Spatial and temporal precipitation patterns of the Ebro River Basin, Spain

The Ebro River Basin, with around 85 000 km2 and located in NE Spain, is characterized by the high spatial heterogeneity of its geology, topography, climatology and land use. Rainfall is one of the most important climatic variables studied owing to its non-homogenous behaviour in event and intensity, which creates drought, water runoff and soil erosion with negative environmental and social consequences. In this work we characterized the rainfall variability pattern in the Ebro River Basin using universal multifractal (UM) analysis, which estimates the concentration of the data around the precipitation average (C1, codimension average), the degree of multiscaling behaviour in time (? index) and the maximum probable singularity in the rainfall distribution ( s). A spatial and temporal analysis of the UM parameters is applied to study the possible changes. With this porpoise, 60 daily rainfall series were selected from 132 synthetic series generated by Luna and Balairón (AEMet). These daily rainfall series present a length of 60 years, from 1950 to 2009. Each one of them was subdivided (1950?1970 and 1980?2009) to analyse the difference between the two periods. The range of variation of precipitation amounts and the frequency of dry events between both periods are discussed, as well as the evolution of the UM parameters through the years

Will Patients Benefit from Regionalization of Gynecologic Cancer Care?

OBJECTIVE: Patient chances for cure and palliation for a variety of malignancies may be greatly affected by the care provided by a treating hospital. We sought to determine the effect of volume and teaching status on patient outcomes for five gynecologic malignancies: endometrial, cervical, ovarian and vulvar carcinoma and uterine sarcoma. METHODS: The Florida Cancer Data System dataset was queried for all patients undergoing treatment for gynecologic cancers from 1990-2000. RESULTS: Overall, 48,981 patients with gynecologic malignancies were identified. Endometrial tumors were the most common, representing 43.2% of the entire cohort, followed by ovarian cancer (30.9%), cervical cancer (20.8%), vulvar cancer (4.6%), and uterine sarcoma (0.5%). By univariate analysis, although patients treated at high volume centers (HVC) were significantly younger, they benefited from an improved short-term (30-day and/or 90-day) survival for cervical, ovarian and endometrial cancers. Multivariate analysis (MVA), however, failed to demonstrate significant survival benefit for gynecologic cancer patients treated at teaching facilities (TF) or HVC. Significant prognostic factors at presentation by MVA were age over 65 (HR = 2.6, p<0.01), African-American race (HR = 1.36, p<0.01), and advanced stage (regional HR = 2.08, p<0.01; advanced HR = 3.82, p<0.01, respectively). Surgery and use of chemotherapy were each significantly associated with improved survival. CONCLUSION: No difference in patient survival was observed for any gynecologic malignancy based upon treating hospital teaching or volume status. Although instances of improved outcomes may occur, overall further regionalization would not appear to significantly improve patient survival

Friedrich Hayek and his visits to Chile

F. A. Hayek took two trips to Chile, the first in 1977, the second in 1981. The visits were controversial. On the first trip he met with General Augusto Pinochet, who had led a coup that overthrew Salvador Allende in 1973. During his 1981 visit, Hayek gave interviews that were published in the Chilean newspaper El Mercurio and in which he discussed authoritarian regimes and the problem of unlimited democracy. After each trip, he complained that the western press had painted an unfair picture of the economic situation under the Pinochet regime. Drawing on archival material, interviews, and past research, we provide a full account of this controversial episode in Hayek’s life