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Purpose: To examine beliefs about bullying in physical education (PE) among PE preservice teachers and to examine opinions about training received in this area and the strategies they would use to deal with this phenomenon. Method: We interviewed 44 PE-PSTs (M[subscript age] = 23.91; SD = 2.96) from six Spanish universities in semistructured focus groups. The data collected were analyzed using hierarchical content analysis. Results: PE preservice teachers believed that while PE may favor the occurrence of bullying, with proper management, it could also be used to educate students and create a positive climate that could help prevent this behavior. The trainee teachers stated that they had not received any training on bullying at university. Overall, they lacked confidence to deal with this problem, and their proposed strategies lacked depth. Conclusions: Our findings highlight the need for universities to include bullying in their PE teacher training programs.

Projects have become an essential instrument for the success of universities. In a context of globalization and increasing complexity, they must sharpen their resourcefulness to face these challenges and adapt to this changing environment. To reach these objectives, they undertake a series of activities of a unique, concrete and temporary nature, not always technical but managerial ones. If universities work with people on projects in the production, transmission and dissemination of knowledge, then they link with society to solve its problems. For this reason, teaching and research staff (TRS) should promote a range of professional project management (PM) competences in different areas for the proper management of the projects in which they take part. Through a Delphi technique, a panel of twenty-four accredited teaching experts who are carrying out significant research and holding directive roles, measured the importance of acquiring and/or improving professional PM competences by their TRS. Consensus and stability reached after two rounds of consultation confirmed there are a series of crucial competences for the practice of relevant teaching and pioneer research. Results obtained are the basis for a gap plan that allows the TRS to participate in and/or lead university projects with greater self-confidence and personal motivation.

Objectives: To explore perceptions of bullying in children's football (8-13 years) based on the experiences of players, families, and coaches. Method: We conducted a multiple case study. Participants from four football clubs and one coaching academy in Catalonia (Spain) were selected to take part in nine focus group sessions (three for each group: players, families and coaches). Data from the sessions were analyzed by content analysis. Findings: Four main categories were identified: (1) type of bullying; (2) causes; (3) sites of occurrence; and (4) feelings and emotions towards bullying. These have included a series of direct quotes to reflect the main contributions made by the three sets of participants (players, parents, and coaches) based on their most significant experiences. Conclusions: The accounts of the participants show the existence of a wide range of bullying situations and experiences and highlight the need for immediate action towards the prevention and eradication of bullying in children's football.

A robber points a gun at a cashier and says: "Only one of these two options is true: If you conceal the combination to the safe, then I kill you; otherwise, if you don´t conceal the combination to the safe, then I kill you." Hearing this statement, most people conclude that, in either case, "I kill you." This is an illusory response, in fact; the valid conclusion states "I don´t kill you." The research reported here studied the roles that different expressions of conditionals ("if-then," "only if," and "if and only if") play in the illusory response. Three experiments show that participants inferred the conclusion "I kill you" from the conditional "if-then" and "I may or may not kill you" from the conditional "only if," while selecting both options with similar frequency for the biconditional "if and only if." These results shed light on the main theories of deductive reasoning. [ABSTRACT FROM AUTHOR]

Background: The objective of this study is to analyze the transplacental transmission of SARS-CoV-2 antibodies, their persistence in newborns, the factors that may influence this transmission, and the protection these antibodies confer over time. Methods: This prospective cohort was conducted in a tertiary pediatric hospital in the Barcelona Metropolitan Region, Spain. It included neonates born to mothers who had SARS-CoV-2 infection during pregnancy or delivery between August 2020 and January 2022. We followed the recruited children for at least six months, and blood tests were performed to determine the presence of SARS-CoV-2 antibodies. Results: A total of 101 children were recruited. Among the serologies performed on children under three months of age, 44/82 were positive (53.7%). Newborns whose mothers presented more severe disease exhibited higher seropositivity odds (coefficient 9.747; p = 0.002). There were increased preterm deliveries when maternal infection occurred closer to the time of delivery. No severe SARS-CoV-2 infections were detected in children during the follow-up. Conclusions: Slightly more than half of the SARS-CoV-2 serologies performed in the first three months were positive. This appears to confer protection during early childhood. The severity of maternal infection is the most significant factor influencing the transmission of antibodies in children born to unvaccinated mothers. [ABSTRACT FROM AUTHOR]

Accreditation has become an important issue in Spain. This paper presents an overview of Spain's accreditation system; a system which is relatively new and has evolved rapidly, fostered by legislative mandates which established accreditation bodies to regulate the quality of higher education institutions. One of the initial challenges faced by accrediting agencies and universities in Spain was the need for a national curricular reform to transform the degree offerings across the country to match with the new European degree system. Discussion about the emergence of the accreditation system and the experiences of accreditors and academics during the nationwide curricular reform are included.

This article explores the illusory transparency phenomenon in childhood and tests two accounts of the phenomenon: the construal and the naïve (pragmatic) accounts. One hundred nine children between 8 and 13 years old participated in an adapted task of illusory transparency. Children read a story in which a character wrote an ambiguous message to another (addressee) that could be interpreted as sarcastic, which was dependent on information known only to the writer (privileged knowledge). The reader of the message could be the addressee or an accidental reader. We asked children about the intention of the writer to be sarcastic and whether the reader interpreted it as sarcastic. Also, we asked explicitly whether the reader could have had access to the privileged knowledge. The results showed illusory transparency of intention in children, as had been shown in adults. Moreover, while attribution of sarcastic intention increased with age, the magnitude of the illusory transparency did not. The results from an explicit measure support the pragmatic account: Children attributed more capacity of knowledge to the addressee than to the accidental reader. However, the implicit (traditional) measure suggests the implication of construal operations. We propose that these results are due to the fact that information processing operates in two different ways, consistent with each approach. The developmental results are discussed.

