Applying the WHO recommendations on health-sector response to violence against women to assess the Spanish health system. A mixed methods approach

This methodological note describes the development and application of a mixed-methods protocol to assess the responsiveness of Spanish health systems to violence against women in Spain, based on the World Health Organization (WHO) recommendations. Five areas for exploration were identified based on the WHO recommendations: policy environment, protocols, training, accountability/monitoring, and prevention/promotion. Two data collection instruments were developed to assess the situation of 17 Spanish regional health systems (RHS) with respect to these areas: 1) a set of indicators to guide a systematic review of secondary sources, and 2) an interview guide to be used with 26 key informants at the regional and national levels. We found differences between RHSs in the five areas assessed. The progress of RHSs on the WHO recommendations was notable at the level of policies, moderate in terms of health service delivery, and very limited in terms of preventive actions. Using a mixed-methods approach was useful for triangulation and complementarity during instrument design, data collection and interpretation.

On the Mediterranean conveyor belt system

The Mediterranean Sea is a semi-enclosed sea, connected to the Atlantic Ocean through the Gibraltar Strait and subdivided in two different regions by the Sicily Strait. The geographical extension of the basin, the surface heat flux, and the water inflow from the Gibraltar Strait are some of the basic factors determining its horizontal and vertical circulation. In the Mediterranean strong salinity and temperature zonal gradients contribute to maintain the zonal-vertical circulation, while meridional-vertical cells are equally forced by winds and deep water mass formation in three regions, the Gulf of Lyon, the southern Adriatic and the Cretan Sea areas. The objective of this thesis is to study how these cells combine together to form the Mediterranean conveyor belt system. This has never been attempted before so the conclusions are necessarily preliminary. In the first part we discuss the vertical zonal and meridional circulation by reconstructing the Wust Mediterranean vertical salinity and temperature structures in an attempt to evaluate the water mass structure consistent with modern data. Our results confirm that Wust depicted vertical circulation from scarce data is reproduced by the past 27 years observations. The structure of both meridional and zonal circulations was discussed using velocity vertical streamfunctions with two different methods. The first one, eulerian, allowed us to observe vertical structures that were already reported in the literature. Recent studies in the Atlantic Ocean have shown that gyres and eddies have an important influence in the isopycnal vertical circulation. This is called the residual circulation which was computed in this study for the first time. A possible interpretation of horizontal connection between the meridional and zonal cells was discussed using horizontal streamfunction. In the last part of the thesis we have been developing an idealized numerical model to study the vertical circulation in the Mediterranean.

Urban transformations and rail stations system - the study case of Naples

The aim of this study is to give an interpretation of the urban transformations connected to rail transit system investments; in particular the main research goal is to analyze and give a methodological support for the urban transformation phenomena government in the rail transit stations areas. The article proposes an empirical studies comparative analysis and an application in the Naples urban area, in which a new rail transit network has been developed. In particular the socio-economic transit impacts on the urban system are measured and interpretated with the support of a GIS; therefore an application of the node-place interpretative model (Bertolini 1999) is proposed in order to support transit–land use planning processes in the stations areas.

Risk assessment of the spanish national railway system

The principal risks in the railway industry are mainly associated with collisions, derailments and level crossing accidents. An understanding of the nature of previous accidents on the railway network is required to identify potential causes and develop safety systems and deploy safety procedures. Risk assessment is a process for determining the risk magnitude to assist with decision-making. We propose a three-step methodology to predict the mean number of fatalities in railway accidents. The first is to predict the mean number of accidents by analyzing generalized linear models and selecting the one that best fits to the available historical data on the basis of goodness-offit statistics. The second is to compute the mean number of fatalities per accident and the third is to estimate the mean number of fatalities. The methodology is illustrated on the Spanish railway system. Statistical models accounting for annual and grouped data for the 1992-2009 time period have been analyzed. After identifying the models for broad and narrow gauges, we predicted mean number of accidents and the number of fatalities for the 2010-18 time period.

