Camp De Tarragona Research Articles

Perceptions of potential cycling infrastructure in a low-cycling context: Evidence from a medium-sized urban area

A key factor for the use of bicycles for transportation is the presence of safe and pleasant infrastructure. While research mostly focuses on large cities, cycling infrastructure and use are still incipient in many small and medium-sized cities. Because of their spatial context and very low and demographically uneven cycle use, it is key to understand how the potential of growing infrastructure is perceived among the general population, as well as how these perceptions differ based on personal characteristics. We focus on Camp de Tarragona (Catalonia, Spain), a polycentric urban area where bicycles are used for transportation for less than 1% of trips, and where local authorities have shown renewed interest in expanding and improving the current infrastructure to increase bicycle usage. We examine the perception of residents in the study area regarding various bicycle infrastructure scenarios through a visual preference analysis using photo evaluation. The representative survey was conducted with over 1,000 individuals in 2022, which demonstrates a widespread willingness to cycle as a means of transportation. However, this desire remains unmet due to inadequate infrastructure and an urban configuration that generally discourages cycling. The results show a need for recognizable, safe and segregated cycling infrastructure, though with differing perceptions between gender and age groups and between levels of urban density. The understanding of diverse sociodemographic nuances in the preferences of non-cyclists emerges as vital for promoting cycling as a feasible and socially inclusive transportation choice, highlighting the importance of tailored infrastructure to encourage cycling and enhance accessibility.

Patient Safety Incidents in Primary Care: Comparing APEAS-2007 (Spanish Patient Safety Adverse Events Study in Primary Care) with Data from a Health Area in Catalonia (Spain) in 2019.

The initial APEAS study, conducted in June 2007, examined adverse events (AEs) in Spanish Primary Healthcare (PHC). Since then, significant changes have occurred in healthcare systems. To evaluate these changes, a study was conducted in the Camp de Tarragona PHC region (CTPHC) in June 2019. This cross-sectional study aimed to identify AEs in 20 PHC centres in Camp de Tarragona. Data collection used an online questionnaire adapted from APEAS-2007, and a comparative statistical analysis between APEAS-2007 and CTPHC-2019 was performed. The results revealed an increase in nursing notifications and a decrease in notifications from family doctors. Furthermore, fewer AEs were reported overall, particularly in medication-related incidents and healthcare-associated infections, with an increase noted in no-harm incidents. However, AEs related to worsened clinical outcomes, communication issues, care management, and administrative errors increased. Concerning severity, there was a decrease in severe AEs, coupled with an increase in moderate AEs. Despite family doctors perceiving a reduction in medication-related incidents, the overall preventability of AEs remained unchanged. In conclusion, the reporting patterns, nature, and causal factors of AEs in Spanish PHC have evolved over time. While there has been a decrease in medication-related incidents and severe AEs, challenges persist in communication, care management, and clinical outcomes. Although professionals reported reduced severity, the perception of preventability remains an area that requires attention.

Impacto de una unidad de farmacia de atención primaria en la optimización del tratamiento farmacológico de pacientes diabéticos tipo 2

ObjectiveTo evaluate the impact of a pharmaceutical intervention on treatment optimization in patients with type 2 diabetes mellitus. DesignBefore-after intervention study. SiteHealth centers of the Primary Care Department of Camp de Tarragona. ParticipantsPatients aged ≥ 18 years, diagnosed with type 2 diabetes mellitus and under treatment with antidiabetic drugs. InterventionsReview of pharmacological treatment for type 2 diabetes mellitus and issuance of proposals for its adequacy. Main measurementsDemographic and clinical variables were collected to assess the adequacy of antidiabetic treatment. A consensus meeting was arranged with the patients’ primary care physician to evaluate the proposals for improvement. The implementation of the proposals and the variation in postintervention glycemic control were assessed. ResultsA total of 907 patients (59% men) were included. A total of 782 proposals for intervention were made in 65.8% of the patients reviewed. Of the proposals, 43.5% corresponded to drug discontinuation, 16% to intensification of dosing and 12.6% to exchange for a therapeutic equivalent. Of the consensual proposals, 54.7% were implemented. HbA1c was reduced by 0.2% after the intervention (7.4 vs 7.2%). ConclusionsReview of the pharmacological treatment of patients with type 2 diabetes mellitus by a pharmacist or pharmacologist facilitates its optimization.