Introduction: While indoor smoking restrictions are common, outdoor restrictions are still rare. We explored opinions and support for regulating smoking in different indoor and outdoor environments among adults who smoke and those who recently quit smoking, in Spain. Methods: The 2021 ITC EUREST-PLUS Spain Survey is a cross-sectional study conducted among a nationally representative sample of 1006 adults aged ≥18 years who smoked cigarettes (n=867) or had recently quit smoking (n=139). Using Poisson regression with robust variance, we estimated adjusted prevalence and prevalence ratios of favorable opinions on regulating smoking in different indoor and outdoor environments and support for regulation in unregulated outdoor environments, by sociodemographic and smoking-related characteristics. Results: There were highly favorable opinions for regulating smoking in places with minors (>95% in primary and secondary playgrounds, and cars with preschool children and minors) and outdoor transportation (60–80%). There were less favorable opinions for regulating smoking in outdoor terraces of bars/pubs and restaurants (15–20%). Support for further total outdoor regulations on smoking was moderate for markets/shopping centers, public building entrances and swimming pools (40–60%), and low for restaurants/bars/pubs (29.2%). Having quit smoking, having no significant others who smoke and/or believing that cigarette smoke is harmful to others, were factors positively associated with favorable opinions and support for regulating smoking. Conclusions: The settings in Spain with the most favorable opinions for regulation among adults who smoke and have recently quit smoking are places with minors, private cars with others and outdoor areas of public transportation, while the settings with the least favorable opinions were outdoor terraces of bars, pubs, and restaurants. Support for further total outdoor smoking bans is generally moderate, but low for restaurants, bars, and pubs. Overall, these findings suggest the feasibility of extending smoke-free policies to other public and private settings to protect others from tobacco smoke exposure. [ABSTRACT FROM AUTHOR]

Aim: To determine the prevalence and clustering of NANDA‐International nursing diagnoses in patients assisted by pre‐hospital emergency teams. Design: Retrospective descriptive study of electronic record review. Methods: Episodes recorded during 2019, including at least a nursing diagnosis, were recovered from the electronic health records of a Spanish public emergency agency (N = 28,847). Descriptive statistics were used to characterize the sample and determine prevalence. A two‐step cluster analysis was used to group nursing diagnoses. A comparison between clusters in sociodemographic and medical problems was performed. Data were accessed in November 2020. Results: Risk for falls (00155) (27.3%), Anxiety (00146) (23.2%), Acute pain (00132), Fear (00148) and Ineffective breathing pattern (00032) represented 96.1% of all recorded diagnoses. A six‐cluster solution (n = 26.788) was found. Five clusters had a single high‐prevalence diagnosis predominance: Risk for falls (00155) in cluster 1, Anxiety (00146) in cluster 2, Fear (00148) in cluster 3, Acute pain (00132) in cluster 4 and Ineffective breathing pattern (00032) in cluster 6. Cluster 5 had several high prevalence diagnoses which co‐occurred: Risk for unstable blood glucose level (00179), Ineffective coping (00069), Ineffective health management (00078), Impaired comfort (00214) and Impaired verbal communication (00051). Conclusion: Five nursing diagnoses accounted for almost the entire prevalence. The identified clusters showed that pre‐hospital patients present six patterns of nursing diagnoses. Five clusters were predominated by a predominant nursing diagnosis related to patient safety, coping, comfort, and activity/rest, respectively. The sixth cluster grouped several nursing diagnoses applicable to exacerbations of chronic diseases. Implications for the profession and/or patient care: Knowing the prevalence and clustering of nursing diagnoses allows a better understanding of the human responses of patients attended by pre‐hospital emergency teams and increases the evidence of individualized/standardized care plans in the pre‐hospital clinical setting. Impact: What problem did the study address? There are different models of pre‐hospital emergency care services.The use of standardized nursing languages in the pre‐hospital setting is not homogeneous.Studies on NANDA‐I nursing diagnoses in the pre‐hospital context are scarce, and those available are conducted on small samples. What were the main findings? This paper reports the study with the largest sample among the few published on NANDA‐I nursing diagnoses in the pre‐hospital care setting.Five nursing diagnoses represented 96.1% of all recorded. These diagnoses were related to patients' safety/protection and coping/stress tolerance.Patients attended by pre‐hospital care teams are grouped into six clusters based on the nursing diagnoses, and this classification is independent of the medical conditions the patient suffers. Where and on whom will the research have an impact? Knowing the prevalence of nursing diagnoses allows a better understanding of the human responses of patients treated in the pre‐hospital setting, increasing the evidence of individualized and standardized care plans for pre‐hospital care. Reporting method: STROBE checklist has been used as a reporting method. No Patient or Public Contribution: Only patients' records were reviewed without further involvement. [ABSTRACT FROM AUTHOR]

Many studies have shown that patients with autoimmune disease present a hypoactive hypothalamic‐pituitary‐adrenal (HPA) axis, but the results are controversial. Our objective was to study differences in stress response axis activity between patients with autoimmune disease and healthy people. The study sample consisted of 97 women divided into four groups: 37 healthy women (HW), 21 with systemic lupus erythematosus (SLE), 21 with Sjögren's syndrome (SS), and 18 with systemic sclerosis (SSc). After being exposed to a stress task, participants' skin conductance and salivary cortisol levels were measured in order to assess their response to psychological stress. Diurnal cortisol concentrations were assessed by measuring salivary cortisol in samples collected five times over one day. In addition, self‐administered questionnaires were used to assess psychological variables. A time × group interaction effect was found (p = 0.003) in salivary cortisol secretion in response to stressful challenge. The healthy group presented normal activation, the SS and SLE groups showed no activation, and the SSc group presented a similar activation pattern to the HW group, except at the time of recovery. Total cortisol production (AUCg) was higher in the SSc group than in the HW group (p = 0.001). Differences were also observed in the cortisol AUCg collected over one day between healthy women and patients with SLE (p = 0.004) as well as with SSc (p = 0.001): women with SLE and SSc presented higher total hormone production than healthy women. Patients with autoimmune disease present a different HPA axis response, which may contribute to the harmful effects of stress in these diseases. [ABSTRACT FROM AUTHOR]

Alzheimer's disease is the most common type of dementia, severely affecting the families and caregivers who live with those affected. The aim was to explore the physical, psychological, and behavioral benefits for caregivers of people with Alzheimer's disease. Fifteen semi-structured interviews were conducted with informal Alzheimer's caregivers upon completion of the program. Following a discussion on the topics, categories, and codes among the researchers, a consensus was reached to obtain the final themes and categories. Three main categories were obtained: (1) perceived benefits by the participants; (2) applicability of the knowledge; and (3) proposals for improvement. Participants expressed having perceived improvements in their ability to manage emotions and cope with the situation created by the disease, physical capacity, and in their relationships. In this sense, the application of the contents addressed during the intervention became a fundamental tool for the participants' daily lives. This study showed how an interdisciplinary intervention with psychological sessions, health education, and physical activities could be beneficial for improving both the physical and mental health of caregivers. [ABSTRACT FROM AUTHOR]

