[Translated article] 4 Domain Sports PROM in Spanish: Cross-cultural adaptation in the Chilean population and reliability analysis.

BACKGROUND: Patient-Reported Outcome Measures (PROMs) are tools of increasing interest in the sports population. The purpose of this study was to perform the cross-cultural adaptation and reliability analysis of the 4 Domain Sports Patient-Reported Outcome Measure (4 DSP) into Spanish. METHODS: A six-stage cross-cultural adaptation protocol was executed to obtain the Spanish version of the 4 DSP (S-4DSP). Subsequently, the questionnaire was administered to a population of 108 postoperative athletes with ACL (Anterior Cruciate Ligament) injuries. The questionnaire was administered again after 30 days. Acceptability, floor and ceiling effects, internal consistency (Cronbach's alpha), and reproducibility (Intraclass Correlation) were evaluated. RESULTS: The S-4DSP was fully completed by 108 participants (mean age 34±10.75, 26% women), achieving 100% acceptability. No floor effect was detected. The statistical analysis yielded a global Cronbach's alpha for the questionnaire of 0.65, and domain-specific alphas of 0.88, 0.72, 0.27, and 0.68 for the first, second, third, and fourth domains, respectively. The Intraclass Correlation test reached a maximum of 0.94 and a minimum of 0.48 for the first and fifth questions, respectively. CONCLUSIONS: The S-4DSP is a reliable and useful tool for evaluating Spanish-speaking athletes after ACL reconstruction.

4 Domain Sports PROM in Spanish: Cross-cultural adaptation in the Chilean population and reliability analysis. / 4 Domain Sports PROM en español: adaptación transcultural en la población chilena y análisis de confiabilidad.

BACKGROUND: Patient-Reported Outcome Measures (PROMs) are tools of increasing interest in the sports population. The purpose of this study was to perform the cross-cultural adaptation and reliability analysis of the 4 Domain Sports Patient-Reported Outcome Measure (4DSP) into Spanish. METHODS: A six-stage cross-cultural adaptation protocol was executed to obtain the Spanish version of the 4DSP (S-4DSP). Subsequently, the questionnaire was administered to a population of 108 postoperative athletes with ACL (Anterior Cruciate Ligament) injuries. The questionnaire was administered again after 30 days. Acceptability, floor and ceiling effects, internal consistency (Cronbach's alpha), and reproducibility (Intraclass Correlation) were evaluated. RESULTS: The S-4DSP was fully completed by 108 participants (mean age 34±10.75, 26% women), achieving 100% acceptability. No floor effect was detected. The statistical analysis yielded a global Cronbach's alpha for the questionnaire of 0.65, and domain-specific alphas of 0.88, 0.72, 0.27, and 0.68 for the first, second, third, and fourth domains, respectively. The Intraclass Correlation test reached a maximum of 0.94 and a minimum of 0.48 for the first and fifth questions, respectively. CONCLUSIONS: The S-4DSP is a reliable and useful tool for evaluating Spanish-speaking athletes after ACL reconstruction.

Pseudotumor inflamatorio hepático: caso clínico y revisión de la literatura

Presentamos el caso de un paciente de 49 años, de sexo masculino, que consulta en el servicio de urgencias por un cuadro de dos meses de evolución, caracterizado por compromiso del estado general, baja de peso, dolor abdominal, sensación febril y elevación de los parámetros inflamatorios. Al estudio imagenológico se observa una voluminosa lesión hepática, asociada a dilatación de la vía biliar y adenopatías en hilio hepático, espacio porto-cavo y retroperitoneales (inter-cavo-aórticos), que plantea dentro de los diagnósticos diferencias un colangiocarcinoma intrahepático. Basados en esta sospecha se realiza una segmentectomía y linfadenectomía regional. El estudio histopatológico e inmunohistoquímico de la pieza quirúrgica, evidencia un proceso inflamatorio linfoplasmocitario, con la presencia de células plasmáticas IgG4 positivas, compatible con una enfermedad asociada a IgG4. Posterior a la resección se decide manejo expectante, evolucionando el paciente de forma favorable, asintomático y sin signos de recurrencia. Presentamos un caso y una breve revisión de la literatura de un pseudotumor inflamatorio hepático, entidad poco frecuente y de comportamiento benigno.

