Analysis of thermal discomfort associated with synoptic conditions in the city of Pelotas, southernmost region of Brazil.

Here, we evaluated the influence of outdoor environmental conditions (synoptic weather conditions) on human thermal discomfort in the five macro-regions of Pelotas city, located in the southernmost region of Brazil. To do this, meteorological sensors (HOBO MX2301A) were installed outside the residences to measure the air temperature, dew point temperature, and relative humidity between 18 January and 20 August 2019. Two well-established simplified biometeorological indices were examined seasonally: (i) humidex for the summer months and (ii) effective temperature as a function of wind for the autumn and winter months. Our findings showed seasonal differences related to human thermal discomfort and outdoor environmental conditions. The thermal discomfort was highest in the afternoons during the summer months and at night during the winter months. The seasonal variation in human thermal discomfort was highly associated with the meteorological conditions. In summer, the presence of the South Atlantic Subtropical Anticyclone (SASA) contributed to heat stress. The SASA combined with the continent's low humidity contributed to the perceived sensation of thermal discomfort. In the winter, thermal discomfort was associated with the decrease in air humidity caused by high atmospheric pressure systems, which led to a decrease in both air temperature and air moisture content. Our findings suggest that a better understanding of the complex interplay between outdoor environmental factors and human thermal comfort is needed in order to mitigate the negative effects of thermal discomfort.

Epidemiology of Tracheostomized Adult Patients Admitted to Specialized Weaning Centers After Acute COVID-19.

BACKGROUND: Epidemiological data on patients with COVID-19 referred to specialized weaning centers (SWCs) are sparse, particularly in low- and middle-income countries. Our aim was to describe clinical features, epidemiology, and outcomes of subjects admitted to SWCs in Argentina. METHODS: We conducted a prospective, multi-center, observational study between July 2020-December 2021 in 12 SWCs. We collected demographic characteristics, laboratory results, pulmonary function, and dependence on mechanical ventilation at admission, decannulation, weaning from mechanical ventilation, and status at discharge. A multiple logistic model was built to predict home discharge. RESULTS: We enrolled 568 tracheostomized adult subjects after the acute COVID-19 phase who were transferred to SWCs. Age was 62 [52-71], males 70%, Charlson comorbidity index was 2 [0-3], and length of stay in ICU was 42 [32-56] d. Of the 315 ventilator-dependent subjects, 72.4% were weaned, 427 (75.2%) were decannulated, and 366 subjects (64.5%) were discharged home. The mortality rate was 6.0%. In multivariate analysis, age (odds ratio 0.30 [95% CI 0.16-0.56], P < .001), Charlson comorbidity index (odds ratio 0.43 [95% CI 0.22-0.84], P < .01), mechanical ventilation duration in ICU (odds ratio 0.80 [95% CI 0.72-0.89], P < .001), renal failure (odds ratio 0.40 [95% CI 0.22-0.73], P = .003), and expiratory muscle weakness (odds ratio 0.35 [95% CI 0.19-0.62], P < .001) were independently associated with home discharge. CONCLUSIONS: Most subjects with COVID-19 transferred to SWCs were weaned, achieved decannulation, and were discharged to home. Age, high-comorbidity burden, prolonged mechanical ventilation in ICU, renal failure at admission, and expiratory muscle weakness were inversely associated with home discharge.

Relationship between meteorological variables and pneumonia in children in the Metropolitan Region of Porto Alegre, Brazil.

This work aims to analyze the relationship between meteorological conditions and the occurrence of hospital admissions for pneumonia in children under 5 years of age in the Metropolitan Region of Porto Alegre, Brazil, from 1998 to 2017. To this end, data from hospital admissions obtained from the Unified Health System database (DATASUS) were used and classified into two groups: acute respiratory infections (ARI) and asthma, according to the international classification of diseases, tenth edition (ICD-10). Data regarding meteorological variables were also used: temperature, relative humidity, atmospheric pressure and wind speed, at 12Z and 18Z, as well as the Thermal Comfort Index (TCI), Effective Temperature as a function of the wind (ETw) and Windchill (W). From the data obtained, a descriptive analysis of the diseases and a statistical analysis with the analysis of correlation and main components were performed. Results showed that pneumonia (catalogued in the ICD-10 as J12 to J18) was the main cause of hospitalizations in children. The annual, monthly and daily hospitalization frequency distributions showed higher rates of admissions occurring in the months of May to September. The peaks of admissions and high admissions (HA) occurred mainly in the winter months (June, July and August), and in 1998. Meanwhile, the correlation and principal component analysis showed an increase in hospital admissions due to pneumonia related to a decrease in temperature and ETw and W indices (negative anomalies) and an increase in atmospheric pressure and relative humidity (positive anomalies).