Origin and dispersal routes of foreign green and Kemp's ridley turtles in Spanish Atlantic and Mediterranean waters

[EN] The presence of the green and Kemp's ridley turtles is rare at Atlantic and Mediterranean Spanish waters, but the records have increased during the last decades. We reported a new set of records and reviewed all the historical observations of these species. The analysis of a mitochondrial DNA fragment of the newest records provided insights about the origin of the individuals. The Kemp's ridley turtles arrived from the western Atlantic nesting beaches, although the discovering of a new haplotype suggested the existence of an unknown or low sampled nesting area of origin.

Energy sustainability indicators for urban environments

Sustainable development comprises of three dimensions. The three dimensions are the environment, the social and the economic. There have been many indicators used to measure the three dimensions of sustainability. For example air pollution, consumption of natural resources, quality of open space, noise, equity and opportunities and economic benefits from transport and land use. Urban areas constitute the most crucial factor in the sustainability. Urban systems affect and are affected by natural systems beyond their physical boundaries and in general the interdependence between the urban system and the regional and global environment is not reflected in urban decision making. The use of energy in the urban system constitutes the major element in the construction and function of urban areas. Energy impacts across the boundaries of the three dimensions of sustainability. The objective of this research is to apply energy-use-indicators to the urban system as a measure of sustainability. This methodology is applied to a case study in the United Kingdom.

Preliminary Remarks on Old Spanish Auxiliares: haber, ser and estar

En aquest article s'intenta aportar una visió descriptiva del funcionament d'haber, ser i estar en construccions 'perifràstiques' del castellà medieval. Quant a les perífrasis 'AUX+ infinitiu', s'observa que no s'ajusten a una anàlisi del tipus 'SV que selecciona un SV'. D'altra banda, s'aporta evidència que afavoreix una visió de la derivació dels futurs i condicionals analítics on el verb [-finit] s'excorpora de l'auxiliar funcional per traslladar-se a CO. Finalment, s'estableix que les construccions 'haber/ser/estar+participi' poden ser analitzades com a verbs lèxics que subcategoritzen una oració reduïda el predicat de la qual és el participi. Això permet relacionar l'avantposició de participi amb la dels SA i la dels arguments interns. Els aspectes bàsics d'aquest canvi sintàctic que duu del castellà medieval i preclàssic a l'espanyol actual són: (a) la categoria lèxica SV dels verbs en qüestió es reanalitza com una categoria funcional SAsp i aquests verbs esdevenen auxiliars; (b) hi ha un canvi de subcabgorització, ja que aquests verbs deixen de subcategoritzar una oració reduïda per passar a subcategoritzar un SVmàx, i (c) la pèrdua de la projecció màxima SCONC1 comporta la desparició dels efectes de la llei Tobler-Mussafia, de la possibilitat d'avantposar el participi i també de la concordança de participi en els perfets compostos.

UPM system for the translation task

This paper describes the UPM system for translation task at the EMNLP 2011 workshop on statistical machine translation (http://www.statmt.org/wmt11/), and it has been used for both directions: Spanish-English and English-Spanish. This system is based on Moses with two new modules for pre and post processing the sentences. The main contribution is the method proposed (based on the similarity with the source language test set) for selecting the sentences for training the models and adjusting the weights. With system, we have obtained a 23.2 BLEU for Spanish-English and 21.7 BLEU for EnglishSpanish

Evolución y crisis de la región metropolitana de Madrid 1985-2007. Análisis de las diversas perspectivas para la transformación del gobierno urbano: una revisión crítica del planeamiento

