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The names of Spain: a study of the isonymy structure of Spain.

In order to estimate the isonymy structure of Spain, we studied surname distribution in 283 Spanish towns based on 3.625 million telephone users selected from 6.328 million users, downloaded from a commercial CD-ROM which contains all 13 million users in the country. Since in Spain the surname is made by the paternal and the maternal surname, it was possible to classify surnames according to parental origin. Two matrices of isonymy distances, one for paternal and one for maternal surnames, were constructed and tested for correlation with geographic distance. For the whole of Spain, Euclidean distance was significantly but weakly correlated with geographic distance both for paternal and maternal surnames, with r = 0.205 +/- 0.013 and r = 0.263 +/- 0.012, respectively. Two dendrograms of the 283 sampled towns were built from the two matrices of Euclidean distance. They are largely colinear. Four main clusters identified by the dendrograms are correlated with geography. Given the surname structure of Spain, we were able to calculate from isonymy and for each town 1). total or expressed inbreeding, 2). random or expected inbreeding, and 3). local inbreeding. Total inbreeding, F(IT), was highest in the North Atlantic regions and lowest along the Mediterranean Coast. The lowest levels were found in Andalusia, Catalunyia, Valencia, and Navarra. Random inbreeding, F(ST), had a similar geographical pattern. Local inbreeding, F(IS), was relatively uniform in the whole of Spain. In towns, random inbreeding dominates over local inbreeding. From the analysis, it emerges that the northwestern area of Spain is the most inbred.

Female↗

Dietary intake of vegetables and fruits among adults in five regions of Spain. EPIC Group of Spain. European Prospective Investigation into Cancer and Nutrition.

OBJECTIVE: To assess the consumption of vegetables and fruits (V&F) in adults from five regions in Spain according to sex, age and educational level. DESIGN: Cross-sectional study within the members of the EPIC cohort in Spain. SETTING: Three regions of the north of Spain (Asturias, Guipúzcoa and Navarra) and two regions of the south of Spain (Granada and Murcia). SUBJECTS: 41448 healthy volunteers (15365 men, 25813 women), aged 29-69 y. INTERVENTIONS: Information on habitual diet during the previous year was collected by means of a computerised version of a diet history questionnaire. RESULTS: Among men, the mean daily consumption of vegetables and of fruits was 273.7 g (3.4 servings) and 348.3 g (4.4 servings) respectively. Among women, the corresponding vegetables and fruit intakes per day were 244.4g (3.1 servings) and 349.4g (4.4 servings). The total V&F intake tended to increase with age and educational level. Overall, 74% of subjects consumed 400 g/d (5 servings) of vegetables and fruit. CONCLUSIONS: Consumption of vegetables and fruits in healthy adults in Spain is considerably higher than in most European countries and the United States; this complies with what is considered to be the Mediterranean diet. Despite some regional differences, there were no clearly differentiated patterns of V&F intake between southern and northern regions within Spain.

Adult↗

[Social inequities of health in Spain. Report of the Scientific Commission for the Study of Social Inequities in Health in Spain].

In 1993 the Ministry of Health of the Spanish Government appointed a Scientific Commission to analyze social inequalities in health in Spain, as well as to make recommendations for improving Spanish health, through the practical implementation of public policies to reduce existing inequalities. The present report is the result of the work carried out by the said Commission. It has the following aims: first, to present a general introduction to the topic of social inequalities in health; second, to offer a global vision of the topic in Spain based upon the editing of available information: finally, to encourage the need for an in-depth analysis of the study and the reduction in social inequalities in health in the scientific and social fields, offering illustrative examples. The first chapter points out the importance of the topic, and Spain is located in the international historical and geographical context. The second chapter presents the most important concepts regarding the definition and measurement of health and inequality. The third and fourth chapters review various international and national studies of particular importance, and the Spanish case includes the current limitations to research. The fifth chapter presents two original investigations on the four perspectives of social inequalities in health in Spain: death rate, noticeable health, conducts related to health and the use and access to health services. Chapter six comments on some examples of policies aimed at reducing inequalities in health. Finally, the seventh chapter summarises the main conclusions of the report and makes some recommendations both for the improvement of current information systems as well as for obtaining the main conclusions for the health policies. Amongst the report's main conclusions the following may be pointed out: 1) an ecological study on the social inequalities in the death rate of small areas between 1990-1992 has revealed the existence of inequalities at a small area level. Autonomous Communities and regions. Inequality is confirmed between North-Northwestern Spain (with a high level) and South-Southwestern Spain (with a low level). Likewise, a positive relationship may be observed between various social indicators and the death rate; 2) the analysis of health surveys for 1987 and 1993 according to social class has revealed the existence of inequalities in health. Thus, in most of the health variables studied regarding the state of health-the conducts related to health or health services-the most disadvantaged social classes present greater health problems; 3) the political social and health experiences carried out in the Basque Country and Barcelona respectively, aimed at improving living standards, social welfare and the health of the most vulnerable sectors of the population have been positive and should be expanded and studied in depth; 4) the study and decrease of social inequalities in health by putting into practice social and health public policies should be a main objective of all political and social forces.

