From the closet to the shore: Fashion waste pollution on Colombian Central Caribbean beaches.

This paper examines the environmental effects of fashion waste on the central Caribbean coast of Colombia, highlighting significant ecological issues in coastal areas. A survey of 27 beaches found 503 items of fashion waste, mainly shoes and sandals, with an average density of 0.93 items/m2. The distribution of this type of waste varies notably across different beach types, with exposed, rural, and remote beaches showing higher accumulation, indicating a relationship between beach characteristics and waste concentration. Primary sources of this waste include riverine transport, coastal tourism, and poorly managed sewage systems, impacting urban, rural, and village beaches differently. The study reveals that longshore currents and oceanic movements, significantly influence the transport and fate of this waste, with exposed beaches accumulating more fashion waste than sheltered ones. The presence of driftwood also plays a vital role in trapping fashion waste along coastlines. The findings highlight the need for effective management strategies to mitigate the impact of fashion waste, providing crucial insights for local and national coastal managers and implications for managing fashion waste in the Southern Caribbean and similar regions worldwide.

Geographical heterogeneity and dominant polymer types in microplastic contamination of lentic ecosystems: implications for methodological standardization and future research.

This study examines the prevalence and distribution of microplastic polymer types in lentic ecosystems, revealing significant heterogeneity across different geographical regions and ecosystems. The most dominant type of microplastic observed was polyethylene (PE), followed by polypropylene (PP) and polystyrene (PS), which aligns with global production rates. North America, Asia, and Europe were identified as the regions with the highest microplastic contamination, with the United States, China, Italy, and Spain being the most affected countries. The physical characteristics of each ecosystem, such as wind speed, depth, and eutrophication, alongside seasonal variations, and anthropogenic activities, contributed to the observed heterogeneity in microplastics concentrations. The study highlights the need for further research on microplastics in lentic ecosystems, considering their unique physical characteristics and anthropogenic influences. A significant lack of methodological standardization in microplastics research was identified, leading to underestimation of microplastics prevalence and high heterogeneity in meta-analyses.

Litter in coastal and marine environments.

Litter is one of the most pervasive and fastest-growing anthropogenic alterations of the World's coasts and oceans. Along with climate change, litter has been identified as one of humankind's most critical environmental problems that demand urgent solutions. Litter magnitudes and distribution, and the related detrimental environmental effects, have been documented in all existing coastal and marine environments (e.g., beaches, dunes, abyssal plains and submarine canyons, among others). Litter's presence is now so ubiquitous in the environment that it serves as a geological indicator of the Anthropocene. As part of the solution to this out-of-hand problem, Marine Pollution Bulletin has produced this Special Issue entitled "Litter in Coastal and Marine Environments". This collection of 37 papers provides a focal point for such related current studies and, in part, seeks to discuss implementing specific management strategies under different scenarios. No single solution exists to cope with the litter issue. However, legally binding global governance that will effectively limit and control the magnitude of litter pollution is greatly needed. The topical range of this collection of papers includes case studies focussing on litter types (mainly dominated by plastics), sources, impacts and solutions.

Artificial structures as biological "influencers": Hydrozoa and Anthozoa diversity in a Colombian Caribbean Marina.

The Puerto Velero Marina, located on the central Caribbean coast of Colombia, is an example of an artificial structure that serves as a substrate for a vulnerable community such as cnidarians (Hydrozoa and Anthozoa). This study provides the first assessment of corals and other cnidarians inhabiting artificial marine habitats in a marginal environment of the Caribbean of Colombia. The Puerto Velero Marina was built into a 7 km2 sand spit generated by sedimentation at the mouth of the Magdalena River. In this study were recorded 14 cnidarian species, among which were found 48 small colonies of scleractinian corals such as Porites, Siderastrea, Phyllangia, and Astrangia. This initial biodiversity assessment of the artificial structure provides a baseline that highlights the importance of further monitoring programs to identify non-native species that could reach this kind of hard structures.