Coupled models using radar network database to assess vehicular emissions in current and future scenarios.

Vehicles are one of the most significant sources of air pollutant emissions in urban areas, and their real contribution always needs to be updated to predict impacts on air quality. Radar databases and traffic counts using statistical modeling is an alternative and low-cost approach to produce traffic activities data in each urban street to be used as input to predict vehicular emissions. In this work, we carried out a spatial statistical analysis of local radar data and calculated traffic flow using local radar data combined with different statistical models. Future scenarios about vehicle emission inventory to define public policies were also proposed and analyzed for Belo Horizonte (BH), a Brazilian State capital, with the third-largest metropolitan region in the country. The Normal-Neighborhood Model (i.e., the mixed effect model with random effect in the neighborhood, radar type, and in the regional area) was used to calculate traffic flow in each urban street. Results showed average reductions in CO (4.5%), NMHC (3.0%), NOx (3.0%) and PM2.5 (6.2%) emissions even with an increase in fleet composition (25% in average). The decrease is a result of the implementation of emission control programs by the government, improvements vehicles technologies, and the quality of fuels. Prediction of traffic data from radar databases has proven to be useful for avoiding the high costs of performing origin-destination surveys and traffic modeling using commercial software. Radar databases can provide many potential benefits for research and analysis in environmental and transportation planning. These findings can be incorporated in future investigations to implement public policies on vehicular emission reduction in urban areas and to advance environmental health effects research and human health risk assessment.

Analysis of indoor human thermal comfort in Pelotas municipality, extreme southern Brazil.

The indoor human thermal comfort (HTC) was investigated in residences located in the Pelotas City, southern Brazil, by the effective temperature index (ETI). In this study, temperature and relative humidity were measured inside 429 houses, located in different regions of Pelotas city, from January 11 to August 27, 2019. Samples were obtained using HOBO data loggers, indoor sensors, installed in different regions of the municipality, in the context of a cohort study of children between 2 and 4 years old and their respective mothers, led by Epidemiological Research Center of the Federal University of Pelotas (UFPEL). In general, all regions had average hourly values of effective temperature index above the comfort zone in summer and below the comfort zone in the winter. In terms of spatial variability, the indoor HTC was dependent on environmental factors such as lake breeze and indoor behavior factors, such as the use of air conditioning system in the downtown buildings.

Characteristics and outcomes of patients infected with nCoV19 requiring invasive mechanical ventilation in Argentina. / Características y resultados de los pacientes infectados con nCoV19 con requerimiento de ventilación mecánica invasiva en la Argentina.

OBJECTIVE: A novel coronavirus emerged this year as a cause of viral pneumonia. The main characteristics of the virus are rapid transmission, high contagion capacity and potential severity. The objective of this case series study is to describe the clinical characteristics of patients with confirmed coronavirus disease (COVID-19) admitted to different intensive care units in Argentina for mechanical ventilation. METHODS: A descriptive, prospective, multicenter case series study was conducted between April 1 and May 8, 2020. Data from patients older than 18 years who were admitted to the intensive care unit for mechanical ventilation for acute respiratory failure with a positive diagnosis of COVID-19 were included. RESULTS: The variables for 47 patients from 31 intensive care units were recorded: 78.7% were men (median age of 61 years), with a SAPS II score of 43 and a Charlson index score of 3. The initial ventilatory mode was volume control - continuous mandatory ventilation with a tidal volume less than 8mL/kg in 100% of cases, with a median positive end-expiratory pressure of 10.5cmH2O. At the end of the study, 29 patients died, 8 were discharged, and 10 remained hospitalized. The SAPS II score was higher among patients who died (p = 0.046). Charlson comorbidity index was associated with higher mortality (OR = 2.27, 95% CI 1.13 - 4.55, p = 0.02). CONCLUSION: Patients with COVID-19 and on mechanical ventilation in this series presented clinical variables similar to those described to date in other international reports. Our findings provide data that may predict outcomes.

