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Purpose: This study aims to assess the effectiveness of active teaching methodologies, namely, problem-oriented learning and the case method, to develop sustainability competencies. It also analyses the advantages and challenges for teachers when implementing the sustainable development goals (SDGs) in eight undergraduate and postgraduate degrees within the framework of a cross-departmental collaboration. Design/methodology/approach: A mixed research methodology was used: a quantitative study to assess the levels of acquisition of sustainability and research competencies and the potential correlation between them, as well as a mixed study of the advantages and challenges for the teachers participating in the cross-departmental initiative. Curriculum content linked to the SDGs was worked on. Active teaching methodologies and a competency assessment rubric were used as curriculum implementation strategies in the eight courses involved. Findings: Active teaching methodologies are suitable to implement the SDGs in university teaching and to develop both sustainability and research competencies. A synergic effect is observed between them. Coordinated work between teachers of different subjects in several degrees contributes to developing a culture of sustainability at the university. Research limitations/implications: Although the collaboration between teachers from different disciplines was successful, this study did not promote interdisciplinary projects among students from different degrees. This promises to be highly valuable for future research. Practical implications Students can become present and future leaders in achieving the SDGs. This approach can be replicated in other educational institutions. Social implications: This study bridges the gap between theoretical recommendations and the practical implementation of the SDGs in undergraduate and postgraduate degrees. Originality/value: Coordinated work between teachers of different subjects in different degrees contributes to the development of a culture of sustainability at the university.

External and standardized assessments based on student results are a contested education policy among school actors. Movements of opposition have emerged in different countries, especially in those contexts with high-stakes accountability systems. However, this phenomenon has not been analyzed in soft accountability systems. The objective of this article is to study the opt-out movement in Catalonia, understood as an anti-standardization movement in a system of soft accountability. In order to do so, we adopt the case study approach as a methodological strategy, based on the triangulation of semi-structured interviews with activists (n = 14), key stakeholders (n = 3), and document and press analysis (n = 25). The results shed light on the emergence and nature of the movement, its opportunity structures, the discursive frames and the repertoires of collective action. Our results show how accountability instruments have a 'life of their own' beyond their policy design. In this sense, the opt-out movement in Catalonia identifies potential risks and adverse effects similar to those reported in high-stakes systems, developing a repertoire of collective action and discursive frames similar to other emerging anti-standardization movements in high-stakes contexts.

Purpose: Previous studies have raised the possibility of preserved language comprehension in children with developmental language disorder (DLD) in online tasks and within simple sentence structures. Consequently, we evaluated the capacity of children with DLD to comprehend verbal number agreement in simple sentence structures (i.e., verb-object-subject and verb-subject). Method: Using an eye-tracking methodology, we conducted two psycholinguistic experiments with 96 Spanish- and Catalan-speaking participants. The sample was distributed into four groups: 24 children with DLD (age range: 4;6-12;6 [years;months]; average age = 7;8 [years;months]), 24 children with the same chronological age (4;6-12;2, 7;8), 24 children with the same linguistic level (4;6-9;4, 6;8), and 24 university students as language experts (18-30, 22;5). Results: The experimental data indicate that children with DLD can comprehend verbal number agreement at least under the present experimental conditions. Conclusion: The empirical outcomes suggest that number morphology comprehension by children with DLD might be more typical than what it is generally considered to be.

Background: A growing body of work shows that children with developmental language disorder (DLD) perform poorly on statistical word learning (SWL) tasks, consistent with the predictions of the Procedural Deficit Hypothesis that predicts that procedural memory is impaired in DLD. To date, however, SWL performance has not been compared across linguistically heterogeneous populations of children with DLD. Aims: To compare SWL performance in a group of age, sex and non-verbal IQ-matched Catalan-Spanish and English-speaking children with and without DLD. Methods & Procedures: Two cohorts of children: (1) 35 Catalan-Spanish-speaking children with DLD (M[subscript age] = 8;7 years) and 35 age/sex-matched typical developing (TD) children (M[subscript age] = 8;9 years), and (2) 24 English-speaking children with DLD (M[subscript age] = 9;1 years) and 19 age/sex matched TD controls (M[subscript age] = 8;9 years) completed the tone version of a SWL task from Evans et al. (2009). Children listened to a tone language in which transitional probabilities within tone words were higher than those between words. Outcomes & Results: For both Catalan-Spanish and English cohorts, overall performance for the children with DLD was poorer than that of the TD controls regardless of the child's native language. Item analysis revealed that children with DLD had difficulty tracking statistical information and using transitional probability to discover tone word boundaries within the input. For both the Catalan-Spanish and English-speaking children, SWL accounted for a significant amount of unique variance in Receptive and Expressive vocabulary. Likelihood ratio analysis revealed that for both Catalan-Spanish and English cohorts, children having performance [less than or equal to] 45% on the SWL task had an extremely high degree of likelihood of having DLD. The analysis also revealed that for the Catalan-Spanish and English-speaking children, scores of [greater than or equal to] 75% and [greater than or equal to] 70%, respectively, were highly likelihood to be children with normal language abilities. Conclusions & Implications: The findings add to a pattern suggesting that SWL is a mechanism that children rely on to acquire vocabulary. The results also suggest that SWL deficits, in particular when combined with other measures, may be a reliable diagnostic indicator for children with DLD regardless of the child's native language, and whether or not the child is bilingual or monolingual.

The current scenario of crisis and change has prompted the idea of entrepreneurship as a way to develop new media business models that can be promoted by university training. In this study, we aim to assess the effects of such training. A qualitative study was conducted using in-depth interviews of Spanish journalism and communication entrepreneurs who have undergone university training in business creation and management. Our results show the positive effects of this training on entrepreneurship both in general and on specific aspects of entrepreneurial projects such as organization, business plan/model, marketing, innovation, social aspects and quality of life. Different patterns between the effects of university training on new initiatives and advanced projects were also observed. In this respect, the training supported the creation of new businesses and the development of existing ones. Finally, the suggestions for improving training and the limitations to entrepreneurship have revealed the importance of providing this type of education with a more practical, up-to-date approach that is interconnected with the business and university world. Therefore, examples of this work can be of vital importance in opening up new opportunities for sector development to enable future generations of journalists to fulfill their important social function.

Enhancing individuals' preparedness to work across borders is of growing importance. This study explores the role of Cultural Intelligence and Psychological Empowerment in enhancing Task Performance among students engaged in an international experiential game-based learning project: The Global Game Challenge (GGC). Data collected from the delivery of the project in the USA and Spain identifies empirical support for a relationship between Cultural Intelligence and Psychological Empowerment for the first time. The results suggest that CQ and Empowerment are important factors impacting task-related performance. They also suggest that it is the motivational dimension of CQ that is the most important in virtual educational settings.

