A Mitochondrial tRNA Mutation Causes Axonal CMT in a Large Venezuelan Family.

OBJECTIVE: The objective of this study was to identify the genetic cause for progressive peripheral nerve disease in a Venezuelan family. Despite the growing list of genes associated with Charcot-Marie-Tooth disease, many patients with axonal forms lack a genetic diagnosis. METHODS: A pedigree was constructed, based on family clinical data. Next-generation sequencing of mitochondrial DNA (mtDNA) was performed for 6 affected family members. Muscle biopsies from 4 family members were used for analysis of muscle histology and ultrastructure, mtDNA sequencing, and RNA quantification. Ultrastructural studies were performed on sensory nerve biopsies from 2 affected family members. RESULTS: Electrodiagnostic testing showed a motor and sensory axonal polyneuropathy. Pedigree analysis revealed inheritance only through the maternal line, consistent with mitochondrial transmission. Sequencing of mtDNA identified a mutation in the mitochondrial tRNAVal (mt-tRNAVal ) gene, m.1661A>G, present at nearly 100% heteroplasmy, which disrupts a Watson-Crick base pair in the T-stem-loop. Muscle biopsies showed chronic denervation/reinnervation changes, whereas biochemical analysis of electron transport chain (ETC) enzyme activities showed reduction in multiple ETC complexes. Northern blots from skeletal muscle total RNA showed severe reduction in abundance of mt-tRNAVal , and mildly increased mt-tRNAPhe , in subjects compared with unrelated age- and sex-matched controls. Nerve biopsies from 2 affected family members demonstrated ultrastructural mitochondrial abnormalities (hyperplasia, hypertrophy, and crystalline arrays) consistent with a mitochondrial neuropathy. CONCLUSION: We identify a previously unreported cause of Charcot-Marie-Tooth (CMT) disease, a mutation in the mt-tRNAVal , in a Venezuelan family. This work expands the list of CMT-associated genes from protein-coding genes to a mitochondrial tRNA gene. ANN NEUROL 2020;88:830-842.

Loricaria cuffyi (Siluriformes: Loricariidae), a new species of loricariin catfish from the Guiana Shield.

Loricaria cuffyi n. sp. is described based on 36 specimens from the Essequibo and upper Negro River drainages in western Guyana and the upper Orinoco River drainage in Venezuela. The new species can be distinguished from sympatric and geographically proximate congeners by a postorbital notch that is inconspicuous, shallow and rounded, odontode ridges on the dorsum of head and predorsal weakly developed, abdominal plates tightly joined and completely covering the median abdominal space and pectoral girdle, higher anterior lateral plate counts, and coloration characteristics. The distribution of the new species adds to an interesting and well-documented biogeographical pattern exhibited by other Guiana Shield loricariids influenced by the proto-Berbice during the Cenozoic and recent configuration of drainages in the Guiana Shield. We present an update on the taxonomy of Loricaria, and discuss the biogeography and conservation status of the new species.

The epidemiology of mandibular fractures in Caracas, Venezuela: Incidence and its combination patterns.

BACKGROUND/AIM: As reported in the literature by several authors, there is a great variation between countries in terms of etiology and patterns of mandibular fractures. The aim of this study was to determine the incidence of mandibular fractures at the Oral and Maxillofacial Surgery Unit, "Dr. Domingo Luciani" Hospital, Venezuela, during the period January 2010 to March 2013. MATERIALS AND METHODS: A retrospective study was conducted to assess the etiology of trauma, age group, gender, anatomic distribution of injury, and combination patterns by reviewing patients records. RESULTS: There were 334 patients with 522 mandibular fractures averaging 1.56 fractures per patient. Eighty-five percent of the patients were males with an overall male: female ratio of 6.15:1. The highest occurrence of trauma was in the 20-29 years (43.4%) age group. The etiology most frequently observed was motorcycle traffic accidents in 94 patients (28.1%), and the parasymphysis region was the most common location with 144 (27.6%) fractures. Almost half (48.8%) of the injuries were combined mandibular fractures with 29 different combinations, and the most common was a mandibular body fracture + parasymphysis fracture (22.1%). CONCLUSION: Mandibular fracture is a common facial injury with variable incidence and etiology across gender and age range. The findings of this study are similar to other studies and provide important clinical information that will assist in the treatment planning of these types of injuries.