OBJETIVO: El coronavirus ha emergido este año como causa de neumonía viral. Una de las principales características es su rápida transmisión y su potencial severidad. El objetivo de este estudio de serie de casos es describir las características clínicas de los pacientes con confirmación de enfermedad por coronavirus (COVID-19) admitidos en diferentes unidades de cuidados intensivos de la Argentina con requerimiento de ventilación mecánica. MÉTODOS: Estudio de serie de casos, descriptivo-prospectivo, multicéntrico realizado entre el 01 de abril y el 08 de mayo de 2020. Se incluyeron los datos de los pacientes mayores a 18 años, que ingresaron a la unidad de cuidados intensivos con requerimiento de ventilación mecánica por falla respiratoria aguda con diagnóstico positivo de COVID-19. RESULTADOS: Se registraron las variables de 47 pacientes de 31 unidades cuidados intensivos, 78.7% hombres de una mediana de edad de 61 años, con un SAPS II de 43, un índice de Charlson de 3. El modo ventilatorio inicial fue volume control - continuous mandatory ventilation con volumen corriente menor a 8mL/kg en el 100% de los casos, con una mediana de presión positiva al final de la espiración de 10,5cmH2O. A la fecha de cierre del estudio, 29 pacientes fallecieron, 8 alcanzaron el alta, y 10 pacientes continúan internados al cierre del estudio. El SAPS II fue mayor entre los fallecidos (p = 0.046). El índice de Charlson se asoció con mayor mortalidad (OR = 2,27 IC95% 1,13 - 4,55; p = 0,02). CONCLUSIÓN: Los pacientes con COVID-19 y ventilación mecánica de esta serie presentan variables clínicas similares a las descriptas a la fecha en otros reportes internacionales. Nuestros hallazgos proporcionan datos que permitirían de alguna manera predecir los resultados.

Características y resultados de los pacientes infectados con nCoV19 con requerimiento de ventilación mecánica invasiva en la Argentina / Characteristics and outcomes of patients infected with nCoV19 requiring invasive mechanical ventilation in Argentina

RESUMEN Objetivo: El coronavirus ha emergido este año como causa de neumonía viral. Una de las principales características es su rápida transmisión y su potencial severidad. El objetivo de este estudio de serie de casos es describir las características clínicas de los pacientes con confirmación de enfermedad por coronavirus (COVID-19) admitidos en diferentes unidades de cuidados intensivos de la Argentina con requerimiento de ventilación mecánica. Métodos: Estudio de serie de casos, descriptivo-prospectivo, multicéntrico realizado entre el 01 de abril y el 08 de mayo de 2020. Se incluyeron los datos de los pacientes mayores a 18 años, que ingresaron a la unidad de cuidados intensivos con requerimiento de ventilación mecánica por falla respiratoria aguda con diagnóstico positivo de COVID-19 Resultados: Se registraron las variables de 47 pacientes de 31 unidades cuidados intensivos, 78.7% hombres de una mediana de edad de 61 años, con un SAPS II de 43, un índice de Charlson de 3. El modo ventilatorio inicial fue volume control - continuous mandatory ventilation con volumen corriente menor a 8mL/kg en el 100% de los casos, con una mediana de presión positiva al final de la espiración de 10,5cmH2O. A la fecha de cierre del estudio, 29 pacientes fallecieron, 8 alcanzaron el alta, y 10 pacientes continúan internados al cierre del estudio. El SAPS II fue mayor entre los fallecidos (p = 0.046). El índice de Charlson se asoció con mayor mortalidad (OR = 2,27 IC95% 1,13 - 4,55; p = 0,02). Conclusión: Los pacientes con COVID-19 y ventilación mecánica de esta serie presentan variables clínicas similares a las descriptas a la fecha en otros reportes internacionales. Nuestros hallazgos proporcionan datos que permitirían de alguna manera predecir los resultados.

