Psychosocial and neurocognitive performance after spontaneous nonaneurysmal subarachnoid hemorrhage related to the APOE-epsilon4 genotype: a prospective 5-year follow-up study

OBJECT: In this study, the authors prospectively evaluated long-term psychosocial and neurocognitive performance in patients suffering from nonaneurysmal, nontraumatic subarachnoid hemorrhage (SAH) and investigated the association between the APOE-epsilon4 genotype and outcome in these patients. METHODS: All patients admitted to the authors' institution between January 2001 and January 2003 with spontaneous nonaneurysmal SAH were prospectively examined (mean follow-up 59.8 months). The APOE genotype was determined in all patients by polymerase chain reaction from a blood sample. Of the 30 patients included in this study, 11 were carriers of the epsilon4 allele. RESULTS: All patients showed a good recovery and regained full independence with no persisting neurological deficits. The patients with the epsilon4 allele, however, scored significantly higher on the Beck Depression Inventory (22.1 +/- 6.3 vs 14.1 +/- 5.1). At follow-up, depression was more persistent in the group with the epsilon4 allele compared with the group that lacked the allele. This finding reached statistical significance (p < 0.05). Selective attention was impaired in all patients during the first year of follow-up, with an earlier recovery noted in the patients without the epsilon4 allele. Moreover, there was a tendency toward a linear relationship between the Beck Depression Inventory and the d2 Test of Attention. Two patients who carried the epsilon4 allele did not return to their employment even after 5 years. CONCLUSIONS: The findings in this study suggest that the APOE genotypes may be associated with the psychosocial and neurocognitive performance after spontaneous nonaneurysmal SAH, even in the absence of neurological impairment. Physicians should consider patient genotype in assessing the long-term consequences of nonaneurysmal SAH.

Mortality of patients lost to follow-up in antiretroviral treatment programmes in resource-limited settings: systematic review and meta-analysis

BACKGROUND: The retention of patients in antiretroviral therapy (ART) programmes is an important issue in resource-limited settings. Loss to follow up can be substantial, but it is unclear what the outcomes are in patients who are lost to programmes. METHODS AND FINDINGS: We searched the PubMed, EMBASE, Latin American and Caribbean Health Sciences Literature (LILACS), Indian Medlars Centre (IndMed) and African Index Medicus (AIM) databases and the abstracts of three conferences for studies that traced patients lost to follow up to ascertain their vital status. Main outcomes were the proportion of patients traced, the proportion found to be alive and the proportion that had died. Where available, we also examined the reasons why some patients could not be traced, why patients found to be alive did not return to the clinic, and the causes of death. We combined mortality data from several studies using random-effects meta-analysis. Seventeen studies were eligible. All were from sub-Saharan Africa, except one study from India, and none were conducted in children. A total of 6420 patients (range 44 to 1343 patients) were included. Patients were traced using telephone calls, home visits and through social networks. Overall the vital status of 4021 patients could be ascertained (63%, range across studies: 45% to 86%); 1602 patients had died. The combined mortality was 40% (95% confidence interval 33%-48%), with substantial heterogeneity between studies (P<0.0001). Mortality in African programmes ranged from 12% to 87% of patients lost to follow-up. Mortality was inversely associated with the rate of loss to follow up in the programme: it declined from around 60% to 20% as the percentage of patients lost to the programme increased from 5% to 50%. Among patients not found, telephone numbers and addresses were frequently incorrect or missing. Common reasons for not returning to the clinic were transfer to another programme, financial problems and improving or deteriorating health. Causes of death were available for 47 deaths: 29 (62%) died of an AIDS defining illness. CONCLUSIONS: In ART programmes in resource-limited settings a substantial minority of adults lost to follow up cannot be traced, and among those traced 20% to 60% had died. Our findings have implications both for patient care and the monitoring and evaluation of programmes.

