Slow and steady hurts the crab: Effects of chronic and acute microplastic exposures on a filter feeder crab.

Microplastics are a widespread environmental contaminant. Although detrimental effects on aquatic organisms are well documented, little is known about the long-term effects of microplastic exposure to filter-feeding organisms at ecologically realistic levels. This study investigates the effects of environmentally relevant concentrations of polyethylene micro beads ranging in size from 3 to 30 µm, on the physiology and energetics of a coastal filter-feeding crab Petrolisthes laevigatus. We evaluated the impact of microplastics by exposing P. laevigatus to two different concentrations and exposure times: i) a chronic exposure for five months at 250 particles L-1, and ii) an acute exposure for 48 h at 20,800 particles L-1, ~80 times higher than the chronic exposure. The results showed that only chronic exposures elicited negative effects on the coastal crab in both, metabolic and physiological parameters. Our findings demonstrate a strong correlation between the ingestion rate and weight loss, even at low concentrations, the crabs exhibited severe nutritional damage as a result of long-term microplastic exposure. By contrast, acute exposure revealed no significant effects to the crabs, a possible explanation for this being short-term compensatory responses. These results suggest that environmentally relevant concentrations of microplastics are harmful to marine organisms, and they should be evaluated during realistic temporal scales, as their effects strongly dependent on the exposure time. Our results also suggest that the effects of microplastics have been likely underestimated to date, due to the dominance of short-term exposures (acute) reported in the current literature.

Age dependent physiological tolerances explain population dynamics and distribution in the intertidal zone: A study with porcelain crabs.

Population dynamics and their response to environmental stressors have been widely studied in intertidal organisms. However, how these dynamics and responses change with animal age have been largely ignored to date. Traditionally, it is assumed that younger organisms are more sensitive than adults to environmental stressors; under this perspective it could be predicted that fully grown organisms should be able to occupy the harsh upper limit of their intertidal habitat. However, in some intertidal Porcelain crabs the opposite distribution has been observed. Using Petrolisthes laevigatus, we tested the physiological tolerance of crabs of different sizes (i.e. age) and evaluated how this trait shapes population dynamics (distribution and small-scale migrations under different weather conditions). We determined the abundance and size distribution of P. laevigatus at the middle and upper intertidal levels during sunny and rainy days, finding that abundances decreased drastically and size distribution shifted to smaller individuals on rainy days. In the laboratory, survival and behavioural responses of individuals in water at 5, 10, 15 and 33 PSU salinities were evaluated. Young crabs were found in higher proportion in the upper intertidal while fully grown crabs (i.e. adults) mainly occupied the middle intertidal zone. Young crabs had a higher osmoregulatory capacity than adults, as they were better at regulating passive water uptake when challenged with diluted seawater. This was also correlated with a lower lethal salinity LC50 in young crabs compared to adults. Behavioural trials showed that young crabs performed better escaping in both water and air, at intermediate and reduced salinities than adults. Therefore, weather influences small scale migrations from the upper to the lower intertidal zone, and this migration is also age-dependent, with younger crabs being more tolerant to low salinities and therefore allowing them to remain in the upper intertidal zone during raniny days.

Sand deposits reveal great earthquakes and tsunamis at Mexican Pacific Coast.

Globally, instrumentally based assessments of tsunamigenic potential of subduction zones have underestimated the magnitude and frequency of great events because of their short time record. Historical and sediment records of large earthquakes and tsunamis have expanded the temporal data and estimated size of these events. Instrumental records suggests that the Mexican Subduction earthquakes produce relatively small tsunamis, however historical records and now geologic evidence suggest that great earthquakes and tsunamis have whipped the Pacific coast of Mexico in the past. The sediment marks of centuries old-tsunamis validate historical records and indicate that large tsunamigenic earthquakes have shaken the Guerrero-Oaxaca region in southern Mexico and had an impact on a bigger stretch of the coast than previously suspected. We present the first geologic evidence of great tsunamis near the trench of a subduction zone previously underestimated as potential source for great earthquakes and tsunamis. Two sandy tsunami deposits extend over 1.5 km inland of the coast. The youngest tsunami deposit is associated with the 1787 great earthquake, M 8.6, producing a giant tsunami that poured over the coast flooding 500 km alongshore the Mexican Pacific coast and up to 6 km inland. The oldest event from a less historically documented event occurred in 1537. The 1787 earthquake, and tsunami and a probable predecessor in 1537, suggest a plausible recurrence interval of 250 years. We prove that the common believe that great tsunamis do not occur on the Mexican Pacific coast cannot be sustained.

