51 research outputs found

    Water balance estimation of the Campo de Cartagena watershed using hydrological modeling and remote sensing

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    This work uses hydrological modeling and remote sensing techniques to estimate the spatial and temporal patterns of the water balance of an intensively irrigated agricultural watershed in south-eastern Spain. Remote sensing-based vegetation indexes were used to estimate crop evapotranspiration rates and as an input in the model. Model outcomes give insight in the overall water account of the watershed. They highlight the critical role of the groundwater system in the water balance, and the differences between abstractions and recharge, depending on the hydrological conditions

    Effects of saline reclaimed waters and deficit irrigation on Citrus physiology assessed by UAV remote sensing

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    The aim of our research was to discover the effects of the long-term irrigation with saline reclaimed (RW) and transfer (TW) water and different irrigation strategies: control (C) and regulated deficit irrigation (RDI) on yield and fruit quality of grapefruit at harvest and during cold storage. TW-RDI treatment decreased tree canopy (TC) and crop load, resulting in a 21% reduction of fruit yield. Regarding fruit quality, RW notably decreased peel thickness at harvest (about 8%); however, this difference was not remained during cold storage. Sugar/acid ratio was mainly increased by RDI, but also by RW, due to an important increase in soluble solid content (11% of average value for TW-RDI, RW-C and RW-RDI). In addition, RDI combined with RW, significantly increased the number of fruits in small category 5 at the end of cold storage. Finally, neither ratio yield/TC nor irrigation water productivity were affected by any irrigation treatments.This study was supported by two CICYT (AGL2010-17553 and AGL2013-49047-C2-482 515 2-R) projects and SIRRIMED (KBBE-2009-1- 2-03, PROPOSAL N◦245159) 483 project. We are also grateful to SENECA–Excelencia Científica (19903/GERM/15) for 484 providing funds for this research

    Comparison of meteorological and satellite-based drought indices as yield predictors of Spanish cereals

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    In the context of global warming, as drought episodes become increasingly frequent, it is crucial to accurately measure the impacts of droughts on the overall performance of agrosystems. This study aims to compare the effectiveness of meteorological drought indices against satellite-based agronomical drought indices as crop yield explanatory factors in statistical models calibrated at a local scale. The analysis is conducted in Spain using a spatially detailed, 12-year (2003–2015) dataset on crop yields, including different types of cereals. Yields and drought indices were spatially aggregated at the agricultural district level. The Standardised Precipitation Index (SPI), computed at different temporal aggregation levels, and two satellite-based drought indices, the Vegetation Condition Index (VCI) and the Temperature Condition Index (TCI), were used to characterise the dynamics of drought severity conditions in the study area. Models resting on satellite-based indices showed higher performance in explaining yield levels as well as yield anomalies for all the crops evaluated. In particular, VCI/TCI models of winter wheat and barley were able to explain 70% and 40% of annual crop yield level and crop yield anomaly variability, respectively. We also observed gains in explanatory power when models for climate zones (instead of models at the national scale) were considered. All the results were cross-validated on subsamples of the whole dataset and on models fitted to individual agricultural districts and their predictive accuracy was assessed with a real-time forecasting exercise. Results from this study highlight the potential for including satellite-based drought indices in agricultural decision support systems (e.g. agricultural drought early warning systems, crop yield forecasting models or water resource management tools) complementing meteorological drought indices derived from precipitation grids

    Crop coefficients parameterization using remote sensing in basin-scale hydrological modelling