Vaccine efficacy and its quantification is a crucial concept for the proper design of public health vaccination policies. In this work we proposed a mathematical model to estimate the efficacy of the influenza vaccine in a real-word scenario. In particular, our model is a SEIR-type epidemiological model, which distinguishes vaccinated and unvaccinated populations. Mathematically, its dynamics is governed by a nonlinear system of ordinary differential equations, where the non-linearity arises from the effective contacts between susceptible and infected individuals. Two key aspects of this study is that we use a vaccine distribution over time that is based on real data specific to the elderly people in the Valencian Community and the calibration process takes into account that over one influenza season a specific proportion of the population becomes infected with influenza. To consider the effectiveness of the vaccine, the model incorporates a parameter, the vaccine attenuation factor, which is related with the vaccine efficacy against the influenza virus. With this framework, in order to calibrate the model parameters and to obtain an influenza vaccine efficacy estimation, we considered the 2016-2017 influenza season in the Valencian Community, Spain, using the influenza reported cases of vaccinated and unvaccinated. In order to ensure the model identifiability, we choose to deterministically calibrate the parameters for different scenarios and we find the one with the minimum error in order to determine the vaccine efficacy. The calibration results suggest that the influenza vaccine developed for 2016-2017 influenza season has an efficacy of approximately 76.7%, and that the risk of becoming infected is five times higher for an unvaccinated individual in comparison with a vaccinated one. This estimation partially agrees with some previous studies related to the influenza vaccine. This study presents a new integrated mathematical approach to study the influenza vaccine efficacy and gives further insight into this important public health topic. [ABSTRACT FROM AUTHOR]

The rate of six-month-old infants exclusively breastfed in Spain remains below the recommended rate. This study aimed to explore in detail the evolution of feeding during the first six months of life of a group of newborns, as well as to identify the reasons reported by the mothers for feeding change. A secondary analysis of two prospective longitudinal observational studies was conducted. In both studies, women participants, during the clinical puerperium, opted for exclusive breastfeeding for their newborns. The participants were followed up during the infants' first six months. A sample size of 314 participants was obtained, of which 77.1% (n = 232) were of Spanish origin, and 51% (n = 160) were primiparous. The prevalence of exclusive breastfeeding at six months was 55.4% (n = 174). During the first four months of life, the main reason for early abandonment of breastfeeding was the perception of insufficient milk production. After the fourth month, the predominant reason was starting work. Statistically significant differences were observed between the reasons for giving up and the total weeks of exclusive breastfeeding (p < 0.001) and total weeks of breastfeeding (p = 0.002). Early weaning from breastfeeding is a multifactorial phenomenon. However, depending on the moment cessation occurs, some reasons predominate over others and, in many cases, can be prevented. These results indicate the need to continue investing efforts to promote and protect breastfeeding in Spain. [ABSTRACT FROM AUTHOR]

Background: Disability is frequently associated with contextual or lifestyle factors. Some health conditions may affect the prevalence of disability differently, especially for some minority groups. This study aims to assess the impact and contribution of different health conditions to disability burden in Spain in Roma and immigrant populations, compared to the general population. Methods: This is a cross-sectional study. We have used data from the Spanish National Survey of 2017 and the National Health Survey of the Roma Population 2014. We have calculated frequencies of demographic variables and prevalence of health conditions grouped by body function. We also have fitted binomial additive hazard models, using the attribution method, to assess disabling impact and contribution of health conditions to disability burden. The software R was used for the computations. Results: Roma and immigrant populations had worse socioeconomic status than the general population, although the gap was more heavily marked among Roma. Roma population showed a higher prevalence in all health conditions, with a disability prevalence of 57.90%, contrary to the immigrant population, that showed a lower prevalence in all health conditions, including disability (30.79%), than the general population (40.00%). However, all health conditions were more disabling in the immigrant population. Neurological and cardiovascular diseases, and accidents among Roma, were the most disabling conditions. Nevertheless, musculoskeletal, chronic pain, and sensory diseases among Roma, had a greater contribution to disability burden, mainly due to a combination of a great prevalence and a great impact in functions of those health conditions. Conclusion: Both ethnicity and migrant status have shown differences in the burden of disability. While in the general population, musculoskeletal problems have the greatest contribution to the disability burden, in immigrants it was chronic pain and in the Roma population it was sensory problems. Disparities by sex were also found, with the contribution of musculoskeletal diseases being more important in females. [ABSTRACT FROM AUTHOR]

International practice guidelines and policies recognize compassion as a fundamental dimension of quality care. A key element in enhancing compassion in healthcare settings is having reliable patient‐reported experience measures. In the Spanish context, there is a need for a valid Spanish patient‐reported compassion measure for use in both research and clinical practice. The Sinclair Compassion Questionnaire (SCQ) represents the gold standard for patient‐reported compassion measures in English‐speaking settings. The primary aim of this study is to culturally adapt and validate the SCQ in a Spanish population. A Spanish version of the SCQ (SCQesp) was used to collect data from 303 Spanish patients (in two contexts: hospitalized and medical visit). Confirmatory factor analysis confirmed a one‐factor solution in the 15‐item (SCQesp) and five‐item (SCQesp‐SF) short form version. The SCQesp showed excellent values of reliability: Cronbach's α = 0.98; composite variance = 0.98 (0.905–0.854); and stratified variance = 0.78. The SCQesp‐SF showed similar values of reliability. The SCQesp has excellent psychometric properties, making it a valid and reliable measure for assessing compassion in healthcare research and clinical care. This scientifically rigorous and psychometrically robust compassion measure in Spanish could allow healthcare providers, researchers, and leaders to routinely assess compassion. [ABSTRACT FROM AUTHOR]

Pelvic floor dysfunctions (PFD) are highly prevalent among females who do athletics, a sport requiring jumping, strength, and running. Although educational approaches are useful options, the educational need for this particular population remains unknown. The objective of the present study was to describe the level of knowledge regarding PFD and its relationship with symptomatology and gender stereotypes in female athletes in Spain. A total of 255 female athletes completed an anonymous online survey to explore their knowledge regarding urinary incontinence (UI), pelvic organ prolapse (POP), anal incontinence (AI), and sexual dysfunction (SexD), as well as their PFD symptoms and gender stereotyped beliefs related to sport. Educational level and sports characteristics (training volume, experience, and athletic modality) were also explored. Participants demonstrated a low level of knowledge in terms of POP (52.5%), AI (64.0%), and SexD (40%), but not for UI (70.8%). The proportion of PFD complaints was 63.5% for dyspareunia, 51.8% for urine leakage, 42.4% for pelvic pain, 17.3% for AI, and 9.0% for POP, with no associations with knowledge (p > 0.05). Lower knowledge about UI and SexD was related to greater gender stereotypes (p < 0.05) and rejection of professional healthcare (p = 0.010). As a conclusion, the level of knowledge about PFD was low in female athletes who train and compete in athletics in Spain, mainly with regard to sexual dysfunction. Although 63.5% of athletes had dyspareunia and 51.8% urinary leakages, symptomatology was not associated with level of knowledge. However, a lower level of knowledge was associated with more stereotyped beliefs and rejection of professional healthcare for PFD. These findings confirm the need to design appropriate educational interventions to disseminate information on all the types of PFD, particularly sexual contents. The potential influence of gender stereotypes makes it appropriate to include the gender perspective in these interventions. [ABSTRACT FROM AUTHOR]

