The heritage consideration of the Virgen del Carmen Group (Valencia): a historical reinterpretation

[EN] The conservation of Modern Movement architecture as a built architectural heritage requires also its renovation to reach today's standards of comfort and efficiency. It is even more necessary when it is still in use, as in the case of residential architecture. Moreover, it is a living heritage that, to be understood holistically, requires consideration of the experiences of its inhabitants. The Virgen del Carmen Group in Valencia is a residential complex designed and built by GO-DB Arquitectos between 1958 and 1963, and included in the DOCOMOMO Ibérico database. This architectural complex has been taken as an object of study to analyse the interpretation of its past based on exhaustive historical and archival research. This is the necessary first step towards its heritage consideration on which its future revitalisation and energy upgrading will be supported. This paper will detail the main results of the historical and archival research carried out. The changes and transformations, that the Virgen del Carmen Group has undergone over the years, have been evidenced by comparing the original project, the renovation projects, and its current state.To this end, the documents kept in the main national archives and those of the Valencian Community and the city of Valencia were consulted, as well as various historical photographic, newspaper and video sources.This work is part of the research Project: “La consideración patrimonial de la vivienda social en el movimiento moderno. El grupo Virgen del Carmen, revitalización y actualización energética” funded by the Generalitat Valenciana (Ref: AICO/2021/253)Palomares Figueres, M.; La Spina, V.; Iborra Bernard, F.; Usó Martín, F. (2023). The heritage consideration of the Virgen del Carmen Group (Valencia): a historical reinterpretation. Editorial Universitat Politècnica de València. 474-482. https://doi.org/10.4995/VIBRArch2022.2022.1522447448

Is the physician's behavior in dyslipidemia diagnosis in accordance with guidelines? Cross-sectional ESCARVAL study.

Clinical inertia has been defined as mistakes by the physician in starting or intensifying treatment when indicated. Inertia, therefore, can affect other stages in the healthcare process, like diagnosis. The diagnosis of dyslipidemia requires ≥2 high lipid values, but inappropriate behavior in the diagnosis of dyslipidemia has only previously been analyzed using just total cholesterol (TC).To determine clinical inertia in the dyslipidemia diagnosis using both TC and high-density lipoprotein cholesterol (HDL-c) and its associated factors.Cross-sectional.All health center visits in the second half of 2010 in the Valencian Community (Spain).11,386 nondyslipidemic individuals aged ≥20 years with ≥2 lipid determinations.Gender, atrial fibrillation, hypertension, diabetes, cardiovascular disease, age, and ESCARVAL training course. Lipid groups: normal (TC<5.17 mmol/L and normal HDL-c [≥1.03 mmol/L in men and ≥1.29 mmol/L in women], TC inertia (TC≥5.17 mmol/L and normal HDL-c), HDL-c inertia (TC<5.17 mmol/L and low HDL-c), and combined inertia (TC≥5.17 mmol/L and low HDL-c).TC inertia: 38.0% (95% CI: 37.2-38.9%); HDL-c inertia: 17.7% (95% CI: 17.0-18.4%); and combined inertia: 9.6% (95% CI: 9.1-10.2%). The profile associated with TC inertia was: female, no cardiovascular risk factors, no cardiovascular disease, middle or advanced age; for HDL-c inertia: female, cardiovascular risk factors and cardiovascular disease; and for combined inertia: female, hypertension and middle age.Cross-sectional study, under-reporting, no analysis of some cardiovascular risk factors or other lipid parameters.A more proactive attitude should be adopted, focusing on the full diagnosis of dyslipidemia in clinical practice. Special emphasis should be placed on patients with low HDL-c levels and an increased cardiovascular risk

Descriptive analysis of inertia groups for dyslipidemia at primary health care centers in a Spanish region.

<p>Abbreviations: n(%), absolute frequency(relative frequency); TC, total cholesterol; HDL-c, high density lipoprotein cholesterol.</p

Analysis of factors associated with inertia groups for dyslipidemia at primary health care centers in a Spanish region.

<p>Abbreviations: TC, total cholesterol; HDL-c, high density lipoprotein cholesterol; Adj. OR, Adjusted Odds Ratio; CI, Confidence Interval.</p><p>Goodness-of-fit of the inertia models: TC: <i>X²</i> = 552.7, p<0.001; HDL-c: <i>X</i>² = 182.9, p<0.001; Combined: <i>X</i>² = 205.7, p<0.001.</p><p>OR adjusted for gender, atrial fibrillation, hypertension, diabetes mellitus, cardiovascular disease, age groups and the on-line course.</p><p>^*: Reference.</p

Nondyslipidemic patients at primary healthcare centers in a Spanish region.

<p>CI, confidence interval; TC, total cholesterol; HDL-c; high-density lipoprotein cholesterol.</p

Main characteristics of the studies that evaluate clinical inertia in the diagnosis of dyslipidemia.

<p>Abbreviations: TC, total cholesterol; DM, diabetes mellitus; CVD, cardiovascular disease. *: This value was obtained through a weighted average. ^†: The sample size is not given in the original article. We therefore obtained it from linear programming mathematical calculations based on the Simplex method.</p