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Disinformation has become a core concept in communications research, related to media, technological and political phenomena that complexify its definition and diagnosis. Although its approach has been mainly quantitative, focus groups have also been used to understand the perception of the audience of this particular issue. This research is part of this second group of studies, and attempts to investigate the notions and discourses on disinformation in the case of Spain. For this purpose, seven discussion groups were conducted, with a structural sample constructed according to employment situation, ideology and age. The results show a perception of the communicative ecosystem structured in two chronological poles, which contrasts a past of reduced information supply -- associated with traditional media -- with a current informational environment where there is more media diversity, but also less trust in them. The groups point to the overabundance of information and associated disinformation with decontextualisation, low-quality journalism and the economic and political interests of different actors. Discourses outline a scenario of decline in journalism and the public sphere, which is perceived as polarised and emotional. Disinformation is therefore perceived as a multidimensional phenomenon that is associated with issues of major democratic transcendence rather than merely sending hoaxes through the Internet.

Aims: This study outlines a protocol aimed at identifying and mapping health promotion practices in need of development from the perspectives of key sectors responsible for it at the local level and from an intersectoral perspective across four Spanish regions. Design: A complementary multi‐method study combining survey methods and qualitative interviews will be adopted. Methods: Purposive snowball sampling will be employed to select potentially rich informants from city councils, primary care centres, primary and secondary schools, and public health and civil society organizations in 12 municipalities sensitive to local health. Data on the degree of execution of health promotion activities, the level of intersectorality in their implementation, and their origins will be collected using PromoACTIVA questionnaires, an intersectoral typology model and an interview protocol. A parallel mixed analysis encompassing descriptive statistics and a 'framework analysis' will be performed. Discussion: This study is expected to yield thorough and reliable insights into health promotion practices and omissions at the local level by focusing on key stakeholders, both individually and collaboratively. This information can enhance health promotion planning and improve its effectiveness, efficiency and contextual relevance. The development and testing of a methodology for the integration and interpretation of these data will ensure sustainable capacity building. Impact: Managers and practitioners interested in health promotion planning in the researched settings can benefit from a comprehensive map of the current state of their practices and insights into the starting points of collaboration. In addition, planners from other local settings will gain access to tools and methodologies to replicate and expand these maps to their own contexts. Stakeholder Engagement: Engaging key stakeholders with experience working in or with primary care centres, public health organizations, primary and secondary schools, civil society organizations, and city councils was vital to ensure the study's relevance and feasibility. [ABSTRACT FROM AUTHOR]

The aim of this study was to quantify the multivariate relationships between clinical, cognitive performance, executive functioning, and psychological outcomes in women with fibromyalgia (FMS) using network analyses. Demographic (age, height, weight), clinical (pain history, pain intensity, and related disability), neurocognitive (D2 Attention test, Rey-Osterrieth Complex Figure for visual perception, "Digits D/R/I" tests of the WAIS-IV battery for working memory, the 5-Digit Test for mental inhibition, the Symbol Search for processing speed and the Zoo Test for planning/decision making) and psychological (depressive symptoms, anxiety levels, sleep quality, pain hypervigilance) variables were collected in 129 women with FMS and 111 healthy women. Network analyses were conducted separately for each group to quantify the adjusted correlations between the modeled variables and to assess their centrality indices (i.e., connectivity with other symptoms in the network and their importance in the network). The network identified 74 associations in FMS women and 46 associations in controls with small differences. The strongest correlations in both groups were found between different attention variables: d2_CON with d2_C, d2_O with d_2TR, and d2_CON with d2_TA. The most central variables were d2_TA, d2_C, and d2_CON (highest strength centrality in both groups) and anxiety levels and pain hypervigilance (highest harmonic centrality in FMS women). The strength centrality of the network was stable for women with FMS (CScor0.7: 0.68) but not for healthy women (CScor0.7: 0.28). This study found that attention variables are most relevant within a neurocognitive network and that psychological variables are most important for the treatment of women with FMS. The clinical implications of the current findings, such as the development of treatments targeting these variables, are discussed. [ABSTRACT FROM AUTHOR]

Shortened telomere length (TL) has been associated with lower cognitive performance, different neurological diseases in adults, and certain neurodevelopmental disorders in children. However, the evidence about the association between TL and neuropsychological developmental outcomes in children from the general population is scarce. Therefore, this study aimed to explore the association between TL and neuropsychological function in children 4–5 years of age. We included 686 children from the INMA Project, a population-based birth cohort in Spain. Leucocyte TL was determined by quantitative PCR method, and neuropsychological outcomes were measured using the McCarthy Scales of Children's Abilities (MCSA). Multiple linear regression models were used to estimate associations adjusted for potential confounding variables. Main findings showed that a longer TL was associated with a higher mean working memory score (β = 4.55; 95% CI = 0.39, 8.71). In addition, longer TL was associated with a higher mean global quantitative score (β = 3.85; 95% CI = −0.19, 7.89), although the association was marginally significant. To our knowledge, this is the first study that shows a positive association between TL and better neuropsychological outcomes in children. Although further research is required to confirm these results, this study supports the hypothesis that TL is essential in protecting and maintaining a child's health, including cognitive functions such as working memory. [ABSTRACT FROM AUTHOR]

The coronavirus disease 2019 (COVID-19) pandemic led to abrupt changes in maternity care, but the impact of these changes has not yet been deeply evaluated. This study aimed to assess the impact of the unexpected changes in maternity care due to the COVID-19 pandemic on postpartum mental health (depression, anxiety and posttraumatic stress disorder). A cross-sectional, web-based study was conducted in Spain during the second half of 2020. The eligibility criteria were women≥18 years with a child≤6 months. The Edinburgh Postnatal Depression Scale (EPDS), the Generalized Anxiety Disorder-7 Screener (GAD-7) and a subset of the PTSD checklist (PCL-5) were used to assess postpartum mental health. Information regarding sociodemographic characteristics and maternity care changes was collected, and multivariate regression models were used. Among 1781 participants, 29.3% and 33% had clinically significant depressive and anxiety symptoms, respectively. The most prevalent unexpected changes reported were related to the exclusion of supportive relatives during birth and postpartum. Changes reported during birth showed a minor association with PTSD symptomatology, and those that occurred during the postpartum period were associated with clinical depression, anxiety and PTSD symptoms. The unexpected changes in maternity care due to the COVID-19 pandemic, especially those that occurred during the postpartum period, increased the risk of mental health problems. [ABSTRACT FROM AUTHOR]

This study explored the association between parental employment status and education level and the prevalence of sensory reactivity (SR) in population-based sample of school-aged children. SR was assessed in 495 children using the parent-reported Short Sensory Profile (SSP) questionnaire. Children with SR were identified based on probable or definitive differences in total SSP and subscales. Association between parental employment and education level were explored using multiple Poisson regression models with robust variance, adjusted for potential confounders. The main findings showed that a mother's unemployment status was associated with higher prevalence of SR for the taste/smell sensitivity subscale (PR = 1.66, 95%CI: 1.08–2.56), and the low energy/weak (PR = 2.18, 95%CI: 1.31–3.49) subscale. A lower education level of a father was also associated with a higher prevalence of sensory problems on the tactile sensitivity subscale (PRprimary education = 2.68, 95%CI: 1.27–5.61; PRsecondary education = 1.96, 95%CI: 1.004–3.66) and the low energy/weak subscale (PRsecondary education = 1.95, 95%CI: 1.02–3.73). This study underscores the impact of parental employment and education on SR in school-aged children, offering insights for interventions and support systems aimed at improving their sensory functioning and overall well-being. [ABSTRACT FROM AUTHOR]

