A qualitative analysis of immigrant population health practices in the Girona Healthcare Region

The research we present here forms part of a two-phase project - one quantitative and the other qualitative - assessing the use of primary health care services. This paper presents the qualitative phase of said research, which is aimed at ascertaining the needs, beliefs, barriers to access and health practices of the immigrant population in comparison with the native population, as well as the perceptions of healthcare professionals. Moroccan and sub-Saharan were the immigrants to who the qualitative phase was specifically addressed. The aims of this paper are as follows: to analyse any possible implications of family organisation in the health practices of the immigrant population; to ascertain social practices relating to illness; to understand the significances of sexual and reproductive health practices; and to ascertain the ideas and perceptions of immigrants, local people and professionals regarding health and the health system. Methods: qualitative research based on discursive analysis. Data gathering techniques consisted of discussion groups with health system users and semi-structured individual interviews with healthcare professionals. The sample was taken from the Basic Healthcare Areas of Salt and Banyoles (belonging to the Girona Healthcare Region), the discussion groups being comprised of (a) 6 immigrant Moroccan women, (b) 7 immigrant sub-Saharan African women and (c) 6 immigrant and native population men (2 native men, 2 Moroccan men and 2 sub-Saharan men); and the semi-structured interviews being conducted with the following healthcare professionals: (a) 3 gynaecologists, (b) 3 nurses and 1 administrative staff. Results: use of the healthcare system is linked to the perception of not being well, knowledge of the healthcare system, length of time resident in Spain and interiorization of traditional Western medicine as a cure mechanism. The divergences found among the groups of immigrants, local people and healthcare professionals with regard to healthcare education, use of the healthcare service, sexual and reproductive healthcare and reticence with regard to being attended by healthcare personnel of the opposite sex demonstrate a need to work with the immigrant population as a heterogeneous group. Conclusions: the results we have obtained support the idea that feeling unwell is a psycho-social process, as it takes place within a specific socio-cultural situation and spans a range of beliefs, perceptions and ideas regarding symptomology and how to treat i

Estimates of patient costs related with population morbidity: Can indirect costs affect the results?

A number of health economics works require patient cost estimates as a basic information input. However the accuracy of cost estimates remains in general unspecified. We propose to investigate how the allocation of indirect costs or overheads can affect the estimation of patient costs in order to allow for improvements in the analysis of patient costs estimates. Instead of focusing on the costing method, this paper proposes to highlight changes in variance explained observed when a methodology is chosen. We compare three overhead allocation methods for a specific Spanish population adjusted using the Clinical Risk Groups (CRG), and we obtain different series of full-cost group estimates. As a result, there are significant gains in the proportion of the variance explained, depending upon the methodology used. Furthermore, we find that the global amount of variation explained by risk adjustment models depends mainly on direct costs and is independent of the level of aggregation used in the classification system.Patient costs, Clinical Risk Groups, Variation explained, Overhead allocation

Supernumerarios múltiples no sindrómicos: descripción de un caso

Se describe un paciente que presentaba seis dientes supernumerarios asintornáticos, cuatro de ellos rnesiodens, y se comenta el tratamiento aplicado y el resultado después de un seguimiento de 6 años. Se revisan los métodos diagnósticos, las posibilidades terapéuticas y la secuencia de las mismas así como las complicaciones de los dientes supernumerarios múltiples

Low detectability of alien reptiles can lead to biosecurity management failure: a case study from Christmas Island (Australia)

When we assume that contemporary management actions will be effective against the global rise of emerging alien species, we can develop management complacency, which leads to potentially disastrous outcomes for native biodiversity. Here, we propose the use of the probability of detection as a metric to assess the feasibility of management actions for alien species. We explore how detectability can influence the management of alien reptiles, a group of emergent alien vertebrates globally. We use a Rapid Biological Assessment method (time-limited transects) to estimate the probability of detection for alien reptiles present on Christmas Island (Australia). Across the five species studied, we found low probabilities of detection and poor explanatory capacity of the individual covariates included in our models. These findings indicate that management options to deal with alien reptiles are limited due to the potential high cost and low efficacy associated with low probabilities of detection. Strict preventive strategies, firmly espousing the principles of adaptiveness and precautionary policies, combined with early detection and biosecurity response activities are needed to address the emergence of alien reptiles. Our research was focussed on alien reptiles on islands, but the rise of new pools of alien species from all taxonomic realms across the world suggests that our conclusions may be applicable more generally. Further research is called for to explore the applicability of our conclusions and recommendations to other taxonomic groups and regions of the world.Pablo García-Díaz, Joshua V. Ross, Miquel Vall-llosera, Phillip Casse

