Clinical Effectiveness of Ion-Releasing Restorations versus Composite Restorations in Dental Restorations: Systematic Review and Meta-Analysis.

BACKGROUND: To compare the clinical effectiveness of ion-releasing restorations (IRR) vs. composite resin (CR) in dental restorations. METHODS: A systematic search was carried out from articles published until January 2024, in the biomedical databases: PubMed, Cochrane Library, Scielo, Scopus, Web of Science and Google Scholar. Randomized clinical trials were included, with a follow-up time greater than or equal to 1 year, without time and language limits and which reported the clinical effect of IRR compared to CR in dental restorations. The RoB 2.0 tool was used to assess the risk of bias of the included studies and the GRADEPro GDT tool was used to assess the quality of evidence and the strength of recommendation of the results. RESULTS: The search yielded a total of 1109 articles. After excluding those that did not meet the selection criteria, 29 articles remained for the quantitative synthesis. The analysis found no statistically significant difference when comparing the dental restorations with IRRs or CRs. CONCLUSION: The literature reviewed suggests that there are no differences between the IRRs and CRs in dental restorations.

Association between Periodontal Disease and Obesity: Umbrella Review.

Objective: Determine the association between periodontal disease (PD) and obesity through an umbrella review. Materials and Methods: A search for information until March 2024 was carried out in the following electronic databases: PubMed, Cochrane library, Scopus, SciELO, Web of Science, Google Scholar, Proquest Dissertations and Theses, and OpenGrey. We included studies that were systematic reviews (SR) with or without meta-analysis, without time or language restrictions, that evaluated primary studies that associated PD with obesity. Literary or narrative reviews, rapid reviews, intervention studies, observational studies, preclinical and basic research, summaries, comments, case reports, protocols, personal opinions, letters, and posters were excluded. The AMSTAR-2 tool was used to determine the quality and overall confidence of the included studies. Results: The preliminary search yielded a total of 419 articles, discarding those that did not meet the selection criteria, leaving only 14 articles. All studies reported that PD was associated with obesity, with an OR and RR ranging from 1.1 to 1.46 and 1.64 to 2.21, respectively. Conclusions: Based on the results and conclusions of the SR with a high overall confidence level, PD is associated with obesity.

Butterflies (Lepidoptera: Papilionoidea) of the urban park of Instituto Butantan, São Paulo, Southeastern Brazil

Green areas in urban landscapes are under strong anthropogenic pressure, and, at the same time are fundamental to maintaining biodiversity, as they provide resources for many animal and plant species. Knowing these species is fundamental for its maintenance and conservation, and inventories are extremely important for monitoring fauna and conserving it. Therefore, the goal of this research is to inventory the butterflies species in the park of the Instituto Butantan (Ibu), located in an urban area in the city of São Paulo, southeast Brazil. The surveys of butterflies were conducted through visual censuses from August 2017 to July 2019 and recorded a total of 324 butterfly species. The most speciose family was Hesperiidae, followed by Nymphalidae, Lycaenidae, Pieridae, Riodinidae, and Papilionidae. Among the sampled species, there is Euselasia zara which is a new record for the state of São Paulo. Neither the species accumulation nor the richness estimator curves tended to reach an asymptote, suggesting that additional butterflies’ species will be recorded with more sampling effort on the site. Even with a flora composed mainly of exotic and ornamental plants, the park of Instituto Butantan exhibits a very rich butterfly community. This community exhibits a pattern of seasonally variation, with the peak of species richness related to the rainy season. When compared with Cidade Universitária Armando de Salles Oliveira (USP), another nearby urban green area, which is larger, more heterogeneous and sampled over a longer period, it is possible to notice that the Ibu butterfly community is a subsample of this larger one. These results highlight the potential that urban parks have for the maintenance and conservation of butterfly species.

