Smokers and risk of hospital death by COVID calculated with SAVANA's natural language processing in the Castilla-La Mancha area.

INTRODUCTION: During the COVID pandemic, it was speculated that patients with the virus who were smoking-related might have a lower likelihood of disease exacerbation or death. To assess whether there is an association between smoking and risk of in-hospital mortality, SAVANA's big data and Natural Language Processing (NLP) technology is used. METHOD: A retrospective, observational, non-interventional cohort study was conducted based on real-life data extracted from medical records throughout Castilla La Mancha using Natural Language Processing and Artificial Intelligence techniques developed by SAVANA. The study covered the entire population of this region with Electronic Medical Records in SESCAM presenting with a diagnosis of COVID from March 1, 2020 to February 28, 2021. RESULTS: Smokers had a significantly higher percentage of cardiovascular risk factors (hypertension, dyslipidemia and diabetes), COPD, asthma, IDP, IC, CVD, PTE, cancer in general and lung cancer in particular, bronchiectasis, heart failure and a history of pneumonia (p < 0.0001).Former smokers, current smokers and non-smokers have a significant age difference. As for in-hospital deaths, they were more frequent in the case of ex-smokers, followed by smokers and then non-smokers (p < 0.0001). CONCLUSION: There is an increased risk of dying in hospital in SARS-COV2-infected patients who are active smokers or have smoked in the past.

Increased STAT3 Activation in Periodontitis Drives Inflammatory Bone Loss.

Periodontitis is one of the most prevalent human inflammatory diseases. It is characterized by periodontal tissue destruction, progressively driven by the host response. In this regard, cytokines associated with tissue destruction, such as interleukin (IL)-6 and IL-23, use a common signaling pathway mediated by STAT3. This transcription factor is also needed for IL-17A production, a key mediator in periodontitis pathogenesis. Although several studies have reported increased activation of STAT3 in experimental periodontitis, a detailed characterization of STAT3 activation in human gingival tissues and its involvement in alveolar bone loss has yet to be explored. Using a cross-sectional study design, we detected increased proportions of pSTAT3-positive cells during periodontitis compared with health, particularly in epithelial cells and T cells. Other cell types of hematopoietic and nonhematopoietic origin also display STAT3 activation in gingival tissues. We detected increased STAT3 phosphorylation and expression of STAT3-related genes during experimental periodontitis. Next, we evaluated the role of STAT3 in alveolar bone destruction using a mouse model of STAT3 loss of function (mut-Stat3 mice). Compared with controls, mut-Stat3 mice had reduced alveolar bone loss following ligature-induced periodontitis. We also evaluated pharmacologic inhibition of STAT3 in ligature-induced periodontitis. Like mut-Stat3 mice, mice treated with STAT3 small-molecule inhibitor had reduced bone loss compared with controls. Our results demonstrate that STAT3 activation is increased in epithelial and T cells during periodontitis and indicate a pathogenic role of STAT3 in inflammatory alveolar bone loss.

Effects of ortho-eugenol on anxiety, working memory and oxidative stress in mice.

Ortho-eugenol is a synthetic derivative from eugenol, the major compound of clove essential oil, which has demonstrated antidepressant and antinociceptive effects in pioneering studies. Additionally, its effects appear to be dependent on the noradrenergic and dopaminergic systems. Depression and anxiety disorders are known to share a great overlap in their pathophysiology, and many drugs are effective in the treatment of both diseases. Furthermore, high levels of anxiety are related to working memory deficits and increased oxidative stress. Thus, in this study we investigated the effects of acute treatment of ortho-eugenol, at 50, 75 and 100 mg/kg, on anxiety, working memory and oxidative stress in male Swiss mice. Our results show that the 100 mg/kg dose increased the number of head-dips and reduced the latency in the hole-board test. The 50 mg/kg dose reduced malondialdehyde levels in the prefrontal cortex and the number of Y-maze entries compared to the MK-801-induced hyperlocomotion group. All doses reduced nitrite levels in the hippocampus. It was also possible to assess a statistical correlation between the reduction of oxidative stress and hyperlocomotion after the administration of ortho-eugenol. However, acute treatment was not able to prevent working memory deficits. Therefore, the present study shows that ortho-eugenol has an anxiolytic and antioxidant effect, and was able to prevent substance-induced hyperlocomotion. Our results contribute to the elucidation of the pharmacological profile of ortho-eugenol, as well as to direct further studies that seek to investigate its possible clinical applications.