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    [SPA] Se utiliza un modelo hidrológico distribuido para evaluar cómo diferentes métodos influyen en la estimación de la evapotranspiración (ETc) y el balance de agua a escala de cuenca. La zona de estudio se ubica en la cuenca alta del Segura (~ 2.500 km2) en el Sureste español, zona caracterizada por una elevada heterogeneidad de condiciones del terreno y usos del suelo. El modelo hidrológico SPHY fue desarrollado y calibrado para un período de simulación de 15 años. Se emplearon cinco métodos para parametrizar el coeficiente de cultivo y se compararon los patrones espaciales y las dinámicas temporales simuladas para la evapotranspiración, la humedad del suelo y los caudales. Tres de los cinco métodos utilizan información de satélite, otro los valores del coeficiente de cultivo establecidos por FAO, y el último asume un valor constante para toda la cuenca y periodo de simulación. El análisis muestra que la generación de caudales apenas se ve afectada por la selección del método de parametrización, aunque sí es importante a la hora de calcular la evapotranspiración real, especialmente durante épocas húmedas y para los valores tabulados de FAO. [ENG] A distributed hydrologic model is used to evaluate how different methods to estimate evapotranspiration (ETc) influence the water balance and hydrologic response of basins. The study site, the upper Segura basin (~2500 km2) in Spain, is characterized by a wide range of terrain, soil, and ecosystem conditions. Input and calibration data for the hydrological model SPHY are obtained from best available data sources. The model was setup for a period of 15 year. Five crop coefficient parameterization methods are compared to explore the impact of spatial and temporal variations in these input datasets on actual evapotranspiration, streamflow and soil moisture. Methods include three that are based on remote sensing information; one based on FAO literature, and another that takes the crop coefficient equal to unity for the entire basin. The analysis shows that basin-level streamflow is hardly influenced by the choice in parameterization, but actual evapotranspiration and soil moisture are quite different, especially in the wet season and for the FAO-based method

    Análisis de la variabilidad espacial y temporal de la precipitación en la provincia de Tungurahua, Ecuador, para una mejor planificación agrícola

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    En este estudio se presentan datos de la distribución espacial de las precipitaciones y las tendencias en la provincia de Tungurahua, Ecuador, a partir de un refinamiento de métodos científicamente probados. Se combinaron datos de las estaciones meteorológicas con datos de teledetección para conocer mejor la distribución espacial de la precipitación en las zonas donde se carece de observaciones directas y donde se quiere promover y modernizar la agricultura. La cantidad total de la precipitación en la cuenca varía desde alrededor de 500 mm/año en torno a Ambato hasta 4000 mm en el sureste de la provincia y se concluye que tanto la variabilidad temporal como la espacial son muy significativas. La media anual para toda la provincia oscila entre 1400 y 1700 mm. La zona más seca es también la zona con mayor variabilidad en el tiempo, coincidiendo con la zona principal agrícola. El régimen pluvial permite aquí cultivos de ciclo corto, lo que refleja la situación actual. Los cultivos plurianuales se producen en las zonas con una mayor precipitación y con menor variabilidad temporal. La comparación entre las observaciones y los valores obtenidos mediante el método indican una buena correlación. Se ha llevado a cabo una validación cruzada de las salidas del algoritmo para determinar en qué zonas la predicción es mejor o peor. En general se concluye que el método utilizado es muy útil, los resultados son satisfactorios y aplicables en otros lugares

    The effects of perioperative music interventions in pediatric surgery: A systematic review and meta-analysis of randomized controlled trials

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    Objective: Music interventions are widely used, but have not yet gained a place in guidelines for pediatric surgery or pediatric anesthesia. In this systematic review and meta-analysis we examined the effects of music interventions on pain, anxiety and distress in children undergoing invasive surgery. Data Sources: We searched 25 electronic databases from their first available date until October 2014. Study Selection: Included were all randomized controlled trials with a parallel group, crossover or cluster design that included pediatric patients from 1 month to 18 years old undergoing minimally invasive or invasive surgical procedures, and receiving either live music therapy or recorded music. Data Extraction and Synthesis: 4846 records were retrieved from the searches, 26 full text reports were evaluated and data was extracted by two independent investigators. Main Outcome Measures: Pain was measured with the Visual Analogue Scale, the Coloured Analogue Scale and the Facial Pain Scale. Anxiety and distress were measured with an emotional index scale (not validated), the Spielberger short State Trait Anxiety Inventory and a Facial Affective Scale. Results: Three RCTs were eligible for inclusion encompassing 196 orthopedic, cardiac and day surgery patients (age of 1 day to 18 years) receiving either live music therapy or recorded music. Overall a statistically significant positive effect was demonstrated on postoperative pain (SMD -1.07; 95%CI-2.08; -0.07) and on anxiety and distress (SMD -0.34 95% CI -0.66; -0.01 and SMD -0.50; 95% CI -0.84; - 0.16. Conclusions and Relevance: This systematic review and meta-analysis indicates that music interventions may have a statistically significant effect in reducing post-operative pain, anxiety and distress in children undergoing a surgical procedure. Evidence from this review and other reviews suggests music therapy may be considered for clinical use

