La gestió de les destinacions i les noves mobilitats turístiques

Amb l’objectiu d’analitzar i comprendre d’una manera més adequada els mecanismes pels quals els potencials turistes que venen d’Anglaterra prenen la decisió de viatjar fins la Costa Daurada, en el context de la introducció de les línies aèries de baix cost a Espanya i la creació de noves rutes, s’ha dut a terme una enquesta a l’aeroport de Reus a un total de 445 turistes que estaven a punt de tornar de les seves vacances cap a Anglaterra tenint l'aeroport d'East Midlands (EMA) com a destinació i viatjant amb la companyia aèria de baix cost RyanAir. Amb el mètode utilitzat en aquest projecte s'ha mesurat, per mitjà de l'enquesta esmentada, el pes de la causalitat entre la presència de vols barats des de EMA fins a Reus amb la decisió dels turistes de passar les seves vacances en una regió turística de primer ordre a Catalunya com és la Costa Daurada. Segons els resultats de les dues preguntes causals que formen part de l’enquesta (pregunta 18 i pregunta 19), gairebé un 30% de l'impacte econòmic turístic total és degut a la disponibilitat de vols barats mitjançant RyanAir. Tanmateix, al voltant d’un 60% de l'impacte estaria relacionat amb el fet que els turistes visitarien la Costa Daurada independentment de la disponibilitat de vols de RyanAir. Això indicaria que tot i que els vols de Ryanair són innegablement atractius pels turistes, hi ha un desig important de visitar la Costa Daurada que podria ser satisfet per altres mitjans.

Els Enclavaments laborals a les comarques gironines

El treball pretén, per una banda, conèixer a grans trets el marc normatiu sobre la inserció laboral de les persones amb discapacitat i endinsar-se en què són i com s’articulen els enclavaments laborals.D’altra banda, pretén conèixer la situació actual i real dels centres especials de treball a les comarques de Girona

Les Vies verdes del Vallès

En un moment en que Catalunya i, sobretot, la regió metropolitana de Barcelona, experimenta un procés d'ocupació del territori sense precedents, es especialment important avançar en l'estudi dels possibles connectors existents, el seu reconeixement i la seva delimitació en el planejament territorial, El 13 de juliol de 2004 es va signar i fer públic el Manifest de Sant Celoni pel reconeixement de les vies verdes del Vallès. En aquest manifest es demana, entre altres mesures, el reconeixement i la delimitació en el planejament territorial de 7 grans vies verdes: Obac-Olorda, Sant Llorenç-Collserola, Farell-Marina, Gallifa-Gallecs, Tagamanent-Cellecs, Calma-Corredor, Montseny-Montnegre. Totes aquestes vies exerceixen funcions de connexió ecològica i paisatgística entre les serralades Litoral i Prelitoral i, juntament amb altres espais menys urbanitzats que hi ha al peu de la serralada Prelitoral, integren el sistema d'espais oberts del Vallès. Aquesta ponència presenta, en primer lloc, el marc conceptual on s'inscriu el concepte via verda. En segon lloc, explica els principals antecedents en relació amb les vies verdes del Vallès que apareixen en el Manifest de Sant Celoni, i, finalment l’encaix de les vies verdes del Vallès en el planejament territorial de la regió metropolitana de Barcelona, així com les principals línies estratègiques que es podrien seguir per convertir-les en una realitat

Projecte d'interiorisme del Mas Carrera de Mieres

L'objecte del present document és la redacció del projecte per a la rehabilitació i el disseny d’interiors del conjunt edificat del Mas Carrera de Mieres per tal d'establir les condicions tècniques i administratives necessàries per a dur a terme la rehabilitació d’aquesta edificació tradicional, per tal d’adaptar-la a l’ús d’habitatge d’acord amb els requeriments d’habitabilitat vigents. La intervenció proposa recuperar la identitat del cos principal de can Carrera respectant la seva volumetria per tal de destinar-lo a l’habitatge principal, assignar als coberts i palleres annexos a usos complementaris tals com un estudi i una habitatge per a convidats, i garatge. El criteri d’intervenció bàsic és el respecte de les característiques i peculiaritats de les edificacions existents amb la identificació dels elements significatius i la seva adequació al nou programa d’habitatge a introduir d’acord amb els requeriments que aquest exigeix segons criteris de sostenibilitati adaptació al medi on s’emplaça

