L'Alcorà en català : traducció literària d'un text sagrat

L'any 2001 l'editorial Proa va publicar la primera versió íntegra de l'Alcorà en català, feta directament a partir de l'àrab (Premi Ciutat de Barcelona 2002 de traducció al català i Premi Nacional 2002, atorgat pel Ministeri de Cultura, Educació i Esports a la millor obra traduïda a una de les llengües de l'Estat espanyol i publicada el 2001). Tot i que en un dels cinc estudis que s'adjunten al final del llibre ja havíem intentat explicar el mètode i les estratègies utilitzades en la traducció, hem volgut detallar en aquest article en què ha consistit l'aportació de cadascun dels membres de l'equip (traductor i col·laboradors), com ha sigut el procés de treball al llarg dels anys, en què han consistit les fases de revisió i establiment de criteris, etc. És a dir, hem volgut explicitar com s'ha desenvolupat l'experiència de traduir el text sagrat de l'islam, perquè considerem, d'una banda, que les estratègies desplegades per traduir l'Alcorà al català poden ser aplicables per a traduir-lo a altres llengües i, d'una altra, perquè pensem que el nostre mètode de treball pot ser aplicat per a la traducció d'altres textos religiosos o sagrats, de llengües pròximes o de llengües i cultures distants.In 2001, the publishing company Editorial Proa published the first complete version of Quran in Catalan, translated directly from Arabian (Prize Ciutat de Barcelona 2002 on Catalan translation and National Prize 2002 to the best translated work in a state language in Spain, awarded by the Ministerio de Cultura, Educación y Deportes, published in 2001). Although we had tried to explain the method and strategies used in the translation in one of the five studies attached to our work at the end of the book, we have decided to explain in this paper which the contribution of each member in the team (translator and collaborators) was, how the working process throughout the years took place, which phases of revision and establishing of criteria we followed, etc. In other words, we have decided to make explicit how the experience of translating the sacred text of the Islam took place, because, on the one hand, the strategies used in the translation of Quran into Catalan can be applied in translating Quran to other languages, and, on the other hand, we think that our working method can be applied to the translation of other religious and sacred texts from close or distant languages and cultures

Impact of Implementing a Dyslipidemia Management Guideline on Cholesterol Control for Secondary Prevention of Ischemic Heart Disease in Primary Care

Cardiovascular diseases (CVD) are the main cause of death worldwide. The control of CVD risk factors, such as dyslipidemia, reduces their mortality rate. Nonetheless, fewer than 50% of patients with ischemic heart disease (IHD) have good cholesterol control. Our objective is to assess whether the level of participation of general practitioners (GPs) in activities to implement a dyslipidemia management guideline, and the characteristics of the patient and physician are associated with cholesterol control in IHD patients. We undertook a quasi-experimental, uncontrolled, before-and-after study of 1151 patients. The intervention was carried out during 2010 and 2011, and consisted of a face-to-face training and online course phase (Phase 1), and another of face-to-face feedback (Phase 2). The main outcome variable was the low-density lipoprotein cholesterol (LDL-C) control, whereby values of <100 mg/dL (2.6 mmol/L) were set as a good level of control, according to the recommendations of the guidelines in force in 2009. After Phase 1, 6.7% more patients demonstrated good cholesterol control. With respect to patient characteristics, being female and being older were found to be risk factors of poor control. Being diabetic and having suffered a stroke were protective factors. Of the GPs' characteristics, being tutor in a teaching center for GP residents and having completed the online course were found to be protective factors. We concluded that cholesterol control in IHD patients was influenced by the type of training activity undertook by physicians during the implementation of the GPC, and patient and physician characteristics. We highlight that if we apply the recent targets of the European guideline, which establish a lower level of LDL-C control, the percentage of good control could be worse than the observed in this study

El enfoque cognitivo en el tratamiento de una adolescente con obsesiones y compulsiones de contenido sexual