INTRODUCTION Children are vulnerable to secondhand smoke (SHS) exposure, especially those with lower socioeconomic status. This study assesses the changes in prevalence and socioeconomic inequalities in SHS exposure in children younger than 12 years old in Spain between 2016 and 2019. METHODS We conducted two cross-sectional studies among representative samples of households with children aged <12 years in Spain, in 2016 (n=2411) and 2019 (n=2412). Families were interviewed to assess children's SHS exposure in private settings and outdoor public venues and their adoption of home and car smoke-free rules. We used the education level of the home main earner as a proxy for socioeconomic position. Changes over time in the prevalence and socioeconomic inequalities of SHS exposure and smoke-free rules were estimated through adjusted Poisson regression models with robust variance according to sociodemographic covariates (adjusted prevalence ratios, APRs). RESULTS In 2019, 70.5% of children were exposed to SHS in Spain. No changes between 2016 and 2019 were found for overall SHS exposure, exposure at home, and at school entrances. SHS exposure increased at public transport stations (APR=1.24; 95% CI: 1.03-1.49) and outdoor hospitality venues (APR=1.17; 95% CI: 1.07-1.29) while it decreased in cars (APR=0.74; 95% CI: 0.56-0.98) and parks (APR=0.87; 95% CI: 0.77-0.98). Households with lower education level had higher prevalence of SHS exposure at home in 2019 compared with those with university studies (primary: APR=1.30; 95% CI: 1.11-1.51; secondary: APR=1.12; 95% CI: 1.00-1.25) and were less likely to adopt home indoor smoke-free rules (primary: APR=0.88; 95% CI: 0.79-0.99; secondary: APR=0.95; 95% CI: 0.89-1.02). Socioeconomic inequalities in SHS exposure at home persisted between 2016 and 2019 (p>0.05), while decreased in smoke-free rules in cars (p=0.039). CONCLUSIONS Reported SHS exposure among children in Spain remained high between 2016 and 2019. Inequalities persisted at home, highlighting the need for measures to reduce such exposure with an equity perspective. [ABSTRACT FROM AUTHOR]

The objective of this study was to analyse the role of resilience in the dimensions of academic burnout syndrome and psychological health in a sample of nursing students. A battery of questionnaires was administered to 218 nursing students, all of whom were in the second year of their degree at the University of Murcia (Spain). The applied protocol used the CD-RISC 10 scale for the measurement of resilience, the burnout scale MBI, and the GHQ-12 questionnaire to assess psychological health. The findings showed a significant relationship between resilience and burnout, emotional exhaustion, and self-efficacy, as well as with psychological health. Moreover, three burnout dimensions were found to be significantly linked to psychological health in the way we had predicted. Regression analysis indicated the moderating role of resilience on psychological health in emotionally exhausting situations. We conclude that the psychological characteristic resilience moderated the effect of emotional exhaustion on the psychological health of the students. The practical implications of the results are discussed in order to introduce measures for the proper training of nursing students for professional practice; we also make several suggestions for future research in this field.

As European democracies undergo dramatic demographic shifts, they look to civics education to create social cohesion and produce a "democratic" citizenry. Such a project, however, is not without its tensions and contradictions. Drawing on findings from a yearlong ethnography in a secondary school in Spain, this article traces a number of dilemmas associated with the forming of citizenship identities in a citizenship education class. The analysis highlights how through text/talk the "normative citizen" and notions of "il/legality" were produced in ways that were consequential for immigrant youth's sense of belonging. It further examines how citizenship education, operated as an inherently disciplinary space where immigrant youth were governed as particular kinds of subjects. Drawing upon Foucault's formulations of biopower, it sheds light on the seemingly benign social mechanisms operating within classrooms and schools that are productive of hierarchies of personhood--bounded distinctions between aliens (suspect, un-belonging, abject) and citizens (normative, belonging, deserving)--that ultimately align with and further the nation-state's disciplinary power. Locating the project of educating immigrant youth within a larger field of power disrupts the presumed innocence of civics education and offers up critical openings for rethinking the nature and goals of civics education in democratic societies.

While the diversity of foliicolous lichen-forming fungi has been explored in substantial depth, relatively little attention has been paid to their algal symbionts. We studied the unicellular green phycobionts of the lecanoralean lichens Bacidina (Ramalinaceae), Byssoloma , Fellhanera and Tapellaria (Pilocarpaceae) and graphidalean Gyalectidium (Gomphillaceae) from two extratropical foliicolous communities in continental Spain and the Canary Islands. We examined the pyrenoids of algal symbionts within thalli using TEM, and obtained several algal nrSSU and rbcL sequences from whole thalli, and also from cultures isolated from some of these lichens. Pyrenoid structure and molecular sequence data provided support for recognizing Chloroidium (Watanabeales , Trebouxiophyceae) as phycobiont in thalli of Byssoloma subdiscordans and Fellhanera bouteillei (Pilocarpaceae) in both communities. Bacidina apiahica (Ramalinaceae) and Tapellaria epiphylla (Pilocarpaceae) likewise appeared to partner with Chloroidium based on the presence of the same pyrenoid type, although we were able to obtain a phycobiont sequence only from a culture isolate of the latter. These results contrast with those obtained previously from a foliicolous lichen community in southern Florida, which revealed only strains of Heveochlorella (Jaagichlorella) as phycobiont of foliicolous Pilocarpaceae and Gomphillaceae. On the other hand, the pyrenoid we observed in the phycobionts associated with Gyalectidium setiferum and G. minus corresponded to that of Heveochlorella (Jaagichlorella). However, the poor quality of the phycobiont sequence data obtained from G. minus , probably due to the presence of epibiontic algae, could not provide additional perspective on the pyrenoid structure observations. Nonetheless, clear differences in pyrenoid ultrastructure can allow Chloroidium and Heveochlorella phycobionts to be distinguished from each other in TEM. Our results indicate a greater diversity of unicellular green-algal symbionts in foliicolous communities from Spain than previously observed in other geographical areas, and suggest that further studies focused on symbiont pairing in these communities might reveal distinctive and varied patterns of phycobiont preference. [ABSTRACT FROM AUTHOR]

