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The study evaluated microbial and Potentially Toxic Elements-PTEs risks in high Andean river water in Peru using Monte Carlo simulation. A total of 144 water samples were collected from four rivers and evaluated for physicochemical parameters, PTEs and bacterial pathogens. The microbial risk analysis for exposure to pathogens present in the water was based on the probability of occurrence of diseases associated with Escherichia coli, Pseudomonas aeruginosa and enterococci. PTEs risk analysis was performed using a Monte Carlo simulation approach. The results showed that the highest microbial risk due to exposure to water contaminated by E. coli, P. aeruginosa and enterococci was recorded in the Miraflores and Chia rivers. Meanwhile, the analysis of carcinogenic and non-carcinogenic risk by PTEs in adults and children revealed that the Chia river presents a high risk of contamination by PTEs, especially the carcinogenic risk for children. The Monte Carlo simulation indicated a 56.16% and 94.85% probability of exceeding the limit value of 0.0001 for carcinogenic risk in adults and children, respectively. It can be concluded that children consuming the waters of the Chia river are potentially at risk of As toxicity.

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Abandoned mining-metallurgical sites can significantly impact the environment and human health by accumulating heavy metals in aquatic ecosystems. The water in the sub-basin near an abandoned smelting facility in the city of La Oroya, Peru, is primarily used for pisciculture. The objective of this study was to assess the risk to human health from exposure to heavy metals via dietary intake of rainbow trout (Oncorhynchus mykiss) in the influence area of a smelting facility located in the central Andean region of Peru. The bioconcentration factor, biosediment accumulation factor, and consumption risks were evaluated using the Monte Carlo method. The results showed that the concentrations of elements (Zn > Pb > Cu > As) in rainbow trout muscle did not exceed the maximum limit (ML). However, the water significantly exceeded the ML for Pb in all sectors and As in the lower and middle parts of the river. The concentration of Pb in sediments also significantly exceeded the ML in the upper and lower parts of the river. Consequently, rainbow trout consumption in the study area presents risks to human health due to the bioaccumulation of heavy metals, with a 1.27% carcinogenic risk in samples from the lower part of the river.

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There is a need to define mine tailings in a clear, precise, multidisciplinary, transdisciplinary, and holistic manner, considering not only geotechnical and hydraulic concepts but also integrating environmental and geochemical aspects with implications for the sustainability of mining. This article corresponds to an independent study that answers questions concerning the definition of mine tailings and the socio-environmental risks linked with mine tailings chemical composition by examining the practical experience of industrial-scale copper and gold mining projects in Chile and Peru. Definitions of concepts and analysis of key aspects in the responsible management of mine tailings, such as characterization of metallic-metalloid components, non-metallic components, metallurgical reagents, and risk identification, among others, are presented. Implications of potential environmental impacts from the generation of acid rock drainage (ARD) in mine tailings are discussed. Finally, the article concludes that mine tailings are potentially toxic to both communities and the environment, and cannot be considered as inert and innocuous materials; thus, mine tailings require safe, controlled, and responsible management with the application of the most high management standards, use of the best available technologies (BATs), use of best applicable practices (BAPs), and implementation of the best environmental practices (BEPs) to avoid risk and potential socio-environmental impact due to accidents or failure of tailings storage facilities (TSFs).

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The use of antibiotics in fish production can induce bacterial populations to develop resistance to multiple antibiotics and transfer antibiotic resistance genes to other bacteria, including clinically relevant bacteria. This study evaluated the diversity of Enterobacterales in sediment from lagoons with fish farming activity and analyzed antibiotic resistance in the central region of Peru. Sediment samples were collected from four fish-active ponds and transported to the laboratory for analysis. Bacterial diversity was analyzed using DNA sequencing and antibiotic resistance was tested using the disk diffusion method. The results showed variability of bacterial diversity in the ponds with fish farming activity. Simpson's index indicated that the Habascocha lagoon is the most diverse in bacterial species of the order Enterobacterales (0.8), but the least dominant. The Shannon-Wiener index revealed that it is the most diverse (2.93) and the Margalef index revealed that species richness in this lagoon is high (5.72). Similarity percentage analysis (SIMPER) allowed the identification of the main Enterobacterales with the highest percentage contribution in the frequencies of individuals. In general, the Enterobacterales species isolated showed multi-resistance to the antibiotics used and Escherichia coli was the most resistant.