Exploring the public bus ridership loss and recovery during the COVID-19 pandemic: a spatiotemporal analysis using smart card data

ABSTRACT The COVID-19 pandemic has had a dramatic impact on the demand of public transport systems. Nevertheless, the global decrease and recovery of users has been uneven both in time and space. It is important to understand the extent of the unequal resilience of service areas with different characteristics. The objective of this study is to map the patterns of variations in the use of public bus at different scales, urban and regional. The data used were collected by an Automated Fare Collection system based on the use of smart travel cards in the Camp de Tarragona region (Southern Catalonia, Spain). Our approach has the potential to be applied in multiscale studies in other areas with similar data sources. This study also illustrates the potential that data generated by Automated Fare Collection systems have for a better understanding of uneven spatial and temporal patterns of public bus ridership during crises such as a pandemic.

Public Risk Perception of the Petrochemical Industry, Measured Using a Public Participation Geographic Information System: A Case Study of Camp de Tarragona (Spain)

Following the implementation of the petrochemical industry, the population of Camp de Tarragona began living with a chemical risk, and after two consecutive years of chemical-related accidents with fatalities (in 2019 in the firm Carburos Metálicos, and in 2020 in the firm IQOXE), it is necessary to know the population’s perception of this activity. Therefore, this study aims to analyze the population’s risk perception regarding the petrochemical industry, by applying a Public Participation Geographic Information System (PPGIS). To this end, the risk perception data obtained from the PPGIS were correlated with the sociodemographic data from the surveys; an analysis was made of the perceived risks associated with this activity and what its possible effect would be on a territorial level, always from the point of view of the surveyed public. The results showed that the population clearly identifies on the map what the main sources of chemical risk are and which places would be affected by a possible explosion. In addition, it was verified that certain sociodemographic characteristics, such as gender or age, affect people’s perception of the risk, and that the weather conditions and anomalous situations within the industry also influence people’s perception, indicating high values of danger.

Effectiveness of an App for tobacco cessation in pregnant smokers (TOBBGEST): study protocol

BackgroundTobacco consumption during pregnancy is one of the most modifiable causes of morbidity and mortality for both pregnant smokers and their foetus. Even though pregnant smokers are conscious about the negative effects of tobacco consumption, they also had barriers for smoking cessation and most of them continue smoking, being a major public health problem. The aim of this study is to determine the effectiveness of an application (App) for mobile devices, designed with a gamification strategy, in order to help pregnant smokers to quit smoking during pregnancy and in the long term.MethodsThis study is a multicentre randomized community intervention trial. It will recruit pregnant smokers (200 participants/group), aged more than 18 years, with sporadically or daily smoking habit in the last 30 days and who follow-up their pregnancy in the Sexual and Reproductive Health Care Services of the Camp de Tarragona and Central Catalonia Primary Care Departments. All the participants will have the usual clinical practice intervention for smoking cessation, whereas the intervention group will also have access to the App. The outcome measure will be prolonged abstinence at 12 months after the intervention, as confirmed by expired-carbon monoxide and urinary cotinine tests. Results will be analysed based on intention to treat. Prolonged abstinence rates will be compared, and the determining factors will be evaluated using multivariate statistical analysis.DiscussionThe results of this study will offer evidence about the effectiveness of an intervention using a mobile App in smoking cessation for pregnant smokers, to decrease comorbidity associated with long-term smoking. If this technology is proven effective, it could be readily incorporated into primary care intervention for all pregnant smokers.Trial registrationClinicaltrials.gov ID NCT05222958. Trial registered 3 February 2022.