Oral Health Assessment of a Group of Children with Autism Disorder.

OBJECTIVE: The aim of this research was to determine the oral status of a group of children with autism. STUDY DESIGN: An observational transversal study was carried out in 96 pediatric patients between the ages of 2 and 16 years old with a diagnosis of autism. The patients were assessed to determine the presence of caries with Index Caries (WHO criteria) and debris and calculus with the Simplified Oral Hygiene Index, as well as the type of diet they followed. RESULTS: It was established that 41.7% of the patients had caries, with the result of an index of DMFT= 0.96 and dmft =2.41. In terms of the periodontal health 59.4% suffered from calculus. The OHI-S was 3.4. CONCLUSIONS: Children with autism exhibited a higher caries prevalence in primary teeth than in permanents. They also presented poor hygiene and an extensive presence of calculus.

Oral mucosal lesions in patients of Mérida,Venezuela. / Lesiones de la mucosa bucal en pacientes de Mérida, Venezuela.

There are very few epidemiological studies of oral mucosal lesions in Venezuela. None of these studies has been conducted in the state of Merida. The aim of this study was to determine the prevalence of oral mucosal lesions in a population from Merida, Venezuela, describe their oral lesions' characteristics and analyze the influence of parameters such as oral hygiene habits, harmful habits or parafunctional habits. Of the 8640 patients seen in public and private dental centers from Merida during one year, 120 (1.39%) had oral mucosal lesions. The oral mucosal lesions most frequently found were: traumatic ulcers (17.5%), recurrent herpes labialis (11.7%), denture stomatitis (10%), erythematous candidiasis (10%) and recurrent aphthous stomatitis (9.2%). The main features of these oral mucosal lesions were: more frequent in females and, main location on the gingiva. Moreover, most of them were acute lesions (< 7 days), non-recurring and painful lesions. Neither harmful habits nor parafunctional habits had influence on the clinical features of the lesion.

Biogeography and taxonomic status of Myotis keaysi pilosatibialis LaVal 1973 (Chiroptera: Vespertilionidae) .

We document the first confirmed Colombian records of Myotis keaysi pilosatibialis LaVal, 1973 from various localities on the Colombian Caribbean and the Eastern Cordillera of the Colombian Andes. These records confirm geographic overlap between M. k. pilosatibialis and the nominate subspecies M. k. keaysi J. A. Allen, 1914, in northeastern Colombia, questioning the subspecific status of M. k. pilosatibialis. Models of potential distribution, produced for the two taxa by the application of the Maxent algorithm, show a potential geographic overlap in the northeastern portion of the Andes of Colombia and Venezuela. In order to clarify the taxonomic status of putative M. keaysi variants, we analyzed the variation of Colombian representatives of M. keaysi through a Principal Components Analysis (PCA), and a Discriminant Function Analysis (DFA) performed on 18 cranio-dental measurements, as well as the analysis of discrete characters. The morphological independence between M. k. keaysi and M. k. pilosatibialis was supported statistically in our PCA and DFA, as well as by the presence of unique discrete characters, lending support to the recognition of M. k. pilosatibialis as full species. Herein, we include new discrete characters setting apart M. pilosatibialis from the morphologically similar species M. keaysi. 

[Diversity, abundance and distribution of benthic macrofauna on rocky shores from North Sucre State, Venezuela]. / Diversidad, abundancia y distribución de la macrofauna bentónica de las costas rocosas al norte del Estado Sucre, Venezuela.

The rocky intertidal zone is among the most extreme physical environments on Earth. Organisms living in this area are constantly stricken by physico-chemical and biological factors. Due to the ecological importance of these areas, we studied the diversity, abundance and distribution of the rocky coastline benthic macrofauna, from the North coast of Sucre State, Venezuela. We performed bimonthly samplings from November 2008 to September 2009. The collection of biological material in the littoral zone (supra, mid and infralittoral) was done manually with a grid of 0.25m2. Organisms were preserved in 10% formalin for later identification and analysis (ecological parameters and Kruskal-Wallis test to the abundance and diversity). We found a total 19,020 organisms (86 spp.), in 8 phyla, 45 families and 47 genera. Mollusks were the most abundant and diverse (58 spp.), followed by arthropods (12 spp.), annelids (7 spp.), echinoderms (5 spp.), and the less represented cnidarians, sipunculids, nemertinids and urochordates (1 sp.). The zonation found coincided with the universal scheme of zonation. The towns of Rio Boca and Rio Caribe presented the highest values of ecological parameters, and the lowest were found in Playa Grande. Statistical significant differences were found in the abundance and diversity of macrofauna among the three zones. The little information on the composition and distribution of macrobenthic rocky coastline, prevents a better comparison, however the results contribute to the knowledge of the marine biodiversity in this region.

