Reference values of mechanical and thermal pain tests in a pain-free population

Quantitative sensory tests are widely used in human research to evaluate the effect of analgesics and explore altered pain mechanisms, such as central sensitization. In order to apply these tests in clinical practice, knowledge of reference values is essential. The aim of this study was to determine the reference values of pain thresholds for mechanical and thermal stimuli, as well as withdrawal time for the cold pressor test in 300 pain-free subjects. Pain detection and pain tolerance thresholds to pressure, heat and cold were determined at three body sites: (1) lower back, (2) suprascapular region and (3) second toe (for pressure) or the lateral aspect of the leg (for heat and cold). The influences of gender, age, height, weight, body-mass index (BMI), body side of testing, depression, anxiety, catastrophizing and parameters of Short-Form 36 (SF-36) were analyzed by multiple regressions. Quantile regressions were performed to define the 5th, 10th and 25th percentiles as reference values for pain hypersensitivity and the 75th, 90th and 95th percentiles as reference values for pain hyposensitivity. Gender, age and/or the interaction of age with gender were the only variables that consistently affected the pain measures. Women were more pain sensitive than men. However, the influence of gender decreased with increasing age. In conclusion, normative values of parameters related to pressure, heat and cold pain stimuli were determined. Reference values have to be stratified by body region, gender and age. The determination of these reference values will now allow the clinical application of the tests for detecting abnormal pain reactions in individual patients.

[Laboratory diagnostic with regard to new anticoagulants - monitoring and influence on coagulation tests]

New oral anticoagulants promise to overcome essential drawbacks of traditional substances. They have a predictable therapeutic effect, a wide therapeutic window, only limited interaction with food and drugs and can be administered p.o. with a fixed dose. On the other hand, knowledge on the laboratory management of new anticoagulants is limited. In the present article we discuss possible indications and available assays for monitoring of Rivaroxaban, Apixaban and Dabigatran. Furthermore, we discuss interpretation of routine coagulation tests during therapy with these new drugs.

Driver Safety in Far-side and Far-oblique Crashes: A Study of Patrol Vehicles in the United States of America

The dissertation titled "Driver Safety in Far-side and Far-oblique Crashes" presents a novel approach to assessing vehicle cockpit safety by integrating Human Factors and Applied Mechanics. The methodology of this approach is aimed at improving safety in compact mobile workspaces such as patrol vehicle cockpits. A statistical analysis performed using Michigan state's traffic crash data to assess various contributing factors that affect the risk of severe driver injuries showed that the risk was greater for unrestrained drivers (OR=3.38, p<0.0001) and for incidents involving front and far-side crashes without seatbelts (OR=8.0 and 23.0 respectively, p<0.005). Statistics also showed that near-side and far-side crashes pose similar threat to driver injury severity. A Human Factor survey was conducted to assess various Human-Machine/Human-Computer Interaction aspects in patrol vehicle cockpits. Results showed that tasks requiring manual operation, especially the usage of laptop, would require more attention and potentially cause more distraction. A vehicle survey conducted to evaluate ergonomics-related issues revealed that some of the equipment was in airbag deployment zones. In addition, experiments were conducted to assess the effects on driver distraction caused by changing the position of in-car accessories. A driving simulator study was conducted to mimic HMI/HCI in a patrol vehicle cockpit (20 subjects, average driving experience = 5.35 years, s.d. = 1.8). It was found that the mounting locations of manual tasks did not result in a significant change in response times. Visual displays resulted in response times less than 1.5sec. It can also be concluded that the manual task was equally distracting regardless of mounting positions (average response time was 15 secs). Average speeds and lane deviations did not show any significant results. Data from 13 full-scale sled tests conducted to simulate far-side impacts at 70 PDOF and 40 PDOF was used to analyze head injuries and HIC/AIS values. It was found that accelerations generated by the vehicle deceleration alone were high enough to cause AIS 3 - AIS 6 injuries. Pretensioners could mitigated injuries only in 40 PDOF (oblique) impacts but are useless in 70 PDOF impacts. Seat belts were ineffective in protecting the driver's head from injuries. Head would come in contact with the laptop during a far-oblique (40 PDOF) crash and far-side door for an angle-type crash (70 PDOF). Finite Element analysis head-laptop impact interaction showed that the contact velocity was the most crucial factor in causing a severe (and potentially fatal) head injury. Results indicate that no equipment may be mounted in driver trajectory envelopes. A very narrow band of space is left in patrol vehicles for installation of manual-task equipment to be both safe and ergonomic. In case of a contact, the material stiffness and damping properties play a very significant role in determining the injury outcome. Future work may be done on improving the interiors' material properties to better absorb and dissipate kinetic energy of the head. The design of seat belts and pretensioners may also be seen as an essential aspect to be further improved.