Butterflies (Lepidoptera: Papilionoidea) of the urban park of Instituto Butantan, São Paulo, Southeastern Brazil

Green areas in urban landscapes are under strong anthropogenic pressure, and, at the same time are fundamental to maintaining biodiversity, as they provide resources for many animal and plant species. Knowing these species is fundamental for its maintenance and conservation, and inventories are extremely important for monitoring fauna and conserving it. Therefore, the goal of this research is to inventory the butterflies species in the park of the Instituto Butantan (Ibu), located in an urban area in the city of São Paulo, southeast Brazil. The surveys of butterflies were conducted through visual censuses from August 2017 to July 2019 and recorded a total of 324 butterfly species. The most speciose family was Hesperiidae, followed by Nymphalidae, Lycaenidae, Pieridae, Riodinidae, and Papilionidae. Among the sampled species, there is Euselasia zara which is a new record for the state of São Paulo. Neither the species accumulation nor the richness estimator curves tended to reach an asymptote, suggesting that additional butterflies’ species will be recorded with more sampling effort on the site. Even with a flora composed mainly of exotic and ornamental plants, the park of Instituto Butantan exhibits a very rich butterfly community. This community exhibits a pattern of seasonally variation, with the peak of species richness related to the rainy season. When compared with Cidade Universitária Armando de Salles Oliveira (USP), another nearby urban green area, which is larger, more heterogeneous and sampled over a longer period, it is possible to notice that the Ibu butterfly community is a subsample of this larger one. These results highlight the potential that urban parks have for the maintenance and conservation of butterfly species.

Butterflies (Lepidoptera: Papilionoidea) of the urban park of Instituto Butantan, São Paulo, Southeastern Brazil

Green areas in urban landscapes are under strong anthropogenic pressure, and, at the same time are fundamen-tal to maintaining biodiversity, as they provide resources for many animal and plant species. Knowing these species is funda-mental for its maintenance and conservation, and inventories are extremely important for monitoring fauna and conserving it. Therefore, the goal of this research is to inventory the butterflies species in the park of the Instituto Butantan (Ibu), locat-ed in an urban area in the city of São Paulo, southeast Brazil. The surveys of butterflies were conducted through visual census-es from August 2017 to July 2019 and recorded a total of 324 butterfly species. The most speciose family was Hesperiidae, fol-lowed by Nymphalidae, Lycaenidae, Pieridae, Riodinidae, and Papilionidae. Among the sampled species, there is Euselasia zarawhich is a new record for the state of São Paulo. Neither the species accumulation nor the richness estimator curves tended to reach an asymptote, suggesting that additional butterflies' species will be recorded with more sampling effort on the site. Even with a flora composed mainly of exotic and ornamental plants, the park of Instituto Butantan exhibits a very rich butter-fly community. This community exhibits a pattern of seasonally variation, with the peak of species richness related to the rainy season. When compared with Cidade Universitária Armando de Salles Oliveira (USP), another nearby urban green area, which is larger, more heterogeneous and sampled over a longer period, it is possible to notice that the Ibu butterfly community is a subsample of this larger one. These results highlight the potential that urban parks have for the maintenance and conserva-tion of butterfly species.(AU)

Studies of Brazilian birds along altitudinal gradients: a critical review

Brazil is home to many mountain ranges which harbor diverse avifauna. However, studies on the altitudinal distribution of Brazilian birds are still few and many have never been published, hampering both the dissemination of basic information and conservation actions. Here we present a critical review of ornithological studies undertaken in Brazilian mountain ranges, and propose a classification of geographic scope, altitudinal gradient, and methodology. Since 1922, 184 ornithological studies included altitude in some way in Brazil, encompassing a variety of research topics and species. About a quarter of these studies were never published in peer-reviewed journals, and 39% do not provide basic data on elevation nor link the bird species with sampling plots, thus limiting their applicability. The majority of studies are concentrated (83%) in southern and southeastern Brazil, especially in the Serra do Mar range, and so most data are associated with the Atlantic Forest. Gaps remain in other regions, such as Amazonia (Pantepui region). Most studies either did not sample the entire elevation gradient, were not standardized, lacked explicit hypothesis, or did not account for a seasonal sampling embracing the four seasons of the year, so interpretation of the observed patterns remains difficult. With this compilation, we organize the available information and point to future altitudinal research on birds, in addition to highlighting the importance of preserving habitats along altitudinal gradients in the mountainous regions in Brazil.(AU)