Accuracy of dental age estimation in Venezuelan children: comparison of Demirjian and Willems methods.

Dental age is a somatic maturity indicator with importance in clinical and forensic dentistry. The purpose of this study is to compare the applicability of the Demirjian and Willems methods for dental age estimation in a group of Venezuelan children. Panoramic radiographs of 238 Venezuelan children aged 5-13 years were used to assess dental age using the methods described by Demirjian and Willems. Children with unclear panoramic radiographs, dental agenesis, and premature loss of primary teeth were excluded. Mean differences between dental age and chronological age by gender and age groups were estimated (ANOVA, Student tests p = 0.05). For the Demirjian method, the mean difference between dental age and chronological age was 0.62 +/- 0.93 years, statistically significant. The mean overestimation was lower for females than for males (females 0.56 +/- 0.96 years, males 0.67 +/- 0.93 years). For the Willems method, the mean difference between dental age and chronological age was 0.15 +/- 0.97 years, not statistically significant. Accuracy was significantly different between genders, performing best for females (females 0.01 +/- 0.96 years, males 0.29 +/- 0.96 years). The Willems method for age estimation was found to be more accurate than the Demirjian method in this sample of Venezuelan children.

Rhinoplasty across Latin America: case discussions.

A presentation of four different rhinoplasty cases performed by four different surgeons in Latin America is presented. For each case, presurgical photographs and discussion of the patient are presented. Intrasurgical photographs and description of surgical techniques employed as well as postsurgical pictures are included for each case. This will give readers the opportunity of seeing how different surgical techniques can be used effectively in treating patients of mixed races with good cosmetic long-term results.

Adverse Reactions Associated with Dermal Fillers in the Oral and Maxillofacial Region: A Venezuelan Experience.

BACKGROUND: Dermal facial fillers are increasingly popular. Published reports on the clinical and histopathologic characteristics related to adverse reactions to dermal fillers in the facial region have been relatively well documented. This study adds to the literature on adverse reactions to injected filler in the oral and maxillofacial region in a South American population. METHODS: A retrospective, descriptive cross-sectional study (2019-2020) was performed. The study population was a dermatology service in Venezuela. Clinical and histopathologic features of patients with adverse effects were documented. RESULTS: A total of 35 cases of adverse reactions associated with cosmetic filler procedures were diagnosed during the analyzed period; of these, six cases (17.1%) involved the oral and maxillofacial region. All cases occurred in women. The mean age at diagnosis was 59.3 years (58-73). In three cases, dermal fillers were used in different locations on the face, while three involved the lips. Five patients exhibited adverse reactions to lip filler. All six cases were histopathologically diagnosed as foreign body reactions to injected material. Four and two cases revealed microscopic features compatible with hyaluronic acid and polymethylmethacrylate, respectively. CONCLUSION: Reflecting the dramatic increase in cosmetic procedures with soft tissue fillers, this study contributed by reporting six cases of foreign body reaction involving the oral and maxillofacial region, confirmed with biopsy and histopathology.

Sandfly saliva of Lutzomyia ovallesi (Diptera: Psychodidae) as a possible marker for the transmission of Leishmania in Venezuela Andes region.

