Habilidades Cognitivas y Quiebres en la Conducta Sedentaria en Niños Chilenos / Cognitive Skills after Breaks in Sedentary Behavior in Chilean Children

Introducción. En Chile las tasas de sedentarismo infantil han aumentado, siete de cada 10 niños no cumple con los estándares mínimos recomendados por la Organizaciónn Mundial de la Salud. Faltan en Chile estudios que asocien el sedentarismo de tiempo libre y las horas sedentes en jornada escolar con las habilidades cognitivas. Objetivo. Determinar los cambios en las habilidades cognitivas posterior a la realización de quiebres en la conducta sedentaria. Métodos. Participaron 83 alumnos de 12 a 14 años, pertenecientes a 7° y 8° básico de la región metropolitana de Santiago de Chile. Los alumnos fueron distribuidos aleatoriamente como casos (42) y control (41). Se realizó durante 10 días, un protocolo de quiebres en la conducta sedentaria de 3 minutos cada 40 minutos, durante toda la jornada escolar. Ambos grupos tuvieron evaluaciones fisiológicas y aplicación de test de memoria y atención pre y post intervención. Resultados. Se encontraron diferencias estadísticamente significativas en la variable de atención con un valor p-value de (< 0,005) a favor del grupo intervenido. En valores de presión arterial sistólica y frecuencia cardiaca se evidencio un descenso significativo en el grupo intervenido (p<0,005) Conclusión. En este estudio se demuestra que el protocolo aplicado, mejora la habilidad cognitiva de atención en la población estudiada y además se reducen los valores de parámetros fisiológicos.

Background. In Chile, child sedentary lifestyle rates have increased; seven out of 10 children do not meet the minimum standards recommended by the World Health Organization. There is a lack of studies in Chile that associate free-time sedentary behavior and seated hours during the school day with cognitive skills. Objective. To determine the changes in cognitive abilities after the completion of sedentary behavior breaks. Methods. 83 students from 12 to 14 years old participated, belonging to 7th and 8th grade of the metropolitan region of Santiago de Chile. Students were randomly distributed as cases (42) and control (41). A protocol of sedentary behavior breaks of 3 minutes every 40 minutes was carried out during 1 week, during the whole school day. Both groups had physiological evaluations and application of memory tests and pre and post intervention care. Results. Statistically found differences were found both in the care variables with a p-value of <0.005 in favor of the intervened group, as well as in the systolic blood pressure and heart rate values evidencing a significant decrease in the intervened group (p < 0.005) Conclusion. This study shows that the applied protocol improves the cognitive ability of attention in the studied population and also reduces values of physiological parameters.

Development of a visible-light-active-NiTiO3 coating for the efficient removal of the persistent herbicide 2,6-dichlorobenzamide (BAM) from drinking water.

In the present research work, the photocatalytic evaluation of NiTiO3 nanoparticles immobilized on glass plates by the spin-coating procedure was carried out in the degradation of the recalcitrant herbicide 2,6-dichlorobenzamide (BAM). The concentrations of Ni employed to synthesize NiTiO3 nanoparticles were 1 wt% (1TESNi) and 2 wt% (2TESNi). The stability of coatings was evaluated by several washings and thermal treatments, which were verified by UV-vis analyses. The morphology of the coatings was studied by scanning electron microscopy (SEM-EDS). The coatings displayed thickness values of 1.35 and 2.56 µm for TiO2 and 1TESNi, respectively. The crystalline phases of the coatings were analyzed by X-ray diffraction (XRD), confirming the presence of NiTiO3 and other phases related to TiO2. The bandgap of 1TESNi, compared with the bare TiO2, was reduced from 2.96 to 2.40 eV as a consequence of Ni addition. The TiO2, 1TESNi and 2TESNi coatings were evaluated in the photodegradation of BAM using visible-light for 240 min. The highest effectiveness was displayed by the 1TESNi coating, obtaining degradation of 92.56% after 240 min. Also, the photocatalytic efficiency of the 1TESNi coating was only reduced 1.99% after 3 reuse cycles in the BAM degradation. The scavenger tests revealed that the main oxidizing species involved in the reaction were the •OH- and •O2- radicals. The 1TESNi coating showed the highest photocatalytic efficiency because of its absorption in the visible-light region, valuable surface area and electronic charge separation. Thus, these advantageous features guarantee that NiTiO3 coatings are an efficient method for degrading recalcitrant herbicides from drinking water using a practical way to recover and reuse photocatalysts.

[Analysis of Clinical-Scientific Research on Diabetes Mellitus in Chile: A 13-Year Study]. / Análisis de la investigación clínicacientífica sobre diabetes mellitus en Chile-13 años.

