Pyrolysis Kinetics of Byrsonima crassifolia Stone as Agro-Industrial Waste through Isoconversional Models.

This study is aimed at the analysis of the pyrolysis kinetics of Nanche stone BSC (Byrsonima crassifolia) as an agro-industrial waste using non-isothermal thermogravimetric experiments by determination of triplet kinetics; apparent activation energy, pre-exponential factor, and reaction model, as well as thermodynamic parameters to gather the required fundamental information for the design, construction, and operation of a pilot-scale reactor for the pyrolysis this lignocellulosic residue. Results indicate a biomass of low moisture and ash content and a high volatile matter content (≥70%), making BCS a potential candidate for obtaining various bioenergy products. Average apparent activation energies obtained from different methods (KAS, FWO and SK) were consistent in value (~123.8 kJ/mol). The pre-exponential factor from the Kissinger method ranged from 105 to 1014 min-1 for the highest pyrolytic activity stage, indicating a high-temperature reactive system. The thermodynamic parameters revealed a small difference between EA and ∆H (5.2 kJ/mol), which favors the pyrolysis reaction and indicates the feasibility of the energetic process. According to the analysis of the reaction models (master plot method), the pyrolytic degradation was dominated by a decreasing reaction order as a function of the degree of conversion. Moreover, BCS has a relatively high calorific value (14.9 MJ/kg) and a relatively low average apparent activation energy (122.7 kJ/mol) from the Starink method, which makes this biomass very suitable to be exploited for value-added energy production.

Evaluation of the Environmental Performance of Adsorbent Materials Prepared from Agave Bagasse for Water Remediation: Solid Waste Management Proposal of the Tequila Industry.

In the present research work, the use of agro-industrial waste such as agave bagasse from the tequila industry was carried out. The agave bagasse was treated to obtain biosorbent and hydrochar materials. Direct Blue 86 was used as an adsorbate model to evaluate the performance of both materials. The adsorption studies showed an adsorption capacity of 6.49 mg g−1 in static and 17.7 mg g−1 in dynamic, associated with a physisorption process between functional groups of the material and the dye. The characterization of the biosorbent showed that the material was mainly composed of macroporous fibers with a surface area <5.0 m2 g−1. Elemental analysis showed a majority composition of C (57.19 wt%) and O (37.49 wt%). FTIR and XPS analyses showed that the material had C-O, C=O, -OH, O-C=O, and -NH2 surface groups. RAMAN and TGA were used to evaluate the composition, being cellulose (40.94%), lignin (20.15%), and hemicellulose (3.35%). Finally, the life-cycle assessment at a laboratory scale showed that the proposed biosorbent presents a 17% reduction in several environmental aspects compared to hydrochar, showing promise as an eco-friendly and highly efficient method for the remediation of water contaminated with dye, as well as being a promising alternative for the responsible management of solid waste generated by the tequila industry.

Simultaneous Sulfite Electrolysis and Hydrogen Production Using Ni Foam-Based Three-Dimensional Electrodes.

The electrochemical oxidation of sulfite ions offers encouraging advantages for large-scale hydrogen production, while sulfur dioxide emissions can be effectively used to obtain value-added byproducts. Herein, the performance and stability during sulfite electrolysis under alkaline conditions are evaluated. Nickel foam (NF) substrates were functionalized as the anode and cathode through electrochemical deposition of palladium and chemical oxidation to carry out the sulfite electro-oxidation and hydrogen evolution reactions, respectively. A combined analytical approach in which a robust electrochemical flow cell was coupled to different in situ and ex situ measurements was successfully implemented to monitor the activity and stability during electrolysis. Overall, satisfactory sulfite conversion and hydrogen production efficiencies (>90%) at 10 mA·cm-2 were mainly attributed to the use of NF in three-dimensional electrodes with a large surface area and enhanced mass transfer. Furthermore, stabilization processes associated with electrochemical dissolution and sulfur crossover through the membrane induced specific changes in the chemical and physical properties of the electrodes after electrolysis. This study demonstrates that NF-based electrocatalysts can be incorporated in an efficient electrochemical flow cell system for sulfite electrolysis and hydrogen production, with potential applications at a large scale.