Anàlisi cronològic de la pesca artesanal al port de Palamós per a una proposta de reserva

Segons els coneixements i l’ experiència dels pescadors d’ arts menors de la Confraria de Palamós, s’ ha observat una dràstica davallada d’ algunes de les espècies d’ interès pesquer més representatives. La proposta d’ aquest sector es basa en declarar tota una zona d’ interès pesquer artesanal a l’ entorn de les Illes Formigues com a Reserva Marina d’ Interès Pesquer. Aquest projecte pretén esbrinar l’ evolució de la pesca artesanal al port de Palamós en el últims sis anys mitjançant l’ anàlisi cronològica a través del buidatge dels fulls de subhasta proporcionats per la Confraria de Palamós. En base els resultats obtinguts s’ ha fet una valoració de la situació actual que servirà com a punt de partida per al seguiment amb posterioritat. Finalment s’ han elaborat unes primeres propostes de gestió de cares a la possible futura creació de la reserva

Els baixonets a Catalunya : una aproximació organològica, funcional i del repertori : el fons musical de Canet de Mar

Aquest treball fa un estudi dels baixonets a Catalunya des de les perspectives organològica, funcional i del repertori. A partir de les informacions aportades pels instruments originals, pels tractats i per estudis especialitats, es defineixen una tipologia instrumental pròpiament hispànica, i unes funcions principalment relacionades amb la música vocal religiosa de mitjans del segle XVI a mitjans del segle XVIII. Posteriorment, es realitza un estudi de la música amb baixonet a la localitat de Canet de Mar. A partir del treball de camp al seu arxiu parroquial, es compilen vuit obres específiques per a baixonet, se'n transcriuen alguns manuscrits, i se'n defineixen els principals aspectes formals i funcionals. El cas de Canet de Mar es pot considerar com un exemple més o menys representatiu de la pràctica instrumental i del repertori específic del baixonet a Catalunya a finals del segle XVII i començaments del segle XVIII.

Do you work or do you study? Children's work in a comparative historical perspective

In this paper we compare two historical scenarios very different one to each other bothin institutional and geographical terms. What they have in common is the situation ofrelative poverty of most of the population. On the one side we are dealing withhistorical industrializing Catalonia in the North East of Spain, a country exhibiting pooreconomic yields in the context of European and non European industrializing nations inthe 19th century. We compare children s work patterns in 19th century Catalonia withthose of current developing countries in Latin America, Africa and South and East Asia.This kind of exercise in which the nexus of the comparison are the levels of wealth ofcountries that are unsuccessful to achieve high standards of economic growth allows usto combine the micro historical analysis (in the Catalan case) with the macrocomparative approach in current developing countries. By means of both, the microhistorical analysis and the macro regression analysis we obtain the result that adultwomen s skills and real wages are a key factor when we want to explain the patterns ofchildren work. While female real wages increased a sharp rate in 19th century Cataloniawe obtain very different results in the case of developing countries. This differentgender bias helps to explain why in some cases children continue to work and also whysome parts of the world continue to be poor according to our regression analysis.

RV contractility and exercise-induced pulmonary hypertension in chronic mountain sickness: a stress echocardiographic and tissue Doppler imaging study.

