Alternativas de manejo intervencionista en el síndrome de Budd-Chiari. Serie de casos y revisión de la literatura / Interventional management alternatives in Budd-Chiari syndrome. Series of cases and review of the literature

La obstrucción en el tracto de salida del flujo venoso hepático, también conocida como síndrome de Budd-Chiari, es una condición infrecuente que causa congestión hepática, hipertensión portal, ne-crosis de los hepatocitos y, eventualmente, falla hepática aguda o crónica. Actualmente, el manejo de esta condición representa un reto para el médico, quien debe estar preparado para determinar la mejor alternativa entre las diferentes opciones terapéuticas disponibles. Este artículo pretende ilus-trar las alternativas del manejo intervencionista de esta enfermedad, a través de una serie de casos de pacientes tratados en el servicio de Radiología Intervencionista de un hospital de referencia de la ciudad de Medellín, entre 2011 y 2017.

Hepatic venous outflow tract obstruction, also known as Budd-Chiari syndrome, is a rare condition that causes hepatic congestion, portal hypertension, hepatocyte necrosis and eventually acute or chronic liver failure. Currently, the management of this condition represents a challenge for the physi-cian, who must be prepared to determine the best alternative among the different therapeutic options available. This article aims to illustrate the alternatives of interventional management of this disease, through a series of cases of patients treated in the Interventional Radiology service of a referral hos-pital in the city of Medellin, between 2011 and 2017.

Aneurisma de la aorta abdominal asociado a íctero / Aneurysm of the abdominal aorta associated with icterus

El aneurisma de la aorta abdominal como causa de íctero obstructivo es una situación de excepción en la clínica. El objetivo de esta presentación fue exponer la coexistencia del aneurisma de la aorta abdominal y el íctero. Una asociación muy poco frecuente y de difícil diagnóstico, que coloca al cirujano vascular en la toma de una especial conducta terapéutica. La cuidadosa revisión de los antecedentes patológicos y el análisis del comportamiento clínico del paciente permitieron la solución terapéutica adecuada. Se logró demostrar que el íctero obedecía a una lesión maligna de vías biliares conocida como colangiocarcinoma, que concomitó con la existencia de un aneurisma del V segmento aórtico y no fue el resultado de una compresión extrínseca de la dilatación de la aorta, sobre las vías biliares. La conducta quirúrgica, encaminada a erradicar el íctero y evitar la ruptura aneurismática con resección del aneurisma y colocación de prótesis, no resultó posible por lo avanzado de la lesión tumoral y el grado de metástasis ya establecidos. Solo se realizó resección de la vesícula biliar y seguimiento posterior por oncología(AU)

Abdominal aortic aneurysm as a cause of obstructive icterus is an exceptional situation in the clinic. The aim of this presentation was to expose the coexistence of abdominal aortic aneurysm and icterus. A very rare and difficult to diagnose association, which places the vascular surgeon in a special therapeutic approach. The careful review of the pathological history and the analysis of the patient's clinical behavior allowed the appropriate therapeutic solution. It was possible to demonstrate that the icterus was due to a malignant lesion of the biliary tract known as cholangiocarcinoma, which concomitated with the existence of an aneurysm of the V aortic segment and was not the result of extrinsic compression of the dilatation of the aorta on the biliary tract. The surgical procedure, aimed at eradicating the icterus and avoiding aneurysmal rupture with aneurysm resection and prosthesis placement, was not possible due to the advanced tumor lesion and the degree of metastasis already established. Only gallbladder resection was performed and subsequent follow-up by oncology(AU)

Treatment of Post-biopsy Arteriovenous Fistula of a Renal Graft by Selective Embolization.

The development of an arteriovenous fistula (AVF) after renal graft biopsy is a rare complication, it is associated in most cases with spontaneous resolution. However, interventional therapies are required in some cases, to prevent graft loss. Selective embolization has been described as an alternative treatment. In the present study, we describes our experience on AVF after biopsy in kidney transplant patients, which was managed with selective embolization. From 2005 to 2015, a total of 452 kidney transplant biopsies were performed, 12 had an AVF requiring embolization. In 92% of cases, this was successful. Beforehand, mean serum creatinine levels were 2.45 mg/dL, after the procedure, that increased to 3.05, however, 3 months later, mean creatinine levels dropped to 1.85 mg/dL. Graft survival after 2 follow-up years was 72%. Our experience demonstrates that selective embolization of the AVF after kidney transplant biopsy is a safe procedure, and that transplant function can be maintained in patients with this complication.

