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The influence of El Niño–Southern Oscillation (ENSO) on productivity at upwelling systems has been extensively studied. However, in recent decades, ENSO diversity has been documented; there are more frequent events with anomalies in the central Pacific (CP) causing ecological impacts that are different from the canonical events centered in the eastern Pacific (EP). We hypothesize that ENSO effects on upwelling intensity and its biological response are highly dependent on ENSO diversity. Wavelet coherence was computed for monthly standardized anomalies of Ekman transport and sea surface Chlorophyll-a (Chl-a) concentration from eight upwelling centers located along the west coast of the Baja California peninsula (1993–2022). Ekman transport (ET) showed a non-linear association with ENSO at interannual periodicities between 1.2 and 7 years, as well as semiannual scale variability. Coherence between ENSO and ET showed a reduction in upwelling intensity during CP ENSO events and an increased upwelling intensity after EP El Niño events with regional differences. Our results reveal an influence of northern Pacific circulation that subsequently influences ENSO events during its development and its peak. We detected an influence of SST and wind anomalies on the ENSO–Ekman transport connection associated with the northern Pacific Meridional Mode pattern. The CP shows an important role in sea surface Chl-a concentration anomalies (1998–2022). We highlight the conceptual relevance of distinguishing ENSO diversity, with influential ecological effects associated with CP ENSO events.

Introduction: The Nueva Granada campus headquarters of the Nueva Granada Military University was built responding to global trends in modern architecture to be in harmony with the environment through its bioclimatic constructions, lighting based on photovoltaic energy and management of water resources. However, the constant growth of the academic offer, the infrastructure and the university community demand a greater use of natural resources, essential for the proper functioning of the headquarters. One of these resources is water. Objective: the work evaluated the sustainability of water management in the campus of the university. Methodology: This evaluation was carried out using the Water Resource Sustainability Index with the integration of the water footprint concept. Results: It was obtained that the university has made efforts for the efficient management of water resources. However, these are not enough to evaluate water management as sustainable. Conclusions: Considering this result, it is concluded that the university must formulate improvement actions in the technological and institutional management aspects that will allow to maintain stable water consumption under the scenario of the university's growth, reduce the pollution of the discharges and impact in a positive way on the evapotranspiration, as a fundamental part of the return of water to the environment.

Methanol extracts from 24 Trichoderma isolates, selected as biocontrol agents and representating different species and genotypes from three of the four taxonomic sections of this genus (T. sect. Trichoderma, T. sect. Pachybasium and T. sect. Longibrachiatum) were screened for antibacterial, anti-yeast and antifungal activities against a panel of seven bacteria, seven yeasts and six filamentous fungi previously used in similar studies. Two different growth media were tested (potato dextrose broth and CYS80), and all isolates included in the antimicrobial tests showed at least one inhibitory activity against one of the target microorganisms in one of the two culture media. No statistically significant differences were detected in the number of active strains between the two culture media, but the highest number of inhibitory strains against bacteria and fungi were found in strains from Trichoderma sect. Pachybasium, whereas strains from T. sect. Longibrachiatum showed the highest anti-yeast values. In all cases, a correlation was found between the strains that were active against yeasts and fungi. However, some degree of variability was detected for strains within the same taxonomic section. In general terms, strains from T. asperellum (mainly in CYS80 medium), and T. longibrachiatum gave the best non-enzymatic antimicrobial profiles. [ABSTRACT FROM AUTHOR]

Background: People attending drug treatment centres have a high burden of hepatitis C virus (HCV) and face barriers to diagnosis and treatment. Dried blood spot (DBS) testing has been proposed to simplify diagnosis, but many patients remain untreated. In this retrospective study, we evaluated the reasons for non-retention in care in an intervention using on-site DBS testing and the effect of telemedicine and decentralized care compared to standard of care among people attending drug treatment centres who were lost to follow-up.Methods: In a first phase, retention in care, adherence to treatment, and predictive factors in the DBS testing program of patients in drug treatment centres were analyzed and compared to a cohort of patients treated at the hospital outpatient clinic. Subsequently, in a second phase we evaluated in patients lost to follow-up from drug treatment centres the efficacy of one-step testing and telemedicine linked to a decentralized dispensation of HCV treatment or standard of care.Results: Among 512 patients attending drug treatment centres, 467 (91.2%) agreed to be tested and 53.4% (237 patients/444 valid tests) tested positive (46 ± 9 years, 87.3% male) for HCV antibodies. After excluding patients negative for RNA or under surveillance, 178 patients were scheduled to meet with a specialist. Overall, 44 patients did not attend and 25 did not complete the pre-treatment evaluation. The only factor associated with retention in care was patient's knowledge of HCV infection. Treated patients attending drug treatment centres (n = 68) compared to the hospital outpatient clinic cohort (n = 135) had lower rates of treatment adherence. Among the patients who attended drug treatment centres that were lost to follow-up (n = 69), the proportion of patients who completed the program was significantly higher among those assisted by telemedicine than by standard of care (62.5% vs. 24.3%, p = 0.002).Conclusion: Although there was a high participation rate in a DBS testing program in drug treatment centres, non-retention in care is a challenge. Importantly, telemedicine linked to a decentralized dispensation of HCV treatment re-engages patients and may be effective for HCV microelimination. [ABSTRACT FROM AUTHOR]

Acute peritoneal dialysis (APD) is still a useful tool in the critical pediatric patient. Acute kidney failure due to septic shock often requires invasive depuration procedures and although hemofiltration is very effective, not all pediatric Intensive Care Units have the equipment necessary to establish it. Pediatric APD is generally initiated with short dwell times, every hour exchanges and 10-20 ml/kg filling volumes. We present the evolution of two critical patients with kidney failure on APD who benefited from the measurement of dialysate-to-plasma (D/P) ratios for creatinine and urea, and dialysate-to-solution ratio for glucose (Dt/Do) to optimize APD prescription.

Utility of inhaled nitric oxide in the treatment of acute respiratory distress syndrome (ARDS) with pulmonary hypertension (PHT) is controversial and there are few studies in the literature that evaluate its effects during prolonged administration. We analyze the case of a 45 day old male patient with un-operated Fallot's tetralogy who developed ARDS and PHT with non-cardiac cause, that required prolonged mechanical ventilation (30 days) and administration of inhaled nitric oxide (INO). Before the INO, the oxygenation index was 19, and at a few minutes of its application it decreased to 15. The patient developed a dependence on INO, tolerating its gradual weaning. Administration could be interrupted at 27 days on onset. We did not observe toxic effects during the administration of INO.