Microplastics pollution on Colombian Central Caribbean beaches.

The growing literature on microplastics (MPs) in coastal and marine environs reflects the seriousness of this pollutant category. Diverse litter studies on Colombia's Central Caribbean Coast have not presented detailed study of MPs' typology, magnitude or distribution. This baseline study presents for first time the MPs problem on 23 beaches in 75 km coastal reach between Punta Roca and Galerazamba, on the central Colombian Caribbean Coast. The Microplastics Pollution Index (MPPI) and Coefficient of Microplastic Impact (CMPI) were developed and applied along with the Environmental Status Index (ESI) and their integration through sector analysis, and mapping using Agglomerative Hierarchical Clustering and Multidimensional Scaling, and Principal Components Analysis. Microplastics abundances (densities) ranged from 2457 to 557 MPs/kg, similar to other global beaches and bays. The MPs Index for the 23 beaches classified 8 beaches as "Moderate," 10 beaches as "High" and 5 as "Very High." Microplastic fibers were the dominant typology at 83% of the combined beaches total (ranging from Moderate to Very High for individual beaches).

Plastic pollution on the Colombian central Caribbean beaches.

Along 24 beaches of the Central Caribbean Coast of Colombia, plastic items were collected and grouped into 43 different typologies. The average plastic abundance was 4.54 items/m2 being eight typologies responsible for 82% of all plastic collected. The application of the Clean Coast Index (CCI) and the Plastic Abundance Index (PAI) allows categorization of the study area as "Extremely Dirty" coastal strip with a "Very High Abundance" of plastics. Beaches were statistically grouped into three specific types: moderate, bad and extremely bad environmental conditions. The typology and magnitudes of plastics found in the study area suggest a combination of sources that primarily include dumping and direct activities on the beach. Plastic medical and sanitary waste, ocean/waterway items, and plastic items related to smoking-related activities also were observed.

[Epidemiology, clinical results and success rate in hip preservation surgery in avascular osteonecrosis of the femoral head]. / Epidemiología, resultados clínicos y tasa de éxito en cirugía preservadora de cadera en la necrosis avascular de cabeza femoral.

INTRODUCTION: Avascular osteonecrosis of the femoral head (ONFH) is a frequent pathology with an insidious and asymptomatic presentation in early stages, so the diagnosis is often made in advanced stages, where the only effective solution is total hip arthroplasty (THA). Diagnosis in early stages will allow the use of therapeutic options that avoid or delay ATC. Our objective is to evaluate the demographic, clinical results and the success rate in our center of patients diagnosed with ONFH and who have been subsidiary of hip preservation surgery. MATERIAL AND METHODS: Unicentric, prospective, uncontrolled clinical study of patients diagnosed with ONFH between January 2012 and September 2017 with a Steinberg IIIA stage. The surgical technique used is decompressive forage, associated with bone allograft and bone marrow aspiration. RESULTS: 26 hips were operated on with our surgical technique. The success rate obtained is 61.54%, since 10 cases have required THA during the study (38.46%). CONCLUSIONS: The therapeutic success in ONFH is directly related to the degree of the disease, which is why early diagnosis is important. The decompressive forage with bone allograft that associates bone marrow aspiration is an option to be taken into account, since in early stages it shows a high success rate.