    Music Affects Rodents: A Systematic Review of Experimental Research

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    Background: There is rapidly emerging interest in music interventions in healthcare. Music interventions are widely applicable, inexpensive, without side effects, and easy to use. It is not precisely known how they exert positive effects on health outcomes. Experimental studies in animal models might reveal more about the pathophysiological mechanisms of music interventions.Methods: We performed a systematic review of experimental research in rodents. The electronic databases EMBASE, Medline(ovidSP), Web-Of-Science, PsycINFO, Cinahl, PubMed publisher, Cochrane, and Google scholar were searched for publications between January 1st 1960 and April 22nd 2017. Eligible were English–written, full-text publications on experimental research in rodents comparing music vs. a control situation. Outcomes were categorized in four domains: brain structure and neuro-chemistry; behavior; immunology; and physiology. Additionally, an overview was generated representing the effects of various types of music on outcomes. Bias in studies was assessed with the SYRCLE Risk of Bias tool. A meta-analysis was not feasible due to heterogeneous outcomes and lack of original outcome data.Results: Forty-two studies were included. Music-exposed rodents showed statistically significant increases in neuro-chemistry, such as higher BDNF levels, as well as an enhanced propensity for neurogenesis and neuroplasticity. Furthermore, music exposure was linked with statistically significantly improved spatial and auditory learning, reduced anxiety-related behavior, and increased immune responses. Various statistically significant changes occurred in physiological parameters such as blood pressure and (para)sympathetic nerve activity following music interventions. The majority of studies investigated classical music interventions, but other types of music exerted positive effects on outcomes as well. The SYRCLE risk of bias assessment revealed unclear risk of bias in all studies.Conclusions: Music interventions seem to improve brain structure and neuro-chemistry; behavior; immunology; and physiology in rodents. Further research is necessary to explore and optimize the effect of music interventions, and to evaluate its effects in humans

    A Simplified Water Accounting Procedure to Assess Climate Change Impact on Water Resources for Agriculture across Different European River Basins

