Search

Background: A positive conception of sexuality among people with intellectual disabilities is crucial and relies on several social and interpersonal contexts. The goal of this study is to analyse the interaction and impact of three different contextual groups: individuals with intellectual disabilities, their parents, and professionals working with them. Methods: Survey data were collected from 330 people with intellectual disabilities attending occupational centres in eastern Spain, 330 parents, and 100 professionals. Results: Correlation and variance analyses of dyad-level data show significant differences among the three groups in all variables. Professionals perceived people with intellectual disabilities to have higher knowledge of socio-sexual norms than people with intellectual disabilities actually appear to be, but they are also more concerned about aspects related to this area of people with intellectual disabilities. Compared to people with intellectual disabilities and professionals, parents perceived people with intellectual disabilities to have lower sexual knowledge. Conclusions: Our study demonstrates inconsistent perceived knowledge of people with intellectual disabilities' socio-sexual norms and sexual knowledge among the three groups, leading to disparate levels of concern regarding people with intellectual disabilities sexuality. Thus, the need to collect information from different perspectives for more accurate reporting and the critical need for sex education programs that involve the target population, but also parents and professionals who frequently interact with people with intellectual disabilities are highlighted.

Purpose: The purpose of this study is to present Prof-teaching, an Englishmedium instruction (EMI) lecturer training program at the University of Alicante (UA) and to determine if it meets the needs of the institution's current and prospective EMI lecturers. Design/methodology/approach: In this case study, the EMI lecturer professional development program is described along with the surveys and course evaluations carried out to assess its effectiveness. The description focuses on the UA context, the key factors that promoted Prof-teaching, as well as the objectives and components of its three modules. Course participants' teaching experiences, needs and challenges are compared together with their course evaluations, which consisted of quality assurance questionnaires for each module. Findings and originality/value: The findings not only provide evidence of the program's benefits, but also highlight the importance of collaborative efforts among diverse university units to implement EMI training initiatives, as well as to conduct periodic needs analysis and quality evaluations. An interesting result was that experienced EMI lecturers claimed that pedagogical training was more important than developing linguistic competence. It is recommended that programs provide lecturers with support technology and mentoring schemes with previously trained EMI content lecturers who already have experience teaching their subjects in English.

This quasi-experimental study analyses the effects of an awareness intervention programme with five different branches designed to improve the attitudes of physical education (PE) students towards the inclusion of classmates with disabilities. The contact (yes/no) and its frequency (×1 vs. ×3) with para-athletes, the duration of the programme (1 vs. 6/7 sessions), and the provision of teaching strategies and materials (yes/no) were manipulated. The study involved 603 students aged 14-19 from five public educational centres in southern Spain. Attitudes were assessed pre- and post-intervention with the Spanish version of the Children's Attitude towards Integrated Physical Education (general and specific subscales) and the Scale of Attitudes towards Students with Disabilities in PE. The three groups having contact with para-athletes during the interventions improved in the three attitude variables (p < 0.05; -0.20 < d < -0.24). Pairwise comparisons of the improvement ratios also revealed several positive effects of the intervention duration and provision of teaching strategies (p < 0.05; -0.07 < d < 0.18). These findings could assist PE teachers in educating students to improve their knowledge and attitudes towards people with disabilities, having different strategies and resources to conduct awareness interventions based on para-sports in their regular PE classes.

Individuals with intellectual disabilities need an affective and sexual education adapted to their characteristics. There are few interventions that meet these objectives and offer empirical evidence of their efficacy. To respond to the limitations of existing interventions, an evidence-based affective-sexual educational intervention for adults with a mild degree of intellectual disability is proposed: SALUDIVERSEX. Participants will be randomly assigned to an intervention group that will receive the SALUDIVERSEX program or to a waiting list group. The intervention will be implemented by educators of occupational centers after a thorough training phase. Our main hypothesis is that the SALUDIVERSEX program will improve the sexual health and quality of life, through the joint action built into three components: the acquisition of basic information, the development of skills and strategies and the achievement of healthy attitudes towards the experience and expression of sexuality. The results of this approach could have important implications for optimizing the quality of life and self-determination of individuals with Intellectual disability by contributing to the development of healthy sexuality. [ABSTRACT FROM AUTHOR]

Background: Studies have shown the role played by perceived self-efficacy in explaining condom negotiation and condom use. Aims: The factorial structure and the psychometric properties of the Brief Condom Use Self-Efficacy Scale are presented. Method: The study included 368 men and 456 women aged 17 to 55 years (M[subscript age] = 25.01, SD = 6.93). Results: Exploratory factor analysis yielded three factors: fear of rejection, impulse control, and condom acquisition and negotiation, which together accounted for 68% of the total variance. That structure was confirmed through confirmatory factor analysis. Cronbach's alpha for the Brief Condom Use Self-Efficacy Scale was 0.71. The scale provided adequate convergent validity, and positive correlations were observed between self-reported condom use and self-efficacy for use of other barrier methods. Discussion: This brief instrument could be a useful and appropriate measure to assess the types of condom use self-efficacy that occur at the different moments of a sexual relationship.

Assessment is a key component of the education process and strategies involving peer-feedback are considered beneficial to student learning. This study aims to analyse the benefits giving and receiving feedback have for students' development of cognitive and metacognitive, affective and professional competences. One-hundred and eighty-eight students enrolled in teacher education answered a survey. Results indicate that, after providing feedback, the students perceived a better learning experience and an increased sense of commitment to their own learning and their colleagues' progress. A key finding from this study was the role of students in their own learning. As most participants recognised, providing feedback helped them improve their learning, which is a clear indicator that students want to adopt an active role in their own learning and consider their involvement critical in the design of teaching and learning experiences. To achieve the greatest advantages, feedback must be accompanied by tutoring and mentoring to ensure positive connections with the task, address doubts and clarify the comments received.

