Variability of extreme precipitation over Europe and its relationships with teleconnection patterns

A growing interest in extreme precipitation has spread through the scientific community due to the effects of global climate change on the hydrological cycle, and their threat to natural systems' higher than average climatic values. Understanding the variability of precipitation indices and their association to atmospheric processes could help to project the frequency and severity of extremes. This paper evaluates the trend of three precipitation extremes: the number of consecutive dry/wet days (CDD/CWD) and the quotient of the precipitation in days where daily precipitation exceeds the 95th percentile of the reference period and the total amount of precipitation (or contribution of very wet days, R95pTOT). The aim of this study is twofold. First, extreme indicators are compared against accumulated precipitation (RR) over Europe in terms of trends using non-parametric approaches. Second, we analyse the geographically opposite trends found over different parts of Europe by considering their relationships with large-scale processes, using different teleconnection patterns. The study is accomplished for the four seasons using the gridded E-OBS data set developed within the EU ENSEMBLES project. Different patterns of variability were found for CWD and CDD in winter and summer, with north–south and east–west configurations, respectively. We consider physical factors in order to understand the extremes' variability by linking large-scale processes and precipitation extremes. Opposite associations with the North Atlantic Oscillation in winter and summer, and the relationships with the Scandinavian and East Atlantic patterns as well as El Niño/Southern Oscillation events in spring and autumn gave insight into the trend differences. Significant relationships were found between the Atlantic Multidecadal Oscillation and R95pTOT during the whole year. The largest extreme anomalies were analysed by composite maps using atmospheric variables and sea surface temperature. The association of extreme precipitation indices and large-scale variables found in this work could pave the way for new possibilities regarding the projection of extremes in downscaling techniques

Salud mental

Debido al alto número de alumnos de integración y de origen diverso, el cento elabora un proyecto en el que se priorizan las transversales Educación para la Paz y Educación para la Salud. Los objetivos son crear vías de comunicación entre todos los miembros de la comunidad escolar, planificar una escuela de padres, prevenir drogodependencias y adquirir hábitos de higiene personal. Las actividades son, entre otras, debates, talleres, periódico escolar, charlas de expertos en Educación para la Salud, estudio de alimentos, Semana de la Paz, fiesta de carnaval y desayunos sanos. En estos últimos, el grado de participación de las familias es superior al de otras actividades..Madrid (Comunidad Autónoma). Consejería de SanidadMadridNo disponibleES

Health-related quality of life in caregivers of community-dwelling individuals with disabilities or chronic conditions. A gender-differentiated analysis in a cross-sectional study

Abstract Background Most care for people with chronic or disabling conditions living in the community is provided in the family context, and this care is traditionally provided by women. Providing informal care has a negative impact on caregivers’ quality of life, which adds to existing health inequalities associated with gender. The aim of this study was to analyze factors associated with the health-related quality of life of caregivers and to determine their differences in a gender-differentiated analysis. Methods An observational, cross-sectional, multicenter study was conducted in primary healthcare. A total of 218 caregivers aged 65 years or older were included, all of whom assumed the primary responsibility for caring for people with disabling conditions for at least 6 months per year and agreed to participate in the CuidaCare study. The dependent variable was health-related quality of life, assessed with the EQ-5D. The explanatory variables tested were grouped into sociodemographic variables, subjective burden, caregiving role, social support and variables related to the dependent person. The associations between these variables and health-related quality of life were estimated by fitting robust linear regression models. Separate analyses were conducted for women and men. Results A total of 72.8% of the sample were women, and 27.2% were men. The mean score on the EQ-5D for female caregivers was 0.64 (0.31); for male caregivers, it was 0.79 (0.23). There were differences by gender in the frequency of reported problems in the dimensions of pain/comfort and anxiety/depression. The variables that were associated with quality of life also differed. Having a positive depression screening was negatively associated with quality of life for both genders: -0.31 points (95% CI: -0.47; -0.15) for female caregivers and -0.48 points (95% CI: -0.92; -0.03) for male caregivers. Perceived burden was associated with quality of life in the adjusted model for women (-0.12 points; 95% CI: -0.19; -0.06), and domestic help was associated in the adjusted model for male caregivers (-0.12 points; 95% CI: -0.19; -0.05). Conclusions Gender differences are present in informal caregiving. The impact of providing informal care is different for male and female caregivers, and so are the factors that affect their perceived quality of life. It could be useful it incorporates a gender perspective in the design of nursing support interventions for caregivers to individualize care and improve the quality of life of caregivers. Trial registration NCT 01478295 [https://ClinicalTrials.gov]. 23/11/2011. </jats:sec