Acoplamiento entre las comunidades planctónicas de un lago amazónico de aguas claras (lago Boa, Colombia)

Las comunidades planctónicas de un lago están relacionadas entre sí de diversas maneras. Para los lagos amazónicos colombianos poco es lo que se conoce sobre este acoplamiento. Se realizaron siete visitas al lago Boa (Caquetá Medio) desde mayo de 1999 a mayo de 2000, durante las cuales se tomaron muestras de bacterioplancton, fitoplancton, nanozooplancton (protozoos) y rotíferos y crustáceos (mesozooplancton) para conocer sus variaciones y sus relaciones numéricas a lo largo del ciclo hidrológico. Los promedios de abundancias de individuos por litro fluctuaron entre 4.1 · 109 a 1.4 · 1010 bacterias, 5.5 · 103 a 6.4 · 106 microalgas, 2.2 · 104 a 1.1 · 105 protozoos nanoplanctónicos y 8.1 a 240 organismos mesozooplanctónicos (rotíferos y crustáceos). Todas las comunidades tuvieron mayores abundancias en el periodo de aguas bajas, cuando el lago se desconectó del río Metá. El fitoplancton fue muy diverso y poco abundante; los grupos dominantes fueron las clorofitas, dinofitas y cianobacterias. El mesozooplancton fue escaso y estuvo compuesto principalmente por rotíferos. Dentro de los protozoos nanoplanctónicos predominaron los ciliados. Se halló una asociación estadística significativa entre las abundancias totales del fitoplancton y del bacterioplancton (p = 0.0001), lo cual sugiere algún grado de interdependencia de las dos comunidades. Durante los meses de inundación la fuerza física del pulso hidrológico parece causar que las comunidades funcionen con mayor autonomía, ya que en esta época el lago Boa se comporta como un verdadero sistema lótico.Planktonic communities of a lake are related in several forms. For Colombian Amazon lakes little is known about this coupling. Seven surveys in the Boa Lake (Middle Caquetá) were made between May of 1999 and May of 2000 to take samples of bacterioplankton, phytoplankton, nanozooplankton (protozoa) and rotifers and crustaceans (mesozooplankton), to study their variations and numerical relationships throughout the hydrological cycle. Average densities per liter were 4.1 · 109 a 1.4 · 1010 bacteria,5.5 · 103 a 6.4 · 106 phytoplankontes, 2.2 · 104 a 1.1 · 105 nanoplanktonic protozoa and 8.1 to 240 mesozooplanktontes (rotifers and crustaceans). All the communities had higher abundances in the low water period, when the lake was disconnected from the Met'a River. Phytoplankton was very diverse and scarce, but dominant groups were Chlorophyta, Dinophyta, and Cyanobacteria. Mesozooplankton was scarce and with low diversity, with rotifers as the most important group. Ciliates were predominant within nanoplanktonic protozoa. There was a significant statistical relationship between phytoplankton and bacterioplankton total densities (p = 0.0001), which suggesst some level of interdependence among these planktonic communities. During the flood months, the physical force of the hydrologic pulse seems to cause communities to become more autonomous, because at this time the Boa Lake acts more like a lotic system

La importancia ecológica de las ciénagas del Canal del Dique y la detreminación de su estado limnológico

Se presenta una revisión sobre las características ecológicas de las ciénagas asociadas al Canal del Dique, con base en información secundaria y primaria. Se propone un índice para establecer el estado de conservación o deterioro de estos ecosistemas acuáticos

Efectos de la conectividad local sobre los ensambles de peces en una planicie de inundación tropical

