Epidemiology of foodborne Norovirus outbreaks in Catalonia, Spain

Background: Noroviruses are one of the principal biological agents associated with the consumption of contaminated food. The objective of this study was to analyse the size and epidemiological characteristics of foodborne outbreaks of gastroenteritis in Catalonia, a region in the northeast of Spain. Methods: In all reported outbreaks of gastroenteritis associated with food consumption, faecal samples of persons affected were analysed for bacteria and viruses and selectively for parasites. Study variables included the setting, the number of people exposed, age, sex, clinical signs and hospital admissions. The study was carried out from October 2004 to October 2005. Results: Of the 181 outbreaks reported during the study period, 72 were caused by Salmonella and 30 by norovirus (NoV); the incidence rates were 14.5 and 9.9 per 100,000 person-years, respectively. In 50% of the NoV outbreaks and 27% of the bacterial outbreaks (p = 0.03) the number of persons affected was ≥10; 66.7% of NoV outbreaks occurred in restaurants; no differences in the attack rates were observed according to the etiology. Hospitalizations were more common (p = 0.03) in bacterial outbreaks (8.6%) than in NoV outbreaks (0.15%). Secondary cases accounted for 4% of cases in NoV outbreaks compared with 0.3% of cases in bacterial outbreaks (p < 0.001) Conclusion: Norovirus outbreaks were larger but less frequent than bacterial outbreaks, suggesting that underreporting is greater for NoV outbreaks. Food handlers should receive training on the transmission of infections in diverse situations. Very strict control measures on handwashing and environmental disinfection should be adopted in closed or partially-closed institutions.

Cost-effectiveness of early detection of breast cancer in Catalonia (Spain)

Background: Breast cancer (BC) causes more deaths than any other cancer among women in Catalonia. Early detection has contributed to the observed decline in BC mortality. However, there is debate on the optimal screening strategy. We performed an economic evaluation of 20 screening strategies taking into account the cost over time of screening and subsequent medical costs, including diagnostic confirmation, initial treatment, follow-up and advanced care. Methods: We used a probabilistic model to estimate the effect and costs over time of each scenario. The effect was measured as years of life (YL), quality-adjusted life years (QALY), and lives extended (LE). Costs of screening and treatment were obtained from the Early Detection Program and hospital databases of the IMAS-Hospital del Mar in Barcelona. The incremental cost-effectiveness ratio (ICER) was used to compare the relative costs and outcomes of different scenarios. Results: Strategies that start at ages 40 or 45 and end at 69 predominate when the effect is measured as YL or QALYs. Biennial strategies 50-69, 45-69 or annual 45-69, 40-69 and 40-74 were selected as cost-effective for both effect measures (YL or QALYs). The ICER increases considerably when moving from biennial to annual scenarios. Moving from no screening to biennial 50-69 years represented an ICER of 4,469€ per QALY. Conclusions: A reduced number of screening strategies have been selected for consideration by researchers, decision makers and policy planners. Mathematical models are useful to assess the impact and costs of BC screening in a specific geographical area.

Desenvolupament d'una metodologia per a la millora de les recomanacions en la fertilització nitrogenada dels cereals d'hivern. (II) Cereals d'hivern a les comarques de Barcelona i Girona

Es van realitzar un seguit d’assaigs de fertilització nitrogenada a les comarques de Girona i Barcelona, generalment més humides que les àrees on es van realitzar els assaigs per Sió et al., en aquest mateix volum. Els mètodes assajats van ser els del nitrogen mineral al sòl i el del contingut de nitrats a la base de les tiges (CNSBT). Per al conjunt de sòls i situacions contenido de nitratos en la base de los assajades el mètode del nitrogen mineral s'ha mostrat com una eina molt adequada per planificar l’adobat de cobertora. El mètode del CNSBT també es revela com una eina útil, especialment per a les situacions en què el cultiu té suficient nitrogen disponible al sòl; en altres tot i la seva relació amb el N mínim hi ha casos en què dóna resultats contradictoris que requereixen més recerca .

Metcalfa pruinosa (Say) (Homoptera: Flatidae), ¿una plaga potencial de plantas ornamentales en espacios verdes urbanos de Cataluña?

