Area deprivation and mortality in the provincial capital cities of Andalusia and Catalonia (Spain)

Objective: To study the linkage between material deprivation and mortality from all causes, for men and women separately, in the capital cities of the provinces in Andalusia and Catalonia (Spain). Methods: A small-area ecological study was devised using the census section as the unit for analysis. 188 983 Deaths occurring in the capital cities of the Andalusian provinces and 109 478 deaths recorded in the Catalan capital cities were examined. Principal components factorial analysis was used to devise a material deprivation index comprising the percentage of manual labourers, unemployment and illiteracy. A hierarchical Bayesian model was used to study the relationship between mortality and area deprivation. Main results: In most cities, results show an increased male mortality risk in the most deprived areas in relation to the least depressed. In Andalusia, the relative risks between the highest and lowest deprivation decile ranged from 1.24 (Malaga) to 1.40 (Granada), with 95% credibility intervals showing a significant excess risk. In Catalonia, relative risks ranged between 1.08 (Girona) and 1.50 (Tarragona). No evidence was found for an excess of female mortality in most deprived areas in either of the autonomous communities. Conclusions: Within cities, gender-related differences were revealed when deprivation was correlated geographically with mortality rates. These differences were found from an ecological perspective. Further research is needed in order to validate these results from an individual approach. The idea to be analysed is to identify those factors that explain these differences at an individual level.

Oportunidades de mejora del servicio de metadona en atención primaria, desde el punto de vista profesional

Objective: To identify and prioritize improvement opportunities, according to the European Foundation for Quality Management model (EFQM) model, of the methadone dispensing service in Andalusian Primary Health Care, from the point of view of professionals. Method: Delphi consensus method, implemented from September 2007 to March 2008 by means of three rounds of interviews with questionnaires administered by electronic mail to 39 professionals. The Panel of experts was made up of Dispensers and Prescribers of methadone as well as Coordinators of welfare services from the Methadone Treatment Program (MTP). Selection criteria were: Being in active employment with a minimum of 3 years experience. Sample diversification variables: Professional role, geographical environment and type of habitat. Recruitment: By means of key professional bodies from different institutions. Results: 48 improvement opportunities were identified. Thirteen of these obtained a high level of agreement in the final round. According to the EFQM model, the dimensions that obtained the most consensus in relation to improving the care service were: Leadership, Alliances and Resources. The dimension that caused the greatest disagreement was Processes. Conclusions: In spite of its having been implemented since 1997 in Andalusian Primary Health Care, the methadone dispensing service is at an implementation phase, rather than what could be classed as a fully deployed stage

The Network Company in Catalonia : ICT, Productivity, Competitiveness, Salaries and Performance in Catalonia's Companies. Research report (synthesis document)

Resum en anglès del projecte de recerca L'empresa xarxa a Catalunya. TIC, productivitat, competitivitat, salaris i beneficis a l'empresa catalana té com a objectiu principal constatar que la consolidació d'un nou model estratègic, organitzatiu i d'activitat empresarial, vinculat amb la inversió i l'ús de les TIC (o empresa xarxa), modifica substancialment els patrons de comportament dels resultats empresarials, en especial la productivitat, la competitivitat, les retribucions dels treballadors i el benefici. La contrastació empírica de les hipòtesis de treball l'hem feta per mitjà de les dades d'una enquesta a una mostra representativa de 2.038 empreses catalanes. Amb la perspectiva de l'impacte de la inversió i l'ús de les TIC no s'aprecia una relació directa entre els processos d'innovació digital i els resultats de l'activitat de l'empresa catalana. En aquest sentit, hem hagut de segmentar el teixit productiu català per a buscar les organitzacions en què el procés de coinnovació tecnològica digital i organitzativa és més present i en què la intensitat de l'ús del coneixement és un recurs molt freqüent per a poder copsar impactes rellevants en els principals resultats empresarials. Això és així perquè l'economia catalana, avui, presenta una estructura productiva dual.