INTRODUCCIÓN: La necrosis avascular de cabeza femoral (NACF) es una patología frecuente que en sus inicios es asintomática y se manifiesta de forma insidiosa, por lo que a menudo el diagnóstico se realiza en estadios avanzados, donde la única solución eficaz es la artroplastía total de cadera (ATC). El diagnóstico en fases precoces permitirá utilizar opciones terapéuticas que eviten o retrasen la ATC. Nuestro objetivo es valorar los resultados demográficos, clínicos y la tasa de éxito en nuestro centro de pacientes con diagnóstico de NACF y que han sido subsidiarios de cirugía de preservación de cadera. MATERIAL Y MÉTODOS: Estudio clínico unicéntrico, prospectivo, no controlado de pacientes con diagnóstico de NACF entre Enero de 2012 y Septiembre de 2017 con un estadio Steinberg IIIA. La técnica quirúrgica utilizada es el forage descompresivo, asociado a relleno con aloinjerto y aspirado de médula ósea. RESULTADOS: Se intervinieron 26 caderas con nuestra técnica quirúrgica. La tasa de éxito obtenida es de 61.54%, ya que 10 casos han precisado ATC durante el estudio (38.46%). CONCLUSIÓN: El éxito terapéutico en la NACF está directamente relacionado con el grado de la enfermedad, por lo que es importante el diagnóstico precoz. El forage descompresivo con relleno de aloinjerto que asocia aspirado de médula ósea es una opción a tener en cuenta, ya que en estadios iniciales muestra una elevada tasa de éxito.

[Unusual evolution of reactive arthritis after endovesical immunotherapy with BCG].

Intravesical instillation of BCG (Bacille Calmette-Guerin) is a therapy prepared with weakened strains of Mycobacterium bovis and is an effective complementary treatment for high-risk (non-musculoinfiltrating or non-invasive) bladder cancer. Although its safety for clinical use is high, endovesical immunotherapy is not without complications. Arthralgia and arthritis are infrequent, but potentially severe, complications, the early diagnosis of which can allow adequate medical treatment and avoid chronification of the pathology. This case shows the therapeutic management of hip osteoarthritis in a 59-year-old woman, a rare and serious complication, secondary to a rare pathology such as reactive arthritis due to BCG instillation.

Inusual evolución de artritis reactiva tras inmunoterapia endovesical con BCG / Unusual evolution of reactive arthritis after endovesical immunotherapy with BCG

La instilación intravesical de BCG (Bacilo de Calmette-Guerin) es una terapia preparada con cepas debilitadas de Mycobacterium bovis y constituye un tratamiento complementario eficaz para el cáncer de vejiga superficial (no musculoinfiltrante o no invasivo) de alto riesgo. Aunque la seguridad para su uso clínico es alta, la inmunoterapia endovesical no está exenta de complicaciones. La artralgia y la artritis son complicaciones infrecuentes, pero potencialmente severas, cuyo diagnóstico temprano puede permitir un tratamiento médico adecuado y evitar la cronificación de la patología. El presente caso muestra el manejo terapéutico de la artrosis coxofemoral en una mujer de 59 años, una complicación grave e infrecuente, secundaria a una patología poco común como la artritis reactiva debida a la instilación de BCG

Intravesical instillation of BCG (Bacille Calmette-Guerin) is a therapy prepared with weakened strains of Mycobacterium bovis and is an effective complementary treatment for high-risk (non-musculoinfiltrating or non-invasive) bladder cancer. Although its safety for clinical use is high, endovesical immunotherapy is not without complications. Arthralgia and arthritis are infrequent, but potentially severe, complications, the early diagnosis of which can allow adequate medical treatment and avoid chronification of the pathology. This case shows the therapeutic management of hip osteoarthritis in a 59-year-old woman, a rare and serious complication, secondary to a rare pathology such as reactive arthritis due to BCG instillation

The invasive species Perna viridis (Linnaeus, 1758 - Bivalvia: Mytilidae) on artificial substrates: A baseline assessment for the Colombian Caribbean Sea.

This baseline paper shows the Indo-Pacific mussel Perna viridis (Asian green mussel) inhabiting on floating plastic substrates in the Atlantico Department, as well as rafting on marine debris found at the Via Parque Isla de Salamanca (Magdalena). Both observations are the northernmost record of the species found in the Colombian Caribbean Sea. The above finding opens a new door that suggests that larval dispersion alone may not be the only process responsible for the presence of this invasive suspension-feeder bivalve because this species needs specific vectors for its dispersal. Some organisms such Perna viridis can persist in the marine environment, but they do not necessarily have a rafting capability that allows them to move over long distances. Floating structures as well as marine debris can serve as optimal substrates in the marine environment, contributing to an increase in the problems of non-native species on sites with a high degree of susceptibility to species invasion.