The Study of the Perception of the Petrochemical Risk Using a Public Participation Geographic Information System. A Case Applied to Camp De Tarragona (Spain)

The Study of the Perception of the Petrochemical Risk Using a Public Participation Geographic Information System. A Case Applied to Camp De Tarragona (Spain)

Impacto de la pandemia de COVID-19 en la seguridad del paciente percibida por los pacientes en Atención Primaria

ObjectiveTo evaluate the impact of the changes introduced in response to the pandemic on patient-reported patient safety in Primary Care. DesignProspective observational panel study (health center) based on two cross-sectional surveys. Setting29 Primary Health Care centers from three Spanish health regions (Mallorca, Catalunya Central and Camp de Tarragona). ParticipantsRandom sample of patients visiting their centers before (n=2199 patients) and during the pandemic (n=1955 patients) Main measurementsWe used the PREOS-PC questionnaire, a validated instrument which assesses patient-reported patient safety in Primary Care. We compared mean scores of the “experiences of errors” and “harm” scales in both periods, and built multilevel regression analyzes to study the variations in patient and center characteristics associated with worse levels of safety. A qualitative (content) analysis of patients’ experiences during the pandemic was also performed. ResultsThe “experiences of errors” and “harm” scales scores significantly worsened during the COVID-19 period (92.65 to 88.81 (Cohen's d=0.27); and 96.92 to 79.97 (d=0.70), respectively). Patient and center characteristics associated to worsened scores were: women, people with a lower educational level, worse health status, more years assigned to the center, and health region. ConclusionsDuring the pandemic, a perceptible worsening in patient safety perceived by patients treated in Primary Care has been observed, which has differentially affected patients according to their sociodemographic characteristics or health center profiles.

Effectiveness of New Tools to Define an Up-to-Date Patient Safety Risk Map: A Primary Care Study Protocol.

Background: Reducing incidents related to health care interventions to improve patient safety is a health policy priority. To strengthen a culture of safety, reporting incidents is essential. This study aims to define a patient safety risk map using the description and analysis of incidents within a primary care region with a prior patient safety improvement strategy organisationally developed and promoted. Methods: The study will be conducted in two phases: (1) a cross-sectional descriptive observational study to describe reported incidents; and (2) a quasi-experimental study to compare reported incidents. The study will take place in the Camp de Tarragona Primary Care Management (Catalan Institute of Health). In Phase 1, all reactive notifications collected within one year (2018) will be analysed; during Phase 2, all proactive notifications of the second and third weeks of June 2019 will be analysed. Adverse events will also be assessed. Phases 1 and 2 will use a digital platform and the proactive tool proSP to notify and analyse incidents related to patient safety. Expected Results: To obtain an up-to-date, primary care patient safety risk map to prioritise strategies that result in safer practices.

Clinical outcomes and safety of passive leg raising in out-of-hospital cardiac arrest: a randomized controlled trial

BackgroundThere are data suggesting that passive leg raising (PLR) improves hemodynamics during cardiopulmonary resuscitation (CPR). This trial aimed to determine the effectiveness and safety of PLR during CPR in out-of-hospital cardiac arrest (OHCA).MethodsWe conducted a randomized controlled trial with blinded assessment of the outcomes that assigned adults OHCA to be treated with PLR or in the flat position. The trial was conducted in the Camp de Tarragona region. The main end point was survival to hospital discharge with good neurological outcome defined as cerebral performance category (CPC 1–2). To study possible adverse effects, we assessed the presence of pulmonary complications on the first chest X-rays, brain edema on the computerized tomography (CT) in survivors and brain and lungs weights from autopsies in non-survivors.ResultsIn total, 588 randomized cases were included, 301 were treated with PLR and 287 were controls. Overall, 67.8% were men and the median age was 72 (IQR 60–82) years. At hospital discharge, 3.3% in the PLR group and 3.5% in the control group were alive with CPC 1–2 (OR 0.9; 95% CI 0.4–2.3, p = 0.91). No significant differences in survival at hospital admission were found in all patients (OR 1.0; 95% CI 0.7–1.6, p = 0.95) and among patients with an initial shockable rhythm (OR 1.7; 95% CI 0.8–3.4, p = 0.15). There were no differences in pulmonary complication rates in chest X-rays [7 (25.9%) vs 5 (17.9%), p = 0.47] and brain edema on CT [5 (29.4%) vs 10 (32.6%), p = 0.84]. There were no differences in lung weight [1223 mg (IQR 909–1500) vs 1239 mg (IQR 900–1507), p = 0.82] or brain weight [1352 mg (IQR 1227–1457) vs 1380 mg (IQR 1255–1470), p = 0.43] among the 106 autopsies performed.ConclusionIn this trial, PLR during CPR did not improve survival to hospital discharge with CPC 1–2. No evidence of adverse effects has been found.Clinical trial registrationClinicalTrials.gov: NCT01952197, registration date: September 27, 2013, https://clinicaltrials.gov/ct2/show/NCT01952197.

Effects of air pollution on the potential transmission and mortality of COVID-19: A preliminary case-study in Tarragona Province (Catalonia, Spain)

The number of studies published on COVID-19 in recent months is certainly impressive. However, there are still important gaps to know a great number of characteristics of this disease. Among these, some potential ways of transmission of the SARS-CoV-2 and the different reasons for the severity of the disease in different people. Various studies have suggested that certain air pollutants could be increasing the transmission of the coronavirus, as well as the risks of COVID-19 incidence and mortality. In the present preliminary case-study conducted in Tarragona Province (Catalonia, Spain), we studied the potential association of COVID-19 with PM10, NO2 and O3, as well as the differences in the incidence and lethality of this disease. This Province is divided into two “health regions”: Camp de Tarragona, with an important industrial complex, and Terres de l’Ebre, with a great agricultural component. In spite of the notable limitations of the current study, our preliminary findings indicate that the industrialized/urban areas of Tarragona Province show a higher incidence and mortality of COVID-19 than the agricultural/rural zones. These – and previous – results would highlight the importance of conducting specific investigations focused on directly assessing whether air pollutants such as particulate matter can act as carriers of the SARS-CoV-2. If confirmed, the recommendation on keeping the “social distance” (1.5–2 m) might need to be adapted to this situation.

Profiling tourists' use of public transport through smart travel card data

Data collected through smart travel cards in public transport networks have become a valuable source of information for transport geography studies. During the last two decades, a growing body of literature has used this sort of data source to study the behaviour of public transport users in cities and regions around the world. However, its use has been scarce in contexts where public transport demand is highly influenced by the activities of the tourist sector. Therefore, it remains to be seen whether these data can be leveraged to optimize the supply of public transport. In this article, data drawn from the Camp de Tarragona automated fare collection system extracted during 2018 are used to study tourists' use of public transport in Costa Daurada (Catalonia, Spain). This is a popular coastal destination with a high concentration of visitors during the summer period. The analysis focuses on the use of the T-10, a multipersonal transport fare with no time limitations on its use which makes it appealing for tourists. Model-based clustering has been applied to identify different clusters of passengers according to their activity and spatial profiles. Differences between profiles are significant and, as a result, this study allowed the validation of a method that could be replicated in other contexts, as it provides highly useful information for public transport policy and mobility management.

Artichnus giberti isp. nov., a possible holothurian burrow from the Miocene of El camp de Tarragona Basin (NE Spain)

A new ichnotaxon, Artichnus giberti isp. nov., is described in the marine middle Miocene (Serravallian) of the El Camp de Tarragona Basin, north eastern Spain. It is a mostly horizontal and rectilinear, tubular burrow with laminated lining. Artichnus giberti is interpreted as the result of the burrowing activity of a deposit- or suspension-feeding, worm- like animal, most likely a holothurian. This new Iberian occurrence extends the known temporal and geographical records of the ichnogenus Artichnus, which was previously restricted to the Eocene of Poland

Mining bus travel card data for analysing mobilities in tourist regions

ABSTRACT Mobilities that take place in coastal tourist regions are not regular in time nor in space, since the arrival of tourists follows a distinctly seasonal pattern. A key agent in the mobility sector, such as the public transport, is directly affected by these alterations. This article aims at analysing this phenomenon from a geographical perspective, by means of the use of big (geo)data generated by travel cards that monitor the demand for interurban public transport in the region of Camp de Tarragona, in south Catalonia. The maps presented in this article constitute a first attempt to appraise the impact of seasonality of tourist activities on public transport demand in coastal tourist regions. They allow detailing large spatiotemporal fluctuations in the use of public transport between winter and summer periods, and also significant differences in daily time slots between both periods. The results are from interest to understand the mobilities in tourist regions and for agents involved in public transport provision and tourism management.

Air quality, health impacts and burden of disease due to air pollution (PM10, PM2.5, NO2 and O3): Application of AirQ+ model to the Camp de Tarragona County (Catalonia, Spain)

The purpose of this study was to assess the impact to human health of air pollutants, through the integration of different technics: data statistics (spatial and temporal trends), population attributable fraction using AIRQ+ model developed by the WHO, and burden of disease using Disability-Adjusted Life Years (DALYs). The levels of SO2, NO, NO2, O3, H2S, benzene, PM10, PM2.5, CO, benzo(a)pyrene and metals, obtained between 2005 and 2017 from the air quality monitoring network across Camp de Tarragona County, were temporally and spatially determined. Health impacts were evaluated using the AIRQ+ model. Finally, the burden of disease was assessed through the calculation of Years of Lost life (YLL) and Years Lost due to Disability (YLD). In general terms, air quality was good according to European quality standards, but it did not fulfil the WHO guidelines, especially for O3, PM10 and PM2.5. Several decreasing (NO, NO2, SO2, PM10 and benzene) and an increasing (O3) temporal trend were found. Correlation between unemployment rate and air pollutant levels was found, pointing that the economic crisis (2008–2014) was a factor influencing the air pollutant levels. Reduction of air pollutant levels (PM2.5) to WHO guidelines in the Camp de Tarragona County would decrease the adult mortality between 23 and 297 cases per year, which means between 0.5 and 7% of all mortality in the area. In this County, for lung cancer, ischemic heart disease, stroke, and chronic obstructive pulmonary disease due to levels of PM2.5 above the WHO threshold limits, DAYLs were 240 years. This means around 80 DALYs for 100,000 persons every year -between 2005 and 2017. Population attributable fraction (PAF) and burden of disease (DALYs) methodologies are suitable tools for regional and national policymakers, who must take decisions to prevent and to control air pollution and to analyse the cost-effectiveness of interventions.

High-speed rail and tourism destination choice: the role and significance of the Camp de Tarragona station for passengers visiting the Costa Daurada

<p>El artículo analiza la influencia de la disponibilidad de servicios de Alta Velocidad Ferroviaria en la elección del destino entre los turistas que utilizan este medio de transporte. A partir de datos provenientes de encuestas a viajeros de la estación del Camp de Tarragona se ha aplicado un método probabilístico que ha permitido medir el incremento de probabilidad de visitar la Costa Dorada causado por la existencia de esta estación. Los resultados demuestran un leve incremento de la probabilidad de visitar el destino (14,1 %). Se ha demostrado también que este incremento de probabilidad varia significativamente en función de las características sociodemográficas del turista, del viaje y de su estancia.</p>

Development and assessment of an active strategy for the implementation of a collaborative care approach for depression in primary care (the INDI\xb7i project)

BackgroundPrimary care is the principal clinical setting for the management of depression. However, significant shortcomings have been detected in its diagnosis and clinical management, as well as in patient outcomes. We developed the INDI collaborative care model to improve the management of depression in primary care. This intervention has been favorably evaluated in terms of clinical efficacy and cost-effectiveness in a clinical trial. Our aim is to bring this intervention from the scientific context into clinical practice.MethodsObjective: To test for the feasibility and impact of a strategy for implementing the INDI model for depression in primary care.Design: A quasi-experiment conducted in primary care. Several areas will be established to implement the new program and other, comparable areas will serve as control group. The study constitutes the preliminary phase preceding generalization of the model in the Catalan public healthcare system.Participants: The target population of the intervention are patients with major depression. The implementation strategy will also involve healthcare professionals, primary care centers, as well as management departments and the healthcare organization itself in the geographical areas where the study will be conducted: Camp de Tarragona and Vallès Occidental (Catalonia).Intervention: The INDI model is a program for improving the management of depression involving clinical, instructional, and organizational interventions including the participation of nurses as care managers, the efficacy and efficiency of which has been proven in a clinical trial. We will design an active implementation strategy for this model based on the PARIHS (Promoting Action on Research Implementation in Health Services) framework.Measures: Qualitative and quantitative measures will be used to evaluate variables related to the successful implementation of the model: acceptability, utility, penetration, sustainability, and clinical impact.DiscussionThis project tests the transferability of a healthcare intervention supported by scientific research to clinical practice. If implementation is successful in this experimental phase, we will use the information and experience obtained to propose and plan the generalization of the INDI model for depression in the Catalan healthcare system. We expect the program to benefit patients, the healthcare system, and society.Trial registrationClinicalTrials.gov identifier: NCT03285659; Registered 12th September, 2017.

High speed rail and coastal tourism: Identifying passenger profiles and travel behaviour.

In this paper, we characterise tourists most likely to visit a coastal destination by high-speed rail (HSR). Our data came from a survey conducted among HSR passengers during 2014’s high season (July and August) at Spain’s Camp de Tarragona and Alicante Stations, each of which is near a mass tourism destination on the Mediterranean coast: the Costa Daurada and the Costa Blanca, respectively. We used responses to the survey, which presented binary discrete-choice situations, to construct a database necessary for a logistic regression model that allowed us to examine how passenger profile, trip characteristics, and stay conditions influenced the use of HSR services on visits to each coastal destination. Results highlighted significant differences in the profiles of tourists who arrived at each destination by HSR and, in turn, that no specific tourist profile is associated with HSR, even for two stations that serve sunny beach destinations. Among its implications, to analyse travellers that HSR can attract, it is vital to consider the specific characteristics of each destination and its current market.

Demographic reconstruction of the Camp de Tarragona area (Spain), 1547-1877

Dans cet article, nous reconstruisons la démographie d’une région de la Catalogne sur la côte méditerranéenne sur une période de 350 ans, théâtre de changements considérables à la suite de la révolution commerciale de l’époque moderne. Pour ce faire, nous utilisons la technique de reconstruction de la population par rétroprojection à partir des registres paroissiaux. Nos données suggèrent que la nuptialité a joué un rôle important dans le contrôle de la croissance démographique dans le moyen et long terme. Nous constatons également que les variations de l’intensité de la nuptialité ont suivi une évolution similaire à celle des salaires réels. Enfin, l’article établit que ces évolutions de la nuptialité ont été associés à l’introduction de formes plus souples dans l’utilisation des terres permettant un accès relativement stable aux terres arables à une échelle massive, conduisant ainsi à une hausse des salaires réels, ce qui a encouragé le mariage et favorisé les transformations économiques des xviii e et xix e siècles.

Measuring the influence of the Camp de Tarragona high-speed rail station on first-time and repeat tourists visiting a coastal destination

This paper explores the effects of high-speed rail (HSR) services on the destination choice of first-time tourists and repeat tourists arriving in the Costa Daurada, a mature coastal destination in Catalonia, using HSR services. The analysis is based on a probabilistic method and uses data from a survey of HSR passengers at the Camp de Tarragona HSR station during the summer of 2014. It concludes that the increase in probability of visiting this particular destination because of the existence of the HSR station among this specific group of visitors is quite larger in the case of first-time tourists (23.9%) than in repeat tourists (12.9%). At the same time, significant differences are found in the profiles of both segments of HSR passengers.