Fases y territorios de la neolitización del NE de la Península Ibérica ca. 5600-4900 cal BC

En este trabajo se presentan los datos radiocarbónicos y de las cerámicas decoradas de numerosos yacimientos del NE Peninsular pertenecientes al Neolítico antiguo (c.5600-4900). Mediante el análisis de los dos registros, se han podido detectar características culturales independientes en diferentes territorios de esta región. Después de una primera ocupación de poca entidad, probablemente relacionada con el Neolítico Impressa, se pasa a una primera oleada de poblaciones cardiales. Éstas se distribuyen por diferentes ámbitos geográficos litorales y prelitorales y ya presentan diferencias en sus producciones cerámicas. Durante una fase evolucionada (a partir de c. 5300 cal BC), los territorios diversifican sus producciones cerámicas aún más en los territorios litorales y prelitorales. Sin embargo, las nuevas zonas ocupadas presentan registros donde se mezclan los componentes cardiales y los epicardiales, sobretodo en la región de Segre-Pirineos. Estos datos reflejan por un lado una rápida distribución por todo el territorio durante la neolitización, pero también un carácter particular entre diferentes comunidades neolíticas, lejos de una visión homogénea del proceso

Impact of a system to assist in clinical decision-making in primary healthcare in Catalonia : prescription Self Audit

Altres ajuts: Institut Universitari d'Investigació en Atenció Primària (IDIAP Jordi Gol). Scholarship to complete a PhD thesis in primary care.In 2008, in the context of a complete computerisation of medical records, the Institut Català de la Salut (ICS, Catalan Health Institute) implemented a system in its electronic clinical workstation (ECW) to assist decision-making at the prescription level. This system is known as Self Audit, and it supports physicians in reviewing the medication of their patients. Self Audit provides lists of patients presenting medication-related problems (MRPs) that have potential for improvement, and provides therapeutic recommendations that are easy to apply from the system itself. The aim of this study was to analyse the main results derived from the use of Self Audit in primary care (PC) in Catalonia, and the effect of an incentive-based safety indicator on the results obtained. A descriptive cross-sectional study was carried out to analyse variations in the MRPs detected by Self Audit during 2016, 2017, and 2018 in PC in Catalonia. The effect of a safety indicator on the results obtained was also studied. This safety indicator includes the most clinically relevant MRPs (i.e., therapeutic duplications, safety alerts from the Spanish Medicines Agency, and incidences of polymedication in patients over 65 years of age). Variation in the MRPs was measured using the differences between two evaluation points (initial and final). An MRP was considered resolved if the recommendation specified in the alert was followed. The prescriptions of 6411 PC doctors of the ICS who use the ECW and provide their services to 5.8 million Catalans through 288 PC teams were analysed. Analysis of the total safety-based MRPs detected by Self Audit gave overall resolutions from April to December of 9% (21,547) in 2016, 7% (15,924) in 2017, and 1% (2392) in 2018 out of the total number of MRPs recorded in April each year. Examination of the 3 types of MRPs with the highest clinical relevance that were linked to the safety indicator gave overall resolutions of 41% in 2016 (17,358), 20% in 2017 (7655), and 21% in 2018 (8135). The ICS Self Audit tool assists in reducing the number of safety-based MRPs in a systematic manner, and yields superior results for the MRPs linked to a safety indicator included in the incentives of PC physicians

Impact of a system to assist in clinical decision-making in primary healthcare in Catalonia: prescription Self Audit