We report the case of a 49-year-old man who attended the emergency department for a two-month history of compromised general condition, weight loss, abdominal pain, fever, and elevated inflammatory parameters. An imaging study demonstrates a bulky liver tumor associated with dilation of the bile duct and retroperitoneal adenopathies (hepatic hilum, intermediate, and right lumbar groups). These findings raise intrahepatic cholangiocarcinoma within the differential diagnoses, reason why segmental hepatectomy and regional lymphadenectomy were performed. Histopathology and immunochemistry revealed a lymphoplasmacytic inflammatory process with IgG4-positive plasma cells compatible with IgG4-associated disease. After the resection, expectant management was decided, with the patient evolving favorably, asymptomatic, and without signs of recurrence. We present a case and a brief literature review of an hepatic inflammatory pseudotumor, a rare entity with a benign behavior.

Water Pollution Increases the Risk of Chytridiomycosis in Mexican Amphibians.

Chytridiomycosis is affecting amphibians worldwide, causing the decline and extinction of several amphibian populations. The disease is caused by the fungus Batrachochytrium dendrobatidis (Bd), a multihost pathogen living in freshwater habitats. While several environmental factors have been associated with the prevalence of Bd and its virulence, the effects of water quality on the pathogen are not clear yet. Some evidence suggests that water pollution may reduce amphibians' immune response and increase prevalence of Bd. To explore this hypothesis, we analyzed the relationship between water quality and the presence of Bd by using spatial data mining of 150 geolocations of Bd in amphibians from 9 families where Bd positive specimens have been previously reported, and water quality in 4,202 lentic and lotic water bodies in Mexico from 2010 to 2021. Our model showed that in the 3 main families where Bd was recorded, its presence is high in locations with low water quality, i.e., water polluted likely contaminated with urban and industrial waste. Using this model, we inferred areas suitable for Bd in Mexico; mainly in poorly studied areas along the gulf and on the pacific slope. We further argue that actions to reduce water pollution should become an integral part of public policies to prevent the spread of Bd and protect amphibians from this deadly pathogen.

[Hepatic Inflammatory Pseudotumor Mimicking Cholangiocarcinoma: A Rare Case and Literature Review]. / Pseudotumor inflamatorio hepático: caso clínico y revisión de la literatura.

We report the case of a 49-year-old man who attended the emergency department for a two-month history of compromised general condition, weight loss, abdominal pain, fever, and elevated inflammatory parameters. An imaging study demonstrates a bulky liver tumor associated with dilation of the bile duct and retroperitoneal adenopathies (hepatic hilum, intermediate, and right lumbar groups). These findings raise intrahepatic cholangiocarcinoma within the differential diagnoses, reason why segmental hepatectomy and regional lymphadenectomy were performed. Histopathology and immunochemistry revealed a lymphoplasmacytic inflammatory process with IgG4-positive plasma cells compatible with IgG4-associated disease. After the resection, expectant management was decided, with the patient evolving favorably, asymptomatic, and without signs of recurrence. We present a case and a brief literature review of an hepatic inflammatory pseudotumor, a rare entity with a benign behavior.

Macrozoobenthos in an altitudinal gradient in North Patagonian Cautín River (Araucanía Region, Chile) / Macrozoobentos em gradiente altitudinal no norte da Patagônia, Rio Cautín (38° S, região da Araucanía, Chile)

The Cautín River is closely related with the economic development of Temuco city, (38°S; Chile). Existing knowledge of the Cautín River is limited to information about its biological characteristics as a reference for the evaluation and assessment of water quality. The object of this study was to develop taxonomic characterisation of the benthic macroinvertebrates along the main course of the Cautín River, and to study the community structure using correlation analysis between community parameters. To carry out this research, the macroinvertebrate community was studied in 10 sampling sites distributed along the main course of the river. The samples were taken in summer (1997 and 2000), when optimal hydrological conditions existed. Analysis of the samples showed that the benthic fauna was composed of 56 taxa, the dominant group being insects with 48 taxa. Three main sectors were recognised in the course of the Cautín River: high, middle and low. Each sector has restricted-distribution species, while other species are widely distributed along the river. These distribution patterns seem to be influenced by dissolved oxygen concentration, temperature, altitudinal distribution and anthropo-cultural activity, present at every sampling site. Finally, this research provides a first approach to the biology of the Cautín River. Further studies could be planned on the basis of this knowledge to investigate water quality indicators based on macroinvertebrate communities.(AU)

