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Sample records for spain descriptive study

  1. 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…

  2. [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.

  3. 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

  4. Description of the Energy System of Spain

    Energy Technology Data Exchange (ETDEWEB)

    Caldes, N; Lechon, Y; Labriet, M; Cabal, H; Rua, C de la; Saez, R; Varela, M

    2008-07-01

    The objective of this report is to describe the complete Spain energy system, in order to make possible its modelling with the TIMES model within the NEEDS project (http://www.needs-project.org). (Author) 56 refs.

  5. Graphic Description: The Mystery of Ibn Khafaja\\'s Success in Description

    Directory of Open Access Journals (Sweden)

    جواد رنجبر

    2009-12-01

    Full Text Available Graphic Description:   The Mystery of Ibn Khafaja's Success in Description    Ali Bagher Taheriniya *  Javad Ranjbar **      Abstract Ibn Khafaja is one of the poets and men of letters in Spain. He is titled to Sanobari of Spain. He is one of the masters of description. Hence, the analysis of successful techniques he has used in the descriptive art could illuminate the way for others. Al-Taswir al-harfi (graphic description is a term which denotes the highest and most detailed poems. On this basis, the best descriptive poem is one which is closer to a painting. He has used some elements called conforming elements of description which contain: imagination, feeling, faculty, and dialogue as well as three other elements: to be inborn in description, enchanting nature and convenient life. This article is going to give an analysis of the reasons for Ibn Khafaja’s success in description and portrait making.   Key words: Ibn Khafaja, poetry, description, portrait   * Associate Professor, Bu Ali Sina University of Hamadan E-mail: bTaheriniya@yahoo.com  ** M.A. in Arabic Language and Literature

  6. 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

  7. [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.

  8. Q fever in Spain: Description of a new series, and systematic review.

    Science.gov (United States)

    Alende-Castro, Vanesa; Macía-Rodríguez, Cristina; Novo-Veleiro, Ignacio; García-Fernández, Xana; Treviño-Castellano, Mercedes; Rodríguez-Fernández, Sergio; González-Quintela, Arturo

    2018-03-01

    Forms of presentation of Q fever vary widely across Spain, with differences between the north and south. In the absence of reported case series from Galicia (north-west Spain), this study sought to describe a Q-fever case series in this region for the first time, and conduct a systematic review to analyse all available data on the disease in Spain. Patients with positive serum antibodies to Coxiella burnetii from a single institution over a 5-year period (January 2011-December 2015) were included. Patients with phase II titres above 1/128 (or documented seroconversion) and compatible clinical criterial were considered as having Q fever. Patients with clinical suspicion of chronic Q-fever and IgG antibodies to phase I-antigen of over 1/1024, or persistently high levels six months after treatment were considered to be cases of probable chronic Q-fever. Systematic review: We conducted a search of the Pubmed/Medline database using the terms: Q Fever OR Coxiella burnetii AND Spain. Our search yielded a total of 318 studies: 244 were excluded because they failed to match the main criteria, and 41 were discarded due to methodological problems, incomplete information or duplication. Finally, 33 studies were included. A total of 155 patients, all of them from Galicia, with positive serological determination were located during the study period; 116 (75%) were deemed to be serologically positive patients without Q fever and the remaining 39 (25%) were diagnosed with Q fever. A potential exposure risk was found in 2 patients (5%). The most frequent form of presentation was pneumonia (87%), followed by isolated fever (5%), diarrhoea (5%) and endocarditis (3%). The main symptoms were headache (100%), cough (77%) and fever (69%). A trend to a paucisymptomatic illness was observed in women. Hospital admission was required in 37 cases, and 6 patients died while in hospital. Only 2 patients developed chronic Q-fever. Systematic review: Most cases were sporadic, mainly presented

  9. [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.

  10. 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.

  11. 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.

  12. Scenario analysis of climate change and tourism in Spain and other European regions

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez, A.M.

    2005-06-15

    The aim of the study is to determine the possible impact of climate change on the tourist industry in Spain, with an especial focus on coastal regions. This includes the identification of potential areas suffering a decrease in the tourist flows, as well as different regions that could see a benefit on increasing temperatures and more reliable weather predictions. To do so, a Tourism Climate Index will be used, studying the potentiality of an area for tourism considering different elements of the climate which are relevant for the tourism activities. Current and future climatological scenarios over the main tourist sites in Spain will be built. In addition, the study will include an evaluation of the context around Spain, including case studies in other 5 different countries and a global description for the rest of the continent. Chapter 2 focuses mainly on the tourist sector. The global importance of this activity, together with the international tourism flows, serves as introduction to a more detailed assessment of the significant role that Spain plays as a tourist destination. The complex interrelations between climate (change) and tourism are reviewed in chapter 3. First, a brief introduction about climate change and descriptions of major projections about future climate world wide. This description is further detailed for Spain. Additionally, the interactions between tourism and climate are described thoroughly. Chapter 4 discusses the concept of 'Tourist Comfort Index', addressing key issues such as factors included and weighting. This section gives also a brief overview of the analysis and the data that was needed in the elaboration of the thesis. The implementation of the index and the results for current climate and future climate is presented. After the data analysis, chapter 5 provides an in-depth discussion of the results and compares them with other studies. This chapter is followed by the conclusions and recommendations in chapter 6.

  13. 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.

  14. Aeronautical Engineering Education in Spain: Changing Needs in an Evolving Environment.

    Science.gov (United States)

    Martinez-Val, Rodrigo

    1997-01-01

    Describes the successive stages of the School of Aeronautical Engineering of Madrid, Spain, in terms of entry requirements, curricula guidelines, options or specialties, duration of studies, and number of graduates. Also includes a description of the Spanish aeronautical industry and its evolution. (Author/PVD)

  15. 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.

  16. [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.

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

    Directory of Open Access Journals (Sweden)

    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. Tangible fixed assets For SME: Portuguese and Spain evidence

    OpenAIRE

    Marques, Maria Lúcia; Abreu, Rute; Pérez-López, J. A.

    2015-01-01

    The problem statement of this research is the application level of IAS 16 - Property, Plant and Equipment in SMEs provide by SME in Portugal and Spain. Indeed, the purpose of the research is comparing the accounting framework of IAS 16 - Property, Plant and Equipment in SME in Portugal and Spain. Also, it considers the information disclosure, conduct annually by the SME in both countries, comparing their similarities and differences. The methodology a used descriptive, pilot and explanatory a...

  19. 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.

  20. 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.

  1. Nurse prescribing in Spain: The law and the curriculum.

    Science.gov (United States)

    Romero-Collado, Angel; Raurell-Torreda, Marta; Zabaleta-Del-Olmo, Edurne; Rascon-Hernan, Carolina; Homs-Romero, Erica

    2017-09-01

    In this cross-sectional study, we explored course content related to pharmacology and/or healthcare products and supplies in all nursing degree programs in Spain. Changes in nurse-prescribing legislation in Spain require that nurses take a certification course before prescribing over-the-counter products and medications. Using a cross-sectional descriptive study, between July and September 2014, the degree programs of all centers that offer a degree in nursing in Spain were examined, selecting those with course information available online. All centers offered at least one pharmacology course. One-third of the required courses had content related to pharmacology and healthcare products/supplies. The analysis showed that the course content and training received during the current nursing degree program provides the knowledge and skills needed to prescribe healthcare products/supplies and medications that do not now require a doctor's prescription, without the need for additional training and certification. It is essential that government regulation of nursing education be aligned with nursing competencies, curriculum standards, clinical practice, and evidence-based research to provide the maximum level of confidence for nursing professionals and their patients. © 2017 John Wiley & Sons Australia, Ltd.

  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. Inspection of nuclear power plants under construction in Spain

    International Nuclear Information System (INIS)

    Santoma, L.

    1977-01-01

    Brief summary of the situation of the nuclear industry in Spain, in order to better understand the questions involved in the inspection of the Spanish nuclear power plants, as well as the experience acquired, followed by a description of some of the problems which have arisen during the construction phase. Also the problems faced by the Inspection of the Junta de Energia Nuclear are described in order to fulfill the missions entrusted to it. Finally, some recommendations are made in light of the experience had by Spain.(author) [es

  4. Morphological description and comparison of the dental remains from Atapuerca-Sima de los Huesos site (Spain).

    Science.gov (United States)

    Martinón-Torres, María; Bermúdez de Castro, José María; Gómez-Robles, Aida; Prado-Simón, Leyre; Arsuaga, Juan Luis

    2012-01-01

    The systematic excavation of the Sima de los Huesos (SH) site in Sierra de Atapuerca (Burgos, Spain) has yielded the largest hominin collection worldwide for the Middle Pleistocene. The dental sample now consists of more than 500 teeth that provide exceptional opportunities to define the dental morphological pattern of a Middle Pleistocene population as well as develop hypotheses about the origins of the Neanderthals. The dental collection has now increased to over 533 specimens (525 permanent and 8 deciduous teeth), necessitating new morphological assessments. Thus, we present a detailed morphological description of the SH permanent dentition recovered up to 2007, accomplishing comparisons with European Middle Pleistocene hominins, Neanderthals, and early and contemporary Homo sapiens. We find that SH dentitions present all the morphological traits that, either in their degree of expression, frequency, or particular combination, are usually considered as typical of Homo neanderthalensis. This study ratifies the deep roots of the Neanderthal lineage in the Middle Pleistocene of Europe. In addition, SH teeth are morphologically "more Neanderthal" than other penecontemporaneous Middle Pleistocene samples such as Mauer or Arago, and even more derived than some classic Neanderthal samples. Thus, our study would not sustain the linearity of the accretion process hypothesized for the origins of the Neanderthals, and we suggest that other evolutionary models and scenarios should be explored for the Middle and Upper Pleistocene of Europe. We propose that more than one hominin lineage may have coexisted during the Middle Pleistocene in Europe. Copyright © 2011 Elsevier Ltd. All rights reserved.

  5. [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.

  6. Investigation on sea water desalination plants in Spain

    Energy Technology Data Exchange (ETDEWEB)

    Muro, S.; Sterner, R.; Ugarte, J.

    1978-01-01

    A description of various experimental installations at La Moncloa in Madrid, Spain, are presented. These include multi-flash, vapor compression, reverse osmosis, electrodialysis and solar distillation projects. Also described are pilot projects for multi-flash and vapor-compression distillation located in Lanzarote, Canary Islands. Computer programs for these systems are given.

  7. Situation and perspective of spent fuel management in Spain

    International Nuclear Information System (INIS)

    Lopez Garcia, A.

    2009-01-01

    Between september 2006 and september 2007, the Foundation for Energy Studies carried out the study Radioactive Waste Management: Situation, Analysis and Perspectives. This study focuses specially on spent fuel and high level radioactive waste management. The different aspects covered in this study are as follows: -Description of the different applicable technologies -Analysis and comparison of the different options of spent fuel management, including the strategic and economic aspects. - Situation, strategies and forecasts in the main countries. -Analysis of the situation and alternatives for the spent fuel management in spain. Although the report focuses principally pn the technological and environmental aspects other issues related with the management of these materials were considered, such as the strategic, economic and institutional aspects as well as the social acceptation. In answer to the request of the SNE publication, the article enclosed is a summary of one of the chapters of this study, and more particularly the one dedicated to the situation of spent fuel and high level radioactive waste management in Spain. (Author)

  8. 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

  9. [Medication adherence and use of health services in patients with psychosis in the region of Osona (Catalonia, Spain)].

    Science.gov (United States)

    Palmarola-Ginesta, Joan; Chirveches-Pérez, Emilia; Puigoriol-Juvanteny, Emma; Bleda-García, Francesc; Villa-Ribas, Ester; Arrufat-Nebot, Francesc Xavier

    2014-04-01

    To describe and analyze sociodemographic and clinical characteristics, medication adherence and use of health resources by country of birth of psychosis diagnosed patients treated with long-term antipsychotic injectable drugs in the region of Osona (Catalonia, Spain). Descriptive observational study in psychosis diagnosed patients over 18 years old, receiving long-term antipsychotic injectable treatment and treated at a Mental Health Center for adults in Vic (Catalonia, Spain). 185 patients were included, of them: 163 (88.1%) were born in Spain and 22 (17.9%) abroad. The sample was gender homogeneous with differences in age, employment status, family situation and diagnosis (p Spain-born patients and 9.1% of abroad-born patients received the injectable treatment at Primary Care Center (p Spain and 6 (27.3%) abroad (p = 0.012). All patients diagnosed with psychosis, either born or not in Spain, describe good adherence to long-term antipsychotic injectable treatment, with similar use of health resources from a quantitative point of view and some differences in the type of visits.

  10. Volunteers in Palliative Care - A Comparison of Seven European Countries: A Descriptive Study.

    Science.gov (United States)

    Woitha, Kathrin; Hasselaar, Jeroen; van Beek, Karen; Radbruch, Lukas; Jaspers, Birgit; Engels, Yvonne; Vissers, Kris

    2015-07-01

    In Europe, volunteers have an important role in the delivery of palliative care. As part of the EU co-funded Europall project, 4 aspects of volunteering in palliative care were studied for 7 European countries (Belgium, England, France, Germany, the Netherlands, Poland, and Spain). These included (1) involvement of volunteers in palliative care, (2) organization of palliative care volunteering, (3) legal regulations concerning volunteering, and (4) education and training of palliative care volunteering. A literature search combined with an interview study. Information from the scientific literature, and country-specific policy documents were obtained and completed, along with data of consecutive semi-structured interviews with experts in the field of palliative care in the participating countries. In all countries, volunteers appeared to be involved in palliative care, yet their involvement across health care settings differed per country. England, for example, has the highest number of volunteers whereas Spain has the lowest number. Volunteering is embedded in law and regulations in all participating countries except for England and the Netherlands. In all participating countries, training programs are available and volunteers are organized, both on a national and a regional level. This study provides a descriptive overview of volunteer work in palliative care in 7 European countries, with a focus on the organizational aspects. Further research should concentrate on the roles and responsibilities of volunteers in the care for the terminally ill in different European health systems. © 2014 World Institute of Pain.

  11. 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.

  12. 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.

  13. 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…

  14. [Diagnostic process and management of schizophrenia in Spain: the ACEE project].

    Science.gov (United States)

    Baca Baldomero, E; Leal Cercós, C; Varela, C; Riesgo, Y; Roca, M

    2006-01-01

    Although schizophrenia has a great impact on the health care, social and family levels, there is little epidemiological information on patients with schizophrenia, its diagnosis and treatment in Spain. The ACEE (Abordaje Clínico de la Esquizofrenia en España; Clinical Approach to Schizophrenia in Spain) study was designed with the primary objective of defining the management of schizophrenia in Spain from the perspective of current clinical practice. ACEE is a descriptive cross-sectional multicenter observational study with data collected in the setting of current clinical practice by means of a specifically designed questionnaire. A total of 1,937 patients have been studied (83% pertaining to the public sector and 17% to private one). Most subjects had paranoid schizophrenia in the stabilization phase, and did not work because of their illness. Most (96%) were receiving antipsychotic treatment and 55% also received some non-drug treatment. Negative symptoms were more frequent than positive symptoms (88% versus 63%). Significant differences were observed for type of patients and diagnostic procedures involved between the public and private health care sectors. The ACEE study shows that schizophrenic patients attending Spanish psychiatric centers are mainly single, non-working males who are living in their family setting. Treatment basically consists of antipsychotics combined with other drugs, and few complementary examinations are performed.

  15. 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.

  16. 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.

  17. 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)

  18. Pain perception description after advanced surface ablation

    Directory of Open Access Journals (Sweden)

    Sobas EM

    2017-04-01

    Full Text Available Eva M Sobas,1,2 Sebastián Videla,3,4 Amanda Vázquez,1 Itziar Fernández,1,5 Miguel J Maldonado,1 José-Carlos Pastor1,6,7 1Instituto Universitario de Oftalmobiología Aplicada (IOBA, Universidad de Valladolid, Valladolid, Spain; 2Facultad de Enfermería, Universidad de Valladolid, Valladolid Spain; 3Laboratorios Dr. Esteve S.A., Barcelona, Spain; 4Department of Experimental and Health Sciences, Facultad de Ciencias de la Salud y de la Vida, Universidad Pompeu Fabra, Barcelona, Spain; 5Networking Research Center on Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN, Valladolid, Spain; 6Department of Ophthalmology, Hospital Clínico Universitario, Valladolid, Spain; 7Department of Surgery, Ophthalmology, Otorhinolaryngology and Physiotherapy, Facultad de Medicina, Universidad de Valladolid, Valladolid, Spain Purpose: The objective of this study was to characterize the evolution of ocular pain after advanced surface ablation (ASA to improve strategies in postoperative pain management.Methods: This was a multicenter, prospective, descriptive, cohort study. The inclusion criteria were healthy individuals ≥18 years old receiving bilateral alcohol-assisted surface ablation with epithelial removal. Pain intensity was evaluated with the visual analog scale (VAS and the numeric pain rating scale before and after surgery. Comorbidities (photophobia, burning, tearing, and foreign body sensation and Hospital Anxiety and Depression (HAD questionnaire were evaluated before and at 6 hours after surgery. Postoperative treatments included cold patch, topical cold antibiotics, topical steroids, and benzodiazepines.Results: Thirty-two consecutive patients having similar profiles of postoperative pain evolution were included. At 0.5 hour after ASA, the pain score by VAS was 37±20 mm, and the maximum pain, 61±31 mm, occurred at 24 hours. Afterward, it decreased progressively until 72 hours after surgery (19±20 mm. Most patients (81% scored >60 mm, and

  19. Experimental high Energy Physics in Spain: The first forty years, a personal and biased view

    International Nuclear Information System (INIS)

    Aguilar-Benitez, M.

    2005-01-01

    In this contribution I present a brief description of the evolution of Experimental High Energy Physics in spain during the last forth years and a personal assessment of the present situation. (Author)

  20. Controls on Late Quaternary Landscape development in the Upper Guadalentin Basin, Murcia, SE Spain

    International Nuclear Information System (INIS)

    Baartman, J. e. M.; Veldkamp, A.

    2009-01-01

    Landscapes in South-eastern Spain have developed in response to tectonics, climatic fluctuations and, more recently, to human action. In the valleys, fluvial colluvial sediments are found in the form of river terraces, pediments and slope deposits. We studied these sediments to evaluate landscape dynamics and the processes of sedimentation and erosion in the semi-arid region of the Guadalentin Basin, Murcia Province, SE Spain. The objective of the study is to deduce controls on Late Quaternary and Holocene landscape development. Fieldwork was carried out on the reach of the Upper Guadalentin, upstream of the city of Lorca, and two of its tributaries (Rio Velez and Rambla de Torrealvilla). River terrace levels were mapped using GPS and presence of gravel layers in outcrops. For the Rambla de Torrealvilla, more detailed sediment descriptions show their build-up. (Author) 18 refs.

  1. 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...

  2. 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.

  3. 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

  4. 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)

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

    Directory of Open Access Journals (Sweden)

    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

  6. 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

  7. [Local food production for school feeding programmes in Spain].

    Science.gov (United States)

    Soares, Panmela; Martínez-Mián, Maria Asunción; Caballero, Pablo; Vives-Cases, Carmen; Davó-Blanes, Mari Carmen

    To identify and characterize initiatives that promote the purchase of locally-sourced foods to supply schools and the school centres carrying out the initiatives. Exploratory, descriptive study based on secondary data and key informant reports. A search of governmental and non-governmental initiatives was carried out at the autonomous community level. Government initiatives were located through school feeding programmes in the different autonomous communities, their nutritional guides and representatives of the councils for education and agriculture. Non-governmental initiatives were found through their own websites and the snowball technique. Initiatives were analysed by their geographic distribution, organizational area (government vs. non-government), number of school centres carrying out the initiatives, management style and organic food purchase. A descriptive analysis of the data was carried out. 12 initiatives carried out by 318 schools (2.16% of all the schools with food service in Spain) were identified. Among these, 6 are governmental initiatives with a scope of 274 schools (1.86%), and 6 are non-governmental initiatives with a scope of 44 schools (0.30%). Most of these schools have a public management system in place (n=284). All the initiatives provide for the purchase of organic food. Local food purchase initiatives in Spain have a limited reach. However, the existence of a state directive could support and strengthen the development of such initiatives, given that school commitment is greater when initiatives are driven by the public sector. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  8. 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

  9. Structure, organisation and clinical outcomes in cancer patients of hospital support teams in Spain.

    Science.gov (United States)

    Tuca-Rodriguez, Albert; Gómez-Batiste, Xavier; Espinosa-Rojas, Jose; Martínez-Muñoz, Marisa; Codorniu, Nuria; Porta-Sales, Josep

    2012-12-01

    To describe the structure, characteristics of patients and basic clinical outcomes in cancer patients receiving care from palliative care hospital support teams (HSTs) in Spain. A multi-centre observational two phase study. Phase I: A descriptive survey of all HSTs in Spain. Phase II: A quasi-experimental prospective cohort study to describe the clinical outcomes, symptom severity and survival. 60 HSTs in Spain met the inclusion criteria. All HSTs were multidisciplinary with wide experience (mean 6.8 years). HSTs coverage was 21.5% of all cancer deaths in Spain. A total number of 364 advanced cancer patients were included in the cohort study; 76% were classified as moderate or high complexity. Overall, 64% were male subjects and the most frequent primary cancer site was lung (26%). Half of the patients had no detailed information about cancer staging and only 19% knew their short-term prognosis. The mean length of intervention was 6.5 days (mean three visits per patient). Outcomes were: 34% deaths during the admission process; 38% were discharged home; and 28% were transferred to another medium-term-stay specialist unit. The main symptoms were pain (68%), dyspnoea (43%), vomiting (24%), anorexia (72%), asthenia (78%), insomnia (50%), anxiety (45%) and depression (35%). After the HSTs intervention, the symptom severity was significantly reduced (p<0.001) for all symptoms, except for weakness and anorexia. The mean survival from inclusion was 111 days. Palliative intervention of HSTs is characterised by being adjusted to patient needs and short duration. Their care was focused on the preterminal phase of cancer patients of moderate-high complexity.

  10. 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...

  11. 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.

  12. 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

  13. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  15. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  17. 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.

  18. [Descriptive study of the costs of diagnosis and treatment of cutaneous melanoma].

    Science.gov (United States)

    Almazán-Fernández, F M; Serrano-Ortega, S; Moreno-Villalonga, J J

    2009-11-01

    Every year, health expenditure in Spain increases and, with it, the resources dedicated to cancer treatment. Cutaneous melanoma is the skin cancer with the highest morbidity and mortality. We performed a descriptive study of the costs, based on a theoretical model, to determine the healthcare expenditure for patients with cutaneous melanoma; the objective was to define the overall costs (direct and indirect) of the diagnostic and treatment process of cutaneous melanoma, divided into different stages or diagnostic-therapeutic steps, and the possible variations in these costs. For this purpose, we used the Andalusian analytical accountancy program of hospitals and districts (COAN-hyd) and the total costs module of the COAN for 2007, applied to the protocol we use in the melanoma unit of our hospital. The most important conclusions were that the greatest health care expenditure was observed inpatients with more advanced melanomas, with a poor prognosis. Management of the diagnostic-therapeutic process by dermatologists, the appropriate use of complementary tests, and operations performed by dermatologists reduce costs.

  19. 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 ...

  20. Osteoarthritis in Spain: A nationwide survey of medical specialists.

    Science.gov (United States)

    Arriaza, Rafael; Sancho, Carlos; Fernandez-Gutierrez, Benjamin

    2017-11-25

    To determine the reality of the resources and care needs in Spain for the management of patients with osteoarthritis. An online survey. Description of 190 responses to a structured questionnaire (141 orthopedic surgeons and 49 rheumatologists). Osteoarthritis has yet to receive appropriate medical attention and a patient management model. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

  1. 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.

  2. Description of HIV-1 Group M Molecular Epidemiology and Drug Resistance Prevalence in Equatorial Guinea from Migrants in Spain

    Science.gov (United States)

    Yebra, Gonzalo; de Mulder, Miguel; Holguín, África

    2013-01-01

    Background The HIV epidemic is increasing in Equatorial Guinea (GQ), West Central Africa, but few studies have reported its HIV molecular epidemiology. We aimed to describe the HIV-1 group M (HIV-1M) variants and drug-resistance mutations in GQ using sequences sampled in this country and in Spain, a frequent destination of Equatoguinean migrants. Methods We collected 195 HIV-1M pol sequences from Equatoguinean subjects attending Spanish clinics during 1997-2011, and 83 additional sequences sampled in GQ in 1997 and 2008 from GenBank. All (n = 278) were re-classified using phylogeny and tested for drug-resistance mutations. To evaluate the origin of CRF02_AG in GQ, we analyzed 2,562 CRF02_AG sequences and applied Bayesian MCMC inference (BEAST program). Results Most Equatoguinean patients recruited in Spain were women (61.1%) or heterosexuals (87.7%). In the 278 sequences, the variants found were CRF02_AG (47.8%), A (13.7%), B (7.2%), C (5.8%), G (5.4%) and others (20.1%). We found 6 CRF02_AG clusters emerged from 1983.9 to 2002.5 with origin in GQ (5.5 sequences/cluster). Transmitted drug-resistance (TDR) rate among naïve patients attended in Spain (n = 144) was 4.7%: 3.4% for PI (all with M46IL), 1.8% for NRTI (all with M184V) and 0.9% for NNRTI (Y188L). Among pre-treated patients, 9/31 (29%) presented any resistance, mainly affecting NNRTI (27.8%). Conclusions We report a low (HIV-1M variant and entered GQ through independent introductions at least since the early 1980s. PMID:23717585

  3. 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

  4. The labour trajectories of immigrant women in Spain: Are there signs of upward social mobility?

    Directory of Open Access Journals (Sweden)

    Elena Vidal-Coso

    2014-08-01

    Full Text Available Background: In Spain, foreign-born women are disproportionately employed in housework or care work, and quantitative research has shown that female migrants are disadvantaged relative to male migrants in the occupational status of their first job in Spain. However, the process that created this female penalty has not yet been explored. Objective: In this paper, we focus on female occupational mobility at migration and during settlement in Spain. First, we compare female and male labour mobility at migration. Second, we identify the main socio-demographic factors which increase the likelihood that the first job a foreign-born woman holds in Spain will be as a cleaner or a domestic worker. Third, we investigate female labour mobility from the time of migration, particularly trajectories that lead away from the cleaning and domestic occupations, and consider the importance of the assimilation process in occupational mobility. Methods: We apply quantitative methods to Spain's 2007 National Immigrant Survey (Encuesta Nacional de Inmigrantes, using descriptive (mobility matrixes and simple and multinomial logistic regression analyses. We include the main socio-demographic, family, and migratory characteristics of immigrants in the explanatory models. Results: The results of our analysis revealed that female migrants to Spain are more likely than their male counterparts to experience occupational downgrading at the time of migration, and that 41.6Š of women work in domestic services in their first job in Spain. Finally, our results have demonstrated that, although occupational immobility is common among female migrants in Spain, movement out of domestic services is possible, especially for the most assimilated immigrant women. Conclusions: This paper contextualises female immigration in Spain, attributing the labour market choices made by female migrants to the externalisation of domestic and cleaning occupations in private households, and to the

  5. 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

  6. Bibliometric analysis of interventions with batterers in Spain

    Directory of Open Access Journals (Sweden)

    Victoria A. Ferrer Perez

    2015-01-01

    Full Text Available This study analyse the evolution and characteristics of scientific production on intervention programmes with gender violence perpetrators performed in Spain. The standard bibliometric indicators were applied to 148 studies identified. The greatest productivity is focused between 2008 and 2010 and the largest number of records corresponds to articles in specialised scientific journals. As far as authorship is concerned, an analysis of the number of studies per person indicates that the results obtained are only initially consistent with Lotka’s Law, that is, there are a majority of not very productive authors and a minority who publish frequently, but the data do not fit this law. An analysis of collaboration between authors enables us to determine the existence of one “Social Circle” or “Invisible College”, at least. Most of the records analysed focus on the description of one or several intervention programmes with men who abuse their partner. Results show that there are progressively more evidence based studies on batterers and their treatment.

  7. 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)

  8. 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...

  9. The Andalusian Bipolar Family (ABiF) Study: Protocol and sample description.

    Science.gov (United States)

    Guzman-Parra, Jose; Rivas, Fabio; Strohmaier, Jana; Forstner, Andreas; Streit, Fabian; Auburger, Georg; Propping, Peter; Orozco-Diaz, Guillermo; González, Maria José; Gil-Flores, Susana; Cabaleiro-Fabeiro, Francisco Javier; Del Río-Noriega, Francisco; Perez-Perez, Fermin; Haro-González, Jesus; de Diego-Otero, Yolanda; Romero-Sanchiz, Pablo; Moreno-Küstner, Berta; Cichon, Sven; Nöthen, Markus M; Rietschel, Marcella; Mayoral, Fermin

    2017-06-12

    Here, we present the first description of the Andalusian Bipolar Family (ABiF) Study. This longitudinal investigation of families from Andalusia, Spain commenced in 1997 with the aim of elucidating the molecular genetic causes of bipolar affective disorder. The cohort has since contributed to a number of key genetic findings, as reported in international journals. However, insight into the genetic underpinnings of the disorder in these families remains limited. In the initial 1997-2003 study phase, 100 multiplex bipolar disorder and other mood disorder families were recruited. The ongoing second phase of the project commenced in 2013, and involves follow-up of a subgroup of the originally recruited families. The aim of the follow-up investigation is to generate: i) longitudinal clinical data; ii) results from detailed neuropsychological assessments; and iii) a more extensive collection of biomaterials for future molecular biological studies. The ABiF Study will thus generate a valuable resource for future investigations into the aetiology of bipolar affective disorder; in particular the causes of high disease loading within multiply affected families. We discuss the value of this approach in terms of new technologies for the identification of high-penetrance genetic factors. These new technologies include exome and whole genome sequencing, and the use of induced pluripotent stem cells or model organisms to determine functional consequences. Copyright © 2017 SEP y SEPB. Publicado por Elsevier España, S.L.U. All rights reserved.

  10. 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)

  11. [Medical education and medical anthropology in Europe: the cases of Italy and Spain].

    Science.gov (United States)

    Comelles, Josep M; Riccò, Isabella; Bañuelos, Aida Terrón; Perdiguero-Gil, Enrique

    2017-01-01

    The aim of this article is to compare the development of health education in Italy and Spain from the point of view of the role played by medical anthropology in both countries. The context is provided by the changes in the concept of health education advocated by the UN technical agencies, especially the World Health Organization and Unesco, during the second half of the twentieth century. Despite their many similarities, Italy and Spain underwent different political evolutions over the last century. Therefore, it is interesting to compare both cases and the influence the social sciences had in health education initiatives. In order to assess the role of medical anthropology, the 1958 launch and the development of the Centro Sperimentale per l'Educazione Sanitaria (Perugia, Italy), which was at the forefront of health education in Europe until the 1990s, was reconstructed through oral sources. After a brief description of the scant initiatives regarding health education existing in the Spain of the dictatorship, the influence of the Perusine anthropologists on Spanish health education during the democratic transition is evaluated.

  12. 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)

  13. Communication and Social Change in Spain: the impact of 15M, five years later

    Directory of Open Access Journals (Sweden)

    Eva Espinar-Ruiz

    2016-07-01

    Full Text Available In this introductory article we want to outline the current situation around the field of Communication for Development and Social Change in Spain, both in its practical and academic approaches. This summary serves to contextualize the different articles that compose the present monographic issue of OBETS. In it we collect a selection of 12 articles, mainly focused on the description and analysis of a series of case studies, often related to the wake of 15M. It also includes other actors from the structured civil society, contributions from Latin American scenarios and conceptual and theoretical studies, such as those serving for opening and closing volume.

  14. 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

  15. [Emergency Medical Technician profile in Spain].

    Science.gov (United States)

    Martínez-Isasi, Santiago; Rodríguez-Lorenzo, María José; Vázquez-Santamariña, David; Abella-Lorenzo, Javier; Castro Dios, Diana Josefa; Fernández García, Daniel

    2017-12-11

    The emergency medical technician plays a fundamental role and is the most important figure quantitatively in pre-hospital emergencies. The aim was to asses the socio-demographic, work-related, health characteristics and technical skills of an Emergency Medical Technician in Spain. Cross-sectional descriptive study. An ad hoc questionnaire was managed using Google Docs® that was delivered between April-June 2014 via email and social networks. A total of 705 questionnaires were collected. Statistical analysis was performed with SPSS ® 20.0 Windows version. A significance level p≤0.05 was used for all analyzes. The data analyzed show that the profile of the Emergency Medical Technician in Spain is an 39 year-old man, married or living as a couple and has a child. The average BMI is 27 kg/m2, does regular exercise, does not smoke. His seniority in the company is 10 years and has the Medium Cycle of Emergency Medical Technician. The analysis for gender shows that men have an average of 40, an average BMI of 27, 5 kg/m2 and work in an advanced life support unit; while women have an average of 36,5 years, an average BMI of 24,7 kg/m2, mainly work in Basic Life Support Unit and her seniority in the company is 6,76 years. Emergency Medical Technician profile is a overweight men, who refer to practise regular exercise, his seniority in the company is 10 years and is in possession of CMTES; differences were observed according to gender in BMI, resource where they perform their work, seniority and age.

  16. 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.…

  17. Analysis of construction accidents in Spain, 2003-2008.

    Science.gov (United States)

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

    2012-12-01

    The research objective for this paper is to obtain a new extended and updated insight to the likely causes of construction accidents in Spain, in order to identify suitable mitigating actions. The paper analyzes all construction sector accidents in Spain between 2003 and 2008. Ten variables were chosen and the influence of each variable is evaluated with respect to the severity of the accident. The descriptive analysis is based on a total of 1,163,178 accidents. Results showed that the severity of accidents was related to variables including age, CNAE (National Classification of Economic Activities) code, size of company, length of service, location of accident, day of the week, days of absence, deviation, injury, and climatic zones. According to data analyzed, a large company is not always necessarily safer than a small company in the aspect of fatal accidents, experienced workers do not have the best accident fatality rates, and accidents occurring away from the usual workplace had more severe consequences. Results obtained in this paper can be used by companies in their occupational safety strategies, and in their safety training programs. Copyright © 2012 National Safety Council and Elsevier Ltd. All rights reserved.

  18. Cross-Cultural Comparative Analysis of Lay and Stake holder Reasoning about Fusion Energy in Spain and the UK

    Energy Technology Data Exchange (ETDEWEB)

    Prades, A; Horlick-Jones, T; Oltra, C; Navajas, J

    2009-07-01

    This report presents the results of a cross-cultural comparative analysis of two corpora of data from Spain and the UK on lay and stake holders understanding and reasoning about fusion energy. The very same novel methodological approach was applied in Spain and the UK to promote a learning and deliberative process about fusion energy. A brief description of the method is included first, followed by the description of the two corpora of data. Next the main Spanish findings data are discussed in the light of the UK data and then vice versa (in other words, we first interrogate the UK corpus of data to look for resonances or places of tension with the Spanish findings, and then the other way around). Then we present the results of evaluating the Spanish and UK group-based processes as engagement exercises. Finally, the key conclusions of this cross-cultural data analysis are summarized. (Author) 40 refs.

  19. Cross-Cultural Comparative Analysis of Lay and Stake holder Reasoning about Fusion Energy in Spain and the UK

    International Nuclear Information System (INIS)

    Prades, A.; Horlick-Jones, T.; Oltra, C.; Navajas, J.

    2009-01-01

    This report presents the results of a cross-cultural comparative analysis of two corpora of data from Spain and the UK on lay and stake holders understanding and reasoning about fusion energy. The very same novel methodological approach was applied in Spain and the UK to promote a learning and deliberative process about fusion energy. A brief description of the method is included first, followed by the description of the two corpora of data. Next the main Spanish findings data are discussed in the light of the UK data and then vice versa (in other words, we first interrogate the UK corpus of data to look for resonances or places of tension with the Spanish findings, and then the other way around). Then we present the results of evaluating the Spanish and UK group-based processes as engagement exercises. Finally, the key conclusions of this cross-cultural data analysis are summarized. (Author) 40 refs.

  20. Short communication: Absence of campylobacter spp. In intensive rabbit farming in eastern Spain, preliminary results

    Directory of Open Access Journals (Sweden)

    C. Marín

    2016-12-01

    Full Text Available Campylobacteriosis and salmonellosis are the most frequently reported zoonoses and among the most common causes of diarrhoeal illness in the European Union and the United States, and their incidence appears to be increasing. Campylobacter species are routinely found in poultry, swine, cattle, dairy cows and sheep. So far, there are few descriptions of Campylobacter isolation from rabbits. Rabbit meat is a common item in the Mediterranean diet. In this context, the aim of the present study was to investigate the occurrence of Campylobacter spp. in healthy rabbits reared in intensive farms in the Alto Palancia region, eastern Spain. Caecal contents from 70 healthy does reared on 7 different farms were collected. Bacteriological culture was performed in accordance with ISO 10272-1:2006. All samples tested negative for Campylobacter spp. To our knowledge, this is the first study in which comprehensive monitoring was specifically carried out in order to provide data on the occurrence of thermophilic Campylobacter spp. in large intensive rabbit farms in Spain. However, further microbiological studies throughout the Spanish territory are needed to determine the prevalence and risk of other foodborne pathogens in rabbits at farm level.

  1. 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.

  2. 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

  3. 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.

  4. 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.

  5. 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...

  6. 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

  7. 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.

  8. 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.

  9. 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)

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

    OpenAIRE

    Ponferrada-Arteaga, Maribel; Carrasco-Pons, Silvia

    2010-01-01

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

  11. 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

  12. 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...

  13. Gambling in Spain: update on experience, research and policy.

    Science.gov (United States)

    Jiménez-Murcia, Susana; Fernández-Aranda, Fernando; Granero, Roser; Menchón, Jose Manuel

    2014-10-01

    To describe the current situation of gambling in Spain, sketching its history and discussing the regulations and legislation currently in force within the framework of the European Union (EU), and to review the epidemiology of gambling in Spain, the self-help groups and professional treatments available, and their potential effectiveness. A systematic computerized search was performed in three databases (EMBASE, PubMed and PsychINFO, including articles and chapters) and the reference lists from previous reviews to obtain some of the most relevant studies published up to now on the topic of pathologic gambling in Spain. Similar to other EU countries, Spain has a high prevalence of pathologic gambling, focused on specific culturally bounded types of gambling. Expenditure in online gaming has risen significantly in the last few years, prompting the Spanish government to draft new legislation to regulate gaming. The gaming industry is expected to be one of the fastest growing sectors in Spain in the coming years owing to the rise of new technologies and the development of online gaming. © 2013 Society for the Study of Addiction.

  14. Krizový management eurozóny: případová studie Španělska

    OpenAIRE

    Bůšek, Jakub

    2014-01-01

    The aim of this thesis is to evaluate the steps taken by the Eurozone crisis management on a case study of Spain. The first part defines the Eurozone crisis management, its institutional structure and powers. The second part focuses on the description and evaluation of the actions taken by the Eurozone crisis management in Spain. At the end there are recommendations for the next steps of the crisis management in Spain.

  15. 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.

  16. [Epidemiology of type 1 diabetes mellitus in children in Spain].

