Aquifer recharge from intensively irrigated farmland: several approaches

En las últimas décadas la literatura se ha centrado en la estimación de la recarga natural y los parámetros que la controlan, incluyendo clima, vegetación, suelo, y topografía. Por el contrario, pocos son los trabajos centrados en la recarga de acuíferos a partir de zonas cultivadas intensamente regadas. Aunque estos han mejorado la compresión sobre el proceso de recarga, todavía resultan incompletos a la hora de estimarla a partir del mencionado uso de suelo. En este contexto, los objetivos de esta tesis son: (i) mejorar la compresión de la recarga a partir de zonas intensamente regadas, y (ii) proporcionar nuevas herramientas para su caracterización. Algunas de las metodologías proporcionadas pueden ser fácilmente reproducidas por profesionales para inferir información cuantitativa. Ensayos en campo, incluyendo diferentes tipos de cultivo y prácticas agrícolas, son llevados a cabo en al área del Campo de Cartagena, sureste de España, una región semi-árida donde la agricultura intensiva es el principal uso de suelo. El desarrollo de metodologías con observaciones en el medio saturado y no saturado, junto con la modelación numérica, fueron usados para mejorar la compresión de los procesos que controlan la recarga a partir de zonas intensamente regadas. Las aproximaciones desarrolladas pueden ser resumidas como sigue: Ensayo de campo a lo largo de seiscientos días bajo cultivos hortícolas anuales y riego por goteo. La distribución del contenido de agua en la zona de raíces y bajo esta fue simulada considerando un modelo de flujo no saturado. El contenido de agua y la succión fueron medidos a diferentes profundidades y empleados para la calibración y validación del modelo. Ensayo de trazador (tritio) en campo en una parcela experimental con riego por goteo y cultivos hortícolas anuales durante cuatrocientos treinta días. El movimiento de trazador a lo largo del perfil de suelo fue simulado considerando transporte multifásico. Los perfiles de concentración de trazador, a partir de un espaciado y limitado número de muestras destructivas, fueron usados para calibrar y validar el modelo. Experimento de larga duración (nueve años hidrológicos) para diferentes tipos de cultivo: cultivos hortícolas anuales, cultivos hortícolas perennes y árboles frutales. La recarga producida por cada tipo de cultivo fue estimada a partir del balance de agua en suelo, zona no saturada y acuífero. Las fluctuaciones del nivel freático registradas a lo largo del mencionado periodo fueron usadas para calibrar y validar el modelo. Esta experiencia permitió evaluar la fiabilidad de las estimaciones de recarga a partir de las otras dos metodologías previas (a corto plazo) para el tipo de cultivo coincidente (cultivos hortícolas anuales). Para las tres aproximaciones, el cubrimiento de suelo por las plantas y el crecimiento de raíces han sido incluidos en la condición de contorno superior. La evapotranspiración se ha dividido en evaporación y transpiración como una función del índice de área de hoja, y es limitada por el contenido de agua en el suelo. La transpiración a su vez ha sido distribuida a través del perfil de suelo como una función del contenido de agua y profundidad de raíces. Valores similares de recarga han sido obtenidos a partir de las tres técnicas, aunque el modelo de flujo no saturado la sobreestima ligeramente. La evapotranspiración real fue siempre más baja que la potencial, ya que el contenido de agua en suelo fue insuficiente para mantener la extracción de agua por parte de las raíces, a pesar de la alta frecuencia de riego. Aunque las prácticas agrícolas por parte de los agricultores son las correctas, con una alta eficiencia de riego, se obtuvieron altos valores de recarga. La lluvia es distribuida de manera irregular en unos pocos eventos intensivos, algo por otro lado muy común en regiones semi-áridas, lo que contribuye de manera significativa a la percolación profunda, debido al constante alto contenido de humedad en el suelo.In the past decades a large body of literature has focused on the assessment of the natural recharge and parameters of control (including climate, vegetation, soils, and topography). On the contrary, only few papers focused on aquifer recharge from intensively irrigated farmland. Although findings have improved the understanding of recharge phenomena, they still fail to characterize many features of aquifer recharge from the mentioned land use. In this context, the aims of this thesis are: (i) to improve the understanding of aquifer recharge from intensively irrigated farmland, and (ii) to provide new tools for its characterization. Also, this thesis provides a framework that can be easily used by practitioners to infer quantitative information. Field tests, including different crop types and agricultural management, were carried out in the Campo de Cartagena area of southeast Spain, a semi-arid region where intensive irrigated agriculture is prevalent. The development of methodologies, with field observations in both saturated and unsaturated media, along with the application of numerical modelling were used to understand the processes governing the recharge from irrigated farmland. The developed approaches can be summarized as follows: A field experiment with annual row crops and drip irrigation. Soil moisture dynamics through the root zone and below were simulated from unsaturated flow approach. Soil moisture and pressure head data at different depths were recorded along six hundred days for model calibration and prediction. A tracer test (tritium) in field along four hundred thirty days. The test was carried out in an experimental plot with drip irrigation and annual row crops. The tracer transport in soil was simulated considering a multiphase approach. Tracer concentration profiles, from a limited and sparse number of destructive samples, were used to calibrate and validate the modelling approach. A long-term field experiment (based on nine hydrologic years) for different crop types, annual row crops, perennial vegetables and fruit trees. The recharge produced from each crop type was estimated from a water balance approach, including soil, vadose zone and aquifer. Water table fluctuations, recorded along the mentioned period, were used for model calibration and predictions. This long-term approach permits to evaluate recharge estimates reliability of the two previous methodologies (short-term) for the type of crop overlapped (annual row crops). For the three approaches, ground cover and root depth are assumed as upper boundary conditions. Evapotranspiration is allocated to evaporation and transpiration as a function of leaf-area-index and is limited by soil moisture content; transpiration is distributed through the soil profile as a function of soil moisture and root depth. Similar recharge values have been obtained from the three techniques, although the unsaturated flow approach slightly overestimates values. Actual evapotranspiration was always lower than potential evapotranspiration, because soil moisture was insufficient to sustain the potential uptake, despite high irrigation frequency. Although the agricultural practices from farmers are sound, high irrigation efficiency, high recharge values are achieved. Rainfall is unevenly distributed into a few intensive events, likewise very common in semi-arid regions, and it meaningfully contributes to deep percolation, due to consistently high soil water content.Postprint (published version

