Boletín de la Sociedad GeolóGica Mexicana VoluMen 63

Abstract The Institut Geològic de Catalunya (IGC) and the Institut Cartogràfic de Catalunya (ICC) have begun a joint project to model snowpack depth distribution in the Núria valley (a 38 km 2 basin located in the Eastern Pyrenees) in order to evaluate water reserves in mountain watersheds . The evaluation was based on a remote sensing airborne LIDAR survey and validated with field-work calculations. Previous studies have applied geostatistical techniques to extrapolate sparse point data obtained from costly field-work campaigns. Despite being a recently developed technique, LIDAR has become a useful method in snow sciences as it produces dense point data and covers wide areas. The new methodology presented here combines LIDAR data with field-work, the use of geographical information systems (GIS) and the stepwise regression tree (SRT), as an extrapolation technique. These methods have allowed us to map snowpack depth distribution in high spatial resolution. Extrapolation was necessary because raw LIDAR data was only obtained from part of the study area in order to minimise costs. Promising results show high correlation between LIDAR data and field data, validating the use of airborne laser altimetry to estimate snow depth. Moreover, differences of total snow volume calculated from modeled snowpack distribution and total volume from LIDAR data differ by only 1 %

La medicina y los seguros en el abordaje del problema de los inválidos del trabajo en España en la primera mitad del siglo XX Medicine, social security, and occupational disabilities in Spain in the first half of the twentieth century

En el presente trabajo, utilizando fuentes legislativas, médicas, de algunas instituciones (CRS, IRS, INP, Irpit y Clínica del Trabajo), prensa general y obrera, se estudia el abordaje del problema de los inválidos del trabajo durante la primera mitad del siglo XX. Se trata de poner de relieve cómo junto a medidas de protección social se fue generando y articulando una atención médica especializada del accidentado que tendría como objetivo final la reintegración del inválido del trabajo a la sociedad.<br>Relying on legislative, medical, institutional, media, and labor sources, the article examines how the issue of worker disabilities was addressed during the first half of the twentieth century. It shows how specialized medical care developed and evolved, along with a social safety network, with the ultimate aim of integrating those with occupational disabilities back into work and society

A plan for city of cities in the coast of Granada. Workshop plans and projects, 2012-2013. Master of Urbanism, University of Granada

Este trabajo muestra los resultados del estudio realizado por los alumnos y profesores de la asignatura Taller de Planes y Proyectos del Máster de Urbanismo de la UGR, el cual fija su atención en la Costa Tropical granadina, en principio en los municipios de Motril, Salobreña y Almuñécar, pero a los que a medida que avanzaba el curso se le unieron los municipios y localidades de Jete, Ítrabo, Molvízar y Lobres, para mejor abordar el concepto de línea costera. Desde el principio del trabajo, las divisiones administrativas municipales son obviadas, para concebir el territorio como una ciudad-región o ciudad de ciudades.This work shows the results of the study conducted by the students and professors of the Workshop Plans and Projects, Master of Urbanism at the University of Granada, which focuses attention on the Tropical Coast, initially in the towns of Motril, Salobreña and Almuñécar, but that as the course progressed he was joined by the cities and towns of Jete, Ítrabo, Lobres Molvízar and to better address the concept of coastline. From the beginning of work, municipal administrative divisions are obviated, to conceive the territory as a city-region or city of cities

Behavior of hospitalized severe influenza cases according to the outcome variable in Catalonia, Spain, during the 2017-2018 season

Altres ajuts: Programme of Prevention, Surveillance and Control of Transmissible Diseases (PREVICET); CIBER de Epidemiología y Salud Pública (CIBERESP).Influenza is an important cause of severe illness and death among patients with underlying medical conditions and in the elderly. The aim of this study was to investigate factors associated with ICU admission and death in patients hospitalized with severe laboratory-confirmed influenza during the 2017-2018 season in Catalonia. An observational epidemiological case-to-case study was carried out. Reported cases of severe laboratory-confirmed influenza requiring hospitalization in 2017-2018 influenza season were included. Mixed-effects regression analysis was used to estimate the factors associated with ICU admission and death. A total of 1306 cases of hospitalized severe influenza cases were included, of whom 175 (13.4%) died and 217 (16.6%) were ICU admitted. Age 65-74 years and ≥ 75 years and having ≥ 2 comorbidities were positively associated with death (aOR 3.19; 95%CI 1.19-8.50, aOR 6.95, 95%CI 2.76-1.80 and aOR 1.99; 95%CI 1.12-3.52, respectively). Neuraminidase inhibitor treatment and pneumonia were negatively associated with death. The 65-74 years and ≥ 75 years age groups were negatively associated with ICU admission (aOR 0.41; 95%CI 0.23-0.74 and aOR 0.30; 95%CI 0.17-0.53, respectively). A factor positively associated with ICU admission was neuraminidase inhibitor treatment. Our results support the need to investigate the worst outcomes of hospitalized severe cases, distinguishing between death and ICU admission

