Traffic Medicine in the Latin America: a focus on the Dominican Republic

2015 ◽  
Vol 2015 (2) ◽  
pp. 92
Author(s):  
Ruben Peralta
2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S599-S600 ◽  
Author(s):  
J K Yamamoto-Furusho ◽  
N N Parra-Holguín ◽  
E Grupo-Colombiano ◽  
F Bosques-Padilla ◽  
G Veitia-Velásquez ◽  
...  

Abstract Background Inflammatory bowel disease (IBD) is currently recognised as a global health problem, since its incidence and prevalence have increased significantly worldwide in recent years. Studies in Latin America are only limited to reporting incidence and prevalence, so our main objective is to report the clinical and epidemiological characteristics of IBD in Latin American and Caribbean countries. Methods This is a multicentre cohort study in which 8 Latin American and Caribbean countries were included: Colombia, Cuba, Mexico, Peru, Puerto Rico, Dominican Republic, Uruguay and Venezuela during the period from August 2017 to October 2019. Two study groups were conducted by geographic region due to their ethnicity, Group 1) Caribbean: Cuba, Puerto Rico and Dominican Republic, Group 2) Latin America: Colombia, Mexico, Venezuela and Peru. Statistical analysis was performed with the statistical programme SPSS v.24. A value of p <0.05 was taken as significant. Results This study included a total of 4216 IBD patients from 8 countries. The CD was more frequent than UC in the following countries: Puerto Rico with 68.5%, Dominican Republic 56.3% and Peru with 53.1%, while in the rest of the countries the frequency of UC predominated, in Colombia by 79.2%, Venezuela in 78.4%, Cuba in 69.9% and Mexico in 75.8%. The Caribbean countries had a significantly higher frequency in the fistulising phenotype in CD with 65.1% (p = 0.0001), steroid dependence in 11.51% (pp = 0.002), steroid resistance in 28.5% (pp = 0.0001), thiopurine intolerance in 1.40% (p = 0.0002), extraintestinal manifestations in 55.91% (p = 0.0001), IBD surgeries in 32.10% (p = 0.0001) and family history of IBD reported a frequency of 15.60% (p = 0.0001). For Latin America, the frequency of pancolitis was more frequent in 48.21% (p = 0001) in patients with UC. The factors associated with the use of biological therapy were: fistulising phenotype in CD, steroid resistance, thiopurine intolerance, presence of extraintestinal manifestations and IBD-related surgeries. There is an increased frequency in the diagnosis of IBD in the last two decades (2000–2019), being 7.5 times for UC and 12.5 times for CD as show in Figure 1. Conclusion This is the first large and multicentre study in Latin America and the Caribbean which showed significant increase in the diagnosis of IBD in the last two decades as well as the differences in clinical and epidemiological characteristics between both regions.


1959 ◽  
Vol 1 (2) ◽  
pp. 237-255 ◽  
Author(s):  
Harry Kantor

The election of Rómulo Betancourt as constitutional President of Venezuela for the 1959-1964 term marks a turning point in that country's political evolution and a high point in the tide of reform now sweeping Latin American toward stable constitutional government. The new president of Venezuela and the party he leads, Acción Democrática, represent the same type of reformist movement as those now flourishing in many other countries of Latin America. As a result, dictatorship in the spring of 1959 is confined to the Dominican Republic, Nicaragua, and Paraguay. The situation in Haiti is unclear, but in the other sixteen republics the governments are controlled by parties and leaders which are to a greater or lesser degree trying to get away from the past and seem to have the support of their populations in their efforts. This marks a great change from most of the past history of the Latin American Republics in which the population was ruled by dictatorial cliques dedicated to the preservation of a status quo which meant the perpetuation of poverty and backwardness for most of the Latin Americans.


2020 ◽  
Vol 72 (3) ◽  
pp. P250820
Author(s):  
Joaquín A. Proenza ◽  
Lisard Torró ◽  
Carl E. Nelson

The region that encompasses Latin America and the Caribbean is a preferential destination for mining and mineral exploration, according to the Mineral Commodity Summaries 2020 of the US Geological Survey (https://www.usgs.gov/centers/nmic/). The region contains important resources of copper, gold, silver, nickel, cobalt, iron, niobium, aluminum, zinc, lead, tin, lithium, chromium, and other metals. For example, Chile is the world’s largest copper producer and the second largest lithium producer. Brazil is the world’s leading niobium producer, the second largest producer of iron ore, and the third-ranked producer of tantalum. Cuba contains some of the largest reserves of nickel and cobalt in the world, associated with lateritic Ni-Co deposits. Mexico is traditionally the largest silver producer and contains the two largest mines in this commodity and, along with Peru, Chile, Bolivia and Argentina, accounts for more than half of the total amount of global silver production. The region also hosts several world-class gold mines (e.g., Pueblo Viejo in the Dominican Republic, Paracotu in Brazil, Veladero in Argentina, and Yanacocha in Peru). Also, Bolivia and Brazil are among the world’s leading producers of tin. The region hosts a variety of deposit types, among which the most outstanding are porphyry copper and epithermal precious metal, bauxite and lateritic nickel, lateritic iron ore from banded iron-formation, iron-oxide-copper-gold (IOCG), sulfide skarn, volcanogenic massive sulfide (VMS), Mississippi Valley type (MVT), primary and weathering-related Nb-bearing minerals associated with alkaline–carbonatite complexes, tin–antimony polymetallic veins, and ophiolitic chromite. This special issue on Mineral Deposits of Latin America and the Caribbean in the Boletín de la Sociedad Geológica Mexicana contains nineteen papers. Contributions describe mineral deposits from Mexico, Panama, Cuba, Dominican Republic, Colombia, Venezuela, Ecuador, Chile, and Argentina. This volume of papers covers four mineral systems (mafic-ultramafic orthomagmatic mineral systems, porphyry-skarn-epithermal mineral systems, iron oxide copper-gold mineral systems, and surficial mineral systems). This special issue also includes papers on industrial minerals, techniques for ore discovery (predictive modelling of mineral exploration using GIS), regional metallogeny and mining history.


1952 ◽  
Vol 32 (1) ◽  
pp. 135
Author(s):  
William S. Stokes ◽  
Ronald Hilton

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