Traditional Chinese medicine(TCM) arrived from China to Latin America and the Caribbean in the 1840s due to the massive migration of Chinese people to the region. In a few years, the press noticed the presence of Chin...Traditional Chinese medicine(TCM) arrived from China to Latin America and the Caribbean in the 1840s due to the massive migration of Chinese people to the region. In a few years, the press noticed the presence of Chinese herbalists practicing in different cities and countries regardless of the demographic weight of the Chinese community. The fascination with Chinese doctors implicated not only the press but also the literature, a phenomenon particularly observed in Cuba. In the first decades of the 20th century, the reactivation of Chinese immigration to the region fostered an anti-Chinese climate that materialized in more significant migratory restrictions and control of their businesses, such as what happened with Chinese herbalists. These herbalists who practiced inside and outside the Chinese community started to object to criticism and persecution by the conservative press and professional doctors. Despite this, Chinese doctors will continue to maintain their support of a significant number of ill persons. This work seeks to illuminate the historical relevance of TCM in Latin America and the Caribbean, focusing on the cases of Peru, Chile, and Cuba. This last country was far from China culturally and geographically, but as in many other small towns in the region, Chinese medicine presented an alternative to the treatment of illnesses.展开更多
There are limited drought studies for the Caribbean. This is concerning since drought is not only one of the most devastating disasters in the region, but it is also one of the least understood disasters. Very few pap...There are limited drought studies for the Caribbean. This is concerning since drought is not only one of the most devastating disasters in the region, but it is also one of the least understood disasters. Very few papers analyze new ways to identify and monitor this disaster. Another major arguable gap in research is the Caribbean’s sole focus on the meteorological drought and disregard of the agricultural drought. This is an important omission because of the significant negative impacts drought has on the Caribbean occurs in the agricultural and forestry sectors. Not considering this in drought monitoring systems in the Caribbean means that a major part of the phenomena is overlooked. Therefore, this study has focused on bridging this gap. It has sought to establish a system to strengthen drought’s early warning. To accomplish this, three predetermined conditions of drought, precipitation, land surface temperature and vegetation conditions were used to derive the Standard Precipitation Index (SPI), the Temperature Condition Index (TCI) and the Vegetation Condition Index (VCI), in order to analyze drought conditions. The drought vulnerability map found that the SPI, TCI and VCI all correlated with past drought events. The study also produced an agricultural drought map. This study, therefore, aims to build resilience by providing accurate information on the duration, intensity and spatial variability of droughts in Caribbean Small Island Developing States (SIDS).展开更多
Currently,a new round of economic reform is catching up pace in Latin American and the Caribbean countries.This round of reform coincides with a new wave of leftist governments in this region.Driven by the severe econ...Currently,a new round of economic reform is catching up pace in Latin American and the Caribbean countries.This round of reform coincides with a new wave of leftist governments in this region.Driven by the severe economic dilemma and social conflicts,Latin American and Caribbean countries have initiated a new round of economic reform by strengthening the state's role in the economy,transforming production modes,improving fiscal and monetary functions,and emphasizing income distribution and social equality,which achieved both economic and social effects.This round of reform has had a certain impact at both the regional and global levels,not only activating the sluggish integration of this region,but also reflecting the development demands of the Global South for transformation and independence.The adjustment of interests brought about by the new round of economic reform in Latin America and the Caribbean will also bring new development opportunities for Sino–Latin American relations.展开更多