Improved surveillance for early detection of a potential invasive species: the alien Rose-ringed parakeet Psittacula krameri in Australia

Published online: 12 November 2016The Rose-ringed parakeet Psittacula krameri is the most widely introduced parrot in the world, and is an important agricultural pest and competitor with native wildlife. In Australia, it is classified as an ‘extreme threat’, yet captive individuals frequently escape into the wild. The distribution and frequency of incursions are currently unknown, as are the potential impacts of the species in Australia. This lack of critical ecological information greatly limits effective biosecurity surveillance and decision-making efforts. We compiled a unique dataset, which combined passive surveillance sources from government and online resources, for all available information on parakeet detections at-large in Australia. We investigated whether geographic variables successfully predicted parakeet incursions, and used species distribution models to assess the potential distribution and economic impacts on agricultural assets. We recorded 864 incursions for the period 1999–2013; mostly escaped birds reported to missing animal websites. Escapes were reported most frequently within, or around, large cities. Incursions were best predicted by factors related to human presence and activity, such as global human footprint and intensive land uses. We recommend surveillance of high (predicted) establishment areas adjacent to cities where a feral parakeet population could most affect horticultural production. Novel passive surveillance datasets combined with species distribution models can be used to identify the regions where potential invasive species are most likely to establish. Subsequently, active surveillance can be targeted to the areas of highest predicted potential risk. We recommend an integrated approach that includes outreach programs involving local communities, as well as traditional biosecurity surveillance, for detecting new incursions.Miquel Vall-llosera, Andrew P. Woolnough, Dean Anderson, Phillip Casse

Going cheap: determinants of bird price in the Taiwanese pet market

Published: May 27, 2015BACKGROUND: International wildlife trade is the largest emerging source of vertebrate invasive alien species. In order to prevent invasions, it is essential to understand the mechanics of trade and, in particular, which traded species are most likely to be released or escape into the wild. A species' economic value is a key factor, because we expect cheaper species to be less assiduously secured against escaping, and more likely to be deliberately released. Here, we investigate determinants of the price of species in the Taiwanese bird trade. Taiwan is an international hub for bird trade, and several native species are threatened by alien bird species. METHODOLOGY: We investigated the relationship between the traded species sale price in Taiwan and the species availability for trade (the number of birds for sale, geographic range size and their origin, conservation and CITES status) and traits (body size, coloration, song attractiveness). We used phylogenetic generalized least squares models, with multi-model inference, to assess the variables that are best related to the price of birds in the Taiwanese pet trade. PRINCIPAL FINDINGS/CONCLUSIONS: We found that species available for sale in larger numbers, native to Taiwan, not globally endangered, and small-bodied are all relatively cheaper, as too are species lacking yellow coloration and without attractive songs. Our models of price revealed high levels of phylogenetic correlation, and hence that closely related species tended to be sold for similar prices. We suggest that, on the basis of price, native species are more likely to be deliberately or accidentally released than alien species. Nevertheless, our survey of bird shops recorded 160 species alien to Taiwan (7,631 individuals), several of which are for sale cheaply and in large numbers. Alien bird species in trade therefore present an ongoing, non-trivial invasion risk on the island.Shan Su, Phillip Cassey, Miquel Vall-llosera, Tim M. Blackbur

Interaction between Fish Skin Gelatin and Pea Protein at Air-Water Interface after Ultrasound Treatment

The interaction between fish skin gelatin (FG) and pea protein isolate (PPI) was investigated at the air-water interface (A-W) before and after a high intensity (275 W, 5 min) ultrasound treatment (US). We analyzed the properties of the single protein suspensions as well as an equal ratio of FG:PPI (MIX), in terms of ζ-potential, particle size, molecular weight, bulk viscosity and interfacial tension. The foaming properties were then evaluated by visual analysis and by Turbiscan Tower. Confocal laser scanning microscopy (CLSM) was employed to explore the role of the proteins on the microstructure of foams. The results showed that the ultrasound treatment slightly influenced physicochemical properties of the proteins, while in general, did not significantly affect their behavior both in bulk and at the air-water interface. In particular, PPI aggregate size was reduced (−48 nm) while their negative charges were increased (−1 mV) after the treatment. However, when the proteins were combined, higher molecular weight of aggregates, higher foam stability values (+14%) and lower interfacial tension (IFT) values (47.2 ± 0.2 mN/m) were obtained, leading us to assume that a weak interaction was developed between them

