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1.
Front Neuroendocrinol ; 73: 101132, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38561126

RESUMO

In recent years, environmental epidemiology and toxicology have seen a growing interest in the environmental factors that contribute to the increased prevalence of neurodevelopmental disorders, with the purpose of establishing appropriate prevention strategies. A literature review was performed, and 192 articles covering the topic of endocrine disruptors and neurodevelopmental disorders were found, focusing on polychlorinated biphenyls, polybrominated diphenyl ethers, bisphenol A, and pesticides. This study contributes to analyzing their effect on the molecular mechanism in maternal and infant thyroid function, essential for infant neurodevelopment, and whose alteration has been associated with various neurodevelopmental disorders. The results provide scientific evidence of the association that exists between the environmental neurotoxins and various neurodevelopmental disorders. In addition, other possible molecular mechanisms by which pesticides and endocrine disruptors may be associated with neurodevelopmental disorders are being discussed.


Assuntos
Disruptores Endócrinos , Transtornos do Neurodesenvolvimento , Praguicidas , Disruptores Endócrinos/efeitos adversos , Disruptores Endócrinos/toxicidade , Humanos , Transtornos do Neurodesenvolvimento/induzido quimicamente , Transtornos do Neurodesenvolvimento/epidemiologia , Praguicidas/toxicidade , Praguicidas/efeitos adversos , Exposição Ambiental/efeitos adversos , Poluentes Ambientais/toxicidade , Poluentes Ambientais/efeitos adversos , Fenóis/efeitos adversos , Fenóis/toxicidade , Feminino , Compostos Benzidrílicos/efeitos adversos , Compostos Benzidrílicos/toxicidade , Animais , Éteres Difenil Halogenados/toxicidade , Bifenilos Policlorados/toxicidade , Bifenilos Policlorados/efeitos adversos , Gravidez
2.
World J Surg ; 48(2): 466-473, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38310307

RESUMO

INTRODUCTION: The recurrence of acute diverticulitis (AD) of the colon is frequent and leads to hospital readmissions and the need for elective surgery in selected cases. It is important to individualize risk factors and develop predictive tools for their identification. MATERIALS AND METHODS: This prospective observational study included 368 patients who were diagnosed with AD between 2016 and 2021 in a tertiary general university hospital during their first episode and who had a good response to antibiotic, percutaneous, or peritoneal lavage treatment. Univariate and multivariate Cox regression analyses of the variables associated with recurrence were performed. Subsequently, a predictive risk score was developed and validated through survival studies. RESULTS: After a median follow-up of 50 months, there were 71 (19.3%) cases of recurrence out of a total of 368 patients. The mean time of recurrence was 15 months, and 73.3% of cases of recurrence occurred before 2 years of follow-up. Recurrence was independently associated with presentation with colonic perforation in the antimesenteric location (HR 3.67 95% CI [1.59-8.4]) and a CRP level greater than 100 mg/dl (HR 1.69 95% CI [1.04-2.77). A score with 5 variables was created that differentiated two risk groups: intermediate risk (0-3 points), with 19% recurrence and high risk (more than 3 points), with 42% recurrence. CONCLUSIONS: The risk of recurrence after the first episode of diverticulitis can be estimated using predictive scores. The detection of high-risk patients facilitates the individualization of follow-up and treatment.


Assuntos
Doença Diverticular do Colo , Diverticulite , Humanos , Doença Diverticular do Colo/complicações , Doença Diverticular do Colo/cirurgia , Recidiva , Diverticulite/complicações , Fatores de Risco , Estudos Prospectivos , Estudos Retrospectivos
3.
Sci Total Environ ; 915: 169988, 2024 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-38211857

RESUMO

Monitoring and understanding of water resources have become essential in designing effective and sustainable management strategies to overcome the growing water quality challenges. In this context, the utilization of unsupervised learning techniques for evaluating environmental tracers has facilitated the exploration of sources and dynamics of groundwater systems through pattern recognition. However, conventional techniques may overlook spatial and temporal non-linearities present in water research data. This paper introduces the adaptation of FlowSOM, a pioneering approach that combines self-organizing maps (SOM) and minimal spanning trees (MST), with the fast-greedy network clustering algorithm to unravel intricate relationships within multivariate water quality datasets. By capturing connections within the data, this ensemble tool enhances clustering and pattern recognition. Applied to the complex water quality context of the hyper-arid transboundary Caplina/Concordia coastal aquifer system (Peru/Chile), the FlowSOM network and clustering yielded compelling results in pattern recognition of the aquifer salinization. Analyzing 143 groundwater samples across eight variables, including major ions, the approach supports the identification of distinct clusters and connections between them. Three primary sources of salinization were identified: river percolation, slow lateral aquitard recharge, and seawater intrusion. The analysis demonstrated the superiority of FlowSOM clustering over traditional techniques in the case study, producing clusters that align more closely with the actual hydrogeochemical pattern. The outcomes broaden the utilization of multivariate analysis in water research, presenting a comprehensive approach to support the understanding of groundwater systems.

