Uncovering Barcelona's Personality: Is There A Gap Between The Way The City is Presented and The Way This is Perceived by Foreigners and Locals?

The focus of this research is in the field of city branding and positioning, where particular emphasis is placed on Barcelona’s reimaging years and its current identity or personality as perceived by locals and foreigners. The wish to understand this curious, yet inexplicable tendency for city policy makers and planners to try and find one landmark or a limited number of places that can visually communicate a destination’s complex ‘urban narrative’ has formed the basis for this study; the choice of topic was also guided by a personal interest to explore the extent to which the image tourists have of a city can be influenced by promotional material and the media. The research approach adopted in this dissertation includes a review of significant literature, a study of promotional material distributed by BarcelonaTurisme and the results from two surveys circulated to Barcelona’s local residents and to a wider international public. The findings show that there is a certain connection between the international perception of Barcelona and specific elements emphasized through marketing channels; and that the Departament de Turisme of the Generalitat fails to project an authentic image of Barcelona abroad that is representative of local opinions. The conclusion to be drawn from this study comes down to one fundamental idea - city authorities must begin to articulate a more collective vision by enabling residents to share their thoughts as well; in this manner, all overlapping components that form Barcelona’s diversity and uniqueness, rather than just a selected few, will be accentuated and more effectively communicated to the group of audiences targeted. Keywords: destination branding, reimaging, Barcelona tourism, tourist gaze, resident satisfactio

GEOMETRIC PROCESSING OF VERY HIGH-RESOLUTION SATELLITE IMAGERY: QUALITY ASSESSMENT FOR 3D MAPPING NEEDS

In recent decades, the geospatial domain has benefitted from technological advances in sensors, methodologies, and processing tools to expand capabilities in mapping applications. Airborne techniques (LiDAR and aerial photogrammetry) generally provide most of the data used for this purpose. However, despite the relevant accuracy of these technologies and the high spatial resolution of airborne data, updates are not sufficiently regular due to significant flight costs and logistics. New possibilities to fill this information gap have emerged with the advent of Very High Resolution (VHR) optical satellite images in the early 2000s. In addition to the high temporal resolution of the cost-effective datasets and their sub-meter geometric resolutions, the synoptic coverage is an unprecedented opportunity for mapping remote areas, multi-temporal analyses, updating datasets and disaster management. For all these reasons, VHR satellite imagery is clearly a relevant study for National Mapping and Cadastral Agencies (NMCAs). This work, supported by EuroSDR, summarises a series of experimental analyses carried out over diverse landscapes to explore the potential of VHR imagery for large-scale mapping

EQUIPT: protocol of a comparative effectiveness research study evaluating cross-context transferability of economic evidence on tobacco control

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.This article has been made available through the Brunel Open Access Publishing Fund.Tobacco smoking claims 700 000 lives every year in Europe and the cost of tobacco smoking in the EU is estimated between €98 and €130 billion annually; direct medical care costs and indirect costs such as workday losses each represent half of this amount. Policymakers all across Europe are in need of bespoke information on the economic and wider returns of investing in evidence-based tobacco control, including smoking cessation agendas. EQUIPT is designed to test the transferability of one such economic evidence base-the English Tobacco Return on Investment (ROI) tool-to other EU member states

Роль общения в практике семейных медицинских сестёр

Center of Healthy for Youth, National College of Medicine and Pharmacy Neovita, Center for Continuing Medical Education for Medical and Pharmaceutical Secondary Staff, Congresul III al Medicilor de Familie din Republica Moldova, 17–18 mai, 2012, Chişinău, Republica Moldova, Conferinţa Naţională „Maladii bronhoobstructive la copii”, consacrată profesorului universitar, doctor habilitat Victor Gheţeul, 27 aprilie, Chişinău, Republica MoldovaCommunication in medicine should not be viewed as a common object, understood by itself. There is a difference between unconscious and intentional communication. The necessity to improve communication with the patient comes from the gaps that persist in the communication abilities of family nurses. All nurse-patient interactions are influenced by the expectations that both parties have.Общение в медицинской практике не должно трактоваться, как обычная составляющая практической деятельности. Существует четкая грань между обычным, в бытовом понятии, общением и общением профессиональным. Необходимость постоянного улучшения качественной составляющей общения с больными обусловлено, в первую очередь, теми недостатками, которые продолжают иметь место в общении между семейными медицинскими сестрами и больными. Взаимоотношения между медицинскими сестрами и пациентами регулируются, в конечном итоге, ожидаемыми результатами обеих сторон

Knowledge of the health risks of smoking and impact of cigarette warning labels among tobacco users in six European countries: Findings from the EUREST-PLUS ITC Europe Surveys

INTRODUCTION The aim of this study was to examine knowledge of health effects of smoking and the impact of cigarette package warnings among tobacco users from six European Union (EU) Member States (MS) immediately prior to the introduction of the EU Tobacco Products Directive (TPD) in 2016 and to explore the interrelationship between these two factors. METHODS Cross-sectional data were collected via face-to-face interviews with adult smokers (n=6011) from six EU MS (Germany, Greece, Hungary, Poland, Romania, Spain) between June-September 2016. Sociodemographic variables and knowledge of health risks of smoking (KHR) were assessed. Warning salience, thoughts of harm, thoughts of quitting and foregoing of cigarettes as a result of health warnings were assessed. The Label Impact Index (LII) was used as a composite measure of warning effects. Linear and logistic regression analyses were used to examine sociodemographic predictors of KHR and LII and the inter-relationship between knowledge and LII scores. RESULTS The KHR index was highest in Romania and Greece and lowest in Hungary and Germany. While the majority of smokers knew that smoking increases the risk for heart diseases, lung and throat cancer, there was lower awareness that tobacco use caused mouth cancer, pulmonary diseases, stroke, and there were very low levels of knowledge that it was also associated with impotence and blindness, in all six countries. Knowledge regarding the health risks of passive smoking was moderate in most countries. The LII was highest in Romania and Poland, followed by Spain and Greece, and lowest in Germany and Hungary. In almost all countries, there was a positive association between LII scores and higher KHR scores after controlling for sociodemographic variables. Several sociodemographic factors were associated with KHR and LII, with differences in these associations documented across countries. CONCLUSIONS These data provide evidence to support the need for stronger educational efforts and policies that can enhance the effectiveness of health warnings in communicating health risks and promoting quit attempts. Data will serve as a baseline for examining the impact of the TPD

