Emergency hospital services utilization in Lleida (Spain): a cross-sectional study of immigrant and Spanish-born populations

Background: The use of emergency hospital services (EHS) has increased steadily in Spain in the last decade while the number of immigrants has increased dramatically. Studies show that immigrants use EHS differently than native-born individuals, and this work investigates demographics, diagnoses and utilization rates of EHS in Lleida (Spain). Methods: Cross-sectional study of all the 96,916 EHS visits by patients 15 to 64 years old, attended during the years 2004 and 2005 in a public teaching hospital. Demographic data, diagnoses of the EHS visits, frequency of hospital admissions, mortality and diagnoses at hospital discharge were obtained. Utilization rates were estimated by group of origin. Poisson regression was used to estimate the rate ratios of being visited in the EHS with respect to the Spanish-born population. Results: Immigrants from low-income countries use EHS services more than the Spanish-born population. Differences in utilization patterns are particularly marked for Maghrebi men and women and sub-Saharan women. Immigrant males are at lower risk of being admitted to the hospital, as compared with Spanish-born males. On the other hand, immigrant women are at higher risk of being admitted. After excluding the visits with gynecologic and obstetric diagnoses, women from sub-Saharan Africa and the Maghreb are still at a higher risk of being admitted than their Spanish-born counterparts. Conclusion: In Lleida (Spain), immigrants use more EHS than the Spanish born population. Future research should indicate whether the same pattern is found in other areas of Spain and whether EHS use is attributable to health needs, barriers to access to the primary care services or similarities in the way immigrants access health care in their countries of origin.

Comparison of the consumption of antidepressants in the immigrant and native populations in a Spanish health region: an observational study

BACKGROUND: Health professionals and organizations in developed countries adapt slowly to the increase of ethnically diverse populations attending health care centres. Several studies report that attention to immigrant mental health comes up with barriers in access, diagnosis and therapeutics, threatening equity. This study analyzes differences in exposure to antidepressant drugs between the immigrant and the native population of a Spanish health region. METHODS: Cross-sectional study of the dispensation of antidepressant drugs to the population aged 15 years or older attending the public primary health centres of a health region, 232,717 autochthonous and 33,361 immigrants, during 2008. Data were obtained from computerized medical records and pharmaceutical records of medications dispensed in pharmacies. Age, sex, country of origin, visits, date of entry in the regional health system, generic drugs and active ingredients were considered. Statistical analysis expressed the percentage of persons exposed to antidepressants stratified by age, gender, and country of origin and prevalence ratios of antidepressant exposition were calculated. RESULTS: Antidepressants were dispensed to 11% of native population and 2.6% of immigrants. Depending on age, native women were prescribed antidepressants between 1.9 and 2.7 times more than immigrant women, and native men 2.5 and 3.1 times more than their immigrant counterparts. Among immigrant females, the highest rate was found in the Latin Americans (6.6%) and the lowest in the sub-Saharans (1.4%). Among males, the highest use was also found in the Latin Americans (1.6%) and the lowest in the sub-Saharans (0.7%). The percentage of immigrants prescribed antidepressants increased significantly in relation to the number of years registered with the local health system. Significant differences were found for the new antidepressants, prescribed 8% more in the native population than in immigrants, both in men and in women. CONCLUSIONS: All the immigrants, regardless of the country of origin, had lower antidepressant consumption than the native population of the same age and sex. Latin American women presented the highest levels of consumption, and the sub-Saharan men the lowest. The prescription profiles also differed, since immigrants consumed more generics and fewer recently commercialized active ingredients.

Análisis discursivo de las actitudes lingüísticas de los escolares de origen inmigrante en Cataluña

La continua llegada de población inmigrante a los países de la Europa Occidental está produciendo transformaciones en estas sociedades. Evidentemente, la sociedad catalana no es ajena a estos cambios y, año tras año, ve incrementado el número de recién llegados/ as procedentes de orígenes geográficos, culturales y lingüísticos muy diversos. Estas personas, en ocasiones sin un conocimiento previo, se encuentran con las peculiaridades socioculturales y lingüísticas de la sociedad receptora. En el caso de Cataluña, nos interesa destacar la cuestión lingüística, a la cual se han dedicado muchos esfuerzos durante los últimos años en un intento de acercarse a una situación de normalidad en lo referente al conocimiento y uso de la lengua catalana. En el presente artículo se presentan los principales resultados de una investigación centrada en el análisis de los discursos sobre los que anclan las actitudes lingüísticas de los escolares de origen inmigrante en Cataluña. La técnica de investigación social utilizada ha sido la entrevista en profundidad semidirigida, realizando el análisis del contenido de las mismas a partir del «Análisis de contenido temático basado en categorías» (Bardin, 1986). Las conclusiones más relevantes indican que, por encima del Área de Origen o la Condición Lingüística Familiar, la principal variable que permite articular los discursos detectados es la que se puede denominar «Satisfacción y Percepción de Valoración e Integración Escolar y Social», de tal manera que los jóvenes de origen inmigrante que se sienten más valorados e integrados escolar y socialmente desarrollan mejores actitudes hacia la lengua catalana y castellana. Este hecho tiene claras repercusiones respecto las generalizaciones reduccionistas y estereotipadas que vinculan un área de origen con unas determinadas actitudes hacia las lenguas oficiales en Cataluña, así como de cara a la política lingüística y las ideologías lingüísticas de la sociedad en general.