BACKGROUND & OBJECTIVES: The saliva of the Phlebotominae is highly immunogenic to the vertebrate host and is a determining factor in the Leishmania infection. The aim of this work was to study the saliva of Lutzomyia ovallesi as a possible risk marker for the transmission of Leishmania. METHODS: Two populations of L. ovallesi from different geographical areas and subjected to different environmental conditions were compared by geometric morphometry of the wings, by protein profile analysis of salivary glands and by assessing the presence of anti-saliva protein in human sera confronted with laboratory L. ovallesi saliva. RESULTS: The results showed differences in the isometric size and structure of the wings but no allometric effects. Protein profiles of salivary glands of both the L. ovallesi populations studied were found to be similar, based on 11 protein bands with molecular weights ranging from 16 to 99 kDa. Anti-saliva antibodies were present in human sera, but human sera infected and uninfected with leishmaniasis could not be differentiated. INTERPRETATION & CONCLUSION: We conclude that the saliva of laboratory-reared L. ovallesi is representative of that of the wild population. It is suggested to study the presence of anti-saliva antibodies in other species of sandflies and mosquitoes.

[An adapted model of cost-effectiveness analysis for the drug entecavir vs pegylated interferon in Venezuela]. / Adaptación de un modelo de analisis de costo-efectividad del medicamento entecavir vs interferón pegilado alfa en Venezuela.

OBJECTIVE: In order to compare the cost and to find the cost-effectiveness ratio of 0.5 mg/day entecavir versus pegylated interferon in the suppression of the viral replication and the quality of life of chronic hepatitis B patients based on a previously developed economic evaluation by Spackman y Veenstra, we performed, previous data transferability analysis, an adaptation of the model to the Venezuelan reality. METHODS: To adapt the economic evaluation, we assumed the probabilities of transition between states, in accordance with the effectiveness reported in the original evaluation. The hypothetical cohort was based on the characteristics of patients in recent clinical trials. The model results included the cost of each treatment alternative, entecavir and pegylated interferon, as well as quality adjusted life years (QALYs) gained. RESULTS: Entecavir 0.5 mgprovides 18,25 QALYs compared with 18,12 QALYs provided by pegylated interferon. The cost per QALY was 5.257 BsF for entecavir compared with pegylated interferon whose cost ranges 6.716 y 7.358 BsF per QALY CONCLUSIONS: Entecavir 0.5 mg provides a greater amount of QALYs and a better cost-effectiveness ratio than pegylated interferon showing extended dominancy over this.

[Characterization of flaxseed (Linum usitatissimum L.) grown in Venezuela]. / Caracterización de semillas de linaza (Linum usitatissimum L.) cultivadas en Venezuela.

In recent years, the consumption of flaxseed (Linum usitatissimum L.) has been promoted as a functional food for its health benefits, mainly attributable to its content of omega-3 fatty acids, lignans and dietary fiber. This study evaluated the microbiological quality, chemical composition and antioxidant properties of flaxseed grown in Venezuela and compared them to the values of a Canadian variety widely sold in the country. Total coliforms, molds and yeasts, S. aureus and sporulated of the genera Bacillus (aerobic) and Clostridium (anaerobic), moisture, fat, protein, total dietary fiber, soluble and insoluble, mucilage, minerals, fatty acid profile, equivalent HCN content, aw, color, polyphenols and antioxidant properties, like antiradical efficiency (AE), concentration of antioxidant needed to decrease the initial concentration by 50 %EC50) and the time required to reach the EC50 (TEC50) were evaluated. Significant differences in seed composition were determined, where its high content of fat, protein, alfa-linolenic acid and dietary fiber stand out. Differences were observed in the mucilage content, but not in soluble, insoluble and total fiber content. Equivalent HCN concentration in both seeds is in the order of 40 mg/100 g, which poses no health risks, considering their consumption patterns. Venezuelan flaxseed contains higher content of polyphenols than the Canadian does, but the antioxidant capacity of the latter is higher; both have an EA rated as average and a slow reaction time (TEC50 > 30 min).

Fractured families and social networks: Identifying risk and resilience factors for supporting positive mental health in Venezuelan immigrant groups.

OBJECTIVES: Language barriers, isolation, and challenges related to social integration, acculturative stress, and systemic discrimination are correlated with poor physical and mental health outcomes among immigrant populations. Emerging literature highlights the importance of social networks for resiliency and well-being. This study explores the experiences of Venezuelan immigrants in central Florida, factors that have promoted resilience, and considerations for mental health providers to meet the needs of this population. METHOD: A phenomenological approach was used to engage Venezuelan immigrants who had been in the United States for at least 6 months (n = 48) in dialogue about forced migration, identity, and adaptation. Five focus groups using a semistructured format were conducted to explore aspects of the experience before, during, and after migration. Recruitment was done through word of mouth and community gatekeepers. RESULTS: Participants were 54% female with an average age of 45, 85% had at least 1 college degree, and more than half left Venezuela since 2011. Themes were identified from the focus group transcripts and clustered into three broad areas: characteristics and individual experiences, mental health, and family and social context. Major findings included the need for culturally responsive mental health support, which appeared to mitigate distress and the centrality of social networks in support of resiliency. CONCLUSIONS: Findings from the present study suggest that community context, support for ethnic identity, and the ability to foster meaningful connections to others with similar experience and identity are critical factors in resilience. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

