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Sara Quero, Noemí Párraga-Niño, Irene Barrabeig, Maria Rosa Sala, M Luisa Pedro-Botet, Eduard Monsó, Mireia Jané, Miquel Sabrià, Marian Garcia-Núñez
Legionella is the causative agent of Legionnaires' disease (LD). In Spain, Catalonia is the region with the highest incidence of LD cases. The characterisation of clinical and environmental isolates using molecular epidemiology techniques provides epidemiological data for a specific geographic region and makes it possible to carry out phylogenetic and population-based analyses. The aim of this study was to describe and compare environmental and clinical isolates of Legionella pneumophila in Catalonia using sequence-based typing and monoclonal antibody subgrouping...
April 19, 2018: Scientific Reports
Maribel González-Samartino, Pilar Delgado-Hito, Jordi Adamuz-Tomás, Maria Fe Viso Cano, Mònica Castellà Creus, María-Eulàlia Juvé-Udina
OBJECTIVE: To determine what adverse events, including pressure ulcers, infection of the surgical site and aspiration pneumonia, nurses record in clinical histories, in terms of diagnostic accuracy and completeness, through ATIC. METHOD: Observational, descriptive, cross-sectional, multicenter study of 64 medical-surgical and semi-critical units of two university hospitals in Catalonia, Spain, during 2015. The diagnostic accuracy was assessed by means of the correspondence between the event declared in the Minimum Basic Data Set and the problem documented by the nurse...
2018: Revista da Escola de Enfermagem da U S P
Jennifer McIntosh, Albert Alonso, Katie MacLure, Derek Stewart, Thomas Kempen, Alpana Mair, Margarida Castel-Branco, Carles Codina, Fernando Fernandez-Llimos, Glenda Fleming, Dimitra Gennimata, Ulrika Gillespie, Cathy Harrison, Maddalena Illario, Ulrike Junius-Walker, Christos F Kampolis, Przemyslaw Kardas, Pawel Lewek, João Malva, Enrica Menditto, Claire Scullin, Birgitt Wiese
BACKGROUND: Multimorbidity and its associated polypharmacy contribute to an increase in adverse drug events, hospitalizations, and healthcare spending. This study aimed to address: what exists regarding polypharmacy management in the European Union (EU); why programs were, or were not, developed; and, how identified initiatives were developed, implemented, and sustained. METHODS: Change management principles (Kotter) and normalization process theory (NPT) informed data collection and analysis...
2018: PloS One
Mireia Dalmases, Ivan D Benítez, Anna Mas, Oriol Garcia-Codina, Antonia Medina-Bustos, Joan Escarrabill, Esteve Saltó, Daniel J Buysse, Núria Roure, Manuel Sánchez-de-la-Torre, Montse Rué, Ferran Barbé, Jordi de Batlle
OBJECTIVE: To describe the overall sleep health of the Catalan population using data from the 2015 Catalan Health Survey and to compare the performance of two sleep health indicators: sleep duration and a 5-dimension sleep scale (SATED). METHODS: Multistage probability sampling representative of the non-institutionalized population aged 15 or more years, stratified by age, gender and municipality size, was used, excluding nightshift-workers. A total of 4385 surveys were included in the analyses...
2018: PloS One
Núria Torner, Ana Martínez, Luca Basile, MMar Mosquera, Andrés Antón, Cristina Rius, M Rosa Sala, Sofia Minguell, Elsa Plasencia, Mónica Carol, Pere Godoy, Núria Follia, Irene Barrabeig, M Angeles Marcos, Tomàs Pumarola, Mireia Jané
OBJECTIVE: The Plan of Information on Acute Respiratory Infections in Catalonia (PIDIRAC) included the surveillance of severe hospitalized cases of laboratory-confirmed influenza (SHCLCI) in 2009. The objective of this study was to determine the clinical, epidemiological and virological features of SHCLCI recorded in 12 sentinel hospitals during five influenza seasons. RESULTS: From a sample of SHCLCI recorded during the 5 influenza epidemics seasons from 2010-2011 to 2014-2015, Cases were confirmed by PCR and/or viral isolation in cell cultures from respiratory samples...
April 14, 2018: BMC Research Notes
Josep Mas-Pla, Anna Menció
Climate change will affect the dynamics of the hydrogeological systems and their water resources quality; in particular nitrate, which is herein taken as a paradigmatic pollutant to illustrate the effects of climate change on groundwater quality. Based on climatic predictions of temperature and precipitation for the horizon of 2021 and 2050, as well as on land use distribution, water balances are recalculated for the hydrological basins of distinct aquifer systems in a western Mediterranean region as Catalonia (NE Spain) in order to determine the reduction of available water resources...