BACKGROUND Major hepatectomies are routinely performed because they are often the only curative treatment for metastatic liver disease.There has been a trend to concentrate major hepatectomies in referral hospitals th...BACKGROUND Major hepatectomies are routinely performed because they are often the only curative treatment for metastatic liver disease.There has been a trend to concentrate major hepatectomies in referral hospitals that perform these operations at high volumes.These high volume referral centers are usually located in developed countries,but many patients in developing nations are not able to access these centers because of financial limitations,lack of social support and/or travel restrictions.Therefore,local hospitals are often the only options many of these patients have for surgical treatment of metastatic liver disease.This is the situation in many Caribbean countries.AIM To determine the clinical outcomes after major liver resections in a low-resource hepatobiliary center in the Caribbean.METHODS We prospectively studied all patients who underwent major liver resections over five years.The following data were extracted:patient demographics,diagnoses,ECOG status,operation performed,post-operative morbidity and mortality.Statistical analyses were performed using SPSS ver 16.0 RESULTSThere were 69 major liver resections performed by two teams at a mean case volume of 13.8 major resections/year.Sixty-nine major hepatic resections were performed for:colorectal liver metastases 40(58%),non-colorectal metastases 9(13%),hepatocellular carcinoma 8(11.6%),ruptured adenomas 4(5.8%),hilar cholangiocarcinomas 4(5.8%),hemangiomata 2(2.9%),trauma 1(1.5%) and hepatoblastoma 1(1.5%).Twenty-one patients had at least one complication,for an overall morbidity rate of 30.4%.There were minor complications in 17(24.6%)patients,major complications in 11(15.9%) patients and 4(5.8%) deaths.CONCLUSION There are unique geographic,political and financial limitations to healthcare delivery in the Caribbean.Nevertheless,clinical outcomes are acceptable in the established,low-volume hepatobiliary centers in the Eastern Caribbean.展开更多
Air pollution has become a critical issue in urban areas,so a broad understanding of its spatiotemporal characteristics is important to develop public policies.This study analyzes the spatiotemporal variation of atmos...Air pollution has become a critical issue in urban areas,so a broad understanding of its spatiotemporal characteristics is important to develop public policies.This study analyzes the spatiotemporal variation of atmospheric particulate matter(PM_(10) and PM_(2.5))and ozone(O_(3))in Barranquilla,Colombia from March 2018 to June 2019 in three monitoring stations.The average concentrations observed for the Móvil,Policía,and Tres Avemarías stations,respectively,for PM_(10):46.4,51.4,and 39.7μg/m^(3);for PM_(2.5):16.1,18.1,and 15.1μg/m^(3) and for O_(3):35.0,26.6,and 33.6μg/m^(3).The results indicated spatial and temporal variations between the stations and the pollutants evaluated.The highest PM concentrations were observed in the southern part of the city,while for ozone,higher concentrations were observed in the north.These variations are mainly associated with the influence of local sources in the environment of each site evaluated as well as the meteorological conditions and transport patterns of the study area.This study also verified the existence of differences in the concentrations of the studied pollutants between the dry and rainy seasons and the contribution of local sources as biomass burnings from the Isla Salamanca Natural Park and long-range transport of dust particles from the Sahara Desert.This study provides a scientific baseline for understanding air quality in the city,which enables policy makers to adopt efficient measures that jointly prevent and control pollution.展开更多
An analysis between the hourly distribution of earthquakes in three areas of the Caribbean and the high-frequency variations of the geomagnetic field is presented. The number of earthquakes selected for each zone is b...An analysis between the hourly distribution of earthquakes in three areas of the Caribbean and the high-frequency variations of the geomagnetic field is presented. The number of earthquakes selected for each zone is between 10,000 and 43,000, which guarantees a statistically significant distribution. The hourly distributions of seismicity in all areas show a bay-shape distribution with a significant increase in the number of earthquakes at night, from 11 PM to 5 AM. For example, in eastern Cuba 36.7% of earthquakes occur at that time, representing 11.7% over 25% in the absence of any time preference. Geomagnetic disturbances were compiled from several years to be able to make a statistically significant hourly distribution of their occurrence, being determined by sudden changes in the magnetic field at a short period of 1 minute. In this sense, geomagnetic data were processed between the years 2011-2016, recorded by the geostationary satellite GOES13 and the magnetic ground station SJG in San Juan, Puerto Rico. The result shows a significant </span><span style="font-family:Verdana;">correlation between hourly earthquakes distribution and high-frequency </span><span style="font-family:Verdana;">geomagnetic variations. The time-varying conductivity response of Earth’s interior also correlates with seismicity. The theory behind this correlation could be related to the piezoelectric phenomena and the electromagnetic force induced when the magnetic field is disturbed.展开更多