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    [EN] European agriculture and water policies require accurate information on climate change impacts on available water resources. Water accounting, that is a standardized documentation of data on water resources, is a useful tool to provide this information. Pan-European data on climate impacts do not recognize local anthropogenic interventions in the water cycle. Most European river basins have a specific toolset that is understood and used by local experts and stakeholders. However, these local tools are not versatile. Thus, there is a need for a common approach that can be understood by multi-fold users to quantify impact indicators based on local data and that can be used to synthesize information at the European level. Then, policies can be designed with the confidence that underlying data are backed-up by local context and expert knowledge. This work presents a simplified water accounting framework that allows for a standardized examination of climate impacts on water resource availability and use across multiple basins. The framework is applied to five different river basins across Europe. Several indicators are extracted that explicitly describe green water fluxes versus blue water fluxes and impacts on agriculture. The examples show that a simplified water accounting framework can be used to synthesize basin-level information on climate change impacts which can support policymaking on climate adaptation, water resources and agriculture.This research was funded by Horizon 2020 IMPREX project, grant number 641811Hunink, J.; Simons, G.; Suárez-Almiñana, S.; Solera Solera, A.; Andreu Álvarez, J.; Giuliani, M.; Zamberletti, P.... (2019). A Simplified Water Accounting Procedure to Assess Climate Change Impact on Water Resources for Agriculture across Different European River Basins. Water. 11(10):1-29. https://doi.org/10.3390/w11101976S1291110Jacob, D., Kotova, L., Teichmann, C., Sobolowski, S. P., Vautard, R., Donnelly, C., … van Vliet, M. T. H. (2018). Climate Impacts in Europe Under +1.5°C Global Warming. Earth’s Future, 6(2), 264-285. doi:10.1002/2017ef000710Koutroulis, A. G., Grillakis, M. G., Daliakopoulos, I. N., Tsanis, I. K., & Jacob, D. (2016). Cross sectoral impacts on water availability at +2 °C and +3 °C for east Mediterranean island states: The case of Crete. Journal of Hydrology, 532, 16-28. doi:10.1016/j.jhydrol.2015.11.015Dezsi, Ş., Mîndrescu, M., Petrea, D., Rai, P. K., Hamann, A., & Nistor, M.-M. (2018). High-resolution projections of evapotranspiration and water availability for Europe under climate change. International Journal of Climatology, 38(10), 3832-3841. doi:10.1002/joc.5537Forzieri, G., Feyen, L., Russo, S., Vousdoukas, M., Alfieri, L., Outten, S., … Cid, A. (2016). Multi-hazard assessment in Europe under climate change. Climatic Change, 137(1-2), 105-119. doi:10.1007/s10584-016-1661-xRuosteenoja, K., Markkanen, T., Venäläinen, A., Räisänen, P., & Peltola, H. (2017). Seasonal soil moisture and drought occurrence in Europe in CMIP5 projections for the 21st century. Climate Dynamics, 50(3-4), 1177-1192. doi:10.1007/s00382-017-3671-4Stahl, K., Kohn, I., Blauhut, V., Urquijo, J., De Stefano, L., Acacio, V., … Van Lanen, H. A. J. (2015). Impacts of European drought events: insights from an international database of text-based reports. doi:10.5194/nhessd-3-5453-2015Van Lanen, H. A. J., Laaha, G., Kingston, D. G., Gauster, T., Ionita, M., Vidal, J., … Van Loon, A. F. (2016). Hydrology needed to manage droughts: the 2015 European case. Hydrological Processes, 30(17), 3097-3104. doi:10.1002/hyp.10838Moore, F. C., & Lobell, D. B. (2014). Adaptation potential of European agriculture in response to climate change. Nature Climate Change, 4(7), 610-614. doi:10.1038/nclimate2228Iglesias, A., & Garrote, L. (2015). Adaptation strategies for agricultural water management under climate change in Europe. Agricultural Water Management, 155, 113-124. doi:10.1016/j.agwat.2015.03.014Llop, M., & Ponce-Alifonso, X. (2016). Water and Agriculture in a Mediterranean Region: The Search for a Sustainable Water Policy Strategy. Water, 8(2), 66. doi:10.3390/w8020066Escribano Francés, G., Quevauviller, P., San Martín González, E., & Vargas Amelin, E. (2017). Climate change policy and water resources in the EU and Spain. A closer look into the Water Framework Directive. Environmental Science & Policy, 69, 1-12. doi:10.1016/j.envsci.2016.12.006Bastiaanssen, W. G. M., & Steduto, P. (2017). The water productivity score (WPS) at global and regional level: Methodology and first results from remote sensing measurements of wheat, rice and maize. Science of The Total Environment, 575, 595-611. doi:10.1016/j.scitotenv.2016.09.032Simons, G. W. H. (Gijs), Bastiaanssen, W. G. M. (Wim), & Immerzeel, W. W. (Walter). (2015). Water reuse in river basins with multiple users: A literature review. Journal of Hydrology, 522, 558-571. doi:10.1016/j.jhydrol.2015.01.016Lavrnić, S., Zapater-Pereyra, M., & Mancini, M. L. (2017). Water Scarcity and Wastewater Reuse Standards in Southern Europe: Focus on Agriculture. Water, Air, & Soil Pollution, 228(7). doi:10.1007/s11270-017-3425-2Ricart, S., & Rico, A. M. (2019). Assessing technical and social driving factors of water reuse in agriculture: A review on risks, regulation and the yuck factor. Agricultural Water Management, 217, 426-439. doi:10.1016/j.agwat.2019.03.017Hoekstra, A., Chapagain, A., & van Oel, P. (2017). Advancing Water Footprint Assessment