Marine invertebrate larvae love plastics: Habitat selection and settlement on artificial substrates.

Global urbanization and plastic pollution has increased the availability and variety of substrates for sessile organisms, and are intensively used by invasive species for settlement. Despite extensive literature describing the strong association between artificial structures and invasive species, little effort has been directed towards identifying the larval traits that favor this selection. Larval selection and settlement are crucial as larvae actively search and interpret environmental cues to identify suitable habitats to settle. The aim of this research was to investigate if invertebrate larvae have a preference for a particular anthropogenic substrate, and how pre-settlement behaviors vary when encountering different substrates. We used two invasive bryozoan species, Bugula flabellata and Bugula neritina, which are commonly found in urbanized areas around the world. Energy expenditure during planktonic and benthonic stages, pre-settlement swimming/exploring behaviors, settlement and larval selectivity were quantified under laboratory conditions on different substrates (concrete, wood, polystyrene, polyvinyl chloride, polyethylene terephthalate and polycarbonate). The energy expenditure measured was higher in planktonic larvae than in early settled larvae. Larvae of both species swam less and explored more when exposed to plastic surfaces, suggesting a preference for this substrate and resulting in lower energy expenditures associated with searching for habitat. Larvae actively chose to settle on plastics rather than on wood or concrete substrates. The results suggest that for Bugula larvae, the likelihood of colonizing plastic surfaces is higher than other materials commonly found in urbanized coastal areas. The more quickly they adhere to artificial substrates the lower the energy expenditure, contributing to higher fitness in these individuals. The strong preference of invertebrate larvae for plastics can potentially extend the distribution range of many invasive marine species as they are able to travel long distances attached to floating debris. This phenomenon will likely exacerbate the introduction of exotic species into novel habitats.

Do low oxygen environments facilitate marine invasions? Relative tolerance of native and invasive species to low oxygen conditions.

Biological invasions are one of the biggest threats to global biodiversity. Marine artificial structures are proliferating worldwide and provide a haven for marine invasive species. Such structures disrupt local hydrodynamics, which can lead to the formation of oxygen-depleted microsites. The extent to which native fauna can cope with such low oxygen conditions, and whether invasive species, long associated with artificial structures in flow-restricted habitats, have adapted to these conditions remains unclear. We measured water flow and oxygen availability in marinas and piers at the scales relevant to sessile marine invertebrates (mm). We then measured the capacity of invasive and native marine invertebrates to maintain metabolic rates under decreasing levels of oxygen using standard laboratory assays. We found that marinas reduce water flow relative to piers, and that local oxygen levels can be zero in low flow conditions. We also found that for species with erect growth forms, invasive species can tolerate much lower levels of oxygen relative to native species. Integrating the field and laboratory data showed that up to 30% of available microhabitats within low flow environments are physiologically stressful for native species, while only 18% of the same habitat is physiologically stressful for invasive species. These results suggest that invasive species have adapted to low oxygen habitats associated with manmade habitats, and artificial structures may be creating niche opportunities for invasive species.

¿Cuáles son los rangos de normalidad de los diámetros de la aorta infrarrenal, medidos con ultrasonografía 2D, en sujetos sin antecedentes de enfermedad vascular? / What are the normal ranges of the infrarenal aortic diameters measured with 2D ultrasound in subjects with no history of vascular disease?