THE UN Economic Commission for Latin America and the Caribbean(ECLAC)is one of the institutions that has done in-depth study on the relationship between China and the Latin American and Caribbean region over the last ...THE UN Economic Commission for Latin America and the Caribbean(ECLAC)is one of the institutions that has done in-depth study on the relationship between China and the Latin American and Caribbean region over the last few years.In mid-December,its executive secretary Alicia Bárcena visited Beijing to participate in an Advisory Council meeting of the Belt and Road Forum for International Cooperation(BRFIC),with the intention of finding new ways of better exploiting the initiative sponsored by the Chinese government to benefit countries related.展开更多
Diabetes-related amputation rates are high in the Caribbean. Many authorities have identified independent risk factors for diabetes-related amputations, but cultural factors remain underappreciated. We coined the term...Diabetes-related amputation rates are high in the Caribbean. Many authorities have identified independent risk factors for diabetes-related amputations, but cultural factors remain underappreciated. We coined the term “Caribbean substitution culture” to describe the attitude of patients with diabetic foot infections in which they refuse to access medical care, instead voluntarily choosing to substitute “bush medicines” or other alternative therapies in the place of conventional treatment. Recognizing that the Caribbean substitution culture is a barrier to effective treatment of diabetic foot infections is the first step in curbing these practices. In this paper, we discuss the issues related to the Caribbean substitution culture, including the demographics of the population at risk, the alternative therapeutic practices and potential public health strategies to combat this practice.展开更多
The results obtained in this study highlight that further the macroalgae diversity in this region is even higher than what is reported to date. Here we present eight new records of marine macroalgae collected from the...The results obtained in this study highlight that further the macroalgae diversity in this region is even higher than what is reported to date. Here we present eight new records of marine macroalgae collected from the Caribbean coast of Costa Rica between March 2011 and May 2019. The morphological characteristics of Bryocladia cuspidata, Ceratodictyon variabile, Gracilaria hayi, Padina boergesenii, Zonaria tournefortii, Sargassum furcatum, Chaetomorpha aerea, and Bryopsis pennata var. secunda are described. The genera Bryocladia and Zonaria are reported for the first time for this region.展开更多
The genus Dallasiellus Berg (Hemiptera: Cydnidae) is revised with the description of a new species from Caribbean, Dallasiellus varaderensis nov. sp. A diagnosis of species is based on external morphology of males and...The genus Dallasiellus Berg (Hemiptera: Cydnidae) is revised with the description of a new species from Caribbean, Dallasiellus varaderensis nov. sp. A diagnosis of species is based on external morphology of males and genitalia examination. Dorsal view of adults and parameres are illustrated. Notes about their biology and host plants are briefly discussed.展开更多
During a molecular characterization of the genus Dictyota J. V. Lamouroux (Phaeophyceae, Dictyotales) along the Mexican coasts of the Gulf of Mexico and the Mexican Caribbean, using psbA and cox1 genes, it was found t...During a molecular characterization of the genus Dictyota J. V. Lamouroux (Phaeophyceae, Dictyotales) along the Mexican coasts of the Gulf of Mexico and the Mexican Caribbean, using psbA and cox1 genes, it was found that two particular collections did not match with the sequences published for a total of 39 species of Dictyota. For each gene, both collections diverged in high-uncorrected “p” distance values with respect to other related species. This high genetic divergence was corroborated by morphological analysis. Hence, we proposed Dictyota mayae J. Lozano-Orozco & Sentíes and Dictyota pedrochei J. Lozano-Orozco & Sentíes as new species.展开更多
Methicillin-resistant Staphylococcus aureus (MRSA) is a major pathogen causing infections resulting in severe morbidity and mortality worldwide. To date, the true nature and extent of MRSA infections in the Caribbean ...Methicillin-resistant Staphylococcus aureus (MRSA) is a major pathogen causing infections resulting in severe morbidity and mortality worldwide. To date, the true nature and extent of MRSA infections in the Caribbean are not well understood. This is a review of the limited studies in the Caribbean describing the prevalence, epidemiology, and molecular characteristics of MRSA in hospitalized and non-hospitalized patients. Relevant articles were searched and extracted from PubMed and Mendeley and a narrative review of the findings was constructed. An aggregate of 24 articles, from 1999 to 2020, was found from 10 of 27 countries. Majority of the studies were from Trinidad and Tobago (29%) and Jamaica (21%) while 50% were from Barbados, Dominican Republic, Martinique, Haiti, Cuba, St. Kits & Nevis, Guadeloupe, and Guyana. Approximately 75% of investigations were conducted on hospitalized patients versus 20% on outpatients. The data revealed geographical