Research: Challenges in Monitoring Progress towards Sustainable Development Goal 6. Water, 9(6), 438. doi:10.3390/w9060438Roudier, P., Andersson, J. C. M., Donnelly, C., Feyen, L., Greuell, W., & Ludwig, F. (2015). Projections of future floods and hydrological droughts in Europe under a +2°C global warming. Climatic Change, 135(2), 341-355. doi:10.1007/s10584-015-1570-4Samaniego, L., Thober, S., Kumar, R., Wanders, N., Rakovec, O., Pan, M., … Marx, A. (2018). Anthropogenic warming exacerbates European soil moisture droughts. Nature Climate Change, 8(5), 421-426. doi:10.1038/s41558-018-0138-5Panagopoulos, Y., Stefanidis, K., Faneca Sanchez, M., Sperna Weiland, F., Van Beek, R., Venohr, M., … Birk, S. (2019). Pan-European Calculation of Hydrologic Stress Metrics in Rivers: A First Assessment with Potential Connections to Ecological Status. Water, 11(4), 703. doi:10.3390/w11040703Macknick, J., Newmark, R., Heath, G., & Hallett, K. C. (2012). Operational water consumption and withdrawal factors for electricity generating technologies: a review of existing literature. Environmental Research Letters, 7(4), 045802. doi:10.1088/1748-9326/7/4/045802Koutroulis, A. G., Papadimitriou, L. V., Grillakis, M. G., Tsanis, I. K., Wyser, K., & Betts, R. A. (2018). Freshwater vulnerability under high end climate change. A pan-European assessment. Science of The Total Environment, 613-614, 271-286. doi:10.1016/j.scitotenv.2017.09.074Lobanova, A., Liersch, S., Nunes, J. P., Didovets, I., Stagl, J., Huang, S., … Krysanova, V. (2018). Hydrological impacts of moderate and high-end climate change across European river basins. Journal of Hydrology: Regional Studies, 18, 15-30. doi:10.1016/j.ejrh.2018.05.003Beck, H. E., Vergopolan, N., Pan, M., Levizzani, V., van Dijk, A. I. J. M., Weedon, G. P., … Wood, E. F. (2017). Global-scale evaluation of 22 precipitation datasets using gauge observations and hydrological modeling. Hydrology and Earth System Sciences, 21(12), 6201-6217. doi:10.5194/hess-21-6201-2017Naz, B. S., Kurtz, W., Montzka, C., Sharples, W., Goergen, K., Keune, J., … Kollet, S. (2019). Improving soil moisture and runoff simulations at 3 km over Europe using land surface data assimilation. Hydrology and Earth System Sciences, 23(1), 277-301. doi:10.5194/hess-23-277-2019Haro, D., Solera, A., Paredes, J., & Andreu, J. (2014). Methodology for Drought Risk Assessment in Within-year Regulated Reservoir Systems. Application to the Orbigo River System (Spain). Water Resources Management, 28(11), 3801-3814. doi:10.1007/s11269-014-0710-3Zaniolo, M., Giuliani, M., Castelletti, A. F., & Pulido-Velazquez, M. (2018). Automatic design of basin-specific drought indexes for highly regulated water systems. Hydrology and Earth System Sciences, 22(4), 2409-2424. doi:10.5194/hess-22-2409-2018Koutroulis, A. G., Tsanis, I. K., Daliakopoulos, I. N., & Jacob, D. (2013). Impact of climate change on water resources status: A case study for Crete Island, Greece. Journal of Hydrology, 479, 146-158. doi:10.1016/j.jhydrol.2012.11.055Vargas-Amelin, E., & Pindado, P. (2014). The challenge of climate change in Spain: Water resources, agriculture and land. Journal of Hydrology, 518, 243-249. doi:10.1016/j.jhydrol.2013.11.035Giuliani, M., Li, Y., Castelletti, A., & Gandolfi, C. (2016). A coupled human-natural systems analysis of irrigated agriculture under changing climate. Water Resources Research, 52(9), 6928-6947. doi:10.1002/2016wr019363Giuliani, M., & Castelletti, A. (2016). Is robustness really robust? How different definitions of robustness impact decision-making under climate change. Climatic Change, 135(3-4), 409-424. doi:10.1007/s10584-015-1586-9Grindlay, A. L., Zamorano, M., Rodríguez, M. I., Molero, E., & Urrea, M. A. (2011). Implementation of the European Water Framework Directive: Integration of hydrological and regional planning at the Segura River Basin, southeast Spain. Land Use Policy, 28(1), 242-256. doi:10.1016/j.landusepol.2010.06.005Quevauviller, P., Barceló, D., Beniston, M., Djordjevic, S., Harding, R. J., Iglesias, A., … Werner, M. (2012). Integration of research advances in modelling and monitoring in support of WFD river basin management planning in the context of climate change. Science of The Total Environment, 440, 167-177. doi:10.1016/j.scitotenv.2012.07.055Edens, B., & Graveland, C. (2014). Experimental valuation of Dutch water resources according to SNA and SEEA. Water Resources and Economics, 7, 66-81. doi:10.1016/j.wre.2014.10.003Pedro-Monzonís, M., Jiménez-Fernández, P., Solera, A., & Jiménez-Gavilán, P. (2016). The use of AQUATOOL DSS applied to the System of Environmental-Economic Accounting for Water (SEEAW). Journal of Hydrology, 533, 1-14. doi:10.1016/j.jhydrol.2015.11.034Gouveia, C. M., Trigo, R. M., Beguería, S., & Vicente-Serrano, S. M. (2017). Drought impacts on vegetation activity in the Mediterranean region: An assessment using remote sensing data and multi-scale drought indicators. Global and Planetary Change, 151, 15-27. doi:10.1016/j.gloplacha.2016.06.011Borrego-Marín, M., Gutiérrez-Martín, C., & Berbel, J. (2016). Water Productivity under Drought Conditions Estimated Using SEEA-Water. Water, 8(4), 138. doi:10.3390/w8040138Vardon, M., Lenzen, M., Peevor, S., & Creaser, M. (2007). Water accounting in Australia. Ecological Economics, 61(4), 650-659. doi:10.1016/j.ecolecon.2006.07.033Pedro-Monzonís, M., del Longo, M., Solera, A., Pecora, S., & Andreu, J. (2016). Water Accounting in the Po River Basin Applied to Climate Change Scenarios. Procedia