La Región Metropolitana de Madrid (RMM) ha sufrido una gran transformación urbana en el periodo 1985-2007, en el cual ha crecido la población, ha crecido fuertemente el cuerpo físico, pero sobre todo han crecido su coste y su consumo, lo que supone que se ha vuelto más insostenible. Para tratar de comprender esta evolución asimétrica se ensayan sucesivos modelos que tratan de explicar la transformación de la realidad a través de la articulación de las formas de poder y sus políticas asociadas dentro del contexto local-metropolitano. Si se compara la transformación urbana en el periodo 1985-2007 respecto a la registrada durante el desarrollismo previo al presente periodo democrático, se encuentran similitudes, como el amplio consumo de suelo, pero el modelo desarrollista se inscribe en otras lógicas y tiene otros parámetros de contexto y es congruente ya que las últimas décadas del Régimen Franquista se caracterizan por un importantísimo aumento poblacional que se correspondía con el fuerte crecimiento industrial de la RMM. Esa congruencia relativa se pierde en el periodo estudiado, a pesar de que en 1985, se aprueba el Plan General de Ordenación Urbana de Madrid centrado en la ciudad existente y con un crecimiento contenido, y que puede considerarse un modelo abortado. Tras numerosas transformaciones políticas, económicas, sociales y urbanísticas se llega a una situación opuesta a la prevista en el citado Plan. Más de veinte años después, en 2007, se presentan no solo síntomas de agotamiento del modelo finalmente adoptado, sino su quiebra dramática tanto en su dimensión inmobiliario-financiera como del espacio del bienestar. Es precisamente la supresión de los mecanismos de regulación lo que ha caracterizado la evolución de los modelos urbanos, en correspondencia con la desregulación de las actividades económicas y de los flujos de capital propios del modelo "neoliberal". La actual crisis financiera internacional, en especial en algunos países periféricos europeos como España, ha demostrado cómo las políticas económicas que se han llevado a cabo, fuera de toda regulación, han resultado insostenibles. Pero no se trata solo de una crisis económica. En el caso español, de todas las dimensiones de la crisis, destaca la dimensión urbana, o el auge y caída del ciclo inmobiliario, debido a la urbanización intensiva del territorio en relación con el circuito secundario de la acumulación capitalista, habiendo tenido especial incidencia en algunos territorios como la RMM. En la Región Metropolitana de Madrid la situación actual es de crisis urbana, causada principalmente por el divorcio entre las necesidades y la producción de ciudad, pues no se ha basado el crecimiento en la creación de nuevos hogares, u otras cuestiones demográficas, sino en la acumulación de capital a través del crecimiento de la ciudad. Además, dicho crecimiento está conformado por una expansión urbana descontrolada, con mayores requerimientos energéticos que el modelo compacto y complejo tradicional, lo que unido a la escala de los procesos, supone un sistema urbano progresivamente ineficiente. El caso de la RMM resulta paradigmático, ya que la región ha desempeñado un papel como laboratorio de nuevas formas de gobierno y planificación que han dado un mayor protagonismo al espacio, que ha entrado en las dinámicas centrales principalmente por el apoyo al crecimiento físico, a la vez que han confluido circunstancias específicas, como un nuevo impulso al centralismo, lo que ha potenciado ciertas políticas, como considerar la ciudad como motor de crecimiento económico y de competitividad en el concierto europeo y mundial de ciudades. El estudio del papel de la planificación y sus crisis en la sucesión de los modelos, muestra su función nuclear en la propia constitución de estos —es parte fundamental de su aparato de regulación— y su valor no solo para poder entender el periodo, sino para poder proyectar otro futuro urbano. Este enfoque conduce a establecer la relación del planeamiento con las diferentes crisis económicas en el periodo de estudio lo que permite diferenciar tres momentos de dicha relación: la planificación urbanística austera bajo la influencia de la crisis fordista, la salida de la crisis a través de la imposición de un modelo urbano basado en el sobreproducción de espacio urbano, y la entrada en una crisis inmobiliaria y de financiarización en relación a la adopción de un modelo multidimensionalmente insostenible. El análisis de este periodo es la base para apuntar perspectivas que permitan transformar el gobierno urbano hacia un modelo urbano más deseable, o mejor aún, otros futuros posibles, que se enmarcan dentro de la alternativa principal que supone la sostenibilidad. Madrid's Metropolitan Region (MMR) has undergone a major urban transformation in the period 1985-2007, where the population has grown up, the built environment has grown strongly, but mostly its cost and consumption have grown, which means that it has become unsustainable. To try to understand this evolution successive asymmetric models are tested in order to explain the transformation of reality through the articulation of forms of power and its associated policies in that localmetropolitan context. Comparing the urban transformation in the period 1985-2007 to the existing during developmentalism in the current predemocratic period, both have similarities in terms of land consumption, but the previous developmentalism model is part of another logics and has got other context parameters. It is consistent since the last decades of the Franco Regime was characterized by an important population increase that corresponded to strong industrial growth of the MMR. This relative consistency is lost during the study period, although in 1985, with the approval of the Master Plan of Madrid that was focused on the existing city, with a limited growth, and it may be considered an interrupted model. After numerous political, economic, social and urban changes, there is the opposite situation to that foresight under that Plan. Over twenty years later, in 2007, there are not only signs of exhaustion of the model which was finally adopted, but also its dramatic collapse in both real estate and financial dimension of space as well. The urban transformation under analysis has relaunched the hegemony of the sectors that rule the growth of the Madrid's Metropolitan Region and it is supported by decision making and financing of the different administrations with the passivity of the social stakeholders and citizens. This has meant the removal of regulatory mechanisms that have characterized the evolution of urban models, corresponding to the deregulation of economic activities and capital flows according to "neoliberal" model. The current international financial crisis, especially in some European peripheral countries like Spain, has shown how economic policies that have been carried out, without any regulation, have proven unsustainable. But it is not only an economic crisis. In the Spanish case, of all the dimensions of the crisis, it is the urban dimension that is highlighted, or the rise and fall of real estate cycle, due to intensive urbanization of the territory in relation to the secondary circuit of capital accumulation, having had a particular impact in some territories such as the Madrid's Metropolitan Region. In Madrid's Metropolitan Region there is the current situation of urban crisis, mainly caused by the divorce between needs and the city (space) production, because no growth has been based on creating new homes, or other demographic issues, but in the capital accumulation through growth of the city. Furthermore, this growth is made up of urban sprawl, with higher energy requirements than the traditional compact and complex one, which together with the scale of processes, is increasingly an inefficient urban system. The case of Madrid's Metropolitan Region is paradigmatic, since the region has played a role as a laboratory for new forms of governance and planning have given a greater role to space, which has entered the core dynamics supported mainly by physical growth, while specific circumstances have come together as a new impulse to centralization. This has promoted policies such as considering the city as an engine of economic growth and competitiveness in the international and the European hierarchy of cities. The study of the role of planning and crisis in the succession of models, shows its nuclear role in the constitution of these models is a fundamental part of its regulatory apparatus- and also its value not only to understand the period, but to anticipate to other urban future. This approach leads to establish the relationship of planning with the various crises in the study period, allowing three different moments of that relationship: the austere urban planning under the influence of Fordist crisis, the output of the crisis through imposition of an urban model based on the overproduction of urban space, and entry into a housing crisis and financialisation in relation to the adoption of a multi-dimensionally unsustainable model. The analysis of this period is the basis for targeting prospects that translate urban governance towards a more desirable urban model, or better yet, other possible futures, which are part of the main alternative that is sustainability.