The aim of this study was to evaluate the impact of a social contact and education intervention to improve attitudes to mental illness in first-year social work students. This was a 3-month cluster randomized controlled trial with two parallel arms: intervention (87) and control group (79). The intervention was a workshop led by an OBERTAMENT activist (a person with a mental illness trained in communication skills and empowerment by a social worker). We assessed intended future behavior toward people with mental illness, personal and perceived stigma, and mental health-related attitudes (self-reported questionnaire). The intervention improved social work students' attitudes (d ˜ 0.50, p < 0.05) and reduced personal stigma toward people with mental illness (d = 0.35, p = 0.04) as well as improving their future intended behavior 2 weeks after the intervention (d = 0.51, p = 0.01). The intervention impact on authoritarian attitudes toward people with schizophrenia was maintained after 3 months (d = 0.94, p = 0.01). Long-term impact needs to be improved.

Background: The Nursing Care Continuity Report (NCCR) is a tool for evaluating the quality of nursing care during hospital admission. Aim: To explore the role of the NCCR in predicting longer length of stay (LOS) in older adults (≥65 years) admitted to a tertiary hospital and determine possible clinical differences at discharge between patients who had a short LOS (≤7 days) and a prolonged LOS (>7 days). Research Design and Setting: A retrospective cohort study was conducted including all patients with a completed NCCR admitted to the hospital between 2015 and 2019. Sociodemographic data, risk of pressure injuries, level of dependence, presence and intensity of pain, and presence and type of pressure injury were the variables registered in the NCCR. Results: A total of 41,354 patients were included in this study, with a mean age of 78 years, of whom 47% were female. At admission, 21% of patients were at potential risk of developing pressure ulcers. Age, admission to the internal or respiratory medicine unit, and having at least medium risk of developing pressure ulcers were the predictors of prolonged LOS using a random sample of 950 patients. At discharge, patients with prolonged LOS presented higher risk of pressure ulcers and a higher level of dependency and were more likely to present hospital‐acquired pressure ulcers. Conclusions: Older adults from the internal or respiratory medicine unit who exhibited higher risk of pressure ulcers were related to a prolonged LOS, a higher level of dependency, and hospital‐acquired ulcers at hospital discharge. Relevance to Clinical Practice: Identifying clinical data that have a greater relationship with LOS could be a useful tool for nursing management and for the implementation of strategies to prevent adverse events during hospitalisation. No Patient or Public Contribution: No direct patient contact was made during the data collection. [ABSTRACT FROM AUTHOR]

Orange processing generates peel by-products rich in phenolic compounds, particularly flavanones like hesperidin and narirutin, offering potential health benefits. Utilizing these by-products is of significant interest in supporting Spain's circular bioeconomy. Therefore, the aim of this study was to investigate the fermentation of orange peels by different lactic acid bacteria (LAB) strains and its impact on phenolic composition and antioxidant activity. Three different LAB strains, two Lactiplantibacillus plantarum, and one Levilactobacillus brevis were utilized. The phenolic compounds were measured by HPLC-ESI-TOF-MS, and antioxidant activity was assessed using DPPH and ABTS methods. The growth of the LAB strains varied, showing initial increases followed by gradual declines, with strain-specific patterns observed. Medium acidification occurred during fermentation. A phenolic analysis revealed an 11% increase in phenolic acids in peels fermented by La. plantarum CECT 9567-C4 after 24 h, attributed to glycosylation by LAB enzymes. The flavonoid content exhibited diverse trends, with Le. brevis showing an 8% increase. The antioxidant assays demonstrated strain- and time-dependent variations. Positive correlations were found between antioxidant activity and total phenolic compounds. The results underscore the importance of bacterial selection and fermentation time for tailored phenolic composition and antioxidant activity in orange peel extracts. LAB fermentation, particularly with La. plantarum CECT 9567 and Le. brevis, holds promise for enhancing the recovery of phenolic compounds and augmenting antioxidant activity in orange peels, suggesting potential applications in food and beverage processing. [ABSTRACT FROM AUTHOR]

This paper is the first review of selective exposure studies in Spain, offering comprehensive insights into the diverse findings and analytical strategies employed over almost three decades by studies that explore the politically oriented media consumption of Spanish audiences. The article divides the evolution of this research line in Spain into two main phases -an initial phase (1995-2016) and a consolidation phase (2017-present)- according to the methodological approaches used during each period. Despite the challenges posed by working with secondary data and the lack of experimental designs, we note a robust initiation of this research line in Spain, accompanied by increasing methodological sophistication and diversification and a substantial accumulation of evidence on how Spanish audiences selectively consume like-minded news media. The paper also identifies the blind spots of selective exposure research in Spain, such as the scarcity of primary data sources, which overlooks phenomena such as online selective exposure and selective avoidance, the need to supplement multivariate analyses with other techniques that allow the direction of causal influence between variables to be established, and the significance of assessing the role of public media as facilitators or inhibitors of cross-cutting exposure. [ABSTRACT FROM AUTHOR]

Background: Men with prostate cancer who undergo radical prostatectomy experience a decrease in quality of life, often related to sexual disfunction and urinary incontinence. Knowing and measuring the impact of radical prostatectomy on the individual's social, emotional, and family quality of life could help to plan and develop an appropriate, patient-centred therapeutic approach. Aim: In this study, we aimed to evaluate changes in quality of life of patients with prostate cancer before and after radical prostatectomy. Methods: A longitudinal, observational study of 114 participants was conducted using the method of test–retest. Quality of life before and after radical prostatectomy was measured through the following self-administered questionnaires: (1) The EORTC QLQ-C30 in its Spanish version was used to assess the generic quality of life the participants; (2) the EORTC QLQ-PR25 in its Spanish version was used to assess the specific, health-related quality of life of prostate cancer patients. Results: A total of 114 men took part in this study. The results from the QLQ-C30 questionnaire indicated an improvement in the dimensions of emotional role and cognitive function, as well as in the symptoms of fatigue, pain, nausea and vomiting, insomnia, and loss of appetite, after surgery. Patients scored lower in the dimensions of role functioning, social function, and economic impact after radical prostatectomy. According to the results from the QLQ-PR25 questionnaire, 61.40% of the participants experienced sexual impotence and 26.31% suffered urinary incontinence after surgery. There were significant differences in some postsurgical outcomes between patients who had neurovascular bundles preserved and those who had not. Conclusions: In-depth knowledge of, and measurement of changes in, quality of life after radical prostatectomy should allow for comprehensive, multidisciplinary, patient-centred care planning. Psychosocial assessment, both before and after surgery, is crucial in patients with prostate cancer. This study was prospectively registered with the CEIC-A on 2012-06-27, with registration number C.P.-C.I. PI12/0088 [ABSTRACT FROM AUTHOR]

The Rural Engineering Department (Technical University of Madrid) ran three competence surveys during the 2006-2007 and 2007-2008 academic years and evaluated: (1) the competences gained by agricultural engineer's degree and agricultural technical engineer's degree students (360 respondents); (2) the competences demanded by agricultural employers (50 farming sector employers); (3) competences required by farming sector professionals and former students (70 professionals). The surveys show significant differences between what competences agricultural employers require of graduates and the competences they acquire during their agricultural engineering degree courses. Recruiters are looking for generic competences such as the ability to coordinate groups and place less importance on knowledge of engineering, biology, applied economics and legislation. Of the computer-related competences, those most in demand by sector professionals were related to the use of Microsoft Office/Excel (used by 79% of professionals). Surveys were used to redesign some subjects of the degrees.

