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Junta de Andalucía, Consejería de Universidad, Investigación e Innovación

Identifying highly disabled patients or at high risk of psychiatric comorbidity is crucial for migraine management. The burden of migraine increases with headache frequency, but the number of headache days (HDs) per month after which disability becomes severe or the risk of anxiety and depression is higher has not been established. Here, we estimate the number of HDs per month after which migraine is associated with higher risk of anxiety and depression, severe disability and lower quality of life. We analysed 468 migraine patients (mean age 36.8 ± 10.7; 90.2% female), of whom 38.5% had ≥ 15 HDs per month. Our results show a positive linear correlation between the number of HDs per month and the risk of anxiety (r = 0.273; p < 0.001), depression (r = 0.337; p < 0.001) and severe disability (r = 0.519; p < 0.001). The risk of anxiety is higher in patients having ≥ 3HDs per month, and those with ≥ 19HDs per month are at risk of depression. Moreover, patients suffering ≥ 10HDs per month have very severe disability. Our results suggest that migraine patients with ≥ 10HDs per month are very disabled and also that those with ≥ 3HDs per month should be screened for anxiety.

Although a large body of research supports the theory that exposure to nature results in mental health benefits, research evidence on the e ects of having a view of green space from home is still scarce. The aim of the present study is to assess the impact that access to a green space view from home has on anxiety and depression. This is a cross-sectional study extracting data from the “2018 Green Spaces, Daily Habits and Urban Health Survey” conducted in Carmona (Spain). The study included variables on sociodemographic and lifestyle, view of green spaces from home, self-perceived health status, and risk of anxiety and depression measured using the Hospital Anxiety and Depression Scale (HADS). Chi-square tests were used to assess variable’s associations and a multiple linear regression models used to identify the variables explaining the risk of anxiety and depression, taking into account sociodemographic characteristics, frequency of visits and view of green spaces from home. According to our results, adults who enjoy a view of green spaces from home have a lower risk of anxiety and depression.

Introduction/objectivesTo evaluate the journey to diagnosis, disease characteristics and burden of disease in male and female patients with axial spondyloarthritis (axSpA) across Europe.MethodData from 2846 unselected patients participating in the European Map of Axial Spondyloarthritis (EMAS) study through an online survey (2017–2018) across 13 countries were analysed. Sociodemographic characteristics, lifestyle, diagnosis, disease characteristics and patient-reported outcomes (PROs) [disease activity –BASDAI (0–10), spinal stiffness (3–12), functional limitations (0–54) and psychological distress (GHQ-12)] were compared between males and females using chi-square (for categorical variables) and student t (for continuous variables) tests.ResultsIn total, 1100 (38.7%) males and 1746 (61.3%) females participated in the EMAS. Compared with males, females reported considerable longer diagnostic delay (6.1 ± 7.4 vs 8.2 ± 8.9 years; p < 0.001), higher number of visits to physiotherapists (34.5% vs 49.5%; p < 0.001) and to osteopaths (13.3% vs 24.4%; p < 0.001) before being diagnosed and lower frequency of HLA-B27 carriership (80.2% vs 66.7%; p < 0.001). In addition, females reported higher degree of disease activity in all BASDAI aspects and greater psychological distress through GHQ-12 (4.4 ± 4.2 vs 5.3 ± 4.1; p < 0.001), as well as a greater use of alternative therapies.ConclusionThe patient journey to diagnosis of axSpA is much longer and arduous in females, which may be related to physician bias and lower frequency of HLA-B27 carriership. Regarding PROs, females experience higher disease activity and poorer psychological health compared with males. These results reflect specific unmet needs in females with axSpA needing particular attention.Key Points• Healthcare professionals’ perception of axSpA as a predominantly male disease may introduce some bias during the diagnosis and management of the disease. However, evidence about male-female differences in axSpA is scarce.• EMAS results highlight how female axSpA patients report longer diagnostic delay and higher burden of the disease in a large sample of 2846 participants of 13 European countries.• Results reflect unmet needs of European female patients. Healthcare professionals should pay close attention in order to accurately diagnose and efficiently manage axSpA cases while further research should be developed on the cause of reported gender differences.

