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1.
Water Sci Technol ; 75(11-12): 2499-2507, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28617268

RESUMO

This paper addresses the modelling of the processes associated with acid mine drainage affecting the Trimpancho River basin, chosen for this purpose because of its location and paradigmatic hydrological, geological, mining and environmental contexts. By using physical-chemical indicators it is possible to define the contamination degree of the system from the perspective of an entire river basin, due to its reduced dimension. This allows an exhaustive monitoring of the study area, considering the particularity that the stream flows directly into a water dam used for human supply. With such a perspective, and in order to find global solutions, the present study seeks to develop methodologies and tools for expeditious and accurate diagnosis of the pollution level of the affected stream that feeds the water reservoir. The implemented methodology can be applied to other water systems affected by similar problems, while the results will contribute to the development of the state of the art in a representative basin of the Iberian Pyrite Belt, whose pollutants' contributions are incorporated into the reservoir.


Assuntos
Rios/química , Poluentes Químicos da Água/análise , Monitoramento Ambiental , Mineração , Modelos Teóricos , Análise Multivariada , Espanha , Poluição Química da Água/análise
2.
Water Sci Technol ; 73(2): 345-54, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26819390

RESUMO

In the Iberian Pyrite Belt (IPB), southwest Spain, a prolonged and intense mining activity of more than 4,500 years has resulted in almost a hundred mines scattered through the region. After years of inactivity, these mines are still causing high levels of hydrochemical degradation in the fluvial network. This situation represents a unique scenario in the world, taking into consideration its magnitude and intensity of the contamination processes. In order to obtain a benchmark regarding the degree of acid mine drainage (AMD) pollution in the aquatic environment, the relationship between the areas occupied by the sulfide mines and the characteristics of the respective effluents after rainfall was analysed. The methodology developed, which includes the design of a sampling network, analytical treatment and cluster analysis, is a useful tool for diagnosing the contamination level by AMD in an entire metallogenic province, at the scale of each mining group. The results presented the relationship between sulfate, total dissolved solids and electrical conductivity, as well as other parameters that are typically associated with AMD and the major elements that compose the polymetallic sulfides of IPB. This analysis also indicates the low level of proximity between the affectation area and the other variables.


Assuntos
Ácidos/análise , Poluentes Químicos da Água/análise , Poluição da Água/estatística & dados numéricos , Análise por Conglomerados , Ferro , Mineração , Estações do Ano , Espanha , Sulfatos/análise , Sulfetos
3.
Water Environ Res ; 87(7): 626-34, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26163498

RESUMO

The Sancho Reservoir (Iberian Pyrite Belt, SW Spain) is nourished by the waters of the river Meca, which is affected by acid mine drainage (AMD) processes from the abandoned Tharsis mine. The aim of the present work is to study the hydrochemical variations in this reservoir, in order to define potential stratification processes in metal load and sulphates. A stratified sampling from the surface, with one meter deep intervals to the bottom of the dam, was performed. The results show a clear stratification of temperature, pH, electric conductivity, dissolved oxygen, metal and sulphate loads associated with depth. There is an increase of metal loads at the bottom of the reservoir, though previous studies only detect iron. The proximity between pH and aluminium suggests that water chemistry is strongly influenced by aluminium precipitation processes. This indicates the buffer effect that aluminium exercises, which precipitates as amorphous or low crystalline phases, introducing hydrogen ions to the system, while alkalinity input tends to raise pH.