A new Triassic small marine reptile has been found in the locality of Cehegín (Murcia, Southeastern Spain). The fossil remains mainly comprise moulds of the bones and some osseous fragments still embedded in the rock. These correspond to an articulated sauropterygian, being distinguishable the cervical vertebrae in one rock, while the other rock preserves the middle-inferior part of the body, being differentiated some dorsal, sacral and caudal vertebrae, the ribs, the gastralia, part of one forelimb, part of the hindlimbs and some pelvic elements that can be also intuited. The moulds of dorsal vertebrae, the ribs and the gastralia are overlapped, but it can be distinguished that the ribs are pachiostotic and the gastral ribs are constituted by different components (partite gastral ribs). The features of this reptile permit to refer it to Eosauropterygia. This discovery constitutes the most complete sauropterygian found, to date, in the SouthIberian Palaeomargin of the Tethys, and adds new information about the diversity and palaeogeographical distribution of Sauropterygia in the Middle Triassic, indicating that it was greater than previously believed. [ABSTRACT FROM AUTHOR]

In this paper we examine discourse and interaction during Saturday morning religious instruction classes in a Gitano (Spanish Romani) evangelist church. The focus is on adults as literacy mediators for the children in the process of learning ways to use and interpret the Bible. The analysis centres on two aspects: (1) the forms of textuality that are developed around the Bible, and (2) the role that the adult's gender or institutional position play in the forms of interactions and authority relations that are established with the children and the texts. These results should help revise conceptions of Gitano culture as exclusively oral and they also illustrate how the social, institutional and interactional orders of learning and discourse are interrelated in a non-formal religious setting. (Contains 1 table and 4 figures, and 3 notes.)

The Agua Amarga coastal aquifer has experienced different anthropic interventions over the last 100 years. Since 2008, groundwater abstractions along the coastline to supply the Alicante I and II desalination plants have been combined with artificial recharge. This measure, consisting of seawater irrigation over the salt marsh, has reduced the impact on the piezometry and surface ecosystems. The study of the effect of this measure on groundwater flow is addressed by applying an inverse problem protocol to temperature profiles monitored in a piezometer located inside the recharge area. Information on monthly seawater irrigation volumes, rainfall, and average air and seawater temperatures have also been gathered as input data to quantify vertical flow. An upward flow component for the period 2010–2022 that varies between 2 × 10−9 and 7.5 × 10−7 m/s has been found. These values decrease near the surface, where the flow is mainly horizontal. [ABSTRACT FROM AUTHOR]

Pain symptoms after the acute phase of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) are present in almost 50% of COVID-19 survivors. The presence of kinesiophobia is a risk factor which may promote and perpetuate pain. This study aimed to investigate variables associated with the presence of kinesiophobia in a sample of previously hospitalized COVID-19 survivors exhibiting post-COVID pain. An observational study was conducted in three urban hospitals in Spain, including one hundred and forty-six COVID-19 survivors with post-COVID pain. Demographic (age, weight, height), clinical (intensity and duration of pain), psychological (anxiety level, depressive level, sleep quality), cognitive (catastrophizing), sensitization-associated symptoms, and health-related quality of life variables were collected in 146 survivors with post-COVID pain, as well as whether they exhibited kinesiophobia. Stepwise multiple linear regression models were conducted to identify variables significantly associated with kinesiophobia. Patients were assessed a mean of 18.8 (SD 1.8) months after hospital discharge. Kinesiophobia levels were positively associated with anxiety levels (r: 0.356, p < 0.001), depression levels (r: 0.306, p < 0.001), sleep quality (r: 0.288, p < 0.001), catastrophism (r: 0.578, p < 0.001), and sensitization-associated symptoms (r: 0.450, p < 0.001). The stepwise regression analysis revealed that 38.1% of kinesiophobia variance was explained by catastrophism (r2 adj: 0.329, B = 0.416, t = 8.377, p < 0.001) and sensitization-associated symptoms (r2 adj: 0.381, B = 0.130, t = 3.585, p < 0.001). Kinesiophobia levels were associated with catastrophism and sensitization-associated symptoms in previously hospitalized COVID-19 survivors with post-COVID pain. Identification of patients at a higher risk of developing a higher level of kinesiophobia, associated with post-COVID pain symptoms, could lead to better therapeutic strategies. [ABSTRACT FROM AUTHOR]

The chestnut gall wasp Dryocosmus kuriphilus is a major insect pest affecting chestnut trees worldwide. Medium and long-term control of this pest can be improved by using resistant or less susceptible cultivars and hybrid clones. In addition, little is known about the local patterns of dispersal of the pest. We obtained data from trees of 3 chestnut species and 27 hybrid clones in a field trial in NW Spain with the aim of evaluating the susceptibility of the material to the gall wasp and identifying possible drivers of local spatial dispersal. In the first 3 years of the invasion by D. kuriphilus, the number of trees attacked and the number of galls on each tree were spatially clustered. Tree height significantly predicted both variables, suggesting that gall wasps may use visual cues to locate suitable host trees, at least in the early stage of invasion. Assessment of the susceptibility of hybrid clones/pure species must take concurrent indicators of infestation levels into account. We suggest the use of indices involving galls on shoots because these enable good assessment of the damage to chestnut trees. The study findings add to existing knowledge on the susceptibility of hybrid chestnut clones. We report, for the first time, two hybrid clones resistant to the pest and one hybrid clone which exhibited consistently low values for all of the indicators of infestation level. The results have important implications regarding selection of plant material for use in afforestation in Spain, where the current high rate of chestnut planting is expected to continue. [ABSTRACT FROM AUTHOR]

Aim: Crisis Resolution Teams (CRT) have shown positive clinical and service-use results in various countries but evidence in the south of Europe is scarce. The aim is to assess the impact of the Crisis Intervention Team (CIT) in Spain with respect to the course of symptomatology and mental health services use in patients served. Methods: Prospective observational cohort study. Assessment of the psychopathological severity (HoNOS scale) of the clinical course (CGI scale) and use of medical services. Results: A positive clinical course was observed following the intervention. The mean difference in HoNOS (Health of the Nation Outcome Scales) scores between baseline and discharge was 7 points (p < 0.05). On discharge, more than 60% of patients had improved their symptomatology according to the CGI scale (Clinical Global Impression) and most were discharged due to improvement or goal achievement. A tendency to reduction in the number of admissions to acute units and day hospital was observed, along with fewer emergency room visits. In contrast, an increase in the number of admissions to subacute units was seen. During the intervention, the median number of visits to the center was 15 and the median duration of care provision by the CIT was 39 days. Conclusions: The CIT intervention promotes patients' clinical improvement and has a positive impact in terms of reducing acute hospitalizations and emergency room visits. [ABSTRACT FROM AUTHOR]