Unintentional Trauma injuries are one of the leading causes of posttraumatic stress disorder development. However, screening for this condition is not typically included in routine medical care. Research on posttraumatic stress disorder after unintentional injuries sustained during entertainment activities involving risk, has been scarce. This study aimed to analyze the proportion of posttraumatic stress disorder and its risk factors in patients with trauma injuries sustained during bullfighting-related events in Spain. Two hundred and seventy-four patients were evaluated to determine the presence of posttraumatic stress disorder at least one month after the injury. Data about sociodemographic variables, injury circumstances, characteristics of the injury, and treatments were collected by the surgery team on-site or collected during the follow-up assessment. Diagnosis of posttraumatic stress disorder was made by a trained clinician using a structured clinical interview based on DSM criteria. The estimated proportion of was 25.18 % (95 % CI: 20.18 %, 30.18 %). Residing in areas with a bullfighting tradition, female gender, referral to a medical center, hospitalization, events involving fighting bulls, and having been injured by the crowd were significant predictors. The short-term follow-up and the inability to evaluate some predictors of interest, including the body site of the injury, the presence of disfigurement, and comorbid anxiety and depression, were noted. Posttraumatic stress disorder could have a high prevalence in individuals injured in these types of events, especially in women, those who are not familiar with the situation, and those who require medical attention. These results highlight the need for routine screening for posttraumatic stress disorder in individuals with trauma injuries for early symptom management. [Display omitted] • PTSD is elevated in patients injured in risky leisure activities like bullfighting. • The most relevant predictor for PTSD was the absence of bullfighting tradition. • Psychosocial predictors could have greater importance than medical factors. [ABSTRACT FROM AUTHOR]

Mental health issues are a global concern, with a particular focus on the rise of depression. Depression affects millions of people worldwide and is a leading cause of suicide, particularly among young people. Recent surveys indicate an increase in cases of depression during the COVID-19 pandemic, which affected approximately 5.4% of the population in Spain in 2020. Social media platforms such as X (formerly Twitter) have become important hubs for health information as more people turn to these platforms to share their struggles and seek emotional support. Researchers have discovered a link between emotions and mental illnesses such as depression. This correlation provides a valuable opportunity for automated analysis of social media data to detect changes in mental health status that might otherwise go unnoticed, thus preventing more serious health consequences. Therefore, this research explores the field of emotion analysis in Spanish towards mental disorders. There are two contributions in this area. On the one hand, the compilation, translation, evaluation and correction of a novel dataset composed of a mixture of other existing datasets in the bibliography. This dataset compares a total of 16 emotions, with an emphasis on negative emotions. On the other hand, the in-depth evaluation of this novel dataset with several state-of-the-art transformers based on encoder-only and encoder-decoder architectures. The analysis compromises monolingual, multilingual and distilled models as well as feature integration techniques. The best results are obtained with the encoder-only MarIA model, with a macro-average F1 score of 60.4771%. [ABSTRACT FROM AUTHOR]

Narcissus L. is a renowned plant genus with a notable center of diversity and is primarily located in the Mediterranean region. These plants are widely recognized for their ornamental value, owing to the beauty of their flowers; nonetheless, they also hold pharmacological importance. In Europe, pharmaceutical companies usually use the bulbs of Narcissus pseudonarcissus cv. Carlton to extract galanthamine, which is one of the few medications approved by the FDA for the palliative treatment of mild-to-moderate symptoms of Alzheimer's disease. The purpose of this study was to evaluate the potential of these plants in Alzheimer's disease. The alkaloid extract from the leaves of different species of Narcissus was obtained by an acid-base extraction work-up -procedure. The biological potential of the samples was carried out by evaluating their ability to inhibit the enzymes acetyl- and butyrylcholinesterase (AChE and BuChE, respectively). The species N. jacetanus exhibited the best inhibition values against AChE, with IC50 values of 0.75 ± 0.03 µg·mL−1, while N. jonquilla was the most active against BuChE, with IC50 values of 11.72 ± 1.15 µg·mL−1. [ABSTRACT FROM AUTHOR]

This study focuses on the analysis of the determinants of Spanish cooperatives' profitability. We inspect several variables, whose influence on firms' profitability has been verified by prior literature, and we assess whether these results are confirmed in cooperatives. The data span 13 years (2008–20). We approach the analysis including: (i) firm‐specific factors, (ii) industry‐specific factors, and (iii) location factors. There is a main research question: Are there significant differences in cooperatives' profitability depending on firm‐specific, industry‐specific and/or location factors? The results emphasize that firm‐specific effects are the most important for cooperatives' profitability. Summarizing our findings, cooperatives' profitability is positively affected by size, liquidity, indebtedness, regional specialization in cooperatives, location economies, and lagging profitability, and negatively affected by age and presence in international markets. [ABSTRACT FROM AUTHOR]

In this paper, the authors focus on everyday narrations of the nation as they are taken up by educators "in schools" in the United States, Denmark and Spain. As the primary institutions within which children from im/migrant communities are incorporated into the nation-state, schools are the key sites within which young people learn the languages and practices of national belonging and citizenship. Comparing ethnographic case studies in the United States, Denmark and Spain, the authors trace the nationalist storylines that serve to frame Muslim youth as particular kinds of racialized and "impossible subjects". Across national contexts, the authors document similar, often almost verbatim, stories that educators narrated about the disjuncture between liberal ideals of the nation, and what they imagined to be true of Muslim im/migrant youth. They theorize that, despite differences in US and European approaches to immigration, there are consonances in the ways that Muslims are positioned as racialized Others across liberal democracies because of the very ways that western liberalism has constructed notions of individualism and tolerance. These seemingly benign discourses of liberalism in schools provide the conditions of possibility for schools' imposition of exclusionary nationalist values while keeping a safe distance from charges of racism. Thus, we show how liberalism's imbrication with nationalism, and its promotion of goals conceived of as inherently humanist and universal, occlude the racial logics that ultimately restrict human freedom for Muslim youth.