During the Second Republic in Spain, high infant mortality led the government to implement health policies focused on prevention and health promotion. The National School of Puericulture was created, highlighting the importance of specialized training to address child health. Despite being founded in 1923, the institution consolidated its activities and statutes in 1935. The training of Puericulture Visitors at the school was crucial to act as a link between doctors and families, promoting health education. During the period before the civil war, training activities intensified, and the School became essential for the implementation of preventive policies. With the outbreak of the civil war in 1936, the situation changed dramatically. Despite adapting to the new circumstances, with the calling of abbreviated courses, the commitment to training specialized professionals remained. Calls, such as the one in 1937 in Valencia, reflect the need for trained personnel amid the war. This study reveals the importance of health policies in crisis contexts and the adaptation of training to changing circumstances, emphasizing the relevance of maintaining attention to childhood even in times of emergency. [ABSTRACT FROM AUTHOR]

Background: The COVID‐19 pandemic prompted the use of face masks as a social distancing measure. Although evidence supports their effectiveness in preventing infection, it remains unclear why some adolescents choose to continue wearing them postpandemic, even when it is no longer mandatory. This study aims to explore adolescents' experiences of wearing face masks during the COVID‐19 pandemic when their use was no longer mandatory. Method: In this exploratory qualitative study, data were collected from 16 adolescents through face‐to‐face semistructured interviews. The participants were asked about the reasons and feelings associated with continuing to wear masks, as well as the contexts in which they felt safe without a mask. The collected data were analysed using Braun and Clarke's thematic analysis. Results: Three main themes were identified: (1) Navigating complex decision‐making: balancing safety and self‐image, (2) peer influence dynamics and (3) managing the future: weather dynamics and pandemic evolution. Discussion: The potential implications of withdrawing COVID‐19 preventive measures, such as mask‐wearing, beyond the pandemic remain understudied. It is crucial to further investigate the perceptions related to wearing masks and its cessation, especially amongst vulnerable individuals. Patient or Public Contribution: Due to methodological constraints associated with participants' age, they were not engaged in the design, data analysis, data interpretation or manuscript preparation phases of the study. [ABSTRACT FROM AUTHOR]

The goal of this research was to carry out an exploratory study on how music education integrated into primary schooling (children from 6 to 12 years old) can help in acquiring the core competencies characteristic of this stage. The study was conducted by developing a validated instrument, pilot-tested for reliability, to assess the eight core competencies. Pupils in their final year of primary education in the two schools integrating primary education and music that exist in Catalonia were evaluated by comparing them with a control group from ordinary schools. The results of the research show that, although music pupils do not attend more than the minimum number of class contact hours legally established for all curriculum areas (except the arts), they obtained better results when performing a test on all the core competencies.

One of the most universally recognized mechanisms in the sociology of education is the Pygmalion effect: the expectations and prejudices of teachers (from a position of power), projected onto the students, have the potential to become a self-fulfilled prophecy--either positive either stigmatizing. But what elements are used to build these expectations? In this interaction how relate Pygmalion (professors and directors expectations) and Galatea (stigmatized students strategies)? What institutional and political alternatives can be used to combat these--racist?--prejudices? Based on a research of young immigrants pathways from various ethno-racial groups (mostly Latinos), over the period 2007-2011, this article exposes that: moreover than the critical importance of teachers in students' pathways, it is also important reconsider how the perceptions and strategies of stigmatized students are nuanced, ambivalent, and creative.

Consumers are currently interested in healthier foods, and concerned about more sustainable products, easy and fast to consume with longer preservation. The processed vegetables sector belongs to this group of foods, accounting for 7% of total agri-food production. Opuntia ficus indica, nopal or prickly pear, belongs to the family of Cactaceae. Opuntia lyophilizates are a new option at the industrial level, presenting potential opportunities for innovation. However, the mineral composition of a lyophilizate from nopal fruit has not been studied. Therefore, the objective of this report was to determine the mineral composition of a lyophilizate from the nopal fruit (including peel, pulp and cladode) and compare it to the fresh fruit. Mineral determination was performed by Inductively Coupled Plasma Mass Spectrometry (ICP-MS). The order of the average values of the main minerals with nutritional interest were K > Ca > Mg > Na > Fe > Zn > Mn in lyophilized peel and pulp. Lyophilized cladode displayed a similar average pattern with higher contents of Ca, Mg and Zn compared to peel, and K, Ca, Mg, Na, Mn and Zn compared to pulp. Therefore, obtaining a freeze-dried product taking all parts from the fruit could be an interesting business opportunity, taking into account that peel and cladode are waste products no consumed in fresh in Spain. In this context, lyophilizate from peel, cladode and pulp maintains interesting mineral contents with the possibility of being incorporated into the food chain obtaining new sustainable and functional products, with potential applications in the food and pharmaceutical industry. Altogether, the consumption of lyophilizate from prickly pear fruit could promote sustainable production, and efficient waste management and could bring several benefits for human health within the context of a healthy diet such as Mediterranean diet. [ABSTRACT FROM AUTHOR]

At the end of the second decade of the 21st century, Latin American migration to Spain showed a new quantitative increase in flows of such magnitude that we can speak of the existence of a second migratory boom. In contrast to what happened with the first migration boom at the beginning of the century, when pull factors dominated (mainly due to the expansion of the Spanish labour market), after the economic crisis of 2008 push factors played a more important role. Three processes leading to large-scale emigration are identified in Latin America: high levels of political instability in many Latin American countries such as Venezuela; growing insecurity, especially—but not only—in Central American countries, where it also coincides with increasing difficulties in entering the USA; and the effect of neoliberal policies, with growing tensions in many countries, as would be the case of Argentine migrants. COVID-19 has slowed down these flows and has led to increased numbers of returnees although the previous migratory intensities began to recover at the end of 2021. [ABSTRACT FROM AUTHOR]

