Análisis comparativo de la estimación de la erosión hídrica con la metodología USLE y las técnicas RS SIG. Aplicación al entorno del tramo medio de la cuenca del río Jarama (Guadalajara)

La erosión hídrica en España es un problema grave, por las consecuencias que comporta en términos de pérdida del recurso suelo, sobre el que se sustenta la vida. Desde la década de los años ochenta del pasado siglo, la Administración Central ha realizado dos inventarios de erosión del suelo a nivel nacional: Los Mapas de Estados Erosivos (MEEs) y el Inventario Nacional de Erosión del Suelo (INES). En la presente Tesis Doctoral se han abordado las siguientes cuestiones: - Se ha profundizado en el análisis y aplicación de nuevas herramientas en la estimación del factor topográfico y del factor vegetación, que intervienen en los modelos de cálculo de las pérdidas de suelo, para mejorar la precisión en los resultados de la estimación de las tasas de erosión con los mismos. - Se ha establecido un procedimiento que permita realizar un inventario continuo de los Estados Erosivos de España, fijando como premisa el tiempo para su actualización. La Tesis desarrolla un procedimiento que permite comprobar que, la precisión utilizada en la cartografía base para determinar el factor vegetación y el factor topográfico del modelo USLE, influye en los resultados de la estimación de las tasas de erosión. También se ha realizado un estudio multi-temporal, analizado cuatro períodos: desde 1982 a 2014, con el fin de investigar las posibilidades de implementar un inventario continuo de los Estados Erosivos a nivel nacional; utilizando sensores remotos y técnicas de teledetección como herramienta para la actualización de los usos del suelo, factor determinante para estudiar la evolución de las tasas de erosión a lo largo del tiempo. Los resultados obtenidos de las investigaciones mencionadas, se han aplicado al tramo medio de la cuenca del río Jarama en la provincia de Guadalajara y han permitido comprobar que, la precisión de los datos utilizados en la aplicación del modelo USLE, influyen de una forma determinante en la estimación de las tasas de erosión y, además, hacen posible que la metodología, propuesta en esta Tesis, contribuya a establecer un inventario continuo de la evolución de los Estados Erosivos en un espacio multitemporal y a nivel de escenarios que abarcan una gran superficie. Gracias a este inventario se ha podido aportar información de la evolución de la cubierta vegetal y las pérdidas de suelo en la zona de estudio en el período analizado 1984-2015. ABSTRACT Water erosion in Spain is a serious problem and the consequences in terms of loss of soil resources on which life is based. Since the early eighties of last century, the central government has made two inventories of soil erosion nationwide: Maps of Erosive States (MEES) and the National Inventory of Soil Erosion (INES). In this Doctoral Thesis we have addressed the following issues: - It has deepened in the analysis and implementation of new tools in estimating the topographic factor and vegetation factor involved in the calculation models of soil loss, to improve accuracy in the results of the estimation of rates erosion therewith. - It has established a procedure allowing a continuous inventory of Erosion States of Spain, setting premised time for update. The thesis develops a method that allows to check that the precision used in the base map to determine the vegetation factor and topographical factor USLE model, influences the results of estimating erosion rates. There has also develop a multi-temporal study analyzed four periods: from 1982-2014, in order to investigate the possibilities of implementing a continuous inventory of erosion states at national level; using remote sensing techniques as a tool for updating land use, determining to study the evolution of erosion rates along the time factor. The results of the investigations referred to, have been applied to area around the middle reach of the Jarama river basin in the province of Guadalajara and would have shown that the accuracy of the data used in the model application USLE influence of decisive way estimating erosion rates and also make it possible that the methodology proposed in this thesis, help establish a continuous inventory of the evolution of erosive states in a multi-temporal space and level scenarios covering a large area. Thanks to this inventory was it able to provide information on the evolution of the vegetation cover and soil loss in the study area in the analyzed period 1984-2015

Artificial Intelligence for a Fair, Just, and Equitable World

From the 1970s onward, we started to dream of the leisure society in which, thanks to technological progress and consequent increase in productivity, working hours would be minimized and we would all live in abundance. We all could devote our time almost exclusively to personal relationships, contact with nature, sciences, the arts, playful activities, and so on. Today, this utopia seems more unattainable than it did then. Since the 21st century, we have seen inequalities increasingly accentuated: of the increase in wealth in the United States between 2006 and 2018, adjusted for inflation and population growth, more than 87% went to the richest 10% of the population, and the poorest 50% lost wealth [1] . Following the crisis of 2008, social inequalities, rights violations, planetary degradation, and the climate emergency worsened and increased (see [2] ). In 2019, the world's 2153 billionaires had more wealth than 4.6 billion people [3] . The World Bank estimates that COVID-19 will push up to 150 million people into extreme poverty [4]

