Nuestros investigadores

Juan José Pons Izquierdo

Líneas de investigación
Geografía de la salud, Movilidad urbana, Paisaje, Población, Ciudad

Publicaciones científicas más recientes (desde 2010)

Autores: Arias, Natalia Sofía, (Autor de correspondencia); López-Fidalgo, J.; Garralda, Eduardo; et al.
ISSN 0269-2163  Vol. 34  Nº 8  2020  págs. 1044 - 1056
Background: Service provision is a key domain to assess national-level palliative care development. Three editions of the European Association for Palliative Care (EAPC) Atlas of Palliative Care monitored the changes in service provision across Europe since 2005. Aim: To study European trends of specialized service provision at home care teams, hospital support teams, and inpatient palliative care services between 2005 and 2019. Design: Secondary analysis was conducted drawing from databases on the number of specialized services in 2005, 2012, and 2019. Ratios of services per 100,000 inhabitants and increase rates on number of services for three periods were calculated. Analysis of variance (ANOVA) analyses were conducted to determine significant changes and chi-square to identify countries accounting for the variance. Income-level and sub-regional ANOVA analysis were undertaken. Setting: 51 countries. Results: Forty-two countries (82%) increased the number of specialized services between 2005 and 2019 with changes for home care teams (104% increase-rate), inpatient services (82%), and hospital support teams (48%). High-income countries showed significant increase in all types of services (p <¿0.001), while low-to-middle-income countries showed significant increase only for inpatient services. Central¿Eastern European countries showed significant improvement in home care teams and inpatient services, while Western countries showed significant improvement in hospital support a
Autores: Arias, Natalia Sofía; Garralda, Eduardo; Pons, Juan José; et al.
ISSN 0885-3924  Vol. 60  Nº 4  2020  págs. 746 - 753
Background: Approximately 170,000 children in need of palliative care die every year in Europe without access to it. This field remains an evolving specialty with unexplored development. Aim: To conduct the first regional assessment of paediatric palliative care development and provision using data from the EAPC Atlas of Palliative Care 2019. Methods: Two surveys were conducted. The first one included a single question regarding paediatric palliative care service provision and was addressed by EAPC atlas informants. The second one included ten specific indicators derived from an open-ended interview and rating process, a specific network of informants was enabled and used as respondents. Data were analysed and presented in maps. Results: Data on paediatric palliative care service provision was gathered from 51/54 (94%) European countries. Additional data were collected in 34/54 (62%) countries. A total of 680 paediatric palliative care services were identified including: 133 hospices, 385 home-care services, and 162 hospital services. Nineteen countries had specific standards and norms for the provision of paediatric palliative care. Twenty-two had a national association and fourteen countries offered education for either paediatric doctors or nurses. In seven countries, specific neonatal palliative care referral services were identified. Conclusion: Paediatric palliative care provision is flourishing across the region, however development is less accentuated in low-middl
Autores: Arias, Natalia Sofía, (Autor de correspondencia); Garralda, Eduardo; López-Fidalgo, J.; et al.
ISSN 0885-3924  Vol. 58  Nº 3  2019  págs. 445 - 453.e1
Context. International consensus on indicators is necessary to standardize the global assessment of palliative care (PC) development. Objectives. To identify the best indicators to assess current national-level PC development. Methods. Experts in PC development were invited to rate 45 indicators organized by domains of the World Health Organization Public Health Strategy in a two-round RAND/UCLA-modified Delphi process. In the first round, experts rated indicators by relevance, measurability, and feasibility (1-9). Ratings were used to calculate a global score (1-9). Indicators scoring >7 proceeded to the second round for fine-tuning of global scores. Median, confidence interval, Content Validity Index, and Disagreement Index were calculated. Indicators scoring a lower limit 95% confidence interval of >7 and a Content Validity Index of >= 0.30 were selected. Results. 24 experts representing five continents and several organizations completed the study. 25 indicators showed a high content validity and level of agreement. Policy indicators (n = 8) included the existence of designated staff in the National Ministry of Health and the inclusion of PC services in the basic health package and in the primary care level list of services. Education indicators (n = 4) focused on processes of official specialization for physicians, inclusion of teaching at the undergraduate level, and PC professorship. Use of medicines indicators (n = 4) consisted of opioid consumption, availability, and prescription requirements. Services indicators (n = 6) included number and type of services for adults and children. Additional indicators for professional activity (n = 3) were identified. Conclusion. The first list including 25 of the best indicators to evaluate PC development at a national level has been identified. (C) 2019 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
Autores: Rivas, E., (Autor de correspondencia); Santiago, J. L.; Lechón, Y.; et al.