The James Lind Library: explaining and illustrating the evolution of fair tests of medical treatments

The James Lind Library (www.jameslindlibrary.org) has been established to improve public and professional general knowledge about fair tests of treatments in healthcare and their history. Its foundation was laid ten years ago at the Royal College of Physicians of Edinburgh, and its administrative centre is in the College's Sibbald Library, one of the most important collections of historic medical manuscripts, papers and books in the world. The James Lind Library is a website that introduces visitors to the principles of fair tests of treatments, with a series of short, illustrated essays, which are currently available in English, Arabic, Chinese, French, Portuguese, Russian and Spanish. A 100-page book-- Testing Treatments--is now available free through the website, both in English and in Arabic and Spanish translations. To illustrate the evolution of ideas related to fair tests of treatments from 2000 BC to the present, the James Lind Library contains key passages and images from manuscripts, books and journal articles, many of them accompanied by commentaries, biographies, portraits and other relevant documents and images, including audio and video files. New material is being added to the website continuously, as relevant new records are identified and as methods for testing treatments evolve. A multinational, multilingual editorial team oversees the development of the website, which currently receives tens of thousands of visitors every month.

Test Blueprints - Exposing Side Effects in Execution Traces to Support Writing Unit Tests

Writing unit tests for legacy systems is a key maintenance task. When writing tests for object-oriented programs, objects need to be set up and the expected effects of executing the unit under test need to be verified. If developers lack internal knowledge of a system, the task of writing tests is non-trivial. To address this problem, we propose an approach that exposes side effects detected in example runs of the system and uses these side effects to guide the developer when writing tests. We introduce a visualization called Test Blueprint, through which we identify what the required fixture is and what assertions are needed to verify the correct behavior of a unit under test. The dynamic analysis technique that underlies our approach is based on both tracing method executions and on tracking the flow of objects at runtime. To demonstrate the usefulness of our approach we present results from two case studies.

Frequency of use and knowledge of the WHO-surgical checklist in Swiss hospitals: a cross-sectional online survey

BACKGROUND The WHO-surgical checklist is strongly recommended as a highly effective yet economically simple intervention to improve patient safety. Its use and potentially influential factors were investigated as little data exist on the current situation in Switzerland. METHODS A cross-sectional online survey with members (N = 1378) of three Swiss professional associations of invasive health care professionals was conducted in German, French, and Italian. The survey assessed use of, knowledge of and satisfaction with the WHO-surgical checklist. T-Tests and ANOVA were conducted to test for differences between professional groups. Bivariate correlations were computed to test for associations between measures of knowledge and satisfaction. RESULTS 1090 (79.1%) reported the use of a surgical checklist. 346 (25.1%) use the WHO-checklist, 532 (38.6%) use the Swiss Patient Safety Foundation recommendations to avoid Wrong Site Surgery, and 212 (15.7%) reported the use of other checklists. Satisfaction with checklist use was generally high (doctors: 71.9% satisfied, nurses: 60.8% satisfied) and knowledge was moderate depending on the use of the WHO-checklist. No association between measures of subjective and objective knowledge was found. CONCLUSIONS Implementation of a surgical checklist remains an important task for health care institutions in Switzerland. Although checklist use is present in Switzerland on a regular basis, a substantial group of health care personnel still do not use a checklist as a routine. Influential factors and the associations among themselves need to be addressed in future studies in more detail.

