The Lancet Breast Cancer Commission: tackling a global health, gender, and equity challenge

Breast cancer is an increasing global health, gender, socioeconomic, and equity challenge. In 2020, 2·3 million women were diagnosed with breast cancer and there were 685 000 deaths worldwide.1 Not only is breast cancer the highest incident cancer globally, but it is also the most prevalent, causing more disability-adjusted life-years lost than any other malignancy. Tackling breast cancer is a formidable task for health-care systems, policy makers, and other stakeholders. The numbers of people with metastatic breast cancer who go uncounted are concerning. Cancer registries record patients initially presenting with de-novo metastatic breast cancer, but data on those who develop metastases after a diagnosis of early breast cancer are scarce. In a world focused on breast cancer cure, these uncounted people living with metastatic disease face abandonment and stigma

A qualitative analysis of environmental policy and children's health in Mexico

<p>Abstract</p> <p>Background</p> <p>Since Mexico's joining the North American Free Trade Agreement (NAFTA) and the Organization for Economic Cooperation and Development (OECD) in 1994, it has witnessed rapid industrialization. A byproduct of this industrialization is increasing population exposure to environmental pollutants, of which some have been associated with childhood disease. We therefore identified and assessed the adequacy of existing international and Mexican governance instruments and policy tools to protect children from environmental hazards.</p> <p>Methods</p> <p>We first systematically reviewed PubMed, the Mexican legal code and the websites of the United Nations, World Health Organization, NAFTA and OECD as of July 2007 to identify the relevant governance instruments, and analyzed the approach these instruments took to preventing childhood diseases of environmental origin. Secondly, we interviewed a purposive sample of high-level government officials, researchers and non-governmental organization representatives, to identify their opinions and attitudes towards children's environmental health and potential barriers to child-specific protective legislation and implementation.</p> <p>Results</p> <p>We identified only one policy tool describing specific measures to reduce developmental neurotoxicity and other children's health effects from lead. Other governance instruments mention children's unique vulnerability to ozone, particulate matter and carbon monoxide, but do not provide further details. Most interviewees were aware of Mexican environmental policy tools addressing children's health needs, but agreed that, with few exceptions, environmental policies do not address the specific health needs of children and pregnant women. Interviewees also cited state centralization of power, communication barriers and political resistance as reasons for the absence of a strong regulatory platform.</p> <p>Conclusions</p> <p>The Mexican government has not sufficiently accounted for children's unique vulnerability to environmental contaminants. If regulation and legislation are not updated and implemented to protect children, increases in preventable exposures to toxic chemicals in the environment may ensue.</p

Continuous hydrogen production in a trickling bed reactor by using triticale silage as inoculum: Effect of simple and complex substrates

BACKGROUND: Previous studies have reported that complexity of the substrate, type of inoculum and reactor configuration strongly affect fermentative hydrogen production. Therefore, the aim of this study was to evaluate the effect of simple (glucose, xylose and sucrose) and complex (acid and enzymatic oat straw hydrolysates) substrates on the continuous hydrogen production in a trickling bed reactor. Novel inoculum (triticale silage) and biofilm support configuration (vertically organized PET tubing) were tested. RESULTS: The enzymatic hydrolysate was a suitable substrate for hydrogen production, since its hydrogen molar yield was similar to that obtained with glucose, mean values of 1.6 and 1.7 mol H2 mol-1 sugar consumed were obtained, respectively. In contrast, hydrogen was not produced from the acid hydrolysate. The highest hydrogen production rate (840 mL H2 L-1 h-1) was obtained with glucose at an organic loading rate of 160 g COD L-1 d-1. In spite of the high organic loading rate applied, clogging due to excessive biomass growth was not observed. Finally, PCR-DGGE analysis revealed that bacteria from Clostridium genus were the putative responsible for hydrogen production. CONCLUSION: This work demonstrates that continuous hydrogen production is affected by complexity of the substrate. Furthermore, it also shows the feasibility of using triticale silage as inoculum in hydrogen production systems. © 2014 Society of Chemical Industry

Methane production from acid hydrolysates of Agave tequilana bagasse: Evaluation of hydrolysis conditions and methane yield

Evaluation of diluted acid hydrolysis for sugar extraction from cooked and uncooked Agave tequilana bagasse and feasibility of using the hydrolysates as substrate for methane production, with and without nutrient addition, in anaerobic sequencing batch reactors (AnSBR) were studied. Results showed that the hydrolysis over the cooked bagasse was more effective for sugar extraction at the studied conditions. Total sugars concentration in the cooked and uncooked bagasse hydrolysates were 27.9g/L and 18.7g/L, respectively. However, 5-hydroxymethylfurfural was detected in the cooked bagasse hydrolysate, and therefore, the uncooked bagasse hydrolysate was selected as substrate for methane production. Interestingly, results showed that the AnSBR operated without nutrient addition obtained a constant methane production (0.26LCH4/gCOD), whereas the AnSBR operated with nutrient addition presented a gradual methane suppression. Molecular analyses suggested that methane suppression in the experiment with nutrient addition was due to a negative effect over the archaeal/bacterial ratio. © 2015

Ionic liquid-water mixtures enhance pretreatment and anaerobic digestion of agave bagasse

Agave bagasse (AB), a byproduct of tequila production, is a waste generated in large quantities and an emerging alternative for biofuels production. Nevertheless, the use of lignocellulosic biomass for this purpose requires a pretreatment that maximizes its degradation and utilization. Although there are several pretreatment types, using ionic liquids (IL) has become attractive due to its ability to dissolve the lignocellulosic biomass under mild conditions of time and temperature. As a drawback are the high cost of IL's and their high viscosity; thus mixing them with water is a way to overcome these hindrances. This work aimed to evaluate the effect of pretreatment with three diluted ILs on the A. tequilana bagasse structure and sugars production, as well as the potential of the enzymatic hydrolysate to produce methane in batch mode. The evaluated ILs were: 1-ethyl-3-methylimidazolium acetate [Emim][OAc], choline lysinate [Ch][Lys] and ethanolamine acetate [EOA][OAc]. The results showed that the IL with the best performance was [Ch][Lys], which not only offered the highest yields of sugar production (0.57 ± 0.03 g total sugars / g bagasse) but also, it is possible to use it at 30 % in a mix with water obtaining similar yields as with pure IL. Enzymatic hydrolysis of IL pretreated AB achieved 50.7 kg sugars and 49.3 kg of sugars for 90 %-[Ch][Lys] and 30 %-[Ch][Lys], respectively per 100 kg of untreated biomass. The enzymatic hydrolysate from the 30 %-[Ch][Lys] pretreated AB was able to achieve 0.28 L CH4/g CODfed, demonstrating that both sugar and methane yields are maintained when pure or 30 %-[Ch][Lys] are used for pretreatment, representing a step forward towards process feasibility

Bufete jurídico gratuito en Guadalajara

En este reporte se da cuenta de los servicios jurídicos que se realizan en la Clínica Ignacio Ellacuría, sus objetivos, alcances, metodología, resultados y las conclusiones sobre el trabajo que se desempeñó ahí