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Andalusia has become one of the main destinations for British residential tourists, attracted by leisure, a mild climate and the search for a better lifestyle. Prompted by its interest in selling houses, the real estate industry has devised an image of the Andalusian landscape that is, to all intents and purposes, partial and biased. The purpose of this research is to assess the importance of the elements and features that characterise this particular vision of this Spanish region, paying particular attention to more rural inland areas. For this, an empirical study has been conducted based on content analysis of real estate websites targeting British buyers. This study has revealed that: (i) the misrepresented and romantic projection of the image of Andalusia still persists to a certain extent. Among the main elements and attributes that characterise the landscape are all those that emphasise the region's sublime, picturesque and exotic nature; other main landscape qualities and unique areas, specifically, any that today enjoy natural or cultural legal protection due to their heritage value, are less important in this cultural construction; (ii) the various parts of Andalusia are treated unequally. Malaga province and the rest of the Baetic Mountains are much better represented than other areas (the Guadalquivir Valley and the Sierra Morena mountains). This imbalance sometimes results in a distorted construction of the territory. This way of conceiving Andalusia puts Malaga at the heart of the region, and the further from the Costa del Sol, the more peripheral the regions become; (iii) the complexity of the landscape as a cultural expression is reduced to a set of simplified features that can be easily digested by a social group focused not on experiencing, but on consuming the landscape. [ABSTRACT FROM AUTHOR]

Background. There is a need for solid evidence of the relative advantages of universal vs. selective screening for gestational diabetes mellitus. Our study of a broad obstetric population determines the positive predictive value of the 50-g oral glucose challenge test for screening in the presence and absence of classical gestational diabetes risk factors. Methods. A retrospective cohort study was carried out with a total of 2,574 pregnant women. Clinical information was obtained from hospital records and each patient's medical history, and gestational diabetes risk factors were quantified for each pregnant woman. The positive predictive value of a screen was determined with respect to the number of risk factors. Results. Age 30 or over, family history of diabetes, obesity (BMI ≥27) and previous fetal macrosomia were established as the most frequent risk factors. Just over half (54.2%) of our population presented one or more risk factors. Screening covered 75% of the population, and was positive in 15% of the cases. Diagnosis was confirmed in 64 cases, 57 of them at risk, and seven with no risk factors. We obtained an overall positive predictive value of 21.8% (CI 17.3–27.0). This figure increases with the number of risk factors, from 12% for the women with no risk factors, to 40% for those presenting three or more risk factors. Conclusions. A selective screening program that takes into account the clinical background and characteristics of each pregnant woman allows a high yield of true positives while reducing the possible undesirable effects associated with false positives. [ABSTRACT FROM AUTHOR]