INTRODUCTION: Chile has one of the highest prevalences of Diabetes Mellitus (DM) in Latin America. Therefore, it is relevant to conduct a scientific analysis to identify national scientific productivity in this field objectively and determine if the research efforts are directed toward clinical priorities. MATERIALS AND METHODS: A systematic review of research conducted on DM in Chile was designed. Scientific evidence from the years 2010 to 2022 was considered. The scientific search was conducted in four databases (PubMed, EMBASE, Scopus, and Scielo) and guided by the PRISMA statement (Preferred Reporting Items for Systematic Review and Meta-Analysis) executed through the COVIDENCE® platform. RESULTS: Out of the 1,953 articles identified in the bibliographic search, 1,542 were discarded. After full-text analysis, 411 articles were obtained involving over 75,000 subjects. The articles were categorized into fourteen themes. The total scientific productivity showed a constant increase between 2010 and 2016 and an exponential increase between 2017-2022. However, there is a downward trend in the years 2021-2022. The international and national prevalence explains the number of studies associated with type 2 diabetes (DM2), followed by gestational and type 1 diabetes. When analyzing the complications of DM in Chile, its prevalence is not reflected in the number of articles published for each. CONCLUSIONS: These results highlight the need to promote research in academic and/or clinical institutions, emphasizing reducing the incidence of DM2 due to the low number of articles with this type of design and the more prevalent complications.

Efectos del sedentarismo sobre el metabolismo de la glucosa en pacientes con sobrepeso u obesidad / Acute effects of sedentary lifestyle disruptors on glucose metabolism in overweight or obese patients

Introducción: El sobrepeso y la obesidad se han triplicado en los últimos 40 años a nivel mundial. Se ha demostrado una asociación entre un tiempo elevado en conducta sedentaria y la obesidad. Por lo tanto, todas las intervenciones destinadas a reducir el tiempo en conducta sedentaria podrían eventualmente mejorar la salud cardiometabólica de personas con sobrepeso u obesidad. Es así que el objetivo de este estudio fue evidenciar los efectos de los quiebres en la conducta sedentaria, con episodios cortos de actividad física, sobre los parámetros de control glucémico en personas con sobrepeso y obesidad. Material y Método: Se realizó una búsqueda sistemática de ensayos clínicos aleatorizados, ensayos clínicos aleatorizados cruzados y estudios piloto. Para ello, se consideraron las siguientes bases de datos: PubMed, Cochrane, EBSCO, WoS, ScienceDirect y Medline. Resultados: Se identificaron 94 estudios sobre el tema, los cuales se analizaron con la plataforma COVIDENCE. Para el estudio final se seleccionaron 10 artículos, que suman un total de 185 pacientes. Los resultados muestran que los quiebres en la conducta sedentaria en personas con sobrepeso u obesidad, aumentan la sensibilidad insulínica, disminuye el área incremental bajo la curva de glucosa, el área incremental bajo la curva de insulina y las glicemias de ayuno y postprandial. Conclusión: Las intervenciones agudas de hasta 5 días en la conducta sedentaria, con actividad física de intensidad leve a moderada, inducen mejoras sobre indicadores de control glucémico en personas con sobrepeso u obesidad.

Introduction: The incidence of overweight and obesity worldwide has increased three times in the last 40 years. It has been determined that the affected population has lower levels of physical activity compared to the healthy population, as well as an association between a high time in sedentary behavior and obesity. Therefore, all interventions aimed at reducing time in sedentary behavior could eventually improve the cardiometabolic health of people who are overweight or obese. Thus, the objective of this study was to demonstrate the effects of breaks in sedentary behavior, with short episodes of physical activity, on glycemic control parameters in overweight and obese people. Material and Method: A systematic search for randomized clinical trials, crossover randomized clinical trials, and pilot studies was performed. For this, the following databases were considered: PubMed, Cochrane, EBSCO, WoS, ScienceDirect and Medline. Results: 94 studies on the subject were identified, which were analyzed with the COVIDENCE platform. For the final study, 10 articles were selected, totaling 185 patients. The results show that breaks in sedentary behavior in overweight or obese people increase insulin sensitivity, decrease the incremental area under the curve of glucose, incremental area under the curve of insulin, and fasting and postprandial glycemia. Conclusion: Acute interventions of up to 5 days in SB, with PA of mild to moderate intensity, induce improvements in indicators of glycemic control in people with overweight or obesity

Neumatocele traumático: una presentación inusual del trauma cerrado de tórax en paciente de 21 años / Traumatic pneumatocele: an unusual presentation of blunt chest trauma in a 21-year-old patient

