Pollution Issues in Coastal Lagoons in the Gulf of Mexico

The coastline of the Mexican Gulf of Mexico is an area of paramount importance. It poses valuable biological and ecological resources such as coastal lagoons, rivers, estuaries, wetlands and swamps. It poses 206 coastal systems including 73 coastal lagoons with high biological richness. Their study shows the physicochemical characteristics and pollution levels into the four more productive lagoons of Tampamachoco, Mandinga, Alvarado in the Veracruz state and Terminos Lagoon in Campeche state, México, have the present characteristics. The lagoons show a wide interval in physiochemical parameters (temperature: 18–32°C, salinity: 11–38 ups, and nutrients: oxygen 1.8–9.0 mg/L, total phosphorus 2.6–123 μM total nitrogen 5–70 μM, and chlorophyll 10–50 mg/m3). All of them oscillated between normal to eutrophication condition. The presence of PAHs and some of the high toxicity as anthracene, and chrysene, as well as naphthalene and its methyl derivatives has been reported. Also, chlorinated hydrocarbons used for agriculture purposes and malaria control (DDT, lindane, endosulfan) have been identified in these lagoons. Metals as Cr, Pb, Ni, Cd, and V among others were recently reported in the lagoons considered in this study. Concentrations of pollutants also show significant variations depending on the time and the type of lagoon, or estuary

Interacciones semióticas entre el diseño, el arte y la cultura

260 páginasSe expone la forma en la que, el arte, el diseño y la cultura encontraron convergencia en el planteamiento de los estudios actuales sobre la semiótica de la imagen. En sus capítulos se muestran caminos en donde el signo, la significación y el sentido se entretejen como parte de la semiótica de la cultura, de la representación simbólica y la intertextualidad, buscando enriquecer el estudio del funcionamiento y operación de los procesos de significación, desde una visión donde la interdisciplinariedad se expone como el eje que orienta la interacción de los signos que son objeto de este volumen. Los diferentes puntos de vista aquí reunidos han sido estructurados en tres secciones, tituladas: abordajes semióticos, imágenes y representaciones y el juego de los signos, en donde se hace patente la relevancia de realizar aproximaciones interdisciplinarias que sirven para analizar los procesos culturales como fenómenos sígnicos articulados, los cuales trascienden a la esfera antropológica.María Teresa Olalde Ramos; Claudia Fragoso Susunaga; Olivia Fragoso Susunaga; Consuelo Córdoba Flores, coordinadora

The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2

Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase 1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age  6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score  652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc = 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N = 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in Asia and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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

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

Los contenidos de la orientación educativa vinculados con el proyecto de vida de los adolescentes

Licenciatura en Pedagogí

Presencia de metales en sedimentos recientes y organismos de la laguna Sontecomapan, Veracruz, México

In this paper are presented the results of the analysis of metals in sediments and biota from Sontecompn lagoon, Veracruz, during 1991-1992. In the sediemnts the metals with higher concentrations were Nickel (Ni), Chromium (Cr), Zinc (Zn), and Cooper (Cu). These elements were lso present in molluks bivalves (Crassostrea rhizophorae and Brchidontes exustus) as well as in the algae ( Cladophoropsis membranacea) and in the aquatic phanerogamae (Ruppia maritima).En este estudio se dan a conocer los niveles de algunos metales (Cu, Co, Cr, Ni, Zn, Cd y Pb) determinados en los sedimentos y organismos bentónicos de la laguna de Sontecomapan, Veracruz durante el periodo de 1991-1992. Los resultdaos muestran que en los sedimentos los metales con mayor concentración fueron: níquel, cromo, zinc y cobre. Estos elementos también estuvieron presentes en los moluscos bivlvos (Crassostrea riophorae y Brachidontes exustus), en la alga (Cladophoris membranacea) y la fanerógama acuática (Ruppia maritima), siendo mas altas las concentraciones en los bivalvos

Fiestas populares

Recopilación de fiestas populares de la Siberia Extremeña, con la intención de recuperar las propias de esta comarca. Se incluye una breve descripción de los pueblos de la misma.ExtremaduraES

El zoo de las letras

Trabajo compuesto por una serie de fichas orientadas a la enseñanza y aprendizaje de la lectoescritura en las aulas de Educación Infantil. Todo esto realizado a través de un cuento.ExtremaduraES