4.
Sci Total Environ ; 905: 166863, 2023 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-37690767

RESUMO

Nitrate contamination in groundwater poses a significant threat to water quality and public health, especially in regions with limited data availability. This study addresses this challenge by employing machine learning (ML) techniques to predict nitrate (NO3--N) concentrations in Mexico's groundwater. Four ML algorithms-Extreme Gradient Boosting (XGB), Boosted Regression Trees (BRT), Random Forest (RF), and Support Vector Machines (SVM)-were executed to model NO3--N concentrations across the country. Despite data limitations, the ML models achieved robust predictive performances. XGB and BRT algorithms demonstrated superior accuracy (0.80 and 0.78, respectively). Notably, this was achieved using ∼10 times less information than previous large-scale assessments. The novelty lies in the first-ever implementation of the 'Support Points-based Split Approach' during data pre-processing. The models considered initially 68 covariates and identified 13-19 significant predictors of NO3--N concentration spanning from climate, geomorphology, soil, hydrogeology, and human factors. Rainfall, elevation, and slope emerged as key predictors. A validation incorporated nationwide waste disposal sites, yielding an encouraging correlation. Spatial risk mapping unveiled significant pollution hotspots across Mexico. Regions with elevated NO3--N concentrations (>10 mg/L) were identified, particularly in the north-central and northeast parts of the country, associated with agricultural and industrial activities. Approximately 21 million people, accounting for 10 % of Mexico's population, are potentially exposed to elevated NO3--N levels in groundwater. Moreover, the NO3--N hotspots align with reported NO3--N health implications such as gastric and colorectal cancer. This study not only demonstrates the potential of ML in data-scarce regions but also offers actionable insights for policy and management strategies. Our research underscores the urgency of implementing sustainable agricultural practices and comprehensive domestic waste management measures to mitigate NO3--N contamination. Moreover, it advocates for the establishment of effective policies based on real-time monitoring and collaboration among stakeholders.


Assuntos
Água Subterrânea , Poluentes Químicos da Água , Humanos , Nitratos/análise , Poluentes Químicos da Água/análise , Monitoramento Ambiental/métodos , Compostos Orgânicos , Qualidade da Água , Abastecimento de Água
5.
Environ Pollut ; 328: 121589, 2023 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-37030600

RESUMO

Fertilizers increase agricultural productivity and farmers' income. However, intensive agriculture frequently overuses fertilizers, which in turn can contaminate surface and groundwater. In this study, hydrochemical and multi-isotope (δ15NNO3, δ18ONO3 and δ18OH2O) data have been combined to identify nitrate pollution sources in Ghana's Densu River Basin, trace the Nitrogen (N) biogeochemical processes in the basin and apportion the contribution of each pollution source. Surface water NO3- ranged from 0.3 to 10.6 mg/L (as N), while groundwater NO3- ranged from 0.9 to 34 mg/L. Hierarchical cluster analysis classified the water samples into three spatial categories: upstream, midstream, and downstream, reflecting river and land use patterns. The multi-isotope model considered five primary NO3- sources: atmospheric deposition, manure/sewage, NH4+ in fertilizers, other NO3- based fertilizers and soil N. Nitrification was identified as the major biogeochemical process upstream, whereas mixing of sources and denitrification dominate the midstream to downstream sections of the basin. Nitrate source apportioning using a MixSIAR model reveal that N fertilizers (40 %) and soil N (34 %) contribute the most to nitrate pollution upstream of the river. From the midstream to downstream sections, manure/sewage (43 %) become the dominant nitrate source, reflecting the transition from agriculture to peri-urban and urban land use. This study has shown that soil erosion and runoff contribute to nitrate pollution in the Densu River, at levels comparable to N fertilizers, and groundwater across the basin is impacted mainly by manure/sewage. The multi-isotope analyses allowed the partitioning of N sources in other ways not possible using only classical hydrochemical methods.


