Assessing soil quality in areas affected by sulphide mining. Application to soils in the Iberian pyrite belt (Sw Spain)

The characterization, evaluation and remediation of polluted soils is one of the present environmental challenges to be addressed in the coming years. The origin of trace elements in soils can be either geogenic or anthropogenic, but only the latter is interesting from a legal point of view. The hazard of the pollutants in the soils not only depends on their total concentration, but particularly on their availability. The mobility of the trace elements depends on their speciation, and it is also affected by several soil parameters. Mining activity is one of the most important anthropogenic causes of soil pollution. As a case study, this work is focused in the Riotinto mining area (Iberian Pyrite Belt, IPB, SW Spain). The IPB is one of the most important metallogenic provinces in the world and it has been exploited for thousands of years. The disposal of mining residues has produced important sources of contamination by trace elements and acidic waters affecting soils and rivers. In addition to these problems, the closure of mines in the Pyrite Belt at the end of the 20th Century has led to a great loss of employment, which has caused the development of an intensive agriculture of citrus fruits as a new source of income. The intensive growing of citrus fruits and the traditional subsistence agriculture have been developed surrounding the mining areas and on floodplains near to mining sites. The level of soil pollution has not been taken into account in these cases, nor has its impact on the health of the inhabitants of these areas. Therefore, it is of great interest to study the current state of the cultivated soils and the sources and types of contaminants derived from mining activity in order to program its decontamination, where appropriate, according to legislation. In order to know the present and future hazard posed by the soils chemical and mineralogical speciation has been carried out, given that the availability of a metal depends on the phase in which it is found. The results showed that mining activity has caused high levels of As, Cu, Pb and Zn in several cultivated soils. Moreover, Cu, Pb and Zn showed a high bioavailability. This suggests that at least other studies are necessary to preserve health in the inhabitants of this area. The methodology carried out in this work allowed to select potentially polluted areas where agricultural activities are not recommended

Impact of COVID-19 outbreak by income: hitting hardest the most deprived

Background: The impact of the 2019 coronavirus disease (COVID-19) has many facets. This ecological study analysed age-standardized incidence rates by economic level in Barcelona. Methods: We evaluated confirmed cases of COVID-19 in Barcelona (Spain) between 26 February 2020 and 19 April 2020. Districts were classified according to most recent (2017) mean income data. The reference for estimating age-standardized cumulative incidence rates was the 2018 European population. The association between incidence rate and mean income by district was estimated with the Spearman rho. Results: The lower the mean income, the higher the COVID-19 incidence (Spearman rho = 0.83; P value = 0.003). Districts with the lowest mean income had the highest incidence of COVID-19 per 10 000 inhabitants; in contrast, those with the highest income had the lowest incidence. Specifically, the district with the lowest income had 2.5 times greater incidence of the disease, compared with the highest-income district [70 (95% confidence interval 66-73) versus 28 (25-31), respectively]. Conclusions: The incidence of COVID-19 showed an inverse socioeconomic gradient by mean income in the 10 districts of the city of Barcelona. Beyond healthcare for people with the disease, attention must focus on a health strategy for the whole population, particularly in the most deprived areas

Environmental Geology of the Tinto river using concept mapping technique.

En esta ponencia se presenta un mapa conceptual sobre las condiciones geoambientales del río Tinto (Huelva), uno de los ecosistemas más singulares de nuestro planeta debido a la extrema acidez y a las elevadas concentraciones de sulfatos y metales pesados que transportan sus aguas. El mapa conceptual se ha elaborado con la herramienta FreeMind (software libre basado en Java) y aborda conceptos troncales, como el origen y las fuentes de contaminación hídrica, que derivan de forma progresiva y jerárquica hacia aspectos más específicos y complejos, como el proceso de generación de aguas ácidas, el impacto ambiental sobre el medio físico, biológico y socioeconómico, y la composición química y mineralógica de los sedimentos y suelos afectados.In this paper, we present a concept map for organizing and representing knowledge about geo-environmental conditions of the Tinto River (Huelva), a unique ecosystem on Earth due to the extreme acidity and high concentrations of sulphates and heavy metals dissolved in the water. The concept map was drawn with the software FreeMind (a mind-mapping tool based on Java) showing how that specific topics, such as processes of acid mine drainage formation, environmental impacts, and chemical and mineralogical composition of sediments and soils affected, stemming from the main concepts (origin, sources and effects of water pollution)