Determinación de la edad pulmonar en trabajadores de Mallorca mediante el espirómetro LUNGLIFE® y su relación con parámetros socio demográficos, higiénicos y clínicos

Introducción: Tradicionalmente se ha utilizado la espirometría como herramienta para valorar la función pulmonar. En este trabajo se presenta una nueva herramienta denominada edad pulmonar que podría ser un buen instrumento para lograr el mismo objetivo. Personas y método: Se realiza un estudio transversal en 811 trabajadores valorando la influencia de determinadas variables socio demográficas (edad, sexo), higiénicas (ejercicio físico, consumo de tabaco, tabaquismo pasivo) y clínicas (antecedentes de enfermedad pulmonar, IMC, grasa corporal y perímetro de cintura) en los valores de edad pulmonar. También se valora la relación entre los parámetros de función pulmonar (FEV1, FVC y FEV1/FVC) y la edad pulmonar. Resultados: Aisladamente todas las variables salvo la edad muestran diferencias estadísticamente significativas e igual ocurre con los parámetros de función pulmonar. En el análisis multivariante vemos que las variables que realmente influyen en la edad pulmonar son nivel de consumo, ejercicio físico, antecedentes de enfermedad pulmonar, tabaquismo pasivo y perímetro de cintura. Entre todos ellos explica el 26,4% del valor de la edad pulmonar (el 16,4% se debe al nivel de consumo). Conclusiones: Creemos que la inclusión de la determinación de la edad pulmonar, un instrumento rápido, sencillo y económico, podría convertirse en un instrumento de prevención y diagnóstico precoz de problemas respiratorios que vendría a reforzar una de las actividades más importantes de los profesionales de Salud Laboral como es la promoción de la salud en los lugares de trabajo.Introduction: Traditionally, spirometry has been used as a tool to assess lung function. This paper presents a new tool called “lung age” could be a good tool to achieve the same goal. Materials and methods:We performed a cross-sectional study in 811 workers by assessing the influence of specific demographics (age, sex), hygienic (physical exercise, consumption of snuff, passive smoking) and clinical (history of pulmonary disease, BMI, body fat and waist circumference) in the values of “lung age”. It also values the relationship between pulmonary function parameters (FEV1, FVC and FEV1/FVC) and “lung age”. Results: Individually all the variables except age show differences statistically significant and the same happens with the lung function parameters. In multivariate analysis we see that the variables that actually influence the lung age is level of consumption, physical exercise, history of lung disease, passive smoking and waist circumference. Between them they explained 26.4% of the value of "lung age" (16.4% is due to the level of consumption). Conclusion: We believe the inclusion of "lung age" determination, for its speed, simplicity and economy, could become an instrument of prevention and early diagnosis of respiratory problems that would reinforce one of the most important activities of occupational health professionals such as the workplace health promotion

Factors associated with smoking among tuberculosis patients in Spain

Altres ajuts: This work was made possible by a grant from the Spanish Society of Pneumology and Thoracic Surgery, SEPAR 2011.To determine the prevalence of smoking and analyze associated factors in a cohort of patients diagnosed with tuberculosis (TB) in Spain between 2006 and 2013. Multicenter, cross-sectional, descriptive, observational study using a national database of TB patients, using logistic regression to calculate odds ratios (OR) and confidence intervals (CI). We analyzed 5,846 cases (62 % men, mean age 39 years, 33 % foreigners). 23.4 % were alcohol abuser, 1.3 % were injected drug users (IDU), 4.6 % were co-infected with HIV, and 7.5 % had a history of TB treatment. 6.6 % and 0.8 % showed resistance to one and multiple drugs, respectively. The predominant clinical presentation was pulmonary (71 %) with a cavitary radiological pattern in 32.8 % of cases. 82 % of cases were confirmed microbiologically, and 54 % were smear-positive microscopy. 2,300 (39.3 %) patients were smokers. The following factors were associated with smoking: male sex (OR = 2.26;CI:1.97;2.60), Spanish origin (OR = 2.79;CI:2.40-3.24), alcoholism (OR = 2.85;CI:2.46;3.31), IDU (OR = 2.78;CI:1.48;5.52), homelessness (OR = 1.99;CI:1.14-3.57), pulmonary TB (OR = 1.61;CI:1.16;2.24), cavitary radiological pattern (OR = 1.99;CI:1.43;2.79) and a smear-positive microscopy at the time of diagnosis (OR = 1.39;CI:1.14;1.17). The prevalence of smoking among TB patients is high. Smokers with TB have a distinct sociodemographic, clinical, radiological and microbiological profile to non-smokers

