El neolítico en las comarcas centro-meridionales valencianas: matices sobre el modelo dual

Es mostren les peculiaritats de la manera de viure les comunitats neolítiques de les terres centromeridionals del País Valencià. Des de la versió tradicional del model dual s’ha intentat donar una visió del procés de neolitització basat en una tendència constant i progressiva de consolidació del mode de vida agrícola i ramader. En canvi, l’anàlisi detallada del mode de vida d’aquestes comunitats indica una evolució més complexa, que tan sols en part respon a aquesta tendència. Paraules clau: Neolític. Model dual. Mode de vida mixt. Formes de treball. Produccions simbòliques.In this paper we show the peculiarities in the way of life of the neolithic communities in the middle and southern Pais Valencià (Spain). The usual version of the dual model dwells of the assumption that there is a constant and progressive tendency to consolidating the farming economy. However, the detailed analysis of the way of life of these communities indicates that the social evolution may have been much more complex. Key words: Neolithic. Dual model. Mixed way of life. Modes of labour. Symbolic productions.A lo largo de estas páginas queremos mostrar las peculiaridades del modo de vida de las comunidades neolíticas de las tierras centro-meridionales del País Valenciano. Desde la versión tradicional del modelo dual se ha intentado dar una visión del proceso de neolitización basada en una tendencia constante y progresiva de consolidación del modo de vida agrícola y ganadero. En cambio, el análisis detallado del modo de vida de estas comunidades indica una evolución más compleja, que sólo en parte responde a esta tendencia. Palabras Clave: Neolítico. Modelo dual. Modo de vida mixto. Modos de trabajo. Producciones simbólicas

Two Neolithic structures at the archaeological site of Casa Garrido Nord II (Moixent, Valencia)

Es presenten les restes de cronologia neolítica documentades a les obres de canalització de gas a la vall de Montesa. Concretament, dues sitges del Neolític II de la seqüència regional, aparegudes al jaciment de Casa Garrido Nord, al terme municipal de Moixent. Encara que els materials són poc significatius, es tracta de les primeres estructures de cronologia neolítica, de les quals tenim constància, en què s’ha realitzat una excavació arqueològica sistemàtica a la comarca de la Costera. Paraules clau: Casa Garrido Nord II. Sitja. Neolític II. La Costera. Assentaments en pla.Es presenten les restes de cronologia neolítica documentades a les obres de canalització de gas a la vall de Montesa. Concretament, dues sitges del Neolític II de la seqüència regional, aparegudes al jaciment de Casa Garrido Nord, al terme municipal de Moixent. Encara que els materials són poc significatius, es tracta de les primeres estructures de cronologia neolítica, de les quals tenim constància, en què s’ha realitzat una excavació arqueològica sistemàtica a la comarca de la Costera. Paraules clau: Casa Garrido Nord II. Sitja. Neolític II. La Costera. Assentaments en pla.Herewith we submit the remains of Neolithic chronology found at the gas piping works performed at the Valley of Montesa (Valencia). They are specifically two Neolithic II underground storage places of a regional sequence, which appeared at the Casa Garrido Nord archaeological site, within the Moixent municipal borough (in the province of Valencia). Although the materials are not very meaningful, they represent the first structures of Neolithic chronology known to us, and therefore we have carried out a systematic archaeological excavation in the area of La Costera (Valencia). Key words: Casa Garrido Nord II. Silo. Neolithic II. La Costera. Settlements on flat lands

Preventing and addressing the stress reactions of health care workers caring for patients with COVID-19: Development of a digital platform (Be + against COVID)