Avances de la Investigación en Ingeniería

El texto está conformado por 31 capítulos, agrupados en 5 grandes áreas temáticas. En la primera parte se encuentran los trabajos relacionados con el tema de los Recursos Hidráulicos; en la segunda parte se tratan temas relacionados con la Planificación y Gestión del Territorio; la tercera parte está relacionada con el Manejo Integral de los Recursos Agua, Aire y Suelo; la cuarta parte incluye la Investigación Aplicada a la Ingeniería de Sistemas, y la última parte comprende la Investigación Aplicada a la Ingeniería Civil

Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe

Background Little is known about the incidence of severe critical events in children undergoing general anaesthesia in Europe. We aimed to identify the incidence, nature, and outcome of severe critical events in children undergoing anaesthesia, and the associated potential risk factors. Methods The APRICOT study was a prospective observational multicentre cohort study of children from birth to 15 years of age undergoing elective or urgent anaesthesia for diagnostic or surgical procedures. Children were eligible for inclusion during a 2-week period determined prospectively by each centre. There were 261 participating centres across 33 European countries. The primary endpoint was the occurence of perioperative severe critical events requiring immediate intervention. A severe critical event was defined as the occurrence of respiratory, cardiac, allergic, or neurological complications requiring immediate intervention and that led (or could have led) to major disability or death. This study is registered with ClinicalTrials.gov, number NCT01878760. Findings Between April 1, 2014, and Jan 31, 2015, 31â127 anaesthetic procedures in 30â874 children with a mean age of 6·35 years (SD 4·50) were included. The incidence of perioperative severe critical events was 5·2% (95% CI 5·0â5·5) with an incidence of respiratory critical events of 3·1% (2·9â3·3). Cardiovascular instability occurred in 1·9% (1·7â2·1), with an immediate poor outcome in 5·4% (3·7â7·5) of these cases. The all-cause 30-day in-hospital mortality rate was 10 in 10â000. This was independent of type of anaesthesia. Age (relative risk 0·88, 95% CI 0·86â0·90; p<0·0001), medical history, and physical condition (1·60, 1·40â1·82; p<0·0001) were the major risk factors for a serious critical event. Multivariate analysis revealed evidence for the beneficial effect of years of experience of the most senior anaesthesia team member (0·99, 0·981â0·997; p<0·0048 for respiratory critical events, and 0·98, 0·97â0·99; p=0·0039 for cardiovascular critical events), rather than the type of health institution or providers. Interpretation This study highlights a relatively high rate of severe critical events during the anaesthesia management of children for surgical or diagnostic procedures in Europe, and a large variability in the practice of paediatric anaesthesia. These findings are substantial enough to warrant attention from national, regional, and specialist societies to target education of anaesthesiologists and their teams and implement strategies for quality improvement in paediatric anaesthesia. Funding European Society of Anaesthesiology

Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe

Background Little is known about the incidence of severe critical events in children undergoing general anaesthesia in Europe. We aimed to identify the incidence, nature, and outcome of severe critical events in children undergoing anaesthesia, and the associated potential risk factors. Methods The APRICOT study was a prospective observational multicentre cohort study of children from birth to 15 years of age undergoing elective or urgent anaesthesia for diagnostic or surgical procedures. Children were eligible for inclusion during a 2-week period determined prospectively by each centre. There were 261 participating centres across 33 European countries. The primary endpoint was the occurence of perioperative severe critical events requiring immediate intervention. A severe critical event was defined as the occurrence of respiratory, cardiac, allergic, or neurological complications requiring immediate intervention and that led (or could have led) to major disability or death. This study is registered with ClinicalTrials.gov, number NCT01878760. Findings Between April 1, 2014, and Jan 31, 2015, 31 127 anaesthetic procedures in 30 874 children with a mean age of 6.35 years (SD 4.50) were included. The incidence of perioperative severe critical events was 5.2% (95% CI 5.0-5.5) with an incidence of respiratory critical events of 3.1% (2.9-3.3). Cardiovascular instability occurred in 1.9% (1.7-2.1), with an immediate poor outcome in 5.4% (3.7-7.5) of these cases. The all-cause 30-day in-hospital mortality rate was 10 in 10 000. This was independent of type of anaesthesia. Age (relative risk 0.88, 95% CI 0.86-0.90; p<0.0001), medical history, and physical condition (1.60, 1.40-1.82; p<0.0001) were the major risk factors for a serious critical event. Multivariate analysis revealed evidence for the beneficial effect of years of experience of the most senior anaesthesia team member (0.99, 0.981-0.997; p<0.0048 for respiratory critical events, and 0.98, 0.97-0.99; p=0.0039 for cardiovascular critical events), rather than the type of health institution or providers. Interpretation This study highlights a relatively high rate of severe critical events during the anaesthesia management of children for surgical or diagnostic procedures in Europe, and a large variability in the practice of paediatric anaesthesia. These findings are substantial enough to warrant attention from national, regional, and specialist societies to target education of anaesthesiologists and their teams and implement strategies for quality improvement in paediatric anaesthesia