MODIS Sensor Capability to Burned Area Mapping—Assessment of Performance and Improvements Provided by the Latest Standard Products in Boreal Regions

This paper presents an accuracy assessment of the main global scale Burned Area (BA) products, derived from daily images of the Moderate-Resolution Imaging Spectroradiometer (MODIS) Fire_CCI 5.1 and MCD64A1 C6, as well as the previous versions of both products (Fire_CCI 4.1 and MCD45A1 C5). The exercise was conducted on the boreal region of Alaska during the period 2000–2017. All the BA polygons registered by the Alaska Fire Service were used as reference data. Both new versions doubled the annual BA estimate compared to the previous versions (66% for Fire_CCI 5.1 versus 35% for v4.1, and 63% for MCD64A1 C6 versus 28% for C5), reducing the omission error (OE) by almost one half (39% versus 67% for Fire_CCI and 48% versus 74% for MCD) and slightly increasing the commission error (CE) (7.5% versus 7% for Fire_CCI and 18% versus 7% for MCD). The Fire_CCI 5.1 product (CE = 7.5%, OE = 39%) presented the best results in terms of positional accuracy with respect to MCD64A1 C6 (CE = 18%, OE = 48%). These results suggest that Fire_CCI 5.1 could be suitable for those users who employ BA standard products in geoinformatics analysis techniques for wildfire management, especially in Boreal regions. The Pareto boundary analysis, performed on an annual basis, showed that there is still a potential theoretical capacity to improve the MODIS sensor-based BA algorithms

Care for immigrant patients: facts and professionals' perception in 6 primary health care zones in Navarre

Fundamento. Describir la utilización de servicios y motivos de consulta en Atención Primaria entre población autóctona e inmigrante y contrastarla con la percepción que tienen los profesionales de atención primaria. Material y métodos. Se recogieron datos de actividad asistencial durante el año 2006 de la totalidad de personas adscritas (N=86.966) a las 6 zonas básicas con mayor proporción de población inmigrante (14,4 %) y las variables: país de origen, edad, sexo, año de alta en el sistema sanitario. Se utilizaron bases datos de tarjeta sanitaria y de programa OMI-AP. Se utilizó metodología cualitativa de grupos de discusión y entrevistas en profundidad. Resultados. El 72,4% de inmigrantes solicitaron atención de profesionales de atención primaria en 2006, de los cuales un 50% procedía de Ecuador y un 70% tenía entre 25 y 44 años. Los autóctonos consultantes fueron el 82% y requirieron más derivaciones a atención especializada que los inmigrantes del mismo grupo de edad. La consulta más frecuente en autóctonos e inmigrantes fue «infecciones respiratorias agudas» (7 al 23%, según grupos de edad). La segunda en inmigrantes fue «problemas administrativos ». Las consultas de inmigrantes no se relacionan con aspectos preventivos como tabaquismo y sí tuvieron más consultas (p>0,001) de episodios gineco-obstétricos (10,7%) y de los relacionados con problemas laborales (19%) o psicosomáticos (8,5%). La percepción de los profesionales de atención primaria era que la población inmigrante consulta más que la autóctona y genera cierto «desorden» en la consulta. Conclusión. Los inmigrantes son menos utilizadores de servicios sanitarios y frecuentadores que los autóctonos. Sin embargo, este hecho no es percibido así por los profesionales de atención primaria. Con inmigrantes se realizan menos actividades preventivas y padecen más problemas laborales y psicosomáticos.Background. To describe utilisation of health care services and motives for consultation in Primary Care in the native and the immigrant population, and compare this with the perception of primary care professionals. Methods. Data was collected on health care activity during the year 2006 for all people registered (N=86, 966) in the 6 basic health care zones with the highest proportion of immigrants (14.4%) and on the following variables: country of origin, age, sex, year of inscription in the public health service. The health card and OMI-AP programme databases were used. A qualitative methodology of focus groups anti in-depth interviews was employed. Results. Seventy-two point four percent of immigrants requested care from the primary care professionals in 2006, of whom 50% proceeded from Ecuador and 70% were between 25 and 44 years old. Eighty-two percent of the natives made consultations and required more referrals to specialised care than the immigrants of the same age group. The most frequent consultation with natives and with immigrants was "acute respiratory infections" (7 to 23% according to age group). The second most frequent with immigrants was administrative problems. The consultations with immigrants were not related to preventive aspects such as smoking and there were more consultations (p>0.001) for gynaeco-obstetric episodes (10.7%) and those related to work (19%) or psychosomatic problems (8.5%). The perception of the primary care professionals was that the immigrants carry out more consultations than the natives and generate a certain disorder, , in the clinic. Conclusion. Immigrants use healthcare services less than the native population. Nonetheless, this fact is not perceived in this way by the primary care professionals. Fewer preventive activities are carried out with immigrants, who suffer from more labour and psychosomatic problems