El neumatocele traumático, o pseudoquiste pulmonar traumático, es una complicación infrecuente del trauma cerrado de tórax, caracterizada por lesiones cavitadas únicas o múltiples de paredes fibrosas bien delimitadas, sin revestimiento epitelial. Representa un reto diagnóstico ante la prevalencia de etiologías más frecuentes de cavitación pulmonar, presentación clínica inespecífica y el carácter subreportado de la patología. Se presenta el caso de un paciente de 21 años, con cuadro clínico de fiebre y dolor torácico posterior a traumatismo contuso por accidente en motocicleta, con identificación de una lesión cavitada rodeada de vidrio esmerilado, ubicada en lóbulo superior derecho en tomografía de tórax. Se ofreció tratamiento antibiótico ante la sospecha clínica de sobreinfección. Sin embargo, se atribuyó la alteración pseudoquística pulmonar al antecedente traumático. En ocasiones las cavitaciones pulmonares postrauma no son identificadas en la atención inicial, por ende, es fundamental la evaluación clínica e imagenológica subsecuente.

Traumatic pneumatocele, or traumatic pulmonary pseudocyst, is a rare complication of blunt chest trauma, characterized by multiple or unique cavitary lesions, with well-defined fibrous walls without epithelial lining. It represents a diagnostic challenge due to the higher prevalence of other etiologies of lung cavities, nonspecific clinical features and the under-reported nature of this pathology. We present the case of a 21-year-old male with fever and chest pain after a blunt chest trauma in a motorcycle accident, with identification of a cavity in the right upper lobe, surrounded by ground glass opacities. Antibiotic therapy was administered after clinical suspicion of superinfection, however, the cavitary lesion was attributed to the trauma. Occasionally, traumatic pulmonary pseudocysts are not identified during initial assessment, therefore, clinical and imagenologic follow-up is essential.

Serotypes and Clonal Composition of Streptococcus pneumoniae Isolates Causing IPD in Children and Adults in Catalonia before 2013 to 2015 and after 2017 to 2019 Systematic Introduction of PCV13.

The goal of this study was to investigate the distribution of serotypes and clonal composition of Streptococcus pneumoniae isolates causing invasive pneumococcal disease (IPD) in Catalonia, before and after systematic introduction of PCV13. Pneumococcal strains isolated from normally sterile sites obtained from patients of all ages with IPD received between 2013 and 2019 from 25 health centers of Catalonia were included. Two study periods were defined: presystematic vaccination period (2013 and 2015) and systematic vaccination period (SVP) (2017 to 2019). A total of 2,303 isolates were analyzed. In the SVP, there was a significant decrease in the incidence of IPD cases in children 5 to 17 years old (relative risk [RR] 0.61; 95% confidence interval [CI] 0.38 to 0.99), while there was a significant increase in the incidence of IPD cases in 18- to 64-year-old adults (RR 1.33; 95% CI 1.16 to 1.52) and adults over 65 years old (RR 1.23; 95% CI 1.09 to 1.38). Serotype 8 was the major emerging serotype in all age groups except in 5- to 17-year-old children. In children younger than 5 years old, the main serotypes in SVP were 24F, 15A, and 3, while in adults older than 65 years they were serotypes 3, 8, and 12F. A significant decrease in the proportions of clonal complexes CC156, CC191, and ST306 and an increase in those of CC180, CC53, and CC404 were observed. A steady decrease in the incidence of IPD caused by PCV13 serotypes indicates the importance and impact of systematic vaccination. The increase of non-PCV13 serotypes highlights the need to expand serotype coverage in future vaccines and rethink vaccination programs for older adults. IMPORTANCE We found that with the incorporation of the PCV13 vaccine, the numbers of IPD cases caused by serotypes included in this vaccine decreased in all of the age groups. Still, there was an unforeseen increase of the serotypes not included in this vaccine causing IPD, especially in the >65-year-old group. Moreover, a significant increase of serotype 3 included in the vaccine has been observed; this event has been reported by other researchers. These facts call for the incorporation of more serotypes in future vaccines and a more thorough surveillance of the dynamics of this microorganism.