Validación de la versión española del cuestionario sobre la práctica basada en la evidencia en enfermería

Background: The lack of adequate instruments prevents the possibility of assessing the competence of health care staff in evidence-based decision making and further, the identification of areas for improvement with tailored strategies. The aim of this study is to report about the validation process in the Spanish context of the Evidence-Based Practice Questionnaire (EBPQ) from Upton y Upton. Methods: A multicentre, cross-sectional, descriptive psychometric validation study was carried out. For cultural adaptation, a bidirectional translation was developed, accordingly to usual standards. The measuring model from the questionnaire was undergone to contrast, reproducing the original structure by Exploratory Factorial Analysis (EFA) and Confirmatory Factorial Analysis (CFA), including the reliability of factors. Results: Both EFA (57.545% of total variance explained) and CFA (chi2=2359,9555; gl=252; p<0.0001; RMSEA=0,1844; SRMR=0,1081), detected problems with items 7, 16, 22, 23 and 24, regarding to the original trifactorial version of EBPQ. After deleting some questions, a reduced version containing 19 items obtained an adequate factorial structure (62.29% of total variance explained), but the CFA did not fit well. Nevertheless, it was significantly better than the original version (chi2=673.1261; gl=149; p<0.0001; RMSEA=0.1196; SRMR=0.0648). Conclusions: The trifactorial model obtained good empiric evidence and could be used in our context, but the results invite to advance with further refinements into the factor “attitude”, testing it in more contexts and with more diverse professional profiles.

Disseny i implementació de la base de dades d'un sistema de control energètic

Disseny d'un model de base de dades relacional, juntament amb els procediments i disparadors necessaris per controlar un sistema energètic.

La Llengua de l'heroi: notes sobre la llengua del segle XX a partir de les traduccions catalanes de David Copperfield de Charles Dickens

Estudi comparatiu de les dues traduccions catalanes publicades de David Copperfield de Charles Dickens. La primera de Josep Carner feta l’any 1930 però publicada el 1964 i la segona obra deJoan Sellent del 2003. L’anàlisi mostra que ambdues traduccions, excel·lents, reflecteixen una evolució singular i força accelerada del model de llengua que els traductors fan arribar al seu públic, que és reflex de la complexa història de la llengua catalana del segle xx, que encara s’had’escriure.

L'Ordenació urbanística en paísos del sud: el cas del pla de desenvolupament integral de Quilalí (Nicaragua)

Article que té com objectiu l'elaboració d'un Pla de Desenvolupament Integral per el municipi de Quilalí, situat al nord de Nicaragua, fent frontera amb Hondures. Primers'exposen les fases per a l'elaboració del Pla i en segon terme es destaquen, a partir de la propia experiència dels autors, les fases del Pla que els autors creuen méssignificatives, i s'exposen alguns dels resultats obtinguts

El proceso en España de la adopción de una legislación eficaz para la prevención del tabaquismo

The prevention movement has been the key agent involved in smoking control policies. This study describes the context and the process in which Law 28/2005 was passed in Spain with a synthesis of its substance. It provides the background of the events leading up to Spain's current smoking control law in addition to an analysis of the role played by the different social actors in the process and the arguments and strategies employed in opposition by the tobacco industry. A review is also provided of the political agents, highlighting that decentralized countries have further problems in enforcing regulations. This case offers lessons for the future.

