34 research outputs found

    Carbon redistribution by erosion processes in an intensively disturbed catchment

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    29 Pags.- 6 Tabls.- 6 Figs. This article belongs to a special issue of Catena titled "Geoecology in Mediterranean mountain areas. Tribute to Professor José María García Ruiz". The definitive version is available at: http://www.sciencedirect.com/science/journal/03418162Understanding how organic carbon (OC) moves with sediments along the fluvial system is crucial to determining catchment scale carbon budgets and helps the proper management of fragile ecosystems. Especially challenging is the analysis of OC dynamics during fluvial transport in heterogeneous, fragile, and disturbed environments with ephemeral and intense hydrological pulses, typical of Mediterranean conditions. This paper explores the catchment scale OC redistribution by lateral flows in extreme Mediterranean environmental conditions, from a geomorphological perspective. The study area is a catchment (Cárcavo) in SE Spain with a semiarid climate, erodible lithologies, and shallow soils, which is highly disturbed by agricultural terraces, land levelling, reforestation, and construction of check-dams. To increase our understanding of catchment scale OC redistribution induced by erosion, we studied in detail the subcatchments of eight check-dams distributed along the catchments main channel. We determined 137Cs, physicochemical characteristics, and the OC pools of the catchment soils and sediments deposited behind each check-dam, performed spatial analysis of catchment properties and buffer areas around the check-dams, and carried out geomorphological analysis of the slope-channel connections. The soils showed very low total organic carbon (TOC) values, oscillating between 15.2 and 4.4 g kg− 1 for forest and agricultural soils, respectively. Sediments mobilized by erosion were poor in TOC (6.6 ± 0.7 g kg– 1) compared to the eroded (forest) soils, and the redistribution of OC through the catchment, especially of the mineral associated organic carbon (MAC) pool, showed the same pattern as clay particles and 137Cs. The TOC erosion rates estimated for the Cárcavo watershed are relatively low (0.031 ± 0.03 Mg ha− 1 y− 1) but similar to those reported for subhumid Mediterranean catchments that are less fragile and more conducive to plant growth. The TOC erosion/total erosion ratio was lower (0.06%) than other estimates, although the average OC concentration of the sediments was higher than that of the agricultural soils of the catchment, underlining the problem of maintaining sustainable soil OC contents. The OC in deposited sediments came not only from surface erosion processes, but also from deeper soil or sediment layers mobilized by concentrated erosion processes. Sediment richer in OC came from the surface soil of vegetated (reforested) areas close and well connected to the channels. Subcatchments dominated by laminar erosion processes showed a TOC erosion/total erosion ratio that was two times higher than that of subcatchments dominated by concentrated flow erosion processes. The lithology, soils, and geomorphology exert a more important control on OC redistribution than land use and vegetation cover in this geomorphologically very active catchment.This work was financially supported by the projects ADAPT (CGL2013-42009-R) and DISECO (CGL2014-55-405-R) from the Spanish Government, National Plan of Science; the project CAMBIO (18933/JLI/13) of the Seneca Foundation, Regional Government of Murcia (Spain); and the project SOGLO (P7/24 IAP BELSPO) from the Belgian Government. Joris de Vente was supported by a ‘Ramón y Cajal’ grant (RYC-2012-10375).Peer reviewe

    Momento Económico (43)

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    En este número Temas de Hoy, José Antonio Moreno 2. México: La Educación Hoy,Iris Guevara Conzález 3. Semblanza del Maestro Diego Lóez Rosado (1918-1989), Gabriela Lobato 5. Algunos indicadores Económicos, Equipo de Momento Económico y Departamento de Informática Estadística y Hemerografía 6. Un Sexenio de Negociación Obrero-Patronal 1982- 1988, Gustavo López Pardo 11. Presupuesto de Egresos de la Federación 1989, Martha Ceceña Angulo 16. Desaparece el grupo DINA del Presupuesto Público para 1989, Leticia Campos A. y Andrés Blancas N. 19. CEPAL informe preliminar de 1988: Recrudecimiento de la estanflación en el área, Mario Zepeda Martínez 23. Petroleros: Derrota de los líderes y del sindicato, Fabio Barbosa Cano 24. Autoconstruccion: ¿una solución?, Lidia Cadena Pérez-Campos 2