Sustainable Air Traffic Management System Development Methodology

As it is defined in ATM 2000+ Strategy (Eurocontrol 2001), the mission of the Air Traffic Management (ATM) System is: “For all the phases of a flight, the ATM system should facilitate a safe, efficient, and expedite traffic flow, through the provision of adaptable ATM services that can be dimensioned in relation to the requirements of all the users and areas of the European air space. The ATM services should comply with the demand, be compatible, operate under uniform principles, respect the environment and satisfy the national security requirements.” The objective of this paper is to present a methodology designed to evaluate the status of the ATM system in terms of the relationship between the offered capacity and traffic demand, identifying weakness areas and proposing solutions. The first part of the methodology relates to the characterization and evaluation of the current system, while a second part proposes an approach to analyze the possible development limit. As part of the work, general criteria are established to define the framework in which the analysis and diagnostic methodology presented is placed. They are: the use of Air Traffic Control (ATC) sectors as analysis unit, the presence of network effects, the tactical focus, the relative character of the analysis, objectivity and a high level assessment that allows assumptions on the human and Communications, Navigation and Surveillance (CNS) elements, considered as the typical high density air traffic resources. The steps followed by the methodology start with the definition of indicators and metrics, like the nominal criticality or the nominal efficiency of a sector; scenario characterization where the necessary data is collected; network effects analysis to study the relations among the constitutive elements of the ATC system; diagnostic by means of the “System Status Diagram”; analytical study of the ATC system development limit; and finally, formulation of conclusions and proposal for improvement. This methodology was employed by Aena (Spanish Airports Manager and Air Navigation Service Provider) and INECO (Spanish Transport Engineering Company) in the analysis of the Spanish ATM System in the frame of the Spanish airspace capacity sustainability program, although it could be applied elsewhere.