differences in the prevalence of MRSA within the Caribbean;20% - 100% of Staphylococcus aureus clinical isolates from hospitalized patients and outpatients were resistant to methicillin, macrolides, and fluoroquinolones, but susceptible to several non-beta lactam antibiotics, due to the widespread occurrence of CA-MRSA clone ST8 SCCmec IV, PVL positive. There was moderate prevalence of ST72 SCCmec V (14% - 25%) in both hospital and community settings in a few of the countries while ST30 SCCmec IV, PVL positive, was moderately prevalent (27%) only in Dominican Republic. Also, there was moderate prevalence of HA-MRSA ST5 SCCmec II (18%) in community settings in the Dominican Republic and Martinique, but high prevalence of HA-MRSA ST239 SCCmec III (60%) in hospitalized patients in Cuba and Trinidad & Tobago. The epidemiologic profile of MRSA in both hospital and community settings is changing in the Caribbean. Epidemiological studies on outpatient settings and the implementation of stringent hospital infection control measures are needed in the region.展开更多
Travel and tourism is key for the sustainability of Caribbean economies, driving employment and revenue generation for many of the states. The ongoing COVID-19 pandemic, catalysed by travel, drastically debilitated th...Travel and tourism is key for the sustainability of Caribbean economies, driving employment and revenue generation for many of the states. The ongoing COVID-19 pandemic, catalysed by travel, drastically debilitated the Caribbean economies, causing significant economic and job losses, disruptions of crucial services and threatened regional health security. The pandemic reiterated the need for the inclusion of health as a critical part of the travel and tourism sector. The Regional Tourism and Health Program (THP), via surveillance and response, capacity building, standards, partnerships, travellers’ health recognition award and mobile app, is crucial for the recovery of the tourism sector by improving the health and safety of Caribbean people, contributing toward strengthened resilience of Caribbean tourism and the sustainability of its economies. The research seeks to highlight the impact that COVID-19 has had on specific industries core to Caribbean tourism, and how these challenges were addressed utilizing the various tools and products created through the THP. Due to COVID-19, the Program has repurposed and expanded many of its tools for a more robust response, to boost travellers’ confidence and re-establish healthier, safer return to travel in the Caribbean. This innovative program, the first global effort of its kind, continues to strive toward bolstering sustainable tourism and health security, lending toward improved economic stability in the Caribbean. Through these tools, 7836 persons were trained, 789 businesses were registered on THP’s land-based visitor surveillance system, 1190 alerts on incoming cruise ships were issued to Member States and 108 tourist facilities were awarded the Healthier, Safer Tourism Stamp. This paper will discuss the tools within the Program and illustrate how the THP can support the Caribbean’s preparedness and response to COVID-19 and other public health threats, and improve the recovery and sustainability of Caribbean tourism.展开更多
Mesoamerica and the Caribbean are low-latitude regions at risk for the effects of climate change. Global climate models provide large-scale assessment of climate drivers, but, at a horizontal resolution of 100 km, can...Mesoamerica and the Caribbean are low-latitude regions at risk for the effects of climate change. Global climate models provide large-scale assessment of climate drivers, but, at a horizontal resolution of 100 km, cannot resolve the effects of topography and land use as they impact the local temperature and precipitation that are keys to climate impacts. We developed a robust dynamical downscaling strategy that used the WRF regional climate model to downscale at 4 - 12 km resolution GCM results. Model verification demonstrates the need for such resolution of topography in order to properly simulate temperatures. Precipitation is more difficult to evaluate, being highly variable in time and space. Overall, a 36 km resolution is inadequate;12 km appears reasonable, especially in regions of low topography, but the 4 km resolution provides the best match with observations. This represents a tradeoff between model resolution and the computational effort needed to make simulations. A key goal is to provide climate change specialists in each country with the information they need to evaluate possible future climate change impacts.展开更多