Assuntos
Metais/química , Sulfatos/química , Poluentes Químicos da Água/química , Análise por Conglomerados , Monitoramento Ambiental , Fenômenos Geológicos , Concentração de Íons de Hidrogênio , Resíduos Industriais/análise , Mineração
4.
Environ Pollut ; 266(Pt 2): 115104, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32650201

RESUMO

Copper export and mobility in acid mine drainage are difficult to understand with conventional approaches. Within this context, Cu isotopes could be a powerful tool and here we have examined the relative abundance of dissolved (<0.22 µm) Cu isotopes (δ65Cu) in the Meca River which is an outlet of the Tharsis mine, one of the largest abandoned mines of the Iberian Pyrite Belt, Spain. We followed the chemical and isotopic composition of the upstream and downstream points of the catchment during a 24-h diel cycle. Additional δ65Cu values were obtained from the tributary stream, suspended matter (>0.22 µm) and bed sediments samples. Our goals were to 1) assess Cu sources variability at the upstream point under contrasted hydrological conditions and 2) investigate the conservative vs. non conservative Cu behavior along a stream. Average δ65Cu values varied from -0.47 to -0.08‰ (n = 9) upstream and from -0.63 to -0.31‰ downstream (n = 7) demonstrating that Cu isotopes are heterogeneous over the diel cycle and along the Meca River. During dry conditions, at the upstream point of the Meca River the Cu isotopic composition was heavier which is in agreement with the preferential release of heavy isotopes during the oxidative dissolution of primary sulfides. The more negative values obtained during high water flow are explained by the contribution of soil and waste deposit weathering. Finally, a comparison of upstream vs. downstream Cu isotope composition is consistent with a conservative behavior of Cu, and isotope mass balance calculations estimate that 87% of dissolved Cu detected downstream originate from the Tharsis mine outlet. These interpretations were supported by thermodynamic modelling and sediment characterization data (X-ray diffraction, Raman Spectroscopy). Overall, based on contrasted hydrological conditions (dry vs flooded), and taking the advantage of isotope insensitivity to dilution, the present work demonstrates the efficiency of using the Cu isotopes approach for tracing sources and processes in the AMD regions.


Assuntos
Monitoramento Ambiental , Poluentes Químicos da Água/análise , Isótopos/análise , Mineração , Rios , Espanha
5.
Sci Total Environ ; 648: 398-407, 2019 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-30121039

RESUMO

This paper is focused on the hydrogeochemical characterization of the Negro River along its course, as well as in the proposal of a functioning model for the contamination processes in order to establish potential cause-effect relationships between water quality, geology (ARD), mining activities (AMD) and the tectonic framework as transmission vector of acidity, metals and sulphates. The scenario shows a heavily-contaminated river compared to the unaffected regional background. By graphical and statistical treatments of physico-chemical data of Negro River and the unaffected values of regional background and other AMD/ARD representative rivers' it is possible to conclude that Antamina Mine, is not the cause of the Negro River contamination, without the need of isotopic tracers, but just through the inexistent concentrations of Cu, Bi and Mo found in the waters. In the proposed contamination model, climatic factors (glacial retreat) activate geological (ARD) processes. The tectonic scenario (faults) intervenes as a transport medium of the contamination flux from the sulphide oxidation surface in upper altitudes until the spring in lower altitudes. At the end, it is concluded that this contamination comes from the recent glacial retreat in areas near the Cordillera Blanca that has left massive amounts of sulphide materials exposed to weathering conditions, oxidizing naturally (ARD processes) and finally contributing to the contamination of the Negro River through faults. In this case, we would face an ARD process in the strict sense, which is the direct oxidation of sulphides outcropping in the upper part of the mountain with the generation of sulphates, the release of hydrogen ions and the consequent generation of acid and the dissolution of the metals. This ARD process would come from the glacial retreat, which, through the faults, transports contaminated water until the spring.