Family Court Judges' Training, Background, and Child Development Knowledge: Associations with Child Custody Decision Making

Family court judges are often asked to make inferences about - or directly interview children to ascertain - children's custody preferences and their maturity to express such preferences. These estimates of children's developmental maturity are important to the judges' considerations of children's "best interests" in custody cases. The research literature describing family court judges' background, education, training, and knowledge about child development is scant. With appropriate child development knowledge, judges should be better able to identify the developmental stages at which children have the cognitive and social capabilities to communicate directly their placement wishes or concerns. The current study is the first to examine judges' estimates of - and actual tests of - their child development knowledge, their training/education, and their application of this knowledge to their decisions to involve children as participants in contested custody cases.

The Texas driver responsibility program: A preliminary analysis of the impact on impaired driving and trauma system funding

Objective. In 2003, the State of Texas instituted the Driver Responsibility Program (TDRP), a program consisting of a driving infraction point system coupled with a series of graded fines and annual surcharges for specific traffic violations such as driving while intoxicated (DWI). Approximately half of the revenues generated are earmarked to be disbursed to the state's trauma system to cover uncompensated trauma care costs. This study examined initial program implementation, the impact of trauma system funding, and initial impact on impaired driving knowledge, attitudes and behaviors. A model for targeted media campaigns to improve the program's deterrence effects was developed. ^ Methods. Data from two independent driver survey samples (conducted in 1999 and 2005), department of public safety records, state health department data and a state auditor's report were used to evaluate the program's initial implementation, impact and outcome with respect to drivers' impaired driving knowledge, attitudes and behavior (based on constructs of social cognitive theory) and hospital uncompensated trauma care funding. Survey results were used to develop a regression model of high risk drivers who should be targeted to improve program outcome with respect to deterring impaired driving. ^ Results. Low driver compliance with fee payment (28%) and program implementation problems were associated with lower surcharge revenues in the first two years ($59.5 million versus $525 million predicted). Program revenue distribution to trauma hospitals was associated with a 16% increase in designated trauma centers. Survey data demonstrated that only 28% of drivers are aware of the TDRP and that there has been no initial impact on impaired driving behavior. Logistical regression modeling suggested that target media campaigns highlighting the likelihood of DWI detection by law enforcement and the increased surcharges associated with the TDRP are required to deter impaired driving. ^ Conclusions. Although the TDRP raised nearly $60 million in surcharge revenue for the Texas trauma system over the first two years, this study did not find evidence of a change in impaired driving knowledge, attitudes or behaviors from 1999 to 2005. Further research is required to measure whether the program is associated with decreased alcohol-related traffic fatalities. ^

Plasma–wall interaction in laser inertial fusion reactors: novel proposals for radiation tests of first wall materials

Dry-wall laser inertial fusion (LIF) chambers will have to withstand strong bursts of fast charged particles which will deposit tens of kJ m−2 and implant more than 1018 particles m−2 in a few microseconds at a repetition rate of some Hz. Large chamber dimensions and resistant plasma-facing materials must be combined to guarantee the chamber performance as long as possible under the expected threats: heating, fatigue, cracking, formation of defects, retention of light species, swelling and erosion. Current and novel radiation resistant materials for the first wall need to be validated under realistic conditions. However, at present there is a lack of facilities which can reproduce such ion environments. This contribution proposes the use of ultra-intense lasers and high-intense pulsed ion beams (HIPIB) to recreate the plasma conditions in LIF reactors. By target normal sheath acceleration, ultra-intense lasers can generate very short and energetic ion pulses with a spectral distribution similar to that of the inertial fusion ion bursts, suitable to validate fusion materials and to investigate the barely known propagation of those bursts through background plasmas/gases present in the reactor chamber. HIPIB technologies, initially developed for inertial fusion driver systems, provide huge intensity pulses which meet the irradiation conditions expected in the first wall of LIF chambers and thus can be used for the validation of materials too.