A preliminary approach to embryonic development of Austrolebias wolterstorffi, an endangered neotropical annual fish species.

Annual fish live exclusively in temporary wetlands and are among the shortest-lived vertebrates in the world. These fish persist in these habitats due to drought-resistant eggs, that which, through diapauses are able to detect stimuli from the environment to start the development processes. They are also able to direct their embryonic development in different trajectories with different development times. Our objective in this paper was to describe the different stages of embryonic development of Austrolebias wolterstorffi, a critically endangered annual fish. A total of 27 stages of embryonic development were identified for the two observed developmental pathways (direct and diapause 2). Of these 27 developmental stages observed, 24 were identical between the two types of trajectories and three different. A total of 90% of the embryos that completed their development proceeded normally, without pauses. One embryo had a different development from the others, entering diapause 2, with a pause in development for 48 h. Although the embryonic development of A. wolterstorffi is similar to that of other Neotropical annual fish species, the diapause 2 occurs when the embryo has a large body size and a well-developed brain, indicating that the lack of embryonic information of the genus Austrolebias may hide characteristics still undescribed or even different survival strategies than what has been observed for other annual fish.

Usos de cámara hiperbárica en otorrinolaringología / Uses for hyperbaric chambers in otolaryngology

Resumen En la terapia con oxígeno hiperbárico (HBO) se utiliza oxígeno al 100% de concentración en una cámara presurizada con presiones supraatmosféricas, que corresponden de 2 a 3 atmósferas. Los mecanismos por los cuales funciona esta terapia se relacionan con propiedades físicas de los gases y su comportamiento fisiológico en el organismo, lo que lleva finalmente a la hiperoxia, evento fisiológico que permite la obtención de diversos efectos beneficiosos. La evidencia en medicina ha demostrado su utilidad mayormente en la enfermedad por descompresión, infecciones cutáneas graves e intoxicación por monóxido de carbono. En el ámbito de la otorrinolaringología ha probado ser útil en algunas enfermedades como la hipoacusia súbita idiopática, tanto como terapia única como asociada al uso de corticosteroides, como en la osteomielitis refractaria del oído externo, la que en conjunto con antibioticoterapia y manejo quirúrgico presenta un evidente aumento en la tasa de mejoría. Cabe mencionar que la terapia con HBO ha demostrado también beneficios en los tratamientos y complicaciones posteriores a la radiación en pacientes con cáncer de cabeza y cuello. Es importante mencionar que la terapia con HBO no está exenta de riesgos y requiere que los pacientes cumplan con características específicas para su utilización, por lo que su indicación debe ser juiciosa y en casos seleccionados.

Abstract In hyperbaric oxygen therapy, 100% pure oxygen is used in a pressurized chamber with super atmospheric pressures which correspond to 2-3 atmospheres. The mechanism by which this treatment works is related to the physical properties of gases and their physiological behavior in the body, which leads to hyperoxia, the physiological event which allows for diverse beneficial health effects. The evidence in medicine has proven its utility mainly in decompression sickness, severe skin infections and carbon monoxide poisoning. In the otolaryngology field it has been proven useful in diseases like idiopathic sudden sensorineural hearing loss, both as the only treatment and as a concurrent treatment along with corticosteroids, in malignant otitis externa which in conjunction with antibiotic treatment and a surgical approach presents a clear increase in improvement rates. It must be mentioned that hyperbaric chamber treatment has also shown benefits in radiation treatment and post radiation complications in head and neck cancer patients. It is important to note that hyperbaric oxygen therapy is not without risks and patients must meet specific criteria for it to be applied, therefore it must be indicated using careful judgement and only in necessary cases.

Timpanoplastías en el Hospital San Vicente de Arauco: Revisión de 3 años / Tympanoplasties in San Vicente de Arauco Hospital: 3 years review