Nutrición enteral domiciliaria en España: registro Nadya del año 2011-2012

Objective: To describe the results of the home enteral nutrition (HEN) registry of the NADYA-SENPE group in 2011 and 2012. Material and methods: We retrieved the data of the patients recorded from January 1st 2011 to December 31st 2012. Results: There were 3021 patients in the registry during the period from 29 hospitals, which gives 65.39 per million inhabitants. 97.95% were adults, 51.4% male. Mean age was 67.64 ± 19.1, median age was 72 years for adults and 7 months for children. Median duration with HEN was 351 days and for 97.5% was their first event with HEN. Most patients had HEN because of neurological disease (57.8%). Access route was nasogastric tube for 43.5% and gastrostomy for 33.5%. Most patients had limited activity level and, concerning autonomy, 54.8% needed total help. Nutritional formula was supplied from chemist’s office to 73.8% of patients and disposables, when necessary, was supplied from hospitals to 53.8% of patients. HEN was finished for 1,031 patients (34.1%) during the period of study, 56.6% due to decease and 22.2% due to recovery of oral intake. Conclusions: Data from NADYA-SENPE registry must be explained cautiously because it is a non-compulsory registry. In spite of the change in the methodology of the registry in 2010, tendencies regarding HEN have been maintained, other than oral routeObjetivos: Describir los resultados del registro de nutrición enteral domiciliaria (NED) del grupo NADYASENPE de los años 2011 y 12. Material y métodos: Se recopilaron los datos introducidos en el registro desde el 1 de enero de 2011 al 31 de diciembre de 2012. Resultados: Hubo 3021 pacientes en el registro durante el periodo, procedentes de 29 hospitales, lo que da una prevalencia de 65,39 casos por millón de habitantes. 97.95% fueron adultos, 51,4% varones. La edad media fue 67,64 ± 19,1 años y la mediana 72 años para los adultos y 7 meses para los niños. La duración media de la NED fue 351 días y para el 97,5% fue el primer episodio con NED. La mayoría de pacientes tenían NED por una enfermedad neurológica (57,8%). La vía de acceso fue sonda nasogástrica para el 43,5% y gastrostomía para el 33,5%. La mayoría de pacientes tuvieron un nivel de actividad física limitado y, respecto a la autonomía, 54,8% necesitaba ayuda total. La fórmula de nutrición se suministró desde las oficinas de farmacia para el 73,8% y los fungibles, cuando fueron necesarios, desde los hospitales para el 53,8%. La NED se suspendió en 1.031 pacientes (34,1%) durante el periodo de estudio, 56,6% debido a fallecimiento y 22,2% debido a recuperación de la vía oral. Conclusiones: Los datos del registro NADYA-SENPE deben ser interpretados con precaución ya que se trata de un registro voluntario. A pesar del cambio de metodología del registro en 2010, las tendencias en NED se han mantenido, salvo la importancia cuantitativa de la vía ora

Knowledge to Serve the City: Insights from an Emerging Knowledge-Action Network to Address Vulnerability and Sustainability in San Juan, Puerto Rico

