Guía de seguimiento farmacoterapéutico sobre niño enfermo

Coordinadores de esta edición: Emilio García Jiménez y Martha Milena Silva CastroEsta guía tiene por objetivo facilitar la fase de estudio necesaria para realizar seguimiento farmacoterapéutico en el niño enfermo. En primer lugar se han tratado las características farmacocinéticas y farmacodinámicas especiales de los niños. Para, a continuación presentar las características de los problemas de salud más importantes en la población infantil, así como los tratamientos de tipo farmacológico o no, indicados para tratar estos problemas de salud

Can we save a marine species affected by a highly infective, highly lethal, waterborne disease from extinction?

Anthropogenic drivers and global warming are altering the occurrence of infectious marine diseases, some of which produce mass mortalities with considerable ecosystemic and economic costs. The Mediterranean Sea is considered a laboratory to examine global processes, and the fan mussel Pinna nobilis a sentinel species within it. Since September 2016, fan mussels suffer a die-off, very likely provoked by the protozoan Haplosporidium pinnae. Population dynamic surveys, rescue programmes, larvae collector installation and protection of infected adults from predators, have increased knowledge about the factors conditioning the spread of the die-off; previous model simulations indicate that water temperature and salinity seem to be related to the manifestation of the disease, which at the end are strongly influenced by climate change and anthropogenic actions. The absence of natural recruitment implies that fan mussel populations are not recovering, but the survival of populations living in paralic environments provides an opportunity to study the disease and its conditioning factors. The fan mussel disease outbreak provides a case example for how climate change may mediate host-protozoan dynamics and poses several questions: are we witnessing the potential extinction of a sentinel species? Can we avoid it by applying active measures? If so, which measures will be more effective? How many other more overlooked species might experience a massive and unnoticed die-off before it is too late to implement any preservation action? This is especially relevant because the loss of keystone species can drive to community effects that influence marine ecosystem processes.This research was partially funded by the Spanish Ministry for the Ecological Transition, project 28-5310 “Rescate de 215 ejemplares de nacra (Pinna nobilis) y su mantenimiento en 5 centros especializados en el marco del Proyecto UFE IP-PAF INTEMARES (LIFE15 IPE ES 012)”, “Gestión integrada, innovadora y participativa de la Red Natura 2000 en el medio marino español” as well as those agreements and contracts with the participating entities (IFAPA, IRTA, IEO) derived from this project, and by the Prince Albert II of Monaco Foundation to project BF/HEM 15-1662, “The study, protection and possible breeding of pen shell (Pinna nobilis) in the Boka Kotorska Bay”. Maite Vázquez-Luis was supported by the postdoctoral contract, Juan de la Cierva-Incorporación (IJCI-2016-29329) of Ministerio de Ciencia, Innovación y Universidades. G. Catanese was supported by a research contract from the INIA-CCAA (DOC INIA 8/2013) MINECO programme. The M. López-Sanmartín contract is co-financed by the State Plan for Scientific and Technical Research and Innovation 2013–2016, MINECO, ref. PTA215-11709-I