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]

Objectives: The microcystic, elongated and fragmented pattern of invasion can be associated with an underestimation of the depth of myometrial invasion by imaging techniques. We aimed to evaluate the influence of microcystic, elongated and fragmented pattern of invasion in the diagnostic performance of transvaginal ultrasound scan and magnetic resonance imaging for the prediction of the depth of myometrial invasion in low-grade endometrioid endometrial carcinomas. Methods: Prospective and consecutive study including all low-grade (G1-G2) endometrioid endometrial carcinomas diagnosed between October 2013 and July 2018 in a tertiary hospital. Preoperative staging was performed with transvaginal ultrasound scan and/or magnetic resonance imaging followed by surgical staging. Final histology was considered as the reference standard. Sensitivity, specificity and diagnostic accuracy for the prediction of depth of myometrial invasion was calculated for both imaging techniques. The STARD 2015 guidelines were used. Results: A total of 136 patients were consecutively included. Transvaginal ultrasound scan was performed in 132 patients and magnetic resonance imaging in 119 patients. The diagnostic accuracy of transvaginal ultrasound scan for the prediction of depth of myometrial invasion in the microcystic, elongated and fragmented negative group (82% (95% confidence interval = 73–88)) was higher compared to the microcystic, elongated and fragmented positive group (61% (95% confidence interval = 36–83)). The diagnostic accuracy of magnetic resonance imaging was also higher in the microcystic, elongated and fragmented negative group (80% (95% confidence interval = 71–87)) compared to the microcystic, elongated and fragmented positive (47% (95% confidence interval = 21–73)). Conclusions: In low-grade endometrioid endometrial carcinomas with a positive microcystic, elongated and fragmented pattern of invasion, the evaluation of the depth of myometrial invasion using transvaginal ultrasound scan and magnetic resonance imaging may be underestimated. [ABSTRACT FROM AUTHOR]

Background: There are currently no models for the transition of patients with metabolic bone diseases (MBDs) from paediatric to adult care. The aim of this project was to analyse information on the experience of physicians in the transition of these patients in Spain, and to draw up consensus recommendations with the specialists involved in their treatment and follow-up. Methods: The project was carried out by a group of experts in MBDs and included a systematic review of the literature for the identification of critical points in the transition process. This was used to develop a questionnaire with a total of 48 questions that would determine the degree of consensus on: (a) the rationale for a transition programme and the optimal time for the patient to start the transition process; (b) transition models and plans; (c) the information that should be specified in the transition plan; and (d) the documentation to be created and the training required. Recommendations and a practical algorithm were developed using the findings. The project was endorsed by eight scientific societies. Results: A total of 86 physicians from 53 Spanish hospitals participated. Consensus was reached on 45 of the 48 statements. There was no agreement that the age of 12 years was an appropriate and feasible point at which to initiate the transition in patients with MBD, nor that a gradual transition model could reasonably be implemented in their own hospital. According to the participants, the main barriers for successful transition in Spain today are lack of resources and lack of coordination between paediatric and adult units. Conclusions: The TEAM Project gives an overview of the transition of paediatric MBD patients to adult care in Spain and provides practical recommendations for its implementation. [ABSTRACT FROM AUTHOR]

Lecture discourse has been conventionally known to be of a monological nature. However, lectures are more highly regarded if they allow for reciprocal discourse, especially for students of other languages who need help in understanding the content and in appropriating the language. In this paper, we will attempt a qualitative analysis of the interactive lecture discourse used by three lecturers and their non-native English speaking students of the English Studies Degree at the University of Alicante. The study includes a student survey, and a questionnaire given to lecturers to help us determine what are some of the conditions that will promote interaction between lecturers and students, as well as a summary of the beliefs of lecturers who habitually carry out interactive lectures. In combining the results of the diverse methodologies used, it was found that the presence of overt participation does not only depend on the participants' awareness of the conditions that may promote it, but also on an educational system that compensates lecturers for their effectiveness and rewards students for their participation.

Introduction: In Spain, the sexual route is the main route of transmission in new HIV diagnoses. Men who have heterosexual relations are the second group with the highest incidence of new HIV cases and have the highest rates of late diagnosis in Spain. Planning the response to the HIV epidemic requires specific and updated information on this group. This study aims to analyze sexual practices and frequency of condom use in heterosexual and bisexual men and identify variables that explain inconsistent condom use in vaginal intercourse. Methods: The sample consists of 386 men between 18 and 57 years of age (M = 24.61; SD = 6.74). Results: The results indicate that the percentage of consistent condom use in vaginal intercourse is 64.9%. Not consuming drugs before sexual intercourse, perceiving a high self-efficacy for condom use, and good assertive communication skills are factors that positively influence condom use. In contrast, a high level of sexual compulsivity is a risk factor. The proposed model explains between 29.1% and 40% of the variance. Conclusions: and Policy Implications. Preventive actions implemented in this group should include work sessions that focus on developing assertive skills, reducing risks associated with drug use, and providing cognitive strategies to cope with compulsive sexual thoughts. [ABSTRACT FROM AUTHOR]

Interactive lectures play an important role in improving comprehension and in enhancing communicative competence in the English language for EFL university students taking content lecture courses. This article considers the interactive discourse in lectures of the English Studies Department at the University of Alicante, Spain. It describes an empirical study which set out to describe and compare textual and interpersonal discursive aspects (i.e., personal pronouns, discourse markers, questions and negotiation of meaning) of three non-interactive and three interactive lectures. The interactive lectures were found to be characterized by a greater amount of personal pronouns, elicitation markers, display and referential questions, as well as the presence of negotiation of meaning. The findings of the comparative analysis were used to promote interaction in originally non-interactive lectures. It was found that an increase in the use of the linguistic aspects analyzed were a product of interaction and not necessarily the cause of it.

Featured Application: Port Environmental Management systems; automated spill and waste detection in port waters. Water quality and pollution is the main environmental concern for ports and adjacent coastal waters. Therefore, the development of Port Environmental Management systems often relies on water pollution monitoring. Computer vision is a powerful and versatile tool for an exhaustive and systematic monitoring task. An investigation has been conducted at the Port of Palma de Mallorca (Spain) to assess the feasibility and evaluate the main opportunities and difficulties of the implementation of water pollution monitoring based on computer vision. Experiments on surface slicks and marine litter identification based on random image sets have been conducted. The reliability and development requirements of the method have been evaluated, concluding that computer vision is suitable for these monitoring tasks. Several computer vision techniques based on convolutional neural networks were assessed, finding that Image Classification is the most adequate for marine pollution monitoring tasks due to its high accuracy rates and low training requirements. Image set size for initial training and the possibility to improve accuracy through retraining with increased image sets were considered due to the difficulty in obtaining port spill images. Thus, we have found that progressive implementation can not only offer functional monitoring systems in a shorter time frame but also reduce the total development cost for a system with the same accuracy level. [ABSTRACT FROM AUTHOR]