    Science.gov (United States)

    Conde Barreiro, S; Rodríguez Rigual, M; Bueno Lozano, G; López Siguero, J P; González Pelegrín, B; Rodrigo Val, M P; Compés Dea, M L

    2014-09-01

    Epidemiological studies in many regions and countries have contributed to determining the epidemiology of type 1 diabetes (T1DM) in children less than 15 years old. Studies in many regions of Spain have been published, but the national incidence is not really known. A review was made of the publications on the epidemiology of T1DM in Spain, selecting the references on patients less than 15 years old. Many epidemiological studies on T1DM in almost all regions in Spain have been published. The methodology of these studies is heterogeneous, with variations in geographical definition, duration, period of study, limit of age, and data collection. The incidence rates are variable, from 11.5 cases per 100,000/year in Asturias to 27.6 in Castilla-La Mancha. Some studies report the percentage of diabetic ketoacidosis at the time of diagnosis, which is usually in the range of 25-40%. Although there have been various epidemiological studies on T1DM in almost all regions in Spain, the methodology is heterogeneous. The mean incidence of T1DM in children less than 15 years old in Spain, stimated from the selected studies is 17,69 cases per 100,000/year. T1DM registers need to be created and updated, using standardized methodology, to get more reliable data of the epidemiology of T1DM in Spain in the near future. Copyright © 2013 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  17. Accidents in the greenhouse-construction industry of SE Spain.

    Science.gov (United States)

    Pérez-Alonso, José; Carreño-Ortega, Angel; Vázquez-Cabrera, Fernando J; Callejón-Ferre, Angel Jesús

    2012-01-01

    This work analyses the labour accidents in the greenhouse-construction industry of SE Spain for the period 1999-2007 through a sample of 180 accident reports. The accidents were characterised by studying 5 variables in order to know the day of the week in which the accident occurred, the hour of the day of the accident, type of accident, the region of Spain in which the accident happened, and the resulting injury. The data characterising the accidents were submitted to a descriptive multiple-correspondence analysis. The incidence of accidents in the greenhouse-construction industry presented a high mean value of 15133.7 per 100,000 workers per year. The days with the greatest incidence of accidents were Thursday and Monday, while the period of greatest number of accidents occurred in the first 4h of the workday. No significant correspondence was found between the day of the week, the hour of the day, or any of the other 3 variables studied. The types of accidents with most frequency were: cuts, punctures, contact with hard or rough material, overexertion, and falls from one level to another. The most affected parts of the anatomy were the eyes, thorax, back, sides, lower legs, and feet. The most common types of injury were bone fractures, twists and sprains, distended muscles, contusions, and being crushed. The study calls attention to the high number of accidents at work, which needs to be corrected by fulfilment of safety regulations at work, on the part of the company. Finally, recommendations are made to correct this situation of high number of accidents at work. Copyright © 2011 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  18. 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 ...

  19. 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.

  20. 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.

  1. 7 CFR 319.56-34 - Clementines from Spain.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Clementines from Spain. 319.56-34 Section 319.56-34... Clementines from Spain. Clementines (Citrus reticulata) from Spain may only be imported into the United States... agreement. Clementines from Spain may be imported only if the Government of Spain or its designated...

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

    Directory of Open Access Journals (Sweden)

    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.

  3. 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.

  4. 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

  5. Spain's marketing sector seeing more changes

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    This paper reports that Spain's petroleum marketing sector continues to restructure. Partly state owned Repsol SA and Royal Dutch/Shell Group are discussing supplying each other's retail outlets in the UK and Spain. And Portugal's state owned Petroleos de Portugal (Petrogal), seeking to sharply expand retail operations in Spain, complains of government interference with foreign investment in Spanish marketing. Meantime, Conoco Inc. Has agreed with Saras SpA Raffinerie Sarde, Milan, to set up a network of service stations in northern Spain and Portugal at a cost of 100 billion pesetas (%972 million). The two are considering building an oil terminal at the port city of Gijon in Asturias, Spain, and the Exxon Corp., Total, and Shell are interested in participating in the project

  6. 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.

  7. 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…

  8. 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

  9. Descriptive studies of Purepecha: Introductory study

    Directory of Open Access Journals (Sweden)

    Violeta Vázquez Rojas Maldonado

    2013-12-01

    Full Text Available Seven papers in this volume are the result of a collective project of linguistic description. This introduction offers a general background for such enterprise. It provides information about some sociolinguistic and grammatical aspects of the Purepecha language, a list of some recent studies on the language, it describes the orthographic conventions employed. We also provide details about the elicitation methodology and the demographic information of the language consultants.

  10. 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.

  11. 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.

  12. Guinean Population Emigrant to Spain Has Very Little Awareness of the Donation and Transplantation of Organs.

    Science.gov (United States)

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

    2018-03-01

    The Guinean population is an emerging group in Europe, but the group's awareness of organ donation and transplantation has not been studied. To analyze the attitude toward organ donation among the population born in Guinea living in Spain. The population older than 15 years, born in Guinea, and resident in Spain was studied, stratified by age and sex, according to census data and immigrant assistance associations. The valuation tool used was the attitude questionnaire toward organ donation PCID-DTO RIOS (questionnaire on "Donor International Collaborative Project" on organ donation and transplantation developed by Dr Ríos). A random selection of people to survey was based on stratification. Support from African immigration support associations was needed to advise on the location of potential respondents. The completion was anonymous and self-administered. A descriptive statistic was performed, and Student t, χ 2 , and Fisher tests and a logistic regression analysis were applied. In all, 181 Guineans were surveyed, of whom 32% (n = 58) were in favor of the donation of their own organs after death, 32% (n = 57) were against, and 36% (n = 66) were undecided. The variables that are associated with attitude toward donation are separated mainly into 4 large groups (P donation and organ transplantation; (2) attitude toward the manipulation of the body; (3) religious variables; and (4) sociofamily variables, especially in relation to the couple. The Guinean population emigrant to Spain has an unfriendly attitude toward organ donation. Copyright © 2017 Elsevier Inc. All rights reserved.

  13. Demand for radiotherapy in Spain.

    Science.gov (United States)

    Rodríguez, A; Borrás, J M; López-Torrecilla, J; Algara, M; Palacios-Eito, A; Gómez-Caamaño, A; Olay, L; Lara, P C

    2017-02-01

    Assessing the demand for radiotherapy in Spain based on existing evidence to estimate the human resources and equipment needed so that every person in Spain has access to high-quality radiotherapy when they need it. We used data from the European Cancer Observatory on the estimated incidence of cancer in Spain in 2012, along with the evidence-based indications for radiotherapy developed by the Australian CCORE project, to obtain an optimal radiotherapy utilisation proportion (OUP) for each tumour. About 50.5 % of new cancers in Spain require radiotherapy at least once over the course of the disease. Additional demand for these services comes from reradiation therapy and non-melanoma skin cancer. Approximately, 25-30 % of cancer patients with an indication for radiotherapy do not receive it due to factors that include access, patient preference, familiarity with the treatment among physicians, and especially resource shortages, all of which contribute to its underutilisation. Radiotherapy is underused in Spain. The increasing incidence of cancer expected over the next decade and the greater frequency of reradiations necessitate the incorporation of radiotherapy demand into need-based calculations for cancer services planning.

  14. 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.

  15. 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.

  16. 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

  17. 7 CFR 319.56-31 - Peppers from Spain.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Peppers from Spain. 319.56-31 Section 319.56-31... from Spain. Peppers (fruit) (Capsicum spp.) may be imported into the United States from Spain only... subpart: (a) The peppers must be grown in the Alicante or Almeria Province of Spain in pest-proof...

  18. 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.

  19. [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.

  20. Oil sector in Spain: Final adaptation

    International Nuclear Information System (INIS)

    Marin-Quemada, J.M.

    1992-01-01

    This paper analyzes organizational and marketing changes occurring in Spain's oil industry as a result of its conversion from a state run monopoly system to a free market system. The analysis uses statistical data to indicate national oil production, import and consumption trends and compares these with overall trends in the European Communities. An explanation of the way in which oil is marketed in Spain makes reference to data on Spain's refining capacity and pipeline network, deemed to be amongst the most complete and modern in Europe. Comments are also made on the efficacy of Spain's national energy policies which stress energy source diversification to lessen this country's heavy dependence on foreign supplied oil

  1. 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...

  2. 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.

  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. [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.

  5. Red Beads and Love Magic. Cross-Cultural Exchanges Between Spain and new Spain in Modern Era

    Directory of Open Access Journals (Sweden)

    Carla Andreia Martins Torres

    2018-01-01

    Full Text Available This paper is about the significance of particular red beads used in love magic during the 17th and 18th centuries, specifically on the construction of symbolic universe through perceptions based on «others» materiality. It aims to provide a connected studied between Spain and New Spain through the histories of the gipsy Generosa Vicente and mestiza Margarita Palacios recovered from the Inquisition authorities notes. This is the way to understand the extent to which cross-cultural contacts privilege the transmission of ideas associated with objects, and how they were used apparently with similar purposes but with a very different meaning.

  6. 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

  7. 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

  8. The quality of reporting methods and results of cost-effectiveness analyses in Spain: a methodological systematic review.

    Science.gov (United States)

    Catalá-López, Ferrán; Ridao, Manuel; Alonso-Arroyo, Adolfo; García-Altés, Anna; Cameron, Chris; González-Bermejo, Diana; Aleixandre-Benavent, Rafael; Bernal-Delgado, Enrique; Peiró, Salvador; Tabarés-Seisdedos, Rafael; Hutton, Brian

    2016-01-07

    Cost-effectiveness analysis has been recognized as an important tool to determine the efficiency of healthcare interventions and services. There is a need for evaluating the reporting of methods and results of cost-effectiveness analyses and establishing their validity. We describe and examine reporting characteristics of methods and results of cost-effectiveness analyses conducted in Spain during more than two decades. A methodological systematic review was conducted with the information obtained through an updated literature review in PubMed and complementary databases (e.g. Scopus, ISI Web of Science, National Health Service Economic Evaluation Database (NHS EED) and Health Technology Assessment (HTA) databases from Centre for Reviews and Dissemination (CRD), Índice Médico Español (IME) Índice Bibliográfico Español en Ciencias de la Salud (IBECS)). We identified cost-effectiveness analyses conducted in Spain that used quality-adjusted life years (QALYs) as outcome measures (period 1989-December 2014). Two reviewers independently extracted the data from each paper. The data were analysed descriptively. In total, 223 studies were included. Very few studies (10; 4.5 %) reported working from a protocol. Most studies (200; 89.7 %) were simulation models and included a median of 1000 patients. Only 105 (47.1 %) studies presented an adequate description of the characteristics of the target population. Most study interventions were categorized as therapeutic (189; 84.8 %) and nearly half (111; 49.8 %) considered an active alternative as the comparator. Effectiveness of data was derived from a single study in 87 (39.0 %) reports, and only few (40; 17.9 %) used evidence synthesis-based estimates. Few studies (42; 18.8 %) reported a full description of methods for QALY calculation. The majority of the studies (147; 65.9 %) reported that the study intervention produced "more costs and more QALYs" than the comparator. Most studies (200; 89.7 %) reported favourable

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

    Directory of Open Access Journals (Sweden)

    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.

  10. [Relationship between disease burden and research funding through the Health Research Foundation in Spain].

    Science.gov (United States)

    Gómez-García, Teresa; Moreno-Casbas, Teresa; González-María, Esther; Fuentelsaz-Gallego, Carmen

    2014-01-01

    To analyze the relationship between burden of disease during 2007-2009 and public funding of research in health in Spain during 2008-2010. Descriptive cross-sectional study of burden of disease and funding allocated for research in diseases in the Spanish National Health System. A review was made of a total of 6,573 project titles funded for the years 2008, 2009 and 2010. During this period, a total of 472.7 million Euros were assigned as grants for research projects. Malignant tumors and neuropsychiatric diseases were the illnesses with greatest funding support. During the study period, it was estimated that there was a total of 15,253,331.3 disability-adjusted life years (DALYs) in Spain, with neuropsychiatric diseases being the category representing most DALYs with 4,396,900 (28.8%). The relationship between funding and DALYs was obtained with a Pearson r equal to 0.759 (p<0.001). The study of congenital diseases had higher funding per DALY than any other disease with an investment of 290.4€/DALY. Among these, the study of cleft palate and esophageal atresia, with ratios of 3,432.7€/DALY and 3,387.6€/DALY respectively, obtained the greatest funding. The study shows that the relative distribution of economic resources in the study period is consistent with the burden suffered by the Spanish population. This relationship is altered by the funding of the study of congenital anomalies, because of the low number of projects in this area. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  11. Daily extreme temperature multifractals in Catalonia (NE Spain)

    International Nuclear Information System (INIS)

    Burgueño, A.; Lana, X.; Serra, C.; Martínez, M.D.

    2014-01-01

    The multifractal character of the daily extreme temperatures in Catalonia (NE Spain) is analyzed by means of the multifractal detrended fluctuation analysis (MF-DFA) applied to 65 thermometric records covering years 1950–2004. Although no clear spatial patterns of the multifractal spectrum parameters appear, factor scores deduced from Principal Component analysis indicate some signs of spatial gradients. Additionally, the daily extreme temperature series are classified depending on their complex time behavior, through four multifractal parameters (Hurst exponent, Hölder exponent with maximum spectrum, spectrum asymmetry and spectrum width). As a synthesis of the three last parameters, a basic measure of complexity is proposed through a normalized Complexity Index. Its regional behavior is found to be free of geographical dependences. This index represents a new step towards the description of the daily extreme temperatures complexity.

  12. Daily extreme temperature multifractals in Catalonia (NE Spain)

    Energy Technology Data Exchange (ETDEWEB)

    Burgueño, A. [Departament d' Astronomia i Meteorologia, Universitat de Barcelona, Barcelona (Spain); Lana, X., E-mail: francisco.javier.lana@upc.edu [Departament de Física i Enginyeria Nuclear, Universitat Politècnica de Catalunya, Barcelona (Spain); Serra, C. [Departament de Física i Enginyeria Nuclear, Universitat Politècnica de Catalunya, Barcelona (Spain); Martínez, M.D. [Departament de Física Aplicada, Universitat Politècnica de Catalunya, Barcelona (Spain)

    2014-02-01

    The multifractal character of the daily extreme temperatures in Catalonia (NE Spain) is analyzed by means of the multifractal detrended fluctuation analysis (MF-DFA) applied to 65 thermometric records covering years 1950–2004. Although no clear spatial patterns of the multifractal spectrum parameters appear, factor scores deduced from Principal Component analysis indicate some signs of spatial gradients. Additionally, the daily extreme temperature series are classified depending on their complex time behavior, through four multifractal parameters (Hurst exponent, Hölder exponent with maximum spectrum, spectrum asymmetry and spectrum width). As a synthesis of the three last parameters, a basic measure of complexity is proposed through a normalized Complexity Index. Its regional behavior is found to be free of geographical dependences. This index represents a new step towards the description of the daily extreme temperatures complexity.

  13. 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…

  14. Welfare inequality, regionalisation, and welfare policy : measurement and analysis for Spain

    NARCIS (Netherlands)

    Quadrado, L.

    1999-01-01

    This study is focused on the changes in regional inequality in Spain over the last four decades, with emphasis on regional welfare. The two most important items of welfare in Spain are, health and education, and so these are the main focus of this study. Attention is paid to the levels and

  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. 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.

  17. 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…

  18. PSA results and trends for Spain's NPPs

    International Nuclear Information System (INIS)

    Carretero, J.A.

    1993-01-01

    The Spain regulatory authority CSN demanded performance of PSA for all Spain nuclear power plants. The specific data analysis carried out as a part of the PSA has contributed to the realistic view on the results which could be achieved by the PSA. The main characteristics of the PSA in Spain and PSA trends in the development are presented in the paper

  19. 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.…

  20. Spain: Success story in space

    Science.gov (United States)

    Longdon, Norman

    From the early 1960's, European governments were aware that they had to take part in the exploration, and potential exploitation, of space, or be left behind in a field of high-technology that had far-reaching possibilities. It was also realized that financial and manpower constraints would limit the extent to which individual nations could carry out their own national programs. They, therefor, joined forces in two organizations: the European Space Research Organization (ESRO) and the European Launcher Development Organization (ELDO). By 1975, when the potential of space development had been more fully appreciated, the two organizations were merged into the Europeans Space Agency (ESA) of which Spain was a founding member. ESA looks after the interest of 13 member states, one associated member state (Finland), and one cooperating state (Canada) in the peaceful uses of space. Its programs center around a mandatory core of technological research and space science to which member states contribute on the basis of their Gross National Product. Spain in 1992 contributes 6.46% to this mandatory program budget. The member states then have the chance to join optional programs that include telecommunications, observation of the earth and its environment, space transportation systems, microgravity research, and participation in the European contribution to the International Space Station Freedom. Each government decides whether it is in its interest to join a particular optional program, and the percentage that it wishes to contribute to the budget. Although in the early days of ESA, Spain participated in only a few optional programs, today Spain makes a significant contribution to nearly all of ESA's optional programs. This document presents Spain's contributions to particular ESA Programs and discusses Spain's future involvement in ESA.

  1. Women with urinary incontinence in Spain: Health-related quality of life and the use of healthcare resources.

    Science.gov (United States)

    Villoro, Renata; Merino, María; Hidalgo-Vega, Alvaro; Jiménez, Margarita; Martínez, Lucía; Aracil, Javier

    2016-12-01

    To describe Health-Related Quality of Life (HRQOL) and healthcare resource utilization in women aged 60 and over in Spain. Descriptive analysis of primary data from the Spanish National Health Survey, 2012. Utility indices were obtained through the EQ5D5L questionnaire included in the survey, and utilization rates of consultations, hospitalizations, emergency services, and medication intake. HRQOL and utilization rates were systematically compared between women diagnosed with UI, women diagnosed with other chronic conditions (OCC) and healthy women of the same age. Utility indices were 0.47 in UI women versus 0.78 and 0.96 in women diagnosed with OCC and healthy women, respectively. Each year 351,675 Quality Adjusted Life Years are lost in Spain due to UI in the population of women aged 60 and over. Resource utilization of these women was significantly higher than that of other women. UI has a larger impact on both HRQOL and healthcare consumption in women who are aged 60 and over, than OCC. Appropriate treatment of UI might entail an important gain in terms of HRQOL and a significant reduction in healthcare consumption in Spain. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  2. 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.

  3. [Spanish collaborative study: Description of usual clinical practice in infant obesity].

    Science.gov (United States)

    Lechuga Sancho, Alfonso; Palomo Atance, Enrique; Rivero Martin, María José; Gil-Campos, Mercedes; Leis Trabazo, Rosaura; Bahíllo Curieses, María Pilar; Bueno Lozano, Gloria

    2018-06-01

    Childhood obesity is a high prevalence health problem. Although there are clinical guidelines for its management, there is variability in its clinical approach. The aim of this study is to describe the usual clinical practice in Paediatric Endocrinology Units in Spain and to evaluate if it resembles the recommended guidelines. An observational, cross-sectional and descriptive study was carried out by means of a questionnaire sent to paediatric endocrinologists of the Spanish Society of Paediatric Endocrinology. The questions were formulated based on the recommendations of "Clinical Practice Guidelines on the Prevention and Treatment of Childhood Obesity" issued by the Spanish Ministry of Health. A total of 125 completed questionnaires were obtained from all Autonomous Communities. Variability was observed both in the number of patients attended and in the frequency of the visits. The majority (70%) of the paediatricians who responded did not have a dietitian, psychologist or psychiatrist, in their centre to share the treatment for obese children. As regards treatment, dietary advice is the most used, and 69% have never prescribed weight-loss drugs. Of those who have prescribed them, 52.6% did not use informed consent as a prior step to them being used. There are few centres that comply with the recommendations of the clinical practice guidelines on prevention and treatment of childhood obesity as an established quality plan. Clinical practice differs widely among the paediatric endocrinologists surveyed. There are no uniform protocols of action, and in general there is limited availability of resources for the multidisciplinary treatment required by this condition. Copyright © 2017 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  4. [What is an efficient health technology in Spain?].

    Science.gov (United States)

    Sacristán, J A; Oliva, J; Del Llano, J; Prieto, L; Pinto, J L

    2002-01-01

    Despite the growing recognition of the potential applications of cost-effectiveness assessments, a criterion to establish what is an efficient health technology does not exist in Spain. The objective of this work is to describe the limits and the criteria used in Spain to recommend the adoption of health interventions. A review of the economic evaluations of health technologies published in Spain from 1990 to 2001 was conducted. Complete economic assessments in which the cost-effectiveness ratio was expressed as cost per life-year gained (LYG), cost per quality-adjusted-life-year (QALY) or cost per saved live were selected. Those interventions in which the authors established recommendations (adoption or rejection) and the criteria used were analyzed. Twenty (20%) of the 100 complete economic evaluations fulfilled the selection criteria. In16 studies, the results were expressed as cost per LYG, in 6 studies as cost per QALY and in 1 as cost per saved live. A total of 82 health interventions were assessed and some kind of recommendation was established in 44 of them. All technologies with a cost-effectiveness ratio lower than 30,000 euros (5 million pesetas) per LYG were recommended for adoption by the authors. Up to that limit there was no a clear tendency. Although the results must be interpreted with much precaution, given the limitations of the study, the limits of cost-effectiveness presented in this work could be a first reference to which would be an efficient health intervention in Spain.

  5. Intimate partner violence in older women in Spain: prevalence, health consequences, and service utilization.

    Science.gov (United States)

    Montero, Isabel; Martín-Baena, David; Escribà-Agüir, Vicenta; Ruiz-Pérez, Isabel; Vives-Cases, Carmen; Talavera, Marta

    2013-01-01

    The purpose of this study is to estimate the prevalence of lifetime intimate partner violence (IPV) in older women and to analyze its effect on women's health and Healthcare Services utilization. Women aged 55 years and over (1,676) randomly sampled from Primary Healthcare Services around Spain were included. Lifetime IPV prevalence, types, and duration were calculated. Descriptive and multivariate procedures using logistic and multiple lineal regression models were used. Of the women studied, 29.4% experienced IPV with an average duration of 21 years. Regardless of the type of IPV experienced, abused women showed significantly poorer health and higher healthcare services utilization compared to women who had never been abused. The high prevalence detected long standing duration, negative health impact, and high healthcare services utilization, calling attention to a need for increased efforts aimed at addressing IPV in older women.

  6. Elzevirian Republics, wise merchants, and new perspectives on Spain and Portugal in the seventeenth-century Dutch Republic

    Directory of Open Access Journals (Sweden)

    Sina Rauschenbach

    2013-05-01

    Full Text Available Between 1625 and 1649, the Leiden publishing house Elzevir issued a series of thirty-five descriptions of all European, a selection of non-European, and three ancient states, that became known as the ‘Elzevirian Republics’. This essay focuses on two of these ‘Republics’, Johannes de Laet’s descriptions of Spain and Portugal. I argue that these books convey an attitude towards geopolitics that is best understood in the light of Caspar Barlaeus’s ideal of the ‘wise merchant’ (mercator sapiens and the historical regent-merchant culture in seventeenth-century Amsterdam. The essay draws on recent scholarship in the history of knowledge, commerce, and the pre-history of objectivity.

  7. Small hydro: Policy and potential in Spain

    International Nuclear Information System (INIS)

    Gutierrez, C.

    2001-01-01

    In Spain, the benefits of small-scale (less than 10 MW) hydro are apparently rarely appreciated and there is little support from European institutions. The article suggests that small hydro technology can make a significant contribution to the country's energy requirements and create employment, provided certain obstacles can be removed. Data on the number of small hydros in Spain, and of recent installations are given; the share of hydro in Spain's total energy production is 2.5%. The low environmental impact of hydro is extolled, and the conclusions of a recent study of 'environmental impacts of the production of electricity' are listed. There are said to be unreasonable administrative obstacles; for example, it is more difficult to obtain permission to refurbish a 100 kW hydro plant in Castilla y Leon than it is to install a 30,000 kW gas plant. Some details relating to the affect of hydro on aquatic ecosystems, noise levels, and water quality, are given

  8. INCIDENCE OF VARIABLES NON DIRECTLY CONTROLLABLE BY THE EDUCATIONAL SYSTEM IN STUDENTS’ READING LITERACY IN PISA: A COMPARATIVE STUDY SPAIN-FINLAND

    Directory of Open Access Journals (Sweden)

    Esteban Vázquez Cano

    2014-05-01

    Full Text Available This comparative research between Spain and Finland examines the incidence of eight variables of PISA (2012 typologically grouped in three areas: family, internet use for reading activities, and availability of books at home in students’ results in reading literacy. Through a descriptive and quantitative methodology, we analyze the incidence of these eight variables in Finnish and Spanish students’ reading literacy. The results show that parents’ academic and professional level along with the type of book that is available at home are non-significant variables in the development of a high reading literacy; by contrast, the variable that measures Internet use at home for reading news has been highly significant. Finnish students duplicate the Spanish in this variable which increases in 30 points reading literacy results.

  9. 48 CFR 252.229-7005 - Tax exemptions (Spain).

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Tax exemptions (Spain... of Provisions And Clauses 252.229-7005 Tax exemptions (Spain). As prescribed in 229.402-70(e), use the following clause: Tax Exemptions (Spain) (JUN 1997) (a) The Contractor represents that the...

  10. Assessment of the external costs of the coal fuel cycle and the wind energy cycle in Spain

    International Nuclear Information System (INIS)

    Linares, P.; Montes, J.; Saez, R.M.

    1995-09-01

    This study is part of the ExternE Project, a joint effort of the European Commission and the US Dept. of Energy to assess the externalities of different fuel cycles, and quantify them in monetary terms, as kWh price adders. For Spain, this assessment has been carried out for a coal plant hypothetically sited in Valdecaballeros, in Southwestern Spain, and for an existing farm in Cabo Villano, in the Northwestern corner. In this first stage, only environmental externalities have been assessed. The first section contains a description of the methodology used in the European project, based mostly on a damage function approach, and its adaptation to Spanish conditions. In the last section, this methodology has been applied to the fuel cycles mentioned. The impacts assessed have been, for the coal fuel cycle, health effects, agricultural and forest production losses, and global warming. For wind energy, the main impacts considered have been noise, loss of visual amenity, accidents and global warning. The results obtained can only be considered as underestimates, as there are still impacts that have not been assessed or quantified, specially for the coal fuel cycle. Thus, further research is needed for a complete assessment

  11. [A descriptive study of substance abuse and mental health disorders in intimate partner violence abusers in prison].

    Science.gov (United States)

    Chérrez-Bermejo, C; Alás-Brun, R

    2014-01-01

    To obtain data on substance abuse and mental disorders amongst a population of inmates imprisoned for gender violence. 106 intimate partner violence offenders were recruited in our study, all of whom were prison inmates. The study is descriptive and statistical comparison of percentages was used. the percentage of substance abuse was 61.3%; most of which consisted of alcohol and cocaine. According to DSM-IV R, 25.5% of the inmates had at least one psychiatric diagnosis at the time when entering prison: 11.3% adjustment disorder with depressed mood, 6.6% personality disorders, 2.8% psychosis, 1.9% major depressive disorder, 1.9% bipolar disorder and 1.9% psycho-organic disorder were encountered. The average age of the men of the sample was forty years old. The most common nationality was Spanish. The percentage of immigrants was significant greater than the global percentage of the general population. The percentage of global substance consumption and psychopathologic problems is greater than data obtained in IPV from other populations, like samples of men charged by their partners with gender violence. depressive symptoms, personality disorders, alcohol and cocaine consumption need to be investigated as gender violence risk markers in Spain. Attention should be paid to the role of consumption prevention when entering prison.

  12. 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.

  13. 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)

  14. 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.

  15. Project description and crowdfunding success: an exploratory study.

    Science.gov (United States)

    Zhou, Mi Jamie; Lu, Baozhou; Fan, Weiguo Patrick; Wang, G Alan

    2018-01-01

    Existing research on antecedent of funding success mainly focuses on basic project properties such as funding goal, duration, and project category. In this study, we view the process by which project owners raise funds from backers as a persuasion process through project descriptions. Guided by the unimodel theory of persuasion, this study identifies three exemplary antecedents (length, readability, and tone) from the content of project descriptions and two antecedents (past experience and past expertise) from the trustworthy cue of project descriptions. We then investigate their impacts on funding success. Using data collected from Kickstarter, a popular crowdfunding platform, we find that these antecedents are significantly associated with funding success. Empirical results show that the proposed model that incorporated these antecedents can achieve an accuracy of 73 % (70 % in F-measure). The result represents an improvement of roughly 14 percentage points over the baseline model based on informed guessing and 4 percentage points improvement over the mainstream model based on basic project properties (or 44 % improvement of mainstream's performance over informed guessing). The proposed model also has superior true positive and true negative rates. We also investigate the timeliness of project data and find that old project data is gradually becoming less relevant and losing predictive power to newly created projects. Overall, this study provides evidence that antecedents identified from project descriptions have incremental predictive power and can help project owners evaluate and improve the likelihood of funding success.

  16. [Cognitive complaints in people with human immunodeficiency virus in Spain: prevalence and related variables].

    Science.gov (United States)

    Muñoz-Moreno, José A; Fuster-Ruiz de Apodaca, Maria J; Fumaz, Carmina R; Ferrer, Maria J; Molero, Fernando; Jaen, Àngels; Clotet, Bonaventura; Dalmau, David

    2014-05-20

    Cognitive complaints have been scarcely studied in people with HIV in Spain. The aim of this research was to know the prevalence of cognitive complaints in HIV-infected people, as well as its potential relationships with demographic, clinical and psychological variables, in the era of combination antiretroviral therapies. Observational multicenter study developed in 4 hospitals and 10 NGOs, in which 791 people with HIV in Spain participated. A self-reported questionnaire was used to evaluate demographic and clinical variables, and an assessment of cognitive complaints, emotional status and quality of life variables was also included. Descriptive and inferential tests were used for statistical analyses. Almost half of the sample (49.8%) referred cognitive complaints, in 72.1% of them an association with interference on daily living activities was found. Memory and attention were the areas most prevalently perceived as affected. The existence of cognitive complaints correlated with a longer HIV infection, lower CD4+ cell count, undetectable viral load and worse quality of life. A discriminant analysis determined that depression, anxiety, older age, living with no partner and low education level allowed to classify optimally HIV-infected people with cognitive complaints. Self-reported cognitive complaints are frequent in people infected with HIV in the current era of combination antiretroviral therapies. This fact is related to emotional disturbances and poor quality of life, but also to impaired immunological and virological status. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  17. Convergences and Divergences between Financial Reporting Systems of Romania and Spain

    Directory of Open Access Journals (Sweden)

    Laptes R.

    2014-12-01

    Full Text Available The main objective of this paper is to perform a comparative study regarding the theory and practice of financial statements in Romania and Spain. To achieve this goal, we performed a documentary research of the main papers of this area and of the applicable accounting regulations from Romania and Spain, research that allowed us to identify convergences and divergences about financial statements in both countries. The main conclusion of this study is that, while Romania experiences improving its financial reporting system by conformism, respectively by assigning through legislation forms adapted to European accounting regulations, Spain chooses a flexible development, trying to realize a complete presentation of the accounting information published in the annual financial statements.

  18. 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.

  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. [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.

  1. Prevalence and Genetic Diversity of Avipoxvirus in House Sparrows in Spain.

    Directory of Open Access Journals (Sweden)

    Jorge Ruiz-Martínez

    Full Text Available Avipoxvirus (APV is a fairly common virus affecting birds that causes morbidity and mortality in wild and captive birds. We studied the prevalence of pox-like lesions and genetic diversity of APV in house sparrows (Passer domesticus in natural, agricultural and urban areas in southern Spain in 2013 and 2014 and in central Spain for 8 months (2012-2013. Overall, 3.2% of 2,341 house sparrows visually examined in southern Spain had cutaneous lesions consistent with avian pox. A similar prevalence (3% was found in 338 birds from central Spain. Prevalence was higher in hatch-year birds than in adults. We did not detect any clear spatial or temporal patterns of APV distribution. Molecular analyses of poxvirus-like lesions revealed that 63% of the samples were positive. Molecular and phylogenetic analyses of 29 DNA sequences from the fpv167 gene, detected two strains belonging to the canarypox clade (subclades B1 and B2 previously found in Spain. One of them appears predominant in Iberia and North Africa and shares 70% similarity to fowlpox and canarypox virus. This APV strain has been identified in a limited number of species in the Iberian Peninsula, Morocco and Hungary. The second one has a global distribution and has been found in numerous wild bird species around the world. To our knowledge, this represents the largest study of avian poxvirus disease in the broadly distributed house sparrow and strongly supports the findings that Avipox prevalence in this species in South and central Spain is moderate and the genetic diversity low.

  2. Prevalence and Genetic Diversity of Avipoxvirus in House Sparrows in Spain.

    Science.gov (United States)

    Ruiz-Martínez, Jorge; Ferraguti, Martina; Figuerola, Jordi; Martínez-de la Puente, Josué; Williams, Richard Alexander John; Herrera-Dueñas, Amparo; Aguirre, José Ignacio; Soriguer, Ramón; Escudero, Clara; Moens, Michaël André Jean; Pérez-Tris, Javier; Benítez, Laura

    2016-01-01

    Avipoxvirus (APV) is a fairly common virus affecting birds that causes morbidity and mortality in wild and captive birds. We studied the prevalence of pox-like lesions and genetic diversity of APV in house sparrows (Passer domesticus) in natural, agricultural and urban areas in southern Spain in 2013 and 2014 and in central Spain for 8 months (2012-2013). Overall, 3.2% of 2,341 house sparrows visually examined in southern Spain had cutaneous lesions consistent with avian pox. A similar prevalence (3%) was found in 338 birds from central Spain. Prevalence was higher in hatch-year birds than in adults. We did not detect any clear spatial or temporal patterns of APV distribution. Molecular analyses of poxvirus-like lesions revealed that 63% of the samples were positive. Molecular and phylogenetic analyses of 29 DNA sequences from the fpv167 gene, detected two strains belonging to the canarypox clade (subclades B1 and B2) previously found in Spain. One of them appears predominant in Iberia and North Africa and shares 70% similarity to fowlpox and canarypox virus. This APV strain has been identified in a limited number of species in the Iberian Peninsula, Morocco and Hungary. The second one has a global distribution and has been found in numerous wild bird species around the world. To our knowledge, this represents the largest study of avian poxvirus disease in the broadly distributed house sparrow and strongly supports the findings that Avipox prevalence in this species in South and central Spain is moderate and the genetic diversity low.

  3. Eating out in Spain: Motivations, sociability and consumer contexts.

    Science.gov (United States)

    Díaz-Méndez, Cecilia; García-Espejo, Isabel

    2017-12-01

    Eating out is a consumer practice which is difficult to define. The study of this practice has traditionally been based on the work/leisure dichotomy. However, in Spain this is not so clear. If we analyse profiles, motivations, places and relationships, we discover an eating-out food model which is specific to Spain and in which food is not limited by this dual link with work and leisure. Eating linked to work does not respond only to instrumental needs. Leisure eating is not always a choice based on preference. Both contain a strong element of sociability which acts as a motivator and are linked to the familisme of Spanish society, whilst at the same time de-routinizing daily life, both at home and at work. This study is based on a national survey carried out in 2014 and helps to understand this consumer practice and those elements which are specific to Spain. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. 78 FR 6227 - Importation of Fresh Apricots From Continental Spain

    Science.gov (United States)

    2013-01-30

    .... APHIS-2011-0132] RIN 0579-AD62 Importation of Fresh Apricots From Continental Spain AGENCY: Animal and... continental Spain. As a condition of entry, fresh apricots from continental Spain would have to be produced in... organization of Spain certifying that the fruit is free from all quarantine pests and has been produced in...

  5. Factors influencing a student's decision to pursue a communications degree in Spain

    Directory of Open Access Journals (Sweden)

    Javier Sierra Sánchez

    2012-04-01

    Full Text Available Purpose: This paper analyzes the factors that influence secondary school students’ choice of higher education options in Spain today and explores the implications and benefits of establishing provider-client relationships between universities and students.Design/methodology/approach: A quantitative approach using questionnaires to demonstrate the hypothesis and achieve the objectives. We have prepared a questionnaire via telematic LimeSurvey application consisting of twenty-four closed questions.Findings: Results depict that the leading criteria for Spanish students interested in pursuing studies in communication sciences were a university’s reputation and excellence and the quality of its educational programmes. In terms of sources of information related to universities and their degree programmes, Spanish communication sciences students placed the highest value on direct and experiential sources. Spanish students interested in pursuing degrees in communication sciences preferred public universities over private universities.Research limitations: It is a descriptive paper. The sample could have been larger and have covered the entire universe of communication schools in Spain.Practical implications: Gain in-depth insight into the academic, cultural, and sociodemographic characteristics of students who choose to pursue an undergraduate degree in communications sciences in Spain.Ascertain which sources of information proved to be the most valuable to prospective students in choosing a university and degree programme and the other factors that influenced their choices by means of a survey involving first-year undergraduate communication sciences students. Use the results of this survey to rank the criteria used by students when choosing a university and degree programme. Gain a clearer picture of how parents and friends influence a student’s choice of degree programmes and universities.Social implications: Knowing the factors of choice

  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. 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

  8. Academic dishonesty among nursing students: a descriptive study.

    Science.gov (United States)

    Keçeci, Ayla; Bulduk, Serap; Oruç, Deniz; Çelik, Serpil

    2011-09-01

    This descriptive and cross-sectional study aims to evaluate academic dishonesty among university nursing students in Turkey. The study's sample included 196 students. Two instruments were used for gathering data. The first instrument, a questionnaire, which included some socio-demographic variables (age, class, gender, education, family structure, parents' attitude and educators' attitude) formed the first part. The second part included the Academic Dishonesty Tendency Scale developed by Eminoğlu and Nartgün. The data were analyzed using descriptive statistics and Kruskall Wallis, One-way Anova, t- test and Mann-Whitney U test. It was found that academic dishonesty was at medium-level (2.60-3.39) in nursing students.

  9. The Situation of Open Access Institutional Repositories in Spain: 2009 Report

    Science.gov (United States)

    Melero, Remedios; Abadal, Ernest; Abad, Francisca; Rodriguez-Gairin, Josep Manel

    2009-01-01

    Introduction: The DRIVER I project drew up a detailed report of European repositories based on data gathered in a survey in which Spain's participation was very low. This created a highly distorted image of the implementation of repositories in Spain. This study aims to analyse the current state of Spanish open-access institutional repositories…

  10. Teaching Gender and Geography in Spain

    Science.gov (United States)

    Garcia-Ramon, Maria-Dolors

    2011-01-01

    Since the introduction of gender themes into university teaching in geography in Spain in 1989, significant gains have been made but challenges remain in relation to placing gender into undergraduate curricula and developing teaching resources in local languages. Geographers in Spain have to meet those challenges in the near future in order to…

  11. Bovine viral diarrhea virus (BVDV) genetic diversity in Spain: A review

    International Nuclear Information System (INIS)

    Diéguez, F.J.; Cerviño, M.; Yus, E.

    2017-01-01

    Bovine viral diarrhea virus (BVDV), a member of the genus Pestivirus of the family Flaviviridae, causes significant losses in cattle farming worldwide because of reduced milk production, increased mortality of young animals and reproductive, respiratory and intestinal problems. The virus is characterized by an important genetic, and consequently antigenic and pathogenic diversity. Knowing the variability of viral strains present in a population provides valuable information, particularly relevant for control programs development, vaccination recommendations and even identification of likely infection sources. Such information is therefore important at both local and regional levels. This review focuses on the genetic diversity of BVDV isolates infecting cattle in Spain over the last years. According to the published data, the most prevalent BVDV group in Spain was 1b, and to a lesser extent 1d, 1e and 1f. Besides, BVDV-2 has also been found in Spain with several ratified isolates. The studies carried out in Spain also showed increased genetic heterogeneity of BVDV strains, possibly due to a more intensive use of analytical tools available, presenting studies with increasingly greater sample sizes.