Shaking table tests of structures with hysteretic dampers: experimental results vs. prediction using non-linear static methods

The use of seismic hysteretic dampers for passive control is increasing exponentially in recent years for both new and existing buildings. In order to utilize hysteretic dampers within a structural system, it is of paramount importance to have simplified design procedures based upon knowledge gained from theoretical studies and validated with experimental results. Non-linear Static Procedures (NSPs) are presented as an alternative to the force-based methods more common nowadays. The application of NSPs to conventional structures has been well established; yet there is a lack of experimental information on how NSPs apply to systems with hysteretic dampers. In this research, several shaking table tests were conducted on two single bay and single story 1:2 scale structures with and without hysteretic dampers. The maximum response of the structure with dampers in terms of lateral displacement and base shear obtained from the tests was compared with the prediction provided by three well-known NSPs: (1) the improved version of the Capacity Spectrum Method (CSM) from FEMA 440; (2) the improved version of the Displacement Coefficient Method (DCM) from FEMA 440; and (3) the N2 Method implemented in Eurocode 8. In general, the improved version of the DCM and N2 methods are found to provide acceptable accuracy in prediction, but the CSM tends to underestimate the response.

Plasma–wall interaction in laser inertial fusion reactors: novel proposals for radiation tests of first wall materials

Dry-wall laser inertial fusion (LIF) chambers will have to withstand strong bursts of fast charged particles which will deposit tens of kJ m−2 and implant more than 1018 particles m−2 in a few microseconds at a repetition rate of some Hz. Large chamber dimensions and resistant plasma-facing materials must be combined to guarantee the chamber performance as long as possible under the expected threats: heating, fatigue, cracking, formation of defects, retention of light species, swelling and erosion. Current and novel radiation resistant materials for the first wall need to be validated under realistic conditions. However, at present there is a lack of facilities which can reproduce such ion environments. This contribution proposes the use of ultra-intense lasers and high-intense pulsed ion beams (HIPIB) to recreate the plasma conditions in LIF reactors. By target normal sheath acceleration, ultra-intense lasers can generate very short and energetic ion pulses with a spectral distribution similar to that of the inertial fusion ion bursts, suitable to validate fusion materials and to investigate the barely known propagation of those bursts through background plasmas/gases present in the reactor chamber. HIPIB technologies, initially developed for inertial fusion driver systems, provide huge intensity pulses which meet the irradiation conditions expected in the first wall of LIF chambers and thus can be used for the validation of materials too.