A study the degree of concentration of the Spanish bunkering

This paper shows the Gini Coefficient of the Spanish bunkering, for the Spanish Port System 1960 to the year 2010 with the aim to describe the Spanish bunkering in these periods and propose future strategies. The stage of bunkering must change due to new regulations of marine fuels but to predict the future you must know the past On December 17 came into force on community standard marine fuels. After a complicated negotiation with the industry moves forward a project that is fully compliant with the guidelines of the International Maritime Organization (IMO) and limiting the sulphur and particulate matter of marine fuels used by ships calling or transit through maritime space of the European Union. The impact of a possible extension at European level of the Sulphur Emission Control Areas (SECA) as they are introduced in the Annex VI of the International Convention for the Prevention of Pollution From Ships, 1973 as modified by the Protocol of 1978 (MARPOL) adopted by the International Maritime Organisation (IMO).

Tamaño y densidad urbana: análisis de la ocupación de suelo por las áreas urbanas españolas

Tamaño y densidad son atributos imprescindibles para la caracterización de cualquier ciudad, sin embargo no siempre se les presta la misma atención. Mientras la densidad ocupa un lugar destacado en cualquier manual de planificación urbana, como variable crítica para modular la intervención urbanística, el tamaño de la ciudad tiende a tomarse como un imponderable más allá del control de la planificación. Sin embargo, no está claro que ambas variables se puedan analizar de forma autónoma, ya que las interrelaciones entre ambas son significativas. Con el fin de evaluar cómo se influyen mutuamente tamaño y densidad se plantea una metodología novedosa adaptada a las nuevas formas contemporáneas de urbanización que combina una delimitación funcional de las áreas urbanas con un análisis de su morfología en términos de densidad y compacidad. Los resultados obtenidos a partir de una muestra de 47 áreas urbanas españolas permiten clarificar algunos aspectos de la relación entre tamaño y densidad. Las grandes metrópolis españolas presentan valores relativamente altos de densidad y compacidad, pero los valores más elevados de ambos valores están presentes en áreas urbanas de tamaño intermedio o pequeño. En realidad se puede apreciar una enorme diversidad entre las áreas urbanas intermedias y pequeñas que desaparece casi por completo en las más grandes. Otro aspecto reseñable es la constatación de que densidad y compacidad son variables absolutamente independientes: existen áreas urbanas densas y compactas, pero también densas y poco compactas, o compactas pero poco densas. Sobre esta base, se propone una caracterización de la tipología tradicional de las ciudades españolas. Las áreas urbanas del Cantábrico presentan una alta densidad pero baja compacidad, en gran medida por la difícil orografía; por el contrario la áreas urbanas del interior presentan baja densidad y valores muy diversos de compacidad. Finalmente las áreas urbanas mediterráneas se caracterizan más por su alta compacidad que por su densidad, que es muy variable. En general los resultados obtenidos reflejan adecuadamente aspectos conocidos de la diversidad urbana española, pero también otros menos evidentes. Las conclusiones del estudio están muy mediatizadas por el contexto español, pero la metodología empleada ha demostrado ser de gran utilidad para el análisis de los territorios urbanos contemporáneos. ABSTRACT Size and density are essential attributes for characterizing cities, however they don't always deserve the same attention. While density is considered a critical variable in every urban planning guidebook, city size tends to be taken as an imponderable beyond the control of planning. However, it is unclear whether both variables can be analyzed independently, because their reciprocal influences are evident. To assess how city size and urban density influence each other, we propose a new methodology adapted to contemporary forms of urbanization, bringing together urban areas functional delimitation and morphological analysis in terms of density and compactness. Results obtained from a sample of 47 Spanish urban areas clarify some aspects of the size-density link. The largest Spanish urban areas are relatively dense and compact, but the highest values of both density and compactness are found in intermediate or small urban areas. Actually there is a huge diversity among intermediate and small urban areas which almost disappears in larger ones. Another noteworthy aspect is the realization that density and compactness are absolutely independent variables: there are dense and compact urban areas, but also low-density compact, and low-compactness dense areas. On this basis, we make a revision of the tradicional classification of Spanish urban areas. Cantabrian urban areas display high density and low compactness, largely because of the difficult terrain; on the contrary, inland urban areas exhibit low density and very different values of compactness. Finally, Mediterranean urban areas are characterized more by its high compactness than by its density, which is remarkably variable. In general results accurately reflect known aspects of Spanish urban diversity, but they also expose less obvious attributes. These findings may be closedly related to Spanish context, but the methodology has proven a useful tool for analyzing contemporary urban areas.