Abstract Objective: A novel coronavirus emerged this year as a cause of viral pneumonia. The main characteristics of the virus are rapid transmission, high contagion capacity and potential severity. The objective of this case series study is to describe the clinical characteristics of patients with confirmed coronavirus disease (COVID-19) admitted to different intensive care units in Argentina for mechanical ventilation. Methods: A descriptive, prospective, multicenter case series study was conducted between April 1 and May 8, 2020. Data from patients older than 18 years who were admitted to the intensive care unit for mechanical ventilation for acute respiratory failure with a positive diagnosis of COVID-19 were included. Results: The variables for 47 patients from 31 intensive care units were recorded: 78.7% were men (median age of 61 years), with a SAPS II score of 43 and a Charlson index score of 3. The initial ventilatory mode was volume control - continuous mandatory ventilation with a tidal volume less than 8mL/kg in 100% of cases, with a median positive end-expiratory pressure of 10.5cmH2O. At the end of the study, 29 patients died, 8 were discharged, and 10 remained hospitalized. The SAPS II score was higher among patients who died (p = 0.046). Charlson comorbidity index was associated with higher mortality (OR = 2.27, 95% CI 1.13 - 4.55, p = 0.02). Conclusion: Patients with COVID-19 and on mechanical ventilation in this series presented clinical variables similar to those described to date in other international reports. Our findings provide data that may predict outcomes.

Landscape factors modulating patterns of salmonid distribution during summer in north Patagonian rivers.

Understanding how ecosystem processes influencing fish distribution operate across spatial scales is important to understand biological invasions. Salmonids, originally from the Northern Hemisphere, have been repeatedly introduced throughout the world, making them an ideal group to test hypotheses about factors driving invasions. We assessed the influence of environmental variables at the watershed scale on the abundance and structure of salmonid assemblages in the breeding streams of the Upper Limay river basin, Rio Negro, Argentina. We combined field captures with digital map data and geographic information systems to examine landscape-level patterns of salmonid abundance in 35 representative sub-basins of the environmental gradient. We employed a hierarchical cluster analysis and classification and regression tree models to relate the abundance of salmonids and types of species assemblages with environmental characteristics at watershed level. We found stream localization, precipitation regime, altitude and air temperature to be important predictors of the abundance and assemblage structure of salmonids. Total catches showed an increasing gradient of catch-per-unit-effort from west to east and from north to south, with Oncorhynchus mykiss being the most abundant species. O. mykiss relative abundance was westward skewed, where smaller catchments with steeper and shaded valleys are drained by less productive streams with more irregular hydrological regimes, like those found in this species' North American native range. In contrast, the abundance of Salmo trutta abundance was eastward skewed, where larger, sunnier and more gently sloped catchments result in more productive streams with stable hydrological regimes, like those found in that species' European native range. Thus, differential salmonid abundance could result from the interplay between the evolutionary fingerprint left by each species' native environment (especially flow and temperature regimes) and the availability of those conditions in new environments to which they have been translocated. By furthering our understanding of how landscape conditioned invasion success, these findings can help guide the management of economically important introduced fish.

Top-down vehicle emission inventory for spatial distribution and dispersion modeling of particulate matter.

Emission inventories are one of the most critical inputs for the successful modeling of air quality. The performance of the modeling results is directly affected by the quality of atmospheric emission inventories. Consequently, the development of representative inventories is always required. Due to the lack of regional inventories in Brazil, this study aimed to investigate the use of the particulate matter (PM) emission estimation from the Brazilian top-down vehicle emission inventory (VEI) of 2012 for air quality modeling. Here, we focus on road vehicles since they are usually responsible for significant emissions of PM in urban areas. The total Brazilian emission of PM (63,000 t year-1) from vehicular sources was distributed into the urban areas of 5557 municipalities, with 1-km2 grid spacing, considering two approaches: (i) population and (ii) fleet of each city. A comparison with some local inventories is discussed. The inventory was compiled in the PREP-CHEM-SRC processor tool. One-month modeling (August 2015) was performed with WRF-Chem for the four metropolitan areas of Brazilian Southeast: Belo Horizonte (MABH), Great Vitória (MAGV), Rio de Janeiro (MARJ), and São Paulo (MASP). In addition, modeling with the Emission Database for Global Atmospheric Research (EDGAR) inventory was carried out to compare the results. Overall, EDGAR inventory obtained higher PM emissions than the VEI segregated by population and fleet, which is expected owing to considerations of additional sources of emission (e.g., industrial and residential). This higher emission of EDGAR resulted in higher PM10 and PM2.5 concentrations, overestimating the observations in MASP, while the proposed inventory well represented the ambient concentrations, obtaining better statistics indices. For the other three metropolitan areas, both EDGAR and the VEI inventories obtained consistent results. Therefore, the present work endorses the fact that vehicles are responsible for the more substantial contribution to PM emissions in the studied urban areas. Furthermore, the use of VEI can be representative for modeling air quality in the future.