Climate variability effects on field crops in Iberian Peninsula. Predictability

La presente Tesis constituye un avance en el conocimiento de los efectos de la variabilidad climática en los cultivos en la Península Ibérica (PI). Es bien conocido que la temperatura del océano, particularmente de la región tropical, es una de las variables más convenientes para ser utilizado como predictor climático. Los océanos son considerados como la principal fuente de almacenamiento de calor del planeta debido a la alta capacidad calorífica del agua. Cuando se libera esta energía, altera los regímenes globales de circulación atmosférica por mecanismos de teleconexión. Estos cambios en la circulación general de la atmósfera afectan a la temperatura, precipitación, humedad, viento, etc., a escala regional, los cuales afectan al crecimiento, desarrollo y rendimiento de los cultivos. Para el caso de Europa, esto implica que la variabilidad atmosférica en una región específica se asocia con la variabilidad de otras regiones adyacentes y/o remotas, como consecuencia Europa está siendo afectada por los patrones de circulaciones globales, que a su vez, se ven afectados por patrones oceánicos. El objetivo general de esta tesis es analizar la variabilidad del rendimiento de los cultivos y su relación con la variabilidad climática y teleconexiones, así como evaluar su predictibilidad. Además, esta Tesis tiene como objetivo establecer una metodología para estudiar la predictibilidad de las anomalías del rendimiento de los cultivos. El análisis se centra en trigo y maíz como referencia para otros cultivos de la PI, cultivos de invierno en secano y cultivos de verano en regadío respectivamente. Experimentos de simulación de cultivos utilizando una metodología en cadena de modelos (clima + cultivos) son diseñados para evaluar los impactos de los patrones de variabilidad climática en el rendimiento y su predictibilidad. La presente Tesis se estructura en dos partes: La primera se centra en el análisis de la variabilidad del clima y la segunda es una aplicación de predicción cuantitativa de cosechas. La primera parte está dividida en 3 capítulos y la segundo en un capitulo cubriendo los objetivos específicos del presente trabajo de investigación. Parte I. Análisis de variabilidad climática El primer capítulo muestra un análisis de la variabilidad del rendimiento potencial en una localidad como indicador bioclimático de las teleconexiones de El Niño con Europa, mostrando su importancia en la mejora de predictibilidad tanto en clima como en agricultura. Además, se presenta la metodología elegida para relacionar el rendimiento con las variables atmosféricas y oceánicas. El rendimiento de los cultivos es parcialmente determinado por la variabilidad climática atmosférica, que a su vez depende de los cambios en la temperatura de la superficie del mar (TSM). El Niño es el principal modo de variabilidad interanual de la TSM, y sus efectos se extienden en todo el mundo. Sin embargo, la predictibilidad de estos impactos es controversial, especialmente aquellos asociados con la variabilidad climática Europea, que se ha encontrado que es no estacionaria y no lineal. Este estudio mostró cómo el rendimiento potencial de los cultivos obtenidos a partir de datos de reanálisis y modelos de cultivos sirve como un índice alternativo y más eficaz de las teleconexiones de El Niño, ya que integra las no linealidades entre las variables climáticas en una única serie temporal. Las relaciones entre El Niño y las anomalías de rendimiento de los cultivos son más significativas que las contribuciones individuales de cada una de las variables atmosféricas utilizadas como entrada en el modelo de cultivo. Además, la no estacionariedad entre El Niño y la variabilidad climática europea se detectan con mayor claridad cuando se analiza la variabilidad de los rendimiento de los cultivos. La comprensión de esta relación permite una cierta predictibilidad hasta un año antes de la cosecha del cultivo. Esta predictibilidad no es constante, sino que depende tanto la modulación de la alta y baja frecuencia. En el segundo capítulo se identifica los patrones oceánicos y atmosféricos de variabilidad climática que afectan a los cultivos de verano en la PI. Además, se presentan hipótesis acerca del mecanismo eco-fisiológico a través del cual el cultivo responde. Este estudio se centra en el análisis de la variabilidad del rendimiento de maíz en la PI para todo el siglo veinte, usando un modelo de cultivo calibrado en 5 localidades españolas y datos climáticos de reanálisis para obtener series temporales largas de rendimiento potencial. Este estudio evalúa el uso de datos de reanálisis para obtener series de rendimiento de cultivos que dependen solo del clima, y utilizar estos rendimientos para analizar la influencia de los patrones oceánicos y atmosféricos. Los resultados muestran una gran fiabilidad de los datos de reanálisis. La distribución espacial asociada a la primera componente principal de la variabilidad del rendimiento muestra un comportamiento similar en todos los lugares estudiados de la PI. Se observa una alta correlación lineal entre el índice de El Niño y el rendimiento, pero no es estacionaria en el tiempo. Sin embargo, la relación entre la temperatura del aire y el rendimiento se mantiene constante a lo largo del tiempo, siendo los meses de mayor influencia durante el período de llenado del grano. En cuanto a los patrones atmosféricos, el patrón Escandinavia presentó una influencia significativa en el rendimiento en PI. En el tercer capítulo se identifica los patrones oceánicos y atmosféricos