Limitations of Water Resources Infrastructure for Reducing Community Vulnerabilities to Extremes and Uncertainty of Flood and Drought.

Debate and deliberation surrounding climate change has shifted from mitigation toward adaptation, with much of the adaptation focus centered on adaptive practices, and infrastructure development. However, there is little research assessing expected impacts, potential benefits, and design challenges that exist for reducing vulnerability to expected climate impacts. The uncertainty of design requirements and associated government policies, and social structures that reflect observed and projected changes in the intensity, duration, and frequency of water-related climate events leaves communities vulnerable to the negative impacts of potential flood and drought. The results of international research into how agricultural infrastructure features in current and planned adaptive capacity of rural communities in Argentina, Canada, and Colombia indicate that extreme hydroclimatic events, as well as climate variability and unpredictability are important for understanding and responding to community vulnerability. The research outcomes clearly identify the need to deliberately plan, coordinate, and implement infrastructures that support community resiliency.

Fitobezoar disuelto químicamente con coca-cola / Chemically dissolved phytobezoar with coca-cola

Los bezoares han estado presentes en la historia de la medicina desde sus inicios, si bien su incidencia es baja y suelen detectarse de manera incidental, es importante tener opciones menos invasivas para su tratamiento debido a que la endoscopia digestiva alta (EDA) no está siempre disponible en todos los centros y, además, muchas veces no logra ser resolutiva debido al tamaño y/o composición del bezoar. En este reporte se presenta el caso de una paciente que, en el contexto de un posible síndrome de CREST, presentó un fitobezoar que fue disuelto con Coca-Cola®, un elemento ampliamente disponible alrededor del mundo, por lo que podría incluso llegar a considerarse como primera línea dentro del manejo no invasivo.

Bezoars have been present in the history of medicine since its inception, although their incidence is low and they are usually detected incidentally, it is important to have less invasive options for their treatment because upper digestive endoscopy (EDA) is not always available in all centers and, moreover, often fails to resolve due to the size and/or composition of the bezoar. This report presents the case of a patient who, in the context of a possible CREST syndrome, presented a phytobezoar that was dissolved with Coca-Cola®, an element widely available around the world, for which reason it could even be considered as the first line of non-invasive management.