Disputes arising from coastal erosion: state responsibilities. Camet Norte, district of Mar Chiquita, Province of Buenos Aires, Argentina

La evidencia geológica indica la existencia de un severo proceso erosivo en la zona costera de Camet Norte Partido de Mar Chiquita, provincia de Buenos Aires, producidos, tanto por la acción natural del mar, como por acciones antrópicas. (SCHNACK et al. 1983:130 BUNICONTRO et al. 2012:21)El presente trabajo pretende determinar la participación y la responsabilidad del Estado por su accionar en las respuestas que le dio a la problemática en la zona en estudio. Para ello, se evalúa la situación ambiental de la zona y se establecen los diferentes factores dominantes y legales que determinaron la problemática actual del área, desarrollaremos los argumentos jurídicos que nos permiten dimensionar la responsabilidad del Estado en dicho conflicto, a través de un marco teórico y los comentarios de una causa judicial suscitada como consecuencia de esta problemática.Geological evidence indicates the existence of a severe erosion process in the coastal area of North Camet, Mar Chiquita district, Buenos Aires, produced, in the opinion of several authors (Schnack et al,1983, p. 130 y Bunicontro et al, 2012, p. 21) by the natural action of the sea as well as by human actions. Our main objective is to determine the extent of the State´s participation and liability for the actions taken in giving answer to the problems in the area of study. To do this, we will assess the evironmental situation of the area and we will establish the dominant factors that caused the current problems. We will also develop the legal arguments that allow us to measure the government responsibility in the conflict through a theoretical framework and the comments of a court case raised as a result of this problem.Fil: Mantecón, Cecilia Lucía. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Geología de Costas y del Cuaternario. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Instituto de Geología de Costas y del Cuaternario; ArgentinaFil: Alvarez, Jorge Rubén. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Geología de Costas y del Cuaternario. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Instituto de Geología de Costas y del Cuaternario; ArgentinaFil: del Rio, Julio Luis. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Geología de Costas y del Cuaternario. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Instituto de Geología de Costas y del Cuaternario; Argentin

Metal levels in corrosion of spinal implants

Corrosion affects spinal instrumentations and may cause local and systemic complications. Diagnosis of corrosion is difficult, and nowadays it is performed almost exclusively by the examination of retrieved instrumentations. We conducted this study to determine whether it is possible to detect corrosion by measuring metal levels on patients with posterior instrumented spinal fusion. Eleven asymptomatic patients, with radiological signs of corrosion of their stainless steel spinal instrumentations, were studied by performing determinations of nickel and chromium in serum and urine. Those levels were compared with the levels of 22 patients with the same kind of instrumentation but without evidence of corrosion and to a control group of 22 volunteers without any metallic implants. Statistical analysis of our results revealed that the patients with spinal implants without radiological signs of corrosion have increased levels of chromium in serum and urine (P < 0.001) compared to volunteers without implants. Corrosion significantly raised metal levels, including nickel and chromium in serum and urine when compared to patients with no radiological signs of corrosion and to volunteers without metallic implants (P < 0.001). Metal levels measured in serum have high sensibility and specificity (area under the ROC curve of 0.981). By combining the levels of nickel and chromium in serum we were able to identify all the cases of corrosion in our series of patients. The results of our study confirm that metal levels in serum and urine are useful in the diagnosis of corrosion of spinal implants and may be helpful in defining the role of corrosion in recently described clinical entities such as late operative site pain or late infection of spinal implant

Assessment of the anthropic and natural processes that induce the removal of a dune field on provincial route 11, province of Buenos Aires, Argentina