How Insecurity impacts on school attendance and school drop out among urban slum children in Nairobi

This paper discusses how perceptions of personal security can impact on school enrolment and attendance. It mainly focuses on threats to physical harm, crime, community and domestic violence. These security fears can include insecurity that children suffer from as they go to school, maybe through the use of unsafe routes; insecurity that children feel at school; and the insecurity they suffer from in their homes. Although poverty is an indicator of insecurity, this paper does not focus solely on poverty as it is well covered elsewhere in the literature. The paper relies on qualitative data collected in Korogocho and Viwandani slum areas in Nairobi, Kenya between October and November 2004. The paper analyses data from individual interviews and focus group interviews and focuses on the narrative of slum dwellers on how insecurity impacts on educational attainment. The conclusion in this paper is that insecure neighbourhoods may have a negative impact on schooling. As a result policies that address insecurity in slum neighbourhoods can also improve school attendance and performance.

Executive functions in 5- to 8-year olds: Developmental changes and relationship to academic achievement

Pronounced improvements in executive functions (EF) during preschool years have been documented in cross-sectional studies. However, longitudinal evidence on EF development during the transition to school and predictive associations between early EF and later school achievement are still scarce. This study examined developmental changes in EF across three time-points, the predictive value of EF for mathematical, reading and spelling skills and explored children's specific academic attainment as a function of early EF. Participants were 323 children following regular education; 160 children were enrolled in prekindergarten (younger cohort: 69 months) and 163 children in kindergarten (older cohort: 78.4 months) at the first assessment. Various tasks of EF were administered three times with an interval of one year each. Mathematical, reading and spelling skills were measured at the last assessment. Individual background characteristics such as vocabulary, non-verbal intelligence and socioeconomic status were included as control variables. In both cohorts, changes in EF were substantial; improvements in EF, however, were larger in preschoolers than school-aged children. EF assessed in preschool accounted for substantial variability in mathematical, reading and spelling achievement two years later, with low EF being especially associated with significant academic disadvantages in early school years. Given that EF continue to develop from preschool into primary school years and that starting with low EF is associated with lower school achievement, EF may be considered as a marker or risk for academic disabilities.

Structural plasticity can produce metaplasticity.

BACKGROUND: Synaptic plasticity underlies many aspect of learning memory and development. The properties of synaptic plasticity can change as a function of previous plasticity and previous activation of synapses, a phenomenon called metaplasticity. Synaptic plasticity not only changes the functional connectivity between neurons but in some cases produces a structural change in synaptic spines; a change thought to form a basis for this observed plasticity. Here we examine to what extent structural plasticity of spines can be a cause for metaplasticity. This study is motivated by the observation that structural changes in spines are likely to affect the calcium dynamics in spines. Since calcium dynamics determine the sign and magnitude of synaptic plasticity, it is likely that structural plasticity will alter the properties of synaptic plasticity. METHODOLOGY/PRINCIPAL FINDINGS: In this study we address the question how spine geometry and alterations of N-methyl-D-aspartic acid (NMDA) receptors conductance may affect plasticity. Based on a simplified model of the spine in combination with a calcium-dependent plasticity rule, we demonstrated that after the induction phase of plasticity a shift of the long term potentiation (LTP) or long term depression (LTD) threshold takes place. This induces a refractory period for further LTP induction and promotes depotentiation as observed experimentally. That resembles the BCM metaplasticity rule but specific for the individual synapse. In the second phase, alteration of the NMDA response may bring the synapse to a state such that further synaptic weight alterations are feasible. We show that if the enhancement of the NMDA response is proportional to the area of the post synaptic density (PSD) the plasticity curves most likely return to the initial state. CONCLUSIONS/SIGNIFICANCE: Using simulations of calcium dynamics in synaptic spines, coupled with a biophysically motivated calcium-dependent plasticity rule, we find under what conditions structural plasticity can form the basis of synapse specific metaplasticity.

Caries-preventive effectiveness of fluoride varnish as adjunct to oral health promotion and supervised tooth brushing in preschool children: a double-blind randomized controlled trial.

