Gambling in Spain: update on experience, research and policy

AIMS: To describe the current situation of gambling in Spain, sketching its history and discussing the regulations and legislation currently in force within the framework of the European Union (EU), and to review the epidemiology of gambling in Spain, the self-help groups and professional treatments available, and their potential effectiveness. METHODS: A systematic computerized search was performed in three databases (EMBASE, PubMed and PsychINFO, including articles and chapters) and the reference lists from previous reviews to obtain some of the most relevant studies published up to now on the topic of pathologic gambling in Spain. RESULTS: Similar to other EU countries, Spain has a high prevalence of pathologic gambling, focused on specific culturally bounded types of gambling. Expenditure in online gaming has risen significantly in the last few years, prompting the Spanish government to draft new legislation to regulate gaming. CONCLUSIONS: The gaming industry is expected to be one of the fastest growing sectors in Spain in the coming years owing to the rise of new technologies and the development of online gaming

Redacció del projecte de reforma de l’aparcament subterrani de la seu de Barcelona de l’Institut del Teatre i la direcció d’obres

Redacció del projecte de reforma de l’aparcament subterrani de la seu de Barcelona del’Institut del Teatre i la direcció d’obres

Population-based multicase-control study in common tumors in Spain (MCC-Spain): rationale and study design

INTRODUCTION: We present the protocol of a large population-based case-control study of 5 common tumors in Spain (MCC-Spain) that evaluates environmental exposures and genetic factors. METHODS: Between 2008-2013, 10,183 persons aged 20-85 years were enrolled in 23 hospitals and primary care centres in 12 Spanish provinces including 1,115 cases of a new diagnosis of prostate cancer, 1,750 of breast cancer, 2,171 of colorectal cancer, 492 of gastro-oesophageal cancer, 554 cases of chronic lymphocytic leukaemia (CLL) and 4,101 population-based controls matched by frequency to cases by age, sex and region of residence. Participation rates ranged from 57% (stomach cancer) to 87% (CLL cases) and from 30% to 77% in controls. Participants completed a face-to-face computerized interview on sociodemographic factors, environmental exposures, occupation, medication, lifestyle, and personal and family medical history. In addition, participants completed a self-administered food-frequency questionnaire and telephone interviews. Blood samples were collected from 76% of participants while saliva samples were collected in CLL cases and participants refusing blood extractions. Clinical information was recorded for cases and paraffin blocks and/or fresh tumor samples are available in most collaborating hospitals. Genotyping was done through an exome array enriched with genetic markers in specific pathways. Multiple analyses are planned to assess the association of environmental, personal and genetic risk factors for each tumor and to identify pleiotropic effects. DISCUSSION: This study, conducted within the Spanish Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), is a unique initiative to evaluate etiological factors for common cancers and will promote cancer research and prevention in Spain.

Streptococcus suis infection and malignancy in man, Spain

Streptococcus suis is an emerging zoonotic agent. Human infection is associated with occupational exposure to swine. Affected persons are usually, but not always, healthy (1,2). Immunosuppressive conditions can predispose persons to S. suis infection, and cancer has classically been associated as a risk factor for S. suis infection (1,2). Nevertheless, the actual number of reported cases is low (27). We describe a severe case of S. suis infection in a man who had not been exposed to swine but for whom disseminated cancer was diagnosed 5 months after the infection.

Streptococcus suis infection and malignancy in man, Spain

Streptococcus suis is an emerging zoonotic agent. Human infection is associated with occupational exposure to swine. Affected persons are usually, but not always, healthy (1,2). Immunosuppressive conditions can predispose persons to S. suis infection, and cancer has classically been associated as a risk factor for S. suis infection (1,2). Nevertheless, the actual number of reported cases is low (27). We describe a severe case of S. suis infection in a man who had not been exposed to swine but for whom disseminated cancer was diagnosed 5 months after the infection.

Implementing a Cancer Fast-track programme between primary and specialised care in Catalonia(Spain): amixed methods study

BACKGROUND: The Cancer Fast-track Programme's aim was to reduce the time that elapsed between well-founded suspicion of breast, colorectal and lung cancer and the start of initial treatment in Catalonia (Spain). We sought to analyse its implementation and overall effectiveness. METHODS: A quantitative analysis of the programme was performed using data generated by the hospitals on the basis of seven fast-track monitoring indicators for the period 2006-2009. In addition, we conducted a qualitative study, based on 83 semistructured interviews with primary and specialised health professionals and health administrators, to obtain their perception of the programme's implementation. RESULTS: About half of all new patients with breast, lung or colorectal cancer were diagnosed via the fast track, though the cancer detection rate declined across the period. Mean time from detection of suspected cancer in primary care to start of initial treatment was 32 days for breast, 30 for colorectal and 37 for lung cancer (2009). Professionals associated with the implementation of the programme showed that general practitioners faced with suspicion of cancer had changed their conduct with the aim of preventing lags. Furthermore, hospitals were found to have pursued three specific implementation strategies (top-down, consensus-based and participatory), which made for the cohesion and sustainability of the circuits. CONCLUSION: The programme has contributed to speeding up diagnostic assessment and treatment of patients with suspicion of cancer, and to clarifying the patient pathway between primary and specialised care.