The purpose of this article is to analyse the perceptions, social discourses and practices regarding the verification processes of the information consumed in the context of the information disorder that societies are experiencing. To do this, we created seven discussion groups structured around the variables age, position in the social structure and political ideology. We found that (1) there is a shared perception about how disinformation compromises one of the basic pillars of democracy; (2) this perception contradicts the few practices used to verify the information consumed; (3) macro-structural changes that generate a climate of less polarization, more critical education and regulation of information practices are put forward as solutions to disinformation and the circulation of false information. [ABSTRACT FROM AUTHOR]

The use of standardized assessment tools is essential for the occupational therapy intervention process to ensure clinical practice is appropriate and of high quality. This study aimed to explore which assessment tools Spanish occupational therapists use in their clinical practice. An ad hoc online questionnaire of 19 open and closed questions was used to collect information on assessment tools, socio-demographics, and academic background. The assessment tools were classified according to the main domains of occupational therapy using the last edition of the American Occupational Therapy Association framework. The survey was completed by 73 Spanish occupational therapists, of whom 86.3% were women; the median age was 31 years, and more than 60% treated people suffering from neurological and neurodegenerative disorders or worked in geriatric medicine. Of 147 assessment tools identified, those designed to assess activities of daily living, body functions, process skills, and motor skills were the instruments most frequently used. Specifically, the Barthel Index, Lawton Instrumental ADL Scale, Functional Independence Measure, Sensory Profile 2, and Mini-Examen Cognoscitivo were the tools most employed by Spanish occupational therapists. However, more than one third of the participants used assessment tools without knowing whether they were validated in the Spanish context and/or a specific target population. To our knowledge, this is the first time a study has examined the use and type of assessment tools in Spanish occupational therapists. Our results may constitute a positive step forward for developing strategies for enhancing evidence-based assessment in occupational therapy practice. [ABSTRACT FROM AUTHOR]

The outcome of a dimensionless characterization study in a two-dimensional porous media domain in which groundwater flows at a constant horizontal velocity is presented in this report. Using spatial discrimination, the dimensionless groups that govern the solution patterns are determined from dimensionless governing equations. As a boundary condition on the surface, the case of constant temperature is studied. From the mathematical deduction of the groups, a characteristic horizontal length emerges. This length determines the region in which temperature–depth profiles are affected by flow. Existing analytical solutions have been shown to be invalid due to the severe assumption that the horizontal thermal gradient has a constant value. Therefore, universal solutions based on pi theorem have been obtained for the characteristic horizontal length, temperature field, temperature–depth profiles and horizontal temperature profiles. Dependencies between dimensionless groups have been depicted by universal curves, abacuses and surfaces. These graphical solutions are used in an easy way to estimate groundwater velocity from experimental temperature measurements in the form of an inverse problem. In addition, an easy and fast protocol for estimating fluid flow velocity and groundwater inlet temperature from temperature profile measurements is proposed. This protocol is applied in a scenario of groundwater discharge from a quaternary aquifer to a salty lagoon located in the southeast of Spain. [ABSTRACT FROM AUTHOR]

Background: Between 2 and 43% of patients who receive a new prescription in PC do not initiate their treatments. Non-initiation is associated with poorer clinical outcomes, more sick leave and higher costs to the healthcare system. Existing evidence suggests that shared decision-making positively impacts medication initiation. The IMA-cRCT assesses the effectiveness of the IMA intervention in improving adherence and clinical parameters compared to usual care in patients with a new treatment for cardiovascular disease and diabetes prescribed in PC, and its cost-effectiveness, through a cRCT and economic modelling. Methods: The IMA intervention is a shared decision-making intervention based on the Theoretical Model of Non-initiation. A cRCT will be conducted in 24 PC teams in Catalonia (Spain), randomly assigned to the intervention group (1:1), and community pharmacies in the catchment areas of the intervention PC teams. Healthcare professionals in the intervention group will apply the intervention to all patients who receive a new prescription for cardiovascular disease or diabetes treatment (no other prescription from the same pharmacological group in the previous 6 months). All the study variables will be collected from real-world databases for the 12 months before and after receiving a new prescription. Effectiveness analyses will assess impact on initiation, secondary adherence, cardiovascular risk, clinical parameters and cardiovascular events. Cost-effectiveness analyses will be conducted as part of the cRCT from a healthcare and societal perspective in terms of extra cost per cardiovascular risk reduction and improved adherence; all analyses will be clustered. Economic models will be built to assess the long-term cost-effectiveness of the IMA intervention, in terms of extra cost for gains in QALY and life expectancy, using clinical trial data and data from previous studies. Discussion: The IMA-cRCT represents an innovative approach to the design and evaluation of behavioural interventions that use the principles of complex interventions, pragmatic trials and implementation research. This study will provide evidence on the IMA intervention and on a new methodology for developing and evaluating complex interventions. The results of the study will be disseminated among stakeholders to facilitate its transferability to clinical practice. Trial registration: ClinicalTrials.gov, NCT05026775. Registered 30th August 2021. [ABSTRACT FROM AUTHOR]

Disinformation has become a core concept in communications research, related to media, technological and political phenomena that complexify its definition and diagnosis. Although its approach has been mainly quantitative, focus groups have also been used to understand the perception of the audience of this particular issue. This research is part of this second group of studies, and attempts to investigate the notions and discourses on disinformation in the case of Spain. For this purpose, seven discussion groups were conducted, with a structural sample constructed according to employment situation, ideology and age. The results show a perception of the communicative ecosystem structured in two chronological poles, which contrasts a past of reduced information supply – associated with traditional media – with a current informational environment where there is more media diversity, but also less trust in them. The groups point to the overabundance of information and associated disinformation with decontextualisation, low-quality journalism and the economic and political interests of different actors. Discourses outline a scenario of decline in journalism and the public sphere, which is perceived as polarised and emotional. Disinformation is therefore perceived as a multidimensional phenomenon that is associated with issues of major democratic transcendence rather than merely sending hoaxes through the Internet. [ABSTRACT FROM AUTHOR]

Objective Some studies have reported the presence of histological alterations, such as myofiber disorganization and abnormalities in the number and shape of mitochondria, in patients with fibromyalgia syndrome (FMS). Although Ultrasound imaging (US) is used to quantitatively characterize muscle tissues, US studies in patients with FMS are lacking. Therefore, we aimed to describe morphological and qualitative cervical multifidus (CM) muscle US features in women with FMS and to assess their correlation with clinical indicators. Design Observational study. Setting AFINSYFACRO Fibromyalgia Association (Madrid, Spain). Subjects Forty-five women with FMS participated. Methods Sociodemographic variables (e.g. age, height, weight, body mass index) and clinical outcomes (e.g. pain as assessed on a numerical pain rating scale, evolution time, pain-related disability as assessed by the Fibromyalgia Impact Questionnaire) were collected. Images were acquired bilaterally at the cervical spine (C4–C5 level) and measured by an experienced examiner for assessment of muscle morphology (e.g. cross-sectional area, perimeter, and shape) and quality (mean echo intensity and intramuscular fatty infiltration). Side-to-side comparisons and a correlational analysis were conducted. Results No significant side-to-side differences were found for morphology or quality features (P  > 0.05). None of the clinical indicators were associated with US characteristics (all, P  > 0.05). Conclusion Our results showed no side-to-side differences for CM morphology and quality as assessed with US. No associations between CM muscle morphology or quality and Fibromyalgia Impact Questionnaire, pressure pain threshold, numerical pain rating scale score, or evolution time were observed. Our preliminary data suggest that muscle morphology is not directly related to pain and pain-related disability in women with FMS. [ABSTRACT FROM AUTHOR]