Aneurismas por Estreptococo Pneumoniae / Aneurysms by Streptococcal Pneumoniae

El Estreptococo Pneumoniae es un microorganismo patógeno capaz de causar en humanos diversas infecciones y procesos invasivos severos, siempre graves y potencialmente letales. El objetivo de este trabajo fue mostrar la infrecuente presencia del Estreptococo Pneumoniae en la aparición de los aneurismas micóticos aórticos y de arterias periféricas, una asociación muy particular que coloca al cirujano vascular ante una especial conducta terapéutica encaminada a erradicar la infección, evitar la ruptura y sustituir la arteria, para mantener la continuidad de la luz del vaso y prevenir situaciones graves de isquemia(AU)

Streptococcal Pneumoniae is a pathogenic microorganism capable of causing in humans various infections and severe, always serious and potentially lethal invasive processes. The objective of this work was to show the rare presence of Streptococcal Pneumoniae in the onset of aortic mycotic aneurysms and peripheral arteries, a very particular association that places the vascular surgeon in an special therapeutic behavior aimed at eradicating the infection, preventing ruptures and replacing the artery, to maintain the continuity of vessel's light and prevent serious ischemia's situations(AU)

How false is Nereis falsa (Annelida, Phyllodocida, Nereididae)? / ¿Qué tan falsa es Nereis falsa (Annelida, Phyllodocida, Nereididae)?

Abstract: There are many taxonomic problems in polychaete species names and solving confusing or inadequate taxonomic procedures is both time-demanding and extremely important. Our objective in this contribution was to analyse what is the current taxonomic situation for Nereis falsa de Quatrefages, 1866; it was based upon Nereis pulsatoria? Rathke, 1837 from the Black Sea, and it is currently regarded as having a very wide distribution. The species has been collected from different benthic substrates and even can be found on floating objects or marine turtles. Nereis falsa has been recorded from the Mediterranean Sea, the Eastern Atlantic along Africa, the Western Atlantic (Gulf of Mexico, Caribbean Sea, Brazil), and the Indian Ocean. However, despite the fact N. falsa was proposed as a species from the Black Sea, it has not yet been found there. How can we explain that a species is able to attain a very wide distribution and yet be missing from its type locality? After a careful study of previous publications and with our understanding of the systematics of nereidid polychaetes, we clarify the current situation by examining several related species and pointed out some nomenclatural issues. Our analysis indicates there is more than one species included under the same name, and in this contribution we propose some means to promote discussion and actions, and suggest some basic research for solving this issue. Rev. Biol. Trop. 65 (3): 847-857. Epub 2017 September 01.

Resumen: Entre los nombres de especies de poliquetos hay muchos problemas taxonómicos y resolver los procedimientos taxonómicos confusos o inadecuados consume mucho tiempo y es muy importante. Nuestro objetivo en esta contribución es analizar cuál es la situación para Nereis falsa de Quatrefages, 1866; fue basada en Nereis pulsatoria? Rathke, 1837 del Mar Negro, y se considera como una especie de amplia distribución. La especie se ha recolectado en diferentes sustratos bénticos e incluso puede hallarse en objetos flotantes o sobre tortugas marinas. Nereis falsa se ha registrado del Mar Mediterráneo, en el Atlántico oriental a lo largo del África, en el Atlántico occidental (Golfo de México, Mar Caribe, Brasil), y en el Índico. Sin embargo, a pesar de haber sido propuesta para una especie del Mar Negro no se ha vuelto a encontrar en el mismo. ¿Cómo conjugar que una especie pueda alcanzar una vasta distribución y faltar en su localidad tipo? Después de un estudio cuidadoso de las publicaciones sobre el tema y con nuestra comprensión de la sistemática de los poliquetos neréididos, clarificamos la situación prevalente al examinar varias especies relacionadas e indicamos algunas cuestiones nomenclaturales. Nuestro análisis indica que hay más de una especie bajo el mismo nombre y en esta contribución, nos enfocamos al problema, proponemos algunas formas para promover la discusión y la acción, y sugerimos algunas actividades de investigación para resolver el problema.