Background: COVID-19 became a major public health concern in March 2020. Due to the high rate of hospitalizations for COVID-19 in a short time, health care workers and other involved staff are subjected to a large workload and high emotional distress. Objective: The objective of this study is to develop a digital tool to provide support resources that might prevent and consider acute stress reactions in health care workers and other support staff due to the COVID-19 pandemic. Methods: The contents of the digital platform were created through an evidence-based review and consensus conference. The website was built using the Google Blogger tool. The Android version of the app was developed in the Java and XML languages using Android Studio version 3.6, and the iOS version was developed in the Swift language using Xcode version 11.5. The app was evaluated externally by the Andalusian Agency for Healthcare Quality. Results: We detected the needs and pressing situations of frontline health care workers, and then, we proposed a serial of recommendations and support resources to address them. These resources were redesigned using the feedback received. A website in three different languages (Spanish, English, and Portuguese) and a mobile app were developed with these contents, and the AppSaludable Quality Seal was granted to the app. A specific self-report scale to measure acute stress and additional tools were included to support the health care workforce. This instrument has been used in several Latin American countries and has been adapted considering cultural differences. The resources section of the website was the most visited with 18, 516 out of 68, 913 (26.9%) visits, and the “Self-Report Acute Stress Scale” was the most visited resource with 6468 out of 18, 516 (34.9%) visits. Conclusions: The Be + against COVID platform (website and app) was developed and launched to offer a pool of recommendations and support resources, which were specifically designed to protect the psychological well-being and the work morale of health care workers. This is an original initiative different from the usual psychological assistance hotlines

A Spanish-language patient safety questionnaire to measure medical and nursing students' attitudes and knowledge

Objective. To design and validate a questionnaire for assessing attitudes and knowledge about patient safety using a sample of medical and nursing students undergoing clinical training in Spain and four countries in Latin America. Methods. In this cross-sectional study, a literature review was carried out and total of 786 medical and nursing students were surveyed at eight universities from five countries (Chile, Colombia, El Salvador, Guatemala, and Spain) to develop and refine a Spanish-language questionnaire on knowledge and attitudes about patient safety. The scope of the questionnaire was based on five dimensions (factors) presented in studies related to patient safety culture found in PubMed and Scopus. Based on the five factors, 25 reactive items were developed. Composite reliability indexes and Cronbach''s alpha statistics were estimated for each factor, and confirmatory factor analysis was conducted to assess validity. After a pilot test, the questionnaire was refined using confirmatory models, maximum-likelihood estimation, and the variance-covariance matrix (as input). Multiple linear regression models were used to confirm external validity, considering variables related to patient safety culture as dependent variables and the five factors as independent variables. Results. The final instrument was a structured five-point Likert self-administered survey (the "Latino Student Patient Safety Questionnaire") consisting of 21 items grouped into five factors. Compound reliability indexes (Cronbach''s alpha statistic) calculated for the five factors were about 0.7 or higher. The results of the multiple linear regression analyses indicated good model fit (goodness-of-fit index: 0.9). Item-total correlations were higher than 0.3 in all cases. The convergent-discriminant validity was adequate. Conclusions. The questionnaire designed and validated in this study assesses nursing and medical students'' attitudes and knowledge about patient safety. This instrument could be used to indirectly evaluate whether or not students in health disciplines are acquiring and thus likely to put into practice the professional skills currently considered most appropriate for patient safety

The aftermath of adverse events in spanish primary care and hospital health professionals

Background Adverse events (AEs) cause harm in patients and disturbance for the professionals involved in the event (second victims). This study assessed the impact of AEs in primary care (PC) and hospitals in Spain on second victims. Methods A cross-sectional study was conducted. We carried out a survey based on a random sample of doctors and nurses from PC and hospital settings in Spain. A total of 1087 health professionals responded, 610 from PC and 477 from hospitals. Results A total of 430 health professionals (39.6%) had informed a patient of an error. Reporting to patients was carried out by those with the strongest safety culture (Odds Ratio –OR- 1.1, 95% Confidence Interval –CI- 1.0-1.2), nurses (OR 1.9, 95% CI 1.5-2.3), those under 50 years of age (OR 0.7, 95% CI 0.6-0.9) and primary care staff (OR 0.6, 95% CI 0.5-0.9). A total of 381 (62.5%, 95% CI 59-66%) and 346 (72.5%, IC95% 69-77%) primary care and hospital health professionals, respectively, reported having gone through the second-victim experience, either directly or through a colleague, in the previous 5 years. The emotional responses were: feelings of guilt (521, 58.8%), anxiety (426, 49.6%), re-living the event (360, 42.2%), tiredness (341, 39.4%), insomnia (317, 38.0%) and persistent feelings of insecurity (284, 32.8%). In doctors, the most common responses were: feelings of guilt (OR 0.7 IC95% 0.6-0.8), re-living the event (OR 0.7, IC95% o.6-0.8), and anxiety (OR 0.8, IC95% 0.6-0.9), while nurses showed greater solidarity in terms of supporting the second victim, in both PC (p?=?0.019) and hospital (p?=?0.019) settings. Conclusions Adverse events cause guilt, anxiety, and loss of confidence in health professionals. Most are involved in such events as second victims at least once in their careers. They rarely receive any training or education on coping strategies for this phenomenon

