Dramatic decline of serogrup C meningococcal disease incidence in Catalonia (Spain) 24 months after a mass vaccination programme of children and young people

STUDY OBJECTIVES The objective of this study was to evaluate the effectiveness of a mass vaccination programme carried out in Catalonia (Spain) in the last quarter of 1997 in response to an upsurge of serogroup C meningococcal disease (SCMD). DESIGN Vaccination coverage in the 18 month to 19 years age group was investigated by means of a specific vaccination register. Vaccination effectiveness was calculated using the prospective cohort method. Cases of SCMD were identified on the basis of compulsory reporting and microbiological notification by hospital laboratories. Vaccination histories were investigated in all cases. Unadjusted and age adjusted vaccination effectiveness referred to the time of vaccination and the corresponding 95% confidence intervals (CI) were estimated at 6, 12, 18 and 24 months of follow up. SETTING All population aged 18 months to 19 years of Catalonia. MAIN RESULTS A total of seven cases of SCMD were detected at six months of follow up (one in the vaccinated cohort), 12 cases at 12 months (one in the vaccinated cohort), 19 cases at 18 months (two in the vaccinated cohort) and 24 at 24 months (two in the vaccinated cohort). The age adjusted effectiveness was 84% (95%CI 30, 97) at six months, 92% (95%CI 63, 98) at 12 months, 92% (95% CI 71, 98) at 18 months and 94% (95%CI 78, 98) at 24 months. In the target population, cases have been reduced by more than two thirds (68%) two years after the vaccination programme. In the total population the reduction was 43%. CONCLUSION Vaccination effectiveness has been high in Catalonia, with a dramatic reduction in disease incidence in the vaccinated cohort accompanied by a relevant reduction in the overall population. Given that vaccination coverage was only 54.6%, it may be supposed that this vaccination effectiveness is attributable, in part, to the herd immunity conferred by the vaccine.

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.

Actitudes del profesorado de chile y costa rica hacia la inclusión educativa

El estudio analiza las actitudes de profesores de Chile (N = 92) y Costa Rica (N = 126) hacia la educación inclusiva. Para ello, plantea como objetivos: a. identificar las medidas que favorecen la educación inclusiva en ambos colectivos de profesorado; b. conocer los recursos y apoyos con que cuenta el profesorado para favorecer la educación inclusiva; y c. valorar los principios de la educación inclusiva que subyacen a sus prácticas docentes. Adoptamos un enfoque cuantitativo a través de un diseño descriptivo de tipo encuesta. Los resultados indican que, en general, los profesores participantes presentan una actitud positiva hacia la inclusión, incorporando diferentes medidas para atender las necesidades educativas especiales del alumnado. Los recursos materiales y el tiempo continúan siendo percibidos por el profesorado como una limitante para el desarrollo de prácticas inclusivas.

Late Oligocene Larger Foraminifera from Nosara (Nicoya Península, Costa Rica) and Windward (Carriacou, Lesser Antilles), calibrated by 87Sr/86Sr isotope stratigraphy.

ABSTRACT: The Late Oligocene first occurrence of Miogypsina gunteri Cole and Miogypsina tani Drooger is verified in the light of larger foraminiferal assemblages from Nosara (Nicoya Peninsula, Costa Rica) and Windward (Carriacou, Grenada, Lesser Antilles). At Windward, they co-occur with planktonic foraminifera and nannofossils studied by earlier workers. 87Sr/86Sr isotope ratios were measured in calcite of larger foraminifera at both sites to determine independent absolute ages of the two outcrops. Late Oligocene shallow water formations unconformably overlie Paleocene-Eocene distal turbidites and siliceous shales in the outcrops in Costa Rica. The shallow-water lithostratigraphy includes near shore volcanic sandstones that alternate with sandy bioclastic limestones. The latter have yielded rich assemblages of larger foraminifera that have been studied in oriented sections, SEM for split material and polished rock thin sections for transmitted light and cathodoluminescence (CL) observation. The association of larger foraminifera includes Heterostegina antillea Cushman, Miogypsina tani Drooger, Miogypsina gunteri Cole, Miogypsina c.f (Miolepidocyclina) panamensis (Cushman), Miogypsina sp., Lepidocyclina (nephrolepidina) vaughani Cushman, Lepidocyclina yurnagurensis Cushman, Lepidocyclina undosa Cushman. At Windward, scattered outcrops of the Belvedere Formation expose mass flow deposits rich in larger foraminifera associated with an early late Oligocene (NP24) planktonic foraminifa assemblage. Planktonic foraminifera and nanno-fossils recovered in rocks slightly downsection indicate an upper Middle Oligocene age. Larger foraminifera species collected just north of Windward include Lepidocyclina undosa Cushman and Miogypsina gunteri Cole. The 87Sr/86Sr ratio was measured in 11 specimens of megalosphaeric Lepidocyclina spp., mechanically extracted from 2 rock samples collected at Punta Peladas (Costa Rica) Ratios range from 0.709088 to 0.708196, which correspond to a model age of 27.4 to 24.94 Ma. Very similar ratios, ranging from 0.708150 to 0.708167 were obtained from Windward Village (Carriacou). All measured 87Sr/86Sr ratios fall within a Chattian (Late Oligocene) age. Nannofossils, planktonic foraminifera and identical 87Sr/86Sr ratios from Punta Peladas and Windward clearly indicate a Chattian (Upper Oligocene) first occurrence of Miogypsina gunteri and Miogypsina tani and confirm this age range for the other larger foraminifera cited above. The first occurrence of Miogypsina gunteri in the lower Athe upper Aquitanian as proposed by European workers cannot be confirmed.