  12. Bovine viral diarrhea virus (BVDV) genetic diversity in Spain: A review

    Energy Technology Data Exchange (ETDEWEB)

    Diéguez, F.J.; Cerviño, M.; Yus, E.

    2017-07-01

    Bovine viral diarrhea virus (BVDV), a member of the genus Pestivirus of the family Flaviviridae, causes significant losses in cattle farming worldwide because of reduced milk production, increased mortality of young animals and reproductive, respiratory and intestinal problems. The virus is characterized by an important genetic, and consequently antigenic and pathogenic diversity. Knowing the variability of viral strains present in a population provides valuable information, particularly relevant for control programs development, vaccination recommendations and even identification of likely infection sources. Such information is therefore important at both local and regional levels. This review focuses on the genetic diversity of BVDV isolates infecting cattle in Spain over the last years. According to the published data, the most prevalent BVDV group in Spain was 1b, and to a lesser extent 1d, 1e and 1f. Besides, BVDV-2 has also been found in Spain with several ratified isolates. The studies carried out in Spain also showed increased genetic heterogeneity of BVDV strains, possibly due to a more intensive use of analytical tools available, presenting studies with increasingly greater sample sizes.

  13. 75 FR 51113 - Chlorinated Isocyanurates From China and Spain

    Science.gov (United States)

    2010-08-18

    ... Isocyanurates From China and Spain AGENCY: United States International Trade Commission. ACTION: Scheduling of... and Spain. SUMMARY: The Commission hereby gives notice of the scheduling of expedited reviews pursuant... revocation of the antidumping duty orders on chlorinated isocyanurates from China and Spain would be likely...

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

    Science.gov (United States)

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

    2015-01-01

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

  15. [Adherence to the Mediterranean diet in rural and urban adolescents of southern Spain, life satisfaction, anthropometry, and physical and sedentary activities].

    Science.gov (United States)

    Grao-Cruces, Alberto; Nuviala, Alberto; Fernández-Martínez, Antonio; Porcel-Gálvez, Ana-María; Moral-García, José-Enrique; Martínez-López, Emilio-José

    2013-01-01

    The Mediterranean diet is one of the healthier diet models. Mediterranean food patterns are suffering a deterioration that can especially affect children and adolescents. Determine adherence to the Mediterranean diet in adolescents of southern Spain and its relationship with the residence area, sex, age, life satisfaction, anthropometry, and habits of physical activity and sedentary activities. A total of 1973 adolescents (11-18 years) of southern Spain participated in this descriptive cross-sectional study. Cut-off value between rural and urban locations was 10000 inhabitants. Adherence to the Mediterranean diet was calculated from the KIDMED questionnaire. Life satisfaction, physical activity, and sedentary activities also were measured through valid and reliable questionnaires. Body mass index and % body fat were measured using the TANITA BC-420-S body analyzer. 30.9% of the adolescents reported an optimal quality diet, percent higher in rural locations (P sedentary in front of a screen (P diet had a healthier lifestyle and they showed greater life satisfaction. Copyright © AULA MEDICA EDICIONES 2013. Published by AULA MEDICA. All rights reserved.

  16. [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.

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

    Directory of Open Access Journals (Sweden)

    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.

  18. 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

  19. Seroprevalence of Theileria equi and Babesia caballi in horses in Spain

    OpenAIRE

    Montes Cort?s, Maria Guadalupe; Fern?ndez-Garc?a, Jos? Luis; Habela Mart?nez-Est?llez, Miguel ?ngel

    2017-01-01

    Equine piroplasmoses are enzootic parasitic diseases distributed worldwide with high incidence in tropical and subtropical regions. In Spain, there is insufficient epidemiological data about equine piroplasmoses. The main aim of the present study was therefore to estimate the prevalence of Theileria equi and Babesia caballi in five regions and obtain information about the risk factors. This study was conducted in the central and south-western regions of Spain, using indirect fluorescence anti...

  20. 78 FR 32183 - Importation of Avocados From Continental Spain

    Science.gov (United States)

    2013-05-29

    .... APHIS-2012-0002] RIN 0579-AD63 Importation of Avocados From Continental Spain AGENCY: Animal and Plant... continental Spain (excluding the Balearic Islands and Canary Islands) into the United States. This action will... avocados from continental Spain (excluding the Balearic Islands and Canary Islands) into the United States...

  1. [Diabetes mellitus in Spain: death rates, prevalence, impact, costs and inequalities].

    Science.gov (United States)

    Ruiz-Ramos, Miguel; Escolar-Pujolar, Antonio; Mayoral-Sánchez, Eduardo; Corral-San Laureano, Florentino; Fernández-Fernández, Isabel

    2006-03-01

    Describing the situation of diabetes mellitus (DM) in Spain from a public health perspective. manual review of books and other documents on diabetes mellitus in Spain was conducted. In addition, a specific research of articles published using MeSH terms diabetes mortality, prevalence, incidence, cost, inequalities and Spain was conducted in Medline through Internet (PubMed). Minimun Basic Data Set was utilized as source for complication description by Communities Autonomus. DM is one of the leading cause of mortality and the third one in women. With regard to Autonomous Communities, Canary Islands, Ceuta y Melilla and Andalusia show the greatest mortality with a downward trend. Diabetics present greater mortality than non diabetic patients, being complications the main cause of the over-mortality, especially ischemic heart disease. Estimations of prevalence for DM2 range from 4.8% to 18.7% and for DM1, from .08% to .2%. In pregnancy, it has been noted a prevalence ranging from 4.5% to 16.1%. With respect to incidence per year, it is estimated a range from 146 to 820 per 100,000 inhabitants for DM2 and a range from 10 to 17 new cases annually per 100,000 inhabitants for DM1. Costs for DM1 show very different results, averaging between 1,262 and 3,311 euro per people and year. There are differences for DM2 costs as well, averaging between 381 and 2,560 euro per patient and year. Total costs estimated range from 758 to 4,348 euro per person and year. Relationship between a low socioeconomic level (LSL) and DM2 risk has been proved. Moreover, it has been noted that the less LSL the worse is the disease control, coupled with a greater frequency and more frequent factors of DM2 risk. The knowledge about the situation of the DM as a Public Health problem in Spain is limited. Mortality data available does not gather its real magnitude, and prevalence, incidence, costs and inequalities research are very poor and hardly comparable. In spite of this degree of incertitude, we

  2. National registry of hemoglobinopathies in Spain (REPHem).

    Science.gov (United States)

    Cela, Elena; Bellón, José M; de la Cruz, María; Beléndez, Cristina; Berrueco, Rubén; Ruiz, Anna; Elorza, Izaskun; Díaz de Heredia, Cristina; Cervera, Aurea; Vallés, Griselda; Salinas, J Antonio; Coll, M Teresa; Bermúdez, Mar; Prudencio, Marta; Argilés, Bienvenida; Vecilla, Cruz

    2017-07-01

    Although highly prevalent throughout the world, the accurate prevalence of hemoglobinopathies in Spain is unknown. This study presents data on the national registry of hemoglobinopathies of patients with thalassemia major (TM), thalassemia intermedia (TI), and sickle cell disease (SCD) in Spain created in 2014. Fifty centers reported cases retrospectively. Data were registered from neonatal screening or from the first contact at diagnosis until last follow-up or death. Data of the 715 eligible patients were collected: 615 SCD (497 SS, 64 SC, 54 SBeta phenotypes), 73 thalassemia, 9 CC phenotype, and 18 other variants. Most of the SCD patients were born in Spain (65%), and 51% of these were diagnosed at newborn screening. Median age at the first diagnosis was 0.4 years for thalassemia and 1.0 years for SCD. The estimated incidence was 0.002 thalassemia cases and 0.03 SCD cases/1,000 live births. Median age was 8.9 years (0.2-33.7) for thalassemia and 8.1 years (0.2-32.8) for SCD patients. Stroke was registered in 16 SCD cases. Transplantation was performed in 43 TM and 23 SCD patients at a median age of 5.2 and 7.8 years, respectively. Twenty-one patients died (3 TM, 17 SCD, 1 CC) and 200 were lost to follow-up. Causes of death were related to transplantation in three patients with TM and three patients with SCD. Death did not seem to be associated with SCD in six patients, but nine patients died secondary to disease complications. Overall survival was 95% at 15 years of age. The registry provides data about the prevalence of hemoglobinopathies in Spain and will permit future cohort studies and the possibility of comparison with other registries. © 2016 Wiley Periodicals, Inc.

  3. [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.

  4. Descriptive Research

    DEFF Research Database (Denmark)

    Wigram, Anthony Lewis

    2003-01-01

    Descriptive research is described by Lathom-Radocy and Radocy (1995) to include Survey research, ex post facto research, case studies and developmental studies. Descriptive research also includes a review of the literature in order to provide both quantitative and qualitative evidence of the effect...... starts will allow effect size calculations to be made in order to evaluate effect over time. Given the difficulties in undertaking controlled experimental studies in the creative arts therapies, descriptive research methods offer a way of quantifying effect through descriptive statistical analysis...

  5. Courses and syllabus: the situation in Spain

    International Nuclear Information System (INIS)

    Iranzo, E.

    1989-01-01

    The regulation covering radioactive and nuclear installations classifies workers operating such installations as operators or supervisors. Operators are persons who, working directly under a supervisor, handle the installation operational equipment and which have a bearing on nuclear safety or protection against radiation. Supervisors are persons directing the operations of a radioactive or nuclear installation and operator activities. The study deals with the courses given in Spain which qualify operators and supervisors in industrial radioactive installations as permit holders, as well as the courses currently being run for persons engaged in the transport of radioactive materials. Spain regulations covering transport of dangerous goods are based on separate Royal Decrees dealing with road and air transport respectively

  6. Spain and Portugal facing Euratom. Some considerations in the access of Spain and Portugal to Euratom

    International Nuclear Information System (INIS)

    Corretjer, L.; Lopez Rodriguez, M.

    1985-01-01

    The access of Spain and Portugal to the European Community of Atomic Energy (EURATOM) will give rise to significative consequences and it is a subject which must be thoroughly considered as to its implications regarding the present state of nuclear development in both countries and with regard to their reciprocal relations in nuclear energy matters. To determine such consequences and implications it is necessary, first of all, to analyze what EURATOM is and how it acts, in addition to consider the situation of each of its Member States as to the utilization of nuclear energy. As well, it is necessary to explain the evolution and the present situation of nuclear development in Spain and in Portugal and their mutual relations in this field. In pursuit of such analysis we may determine the possible consequences of their access; this is made bearing in mind each of the aspects in which EURATOM acts, according to the Treaty and the ''acquis communitaire'', and dividing them into common consequences and individual ones for both countries. The whole exposition, which was studied and carried out from an exclusively technical point of view, has a result the deduction of the joint possibilities offered to Spain and Portugal to make use of EURATOM's availabilities and of the joint actions which both countries may achieve to benefit as much as possible from their access to EURATOM. (author)

  7. A spatio-temporal landslide inventory for the NW of Spain: BAPA database

    Science.gov (United States)

    Valenzuela, Pablo; Domínguez-Cuesta, María José; Mora García, Manuel Antonio; Jiménez-Sánchez, Montserrat

    2017-09-01

    A landslide database has been created for the Principality of Asturias, NW Spain: the BAPA (Base de datos de Argayos del Principado de Asturias - Principality of Asturias Landslide Database). Data collection is mainly performed through searching local newspaper archives. Moreover, a BAPA App and a BAPA website (http://geol.uniovi.es/BAPA) have been developed to obtain additional information from citizens and institutions. Presently, the dataset covers the period 1980-2015, recording 2063 individual landslides. The use of free cartographic servers, such as Google Maps, Google Street View and Iberpix (Government of Spain), combined with the spatial descriptions and pictures contained in the press news, makes it possible to assess different levels of spatial accuracy. In the database, 59% of the records show an exact spatial location, and 51% of the records provided accurate dates, showing the usefulness of press archives as temporal records. Thus, 32% of the landslides show the highest spatial and temporal accuracy levels. The database also gathers information about the type and characteristics of the landslides, the triggering factors and the damage and costs caused. Field work was conducted to validate the methodology used in assessing the spatial location, temporal occurrence and characteristics of the landslides.

  8. Analysis of the economic structure of the eating-out sector: The case of Spain.

    Science.gov (United States)

    Cabiedes-Miragaya, Laura

    2017-12-01

    The objective of this article is to analyse the structure of the Spanish eating-out sector from an economic point of view, and more specifically, from the supply perspective. This aspect has been studied less than the demand side, almost certainly due to the gaps which exist in available official statistics in Spain, and which have been filled basically with consumer surveys. For this reason, focus is also placed on the economic relevance of the sector and attention is drawn to the serious shortcomings regarding official statistics in this domain, in contrast to the priority that hotel industry statistics have traditionally received in Spain. Based on official statistics, a descriptive analysis was carried out, focused mainly, though not exclusively, on diverse structural aspects of the sector. Special emphasis was placed on issues such as business demography (for instance, number and types of enterprises, survival rates, size distribution, and age structure), market concentration and structure of costs. Among other conclusions, the analysis allowed us to conclude that: part of the sector is more concentrated than it may at first appear to be; the dual structure of the sector described by the literature in relation to other countries is also present in the Spanish case; and the impact of ICTs (Information and Communication Technologies) on the sector are, and will foreseeably continue to be, particularly relevant. The main conclusion of this study refers to the fact that consumers have gained prominence in their contribution to shaping the structure of the sector. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. 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)

  10. Bovine viral diarrhea virus (BVDV genetic diversity in Spain: A review

    Directory of Open Access Journals (Sweden)

    Francisco J. Diéguez

    2017-07-01

    Full Text Available Bovine viral diarrhea virus (BVDV, a member of the genus Pestivirus of the family Flaviviridae, causes significant losses in cattle farming worldwide because of reduced milk production, increased mortality of young animals and reproductive, respiratory and intestinal problems. The virus is characterized by an important genetic, and consequently antigenic and pathogenic diversity. Knowing the variability of viral strains present in a population provides valuable information, particularly relevant for control programs development, vaccination recommendations and even identification of likely infection sources. Such information is therefore important at both local and regional levels. This review focuses on the genetic diversity of BVDV isolates infecting cattle in Spain over the last years. According to the published data, the most prevalent BVDV group in Spain was 1b, and to a lesser extent 1d, 1e and 1f. Besides, BVDV-2 has also been found in Spain with several ratified isolates. The studies carried out in Spain also showed increased genetic heterogeneity of BVDV strains, possibly due to a more intensive use of analytical tools available, presenting studies with increasingly greater sample sizes.

  11. Antiretroviral treatment switch strategies for lowering the costs of antiretroviral therapy in subjects with suppressed HIV-1 viremia in Spain

    Directory of Open Access Journals (Sweden)

    Llibre JM

    2013-05-01

    Full Text Available Josep M Llibre,1,2 Gloria Cardona,3 José R Santos,2 Angels Andreu,3 Josep O Estrada,4 Jordi Ara,4 Xavier Bonafont,3 Bonaventura Clotet1,21HIV Unit, University Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain; 2Lluita contra la SIDA Foundation, Badalona, Barcelona, Spain; 3Hospital Pharmacy, University Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain; 4Hospital Management, University Hospital Germans Trias i Pujol, Badalona, Barcelona, SpainBackground: The current economic recession in European countries has forced governments to design emergency measures to reduce spending on drugs, including antiretroviral therapy (ART. Switching antiretroviral drugs for others that have the same efficacy and safety profile at a lower cost (cost-reduction measures, CRM could prove to be a valid means of generating savings.Methods: Descriptive study of prospective consensus-based CRM undertaken in 2011 in a Catalonian hospital HIV unit among patients with prolonged plasma HIV-1 RNA <50 copies/mL.Results: During the study period, we made 673 switches (87.5% more than the previous year, of which 378 (56.2% were CRM (16% of all patients treated, leading to a savings of €87,410/month. Switching tenofovir/emtricitabine for abacavir/lamivudine was the most common CRM (129, 31.3%, followed by simplification to boosted protease inhibitor monotherapy (bPImono, 102, 26%. The CRM that generated the greatest saving were switching to bPImono (38%, withdrawal or replacement of raltegravir (24%, switching tenofovir/emtricitabine for abacavir/lamivudine (13%, and switching to nevirapine (5%. Cost savings with CRM were slightly higher than those achieved with medication paid for by clinical trial sponsors (€80,333/month or through discount arrangements (€76,389/month.Conclusion: Proactively switching antiretroviral therapy in selected treated patients with sustained virological suppression can generate significant cost savings in pharmacy spending in

  12. Employing Picture Description to Assess the Students' Descriptive Paragraph Writing

    Directory of Open Access Journals (Sweden)

    Ida Ayu Mega Cahyani

    2018-03-01

    Full Text Available Writing is considered as an important skill in learning process which is needed to be mastered by the students. However, in teaching learning process at schools or universities, the assessment of writing skill is not becoming the focus of learning process and the assessment is administered inappropriately. In this present study, the researcher undertook the study which dealt with assessing descriptive paragraph writing ability of the students through picture description by employing an ex post facto as the research design. The present study was intended to answer the research problem dealing with the extent of the students’ achievement of descriptive paragraph writing ability which is assessed through picture description. The samples under the study were 40 students determined by means of random sampling technique with lottery system. The data were collected through administering picture description as the research instrument. The obtained data were analyzed by using norm-reference measure of five standard values. The results of the data analysis showed that there were 67.50% samples of the study were successful in writing descriptive paragraph, while there were 32.50% samples were unsuccessful in writing descriptive paragraph which was assessed by administering picture description test

  13. 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.

  14. Trend analysis by a piecewise linear regression model applied to surface air temperatures in Southeastern Spain (1973–2014)

    OpenAIRE

    Campra, Pablo; Morales, Maria

    2016-01-01

    The magnitude of the trends of environmental and climatic changes is mostly derived from the slopes of the linear trends using ordinary least-square fitting. An alternative flexible fitting model, piecewise regression, has been applied here to surface air temperature records in southeastern Spain for the recent warming period (1973–2014) to gain accuracy in the description of the inner structure of change, dividing the time series into linear segments with different slopes. Breakpoint y...

  15. 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.

  16. 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.

  17. Spain succeeds on the PWR learning curve

    International Nuclear Information System (INIS)

    Varley, J.

    1982-01-01

    The development of nuclear power in Spain is described. Although the programme has been delayed and cut back, success has been achieved in carrying out technology transfer. Spain now has an industry capable of exporting nuclear components, equipment and expertise. An architect-engineering capability has also developed. (U.K.)

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

    Directory of Open Access Journals (Sweden)

    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.

  19. 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.

  20. 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.

  1. Transparency and Good Governance in Spain

    Directory of Open Access Journals (Sweden)

    Catalina Larach

    2015-06-01

    Full Text Available Nowadays, transparency and Governance are relevant for Spain. Especially, for the dissatisfied citizenship and the weakness in national and local institutions over the last few years, with results like not trusting, less guarantee on healthcare and education system, the corruption in public administration, politics-economic issues, and so on. Although, in the European Union, Spain has been one of the last countries to regulate this issue, whit Act 19/2013 there are new objectives relating to open government, citizenship, technology, accountability. Moreover in relation with the structure of administration because the “commission for transparency and good governance” was initiated on last 19th January. In general, its effectiveness in moderating this issue and applying measures in order to get administration systems cleaner in countries like Spain.

  2. Herpes zoster and postherpetic neuralgia in Catalonia (Spain).

    Science.gov (United States)

    Salleras, Luis; Salleras, Montse; Salvador, Patricia; Soldevila, Núria; Prat, Andreu; Garrido, Patricio; Domínguez, Angela

    2015-01-01

    The objective of the study was to analyze the descriptive epidemiology and costs of herpes zoster (HZ) and postherpetic neuralgia (PHN) in people aged ≥50 years in Catalonia (Spain). The incidence of HZ in Catalonia was estimated by extrapolating the incidence data from Navarre (Spain) to the population of Catalonia. The incidence of PHN was estimated according to the proportion of cases of HZ in the case series of the Hospital del Sagrado Corazón de Barcelona that evolved to PHN. Drug costs were obtained directly from the prescriptions included in the medical record (according to official prices published by the General Council of the College of Pharmacists). The cost of care was obtained by applying the tariffs of the Catalan Health Institute to the number of outpatient visits and the number and duration of hospital admissions. The estimated annual incidence of HZ was 31 763, of which 21 532 (67.79%) were in patients aged ≥50 years. The respective figures for PHN were 3194 and 3085 (96.59) per annum, respectively. The mean cost per patient was markedly higher in cases of PHN (916.66 euros per patient) than in cases of HZ alone (301.52 euros per patient). The cost increased with age in both groups of patients. The estimated total annual cost of HZ and its complications in Catalonia was € 9.31 million, of which 6.54 corresponded to HZ and 2.77 to PHN. This is the first Spanish study of the disease burden of HZ in which epidemiological data and costs were collected directly from medical records. The estimated incidence of HZ is probably similar to the real incidence. In contrast, the incidence of PHN may be an underestimate, as around 25% of patients in Catalonia attend private clinics financed by insurance companies. It is also probable that the costs may be an underestimate as the costs derived from the prodromal phase were not included. In Catalonia, HZ and PHN cause an important disease burden (21 532 cases of HZ and 3085 de PHN with an annual cost

  3. 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

  4. 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

  5. Psychoanalysis and the transition to democracy in Spain.

    Science.gov (United States)

    Druet, Anne-Cécile

    2017-11-01

    This article studies the links between psychoanalysis and the transition to democracy in Spain. It examines the major changes that characterized the spread of psychoanalysis in the years after Franco's death, in particular the rise of the Lacanian movement, the impact of this phenomenon on the sociocultural sphere and, in broader terms, its role in the re-emergence of psychoanalysis as a cultural object in the country. The article also analyzes factors linked to the history of psychoanalysis during the Franco dictatorship; factors that, together with the arrival of Oscar Masotta and numerous Argentinian analysts in Spain, help explain the new vision of the field that emerged during the transition.

  6. Effects of the Financial Crisis on Stock Market of the Czech Republic and Spain

    OpenAIRE

    Titizov, Toško

    2013-01-01

    The paper analyzes effects of the financial crisis on stock market of the Czech Republic and Spain. We employ BEKK-GARCH model in order to study volatility spillovers and transmissions from the US stock market to stock markets of the Czech Republic and Spain. The multivariate GARCH models results show statistically significant, but relatively small, almost irrelevant volatility spillovers from the US stock market to stock markets of the Czech Republic and Spain. The Czech stock market exhibit...

  7. 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)

  8. 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.

  9. 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)

  10. 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

  11. 78 FR 32184 - Importation of Fresh Apricots From Continental Spain

    Science.gov (United States)

    2013-05-29

    .... APHIS-2011-0132] RIN 0579-AD62 Importation of Fresh Apricots From Continental Spain AGENCY: Animal and... United States of fresh apricots from continental Spain. This action will allow interested persons... importation of fruits and vegetables to allow the importation of fresh apricots from continental Spain into...

  12. The Technological Consolidation of UNED in Spain

    Directory of Open Access Journals (Sweden)

    Lorenzo Garcia Aretio

    2001-07-01

    Full Text Available This article discusses the role of the technologies that have been utilized to advance distance teaching and learning by the National Distance Education University (Universidad Nacional de Educación a Distancia – UNED of Spain. Following a description of UNED's historical development and organizational structure, UNED's experience with various educational media is discussed. Printed teaching materials, in the form of didactic units, were one of the first methods to be utilized when UNED began its operations in 1972. In turn, the role of radio and audio recordings, television and video recordings, telephone, videoconferencing, computer systems and computer-mediated communications are also described. UNED's pioneering projects, including the virtual classroom, virtual campus, and a program for the physically handicapped, are also detailed. Recent experiments include providing access to radio and television programs on the Internet and adoption of WebCT. On the horizon for UNED are portals for cellular phones using WAP technology and gearing up for multiple applications in accordance with Universal Mobile Telecommunications Technology (UMTS.

  13. Attitudes and perceptions of medical students about family medicine in Spain: protocol for a cross-sectional survey

    Science.gov (United States)

    Alonso-Coello, Pablo; Villa, Josep Jiménez; Hijar, Antonio Monreal; Tuduri, Xavier Mundet; Puime, Ángel Otero

    2011-01-01

    Background Despite the fact that family medicine (FM) has become established as a specialty in the past 25 years, this has not been reflected in the inclusion of the specialty in the majority of medical schools in Spain. Almost 40% of the students will work in primary care but, in spite of this, most universities do not have an assessed placement as such. There are only specific practice periods in health centres or some student-selected components with little weight in the overall curricula. Objectives To evaluate the attitudes and perceptions of medical students about FM in the health system and their perception about the need for specific training in FM at the undergraduate level. To explore change over time of these attitudes and perceptions and to examine potential predictive factors for change. Finally, we will review what teaching activity in FM is offered across the Spanish schools of medicine. Methods Descriptive cross-sectional survey. Each one of the different analyses will consist of two surveys: one for all the students in the first, third and fifth year of medical school in all the Spanish schools of medicine asking about their knowledge, perceptions and attitudes in relation to primary care and FM. There will be an additional survey for the coordinating faculty of the study in each university about the educational activities related to FM that are carried out in their centres. The repetition of the study every 2 years will allow for an analysis of the evolution of the cohort of students until they receive their degree and the potential predictive factors. Discussion This study will provide useful information for strategic planning decisions, content and educational methodology in medical schools in Spain and elsewhere. It will also help to evaluate the influence of the ongoing changes in FM, locally and at the European level, on the attitudes and perceptions of the students towards FM in Spain. PMID:22189348

  14. Quality and safety in Spain

    International Nuclear Information System (INIS)

    Prieto Barrio, J. M.; Martinez Martin, D. J.

    2015-01-01

    For three decades, and after the entry of Spain into the EU, it has been developed a regulatory, stable but evolving, framework that has allowed to create the conditions and structures to have stringent safety conditions of products and manufacturing facilities, as well as all the activities necessary for their certification and control. This development has been possible, among others, by the work of impulse and coordination of the Ministry of industry, Energy and Tourism, and particularly of the quality and Industrial safety sub directorate. On the other hand it has been developed a quality infrastructure that has, at the State level, with a standardisation (AENOR) entity and an accreditation body (ENAC) with recognized prestige around the world. In this article, in the first part, a list the regulations which apply to products and manufacturing facilities is shown, as well as explain the role played by standards and accreditation system in industrial safety and the factor of competitiveness that this entails for our industrial sector, and, in the second part, the institutional role of the Ministry and, the aforementioned Sub directorate, is described. The aim of the article is to be a descriptive reference of the current regulatory framework as well as the role of the State in this process. (Author)

  15. 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.

  16. University Teacher’s Evaluation in Spain

    Directory of Open Access Journals (Sweden)

    Francisco Javier Tejedor Tejedor

    2008-08-01

    Full Text Available This article intends to make a brief overview about the performance evaluation for university teachers in democratic Spain. It contents: a considerations about teaching evaluation, in order to delimit the authors’ position in this matter, due to the fact that this position obviously conditions any revision; b a brief summary of the history of university teachers evaluation in Spain during the last years, since the Spanish Constitution of 1978 approval; c a typology of the evaluation plans, in order to define a map of the planning lines for evaluations applied in Spain; d the technical guidelines for teachers´ evaluation and presentation of the current model, exampled by its application in the university of Salamanca; and e as a conclusion, some considerations about the consequences of evaluation and its entailment with the professionalization of university teachers.

  17. [Surveillance in Spain 3 years since the enactment of the Public Health Law].

    Science.gov (United States)

    Pousa, Anxela; Godoy, Pere; Aragonés, Nuria; Cano, Rosa; Sierra, María José; González, Francisco; Mayoral, José María

    2016-01-01

    In 2014, the Epidemiological Surveillance Working Group of the Sociedad Española de Epidemiología (Spanish Society of Epidemiology), carried out a descriptive study in order to evaluate the level of development of the Spanish Public Health Law since its enactment in 2011. A survey collecting data on the existence of information systems and other aspects pertaining to each surveillance section included in the law was sent to all 19 autonomous communities and cities. All regional authorities reported the presence of an information system for communicable diseases, and six also reported an information system for social factors. 18 reported that at least one chronic disease was subject to surveillance and 14 confirmed surveillance of some of its determinants. They all systematically analysed the data derived from the communicable diseases. There is room for improvement in Public Health surveillance in Spain, and action should be aimed at the main health problems. Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.

  18. [Nuclear medicine in Spain: high technology 2013].

    Science.gov (United States)

    Soriano Castrejón, A M; Prats Rivera, E; Alonso Farto, J C; Vallejo Casas, J A; Rodriguez Gasen, A; Setoain Perego, J; Arbizu Lostao, J

    2014-01-01

    This article details the high technology equipment in Spain obtained through a survey sent to the three main provider companies of equipment installed in Spain. The geographical distribution of high technology by Autonomous Communities and its antiquity have been analyzed. Copyright © 2014 Elsevier España, S.L.U. y SEMNIM. All rights reserved.

  19. 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.

  20. QUALITATIVE ANALYSIS OF OFFICIAL MILK CONTROL IN VALENCIA COMMUNITY (SPAIN BY SELF ORGANIZING MAPS

    Directory of Open Access Journals (Sweden)

    Carlos Javier Fernandez

    2009-06-01

    Full Text Available Breeding programs in dairy goats are mainly based on milk production and composition. Murciano-Granadina goats are located principally in the central and southern regions of Spain. This study is focused in Valencia Community (Spain and the objective is to study the Murciano-Granadina livestock based on the database from Murciano-Granadina Goat Breeders Association of Valencia (AMURVAL.  The aim of this study is to analyze the relationship among different variables related with milk production; milk yield, fat, protein, lactose, SCC, the number of births, lactation number and season. This analysis is carried out by using the Self Organizing Map. This tool allows mapping high-dimensional input spaces into much lower-dimensional spaces, thus making much more straightforward to understand any representation of data. These representations enable to visually extract qualitative relationships among variables (Visual Data Mining. A total of 3221 Murciano-Granadina dairy goats from AMURVAL were chosen. Self Organizing Maps (SOM were used to analyze data with the system identification toolbox of MATLAB v7. Data were obtained from Official Milk Control during 2006 campaign. SOM considered in this study is formed by 21´14 neurons (294 neurons; the chosen architecture is given by the range of the input variables used. The map shown that more than 70% of the goats has milk yield greater than 300 kg per lactation and goat, indicating good performance of farms. Besides, the SOM obtained indicate a group of neurons that included goats with high SSC (2%. The use of Self Organizing Maps in the descriptive analysis of this kind of data sets has proven to be highly valuable in extracting qualitative conclusions and guiding in improving the performance of farms.

  1. 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.

  2. Transforming Verbal Counts in Reports of Qualitative Descriptive Studies Into Numbers

    Science.gov (United States)

    Chang, YunKyung; Voils, Corrine I.; Sandelowski, Margarete; Hasselblad, Vic; Crandell, Jamie L.

    2009-01-01

    Reports of qualitative studies typically do not offer much information on the numbers of respondents linked to any one finding. This information may be especially useful in reports of basic, or minimally interpretive, qualitative descriptive studies focused on surveying a range of experiences in a target domain, and its lack may limit the ability to synthesize the results of such studies with quantitative results in systematic reviews. Accordingly, the authors illustrate strategies for deriving plausible ranges of respondents expressing a finding in a set of reports of basic qualitative descriptive studies on antiretroviral adherence and suggest how the results might be used. These strategies have limitations and are never appropriate for use with findings from interpretive qualitative studies. Yet they offer a temporary workaround for preserving and maximizing the value of information from basic qualitative descriptive studies for systematic reviews. They show also why quantitizing is never simply quantitative. PMID:19448052

  3. Implementation of the new maintenance rule in Spain

    International Nuclear Information System (INIS)

    Coello, A. L.; Gerez, L.

    2000-01-01

    The maintenance rule involving a change in philosophy both for the facilities and regulations has been implemented in Spain nuclear power plants as from April 1st this year. The authors describe this rule and detail its fulfillment in Spain. (Author)

  4. Costs, outcomes and challenges for diabetes care in Spain

    OpenAIRE

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

    2013-01-01

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

  5. 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

  6. History of health technology assessment: Spain.

    Science.gov (United States)

    Sampietro-Colom, Laura; Asua, Jose; Briones, Eduardo; Gol, Jordi

    2009-07-01

    The aim of this study was to describe the characteristics of the introduction and diffusion of health technology assessment (HTA) in Spain. A survey to summarize the evolution of HTA was sent to representatives of different HTA initiatives in Spain. HTA was introduced in the late 1980s. The main factors were the trend to an increase in healthcare expenditure, concerns regarding efficiency in providing health care, as well as in the level of rationality introducing high technology. Spain has direct (i.e., regulation) and indirect (i.e., payment systems, evidence-based programs, HTA) mechanisms to control health technologies. A recent high priority regulation has established the need of HTA to decide the introduction of a new health technology in the lists of public healthcare coverage, although similar regulations existed in the past and were scarcely implemented. HTA initiatives started at the regional government level. Its introduction followed a progressive pattern among regions. In the beginning, resources were scarce and expertise limited, with work done at intramural level. With time, expertise increase, and promotion of commissioned work was implemented. HTA knowledge transfer in the healthcare system has been carried out through courses, publications, and commissioned research. Currently, there are seven HTA units/agencies, which coordinate their work. HTA in Spain is in its maturity. Facing the unavoidable change of health care environment over time, HTA is also evolving and, currently, there is a trend to broaden the areas of influence of HTA by devolving capacity to hospitals and applying principles to very early phases of health technology development, under the umbrella of regional HTA units/agencies. However, there are two main challenges ahead. One is to have a real impact at the highest level of healthcare policy coordination among Spanish regions, which is done at the Central Ministry of Health. The other is to avoid the influence of political waves

  7. Communication strategies employed by rare disease patient organizations in Spain.

    Science.gov (United States)

    Castillo-Esparcia, Antonio; López-Villafranca, Paloma

    2016-08-01

    The current study focuses on communication strategies employed by rare disease patient organizations. The aims of these organizations are: educate and inform the public about rare diseases, raise awareness of the problems related to rare diseases, and achieve social legitimacy in order give visibility to their demands. We analyzed the portrayal of rare disease and patient organizations by Spain's major media organizations in terms of circulation and viewership - the press (El País, El Mundo, La Vanguardia,ABC and El Periódico), radio (CadenaSer, Onda Cero, Cope and RNE), and television (Telecinco, Antena 3, La 1, La Sexta, Cuatro) -between 2012 and 2014.We then carried out a descriptive analysis of communication activities performed via the World Wide Web and social networks by 143 national organizations. Finally, we conducted a telephone questionnaire of a representative sample of 90 organizations in order to explore the association between media presence and funding and public image. The triangulation of quantitative and qualitative methods allowed us to meet the study's objectives. Increased visibility of the organizations afforded by an increase in the coverage of the topic by the medialed to an increase in membership - but not in donations - and increased awareness of these diseases.

  8. Competitiveness in the Southern Euro Area; France, Greece, Italy, Portugal, and Spain

    OpenAIRE

    Bogdan Lissovolik; Julio Escolano; Stefania Fabrizio; Werner Schule; Herman Z Bennett; Stephen Tokarick; Yuan Xiao; Marialuz Moreno Badia; Eva Gutierrez; Iryna V. Ivaschenko

    2008-01-01

    This collection of studies analyzes developments in nonprice external competitiveness of France, Greece, Italy, Portugal, and Spain. While France, Italy, and Portugal have experienced substantial export market share losses, Greece and Spain performed relatively well. Export market share losses appear associated with rigidities in resource allocation (sectoral, geographical, technological) relative to peers and lower productivity gains in high value-added sectors. Disaggregated analysis of goo...

  9. The parliamentary political agenda: a tool for policy analysis of diabetes priorities in Spain.

    Science.gov (United States)

    Agudelo-Suárez, Andrés A; Ruiz-Cantero, María Teresa; González-Zapata, Laura I; Restrepo-Medrano, Juan Carlos; Ortiz-Barreda, Gaby M

    2012-01-01

    To analyze the political agenda on diabetes in Spain under democracy by considering the frequency and content of initiatives in the Spanish parliament. A systematic search of parliamentary interventions (1979-2010) reported on the Spanish Congress of Deputies' web page was carried out using the key word "diabetes". A descriptive study of the frequency of interventions was performed, followed by a content analysis, according to the priorities of the World Health Organization (WHO), the International Diabetes Federation and the Spanish Diabetes Federation. Other study variables were the year of presentation, legislature, type of initiative and whether a political decision was taken (yes/no). There were 59 interventions: 22% were related to the first international initiatives and 44.1% took place in the last two legislatures in response to the WHO's program Diabetes Action Now. A total of 32.2% of the initiatives addressed educational and social programs, while 23.7% addressed access to resources and health services. Most initiatives (74.6%) consisted of parliamentary questions to the government, which only required a response. Of the 15 initiatives requiring a decision to be taken, only eight were approved. Spanish legislators aim to comply with international standards. Nevertheless, political decision-making has sometimes been slow. Importantly, most of the political responsibilities related to health have been transferred to the autonomous regions. The updated National Diabetes Strategy in Spain will need to strengthen public health policies according to established international priorities. Monitoring parliamentary interventions has proven to be a valid tool for evaluating patterns of political debate and decisions on diabetes. Copyright © 2011 SESPAS. Published by Elsevier Espana. All rights reserved.

  10. Genotyping of Coxiella burnetii from domestic ruminants in northern Spain

    Directory of Open Access Journals (Sweden)

    Astobiza Ianire

    2012-12-01

    Full Text Available Abstract Background Information on the genotypic diversity of Coxiella burnetii isolates from infected domestic ruminants in Spain is limited. The aim of this study was to identify the C. burnetii genotypes infecting livestock in Northern Spain and compare them to other European genotypes. A commercial real-time PCR targeting the IS1111a insertion element was used to detect the presence of C. burnetii DNA in domestic ruminants from Spain. Genotypes were determined by a 6-loci Multiple Locus Variable number tandem repeat analysis (MLVA panel and Multispacer Sequence Typing (MST. Results A total of 45 samples from 4 goat herds (placentas, N = 4, 12 dairy cattle herds (vaginal mucus, individual milk, bulk tank milk, aerosols, N = 20 and 5 sheep flocks (placenta, vaginal swabs, faeces, air samples, dust, N = 21 were included in the study. Samples from goats and sheep were obtained from herds which had suffered abortions suspected to be caused by C. burnetii, whereas cattle samples were obtained from animals with reproductive problems compatible with C. burnetii infection, or consisted of bulk tank milk (BTM samples from a Q fever surveillance programme. C. burnetii genotypes identified in ruminants from Spain were compared to those detected in other countries. Three MLVA genotypes were found in 4 goat farms, 7 MLVA genotypes were identified in 12 cattle herds and 4 MLVA genotypes were identified in 5 sheep flocks. Clustering of the MLVA genotypes using the minimum spanning tree method showed a high degree of genetic similarity between most MLVA genotypes. Overall 11 different MLVA genotypes were obtained corresponding to 4 different MST genotypes: MST genotype 13, identified in goat, sheep and cattle from Spain; MST genotype 18, only identified in goats; and, MST genotypes 8 and 20, identified in small ruminants and cattle, respectively. All these genotypes had been previously identified in animal and human clinical samples from several

  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. Monitoring of West Nile virus, Usutu virus and Meaban virus in waterfowl used as decoys and wild raptors in southern Spain.