This paper presents initial efforts to establish the San Juan Urban Long-Term Research Area Exploratory (ULTRA-Ex), a long-term program aimed at developing transdisciplinary social-ecological system (SES) research to address vulnerability and sustainability for the municipality of San Juan. Transdisciplinary approaches involve the collaborations between researchers, stakeholders, and citizens to produce socially-relevant knowledge and support decision-making. We characterize the transdisciplinary arrangement emerging in San Juan ULTRA-Ex as a knowledge-action network composed of multiple formal and informal actors (e.g., scientists, policymakers, civic organizations and other stakeholders) where knowledge, ideas, and strategies for sustainability are being produced, evaluated, and validated. We describe in this paper the on-the-ground social practices and dynamics that emerged from developing a knowledge-action network in our local context. Specifically, we present six social practices that were crucial to the development of our knowledge-action network: 1) understanding local framings; 2) analyzing existing knowledge-action systems in the city; 3) framing the social-ecological research agenda; 4) collaborative knowledge production and integration; 5) boundary objects and practices; and 6) synthesis, application, and adaptation. We discuss key challenges and ways to move forward in building knowledge-action networks for sustainability. Our hope is that the insights learned from this process will stimulate broader discussions on how to develop knowledge for urban sustainability, especially in tropical cities where these issues are under-explored

Calbindin-D32k Is Localized to a Subpopulation of Neurons in the Nervous System of the Sea Cucumber Holothuria glaberrima (Echinodermata)

Members of the calbindin subfamily serve as markers of subpopulations of neurons within the vertebrate nervous system. Although markers of these proteins are widely available and used, their application to invertebrate nervous systems has been very limited. In this study we investigated the presence and distribution of members of the calbindin subfamily in the sea cucumber Holothuria glaberrima (Selenka, 1867). Immunohistological experiments with antibodies made against rat calbindin 1, parvalbumin, and calbindin 2, showed that these antibodies labeled cells and fibers within the nervous system of H. glaberrima. Most of the cells and fibers were co-labeled with the neural-specific marker RN1, showing their neural specificity. These were distributed throughout all of the nervous structures, including the connective tissue plexi of the body wall and podia. Bioinformatics analyses of the possible antigen recognized by these markers showed that a calbindin 2-like protein present in the sea urchin Strongylocentrotus purpuratus, corresponded to the calbindin-D32k previously identified in other invertebrates. Western blots with anti-calbindin 1 and anti-parvalbumin showed that these markers recognized an antigen of approximately 32 kDa in homogenates of radial nerve cords of H. glaberrima and Lytechinus variegatus. Furthermore, immunoreactivity with anti-calbindin 1 and anti-parvalbumin was obtained to a fragment of calbindin-D32k of H. glaberrima. Our findings suggest that calbindin-D32k is present in invertebrates and its sequence is more similar to the vertebrate calbindin 2 than to calbindin 1. Thus, characterization of calbindin-D32k in echinoderms provides an important view of the evolution of this protein family and represents a valuable marker to study the nervous system of invertebrates

Severe Hindrance of Viral Infection Propagation in Spatially Extended Hosts

The production of large progeny numbers affected by high mutation rates is a ubiquitous strategy of viruses, as it promotes quick adaptation and survival to changing environments. However, this situation often ushers in an arms race between the virus and the host cells. In this paper we investigate in depth a model for the dynamics of a phenotypically heterogeneous population of viruses whose propagation is limited to two-dimensional geometries, and where host cells are able to develop defenses against infection. Our analytical and numerical analyses are developed in close connection to directed percolation models. In fact, we show that making the space explicit in the model, which in turn amounts to reducing viral mobility and hindering the infective ability of the virus, connects our work with similar dynamical models that lie in the universality class of directed percolation. In addition, we use the fact that our model is a multicomponent generalization of the Domany-Kinzel probabilistic cellular automaton to employ several techniques developed in the past in that context, such as the two-site approximation to the extinction transition line. Our aim is to better understand propagation of viral infections with mobility restrictions, e.g., in crops or in plant leaves, in order to inspire new strategies for effective viral control

