both drove it and accompanied their detrimental socioeconomic effects on the workers and regions. The analysis is based on a desktop research of relevant documents, including official communications from the Ministry of Industry (MINETUR) and the European Commission as well as statements of position from the industry association (CARBUNION) and labour unions (UGT and CCOO). Documents on national coal from other institutions (Foundations, NGOs) have also been consulted. Finally, an analysis of articles in the mass media has been carried out. This contains useful statements from different types of stakeholders. A strong reduction in production and employment in the coal industry has been experienced at least in the last two decades in this country. Successive plans by the government have aimed at reducing coal production, early retirement of workers and closing mines. Caught in the middle of the mining coalition on the one hand and EU legislation and public opinion on the other, the government has had to approve drastic measures leading to phase out. On the other hand, it has tried to accompany the phase out with measures which have tried to mitigate the negative impact on the affected zones

  6. The water footprint of tourism in Spain

    NARCIS (Netherlands)

    Cazcarro, I.; Hoekstra, Arjen Ysbert; Sánchez Chóliz, J.

    2014-01-01

    This study complements the water footprint (WF) estimations for Spain, incorporating insights of the process analysis and input–output (IO) analysis. We evaluate the virtual (both blue and green consumed) water trade of agricultural and industrial products, but also of services, especially through

  7. Does Education Affect Happiness? Evidence for Spain

    Science.gov (United States)

    Cunado, Juncal; de Gracia, Fernando Perez

    2012-01-01

    In this paper we study the impact of education on happiness in Spain using individual-level data from the European Social Survey, by means of estimating Ordinal Logit Models. We find both direct and indirect effects of education on happiness. First, we find an indirect effect of education on happiness through income and labour status. That is, we…

  8. Analysis of the healthcare process of patients with type 2 diabetes mellitus and associated comorbidity treated in Spain's National Health System: A perspective of medical professionals. IMAGINE study.

    Science.gov (United States)

    Gómez-Huelgas, R; Artola-Menéndez, S; Menéndez-Torre, E

    2016-04-01

    To analyse the care received by patients with type 2 diabetes mellitus (DM2) and comorbidity in Spain's National Health System. Cross-sectional study using an online survey. A total of 302 family physicians, internists and endocrinologists participated in the study. The participants were recruited voluntarily by their respective scientific societies and received no remuneration. Patients with DM2 and comorbidity are mostly treated in Primary Care (71.8%). Forty percent are referred to hospital care, mainly due to renal failure, poor glycaemic control and for a retinopathy assessment. Only 52% of those surveyed conducted medication reconciliation in the transition between healthcare levels. Fifty-eight percent reported conducting interconsultations, clinical meetings or consultancies between healthcare levels. The 3 main factors identified for improving the follow-up and control of DM2 with comorbidity were the multidisciplinary study (80.8%), the continuing education of health professionals (72.3%) and therapeutic education programmes (72%). A lack of time, a lack of qualified personnel for lifestyle interventions and organisational shortcomings were mentioned as the main obstacles for improving the care of these patients. Most patients with DM2 and comorbidity are treated in Primary Care. Promoting multidisciplinary care and training programmes for practitioners and patients can help improve the quality of care. Therapy reconciliation represents a priority area for improvement in this population. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

  9. Longitudinal study of dogs living in an area of Spain highly endemic for leishmaniasis by serologic analysis and the leishmanin skin test.

    Science.gov (United States)

    Solano-Gallego, Laia; Llull, Joan; Ramis, Antonio; Fernández-Bellon, Hugo; Rodríguez, Alhelí; Ferrer, Lluís; Alberola, Jordi

    2005-06-01

    The literature contains few longitudinal studies that have assessed areas endemic for canine leishmaniasis and over the same time interval Leishmania-specific cellular and humoral immunity in healthy dogs. Fourteen dogs, three mixed breed and 11 Ibizian hounds, living in an area of Spain that was highly endemic for leishmaniasis were followed-up over a three-year period by serologic analysis and the leishmanin skin test (LST). All but one of these dogs remained clinically healthy during the study period. Seroconversion was observed in four dogs. The three mixed breed dogs had a negative reaction in the LST in the first and third years. The general trend in the Ibizian hounds was an increase in the diameter of the LST reaction at both the 48- and 72-hour readings in the third year. This study demonstrates that in addition to an increase in Leishmania-specific humoral immune response in Ibizian hounds, a parallel increase in cellular immune response was observed.

  10. Orthothermographies and 3D modeling as potential tools in ice caves studies: the Peña Castil Ice Cave (Picos de Europa, Northern Spain

    Directory of Open Access Journals (Sweden)

    Fernando Berenguer-Sempere

    2014-01-01

    Full Text Available Currently there are many studies focused on the investigation of climatic and glaciological condition of ice caves. Here we present another way to address these studies, applying some methods already used in fields other than geomorphology. The versatility and accuracy provided by the use of modern topography and thermography techniques, using Terrestrial Laser Scanner and current thermographic cameras- and the creation of 3D thermographic models and orthothermographies derived from them - is shown to be a useful tool as it is difficult to obtain data from fieldwork and traditional methods used in caves. This paper presents the potential uses of combined TLS and thermographic techniques for monitoring some important climatological parameters in the sensitive periglacial environment of the Iberian Atlantic high mountains: Peña Castil Ice Cave (Picos de Europa, Northern Spain. A systematic application of such combined technologies to these kind of caves, is expected to contribute to a quantitative and concise characterization of the evolution of the ice as shown by the results of this study.

  11. Study of cyanotoxins presence from experimental cyanobacteria concentrations using a new data mining methodology based on multivariate adaptive regression splines in Trasona reservoir (Northern Spain).

    Science.gov (United States)

    Garcia Nieto, P J; Sánchez Lasheras, F; de Cos Juez, F J; Alonso Fernández, J R

    2011-11-15

    There is an increasing need to describe cyanobacteria blooms since some cyanobacteria produce toxins, termed cyanotoxins. These latter can be toxic and dangerous to humans as well as other animals and life in general. It must be remarked that the cyanobacteria are reproduced explosively under certain conditions. This results in algae blooms, which can become harmful to other species if the cyanobacteria involved produce cyanotoxins. In this research work, the evolution of cyanotoxins in Trasona reservoir (Principality of Asturias, Northern Spain) was studied with success using the data mining methodology based on multivariate adaptive regression splines (MARS) technique. The results of the present study are two-fold. On one hand, the importance of the different kind of cyanobacteria over the presence of cyanotoxins in the reservoir is presented through the MARS model and on the other hand a predictive model able to forecast the possible presence of cyanotoxins in a short term was obtained. The agreement of the MARS model with experimental data confirmed the good performance of the same one. Finally, conclusions of this innovative research are exposed. Copyright © 2011 Elsevier B.V. All rights reserved.

  12. Mercury species accumulation and trophic transfer in biological systems using the Almadén mining district (Ciudad Real, Spain) as a case of study.

    Science.gov (United States)

    Patiño Ropero, M J; Rodríguez Fariñas, N; Mateo, R; Berzas Nevado, J J; Rodríguez Martín-Doimeadios, R C

    2016-04-01

    The impact of mercury (Hg) pollution in the terrestrial environments and the terrestrial food chains including the impact on human food consumption is still greatly under-investigated. In particular, studies including Hg speciation and detoxification strategies in terrestrial animals are almost non-existing, but these are key information with important implications for human beings. Therefore, in this work, we report on Hg species (inorganic mercury, iHg, and monomethylmercury, MeHg) distribution among terrestrial animal tissues obtained from a real-world Hg exposure scenario (Almadén mining district, Spain). Thus, we studied Hg species (iHg and MeHg) and total selenium (Se) content in liver and kidney of red deer (Cervus elaphus; n = 41) and wild boar (Sus scrofa; n = 16). Similar mercury species distribution was found for both red deer and wild boar. Major differences were found between tissues; thus, in kidney, iHg was clearly the predominant species (more than 81%), while in liver, the species distribution was less homogeneous with a percentage of MeHg up to 46% in some cases. Therefore, Hg accumulation and MeHg transfer were evident in terrestrial ecosystems. The interaction between total Se and Hg species has been evaluated by tissue and by animal species. Similar relationships were found in kidney for both Hg species in red deer and wild boar. However, in liver, there were differences between animals. The possible underlying mechanisms are discussed.

  13. [Mutations of resistance of HIV-1 in previously untreated patients at penitentiary centers of the Autonomous Community of Valencia, Spain. REPRICOVA study].

    Science.gov (United States)

    García-Guerrero, Julio; Herrero, Agustín; Vera, Enrique; Almenara, José M; Araújo, Rosa; Saurí, Vicente V; Castellano, Juan C; Fernández-Clemente, Luis; Bedia, Miguel; Llorente, María I; González-Morán, Francisco

    2002-03-02

    Our purpose was to determine the prevalence of mutations of resistance to nucleoside inhibitors of reverse transcriptase (NIRT) and protease inhibitors (PI) in the HIV-1 genotype of naïve infected subjects in the prisons of the Autonomous Community of Valencia, Spain. Multicentric, descriptive, cross-sectional study of prevalence including a systematic stratified and randomised sampling by centres. Demographic, clinical, virological and immunological data were collected. The HIV gene of protease and transcriptase was studied in peripheral blood plasma samples by means of double PCR amplification and subsequent automatic sequence. Reference: wild strain HXB2. Plasma was obtained from 133 individuals (119 men and 14 women). 117 samples were selected and the rest did not have enough copies for transcription. With regard to NIRT, 7 samples (5.2% of total) showed some mutation of resistance: M41L, D67N, L210W and K219Q, all them secondary to and associated with resistance to zidovudine, abacavir as well as group B multinucleoside-resistance. With regard to PI, only one sample showed a primary mutation, M46I, which was associated with resistance to indinavir. Moreover, a further 41 samples were found to express some secondary mutation. In our series, there was a low number of primary mutations of resistance. These results allow us to exclude the systematic use of resistance tests before an initiation antiretroviral therapy.

  14. Comparative study of antiepileptic drug use during pregnancy over a period of 12 years in Spain. Efficacy of the newer antiepileptic drugs lamotrigine, levetiracetam, and oxcarbazepine.

    Science.gov (United States)

    Martinez Ferri, M; Peña Mayor, P; Perez López-Fraile, I; Escartin Siquier, A; Martin Moro, M; Forcadas Berdusan, M

    2018-03-01

    The prescription pattern of antiepileptic drugs (AEDs) during pregnancy is changing but to what extent this is occurring in Spain remains unknown. The efficacy of newer drugs for controlling seizures is a key issue and may have changed over the years as doctors gained familiarity with these drugs during pregnancy. To assess these 2 topics, we report the results from the Spanish EURAP register gathered over a 12-year period. After signing informed consent forms, patients were included in the register and evaluated at onset of pregnancy, at the end of the second and third trimesters, after delivery, and one year after delivery. For the purposes of this study, we analysed AEDs, type of epilepsy, seizure frequency per trimester and throughout pregnancy, percentage of seizure-free pregnancies, and frequency of congenital malformations. We then compared data from 2 periods (June 2001-October 2007) and (January 2008-May 2015) RESULTS: We compared 304 monotherapies from the older period to 127 from the more recent one. There was a clear increase in the use of levetiracetam (LEV) with declining use of carbamazepine (CBZ), phenytoin, and phenobarbital; a slight decline in use of valproate (VPA), and a slight increase in the use of lamotrigine (LTG) and oxcarbazepine (OXC). Epilepsy types treated with CBZ and VPA remained unchanged, whereas fewer cases of generalised epilepsy were treated with LTG in the new period. This trend was not associated with significant changes in seizure frequency, but rather linked to better control over de novo seizures in the third trimester. LEV was similar to CBZ and VPA with regard to levels of seizure control, and more effective than LTG. Generalised epilepsy accounted for 64% of the cases treated with LEV. The prescription pattern of AEDs during pregnancy has changed in Spain, with diminishing use of CBZ, phenytoin, and phenobarbital. Changes also reflect the type of epilepsy, since there is less use of LTG for generalised epilepsy. LEV

  15. The reduction of the metabolyc syndrome in Navarra-Spain (RESMENA-S) study; a multidisciplinary strategy based on chrononutrition and nutritional education, together with dietetic and psychological control

    OpenAIRE

    Zulet, M.A. (María Ángeles); Bondia-Pons, I. (I.); Abete, I. (Itziar); Iglesia, R. (Rocío) de la; Lopez-Legarrea, P. (Patricia); Forga, L. (Luis); Navas-Carretero, S. (Santiago)

    2011-01-01

    Introduction: The high prevalence of metabolic syndrome (MS) in Spain requires additional efforts for prevention and treatment. Objective: The study RESMENA-S aims to improve clinical criteria and biomarkers associated with MS though an integral therapy approach. Methods: The study is a randomized prospective parallel design in which is expected to participate a total of 100 individuals. The RESMENA-S group (n = 50) is a personalized weight loss (30% energy restriction) diet, with a mac...

  16. 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.

  17. [Suicide in Spain today].

    Science.gov (United States)

    Ruiz-Pérez, Isabel; Olry de Labry-Lima, Antonio

    2006-03-01

    Spain presents one of the lowest suicide rates (8.7 per 100,000) but, as well as Ireland, it has also experienced one of the highest rate increases both within Europe and within the world. In our country, it can be observed an increase in the suicide rates from 1975 to 1994, being this increase greater in men than in women. It can also be noted that there was a stabilisation in the following years. Social factors, specially those which have to deal with gender roles and changes in these roles, are the most common explanations. Another possible explanation for the observed increase in mortality due to suicide among young men could be the AIDS epidemic and intravenous drug addiction, that was observed in Spain during the eighties and nineties. Furthermore, we are witnessing an epidemic related to violence against children and women. Literature strongly suggests that child abuse (psychological and sexual) is associated with increased suicide risk in adolescent or adult life. Women experience violence from their intimate partners and have a greater risk of suffering from chronic pain, diverse somatisations, greater substance use like drugs and alcohol, depression and suicide attempt. The association between work precariousness and suicide seems to be due to economic and social and family support factors, which can lead to greater vulnerability to mental health problems. These factors are of great relevance, since Spain presents one of the highest unemployment and temporary employment rates in the European Union. It seems reasonable that, due to the individualism that characterises the contemporary society, its demands and the new role of women in the work market that cause, among others, a greater difficulty in combining work and family life, are factors that could explain the lack of decrease in suicide rates.

  18. Does a 'protective' message reduce the impact of an advergame promoting unhealthy foods to children? An experimental study in Spain and The Netherlands.

    Science.gov (United States)

    Folkvord, Frans; Lupiáñez-Villanueva, Francisco; Codagnone, Cristiano; Bogliacino, Francesco; Veltri, Giuseppe; Gaskell, George

    2017-05-01

    The weight of evidence points to the advertising of food affecting food consumption, especially among children. Such advertising often promotes unhealthy foods. Current policy deliberations focus on developing effective 'protective' messages to increase advertising literacy and consequent scepticism about advertising targeting children. This study examined whether incorporating a 'protective' message in an advergame promoting energy-dense snacks would reduce children's snack intake. A randomized between-subject design was conducted in the Netherlands (N = 215) and Spain (N = 382) with an advergame promoting either energy-dense snacks or nonfood products. The results showed that playing an advergame promoting energy-dense snacks increased caloric intake in both countries, irrespective of whether the 'protective' message was present or not. These results point to the limitations of 'protective' messages and advertising literacy and provide policy makers with a rationale for extending the current prohibition of food advertising to young children in the terrestrial media to online environments. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. [Early diagnosis of HIV in Primary Care in Spain. Results of a pilot study based on targeted screening based on indicator conditions, behavioral criteria and region of origin].