Las lagunas de las planicies de inundación tropicales albergan alta diversidad biológica, son fundamentales para los ciclos de vida de muchos organismos y de importancia económica para las poblaciones locales. Este estudio evaluó el efecto de la conectividad local en los ensambles de peces en las lagunas San Silvestre (conectividad alterada) y El Llanito (conectividad no alterada), en la planicie de inundación del río Sogamoso, afluente del río Magdalena, Colombia. Se realizaron tres muestreos durante un ciclo hidrológico y se analizaron la abundancia, riqueza y equidad de los ensambles de peces y los aspectos fisicoquímicos de las lagunas. Se registraron 37 especies, 28 en El Llanito y 31 en San Silvestre. Aunque no se encontraron diferencias en los índices de riqueza y equitatividad, hay tendencias claras que indican menores valores en San Silvestre comparada con El Llanito. No hubo diferencias en la abundancia entre las lagunas, pero fue mayor y con poca variación en San Silvestre, mientras que en El Llanito hubo un pico en el último muestreo. En las dos lagunas las abundancias se concentraron en pocos taxones con variaciones temporales moderadas. En El Llanito la temperatura, el pH y la conductividad fueron mayores, mientras que en San Silvestre los valores fueron más elevados en profundidad y velocidad de la corriente. Los resultados pueden ser útiles para la conservación de los recursos ícticos dada su importancia social y ecológica para esta cuenca que está sometida a una gran presión por las actividades humanas

Estudio bioedafologico preliminar de la isla gorgona

Los suelos de la Isla Oorgona son Inceptisoles con buena a baja saturación de bases (Eutropepts y Dystropepts respectivamente). con tendencia a ser ácidos y buena capacidad de intercambio catíóníco, Domina en ellos la textura arcillosa; el contenido de materia orgánica es alto en los horizontesO y A. razón por la cual predominan. en la fauna edáfica las formas de hábitos fltófagos y saprófagos. Los más  epresentativos de la fauna interna del suelo (O a 40 cm) son Insecta y Annelida e Insecta y Aracnida en la fauna superficial

Estudio bioedafológico preliminar de la isla gorgona

Los suelos de la Isla Gorgona son Inceptisoles con buena a baja saturación de bases (Eutropepts y Dystropepts respectivamente), con tendencia a ser ácidos y buena capacidad de intercambio catiónico. Domina en ellos la textura arcillosa: el contenido de materia orgánica es alto en los horizontes O y A, razón por la cual predominan, en la fauna edáfica las formas de hábitos fitófagos y saprófagos. Los más representativos de la fauna internadel suelo (0 a 40 ern) son Insecta y Annelida e Insecta y Aracnida en la faunasuperficial

Complete revascularization with multivessel PCI for myocardial infarction

BACKGROUND In patients with ST-segment elevation myocardial infarction (STEMI), percutaneous coronary intervention (PCI) of the culprit lesion reduces the risk of cardiovascular death or myocardial infarction. Whether PCI of nonculprit lesions further reduces the risk of such events is unclear. METHODS We randomly assigned patients with STEMI and multivessel coronary artery disease who had undergone successful culprit-lesion PCI to a strategy of either complete revascularization with PCI of angiographically significant nonculprit lesions or no further revascularization. Randomization was stratified according to the intended timing of nonculprit-lesion PCI (either during or after the index hospitalization). The first coprimary outcome was the composite of cardiovascular death or myocardial infarction; the second coprimary outcome was the composite of cardiovascular death, myocardial infarction, or ischemia-driven revascularization. RESULTS At a median follow-up of 3 years, the first coprimary outcome had occurred in 158 of the 2016 patients (7.8%) in the complete-revascularization group as compared with 213 of the 2025 patients (10.5%) in the culprit-lesion-only PCI group (hazard ratio, 0.74; 95% confidence interval [CI], 0.60 to 0.91; P=0.004). The second coprimary outcome had occurred in 179 patients (8.9%) in the complete-revascularization group as compared with 339 patients (16.7%) in the culprit-lesion-only PCI group (hazard ratio, 0.51; 95% CI, 0.43 to 0.61; P<0.001). For both coprimary outcomes, the benefit of complete revascularization was consistently observed regardless of the intended timing of nonculprit-lesion PCI (P=0.62 and P=0.27 for interaction for the first and second coprimary outcomes, respectively). CONCLUSIONS Among patients with STEMI and multivessel coronary artery disease, complete revascularization was superior to culprit-lesion-only PCI in reducing the risk of cardiovascular death or myocardial infarction, as well as the risk of cardiovascular death, myocardial infarction, or ischemia-driven revascularization. (Funded by the Canadian Institutes of Health Research and others; COMPLETE ClinicalTrials.gov number, NCT01740479. opens in new tab.