The scientific community has systematically ignored the needs of women who have sex with women (WSW). The invisibilization of romantic and sexual relationships between women has caused a profound lack of knowledge about the impact of HIV and other STIs on this population subgroup. This study aims to analyze the frequency of dental dam and condom use in WSW and identify the variables that explain the use of these two preventive methods. The sample is composed of 327 women aged between 18 and 60 years (M = 27.82; SD = 8.10). The results indicate that only 4.7% of those who practice cunnilingus and 5.2% of those who practice anilingus report "always" using dental dam (systematic use). Condoms are used systematically by 37.1% of those who practice vaginal penetration and 37.8% of those who practice anal penetration. Age, high perceived self-efficacy, and adequate assertive communication skills are variables significantly related to preventive behavior. The severity attributed to HIV and the perceived risk of infection are protective factors regarding dental dam use. For condom use, high levels of internalized homophobia and drug use are risk factors. Future preventive strategies should provide information on preventive strategies to WSW who, for different reasons, are not involved in LGBT contexts or associations and, therefore, do not have access to training activities and mistakenly believe that they are invulnerable as they do not have sexual relations with men. [ABSTRACT FROM AUTHOR]

Introduction: The lockdown due to COVID-19 affected the sexual health of the people with intellectual disabilities by differentially modifying the frequency and characteristics of people's sexual activity depending on whether or not they lived with a partner during this period. The aim of this study was to analyze the extent to which the sexual behavior of people with intellectual disabilities (with and without a partner) was affected during the lockdown. Methods: The sample consisted of 73 people with intellectual disabilities between 21 and 63 years old (M = 39.63; SD = 10.11). The variables analyzed were the physical, social, and technological environment during the lockdown, sexual appetite, sexual behavior, online sexual activity, and sexual abuse. The data were collected between the months of May and June of 2020. Results: The lockdown increased the sexual appetite of a third of the sample (38%), especially the youngest participants. Sexual activity focused on autoeroticism and online behavior, particularly sending nude images of oneself (88%) and viewing pornography (83.6%). Rates of sexual abuse during this period were relatively high (6.8%). Conclusions: The sexual activity of people with ID was important during the lockdown, and they had to adapt to the circumstances of isolation in a similar way to the general population. Technological improvements in terms of devices and connection quality at home allowed their sexual behavior to be reoriented, opening the door to new risks for the sexual health of people with ID. Policy Implications: Cybersex and the increase in sexual abuse due to confinement are aspects that should be included in programs to improve the sexual health of this group. [ABSTRACT FROM AUTHOR]

Underlying the idea of the middle classes there is a contradictory positionality, the relations of which ultimately enhance capital accumulation. By opening Marxist critique to Weberian approaches to class, we explain how the self‐ascription of short‐term rental (STR) suppliers to the middle‐class idea boosts exploitation and accumulation. Housing income, and recently that originating in STRs, has been used to maintain the symbolic and material status of the so‐called middle classes in Spain, and specifically in Palma. Based on statistical data analysis and interviews with STR suppliers, managers and workers, we analyse the contradictory class positionality of STR suppliers in Palma (Majorca, Spain). First, we argue, that STR suppliers are part of the middle classes since they bear attributes of rent, labour and also capital, as they employ workers to produce a tourism commodity. Second, we contend that STR overnight stays should not only be considered as land rent payments, but also as the sale of a tourism commodity. Third, we claim that the contradictory positionality of the middle classes fuels self‐exploitation, for STR suppliers misalign their interests with those of capital. [ABSTRACT FROM AUTHOR]

Background: Mucopolysaccharidosis (MPS) IVA or Morquio A syndrome is a progressive and disabling disease characterized by a deficiency of the enzyme N-acetylgalactosamine-6-sulphate sulphatase. Its clinical presentation is very heterogeneous and poorly understood in adults. The aim of this study was to describe the clinical manifestations of MPS IVA in adult patients in Spain and to assess their health-related quality of life (HRQoL).Results: Thirty-three patients from nine reference centres participated in the study. The median age was 32 (interquartile range [IQR]: 20.5-40.5) years. The phenotype was classical in 54.5% of patients, intermediate in 33.3% of patients, and non-classical in 12.1% of patients. The most common clinical manifestation was bone dysplasia, with a median height of 118 (IQR: 106-136) cm. Other frequent clinical manifestations were hearing loss (75.7%), ligamentous laxity (72.7%), odontoid dysplasia (69.7%), limb deformities that required orthopaedic aids (mainly hip dysplasia and genu valgus) (63.6%), and corneal clouding (60.6%). In addition, 36.0% of patients had obstructive sleep apnoea/hypopnoea syndrome and 33.3% needed non-invasive ventilation. Cervical surgery and varisation osteotomy were the most common surgical interventions (36.4% each). Almost 80% of patients had mobility problems and 36.4% used a wheelchair at all times. Furthermore, 87.9% needed help with self-care, 33.3% were fully dependent, and 78.8% had some degree of pain. HRQoL according to the health assessment questionnaire was 1.43 (IQR: 1.03-2.00) in patients with the non-classical phenotype, but 2.5 (IQR: 1.68-3.00) in those with the classical phenotype. Seven patients were initiated on enzyme replacement therapy (ERT), but two of them were lost to follow-up. Lung function improved in four patients and slightly worsened in one patient. The distance achieved in the six-minute walk test increased in the four patients who could perform it. HRQoL was better in patients treated with elosulfase alfa, with a median (IQR) of 1.75 (1.25-2.34) versus 2.25 (1.62-3.00) in patients not treated with ERT.Conclusions: The study provides real-world data on patients with MPS IVA. Limited mobility, difficulties with self-care, dependence, and pain were common, together with poor HRQoL. The severity and heterogeneity of clinical manifestations require the combined efforts of multidisciplinary teams. [ABSTRACT FROM AUTHOR]

Copyright of AIDS & Behavior is the property of Springer Nature 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.)