Respiration-averaged CT versus standard CT attenuation maps for correction of the 18F-NaF uptake in hybrid PET/CT

BACKGROUND: To evaluate the impact of respiratory-averaged computed tomography attenuation correction (RACTAC) compared to standard single-phase computed tomography attenuation correction (CTAC) map, on the quantitative measures of coronary atherosclerotic lesions of (18)F-sodium fluoride ((18)F-NaF) uptake in hybrid positron emission tomography and computed tomography (PET/CT). METHODS: This study comprised 23 patients who underwent (18)F-NaF coronary PET in a hybrid PET/CT system. All patients had a standard single-phase CTAC obtained during free-breathing and a 4D cine-CT scan. From the cine-CT acquisition, RACTAC maps were obtained by averaging all images acquired over 5 seconds. PET reconstructions using either CTAC or RACTAC were compared. The quantitative impact of employing RACTAC was assessed using maximum target-to-background (TBR(MAX)) and coronary microcalcification activity (CMA). Statistical differences were analyzed using reproducibility coefficients and Bland-Altman plots. RESULTS: In 23 patients, we evaluated 34 coronary lesions using CTAC and RACTAC reconstructions. There was good agreement between CTAC and RACTAC for TBR(MAX) (median [Interquartile range]): CTAC= 1.65[1.23–2.38], RACTAC= 1.63[1.23–2.33], p=0.55), with coefficient of reproducibility of 0.18, and CMA: CTAC= 0.10 [0–1.0], RACTAC= 0.15[0–1.03], p=0.55 with coefficient of reproducibility of 0.17 CONCLUSION: Respiratory-averaged and standard single-phase attenuation correction maps provide similar and reproducible methods of quantifying coronary (18)F-NaF uptake on PET/CT

Allogeneic Mesenchymal Cell Therapy in Anthracycline-Induced Cardiomyopathy Heart Failure Patients: The CCTRN SENECA Trial.

BACKGROUND: Anthracycline-induced cardiomyopathy (AIC) may be irreversible with a poor prognosis, disproportionately affecting women and young adults. Administration of allogeneic bone marrow-derived mesenchymal stromal cells (allo-MSCs) is a promising approach to heart failure (HF) treatment. OBJECTIVES: SENECA (Stem Cell Injection in Cancer Survivors) was a phase 1 study of allo-MSCs in AIC. METHODS: Cancer survivors with chronic AIC (mean age 56.6 years; 68% women; NT-proBNP 1,426 pg/ml; 6 enrolled in an open-label, lead-in phase and 31 subjects randomized 1:1) received 1 × 10 RESULTS: A total of 97% of subjects underwent successful study product injections; all allo-MSC-assigned subjects received the target dose of cells. Follow-up visits were well-attended (92%) with successful collection of endpoints in 94% at the 1-year visit. Although 58% of subjects had non-CMR compatible devices, CMR endpoints were successfully collected in 84% of subjects imaged at 1 year. No new tumors were reported. There were no significant differences between allo-MSC and vehicle groups with regard to clinical outcomes. Secondary measures included 6-min walk test (p = 0.056) and Minnesota Living with Heart Failure Questionnaire score (p = 0.048), which tended to favor the allo-MSC group. CONCLUSIONS: In this first-in-human study of cell therapy in patients with AIC, transendocardial administration of allo-MSCs appears safe and feasible, and CMR was successfully performed in the majority of the HF patients with devices. This study lays the groundwork for phase 2 trials aimed at assessing efficacy of cell therapy in patients with AIC

Reference programme: Diagnosis and treatment of headache disorders and facial pain. Danish Headache Society, 2nd Edition, 2012

Headache and facial pain are among the most common, disabling and costly disorders in Europe. Correct diagnosis and treatment is important for achieving a high quality of care. As a national organisation whose role is to educate and advocate for the needs of patients with primary headaches, the Danish Headache Society has set up a task force to develop a set of guidelines for the diagnosis, organisation and treatment of the most common types of headaches and for trigeminal neuralgia in Denmark. The guideline was published in Danish in 2010 and has been a great success. The Danish Headache Society decided to translate and publish our guideline in English to stimulate the discussion on optimal organisation and treatment of headache disorders and to encourage other national headache authorities to produce their own guidelines. The recommendations regarding the most common primary headaches and trigeminal neuralgia are largely in accordance with the European guidelines produced by the European Federation of Neurological Societies. The guideline provides a practical tool for use in daily clinical practice for primary care physicians, neurologists with a common interest in headache, as well as other health-care professionals treating headache patients. The guideline first describes how to examine and diagnose the headache patient and how headache treatment is organised in Denmark. This description is followed by individual sections on the characteristics, diagnosis, differential diagnosis and treatment of each of the major headache disorders and trigeminal neuralgia. The guideline includes many tables to facilitate a quick overview. Finally, the particular problems regarding headache in children and headache in relation to female hormones and pregnancy are described