Modelling the seasonal impacts of a wastewater treatment plant on water quality in a Mediterranean stream using microbial indicators.

Faecal pollution modelling is a valuable tool to evaluate and improve water management strategies, especially in a context of water scarcity. The reduction dynamics of five faecal indicator organisms (E. coli, spores of sulphite-reducing clostridia, somatic coliphages, GA17 bacteriophages and a human-specific Bifidobacterium molecular marker) were assessed in an intermittent Mediterranean stream affected by a wastewater treatment plant (WWTP). Using Bayesian inverse modelling, the decay rates of each indicator were correlated with two environmental drivers (temperature and streamflow downstream of the WWTP) and the generated model was used to evaluate the self-depuration distance (SDD) of the stream. A consistent increase of 1-2 log10 in the concentration of all indicators was detected after the discharge of the WWTP effluent. The decay rates showed seasonal variation, reaching a maximum in the dry season, when SDDs were also shorter and the stream had a higher capacity to self-depurate. High seasonality was observed for all faecal indicators except for the spores of sulphite-reducing clostridia. The maximum SDD ranged from 3 km for the spores of sulphite-reducing clostridia during the dry season and 15 km for the human-specific Bifidobacterium molecular marker during the wet season. The SDD provides a single standardized metric that integrates and compares different contamination indicators. It could be extended to other Mediterranean drainage basins and has the potential to integrate changes in land use and catchment water balance, a feature that will be especially useful in the transient climate conditions expected in the coming years.

Epidemiología, resultados clínicos y tasa de éxito en cirugía preservadora de cadera en la necrosis avascular de cabeza femoral / Epidemiology, clinical results and success rate in hip preservation surgery in avascular osteonecrosis of the femoral head

Resumen: Introducción: La necrosis avascular de cabeza femoral (NACF) es una patología frecuente que en sus inicios es asintomática y se manifiesta de forma insidiosa, por lo que a menudo el diagnóstico se realiza en estadios avanzados, donde la única solución eficaz es la artroplastía total de cadera (ATC). El diagnóstico en fases precoces permitirá utilizar opciones terapéuticas que eviten o retrasen la ATC. Nuestro objetivo es valorar los resultados demográficos, clínicos y la tasa de éxito en nuestro centro de pacientes con diagnóstico de NACF y que han sido subsidiarios de cirugía de preservación de cadera. Material y métodos: Estudio clínico unicéntrico, prospectivo, no controlado de pacientes con diagnóstico de NACF entre Enero de 2012 y Septiembre de 2017 con un estadio Steinberg ≤ IIIA. La técnica quirúrgica utilizada es el forage descompresivo, asociado a relleno con aloinjerto y aspirado de médula ósea. Resultados: Se intervinieron 26 caderas con nuestra técnica quirúrgica. La tasa de éxito obtenida es de 61.54%, ya que 10 casos han precisado ATC durante el estudio (38.46%). Conclusión: El éxito terapéutico en la NACF está directamente relacionado con el grado de la enfermedad, por lo que es importante el diagnóstico precoz. El forage descompresivo con relleno de aloinjerto que asocia aspirado de médula ósea es una opción a tener en cuenta, ya que en estadios iniciales muestra una elevada tasa de éxito.