MEDIDAS PARA LA CONSERVACIÓN DE LA BIODIVERSIDAD DE LOS POLINIZADORES SILVESTRES EN LA PENÍNSULA IBÉRICA

Los científicos y científicas abajo firmantes consideramos muy importante hacer llegar a instituciones, agricultores/as y a la sociedad en general, la necesidad urgente de implementar conjuntamente medidas y cambios que consigan frenar el declive de los polinizadores silvestres ocasionado por la actividad humana. Durante la última década, son múltiples los estudios que alertan de la creciente desaparición de los polinizadores por todo el mundo, en concreto de las abejas silvestres, (Biesmeijer et al. 2006; Potts et al. 2010; Burkle et al. 2013), y de las graves consecuencias que su déficit podría provocar sobre la biodiversidad global (Biesmeijer et al. 2006; Burkle et al. 2013; Lundgren et al. 2016) y sobre la producción agrícola (Aizen y Harder 2009; Garibaldi et al. 2013). No debemos olvidar que la península Ibérica es, por su condición mediterránea y su proximidad al continente africano, uno de los lugares con mayor diversidad de polinizadores de la Unión Europea y, en concreto, una de las zonas con mayor diversidad de abejas del mundo (Michener 2007; Nieto et al. 2014). Hasta el momento, el número de especies de abejas en España presentes en la zona íbero-balear es algo superior a 1.100, cifra a la que cabe añadir algunas especies exclusivas de Portugal más los nuevos hallazgos de los últimos años (Ortiz-Sánchez 2011). Esta gran diversidad de abejas y polinizadores en general está asociada al gran número de especies de plantas con flor presentes en la península Ibérica, alrededor de las 7.000 especies (Aguado Martín et al. 2015). En cuanto al número de mariposas y polillas (lepidópteros) se estima que existen en la península Ibérica unas 5.000 especies (Stefanescu et al. 2018). Más difícil es estimar el número exacto de especies de escarabajos florícolas (coleópteros polinizadores), pero atendiendo a la riqueza de los principales géneros podemos estimar su número en más de 750 (Stefanescu et al. 2018). Somos conscientes de que, a pesar del desarrollo explosivo de los últimos 10 años de la investigación en ecología y gestión de la polinización de los cultivos por insectos silvestres, hoy en día son numerosas las lagunas de conocimiento básico y aplicado sobre el estado de conservación de los insectos polinizadores silvestres. Y es, bajo esta premisa, que presentamos este trabajo de revisión de la literatura científica sobre insectos polinizadores desde principios del siglo XX hasta ahora, cuyo resultado ha quedado plasmado en una lista, no exhaustiva, de los aspectos que consideramos fundamentales para el desarrollo y debate de esta relevante cuestió

Programa de Atención al Ictus en Aragón (PAIA). Estrategia del cambio y resultados en el periodo 2009-2014