Assuntos
Água Subterrânea , Poluentes Químicos da Água , Nitratos/análise , Isótopos de Nitrogênio/análise , Esgotos/análise , Ecossistema , Fertilizantes/análise , Esterco/análise , Poluentes Químicos da Água/análise , Monitoramento Ambiental/métodos , Agricultura , Solo , China
6.
Sci Total Environ ; 864: 160933, 2023 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-36566863

RESUMO

Seawater intrusion is among the world's leading causes of groundwater contamination, as salty water can affect potable water access, food production, and ecosystem functions. To explore such contamination sources, multivariate analysis supported by unsupervised learning tools has been used for decades to aid in water resource pattern recognition, clustering, and water quality data variability characterization. This study proposes a systematic review of these techniques applied for supporting seawater intrusion identification based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and subsequent bibliometric analysis of 102 coastal hydrogeological studies. The most relevant identified methods, including principal components analysis (PCA), hierarchical clustering analysis, K-means clustering, and self-organizing maps, are explained and applied to a case study. Although 74 % of the studies that applied dimensional reduction methods, such as PCA, associated most of the database variance with the salinization process, 77 % of the studies that applied clustering methods associated at least one water sample cluster with the influence of seawater intrusion. Based on the review and a practical demonstration using the open-source R software platform, recommendations are made regarding data preprocessing, research opportunities, and publishing information necessary to replicate and validate the studies.

7.
Sci Total Environ ; 857(Pt 1): 159347, 2023 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-36228788

RESUMO

Nearly half of the world's urban population depends on aquifers for drinking water. These are increasingly vulnerable to pollution and overexploitation. Besides anthropogenic sources, pollutants such as arsenic (As) are also geogenic and their concentrations have, in some cases, been increased by groundwater pumping. Almost 40 % of Mexico's population relies on groundwater for drinking water purposes; much the aquifers in semi-arid and arid central and northern Mexico is contaminated by As. These are agricultural regions where irrigation water is primarily provided from intenstive pumping of the aquifers leading to long-standing declines in the water table. The focus of this study is the main aquifer within the Comarca Lagunera region in Northern Mexico. Although the scientific evidence demonstrates that health effects are associated with long-term exposure to elevated As concentrations, this knowledge has not yielded effective groundwater development and public health policy. A multidisciplinary approach - including the evaluation of geochemistry, human health risk and development and public health policy - was used to provide a current account of these links. The dissolved As concentrations measured exceeded the corresponding World Health Organization guideline for drinking water in 90 % of the sampled wells; for the population drinking this water, the estimated probability of presenting non-carcinogenic health effects was >90 %, and the lifetime risk of developing cancer ranged from 0.5 to 61 cases in 10,000 children and 0.2 to 33 cases in 10,000 adults. The results suggest that insufficient policy responses are due to a complex and dysfunctional groundwater governance framework that compromises the economic, social and environmental sustainability of this region. These findings may valuable to other regions with similar settings that need to design and enact better informed, science-based policies that recognize the value of a more sustainable use of groundwater resources and a healthier population.


Assuntos
Arsênio , Água Potável , Água Subterrânea , Poluentes Químicos da Água , Criança , Humanos , Arsênio/análise , Água Potável/análise , Monitoramento Ambiental/métodos , Poluentes Químicos da Água/análise , México , Política de Saúde
8.
Oncología (Guayaquil) ; 33(3): [266-272], 2023.
Artigo em Inglês, Espanhol | LILACS | ID: biblio-1531956

RESUMO

Introducción:La inmunoterapia con pembrolizumab ha mejorado el pronóstico del cáncer de pulmón metastásico. En el presente caso se presenta la supervivencia extendidad y evolución de un paciente específico.Caso clínico:Hombre de 66 años, fumador. Diagnosticado de masa pulmonar en lóbulo infe-rior izquierdo de dimensiones 9 x 8 cm, con metástasis supra e infratentoriales intraaxiliares. Taller diagnóstico: Establecida como neoplasia de pulmón en estadio IVc, se comprobó el estado de PDL1 que positivo en un 80 % de la muestra de masa pulmonar. Debuta con me-tástasis cerebrales.Evolución: Se inció inmunoterapia con Pembrolizumab, el cual se mantubo hasta la presencia de un efecto secundario atribuido al pembrolizumab, cumpliendo 30meses de supervivencia hasta el cierre de esta observación no se reportó la muerte del paciente.Conclusiones:En el presente reporte, la determinación del biomarcador histológico PDL1 po-sitivo en cáncer de pulmón ayudo a prescribir un tratamiento con inmunoterpia dirigida, lo que demostró aumentar la supervivencia más allá que el tratamiento convencional con quimiote-rapia