Disponibilitat per a les plantes de Mn, Cu, Zn i Cd en els sòls de diferents sistemes agrícoles a Catalunya

Es va avaluar el contingut del sòl en Mn, Cu, Zn, Ni i Cd fent una extracció amb DTPA, segons el mètode de Lindsay i Norvell (1969). Les mostres analitzades procedien de parcel·les agrícoles d'arreu de Catalunya, conservades al Banc de Mostres de Sòls del Mapa de Sòls de Catalunya del DARP. Els resultats es van agrupar per sistemes agrícoles en funció de l'origen de les mostres, ja que dins de cada un es pot assumir una reducció important en l'interval de variació de diferents factors. Es va realitzar una comparació estadística entre els valors mitjans dels diferents sistemes agrícoles, entre els valors mitjans de les dues profunditats de sòl considerades, i una interpretació agronòmica. Els resultats van indicar que els sòls procedents d'horticultura intensiva del Maresme són els que tenen continguts disponibles més elevats dels metalls considerats. D'altra banda, es fa palès que els valors estan condicionats tant pel material originari del sòl com per l'acció antròpica. Per al Cu i el Zn en les mostres de sòls del Maresme els continguts trobats estan molt per sobre dels mínims considerats com a agronòmicament satisfactoris.

L'Origen de l'arquitectura en pedra i l'urbanisme a la Catalunya Occidental

The consolidation of an agricultural economy based in extensive cereals production influenced the development of the typical communities of the plains of western Catalonia during the second millennium BC and the first centuries of the first and differentiated them from the villages of the coast. This paper analyzes the occupation and exploitation pattems of temtories, settlements and specially the development of stone architecture in the Bronze and Iron Age periods. We characterise the process that leads from the first open-air sedentary settlements to the agricultural settlements in early and middle Bronze Age period and the appearance of wellbuilt houses and town planning during the late Bronze Age. We can asses the contribution of the early Urnfield period and link the kind of settlement, the town plan, the architecture and building techniques - which centuries later characterised the Ibero-Ilergeta society - to their origin during the later Urnfield period: systematic exploitation of lands suitable for agriculture (Urgell, Monegros), the phenomenon of concentration-depopulation and the decrease in number of settlements combined with an increase in size.

Las personas mayores como actores en la comunidad rural: innovación y empowerment

Este artículo parte de dos ideas ampliamenteaceptadas en la literatura gerontológica actual, envejecer es un proceso heterogéneo íntimamente relacionado con el entorno y, el envejecimiento activo y satisfactorio esta vinculado con la participación social. Ahora bien, sigue existiendo un gran desconocimiento de los procesos de envejecimiento característicos de las zonas rurales y una falta de características de losprofesionales rurales y de las estrategias innovadoras para promover el envejecimiento activo y el fortalecimiento de estas comunidades. El artículo estábasado en los resultados obtenidos en unainvestigación cualitativa, realizada en la comarca del Alt Empordà, Catalunya. Con un total de 53 participantes. Los resultados muestran el significado que tiene lacomunidad para las personas mayores del entorno rural, confirman la necesidad de un perfil profesional rural y elaboran propuestas de acción contextualizadasque permiten reforzar a la comunidad, sin urbanizarla, a través del fortalecimiento de sistemas de participación social

Caracterització florística de la plana litoral de l’Empordà

A floristic characterization of the Alt Empordà plain (N.E. Iberian Peninsula) is presented, including an appraisal of its recent evolution and present state. Eight different environments, correlated with lithological and edaphological features, are stablished on the basis of their floristic composition. The results will be of use in the management of the Aiguamolls de l’Empordà Natural Park, which falls in its entirety within the study area

Gestión de la actividad no presencial y autoevaluación de competencias = Management of Student Learning Outside the Classroom and the Self-evaluation of Competences