Morphological distinction between estuarine polychaetes: Laeonereis culveri and L. nota (Phyllodocida: Nereididae) / Distinción morfológica de dos poliquetos neréididos estuarinos: Laeonereis culveri (Webster, 1879) y L. nota (Treadwell, 1941)

AbstractThe family Nereididae includes more than 500 polychaete species described worldwide, and includes species common in many benthic environments, but some other species may tolerate freshwater or can even thrive in humid substrates in tropical forests. In estuarine environments, nereidid polychaetes can be abundant and relevant as a food source for resident or migratory birds. Laeonereis culveri (Webster, 1879) is a common estuarine species found in tropical and subtropical Atlantic American shores and was described from New Jersey; its median and posterior parapodia have upper notopodial ligules usually longer than the lower ones, and the latter are parallel to the notaciculae throughout the body. L. culveri distribution is from Connecticut to central Argentina; however, this wide distribution might be due to the inclusion of several other species as junior synonyms, despite that some morphological differences were found between them. One of such species is L. nota (Treadwell, 1941), that was described from Texas; its parapodia have notopodial ligules of about the same size, and the lower ones are oblique to the notaciculae. In order to clarify the differences between these two species, and to define which inhabits the Northwestern Caribbean region, topotype materials from these two species and specimens from Chetumal Bay were collected, and their morphological features were compared. Our results indicated that L. culveri and L. nota are different species and that the latter is found in Chetumal Bay. On the basis of mature specimens, L. culveri is hereby restricted to the Northern Gulf of Mexico and Northwestern Atlantic Ocean, and L. nota is reinstated and its distribution extends from Texas, in the Gulf of Mexico to Chetumal Bay, in the Northwestern Caribbean Sea. A key to identify all species in Laeonereis Hartman (1945) is also included.

ResumenLa familia Nereididae incluye especies comunes y frecuentes en muchos ambientes bénticos y cuenta con más de 500 especies en todo el mundo, y algunas pueden tolerar ambientes dulceacuícolas e incluso viven en sustratos húmedos en bosques tropicales. Como ocurre en otras especies estuarinas, los poliquetos neréididos pueden ser abundantes y relevantes como fuente de alimento para aves residentes o migratorias. Laeonereis culveri (Webster, 1879) es una especie común en estuarios, fue descrita de Nueva Jersey, E.U.A.; sus parápodos medianos y posteriores tienen lígulas notopodiales superiores generalmente más largas que las inferiores, y estas últimas son paralelas a las notacículas a lo largo del cuerpo. La distribución de L. culveri comprende desde Connecticut, E.U.A. hasta el litoral central de Argentina; esta amplia distribución podría deberse a la inclusión de otras especies como sinónimos menores, a pesar de las diferencias morfológicas entre ellas. Una de dichas especies, L. nota (Treadwell, 1941) fue descrita de Texas; sus parápodos medios y posteriores tienen lígulas notopodiales superiores de longitud similar a las inferiores, y estas últimas son oblicuas a las notacículas. Para clarificar las diferencias entre estas dos especies y determinar cuál de ellas se encuentra en el Caribe noroccidental, se estudiaron topotipos de ambas especies y se recolectaron ejemplares de la Bahía de Chetumal para comparar sus atributos morfológicos. Nuestros resultados indican que L. culveri y L. nota son especies diferentes y que la última se presenta en la Bahía de Chetumal. Con base en ejemplares maduros, L. culveri se restringe al norte del Golfo de México y Atlántico noroccidental y L. nota se reestablece con una distribución que se extiende desde Texas, en el Golfo de México a la Bahía de Chetumal, en el Caribe noroccidental. También se incluye una clave para la identificación de todas las especies de Laeonereis Hartman, 1945.