Synthesis and characterization of hydrochar from industrial Capsicum annuum seeds and its application for the adsorptive removal of methylene blue from water.

Chili seeds (CS) represent one of the most abundant residues in Mexico due to the high production and consumption. In this work, CS were used as raw material for the production of low-cost adsorbents for the removal of methylene blue from water. The adsorbents were synthesized from a hydrothermal treatment (based on a surface response experiment design) and characterized texturally by assessing changes in their properties. The mass yield (%R), carbon content (%C), and the second order adsorption rate constant (k2) were derived in relation to a list of input variables (e.g., the reaction temperature, residence time, and water/biomass ratio). Accordingly, those output variables were affected most sensitively by temperature and/or residence time, while changes of the water/biomass ratio were insignificant. Besides, an increase in the reaction temperature favored the degradation of the lignocellulosic material with increases in the carbon fixation. The adsorption capacity of methylene blue (MB) by the hydrochars depended drastically on the oxygen/carbon ratio. As such, the maximum adsorption capacity value of 145 mg g-1 was attained at the initial MB concentration of ~3000 µM (optimal oxygen/carbon value of 0.43). On the other hand, the maximum partition coefficient (KD) was estimated as 2.96 µM-1 mg g-1 with the initial/equilibrium concentrations of 20.5/6.93 µM. The performance evaluation between different studies, when made in terms of KD, suggests that the tested hydrochar should be one of the best adsorbents to treat methylene blue, especially at near-real environmental conditions (e.g., below micromolar levels).

Discriminative validity of an abbreviated Semantic Verbal Fluency Test.

Semantic verbal fluency (SVF) is one of the most widely used tests for cognitive assessment due to its diagnostic utility (DU). OBJECTIVE: our objective is to evaluate the DU to detect cognitive impairment (CI) of a short version of the SVF applied in 30 seconds (SVF1-30). METHODS: a prospective sample of consecutive patients evaluated in a Neurology Unit between December 2016 and December 2017 were assessed with the Global Deterioration Scale (GDS), 30-second and 60-second SVF tests (animals), and the Fototest, which includes a fluency task of people's names. The DU for CI was evaluated by the area under the ROC curve and effect size ("d" Cohen). RESULTS: the study included 1012 patients (256 with CI, 395 with dementia). SVF1-30 shows a good correlation with GDS stage. The DU of SVF1-30 is identical to that of the classical version, applied in 60 seconds, (SVFtotal) for CI (0.89 ± 0.01; p > 0.50), and shows no significant difference for dementia (0.85 ± 0.01 vs. 0.86 ± 0.01, p > 0.15). DISCUSSION: the DU of SVF1-30 is similar to that of the SVFtotal, allowing a reduction in examination time with no loss of discriminative capacity.

A fluência verbal semântica (SVF) é um dos testes mais utilizados na avaliação cognitiva devido à sua utilidade diagnóstica (UD). OBJETIVO: Nosso objetivo foi o de avaliar o DU de uma versão abreviada do SVF aplicado em 30 segundos (SVF1-30) para a detecção do comprometimento cognitivo (CC). MÉTODOS: Amostra prospectiva de pacientes avaliados em uma Unidade de Neurologia entre dezembro de 2016 e dezembro de 2017. Global Deterioration Scale (GDS), um teste de SVF (animais), registrando os resultados em 30 e 60 segundos e Fototest, que inclui uma tarefa de fluência de nomes de pessoas foram aplicadas. A UD para CC foi avaliada pela área sob a curva ROC e o tamanho do efeito ("d" Cohen). RESULTADOS: foram incluídos 1012 sujeitos (256 CC e 395 demência). O SVF1-30 mostrou uma boa correlação com o estágio GDS. A UD de SVF1-30 é idêntico ao da versão clássica (SVFtotal) para CC (0,89 ± 0,01; p > 0,50) e sem diferença significativa para demência (0,85 ± 0,01 vs. 0,86 ± 0,01; p > 0,15). DISCUSSÃO: a UD do SVF1-30 é similar ao SVFtotal, o que permite diminuir o tempo de exploração sem perder a capacidade discriminativa.