Spanish COPD Guidelines (GesEPOC) 2021: Updated Pharmacological treatment of stable COPD

The Spanish COPD Guidelines (GesEPOC) were first published in 2012, and since then have undergone a series of updates incorporating new evidence on the diagnosis and treatment of COPD. GesEPOC was drawn up in partnership with scientific societies involved in the treatment of COPD and the Spanish Patients' Forum. Their recommendations are based on an evaluation of the evidence using GRADE methodology, and a narrative description of the evidence in areas in which GRADE cannot be applied. In this article, we summarize the recommendations on the pharmacological treatment of stable COPD based on 9 PICO questions. COPD treatment is a 4-step process: 1) diagnosis, 2) determination of the risk level, 3) initial and subsequent inhaled therapy, and 4) identification and management of treatable traits. For the selection of inhaled therapy, high-risk patients are divided into 3 phenotypes: non-exacerbator, eosinophilic exacerbator, and non-eosinophilic exacerbator. Some treatable traits are general and should be investigated in all patients, such as smoking or inhalation technique, while others affect severe patients in particular, such as chronic hypoxemia and chronic bronchial infection. COPD treatment is based on long-acting bronchodilators with single agents or in combination, depending on the patient's risk level. Eosinophilic exacerbators must receive inhaled corticosteroids, while non-eosinophilic exacerbators require a more detailed evaluation to choose the best therapeutic option. The new GesEPOC also includes recommendations on the withdrawal of inhaled corticosteroids and on indications for alpha-1 antitrypsin treatment. GesEPOC offers a more individualized approach to COPD treatment tailored according to the clinical characteristics of patients and their level of complexity.Peer reviewe

Spanish COPD Guidelines (GesEPOC) 2021 Update Diagnosis and Treatment of COPD Exacerbation Syndrome

[ES] En este artículo se presentan las recomendaciones sobre el diagnóstico y tratamiento del síndrome de agudización de la enfermedad pulmonar obstructiva crónica (EPOC) (SAE) de GesEPOC 2021. Como principales novedades, la guía propone una definición y aproximación sindrómica, una nueva clasificación de gravedad y el reconocimiento de diferentes rasgos tratables (RT), lo que supone un nuevo paso hacia la medicina personalizada. La evaluación de la evidencia se realiza mediante la metodología Grading of Recommendations Assessment, Development and Evaluation (GRADE), con la incorporación de seis nuevas preguntas con enfoque paciente, intervención, comparación y resultados (PICO). El proceso diagnóstico comprende cuatro etapas: 1) establecer el diagnóstico del SAE, 2) valorar la gravedad del episodio, 3) identificar el factor desencadenante y 4) abordar los RT. En este proceso diagnóstico se diferencia una aproximación ambulatoria, en la que se recomienda incluir una batería básica de pruebas y una hospitalaria, más exhaustiva, en la que se contempla el estudio de diferentes biomarcadores y pruebas de imagen. El tratamiento broncodilatador destinado al alivio inmediato de los síntomas se considera esencial para todos los pacientes, mientras que el uso de antibióticos, corticoides sistémicos, oxigenoterapia, ventilación asistida o el tratamiento de las comorbilidades variará en función de la gravedad y de los posibles RT. El empleo de antibióticos estará especialmente indicado ante un cambio en el color del esputo, cuando se requiera asistencia ventilatoria, en los casos que cursen con neumonía y también para aquellos con proteína-C reactiva elevada (≥ 20 mg/L). Los corticoides sistémicos se recomiendan en el SAE que necesita ingreso y se sugieren en el SAE moderado. La eficacia de estos fármacos es mayor en pacientes con recuento de eosinófilos en sangre ≥ 300 células/mm3. La ventilación mecánica no invasiva en fase aguda se establece fundamentalmente para pacientes con SAE que cursen con acidosis respiratoria, a pesar del tratamiento inicial.[EN] This article details the GesEPOC 2021 recommendations on the diagnosis and treatment of COPD exacerbation syndrome (CES). The guidelines propose a definition-based syndromic approach, a new classification of severity, and the recognition of different treatable traits (TT), representing a new step toward personalized medicine. The evidence is evaluated using GRADE methodology, with the incorporation of 6 new PICO questions. The diagnostic process comprises four stages: 1) establish a diagnosis of CES, 2) assess the severity of the episode, 3) identify the trigger, and 4) address TTs. This diagnostic process differentiates an outpatient approach, that recommends the inclusion of a basic battery of tests, from a more comprehensive hospital approach, that includes the study of different biomarkers and imaging tests. Bronchodilator treatment for immediate relief of symptoms is considered essential for all patients, while the use of antibiotics, systemic corticosteroids, oxygen therapy, and assisted ventilation and the treatment of comorbidities will vary depending on severity and possible TTs. The use of antibiotics will be indicated particularly if sputum color changes, when ventilatory assistance is required, in cases involving pneumonia, and in patients with elevated C-reactive protein (≥ 20 mg/L). Systemic corticosteroids are recommended in CES that requires admission and are suggested in moderate CES. These drugs are more effective in patients with blood eosinophil counts ≥ 300 cells/mm3. Acute-phase non-invasive mechanical ventilation is specified primarily for patients with CES who develop respiratory acidosis despite initial treatment.Peer reviewe