Estimated evolution of total pollutant gas emissions associated with vehicle activity in the Metropolitan Region of Porto Alegre until 2030.

In recent years, the majority of economic sectors in Brazil have gone through processes of development and transformation. These processes have led to increases in environmental pollution of all kinds; air pollution being one of the most adverse. The Brazilian transportation sector, which heavily affects the air quality, experienced a significant increase in its vehicle fleet thus provoking larger emissions of pollutant gases, mainly in regions with high population density such as the Metropolitan Region of Porto Alegre (MRPA). Within this research, considering mainly the ozone precursor species and Carbon Monoxide and using the year 2001 as a base year, scenarios are obtained for vehicular emissions of pollutant gases in the MRPA until the year 2030. In addition, scenarios related to the evolution of the study region's vehicle fleet were estimated. The statistical tool LEAP (Long Range Energy Alternatives Planning System) was used. The scenario analysis shows that the vehicle fleet will grow exponentially until 2030, considering that the Light Flex vehicles category will mainly contribute to this increase. It is also noted that vehicle emissions of CO, NOx, and THC decrease in the region. The decrease is caused mainly by the renewal of technology in new vehicles and the implementation of emission control programs created by the government.

The Brazilian developments on the Regional Atmospheric Modeling System (BRAMS 5.2): an integrated environmental model tuned for tropical areas.

We present a new version of the Brazilian developments on the Regional Atmospheric Modeling System where different previous versions for weather, chemistry and carbon cycle were unified in a single integrated software system. The new version also has a new set of state-of-the-art physical parameterizations and greater computational parallel and memory usage efficiency. Together with the description of the main features are examples of the quality of the transport scheme for scalars, radiative fluxes on surface and model simulation of rainfall systems over South America in different spatial resolutions using a scale-aware convective parameterization. Besides, the simulation of the diurnal cycle of the convection and carbon dioxide concentration over the Amazon Basin, as well as carbon dioxide fluxes from biogenic processes over a large portion of South America are shown. Atmospheric chemistry examples present model performance in simulating near-surface carbon monoxide and ozone in Amazon Basin and Rio de Janeiro megacity. For tracer transport and dispersion, it is demonstrated the model capabilities to simulate the volcanic ash 3-d redistribution associated with the eruption of a Chilean volcano. Then, the gain of computational efficiency is described with some details. BRAMS has been applied for research and operational forecasting mainly in South America. Model results from the operational weather forecast of BRAMS on 5 km grid spacing in the Center for Weather Forecasting and Climate Studies, INPE/Brazil, since 2013 are used to quantify the model skill of near surface variables and rainfall. The scores show the reliability of BRAMS for the tropical and subtropical areas of South America. Requirements for keeping this modeling system competitive regarding on its functionalities and skills are discussed. At last, we highlight the relevant contribution of this work on the building up of a South American community of model developers.

Estimated evolution of total pollutant gas emissions associated with vehicle activity in the Metropolitan Region of Porto Alegre until 2030

ABSTRACT In recent years, the majority of economic sectors in Brazil have gone through processes of development and transformation. These processes have led to increases in environmental pollution of all kinds; air pollution being one of the most adverse. The Brazilian transportation sector, which heavily affects the air quality, experienced a significant increase in its vehicle fleet thus provoking larger emissions of pollutant gases, mainly in regions with high population density such as the Metropolitan Region of Porto Alegre (MRPA). Within this research, considering mainly the ozone precursor species and Carbon Monoxide and using the year 2001 as a base year, scenarios are obtained for vehicular emissions of pollutant gases in the MRPA until the year 2030. In addition, scenarios related to the evolution of the study region's vehicle fleet were estimated. The statistical tool LEAP (Long Range Energy Alternatives Planning System) was used. The scenario analysis shows that the vehicle fleet will grow exponentially until 2030, considering that the Light Flex vehicles category will mainly contribute to this increase. It is also noted that vehicle emissions of CO, NOx, and THC decrease in the region. The decrease is caused mainly by the renewal of technology in new vehicles and the implementation of emission control programs created by the government.

Air Quality and Health Impacts of Future Ethanol Production and Use in São Paulo State, Brazil.