Background: European nurses are expected to provide appropriate care for patients from diverse cultural backgrounds. However, there is limited knowledge and understanding of this process. The aim of this study was to analyse the perceptions of culture and experiences of caring for patients from diverse cultural backgrounds of a purposive sample of qualified nurses from four European countries, namely Belgium, Portugal, Spain and Turkey. Methods: A qualitative phenomenological approach was selected in order to understand complex phenomena through the participants' lived experiences, meanings and perspectives. Individual interviews and focus groups took place with 28 staff nurses and 11 nurse managers from four European countries. The sociodemographic and cultural characteristics of the sample were described and analysed using descriptive statistics. Qualitative data were transcribed verbatim, translated into English and analysed following Braun and Clark's phases for thematic analysis. Results: Five themes and twelve subthemes emerged from thematic analysis of the transcripts. The themes included: (1) relevance of culture for nursing; (2) culture in the healthcare service; (3) qualities of the healthcare professionals; (4) challenges to culturally competent care; (5) becoming a culturally competent nurse. Conclusions: There are challenges to the delivery of culturally congruent care, namely language and communication difficulties, prejudices and stereotyping in the health service, a tendency for ethnocentrism, a lack of education and training in cultural competence and a lack of support from the health service to facilitate new ways of acting. [ABSTRACT FROM AUTHOR]

The seas of the Mesozoic were remarkable for predatory marine reptiles, but the track record of these vertebrates is extremely scarce and morphologically distinct. In this paper, Middle Triassic seabed tracks made by the paddles of nothosaurs (Reptilia, Sauropterygia) from the Valdelcubo locality, Riba area, Guadalajara, Spain, are reported. The trackway occurs at the base of Cuesta del Castillo Sandstones Formation. The palaeoenvironment was a shallow near-coastal marine habitat. The tracks from Valdelcubo are broad, elliptical, with the claw marks locally differentiated, with double row imprints. The left tracks of the trackway are better recognized than the right ones. This record is interpreted as a trackway of a buoyant and punting tetrapod, using its forefeet only. The features of these tracks and trackway have a strong affinity with the ichnogenus Dikoposichnus. Nevertheless, some tracks from Valdelcubo are associated swim traces and claw marks, being tentatively classified as aff. Dikoposichnus. This finding adds new data to the little-known type of locomotion of nothosaurs. Additionally, this is the first Triassic record of subaqueously-registered paddle tracks attributed to sauropterygians outside China and enhances the information about its palaeobiogeographical distribution, suggesting a global distribution for distinctive swim track assemblages. [ABSTRACT FROM AUTHOR]

The World Health Organization declared COVID-19 a pandemic in March 2020. The first vaccine became available in December, with practically no post-marketing data. An analytical cross-sectional survey-based study was conducted in a third-level hospital in Spain between March and April 2021 to describe the difference in adverse events with the BNT162b2 and mRNA-1273 COVID-19 vaccines. The participants were hospital workers who completed a survey voluntarily at least 14 days after the last vaccine. The STROBE checklist was followed. One thousand two hundred and forty-nine respondents completed the survey; 48% (599) received mRNA-1273 and 52% (650) BNT162b2. Fourteen thousand four hundred and two adverse reactions were recorded, 6896 local (3939 with mRNA-1273 and 2957 with BNT162b2 (6.6 vs 4.4 reactions per patient)) and 7506 systemic (4460 with mRNA-1273 and 3046 with BNT162b2 (7.4 vs 4.7 per patient)). Local reactions were more frequent after the first dose, while systemic reactions were higher after the second, for both vaccines and in a higher percentage with mRNA-1273 compared to BNT162b2 (p-value<0.05). Licensed mRNA vaccines were highly safe when administered under post-marketing conditions among working-age adults. The main adverse events were mild, although they occurred in most patients, especially after the mRNA-1273 vaccine. [ABSTRACT FROM AUTHOR]

The important paleontological and archaeological discoveries made in Tamajón in recent years have enriched the exceptional natural and cultural heritage of this town in the north of the Guadalajara province (central Spain). The extraordinary educational and outreach value of these findings led the PaleoIbérica Research Group to develop a project for the design and creation of the Paleontological and Archaeological Interpretation Centre of Tamajón (CIPAT, acronym in Spanish). In this new space, students and the general public have access to knowledge of the past of the region through three exhibition and didactic areas and the support of a rigorous and engaging infographic. The Paleontological Area allows visitors to explore, through fossils, replicas, models (real and virtual) and dioramas, the diversity of coastal and marine life that inhabited the region during the Late Cretaceous Age. Moreover, the area highlights crocodylomorphs, dinosaurs and fishes (identified through their fossilized tracks), and the remains of plants and invertebrates. The Archaeological Area shows the origin and uses of the building material known as Tamajón Stone by means of rough or carved samples, tools traditionally used in its extraction and carving, and historical photographs. Furthermore, in the Didactic Area, innovative specific educational activities are carried out, facilitating the knowledge and appreciation of the rich natural and cultural heritage of Tamajón. After its recent inauguration (August 2021), the CIPAT is a valuable tool to encourage the practice of positive attitudes toward geoconservation and to promote the sustainable and socioeconomic development of the region through geotourism. [ABSTRACT FROM AUTHOR]

OBJECTIVES: To estimate medication noninitiation prevalence in the pediatric population and identify the explanatory factors underlying this behavior. METHODS: Observational study of patients (<18 years old) receiving at least 1 new prescription (28 pharmaceutical subgroups; July 2017 to June 2018) in Catalonia, Spain. A prescription was considered new when there was no prescription for the same pharmaceutical subgroup in the previous 6 months. Noninitiation occurred when a prescription was not filled within 1 month or 6 months (sensitivity analysis). Prevalence was estimated as the proportion of total prescriptions not initiated. To identify explanatory factors, a multivariable multilevel logistic regression model was used, and adjusted odds ratios were reported. RESULTS: Overall, 1 539 003 new prescriptions were issued to 715 895 children. The overall prevalence of 1-month noninitiation was 9.0% (ranging from 2.6% [oral antibiotics] to 21.5% [proton pump inhibitors]), and the prevalence of 6-month noninitiation was 8.5%. Noninitiation was higher in the youngest and oldest population groups, in children from families with a 0% copayment rate (vulnerable populations) and those with conditions from external causes. Out-of-pocket costs of drugs increased the odds of noninitiation. The odds of noninitiation were lower when the prescription was issued by a pediatrician (compared with a primary or secondary care clinician). CONCLUSIONS: The prevalence of noninitiation of medical treatments in pediatrics is high and varies according to patients' ages and medical groups. Results suggest that there are inequities in access to pharmacologic treatments in this population that must be taken into account by health care planners and providers. [ABSTRACT FROM AUTHOR]