de variabilidad climática que afectan a los cultivos de invierno en la PI. Además, se presentan hipótesis acerca del mecanismo eco-fisiológico a través del cual el cultivo responde. Este estudio se centra en el análisis de la variabilidad del rendimiento de trigo en secano del Noreste (NE) de la PI. La variabilidad climática es el principal motor de los cambios en el crecimiento, desarrollo y rendimiento de los cultivos, especialmente en los sistemas de producción en secano. En la PI, los rendimientos de trigo son fuertemente dependientes de la cantidad de precipitación estacional y la distribución temporal de las mismas durante el periodo de crecimiento del cultivo. La principal fuente de variabilidad interanual de la precipitación en la PI es la Oscilación del Atlántico Norte (NAO), que se ha relacionado, en parte, con los cambios en la temperatura de la superficie del mar en el Pacífico Tropical (El Niño) y el Atlántico Tropical (TNA). La existencia de cierta predictibilidad nos ha animado a analizar la posible predicción de los rendimientos de trigo en la PI utilizando anomalías de TSM como predictor. Para ello, se ha utilizado un modelo de cultivo (calibrado en dos localidades del NE de la PI) y datos climáticos de reanálisis para obtener series temporales largas de rendimiento de trigo alcanzable y relacionar su variabilidad con anomalías de la TSM. Los resultados muestran que El Niño y la TNA influyen en el desarrollo y rendimiento del trigo en el NE de la PI, y estos impactos depende del estado concurrente de la NAO. Aunque la relación cultivo-TSM no es igual durante todo el periodo analizado, se puede explicar por un mecanismo eco-fisiológico estacionario. Durante la segunda mitad del siglo veinte, el calentamiento (enfriamiento) en la superficie del Atlántico tropical se asocia a una fase negativa (positiva) de la NAO, que ejerce una influencia positiva (negativa) en la temperatura mínima y precipitación durante el invierno y, por lo tanto, aumenta (disminuye) el rendimiento de trigo en la PI. En relación con El Niño, la correlación más alta se observó en el período 1981 -2001. En estas décadas, los altos (bajos) rendimientos se asocian con una transición El Niño - La Niña (La Niña - El Niño) o con eventos de El Niño (La Niña) que están finalizando. Para estos eventos, el patrón atmosférica asociada se asemeja a la NAO, que también influye directamente en la temperatura máxima y precipitación experimentadas por el cultivo durante la floración y llenado de grano. Los co- efectos de los dos patrones de teleconexión oceánicos ayudan a aumentar (disminuir) la precipitación y a disminuir (aumentar) la temperatura máxima en PI, por lo tanto el rendimiento de trigo aumenta (disminuye). Parte II. Predicción de cultivos. En el último capítulo se analiza los beneficios potenciales del uso de predicciones climáticas estacionales (por ejemplo de precipitación) en las predicciones de rendimientos de trigo y maíz, y explora métodos para aplicar dichos pronósticos climáticos en modelos de cultivo. Las predicciones climáticas estacionales tienen un gran potencial en las predicciones de cultivos, contribuyendo de esta manera a una mayor eficiencia de la gestión agrícola, seguridad alimentaria y de subsistencia. Los pronósticos climáticos se expresan en diferentes formas, sin embargo todos ellos son probabilísticos. Para ello, se evalúan y aplican dos métodos para desagregar las predicciones climáticas estacionales en datos diarios: 1) un generador climático estocástico condicionado (predictWTD) y 2) un simple re-muestreador basado en las probabilidades del pronóstico (FResampler1). Los dos métodos se evaluaron en un caso de estudio en el que se analizaron los impactos de tres escenarios de predicciones de precipitación estacional (predicción seco, medio y lluvioso) en el rendimiento de trigo en secano, sobre las necesidades de riego y rendimiento de maíz en la PI. Además, se estimó el margen bruto y los riesgos de la producción asociada con las predicciones de precipitación estacional extremas (seca y lluviosa). Los métodos predWTD y FResampler1 usados para desagregar los pronósticos de precipitación estacional en datos diarios, que serán usados como inputs en los modelos de cultivos, proporcionan una predicción comparable. Por lo tanto, ambos métodos parecen opciones factibles/viables para la vinculación de los pronósticos estacionales con modelos de simulación de cultivos para establecer predicciones de rendimiento o las necesidades de riego en el caso de maíz. El análisis del impacto en el margen bruto de los precios del grano de los dos cultivos (trigo y maíz) y el coste de riego (maíz) sugieren que la combinación de los precios de mercado previstos y la predicción climática estacional pueden ser una buena herramienta en la toma de decisiones de los agricultores, especialmente en predicciones secas y/o localidades con baja precipitación anual. Estos métodos permiten cuantificar los beneficios y riesgos de los agricultores ante una predicción climática estacional en la PI. Por lo tanto, seríamos capaces de establecer sistemas de alerta temprana y diseñar estrategias de adaptación del manejo del cultivo para aprovechar las condiciones favorables o reducir los efectos de condiciones adversas. La utilidad potencial de esta Tesis es la aplicación de las relaciones encontradas para predicción de cosechas de la próxima campaña agrícola. Una correcta predicción de los rendimientos podría ayudar a los agricultores a planear con antelación sus prácticas agronómicas y todos los demás aspectos relacionados con el manejo de los cultivos. Esta