Excess of deaths is a technique used in epidemiology to assess the deaths caused by an unexpected event. For the present COVID–19 pandemic, we discuss the performance of some linear and nonlinear time series forecasting techniques widely used for modeling the actual pandemic and provide estimates for this metric from January 2020 to April 2021. We apply the results obtained to evaluate the evolution of the present pandemic in Brazil and Spain, which allows in particular to compare how well (or bad) these countries have managed the pandemic. For Brazil, our calculations refute the claim made by some officials that the present pandemic is "a little flu". Some studies suggest that the virus could be lying dormant across the world before been detected for the first time. In that regard, our results show that there is no evidence of deaths by the virus in 2019. [ABSTRACT FROM AUTHOR]

Sexting is an increasingly frequent phenomenon among adolescents, and it involves risky behaviors such as sextortion or even grooming. This study aims to analyze demographic, psychological, and cultural variables that may explain the nature of this phenomenon. The sample consisted of 471 adolescents from 12 to 18 years old from two countries, Spain and Mexico, with dissimilar levels of gender inequality. Results highlight important differences in sexting behavior between the two countries. We have found higher levels of sexting behaviors in Mexican adolescents (41.5 %) than in Spanish adolescents (24.6 %) as well as an earlier start in Mexican adolescents. Moreover, adolescents in Mexico engage in sexting more frequently. There are no differences, however, in age showing a growing pattern in the two countries, nor in gender, self-esteem or impulsivity. These results are interpreted from a cultural perspective and highlight the importance of studying the phenomenon of sexting within the framework of cultural influences, especially sexism. Considering cultural factors is necessary, in order to implement differential preventive strategies according to each culture. Prevention in countries with high inequality, such as Mexico, should be earlier. [ABSTRACT FROM AUTHOR]

Background: Patient access to orphan medicinal products (OMPs) is limited and varies between countries, reimbursement decisions on OMPs are complex, and there is a need for more transparent processes to know which criteria should be considered to inform these decisions. This study aimed to determine the most relevant criteria for the reimbursement of OMPs in Spain, from a multi-stakeholder perspective, and using multicriteria decision analysis (MCDA).Methods: An MCDA was developed in 3 phases and included 28 stakeholders closely related to the field of rare diseases (6 physicians, 5 hospital pharmacists, 7 health economists, 4 patient representatives and 6 members from national and regional health authorities). Initially [phase A], a bibliographic review was conducted to identify the potential reimbursement criteria. Then, a reduced advisory board (8 members) proposed, selected, and defined the final list of criteria that could be relevant for reimbursement. A discrete choice experiment (DCE) [phase B] was developed to determine the relevance and relative importance weight of such criteria according to the stakeholders' preferences by choosing between pairs of hypothetical financing scenarios. A multinomial logit model was fitted to analyze the DCE responses. Finally [phase C], the advisory board review the results using a deliberative process.Results: Thirteen criteria were selected, related to 4 dimensions: patient population, disease, treatment, and economic evaluation. Nine criteria were deemed relevant for decision-making and associated with a higher relative importance: Health-related quality of life (HRQL) (23.53%), treatment efficacy (14.64%), availability of treatment alternatives (13.51%), disease severity (12.62%), avoided costs (11.21%), age of target population (7.75%), safety (seriousness of adverse events) (4.72%), quality of evidence (3.82%) and size of target population (3.12%). The remaining criteria had a < 3% relative importance: economic burden of disease (2.50%), cost of treatment (1.73%), cost-effectiveness (0.83%) and safety (frequency of adverse events) (0.03%).Conclusion: The reimbursement of OMPs in Spain should be determined by its effect on patient's HRQL, the extent of its therapeutic benefit from efficacy and the availability of other therapeutic options. Furthermore, the severity of the rare disease should also influence the decision along with the potential of the treatment to avoid associated costs. [ABSTRACT FROM AUTHOR]

Background: Neuromuscular blocking (NMB) agents are often administered to facilitate tracheal intubation and prevent patient movement during surgical procedures requiring the use of general anesthetics. Incomplete reversal of NMB, can lead to residual NMB, which can increase the risk of post-operative pulmonary complications. Sugammadex is indicated to reverse neuromuscular blockade induced by rocuronium or vecuronium in adults. The aim of this study is to estimate the clinical and economic impact of introducing sugammadex to routine reversal of neuromuscular blockade (NMB) with rocuronium in Spain. Methods: A decision analytic model was constructed reflecting a set of procedures using rocuronium that resulted in moderate or deep NMB at the end of the procedure. Two scenarios were considered for 537,931 procedures using NMB agents in Spain in 2015: a scenario without sugammadex versus a scenario with sugammadex. Comparators included neostigmine (plus glycopyrrolate) and no reversal agent. The total costs for the healthcare system were estimated from the net of costs of reversal agents and overall cost offsets via reduction in postoperative pneumonias and atelectasis for which incidence rates were based on a Spanish real-world evidence (RWE) study. The model time horizon was assumed to be one year. Costs were expressed in 2019 euros (€) and estimated from the perspective of a healthcare system. One-way sensitivity analysis was carried out by varying each parameter included in the model within a range of +/− 50%. Results: The estimated budget impact of the introduction of sugammadex to the routine reversal of neuromuscular blockade in Spanish hospitals was a net saving of €57.1 million annually. An increase in drug acquisition costs was offset by savings in post-operative pulmonary events, including 4806 post-operative pneumonias and 13,996 cases of atelectasis. The total cost of complications avoided was €70.4 million. All parameters included in the model were tested in sensitivity analysis and were favorable to the scenario with sugammadex. Conclusions: This economic analysis shows that sugammadex can potentially lead to cost savings for the reversal of rocuronium-induced moderate or profound NMB compared to no reversal and reversal with neostigmine in the Spanish health care setting. The economic model was based on data obtained from Spain and from assumptions from clinical practice and may not be valid for other countries. [ABSTRACT FROM AUTHOR]

This study analyses the prevalence of sexting and the reasons and attitudes associated with its practice in adolescents with different cultural backgrounds (Colombia and Spain). The sample is made up of 489 Spaniards and 510 Colombians aged between 13 and 18 years. The results show that sexting is strongly influenced by gender and the country, in favor of men and Colombians respectively. The interaction between gender and country establishes that in Spain women and men practice sexting equally, while in Colombia men practice much more sexting than women. Although the practice of sexting increases progressively with age, the levels are higher among Colombian adolescents, especially after 15 years. According to the results, although both groups present a high risk for sexting, socio-cultural aspects and gender constitute differential variables to be taken into consideration. Therefore, it is necessary to design preventive strategies including cultural differences in relation to the sexuality. [ABSTRACT FROM AUTHOR]