'Biased' Risk Perceptions of Longevity and Disability in Old Age

Rational learning theories postulate that information channels and cognitive biases such as individual optimism may influence an individual¿s assessment of the risk of undesired events, especially with regard to those that have a cumulative nature. This is the case with disability in old age, which may take place upon survival to an advanced age, and such factors have been regarded as responsible for certain individual behaviours (for example, the limited incidence of insurance purchase). This paper examines the determinants of individual perceptions with regard to disability in old age and longevity. The cumulative nature of such perceptions of risk is tested, and potential biases are identified, including `optimism¿ and a set of information determinants. Empirical evidence from a representative survey of Catalonia is presented to illustrate these effects. The findings from this research suggest a significant overestimation of disability in old age, yet this is not the case with longevity. Furthermore, individual perceptions with regard to disability in old age, unlike those with regard to longevity, exhibit on aggregate an `optimistic bias¿ and, are perceived as `cumulative risks¿. Gender influences the perceived risk of disability in old age at a population level but not at the individual level, and the opposite holds true for age. Finally, self-reported health status is the main variable behind risk perceptions at both the individual and population level.

Mineral inventory of continuously erupting basaltic andesites at Arenal volcano, Costa Rica: implications for interpreting monotonous, crystal-rich, mafic arc stratigraphies

Except for the first 2 years since July 29, 1968, Arenal volcano has continuously erupted compositionally monotonous and phenocryst-rich (similar to35%) basaltic andesites composed of plagioclase (plag), orthopyroxene (opx), clinopyroxene (cpx), spinel olivine. Detailed textural and compositional analyses of phenocrysts, mineral inclusions, and microlites reveal comparable complexities in any given sample and identify mineral components that require a minimum of four crystallization environments. We suggest three distinct crystallization environments crystallized low Mg# (<78) silicate phases from andesitic magma but at different physical conditions, such as variable pressure of crystallization and water conditions. The dominant environment, i.e., the one which accounts for the majority of minerals and overprinted all other assemblages near rims of phenocrysts, cocrystallized clinopyroxene (Mg# similar to71-78), orthopyroxene (Mg# similar to71-78), titanomagnetite and plagioclase (An(60) to An(85)). The second environment cocrystallized clinopyroxene (Mg# 71-78), olivine (<Fo(78)), titanomagnetite, and very high An (similar to90) plagioclase, while the third cocrystallized clinopyroxene (Mg# 71-78) with high (>7) Al/Ti and high (>4 wt.%) Al2O3, titanomagnetite with considerable Al2O3 (10-18 wt.%) and possibly olivine but appears to lack plagioclase. A fourth crystallization environment is characterized by clinopyroxene (e.g., Mg#=similar to78-85; Cr2O3=0.15-0.7 wt.%), Al-, Cr-rich spinel olivine (similar toFo(80)), and in some circumstances high-An (>80) plagioclase. This assemblage seems to record mafic inputs into the Arenal system and crystallization at high to low pressures. Single crystals cannot be completely classified as xenocrysts, antecrysts (cognate crystals), or phenocrysts, because they often contain different parts each representing a different crystallization environment and thus belong to different categories. Bulk compositions are mostly too mafic to have crystallized the bulk of ferromagnesian minerals and thus likely do not represent liquid compositions. On the other hand, they are the cumulative products of multiple mixing events assembling melts and minerals from a variety of sources. The driving force for this multistage mixing evolution to generate erupting basaltic andesites is thought to be the ascent of mafic magma from lower crustal levels to subvolcanic depths which at the same time may also go through compositional modification by fractionation and assimilation of country rocks. Thus, mafic magmas become basaltic andesite through mixing, fractionation and assimilation by the time they arrive at subvolcanic depths. We infer new increments of basaltic andesite are supplied nearly continuously to the subvolcanic reservoir concurrently to the current eruption and that these new increments are blended into the residing, subvolcanic magma. Thus, the compositional monotony is mostly the product of repetitious production of very similar basaltic andesite. Furthermore, we propose that this quasi-constant supply of small increments of magma is the fundamental cause for small-scale, decade-long continuous volcanic activity; that is, the current eruption of Arenal is flux-controlled by inputs of mantle magmas. (C) 2004 Elsevier B.V. All rights reserved.