Discriminative validity of an abbreviated Semantic Verbal Fluency Test / Validade discriminativa de um teste abreviado de Fluência Verbal Semântica

ABSTRACT. Semantic verbal fluency (SVF) is one of the most widely used tests for cognitive assessment due to its diagnostic utility (DU). Objective: our objective is to evaluate the DU to detect cognitive impairment (CI) of a short version of the SVF applied in 30 seconds (SVF1-30). Methods: a prospective sample of consecutive patients evaluated in a Neurology Unit between December 2016 and December 2017 were assessed with the Global Deterioration Scale (GDS), 30-second and 60-second SVF tests (animals), and the Fototest, which includes a fluency task of people's names. The DU for CI was evaluated by the area under the ROC curve and effect size ("d" Cohen). Results: the study included 1012 patients (256 with CI, 395 with dementia). SVF1-30 shows a good correlation with GDS stage. The DU of SVF1-30 is identical to that of the classical version, applied in 60 seconds, (SVFtotal) for CI (0.89 ± 0.01; p > 0.50), and shows no significant difference for dementia (0.85 ± 0.01 vs. 0.86 ± 0.01, p > 0.15). Discussion: the DU of SVF1-30 is similar to that of the SVFtotal, allowing a reduction in examination time with no loss of discriminative capacity.

RESUMO. A fluência verbal semântica (SVF) é um dos testes mais utilizados na avaliação cognitiva devido à sua utilidade diagnóstica (UD). Objetivo: Nosso objetivo foi o de avaliar o DU de uma versão abreviada do SVF aplicado em 30 segundos (SVF1-30) para a detecção do comprometimento cognitivo (CC). Métodos: Amostra prospectiva de pacientes avaliados em uma Unidade de Neurologia entre dezembro de 2016 e dezembro de 2017. Global Deterioration Scale (GDS), um teste de SVF (animais), registrando os resultados em 30 e 60 segundos e Fototest, que inclui uma tarefa de fluência de nomes de pessoas foram aplicadas. A UD para CC foi avaliada pela área sob a curva ROC e o tamanho do efeito ("d" Cohen). Resultados: foram incluídos 1012 sujeitos (256 CC e 395 demência). O SVF1-30 mostrou uma boa correlação com o estágio GDS. A UD de SVF1-30 é idêntico ao da versão clássica (SVFtotal) para CC (0,89 ± 0,01; p > 0,50) e sem diferença significativa para demência (0,85 ± 0,01 vs. 0,86 ± 0,01; p > 0,15). Discussão: a UD do SVF1-30 é similar ao SVFtotal, o que permite diminuir o tempo de exploração sem perder a capacidade discriminativa.

Extranodal lymphomas in the public health system in Chile: Analysis of 1251 patients from the National Adult Cancer Program.