April 11, 2018: Environmental Science and Pollution Research International
Pol Bruguera, Jillian Reynolds, Eilish Gilvarry, Fleur Braddick, Abdul Latheef Marath-Veettil, Peter Anderson, Zofia Mielecka-Kubien, Eileen Kaner, Antoni Gual
INTRODUCTION: The relationship between economic downturns and substance use has been studied in numerous economic crises occurring worldwide, but the precise relationship between the two remains unclear. AIMS: The aim of the present study was to undertake a survey on behaviour and perspectives related to the latest European economic crisis among illegal drug users attending substance treatment services. DESIGN AND METHODS: We conducted a questionnaire-based survey in drug dependence treatment settings, in three geographically different jurisdictions (England, Catalonia and Poland), including 180 drug users...
March 1, 2018: Journal of Mental Health Policy and Economics
Mireia Jané, Maria José Vidal, Neus Camps, Magda Campins, Ana Martínez, Joan Balcells, Maria Teresa Martin-Gomez, Gloria Bassets, Silvia Herrera-León, Anton Foguet, Mar Maresma, Nuria Follia, Sonia Uriona, Tomàs Pumarola
In May 2015, following a 30-year diphtheria-free interval in Catalonia, an unvaccinated 6-year-old child was diagnosed with diphtheria caused by toxigenic Corynebacterium diphtheriae . After a difficult search for equine-derived diphtheria antitoxin (DAT), the child received the DAT 4 days later but died at the end of June. Two hundred and seventeen contacts were identified in relation to the index case, and their vaccination statuses were analysed, updated and completed. Of these, 140 contacts underwent physical examination and throat swabs were taken from them for analysis...
March 2018: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
A Domínguez, A Romero-Tamarit, N Soldevila, P Godoy, M Jané, A Martínez, N Torner, J A Caylà, C Rius
We investigated the predictors of neuraminidase inhibitor (NAI) treatment in severe hospitalised influenza cases and the association between antiviral treatment and mortality. An observational epidemiological study was carried out in Catalonia (Spain) during 2010-2016 in patients aged ⩾18 years. Severe hospitalised cases of laboratory-confirmed influenza requiring hospitalisation were included. We collected demographic, virological and clinical characteristics. Mixed-effects logistic regression was used to estimate crude and adjusted odds ratio (aOR)...
April 2, 2018: Epidemiology and Infection
Pere Godoy, Gloria Carmona, Sandra Manzanares, Mireia Jane, Eva Borràs, Neus Camps, Josep Álvarez, Irene Barrabeig, Maria-Rosa Sala, Cristina Rius, Sofia Minguell, Mónica Carol, Joaquim Ferras, Angela Domínguez
In 1998, universal hepatitis A+B vaccination of 12-year olds was introduced in Catalonia. The aim was to examine trends in hepatitis A during 2005-2015 and assess risk factors by age group. We carried out an observational epidemiological study of the incidence and risk factors of hepatitis A reported to the surveillance system. Information on exposure was recorded for each case for the 2-6 weeks before symptom onset. Spearman's coefficient was used to evaluate the trends of rates. The chi-square test was used to compare categorical...
March 31, 2018: Journal of Viral Hepatitis
J Parera, B H Aristizabal, M G Martrat, M A Adrados, J Sauló, M Ábalos, E Abad
Reductions in concentrations of persistent organic pollutants were observed for polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in a comparison of two consecutive decades ending in December 31, 2015 (n = 413) and compiled from a 48-station long-term air-monitoring network in Catalonia, Spain. Reductions were observed in geometric mean concentration of total PCDD/Fs, decreasing at a rate of 11% yr-1 . Results reflect the relative success of improved pollution control measures at industry and traffic locations...
March 27, 2018: Science of the Total Environment
Mireia Obón-Santacana, Mireia Vilardell, Anna Carreras, Xavier Duran, Juan Velasco, Iván Galván-Femenía, Teresa Alonso, Lluís Puig, Lauro Sumoy, Eric J Duell, Manuel Perucho, Victor Moreno, Rafael de Cid
PURPOSE: The prevalence of chronic non-communicable diseases (NCDs) is increasing worldwide. NCDs are the leading cause of both morbidity and mortality, and it is estimated that by 2030, they will be responsible for 80% of deaths across the world. The Genomes for Life (GCAT) project is a long-term prospective cohort study that was designed to integrate and assess the role of epidemiological, genomic and epigenomic factors in the development of major chronic diseases in Catalonia, a north-east region of Spain...
March 27, 2018: BMJ Open
Alessandro Urciuoli, Clément Zanolli, Josep Fortuny, Sergio Almécija, Burkhard Schillinger, Salvador Moyà-Solà, David M Alba
OBJECTIVES: High-resolution imaging of fossils with X-ray computed microtomography (μCT) has become a very powerful tool in paleontological research. However, fossilized bone, embedding matrix, and dental tissues do not always provide a distinct structural signal with X-rays. We demonstrate the benefits of high-resolution neutron radiation in three different specimens showing problematic contrasts with X-ray μCT. MATERIALS AND METHODS: We compare neutron with X-ray μCT scans of fossils from two Miocene catarrhines from the Vallès-Penedès Basin: the cranium (IPS58443...