Locations of new industry, 1971-1980.

Map of railroads and locations of new industries in Iowa, 1971-1980

From local groups to early states: the development of complexity in protohistoric Catalonia

La recerca sobre la protohistoria de Catalunya s'ha fonamentat tradicionalment en la historia cultural, pero el treba11 deIs darrers vint-i-cinc anys ha comenat a donar 11um sobre aspectes crucials com el canvi social i la formació de l'Estat arcaico Aquest article és una visió general sobre aquests temes. S'hi analitza particularment el paper del creixement demogrMic com a element crucial del canvi social, pero també s'hi té en compte el paper que eventualment hi hagin pogut tenir els moviments de població i el comerç colonial.

Increased brain perfusion contrast with T2 -prepared intravoxel incoherent motion (T2prep IVIM) MRI.

The feasibility to measure brain perfusion using intravoxel incoherent motion (IVIM) MRI has been reported recently with currently clinically available technology. The method is intrinsically local and quantitative, but is contaminated by partial volume effects with cerebrospinal fluid (CSF). Signal from CSF can be suppressed by a 180° inversion recovery (180°-IR) magnetization preparation, but this also leads to strong suppression of blood and brain tissue signal. Here, we take advantage of the different T2 relaxations of blood and brain relative to CSF, and implement a T2 -prepared IVIM (T2prep IVIM) inversion recovery acquisition, which permits a recovery of between 43% and 57% of arterial and venous blood magnetization at excitation time compared with the theoretical recovery of between 27% and 30% with a standard 180°-IR. We acquired standard IVIM (IVIM), T2prep IVIM and dynamic susceptibility contrast (DSC) images at 3 T using a 32-multichannel receiver head coil in eight patients with known large high-grade brain tumors. We compared the contrast and contrast-to-noise ratio obtained in the corresponding cerebral blood volume images quantitatively, as well as subjectively by two neuroradiologists. Our findings suggest that quantitative cerebral blood volume contrast and contrast-to-noise ratio, as well as subjective lesion detection, contrast quality and diagnostic confidence, are increased with T2prep IVIM relative to IVIM and DSC.

El Solutrense en la costa de Málaga: contexto paleoambiental y cronocultural.

La franja costera de la provincia de Málaga aporta algunos de los mejores yacimientos para el estudio del Solutrense en el sur de la península Ibérica. En este trabajo se analiza el estado de conocimiento de los principales registros conocidos hasta el momento en este ámbito geográfico. La secuencia paleoambiental se aborda principalmente a partir de la nueva información obtenida en Bajondillo, donde se han realizado análisis micromorfológicos, sedimentarios, polínicos e isotópicos. Los aspectos culturales, que se definen a través de los análisis tecnológicos, económicos, simbólicos o funcionales, nos ayudan a identificar los principales rasgos culturales del Solutrense en este ámbito geográfico. La interrelación de todos estos datos arroja una secuencia que participa en términos generales de las características del Solutrense del ámbito mediterráneo ibérico. No obstante, se han encontrado ciertas particularidades en el ámbito económico o secuencial.