Objective: To analyze the trend of orthopedic surgery (OS) rates on patients with rheumatoid arthritis (RA).Methods: Retrospective observational study based on information provided by the Spanish National System of Hospital Data Surveillance. All hospitalizations of patients with RA for orthopedic surgery [total hip arthroplasty (THA), total knee arthroplasty (TKA), arthrodesis, and upper limb arthroplasty (ULA)] during 1999-2015 were analyzed. The age-adjusted rate was calculated. Generalized linear models were used for trend analysis.Results: There were 21,088 OS in patients over 20 years of age (77.9% women). OS rate adjusted by age was 754.63/100,000 RA patients/year (women 707.4, men 861.1). Neither an increasing nor a decreasing trend was noted for the total OS. However, trend and age interacted, so in the age ranges 20-40 years and 40-60 years, an annual reduction of 2.69% and 2.97%, respectively, was noted. In the age ranges over 80 years and 60-80 years, we noted an annual increase of 5.40% and 1.09%, respectively. The average age at time of OS increased 5.5 years during the period analyzed. For specific surgeries, a global annual reduction was noted in rates for arthrodesis. In THA, there was an annual reduction in patients under 80 years. In TKA and ULA, there was an annual reduction in patients under 60 years.Conclusion: Although the overall OS rate has not changed, there is a decrease in the rate of arthrodesis at all ages, THA in patients under 80 years of age, as well as TKA and ULA in patients under 60 years of age. [ABSTRACT FROM AUTHOR]

Aims: The onset and maintenance of cannabis use have been explained with reference to the Theory of Planned Behaviour (TPB). At the same time, personal values play an important role in determining appropriate behaviour during social interactions, and cannabis use is no exception. Combining Schwartz’s Theory of Human Values and the TPB offers a framework for identifying the relationship between adolescents’ personal values structure and cannabis use. The two main aims of this study are to: (1) test a predictive model that combines these two theories to explore the interaction of cultural and personal variables that influence cannabis use during adolescence; and (2) analyse the moderation effect of four European countries on the proposed model.  Methods: A total of 3768 secondary school students from Spain, Italy, Romania and Portugal completed a questionnaire on personal values and the TPB applied to cannabis use intention. Direct and indirect effects were assessed using path analysis and moderation effects using multi-group analysis. Results: Collectivistic values (i.e. conformity and tradition) were associated with low cannabis intention and use, individualistic values (i.e. hedonism and power) with higher cannabis intention and use. Regarding the moderation effect of countries, the effects of attitudes on intention and cannabis use were higher among Italian participants, who also showed a high prevalence of cannabis use. Meanwhile the effect of abstinence self-efficacy was lower among Romanian and Portuguese participants, both of whom reported lower cannabis use. Conclusion: The results support the notion that personal values are background variables that affect cannabis use through the TPB variables. [ABSTRACT FROM AUTHOR]

Sexual Sensation Seeking has been identified as a main predictor of unsafe sex that particularly affects LGB people. This study adapts and validates the Sexual Sensation Seeking Scale to Spanish LGB people. For this purpose, we tested the factor structure in 1237 people, ranged from 17 to 60 years old, 880 self-defined as homosexuals and 357 as bisexuals. The results support the appropriateness of this scale for Spanish LGB people and determine two factors, explaining the 49.91% of variance: “physical sensations attraction” and “sexual experiences”. Our findings reveal optimal levels of internal consistency in the total scale (α = 0.81) and each factor (α = 0.84 and α = 0.71). Additional analyses have demonstrated convergent validity for this scale. Important implications of the validated Sexual Sensation Seeking Scale in Spanish LGB people are discussed, in order to early detection and preventive interventions for HIV and other sexual health problems. [ABSTRACT FROM AUTHOR]

The aim of the HEBE1 project, developed jointly by four universities, is to analyze the spaces, moments and processes involved in the empowerment of young people in order to formulate socio-educational programmes that help them and improve their lives. The articulation of the project focuses on different lines of work and action, one of which is to identify and analyze the spaces in which the empowerment of youth occurs. This article delves into the elements involved in youth empowerment by using a questionnaire administered to young people from Catalonia between the ages of 19 and 25 (n = 1067). This article presents the results obtained for these young people based on their level of empowerment and the elements that characterize them. [ABSTRACT FROM AUTHOR]

Copyright of Agora de Enfermeria is the property of Agora de Enfermeria SRL 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.)

Background and aims The oxidation of low-density lipoprotein ( LDL) cholesterol particles is an early atherogeninic event. Obese pediatric populations have higher levels of oxidized LDL ( oxLDL) than normal weight children. The aim of this study was to evaluate the effect of a weight loss program on the biochemical profile and oxLDL levels in Spanish obese children and adolescents. Methods Forty obese children (mean age 11 years, 51% boys) followed a 10-week weight loss program. They were dichotomized at the median of body mass index-standard deviation score ( BMI-SDS) change, as high ( HR) and low responders ( LR) after the intervention. The intervention included a moderate energy-restricted diet, nutritional education, and family involvement. Anthropometric and biochemical measurements were performed at the beginning and during the follow up. A cardiometabolic risk score ( CMS) was calculated considering metabolic risk factors. Results Higher baseline oxLDL levels were associated with a higher CMS in obese children ( P < .001). After the intervention, oxLDL significantly decreased in the HR group. Moreover, a positive correlation between changes in oxLDL and BMI-SDS ( r = 0.385, P = .015) was found after the weight loss program. Interestingly, multiple-adjusted regression models showed an association between changes in total cholesterol [ B: 0.127, 95% confidence interval ( CI): 0.06 to 0.20] and LDL-cholesterol ( B: 0.173, 95% CI: 0.08 to 0.26) with changes in oxLDL. Conclusions Higher baseline oxLDL levels were associated with a higher CMS in obese children. After the weight loss program, a decrease in oxLDL levels was found in HR subjects and the oxLDL levels were associated with BMI-SDS and cholesterol levels. [ABSTRACT FROM AUTHOR]

This study aims to explore sexual compulsivity (SC) and sexual sensation seeking (SSS) in male sex workers (MSWs) compared to a group of non-MSW gay men. A total of 60 MSWs and 63 gay men answered the SC Scale and the SSS Scale. The total scales’ mean score was slightly higher in the MSW population. Still, statistical differences were observed in only two SSS items. In spite of the absence of statistical significance, MSWs presented more sexual behavior interferences on their lives and higher failure to control sexual impulses. Future interventions among MSWs should focus on sexual self-control and impulsivity. [ABSTRACT FROM PUBLISHER]

