Background: The progressive ageing of the population is leading to an increase in multimorbidity ... more Background: The progressive ageing of the population is leading to an increase in multimorbidity and polypharmacy, which in turn may increase the risk of hospitalization and mortality. The enhancement of care with information and communications technology (ICT) can facilitate the use of prescription evaluation tools and support system for decision-making (DSS) with the potential of optimizing the healthcare delivery process.Objective: To assess the effectiveness and cost-effectiveness of the complex intervention MULTIPAP Plus, compared to usual care, in improving prescriptions for young-old patients (65-74 years old) with multimorbidity and polypharmacy in primary care. Methods/Design: This is a pragmatic cluster randomized clinical trial with a follow-up of 18 months in health centres Spanish National Health System. Unit of randomization: family physician. Unit of analysis: patient. Population: Patients aged 65–74 years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5...
ABSTRACT The pattern of moult of juvenile Common Chiffchaffs Phylloscopus collybita wintering in ... more ABSTRACT The pattern of moult of juvenile Common Chiffchaffs Phylloscopus collybita wintering in two distant localities of the Iberian Peninsula, Málaga (south) and Barcelona (north) differed. Individuals wintering in the northern locality moulted more contour than flight feathers, and vice versa, while sexes did not differ; individuals moulting more contour feathers arrived later and individuals moulting more flight feathers arrived earlier. Taken together, our results suggest that the pattern of moult of juvenile Common Chiffchaffs may depend on the location to which they migrate, in addition to the geographic origin and the time of breeding.
Capsule The pattern of moult of juvenile Common Chiffchaffs (Phylloscopus collybita) wintering in... more Capsule The pattern of moult of juvenile Common Chiffchaffs (Phylloscopus collybita) wintering in two distant localities of the Iberian Peninsula, Málaga (south) and Barcelona (north) differed. Individuals wintering in the northern locality moulted more contour than flight feathers, and vice versa, while sexes did not differ; individuals moulting more contour feathers arrived later and individuals moulting more flight feathers arrived earlier. Taken together, our results suggest that the pattern of moult of juvenile Common Chiffchaffs may depend on the location to which they migrate, in addition to the geographic origin and the time of breeding.
Background: The progressive ageing of the population is leading to an increase in multimorbidity ... more Background: The progressive ageing of the population is leading to an increase in multimorbidity and polypharmacy, which in turn may increase the risk of hospitalization and mortality. The enhancement of care with information and communications technology (ICT) can facilitate the use of prescription evaluation tools and support system for decision-making (DSS) with the potential of optimizing the healthcare delivery process.Objective: To assess the effectiveness and cost-effectiveness of the complex intervention MULTIPAP Plus, compared to usual care, in improving prescriptions for young-old patients (65-74 years old) with multimorbidity and polypharmacy in primary care. Methods/Design: This is a pragmatic cluster randomized clinical trial with a follow-up of 18 months in health centres Spanish National Health System. Unit of randomization: family physician. Unit of analysis: patient. Population: Patients aged 65–74 years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5...
ABSTRACT The pattern of moult of juvenile Common Chiffchaffs Phylloscopus collybita wintering in ... more ABSTRACT The pattern of moult of juvenile Common Chiffchaffs Phylloscopus collybita wintering in two distant localities of the Iberian Peninsula, Málaga (south) and Barcelona (north) differed. Individuals wintering in the northern locality moulted more contour than flight feathers, and vice versa, while sexes did not differ; individuals moulting more contour feathers arrived later and individuals moulting more flight feathers arrived earlier. Taken together, our results suggest that the pattern of moult of juvenile Common Chiffchaffs may depend on the location to which they migrate, in addition to the geographic origin and the time of breeding.
Capsule The pattern of moult of juvenile Common Chiffchaffs (Phylloscopus collybita) wintering in... more Capsule The pattern of moult of juvenile Common Chiffchaffs (Phylloscopus collybita) wintering in two distant localities of the Iberian Peninsula, Málaga (south) and Barcelona (north) differed. Individuals wintering in the northern locality moulted more contour than flight feathers, and vice versa, while sexes did not differ; individuals moulting more contour feathers arrived later and individuals moulting more flight feathers arrived earlier. Taken together, our results suggest that the pattern of moult of juvenile Common Chiffchaffs may depend on the location to which they migrate, in addition to the geographic origin and the time of breeding.
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Papers by Miguel Domínguez Santaella