Community Pharmacies and the Needs of Mobile EU Citizens - A study on Finns living in Spain

Migration within the European Union (EU) has increased since the Union was established. Community pharmacies provide open access to health care services and can be the first, most frequently used or even the only contact with a nation s health care system among mobile community residents. In some of the mass-migration areas in Southern Europe, most of the customers may represent mobile citizens of foreign background. This has not always been taken into consideration in the development of community pharmacy services. Mobile patients have been on the EU's health policy agenda, but they have seldom been mentioned in the context of community pharmacies. In most of the EU member states, governments control the specific legislation concerning community pharmacies and there is no harmonised pharmaceutical policy or consistent minimal standards for community pharmacy services in the EU. The aim of this study was to understand medication use, the role of community pharmacies and the symptom mitigation process of mobile community residents. Finns living in Spain were used as an example to examine how community pharmacies in a EU member state meet the needs of mobile community residents. The data were collected by a survey in 2002 (response rate 53%, n= 533) and by five focus group discussions in 2006 (n=30). A large number (70%) of the respondents had moved to Spain for health reasons and suffered from chronic morbidity. Community pharmacies had an important role in the healthcare of mobile community residents and the respondents were mostly satisfied with these services. However, several medication safety risks related to community pharmacy practices were identified: 1) Availability of prescription medicines without prescription (e.g., antibiotics, sleeping pills, Viagra®, asthma medications, cardiovascular medicines, psoriasis medicines and analgesics); 2) Irrational use of medicines (e.g., 41% of antibiotic users had bought their antibiotics without a prescription, and the most common reasons for antibiotic self-medication were symptomatic common colds and sore throats); 3) Language barriers between patients and pharmacy professionals; 4) Lack of medication counselling; 5) Unqualified pharmacy personnel providing pharmacotherapy. A fifth of the respondents reported experiencing problems during pharmacy visits in Spain, and the lack of a common language was the source of most of these problems. The findings of this study indicate that regulations and their enforcement can play a crucial role in actually assuring the rational and safe use of medicines. These results can be used in the development of pharmaceutical and healthcare policies in the EU. It is important to define consistent minimum standards for community pharmacy services in the EU. Then, the increasing number of mobile community residents could access safe and high quality health care services, including community pharmacy services, in every member state within the EU.

Variability in exposure to ambient ultrafine particles in urban schools: Comparative assessment between Australia and Spain

Ambient ultrafine particle number concentrations (PNC) have inhomogeneous spatio-temporal distributions and depend on a number of different urban factors, including background conditions and distant sources. This paper quantitatively compares exposure to ambient ultrafine particles at urban schools in two cities in developed countries, with high insolation climatic conditions, namely Brisbane (Australia) and Barcelona (Spain). The analysis used comprehensive indoor and outdoor air quality measurements at 25 schools in Brisbane and 39 schools in Barcelona. PNC modes were analysed with respect to ambient temperature, land use and urban characteristics, combined with the measured elemental carbon concentrations, NOx (Brisbane) and NO2 (Barcelona). The trends and modes of the quantified weekday average daily cycles of ambient PNC exhibited significant differences between the two cities. PNC increases were observed during traffic rush hours in both cases. However, the mid-day peak was dominant in Brisbane schools and had the highest contribution to total PNC for both indoors and outdoors. In Barcelona, the contribution from traffic was highest for ambient PNC, while the mid-day peak had a slightly higher contribution for indoor concentrations. Analysis of the relationships between PNC and land use characteristics in Barcelona schools showed a moderate correlation with the percentage of road network area and an anti-correlation with the percentage of green area. No statistically significant correlations were found for Brisbane. Overall, despite many similarities between the two cities, school-based exposure patterns were different. The main source of ambient PNC at schools was shown to be traffic in Barcelona and mid-day new particle formation in Brisbane. The mid-day PNC peak in Brisbane could have been driven by the combined effect of background and meteorological conditions, as well as other local/distant sources. The results have implications for urban development, especially in terms of air quality mitigation and management at schools.

Evaluación del impacto y factibilidad técnica de la utilización de prótesis dentales en rodeos de cría en la región de Calamuchita, Córdoba

Introducción: La eficiencia de los rodeos de cría bajo sistemas de producción pastoriles extensivos en la región de Calamuchita, está subordinada no sólo al costo de oportunidad que ofrece la cadena de carne bovina, sino también a cuestiones técnicas de gestión y manejo. Así, una multiplicidad de factores - independientemente de la sanidad, genética y disponibilidad de oferta forrajera - influirá como aceleradores o retardadores de éxito en la gestión pecuaria. Dentro de las variables analizadas en la dinámica de los rodeos, los rechazos de vientres configura uno de los factores críticos al momento de la toma decisiones sobre esta categoría. Estos refugos pueden obedecer a distintos factores como ser: muertes, enfermedades, selección, vacías al tacto y por desgaste dentario. Para un manejo eficiente, la dinámica de un rodeo de cría estabilizado requiere una reposición de vientres generado por los refugos y rechazos los cuales deberán ser reemplazados por vaquillonas de reposición.

Pleitos y usurpaciones de tierras realengas en Córdoba a fines del siglo XV : la villa de Las Posadas

Resumen: Analizamos el problema de las apropiaciones ilícitas de tierras en el término jurisdicional de la ciudad de Córdoba a fines de la Edad Media, centrando la atención en la villa de Las Posadas y en los procesos judiciales.