Interventions in health organisations to reduce the impact of adverse events in second and third victims

Background Adverse events (AE) are also the cause of suffering in health professionals involved. This study was designed to identify and analyse organization-level strategies adopted in both primary care and hospitals in Spain to address the impact of serious AE on second and third victims. Methods A cross-sectional study was conducted in healthcare organizations assessing: safety culture; health organization crisis management plans for serious AE; actions planned to ensure transparency in communication with patients (and relatives) who experience an AE; support for second victims; and protective measures to safeguard the institution’s reputation (the third victim). Results A total of 406 managers and patient safety coordinators replied to the survey. Deficient provision of support for second victims was acknowledged by 71 and 61 % of the participants from hospitals and primary care respectively; these respondents reported there was no support protocol for second victims in place in their organizations. Regarding third victim initiatives, 35 % of hospital and 43 % of primary care professionals indicated no crisis management plan for serious AE existed in their organization, and in the case of primary care, there was no crisis committee in 34 % of cases. The degree of implementation of second and third victim support interventions was perceived to be greater in hospitals (mean 14.1, SD 3.5) than in primary care (mean 11.8, SD 3.1) (p?<?0.001). Conclusions Many Spanish health organizations do not have a second and third victim support or a crisis management plan in place to respond to serious AEs

Vasa picta ibérica. Talleres de cerámica del Sureste hispano (s.II a.C-I d.C.)

Coordinadores: Trinidad Tortosa Rocamora y Antonio M. Poveda Navarro.Este libro recoge los resultados de la propuesta del Seminario organizado en Elda (Alicante) que, como su título indica, recoge análisis sobre el interesante conjunto de materiales vasculares que se enmarcan en un tiempo y una geografía precisa del sureste peninsular, área valenciana y albacetense. Esta iniciativa nos pareció que, en este momento, adquiría un valor añadido ya que nuevas revisiones obtenidas a la luz de antiguas informaciones, hoy revisadas o la información aportada por nuevos contextos, con estudios, como los aquí presentados, configuran el momento oportuno para dedicar una obra a estos objetos arqueológicos tan significativos en la bibliografía, sobre todo, del siglo XX. El Monastil, el Tossal de Manises, el Tolmo de Minateda, el Cabecico del Tesoro… son algunos de los nombres iconos de esta cerámica que vuelven a lucir en esta obra. Por otra parte, el libro guarda una estructura un tanto peculiar debido al ámbito global al que pretende atender y que se convierte, en nuestra opinión, en su valor añadido. Se trata del propio hecho de que lo presentemos como homenaje a Ricardo Olmos, quien ha dedicado parte de su obra a tratar algunos de los temas específicos que se afrontan en estas páginas, como por ejemplo, en el caso de los estudios sobre la Alcudia (Elche, Alicante). Los avances que este investigador ha venido proporcionando a lo largo del tiempo han supuesto para la disciplina de la iconografía arqueológica, un avance en la metodología y en el conocimiento del ámbito ibérico. Finalizamos estas páginas con un entrañable recuerdo hacia una de las primeras arqueólogas que observó y sistematizó la cerámica ibérica en la provincia alicantina, Solveig Nordström (1923-2021), desaparecida en el tiempo en el que se imprimía este libro.Esta publicación se integra en el proyecto nacional de I+D+i: HAR2017-87897-P, Reubicando los objetos ibéricos del MAN: de rituales, biografías y observaciones a través de los modelos 3D.Peer reviewe

Lectura púnica del Tossal de Manises (Alicante)

En este trabajo se exponen de manera sintética los datos arqueológicos y la interpretación histórica que ponen de relieve un fuerte carácter púnico en un yacimiento de época ibérica. A finales del siglo III a.C. se constata la fundación de un espacio habitado con formas arquitectónicas vinculadas al mundo cartaginés. La razón de este establecimiento es presentado como un elemento de control territorial bárquida en el SE de la Península Ibérica. Asimismo, se ha documentado una fase de destrucción que encuadramos en la Segunda Guerra Púnica