[Detection of human papillomavirus in gingival fluid of Venezuelan HIV patients with periodontal disease]. / Detección de virus papiloma humano en el fluido gingival de pacientes con inmunodeficiencia humana y enfermedad periodontal.

Evidence suggests that viruses may be involved in the activation of periodontal disease, allowing the overgrowth of periodontal pathogens. The purpose of the present study was to detect the presence of Human Papillomavirus (HPV) in gingival crevicular fluid (GCF) in HIV+ Venezuelan patients with periodontal disease. We evaluated GCF samples from 20 HIV+ patients with periodontal disease from the Infectious Disease Center, Faculty of Dentistry, Central University of Venezuela, and were clinically examined to establish their periodontal conditions, 13 under HAART (antiretroviral therapy) and 7 without HAART. Seven seronegative patients with chronic periodontitis and 7 seronegative patients, without periodontal disease were included. DNA extraction was performed, the consensus primers MY09 and MY11 for the HPV L1 region were used for PCR amplification. Genotipification was made for the 6, 11, 16, 18, 31 and 45 genotypes. HPV were detected in 46% of HIV+ patients under therapy. The CD4 cell counts in the IIPV+ patients were not significantly different from the HPV-group. The viral load in the HPV+ group was significantly higher (200,470 +/- 324,244 copy/mL) than in the HPV-patients (10,246 +/- 23,805 copy/mL). Genotypes 6 and 11 were observed in the HPV positive samples, of which 4/6 (66.6%) presented coinfection with both types. No significant differences in the periodontal conditions were observed between patients with IIPV-HIV infection related to patients with only HIV. HPV was detected only in the gingival crevicular fluid of HIV+ patients under HAART independently of the periodontal conditions.

[Distribution and taxonomy of Pyrgophorus platyrachis (Caenogastropoda: Hydrobiidae) in the Sistema de Maracaibo, Venezuela]. / Distribución y taxonomía de Pyrgophorus platyrachis (Caenogastropoda: Hydrobiidae), en el Sistema de Maracaibo, Venezuela.

The presence of a microgastropod identified as Potamopyrgus sp. was detected previously in the Maracaibo System; nevertheless, a detailed morphological analysis identified this snail in other genera. The objective of this work is to update the distribution and taxonomy of Pyrgophorus platyrachis in the Maracaibo System, Venezuela in samples obtained between 2001 and 2009. The presence of hundreds of individuals of P. platyrachis were observed in the estuary, indeed in the localities of the Gran Eneal lagoon (4 111 snails), Peonías lagoon (229 snails), Punta Capitán Chico (758 snails), San Francisco (2 517 snails), Curarire (240 snails), Apon River mouth (173 snails), Ojeda City (240 snails), Bachaquero (128 snails) and Tomoporo de Agua (385 snails). We performed a taxonomical analysis, and emphasized in ecological aspects, such as the distribution of the species and habitat features, as near vegetation and type of associated sediment. We found three morphotypes of the species, one smooth, another with spiral striations and the other with spines. Smooth morphotype was exclusive of the Gran Eneal lagoon, Peonías lagoon, Punta Capitan Chico and Apon River mouth localities, whereas the other two morphotypes were found together in the remaining localities. According to our detailed anatomical and taxonomical analysis we propose a synonymy between P. platyrachis and the other species described like Pyrgophorus parvulus and Pyrgophorus spinosus.

[Distribution, population parameters, and diet of Astropecten marginatus (Asteroidea: Astropectinidae) in the Venezuelan Atlantic coast]. / Distribución, parámetros poblacionales y dieta de Astropecten marginatus (Asteroidea: Astropectinidae) en el Atlántico venezolano.