En la costa atlántica de la provincia de Buenos Aires (Argentina), el desarrollo de ciudades, balnearios y de infraestructuras orientadas a la actividad turística presenta diferentes problemáticas ambientales que afectan la dinámica natural de la zona litoral En este trabajo, se evaluaron los procesos antrópicos y naturales que originaron la removilización e intrusión de un campo de dunas sobre la Ruta Provincial 11 que conecta las ciudades de Mar del Plata y Miramar. Se realizaron análisis históricos de la degradación de dunas costeras generadas por tránsito de motos y vehículos doble tracción, con imágenes satelitales y programas de SIG para evaluar cuantitativamente este proceso en el tiempo. Complementariamente se realizaron estudios geomorfológicos, censos de vegetación y análisis granulométricos de los sedimentos removilizados. Se encontró que los principales factores de modificación en el paisaje tienen origen antrópico reciente, siendo necesaria una nueva intervención humana para revertir y mitigar los efectos mal uso del cuerpo medanoso sobre la ruta. Se propone al municipio un plan de gestión que incluye la fijación con vegetación del frente del médano, así como proteger y controlar los usos del área que abarca el sistema medanoso.On the Atlantic coast of the Buenos Aires province (Argentina), the development of coastal cities and infrastructures oriented to tourist activity presents different environmental problems that affects its natural dynamics. In this study, the anthropic and natural processes that originated the remobilization and intrusion of a dune field on Provincial Route 11 connecting the cities of Mar del Plata and Miramar were evaluated. Historical analysis of the degradation of coastal dunes were carried out with satellite images and GIS programs to quantitatively evaluate this process over time. In addition, geomorphological studies, plant censuses and grain size analysis of the remobilized sediments were carried out. It was found that the main factors of modification in the landscape have anthropogenic origin, requiring human intervention to mitigate the effects of the impact of the dune body on the route. A management plan that includes the fixation with vegetation of the front of the dune, as well as protecting and controlling the uses of the area covered by the dune system is proposed.Fil: García González, Pablo. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Geología de Costas y del Cuaternario. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Instituto de Geología de Costas y del Cuaternario; ArgentinaFil: Martinez, Gustavo Adolfo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; Argentina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Geología de Costas y del Cuaternario. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Instituto de Geología de Costas y del Cuaternario; ArgentinaFil: Alvarez, Maria Fernanda. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; Argentina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Geología de Costas y del Cuaternario. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Instituto de Geología de Costas y del Cuaternario; ArgentinaFil: del Rio, Julio Luis. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Geología de Costas y del Cuaternario. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Instituto de Geología de Costas y del Cuaternario; ArgentinaFil: Taverna, Bernardo Daniel. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Geología de Costas y del Cuaternario. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Instituto de Geología de Costas y del Cuaternario; Argentin

Identification of non-coding genetic variants in samples from hypoxemic respiratory disease patients that affect the transcriptional response to hypoxia

A wide range of diseases course with an unbalance between the consumption of oxygen by tissues and its supply. This situation triggers a transcriptional response, mediated by the hypoxia inducible factors (HIFs), that aims to restore oxygen homeostasis. Little is known about the inter-individual variation in this response and its role in the progression of disease. Herein, we sought to identify common genetic variants mapping to hypoxia response elements (HREs) and characterize their effect on transcription. To this end, we constructed a list of genome-wide HIF-binding regions from publicly available experimental datasets and studied the genetic variability in these regions by targeted re-sequencing of genomic samples from 96 chronic obstructive pulmonary disease and 144 obstructive sleep apnea patients. This study identified 14 frequent variants disrupting potential HREs. The analysis of the genomic regions containing these variants by means of reporter assays revealed that variants rs1009329, rs6593210 and rs150921338 impaired the transcriptional response to hypoxia. Finally, using genome editing we confirmed the functional role of rs6593210 in the transcriptional regulation of EGFR. In summary, we found that inter-individual variability in non-coding regions affect the response to hypoxia and could potentially impact on the progression of pulmonary diseases.Ministerio de Ciencia e Innovación (Spanish Ministry of Science and Innovation, MICINN) [SAF2011 24225 to LdelP, SAF2014-53819-R to L.delP., B.J.]; Comunidad Autónoma de Madrid [S2010/BMD-2542 to L.delP., F.G.R., J.A.], Sociedad Española de Neumología y Cirugía Torácica (SEPAR) [34/2013 to LdelP, F.G.R.]; Fondo de Investigación Sanitaria/Instituto de Salud Carlos III [PI13-01512 to F.G.R.]; Fundación Caja Madrid (Beca de Movilidad para Profesores de las Universidades Públicas de Madrid 2011–2012 to L.delP); Canadian Institutes of Health Research (CIHR) [MOP-82875 to W.W.W.]; Natural Sciences and Engineering Research Council of Canada (NSERC) [RGPIN355532-10 to W.W.W.]; National Institutes of Health [1R01GM084875 toW.W.W.]; CSIC (Spanish National Research Council) [JAE-Doc grant-2010 to O.R., in part by the European Social Fund]. Spanish science, technology and innovation contract [University of Castilla-LaMancha-2014 to O.R., in part by the European Social Fund]. Funding for open access charge: MICINN [SAF2011 24225 to L.delP., SAF2014-53819-R to L.delP., B.J.

