The dose makes the poison: A case report of acquired methemoglobinemia

Background: Methemoglobinemia (MET) should be suspected in cases where cyanosis is not associated with signs and symptoms of lung and/or heart disease, or in a cyanotic child exhibiting discrepancies in the partial pressure of oxygen in the arterial blood, the blood oxygen saturation, and the clinical assessment. Case presentation: A 10-month-old girl was taken to the Pediatric Emergency Department for the acute, sudden development of significant peroral cyanosis associated with gray pigmentation of the skin. The problem was evidenced approximately one hour after she ingested a homemade puree of mixed vegetables, mainly composed of potatoes and chards that had been prepared three days before and had been kept in the refrigerator since then. Physical examination revealed that the child was very pale, conscious, and without respiratory distress. Oxygen saturation of hemoglobin in the arterial blood (SpO2) was 94%. Respiratory, cardiovascular, and abdominal evaluations did not reveal any signs of disease. A venous blood sample showed chocolate-colored blood with a pH of 7.404, a partial pressure of CO2 (pCO2) of 40.6 mmHg, a partial pressure of oxygen (pO2) of 21.3 mmHg, a bicarbonate level of 24 mmol/L, and an oxygen saturation (SO2%) of 47.7%. CO-oximetry carried out simultaneously identified a methemoglobin level of 22%. MET was suspected, and oxygen via nasal cannula at a rate of 4 L/min was given with only a slight increase in oxygen saturation (96%). Slow intravenous injection of methylene blue 1 mg/kg over a period of 5 minutes was initiated. The peripheral oxygen saturation (SpO2) gradually improved to 100% over the next 20 minutes. Forty minutes later, venous blood gas analysis showed a methemoglobin level of 0.9% with a complete resolution of cyanosis; supplemental oxygen via nasal cannula was therefore discontinued. During the next 36 hours, the patient remained hemodynamically stable with good oxygenation on room air. Conclusions: This case report shows that recognition of acquired MET in a child with sudden cyanosis onset requires a high index of suspicion. In daily activities, there is a need to pay particular attention when homemade vegetable soups for child alimentation are prepared. The consumption of vegetable soups must occur immediately after preparation. Storage in a refrigerator must last no more than 24 hours and if longer storage is needed, vegetable soups should be frozen

The impact of climate change on Brazil's agriculture

Brazilian agricultural production provides a significant fraction of the food consumed globally, with the country among the top exporters of soybeans, sugar, and beef. However, current advances in Brazilian agriculture can be directly impacted by climate change and resulting biophysical effects. Here, we quantify these impacts until 2050 using GLOBIOM-Brazil, a global partial equilibrium model of the competition for land use between agriculture, forestry, and bioenergy that includes various refinements reflecting Brazil's specificities. For the first time, projections of future agricultural areas and production are based on future crop yields provided by two Global Gridded Crop Models (EPIC and LPJmL). The climate change forcing is included through changes in climatic variables projected by five Global Climate Models in two emission pathways (RCP2.6 and RCP8.5) participating in the ISIMIP initiative. This ensemble of twenty scenarios permits accessing the robustness of the results. When compared to the baseline scenario, GLOBIOM-Brazil scenarios suggest a decrease in soybeans and corn production, mainly in the Matopiba region in the Northern Cerrado, and southward displacement of agricultural production to near-subtropical and subtropical regions of the Cerrado and the Atlantic Forest biomes

Nature-Based Solutions Are Critical for Putting Brazil on Track Towards Net Zero

Over 130 countries have committed to reaching net-zero CO2 or GHG emissions by 2050, yet this ambition is rarely underpinned by robust policies. By applying a detailed integrated assessment modelling approach for Brazil, we assess, for the first time, the extent to which the existing and planned local policies could put Brazil on the path to its net zero pledge. This includes quantifying the role of nature-based solutions, such as protection and restoration, and engineered solutions, such as bioenergy with carbon capture and storage (BECCS). We show protection is the single most important climate mitigation measure at relatively low costs, whereas relying heavily on engineered solutions would jeopardise Brazil’s chances of achieving its net zero pledge. We also show that the mismatch between Brazil's short- and long-term climate targets reflects current weak environmental governance. Our analysis reinforces the urgent need for Brazil to eliminate illegal deforestation and go beyond to help fight climate change whilst curbing biodiversity loss

Apuntes para la representación gráfica de un proyecto de ordenación urbanística.

El ítem es parte del libro "Cuaderno de estudio de Urbanismo 1 A. Desarrollo, proyecto y gestión del espacio urbano".Apuntes para la representación gráfica de un proyecto de ordenación urbanística (2º y 3º edición) constituye una revisión del artículo original publicado en la primera edición del libro de Cátedra. Al igual que el artículo de la edición anterior pretende ser una guía para los alumnos de Urbanismo 1A de la FAUD-UNC quienes deberán elaborar una propuesta de ordenación detallada de un sector de la ciudad de Córdoba. Además ofrece un modelo de codificación a fin de facilitar la información urbanística a desarrollar y las tareas docentes de conducción y evaluación. (Se adjunta artículo)Fil: Montenegro, Jorge A. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Urbanismo 1 A; Argentina.Fil: Martínez, Mónica Susana. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Urbanismo 1 A; Argentina.Fil: Gordillo, Natacha. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Urbanismo 1 A; Argentina.Fil: Scarabello, Juan Pablo. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Urbanismo 1 A; Argentina.Fil: Antonietti, Paola Lucero. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Urbanismo 1 A; Argentina.Fil: Reyna, Carlota. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Urbanismo 1 A; Argentina.Fil: Schiavoni, María Julia. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Urbanismo 1 A; Argentina.Fil: Recabarren, Pía. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Urbanismo 1 A; Argentina.Fil: Pallás, Silvina. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Urbanismo 1 A; Argentina.Otras Ingenierías y Tecnología