    Science.gov (United States)

    Jurado-Tarifa, E; Napp, S; Lecollinet, S; Arenas, A; Beck, C; Cerdà-Cuéllar, M; Fernández-Morente, M; García-Bocanegra, I

    2016-12-01

    In the last decade, the number of emerging flaviviruses described worldwide has increased considerably, with wild birds acting as the main reservoir hosts of these viruses. We carried out an epidemiological survey to determine the seroprevalence of antigenically related flaviviruses, particularly West Nile virus (WNV), Usutu virus (USUV) and Meaban virus (MBV), in waterfowl used as decoys and wild raptors in Andalusia (southern Spain), the region considered to have the highest risk of flaviviruses circulation in Spain. The overall flaviviruses seroprevalence according to bELISA was 13.0% in both in decoys (n=1052) and wild raptors (n=123). Specific antibodies against WNV, USUV and MBV were confirmed by micro virus neutralization tests in 12, 38 and 4 of the seropositive decoys, respectively. This is the first study on WNV and USUV infections in decoys and the first report of MBV infections in waterfowl and raptors. Moreover we report the first description of WNV infections in short-toed snake eagle (Circaetus gallicus) and Montagu's harrier (Circus pygargus). The seropositivity obtained indicates widespread but not homogeneous distribution of WNV and USUV in Andalusia. The results also confirm endemic circulation of WNV, USUV and MBV in both decoys and wild raptors in southern Spain. Our results highlight the need to implement surveillance and control programs not only for WNV but also for other related flaviviruses. Further research is needed to determine the eco-epidemiological role that waterfowl and wild raptors play in the transmission of emerging flaviviruses, especially in decoys, given their close interactions with humans. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. Road accidents and business cycles in Spain.

    Science.gov (United States)

    Rodríguez-López, Jesús; Marrero, Gustavo A; González, Rosa Marina; Leal-Linares, Teresa

    2016-11-01

    This paper explores the causes behind the downturn in road accidents in Spain across the last decade. Possible causes are grouped into three categories: Institutional factors (a Penalty Point System, PPS, dating from 2006), technological factors (active safety and passive safety of vehicles), and macroeconomic factors (the Great recession starting in 2008, and an increase in fuel prices during the spring of 2008). The PPS has been blessed by incumbent authorities as responsible for the decline of road fatalities in Spain. Using cointegration techniques, the GDP growth rate, the fuel price, the PPS, and technological items embedded in motor vehicles appear to be statistically significantly related with accidents. Importantly, PPS is found to be significant in reducing fatal accidents. However, PPS is not significant for non-fatal accidents. In view of these results, we conclude that road accidents in Spain are very sensitive to the business cycle, and that the PPS influenced the severity (fatality) rather than the quantity of accidents in Spain. Importantly, technological items help explain a sizable fraction in accidents downturn, their effects dating back from the end of the nineties. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. Cognitive dissonance towards the smoking habit among nursing and physiotherapy students at the University of Balearic Islands in Spain.

    Science.gov (United States)

    Pericas, J; González, S; Bennasar, M; De Pedro, J; Aguiló, A; Bauzá, L

    2009-03-01

    To estimate the prevalence of tobacco smoking among physiotherapy and nursing students at the University of the Balearic Islands in Spain and to describe their perceptions, attitude and behaviour towards smoking and towards the Spanish Smoking Prevention Act. Active smoking is the first avoidable cause of death in the world while passive smoking is the third. The tobacco epidemic kills 5.4 million people a year from lung cancer, heart disease and other related illnesses. In Europe, around one-third of the Community population are smokers, with about 650,000 smoking-related deaths per year in the Community. In Spain, 56,000 people a year are estimated to die from tobacco-related illnesses. An observational, cross-sectional, descriptive study, with a sample of 345 out of 645 students (53.5% participation rate) who completed an anonymous, self-administered, standardized survey devised by the World Health Organization. The study revealed a 26.1% prevalence of tobacco smoking (26.9% among women and 22.6% among men), which is similar to percentages of students at other Spanish universities. Smokers and non-smokers reported many differences in attitude and behaviour, some of which have potential repercussions in their career, such as in estimating the harmful effects of tobacco smoke or the status of health professionals as role models in the society they serve. The results of this study will contribute to develop an anti-smoking programme at the university and to establish smoking-prevention campaigns.

  15. 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...

  16. Study of brachydactyly in gipsy population: Description of a familial case

    Directory of Open Access Journals (Sweden)

    Pérez-Lázaro, Antonia

    2016-04-01

    Full Text Available Brachydactyly is an inheritable autosomal genetic malformation, either dominant or recessive. This article describes a gypsy family presenting with congenital brachydactyly. The study was conducted at the Sanitary District of Guadix, in Granada, Spain. The study subjects were four siblings (two women and two men, members of the same family and belonging to the Roma community. Demographic and genetic data were collected. With some variability, they had the phenotypic manifestation of brachydactyly. Radiographic data revealed that it was type A4 brachydactyly, but one of them featured a blend of A4 with E, or perhaps it is a new unclassified variety. All cases showed similar abnormalities in the feet. Besides, they are obese, and have dyslipidemia and different degrees of consanguinity.

  17. 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

  18. Inspection of nuclear fuel transport in Spain

    International Nuclear Information System (INIS)

    Lobo Mendez, J.

    1977-01-01

    The experience acquired in inspecting nuclear fuel shipments carried out in Spain will serve as a basis for establishing the regulations wich must be adhered to for future transports, as the transport of nuclear fuels in Spain will increase considerably within the next years as a result of the Spanish nuclear program. The experience acquired in nuclear fuel transport inspection is described. (author) [es

  19. New developments in low level radioactive waste management in Spain

    International Nuclear Information System (INIS)

    Zuloaga, P.

    2006-01-01

    El Cabril disposal facility was commissioned in 1992 and is a key element in LILW Management in Spain. It is a vault-type surface disposal facility with a total internal volume of 100,000 m 3 . The installation also has facilities for waste treatment and conditioning, verification and characterisation, interim storage and other ancillary equipment. This paper includes a brief description of the facility, the operational experience, the design improvements and new developments in waste acceptance procedures, safety assessment and the related research programme. The paper also refers to the new disposal facility intended for very low activity waste, under construction at the same site. This facility, a part of El Cabril nuclear installation, will have a maximum capacity for 130,000 m 3 of very low activity waste. Its construction started in February 2006, after the evaluation of the nuclear safety authority and the environmental impact statement procedure. (author)

  20. Opinions and beliefs held by Spanish teenagers regarding tobacco and alcohol consumption: a descriptive study.

    Science.gov (United States)

    Ruiz-Moral, Roger; Palenzuela-Paniagua, Sara; Magallón-Botaya, Rosa; Jiménez-García, Celia; Fernández García, Jose Angel; Pérula de Torres, Luis Angel

    2015-01-31

    Preventive strategies are the most effective approach for dealing with issues of substance abuse, particularly in teenagers. Such strategies adapt well to this target population. Our objective was to reveal the opinions and beliefs held by teenagers about tobacco and alcohol as types of drugs, and their effects on health. In this cross-sectional study, participants completed a self-administered questionnaire based on the World Health Organization "Health Behaviour of School-aged Children" study. Our sample included 1,005 schoolchildren aged between 11 and 13 years, resident in the province of Córdoba in Spain. Descriptive and univariate analyses were performed using a chi-squared test. Of respondents, 25% (95% confidence interval [CI]: 22.2-27.6%) and 61% (95% CI: 58.0-64.1%), respectively, did not consider tobacco or alcohol to be drugs. No relationship was found between tobacco and alcohol use, and the belief that these are drugs (p = 0.477 and p = 0.217, respectively). A total 98.2% of adolescents surveyed (95% CI: 97.3-99.1%) believed that tobacco causes physical damage, mainly to the lungs, heart, and to the developing fetus. Additionally, 92.4% (95% CI: 90.6-94.0%) believed that alcohol is detrimental to health and identified the liver as the organ most frequently damaged by alcohol consumption. The media was identified as the main source of information about these substances by 78.0% of respondents (95% CI: 75.4-80.6%). Teenagers possess an acceptable level of knowledge and information about the negative effects of tobacco and alcohol on health; however, many of them do not consider these substances to be drugs.

  1. 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.

  2. Educational inequalities in parental care time: Cross-national evidence from Belgium, Denmark, Spain, and the United Kingdom.

    Science.gov (United States)

    Gracia, Pablo; Ghysels, Joris

    2017-03-01

    This study uses time-diary data for dual-earner couples from Belgium, Denmark, Spain, and the United Kingdom to analyze educational inequalities in parental care time in different national contexts. For mothers, education is significantly associated with parenting involvement only in Spain and the United Kingdom. In Spain these differences are largely explained by inequalities in mothers' time and monetary resources, but not in the United Kingdom, where less-educated mothers disproportionally work in short part-time jobs. For fathers, education is associated with parenting time in Denmark, and particularly in Spain, while the wife's resources substantially drive these associations. On weekends, the educational gradient in parental care time applies only to Spain and the United Kingdom, two countries with particularly large inequalities in parents' opportunities to engage in parenting. The study shows country variations in educational inequalities in parenting, suggesting that socioeconomic resources, especially from mothers, shape important variations in parenting involvement. Copyright © 2016. Published by Elsevier Inc.

  3. The Agincourt demographic and health study - site description ...

    African Journals Online (AJOL)

    The Agincourt demographic and health study - site description, baseline findings and implications. Stephen M Tollman, Kobus Herbst, Michel Garenne, John S.S. Gear, KathJeen Kahn. Abstract. No Abstract. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT.

  4. [Analysis of good practices for inhabitant participation in the clinical management units of the Andalusian Health Service (Spain)].

    Science.gov (United States)

    Gómez Martínez, M Eugenia; Pastor Moreno, Guadalupe; Pérez Corral, Olivia; Iriarte de Los Santos, M Teresa; Mena Jiménez, Ángel Luis; Escudero Espinosa, M Cecilia; García Romera, Inmaculada; Blanco García, Martín Germán; Martín Barato, Amelia

    To discover good practices for inhabitant participation in the clinical management units (CMUs) of the Andalusian Health Service (AHS) (Spain) and to explore the reasons perceived by CMU and AHS professionals that may influence the presence and distribution of those good practices among the CMU. Study with mixed methodology carried out in Andalusia (Spain) in two phases (2013-2015). Firstly, an online survey was delivered to the Directors of the CMUs which had set up an inhabitant participation commission. In a second phase, a qualitative study was carried out through semi-structured interviews with professionals from the Andalusian Health Service with previous experience in inhabitant participation. A descriptive analysis of the quantitative information and a semantic content analysis of the qualitative information were carried out. 530 CMUs took part in the survey. The inhabitant participation practices more often implemented in the CMUs are those related to the informing and consultation levels. Twelve professionals were interviewed in the second phase. Other practices with higher inhabitant involvement and delegation are secondary. The barriers which were identified by professionals are related to the beliefs and attitudes of the inhabitants, the professionals, the health system and the environment. The main practices for inhabitant participation in the CMUs are related to the most basic levels of participation. The method and dynamics which facilitate inhabitant empowerment within the health system are not clearly recognised. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  5. A survey of Rocketry and astronautics in Spain

    Science.gov (United States)

    Maluquer, J. J.

    1977-01-01

    The entire field of rocketry and astronautics in Spain was studied. Congreve war rockets in military actions were emphasized in the African war, the Cuban campaign and the Spanish Civil War. Rockets in space travel were also summarized along with space science fiction.

  6. Redescription of Mehdiella microstoma and description of Mehdiella petterae sp. n., with a new definition of the genus Mehdiella Seurat, 1918 (Nematoda: Pharyngodonidae).

    Science.gov (United States)

    Bouamer, S; Morand, S; Bourgat, R

    2001-01-01

    The generic diagnosis of Mehdiella Seurat, 1918 is emended based on study and redescription of Mehdiella microstoma (Drasche, 1884) from the caecum of Testudo graeca Linnaeus, 1758 collected in Settat, Morocco and on study and description of a new species, Mehdiella petterae sp. n., from the large intestine of Testudo hermanni (Gmelin, 1789) collected in Catalonia, Spain. Scanning electron microscopy (SEM) studies revealed substantial differences in the structure of the mouth and the caudal end, and made possible to differentiate the new species from the others. SEM studies showed the real and sound characteristics of the genus Mehdiella, namely number of anal papillae 2 instead of 3, post-anal papillae pedunculate or sessile instead sessile.

  7. Building Friendship Networks and Intercultural Spaces: The Case of Japanese Women in Spain

    Directory of Open Access Journals (Sweden)

    Rosalia Avila Tapies

    2008-12-01

    Full Text Available This study examines the associationism of Japanese women living in Spain who are members of the Tanpopo-no-kai/Sociedad Tanpopo, and their intercultural experiences through their written personal narratives. This associationism has resulted in attempts to create a social network and space for intercultural communication at a national level between Hispanic-Japanese families and Japanese residents in Spain. The research is based on numerical data and narrative data, however Japanese narratives from the quarterly association bulletins provide the main source of information. By using the narrative analysis method in the form of questions we have been able to study the writings in order to explore issues such as: their transcultural experiences, their processes of adapting to life in Spain, the evolution of their identity, their interpretation of the social reality around them and the passing on of their social and cultural heritage to their children, among others. The study of the Tanpopo association has demonstrated a close-knit and relaxed transcultural and female space for intraethnic communication. It reveals a joint strategy of emotional and instrumental support to overcome the isolation, the loss of social networks and the geographical separation from their own cultural region, resulting from the immigration through marriage of Japanese women living in Spain.

  8. [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.

  9. Wind power development in Spain, the model of Navarra

    Energy Technology Data Exchange (ETDEWEB)

    Miguel Ichaso, A. de [Energia Hidroelectrica de Navarra S.A. (EHN), Pamplona (Spain)

    2000-08-01

    Wind power implementation in Spain has undergone spectacular growth in recent years. From 834 Megawatts installed at the end of 1998, the figure of 1,500 MW was reached at the end of 1999 and forecasts expect well over 2,500 MW by the end of the year 2000. A favourable legislative framework and tariff structure have brought about this rate of development, which is mainly based on the implementation of large wind farms on high altitude sites in Spain. The region of Navarra (northern Spain) has played a special role in this development, and EHN, a company born in this region, has carried out major projects that have given it 30% of the Spanish wind power sector. The challenges for the sector in Spain over the next few years are: (1) Make its development compatible with the supply guarantees required by the national electricity supply operator, (2) ensure that the implementation of wind farms is done with respect for the environment, (3) harmonise the wind power development of the different Autonomous Communities of Spain, and (4) reduce the investment costs in order to obtain enough profitability with falling energy prices in the coming years. (orig.)

  10. Uneven chances of breastfeeding in Spain

    Directory of Open Access Journals (Sweden)

    Río Isabel

    2012-12-01

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

  11. 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.

  12. 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.

  13. Taxation of nuclear waste in Spain

    OpenAIRE

    Rozas Valdés, José Andrés

    2014-01-01

    Law 15/2012 established in Spain four new environmental taxes and extended the scope objective excise duties on mineral oils to tax the use of natural gas and coal as sources of electricity. One of the newly created taxes falls on all electric power producers, and has as tax base the turnover. The second one tax hydropower production, and the other two fall on the nuclear industry. So, there are two new taxes in Spain on the production of electricity from nuclear sources. The first one is a t...

  14. Teaching Digital Libraries in Spain: Context and Experiences

    Science.gov (United States)

    Garcia-Marco, Francisco-Javier

    2009-01-01

    The situation of digital libraries teaching and learning in Spain up to 2008 is examined. A detailed analysis of the different curricula and subjects is provided both at undergraduate and postgraduate level. Digital libraries have been mostly a postgraduate topic in Spain, but they should become mainstream, with special subjects devoted to them,…

  15. [Epidemiology of Clostridium difficile infection in Spain].

    Science.gov (United States)

    Asensio, Angel; Monge, Diana

    2012-06-01

    There has been increasing interest in Clostridium difficile infection (CDI) due its association with healthcare and its impact on morbidity and mortality in the elderly. During the last few years there has been a growing increase in the number of published studies on the incidence, changes on the clinical presentation and on the epidemiology, with the description of new risk factors. The frequency of CDI in Spain is not sufficiently characterised. The available data indicates that incidence is within the range of that of surrounding countries but increasing. Furthermore, the high and growing use of broad spectrum antibiotics, both in our hospitals and in the community setting, are factors that favour the increase of the disease. The hyper-virulent ribotype 027 has not spread in our hospitals. We need to know with enhanced validity and accuracy the incidence of CDI, both community and healthcare-associated, the information on outbreaks, the incidence on certain population groups, the characterisation of circulating ribotypes and the impact of the disease in terms of mortality and health costs. We need to implement programs for the improvement of antibiotic therapy in the hospital, as well as in the community. Furthermore, the knowledge and the performance of standard precautions need to be improved, particularly hand hygiene, and the specific measures to limit the transmission of C. difficile among the healthcare institutions. Copyright © 2011 Elsevier España, S.L. All rights reserved.

  16. Catalonia and Spain at the crossroads: financial and economic aspects

    OpenAIRE

    Castells, Antoni (Castells Oliveres)

    2014-01-01

    In some large European countries, in recent decades, economic globalization has gone hand in hand with a powerful trend to political decentralization (this has been the case in the United Kingdom, France, Italy, and Spain). In Spain, and after years of apparent stability, the relations between Catalonia and Spain are experiencing troubled times. This paper examines particularly the main economic effects of both the staying together and the secession scenarios. Following the introduction, the ...

  17. Conceptual modular description of the high-level waste management system for system studies model development

    International Nuclear Information System (INIS)

    McKee, R.W.; Young, J.R.; Konzek, G.J.

    1992-08-01

    This document presents modular descriptions of possible alternative components of the federal high-level radioactive waste management system and the procedures for combining these modules to obtain descriptions for alternative configurations of that system. The 20 separate system component modules presented here can be combined to obtain a description of any of the 17 alternative system configurations (i.e., scenarios) that were evaluated in the MRS Systems Studies program (DOE 1989a). First-approximation descriptions of other yet-undefined system configurations could also be developed for system study purposes from this database. The descriptions include, in a modular format, both functional descriptions of the processes in the waste management system, plus physical descriptions of the equipment and facilities necessary for performance of those functions

  18. Synonyms and homonyms of Malvasia cultivars (Vitis vinifera L.) existing in Spain

    Energy Technology Data Exchange (ETDEWEB)

    Rodriguez Torres, I.; Ibanez, J.; Andres, M. T. de; Rubio, C.; Borrego, J.; Cabello, F.; Zerolo, J.; Munoz Organero, G.

    2009-07-01

    Malvasia is a common name for different grape cultivars that have long been grown in Spain. In many cases, these cultivars are noted as being aromatic, sweet, and similar to Muscat in flavour. However, not all grapes that share this name exhibit these characteristics. This study compares the Malvasia cultivars in the Spanish Denominations of Origin with those grape cultivars grown in the grapevine collection of El Encin (Alcala de Henares, Spain) using morphological, iso enzymatic, and micro satellite analysis as well as a large bibliographic search of the studied cultivars. Despite their Malvasia denomination, some cultivars have been identified as synonyms of Macabeo, Alarije, Dona Blanca, Chasselas, or Planta Nova, all included on the official Spanish list of commercial grape cultivars. Malvasia de Sitges and Malvasia de Lanzarote have the characteristic flavour of Malvasia grapes and no synonyms were found among the cultivars grown in Spain, whereas Malvasia Rosada resulted from a colour mutation in Malvasia de Sitges. (Author) 26 refs.

  19. What's Going On? An Overview of Adult Education Policies in Spain

    Science.gov (United States)

    Lucio-Villegas, Emilio

    2012-01-01

    In this paper, I attempt to present the state of adult education in Spain. Adult education in Spain is not unlike that of other countries in Europe in that it focuses on the policies and practices of lifelong learning rather than on the perspectives of people and communities. However, Spain has two specific characteristics that are distinctive…

  20. Course Descriptions in Environmental Studies Part One: Historical Courses.

    Science.gov (United States)

    Hughes, Donald; And Others

    1984-01-01

    Presents descriptions (syllabi, outlines, goals) of selected environmental studies courses which approach the discipline from an historical and humanistic perspective. Areas explored in the courses include human ecology, American environmental history, environmental politics, and others. (JN)

  1. Case series and descriptive cohort studies in neurosurgery: the confusion and solution.

    Science.gov (United States)

    Esene, Ignatius N; Ngu, Julius; El Zoghby, Mohamed; Solaroglu, Ihsan; Sikod, Anna M; Kotb, Ali; Dechambenoit, Gilbert; El Husseiny, Hossam

    2014-08-01

    Case series (CS) are well-known designs in contemporary use in neurosurgery but are sometimes used in contexts that are incompatible with their true meaning as defined by epidemiologists. This inconsistent, inappropriate and incorrect use, and mislabeling impairs the appropriate indexing and sorting of evidence. Using PubMed, we systematically identified published articles that had "case series" in the "title" in 15 top-ranked neurosurgical journals from January 2008 to December 2012. The abstracts and/or full articles were scanned to identify those with descriptions of the principal method as being "case series" and then classified as "true case series" or "non-case series" by two independent investigators with 100 % inter-rater agreement. Sixty-four articles had the label "case series" in their "titles." Based on the definition of "case series" and our appraisal of the articles using Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines, 18 articles (28.13 %) were true case series, while 46 (71.87 %) were mislabeled. Thirty-five articles (54.69 %) mistook retrospective (descriptive) cohorts for CS. CS are descriptive with an outcome-based sampling, while "descriptive cohorts" have an exposure-based sampling of patients, followed over time to assess outcome(s). A comparison group is not a defining feature of a cohort study and distinguishes descriptive from analytic cohorts. A distinction between a case report, case series, and descriptive cohorts is absolutely necessary to enable the appropriate indexing, sorting, and application of evidence. Researchers need better training in methods and terminology, and editors and reviewers should scrutinize more carefully manuscripts claiming to be "case series" studies.

  2. 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

  3. Luis Huerta: Eugenics, Medicine and Pedagogy in Spain

    Directory of Open Access Journals (Sweden)

    Luis Miguel LÁZARO LORENTE

    2013-11-01

    Full Text Available By comparison with the historiography of other European and Anglo-Saxon countries, the study of the origins and spread of Eugenics in Spain has not received much attention. Even less research has been done on the degree of acceptance of eugenic thought in the pedagogical domain or on the role teachers may have in the diffusion of eugenics. This paper attempts to explore the subject while focusing the analysis on the relations that were established among Medicine, Pedagogy and Eugenics in Spain during the first third of the 20th century. We will take as a point of reference and guiding line of thought the figure of the Asturian teacher Luis Huerta Naves, who was the driving force and tireless advocate of the eugenics movement in our country.

  4. Differences in Attitudes Toward Living Kidney Donation Among Dominican Immigrants Living in Spain and the United States.

    Science.gov (United States)

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

    2018-03-01

    The Dominican population has a double-emigration pathway: one is to the USA, by proximity, and the other is to Spain, by sociocultural identification. Our aim was to determine attitudes toward living organ donation among Dominicans residing in Florida (USA) and Spain. All study participants were at least 15 years old and living in either Florida (USA) or Spain, and stratified by gender and age. A questionnaire on attitudes toward living kidney donation ("PCID-LKD Ríos") was used. The support of immigrant associations in Florida and Spain was required to advise on survey locations. Data obtained were anonymized and self-administered. The study questionnaire was completed by 123 Dominicans, 68% of whom were in favor of living related kidney donation. There were differences (P = .004) according to the country of residence. Eighty-one percent of Spain's Dominican residents were in favor, compared with 56% of Florida's residents. Factors associated with attitude toward donation were level of education (P donation (P = .006), attitude toward cadaveric organ donation (P donation (P = .046). Attitudes toward living kidney donation among immigrant Dominicans varies between Spain and the USA, with the former showing a more positive view. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. [Malformation syndromes in the spanish literature: The first descriptions].

    Science.gov (United States)

    García Nieto, V; Zafra Anta, M; Bassat, Q; de Arana Amurrio, J I; Fernández Menéndez, J M; Fernández Teijeiro, J J; Gorrotxategi Gorrotxategi, P J; Ponte Hernando, F

    2013-12-01

    Malformation or dysmorphic syndromes are conditions that are defined by the combination of a set of major and minor malformations that generally have a genetic origin. We investigated the early Spanish descriptions of a large number of sydromes. We started the study from the definition in a classic treatise on the subject. Among the 60 selected syndromes studied, at least two articles of each syndrome among those published in Spain and for the first time were listed in the Spanish Medical Index. For years prior to 1970, it expanded The search was expanded to PubMed, for the years before 1970. We collected 64 articles that referred to 58 syndromes. Four articles were written during the first half of the twentieth century. Almost half of the works (n=30) appeared in the 1970's. The papers were published in ten Spanish pediatric, nine Spanish non-pediatric, three pediatric non-Spanish and two non-Spanish non-pediatric Journals. The Journals with the most articles published were Anales de Pediatría y Revista Española de Pediatría. The hospitals where the articles originate more often were Hospital La Paz, Madrid and Hospital Clinic, Barcelona. The rest of the works were written in 30 pediatric hospitals and two more in non-Spanish hospitals. The number of authors increased with the passage of time. Although there were potential limitations, we have identified what may be the first descriptions of 58 syndromes, among the 60 chosen initially. Copyright © 2012 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  6. 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…

  7. Ecuadorian youth, social and geographic mobility and higher education in Spain and Ecuador. Unequal educational trajectories in times of crises

    Directory of Open Access Journals (Sweden)

    Cristina Vega Solís

    2017-11-01

    Full Text Available In the paper we analyze the inequalities that emerge from and are reproduced in Ecuadorian’s higher education trajectories in the context of economic crises. We focus on the strategies that these youth and their families employ for social mobility as well as the role of public policy in these processes. We examine the trajectories of three groups: sons and daughters of the 2000 migration wave from Ecuador to Spain who study at universities in Spain, those who have returned to Ecuador for their studies, and Ecuadorians who move to Spain in order to carry out postgraduate studies, some of them funded by scholarships from the Ecuadorian government. The research project employed a qualitative methodology based on interviews, focus groups and a survey with Ecuadorians in Spain who took the entrance exam for admittance into Ecuador’s public university system. Our findings highlight the varied forms of capitals that these diverse students employ, as well as the social and economic constraints that they encounter. In a period of economic crisis in Spain, the first group of students must often downgrade their expectations in order to continue their studies. Their experience contrasts starkly with Ecuadorians undertaking postgraduate studies in Spain, whose heterogenous trajectories are upwardly and geographically mobile. The case of the return university students to Ecuador shows us that education is inserted into a broader strategy that depends on transnational networks shaped over more than a decade of Ecuador-Spain migration.

  8. 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...

  9. 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.

  10. Who cares? A comparison of informal and formal care provision in Spain, England and the USA.

    Science.gov (United States)

    Solé-Auró, Aïda; Crimmins, Eileen M

    2014-03-01

    This paper investigates the prevalence of incapacity in performing daily activities and the associations between household composition and availability of family members and receipt of care among older adults with functioning problems in Spain, England and the United States of America (USA). We examine how living arrangements, marital status, child availability, limitations in functioning ability, age and gender affect the probability of receiving formal care and informal care from household members and from others in three countries with different family structures, living arrangements and policies supporting care of the incapacitated. Data sources include the 2006 Survey of Health, Ageing and Retirement in Europe for Spain, the third wave of the English Longitudinal Study of Ageing (2006), and the eighth wave of the USA Health and Retirement Study (2006). Logistic and multinomial logistic regressions are used to estimate the probability of receiving care and the sources of care among persons age 50 and older. The percentage of people with functional limitations receiving care is higher in Spain. More care comes from outside the household in the USA and England than in Spain. The use of formal care among the incapacitated is lowest in the USA and highest in Spain.

  11. Central corneal thickness, intraocular pressure, and degree of myopia in an adult myopic population aged 20 to 40 years in southeast Spain: determination and relationships

    Directory of Open Access Journals (Sweden)

    Manuel Garcia-Medina

    2011-02-01

    Full Text Available Manuel Garcia-Medina1, Jose Javier Garcia-Medina2,3, Pablo Garrido-Fernandez1, Jose Galvan-Espinosa1, Jesus Martin-Molina1, Carlos Garcia-Maturana4, Sergio Perez-Pardo1, Maria Dolores Pinazo-Duran3 1Department of Ophthalmology, Torrecardenas Hospital, Almeria, Spain; 2Department of Ophthalmology, Huercal Overa Hospital, Almeria, Spain; 3Ophthalmology Research Unit “Santiago Grisolia”, University Hospital Doctor Peset, Valencia, Spain; 4University of Sevilla, SpainObjective: To determine the values of, and study the relationships among, central corneal thickness (CCT, intraocular pressure (IOP, and degree of myopia (DM in an adult myopic population aged 20 to 40 years in Almeria (southeast Spain. To our knowledge this is first study of this kind in this region.Methods: An observational, descriptive, cross-sectional study was done in which a sample of 310 myopic patients (620 eyes aged 20 to 40 years was selected by gender- and age-stratified sampling, which was proportionally fixed to the size of the population strata for which a 20% prevalence of myopia, 5% epsilon, and a 95% confidence interval were hypothesized. We studied IOP, CCT, and DM and their relationships by calculating the mean, standard deviation, 95% confidence interval for the mean, median, Fisher’s asymmetry coefficient, range (maximum, minimum, and the Brown-Forsythe’s robust test for each variable (IOP, CCT, and DM.Results: In the adult myopic population of Almeria aged 20 to 40 years (mean of 29.8, the mean overall CCT was 550.12 µm. The corneas of men were thicker than those of women (P = 0.014. CCT was stable as no significant differences were seen in the 20- to 40-year-old subjects’ CCT values. The mean overall IOP was 13.60 mmHg. Men had a higher IOP than women (P = 0.002. Subjects over 30 years (13.83 had a higher IOP than those under 30 (13.38 (P = 0.04. The mean overall DM was -4.18 diopters. Men had less myopia than women (P < 0.001. Myopia was stable in the

  12. Analysis of laparoscopic port site complications: A descriptive study.

    Science.gov (United States)

    Karthik, Somu; Augustine, Alfred Joseph; Shibumon, Mundunadackal Madhavan; Pai, Manohar Varadaraya

    2013-04-01

    The rate of port site complications following conventional laparoscopic surgery is about 21 per 100,000 cases. It has shown a proportional rise with increase in the size of the port site incision and trocar. Although rare, complications that occur at the port site include infection, bleeding, and port site hernia. To determine the morbidity associated with ports at the site of their insertion in laparoscopic surgery and to identify risk factors for complications. Prospective descriptive study. In the present descriptive study, a total of 570 patients who underwent laparoscopic surgeries for various ailments between August 2009 and July 2011 at our institute were observed for port site complications prospectively and the complications were reviewed. Descriptive statistical analysis was carried out in the present study. The statistical software, namely, SPSS 15.0 was used for the analysis of the data. Of the 570 patients undergoing laparoscopic surgery, 17 (3%) had developed complications specifically related to the port site during a minimum follow-up of three months; port site infection (PSI) was the most frequent (n = 10, 1.8%), followed by port site bleeding (n = 4, 0.7%), omentum-related complications (n = 2; 0.35%), and port site metastasis (n = 1, 0.175%). Laparoscopic surgeries are associated with minimal port site complications. Complications are related to the increased number of ports. Umbilical port involvement is the commonest. Most complications are manageable with minimal morbidity, and can be further minimized with meticulous surgical technique during entry and exit.

  13. Spain: From massive immigration to vast emigration?

    OpenAIRE

    Izquierdo, Mario; Jimeno, Juan F.; Lacuesta, Aitor

    2016-01-01

    Large immigration flows during the 1995-2007 period increased the weight of foreigners living in Spain to 12 % of the total population. The rapid increase in unemployment associated with the Great Recession and the subsequent European debt crisis, substantially changed migration flows, so that, from the beginning of the 2010s, Spain experienced positive net outflows. In this paper, we take on three tasks. First, we show that sensitivity of migration flows to unemployment is similar between Sp...

  14. 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

  15. 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.

  16. Factors associated with active aging in Finland, Poland, and Spain.

    Science.gov (United States)

    Perales, Jaime; Martin, Steven; Ayuso-Mateos, Jose Luis; Chatterji, Somnath; Garin, Noe; Koskinen, Seppo; Leonardi, Matilde; Miret, Marta; Moneta, Victoria; Olaya, Beatriz; Tobiasz-Adamczyk, Beata; Haro, Josep Maria

    2014-08-01

    Continuous population aging has raised international policy interest in promoting active aging (AA). AA theoretical models have been defined from a biomedical or a psychosocial perspective. These models may be expanded including components suggested by lay individuals. This paper aims to study the correlates of AA in three European countries, namely, Spain, Poland, and Finland using four different definitions of AA. The EU COURAGE in Europe project was a cross-sectional general adult population survey conducted in a representative sample of the noninstitutionalized population of Finland, Poland, and Spain. Participants (10,800) lived in the community. This analysis focuses on individuals aged 50 years old and over (7,987). Four definitions (two biomedical, one psychosocial, and a complete definition including biomedical, psychosocial, and external variables) of AA were analyzed. Differences in AA were found for country, age, education, and occupation. Finland scored consistently the highest in AA followed by Spain and Poland. Younger age was associated with higher AA. Higher education and occupation was associated with AA. Being married or cohabiting was associated with better AA compared to being widowed or separated in most definitions. Gender and urbanicity were not associated with AA, with few exceptions. Men scored higher in AA only in Spain, whereas there was no gender association in the other two countries. Being widowed was only associated with lower AA in Poland and not being married was associated with lower AA in Poland and Finland but not Spain. Associations with education, marital status, and occupation suggest that these factors are the most important components of AA. These association patterns, however, seem to vary across the three countries. Actions to promote AA in these countries may be addressed at reducing inequalities in occupation and education or directly tackling the components of AA lacking in each country.

  17. On a Lecture Trip to Spain: The Scientific Relations between Germany and Spain during the Entente Boycott (1919-1926)

    Science.gov (United States)

    Presas i Puig, Albert

    2008-01-01

    The aim of this paper is to analyse the scientific relations between Germany and Spain during the Entente Boycott (1919-1926) and the German academic policy that fostered it. The study of the international relations of German science during the 1920s has been carried out using as a basis the archives of scientific institutions. Personal…

  18. Occurrence of Edwardsiella tarda in wild European eels Anguilla anguilla from Mediterranean Spain.

    Science.gov (United States)

    Alcaide, Elena; Herraiz, Sonia; Esteve, Consuelo

    2006-11-21

    Pure cultures of Edwarsiella tarda were isolated from body ulcers and internal organs of wild European eels caught in a Mediterranean freshwater coastal lagoon (Albufera Lake, Valencia, Spain) over a 1 yr period. Overall, the E. tarda isolation rate from wild eels was 9%, but this increased to 22.8% in diseased individuals. All 22 E. tarda isolates belonged to the 'wild-type' biogroup of the species and were virulent for eels (lethal dose that kills 50% of exposed individuals [LD50 dose]: 10(4.85) to 10(6.83) CFU ind.(-1)), and therefore represented the aetiological agent of the haemorrhagic disease observed in wild European eels. The E. tarda isolates and E. tarda CECT 894T type strain were biochemically and serologically related and resistant to macrolides, antifolates, and glycopeptides, but only the isolates from wild eels were resistant to clindamicyn. This study is the first description of edwardsiellosis in a wild European eel population, and alerts us to the presence of E. tarda in natural wetland environments in Mediterranean Europe.

  19. The Spanish Nuclear Safety Council and nuclear power stations in operation in Spain

    International Nuclear Information System (INIS)

    Perello, M.

    1984-01-01

    On 20 April 1980 the Spanish Congress of Deputies passed an Act setting up the Nuclear Safety Council (CSN) as the sole organization responsible for nuclear safety and radiation protection. In this paper it is stated that that date marked the beginning of a new nuclear safety policy in Spain. As one of its objectives, this policy is aimed at the monitoring and testing of operating nuclear installations. A detailed description is given of the Operating Nuclear Installation Service (SINE), including its basic structure, its functions and the technical and manpower resources available to it. The maintenance of close relations with other organs of the CSN is considered of paramount importance in order for the tasks allotted to SINE to be fulfilled. International co-operation and outside contracting greatly assist importing countries which have limited manpower resources. A description is then given of the present state of the nuclear power stations in operation in Spain together with an account of the most important initiatives which have been taken so far. The year 1968 saw the beginning of commercial operation of the Jose Cabrera nuclear power station, which has the only single-loop PWR reactor in the world. At present, it is being subjected to the Systematic Evaluation Programme (SEP). The Santa Maria de Garona nuclear power station has been operating for over twelve years and is also being subjected to the SEP although design modifications derived from operating experience have already been introduced. The Vandellos I station was the last of the first generation and has also benefited from the operating experience of similar French plants. Unit 1 of the Almaraz power station opens the door to the second generation and the generic problem which has occurred with the steam generators is in process of being solved. Lastly, some general conclusions are presented about the organization of and experience acquired with operating nuclear power stations. (author)

  20. [Beginnings of bariatric and metabolic surgery in Spain].

    Science.gov (United States)

    Baltasar, Aniceto; Domínguez-Adame, Eduardo

    2013-01-01

    When bariatric and metabolic surgery initially began in Spain, it was a subject of debate, due to not knowing exactly who were the first surgeons to perform it. A study has revealed the authors of the first interventions. Copyright © 2012 AEC. Published by Elsevier Espana. All rights reserved.

  1. 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.

  2. Thermal solar energy in Spain. State of the art and objectives

    International Nuclear Information System (INIS)

    Glenn, Jaouen

    2006-01-01

    According the Kyoto protocol, Spain has to reduce its CO 2 emissions at 330 millions of tons (a decrease of 18 % from the level of 2003). From the european commission policy, the energy resources will be of 12 % of renewable energies. In this context, Spain developed an energy policy in favor of the solar energy. This document provides information on: the energy market in Spain, the thermal solar energy operating, the CO 2 emissions, the state of the art in the domain in spain, the 2010 objectives, the programs and the assistance, some data on the solar market in comparison with the Europe. (A.L.B.)

  3. A prospective descriptive study of the management of miscarriages ...

    African Journals Online (AJOL)

    Objective: To assess the current management of incomplete miscarriage at Harare and Parirenyatwa Hospitals and to determine the proportion of patients with incomplete miscarriage managed with Manual Vacuum Aspiration (MVA), sharp curettage or medical evacuation. Design: A prospective descriptive study.