Both male/female patients with Fabry disease (FD) may receive enzyme replacement therapy (ERT). Previously published analyses of the Fabry Outcome Survey (FOS; Shire-sponsored) database suggested gender differences in timing of ERT initiation. We assessed alignment of criteria for ERT initiation in the Spanish adult population included in FOS with recommendations of a Spanish national consensus. This retrospective analysis examined baseline clinical data of 88 adults (49 females) enrolled in the FOS database up to August 2014. Thirty-five (39.8%) patients were not receiving ERT: five (12.8%) males and 30 (61.2%) females. Baseline disease severity on the FOS-derived Mainz Severity Score Index was lower in untreated males (median (interquartile range), 0.0 (0.0-1.0)) than treated males (TM; 15.0 (7.5-26.5)), and was similar in untreated and treated females. The percentage of untreated females with at least one criterion for treatment initiation was 76.7% versus 100.0% of treated females (p = 0.0340) and 97.1% (p = 0.0210) of TM. In discordance with Spanish consensus recommendations, a substantial number of females with evidence of FD who might benefit from ERT have not yet initiated treatment. These results suggest unequal gender perceptions with respect to ERT initiation in Spain. [ABSTRACT FROM AUTHOR]

Background: Idiopathic pulmonary fibrosis (IPF) is a form of chronic fibrosing interstitial pneumonia characterized by progressive worsening of dyspnea and lung function, with a poor prognosis. The objective of this study was to determine treatment patterns, resource use and costs of managing Spanish patients with IPF.Methods: A three-round Delphi consensus panel of 15 clinical experts was held between December 2012 and June 2013 using questionnaires to describe the management of patients with IPF. A cost analysis based on Delphi panel estimates was made from the Spanish National Health System (NHS) perspective, including the direct costs of IPF diagnosis and management. Unit costs were applied to Delphi panel estimates of health resource use. Univariate sensitivity analyses were made to evaluate uncertainties in parameters.Results: The Delphi panel estimated that 20, 60 and 20% of IPF patients presented with stable disease, slow and rapid disease progression, respectively. The estimated annual cost per patient with stable disease, slow and rapid disease progression was €11,484, €20,978 and €57,759, respectively. This corresponds to a weighted average annual cost of €26,435 with itemized costs of €1,184 (4.5), €7,147 (27.0), €5,950 (22.5), €11,666 (44.1) and €488 (1.9%) for the diagnosis of IPF, treatment, monitoring, management of acute exacerbations and end-of-life care, respectively. The parameter that varied the annual cost per patient the most was resource use associated with acute exacerbations.Conclusions: The management of patients with IPF in Spain, especially patients with rapid disease progression, has a high economic impact on the NHS. [ABSTRACT FROM AUTHOR]

Background: Information on the use of ankylosing spondylitis (AS) therapies in clinical practice is a key factor in decision making, as more efficient treatments may involve substantial savings while maintaining the clinical benefits for the patient.Objective: To assess the mean annual doses and associated costs of the three main anti-tumour necrosis factor agents used in Spanish daily clinical practice in ankylosing spondylitis patients and to correlate these costs with disease activity.Setting: This retrospective, observational study included adult ankylosing spondylitis patients over a 4-year period that had been treated for at least 6 months with adalimumab, etanercept or infliximab at two University Hospitals in Spain.Methods: Disease activity was estimated with Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) scores at the start of anti-tumour necrosis factor (anti-TNF) therapy and in the last visit or whenever the drug was switched. Mean costs were estimated for a 52-week horizon from the delivered doses registered by pharmacy records. Outcomes were the doses and costs of anti TNFs administered to each patient, and the BASDAI score.Results: A total of 119 patients (137 cases) were included (28 cases treated with adalimumab, 48 cases with etanercept and 61 with infliximab). Mean doses of adalimumab and etanercept were 92.8 and 88.8% of the initially prescribed doses, respectively, while the mean dose of infliximab administered was 102%. There were no statistical differences among treatments in terms of clinical effectiveness. Associated mean patient-year costs were significantly higher in the infliximab group (€14,235), compared to the other treatments [adalimumab €11,934; etanercept €10,516; (P < 0.05)].Conclusion: In certain ankylosing spondylitis patients, doses and associated costs of biological therapies can be reduced while controlling disease activity. Mean doses used in our clinical practice vary from the recommended doses and are significantly lower for adalimumab and etanercept than for infliximab. These differences impact directly on associated patient-year costs, and, thus, on treatment efficiency. [ABSTRACT FROM AUTHOR]

This study analyzes the relation of sexual orientation and gender to sexual sensation seeking. Participants were 382 individuals (200 men, 182 women) between 17 and 29 years old who completed the Sexual Sensation Seeking Scale. Of the 382 participants, 52.46% self-reported heterosexual orientation, and 47.64% self-reported homosexual orientation. The results showed differences with Sexual Sensation Seeking being more frequent among heterosexuals and men. There were no differences between heterosexual and homosexual men. Heterosexual women had higher sexual sensation seeking scores than did homosexual women. These results and their possible implications for the effective development of prevention and intervention programs in affective-sexual education are discussed. [ABSTRACT FROM PUBLISHER]

Objective. The aim of this study was to establish guidelines for the optimization of biologic therapies for health professionals involved in the management of patients with RA, AS and PsA. Methods. Recommendations were established via consensus by a panel of experts in rheumatology and hospital pharmacy, based on analysis of available scientific evidence obtained from four systematic reviews and on the clinical experience of panellists. The Delphi method was used to evaluate these recommendations, both between panellists and among a wider group of rheumatologists. Results. Previous concepts concerning better management of RA, AS and PsA were reviewed and, more specifically, guidelines for the optimization of biologic therapies used to treat these diseases were formulated. Recommendations were made with the aim of establishing a plan for when and how to taper biologic treatment in patients with these diseases. Conclusion. The recommendations established herein aim not only to provide advice on how to improve the risk:benefit ratio and efficiency of such treatments, but also to reduce variability in daily clinical practice in the use of biologic therapies for rheumatic diseases. [ABSTRACT FROM AUTHOR]