Aim: We investigated taxonomic and functional beta diversity of bird communities inhabiting Mediterranean olive groves subject to either intensive or low‐intensity management of the ground cover and located in landscapes with different degrees of complexity. Location: Andalusia, southern Spain. Methods: We partitioned taxonomic and functional beta diversity into its two additive components, turnover and nestedness. We also explored the contributions of single sites to overall beta diversity (LCBD) and separated the effects of species replacement (turnover) and richness difference (nestedness) in order to identify ecologically unique sites—keystone communities—within the metacommunity. In a further step, we employed abundance‐ and functional‐based indicator species analyses to characterize bird assemblages. Results: Taxonomic beta diversity increased with landscape complexity. Although both taxonomic and functional differences among assemblages were driven mainly by species replacement (regardless of management or landscape type), the contribution of trait replacement to the total functional beta diversity was much lower, suggesting that species performing similar functions replace each other between sites. There were no differences in LCBD between management types or categories of landscape complexity, but the contributions of sites to beta diversity decreased as the percentage cover of olive groves increased. Species richness was also important in explaining variation in LCBD as species‐poor sites tended to contribute the most to the local‐to‐regional beta diversity. However, some farms displayed high values of LCBD due to the existence of a high replacement component, indicating that some species recorded in these sites were scarce elsewhere. The indicator species analyses revealed that the woodchat shrike Lanius senator may constitute an excellent indicator of biodiversity in this agro‐forestry system. Main conclusions: Our results show that agricultural expansion promotes biotic homogenization and exemplify how the identification of both keystone species and communities can represent a powerful tool for the management of anthropized landscapes. [ABSTRACT FROM AUTHOR]

We explore, from the perspective of primary care health professionals, the motivations that lead patients to not initiate prescribed treatments, by developing a qualitative study in Spanish primary care. Six focus groups (N = 46) were conducted with general practitioners, nurse practitioners, social workers and community pharmacists and carried out in primary care (PC) of Barcelona Province, from April to July of 2018. The 46 participants were identified by three general practitioners and two pharmacists. In the interviews, the reasons for non‐initiation of PC patients' medication were explored. Triangulated content analysis was performed. Patients' perspective, analysed in a previous study, and professionals' perspective agree on most of the factors that affect non‐initiation. New factors were categorized into existent categories, confirming, and supplementing the model developed with patients. Health professionals identified some new factors which were not present in the patients' discourse, such as stigma related to the drug, hidden reasons for consultation, the role of nurses in prescription and support, the role of the pharmacy technician, illiteracy and lack of social support. The professionals confirm and expand on the Theoretical Model of Medication Non‐Initiation. Primary care professionals should consider the factors described when prescribing a new medication. Knowledge contributed by the model should guide the design of interventions to improve initiation. [ABSTRACT FROM AUTHOR]

Copyright of Gerokomos is the property of Indemm Farma SL 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: Percutaneous needle electrolysis (PNE) consists of a galvanic current combined with the insertion of a solid needle into the tissues of the musculoskeletal system. The application of a galvanic current through a needle can alter the morphology and composition during treatment application. This procedure may also provoke a localized temperature increase. Aim: The aim was to evaluate the safety of the PNE procedure by analyzing possible alterations of the needles employed. Methods: Physio Invasiva® and AguPunt EPI® brand needles, commonly used for the application of this technique, were analyzed in response to three different treatment protocols. Temperature changes were evaluated with the needles immersed in a test tube containing Ringer's solution, and electrical resistance was evaluated with a multimeter. The morphology of the needles, pre- and post-treatment, was examined with a scanning electron microscope (FEI Quanta 600), and the composition of the needles was evaluated using RX diffusion with Oxford Instruments software. Results: Ringer's solution contained in the test tubes examined did not present temperature changes. No changes were observed in the needles under investigation with respect to electrical resistance, morphology, or composition with a protocol applying 3-mA intensity for 3 s and three applications. However, important morphological alterations were observed that affected needle composition after 50 applications (at 3 mA for 3 s). Conclusion: PNE, applied according to conventional protocols, appeared to be safe and athermal, and did not provoke a loss of metal particles or modify the morphology of the needles used when studied in vitro. [ABSTRACT FROM AUTHOR]

Objective: The aim of the study was to compare the effectiveness of a telerehabilitation exercise program versus "wait-and-see" on physical exertion, quality of life, dyspnea severity, heart rate, and oxygen saturation in patients with post-COVID fatigue and dyspnea. Design: Sixty-four patients were enrolled in this randomized clinical trial. A telerehabilitation program based on patient education, physical activity, airway clearing, and breathing exercise interventionswas conducted. Self-perceived physical exertion during daily living activities, dyspnea severity, health-related quality of life and physiological outcomes, and the 6-min walking test were assessed at baseline, after the program and at 1- and 3-mo follow-up periods. Results: The experimental group experienced greater improvements in self-perceived physical exertion during daily living activities, dyspnea severity, health-related quality of life, and 6-min walking test (all, P < 0.001). In addition, patients undergoing the telerehabilitation program reported lower exertion scores at rest and after the 6-min walking test (both, P < 0.001). Between-group oxygen saturation differences were found at rest ( P < 0.001), but not after the 6-min walking test ( P = 0.024). Finally, significant between-group differences were found for heart rate after the 6-min walking test ( P < 0.001). Conclusions: Although both groups showed a significant improvement after 3 mos of follow-up, the group receiving the telerehabilitation program described a greater improvement compared with the group receiving no intervention. [ABSTRACT FROM AUTHOR]

This paper examines the compliance of Spanish crime reporting with the principles of the 2016 EU Directive on presumption of innocence, which aims at preventing the publication of information that might bias the public and the jurors against the suspect. A content analysis applied to a sample of 200 crime news stories published by eleven of the most popular print and online news platforms in 2018 reveals that the Spanish press coverage of crime is centered around the pre-trial and sentence stages, with little attention to the oral trial. The full name and the face portrait of the suspect appear in roughly one-third of the stories, but this overwhelmingly happens in news stories reporting on the court's decision, so that the presumption of innocence is generally protected. Interestingly, the legacy media are more likely to report on the victim's full name and the crime details that online digital media. One-fourth of the stories include accusations of guilt, as prosecutor attorneys and other officials are more frequently cited than defense lawyers. Although the Spanish press is largely compliant with the recommendations of the EU Directive, the lack of attention to the oral phase, where the arguments of both parts are deployed and contrasted, leads to a bias in the coverage against the suspect. [ABSTRACT FROM AUTHOR]

Background: The feeding behavior of bloodsucking insects determines the transmission, distribution, host spectrum and evolution of blood parasites in the wild. Conventional wisdom suggests that some vector groups (e.g. black flies, family Simuliidae) are consistently exophagous daytime biters. We aimed to understand more about the exceptions to this pattern by combining targeted trapping and molecular identification of parasites in vectors. Methods: In this study, we collected black flies in nest boxes used by European rollers Coracias garrulus in southeastern Spain. We molecularly analyzed 434 individual insects, identifying the black fly species caught in the nest boxes, their potential vertebrate blood meals, and the haemosporidian parasite lineages that they carried. Results: Only one black fly species, Simulium rubzovianum, appeared to enter the nest boxes of rollers. Among the trapped specimens, 15% contained vertebrate DNA, which always belonged to rollers, even though only half of those specimens were visibly engorged. Furthermore, 15% of all black flies contained Leucocytozoon lineages, indicating previous feeding on avian hosts but probably not on infected adult rollers. The known vertebrate hosts of the recorded Leucocytozoon lineages suggested that large and/or abundant birds are their hosts. Particularly represented were cavity-nesting species breeding in the vicinity, such as pigeons, corvids and owls. Open-nesting species such as thrushes and birds of prey were also represented. Conclusions: Our data strongly suggest that S. rubzovianum bites uninfected roller nestlings and infected individuals of other species, potentially incubating adults, inside nest boxes and natural cavities. This simuliid does not appear to have a strong preference for specific host clades. Contrary to the general pattern for the group, and possibly enhanced by the harsh environmental conditions in the study area, this black fly appeared to intensively use and may even have a preference for confined spaces such as cavities for feeding and resting. Preferences of vectors for atypical microhabitat niches where hosts are less mobile may enable social and within-family transmission and parasite speciation in the long term. At the same time, a lack of host preference in concentrated multispecies communities can lead to host switches. Both processes may be underappreciated driving forces in the evolution of avian blood parasites. [ABSTRACT FROM AUTHOR]