OBJECTIVES To evaluate the effect of biannual fluoride varnish applications in preschool children as an adjunct to school-based oral health promotion and supervised tooth brushing with 1000ppm fluoride toothpaste. METHODS 424 preschool children, 2-5 year of age, from 10 different pre schools in Athens were invited to this double-blind randomized controlled trial and 328 children completed the 2-year programme. All children received oral health education with hygiene instructions twice yearly and attended supervised tooth brushing once daily. The test group was treated with fluoride varnish (0.9% diflurosilane) biannually while the control group had placebo applications. The primary endpoints were caries prevalence and increment; secondary outcomes were gingival health, mutans streptococci growth and salivary buffer capacity. RESULTS The groups were balanced at baseline and no significant differences in caries prevalence or increment were displayed between the groups after 1 and 2 years, respectively. There was a reduced number of new pre-cavitated enamel lesions during the second year of the study (p=0.05) but the decrease was not statistically significant. The secondary endpoints were unaffected by the varnish treatments. CONCLUSIONS Under the present conditions, biannual fluoride varnish applications in preschool children did not show significant caries-preventive benefits when provided as an adjunct to school-based supervised tooth brushing with 1000ppm fluoride toothpaste. CLINICAL SIGNIFICANCE In community based, caries prevention programmes, for high caries risk preschool children, a fluoride varnish may add little to caries prevention, when 1000ppm fluoride toothpaste is used daily.

Seals and the Need for more Deference to Vienna by WTO Adjudicators

This paper asks how World Trade Organization (WTO) panels and the Appellate Body (AB) take public international law (PIL) into account when interpreting WTO rules as a part of international economic law (IEL). Splendid isolation of the latter is not new; indeed it is intended by the negotiators of the Understanding on the Settlement of Disputes (DSU). At the same time, the Vienna Convention on the Law of Treaties (VCLT) is quite clear when it provides the general rules and the supplementary means of treaty interpretation. Despite such mandatory guidance, WTO adjudicators (when given a choice and assuming they see the conflict) prefer deference to WTO law over deference to Vienna and take a dogmatic way out of interpretation quandaries. The AB and panels make abundant reference to Vienna, though less so to substantive PIL. Often times, however, they do so simply in order to buttress their findings of violations of WTO rules. Perhaps tellingly, however, none of the reports in EC – Seals contains even a single mention of VCLT, despite numerous references to international standards addressing indigenous rights and animal welfare. In the longer term, and absent a breakthrough on the negotiation front, this pattern of carefully eschewing international treaty law and using PIL just for the sake of convenience could have serious consequences for the credibility and acceptance of the multilateral trading system. Following the adage ‘negotiate or litigate’ recourse to WTO dispute settlement increases when governments are less ready to make treaty commitments commensurate with the challenges of globalisation. This is true even for ‘societal choice’ cases on the margins of classic trade disputes. We will argue here that it is precisely for cases such as these that VCLT and PIL should be used more systematically by panels and the AB. Failing that, instead of building bridges for more coherent international regulation, WTO adjudicators could burn those same bridges which the DSU interpretation margin leaves open for accomplishing their job which is to find a ‘positive solution’. Worse, judicial incoherence could return to WTO dispute settlement like a boomerang and damage the credibility and thus the level of acceptance of the multilateral trading system per se.

Development of meta-representations: Procedural metacognition and the relationship to Theory of Mind

In several studies it was shown that metacognitive ability is crucial for children and their success in school. Much less is known about the emergence of that ability and its relationship to other meta-representations like Theory of Mind competencies. In the past years, a growing literature has suggested that metacognition and Theory of Mind could theoretically be assumed to belong to the same developmental concept. Since then only a few studies showed empirically evidence that metacognition and Theory of Mind are related. But these studies focused on declarative metacognitive knowledge rather than on procedural metacognitive monitoring like in the present study: N = 159 children were first tested shortly before making the transition to school (aged between 5 1/2 and 7 1/2 years) and one year later at the end of their first grade. Analyses suggest that there is in fact a significant relation between early metacognitive monitoring skills (procedural metacognition) and later Theory of Mind competencies. Notably, language seems to play a crucial role in this relationship. Thus our results bring new insights in the research field of the development of meta-representation and support the view that metacognition and Theory of Mind are indeed interrelated, but the precise mechanisms yet remain unclear.