Reference ranges of glycated hemoglobin (HbA1c) in capillary blood in the Spanish population

Cross-sectional analysis describing HbA1c reference values by sex and age in a randomly selected Mediterranean general population sample. Using two methods, Point-of-Care systems and centralized laboratory, results show that HbA1c values increase with age. Almost half of the sample aged 65 years or older had median values >5.7% (prediabetes cut-off point)

Neumonías adquiridas en la comunidad en pacientes con enfermedad pulmonar obstructiva crónica tratados con corticoides inhalados u otros broncodilatadores. Estudio PNEUMOCORT

OBJECTIVES: To analyse the risk of pneumonia and/or exacerbations in patients with chronic obstructive pulmonary disease (COPD) who receive treatment with inhaled corticosteroids (CI), in comparison with those who are not treated with inhaled corticosteroids (NCI). To estimate the risk of pneumonia according to CI dose. DESIGN: Population-based cohort study. SETTING: Primary Healthcare. Institut Catala de la Salut. PARTICIPANTS: Patients >/=45 years-old diagnosed with COPD between 2007 and 2009 in the Information System for Research in Primary Care (SIDIAP). INTERVENTION: Two cohorts; patients initiating CI and patients initiating bronchodilators after COPD diagnosis. MAIN MEASUREMENTS: Demographics, smoking, medical history, pneumonias, exacerbations, vaccinations, and drug therapy. RESULTS: A total of 3,837 patients were included, 58% in the CI and 42% in the NCI group. Higher incidence rates of pneumonia and exacerbations were detected in the CI group compared with the NCI (2.18 vs. 1.37). The risk of pneumonia and severe exacerbations was not significantly different between groups, HR; 1.17 (95% CI; 0.87-1.56) and 1.06 (95% CI; 0.87-1.31), respectively. Patients in the CI group had a higher risk of mild exacerbations, HR; 1.28 (95% CI; 1.10-1.50). Variables associated with a higher risk of pneumonia were age, diabetes, previous pneumonias and bronchitis, very severe COPD, treatment with low doses of beta2-adrenergic or anticholinergic agents, and previous treatment with oral corticosteroids. CONCLUSIONS: There were no differences between cohorts in the risk of pneumonia and severe exacerbations. The risk of mild exacerbations was higher in the CI group. Pneumonias and severe exacerbations were more frequent in patients with severe COPD and in patients receiving high doses of CI

Physiological Regulation of Isocitrate Dehydrogenase and the Role of 2-Oxoglutarate in Prochlorococcus sp. Strain PCC 9511

The enzyme isocitrate dehydrogenase (ICDH; EC 1.1.1.42) catalyzes the oxidative decarboxylation of isocitrate, to produce 2- oxoglutarate. The incompleteness of the tricarboxylic acids cycle in marine cyanobacteria confers a special importance to isocitrate dehydrogenase in the C/N balance, since 2-oxoglutarate can only be metabolized through the glutamine synthetase/glutamate synthase pathway. The physiological regulation of isocitrate dehydrogenase was studied in cultures of Prochlorococcus sp. strain PCC 9511, by measuring enzyme activity and concentration using the NADPH production assay and Western blotting, respectively. The enzyme activity showed little changes under nitrogen or phosphorus starvation, or upon addition of the inhibitors DCMU, DBMIB and MSX. Azaserine, an inhibitor of glutamate synthase, induced clear increases in the isocitrate dehydrogenase activity and icd gene expression after 24 h, and also in the 2-oxoglutarate concentration. Iron starvation had the most significant effect, inducing a complete loss of isocitrate dehydrogenase activity, possibly mediated by a process of oxidative inactivation, while its concentration was unaffected. Our results suggest that isocitrate dehydrogenase responds to changes in the intracellular concentration of 2-oxoglutarate and to the redox status of the cells in Prochlorococcus

Glucose uptake in Prochlorococcus: diversity of kinetics and effects on the metabolism