Introduction: Immunotherapy with pembrolizumab has improved the prognosis of metastatic lung cancer. A specific patient's extended survival and evolution is presented in the present case.Clinical case: 66-year-old man, smoker. Diagnosed with a lung mass in the left lower lobe measuring 9 x 8 cm, with supra and infratentorial intra-axial metastases.Diagnostic workshop: To establisha stage IVc lung neoplasm, 80% of the lung mass sample was confirmed to be positive for PDL1.Evolution: Immunotherapy was started with Pembrolizumab, which was maintained until the presence of a side effect attributed to pembrolizumab, completing 30 months of survival until the closure of this observation, the patient's death was not reported.Conclusions: In the present report, the determination of the positive histological biomarker PDL1 in lung cancer helped prescribe treatment with targeted immunotherapy, which was shown to increase survival beyond conventional treatment with chemotherapy


Assuntos
Humanos , Masculino , Idoso , Imunoterapia , Neoplasias Pulmonares , Pneumopatias
9.
Oncología (Guayaquil) ; 32(3): 266-272, 2 de diciembre del 2022.
Artigo em Espanhol | LILACS | ID: biblio-1411126

RESUMO

La comunicación de malas noticias, si bien supone un momento de importante vulnerabilidad para el paciente y sus allegados, es un acto necesario para una atención de calidad. Se trata de una habilidad transversal que, sin embargo, suele carecer de una formación específica en las facultades de Medici-na. Existen numerosos protocolos que establecen las bases de una comunicación eficiente. No obs-tante, lo que marca la diferencia en términos de humanidad es el toque personal que cada médico ofrece. En este artículo ofrecemos una reflexión sobre la visión predominante en el Servicio de Onco-logía Médica de Fuenlabrada del proceso de comunicación de malas noticias. Exponemos conceptos metafísicos, psicológicos y sociales sobre los cuales impera la necesidad de reflexionar para, desde una compresión profunda de la dificultad que la comunicación de malas noticias entraña, ser capa-ces de mejorar. Así mismo, sugerimos elementos fácilmente incorporables a la práctica clínica diaria.


Although the communication of bad news is a moment of great vulnerability for the patient and his or her relatives, it is necessary for quality care. However, it is a cross-cutting skill that often needs more specific training in medical schools. Numerous protocols lay the groundwork for efficient communication. However, each physician's personal touch makes a difference in terms of humanity. In this article, we reflect on the predominant vision of communicating bad news in the Medical On-cology Service of Fuenlabrada. We expose metaphysical, psychological, and social concepts on which there is a need to reflect to be able to improve from a deep understanding of the difficulty that the communication of bad news entails. Finally, we suggest elements that can be easily incorporated into daily clinical practice.


Assuntos
Humanos , Cuidados Paliativos , Neoplasias , Mortalidade , Comunicação , Comunicação Interdisciplinar , Comunicação em Saúde
10.
Sci Total Environ ; 806(Pt 1): 150386, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-34560458

RESUMO

The Caplina/Concordia transboundary coastal aquifer system, located in the Atacama Desert, is the primary source of water supply for domestic use and irrigation for La Yarada-Los Palos (Peru) and Concordia (Chile) agriculture districts, and to a lesser extent, for Tacna province public supply use (Peru). Despite the scarce amount of rainfall (<20 mm/year) in the area and the limited recharge coming from the Andean highlands, this transboundary aquifer system has been overexploited mainly for agriculture since before the 2000s on the Peruvian side. Consequently, this has caused groundwater depletion and seawater intrusion. In this study, comprehensive hydrogeological information was integrated to understand the aquifer system's behavior and the effects to which it has been subjected to groundwater overexploitation. To that end, a 3D hydrogeological framework was developed using the LEAPFROG software and a constant-density groundwater flow model with equivalent heads was generated in FEFLOW software, which was adjusted with Monte Carlo analysis and conventional automated calibration. Finally, eight scenarios, considering various water resource management options proposed by the authority and potential climatic trends (CMIP6), were simulated from 2020 to 2040. The results showed that between 2002 and 2020, the increase in the seawater wedge and the average groundwater level decline were 216 hm3/year and 7 m, respectively. It is expected that the depletion will continue with a groundwater level decline between 5 and 8 m and an increase in the seawater wedge between 1120 hm3/year and 1175 hm3/year for the forecast period. The study concludes that the aquifer system will remain unsustainable for the next 20 years, regardless of the selected scenarios, and suggests that any mitigation measure requires the participation of stakeholders from Peru, Chile, and Bolivia.