Four native chelonians species occur in Spain, three of which are severely threatened. In recent surveys, 25 species of alien turtles and tortoises were reported, some of which had established breeding populations and interfered with native species. In this study, we used ecological niche models to evaluate which regions are more vulnerable to colonization by alien turtles and tortoises and which alien chelonians show substantial environmental overlap with native species. The parameters of the ecological niche models were iteratively optimized using Akaike procedures, and we assessed the projection transferability between donor and recipient geographic regions using Mobility-Oriented Parity estimation. Our results indicated that the Mediterranean and some Atlantic rivers (Miño-Sil and Guadalquivir) are particularly vulnerable to colonization by semi-aquatic alien turtles, while southwestern Spain is exposed to colonization by alien tortoises. The aquatic species most susceptible to overlap with the four species of native turtles are those native to the cold and warm temperate regions of North America and China: Apalone spinifera, Chelydra serpentina, Chrysemys picta, Mauremys mutica, Mauremys reevesii, Mauremys sinensis, Pelodiscus sinensis, Sternotherus odoratus, and Trachemys scripta. These results highlight the importance of establishing stricter trade regulations for certain species with a focus on protecting vulnerable areas. [ABSTRACT FROM AUTHOR]

Restrictions on mobility as a measure to contain the COVID‐19 pandemic meant, in the case of Spain, an abrupt ending to what could be called the second international migratory boom. At the same time, internal migrations underwent considerable change, with cities becoming less attractive as a destination for migrants, and increased flows into rural areas. In this context, our aim is twofold. First, it is to describe and analyse the decline in international migration according to origin and, second, to analyse internal migration among the population of immigrant origin. The results point to a temporary steep downturn in international flows, which does not affect all origins equally. In the case of internal migrations, there is a slight reduction in the intensity of movements with patterns similar to those of the autochthonous population. However, this drop in numbers is very significant among Asians and barely noticeable among immigrants from Latin America. [ABSTRACT FROM AUTHOR]

This study attempts to understand how people with disabilities (PwDs) interpret the dimensions that they consider important when on holiday. By understanding these dimensions, it becomes possible to identify and remove barriers to holiday-making and improve customer satisfaction. In particular, the study focuses on (a) what having a holiday means for PwDs and how travelling affects their lives; (b) the process of decision-making when PwDs organise a tourist experience; and (c) the roles played by travelling companions, associations and tourism companies. To that end, rich qualitative data were collected through 25 in-depth interviews with people with reduced mobility. Findings suggest that tourist experiences had a decisive impact on the perspective that PwDs have of their disability in their daily lives, with the feeling of independence being a crucial aspect. Factors such as limited negotiating scope, necessity of a care assistant, knowledge of the destination language or availability of state aid influence the decision-making process. Due to a particular service provided at Spanish stations, It is found that the train is the most valued transport for PwDs within Spain. This study contributes to accessible tourism theory by providing insights into the complexity of travelling with a disability and its impact on people's daily lives. [ABSTRACT FROM AUTHOR]

Background: Different designs of ophthalmic lenses have been studied to control the progression of myopia in children. This study aims to evaluate the short-term efficacy of a new design of ophthalmic lens with asymmetric myopic peripheral defocus (MPDL) on myopia progression in children compared to a control group wearing a single-vision lens (SVL). Methods: Children aged 5 to 12 with myopia up to −0.50 D, astigmatism and anisometropia under 1.50 D, and corrected visual acuity over 20/20 were randomized to either the study group (MPDL) or control group (SVL). The myopia progression was evaluated by measuring axial length (AL) growth (IOL Master; Zeiss) over a period of one year. Results: Ninety-two subjects were recruited. Forty-six children were randomly assigned to the control group, and 46 to the study group. In total, 83 children completed the clinical trial, with a mean age of 10.81 [9.53–11.92] years, among which 59.04% were female. After one year of treatment, there was less AL elongation in the study group compared to the control group (0.16 ± 0.16 mm vs. 0.24 ± 0.16 mm, p = 0.034). Conclusions: The MPDL significantly reduced the absolute growth of AL by 39% (p = 0.014) and relative growth of AL by 37.3% (p = 0.012) after 12 months in comparison to the control group in a Spanish population. [ABSTRACT FROM AUTHOR]

In Spain, several local studies have highlighted the likely presence of unknown olive cultivars distinct from the approximately 260 ones previously described in the literature. Furthermore, recent advancements in identification techniques have significantly enhanced in terms of efficacy and precision. This scenario motivated a new nationwide prospecting effort aimed at recovering and characterizing new cultivated germplasm using high-throughput molecular markers. In the present study, the use of 96 ESTSNP markers allowed the identification of a considerable amount of new material (173 new genotypes) coming from areas with low intensification of production in different regions of Spain. As a result, the number of distinct national genotypes documented in the World Olive Germplasm Bank of IFAPA, Cñrdoba (WOGBC-ESP046) increased to 427. Likewise, 65 and 24 new synonymy and homonymy cases were identified, respectively. This rise in the number of different national cultivars allowed to deepen the knowledge about the underlying genetic structure. The great genetic variability of Spanish germplasm was confirmed, and a new hot spot of diversity was identified in the northern regions of La Rioja and Aragon. Analysis of the genetic structure showed a clear separation between the germplasm of southern and northern-northeastern Spain and indicated a significantly higher level of admixture in the latter. Given the expansion of modern olive cultivation with only a few cultivars, this cryptic germplasm is in great danger of disappearing. This underlines the fact that maintaining as many cultivars as possible will increase the genetic variability of the olive gene pool to meet the future challenges of olive cultivation. [ABSTRACT FROM AUTHOR]

This article discusses perineal injuries caused by bullfighting trauma. While perineal injuries are not common in trauma cases, they can be severe and have specific characteristics. Bull horn injuries are particularly common in Ibero-American countries, such as Spain, where bullfighting is part of the culture. These injuries can be devastating and may require emergency surgery. The article emphasizes the importance of understanding and properly managing perineal injuries involving the sphincter complex. [Extracted from the article]

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Aim: To translate and culturally adapt the FRAIL scale into Spanish and perform a preliminary test of diagnostic accuracy in patients admitted to intensive care units. Design: Cross‐sectional diagnostic study. Methods: Five intensive care units (ICU) in Spain were participated. Stage 1: Three native Spanish‐speaking bilingual translators familiar with the field of critical care translated the scale from English into Spanish. Stage 2: Three native English‐speaking bilingual translators familiar with critical care medicine. Stage 3: Authors of the original scale compared the English original and back‐translated versions of the scale. Stage 4: Five nurses with more than 5 years of ICU experience and five critical care physicians assessed the comprehension and relevance of each of the items of the Spanish version in 30 patients of 3 different age ranges (<50, 50–65 and >65 years). Results: The FRAIL scale was translated and adapted cross‐culturally for patients admitted to intensive care units in Spain. The process consisted of four stages: translation, back translation, comparison and pilot test. There was good correspondence between the original scale and the Spanish version in 100% of the items. The participating patients assessed the relevance (content validity) and comprehensibility (face validity) of each of the items of the first Spanish version. The relevance of some of the items scored low when the scale was used in patients younger than 65 years. Conclusions: We have cross‐culturally adapted the FRAIL scale, originally in English, to Spanish for its use in the critical care medical setting in Spanish‐speaking countries. Implications for Professionals: Physicians and nurses can apply the new scale to all patients admitted to the intensive care units. Nursing care can be adapted according to frailty, trying to reduce the side effects of admission to these units for the most fragile patients. Reporting Method: The manuscript's authors have adhered to the EQUATOR guidelines, using the COSMIN reporting guideline for studies on the measurement properties of patient‐reported outcome measures. Patient or Public Contribution: In a pilot clinical study, we applied the first version of the FRAIL‐Spain scale to intensive care unit (ICU) patients. Five nurses with more than 5 years of ICU experience and five critical care physicians assessed the relevance (content validity) and comprehensibility (face validity) of the five items of the first Spanish version. Relevance was assessed using a 4‐point Likert scale ranging from 1 (no relevance) to 4 (high relevance), and comprehensibility was assessed as poor, acceptable or good. Each health professional applied the scale to three patients (total number of patients = 30) of three different age ranges (<50, 50–65 and >65 years) and recorded the time of application of the scale to each patient. Although the frailty scales were initially created by geriatricians to be applied to the elders, there is little experience with their application in critically ill patients of any age. Therefore, more information is needed to determine the relevance of using this scale in critical care patients. In this pilot study, we considered that nurses and critical care physicians should evaluate frailty using this adapted scale in adult patients admitted to the Intensive Care Units. [ABSTRACT FROM AUTHOR]