Sistema de Información del Paisaje Andaluz

Se entiende la creación del Sistema de Información del Paisaje Andaluz (SIPA) como una herramienta básica para el conocimiento, la protección, gestión y ordenación de los paisajes andaluces. El sistema responde a la necesidad de integrar los numerosos y complejos elementos que han de considerarse para la identificación, caracterización, cualificación y seguimiento del paisaje en un modelo objetivo, replicable, homogéneo y sistemático. El sistema se integra en la REDIAM: Red de Información Ambiental de Andalucía, de la Consejería de Medio Ambiente de la Junta de Andalucía

Arquitectura innovadora de visión 3D de estructuras corporales con fines docentes

Memoria ID-114. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2019-2020.[ES]Los objetivos de este proyecto son: el desarrollo de un conjunto de imágenes anatómicas recontruidas en 3D mediante técnicas de diagnóstico por imagen y escáneres digitales, para fines docentes en las titulaciones de las ciencas de la salud; y la generación de un atlas anatómico y radiológico de utilidad para los alumno

Protective effect of microbiota-derived short chain fatty acids on vascular dysfunction in mice with systemic lupus erythematosus induced by toll like receptor 7 activation

https://pubmed.ncbi.nlm.nih.gov/37972724/https://www.sciencedirect.com/science/article/pii/S1043661823003535?via%3DihubOur objective was to investigate whether short-chain fatty acids (SCFAs), specifically acetate and butyrate, could prevent vascular dysfunction and elevated blood pressure (BP) in mice with systemic lupus erythematosus (SLE) induced by TLR7 activation using imiquimod (IMQ). Treatment with both SCFAs and dietary fibers rich in resistant starch (RS) or inulin-type fructans (ITF) effectively prevented the development of hypertension and cardiac hypertrophy. Additionally, these treatments improved aortic relaxation induced by acetylcholine and mitigated vascular oxidative stress. Acetate and butyrate treatments also contributed to the maintenance of colonic integrity, reduced endotoxemia, and decreased the proportion of helper T (Th)17 cells in mesenteric lymph nodes (MLNs), blood, and aorta in TLR7-induced SLE mice. The observed changes in MLNs were correlated with increased levels of GPR43 mRNA in mice treated with acetate and increased GPR41 levels along with decreased histone deacetylase (HDAC)- 3 levels in mice treated with butyrate. Notably, the effects attributed to acetate, but not butyrate, were nullified when co-administered with the GPR43 antagonist GLPG-0974. T cell priming and differentiation into Th17 cells in MLNs, as well as increased Th17 cell infiltration, were linked to aortic endothelial dysfunction and hypertension subsequent to the transfer of faecal microbiota from IMQ-treated mice to germ-free (GF) mice. These effects were counteracted in GF mice through treatment with either acetate or butyrate. To conclude, these findings underscore the potential of SCFA consumption in averting hypertension by restoring balance to the interplay between the gut, immune system, and vascular wall in SLE induced by TLR7 activation.This work was supported by Grants from Ministry of Science and Innovation of Spain (MCIN) (Ref. PID2020-116347RB-I00 funded by MCIN/AEI/ 10.13039/501100011033) co-funded by the European Regional Development Fund FEDER, Consejería de Universidad, Investigación e Innovación de la Junta de Andalucía (Ref. CTS 164, P20_00193, and A-CTS-318-UGR20) with funds from the European Union, and by the Instituto de Salud Carlos III (PI22/01046, CIBER-CV). IR-V is postdoctoral funded by MINECO (FJC2021-048099-I). J.M. is a predoctoral fellow of MINECO (FPU18/02561), and C.G.-C. and S.M. are predoctoral fellow of Junta de Andalucía. The cost of this publication was paid in part with funds from the European Union (Fondo Europeo de Desarrollo Regional, FEDER, “FEDER una manera de hacer Europa”). The authors thank N. Rodríguez and V. Plaza for technical assistance

Aplicaciones prácticas mediante entornos inteligentes con tecnología de control de movimiento para la adquisición de habilidades clínicas

Memoria ID-0023. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2015-2016