ISSN 0048-9697  Vol. 649  2019  págs. 1362 - 1380
A methodology based on CFD-RANS simulations (WA CFD-RANS, Weighted Averaged Computational Fluid Dynamic-Reynolds-Averaged Navier-Stokes simulations) which includes appropriate modifications, has been applied to compute the annual, seasonal, and hourly average concentration of NO2 and NOX throughout the city of Pamplona (Spain) at pedestrian level during 2016. The results have been evaluated using measurements provided both by the city's network of air quality monitoring stations and by a network of mobile microsensors carried around by cyclists during their daily commutes, obtaining a maximum relative error lower than 30% when computing NO2 annual average concentrations. The model has taken into account the actual city layout in three dimensions, as well as the traffic emissions. The resulting air pollutionmaps provided information critical for studying the traffic-related health effects ofNO2 and their associated external costs in the city of Pamplona and the spatial representativeness of the current network of air quality monitoring stations (it has not been carried out for an entire city to date). The developed methodology can be applied to similar cities, providing useful information for the decision-makers.
Autores: Durán, Francisco, (Autor de correspondencia); Serrano, Miriam; Pons, Juan José;
ISSN 1618-8667  Vol. 31  2018  págs. 252-260
Autores: Durán, Francisco; Serrano, Miriam; Pons, Juan José;
ISSN 0212-9426  Vol. 78  2018  págs. 419-443
El presente artículo muestra la reconciliación entre los ciudadanos de Arévalo (Ávila, España) y sus ríos, a través de la ejecución de un proyecto de mejora y acondicionamiento paisajístico. Las claves del éxito de la recuperación de este espacio fluvial, antes degradado y abocado al olvido, fueron tres, fundamentalmente. En primer lugar, se confeccionó un meditado proyecto de recuperación paisajística de escasa dotación presupuestaria, cuya ejecución se realizó satisfactoriamente. En segundo lugar, la idea de actuar en el paisaje fluvial de este pueblo recibió un importante impulso político. Por último, cabe destacar la sensibilidad ambiental con la que se desarrolló el proyecto en todas sus fases, así como la involucración de la propia ciudadanía, a quien se hizo partícipe en todo momento del proceso de ejecución. La transformación del paisaje y su revalorización, así como la recuperación del patrimonio natural y cultural ligado a los ríos de Arévalo, han mejorado la calidad de vida de sus habitantes. La metodología empleada, que es replicable para futuras intervenciones en esta o en otras localidades, así como los resultados más relevantes, se exponen en el presente artículo.
Autores: Lopez-Pascual, A.; Bes-Rastrollo, Maira; Sayón, María del Carmen; et al.
ISSN 1664-042X  Vol. 7  2017  págs. 658
Living in a geographically higher altitude affects oxygen availability. The possible connection between environmental factors and the development of metabolic syndrome (MetS) feature is not fully understood, being the available epidemiological evidence still very limited. The aim of the present study was to evaluate the longitudinal association between altitude and incidence of MetS and each of its components in a prospective Spanish cohort, The Seguimiento Universidad de Navarra (SUN) project. Our study included 6860 highly educated subjects (university graduates) free from any MetS criteria at baseline. The altitude of residence was imputed with the postal code of each individual subject residence according to the data of the Spanish National Cartographic Institute and participants were categorized into tertiles. MetS was defined according to the harmonized definition. Cox proportional hazards models were used to assess the association between the altitude of residence and the risk of MetS during follow-up. After a median follow-up period of 10 years, 462 incident cases of MetS were identified. When adjusting for potential confounders, subjects in the highest category of altitude (>456 m) exhibited a significantly lower risk of developing MetS compared to those in the lowest tertile (<122 m) of altitude of residence [Model 2: Hazard ratio = 0.75 (95% Confidence interval: 0.580.97); p for trend = 0.029]. Living at geographically higher altitude was associated with a lower risk of developing MetS in the SUN project. Our findings suggest that geographical elevation may be an important factor linked to metabolic diseases.
