Using realist evaluation to assess primary healthcare teams’ responses to intimate partner violence in Spain

Objective: Few evaluations have assessed the factors triggering an adequate health care response to intimate partner violence. This article aimed to: 1) describe a realist evaluation carried out in Spain to ascertain why, how and under what circumstances primary health care teams respond to intimate partner violence, and 2) discuss the strengths and challenges of its application. Methods: We carried out a series of case studies in four steps. First, we developed an initial programme theory (PT1), based on interviews with managers. Second, we refined PT1 into PT2 by testing it in a primary healthcare team that was actively responding to violence. Third, we tested the refined PT2 by incorporating three other cases located in the same region. Qualitative and quantitative data were collected and thick descriptions were produced and analysed using a retroduction approach. Fourth, we analysed a total of 15 cases, and identified combinations of contextual factors and mechanisms that triggered an adequate response to violence by using qualitative comparative analysis. Results: There were several key mechanisms —the teams’ self-efficacy, perceived preparation, women-centred care—, and contextual factors —an enabling team environment and managerial style, the presence of motivated professionals, the use of the protocol and accumulated experience in primary health care—that should be considered to develop adequate primary health-care responses to violence. Conclusion: The full application of this realist evaluation was demanding, but also well suited to explore a complex intervention reflecting the situation in natural settings.

Seguimiento del Grado en Geología (Facultad de Ciencias, UA)

La red de trabajo formada por los profesores coordinadores de semestre y de titulación del Grado en Geología (Facultad de Ciencias, Universidad de Alicante) ha tenido como objetivos principales: afianzar la implementación de las enseñanzas conforme al contenido del plan de estudios del título verificado; elaborar planes de mejora para solventar las posibles deficiencias detectadas y colaborar con los instrumentos del Sistema de Garantía Interno de Calidad (SGIC) del centro en la elaboración de los informes de autoevaluación del título. El método de trabajo se basa en reuniones en las que los miembros de la red plantearán y debatirán los parámetros e indicadores de seguimiento de la red, en la que cada investigador (coordinador) aporta una investigación individualizada del semestre del que es responsable. Ante la inminente acreditación del título el próximo curso, buena parte de las tareas se han enfocado a colaborar en los informes de auto-evaluación del título y en los planes de mejora.

Environmental Degradation, Climate Change and Migration: from Research to Policy-Making. IES Policy Brief Issue 2013/08/September 2013

Summary. In recent months, the migratory impacts of environmental degradation and climate change have gained increased worldwide attention. In response to the publication of the EC Staff Working Document on Climate Change, Environmental Degradation and Migration, this policy brief critically outlines current themes and issues that surround this global phenomenon, specifically the findings of current international research which frame the discussions on terminology and current legal, political and institutional conceptual debates. Several proposals were put forward during a Policy Forum in January 2013. Firstly, there is a need for tailored and actionable research outputs that take into account political pressures and realities on the ground. Secondly, migration and climate policies would be clearly boosted through the elaboration of a common policy-oriented research agenda of which elements were put forward at the event. Finally, efficient communication tools and channels could be developed to transfer research findings to policy-makers.

(Table S1) Age determination of ODP Site 165-1002

A series of 14C measurements in Ocean Drilling Program cores from the tropical Cariaco Basin, which have been correlated to the annual-layer counted chronology for the Greenland Ice Sheet Project 2 (GISP2) ice core, provides a high-resolution calibration of the radiocarbon time scale back to 50,000 years before the present. Independent radiometric dating of events correlated to GISP2 suggests that the calibration is accurate. Reconstructed 14C activities varied substantially during the last glacial period, including sharp peaks synchronous with the Laschamp and Mono Lake geomagnetic field intensity minimal and cosmogenic nuclide peaks in ice cores and marine sediments. Simulations with a geochemical box model suggest that much of the variability can be explained by geomagnetically modulated changes in 14C production rate together with plausible changes in deep-ocean ventilation and the global carbon cycle during glaciation.