Acceso a la cirugía bariátrica en Colombia: la tutela como mecanismo de protección para el paciente obeso / Access to bariatric surgery in Colombia: legal actions as protection mechanism for obese patient

Antecedentes. La cirugía bariátrica es un procedimiento efectivo para el tratamiento de la obesidad. En Colombia, a muchos pacientes le es negada la realización de esta cirugía por parte de algunas aseguradoras, por lo cual deben recurrir a acciones legales como la tutela para proteger su derecho a la salud y así obtener acceso a un tratamiento efectivo para su patología. Objetivo. Evaluar la efectividad de la acción de tutela para acceder a la cirugía bariátrica e indagar las características de los sujetos en las sentencias de tutela, además de las consideraciones y los factores relacionados con la aprobación o negación del procedimiento. Materiales y métodos. Mediante la búsqueda sistemática de sentencias de tutela en el radicador de sentencias de la Corte Constitucional de Colombia, se obtuvo una base de datos sobre la cual se realizó un análisis para evaluar la acción de tutela en los casos de cirugía bariátrica. Resultados. Dicho análisis se llevó acabo en 42 sentencias de tutela, dentro de las cuales se encontró una tasa de aprobación de 72 %. Por otro lado, la prevalencia de obesidad grado III asociada a comorbilidades en el estudio fue de 69 %. Además se encontró que lavulneración del derecho a la salud y la exclusión de la cirugía bariátrica del plan obligatorio de salud fueron los argumentos más frecuentemente empleados por los demandantes y las entidades promotoras de salud, respectivamente. Conclusión. Con base en el análisis, se puede concluir que la tutela es un mecanismo efectivo para el acceso a la cirugía bariátrica en los casos en que este procedimiento haya sido negado por alguna entidad prestadora de salud.

Background. Bariatric surgery is an effective treatment for obesity. In Colombia, this surgery is denied to many patients by insurance companies, prompting them to seek legal action (for example, through tutela) in order to protect their health rights and gain access to a treatment for this disease. Objective. Evaluate the effectiveness of legal action (tutela) in gaining access to bariatric surgery. Determine the characteristics of those who appeal for legal action, and the factors and considerations related to the subsequent approval or disapproval of the procedure. Materials and Methods. Analysis and evaluation of legal action (tutela) in bariatric surgery cases by generation of a database through systematic search with the verdict search tool of the Constitutional Court of Colombia. Results. 42 verdicts were analyzed. There was an overall approval of 72 % of legal actions. The prevalence of stage III obesity with associated comorbidities was 69 %. Infringement of the right to access to health care and that bariatric surgery is not covered by the mandatory health plan, were the most frequent arguments used by the plaintiffs and health promoting entities, respectively. Conclusions. The legal action known as "tutela" is an effective method for the obese patient to access bariatric surgery in Colombia.

A cost-utility analysis of the use of preoperative computed tomographic angiography in abdomen-based perforator flap breast reconstruction.

BACKGROUND: Computed tomographic angiography is a diagnostic tool increasingly used for preoperative vascular mapping in abdomen-based perforator flap breast reconstruction. This study compared the use of computed tomographic angiography and the conventional practice of Doppler ultrasonography only in postmastectomy reconstruction using a cost-utility model. METHODS: Following a comprehensive literature review, a decision analytic model was created using the three most clinically relevant health outcomes in free autologous breast reconstruction with computed tomographic angiography versus Doppler ultrasonography only. Cost and utility estimates for each health outcome were used to derive the quality-adjusted life-years and incremental cost-utility ratio. One-way sensitivity analysis was performed to scrutinize the robustness of the authors' results. RESULTS: Six studies and 782 patients were identified. Cost-utility analysis revealed a baseline cost savings of $3179, a gain in quality-adjusted life-years of 0.25. This yielded an incremental cost-utility ratio of -$12,716, implying a dominant choice favoring preoperative computed tomographic angiography. Sensitivity analysis revealed that computed tomographic angiography was costlier when the operative time difference between the two techniques was less than 21.3 minutes. However, the clinical advantage of computed tomographic angiography over Doppler ultrasonography only showed that computed tomographic angiography would still remain the cost-effective option even if it offered no additional operating time advantage. CONCLUSIONS: The authors' results show that computed tomographic angiography is a cost-effective technology for identifying lower abdominal perforators for autologous breast reconstruction. Although the perfect study would be a randomized controlled trial of the two approaches with true cost accrual, the authors' results represent the best available evidence.

