Coral reef restoration efforts in Latin American countries and territories.

Coral reefs worldwide are degrading due to climate change, overfishing, pollution, coastal development, coral bleaching, and diseases. In areas where the natural recovery of an ecosystem is negligible or protection through management interventions insufficient, active restoration becomes critical. The Reef Futures symposium in 2018 brought together over 400 reef restoration experts, businesses, and civil organizations, and galvanized them to save coral reefs through restoration or identify alternative solutions. The symposium highlighted that solutions and discoveries from long-term and ongoing coral reef restoration projects in Spanish-speaking countries in the Caribbean and Eastern Tropical Pacific were not well known internationally. Therefore, a meeting of scientists and practitioners working in these locations was held to compile the data on the extent of coral reef restoration efforts, advances and challenges. Here, we present unpublished data from 12 coral reef restoration case studies from five Latin American countries, describe their motivations and techniques used, and provide estimates on total annual project cost per unit area of reef intervened, spatial extent as well as project duration. We found that most projects used direct transplantation, the coral gardening method, micro-fragmentation or larval propagation, and aimed to optimize or scale-up restoration approaches (51%) or provide alternative, sustainable livelihood opportunities (15%) followed by promoting coral reef conservation stewardship and re-establishing a self-sustaining, functioning reef ecosystems (both 13%). Reasons for restoring coral reefs were mainly biotic and experimental (both 42%), followed by idealistic and pragmatic motivations (both 8%). The median annual total cost from all projects was $93,000 USD (range: $10,000 USD-$331,802 USD) (2018 dollars) and intervened a median spatial area of 1 ha (range: 0.06 ha-8.39 ha). The median project duration was 3 years; however, projects have lasted up to 17 years. Project feasibility was high with a median of 0.7 (range: 0.5-0.8). This study closes the knowledge gap between academia and practitioners and overcomes the language barrier by providing the first comprehensive compilation of data from ongoing coral reef restoration efforts in Latin America.

Catéter venoso central y sus complicaciones / Central Venous Catheter and its complications

Resumen El empleo de catéter venoso central en la práctica clínica ha surgido como una opción de acceso vascular en pacientes con estancias hospitalarias prolongadas por diversas patologías del nuevo espectro epidemiológico. Se le llama así a un acceso al torrente sanguíneo a nivel central, para la administración de medicamentos entre otras funciones. Existen varios tipos de catéter venoso central, dependiendo de la necesidad del paciente así se elige el indicado. Sin embargo, las infecciones por el uso de dichos instrumentos invasivos, así como otras complicaciones no infecciosas, divididas en inmediatas como lo son la punción arterial, el sangrado, neumotórax o hemotórax, arritmia, embolismo aéreo o malposición del catéter y complicaciones tardías entre estas la estenosis venosa, trombosis venosa, la migración de catéter, la perforación miocárdica o el daño nervioso plantean un nuevo reto para la medicina actual. Este artículo describe las complicaciones, el manejo respectivo de cada una y estrategias para reducir la incidencia de las mismas.

Abstract The use of central venous catheter in clinical practice has emerged as a vascular access option in patients with prolonged hospital stays due to various pathologies of the new epidemiological spectrum. This is called an access to the bloodstream at the central level for the administration of medications and among other functions. There are several types of central venous catheters, depending on the patient's need so the one chosen is chosen. However, infections due to the use of such invasive instruments, as well as other non-infectious complications divided into immediate ones such as arterial puncture, bleeding, pneumothorax or hemothorax, arrhythmia, air embolism or catheter malposition and late complications between them venous stenosis, venous thrombosis, catheter migration, myocardial perforation or nerve damage pose a new challenge for current medicine. During this article it is presented as well as the complications, the respective management of each one is described and how to reduce their incidence.