Online Format vs. Live Mode of Instruction: Do Human Capital Differences or Differences in Returns to Human Capital Explain the Differences in Outcomes?

Our paper asks the question: Does mode of instruction format (live or online format) effect test scores in the principles of macroeconomics classes? Our data are from several sections of principles of macroeconomics, some in live format, some in online format, and all taught by the same instructor. We find that test scores for the online format, when corrected for sample selection bias, are four points higher than for the live format, and the difference is statistically significant. One possible explanation for this is that there was slightly higher human capital in the classes that had the online format. A Oaxaca decomposition of this difference in grades was conducted to see how much was due to human capital and how much was due to the differences in the rates of return to human capital. This analysis reveals that 25% of the difference was due to the higher human capital with the remaining 75% due to differences in the returns to human capital. It is possible that for the relatively older student with the appropriate online learning skill set, and with schedule constrains created by family and job, the online format provides them with a more productive learning environment than does the alternative traditional live class format. Also, because our data are limited to the student s academic transcript, we recommend future research include data on learning style characteristics, and the constraints formed by family and job choices.

EXPOSURE OF PHARMACY PERSONNEL TO ANTINEOPLASTIC DRUGS

This dissertation consists of two parts: (1) Exposure of pharmacy personnel to antineoplastic drugs. The Salmonella reversion test was used to measure the mutagenic activities of urine concentrates from individuals preparing antineoplastic drugs for intravenous administration. Longitudinal studies were performed in which the total urine produced in 24-hour periods was collected, starting on a Sunday at 7 P.M. after a duty-free weekend and extending over an eight-day period. There was no detectable increase in mutagenic activity in the urine concentrates of three pharmacy administrators who had no contact with these drugs. All six individuals admixing drugs in open-faced, horizontal laminar flow hoods displayed a two-fold increase in mutagenesis by the fourth day with peak values of 2.7 to 24-fold occurring on days five and six, reduced values by day seven with a return to the spontaneous level by day eight. When four of the six positive individuals in the preceding experiment admixed comparable amounts of antineoplastic drugs in a closed-faced, vertical laminar flow hood, no increase in mutagenic activity was detected in their urine concentrates over the eight-day period. (2) Estimate of potential carcinogenic risks of antineoplastic drugs. Excision repair is the major repair system that is involved with the elimination of chemically induced DNA (deoxyribonucleic acid) lesions. This DNA excision repair capability increases in mammalian species with longer life span such as humans. In this study, the effect of functional DNA excision repair on the mutagenesis invoked by 17 antineoplastic drugs was determined by using a Salmonella/Microsome assay which was expanded to include some uvr('+) counterparts of the excisionless (uvrB) tester strains routinely employed. Although extrapolation cannot be made from bacteria to humans, one should be able to make a qualitative comparison as to which antineoplastic drugs are more potentially carcinogenic to humans based on the effects of excision repair on their mutagenesis in bacteria. The tested antineoplastic drugs were divided into three classes: those requiring excision repair for mutagenesis; those producing nonrepairable genetic damage; and those producing mostly repairable premutational DNA lesions. ^

¿Escuela Socialista o Escuela Reformista? Una lectura de la Educación Socialista en México a partir de su lugar dentro del gobierno cardenista y la Revolución Mexicana

