Vertical variation in the amplitude of the seasonal isotopic content of rainfall as a tool to jointly estimate the groundwater recharge zone and transit times in the Ordesa and Monte Perdido National Park aquifer system, north-eastern Spain

The time series of stable water isotope composition relative to meteorological stations and springs located in the high mountainous zone of the Ordesa and Monte Perdido National Park are analyzed in order to study how the seasonal isotopic content of precipitation propagates through the hydrogeological system in terms of the aquifer recharge zone elevation and transit time. The amplitude of the seasonal isotopic composition of precipitation and the mean isotopic content in rainfall vary along a vertical transect, with altitudinal slopes for d18O of 0.9‰/km for seasonal amplitude and - 2.2‰/km for isotopic content. The main recharge zone elevation for the sampled springs is between 1950 and 2600 m·a.s.l. The water transit time for the sampled springs ranges from 1.1 to 4.5 yr, with an average value of 1.85 yr and a standard deviation of 0.8 yr. The hydrological system tends to behave as a mixing reservoir.Peer ReviewedPostprint (author's final draft

Vertical variation in the amplitude of the seasonal isotopic content of rainfall as a tool to jointly estimate the groundwater recharge zone and transit times in the Ordesa and Monte Perdido National Park aquifer system, north-eastern Spain

The time series of stable water isotope composition relative to meteorological stations and springs located in the high mountainous zone of the Ordesa and Monte Perdido National Park are analyzed in order to study how the seasonal isotopic content of precipitation propagates through the hydrogeological system in terms of the aquifer recharge zone elevation and transit time. The amplitude of the seasonal isotopic composition of precipitation and the mean isotopic content in rainfall vary along a vertical transect, with altitudinal slopes for d18O of 0.9‰/km for seasonal amplitude and - 2.2‰/km for isotopic content. The main recharge zone elevation for the sampled springs is between 1950 and 2600 m·a.s.l. The water transit time for the sampled springs ranges from 1.1 to 4.5 yr, with an average value of 1.85 yr and a standard deviation of 0.8 yr. The hydrological system tends to behave as a mixing reservoir.Peer Reviewe

Medicines use review service in community pharmacies in Spain: REVISA project

[Background] Community pharmacy services play an important role in controlling some factors related to medicine use and patients can benefit from these services to improve the adherence and knowledge of their medications, besides to reduce medicine-related problems.[Objective] The aim of the REVISA project is to carry out a study on preliminary implementation of the medicines use review service in Spanish community pharmacies. Setting Sixty-four community pharmacies from all regions of Spain.[Method] A preliminary implementation, cross-sectional multicentre study was conducted using a convenience sample of voluntary community pharmacies. A structured interview enabled to pharmacists to obtain a better understanding of patient’s medicines use.[Main outcome measure] Medicines use review-related time and cost, satisfaction and willingness to pay.[Results] A total of 495 patients were enrolled. The mean age of the patients was 66.1 years, with the majority females (56.4%) and a mean consumption of 5.7 medicines. A total of 2811 medicines were evaluated and 550 referral recommendations were made (29.8% to Primary Care). The mean time employed by the pharmacists in the medicines use review service was 52.8 min (medicines use review-related cost of €17.27). Most patients expressed a high level of satisfaction with this service (98.5%) and a willingness to pay for it (84%).[Conclusion] Medicines use review service in community pharmacies in Spain can be delivered, that it appears to be acceptable to patients and that most patients said they would be willing to pay for it. This service may offer an opportunity to promote inter-professional collaboration between pharmacists and general practitioners.The REVISA project presents independent research funded by SEFAC (Sociedad Española de Farmacia Familiar y Comunitaria), with the collaboration of TEVA and Ratiopharm.Peer reviewe

Medicines use review service in community pharmacies in Spain: REVISA project.

Background Community pharmacy services play an important role in controlling some factors related to medicine use and patients can benefit from these services to improve the adherence and knowledge of their medications, besides to reduce medicine-related problems. Objective The aim of the REVISA project is to carry out a study on preliminary implementation of the medicines use review service in Spanish community pharmacies. Setting Sixty-four community pharmacies from all regions of Spain. Method A preliminary implementation, cross-sectional multicentre study was conducted using a convenience sample of voluntary community pharmacies. A structured interview enabled to pharmacists to obtain a better understanding of patient's medicines use. Main outcome measure Medicines use review-related time and cost, satisfaction and willingness to pay. Results A total of 495 patients were enrolled. The mean age of the patients was 66.1 years, with the majority females (56.4%) and a mean consumption of 5.7 medicines. A total of 2811 medicines were evaluated and 550 referral recommendations were made (29.8% to Primary Care). The mean time employed by the pharmacists in the medicines use review service was 52.8 min (medicines use review-related cost of €17.27). Most patients expressed a high level of satisfaction with this service (98.5%) and a willingness to pay for it (84%). Conclusion Medicines use review service in community pharmacies in Spain can be delivered, that it appears to be acceptable to patients and that most patients said they would be willing to pay for it. This service may offer an opportunity to promote inter-professional collaboration between pharmacists and general practitioners