El presente trabajo es un estudio de caso único sobre una adolescente de 15 años con un trastorno obsesivo compulsivo (TOC) de contenido sexual. Este tipo de obsesiones y compulsiones tienen la particularidad de la ocultación, ya que aquellos que lo padecen acostumbran a esconder los síntomas por ser percibidos como inaceptables. El tratamiento utilizado combina técnicas cognitivas en los momentos iniciales y técnicas conductuales (exposición con prevención de respuesta, EPR). Se llevó a cabo una evaluación pretest-postest empleando la Child Behavior Checklist (CBCL), la Youth Self-Report (YSR) y la Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS). La evolución fue favorable, observándose una reducción notable en las obsesiones y compulsiones tras la aplicación de las técnicas cognitivas y obteniendo una remisión completa aplicando de forma consecutiva la exposición con prevención de respuesta. Este estudio subraya la importancia de un modelo de intervención cognitivo en la intervención del TOC en adolescentes con obsesiones de tipo sexual, además de la técnica de EPR

Do Catalans have ‘the right to decide’?: secession, legitimacy and democracy in twenty-first century Europe

Secession is normally viewed as legitimate only as a last resort for oppressed peoples, but contemporary independence movements in Europe are working hard to shift perceptions of the legitimacy of secession as a democratic phenomenon. In this context, the recent growth of the independence movement in Catalonia has given rise to a direct confrontation between two opposing conceptions of the legitimacy of secession in democratic nation-states. On one hand, pro-referendum Catalans claim that a vote on the matter would be entirely consistent with the basic principles of democracy. On the other, the Spanish government rests its denial of a referendum on the legal authority of the Spanish Constitution, which states that Spain must remain united. This article traces the two competing discourses of democratic and legal legitimacy (what we might call the ‘right to decide’ versus the ‘duty to abide’) through an examination of the rhetoric of key political actors. It concludes that the Catalan government’s attempt to prove that Catalonia could constitute a politically legitimate independent state, and should therefore be allowed to ask its residents whether they wish it to do so, is particularly significant as a challenge to generally-accepted ‘remedial right’ theories of secession

Dating violence and associated factors among male and female adolescents in Spain

Background: Dating Violence (DV) is a public health problem that is on the rise. In this paper, we aim to analyse different factors associated with DV victimization among female and male adolescents in Spain, considering socioeconomic circumstances, sexual orientation and the presence of different attitudes and experiences related to violence. Methods: Cross-sectional data from a convenience sample of 640 ever-partnered adolescents aged 13 to 17 at schools in the cities of Alicante (n = 359, 50.1% girls) and Terrassa (n = 281, 51.9%) in the context of an educational intervention to promote healthy relationships. We calculated the prevalence of different forms of DV (physical, sexual and control and fear) and carried out multivariate regression models by sex. Results: 5.5% of girls and 8.7% of boys declared having suffered lifetime physical and/or sexual violence, while 22% of girls and 20.5% of boys reported control and/or fear victimization. The likelihood of DV was higher among migrants and those with foreign-born parents (aPR girls = 2.1 CI95%: 1.1-3.9; aPR boys = 1.9: CI95%: 1.0-3.6); prior experiences of abuse (aPR girls = 1.6; CI95%: 1.0-2.6; aPR boys = 1.7; CI95%: 1.1-2.6); and those who showed higher levels of machismo (aPR girls = 1.0; CI95%: 1.0-1.1; aPR boys = 1.0; CI95%: 1.0-1.1). In girls, DV increased among those who reported lesbian/bisexual orientation and poor relationship with teachers. Conclusions: DV is socially patterned and increases among LGB adolescents (especially in the case of girls), migrants, and those with foreign-born parents, and adolescents who reported prior experiences of violence in childhood. Future DV prevention programs should consider social inequalities in the likelihood of DV and by reinforcing adolescents' abilities to recognize social support sources and reject machismo and violence.The project was funded by the Spanish Ministry of Economy, Industry and Competitiveness and the Carlos III Institute (Ref. PI18/00590 and PI18/00544) in 2019 and 2021. This study has also been conducted within the grant received from Instituto de Salud Carlos III & FEDER of which VP is recipient of Predoctora Contract for Training in Health Research (PFIS) grant from European Social Found (FSE) (FI19/00201).S

