ABSTRACT:The state of Ceará is a semiarid region in north-eastern Brazil, having a high spatial and temporal variability of precipitation, which poses challenges for water resources management. The objective of this study is to describe and analyse the long-term variation of monthly precipitation indices and their relation to sea surface temperature (SST) anomalies. Data from 55 weather stations in the state of Ceará from 1974 to 2009 was analysed. In general, a decreasing tendency in monthly precipitation was observed over almost all the state of Ceará. The results point to a tendency for dry months to become dryer and to a decrease in precipitation intensity. SST anomalies from October to March correlate with precipitation indices from January to April, showing decreasing lag times towards the end of the wet season. The most influential SST anomalies locations are Niño 1+2, Niño 3, Niño 3.4 and Global Tropics.

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Adequate management of indoor air quality (IAQ) in healthcare units has relevant impacts on sustainability performance due to its effects on patient safety, occupational health and safety, and energy consumptions. This study sought to identify improvement opportunities on IAQ management by collecting and analyzing experimental data of selected parameters in three healthcare units in Portugal: Two general hospitals and one primary healthcare center. Indoor air temperature, relative humidity, CO2, bacteria, and fungi concentrations were measured in summer and winter campaigns in June/July 2017 and in January/March 2018. Results show that the exclusive use of natural ventilation is not adequate when the affluence of users is high, but the analyzed parameters revealed acceptable results under low occupation intensity conditions. Results also show that keeping low indoor air relative humidity has a significant impact in reducing fungi concentration and that there is a significant correlation at the 0.05 level between indoor air CO2 concentration and bacterial loads. Therefore, as opportunities to improve sustainability, IAQ management in healthcare facilities should consider natural ventilation as a complement to mechanical ventilation systems and should focus on adequate control of indoor air relative humidity and CO2 concentration to reduce the risk of airborne infections.

The adequate assessment and management of indoor air quality in healthcare facilities is of utmost importance for patient safety and occupational health purposes. This study aims to identify the recent trends of research on the topic through a systematic literature review following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) methodology. A total of 171 articles published in the period 2015–2020 were selected and analyzed. Results show that there is a worldwide growing research interest in this subject, dispersed in a wide variety of scientific journals. A textometric analysis using the IRaMuTeQ software revealed four clusters of topics in the sampled articles: physicochemical pollutants, design and management of infrastructures, environmental control measures, and microbiological contamination. The studies focus mainly on hospital facilities, but there is also research interest in primary care centers and dental clinics. The majority of the analyzed articles (85%) report experimental data, with the most frequently measured parameters being related to environmental quality (temperature and relative humidity), microbiological load, CO2 and particulate matter. Non-compliance with the WHO guidelines for indoor air quality is frequently reported. This study provides an overview of the recent literature on this topic, identifying promising lines of research to improve indoor air quality in healthcare facilities.

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Study of the effect of two wwt's discharges on the benthic macroinvertebrate communities' structure of the River Tinto (Portugal)The Water Framework Directive (DQA-2000/60/ EC) establishes, as one of its main objectives, the achievement of good ecological status of water bodies and introduces the concept of "ecological status", which includes the study of a broad set of parameters and factors to determining the health of an ecosystem. This work is part of a project whose main objective is the rehabilitation of a small urban river in the north of Portugal, the Tinto river, that presents a high degree of environmental degradation. This work aims to study the effect of the two wastewater treatment plants (WWTP's) discharges in the structure of the benthic macroinvertebrate communities. The study compares results (metrics and indices) obtained from the analysis of benthic macroinvertebrates samples collected in river sections upstream and downstream of the discharges of WWTP's, between october 2015 and july 2017, and values of hydro-morphological and physico-chemical parameters. Although the benthic macroinvertebrate communities are very conditioned by the bad status of the Tinto river, in the sections downstream of the WWTP's the macroinvrtebrates communities present characteristics that indicate a higher degree of environmental disturbance.

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