OBJECTIVES: The aim of this study was to evaluate right ventricular (RV) and left ventricular function and pulmonary circulation in chronic mountain sickness (CMS) patients with rest and stress echocardiography compared with healthy high-altitude (HA) dwellers. BACKGROUND: CMS or Monge's disease is defined by excessive erythrocytosis (hemoglobin >21 g/dl in males, 19 g/dl in females) and severe hypoxemia. In some cases, a moderate or severe increase in pulmonary pressure is present, suggesting a similar pathogenesis of pulmonary hypertension. METHODS: In La Paz (Bolivia, 3,600 m sea level), 46 CMS patients and 40 HA dwellers of similar age were evaluated at rest and during semisupine bicycle exercise. Pulmonary artery pressure (PAP), pulmonary vascular resistance, and cardiac function were estimated by Doppler echocardiography. RESULTS: Compared with HA dwellers, CMS patients showed RV dilation at rest (RV mid diameter: 36 ± 5 mm vs. 32 ± 4 mm, CMS vs. HA, p = 0.001) and reduced RV fractional area change both at rest (35 ± 9% vs. 43 ± 9%, p = 0.002) and during exercise (36 ± 9% vs. 43 ± 8%, CMS vs. HA, p = 0.005). The RV systolic longitudinal function (RV-S') decreased in CMS patients, whereas it increased in the control patients (p < 0.0001) at peak stress. The RV end-systolic pressure-area relationship, a load independent surrogate of RV contractility, was similar in CMS patients and HA dwellers with a significant increase in systolic PAP and pulmonary vascular resistance in CMS patients (systolic PAP: 50 ± 12 mm Hg vs. 38 ± 8 mm Hg, CMS vs. HA, p < 0.0001; pulmonary vascular resistance: 2.9 ± 1 mm Hg/min/l vs. 2.2 ± 1 mm Hg/min/l, p = 0.03). Both groups showed comparable systolic and diastolic left ventricular function both at rest and during stress. CONCLUSIONS: Comparable RV contractile reserve in CMS and HA suggests that the lower resting values of RV function in CMS may represent a physiological adaptation to chronic hypoxic conditions rather than impaired RV function. (Chronic Mountain Sickness, Systemic Vascular Function [CMS]; NCT01182792).

The economic effects of a Spanish trade boycott against Catalan products

We study the potential consequences of a hypothetical trade boycott against Catalan products organized by some sectors of the Spanish society mainly for political reasons. A symmetric trade boycott would have two effects: a reduction of Catalan exports to Spain and a partial process of import substitution in Catalonia. In order to quantify the economic impact of the boycott, we compare the "actual" Catalan economy, as described in the input-output table for 2005, with a "simulated" Catalan economy that takes into account the effects of a boycott on the trade exchanges between Catalonia and Spain.

Evaluation cardiologique préopératoire avant chirurgie non cardiaque: du choix cornélien a l'arbre décisionnel [Pre-operative cardiac assessment in non-cardiac surgery: a frequent dilemma simplified by a decision tree].

In patients undergoing non-cardiac surgery, cardiac events are the most common cause of perioperative morbidity and mortality. It is often difficult to choose adequate cardiologic examinations before surgery. This paper, inspired by the guidelines of the European and American societies of cardiology (ESC, AHA, ACC), discusses the place of standard ECG, echocardiography, treadmill or bicycle ergometer and pharmacological stress testing in preoperative evaluations. The role of coronary angiography and prophylactic revascularization will also be discussed. Finally, we provide a decision tree which will be helpful to both general practitioners and specialists.

Predictability of drug expenditures: An application using morbidity data

The growth of pharmaceutical expenditure and its prediction is a major concern for policy makers and health care managers. This paper explores different predictive models to estimate future drug expenses, using demographic and morbidity individual information from an integrated healthcare delivery organization in Catalonia for years 2002 and 2003. The morbidity information consists of codified health encounters grouped through the Clinical Risk Groups (CRGs). We estimate pharmaceutical costs using several model specifications, and CRGs as risk adjusters, providing an alternative way of obtaining high predictive power comparable to other estimations of drug expenditures in the literature. These results have clear implications for the use of risk adjustment and CRGs in setting the premiums for pharmaceutical benefits.