¿Qué significado cobra la reforma de la educación socialista llevada adelante por la gestión de Cárdenas en 1943 en una revisión sociohistórica más amplia de la realidad mexicana? La historia de la educación tiende a aislar el objeto de estudio, cuando la pregunta por la educación socialista no puede ser respondida sin contemplar la realidad social mexicana como una totalidad dialéctica. Siguiendo la estructura de un juego de muñecas rusas, analizaremos la reforma por sí misma, en el marco de la gestión cardenista, y por último de la Revolución Mexicana. Para regresar al comienzo con renovado ímpetu conceptual y fuentes selectas

¿Escuela Socialista o Escuela Reformista? Una lectura de la Educación Socialista en México a partir de su lugar dentro del gobierno cardenista y la Revolución Mexicana

¿Qué significado cobra la reforma de la educación socialista llevada adelante por la gestión de Cárdenas en 1943 en una revisión sociohistórica más amplia de la realidad mexicana? La historia de la educación tiende a aislar el objeto de estudio, cuando la pregunta por la educación socialista no puede ser respondida sin contemplar la realidad social mexicana como una totalidad dialéctica. Siguiendo la estructura de un juego de muñecas rusas, analizaremos la reforma por sí misma, en el marco de la gestión cardenista, y por último de la Revolución Mexicana. Para regresar al comienzo con renovado ímpetu conceptual y fuentes selectas

¿Escuela Socialista o Escuela Reformista? Una lectura de la Educación Socialista en México a partir de su lugar dentro del gobierno cardenista y la Revolución Mexicana

¿Qué significado cobra la reforma de la educación socialista llevada adelante por la gestión de Cárdenas en 1943 en una revisión sociohistórica más amplia de la realidad mexicana? La historia de la educación tiende a aislar el objeto de estudio, cuando la pregunta por la educación socialista no puede ser respondida sin contemplar la realidad social mexicana como una totalidad dialéctica. Siguiendo la estructura de un juego de muñecas rusas, analizaremos la reforma por sí misma, en el marco de la gestión cardenista, y por último de la Revolución Mexicana. Para regresar al comienzo con renovado ímpetu conceptual y fuentes selectas