The European Commission and EU Member States have recently promoted legislation (under the REPower EU Plan) to accelerate renewable energy projects by allowing the elimination or reduction of environmental assessment and public participation in the approval procedure. To avoid adverse effects on the environment, these regulations propose the exclusion of certain areas (identified through available information on protected and/or environmentally sensitive areas) from the procedure. This paper aims to evaluate whether such measures are effective to avoid damage to biodiversity from the implementation of photovoltaic energy. To this end, we studied the distribution and abundance of a threatened bird species, the Black-bellied Sandgrouse, at two geographic scales: i) regional: Andalusia (southern Spain); ii) local: Campo de Tabernas (an excellent example of the semi-arid ecosystems of southeastern Spain) and evaluated the quality of the information that Administrations have on the species by comparing it with own censuses. We also assessed the effectiveness of the environmental impact procedure for photovoltaic plants planned in Campo de Tabernas. Data from the regional Administration reveal that Andalusian protected areas cover a minimal part (17.7%) of the species' range. Moreover, neither the regional nor the national Administration have reliable and updated information on the distribution of the species in Campo de Tabernas (only 17% of the current distribution area is known). The wrong choices made by developers about where to locate the photovoltaic plants together with wrong decisions of the regional Administration (with land-use planning competences, including the planning of power plant locations) have led to the loss of 630 ha of the species' range in Campo de Tabernas. Public participation of experts prevents, through allegations to the projects, an important part of the impact on the species. Policy implications: the information that the Administrations have on this species does not allow them to make proper decisions on where to apply renewable acceleration. Obtaining complete and updated information on the distribution of endangered species to elaborate detailed wildlife sensitivity areas is essential and urgent before implementing measures to accelerate renewables. • The new EU renewable acceleration directives are analysed here for the first time. • A threatened species becomes locally extinct due to solar power plants' poor planning. • Involving experts in EIA procedure greatly reduces the impact on a threatened species. • The design of renewable go-to areas demands specific research on threatened species. • Current EU legislation to accelerate renewables will negatively affect biodiversity. [ABSTRACT FROM AUTHOR]

This paper describes various soft-sediment deformation structures present in the Triassic deposits of the Betic External Zone (Southern Iberian). These structures, together with variations in deposit thicknesses, internal angular unconformities, and synsedimentary faults, point to intense tectonic activity from the Middle to Late Triassic related to a stage of rifting. The Middle–Late Triassic in the Betic External Zone shows a sedimentary record represented byMuschelkalk and Keuper facies. In the LadinianMuschelkalk, carbonates appear slumps, breccias, load casts, slide and parallel shear surfaces, and tsunamites. In the sandstones of the Carnian Keuper facies, different seismite beds and ball and pillow structures can be discerned. Above these deposits, the carbonate Zamoranos Formation of the Rhaetian displays volcaniclastic rocks with conglomerates, slumps and synsedimentary faults. All these features and magmatism suggest some tectonic activity, possibly related to the breakup of Pangaea, especially at the end Triassic. We highlight the features that indicate this tectonic activity over time and discuss the factors that triggered the development of these structures, along with the conditions that made this possible. [ABSTRACT FROM AUTHOR]

The number of computerized and reliable performance validity tests are scarce. This study aims to address this issue by validating a free and computerized performance validity test: the Coin in Hand–Extended Version (CIH-EV). The CIH-EV test was administered in four countries (Colombia, Spain, Portugal, and the United States) and performance was compared with other commonly used validated tests. Results showed that the CIH-EV has at least 95% specificity and 62% sensitivity, and performance was highly correlated with scores on the Test of Memory Malingering, Victoria Symptom Validity Test, and Digit Span of the Wechsler Adult Intelligence Scale. There were no significant differences in scores across countries, suggesting that the CIH-EV performs similarly in a variety of cultures. Our findings suggest that the CIH-EV has the potential to serve as a valid validity test either alone or as a supplement to other commonly used validity tests. [ABSTRACT FROM AUTHOR]

The expansion of intensive agriculture has severely altered landscapes, a process that has been aggravated by the increase of greenhouse agriculture. However, few studies have considered the combined effects of habitat loss/degradation and greenhouse farming on insect visitors to native plants.We analysed how habitat loss/degradation and greenhouse farming are related to the composition, abundance, and richness of the insect assemblages visiting flowers in a semiarid keystone shrub (Ziziphus lotus) in southeast Spain, home to Europe's largest area of greenhouses. We studied 21 populations distributed across a gradient of greenhouse intensification and habitat loss.The composition, abundance, and richness of the Ziziphus insect assemblage substantially varied between populations and were differently affected by natural habitat‐remnant and landscape degradation and population isolation.Insect abundance was negatively affected by habitat loss at population level but positively affected at individual Ziziphus scale. Honey‐bee relative abundance increased in highly degraded landscapes and isolated populations, being positively associated with hoverflies and negatively with ants and bee‐flies. Wild bees, carrion flies, and wasps remain neutral along the degradation axes. Insect visitor abundance per plant affected positively the flower visitation rate, which was also favoured by the relative abundance of honey bees, wild bees, and hoverflies. Species richness was not influenced by anthropogenic degradation, and did not affect flower visitation rate.Our results highlight the fragility of wild pollinator communities to landscape and habitat degradation, and the need to regulate intensive farming practices to preserve wild insect pollinator assemblages in semiarid habitats. [ABSTRACT FROM AUTHOR]

Copyright of AIS: Ars Iuris Salmanticensis is the property of Ediciones Universidad de Salamanca 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 the External Zone of the Betic Cordillera (S Spain), upper Muschelkalk (Ladinian) facies have been known for decades; however, so far there is no stratigraphic record of Anisian deposits. In the present study, new biostratigraphic data from a carbonate succession in the easternmost Subbetic domain reveal a Pelsonian-Illyrian (Anisian) age. The nautiloids Germanonautilus salinarius and Germanonautilus saharonicus are documented for the first time in the Iberian Peninsula, and together with the brachiopod Tetractinella trigonella and the bivalves Neoschizodus orbicularis and Myophoria vulgaris they represent marker fossils of Anisian deposits previously described from many other basins, both in the Germanic and Alpine realms. The co-occurrence of the nautiloid G. saharonicus and the bivalve Gervillia joleaudi at the top of the studied succession serves as correlation tool for the first faunal migration event from the Sephardic towards the Subbetic domain. The palynomorph assemblage, including the monosaccate pollen grain Cristianisporites triangulatus , provides further evidence of a late Anisian age. An integrated study of fossil assemblages and sedimentary facies reveals tidal and very shallow-marine environments that characterize an extensive epicontinental platform in the western Tethys along the paleo-margin of the Iberian Massif. Two thin shale intervals represent two distinct transgressive phases, correlative to the Pelsonian maximum-flooding zone recorded in other European basins. The new findings contribute to the ongoing paleogeographic reconstruction of epicontinental platform settings which developed during the Middle Triassic in the Peri-Tethyan realm. [Display omitted] • Lower Muschelkalk deposits of the Subbetic domain are described for the first time. • Reconstruction of depositional environments and paleogeography • Anisian age assignment based on nautiloids, brachiopods, bivalves and palynomorphs • Connection of the Anisian platform of the Betic External Zone with the Paleotethys • Identification of two major marine transgressive events on an extensive shallow platform [ABSTRACT FROM AUTHOR]