    Transferrin Isoforms, Old but New Biomarkers in Hereditary Fructose Intolerance

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    Hereditary Fructose Intolerance (HFI) is an autosomal recessive inborn error of metabolism characterised by the deficiency of the hepatic enzyme aldolase B. Its treatment consists in adopting a fructose-, sucrose-, and sorbitol (FSS)-restrictive diet for life. Untreated HFI patients present an abnormal transferrin (Tf) glycosylation pattern due to the inhibition of mannose-6-phosphate isomerase by fructose-1-phosphate. Hence, elevated serum carbohydrate-deficient Tf (CDT) may allow the prompt detection of HFI. The CDT values improve when an FSS-restrictive diet is followed; however, previous data on CDT and fructose intake correlation are inconsistent. Therefore, we examined the complete serum sialoTf profile and correlated it with FSS dietary intake and with hepatic parameters in a cohort of paediatric and adult fructosemic patients. To do so, the profiles of serum sialoTf from genetically diagnosed HFI patients on an FSS-restricted diet (n = 37) and their age-, sex- and body mass index-paired controls (n = 32) were analysed by capillary zone electrophoresis. We found that in HFI patients, asialoTf correlated with dietary intake of sucrose (R = 0.575, p < 0.001) and FSS (R = 0.475, p = 0.008), and that pentasialoTf+hexasialoTf negatively correlated with dietary intake of fructose (R = −0.386, p = 0.024) and FSS (R = −0.400, p = 0.019). In addition, the tetrasialoTf/disialoTf ratio truthfully differentiated treated HFI patients from healthy controls, with an area under the ROC curve (AUROC) of 0.97, 92% sensitivity, 94% specificity and 93% accuracy.This work was supported by Exp. No. 2018111095, Basque Government, Health Department to J.D.H., and by FEDER; Federación Española de Enfermedades Raras (FI18053)

    Vitamin C and folate status in hereditary fructose intolerance

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    Background Hereditary fructose intolerance (HFI) is a rare inborn error of fructose metabolism caused by the deficiency of aldolase B. Since treatment consists of a fructose-, sucrose- and sorbitol-restrictive diet for life, patients are at risk of presenting vitamin deficiencies. Although there is no published data on the status of these vitamins in HFI patients, supplementation with vitamin C and folic acid is common. Therefore, the aim of this study was to assess vitamin C and folate status and supplementation practices in a nationwide cohort of HFI patients. Methods Vitamin C and folic acid dietary intake, supplementation and circulating levels were assessed in 32 HFI patients and 32 age- and sex-matched healthy controls. Results Most of the HFI participants presented vitamin C (96.7%) and folate (90%) dietary intake below the recommended population reference intake. Up to 69% received vitamin C and 50% folic acid supplementation. Among HFI patients, 15.6% presented vitamin C and 3.1% folate deficiency. The amount of vitamin C supplementation and plasma levels correlated positively (R = 0.443; p = 0.011). Interestingly, a higher percentage of non-supplemented HFI patients were vitamin C deficient when compared to supplemented HFI patients (30% vs. 9.1%; p = 0.01) and to healthy controls (30% vs. 3.1%; p < 0.001). Conclusions Our results provide evidence for the first time supporting vitamin C supplementation in HFI. There is great heterogeneity in vitamin supplementation practices and, despite follow-up at specialised centres, vitamin C deficiency is common. Further research is warranted to establish optimal doses of vitamin C and the need for folic acid supplementation in HFI.This work was supported by Exp. No. 2018111095, Basque Government, Health Department; FEDER, the Spanish Federation for Rare Diseases (FI18053); and Danone-Nutricia-Metabolics, which was not involved in the study hypothesis/design, execution, analysis, or interpretation

    Safety and Revisit Related to Discharge the Sixty-one Spanish Emergency Department Medical Centers Without Hospitalization in Patients with COVID-19 Pneumonia. A Prospective Cohort Study UMC-Pneumonia COVID-19

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    Background: Information is needed on the safety and efficacy of direct discharge from the emergency department (ED) of patients with COVID-19 pneumonia. Objectives: The objectives of the study were to study the variables associated with discharge from the ED in patients presenting with COVID-19 pneumonia, and study ED revisits related to COVID-19 at 30 days (EDR30d). Methods: Multicenter study of the SIESTA cohort including 1198 randomly selected COVID patients in 61 EDs of Spanish medical centers from March 1, 2020, to April 30, 2020. We collected baseline and related characteristics of the acute episode and calculated the adjusted odds ratios (aOR) for ED discharge. In addition, we analyzed the variables related to EDR30d in discharged patients. Results: We analyzed 859 patients presenting with COVID-19 pneumonia, 84 (9.8%) of whom were discharged from the ED. The variables independently associated with discharge were being a woman (aOR 1.890; 95%CI 1.176-3.037), age 1200/mm(3) (aOR 4.667; 95%CI 1.045-20.839). The EDR30d of the ED discharged group was 40.0%, being lower in women (aOR 0.368; 95%CI 0.142-0.953). A total of 130 hospitalized patients died (16.8%) as did two in the group discharged from the ED (2.4%) (OR 0.121; 95%CI 0.029-0.498). Conclusion: Discharge from the ED in patients with COVID-19 pneumonia was infrequent and was associated with few variables of the episode. The EDR30d was high, albeit with a low mortality

    Helicobacter pylori Diagnostic Tests Used in Europe : Results of over 34,000 Patients from the European Registry on Helicobacter pylori Management