Antibacterial Activity Analysis of Hydroxyapatite Based Materials with Fluorine and Silver / Análisis de la Actividad Antibacteriana de Materiales a Base de Hidroxiapatita con Flúor y Plata

ABSTRACT This investigation aims to evaluate the antibacterial activity of nanostructured hydroxyapatite based materials doped with silver and fluorine, to be used as a biomaterial with antibacterial activity. Four different formulations were prepared by combustion method: hydroxyapatite, hydroxyapatite-fluorine, hydroxyapatite-silver-fluorine and hydroxyapatite-silver, with 2% of the doping agents. X-ray diffraction technique was used to determine the mineralogy, identifying the presence of Ca5(PO4)3OH, Ca2P2O7, Ag3PO4, AgCa10(PO4)7 Ca5(PO4)3F and CaF2 phases for the studied samples. Scanning electron microscopy was used to study the morphological structure and it showed homogeneous crystallization of the hydroxyapatite and the inclusion of dopant agents. The antibacterial activity was determined using a modified inhibition test zone to observe if the bacteria (E. faecalis) was susceptible to the antimicrobial agent by the appearance of the zone of inhibition on the agar plate. Both the hydroxyapatite-silver and the hydroxyapatite-silver-fluorine materials generated an inhibition zone. It was possible to determine the minimum inhibitory concentration needed to kill most viable organisms after 48 hours of incubation using the broth microdilution method, resulting in 75 µg/ml and 200 µg/ml for the hydroxyapatite-silver and the hydroxyapatite-silver-fluorine formulation, respectively. These materials could be used for the development of new biomaterials that can be used in dental applications.

RESUMEN El objetivo de esta investigación es analizar la actividad antibacteriana de materiales nanoestructurados a base de hidroxiapatita con iones de flúor y plata que le confieran características particulares para que pueda ser utilizado como un biomaterial con actividad antimicrobiana. Se realizaron cuatro formulaciones distintas: hidroxiapatita, hidroxiapatita-flúor, hidroxiapatita-plata-flúor e hidroxiapatita-plata con un 2% de los agentes dopantes. La síntesis del material se realizó a través del método de combustión. La caracterización mineral se realizó a través de difracción de rayos X identificando las siguientes fases en las diversas formulaciones: Ca5(PO4)3OH, Ca2P2O7, Ag3PO4, AgCa10(PO4)7 Ca5(PO4)3F and CaF2. La estructura morfológica se analizó a través de microscopía electrónica de barrido que muestra la formación de estructuras compactas, presencia de cristales y la incrustación de flúor y plata. Se analizó la actividad antimicrobiana utilizando una prueba modificada para la observación del halo de inhibición, encontrándose solamente que los materiales que contenían plata-flúor y plata generaron dicho halo de inhibición. Por otra parte, usando la prueba de microdilución en pozo se encontró que la concentración mínima inhibitoria para el material de HA-Ag fue de 75 μg/ml y para el material de HA-Ag-F fue de 200 μg/ml, después de 48 horas de incubación utilizando E. faecalis.

[Impact of physical activity on glycemic variability in people with diabetes mellitus type 2]. / Impacto de la actividad física en la variabilidad glucémica en personas con diabetes mellitus tipo 2.

One of the main roles of the prescription of physical activity for people with type 2 diabetes is to reduce hyperglycemia. The beneficial effect of physical training on glycemic levels is considered as the sum of the effects of each exercise session. A better understanding of acute responses to exercise, through short-term glycemic variability, could explain the differences in the results of distinct training protocols. The objective of this study was to analyze the scientific information on different exercise protocols and their association with short-term glycemic variability in patients with type 2 diabetes. A systematic review of studies published in English and Spanish was carried out. The databases used were PubMed, Cochrane, ScienceDirect, and Medline. Only studies conducted in adults (older than 18 years) were included. A total of 36 studies were identified, which were analyzed and completed using the Covidence® platform. The final analysis included 10 articles with 296 patients. The 10 included articles were divided according to the type of intervention protocol used: group 1, acute exercise, and group 2, training. Significant differences were found in glycemic variability in 71.4% of the articles in group 1 and in 100% of the articles included in group 2. Positive effects of acute exercise and physical training on short-term glycemic variability were demonstrated. The findings were more pronounced in the intervention protocols than in physical training.

Efficient solar removal of acetaminophen contaminant from water using flexible graphene composites functionalized with Ni@TiO2:W nanoparticles.

