Primer registro de Mycoporum buckii (Dothideomycetes, Pleosporales) en México

Background and Aims: The genus Mycoporum of the class Dothideomycetes of the phylum Ascomycota is characterised by ascostromata with scattered, aggregated locules without a wall of their own, bitunicate asci with a short pedicel, as well as ellipsoidal, fusiform to clavate ascospores with broader upper hemispores, and a variable number of septa. The objective of this study is to report Mycoporum buckii for the first time in Mexico. Methods: The specimens were collected on Rhizophora mangle bark in the Cozumel Island Biosphere Reserve, Quintana Roo, Mexico, in 2019, and were deposited in the herbarium ENCB of the Instituto Politécnico Nacional, Mexico. The material was reviewed in dry state, and macro- and micromorphological characters were described. Specimens were identified with specialised keys and literature. Key results: The description of Mycoporum buckii of Mexico is presented. This species is characterised by multilocular, sessile ascostromata, clavate asci, and ellipsoidal ascospores with one transversal septum. Conclusions: Mycoporum buckii grows on Rhizophora mangle and produces its sporomas during the rainy and dry seasons in the Cozumel Island Biosphere Reserve, Quintana Roo, Mexico.Antecedentes y Objetivos: El género Mycoporum de la clase Dothideomycetes del phylum Ascomycota se caracteriza por un ascostroma con lóculos dispersos, agregados sin pared propia, ascas bitunicadas con un pedicelo corto y ascoporas elipsoidales, fusiformes a clavadas, con el hemisferio superior más ancho, y un numero variable de septos. El objetivo de este estudio es reportar a Mycoporum buckii por primera vez en México. Métodos: Los especímenes fueron recolectados sobre corteza de Rhizophora mangle en la Reserva de la Biosfera Isla de Cozumel, México, durante el año 2019, y fueron depositados en el herbario ENCB del Instituto Politécnico Nacional, México. El material se revisó en seco y se describieron sus características macro y micomorfologicas. Estos fueron identificados con claves y literatura espcializada. Resultados clave: Se presenta una descripción de Mycoporum buckii para México. Esta especie se caracteriza por un ascostroma multilocular, sésil, ascas clavadas y ascosporas elipsoidales con un septo transversal. Conclusiones: Mycoporum buckii se encontró creciendo sobre Rhizophora mangle y produce esporomas en temporada seca y húmeda en la Reserva de la Biosfera Isla de Cozumel, Quintana Roo, México. Palabras clave: Mar Caribe, Rhizophora mangle, taxonomía

Relaciones entre los hongos filamentosos y solubilizadores de fosfatos con algunas variables edáficas y el manejo de cafetales Filamentous and phosphate solubilizing fungi relationships with some edaphic parameters and coffee plantations management

El suelo y sus propiedades tienen múltiples relaciones con las comunidades fúngicas. El efecto conjunto de la intensidad de manejo y las variables edáficas, incluida la estabilidad de agregados sobre las comunidades de hongos microscópicos filamentosos (HMF), solubilizadores de fosfato de hierro (HSP-Fe) y solubilizadores tanto de fosfato de hierro como de calcio (HSP-(Fe+Ca)) no han sido evaluadas en campo. A partir de 40 muestras edáficas de ocho plantaciones de café de Colombia y México, con diferentes intensidades de manejo (IMPC) y con diferencias en sus variables edáficas, se aislaron y evaluaron las comunidades de HMF, HSP-Fe y HSP-(Fe+Ca) durante 2008-2009. Empleando modelos basados en ecuaciones estructurales se encontró que el carbono orgánico se relacionó positivamente con la riqueza y abundancia de HMF (&#955;>0.58) y fue variable en su relación con HSP-Fe y HSP-(Fe+Ca). Las relaciones del fósforo disponible, pH y las fracciones de macro-agregados fueron altamente variables. El IMPC se relacionó negativamente con HSP-Fe (&#955;&#8804;-0.21) en cafetales colombianos. Se discuten las interacciones para cada conjunto de variables (químicas, estabilidad de macro-agregados y de manejo de plantación) y se explican las relaciones resultantes. Las relaciones de cada variable son inseparables del contexto edáfico y geográfico, los cuales imprimen marcadas diferencias.<br>Soil properties and the environment have multiple outcomes on fungal communities. Although, the interaction effects between management intensity, pH, available phosphorus, organic carbon, soil texture and different fractions of water stable macro-aggregates on the communities of microscopic filamentous fungi (MFF), iron phosphate solubilizing fungi (PSF-Fe), and iron and calcium phosphate solubilizing fungi (PSF-(Fe+Ca)), have been previously evaluated in field conditions, this has never been performed in terms of their combined effects, neither with phosphate solubilizing fungi. To assess this, we collected 40 composite soil samples from eight Mexican and Colombian coffee plantations, with different management intensities and physico-chemical edaphic parameters, during 2008-2009. We isolated different communities of MFF, PSFFe and PSF-(Fe+Ca), by wet sieving and soil particles culture in Potato-Dextrose-Agar from soil samples, and we classified isolates in terms of their phosphate solubilizing ability. Following the principal component analysis results, we decided to analyze fungal communities and abiotic factors interactions for each country separately. Structural Equation Models revealed that organic carbon was positively associated to MFF richness and number of isolates (&#955;>0.58), but its relationship with PSF-Fe and PSF-(Fe+Ca) were variable; while the available phosphorus, pH and water stable macro-aggregate fractions did not show a clear pattern. Management intensity was negatively related to PSF-Fe (&#955;&#8804;-0.21) morphotype richness and the number of isolates in Colombian coffee plantations. We found that the relationships of clay and organic carbon content, and available phosphorus and soil pH, with the species richness and number of isolates of MFF, PSF-Fe and PSF-(Fe+Ca) were highly variable; this made impossible to generalize the responses between saprotrophic fungal groups and geographic zones. The management intensity was not related to species richness and number of isolates of MFF in any coffee areas, while for PSF the relationship could not be defined. The different water stable macro-aggregates fractions did not show a defined pattern in relation to the species richness and the number of isolates of saprophytic and phosphate solubilizing fungi (PSF). This study highlights the need to take into account edaphic and geographic context in order to reach a better understanding of the intensity management effects on MFF and PSF function in agroecosystems