Assuntos
Água Subterrânea , Chile , Peru , Água do Mar , Abastecimento de Água
11.
Hum Vaccin Immunother ; 18(1): 1981085, 2022 12 31.
Artigo em Inglês | MEDLINE | ID: mdl-34614379

RESUMO

A fully liquid MenACWY-CRM vaccine presentation has been developed, modifying the meningococcal serogroup A (MenA) component from lyophilized to liquid. The safety and immunogenicity of the liquid presentation at the end of the intended shelf-life (aged for 24 or 30 months) were compared to the licensed lyophilized/liquid presentation. This multicenter, randomized (1:1), observer-blind, phase 2b study (NCT03433482) enrolled adolescents and young adults (age 10-40 years). In part 1, 844 participants received one dose of liquid presentation stored for approximately 24 months or licensed presentation. In part 2, 846 participants received one dose of liquid presentation stored for approximately 30 months or licensed presentation. After storage, the MenA free saccharide (FS) level was approximately 25% and O-acetylation was approximately 45%. The primary objective was to demonstrate non-inferiority of the liquid presentation to licensed presentation, as measured by human serum bactericidal assay (hSBA) geometric mean titers (GMTs) against MenA, 1-month post-vaccination. Immune responses against each vaccine serogroup were similar between groups. Between-group ratios of hSBA GMTs for MenA were 1.21 (part 1) and 1.11 (part 2), with two-sided 95% confidence interval lower limits (0.94 and 0.87, respectively) greater than the prespecified non-inferiority margin (0.5), thus meeting the primary study objective. No safety concerns were identified. Despite reduced O-acetylation of MenA and increased FS content, serogroup-specific immune responses induced by the fully liquid presentation were similar to those induced by the licensed MenACWY-CRM vaccine, with non-inferior anti-MenA responses. The safety profiles of the vaccine presentations were similar.


Assuntos
Infecções Meningocócicas , Vacinas Meningocócicas , Neisseria meningitidis , Adolescente , Adulto , Idoso , Anticorpos Antibacterianos , Criança , Humanos , Infecções Meningocócicas/prevenção & controle , Sorogrupo , Vacinas Conjugadas , Adulto Jovem
12.
Sensors (Basel) ; 21(21)2021 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-34770462

RESUMO

The growing availability of mobile devices has lead to an arising development of smart cities services that share a huge amount of (personal) information and data. Without accurate and verified management, they could become severe back-doors for security and privacy. In this paper, we propose a smart city infrastructure able to integrate a distributed privacy-preserving identity management solution based on attribute-based credentials (p-ABC), a user-centric Consent Manager, and a GDPR-based Access Control mechanism so as to guarantee the enforcement of the GDPR's provisions. Thus, the infrastructure supports the definition of specific purpose, collection of data, regulation of access to personal data, and users' consents, while ensuring selective and minimal disclosure of personal information as well as user's unlinkability across service and identity providers. The proposal has been implemented, integrated, and evaluated in a fully-fledged environment consisting of MiMurcia, the Smart City project for the city of Murcia, CaPe, an industrial consent management system, and GENERAL_D, an academic GDPR-based access control system, showing the feasibility.