Dating Violence and Associated Factors Among Male and Female Adolescents in Spain

Background: Dating Violence (DV) is a public health problem that is on the rise. In this paper, we aim to analyse different factors associated with DV victimization among female and male adolescents in Spain, considering socioeconomic circumstances, sexual orientation and the presence of different attitudes and experiences related to violence. Methods: Cross-sectional data from a convenience sample of 640 ever-partnered adolescents aged 13 to 17 at schools in the cities of Alicante (n=359, 50.1% girls) and Terrassa (n=281, 51.9%) in the context of an educational intervention to promote healthy relationships. We calculated the prevalence of different forms of DV (physical, sexual and control and fear) and carried out multivariate regression models by sex. Results: 5.5% of girls and 8.7% of boys declared having suffered lifetime physical and/or sexual violence, while 22% of girls and 20.5% of boys reported control and/or fear victimization. The likelihood of DV was higher among migrants and those with foreign-born parents (aPR girls=2.1 CI95%: 1.1-3.9; aPR boys= 1.9: CI95%: 1.0-3.6); prior experiences of abuse (aPR girls= 1.6; CI95%: 1.0-2.6; aPR boys= 1.7; CI95%: 1.1-2.6); and those who showed higher levels of machismo (aPR girls= 1.0; CI95%: 1.0-1.1; aPR boys= 1.0; CI95%: 1.0-1.1). In girls, DV increased among those who reported lesbian/bisexual orientation and poor relationship with teachers. Conclusions: DV is socially patterned and increases among LGB adolescents, migrants, and those with foreign-born parents. Future DV prevention programs should reinforce adolescents’ abilities to recognize social support sources and reject machismo and violence.This study was funded by the multi-centre project "Promotion of Protective Assets Against Gender Violence in Adolescence and Preadolescence" (Ref. PI18/00590 and PI18/00544) of the Carlos III Institute of Health, as an intermediary body of the European Regional Development Fund (ERDF) and the European Social Fund (ESF)

Oral Anticoagulant Adequacy in Non-Valvular Atrial Fibrillation in Primary Care: A Cross-Sectional Study Using Real-World Data (Fantas-TIC Study)

Background: Oral anticoagulants (OAs) are the treatment to prevent stroke in atrial fibrillation (AF). Anticoagulant treatment choice in non-valvular atrial fibrillation (NVAF) must be individualized, taking current guidelines into account. Adequacy of anticoagulant therapy under the current criteria for NVAF in real-world primary care is presented. Methods: Cross-sectional study, with real-world data from patients treated in primary care (PC). Data were obtained from the System for the Improvement of Research in Primary Care (SIDIAP) database, covering 60,978 NVAF-anticoagulated patients from 287 PC centers in 2018. Results: In total, 41,430 (68%) were treated with vitamin K antagonists (VKAs) and 19,548 (32%) NVAF with direct-acting oral anticoagulants (DOACs). Inadequate prescription was estimated to be 36.0% and 67.6%, respectively. Most DOAC inadequacy (77.3%) was due to it being prescribed as a first-line anticoagulant when there was no history of thromboembolic events or intracranial hemorrhage (ICH). A total of 22.1% had missing estimated glomerular filtration rate (eGFR) values. Common causes of inadequate VKA prescription were poor control of time in therapeutic range (TTR) (98.8%) and ICH (2.2%). Conclusions: Poor adequacy to current criteria was observed, being inadequacy higher in DOACs than in VKAs. TTR and GFR should be routinely calculated in electronic health records (EHR) to facilitate decision-making and patient safety

El efecto del capital social en la violencia en la pareja adolescente desde una perspectiva de interseccionalidad