Estimation of lung cancer diagnosis and treatment costs based on a patient-level analysis in Catalonia (Spain)

Background: Assessing of the costs of treating disease is necessary to demonstrate cost-effectiveness and to estimate the budget impact of new interventions and therapeutic innovations. However, there are few comprehensive studies on resource use and costs associated with lung cancer patients in clinical practice in Spain or internationally. The aim of this paper was to assess the hospital cost associated with lung cancer diagnosis and treatment by histology, type of cost and stage at diagnosis in the Spanish National Health Service. Methods: A retrospective, descriptive analysis on resource use and a direct medical cost analysis were performed. Resource utilisation data were collected by means of patient files from nine teaching hospitals. From a hospital budget impact perspective, the aggregate and mean costs per patient were calculated over the first three years following diagnosis or up to death. Both aggregate and mean costs per patient were analysed by histology, stage at diagnosis and cost type. Results: A total of 232 cases of lung cancer were analysed, of which 74.1% corresponded to non-small cell lung cancer (NSCLC) and 11.2% to small cell lung cancer (SCLC); 14.7% had no cytohistologic confirmation. The mean cost per patient in NSCLC ranged from 13,218 Euros in Stage III to 16,120 Euros in Stage II. The main cost components were chemotherapy (29.5%) and surgery (22.8%). Advanced disease stages were associated with a decrease in the relative weight of surgical and inpatient care costs but an increase in chemotherapy costs. In SCLC patients, the mean cost per patient was 15,418 Euros for limited disease and 12,482 Euros for extensive disease. The main cost components were chemotherapy (36.1%) and other inpatient costs (28.7%). In both groups, the Kruskall-Wallis test did not show statistically significant differences in mean cost per patient between stages. Conclusions: This study provides the costs of lung cancer treatment based on patient file reviews, with chemotherapy and surgery accounting for the major components of costs. This cost analysis is a baseline study that will provide a useful source of information for future studies on cost-effectiveness and on the budget impact of different therapeutic innovations in Spain.

Consens i revolució: Poble i nació a la Barcelona de la Revolució Liberal, 1835-1843

Anàlisi dels deferents discursos de moderats, progressistes i republicans i els usos dels mots “poble” i “nació” durant els anys 1837-1843. L’autor considera que aquesta perspectiva és important per entendre el període, tot i que els recents debats sobre els orígens del nacionalisme a Espanya ho han deixat en un lloc secundari

Movimientos nacionalistas en el fútbol: de las paredes a las canchas. estudio de caso: F.C Barcelona y Plataforma Som una Nació 1982 – 1996

El Catalanismo es un fenómeno sociopolítico que ha sido analizado por académicos de todos los niveles, documentado de manera mediática y debatido en múltiples espacios multidimensionales; pero las relaciones entre el nacionalismo catalán con espacios alternativos como el Fútbol, su posterior transformación del escenario deportivo, aterrizándolo en un escenario con dimensiones y unidades típicas de una arena sociopolítica convencional, es un tema que carece de profusión académica. Es en esta penumbra cognoscitiva, donde este trabajo recurre a las definiciones multidisciplinares alrededor de espacios de Baja Cultura como el Fútbol, conjugándolas con las teorías de creación de movimientos sociopolíticos excluidos como el separatismo catalán, existentes en las perspectivas teóricas de Ernesto Laclau, Jacob Torfing y Armando Durán. Dicho ejercicio permitirá el entendimiento de cómo la lucha identitaria, la acción política no violenta y la reivindicación nacionalista en Cataluña colonizó un escenario incluyente, hasta los días que se viven hoy.

El enfoque intercultural en Barcelona : el Espai Avinyó – Llengua i Cultura, un ejemplo de interculturalidad en acción

Artículo en el que se describe el Plan Barcelona Interculturalidad, que tiene como principios la igualdad, el reconocimiento de la diversidad y la interacción positiva, y como objetivo gestionar la gran diversidad cultural existente en la ciudad. Así mismo se describe una de sus prácticas, la Espai Avinyó – Llengua i Cultura, que intenta crear un espacio de intercambio y de reflexión intercultural en torno a la diversidad de las nuevas formas de expresión cultural en la ciudad

Comparison of self-reported attachment in young adults from Spain and the United States

Resumen tomado de la publicación

El perfil del emprendedor social del estudiantado de los Grados de Educaci??n Social, Pedagog??a y Trabajo Social en la Universidad de Barcelona

Resumen basado en el de la publicaci??n

??mbitos de docencia, investigaci??n y promoci??n del ??rea de Formaci??n en Educaci??n Art??stica de la Facultad de Bellas Artes de Barcelona

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Inserci?? laboral i empleabilitat en el marc de l'Espai Europeu d'Educaci?? Superior : el ca s de la facultat de pedagogia de la Universitat de Barcelona

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L'estat dels recursos residencials per a la inf??ncia i l'adolesc??ncia a Barcelona : l'opini?? dels professionals i les professionals

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