Assuntos
Segurança Computacional , Privacidade , Cidades , Confidencialidade , Consentimento Livre e Esclarecido
13.
Water Res ; 205: 117709, 2021 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-34601358

RESUMO

This study aimed to determine the reliability of the double-clustering method to understand the spatial association and distribution of major and minor constituents in the groundwater of an arid endorheic basin in central Mexico (Comarca Lagunera Region). The results of the double-clustering approach were compared with well-known spatial statistics such as spatial autocorrelations (Moran index) and the local indicator of spatial association (LISA). Fifty-five groundwater samples were collected from diverse wells within the basin, and the major ions, metalloids, and trace elements were determined. Overall, the double-clustering analysis was an effective tool for identifying lithogenic/anthropogenic processes occurring in the basin and for establishing zones with high or low abundance of major ions and trace elements, even where processes affecting the groundwater quality were spatially dispersed. Although 89% of the samples showed As higher than the threshold value of 10 µg/L proposed by the World Health Organization for drinking water, both the double-clustering and LISA analyses identified As hotspots in the alluvial aquifer, where the extraction of deeper and warmer groundwater might promote the concomitant release of the metalloids As, Sb, and Ge and the trace elements V and W. Similarly, both statistical analyses identified mountainous sectors where the weathering of silicates and carbonates plays a key role in the abundance of HCO3-, Ga, and Ba. However, the LISA analysis failed to identify hotspots of carbonate-derived elements such as Ca, Mg, Sr, and U and silicate-derived elements such as Ca, Mg, K, Sr, Rb, Cs, Pb, Ni, and Y. Otherwise, the double-clustering analysis clearly defined high- and low-concentration zones for all these elements in the study region. Unlike the LISA analysis, the double-clustering approach was also successful in determining alluvial areas with high concentrations of Si and Ti and areas where the concentrations of Na, Cl-, SO42-, NO3-, B, Li, Cu, Re, and Se in groundwater were elevated, increasing the groundwater salinity. Overall, this study demonstrated that the double-clustering is an easy-to-apply approach, capable of visualizing disperse zones where specific anthropogenic processes may threaten the groundwater quality.


Assuntos
Água Subterrânea , Metaloides , Oligoelementos , Poluentes Químicos da Água , Análise por Conglomerados , Monitoramento Ambiental , México , Reprodutibilidade dos Testes , Oligoelementos/análise , Poluentes Químicos da Água/análise
14.
J Hazard Mater ; 417: 126103, 2021 09 05.
Artigo em Inglês | MEDLINE | ID: mdl-34229392

RESUMO

Over the past few decades, the La Paz aquifer system in Baja California Sur, Mexico, has been under severe pressure due to overexploitation for urban water supply and agriculture; this has caused seawater intrusion and deterioration in groundwater quality. Previous studies on the La Paz aquifer have focused mainly on seawater intrusion, resulting in limited information on nitrate and sulfate pollution. Therefore, pollution sources have not yet been identified sufficiently. In this study, an approach combining hydrochemical tools, multi-isotopes (δ2HH2O, δ18OH2O, δ15NNO3, δ18ONO3, δ34SSO4, δ18OSO4), and a Bayesian isotope mixing model was used to estimate the contribution of different nitrate and sulfate sources to groundwater. Results from the MixSIAR model revealed that seawater intrusion and soil-derived sulfates were the predominant sources of groundwater sulfate, with contributions of ~43.0% (UI90 = 0.29) and ~42.0% (UI90 = 0.38), respectively. Similarly, soil organic nitrogen (~81.5%, UI90 = 0.41) and urban sewage (~12.1%, UI90 = 0.25) were the primary contributors of nitrate pollution in groundwater. The dominant biogeochemical transformation for NO3- was nitrification. Denitrification and sulfate reduction were discarded due to the aerobic conditions in the study area. These results indicate that dual-isotope sulfate analysis combined with MixSIAR models is a powerful tool for estimating the contributions of sulfate sources (including seawater-derived sulfate) in the groundwater of coastal aquifer systems affected by seawater intrusion.


Assuntos
Água Subterrânea , Poluentes Químicos da Água , Teorema de Bayes , Monitoramento Ambiental , México , Nitratos/análise , Isótopos de Nitrogênio/análise , Água do Mar , Sulfatos , Poluentes Químicos da Água/análise
15.
Adv Ther ; 38(6): 3325-3341, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34013498