Comerç colonial, comensalitat i canvi social a la protohistòria de Catalunya

L'anàlisi del festeig com activitat social en les societats prehistòriques i protohistòriques, així com el seu paper en les relacions de poder, ha estat un dels temes recurrents en la literatura arqueològica generada en els darrers vint anys i referent a zones i períodes extremadament diversos. A la Mediterrània occidental i l"Europa central han estat particularment influents els treballs de M. Dietler, autor que, a partir d"un important volum de documentació etnogràfica, va proposar una tipologia de banquets en contextos socials de diferents naturaleses que és susceptible d"explicar aspectes rellevants de la documentació arqueològica coneguda de la Protohistòria a la costa mediterrània de la Península Ibèrica i la Gàl·lia entre altres, el volum i naturalesa canviants dels materials d"importació , tal com s"ha mostrat en diversos treballs més o menys recents (Dietler, 1990, 1996, 1999). Per als autors d"aquest treball, les idees elaborades per Dietler continuen essent plenament vàlides i conserven tot el seu potencial heurístic i explicatiu, per la qual cosa val la pena recordar-les breument.

En torno a un hallazgo del Neolítico Antiguo en la Valldany (Oliana, comarca del Urgellet, Lérida)

Hablar con unos esquemas rígidos de una unidad cultural neolítica en Cataluña es menospreciar el papel que representa el marco geográfico de este país, desconocer los tres grandes conjuntos geológicos regionales: la costa, el llano y la montaña; cada uno de ellos aporta su nota de originalidad; sin embargo, tampoco cada uno de éstos va a representar una uniformidad monótona, sin~o que se escinden formando un rompecabezas complicado, donde sus piezas, con características propias, son las comarcas.

Les meules rotatives du site ibérique d'Alorda Park (Calafell, Baix Penedès, Tarragona)

El jaciment iberic d'Alorda Park esta situat a la costa central de Catalunya, a uns 30 km al nordest de Tarragona. El jaciment, l'ocupació del qual es data principalment entre el s. VI i el III aC, ha estat excavat extensament des de 1983. Els treballs d'excavació han lliurat sis metae i disset catilli de molins rotatius, la major part deis quals han estat reutilitzats per a usos secundaris. D' altra banda, cap molí rotatiu ha estat trobat in situ a l'interior d'una casa, de manera que es dedueix que la molta amb aquests instruments era probablement una activitat practicada en instaHacions communals o bé per especialistes. Pel que fa a la funcionalitat d'aquestes peces, les analisis de residus indiquen que eren utilitzades per a la molta de cereal s i, en un sol cas, de faves. Pel que fa a la cronologia, el més antic d'aquests exemplars data de mitjan segle V aC, i la utilització deis molins de rotació continua fins a finals de 1'0- cupació de I'assentament. AIllarg d'aquests tres segles, els molins rotatius d' Alorda Park sofreixen una evolució morfologica els trets essencials de la qual han pogut ser establerts. Els exemplars presentats són morfologicament similars a altres molins iberics de la costa central de Catalunya, pero es diferencien considerablement deis models documentats al País Valencia, a Ullastret i a la Gal'lia meridional. Aquest fet sembla indicar I'existencia de tradicions locals ben caracteritzades, que hauran de ser precisades per les recerques futures. Finalment, cal observar que, segons les analisis de residus, els altres instruments lítics o de triturat descoberts al jaciment (molins de vaivé, morters) han estat utilitzats per a la transformació de materies primeres.

Simposium INNED2. Metodologías innovadoras: creando contextos de aprendizaje significativo, por Cristina Costa

Esta conferencia se enmarca en el Simposium INNED 2 de"Innovación metodológica", celebrado los días 25 y 26 de noviembre de 2011, y organizado por el Grupo de Investigación Consolidado EMA (Entornos y Materiales para el Aprendizaje), del Instituto de Ciencias de la Educación de la Universidad de Barcelona. Entre sus principales objetivos se plantea hacer visibles propuestas y experiencias de innovación metodológica que se llevan a cabo en diferentes centros, así como compartir experiencias innovadoras para fomentar nuevas maneras de entender la educación y la práctica docente, además de constituir redes temáticas de innovación metodológica entre diferentes agentes educativos y sociales. La conferencia"Metodologías innovadoras: Creando contextos de aprendizaje significativo", a cargo de Cristina Costa, considera a la Web como un recurso vivo y auténtico de enseñanza y aprendizaje en los diferentes ámbitos de nuestra vida diaria.