Introducción En 2008, Aragón tenía tasas de morbimortalidad y discapacidad por ictus superiores a las del conjunto de España. Se estableció la necesidad de desarrollar un Programa de Atención al Ictus (PAIA). Material y métodos Damos a conocer la dinámica de planificación, implantación, evaluación y mejora que se ha desarrollado entre los años 2009-2014 y sus resultados a 5 años. Resultados Se ha mejorado en la estructura, en los procesos y en los resultados, con mejoría en los indicadores clave de la asistencia (audit 2008-2010-2012) y otros: tasa ictus 2013: 2, 07 (2008: 2, 36); 78% ictus atendidos en áreas/unidades en 2014 (30%, 2008); tasa fibrinólisis 8, 3% en 2014 (4, 4%, 2010); fibrinólisis hospitales secundarios (30% total); fibrinólisis con teleictus 9%; descenso de la mortalidad por ictus, 38%; años de vida prematura perdidos 67, 7 (2013)/144 (2008); capacitación de enfermería, desarrollo de la neurosonología, trabajo en red, con protocolos y buenas prácticas compartidos entre sectores sanitarios, etc. Conclusiones La gestión por procesos y equipos multidisciplinares desplegados en una distribución territorial integral, con protocolos y referencias establecidas y una dinámica de evaluación y mejora continua, ha demostrado ser una herramienta potente para garantizar la calidad y la equidad. El PAIA, por su dinámica de mejora sostenida y la implicación de los clínicos, es un buen ejemplo de gestión clínica y trabajo en red. Introduction: In 2008, stroke mortality, morbidity, and disability rates in Aragon were higher than the average in Spain. These data underscored the need to develop a stroke care programme (PAIA). Material and methods: We present the dynamics of planning, implementation, evaluation, and improvement developed between 2009 and 2014 as well as the results of the PAIA after that 5-year period. Results: Structure, processes, and outcomes have improved with reference to the key indicators of healthcare (audit: 2008, 2010, 2012) among others: stroke rate in 2013 was 2.07 (2.36 in 2008); 78% of strokes were managed in stroke units in 2014 (30% in 2008); rate of fibrinolysis was 8.3% in 2014 (4.4% in 2010); fibrinolysis was administered in secondary hospitals (30% of the total); fibrinolysis was administered by Telestroke in 9%; stroke mortality decreased (38%); 67.7 years of potential life lost (YPLL) in 2013 (144 in 2008); nurse training; development of neurosonology; networking; sharing protocols and best practices between health sectors, etc. Conclusions: Integrated process management and multidisciplinary teams distributed and deployed over an entire territory with established protocols, references, evaluations, and continuous development, have been proven powerful tools to ensure both quality and equality. The PAIA is a good example of clinical governance and networking due to its dynamic and sustained improvement and cooperation between clinicians

Conocimientos tradicionales relativos a la biodiversidad agrícola

La biodiversidad agrícola, a diferencia de la silvestre, requiere la acción continuada de los agricultores para su conservación, ya que las plantas cultivadas dependen de la intervención humana, con actividades como la selección, la siembra, el abonado, la poda u otras prácticas agrícolas para su supervivencia. Desde la revolución agrícola del Neolítico hasta la actualidad, estas prácticas y conocimientos han ido generando y conservando una gran diversidad, amenazada a partir de la segunda mitad del siglo XX por las causas que se han indicado anteriormente.Peer reviewe

Assessment of a New ROS1 Immunohistochemistry Clone (SP384) for the Identification of ROS1 Rearrangements in Patients with Non–Small Cell Lung Carcinoma: the ROSING Study

Introduction: The ROS1 gene rearrangement has become an important biomarker in NSCLC. The College of American Pathologists/International Association for the Study of Lung Cancer/Association for Molecular Pathology testing guidelines support the use of ROS1 immunohistochemistry (IHC) as a screening test, followed by confirmation with fluorescence in situ hybridization (FISH) or a molecular test in all positive results. We have evaluated a novel anti-ROS1 IHC antibody (SP384) in a large multicenter series to obtain real-world data. Methods: A total of 43 ROS1 FISH-positive and 193 ROS1 FISH-negative NSCLC samples were studied. All specimens were screened by using two antibodies (clone D4D6 from Cell Signaling Technology and clone SP384 from Ventana Medical Systems), and the different interpretation criteria were compared with break-apart FISH (Vysis). FISH-positive samples were also analyzed with next-generation sequencing (Oncomine Dx Target Test Panel, Thermo Fisher Scientific). Results: An H-score of 150 or higher or the presence of at least 70% of tumor cells with an intensity of staining of 2+ or higher by the SP384 clone was the optimal cutoff value (both with 93% sensitivity and 100% specificity). The D4D6 clone showed similar results, with an H-score of at least 100 (91% sensitivity and 100% specificity). ROS1 expression in normal lung was more frequent with use of the SP384 clone (p < 0.0001). The ezrin gene (EZR)-ROS1 variant was associated with membranous staining and an isolated green signal FISH pattern (p = 0.001 and p = 0.017, respectively). Conclusions: The new SP384 ROS1 IHC clone showed excellent sensitivity without compromising specificity, so it is another excellent analytical option for the proposed testing algorithm