Robotic surgery across Latin America: a bibliometric analysis of research trends from 2009 to 2022

The rise of robotic surgery throughout the world, particularly in Latin America, justifies an objective evaluation of research in this field. This study aimed to use bibliometric techniques to identify the research trends and patterns of robotic surgery in Latin America. The research strategy used the terms "Robotic," "Surgery," and the name of all the Latin American countries, in all fields and collections of Web of Science database. Only original articles published between 2009 and 2022 were included. The software Rayyan, Bibliometric in the R Studio, and VOSViewer were used to develop the analyses. After screening, 96 articles were included from 60 different journals. There was a 22.51% annual increase in the scientific production of robotic surgery in the period studied. The more frequent topics by specialty were: Urology (35.4%), General Surgery (34.4%), and Obstetrics and Gynecology (12%). International cooperation was observed in 65.62% of the studies. The Latin American institution with the highest production of manuscripts was the Pontificia Universidad Católica de Chile. Mexico, Chile, and Brazil were, in descending order, the nations with the highest number of corresponding authors and total citations. When considering the total number of articles, Brazil ranked ahead of Chile. Scientific production regarding robotic surgery in Latin America has experienced accelerated growth since its beginning, supported by the high degree of collaboration with leading countries in the field.

Hydrological modelling and evolution of lakes and playa-lakes in southern Spain constrained by geology, human management and climate change

The hydrological functioning of wetlands in S Spain is poorly understood. We perform a 22-years hydrological modelling of seven playa-lakes located in a semi-arid region of southern Spain, including dry and wet periods. To do that, we applied a hydrological balance model to reconstruct past lake water levels. In addition, we investigated the hydrochemistry of the water, the basin bathymetry, and the geological setting of the watersheds, acquiring new lithology and active structures data. Once the models were constrained, scenarios considering increases on temperature and human management were implemented, and discussed. The water balance is simplified to precipitation (water input) and basin discharge (evapotranspiration), as the lakes are disconnected from groundwater because of the low-permeability substrate. In addition, unlike in previous studies, we add overflows to the modelling. The results of the model agree with actual lake water monitoring data (R2 > 0.8). We observed that the hydroperiods of some of these lakes vary from permanent lakes to ephemeral, depending strongly on the basin bathymetry. Lakes with steeply margins show longer hydroperiods, whilst it is shorter for low-lying floor playa-lakes. In addition, we observed that steeply lake margins respond to active faults and/or lithological changes. To forecast the effects of climate change on the lake hydroperiods, we applied a 1 °C increase in average temperature in our hydrological modelling. The hydroperiod is significantly reduced for ephemeral playa-lakes, whilst is barely affected in permanent lakes. Moreover, we detected the high sensitivity of ephemeral playa-lakes to the anthropogenic management, including siltation, plant colonization and changes watershed surface.

Roman water management impacted the hydrological functioning of wetlands during drought periods

During the Roman domain of the Iberian Peninsula (from 201 BCE to 460 CE) water management infrastructures were built to satisfy high water demand. However, whether the Roman activities affected the hydrological balance of Iberian wetlands remains unclear. Here, we investigate the paleo-hydrology of Lake Zóñar (southern Iberia) by using the stable isotopes (16O, 17O, 18O, 1H and 2H) of its gypsum (CaSO4·2H2O) sediments and reconstruct the isotopic composition of the lake water during Roman times. A period of recurrent lake low stand occurred between 2120 and 1890 cal. yr BP (ca. 170 BCE to 60 CE), coinciding with a relatively dry climate stage recorded by most regional paleoclimate archives. The stable isotopes and hydrochemistry of the lake water during gypsum precipitation are consistent with a shallow saline lake that evaporated under relative humidity ~ 10% lower than the present annual mean and at least 20% less rainfall amount. Our analytical and archeological findings support lake level lowering during the Roman period was probably caused by combined arid climate conditions and diversion of the inlets feeding the lake. Spring capturing was likely necessary to satisfy the high water demand of nearby Roman settlements, in the framework of a period of persistent droughts.