Early life history of the Caribbean coral Orbicella faveolata (Scleractinia: Merulinidae)

Introduction: Rehabilitation of hermatypic coral species that have declined in the Caribbean in recent decades is a priority. Production of sexual recruits is considered the best restoration method to aid affected populations. Objective: To gain knowledge of early life stages of Orbicella faveolata and to enhance production of new sexual recruits. Methods: Gamete bundles from the coral species O. faveolata were collected over two years (2018 and 2019) from Los Corales del Rosario y de San Bernardo Natural National Park, Cartagena, Colombia. Assisted fertilization, larval rearing, settlement (onto crustose coralline algae, CCA) and post settlement survival in laboratory conditions were monitored. Results: Embryonic and larval development were documented over 55 hours after the first cleavage, when larvae were fully developed and started pre-settlement behavior. Settlement began 7 days after first cleavage and after 37 days polyps had acquired zooxanthellae. Larval settlement was higher on Lythophyllum congestum and Titanoderma prototypum than in response to Porolithon pachydermum, Neogoniolithon sp., Hydrolithon sp., and Lythophyllum sp. Larvae did not settle on dead coral or on the negative control (sterilized seawater). After the first week post settlement survival was 59 % amongst O. faveolata recruits. During the second week, survival dropped to 42 %, and was further reduced to 0 % at the end of the third week. Conclusions: O. faveolata larvae require cues from certain CCA species to settle, they do not settle in absence of CCA. Increased larvae availability is possible through assisted fertilization in the laboratory, however, due to the high mortality in early post-settlement phases, additional research needs to be conducted in order to scale up larvae production and improve understanding of the cues that enhance settlement and the factors which cause post-settlement mortality.

Introducción: La rehabilitación de las especies de corales hermatípicos del Caribe que han disminuido en las últimas décadas es una prioridad. La producción de reclutas sexuales se considera el mejor método de restauración para ayudar a las poblaciones afectadas. Objetivo: Obtener conocimiento de las primeras etapas de la vida de O. faveolata y mejorar la producción de nuevos reclutas sexuales. Métodos: Por dos años (2018 y 2019), seis días después de luna llena en septiembre, se recolectaron paquetes gaméticos en arrecifes del Parque Nacional Natural Los Corales del Rosario y de San Bernardo, Cartagena, Colombia. Se siguió la fertilización asistida, la cría de larvas, el asentamiento y la supervivencia posterior al asentamiento en algas coralinas costrosas (ACC) en condiciones de laboratorio. Resultados: El desarrollo de embriones y larvas se documenta a lo largo de 55 h después del primer clivaje, cuando la larva está desarrollada completamente y comenzó el comportamiento previo al asentamiento. El asentamiento comienza 7 días después del primer clivaje y 37 días después, la mayoría de los pólipos presentan zooxantelas. El asentamiento larval fue más alto en Lythophyllum congestum y Titanoderma prototypum que en respuesta a Porolithon pachydermum, Neogoniolithon sp., Hydrolithon sp., y Lythophyllum sp. No hubo asentamiento sobre coral muerto ni en el control negativo (agua de mar esterilizada). La supervivencia bajó de un 59 % en la primera semana después del asentamiento, a 42 % durante la segunda semana y 0 % para el final de la tercera semana. Conclusiones: Las larvas de O. faveolata requieren señales de ciertas especies de ACC para asentarse, ellas no se asientan en ausencia de ACC. La disponibilidad de larvas es posible mediante la fertilización asistida en laboratorio. Sin embargo, debido a la alta mortalidad en las primeras fases posteriores al asentamiento, queda mucho por hacer para aumentar la producción de larvas y mejorar nuestro conocimiento y comprensión de las señales que mejoran el asentamiento y las que previenen o inhiben la supervivencia del recluta.

Síndrome compartimental abdominal en el paciente pediátrico: una revisión de la literatura / Abdominal compartment syndrome in the pediatric patient: a review of the literature