Playas sostenibles en Mar del Plata

Esta obra propone un acercamiento a las costas de Mar del Plata desde una perspectiva integral. Aborda el uso de indicadores ambientales de las playas que nos permiten conocer más sobre su sostenibilidad actual y a futuro. El lector encontrará información sobre la historia y diversidad de las playas de la ciudad, así como su morfología dada por el oleaje y las corrientes. También tendrá a su disposición material relevante sobre el uso de estos ambientes desde la gestión pública y privada, así como su reglamentación y legislación, gestión de residuos y accesibilidad universal. Por medio de encuestas, efectuadas a los visitantes de las playas, los autores realizan un reconocimiento de las preferencias y exigencias en el uso de este recurso turístico.Fil: Bertola, German Ricardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; ArgentinaFil: Cecchi, Federico Alcides. Universidad Tecnologica Nacional. Facultad Regional Mar del Plata. Departamento de Medio Ambiente.; ArgentinaFil: Chaparro, Mauro Alejandro Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata; Argentina. Universidad Nacional de Mar del Plata. Facultad de Cs.exactas y Naturales. Centro Marplatense de Investigaciones Matematicas.; ArgentinaFil: del Rio, Julio Luis. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Geología de Costas y del Cuaternario. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Instituto de Geología de Costas y del Cuaternario; ArgentinaFil: Demarchi, Nora Gabriela. Universidad Nacional de Mar del Plata; ArgentinaFil: Lucero, Marcelo. Universidad Tecnologica Nacional. Facultad Regional Mar del Plata. Departamento de Medio Ambiente.; ArgentinaFil: Mantecón, Cecilia Lucía. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata; Argentina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Geología de Costas y del Cuaternario. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Instituto de Geología de Costas y del Cuaternario; ArgentinaFil: Morrell, Patricia Alejandra. Universidad Nacional de Mar del Plata; ArgentinaFil: Pérsico, María Marta. Universidad Nacional de Mar del Plata; Argentina. Universidad Tecnologica Nacional. Facultad Regional Mar del Plata. Departamento de Medio Ambiente.; ArgentinaFil: Prario, Maria Ines. Universidad Tecnologica Nacional. Facultad Regional Mar del Plata. Departamento de Medio Ambiente.; ArgentinaFil: Rigonat, María Cecilia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata; Argentina. Universidad Nacional de Mar del Plata; Argentin

Hospital Epidemics Tracker (HEpiTracker): Description and pilot study of a mobile app to track COVID-19 in hospital workers

Background: Hospital workers have been the most frequently and severely affected professional group during the COVID-19 pandemic, and have a big impact on transmission. In this context, innovative tools are required to measure the symptoms compatible with COVID-19, the spread of infection, and testing capabilities within hospitals in real time. Objective: We aimed to develop and test an effective and user-friendly tool to identify and track symptoms compatible with COVID-19 in hospital workers. Methods: We developed and pilot tested Hospital Epidemics Tracker (HEpiTracker), a newly designed app to track the spread of COVID-19 among hospital workers. Hospital staff in 9 hospital centers across 5 Spanish regions (Andalusia, Balearics, Catalonia, Galicia, and Madrid) were invited to download the app on their phones and to register their daily body temperature, COVID-19-compatible symptoms, and general health score, as well as any polymerase chain reaction and serological test results. Results: A total of 477 hospital staff participated in the study between April 8 and June 2, 2020. Of note, both health-related (n=329) and non-health-related (n=148) professionals participated in the study; over two-thirds of participants (68.8%) were health workers (43.4% physicians and 25.4% nurses), while the proportion of non-health-related workers by center ranged from 40% to 85%. Most participants were female (n=323, 67.5%), with a mean age of 45.4 years (SD 10.6). Regarding smoking habits, 13.0% and 34.2% of participants were current or former smokers, respectively. The daily reporting of symptoms was highly variable across participating hospitals; although we observed a decline in adherence after an initial participation peak in some hospitals, other sites were characterized by low participation rates throughout the study period. Conclusions: HEpiTracker is an already available tool to monitor COVID-19 and other infectious diseases in hospital workers. This tool has already been tested in real conditions. HEpiTracker is available in Spanish, Portuguese, and English. It has the potential to become a customized asset to be used in future COVID-19 pandemic waves and other environments