El diámetro de la parte abdominal de la aorta (AAI), constituye un factor relevante para decidir reparar un aneurisma aórtico abdominal. El objetivo de este estudio es determinar rangos de normalidad de los diámetros de la AAI, medidos con ultrasonografía 2D, en sujetos sin antecedentes de enfermedad vascular. Estudio de corte transversal, realizado en los Hospitales Regional de Temuco y de Pitrufquen. Se estudiaron 399 sujetos mayores de 15 años, sin antecedentes de enfermedad vascular, que consultaron por cuadros de dolor abdominal. Se realizó ultrasonografía 2D con dos equipos diferentes (General Electric RT3200 Advantage II y Medison co. Ltda. Modelo SA-600; ambos con transductores de 3,5 Mhz.) y por dos observadores independientes. Las variables resultado fueron diámetros antero-posterior (DAP) y transverso (DT) de la AA. Otras variables de interés fueron: sexo, edad índice peso/talla y superficie corporal. Se aplicó estadística descriptiva, inferencial aplicando t test para variables continuas, x2 para variables categóricas, ANOVA y Kruskal Wallis para comparación de grupos; estudios de correlación y una regresión lineal simple. El DAP promedio fue de 16,1 ± 2,2 mm (9 a 23 mm) y el DT promedio fue de 19,4 ±2,7 mm (11 a 26 mm). Se observaron DAP y DT significativamente mayores en el subgrupo de >50 años y en hombres. Hubo correlación positiva entre índice peso/talla-DAP (p=0,0321) e índice peso/talla-DT (p=0,0052), más relevante en el subgrupo femenino. Por otra parte, se demostró correlación positiva entre DAP y superficie corporal (p<0.0001) y DT y superficie corporal (p<0.0001). Sexo, edad y superficie corporal se asocian con DAP y DT más elevados. Al parecer la población estudiada posee AAI de menor diámetro promedio que lo descrito en la literatura internacional.

The diameter of the abdominal aorta (AA), is a relevant factor to repair an abdominal aortic aneurysm. The aim of this study is to determine the normal range of the diameter of the infrarenal AA according 2D ultrasonography in patients with no history of vascular disease. Cross-sectional study, conducted in Hospital Regional of Temuco and Pitrufquen in 399 subjects over 15 years, with no history of vascular disease, who consulted for abdominal pain cadres were studied. 2D ultrasonography was performed with two different computers (General Electric RT3200 Advantage II and co Medison. Ltda. Model SA-600, both with 3.5 MHz transducers.) and two independent observers. The outcome variables were anteroposterior diameters (DAP) and transverse (TD) of AA. Other variables of interest were: sex, age index weight / height and body surface. Descriptive statistics were applied, applying inferential t test for continuous variables, x2 for categorical variables and Kruskal Wallis ANOVA for comparison of groups; correlation studies and linear regression. DAP average was 16.1 ± 2.2 mm (9-23 mm) and DT average was 19.4 ± 2.7 mm (11-26 mm). DAP and DT was significantly higher in the subgroup age > 50 and in men. There was a positive correlation between weight / height-DAP (p=0.0321) and index weight / height-DT (p=0.0052), the more relevant in the female subgroup index. Moreover, positive correlation between DAP and body surface area (p<0.0001) and DT and body surface area (p<0.0001) was demonstrated. Sex, age and body surface area are associated with higher DAP and DT. Apparently our population has lower average diameter aortas that described in the international literature.

Biofilm history and oxygen availability interact to affect habitat selection in a marine invertebrate.

In marine systems, oxygen availability varies at small temporal and spatial scales, such that current oxygen levels may not reflect conditions of the past. Different studies have shown that marine invertebrate larvae can select settlement sites based on local oxygen levels and oxygenation history of the biofilm, but no study has examined the interaction of both. The influence of normoxic and hypoxic water and oxygenation history of biofilms on pre-settlement behavior and settlement of the bryozoan Bugula neritina was tested. Larvae used cues in a hierarchical way: the oxygen levels in the water prime larvae to respond, the response to different biofilms is contingent on oxygen levels in the water. When oxygen levels varied throughout biofilm formation, larvae responded differently depending on the history of the biofilm. It appears that B. neritina larvae integrate cues about current and historical oxygen levels to select the appropriate microhabitat and maximize their fitness.