• prevalence of msHTG (500–879 mg/dl) and sHTG (≥ 880 mg/dl) was 0.7% and 0.2%, respectively. • msHTG and sHTG were more prevalent in middle-aged persons and in men. • Secondary causes of HTG were present in most msHTG and sHTG cases. • Obesity and uncontrolled DM were more prevalent in patients with msHTG and sHTG. • Uncontrolled DM and GGT >100 U/L were most strongly associated with msHTG/sHTG. Hypertriglyceridemia (HTG) increases the risk of cardiovascular disease and pancreatitis, and its prevalence varies across populations. To determine the prevalence of moderate-to-severe hypertriglyceridemia (msHTG, 500–879 mg/dl) and severe hypertriglyceridemia (sHTG, ≥ 880 mg/dl) in a primary care population in Catalonia, Spain, and to categorize them according to presence/absence of factors potentially causing HTG. Retrospective analysis of clinical and laboratory data in SIDIAP (Information System for the Development of Primary Care Research) from 2010, 2013, 2016, and 2019. We considered medications with hypolipidemic effects and those potentially increasing TG levels. We developed logistic regression models adjusted by age and sex to calculate the probability of having ms/sHTG according to covariates of interest. In the study years, 36.2‒42.0% of the >3.5 million active primary care users had ≥1 TG determination. Prevalence for msHTG was 0.7% and for sHTG 0.2% among those with recorded TG. In 2019, 54.7% were female; median (IQR) age was 62.5 (49.4‒73.7) years. Prevalence was higher in 36‒50-year-old persons (1.3% msHTG, 0.4% sHTG) and men (1.1% msHTG, 0.3% sHTG). Most cases were associated with secondary and <20% with non-secondary causes, the latter being most prevalent in young patients. The secondary causes more strongly associated with msHTG/sHTG were obesity, uncontrolled diabetes mellitus (DM) and gamma-glutamyl transferase >100 U/L. The prevalence of msHTG was 0.7% and that of sHTG was 0.2% between 2010 and 2019 among individuals with recorded TG. msHTG/sHTG most often affected men around their fifties and people with obesity and uncontrolled DM. Most msHTG and sHTG cases were associated with the presence of secondary causes. [ABSTRACT FROM AUTHOR]

In Spain and other Mediterranean countries, significant quantities of semi-solid olive mill waste are generated, which should be preferentially applied to agricultural soils to close nutrient cycles. However, two-phase olive mill waste (termed alperujo in Spanish) is known to pose risks to soil quality and plant production when applied to soil in large quantities. Alperujo has high contents of polyphenol substances, which can inhibit microbial growth and are also phytotoxic in nature. However, when applied in appropriate quantities and following specific methods, it is possible that the practice may not pose any risks, and this requires evaluation. As a waste management option, direct application of alperujo can supply plant nutrients and organic matter to degradation-prone Mediterranean soils. In order to validate this circular economy fertilization and soil protection strategy, an 18-month field experiment was undertaken, applying moderate quantities of alperujo on permanent crop groves throughout the Spanish region of Valencia. Eleven experimental parcels with permanent crops managed by farmers were identified to test two scenarios: a single application of 10 t/ha, and a second application of 10 t/ha after 10 months. Soil chemical parameters were assessed at 0, 6, 10, and 18 months. Soil organic carbon, total Kjeldahl nitrogen, pH, electrical conductivity, nitrates, and polyphenol contents were modified by alperujo application, but these effects were highly transient in nature, with generally no lasting effects after 4–6 months for either application scenario. Also, qualitative evaluations carried out by farmers revealed few effects, although some reductions in erosive processes and improvements in plant vigor were noted. As such, based on the measured parameters, it is concluded that the direct soil application of alperujo olive mill wastes at low application rates did not lead to any lasting detrimental effects on soil quality or compromise the productivity of permanent crops in this Mediterranean region. [ABSTRACT FROM AUTHOR]

An introduction is presented in which the editor discusses articles in the issue on topics including "Bibliometric study of the scientific production on music education in Spain (1978–2022)", and "Instrumental practice to shape character".

This study investigated the formulation of verb argument structure in Catalan- and Spanish-speaking children with specific language impairment (SLI) and typically developing age-matched controls. We compared how language production can be guided by conceptual factors, such as the organization of the entities participating in an event and knowledge regarding argument structure. Eleven children with SLI (aged 3;8 to 6;6) and eleven control children participated in an eye-tracking experiment in which participants had to describe events with different argument structure in the presence of visual scenes. Picture descriptions, latency time and eye movements were recorded and analyzed. The picture description results showed that the percentage of responses in which children with SLI substituted a non-target verb for the target verb was significantly different from that for the control group. Children with SLI made more omissions of obligatory arguments, especially of themes, as the verb argument complexity increased. Moreover, when the number of arguments of the verb increased, the children took more time to begin their descriptions, but no differences between groups were found. For verb type latency, all children were significantly faster to start describing one-argument events than two- and three-argument events. No differences in latency time were found between two- and three-argument events. There were no significant differences between the groups. Eye-movement showed that children with SLI looked less at the event zone than the age-matched controls during the first two seconds. These differences between the groups were significant for three-argument verbs, and only marginally significant for one- and two-argument verbs. Children with SLI also spent significantly less time looking at the theme zones than their age-matched controls. We suggest that both processing limitations and deficits in the semantic representation of verbs may play a role in these difficulties. (Contains 4 tables, 11 figures and 1 note.)