Ionic liquids at electrified interfaces

Until recently, “room-temperature” (<100–150 °C) liquid-state electrochemistry was mostly electrochemistry of diluted electrolytes(1)–(4) where dissolved salt ions were surrounded by a considerable amount of solvent molecules. Highly concentrated liquid electrolytes were mostly considered in the narrow (albeit important) niche of high-temperature electrochemistry of molten inorganic salts(5-9) and in the even narrower niche of “first-generation” room temperature ionic liquids, RTILs (such as chloro-aluminates and alkylammonium nitrates).(10-14) The situation has changed dramatically in the 2000s after the discovery of new moisture- and temperature-stable RTILs.(15, 16) These days, the “later generation” RTILs attracted wide attention within the electrochemical community.(17-31) Indeed, RTILs, as a class of compounds, possess a unique combination of properties (high charge density, electrochemical stability, low/negligible volatility, tunable polarity, etc.) that make them very attractive substances from fundamental and application points of view.(32-38) Most importantly, they can mix with each other in “cocktails” of one’s choice to acquire the desired properties (e.g., wider temperature range of the liquid phase(39, 40)) and can serve as almost “universal” solvents.(37, 41, 42) It is worth noting here one of the advantages of RTILs as compared to their high-temperature molten salt (HTMS)(43) “sister-systems”.(44) In RTILs the dissolved molecules are not imbedded in a harsh high temperature environment which could be destructive for many classes of fragile (organic) molecules

Global, regional, and national burden of Alzheimer's disease and other dementias, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016.

BACKGROUND: The number of individuals living with dementia is increasing, negatively affecting families, communities, and health-care systems around the world. A successful response to these challenges requires an accurate understanding of the dementia disease burden. We aimed to present the first detailed analysis of the global prevalence, mortality, and overall burden of dementia as captured by the Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study 2016, and highlight the most important messages for clinicians and neurologists. METHODS: GBD 2016 obtained data on dementia from vital registration systems, published scientific literature and surveys, and data from health-service encounters on deaths, excess mortality, prevalence, and incidence from 195 countries and territories from 1990 to 2016, through systematic review and additional data-seeking efforts. To correct for differences in cause of death coding across time and locations, we modelled mortality due to dementia using prevalence data and estimates of excess mortality derived from countries that were most likely to code deaths to dementia relative to prevalence. Data were analysed by standardised methods to estimate deaths, prevalence, years of life lost (YLLs), years of life lived with disability (YLDs), and disability-adjusted life-years (DALYs; computed as the sum of YLLs and YLDs), and the fractions of these metrics that were attributable to four risk factors that met GBD criteria for assessment (high body-mass index [BMI], high fasting plasma glucose, smoking, and a diet high in sugar-sweetened beverages). FINDINGS: In 2016, the global number of individuals who lived with dementia was 43·8 million (95% uncertainty interval [UI] 37·8-51·0), increased from 20.2 million (17·4-23·5) in 1990. This increase of 117% (95% UI 114-121) contrasted with a minor increase in age-standardised prevalence of 1·7% (1·0-2·4), from 701 cases (95% UI 602-815) per 100 000 population in 1990 to 712 cases (614-828) per 100 000 population in 2016. More women than men had dementia in 2016 (27·0 million, 95% UI 23·3-31·4, vs 16.8 million, 14.4-19.6), and dementia was the fifth leading cause of death globally, accounting for 2·4 million (95% UI 2·1-2·8) deaths. Overall, 28·8 million (95% UI 24·5-34·0) DALYs were attributed to dementia; 6·4 million (95% UI 3·4-10·5) of these could be attributed to the modifiable GBD risk factors of high BMI, high fasting plasma glucose, smoking, and a high intake of sugar-sweetened beverages. INTERPRETATION: The global number of people living with dementia more than doubled from 1990 to 2016, mainly due to increases in population ageing and growth. Although differences in coding for causes of death and the heterogeneity in case-ascertainment methods constitute major challenges to the estimation of the burden of dementia, future analyses should improve on the methods for the correction of these biases. Until breakthroughs are made in prevention or curative treatment, dementia will constitute an increasing challenge to health-care systems worldwide