This work presents the morphological, structural and photocatalytic properties of flexible graphene composites decorated with Ni@TiO2:W nanoparticles (TiNiW NPs) with an average size of 27 ± 2 nm. The TiNiW NPs were immobilized on the surface of a flexible graphene composite using a PVA-based slurry-paste (FG/TiNiW composite). The SEM study showed that the TiNiW NPs remained exposed on the surface of the FG/TiNiW composite, which benefited its photocatalytic activity. The photocatalytic performance for the degradation of acetaminophen (ACT) was evaluated using both the TiNiW powders and the FG/TiNiW composite, obtaining maximum degradation efficiencies of 100 and 86%, respectively, after 3 h under natural solar irradiation. The degradation of ACT was caused mainly by the reactive oxygen species such as OH radicals and h+, which was confirmed by scavenger experiments. Photoluminescence, XPS and absorbance experiments revealed that oxygen vacancy defects were created by i) doping the TiNiW NPs with W and by ii) introducing graphene into the composites. These defects enhanced the absorbance of light in the range of 400-800 nm, which in turn, promoted the photocatalytic degradation of ACT. Moreover, the reuse experiments confirmed that both the TiNiW NPs and FG/TiNiW composite were very stable for the degradation of ACT, since degradation efficiencies >82% were obtained after 4 reuse cycles for both photocatalysts. The experimental findings of this work demonstrate that the flexible TiO2/graphene composites are a feasible option for the removal of pharmaceutical contaminants from water using natural solar irradiation.

Importancia de la vena cística en la colecistectomía laparoscópica / Importance of the cystic vein in laparoscopic cholecystectomy

Resumen Objetivo: Existen diferencias en la descripción de la vena cística en la literatura, en muchas ocasiones sin considerarla un elemento importante. Consideramos que es de vital importancia describir la presencia de la vena cística como elemento significativo que puede alterar la vista crítica de seguridad (VCS) durante las colecistectomías y asimismo, originar errores. Materiales y Método: Entre el 1° de enero de 2014 hasta el 31 de diciembre de 2018, se evaluó la presencia de la vena cística durante la disección del triángulo hepatocístico en las colecistectomías. Resultados: 397 colecistectomías laparoscópicas fueron realizadas, en 30 casos se evidenciaron elementos adicionales en el triángulo hepatocístico que requirieron una disección prolija, la cual después de seguir su trayecto y al evaluar otros reparos anatómicos como el surco de Rouvière y la visualización de la vía biliar, se consideró debido a sus características que se trataba de una vena cística en 8 casos (2%). Discusión: La vena cística es una estructura anatómica cuya existencia se debe tener en mente por parte del cirujano que realiza la colecistectomía laparoscópica, porque puede aparecer como un elemento significativo alterando la vista crítica de seguridad. Aunque en nuestra serie como elemento significativo es del 2%, otras series la describen con una frecuencia mucho mayor. Conclusión: Es necesario realizar más estudios sobre la presencia e importancia como reparo anatómico debido a su valor para prevenir lesiones de la vía biliar y como factor de confusión en la vista crítica de seguridad.

Aim: There are differences in the description of the cystic vein in the literature, often without considering it an important element. We consider it vital to describe the presence of the cystic vein as a significant element that can disturb the critical view of safety during cholecystectomies, and also cause mistakes. Materials and Method: Between January 1, 2014 and December 31, 2018, the presence of the cystic vein during the dissection of the cystohepatic triangle in cholecystectomies was evaluated. Results: 397 laparoscopic cholecystectomies were performed, in 30 cases additional elements were evidenced in the cystohepatic triangle, which required a careful dissection, which after following its path and when evaluating other anatomical repairs such as the Rouvière sulcus and the visualization of the biliary tract, it was considered due to its characteristics that it was a cystic vein in 8 cases (2%). Discussion: The cystic vein is an anatomical structure whose existence must be kept in mind by the surgeon who performs laparoscopic cholecystectomy, because it can appear as a significant element altering the critical view of safety. Although in our series as a significant element it is 2%, other series describe it with a much higher frequency. Conclusion: It is necessary to carry out more studies on the presence and importance as an anatomical repair due to its value to prevent bile duct injuries and as a factor of confusion in the critical safety view.

Ejercicio físico y COVID-19: la importancia de mantenernos activos / Physical exercise and COVID-19: the importance of keeping us active

La pandemia desatada por el COVID-19 y las estrategias implementadas para intentar controlarla, han creado un ambiente poco propicio para mantener las actividades de la vida diaria. En relación con la actividad física no se han entregado medidas ni recomendaciones por parte de los estamentos reguladores (gubernamentales, educacionales, laborales). Los beneficios de la actividad física y del ejercicio en el fortalecimiento del sistema inmune han sido ampliamente documentados. Es por esto que el propósito de esta revisión es analizar la evidencia científica disponible sobre ejercicio y actividad física en tiempos de pandemia por COVID-19. MATERIAL Y MÉTODOS: Revisión de tipo bibliográfico narrativo que incluyó los artículos existentes en buscadores científicos sobre el tema. CONCLUSIONES: La evidencia analizada respalda la importancia de realizar actividad física en tiempos de pandemia. La actividad física diaria juega un rol fundamental en la lucha contra el COVID-19, especialmente en la población más vulnerable.