Health Status↗

[Epidemiology of mental disorders in Spain: methods and participation in the ESEMeD-Spain project].

INTRODUCTION: The ESEMeD-Spain study is part of a European project on the epidemiology of mental disorders, which is also part of a World Health Organization initiative called World Mental Health Surveys. The main objectives of the study are to estimate the prevalence of mental disorders in Spain; to analyze their association with sociodemographic variables and predisposing and protective factors; to evaluate their impact on the quality of life; and to describe and evaluate the health care received by people with mental disorders. METHODS: A representative sample of the noninstitutionalized Spanish population older than 18 years is interviewed. Sample size is 5,500 people. The instrument used in the interviews is the Composite International Diagnostic Interview (CIDI), a questionnaire designed to be used by lay interviewers that allows the diagnosis of psychiatric disorders. Strict quality control of field work has been established. Furthermore, approximately 200 subjects are re-interviewed by a psychiatrist using the Structured Clinical Interview for DSM-IV (SCID) and several questionnaires to measure clinical severity. RESULTS: Field work started in September 2001 and finished in November 2002. Up to Ap ril 2002, more than 4,300 people have been interviewed. Preliminary response rate has been 68.7%. Comparison of the age and gender of the study sample with the general Spanish population shows high representativeness. CONCLUSIONS: The ESEMeD-Spain project will produce un - precedented scientific information about the epidemiology of mental disorders in Spain.

Adult↗

Epidemiological trends of tuberculosis in Spain from 1988 to 1992. Collaborative Group for the Study of Tuberculosis in Spain.

SETTING: Spain is one of the few industrialized countries in which reliable official data on the occurrence of tuberculosis are not available. OBJECTIVE: One of the purposes of the Tuberculosis and Respiratory Infection (TRI) working group established by the Spanish Society of Thoracic Surgery (Sociedad Española de Nuemología y Cirugía Torácica [SEPAR]) in 1988, was to determine the true situation of Mycobacterium tuberculosis infection and active tuberculosis disease in our country. DESIGN: A questionnaire requesting epidemiological data on tuberculosis was sent to the Departments of Public Health of all the Autonomous Communities in Spain (n = 17) and 60 members of the TRI working group (pneumologists, epidemiologists or microbiologists most actively working in the field of tuberculosis within their corresponding areas of influence). Results obtained for the period 1988 and 1992 were analyzed. RESULTS: In the 6-year-old group, annual prevalence-of-infection rates were almost 0.95%, with a slight decreasing trend over the study period. In the 14-year-old group, annual figures of around 3% have been registered. The 1992 incidence rates of new cases of tuberculosis and sputum-smear positive tuberculosis were 40 and 21.2 per 100,000, respectively. Frequently distribution by age has shown a similar trend during the study period with a clear predominance in the younger adult age groups. Reliable data in relation to the number of patients with tuberculosis and HIV infection was available in 1992. Of 5290 patients in a population of 16,954,942, there were 792 (15%) with HIV infection. CONCLUSIONS: The current epidemiological situation of tuberculosis in Spain is one of the most unfavourable as compared with epidemiological data from the remaining industrialized countries. Given the lack of a National Programme for Tuberculosis Control, each Autonomous Community should take responsibility for developing and implementing key control activities based on the cure of infectious cases and case-finding.

Adolescent↗

An assessment of Spain's Programa AGUA and its implications for sustainable water management in the province of Almería, southeast Spain.