Route of metabolization and detoxication of paralytic shellfish toxins in humans.

Paralytic shellfish toxins (PST) are a collection of over 26 structurally related imidazoline guanidinium derivatives produced by marine dinoflagellates and freshwater cyanobacteria. Glucuronidation of drugs by UDP-glucuronosyltransferase (UGT) is the major phase II conjugation reaction in mammalian liver. In this study, using human liver microsomes, the in vitro paralytic shellfish toxins oxidation and sequential glucuronidation are achieved. Neosaxitoxin (neoSTX), Gonyautoxin 3/2 epimers (GTX3/GTX2) and Saxitoxin (STX) are used as starting enzymatic substrates. The enzymatic reaction final product metabolites are identified by using HPLC-FLD and HPLC/ESI-IT/MS. Four metabolites from GTX3/GTX2 epimers precursors, three of neoSTX and two of STX are clearly identified after incubating with UDPGA/NADPH and fresh liver microsomes. The glucuronic-Paralytic Shellfish Toxins were completely hydrolysed by treatment with beta-glucuronidase. All toxin analogs were identified comparing their HPLC retention time with those of analytical standard reference samples and further confirmed by HPLC/ESI-IT/MS. Paralytic Shellfish Toxins (PST) were widely metabolized by human microsomes and less than 15% of the original PST, incubated as substrate, stayed behind at the end of the incubation. The apparent V(max) and Km formation values for the respective glucuronides of neoSTX, GTX3/GTX2 epimers and STX were determined. The V(max) formation values for Glucuronic-GTX3 and Glucuronic-GTX2 were lower than Glucuronic-neoSTX and Glucuronic-STX (6.8+/-1.9x10(-3); 8.3+/-2.8x10(-3) and 9.7+/-2.8x10(-3)pmol/min/mg protein respectively). Km of the glucuronidation reaction for GTX3/GTX2 epimers was less than that of glucuronidation of neoSTX and STX (20.2+/-0.12; 27.06+/-0.23 and 32.02+/-0.64microM respectively). In conclusion, these data show for the first time, direct evidence for the sequential oxidation and glucuronidation of PST in vitro, both being the initial detoxication reactions for the excretion of these toxins in humans. The PST oxidation and glucuronidation pathway showed here, is the hepatic conversion of its properly glucuronic-PST synthesized, and the sequential route of PST detoxication in human.

Potentiation of local anesthetic activity of neosaxitoxin with bupivacaine or epinephrine: development of a long-acting pain blocker.

Local anesthetics effectively block and relieve pain, but with a relatively short duration of action, limiting its analgesic effectiveness. Therefore, a long-acting local anesthetic would improve the management of pain, but no such agent is yet available for clinical use. The aim of this study is to evaluate the potentiation of the anesthetic effect of neosaxitoxin, with bupivacaine or epinephrine in a randomized double-blind clinical trial. Ten healthy males were subcutaneously injected into the left and right forearms with a randomized pair of the following treatments: (i) bupivacaine (5 mg); (ii) neosaxitoxin (10 microg); (iii) neosaxitoxin (10 microg) plus bupivacaine (5 mg), and (iv) neosaxitoxin (10 microg) plus epinephrine (1:100.000), but all participant received all four formulations (in 2 ml; s.c.), with 1 month elapsing between the two round of experiments. A validated sensory and pain paradigm was used for evaluating the effect of the treatment 0-72 h after the injections, measuring sensory, pain, and mechanical touch perception threshold. The duration of the effect produced by combined treatments was longer than that by the single drugs. In conclusion, bupivacaine and epinephrine potentiate the local anesthetic effect of neosaxitoxin in humans when co-injected subcutaneously. The present results support the idea that neosaxitoxin is a new long-acting local pain blocker, with highly potential clinical use.

Neosaxitoxin as a local anesthetic: preliminary observations from a first human trial.