    Science.gov (United States)

    Agustí, Cristina; Martín-Rabadán, María; Zarco, José; Aguado, Cristina; Carrillo, Ricard; Codinachs, Roger; Carmona, Jose Manuel; Casabona, Jordi

    2018-03-01

    To estimate the prevalence of HIV infection in patients diagnosed with an indicator condition (IC) for HIV and/or risk behavior for their acquisition and/or coming from high prevalence countries. To determine the acceptability and feasibility of offering HIV testing based on IC and behavioral and origin criteria in Primary Care (PC). Cross-sectional study in a convenience sample. Six PC centers in Spain. The inclusion criteria were: patients between 16 and 65years old who presented at least one of the proposed ICs and/or at least one of the proposed behavioral and/or origin criteria. A total of 388 patients participated. HIV serology was offered to all patients who met the inclusion criteria. Description of IC frequency, behavioral and origin criteria. Prevalence of HIV infection. Level of acceptability and feasibility of the HIV screening based on IC and behavioral and origin criteria. A total of 174 patients had an IC (44.84%). The most common behavioral criterion was: having unprotected sex at some time in life with people who did not know their HIV status (298; 76.8%). Four HIV+ patients (1.03%) were diagnosed. All had an IC and were men who had sex with men. The level of acceptability in PC was high. Offering HIV testing to patients with IC and behavioral criteria is feasible and effective in PC. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  20. COPD is a clear risk factor for increased use of resources and adverse outcomes in patients undergoing intervention for colorectal cancer: a nationwide study in Spain.

    Science.gov (United States)

    Baré, Marisa; Montón, Concepción; Mora, Laura; Redondo, Maximino; Pont, Marina; Escobar, Antonio; Sarasqueta, Cristina; Fernández de Larrea, Nerea; Briones, Eduardo; Quintana, Jose Maria

    2017-01-01

    We hypothesized that patients undergoing surgery for colorectal cancer (CRC) with COPD as a comorbidity would consume more resources and have worse in-hospital outcomes than similar patients without COPD. Therefore, we compared different aspects of the care process and short-term outcomes in patients undergoing surgery for CRC, with and without COPD. This was a prospective study and it included patients from 22 hospitals located in Spain - 472 patients with COPD and 2,276 patients without COPD undergoing surgery for CRC. Clinical variables, postintervention intensive care unit (ICU) admission, use of invasive mechanical ventilation, and postintervention antibiotic treatment or blood transfusion were compared between the two groups. The reintervention rate, presence and type of complications, length of stay, and in-hospital mortality were also estimated. Hazard ratio (HR) for hospital mortality was estimated by Cox regression models. COPD was associated with higher rates of in-hospital complications, ICU admission, antibiotic treatment, reinterventions, and mortality. Moreover, after adjusting for other factors, COPD remained clearly associated with higher and earlier in-hospital mortality. To reduce in-hospital morbidity and mortality in patients undergoing surgery for CRC and with COPD as a comorbidity, several aspects of perioperative management should be optimized and attention should be given to the usual comorbidities in these patients.

  1. Healthcare resource utilization and cost among males with lower urinary tract symptoms with a predominant storage component in Spain: The epidemiological, cross-sectional MERCURY study.

    Science.gov (United States)

    Errando-Smet, Carlos; Müller-Arteaga, Carlos; Hernández, Marta; Lenero, Enrique; Roset, Montse

    2018-01-01

    To assess the relationship between storage-predominant LUTS and healthcare resource consumption and cost among males in Spain. In this non-interventional, cross-sectional study, urologists enrolled males with storage-predominant LUTS and recorded the consumption of healthcare resources (medical visits, diagnostic tests/monitoring, treatment, and hospitalizations) within the previous 6 months. The cost of healthcare resources was calculated from unit costs extracted from a Spanish eHealth database. Severity of LUTS was assessed by the Bladder Self-Assessment Questionnaire (BSAQ) and patients were stratified by symptom score (used more healthcare resources compared with patients with BSAQ symptom scores used as monotherapy (n = 229 [37.5%]) or in combination with antimuscarinics (n = 227 [37.2%]). The estimated median annual cost was €1070 per patient, consisting of diagnostic tests/monitoring (54.6%), medical visits (20.5%), and treatment (29.6%), and was higher in patients with BSAQ symptom score ≥6 (€1127) than in patients with BSAQ symptom score <6 (€920; P < 0.001). More severe LUTS are associated with higher healthcare consumption and cost. These findings highlight the importance of symptom management in LUTS patients to help minimize healthcare consumption and cost. © 2017 Wiley Periodicals, Inc.

  2. HIGH-SPEED RAILWAY AND TOURISM: IS THERE AN IMPACT ON INTERMEDIATE CITIES? EVIDENCE FROM TWO CASE STUDIES IN CASTILLA-LA MANCHA (SPAIN

    Directory of Open Access Journals (Sweden)

    Carmen VÁZQUEZ VARELA

    2016-12-01

    Full Text Available The expectations of cities served by High Speed Rail are numerous. Improvements in a destination’s accessibility could lead to an increase in transport demand and the revitalization of urban and business tourism. However, High Speed Rail services do not automatically affect the choice of destination even if they improve accessibility. Even so, they can improve visitation rates when tourist amenities are located near High Speed Rail stations becoming therefore easily accessible. The development of tourism is also influenced by the collective strategies of local stakeholders. Larger cities also appear able to leverage higher tourist volumes from the construction of High Speed Rail and most analyses to date have focused upon them. Thus we focus here on how the arrival of High Speed Rail services has impacted tourism on medium sized cities. Using a diachronic study of different socio-economic variables and tourist features, this article analyses the impact that the new rail infrastructure can have on tourism in two selected cases in Spain: Cuenca and Toledo.

  3. Isolation, in vitro culture, ultrastructure study, and characterization by lectin-agglutination tests of Phytomonas isolated from tomatoes (Lycopersicon esculentum) and cherimoyas (Anona cherimolia) in southeastern Spain.

    Science.gov (United States)

    Sanchez-Moreno, M; Fernandez-Becerra, C; Mascaro, C; Rosales, M J; Dollet, M; Osuna, A

    1995-01-01

    Plants of Lycopersicon esculentum (grown in greenhouses) and Anona cherimolia cultivated in southeastern Spain were examined for the presence of trypanosomatid flagellates. Kinetoplastid protozoa were found in the fruits but not in the phloem or other plant tissues. Parasites were detected from the onset of fruiting. Isolates were detected from the onset of fruiting. Isolates were adapted to in vitro culturing in monophase media. The form and the structural organization was studied by scanning and transmission electron microscopy. The parasites showed an ultrastructural pattern similar to that of other species of the genus Phytomonas. In tomatoes experimentally inoculated with flagellates cultivated in vitro, we observed that the parasites did not lose their infectious capacity. Three strains of trypanosomatids of the genus Phytomonas, isolated from different species of Euphorbia (E. characias and E. hyssopifolia) and from Cocos nucifera, were compared with our isolates by lectin-agglutination tests. Our isolates were different from the two strains isolated from Euphorbia, but with this technique we could not differentiate our isolates from those of the coconut, nor could we differentiate between the isolates, their ultrastructural similarity together with their similar behavior in the lectin-agglutination test suggesting that these isolates have a common origin.

  4. Influence of the method of production of eggs on the daily intake of polycyclic aromatic hydrocarbons and organochlorine contaminants: an independent study in the Canary Islands (Spain).

    Science.gov (United States)

    Luzardo, Octavio P; Rodríguez-Hernández, Angel; Quesada-Tacoronte, Yohana; Ruiz-Suárez, Norberto; Almeida-González, Maira; Henríquez-Hernández, Luis Alberto; Zumbado, Manuel; Boada, Luis D

    2013-10-01

    Analysis of 16 polycyclic aromatic hydrocarbons (PAHs), 20 organochlorine pesticides (OCPs) and 18 polychlorinated biphenyls (PCBs) were performed on eggs from three different production types (conventional, free-run and organic) collected from the markets of the Canary Islands (Spain). Unlike other studies we did not found differences in the content of PCBs or OCPs of eggs in relation to its production type. Median ∑OCPs content was 3.87 ng g⁻¹ fat, being dieldrin, dicofol, hexachlorobenzene, p,p'-DDE and p,p'-DDT the most frequently detected. Median ∑PCBs value was 3.93 ng g⁻¹ fat, with 79.9% of this amount coming from the marker PCBs. Two samples, one free-run and one organic, greatly exceeded the current European Commission (EC) limit of 2.5 pg TEQ(PCDD/F) g⁻¹ lipid, but the rest were well below of this limit. The concentrations of PAHs in conventionally produced eggs were almost 4 times higher than in free-run or organic eggs. Mean dietary intake estimates of the organochlorine contaminants based on consumption of eggs, regardless of the type chosen, is negligible for the Canary Islands' population. However, the median dietary intake estimates of PAHs greatly depend on the type of eggs chosen, being much lower when free-run and organic eggs are consumed. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. 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.

  6. 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.

  7. Energy planning in Spain

    International Nuclear Information System (INIS)

    Cortina Garcia, J.

    1995-01-01

    This report aims to describe energy planning in Spain. It briefly analyses the three completed national energy plans (Plan Energetico Nacional, PEN). The fourth PEN 1991-2000 is analysed in detail, by reference to its objectives and characteristics and to developments during its first five years in operation. The Ministry of Industry and Energy has updated PEN en 1995, almost halfway through its period, and this is also summarised. Finally, there are some reflections on the future of energy planning. (Author) 46 refs

  8. Mediterranean diet adherence during pregnancy and risk of wheeze and eczema in the first year of life: INMA (Spain) and RHEA (Greece) mother-child cohort studies.

    Science.gov (United States)

    Chatzi, Leda; Garcia, Raquel; Roumeliotaki, Theano; Basterrechea, Mikel; Begiristain, Haizea; Iñiguez, Carmen; Vioque, Jesus; Kogevinas, Manolis; Sunyer, Jordi

    2013-12-14

    Maternal diet during pregnancy might influence the development of childhood allergic disorders. The aim of the present study was to evaluate the impact of Mediterranean diet (MD) adherence during pregnancy on wheeze and eczema in the first year of life in two population-based mother-child cohorts in Spain and Greece. We studied 1771 mother-newborn pairs from the Spanish multi-centre 'INMA' (INfancia y Medio Ambiente) study (Gipuzkoa, Sabadell and Valencia) and 745 pairs from the 'RHEA' study in Crete, Greece. The symptoms of wheeze and eczema were based on the criteria of the International Study of Asthma and Allergies in Childhood. Maternal diet during pregnancy was assessed by FFQ and MD adherence was evaluated through an a priori score. Multivariate log-binomial regression models were used to adjust for several confounders in each cohort and summary estimates were obtained by a meta-analysis. MD adherence was not associated with the risk of wheeze and eczema in any cohort, and similar results were identified in the meta-analysis approach. High meat intake (relative risk (RR) 1·22, 95 % CI 1·00, 1·49) and 'processed' meat intake (RR 1·18, 95 % CI 1·02, 1·37) during pregnancy were associated with an increased risk of wheeze in the first year of life, while a high intake of dairy products was significantly associated with a decreased risk of infantile wheeze (RR 0·83, 95 % CI 0·72, 0·96). The results of the present study show that high meat intake during pregnancy may increase the risk of wheeze in the first year of life, while a high intake of dairy products may decrease it.

  9. Combined microstructural and mineralogical phase characterization of gallstones in a patient-based study in SW Spain - Implications for environmental contamination in their formation.

    Science.gov (United States)

    Parviainen, Annika; Suárez-Grau, Juan Manuel; Pérez-López, Rafael; Nieto, José Miguel; Garrido, Carlos J; Cobo-Cárdenas, Gema

    2016-12-15

    This study explores the environmental impact of metal exposure on humans through detailed phase and structural characterization of gallstones from two environmentally contrasting populations in Huelva Province (SW Spain). A total of 42 gallstone samples, obtained after surgical intervention at the Riotinto Hospital, were studied by powder X-ray diffraction (XRD), Fourier Transformed Infra-Red spectroscopy (FTIR), FTIR-μ-ATR (Attenuated Total Reflection) coupled with an optical microscope, and by Environmental Scanning Electron Microscope with Energy Dispersive X-ray Spectroscopy (ESEM-EDS), and subsequently classified according to their phase composition and structure. Additionally, the patients were enquired for their living habits in order to analyze the source of possible exposure to metal contamination. The gallstones were classified into pure, mixed and composite cholesterol stones, black and brown pigment stones, and carbonate stones. The patients from the study group residing in a region with acknowledged metal contamination of both natural and anthropogenic origin have a higher risk of metal exposure through contaminated soil, particle matter in the air, and consumption of local water and food products. According to our findings, the metal exposure is related to a higher tendency of forming black pigment stones in the study group in comparison to the control group residing in a natural park with nearly pristine environmental conditions. Moreover, the gallstones from the study group showed to contain more abundant metal components, such as Cu, Fe, Ni, and Zn, than those from the control group. To our knowledge this is the first study to examine the regional environmental impact of metal exposure on human gallstones. Copyright © 2016 Elsevier B.V. All rights reserved.

  10. 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

  11. 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…

  12. [Tuberculosis and immigration in Spain: scoping review].

    Science.gov (United States)

    Casals, Martí; Rodrigo, Teresa; Camprubí, Esteve; Orcau, Angels; Caylà, Joan A

    2014-01-01

    Immigration is a fairly recent phenomenon in Spain and there are still few scientific publications on tuberculosis (TB) and immigration. Therefore, the aim of this study is to describe the differential characteristics of TB in the immigrant population with respect to natives in Spain. Literature review of original articles written in Spanish or English and published 1998-2012 about TB among immigrant population. The articles with the key words "Tuberculosis", "immigrants" and "Spain" were included. Literature search was performed in Medline and MEDES. A total of 72,087 articles on TB were detected worldwide, 6% of them dealt with the immigration issue. Regarding Spain we found 2,917 articles representing 4% of the papers published worldwide, and in 219 (7.5%) immigration was considered. Of the 219 articles, 48% were published in Spanish journals and the 52% remaining in Anglo-Saxon journals. 93.5% of immigrants with TB were younger than 51, whereas this percentage was 64.9% in natives. Drug resistance can be seen in 7.8% of the immigrant population but in only 3.8% of natives. It was also detected that the unavailability of a health card could be a problem. Immigrants with TB were characterized by being younger and having more drug resistance and coming mostly from Latin America, Eastern Europe, Africa and Asia. It was also detected that the unavailability of a health card could be a problem.

  13. Environmental performance reviews: Spain

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-10-01

    The second OECD Review of Spain's environmental performance reviews Spain's progress in the context of OECD environmental strategy for the first decade of the 21st century in relation to its own policy objectives. It praises a number of achievements such as in commitments to climate change policies and developments of cogeneration and renewable energy sources. Although emissions of sulphur dioxide from the energy sector have fallen since 1990 they are still high when measured per capita and per unit of GDP. The OECD recommends further control of emissions of SOx, NOx, VOCs and NH{sub 3}. Subsidies such as compulsory purchase of domestic coal by electricity producers are set to increase. The report recommends the phasing out of environmental subsidies (which has begun) and making use of economic instruments to encourage efficient resource management and reduction of pollutants. Greenhouse gas emissions increased by 38% between 1990 and 2002 and the outlook for the next few years is pessimistic. 39 figs., 31 tabs.