We have previously shown that Prochlorococcus sp. SS120 strain takes up glucose by using a multiphasic transporter encoded by the Pro1404 gene. Here, we studied the glucose uptake kinetics in multiple Prochlorococcus strains from different ecotypes, observing diverse values for the Ks constants (15–126.60 nM) and the uptake rates (0.48–6.36 pmol min-1 mg prot-1). Multiphasic kinetics was observed in all studied strains, except for TAK9803-2. Pro1404 gene expression studies during the 21st Atlantic Meridional Transect cruise showed positive correlation with glucose concentrations in the ocean. This suggests that the Pro1404 transporter has been subjected to diversification along the Prochlorococcus evolution, in a process probably driven by the glucose availabilities at the different niches it inhabits. The glucose uptake mechanism seems to be a primary transporter. Glucose addition induced detectable transcriptomic and proteomic changes in Prochlorococcus SS120, but photosynthetic efficiency was unaffected. Our studies indicate that glucose is actively taken up by Prochlorococcus, but its uptake does not significantly alter the trophic ways of this cyanobacterium, which continues performing photosynthesis. Therefore Prochlorococcus seems to remain acting as a fundamentally phototrophic organism, capable of using glucose as an extra resource of carbon and energy when available in the environment

Actualización en la prevención de las úlceras gastroduodenales inducidas por antiinflamatorios no esteroideos y sus complicaciones

Los antiinflamatorios no esteroideos (AINE) son ampliamente prescritos para el tratamiento de cuadros clínicos de dolor y procesos inflamatorios. No obstante, producen efectos adversos gastrointestinales que pueden ser graves y ser causa de ingreso hospitalario, sobre todo en los pacientes de edad avanzada. Estos efectos adversos son un problema de extraordinaria relevancia clínica, por su magnitud y gravedad, y, por tanto, es muy importante su prevención. La prevención de las úlceras gastrointestinales inducidas por AINE y sus complicaciones se basa en: a) el uso, siempre que sea posible, de los analgésicos sin efecto antiinflamatorio, y b) si es necesario el uso de un AINE, en la selección de los que tienen menor riesgo, en el empleo de dosis bajas, y en el uso de tratamientos profilácticos asociados en los pacientes de mayor riesgo (edad avanzada, antecedentes de úlcera péptica y complicaciones gastrointestinales y tratamiento concomitante con fármacos anticoagulantes y corticoides, entre otros)

Prescripció farmacèutica segura (PREFASEG)

L'Organització Mundial de la Salut, mitjançant el seu programa especial "Aliança Mundial per a la Seguretat del Pacient", ha posat a l'agenda de les diferents organitzacions sanitàries de tot el món la seguretat clínica dels pacients en un lloc molt destacat. ..

Incidence of peripheral arterial disease in the ARTPER population cohort after 5 years of follow-up

To know the epidemiology (prevalence, incidence, progression and morbidity and mortality associated) of peripheral artery disease in general population and the factors associated with this progression is essential to know the evolution of atherosclerosis and develop preventive strategies. The aim of the study was to determine the incidence of PAD after 5 years of follow-up population-based cohort ARTPER, and the evolution of Ankle brachial Index (ABI) in this period. Peripheral artery disease incidence analysis after 5 years of follow-up of 3786 subjects > 50 years old. Peripheral artery disease incident when the second cross section Ankle brachial Index was <0.9 in any of the lower limbs, with normal baseline (0.9 to 1.4). Between 2012 and 2013 2762 individuals (77 % participation) were re-examined. Finally analyzed 2256 subjects (after excluding pathological Ankle brachial Index) followed for 4.9 years (range 3.8 to 5.8 years), totalling 11,106 person-years. Peripheral artery disease 95 new cases were detected, representing an incidence of 4.3 % at 5 years and 8.6 per 1000 person-years (95 % CI 6.9 to 10.5) being higher in men (10.2, 95 % CI 7.4 to 13.5) than in women (7.5, 95 % CI 5.5 to 9.9). Linear correlation between the baseline Ankle brachial Index and the second cross section was low (r = 0.23). The incidence of peripheral artery disease in ARTPER cohort was 8.6 cases per 1000 person-years, being higher in men, especially <65 years. The correlation between two measures Ankle brachial Index after 5 years of follow-up was low. One might consider whether Ankle brachial Index repeated measures could improve the correlation