O rio Cautín está intimamente relacionado ao desenvolvimento econômico da cidade de Temuco (38°S; Chile). Quanto ao conhecimento total do rio Cautín, existem informações limitadas sobre as características biológicas que podem servir de referência para a avaliação da qualidade da água. Este estudo tem o objetivo de caracterizar os macroinvertebrados bentônicos taxonomicamente ao longo do curso principal do rio Cautín e estudar a estrutura da comunidade usando análise de correlação entre os parâmetros dela. Para realizar esta pesquisa, a comunidade de macroinvertebrados foi estudada em dez locais de estudo distribuídos ao longo do rio principal. As amostras foram coletadas no verão (1997 e 2000), em razão das condições hidrológicas ideais. A análise das amostras mostrou que a fauna bentônica é composta de 56 táxons, sendo o grupo dominante o de insetos com 48 táxons. Na distribuição do principal no curso do rio, três setores são reconhecidos: alto, médio e baixo no rio Cautín. Cada setor possui espécies de distribuição restrita e outro com ampla distribuição ao longo do rio. Esses padrões de distribuição parecem influenciar a concentração de oxigênio dissolvido, a temperatura, a distribuição altitudinal e a atividade antropocultural desenvolvida em todos os locais de amostragem. Finalmente, esta pesquisa fornece uma primeira abordagem biológica do rio Cautín e, de acordo com esses conhecimentos, um estudo posterior pode ser planejado em relação aos indicadores de qualidade da água e com base nas comunidades de macroinvertebrados.(AU)

Macrozoobenthos in an altitudinal gradient in North Patagonian Cautín River (Araucanía Region, Chile) / Macrozoobentos em gradiente altitudinal no norte da Patagônia, Rio Cautín (38° S, região da Araucanía, Chile)

The Cautín River is closely related with the economic development of Temuco city, (38°S; Chile). Existing knowledge of the Cautín River is limited to information about its biological characteristics as a reference for the evaluation and assessment of water quality. The object of this study was to develop taxonomic characterisation of the benthic macroinvertebrates along the main course of the Cautín River, and to study the community structure using correlation analysis between community parameters. To carry out this research, the macroinvertebrate community was studied in 10 sampling sites distributed along the main course of the river. The samples were taken in summer (1997 and 2000), when optimal hydrological conditions existed. Analysis of the samples showed that the benthic fauna was composed of 56 taxa, the dominant group being insects with 48 taxa. Three main sectors were recognized in the course of the Cautín River: high, middle and low. Each sector has restricted-distribution species, while other species are widely distributed along the river. These distribution patterns seem to be influenced by dissolved oxygen concentration, temperature, altitudinal distribution and anthropo-cultural activity, present at every sampling site. Finally, this research provides a first approach to the biology of the Cautín River. Further studies could be planned on the basis of this knowledge to investigate water quality indicators based on macroinvertebrate communities.

O rio Cautín está intimamente relacionado ao desenvolvimento econômico da cidade de Temuco (38°S; Chile). Quanto ao conhecimento total do rio Cautín, existem informações limitadas sobre as características biológicas que podem servir de referência para a avaliação da qualidade da água. Este estudo tem o objetivo de caracterizar os macroinvertebrados bentônicos taxonomicamente ao longo do curso principal do rio Cautín e estudar a estrutura da comunidade usando análise de correlação entre os parâmetros dela. Para realizar esta pesquisa, a comunidade de macroinvertebrados foi estudada em dez locais de estudo distribuídos ao longo do rio principal. As amostras foram coletadas no verão (1997 e 2000), em razão das condições hidrológicas ideais. A análise das amostras mostrou que a fauna bentônica é composta de 56 táxons, sendo o grupo dominante o de insetos com 48 táxons. Na distribuição do principal no curso do rio, três setores são reconhecidos: alto, médio e baixo no rio Cautín. Cada setor possui espécies de distribuição restrita e outro com ampla distribuição ao longo do rio. Esses padrões de distribuição parecem influenciar a concentração de oxigênio dissolvido, a temperatura, a distribuição altitudinal e a atividade antropocultural desenvolvida em todos os locais de amostragem. Finalmente, esta pesquisa fornece uma primeira abordagem biológica do rio Cautín e, de acordo com esses conhecimentos, um estudo posterior pode ser planejado em relação aos indicadores de qualidade da água e com base nas comunidades de macroinvertebrados.