Resumen Introducción: La timpanoplastía es el tratamiento de elección en la otitis media crónica simple. En Chile se han realizado diversos estudios para evaluar el éxito de la timpanoplastía. En nuestro centro evaluamos el resultado anatómico y funcional, correlacionando los resultados con la demografía de nuestra población. Objetivo: Realizar una descripción epidemiológica de los pacientes con diagnóstico de otitis media crónica simple, sometidos a timpanoplastía en el Hospital San Vicente de Arauco entre los años 2017 y 2019. Material y Método: Estudio retrospectivo y descriptivo. Se revisaron las fichas clínicas de pacientes con cirugía realizada entre enero de 2017 y noviembre de 2019. Este estudio cuenta con la aprobación del comité de ética del servicio de salud Arauco. Resultados: Se realizaron 77 timpanoplastías. 56 oídos cumplieron los criterios de inclusión. 71,43% fueron de sexo femenino. El rango de edad es de 8 a 64 años. 92,86% corresponde a timpanoplastía tipo I. Se utilizó un abordaje endoauricular en el 58,93%. El injerto utilizado fue predominantemente compuesto (cartílago-pericondrio) en un 75%. Se usó una técnica medial en un 94,94%. Se obtuvo un éxito anatómico 85,71% de los pacientes. Se obtuvo una ganancia sobre 10 dB en un 60,71% de los pacientes. Conclusión: No se encontraron diferencias significativas importantes que relacionan las elecciones quirúrgicas con los resultados anatómicos y auditivos del procedimiento a mediano plazo.

Abstract Introduction: Tympanoplasty is the treatment of choice for chronic otitis media. In Chile, several studies have been carried out to evaluate the success of tympanoplasty. Here, we assesed the anatomical and functional outcomes, correlating the results with the demographics of our population. Aim: To carry out an epidemiological description of patients with a diagnosis of chronic otitis media who underwent tympanoplasty at our hospital between 2017 and 2019. Material and Method: Retrospective, descriptive study. We reviewed clinical records of patients who underwent surgery between January 2017 and November 2019. This study has been approved by the ethics committee of Arauco health service. Results: 77 tympanoplasties were performed, of which 56 ears met the inclusion criteria. 71.43% were female. The age range is 8 to 64 years. 41% had chronic pathologies. 51.79% were left ear surgeries. 92.86% were type I tympanoplasty. An endoauricular approach was performed in 58.93%. A cartilage - perichondrium composite graft was used in 75% of the surgeries. A medial technique was performed in 94.94%. Anatomical success was achieved in 85.71% of patients. An average gain over 10 dB was obtained in 60.71% of the patients. Conclusion: There were no significant differences regarding the surgical choices with the anatomical and auditory results.

Pressure and force on the canine neck when exercised using a collar and leash.

The aim of this study was to assess the pressure and force applied to the canine neck at walk when using collars of different material. Three different collars of equal size but different construction were used. A double-layer polyester and nylon weave (DN), a single layer nylon weave (SN), and a single layer canvas (SC). Eight dogs wore all three types of collar and were led in a randomized order through a course containing straight, clockwise and counterclockwise sections. Force and pressure were measured and recorded using a TekscanⓇ F-Scan In-shoe system and analyzed using SPSS statistical software. Peak force and contact pressure were significantly higher under DN collar when compared with the others (p < 0.0005 and p = 0.001, respectively). Whilst differences in mean force were not observed between collars, there were significant differences depending on the direction of travel of the dog (p < 0.0005), being highest in a counter-clockwise direction, and lowest in a straight line. Peak contact pressure was not significantly different in any condition. Results suggest that collar construction material will alter contact pressures and peak force exerted on the neck, and that a double layer nylon weave collar with ethylene-vinyl acetate cushioning has a higher contact pressure than either a single layer nylon or canvas construction, which may be contrary to an owners expectations when purchasing a collar. Furthermore, forces will vary depending on the direction of travel in relation to the handler.

Antennal Morphology and Localization of a Pheromone-Binding Protein of Lobesia botrana (Denis & Schiffermüller) (Lepidoptera: Tortricidae).

In the sensory system of insects, olfactory sensilla constitute important functional elements for discriminating odors. Therefore, we used light microscopy and scanning electron microscopy to investigate the morphology and distribution of sensilla in the antennae of Lobesia botrana (Denis & Schiffermüller). In addition, we studied the expression of the gene encoding for pheromone-binding protein 1 (LbotPBP1) by in situ hybridization. Lobesia botrana antennae are filiform and are subdivided into three segments: scape, pedicel, and flagellum. The number of flagellum and their overall length were significantly higher and longer in males than in females. Six morphological types of sensilla (trichodea, chaetica, coeloconica, auricillica, basiconica, and styloconica) were identified on the antennae of both sexes. Trichodea sensilla were the most abundant on the antennae of L. botrana, and three subtypes, discerned by their lengths, were observed. However, sensilla trichodea subtype III was only present in male antennae. Moreover, LbotPBP1 expression was restricted to this type of sensilla, thus confirming its olfactory role, specifically under the context of sexual pheromone perception.

