Caciquisme rural i contrautopies pageses. Testimonis d'unes cobles de la Conca de Barberà i del Priorat

Aquest article presenta i estudia un conjunt de cobles de la tradició oral recollides a la Conca de Barberà i al Priorat. Les cançons, creades en el marc de la Restauració, denuncien un conjunt de greuges lligats al caciquisme i al desenvolupament de l’Estat i de les relacions capitalistes que aquest fomenta. Les cobles presenten dos grans registres expressius, que obeeixen a diferents perspectives dels greuges que denuncien. D’una banda tenim unes cobles caracteritzades per una sàtira violenta, dreturera, una sintaxi cantelluda, antítesis primàries, i un recurs viu a les deformacions de l’adversari. En aquests casos, les lletres obeeixen a factors percebuts en la immediatesa de la comunitat, d’acord amb una perspectiva tradicional. D’altra banda, tenim cobles que es caracteritzen per un relaxament còmic i jocós de la sàtira, per una major narrativitat o arromançament, i també per una catarsi benèfica. En aquests casos, les cançons responen a un nou ordre de factors —polítics/política de partit, representants de l’Estat, noves modes estètiques, etc.— que en la societat rural, especialment entre aquells sectors poc introduïts a la modernitat, són percebuts amb una amplitud panoràmica, d’acord amb una ingenuïtat perceptiva, amb un distanciament naïf cap a la realitat. Es tracta d’un ordre de percepcions que informen els trets expressius que hem apuntat quant a aquestes cobles. Unes manifestacions ben il·lustratives d’aquestes darreres composicions són unes contrautopies que recullen, amb voluntat de totalitat, el conjunt d’abusos que pateix la societat pagesa, general o local.

Lateral periodontal cysts: a retrospective study of 11 cases

Objective: To describe the clinical, radiological and histopathological features of lateral periodontal cysts among patients diagnosed in different centers (Vall d"Hebron General Hospital, Granollers General Hospital, the Teknon Medical Center, and the Master of Oral Surgery and Implantology of the University of Barcelona Dental School; Barcelona, Spain). Study design: A retrospective observational study was made of 11 lateral periodontal cysts, all of which were diagnosed following a thorough clinical examination, radiological study and posterior histological study. Results: The mean patient age was 37 years, and males predominated over females. The mean lesion size was 1.25 cm. A single relapse was recorded 7 years after removal of the initial lesion. All the cysts were surgically removed. Discussion and conclusions: Lateral periodontal cysts are very infrequent, and are characterized by the preserved vitality of the adjacent teeth. Identification of the lesion is initially based on the clinical findings, though histological study is required to confirm the diagnosis. The treatment of choice is the surgical removal, though occasional relapses have been documented

Inappropriate prescribing to the oldest old patients admitted to hospital: prevalence, most frequently used medicines, and associated factors

Background: Scientific evidence on treatments of chronic diseases in patients 85 years old or older is very limited, as is available information on inappropriate prescription (IP) and its associated factors. The study aimed to describe medicine prescription, potentially inappropriate medicines (PIM) and potentially prescribing omissions (PPO) and their associated factors on this population. Methods: In the context of an observational, prospective and multicentric study carried out in elderly patients admitted to seven Spanish hospitals for a year, a sub-analysis of those aged 85 years and over was performed. To assess PIMs, the Beers and STOPP criteria were used, and to assess PPOs, the START and the ACOVE-3 criteria were used. To assess factors associated with IP, a multivariate logistic regression analysis was performed. Patients were selected randomly every week on consecutive days from the hospitalization lists. Results: A total of 336 patients were included in the sub-analysis with a median (Q1-Q3) age of 88 (8690) years. The median medicines taken during the month prior to admission was 10 (713). Forty-seven point two per cent of patients had at least one Beers-listed PIM, 63.3% at least one STOPP-listed PIM, 53.6% at least one START-listed PPO, and 59.4% at least one ACOVE-3-listed PPO. Use of benzodiazepines in patients who are prone to falls (18.3%) and omission of calcium and vitamin D supplements in patients with osteoporosis (13.3%) were the most common PIM and PPO, respectively. The main factor associated with the Beers-listed and the STOPP-listed PIM was consumption of 10 or more medicines (OR = 5.7, 95% CI 1.8-17.9 and OR = 13.4, 95% CI 4.0-44.0, respectively). The main factors associated with the START-listed PPO was a non-community dwelling origin (OR 2.3, 95% CI 1.0-5.0), and multimorbidity (OR1.8, 95% CI 1.0-3.1). Conclusions: Prescribed medicines and PIM and PPO prevalence were high among patients 85 years and over. Benzodiazepine use in those who are prone to falls and omission of calcium and vitamin D in those with osteoporosis were the most frequent PIM and PPO, respectively. Factors associated with PIM and PPO differed with polypharmacy being the most important factor associated with PIM.