Resumen El presente artículo tiene como finalidad realizar una revisión bibliográfica acerca del síndrome compartimental abdominal en el paciente pediátrico, para actualizar a la población médica general respecto al tema en cuestión; debido a que no hay actualmente estudios de peso estadístico en cuanto a la patología; además, no hay estudios recientes a nivel nacional. El síndrome compartimental abdominal es una condición clínica seria, que presenta una mortalidad elevada sobre todo en la población pediátrica. El desconocimiento de la patología es el principal factor determinante en la mortalidad; ya que, es fundamental la sospecha médica oportuna para inicio de medidas terapéuticas evitando disfunción orgánica y muerte. Por lo tanto, en el siguiente trabajo, se desarrollarán los puntos fundamentales sobre su incidencia, presentación clínica, factores de riesgo, fisiopatología, abordaje diagnóstico y los distintos abordajes terapéuticos, tanto médicos como quirúrgicos; así como, complicaciones y pronósticos. Sin olvidar el punto clave que es conocer la técnica para la medición de la presión intraabdominal, lo que posibilita la detección precoz de complicaciones y consecuentemente, un accionar terapéutico oportuno.

Abstract The purpose of this article is to carry out a bibliographic review about abdominal compartment syndrome in the pediatric patient, to update the medical population about this topic, because currently there are no studies with enough statistical weight about this pathology. Furthermore, there aren´t recent studies at the national level. Abdominal compartment syndrome is a serious clinical condition that has an elevated mortality rate, especially in the pediatric population. The ignorance of the pathology it is the main determining factor in mortality because it is fundamentally the timely medical suspicion to start therapeutic measures avoiding organ dysfunction and death. Therefore, in the following work, the fundamental points will be developed about its incidence, clinical presentation, risk factors, pathophysiology, diagnosis, approach and the different therapeutic approaches medical and surgical as well as complications and prognosis. Without forgetting the key point which is knowing the technique for the measurement of intra abdominal pressure, which will allow the early detection of complications and consequently, a timely therapeutic action.

Unraveling the structure and composition of Varadero Reef, an improbable and imperiled coral reef in the Colombian Caribbean.

Coral reefs are commonly associated with oligotrophic, well-illuminated waters. In 2013, a healthy coral reef was discovered in one of the least expected places within the Colombian Caribbean: at the entrance of Cartagena Bay, a highly-polluted system that receives industrial and sewage waste, as well as high sediment and freshwater loads from an outlet of the Magdalena River (the longest and most populated river basin in Colombia). Here we provide the first characterization of Varadero Reef's geomorphology and biological diversity. We also compare these characteristics with those of a nearby reference reef, Barú Reef, located in an area much less influenced by the described polluted system. Below the murky waters, we found high coral cover of 45.1% (±3.9; up to 80% in some sectors), high species diversity, including 42 species of scleractinian coral, 38 of sponge, three of lobster, and eight of sea urchin; a fish community composed of 61 species belonging to 24 families, and the typical zonation of a Caribbean fringing reef. All attributes found correspond to a reef that, according to current standards should be considered in "good condition". Current plans to dredge part of Varadero threaten the survival of this reef. There is, therefore, an urgent need to describe the location and characteristics of Varadero as a first step towards gaining acknowledgement of its existence and garnering inherent legal and environmental protections.

The immunotranscriptome of the Caribbean reef-building coral Pseudodiploria strigosa.

The viability of coral reefs worldwide has been seriously compromised in the last few decades due in part to the emergence of coral diseases of infectious nature. Despite important efforts to understand the etiology and the contribution of environmental factors associated to coral diseases, the mechanisms of immune response in corals are just beginning to be studied systematically. In this study, we analyzed the set of conserved immune response genes of the Caribbean reef-building coral Pseudodiploria strigosa by Illumina-based transcriptome sequencing and annotation of healthy colonies challenged with whole live Gram-positive and Gram-negative bacteria. Searching the annotated transcriptome with immune-related terms yielded a total of 2782 transcripts predicted to encode conserved immune-related proteins that were classified into three modules: (a) the immune recognition module, containing a wide diversity of putative pattern recognition receptors including leucine-rich repeat-containing proteins, immunoglobulin superfamily receptors, representatives of various lectin families, and scavenger receptors; (b) the intracellular signaling module, containing components from the Toll-like receptor, transforming growth factor, MAPK, and apoptosis signaling pathways; and (3) the effector module, including the C3 and factor B complement components, a variety of proteases and protease inhibitors, and the melanization-inducing phenoloxidase. P. strigosa displays a highly variable and diverse immune recognition repertoire that has likely contributed to its resilience to coral diseases.