Introduction: Traumatic brain injury is a main cause of disability and death in developed countries, above all among children and adolescents. The intrinsic inability of the central nervous system to efficiently repair traumatic injuries renders transplantation of bone marrow-derived cells (BMDC) a promising approach towards repair of brain lesions. On the other hand, many studies have reported the beneficial effect of Lipoic acid (LA), a potent antioxidant promoting cell survival, angiogenesis and neuroregeneration. Methods: In this study, the cortex of adult mice was cryo-injured in order to mimic local traumatic brain injury. Vehicle or freshly prepared BMDC were grafted in the cerebral penumbra area 24 hours after unilateral local injury alone or combined with intra-peritoneal LA administration as a new regenerative strategy. Results: Differences were found in the process of cell proliferation, angiogenesis and glial scar formation after local injury depending of the applied treatment, either LA or BMDC alone or in combination. Conclusion: The data presented here suggest that transplantation of BMDC is a good alternative and valid strategy to treat a focal brain injury when LA could not be prescribed due to its non-desired secondary effects. [ABSTRACT FROM AUTHOR]

Aims: The study explores how speech measures may be linked to language profiles in participants with Alzheimer's disease (AD) and how these profiles could distinguish AD from changes associated with normal aging. Methods: We analysed simple sentences spoken by older adults with and without AD. Spectrographic analysis of temporal and acoustic characteristics was carried out using the Praat software. Results: We found that measures of speech, such as variations in the percentage of voice breaks, number of periods of voice, number of voice breaks, shimmer (amplitude perturbation quotient), and noise-to-harmonics ratio, characterise people with AD with an accuracy of 84.8%. Discussion: These measures offer a sensitive method of assessing spontaneous speech output in AD, and they discriminate well between people with AD and healthy older adults. This method of evaluation is a promising tool for AD diagnosis and prognosis, and it could be used as a dependent measure in clinical trials. © 2014 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Copyright of Revista Croma is the property of Revista Croma 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.)

In Spain there are about 40,000 children in vulnerable situations. Foster care is one of the resources at their disposal protect these children who are at risk or abuse. This figure is meant for all those children who for various reasons have to leave their families because of situations of vulnerability. When the situation is so serious that prevents biological parents take care of children indefinitely, they can be adopted by a new family. Both adoption and foster care offer children the opportunity to grow in a safe, responsible and emotionally available environment to the child's needs. [ABSTRACT FROM AUTHOR]

Background: Serum angiotensin-converting enzyme (ACE) activity has been related to sarcoidosis and other granulomatous diseases. It has been demonstrated that serum ACE activity is influenced by ACE gene I/D polymorphism. The aim of this study was to establish ACE activity reference values according to genotype in a Spanish population to improve diagnostic sensitivity and treatment monitoring in sarcoidosis patients. Methods: A sample population of 150 blood donors was included in the study. Serum ACE activity and genotype were determined and the reference intervals, defined as the 95% central range of the population (2.5th-97.5th percentiles) were obtained for all three genotypes ( DD, DI, II) and for the entire sample. Results: Genotype frequencies were 37% DD (n=54), 43% DI (n=63), and 20% II (n=30). Individuals with DD genotype showed the highest ACE activity (mean 39.0 U/L, SD 13.6), ID genotype showed intermediate levels (mean 29.5 U/L, SD 10.2) and II genotype lowest levels (mean 19.1 U/L, SD 4.9). ACE activity differed significantly between these groups: F (2144)=33.15, p<0.05. The corresponding reference intervals for ACE activity were 13.3-63.9 U/L in the overall sample, 12.3-65.6 U/L in genotype DD, 9.5-49.5 U/L in DI and 9.6-28.7 in II. Conclusions: The preliminary reference values for ACE activity in healthy Spanish individuals according to I/D polymorphism are presented. Significant differences in these values were found between the genotype groups. [ABSTRACT FROM AUTHOR]

This profile discusses the organization, goals and practices of the Spanish 15M movement. I argue that it developed as a complex, multi-layered ecosystem, mobilizing a new generation of citizens through the convergence of struggles over housing and the Free Culture and Digital Commons Movement (FCM), creating a common framework for action through social networks. Primarily in and through the actions in public squares, the 15M movement also constructed further layers of mobilization, incorporating the networks and skills of previous social movements (such as those mobilizing over inter alia education, health, alternative consumption) and connecting with previous generations who had mobilized over civil liberties in transition to democracy. Furthermore, I argue that links with the Free Culture Movement had a profound effect on the genealogy of 15M—in terms of its composition, agenda, framing and organizational logic. The methodology is based on case studies of both the FCM and 15M between December 2010 and December 2011 in Spain. [ABSTRACT FROM PUBLISHER]

Background: Tyrosinemia type 1 (HT1) is a rare but treatable disease. The aim of the present study was to review the efficacy of long-term treatment of HT1 with nitisinone, expand knowledge about the clinical spectrum of the disease and assess a possible genotype-phenotype correlation. Methods: A retrospective multicenter study was carried out based on questionnaires on genotype, phenotype, therapy and outcome in 34 Spanish patients with HT1. Results: The main manifestations that led to the diagnosis were acute liver failure (55.8%), asymptomatic hepatomegaly (44.1%) and renal tubular dysfunction (29.4%). Laboratory analysis indicated a marked increase of α-fetoprotein and coagulopathy. The most common mutation was IVS6-1(G > T; 66.6% of 24/34 patients for whom mutation analysis was available) and these patients presented less nephrocalcinosis and more hepatomegaly at diagnosis; two novel mutations (c.974C>T, c.398A>T) were found. The mean duration of treatment was 6.73 years. Dietary compliance was very good in 47.1% and good in 20.6%; nitisinone treatment adherence was very good in 85.2% of cases. Mean dose of nitisinone was 0.87 mg/kg per day with average plasma levels of 45.67 µmol/L. Only one patient required liver transplantation after nitisinone and none had hepatocellular carcinoma. Conclusions: Treatment with nitisinone has improved the prognosis of HT1, and compliance is good. In Spain, screening for HT1 by plasma tyrosine and urine succinylacetone determination may be implemented with IVS6-1(G > T) mutational analysis. A correlation between low frequency of nephrocalcinosis and IVS6-1(G > T) mutation was observed. [ABSTRACT FROM AUTHOR]