Engineering, 162, 246-253. doi:10.1016/j.proeng.2016.11.051Momblanch, A., Andreu, J., Paredes-Arquiola, J., Solera, A., & Pedro-Monzonís, M. (2014). Adapting water accounting for integrated water resource management. The Júcar Water Resource System (Spain). Journal of Hydrology, 519, 3369-3385. doi:10.1016/j.jhydrol.2014.10.002Karimi, P., Bastiaanssen, W. G. M., & Molden, D. (2012). Water Accounting Plus (WA+) – a water accounting procedure for complex river basins based on satellite measurements. doi:10.5194/hessd-9-12879-2012Karimi, P., Bastiaanssen, W. G. M., Molden, D., & Cheema, M. J. M. (2013). Basin-wide water accounting based on remote sensing data: an application for the Indus Basin. Hydrology and Earth System Sciences, 17(7), 2473-2486. doi:10.5194/hess-17-2473-2013Orth, R., & Destouni, G. (2018). Drought reduces blue-water fluxes more strongly than green-water fluxes in Europe. Nature Communications, 9(1). doi:10.1038/s41467-018-06013-7Van den Hurk, B., Hirschi, M., Schär, C., Lenderink, G., van Meijgaard, E., van Ulden, A., … Jones, R. (2005). Soil Control on Runoff Response to Climate Change in Regional Climate Model Simulations. Journal of Climate, 18(17), 3536-3551. doi:10.1175/jcli3471.1Bergström, S., Carlsson, B., Gardelin, M., Lindström, G., Pettersson, A., & Rummukainen, M. (2001). Climate change impacts on runoff in Sweden-assessments by global climate models, dynamical downscaling and hydrological modelling. Climate Research, 16, 101-112. doi:10.3354/cr016101Arnell, N. W. (1999). The effect of climate change on hydrological regimes in Europe: a continental perspective. Global Environmental Change, 9(1), 5-23. doi:10.1016/s0959-3780(98)00015-6Teuling, A. J., Van Loon, A. F., Seneviratne, S. I., Lehner, I., Aubinet, M., Heinesch, B., … Spank, U. (2013). Evapotranspiration amplifies European summer drought. Geophysical Research Letters, 40(10), 2071-2075. doi:10.1002/grl.50495Destouni, G., & Prieto, C. (2018). Robust Assessment of Uncertain Freshwater Changes: The Case of Greece with Large Irrigation—and Climate-Driven Runoff Decrease. Water, 10(11), 1645. doi:10.3390/w10111645Suárez-Almiñana, S., Pedro-Monzonís, M., Paredes-Arquiola, J., Andreu, J., & Solera, A. (2017). Linking Pan-European data to the local scale for decision making for global change and water scarcity within water resources planning and management. Science of The Total Environment, 603-604, 126-139. doi:10.1016/j.scitotenv.2017.05.259Huang, Z., Hejazi, M., Tang, Q., Vernon, C. R., Liu, Y., Chen, M., & Calvin, K. (2019). Global agricultural green and blue water consumption under future climate and land use changes. Journal of Hydrology, 574, 242-256. doi:10.1016/j.jhydrol.2019.04.046Kahil, M. T., Connor, J. D., & Albiac, J. (2015). Efficient water management policies for irrigation adaptation to climate change in Southern Europe. Ecological Economics, 120, 226-233. doi:10.1016/j.ecolecon.2015.11.004Velasco-Muñoz, J., Aznar-Sánchez, J., Belmonte-Ureña, L., & López-Serrano, M. (2018). Advances in Water Use Efficiency in Agriculture: A Bibliometric Analysis. Water, 10(4), 377. doi:10.3390/w10040377Berbel, J., & Mateos, L. (2014). Does investment in irrigation technology necessarily generate rebound effects? A simulation analysis based on an agro-economic model. Agricultural Systems, 128, 25-34. doi:10.1016/j.agsy.2014.04.002Pedro-Monzonís, M., Ferrer, J., Solera, A., Estrela, T., & Paredes-Arquiola, J. (2014). Water Accounts and Water Stress Indexes in the European Context of Water Planning: The Jucar River Basin. Procedia Engineering, 89, 1470-1477. doi:10.1016/j.proeng.2014.11.431Vanham, D., Hoekstra, A. Y., Wada, Y., Bouraoui, F., de Roo, A., Mekonnen, M. M., … Bidoglio, G. (2018). Physical water scarcity metrics for monitoring progress towards SDG target 6.4: An evaluation of indicator 6.4.2 «Level of water stress». Science of The Total Environment, 613-614, 218-232. doi:10.1016/j.scitotenv.2017.09.056Liu, J., Yang, H., Gosling, S. N., Kummu, M., Flörke, M., Pfister, S., … Oki, T. (2017). Water scarcity assessments in the past, present, and future. Earth’s Future, 5(6), 545-559. doi:10.1002/2016ef000518Wada, Y., van Beek, L. P. H., Viviroli, D., Dürr, H. H., Weingartner, R., & Bierkens, M. F. P. (2011). Global monthly water stress: 2. Water demand and severity of water stress. Water Resources Research, 47(7). doi:10.1029/2010wr009792Eekhout, J. P. C., Hunink, J. E., Terink, W., & de Vente, J. (2018). Why increased extreme precipitation under climate change negatively affects water security. Hydrology and Earth System Sciences, 22(11), 5935-5946. doi:10.5194/hess-22-5935-2018Pellicer-Martínez, F., & Martínez-Paz, J. M. (2018). Climate change effects on the hydrology of the headwaters of the Tagus River: implications for the management of the Tagus–Segura transfer. Hydrology and Earth System Sciences, 22(12), 6473-6491. doi:10.5194/hess-22-6473-2018Navarro, T. (2018). Water reuse and desalination in Spain – challenges and opportunities. Journal of Water Reuse and Desalination, 8(2), 153-168. doi:10.2166/wrd.2018.043García-Rubio, M. A., & Guardiola, J. (2012). Desalination in Spain: A Growing Alternative for Water Supply. International Journal of Water Resources Development, 28(1), 171-186. doi:10.1080/07900627.2012.642245Andreu, J., Capilla, J., & Sanchís, E. (1996). AQUATOOL, a generalized decision-support system for water-resources planning and operational management. Journal of Hydrology, 177(3-4), 269-291. doi:10.1016/0022-1694(95)02963-