  14. Nuclear energy in Spain

    International Nuclear Information System (INIS)

    Villota, C. de

    2007-01-01

    Carlos Villota. Director of Nuclear Energy of UNESA gave an overview of the Spanish nuclear industry, the utility companies and the relevant institutions. Companies of the nuclear industry include firms that produce heavy components or equipment (ENSA), manufacturers of nuclear fuel (ENUSA), engineering companies, the National Company for Radioactive Waste Management (ENRESA), and nuclear power plants (nine units at seven sites). Nuclear energy is a significant component of the energy mix in Spain: 11% of all energy produced in Spain is of nuclear origin, whilst the share of nuclear energy in the total electricity generation is approximately 23%. The five main players of the energy sector that provide for the vast majority of electricity production, distribution, and supply have formed the Spanish Electricity Industry Association (UNESA). The latter carries out co-ordination, representation, management and promotion tasks for its members, as well as the protection of their business and professional interests. In the nuclear field, UNESA through its Nuclear Energy Committee co-ordinates aspects related to nuclear safety and radiological protection, regulation, NPP operation and R and D. Regarding the institutional framework of the nuclear industry, ENSA, ENUSA and ENRESA are controlled by the national government through the Ministry of Economy and Finance and the Ministry of Science and Technology. All companies of the nuclear industry are licensed by the Ministry of Industry, Tourism and Trade (MITYC), while the regulatory body is the Nuclear Safety Council (CSN). It is noteworthy that CSN is independent of the government, as it reports directly to Parliament. (author)

  15. Sunny hours and variations in the prevalence of asthma in schoolchildren according to the International Study of Asthma and Allergies (ISAAC) Phase III in Spain

    Science.gov (United States)

    Arnedo-Pena, Alberto; García-Marcos, Luis; Fernández-Espinar, Jorge Fuertes; Bercedo-Sanz, Alberto; Aguinaga-Ontoso, Ines; González-Díaz, Carlos; Carvajal-Urueña, Ignacio; Busquet-Monge, Rosa; Suárez-Varela, Maria Morales; de Andoin, Nagore García; Batlles-Garrido, Juan; Blanco-Quirós, Alfredo; Varela, Angel López-Silvarrey; García-Hernández, Gloria

    2011-05-01

    The objective of this study was to estimate the relationship between the prevalence of asthma in schoolchildren aged 6-7 years and 13-14 years and the mean annual sunny hours (MASH) in Spain, and to explore predictive models for asthma prevalence. The prevalence of asthma was obtained from the International Study of Asthma and Allergies (ISAAC) Phase III 2002-2003, and climate and socio-economic variables from official sources. Nine centres were studied and a further four centres, two of which are in ISAAC, to test the predictive models. Logistic regression was used to estimate adjusted prevalence rates of asthma for each centre, and multiple regression models to study the effects of MASH and other meteorological and socio-economic variables. The adjusted prevalence rate of asthma decreased 0.6% [95% confidence interval (CI) 0.4-0.8%] for the 6-7 years group and 1.1% (95% CI 0.8-1.3%) for the 13-14 years group with an increase in the MASH of 100 h. Relative humidity was negatively associated with asthma in the older age group, and gross province product per capita (GPP) was positively associated with asthma in the younger age group. The predictive models, which included MASH, gender, relative humidity, and GPP, anticipated prevalence rates of asthma without significant differences between the levels observed and those expected in 9 of the11 measurements carried out. The results indicate that sunny hours have a protective effect on the prevalence of asthma in schoolchildren.

  16. Beyond barriers – A case study on driving forces for improved energy efficiency in the foundry industries in Finland, France, Germany, Italy, Poland, Spain, and Sweden

    International Nuclear Information System (INIS)

    Thollander, Patrik; Backlund, Sandra; Trianni, Andrea; Cagno, Enrico

    2013-01-01

    Highlights: • Results are based on a questionnaire in the European foundry industry. • The energy efficiency potential is assed to be 7.5% of the total energy use. • Most important drivers to and barriers for energy efficiency are financial followed by organizational. • EPC is used among 23% of the foundries, third party financing among 12%. • Large energy management improvement potentials are uncovered. - Abstract: Energy management plays an important role in the transformation of industrial energy systems towards improved energy efficiency and increased sustainability. This paper aims to study driving forces for improved energy efficiency in some European energy-intensive foundry industries. The investigation has been conducted as a multiple case study involving 65 foundries located in Finland, France, Germany, Italy, Poland, Spain, and Sweden. The most relevant perceived driving forces were found to be financially related, followed by organizational driving forces. Nevertheless, some differences can be appreciated according to the firm’s size and country. Almost half of the studied foundries lack a long-term energy strategy, about one-fourth stated that they have used Energy Performance Contracting (EPC), and only approximately one in ten foundries have used Third Party Financing (TPF). Among the studied foundries, three out of five have conducted an energy audit. On average, the energy saving potential according to the respondents is stated to be 7.5%. In conclusion, energy management in the European foundry industry, despite increasing energy prices and extensive energy policy actions taken by the EU, still seems to have great improvement potential, calling for future research and policy actions in the field

  17. Bargaining for Social Rights (BARSORI) project: Country report on Spain

    NARCIS (Netherlands)

    Ramos Martin, N.E.

    2012-01-01

    The Barsori project studied social partners' initiatives contributing to the reduction of precarious employment through collective bargaining and social dialogue. The project compared experiences in seven EU countries: Denmark, Germany, Italy, the Netherlands, Slovakia, Spain and the UK. Trade

  18. Nuclear insurance problems in Spain

    International Nuclear Information System (INIS)

    Gomez del Campo, Julian.

    1977-01-01

    The purpose of this paper is to study the problems raised in Spain by third party liability insurance for nuclear damage. National law in this field is based on the Paris Convention on nuclear third party liability and defines the conditions of liability of operators of nuclear installations. The insurance contract requirements must comply with the regulations on cover for nuclear risks, under the control of the Finance Ministry's competent services. Certain exceptional nuclear risks which cannot be covered entirely by ordinary insurance policies, are taken over by the Consorcio de Compensacion de Seguros which belongs to this Ministry. From the insurance viewpoint, the regulations make a distinction between nuclear and radioactive installations and nuclear transport. (NEA) [fr

  19. Obesity and Cardiovascular Risk: Variations in Visfatin Gene Can Modify the Obesity Associated Cardiovascular Risk. Results from the Segovia Population Based-Study. Spain.

    Directory of Open Access Journals (Sweden)

    María Teresa Martínez Larrad

    Full Text Available Our aim was to investigate if genetic variations in the visfatin gene (SNPs rs7789066/ rs11977021/rs4730153 could modify the cardiovascular-risk (CV-risk despite the metabolic phenotype (obesity and glucose tolerance. In addition, we investigated the relationship between insulin sensitivity and variations in visfatin gene.A population-based study in rural and urban areas of the Province of Segovia, Spain, was carried out in the period of 2001-2003 years. A total of 587 individuals were included, 25.4% subjects were defined as obese (BMI ≥30 Kg/m2.Plasma visfatin levels were significantly higher in obese subjects with DM2 than in other categories of glucose tolerance. The genotype AA of the rs4730153 SNP was significantly associated with fasting glucose, fasting insulin and HOMA-IR (Homeostasis model assessment-insulin resistance after adjustment for gender, age, BMI and waist circumference. The obese individuals carrying the CC genotype of the rs11977021 SNP showed higher circulating levels of fasting proinsulin after adjustment for the same variables. The genotype AA of the rs4730153 SNP seems to be protective from CV-risk either estimated by Framingham or SCORE charts in general population; and in obese and non-obese individuals. No associations with CV-risk were observed for other studied SNPs (rs11977021/rs7789066.In summary, this is the first study which concludes that the genotype AA of the rs4730153 SNP appear to protect against CV-risk in obese and non-obese individuals, estimated by Framingham and SCORE charts. Our results confirm that the different polymorphisms in the visfatin gene might be influencing the glucose homeostasis in obese individuals.

  20. Nationalism Studies between Methodological Nationalism and Orientalism : An Alternative Approach Illustrated with the Case of El Greco in Toledo, Spain

    NARCIS (Netherlands)

    Storm, H.J.

    2015-01-01

    Methodological nationalism is still dominant in nationalism studies. When studying the construction of national identities, scholars generally limit their study to the borders of one nation-state, while only paying attention to members of that particular nation. Implicitly, foreign actors and

  1. Uranium ore processing in Spain

    International Nuclear Information System (INIS)

    Josa, J.M.

    1976-01-01

    The paper presents a review of the Spanish needs of uranium concentrates and uranium ore processing technology and trends in Spain. Spain produces approximately 200t U 3 O 8 /a at two facilities. One plant in the south (Andujar, Jaen) can obtain 70t U 3 O 8 /a and uses a conventional acid leaching process with countercurrent solvent extraction. A second plant, situated in the west (Ciudad Rodrigo, Salamanca) has started in 1975 and has a capacity of 120-130t U 3 O 8 /a, using acid heap leaching and solvent extraction. There is another experimental facility (Don Benito, Badajoz) scheduled to start in 1976 and expected to produce about 25-35t U 3 O 8 /a as a by-product of the research work. For the near future (1978) it is hoped to increase the production with: (a) A new conventional acid leaching/solvent extraction plant in Ciudad Rodrigo; its tentative capacity is fixed at 550t U 3 O 8 /a. (b) A facility in the south, to recover about 130t U 3 O 8 /a from phosphoric acid. (c) Several small mobile plants (30t U 3 O 8 /a per plant); these will be placed near small and isolated mines. The next production increase (1979-1980) will come with the treatment of sandstones (Guadalajara and Cataluna) and lignites(Cataluna); this is being studied. There are also research programmes to study the recovery of uranium from low-grade ores (heap, in-situ and bacterial leaching) and from other industries. (author)

  2. Studying Cross-Cultural Differences in the Development of Infant Temperament: People's Republic of China, the United States of America, and Spain

    Science.gov (United States)

    Gartstein, Maria A.; Gonzalez, Carmen; Carranza, Jose A.; Ahadi, Stephan A.; Ye, Renmin; Rothbart, Mary K.; Yang, Suh Wen

    2006-01-01

    Investigated early development of temperament across three cultures: People's Republic of China (PRC), United States of America (US), and Spain, utilizing a longitudinal design (assessments at 3, 6, and 9 months of age). Selection of these countries presented an opportunity to conduct Eastern-Western/Individualistic-Collectivistic comparisons. The…

  3. Spatial patterns of land degradation and their impacts on the water balance of rainfed treecrops: A case study in South East Spain

    NARCIS (Netherlands)

    van Wesemael, B.; Rambaud, X.; Poesen, J.; Muligan, M.; Cammeraat, E.; Stevens, A.

    2006-01-01

    Rainfed permanent crops such as almonds, olives and vines cover important areas in the drier parts of the Mediterranean. The acreage of almonds has expanded rapidly into marginal soils of the hillslopes of southeast Spain. This expansion starting in the 1970s was reinforced by the subsidies under

  4. The impact of Clostridium difficile infection on resource use and costs in hospitals in Spain and Italy: a matched cohort study.

    Science.gov (United States)

    Asensio, Angel; Di Bella, Stefano; Lo Vecchio, Andrea; Grau, Santiago; Hart, Warren M; Isidoro, Beatriz; Scotto, Ricardo; Petrosillo, Nicola; Watt, Maureen; Nazir, Jameel

    2015-07-01

    To assess the impact of Clostridium difficile infection (CDI) on hospital resources and costs in Spain and Italy. CDI data were collected from institutions in Spain and Italy. Each patient was matched with two randomly selected uninfected controls in the same institution. Patient outcomes were assessed for the first and second episodes of CDI and for patients aged ≤65 and >65 years. The impact of CDI on hospital length of stay (LOS) was used to calculate CDI-attributable costs. A multivariate analysis using duration of stay as the continuous outcome variable assessed the independent effect of CDI on hospital costs and LOS. LOS attributable to CDI ranged from 7.6-19.0 days in adults and was 5.0 days in children; the increases were greater in adults in Italy than in Spain. Attributable costs per adult patient ranged from €4396 in Madrid to €14 023 in Rome, with the majority of the cost being due to hospitalization. For children, the total attributable cost was €3545/patient. These data show that the burden of CDI is considerable in Spain and Italy. Treatments that can reduce LOS, disease severity, and recurrence rates, as well as effective infection control measures to prevent transmission, have the potential to reduce the burden of CDI. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  5. The impact of Clostridium difficile infection on resource use and costs in hospitals in Spain and Italy: a matched cohort study

    Directory of Open Access Journals (Sweden)

    Angel Asensio

    2015-07-01

    Conclusions: These data show that the burden of CDI is considerable in Spain and Italy. Treatments that can reduce LOS, disease severity, and recurrence rates, as well as effective infection control measures to prevent transmission, have the potential to reduce the burden of CDI.

  6. CYP1A1 gene polymorphisms increase lung cancer risk in a high-incidence region of Spain: a case control study

    Directory of Open Access Journals (Sweden)

    San Jose Carmen

    2010-08-01

    Full Text Available Abstract Background A rural region in south-west Spain has one of the highest lung cancer incidence rates of the country, as revealed by a previous epidemiological 10-year follow-up study. The present work was undertaken to ascertain the role of CYP1A1 gene polymorphisms and their interaction with tobacco smoking in the development of the disease in this location. Methods One-hundred-and-three cases of lung cancer and 265 controls participated in the study. The participants were screened for the presence of four CYP1A1 polymorphisms, namely MspI, Ile462Val, T3205C, and Thr461Asn. Lung cancer risk was estimated as odds ratios (OR and 95% confidence intervals (CI using unconditional logistic regression models adjusting for age, sex, and smoking. Results The distribution of the variant CYP1A1 alleles was different from that described for other Caucasian populations, with CYP1A1*2A showing an uncommonly high frequency (p CYP1A1*2B allele (carrying MspI and Ile462Val mutations was strongly associated with high lung cancer risk (OR = 4.59, CI:1.4-12.6, p p p = 0.04. Moreover, the Thr461Asn polymorphism was found to be associated with SCLC in a Caucasian population for the first time to our knowledge (OR = 8.33, CI: 1.3-15.2, p = 0.04. Conclusion The results suggest that CYP1A1 polymorphisms contribute to increase lung cancer susceptibility in an area with an uncommon high incidence rate.

  7. Probabilistic evaluation of the water footprint of a river basin: Accounting method and case study in the Segura River Basin, Spain.

    Science.gov (United States)

    Pellicer-Martínez, Francisco; Martínez-Paz, José Miguel

    2018-06-15

    In the current study a method for the probabilistic accounting of the water footprint (WF) at the river basin level has been proposed and developed. It is based upon the simulation of the anthropised water cycle and combines a hydrological model and a decision support system. The methodology was carried out in the Segura River Basin (SRB) in South-eastern Spain, and four historical scenarios were evaluated (1998-2010-2015-2027). The results indicate that the WF of the river basin reached 5581 Mm 3 /year on average in the base scenario, with a high variability. The green component (3231 Mm 3 /year), mainly generated by rainfed crops (62%), was responsible for the great variability of the WF. The blue WF (1201 Mm 3 /year) was broken down into surface water (56%), renewable groundwater (20%) and non-renewable groundwater (24%), and it showed the generalized overexploitation of aquifers. Regarding the grey component (1150 Mm 3 /year), the study reveals that wastewater, especially phosphates (90%), was the main culprit producing water pollution in surface water bodies. The temporal evolution of the four scenarios highlighted the successfulness of the water treatment plans developed in the river basin, with a sharp decrease in the grey WF, as well as the stability of the WF and its three components in the future. So, the accounting of the three components of the WF in a basin was integrated into the management of water resources, it being possible to predict their evolution, their spatial characterisation and even their assessment in probabilistic terms. Then, the WF was incorporated into the set of indicators that usually is used in water resources management and hydrological planning. Copyright © 2018 Elsevier B.V. All rights reserved.

  8. A methodology for assessing public health risk associated with groundwater nitrate contamination: a case study in an agricultural setting (southern Spain).

    Science.gov (United States)

    Chica-Olmo, Mario; Peluso, Fabio; Luque-Espinar, Juan Antonio; Rodriguez-Galiano, Victor; Pardo-Igúzquiza, Eulogio; Chica-Rivas, Lucía

    2017-10-01

    Groundwater nitrate contamination from agriculture is of paramount environmental interest. A continuous consumption of polluted water as drinking water or for culinary purposes is by no means a minor hazard for people's health that must be studied. This research presents a new methodology for the spatial analysis of health risk rate from intake of nitrate-polluted groundwater. The method is illustrated through its application to a water quality sampling campaign performed in the south of Spain in 2003. The probability risk model used by the US Environmental Protection Agency has been applied, considering a residential intake framework and three representative population age groups (10, 40 and 65 years).The method was based upon coupling Monte Carlo simulations and geostatistics, which allowed mapping of the health risk coefficient (RC). The maps obtained were interpreted in the framework of water resources management and user's health protection (municipalities). The results showed waterborne health risk caused by nitrate-polluted water is moderately low for the region. The observed risk was larger for the elderly and children, although no significant differences were found among the three age groups (RC average values of 95th percentile for age of 0.37, 0.33 and 0.37, respectively). Significant risk values of RC > 1 were obtained for 10 % of the surface in the NW site of the study area, where the municipalities with the highest contamination thresholds are located (agricultural activity). Nitrate concentration and intake rate stood out as the main explanatory variables of the RC.

