Percepción y Realidad del Secuestro en Nuevo León: Una Visión Multidisciplinaria en el Diagnóstico de Rutas, Perfiles y Zonas Detectadas Para su Prevención y Tratamiento

Durante el año 2012, un total de 18 académicos y profesionales procedentes de distintas disciplinas y apoyados por la UANL, Waldos y Asociados, la Procuraduría General de Justicia del Gobierno de Nuevo León y el Instituto Dipev, trabajaron específicamente en diversas técnicas metodológicas para analizar el fenómeno del secuestro en la entidad

Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study

Background: In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods: From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results: A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion: Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide

Small vulnerable newborns : the urgent need of strong actions in Peru and the entire Latin America

Non peer reviewe

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

Competitive and predatory interactions between invasive mosquitofish and native larval newts

Invasive fish have a high disruptive potential in aquatic ecosystems, in which amphibians may be highly impacted due to intense competition and/or predation on their eggs and larvae. Most studies have focused on the effect of large invasive fishes such as salmonids, whereas the effect of smaller fish on amphibians has been seldom investigated. We experimentally studied effects of the invasive Eastern mosquitofish (Gambusia holbrooki) on pygmy newts (Triturus pygmaeus), a species endemic to the Iberian Peninsula. We set up outdoor mesocosms in Doñana National Park with native aquatic flora and invertebrate fauna, and containing larval newts at two experimental densities. Density of larval newts was also crossed with presence or absence of mosquitofish, either free-swimming or caged, in order to distinguish consumptive and non-consumptive effects. Increased density of coexisting larval newts did not reduce their survival, but reduced their growth and development. Newt survival and size at metamorphosis were dramatically reduced in the presence of free-swimming mosquitofish, whether at low or high fish densities. Caged mosquitofish, however, had no effect on larval newts. In laboratory trials, mosquitofish preyed more efficiently on insect larvae than did larval pygmy newts, highlighting the high competitive potential of mosquitofish. This was confirmed by the depletion of zooplankton that free fish caused in the experimental outdoor mesocosms. Our study suggests that invasive mosquitofish exert a high negative impact on coexisting newt populations. Such effects can be explained by a combination of direct predation, injuries caused by predation attempts, and intense competitive exploitation of common food resources.Financial support was provided by the Spanish Ministry of Economy and Competitiveness through the Severo Ochoa Program for Centers of Excellence in R&D&I (SEV-2012-0262, Grant SO-07), and by CONACYT (Consejo Nacional de Ciencia y Tecnología de México; postdoctoral fellowship to ECG: 204202).Peer reviewe

Differential effect of natural and pigment-supplemented diets on larval development and phenotype of anurans

Diet has major effects on development, growth, health, and performance of animals. Photosynthetic pigments, in particular, are key components of the diet of many organisms that can play important roles in their development and performance. Compared to other taxa, we know relatively little about how these pigments impact amphibian larval development. We conducted diet supplementation experiments on tadpoles of two amphibian species, in which we offered various naturally co-occurring aquatic macrophytes or diet enriched or not with supplement pigments. We evaluated the effect of these diets on developmental period, size, mass, color, and jumping performance of metamorphs exposed or not to risk of simulated pond drying during the larval period. Diet based on Myriophyllum alterniflorum resulted in high mortality rates of Mediterranean tree frog larvae (Hyla meridionalis), this macrophyte did not affect survival of Western spadefoot toads (Pelobates cultripes), but individuals took longer to reach metamorphosis. Regardless of the macrophyte consumed, spadefoot toad tadpoles speeded up metamorphosis when exposed to reduced water volume, whereas tree frog tadpoles did not show significant responses to simulated pond drying. The three supplemented diets tested—β-carotene, lutein, and chlorophyll—had positive effects on size and mass of tree frogs; supplemented diet based on β-carotene improved dorsal coloration of tree frogs and had positive effects on size and mass at metamorphosis of spadefoot toads. Tadpoles fed with supplements did not exhibit significant response to water reduction. Our study highlights the importance of larval diet on phenotypically plastic responses and post-metamorphic traits in anurans

Larger body size at metamorphosis enhances survival, growth and performance of young cane toads (Rhinella marina).

Body size at metamorphosis is a key trait in species (such as many anurans) with biphasic life-histories. Experimental studies have shown that metamorph size is highly plastic, depending upon larval density and environmental conditions (e.g. temperature, food supply, water quality, chemical cues from conspecifics, predators and competitors). To test the hypothesis that this developmental plasticity is adaptive, or to determine if inducing plasticity can be used to control an invasive species, we need to know whether or not a metamorphosing anuran's body size influences its subsequent viability. For logistical reasons, there are few data on this topic under field conditions. We studied cane toads (Rhinella marina) within their invasive Australian range. Metamorph body size is highly plastic in this species, and our laboratory studies showed that larger metamorphs had better locomotor performance (both on land and in the water), and were more adept at catching and consuming prey. In mark-recapture trials in outdoor enclosures, larger body size enhanced metamorph survival and growth rate under some seasonal conditions. Larger metamorphs maintained their size advantage over smaller siblings for at least a month. Our data support the critical but rarely-tested assumption that all else being equal, larger body size at metamorphosis is likely to enhance an individual's long term viability. Thus, manipulations to reduce body size at metamorphosis in cane toads may help to reduce the ecological impact of this invasive species

The interacting effects of ungulate hoofprints and predatory native ants on metamorph cane toads in tropical Australia.

Many invasive species exploit the disturbed habitats created by human activities. Understanding the effects of habitat disturbance on invasion success, and how disturbance interacts with other factors (such as biotic resistance to the invaders from the native fauna) may suggest new ways to reduce invader viability. In tropical Australia, commercial livestock production can facilitate invasion by the cane toad (Rhinella marina), because hoofprints left by cattle and horses around waterbody margins provide distinctive (cool, moist) microhabitats; nevertheless the same microhabitat can inhibit the success of cane toads by increasing the risks of predation or drowning. Metamorph cane toads actively select hoofprints as retreat-sites to escape dangerous thermal and hydric conditions in the surrounding landscape. However, hoofprint geometry is important: in hoofprints with steep sides the young toads are more likely to be attacked by predatory ants (Iridomyrmex reburrus) and are more likely to drown following heavy rain. Thus, anthropogenic changes to the landscape interact with predation by native taxa to affect the ability of cane toads in this vulnerable life-history stage to thrive in the harsh abiotic conditions of tropical Australia