Hydrogeological characterization of the Salinas-Los Hoyos evaporitic karst (Malaga province, S Spain) using topographic, hydrodynamic, hydrochemical and isotopic methods

The Salinas-Los Hoyos karst system is a geological diapiric structure formed by materials of diverse nature (clays, sandstones, evaporites, volcanic rocks, dolostones, etc.) placed between Malaga and Granada provinces (S Spain). The abundance of evaporite rocks (gypsum, anhydrite and halite) and their high solubility contribute to the development of exokarstic features (dolines, uvalas, sinkholes). Grande and Chica lakes are dolines located in the western border of the diapir that are intersected by the piezometric level. Close to the first wetland is the Aguileras spring, which is the main discharge point of the west sector of the system. To assess the wetland-spring relation and the general functioning of the system, the geomorphologic framework has been analyzed and hydrogeological controls have been performed, consisting in limnimetric and discharge logging and in situ measurements of physico-chemical parameters (EC and water temperature). Furthermore, spring, wetland and rain water samples have been taken for subsequent chemical and isotopic analysis. Preliminary results show that wetland water level and spring discharge follow a similar trend, consistently with the inertia of the system. However, their hydrochemical evolution and isotopic values differ, thus wetland groundwater interaction has not been fully determined. Nevertheless, present research suggests that the hydrogeological connection would be more likely during wet periods, when the water table is at higher altitude.Key words: Evaporitic (karst) aquifer, Hydrological and hydrogeological behaviours, Natural responses, South Spain, Wetlands

Atazanavir-Based Therapy Is Associated with Higher Hepatitis C Viral Load in HIV Type 1-Infected Subjects with Untreated Hepatitis C

Comunicación cortaWe assessed the relationship between atazanavir (ATV)-based antiretroviral treatment (ART) and plasma hepatitis C virus (HCV) viral load in a population of HIV/HCV-coinfected patients. HIV/HCV-coinfected patients who received ART based on a protease inhibitor (PI) or nonnucleoside reverse transcriptase inhibitor (NNRTI) were included. Patients were stratified by ART drug [ATV/rtv, lopinavir (LPV/rtv), efavirenz (EFV), nevirapine (NVP), and other PIs], HCV genotype (1/4 and 2/3), and IL28B genotype (CC and non-CC). The Kruskal-Wallis test and chi-squared test were used to compare continuous and categorical variables, respectively. Multivariate analysis consisted of a stepwise linear regression analysis. Six hundred and forty-nine HIV/HCV-coinfected patients were included. HCV genotype 1/4 patients who received ATV had higher HCV RNA levels [6.57 (5.9-6.8) log IU/ml] than those who received LPV [6.1 (5.5-6.5) log IU/ml], EFV [6.1 (5.6-6.4) log IU/ml], NVP [5.8 (5.5-5.9) log IU/ml], or other PIs [6.1 (5.7-6.4) log IU/ml] (p=0.014). This association held for the IL28B genotype (CC versus non-CC). The association was not found in patients carrying HCV genotypes 2/3. The linear regression model identified the IL28B genotype and ATV use as independent factors associated with HCV RNA levels. ATV-based therapy may be associated with a higher HCV RNA viral load in HIV/HCV-coinfected patients

Frequency and Characteristics of familial melanoma in Spain: the FAM-GEM-1 Study.

Familial history of melanoma is a well-known risk factor for the disease, and 7% melanoma patients were reported to have a family history of melanoma. Data relating to the frequency and clinical and pathological characteristics of both familial and non-familial melanoma in Spain have been published, but these only include patients from specific areas of Spain and do not represent the data for the whole of Spain. PATIENTS AND METHODS: An observational study conducted by the Spanish Group of Melanoma (GEM) analyzed the family history of patients diagnosed with melanoma between 2011 and 2013 in the dermatology and oncology departments. RESULTS: In all, 1047 patients were analyzed, and 69 (6.6%) fulfilled criteria for classical familial melanoma (two or more first-degree relatives diagnosed with melanoma). Taking into account other risk factors for familial melanoma, such as multiple melanoma, pancreatic cancer in the family or second-degree relatives with melanoma, the number of patients fulfilling the criteria increased to 165 (15.8%). Using a univariate analysis, we determined that a Breslow index of less than 1 mm, negative mitosis, multiple melanoma, and a history of sunburns in childhood were more frequent in familial melanoma patients, but a multivariate analysis revealed no differences in any pathological or clinical factor between the two groups. CONCLUSIONS: Similar to that observed in other countries, familial melanoma accounts for 6.6% of melanoma diagnoses in Spain. Although no differences in the multivariate analysis were found, some better prognosis factors, such as Breslow index, seem more frequent in familial melanoma, which reflect a better early detection marker and/or a different biological behavior

Bile reflux and marginal ulcers after one-anastomosis gastric bypass (OAGB): A narrative review