6.
Clin Transl Oncol ; 21(4): 519-533, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30311145

RESUMO

PURPOSE: Current cancer treatment options include surgical intervention, radiotherapy, and chemotherapy. The quality of the provision of each of them and their effective coordination determines the results in terms of benefit/risk. Regarding the radiation oncology treatments, there are not stabilised quality indicators to be used to perform control and continuous improvement processes for healthcare services. Therefore, the Spanish Society of Radiation Oncology has undertaken a comprehensive project to establish quality indicators for use with the information systems available in most Spanish healthcare services. METHODS: A two-round Delphi study examines consensus of several possible quality indicators (n = 28) in daily practice. These indicators were defined after a bibliographic search and the assessment by radiation oncology specialists (n = 8). They included aspects regarding treatment equipment, patient preparation, treatment, and follow-up processes and were divided in structure, process, and outcome indicators. RESULTS: After the evaluation of the defined quality indicators (n = 28) by an expert panel (38 radiation oncologist), 26 indicators achieved consensus in terms of agreement with the statement. Two quality indicators did not achieve consensus. CONCLUSIONS: There is a high degree of consensus in Spanish Radiation Oncology specialists on which indicators in routine clinical practice can best measure quality. These indicators can be used to classify services based on several parameters (patients, equipments, complexity of the techniques used, and scientific research). Furthermore, these indicators allow assess our current situation and set improvements' objectives.


Assuntos
Garantia da Qualidade dos Cuidados de Saúde/normas , Indicadores de Qualidade em Assistência à Saúde/normas , Radioterapia (Especialidade)/normas , Consenso , Técnica Delphi , Humanos , Neoplasias/radioterapia , Radioterapia (Especialidade)/organização & administração , Espanha
7.
Chemosphere ; 199: 269-277, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29448194

RESUMO

The Iberian Pyrite Belt (IPB), in the southwest of Europe, is characterized by high levels of contamination by acid mine drainage (AMD) in a large extent of its river network. In this scenario, it is necessary to characterize the degree of pollution of the mining leachates in the AMD-generating sources as well as of the main receiving watercourses. A map of impact of each basin was developed, based on the model proposed by Grande (2011) and the European Directive 98/83/EC that defines the quality standards for drinking water. The results indicate that practically all the mining leachates exceeded the maximum concentrations established by Directive 98/83/CE for Fe and Cd, almost 90% exceeded the limit for Mn and 82% for Al. Likewise, Fe, Cd, and Mn caused 'extremely high' degradation in most sampled leachates. Similarly, these metals, in addition to Pb, produced more pollution in watercourses located downstream of exploitations.


Assuntos
Ácidos/análise , Monitoramento Ambiental/métodos , Metais Pesados/análise , Mineração , Rios/química , Poluentes Químicos da Água/análise , Espanha
8.
Chemosphere ; 205: 317-327, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29704839

RESUMO

Rare earth elements (REE) were analyzed in river waters, acid mine waters, and extracts of secondary precipitates collected in the Iberian Pyrite Belt. The obtained concentrations of the REE in river water and mine waters (acid mine drainage - AMD) were in the range of 0.57 µg/L (Lu) and 2579 µg/L (Ce), which is higher than previously reported in surface waters from the Iberian Pyrite Belt, but are comparable with previous findings from AMD worldwide. Total REE concentrations in river waters were ranged between 297 µg/L (Cobica River) and 7032 µg/L (Trimpancho River) with an average of 2468 µg/L. NASC (North American Shale Composite) normalized REE patterns for river and acid mine waters show clear convex curvatures in middle-REE (MREE) with respect to light- and heavy-REE. During the dissolution experiments of AMD-precipitates, heavy-REE and middle-REE generate the most enriched patterns in the solution. A small number of precipitates did not display MREE enrichment (an index Gdn/Lun < 1.0) in NASC normalized pattern and produced relatively lower REE concentrations in extracts. Additionally, very few samples, which mainly contained aluminum sulfates, e.g., pickeringite and alunogen, displayed light-REE enrichment relative to heavy-REE (HREE). In general, the highest retention of REE occurs in samples enriched in magnesium (epsomite or hexahydrite) and aluminum sulfates, mainly pickeringite.