Pancreatic Trauma in Children

Objectives and Study: To document the demographics, mechanisms and outcome of traumatic pancreatitis in children at a single large tertiary referral centre in Australia. Methods: We undertook a 10-year retrospective audit of children admitted to the Royal Children's Hospital [RCH], Melbourne, Australia with a hospital coded diagnosis which included pancreatic injury between 1993 and 2002. Data included patient demographics, source of admission, mechanism of injury, pancreatic complications, associated injuries, Intensive Care Unit [ICU] admission, results of any operative findings, results of any acute computed tomography (CT) and/or ultrasound (US) imaging of pancreas, selected laboratory findings and length of stay. Results: We identified two distinct groups of patients in the 91 documented cases of pancreatic trauma (median age 8.0 yr, range 0.6-15.8 yr; M:F 2.5:1.0). Fifty-nine had a history of abdominal trauma and elevated serum lipase but no CT or ultrasound evidence of pancreatic injury (Group A). Thirty-two had a history of abdominal trauma, elevated serum lipase but also had CT scan and/or ultrasound evidence of pancreatic injury[Group B]. Patients with ''less severe'' injury based on normal imaging had a lower initial lipase level [Group A, median 651 U/L (interquartile range 520 - 1324) vs, Group B, 1608 U/L (interquartile range 680-3526); P = 0.005] and shorter admission time [Group A, 9.0 days (interquartile range 5.5-15.5) vs Group B, 13.4 days (interquartile range 6.8 - 23.8), P = 0.04]. There were no differences with respect to mortality [Group A, 13.5 % vs Group B, 12.5 %] but patients with evidence of injury on imaging were more likely to have surgical intervention [P = 0.0001]. The single most important overall cause of pancreatic trauma was involvement in a motor vehicle accident as a passenger or pedestrian. However, in children with high-grade ductal injury, bicycle handlebar injuries were most common. Associated injuries were common in both groups. Conclusion: Significant pancreatic injury can occur in the absence of abnormality on medical imaging. Pancreatic trauma commonly occurs in the context of multiple injuries after motor vehicle accidents in children and bicycle handlebar injuries, especially in boys. Most children can be treated conservatively, with surgical intervention being limited to high-grade ductal injury.

Catalan government popularity. An example of economic effects on sub-national government support

The aim of this essay is to deal with economic voting in contexts ofmultilevel governance and to be a contribution to the debate on attribution of responsibilities in popularity functions literature. We use aggregate and individual data from Catalonia in order to analyse the relation between the state of the economy and the support for a sub-state government. The empirical analysis shows that the responsibility hypothesis works in regional governments without explicit macroeconomic competencies. We have also considered the evaluations of government performance on certain specific policies in order to clarify and determine the factors that drive Catalan government support. The article considers the implications of the findings for future attempts to model party support in a context of the European Union.

Demand for private health insurance: Is there a quality gap?

Quality of care is qualified as a main determinant of the demand forvoluntary private health insurance (PHI) in National Health Systems(NHS). This paper provides new evidence on the influence of the qualitygap between public and private health insurance and other demanddeterminants in the demand for PHI in Catalonia. The demand for PHI ismodelled as a demand for health care quality. Unlike previous studies, the database employed allows for the development of a link between thetheoretical and the empirical model dealing with unobserved heterogeneityand endogeneity issues. Results suggest that a rise in PHI qualityenhances an equivalent influence in the demand for PHI as an equalreduction of NHS quality. Income and price elasticity estimates areconsistent with the observed feature that PHI appears to be a luxurygood and individuals tend to be relatively insensible to tax relief'sand monetary co-payments in insurance contracts.

Subcontracting and vertical integration in the Spanish cotton industry

This paper examines changes in the organization of the Spanish cotton industry from 1720 to 1860 in its core region of Catalonia. As the Spanish cotton industry adopted the most modern technology and experienced the transition to the factory system, cotton spinning and weaving mills became increasingly vertically integrated. Asset specificity more than other factors explained this tendency towards vertical integration. The probability for a firm of being vertically integrated was higher among firms located in districts with high concentration ratios and rose with size and the use of modern machinery. Simultaneously, subcontracting predominated in other phases of production and distribution where transaction costs appears to be less important.