Benthic primary production in an upwelling-influenced coral reef, Colombian Caribbean.

In Tayrona National Natural Park (Colombian Caribbean), abiotic factors such as light intensity, water temperature, and nutrient availability are subjected to high temporal variability due to seasonal coastal upwelling. These factors are the major drivers controlling coral reef primary production as one of the key ecosystem services. This offers the opportunity to assess the effects of abiotic factors on reef productivity. We therefore quantified primary net (Pn ) and gross production (Pg ) of the dominant local primary producers (scleractinian corals, macroalgae, algal turfs, crustose coralline algae, and microphytobenthos) at a water current/wave-exposed and-sheltered site in an exemplary bay of Tayrona National Natural Park. A series of short-term incubations was conducted to quantify O2 fluxes of the different primary producers during non-upwelling and the upwelling event 2011/2012, and generalized linear models were used to analyze group-specific O2 production, their contribution to benthic O2 fluxes, and total daily benthic O2 production. At the organism level, scleractinian corals showed highest Pn and Pg rates during non-upwelling (16 and 19 mmol O2 m(-2) specimen area h(-1)), and corals and algal turfs dominated the primary production during upwelling (12 and 19 mmol O2 m(-2) specimen area h(-1), respectively). At the ecosystem level, corals contributed most to total Pn and Pg during non-upwelling, while during upwelling, corals contributed most to Pn and Pg only at the exposed site and macroalgae at the sheltered site, respectively. Despite the significant spatial and temporal differences in individual productivity of the investigated groups and their different contribution to reef productivity, differences for daily ecosystem productivity were only present for Pg at exposed with higher O2 fluxes during non-upwelling compared to upwelling. Our findings therefore indicate that total benthic primary productivity of local autotrophic reef communities is relatively stable despite the pronounced fluctuations of environmental key parameters. This may result in higher resilience against anthropogenic disturbances and climate change and Tayrona National Natural Park should therefore be considered as a conservation priority area.

Spatial and temporal variability of water quality in the coral reefs of Tayrona National Natural Park, Colombian Caribbean.

Tayrona National Natural Park (TNNP) is a hotspot of coral reef biodiversity in the Colombian Caribbean, located between the city of Santa Marta (>455,000 inhabitants) and several smaller river mouths (Rio Piedras, Mendihuaca, Guachaca). The region also experiences a strong seasonal variation in physical parameters (temperature, salinity, wind, and water currents) due to alternating dry seasons with coastal upwelling and rainy seasons. However, the spatial and temporal effects on water quality parameters relevant for coral reef functioning have not been investigated. Therefore, inorganic nutrient, chlorophyll a, and particulate organic carbon (POC) concentrations along with biological O2 demand (BOD), pH, and water clarity directly above local coral reefs (~10 m water depth) were monitored for 25 months in four bays along a distance gradient (12-20 km) to Santa Marta in the southwest and to the first river mouth (17-27 km) in the east. This is by far the most comprehensive coral reefs water quality dataset for the region. Findings revealed that particularly during non-upwelling, chlorophyll a and POC concentrations along with BOD significantly increased with decreasing distance to the rivers in the east, suggesting that the observed spatial water quality decline was triggered by riverine runoff and not by the countercurrent-located Santa Marta. Nitrate, nitrite, and chlorophyll a concentrations significantly increased during upwelling, while pH and water clarity decreased. Generally, water quality in TNNP was close to oligotrophic conditions adequate for coral reef growth during non-upwelling, but exceeded critical threshold values during upwelling and in relation to riverine discharge.

Bleaching susceptibility and recovery of Colombian Caribbean corals in response to water current exposure and seasonal upwelling.

Coral bleaching events are globally occurring more frequently and with higher intensity, mainly caused by increases in seawater temperature. In Tayrona National Natural Park (TNNP) in the Colombian Caribbean, local coral communities are subjected to seasonal wind-triggered upwelling events coinciding with stronger water currents depending on location. This natural phenomenon offers the unique opportunity to study potential water current-induced mitigation mechanisms of coral bleaching in an upwelling influenced region. Therefore, coral bleaching susceptibility and recovery patterns were compared during a moderate and a mild bleaching event in December 2010 and 2011, and at the end of the subsequent upwelling periods at a water current-exposed and -sheltered site of an exemplary bay using permanent transect and labeling tools. This was accompanied by parallel monitoring of key environmental variables. Findings revealed that in 2010 overall coral bleaching before upwelling was significantly higher at the sheltered (34%) compared to the exposed site (8%). Whereas 97% of all previously bleached corals at the water current-exposed site had recovered from bleaching by April 2011, only 77% recovered at the sheltered site, but 12% had died there. In December 2011, only mild bleaching (<10% at both sites) was observed, but corals recovered significantly at both sites in the course of upwelling. No differences in water temperatures between sites occurred, but water current exposure and turbidity were significantly higher at the exposed site, suggesting that these variables may be responsible for the observed site-specific mitigation of coral bleaching. This indicates the existence of local resilience patterns against coral bleaching in Caribbean reefs.

Shifts in bacterial communities of two Caribbean reef-building coral species affected by white plague disease.

Coral reefs are deteriorating at an alarming rate mainly as a consequence of the emergence of coral diseases. The white plague disease (WPD) is the most prevalent coral disease in the southwestern Caribbean, affecting dozens of coral species. However, the identification of a single causal agent has proved problematic. This suggests more complex etiological scenarios involving alterations in the dynamic interaction between environmental factors, the coral immune system and the symbiotic microbial communities. Here we compare the microbiome of healthy and WPD-affected corals from the two reef-building species Diploria strigosa and Siderastrea siderea collected at the Tayrona National Park in the Caribbean of Colombia. Microbiomes were analyzed by combining culture-dependent methods and pyrosequencing of 16S ribosomal DNA (rDNA) V5-V6 hypervariable regions. A total of 20,410 classifiable 16S rDNA sequences reads were obtained including all samples. No significant differences in operational taxonomic unit diversity were found between healthy and affected tissues; however, a significant increase of Alphaproteobacteria and a concomitant decrease in the Beta- and Gammaproteobacteria was observed in WPD-affected corals of both species. Significant shifts were also observed in the orders Rhizobiales, Caulobacteriales, Burkholderiales, Rhodobacterales, Aleteromonadales and Xanthomonadales, although they were not consistent between the two coral species. These shifts in the microbiome structure of WPD-affected corals suggest a loss of community-mediated growth control mechanisms on bacterial populations specific for each holobiont system.

White plague-like coral disease in remote reefs of the Western Caribbean.

The health of coral reef communities has been decreasing over the last 50 years, due the negative effects of human activities combined with other natural processes. We present documentation of a White Plague Disease (WPD) outbreak in the Serrana Bank, an isolated Western Caribbean atoll with presumably inexistent pollutant inputs from local human settlements. In addition, this study summarizes seven years of observations on diseased corals in the nearby island of San Andrés, which in contrast is one of the most populated islands of the Caribbean. There was a massive coral mortality in the atoll lagoon (14 degrees 27'53.24", 80 degrees 14'22.27" W, and 12m depth) due to WPD on May 4 of 2003. Seventeen species were found dead or largely affected by the disease. The information resulting from GPS and manta-tow transects revealed that approximately 5.8 ha of reticulate Montastraea spp. patch reefs were lethally affected by the disease in the atoll. On May 8 of the same year we observed and calculated a mean coral cover of 7.03% (SD +/- 2.44), a mean diseased coral tissue cover of 5.5% (SD +/- 1.1) and a 13.4% (SD +/- 8.05) of recently dead coral covered with a thin filamentous algae layer; approximately 73% of mortalities caused by the disease occurred before the end of the outbreak. A rough estimate of 18.9% in recent coral cover reduction can be attributed to WPD. This represents about 82% of the total coral cover decline since 1995. Semi-enclosed environments such as atoll lagoons and the reticulate patch-reefs of Montastraea spp. seem to be particularly vulnerable to this kind of coral disease, which constitute an alert to increase the monitoring of the same kind of atoll environments. The WPD has been present in the area of the nearby island of San Andrés at a low prevalence level, with sporadic increasing peaks of disease proliferation. The peaks observed during 1999 and 2004 comprised increases of 266% and 355% respectively, suggesting an alarming progression of the disease in this area. This study includes new information of the epizoolotiology of White Plague Disease and documents the permanent prevalence and progression of the WPD in the area of San Andres Island.

White plague-like coral disease in remote reefs of the Western Caribbean

The health of coral reef communities has been decreasing over the last 50 years, due the negative effects of human activities combined with other natural processes. We present documentation of a White Plague Disease (WPD) outbreak in the Serrana Bank, an isolated Western Caribbean atoll with presumably inexistent pollutant inputs from local human settlements. In addition, this study summarizes seven years of observations on diseased corals in the nearby island of San Andrés, which in contrast is one of the most populated islands of the Caribbean. There was a massive coral mortality in the atoll lagoon (14°27’53.24", 80°14’22.27" W, and 12m depth) due to WPD on May 4 of 2003. Seventeen species were found dead or largely affected by the disease. The information resulting from GPS and manta-tow transects revealed that approximately 5.8ha of reticulate Montastraea spp. patch reefs were lethally affected by the disease in the atoll. On May 8 of the same year we observed and calculated a mean coral cover of 7.03% (SD± 2.44), a mean diseased coral tissue cover of 5.5% (SD± 1.1) and a 13.4% (SD± 8.05) of recently dead coral covered with a thin filamentous algae layer; approximately 73% of mortalities caused by the disease occurred before the end of the outbreak. A rough estimate of 18.9% in recent coral cover reduction can be attributed to WPD. This represents about 82% of the total coral cover decline since 1995. Semi-enclosed environments such as atoll lagoons and the reticulate patch-reefs of Montastraea spp. seem to be particularly vulnerable to this kind of coral disease, which constitute an alert to increase the monitoring of the same kind of atoll environments. The WPD has been present in the area of the nearby island of San Andrés at a low prevalence level, with sporadic increasing peaks of disease proliferation. The peaks observed during 1999 and 2004 comprised increases of 266% and 355% respectively, suggesting an alarming progression of the disease in this area. This study includes new information of the epizoolotiology of White Plague Disease and documents the permanent prevalence and progression of the WPD in the area of San Andres Island. Rev. Biol. Trop. 58 (Suppl. 1): 145-154. Epub 2010 May 01.

Este trabajo presenta datos sobre un brote de la Enfermedad de Plaga Blanca (EPB) en el banco de Serrana y resume siete años de observaciones de esta enfermedad en la vecina isla de San Andrés (Caribe colombiano). La mortalidad masiva de corales por causa de EPB se observó en la laguna del atolón (14° 27’ 53.24", 80° 14’ 22.27" W, y 12m de profundidad) en mayo 4 de 2003. Se encontraron 17 especies muertas o atacadas por EPB y 5.8Ha de parches de Montastraea spp. fueron letalmente afectadas por la enfermedad. En mayo 8 del mismo año observamos y calculamos una cobertura promedio de coral de 7.03% (SD± 2.44), un promedio de tejido coralino enfermo de 5.5% (SD± 1.1) y un 13.4% (SD± 8.05) de coral recientemente muerto cubierto con una fina capa de algas filamentosas; aproximadamente 73% de la mortalidad a causa de la enfermedad ya había ocurrido antes de que terminara el brote de EPB. La EPB ha estado presente en el área de la vecina isla de San Andrés con un bajo nivel de prevalencia pero con esporádicos picos de proliferación de la enfermedad. Durante 1999 y 2004 se observaron incrementos de prevalencia de 266% y 355% respectivamente. Ambientes semi-cerrados como son las lagunas de los atolones y los arrecifes de parche reticulados de Montastraea spp. parecen ser especialmente vulnerables a este tipo de enfermedades coralinas, lo que constituye una alerta hacia una mayor atención y monitoreo en este tipo de ambientes lagunares en atolones.