Metodología para la tipificación hidromorfológica de los cursos fluviales de Aragón en aplicaciones de la directiva marco de aguas (2000/60/CE)

Classification of the different types of rivers and streams is a key process in the application of the Directive 2000/60/EC to determine the ecological quality of rivers. We report a simple method of characterization based on hydromorphological standards and on the description criteria proposed by the Directive. Three overall groups of characterization criteria are established: topographical, hydroclimatic and geomorphological. After that a simplification process is performed, leading to the definition of 13 basic types applicable to the Aragonese drainage network.Diferenciar distintos tipos de cursos de agua en la red fluvial es un proceso clave de la aplicación de la Directiva 2000/60/CE a la determinación de la calidad ecológica de los ríos. Se aporta un sencillo método de tipificación basado en criterios hidromorfológicos y apoyado en los descriptores que propone la Directiva. Se establecen tres grandes grupos de criterios de tipificación: topográficos, hidroclimáticos y geomorfológicos. A continuación se desarrolla un proceso de siinplificación que desemboca en la definición de 13 tipos básicos aplicables a la red fluvial aragonesa

The Harvey-Bradshaw Index Adapted to a Mobile Application Compared with In-Clinic Assessment: The MediCrohn Study

Objectives: Mobile apps are useful tools in e-health and self-management strategies in disease monitoring. We evaluated the Harvey-Bradshaw index (HBI) mobile app self-administered by the patient to see if its results agreed with HBI in-clinic assessed by a physician. Methods: Patients were enrolled in a 4-month prospective study with clinical assessments at months 1 and 4. Patients completed mobile app HBI and within 48 h, HBI was performed by a physician (gold standard). HBI scores characterized Crohn's disease (CD) as remission <5 or active ≥5. We determined agreement per item and total HBI score and intraclass correlation coefficients (ICCs). Bland-Altman plot was performed. HBI changes in disease activity from month 1 to month 4 were determined. Results: A total of 219 patients were enrolled. All scheduled assessments (385 pairs of the HBI questionnaire) showed a high percentage of agreement for remission/activity (92.4%, κ = 0.796), positive predictive value (PPV) for remission of 98.2%, and negative predictive value of 76.7%. High agreement was also found at month 1 (93.15%, κ = 0.82) and month 4 (91.5%, κ = 0.75). Bland-Altman plot was more uniform when the HBI mean values were <5 (remission). ICC values were 0.82, 0.897, and 0.879 in all scheduled assessments, 1 and 4 months, respectively. Conclusions: We found a high percentage of agreement between patients' self-administered mobile app HBI and in-clinic physician assessment to detect CD activity with a remarkably high PPV for remission. The mobile app HBI might allow a strict control of inflammation by remote monitoring and flexible follow-up of CD patients. Reduction of sanitary costs could be possible

Ileal Crohn's disease: MRI with endoscopic correlation

International audienceTo evaluate activity staging of Crohn's disease (CD) measured with MR-enterography using ileoscopy as reference standard.Materials and methods: A prospective study was made of 61 patients with CD. All patients underwent MR-enterography and ileoscopy. MRI activity was measured by means of an ad hoc developed score, as well as by analysis of the imaging findings, and was compared with the SES-CD score obtained via ileoscopy. Examinations were performed using a 1.0 Tesla scanner

Public´s negative perception towards wood in rivers, does it relate to recent impact of flooding?

International audienc

Does the public's negative perception towards wood in rivers relate to recent impact of flooding experiencing?

International audienc

Public´s negative perception towards wood in rivers, does it relate to recent impact of flooding?

International audienc