COVID-19 pandemic outbreak, as well as strategies aiming to control it, have created an unfavorable environment to keep up with daily life activities. No physical activity instructions nor suggestions have been given by regulatory estates (government, education, or labor). Exercise and physical activity benefit regarding immune system strengtheningn have been widely documented, which is why the aim of this study is to analyze existing literature of exercise and physical activities through COVID-19 pandemic outbreak. MATERIALS AND METHODS: Narrative bibliographic study including existing evidence on this subject. CONCLUSIONS: Analyzed evidence support the importance of physical activity during pandemic times. Daily physical activity plays a fundamental role in the fight against COVID-19, especially in the most vulnerable population.

Cambios en índice de masa corporal en pacientes portadores de apnea del sueño a un año de tratamiento con dispositivo de presión de aire positiva continua (CPAP) / Changes in body mass index in sleep apnea patients with a year of continuous positive airway pressure treatment (CPAP)

Resumen El síndrome de apnea hipoapnea del sueño (SAHS), está asociado fuertemente a la obesidad. El objetivo de este estudio es determinar las variaciones en el índice de masa corporal (IMC) en pacientes portadores de SAHS luego de un año de tratamiento con CPAP. Resultados: 104 pacientes varones fueron incluidos en este estudio, las variables analizadas fueron: índice de apnea-hipopnea (IAH), índice de masa corporal (IMC) y cuestionario de somnolencia diurna Epworth. Respecto a los datos obtenidos de IMC, se encontró tras un año de tratamiento con CPAP un descenso significativo de esta variable (p < 0,001). En la escala de somnolencia también se obtuvo un descenso significativo. Discusión: La evidencia ha sugerido regularmente que a mayor peso corporal existirían también niveles más elevados de IAH, las mejoras en el IMC referidas en este estudio, resaltan la importancia del correcto tratamiento no solo en el control de los eventos respiratorios, sino que en la disminución del peso corporal.

Sleep Apnea Syndrome (SAS) it is highly related to obesity. The main purpose of this study is to determine the variation between Apnea Hypopnea Index (AHI) and Body Mass Index (BMI) on sleep apnea patients after a year of CPAP treatment on the Linde Sleep Center. Results: 104 male patients were included in this study, the variables analyzed were; AHI, BMI, Epworth daytime somnolence. As for the data obtained from BMI, after one year of treatment with CPAP, the BMI showed a significant decrease (p < 0.001). In the daytime sleepiness scale, a significant decrease was also found between pre and post treatment values. Discussion: Evidence has consistently suggested that higher body weight would also have higher levels of AHI, and the improvements in BMI referred to in this study emphasize the importance of proper treatment not only in control of respiratory events, but in the reduction of body weight.

An homozygous mutation in KCNK3 is associated with an aggressive form of hereditary pulmonary arterial hypertension.

Pulmonary arterial hypertension (PAH) is a rare devastating disease characterized by a high genetic heterogeneity with several related genes recently described, including BMPR2,TBX4 and KCNK3. The association between KCNK3 and PAH has been recently identified, but the prognosis and phenotype associated with these mutations have been poorly described. We studied a series of 136 idiopathic and hereditary PAH Spanish patients for BMPR2, TBX4 and KCNK3 mutations. We report the results of KCNK3 in which we were able to describe two new mutations (p.Gly106Arg and p.Leu214Arg) in three patients. The first one was found in a patient belonging to a consanguineous Romani family, who carried a homozygous mutation in KCNK3 and developed a severe and early form of the disease. To the best of our knowledge, this is the first time that a homozygous mutation in KCNK3 is reported in a PAH patient. The second one was found in a patient who presented at the young adult age a severe form of the disease. The present report supports the contribution of KCNK3 mutations to the genetic etiology of PAH and strongly suggests that mutations in KCNK3 follow incomplete dominance with worsening of the clinical features in homozygous patients.

Percepción de la vivencia del acceso oportuno al diagnóstico del VIH, en personas viviendo con VIH/SIDA: Acceso oportuno al test de VIH / Perceptions about the elisa test of people diagnosed at the aids stage

Background: The delay in the diagnosis of AIDS results in higher treatment costs. Aim: To reveal the experiences of people who were diagnosed in the AIDS stage about the access to the ELISA test. Material and Methods: In depth interviews were carried out to 15 participants from public hospitals who were in the AIDS stage at the moment of the diagnosis. The main questions asked were about the motivations to take the test, the barriers found and the help received from the health care personnel. All interviews were recorded and analyzed according to Kripperdorff. Results: The three categories that emerged were the motivations to take the test, the facilitators found and the difficulties to access to the test. The main motivation was a condition of vulnerability due to the suspicion or certainty of being infected. The main facilitator was the sensation of being accepted and not discriminated. The main difficulties were the fear of having a positive test and of being discriminated and the lack of information. Conclusions: Knowing these experiences will help to improve the early detection of HIV infections.

