Measles had practically been eliminated in Granada since the systematic vaccination of children with two doses introduced in 1984. However, in 2009 the disease returned in the form of small outbreaks. This study describes the measles outbreak that occurred in Granada from October 2010 to August 2011 and the measures imposed to control it. Information was sourced from the records of the Andalusian epidemiological surveillance system. A total of 308 cases were recorded, representing an incidence rate of 33.6 cases per 100,000 inhabitants. The first wave of the epidemic took place in Granada city, with the majority of cases occurring among families who lived in the Albaycín neighbourhood and were opposed to vaccination for ideological and/or religious reasons. The initial cases were in unvaccinated children aged 1 to13 years. The outbreak later spread throughout the province. To control the outbreak, the vaccination schedule for the exposed children was brought up to date. The Regional Ministry of Health decided to take legal action in order to ensure vaccination of those in the initial nucleus of the outbreak.

Background: Little is known about the feasibility and acceptability of using mobile technology among seriously ill older adults experiencing moderate to severe pain. Objective: A smartphone application was tested for feasibility and acceptability of use among ethnically-diverse older adults experiencing moderate to severe pain. Additionally, authors aimed to document patient perceived barriers and facilitators of using the mobile device for pain monitoring. Methods: Twenty-three participants were enrolled in a prospective feasibility study and followed for 75 days. Participants were provided prepaid smartphones with a preloaded pain application and were asked to send daily reports of pain to a palliative care physician within a managed care clinic. Pain was measured on an 11-point numeric rating scale (NRS) from no pain to worst ever; patients reporting a pain scale of greater than 3 were contacted by a palliative care physician. Surveys on technology ease of use, usefulness, and intrusiveness were conducted at 30 days; qualitative interviews were conducted at the end of the 75-day study period. Results: The study was completed fully by 74% of the sample. Qualitative analyses revealed several themes related to benefits of smartphone use in monitoring pain and symptoms While participants reported the physical challenges using the mobile application, most reported application useful, and 100% would recommend to others. Conclusions: Older adults experiencing significant pain may be receptive to using mobile technology to monitor pain and transmit pain reports to physicians. However, simplified technological interactions are needed to overcome challenges experienced by older adults.

regarding what would improve the family experience when a loved one dies in a large hospital. Research Objectives. This study's purpose was to explore the experience of hospital death in the academic medical center from the viewpoint of bereaved family members. Methods. Qualitative descriptive study in which semi-structured telephone interviews were conducted with family members of patients who had died at any of three hospitals affiliated with a large multi-site academic medical center. Participants were recruited through purposive sampling as part of a larger study exploring numerous issues surrounding death in the hospital. Content analysis was used to analyze findings.

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