This comparative study examines the everyday Facebook activities of all Danish and Spanish members of the European Parliament (MEPs), and the extent to which there is a real political conversation between citizens and European representatives. Through content analysis, it analyzes the Facebook practices of a significantly under-studied population (MEPs) during a non-campaign period (January 15 to February 15, 2017) while most of recent research has overwhelmingly focused on campaign periods. The results show that both Danish and Spanish MEPs are generously present and active on Facebook, but that they are less popular than their national counterparts. The study shows that Danish MEPs use Facebook in a clearly more dialogue-oriented way than their Spanish colleagues. Their updates often lead to conversations between followers, and they frequently take part in these political discussions, while Spanish MEPs tend to limit their Facebook practices to content publication, avoiding citizen conversation. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study is to examine the psychometric properties of the Spanish version of the Oxford Cognitive Screen in a subacute stroke population. Participants and setting: Fifty-seven subacute stroke outpatients and 54 healthy individuals were recruited in Alicante province, Spain. Main measure: The Oxford Cognitive Screen. Other measures: The Montreal Cognitive Assessment, the Barcelona test, and the Barthel Index. Design: A validation study was conducted to analyze the inter-rater, intra-rater, test–retest, and internal consistency of the Spanish version of the Oxford Cognitive Screen. Concurrent validity was assessed using the Montreal Cognitive Assessment and the Barcelona test, and divergent validity using the Barthel index. Discriminant indices such as the sensitivity, specificity, predictive values, and optimal cut-offs were also estimated. Results: The subtests of the Spanish version of the Oxford Cognitive Screen showed excellent estimates for the inter-reliability (intraclass correlation coefficient (ICC) = 0.790 to 1.000; rs = 0.693 to 1.000), and acceptable-good for intra-reliability (ICC = 0.181 to 0.990) and test–retest reliability (rs = 0.173 to 0.971). Internal consistency was also excellent (standardized Cronbach's α = 0.907). Spearman correlations for the concurrent validity were low-strong (rs = −0.193 to 0.95) and low-moderate (rs = −0.091 to 0.443) for divergent validity. The optimal cut-offs estimated for the subtests of the Spanish version of the Oxford Cognitive Screen showed good-high specificity (66.7%–100%) and positive predictive value (67.9%–100%), and low-good sensitivity (14.8%–83.3%) and moderate-good negative predictive value (53.5%–76.6%). Discriminant power as measured by the area under the curve indicated acceptable-good values (0.397 to 0.894). Conclusion: Our findings support that the Spanish version of the Oxford Cognitive Screen is a reliable and valid tool for screening cognitive impairments in subacute stroke patients. [ABSTRACT FROM AUTHOR]

This study assesses if the well-established polarised pluralism of the Spanish news media system translated into frame sponsorship during the 2011 Spanish General Election. After reviewing the historical and cultural influences that shaped the 2011 Spanish electoral campaign, I conduct a qualitative discourse analysis of 96 news releases issued by the 2 main Spanish political parties, the Socialist Party and the People's Party, to identify their sponsored diagnostic and prognostic frames. I then compare the partisan news releases with 27 El País and El Mundo editorials that evaluated the party-sponsored frames to explore if and to what extent both Spanish leading newspapers adopted the party-sponsored frames. Findings show that the political parties succeeded in dominating news narratives about what was at stake in the election, since the newspapers clearly sponsored partisan frames and supported the parties' political aspirations. Results also demonstrate that the newspapers sporadically challenged details of partisan diagnostic and prognostic frames, especially after the election. These discrepancies, however, do not challenge partisan ideological foundations. [ABSTRACT FROM AUTHOR]

Purpose: We investigated the association between maternal use of folic acid (FA) during pregnancy and child anthropometric measures at birth.Methods: We included 2302 mother-child pairs from a population-based birth cohort in Spain (INMA Project). FA dosages at first and third trimester of pregnancy were assessed using a specific battery questionnaire and were categorized in non-user, < 1000, 1000-4999, and ≥ 5000 µg/day. Anthropometric measures at birth (weight in grams, length and head circumference in centimetres) were obtained from medical records. Small for gestational age according to weight (SGA-w), length (SGA-l) and head circumference (SGA-hc) were defined using the 10th percentile based on Spanish standardized growth reference charts. Multiple linear and logistic regression analyses were used to explore the association between FA dosages in different stages of pregnancy and child anthropometric measures at birth.Results: In the multiple linear regression analysis, we found a tendency for a negative association between the use of high dosages of FA (≥ 5000 µg/day) in the periconceptional period of pregnancy and weight at birth compared to mothers who were non-users of FA (β = − 73.83; 95% CI − 151.71, 4.06). In the multiple logistic regression, a greater risk of SGA-w was also evident among children whose mothers took FA dosages of 1000-4999 (OR = 2.21; 95% CI 1.17, 4.19) and of ≥ 5000 µg/day (OR = 2.32; 95% CI 1.06, 5.08) compared to mothers non-users of FA in the periconceptional period of pregnancy.Conclusion: Our findings suggest that a high dosage of FA (≥ 1000 µg/day) may be associated with an increased risk of SGA-w at birth. [ABSTRACT FROM AUTHOR]

Objective: The study assessed the predictive factors of diagnostic accuracy and treatment approach (antidepressants versus active monitoring) for depression in primary care.Methods: This is a cross-sectional study that uses information from a naturalistic prospective controlled trial performed in Barcelona (Spain) enrolling newly diagnosed patients with mild to moderate depression by GPs. Treatment approach was based on clinical judgement. Diagnosis was later assessed according to DSM-IV criteria using Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) interview by an external researcher. Patients (sociodemographic, psychiatric diagnosis, severity of depression and anxiety, health-related quality of life, disability, beliefs about medication and illness and comorbidities) and GP factors associated with diagnostic accuracy and treatment approach were assessed using multilevel logistic regression. Variables with missing data were imputed through multiple imputations.Results: Two hundred sixty-three patients were recruited by 53 GPs. Mean age was 51 years (SD = 15). Thirty percent met DSM-IV criteria for major depression. Mean depression symptomatology was moderate-severe. Using multivariate analyses, patients' beliefs about medicines were the only variable associated with the antidepressant approach. Specialization in general medicine and being a resident tutor were associated with a more accurate diagnosis.Conclusions: Clinical depression diagnosis by GPs was not always associated with a formal diagnosis through a SCID-I. GPs' training background was central to an adequate depression diagnosis. Patients' beliefs in medication were the only factor associated with treatment approach. More resources should be allocated to improving the diagnosis of depression. [ABSTRACT FROM AUTHOR]

Copyright of Revista Iberoamericana de Ciencias de la Actividad Física y el Deporte is the property of Revista Iberoamericana de Ciencias de la Actividad Física y el Deporte 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.)