Astropecten marginatus is a sea star widely distributed in Northern and Eastern South America, found on sandy and muddy bottoms, in shallow and deep waters. To describe some of its ecological characteristics, we calculated it spatial-temporal distribution, population parameters (based on size and weight) and diet in the Orinoco Delta ecoregion (Venezuela). The ecoregion was divided in three sections: Golfo de Paria, Boca de Serpiente and Plataforma Deltana. Samples for the rainy and dry seasons came from megabenthos surveys of the "Línea Base Ambiental Plataforma Deltana (LBAPD)" and "Corocoro Fase I (CFI)" projects. The collected sea stars were measured, weighted and dissected by the oral side to extract their stomach and identify the preys consumed. A total of 570 sea stars were collected in LBAPD project and 306 in CFI one. The highest densities were found during the dry season in almost all sections. In LBAPD project the highest density was in "Plataforma Deltana" section (0.007 +/- 0.022 ind/m2 in dry season and 0.014 +/- 0.06 ind/m2 in rainy season) and in the CFI project the densities in "Golfo de Paria" section were 0.705 +/- 0.829 ind/m2 in rainy season and 1.027 +/- 1.107 ind/m2 in dry season. The most frequent size range was 3.1-4.6cm. The highest biomass was found in "Golfo de Paria" section (7.581 +/- 0.018 mg/m2 in dry season and 0.005 +/- 6.542 x 10(-06) mg/m2 in rainy season for 2004-2005 and 3.979 +/- 4.024 mg/m2 in dry season; and 3.117 +/- 3.137 mg/m2 in rainy season for 2006). A linear relationship was found between the sea star size and its weight but no relationship was observed between its size and the depth where it was collected. Mollusks are dominant in the sea star diet (47.4% in abundance). The diet in any of the sections, seasons or between projects or size class was heterogeneous, using multivariate ordinations (MDS) and SIMPER analysis and there was no difference in the prey number or food elements that a sea star can eat. Although A. marginatus has been described as a predator, in this study were also inferred scavenger and detritivorous habits.

Five new species of Western Atlantic stardrums, Stellifer (Perciformes: Sciaenidae) with a key to Atlantic Stellifer species.

Five new species of Stellifer are described from the Caribbean Sea and tropical southwestern Atlantic. Among the previously recognized stelliferine genera, Stellifer is unique by having a pair of variably developed appendages on the posterior margin of the anterior gas chamber, which is lacking in Bairdiella, Corvula, Elattarchus, Odontoscion and Ophioscion. However, recent genetic studies indicated that Stellifer and Ophioscion are not monophyletic. The genus Ophioscion Gill, 1863 is recognized herein as a junior synonym of Stellifer Oken, 1817. Of the five new species described, Stellifer cervigoni n. sp., S. collettei n. sp., and S. musicki n. sp. have a pair of knob-like diverticula along the posterior margin of the anterior gas chamber, which is absent in S. macallisteri n. sp., and S. menezesi n. sp. Stellifer cervigoni n. sp. is found along the southern Caribbean coast of Colombia and Venezuela; it can be distinguished from other species by having a jet-black roof of mouth and inner opercular lining. Stellifer collettei n. sp. is found from Surinam to southeastern Brazil, while S. musicki n. sp. is endemic to northern Brazil. Stellifer macallisteri n. sp. has an oblique, terminal mouth and it is found in Colombia, Venezuela and Dominican Republic. Stellifer menezesi n. sp. has a subterminal mouth and is found from northeastern to southeastern Brazil. These results bring the number of valid species of Stellifer in the Atlantic to 18, and a key to the identification of these species is included.

Prevalence and Distribution of Molar Incisor Hypomineralization in children receiving dental care in Caracas Metropolitan Area, Venezuela.