Seasonal altitudinal movements of birds in Brazil: a review

Birds' seasonal altitudinal movements in Brazil are poorly understood. The main source of information and has fostered interest since the 1980s. However, most of the available information is anecdotal, sources are repeatedly cited, and the information provided is quite superficial and speculative. Through bibliographic searches, we found 107 studies, 83 (77%) of which we consider valid, and only 63 (59%) were peer-reviewed. Most studies were carried out in southern and southeastern Brazil. Only 11 studies explicitly addressed seasonal altitudinal movements. Surprisingly, none of the studies simultaneously comprised a full year of study, standardized sampling methods, and encompassed the entire altitudinal range through which the birds might have moved. As a consequence, the quality of the data is questionable, and the expression "altitudinal migration" is unlikely to be accurate and has never been unequivocally demonstrated for birds in Brazil. Mention of "altitudinal migration" was found for 68 bird species, but these must be more clearly defined and appropriately tested.(AU)

Studies of Brazilian birds along altitudinal gradients: a critical review

Brazil is home to many mountain ranges which harbor diverse avifauna. However, studies on the altitudinal distribution of Brazilian birds are still few and many have never been published, hampering both the dissemination of basic information and conservation actions. Here we present a critical review of ornithological studies undertaken in Brazilian mountain ranges, and propose a classification of geographic scope, altitudinal gradient, and methodology. Since 1922, 184 ornithological studies included altitude in some way in Brazil, encompassing a variety of research topics and species. About a quarter of these studies were never published in peer-reviewed journals, and 39% do not provide basic data on elevation nor link the bird species with sampling plots, thus limiting their applicability. The majority of studies are concentrated (83%) in southern and southeastern Brazil, especially in the Serra do Mar range, and so most data are associated with the Atlantic Forest. Gaps remain in other regions, such as Amazonia (Pantepui region). Most studies either did not sample the entire elevation gradient, were not standardized, lacked explicit hypothesis, or did not account for a seasonal sampling embracing the four seasons of the year, so interpretation of the observed patterns remains difficult. With this compilation, we organize the available information and point to future altitudinal research on birds, in addition to highlighting the importance of preserving habitats along altitudinal gradients in the mountainous regions in Brazil.(AU)

A gene expression signature in HER2+ breast cancer patients related to neoadjuvant chemotherapy resistance, overall survival, and disease-free survival.

Breast cancer ranks first in terms of mortality and incidence rates worldwide among women. The HER2+ molecular subtype is one of the most aggressive subtypes; its treatment includes neoadjuvant chemotherapy and the use of a HER2 antibody. Some patients develop resistance despite positive results obtained using this therapeutic strategy. OBJECTIVE: To identify prognostic markers for treatment and survival in HER2+ patients. METHODS: Patients treated with neoadjuvant chemotherapy were assigned to sensitive and resistant groups based on their treatment response. Differentially expressed genes (DEGs) were identified using RNA-seq analysis. KEGG pathway, gene ontology, and interactome analyses were performed for all DEGs. An enrichment analysis Gene set enrichment analysis was performed. All DEGs were analyzed for overall (OS) and disease-free survival (DFS). RESULTS: A total of 94 DEGs were related to treatment resistance. Survival analysis showed that 12 genes (ATF6B, DHRS13, DIRAS1, ERAL1, GRIN2B, L1CAM, IRX3, PRTFDC1, PBX2, S100B, SLC9A3R2, and TNXB) were good predictors of disease-free survival, and eight genes (GNG4, IL22RA2, MICA, S100B, SERPINF2, HLA-A, DIRAS1, and TNXB) were good predictors of overall survival (OS). CONCLUSION: We highlighted a molecular expression signature that can differentiate the treatment response, overall survival, and DFS of patients with HER2+ breast cancer.