Autores: Díaz-Gutiérrez, J.; Martínez, Miguel Ángel; Pons, Juan José; et al.
Revista: PLOS ONE
ISSN 1932-6203  Vol. 11  Nº 11  2016  págs. e0164483
BACKGROUND: Residence at high altitude has been associated with lower obesity rates probably due to hypoxia conditions. However, there is no evidence of this association in a free-living population. OBJECTIVES: We assessed the association between the altitude where each participant of a Spanish cohort (the SUN Project) was living and the incidence of overweight/obesity. METHODS: The SUN Project is a dynamic, prospective, multipurpose cohort of Spanish university graduates with a retention rate of 89%. We included in the analysis 9 365 participants free of overweight/obesity at baseline. At the baseline questionnaire, participants reported their postal code and the time they had been living in their city/village. We imputed the altitude of each postal code according to the data of the Spanish National Cartographic Institute and categorized participants in tertiles. We used Cox regression models to adjust for potential confounding variables. RESULTS: During a median follow-up of 10 years, we identified 2 156 incident cases of overweight/obesity. After adjusting for sex, age, time of residence at current city, baseline body mass index, physical activity, sedentarism and years of education (¿ 3 years, ¿ 4 years, Master/PhD), those participants in the third tertile (>456 m) exhibited a statistically significant 14% reduction in the risk of developing overweight/obesity in comparison to those in the first tertile (<124 m) (adjusted HR = 0.86; 95% CI: 0.77, 0.96). CONCLUSIONS: Living in cities of higher altitude was inversely associated with the risk of developing overweight/obesity in a cohort of Spanish university graduates.
Autores: Sotés-Elizalde, M. A.; Pons, Juan José;
ISSN 1877-0428  Nº 197  2015  págs. 361-370
An important immigration rise occurred in Spain during the last decade of the twentieth century and the first decade of the twenty-first. The Spanish education system has been affected by this phenomenon. As a result, both the national government and the governments of the autonomous communities in Spain have developed measures regarding the access and integration of this population into the educational system. In particular, we present a statistical analysis of the educational profile of the Moroccan immigrants in the region of Navarra, as compared to the immigrants from other nationalities and to the native population. For that purpose, we consider the following educational stages: Pre-primary Education, Primary Education, Secondary Education and Vocational Training. In connection with these stages we analyze the kind of school in which they are enrolled (government schools or non-government schools) and the linguistic model they select (Spanish or various combinations of Spanish and other languages). The first results confirm that the percentage of Moroccan students enrolled in government schools is much higher than the percentage of the rest of the foreign and native population enrolled in these schools. Moreover, most Moroccan students pursue their studies in the linguistic model in which Spanish is prevalent. However, the percentage of Moroccan students who choose the English Learning Program model is greater than the percentage of students from other nationalities and
Autores: Maria Luisa Germanà; Pons, Juan José; Renzo Lecardane; et al.
Libro:  Mobilità verticale per l'accessibilità / Vertical Mobility for Accessibility: Oltre il Quadrato e la X
2020  págs. 32 - 39
Vertical mobility plays a key role in the accessibility of architectural heritage: an extraneous requisite, but indispensable for enhancing the built heritage in an inclusive way. In this framework, in the light of their multiple technological features, mechanical devices will be discussed, taking into account the interaction with the users (individuals and community). Urban and architectural design in the historical context is very often confronted with vertical mobility, in the relationships between fragmented spaces and the perceptive processes of the user. The mechanical devices can be read at the same time as technological products and as iconic moments of the narrative sequence of different urban areas. A focus will be placed on the social relevance of vertical mobility, with reference to the theme of the healthy city. The paper will report several results from an interdisciplinary research opportunity, stemming from MOVE AGED, specifically devoted to the specific needs of elderly people in the historical parts of urban settlements. The paper proposes architectural heritage as a thought-provoking, trans-disciplinary application field. In fact, the user¿s experience and technological innovation have become indispensable terms of reference in the activities of knowing, conserving and enhancing; over the last decades topics such as social inclusion, participation processes and community involvement have entered the domain of architectural heritage.