Assuntos
Ácidos/química , Monitoramento Ambiental/métodos , Metais Terras Raras/análise , Mineração , Rios/química , Poluentes Químicos da Água/análise
9.
Chemosphere ; 211: 736-744, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30099158

RESUMO

Aljustrel mining area (South Portugal) belongs to the Iberian Pyrite Belt (IPB). It is classified of high environmental risk due to its large tailings and to the Acid Mine Drainage (AMD) affected waters, generated by sulphides' oxidation. Integrating biological parameters (for the first time) in the input data matrix of the software PreFuRGe, allowed a better discrimination of the diatoms' responses to the stimuli caused by the hydrochemical changes imposed by the processes affecting water quality. Each hydrochemical scenario, was modeled by imposing maximum and minimum limits for each antecedent, according to the conditions imposed by the consequent, which in this case were the number of diatom species and pH. Thus, PreFuRGe evidenced some qualitative aspects that could not be achieved by classic statistics. pH appeared as the main discriminator of diversity and diatom species composition, nevertheless and due to the complex environment under study other chemical interactions must be considered: (a) AMD waters, with extremely low pH values, but also with extremely high hydrogeochemical complexity, represented by a mixture of metals, do not allow to associate, unequivocally, the reduction in diatom diversity to pH, but also to high metal (loid)s concentrations; (b) in the most alkaline waters, with higher abundance of diatom species, average to high concentrations of Na and Cl (due to Cenozoic sediments) do not seem to affect diatom diversity. This methodology proved to be an efficient tool to establish, for the first time, cause-effect relationships, improving the comprehension between biological (diatoms) and hydrochemical parameters.


Assuntos
Monitoramento Ambiental/métodos , Lógica Fuzzy , Mineração/métodos , Poluentes Químicos da Água/química , Portugal , Poluentes Químicos da Água/análise
10.
Environ Sci Pollut Res Int ; 23(7): 6039-45, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25712883

RESUMO

Reactive waste dumps with sulfide minerals promote acid mine drainage (AMD), which results in water and soil contamination by metals and metalloids. In these systems, contamination is regulated by many factors, such as mineralogical composition of soil and the presence of sorption sites on specific mineral phases. So, the present study dedicates itself to understanding the distribution of trace elements in different size fractions (<2-mm and <2-µm fractions) of mining soils and to evaluate the relationship between chemical and mineralogical composition. Cerdeirinha and Penedono, located in Portugal, were the waste dumps under study. The results revealed that the two waste dumps have high degree of contamination by metals and arsenic and that these elements are concentrated in the clay size fraction. Hence, the higher degree of contamination by toxic elements, especially arsenic in Penedono as well as the role of clay minerals, jarosite, and goethite in retaining trace elements has management implications. Such information must be carefully thought in the rehabilitation projects to be planned for both waste dumps.


Assuntos
Silicatos de Alumínio/química , Monitoramento Ambiental , Mineração , Poluentes do Solo/análise , Oligoelementos/análise , Arsênio/análise , Argila , Poluição Ambiental , Compostos Férricos , Compostos de Ferro , Metaloides , Metais/análise , Minerais , Portugal , Solo/química , Sulfatos , Sulfetos/análise , Instalações de Eliminação de Resíduos
11.
Environ Sci Pollut Res Int ; 23(6): 5451-8, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26566614

RESUMO

Poderosa Mine is an abandoned pyrite mine, located in the Iberian Pyrite Belt which pours its acid mine drainage (AMD) waters into the Odiel river (South-West Spain). This work focuses on establishing possible reasons for interdependence between the potential redox and pH, with the load of metals and sulfates, as well as a set of variables that define the physical chemistry of the water-conductivity, temperature, TDS, and dissolved oxygen-transported by a channel from Poderosa mine affected by acid mine drainage, through the use of techniques of artificial intelligence: fuzzy logic and data mining. The sampling campaign was carried out in May of 2012. There were a total of 16 sites, the first inside the tunnel and the last at the mouth of the river Odiel, with a distance of approximately 10 m between each pair of measuring stations. While the tools of classical statistics, which are widely used in this context, prove useful for defining proximity ratios between variables based on Pearson's correlations, in addition to making it easier to handle large volumes of data and producing easier-to-understand graphs, the use of fuzzy logic tools and data mining results in better definition of the variations produced by external stimuli on the set of variables. This tool is adaptable and can be extrapolated to any system polluted by acid mine drainage using simple, intuitive reasoning.