This study explores the diversity of photobionts associated with the Mediterranean lichen-forming fungus Cladonia subturgida. For this purpose, we sequenced the whole ITS rDNA region by Sanger using a metabarcoding method for ITS2. A total of 41 specimens from Greece, Italy, France, Portugal, and Spain were studied. Additionally, two specimens from Spain were used to generate four cultures. Our molecular studies showed that the genus Myrmecia is the main photobiont of C. subturgida throughout its geographic distribution. This result contrasts with previous studies, which indicated that the main photobiont for most Cladonia species is Asterochloris. The identity of Myrmecia was also confirmed by ultrastructural studies of photobionts within the lichen thalli and cultures. Photobiont cells showed a parietal chloroplast lacking a pyrenoid, which characterizes the species in this genus. Phylogenetic analyses indicate hidden diversity within this genus. The results of amplicon sequencing showed the presence of multiple ASVs in 58.3% of the specimens studied. [ABSTRACT FROM AUTHOR]

We evaluated the psychometric properties of the Spanish version of the European Organization for Research and Treatment of Multiple Myeloma (MM) specific quality-of-life (QoL) questionnaire module (QLQ-MY20) in relapsed/refractory MM (RRMM) patients. This was an observational, cross-sectional, multicenter study using EORTC QLQ-C30 and QLQ-MY20 in RRMM patients (ClinicalTrials.gov ID NCT03188536). We assessed the non-response rate, ceiling/floor effects, internal consistency, test-retest reliability, and validity. The study included 276 patients (53.3% males, mean [SD] age of 67.4 [10.5] years). The EORTC QLQ-MY20 showed a low non-response rate, very low ceiling and floor effects, and good internal consistency. The test-retest reliability assessment revealed good temporary stability, the construct validity analysis stated four main factors similar to the ones of the original version, and the criterion validity assessment showed no differences between groups. In conclusion, the Spanish version of EORTC QLQ-MY20 is a reliable and valid tool for assessing QoL in RRMM patients. [ABSTRACT FROM AUTHOR]

Pierolapithecus catalaunicus (~12 million years ago, northeastern Spain) is key to understanding the mosaic nature of hominid (great ape and human) evolution. Notably, its skeleton indicates that an orthograde (upright) body plan preceded suspensory adaptations in hominid evolution. However, there is ongoing debate about this species, partly because the sole known cranium, preserving a nearly complete face, suffers from taphonomic damage. We 1) carried out a micro computerized tomography (CT) based virtual reconstruction of the Pierolapithecus cranium, 2) assessed its morphological affinities using a series of two-dimensional (2D) and three-dimensional (3D) morphometric analyses, and 3) modeled the evolution of key aspects of ape face form. The reconstruction clarifies many aspects of the facial morphology of Pierolapithecus. Our results indicate that it is most similar to great apes (fossil and extant) in overall face shape and size and is morphologically distinct from other Middle Miocene apes. Crown great apes can be distinguished from other taxa in several facial metrics (e.g., low midfacial prognathism, relatively tall faces) and only some of these features are found in Pierolapithecus, which is most consistent with a stem (basal) hominid position. The inferred morphology at all ancestral nodes within the hominoid (ape and human) tree is closer to great apes than to hylobatids (gibbons and siamangs), which are convergent with other smaller anthropoids. Our analyses support a hominid ancestor that was distinct from all extant and fossil hominids in overall facial shape and shared many features with Pierolapithecus. This reconstructed ancestral morphotype represents a testable hypothesis that can be reevaluated as new fossils are discovered. [ABSTRACT FROM AUTHOR]

Objective This study aimed to identify extremely premature infants (< 31 weeks of gestation and/or <1,500 g) affected by congenital hypothyroidism (CH) with delayed elevation of thyrotropin (TSH) and to evaluate the detection strategy for this pathology in our reference screening population. Study Design A descriptive and retrospective study was carried out with samples collected from western Andalusia and the autonomous city of Ceuta. Results This protocol allowed us to detect six neonates with delayed TSH elevation. One of them, due to serious heart problems, died without being able to confirm CH. In two neonates, however, it was possible to detect CH, another two presented a persistent TSH elevation but normal free T4, and another one presented a temporary TSH elevation. Conclusion It is essential to repeat the CH screening in extremely premature infants, not only at the age of 15 days but also with a third sample at the moment of hospital discharge to detect cases with delayed TSH elevation. Key Points The Newborn Screening Programs are an essential activity of preventive medicine. Extremely preterm infants have a very high risk of CH. Optimal management of thyroid dysfunction in this population remains to be established. [ABSTRACT FROM AUTHOR]

The aim of this research is to analyse the electoral misinformation circulating in the public space as a whole during campaign periods. The sample is made up of 481 rebuttals published by the verification media Maldita.es, Newtral, Efe Verifica and Verificat in relation to 409 pieces of misinformation during the six campaigns carried out in Spain during the political cycle that began in the general election in November 2019, which also includes the regional elections held in Galicia, the Basque Country, Catalonia, Madrid, Castilla y León, and Andalusia. The methodology consists of a content analysis of 13 variables articulated around five dimensions of study: scope of generation and/or dissemination, format, epistemological authority, prominence, theme, and discourse. The results show: (1) the predominance of the citizen space of social networks as a field for the generation and distribution of electoral misinformation; (2) the crude construction of misinformation, with a preponderance of text as a misinformation element accompanied by multimedia resources shared without alteration; (3) the pre-eminence of problematic materials disseminated anonymously and without citing sources and those actually distributed by the political class, especially the right wing; (4) the majority role of the political class, particularly the left, generally characterised in a negative manner, although the political class of the right receives a greater proportion of positive treatment; (5) the abundance of sectoral and ideological themes, with a prominent presence of attacking elites as the predominant populist discursive feature; and (6) the profusion of direct attacks on political rivals, especially related to ideological and management issues. [ABSTRACT FROM AUTHOR]

Background: The shortage of available transplant organs has made it necessary to search for alternatives, one of which is xenotransplantation. However, the use of animal organs could face rejection from society and the personnel involved in its implementation. Objectives: (a) to analyze the attitudes of Veterinary Degree students in six Spanish Universities towards xenotransplantation; and (b) to determine the factors that affect its acceptance. Methods: Of the 2815 students surveyed in the degree program, 2683 valid surveys were obtained. Attitudes towards organ xenotransplantation were evaluated using a validated questionnaire of organ donation. Results: If xenotransplantation was confirmed as a clinical reality, 93% (n = 2493) of those surveyed would accept a xenotransplanted organ, whilst 7% would not. If the results of xenotransplantation were worse than those obtained with human donors and it entailed more risk, 12% (n = 318) would be in favor. 56% (n = 1497) of the students would accept a xenotransplantation provisionally pending the arrival of a human organ. Attitudes towards xenotransplantation were affected by the academic year in which a student was studying, with more favorable attitudes among students in the last year (88% in first year vs. 95% in fifth year; p <.001). More favorable attitudes are also observed depending on the attitude they have towards organ transplantation, with those students being more in favor of donating their organs when they die (94% vs. 88%; p <.001). Conclusion: Veterinary students would have a very favorable attitude toward xenotransplantation if these animal organs functioned as well as human organs. Therefore, these students could play an important role in the future promotion of this technique. [ABSTRACT FROM AUTHOR]

This article traces the ways in which notions of diversity inhered in educational policies and practices to mediate the everyday schooling realities of immigrant youth in a Catalonian public secondary school. Diversity, even as it was celebrated and shrouded in liberal appeals to tolerance and cosmopolitanism, was also something requiring management. Diversity discourses produced and marked immigrant youth in disciplining ways, reinscribing narrow notions of difference that ultimately delimited the school's available approaches for addressing diversity.