Hispanic Americans of Caribbean origin are a fast-growing subset of the US population, but there are no studies on bone density, microstructure and biomechanical integrity in this minority group. In this study, we aim...Hispanic Americans of Caribbean origin are a fast-growing subset of the US population, but there are no studies on bone density, microstructure and biomechanical integrity in this minority group. In this study, we aimed to compare Caucasian and Caribbean Hispanic postmenopausal American women with respect to these characteristics. Thirty-three Caribbean Hispanics were age-matched to thirty-three Caucasian postmenopausal women. At the lumbar spine, the Hispanic women had significantly lower areal bone mineral density (aBMD). At the radius by high-resolution peripheral quantitative computed tomography (HR-pQCT), there were minimal differences between Hispanic and Caucasian women. At the tibia, Hispanic women had lower trabecular volumetric bone density and trabecular number, and higher trabecular separation. Individual trabecula segmentation (ITS) analyses indicated that at the tibia, Hispanic women not only had significantly lower bone volume fraction, but also had significantly lower rod bone volume fraction, plate trabecular number, rod trabecular number and lower plate-plate, plate-rod and rod-rod junction densities compared to Caucasian women. The differences in bone quantity and quality contributed to lower whole bone stiffness at the radius, and both whole bone and trabecular bone stiffness at the tibia in Hispanic women. In conclusion, Hispanic women had poorer bone mechanical and microarchitectural properties than Caucasian women, especially at the load-bearing distal tibia.展开更多
基金funded by ANID—Millennium Science Initiative Program (No. NCS2022_053)。
文摘Traditional Chinese medicine(TCM) arrived from China to Latin America and the Caribbean in the 1840s due to the massive migration of Chinese people to the region. In a few years, the press noticed the presence of Chinese herbalists practicing in different cities and countries regardless of the demographic weight of the Chinese community. The fascination with Chinese doctors implicated not only the press but also the literature, a phenomenon particularly observed in Cuba. In the first decades of the 20th century, the reactivation of Chinese immigration to the region fostered an anti-Chinese climate that materialized in more significant migratory restrictions and control of their businesses, such as what happened with Chinese herbalists. These herbalists who practiced inside and outside the Chinese community started to object to criticism and persecution by the conservative press and professional doctors. Despite this, Chinese doctors will continue to maintain their support of a significant number of ill persons. This work seeks to illuminate the historical relevance of TCM in Latin America and the Caribbean, focusing on the cases of Peru, Chile, and Cuba. This last country was far from China culturally and geographically, but as in many other small towns in the region, Chinese medicine presented an alternative to the treatment of illnesses.
文摘There are limited drought studies for the Caribbean. This is concerning since drought is not only one of the most devastating disasters in the region, but it is also one of the least understood disasters. Very few papers analyze new ways to identify and monitor this disaster. Another major arguable gap in research is the Caribbean’s sole focus on the meteorological drought and disregard of the agricultural drought. This is an important omission because of the significant negative impacts drought has on the Caribbean occurs in the agricultural and forestry sectors. Not considering this in drought monitoring systems in the Caribbean means that a major part of the phenomena is overlooked. Therefore, this study has focused on bridging this gap. It has sought to establish a system to strengthen drought’s early warning. To accomplish this, three predetermined conditions of drought, precipitation, land surface temperature and vegetation conditions were used to derive the Standard Precipitation Index (SPI), the Temperature Condition Index (TCI) and the Vegetation Condition Index (VCI), in order to analyze drought conditions. The drought vulnerability map found that the SPI, TCI and VCI all correlated with past drought events. The study also produced an agricultural drought map. This study, therefore, aims to build resilience by providing accurate information on the duration, intensity and spatial variability of droughts in Caribbean Small Island Developing States (SIDS).
文摘Currently,a new round of economic reform is catching up pace in Latin American and the Caribbean countries.This round of reform coincides with a new wave of leftist governments in this region.Driven by the severe economic dilemma and social conflicts,Latin American and Caribbean countries have initiated a new round of economic reform by strengthening the state's role in the economy,transforming production modes,improving fiscal and monetary functions,and emphasizing income distribution and social equality,which achieved both economic and social effects.This round of reform has had a certain impact at both the regional and global levels,not only activating the sluggish integration of this region,but also reflecting the development demands of the Global South for transformation and independence.The adjustment of interests brought about by the new round of economic reform in Latin America and the Caribbean will also bring new development opportunities for Sino–Latin American relations.