Macrozoobenthos in an altitudinal gradient in North Patagonian Cautín River (Araucanía Region, Chile) / Macrozoobentos em gradiente altitudinal no norte da Patagônia, Rio Cautín (38° S, região da Araucanía, Chile)

The Cautín River is closely related with the economic development of Temuco city, (38°S; Chile). Existing knowledge of the Cautín River is limited to information about its biological characteristics as a reference for the evaluation and assessment of water quality. The object of this study was to develop taxonomic characterisation of the benthic macroinvertebrates along the main course of the Cautín River, and to study the community structure using correlation analysis between community parameters. To carry out this research, the macroinvertebrate community was studied in 10 sampling sites distributed along the main course of the river. The samples were taken in summer (1997 and 2000), when optimal hydrological conditions existed. Analysis of the samples showed that the benthic fauna was composed of 56 taxa, the dominant group being insects with 48 taxa. Three main sectors were recognised in the course of the Cautín River: high, middle and low. Each sector has restricted-distribution species, while other species are widely distributed along the river. These distribution patterns seem to be influenced by dissolved oxygen concentration, temperature, altitudinal distribution and anthropo-cultural activity, present at every sampling site. Finally, this research provides a first approach to the biology of the Cautín River. Further studies could be planned on the basis of this knowledge to investigate water quality indicators based on macroinvertebrate communities.

O rio Cautín está intimamente relacionado ao desenvolvimento econômico da cidade de Temuco (38°S; Chile). Quanto ao conhecimento total do rio Cautín, existem informações limitadas sobre as características biológicas que podem servir de referência para a avaliação da qualidade da água. Este estudo tem o objetivo de caracterizar os macroinvertebrados bentônicos taxonomicamente ao longo do curso principal do rio Cautín e estudar a estrutura da comunidade usando análise de correlação entre os parâmetros dela. Para realizar esta pesquisa, a comunidade de macroinvertebrados foi estudada em dez locais de estudo distribuídos ao longo do rio principal. As amostras foram coletadas no verão (1997 e 2000), em razão das condições hidrológicas ideais. A análise das amostras mostrou que a fauna bentônica é composta de 56 táxons, sendo o grupo dominante o de insetos com 48 táxons. Na distribuição do principal no curso do rio, três setores são reconhecidos: alto, médio e baixo no rio Cautín. Cada setor possui espécies de distribuição restrita e outro com ampla distribuição ao longo do rio. Esses padrões de distribuição parecem influenciar a concentração de oxigênio dissolvido, a temperatura, a distribuição altitudinal e a atividade antropocultural desenvolvida em todos os locais de amostragem. Finalmente, esta pesquisa fornece uma primeira abordagem biológica do rio Cautín e, de acordo com esses conhecimentos, um estudo posterior pode ser planejado em relação aos indicadores de qualidade da água e com base nas comunidades de macroinvertebrados.

Macrozoobenthos in an altitudinal gradient in North Patagonian Cautín River (Araucanía Region, Chile)

Abstract The Cautín River is closely related with the economic development of Temuco city, (38°S; Chile). Existing knowledge of the Cautín River is limited to information about its biological characteristics as a reference for the evaluation and assessment of water quality. The object of this study was to develop taxonomic characterisation of the benthic macroinvertebrates along the main course of the Cautín River, and to study the community structure using correlation analysis between community parameters. To carry out this research, the macroinvertebrate community was studied in 10 sampling sites distributed along the main course of the river. The samples were taken in summer (1997 and 2000), when optimal hydrological conditions existed. Analysis of the samples showed that the benthic fauna was composed of 56 taxa, the dominant group being insects with 48 taxa. Three main sectors were recognised in the course of the Cautín River: high, middle and low. Each sector has restricted-distribution species, while other species are widely distributed along the river. These distribution patterns seem to be influenced by dissolved oxygen concentration, temperature, altitudinal distribution and anthropo-cultural activity, present at every sampling site. Finally, this research provides a first approach to the biology of the Cautín River. Further studies could be planned on the basis of this knowledge to investigate water quality indicators based on macroinvertebrate communities.