Assuntos
Ferro/química , Rios/química , Esgotos/química , Sulfetos/química , Poluentes Químicos da Água/química , Metais/análise , Mineração , Oxirredução , Espanha , Sulfatos/análise
12.
J Environ Radioact ; 152: 60-9, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26650826

RESUMO

The province of Huelva is one of the areas most affected by acid mine drainage (AMD) in the world, which can produce big enhancements and fractionations in the waters affected by AMD. There are very few studies on this issue, and none on polonium-210. Twenty-two water reservoirs were sampled, and the (210)Po was measured in both dissolution and particulate phases. The (210)Po concentrations in the waters were in the same order of magnitude to those ones for unperturbed systems, although the data published to particulate matter are very scarce. A mean value and standard uncertainty for (210)Po of 0.25 ± 0.03 mBq L(-1) in the dissolved matter, and 62 ± 9 mBq g(-1) in the particulate matter can be established as base line for the reservoirs of the Huelva area. The distribution coefficients (kd) range from 10(4) to 10(6) L kg(-1), in agreement to the found ones by other authors for the case of neutral waters, but being the lowest values for the more acidic reservoirs. It has been also found that (210)Po has a high tendency to be associated to the particulate matter for neutral-alkaline waters, however, under extreme acid conditions (pH < 3), increases the Po tendency to be associated to the dissolved phase. Therefore, the main conclusion obtained in this work is that AMD has no a significant influence on the total activity concentration of (210)Po in the waters of reservoirs, but the acidity has a clear influence on its distribution between both dissolved and the particulate phases.


Assuntos
Lagos/química , Mineração , Polônio/análise , Monitoramento de Radiação , Poluentes Radioativos da Água/análise , Espanha
13.
Environ Sci Pollut Res Int ; 23(7): 6002-11, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26032451

RESUMO

This work presents a combination of geochemical, mineralogical, and biological data obtained in water reservoirs located in one of the most paradigmatic mining regions, suffering from acid mine drainage (AMD) problems: the Iberian Pyrite Belt (IPB). Four water reservoirs located in the Spanish sector of the IBP, storing water for different purposes, were selected to achieve an environmental classification based on the effects of AMD: two mining dams (Gossan and Águas Ácidas), a reservoir for industrial use (Sancho), and one with water used for human supply (Andévalo). The results indicated that the four reservoirs are subject to the effect of metallic loads from polluted rivers, although with different levels: Águas Ácidas > Gossan > Sancho ≥ Andévalo. In accordance, epipsammic diatom communities have differences in the respective composition and dominant taxa. The dominant diatoms in each reservoir indicated acid water: Pinnularia acidophila and Pinnularia aljustrelica were found in the most acidic dams (Gossan and Águas Ácidas, with pH <3), Pinnularia subcapitata in Sancho (pH 2.48-5.82), and Eunotia exigua in Andévalo (pH 2.34-6.15).


Assuntos
Monitoramento Ambiental , Mineração , Poluentes Químicos da Água/análise , Abastecimento de Água/estatística & dados numéricos , Ácidos , Diatomáceas/efeitos dos fármacos , Ferro , Rios/química , Sulfetos
14.
Clin Transl Oncol ; 18(4): 342-51, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26329294

RESUMO

Data in the literature support the existence of a state of limited metastases or oligometastases. Favorable outcomes have been observed in selected patients with such oligometastases that are treated with local ablative therapies, which include surgical extirpation, stereotactic body radiation therapy (SBRT), and radiofrequency ablation. The role of SBRT in the setting of lymph node oligometastases is still emerging but the early results for local control are promising. However, the biggest challenge is to identify patients who will benefit from treatment of their oligometastatic disease with local aggressive therapy. Patients are initially categorized based upon examination of the initial biopsy, location, stage, and previous treatments received. Appropriate patient management with SBRT requires an understanding of several clinicopathological features that help to identify several subsets of patients with more responsive tumors and a good tolerance to SBRT. In an effort to incorporate the most recent evidence, here the Spanish Society of Radiation Oncology presents guidelines for using SBRT in lymph node oligometastases.