  9. Efficacy and safety of golimumab as add-on therapy to disease-modifying antirheumatic drugs in rheumatoid arthritis: results of the GO-MORE study in Spain.

    Science.gov (United States)

    Alonso, Alberto; González, Carlos M; Ballina, Javier; García Vivar, María L; Gómez-Reino, Juan J; Marenco, Jose Luis; Fernández-Nebro, Antonio; Ordás, Carmen; Cea-Calvo, Luis; Arteaga, María J; Sanmartí, Raimon

    2015-01-01

    To assess the efficacy and safety of golimumab in the 140 patients included in Spain as the first part of the GO-MORE trial, a multinational study involving patients with active rheumatoid arthritis (RA) despite treatment with different disease-modifying antirheumatic drugs (DMARDs). The patients received subcutaneous golimumab 50mg once a month during 6 months. The primary endpoint was the percentage of individuals with a good or moderate EULAR DAS28-ESR response after 6 months of treatment. A total of 140 patients were included. Of these, 76.4% had very active disease (DAS28-ESR>5.1). 76.4% were taking methotrexate, 40.0% other DMARDs in monotherapy or combined, and 65.0% received corticosteroids. After 6 months, 82.9% of the patients showed a good or moderate EULAR response, 41.4% had low disease activity, and 30.7% were in remission. The percentage of responders one month after the first dose was 69.3%. The efficacy was similar in patients treated with methotrexate or other DMARDs, with different methotrexate doses, with or without corticosteroids, or in subjects who had failed one or more DMARDs. The response to golimumab was observed from the first dose. Golimumab was well tolerated and its safety profile was consistent with the findings of previous studies. Serious adverse events were reported in 11 patients (7.9%). The addition of subcutaneous golimumab 50 mg once a month to different DMARDs in patients with active RA yielded a moderate or good response after 6 months in 82.9% of the cases. The response was observed early, from the start of the second month, after a single dose of golimumab. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  10. A multi-method approach for groundwater resource assessment in coastal carbonate (karst) aquifers: the case study of Sierra Almijara (southern Spain)

    Science.gov (United States)

    Andreo, B.; Barberá, J. A.; Mudarra, M.; Marín, A. I.; García-Orellana, J.; Rodellas, V.; Pérez, I.

    2018-02-01

    Understanding the transference of water resources within hydrogeological systems, particularly in coastal aquifers, in which groundwater discharge may occur through multiple pathways (through springs, into rivers and streams, towards the sea, etc.), is crucial for sustainable groundwater use. This research aims to demonstrate the usefulness of the application of conventional recharge assessment methods coupled to isotopic techniques for accurately quantifying the hydrogeological balance and submarine groundwater discharge (SGD) from coastal carbonate aquifers. Sierra Almijara (Southern Spain), a carbonate aquifer formed of Triassic marbles, is considered as representative of Mediterranean coastal karst formations. The use of a multi-method approach has permitted the computation of a wide range of groundwater infiltration rates (17-60%) by means of direct application of hydrometeorological methods (Thornthwaite and Kessler) and spatially distributed information (modified APLIS method). A spatially weighted recharge rate of 42% results from the most coherent information on physiographic and hydrogeological characteristics of the studied system. Natural aquifer discharge and groundwater abstraction have been volumetrically quantified, based on flow and water-level data, while the relevance of SGD was estimated from the spatial analysis of salinity, 222Rn and the short-lived radium isotope 224Ra in coastal seawater. The total mean aquifer discharge (44.9-45.9 hm3 year-1) is in agreement with the average recharged groundwater (44.7 hm3 year-1), given that the system is volumetrically equilibrated during the study period. Besides the groundwater resources assessment, the methodological aspects of this research may be interesting for groundwater management and protection strategies in coastal areas, particularly karst environments.

  11. [A prospective study to assess the burden of influenza-related hospitalizations and emergency department visits among children in Bilbao, Spain (2010-2011)].

    Science.gov (United States)

    Ortiz-Lana, Naiara; Garrote, Elisa; Arístegui, Javier; Rementeria, Joseba; García-Martínez, Juan-Antonio; McCoig, Cynthia; García-Corbeira, Pilar; Devadiga, Raghavendra; Tafalla, Mónica

    2017-12-01

    This study was undertaken to estimate the burden of morbidity associated with laboratory-confirmed influenza in children below 15 years of age. Children presenting with acute respiratory infection and/or isolated fever at the Basurto University Hospital, Bilbao, Spain between November 2010 and May 2011 were included in this study (NCT01592799). Two nasopharyngeal secretion samples were taken from each; one for a rapid influenza diagnostic test in the emergency department, and the second for laboratory analysis using real-time polymerase chain reaction and viral culture. A total of 501 children were recruited, of whom 91 were hospitalized. Influenza diagnosis was confirmed in 131 children (26.1%); 120 of 410 (29.3%) treated as outpatients and 11 of 91 (12.1%) hospitalized children. A total of 370 of 501 children (73.9%) had no laboratory test positive for influenza. The proportion of subjects with other respiratory viruses was 145/501 (28.9%) cases and co-infection with the influenza virus plus another respiratory virus was detected in 7/501 (1.4%) cases. Influenza virus types were: A (H1N1 and H3N2) 53.2% (67/126); B (Victoria and Yamagata) 46.0% (58/126); A+B 0.8% (1/126). The median direct medical costs associated with each case of laboratory-confirmed influenza was €177.00 (N=131). No significant differences were observed between the medical costs associated with influenza A and B. Almost half of the cases were influenza virus B type. The administration of a vaccine containing influenza A and B types to children below 15 years of age might reduce the overall burden of the illness. Copyright © 2016 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  12. Models of Transformative Learning for Social Justice: Comparative Case Studies of Non-Formal Development Education in Britain and Spain

    Science.gov (United States)

    Brown, Eleanor J.

    2015-01-01

    This paper presents comparative case studies of non-formal development education by non-profit organisations in two European countries. The study aimed to explore the extent to which such activities provide opportunities for transformative learning. The research was qualitative and began with interviews with educators across 14 organisations in…

  13. Alcohol consumption and Mediterranean Diet adherence among health science students in Spain: the DiSA-UMH Study

    Directory of Open Access Journals (Sweden)

    Alexander Scholz

    2016-03-01

    Conclusions: The overall alcohol consumption among the students in our study was low-to-moderate. Exclusive beer and/or wine drinkers differed regarding the Mediterranean diet pattern from non-drinkers and drinkers of all types of alcohol. These results show the need to properly adjust for diet in studies of the effects of alcohol consumption.

  14. Knowledge and use of unauthorized HIV self-test kits among men who have sex with men in Spain, following approval of an over-the-counter self-test in the U.S: a cross-sectional study.

    Science.gov (United States)

    Koutentakis, Konstantinos; Rosales-Statkus, María Elena; Hoyos, Juan; Fernández-Balbuena, Sonia; Ruiz, Mónica; Agustí, Cristina; de la Fuente, Luis; Belza, María José

    2016-07-08

    Shortly after the approval of an over-the-counter HIV self-test in the US, we conducted a study to estimate the proportion of men who have sex with men (MSM) in Spain who knew that unauthorized HIV self-tests could be purchased online, and the proportion that had already used these tests, as well as their socio-demographic and behavioural correlates. Between September 2012 and February 2013, MSM users of gay dating websites were invited to complete an online questionnaire. We calculated estimates of the knowledge and use of unauthorized HIV self-testing and assessed the associated factors by rare event logit regression models. Among 8620 participants, 4.2 % (95 % CI:3.8-4.6) knew they could buy an unauthorized HIV self-test kit online, and 12.7 % (95 % CI:12.0-13.4) thought that such a test might exist, although they had never seen one. Only 0.7 % (95 % CI:0.5-0.9) had ever self-tested. In the multivariable analysis, knowledge of online availability of self-tests was associated with being a non-Latin American foreigner, having at least two previous HIV tests, intending to test for HIV in the next year, and knowing about U.S. approval of self-testing. Ever-use of HIV self-testing was associated with being over 34 years of age, living outside Spain during the last 12 months, and knowing about U.S. approval of self-testing. Both knowledge and use of unauthorized HIV self-testing among MSM in Spain was very low among HIV negative or untested MSM in Spain. The recent approval in the United Kingdom and France might increase the number of MSM seeking such testing and possibly using unauthorized test kits not meeting quality standards.

  15. Burnup credit in Spain

    International Nuclear Information System (INIS)

    Conde, J.M.; Recio, M.

    2001-01-01

    The status of development of burnup credit for criticality safety analyses in Spain is described in this paper. Ongoing activities in the country in this field, both national and international, are resumed. Burnup credit is currently being applied to wet storage of PWR fuel, and credit to integral burnable absorbers is given for BWR fuel storage. It is envisaged to apply burnup credit techniques to the new generation of transport casks now in the design phase. The analysis methodologies submitted for the analyses of PWR and BWR fuel wet storage are outlined. Analytical activities in the country are described, as well as international collaborations in this field. Perspectives for future research and development of new applications are finally resumed. (author)

  16. Metal-fluxes characterization at a catchment scale: Study of mixing processes and end-member analysis in the Meca River watershed (SW Spain)

    Science.gov (United States)

    Cánovas, C. R.; Macías, F.; Olías, M.; López, R. Pérez; Nieto, J. M.

    2017-07-01

    Fluxes of acidity and contaminants from acid mine drainage (AMD) sources to the receiving surface water bodies were studied in a mining-impacted watershed (Meca River, SW Spain) using a novel methodology based on the joint application of EMMA and MIX codes. The application of EMMA and elemental ratios allowed delimiting the end-members responsible for water quality variations at a catchment scale. The further application of MIX quantified the significant impact of AMD on the river quality; less than 10% of AMD relative contribution is enough to maintain acidic conditions during most of the year. The mixing model also provided information about the element mobility, distinguishing those elements with a quasi-conservative behavior (e.g., Cu, Zn, Al, Co or Ni) from those affected by mineral precipitation/dissolution (e.g., K, Si, Na, Sr, Ca, Fe, Pb, or As). Floods are the main driver of dissolved and, mainly particulate, contaminants in the catchment. Thus, the first rainfall events in November only accounted for 19% of the annual Meca flow but yielded between 26 and 43% of the net acidity and dissolved metal loads (mainly, Fe, As and Pb). Concerning particulate transport, around 332 tons of particulate Fe, 49 tons of Al, 0.79 tons of As and 0.37 tons of Pb were recorded during these first floods. The particulate As concentration can be up to 34 times higher than the dissolved one during floods and between 2 and 4 times higher for Fe, Pb and Cr. This integrated modeling approach could be a promising and useful tool to face future restoration plans in derelict mines worldwide. This approach would allow prioritizing remedial measures, achieving an environmental and cost-effective restoration of degraded areas.

  17. Prevalence and impact of fibromyalgia on function and quality of life in individuals from the general population: results from a nationwide study in Spain.

    Science.gov (United States)

    Mas, A J; Carmona, L; Valverde, M; Ribas, B

    2008-01-01

    To estimate the prevalence of fibromyalgia (FM) and to compare some descriptive epidemiological and quality of life data between persons with and without FM criteria in a representative sample of the general Spanish population. Cross sectional study of 2,192 Spaniards aged 20 or above, selected by cluster sampling. Subjects were invited to a structured interview carried out by trained rheumatologists to ascertain various musculoskeletal disorders. The visit included screening and examination, validated instruments for measuring function (HAQ) and quality of life (SF-12) and questions about socio-demographic characteristics and musculoskeletal, mental, and other general symptoms. FM was suspected in subjects with widespread pain for more than three months. FM was defined by theAmerican College of Rheumatology classification criteria. All estimates are adjusted to sampling scheme. The prevalence of FM in Spain is 2.4% (95% CI: 1.5-3.2). FM is significantly more frequent in women (4.2%) than in men (0.2%), with an OR for women of 22.5 (95%CI: 7.2- 69.9), mainly in the 40-49 years age interval. It is more frequent in rural (4.1%) than in urban settings (1.7%), with an OR for rural settings of 2.5 (95%CI: 1.03-5.9). FM is associated with a low educational level, to a low social class, and to self-reported depression. The scores in the HAQ and in the SF-12 were significantly lower in FM subjects, despite adjustment by covariates. FM has a high prevalence in the general population. FM is associated to female gender, comorbidities, age between 40 and 59 years, and a rural setting. Persons fulfilling FM criteria show impaired functioning and quality of life.

  18. [Communication skills in the curriculum of Medical students from Spain (1990-2014): From the Primary Health Care to the Bologna Plan. A descriptive study].

    Science.gov (United States)

    Ferreira Padilla, Guillermo; Ferrández Antón, Teresa; Baleriola Júlvez, José; Almeida Cabrera, Rut

    2015-01-01

    Analyse the currently situation of teaching in communication skills in the Spanish Medical Schools (MS) and the grade of implementation from the recommended by the National Agency of Evaluation of the Quality and Accreditation. Descriptive-comparative, transversal and quantitative-qualitative study. University teaching field. The whole population of MS in Spain. teaching during the academic year 2013-2014 the Degree in Medicine homologated by the National Agency of Evaluation of the Quality and Accreditation and offering information of their educational plans and teaching guides (online, telephonic or e-mail). 1) Existence of courses about communication skills; 2) type of teaching; 3) format of the course; 4) credits; 5) length, and 6) grade. They were analysed with descriptive parameters and the Cohen's coefficient (d). Forty-two MS: 10 privates and 32 publics. Thirty MS (71.43%) presented at least one course of communication skills. The 78.12% of the public MS contained this kind of teaching as an entire course versus the 50.00% of the private MS. The national average by MS was 2.77 (σ=2.41), lower than the 5.0 credits recommended by the the National Agency of Evaluation of the Quality and Accreditation (relevant difference: d=1.63>0,8). The 63.63% contained this teaching over the second cycle (mode: second degree). The course loads in terms of credits destined to this skills has increased considerably from 1990 to 2014 (d= 1,43>0,8). However, it has not been completely established yet the recommendations about this aspect in most of the Spanish MS. The public universities seem to be more aware of this teaching. Furthermore, it would be interesting strengthen this skills in the sixth grade. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  19. Validity of the CR-POSSUM model in surgery for colorectal cancer in Spain (CCR-CARESS study) and comparison with other models to predict operative mortality.

    Science.gov (United States)

    Baré, Marisa; Alcantara, Manuel Jesús; Gil, Maria José; Collera, Pablo; Pont, Marina; Escobar, Antonio; Sarasqueta, Cristina; Redondo, Maximino; Briones, Eduardo; Dujovne, Paula; Quintana, Jose Maria

    2018-01-29

    To validate and recalibrate the CR- POSSUM model and compared its discriminatory capacity with other European models such as POSSUM, P-POSSUM, AFC or IRCS to predict operative mortality in surgery for colorectal cancer. Prospective multicenter cohort study from 22 hospitals in Spain. We included patients undergoing planned or urgent surgery for primary invasive colorectal cancers between June 2010 and December 2012 (N = 2749). Clinical data were gathered through medical chart review. We validated and recalibrated the predictive models using logistic regression techniques. To calculate the discriminatory power of each model, we estimated the areas under the curve - AUC (95% CI). We also assessed the calibration of the models by applying the Hosmer-Lemeshow test. In-hospital mortality was 1.5% and 30-day mortality, 1.7%. In the validation process, the discriminatory power of the CR-POSSUM for predicting in-hospital mortality was 73.6%. However, in the recalibration process, the AUCs improved slightly: the CR-POSSUM reached 75.5% (95% CI: 67.3-83.7). The discriminatory power of the CR-POSSUM for predicting 30-day mortality was 74.2% (95% CI: 67.1-81.2) after recalibration; among the other models the POSSUM had the greatest discriminatory power, with an AUC of 77.0% (95% CI: 68.9-85.2). The Hosmer-Lemeshow test showed good fit for all the recalibrated models. The CR-POSSUM and the other models showed moderate capacity to discriminate the risk of operative mortality in our context, where the actual operative mortality is low. Nevertheless the IRCS might better predict in-hospital mortality, with fewer variables, while the CR-POSSUM could be slightly better for predicting 30-day mortality. Registered at: ClinicalTrials.gov Identifier: NCT02488161.