Incidencia de las infraestructuras aeroportuarias en la expansión urbana española durante las últimas décadas: la ampliación del aeropuerto de Málaga como estudio de caso

La presente comunicación pretende abordar, desde un punto de vista integrador centrado en el análisis de la dinámica económica y territorial con la que se relaciona, el proceso de ampliación del aeropuerto de Málaga, poniendo en relación las necesidades arrastradas de tiempos pasados, con los beneficios e impactos derivados más inmediatos. Un estudio de caso significativo debido al rol que el aeropuerto desempeña como destino turístico internacional de primer orden y, asimismo, incentivo adicional y pieza clave en el proceso urbanizador contemporáneo en la costa mediterránea andaluza.

Trends and Disparities in Mortality Among Spanish-Born and Foreign-Born Populations Residing in Spain, 1999–2008

Spain’s immigrant population has increased 380 % in the last decade, accounting for 13.1 % of the total population. This fact has led her to become during 2009 the eighth recipient country of international immigrants in the world. The aim of this article is to describe the evolution of mortality and the main causes of death among the Spanish-born and foreign-born populations residing in Spain between 1999 and 2008. Age-standardised mortality rates (ASRs), average age and comparative mortality ratios among foreign-born and Spanish-born populations residing in Spain were computed for every year and sub-period by sex, cause of death and place of birth as well as by the ASR percentage change. During 1999–2008 the ASR showed a progressive decrease in the risk of death in the Spanish-born population (−17.8 % for men and −16.6 % for women) as well as in the foreign-born one (−45.9 % for men and −35.7 % for women). ASR also showed a progressive decrease for practically all the causes of death, in both populations. It has been observed that the risk of death due to neoplasms and respiratory diseases among immigrants is lower than that of their Spanish-born counterparts, but risk due to external causes is higher. Places of birth with the greater decreases are Northern Europe, Eastern Europe, Western Europe, Southern Europe, and Latin America and the Caribbean. The research shows the differences in the reduction of death risk between Spanish-born and immigrant inhabitants between 1999 and 2008. These results could contribute to the ability of central and local governments to create effective health policy. Further research is necessary to examine changes in mortality trends among immigrant populations as a consequence of the economic crisis and the reforms in the Spanish health system. Spanish data sources should incorporate into their records information that enables them to find out the immigrant duration of permanence and the possible impact of this on mortality indicators.

Health-Sector Responses to Intimate Partner Violence Fitting the Response Into the Biomedical Health System or Adapting the System to Meet the Response?

This study aims to analyze how middle-level health systems’ managers understand the integration of a health care response to intimate partner violence (IPV) within the Spanish health system. Data were obtained through 26 individual interviews with professionals in charge of coordinating the health care response to IPV within the 17 regional health systems in Spain. The transcripts were analyzed following grounded theory in accordance with the constructivist approach described by Charmaz. Three categories emerged, showing the efforts and challenges to integrate a health care response to IPV within the Spanish health system: “IPV is a complex issue that generates activism and/or resistance,” “The mandate to integrate a health sector response to IPV: a priority not always prioritized,” and “The Spanish health system: respectful with professionals’ autonomy and firmly biomedical.” The core category, “Developing diverse responses to IPV integration,” crosscut the three categories and encompassed the range of different responses that emerge when a strong mandate to integrate a health care response to IPV is enacted. Such responses ranged from refraining to deal with the issue to offering a women-centered response. Attempting to integrate a response to nonbiomedical health problems as IPV into health systems that remain strongly biomedicalized is challenging and strongly dependent both on the motivation of professionals and on organizational factors. Implementing and sustaining changes in the structure and culture of the health care system are needed if a health care response to IPV that fulfills the World Health Organization guidelines is to be ensured.