BACKGROUND: Neosaxitoxin is a phycotoxin that reversibly blocks the voltage-gated sodium channels at the neuronal level. Its activity results in blocking the axonal conduction, stopping the propagation of the nerve impulse. The objective of the present work was to evaluate neosaxitoxin as a local anesthetic in a human trial. METHODS: The authors conducted a randomized, double-blind, placebo-controlled trial with 10 healthy volunteers. Subcutaneous injections were made in the middle posterior skin of the calf: one leg received 50 microg neosaxitoxin, and the contra-lateral leg received placebo. The anesthetic effect was evaluated using a standardized human sensory and pain model. TSA II Neurosensory Analyzer (Medoc Ltd, Minneapolis, MN) and von Frey technique were used to evaluate five parameters: sensory threshold for warm and cold, pain thresholds for heat and cold, and mechanical touch perception threshold. Measurements were made 0, 1, 3, 6, 9, 12, 16, 24, and 48 h after the injections. RESULTS: For all the patients, effective and complete blocking of the evaluated parameters was obtained. As the blocking began to revert gradually, heat pain was the first to return to normal values after 3 h. Cold pain was the longest sensation abolished, achieving 24 h of blockade. The toxin was undetected in blood and urine samples. No adverse reactions to neosaxitoxin were detected. CONCLUSIONS: Neosaxitoxin showed an effective local anesthetic effect when injected in the subcutaneous plane. The efficacy of a 50-microg dose of neosaxitoxin was shown. This is the first report of neosaxitoxin as a local anesthetic in a human trial.

Human intoxication with paralytic shellfish toxins: clinical parameters and toxin analysis in plasma and urine.

This study reports the data recorded from four patients intoxicated with shellfish during the summer 2002, after consuming ribbed mussels (Aulacomya ater) with paralytic shellfish toxin contents of 8,066 +/- 61.37 microg/100 gr of tissue. Data associated with clinical variables and paralytic shellfish toxins analysis in plasma and urine of the intoxicated patients are shown. For this purpose, the evolution of respiratory frequency, arterial blood pressure and heart rate of the poisoned patients were followed and recorded. The clinical treatment to reach a clinically stable condition and return to normal physiological parameters was a combination of hydration with saline solution supplemented with Dobutamine (vasoactive drug), Furosemide (diuretic) and Ranitidine (inhibitor of acid secretion). The physiological condition of patients began to improve after four hours of clinical treatment, and a stable condition was reached between 12 to 24 hours. The HPLC-FLD analysis showed only the GTX3/GTX2 epimers in the blood and urine samples. Also, these epimers were the only paralytic shellfish toxins found in the shellfish extract sample.

Predecessors of the giant 1960 Chile earthquake.

It is commonly thought that the longer the time since last earthquake, the larger the next earthquake's slip will be. But this logical predictor of earthquake size, unsuccessful for large earthquakes on a strike-slip fault, fails also with the giant 1960 Chile earthquake of magnitude 9.5 (ref. 3). Although the time since the preceding earthquake spanned 123 years (refs 4, 5), the estimated slip in 1960, which occurred on a fault between the Nazca and South American tectonic plates, equalled 250-350 years' worth of the plate motion. Thus the average interval between such giant earthquakes on this fault should span several centuries. Here we present evidence that such long intervals were indeed typical of the last two millennia. We use buried soils and sand layers as records of tectonic subsidence and tsunami inundation at an estuary midway along the 1960 rupture. In these records, the 1960 earthquake ended a recurrence interval that had begun almost four centuries before, with an earthquake documented by Spanish conquistadors in 1575. Two later earthquakes, in 1737 and 1837, produced little if any subsidence or tsunami at the estuary and they therefore probably left the fault partly loaded with accumulated plate motion that the 1960 earthquake then expended.

Metabolic transformation of dinophysistoxin-3 into dinophysistoxin-1 causes human intoxication by consumption of O-acyl-derivatives dinophysistoxins contaminated shellfish.