Assuntos
Ensaios Clínicos como Assunto/normas , Neoplasias/cirurgia , Guias de Prática Clínica como Assunto/normas , Radioterapia (Especialidade)/normas , Radiocirurgia/normas , Humanos , Metástase Linfática , Neoplasias/patologia , Prognóstico , Sociedades Médicas , Taxa de Sobrevida
15.
Environ Int ; 29(1): 51-9, 2003 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-12605937

RESUMO

Water pollution caused by sulfide oxidation responds to two geochemical processes: a natural one of temporal patterns, and the 'acid mine drainage', an accelerated process derived from the extractive activity. The Odiel River is located in Southwestern Spain; it flows to the south and into the Atlantic Ocean after joining the Tinto River near its mouth, forming a common estuary. There are three kinds of metallic mining in the Odiel River Basin: manganese, gold and silver, and pyrite mining, the latter being the most important in this basin, which is the object of this study. The main objective of the present study is centred in the characterisation of the sources responsible for the 'acid mine drainage' processes in the Odiel River Basin, through the sampling and subsequent chemical and statistical analyses of water samples collected in three types of sources: mine dumps, active mines and abandoned mines. The main conclusion is that mean pH values in the target area are remarkably lower than those in other active and abandoned mines outside of the study zone. On the contrary, mean values for heavy metal sulfates are much higher. Regarding mine dumps, mean values for pH, sulfates and heavy metals are within a similar range to those data known for areas outside the study zone.


Assuntos
Mineração , Modelos Estatísticos , Poluentes da Água/análise , Monitoramento Ambiental , Ouro , Concentração de Íons de Hidrogênio , Ferro , Oxirredução , Prata , Espanha , Sulfetos/química , Eliminação de Resíduos Líquidos
16.
Environ Int ; 30(4): 557-66, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15031016

RESUMO

The Ria of Huelva estuary, in SW Spain, is known to be one of the most heavy metal contaminated estuaries in the world. River contribution to the estuary of dissolved Cu, Zn, Mn, Cr, Ni, Cd, and As were analysed for the period 1988-2001. The obtained mean values show that this contribution, both because of the magnitude of total metals (895.1 kg/h), composition, toxicity (8.7 kg/h of As+Cd+Pb) and persistence, is an incomparable case in heavy metal contamination of estuaries. The amount and typology of heavy metal discharge to the Ria of Huelva are related to freshwater flow (and, consequently, to rainfall); as a result, two different types of heavy metal discharge can be distinguished in the estuary: during low water (50% of the days), with only 19.3 kg/h of heavy metals, and during high water or flood (17% of the days), where daily maximum discharge of 72,475 kg of heavy metals were recorded, from which 1481 kg were of As, 470 kg of Pb, and 170 kg of Cd. In the most frequent situation (77% of the days), the Odiel River discharges from 90% to 100% of the freshwater received by the estuary. Despite this, the high concentration of heavy metals in the Tinto River water causes this river to discharge into the Ria of Huelva 12.5% of fluvial total dissolved metal load received by the estuary.