Clinical safety; Decision support system; Primary careSeguridad clínica; Sistema de soporte a la decisión; Atención primariaSeguretat clínica; Sistema de suport a la decisió; Atenció primàriaBackground In 2008, in the context of a complete computerisation of medical records, the Institut Català de la Salut (ICS, Catalan Health Institute) implemented a system in its electronic clinical workstation (ECW) to assist decision-making at the prescription level. This system is known as Self Audit, and it supports physicians in reviewing the medication of their patients. Self Audit provides lists of patients presenting medication-related problems (MRPs) that have potential for improvement, and provides therapeutic recommendations that are easy to apply from the system itself. The aim of this study was to analyse the main results derived from the use of Self Audit in primary care (PC) in Catalonia, and the effect of an incentive-based safety indicator on the results obtained. Methods A descriptive cross-sectional study was carried out to analyse variations in the MRPs detected by Self Audit during 2016, 2017, and 2018 in PC in Catalonia. The effect of a safety indicator on the results obtained was also studied. This safety indicator includes the most clinically relevant MRPs (i.e., therapeutic duplications, safety alerts from the Spanish Medicines Agency, and incidences of polymedication in patients over 65 years of age). Variation in the MRPs was measured using the differences between two evaluation points (initial and final). An MRP was considered resolved if the recommendation specified in the alert was followed. The prescriptions of 6411 PC doctors of the ICS who use the ECW and provide their services to 5.8 million Catalans through 288 PC teams were analysed. Results Analysis of the total safety-based MRPs detected by Self Audit gave overall resolutions from April to December of 9% (21,547) in 2016, 7% (15,924) in 2017, and 1% (2392) in 2018 out of the total number of MRPs recorded in April each year. Examination of the 3 types of MRPs with the highest clinical relevance that were linked to the safety indicator gave overall resolutions of 41% in 2016 (17,358), 20% in 2017 (7655), and 21% in 2018 (8135). Conclusions The ICS Self Audit tool assists in reducing the number of safety-based MRPs in a systematic manner, and yields superior results for the MRPs linked to a safety indicator included in the incentives of PC physicians.The primary care component of this study was funded by the Institut Universitari d’Investigació en Atenció Primària (IDIAP Jordi Gol). Scholarship to complete a PhD thesis in primary care

Estudio de los restos líticos de la Cova Colomera (prepirineo de Lleida) entre 5220 y 1660 cal BC. Análisis arqueopetrológico de las matérias primas silíceas y posibles áreas de captación.

[spa]Elestudio arqueopetrológico delos sílex dela Cova Colomera ha permitido detectar distintas variedades. La mayoría, por sus características macroscópicas, relacionables con la facies Garumniense local. Otras se corresponderían con formaciones sedimentarias lacustres probablemente adscribibles al Valle del Ebro. Las diversas características de este registro lítico, junto con las cronologías de los niveles, nos debería permitir inferir algunas hipótesis sobre la movilidad de los grupos humanos y proponer pautas evolutivas entre los diferentes momentos analizados.[eng]The archaeopetrological study of cherts from Cova Colomera has detected different varieties of siliceous sedimentary raw materials. The main part of them may be related macroscopically with Garumnian facies of local origin; others could be related with lacustrine sedimentary environments of the Ebro Sedimentary Basin. Changes in the lithic record in relation to stratigraphy and chronology, should allow us to infer some hypotheses on the mobility of human groups and that can help us to propose changing patterns between the different cultural moments analysed

Artistic expressions and funerary record during the Early Cardial and Epicardial Neolithic in Catalonia

[spa] En aquest treball es fa un repàs sobre dos aspectes claus en l'esfera de les creences del grups neolítics que, durant la Taula Rodona de Montserrat, no van ser quasi tinguts en compte, perquè la informació disponible era quasi inexistent. De manera que les dades que s'han aconseguit els darrers anys han suposat un important salt endavant. La contextualització de les manifestacions artístiques és cada cop millor i les manifestacions funeràries són cada cop més nombroses.[eng] This paper reviews two key aspects in the sphere of the beliefs of the Neolithic groups that, during the Taula Rodona de Montserrat, were almost ignored, because the available information was almost non-existent. So the data obtained in recent years has been a major leap forward. Contextualization of the artistic record has improved, and funerary evidence are increasing in numbe