Transcriptomic Analysis of Breast Cancer Patients Sensitive and Resistant to Chemotherapy: Looking for Overall Survival and Drug Resistance Biomarkers.

Worldwide breast cancer ranks first in mortality and incidence rates in women over 20 years old. Rather than one disease, breast cancer is a heterogeneous group of diseases that express distinct molecular profiles. Neoadjuvant chemotherapy is an important therapeutic strategy for breast cancer patients independently of their molecular subtype, with the drawback of resistance development. In addition, chemotherapy has adverse effects that combined with resistance could contribute to lower overall survival. Although great efforts have been made to find diagnostic and prognostic biomarkers for breast cancer and for response to targeted and immune therapy for this pathology, little has been explored regarding biomarkers of response to anthracyclines and taxanes based neoadjuvant chemotherapy. This work aimed to evaluate the molecular profile of patients who received neoadjuvant chemotherapy to identify differentially expressed genes (DEGs) that could be used as biomarkers of chemotherapy response and overall survival. Breast cancer patients who were candidates for neoadjuvant chemotherapy were enrolled in this study. After treatment and according to their pathological response, they were assigned as sensitive or resistant. To evaluate DEGs, Gene Ontology, Kyoto Encyclopedia Gene and Genome (KEGG), and protein-protein interactions, RNA-seq information from all patients was obtained by next-generation sequencing. A total of 1985 DEGs were found, and KEGG analysis indicated a great number of DEGs in metabolic pathways, pathways in cancer, cytokine-cytokine receptor interactions, and neuroactive ligand-receptor interactions. A selection of 73 DEGs was used further for an analysis of overall survival using the METABRIC study and the ductal carcinoma dataset of The Cancer Genome Atlas (TCGA) database. Nine DEGs correlated with overall survival, of which the subexpression of C1QTNF3, CTF1, OLFML3, PLA2R1, PODN, KRT15, HLA-A, and the overexpression of TUBB and TCP1 were found in resistant patients and related to patients with lower overall survival.

The incidence of non-affective psychotic disorders in Chile between 2005 and 2018: results from a national register of over 30 000 cases.

BACKGROUND: Evidence suggests the incidence of non-affective psychotic disorders (NAPDs) varies across persons and places, but data from the Global South is scarce. We aimed to estimate the treated incidence of NAPD in Chile, and variance by person, place and time. METHODS: We used national register data from Chile including all people, 10-65 years, with the first episode of NAPD (International Classification of Diseases, Tenth Revision: F20-F29) between 1 January 2005 and 29 August 2018. Denominators were estimated from Chilean National Census data. Our main outcome was treated incidence of NAPD and age group, sex, calendar year and regional-level population density, multidimensional poverty and latitude were exposures of interest. RESULTS: We identified 32 358 NAPD cases [12 136 (39.5%) women; median age-at-first-contact: 24 years (interquartile range 18-39 years)] during 171.1 million person-years [crude incidence: 18.9 per 100 000 person-years; 95% confidence interval (CI) 18.7-19.1]. Multilevel Poisson regression identified a strong age-sex interaction in incidence, with rates peaking in men (57.6 per 100 000 person-years; 95% CI 56.0-59.2) and women (29.5 per 100 000 person-years; 95% CI 28.4-30.7) between 15 and 19 years old. Rates also decreased (non-linearly) over time for women, but not men. We observed a non-linear association with multidimensional poverty and latitude, with the highest rates in the poorest regions and those immediately south of Santiago; no association with regional population density was observed. CONCLUSION: Our findings inform the aetiology of NAPDs, replicating typical associations with age, sex and multidimensional poverty in a Global South context. The absence of association with population density suggests this risk may be context-dependent.