A retrospective study conducted at the Melanoma Unit of the University Hospital Virgen Macarena in Spain compared the survival outcomes of patients with melanoma and low-burden lymph node metastases who underwent complete lymph node dissection (CLND) versus conservative nodal surgery (CNS). The study found that there was no statistically significant difference in nodal recurrence, progression, nodal recurrence-free survival (NRFS), progression-free survival (PFS), or overall survival (OS) between the two surgical approaches. These findings suggest that a less radical approach to nodal surgery may provide appropriate regional control without negatively impacting patient survival. However, further research is needed to confirm these results. The study was funded by a grant from the Health Institute Carlos III of the Spanish Health Ministry and the authors declare no conflicts of interest. [Extracted from the article]

Since the middle of the last century, the Spanish tourism sector has experienced significant growth, which was interrupted by the effects of the COVID-19 pandemic. This situation had a considerable impact on Spain, as the country is a leading world tourism destination and relies heavily on this sector in its economy, making it vulnerable when demand for tourism services declines. The tourism model in Spain is not homogeneous, and the Mediterranean coastal regions and island areas are highly dependent on tourism as a main source of economic income and were particularly affected by the consequences of the pandemic. This study analyzes the impact of the pandemic on the tourism sector in each Spanish autonomous community, focusing on tourism demand through the use of Geographic Information Systems (GIS). The results reveal the disparity and vulnerability of Spanish regions to the tourism crisis. The most tourist-dependent areas dependent on international tourism have experienced a decline due to restrictions and a fall in demand. On the other hand, rural regions that depend mainly on national tourism have suffered fewer effects. [ABSTRACT FROM AUTHOR]

Female representation may be a key factor in improving the quality of governance. In fact, the literature considers that the presence of women in organisations tends to improve performance. In this context, this paper attempts to analyse whether the presence of women in municipal councils has an influence on the efficiency of public services for a sample of 141 Spanish municipalities with more than 50,000 inhabitants for the period 2014–2018. Our results show a U-shaped relationship between the number of female councillors and the level of efficiency in Spanish municipalities. This means that the presence of women is positively associated with municipal efficiency but only if the number of female councillors is relatively high. On the contrary, their voice and personal characteristics are diluted among their male counterparts, and efficiency may be reduced. [ABSTRACT FROM AUTHOR]

This article aims to analyse the peculiarity of the measures encompassed under the concept of work-life balance within the scope of Public Administrations in Spain and in reference to the staff working in the service of these Administrations. The aim is not only to analyse the structure of these measures as a whole, but also to show how the complexity of the public employment model in Spain, together with the territorial and administrative organisation, is clearly reflected in the public employment model and, by extension, in the work-life balance measures from a legal point of view. Analysing this model, which aims to make work-life balance a reality in the field of public employment, is relevant at this time due to the important changes in terms of work-life balance which are taking place in the context of the European Union and which are consequently reflected in the internal legal system of the Member States, where the impact on public administration staff has a peculiarity, which needs to be analysed and highlighted in order to understand a dispersed, complex and unfinished model. [ABSTRACT FROM AUTHOR]

Copyright of Empresa y Humanismo is the property of Servicio de Publicaciones de la Universidad de Navarra, S.A. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aims: To assess the results of a nursing‐led program to treatment of minor health issues from Catalan health institute primary care teams during 2019 and 2020. Background: In 2009, the Catalan health institute implemented a nursing program to deal with minor health problems. This nursing‐led program includes an algorithm for each of the minor health problems and arose as a strategy to reorganise the flow of demand for care in primary care. Design: A cross‐sectional design. Methods: Multicentric cross‐sectional study. 392 primary care teams from the Catalan health institute participated in the study. STROBE guideline was followed in reporting this study. Patients attending any of the participating centres requesting a same‐day consultation for minor health issues were registered. Results: A total of 21,215,278 consultations were recorded: 18,284,105 for adult and 2,931,173 for paediatric patients. Minor health issue resolved by the nurse was achieved in 50.9% of adult patients and 55.4% of paediatric patients. The highest rates of resolution in adults (>85%) were as follows: burns, emergency contraception and injuries. The highest resolution rates (>84%) were as follows: burns, breastfeeding difficulties and infant colic. 87.7% of prescriptions issued by nurses were accepted by the family physician. Conclusions: The nursing‐led program to treat minor health issues has been shown to present acceptable resolution for nurses in a large primary care setting. Nurses have been carrying out prescription activities with very favourable results. Relevance to clinical practice: This study demonstrates that care provided to patients by nurses for minor health issues requiring preferential resolution is effective. Our results are useful in that they confirm both the effectiveness of the nursing‐led program for minor health issues and the pharmacological prescriptions produced during patient appointments. Patient or public contribution: Patient's data were obtained through a program records system after the minor health issues appointments. [ABSTRACT FROM AUTHOR]

Copyright of Revista CIENCIA UNEMI is the property of Universidad Estatal de Milagro (UNEMI) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Airway device-associated infections resulting from the cross-contamination of reusable laryngoscopes are one of the main causes of healthcare-associated infections. Laryngoscope blades are highly contaminated with various pathogens, including Gram-negative bacilli, which can cause prolonged hospitalization, high morbidity and mortality risks, the development of antibiotic-resistant microorganisms, and significant costs. Despite the Centers for Disease Control and Prevention and the American Society of Anesthesiologists' recommendations, this national survey of 248 Spanish anesthesiologists showed that there is great variability in the processing of reusable laryngoscopes in Spain. Nearly a third of the respondents did not have an institutional disinfection protocol, and 45% of them did not know the disinfection procedure used. Good practices for the prevention and control of cross-contamination can be ensured through compliance with evidence-based guidelines, education of healthcare providers, and audits of clinical practices. [ABSTRACT FROM AUTHOR]