  20. Assessing The Ecosystem Service Freshwater Production From An Integrated Water Resources Management Perspective. Case Study: The Tormes Water Resources System (Spain)

    Science.gov (United States)

    Momblanch, Andrea; Paredes-Arquiola, Javier; Andreu, Joaquín; Solera, Abel

    2014-05-01

    The Ecosystem Services are defined as the conditions and processes through which natural ecosystems, and the species that make them up, sustain and fulfil human life. A strongly related concept is the Integrated Water Resources Management. It is a process which promotes the coordinated development and management of water, land and related resources in order to maximise the resultant economic and social welfare in an equitable manner without compromising the sustainability of vital ecosystems. From these definitions, it is clear that in order to cover so many water management and ecosystems related aspects the use of integrative models is increasingly necessary. In this study, we propose to link a hydrologic model and a water allocation model in order to assess the Freshwater Production as an Ecosystem Service in anthropised river basins. First, the hydrological model allows determining the volume of water generated by each sub-catchment; that is, the biophysical quantification of the service. This result shows the relevance of each sub-catchment as a source of freshwater and how this could change if the land uses are modified. On the other hand, the water management model allocates the available water resources among the different water uses. Then, it is possible to provide an economic value to the water resources through the use of demand curves, or other economic concepts. With this second model, we are able to obtain the economical quantification of the Ecosystem Service. Besides, the influence of water management and infrastructures on the service provision can be analysed. The methodology is applied to the Tormes Water Resources System, in Spain. The software used are EVALHID and SIMGES, for hydrological and management aspects, respectively. Both models are included in the Decision Support System Shell AQUATOOL for water resources planning and management. A scenario approach is presented to illustrate the potential of the methodology, including the current

  1. Hydrogeochemical evolution and C isotope study of groundwaters from 'Mina Fe' U deposit (Salamanca, Spain): implications for processes in radwaste disposal

    International Nuclear Information System (INIS)

    Villar, L. Perez del; Garralon, A.; Delgado, A.; Reyes, E.; Cozar, J.S.; Gomez, P.; Nunez, R.; Sanchez, L.; Raya, J.

    2005-01-01

    Within the framework of the ENRESA natural analogue programme, the U ore deposit of 'Mina Fe', western Spain, has been studied as a natural analogue of radioactive spent fuel behaviour after burial, in spite of being an extremely perturbed geological environment due to mining activities. The main objectives of this project are to determine the hydrogeochemical evolution of the system and identify the main water/rock interaction processes that control the physicochemical variables (pH and Eh) of groundwaters, including the role-played by the organic matter.The hydrogeochemical results from 3 consecutive groundwater sampling campaigns, separated by a phase of restoration works, indicate that the groundwater of the site shows an evolutionary trend from Ca-SO42- acid oxidising waters towards alkaline-reducing waters, though their evolution with respect to the alkaline and alkaline-earth elements is not clear. The SO42--acid waters are the result of the oxidation processes affecting the primary sulphide-rich U mineralisation, while the alkaline-reducing waters result from the buffer capacity of carbonates from fracture filling materials, as the δ 13 C values of DIC demonstrate. The reducing character of these waters mainly results from the microbiologically mediated partial oxidation of the abundant organic matter existing in the clayey walls of the major faults at the site, since other dissolved inorganic redox pairs are insufficient to explain the in situ measured redox potential. Thus, the high content in DOC of these waters is also explained, since the soil at the site is poorly developed. DOC, DIC or both can be responsible for the high U concentration measured in these groundwaters, in spite of its reducing character.The restoration works performed in the exploitation quarry have also restored the aforementioned evolutionary trend, which was the normal evolution of groundwater in the site before mining. Finally, the results are discussed in terms of the

  2. New archaeomagnetic data recovered from the study of celtiberic remains from central Spain (Numancia and Ciadueña, III-I BC).

    Science.gov (United States)

    Osete, María Luisa; Chauvin, Annick; Catanzariti, Gianluca; Jimeno, Alfredo; Campuzano, Saioa A.; Benito-Batanero, Juan Pedro; Roperch, Pierrick

    2016-04-01

    Variation of geomagnetic field changes in the Iberian Peninsula between prior to roman times remain very poorly constrained. Here we report results from the archeomagnetic study carried out on four set of ceramics and one combustion structure recovered in two pre-roman (celtiberic) archeological sites in central Spain. Rock magnetic experiments indicate the ChRM is carried by magnetite. Archaeointensity determinations were carried out by using the classical Thellier-Thellier experiment including tests and corrections for magnetic anisotropy and magnetic cooling rate dependency. Well heated specimens (red ceramic fragments and well heated samples from the kiln) show one single well defined component of magnetisation going through the origin and a linear arai plot providing successful archaeointensity determinations. The effect of anisotropy of the termoremanent magnetization (ATRM) on paleointensity analysis was specially investigated obtaining very high ATRM corrections on fine pottery specimens. With differences between the uncorrected and ATRM corrected paleointensity values that reached up to 80-100%. Mean intensity values obtained from three selected groups were 61.1 ±5.9μT; 57.6±3.3 and 56.4± 4.7μT which allows delineate the evolution of the paleofield intensity in central Iberia during the III-I centuries BC. The new archaeointensity data disagrees with previous results from Iberian ceramics which were not corrected by the ATRM effect. But they are in agreement with the most recent French paleointensity curve and latest European intensity model. Both based on a selection of high quality paleointensity data. This result reinforces the idea that the puzzling scatter often observed in the global paleointensity database is likely due to differences in the laboratory protocol. Further data from well contrasted laboratory protocols are still necessary to delineate confidently the evolution of the geomagnetic paleofield during the first millennium BC.

  3. Urbanización descontextualizada y condiciones locales. Cinco casos de estudio en España / Decontextualized urbanization and local conditions. Five case study in Spain

    Directory of Open Access Journals (Sweden)

    Irene Rodríguez Lorite

    2013-01-01

    Full Text Available ResumenLa expansión del sector de la construcción desde mediados del siglo XX hasta principios del siglo XXI ha crecido a un ritmo vertiginoso, especialmente en la década de los 60 a los años 70, por los acontecimientos históricos y demográficos ocurridos en España. Este acelerado desarrollo, trajo consigo la realización de multitud de periferias y nuevos barrios de carácter monótono, sin responder en gran parte de los casos a las condiciones de contorno del territorio en el que se ubicaban.Se describen procesos constructivos y de diseño urbano análogos en cada uno de los casos estudiados, llevando a la pérdida de identidad de la ciudad y de la relación del ciudadano con su territorio.Palabras claveHomogéneo, monótono, falta de identidad, condiciones locales, paisaje urbanoAbstractThe expansion in the field of construction since the mid-twentieth century to the early twenty-first century has grown at a fast pace, especially from the 60s to the 70s, by historical and demographic events that occurred in Spain. This accelerated growth brought about the realization of an many suburbs and new neighborhoods of monotonous character, that no respond in most cases to the boundary conditions of the territory in which they were located.Construction processes and similar urban design in each of the cases studied, are described leading to the loss of identity of the city and the relationship between citizens and their territory.KeywordsHomogeneous, monotonous, lack of identity, local conditions, cityscape

  4. Ergonomics and musculoskeletal pain among postgraduate students and faculty members of the School of Dentistry of the University of Barcelona (Spain). A cross-sectional study.

    Science.gov (United States)

    Harutunian, Karmen; Gargallo-Albiol, Jordi; Figueiredo, Rui; Gay-Escoda, Cosme

    2011-05-01

    To evaluate the intensity and location of musculoskeletal pain suffered by students and professors from different postgraduate programs of the School of Dentistry of the University of Barcelona (Spain), to identify the variables related to the occurrence of musculoskeletal symptoms and signs, and to establish possible preventive measures for such disorders. A cross-sectional study was made among students and faculty members from different postgraduate courses of the School of Dentistry at the University of Barcelona between May and June 2007. A total of 74 dentists (54 postgraduate students and 20 faculty members) completed an anonymous questionnaire containing 19 questions. The variables were divided into three main groups: sociodemographic information, ergonomic features and musculoskeletal pain arising from professional practice. Most of the dentists (79.8%) had experienced some kind of musculoskeletal pain in the last 6 months. On comparing the different locations of pain (lumbar, cervical, dorsal, wrist, shoulder and others), the neck was found to be the most commonly affected location (58% of all subjects), and only 34% of the respondents took some preventive measures against musculoskeletal disorders. Women showed a higher frequency of intense pain involving the cervical, lumbar, dorsal and wrist areas (ppain was recorded in professionals exclusively dedicated to oral surgery (ppain in the different anatomical locations (p>0.05). An important incidence of pain symptoms secondary to musculoskeletal disorders was observed, particularly in the cervical region. Females and younger dentists showed a higher frequency of such symptoms. The implementation of preventive measures is necessary, in view of the high incidence of these disorders.

  5. The Actual Problems of Modern Spain

    OpenAIRE

    Natalya E. Anikeeva

    2014-01-01

    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 (Uni...

  6. Explorative economic analysis of a novel biogas upgrading technology using carbon mineralization. A case study for Spain

    NARCIS (Netherlands)

    Starr, Katherine; Ramirez, Andrea; Meerman, Hans; Villalba, Gara; Gabarrell, Xavier

    2015-01-01

    This paper studies the potential application of a novel biogas upgrading technology called alkaline with regeneration (AwR). This technology uses an alkaline solution, along with carbon mineralization, to remove and store CO2 from biogas in order to create biomethane, a substitute of natural gas.

  7. Rockfall monitoring by Terrestrial Laser Scanning - case study of the basaltic rock face at Castellfollit de la Roca (Catalonia, Spain)

    Science.gov (United States)

    Abellán, A.; Vilaplana, J. M.; Calvet, J.; García-Sellés, D.; Asensio, E.

    2011-03-01

    This case study deals with a rock face monitoring in urban areas using a Terrestrial Laser Scanner. The pilot study area is an almost vertical, fifty meter high cliff, on top of which the village of Castellfollit de la Roca is located. Rockfall activity is currently causing a retreat of the rock face, which may endanger the houses located at its edge. TLS datasets consist of high density 3-D point clouds acquired from five stations, nine times in a time span of 22 months (from March 2006 to January 2008). The change detection, i.e. rockfalls, was performed through a sequential comparison of datasets. Two types of mass movement were detected in the monitoring period: (a) detachment of single basaltic columns, with magnitudes below 1.5 m3 and (b) detachment of groups of columns, with magnitudes of 1.5 to 150 m3. Furthermore, the historical record revealed (c) the occurrence of slab failures with magnitudes higher than 150 m3. Displacements of a likely slab failure were measured, suggesting an apparent stationary stage. Even failures are clearly episodic, our results, together with the study of the historical record, enabled us to estimate a mean detachment of material from 46 to 91.5 m3 year-1. The application of TLS considerably improved our understanding of rockfall phenomena in the study area.

  8. Strain indicators and magnetic fabric in intraplate fault zones: Case study of Daroca thrust, Iberian Chain, Spain

    Science.gov (United States)

    Casas-Sainz, A. M.; Gil-Imaz, A.; Simón, J. L.; Izquierdo-Llavall, E.; Aldega, L.; Román-Berdiel, T.; Osácar, M. C.; Pueyo-Anchuela, Ó.; Ansón, M.; García-Lasanta, C.; Corrado, S.; Invernizzi, C.; Caricchi, C.

    2018-04-01

    Anisotropy of magnetic susceptibility (AMS) has been applied to the study of shallow fault zones, although interpretation of the results requires establishing clear relationships between petrofabric and magnetic features, magnetic behaviour of fault rocks, and an extensive knowledge of P-T conditions. In this work, we demonstrate that magnetic methods can be applied to the study of heterogeneous fault zones, provided that a series of requisites are met. A major fault zone within the Iberian plate (Daroca thrust), showing transpressional movements during Cenozoic time was chosen for this purpose, because of the exceptional outcrops of fault gouge and microbreccia and its relevance within the context of the northeastern Iberian Plate. Magnetic fabrics were analysed and the results were compared with foliation and S-C structures measured within the fault zone. Clay mineral assemblages suggest maximum burial depths shallower than 2 km (kinematic indicators are consistent with a reverse movement for most of the fault zone.

  9. Alcohol consumption and Mediterranean Diet adherence among health science students in Spain: the DiSA-UMH Study.

    Science.gov (United States)

    Scholz, Alexander; Navarrete-Muñoz, Eva Maria; Garcia de la Hera, Manuela; Gimenez-Monzo, Daniel; Gonzalez-Palacios, Sandra; Valera-Gran, Desirée; Torres-Collado, Laura; Vioque, Jesus

    2016-01-01

    To describe the association between consumption of different alcoholic beverages and adherence to the Mediterranean diet. A cross-sectional analysis was conducted of the baseline data of the DiSA-UMH study, an ongoing cohort study with Spanish health science students (n=1098) aged 17-35 years. Dietary information was collected by a validated 84-item food frequency questionnaire. Participants were grouped into non-drinkers, exclusive beer and/or wine drinkers and drinkers of all types of alcoholic beverages. Mediterranean diet adherence was determined by using a modification of the relative Mediterranean Diet Score (rMED; score range: 0-16) according to consumption of 8 dietary components. We performed multiple linear and multinomial regression analyses. The mean alcohol consumption was 4.3g/day (SD: 6.1). A total of 19.5%, 18.9% and 61.6% of the participants were non-drinkers, exclusive beer and/or wine drinkers and drinkers of all types of alcoholic beverages, respectively. Participants who consumed beer and/or wine exclusively had higher rMED scores than non-drinkers (β: 0.76, 95%CI: 0.25-1.27). Drinkers of all types of alcoholic beverages had similar rMED scores to non-drinkers. Non-drinkers consumed less fish and more meat, whereas drinkers of all types of alcoholic beverages consumed fewer fruits, vegetables and more meat than exclusive beer and/or wine drinkers. The overall alcohol consumption among the students in our study was low-to-moderate. Exclusive beer and/or wine drinkers differed regarding the Mediterranean diet pattern from non-drinkers and drinkers of all types of alcohol. These results show the need to properly adjust for diet in studies of the effects of alcohol consumption. Copyright © 2015 SESPAS. Published by Elsevier Espana. All rights reserved.

  10. Prenatal and Perinatal Morbidity in Children with Tic Disorders: A Mainstream School-based Population Study in Central Spain

    Directory of Open Access Journals (Sweden)

    Esther Cubo

    2014-12-01

    Full Text Available Background: While current research suggests that genetic factors confer the greatest risk for the development of tic disorders, studies of environmental factors are relatively few, with a lack of consistent risk factors across studies. Our aim is to analyze the association of tic disorders with exposure to prenatal and perinatal morbidity. Methods: This was a nested case–control study design. Cases and controls were selected and identified from a mainstream, school-based sample. The diagnosis of tic disorders was assigned by a movement disorder neurologist using ‘Diagnostic and statistical manual of mental disorders, 4th edition, text revision’ criteria, and neuropsychiatric comorbidities were screened using the Spanish computerized version of the Diagnostic Interview Schedule for Children Predictive Scale. Information regarding the exposure to pre-perinatal risk factors was collected by a retrospective review of the birth certificates. Logistic regression analyses were then performed to test the association of tic disorders with pre-perinatal risk factors.Results: Out of 407 participants, complete pre-perinatal data were available in 153 children (64 with tics and 89 without tics;. After adjusting for family history of tics, neonatal respiratory distress syndrome, body mass index, prenatal infection, and coexisting comorbid neuropsychiatric disturbances, tic disorders were associated with prenatal exposure to tobacco (odds ratio [OR] = 3.07, 95% confidence interval [CI] 1.24–7.60, p = 0.007, and cesarean section (OR = 5.78, 95% CI 1.60–20.91, p = 0.01.Discussion: This nested case–control study of children with tic disorders demonstrates higher adjusted odds for tics in children with exposure to cesarean delivery and maternal smoking. Longitudinal, population-based samples are required to confirm these results.

