El conjunto molinar del río de la Miel como sistema fluvial. Algeciras

El río de la Miel condicionó el asentamiento de la ciudad de Algeciras y supuso el eje vertebrador de diferentes infraestructuras hidráulicas, como el conjunto de molinos de cubo asentados en la rivera durante el siglo XIX. Sin embargo, el río de la Miel ha estado sometido a la constante transformación, su panorama se ha visto alterado durante el siglo XX provocando la paulatina pérdida de estas arquitecturas preindustriales. Esta situación dificulta la lectura territorial mediante los molinos de cubo, es por ello que comprender el sistema molinar del río de la Miel y dar voz a los restos que quedan del mismo se convierten en los objetivos principales de este documento. Como metodología, serán imprescindibles el trabajo de campo y la elaboración gráfica a diferentes escalas para estudiar y analizar el conjunto molinar del río de la Miel como un sistema, que posteriormente inducirán a la reflexión sobre la casi desaparición de estas construcciones a través de la identificación de diferentes valores patrimoniales que aportan los molinos hidráulicos. Una vez identificada su cualidad patrimonial se exponen las medidas necesarias para dar voz al olvidado patrimonio preindustrial algecireño.The River de la Miel conditioned the settlement of the city of Algeciras and was the backbone of different hydraulic infrastructures, such as the group of bucket mills that were built along the river during the 19th century. However, the River de la Miel has been subject to constant transformation, and its landscape has been altered during the 20th century, causing the gradual loss of this pre-industrial architecture. This situation makes it difficult to read the territory by means of the bucket mills, which is why understanding the milling system of the River de la Miel and giving a voice to the remains that remain of it are the main objectives of this document. As a methodology, fieldwork and graphic elaboration at different scales will be essential to study and analyse the milling system of the River de la Miel as a system, which will subsequently lead to reflection on the near disappearance of these constructions through the identification of the different heritage values provided by the watermills. Once their heritage quality has been identified, the necessary measures to give a voice to the forgotten pre-industrial heritage of Algeciras are set out.Universidad de Sevilla. Grado en Fundamentos de la Arquitectur

Universal screening programme for cytomegalovirus infection in the first trimester of pregnancy: study protocol for an observational multicentre study in the area of Barcelona (CITEMB study)

Introduction Congenital cytomegalovirus (cCMV) is the leading cause of non-genetic sensorineural hearing loss and one of the main causes of neurological disability. Despite this, no universal screening programme for cCMV has been implemented in Spain. A recent study has shown that early treatment with valaciclovir, initiated in the first trimester and before the onset of signs in the fetus, reduces the risk of fetal infection. This finding favours the implementation of a universal screening programme for cCMV.The aim of this study is to evaluate the performance of a universal screening programme for cCMV during the first trimester of pregnancy in a primary care setting.Methods and analysis This is an observational multicentre cohort study. The study will be conducted in four primary care settings from the Northern Metropolitan Barcelona area and three related hospitals and will last 3 years and will consist of a recruitment period of 18 months.In their first pregnancy visit, pregnant women will be offered to add a CMV serology test to the first trimester screening tests. Pregnant women with primary infection will be referred to the reference hospital, where they will continue treatment and follow-up according to the clinical protocol of the referral hospital, which includes treatment with valacyclovir. A CMV-PCR will be performed at birth on newborns of mothers with primary infection, and those who are infected will undergo neonatal follow-up for at least 12 months of life.For the analysis, the acceptance rate, the prevalence of primary CMV infections and the CMV seroprevalence in the first trimester of pregnancy will be studied.Ethics and dissemination Ethical approval was obtained from the University Institute Foundation for Primary Health Care Research Jordi Gol i Gurina Ethics Committee 22/097-P dated 27 April 2022