Background. The Multiple Sclerosis Intimacy and Sexuality Questionnaire-15 (MSISQ-15) is a valid and reliable tool to assess the sexuality of people with multiple sclerosis. The objectives of this study were: 1) to cross-culturally adapt and examine the psychometric properties of the MSISQ-15 in the Spanish context and 2) to examine the association between sexual dysfunction and other related factors. Methods. We conducted a instrumental study. People diagnosed with multiple sclerosis and members of multiple sclerosis associations in Spain were included. The linguistic adaptation of the questionnaire was performed through a translation-back translation procedure. For the psychometric validation, the confirmatory factor analysis was used while the internal consistency was examined by the ordinal alpha test. The construct validity was examined by correlating the results with the Male Sexual Function (FSH), Female Sexual Function-2 (FSM-2), Dyadic Adjustment Scale-13 (EAD-13) and Multiple Sclerosis International Quality of Life Questionnaire (MusiQoL) questionnaires. Results. A total of 208 participants were included. Both the fit of the Spanish version of the MSISQ-15 to the original scale and the internal consistency were adequate (α = 0:89). The construct validity showed correlations with the FSH, FSM-2, and MusiQoL but not with the EAD-13. Conclusions. The Spanish version of the MSISQ-15 is a valid and reliable tool to assess the sexuality of people with multiple sclerosis in the Spanish context. [ABSTRACT FROM AUTHOR]

Copyright of Adicciones is the property of Sociedad Cientifica Espanola de Estudios sobre el Alcohol and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The objective of this study was to evaluate, in a group of Galician inmates, if there were variations in the levels of physical and mental health and anxiety–depressive symptomatology, depending on the sports' practice performed. The relationship between these constructs was also investigated. The sample was composed of 509 people deprived of liberty in prisons in the Autonomous Community of Galicia, Spain. A quantitative methodology was used, with the questionnaire as an information collection instrument, Student's t-tests, Pearson's correlation analysis and a stepwise regression analysis were carried out. The results indicated that those who performed physical activity during their stay in prison had higher levels of physical and mental health, as well as lower indicators of anxiety–depressive symptoms. People who did not practice sports showed a decrease in their perceived health levels when compared to those perceived in their pre-prison stage. A negative association was shown between perceived health levels and anxiety–depressive symptomatology. Perceived physical health, alone, explained 35% of the variance in perceived mental health. These results add to knowledge about the relationships between perceived health, anxiety–depressive symptoms and sports practice in the group of people deprived of liberty, highlighting the importance of promoting physical activity in penitentiary institutions. [ABSTRACT FROM AUTHOR]

Since the beginning of 2020, media around the world have started and intensified their TikTok activity to gain notoriety and reach young people, their main user group. However, as with other previously popularized social media, such as Facebook or Twitter, the platform’s logic is different from that traditionally employed by the media system when developing information products. The objective of this paper is to analyze the degree of adaptation to the logic of this network for the activity developed on it by the Spanish media. For this purpose, a combined methodology of quantitative and content analysis was applied to 446 videos posted by the official user accounts of 20 Minutos, Antena 3 Noticias, El Diario, El Mundo, and El País–the five media outlets with the largest online audience in that period–from the time the accounts were created until January 31, 2022. Specifically, we studied the activity developed, the notoriety achieved, and the interaction obtained, as well as the most common formats, topics, protagonists, and brand identity elements. The results show that the main Spanish media have tried to adapt to the entertainment logic of the platform both with the use of native editing resources as well as through the creation of original materials, predominantly soft news, about entertainment, celebrities, and lifestyle. The videos that gain more notoriety are those that are more adapted to this logic. However, the Spanish media analyzed post less frequently than international media, obtain fewer views, and register lower engagement levels; in addition, they do not use their presence on this social network to promote their other editorial products. [ABSTRACT FROM AUTHOR]

Simple Summary: The family Paralepididae is currently composed of an undetermined number of small to medium-sized, very elongated and slender aulopiform fishes distributed throughout the world, which makes it taxonomically complex. The genus Magnisudis is a poorly characterized group of paralepidid fishes with three recognized species. In the present study, we analyze DNA sequences deposited in public repositories to infer the taxonomic composition of the genus Magnisudis and its relationships with other taxonomic groups within the family Paralepididae. Morphological and molecular evidence support the identification of the specimen captured close to Galician coast (NW Spain) as Magnisudis atlantica. The feeding and reproductive phase of this specimen are studied and considered according to current knowledge of the species. One specimen of the duckbill barracudina Magnisudis atlantica of 402 mm TL was caught in a shallow coastal area in Galician waters, northwest of Spain. Morphometric and meristic parameters along with DNA barcoding, based on cytochrome c oxidase subunit I, were used to confirm the specimen identity. Neighbor-joining analysis of nominal sequences of the genus Magnisudis obtained from the Barcode of Life Data System indicates the presence of six representative groupings of potential species, in contrast to the three that are currently recognized as valid. The stomach contents showed remains of digested crustaceans, tentatively identified as Euphausiids. Histological examination of the gonads revealed the specimen to be an immature female with oocytes at the primary growth stage, indicative of a lack of hermaphroditism. The results add new biological and taxonomic data that contribute to improved understanding of these poorly characterized, mainly deep-water species, demonstrating, once again, the effectiveness of DNA barcoding for identifying deep-sea fishes and characterizing their genetic differences. [ABSTRACT FROM AUTHOR]

The degree of implementation of RDA (Resource Description and Access) in Spanish State Public Libraries is analyzed. To this end, a survey was carried out considering three possible scenarios: that these libraries have already implemented the Anglo-Saxon code; that they have discarded the option of applying it; or that they have not yet taken any decision in this regard. Of the 53 libraries to which the survey was sent, 28 responded, representing a 52.83% participation rate, which is considered sufficiently representative to draw conclusive results. Of these 28 libraries, only 3 (10.7%) have decided to implement RDA; 2 centers (7.1%) have opted not to do so; while 23 libraries (82.1%) have not yet made a decision in this respect. We conclude by pointing out the problems and disadvantages that the application of this new cataloging standard entails for this type of institutions. [ABSTRACT FROM AUTHOR]

Background. The aim of this study was to analyze the concurrent validation between the resistance index (RI) obtained by Spectral Doppler (SD) and the vascular resistance (VR) calculated by quantifying pixel color intensity of the power Doppler (PD) signal. Methods. The brachial artery of 30 healthy participants (24.8 yrs; SD = 6.44 yrs) were evaluated with SD to automatically obtain RI and with PD to estimate de VR with de Pourcelot's formula from systolic and diastolic peaks. Three assessments were performed on each participant, obtaining a total of 90 ultrasound assessments of the brachial artery with their respective RI. Processing and analysis were performed ImageJ software were manually selected and extracted from the brachial artery PD images with the highest and lowest signal corresponding to peak systolic and end diastole for each patient. The mean pixel color of the image with the highest signal was considered as the peak systolic velocity and of the image with the lowest signal as the end-diastolic velocity. Results. A high correlation was found between RI and VR (r = 0.92; 95%CI = 0.88 to 0.95; p ≤ 0.001) so there is a very strong concurrent validity between the two measures, and they can be considered equivalents (common variability of 84%). Conclusions. This new method of analyzing DS by quantifying the color intensity of the PD signal pixel is a good predictor of RI and could be useful for VR analysis in musculoskeletal tissues where measurement of RI is complicated such in neovascularization in tendinopathies with multiple Doppler signals. [ABSTRACT FROM AUTHOR]

