Anticoncepción poscoital. Características de la demanda

ObjetivoConocer el perfil de las mujeres que demandan anticoncepción poscoital (APC).DiseñoDescriptivo transversal. Emplazamiento. Centro de Orientación Familiar (COF), Área 4 del Instituto Madrileño de Salud. Madrid.ParticipantesTodas las mujeres que acudieron en el año 2000 para requerir APC (n = 404).MedicionesSe realizó una encuesta con variables sociodemográficas relacionadas con la APC y con la vida sexual.ResultadosLa edad media fue de 23,9 años (límites, 14–49); el 9,9% era menor de edad. La media de coitos al mes era de 6,7, el número de años de relaciones sexuales era de 4,9 y el primer coito se produjo, de media, a los 18 años. El 90,9% afirmaba tener pareja estable. Tenía estudios secundarios o universitarios un 75%. El 55,7% manifestaba no haber recibido información sobre anticonceptivos. El 19,5% utilizó APC en otra ocasión. El 6,5% había tenido alguna interrupción voluntaria de embarazo y de éstas, el 36% había utilizado APC anteriormente. Los motivos de consulta fueron: rotura de preservativo (69,3%), preservativo retenido (16,9%) y coito sin protección (12%). El 7% tuvo otros coitos de riesgo en el mismo ciclo. Un 33,2% las remitía su equipo de atención primaria, acudió por conocidos el 19% y desde servicios de urgencias el 16%. Conocía el COF un 26,1%. En el 12,2% no se prescribió APC por mínimo riesgo de embarazo. Realizaron la valoración una enfermera (52,6%), médicos residentes (34,4%) y una ginecóloga (13%).ConclusionesFalta información sobre métodos anticonceptivos. La mayoría de las pacientes son derivadas por otros servicios sanitarios.ObjectiveDefine the profile of the women that ask for emergency contraception (EC).DesignTransversal descriptive investigation.SettingFamiliar Planning Center of 4th Area of Instituto Madrileño de Salud. in Madrid. Participants. All the women that went in the year 2000 requiring EC (n=404).MeasurementsWas carried out a survey with sociodemographic variables, related with the EC and with the sexual life.ResultsThe average age was of 23.9 years (age range 14 to 49) were inquired, 9.9 were under 18. They had an average of 6.7 intercourses per month, the first intercourse when they were 18 years old on average, and 4.9 years of sexual relationships. 90.9% stated to have a couple. 75% were graduated from high school or university, and 55.7% said they had never received information about contraceptives. For 19.5% this was not the first time they asked for EC. 6.5% had interrupted on purpose pregnancy and 36% of them had used EC before. The reasons to demand EC were: condom break (69.3%), held condom (16.9%) and intercourse without any protection (12%). 7% acknowledged other risky intercourses during the same period. 33.2% had been sent by a General Practitioner, 26.1% knew the center, 19% were sent by acquaintances and 16% from Emergency Services. EC was not prescribed in 12.2% of the cases because of minimum risk to pregnancy. The evaluation was made by a nurse (52.6%), by a doctor (34.4%) and by a gynecologist (13%).ConclusionsThere is a lack of information about contraceptive methods. Most of the patients are sent from other sanitary services

Perceived value of advanced mobile messaging services: A cross-cultural comparison of Greek and Spanish users

Purpose The purpose of this paper is to analyse the role of perceived value on post-acceptance behaviour for users of advanced mobile messaging services (AMMS). The paper also compares differences in the influence of perceived value on satisfaction and of satisfaction on loyalty to AMMS in Spain and Greece, to test the moderating effect of culture. Design/methodology/approach Partial least squares path modelling is used to test the model. Perceived value is modelled as a multidimensional reflective construct with four dimensions. Culture is studied at a national level. Differences between countries are tested using the multigroup analysis approach proposed by Henseler et al. (2009). Findings Perceived value contributes significantly to satisfaction. Satisfaction also has a significant effect on loyalty. Regarding the moderating effect of culture, the influence of perceived value on satisfaction is higher in Greece than in Spain. The authors report similar findings for the effect of satisfaction on loyalty, demonstrating the relevant moderating role of cultures with different degrees of masculinity, uncertainty avoidance and collectivism. Practical implications This cross-cultural comparison enables mobile phone companies to understand how to provide the greatest value with AMMS in each country in order to increase user satisfaction and loyalty to the service. Originality/value This is one of the first studies that develops cross-cultural research to analyse the post-acceptance of mobile services. It analyses the effect of perceived value and satisfaction, making an original comparison of two countries generally considered too similar to be compared

Assessment of sustainable land management practices in Mediterranean rural regions