Antecedentes: La violencia de pareja (VP) es un fenómeno social complejo ampliamente estudiado. Sin embargo, pocos de estos estudios consideran el capital social y la interseccionalidad. Nuestro objetivo fue describir el efecto del capital social en la victimización por VP entre estudiantes de secundaria, considerando tres factores de interseccionalidad (sexo asignado al nacer, orientación sexual y origen migratorio) en dos ciudades de España en 2019-2020. Métodos: Se analizó una muestra transversal de 640 adolescentes con pareja, de 13 a 16 años, de un programa de promoción de relaciones equitativas en Alicante y Terrassa. La variable resultado fue haber sufrido violencia en la pareja (control, miedo, física o sexual) en algún momento de la vida. Se utilizaron variables individuales y relacionales para calcular la razón de prevalencia ajustada (RPa) a partir de modelos multivariable construidos mediante regresión robusta de Poisson, y estratificados por sexo, orientación sexual y origen migratorio. Resultados: La mayor prevalencia de VP (56,25%) se encontró en adolescentes lesbianas, gays o bisexuales (LGB) sin actividad social. La orientación LGB se asoció significativamente con la victimización por VP en los adolescentes con origen en países de bajos ingresos (PBI) (aPR: 1,93) y en las chicas (aPR: 1,53). Por último, la procedencia de un PBI fue un determinante significativo de la VP en los chicos (aPR: 1,76) y en los estudiantes, independientemente de la orientación sexual. Una mayor actividad social mostró un efecto protector para los estudiantes de origen en países de altos ingresos (PAI) y de orientación sexual LGB, independientemente del sexo y la orientación sexual. Conclusiones: La actividad social se asocia de forma desigual con una menor victimización por violencia de la pareja en algún momento de la vida adolescente. La fuerte asociación del origen migratorio y la orientación sexual con la VPI refuerza el enfoque de su prevención en los adolescentes desde una perspectiva de interseccionalidad.Background: Intimate partner violence (IPV) is a complex social phenomenon widely studied. However, few of these studies consider social capital and intersectionality. Our aim was to describe the effect of social capital in IPV victimisation among secondary students, considering three factors of intersectionality (sex assigned at birth, sexual orientation and migration background) in two cities of Spain in 2019-2020. Methods: We analysed a cross-sectional sample of 640 ever-partnered adolescents aged 13–16 years who had taken part in a programme for positive relationship. The main outcome was lifetime IPV (control, fear, physical or sexual violence). Individual and relational variables (bonding social capital) were used to calculate adjusted prevalence ratios (aPR) from multivariate Robust Poisson regression models stratified by sex assigned at birth, sexual orientation and migration background (factors of intersectionality). Results: The highest IPV prevalence (56.25%) was found in lesbian, gay or bisexual (LGB) adolescents without social activity. LGB orientation was significantly associated with IPV victimisation in adolescents with low-income country (LIC) backgrounds (aPR: 1.93) and in girls (1.53). Finally, a LIC background was a significant determinant of IPV in boys (aPR: 1.76) and in students independently of sexual orientation. Higher social activity showed a protective effect for students with HIC backgrounds and LGB-sexual orientations. A possible protective effect of social support in HIC backgrounds and regardless of sex and sexual orientation must be considered. Conclusions: Social activity is unequally associated with less lifetime IPV. The strong association of migration background and sexual orientation with IPV reinforces the approach to its prevention in adolescents from an intersectionality perspective.This study was funded by the multi-centre project "Promotion of protective assets against gender violence in adolescence and preadolescence" (Grant reference PI18/00590 and PI18/00544) of the Carlos III Institute of Health, as an intermediary body of the European Regional Development Fund (ERDF) and the European Social Fund (ESF). The project was also supported by the Centro de Investigación Biomédica en Red de Epidemiología Salud Pública (CIBERESP) through the subprogramme on Prevention of Gender Violence of the Programme on Social Determinants of Health (no grant award number specified)