RESUMO

INTRODUCTION: The economic burden of herpes zoster (HZ), including its most common complication, postherpetic neuralgia (PHN), and its impact on health-related quality of life (HRQL) is not well described in Spain. The aim of this study was to estimate HZ-related healthcare costs and impact on HRQL in Spanish adults aged 50 years or older. METHODS: A prospective, observational study was performed with patients with HZ recruited through four general practitioner networks in Spain (NCT01521286). HRQL data were collected using the EuroQoL-5 Dimension (EQ-5D) questionnaire; HZ-related pain and associated interference with activities of daily living (ADL) were assessed using the Zoster Brief Pain Inventory (ZBPI) questionnaire at days 0 (HZ rash onset), 15, 30, 60, and 90; patients with PHN were assessed up until day 270. Medical resource utilization was recorded throughout study follow-up. Work loss for patients/caregivers was also assessed. Costs were calculated from both the payer and societal perspectives. RESULTS: A total of 545 patients with Hz were included, of whom 25 developed PHN. During days 0-30 post HZ diagnosis, the mean EQ-5D utility score was 0.738, equating to a utility loss of 0.138. Sleep was the ADL most affected component. The mean costs for HZ in the overall cohort were €240 and €296 from the payer/societal perspective, respectively; €187/€242 for patients with HZ without any HZ-related complications; and €571/€712 for patients who developed PHN. The majority of costs were incurred during days 0-30. CONCLUSIONS: In Spain, HZ and HZ-related complications such as PHN reduce patient HRQL and increase the economic burden for both payers and society in general. TRAIL REGISTRATION: ClinicalTrials.gov identifier NCT01521286.


Assuntos
Herpes Zoster , Neuralgia Pós-Herpética , Atividades Cotidianas , Adulto , Efeitos Psicossociais da Doença , Herpes Zoster/epidemiologia , Humanos , Neuralgia Pós-Herpética/epidemiologia , Estudos Prospectivos , Qualidade de Vida , Espanha/epidemiologia
16.
Environ Pollut ; 269: 115445, 2021 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-33277063

RESUMO

The identification of nitrate (NO3-) sources and biogeochemical transformations is critical for understanding the different nitrogen (N) pathways, and thus, for controlling diffuse pollution in groundwater affected by livestock and agricultural activities. This study combines chemical data, including environmental isotopes (δ2HH2O, δ18OH2O, δ15NNO3, and δ18ONO3), with land use/land cover data and a Bayesian isotope mixing model, with the aim of reducing the uncertainty when estimating the contributions of different pollution sources. Sampling was taken from 53 groundwater sites in Comarca Lagunera, northern Mexico, during 2018. The results revealed that the NO3- (as N) concentration ranged from 0.01 to 109 mg/L, with more than 32% of the sites exceeding the safe limit for drinking water quality established by the World Health Organization (10 mg/L). Moreover, according to the groundwater flow path, different biogeochemical transformations were observed throughout the study area: microbial nitrification was dominant in the groundwater recharge areas with elevated NO3- concentrations; in the transition zones a mixing of different transformations, such as nitrification, denitrification, and/or volatilization, were identified, associated to moderate NO3- concentrations; whereas in the discharge area the main process affecting NO3- concentrations was denitrification, resulting in low NO3- concentrations. The results of the MixSIAR isotope mixing model revealed that the application of manure from concentrated animal-feeding operations (∼48%) and urban sewage (∼43%) were the primary contributors of NO3- pollution, whereas synthetic fertilizers (∼5%), soil organic nitrogen (∼4%), and atmospheric deposition played a less important role. Finally, an estimation of an uncertainty index (UI90) of the isotope mixing results indicated that the uncertainties associated with atmospheric deposition and NO3--fertilizers were the lowest (0.05 and 0.07, respectively), while those associated with manure and sewage were the highest (0.24 and 0.20, respectively).


Assuntos
Água Subterrânea , Poluentes Químicos da Água , Animais , Teorema de Bayes , China , Monitoramento Ambiental , Gado , México , Nitratos/análise , Isótopos de Nitrogênio/análise , Poluentes Químicos da Água/análise
17.
Water Res ; 182: 115962, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32629319

RESUMO

Over the past decades, groundwater quality has deteriorated worldwide by nitrate pollution due to the intensive use of fertilizers in agriculture, release of untreated urban sewage and industrial wastewater, and atmospheric deposition. Likewise, groundwater is increasingly polluted by sulfate due to the release of domestic, municipal and industrial wastewaters, as well as through geothermal processes, seawater intrusion, atmospheric deposition, mineral dissolution, and acid rain. The urbanized and industrialized Monterrey valley has a long record of elevated nitrate and sulfate concentrations in groundwater with multiple potential pollution sources. This study aimed to track different sources and transformation processes of nitrate and sulfate pollution in Monterrey using a suite of chemical and isotopic tracers (δ2H-H2O, δ18O-H2O, δ15N-NO3, δ18O-NO3 δ34S-SO4, δ18O-SO4) combined with a probability isotope mixing model. Soil nitrogen and sewage were found to be the most important nitrate sources, while atmospheric deposition, marine evaporites and sewage were the most prominent sulfate sources. However, the concentrations of nitrate and sulfate were controlled by denitrification and sulfate reduction processes in the transition and discharge zones. The approach followed in this study is useful for establishing effective pollution management strategies in contaminated aquifers.