Sustainable land management practices can be suitable vehicles to simultaneously address the causes and consequences of land degradation, desertification, and climate change in land managed systems. Here, we assess the potential of a variety of sustainable land management practices that, beyond addressing specific and local issues, assist in tackling Mediterranean Basin-wide land-use challenges. With this work, we aim to highlight those options that simultaneously promote local and regional Basin-wide adaptation. To do that, we developed a novel multi-objective assessment that evaluates the effectiveness of 104 practices adopted within the Mediterranean Basin and documented in the World Overview of Conservation Approaches and Technologies global database. Results indicate that agroforestry and green covers in perennial woody crops can promote multiple ecosystem services while addressing climate change adaptation. We further argue that these two practices together with reforestation, assist in regulating the hydrological cycle of the Basin and in maintaining its multifunctional landscape. Lastly, we reflect on potential biophysical and socio-economic barriers and opportunities associated with the implementation of the three practices. Our approach provides a Basin-wide integrated view that facilitates the coordination of sustainable management strategies across the Mediterranean region. © 2020 Elsevier LtdThe authors would like to thank two anonymous reviewers whose comments helped improve this work. This research is supported by the Basque Government through the BERC 2018–2021 program and by the Spanish Ministry of Economy and Competitiveness MINECO through BC3 María de Maeztu excellence accreditation MDM 2017–0714. M. Almagro acknowledges financial support from the Juan de la Cierva Program (IJCI-2015-23500)

A Grouping Harmony Search Algorithm for Assigning Resources to Users in WCDMA Mobile Networks

This paper explores the feasibility of a particular implemen- tation of a Grouping Harmony Search (GHS) algorithm to assign re- sources (codes, aggregate capacity, power) to users in Wide-band Code Division Multiple Access (WCDMA) networks. We use a problem for- mulation that takes into account a detailed modeling of loads factors, including all the interference terms, which strongly depend on the as- signment to be done. The GHS algorithm aims at minimizing a weighted cost function, which is composed of not only the detailed load factors but also resource utilization ratios (for aggregate capacity, codes, power), and the fraction of users without service. The proposed GHS is based on a particular encoding scheme (suitable for the problem formulation) and tailored Harmony Memory Considering Rate and Pitch Adjusting Rate processes. The experimental work shows that the proposed GHS algorithm exhibits a superior performance than that of the conventional approach, which minimizes only the load factors

Synchrotron radiation photoionization mass spectrometry of laser ablated species

The present paper describes an experimental apparatus suitable to create and study free clusters by combining laser ablation and synchrotron radiation. First tests on sulfur samples, S, showed the production, through laser ablation, of neutral Sn clusters (n = 1–8). These clusters were ionized using synchrotron radiation at photon energies from 160 eV to 175 eV, across the S 2p core edge. The feasibility of such combined ablation–synchrotron radiation experiments is demonstrated, opening new possibilities on the investigation of free clusters and radical

Anaplasmosis outbreak in lambs: First report causing carcass condemnation

In spring and summer 2020, six outbreaks of condemnation of jaundiced lamb carcasses were diagnosed in different farms in Aragón region, Spain. Anaplasma ovis was identified in all affected farms. Four hundred and ninety-two lambs from two affected farms were more closely examined. Clinical examination, haematologies, biochemistries, histopathology and microbiological and molecular analyses were performed. After slaughter, 34.84% of the lambs showed jaundiced carcasses and 79.64% presented splenomegaly at the abattoir. All tested lambs with icteric carcasses showed positive A. ovis PCR, although 72.72% of the unaffected lambs also tested positive. However, the bacterial load was significantly higher in the animals that showed jaundiced carcasses (Cq: 25.00 vs 26.16; p = 0.004). Moreover, all the tested lambs that showed severe anaemia were PCR positive. On the contrary, the PCR negative lambs did not show anaemia. Lambs that presented icteric carcasses displayed severe regenerative anaemia with significantly lower erythrocyte count (7.18 vs. 11.97), haematocrit (26.89 vs. 34.82) and haemoglobin (8.50 vs. 11.10) than unaffected lambs. Reticulocyte count (18.80 vs. 5.65) was also significantly increased in affected animals. This article describes a new disorder caused by Anaplasma ovis that is producing significant economic losses associated with the carcass condemnation of apparently healthy lamb

Simulación de gases en cámaras de almacenamiento de fruta

Simulation of Gases in Fruit Cold Storage Chambers: Nowadays there is an increasing use of low Oxygen (LO) and ultra low Oxygen (ULO) atmospheres for long term cold storage of fruits. Some physiological disorders associated with these postharvest technologies point to the presence of small spatial gradients in gas concentration as the major cause. However, it is extremely difficult to perform experimental tests measuring spatial gas gradients with sufficient resolution. In this study a spatiotemporal gas simulation software has been developed as a decision tool with the aim to evaluate various stowage and fruit conditions, as well as containers design

A method to assess annual average renewable groundwater reserves for large regions in Spain

This paper proposes a method for assessing the groundwater renewable reserves of large regions for an average year, based on the integration of the recession curves for their basins springs or the natural base flow of their rivers. In this method, the hydrodynamic volume (or renewable reserves), were estimated from the baseflow equation. It was assumed that the flow was the same as the natural recharge, and that the recession coefficients were derived by the hydrogeological parameters and geometrical characteristics of aquifers, and adjusted to fit the recession curves at gauging stations. The method was applied to all the aquifers of Spain, which have a total groundwater renewable reserve of 86,895 hm3 four times the mean annual recharge. However, the distribution of these reserves is very variable; 18.6% of the country aquifers contain 94.7% of the entire reserve