Análisis comparativo: Efectividad del tratamiento antitabáquico en la población con comorbilidad psiquiátrica / Comparative analysis: Effectiveness of nicotine addiction treatment in people with psychiatric comorbidity

Objetivo: Se decidió comprobar que el tratamiento antitabáquico no era menos efectivo en la población psiquiátrica que en la sana. Material y métodos: Estudio de cohortes retrospectivo, descriptivo y comparativo. Se utilizó chi-cuadrado, razón de verosimilitud y t de Student. Significación estadística p≤0,05. Realizado en el Complejo Hospitalario Universitario de Albacete durante los años 2008-2012, con todos los pacientes atendidos en la Unidad de Tabaquismo. Resultados: El estudio incluyó a 1.484 pacientes, el 48,6% mujeres, edad 46,8 años, y edad de inicio al consumo 17,6. Número de intentos previos 1,48 y 25,39 cigarrillos-día. Test de Fagerström, 6,04; Richmond, 8,13; y cooximetría, 16,65ppm. Enviados desde atención primaria (38,7%) y Neumología (33%); tipo de tabaco, 75,8% rubio. El 15% con enfermedad pulmonar obstructiva crónica, el 8% con asma, el 9,4% con síndrome de apneas-hipopneas del sueño, el 28,7% con enfermedad respiratoria, el 4,6% cardiovascular, el 3,5% ambas, el 7,2% con hernia hiato, el 3,8% con enfermedad tiroidea, el 19% hipertensión, el 10,7% diabetes y el 29,4% dislipidemia. El 7,1% consumían drogas, un 12,6% alcohol y el 39,3% tenían, comorbilidad psiquiátrica (CPs). Los que padecían o no CPs fueron equiparables excepto en sexo, edad de inicio, Fagerström, Richmond, procedencia, asma, hernia de hiato, enfermedad tiroidea, hipertensión arterial y drogas. No acudió a la 2.a visita el 49,3% y hubo diferencias entre el tratamiento que se ofreció a los que tenían CPs. Completaron el tratamiento el 22,3% en CPs, sin diferencias existentes, así como tampoco en los que se trataron y no abandonaron, fracaso y días de abstinencia. Sí se detectaron respecto al éxito (p=0,008), el 13% con CPs y el 18,2% en los que no. Conclusión: El tratamiento antitabáquico en pacientes psiquiátricos es efectivo. Hay un aumento en la probabilidad de éxito en pacientes sin comorbilidad psiquiátrica

Objective: To determine whether or not nicotine addiction treatment was less effective in psychiatric than in the healthy population. Material and methods: A retrospective, descriptive and comparative cohort study was conducted in Albacete University Hospital during years 2008-2012 on all patients that attended the Tobacco Cessation Unit. The statistical tests used were Chi-squared, likelihood ratio, and the Student t test. Statistical significance P≤.05. Results: The study included a total of 1,484 patients, of which 48.6% were female. The mean age was 46.8 years, and the mean age of starting smoking was 17.6 years. The mean number of previous attempts to quit was 1.48, and mean number of cigarettes smoked was 25.39. They had a mean Fagerström score of 6.04, a Richmond score of 8.13, and a mean carbon monoxide level of 16.65ppm. Most patients were referred from Primary Care (38.7%) and Chest Diseases department (33%), and the type of tobacco smoked was "light" in 75.8%. There was 15% with chronic obstructive pulmonary disease, 8% with asthma, and 9.4% with obstructive sleep apnoea syndrome. Furthermore, there was respiratory disease in 28.7%, cardiovascular disease in 4.6%, and both in 3.5%. Hiatus hernia was present in 7.2%, thyroid disease in 3.8%, hypertension in 19%, diabetes in 10.7%, and dyslipidaemia in 29.4%, Drugs were used by 7.1%, and 12.6% consumed alcohol. There was 39.3% psychiatric comorbidity (PC), and were comparable except in gender, age of onset, Fagerström, Richmond, source of referral, asthma, hiatus hernia, thyroid disease, hypertension, as well as drugs and treatment. Drug treatment was completed by 22.3% in the PC group, with no significant difference. There were differences in success (P=.008), but not in failure and relapse rates. Conclusion: Anti-smoking treatment in psychiatric patients is effective. An increase in the probability of treatment success is observed in patients without psychiatric comorbidity