Background: The aim of this study was to determine the prevalence of possible occupational asthma (OA) in hairdressers. Methods: A telephone questionnaire (Q1) was administered to 1,334 individuals from a total of 1,875 hairdressers working in hair salons for women in Barcelona (response rate 71%) to identify those with respiratory symptoms. Multiple correspondence analysis showed 5 specific questions for assessing symptoms of asthma. Individuals who gave a positive response to 1 of these questions (n = 251) were given a second validated questionnaire (Q2) to identify those with suspected OA. OA was defined according to a classification tree based on the response to queries on nasal itching, daily symptoms throughout the week at work, nasal secretions, voice loss, wheezing, and sputum production as reported previously. Moreover, we calculated the prevalence of OA according to the conventional criteria of improvement and/or worsening of symptoms in relation to exposure at work and during off-work time on weekends and during vacations. Results: Asthma was present in 9.5% of hairdressers. From Q2 data, 72 were classified as having possible OA, yielding a prevalence of OA from 5.4 (72/1,334) to 7.8% according to the classification tree previously described. A prevalence from 4.6 (62/1,334) to 6.7% was obtained using conventional criteria. Rhinitis or dermatitis (OR 7.80), as well as exacerbation of symptoms at work and persistence of symptoms on weekends (OR 2.99) were associated with the development of OA. Conclusions: Hairdressing employment can induce asthma. Episodes of rhinitis or dermatitis seem to be risk factors for the development of OA in this population. Copyright © 2011 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

El artículo presenta el argumento que las Constuciones democráticas deberían incluir el agua como derecho en ellas. Concluye que el agua como monopolio natural que es debe ser gestionada desde el ámbito público teniendo en cuenta eficiencia y rendición de cuentas, aprovechando las economías de escala. Se hace referencia a la gestión del agua en España.

This paper explores the meanings of the local expression fer barri (neighbourhood making) in a gentrifying area located in the Historic Centre of Ciutat de Mallorca (Spain). After closely examining the relation of fer barri with tourism in Mallorca, I analyse the tensions between the urban planning schemes unleashed by the public authorities upon this heritage-loaded territory and the practices of its inhabitants. I argue that the concept of neighbourhood scaling best accounts for the social relations that this sub-urban context embodies, given the hierarchy of forces impinging on it (urban, regional, national, global). Urban policy plans and organised residents scale the neighbourhood in conflictual terms. Some follow a tourism-dependent logic and try to promote the neighbourhood along the lines of heritage, its centrality or by setting up large events. In addition to State-led policies, tourism businesses and real estate enterprises, urban movements often depicted as oppositional groups have their own understanding of fer barri. This is an understanding of contradictory kind since in their attempts to contest capital accumulation by placing a value on the neighbourhood, urban movements can also unintentionally pave the way for both renewal and gentrification. A thorough analysis of the local term fer barri therefore reveals contrasting projects of neighbourhood scaling. [ABSTRACT FROM AUTHOR]

Copyright of Archivos de Bronconeumología (English Edition) is the property of Sociedad Espanola de Neumologia y Cirugia Toracica (SEPAR) 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.)

Abstract: Objective: The purpose of this study was to determine immediate effects of ischemic compression (IC) and ultrasound (US) for the treatment of myofascial trigger points (MTrPs) in the trapezius muscle. Methods: Sixty-six volunteers, all CEU-Cardenal Herrera University, Valencia, Spain, personnel, participated in this study. Subjects were healthy individuals, diagnosed with latent MTrPs in the trapezius muscle. Subjects were randomly placed into 3 groups: G1, which received IC treatment for MTrPs; G2, which received US; and G3 (control), which received sham US. The following data were recorded before and after each treatment: active range of motion (AROM) of cervical rachis measured with a cervical range of motion instrument, basal electrical activity (BEA) of muscle trapezius measured with surface electromyography, and pressure tolerance of MTrP measured with visual analogue scale assessing local pain evoked by the application of 2.5 kg/cm2 of pressure using a pressure analog algometer. Results: The results showed an immediate decrease in BEA of the trapezius muscle and a reduction of MTrP sensitivity after treatment with both therapeutic modalities. In the case of IC, an improvement of AROM of cervical rachis was also been obtained. Conclusion: In this group of participants, both treatments were shown to have an immediate effect on latent MTrPs. The results show a relation among AROM of cervical rachis, BEA of the trapezius muscle, and MTrP sensitivity of the trapezius muscle gaining short-term positive effects with use of IC. [Copyright &y& Elsevier]

An overview is given on the presence and changes over time of pesticide residues in groundwater from the Valencia region, one of the most important citrus cultivation sites of southern Europe. A multiresidue LC-MS/MS method was applied for the screening of around 50 pesticides in 75 water samples collected during 2000. The herbicides simazine, terbuthylazine, bromacil, terbumeton, and diuron were the most frequently detected compounds. On the basis of compounds detected in these samples, another method that focused on 30 herbicides and relevant transformation products (TPs) was developed and applied to around 80 water samples collected during 2003. Simazine was the most frequently found compound followed by several triazine metabolites. Data for this paper show the vulnerability of groundwater in this area to herbicide applications and illustrate the importance of including pesticide TPs in environmental monitoring programmes, as four out of the five compounds most frequently detected were pesticide TPs. [ABSTRACT FROM AUTHOR]

Taking business decisions in large corporations requires the establishment of a competent network to channel information, permit the delegation of routine decisions, and assure the whole process is undertaken in the strictest confidence. Recent theories on social networks and the carrying out of the entrepreneurial function tackle these questions and constitute a new perspective for examining business cases. From this viewpoint, the present article seeks to analyse the entrepreneurial network established in Spain by the House of Rothschild between 1835 and 1931. It was a perfectly structured network that differentiated between agents, clientele, partners, and correspondents in a web of firms and institutions that allowed the Rothschilds to exercise their industrial and financial hegemony and consolidate themselves as the country's largest investor in the financial, industrial, railway and mining sectors throughout the stated period. [ABSTRACT FROM AUTHOR]

Use of δ11B provides a solid tool for discriminating hydrogeochemical processes in complex coastal aquifers. Its efficiency increases markedly when it is applied along with other major or minor constituents. Nevertheless, various factors may affect its interpretation: the presence of clays, which favour adsorption and desorption, the influence of wastewaters, and even the presence of geothermalism. The δ11B has been applied to the study of a series of aquifers in south-eastern Spain: Castell de Ferro (Granada), Campo de Dalías, Lower Andarax and Sorbas (Almería), all of which are complex and heterogeneous. The results obtained demonstrate that the concentration of Br, the SO4/Cl and Cl/Br ratios are good indicators of marine intrusion. Inland some negative values of δ11B (−16.7 and −8.1‰) are related to a geothermal influence (34.8 and 51.5°C). The boron solubility is directly related to temperature favours boron mobilization, even from the associated metapelitic deposits. The difference in the boron isotope content in two carbonate units must be caused by the different composition of the carbonate rocks, as well as a long residence time. [ABSTRACT FROM AUTHOR]