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There is a relationship between net primary production of wheat and vegetation indices obtained from satellite imaging. Most wheat production studies use the Normalised Difference Vegetation Index (NDVI) to estimate the production and yield of wheat and other crops. On the one hand, few studies use the MERIS Terrestrial Chlorophyll Index (MTCI) to determine crop yield and production on a regional level. This is possibly due to a lack of continuity of MERIS. On the other hand, the emergence of Sentinel 2 open new possibilities for the research and application of MTCI. This study has built two empirical models to estimate wheat production and yield in Andalusia. To this end, the study used the complete times series (weekly images from 2006–2011) of the MTCI vegetation index from the Medium Resolution Imaging Spectrometer (MERIS) sensor associated with the Andalusian yearbook for agricultural and fishing statistics (AEAP—Anuario de estadísticas agrarias y pesqueras de Andalucía). In order to build these models, the optimal development period for the plant needed to be identified, as did the time-based aggregation of MTCI values using said optimal period as a reference, and relation with the index, with direct observations of production and yield through spatial aggregation using coverage from the Geographic Information System for Agricultural Parcels (SIGPAC—Sistema de información geográfica de parcelas agrícolas) and requests for common agricultural policy (CAP) assistance. The obtained results indicate a significant association between the MTCI index and the production and yield data collected by AEAP at the 95% confidence level (R2 =0.81 and R2 =0.57, respectively).

Se presenta una evidencia de los efectos de "El Niño"/oscilación del sur (ENSO) en el rendimiento del cultivo del frijol de tem´porada en el estado de Veracruz, Para obtener el articulo completo pueden contactar al Editor de la Revista Ecosistemas y Recursos Agropecuarios en el siguiente correo electrónico era@ujat.mx y se les enviará sin algún costo.

Acute pancreatitis is an entity of notable importance due to its high incidence and its non-negligible morbidity and mortality. Idiopathic acute pancreatitis is that in which the cause of the clinical condition cannot be determined after an initial basic study. Understanding the underlying aetiology enables clinicians to propose a targeted treatment to reduce the risk of recurrence. Endoscopic ultrasonography and magnetic resonance cholangiopancreatography are the tests of choice to deepen the aetiological study. The main cause is undiagnosed lithiasic disease in the initial study, whose treatment of choice is cholecystectomy. Moreover, recurrent acute pancreatitis is diagnosed after 2 or more episodes of acute pancreatitis. The objective of this review is to provide an updated approach for these 2 entities, reviewing aspects of their epidemiology, diagnosis and available alternative therapies., (Copyright © 2019 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.)

Introduction: Thiopurine therapy can be optimised by determining the concentration of the drug's metabolites., Patients and Methods: Retrospective analysis on a prospective database of 31 patients with inflammatory bowel disease who failed therapy with thiopurines. Thiopurine metabolites (6-thioguanine, 6-TGN and 6-methylmercaptopurine, 6-MMP) were measured by high-performance liquid chromatography (Laboratorios Cerba, Barcelona) and treatment was duly adjusted in accordance with the results. Clinical response was reassessed after six months., Result: Despite the appropriate theoretical dose of thiopurines being administered, the dose was insufficient in 45.6% of patients (nonadherence to treatment suspected in 6.45%) and 16.2% received an excessive dose or the drug was metabolised by other metabolic pathways. After treatment was optimised based on metabolite levels, only 25.8% (8/31) were prescribed a biological agent, while 74.2% of cases (23/31) were managed through dose optimisation alone., Discussion: Monitoring thiopurine metabolite levels may help clinicians to assess non-responsive patients before adding or switching to another drug (generally a biological agent), thereby avoiding any additional costs or potential toxicity. This strategy may also help to identify patients receiving an insufficient dose and those with an alternative metabolic pathway, who could be candidates for low-dose AZA with allopurinol, as well as patients who are suspected of being non-adherent. In three out of four patients, switching to a biological agent can be avoided., (Copyright © 2018 Elsevier España, S.L.U. All rights reserved.)

Objectives: To estimate radiologistś level of knowledge of and their implication in radioprotection., Methods: An anonymous and supervised survey was conducted during a work meeting., Results: Of the 65 questionnaires handed out, 63 were returned. In general, the radiologists surveyed considered their level of knowledge to be low, and it was statistically demonstrated (P = 0.018) that the level of knowledge they believed they had was related to the number of correct answers. The level of knowledge that radiologists believed they had was also related (p < 0.05) with the years of experience, and it was higher in the more experienced radiologists., Conclusions: There is an important margin of improvement in knowledge about radiation protection., (Copyright © 2018 SERAM. Publicado por Elsevier España, S.L.U. All rights reserved.)

Septic shock sometimes starts with unspecific symptoms that hamper the clinical diagnosis and, therefore an appropriate treatment. When the septic shock follows a fulminating course with a fatal outcome, the etiological diagnosis has to be conducted post-mortem. Sudden unexpected deaths in children and young adults are frequently the object of medico-legal autopsies. Some sudden unexpected deaths have an infectious origin, which requires further analyses, including microbiology, to establish the cause of death. Here, the case of a fatal septic shock in a 19-month old male infant is presented. After a mild foot injury, an infection by Streptococcus pyogenes progressed to septic shock with a fatal outcome as post-mortem studies demonstrated.

We report a case of renal angiomyolipoma in a patient who, following normal delivery, presented with abdominal pain and acute abdomen with severe hemodynamic compromise that led to hypovolemic shock. Following diagnosis by emergency exploratory laparotomy, a left nephrectomy was performed. We underscore the difficulty involved in the diagnosis of acute abdomen from hemoperitoneum resulting from a ruptured angiomyolipoma, and highlight the rarity of this condition. Our patient was submitted to radical surgery because of vessel (hilum) invasion. The tumor was benign and no complications were observed. Patient work up eight years postoperatively revealed no local or systemic evidence of disease.