Intervencions arqueològiques als enllaços de l'autopista AP-7 de Vilafranca del Penedès: nous assentaments prehistòrics a l'aire lliure al Penedès

Amb aquesta publicació es pretén fer la presentació d'un projecte de llarga durada, tant pel que fa a les fases de treballs de camp, que com veurem es desenvoluparen entre els anys 2008 i 2010, com pel que fa a la recerca que encara resta per endavant. En el marc de la remodelació dels enllaços de l'autopista AP-7, entre els anys 2009 i 2010 es van excavar un total de tres jaciments: Cinc Ponts (enllaç Vilafranca Nord), la Serreta (enllaç Vilafranca Centre) i Mas Pujó (enllaç Vilafranca Sud). Les intervencions arqueològiques han donat com a resultat la documentació de 240 estructures negatives i han permès obtenir una completa informació de l'ocupació humana de la zona des del neolític cardial fins a l'època contemporània. L'etapa més ben representada és la prehistòrica, ja que s'aprecia una especial intensitat de l'ocupació durant el neolític antic postcardial (tipus Molinot), el neolític mitjà i el bronze inicial. La tipologia i la funció de les estructures, entre les quals destaquen les sitges i les estructures d'hàbitat i sepulcrals, reflecteixen el desenvolupament en aquesta àmplia àrea tant d'activitats econòmiques i habitaculars com de pràctiques funeràries.

New data concerning 'large blades' in Catalonia: Apt-Forcalquier chert in the Penedès (south of Barcelona) during the Late Neolithic - Chalcolithic

The study of large chert blades documented in funerary contexts from the Late Neolithic to the Early Bronze Age in the north-eastern part of Iberia has been addressed in recent works by the authors, in which 49 burial sites have been registered with more than 200 large chert blades. In this paper the recent data obtained from the study of seven archaeological sites located in the region of the Penedès (southwest of Barcelona) is presented. The macroscopic characterization of the knapped stone industries shows their great variety regarding the origin of the siliceous raw material, often coming from outside the analysed region. In some cases their macroscopic features link them to Apt-Forcalquier chert (Haut Provence, France), which was widely distributed in the form of large blades during these phases of Late Catalan prehistory. The absence of evidence of the chaîne opératoire production of this type of foreign chert in the lithic assemblages in Catalonia lead to the supposition that the dispersion of the blades was done as trade items, and only in a few cases were highly complex technological tools of this kind of raw material distributed (e.g., daggers). Use-wear analysis reveals that these blades were not merely luxury items in grave goods. Far from this idea, they have to be considered as functional, even multifunctional, items. All the same, it is thought that they must have had an important value because they moved from the domestic sphere to the graves. In fact, the pieces that usually remain are not small fragments, but whole or almost whole, large blades that normally remain effective

Hàbitat en cova i espai pels ramats ca.6200-6000 BP:La Cova Colomera (Prepirineu de Lleida) durant el Neolític Antic.

En aquest treball es presenten les dades referents a la Cova Colomera (Sant Esteve de la Sarga, Pallars Jussà) durant el Neolític cardial final. A partir de diferents sondejos duts a terme des de l'any 2005, s'ha pogut observar la varietat d'usos i funcionalitats del jaciment en moments potencialment sincrònics. Per una banda,una zona on predominen les estructures de caire domètic (fogars, fosses i forats de pal)que ens mostren les dades entorn a l'hàbitat al jaciment; i per altra banda, un gran sector de la cavitat dedicat a l'estabulació dels ramats amb sediments de tipus fumier i probablement també a l'emmagatzematge. Tot això succeix en unes datacions d'entre 6180 +/- 40 i 6020 +/- 510BP. Aquestes dades es contextualitzen amb les d'altres jaciments de la zona pirinenca, un àmbit que sempre ha estat definit en la bibliografia com un espai de pas entre diferents biòtops ecològics, de les plantes fèrtils a les pastures de l'estiu