Impresión en tres dimensiones: Estudio descriptivo de la percepción estudiantil en una experiencia de enseñanza en Terapia Ocupacional / Three-Dimensional Printing: Descriptive Study Of Student Perception In A Teaching Experience In Occupational Therapy

Introducción: La impresión en tres dimensiones (3D) se posiciona como complemento para la educación en ciencias de la salud debido a su versatilidad y aplicaciones concretas en diversos ámbitos. Objetivo: Describir la percepción de estudiantes de Terapia Ocupacional sobre una experiencia de diseño y fabricación de órtesis/prótesis. Métodos: Estudio cuantitativo, descriptivo y de corte transversal. La población correspondió a estudiantes de la carrera de Terapia Ocupacional cursando quinto semestre. La muestra fue de tipo intencionada. Se implementó una experiencia académica. Se evaluó la percepción que los estudiantes tuvieron sobre la experiencia a través de encuesta estructurada en formato tipo Likert, las respuestas fueron analizadas según frecuencia de respuestas para cada ítem. Se resguardaron aspectos éticos a través de consentimientos informados. Resultados: Participaron ocho estudiantes, quienes estuvieron Muy de acuerdo o De acuerdo con la mayoría de las aseveraciones, destacando el aporte de la intervención con fines docentes. Conclusión: La impresión 3D aplicada al ámbito de diseño y fabricación de órtesis/prótesis fue una experiencia bien evaluada. Es posible de ser implementada para la adquisición de las habilidades necesarias para la confección de órtesis/prótesis. Se concluye que el uso de la impresión 3D en la educación, así como en aplicaciones clínicas tiene opciones concretas de implementación(AU)

Introduction: Three-dimensional (3D) printing is positioned as a complement to health sciences education due to its versatility and specific applications in various areas. Objective: Describe the perception of Occupational Therapy students about an experience of design and manufacture of orthoses/prostheses. Methods: Quantitative, descriptive and cross-sectional study. The population corresponded to students of Occupational Therapy career, studying fifth semester. The sample was of an intentional type. An academic experience was implemented. The perception that the students had about the experience was evaluated through a structured survey in a Likert format, the answers were analyzed according to the frequency of responses for each item. Ethical aspects were safeguarded through informed consents. Results: Eight students participated, who Strongly agree or Agree with most of the statements, highlighting the contribution of the intervention for teaching purposes. Conclusion: 3D printing applied to the field of design and manufacture of orthoses/prostheses was a well-evaluated experience. It is possible to be implemented for the acquisition of the necessary skills for orthoses/prostheses manufacture. It is concluded that the use of 3D printing in education, as well as in clinical applications has concrete options for implementation(AU)

Are recaptures of banded birds efficient at detecting altitudinal migrations in the Atlantic Forest?

Altitudinal migration in birds comprises seasonal movements between breeding and non-breeding areas in mountainous regions, attributed to biotic and abiotic factors. Different authors have suggested the existence of altitudinal migration between high and low areas of the mountains of the Atlantic Forest, with movement from high to low during the winter when birds would be fleeing the cold and in search of food, but there is no documented evidence. Through recaptures of understory birds, we investigated possible altitudinal migration in a region of the Atlantic Forest in Southeast Brazil. Twenty mist-nets were set at four locations between 15 and 729 m a.s.l. during 143 days of field work, distributed over 54 months and covering all seasons of the year. A total of 1946 birds (98 species) were captured/banded with 558 being recaptured (28.6%; 45 species). However, only 42 of the recaptures were at a different elevation. Most of the movements were of short distances and performed only once by birds, showing no seasonal pattern. These movements may be better interpreted as daily movements undertaken by birds of mixed-species flocks looking for food or moving around their respective home-ranges. Our results show that mist-nets may not be an effective tool in detecting altitudinal movements of birds and that other methods should be evaluated for this purpose.