  11. Quantitative and qualitative analysis for the study of Middle Paleolithic retouched artifacts: Unit III of Teixoneres cave (Barcelona, Spain)

    OpenAIRE

    Chacón, M.G.; Bustos-Pérez, G.; Rivals, F.; Blasco, R.; Rosell, J.

    2017-01-01

    DOI: 10.1016/j.jasrep.2017.02.021 URL: http://www.sciencedirect.com/science/article/pii/S2352409X16305351 Filiació URV: SI Retouched artifacts constitute an important part of Paleolithic lithic assemblages. Evaluating what constraints shaped morphological variability can provide data about mobility, territorial management, and even about different adaptive strategies. This study attempts to understand what factors conditioned the intensity of retouch and the morphological variability...

  12. Prenatal and Perinatal Morbidity in Children with Tic Disorders: A Mainstream School-based Population Study in Central Spain.

    Science.gov (United States)

    Cubo, Esther; Hortigüela, Montesclaros; Jorge-Roldan, Sandra; Ciciliani, Selva Esther; Lopez, Patricia; Velasco, Leticia; Sastre, Emilio; Ausin, Vanesa; Delgado, Vanesa; Saez, Sara; Gabriel-Galán, José Trejo; Macarrón, Jesús

    2014-01-01

    While current research suggests that genetic factors confer the greatest risk for the development of tic disorders, studies of environmental factors are relatively few, with a lack of consistent risk factors across studies. Our aim is to analyze the association of tic disorders with exposure to prenatal and perinatal morbidity. This was a nested case-control study design. Cases and controls were selected and identified from a mainstream, school-based sample. The diagnosis of tic disorders was assigned by a movement disorder neurologist using 'Diagnostic and statistical manual of mental disorders, 4th edition, text revision' criteria, and neuropsychiatric comorbidities were screened using the Spanish computerized version of the Diagnostic Interview Schedule for Children Predictive Scale. Information regarding the exposure to pre-perinatal risk factors was collected by a retrospective review of the birth certificates. Logistic regression analyses were then performed to test the association of tic disorders with pre-perinatal risk factors. Out of 407 participants, complete pre-perinatal data were available in 153 children (64 with tics and 89 without tics). After adjusting for family history of tics, neonatal respiratory distress syndrome, body mass index, prenatal infection, and coexisting comorbid neuropsychiatric disturbances, tic disorders were associated with prenatal exposure to tobacco (odds ratio [OR] = 3.07, 95% confidence interval [CI] 1.24-7.60, p = 0.007), and cesarean section (OR = 5.78, 95% CI 1.60-20.91, p = 0.01). This nested case-control study of children with tic disorders demonstrates higher adjusted odds for tics in children with exposure to cesarean delivery and maternal smoking. Longitudinal, population-based samples are required to confirm these results.

  13. Variability of nutrients intake, lipid profile and cardiovascular mortality among geographical areas in Spain: The DRECE study.

    Science.gov (United States)

    Gómez de la Cámara, Agustín; De Andrés Esteban, Eva; Urrútia Cuchí, Gerard; Calderón Sandubete, Enrique; Rubio Herrera, Miguel Ángel; Menéndez Orenga, Miguel; Lora Pablos, David

    2017-11-07

    It has often been suggested that cardiovascular mortality and their geographical heterogeneity are associated with nutrients intake patterns and also lipid profile. The large Spanish study Dieta y Riesgo de Enfermedades Cardiovasculares en España (DRECE) investigated this theory from 1991 to 2010. Out of the 4,783 Spanish individuals making up the DRECE cohort, 220 subjects (148 men and 72 women) died (4.62%) during the course of the study. The mean age of patients who died from cardiovascular causes (32 in all) was 61.08 years 95% CI (57.47-64.69) and 70.91% of them were males. The consumption of nutrients and the lipid profile by geographical area, studied by geospatial models, showed that the east and southern area of the country had the highest fat intake coupled to a high rate of unhealthy lipid profile. It was concluded that the spatial geographical analysis showed a relationship between high fat intake, unhealthy lipid profile and cardiovascular mortality in the different geographical areas, with a high variability within the country.

  14. Researchers' preferences and attitudes on ethical aspects of genomics research: a comparative study between the USA and Spain.

    Science.gov (United States)

    Ruiz-Canela, M; Valle-Mansilla, J I; Sulmasy, D P

    2009-04-01

    The use of human samples in genomic research has increased ethical debate about informed consent (IC) requirements and the information that subjects should receive regarding the results of the research. However, there are no quantitative data regarding researchers' attitudes about these issues. We present the results of a survey of 104 US and 100 Spanish researchers who had published genomic epidemiology studies in 61 journals during 2006. Researchers preferred a broader IC than the IC they had actually obtained in their published papers. US authors were more likely than their Spanish colleagues to support obtaining a broad IC, covering either any future research project or any projects related to a group of diseases (67.6% vs 43%; adjusted OR = 4.84, 95% CI, 2.32 to 10.12). A slight majority of researchers (55.8%) supported informing participants about individual genomic results only if the reliability and clinical validity of the information had been established. Men were more likely than women to believe that patients should be informed of research results even if these conditions were not met (adjusted OR = 2.89, 95% CI = 1.46 to 5.72). This study provides evidence of a wide range of views among scientists regarding some controversial ethical issues related to genomic research, suggesting the need for more study, debate and education. In the interim, journals might consider including the investigators' policies regarding these ethical issues in the papers they publish in the field of genomic epidemiology.

  15. Intense cold and mortality in Castile-La Mancha (Spain): study of mortality trigger thresholds from 1975 to 2003

    Science.gov (United States)

    Miron, Isidro J.; Montero, Juan Carlos; Criado-Alvarez, Juan José; Linares, Cristina; Díaz, Julio

    2012-01-01

    Studies on temperature-mortality time trends especially address heat, so that any contribution on the subject of cold is necessarily of interest. This study describes the modification of the lagged effects of cold on mortality in Castile-La Mancha from 1975 to 2003, with the novelty of also approaching this aspect in terms of mortality trigger thresholds. Cross-correlation functions (CCFs) were thus established with 15 lags, after application of ARIMA models to the mortality data and minimum daily temperatures (from November to March), and the results for the periods 1975-1984, 1985-1994 and 1995-2003 were then compared. In addition, daily mortality residuals for the periods 1975-1989 and 1990-2003 were related to minimum temperatures grouped in 2°C intervals, with a cold threshold temperature being obtained in cases where such residuals increased significantly ( p economic conditions over the study period. Evidence was shown of the effects of cold on mortality, a finding that renders the adoption of preventive measures advisable in any case where intense cold is forecast.

  16. A study of the application of permeable pavements as a sustainable technique for the mitigation of soil sealing in cities: A case study in the south of Spain.

    Science.gov (United States)

    Rodríguez-Rojas, M I; Huertas-Fernández, F; Moreno, B; Martínez, G; Grindlay, A L

    2018-01-01

    The use of 'Sustainable Urban Drainage Systems' (SuDS) has become a more sustainable alternative for managing stormwater, greatly reducing the effects of soil sealing. However, the lack of monitored projects is a barrier to their implementation, as the companies which manage sewer systems cannot quantify the impact and cost-efficiency of SuDS. This paper presents a project developed in the south of Spain, in which the hydrological performance of 3 types of permeable pavements has been analyzed. The efficiencies obtained (over 70%), are higher than or similar to the efficiencies of vegetated SuDS, demonstrating the capacity of these pavements for delaying catchment area response and slow flow velocities, reducing the operating costs of sewer systems and the flood risk, while also ensuring service conditions for cities and safety for pedestrian and vehicular circulation. This pilot site has generated results which are sufficiently consistent so as to be representative, and serve as a reference for other cities with a similar climate. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. Baseline characteristics of patients with chronic kidney disease stage 3 and stage 4 in spain: the MERENA observational cohort study

    Directory of Open Access Journals (Sweden)

    Montes Rafael

    2011-10-01

    Full Text Available Abstract Background To obtain information on cardiovascular morbidity, hypertension control, anemia and mineral metabolism based on the analysis of the baseline characteristics of a large cohort of Spanish patients enrolled in an ongoing prospective, observational, multicenter study of patients with stages 3 and 4 chronic kidney diseases (CKD. Methods Multicenter study from Spanish government hospital-based Nephrology outpatient clinics involving 1129 patients with CKD stages 3 (n = 434 and 4 (n = 695 defined by GFR calculated by the MDRD formula. Additional analysis was performed with GFR calculated using the CKD-EPI and Cockcroft-Gault formula. Results In the cohort as a whole, median age 70.9 years, morbidity from all cardiovascular disease (CVD was very high (39.1%. In CKD stage 4, CVD prevalence was higher than in stage 3 (42.2 vs 35.6% p 300 mg/day was present in more than 60% of patients and there was no significant differences between stages 3 and 4 CKD (1.2 ± 1.8 and 1.3 ± 1.8 g/day, respectively. A majority of the patients had hemoglobin levels greater than 11 g/dL (91.1 and 85.5% in stages 3 and 4 CKD respectively p Conclusion This study provides an overview of key clinical parameters in patients with CKD Stages 3 and 4 where delivery or care was largely by nephrologists working in a network of hospital-based clinics of the Spanish National Healthcare System.

  18. Study of cadmium, lead and tin distribution in surface marine sediment samples from Ria de Arousa (NW of Spain)

    International Nuclear Information System (INIS)

    Barciela-Alonso, M.C.; Pazos-Capeans, P.; Regueira-Miguens, M.E.; Bermejo-Barrera, A.; Bermejo-Barrera, P.

    2004-01-01

    In this work a study of the Cd, Pb and Sn content in marine surface sediment from the Ria de Arousa has been realised. For this, 21 sediment samples were taken in triplicate, lyophilised and sieved, and the fraction -1 Cd, 26.5-91.3 μg g -1 Pb and 5.0-20.8 μg g -1 Sn. The highest concentrations of these metals are in the inner part of the Ria, near to the port and urban nucleus such as Vilagarcia or Rianxo, and decrease toward the mouth of the Ria

  19. Study of the effect on biodiversity of prescribed fire in the wildland-urban interface of Granada (Spain

    Directory of Open Access Journals (Sweden)

    S. Montoya

    2013-05-01

    Full Text Available The problematic of fire is evident, since in recent years the number of hectares affected in our country is very high. The aim of this study is to obtain information about soil’s behaviour under controlled burning wildland-urban interface areas, in order to prevent major forest fires without being affected soil properties. Organic carbon content and soil moisture were selected to evaluate fire effect on soil. After the analysis we can say that preventive burning in an initial stage does not affect the organic matter content or soil water retention capacity. This indicates the important role of fire intensity and duration on fire effect on soil properties.

  20. Study of management ``in clean points`` in Cataluna (Spain); Estudio de la gestion actual de los puntos limpios en Cataluna

    Energy Technology Data Exchange (ETDEWEB)

    Cucurull Descarrega, D. [Universitat Politecnica de Catalunya. Barcelona (Spain); Rieradevall Pons, J. [Universitat Autonoma de Barcelona. Barcelona (Spain)

    1998-12-31

    The aim of this article is a general view of ``Puntos Limpios`` functioning in Cataluna. Nowadays every city must have one, and it is necessary to know how the law is being applied at the moment, and how could it be developed in future. On the other hand this study offers the possibility of evaluate their management and some ways to improve their use. It will be evaluated which is the last treatment of the waste, the destination of the waste, and the recycling of the plant. (Author) 3 refs.

  1. Study of degradation processes of metals used in some artworks from the cultural heritage of Andalusia, Spain

    Energy Technology Data Exchange (ETDEWEB)

    Duran, A.; Herrera, L. K.; Jimenez de Haro, M. C.; Pere-Rodriguez, J. L.; Justo, A.

    2009-07-01

    The study of the alteration processes of metals, such as lead, bronze, iron and tin-mercury alloys, used in some of the most important chosen artefacts of Andalusian Cultural Heritage is the main objective of this paper. Hydrocerussite and cerussete were detected in lead seals stored in a hole of cardboard. Bronze is altered to atacamite by environmental contamination, which is also responsible for the formation of rust from iron. Corrosion of the tin-mercury surface of amalgam mirrors produces tin monoxide and tin dioxide and releases liquid mercury from the solid phase. (Author) 38 refs.

  2. Gender violence has no frontiers. Comparative study about Colombian and Spain violence social standards of genders (2004-2014

    Directory of Open Access Journals (Sweden)

    Beatriz Londoño Toro

    2017-06-01

    Full Text Available Compared analysis about the Spanish and Colombian normative systems that aim for the women’s rights protection for addressing gender-based violence. The goal of this study is to build proposals that reinforce the existent instruments and allow sharing good normative practices. The advances in regulation and institutional reinforcement impulsed by women organizations can be underlined, and the actions that fortify the confidence in the procedures are highlighted, because they stop the re victimization and assure the accomplishment of the normative frameworks.

  3. Congenital Critical Heart Defect Screening in a Health Area of the Community of Valencia (Spain: A Prospective Observational Study

    Directory of Open Access Journals (Sweden)

    Elena Cubells

    2018-01-01

    Full Text Available Despite the progress in the fetal echocardiographic detection of congenital critical heart defects and neonatal physical examination, a significant number of newborn infants are discharged and readmitted to the hospital in severe condition due to cardiac failure or collapse. The aim of this study was to assess the incidence of undetected critical congenital heart disease (CCHD by a pulse oximetry-screening program in the maternity wards of hospitals with Perinatal Services in a specific geographic area. This is a prospective observational study performed in in the health area corresponding to the city of Valencia. Eligible infants were consecutively admitted newborn infants in the maternities of the participating hospitals with negative fetal echocardiography after normal physical examination in the delivery room. All patients were screened following a specific pulse oximetry protocol before discharge. A total of 8856 newborn infants were screened. A total of three babies presented with severe congenital cardiac malformation and two babies presented with early onset sepsis. Sensitivity was 100% and specificity was 99.97%, with a positive predictive value of 60% and negative predictive value of 100%. Pulse oximetry screening programs in the early neonatal period constitute a valuable tool to avoid inadvertent hospital discharge of severe cardiac malformations and the subsequent life-threatening complications derived.