Psychological Assessment is a core subject of Psychology studies, and of the university degree Human development, at the University of Girona and according to the University regulations, had 12 credits. Until the 2005-06 academic years, the student work conducted outside the classroom consisted of undertaking a psychological assessment that was written and handed in at the end of the course. From this the student obtained a qualification and a review if they applied for it In accordance with the European Credits for Higher Education, this subject was reduced to 9 credits, which is the equivalent of a total of 255 hours of in-class work and outside the classroom. In the 2006-07 academic year we created a guide to manage the student’s experiences outside the classroom, with the objective of encouraging the application of problem solving/critical thinking (Bloom, 1975), in line with the recommendations of the Catalonia Agency for University System Quality (2005). The guide includes: learning objectives, evaluation criterions, a description of activities, work week timetable for the whole course, programmed tutorials to review all steps of the psychological assessment process, and the use of a web-based virtual forum for the transfer of knowledge, analysis and constructive critiques of the assessment done by themselves and their colleagues

Els altres parlants i la història social de la llengua

The social history of language is usually focused on collective actors. This article aims to reflect both on the speakers as individual subjects of the social history of language and on the sources which allow an approach to speakers, more precisely immigrants of the contemporary Catalonia. In very different narratives, immigrants talk about their territory of origin or economic conditions, and also about languages expressing the most varied language attitudes. Prejudices or language uses, common topics of these narratives, are fully within the field of social history of the language. Speakers cannot be always out of disciplines whose narrative axis is the time

The use of COOP/WONCA charts as a screen for mental disorders in the immigrant community in primary care in primary care

Aim. To evaluate the usefulness of COOP/WONCA charts as a screening tool for mental disorders in primary care in the immigrant healthcare users in Salt. To measure self-rated health of Salt immigration population using the COOP / WONCA charts and to assess its associated factorsDesign. Descriptive and transversal study, Participants. 370 non-EU immigrants seniors selected by consecutive sampling stratified by sexMain measures. Personal information will be collected (age, sex, country of origin, years of residency in Spain, number of people living in the household and associated comorbidities). Each participant will complete the COOP/WONCA charts. An analysis of the validity of the diagnostic test will be done: sensibility, specificity, positive predictive value, negative predictive value, ROC curve and area under the curve (AUC). All variables will be subjected to descriptive analysis. Bivariate and multivariate analysis between the variables collected (sex, years of residency in Spain... ) and the results of COOP / WONCA charts will be performedResults. Preliminary results are available on a pilot test with 30 patients. The mental disorder prevalence is around 30%. Sensibility (0,89), specificity (0,89), VPP (0,80), VPN (0,94) cutoff score (3.5) and AUC (0,941). Women, people with 10 or more years of residency in Spain and unemployed people have worse self-rated healthConclusions. Based on the preliminary results, is possible to conclude that COOP/WONCA charts could be an useful, valid and applicable screening test for mental disorders in primary care with immigrant population

Archaeological Excavation Confirms the Geophysical Anomalies Recorded at the Cathedral of Tarragona - A Comparative Study

An integrated geophysical survey was conducted in September 2007 at the Cathedral of Tarragona (Catalonia, NE Spain), to search for archaeological remains of the Roman temple dedicated to the Emperor Augustus. Many hypotheses about its location have been put forward, the most recent ones suggesting it could be inside the present cathedral. Tarragona’s Cathedral, one of the most famous churches in Spain (12th century), was built during the evolution from the Romanesque to Gothic styles. As its area is rather wide, direct digging to detect hidden structures would be expensive and also interfere with religious services. Consequently, the use of detailed non-invasive analyses was preferred. A project including Electrical resistivity tomography (ERT) and Ground probing radar (GPR) was planned for a year and conducted during a week of intensive field survey. Both ERT and GPR provided detailed information about subsoil structures. Different ERT techniques and arrays were used, ranging from standard Wenner-Schlumberger 2D sections to full 3D electrical imaging using the MYG array. Electrical resistivity data were recorded extensively, making available many thousands of apparent resistivity points to obtain a complete 3D image after full inversion. The geophysical results were clear enough to persuade the archaeologists to excavate the area. The excavation confirmed the geophysical interpretation. In conclusion, the significant buried structures revealed by geophysical methods under the cathedral were confirmed by recent archaeological digging as the basement of the impressive Roman Temple that headed the Provincial Forum of Tarraco, seat of the Concilium of Hispania Citerior Province.

Gestor intel·ligent d'assignació de recursos

Aquest projecte és una eina per a la gestió avançada del Comitè Tècnic d’Àrbitres de Futbol Sala de Catalunya. Creant una base de dades forta i robusta com la que ens proporciona la tecnologia ORACLE, i agafant APEX com a gestor de continguts de la base de dades, hem creat una aplicació per realitzar l'assignació d'arbitratges i altres recursos d'una manera intel·ligent i equitativa.