Effects of some peruvian non-distilled alcoholic beverages on dental erosion / Efecto de algunas bebidas alcohólicas peruanas no destiladas sobre la erosión dental

Objective: To determine the erosive effect of pieces of permanent teeth exposed to non-distilled alcoholic beverages. Material and Methods: This study takes a quantitative approach, with an explanatory scope, descriptive and correlational, with a pure experimental design. The sample consisted of 45 premolar permanent teeth, which were randomly allocated to five sample groups. Every sample group was submerged in dark beer Cuzqueña Negra, wheat beer Cuzqueña de Trigo, lager beer Cerveza Cristal, lager beer Pilsen Callao and physiological saline solution; every solution had a quantity of 110 mL. The experiment was performed for five minutes, with three repetitions every 12 hours over a period of 70 days. The sampling was performed every seven days, using an analytical scale and a data sheet. Results: The average weight loss of dental pieces put in dark beer Cuzqueña Negra (pH 4.0) was 239.4456 mg. In lager beer Pilsen Callao (pH 4.6), it was 146.7867 mg. In lager beer Cerveza Cristal (pH 3.7), it was 131.3567 mg. In wheat beer Cuzqueña de Trigo (pH 4.5), it was 121.7122 mg. Lastly, in physiological saline solution (pH 6.8), it was 14.3311 mg. When applied to the sample, the statistical test Student's t-test resulted in a value of p≈0.000 (p<0.05). Conclusion: Non-distilled alcoholic beverages caused erosive effects in the pieces of permanent teeth.

Objetivo: : Determinar el efecto erosivo en dientes permanentes expuestos a bebidas alcohólicas no destiladas. Material y Métodos: Este estudio tiene un enfoque cuantitativo, con alcance explicativo, descriptivo y correlacional, con un diseño puramente experimental. La muestra consistió en 45 dientes permanentes premolares, que fueron asignados aleatoriamente a cinco grupos de muestra. Cada grupo de muestra se sumergió en cerveza Cuzqueña Negra, cerveza Cuzqueña de Trigo, Cerveza Cristal, cerveza Pilsen Callao y solución salina fisiológica; cada solución tenía una cantidad de 110 mL. El experimento se realizó durante cinco minutos, con tres repeticiones cada 12 horas durante un período de 70 días. El muestreo se realizó cada siete días, utilizando una escala analítica y una hoja de datos. Resultados: La pérdida de peso promedio de las piezas dentales colocadas en cerveza negra Cuzqueña Negra (pH 4,0) fue de 239,4456 mg. En la cerveza Pilsen Callao (pH 4,6), fue de 146,7867 mg. En la cerveza Cerveza Cristal (pH 3,7) fue de 131,3567 mg. En cerveza Cuzqueña de Trigo (pH 4,5), fue de 121,7122 mg. Por último, en suero fisiológico (pH 6,8) fue de 14,3311 mg. Cuando se aplicó la prueba estadística t de Student a la muestra dio como resultado un valor de p?0,000 (p<0,05). Conclusion: Las bebidas alcohólicas no destiladas causaron efectos erosivos en dientes permanentes.

Total neoadjuvant chemotherapy with FLOT scheme in resectable adenocarcinoma of the gastro-oesophageal junction or gastric adenocarcinoma: impact on pathological complete response and safety.

BACKGROUND: Gastric cancer is the fifth cause of cancer incidence worldwide. Multidisciplinary approaches that improve the survival are needed. Perioperative chemotherapies show improvement in pathological complete remission (pCR) and overall survival (OS), but less than 50% of the patients completed the chemotherapeutic regimen. The recent 5-fluorouracil, leucovorin, oxaliplatin, docetaxel-4 (FLOT4) study shows OS 50 months and pCR 16.6%, but only 46% of the patients completed pre- and postoperative treatment. This case series report evaluated pCR and safety in patients that received complete preoperative chemotherapeutic with FLOT. METHODS: Patients received eight cycles FLOT regimen before surgery. Each cycle comprised 50 mg/m2 docetaxel intravenous (iv) on day 1, 85 mg/m2 oxaliplatin iv on day 1, 200 mg/m2 leucovorin iv on day 1 and 2,600 mg/m2 5-fluorouracil iv in a 24-hour infusion on day 1, every 2 weeks. RESULTS: Fifty-nine patients were evaluated, 58 patients received preoperative cycles. Thirty-one patients received all eight cycles of preoperative therapy. 65.5% patients presented any major adverse event. Thirty-nine patients underwent surgery. Thirty-three biopsy reports were obtained. Six patients (18.2%) presented pCR, 13 patients (39.4%) had no lymph node involvement. OS was 21.32 months. Patients with histology of signet ring carcinoma cells had a shorter survival than other histologies. CONCLUSION: Total neoadjuvant with FLOT chemotherapy presents an adequate safety profile, a similar pathologic regression rate, and a slightly higher rate of completing treatment to report in perioperative FLOT regimen studies. A prospective clinical study with suitable diagnostic, staging tools and an adequate follow-up may prove total neoadjuvant chemotherapy's efficacy.