Age deterimation of sediment cores from the Atlantic Ocean

High resolution benthic oxygen isotope records combined with radiocarbon datings, from cores retrieved in the North, Equatorial, and South Atlantic are used to establish a reliable cronostratigraphy for the last 60 ky. This common temporal framework enables us to study the timing of the sub-Milankovitch climate variability in the entire surface Atlantic during this period, as reflected in planktonic oxygen isotope records. Variations in sea surface temperatures in the Equatorial and South Atlantic reveal two warm periods during the mid-stage 3 which are correlated to the warming observed in the North Atlantic after Heinrich events (HL) 5 and 4. However, the records show that the warming started about 1500 y earlier in the South Atlantic. A zonally averaged ocean circulation model simulates a similar north-south thermal antiphasing between the latitudes of our coring sites, when pertubated by a freshwater flux anomaly. We infer that the observed phase relationship between the northern and the southern Atlantic is related to periods of reduced NADW production in the North Atlantic, such as during HL5 and HL4.

(Table 1) Characteristics of breeding male Adélie penguins (Pygoscelis adeliae) treated with varying degrees of corticosterone, Adélie land, Antarctica

Breeding individuals enter an emergency life-history stage when their body reserves reach a minimum threshold. Consequently, they redirect current activity toward survival, leading to egg abandonment in birds. Corticosterone (CORT) is known to promote this stage. How and to what extent CORT triggers egg abandonment when breeding is associated with prolonged fasting, however, requires further investigation. We manipulated free-living male Adelie penguins with CORT-pellets before their laying period. We then examined their behavioral response with respect to nest abandonment in parallel with their prolactin levels (regulating parental care), and the subsequent effects of treatment on breeding success in relieved birds. Exogenous CORT triggered nest abandonment in 60% of the treated penguins -14 days after treatment and induced a concomitant decline in prolactin levels. Interestingly, prolactin levels in treated penguins that did not abandon their nest were higher at the point of implantation and also after being relieved by females, when compared with abandoning penguins. Among successful birds, the treatment did not affect the number of chicks, nor the brood mass. Our results show the involvement of CORT in the decision-making process regarding egg abandonment in Adelie penguins when incubation is associated with a natural long fast. However, we suggest that CORT alone is not sufficient to trigger nest abandonment but that 1) prolactin levels need to reach a low threshold value, and 2) a rise in proteolysis (i.e. utilization of protein as main energy substrate) seems also to be required.

Atlantic 231Pa/230Th and biogenic opal compilation of the Holocene and the LGM

The strength and geometry of the Atlantic meridional overturning circulation is tightly coupled to climate on glacial-interglacial and millennial timescales, but has proved difficult to reconstruct, particularly for the Last Glacial Maximum. Today, the return flow from the northern North Atlantic to lower latitudes associated with the Atlantic meridional overturning circulation reaches down to approximately 4,000 m. In contrast, during the Last Glacial Maximum this return flow is thought to have occurred primarily at shallower depths. Measurements of sedimentary 231Pa/230Th have been used to reconstruct the strength of circulation in the North Atlantic Ocean, but the effects of biogenic silica on 231Pa/230Th-based estimates remain controversial. Here we use measurements of 231Pa/230Th ratios and biogenic silica in Holocene-aged Atlantic sediments and simulations with a two-dimensional scavenging model to demonstrate that the geometry and strength of the Atlantic meridional overturning circulation are the primary controls of 231Pa/230Th ratios in modern Atlantic sediments. For the glacial maximum, a simulation of Atlantic overturning with a shallow, but vigorous circulation and bulk water transport at around 2,000 m depth best matched observed glacial Atlantic 231Pa/230Th values. We estimate that the transport of intermediate water during the Last Glacial Maximum was at least as strong as deep water transport today.

Poesías.

Author's autographed presentation copy to da. Marta Abreu de Esteve.

Catalogue de l'histoire de France.

Minutely classified under 15 main and 904 subclasses.

Histoire de l'Europe et particuliérement de la France de 1610 à 1789,

Mode of access: Internet.

Procès de Charles de Labédoyère : ex-colonel du 7e de ligne : ouvrage contenant.

Bound with: Procès de M. Marie Chamans de Lavalette -- Procès du général Sir Robert Wilson, Michel Bruce, John Ely Hutchinson, et autres -- Histoire et procès complet du faux dauphin -- Procès du maréchal Ney -- Procès de Michel Ney.

Histoire de la guerre d'Espagne et de Portugal, de 1807 à 1814.

"Notice biographique sur le maréchal Soult": p. [379]-399.