It is often argued that liquid biofuels are cleaner than fossil fuels, and therefore better for human health, however, the evidence on this issue is still unclear. Brazil's high uptake of ethanol and role as a major producer makes it the most appropriate case study to assess the merits of different biofuel policies. Accordingly, we modeled the impact on air quality and health of two future fuel scenarios in São Paulo State: a business-as-usual scenario where ethanol production and use proceeds according to government predictions and a counterfactual scenario where ethanol is frozen at 2010 levels and future transport fuel demand is met with gasoline. The population-weighted exposure to fine particulate matter (PM2.5) and ozone was 3.0 µg/m³ and 0.3 ppb lower, respectively, in 2020 in the scenario emphasizing gasoline compared with the business-as-usual (ethanol) scenario. The lower exposure to both pollutants in the gasoline scenario would result in the population living 1100 additional life-years in the first year, and if sustained, would increase to 40,000 life-years in year 20 and continue to rise. Without additional measures to limit emissions, increasing the use of ethanol in Brazil could lead to higher air pollution-related population health burdens when compared to policy that prioritizes gasoline.

Presencia de infección por Trypanosoma cruzi Y Toxoplasma gondii en perros domésticos de localidades rurales en el noroeste argentino / Infection by Trypanosoma cruzi and Toxoplasma gondii in domestic dogs from rural localities in Northwest Argentina

Las zoonosis causadas por los parásitos Trypanosoma cruzi y Toxoplasma gondii son prevalentes en la Argentina y los perros cumplen el papel de reservorio además de padecer las enfermedades. Se considera una buena alternativa conocer la seroprevalencia de estas zoonosis en los perros debido a que son un reflejo de lo que ocurre en la población humana y en el ambiente. Nos propusimos conocer la seroprevalencia de infección por T. gondii y T. cruzi en caninos en cuatro zonas rurales de la provincia de Salta. Para la detección de anticuerpos anti-T. gondii se utilizó Hemaglutinación Indirecta (HAI) y para la detección de anticuerpos anti-T. cruzi, además de HAI, se usó Enzimoinmunoanálisis (ELISA). Fueron muestreados 209 canes y los resultados serológicos indicaron la presencia de anticuerpos anti-T. gondii en la localidad de La Unión, departamento Rivadavia en 18,2% (4/22), en San Carlos con 20,5% (8/39), en Cafayate con 13,1 % (11/84) y en Embarcación departamento General San Martín con 23.4% (15/64). Los anticuerpos anti-T cruzi sólo estuvieron presentes en los perros de la localidad de San Carlos con 28,2% (11/39). La frecuente seroprevalencia a T. gondii, encontrada en los perros de todas las localidades muestreadas sugiere contaminación ambiental por este parásito en la zona. El hallazgo de perros infectados por T. cruzi, en la localidad de San Carlos, nos sugiere la posibilidad de transmisión activa del parásito en un pasado reciente y nos alerta sobre la posibilidad de reservorio

Bloqueo articular de codo por condromatosis sinovial: reporte de caso y revisión de literatura / Articular block of synovial chondromatosis of the elbow: case report and literature review

Introducción: La condromatosis sinovial es una patología benigna, infrecuente, de etiología desconocida en la que se desarrollauna metaplasia cartilaginosa del tejido sinovial. Se caracteriza por la formación de nódulos que son liberados en la cavidadarticular. El tratamiento consiste en la extracción de los cuerpos libres intraarticulares, preferentemente por vía artroscópica.Objetivo: reportar un caso de condromatosis sinovial de codo con bloqueo articular al que se le realizó extracción artroscópicade los cuerpos libres intraarticulares. Conjuntamente se efectuó una revisión bibliográfica de dicha infrecuente patología.Reporte de caso: Paciente masculino que presenta dolor, tumefacción, crepitación y limitación del rango de movimientoen flexo-extensión. En la radiografía se observan múltiples imágenes nodulares calcificadas en la cámara anterior yposterior del codo. En RMN y TAC se evidencian dichos nódulos depositados en las fosas olecraneana y coronoidea,asociados con cambios degenerativosarticulares. Se realiza extracción de los cuerpos libres intraarticulares ycapsulectomía parcial por vía artroscópica. Se confirma el diagnóstico de condromatosis sinovial por histopatología. En elpostoperatorio el paciente mejoró la sintomatología y aumentó el rango de flexo-extensión...