March 25, 2018: American Journal of Physical Anthropology
Susana Agusti Montolio, Rafaela Cuenca Valera, Santiago Lavín González, Carolyn Cray, Rafael Molina López, Emmanuel Serrano Ferron, Olga Nicolás Francisco, Ignasi Marco Sánchez, Encarna Casas-Díaz
BACKGROUND: Blood biochemistry and hematology are essential in the laboratory diagnosis of disease. In Strigiformes, little information regarding reference values and influence of different preanalytic factors is available, while age is known to have an effect on some biochemistry analytes, especially in early life characterized by a rapid growth rate and increase in body mass. OBJECTIVE: The objective of this study was to determine baseline data for 29 blood biochemistry variables in 5 species of Iberian Strigiformes assigned to different age classes...
March 2018: Veterinary Clinical Pathology
Marcos Francos, Paulo Pereira, Meritxell Alcañiz, Xavier Úbeda
Post-fire management practices after wildfires have an important impact on soil properties. Nevertheless, little research has been carried out. The aim of this study is to examine the impact of different post-wildfire forest management practices in a 10-month period immediately after a severe wildfire on soil properties. Two months after a wildfire, three experimental areas were designed, each one with different post-fire management: Cut and Remove (CR) where burned trunks were cut after fire and removed manually from the area; No Treatment (NT) where no intervention was carried out; and, Cut and Leave (CL) where burned trunks were cut and left randomly on topsoil...
March 22, 2018: Science of the Total Environment
N Giménez, X Filella, M Gavagnach, J A Allué, D Pedrazas, F Ferrer
INTRODUCTION: It is currently recommended to provide individualised information on benefit-risk balance and shared decision-making in prostate cancer screening using prostate-specific antigen (PSA). AIM: To determine the usual practice and the views of general and laboratory practitioners in the screening of prostate cancer using PSA. MATERIAL AND METHODS: A cross-sectional study based on a questionnaire and on PSA screening requests from Primary Health Care (PHC) in men older than 49 years with no prostatic symptoms...
March 21, 2018: Semergen
Albert Roso-Llorach, Concepción Violán, Quintí Foguet-Boreu, Teresa Rodriguez-Blanco, Mariona Pons-Vigués, Enriqueta Pujol-Ribera, Jose Maria Valderas
OBJECTIVE: The aim was to compare multimorbidity patterns identified with the two most commonly used methods: hierarchical cluster analysis (HCA) and exploratory factor analysis (EFA) in a large primary care database. Specific objectives were: (1) to determine whether choice of method affects the composition of these patterns and (2) to consider the potential application of each method in the clinical setting. DESIGN: Cross-sectional study. Diagnoses were based on the 263 corresponding blocks of the International Classification of Diseases version 10...
March 22, 2018: BMJ Open
Mència Benitez-Camps, Rosa Morros Padrós, Helena Pera-Pujadas, Antoni Dalfó Baqué, Joan Bayó Llibre, Oriol Rebagliato Nadal, Jordi Cortès Martinez, Anna García Sangenís, Carme Roca Saumell, Gabriel Coll de Tuero, Ernest Vinyoles-Bargalló
OBJECTIVE: To evaluate the effect of effervescent paracetamol on office and ambulatory blood pressure (BP) compared with noneffervescent paracetamol in hypertensive patients. DESIGN: This was a multicenter open crossover randomized clinical trial. SETTING: Primary care centers in Catalonia and the Basque Country. PARTICIPANTS: Inclusion criteria were office BP 150/95 mmHg or less and daytime ambulatory BP 140/90 mmHg or less, stable pharmacologic or nonpharmacologic antihypertensive treatment, and concomitant chronic osteoarticular pain...
March 22, 2018: Journal of Hypertension
Marta Baxarias, Alejandra Álvarez-Fernández, Pamela Martínez-Orellana, Sara Montserrat-Sangrà, Laura Ordeix, Alicia Rojas, Yaarit Nachum-Biala, Gad Baneth, Laia Solano-Gallego
BACKGROUND: The severity of canine leishmaniosis (CanL) due to Leishmania infantum might be affected by other vector-borne organisms that mimic its clinical signs and clinicopathological abnormalities. The aim of this study was to determine co-infections with other vector-borne pathogens based on serological and molecular techniques in dogs with clinical leishmaniosis living in Spain and to associate them with clinical signs and clinicopathological abnormalities as well as disease severity...
March 20, 2018: Parasites & Vectors
Joan Torres Puig-Gros, Rosa Mar Alzuria Alós
OBJECTIVE: Sometimes and when a registry is not available, influenza vaccination (IV) is based on vaccination records reported by citizens. When the opportunity of comparing both information sources exists, sometimes, discrepancies between both have been observed. The objectives of this study are: to know the IV coverage in pregnant women (both referred and recorded in the clinical history), to determine the concordance between both sources of information and to quantify the lost opportunities of IV due to errors in verbalization...
March 16, 2018: Revista Española de Salud Pública
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