Actualizaciones sobre "Irisina": la nueva mioquina / Irisin updates: the new myokine

In the continuous search of researchers to find an effective method to control obesity, a myokine called Irisin was found. Irisin is secreted mainly by skeletal muscle in response to exercise, either resistance, strength or high intensity, where High Intensity Interval Training (HIIT) is included. This polypeptide hormone acts mainly on subcutaneous adipose cells, turning white fat into brown fat. Brown fat is highly thermogenic, which enhance raising of total energy expenditure and helps maintaining or loosing corporal weight. Plasmatic Irisin levels are related positively with insulin sensitivity and weight loss. It has been also discovered that a greater plasmatic level of Irisin is related to the lengthening of telomeres, to a greater concentration of free tyrosine (T4) and it has been recently found that is related to an antitumoral effect on some types of cancer. All of the functions mediated by Irisin, have given it a protective action against different diseases, especially metabolic ones. The aim of this review was to update the knowledge about Irisin, and to show the effects that exercise has on its plasmatic levels, as well as comprehend how does the release of irisin influences different body systems. Counting with more information will allow the arising of new lines of investigation that will bring up non pharmacological therapeutic strategies for the treatment of non-communicable diseases.

En la búsqueda continua de los investigadores por combatir de manera más efectiva la obesidad, se descubre una mioquina llamada Irisina. La Irisina es secretada principalmente por el músculo esquelético en respuesta al ejercicio, ya sea aeróbico, de fuerza o de alta intensidad, donde se incluyen, ejercicios de intervalo de alta intensidad (HIIT). Esta hormona polipeptídica actúa principalmente sobre células adiposas subcutáneas, transformando grasa blanca en grasa parda. La grasa parda es altamente termogénica, lo que favorece el aumento del gasto energético total y ayuda a mantener o incluso a perder peso corporal. La concentración de Irisina plasmática se relaciona positivamente con la sensibilidad a la insulina y la pérdida de peso. Además, se ha descubierto que una mayor concentración de Irisina plasmática se relaciona con el alargamiento de los telómeros, y también, con una mayor concentración de T4 libre y con un recién descubierto efecto antitumoral en algunos tipos de cáncer. Todas las funciones mediadas por la Irisina, le atribuyen una acción protectora contra distintas enfermedades, especialmente metabólicas. El objetivo de esta revisión fue actualizar el conocimiento sobre la Irisina, evidenciando los efectos que tiene la realización de ejercicio sobre los niveles plasmáticos de ésta, así como también comprender como su liberación influye en distintos sistemas corporales. El contar con mayor información dará paso a nuevas líneas de investigación y permitirá contar con estrategias terapéuticas no farmacológicas que contribuyan en el tratamiento de enfermedades crónicas no transmisibles.

[Perceptions about the elisa test of people diagnosed at the aids stage]. / Percepción de la vivencia del acceso oportuno al diagnóstico del VIH, en personas viviendo con VIH/SIDA: Acceso oportuno al test de VIH.

BACKGROUND: The delay in the diagnosis of AIDS results in higher treatment costs. AIM: To reveal the experiences of people who were diagnosed in the AIDS stage about the access to the ELISA test. MATERIAL AND METHODS: In depth interviews were carried out to 15 participants from public hospitals who were in the AIDS stage at the moment of the diagnosis. The main questions asked were about the motivations to take the test, the barriers found and the help received from the health care personnel. All interviews were recorded and analyzed according to Kripperdorff. RESULTS: The three categories that emerged were the motivations to take the test, the facilitators found and the difficulties to access to the test. The main motivation was a condition of vulnerability due to the suspicion or certainty of being infected. The main facilitator was the sensation of being accepted and not discriminated. The main difficulties were the fear of having a positive test and of being discriminated and the lack of information. CONCLUSIONS: Knowing these experiences will help to improve the early detection of HIV infections.

Beneficios metabólicos de realizar ejercicio en estado de ayuno / Metabolic benefits of exercise in the fasted state

The high rate of obesity in sedentary population, coupled with the increase in diseases associated with this lifestyle, have led us to seek new strategies to enhance the physical training that will favor mobilization, uptake and utilization of fats and glucose. Doing exercise in the fasted state is one that has proved more promising. There is sufficient evidence on the benefits of physical activity during fasting producing a favorable hormonal environment, activation of mediators such as AMPKand LPL activation, among others. Performing aerobic exercise of moderate intensity in this environment favors fasting lipid oxidation, decreasing intramyo-cellular triglycerides, visceral fat and LDL cholesterol, compared with the benefits of exercise in the postprandial state. There is an important need for more studies of physical activity in the fasted state that include patients with chronic non-transmissible diseases and resistance training.