metodología se puede utilizar también para la predicción de las tendencias futuras de la variabilidad del rendimiento en la PI. Tanto los sectores públicos (mejora de la planificación agrícola) como privados (agricultores, compañías de seguros agrarios) pueden beneficiarse de esta mejora en la predicción de cosechas. ABSTRACT The present thesis constitutes a step forward in advancing of knowledge of the effects of climate variability on crops in the Iberian Peninsula (IP). It is well known that ocean temperature, particularly the tropical ocean, is one of the most convenient variables to be used as climate predictor. Oceans are considered as the principal heat storage of the planet due to the high heat capacity of water. When this energy is released, it alters the global atmospheric circulation regimes by teleconnection1 mechanisms. These changes in the general circulation of the atmosphere affect the regional temperature, precipitation, moisture, wind, etc., and those influence crop growth, development and yield. For the case of Europe, this implies that the atmospheric variability in a specific region is associated with the variability of others adjacent and/or remote regions as a consequence of Europe being affected by global circulations patterns which, in turn, are affected by oceanic patterns. The general objective of this Thesis is to analyze the variability of crop yields at climate time scales and its relation to the climate variability and teleconnections, as well as to evaluate their predictability. Moreover, this Thesis aims to establish a methodology to study the predictability of crop yield anomalies. The analysis focuses on wheat and maize as a reference crops for other field crops in the IP, for winter rainfed crops and summer irrigated crops respectively. Crop simulation experiments using a model chain methodology (climate + crop) are designed to evaluate the impacts of climate variability patterns on yield and its predictability. The present Thesis is structured in two parts. The first part is focused on the climate variability analyses, and the second part is an application of the quantitative crop forecasting for years that fulfill specific conditions identified in the first part. This Thesis is divided into 4 chapters, covering the specific objectives of the present research work. Part I. Climate variability analyses The first chapter shows an analysis of potential yield variability in one location, as a bioclimatic indicator of the El Niño teleconnections with Europe, putting forward its importance for improving predictability in both climate and agriculture. It also presents the chosen methodology to relate yield with atmospheric and oceanic variables. Crop yield is partially determined by atmospheric climate variability, which in turn depends on changes in the sea surface temperature (SST). El Niño is the leading mode of SST interannual variability, and its impacts extend worldwide. Nevertheless, the predictability of these impacts is controversial, especially those associated with European climate variability, which have been found to be non-stationary and non-linear. The study showed how potential2 crop yield obtained from reanalysis data and crop models serves as an alternative and more effective index of El Niño teleconnections because it integrates the nonlinearities between the climate variables in a unique time series. The relationships between El Niño and crop yield anomalies are more significant than the individual contributions of each of the atmospheric variables used as input in the crop model. Additionally, the non-stationarities between El Niño and European climate variability are more clearly detected when analyzing crop-yield variability. The understanding of this relationship allows for some predictability up to one year before the crop is harvested. This predictability is not constant, but depends on both high and low frequency modulation. The second chapter identifies the oceanic and atmospheric patterns of climate variability affecting summer cropping systems in the IP. Moreover, hypotheses about the eco-physiological mechanism behind crop response are presented. It is focused on an analysis of maize yield variability in IP for the whole twenty century, using a calibrated crop model at five contrasting Spanish locations and reanalyses climate datasets to obtain long time series of potential yield. The study tests the use of reanalysis data for obtaining only climate dependent time series of simulated crop yield for the whole region, and to use these yield to analyze the influences of oceanic and atmospheric patterns. The results show a good reliability of reanalysis data. The spatial distribution of the leading principal component of yield variability shows a similar behaviour over all the studied locations in the IP. The strong linear correlation between El Niño index and yield is remarkable, being this relation non-stationary on time, although the air temperature-yield relationship remains on time, being the highest influences during grain filling period. Regarding atmospheric patterns, the summer Scandinavian pattern has significant influence on yield in IP. The third chapter identifies the oceanic and atmospheric patterns of climate variability affecting winter cropping systems in the IP. Also, hypotheses about the eco-physiological mechanism behind crop response are presented. It is focused on an analysis of rainfed wheat yield variability in IP. Climate variability is the main driver of changes in crop growth, development and yield, especially for rainfed production systems. In IP, wheat