Phytoremediation of potentially toxic elements using constructed wetlands in coastal areas with a mining influence.

This paper proposes the use of wetlands as a phytoremediation strategy for areas of mining and maritime influence in the southeast of Spain. Potentially toxic elements (PTEs) tolerant and salinity-resistant macrophytes (Phragmites australis, Juncus effusus and Iris pseudacorus) have been used. The experiment is carried out in an aerobic artificial wetland using representative sediments affected by mining activities in the study area. Selected species were placed in pots containing substrates made with different mixtures of topsoil and/or peat, mining residues (black or yellow sand). After six months, rhizosphere, root and aerial parts were collected. A transfer study of As, Pb, Zn and Cu is performed, determining contents in rhizosphere and plant (aerial and underground part). From these data, the TF and BCF were calculated for each plant in 15 different substrates. The work is complemented by an initial study of scanning electron microscopy (SEM-EDX) of plants. The obtained results indicate a tolerance of the metallophytes to these PTEs, which may favour the obtaining of a naturalized habitat that acts as an effective protective barrier to the ecosystem, that is easy to maintain and that avoid the risk of transfer to the trophic chain. The use of these species can be a complement to the chemical stabilization proposed for the whole area and carried out in experimental plots. Because they are perennial plants, it is necessary to continue with the experiments and obtain results in a longer period of time that allows to evaluate yield and stabilization.

Fracaso renal agudo secundario a rabdomiólisis en paciente en tratamiento con ticagrelor y atorvastatina / Acute renal failure secondary to rhabdomyolysis in a patient receiving treatment with ticagrelor and atorvastatin

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Litiasis por 2,8-dihidroxiadenina, utilidad del estudio genético / Litiasis due to 2,8-dihydroxyadenine, usefulness of the genetic study

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Insuficiencia renal por nefropatía tubulointersticial con tubulopatía proximal tipo Fanconi tras tratamiento con ácido zoledrónico / Kidney failure caused by tubular intersticial intersticial nephropathy with Fanconi syndrome after treatment with zoledronic acid

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Diarrea y desnutrición en paciente trasplantado renal: un caso de infección por criptosporidiosis / Diarrhea and malnutrition in kidney transplant recipient: A case of infection by cryptosporidiosis

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Tratamiento con tiosulfato de sodio tópico en calcifilaxia de paciente con trasplante renal activo / Treatment with sodium thiosulfate in calciphylaxis of topical active renal transplant patient

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Infiltración neuromeníngea en pacientes con neoplasias hematológicas malignas: estudio comparativo de la citología convencional con la citometría de flujo multiparamétrica / Central nervous system involvement in patients with hematologic malignancies: A comparative study of conventional cytology with versus flow cytometry

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Incidence Patterns and Trends of non-Central Nervous System Solid Tumours in Children and Adolescents. A Collaborative Study of the Spanish Population Based Cancer Registries.

OBJECTIVE: To describe incidence patterns and trends in children (0-14 years) and adolescents (15-19 age-range) with solid tumours, except those of central nervous system (CNS), in Spain. METHODS: Cases were drawn from eleven Spanish population-based cancer registries. Incidence was estimated for the period 1983-2007 and trends were evaluated using Joinpoint regression analysis. RESULTS: The studied tumour groups accounted for 36% of total childhood cancers and 47.6% of those diagnosed in adolescence with annual rates per million of 53.5 and 89.3 respectively. In children 0 to 14 years of age, Neuroblastoma (NB) was the commonest (7.8%) followed by Soft-tissue sarcomas (STS) (6.3%), bone tumours (BT) (6.2%) and renal tumours (RT) (4.5%). NB was the most frequently diagnosed tumour before the 5th birthday, while STS and BT were the commonest at 5-9 years of age, and BT and Carcinoma and other epithelial tumours (COET) at 10-14. COET presented the highest incidence in adolescents, followed by germ-cell tumours (GCT), BT and STS. These four diagnostic groups accounted for 94% of total non-CNS solid tumours, in adolescents. Overall incidence rates increased significantly in children up to 1996 with an annual percentage change (APC) of 2.6% (95%CI: 1.7; 3.6). NB and COET showed significant time trend (APCs: 1.4% and 3.8% respectively) while other tumour groups such as RT, STS, BT or GCT had no significant changes over time. A significant increase was present in NB under the age of 5 and in BT and STS in children aged 10-14 years. In adolescents there were significant increases for all tumours combined (APC=2.7; 95%CI: 1.8-3.6) and for STS, GCT and COET (APCs: 3.2%, 4.4% and 3.5% respectively), while other tumour groups such as hepatic tumours, BT or thyroid carcinomas showed a decreasing trend or no increase. CONCLUSIONS: Overall, the incidence of the studied cancers in children increased along the period 1983-1996 with no posterior significant rise, while the incidence in adolescents increased significantly over the whole period 1983-2007. Several specific tumour groups showed significant rises or decrements in childhood or adolescence, although the small number of cases precludes showing significant trends or inflexion points.

¿Cuál es el mejor indicador antropométrico para el control del embarazo? / What is the best anthropometric indicator for the pregnancy control?