Se ha determinado la presencia y abundancia de Metcalfa pruinosa (Say) en espacios verdes urbanos de Cataluña. M. pruinosa es una especie ampliamente establecida en Cataluña, especialmente en la zona costera. Se ha registrado el insecto sobre más de 100 plantas distintas. La abundancia del insecto ha sido grande en parques y jardines de localidades como Figueres, Girona, Barcelona, Vilanova i la Geltrú, Tarragona o Salou, ocasionando daños estéticos de consideración. Por tanto, M. pruinosa puede considerarse ya una plaga real de los espacios verdes urbanos de Cataluña, aunque su abundancia y capacidad de daño pueden aumentar en el futuro.

Contribution of early detection and adjuvant treatments to breast cancer mortality reduction in Catalonia, Spain

Background: Reductions in breast cancer (BC) mortality in Western countries have been attributed to the use of screening mammography and adjuvant treatments. The goal of this work was to analyze the contributions of both interventions to the decrease in BC mortality between 1975 and 2008 in Catalonia. Methodology/Principal Findings: A stochastic model was used to quantify the contribution of each intervention. Age standardized BC mortality rates for calendar years 1975-2008 were estimated in four hypothetical scenarios: 1) Only screening, 2) Only adjuvant treatment, 3) Both interventions, and 4) No intervention. For the 30-69 age group, observed Catalan BC mortality rates per 100,000 women-year rose from 29.4 in 1975 to 38.3 in 1993, and afterwards continuously decreased to 23.2 in 2008. If neither of the two interventions had been used, in 2008 the estimated BC mortality would have been 43.5, which, compared to the observed BC mortality rate, indicates a 46.7% reduction. In 2008 the reduction attributable to screening was 20.4%, to adjuvant treatments was 15.8% and to both interventions 34.1%. Conclusions/Significance: Screening and adjuvant treatments similarly contributed to reducing BC mortality in Catalonia. Mathematical models have been useful to assess the impact of interventions addressed to reduce BC mortality that occurred over nearly the same periods.

Projecte d'instal•lació d'un sistema de calefacció amb biomassa per a nau d'engreix de pollastres a Verges

Implementació d’un nou sistema de calefacció per a una granja d’engreix de pollastres. Es planteja el canvi de l’actual sistema de generació i distribució de calor (amb pantalles de gas propà), el qual és antic i ineficient pels seus anys de funcionament, per un sistema innovador mitjançant uns termoconvectors amb bescanvi aigua-aire. A més, la font de generació de calor serà amb una caldera de biomassa, aprofitant un combustible local i renovable: estella forestal. El canvi i la proposta d’instal•lació tenen dues finalitats ben diferenciades: millora en el maneig, la producció i el benestar animal dins de la nau dels pollastres d’engreix i estalvi econòmic potencial, fixat sobre el 70%, per millorar la rendibilitat de l’explotació i, a més, fomentant el consum d’un combustible renovable i de la zona, neutre en emissions de CO2. L’explotació ramadera es troba a Verges (Baix Empordà). L’empresa basa la seva activitat en l’engreix de pollastres i la producció extensiva de cereals

Anàlisi de l'activitat enoturística dels cellers de la D.O. Empordà

Anàlisi sobre l’activitat enoturística dels cellers adscrits a la Denominació d’Origen Empordà. Es pretén saber quina és la realitat dels cellers de l’Empordà que pertanyen a aquesta denominació d’origen, en quant al seu nivell i model de desenvolupament en matèria turística

Cicloturismo : caso de estudio : perfil y motivación del cliente alemán en tours de ciclismo de carretera

El objetivo principal del proyecto es establecer los elementos motivadores que llevan a un ciclista de carretera amateur a elegir un destino. El objetivo secundario, subordinado al primero, es tratar de determinar si "Costa Brava-Pirineo de Girona" ejerce una cierta atracción sobre el público alemán

Nuevos datos sobre los yacimientos wurmienses del litoral catalán

We present a new bed of cold Malacological fauna of the Wrm in the Catalan littoral, one af its species is dated for the first time iii the hlediterranean (Sipho curtus). We point out the predorninance of Gasteropoda as regards Bivalves in comparison with the other cold beds known.