Real-world effectiveness of caplacizumab vs the standard of care in immune thrombotic thrombocytopenic purpura

Immune thrombotic thrombocytopenic purpura (iTTP) is a thrombotic microangiopathy caused by anti-ADAMTS13 antibodies. Caplacizumab is approved for adults with an acute episode of iTTP in conjunction with plasma exchange (PEX) and immunosuppression. The objective of this study was to analyze and compare the safety and efficacy of caplacizumab vs the standard of care and assess the effect of the concomitant use of rituximab. A retrospective study from the Spanish TTP Registry of patients treated with caplacizumab vs those who did not receive it was conducted. A total of 155 patients with iTTP (77 caplacizumab, 78 no caplacizumab) were included. Patients initially treated with caplacizumab had fewer exacerbations (4.5% vs 20.5%; P <.05) and less refractoriness (4.5% vs 14.1%; P <.05) than those who were not treated. Time to clinical response was shorter when caplacizumab was used as initial treatment vs caplacizumab used after refractoriness or exacerbation. The multivariate analysis showed that its use in the first 3 days after PEX was associated with a lower number of PEX (odds ratio, 7.5; CI, 2.3-12.7; P <.05) and days of hospitalization (odds ratio, 11.2; CI, 5.6-16.9; P <.001) compared with standard therapy. There was no difference in time to clinical remission in patients treated with caplacizumab compared with the use of rituximab. No severe adverse event was described in the caplacizumab group. In summary, caplacizumab reduced exacerbations and refractoriness compared with standard of care regimens. When administered within the first 3 days after PEX, it also provided a faster clinical response, reducing hospitalization time and the need for PEX

Real-world effectiveness of caplacizumab vs the standard of care in immune thrombotic thrombocytopenic purpura

Immune thrombotic thrombocytopenic purpura (iTTP) is a thrombotic microangiopathy caused by anti-ADAMTS13 antibodies. Caplacizumab is approved for adults with an acute episode of iTTP in conjunction with plasma exchange (PEX) and immunosuppression. The objective of this study was to analyze and compare the safety and efficacy of caplacizumab vs the standard of care and assess the effect of the concomitant use of rituximab. A retrospective study from the Spanish TTP Registry of patients treated with caplacizumab vs those who did not receive it was conducted. A total of 155 patients with iTTP (77 caplacizumab, 78 no caplacizumab) were included. Patients initially treated with caplacizumab had fewer exacerbations (4.5% vs 20.5%; P < .05) and less refractoriness (4.5% vs 14.1%; P < .05) than those who were not treated. Time to clinical response was shorter when caplacizumab was used as initial treatment vs caplacizumab used after refractoriness or exacerbation. The multivariate analysis showed that its use in the first 3 days after PEX was associated with a lower number of PEX (odds ratio, 7.5; CI, 2.3-12.7; P < .05) and days of hospitalization (odds ratio, 11.2; CI, 5.6-16.9; P < .001) compared with standard therapy. There was no difference in time to clinical remission in patients treated with caplacizumab compared with the use of rituximab. No severe adverse event was described in the caplacizumab group. In summary, caplacizumab reduced exacerbations and refractoriness compared with standard of care regimens. When administered within the first 3 days after PEX, it also provided a faster clinical response, reducing hospitalization time and the need for PEX

Subcellular specificity of cannabinoid effects in striatonigral circuits

Recent advances in neuroscience have positioned brain circuits as key units in controlling behavior, implying that their positive or negative modulation necessarily leads to specific behavioral outcomes. However, emerging evidence suggests that the activation or inhibition of specific brain circuits can actually produce multimodal behavioral outcomes. This study shows that activation of a receptor at different subcellular locations in the same neuronal circuit can determine distinct behaviors. Pharmacological activation of type 1 cannabinoid (CB1) receptors in the striatonigral circuit elicits both antinociception and catalepsy in mice. The decrease in nociception depends on the activation of plasma membrane-residing CB1 receptors (pmCB1), leading to the inhibition of cytosolic PKA activity and substance P release. By contrast, mitochondrial-associated CB1 receptors (mtCB1) located at the same terminals mediate cannabinoid-induced catalepsy through the decrease in intra-mitochondrial PKA-dependent cellular respiration and synaptic transmission. Thus, subcellular-specific CB1 receptor signaling within striatonigral circuits determines multimodal control of behavior

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research