Reading Ng Kim Chew: Malaysian-Chineseness and memory in contemporary Malaysian Chinese literature in taiwan

The idea of Chineseness as a geographic, cultural-specific and ethnically-charged concept, and the pivotal role assumed by memory linger throughout the writings of most authors hailing from Chinese community in Southeast Asia. Among these communities, being the Malaysian Chinese the more prolific in terms of number of writers and pieces of literature produced, this paper deals specifically with it. Its focus is put on the literature produced by Malaysian Chinese authors residing in Taiwan, which topic constitutes an important part of the first chapter, and on one of its main representatives, Ng Kim Chew, to whom chapter two and three are fully dedicated. A literary analysis of one of his short stories, Huo yu tu, will allow the reader to have a first-hand experience, through excerpts from the original text, of the importance of Chineseness and memory in the literary production of Ng and of many authors sharing with him similar life and literary experiences. I started this research from the assumption that these authors make large use of their own memories and memories from their own community in their writing as a way to re-tie themselves to the Chineseness they left in their places of origin. However in the case of Ng Kim Chew, the analysis of his works led be to theorizing that the identity he is imbued with, if there is one, is not Chinese, nor Malaysian, but purely and distinctively Malaysian-Chinese. This paper can also serve as an introduction for the general public to the field of Sinophone literature from Southeast Asia and to promote wider and innovative paths of research within the realm of Chinese studies that go beyond China proper.

Work, risk and health: differences between immigrants and natives in Spain

We analyze the impact of working and contractual conditions, particularly exposure to job risks, on the probability of acquiring a disability. We postulate a model in which this impact is mediated by the choice of occupation, with a level of risk associated to it. We assume this choice is endogenous, and that it depends on preferences and opportunities in the labour market, both of which may differ between immigrants and natives. To test this hypothesis we use data from the Continuous Sample of Working Lives of the Spanish SS system. It contains individual, job and firm information of over a million workers, including a representative sample of immigrants. We find that risk exposure increases the probability of permanent disability by 5.3%; temporary employment also influences health. Migrant status -with differences among regions of origin- significantly affects both disability and the probability of being employed in a risky occupation. Most groups of immigrants work in riskier jobs, but have lower probability of becoming disabled. Nevertheless, our theoretical hypothesis that disability and risk are jointly determined is not valid for immigrants: i.e. for them working conditions is not a matter of choice in terms of health.

Estratègies d’intervenció i tractament en els centres penitenciaris catalans amb membres de bandes juvenils organitzades

L’estudi suposa un apropament al fenomen de les bandes des de l’entorn on s’originen, a la ciutat de Guayaquil (Equador), fins a la seva expansió a Catalunya fruit dels moviments migratoris. L’estudi té la vocació de contribuir al disseny i la implementació d’un programa d’intervenció en els membres de bandes juvenils en l’àmbit de les presons catalanes, aprofitant els coneixements teòrics i les eines i estratègies d’intervenció amb les quals treballa Ser Paz i, més concretament, la Sra. Nelsa Curbelo, per adaptar-les a la nostra realitat. Per conèixer el camp d’anàlisi escollit, és a dir, les bandes juvenils, s’ha utilitzat el mètode d’observació participant de tipus etnològic, que és essencialment qualitatiu i permet contextualitzar les observacions i apropar-se a altres realitats amb la distància necessària. El treball de camp s’ha realitzat a Guayaquil durant un període de dos mesos, participant en la vida col·lectiva dels joves objecte d’estudi, observant en detall els seus estils de vida i realitzant posteriorment un treball comparatiu sistemàtic de la convergència entre les diferents informacions que es rebien. Aquest estudi s’ha complementat amb entrevistes amb professionals de les àrees de prevenció i seguretat de Barcelona i Catalunya, amb la recerca bibliogràfica especialitzada en la temàtica exposada, amb reportatges periodístics i la visita a llocs web i amb l’accés a la normativa interna d’alguns grups amb els quals s’ha intervingut. Per comprovar la diferent naturalesa de les bandes al nostre país i conèixer de primera mà el seu perfil, s’han realitzat entrevistes individualitzades semiestructurades amb membres de bandes juvenils interns en els centres penitenciaris de Catalunya, amb la pretensió d’establir les estratègies d’intervenció. En la part final de l’estudi s’ha proposat un programa d’intervenció i tractament per implementar-lo a les presons catalanes, en què es recullen les experiències en aquest àmbit a Guayaquil.