Ecografía Doppler en la evaluación de trasplante del hígado / US Doppler in Liver Transplantation

El trasplante de hígado es un método terapéutico efectivo para el tratamiento de múltiples enfermedades hepáticas terminales irreversibles, tanto agudas como crónicas. Los avances en la terapia inmunosupresora, la técnica quirúrgica y el cuidado perioperatorio han mejorado el pronóstico de los pacientes sometidos a este procedimiento. La ecografía con evaluación Doppler es el método de imagen más utilizado para valorar a estos pacientes, tanto en la etapa inicial como en el seguimiento a largo plazo. Tiene como ventajas estar ampliamente disponible, la posibilidad de volverse portátil, no generar efectos secundarios y no asociarse con efectos por radiación ionizante. Permite realizar una valoración anatómica en escala de grises y funcional con la evaluación del flujo de las diferentes anastomosis vasculares. Es el método diagnóstico ideal ante la sospecha de complicaciones vasculares. Las complicaciones más comunes y con más importancia clínica son las vasculares: trombosis arterial, trombosis venosa, estenosis, fístulas. También se encuentran complicaciones de la anastomosis biliar, las colecciones, las neoplasias y el rechazo. En este artículo se revisan los hallazgos normales y anormales en el Doppler de los pacientes sometidos a trasplante de hígado.

Liver transplantation is an effective therapeutic method for treatment of multiple irreversible terminal liver disease, both acute and chronic. Advances in immunosuppressive therapy, surgical technique and post-surgical care have improved the prognosis of patients undergoing this procedure. The ultrasound with Doppler assessment is the image method which is most commonly used to assess these patients, both in the initial phase and during long-term follow-up. The advantages of ultrasound Doppler are the following: It is widely available, it can be portable, it does not cause sideeffects, and it is not associated with ionizing radiation effects. In addition, it also allows an anatomical assessment of grey and functional scales, with flow evaluation of different vascular complications. The most common complications during liver transplantation, as well as the ones with the highest clinical importance are vascular complications: arterial thrombosis, venous thrombosis, stenosis, fistulas. In addition, one can find complications of biliary anastomosis, as well as collections, neoplasms and rejection. Normal and abnormal Doppler findings in patients undergoing liver transplantation are reviewed in this article.

Hidrotórax hepático: reporte de caso y revisión de la literatura / Hepatic hydrothorax: case report and literature review

El hidrotórax hepático es una complicación poco común que se da en pacientes con cirrosis hepática. Sepresenta el caso de una paciente con cirrosis por esteatohepatitis no alcohólica y evidencia de hipertensiónportal, y quien se presenta al servicio de urgencias con tos y dolor torácico; se le encuentra un derramepleural tipo trasudado por criterios de Light, asociado a ascitis, sin hallarse una causa cardíaca, pleural opulmonar del derrame mencionado. Se inicia tratamiento diurético, pero este debe ser suspendido cuandola paciente desarrolla disfunción renal importante; se drena el líquido con toracostomía, pero la pérdida devolumen adicional deteriora aún más la función renal, por lo que se decide realizar un shunt transyugularportosistémico (TIPS). Se logra disminuir la presión portal y el nivel de líquido ascítico y el derrame pleuraldisminuyen progresivamente. En una revisión posterior de la paciente y de su seguimiento radiológico no seregistró reaparición de los síntomas ni del derrame pleural o de ascitis.

Hepatic hydrothorax is a rare complication that occurs in patients with liver cirrhosis. We report the caseof a patient with NASH cirrhosis and evidence of portal hypertension who was admitted to the emergencydepartment with coughing and chest pain. Transudative pleural effusions (according to Light’s criteria) werefound in association with ascites, but no cardiac cause, pleural effusion or pulmonary effusion could be found.Treatment with diuretics was begun, but was suspended because the patient developed signifi cant renal dysfunction.Fluid was drained with a thoracostomy but additional loss of fl uid led to further deterioration of renalfunction. It was decided to insert a transjugular portosystemic shunt (TIPS) to signifi cantly decrease portalpressure and to progressively decrease ascitic fl uid and pleural effusion. A subsequent review of the patientand radiological follow-up found no recurrence of symptoms, pleural effusion or ascites.

