Aspectos ecológicos de Chaetostoma sp. (Siluriformes: Loricariidae) en el alto río Magdalena, Colombia

We determined food and reproductive habits of Chaetostoma sp. in the Upper Magdalena basin, Colombia. The samplings were monthly between August 2001 and July 2012. We collected 1853 individuals in 11 size classes, between 34 â 114 mm SL, with an average length of 43.5 mm SL. The frequent recruitment was observed throughout the year, however the greater contribution of young individuals occurred between January and March 2012. Overall, Chaetostoma sp. was categorized as an hervibore with preference for diatoms. Navicula was the main food item, while Synedra, Gomphonema, Cymbella, Oscillatoria and Fragilaria were secondary food items. The sex ratio was 1:1. The average fecundity was 124 oocytes and average diameter of 1.54 mm, possibly related to a reproductive strategy K.Se determinaron los hábitos alimenticios y reproductivos de Chaetostoma sp. en el alto río Magdalena, Colombia. Los muestreos fueron mensuales entre agosto de 2011 y julio de 2012. Se colectaron 1853 individuos, distribuidos en 11 clases de tallas entre 34 â 114 mm LE, con una longitud media de 43,5 mm LE. Se observó un reclutamiento frecuente durante todo el año del muestreo, sin embargo el mayor aporte de individuos juveniles se presentó entre enero y marzo 2012. Chaetostoma sp. se categorizó como un herbívoro con preferencia por las diatomeas, donde Navicula fue el ítem principal, mientras que Synedra, Gomphonema, Cymbella, Oscillatoria y Fragilaria fueron ítems secundarios. La proporción sexual fue de 1:1, su fecundidad promedio fue de 124 oocitos y el diámetro de 1,54 mm, relacionado con estrategia reproductiva k. Proyecto financiado por Emgesa S. A. E.S.P

Reconstructing Native American Population History

The peopling of the Americas has been the subject of extensive genetic, archaeological and linguistic research; however, central questions remain unresolved1–5. One contentious issue is whether the settlement occurred via a single6–8 or multiple streams of migration from Siberia9–15. The pattern of dispersals within the Americas is also poorly understood. To address these questions at higher resolution than was previously possible, we assembled data from 52 Native American and 17 Siberian groups genotyped at 364,470 single nucleotide polymorphisms. We show that Native Americans descend from at least three streams of Asian gene flow. Most descend entirely from a single ancestral population that we call “First American”. However, speakers of Eskimo-Aleut languages from the Arctic inherit almost half their ancestry from a second stream of Asian gene flow, and the Na-Dene-speaking Chipewyan from Canada inherit roughly one-tenth of their ancestry from a third stream. We show that the initial peopling followed a southward expansion facilitated by the coast, with sequential population splits and little gene flow after divergence, especially in South America. A major exception is in Chibchan-speakers on both sides of the Panama Isthmus, who have ancestry from both North and South America

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Aspectos ecológicos de <em>Chaetostoma<em> sp. (Siluriformes: Loricariidae) en el alto río Magdalena, Colombia

We determined food and reproductive habits of Chaetostoma sp. in the Upper Magdalena basin, Colombia. The samplings were monthly between August 2001 and July 2012. We collected 1853 individuals in 11 size classes, between 34 â 114 mm SL, with an average length of 43.5 mm SL. The frequent recruitment was observed throughout the year, however the greater contribution of young individuals occurred between January and March 2012. Overall, Chaetostoma sp. was categorized as an hervibore with preference for diatoms. Navicula was the main food item, while Synedra, Gomphonema, Cymbella, Oscillatoria and Fragilaria were secondary food items. The sex ratio was 1:1. The average fecundity was 124 oocytes and average diameter of 1.54 mm, possibly related to a reproductive strategy K

Aspectos ecológicos de <em>Chaetostoma<em> sp. (Siluriformes: Loricariidae) en el alto río Magdalena, Colombia

Se determinaron los hábitos alimenticios y reproductivos de Chaetostoma sp. en el alto río Magdalena, Colombia. Los muestreos fueron mensuales entre agosto de 2011 y julio de 2012. Se colectaron 1853 individuos, distribuidos en 11 clases de tallas entre 34 â 114 mm LE, con una longitud media de 43,5 mm LE. Se observó un reclutamiento frecuente durante todo el año del muestreo, sin embargo el mayor aporte de individuos juveniles se presentó entre enero y marzo 2012. Chaetostoma sp. se categorizó como un herbívoro con preferencia por las diatomeas, donde Navicula fue el ítem principal, mientras que Synedra, Gomphonema, Cymbella, Oscillatoria y Fragilaria fueron ítems secundarios. La proporción sexual fue de 1:1, su fecundidad promedio fue de 124 oocitos y el diámetro de 1,54 mm, relacionado con estrategia reproductiva k. Proyecto financiado por Emgesa S. A. E.S.P.Artículo revisado por pare

Sistema de Gestión de Salud para el Distrito (SGS-D) FaseII :

IP 1130-14-12803v.1. Arquitecturas del sistema integral de referencia y contrarreferenciapara el distrito capital -- v.2. Modo de operacion presente-procesos y manuales ESE y CRU:anexos: manualgeneral de ESE's-sistema integral de referencia y contrarreferencia-manual de procedimientos actividades electivas y urgentes ; sistema integral de referencia y contrarreferencia manual de procedimientos-centroregulador de urgencias CRU-actividades electivas y urgentes -- v.3. Modo de operacion futuro-procesosyprocedimientos del sistema integral de referencia y contrarreferencia SIRC DC (modelo basado en conectividad) --v.4. Manual de referencia del sistema integral de referencia y contrarreferencia (SIRC): anexos : descripcion de los modulos de aplicacion ; diagramas de casos de uso ; modelo estatico de la aplicacion;diagramasde actividades ; diagramas de secuencia ; arquitectura de datos -- v.5. Manual de usuario aplicacion SIRC -- v.6. Diagnostico de procesos y procedimientos SIRC en la Subred sur -- v.7. Diagnostico de procesos y procedimientos SIRC en la Subred centro oriente : anexos : seguimiento de herramientas y formatosSIRC;seguimiento de pacientes ; toma de tiempos ; sistemas de informacion -- v.8. Diagnostico de procesos yprocedimientos SIRC en la Subred norte : anexos : instructivo formato seguimiento : herramientas, formatos SIRCyelaboracion de informe por PA y ESE ; instructivo formato de seguimiento de pacientes ; instructivodediligenciamiento : formato de toma de tiempos para el SIRC ; instructivo de diligenciamiento formato : sistemas de informacion -- v.9. Diagnostico de procesos y procedimientos SIRC en la Subred sur occidente: anexos : instructivo formato seguimiento : herramientas, formatos SIRC y elaboracion de informe por PA yESE ; instructivo formato de seguimiento de pacientes ; instructivo de diligenciamiento : formato de tomadetiempos para el SIRC ; instructivo de diligen informacion

Corrigendum: Reconstructing Native American population history

No abstract available