Abstract: Introduction: Avascular osteonecrosis of the femoral head (ONFH) is a frequent pathology with an insidious and asymptomatic presentation in early stages, so the diagnosis is often made in advanced stages, where the only effective solution is total hip arthroplasty (THA). Diagnosis in early stages will allow the use of therapeutic options that avoid or delay ATC. Our objective is to evaluate the demographic, clinical results and the success rate in our center of patients diagnosed with ONFH and who have been subsidiary of hip preservation surgery. Material and methods: Unicentric, prospective, uncontrolled clinical study of patients diagnosed with ONFH between January 2012 and September 2017 with a Steinberg ≤ IIIA stage. The surgical technique used is decompressive forage, associated with bone allograft and bone marrow aspiration. Results: 26 hips were operated on with our surgical technique. The success rate obtained is 61.54%, since 10 cases have required THA during the study (38.46%). Conclusions: The therapeutic success in ONFH is directly related to the degree of the disease, which is why early diagnosis is important. The decompressive forage with bone allograft that associates bone marrow aspiration is an option to be taken into account, since in early stages it shows a high success rate.

The impact of anthropogenic litter on Colombia's central Caribbean beaches.

A total of 7563 anthropogenic litter (AL) items, grouped into twelve different typologies, were collected along 25 beaches located on the central Caribbean coast of Colombia. The average AL abundance was 6.05 items/m2, plastic items being the most common reaching a total percentage of 88.9% with an average density of 5.38 items/m2. Application of 3 evaluation indices, based on the AL data, placed most of the beaches into the status of unacceptable conditions of cleanness (Dirty to Extremely Dirty), and into mediocre to unsatisfactory environmental status. Hazardous anthropogenic litter (HAL), occurred in considerable amounts with hazardous items reaching a high of 7% (502 items of 7563 total items collected), and an average of 0.40 items/m2. Beaches were statistically grouped into four specific types that ranged from beaches in good environmental conditions (Group A) to beaches in extremely adverse environmental conditions (Group D). The typology and magnitudes of AL found along the study area suggest a combination of sources that are associated with the multiple usages developed along this region's coast. Anthropogenic litter is mainly related to land-based sources, and these generating source activities can be found in nearby basins and/or on the same beaches where the litter remains. This paper proposes four key actions to specifically reduce AL, as well as an 8-step agenda to address solutions to the broader management of litter problems.

Non-native plant species in the Atlantico Department Coastal Dune Systems, Caribbean of Colombia: A new management challenge.

Although coastal dunes exhibit typical vegetation which involves species adapted to extreme environmental conditions, the mobilization and colonization by non-native species represents a challenge in its conservation and management. In this work, eight dune systems located along the Atlantico Department, Caribbean coast of Colombia were surveyed, finding within them the presence of two plant species recognized as invasive: Calotropis procera and Cryptostegia madagascariensis. The impacts of these two invasive plant species can be significant at all ecological levels in the dune systems. The above demands the implementation of urgent management actions. Eradication seems the optimal control alternative, however preventing invasive plant species from infesting new areas is more cost-effective and efficient than trying to restore the system after it is infested. Data presented in this paper is the first step in the future development of an early detection program in the study area.

Abundance and distribution of beach litter along the Atlantico Department, Caribbean coast of Colombia.

A total of 5993 litter items divided into 13 categories were found at 25 beaches located along the Atlantico Department coastline, Caribbean of Colombia, with an average litter abundance of 7 items/m. Agglomerative Hierarchical Clustering (AHC), Multidimensional Scaling (MDS) and Principal Components Analysis (PCA) were applied with the objective of highlighting similarities and contrasts between litter categories and abundances. Results indicated two specific groups of beaches in terms of amounts of litter. The first group is composed of 17 "dirty beaches" (urban, resort and village) while the second group includes 8 "clean beaches" (village and resort). This division was confirmed by means of the EA/NALG (2000) grading system, which highlighted that 68% of beaches belonging to the Atlantico Department coastline are in an unacceptable condition of cleanness. Current patterns of litter abundance and accumulation are related to sources as well as beach characteristics such as degree of exposition and morphodynamic state.

Litter impacts on beach/dune systems along the Atlantico Department, the Caribbean Coastline of Colombia.