Pedir ayuda a “Los otros” : algunas consideraciones en torno a la primera embajada bizantina en Córdoba (s. IX)

Resumen: El presente artículo estudia las motivaciones que tuvo Téofilo, Emperador bizantino, para entrar en contacto con el Emirato Independiente de Córdoba. Desde ese punto de vista, se presentan algunas cuestiones en torno a la imagen del musulmán construidas por la apologética bizantina, haciendo especial mención a la obra de Constantino VII Porfirogénito, De administrando Imperio. Es a partir de allí que se trata de analizar los motivos que mueven al Basileus a enviar la primera embajada bizantina en Córdoba, comprobando con esto que , cuando se trata de salvaguardar la seguridad del imperio, no habrán motivos para evitar contactos con aquel que , incluso, pueda ser un enemigo.

El abastecimiento de agua corriente en la ciudad de Córdoba (1900-1910) : continuidad y cambio en la gestión

Resumen: Desde un punto de vista general el agua es definida en la actualidad como un recurso natural no renovable en cantidad, recuperable en calidad y con posibilidad de nuevo uso (re-uso) en continua mutación dentro del ciclo hidrológico. A la vez posee las categorías de bien común como elemento esencial para la vida humana y que como tal no tiene precio, y de recurso hídrico con dimensión económica como insumo, que supone un valor mensurable. Los recursos hídricos y su gestión forman parte de la administración pública, como pueden serlo la energía o la salud. La organización adecuada de un servicio, y las formas institucionales a través de las que se presta, varían de acuerdo a las épocas, los costes tecnológicos, los de distribución, organización y regulación, resultando un aspecto importante del análisis la implementación y funcionamiento del servicio público. Atendiendo a estos aspectos teóricos, este trabajo continua con la problemática del abastecimiento de agua corriente en la ciudad de Córdoba, ahora en la primera década del siglo XX, manteniendo el supuesto de que las dificultades para el abastecimiento de agua obedecen a razones de orden natural, a dificultades económicas y a enfrentamientos políticos, en el marco de un Estado que aún posee limitaciones de índole institucional y administrativo, por lo cual intervendrán el gobierno provincial y Nacional para la concreción de las obras de salubridad, en una ciudad y un país enrolados en el proceso de modernización impulsado por el deseo de adecuación al modelo de vida europeo. Seguimos analizando las fuentes inéditas del Archivo Histórico Municipal de Córdoba, fuentes oficiales editas, publicaciones periódicas y bibliografía tanto general como específica.

Does Immigration Raise Natives’ Income? National and Regional Evidence from Spain

How immigration affects the labor market of the host country is a topic of major concern for many immigrant-receiving nations. Spain is no exception following the rapid increase in immigrant flows experienced over the past decade. We assess the impact of immigration on Spanish natives’ income by estimating the net immigration surplus accruing at the national level and at high immigrant-receiving regions while taking into account the imperfect substitutability of immigrant and native labor. Specifically, using information on the occupational densities of immigrants and natives of different skill levels, we develop a mapping of immigrant-to-native self-reported skills that reveals the combination of natives across skills that would be equivalent to an immigrant of a given self-reported skill level, which we use to account for any differences between immigrant self-reported skill levels and their effective skills according to the Spanish labor market. We find that the immigrant surplus amounts to 0.04 percent of GDP at the national level and it is even higher for some of the main immigrant-receiving regions, such as Cataluña, Valencia, Madrid, and Murcia.

Artículo "Now it can beftold. From our Spain correspondent" publicado en "The Economist". Trata del bombardeo de Gernika y el estado de la investigación.

Fecha: 26-4-1975 / Unidad de instalación: Carpeta 48 - Expediente 7-3 / Nº de pág.: 1 (mecanografiada)

The Impact of Firm Level Contracting on Wage Levels and Inequality: Spain 1995-2002

This paper provides microeconomic evidence on the variation over time of the firm-specific wage premium in Spain from 1995 to 2002, and its impact on wage inequality. We make use of two waves of a detailed linked employer-employee data set. In addition, a new data set with financial information on firms is used for 2002 to control as flexibly as possible for differences in the performance of firms (aggregated at industry level). To our knowledge, there is no microeconomic evidence on the dynamics of the firm-specific wage premium for Spain or for any other country with a similar institutional setting. Our results suggest that there is a clear tendency towards centralization in the collective bargaining process in Spain over this seven-year period, that the firm-level contract wage premium undergoes a substantial decrease, particularly for women, and finally that the "centralization" observed in the collective bargaining process has resulted in a slight decrease in wage inequality.

Labor Market Assimilation of Recent Immigrants in Spain

Revised: 2006-11.-- Published as an article in: British Journal of Industrial Relations, June 2007, vol. 45, issue 2, pp. 257-284.

Ceilings and Floors? Gender Wage Gaps by Education in Spain

Revised: 2006-11.-- Published as an article in: Journal of Population Economics, 2007, vol. 21 issue 3, pp. 751-776.

Population age structure and private consumption in Spain

In this paper we study the effect of population age distribution upon private consumption expenditure in Spain from 1964 to 1997 using aggregate data. We obtain four main results. First, changes in the population pyramid have substantial effects upon the behaviour of private consumption. Second, the pattern of the coefficients of the demographic variables is not consistent with the simplest version of the life cycle hypothesis. Third, we estimate the impact of the demographic transition upon consumption and find positive values associated with episodes in which the shares of groups of individuals with expenditure levels higher (lower) than the mean increased (decreased). Fourth, the results are robust to alternative specifications for the population age distribution.

Unemployment rates and population changes in Spain

Published as an article in: Journal of Applied Economics, 2004, vol. VII, pages 47-76.