Comunitat d' algues bentòniques al litoral català

Article que descriu les algues bentòniques del litoral català

Informatització de l'herbari de la Universitat de Girona (UdG)

L'herbari de la UdG consta de més de 12.000 plecs de plantes vasculars i 3.200 d'algues bentòniques marines, actualment en procés d' informatització mitjançant FilcMaker Pro 2.0 per Macintosh. S'ha elaborat un programa anomenat HGI que permet utilitzar el fitxer tesaurus TEFLORA del programa BDORCA (Font, 1992), corresponent al catàleg de plantes vasculars dels Països Catalans. Al fitxer, s'hi han afegit nous camps corn la família, la forma vital i la corologia. L'estructuració d'aquest programa permet, a més de les funcions pròpies de gestió d'un herbari, el traspàs de la inforrnació introduïda a la base de dades BDORCA

Centrality and investment strategies at the beginning of industrialisation in mid-nineteenth-century Catalonia

We apply social networks analysis to the study of an important database on investment and companies" share in the Catalonia (Spain) of the nineteenth century. In contrast with most of the existing related literature, usually addressing power relationships across administration boards, we focus on the structure of interactions among individual investors and firms. Centrality analysis uncovers interesting roles played by certain economic sectors (e.g. textile and financial). Furthermore, the diverse composition (in terms of economic activity) of communities in the network (subgroups more densely connected internally than with the rest of the network) reveals a high investment diversification, which nicely agrees with a known characteristic of traditional Catalan business strategies.

Tobacco control policies in hospitals before and after the implementation of a national smoking ban in Catalonia, Spain

Background: Diverse projects and guidelines to assist hospitals towards the attainment of comprehensive smoke-free policies have been developed. In 2006, Spain government passed a new smoking ban that reinforce tobacco control policies and banned completely smoking in hospitals. This study assesses the progression of tobacco control policies in the Catalan Network of Smokefree Hospitals before and after a comprehensive national smoking ban. Methods: We used the Self-Audit Questionnaire of the European Network for Smoke-free Hospitals to score the compliance of 9 policy standards (global score = 102). We used two crosssectional surveys to evaluate tobacco control policies before (2005) and after the implementation of a national smoking ban (2007) in 32 hospitals of Catalonia, Spain. We compared the means of the overall score in 2005 and 2007 according to the type of hospital, the number of beds, the prevalence of tobacco consumption, and the number of years as a smoke-free hospital. Results: The mean of the implementation score of tobacco control policies was 52.4 (95% CI:45.4-59.5) in 2005 and 71.6 (95% CI: 67.0-76.2) in 2007 with an increase of 36.7% (p < 0.01). The hospitals with greater improvement were general hospitals (48% increase; p < 0.01), hospitals with > 300 beds (41.1% increase; p < 0.01), hospitals with employees' tobacco consumption prevalence 35-39% (72.2% increase; p < 0.05) and hospitals that had recently implemented smoke-free policies (74.2% increase; p < 0.01). Conclusion: The national smoking ban appears to increase tobacco control activities in hospitals combined with other non-bylaw initiatives such as the Smoke-free Hospital Network.

Tobacco control policies in hospitals before and after the implementation of a national smoking ban in Catalonia, Spain

Background: Diverse projects and guidelines to assist hospitals towards the attainment of comprehensive smoke-free policies have been developed. In 2006, Spain government passed a new smoking ban that reinforce tobacco control policies and banned completely smoking in hospitals. This study assesses the progression of tobacco control policies in the Catalan Network of Smokefree Hospitals before and after a comprehensive national smoking ban. Methods: We used the Self-Audit Questionnaire of the European Network for Smoke-free Hospitals to score the compliance of 9 policy standards (global score = 102). We used two crosssectional surveys to evaluate tobacco control policies before (2005) and after the implementation of a national smoking ban (2007) in 32 hospitals of Catalonia, Spain. We compared the means of the overall score in 2005 and 2007 according to the type of hospital, the number of beds, the prevalence of tobacco consumption, and the number of years as a smoke-free hospital. Results: The mean of the implementation score of tobacco control policies was 52.4 (95% CI:45.4-59.5) in 2005 and 71.6 (95% CI: 67.0-76.2) in 2007 with an increase of 36.7% (p < 0.01). The hospitals with greater improvement were general hospitals (48% increase; p < 0.01), hospitals with > 300 beds (41.1% increase; p < 0.01), hospitals with employees' tobacco consumption prevalence 35-39% (72.2% increase; p < 0.05) and hospitals that had recently implemented smoke-free policies (74.2% increase; p < 0.01). Conclusion: The national smoking ban appears to increase tobacco control activities in hospitals combined with other non-bylaw initiatives such as the Smoke-free Hospital Network.