El alta tasa de obesidad y sedentarismo de la población, sumado al aumento de las patologías asociadas a éste estilo de vida, nos han llevado a buscar nuevas estrategias de entrenamiento físico que potencien la movilización, captación y utilización de grasas y glucosa. La realización de ejercicio en estado de ayuno es una de las que ha resultado ser más promisoria. Hay evidencia suficiente sobre los beneficios de realizar actividad física en ayunas, ya sea por el ambiente hormonal favorable, la activación de mediadores como el AMPK y la activación de la LPL, entre otros. La realización de ejercicio aeróbico de intensidad moderada en este ambiente de ayuno favorece la oxidación de lípidos, la disminución de los triglicéridos intramiocelulares, la grasa visceral y del colesterol LDL, en comparación con los beneficios del ejercicio realizado en ambiente postprandial. Existe una necesidad de un mayor número de estudios con actividad física en ayuna, donde se incluya a paciente con enfermedades crónicas no transmisibles y los ejercicios de tipo resistido.

Performance of culture media for the isolation and identification of Staphylococcus aureus from bovine mastitis.

Rapid isolation and identification of pathogens is a major goal of diagnostic microbiology. In order to isolate and identify Staphylococcus aureus, a number of authors have used a variety of selective and/or differential culture media. However, to date, there are no reports comparing the efficacy of selective and differential culture media for S. aureus isolation from bovine mastitis cases using the 16S rRNA (rrs) gene sequence as a gold standard test. In the present study, we evaluated the efficacy of four selective and/or differential culture media for the isolation of S. aureus from milk samples collected from cows suffering from bovine mastitis. Four hundred and forty isolates were obtained using salt-mannitol agar (SMA, Bioxon), Staphylococcus-110 agar (S110, Bioxon), CHROMAgar Staph aureus (CSA, BD-BBL) and sheep's blood agar (SBA, BD-BBL). All bacterial isolates were identified by their typical colony morphology in the respective media, by secondary tests (for coagulase and ß-haemolysis) and by partial 16S rRNA (rrs) gene sequencing as a gold standard test. Sensitivity, positive predictive and negative predictive values were higher for SMA (86.96, 52.63 and 95.95%, respectively) compared with S110 (70.00, 23.73 and 90.91%, respectively), CSA (69.23, 28.13 and 95.74%, respectively) and SBA (68.75, 37.93 and 89.58%, respectively) while specificity values were similar for all media. Data indicated that the use of culture media for S. aureus isolation combined with determination of coagulase activity and haemolysis as secondary tests improved accuracy of the identification and was in accordance with rrs gene sequence-analysis compared with the use of the culture media alone.

Male and female condition influence mating performance and sexual receptivity in two tropical fruit flies (Diptera: Tephritidae) with contrasting life histories.

Recent recognition of widespread polyandry in insects has generated considerable interest in understanding why females mate multiple times and in identifying factors that affect mating rate and inhibit female remating. However, little attention has been paid to understanding the question from both a female and male perspective, particularly with respect to factors that may simultaneously influence female remating rates. Here, we report on a study aimed at ascertaining the possible interactive effects that male and female size and diet, and female access to a host could have on mating latency, probability, and duration and female refractory period using two tropical fruit fly species with contrasting life histories. Of all factors tested, adult diet played the most significant role. Both Anastrepha ludens and Anastrepha obliqua males which had constant access to protein and sucrose mated more often, had shorter copulations and induced longer refractory periods in females than males fed a low quality diet (sucrose offered every third day). Female size and the interaction with male diet determined how quickly female A. ludens mated for the first time. Smaller females mated sooner with low quality fed males than with high quality fed males while there was no difference for large females, suggesting that male choice may be at play if high quality fed males discriminate against smaller females. Copulation duration also depended on both male and female nutritional condition, and the interaction between male diet and female size and diet. Large and high quality fed females had shorter copulations regardless of male condition. Importantly, for A. ludens, female refractory period depended on male size and the nutritional condition of both males and females, which could indicate that for this species, female receptivity does not depend only on the condition of the male ejaculate. For A. obliqua refractory period was associated with the interaction between male size and diet and male diet and host presence. We discuss our results in terms of male ability to inhibit female remating and the relative contribution of female condition to this behavior. We also address the importance of studying effects simultaneously on species with contrasting life histories.