Comparison of aquatic macrophyte community structure between natural wetlands and rice fields with different cultivation ages / Comparação da estrutura da comunidade de macrófitas aquáticas entre áreas úmidas naturais e arrozais com diferentes tempos de cultivo

Abstract Recent studies indicate that rice fields contribute to the conservation of aquatic plants, however, repeated cultivation can reduce the species diversity harbored by rice fields. Repeated tillage, agrochemical application and environmental homogeneity can reduce plant diversity and select for species more tolerant to disturbance. Our hypotheses were: 1) macrophyte richness and biomass decrease with increased rice crop age; and 2) macrophyte species of rice fields are a subsample of natural wetlands and species loss will increase with crop age. We investigated three rice fields of each different ages (old, intermediate and new ones) and three natural intermittent wetlands for this study. Each area was sampled four times throughout the rice cultivation cycle (off-season, initial growth, final growth and post-harvest). Our results showed that the mean macrophyte richness and biomass were similar between rice fields of different ages and lower than that of natural wetlands. Although species composition in the different-aged rice fields was not markedly different, there was nestedness in the rice fields as age increased. In this study, we verified that macrophyte richness and biomass in rice fields was lower than natural wetlands and the species composition was different among wetland types (rice fields and natural wetlands), however our hypothesis that species richness and biomass will decrease with crop age was not confirmed. All rice crops had similar macrophyte assemblage structure (richness, biomass and species composition). However, the another hypothesis tested was confirmed, macrophyte assemblage of rice fields is a subset of natural wetlands and as, the age of a rice field increases, the species that occur in older rice field are subsets of species that occur in younger ones.

Resumo Estudos recentes indicam que arrozais contribuem para a conservação de plantas aquáticas, entretanto cultivos repetidos podem reduzir a diversidade de espécies nos arrozais. Cultivos repetidos, aplicação de agrotóxicos e homogeneização ambiental podem reduzir a diversidade de plantas e selecionar espécies mais tolerantes a perturbações. Nossas hipóteses foram: 1) a riqueza e a biomassa de macrófitas reduzem com o aumento do tempo de cultivo dos arrozais; e 2) as espécies de macrófitas aquáticas dos arrozais são subamostras das áreas úmidas naturais e a perda de espécies aumentará com o tempo de cultivo. Nós investigamos três arrozais de cada uma das diferentes idades (antigos, intermediários e novos) e três áreas úmidas naturais temporárias. Cada área foi amostrada quatro vezes ao longo do ciclo de cultivo (resteva, crescimento inicial, crescimento final e pós-colheita). Nossos resultados indicaram que a riqueza e a biomassa média de macrófitas foram similares entre os arrozais de diferentes idades e menor do que nas áreas úmidas naturais. Embora a composição de espécies nos arrozais de diferentes idades não tenha sido marcadamente diferente, houve aninhamento nos arrozais e este aumentou com tempo de cultivo do arrozal. Neste estudo, nós verificamos que a riqueza e biomassa de macrófitas nos arrozais eram menores que nas áreas úmidas naturais e a composição de espécies era diferente entre os tipos de áreas úmidas (arrozais e áreas úmidas naturais), entretanto nossa hipótese de que a riqueza e a biomassa de macrófitas diminuiriam com a idade do cultivo não foi confirmada. Todos os arrozais foram similares quanto à estrutura da assembleia de macrófitas (riqueza, biomassa e composição de espécies). No entanto, a outra hipótese testada foi confirmada, a assembleia de macrófitas dos arrozais é um subconjunto das áreas úmidas naturais e, conforme aumenta a idade do arrozal, as espécies que ocorrem nos arrozais mais antigos são subconjuntos das espécies que ocorrem nos mais jovens.

[Comparative analysis: Effectiveness of nicotine addiction treatment in people with psychiatric comorbidity]. / Análisis comparativo: Efectividad del tratamiento antitabáquico en la población con comorbilidad psiquiátrica.