Resumo O rio Cautín está intimamente relacionado ao desenvolvimento econômico da cidade de Temuco (38°S; Chile). Quanto ao conhecimento total do rio Cautín, existem informações limitadas sobre as características biológicas que podem servir de referência para a avaliação da qualidade da água. Este estudo tem o objetivo de caracterizar os macroinvertebrados bentônicos taxonomicamente ao longo do curso principal do rio Cautín e estudar a estrutura da comunidade usando análise de correlação entre os parâmetros dela. Para realizar esta pesquisa, a comunidade de macroinvertebrados foi estudada em dez locais de estudo distribuídos ao longo do rio principal. As amostras foram coletadas no verão (1997 e 2000), em razão das condições hidrológicas ideais. A análise das amostras mostrou que a fauna bentônica é composta de 56 táxons, sendo o grupo dominante o de insetos com 48 táxons. Na distribuição do principal no curso do rio, três setores são reconhecidos: alto, médio e baixo no rio Cautín. Cada setor possui espécies de distribuição restrita e outro com ampla distribuição ao longo do rio. Esses padrões de distribuição parecem influenciar a concentração de oxigênio dissolvido, a temperatura, a distribuição altitudinal e a atividade antropocultural desenvolvida em todos os locais de amostragem. Finalmente, esta pesquisa fornece uma primeira abordagem biológica do rio Cautín e, de acordo com esses conhecimentos, um estudo posterior pode ser planejado em relação aos indicadores de qualidade da água e com base nas comunidades de macroinvertebrados.

ERRATUM: Macrozoobenthos in an altitudinal gradient in North Patagonian Cautín River (Araucanía Region, Chile).

[This corrects the article doi: 10.1590/1519-6984.240484].

Macrozoobenthos in an altitudinal gradient in North Patagonian Cautín River (Araucanía Region, Chile).

The Cautín River is closely related with the economic development of Temuco city, (38°S; Chile). Existing knowledge of the Cautín River is limited to information about its biological characteristics as a reference for the evaluation and assessment of water quality. The object of this study was to develop taxonomic characterisation of the benthic macroinvertebrates along the main course of the Cautín River, and to study the community structure using correlation analysis between community parameters. To carry out this research, the macroinvertebrate community was studied in 10 sampling sites distributed along the main course of the river. The samples were taken in summer (1997 and 2000), when optimal hydrological conditions existed. Analysis of the samples showed that the benthic fauna was composed of 56 taxa, the dominant group being insects with 48 taxa. Three main sectors were recognised in the course of the Cautín River: high, middle and low. Each sector has restricted-distribution species, while other species are widely distributed along the river. These distribution patterns seem to be influenced by dissolved oxygen concentration, temperature, altitudinal distribution and anthropo-cultural activity, present at every sampling site. Finally, this research provides a first approach to the biology of the Cautín River. Further studies could be planned on the basis of this knowledge to investigate water quality indicators based on macroinvertebrate communities.

Association of airborne particulate matter with pollen, fungal spores, and allergic symptoms in an arid urbanized area.

Studies focused on the seasonal distribution of pollen and spores in semiarid cities are scarce. At these sites, climate change potentiates the emission and transport of fine (PM10) to ultrafine particles (PM2.5), easily attached to pollen surfaces, causing allergen's release. This study examines the potential correlation of seasonal variations of pollen, fungal spores, PM10, and meteorological parameters with allergic reactions of 150 people living in a Sonoran desert city. We collected PM10, airborne pollen, and spores during a year. We also studied topsoil and road dust samples as potential PM-emission sources. We obtained dust-mineralogy, chemistry, and particle size attached to pollen by X-ray diffraction and scanning electron microscope. Results show that seasonal high PM-loading in the urban atmosphere coincides with aeroallergens promoting micro- to nanoparticles' attachment to pollen's surface. A collapsed membrane was observed in several samples after individual grains show the following maximum wall coverage: Poaceae 28%, Asteraceae 40%, Chenopodiaceae-Amaranthacea 29%, Fabaceae 18%. Most of the particles covering pollen's surface have a geogenic origin mixed with metals linked to traffic (bromide, chlorine, and antimony). Mineralogical, granulometric analysis, and main wind-direction show that two local soil-types are the main contributors to PM. A high frequency of positive sensitization to pollen with high particle loading was detected. These results suggest that climate-driven dust emissions may alter pollen and spore surfaces' physicochemical characteristics with the further consequences in their allergenic potential.