Annulata örstediana: publication dates, composition and annotated taxonomic list, with some comments on Hemipodus (Polychaeta: Glyceridae)

The collecting trips by Ørsted and Kröyer in Central and South America resulted in a series of papers by Grube, the Annulata örstediana which contained the proposal for seven genera and descriptions for 84 species. There are some problems dealing with the correct number of contributions, their publication dates, the correct citation for the authors for each species name and sometimes even for the type locality. In order to improve the current situation, we have consulted the original publications together with the corresponding collections. Our results indicate that there were only three parts in the series which were published in the journal, and repagination in reprints sometimes caused some further confusion. Additionally, we provided some review comments on the species current status and we added a short nomenclatural note on Hemipodus (Polychaeta: Glyceridae) trying to clarify the correct generic name and type species.

Los viajes de recolecta por Ørsted y Kröyer en Centroamérica y Sudamérica resultaron en una serie de notas por Grube, los Annulata örstediana que contienen la propuesta de siete géneros y 84 especies. Hay algunos problemas en relación con el número correcto de contribuciones, sus fechas de publicación, la citación correcta de los autores para cada nombre específico y a veces incluso para la localidad tipo. Para mejorar la situación, hemos consultado las publicaciones originales junto con las colecciones correspondientes. Nuestros resultados indican que hubo tres partes en la serie, que fueron publicadas en la revista y cuyas páginas fueron re-enumeradas para las separatas lo que a veces ocasionó confusiones adicionales. Además, brindamos algunos comentarios para revisar el estado de cada especie y agregamos una breve nota nomenclatural sobre Hemipodus (Polychaeta: Glyceridae) para aclarar el nombre correcto del género y la especie tipo.

Giant Eunicid Polychaetes (Annelida) in shallow tropical and temperate seas

Some species of Eunice might reach giant size, often being longer than 2m, and they are known from tropical and temperate seas. Despite their large size and recent internet notoriety, there remain some taxonomic problems in large-sized eunicids, especially since original descriptions were brief and type materials are often missing. As a mean to encourage the solution of this situation, we review the historical progress in the taxonomy of the group, including some comments on generic and specific delineation, and recommend some critical steps to solve the current confusion. These ideally would include collecting in type localities, evaluate ontogenetic morphological changes, and generate some molecular analysis to complement the morphological approach. Rev. Biol. Trop. 59 (4): 1463-1474. Epub 2011 December 01.

Algunas species de Eunice pueden alcanzar tamaño gigantesco, a menudo sobrepasan los 2m de largo, y se conocen de mares tropicales y templados. A pesar de su gran tamaño y de su reciente notoriedad en Internet, todavía hay problemas taxonómicos entre los eunícidos gigantes, especialmente dado que las descripciones originales fueron breves y a menudo se carece de materiales tipo. Para incentivar la solución del problema, revisamos el desarrollo histórico de la taxonomía del grupo y se incluyen algunos comentarios sobre la delineación de los géneros y de las especies y recomendamos algunos pasos críticos para alcanzar este fin. Idealmente, esto incluiría recolectar en las localidades tipo, evaluar cambios morfológicos durante la ontogenia y generar algunos análisis moleculares para complementar el enfoque morfológico.

Taxonomía de ineertebrados marinos: necesidades en latinoamérica / Marine invertebaate taxonomy: needs in latin america / Taxonomia d inveertebrados marinhos: necessidades na américa latnna

La taxonomía es una disciplina fundamental en la biología y es indispensable para la determinación de especies indicadoras o exóticas y para actividades de monitoreo. Para su desarrollo, se requiere de colecciones de historia natural y herbarios que documenten la biodiversidad regional. Por la gran biodiversidad del planeta, la taxonomía merece la misma atención que los programas del cambio climático. Los resultados de varias reuniones internacionales, desde la Convención sobre Diversidad Biológica de 1992, resaltaron la necesidad de mejorar el respaldo gubernamental para esta disciplina. Una de las principales conclusiones alcanzadas fue establecer una iniciativa global para la taxonomía en 1998. Los países se comprometieron a establecer programas nacionales pero como no se avanzó, la Conferencia de las Partes consideró urgente su implementación en 2006. En el presente trabajo se revisan los problemas y avances principales, y se propone una ruta crítica para organizar programas en Latinoamérica, con énfasis en los invertebrados marinos. Se plantea que es necesario que los taxónomos y responsables de colecciones se organicen, mejoren sus relaciones con los tomadores de decisiones y preparen una iniciativa nacional, la cual debe incluir un programa de contratación progresiva para mantener y diversificar el conocimiento de la biota marina. Al mismo tiempo, se enfatiza que la investigación taxonómica debe incorporar métodos y enfoques bioinformáticas y moleculares, y ser considerada como ciencia planetaria.