Great variation has been reported in worldwide prevalence of Molar Incisor Hypomineralization (MIH) and Hypomineralized Second Primary Molar (HSPM). South America has the highest regional prevalence. The aim of this study was to determine the prevalence and distribution of MIH HSPM in 6- to 12-year-old children who received care at two dental healthcare services (public and private) in Caracas Metropolitan Area, Venezuela. A cross-sectional prospective study was conducted on 145 children, of whom 121 were selected in the stratified random sample. A calibrated examiner (Kappa=0.878/0.831) evaluated all patients following the MIH diagnosis criteria established by the European Academy of Paediatric Dentistry and using a valid and reliable instrument. Data were analyzed with a significance level of 5%. Of the 121 children, 46.28% (56) were male and 53.72% (65) female, average age 8.83 ± 1.61. The prevalence of MIH/HSPM was 25.6%/20%. Both enamel defects were more prevalent in females (p-value=0.026/0.005). Severe MIH/HSPM was present in 21.8%/31.2% of cases. Average number of affected teeth was 4.16 ± 2.19/1.68 ± 0.74; and the condition was more frequent in upper molars (67.7%/51.4%). It was concluded that prevalence of MIH in 6- to 12-year-old Venezuelan children who received care in Caracas Metropolitan Area was higher than the previously estimated prevalence for South America, with predominance of mild affectation and more frequently occurring in upper molars.

Una gran variabilidad ha sido reportada en la prevalencia mundial de Hipomineralización Incisivo-Molar (HIM) y de Hipomineralización del segundo molar primario (HSMP). América del Sur presenta la prevalencia regional más alta. El objetivo de este estudio fue determinar la prevalencia y distribución de HIM y HSMP en niños entre 6 y 12 años atendidos en dos servicios de atención odontológica (público y privado) en el Área Metropolitana de Caracas, Venezuela. Se realizó un estudio prospectivo transversal en 145 niños. Se seleccionaron 121 niños en la muestra aleatoria estratificada. Un examinador calibrado (Kappa=0,878/0,831) evaluó a todos los pacientes siguiendo los criterios de diagnóstico de HIM establecidos por la Academia Europea de Odontología Pediátrica y utilizando un instrumento válido y confiable. Los datos se analizaron con un nivel de significancia del 5%. De los 121 niños, el 46,28% (56) eran varones y el 53,72% (65) mujeres con una edad media de 8,83 ± 1,61. La prevalencia de HIM/HSMP fue del 25,6%/20%. Ambos defectos del esmalte fueron más prevalentes en el grupo de niñas (valor de p-valor=0,026/0,005). La forma severa de HIM/HSMP estuvo presente en el 21,8%/31,2% de los casos. El promedio de número de dientes afectados por paciente fue de 4,16 ± 2,19/1,68 ± 0,74, siendo más frecuente en los molares superiores (67,7%/51,4%). Se concluyó que la prevalencia de HIM en niños venezolanos entre 6 y 12 años atendidos en el Área Metropolitana de Caracas fue superior a la prevalencia estimada previamente para Sudamérica, con predominio de afectación leve y más frecuente en molares superiores.

Chronic Stress in Cognitive Processes: Cortisol Dynamic Range of Secretion Is Associated with Perception of Unsafety Environment in a Venezuelan Population.

BACKGROUND: Understanding diurnal secretion of cortisol in association with behavioral attitudes as a result of perception of unsafety environment is a main interest in prospective studies establishing the impact of chronic stress in cognitive processes. Adaptive secretion of cortisol, a biomarker of the hypothalamic-hypophysis-adrenal (HPA) axis, has been correlated with perception of uncertainty in surroundings as a consequence of perseverative cognition and unconscious thoughts. OBJECTIVE: To determine whether diurnal secretion pattern of cortisol was associated with behavioral attitudes indexes generated from answers to standardized questionnaires from Panamerican Health Organization/World Health Organization (PAHO/WHO) agencies. METHODS: Saliva cortisol dynamic range was evaluated by immuno-essay. Cortisol awakening response (CAR) and total secreted cortisol was established in a cross-sectional study of four saliva samples per day from volunteers (n = 135) between 19 and 65 years old. RESULTS: Saliva cortisol dynamic range followed a significant decay along the day. Reduction of social interaction and increase of defensive behavioral attitude was associated with older groups of age. In this study, two subgroups of subjects with a steeper cortisol secretion (slope significant non-zero), and flatter cortisol secretion (slope no significant non-zero) were detected. Noticeable, we determined an association between measurements of cortisol secretion from subjects with a flatter cortisol dynamic range and behavioral defensive and inhibition of social interaction indexes. CONCLUSION: These findings suggested chronical dysregulation of HPA axis as a result of perseverative cognitive perception of unsafety environment which may be precedent to cognitive impairment in the population.