文摘BACKGROUND Major hepatectomies are routinely performed because they are often the only curative treatment for metastatic liver disease.There has been a trend to concentrate major hepatectomies in referral hospitals that perform these operations at high volumes.These high volume referral centers are usually located in developed countries,but many patients in developing nations are not able to access these centers because of financial limitations,lack of social support and/or travel restrictions.Therefore,local hospitals are often the only options many of these patients have for surgical treatment of metastatic liver disease.This is the situation in many Caribbean countries.AIM To determine the clinical outcomes after major liver resections in a low-resource hepatobiliary center in the Caribbean.METHODS We prospectively studied all patients who underwent major liver resections over five years.The following data were extracted:patient demographics,diagnoses,ECOG status,operation performed,post-operative morbidity and mortality.Statistical analyses were performed using SPSS ver 16.0 RESULTSThere were 69 major liver resections performed by two teams at a mean case volume of 13.8 major resections/year.Sixty-nine major hepatic resections were performed for:colorectal liver metastases 40(58%),non-colorectal metastases 9(13%),hepatocellular carcinoma 8(11.6%),ruptured adenomas 4(5.8%),hilar cholangiocarcinomas 4(5.8%),hemangiomata 2(2.9%),trauma 1(1.5%) and hepatoblastoma 1(1.5%).Twenty-one patients had at least one complication,for an overall morbidity rate of 30.4%.There were minor complications in 17(24.6%)patients,major complications in 11(15.9%) patients and 4(5.8%) deaths.CONCLUSION There are unique geographic,political and financial limitations to healthcare delivery in the Caribbean.Nevertheless,clinical outcomes are acceptable in the established,low-volume hepatobiliary centers in the Eastern Caribbean.
文摘Air pollution has become a critical issue in urban areas,so a broad understanding of its spatiotemporal characteristics is important to develop public policies.This study analyzes the spatiotemporal variation of atmospheric particulate matter(PM_(10) and PM_(2.5))and ozone(O_(3))in Barranquilla,Colombia from March 2018 to June 2019 in three monitoring stations.The average concentrations observed for the Móvil,Policía,and Tres Avemarías stations,respectively,for PM_(10):46.4,51.4,and 39.7μg/m^(3);for PM_(2.5):16.1,18.1,and 15.1μg/m^(3) and for O_(3):35.0,26.6,and 33.6μg/m^(3).The results indicated spatial and temporal variations between the stations and the pollutants evaluated.The highest PM concentrations were observed in the southern part of the city,while for ozone,higher concentrations were observed in the north.These variations are mainly associated with the influence of local sources in the environment of each site evaluated as well as the meteorological conditions and transport patterns of the study area.This study also verified the existence of differences in the concentrations of the studied pollutants between the dry and rainy seasons and the contribution of local sources as biomass burnings from the Isla Salamanca Natural Park and long-range transport of dust particles from the Sahara Desert.This study provides a scientific baseline for understanding air quality in the city,which enables policy makers to adopt efficient measures that jointly prevent and control pollution.
文摘An analysis between the hourly distribution of earthquakes in three areas of the Caribbean and the high-frequency variations of the geomagnetic field is presented. The number of earthquakes selected for each zone is between 10,000 and 43,000, which guarantees a statistically significant distribution. The hourly distributions of seismicity in all areas show a bay-shape distribution with a significant increase in the number of earthquakes at night, from 11 PM to 5 AM. For example, in eastern Cuba 36.7% of earthquakes occur at that time, representing 11.7% over 25% in the absence of any time preference. Geomagnetic disturbances were compiled from several years to be able to make a statistically significant hourly distribution of their occurrence, being determined by sudden changes in the magnetic field at a short period of 1 minute. In this sense, geomagnetic data were processed between the years 2011-2016, recorded by the geostationary satellite GOES13 and the magnetic ground station SJG in San Juan, Puerto Rico. The result shows a significant </span><span style="font-family:Verdana;">correlation between hourly earthquakes distribution and high-frequency </span><span style="font-family:Verdana;">geomagnetic variations. The time-varying conductivity response of Earth’s interior also correlates with seismicity. The theory behind this correlation could be related to the piezoelectric phenomena and the electromagnetic force induced when the magnetic field is disturbed.