  4. Course Descriptions in Environmental Studies Part Two: Interdisciplinary Courses.

    Science.gov (United States)

    Dunlap, Riley; And Others

    1984-01-01

    Presents descriptions (syllabi, outlines, goals) of interdisciplinary environmental studies courses. Topic areas of these courses include: environmental sociology; human ecology (politics, institutions, and the environment); humans and the environment in historical perspective; environmental management; humans, hazards, and disasters; and other…

  5. Nigerian Immigrant Population in Spain Is Little Sensitized to Living-Related Kidney Donation.

    Science.gov (United States)

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

    2018-03-01

    The Nigerian population is an emerging group in Spain and in Europe, but their sensitization toward living kidney donation has not been studied. The aim of this work was to analyze the attitude toward related renal donation while alive among the population born in Nigeria resident in Spain. A population older than 15 years born in Nigeria and resident in Spain, stratified by age and sex, was studied with the use of the attitude questionnaire about living kidney donation, "PCID-DVR-Ríos." People were randomly selected based on stratification. African immigration support associations advised on the location of potential respondents. Completion of the questionnaire was anonymous and self-administered. Verbal consent was requested to assist in the study. Statistical methods included Student t test, χ 2 , Fisher exact test, and logistic regression analysis. A total of 179 respondents were included in the study: 70% (n = 125) were in favor of living-related kidney donation, and 30% (n = 54) remained against or undecided. This attitude was associated with different psychosocial factors: marital status (P = .001), having offspring (P = .029), risk assessment of live donation (P donation (P donation and/or transplantation (P donation (P donation and/or transplantation (odds ratio, 8.064) persisted as the main related factor. The Nigerian immigrant population in Spain has a less favorable attitude toward living kidney donation than the native western European and Spanish population. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. 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

  7. Influence of urban morphology on total noise pollution: multifractal description.

    Science.gov (United States)

    Ariza-Villaverde, Ana B; Jiménez-Hornero, Francisco J; Gutiérrez De Ravé, Eduardo

    2014-02-15

    Exposure to ambient noise levels above 65 dB can cause public health problems. The spatial distribution of this kind of pollution is linked to various elements which make up the urban form, such as construction density, the existence of open spaces and the shape and physical position of buildings. Since urban morphology displays multifractal behaviour, the present research studies for the first time the relationship between total noise pollution and urban features, such as street width and building height by means of a joint multifractal spectrum in two neighbourhoods of the city of Cordoba (Andalusia, Spain). According to the results, the joint multifractal spectrum reveals a positive correlation between the total noise pollution and the street width to building height ratio, this being more evident when urban morphology is regular. The information provided by the multifractal analysis completes the description obtained by using urban indexes and landscape metrics and might be useful for urban planning once the linkage between both frameworks has been done. Copyright © 2013 Elsevier B.V. All rights reserved.

  8. 1977-2017: Nursing research in Spain after 40 years in the University.

    Science.gov (United States)

    Morales Asencio, José Miguel; Hueso Montoro, César; de Pedro-Gómez, Joan Ernest; Bennasar-Veny, Miquel

    Nursing research in Spain cannot be understood without analyzing the development of this profession over the last 40 years. The social, political and economic context has determined the evolution of nursing research, and an analysis of the current situation is necessary to confront the immediate challenges the nursing profession has to handle. To offer a global perspective of care research in Spain as a framework for reflection and discussion on possible short and medium-term strategies that guide the planning and decision making of the different stakeholders involved in nursing research in Spain. A multi-method study combining documentary analysis with bibliometric methods was carried out. Some isolated policies to promote nursing research have been identified, a significant increase in doctoral training (49 doctoral programs) and 89 nurse research groups (1.92 groups per million inhabitants) responsible for a scientific production that puts Spain in seventh place in the world ranking of scientific production in the area of nursing. The increase in public expenditure on R & D &I and the growth in bibliometric impact are associated with a higher density of nursing research groups. Nursing research in Spain is sensitive to research promotion policies and resources, although there is no consolidated and uniform strategy that overcomes current barriers. The impact of the academic development of Spanish nNursing in scientific production is still unknown. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  9. [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.

  10. Prevalence of child and youth obesity in Spain in 2012.

    Science.gov (United States)

    Sánchez-Cruz, José-Juan; Jiménez-Moleón, José J; Fernández-Quesada, Fidel; Sánchez, María J

    2013-05-01

    Obesity is a major cardiovascular risk factor. In Spain, few studies have physically measured height and weight to estimate the magnitude of the problem. The aim of this study was to determine the prevalence of child and adolescent obesity in Spain in 2012. We performed a cross-sectional probability sample of 1018 children, representative of the Spanish population aged between 8 and 17 years old, with objectively measured height and weight, along with other sociodemographic variables. We calculated the prevalence of overweight and obesity according to the criteria of the World Health Organization, the International Obesity Task Force, and the enKid study. In the group aged 8 to 17 years old, the prevalence of overweight and obesity was 26% and 12.6%, respectively; 4 in 10 young people were overweight or obese. Excess weight was found in 45% of the group aged 8 to 13 years and in 25.5% of that aged 14 to 17 years. This cardiovascular risk factor was associated with lower social class and lower educational level. The prevalence of overweight and obesity in children and adolescents in Spain remains high (close to 40%), but has not increased in the last 12 years. Copyright © 2012 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.

  11. Effective International Medical Disaster Relief: A Qualitative Descriptive Study.

    Science.gov (United States)

    Broby, Nicolette; Lassetter, Jane H; Williams, Mary; Winters, Blaine A

    2018-04-01

    Purpose The aim of this study was to assist organizations seeking to develop or improve their medical disaster relief effort by identifying fundamental elements and processes that permeate high-quality, international, medical disaster relief organizations and the teams they deploy. A qualitative descriptive design was used. Data were gathered from interviews with key personnel at five international medical response organizations, as well as during field observations conducted at multiple sites in Jordan and Greece, including three refugee camps. Data were then reviewed by the research team and coded to identify patterns, categories, and themes. The results from this qualitative, descriptive design identified three themes which were key characteristics of success found in effective, well-established, international medical disaster relief organizations. These characteristics were first, ensuring an official invitation had been extended and the need for assistance had been identified. Second, the response to that need was done in an effective and sustainable manner. Third, effective organizations strived to obtain high-quality volunteers. By following the three key characteristics outlined in this research, organizations are more likely to improve the efficiency and quality of their work. In addition, they will be less likely to impede the overall recovery process. Broby N , Lassetter JH , Williams M , Winters BA . Effective international medical disaster relief: a qualitative descriptive study. Prehosp Disaster Med. 2018;33(2):119-126.

  12. 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.

  13. 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.

  14. 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

  15. Sustainable Drainage Practices in Spain, Specially Focused on Pervious Pavements

    Directory of Open Access Journals (Sweden)

    Jorge Rodriguez-Hernandez

    2013-01-01

    Full Text Available The Spanish climate is full of contrasts, with torrential rains and long droughts; under these conditions, appropriate water management is essential. In Spain, until the end of the twentieth century, water management and legislative development lagged behind other more developed countries. Nowadays, great efforts are being made to reverse this situation and improve both water management and legislation in order to control the two main problems related to stormwater management in cities: floods and diffuse pollution. In this context, Sustainable Urban Drainage Systems (SUDS were developed as the main solution to these problems. The study of these techniques started in the 1970s in the USA, but they were not studied in Spain until 1993 when the University of Cantabria and CLABSA started to look into solutions for stormwater management. After 20 years of research and application, sustainable drainage in Spain is still behind other countries in spite of the efforts to change this situation, notably by the University of Cantabria with 10 years of experience in these techniques, mainly regarding pervious pavements, where more than 13 related research projects have been carried out. The future challenges focus on the application of pervious pavements for Urban Hydrological Rehabilitation.

  16. [Variability in smoking experimentation and risk factors in 4 secondary schools in Murcia (Spain)].

    Science.gov (United States)

    García, Pedro; Carrillo, Andrés; Sánchez, Joseph; Hurtado, Ascensión; Sánchez, Irene; Martínez, Rafaela; Cuevas, María Dolores

    2007-01-01

    To identify patterns of tobacco experimentation and consumption in 4 geographically close groups of students in the first year of secondary education, as well as attitudes and consumption in their social environments. To identify the factors associated with tobacco experimentation and consumption in each of the student groups. An observational, descriptive, cross-sectional, multicenter study was conducted in 4 secondary schools in the region of Murcia (Spain). The study population consisted of first graders in secondary education, recruited in January 2005. The study variables were collected using a modified version of the FRISC questionnaire. The study population was composed of 377 students (190 boys) with a mean age of 12.6 years (standard deviation [SD] = 0.6). Between 15.3% and 42.1% of the students had smoked at some time. Between 2% and 6.9% smoked regularly. These differences were related to socioeconomic characteristics ("living with the mother", p = 0.049; "living with the father", p = 0.015) and consumption in the environment ("mother", p = 0.013; "friends", p pocket money, consumption among friends, experimenting with alcohol and not living in one of the towns studied. Significant differences were found among the towns studied. Application of standard preventive programs may prove ineffective unless they are adapted to the characteristics of the specific school.

  17. Water Markets in Spain: Performance and Challenges

    Directory of Open Access Journals (Sweden)

    Sara Palomo-Hierro

    2015-02-01

    Full Text Available Law 46/1999 incorporated formal water markets into the Spanish legal and regulatory framework, allowing spot water markets and the creation of water banks. The implementation of water markets in Spain aimed at improving the efficiency of water use by reallocating water towards uses with higher added value. However, the performance of water markets in Spain has been rather disappointing, since they have been operative only during drought periods, and even under these extreme scarcity situations, trading activity counted for less than 5.0% of total water use. The narrowness of the market suggests that there are some barriers hampering their effective functioning. This paper examines the evolution and performance of water markets in Spain, relying on a transaction costs analysis framework. This analysis allows the identification of the main factors impeding water markets from operating effectively as a water reallocation tool. This analysis also provides some guidelines on how to overcome these obstacles and, thus, how to improve the efficiency of water use.

  18. Investigating the reasons for Spain's falling birth rate.

    Science.gov (United States)

    Bosch, X

    1998-09-12

    On August 25, 1998, the Spanish National Institute of Statistics announced that Spain, which has had the most accelerated decrease in fecundity of all European countries during the last 25 years, had the lowest birth rate in Europe. Spain's average birth rate was 2.86 in 1970, 2.21 in 1980, and 1.21 in 1994. According to Eurostat, Spain's average birth rate in 1995 was 1.18, while the European Community's was 1.43. Although all the countries of the European Community have birth rates below 2.1, Spain's is 44% below this minimum rate needed to achieve generation replacement. In 1994 and 1997, in 5 northern communities, including the Basque country and Galicia, the birth rate was less than 1.0. The lowest birth rate (0.76 in 1997) was in the northern region of Asturias. Although southern autonomous regions have higher birth rates (between 1.21 and 1.44 for 1997) than northern ones, these are also decreasing (from 3.36 in 1970 to 1.29 in 1997 in Andalusia). Credit for the rapid decrease is given to improved quality of life and education, increased contraceptive usage, and social change. Employment of women has increased, and unemployed sons are remaining at home for longer periods. The most important reasons are 1) the increased number of single people and 2) the increased average age of women having their first child. The latter increase began in 1988. Most Spanish women now have their first child between the ages of 30 and 39 years. The average age was 28 years in 1975; in 1995, it was 30 years. Women from the northern autonomous regions have the highest average age at first birth (Basque women, 31.2 years in 1995). The pattern of fecundity in Spain is different from other countries in Europe. In Spain, the decrease started in the late 1960s and early 1970s. Until the 1980s, Spain had one of the highest birth rates in Europe. This was followed by a decrease in the 1990s. However, in 1997, there were 3000 more births than in 1996. The National Institute of Demography

  19. Great Writers of Spain I (Nineteenth Century): 7506.26.

    Science.gov (United States)

    Dade County Public Schools, Miami, FL.

    The main goal of this course of study is for the student to understand, recognize, and interpret the many changes which occurred in the poetry and prose of Spain at the advent of Romanticism. The student also studies the movements that followed Romanticism: Realism, Regionalism, and Naturalism. Performance objectives, suggested materials, learning…

  20. 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.

  1. Analysis of laparoscopic port site complications: A descriptive study

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    Somu Karthik

    2013-01-01

    Full Text Available Context: The rate of port site complications following conventional laparoscopic surgery is about 21 per 100,000 cases. It has shown a proportional rise with increase in the size of the port site incision and trocar. Although rare, complications that occur at the port site include infection, bleeding, and port site hernia. Aims: To determine the morbidity associated with ports at the site of their insertion in laparoscopic surgery and to identify risk factors for complications. Settings and Design: Prospective descriptive study. Materials and Methods: In the present descriptive study, a total of 570 patients who underwent laparoscopic surgeries for various ailments between August 2009 and July 2011 at our institute were observed for port site complications prospectively and the complications were reviewed. Statistical Analysis Used: Descriptive statistical analysis was carried out in the present study. The statistical software, namely, SPSS 15.0 was used for the analysis of the data. Results: Of the 570 patients undergoing laparoscopic surgery, 17 (3% had developed complications specifically related to the port site during a minimum follow-up of three months; port site infection (PSI was the most frequent (n = 10, 1.8%, followed by port site bleeding (n = 4, 0.7%, omentum-related complications (n = 2; 0.35%, and port site metastasis (n = 1, 0.175%. Conclusions: Laparoscopic surgeries are associated with minimal port site complications. Complications are related to the increased number of ports. Umbilical port involvement is the commonest. Most complications are manageable with minimal morbidity, and can be further minimized with meticulous surgical technique during entry and exit.

  2. Analysis of laparoscopic port site complications: A descriptive study

    Science.gov (United States)

    Karthik, Somu; Augustine, Alfred Joseph; Shibumon, Mundunadackal Madhavan; Pai, Manohar Varadaraya

    2013-01-01

    CONTEXT: The rate of port site complications following conventional laparoscopic surgery is about 21 per 100,000 cases. It has shown a proportional rise with increase in the size of the port site incision and trocar. Although rare, complications that occur at the port site include infection, bleeding, and port site hernia. AIMS: To determine the morbidity associated with ports at the site of their insertion in laparoscopic surgery and to identify risk factors for complications. SETTINGS AND DESIGN: Prospective descriptive study. MATERIALS AND METHODS: In the present descriptive study, a total of 570 patients who underwent laparoscopic surgeries for various ailments between August 2009 and July 2011 at our institute were observed for port site complications prospectively and the complications were reviewed. STATISTICAL ANALYSIS USED: Descriptive statistical analysis was carried out in the present study. The statistical software, namely, SPSS 15.0 was used for the analysis of the data. RESULTS: Of the 570 patients undergoing laparoscopic surgery, 17 (3%) had developed complications specifically related to the port site during a minimum follow-up of three months; port site infection (PSI) was the most frequent (n = 10, 1.8%), followed by port site bleeding (n = 4, 0.7%), omentum-related complications (n = 2; 0.35%), and port site metastasis (n = 1, 0.175%). CONCLUSIONS: Laparoscopic surgeries are associated with minimal port site complications. Complications are related to the increased number of ports. Umbilical port involvement is the commonest. Most complications are manageable with minimal morbidity, and can be further minimized with meticulous surgical technique during entry and exit. PMID:23741110

  3. 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)

  4. 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...

  5. 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)

  6. The collection of type specimens of the family Carabidae (Coleoptera deposited in the Natural History Museum of Barcelona, Spain

    Directory of Open Access Journals (Sweden)

    Viñolas, A.

    2014-05-01

    Full Text Available The type collection of the family Carabidae (Coleoptera deposited in the Natural History Museum of Barcelona, Spain, has been organised, revised and documented. It contains 430 type specimens belonging to 155 different taxa. Of note are the large number of hypogean species, the species of Cicindelidae from Asenci Codina’s collection, and the species of Harpalinae extracted from Jacques Nègre’s collection. In this paper we provide all the available information related to these type specimens. We therefore provide the following information for each taxon, species or subspecies: the original and current taxonomic status, original citation of type materials, exact transcription of original labels, and preservation condition of specimens. Moreover, the differences between original descriptions and labels are discussed. When a taxonomic change has occurred, the references that examine those changes are included at the end of the taxa description.

  7. Validating a Measure of Teacher Intentions to Integrate Technology in Education in Turkey, Spain and the USA

    Science.gov (United States)

    Perkmen, Serkan; Antonenko, Pavlo; Caracuel, Alfonso

    2016-01-01

    The main purpose of this study was to examine the validity of the Teacher Intentions to Integrate Technology in Education Scale using pre-service teacher samples from three countries on three continents--Turkey, Spain and the United States. Study participants were 550 pre-service teachers from three universities in Turkey, Spain and the USA (219,…

  8. Information transfer in the agricultural sector in Spain

    OpenAIRE

    Munoz-Canavate, Antonio; Hipola, Pedro

    2010-01-01

    This paper examines the structures of information transfer to the agricultural (production) and agro-alimentary (transformation and commercialization of the products) sector within Spain. A historical perspective is provided to better illustrate the reality and complexity of Spain with regard to the systems of agrarian extension, agricultural research, resources provided by Spain’s central administration, and the use of information by related enterprises. The Service of Agrarian Extens...

  9. Does the environment affect suicide rates in Spain? A spatiotemporal analysis.

    Science.gov (United States)

    Santurtún, Maite; Santurtún, Ana; Zarrabeitia, María T

    2017-06-05

    Suicide is an important public health problem, it represents one of the major causes of unnatural death, and there are many factors that affect the risk of suicidal behaviour. The present study analyzes the temporal and spatial variations of mortality by suicide in Spain and its relationship with gross domestic product (GDP) per capita. A retrospective study was performed, in which deaths by suicide, sex and age group in 50 Spanish provinces between 2000 and 2012 were analyzed. The annual trend of suicide mortality was assessed using Kendall's tau-b correlation coefficient. Seasonality and monthly and weekly behaviour were evaluated by performing the ANOVA test and the Bonferroni adjustment. Finally, the relationship between GDP per capita and suicide was studied. Between 2000 and 2012, 42,905adult people died by suicide in Spain. The annual average incidence rate was 95 suicides per million population. The regions located in the south and in the northwest of the country registered the highest per capita mortality rates. There is a decreasing trend in mortality by suicide over the period studied (CC=-.744; P=.0004) in adults over the age of 64, and a seasonal behaviour was identified with summer maximum and autumn minimum values (f=.504; P<.0001). The regions with the highest GDP per capita showed the lowest mortality by suicide (r=-.645; P<.0001) and the relationship is stronger among older age groups. Mortality by suicide does not follow a homogenous geographical distribution in Spain. Mortality in men was higher than in women. Over the period of study, there has been a decrease in mortality by suicide in Spain in adults over the age of 64. The seasonal cycle of suicides and the inverse relationship with GDP per capita found in this study, provide information which may be used as a tool for developing prevention and intervention strategies. Copyright © 2017 SEP y SEPB. Publicado por Elsevier España, S.L.U. All rights reserved.

  10. Analysis of cerebrovascular mortality trends in Spain from 1980 to 2011.

    Science.gov (United States)

    Cayuela, A; Cayuela, L; Escudero-Martínez, I; Rodríguez-Domínguez, S; González, A; Moniche, F; Jiménez, M D; Montaner, J

    2016-01-01

    In recent decades, mortality rates for cerebrovascular diseases (CVD) have declined significantly in many countries. This study analyses changes in CVD mortality rates in Spain (1980-2011) to determine if previously observed trends remain. Data on CVD mortality rates and the population data needed for the analysis were provided by Spain's National Statistics Institute. We calculated age-specific mortality rate, age-standardised overall mortality, and age-truncated mortality (35-64 years) using the direct method and standard European population structure. Joinpoint analysis was used to estimate the percentage of annual change in rates and identify significant changes in trends. CVD mortality rate decreased considerably and continuously over the last 32 years in all age groups and in both sexes in Spain. For both sexes, joinpoint analysis identifies a final period with more marked decline: 2005-2011 in women (-6.3%) and 2007-2011 in men (-7.2%). CVD mortality rates displayed a marked and continuous decline in Spain between 1980 and 2011. Due to the ageing of the population, doctors expect an increase in CVD prevalence and therefore its magnitude in terms of disability and healthcare costs, which poses a challenge to our health system. Copyright © 2014 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. Mercury concentrations in cattle from NW Spain.

    Science.gov (United States)

    López Alonso, M; Benedito, J L; Miranda, M; Castillo, C; Hernández, J; Shore, R F

    2003-01-20

    Mercury is a toxic metal that is released into the environment as a result of various industrial and agricultural processes. It can be accumulated by domestic animals and so contaminate human foodstuffs. To date, there is no information on mercury residues in livestock in Spain and the aim of the present study was to quantify the concentrations of mercury in cattle in two of the major regions in north-west Spain, Galicia (a largely rural region) and Asturias, which is characterised by heavy industry and mining. Total mercury concentrations were determined in tissue (liver, kidney and muscle) and blood from 284 calves (6-10 months old) and 56 cows (2-16 years old) from across the whole of the two regions. Mercury was usually detected in the kidney (62.4-87.5% of samples) but most (79.5-96%) liver, muscle and blood samples did not contain detectable residues. Renal mercury concentrations did not differ between male and female calves but were significantly greater in female calves than in cows. Unexpectedly, kidney mercury concentrations were significantly higher in calves from the predominantly rural region of Galicia (geometric mean: 12.2 microg/kg w.wt.) than in animals from the industrialised-mining region of Asturias (3.40 microg/kg w.wt.). Overall, mercury residues in cattle from NW Spain were similar to those reported in cattle from non-polluted areas in other countries and do not constitute a risk to animal or human health. Copyright 2002 Elsevier Science B.V.

  12. 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.

  13. Men and Women Wage Differences in Spain and Poland

    Directory of Open Access Journals (Sweden)

    Aleksandra Matuszewska-Janica

    2018-03-01

    Full Text Available Men and women wage differences is a widely discuss topic in the literature. Some authors point the fact that size of gender wage gap (GPG is not the same across wage distribution. GPG ratio is accelerating at the top of it. Thus, the main goal of presented study is to analyse impact of outliers (top earners on the values of GPG ratio and results of its decomposition. In addition we compare outcomes obtained for Spain and Poland. Elimination outliers from the sample will reduce values of men and women wage gap ratios not only in unadjusted form but in adjusted form as well. Study is based upon the Eurostat’s Structure of Earnings Survey (SES individual data in respect of 2014. In the paper we discuss results of Oaxaca-Blinder decomposition (in extension proposed by Oaxaca and Ransom obtained for Spain and Poland. Obtained results indicated two points above all. Firstly, although unadjusted GPG ratios for Spain and Poland differ significantly, the adjusted GPG ratios are at the same level (about 15%. Such situation shows the real men and women wage differences are at the same level in both countries. This is an additional indication that women situation on Polish labour market in similar to the Spanish one. Secondly, after elimination of outliers the values of GPG measures (in adjusted and unadjusted form decreased, as was expected. These falls came to approximately 3 p.p. It can be considered as significant change.

  14. 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.

  15. 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.

  16. [Smoking impact on mortality in Spain in 2012].

    Science.gov (United States)

    Gutiérrez-Abejón, Eduardo; Rejas-Gutiérrez, Javier; Criado-Espegel, Paloma; Campo-Ortega, Eva P; Breñas-Villalón, María T; Martín-Sobrino, Nieves

    2015-12-21

    Smoking is an important public health problem, and is one of the main avoidable causes of morbidity and early mortality. The aim was to estimate the mortality attributable to smoking and its impact on premature mortality in Spain in the year 2012. Descriptive, cross-sectional study, carried out on the Spanish population aged ≥ 18 years in 2012. The prevalence of smoking by age and sex was obtained from the National Health Survey 2011-2012, and the number of deaths by age, sex and cause was obtained from the vital statistics of the National Institute of Statistics. The proportion of deaths attributable to smoking was calculated according to sex and age group, from the etiological fraction of the population. Likewise, loss of potential years of life lost (PYLL) and the mean potential years of life lost (MPYLL) were also calculated. In 2012, smoking caused 60,456 deaths which accounted for 15.23% of all deaths. Trachea-bronchial-lung cancer in men and other cardiopathies in women mostly contributed to this mortality. The PYLL were 184,426, and the MPYLL were 3.25 years in men and 2.42 years in women. In 2012, every day, 125 men and 40 women die from smoking-related conditions. The smoking prevalence has diminished in comparison with previous years and the number and percentage of deaths attributable to the smoking have increased in the last 20 years. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  17. Migratory circularity between Ecuador and Spain. Educational transformation and mobility strategies

    Directory of Open Access Journals (Sweden)

    Cristina Vega Solís

    2016-06-01

    Full Text Available The migration pattern between Ecuador and Spain has undergone changes since the start of the 2008 crisis. A slowdown in inflows to Spain and increasing Ecuadorian returnees, today add the Spanish skilled migration to this country in entering higher education as well as the exit of young Ecuadorians to acquire fourth level´s degree in Spain, or Europe in general. The context of crisis and unemployment in education in Spain and education reform policies being carried out in Ecuador is articulated in shaping this circularity between the two countries. Through a quantitative and qualitative multi-situated methodology based on a poll and in-depth interviews, this paper estimates the volume of these displacements and explores the motivations, conditions and strategies that are influencing.

  18. Deregulation and restructuring of the electricity sector in Spain

    International Nuclear Information System (INIS)

    Francia, L.

    2000-01-01

    This economic analysis of the Electric Power industry and market in Spain shows how the electricity deregulation and liberalization in Spain have given rise to an electricity industry which not only complies in spirit and letter with the E.U. Directive on the internal energy market, but which in fact goes much further. (A.L.B.)

  19. Analysis of the slaughterhouses in Galicia (NW Spain).

    Science.gov (United States)

    Bugallo, Pastora M Bello; Andrade, Laura Cristóbal; de la Torre, María Agrelo; López, Rosa Torres

    2014-05-15

    In the last five years, slaughterhouses in Galicia have been producing more than 350,000 tonnes of carcass per year (Ministry of Environmental and Marine and Rural Media (MARM), 2013). The main environmental problems derived from this economic activity are the high consumption of water, the generation of waste water with a high organic load and the intensive use of energy (electricity and fuel) (European Commission, 2005). In this region of Spain, there are seventy-one slaughterhouses but only 10 to 15% of them have a carcass production capacity exceeding 50 tonnes per day (Casares et al., 2006), consequently needing an environmental permit according to the requirements set by the IPPC (Integrated Pollution Prevention and Control) Directive (European Commission, 2008). The slaughterhouses can be specialized in one livestock type, such as pigs, cattle, sheep, goats or rabbits, or they can be polyvalent. In 2009, the most important meat productions were from porcine, poultry and bovine, as they represented 96% of total production in Spain (AICE, 2011). This paper presents a general view of this important sub-sector (according to the Spanish CNAE, National Classification of Economical Activities) of the food and drinking industry in Galicia. The work considers general information about the activity, an exhaustive description of the industrial process (including preliminary operations, processing, final and auxiliary operations), environmental aspects about consumption and emission levels, and finally a proposal of technique candidates to be BAT (best available techniques) for each process stage. This structure has permitted to obtain an inventory of pollution prevention and control techniques, as well as qualitative data of incomes and outcomes of consumptions and emissions respectively. The methodology, which has already been used in previous works (Barros et al., 2008), has been proved to be appropriate to optimize the process considering environmental factors as

  20. 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.

  1. Shifting policy responses to domestic violence in the Netherlands and Spain (1980-2009).

    Science.gov (United States)

    Roggeband, Conny

    2012-07-01

    This article seeks to understand differences in the evolution of policies to combat domestic violence against women in the Netherlands and Spain. Although policy change is often viewed as incremental change toward more progressive policies, the two countries studied here reflect opposing dynamics. The Netherlands moved from being a pioneering country to one that gradually marginalized the policy issue, whereas Spain, in contrast, recently developed innovative and far-reaching policies after a long period of low to moderate state responses. The case study points to the central role of frame negotiation, left-wing governments, and strong feminist mobilization.

  2. Distinguishing Features and Similarities Between Descriptive Phenomenological and Qualitative Description Research.

    Science.gov (United States)

    Willis, Danny G; Sullivan-Bolyai, Susan; Knafl, Kathleen; Cohen, Marlene Z

    2016-09-01

    Scholars who research phenomena of concern to the discipline of nursing are challenged with making wise choices about different qualitative research approaches. Ultimately, they want to choose an approach that is best suited to answer their research questions. Such choices are predicated on having made distinctions between qualitative methodology, methods, and analytic frames. In this article, we distinguish two qualitative research approaches widely used for descriptive studies: descriptive phenomenological and qualitative description. Providing a clear basis that highlights the distinguishing features and similarities between descriptive phenomenological and qualitative description research will help students and researchers make more informed choices in deciding upon the most appropriate methodology in qualitative research. We orient the reader to distinguishing features and similarities associated with each approach and the kinds of research questions descriptive phenomenological and qualitative description research address. © The Author(s) 2016.

  3. Some notes on the digitalization and the virtual reconstruction of San Chuis Hillfort (Allande, Asturias, Spain

    Directory of Open Access Journals (Sweden)

    Juana Molina Salido

    2016-11-01

    Full Text Available With the firm conviction that current archaeology needs to use all the tools that computer science provides, we have developed a project for digitising and structuring all the information gathered from the different excavation campaigns carried out in San Chuis hillfort (Allande, Asturias, Spain.  In order to do it, we have developed the Spatial Data Infrastructure (SDI of the hillfort, in order to proceed subsequently to its virtualization. To implement the SDI, we have reinstated the archaeological record in its original coordinates based on the information that we had. This restitution has allowed us to perform the spatial analysis of the elements of the record, to elaborate different plans of its distribution, not only campaigns but also types, and perform at the same time, a study of the densities.  Likewise, we have developed a general database of the hillfort, in which, aside of including the detailed table of the elements of the record and their coordinates, also contains the descriptive table of the stratigraphic units (SU and the descriptive table of the wall stratigraphic units (WSU.  Finally, we have built an extensive planimetry and a web page in order to spread the information. With regard to the hillfort virtualization, we have developed two consistent models with two historical stages: the Iron Age and the Roman occupation. We have used Blender for its development.

  4. An inconclusive study comparing the effect of concrete and abstract descriptions of belief-inconsistent information.

    Science.gov (United States)

    Collins, Katherine A; Clément, Richard

    2018-01-01

    Linguistic bias is the differential use of linguistic abstraction (as defined by the Linguistic Category Model) to describe the same behaviour for members of different groups. Essentially, it is the tendency to use concrete language for belief-inconsistent behaviours and abstract language for belief-consistent behaviours. Having found that linguistic bias is produced without intention or awareness in many contexts, researchers argue that linguistic bias reflects, reinforces, and transmits pre-existing beliefs, thus playing a role in belief maintenance. Based on the Linguistic Category Model, this assumes that concrete descriptions reduce the impact of belief-inconsistent behaviours while abstract descriptions maximize the impact of belief-consistent behaviours. However, a key study by Geschke, Sassenberg, Ruhrmann, and Sommer [2007] found that concrete descriptions of belief-inconsistent behaviours actually had a greater impact than abstract descriptions, a finding that does not fit easily within the linguistic bias paradigm. Abstract descriptions (e.g. the elderly woman is athletic) are, by definition, more open to interpretation than concrete descriptions (e.g. the elderly woman works out regularly). It is thus possible that abstract descriptions are (1) perceived as having less evidentiary strength than concrete descriptions, and (2) understood in context (i.e. athletic for an elderly woman). In this study, the design of Geschke et al. [2007] was modified to address this possibility. We expected that the differences in the impact of concrete and abstract descriptions would be reduced or reversed, but instead we found that differences were largely absent. This study did not support the findings of Geschke et al. [2007] or the linguistic bias paradigm. We encourage further attempts to understand the strong effect of concrete descriptions for belief-inconsistent behaviour.

  5. Q and A. The future of nuclear energy in Spain

    Energy Technology Data Exchange (ETDEWEB)

    Kraev, Kamen [NucNet, The Independent Global Nuclear News Agency, Brussels (Belgium)

    2017-11-15

    Nuclear is the primary source of electricity in Spain. Wind is second. In the first quarter of 2017 nuclear's contribution was 25 %, but by the end of the year it will even out to more or less the same level of 2016. Nuclear is still very important for Spain's energy mix. The question is, what will happen with nuclear in the near future? NucNet spoke to Ignacio Araluce, president of Spanish industry group Foro Nuclear, about energy policy, plant shut-downs and how Spain's nuclear industry is successfully diversifying overseas.

  6. Links between the Philippines and Spain: migration and bilateral relations

    Directory of Open Access Journals (Sweden)

    Rogelia Pe-Pua

    2005-01-01

    Full Text Available This paper analyses the implications which Spanish policy regarding foreign workers has on the living and working conditions of the Filipino community in Spain. The author pays special attention to bilateral relations between the Philippines and Spain in issues suchas Spanish investment in the Philippines, the trade balance between the two countries and labour relations. In conclusion the article considers the necessity of reaching a bilateral labour agreement which would be beneficial to both countries and which at the same time would improve the working conditions and the integration of Philippine nationals living in Spain.

  7. 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

  8. The State of the Art of Group Psychotherapy in Spain.

    Science.gov (United States)

    Martinez-Taboada, Cristina; Amutio, Alberto; Elgorriaga, Edurne; Arnoso, Ainara

    2015-10-01

    (1) What is the history and the theoretical orientation of group therapy in Spain? (2) How is training organized? (3) What role does group psychotherapy play in the health system in Spain? (4) What is the relationship between group psychotherapy research and clinical practice in Spain? (5) What topics can be identified as unique to therapy groups in Spain? (6) How are group-related issues important within the social background of Spain? and (7) What does group work hold for the future? Although not even a century has passed since the birth of this discipline, there have already been many events associated with the management of power and knowledge, the development of a sense of community, and the evolution of the political and social life of our country. Group therapy training is still evolving and is properly supported and accredited by prestigious institutions. In the 2013 Symposium of the Spanish Society of Group Psychotherapy and Group Techniques (SEPTG), the need for joint group theories and techniques within the profession's activities was clearly highlighted. Further, the enthusiasm of group psychotherapists to open themselves to specific social perspectives (health, education, community prevention, organizations) is a way of encouraging society to untangle conscious and unconscious knots that are created in social interaction.

  9. Trends in motor neuron disease: association with latitude and air lead levels in Spain.

    Science.gov (United States)

    Santurtún, Ana; Villar, Alejandro; Delgado-Alvarado, Manuel; Riancho, Javier

    2016-08-01

    Motor neuron diseases (MND) are a group of disorders characterized by motor neuron degeneration. Among them, amyotrophic lateral sclerosis (ALS) is by far the most common in adulthood. This paper assesses the trend and geographical pattern in MND incidence in Spain and the possible air lead levels effect on this pathology. To confirm this concept, we performed a retrospective analysis of the deaths due to MND in Spain during 2000 and 2013, determined the geographical differences, and explored the relationship between MND and the air levels of lead. Overall, between 2000 and 2013, 11,355 people died in Spain because of MND. Disease mortality significantly increased in recent years (2007-2013) when compared with the first time of the period. Spearman's rank correlation coefficient also showed a statistically significant positive trend (CC = 0.824, p = 0.0002). Among people over 65 years, mortality rates were higher in Northern provinces. Moreover, we found a significant association of MND mortality with higher air lead levels (CC = 0.457, p = 0.01). Our study confirms that MND mortality is increasing in Spain, with a significant latitude gradient, which suggests an important role of environmental exposures. This ecological study suggests that air lead levels may be implicated in ALS pathogenesis.

  10. A new earthworm species within a controversial genus: Eiseniona gerardoi sp. n. (Annelida, Lumbricidae - description based on morphological and molecular data

    Directory of Open Access Journals (Sweden)

    Dario Diaz Cosin

    2014-04-01

    Full Text Available The morphological and anatomical simplicity of soil dwelling animals, such as earthworms, has limited the establishment of a robust taxonomy making it sometimes subjective to authors’ criteria. Within this context, integrative approaches including molecular information are becoming more popular to solve the phylogenetic positioning of conflictive taxa. Here we present the description of a new lumbricid species from the region of Extremadura (Spain, Eiseniona gerardoi sp. n. The assignment to this genus is based on both a morphological and a phylogenetic study. The validity of the genus Eiseniona, one of the most controversial within Lumbricidae, is discussed. A synopsis of the differences between the type species and the west-European members of the genus is provided.

  11. Patents, antibiotics, and autarky in Spain.

    Science.gov (United States)

    Romero De Pablos, Ana

    2014-01-01

    Patents on antibiotics were introduced in Spain in 1949. Preliminary research reveals diversification in the types of antibiotics: patents relating to penicillin were followed by those relating to streptomycin, erythromycin and tetracycline. There was also diversification in the firms that applied for patents: while Merck & Co. Incorporated and Schenley Industries Inc. were the main partners with Spanish antibiotics manufacturers in the late 1940s, this industrial space also included many others, such as Eli Lilly & Company, Abbott Laboratories, Chas. Pfizer & Co. Incorporated, and American Cyanamid Company in the mid-1970s. The introduction of these drugs in Spain adds new elements to a re-evaluation of the autarkic politics of the early years of the Franco dictatorship.

  12. [Gender development inequalities epidemiology in Spain (1990-2000)].

    Science.gov (United States)

    Carrasco-Portiño, Mercedes; Ruiz-Cantero, María Teresa; Gil-González, Diana; Díaz, Carlos Alvarez-Dardet; Torrubiano-Domínguez, Jordi

    2008-01-01

    Gender is an important health determinant for public health policies. This study describes the changes in gender development inequalities in Spain and its autonomous regions from 1990 to 2000. An ecological study using the Human Development Index (HDI) and the Gender Development Index (GDI) was done. IDG both men and women was analysed according to indexes of education, income and life expectancy at birth. Although the GDI has had an increase of 5,05% in the 90 s, 51,5% of the population was located above the global GDI of Spain in 1990, moreover this number decreased to 46,3% in 2000. Gender inequalities have been reduced both at national and regional levels. The regions with the lowest increase were Asturias (3.37%), Cantabria (3.68%) and Baleares Islands (3.71%). The regions with the highest increase were Madrid (6,46%) and Extremadura (6,75%). All the autonomous regions showed a number of GDI lower than the value of HDI. Both sexes achieved similar increase in life expectancy (Men: 5% and Women: 4%). An unequal variation was detected according to the autonomous region (Basque Country; Men: 7% and Women: 3%; Madrid; Men:8% and Women:5%). Women have improved their educational level in comparison to men (Men: 3% and Women: 6%). In the 90 s, men obtained more income than women, but women improved their situation three times more than men. Inequalities in Human Development analysed by gender have been reduced in the 90 s in Spain. However, the improvement of education, income and life expectancy occurred only in some autonomous regions. This situation shows the differences among Spanish autonomous regions.

  13. Nuclear power training programmes in Spain

    International Nuclear Information System (INIS)

    Tanarro, A.; Izquierdo, L.

    1977-01-01

    The introduction of nuclear power in Spain is developing very rapidly. At present 1.1GW(e) are installed in Spain and this is expected to increase to 8GW(e) in 1980 and to 28GW(e) in 1990. Spanish industry and technology are also rapidly increasing their participation in building nuclear stations, in manufacturing the necessary components and in the activities related to the nuclear fuel cycle. All of this requires properly trained personnel, which is estimated to become approximately 1200 high-level technicians, 1100 medium-level technicians and 1500 technical assistants by 1980. This personnel is trained: (a) in engineering schools; (b) in the Nuclear Studies Institute; (c) in the electric companies with nuclear programmes. The majority of the high-level engineering schools in the country include physics and basic nuclear technology courses in their programmes. Some of them have an experimental low-power nuclear reactor. The Nuclear Studies Institute is an official organism dependent on the Nuclear Energy Commission and responsible, among other subjects, for training personnel for the peaceful use and development of nuclear energy in the country. The electric companies also participate in training personnel for future nuclear stations and they plan to have advanced simulators of PWR and BWR type stations for operator training. The report deals with the personnel requirement forecasts and describes the training programmes. (author)

  14. Nucleoelectric energy training programs in Spain

    International Nuclear Information System (INIS)

    Tanarro, A.; Izquierdo, L.