Piroxicam and intracavitary platinum-based chemotherapy for the treatment of advanced mesothelioma in pets: preliminary observations

Malignant Mesothelioma is an uncommon and very aggressive tumor that accounts for 1% of all the deaths secondary to malignancy in humans. Interestingly, this neoplasm has been occasionally described in companion animals as well. Aim of this study was the preclinical evaluation of the combination of piroxicam with platinum-based intracavitary chemotherapy in pets. Three companion animals have been treated in a three years period with this combination. Diagnosis was obtained by ultrasonographic exam of the body cavities that evidenced thickening of the mesothelium. A surgical biopsy further substantiated the diagnosis. After drainage of the malignant effusion from the affected cavity, the patients received four cycles of intracavitary CDDP at the dose of 50 mg/m2 every three weeks if dogs or four cycles of intracavitary carboplatin at the dose of 180 mg/m2 (every 3 weeks) if cats, coupled with daily administration of piroxicam at the dose of 0.3 mg/kg. The therapy was able to arrest the effusion in all patients for variable remission times: one dog is still in remission after 3 years, one dog died of progressive disease after 8 months and one cat died due to progressive neoplastic growth after six months, when the patient developed a mesothelial cuirass. The combination showed remarkable efficacy at controlling the malignant effusion secondary to MM in our patients and warrants further investigations

Desafios do cumprimento da NDC brasileira no bioma Amazônia.

Resumo: A Contribuição Nacionalmente Determinada (NDC) brasileira estabeleceu metas ambiciosas de redução de emissões de gases de efeito estufa. Este artigo avalia os desafios para cumprimento da NDC na redução do desmatamento e restauração florestal no bioma Amazônia. O diagnóstico inédito considera a extensão do desmatamento ilegal e os déficits e excedentes de reserva legal por tamanho de propriedade e tipo de uso da terra

Physiological Benefits of Being Small in a Changing World: Responses of Coho Salmon (Oncorhynchus kisutch) to an Acute Thermal Challenge and a Simulated Capture Event

Evidence is building to suggest that both chronic and acute warm temperature exposure, as well as other anthropogenic perturbations, may select for small adult fish within a species. To shed light on this phenomenon, we investigated physiological and anatomical attributes associated with size-specific responses to an acute thermal challenge and a fisheries capture simulation (exercise+air exposure) in maturing male coho salmon (Oncorhynchus kisutch). Full-size females were included for a sex-specific comparison. A size-specific response in haematology to an acute thermal challenge (from 7 to 20°C at 3°C h−1) was apparent only for plasma potassium, whereby full-size males exhibited a significant increase in comparison with smaller males (‘jacks’). Full-size females exhibited an elevated blood stress response in comparison with full-size males. Metabolic recovery following exhaustive exercise at 7°C was size-specific, with jacks regaining resting levels of metabolism at 9.3±0.5 h post-exercise in comparison with 12.3±0.4 h for full-size fish of both sexes. Excess post-exercise oxygen consumption scaled with body mass in male fish with an exponent of b = 1.20±0.08. Jacks appeared to regain osmoregulatory homeostasis faster than full-size males, and they had higher ventilation rates at 1 h post-exercise. Peak metabolic rate during post-exercise recovery scaled with body mass with an exponent of b∼1, suggesting that the slower metabolic recovery in large fish was not due to limitations in diffusive or convective oxygen transport, but that large fish simply accumulated a greater ‘oxygen debt’ that took longer to pay back at the size-independent peak metabolic rate of ∼6 mg min−1 kg−1. Post-exercise recovery of plasma testosterone was faster in jacks compared with full-size males, suggesting less impairment of the maturation trajectory of smaller fish. Supporting previous studies, these findings suggest that environmental change and non-lethal fisheries interactions have the potential to select for small individuals within fish populations over time

Towards a dynamic earthquake risk framework for Switzerland

Scientists from different disciplines at ETH Zurich are developing a dynamic, harmonised, and user-centred earthquake risk framework for Switzerland, relying on a continuously evolving earthquake catalogue generated by the Swiss Seismological Service (SED) using the national seismic networks. This framework uses all available information to assess seismic risk at various stages and facilitates widespread dissemination and communication of the resulting information. Earthquake risk products and services include operational earthquake (loss) forecasting (OE(L)F), earthquake early warning (EEW), ShakeMaps, rapid impact assessment (RIA), structural health monitoring (SHM), and recovery and rebuilding efforts (RRE). Standardisation of products and workflows across various applications is essential for achieving broad adoption, universal recognition, and maximum synergies. In the Swiss dynamic earthquake risk framework, the harmonisation of products into seamless solutions that access the same databases, workflows, and software is a crucial component. A user-centred approach utilising quantitative and qualitative social science tools like online surveys and focus groups is a significant innovation featured in all products and services. Here we report on the key considerations and developments of the framework and its components. This paper may serve as a reference guide for other countries wishing to establish similar services for seismic risk reduction.</p