yields are strongly dependent on seasonal rainfall amount and temporal distribution of rainfall during the growing season. The major source of precipitation interannual variability in IP is the North Atlantic Oscillation (NAO) which has been related in part with changes in the Tropical Pacific (El Niño) and Atlantic (TNA) sea surface temperature (SST). The existence of some predictability has encouraged us to analyze the possible predictability of the wheat yield in the IP using SSTs anomalies as predictor. For this purpose, a crop model with a site specific calibration for the Northeast of IP and reanalysis climate datasets have been used to obtain long time series of attainable wheat yield and relate their variability with SST anomalies. The results show that El Niño and TNA influence rainfed wheat development and yield in IP and these impacts depend on the concurrent state of the NAO. Although crop-SST relationships do not equally hold on during the whole analyzed period, they can be explained by an understood and stationary ecophysiological mechanism. During the second half of the twenty century, the positive (negative) TNA index is associated to a negative (positive) phase of NAO, which exerts a positive (negative) influence on minimum temperatures (Tmin) and precipitation (Prec) during winter and, thus, yield increases (decreases) in IP. In relation to El Niño, the highest correlation takes place in the period 1981-2001. For these decades, high (low) yields are associated with an El Niño to La Niña (La Niña to El Niño) transitions or to El Niño events finishing. For these events, the regional associated atmospheric pattern resembles the NAO, which also influences directly on the maximum temperatures (Tmax) and precipitation experienced by the crop during flowering and grain filling. The co-effects of the two teleconnection patterns help to increase (decrease) the rainfall and decrease (increase) Tmax in IP, thus on increase (decrease) wheat yield. Part II. Crop forecasting The last chapter analyses the potential benefits for wheat and maize yields prediction from using seasonal climate forecasts (precipitation), and explores methods to apply such a climate forecast to crop models. Seasonal climate prediction has significant potential to contribute to the efficiency of agricultural management, and to food and livelihood security. Climate forecasts come in different forms, but probabilistic. For this purpose, two methods were evaluated and applied for disaggregating seasonal climate forecast into daily weather realizations: 1) a conditioned stochastic weather generator (predictWTD) and 2) a simple forecast probability resampler (FResampler1). The two methods were evaluated in a case study where the impacts of three scenarios of seasonal rainfall forecasts on rainfed wheat yield, on irrigation requirements and yields of maize in IP were analyzed. In addition, we estimated the economic margins and production risks associated with extreme scenarios of seasonal rainfall forecasts (dry and wet). The predWTD and FResampler1 methods used for disaggregating seasonal rainfall forecast into daily data needed by the crop simulation models provided comparable predictability. Therefore both methods seem feasible options for linking seasonal forecasts with crop simulation models for establishing yield forecasts or irrigation water requirements. The analysis of the impact on gross margin of grain prices for both crops and maize irrigation costs suggests the combination of market prices expected and the seasonal climate forecast can be a good tool in farmer’s decision-making, especially on dry forecast and/or in locations with low annual precipitation. These methodologies would allow quantifying the benefits and risks of a seasonal weather forecast to farmers in IP. Therefore, we would be able to establish early warning systems and to design crop management adaptation strategies that take advantage of favorable conditions or reduce the effect of adverse conditions. The potential usefulness of this Thesis is to apply the relationships found to crop forecasting on the next cropping season, suggesting opportunity time windows for the prediction. The methodology can be used as well for the prediction of future trends of IP yield variability. Both public (improvement of agricultural planning) and private (decision support to farmers, insurance companies) sectors may benefit from such an improvement of crop forecasting.

Latin Americaʹs emergence in global services: a new driver of structural change in the region?

Studies of international production acknowledge that the ability of firms to learn, upgrade and innovate in global value chains (GVCs) is influenced by knowledge flows within these global networks and by the national institutional systems in which the firms are embedded. Little is known, however, about how differences in national innovation and business systems shape the way firms and national economies insert themselves in global value chains and how this influences their upgrading trajectories. Based on a review of the existing academic literature, the chapter examines the impact of national innovation and business systems from middle-income and developing countries on learning and innovation processes in services GVCs.

Performance testing of an improved driver restraint system for subcompact cars. Volume II - final report.

National Highway Traffic Safety Administration, Washington, D.C.

The effects of alcohol on the driver's visual information processing. Final report.

National Highway Traffic Safety Administration, Washington, D.C.