OBJECTIVE: To determine whether or not nicotine addiction treatment was less effective in psychiatric than in the healthy population. MATERIAL AND METHODS: A retrospective, descriptive and comparative cohort study was conducted in Albacete University Hospital during years 2008-2012 on all patients that attended the Tobacco Cessation Unit. The statistical tests used were Chi-squared, likelihood ratio, and the Student t test. Statistical significance P≤.05. RESULTS: The study included a total of 1,484 patients, of which 48.6% were female. The mean age was 46.8 years, and the mean age of starting smoking was 17.6 years. The mean number of previous attempts to quit was 1.48, and mean number of cigarettes smoked was 25.39. They had a mean Fagerström score of 6.04, a Richmond score of 8.13, and a mean carbon monoxide level of 16.65ppm. Most patients were referred from Primary Care (38.7%) and Chest Diseases department (33%), and the type of tobacco smoked was "light" in 75.8%. There was 15% with chronic obstructive pulmonary disease, 8% with asthma, and 9.4% with obstructive sleep apnoea syndrome. Furthermore, there was respiratory disease in 28.7%, cardiovascular disease in 4.6%, and both in 3.5%. Hiatus hernia was present in 7.2%, thyroid disease in 3.8%, hypertension in 19%, diabetes in 10.7%, and dyslipidaemia in 29.4%, Drugs were used by 7.1%, and 12.6% consumed alcohol. There was 39.3% psychiatric comorbidity (PC), and were comparable except in gender, age of onset, Fagerström, Richmond, source of referral, asthma, hiatus hernia, thyroid disease, hypertension, as well as drugs and treatment. Drug treatment was completed by 22.3% in the PC group, with no significant difference. There were differences in success (P=.008), but not in failure and relapse rates. CONCLUSION: Anti-smoking treatment in psychiatric patients is effective. An increase in the probability of treatment success is observed in patients without psychiatric comorbidity.

Comparison of aquatic macrophyte community structure between natural wetlands and rice fields with different cultivation ages.

Recent studies indicate that rice fields contribute to the conservation of aquatic plants, however, repeated cultivation can reduce the species diversity harbored by rice fields. Repeated tillage, agrochemical application and environmental homogeneity can reduce plant diversity and select for species more tolerant to disturbance. Our hypotheses were: 1) macrophyte richness and biomass decrease with increased rice crop age; and 2) macrophyte species of rice fields are a subsample of natural wetlands and species loss will increase with crop age. We investigated three rice fields of each different ages (old, intermediate and new ones) and three natural intermittent wetlands for this study. Each area was sampled four times throughout the rice cultivation cycle (off-season, initial growth, final growth and post-harvest). Our results showed that the mean macrophyte richness and biomass were similar between rice fields of different ages and lower than that of natural wetlands. Although species composition in the different-aged rice fields was not markedly different, there was nestedness in the rice fields as age increased. In this study, we verified that macrophyte richness and biomass in rice fields was lower than natural wetlands and the species composition was different among wetland types (rice fields and natural wetlands), however our hypothesis that species richness and biomass will decrease with crop age was not confirmed. All rice crops had similar macrophyte assemblage structure (richness, biomass and species composition). However, the another hypothesis tested was confirmed, macrophyte assemblage of rice fields is a subset of natural wetlands and as, the age of a rice field increases, the species that occur in older rice field are subsets of species that occur in younger ones.

Description of Evandromyia piperiformis sp. nov. (Diptera: Psychodidae).

Brazil presents great sand fly species diversity, with new species constantly being described, as new areas are surveyed to monitor sand flies. In captures undertaken in Porto Velho, Rondônia state-Brazil, a new species, Evandromyia (Aldamyia) piperiformissp. nov. (Godoy, Cunha & Galati 2017), was found and is here described. Both sexes of this new species may be distinguished from those of the Aldamyia subgenus through morphometric and morphological characters. Further, we present an identification key for the subgenus Aldamyia.

Novel KIAA0753 mutations extend the phenotype of skeletal ciliopathies.

The skeletal ciliopathies are a heterogeneous group of disorders with a significant clinical and genetic variability and the main clinical features are thoracic hypoplasia and short tubular bones. To date, 25 genes have been identified in association with skeletal ciliopathies. Mutations in the KIAA0753 gene have recently been associated with Joubert syndrome (JBTS) and orofaciodigital (OFD) syndrome. We report biallelic pathogenic variants in KIAA0753 in four patients with short-rib type skeletal dysplasia. The manifestations in our patients are variable and ranging from fetal lethal to viable and moderate skeletal dysplasia with narrow thorax and abnormal metaphyses. We demonstrate that KIAA0753 is expressed in normal fetal human growth plate and show that the affected fetus, with a compound heterozygous frameshift and a nonsense mutation in KIAA0753, has an abnormal proliferative zone and a broad hypertrophic zone. The importance of KIAA0753 for normal skeletal development is further confirmed by our findings that zebrafish embryos homozygous for a nonsense mutation in kiaa0753 display altered cartilage patterning.