Mercat de l'art, col·leccionisme i museus 2020

Recull de ponències presentades a la novena Jornada Mercat de l'Art, Col·leccionisme i Museus, celebrada el 2 d'octubre de 2020 a Sitges.Els capítols d'aquesta obra són: 1. El Salón de Arte del Bazar Masaveu de Oviedo (1918-1927) / Juan Carlos Aparicio Vega. 2. La col·lecció arqueològica Duran Vall-llosera / Pere Duran Vall-Llosera. 3. Un episodi rellevant de la història de l'humor gràfic català: la Col·lecció Agell del Museu Nacional d'Art de Catalunya (Barcelona) / Adela Laborda i Francesc M. Quílez i Corella. 4. Baldomero Falgueras (1915-2005), un antiquari de postguerra / Bernat Puigdollers. 5. Alexandre Soler i March (1873-1949), historiador i col·leccionista d'art medieval / Alberto Velasco González. 6. Fernando Rivière de Caralt (1904-1992), passió pel col·leccionisme / Sara Vila Gomà. 7. Francesc Fàbregas i Mas (1857-1933): metge, polític, benefactor i col·leccionista / Joan Yeguas Gassó.Des de l'octubre de 2012 s'han fet regularment de manera anual unes jornades o seminaris científics amb el títol de Mercat de l'Art, Col·leccionisme i Museus, que han donat com a resultat permanent la publicació d'uns volums amb les ponències presentades. Actualment, aquest material configura ja un veritable corpus de valuosa documentació entorn del fenomen del col·leccionisme i el mercat de l'art a Catalunya. La nostra intenció amb la realització d'aquesta jornada ha estat crear una plataforma on poder presentar uns resultats de recerca i discutir-los amb comoditat amb tots els diferents sectors vinculats a les arts: universitaris, professionals dels museus, antiquaris, galeristes, marxants, experts, restauradors, col·leccionistes i afeccionats en general. Estem convençuts de la plena complementarietat de tots aquests punts de vista perquè el progrés del col·leccionisme al llarg de la història ha anat sempre en paral·lel a la formació dels museus i a la configuració del coneixement i l'estudi de les arts. Per això, hem cregut en la utilitat d'una jornada en la qual coincidir i compartir informacions i coneixences, amb un format amable i en un lloc d'una forta empremta simbòlica en la història del col·leccionisme a Catalunya com és el Palau de Maricel de Sitges

Leaky doors: private captivity as a prominent source of bird introductions in Australia

The international pet trade is a major source of emerging invasive vertebrate species. We used online resources as a novel source of information for accidental bird escapes, and we investigated the factors that influence the frequency and distribution of bird escapes at a continental scale. We collected information on over 5,000 pet birds reported to be missing on animal websites during the last 15 years in Australia. We investigated whether variables linked to pet ownership successfully predicted bird escapes, and we assessed the potential distribution of these escapes. Most of the reported birds were parrots (> 90%), thus, we analysed factors associated with the frequency of parrot escapes. We found that bird escapes in Australia are much more frequent than previously acknowledged. Bird escapes were reported more frequently within, or around, large Australian capital cities. Socio-economic factors, such as the average personal income level of the community, and the level of human modification to the environment were the best predictors of bird escapes. Cheaper parrot species, Australian natives, and parrot species regarded as peaceful or playful were the most frequently reported escapees. Accidental introductions have been overlooked as an important source of animal incursions. Information on bird escapes is available online in many higher income countries and, in Australia, this is particularly apparent for parrot species. We believe that online resources may provide useful tools for passive surveillance for non-native pet species. Online surveillance will be particularly relevant for species that are highly reported, such as parrots, and species that are either valuable or highly commensal.Miquel Vall-llosera, Phillip Casse

Factores de riesgo y eventos cardiovasculares en inmigrantes latinoamericanos adultos en el Distrito Macarena, Sevilla, España: estudio piloto

Con la finalidad de estimar la prevalencia por autorreporte de factores de riesgo y eventos cardiovasculares en población latinoamericana inmigrante adulta del Distrito 2 (Macarena) de Sevilla, se realizó un estudio piloto de investigación descriptiva de corte transversal. Fue utilizado un cuestionario anónimo con autorreporte de factores de riesgo y eventos cardiovasculares. Resultados: participaron 34 personas, (18% de la muestra), media etaria: 31,8 años, residencia media: 6,5 años, mujeres: 52,9%. Prevalencias de factores de riesgo: 8,8% diabetes, 14,7% colesterol elevado y 23,5% hipertensión arterial. Prevalencia de eventos coronarios corresponde a 8,8%: angina de pecho, infarto de miocardio y accidente cerebrovascular: 2,9% para ambos. Se concluye en que la prevalencia de eventos cardiovasculares autorreportados supera la mencionada en la literatura, mereciendo este asunto la atención de los organismos sanitarios. Este dato debe ser tenido en cuenta por enfermería para elaborar planes de cuidados adaptados culturalmente al contexto de este colectivo inmigrante