Spain's Programa AGUA was proposed in 2004 as a replacement for the Spanish National Hydrological Plan and represented a fundamental policy shift in national water management from large inter-basin water transfers to a commitment to desalination. Twenty-one desalination facilities are planned for six provinces on the Spanish Mediterranean coast to supplement their water needs. These include the province of Almería that for the last 30 years has endured a net water abstraction overdraft leading to serious reservoir depletion and groundwater imbalances. Rising water use is a result of increasing demand to support irrigated agriculture (e.g. greenhouse horticulture) and for domestic needs (e.g. rapid urban growth and tourism development), which has led observers to question Almería's long-term water sustainability. Desalinated water alone is unlikely to be sufficient to make up these water deficits and water-users will have to accept a move to full-price water recovery by 2010 under the European Union (EU) Water Framework Directive of which Spain is a signatory. Anticipated water efficiencies resulting from higher water tariffs, increasing water reuse and water infrastructure improvements (including inter-basin transfers), in conjunction with increasing use of desalinated water, are expected to address the province's current water overdraft. However, Almería will need to balance its planned initiatives against long-term estimates of projected agricultural and domestic development and the environmental consequences of adopting a desalination-supported water future.

Agriculture↗

Heavy metal concentrations in the general population of Andalusia, South of Spain: a comparison with the population within the area of influence of Aznalcóllar mine spill (SW Spain).

Levels of metalloids (As - urine) and heavy metals (Hg - urine, Cd - whole blood and Zn - serum) were determined by atomic absorption spectrometry in 601 subjects living in the area affected by the Aznalcóllar mine spill (SW, Spain) and compared with those of a representative sample (960 subjects) selected from the Andalusian community (non-affected area), southern Spain. The characteristic parameters of the analytical method including uncertainty were determined for each metal. Potential associations of metal concentration with age, sex and body mass index as well as life-style habits (smoking, alcohol consumption and food habits) were explored. Concentrations of all the metals studied were statistically higher in the population of the affected area with respect to that of the non-affected area in Andalusia, although levels were always lower or similar to the values reported for the general population and below occupational reference limits. In conclusion, there is a lack of evidence that the spill had any incidence on human health in the population living in the affected area. There are few references in scientific literature reporting values from large series of samples, and hence our data could be useful for further studies.

Adolescent↗

Evaluation of preventive and health promotion activities in 166 primary care practices in Spain. The Coordinating Group For Prevention and Health Promotion in Primary Care in Spain.

BACKGROUND: Since January 1989 the Spanish Society of Family and Community Medicine has supported the Program of Prevention and Health Promotion (PAPPS) with the following objectives: to detect possible difficulties in the implementation of recommendations especially among asymptomatic low-risk adults and children in Spain, to disseminate those recommendations, and to encourage research in prevention and health promotion in primary care. OBJECTIVE: We wished to evaluate the implementation of PAPPS in primary care practices. METHODS: A retrospective audit of medical records in practices enrolled in the programme was carried out. From 166 primary care practices widely distributed in Spain 21,631 patients were selected using systematic sampling. RESULTS: Age was positively associated with correct performance in the adult population, while in the paediatric population it was negatively associated. Females had higher probability than males of having blood pressure measurement (OR 1.34, 95% CI 1.24-1.45) and smoking counselling (OR 1.38, 95% CI 1.33-1.43) correctly performed. Practices not using the preventive chart had a lower probability than user practices of correctly performing blood pressure measurement (OR 0.69, 95% CI 0.62-0.76), alcohol counselling (OR 0.66, 95% CI 0.60-0.73) and smoking counselling (OR 0.69, 95% CI 0.63-0.76). Non-teaching practices had a higher probability than teaching centres of correct performance of blood pressure measurement (OR 1.47, 95% CI 1.35 to 1.59), alcohol counselling (OR 1.67, 95% CI 1.54 to 1.79) and smoking counseling (OR 1.39, 95% CI 1.29 to 1.51). CONCLUSIONS: There is an unequal level of performance depending on the procedure and on the target population. A preventive chart might be useful in improving implementation of periodic health maintenance. Teaching centres with training physicians need to put more emphasis on prevention and health promotion activities.

Adolescent↗

Prevalence of multiple sclerosis in the sanitary district of Calatayud, Northern Spain: is Spain a zone of high risk for this disease?

UNLABELLED: We undertook an epidemiologic study to ascertain the prevalence of multiple sclerosis (MS) in the Sanitary District of Calatayud, in the north-east of Spain. METHODS: The study was performed from October 1990 to July 1996. The total number of residents in the area was 58,591. An extensive search was carried out to identify all cases of known or suspected MS through general practitioners and specialists, sanitary authorities in the area, the reference hospital, the Spanish Multiple Sclerosis Society, the newspaper and radio. RESULTS: April 1, 1995 was chosen as prevalence day. The crude prevalence rate for the area was 58 per 100,000 (95% CI: 39-78). The approximate annual incidence rate was 2.6/100,000 (1980-1989). CONCLUSIONS: This study and others conducted recently in Spain show that MS is more prevalent than was previously thought and afflicts at least 53-65 per 100,000 population.

