A Water Quality Index (WQI) is a numeric expression used to evaluate the quality of a given water body and to be easily understood by managers. In this study, a modified nine-parameter Scottish WQI was used to assess the monthly water quality of the Douro River during a 10-year period (1992-2001), scaled from zero (lowest) to 100% (highest). The 98,000 km(2) of the Douro River international watershed is the largest in the Iberian Peninsula, split between upstream Spain (80%) and downstream Portugal (20%). Three locations were surveyed: at the Portuguese-Spanish border, 350 km from the river mouth; 180 km from the mouth, where the river becomes exclusively Portuguese; and 21 km from the mouth. The water received by Portugal from Spain showed the poorest quality (WQI 47.3 +/- 0.7%); quality increased steadily downstream, up to 61.7 +/- 0.7%. In general, the water quality at all three sites was medium to poor. Seasonally, water quality decreased from winter to summer, but no statistical relationship between quality and discharge rate could be established. Depending on the location, different parameters were responsible for the episodic decline of quality: high conductivity and low oxygen content in the uppermost reservoir, and fecal coliform contamination downstream. This study shows the need to enforce the existing international bilateral agreements and to implement the European Water Quality Directive in order to improve the water quantity and quality received by the downstream country of a shared watershed, especially because two million inhabitants use the water from the last river location as their only source of drinking water.

Background: BRCA1/2 mutations confer high lifetime risk of breast cancer, although other factors may modify this risk. Whether height or body mass index (BMI) modifies breast cancer risk in BRCA1/2 mutation carriers remains unclear. Methods: We used Mendelian randomization approaches to evaluate the association of height and BMI on breast cancer risk, using data from the Consortium of Investigators of Modifiers of BRCA1/2 with 14 676 BRCA1 and 7912 BRCA2 mutation carriers, including 11 451 cases of breast cancer. We created a height genetic score using 586 height-associated variants and a BMI genetic score using 93 BMI-associated variants. We examined both observed and genetically determined height and BMI with breast cancer risk using weighted Cox models. All statistical tests were two-sided. Results: Observed height was positively associated with breast cancer risk (HR ¼ 1.09 per 10 cm increase, 95% confidence interval [CI] ¼ 1.0 to 1.17; P ¼ 1.17). Height genetic score was positively associated with breast cancer, although this was not statistically significant (per 10 cm increase in genetically predicted height, HR ¼ 1.04, 95% CI ¼ 0.93 to 1.17; P ¼ .47). Observed BMI was inversely associated with breast cancer risk (per 5 kg/m 2 increase, HR ¼ 0.94, 95% CI ¼ 0.90 to 0.98; P ¼ .007). BMI genetic score was also inversely associated with breast cancer risk (per 5 kg/m 2 increase in genetically predicted BMI, HR ¼ 0.87, 95% CI ¼ 0.76 to 0.98; P ¼ .02). BMI was primarily associated with premenopausal breast cancer. Conclusion: Height is associated with overall breast cancer and BMI is associated with premenopausal breast cancer in BRCA1/2 mutation carriers. Incorporating height and BMI, particularly genetic score, into risk assessment may improve cancer management.

Dissolved organic carbon (DOC) and dissolved organic nitrogen (DON) are metabolically important in estuaries. Their availability is influenced by organic matter inputs (internal and external) as well as by internal microbial transformations within the system. In this study, spatial and seasonal dynamics of DOC and DON were evaluated in the Douro River estuary (Portugal). Monthly surveys were performed from October 2005 to December 2006 along a salinity gradient at three different depths. DOC and DON were calculated by subtracting the respective inorganic components (dissolved inorganic carbon, DIC, and dissolved inorganic nitrogen, DIN) from total dissolved carbon (TDC) and total dissolved nitrogen (TDN). In the Douro River estuary, DIC exhibits a linear and positive distribution as a function of salinity, indicating an input of DIC into the estuary from coastal waters. This pattern of distribution along the salinity gradient was also observed for total particulate matter, since a decreasing trend upstream was observed. In contrast, the results showed a general nonconservative behaviour of DOC along the estuarine transect during most months. This typical deviation from conservative mixing was mainly associated with sewage DOC sources into the lower and middle estuary. On average, DON concentrations represented 52-88% of the TDN. Along the transect, relationships between DIN and DON with salinity were generally conservative, decreasing towards the mouth, highlighting the fluvial source of such nitrogen forms; however, occasional DON sewage loads were registered. Estimated global Douro River watershed exports of DOC and DON to coastal waters yielded values of 420 kg C m-2 yr-1 and 125 kg N m-2 yr-1 , respectively, which are high when compared with previously predicted levels from global models of DOC and DON export.

Gestational diabetes, affecting about 10% of pregnancies, is characterized by impaired glucose regulation and can lead to complications for health of pregnant women and their offspring. The microbiota, the resident microbes within the body, have been linked to the development of several metabolic conditions. This systematic review with meta-analysis aims to summarize the evidence on the differences in microbiota composition in pregnant women with gestational diabetes and their offspring compared to healthy pregnancies. A thorough search was conducted in the PubMed, Scopus, and Web of Science databases, and data from 21 studies were analyzed utilizing 41 meta-analyses. In the gut microbiota, Bifidobacterium and Alistipes were found to be more abundant in healthy pregnancies, while Roseburia appears to be more abundant in gestational diabetes. The heterogeneity among study findings regarding the microbiota in the meconium is considerable. The placental microbiota exhibited almost no heterogeneity, with an increased abundance of Firmicutes in the gestational diabetes group and a higher abundance of Proteobacteria in the control. The role of the microbiota in gestational diabetes is reinforced by these findings, which additionally point to the potential of microbiome-targeted therapies. To completely comprehend the interactions between gestational diabetes and the microbiome, standardizing methodologies and further research is necessary.