Optimization of urban mobility measures to achieve win-win strategies

European cities are essential in the development of Europe as they constitute the living environment of more than 60% of the population in the European Union and are drivers of the European economy – just under 85% of the EU’s gross domestic product is produced in urban areas (EC, 2007a). The car has been one of the main factors of development during the 20th century, but it is at the same time the origin of the key problems cities have to face: traffic increase. This has resulted in chronic congestion with many adverse consequences such as air pollution and noise. This loss of environmental quality is one of the reasons for urban sprawl in European cities during recent decades. But this urban sprawl at the same time worsens the environmental conditions. We must return to the dense city, but clean and competitive, and this implies reducing car use yet provides quality transport alternatives sufficient to recover and maintain the competitiveness of cities (EC, 2007a). Consequently, European cities need to establish an urban transport strategy which helps reduce their environmental problems –mainly emissions and noise – but without decreasing their trip attraction. This aspect is very important because a loss of trip attraction would result in an increase of people moving to more disperse areas, contributing towards worsening the current situation. This thesis is an attempt to contribute solutions to this problem in two ways: 1) The first is to analyze the complementarity and possible synergies of several urban transport measures aimed at improving a modal split to a more sustainable means of transport. This analysis will focus on the three aspects already mentioned: emissions, noise and attractiveness or competitiveness. 2) Once possible synergies and complementarities have been analyzed, the second objective is to propose the best combination of these measures, in terms of level of implementation, to achieve the maximum benefit with respect to the three aspects previously established: emissions, noise and attractiveness or competitiveness. Therefore, within the wide range of measures enhancing sustainable urban transport, three of them have been be selected in this thesis to establish a methodology for achieving these objectives. The analysis will be based on the region of Madrid, which is also the case study selected for this research. Las ciudades europeas son piezas fundamentales para el desarrollo europeo, ya que son el lugar de residencia de más del 60% de la población de la unión europea así como los motores de su economía – casi el 85% del PIB europeo se produce en áreas urbanas (EC, 2007a). El coche ha sido uno de los principales motores de desarrollo de las ciudades durante el siglo XX, pero se ha terminado por convertir a su vez en uno de los principales problemas con los que tiene que lidiar las ciudades: el aumento del tráfico. Esto ha derivado en unos niveles crónicos de congestión, con multitud de efectos adversos, entre los que cabe destacar la contaminación del aire y el ruido. Esta pérdida de calidad ambiental es una de las razones que ha propiciado la dispersión urbana que han experimentado las ciudades europeas en las últimas décadas. Pero esta dispersión urbana a su vez contribuye a empeorar las condiciones ambientales de las ciudades. Debemos retornar a la ciudad densa, pero limpia y competitiva, y esto implica reducir el uso del coche, pero proporcionando alternativas de transporte que permitan recuperar y mantener la competitividad de las ciudades (EC, 2007a). Por lo tanto, las ciudades europeas necesitan encontrar una estrategia de transporte urbano que ayude a reducir sus problemas medio ambientales – principalmente ruido y emisiones – pero sin hacerlas perder atractividad o competitividad. Este aspecto tiene gran importancia porque una pérdida de la misma se traduciría en un aumento de dispersión de la población hacia áreas periféricas, contribuyendo a empeorar la situación actual. Esta tesis contribuye a solucionar este problema de dos maneras: 1) La primera, analizando la complementariedad y posibles sinergias de diferentes medidas de transporte urbano orientadas a promover un reparto modal hacia modos más sostenibles. Este análisis se centrará en los tres aspectos anteriormente citados: emisiones, ruido y atractividad o competitividad. 2) Una vez las posibles sinergias y complementariedades se han analizado, el segundo objetivo es proponer la mejor combinación de estas medidas – en términos de grado de aplicación - para lograr el máximo beneficio en lo que respecta a los tres objetivos previamente establecidos. Para ello, en esta tesis se han seleccionado una serie de medidas que permitan establecer una metodología para alcanzar estos objetivos previamente definidos. El análisis se centra en la ciudad de Madrid y su área metropolitana, la cual se ha escogido como caso de estudio para realizar esta investigación.