The ability of early hominins to overcome the constraints imposed by the characteristics of raw materials used for stone tool production is a key topic on the discussion about the evolution of hominin cognitive capabilities and technical behaviours. Thus, technological variability has been the centrepiece on this debate. However, the variability of lithic assemblages cannot be correctly interpreted without understanding site occupational models and function and considering that individual tools represent specific discard moments in a continuous reduction process. In Europe, the earliest technological record is represented by the scarce and scattered Mode 1 technologies, often deriving from occasional occupations or restricted activity areas yielding unrepresentative assemblages. In this paper, we approach the technological behaviours exhibited by Lower Palaeolithic hominins from the subunit TD6.2 of the Gran Dolina site (Atapuerca, Burgos) by including the perspective of reduction intensity studies on the analysis of technological variability. Gran Dolina TD6.2 is a unique and extremely significant archaeological context, as it represents the oldest multi-layered unit of domestic hominin occupations in the Early Pleistocene of Europe. We use the Volumetric Reconstruction Method (VRM) to estimate the original volume of the blanks and quantify the reduction intensity of each core individually to characterise the reduction distribution patterns using Weibull probability distribution functions. Our results suggest differential raw material management in terms of reduction intensity, according to the characteristics of each lithology. This could reflect a solid understanding of raw material qualities and a certain degree of planning. Altogether, the continuity between knapping strategies through reduction denotes constant adaptation to raw material constraints as well as particular knapping conditions, rather than specific compartmentalised mental schemes. In conclusion, Homo antecessor toolmakers would have been situational knappers whose technological behaviour would be highly adaptive. This research constitutes the first reduction approach for the European Early Pleistocene assemblages that will lead to a referential framework for other European Early Pleistocene sites. [ABSTRACT FROM AUTHOR]

Introduction: People living with HIV who are lost to follow‐up have a greater risk of health deterioration, mortality, and community transmission. Objective: Our aim was to analyse both how rates of loss to follow‐up (LTFU) changed between 2006 and 2020 and how the COVID‐19 pandemic affected these rates in the PISCIS cohort study of Catalonia and the Balearic Islands. Methods: We analysed socio‐demographic and clinical characteristics of LTFU yearly and with adjusted odds ratios to assess the impact of these determinants on LTFU in 2020 (the year of COVID‐19). We used latent class analysis to categorize classes of LTFU based on their socio‐demographic and clinical characteristics at each year. Results: In total, 16.7% of the cohort were lost to follow‐up at any time in the 15 years (n = 19 417). Of people living with HIV who were receiving follow‐up, 81.5% were male and 19.5% were female; of those who were lost to follow‐up, 79.6% and 20.4% were male and female, respectively (p < 0.001). Although rates of LTFU increased during COVID‐19 (1.11% vs. 0.86%, p = 0.024), socio‐demographic and clinical factors were similar. Eight classes of people living with HIV who were lost to follow‐up were identified: six for men and two for women. Classes of men (n = 3) differed in terms of their country of birth, viral load (VL), and antiretroviral therapy (ART); classes of people who inject drugs (n = 2) differed in terms of VL, AIDS diagnosis, and ART. Changes in rates of LTFU included higher CD4 cell count and undetectable VL. Conclusions: The socio‐demographic and clinical characteristics of people living with HIV changed over time. Although the circumstances of the COVID‐19 pandemic increased the rates of LTFU, the characteristics of these people were similar. Epidemiological trends among people who were lost to follow‐up can be used to prevent new losses of care and to reduce barriers to achieve Joint United Nations Programme on HIV/AIDS 95‐95‐95 targets. [ABSTRACT FROM AUTHOR]

The present study investigates the interplay between proficiency and empathy in the development of second language (L2) prosody by analyzing the perception and processing of intonation in questions and statements in L2 Spanish. A total of 225 adult L2 Spanish learners (L1 English) from the Northeastern United States completed a two-alternative forced choice (2AFC) task in which they listened to four utterance types and categorized them as either questions or statements. We used Bayesian multilevel regression and drift diffusion modeling to analyze the 2AFC data as a function of proficiency level and empathy scores for each utterance type. We show that learner response accuracy and sensitivity to intonation are positively correlated with proficiency, and this association is affected by individual empathy levels in both response accuracy and sentence processing. Higher empathic individuals, in comparison with lower empathic individuals, appear to be more sensitive to intonation cues in the process of forming sound-meaning associations, though increased sensitivity does not necessarily imply increased processing speed. The results motivate the inclusion of measures of pragmatic skill, such as empathy, to better account for intonational meaning processing and sentence comprehension in second language acquisition. [ABSTRACT FROM AUTHOR]

Simple Summary: To our knowledge, this is the first study to use free text from electronic healthcare records as a data source extracted with natural language processing to characterize the clinical characteristics and management of patients with chronic lymphocytic leukemia. A total of 534 included patients were stratified regarding the type of therapeutic management during the study period. Our results highlight the increased use of drugs directed to specific target therapies and the lower frequency of treatment with chemoimmunotherapy both in the first line and in relapsed/refractory settings in our sample of seven academic hospitals from 2016 to 2018. This real-world evidence study provides information on the diversity of clinical features and treatment patterns of chronic lymphocytic leukemia, evidencing the need to optimize patients' clinical management through personalizing their therapeutic approach. The SRealCLL study aimed to obtain real-world evidence on the clinical characteristics and treatment patterns of patients with chronic lymphocytic leukemia (CLL) using natural language processing (NLP). Electronic health records (EHRs) from seven Spanish hospitals (January 2016–December 2018) were analyzed using EHRead® technology, based on NLP and machine learning. A total of 534 CLL patients were assessed. No treatment was detected in 270 (50.6%) patients (watch-and-wait, W&W). First-line (1L) treatment was identified in 230 (43.1%) patients and relapsed/refractory (2L) treatment was identified in 58 (10.9%). The median age ranged from 71 to 75 years, with a uniform male predominance (54.8–63.8%). The main comorbidities included hypertension (W&W: 35.6%; 1L: 38.3%; 2L: 39.7%), diabetes mellitus (W&W: 24.4%; 1L: 24.3%; 2L: 31%), cardiac arrhythmia (W&W: 16.7%; 1L: 17.8%; 2L: 17.2%), heart failure (W&W 16.3%, 1L 17.4%, 2L 17.2%), and dyslipidemia (W&W: 13.7%; 1L: 18.7%; 2L: 19.0%). The most common antineoplastic treatment was ibrutinib in 1L (64.8%) and 2L (62.1%), followed by bendamustine + rituximab (12.6%), obinutuzumab + chlorambucil (5.2%), rituximab + chlorambucil (4.8%), and idelalisib + rituximab (3.9%) in 1L and venetoclax (15.5%), idelalisib + rituximab (6.9%), bendamustine + rituximab (3.5%), and venetoclax + rituximab (3.5%) in 2L. This study expands the information available on patients with CLL in Spain, describing the diversity in patient characteristics and therapeutic approaches in clinical practice. [ABSTRACT FROM AUTHOR]