Assuntos
Água Subterrânea , Poluentes Químicos da Água/análise , Teorema de Bayes , China , Monitoramento Ambiental , Nitratos/análise , Isótopos de Nitrogênio/análise , Sulfatos
18.
Sensors (Basel) ; 20(5)2020 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-32155718

RESUMO

We propose a new harvesting approach for Vehicular Sensor Networks based on compressed sensing (CS) technology called Compressed Sensing-based Vehicular Data Harvesting (CS-VDH). This compression technology allows for the reduction of the information volume that nodes must send back to the fusion center and also an accurate recovery of the original data, even in absence of several original measurements. Our proposed method, thanks to a proper design of a delay function, orders the transmission of these measurements, being the nodes farther from the fusion center, the ones starting this transmission. This way, intermediate nodes are more likely to introduce their measurements in a packet traversing the network and to apply the CS technology. This way the contribution is twofold, adding different measurements to traversing packets, we reduce the total overload of the network, and also reducing the size of the packets thanks to the applied compression technology. We evaluate our solution by using ns-2 simulations in a realistic vehicular environment generated by SUMO, a well-known traffic simulator tool in the Vehicular Network domain. Our simulations show that CS-VDH outperforms Delay-Bounded Vehicular Data Gathering (DB-VDG), a well-known protocol for data gathering in vehicular sensor networks which considers a specific delay bound. We also evaluated the proper design of our delay function, as well as the accuracy in the reconstruction of the original data. Regarding this latter topic, our experiments proved that our proposed solution can recover sampled data with little error while still reducing the amount of information traveling through the vehicular network.

19.
Sensors (Basel) ; 20(4)2020 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-32093147

RESUMO

The continuous evolution of the agricultural sector justifies the incorporation and adaptation of the latest technologies. Nowadays, managing crops is possible through Internet-based technologies. Their application allows for the exploitation of information and the development of isolated applications, which, although powerful, create challenges for obtaining scalable predictions throughout the useful life of farms. To address this problem, a data model was defined to improve the management of crop plots in irrigation communities and simultaneously monitor crop needs. Consequently, the objective of this study was to create an open and interoperable platform based on standard interfaces and protocols to enable the integration of heterogeneous sources of information, while ensuring interoperability with other third-party solutions for exchanging and exploiting such information. Standard and open interfaces and protocols form the basis of the platform, thereby unifying all information in a single data model, which facilitates the better use and dissemination of information. The system was fully instantiated in a real prototype in an irrigation community; the software improved water irrigation management for the farmers connected to the platform.


Assuntos
Agricultura/métodos , Software , Irrigação Agrícola , Produtos Agrícolas
20.
Sensors (Basel) ; 20(3)2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-32024127

RESUMO

Although current estimates depict steady growth in Internet of Things (IoT), many works portray an as yet immature technology in terms of security. Attacks using low performance devices, the application of new technologies and data analysis to infer private data, lack of development in some aspects of security offer a wide field for improvement. The advent of Semantic Technologies for IoT offers a new set of possibilities and challenges, like data markets, aggregators, processors and search engines, which rise the need for security. New regulations, such as GDPR , also call for novel approaches on data-security, covering personal data. In this work, we present DS4IoT, a data-security ontology for IoT, which covers the representation of data-security concepts with the novel approach of doing so from the perspective of data and introducing some new concepts such as regulations, certifications and provenance, to classical concepts such as access control methods and authentication mechanisms. In the process we followed ontological methodologies, as well as semantic web best practices, resulting in an ontology to serve as a common vocabulary for data annotation that not only distinguishes itself from previous works by its bottom-up approach, but covers new, current and interesting concepts of data-security, favouring implicit over explicit knowledge representation. Finally, this work is validated by proof of concept, by mapping the DS4IoT ontology to the NGSI-LD data model, in the frame of the IoTCrawler EU project.

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