This paper describes for the first time a massive intoxication episode due to consumption of shellfish contaminated with 7-O-acyl-derivative dinophysistoxin-1, named Dinophysistoxin-3 (DTX-3). 7-O-acyl-derivative dinophysistoxin-1, a compound recently described in the literature, was found in shellfish samples collected in the Chilean Patagonia fjords. This compound does not inhibit Protein Phosphatases and also does not elicit the symptoms described for Diarrheic Shellfish Poisoning (DSP). The data showed here, give evidence of metabolic transformation of 7-O-acyl-derivative dinophysistoxin-1 (DTX-3) into Dinophysistoxin-1 (DTX-1, Methyl-Okadaic acid) in intoxicated patients. This metabolic transformation is responsible for the diarrheic symptoms and the intoxication syndrome showed by patients that consumed contaminated shellfish, which showed only the presence of 7-O-acyl-derivative dinophysistoxin-1. Patients fecal bacterial analysis for the presence of enteropathogens was negative and the mouse bioassay for DSP, performed as described for regulatory testing, was also negative. The HPLC-FLD and HPLC-MS analysis showed only the presence of DTX-3 as the only compound associated to DSP toxins in the contaminated shellfish samples. No other DSP toxins were found in the shellfish sample extracts. However, the patient fecal samples showed DTX-1 as the only DSP toxins detected in fecal. Moreover, the patient fecal samples did not show DTX-3. Since 7-O-acyl-derivative dinophysistoxin-1 (DTX-3) was the only compound associated to DSP toxins detected in the shellfish samples, an explanation for the diarrheic symptoms in the intoxicated patients would be the metabolic transformation of DTX-3 into DTX-1. This transformation should occur in the stomach of the poisoned patients after consuming 7-O-acyl-derivatives dinophysistoxin-1 (DTX-3) contaminated bivalves.

Human intoxication with paralytic shellfish toxins: clinical parameters and toxin analysis in plasma and urine

This study reports the data recorded from four patients intoxicated with shellfish during the summer 2002, after consuming ribbed mussels (Aulacomya ater) with paralytic shellfish toxin contents of 8,066 n 61.37 mg/100 gr of tissue. Data associated with clinical variables and paralytic shellfish toxins analysis in plasma and urine of the intoxicated patients are shown. For this purpose, the evolution of respiratory frequency, arterial blood pressure and heart rate of the poisoned patients were followed and recorded. The clinical treatment to reach a clinically stable condition and return to normal physiological parameters was a combination of hydration with saline solution supplemented with Dobutamine (vasoactive drug), Furosemide (diuretic) and Ranitidine (inhibitor of acid secretion). The physiological condition of patients began to improve after four hours of clinical treatment, and a stable condition was reached between 12 to 24 hours. The HPLC-FLD analysis showed only the GTX3/GTX2 epimers in the blood and urine samples. Also, these epimers were the only paralytic shellfish toxins found in the shellfish extract sample.

Paralytic shellfish poisoning: post-mortem analysis of tissue and body fluid samples from human victims in the Patagonia fjords.

In July 5, 2002 fishermen working in harvesting sea urchin (Loxechinus albus) in the Patagonia Chilean fjords were intoxicated by consumption of filter-feeder bivalve Aulacomya ater. After the ingestion of 7-9 ribbed mussel, two fishermen died 3-4 h after shellfish consumption. The forensic examination in both victims did not show pathological abnormalities with the exception of the lungs conditions, crackling to the touch, pulmonary congestion and edema. The toxic mussel sample showed a toxicity measured by mouse bioassay of 8575 microg of STX (saxitoxin) equivalent by 100 g of shellfish meat. Using post-column derivatization HPLC method with fluorescent on line detection was possible to measure mass amount of each paralytic shellfish poisoning (PSP) toxin yielding individual toxin concentrations. These PSP toxins were identified in the gastric content, body fluids (urine, bile and cerebrospinal fluid) and tissue samples (liver, kidney, lung, stomach, spleen, heart, brain, adrenal glands, pancreas and thyroids glands). The toxin profiles of each body fluid and tissue samples and the amount of each PSP toxin detected are reported. The PSP toxins found in the gastric content, were STX and the gonyautoxins (GTX4, GTX1, GTX5, GTX3 and GTX2) which showed to be the major amount of PSP toxins found in the victims biological samples. The PSP toxin composition in urine and bile showed as major PSP toxins neoSaxitoxin (neoSTX) and GTX4/GTX1 epimers, both STX analogues with an hydroxyl group (-OH) in the N(1) of the tetrahydropurine nucleus. The neoSTX was not present in the gastric content sample, indicating that the oxidation of N(1) in the STX tetrahydropurine nucleus resulted neoSTX, in a similar way that GTX3/GTX2 epimers were transformed in GTX4/GTX1 epimers. Beside this metabolic transformation, also the hydrolysis of carbamoyl group from STX to form its decarbomoyl analogue decarbamoylsaxitoxin was detected in liver, kidney and lung. These two findings show that PSP toxins went under metabolic transformation during the 3-4 h of human intoxication period, in which PSP toxins showed enzymatic oxidation of N(1) in the tetrahydropurine nucleus, producing neoSTX and GTX4/GTX1 epimers starting from STX and GTX3/GTX2 epimers, respectively. This study conclude, that PSP toxins are metabolically transformed by humans and that they are removed from the body by excretion in the urine and feces like any other xenobiotic compound.