Uso de cannabis en jóvenes hospitalizados por un primer episodio de psicosis: un estudio caso-control

Background: Cannabis use among young people in Chile has increased significantly in the last years. There is a consistent link between cannabis and psychosis. Aim: To compare cannabis use in patients with a first episode of psychosis and healthy controls. Material and Methods: We included 74 patients aged 20 ± 3 years (78% males) admitted to hospital with a first episode of psychosis and a group of 60 healthy controls aged 23 ± 4 years (63% males). Cannabis consumption was assessed, including age of first time use and length of regular use. Results: Patients with psychosis reported a non-significantly higher frequency of life-time cannabis use. Patients had longer periods of regular cannabis use compared with healthy subjects (Odds ratio [OR] 2.4; 95% confi-dence intervals [CI] 1.14-5.05). Patients also used cannabis for the first time at an earlier age (16 compared with 17 years, p < 0.0). The population attributable fraction for regular cannabis use associated with hospital admissions due to psychosis was 17.7% (95% CI 1.2-45.5%). Conclusions: Cannabis use is related to psychosis in this Chilean group of patients. This relationship is stronger in patients with early exposure to the drug and longer the regular use. One of every five admissions due to psychosis is associated with cannabis consumption. These data should influence cannabis legisla-tion and the public policies currently being discussed in Chile.

History of breast cancer. / Historia del cáncer de mama.

Breast cancer currently represents one of the largest public health problems in Mexico and in the world, since it is the first cause of death due to neoplasia in women over 25 years. The first official statistical records in Mexico correspond to 1982, and worldwide to 1926. However, records of very ancient civilizations denote their existence for millennia. This review summarizes part of the history of breast cancer, from Egyptians to present day, including beliefs that were held about this disease, as well as contributions of great scientists who helped understanding and marked the course in prevention and treatment of breast cancer.

El cáncer de mama representa en la actualidad uno de los problemas de salud pública más grandes en México y en el mundo, pues es la primera causa de muerte por neoplasia en mujeres mayores de 25 años. Los primeros registros estadísticos oficiales en México corresponden al año 1982 y a nivel mundial a 1926. Sin embargo, existen registros de civilizaciones antiguas que denotan su existencia durante milenios. En esta revisión se resume parte de la historia del cáncer de mama, desde los egipcios hasta nuestros días y se incluyen las creencias que se tenían acerca de esta enfermedad, así como las aportaciones de grandes científicos que ayudaron a la comprensión y marcaron el rumbo en la prevención y el tratamiento del cáncer de mama.

[Cannabis use among hospitalized young people experiencing a first episode of psychosis: a case control study]. / Uso de cannabis en jóvenes hospitalizados por un primer episodio de psicosis: un estudio caso-control.