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    Funding Information: This study was funded by Richen; however, clinical data were not accessible and the company was not involved in any stage of the Hp-EuReg study (design, data collection, statistical analysis, or manuscript writing). We want to thank Richen for their support. This project was promoted and funded by the European Helicobacter and Microbiota Study Group (EHMSG), the Spanish Association of Gastroenterology (AEG) and the Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd). The Hp-EuReg was co-funded by the European Union programme HORIZON (grant agreement number 101095359) and supported by the UK Research and Innovation (grant agreement number 10058099). The Hp-EuReg was co-funded by the European Union programme EU4Health (grant agreement number 101101252). Acknowledgments We want to especially thank Sylva-Astrik Torossian for her assistance in language editing. Natalia García Morales is the first author who is acting as the submission’s guarantor. All authors approved the final version of the manuscript.Peer reviewedPublisher PD

    The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients

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    Background: Mortality due to COVID-19 is high, especially in patients requiring mechanical ventilation. The purpose of the study is to investigate associations between mortality and variables measured during the first three days of mechanical ventilation in patients with COVID-19 intubated at ICU admission. Methods: Multicenter, observational, cohort study includes consecutive patients with COVID-19 admitted to 44 Spanish ICUs between February 25 and July 31, 2020, who required intubation at ICU admission and mechanical ventilation for more than three days. We collected demographic and clinical data prior to admission; information about clinical evolution at days 1 and 3 of mechanical ventilation; and outcomes. Results: Of the 2,095 patients with COVID-19 admitted to the ICU, 1,118 (53.3%) were intubated at day 1 and remained under mechanical ventilation at day three. From days 1 to 3, PaO2/FiO2 increased from 115.6 [80.0-171.2] to 180.0 [135.4-227.9] mmHg and the ventilatory ratio from 1.73 [1.33-2.25] to 1.96 [1.61-2.40]. In-hospital mortality was 38.7%. A higher increase between ICU admission and day 3 in the ventilatory ratio (OR 1.04 [CI 1.01-1.07], p = 0.030) and creatinine levels (OR 1.05 [CI 1.01-1.09], p = 0.005) and a lower increase in platelet counts (OR 0.96 [CI 0.93-1.00], p = 0.037) were independently associated with a higher risk of death. No association between mortality and the PaO2/FiO2 variation was observed (OR 0.99 [CI 0.95 to 1.02], p = 0.47). Conclusions: Higher ventilatory ratio and its increase at day 3 is associated with mortality in patients with COVID-19 receiving mechanical ventilation at ICU admission. No association was found in the PaO2/FiO2 variation

    Tratamientos psicológicos empíricamente apoyados para adultos: Una revisión selectiva

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    Antecedentes: los tratamientos psicológicos han mostrado su eficacia, efectividad y eficiencia para el abordaje de los trastornos mentales; no obstante, considerando el conocimiento científico generado en los últimos años, no se dispone de trabajos de actualización en español sobre cuáles son los tratamientos psicológicos con respaldo empírico. El objetivo fue realizar una revisión selectiva de los principales tratamientos psicológicos empíricamente apoyados para el abordaje de trastornos mentales en personas adultas. Método: se recogen niveles de evidencia y grados de recomendación en función de los criterios propuestos por el Sistema Nacional de Salud de España (en las Guías de Práctica Clínica) para diferentes trastornos psicológicos. Resultados: los resultados sugieren que los tratamientos psicológicos disponen de apoyo empírico para el abordaje de un amplio elenco de trastornos psicológicos. El grado de apoyo empírico oscila de bajo a alto en función del trastorno psicológico analizado. La revisión sugiere que ciertos campos de intervención necesitan una mayor investigación. Conclusiones: a partir de esta revisión selectiva, los profesionales de la psicología podrán disponer de información rigurosa y actualizada que les permita tomar decisiones informadas a la hora de implementar aquellos procedimientos psicoterapéuticos empíricamente fundamentados en función de las características de las personas que demandan ayuda. Background: Psychological treatments have shown their efficacy, effectiveness, and efficiency in dealing with mental disorders. However, considering the scientific knowledge generated in recent years, in the Spanish context, there are no updating studies about empirically supported psychological treatments. The main goal was to carry out a selective review of the main empirically supported psychological treatments for mental disorders in adults. Method: Levels of evidence and degrees of recommendation were collected based on the criteria proposed by the Spanish National Health System (Clinical Practice Guidelines) for different psychological disorders. Results: The results indicate that psychological treatments have empirical support for the approach to a wide range of psychological disorders. These levels of empirical evidence gathered range from low to high depending on the psychological disorder analysed. The review indicates the existence of certain fields of intervention that need further investigation. Conclusions: Based on this selective review, psychology professionals will be able to have rigorous, up-to-date information that allows them to make informed decisions when implementing empirically based psychotherapeutic procedures based on the characteristics of the people who require help
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