Implementación de un sistema de imagenología infrarroja para la detección vascular del antebrazo y mano / Implementation of an infrared imaging system for vascular detection in the forearm and hand

RESUMEN: En el área clínica son procedimientos comunes la venopunción, la colocación de catéteres, inyecciones intravenosas, etc. La visualización de las venas en algunas personas es compleja. En este trabajo se presenta el desarrollo de un sistema capaz de realzar la distribución de las venas en el antebrazo de una persona para, en un trabajo futuro, ayudar de forma no invasiva a localizar las venas en los procedimientos de venopunción. Para llevar a cabo el desempeño de esta tarea se utilizó una cámara web, a la cual se le ha extraído el filtro que impide el paso de luz infrarroja y es sustituido por otro que lo permite. Para mejorar la detección de las venas se le agregó a la cámara un arreglo de LEDs emisores de luz infrarroja (830nm). Las imágenes obtenidas fueron procesadas mediante la ecualización del histograma adaptable y clasificadas por dos métodos, el primero basado en el algoritmo Fuzzy C-Means, el segundo basado en un modelo probabilístico de tipo Bayes, técnicas del área de inteligencia artificial, presentadas como alternativa en el procesamiento de imágenes. Para la obtención de las imágenes se consideraron las regiones anteriores y exteriores del antebrazo izquierdo y derecho de cada sujeto generando una base de datos. Este sistema también tiene aplicación en la detección de venas varicosas debido a que se puede dar un seguimiento a la dilatación de las venas.

ABSTRACT: The venipuncture, the catheterization and intravenous (IV) injections are some of the common procedures in the clinical practice. The location of the veins may be complex in some patients. In this paper a system able to enhance the vein distribution in a patient's forearm in order to help, in future works, to locate the veins in a non-invasive way and accomplish the IV procedures, is described. To carry out this work a web cam was used, the filter that blocks out the infrared light has been removed and replaced for one who does not. To increase the vein detection an array of infrared LEDs (830 nm) was attached. The resulting images were processed using the adaptive histogram equalization and then classified by two methods, the first one based on the Fuzzy C-Means Algorithm, and the second based in a Bayesian probabilistic model. For the image acquisition, the anterior-exterior regions of the left and right forearm of each subject were considered to generate a data base. This system also has relevance in the detection of varicose veins since is able to monitor the vein dilatation.

Use of inlet radiographs in the assessment of reduction after the surgical treatment of developmental dysplasia of the hip.

AIMS: This pilot study aimed to evaluate prospectively the use of inlet radiographs of the hip as an alternative method of the assessment of reduction after the surgical treatment of developmental dysplasia of the hip (DDH). PATIENTS AND METHODS: The children in this study underwent surgery between January 2013 and January 2015. All had inlet radiographs and CT scans post-operatively. Data were analysed by determining inter-observer reliability and intra-observer reproducibility, using the kappa value (K). Differences were settled by discussion between the two observers until a consensus was reached. The sensitivity and specificity of the radiographic and CT results were compared. A total of 26 radiographs were obtained from 23 children, with a mean age of 2.38 years (one to five). RESULTS: Similar high levels of intra- and inter-observer agreement were observed (K = 0.834, 95% confidence interval (CI)). There was a high agreement between the radiographic and CT results (K = 0.834, 5% CI), with excellent sensitivity and a specificity of 95.5%. CONCLUSION: These results suggest that inlet radiographs may be a reliable method of assessing the reduction of the hip after the surgical treatment of DDH. Cite this article: Bone Joint J 2017;99-B:697-701.

Comparison of aquatic macrophyte community structure between natural wetlands and rice fields with different cultivation ages