Assuntos
Monitoramento Ambiental/estatística & dados numéricos , Metais Pesados/análise , Rios/química , Poluentes Químicos da Água/análise , Estudos Longitudinais , Análise de Regressão , Espanha , Espectrofotometria Atômica
17.
Mar Pollut Bull ; 46(4): 475-80, 2003 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-12705921

RESUMO

In the last few decades, the study of space-time distribution and variations of heavy metals in estuaries has been extensively studied as an environmental indicator. In the case described here, the combination of acid water from mines, industrial effluents and sea water plays a determining role in the evolutionary process of the chemical makeup of the water in the estuary of the Tinto and Odiel Rivers, located in the southwest of the Iberian Peninsula. Based on the statistical treatment of the data from the analysis of the water samples from this system, which has been affected by processes of industrial and mining pollution, the 16 variables analyzed can be grouped into two large families. Each family presents high, positive Pearson r values that suggest common origins (fluvial or sea) for the pollutants present in the water analyzed and allow their subsequent contrast through cluster analysis.


Assuntos
Monitoramento Ambiental/métodos , Resíduos Industriais/análise , Metais Pesados/análise , Concentração de Íons de Hidrogênio , Mineração , Água do Mar/química , Espanha , Fatores de Tempo , Água/química
18.
Rev Esp Enferm Dig ; 87(3): 199-204, 1995 Mar.
Artigo em Espanhol | MEDLINE | ID: mdl-7742048

RESUMO

PURPOSE: To compare the results of preoperative and postoperative radiotherapy in rectal adenocarcinoma, in terms of overall survival and disease-free survival. PATIENTS AND METHODS: From 1989 to 1993, 52 patients with clinically operable rectal cancer were retrospectively analyzed. Two groups were compared: Patients in Group I received postoperative radiotherapy and those in Group II preoperative radiotherapy. Patients with a Karfnosky index > 70%, no evidence of distant disease and no major systemic problems were included in this study. RESULTS: The overall 5-year actuarial survival was 75% in Group I and 83% in Group II. The 5-year disease-free survival was 52% in Group I compared to 86% in Group II, a statistically significant difference (p = 0.025). A reduction in all Dukes' stages was observed in the preoperative radiation group, allowing preservation of the anorectal function in an increased number of patients. CONCLUSIONS: We observed better results with preoperative radiotherapy and conclude that this treatment might be justified in rectal carcinoma.


Assuntos
Adenocarcinoma/radioterapia , Cuidados Pós-Operatórios , Cuidados Pré-Operatórios , Neoplasias Retais/radioterapia , Adenocarcinoma/complicações , Adenocarcinoma/mortalidade , Adenocarcinoma/cirurgia , Adulto , Idoso , Intervalo Livre de Doença , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/epidemiologia , Cuidados Pós-Operatórios/efeitos adversos , Cuidados Pré-Operatórios/efeitos adversos , Dosagem Radioterapêutica , Radioterapia Adjuvante/efeitos adversos , Neoplasias Retais/complicações , Neoplasias Retais/mortalidade , Neoplasias Retais/cirurgia
19.
Mar Pollut Bull ; 69(1-2): 150-6, 2013 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-23453814

RESUMO

This study describes the spatial evolution of the hydrogeochemical parameters which characterise a strongly affected estuary by Acid Mine Drainage (AMD). The studied estuarine system receives AMD from the Iberian Pyrite Belt (SW Spain) and, simultaneously, is affected by the presence of an industrial chemical complex. Water sampling was performed in the year of 2008, comprising four sampling campaigns, in order to represent seasonality. The results show how the estuary can be divided into three areas of different behaviour in response to hydrogeochemical variables concentrations that define each sampling stations: on one hand, an area dominated by tidal influence; in the opposite end there is a second area including the points located in the two rivers headwaters that are not influenced by seawater; finally there is the area that can be defined as mixing zone. These areas are moved along the hydrological year due to seasonal chemical variations.


Assuntos
Monitoramento Ambiental/métodos , Mineração , Modelos Químicos , Poluentes Químicos da Água/análise , Poluição Química da Água/estatística & dados numéricos , Análise por Conglomerados , Sedimentos Geológicos , Resíduos Industriais/análise , Resíduos Industriais/estatística & dados numéricos , Estações do Ano , Espanha
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