Control of trace metal distribution and variability in an interdunal wetland

Trace elements are serious pollutants in the natural environment and are of increasing concern due to the adverse effects at global scale. To refine the current understanding of trace metal distribution and variability in natural environments, concentrations of dissolved trace metals (Ag, Al, As, B, Ba, Be, Co, Cr, Cd, Cu, Fe, Hg, Mo, Ni, Pb, Sb, Se, Th,Tl, U, V, Mn, Zn), major ions, inorganic nutrients (NO₃, PO₄), TOC and stable isotopes of water were determined in water samples from rainwater, seven piezometers and a pond in the coastal Doñana wetland during four sampling campaigns between 2017 and 2019. Results show clear evaporation signatures of stable isotopes in the pond but not in the groundwater. Hydrochemical analyses yield significant, systematic changes in groundwater trace metal and nutrient composition along the flowpath from the dune belt to the pond, controlled by organic matter in the sediments. Whereas major ions reached maximum concentrations in the pond due to evapoconcentration, most trace metals showed highest concentrations at sites with lower redox levels, except for B, As and U, which showed very high concentrations in the pond. Cu, Zn, Ni, Sb and Tl yielded higher median concentrations in rainwater than in most of the groundwater points and in case of Cu and Zn higher even than in surface water which points to an atmospheric input source of these elements. Temporal variability of trace metals was related to lower hydraulic heads after an elongated dry period which led to lower redox levels and higher concentrations of most of the trace elements whereas major ions showed more constant concentration levels. This is of special concern regarding climate change and the predicted higher frequency of prolonged dry periods, which could modify the natural hydrochemical patterns in undisturbed wetlands systems.

Unraveling the Hydrological Behavior of a Coastal Pond in Doñana National Park (Southwest Spain)

Time series analysis methods have been used to detect behavioral patterns in a set of nine time series. These series contained information in a 3-h time step about meteorological, hydrological and tidal data of a sand dune pond area located in Doñana National Park in the southwest of Spain. The methods used, such as wavelet analysis and additive seasonal decomposition, had never been applied before in the types of ecosystems studied. These approaches have improved the current knowledge of the conceptual model of the Santa Olalla pond system, the only system with a permanent hydroperiod located in this protected area. In addition, complex surface water-groundwater interactions, not visible through descriptive methods, have been distinguished to have a strong seasonal component. Finally, we evaluated the effect of pumping activity in a nearby coastal resort on the water supply of the Santa Olalla pond system. Although direct damage to this sand dune pond has not yet been identified, special attention must be paid in order to maintain groundwater inputs that are integral to maintaining its current status.

Component-resolved diagnosis in hymenoptera allergy

Component-resolved diagnosis based on the use of well-defined, properly characterised and purified natural and recombinant allergens constitutes a new approach in the diagnosis of venom allergy. Prospective readers may benefit from an up-to-date review on the allergens. The best characterised venom is that of Apis mellifera, whose main allergens are phospholipase A2 (Api m1), hyaluronidase (Api m2) and melittin (Api m4). Additionally, in recent years, new allergens of Vespula vulgaris have been identified and include phospholipase A1 (Ves v1), hyaluronidase (Ves v2) and antigen 5 (Ves v5). Polistes species are becoming an increasing cause of allergy in Europe, although only few allergens have been identified in this venom. In this review, we evaluate the current knowledge about molecular diagnosis in hymenoptera venom allergy.

Ratosa playa lake in southern Spain. Karst pan or compound sink?

In Andalusia (Spain), there are more than 45 semiarid playa lakes protected as natural reserves and related to karstic outcrops. Some of them are located over regional karstic aquifers and have internal drainage networks with sporadic surface outlets, such as sinkholes (compound sinks), but the majority of such playas have no internal drainage systems, so the only water output is evaporation (karst pans). Karst pans are perched and disconnected from the groundwater system. The fact that the Ratosa playa lake is partially located over a karstic Sierra, as well as other hydromorphological observations, it is suggested that the system could be of a compound type, but a detailed hydrogeological analysis showed that the playa is disconnected from the aquifer, so it is in fact a karst pan. Once the hydrological functioning had been established, a monthly water balance for a 10-year period (1998-2008), enabled us to reproduce the evolution of the water level of the playa lake. Estimations of runoff were carried out by a soil water estimate for a water holding capacity in the soil of 191 mm. Results show a good correlation (>90%) after calibration with the time series of water level in the lake for the same period confirming geological observations. Our results highlight that this water body is extremely vulnerable to hydrological alterations of its watershed caused by human activities, particularly those related to land-use change for agriculture. For this reason, we propose a new protection zone, based on hydrological knowledge, instead of the present Peripheral Area of Protection.

Changes in water level, land use, and hydrological budget in a semi-permanent playa lake, southwest Spain

Medina playa lake, a Ramsar site in western Andalusia, is a brackish lowland lake of 120 ha with an average depth of 1 m. Water flows into Medina from its 1,748-ha watershed, but the hydrology of the lake has not previously been studied. This paper describes the application of a water budget model on a monthly scale over a 6-year period, based on a conceptual hydrological model, and considers different future scenarios after calibration to improve the understanding of the lake's hydrological functioning. Climatic variables from a nearby weather station and observational data (water-level evolution) were used to develop the model. Comparison of measured and predicted values demonstrated that each model component provided a reasonable output with a realistic interaction among the components. The model was then used to explore the potential consequences of land-use changes. Irrigation of olive groves would significantly reduce both the hydroperiod (becoming dry 15% of the time) and the average depth of the lake (water level <0.5 m 40% of the time). On the other hand, removal of an artificial overflow would double the average flooded surface area during high-water periods. The simulated water balance demonstrates that the catchment outputs are dominated by lake evaporation and surface outflow from the lake system to a creek. Discrepancies between predicted and observed water levels identify key areas of uncertainty for future empirical research. The study provides an improved basis for future hydrological management of the catchment and demonstrates the wider utility of this methodology in simulating this kind of system. This methodology provides a realistic appraisal of potential land-use management practices on a catchment-wide scale and allows predictions of the consequences of climate change.

