Early meteorological records from Latin-America and the Caribbean during the 18th and 19th centuries.

This paper provides early instrumental data recovered for 20 countries of Latin-America and the Caribbean (Argentina, Bahamas, Belize, Brazil, British Guiana, Chile, Colombia, Costa Rica, Cuba, Ecuador, France (Martinique and Guadalupe), Guatemala, Jamaica, Mexico, Nicaragua, Panama, Peru, Puerto Rico, El Salvador and Suriname) during the 18th and 19th centuries. The main meteorological variables retrieved were air temperature, atmospheric pressure, and precipitation, but other variables, such as humidity, wind direction, and state of the sky were retrieved when possible. In total, more than 300,000 early instrumental data were rescued (96% with daily resolution). Especial effort was made to document all the available metadata in order to allow further post-processing. The compilation is far from being exhaustive, but the dataset will contribute to a better understanding of climate variability in the region, and to enlarging the period of overlap between instrumental data and natural/documentary proxies.

Cartilage-derived tumor in a prehispanic individual from La Gomera (Canary Islands).

We present the case of a left tibia with an outgrowth at its distal metaphyseal/epiphyseal end, composed of cancellous bone, surrounding a destructive process that, on radiological examination, reaches the tibiotalar joint surface. The cancellous bone of the outgrowth is well preserved and is in continuity with intramedullary cancellous bone. The tibia belonged to a prehispanic adult individual, probably male, from La Gomera, in the Canary Archipelago. The antiquity of the sample is unknown, but radiocarbon dating of other samples ranges from 1600 to1800 years BP. The lesion is suggestive of a cartilage-derived tumor, most likely a chondrosarcoma. Other etiologic possibilities are also discussed, including osteochondroma, enchondroma, chondromyxoid fibroma or chondroblastoma.

Seguimiento en el hogar de niños febriles clasificado de no síndrome de respuesta inflamatoria sistémica / Home monitoring of febrile children classified as non-systemic inflammatory response syndrome

Más de la cuarta parte de las consultas de urgencias pediátricas en niños menores de 36 meses es por fiebre. Por lo que aplicar las categorías de riesgo según parámetros predictivos en la evolución del niño febril del grupo III constituyen el objetivo de este trabajo. Se realizó una investigación aplicada descriptiva de evaluación de procedimiento diagnóstico que aborda las infecciones bacterianas severas en el niño febril de 29 días a 36 meses de edad. Se siguieron 132 niños febriles evaluados de no Síndrome de Respuesta Inflamatoria Sistémica que asistieron al cuerpo de guardia del Hospital General Docente Leopoldito Martínez de San José, a los que se aplicaron las categorías de riesgos para la identificación de las infecciones bacterianas severas. Se analizaron las variables: edad, sexo, evolución, uso de antibiótico, diagnósticos ambulatorios y tipo de infecciones bacterianas severas. El 92,4 por ciento de los niños clasificados de bajo riesgo de infecciones bacterianas severas evolucionaron de forma favorable, sin tratamiento de antibiótico y con predominio del sexo masculino. La rinofaringitis aguda catarral y la fiebre de origen desconocido fueron los diagnósticos ambulatorios más frecuentes. Las infecciones bacterianas severas se presentaron en el 8,3 por ciento de los niños febriles bajo riesgo, con predominio en los menores de 12 meses del sexo femenino, con diagnóstico de infección del tracto urinario. Las categorías de riesgos según parámetros predictivos fueron eficaces para el diagnóstico de las infecciones bacterianas severas en el niño febril y no se presentaron complicaciones en los niños evaluados(AU)

Over a quarter of pediatric emergency consultations in children under 36 months is due to fever. So, the implementation of the risk categories according to predictive parameters in the progress of the febrile child group III constitutes the objective of this work. A descriptive applied research of diagnostic procedure assessment was conducted which approaches the severe bacterial infections in febrile children of 29 days to 36 months of age. It was monitored 132 febrile children evaluated as non-systemic inflammatory response syndrome that attended the emergency department of Leopoldito Martinez General Teaching Hospital in San José, and who was applied risk categories for identifying severe bacterial infections. The analyzed variables were: age, sex, progress, the use of antibiotics, ambulatory diagnostic and type of severe bacterial infections. The 92.4 percent of children classified as low risk of severe bacterial infections progressed positively, without antibiotic treatment and male dominance. The acute catarrhal rhinofaringitis and fever of unknown origin were the most common outpatient diagnoses. Severe bacterial infections were presented at 8,3 percent of febrile children at risk, predominantly among children under 12 months of female sex, diagnosed with urinary tract infection. The risk categories according to predictive parameters were effective in diagnosing severe bacterial infections in febrile children and there were no complications in evaluated children