The case of a southern European glacier disappearing under recent warming that survived Roman and Medieval warm periods

Mountain glaciers have generally experienced an accelerated retreat over the last three decades as a rapid response to current global warming. However, the response to previous warm periods in the Holocene is not well-described for glaciers of the of southern Europe mountain ranges, such as the Pyrenees. The situation during the Medieval Climate Anomaly (900-1300 CE) is particularly relevant since it is not certain whether the glaciers just experienced significant ice loss or whether they actually disappeared. We present here the first chronological study of a glacier located in the Central Pyrenees (N Spain), the Monte Perdido Glacier (MPG), carried out by different radiochronological techniques and their comparison with geochemical proxies with neighboring paleoclimate records. The result of the chronological model proves that the glacier endured during the Roman Period and the Medieval Climate Anomaly. The lack of ice from last 600 years indicates that the ice formed during the Little Ice Age has melted away. The analyses of the content of several metals of anthropogenic origin, such as Zn, Se, Cd, Hg, Pb, appear in low amounts in MPG ice, which further supports our age model in which the record from the industrial period is lost. This study confirms the exceptional warming of the last decades in the context of last two millennia. We demonstrate that we are facing an unprecedented retreat of the 55 Pyrenean glaciers which survival is compromised beyond a few decades

Ibrutinib in Combination With Rituximab for Indolent Clinical Forms of Mantle Cell Lymphoma (IMCL-2015): A Multicenter, Open-Label, Single-Arm, Phase II Trial

PURPOSE The need for an individualized management of indolent clinical forms in mantle cell lymphoma (MCL) is increasingly recognized. We hypothesized that a tailored treatment with ibrutinib in combination with rituximab (IR) could obtain significant responses in these patients. METHODS This is a multicenter single-arm, open-label, phase II study with a two-stage design conducted in 12 Spanish GELTAMO sites (ClinicalTrials.gov identifier: NCT02682641). Previously untreated MCL patients with indolent clinical forms defined by the following criteria were eligible: no disease-related symptoms, nonblastoid variants, Ki-67 < 30%, and largest tumor diameter <= 3 cm. Both leukemic non-nodal and nodal subtypes were recruited. Patients received ibrutinib 560 mg once daily and a total of eight doses of rituximab 375 mg/m(2). Ibrutinib could be discontinued after 2 years in the case of sustained undetectable minimal residual disease (MRD). The primary end point was the complete response (CR) rate achieved after 12 cycles according to Lugano criteria. RESULTS Fifty patients with MCL (male 66%; median age 65 years) were enrolled. After 12 cycles of treatment, 42 (84%; 95% CI, 74 to 94) patients had an overall response, including 40 (80%; 95% CI, 69 to 91) with CR. Moreover, undetectable MRD in peripheral blood was achieved in 87% (95% CI, 77 to 97) of cases. At 2 years, 24 of 35 evaluable patients (69%) could discontinue ibrutinib because of undetectable MRD. Four patients had disease progression; three were non-nodal MCL and carried high genomic complexity and TP53 mutations at enrollment. No unexpected toxicity was seen except one patient with severe aplastic anemia. CONCLUSION Frontline IR combination achieves a high rate of CRs and undetectable MRD in indolent clinical forms of MCL. Discontinuation seems appropriate in cases with undetectable MRD, except for TP53-mutated cases

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Dinámica glacial, clima y vegetación en el Parque Nacional de Ordesa y Monte Perdido durante el Holoceno

[EN] New and more detailed geomorphological, hydrological, vegetational and climatic reconstructions for the Holocene in the PNOMP have been obtained from the pluridisciplinary study of three records (La Larri, La Estiva and Marboré). La Larri paleolake was originated when the Pineta glacier blocked the valley before 35 ka and existed till 11 ka when it was drained when the glacier receded. Marboré Lake record spans the last 11 kyrs. Facies, geochemistry and magnetic properties identify a large glacier influence between 11 and 9.2 ka. The 9.2- 4.1 ka was relatively more humid. The Mid Holocene transition ca 5 – 4.5 ka to more arid conditions was detected in both Marboré and La Estiva. During the last 3 millennia several arid phases occurred (end of the Roman Period, the High Middle Ages, the Medieval Climate Anomaly). The LIA is characterized by higher runoff and colder climate. However, pollen studies indicate a higher human pressure in the mountains during this period. Both, historic global atmospheric contamination and local influx of the mining activities in the Alto Cinca valley are detected in the Marboré record. The Marboré and Monte Perdido glaciers have been receding during the last centuries, with several moraines ascribed to the first phase of the LIA, and a large expansion during the early XXth century. The main factors controlling recent glacier retreat are the increase in maximum summer temperatures and the decrease in snow precipitation in winter.Proyecto financiado por el Organismo Autónomo Parques Nacionales Dinámica glacial, clima y vegetación en el Parque Nacional de Ordesa - Monte Perdido durante el Holoceno (ref: 83/2009). Agradecemos a todo el personal del PNOMP su apoyo para la realización de los trabajos de campo.Peer Reviewe