Introducción: La evaluación del estado nutricional de toda mujer que desee gestar es fundamental para poder optimizar la salud de la madre, ya que es necesaria para planificar correctamente tanto la ganancia óptima de peso, como la alimentación y suplementación que va a requerir. El estado nutricional materno, antes y durante la gestación, es un determinante fundamental para el crecimiento fetal y el peso del recién nacido. Objetivo: identificar los factores antropométricos que influyen en el peso al nacer para cada categoría de índice de masa corporal (IMC) pregestacional. Métodos: Se trata de un estudio observacional y prospectivo desarrollado en el Departamento de Salud de la Ribera entre el 1 de abril de 2012 y el 31 de marzo de 2014. Resultados: La muestra final alcanzada fue de 140 gestantes. Los pesos de los recién nacidos de madres obesas, fueron mayores que los de los recién nacidos de madres en otras categorías del IMC. En la categoría de bajo peso, el peso al nacer fue de 3176,5±456,6 kg, para la de normopeso 3216,3±451,3 kg, para la de sobrepeso 3343,6±507,6 kg y por último, para la obesidad fue de 4153,0±648,4 kg. Conclusiones: El IMC pregestacional materno es el predictor que mejor se asocia con el peso al nacer. Las mediciones de pliegues corporales, perímetro braquial y circunferencia muscular del brazo no fueron predictoras del peso al nacer. La altura uterina es la variable con más clara asociación significativa respecto al peso del recién nacido (AU)

Background: The assessment of nutritional status of every woman want to be pregnant is essential to optimize the health of the mother, since it is necessary to properly plan both the optimal weight gain, such as food and that will require supplementation. The nutritional status of the mother, before and during pregnancy, is a key determinant of fetal growth and newborn weight. Aim: identify anthropometric factors influencing birth weight for each category of prepregnancy body mass index (BMI). Findings: 140 pregnant women were studied. The weights of newborns of obese mothers were higher than those of newborns to mothers in other BMI categories. In the category of low birth weight, birth weight was 3176,5 ± 456,6 kg for normal-weight, 3216,3 ± 451,3 kg for overweight and 3343,6 ± 507,6 kg, and finally, obesity women were 4153,0 ± 648,4 kg. Conclussions: Maternal prepregnancy BMI is the best predictor associated to birth weight. Measurements of skin-folds, arm circumference and upperarm circumference were not predictors of birth weight. Symphysis fundal height is the best variable with significant association clearer on the birth weight (AU)

Urolitiasis por estruvita en infección por Corynebacterium urealyticum. A propósito de un caso / Struvite urolithiasis with Corynebacterium urealyticum infection: A case report

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Influencia del programa de educación maternal en el cambio de preferencias del plan de parto en gestantes del Departamento de Salud de La Ribera / Influence of maternal education program in changing birth plan preferences

OBJETIVO: Observar si existen diferencias en las preferencias que las gestantes reflejan en el plan de parto (PP) entre antes y después de recibir el programa de educación maternal (EM). Personas y método: Se trata de un estudio observacional y prospectivo, donde se evalúan las variables (sociodemograficas, preferencias durante el periodo de dilatación, periodo expulsivo, atención al bebe y en todo el proceso del parto y nacimiento) en gestantes que acuden al programa de EM en distintos centros de atención primaria del Departamento de Salud de La Ribera desde enero hasta octubre de 2012. Se utilizó la prueba de McNemar para el análisis estadístico. RESULTADOS: Se estudiaron un total de 249 gestantes. Los elementos identificados más importantes en los PP analizados que mostraron diferencias estadísticamente significativas entre antes y después de recibir las sesiones de EM incluyen: evitar la episiotomía, medidas de comodidad (ingerir líquidos, ir al baño cuando lo deseen, libertad de movimientos, monitorización intermitente, posición de expulsivo cómoda) y otras preferencias como realizar pujos espontáneos, pinzamiento del cordón tardío y cortarlo su acompañante, contacto piel con piel y amamantamiento de la forma más precoz posible. No encontramos diferencias en elementos relacionados con el ambiente (por ejemplo, la privacidad y toma de decisiones) ni durante el periodo de dilatación con la administración de enema, administración de oxitocina, rasurado del pubis, epidural y amniorrexis. CONCLUSIONES: Existen diferencias entre las preferencias del PP que seleccionan las gestantes al termino de las sesiones de EM. Las matronas podrían influir en ese cambio

OBJECTIVE: To see if there are differences between preferences reflecting the pregnant women in the birth plan (BP), between before and after receiving the maternal education sessions. People and method: It's an epidemiological, observational, longitudinal, and prospective study, where we measure the variables of study in pregnant women attending the sessions of maternal education (ME) in different centres of La Ribera Health Department since January to October 2012. The McNemar test was used for the analysis of preferences before and after. RESULTS: We studied 249 pregnant women. The most important elements analyzed BP identified that showed statistically significant differences between before and after receiving the ME sessions include pain (avoid episiotomy) comfort measures (drink fluids, go to the bathroom, freedom of movement, intermittent monitoring, expulsive comfortable position) and preferences (e.g., spontaneous push, delayed cord clamping and cutting his companion, skin-to-skin contact, breastfeeding and as early as possible). Instead we found no differences related to the environment (e.g., privacy and decision making) and dilation (enema, oxytocin, pubic shaving, epidural and amniorrhexis) elements. CONCLUSIONS: There are differences between preferences of the selected BP pregnant at the end of maternal education sessions, and midwives could influence in the change