    Within-trial economic evaluation of diabetes-specific cognitive behaviour therapy in patients with type 2 diabetes and subthreshold depression

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    <p>Abstract</p> <p>Background</p> <p>Despite the high prevalence of subthreshold depression in patients with type 2 diabetes, evidence on cost-effectiveness of different therapy options for these patients is currently lacking.</p> <p>Methods/Design</p> <p>Within-trial economic evaluation of the diabetes-specific cognitive behaviour therapy for subthreshold depression. Patients with diabetes and subthreshold depression are randomly assigned to either 2 weeks of diabetes-specific cognitive behaviour group therapy (n = 104) or to standard diabetes education programme only (n = 104). Patients are followed for 12 months. During this period data on total health sector costs, patient costs and societal productivity costs are collected in addition to clinical data. Health related quality of life (the SF-36 and the EQ-5D) is measured at baseline, immediately after the intervention, at 6 and at 12 months after the intervention. Quality adjusted life years (QALYs), and cumulative costs will be estimated for each arm of the trial. Cost-effectiveness of the diabetes-specific cognitive behaviour group therapy will be analysed from the perspective of the German statutory health insurance and from the societal perspective. To this end, incremental cost-effectiveness ratio (ICER) in terms of cost per QALY gained will be calculated.</p> <p>Discussion</p> <p>Some methodological issues of the described economic evaluation are discussed.</p> <p>Trial registration</p> <p>The trial has been registered at the Clinical Trials Register (NCT01009138).</p