Idas y venidas. Los viajes de arquitectura en España entre 1920 y 1960

Esta tesis se propone indagar en las vias por las que la arquitectura española cambió en el periodo comprendido entre 1920 y 1960 y el papel que los viajes tuvieron en dicho cambio. La investigación busca demostrar que, junto a otros factores como la llegada de revistas y libros y las conferencias de arquitectos de la talla de Le Corbusier, Gropius, Mendelsohn, Neutra o Aalto, los viajes tuvieron un papel clave en el proceso de apertura de miras y que provocó que, bien a traves de lo publicado en las revistas por los “arquitectos viajeros” o por el reflejo que tuvo lo conocido fuera de nuestras fronteras en proyectos y obras concretas, un buen numero de arquitectos, que no tuvieron la posibilidad de viajar, pudieron conocer que existía una realidad muy distinta a la que los profesores en la Escuela les habían enseñado o a la que estaban acostumbrados a ver en otros arquitectos de generaciones anteriores basada, en buena medida, en la recuperación de un estilo propio nacional centrandose en los historicismos. A lo largo de la investigación trataremos de ver que efecto produjo la apertura de fronteras y que papel tuvieron los viajes en dicho proceso. También nos centraremos en comprobar hasta qué punto cambió la manera de ver la arquitectura de los protagonistas del viaje y de aquellos que recibieron la información por ellos encontrada. Veremos cómo dicha información es cuantificable, clasificable y demostrable en propuestas concretas. Será importante ver que motivó su salida, que buscaban y que encontraron así como, entre las influencias recibidas, cuales tuvieron un mayor calado: las propuestas europeas o las americanas, y dentro de las primeras, las holandesas, las alemanas o las francesas. Los objetivos que se persigue conseguir son: contribuir a un mayor conocimiento de la arquitectura entre 1920 y 1960 a través de las conexiones internacionales y el ensanchamiento de horizontes, recopilar, clasificar y analizar todo el material obtenido relacionando los viajes con las biografías de los arquitectos protagonistas, estudiar qué interesa a los arquitectos españoles cuando van fuera y porqué (será importante ver quiénes de entre los arquitectos son más abiertos a las corrientes europeas y que motivó su salida en busca de nuevos lenguajes), ordenar las reflexiones que exponen los arquitectos a la vuelta de sus viajes y ver en que propuestas y de qué forma los arquitectos plasman lo encontrado en su búsqueda en el extranjero. Para conseguir estos objetivos estructuraremos la investigación en tres bloques: En el primero de ellos nos centraremos en profundizar como era la arquitectura española a principios del siglo XX. Para poder entender mejor las transformaciones que los viajes provocaron será necesario conocer cuál era la arquitectura predominante en estos años que, como veremos, consistía en la búsqueda de un estilo nacional propio dirigiendo su mirada al pasado. También veremos cómo un grupo de arquitectos (Palacios, Flórez, Torres Balbás o Anasagasti) fueron pioneros en el deseo de mirar fuera de nuestras fronteras así como dedicaremos especial atención a cómo era la formación en la Escuela. El segundo capítulo, que abarca desde principios de los años 20 hasta la Guerra Civil, tratará de demostrar la importancia que tuvo en el proceso de permeabilidad frente a las corrientes extranjeras los viajes que los arquitectos realizaron y que, sumados a la llegada de revistas y las visitas de los principales arquitectos modernos, provocaron una primera apertura como respuesta a los historicismos predominantes. Entre los arquitectos viajeros destacaremos las figuras de Fernando García Mercadal (incidiendo en su importancia como difusor de la arquitectura moderna), Rafael Bergamín, Ramón Sánchez Arcas y Luis Lacasa. También nos detendremos en ver la importancia que tuvieron las exposiciones (con especial atención a la de Artes Decorativas de París de 1925 y la de la Deutscher Werkbund en Stuttgart en 1927) que se realizaron estos años y como llegó la información a nuestro país. El tercer y último capítulo arranca con el periodo de posguerra, una época de transición pues los viajes que se realizaron fueron escasos y en la mayoría de las ocasiones no se llevaron a cabo en busca de nuevos caminos. Veremos cómo tras la Guerra y de la mano de la dictadura se produce, de la misma forma que en la Alemania nazi, una vuelta al interés por los historicismos de principios de siglo. Para entender mejor este periodo haremos un repaso a la obra de Luis Gutiérrez Soto por ser explicativa de lo cambiante de las corrientes arquitectónicas de estos años. Tras el análisis de los sucedido en posguerra nos dedicaremos a analizar, de la misma forma que en el primer periodo, la manera en que se produjo el rechazo al estilo nacional de nuevo gracias a la llegada de libros y revistas, lo publicado por las revistas españolas, las visitas de arquitectos de prestigio así como los viajes de un grupo de arquitectos que, de manera individual, salieron al extranjero en busca de apoyo, de referencias en los que cimentar su arquitectura. De este grupo, por la importancia que los propios protagonistas dieron al hecho de viajar como complemento a su formación y por la manera en la que reflejaron lo aprendido en proyectos concretos destacamos a Francisco de Asís Cabrero, Miguel Fisac, Ramón Vázquez Molezún y Francisco Javier Sáenz de Oiza. De nuevo, igual que en el primer capítulo finalizaremos la investigación dedicando un apartado a las exposiciones (fundamentalmente la Interbau de Berlín de 1957) celebradas en estos años. Para finalizar estableceremos las conclusiones que nos llevarán a comprobar hasta qué punto la arquitectura española en los periodos previo y posterior a la guerra cambió y en qué medida tuvieron importancia los viajes que los arquitectos españoles realizaron al extranjero en dicho cambio… ABSTRACT This thesis aims to look at the ways which Spanish architecture changed in the period between 1920 and 1960, and the way it was effected by travelling . The research will demonstrate that, together with other factors, such as the arrival of magazines, books, conferences and architects like Le Corbusier, Gropius, Mendelsohn, Neutra or Aalto, travelling played a key role in architecture. Also, it changed the way we look at architecture. Travelling, thanks to the published journals by "travelling architects” and the influence that they had - known beyond our borders in projects and concrete works, caused the arrival of a new type of architects. Even those who were not able to travel, knew that there was a very different reality than the reality the teachers at the school had taught them. Also, the “new reality” was different from the one that they were used to seeing in other architects of earlier generations, based mainly on the recovery of a national style focused on historicism. Throughout the investigation I will try to show the effect that the opening of borders and travelling had on this process. We will also focus on checking how it changed the way we see the architecture, from the point of view of the protagonists of the travels and those who received the information . We will see how that information is quantifiable and demonstrably classifiable into concrete proposals. It will be important to see which led to their departure. They sought and found among the influences, which had a major impact: the proposed European or American, and within the first, Dutch, German or French. The objectives to be achieved are: To contribute to a better understanding of architecture between 1920 to 1960 by the international connections, and widening the horizon. To collect, classify and analyze all obtained materials related to travelling with biographies of architects protagonists. To study what the interests of the Spanish architects were when they went abroad and why ( it will be important to see who among those architects were more open to European trends and prompted their departures for new languages). To order reflections exhibited by architects around his travels and to see what proposals and how architects reflected what they found in their search abroad. To achieve these objectives we will structure this research in three areas: In the first one, we will focus on how the Spanish architecture in the early twentieth century was. To better understand the changes that travelling caused it is necessary to understand that the predominant architecture in these years was in pursuit of its own national style, directing its gaze to the past, like we shall see. We will also see how a group of architects (Palacios, Flórez, Torres Balbás or Anasagasti) pioneered by looking beyond our borders and devote special attention to how the training was in the School. The second chapter, ranging from early 20s to the Civil War, will try to demonstrate the importance that travelling had in the process of diffusion currents. That, together with the arrival of magazines and visits by leading modern architects, led to a first opening in architecture, in response to the prevailing historicism. Among the travelers we highlight architects like Fernando García Mercadal (stressing his importance as a disseminator of modern architecture), Rafael Bergamín, Ramón Sánchez Arcas and Luis Lacasa. We will also stop to see the importance of exhibitions (with special attention to the Decorative Arts in Paris in 1925 and the Deutscher Werkbund in Stuttgart in 1927) that were held over the years and how the information came to our country . The third and final chapter starts with the post war period, a time of transition for the travels, which were scarce and in most cases were not conducted on new roads. We will see that after the war and with the dictatorship, a return to interest in historicism of the century occurred, just as in Nazi Germany. For better understanding of this period we will review the work of Luis Gutiérrez Soto. His work is explanatory of the changing of architectural trends over these years. After analyzing the case in post war, we turn to analyze, in the same way as in the first period, the manner in which rejection occurred in national style again with the arrival of books and magazines. Visits by prestigious architects and group travels of architects who, individually, went abroad in search of support, references on which to base their architecture. In this group of architects, due to the importance that the protagonists gave to the act of traveling to improve their training and the way in which they reflected what they learned in practical projects, I include Francisco de Asís Cabrero, Miguel Fisac, Ramon Vazquez Molezún and Francisco Javier Saenz de Oiza. Again, as in the first chapter, we will conclude the investigation dedicating a section to the exhibitions held in these years (mainly Interbau Berlin, 1957). Finally establishing conclusions lead us to see how far the Spanish architecture in the pre- and post -war periods changed and how much the trips were important to Spanish architects who performed abroad on the change...