Abstract Recent studies indicate that rice fields contribute to the conservation of aquatic plants, however, repeated cultivation can reduce the species diversity harbored by rice fields. Repeated tillage, agrochemical application and environmental homogeneity can reduce plant diversity and select for species more tolerant to disturbance. Our hypotheses were: 1) macrophyte richness and biomass decrease with increased rice crop age; and 2) macrophyte species of rice fields are a subsample of natural wetlands and species loss will increase with crop age. We investigated three rice fields of each different ages (old, intermediate and new ones) and three natural intermittent wetlands for this study. Each area was sampled four times throughout the rice cultivation cycle (off-season, initial growth, final growth and post-harvest). Our results showed that the mean macrophyte richness and biomass were similar between rice fields of different ages and lower than that of natural wetlands. Although species composition in the different-aged rice fields was not markedly different, there was nestedness in the rice fields as age increased. In this study, we verified that macrophyte richness and biomass in rice fields was lower than natural wetlands and the species composition was different among wetland types (rice fields and natural wetlands), however our hypothesis that species richness and biomass will decrease with crop age was not confirmed. All rice crops had similar macrophyte assemblage structure (richness, biomass and species composition). However, the another hypothesis tested was confirmed, macrophyte assemblage of rice fields is a subset of natural wetlands and as, the age of a rice field increases, the species that occur in older rice field are subsets of species that occur in younger ones.

Resumo Estudos recentes indicam que arrozais contribuem para a conservação de plantas aquáticas, entretanto cultivos repetidos podem reduzir a diversidade de espécies nos arrozais. Cultivos repetidos, aplicação de agrotóxicos e homogeneização ambiental podem reduzir a diversidade de plantas e selecionar espécies mais tolerantes a perturbações. Nossas hipóteses foram: 1) a riqueza e a biomassa de macrófitas reduzem com o aumento do tempo de cultivo dos arrozais; e 2) as espécies de macrófitas aquáticas dos arrozais são subamostras das áreas úmidas naturais e a perda de espécies aumentará com o tempo de cultivo. Nós investigamos três arrozais de cada uma das diferentes idades (antigos, intermediários e novos) e três áreas úmidas naturais temporárias. Cada área foi amostrada quatro vezes ao longo do ciclo de cultivo (resteva, crescimento inicial, crescimento final e pós-colheita). Nossos resultados indicaram que a riqueza e a biomassa média de macrófitas foram similares entre os arrozais de diferentes idades e menor do que nas áreas úmidas naturais. Embora a composição de espécies nos arrozais de diferentes idades não tenha sido marcadamente diferente, houve aninhamento nos arrozais e este aumentou com tempo de cultivo do arrozal. Neste estudo, nós verificamos que a riqueza e biomassa de macrófitas nos arrozais eram menores que nas áreas úmidas naturais e a composição de espécies era diferente entre os tipos de áreas úmidas (arrozais e áreas úmidas naturais), entretanto nossa hipótese de que a riqueza e a biomassa de macrófitas diminuiriam com a idade do cultivo não foi confirmada. Todos os arrozais foram similares quanto à estrutura da assembleia de macrófitas (riqueza, biomassa e composição de espécies). No entanto, a outra hipótese testada foi confirmada, a assembleia de macrófitas dos arrozais é um subconjunto das áreas úmidas naturais e, conforme aumenta a idade do arrozal, as espécies que ocorrem nos arrozais mais antigos são subconjuntos das espécies que ocorrem nos mais jovens.

Revalidation of Nyssomyia fraihai (Martins, Falcão & Silva 1979) (Diptera: Psychodidae).

Lutzomyia fraihai (Martins, Falcão & Silva 1979), described from Três Braços municipality (Bahia state, Brazil), is closely related to Nyssomyia yuilli yuilli (Young & Porter, 1972), described from Rio Anori, Antioquia, Colombia. The former species, despite the morphological differences reported by its authors, was included as a junior synonym of Ny. yuilli yuilli, and this status has been accepted by sand fly-taxonomists. However, we had an opportunity to examine both taxa, and a clear difference was noted in their male genitalia. In this study, the morphometric/morphologic characters of specimens that had been identified as Ny. yuilli yuilli from different localities (Brazil, Peru, Colombia, Bolivia) and type material of both Ny. yuilli yuilli and Lu. fraihai were analyzed. The results revealed that males from Brazil (Bahia, Acre, Pará, and Rondônia states) and Peru present statistically significant differences in the ratio between paramere rectangular and digitiform areas as well as for the cercus length and width of the aedeagal ducts tips, when compared with the type specimens of Ny. yuilli yuilli, but are statistically similar to those characters of Lu. fraihai However, females of the two species are indistinguishable. Thus, based on the male morphology, Ny. fraihai STAT REV N COM: was resurrected from the synonymy of Ny. yuilli yuilli. The specimens from the Atlantic forest biome and the Amazon biome in Brazil, Peru, and Bolivia in fact belong to Ny. fraihai This species presents a cis-Andean distribution, while Ny. yuilli yuilli has been found in both Andean and Trans-Andean areas.