El bypass de una sola anastomosis se ha convertido, actualmente, en la tercera técnica bariátrica más realizada a nivel mundial. Sin embargo, como consecuencia de su conformación, presenta una serie de complicaciones crónicas (úlcera de boca anastomótica y reflujo biliar) que debemos conocer y valorar. Con esta revisión narrativa, se pretende realizar una puesta al día, tanto en el diagnóstico como en el tratamiento de cada una de ellas. Hay una serie de estrategias preventivas pre, intra y postoperatorias que deben tenerse en cuenta para disminuir, en lo posible, su aparición.One-anastomosis gastric bypass has now become the third most commonly performed bariatric technique worldwide. However, as a consequence of the configuration of this surgery, it can present some chronic complications (anastomotic mouth ulcers and biliary reflux) that physicians must come to better understand and assess. In this narrative review we aimed to update our knowledge of both the diagnosis and treatment of these two complications in the context of bariatric surgeries. We concluded that a series of pre-, intra-, and postoperative preventive strategies should be considered by surgeons to help reduce the appearance of these complications as far as possible

Reflujo biliar y úlcera de boca anastomótica tras bypass de una anastomosis (BAGUA). Revisión narrativa

One-anastomosis gastric bypass has now become the third most commonly performed bariatric technique worldwide. However, as a consequence of the configuration of this surgery, it can present some chronic complications (anastomotic mouth ulcers and biliary reflux) that physicians must come to better understand and assess. In this narrative review, we aimed to update our knowledge of both the diagnosis and treatment of these two complications in the context of bariatric surgeries. We concluded that a series of pre-, intra-, and postoperative preventive strategies should be considered by surgeons to help reduce the appearance of these complications.El bypass de una sola anastomosis se ha convertido, actualmente, en la tercera técnica bariátrica más realizada a nivel mundial. Sin embargo, como consecuencia de su conformación, presenta una serie de complicaciones crónicas (úlcera de boca anastomótica y reflujo biliar) que debemos conocer y valorar. Con esta revisión narrativa, se pretende realizar una puesta al día, tanto en el diagnóstico como en el tratamiento de cada una de ellas. Hay una serie de estrategias preventivas pre, intra y postoperatorias que deben tenerse en cuenta para disminuir, en lo posible, su aparición

First scientific observations with MEGARA at GTC

On June 25th 2017, the new intermediate-resolution optical IFU and MOS of the 10.4-m GTC had its first light. As part of the tests carried out to verify the performance of the instrument in its two modes (IFU and MOS) and 18 spectral setups (identical number of VPHs with resolutions R=6000-20000 from 0.36 to 1 micron) a number of astronomical objects were observed. These observations show that MEGARA@GTC is called to fill a niche of high-throughput, intermediateresolution IFU and MOS observations of extremely-faint narrow-lined objects. Lyman-α absorbers, star-forming dwarfs or even weak absorptions in stellar spectra in our Galaxy or in the Local Group can now be explored to a new level. Thus, the versatility of MEGARA in terms of observing modes and spectral resolution and coverage will allow GTC to go beyond current observational limits in either depth or precision for all these objects. The results to be presented in this talk clearly demonstrate the potential of MEGARA in this regard

Impact of late presentation of HIV infection on short-, mid- and long-term mortality and causes of death in a multicenter national cohort : 2004-2013

To analyze the impact of late presentation (LP) on overall mortality and causes of death and describe LP trends and risk factors (2004-2013). Cox models and logistic regression were used to analyze data from a nation-wide cohort in Spain. LP is defined as being diagnosed when CD4 < 350 cells/ml or AIDS. Of 7165 new HIV diagnoses, 46.9% (CI:45.7-48.0) were LP, 240 patients died.First-year mortality was the highest (aHR = 10.3[CI:5.5-19.3]); between 1 and 4 years post-diagnosis, aHR = 1.9(1.2-3.0); an

Prediction of long-term outcomes of HIV-infected patients developing non-AIDS events using a multistate approach

Outcomes of people living with HIV (PLWH) developing non-AIDS events (NAEs) remain poorly defined. We aimed to classify NAEs according to severity, and to describe clinical outcomes and prognostic factors after NAE occurrence using data from CoRIS, a large Spanish HIV cohort from 2004 to 2013. Prospective multicenter cohort study. Using a multistate approach we estimated 3 transition probabilities: from alive and NAE-free to alive and NAE-experienced ("NAE development"); from alive and NAE-experienced to death ("Death after NAE"); and from alive and NAE-free to death ("Death without NAE"). We analyzed the effect of different covariates, including demographic, immunologic and virologic data, on death or NAE development, based on estimates of hazard ratios (HR). We focused on the transition "Death after NAE". 8,789 PLWH were followed-up until death, cohort censoring or loss to follow-up. 792 first incident NAEs occurred in 9.01% PLWH (incidence rate 28.76; 95% confidence interval [CI], 26.80-30.84, per 1000 patient-years). 112 (14.14%) NAE-experienced PLWH and 240 (2.73%) NAE-free PLWH died. Adjusted HR for the transition "Death after NAE" was 12.1 (95%CI, 4.90-29.89). There was a graded increase in the adjusted HRs for mortality according to NAE severity category: HR (95%CI), 4.02 (2.45-6.57) for intermediate-severity; and 9.85 (5.45-17.81) for serious NAEs compared to low-severity NAEs. Male sex (HR 2.04; 95% CI, 1.11-3.84), ag

Distribution of familial melanoma across different regions in Spain.

<p>Distribution of familial melanoma across different regions in Spain.</p

Multivariate analysis findings for the association between familial melanoma and variables of interest.

<p>OR = Odds Ratio.</p><p>Multivariate analysis findings for the association between familial melanoma and variables of interest.</p