    1977-01-01

    The introduction of nucleoelectric energy in Spain is developing very rapidly. The nuclear power installed in Spain at the present time is 1,1 GWe and it is expected to increase to 8 GWe in 1980 and to 28 GWe in 1990. Spanish industry and technology are also rapidly increasing their participation in building nuclear stations, in manufacturing the necessary components and in the activities related to the nuclear fuel cycle. All of this requires properly trained personnel which is estimated at approximately 1200 high-level technicians, 1100 medium-level technicians and 1500 technical assistants by 1980. This personnel is trained: a) In engineering schools; b) In the Nuclear Studies Institute; and c) In the electric companies with nuclear programs. The majority of the high-level engineering schools in the Country include physics and basic nuclear technology courses in their programs. Some of them have an experimental low-power nuclear reactor. The Nuclear Studies Institute is an official organism depending on the Nuclear Energy Commission responsible, among other subjects, of training personnel for the peaceful use and development of nuclear energy in the Country. The electric companies also participate in training personnel for future nuclear stations and they plan to have advanced simulators of the PWR and BWR type stations for operator training. The report deals with the personnel requirement forecasts and describes the personnel training programs [es

  15. Characteristics of Qualitative Descriptive Studies: A Systematic Review.

    Science.gov (United States)

    Kim, Hyejin; Sefcik, Justine S; Bradway, Christine

    2017-02-01

    Qualitative description (QD) is a term that is widely used to describe qualitative studies of health care and nursing-related phenomena. However, limited discussions regarding QD are found in the existing literature. In this systematic review, we identified characteristics of methods and findings reported in research articles published in 2014 whose authors identified the work as QD. After searching and screening, data were extracted from the sample of 55 QD articles and examined to characterize research objectives, design justification, theoretical/philosophical frameworks, sampling and sample size, data collection and sources, data analysis, and presentation of findings. In this review, three primary findings were identified. First, although there were some inconsistencies, most articles included characteristics consistent with the limited available QD definitions and descriptions. Next, flexibility or variability of methods was common and effective for obtaining rich data and achieving understanding of a phenomenon. Finally, justification for how a QD approach was chosen and why it would be an appropriate fit for a particular study was limited in the sample and, therefore, in need of increased attention. Based on these findings, recommendations include encouragement to researchers to provide as many details as possible regarding the methods of their QD studies so that readers can determine whether the methods used were reasonable and effective in producing useful findings. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

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

    Science.gov (United States)

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

    2012-01-01

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

  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. Ecology and functional roles of biological soil crusts in semi-arid ecosystems of Spain

    Science.gov (United States)

    Maestre, Fernando T.; Bowker, Matthew A.; Cantón, Yolanda; Castillo-Monroy, Andrea P.; Cortina, Jordi; Escolar, Cristina; Escudero, Adrián; Lázaro, Roberto; Martínez, Isabel

    2015-01-01

    Biological soil crusts (BSCs), composed of lichens, cyanobacteria, mosses, liverworts and microorganisms, are key biotic components of arid and semi-arid ecosystems worldwide. Despite they are widespread in Spain, these organisms have been historically understudied in this country. This trend is beginning to change as a recent wave of research has been identifying BSCs as a model ecological system. Many studies and research projects carried out in Spain have explored the role of BSCs on water, carbon and nitrogen fluxes, the interactions between BSCs and vascular plants, their dynamics after disturbances, and their response to global change, among other topics. In this article we review the growing body of research on BSCs available from semi-arid areas of Spain, highlighting its importance for increasing our knowledge on this group of organisms. We also discuss how it is breaking new ground in emerging research areas on the ecology of BSCs, and how it can be use to guide management and restoration efforts. Finally, we provide directions for future research on the ecology of BSCs in Spain and abroad. PMID:25908884

  19. 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)

  20. 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)

  1. 48 CFR 252.229-7004 - Status of contractors as a direct contractor (Spain).

    Science.gov (United States)

    2010-10-01

    ... direct contractor (Spain). 252.229-7004 Section 252.229-7004 Federal Acquisition Regulations System... contractor (Spain). As prescribed in 229.402-70(d), use the following clause: Status of Contractor as a Director Contractor (Spain) (JUN 1997) (a) “Direct Contractor,” as used in this clause, means an individual...

  2. National and regional analysis of road accidents in Spain.

    Science.gov (United States)

    Tolón-Becerra, A; Lastra-Bravo, X; Flores-Parra, I

    2013-01-01

    In Spain, the absolute fatality figures decreased almost 50 percent between 1998 and 2009. Despite this great effort, road mortality is still of great concern to political authorities. Further progress requires efficient road safety policy based on an optimal set of measures and targets that consider the initial conditions and characteristics in each region. This study attempts to analyze road accidents in Spain and its provinces in time and space during 1998-2009. First, we analyzed daily, monthly, and nationwide (NUTS 0) development of road accidents, the correlation between logarithmic transformations of road accidents and territorial and socioeconomic variables, the causality by simple linear regression of road accidents and territorial and socioeconomic variables, and preliminary frequency by fast Fourier transform. Then we analyzed the annual trend in accidents in the Spanish provinces (NUTS 3) and found a correlation between the logarithmic transformations of the mortality rate, fatalities per fatal accident, and accidents resulting in injuries per inhabitant variables and population, population density, gross domestic product (GDP), length of road network, and area. Finally, causality was analyzed by simple linear regression. The most outstanding results were the negative correlation between mortality rate and population density in Spanish provinces, which has increased over time, and that road accidents in Spain have an approximate periodicity of 57 days. The fast Fourier transform analysis of road accident frequency in Spain was useful in identifying the periodic, harmonic components of accidents and casualties. The periodicity observed both for the period 1998-2009 and by year showed that the highest intensity in road accidents was bimonthly, despite the lower number of accidents and casualties in the spectra of amplitude and power and efforts to reduce the intensity and concentration during off-season travel (summer and December).

  3. Crisis, suicide and labour productivity losses in Spain.

    Science.gov (United States)

    Rivera, Berta; Casal, Bruno; Currais, Luis

    2017-01-01

    Suicide became the first cause of death between the ages of 15 and 44 in Spain in the year 2013. Moreover, the suicide rate in Spain went up by more than 9 % with respect to the previous year. This increase could be related to the serious economic recession that Spain has been experiencing in recent years. In this sense, there is a lack of evidence to help assess to what extent these suicides have a social cost in terms of losses in human capital. Firstly, this article examines the relationship between the variables related to the economic cycle and the suicide rates in the 17 Spanish regions. Secondly, an estimate is made of the losses in labour productivity owing to these suicides. In this article, panel data models are used to consider different variables related to the economic cycle. Demographic variables and the suicide rates for regions across Spain from 2002 to 2013 also come into play. The present and future production costs owing to premature death from suicide are calculated using a human capital model. These costs are valued from the gross salary that an individual no longer receives in the future at the very moment he or she leaves the labour market. The results provide a strong indication that a decrease in economic growth and an increase in unemployment negatively affect suicide rates. Due to suicide, 38,038 potential years of working life were lost in 2013. This has an estimated cost of over 565 million euros. The economic crisis endured by Spain in recent years has played a role in the higher suicide rates one can observe from the data in official statistics. From a social perspective, suicide is a public health problem with far-reaching consequences.

  4. Legislating tolerance: Spain's national public smoking law.

    Science.gov (United States)

    Muggli, Monique E; Lockhart, Nikki J; Ebbert, Jon O; Jiménez-Ruiz, Carlos A; Riesco Miranda, Juan Antonio; Hurt, Richard D

    2010-02-01

    While Spain's national tobacco control legislation prohibits smoking in many indoor public places, the law provides for an exception to the prohibition of smoking by allowing separate seating sections and ventilation options in certain public places such as bars and restaurants, hotels and airports. Accordingly, Spain's law is not aligned with Article 8 Guidelines of the World Health Organization's Framework Convention on Tobacco Control, which requires parties to ensure universal protection against secondhand smoke exposure in all enclosed public places, workplaces and on all means of public transport. Spain's law is currently being promoted by the tobacco companies in other countries as a model for smoke-free legislation. In order to prevent weakening of smoke-free laws in other countries through industry-supported exceptions, we investigated the tactics used by the tobacco companies before the implementation of the new law and assessed the consequences of these actions in the hospitality sector. Internal tobacco industry documents made public through US litigation settlements dating back to the 1980s were searched in 2008-9. Documents show that tobacco companies sought to protect hospitality venues from smoking restrictions by promoting separate seating for smokers and ineffective ventilation technologies, supporting an unenforceable voluntary agreement between the Madrid local government and the hospitality industry, influencing ventilation standards setting and manipulating Spanish media. The Spanish National Assembly should adopt comprehensive smoke-free legislation that does not accommodate the interests of the tobacco industry. In doing so, Spain's smoke-free public places law would be better aligned with the Framework Convention on Tobacco Control.

  5. The accounting cooperative society in a process of countable international harmonization. The case of Spain

    OpenAIRE

    Polo Garrido, Fernando

    2006-01-01

    Cooperatives meet differentiated purposes since their origins. In the same way as other economic units, they need to make use of accounting. So the study of cooperative accounting arouse interest from distant time, as it is shown by the fact that in Spain a monograph book about cooperative accounting came out in 1925. The present work studies the cooperative accounting in Spain from the beginnings until nowadays. Currently we are living a process of accounting reform, for this reason we analy...

  6. [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.

  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. 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.

  9. 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.

  10. Rickettsioses in Latin America, Caribbean, Spain and Portugal

    Directory of Open Access Journals (Sweden)

    Marcelo B. Labruna

    2011-05-01

    Full Text Available Data on genus and infectious by Rickettsia were retrospectively compiled from the critical review literature regarding all countries in Latin America, Caribbean islands, Portugal and Spain. We considered all Rickettsia records reported for human and/or animal hosts, and/or invertebrate hosts considered being the vector. In a few cases, when no direct detection of a given Rickettsia group or species was available for a given country, the serologic method was considered. A total of 13 Rickettsia species have been recorded in Latin America and the Caribbean. The species with the largest number of country confirmed records were Rickettsia felis (9 countries, R. prowazekii (7 countries, R. typhi (6 countries, R. rickettsii (6 countries, R. amblyommii (5 countries, and R. parkeri (4 countries. The rickettsial records for the Caribbean islands (West Indies were grouped in only one geographical area. Both R. bellii, R. akari, and Candidatus ‘R. andeane’ have been recorded in only 2 countries each, whereas R. massiliae, R. rhipicephali, R.monteiroi, and R. africae have each been recorded in a single country (in this case, R. africae has been recorded in nine Caribbean Islands. For El Salvador, Honduras, and Nicaragua, no specific Rickettsia has been reported so far, but there have been serological evidence of human or/and animal infection. The following countries remain without any rickettsial records: Belize, Venezuela, Guyana, Surinam, and Paraguay. In addition, except for a few islands, many Caribbean islands remain without records. A total of 12 Rickettsia species have been reported in Spain and Portugal: R. conorii, R. helvetica, R. monacensis, R. felis, R. slovaca, R. raoultii, R. sibirica, R. aeschlimannii, R. rioja, R. massiliae, R. typhi, and R. prowazekii. Amongst these Rickettsia species reported in Spain and Portugal, only R. prowazekii, R. typhi, R. felis, and R. massiliae have also been reported in Latin America. This study summarizes

  11. An inconclusive study comparing the effect of concrete and abstract descriptions of belief-inconsistent information.

    Directory of Open Access Journals (Sweden)

    Katherine A Collins

    Full Text Available Linguistic bias is the differential use of linguistic abstraction (as defined by the Linguistic Category Model to describe the same behaviour for members of different groups. Essentially, it is the tendency to use concrete language for belief-inconsistent behaviours and abstract language for belief-consistent behaviours. Having found that linguistic bias is produced without intention or awareness in many contexts, researchers argue that linguistic bias reflects, reinforces, and transmits pre-existing beliefs, thus playing a role in belief maintenance. Based on the Linguistic Category Model, this assumes that concrete descriptions reduce the impact of belief-inconsistent behaviours while abstract descriptions maximize the impact of belief-consistent behaviours. However, a key study by Geschke, Sassenberg, Ruhrmann, and Sommer [2007] found that concrete descriptions of belief-inconsistent behaviours actually had a greater impact than abstract descriptions, a finding that does not fit easily within the linguistic bias paradigm. Abstract descriptions (e.g. the elderly woman is athletic are, by definition, more open to interpretation than concrete descriptions (e.g. the elderly woman works out regularly. It is thus possible that abstract descriptions are (1 perceived as having less evidentiary strength than concrete descriptions, and (2 understood in context (i.e. athletic for an elderly woman. In this study, the design of Geschke et al. [2007] was modified to address this possibility. We expected that the differences in the impact of concrete and abstract descriptions would be reduced or reversed, but instead we found that differences were largely absent. This study did not support the findings of Geschke et al. [2007] or the linguistic bias paradigm. We encourage further attempts to understand the strong effect of concrete descriptions for belief-inconsistent behaviour.

  12. 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....

  13. [Preparation of sedation-analgesia procedures in spanish paediatric emergency departments: A descriptive study].

    Science.gov (United States)

    Míguez Navarro, Concepción; Oikonomopoulou, Niki; Lorente Romero, Jorge; Vázquez López, Paula

    2017-07-24

    The objective of this study was to describe the current practice regarding the preparation of the sedation-analgesia (SA) procedures performed in the paediatric emergency centres in Spain. A multicentre, observational and prospective analytical study was carried out on the SA procedures that were performed on children under 18 years-old in 18 paediatric emergency departments between February 2015 and January 2016. A total of 658 SA procedures were registered in 18 hospitals of Spain, most of them to children older than 24 months. The type of the procedure was: simple analgesia in 57 (8.6%), sedation in 44 (6.7%), SA for a not very painful procedure in 275 (41.8%), and SA for a very painful procedure in 282 (42.9%). Informed consent was requested in 98.6% of the cases. The written form was more frequently preferred in the group of patients that received SA for a very painful procedure (76.6%) in comparison to a painful procedure or to simple analgesia (62.9% and 54.4%, respectively, P<.001). The staff that most frequently performed the SA procedures were the paediatricians of the emergency departments (64.3%), followed by Paediatrics Residents (30.7%). The most frequent reasons for the SA were traumatological (35.9%) and surgical (28.4%). Fasting was observed in 81% of the cases. More than two-thirds (67.3%, n=480) children were monitored, the majority (95.8%) of them using pulse oximetry. The pharmacological strategy used was the administration of one drug in 443 (67.3%) of the cases, mostly nitrous oxide, and a combination of drugs in 215 (32.7%), especially midazolam/ketamine (46.9%). The majority of the SA procedures analysed in this study have been carried out correctly and prepared in accordance with the current guidelines. Copyright © 2017. Publicado por Elsevier España, S.L.U.

  14. 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)

  15. Assessment of the quality of medication information for patients in Spain.

    Science.gov (United States)

    Mira, José Joaquín; Lorenzo, Susana; Pérez-Jover, Virtudes; Navarro, Isabel; Martín de Rosales, Ana María; Lara, Catalina

    2013-01-01

    To analyze the extent to which Spanish leaflets and drug information on the Net met quality criteria. A descriptive study was conducted comparing readability (REA) and comprehensibility (COM) criteria of a random sample of 77 marketed products of the 12 active ingredients most frequently sold in 2010 in Spain. Leaflets were approved by the Spanish Agency for Medication (AEMPS). Flesch index, DISCERN, ELF, MIDAS and CIRF scales were used to evaluate quality criteria. COM assessment yielded between 63 and 77% of the maximum possible scores on the scales. None of the websites or leaflets met all the quality criteria of the DISCERN, CIRF or MIDAS scales. Four (3%) leaflets met all the 22 quality criteria of ELF. The leaflets showed shortcomings regarding: medication benefits (17 required substantial improvements, 31.5%), correct forms of storage (13, 24.1%), contraindications (12, 22.2%), side effects (11, 20.4%) and precautions to be taken (9, 16.7%). The quality of the information approved by the AEMPS is superior to that which can be found by surfing the Net. More specific information on precautions, complications and how to avoid common patient errors would allow patients the best chance to contribute to their own clinical safety.

  16. Equine viral arteritis in breeding and sport horses in central Spain.

    Science.gov (United States)

    Cruz-Lopez, Fatima; Newton, Richard; Sanchez-Rodriguez, Ana; Ireland, Joanne; Mughini-Gras, Lapo; Moreno, Miguel A; Fores, Paloma

    2017-12-01

    Equine viral arteritis (EVA) may have a high economic impact on breeding stud farms due to the occurrence of EVA-associated abortion outbreaks and the ability of the virus to persist in carrier stallions. While the consequences of EVA in premises with sport horses are usually less severe, the first confirmed outbreak of EVA in Spain occurred in a riding club in Barcelona, but no data on the seroprevalence of EVA in sport horses have been reported in Spain. Given the importance of both Spanish Purebred (SP) breeding horses and sport horses for Spain's equine industry, the aim of this study was to determine and compare the seroprevalence of EVA in these two horse populations in central Spain. Serum samples from 155 SP breeding horses residing in 16 stud farms and 105 sport horses of different breeds housed in 12 riding clubs, collected between September 2011 and November 2013, were tested using a commercial EVA antibody ELISA test with a 100% sensitivity, and confirmed by seroneutralisation (SN) test. EVA seroprevalence in SP breeding horses was higher 21.1% (95% CI 15.3-26.8%) than that in sport horses (6.7%, 95% CI 1.89-11.45%). However, the primary use (breeding vs. sport) was not significantly associated with seropositivity to Equine Arteritis Virus (EAV), suggesting that different management factors do not affect EVA circulation in these two horse populations. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. [Global analysis of the readability of the informed consent forms used in public hospitals of Spain].

    Science.gov (United States)

    Mariscal-Crespo, M I; Coronado-Vázquez, M V; Ramirez-Durán, M V

    To analyse the readability of informed consent forms (ICF) used in Public Hospitals throughout Spain, with the aim of checking their function of providing comprehensive information to people who are making any health decision no matter where they are in Spain. A descriptive study was performed on a total of 11,339 ICF received from all over Spanish territory, of which 1617 ICF were collected from 4 web pages of Health Portal and the rest (9722) were received through email and/or telephone contact from March 2012 to February 2013. The readability level was studied using the Inflesz tool. A total of 372 ICF were selected and analysed using simple random sampling. The Inflesz scale and the Flesch-Szigriszt index were used to analyse the readability. The readability results showed that 62.4% of the ICF were rated as a "little difficult", the 23.4% as "normal", and the 13.4% were rated as "very difficult". The highest readability means using the Flesch index were scored in Andalusia with a mean of 56.99 (95% CI; 55.42-58.57) and Valencia with a mean of 51.93 (95% CI; 48.4-55.52). The lowest readability means were in Galicia with a mean of 40.77 (95% CI; 9.83-71.71) and Melilla, mean=41.82 (95% CI; 35.5-48.14). The readability level of Spanish informed consent forms must be improved because their scores using readability tools could not be classified in normal scales. Furthermore, there was very wide variability among Spanish ICF, which showed a lack of equity in information access among Spanish citizens. Copyright © 2017 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

  18. [Analysis of the production of psychology professors in Spain in journal articles of the Web of Science].

    Science.gov (United States)

    Olivas-Ávila, José A; Musi-Lechuga, Bertha

    2010-11-01

    The present work is a descriptive study by means of document analysis that aims to make the analysis of the more productive professors of psychology in Spain trough indexed Web of Science journal articles. The sample was conformed of the first one hundred more productive professors of each one of the six academic areas of Spanish Psychology. A total of 85492 records were analyzed of which 8770 correspond to the 610 analyzed professors. The main results are that from the more productive professors ranking, six belong to the Psychobiology area and only 4 belong to different areas. With respect to the average proportion of articles by Professor of the six areas of psychology, it was found that that range of the proportion oscillates between 25 and 6. The journal Psicothema maintains the most frequency of records among the professors of the sample since they are 1461 which represents a 17% of the total. Finally, we discuss the results and mentioned the implications in the professor's evaluation.

  19. Training in the Motor Vehicle Repair and Sales Sector in Spain. Report for the FORCE Programme. First Edition.

    Science.gov (United States)

    European Centre for the Development of Vocational Training, Berlin (Germany).

    An international team of researchers studied the following aspects of training in Spain's motor vehicle repair and sales sector: structure and characteristics; institutional and social context; relationship to Spain's overall labor market; changing structural, economic, and organizational conditions; and training and recruitment and relationship…

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

    Directory of Open Access Journals (Sweden)

    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.

  1. 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)

  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. The History of the Democratic Adult Education Movement in Spain

    Science.gov (United States)

    Oliver, Esther; Tellado, Itxaso; Yuste, Montserrat; Larena-Fernández, Rosa

    2016-01-01

    Background/Context: Traditional adult education in Spain treated the learner as a mere object that could be shaped by the educator. Although current practices of the democratic adult education movement in Spain reveals a completely opposite standpoint on adult education, there has been little analysis of the several influences converging and…

  4. 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.

  5. 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.

  6. Tribute and Calamity in Central New Spain, 1727-1762. The Limits of Fair Taxes

    Directory of Open Access Journals (Sweden)

    América Molina del Villar

    2004-07-01

    Full Text Available This article studies viceroyalty tax policies towards the population of New Spain and examines the legal and moral pact between the viceroy and the  Indians.  The  author analyzes legislation and tensions between the two parties during the Eighteenth-century crises and epidemics. These tensions  turned  into expressions and reactions of nonconformity towards the  payment of tributes considered unfair: Indian demands against authorities, fleeing and fiscal evasion. This work describes and analyzes these actions among  the Indian  populations of central New Spain. Its conclusions help understand not only the system of tax collection from Indians in times of crisis, but also the historical discussion on the moral and legal bases of fair and equal medieval taxes, which later gave place to the New Spain tributes.

  7. [Effect of the economic crisis on consumption of psychotropic drugs in Asturias (Spain)].

    Science.gov (United States)

    Nicieza-García, María Luisa; Alonso-Lorenzo, Julio C; Suárez-Gil, Patricio; Rilla-Villar, Natalia

    To assess whether the economic crisis of 2008 has changed the consumption of anxiolytics, hypnotics-sedatives and antidepressants in Asturias (Spain). We conducted a descriptive study of drug use from 2003 -2013. The defined daily doses of 1000 inhabitants per day (DHD) were calculated for anxiolytics, hypnotics-sedatives and antidepressants. Linear regression coefficients (b) of the DHD were obtained for the pre-crisis period (2003-2008) and the crisis period (2009-2013). The consumption of anxiolytics increased by 40.25%, that of hypnotics by 88.11% and that of antidepressants by 80.93%. For anxiolytics: b-(2003-2008)=4.38 DDI/year and b-(2009-2013)=1.08 DDI/year. For hypnotics-sedatives: b-(2003-2008)=2.30 DDI/year and b-(2009-2013)=0.40 DDI/year. For antidepressants: b-(2003-2008)=5.79 DDI/year and b-(2009-2013)=2.83 DDI/year. The rise in consumption of the three subgroups during the crisis period was lower than that of the pre-crisis period. This study does not confirm the influence of the economic crisis on the rise in consumption of these drugs. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  8. 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...

  9. Modelling and Mapping Oxygen-18 Isotope Composition of Precipitation in Spain for Hydrologic and Climatic Applications

    Energy Technology Data Exchange (ETDEWEB)

    Rodriguez-Arevalo, J.; Diaz-Teijeiro, M. F. [Centro de Estudios y Experimentacion de Obras Publicas (CEDEX), Madrid (Spain); Castano, S. [Geological Survey of Spain (IGME), Madrid (Spain)

    2013-07-15

    A simple multiple regression model based on two geographic factors (latitude and elevation) has been developed that reproduces reasonably well the spatial distribution of the current mean oxygen-18 isotope composition in precipitation over spain. In a preliminary analysis, additional geographic and climatic factors do not improve the performance of the model. A continuous digital map of oxygen-18 isotope composition in precipitation has been produced by combining the polynomial model with a digital elevation model using GIS tools. Application of the resulting map to several groundwater case studies in spain has shown it to be useful as a reference of the input function to recharge. Further validation of the model, and further testing of its usefulness in surface hydrology and climatic studies, is ongoing through comparison of model results with isotope data from the GNIP database and from isotope studies in hydrogeology and climate change taking place in spain. (author)

  10. Trends in the International Academic Migration: A Case of Spain

    Directory of Open Access Journals (Sweden)

    Antonio Mihi-Ramírez

    2016-03-01

    Full Text Available Objective: The objective of this paper is to analyses how undergraduate students’ mobility has changed after the last economics recession. Research Design & Methods: The study analysed the last data about public and private Universities of higher education system of Spain comparing it at international level in order to find the problems and challenges of the last few years. Findings: The results showed significant imbalances in mobile students’ trends by home and host region, especially after a deep restructuration of the higher education system of Spain due to the last crisis. In particular there are substantial differences in tuition fees, scholarships, number of teachers and their skills according to the region and type of university. Consequently international inflows and international study programs and agreements became very important. Implications & Recommendations: A growing number of students who study abroad, especially after the economic collapse of 2008, represents an excellent opportunity for the host countries due to an incomes growth and recruitment opportunities of highly skilled workers. Therefore to adapt the academic offer taking in account the language, needs and diversity of mobile students would increase their number. Also to increase the highly skilled teachers could help to attract these mobile students, and it would improve the quality of higher education system too. Contribution & Value Added: This research provided a value information to understand the current problems, challenges, changes and opportunities of the higher education mobility through the analysis of the case of Spain and international comparisons.

  11. Epidemiological survey of zoonotic helminths in feral cats in Gran Canaria island (Macaronesian archipelago-Spain).

    Science.gov (United States)

    Rodríguez-Ponce, Eligia; González, Jorge F; Conde de Felipe, Magnolia; Hernández, Julia N; Raduan Jaber, J

    2016-09-01

    The presence of zoonotic parasites in feral cats have been widely considered all over the world. In Gran Canaria (Macaronesian archipelago, Canary Islands, Spain) the number of feral cats has grown out of control in urban and rural areas. 48 of Felis catus captured in different Gran Canaria areas were studied. Animals were necropsied and several organs were systematically examined in order to collect and identify macroscopic parasites. In addition, coprological tests were done in 28 cats. There were no statistically significant differences in the prevalence rate among sex, age or capture area, showing an overall prevalence of helminths of 77.1%. The most common tapeworms were Dipylidium caninum (64.6%) and Taenia taeniaeformis (31.3%), followed by the nematodes Toxocara cati (20.8%), Ancylostoma tubaeforme (18.8%), Aelurostrongylusabstrusus (10.4%) and Trichuris vulpis (2.08%). We also find several eggs of Alaria alata in the small intestine of one cat (2.08%), being the first description of this trematode in cats in the Canary Islands. Aproximatelly, 40% of the studied cats harboured more than one parasite. High rates of zoonotic species found in these animals suggest the need of controling parasitic infections and preventive measures against them.

  12. [Descriptive study of transexuality in Navarre].

    Science.gov (United States)

    Basterra, V; Ruiz, R; Toni, M; Rebolé, A; Pérez de Mendiola, Y; Forga, L

    2012-01-01

    Transexuality has been recognized in Navarre as a clinical entity that must be attended to in a multidisciplinary form in the Navarre Health Service. An analysis was made of the epidemiological data of 35 subjects who have attended the Navarre Transexual and Intersex Unit (UNATI - Unidad Navarra de Transexuales e Intersexos) since April 2011. The variables related to socio-demographic parameters, transexuality and treatment were collected. The average age was 37.3 years. Sixty-five point seven percent of the subjects were born in Spain. Seventy-one point four percent of the users are feminine transsexuals. At present 62.9% of the subjects are receiving hormonal treatment. Amongst the feminine transexuals 20% have had a mamoplasty, 4% have had a vaginoplasty and 20% have had both operations. Ten percent of the masculine transsexuals have had a mastectomy, 10% have had a hysterectomy with double anexectomy and 10% have had both operations. The majority of the transsexuals in Navarre are being evaluated in the UNATI. More feminine transsexuals have attended than masculine ones. The feminine transsexuals more frequently have reassignation surgery, while the masculine ones have extirpative surgery.

  13. A comparative analysis of occupational health and safety risk prevention practices in Sweden and Spain.

    Science.gov (United States)

    Morillas, Rosa María; Rubio-Romero, Juan Carlos; Fuertes, Alba

    2013-12-01

    Scandinavian countries such as Sweden implemented the occupational health and safety (OHS) measures in the European Directive 89/391/EEC earlier than other European counties, including Spain. In fact, statistics on workplace accident rates reveal that between 2004 and 2009, there were considerably fewer accidents in Sweden than in Spain. The objective of the research described in this paper was to reduce workplace accidents and to improve OHS management in Spain by exploring the OHS practices in Sweden. For this purpose, an exploratory comparative study was conducted, which focused on the effectiveness of the EU directive in both countries. The study included a cross-sectional analysis of workplace accident rates and other contextual indicators in both national contexts. A case study of 14 Swedish and Spanish companies identified 14 differences in the preventive practices implemented. These differences were then assessed with a Delphi study to evaluate their contribution to the reduction of workplace accidents and their potential for improving health and safety management in Spain. The results showed that there was agreement concerning 12 of the 14 practices. Finally, we discuss opportunities of improvement in Spanish companies so that they can make their risk management practices more effective. The findings of this comparative study on the implementation of the European Directive 89/391/EEC in both Sweden and Spain have revealed health and safety managerial practices which, if properly implemented, could contribute to improved work conditions and accident statistics of Spanish companies. In particular, the results suggest that Spanish employers, safety managers, external prevention services, safety deputies and Labour Inspectorates should consider implementing streamlined internal preventive management, promoting the integration of prevention responsibilities to the chain of command, and preventing health and safety management from becoming a mere exchange of

  14. Rickettsia felis in fleas from Catalonia (Northeast Spain).

    Science.gov (United States)

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

    2011-05-01

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

  15. The Sixteenth Nation: Spain’s Role in NATO,

    Science.gov (United States)

    1983-01-01

    Clerks Pat Williams (Lead Clerk) Dorothy M. Mack Laura W. Hall Carol A. Valentine Editorial Board Advisers Rear Admiral S. A. Swarztrauber, USN, Inter...industrial defense potential is in J. Sanchez Mendez , "Spain and its Defense Organization, Part 2: The Defense Industry," International Defense Review 13...discussion of Spanish military capabilities, see J. Sanchez Mendez , "Spain and its Defense Organization, Part 1: The Armed Forces," International Defense

  16. The Queen's Two Bodies: Sor Juana and New Spain's Vicereines

    Science.gov (United States)

    Thomas, George Anthony

    2009-01-01

    The work of Sor Juana Ines de la Cruz contains many examples of positive representations of the Queens of Spain and the Vicereines of New Spain. These poetic portraits serve to counter the primarily misogynistic portrayals of ruling women of the seventeenth century. Most importantly, Sor Juana increased the visibility of the vicereine in colonial…

  17. 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…

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

    Directory of Open Access Journals (Sweden)

    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.

  19. Safety philosophy and licensing practice in different member states of IAEA: Spain

    International Nuclear Information System (INIS)

    Alonso, A.

    1981-01-01

    With the aim of presenting the licensing experience in Spain, the countries with nuclear activities are divided into three main groups: exporters, qualified importers and importers, being Spain in the second group. The licensing problems, and therefore the licensing experience, are different in the different groups of countries. Moreover, the experience in Spain is enriched by the following facts: an early start, a substantial program and a diversity of types, pressurized and boiling water reactors, and suppliers, American and German plants. Reference is made to the basic legal documents governing licensing in Spain, together with the difficulties in adopting and applying detailed regulations. Within this framework, the licensing experience in Spain is described with reference to the reference plant concept, later enlarged to include the reference-site reference plant concept, ending in the most practical approach of the reference problem concept. Finally specific licensing problems are introduced with reference to the Spanish operating nuclear power plants, the ones under commissioning and in an advanced state of construction and the ones just staring construction. (orig./RW)

  20. Otorhinolaryngology residency in Spain: training satisfaction, working environment and conditions.

    Science.gov (United States)

    Oker, N; Alotaibi, N H; Herman, P; Bernal-Sprekelsen, M; Albers, A E

    2016-06-01

    Europe-wide efforts are being initiated to define quality standards and harmonize Otolaryngology, Head and Neck Surgery (ORL-HNS)-specialty-training by creating an European board examination. However, differences within and between countries remain and are underinvestigated making comparisons and further improvement more difficult. The study aimed at assessing quality of training, satisfaction and quality of life of residents and recent ORL-HNS specialists in Spain and to trace similarities and differences to France and Germany administering anonymous online-questionnaire to ORL-HNS-residents and recent specialists. 146 questionnaires were returned with answers of 75.6 % of residents, a mean age of 30 years and a female to male ratio of 1.46:1. The global satisfaction of training was high as 76 % would choose the same ENT training again, 86 % confirmed that responsibilities which were given to them were adapted to their level of training and 97 % felt well considered in their department. Ninety-two confirmed that helpful seniors contributed to a good work environment (75 %) and to a good organization within the department (69 %). The respondents spent on average 8.8 h per day at the hospital and covered on average 4.8 night duties or week-end shifts per month with mostly no post-day off (86 %). Seventy-four percent participated regularly at complementary training sessions. Research work was supported and guided in 59 %. This study is the first one, to our best of knowledge, to assess the ORL-HNS-training in Spain and to trace parallelisms and differences to other European countries, such as France and Germany. The satisfaction of training and supervision was high in Spain, but there are still efforts to make concerning resident's quality of life. Compared to France and Germany, satisfaction with ORL-HNS-training and the support and guidance provided by seniors was similar. Work conditions were comparable to those in France. Motivation, teaching and

  1. [Mental health in the immigrant population in Spain].

    Science.gov (United States)

    Collazos Sánchez, Francisco; Ghali Bada, Khalid; Ramos Gascón, Mar; Qureshi Burckhardt, Adil

    2014-01-01

    The relationship between migration of people and the impact on their mental health is a complex issue, and its study implies multiple variables at stake. The objective is to describe the state of the mental health of the immigrant population in Spain. scoping Review of the literature published in the period 1998-2012. Articles in Spanish or English developed in Spain and that fulfil the definition of immigrant from the International Organization for Migration were selected. The literature search was performed in Medline and MEDES. The main characteristics of the articles are described. The period of maximum production is between 2004 and 2011. The country of origin is the most common way of classifying immigrants. Most of the studies reviewed have a social and epidemiological approach, making many references to the socio-economic conditions of the inmigrant collective. Work and psychosocial factors are crucial to the mental health of immigrants. The migration process is a risk factor itself, and if personal, social or familial vulnerability is added, all of which may promote the development of mental disorders. The main results of the studies conducted in this field are inconsistent, if not contradictory. Lack of consistency in the results reveals how this field is still in a very early stage.

  2. The beginnings of dermatopathology and dermatologic microbiology in Spain.

    Science.gov (United States)

    del Río, E

    2014-03-01

    Crisóstomo Martínez from Valencia was a pioneering microscopist in 17th-century Europe. The first microscopic representations of skin in Spain appeared in an 18th-century work by Martín Martínez. Microbiology and histopathology progressed considerably in the late 19th century thanks to anatomists like Maestre de San Juan and surgeons like Federico Rubio Galí. The first Spanish pathologist to specialize in dermatology was Antonio Mendoza, a colleague of José Eugenio de Olavide at the Hospital San Juan de Dios in Madrid. Claudio Sala and Juan de Azúa also made significant contributions, including the description of pseudoepithelioma. Several disciples of Santiago Ramón y Cajal and Jorge FranciscoTello, such as Lorenzo Ruiz de Arcaute and Guillermo de la Rosa King, consolidated the dermatology laboratory, but the Civil War sent many into exile or deprived them of their professional status. Juan Rubió in Barcelona and Julio Rodríguez Puchol in Madrid were the immediate predecessors of today's dermatopathologists. Copyright © 2012 Elsevier España, S.L. y AEDV. All rights reserved.

  3. Novel lyssavirus in bat, Spain.

    Science.gov (United States)

    Aréchiga Ceballos, Nidia; Vázquez Morón, Sonia; Berciano, José M; Nicolás, Olga; Aznar López, Carolina; Juste, Javier; Rodríguez Nevado, Cristina; Aguilar Setién, Alvaro; Echevarría, Juan E

    2013-05-01

    A new tentative lyssavirus, Lleida bat lyssavirus, was found in a bent-winged bat (Miniopterus schreibersii) in Spain. It does not belong to phylogroups I or II, and it seems to be more closely related to the West Causasian bat virus, and especially to the Ikoma lyssavirus.

  4. Novel Lyssavirus in Bat, Spain

    OpenAIRE

    Ceballos, Nidia Ar?chiga; Mor?n, Sonia V?zquez; Berciano, Jos? M.; Nicol?s, Olga; L?pez, Carolina Aznar; Juste, Javier; Nevado, Cristina Rodr?guez; Seti?n, ?lvaro Aguilar; Echevarr?a, Juan E.

    2013-01-01

    A new tentative lyssavirus, Lleida bat lyssavirus, was found in a bent-winged bat (Miniopterus schreibersii) in Spain. It does not belong to phylogroups I or II, and it seems to be more closely related to the West Causasian bat virus, and especially to the Ikoma lyssavirus.

  5. A Descriptive Study of Registers Found in Spoken and Written Communication (A Semantic Analysis

    Directory of Open Access Journals (Sweden)

    Nurul Hidayah

    2016-07-01

    Full Text Available This research is descriptive study of registers found in spoken and written communication. The type of this research is Descriptive Qualitative Research. In this research, the data of the study is register in spoken and written communication that are found in a book entitled "Communicating! Theory and Practice" and from internet. The data can be in the forms of words, phrases and abbreviation. In relation with method of collection data, the writer uses the library method as her instrument. The writer relates it to the study of register in spoken and written communication. The technique of analyzing the data using descriptive method. The types of register in this term will be separated into formal register and informal register, and identify the meaning of register.

  6. New Strategies in Library Services Organization: Consortia University Libraries in Spain

    Directory of Open Access Journals (Sweden)

    Miguel Duarte Barrionuevo

    2017-09-01

    Full Text Available New political, economic, and technological developments, as well as the growth of information markets, in Spain have created a foundation for the creation of library consortia. The author describes the process by which different regions in Spain have organized university library consortia.

