Objective: to describe the initial experience in Colombia of locally advanced melanoma treated by isolated limb perfusion and compare the response rate of our melanoma subtypes with the literature.Methods: a descriptive, retrospective study of a series of patients selected between 2007 and 2016.Qualitative variables were analyzed with proportions and frequencies, and quantitative variable with central tendency measures and measures of dispersion.Results: 11 patients were treated by isolated limb perfusion.After the treatment, seven patients (63.6%) had partial response, two patients (18.2%) had stable disease and two patients (18.2%) had disease progression.Five patients (45.5%) had mild complications.Conclusions: Isolated limb perfusion is still an important treatment strategy for locally advanced melanoma, with the goal of improving the patient quality of life.The response can change according to the type of melanoma, and could be smaller in patients with acral lentiginous and nodular melanoma, although we cannot make this conclusion with this type of study because it has low power and lack of a comparison group.
Abstract Blue Carbon Projects conserve and restore degraded BCEs to mitigate climate change1–4, primarily funded through carbon markets2,4–6, thereby delivering climate finance6–8. Our assessment of 81 BCPs globally (2.0 million ha) shows annual emission reductions of 20.4 MtCO₂e/yr, targeting 5.8 GtCO₂e by 2075—≈2% of estimated potential4,9. Between 2014 and 2025, 6.96 million BCCs were issued and 3.65 million retired, mostly transferred from LDCs and developing to developed nations below real value.
Coastal areas play an important role on carbon cycling. Elucidating the dynamics on the production, transport and fate of organic carbon is relevant to gain a better understanding of the role coastal areas play in the global carbon budget. Here, we assess the metabolic status and associated organic carbon fluxes of a semi-enclosed Mediterranean bay supporting a meadow of Caulerpa prolifera. We test whether the EDOC pool is a significant component of the organic carbon pool and associated fluxes in this ecosystem. The Bay of Portocolom was in net metabolic balance on a yearly basis, but heterotrophic during the summer months. Community respiration (CR) was positively correlated to C. prolifera biomass, while net community production (NCP) had a negative correlation. The benthic compartment represented, on average, 72.6 ± 5.2 % of CR and 86.8 ± 4.5 % of gross primary production (GPP). Dissolved organic carbon (DOC) production peaked in summer and was always positive, with the incubations performed in the dark almost doubling the flux of those performed in the light. Exchangeable dissolved organic carbon (EDOC), however, oscillated between production and uptake, being completely recycled within the system and representing around 14% of the DOC flux. The pools of bottom and surface DOC were high for an oligotrophic environment, and were positively correlated to the pool of EDOC. Thus, despite being in metabolic balance, this ecosystem acted as a conduit for organic carbon (OC), as it is able to export OC to adjacent areas derived from allochtonous inputs during heterotrophic conditions. These inputs likely come from groundwater discharge, human activity in the watershed, delivered to the sediments through the high capacity of C. prolifera to remove particles from the water column, and from the air-water exchange of EDOC, demonstrating that these communities are a major contributor to the cycling of OC in coastal embayments.