文摘THE UN Economic Commission for Latin America and the Caribbean(ECLAC)is one of the institutions that has done in-depth study on the relationship between China and the Latin American and Caribbean region over the last few years.In mid-December,its executive secretary Alicia Bárcena visited Beijing to participate in an Advisory Council meeting of the Belt and Road Forum for International Cooperation(BRFIC),with the intention of finding new ways of better exploiting the initiative sponsored by the Chinese government to benefit countries related.
文摘Diabetes-related amputation rates are high in the Caribbean. Many authorities have identified independent risk factors for diabetes-related amputations, but cultural factors remain underappreciated. We coined the term “Caribbean substitution culture” to describe the attitude of patients with diabetic foot infections in which they refuse to access medical care, instead voluntarily choosing to substitute “bush medicines” or other alternative therapies in the place of conventional treatment. Recognizing that the Caribbean substitution culture is a barrier to effective treatment of diabetic foot infections is the first step in curbing these practices. In this paper, we discuss the issues related to the Caribbean substitution culture, including the demographics of the population at risk, the alternative therapeutic practices and potential public health strategies to combat this practice.
文摘The results obtained in this study highlight that further the macroalgae diversity in this region is even higher than what is reported to date. Here we present eight new records of marine macroalgae collected from the Caribbean coast of Costa Rica between March 2011 and May 2019. The morphological characteristics of Bryocladia cuspidata, Ceratodictyon variabile, Gracilaria hayi, Padina boergesenii, Zonaria tournefortii, Sargassum furcatum, Chaetomorpha aerea, and Bryopsis pennata var. secunda are described. The genera Bryocladia and Zonaria are reported for the first time for this region.
文摘The genus Dallasiellus Berg (Hemiptera: Cydnidae) is revised with the description of a new species from Caribbean, Dallasiellus varaderensis nov. sp. A diagnosis of species is based on external morphology of males and genitalia examination. Dorsal view of adults and parameres are illustrated. Notes about their biology and host plants are briefly discussed.
文摘During a molecular characterization of the genus Dictyota J. V. Lamouroux (Phaeophyceae, Dictyotales) along the Mexican coasts of the Gulf of Mexico and the Mexican Caribbean, using psbA and cox1 genes, it was found that two particular collections did not match with the sequences published for a total of 39 species of Dictyota. For each gene, both collections diverged in high-uncorrected “p” distance values with respect to other related species. This high genetic divergence was corroborated by morphological analysis. Hence, we proposed Dictyota mayae J. Lozano-Orozco & Sentíes and Dictyota pedrochei J. Lozano-Orozco & Sentíes as new species.
文摘Methicillin-resistant Staphylococcus aureus (MRSA) is a major pathogen causing infections resulting in severe morbidity and mortality worldwide. To date, the true nature and extent of MRSA infections in the Caribbean are not well understood. This is a review of the limited studies in the Caribbean describing the prevalence, epidemiology, and molecular characteristics of MRSA in hospitalized and non-hospitalized patients. Relevant articles were searched and extracted from PubMed and Mendeley and a narrative review of the findings was constructed. An aggregate of 24 articles, from 1999 to 2020, was found from 10 of 27 countries. Majority of the studies were from Trinidad and Tobago (29%) and Jamaica (21%) while 50% were from Barbados, Dominican Republic, Martinique, Haiti, Cuba, St. Kits & Nevis, Guadeloupe, and Guyana. Approximately 75% of investigations were conducted on hospitalized patients versus 20% on outpatients. The data revealed geographical differences in the prevalence of MRSA within the Caribbean;20% - 100% of Staphylococcus aureus clinical isolates from hospitalized patients and outpatients were resistant to methicillin, macrolides, and fluoroquinolones, but susceptible to several non-beta lactam antibiotics, due to the widespread occurrence of CA-MRSA clone ST8 SCCmec IV, PVL positive. There was moderate prevalence of ST72 SCCmec V (14% - 25%) in both hospital and community settings in a few of the countries while ST30 SCCmec IV, PVL positive, was moderately prevalent (27%) only in Dominican Republic. Also, there was moderate prevalence of HA-MRSA ST5 SCCmec II (18%) in community settings in the Dominican Republic and Martinique, but high prevalence of HA-MRSA ST239 SCCmec III (60%) in hospitalized patients in Cuba and Trinidad & Tobago. The epidemiologic profile of MRSA in both hospital and community settings is changing in the Caribbean. Epidemiological studies on outpatient settings and the implementation of stringent hospital infection control measures are needed in the region.