  4. Validating prediction scales of type 2 diabetes mellitus in Spain: the SPREDIA-2 population-based prospective cohort study protocol

    Science.gov (United States)

    Salinero-Fort, Miguel Ángel; de Burgos-Lunar, Carmen; Mostaza Prieto, José; Lahoz Rallo, Carlos; Abánades-Herranz, Juan Carlos; Gómez-Campelo, Paloma; Laguna Cuesta, Fernando; Estirado De Cabo, Eva; García Iglesias, Francisca; González Alegre, Teresa; Fernández Puntero, Belén; Montesano Sánchez, Luis; Vicent López, David; Cornejo Del Río, Víctor; Fernández García, Pedro J; Sabín Rodríguez, Concesa; López López, Silvia; Patrón Barandío, Pedro

    2015-01-01

    Introduction The incidence of type 2 diabetes mellitus (T2DM) is increasing worldwide. When diagnosed, many patients already have organ damage or advance subclinical atherosclerosis. An early diagnosis could allow the implementation of lifestyle changes and treatment options aimed at delaying the progression of the disease and to avoid cardiovascular complications. Different scores for identifying undiagnosed diabetes have been reported, however, their performance in populations of southern Europe has not been sufficiently evaluated. The main objectives of our study are: to evaluate the screening performance and cut-off points of the main scores that identify the risk of undiagnosed T2DM and prediabetes in a Spanish population, and to develop and validate our own predictive models of undiagnosed T2DM (screening model), and future T2DM (prediction risk model) after 5-year follow-up. As a secondary objective, we will evaluate the atherosclerotic burden of the population with undiagnosed T2DM. Methods and analysis Population-based prospective cohort study with baseline screening, to evaluate the performance of the FINDRISC, DANISH, DESIR, ARIC and QDScore, against the gold standard tests: Fasting plasma glucose, oral glucose tolerance and/or HbA1c. The sample size will include 1352 participants between the ages of 45 and 74 years. Analysis: sensitivity, specificity, positive predictive value, negative predictive value, likelihood ratio positive, likelihood ratio negative and receiver operating characteristic curves and area under curve. Binary logistic regression for the first 700 individuals (derivation) and last 652 (validation) will be performed. All analyses will be calculated with their 95% CI; statistical significance will be p<0.05. Ethics and dissemination The study protocol has been approved by the Research Ethics Committee of the Carlos III Hospital (Madrid). The score performance and predictive model will be presented in medical conferences, workshops

  5. 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.

  6. Study of cadmium, lead and tin distribution in surface marine sediment samples from Ria de Arousa (NW of Spain)

    Energy Technology Data Exchange (ETDEWEB)

    Barciela-Alonso, M.C.; Pazos-Capeans, P.; Regueira-Miguens, M.E.; Bermejo-Barrera, A.; Bermejo-Barrera, P

    2004-10-25

    In this work a study of the Cd, Pb and Sn content in marine surface sediment from the Ria de Arousa has been realised. For this, 21 sediment samples were taken in triplicate, lyophilised and sieved, and the fraction <63 {mu}m was taken for analysis. The samples were prepared in a form of slurries and analysed by electrothermal atomic absorption spectrometry. The concentration ranges obtained were 90-990 {mu}g kg{sup -1} Cd, 26.5-91.3 {mu}g g{sup -1} Pb and 5.0-20.8 {mu}g g{sup -1} Sn. The highest concentrations of these metals are in the inner part of the Ria, near to the port and urban nucleus such as Vilagarcia or Rianxo, and decrease toward the mouth of the Ria.

  7. [Lipid control in patients with coronary artery disease in a healthcare area in Cáceres (Spain): LIPICERES study].

    Science.gov (United States)

    Gómez-Barrado, José J; Ortiz, Carolina; Gómez-Turégano, Marta; Gómez-Turégano, Paula; Garcipérez-de-Vargas, Francisco J; Sánchez-Calderón, Pablo

    Current guidelines recommend a low-density lipoprotein cholesterol (LDLc) target of 75 years. About 68.2% of men had an HDLc>40mg/dl, and 54.8% of women had an HDLc>50mg/dl. Overall, 79.4% of patients had a TG<150mg/dl, with no gender differences, and 59.8% had a non-HDLc<100mg/dl. Approximately one half of patients with coronary disease do not achieve their target lipid levels as defined in the European guidelines, and this rate is less than reported in previous studies. There are no gender differences in achieving lipid goals, and age is a predictor of adherence. Copyright © 2016 Sociedad Española de Arteriosclerosis. Publicado por Elsevier España, S.L.U. All rights reserved.

  8. Nutritional status of iodine in pregnant women in Catalonia (Spain): study on hygiene-dietetic habits and iodine in urine.

    Science.gov (United States)

    Prieto, Gemma; Torres, Maria Teresa; Francés, Lidia; Falguera, Gemma; Vila, Lluis; Manresa, Josep María; Casamitjana, Roser; Barrada, Juan Ramón; Acera, Amèlia; Guix, Dolors; Torrent, Anna; Grau, Josep; Torán, Pere

    2011-03-08

    It is a priority to achieve an adequate nutritional status of iodine during pregnancy since iodine deficiency in this population may have repercussions on the mother during both gestation and post partum as well as on the foetus, the neonate and the child at different ages. According to the WHO, iodine deficiency is the most frequent cause of mental retardation and irrreversible cerebral lesions around the world. However, few studies have been published on the nutritional status of iodine in the pregnant population within the Primary Care setting, a health care level which plays an essential role in the education and control of pregnant women. Therefore, the aim of the present study is: 1.- To know the hygiene-dietetic habits related to the intake of foods rich in iodine and smoking during pregnancy. 2.- To determine the prevalence of iodine deficiency and the factors associated with its appearance during pregnancy. We will perform a cluster randomised, controlled, multicentre trial. Randomisation unit: Primary Care Team. 898 pregnant women over the age of 17 years attending consultation to a midwife during the first trimester of pregnancy in the participating primary care centres. consumption of iodine-rich foods and iodine deficiency. Points of assessment: each trimester of the gestation. group education during the first trimester of gestation on healthy hygiene-dietetic habits and the importance of an adequate iodine nutritional status. descriptive analysis of all variables will be performed as well as multilevel logistic regression. All analyses will be done carried out on an intention to treat basis and will be fitted for potential confounding factors and variables of clinical importance. Evidence of generalised iodine deficiency during pregnancy could lead to the promotion of interventions of prevention such as how to improve and intensify health care educational programmes for pregnant women. ClinicalTrials.gov: NCT01301768.

  9. Sex and Gender Interactions in the Lives of Patients with Spondyloarthritis in Spain: A Quantitative-qualitative Study.

    Science.gov (United States)

    Blasco-Blasco, Mar; Ruiz-Cantero, María Teresa; Juárez-Herrera Y Cairo, Lucero Aida; Jovaní, Vega; Pascual, Eliseo

    2017-10-01

    To illustrate the experiences and contextual support perceived by men and women with spondyloarthritis (SpA) in relation to their demanding productive and reproductive roles. A quantitative-qualitative study of 96 men and 54 women with SpA was conducted at the Alicante University General Hospital, in a Spanish Mediterranean city, from March 2013 to February 2014. Descriptive and qualitative content analyses compared working lives and family/partner relationships of male and female patients. Working life: both women (55.6%) and men (51.04%) were similarly affected, but women had worse disease activity (5.4 vs 4.0, p = 0.01) and less antitumor necrosis factor-α therapy (56.7% vs 77.6%, p women mostly practiced presenteeism whereas men practiced absenteeism, women took antiinflammatories prior to work and men after work, employers suggested more frequently the beneficial actions for men, and some women withdrew permanently from the labor market. Family/partner relationships: women were more affected (57.4%) than men (41.7%), with worse results for diagnostic delay (11.2 vs 6.4 yrs, p = 0.02), disease activity (5.8 vs 3.6, p role conflicts emerged, with women developing strategies to face compulsory housework whereas men avoided them; women regretted neglecting their children and men not sharing leisure activities with them. Our study highlights the vital complexity in which patients with SpA are immersed, especially for women in a country where a mix of new and traditional gender roles coexist. Awareness of its existence is crucial when professionals strive to provide healthcare focused on their well-being in addition to medical therapy.

  10. What does the media say about palliative care? A descriptive study of news coverage in written media in Spain

    Science.gov (United States)

    García, Miriam; Navas, Alejandro; Olza, Inés; Gómez-Baceiredo, Beatriz; Pujol, Francesc; Garralda, Eduardo; Centeno, Carlos

    2017-01-01

    Introduction The goal of palliative care (PC) is to improve the quality of life of terminal stage patients and their families. The subject frequently appears in the mass-media and this helps create a socially accepted identity. The aim of this study is to describe and analyse PC related news items appeared in the Spanish written media. Methodology A descriptive cross-sectional study was designed. Considering diffusion, scope and the range in editorial policy criteria, four printed newspapers (PN) were selected, together with four exclusively digital media sources (DM). Through Mynews, a newspaper content depository, and the search tool for each DM website, articles published between 2009 and 2014 which included the terms "palliative care" and "palliative medicine" were sought. A questionnaire was created to characterise each article identified and a descriptive analysis was undertaken. Results A total of 627 articles were identified, of which 359 (57%) were published in PN (42% in the printed editions -PE- 16% in their online editions -OE-) and 268 (43%) in DM. In general, they appeared mainly in sections concerning Health (23%), Culture and Society (18%) and General/Home News (15%). In PE, just 2% were found in the Health section and nearly 70% in Culture and Society and General/Home News. Most of the articles were informative in nature and contained socio-political messages (90%). Statements by PC professionals were found in 35% of the articles and by politicians in 32%. The most frequent content was related to facing end of life (74%) and patient quality of life (70%). Conclusions The Spanish written media reflects the socio-political interest aroused by PC. Nevertheless, messages circulating about PC do not describe professional practice, or the contribution of the same for patients. Content more in line with the clinical practice might help contribute to the development of this new area of medicine. PMID:28968433

  11. The hydrological response of a small catchment after the abandonment of terrace cultivation. A study case in northwestern Spain

    Science.gov (United States)

    Llorente-Adán, Jose A.; Lana-Renault, Noemí; Galilea, Ianire; Ruiz-Flaño, Purificacion

    2015-04-01

    Terrace construction for cultivation results in a complete transformation of the hillslopes to a series of flat sectors and almost vertical steps. This strategy, which involves a redistribution of soils and a re-organization of the drainage network, provides fertile soil over steep slopes, improves infiltration and controls overland flow under conditions of intense rainstorms. In Camero Viejo (north-western Iberian ranges) most of the hillslopes are occupied by terraced fields. During the XXth century, rural population declined and agricultural practices were abandoned. In this area, a small catchment (1.9 km2) was monitored in 2012 for studying how the abandonment of agricultural terraces affect water and sediment transfer from the hillslopes to the channels. Terraces occupy 40% of the catchment and are covered by sparse grass and shrubs. The equipment installed in the catchment registers continuously meteorological data, discharge and water table fluctuations. Data on suspended sediment transport is obtained by means of a rising-stage sampler. Here we present the hydrological results corresponding to the years 2012-13 and 2013-14. The hydrological response of the catchment was moderate (annual runoff coefficient < 0.20), which could be in part explained by the high evapotranspiration rates reported in the area. Lows flows were recorded in summer and autumn, when the water reserves of the catchment were dry, and high flows occurred from January, when the catchment became wetter. The shape of the hydrographs, with slow response times, moderate peakflows and long recession limbs suggested a large contribution of subsurface flow, probably favored by deep and well structured soils in the bench terraces. Soil saturation areas were not observed during the study period, suggesting that soil infiltration processes and subsurface flow are important, and that the drainage system of the terraces is probably well maintained. No suspended sediment has been collected so far

  12. What does the media say about palliative care? A descriptive study of news coverage in written media in Spain.

    Directory of Open Access Journals (Sweden)

    José Miguel Carrasco

    Full Text Available The goal of palliative care (PC is to improve the quality of life of terminal stage patients and their families. The subject frequently appears in the mass-media and this helps create a socially accepted identity. The aim of this study is to describe and analyse PC related news items appeared in the Spanish written media.A descriptive cross-sectional study was designed. Considering diffusion, scope and the range in editorial policy criteria, four printed newspapers (PN were selected, together with four exclusively digital media sources (DM. Through Mynews, a newspaper content depository, and the search tool for each DM website, articles published between 2009 and 2014 which included the terms "palliative care" and "palliative medicine" were sought. A questionnaire was created to characterise each article identified and a descriptive analysis was undertaken.A total of 627 articles were identified, of which 359 (57% were published in PN (42% in the printed editions -PE- 16% in their online editions -OE- and 268 (43% in DM. In general, they appeared mainly in sections concerning Health (23%, Culture and Society (18% and General/Home News (15%. In PE, just 2% were found in the Health section and nearly 70% in Culture and Society and General/Home News. Most of the articles were informative in nature and contained socio-political messages (90%. Statements by PC professionals were found in 35% of the articles and by politicians in 32%. The most frequent content was related to facing end of life (74% and patient quality of life (70%.The Spanish written media reflects the socio-political interest aroused by PC. Nevertheless, messages circulating about PC do not describe professional practice, or the contribution of the same for patients. Content more in line with the clinical practice might help contribute to the development of this new area of medicine.

  13. What does the media say about palliative care? A descriptive study of news coverage in written media in Spain.

    Science.gov (United States)

    Carrasco, José Miguel; García, Miriam; Navas, Alejandro; Olza, Inés; Gómez-Baceiredo, Beatriz; Pujol, Francesc; Garralda, Eduardo; Centeno, Carlos

    2017-01-01

    The goal of palliative care (PC) is to improve the quality of life of terminal stage patients and their families. The subject frequently appears in the mass-media and this helps create a socially accepted identity. The aim of this study is to describe and analyse PC related news items appeared in the Spanish written media. A descriptive cross-sectional study was designed. Considering diffusion, scope and the range in editorial policy criteria, four printed newspapers (PN) were selected, together with four exclusively digital media sources (DM). Through Mynews, a newspaper content depository, and the search tool for each DM website, articles published between 2009 and 2014 which included the terms "palliative care" and "palliative medicine" were sought. A questionnaire was created to characterise each article identified and a descriptive analysis was undertaken. A total of 627 articles were identified, of which 359 (57%) were published in PN (42% in the printed editions -PE- 16% in their online editions -OE-) and 268 (43%) in DM. In general, they appeared mainly in sections concerning Health (23%), Culture and Society (18%) and General/Home News (15%). In PE, just 2% were found in the Health section and nearly 70% in Culture and Society and General/Home News. Most of the articles were informative in nature and contained socio-political messages (90%). Statements by PC professionals were found in 35% of the articles and by politicians in 32%. The most frequent content was related to facing end of life (74%) and patient quality of life (70%). The Spanish written media reflects the socio-political interest aroused by PC. Nevertheless, messages circulating about PC do not describe professional practice, or the contribution of the same for patients. Content more in line with the clinical practice might help contribute to the development of this new area of medicine.

  14. Different Patterns in Health Care Use Among Immigrants in Spain.

    Science.gov (United States)

    Villarroel, Nazmy; Artazcoz, Lucía

    2016-04-01

    This study aims to analyze the differences in the use of primary care (PC), hospital, and emergency services between people born in Spain and immigrants. Data were obtained from the 2006 Spanish National Health Survey. The sample was composed of individuals aged 16-64 years from Spain and the seven countries with most immigrants in Spain (n = 22,224). Hierarchical multiple logistic regression models were fitted. Romanian men were less likely to use health care at all levels compared to men from other countries. Women from Argentina, Bolivia and Ecuador reported a lower use of PC. Among women, there were no differences in emergency visits or hospitalizations between countries. Bolivian men reported more hospitalizations than Spanish men, whereas Argentinean men reported more emergency visits than their Spanish counterparts. In Spain, most immigrants made less than, or about the same use of health care services as the native Spanish population.

  15. Impact of Loss of Work Productivity in Patients with Overactive Bladder Treated with Antimuscarinics in Spain: Study in Routine Clinical Practice Conditions.