Determination of the Effective Viscosity of Non-newtonian Fluids Flowing Through Porous Media

When non-Newtonian fluids flow through porous media, the topology of the pore space leads to a broad range of flow velocities and shear rates. Consequently, the local viscosity of the fluid also varies in space with a non-linear dependence on the Darcy velocity. Therefore, an effective viscosity μeff is usually used to describe the flow at the Darcy scale. For most non-Newtonian flows the rheology of the fluid can be described by a (non linear) function of the shear rate. Current approaches estimate the effective viscosity by first calculating an effective shear rate mainly by adopting a power-law model for the rheology and including an empirical correction factor. In a second step this averaged shear rate is used together with the real rheology of the fluid to calculate μeff. In this work, we derive a semi-analytical expression for the local viscosity profile using a Carreau type fluid, which is a more broadly applicable model than the power-law model. By solving the flow equations in a circular cross section of a capillary we are able to calculate the average viscous resistance 〈μ〉 directly as a spatial average of the local viscosity. This approach circumvents the use of classical capillary bundle models and allows to upscale the viscosity distribution in a pore with a mean pore size to the Darcy scale. Different from commonly used capillary bundle models, the presented approach does neither require tortuosity nor permeability as input parameters. Consequently, our model only uses the characteristic length scale of the porous media and does not require empirical coefficients. The comparison of the proposed model with flow cell experiments conducted in a packed bed of monodisperse spherical beads shows, that our approach performs well by only using the physical rheology of the fluid, the porosity and the estimated mean pore size, without the need to determine an effective shear rate. The good agreement of our model with flow experiments and existing models suggests that the mean viscosity 〈μ〉 is a good estimate for the effective Darcy viscosity μeff providing physical insight into upscaling of non-Newtonian flows in porous media

Metabolic biomarkers in community obese children: effect of obstructive sleep apnea and its treatment