Taxonomy is a fundamental discipline of biology and it is indispensable for the identification of species, either indicator ones or exotic, and for monitoring activities. To achieve its potential, this discipline requires the establishment of natural history collections and herbaria that document local and regional biodiversity. Because of the high levels of global biodiversity, taxonomy deserves the same attention as the climate change programs. Several international meetings, since the Convention on Biological Diversity in 1992, have pointed out the need to imcrease government support for taxonomy. One of the main conclusions was to establish a Global Taxonomy Initiative (GTI) in 1998. Governments failed to establish national programs for taxonomy; thus in 2006 the Conference of the Parties stressed again the urgency of their implementation. This review lists the problems faced and main progress achieved by the GTI and proposes a road map for Latin America with an emphasis on marine invertebrates. It is recommended that taxonomists and collection managers team together, improve their relationships with policy makers and funding science agencies, and prepare national initiatives. These initiatives should include a stepwise hiring program in order to improve and diversify the knowledge of the marine biota. At the same time, taxonomic research should involve state of the art bioinformatics and molecular tools, and become a global science.

A taxonomia é uma disciplina fundamental na biologia e é indispensável para a determinação de espécies indicadoras ou exóticas e para atividades de monitoração. Para seu desenvolvimento, se requer de coleções de historia natural e herbários que documentem a biodiversidade regional. Pela grande biodiversidade do planeta, a taxonomia merece a mesma atenção que os programas de mudança climática. Os resultados de varias reuniões internacionais, desde a Convenção sobre Diversidade Biológica de 1992, destacaram a necessidade de melhorar o apoio governamental para esta disciplina. Uma das principais conclusões alcançadas foi estabelecer uma iniciativa global para a taxonomia em 1998. Os países se comprometeram a estabelecer programas nacionais, mas como não houve avanço, a Conferência das Partes considerou urgente sua implementação em 2006. Este trabalho revisa os problemas e avanços principais, e propõe uma rota crítica para organizar programas na América Latina com ênfase nos invertebrados marinhos. Propõe-se há necessidade de que os taxônomos e responsáveis de coleções se organizem, melhorem suas relações com os tomadores de decisões e preparem uma iniciativa nacional que deve incluir um programa de contratação progressiva para manter e diversificar o conhecimento da biota marinha. Ao mesmo tempo, se enfatiza que a investigação taxonômica deve incorporar métodos e enfoques bioinformáticos e moleculares, e ser considerada como ciência planetária.

[Correlation between ultrasound and surgery in supraspinal and interspinal ligaments injuries]. / Correlación ecográfica-quirúrgica de las lesiones de los ligamentos supraespinosos e interespinosos.

INTRODUCTION: The spinal fractures associated with posterior complex ligament injury are highly unstable, they require surgical stabilization and with frequency they can not do the diagnosis through imaging methods as radiography or computed tomography scan. Ultrasound is a no invasive imaging method that lets the visualization of the spinal posterior complex ligament and it also allows to see spinal fractures with or without ligament injury. OBJECTIVES: To correlate preoperative physical, radiographic and ultrasound findings with direct visualization of the posterior complex ligament, showing the diagnostic accuracy of the tests above mentioned regarding to detection of posterior complex ligament injury associated with thoracolumbar spinal fractures. MATERIAL AND METHODS: Fourteen patients with thoracolumbar fractures were evaluated by palpation of the interspinous gap, plain radiography and ultrasound before surgical treatment by a posterior approach. During the operation, posterior ligament complex injury was carefully examined. RESULTS: A wide interspinous gap was palpated in four patients and was found in 5 patients by radiography. Ultrasound examination showed ligament injury in 8 patients and integrity in 6. There was a significant relation between ultrasound findings and surgical results. CONCLUSION: Ultrasound is a highly sensitive and specific method to evaluate supraspinous and interspinous ligament injury in patients with thoracolumbar fractures, with superior diagnostic accuracy than physical exploration and radiographic evaluation.