BACKGROUND: Cannabis use among young people in Chile has increased significantly in the last years. There is a consistent link between cannabis and psychosis. AIM: To compare cannabis use in patients with a first episode of psychosis and healthy controls. MATERIAL AND METHODS: We included 74 patients aged 20 ± 3 years (78% males) admitted to hospital with a first episode of psychosis and a group of 60 healthy controls aged 23 ± 4 years (63% males). Cannabis consumption was assessed, including age of first time use and length of regular use. RESULTS: Patients with psychosis reported a non-significantly higher frequency of life-time cannabis use. Patients had longer periods of regular cannabis use compared with healthy subjects (Odds ratio [OR] 2.4; 95% confi-dence intervals [CI] 1.14-5.05). Patients also used cannabis for the first time at an earlier age (16 compared with 17 years, p < 0.0). The population attributable fraction for regular cannabis use associated with hospital admissions due to psychosis was 17.7% (95% CI 1.2-45.5%). CONCLUSIONS: Cannabis use is related to psychosis in this Chilean group of patients. This relationship is stronger in patients with early exposure to the drug and longer the regular use. One of every five admissions due to psychosis is associated with cannabis consumption. These data should influence cannabis legisla-tion and the public policies currently being discussed in Chile.

Reduction of Candida albicans biofilm formation by coating polymethyl methacrylate denture bases with a photopolymerized film.

STATEMENT OF PROBLEM: As Candida albicans biofilm formation is associated with severe local and systemic infections in denture-wearing patients, its prevention or reduction becomes an essential factor in the health of this population. PURPOSE: The purpose of this in vitro study was to investigate whether 2 photopolymerized coatings of poly(acrylic acid) (PAA) and poly(itaconic acid) (PIA) can effectively reduce the adhesion of C albicans on denture base acrylic resin surfaces. MATERIAL AND METHODS: The surface of the polymethyl methacrylate (PMMA) denture base was modified through photopolymerization of a thin film of PAA or PIA. The polymeric coatings were characterized by scanning electron microscopy (SEM), Fourier transform infrared spectroscopy (FTIR), X-ray photoelectron spectroscopy (XPS), contact angle goniometry (CA), and surface roughness measurement (Ra). For biological evaluation, the coated PMMA surfaces were tested in a C albicans biofilm dynamic formation model, observed by confocal laser scanning microscopy (CLSM), and quantified by the number of colony-forming units (CFUs). The cytotoxicity of the polymeric coatings was also evaluated by using a lactic dehydrogenase-based (LDH) test. For statistical analysis, ANOVA and the nonparametric Kruskal-Wallis test were used (α=.05). RESULTS: The PMMA resin base surfaces coated with PAA and PIA had an inhibitory effect on C albicans growth, the wettability of the coated surface, and the average roughness. The PAA and PIA coatings had no statistically significant cytotoxic effect on periodontal ligament fibroblasts. CONCLUSIONS: PMMA acrylic resin base material was superficially modified through the incorporation of carboxylic acid groups by using PAA and PIA coatings that reduced the adherence of C albicans biofilm by 90%.

17ß­estradiol­induced mitochondrial dysfunction and Warburg effect in cervical cancer cells allow cell survival under metabolic stress.

Mitochondria from different types of cancer show bioenergetics and dysfunction that favor cell proliferation. The mechanistic understanding of estrogen in cervical cancer is poorly understood. Therefore, the objective of this study was to determine how 17ß­estradiol (E2) affects mitochondrial function and the Warburg effect in SiHa, HeLa and C33A cervical cancer cells. Mitochondrial compromise was evaluated measuring changes in the membrane permeability by immunofluorescence, calcium concentration, redox status, iron and ferritin reserves. Glucose consumption and lactic acid assays were used to detect the metabolic activity. Results were confirmed at molecular level by analysis of the differential gene expression using RNA sequencing. E2 modified the mitochondrial permeability and produced an alteration in the calcium signaling pathway. In HeLa and SiHa, there was a significant decrease in nitric oxide levels and lipid peroxidation, and an increase in glucose consumption and lactic acid levels when stimulated with E2. Intracellular iron or ferritin reserves were not affected by the E2 treatment. Genes differentially modulated by E2 were involved in the mitochondrial electron transport chain, oxidative phosphorylation system, glycolysis, pentose phosphate pathway and the regulation of metabolic signaling pathways. Herein, we provide evidence for a primary effect of estrogen on mitochondrial function and the Warburg effect, favoring the metabolic adaptation of the cervical cancer cell lines and their survival.