Objective: Obesity and obstructive sleep apnea in children have been associated with metabolic morbidities. The present study aimed to evaluate the presence of metabolic alterations among obese children recruited from the community, with and without obstructive sleep apnea syndrome (OSAS), and the impact of treatment of OSAS on metabolic profiles. Methods: A cross-sectional, prospective, multicenter study of Spanish children aged 3-14 years with a body mass index (BMI) ?95th percentile for age and sex were randomly selected in the first phase. Four groups emerged for follow-up: (1) no treatment; (2) dietary intervention; (3) surgical treatment of OSA; and (4) continuous positive airway pressure (CPAP) treatment of OSA. Fasting blood tests were performed at baseline (T0) and approximately one year after the intervention (T1). Results: A total of 113 obese children with a mean age of 11.3 ± 2.9 years completed T0 and T1 assessments. Their mean BMI z-score at T1 was 1.34 ± 0.59, and mean Respiratory Disturbance Index was 8.6 ± 13.0 at T0 and 3.3 ± 4.0/hour total sleep time at T1. Only glucose fasting levels differed among metabolic parameters in obese children with OSAS and without OSAS at baseline (T0) (p = 0.018). There were statistically significant differences between surgically treated OSAS (p = 0.002), and CPAP-treated OSAS (p = 0.024) versus the non-OSAS group in the glucose levels between baseline (T0) and follow-up (T1) after controlling for age and change in BMI. Significant univariate associations between BMI and C-reactive protein, insulin, and homeostasis model assessment of insulin resistance emerged at both T0 and T1. Conclusions: Concurrent obesity and OSAS could promote metabolic and inflammatory alterations, and the latter appeared to be sensitive to OSAS treatment outcomes. ClinicalTrials.gov Identifier: NCT01322763

Diastolic dysfunction following anthracycline-based chemotherapy in breast cancer patients: incidence and predictors

[Abstract] INTRODUCTION: Cardiotoxicity represents a major limitation for the use of anthracyclines or trastuzumab in breast cancer patients. Data from longitudinal studies of diastolic dysfunction (DD) in this group of patients are scarce. The objective of the present study was to assess the incidence, evolution, and predictors of DD in patients with breast cancer treated with anthracyclines. METHODS: This analytical, observational cohort study comprised 100 consecutive patients receiving anthracycline-based chemotherapy (CHT) for breast cancer. All patients underwent clinical evaluation, echocardiogram, and measurement of cardiac biomarkers at baseline, end of anthracycline-based CHT, and at 3 months and 9 months after anthracycline-based CHT was completed. Fifteen patients receiving trastuzumab were followed with two additional visits at 6 and 12 months after the last dose of anthracycline-based CHT. A multivariate analysis was performed to find variables related to the development of DD. Fifteen of the 100 patients had baseline DD and were excluded from this analysis. RESULTS: At the end of follow-up (median: 12 months, interquartile range: 11.1-12.8), 49 patients (57.6%) developed DD. DD was persistent in 36 (73%) but reversible in the remaining 13 patients (27%). Four patients developed cardiotoxicity (three patients had left ventricular systolic dysfunction and one suffered a sudden cardiac death). None of the patients with normal diastolic function developed systolic dysfunction during follow-up. In the logistic regression model, body mass index (BMI) and age were independently related to the development of DD, with the following odds ratio values: BMI: 1.19 (95% confidence interval [CI]: 1.04-1.36), and age: 1.12 (95% CI: 1.03-1.19). Neither cardiac biomarkers nor remaining clinical variables were predictors of DD. CONCLUSION: Development of diastolic dysfunction after treatment with anthracycline or anthracycline- plus trastuzumab chemotherapy is common. BMI and age were independently associated with DD following anthracycline chemotherapy.Instituto de Salud Carlos III; RD06/0014/002Instituto de Salud Carlos III; RD12/0042/006

Evaluación de la relación entre guía dentaria y guía condilar. Parte II: estudio poblacional

Se presenta un estudio sobre una muestra de 32 individuos, 14 hombres y 18 mujeres, con una edad media de 21,5 años, a partir de los cuales se evalúa la interrelación funcional entre la guía dentaria (o Determinante anterior) y la guía condilar (o Determinante posterior) a través del estudio de correlación d~ ángulos en los movimientos de protrusión y lateralidad. En ángulo de la guía condilar se mide en registros axiográficos, mientras que los ángulos de la guía dentaria se miden con registros kinesiográficos. No se encuentra correlación lineal estadísticamente significativa entre los valores de los ángulos de la guía dentaria y de la guía condilar, tanto para el movimiento de protrusión como para los de lateralidad

High levels of anti-tuberculin (IgG) antibodies correlate with the blocking of T-cell proliferation in individuals with high exposure to Mycobacterium tuberculosis