  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. Acculturation Stress and Bullying among Immigrant Youths in Spain

    Science.gov (United States)

    Messinger, Adam M.; Nieri, Tanya A.; Villar, Paula; Luengo, Maria Angeles

    2012-01-01

    Few bullying studies focus on immigrant youths or acculturation stress as a risk factor for bullying and being bullied. Employing a sample of 1,157 foreign-born secondary students in Spain, we found that acculturation stress was widely experienced, although the average level of stress was moderate. Five percent of the sample reported being…

  9. 'A Photographic Scramble through Spain': El papel del libro de Charles Clifford en la divulgación de una imagen de España / An image of Spain in Charles Clifford’s book

    Directory of Open Access Journals (Sweden)

    Rachel Bullough

    2013-09-01

    Full Text Available Al fotógrafo británico, Charles Clifford (1819-1863 se le conoce como uno de los pioneros de la fotografía comercial en España. Sin embargo, hasta ahora, poco se sabe sobre el papel que jugó su libro A Photographic Scramble through Spain como complemento a sus fotografías. Este trabajo analiza el uso del libro, no sólo como herramienta comercial, sino en su papel de proyectar la imagen de España que Clifford deseaba mostrar a sus clientes y lectores en el Reino Unido.The British photographer, Charles Clifford (1819-1863 is best known as one of the pioneers of commercial photography in Spain. However, until now, little has been said about the role of his book, A Photographic Scramble through Spain as a complement to his photographs. This study will show how Clifford not only used the book as a commercial instrument but also as a means to convey the image of Spain that he wished to show to his potential buyers and readers in the United Kingdom 

  10. Sources of contamination and modelled pollutant trajectories in a Mediterranean harbour (Tarragona, Spain).

    Science.gov (United States)

    Mestres, M; Sierra, J P; Mösso, C; Sánchez-Arcilla, A

    2010-06-01

    The proximity of commercial harbours to residential areas and the growing environmental awareness of society have led most port authorities to include environmental management within their administration plan. Regarding water quality, it is necessary to have the capacity and tools to deal with contamination episodes that may damage marine ecosystems and human health, but also affect the normal functioning of harbours. This paper presents a description of the main pollutant sources in Tarragona Harbour (Spain), and a numerical analysis of several pollution episodes based on the Port Authority's actual environmental concerns. The results show that pollution generated inside the harbour tends to remain confined within the port, whereas it is very likely that oil spills from a nearby monobuoy may affect the neighbouring beaches. The present combination of numerical models proves itself a useful tool to assess the environmental risk associated to harbour activities and potential pollution spills.

  11. Geographical distribution and evolution of deaths in hospitals in Spain, 1996-2015.

    Science.gov (United States)

    Jiménez-Puente, A; García Alegría, J

    2018-05-05

    The location where death occurs varies widely among societies. The aim of this study was to describe the evolution in the hospital mortality rate (HMR) in Spain over the course of 20years and its distribution by province during a more recent period and to explore its relationship with potential explanatory variables. This was an ecological study. The population mortality rates were obtained from the Natural Population Movement (Movimiento Natural de la Población), and the hospital mortality rates were obtained from the Specialised Care Information System (Sistema de Información en Atención Especializada), which includes information from all hospitals in Spain. We calculated the mortality rates for patients who were not surveyed and the HMR at the national level between 1996 and 2015 and for provinces between 2013 and 2015. The relationship between the provincial distribution of HMR and various demographic, socioeconomic and healthcare variables were analysed through simple and multiple linear regression. The HMR in Spain increased from 49% in 1996 to 56% in 2007, having remained stable from 1996 to 2015. The variation among provinces was 40% to 70%. The multivariate analysis showed a higher HMR in the less rural provinces and in those with a larger availability of hospital beds. There is considerable provincial heterogeneity in Spain in terms of the probability of dying in hospital or at home. This result could be partly explained by demographics (percentage of rural population) and the healthcare structure (number of hospital beds per population). Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

  12. Francisco Martínez de la Rosa and church-state controversial relation in Spain (1834-1835

    Directory of Open Access Journals (Sweden)

    María José Vilar García

    2016-12-01

    Full Text Available This study aims to provide and analyze Francisco Martínez de la Rosa’s unpublished correspondence during his term as President of the Spanish Government in the 1834-1835 biennium, maintained with Amat di San Filippo Luigi, nuncio in Spain, and kept in the Vatican Secret Archives. Such correspondence consists of three letters with official mail format, although they could be considered rather confidential for their content. In these documents, the Spanish government strives, albeit unsuccessfully, to achieve recognition by Rome of Elizabeth II of Spain and his liberal regime. And last but not least, in this paper, it is also noteworthy to highlight the urgent need to fill the many vacant Dioceses in Spain.

  13. A theoretical and methodological proposal for the descriptive assessment of therapeutic interactions.

    Science.gov (United States)

    Froján-Parga, María Xesús; Ruiz-Sancho, Elena M; Calero-Elvira, Ana

    2016-01-01

    The goal of this study is to show the development of a strategy for a descriptive assessment of the therapeutic interaction. In this study, we develop an observational methodology to analyze the dialogues that took place during 92 sessions conducted in a psychological center in Madrid, Spain, in which 19 adults were treated for various psychological problems by 9 behavioral therapists. A system was developed to codify vocal behavior of both the therapists and the clients; the software The Observer XT was used for recording. Therapeutic interactions were analyzed using sequential analysis. There are three main sequences that synthesize the therapist-client interaction: first, an utterance by the client preceded by a therapist's verbalization, specifically a question (discriminative morphology) and followed by an expression of approval (reinforcement morphology); second, verbalizations of failure or discomfort uttered by the client, followed most often by verbalizations of disapproval (punishing morphology) uttered by the therapist; and third, verbalizations uttered by the client that are discriminated by the therapist after an in-depth explanation and followed by different therapist's utterances (expressions of approval, technical information, etc.). Depending on how the client responds the results in this study present a starting point for the study of the functional sequences that form the basis of therapeutic change.

  14. 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.

  15. Chronic myeloid leukaemia in Spain: Its presentation characteristics have changed. Spanish section of the EUTOS population-based registry.

    Science.gov (United States)

    Osorio, S; Casado, L F; Giraldo, P; Maestro, B; Andrade, M; Redondo, S; García-Gutiérrez, V; Ayala, R; Garcia, N; Steegmann, J L

    2016-01-01

    To provide more reliable data on the epidemiology of chronic myeloid leukaemia (CML) in Spain than are currently available. The EUTOS population-based project of European LeukemiaNet is a population registry of new CML cases in patients 18 years of age or older from 22 European areas. The Spanish section included the autonomous communities of Madrid, Castilla-La Mancha and Aragon, from 1-2-2010 to 31-12-2012. A total of 250 cases were recorded in 35 months. The overall incidence was 1.08 cases/10(5) inhabitants-year, with a predominance of men (58%) and clear differences among the communities. The incidence standardised by age was similar (overall, 1.04; men, 1.31; women, 0.81). The median age was 54 years. The incidence increased with age, reaching a peak at>65 years, although 31.7% of cases appeared between the ages of 20 and 44 years. Four percent of cases were diagnosed in advanced stages (2.4% in accelerated phase, 1.6% in blast crisis), 56% were asymptomatic, 38% had splenomegaly, and the Sokal score was high in 11% (lower than what was previously reflected in the literature). The current incidence of CML in Spain is higher than previously reported and similar to that of the European studies. Unlike the classical descriptions, CML presented mostly in asymptomatic form, with no splenomegaly, less leucocytosis and in stages with better prognosis. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

  16. Childbearing patterns among immigrant women and their daughters in Spain: Over-adaptation or structural constraints

    Directory of Open Access Journals (Sweden)

    Amparo González-Ferrer

    2017-09-01

    Full Text Available Background: Spain, a country with one of the lowest fertility levels in the world, has recently received intense immigration flows that may contribute to fertility recovery. Objective: The objective of this study is to examine whether the childbearing behaviour of immigrant women and their descendants shows a pattern of convergence with that of Spanish women born in or after 1950. Methods: After merging data from the Fertility and Values Survey (2006 and the National Immigrants Survey (2007, we analyse the transition to first, second, and third birth using event history models, to identify variations in timing and incidence of birth transitions between native Spanish women and immigrant groups. Results: Previous literature has found that migration disrupts immigrants' fertility only temporarily; however, in the case of Spain, most migrant women who moved before starting family formation do not seem to fully compensate for migration-related disruption of fertility at a later stage. Our findings challenge the widespread belief that immigrants' childbearing alone will allow Spain to leave behind the current lowest-low and latest-late fertility scenario. Contribution: This article analyzes for the first time the fertility of different immigrant generations in Spain compared to native women, applying event history techniques. Our findings challenge conventional wisdom that immigration will improve very low fertility levels in Spain.

  17. Modelling the fine and coarse fraction of heavy metals in Spain

    Science.gov (United States)

    García Vivanco, Marta; González, M. Angeles

    2014-05-01

    Heavy metals, such as cadmium, lead, nickel, arsenic, copper, chrome, zinc and selenium, are present in the air due to natural and anthropogenic emissions, normally joined to particles. These metals can affect life organisms via inhalation or ingestion, causing damages in human health and ecosystems. Small particles are inhaled and embebed in lungs and alveolus more easily than coarse particles. The CHIMERE model is a eulerian air quality model extensively used in air quality modelling. Metals have been recently included in this model in a special version developed in the CIEMAT (Madrid, Spain) modelling group. Vivanco et al. (2011) and González et al. (2012) showed the model performance for some metals in Spain and Europe. However, in these studies, metals were considered as fine particles. Some studies based on observed heavy metals air concentration indicate the presence of metals also in the coarse fraction, in special for Cu and Zn. For this reason, a new attempt of modelling metals considering a fine (Arsenic, Lead, Cadmium and Nickel Ambient Air Concentrations in Spain, 2011. Proceedings of the 11 th International Conference on Computational Science and Its Applications (ICCSA 11) 243-246 - González, Ma Vivanco, Marta; Palomino, Inmaculada; Garrido, Juan; Santiago, Manuel; Bessagnet, Bertrand Modelling Some Heavy Metals Air Concentration in Europe. // Water, Air & Soil Pollution;Sep2012, Vol. 223 Issue 8, p5227

  18. [Alcoholism prevention and alcohol advertising investment in Spain: David versus Goliath].

    Science.gov (United States)

    Montes-Santiago, Julio; Lado Castro-Rial, Marta

    2009-01-01

    Alcohol advertising correlates with consumption, particularly in young people. We studied the evolution of the amounts spent on alcoholic beverages advertising and on advertising as a whole in conventional media in Spain during the period 1995-2005. We analyzed the amounts spent on advertising in total and on alcoholic beverages advertising by studying the annual INFOADEX Survey on Advertising Investment in Spain in conventional media (TV, radio, the press, billboards and Internet). The results were subdivided into the periods 1995-2000 and 2001-2005. In the period 1995-2000 there was an increase (Delta) in alcoholic beverages advertising expenditure, from 268 to 347 million euro (Delta=29.5%), but a decrease in its percentage of advertising as a whole (from 7.6% to 6.1%). In the period 2001-2005 there was a rise in alcohol advertising expenditure from 145 to 186 million euro(Delta=28.0%), and also in its percentage of total advertising (from 2.7% to 2.8%). In 2001-2005, spending by Regional governments on preventive advertising increased from 22 to 52 million euro (Delta=136%). Alcohol advertising expenditure remains high in Spain, with young people as a primary target. In contrast, there is only modest investment in preventive advertising. Regulatory measures are necessary with a view to protecting populations especially susceptible to uncontrolled consumption.

  19. [Excess mortality associated with influenza in Spain in winter 2012].

    Science.gov (United States)

    León-Gómez, Inmaculada; Delgado-Sanz, Concepción; Jiménez-Jorge, Silvia; Flores, Víctor; Simón, Fernando; Gómez-Barroso, Diana; Larrauri, Amparo; de Mateo Ontañón, Salvador

    2015-01-01

    An excess of mortality was detected in Spain in February and March 2012 by the Spanish daily mortality surveillance system and the «European monitoring of excess mortality for public health action» program. The objective of this article was to determine whether this excess could be attributed to influenza in this period. Excess mortality from all causes from 2006 to 2012 were studied using time series in the Spanish daily mortality surveillance system, and Poisson regression in the European mortality surveillance system, as well as the FluMOMO model, which estimates the mortality attributable to influenza. Excess mortality due to influenza and pneumonia attributable to influenza were studied by a modification of the Serfling model. To detect the periods of excess, we compared observed and expected mortality. In February and March 2012, both the Spanish daily mortality surveillance system and the European mortality surveillance system detected a mortality excess of 8,110 and 10,872 deaths (mortality ratio (MR): 1.22 (95% CI:1.21-1.23) and 1.32 (95% CI: 1.29-1.31), respectively). In the 2011-12 season, the FluMOMO model identified the maximum percentage (97%) of deaths attributable to influenza in people older than 64 years with respect to the mortality total associated with influenza (13,822 deaths). The rate of excess mortality due to influenza and pneumonia and respiratory causes in people older than 64 years, obtained by the Serfling model, also reached a peak in the 2011-2012 season: 18.07 and 77.20, deaths per 100,000 inhabitants, respectively. A significant increase in mortality in elderly people in Spain was detected by the Spanish daily mortality surveillance system and by the European mortality surveillance system in the winter of 2012, coinciding with a late influenza season, with a predominance of the A(H3N2) virus, and a cold wave in Spain. This study suggests that influenza could have been one of the main factors contributing to the mortality excess

  20. Transfer of nuclear technology from Spain

    International Nuclear Information System (INIS)

    Madrid, G.

    1985-01-01

    Technology transfer from Spain is possible in several fields of nuclear technology ranging from the head end of the fuel cycle (ENUSA) to the back end (ENRESA). The advantages of such a transfer are emphasized

  1. Preliminary experiences of radionuclide migration with granitic materials: El Berrocal (Spain)

    International Nuclear Information System (INIS)

    Garcia Gutierrez, M.

    1994-01-01

    This report presents the radionuclide migration in granitic rocks used for radioactive waste storage. This project is developed in El Berrocal (Spain). The author studies the absorption process, applies the transport equation, the column migration and analyzes the curves

  2. 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.

  3. Catalan Nationalism and Challenges to the Territorial Integrity of Spain

    Directory of Open Access Journals (Sweden)

    G. I. Volkova

    2016-01-01

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

  4. 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

  5. Does physics instruction foster university students' cognitive processes? : a descriptive study of teacher activities

    NARCIS (Netherlands)

    Ferguson - Hessler, M.G.M.; Jong, de T.

    1993-01-01

    This study aims at giving a systematic description of the cognitive activities involved in teaching physics. Such a description of instruction in physics requires a basis in two models, that is, the cognitive activities involved in learning physics and the knowledge base that is the foundation of

  6. Scientific mobility of Early Career Researchers in Spain and The Netherlands through their publications

    Energy Technology Data Exchange (ETDEWEB)

    Robinson-Garcia, N.; Cañibano, C.; Woolley, R.; Costas, R.

    2016-07-01

    This paper presents an exploratory analysis of different typologies of researchers according to their traceable mobility using scientific publications covered in the Web of Science (WoS). We compare two populations of researchers, of the same ‘scientific age’, based in Spain and The Netherlands. To establish reasonable comparisons between researchers based in The Netherlands and Spain, we must first identify similar groups of researchers in each country. We only consider 'trusted' direct linkages between author and affiliation as reported in scientific publications and recorded by WoS. We establish three different study groups: Mobile versus non-mobile researchers, returned versus not returned researchers and, single versus multiple affiliations. We observe differences in the mobility patterns and their relation with production and citation impact between countries. Differences for each study group are found in the case of Spain but not as evident for The Netherlands. We conclude remarking the need to further analyse the institutional framework of each country to better understand how much do they influence research mobility and in what way. (Author)

  7. Ophiostomatoid fungi associated with declined Pinus pinaster stands in Spain

    Directory of Open Access Journals (Sweden)

    Gonzalo Álvarez

    2015-04-01

    Full Text Available Aim of study: We studied the presence of fungi and distribution patterns in relation to the health status of declining Pinus pinaster trees. Area of study: Trees in two declining stands in Central Spain were allotted to three declining classes. Material and Methods: Trees in two declining stands in Central Spain were allotted to three declining classes (healthy, declining and recently dead and 3 trees of each class were felled in each stand. Wood slides (phloem and xylem were taken at six positions along the trees and samples collected from fungal identification. Main results: A total of 21 fungal taxa were isolated and identified; eleven of these species belonged to the Ophiostomatoid group. Ophiostoma minus was the most frequently isolated fungus and was identified in 22% of the samples, mainly associated to dead and diseased trees. Research highlights: Together these results suggest a putative association of O. minor with the decline in this area, and thus we suggest paying more attention to this fungus as a potential agent of decline in P. pinaster stands.

  8. 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)

  9. Immigration and labor productivity: New empirical evidence for Spain

    OpenAIRE

    Nicodemo, Catia

    2013-01-01

    The purpose of this paper of this paper is to explore the immigration and productivity in Spain. We estimate the effect of immigration on labor productivity from 2004 until 2008 for Spain. Using firms (SABI) and individuals data (Social Security Records) we calculate the effect by sector and municipality for the two big Spanish provinces that have received most immigrants in the last decade: Barcelona and Madrid. After controlling for endogeneity of immigration, the results demonstrate that i...

  10. Financial Feasibility of Public Bike Rental Systems in Spain

    Energy Technology Data Exchange (ETDEWEB)

    Hernandez-Diaz, A.G.; Sastre, J.; Lopez-Sanchez, A.D.; Cuello, M.; Molina, J.

    2016-07-01

    In recent years, many public bike rental systems have proliferated in Spain. Unfortunately, many have had to close because of their poor financial feasibility. The aim of this paper is twofold. On the one hand, a benchmarking of the main public bicycle systems in Spain is conducted, analysing the growth in the last decades, with special emphasis on successful systems and on the recently failed. In addition, the financial feasibility of some successful systems in Spain is analysed: Seville, Valencia and Barcelona. Thus, major factors directly related to the viability of such systems are discussed. A proper and correct knowledge of these factors is essential when making decisions in mobility policies. The main factors on which the management company may decide are: pricing policy (annual and weekly rate), advertising rates, and system dimensions (number of docking stations, anchors and bicycles). There are other external factors not directly controlled by the company (subscribers, occupancy rate of advertising space and system maintenance cost) but which are crucial to their feasibility. To achieve the aforementioned objectives, mobility studies in Seville (1400 surveys) and Barcelona (1000 surveys) were conducted in order to achieve more accurate parameter values (time cycling, distances, used rate, frequencies, etc.). Despite the similarities between the systems in Valencia and Seville, they have shown very different profitability. The high profitability in Valencia and Barcelona is highlighted in contrast to the case of the Seville system. (Author)

  11. Imported family models? Cohabitation patterns of Latin American women in Spain

    Directory of Open Access Journals (Sweden)

    Clara CORTINA TRILLA

    2010-09-01

    Full Text Available During the last decade, international immigration flows have undergone a dramatic growth in Spain. In this particular context, the purpose of this article is to analyze whether Latin American female migrants residing in Spain largely maintain nuptial and reproductive patterns from their countries of origin. To analyze the prevalence of consensual unions we use three different databases: the Spanish Immigration Survey, the Spanish Labour Force Survey and birth records, all of them corresponding to 2007 and collected by the Spanish Statistical Institute. The study documents the high prevalence of consensual unions among Latin American migrants. Regarding the socio-demographic factors influencing cohabitation, our results show important similarities between Spanish and Latin American women, except for educational attainment.

  12. 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.

  13. [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.

  14. [Alcohol advertising in written mass media in Spain].

    Science.gov (United States)

    Montes-Santiago, J; Alvarez Muñiz, M L; Baz Lomba, A

    2007-03-01

    Alcohol advertising is a powerful factor of incitation to consumption. We analyzed the alcohol advertising, especially that youth-focused, in written mass media in Spain during the period 2002-2006. Annual cross-sectional study of advertisements in 41 widely difused written mass media (average readers: 10,1 millions). Media admitting alcohol publicity were 29% in the whole. (2,9 millions of readers on average, 29% of total readers). Alcohol advertising constituted the 3,8% of global publicity and the 8,6% of the publicity in media admitting alcohol publicity. In this period only 4% of the media (2,4% of total readers) inserted antidrug campaigns. In brief, three out of 10 total readers and one out of 12 people older than 15 years suffered the impact of tobacco advertising. Young people were included in 33% of alcohol advertisements and 3 out of 6 of youth-oriented magazines permitted a such publicity. Alcohol publicity remains high in written mass media in Spain. By contrast few people received informative antidrug campaigns. Advertising was preferentially directed to young people.

  15. Epidemiology of Usher syndrome in Valencia and Spain.

    Science.gov (United States)

    Espinós, C; Millán, J M; Beneyto, M; Nájera, C

    1998-01-01

    To obtain epidemiological data on the prevalence of the different types of Usher syndrome (US) in Spain, since these data were missing; to estimate the proportion of sporadic cases among simplex families, and calculate the prevalence of the Usher syndrome in a homogeneous population from Eastern Spain (3,875,234 inhabitants) that is representative of the Spanish population. Otological, ophthalmological and genetic studies were performed in 89 US patients from 46 families and subjected to statistical and segregation analysis. 41.6% of them suffered US type I, 46.1% type II, and in 12.3% the classification remains unclear. The estimated prevalence for the Province of Valencia was 4.2/100,000. There was a notable excess of male-only affected multiplex sibships in our sample that could be attributable to an X-linked inheritance. The number of families with USI type was similar to that of families with USII type. The estimated prevalence for the Province of Valencia is in agreement with other reports in which the estimate for the prevalence of US ranges from 1.8 to 6.2/100,000.

  16. Renewable Energy Policy Fact sheet - Spain

    International Nuclear Information System (INIS)

    2017-07-01

    The EurObserv'ER policy profiles give a snapshot of the renewable energy policy in the EU Member States. On October 2015, a new support scheme (the 'Regimen Retributivo Especifico') was established in Spain. The aim was to grant a specific remuneration regime for new biomass plants located in the mainland electricity system and for wind energy plants. The allocation of the referred specific remuneration regime has been done through a competitive call for tenders. A tax regulation mechanism for investments related to RESE plants is in place. There is a tax credit for solar thermal and for bio-fuels in transport. Furthermore a quota system for bio-fuels is in place. RES-E operators are entitled to grid connection, priority dispatch against the grid operator. Currently no support schemes for RES-H and C are in place in Spain

  17. Policy Brief: Bargaining for social rights of precarious workers in Spain

    NARCIS (Netherlands)

    Ramos Martin, N.E.

    2012-01-01

    The main focus of the Barsori project was the contribution that social partners make to the reduction of precarious employment through collective bargaining and social dialogue. The project studied experiences in seven EU countries: Denmark, Germany, Italy, the Netherlands, Slovakia, Spain and the

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

    Science.gov (United States)

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

    2009-12-01

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

  19. A descriptive review of qualitative studies in first episode psychosis.

    Science.gov (United States)

    Boydell, Katherine M; Stasiulis, Elaine; Volpe, Tiziana; Gladstone, Brenda

    2010-02-01

    The aim of this paper is to provide a descriptive review of published qualitative research studies on first episode psychosis (FEP). A review was undertaken to describe the findings of qualitative studies in early psychosis. Keyword searches in Medline, CINAHL, ASSIA, PsychINFO databases, as well as manual searches of other relevant journals and reference lists of primary papers, were conducted. Thirty-one qualitative papers (representing 27 discrete studies) were identified. The majority reported research concerning young people based in community settings. The research studies were organized according to the following generic social processes: (i) achieving identity; (ii) acquiring perspectives; (iii) doing activity; and, (iv) experiencing relationships. The papers reviewed are based on first-person accounts obtained from individuals who have experienced FEP, their family members and service providers. This descriptive review contributes to our understanding of the complex social processes of achieving identity, acquiring perspectives, doing activities and developing relationships as experienced by young people and the significant others in their world. The cumulative findings highlight the contextually rich and detailed information made possible through qualitative studies of FEP. They begin to account for the active engagement of individuals affected by psychosis in making sense of their experience and suggest that this experience should be understood from within young people's own framework of meaning.

  20. 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

  1. 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.

  2. Latin-American inmigration in Spain in the 21st Century

    Directory of Open Access Journals (Sweden)

    Aurora García Ballesteros

    2010-06-01

    Full Text Available Latino-American immigration in Spain increased in the last fourth of the 20th century and in the first decade of the 21st century, promoted by historical and social links and by bilateral covenants. Country provenance also changed due to the social-economic and political circumstances the countries were going through. Nowadays, most immigrants come from Ecuador and Colombia. The main effects that this emigration had on the countries of origin as well as immigrants’ legal situation in Spain are studied. The age and gender structures and their health situation are also analysed. Later on, their spatial distribution is looked into, specially in Madrid and Barcelona where almost half of Latin-Americans are concentrated. In the last part, labour and their main activities are examined as well as the existing differences depending on the country of origin.

  3. 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.

  4. Wind turbines in Spain: la vuelta

    International Nuclear Information System (INIS)

    Jeanson, E.; Trancart, M.

    2000-01-01

    Ten years ago it was just the beginning of the wind industry in Spain. Today it takes the third place in Europe and the fourth in the world. The pilot regions are the Galicia and the Navarre. (A.L.B.)

  5. 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.

  6. Can fire safety in hotels be improved? Results from the survey of a panel of experts in Spain.

    Science.gov (United States)

    Rubio-Romero, Juan Carlos; Márquez-Sierra, Francisco; Suárez-Cebador, Manuel

    2016-06-08

    The hotel industry is an important driver of the European labour market with over 250,000 hotels employing some 2 million people. In Spain, 240 workers were injured by fires in hotels from 2004 to 2008. Fire is considered to be the most important risk in the hotel industry, but the lack of an EU-wide data recording system for hotels makes it difficult to give exact figures for fire events. We analysed the state of fire prevention systems in hotels in Spain with the aim of proposing strategies to improve fire safety. A 10-item questionnaire was administered from 2007 to 2009 to 15 Spanish experts in fire safety. The questions were measured using a Likert scale and classified into 4 sections: current state of installations, influence of establishment characteristics, application of regulations and priority ranking of actions. Descriptive statistics summarized the data and t-tests evaluated the agreement foreach statement in the questionnaire. The statistical analysis showed homogeneity in the responses by the experts in all four categories: current state of fire safety installations, influence of establishment characteristics, application of regulations, and priority of actions. There was consensus among the experts over the necessity to improve the enforcement of regulations and also regarding the existence of an association between the hotel category (in Spain they are ranked using a 1 to 5 "star" rating system) and the level of fire safety; hotels with a higher category had higher levels of safety. There is a need to identify ways to apply fire safety standards to older hotels so that they comply with new regulations, to standardize regulations for different regions and countries, to improve the maintenance of installations and equipment, to increase the effectiveness of inspections conducted by government bodies, and to raise the general awareness of stakeholders involved in hotel fire prevention.

  7. Stable Atmospheric Boundary Layer Experiment in Spain (SABLES 98) : a report

    NARCIS (Netherlands)

    Cuxart, J.; Yague, C.; Morales, G.; Terradelles, E.; Orbe, J.; Calvo, J.; Vilu-Guerau, de J.; Soler, M.R.; Infante, C.; Buenestado, P.; Espinalt, A.; Jorgensem, H.E.

    2000-01-01

    This paper describes the Stable Atmospheric Boundary Layer Experiment in Spain (SABLES 98), which took place over the northern Spanish plateau comprising relatively flat grassland, in September 1998. The main objectives of the campaign were to study the properties of the mid-latitude stable boundary

  8. 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

  9. Media Speech about Youth in Spain

    Directory of Open Access Journals (Sweden)

    José Antonio Alcoceba

    2010-06-01

    Full Text Available The objective of this study is to analyze the media treatment of young people in Spain. Besides, we offer some tools to help media editors and journalists to be more impartial in information about youth. The research held a media content analysis (three months in 2006, for newspapers, radio and TV and a qualitative speech analysis (for a reduce number of news in newspapers, radio and TV. From first analysis, we noticed that most news about youth are related with difficult, problematic and controversial circumstances. The main recommendation of this study is for the responsible of media: to understand young people in diversity, with functions and capabilities to change social life.

  10. First detection of Onchocerca lupi infection in dogs in southern Spain.

    Science.gov (United States)

    Miró, Guadalupe; Montoya, Ana; Checa, Rocío; Gálvez, Rosa; Mínguez, Juan José; Marino, Valentina; Otranto, Domenico

    2016-05-18

    Onchocerca lupi causes ocular pathology of varying severity in dogs from south-western United States, western Europe and northern Asia. This filarioid has also been recognized as a zoonotic agent in Tunisia, Turkey, Iran and the USA, though the information about the biology and epidemiology of this infection is largely unknown. In Europe, O. lupi has been reported in dogs from Germany, Greece, Hungary, Portugal and Romania and in a cat from Portugal. The present study was designed to establish the occurrence of O. lupi in dogs in southwestern Spain. In the present study a total of 104 dogs of different breed, sex, and age living in a shelter in Huelva (SW Spain) were examined. Skin snip samples were collected using a disposable scalpel in the forehead and inter-scapular regions and stored as aliquots in saline solution (0.5 ml) before light microscopy observation of individual sediments (20 μl) and molecular examination. Of the 104 dogs examined, 5 (4.8 %) were skin snip-positive for O. lupi: two by microscopy and three by PCR. One of the O. lupi infected dogs showed neurological signs but ocular ultrasonography and/or MRI detected no abnormalities. This first report of O. lupi infection in dogs in southern Spain expands the range of geographical distribution of this parasite and sounds an alarm bell for practitioners and physicians working in that area.

  11. Tourist Spaces and Tourism Policy in Spain and Portugal

    OpenAIRE

    Almeida-Garcia, Fernando; Cortes-Macias, Rafael; Balbuena Vázquez, Antonia

    2013-01-01

    This study analyses the relationship between the development of the tourism policy of Spain and Portugal and their effects on regional imbalances. Despite the proximity of the two countries and their specialisation in tourism, there are few comparative studies on tourism of the two Iberian countries. The study focuses on the two major phases of tourism policy: the period of mass tourism and post-Fordist stage. In the conclusions we refer the debate on the existence of a model of development b...

  12. Discrimination, work and health in immigrant populations in Spain.

    Science.gov (United States)

    Agudelo-Suárez, Andrés; Gil-González, Diana; Ronda-Pérez, Elena; Porthé, Victoria; Paramio-Pérez, Gema; García, Ana M; Garí, Aitana

    2009-05-01

    One of the most important social phenomena in the global context is the flow of immigration from developing countries, motivated by economic and employment related issues. Discrimination can be approached as a health risk factor within the immigrant population's working environment, especially for those immigrants at greater risk from social exclusion and marginalisation. The aim of this study is to research perceptions of discrimination and the specific relationship between discrimination in the workplace and health among Spain's immigrant population. A qualitative study was performed by means of 84 interviews and 12 focus groups held with immigrant workers in five cities in Spain receiving a large influx of immigrants (Madrid, Barcelona, Valencia, Alicante and Huelva), covering representative immigrant communities in Spain (Romanians, Moroccans, Ecuadorians, Colombians and Sub-Saharan Africans). Discourse narrative content analysis was performed using pre-established categories and gradually incorporating other emerging categories from the immigrant interviewees themselves. The participants reported instances of discrimination in their community and working life, characterised by experiences of racism, mistreatment and precarious working conditions in comparison to the Spanish-born population. They also talked about limitations in terms of accessible occupations (mainly construction, the hotel and restaurant trade, domestic service and agriculture), and described major difficulties accessing other types of work (for example public administration). They also identified political and legal structural barriers related with social institutions. Experiences of discrimination can affect their mental health and are decisive factors regarding access to healthcare services. Our results suggest the need to adopt integration policies in both the countries of origin and the host country, to acknowledge labour and social rights, and to conduct further research into individual

  13. Prevalence of actinic keratosis among dermatology outpatients in Spain.

    Science.gov (United States)

    Ferrándiz, C; Plazas, M J; Sabaté, M; Palomino, R

    2016-10-01

    Actinic keratoses (AKs) are common skin lesions associated with an increased risk of developing squamous cell carcinoma. Few studies in Europe have focused on AK prevalence. To determine the point prevalence of AKs in a dermatology outpatient population in Spain, to describe the clinical characteristics of these lesions and to characterise the profile of AK patients. Observational, cross-sectional, multicentre study conducted in 19 hospitals (dermatology outpatient services) around Spain. A total of 204 consecutive patients per hospital who were ≥45 years old were screened for the presence of AKs. 3877 patients were assessed and the overall AKs prevalence was 28.6%. Prevalence was significantly higher in men than women (38.4% vs. 20.8%, p<0.0001) and increased with age for both sexes (45.2% in 71-80 years). Scalp and ear lesion locations were significantly more frequent in men (51.9% vs. 2.7% and 16.9% vs. 2.4%, respectively, p<0.0001 both cases) and the cheek, nose and neckline in women (46.3% vs. 34.0% [p<0.0001], 43.0% vs. 24.8% [p<0.0001] and 5.3% vs. 1.8% [p=0.002]). Men showed a significantly higher frequency of ≥2 affected areas than women (42.7% vs. 20.3%, p<0.0001). Among patients with AK lesions, only 65% confirmed that they were the reason for the visit to the clinic. Approximately a quarter of the dermatology outpatient population in Spain aged ≥45 years old have AKs, with the prevalence rate being highest in men and in older age groups. AK is underdiagnosed and a proactive strategy is needed for the diagnosis and early treatment of these lesions. Copyright © 2016 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.

  14. Natural radioactivity in soils of the province of Caceres (Spain)

    Energy Technology Data Exchange (ETDEWEB)

    Baeza, A; Del Rio, M; Miro, C; Paniagua, J M [Extremadura Univ., Caceres (Spain). Facultad de Veterinaria

    1992-01-01

    Soils from all over the province of Caceres (Spain) were studied by gamma spectrometry to determine their [sup 226]Ra, [sup 232]Th and [sup 40]K concentrations. The rock types are fundamentally granites, shales and sedimentary materials. The analyses were designed for three different studies of the radionuclide concentration: at the surface, as a function of depth, and as a function of grain size. (author).

  15. [Systematic review of health-related utilities in Spain: the case of mental health].

    Science.gov (United States)

    García-Pérez, Lidia; Aguiar-Ibáñez, Raquel; Pinilla-Domínguez, Pilar; Arvelo-Martín, Alejandro; Linertová, Renata; Rivero-Santana, Amado

    2014-01-01

    Currently, there is no registry of utility values for the Spanish population that could potentially be used in economic evaluations. Consequently, a systematic review of utilities or preferences for health states in the Spanish population was conducted. The results related to mental health are reported. A systematic review of the literature was conducted. The main databases searched were MEDLINE, CRD, Embase, PsycINFO, CINAHL, and Cochrane. The search strategy combined terms related to utilities and Spain. The inclusion criteria comprised the resident population in Spain, whether affected by any disease or not; the reported utilities had to be evaluated through a tool validated in Spain (i.e., EQ-5D, HUI, SF-6D) and/or following accepted techniques (e.g., time trade-off, standard gamble, or the visual analog scale). A narrative synthesis of articles was undertaken and the results related to mental health summarized. A total of 103 articles were finally included, from which 742 utility values were extracted. Sixty-nine utility values related to mental health and behavioral disorders were extracted from 12 studies. The most widely used tool was the E5-QD questionnaire. Most of the excluded articles evaluated quality of life but did not provide an estimation of utilities. This review adds value to research on utilities in Spain by gathering values to be included in economic evaluations, as well as by identifying research gaps in this field. The utility values related to mental health identified in this study are similar to those reported in international publications. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

  16. 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

  17. Loyalty and Disavowal in Holy Qur’an Descriptive linguistic study

    Directory of Open Access Journals (Sweden)

    Iman Kanani

    2017-07-01

    Full Text Available This research aims to clarify the meaning of loyalty and disavowal from linguistic point of view, between the views of linguists, and the exegetes in the Lexicons and exegeses with analysis and debate. First of all, the researcher Indicates definition of loyalty as stated in the dictionaries, with bringing the examples from the Holy Qur’an and the views of the commentators about this issue, then analysis and discussion. Second, he defines Disavowal in the language, with a point of view from linguists, and interpreters, by analyzing and discussion the examples from the Noble Qur’an. Finally, it illustrates the application of the legal and practical concept of loyalty and disavowal, to enhance the significance of language. The importance of the current study is- according to researcher’s information- due to its doctrinal and sociological matter and nobody precede such a linguistic study of Loyalty. This research approaches the issue, using the method of descriptive and analytical, based on the description and analysis of the phenomenon.

  18. Training in breast surgery in Spain.

    Science.gov (United States)

    Miguelena, José M; Domínguez Cunchillos, Fernando

    2016-01-01

    Breast surgery is a key part of training and competency in general surgery in Spain and is a "frontier area" that can be efficiently managed by general surgeons and gynecologists. The main objective of the training process consists of the surgical treatment of breast cancer, including conservative surgery, oncoplastic and reconstructive techniques. This article analyses the current status of breast surgery training in Spain and schematically proposes potential targets of the different training programs, to improve access and training for surgeons and residents in this area, taking into account the RD 639/2014 and European regulation. The priority is to specify the level of training that should be achieved, in relation to the group of professionals involved, considering their area of competency: surgery resident, educational programs, and surgeons with special dedication to this area. Copyright © 2016 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.

  19. 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.

  20. Does Tamarix dalmatica (Tamari caceae occur in Spain?

    Directory of Open Access Journals (Sweden)

    Villar, José Luis

    2012-12-01

    Full Text Available The presence of Tamarix dalmatica in the Iberian Peninsula, and its confusion in Spain with the native species T. boveana and T. africana, is discussed. A morphological comparison between these three species, and a critical study of the causes for the confusion between them, is presented. This includes an analysis of the variability in some morphological characters used for the identification of these species, together with clarifications of some discrepancies between the original descriptions and our observations of the type material. As a conclusion, T. dalmatica is excluded from the Iberian and Balearic floras.

    Se discute la presencia de Tamarix dalmatica en la Península Ibérica e Islas Baleares. Se pone de manifiesto la frecuente confusión de esta especie, en el territorio peninsular, con las nativas T. boveana y T. africana. Se realiza una comparación morfológica entre las tres especies y un estudio crítico de las causas que han provocado dicha confusión. Así mismo, se discute la variabilidad existente en algunos caracteres morfológicos utilizados para la identificación de estas especies, así como algunas discrepancias entre las descripciones originales publicadas y el material tipo. Como conclusión se descarta la presencia de T. dalmatica en la flora ibero-balear.

  1. Ecological compensation and Environmental Impact Assessment in Spain

    International Nuclear Information System (INIS)

    Villarroya, Ana; Puig, Jordi

    2010-01-01

    To achieve meaningful sustainable development, Environmental Impact Assessment (EIA) should avoid the net losses in the environment resource base. But EIA practice does not always avoid the losses caused by the implementation of the projects under EIA regulation. Some environmental impacts are, simply, admitted, even without enforcing any form of compensation. When applied, compensation is sometimes just a monetary payment to offset the environmental loss. This paper looks for evidence on the role that compensation is given at present in EIA practice in Spain, and for some of its conceptual and regulatory roots. Specifically, it explores how compensation is addressed in 1302 records of decision (RODs) on those projects subject to the Spanish EIA regulation published during the years 2006 and 2007, to know how far Spain is from preserving the environmental resource base managed through this particular aspect of EIA practice. As a result, it is concluded that the practice of ecological compensation in EIA in Spain is much lower than it could be expected in a theoretical sustainability context committed to avoid net losses in the environment resource base, mainly due to an EIA practice focused on on-site mitigation that allows these net losses.

  2. Disability-adjusted Life Years Lost to Ischemic Heart Disease in Spain.

    Science.gov (United States)

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

    2015-11-01

    The health indicator disability-adjusted life years combines the fatal and nonfatal consequences of a disease in a single measure. The aim of this study was to evaluate the burden of ischemic heart disease in 2008 in Spain by calculating disability-adjusted life years. The years of life lost due to premature death were calculated using the ischemic heart disease deaths by age and sex recorded in the Spanish National Institute of Statistics and the life-table in the 2010 Global Burden of Disease study. The years lived with disability, calculated for acute coronary syndrome, stable angina, and ischemic heart failure, used hospital discharge data and information from population studies. Disability weights were taken from the 2010 Global Burden of Disease study. We calculated crude and age standardized rates (European Standard Population). Univariate sensitivity analyses were performed. In 2008, 539 570 disability-adjusted life years were lost due to ischemic heart disease in Spain (crude rate, 11.8/1000 population; standardized, 8.6/1000). Of the total years lost, 96% were due to premature death and 4% due to disability. Among the years lost due to disability, heart failure accounted for 83%, stable angina 15%, and acute coronary syndrome 2%. In the sensitivity analysis, weighting by age was the factor that changed the results to the greatest degree. Ischemic heart disease continues to have a huge impact on the health of our population, mainly because of premature death. The results of this study provide an overall vision of the epidemiologic situation in Spain and could serve as the basis for evaluating interventions targeting the acute and chronic manifestations of cardiac ischemia. Copyright © 2014 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

  3. 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.

  4. [Trends of non-steroidal anti-inflammatory drugs use in Spain, 1990 through 2003].

    Science.gov (United States)

    de Abajo, F J; del Pozo, J García; del Pino, A

    2005-11-01

    To know the trends of supply, consumption and pattern of use of non-steroidal anti-inflammatory drugs (NSAIDs) in Spain from 1990 through 2003, as well as their costs. Drug utilization study. National Health System, outpatient setting. Information on drug utilization was obtained from the ALHAQUEM database of the Spanish Ministry of Health, which contains the number of packages sold in community pharmacies and charged to the National Health System. Data were expressed in defined daily doses (DDD) per 1000 inhabitants per day (DHD). NSAIDs consumption in Spain increased from 23.67 DHD in 1990 to 45.82 DHD in 2003 (a 93.6% increase). Ibuprofen was the NSAID which showed the greatest increase (15.33 DHD in 2003). The consumption of coxibs reached a maximum of 7.74 DHD in 2001, but decreased to 3.59 DHD in 2003 once prior-authorization programs were set up. Over the study period the share of NSAIDs use with a low gastrointestinal risk increased from 29% to 59%. Overall costs of NSAIDs increased from 117 million euro in 1990 to 329 million euro in 2003. Over the study period the consumption of NSAIDs in Spain has increased twofold while costs increased threefold. The pattern of use has remarkably changed showing an increasing use of NSAIDs with a better gastrointestinal profile. The impact of coxibs marketing has been moderate.

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

    Science.gov (United States)

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

    2013-01-01

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

  6. Study on the methodology for hydrogeological site descriptive modelling by discrete fracture networks

    International Nuclear Information System (INIS)

    Tanaka, Tatsuya; Ando, Kenichi; Hashimoto, Shuuji; Saegusa, Hiromitsu; Takeuchi, Shinji; Amano, Kenji

    2007-01-01

    This study aims to establish comprehensive techniques for site descriptive modelling considering the hydraulic heterogeneity due to the Water Conducting Features in fractured rocks. The WCFs was defined by the interpretation and integration of geological and hydrogeological data obtained from the deep borehole investigation campaign in the Mizunami URL project and Regional Hydrogeological Study. As a result of surface based investigation phase, the block-scale hydrogeological descriptive model was generated using hydraulic discrete fracture networks. Uncertainties and remaining issues associated with the assumption in interpreting the data and its modelling were addressed in a systematic way. (author)

  7. Lower Devonian Brachiopods and Stratigraphy of North Palencia (Cantabrian Mountains, Spain)

    NARCIS (Netherlands)

    Binnekamp, J.G.

    1965-01-01

    A continuous sequence of Devonian sediments is exposed in the northern part of the province of Palencia (NW-Spain), on the southern slope of the Cantabrian Mountains. This study concerns the stratigraphy and paleontology of the Lower Devonian formations. At the base of the sequence a clastic

  8. LEVEL OF HABITUAL PHYSICAL ACTIVITY IN 8-9 YEARS OLD SCHOOLCHILDREN FROM SPAIN AND INDIA

    Directory of Open Access Journals (Sweden)

    Guillermo Felipe López Sánchez

    2016-01-01

    Full Text Available The level of physical activity of people is a very important issue internationally. The aim of this study was to analyze and compare the level of habitual physical activity in 8-9 years old schoolchildren from Spain and India. With this purpose, it was administered the questionnaire PACE (Physician-based Assessment and Counseling for Exercise in a sample of 85 schoolchildren (44 from Spain and 41 from India. The results showed that the sample studied does not do enough physical activity, according to the recommendations of the World Health Organization, as they do at least 60 minutes of physical activity; only an average of 3.13 days/week (SD=1.91. 8-year-old schoolchildren do more physical activity than 9-year-old schoolchildren in both countries; boys do more physical activity than girls in both countries; schoolchildren from India do more physical activity than schoolchildren from Spain. Therefore, it is concluded that the level of physical activity is insufficient, decreases slightly with the age and is higher in India.

  9. Approaches to Open Data for Science in Spain

    Directory of Open Access Journals (Sweden)

    E Wulff-Barreiro

    2011-10-01

    Full Text Available As observational data has attained new legal status, allowing their integration into open Internet systems, and experimental data continues to be assembled in common and free platforms, state of the art, easy to access data repositories have been designed in Spain. These repositories have removed many obstacles to re-utilization of GIS and other data. European legislation has also made advances in opening biodiversity data, including a European space in the Latin-American grid infrastructure. Open access biomedical repositories attract commercial attention while astronomical, meteorological, and oncological institutions promote data quality and access. This paper describes recent approaches to open access data for science in Spain.

  10. Trans-fatty acid content of food products in Spain in 2015.

    Science.gov (United States)

    Pérez-Farinós, Napoleón; Dal Re Saavedra, María Ángeles; Villar Villalba, Carmen; Robledo de Dios, Teresa

    2016-01-01

    To ascertain the content of trans-fatty acids (TFA) in food products in Spain in 2015 and assess trends in TFA content since 2010. We analysed the fat content of 277 food products purchased in Spanish supermarkets in 2015 and calculated both the total fat and TFA content and the proportion of TFA to total fats. The results obtained in 2015 were compared to those yielded by a similar study in 2010. In 2015, the majority of food products studied had a TFA content of less than 0.2g/100g product, and a TFA/total fat ratio of less than 2%. No significant increases were found compared to 2010. Food groups with a higher TFA content were dairy products of possible natural origin. TFA content in Spain is low and has significantly fallen since 2010. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. Macroeconomic impact of the Solar Thermal Electricity Industry in Spain

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-10-15

    In the last three years, Solar Thermal Electricity (STE) in Spain has grown significantly. Its weight within the renewables mix is becoming relevant, and even more so, its impact on economics, society, the environment, and reducing energy dependence. This report was carried out by Deloitte for Protermosolar to quantitatively and qualitatively evaluate the main macroeconomic variables derived from the development of this technology in Spain from 2008 to 2010, and forecast its possible future impact.

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

    Directory of Open Access Journals (Sweden)

    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

  13. Deteminants of interregional migration in Spain: new analysis techniques

    Directory of Open Access Journals (Sweden)

    Adolfo Maza Fernández

    2004-01-01

    Full Text Available This paper analyses the determinants of internal migration in Spain from a regional standpoint. For this purpose, it develops both a nonparametric and semiparametric approach. The general conclusion that it is drawn from the study is that migratory movements are very persistent and mainly respond, though weakly, to the differentials of per capita income, unemployment rates and housing costs between regions.

  14. Territorial organization in Spain and in Colombia: “Report on Spain. Rethinking the State or destroying it”. Santiago Muñoz Machado

    Directory of Open Access Journals (Sweden)

    Catalina Ana Larach Del Castillo

    2013-12-01

    Full Text Available Two recently published books, one from Spain (Muñoz Machado, 2012 and the other from Colombia (Mendoza Martelo, 2013, evince concerns with respect to the territorial organization in both countries. What is the appeal of the territorial model? With common constitutional errors occurring in the territorial area, and a crisis in both function and coordination in various levels of the Government –as well as in the different regions and autonomous communities–, is legal reform preferable to constitutional change? These are some of the issues raised and evaluated in current debates. In the work in question, the main problems in Spain are analyzed and the author proposes ways of solving or diminishing these problems, such as a return to centralism, the partial conservation of autonomous communities, the replacement of the current model with a federal State, as well as the possibilities of self-determination and separatism. The proposed study will serve to revise certain aspects of Colombia’s territorial system, in order to determine whether or not reformation is necessary.

  15. 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.

  16. Nephrology around Europe: organization models and management strategies: Spain.

    Science.gov (United States)

    de Francisco, Angel L M; Piñera, Celestino

    2011-01-01

    The main aim of this report is to present a picture of the current organization of nephrology in Spain. The Spanish health system offers almost universal coverage, a wide variety of services and a high-quality network of hospitals and primary care centers. Spain has a specialized health care training system that is highly developed, highly regulated, with the capacity to provide high-quality training in 54 different specialties. Nephrology is basically a hospital-based specialty. There are no private dialysis patients in Spain. Hemodialysis centers are 40% public, 15% private and 45% run by companies. The National Health System covers 95% of the population, and there is no cost to patients for treatment of renal disease (dialysis and transplant). We observed a clear decrease of nephrology in residents' election rankings, with position 29 out of 47 specialties in 2007. Some of the reasons for this are the complexity of the subject, no clear information at the university, reduction of professional posts and a very good public service with minimal private practice. In Spain, a model of organization for transplantation was adopted based on a decentralized transplant coordinating network. For cadaveric donors, it compares favorably with rates in other Western countries. Living donor transplantation is very low in Spain--just 10% of total renal transplantation activity. New programs due to financial constraints need to include reduced dialysis costs, greater cost-effectiveness of prescriptions, better handling of ethical issues related to the need for using a clinical score of chronic kidney disease patients to make decisions about conservative or renal replacement therapy and an action plan for improvement of organ donation and transplantation. Recovery of skills (acute kidney injury, biopsies, vascular access, etc.), research and advances in autonomous activities (imaging, surgical and medical vascular training, etc.) are some of the future educational paths needed in

  17. 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.

  18. Projected climatic changes on drought conditions over Spain

    Science.gov (United States)

    García-Valdecasas Ojeda, Matilde; Quishpe-Vásquez, César; Raquel Gámiz-Fortis, Sonia; Castro-Díez, Yolanda; Jesús Esteban-Parra, María

    2017-04-01

    In a context of global warming, the evapotranspiration processes will have a strong influence on drought severity. For this reason, the Standardized Precipitation Evapotranspiration Index (SPEI) was computed at different timescales in order to explore the projected drought changes for the main watersheds in Spain. For that, the Weather Research and Forecasting (WRF) model has been used in order to obtain current (1980-2010) and future (2021-2050 and 2071-2100) climate output fields. WRF model was used over a domain that spans the Iberian Peninsula with a spatial resolution of 0.088°, and nested in the coarser 0.44° EURO-CORDEX domain, and driving by the global bias-corrected climate model output data from version 1 of NCAR's Community Earth System Model (CESM1), using two different Representative Concentration Pathway (RCP) scenarios: RCP 4.5 and RCP 8.5. Besides, to examine the behavior of this drought index, a comparison with the Standardized Precipitation Index (SPI), which does not consider the evapotranspiration effects, was also performed. Additionally the relationship between the SPEI index and the soil moisture has also been analyzed. The results of this study suggest an increase in the severity and duration of drought, being larger when the SPEI index is used to define drought events. This fact confirms the relevance of taking into account the evapotranspiration processes to detect future drought events. The results also show a noticeable relationship between the SPEI and the simulated soil moisture content, which is more significant at higher timescales. Keywords: Drought, SPEI, SPI, Climatic change, Projections, WRF. Acknowledgements: This work has been financed by the projects P11-RNM-7941 (Junta de Andalucía-Spain) and CGL2013-48539-R (MINECO-Spain, FEDER).

  19. Enlarging the underground hydroelectric plant at Villarino, Spain

    Energy Technology Data Exchange (ETDEWEB)

    Oriard, L.L.

    1997-05-01

    Near the village of Villarino de los Aires, in the province of Salamanca, Spain, was an existing underground hydroelectric power plant. A major enlargement was undertaken to increase the electrical generating capacity, under a contract awarded to a joint venture of Dragados y Construcciones, S. A. (Spain), Entrecanales y Tavora, S. A. (Spain), and S.A. Conrad Zschokke (Switzerland). The enlargement required the excavation of a large and complex underground system of tunnels, shafts and chambers adjacent to existing facilities and interconnected with these facilities. The existing machine hall and transformer chamber were both extended, requiring the blasting of the existing end walls. The drilling, blasting and excavating of the underground system had to be done without damage to existing underground chambers and tunnels, or any of the existing structures, equipment or instrumentation facilities, often within just a few feet of the blasting. This required careful control of vibrations, airblast overpressures and dust. Because the only available non-electric detonating systems were found to be unreliable and unsafe, electric systems would be preferred if they could be used in a safe manner at this site. High electrical potentials existed at the site, and the facilities could not be shut down. Electrical fields were studied carefully, both in the underground environment and above the ground surface. Based on these results, it was concluded that electric detonators could be used if special blasting procedures were developed and followed. In accord with contracting practices of this Spanish agency, the contract was not awarded to the lowest bidder, but to the bidder who demonstrated the best understanding of the project and who presented the best technical proposal for conducting the work to a conclusion that would be satisfactory to the owner. The development of the technical proposal was a two-month effort for a technical group and support staff, prepared in Madrid.

  20. Feasibility of screening and prevalence of prenatal depression in an obstetric setting in Spain.

    Science.gov (United States)

    de la Fe Rodríguez-Muñoz, María; Le, Huynh-Nhu; de la Cruz, Ivette Vargas; Crespo, María Eugenia Olivares; Méndez, Nuria Izquierdo

    2017-08-01

    Prenatal depression is a significant public health problem and one of the main risk factors for postpartum depression. Limited research in perinatal depression has been conducted in Spain. The objectives of this study was to: (1) examine the feasibility of integrating a screening program for prenatal depression in an obstetrics setting in a large urban hospital in Spain; and (2) provide an initial estimate of the prevalence rate of the severity of depressive symptoms during pregnancy. Screening for prenatal depression was conducted during the first trimester in an obstetrics setting in an urban hospital in Madrid, Spain 2014-2015. The Patient Health Questionnaire (PHQ-9) was used as the main screener. Of the 730 women asked to complete the screening protocol, 445 (60.9%) completed the PHQ-9 during the first trimester. Those who did not complete the screening were more likely to be immigrants and did not read Spanish. The prevalence of moderate to high severity of prenatal depressive symptoms prenatal depressive is 14.8% (PHQ-9≥10). It is possible to integrate screening for prenatal depression in an urban obstetrics setting, but there are significant structural barriers to implementation. The prevalence of significant prenatal depressive symptoms is similar to previous research in Spain and adds to the limited research in this area. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Is leishmaniasis widespread in Spain? First data on canine leishmaniasis in the province of Lleida, Catalonia, northeast Spain.

    Science.gov (United States)

    Ballart, C; Alcover, M M; Portús, M; Gállego, M

    2012-02-01

    Canine leishmaniasis (CanL) is a widespread disease present in 42 countries. It is considered of epidemiological importance because of its role as a reservoir of human leishmaniasis. Knowledge of the real distribution of CanL and its emergence and/or re-emergence is of great importance in order to determine the extension of the disease. This work reports the detection of CanL in a farm dog located in a Pyrenean area of northwest Catalonia (Spain) where the disease was previously unknown. Since the dog had never left the region and sandfly vectors, Phlebotomus ariasi and P. perniciosus, were present in the farm the case is considered as autochthonous and is the first to be published in this region of Spain. Copyright © 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.

  2. Historical evolution of process safety and major-accident hazards prevention in Spain. Contribution of the pioneer Joaquim Casal.

    OpenAIRE

    Planas Cuchi, Eulàlia; Arnaldos Viger, Josep; Darbra Roman, Rosa Maria; Muñoz Messineo, Miguel Ángel; Pastor Ferrer, Elsa; Vílchez Sánchez, Juan Antonio

    2013-01-01

    This paper aims at presenting the evolution of process safety in Spain from various points of view. In first place, a study of the accidents occurred in this country in the process industry and in the transportation of chemical substances is presented. After this, the starting point of the process safety research in Spain and its evolution during the years are explained. The importance of this topic has also been reflected in the chemical engineering studies in some Spanish universities. Ther...

  3. Food-related life style in Spain

    DEFF Research Database (Denmark)

    Bredahl, Lone; Brunsø, Karen; Grunert, Klaus G.

    1996-01-01

    Executive summary 1. This report contains the main results of a survey of food-related lifestyle in Spain, based on a representative sample of 1000 Spanish households. 2. Generally speaking, Spanish food consumers are very interested in shopping for food and cooking. Compared with other European ...

  4. Depression and Anxiety in a Cardiovascular Outpatient Clinic: A Descriptive Study

    OpenAIRE

    Baktash Bayani MD; Shakila Yousefi Msc; Mahtab Bayani MD; Maryam Shirmohammadi Msc; Abdollatif Alimoradi Msc; Homa Falsoleiman MD; Narges Yazdi Msc; Mohammad Arbabi MD

    2011-01-01

    Objective: Cardiac diseases are psycho-somatic disorders, and psychological aspects play an essential role in their initiation and exacerbation. The aim of this study was to gain appropriate knowledge in the epidemiology of co-morbid depression and anxiety disorder in cardiovascular outpatients.Method: This study is descriptive with a sample of patients attending a cardio-vascular clinic. 238 individuals were included in this study using a consecutive sampling method. The study instrument was...

  5. From Student Associations to CEUNE: The Development of Student Representation in Spain

    Science.gov (United States)

    Parejo, José Luis; Lorente, Javier

    2012-01-01

    The forms of students' political participation in the administration of higher education in Spain have evolved throughout history. Spain has developed from a period characterised by the corporatist model of Sindicato Espanõl Universitario--as a single syndicate of students controlled by the Franco Regime--towards the emergence of a student…

  6. The Journal of A. v. Humboldt in Spain

    Directory of Open Access Journals (Sweden)

    Leitner, Ulrike

    2011-12-01

    Full Text Available The Spanish diary can surprisingly not be found in his bounded diaries from his American travels, but in a separate folder of his legacy in Berlin, where Humboldt collected material which he wanted to use for his publication about Spain. So it remained undiscovered until recently. Humboldt’s notes contain geognostic descriptions as well as his observations about climate, vegetation, electricity of the atmosphere, etc. The comparison with Humboldt’s publication of 1825 facilitates to gain insight into his scientific methods.

    El diario español de Humboldt se encuentra sorprendentemente en una carpeta de su legado en Berlín, donde el mismo recopiló los materiales para su publicación sobre la meseta española en la revista Hertha, y no en sus diarios encuadernados del viaje americano. Esto explica que no se hubieran descubierto hasta hace poco tiempo. El manuscrito contiene descripciones geognósticas, observaciones sobre el clima, la vegetación, la electricidad de la atmósfera, etc. La comparación con lo publicado de Humboldt en 1825 sobre la meseta española que realizamos en las notas de esta edición facilitará al lector una aproximación a los métodos cientificos típicos de Humboldt.

  7. 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)

  8. 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.

  9. The gas industry in Spain

    International Nuclear Information System (INIS)

    Jego, H.

    1999-01-01

    This short presentation of the Spanish gas industry looks at the industry's different players including Gas Natural, which controls almost all of the gas distribution in Spain. Natural gas, almost all of which is imported, accounts for an ever-growing share in the country's energy balance and has undergone great developments, particularly in industry and in thermal generating plants. (author)

  10. 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.

  11. 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.

  12. 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

  13. Radioactive waste management in Spain: co-ordination and projects

    International Nuclear Information System (INIS)

    2007-01-01

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

  14. [Epidemiology of cerebrovascular disease in Spain].

    Science.gov (United States)

    Brea, Angel; Laclaustra, Martín; Martorell, Esperanza; Pedragosa, Angels

    2013-01-01

    In Spain, cerebrovascular disease (CVD) is a very common cause of morbidity and hospitalization. They are the second leading cause of mortality in the general population, and the first in women. They also constitute a very high social spending, which is estimated to increase in coming years, due to the aging of our population. Data from the Hospital Morbidity Survey of the National Statistics Institute recorded, in 2011, 116,017 strokes and 14,933 transient ischemic attacks, corresponding, respectively, to an incidence of 252 and 32 events per 100,000 people. In 2002, the cost of hospitalization for each stroke was estimated at €3,047. The amount of total cost health care throughout the life of a stroke patient is calculated at €43,129. Internationally, the direct costs of stroke constitute 3% of national health spending, this being similar amount in different countries around us. Hypertension was the cardiovascular risk factor (CVRF) more prevalent in both ischemic and hemorrhagic strokes, followed by dyslipidemia and diabetes mellitus. Peripheral arterial disease and hypertension were more frequently associated with atherothrombotic events, atrial fibrillation with cardioembolic strokes, and obesity and high blood pressure to lacunar infarcts. In Spain, as showing several studies, we are far from optimal control of CVRF, especially in secondary prevention of stroke. According to the ICTUSCARE study, achieving recommended values was 17.6% in the case of hypertension, 29.8% in LDL-cholesterol, 74.9% of smoking, and 50.2% in diabetes mellitus. In this review, we analyze in detail the epidemiology, prevention and costs originated by CVD. Copyright © 2013 Elsevier España, S.L. y SEA. All rights reserved.

  15. 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

  16. Proceed to the innovation in the pharmaceutical industry. The case of Spain

    Directory of Open Access Journals (Sweden)

    Aída Salazar García

    2015-01-01

    Full Text Available This article explores sectors identified innovation in Spanish pharmaceutical companies. It also considers domestic firms and foreign subsidiaries in the country. The analysis covers the period 2009 to 2011 for a population N=200 affiliates at that time Farmaindustria and Plan Profarma. The work involved a search of useful information on the websites of pharmaceutical companies based in Spain statically describes the innovative profile of the Spanish pharmaceutical through descriptive statistical analysis. Thus a foundation for documenting the results in a database in order to get a picture with determination on the behavior of Spanish pharmaceutical sector and possible trends is created.The high content of literary contribution on the pharmaceutical sector is expressed in a globalized national and international level, rejecting data and information that could provide signals threat or opportunity regarding short period time, and which in turn are comparable to other years since the Spanish pharmaceutical industry is constituted by companies of foreign origin (50.5% and domestic capital (49.5%. Of the latter SMEs are the protagonists of small innovations established in Madrid and Barcelona mainly.

  17. Social movements and access to assets and services. Proposal of an analytical framework based on a comparative analysis of cases: political confrontation of unemployed persons (Argentina and occupancy of housing (Spain

    Directory of Open Access Journals (Sweden)

    Maria-Rosa Herrera-Gutierrez

    2017-06-01

    Full Text Available This work is the result of collaboration between researchers from two Academic Units of Social Work located in Spain and Argentina. The overall objective is to explore the analytical frameworks and empirical objects of research projects linked to social movements developed in both countries. Specifically, two phenomena that lead to social mobilization, unemployment through the territorial expressions of the unemployed (Córdoba, Argentina and housing through the occupation of buildings by people who are evicted (Seville, Spain are compared. The work includes the description of the cases in each country, and the nuclear concepts of analysis, community social innovation in the Spanish case of occupation of housing and political confrontation in the case of Argentina. Finally, we discuss some conclusions that present the proposed dimensions for an analytical framework that responds to the relationship between social movements and access to assets and services.

  18. Evaluating mental health care and policy in Spain.

    Science.gov (United States)

    Salvador-Carulla, Luis; Costa-Font, Joan; Cabases, Juan; McDaid, David; Alonso, Jordi

    2010-06-01

    services to meet the needs of new migrants, as well as those of the rural population. There is also a growing recognition of the need to strengthen the evidence base both through research capacity and mechanisms to encourage the use of health economic information as one key component in the assessment of the system. The evolution of MHC in Spain may be regarded as a useful contextual case study for other countries embarking on reform, including some in Eastern Europe and Latin America. Spain is an example of a country that has undergone substantial economic and democratic transition in a short time frame; it has seen significant economic growth in some areas and has experienced mass immigration. While it is too early to judge the effectiveness of reforms in Spain, work to date clearly indicates some of the challenges that have to be overcome. These include better harmonisation and integration between health and social care, and more attention paid to the development or monitoring mechanisms to assess progress in reform implementation and better identify any widening of geographical disparities.

  19. DESCRIPTIVE STUDY OF HONORIFIC USE IN KOREAN EMAIL DISCOURSE

    Directory of Open Access Journals (Sweden)

    Jaegu Kim

    2016-07-01

    Full Text Available It is a relatively new field that examines how Korean culture affects Korean language use in terms of age difference in a corpus of computer mediated email discourse. The purpose of this descriptive study and experiment is to prove the close relationship between Korean language and culture. This paper shows the descriptive study of Korean culture in relation to language use. Korean culture acknowledges an inherent hierarchy with regard to age, and considers [+age] as relating socially to [+power]. When younger Koreans converse with older ones, they express different morpho-syntactic patterns, which is an age complex. The main task of the experiment was to examine the way through which the age complex is reflected by Korean honorific linguistic system in email discourse. I asked 15 Korean native speakers between the ages of 20 to 25 to write emails expressing an impositive request to [+age (46-50 years old], [-age (below 25 years old] and [=age] recipients. The results show significant differences in the use of grammatical features in emails written to [+age] recipients, as compared to emails written to [-age] and [=age] recipients. The implication of the findings is that the cultural values that are attached to age and aging in the Korean society affects Koreans’ language use, which means Korean language and culture are closely intermingled.

  20. Necrobiosis lipoidica: a descriptive study of 35 cases.

    Science.gov (United States)

    Marcoval, J; Gómez-Armayones, S; Valentí-Medina, F; Bonfill-Ortí, M; Martínez-Molina, L

    2015-06-01

    Necrobiosis lipoidica (NL) is a chronic idiopathic granulomatous disease considered to occur in association with diabetes mellitus. Data on the frequency of this association, however, are inconsistent. Our aim was to retrospectively analyze the clinical characteristics of patients diagnosed with NL at our hospital and to investigate the association with diabetes mellitus and other diseases. We performed a chart review of all patients with a clinical and histologic diagnosis of NL treated and followed in the dermatology department of Hospital de Bellvitge in Barcelona, Spain between 1987 and 2013. Thirty-five patients (6 men and 29 women with a mean age of 47.20 years) were diagnosed with NL in the study period. At the time of diagnosis, 31 patients had pretibial lesions. Thirteen patients (37%) had a single lesion at diagnosis, and the mean number of lesions was 3.37. Twenty-three patients (65.71%) had diabetes mellitus (type 1 in 10 cases and type 2 in 13). In 20 patients, onset of diabetes preceded that of NL by a mean of 135.70 months. The 2 conditions were diagnosed simultaneously in 3 patients. None of the 35 patients developed diabetes mellitus during follow-up. Six patients had hypothyroidism, and 4 of these also had type 1 diabetes. NL is frequently associated with type 1 and 2 diabetes. Although diabetes tends to develop before NL, it can occur simultaneously. Copyright © 2014 Elsevier España, S.L.U. and AEDV. All rights reserved.

  1. 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.

  2. PMWS Development in Pigs from Affected Farms in Spain and Denmark

    DEFF Research Database (Denmark)

    Grau-Roma, L.; Stockmarr, Anders; Kristensen, C. S.

    2013-01-01

    by inoculating PCV2 alone. However, studies where co-infections have been applied have been more successful. Based on this, we modeled PMWS development based on longitudinal data on antibodies and PMWS status from herds in Denmark and Spain, where presence of a range of pathogens were considered as explanatory...

  3. High-grade metamorphic rocks of the Mellid area, Galicia, NW Spain

    NARCIS (Netherlands)

    Hubregtse, J.J.M.W.

    1973-01-01

    This study concerns the petrology of the Mellid area, the SE portion of the outer zone of the Ordenes Complex which is one of the upthrusted Precambrian complexes in the axial zone of the Hercynian orogen in Galicia, NW Spain. An eugeosynclinal rock sequence is found containing units with different

  4. 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....

  5. Review of the Renewable Energy Policies of Spain

    Energy Technology Data Exchange (ETDEWEB)

    Labriet, M.; Laguna, M.; Cabal, H.; Lechon, Y.

    2008-07-01

    The objective of this report is to describe the Spanish energy policies related to renewable energy sources (RES). It will contribute to the analysis of the renewable energy potential at the European level (RES2020 project). Despite the successful case of wind development in spain, with a favourable feed-in systems in place, and a very favourable regulation (building code) promoting solar thermal technologies, strong administrative barriers for RES projects still exist and Spain is still far from reaching its RES electricity targets, and even further from the target related to RES heating and cooling and bio fuel use. This work has been partially funded by the European Commission, Intelligent Energy-europe Programme. (Author) 7 refs.

  6. 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.

  7. 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...

  8. Quality of Austrian and Dutch Falls-Prevention Information: A Comparative Descriptive Study

    Science.gov (United States)

    Schoberer, Daniela; Mijnarends, Donja M.; Fliedner, Monica; Halfens, Ruud J. G.; Lohrmann, Christa

    2016-01-01

    Objectives: The aim of this study was to evaluate and compare the quality of written patient information material available in Austrian and Dutch hospitals and nursing homes pertaining to falls prevention. Design: Comparative descriptive study design Setting: Hospitals and nursing homes in Austria and the Netherlands. Method: Written patient…

  9. Reintegration upon return: insights from Ecuadorian returnees from Spain

    OpenAIRE

    Mercier, Marion; David, Anda; Mahia, Ramón; De Arce, Rafael

    2016-01-01

    Using the ECM2 survey data on Ecuadorian migrants returning from Spain, we investigate the determinants of reintegration upon return. We study how the migration experience, but also the before- and after-migration characteristics, correlate with migrants’ outcomes upon return. We adopt a broad conception of reintegration, considering jointly labour market-related outcomes that proxy for structural reintegration and subjective indicators that provide insights on sociocultural reintegration. Th...

  10. [What factors help to explain satisfaction with Primary Health care in Spain?].

    Science.gov (United States)

    Arrazola-Vacas, M; de Hevia-Payá, J; Rodríguez-Esteban, L

    2015-01-01

    To find out the factors that determine satisfaction with public primary health care in Spain. The work has considered a wide group of potential determining factors of that satisfaction, which are organised into 3 blocks of variables: Those related to the perceived quality in the care received, socioeconomic, and those relative to the state of health. The micro data of the Barómetro Sanitario (BS) of 2013, which are representative at a national level, were employed. After a prior first descriptive analysis, 2 multivariate models were estimated: One in which satisfaction is considered as being of a cardinal nature (regression model), and another in which it is contemplated as being of an ordinal nature (ordered probit model). There were practically no differences between the results obtained with one or other of the multivariate models. Not all the variables considered were statistically significant. Of the 3 blocks of variables studied, the one related to the perceived quality in the care received in the health centre exerts the greatest relevance in the explanation of satisfaction. The results obtained show that, by means of the management of the variables related to the perception of quality of care in health centres, public administrators and health professionals may have a highly favourable influence on the levels of satisfaction of primary health care patients. Copyright © 2015 SECA. Published by Elsevier Espana. All rights reserved.

  11. 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.

  12. An empirical approach to estimate soil erosion risk in Spain.

    Science.gov (United States)

    Martín-Fernández, Luis; Martínez-Núñez, Margarita

    2011-08-01

    Soil erosion is one of the most important factors in land degradation and influences desertification worldwide. In 2001, the Spanish Ministry of the Environment launched the 'National Inventory of Soil Erosion (INES) 2002-2012' to study the process of soil erosion in Spain. The aim of the current article is to assess the usefulness of this National Inventory as an instrument of control, measurement and monitoring of soil erosion in Spain. The methodology and main features of this National Inventory are described in detail. The results achieved as of the end of May 2010 are presented, together with an explanation of the utility of the Inventory as a tool for planning forest hydrologic restoration, soil protection, erosion control, and protection against desertification. Finally, the authors make a comparative analysis of similar initiatives for assessing soil erosion in other countries at the national and European levels. Copyright © 2011 Elsevier B.V. All rights reserved.

  13. Saharan dust contributions to PM10 and TSP levels in Southern and Eastern Spain

    Science.gov (United States)

    Rodríguez, S.; Querol, X.; Alastuey, A.; Kallos, G.; Kakaliagou, O.

    The analysis of PM10 and TSP levels recorded in rural areas from Southern and Eastern Spain (1996-1999) shows that most of the PM10 and TSP peak events are simultaneously recorded at monitoring stations up to 1000 km apart. The study of the atmospheric dynamics by back-trajectory analysis and simulations with the SKIRON Forecast System show that these high PM10 and TSP events occur when high-dust Saharan air masses are transported over the Iberian Peninsula. In the January-June period, this dust transport is mainly caused by cyclonic activity over the West or South of Portugal, whereas in the summer period this is induced by anticyclonic activity over the East or Southeast Iberian Peninsula. Most of the Saharan intrusions which exert a major influence on the particulate levels occur from May to September (63%) and in January and October. In rural areas in Northeast Spain, where the PM10 annual mean is around 18 μg PM10 m -3, the Saharan dust accounts for 4-7 annual daily exceedances of the forthcoming PM10-EU limit value (50 μg PM10 m -3 daily mean). Higher PM10 background levels are recorded in Southern Spain (30 μg PM10 m -3 as annual mean for rural areas) and very similar values are recorded in industrial and urban areas. In rural areas in Southern Spain, the Saharan dust events accounts for 10-23 annual daily exceedances of the PM10 limit value, a high number when compared with the forthcoming EU standard, which states that the limit value cannot be exceeded more than 7 days per year. The proportion of Sahara-induced exceedances with respect to the total annual exceedances is discussed for rural, urban and industrial sites in Southern Spain.

  14. New insights into the burden and costs of multiple sclerosis in Europe: Results for Spain.

    Science.gov (United States)

    Oreja-Guevara, Celia; Kobelt, Gisela; Berg, Jenny; Capsa, Daniela; Eriksson, Jennifer

    2017-08-01

    In order to estimate the value of interventions in multiple sclerosis (MS) where lifetime costs and outcomes cannot be observed, outcome data have to be combined with costs. This requires that cost data be regularly updated. This study is part of a cross-sectional retrospective study in 16 countries collecting data on resource consumption, work capacity, health-related quality of life (HRQoL) and prevalent symptoms for patients with MS. Descriptive analyses are presented by level of severity, from the societal perspective, in EUR 2015. A total of 462 patients (mean age 43 years) participated in Spain; 96% were below retirement age and of these, 45% were employed. Employment was related to disability, and MS affected productivity at work for 72% of those working. Overall, 92% and 64% of patients experienced fatigue and cognitive difficulties as a problem, respectively. Mean utility and total annual costs were estimated at 0.772 and €20,600 at Expanded Disability Status Scale (EDSS) 0-3, 0.486 and €48,500 at EDSS 4-6.5 and 0.182 and €68,700 at EDSS 7-9, respectively. The mean cost of a relapse was €2050. This study illustrates the burden of MS on Spanish patients and provides current data that are important for development of health policies.

  15. State of the art of reservoir sedimentation management in Spain

    OpenAIRE

    Avendaño Salas, Cándido; Sanz Montero, Esther; Cobo Rayán, Rafael

    2000-01-01

    Part of the total reservoir storage capacity in Spain (56 km3) is lost due to sedimentation processes taking place. Surveys carried out in 121 reservoirs indicate that 6% of them have undergone a capacity reduction of over 50%. However, most of them (81%) are characterised by a reservoir capacity loss below 20%. The most frequent methods used to control reservoir sedimentation in Spain fall into one of the following groups: reduction of sediment yield through basin management and removal of t...

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

    Directory of Open Access Journals (Sweden)

    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.

  17. 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…

  18. Tularemia Outbreaks and Common Vole (Microtus arvalis) Irruptive Population Dynamics in Northwestern Spain, 1997-2014.

    Science.gov (United States)

    Luque-Larena, Juan José; Mougeot, François; Roig, Dolors Vidal; Lambin, Xavier; Rodríguez-Pastor, Ruth; Rodríguez-Valín, Elena; Anda, Pedro; Escudero, Raquel

    2015-09-01

    During the last decades, large tularemia outbreaks in humans have coincided in time and space with population outbreaks of common voles in northwestern Spain, leading us to hypothesize that this rodent species acts as a key spillover agent of Francisella tularensis in the region. Here, we evaluate for the first time a potential link between irruptive vole numbers and human tularemia outbreaks in Spain. We compiled vole abundance estimates obtained through live-trapping monitoring studies and official reports of human tularemia cases during the period 1997-2014. We confirm a significant positive association between yearly cases of tularemia infection in humans and vole abundance. High vole densities during outbreaks (up to 1000 voles/hectare) may therefore enhance disease transmission and spillover contamination in the environment. If this ecological link is further confirmed, the apparent multiannual cyclicity of common vole outbreaks might provide a basis for forecasting the risk of tularemia outbreaks in northwestern Spain.

  19. 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

  20. Levels of particulate matter in rural, urban and industrial sites in Spain

    Energy Technology Data Exchange (ETDEWEB)

    Querol, X.; Alastuey, A.; Rodriguez, S.; Viana, M.M. [Instituto de Ciencias de la Tierra del CSIC, C/Luis Sole y Sabaris s/n, 08028 Barcelona (Spain); Artinano, B.; Salvador, P. [Centro de Investigaciones Energeticas, Mediambientales y Tecnologicas, CIEMAT Avda. Complutense 22, 28040 Madrid (Spain); Mantilla, E. [Centro de Estudios Ambientales del Mediterraneo, CEAM. Parque tecnologico, C-4, sector oeste, 46980 Paterna, Valencia (Spain); Santos, S. Garcia do; Patier, R. Fernandez [Area de Contaminacion Atmosferica, Instituto de Salud Carlos III, Ctra. Majadahonda-Pozuelo, km n. 2, 28220 Majadahonda, Madrid (Spain); De La Rosa, J.; De la Campa, A. Sanchez [Departamento de Geologia, Universidad de Huelva, Campus Universitario de la Rabida, La Rabida, 21819 Huelva (Spain); Menendez, M.; Gil, J.J. [Departamento Mineralogia y Petrologia. Universidad del Pais Vasco, Aptdo. 644, 48080 Bilbao (Spain)

    2004-12-01

    This paper summarises the results of a series of studies on the interpretation of time series of levels of total suspended particles (TSP) and particulate matter (PM, <10 {mu}m) in six regions of Spain in the period 1996-2000. In addition to the local pollution events, high PM10 episodes are recorded during African dust outbreaks, regional atmospheric recirculation events (mainly in spring to autumn), and to a lesser extent, under the influence of European and Mediterranean long range transported air masses. The lowest PM10 levels are usually recorded under Atlantic air mass advective conditions. All these regional and large-scale processes account for the relatively high PM10 levels recorded in regional background stations in Spain. Thus, the PM10 levels recorded at EMEP (Cooperative Program for Monitoring and Evaluation of the Long Range Transmission of Air Pollutants in Europe) regional background stations between March 2001 and March 2002 are very close to the annual limit value proposed for 2010 by the EU Air Quality Directive 1999/30/CE. Chemical data obtained for the different monitoring stations during 2001 show a high mineral load in PM10 for most of the study sites in Spain. Furthermore, a high marine aerosol load is evidenced in the Canary Islands. These mineral and marine loads are lower when considering PM2.5, but a relatively high proportion (8-21%) of mineral dust is still present.