Daily consumption of milk enriched with fish oil, oleic acid, minerals and vitamins reduces cell adhesion molecules in healthy children

BACKGROUND AND AIMS

Several studies have suggested that polyunsaturated fatty acids, vitamins and minerals have beneficial effects on lipid profile and systemic inflammation in adults.

METHODS AND RESULTS

We examined the effects of a daily intake of milk enriched with longchain polyunsaturated fatty acids, oleic acid, carbohydrates, vitamins, minerals and low in saturated fatty acids (SFAs) for 5 months, on several cardiovascular (CVD) risk biomarkers in healthy children aged 8-14 years. In a randomized double-blind placebo-controlled trial, a total of 107 children of both genders were assigned to two study groups: 1) a supplemented group (SG, n=53) who consumed 0.6 L/day of an enriched dairy product, and 2) a control group (CG, n=54) who consumed 0.6 L/day of standard whole milk. Both groups consumed the dairy drinks for 5 months, in addition to their usual diet. Serum levels of adhesion molecules as indices of vascular endothelial cell activation were assessed in both groups at 0 and 5 months as well as white blood cell counts, lipid profile, serum proteins, total serum calcium, 25-OH vitamin D, glucose, insulin and adiponectin. In the enriched dairy drink supplemented group, adhesion molecules E-selectin and ICAM-1 as well as lymphocyte levels decreased while plasma docosahexaenoic acid (DHA) and serum calcium concentrations increased. In the control group, serum total protein, transferrin, total cholesterol, HDL-cholesterol and adiponectin concentrations decreased.

CONCLUSION

The consumption of a milk enriched with fish oil, oleic acid, minerals and vitamins reduced indices of endothelial cell activation in the studied group of healthy children.

[Complications related with cocaine abuse that required hospital admission]

INTRODUCTION

Although cocaine abuse is an increasingly important medical problem, many manifestations of its toxicity are not well understood. The aim of this study is to review the most serious clinical manifestations related to cocaine abuse.

PATIENTS AND METHOD

We reviewed the medical records of all patients over 16 years of age admitted to the hospital from January 1994 to December 2005 where cocaine abuse was recorded in their clinical history.

RESULTS

A total of 170 patients, with 188 episodes and 268 pathologic manifestations related to cocaine abuse were included. Thirty two out of the 170 patients (18.8%) were females. Mean age was 33 +/- 11 years, with no significant difference between males and females. A total of 88.8% were smokers, 70% had alcohol abuse and 67.3% had other illegal drug abuses. The more frequent reason for their hospitalization was: pulmonary infection (29.6%), bronchial hyperreactivity (14%), acute psychotic attack related to drugs (12%), ischemic heart disease (10%), infectious endocarditis (7.8%), cerebrovascular disease (8.6%), seizures (6.2%) and severe abdominal complications (2.3%). Eight patients died (6.25%). The association with cocaine was only suspected in 46% of the toxic manifestations.

CONCLUSIONS

Several clinical manifestations are associated to cocaine abuse and its consumption causes potentially fatal complications. The integral treatment of these patients could be improved if these complications are kept in mind.

[Learning in deep hypnosis. The potentiation of mental abilities?]

INTRODUCTION

Hypnosis is a well known and efficient psychotherapeutic treatment. It has been stated as useful in memory improvement, however, there are only a few reports of this method in teaching, and its neurophysiological aspects.

OBJECTIVE

In this paper, the authors were intended to deal with some students' academically difficulties in Histology subject, by improving their mental capacity by means of hypnosis, and then, to compare their previous bad achievements, just in the same subject, with those obtained in a test applied after hypnosis intervention.

MATERIAL AND METHODS

In order to fulfil the proposals, seven high academically risk students were hypnotized to make them study under two very deep trance sessions, in which, some suggestions were given, such as: highest concentration, intellectual capacities reinforcement, positive affection, and also: Synthesis, reviewing, and generalization capacity enhancement. The process went into selective deafness, and selective vision as special phenomena.

RESULTS AND CONCLUSIONS

Students achievements in the final test were compared to those previously obtained in the subject using the Signs Statistical Test. A significant improvement was demonstrated after hypnosis intervention.