Adult↗

Susceptibility of Planorbarius metidjensis from Portugal and Spain to Schistosoma bovis from Salamanca, Spain.

The susceptibility of Planorbarius metidjensis from Portugal and Salamanca (Spain) to Schistosoma bovis from Salamanca was studied. The degree of susceptibility as measured by positivity rate, number of cercariae, pre-patent period and survival rate, showed that P. metidjensis from Portugal and Spain are very susceptible to S. bovis from Salamanca. The role of P. metidjensis as a host of S. haematobium is questioned and further studies are shown to be necessary. To determine if the disease exists in Portugal, the bovine and snail populations on the border with Salmanaca and Algarve are beginning to be screened.

Animals↗

Vegetable and fruit consumption associated with anthropometric, dietary and lifestyle factors in Spain. EPIC Group of Spain. European Prospective Investigation into Cancer.

OBJECTIVE: To evaluate the association of vegetable and fruit intake with several demographic, anthropometric, lifestyle and dietary factors. DESIGN AND SETTING: Cross-sectional analysis. Information on habitual diet was collected by means of the diet history method. Association of vegetable and fruit intakes with other factors was assessed separately by means of multiple lineal regression and the cumulative odds model. SUBJECTS: 39622 healthy subjects aged 29-69 years from the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort in Spain. RESULTS: Fruit intake increased with age, education and physical activity and decreased with intake of saturated fatty acids and cholesterol; smoking and alcohol consumption were also negatively associated with fruit, with a very low consumption for current smokers and heavy drinkers. Vegetable intake increased with education and physical activity and with intake of unsaturated fatty acids, mainly monounsaturated. Former smokers consumed more vegetables than never or current smokers and non-consumers of alcohol ate less vegetables than consumers, among whom no differences were observed. All these estimates were adjusted by energy and body mass index (BMI). CONCLUSIONS: When assessing the association of fruit and vegetables with chronic diseases it is important to take into account confounding factors. Furthermore, it would be useful to study dietary patterns including several interrelated factors.

Adult↗

Relative validity and reproducibility of a diet history questionnaire in Spain. I. Foods. EPIC Group of Spain. European Prospective Investigation into Cancer and Nutrition.

BACKGROUND: A pilot study was carried out to evaluate the relative validity and reproducibility of a dietary history questionnaire (DH) designed to be used in Spain as part of a prospective European research project on diet and cancer. METHODS: A total of 91 volunteers (46 men and 45 women) aged 35-60 years, and of various occupational categories, participated in the study. The DH was structured according to occasions of intake and was administered twice by interview, with a year's interval. Twelve 24-hour diet recalls, administered monthly between the two administrations of the DH, were used as a reference method. Natural units, geometric figures and a set of photographs were used to quantity portion size. RESULTS: Of a total of 17 food groups, the Pearson correlation coefficients between the daily intake of food groups, based on the mean of 12 24-hour diet recalls, and the second DH showed values between 0.65 and 0.90 in 14 groups (potatoes, vegetables, fruits, cheese, other dairy products, bread, other cereals, meat and poultry, fish and shellfish, butter, margarine and oils, sugar and sweets, other desserts, alcohol and coffee and tea) in males and in 11 groups (potatoes, other vegetables, fruits, cheese, other dairy products, bread, meat and poultry, fish and shellfish, sugar and sweets, alcohol and coffee and tea) in females. In comparison with the mean of 12 24-hour diet recalls the DH questionnaire over-estimated (in both sexes) the intake of vegetables, cereals, butter, margarine and oils and underestimated the intake of sugar and sweets, and other desserts. CONCLUSIONS: The DH method is more expensive and more difficult to apply than other instruments but it provides good information on the habitual food intake of the individual.

Adult↗

Intentional poisoning of animals in southeastern Spain: a review of the veterinary toxicology service from Murcia, Spain.

Data of toxicological analyses carried out over a 10-y period for suspected cases of wild and domestic animal poisonings are summarized. Of the 123 cases suspected as deliberate, 102 were be analyzed and 50 of them were positive to intentional poisoning, a total of 107 dead animals. Pesticides, especially insecticides (72%) and rodenticides (26%), were frequently involved. Aldicarb (n=15), anticoagulant rodenticides (n=8) and strychnine (n=4) were the most common toxins in baits prepared for intentional poisonings; carbofuran, methomyl, endosulfan and paraquat were also used. A coordinated Veterinary Toxicology Services network of collaboration should be set up in Spain to improve the quality of the services provided.