    Twelve-year outcomes of watchful waiting versus surgery of mildly symptomatic or asymptomatic inguinal hernia in men aged 50 years and older:a randomised controlled trial

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    Background: Inguinal hernia belongs to the most common surgical pathology worldwide. Approximately, one third is asymptomatic. The value of watchful waiting (WW) in patients with asymptomatic or mildly symptomatic inguinal hernia has been established in a few randomised controlled trials (RCTs). The aim of this study was to assess long-term outcomes of a RCT comparing WW and elective surgery.Methods: In the original study, men aged ≥50 years with an asymptomatic or mildly symptomatic inguinal hernia were randomly assigned to WW or elective repair. In the present study, the primary outcome was the 12-year crossover rate to surgery, secondary outcomes were time-to-crossover, patient regret, pain, quality of life and incarceration. Dutch Trial Registry: NTR629. Findings: Out of 496 originally analysed patients, 488 (98.4%) were evaluable for chart review (WW: n = 258, surgery: n = 230), and 200 (41.0%) for telephone contact (WW: n = 106, surgery: n = 94) between November 2021 and March 2022 with a median 12 years follow-up (IQR 9–14). After 12 years, the estimated cumulative crossover rate to surgery was 64.2%, which was higher in mildly symptomatic than in asymptomatic patients (71.7% versus 60.4%, HR 1.451, 95% CI: 1.064–1.979). Time-to-crossover was longer in asymptomatic patients (50% after 6.0 years versus 2.0 years, p = 0.019). Patient regret was higher in the WW group (37.7 versus 18.0%, p = 0.002), as well as pain/discomfort (p = 0.031). Quality of life did not differ (p = 0.737). In the WW group, incarceration occurred in 10/255 patients (3.9%). Interpretation: During 12-year follow-up, most WW patients crossed over to surgery, significantly earlier with mildly symptomatic hernia. Considering the relatively low incarceration rate, WW might still be an option in asymptomatic patients with a clear preference and being well-informed about pros and cons.</p
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