Los destinos litorales se enfrentan desde hace décadas a la necesidad de renovar sus modelos turísticos tradicionales, marcados por una elevada estacionalidad y la depredación territorial, esta última causada por la construcción de alojamiento destinado a segundas residencias. El escenario turístico actual ofrece distintos retos y oportunidades, que pueden ayudar a complementar estos modelos turísticos. En este contexto, el aumento de la esperanza de vida y la generalización de estilos de vida saludables posibilita que nuevos modelos turísticos, como el turismo de salud y bienestar, puedan desarrollarse como potenciales palancas de cambio. El principal objetivo de esta investigación es comprender la potencialidad del turismo de salud y bienestar para cualificar y diversificar los destinos turísticos litorales, así como analizar la reciente evolución del turismo litoral y su actual problemática. Para ello, se utilizan métodos cualitativos sustentados en la revisión bibliográfica relacionada, análisis de contenidos de planes y matriz DAFO, así como el caso de estudio de un destino concreto.

El presente trabajo muestra la metodología seguida para el levantamiento de datos y el cálculo de tasas de erosión, así como el resultado de las mismas durante el período reciente de 2001-2019 para la totalidad de las playas del frente litoral de Andalucía. Dicho período es dividido, a su vez, en dos subperíodos (2001-2011 y 2001-2019), con el objetivo de detectar posibles cambios de tendencia durante los años de estudio. Se ha utilizado el indicador (proxy) correspondiente al límite interno de la playa seca (backshore), de gran utilidad para cálculos de tasas a medio-largo plazo. Los resultados recogen las tasas calculadas para este indicador, las cuales muestran una elevada presencia de sectores estabilizados artificialmente por la presencia de infraestructuras uy condicionada por su presión antrópica, que presenta un menor porcentaje, pero una mayor intensidad en los valores negativos de las tasas. longitudinales que dificultan la migración hacia el interior de la línea de costa asociada al mismo, así como una intensificación del fenómeno erosivo en aquellos tramos libres de infraestructuras. De igual forma, se constata una clara diferenciación entre una fachada atlántica relativa mente dinámica con mayor porcentaje tramos erosivos y una fachada

Historic centers have su ered di erent processes of neglect, occupation, segregation, gentrification, and touristification as a result of changes in demand and policies. Currently, they are going through a homogenization process motivated by tourist pressure, which is causing the expulsion of the local population; this is a common topic of interest for media and political agendas, which requires scientific analysis. This research aims at identifying the winning and the losing tourist groups in the historic center of Seville. It is structured in two parts: a conceptual one based on the bibliographic review with which one wants to know how the current society responds to tourist pressure through defining and characterizing the processes of substitution of uses and inhabitants, and another empirical one in which the analysis of statistical indicators (demographic, economic, and residential) treated with Geographic Information System (GIS) allows us to measure the degree of existing vulnerability and analyze social and spatial e ects caused by the tourism in Seville

The present study aims to develop an integrated methodology using multi-criteria decision-making methods and geographical information systems for a renewable energy spatial planning model. This methodology has been applied to the province of Malaga (Southern Spain), which is characterised by high energy demand for both residential and touristic use. Criteria and restrictions are defined, weighed and combined in order to identify high potential areas for the construction of single- or combined wind power, solar power and biomass generation facilities. Finally, a cluster analysis is carried out in order to classify municipalities within the province according to the availability of medium and high potential land for the construction of these facilities. Results suggest that for the three types of energy analysed (wind, solar and biomass), single- or combined solar and wind power facilities are the best options in the province of Malaga. The breakdown of these results at the municipality level is of great interest from the point of view of spatial planning. For instance, in some municipalities less than 1 km2 is regarded as having a medium-to-high potential in terms of renewables. Some of these municipalities, situated on the Costa del Sol, must meet high current- and future energy demands, owing both to population density and the volume of touristic demand, which is the highest in the region of Andalusia. The methodology used can be applied to other regions and will be of interest for planners, managers and investors, all of whom can use this information for spatial- and energy planning, and the definition of targets and strategies, and, therefore, as and to aid decision-making.Graphic abstract

In recent years, Spain, in an effort to meet European Union (E.U.) targets, has been developing different strategies to promote the installation of renewable energy plants. In this regard, evaluating territories to assess their potential and thus identify optimum sites for the installation of energy-generating facilities is a crucial task. This paper presents a comprehensive geographic information system (GIS)-based site-selection methodology for wind-power plants in the province of Córdoba, which has hitherto been regarded as unsuitable for this sort of facility owing to the lack of wind resources. Three scenarios have been set out, each of which presents a different set of restrictions. Scenario 2 applies the most stringent restrictions in the specialized literature, and finds no suitable areas for the installation of wind-energy plants. However, Scenario 1, which applies the least stringent restrictions, and Scenario 3, which applies the same restrictions currently in force for other wind turbines already in operation in Andalusia, have led to the identification of several areas that could a priori be considered suitable and now need more detailed analysis. The results illustrate the convenience of undertaking multiscenario analyses.

Ministerio de Ciencia, Innovación y Universidades PID2019-107993GB-I00