Proyecto Fondecyt Nº11121216 "Calidad de Vida en jóvenes con discapacidad intelectual y su relación con la formación laboral". Apoyo convenio de desempeño UCO1203.

In addition to El Niño events, which can alter the pelagic food chain that supports growth and survival of sea lions, dog overpopulation, and diseases can cause further population declines in sea lions on the Galapagos. Knowledge of baseline data and evaluation of existing strategies to control dog reproduction are required for effective management of dog overpopulation on the archipelago. The main objective of the study reported here was to estimate the

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Case: We present the case of a 41-year-old man with a displaced extra-articular proximal-third clavicle fracture managed with open reduction and double-plate internal fixation. Twelve months after the procedure, the patient had recovered full range of motion and returned to work. Conclusions: Proximal-third clavicle fractures are infrequent injuries and are usually treated conservatively. They are associated with thoracic injuries or high-energy dorsal or cervical spinal trauma. In the case of displaced fractures and small medial fragments, orthopaedic management may have unsatisfactory results, creating symptomatic nonunions and functional limitation, we propose a biplanar osteosynthesis, which could be an effective treatment.