A new estuarine species, Nereis garwoodi (Polychaeta: Nereididae), from Bahía Chetumal, Mexican Caribbean coast

Nereis garwoodi n. sp. is described on the basis of eight syntype specimens (six atokous and two heteronereis) collected in Bahía Chetumal, Mexican Caribbean coast, and the variability in the paragnath numbers in the pharynx is established using 180 specimens; paragnath numbers are I:10(SD = 1.9); II:30 (SD = 2.6); III:41 (SD = 5.2); IV:29 (SD = 3.5), V:1, VI:4, VII-VIII: > 30. Its eyes are big and its longest tentacular cirri reaches setiger 11. A revised key to species of Nereis recorded from the Grand Caribbean Sea is included.

Huracanes y biodiversidad costera tropical / Hurricanes and tropical coastal biodiversity

Tropical coastal biodiversity has been modulated by tropical storms during a long time and it is currently facing a heavy human impact. The purpose of this review is to compile the available information to improve our understanding of hurricane impacts and to promote the establishment of coastal landscape monitoring, because that is the best way to assess these impacts. Although generalizations on hurricane effects are elusive, some historical dynamics and temporal relationships are included and some details are presented on the impacts by resuspension and movement of sediments, storm waves, and breaking off of coral reef organisms. Some effects on marine turtles and coastal forests are also briefly pointed out.

Exogoninae (Polychaeta: Syllidae) del Caribe mexicano con una clave para las especies del Gran Caribe / Exogoninae (Polychaeta: Syllidae) from the Mexican Caribbean region with a key for the Gran Caribbean species

This paper identifies the Exogoninae (Syllidae) from the Mexican Caribbean coasts and includes a key to identify all the species recorded from the Grand Caribbean Sea. The classification of the family and the composition of Exogoninae are briefly examined; the correct names of the subfamilies are Syllinae Grube, 1850, Eusyllinae Malaquin, 1893, Autolytinae Malaquin, 1893 and Exogoninae Langerhans, 1879. Exogoninae includes Anguillosyllis Day, 1963, Brania de Quatrefages, 1866, Braniella Hartman, 1963, Exogone Orsted, 1845, Exogonella Hartman, 1961, Exogonoides Day, 1963, Parapionosyllis Fauvel, 1923, Psammosyllis Westheide, 1990, Spermosyllis Claparède, 1864, and Sphaerosyllis Claparède, 1863. Pseudexogone Augener, 1922, formerly included in the group, is not a syllid; it belongs to Pilargidae. We collected 814 specimens belonging to 3 genera, 3 subgenera and 13 species as Brania (4), Exogone (4) and Sphaerosyllis (5); five new species are described: Brania russelli n. sp, Brania uebelackerae n. sp, Brania westheidei n. sp., Exogone (Exogone) bondi n. sp. and Exogone (Parexogone) sanmartini n. sp. For each species, selected references, diagnostic features, observations on morphological variability, distribution and illustrations are provided; new species also have an english diagnosis. Most abundant species were B. uebelackerae n. sp. (295), S. taylori Perkins (169), E. (E.) dispar Webster (76), and E. (E.) bondi n sp. (72).

Serpúlidos (Polychaeta: Serpulidae) del Caribe noroccidental: Hydroides y Serpula / Serpulids (Polychaeta: Serpulidae) from the Northwestern Caribbean: Hydroides and Serpula

A partir de la revisión de más de 450 ejemplares de Hydroides y Serpula, 12 especies de la región del Gran Caribe fueron identificadas y caracterizadas. Ocho especies fueron recolectadas en las costas de la Península de Yucatán y cinco fueron encontradas en otras localidades en el Golfo de México, otras siete son de Cuba y se incluyeron comentarios sobre el material tipo de cinco especies más. Se realizó un análisis morfométrico sobre Hydroides mucronatus Rioja e Hydroides cf. mucronatus indicando varias diferencias entre ellas. Se incluyen comentarios a todas las especies.