Aldicarb↗

[A multicenter study of drug use during pregnancy in Spain (IV). The drugs used during lactation. The DUP Working Group Spain].

BACKGROUND: Information on the use of drugs during breast feeding is scarce and rather anecdotal. The aim of this study was to gain knowledge on this issue in Spain. METHODS: The Spanish study on drug use in pregnancy recorded information on the use of drugs among 1,371 participating women, who delivered in 20 hospitals of 15 cities. RESULTS: When approached for interview, 157 women (11%) had opted for artificial lactation. Among those women practicing maternal lactation at the time of the interview (n = 921), the total number of drug exposures after delivery was 1,270 (mean = 1.38; SD = 1.55; range 0-10); as many medicines contained more than one drug, the total number of recorded drug exposures was 2,139. The most frequent indications for the use of these drugs were postpartum haemorrhage, pain and anti-infective prophylaxis, and the most consumed drugs were methylergometrine, metamizol, oxytocin, and amoxycillin. CONCLUSIONS: Women practicing maternal lactation frequently receive some drugs for which the information on their passage to maternal milk and on their safety for the newborn is not available.

Breast Feeding↗

[Multicenter study on the use of drugs during pregnancy in Spain (II). Drugs used during pregnancy. Spain DUP workshop].

A structured questionnaire administered to the 1,371 participating women was used for data collection on drug use in the multicentric study on Drug Use during Pregnancy in Spain. This paper describes and discusses the pattern of the use of medicines during pregnancy. Only 104 women (7%) stated that they had not taken any drug during their pregnancy, while 627 (45%) had taken 3 or more medicines; 39% of all medicines used were fixed-dose combinations of two or more drugs, the mean number of these taken by the participating women being 8.9. The most frequent reason for taking medicines during pregnancy was vitamin supplementation (823 women, 60%), and out of the 1,119 medicines taken to this end, 443 (30%) contained vitamin A. Other reasons for using medicines were the treatment of anaemia (497, 36%), dispepsia (235, 17%), nausea and/or vomiting (204, 14%), colds, pain, urinary tract infections, headache, and genital infections.

Drug Therapy↗

[The history of journalism in Spain (I). Brief history of scientific-medical journalism in Spain and the impact of urologists on its establishment and development].

The history of Spanish medical publications runs parallel with the history of Spanish Medicine. The 18th century witnessed the development of the scientific press in Europe. During this period, leading Spanish physicians established 11 periodicals, some of which continue to be published and are ranked among the oldest in the continent. However, the social, political and military turmoil in Spain during the period spanning 1800-1834, led to the decline of Spanish Medicine and consequently, of Spanish medical literature. With the liberal changes of the mid-19th century, and as a consequence of doctors' returning from exile, the Spanish scientific press resumed its activity with renewed vigour and more than 700 new journals were established up to 1905. During this period of unequalled expansion, which reached its apex in the 20th century, the specialized medical journals that developed in the late 19th century had a notable influence that grew as the medical and surgical specialties became more defined. Those dedicated to the diseases of the genitourinary system appeared during this period. There were 6 journals by 1903 and 7 more were established until the Spanish Civil War broke out in 1936. The specific contribution of the Spanish urologists in the past and present centuries to the promotion and permanence of the medical publications in general and the urological in particular has yet to be elucidated.

History, 19th Century↗

Analysis of pigments and coverings by X-ray diffraction (XRD) and micro Raman spectroscopy (MRS) in the cemetery of Tutugi (Galera, Granada, Spain) and the settlement convento 2 (Montemayor, Córdoba, Spain).

This paper focuses on the identification of the composition of the coverings and pigments of two archaeological sites. The sites researched here lie in Andalusia and show two contexts, which have a highly symbolic and ritual meaning. The first, Convento 2 (Montemayor, Córdoba), dates back to the period of formation of the Iberian Culture (VIIth century b.c.). The second is the cemetery of Tutugi (Galera, Granada), of the mid-Iberian period (IVth century b.c.). The analytical procedure consisted in combined and complementary use of XRD and MRS. This allowed to identify the materials used, namely hematite, goethite, coal, gypsum and calcite. Identification of these materials proves essential for the restoration and musealization of both archaeological sites.

Archaeology↗