文摘Travel and tourism is key for the sustainability of Caribbean economies, driving employment and revenue generation for many of the states. The ongoing COVID-19 pandemic, catalysed by travel, drastically debilitated the Caribbean economies, causing significant economic and job losses, disruptions of crucial services and threatened regional health security. The pandemic reiterated the need for the inclusion of health as a critical part of the travel and tourism sector. The Regional Tourism and Health Program (THP), via surveillance and response, capacity building, standards, partnerships, travellers’ health recognition award and mobile app, is crucial for the recovery of the tourism sector by improving the health and safety of Caribbean people, contributing toward strengthened resilience of Caribbean tourism and the sustainability of its economies. The research seeks to highlight the impact that COVID-19 has had on specific industries core to Caribbean tourism, and how these challenges were addressed utilizing the various tools and products created through the THP. Due to COVID-19, the Program has repurposed and expanded many of its tools for a more robust response, to boost travellers’ confidence and re-establish healthier, safer return to travel in the Caribbean. This innovative program, the first global effort of its kind, continues to strive toward bolstering sustainable tourism and health security, lending toward improved economic stability in the Caribbean. Through these tools, 7836 persons were trained, 789 businesses were registered on THP’s land-based visitor surveillance system, 1190 alerts on incoming cruise ships were issued to Member States and 108 tourist facilities were awarded the Healthier, Safer Tourism Stamp. This paper will discuss the tools within the Program and illustrate how the THP can support the Caribbean’s preparedness and response to COVID-19 and other public health threats, and improve the recovery and sustainability of Caribbean tourism.
文摘Mesoamerica and the Caribbean are low-latitude regions at risk for the effects of climate change. Global climate models provide large-scale assessment of climate drivers, but, at a horizontal resolution of 100 km, cannot resolve the effects of topography and land use as they impact the local temperature and precipitation that are keys to climate impacts. We developed a robust dynamical downscaling strategy that used the WRF regional climate model to downscale at 4 - 12 km resolution GCM results. Model verification demonstrates the need for such resolution of topography in order to properly simulate temperatures. Precipitation is more difficult to evaluate, being highly variable in time and space. Overall, a 36 km resolution is inadequate;12 km appears reasonable, especially in regions of low topography, but the 4 km resolution provides the best match with observations. This represents a tradeoff between model resolution and the computational effort needed to make simulations. A key goal is to provide climate change specialists in each country with the information they need to evaluate possible future climate change impacts.
基金supported by NIH Grants R01 AR051376 (XEG), NIH R01 AR058004 (XEG, ES), NIH U01 AR055968 (ES)the Thomas L.Kempner and Katheryn C.Patterson Foundation
文摘Hispanic Americans of Caribbean origin are a fast-growing subset of the US population, but there are no studies on bone density, microstructure and biomechanical integrity in this minority group. In this study, we aimed to compare Caucasian and Caribbean Hispanic postmenopausal American women with respect to these characteristics. Thirty-three Caribbean Hispanics were age-matched to thirty-three Caucasian postmenopausal women. At the lumbar spine, the Hispanic women had significantly lower areal bone mineral density (aBMD). At the radius by high-resolution peripheral quantitative computed tomography (HR-pQCT), there were minimal differences between Hispanic and Caucasian women. At the tibia, Hispanic women had lower trabecular volumetric bone density and trabecular number, and higher trabecular separation. Individual trabecula segmentation (ITS) analyses indicated that at the tibia, Hispanic women not only had significantly lower bone volume fraction, but also had significantly lower rod bone volume fraction, plate trabecular number, rod trabecular number and lower plate-plate, plate-rod and rod-rod junction densities compared to Caucasian women. The differences in bone quantity and quality contributed to lower whole bone stiffness at the radius, and both whole bone and trabecular bone stiffness at the tibia in Hispanic women. In conclusion, Hispanic women had poorer bone mechanical and microarchitectural properties than Caucasian women, especially at the load-bearing distal tibia.