Embarazo y nuevo coronavirus: experiencia global reportada / Pregnancy and novel coronavirus: worldwide reported experience

INTRODUCCIÓN: La Organización Mundial de La Salud ha reportado recientemente que el nuevo foco de la pandemia global de la enfermedad Covid-19 es el continente americano. OBJETIVO: Realizar una revisión de la literatura sobre la experiencia internacional de la pandemia Covid 19 y embarazo. MÉTODO: Se realiza una búsqueda de la base de datos PubMed para las palabras clave Pregnancy / Pregnant / Novel Coronavirus / SARS-CoV-2 / Covid-19, desde el 1 de noviembre 2019 hasta el 21 de mayo 2020. RESULTADOS: Un total de 365 artículos fueron inicialmente seleccionados de acuerdo con la estrategia de búsqueda diseñada. El total de artículos revisados de acuerdo con los criterios fueron 42. Las series clínicas seleccionadas acumularon un total de 1098 embarazadas y enfermedad de Covid-19. Las co-morbilidades mas frecuentes fueron hipertensión arterial, diabetes mellitus, obesidad y asma. La mortalidad en relación con el total de pacientes fue de un 1,2 % y la transmisión al recién nacido de 1,7% (15 de 875). CONCLUSIÓN: La información obtenida permite inferir que la presentación clínica de la enfermedad es a lo menos equivalente a la de mujeres de la misma edad no embarazadas. Dada la severidad de la enfermedad por SARS-CoV-2 reportada, las lecciones aprendidas deben ser rápidamente asimiladas y utilizadas en el contexto de la situación nacional epidémica.

INTRODUCTION: The World Health Organization has recently reported that the new focus of the global pandemic of Covid-19 disease is the American continent. OBJECTIVE: To conduct a literature review on the international experience of the Covid 19 pandemic and pregnancy. METHOD: A PubMed database search is performed for the keywords Pregnancy / Pregnant / Novel Coronavirus / SARS-CoV-2 / Covid-19, from November 1, 2019 to May 21, 2020. RESULTS: A total of 365 articles were initially selected according to the designed search strategy. The total of articles reviewed according to the criteria was 42. The selected clinical series accumulated a total of 1098 pregnant women and Covid-19 disease. The most frequent comorbidities were hypertension, diabetes mellitus, obesity, and asthma. Mortality in relation to the total number of patients was 1.2% and transmission to the newborn was 1.7% (15 of 875). CONCLUSION: The information obtained allows us to infer that the clinical presentation of the disease is at least equivalent to that of non-pregnant women of the same age. Given the severity of the reported SARS-CoV-2 disease, the lessons learned must be quickly assimilated and used in the context of the national epidemic situation.

Presence of the telescope fish Mendosoma lineatum in Patagonian waters, a new species in the ichthyological fauna from the south-west Atlantic Ocean.

The presence of the telescope fish Mendosoma lineatum in Patagonian waters of Argentina is reported. Mendosoma lineatum is the second species of the Latridae recorded in the south-west Atlantic Ocean and its presence in Patagonia is an addition to both the ichthyological fauna of the Argentinean Sea and the south-west Atlantic Ocean.

Revascularisation pattern of ruptured flexor tendon grafts in anterior cruciate ligament reconstruction: A histological study. / Patrón de revascularización de injertos de tendones flexores rotos en reconstrucción de ligamento cruzado anterior: un estudio histológico.