Role of age and comorbidities in mortality of patients with infective endocarditis

[Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

Global, regional, and national burden of traumatic brain injury and spinal cord injury, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016.

Traumatic brain injury (TBI) and spinal cord injury (SCI) are increasingly recognised as global health priorities in view of the preventability of most injuries and the complex and expensive medical care they necessitate. We aimed to measure the incidence, prevalence, and years of life lived with disability (YLDs) for TBI and SCI from all causes of injury in every country, to describe how these measures have changed between 1990 and 2016, and to estimate the proportion of TBI and SCI cases caused by different types of injury. METHODS: We used results from the Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study 2016 to measure the global, regional, and national burden of TBI and SCI by age and sex. We measured the incidence and prevalence of all causes of injury requiring medical care in inpatient and outpatient records, literature studies, and survey data. By use of clinical record data, we estimated the proportion of each cause of injury that required medical care that would result in TBI or SCI being considered as the nature of injury. We used literature studies to establish standardised mortality ratios and applied differential equations to convert incidence to prevalence of long-term disability. Finally, we applied GBD disability weights to calculate YLDs. We used a Bayesian meta-regression tool for epidemiological modelling, used cause-specific mortality rates for non-fatal estimation, and adjusted our results for disability experienced with comorbid conditions. We also analysed results on the basis of the Socio-demographic Index, a compound measure of income per capita, education, and fertility. FINDINGS: In 2016, there were 27·08 million (95% uncertainty interval [UI] 24·30-30·30 million) new cases of TBI and 0·93 million (0·78-1·16 million) new cases of SCI, with age-standardised incidence rates of 369 (331-412) per 100 000 population for TBI and 13 (11-16) per 100 000 for SCI. In 2016, the number of prevalent cases of TBI was 55·50 million (53·40-57·62 million) and of SCI was 27·04 million (24·98-30·15 million). From 1990 to 2016, the age-standardised prevalence of TBI increased by 8·4% (95% UI 7·7 to 9·2), whereas that of SCI did not change significantly (-0·2% [-2·1 to 2·7]). Age-standardised incidence rates increased by 3·6% (1·8 to 5·5) for TBI, but did not change significantly for SCI (-3·6% [-7·4 to 4·0]). TBI caused 8·1 million (95% UI 6·0-10·4 million) YLDs and SCI caused 9·5 million (6·7-12·4 million) YLDs in 2016, corresponding to age-standardised rates of 111 (82-141) per 100 000 for TBI and 130 (90-170) per 100 000 for SCI. Falls and road injuries were the leading causes of new cases of TBI and SCI in most regions. INTERPRETATION: TBI and SCI constitute a considerable portion of the global injury burden and are caused primarily by falls and road injuries. The increase in incidence of TBI over time might continue in view of increases in population density, population ageing, and increasing use of motor vehicles, motorcycles, and bicycles. The number of individuals living with SCI is expected to increase in view of population growth, which is concerning because of the specialised care that people with SCI can require. Our study was limited by data sparsity in some regions, and it will be important to invest greater resources in collection of data for TBI and SCI to improve the accuracy of future assessments