Eight beach/dune systems located along the Atlantico Department, Caribbean coast of Colombia were surveyed to determine litter influences over its scenic quality. Application of the Coastal Scenic Evaluation System (CSES) categorized these systems into two of the five available classes. Five of the investigated beach/dune systems belong to Class IV, while three systems correspond to V. Classes I, II and III were not found. Along these beach/dune systems, a total amount of 1908 litter items were collected with average abundances of 4.2 items/m2. Currently, 82% of surveyed sites are under an unacceptable condition of cleanness. User's habits as well as bad litter management practices are directly responsible for the decline of scenic quality of the Atlantico Department beach/dune systems. Litter management must be centered on strategies to eliminate or minimize litter sources. Specific remedial actions need to be defined and developed.

Effects of different thickening agents on infant gut microbiota.

Infant microbiota has to progress from an almost sterile to a complex and varied community, so the main objective of this work was to evaluate the effect of three thickening ingredients on infant microbiota, as well as their in vitro gut fermentability. Experiments were performed using fresh faecal samples from healthy donors of 2-3 months of age. Stabilised stool samples were injected into Wheaton serum bottles containing pre-reduced MBM and 1% (w/v) fermentation substrates (locust bean gum, LBG; maize hydroxypropylated distarch phosphate, Mhdp; and pre-gelatinized rice starch, gRS). Samples were taken during fermentation, and pH, gas pressure, SCFA and bacterial population were analysed. The addition of thickeners resulted in a significant negative correlation (p < 0.05) between time and pH, showing significantly lower (p < 0.01) pH values for Mhdp and gRS than for LBG. Modified starches showed significantly higher values (p < 0.05) of total gas production than did LBG. Total SCFA molar concentrations for LBG, as well as propionate production, were significantly higher (p < 0.05) than for Mhdp and gRS. Regarding bacterial population, LBG promoted a more varied microbiota enhancing the growth of Atopobium and Bacteroidetes, whereas Mhdp and gRS induced higher Lactobacillus and Bifidobacteria at the beginning of fermentation. LBG induced moderate gas production and a slow drop of pH, and caused a decreasing acetate : propionate ratio, enhancing the development of a varied faecal microbiota. In contrast, Mhdp and gRS induced high gas production, a sudden drop of pH and a greater production of acetate, which promoted a less varied faecal microbiota.

Renal Transplant Immunosuppression in Patients With Hemolytic Uremic Syndrome: Four Case Reports.

A high rate of recurrence has been described in atypical hemolytic uremic syndrome renal transplant recipients, favored by certain immunosuppressant drugs that can induce complement activation. We present four case series in which three patients were diagnosed pretransplantation and a fourth who had onset in the very early post-transplantation period. The patients received different immunosuppression schedules, and all had improvement after more than 2-years. We suggest the need to stratify the risk of atypical hemolytic uremic syndrome recurrence using genetic studies and the available drugs as the main factors that allow graft survival improvement today.

Beach litter and woody-debris colonizers on the Atlantico department Caribbean coastline, Colombia.

Some marine invertebrates can inhabit floating substrates, and raft over long distances, becoming a significant environmental problem in terms of alien species and habitat disruption. On the Atlantico Department beaches (Colombia) woody debris and plastic litter dominate (86%) the types of refuse on the beaches with their densities ranging from 0.82-1.72 items m-1. Such litter and woody debris generate the optimal conditions for floating colonizers. In this work, 26 beaches were surveyed, and 16 of them (62%) were found to have marine fauna using litter and woody debris as a substrate for potential rafting and dispersal. Serpulidae polychaete tubes, goose barnacles Lepas (Anatifa) anserifera Linnaeus, 1767, and the bryozoans Arbopercula tenella (Hincks, 1880), Arbopercula angulata (Levinsen, 1909), plus three unidentified species were found colonizing woody debris, seeds, plastic and glass bottles. These findings of woody debris and litter facilitating the arrival and dispersal of non-native species on this coast, demonstrate that preventive management of such refuse in coastal habitats goes beyond simply preserving coastal esthetics.