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Toxic metal contamination, distribution and risk were evaluated in the sediments of three lagoons used for fish farming in the central region of Peru. The distribution of toxic metals in the sediment was in the following descending order of Zn > V > Ni > Cu > Pb > As > Cr > Co > Cd > Sb. Contamination factor (Cf) and geoaccumulation index (Igeo) values for Co, Cr, Cu, Ni, Pb, Sb, V and Zn indicated low contamination and for Cd moderate contamination. The pollution load index (PLI) ranged from 0.3856 to 0.5622; indicating no appreciable contamination and the modified degree of contamination (mCd) corroborated this result. The potential ecological risk (Ri) in the Tranca Grande and Pomacocha lagoons revealed a low potential ecological risk and in Tipicocha a moderate potential ecological risk. HI values < 1 indicated that non-carcinogenic adverse effects were negligible. In adults, the Total carcinogenic risk (TCR) values for As, Cd, Cr, Ni and Pb were less than 1.00E-04, indicating no significant carcinogenic risk. In children, TCR values showed similar behavior with the exception of As. Therefore, considering that fish production for domestic consumption and export is carried out in these lagoons, it is important to continue monitoring toxic metals to protect the health of these ecosystems and human health.

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The cumulative effects of anthropogenic stress on freshwater ecosystems are becoming increasingly evident and worrisome. In lake sediments contaminated by heavy metals, the composition and structure of microbial communities can change and affect nutrient transformation and biogeochemical cycling of sediments. In this study, bacterial and archaeal communities of lake sediments under fish pressure contaminated with heavy metals were investigated by the Illumina MiSeq platform. Despite the similar content of most of the heavy metals in the lagoon sediments, we found that their microbial communities were different in diversity and composition. This difference would be determined by the resilience or tolerance of the microbial communities to the heavy metal enrichment gradient. Thirty-two different phyla and 66 different microbial classes were identified in sediment from the three lagoons studied. The highest percentages of contribution in the differentiation of microbial communities were presented by the classes Alphaproteobacteria (19.08%), Cyanophyceae (14.96%), Betaproteobacteria (9.01%) y Actinobacteria (7.55%). The bacteria that predominated in sediments with high levels of Cd and As were Deltaproteobacteria, Actinobacteria, Coriobacteriia, Nitrososphaeria and Acidobacteria (Pomacocha), Alphaproteobacteria, Chitinophagia, Nitrospira and Clostridia (Tipicocha) and Betaproteobacteria (Tranca Grande). Finally, the results allow us to expand the current knowledge of microbial diversity in lake sediments contaminated with heavy metals and to identify bioindicators taxa of environmental quality that can be used in the monitoring and control of heavy metal contamination.

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The contamination of water, air and soil with potentially toxic elements (PTE) compromises the supply of contaminant free food. Vegetables grown in contaminated soils can absorb and accumulate PTE at concentrations that are toxic to human health. In this context, the human risk associated with the intake of artichokes grown in soils irrigated with PTE contaminated water was assessed. 120 samples of surface soil and artichoke heads were collected and the concentrations of Cu, Fe, Pb, Zn and As were determined. The results showed that the concentrations of Cu, Fe and Zn in soil did not exceed the standards of the Ministry of Environment of Peru, but they did exceed those of Pb (125.45 mg kg-1) and As (28.70 mg kg-1). The decreasing order of mean PTE concentration in artichoke heads was Fe > Zn > Cu > Pb > As, exceeding the permissible levels of FAO/WHO CODEX Alimentarius. However, the concentrations of As comply with the maximum limits of inorganic contaminants in vegetables (0.3 mg kg-1) established in the MERCOSUR regulations. The non-carcinogenic and carcinogenic risk of Pb and As indicated that the ingestion of artichoke heads does not represent a health risk.