The objective of this paper is to analyze the Youth Guarantee Plan Plus for the period 2021-2027 that is being developed in Spain. This Plan suppose the continuation of the intervention with young people within the framework of the National Youth Guarantee System designed within the framework of the European Union regulations, like the majority of the Member States, and therefore it must be framed within the positive actions to try to solve the problem of youth unemployment in Spain. The truth is that we are facing a Plan that is very continuous with the measures already adopted in the context of active employment policies in Spain for young people, so it does not represent an important innovation in terms of youth employment, [ABSTRACT FROM AUTHOR]

Labor intermediation is a central element in the search for employment in an increasingly complex and globalized labor market, where information has become a key element in the development of labor intermediation, with various actors intervening in it, both public and private, formal and informal or even direct or indirect. In Spain, this activity has undergone a process of regulatory evolution over the last forty years, which has led us from a monopoly of public organizations to an environment of public-private collaboration, where for-profit employment agencies actively participate in the Spanish labor market in collaboration with the public employment services or in a non-collaborative manner, but always in coordination with them. With the new Employment Act, the concept of labor intermediation has once again been revised - albeit minimally - to extend its concept to activities previously excluded from it, such as the selection of people, although the axes of its legal configuration have not changed, as it continues to be considered a public service, maintaining the presence of public employment services - as the main actors - and that of private placement agencies, whether for profit or not-for-profit. [ABSTRACT FROM AUTHOR]

Salt efflorescences from metal sulphides and their waste are important drivers of pollution both in and around mining areas. However, little is known about these supergene minerals, particularly in the mining areas of the Mediterranean. This study aims to characterise saline efflorescences and their leachates from a Mediterranean mining area located in Southeast Spain. The physicochemical characteristics were determined using stereomicroscopy and compositional analysis, with the following techniques: XRD, WDXRF and TG-MS. Additionally, to assess the risk and potential mobility of their analytes, the samples were subjected to the leaching test DIN 38414-S4. The results showed that the salt efflorescences presented a wide range of crystalline habits and colours. Sulphates were by far the largest mineral group, followed by silicates, oxides and sulphides. Their geochemistry was dominated by elements such as S or Fe, although other potentially toxic elements such as Cd, As, Zn, Pb, Ni and Cu were also present. Due to their high metal(loid) concentrations, the salt crusts studied may act as sources of environmental contaminants, demonstrating that their leachates pose a considerable risk to soil and drinking water quality. An analysis of the correlations and provenances of the components of the salt efflorescences revealed the possible presence of some rare supergene minerals of great interest, such as cuprocopiapite and Pb-As-jarosite. [ABSTRACT FROM AUTHOR]

Copyright of Trans-Pasando Fronteras is the property of Rafael Silva Vega and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Catalana de Dret Ambiental is the property of Universitat Rovira I Virgili and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Gaceta de la Real Sociedad Matematica Espanola is the property of Real Sociedad Matematica Espanola and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose: Familial papillary thyroid microcarcinoma (FPTMC) can present a more aggressive behavior than the sporadic microcarcinoma. However, few studies have analyzed this situation. The objective is to analyze the recurrence rate of FPTMC and the prognostic factors which determine that recurrence in Spain. Methods: Spanish multicenter longitudinal analytical observational study was conducted. Patients with FPTMC received treatment with curative intent and presented cure criteria 6 months after treatment. Recurrence rate and disease-free survival (DFS) were analyzed. Two groups were analyzed: group A (no tumor recurrence) vs. group B (tumor recurrence). Results: Ninety-four patients were analyzed. During a mean follow-up of 73.3 ± 59.3 months, 13 recurrences of FPTMC (13.83%) were detected and mean DFS was 207.9 ± 11.5 months. There were multifocality in 56%, bilateral thyroid involvement in 30%, and vascular invasion in 7.5%; that is to say, they are tumors with histological factors of poor prognosis in a high percentage of cases. The main risk factors for recurrence obtained in the multivariate analysis were the tumor size (OR: 2.574, 95% CI 1.210–5.473; p = 0.014) and the assessment of the risk of recurrence of the American Thyroid Association (ATA), both intermediate risk versus low risk (OR: 125, 95% CI 10.638–1000; p < 0.001) and high risk versus low risk (OR: 45.454, 95% CI 5.405–333.333; p < 0.001). Conclusion: FPTMC has a recurrence rate higher than sporadic cases. Poor prognosis is mainly associated with the tumor size and the risk of recurrence of the ATA. [ABSTRACT FROM AUTHOR]

Background This study sought to analyse the trend in smoking-attributable mortality (SAM) in Spain among the population aged ≥35 years across the period 1990–2018. Methods SAM was estimated by applying a prevalence-independent method, which uses lung cancer (LC) mortality as a proxy of tobacco consumption. We sourced observed mortality from the National Institute of Statistics (Spain), LC mortality rates in smokers and never smokers from the Cancer Prevention Study I–II, and relative risks from 5 US cohorts. Estimates of annual SAM by cause of death, sex and age are shown, along with crude and annual standardised SAM rates. The trend in standardised all-cause and LC rates was analysed using a joinpoint regression model. Results Tobacco caused 1 717 150 deaths in Spain in the period 1990–2018. Among men, cancers replaced cardiovascular diseases–diabetes mellitus (CVD–DM) as the leading group of tobacco-related cause of death in 1994. Among women, CVD–DM remained the leading cause of death throughout the period. Trend analysis of standardised SAM rates due to all causes and LC showed a decrease in men and an increase in women. Conclusions The tobacco epidemic in Spain across the period 1990–2018 has had an important impact on mortality and has evolved differently in both genders. SAM is expected to increase dramatically in women in the coming years. SAM data highlight the importance of including a gender perspective in SAM analyses, in designing more effective and comprehensive public health interventions and in developing gender-specific tobacco control policies to curb tobacco consumption. [ABSTRACT FROM AUTHOR]