INTRODUCTION: For successful anterior cruciate ligament (ACL) reconstruction, revascularisation and histological maturation are necessary, as their failure can cause graft rupture. PURPOSE: The purpose of this study was to describe differences in the histological maturation of early failed plasty (less than 12 months after surgery) and late failed plasty (more than 12 months after surgery) in patients with re-rupture after ACL reconstruction with hamstring tendons. MATERIAL AND METHODS: A descriptive observational study was conducted on a consecutive series of 20 patients whose ACL reconstruction had failed. Graft biopsy samples were obtained during the revision surgery from the proximal, medial, and distal graft remnants. The samples were evaluated by light microscopy, and the vascularity and maturation of the samples were established by histological scoring. RESULTS: The most common aetiology of reconstruction failure (86.6%) was a specific event with non-contact mechanism. The patients with re-rupture of their ACL plasty less than 12 months after surgery had substance vessels that were less deep. The distal segment of the graft in those patients showed a delay in histological maturation with fewer collagen fibres. CONCLUSION: In patients whose ACL grafts failed less than 12 months after surgery, a lower distribution of blood vessels and collagen fibres was found that were less ordered in the distal graft. These results indicate a delay in maturation, which leads to a higher risk of graft failure.

Trophic ecology of yellownose skate Zearaja chilensis, a top predator in the south-western Atlantic Ocean.

The diet and trophic level (TL ) of the yellownose skate Zearaja chilensis in the south-western Atlantic Ocean (35°-54° S), and how these varied in relation to body size, sex, maturity stage, depth and region were determined by analysis of stomach contents. From 776 specimens analysed, 671 (86·5%) ranging from 180 to 1190 mm total length (LT ) had prey in their stomachs. The diet was dominated by fishes, mainly the notothenioid Patagonotothen ramsayi and the Argentine hake Merluccius hubbsi. The consumption of fishes and crabs increased with increasing predator size, and these preys were more important in the north than in the south. Isopods and other crustaceans were consumed more in the south and their consumption decreased as the size of Z. chilensis increased. The TL of Z. chilensis increased with LT from 4·29 to 4·59 (mean 4·53), confirming their ecological role as a top predator. The small and large size classes exhibited a low diet overlap and the highest spatial segregation, whereas medium and large specimens had higher co-occurrence and dietary overlap indices. A clear distinction in tooth shape was noted between sexes in adult specimens, with males having longer cusps. This sexual heterodonty may be related to reproductive behaviour, increasing the grasping ability of males during courtship, because there were no differences in diet between the sexes.

Predicción del diámetro de autoinjerto semitendinoso-gracilis en pacientes con esqueleto inmaduro sometidos a reconstrucción del ligamento cruzado anterior (LCA): utilidad de las medidas antropométricas / Prediction of semitendinosus-gracilis autograft diameter in skeletally immature patients undergoing ACL reconstruction: usefulness of anthropometric measurements

El objetivo de este estudio fue evaluar si las medidas antropométricas y demográficas de pacientes con esqueleto inmaduro pueden ser utilizadas para predecir el diámetro del autoinjerto semitendinoso-gracilis (ST-G) en la cirugía de reconstrucción del ligamento cruzado anterior (LCA). Métodos: Serie retrospectiva de 169 pacientes con esqueleto inmaduro (112 hombres, 57 mujeres, edad media 15,8 años) que se sometieron a cirugía de reconstrucción del LCA con autoinjerto ST-G. Se registraron las medidas antropométricas (peso, talla e índice de masa corporal [IMC]), datos demográficos (edad y sexo) y diámetro del autoinjerto ST-G utilizados. Se utilizaron coeficientes de correlación, regresión lineal y t de Student para determinar la relación entre variables antropométricas-demográficas y el diámetro del injerto. Los valores de p < 0,05 fueron considerados estadísticamente significativos. Resultados: El análisis estadístico mostró una correlación positiva significativa tanto para la talla y el peso con el diámetro del injerto (r = 0,483, p < 0,0001; r = 0,248, p = 0,001, respectivamente). Sin embargo, la edad y el IMC no se correlacionaron con el diámetro del injerto (r = 0,098 y p = 0,203, r = 0,009 y p = 0,905, respectivamente). La media del diámetro del injerto en los hombres fue de 8,2mm (rango 6-10) y 7,5mm en las mujeres (rango 6-9), diferencia que fue estadísticamente significativa (p < 0,001). Conclusiones: La predicción del diámetro del injerto ST-G según la talla del paciente es un método fácil y fiable en pacientes con esqueleto inmaduro. Estos datos pueden proporcionar información preoperatoria relevante sobre la necesidad de una técnica para aumentar el injerto ante un eventual diámetro insuficiente de este...