Autores: Pons, Juan José;
Título: Epílogo
Libro:  Estudio sociológico sobre el suicidio en Baleares. Etiología y construcción social
2019  págs. 132-135
El suicidio es uno de los fenómenos sociales más punzantes de la sociedad de nuestro tiempo. Más de 800.000 personas deciden cada año en el mundo quitarse la vida, en España lo hacen cerca de 3.600 y 78 en Baleares (60 en Mallorca, 8 en Menorca y 10 en Ibiza-Formentera). La sociedad está alarmada, y no es para menos. ¿Qué induce al individuo a suicidarse? Este libro trata de responder a tan angustiosa pregunta desde el paradigma sociológico que estudia las influencias de las instituciones coercitivas sobre la conciencia del individuo, al que el Estado tiene controlado permanentemente. El autor refuta los tópicos, mitos y leyendas que atribuyen la muerte por autolisis a factores ambientales (las meteopatías derivadas de la tramontana y el aislamiento, principalmente) cuando sostiene, con la tradición sociológica francesa, que el suicida no es un enfermo mental, sino un alienado social que ha roto el lazo que le mantendría unido a la sociedad.
Autores: Pons, Juan José; Santamaría, Jesús Miguel; Ariño, A.H.; et al.
Libro:  Tecnologías de la Información Geográfica: perspectivas multidisciplinares en la sociedad del conocimiento
2018  págs. 414 - 423
La calidad del aire urbano es un aspecto muy relevante para el bienestar de los ciudadanos y está cada vez más presente en el debate social y político. Para contar con una atmósfera saludable en nuestras ciudades, resulta necesario disponer de información detallada sobre cómo se distribuye la contaminación en cada punto de la ciudad y no solo en torno a las cabinas de control de calidad del aire. En este contexto, se inscribe el proyecto LIFE+ RESPIRA (2014-2017), concebido como una iniciativa de ciencia ciudadana, en la que cerca de 150 ciclistas voluntarios han recorrido el área metropolitana de Pamplona a lo largo de dos años, equipados con captadores geolocalizados de diferentes tipos de contaminantes atmosféricos (CO , NOX, O3 y partículas en suspensión). A lo largo de ese tiempo, los voluntarios han recorrido unos 47.000 km en bicicleta, contribuyendo a obtener casi 150 millones de medidas en más de 4 millones de posiciones geolocalizadas a lo largo de las calles de la ciudad y sus alrededores, cubriendo la mayoría de las situaciones estacionales, horarias, climáticas y de tráfico de un año típico. Con toda esa ingente cantidad de información se ha podido realizar gran cantidad de mapas muy detallados de la calidad del aire, que han permitido modelizar el comportamiento de cada contaminante estudiado de acuerdo a las diferentes condiciones que se presentan.
Autores: Serrano, Miriam; Erneta, Luis; Pons, Juan José;
Libro:  Patrimonio y paisaje. Ondarea eta paisaia
2017  págs. 146-154
Autores: Pons, Juan José;
Título: Afterword
Libro:  Strategic Environmental Assessment: Integrating Landscape and Urban Planning
2016  págs. 109-111
Autores: Pons, Juan José;
Libro:  Emigración, identidad y países receptores
2014  págs. 51-71
Autores: Pons, Juan José;
Libro:  Planificación territorial y desarrollo del suelo empresarial en España
2014  págs. 205-242
Autores: Pons, Juan José; Serrano, Miriam; et al.
Libro:  Políticas Activas en Turismo. Respuestas a la singularidad del mercado laboral
2011  págs. 1-23
Autores: Arias-Casais, N.; Garralda, Eduardo; Rhee, J. Y.; et al.
Autores: Arias-Casais, N.; Garralda, Eduardo; López-Fidalgo, J.; et al.
List of national-level palliative care indicators providing a specific, evidence-based starting point on the development of palliative care, adding evidence to existence studies and allowing for replication. Furthermore, this allows for assessing national level progress and conducting comparative analysis and prospective studies. Tracking the indicators across time offers the opportunity to pool data data in a same repository that could be prospectively evaluated, allowing for trends in palliative care development at the international level.