Copyright of Revista Española de Documentación Científica is the property of Consejo Superior de Investigaciones Cientificas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The COVID-19 pandemic has posed a significant global threat, leading to several initiatives for its control and management. One such initiative involves wastewater-based epidemiology, which has gained attention for its potential to provide early warning of virus outbreaks and real-time information on its spread. In this study, wastewater samples from two wastewater treatment plants (WWTPs) located in the southeast of Spain (region of Murcia), namely Murcia, and Cartagena, were analyzed using RT-qPCR and high-throughput sequencing techniques to describe the evolution of SARS-CoV-2 in the South-East of Spain. Additionally, phylogenetic analysis and machine learning approaches were applied to develop a pre-screening tool for the identification of differences among the variant composition of different wastewater samples. The results confirmed that the levels of SARS-CoV-2 in these wastewater samples changed concerning the number of SARS-CoV-2 cases detected in the population, and variant occurrences were in line with clinical reported data. The sequence analyses helped to describe how the different SARS-CoV-2 variants have been replaced over time. Additionally, the phylogenetic analysis showed that samples obtained at close sampling times exhibited a higher similarity than those obtained more distantly in time. A second analysis using a machine learning approach based on the mutations found in the SARS-CoV-2 spike protein was also conducted. Hierarchical clustering (HC) was used as an efficient unsupervised approach for data analysis. Results indicated that samples obtained in October 2022 in Murcia and Cartagena were significantly different, which corresponded well with the different virus variants circulating in the two locations. The proposed methods in this study are adequate for comparing consensus sequence types of the SARS-CoV-2 sequences as a preliminary evaluation of potential changes in the variants that are circulating in a given population at a specific time point. [ABSTRACT FROM AUTHOR]

Background: This study investigated verb argument structure effects in children with specific language impairment (SLI). Aims: A picture-naming paradigm was used to compare the response times and naming accuracy for nouns and verbs with differing argument structure between Spanish-speaking children with and without language impairment. Methods & Procedures: Twenty-four children with SLI (ages 5;3-8;2 [years;months]), 24 age-matched controls (ages 5;3-8;2), 24 MLU-w controls (ages 3;3-7;1 years), and 31 adults participated in a picture-naming study. Outcomes & Results: The results show all groups produced more correct responses and were faster for nouns than all verbs together. As regards verb type accuracy, there were no differences between groups in naming one-argument verbs. However, for both two- and three-argument verbs, children with SLI were less accurate than adults and age-matched controls, but similar to the MLU-matched controls. For verb type latency, children with SLI were slower than both the age-matched controls and adults for one- and two-argument verbs, while no differences were found in three-argument verbs. No differences were found between children with SLI and MLU-matched controls for any verb type. Conclusions & Implications: It has been shown that the naming of verbs is delayed in Spanish children with SLI. It is suggested that children with SLI may have problems encoding semantic representations. (Contains 7 tables, 3 figures, and 1 note.)

This study investigates narrative comprehension and production in children with specific language impairment (SLI). Twelve children with SLI (mean age 5;8 years) and 12 typically developing children (mean age 5;6 years) participated in an eye-tracking experiment designed to investigate online narrative comprehension and production in Catalan- and Spanish-speaking children with SLI. The comprehension task involved the recording of eye movements during the visual exploration of successive scenes in a story, while listening to the associated narrative. With regard to production, the children were asked to retell the story, while once again looking at the scenes, as their eye movements were monitored. During narrative production, children with SLI look at the most semantically relevant areas of the scenes fewer times than their age-matched controls, but no differences were found in narrative comprehension. Moreover, the analyses of speech productions revealed that children with SLI retained less information and made more semantic and syntactic errors during retelling. Implications for theories that characterize SLI are discussed. (Contains 7 tables, 4 figures and 1 note.)

The London Communique of the Conference of Ministers responsible for Higher Education in the countries participating in the Bologna Process (2007) emphasized as priorities for 2009 the "action taken at national level to promote the mobility of students and staff, including measures for future evaluation". Certain responsibilities are incumbent upon the various member states while others fall to the universities themselves. The present study explores student perceptions of the policies and programmes to encourage this mobility in four public universities in Spain, representative in their variety, size, and level of student mobility. The aim of the study was to determine how students view the usefulness and the importance of the information and the mobility programmes offered by their universities, as well as the value of the various sources and contents of such information. The results are based on a survey administered to 2427 students who had already made the decision to go abroad the following academic year and who were in the process of being selected and completing the final application details before departure. The results provide interesting information on the need for universities to enhance their strategies and policies to facilitate student mobility. (Contains 7 tables and 5 figures.)

In this article we examine language processing and development in Catalan or Spanish-speaking children with SLI, focusing on the study of the verb. We analyse the key initial phase of its process of acquisition and aim to define common features of the SLI group that distinguish them from children with normal language development. We intend to identify more precisely the kind of delay shown by these children in a language with a rich verb morphology, in terms of both structure and chronology. The sample comprised 18 Catalan-Spanish bilingual pre-school children, assigned to three groups of six; an SLI group and two control groups, one matched for age and the other matched for MLU-w. Developmental data were obtained by recording situations of spontaneous speech at two different time points. Certain differences were found between groups in verb production. Production of verb inflection by children with SLI was only partial at the first evaluation; they maintained the same percentage of errors after a year. The patterns of correct and incorrect verb forms found in Catalan and Spanish do not corroborate the EOI hypothesis, but they support the Surface Hypothesis, given that the number of errors is not particularly high. This suggests the presence of limitations in subjects' processing ability, linked to the typological characteristics of the specific language being learnt. (Contains 13 tables and 7 notes.)

Purpose: The purpose of this paper is to present findings derived from research work carried out by a team of six university lecturers who are members of a teaching quality improvement network. The aim is to increase the motivation of the lecturers involved, so that better performance can be achieved, and the teaching-learning process enriched. Design/methodology/approach: Three complementary performance measures are used: students' active participation; lecturers' personal reflections; and lecturer peer-to-peer assessment. Findings: These tools have provided the teaching staff with information about their strengths and weaknesses, as a consequence of which they have learned to deploy their skills inside the classroom and prepare their subjects more effectively. In this way, it is shown that the public teaching system can assess the potential of its human resources, and increase their motivation. Originality/value: From an institutional point of view, performance quality assessment practices can also help to design training and development programmes that adapt the individual needs identified to the educational goals of today's universities. (Contains 2 figures.)