Introduction: Synovial chondromatosis is an infrequent, benign pathology of unknown etiology in which a cartilaginous metaplasia of synovial tissue develops. It is characterized by the formation of nodules that are released into the joint cavity. Treatment involves removal of intra-articular loose bodies, preferably arthroscopically. Objective: To report a case of synovial chondromatosis elbow joint to lock who underwent arthroscopic removal of intra-articular loose bodies. Together a literature review of this rare entity was made. Case report: Male patient has pain, swelling, crepitus and limitation of range of motion in flexion and extension. Multiple nodular radiographic images calcified in the anterior and posterior chamber elbow observed. MRI and CT in these nodules deposited in the olecranon and coronoid pits associated with degenerative articular changes are evident. Removal of intra-articular loose bodies and partial capsulectomy is performed arthroscopically. The diagnosis of synovial chondromatosis confirmed by histopathology. Postoperatively the patient improved symptoms and increased the range of flexion and extension...

Effect of tamoxifen and retinoic acid on bradykinin induced proliferation in MCF-7 cells.

Chemopreventive approaches for the treatment of breast cancer have been validated clinically and with in vitro studies. The combined action of tamoxifen/all-trans retinoic acid was advantageous in MCF-7 cells, reducing cell proliferation, Bcl-2 and c-Myc protein levels and increasing E-Cadherin protein levels and Gap junctional Intercellular Communication. We further investigated their combined effect in the presence of bradykinin, a pro-inflammatory agent, previously reported to contribute to the proliferation of breast cancer cells. Bradykinin increased MCF-7 cell proliferation, c-Myc levels and ERK1/2 activity. The co-incubation of bradykinin-MCF-7 cells with tamoxifen/all-trans retinoic acid reduced cell proliferation, ERK1/2 activity, as well as Bcl-2, c-Myc, and bradykinin receptor-2 levels, without altering the enhanced E-cadherin levels induced by tamoxifen/all-trans retinoic acid. We showed that the anti-tumoral effect of tamoxifen/all-trans retinoic acid is beneficial in MCF-7 breast cancer cells grown in a bradykinin-pro-mitogenic environment, an effect that might be, at least in part, through the MAPK pathway and B2-bradykinin receptor inhibition.

Silver contamination on abiotic and biotic compartments of Nahuel Huapi National Park lakes, Patagonia, Argentina.

The Ag contents of abiotic and biotic compartments of different lakes of Nahuel Huapi National Park, Patagonia, Argentina were analyzed. The water bodies studied were lakes Nahuel Huapi, Moreno, Escondido, Espejo Chico and Traful, the latter chosen as a reference lake. The Ag concentration profiles of short sediment cores, dated by (210)Pb and (137)Cs techniques, were analyzed, as well as suspended load collected from three sites of lake Nahuel Huapi. The biota studied were the native mussel Diplodon chilensis (digestive gland and total soft tissues pooled samples) and five species of fish, two native and three introduced (liver and muscle pooled samples). Ag contents were determined by Instrumental Neutron Activation Analysis (INAA). The upper layers of the sediment cores sampled in lake Nahuel Huapi were enriched in Ag contents compared to deep layers in accumulation periods corresponding to the second half of the 20th century, but this enrichment was neither observed in the reference lake Traful, nor in lakes Espejo Chico and Escondido. Ag was enriched over background level (0.1 microg g(-1)) also in suspended load collected in lake Nahuel Huapi. Ag fluxes to sediments were computed for suspended load and enriched sediment core layers. Highest Ag fluxes, from 350 to 470 microg m(-2) year(-1), were measured in Nahuel Huapi near the site where the liquid effluents of the Bariloche city sewage treatment plant are released to the lake. The spatial distribution of the other Ag fluxes suggests that this is the main source of Ag to lake Nahuel Huapi and lateral transport occurs within the water body. Ag concentrations on biota samples were consistent with these conclusions. Mussels collected in lake Nahuel Huapi showed higher Ag concentrations than in the other lakes, especially when compared to lake Traful. Ag contents in mussels were strongly associated with sediment intake, but enriched probably due to sediment grain size sorting during the intake processes. Evidence of food chain biomagnification of Ag in fish liver was observed. Ag contents in fish liver were higher at lake Nahuel Huapi even considering the high intra-specific variability, with highest values ranging from 10 to 29 microg g(-1) dry weight for brown trout and rainbow trout.