Relaciones entre los hongos filamentosos y solubilizadores de fosfatos con algunas variables edáficas y el manejo de cafetales

Filamentous and phosphate solubilizing fungi relationships with some edaphic parameters and coffee plantations management. Soil properties and the environment have multiple outcomes on fungal communities. Although, the interaction effects between management intensity, pH, available phosphorus, organic carbon, soil texture and different fractions of water stable macro-aggregates on the communities of microscopic filamentous fungi (MFF), iron phosphate solubilizing fungi (PSF-Fe), and iron and calcium phosphate solubilizing fungi (PSF-(Fe+Ca)), have been previously evaluated in field conditions, this has never been performed in terms of their combined effects, neither with phosphate solubilizing fungi. To assess this, we collected 40 composite soil samples from eight Mexican and Colombian coffee plantations, with different management intensities and physico-chemical edaphic parameters, during 2008-2009. We isolated different communities of MFF, PSFFe and PSF-(Fe+Ca), by wet sieving and soil particles culture in Potato-Dextrose-Agar from soil samples, and we classified isolates in terms of their phosphate solubilizing ability. Following the principal component analysis results, we decided to analyze fungal communities and abiotic factors interactions for each country separately. Structural Equation Models revealed that organic carbon was positively associated to MFF richness and number of isolates (λ&gt;0.58), but its relationship with PSF-Fe and PSF-(Fe+Ca) were variable; while the available phosphorus, pH and water stable macro-aggregate fractions did not show a clear pattern. Management intensity was negatively related to PSF-Fe (λ≤-0.21) morphotype richness and the number of isolates in Colombian coffee plantations. We found that the relationships of clay and organic carbon content, and available phosphorus and soil pH, with the species richness and number of isolates of MFF, PSF-Fe and PSF-(Fe+Ca) were highly variable; this made impossible to generalize the responses between saprotrophic fungal groups and geographic zones. The management intensity was not related to species richness and number of isolates of MFF in any coffee areas, while for PSF the relationship could not be defined. The different water stable macro-aggregates fractions did not show a defined pattern in relation to the species richness and the number of isolates of saprophytic and phosphate solubilizing fungi (PSF). This study highlights the need to take into account edaphic and geographic context in order to reach a better understanding of the intensity management effects on MFF and PSF function in agroecosystems.El suelo y sus propiedades tienen múltiples relaciones con las comunidades fúngicas. El efecto conjunto de la intensidad de manejo y las variables edáficas, incluida laestabilidad de agregados sobre las comunidades de hongos microscópicos filamentosos (HMF), solubilizadores de fosfato de hierro (HSP-Fe) y solubilizadores tanto de fosfato de hierro como de calcio (HSP-(Fe+Ca)) no han sido evaluadas en campo. A partir de 40 muestras edáficas de ocho plantaciones de café de Colombia y México, con diferentes intensidades de manejo (IMPC) y con diferencias en sus variables edáficas, se aislaron y evaluaron las comunidades de HMF, HSP-Fe y HSP-(Fe+Ca) durante 2008-2009. Empleando modelos basados en ecuaciones estructurales se encontró que el carbono orgánico se relacionó positivamente con la riqueza y abundancia de HMF (λ&gt;0.58) y fue variable en su relación con HSP-Fe y HSP- (Fe+Ca). Las relaciones del fósforo disponible, pH y las fracciones de macro-agregados fueron altamente variables. El IMPC se relacionó negativamente con HSP-Fe (λ≤-0.21) en cafetales colombianos. Se discuten las interacciones para cada conjunto de variables (químicas, estabilidad de macro-agregados y de manejo de plantación) y se explican las relaciones resultantes. Las relaciones de cada variable son inseparables del contexto edáfico y geográfico, los cuales imprimen marcadas diferencias

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research