SummaryObjectivesTo determine the effect of anti-tuberculin antibodies in the T-cell proliferation in response to tuberculin and Candida antigens in individuals with different levels of tuberculosis (TB) risk.MethodsSixteen high-risk TB individuals, 30 with an intermediate TB risk (group A), and 45 with a low TB risk (group B), as well as 49 control individuals, were studied. Tuberculin skin test (TST) results were analyzed and serum levels of antibodies (IgG and IgM) against purified protein derivative (PPD) were measured by ELISA. Tuberculin and Candida antigens were used to stimulate T-cell proliferation in the presence of human AB serum or autologous serum.ResultsHigh levels of anti-tuberculin IgG antibodies were found to be significantly associated with the blocking of T-cell proliferation responses in cultures stimulated with tuberculin but not with Candida antigens in the presence of autologous serum. This phenomenon was particularly frequent in high-risk individuals with high levels of anti-tuberculin IgG antibodies in the autologous serum when compared to the other risk groups, which exhibited lower levels of anti-tuberculin antibodies.ConclusionsAlthough cellular immunity plays a central role in the protection against TB, humoral immunity is critical in the control of Mycobacterium tuberculosis infection in high-risk individuals with latent TB infection

Highly Regio- and Stereoselective Diels-Alder Cycloadditions via Two-Step and Multicomponent Reactions Promoted by Infrared Irradiation under Solvent-Free Conditions

Infrared irradiation promoted the Diels-Alder cycloadditions of exo-2-oxazolidinone dienes 1–3 with the Knoevenagel adducts 4–6, as dienophiles, leading to the synthesis of new 3,5-diphenyltetrahydrobenzo[d]oxazol-2-one derivatives (7, 9, 11 and 13–17), under solvent-free conditions. These cycloadditions were performed with good regio- and stereoselectivity, favoring the para-endo cycloadducts. We also evaluated the one-pot three-component reaction of active methylene compounds 20, benzaldehydes 21 and exo-2-oxazolidinone diene 2 under the same reaction conditions. A cascade Knoevenagel condensation/Diels-Alder cycloaddition reaction was observed, resulting in the final adducts 13–16 in similar yields. These procedures are environmentally benign, because no solvent and no catalyst were employed in these processes. The regioselectivity of these reactions was rationalized by Frontier Molecular Orbital (FMO) calculations

Safety and efficacy of ribociclib plus letrozole in patients with HR+, HER2– advanced breast cancer: Results from the Spanish sub-population of the phase 3b CompLEEment-1 trial

Background: Breast cancer is the most common malignancy and the second leading cause of cancer-related mortality in Spanish women. Ribociclib in combination with endocrine therapy (ET) has shown superiority in prolonging survival in patients with hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) advanced breast cancer (ABC) vs. ET alone.Methods: CompLEEment-1 is a single-arm, open-label phase 3b trial evaluating ribociclib plus letrozole in a broad population of patients with HR+, HER2- ABC. The primary endpoints were safety and tolerability. Here we report data for Spanish patients enrolled in CompLEEment-1.Results: A total of 526 patients were evaluated (median follow-up: 26.97 months). Baseline characteristics showed a diverse population with a median age of 54 years. At study entry, 56.5% of patients had visceral metastases and 8.7% had received prior chemotherapy for advanced disease. Rates of all-grade and Grade >= 3 adverse events (AEs) were 99.0% and 76.2%, respectively; 21.3% of patients experienced a serious AE, and 15.8% of AEs led to treatment discontinuation. AEs of special interest of neutropenia, increased alanine aminotransferase, increased aspartate aminotransferase and QTcF prolongation occurred in 77.8%, 14.8%, 11.4% and 4.0% of patients, respectively. Patients aged >70 years experienced increased rates of all-grade and Grade >= 3 neutropenia and anemia. Efficacy results were consistent with the global study.Conclusions: Results from Spanish patients enrolled in CompLEEment-1 are consistent with global data showing efficacy and a manageable safety profile for ribociclib plus letrozole treatment in patients with HR+, HER2-ABC, including populations of interest (NCT02941926).Trial registration: ClinicalTrials.gov NCT0294192

The state of the Martian climate

60°N was +2.0°C, relative to the 1981–2010 average value (Fig. 5.1). This marks a new high for the record. The average annual surface air temperature (SAT) anomaly for 2016 for land stations north of starting in 1900, and is a significant increase over the previous highest value of +1.2°C, which was observed in 2007, 2011, and 2015. Average global annual temperatures also showed record values in 2015 and 2016. Currently, the Arctic is warming at more than twice the rate of lower latitudes

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio