Combined Use of a Bacterial Consortium and Early-Colonizing Plants as a Treatment for Soil Recovery after Fire: A Model Based on Los Guájares (Granada, Spain) Wildfire.

During 2022, intense heat waves, together with particularly extreme dry conditions, created a propitious scenario for wildfires, resulting in the area of vegetation consumed in Europe doubling. Mediterranean countries have been particularly affected, reaching 293,155 hectares in Spain, the worst data in the last 15 years. The effects on the vegetation and the soil are devastating, so knowing the recovery factors is essential for after-fire management. Resilient microorganisms play a fundamental role in rapid nutrient recycling, soil structure, and plant colonization in fire-affected soils. In this present work, we have studied emergent microbial communities in the case of the Los Guájares (Granada, Spain) fire, one of the most extensive of the year, to evaluate their role in the recovery of soil and vegetation cover. We aim to discern which are the main actors in order to formulate a new treatment that helps in the ecosystem recovery. Thus, we have found the relevant loss in phosphorous and potassium solubilizers, as well as siderophores or biofilm producers. Here, we decided to use the strains Pseudomonas koreensis AC, Peribacillus frigoritolerans CB, Pseudomonas fluorescens DC, Paenibacillus lautus C, Bacillus toyonensis CD, and Paenarthrobacter nitroguajacolicus AI as a consortium, as they showed most of the capacities required in a regenerative treatment. On the other hand, the microcosm test showed an enhanced pattern of germination of the emerging model plant, Bituminaria bituminosa, as well as a more aggregated structure for soil. This new approach can create a relevant approach in order to recover fire-affected soils in the future.

Manejo actual del donante potencial de órganos y tejidos en muerte cerebral: guía de manejo y revisión de la literatura / Current management of potential organ and tissue donors in brain death: management guideline and literature review

El trasplante de órganos es, en muchos casos, la única opción terapéutica para pacientes con enfermedades terminales de diversos órganos esenciales, sin embargo, existe un acentuado desequilibrio entre el número de órganos disponibles y el de potenciales receptores a nivel mundial. Los donantes con muerte cerebral son la principal fuente de órganos de trasplante y son esenciales las medidas que promueven su reconocimiento temprano para realizar una gestión clínica apropiada. En este contexto, se sabe que el manejo clínico agresivo del donante potencial y el uso de protocolos orientados a determinados objetivos se asocia con un mayor número de órganos trasplantados por donante y a la reducción de las pérdidas de potenciales donantes por paro cardiaco. Colombia es un país con bajos índices de donación y grandes necesidades de trasplantes, con una lista de espera que cada año aumenta exponencialmente. En esta revisión se exponen las recomendaciones internacionales para el manejo del donante potencial con muerte cerebral, las cuales esperamos se puedan adoptar en los protocolos institucionales para optimizar el manejo de nuestros potenciales donantes en Colombia y, así, aumentar los trasplantes y suplir las necesidades de nuestros pacientes

In many cases organ transplantation is the only therapeutic option for patients with terminal essential organ diseases; however, there is an imbalance between the number of organs available and the number of potential receptors for transplants worldwide. Patients with brain death are the main source of organs for transplantation. Promoting early recognition of measures that prevent damage of organs in brain death organ donors is essential for appropriate clinical management. In this framework, it is known that aggressive clinical management of those potential organ donors using standardized protocols are associated with a greater number of transplanted organs and the reduction of the loss of potential donors by cardiac arrest. Colombia is a country with low donation rates and high transplant needs, with a waiting list that increases exponentially each year. In this review we present the international recommendations of potential organ donors management, which we hope can be adopted in institutional protocols to optimize the management of potential donors in Colombia, thus increasing transplants and meeting the needs of the patients

Integrating mental health into primary care for displaced populations: the experience of Mindanao, Philippines.

BACKGROUND: For more than forty years, episodes of violence in the Mindanao conflict have recurrently led to civilian displacement. In 2008, Medecins Sans Frontieres set up a mental health program integrated into primary health care in Mindanao Region. In this article, we describe a model of mental health care and the characteristics and outcomes of patients attending mental health services. METHODS: Psychologists working in mobile clinics assessed patients referred by trained clinicians located at primary level. They provided psychological first aid, brief psychotherapy and referral for severe patients. Patient characteristics and outcomes in terms of Self-Reporting Questionnaire (SRQ20) and Global Assessment of Functioning score (GAF) are described. RESULTS: Among the 463 adult patients diagnosed with a common mental disorder with at least two visits, median SRQ20 score diminished from 7 to 3 (p < 0.001) and median GAF score increased from 60 to 70 (p < 0.001). Baseline score and score at last assessment were different for both discharged patients and defaulters (p < 0.001). CONCLUSIONS: Brief psychotherapy sessions provided at primary level during emergencies can potentially improve patients' symptoms of distress.