    Science.gov (United States)

    Sicras-Mainar, Antoni; Navarro-Artieda, Ruth; Ruiz-Torrejón, Amador; Sáez-Zafra, Marc; Coll-de Tuero, Gabriel

    2015-12-01

    Overactive bladder (OAB) is a syndrome characterized by presenting symptoms of urgency, with or without urge incontinence, and normally accompanied by day and night frequency. The aim of this study was to evaluate the impact of lost work productivity [number of days of sick leave] in patients treated with fesoterodine versus tolterodine and solifenacin to treat OAB in Spain. A retrospective, observational study was carried out using the records (digital databases) of actively working patients (2008-2013). The study population comprised of patients from two autonomous communities; 31 primary care centres agreed to participate. Patients who began first treatment with antimuscarinics (fesoterodine, solifenacin or tolterodine) and who met certain inclusion/exclusion criteria were included in the study. Follow-up lasted for 1 year. The main outcome measures were comorbidity, medication possession ratio (MPR), treatment persistence, and number of days of sick leave and associated costs. Indirect costs were considered to be those related to lost work productivity (number of days of sick leave, exclusively), (1) due to OAB and (2) overall total. The cost was expressed as the average cost per patient (cost/unit). Multivariate analyses (Cox, ANCOVA) were used to correct the models. A total of 3094 patients were recruited into the study; 43.0 % were treated with solifenacin, 29.2 % with tolterodine, and 27.8 % with fesoterodine. The average age of patients was 54 years (standard deviation 9.2), and 62.2 % were women. The comparison of fesoterodine versus solifenacin and tolterodine showed a higher MPR (90.0 vs. 87.0 and 86.1 %, respectively), higher treatment persistence (40.2 vs. 34.7 and 33.6 %), lower use of sick leave (22.8 vs. 52.9 and 36.7 %), total number of days of sick leave (5.1 vs. 9.7 and 9.3 days) and costs corrected for covariates (€371 vs. €703 and €683); p productivity.

  16. Spent fuel management in Spain

    International Nuclear Information System (INIS)

    Gonzalez, J.L.

    2002-01-01

    The spent fuel management strategy in Spain is presented. The strategy includes temporary solutions and plans for final disposal. The need for R and D including partitioning and transmutation, as well as the financial constraints are also addressed. (author)

  17. Use of LCA as a Tool for Building Ecodesign. A Case Study of a Low Energy Building in Spain

    Directory of Open Access Journals (Sweden)

    Alberto Jáñez

    2013-08-01

    Full Text Available This paper demonstrates how to achieve energy savings in the construction and operation of buildings by promoting the use of life cycle assessment techniques in the design for new buildings and for refurbishment. The paper aims to draw on the application of a specific methodology for low energy consumption, integrated planning, environmental performance evaluation of buildings, and design for sustainability and LCA techniques applied to buildings. The ENergy Saving through promotion of LIfe Cycle assessment in buildings (ENSLIC methodology based on LCA for use in an integral planning process has been promoted to stakeholders who require a means to optimize the environmental performance of buildings. Feedback from the stakeholders has facilitated the creation of simplified LCA guidelines, a systematic approach guiding the user through the alternative options regarding software choices, their strengths and weaknesses, the databases available, the usefulness of different indicators, aggregation, definition of limits and options for simplifying the process. As a result, this paper presents the applied results of a case study where this methodology is implemented serving as an energy savings evaluation tool for decision makers, end-users, professionals involved in the different stages of construction, etc. Finally, it is demonstrated how LCA can facilitate comparisons between different buildings, showing the influence of all variables on a building’s life cycle environmental impact and showing the potential for energy savings. Removing market barriers to sustainable construction is actually stricter and this is good news for promoting higher energy efficiency in buildings.

  18. Assessment of the knowledge and perception of support of patients with heart failure SOPICA study IN SPAIN.

    Science.gov (United States)

    Miró, Ò; Escoda, R; Martín-Sánchez, F J; Herrero, P; Jacob, J; Rizzi, M; Aguirre, A; Andueza, J A; Bueno, H; Llorens, P

    2016-01-01

    To understand the perceptions of patients with heart failure (HF) concerning their disease, treatment and support, as well as the specialists who provide care after a decompensation, and to determine whether there is a relationship between the type of specialist involved in the follow-up and the medium-term prognosis. A multicentre, prospective cohort study consecutively included patients with acute HF in the emergency department. The patients were interviewed by telephone 91-180days after their emergency department visit. We investigated the relationship between the type of specialist who performed the follow-up and the emergency department visits or hospitalisations using Cox regression models, with progressive adjustment by groups of potential confounders of these relationships. We interviewed 785 patients. Thirty-three percent (95%CI: 30%-36%) considered their disease mild, 64% (60%-67%) required help from third parties for daily activities, 65% (61%-68%) had no recent therapeutic changes, and 69% (67%-72%) received the same treatment in the exacerbations. The perceived support varied significantly depending on the factor under consideration (from greater to lesser: family, hospital, emergency department, health centre, religion and patient associations; p<.05 in all comparisons). Thirty-nine percent (36%-43%) of the patients with decompensations consulted directly with the emergency department, with no prior changes in treatment. At discharge, general practitioners (74%, 71%-77%) and cardiologists (74%, 70%-77%) were the most involved in the follow-up, although the specialty was not related to the prognosis. There are various aspects of the perception of patients with HF concerning their disease that are susceptible to future interventions. Patient follow-up involves various specialties, but all achieve similar results in the medium term. Copyright © 2016. Published by Elsevier España, S.L.U.

  19. A Bayesian approach to study the risk variables for tuberculosis occurrence in domestic and wild ungulates in South Central Spain

    Directory of Open Access Journals (Sweden)

    Rodríguez-Prieto Víctor

    2012-08-01

    Full Text Available Abstract Background Bovine tuberculosis (bTB is a chronic infectious disease mainly caused by Mycobacterium bovis. Although eradication is a priority for the European authorities, bTB remains active or even increasing in many countries, causing significant economic losses. The integral consideration of epidemiological factors is crucial to more cost-effectively allocate control measures. The aim of this study was to identify the nature and extent of the association between TB distribution and a list of potential risk factors regarding cattle, wild ungulates and environmental aspects in Ciudad Real, a Spanish province with one of the highest TB herd prevalences. Results We used a Bayesian mixed effects multivariable logistic regression model to predict TB occurrence in either domestic or wild mammals per municipality in 2007 by using information from the previous year. The municipal TB distribution and endemicity was clustered in the western part of the region and clearly overlapped with the explanatory variables identified in the final model: (1 incident cattle farms, (2 number of years of veterinary inspection of big game hunting events, (3 prevalence in wild boar, (4 number of sampled cattle, (5 persistent bTB-infected cattle farms, (6 prevalence in red deer, (7 proportion of beef farms, and (8 farms devoted to bullfighting cattle. Conclusions The combination of these eight variables in the final model highlights the importance of the persistence of the infection in the hosts, surveillance efforts and some cattle management choices in the circulation of M. bovis in the region. The spatial distribution of these variables, together with particular Mediterranean features that favour the wildlife-livestock interface may explain the M. bovis persistence in this region. Sanitary authorities should allocate efforts towards specific areas and epidemiological situations where the wildlife-livestock interface seems to critically hamper the definitive b

  20. A Bayesian approach to study the risk variables for tuberculosis occurrence in domestic and wild ungulates in South Central Spain.

    Science.gov (United States)

    Rodríguez-Prieto, Víctor; Martínez-López, Beatriz; Barasona, José Angel; Acevedo, Pelayo; Romero, Beatriz; Rodriguez-Campos, Sabrina; Gortázar, Christian; Sánchez-Vizcaíno, José Manuel; Vicente, Joaquín

    2012-08-30

    Bovine tuberculosis (bTB) is a chronic infectious disease mainly caused by Mycobacterium bovis. Although eradication is a priority for the European authorities, bTB remains active or even increasing in many countries, causing significant economic losses. The integral consideration of epidemiological factors is crucial to more cost-effectively allocate control measures. The aim of this study was to identify the nature and extent of the association between TB distribution and a list of potential risk factors regarding cattle, wild ungulates and environmental aspects in Ciudad Real, a Spanish province with one of the highest TB herd prevalences. We used a Bayesian mixed effects multivariable logistic regression model to predict TB occurrence in either domestic or wild mammals per municipality in 2007 by using information from the previous year. The municipal TB distribution and endemicity was clustered in the western part of the region and clearly overlapped with the explanatory variables identified in the final model: (1) incident cattle farms, (2) number of years of veterinary inspection of big game hunting events, (3) prevalence in wild boar, (4) number of sampled cattle, (5) persistent bTB-infected cattle farms, (6) prevalence in red deer, (7) proportion of beef farms, and (8) farms devoted to bullfighting cattle. The combination of these eight variables in the final model highlights the importance of the persistence of the infection in the hosts, surveillance efforts and some cattle management choices in the circulation of M. bovis in the region. The spatial distribution of these variables, together with particular Mediterranean features that favour the wildlife-livestock interface may explain the M. bovis persistence in this region. Sanitary authorities should allocate efforts towards specific areas and epidemiological situations where the wildlife-livestock interface seems to critically hamper the definitive bTB eradication success.

  1. Effects of rainfall partitioning by Mediterranean vegetation on soil water content dynamics. Results from field studies along a climatic gradient in Spain.

    Science.gov (United States)

    Llorens, Pilar; Latron, Jérôme; Muzylo, Aleksandra; Schnabel, Susanne; Domingo, Francisco; Cantón, Yolanda; Gallart, Francesc

    2010-05-01

    The role played by rainfall partitioning by vegetation is of paramount importance for the water balance both at local and catchment scales. Rainfall partitioning fluxes (throughfall and stemflow) have a large degree of temporal and spatial variability and may consequently lead to significant changes in the volume and composition of water that reach the understory vegetation and the soil. Throughfall affects the surface soils horizons and stemflow, channelled by branches and stems, can reach deeper soil layers and remain available for the roots. This work investigates the effect of rainfall partitioning on soil water content in three Mediterranean study areas covering a strong climatic gradient and different vegetation species. From Northern to Southern Spain the study areas are: The Vallcebre research catchments (42° 12'N, 1° 49'E) with forest patches of Pinus sylvestris and of Quercus pubescens, The Parapuños research catchment (39° 35'N, 6° 5'W ), a wooded rangeland with Quercus rotundifolia and annual grasses in open areas, and the Tabernas experimental area (37° 0'N, 2° 26'W) with disperse shrubs and a mixture of annual plants and biological soil crusts in open areas. Mean annual rainfall ranges between 862 and 235 mm (in Vallcebre and Tabernas respectively). For the studied tree species throughfall was the dominant flux and have a similar rate, being stemflow only a small part of the bulk rainfall. For the studied shrubs, measured throughfall as well as stemflow were highly variable between species. Superficial soil water content was on average lower under forest (Vallcebre) or individual trees (Parapuños) that in the open areas. Contrarily, in Tabernas soil was wetter under shrubs than in open areas, although with higher variability. Driest soils below continous forest covers, as in Vallcebre, or even in sparse covered areas as in the Parapuños catchment, may be explained by the dominant role of rainfall interception and transpiration. In Tabernas

  2. The role of soil physics in fighting soil degradation. A case study in the Valencia Region, Spain

    Directory of Open Access Journals (Sweden)

    Ingelmo-Sánchez, Florencio

    1990-12-01

    Full Text Available Taking into consideration the peculiar characteristics of climate, topography, geology, soils and managing systems in the Valencia region, some proven general facts in soil Physics are presented, emphasizing some points needing further investigation which, as a whole, fall within the framework of actions in controlling soil degradation processes. The text is divided into two sections: the first, and longer, deals with the study of hydrological and erosion processes. Involving Soil Physics In the explanation of some behaviours and mechanisms; in the second, the various mechanisms of physical degradation leading to soil compaction are shown, and the main causes and Impacts are also determined.

    [es] Teniendo en cuenta las características peculiares del clima, topografía, geología, suelos y sistemas de manejo en la Región Valenciana, se exponen algunos hechos probados como suficientemente generales en la Física de suelos y algunos de los avances más significativos de dicha disciplina, enmarcando al mismo tiempo aspectos que necesitan ser Investigados, como base para la aplicación de un modelo conceptual de actuación para el control de los procesos de degradación del suelo. La exposición queda dividida, por consideraciones didácticas, en dos apartados. El primero, más extenso, se dedica al estudio de los procesos hidrológicos y erosivos, implicando a la Física del Suelo en la explicación de algunos comportamientos y mecanismos. En el segundo, se exponen los diferentes mecanismos de degradación física que conducen a la compactación del suelo, identificándose las principales causas y las repercusiones.
    [fr] Compte tenu des particulières caractéristiques du climat, topographie, géologie, sols et systèmes d'aménagement des sols dans la Région de Valence, on expose Ici quelques sujets bien connus, sur la Physique du Sol, et on signale certains rapports qui doivent être recherchés pour l'application d'un mod

  3. The influence of democracy in the practice of public relations in Spain

    OpenAIRE

    Xifra, Jordi

    2011-01-01

    This article presents an exploratory study of the current status of public relationsin Spain on the basis of elements and indicators applied to other countries in thestudy The Global Public Relations Handbook (2009). Spain is one of the most notableabsentees from the study; this article therefore fills a hole in current public relationsresearch and theory. The conclusion is that Spain is a country that has undergoneradical change, from a dictatorship to one of the world’s most democratic syst...

  4. Advances and trends on earthquake-triggered landslide research in Spain

    OpenAIRE

    García Mayordomo, Julián; Rodríguez Peces, Martín Jesús; Azañón, J.M.; Insúa Arévalo, Juan Miguel

    2009-01-01

    This work reviews the current situation of earthquake‐triggered landslide studies in Spain both from the point of view of regional assessment and site‐specific cases. Regional assessments have been undertaken in areas of the Betic Cordillera (South and Southeast Spain): Alcoy Basin, Lorca Basin, Granada Basin and Sierra Nevada Range; and Central Pyrenees (North Spain and Andorra). Specific studies are very scarce, outstanding those related to the Güevéjar landslide (Granada) –triggered by 175...

  5. Reproductive data and analysis of recoveries in a population of white stork Ciconia ciconia in southern Spain: a 24-year study

    Energy Technology Data Exchange (ETDEWEB)

    Cuadrado, M.; Sanchez, I.; Barcell, M.; Armario, M.

    2016-07-01

    Changes in nest density and reproductive success of a free–ranging population of white stork (Ciconia ciconia) in the Gardens of ZooBotánico Jerez (Cádiz) were studied from 1990 to 2013. Reproductive data (number of nests and number of chicks per nest) and the effect of rainfall on the reproductive success were analyzed. In addition, a number of chicks were colour–ringed each year and the recovery data were also analyzed. The number of nests found in the area steadily increased during the study period and varied greatly from year to year from 2001 onwards (mean 19, range = 4–35, N = 22 years). Reproductive success also varied greatly among years. Overall, the mean number of chicks per nest was 1.78 ± 1.2 (range = 0–5, N = 439 nests).Reproductive success was strongly influenced by rainfall. It was highest (1.88) in years classified as rainy, medium (1.62) in years classified as normal, and lowest (1.24) in dry years. A total of 404 white storks were ringed, 110 of which were observed a total of 308 times (2.8 + 2.8 times per bird, range 1–12, all year data pooled). Recovery data show that with one exception, all ringed birds were recorded at different habitats of S Spain throughout the year. Remarkably, none was observed at traditional wintering quarters, south of the Sahara in Africa. Juveniles remained in the area (from July to October) soon after leaving our colony, and virtually all of them disappeared from November to January (their first winter) but were recorded again during their first breeding season. On the contrary, adults were repeatedly recorded at different sites in Cádiz, Sevilla and Huelva all year round. These birds showed a strong philopatry as some of them were recorded as breeders in our colony, up to 11 years after ringing. Our data emphasize the importance of both refuse damp and wetland areas for the species, especially in winter, and a shift in the timing of the reproductive season as birds were recorded from November to July

  6. Bioavailability of metals in soils and sedimentes affected by old mining actitvities. The study case of the Portman bay (SE, Spain)

    Science.gov (United States)

    Martinez-Sanchez, Maria Jose; Agudo, Ines; Banegas, Ascension; Garcia-Lorenzo, Maria Luz; Gonzalez-Ciudad, Eva; Perez-Espinosa, Victor; Martinez-Lopez, Salvadora; Martinez, Lucia; Perz-Sirvent, Carmen

    2010-05-01

    A study on metal (Zn, Pb, Cd, Cu and As) mobilization and analysis of the health risk represented by ingestion from contaminated sediments in Portman Bay (SE Spain) was carried out. This zone has suffered a great impact from mining activity, since million tons of mine tailings were dumped into the bay for a long period, giving as a result the filling of the bay with them. The long-term deposition of metals in soils and sediments can lead to their accumulation and transport,