The case of a southern European glacier which survived Roman and medieval warm periods but is disappearing under recent warming

Mountain glaciers have generally experienced an accelerated retreat over the last 3 decades as a rapid response to current global warming. However, the response to previous warm periods in the Holocene is not well-described for glaciers of the southern Europe mountain ranges, such as the Pyrenees. The situation during the Medieval Climate Anomaly (900–1300 CE) is particularly relevant since it is not certain whether the southern European glaciers just experienced significant ice loss or whether they actually disappeared. We present here the first chronological study of a glacier located in the Central Pyrenees (NE Spain), Monte Perdido Glacier (MPG), carried out by different radiochronological techniques and a comparison with geochemical proxies from neighbouring palaeoclimate records. The chronological model evidences that the glacier persisted during the Roman period and the Medieval Climate Anomaly. The apparent absence of ice in the past ∼ 600 years suggests that any ice accumulated during the Little Ice Age has since ablated. This interpretation is supported by measured concentrations of anthropogenic metals, including Zn, Se, Cd, Hg and Pb, which have concentrations well below those typical of industrial-age ice measured at other glaciers in Europe. This study strengthens the general understanding that warming of the past few decades has been exceptional for the past 2 millennia.This research has been supported by the following projects which all were funded by the Spanish Agencia Estatal de Investigación (AEI – Spain): PaleoICE EXPLORA project (ref CGL2015-72167-EXP), DONAIRE project (ref CGL2015-68993-R), DINAMO3 project (ref CGL2015-69160-R), DINGLAC project (ref CTM2017-84441-R) and iMechPro project (ref RTI2018-100696-B-I00). We acknowledge support of the publication fee by the CSIC Open Access Publication Support Initiative through its Unit of Information Resources for Research (URICI).Peer reviewe

Onboarding new teachers

El proyecto ha permitido desarrollar el proceso de un programa de onboarding, así como técnicas de acogida que permitan orientar y facilitar la integración de profesores de nuevo ingreso de la Universidad Complutense de Madrid (UCM). Se ha realizado a modo de proyecto piloto en una facultad y se extenderá ahora a otras de la Universidad.Universidad Complutense de MadridDepto. de Psicología Social, del Trabajo y DiferencialFac. de PsicologíaFac. de Ciencias FísicasFac. de EducaciónFac. de MedicinaFac. de OdontologíaFALSEsubmittedAPC financiada por la UC

I Congreso Nacional: La Ciencia en la Educación Infantil y Primaria

Documento PDF de 236 páginas donde se resume las conferencias, ponencias, comunicaciones y carteles presentados en el I Congreso Nacional "La Ciencia en la Educación Infantil y Primaria" celebrado los días 5,6,7 y 8 de septiembre de 2001. La organización del congreso estuvo a cargo del Grupo de Extensión Científica del IMAFF del CSIC (El CSIC en la Escuela) y de la Real Sociedad Española de Física.Resumen de las ponencias, comunicaciones y posters del I Congreso Nacional "La Ciencia en la Educación Infantil y Primaria" celebrado en Granada en septiembre de 2001. El objetivo de este congreso es propiciar el acercamiento del mundo de la Ciencia al de la enseñanza en las primeras etapas. La enseñanza de la Ciencia, concebida como parte de la cultura, es un elemento fundamental de los contenidos con los que un niño tiene que contar para afrontar un mundo de creciente complejidad, en el que la Ciencia irrumpe como ingrediente cotidiano. Despertar su curiosidad y espíritu crítico, fomentar la creatividad y desarrollar destrezas y actitudes, a la vez que se transmiten contenidos científicos, son actividades esenciales para ayudarle a entender un mundo en el que el valor de la observación y la experimentación adquieren la categoría de requisito en el nuevo humanismo.Real Sociedad Española de Física. Consejo Superior de Investigaciones Científicas. Instituto de Matemáticas y Física Fundamental. Instituto de Historia. Universidad de Granada. Centro de Estudios Superiores Don Bosco. Centro de Apoyo al Profesorado de Vallecas. Parque de las Ciencias de Granada. Caja Duero. FECyTN

Lab-LAEL: formación de profesores y alumnos para la creación e investigación en recursos educativos orientados al aprendizaje autorregulado de lenguas

Depto. de Lingüística, Estudios Hebreos, Vascos y de Asia OrientalFac. de FilologíaFALSEsubmitte