[Frequency of abdominal aortic aneurysms in adult population with known risk factors]. / Frecuencia de aneurisma aórtico abdominal en población adulta con factores de riesgo conocidos.

BACKGROUND: The incidence of abdominal aortic aneurysms has increased. Its predisposing factors are smoking, high blood pressure and dislipidemia. Progressive aneurysmal enlargement may lead to its rupture, which is associated to a mortality rate above 80%. AIM: To assess the prevalence of abdominal aortic aneurysms in Chilean subjects with cardiovascular risk factors. SUBJECTS AND METHODS: Through announcements in open media we invited individuals aged over 60 years, who smoked, had hypertension and/or had occlusive arterial disease, to participate in a study that included medical history and physical examination. An aortic ultrasound was performed in all subjects in whom the aorta was not palpable or there was a suspicion of dilatation. Aortic diameter over 3 cm was considered aneurysmal. RESULTS: Three hundred fifty six subjects aged 67.1 +/- 6.7 years, (73.9% males), were evaluated. The study group included 62% hypertensives, 39% with abnormal lipids and 46% smokers. Known coronary heart disease or peripheral arterial diseases were present in 14% and 10%, respectively. Ultrasound was required in 159 subjects. Aneurysms were detected in 21 persons (5.9%), 7.6% in males and 1.1% in females. The mean transverse diameter of the aneurysm was 4.1 cm (3-7.5). Aneurysm was found in 2.3% of subjects younger than 65 years and 8.3% of subjects aged over 65 years. CONCLUSIONS: In this sample the prevalence of abdominal aortic aneurysms was 5.9%, affecting predominantly males, with a notorious increase with advanced age.

Abordaje laparoscópico quirúrgico en quistes dermoides del ovario / Laparoscopic surgery in dermoid ovarian cysts

Existen claras ventajas de la videoendoscopía en relación a la cirugía por laparotomía, en ginecología y en otras cirugías. La realización de cirugía laparoscópica en masa anexiales de pacientes en edad reproductiva o en la postmenopausia, ha sido incorporada ya por varios años. Junto a la cirugía por embarazo ectópico es una de las cirugías más frecuentes en donde se ha incorporado la cirugía laparoscópica en ginecología. Una aproximación importante al tema radica en la adecuada selección de estas pacientes. Se presenta la experiencia de cirugía laparoscópica ginecológica sobre masas anexiales con diagnóstico clínico y/o ultrasonográfico de quiste dermoide del ovario, realizadas en el Hospital Regional de Temuco entre los años 1995 y 1996. Histológicamente los Teratomas quísticos maduros corresponden a un 21,6 por ciento del total de masas anexiales resueltos por cirugía laparoscópica en el Hospital de Temuco. El tiempo operatorio promedio corresponde a 105 min. No hubo complicaciones. En un caso el informe anátomo patológico de la biopsia rápida y diferida informó un tumor carcinoide en el espesor de un teratoma maduro, en una paciente de 48 años. El promedio de días de estadía fue de 3,6 días