Autores: Laura Calero Proaño; Pons, Juan José; Serrano, Miriam; et al.
Autores: Santamaría, Jesús Miguel, (Editor); Ariño, A.H.; León, Bienvenido; et al.
This book collects the main outcomes that were generated during the implementation of the LIFE+RESPIRA project (LIFE13 ENV/ES/000417), carried out in the city of Pamplona, Navarra, Spain. The research was conducted by a cross-functional team made up of more than 30 researchers belonging to three entities: The University of Navarra, the Centre for Energy, Environmental and Technological Research (CIEMAT) and Environmental Management of Navarra (GAN-NIK).
Autores: Santamaría, Jesús Miguel, (Editor); Ariño, A.H.; León, Bienvenido; et al.
Recoge los principales resultados generados durante la realización del proyecto LIFE+RESPIRA, llevado a cabo en la ciudad de Pamplona (Navarra, España) por un equipo interdisciplinar constituido por más de 30 investigadores pertenecientes a la Universidad de Navarra, el Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT) y Gestión Ambiental de Navarra (GAN-NIK). El libro, que se ha publicado en castellano y en inglés, se ha dividido en 7 capítulos: 1. ¿Ciudades sostenibles? 2. Exposición de los ciudadanos a la contaminación atmosférica 3. Papel de la vegetación urbana en la calidad del aire 4. Modelos de alta resolución para evaluar la calidad del aire 5. Impactos de la contaminación urbana 6. Movilidad y sostenibilidad urbanas 7. Comunicación y educación ambiental. Este libro pretende ser una guía de utilidad para científicos, gestores y ciudadanos, aportando un conjunto de herramientas que permitan mejorar la calidad de vida de nuestras ciudades. Además, quiere rendir un homenaje a todos los voluntarios ciclistas que han participado en dicho proyecto y que son los verdaderos artífices del mismo, ya que gracias a su dedicación incondicional durante más de dos años, han proporcionado una cantidad ingente de datos sobre la calidad del aire de la ciudad de Pamplona.
Autores: Osman, H.; Rihan, A.; Garralda, Eduardo; et al.
This book aims to fill the gap in knowledge on the status of palliative care development in the Eastern Mediterranean region. It presents the most relevant information on palliative care development in a way that is clear, accessible, and easy to interpret for professionals, policymakers, and the general public. We explore the existence and availability of specialized palliative care services; the existence of a licensing process for physicians in the form of a specialty or sub-specialty; and the existence of educational initiatives within the field of palliative care in medical schools, nursing schools, or other settings. We also document the number of professors engaged in teaching palliative care in various disciplines; the existence of a policy umbrella insuring the proper implementation of palliative care services, such as a national law on palliative care, a national palliative care plan or strategy, or a concrete reference to palliative care in a national cancer control program; the existence of funding and coverage for palliative care; and the presence of evidence-based documents such as guidelines, recommendations, or clinical pathways. Data on the availability of strong opioids, as well as general data on consumption of opioids expressed in morphine equivalence are presented. Finally, existence of national palliative care organizations, and of individuals or larger groups devoted to research in palliative care are listed, as these are indications of vitality in the
Autores: Rhee, J. Y.; Luyirika, E.; Namisango, E.; et al.
The current APCA Atlas provides the most up-to-date information of palliative care development in nearly all countries in Africa, using indicators derived, rated, and chosen by in-country African experts followed by a thorough Delphi consensus process with a panel of international experts on palliative care indicators. Therefore, the current APCA Atlas also provides an up-to-date base of indicators specific to the African context, chosen by African experts. The Atlas offers a panoramic view utilising the World Health Organization¿s (WHO) palliative care public health strategy dimensions and palliative care professional activity (vitality) through a combination of methods including data collection from national experts in the field and peer-reviewed literature, ensuring data quality. These results provide the most comprehensive and reliable information on palliative care development, to date.
Autores: Pons, Juan José; Serrano, Miriam; et al.
Autores: Centeno, Carlos; Pons, Juan José; Lynch, T.; et al.
Autores: Pastrana, T.; De Lima, L.; Pons, Juan José; et al.
Autores: Vries, Aldert de; Velasco, Xabier; García, Marian; et al.