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PURPOSE: To evaluate the influence of mesenchymal stem cells from adipose tissue in the end-to-side neurorrhaphy, focusing in the nerve regeneration and the muscle reinnervation in acute trauma. METHODS: 140 animals were randomly divided in seven groups: control, denervated, end-to-side neurorrhaphy between distal stump of common peroneal nerve and tibial nerve (ESN), ESN wrapped in fascia, ESN wrapped in fascia and platelet gel, ESN wrapped in platelet gel, ESN wrapped in fascia and platelet gel within stem cells (without culture) removed from the adipose tissue. Mass measurements of the animal and of cranial tibial muscles, electromyography, walking track analysis tests and histological examinations of the nerves and muscles after 180 days was performed. RESULTS: In the groups where the ESN was performed, the results were always better when compared to the denervated group, showing reinnervation in all ESN groups. The most sensitive methods were walking track and histological analysis. Only the group with stem cells showed values similar to the control group, as well as the functional indices of peroneal nerve and the number of nerve fibers in the peroneal nerve. CONCLUSIONS: Stem cells were effective in ESN according with the functional index of the peroneal nerve, evaluated by walking track analysis and the number of nerve fibers in the peroneal nerve.

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INTRODUCTION: Educational interventions can raise awareness and understanding in population groups and may help to achieve changes in behavior. OBJECTIVE: To determine if the educational handwashing program applied to high-school students reduces the colonization of infectious bacteria on the hands. METHODS: A non-randomized quasi-experimental study was carried out using consecutive sampling of the students of the last year of high-school who were divided into an intervention group and a control group. Data were obtained before and after the implementation of the educational program. Samples were taken from the dominant hand for bacterial culture, and a questionnaire was applied that assessed knowledge of hand hygiene before and after the program. The program was aimed at improving the level of understanding and attitudes of students regarding hand hygiene. RESULTS: Of 208 samples obtained, the most frequent agents before and after the educational program were Staphylococcus epidermidis (39% versus 23%) and Staphylococcus aureus (21% versus 15%). The average number of colonies was 236 and 183 respectively (p = 0.35). CONCLUSION: The educational program managed to improve the level of understanding about hand hygiene; however, it was not enough to reduce bacterial colonization, so other behaviors such as direct supervision should be considered.

INTRODUCCIÓN: La intervención en poblaciones por medio de programas educativos logra aumentar el conocimiento en un determinado grupo y además, en algunos casos, se logra un cambio de conducta. OBJETIVO: Determinar si el programa educativo de lavado de manos aplicado a los estudiantes de educación secundaria reduce la colonización de bacterias infecciosas en las manos. METODOLOGÍA: Se realizó un estudio cuasi experimental no aleatorizado mediante muestreo consecutivo a los alumnos del último año de secundaria, quienes fueron divididos en dos grupos de intervención y control, analizados en dos etapas antes y después de la aplicación del programa educativo. Se tomaron las muestras de la mano dominante para el cultivo bacteriano. Además, se aplicó un cuestionario que evaluó los conocimientos sobre higiene de manos antes y después de la aplicación del programa, que estuvo dirigido a mejorar el nivel de conocimiento y de las actitudes de los estudiantes en relación a la higiene de manos. RESULTADOS: De 208 muestras obtenidas los agentes más frecuentes antes y después de la aplicación del programa educativo fueron Staphylococcus epidermidis (39% versus 23%) y Staphylococcus aureus (21%versus15%); el promedio del número de colonias fue 236 y 183 respectivamente (p = 0,35). CONCLUSIÓN: La aplicación del programa educativo logró mejorar el nivel de conocimiento sobre la higiene de manos. Sin embargo, no fue suficiente para reducir la colonización bacteriana, por lo que debería agregarse otras conductas como la supervisión directa.

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