Reescribir los retos del agua con una amplia base social. Grupo Operativo: Partenariado del Agua de la Cuenca del Ebro-Aragón.

El Partenariado del Agua del Ebro-Aragón, es un Proyecto que se está ejecutando como Grupo Operativo dentro del Programa de Desarrollo Rural de Aragón 14-20.El estudio y recopilación de los aspectos técnicos, económicos y sociales del regadío generará una geodatabase que permitirá trabajar en tres laboratorios de innovación donde se abordará la búsqueda de casos de éxito y buenas prácticas, así como el análisis de todo ello para analizarlo y obtener una prospectiva de las infraestructuras de riego. El tercer taller se encargará de la comunicación interna y externa del Proyecto, sirviendo de canal de adquisición de información y de herramienta para la difusión de los resultados,El proyecto pretende reescribir los retos del agua desde una visión actualizada para pasar a diseñar una visión de futuro, un esbozo de cómo debería evolucionar la gestión del agua, con una perspectiva técnica, pero socialmente integradora y con la ambición de crear un modelo atractivo, en el que todos los ciudadanos del Ebro-Aragón, quieran instalarse.Palabras clave: agua, regadío, gobernanza, integració

Direct oral anticoagulants in patients with hypertrophic cardiomyopathy and atrial fibrillation.

Background: Chronic anticoagulation with vitamin K antagonists (VKAs) is recommended in patients with hypertrophic cardiomyopathy (HCM) and atrial fibrillation (AF). Direct oral anticoagulants (NOACs) are an alternative to VKAs but there are limited data to support their use in HCM. We sought to describe the pattern of use, thromboembolic events, bleeding and quality of life in patients with HCM and AF treated with NOACs. Methods: Data from patients treated with NOACs (n=99) and VKA (n=433) at 9 inherited cardiac diseases units were retrospectively collected. Annual rates of embolic events, serious bleeding and death were analysed and compared. Quality of life and treatment satisfaction were evaluated with SF-36 and SAFUCA questionnaires in 80 NOAC-treated and 57 VKA-treated patients. Results: After median follow-up of 63 months (IQR:26–109), thromboembolic events (TIA/stroke and peripheral embolism) occurred in 10% of patients on oral anticoagulation. Major/clinically relevant bleeding occurred in 3.8% and the global mortality rate was 23.3%. Thromboembolic event rate was 0.62 per 100 patient-years in the NOAC group vs. 1.59 in the VKA group [subhazard ratio (SHR) 0.32;95%CI:0.04– 2.45;p=0.27]. Major/clinically relevant bleeding occurred in 0.62 per 100 person-years in the NOAC group vs. 0.60 in the VKA group (SHR 1.28;95%CI 0.18–9.30;p=0.85). Quality of life scores were similar in both groups; however, NOAC-treated patients achieved higher scores in the SAFUCA. Conclusions: HCM patients with AF on NOACs showed similar embolic and bleeding rates to those on VKA. Although quality of life was similar in both groups, the NOAC group reported higher treatment satisfaction.pre-print929 K

El regadío del Ebro en Aragón: clasificación, contaminación y gobernanza

Grupo operativo Partenariado del Agua del Ebro-Aragó

The Environmental Monitoring Network of Riegos del Alto Aragón (Spain)

This work presents the developed Network for irrigation return flows (IRFs) water quality control of Riegos del Alto Aragón Scheme, Spain. Water flows are measured and water sample are collected and analyzed for salinity, nutrients and pesticides. Results illustrating the state of the water quality of IRFs are presented. The collected database since 2005 is important for guiding present and future research on non-point pollution induced by intensive irrigation and establishing corrective measures. The results will be disseminated among farmers advancing the fertilization, irrigation, and manure management strategies that are considered more adequate to reduce the environmental effect of irrigation.The Environmental Monitoring Network has been implemented by the Comunidad General de Riegos del Alto Aragón. This work was funded by La Caixa and the General Community of Alto Aragon Irrigation Districts through collaboration protocols, and by the Spanish Ministry of Economy and Competitiveness and the European Regional Development Fund (ERDF) through the research grants AGL2010-21681-C03-03 and AGL2013-48728-C2-2-R