The aim of this study was to evaluate whether the anthropometric and demographic measures of patients under 18 years old can be used to predict the diameter of semitendinosus-gracilis (ST-G) autografts in anterior cruciate ligament (ACL) reconstruction surgery. Methods: A study was conducted on retrospective series of 169 patients under 18 years (112 men, 57 women, average age 15.8 years) who underwent to ACL reconstruction surgery with ST-G autograft. The anthropometric measurements were recorded (weight, height and body mass index), demographics (age and gender) and the diameter of the ST-G used. Correlation coefficients, linear regression and unpaired t-test were used to determine the relationship between anthropometric/demographic variables and the diameter of the graft. P values <.05 were considered statistically significant. Results:Correlation analysis showed a significant positive relationship between height and graft diameter (r=0.483, P<.0001), as well as between weight and graft diameter (r=0.248, P=.001). However, age and body mass index (BMI) did not correlate with graft thickness (r=0.098 and P=.203, r=0.009 and P=.905, respectively). The mean graft diameter in men was 8.2 (range 6-10) and 7.5 in women (range 6-9), a difference that was statistically significant (P<.001). Conclusions:Prediction of the ST-G graft diameter according the height of the patient is an easy and reliable method in children and adolescents. These data can provide relevant preoperative information on the need for an alternative graft source for an eventual insufficient diameter of the latter...

Test de Zohlen y su relación con el ángulo Q en población sin dolor patelofemoral / Zohlen's test and its relation to the Q angle in a population without patellofemoral pain

Determinar qué porcentaje de una población sin dolor anterior de rodilla tiene un test de Zohlen positivo, además determinar el ángulo Q de esta población y buscar si existe alguna relación entre la positividad del test de Zohlen y alteraciones en el ángulo Q. Material y método: Estudio descriptivo-prospectivo observacional. Aplicación del test de Zohlen y medición del ángulo Q. La población se dividió en 2 grupos: test de Zohlen positivo y test de Zohlen negativo. Cuantificación y comparación de medias del ángulo Q en los dos grupos. Resultados: 90 sujetos evaluados, promedio de edad 20,18 años (18-40). Veinte sujetos (22,2 por ciento) con test de Zohlen positivo. Ángulo Q promedio en los sujetos con test de Zohlen negativo: 14,95°; ángulo Q promedio en los sujetos con test de Zohlen positivo: 16,9° (p < 0,05). Ángulo Q promedio en hombres con test de Zohlen negativo 13,4°; ángulo Q promedio en hombres con test de Zohlen positivo: 16° (p < 0,05). Ángulo Q promedio en mujeres con test de Zohlen negativo: 16,5°; ángulo Q promedio en mujeres con test de Zohlen positivo: 18°, sin diferencias estadísticamente significativas entre ambos grupos. Conclusiones: El test de Zohlen tiene una correlación positiva con el ángulo Q en sujetos de sexo masculino. Dada la correlación entre un ángulo Q alterado y la presencia de dolor anterior de rodilla, en los pacientes que presentan un test de Zohlen positivo sin haber consultado por dolor anterior de rodilla, la prevención primaria de dolor anterior de rodilla puede ser de utilidad...

To determine the percentage of a population without anterior knee pain with a positive Zohlen test, and also to determine the Q angle of this population and to determine if there is any relationship between the Zohlen test and Q angle anomalies. Methods:A prospective observational study was conducted in which Zohlen¿s test was applied and the Q angle was measured. The population was divided into 2 groups: Zohlen¿s positive and Zohlen¿s negative. Q angle was compared in the 2 groups. Results: The study included 90 subjects, with a mean age 20.18 years (18-40), of whom 20 subjects (22.2 percent) had positive Zohlen¿s test. The mean Q angle in subjects with negative Zohlen¿s test was 14.95°, and the mean Q angle in subjects with positive Zohlen¿s test was 16,9° (p<.05). The mean Q angle in men with negative Zohlen¿s test was 13.4°, and the mean Q angle in men with positive Zohlen¿s test was 16° (p < .05). The mean Q angle in women with negative Zohlen¿s test was 16.5°, with a mean Q angle of 18° in women with positive Zohlen¿s test, with no statistically significant differences found between groups. Conclusions: Zohlen¿s test has a positive correlation with the Q angle in male subjects. Given the correlation between the Q angle and the presence of anterior knee pain in patients who have a positive test without symptoms, primary prevention of anterior knee pain can be achieved...