Given the evident potential shown by developing new technologies, there are increasingly more companies that develop and implement training programs that use the new-technology-based facilities. Likewise, suppliers developing new-technology-based programs have emerged seeking greater effectiveness and cost reduction as opposed to traditional education. The purpose of this research is to analyze and understand the training program delivered by a Spanish bank. The main research should address the following question: What factors influence, and in what way, the adoption of technology-based training programs and such programs' success and goal attainment? To the main question, research questions should be added that focus on the following issues: What are the factors regarding content and how do they influence the adoption of technology-based training programs and such programs' goal attainment? What are the factors regarding learners and how do they influence the adoption of technology-based training programs and such programs' goal attainment? What are the factors regarding tutors and how do they influence the adoption of technology-based training programs and such programs' goal attainment? What are the factors regarding technology and how do they influence the adoption of a technology-based training program and such programs' goal attainment? This research was based on case study. Emphasis was placed on the data collection and its analysis and interpretation to minimize validity and reliability problems. Data was collected through interviews with training directors, e-learning project head, participants and tutors. Other sources used were observations, documents and file records. Fourteen factors influencing the use and success of a new-technology based training program have been found. Some of the factors that emerged were: type of course content, teaching mode, course evaluation system, course development process, participant's profile, professional tutor profile and technology satisfaction. Finally, these factors were grouped into four components: content, participant, tutor and technology. The results of this study may contribute to future research on this issue developed mainly under a firm context. The conceptual framework developed could be the basis for future research, as it holistically examines several factors intervening in the success of a training program. The framework could also be useful to give a complete view of the issue or a more specific one when examining each factor separately, as opposed to other studies developed which examine two or three factors together. (Contains 2 tables.)

Copyright of Journal of Applied Ecology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aims: To assess the results of a nursing‐led program to treatment of minor health issues from Catalan health institute primary care teams during 2019 and 2020. Background: In 2009, the Catalan health institute implemented a nursing program to deal with minor health problems. This nursing‐led program includes an algorithm for each of the minor health problems and arose as a strategy to reorganise the flow of demand for care in primary care. Design: A cross‐sectional design. Methods: Multicentric cross‐sectional study. 392 primary care teams from the Catalan health institute participated in the study. STROBE guideline was followed in reporting this study. Patients attending any of the participating centres requesting a same‐day consultation for minor health issues were registered. Results: A total of 21,215,278 consultations were recorded: 18,284,105 for adult and 2,931,173 for paediatric patients. Minor health issue resolved by the nurse was achieved in 50.9% of adult patients and 55.4% of paediatric patients. The highest rates of resolution in adults (>85%) were as follows: burns, emergency contraception and injuries. The highest resolution rates (>84%) were as follows: burns, breastfeeding difficulties and infant colic. 87.7% of prescriptions issued by nurses were accepted by the family physician. Conclusions: The nursing‐led program to treat minor health issues has been shown to present acceptable resolution for nurses in a large primary care setting. Nurses have been carrying out prescription activities with very favourable results. Relevance to clinical practice: This study demonstrates that care provided to patients by nurses for minor health issues requiring preferential resolution is effective. Our results are useful in that they confirm both the effectiveness of the nursing‐led program for minor health issues and the pharmacological prescriptions produced during patient appointments. Patient or public contribution: Patient's data were obtained through a program records system after the minor health issues appointments. [ABSTRACT FROM AUTHOR]

Copyright of Reumatología Clínica is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Attempts to create a national opera in Spain repeatedly failed throughout the 19th century. Some authors have attributed this phenomenon to a deficit in the nationalization process. Others, to the contrary, have proved that there was a strong sense of Spanish national musicality from the middle of the 19th century onward. This article tries to explain this paradox underlining some essential elements that are not always attended by specialists: the importance of transnational, social, and economic dynamics that interfered in the process of the cultural construction of modern national identities. The projects of the Spanish nationalist intellectuals of the 19th century in relation to the definition of a national music were marked by the Romantic construction of Spanish musical exoticism, the new industry of entertainment, the existential situation of Spanish musicians, the formation of new artistic and musical fields, and the appearance of new forms of social distinction in the aftermath of the Spanish Liberal Revolution of the 1830s. [ABSTRACT FROM AUTHOR]

Purpose: In recent years, consumers have been demanding for sustainable practices, even more so after COVID-19, so fashion companies need to intensify their commitment to corporate social responsibility (CSR) practices. However, although the sector is characterized by a strong brand–customer orientation and high online activity, little attention has been paid to the role of brand image and the management of social media (SM) strategies. The purpose of this study was to develop an integrative model that includes the drivers of CSR in fashion small- and medium-sized enterprises (SMEs) and their relationship with business performance. The researchers also analyzed the country and level of internationalization effects of these companies. Design/methodology/approach: With a sample of 212 fashion SMEs from Spain and the UK, two of the biggest European fashion producers and consumers, a variance-based structural equation modeling (partial least squares structural equation modeling) technique was carried out to test the model proposed. Findings: This study demonstrated that branding and SM strategies are drivers of CSR practices in fashion SMEs. It also confirmed the positive CSR–performance relationship, the moderating country effect and the mediating role of internationalization in this relationship. Originality/value: The study contributes to the literature on CSR drivers in SMEs and their relationship with performance by combining different perspectives. The results can be used to encourage fashion SMEs' commitment to environmental sustainability practices and internationalization, as this can contribute to improving their performance. [ABSTRACT FROM AUTHOR]

News media coverage, regardless of the platform being used, can shape people's opinions, perceptions, behaviors, and preferences about policy, security, and civil liberties in times of crisis. This study examines the possible cultivation impact of news post exposure on Facebook on shaping threat perception. Furthermore, it aims at exploring the correlation between Facebook news exposure, preferring high security levels, and curbing some civil liberties during the COVID-19 pandemic. For this, we used the survey method (N = 1309) with youths aged 18-35 in the U.S., Spain, and Egypt. Our results showed that heavy news exposure on Facebook cultivated fear and terror perceptions during the COVID-19 pandemic. Moreover, it shaped people's preference for a tightened security environment and willingness to trade off some civil liberties. In other words, despite the different media and political systems, heavy news post consumption on Facebook can increase the tendency to give up civil liberty rights and prefer a more stringent security environment. [ABSTRACT FROM AUTHOR]

To verify, via a survey, the experience and needs of patients receiving methotrexate (MTX), their general management and the quality of the information provided by the rheumatologist. We conducted a 51-item online survey between May and July 2020 addressed to persons diagnosed with an immune-mediated disease and treated with MTX (regardless of the route of administration). Recruitment was done via Twitter. We obtained 294 responses, of which 283 were complete and could be analysed. Almost 82% of the respondents were women, 80% resided in Spain, 75% were between 31 and 60 years old, and 57% were active workers. Diseases included psoriasis (41%), lupus, Sjögren's or vasculitides (33%), and rheumatoid arthritis (16%), among others. Eighty per cent had read the leaflet inserted in the package, of whom 62% found it helpful. Only 15% of the respondents reported having been offered additional written material, which was considered barely functional (33 out of 100). Most patients (88%) responded that they had not received advice on any reliable sources to consult on the internet, and those who received it considered it unhelpful (24 out of 100). Patients receiving MTX due to an autoimmune disease demand more and better-quality written or web-based information than what is currently offered at their clinics. [ABSTRACT FROM AUTHOR]