Relacions i intercanvis artístics entre Girona i el Rosselló a la segona meitat del segle XV

Sobre les relacions i intercanvis artístics entre Girona i el Rosselló a la segona meitat del segle XV

“De genere militari ex utroque parente”: la nobleza eclesiástica y los inicios de la catedral gótica de Gerona

A lo largo de este estudio se pone de relieve el papel fundamental que desempeñaron los miembros del cabildo en el proyecto y construcción de la cabecera de la catedral gerundense. Para este grupo de personajes, básicamente procedentes de la baja nobleza altoampurdanesa, la nueva empresa edilicia supuso la posibilidad de satisfacer el deseo de promover beneficios eclesiásticos así como el objetivo de disponer de nuevos espacios —las capillas de la girola— concebidos como expresión de la gloria y la memoria individual y del linaje

Assaig de definició de l’àrea urbana de Girona

This article is an essay aiming at the definition of the urban district of Girona, having as a base the analysis of the intensities and directional tendencies of labour mobility fluxes in it. Several cathegories will be signaled inside this area which wil enable us to differenciate a number of crowns of municipalities according to their respective links with Girona town. A reflection set forth by Francesco Indovina on the concept of diffused town will be the first step in the attempt to typify this area. Thus, the existence of a diffused city core of which would be Girona town will be argued, an issue this one which is to be analysed in future studies

Paisaje y Turismo

Paisaje y turismo son dos realidades íntimamente relacionadas. El presente artículo pretende reflexionar sobre este hecho. El texto se estructura en cuatro apartados que hacen referencia al concepto de paisaje, al turismo concebido como una experiencia geográfica (en la que el paisaje es un elemento esencial), a la trilogía paisaje-región-cultura y al peligro de 'desestructuración territorial' provocado por una gestión inadecuada del territorio, con las negativas consecuencias que ello comporta para el mantenimiento de una equilibrada relación entre turismo y paisaje

Eficacia, Coste-efectividad y efectos sobre la calidad de vida de la suplementación nutricional.

This article summarizes the main results and conclusions presented in the Symposium "Nutritional supplementation: evidences and experiences" that took place in the XXIIIrd SENPE Congress (2008). Protein energy malnutrition, that can affect 30-50% of hospitalized patients, increases both time of hospitalization and costs of medical care of this kind of patients. There is a lot of scientific evidences demonstrating that the use of nutritional supplementation improves nutritional status or prevents malnutrition in those patients who do not meet their nutritional needs with a conventional diet or an adapted one with no replacing intake from normal food. This is strengthened by the results that demonstrate the rol of nutritional supplements improving nutritional and functional parameters. Current bibliographic reviews focused on certain clinical frameworks (i.g. geriatrics, oncology), prove that nutritional supplements reduce complications related to pathology and to nutritional status, and also reduce length of hospitalization and mortality. More studies regarding to efficacy of oral nutritional supplements are needed. These studies should be carried out with a period of follow-up longer than the current published studies have. As well as effective, nutritional supplements become a save therapeutic intervention with no important adverse events that, according to bibliography, improve patient's functionality and quality of life. It is worth mentioning that nutritional supplements can be effective on certain kind of patients, for instance, malnourished elderly or elderly in risk of malnourishment, and hospitalized surgical patients. Scientific literature refers that it is necessary to carry out more studies, with an accurate methodology, which assess the effect of nutritional supplements on quality of life and its cost-effectiveness on malnourished patients regarding specific clinical situations. That would allow physicians to make clinical decisions based on evidences and cost analysis.

Turismo, percepción del paisaje y planificación del territorio

The perception of the landscape is a broad, multidisciplinary. complex field of study, but one which is vital for systematic landscape planning. This is especially true with regard to tourism, which is particularly sensitive to landscape considerations. Both the article's analysis from the point of view of human geography, and the process by which the individual and the collective group perceive and engage in an aesthetic evaluation of the landscape, are of fundamental importance to any interaction with the landscape

Pere Torroella i les corts dels infants d'Aragó al segle XV

En aquest article es parla breument de Pere Torroella i de les corts dels infants d’Aragó (Carles de Viana, Joan d’Aragó i Joana d’Aragó), és a dir, de les corts de Joan II i el Magnànim. Per fer-ho es basa en cinc documents inèdits, tots ells referits a diferents moments de la vida de Pere Torroella