Sociosanitary Legal and Economic Aspects in Nursing Homes for the Elderly in Spain.

AIM: The study aimed to identify and compare aspects of the different Spanish regulations on the minimum conditions that nursing homes must meet and to compare whether these requirements significantly affect the price of a nursing home place in each region. METHODS: We analyzed and compared the 17 regional regulations that must be met by nursing homes in terms of equipment and social and healthcare staff and combined this information with regional information concerning the price and coverage of public and subsidized places in nursing homes. RESULTS: The study revealed significant regional inequality in physical facilities and human resources. However, the number of regulatory measures referring to the mandatory availability of physical space or specific material resources was not positively correlated with an increase in the price of a place in a public or subsidized nursing home. CONCLUSIONS: No unified regulations throughout Spain regulate the aspects that residential centers must comply with. There is a need to move towards a person-centered approach, providing an environment as close to home as possible. The regulation of minimum standards to be met by all nursing homes at the national level should not significantly impact prices.

Pollinator richness, pollination networks, and diet adjustment along local and landscape gradients of resource diversity.

Loss of habitats and native species, introduction of invasive species, and changing climate regimes lead to the homogenization of landscapes and communities, affecting the availability of habitats and resources for economically important guilds, such as pollinators. Understanding how pollinators and their interactions vary along resource diversity gradients at different scales may help to determine their adaptability to the current diversity loss related to global change. We used data on 20 plant-pollinator communities along gradients of flower richness (local diversity) and landscape heterogeneity (landscape diversity) to understand how the diversity of resources at local and landscape scales affected (1) wild pollinator abundance and richness (accounting also for honey bee abundance), (2) the structure of plant-pollinator networks, (3) the proportion of actively selected interactions (those not occurring by neutral processes), and (4) pollinator diet breadth and species' specialization in networks. Wild pollinator abundance was higher overall in flower-rich and heterogeneous habitats, while wild pollinator richness increased with flower richness (more strongly for beetles and wild bees) and decreased with honeybee abundance. Network specialization (H2 '), modularity, and functional complementarity were all positively related to floral richness and landscape heterogeneity, indicating niche segregation as the diversity of resources increases at both scales. Flower richness also increased the proportion of actively selected interactions (especially for wild bees and flies), whereas landscape heterogeneity had a weak negative effect on this variable. Overall, network-level metrics responded to larger landscape scales than pollinator-level metrics did. Higher floral richness resulted in a wider taxonomic and functional diet for all the study guilds, while functional diet increased mainly for beetles. Despite this, specialization in networks (d') increased with flower richness for all the study guilds, because pollinator species fed on a narrower subset of plants as communities became richer in species. Our study indicates that pollinators are able to adapt their diet to resource changes at local and landscape scales. However, resource homogenization might lead to poor and generalist pollinator communities, where functionally specialized interactions are lost. This study highlights the importance of including different scales to understand the effects of global change on pollination service through changes in resource diversity.

[Ethical reflections on the Measures Taken in Nursing Homes During Pandemic]. / Reflexiones éticas en torno a las Medidas tomadas en las Residencias durante la Pandemia.

The crisis in the health system caused by COVID-19 has left some important humanitarian deficits on how to care for the sick in their last days of life. The humanization of the dying process has been affected in three fundamental aspects, each of which constitutes a medical and ethical duty necessary. In this study, I analyze why dying accompanied, with the possibility of saying goodbye and receiving spiritual assistance, constitutes a specific triad of care and natural obligations that should not be overlooked - even in times of health crisis - if we do not want to see human dignity violated and violated some fundamental rights derived from it.