The aim of the study was to describe the clinical and epidemiological characteristics, anatomic and histologic distribution, and treatment results of extranodal lymphomas (ENLs), diagnosed and treated in the public health system in Chile. We included patients with ENL diagnosed from 1998 to 2014, in 17 cancer centers, registered prospectively in the database of the National Adult Cancer Program (PANDA) of the Ministry of Health. Treatment was based on the local protocols for each lymphoma subtype. Extranodal lymphoma was documented in 1215 of 4907 non-Hodgkin lymphomas diagnosed in that period (25%). Median age was 59 years (range, 16-95), and 55% were female. The gastrointestinal (GI) tract was the most common location (38%), followed by the head and neck (24%) and the skin (15%). B-cell lymphomas accounted for 78% of cases, diffuse large B-cell lymphoma being the most common histologic subtype (68%). Mycosis fungoides/Sezary syndrome was the most frequent T-cell subtype (36%), followed by NK/T-cell lymphomanasal type (24%). In comparison with western countries, Chile showed a significantly high prevalence of NK/T-cell lymphoma nasal type, while the frequency of B-cell ENL and the anatomic distribution appeared similar, being GI the most commonly involved site.

Fully Functionalizable ß,ß'-BODIPY Dimer: Synthesis, Structure, and Photophysical Signatures.

The versatility in the synthesis of BODIPY derivatives in terms of functionalization is further demonstrated. In particular, in this work ß-ß'-BODIPY dimers with varied functional groups in the meso positions were synthesized in very efficient yields and short reaction times from a single platform. A photophysical study was carried out in all of the compounds. The resultant dimers show absorption bands at around 600 nm as a consequence of electronically coupled monomers disposed with a dihedral angle of around 30°, which is supported by theoretical simulations. The emission properties of these molecules are distinguished by the appearance of an ICT state as the polarity of the solvent increases.

Morphological variations of the three otoliths of some species of the family Loricariidae (Ostariophysi: Siluriformes)

Otoliths are three pairs of calcareous structures found in the inner ear of bony fish. In many cases they display a species-specific morphology. The present study describes morphological variations of otoliths, namely lapillus, asteriscus and sagitta, of eleven species belonging to four loricariid subfamilies. Otolith structures that characterize the Loricariidae and some of its subfamilies are presented. The sagitta exhibit a specific morphology that is not found in other siluriform families; it is claviform with a tapered posterior region and a flared anterior one. In the latter, central elevations are observed and the dorsal wings are continuous with lateral expansions named basal wings. Hypoptopomatinae and Loricariinae as well as Hypostominae and Ancistrinae can be grouped by two morphological patterns of the lapillus: An ovoid pattern, in which the lapillae are elongated in its supero-inferior axis and the mond hardly exceed the anterior edge of the otolith and, an oval pattern, where the lapillae are elongated in their antero-posterior axis and the mond always exceeds the anterior edge in an obvious way. The patterns proposed here could be diagnostic of certain subfamilies.(AU)

Los otolitos son tres pares de estructuras calcáreas que se encuentran en el oído interno de los peces óseos. En muchos casos ellos muestran una morfología específica para cada especie. El presente estudio describe las variaciones morfológicas de los otolitos, lapillus, asteriscus y sagitta, de once especies pertenecientes a cuatro subfamilias de loricáridos. Se presentan estructuras que caracterizan los otolitos de Loricariidae y a algunas de sus subfamilias. El sagitta exhibe una morfología específica que no se encuentra en otras familias siluriformes: es claviforme con una región posterior cónica y una anterior ensanchada. En esta última, se observan elevaciones centrales; las alas dorsales que se continuan con expansiones laterales denominadas alas basales. Hypoptopomatinae y Loricariinae, así como las subfamilias Hypostominae y Ancistrinae se pueden agrupar por dos patrones morfológicos de la lapillus: Un patrón de forma ovoide, en el que los lapillae son alargados en su eje superior-inferior y el mond difícilmente sobrepasa el borde anterior de los otolitos. El otro es un patrón oval, donde los lapillae son alargados en su eje antero-posterior y el mond siempre sobrepasa el borde anterior de una manera notoria. Los patrones propuestos aquí podrían ser diagnósticos de ciertas subfamilias.(AU)

Morphological variations of the three otoliths of some species of the family Loricariidae (Ostariophysi: Siluriformes)

Otoliths are three pairs of calcareous structures found in the inner ear of bony fish. In many cases they display a species-specific morphology. The present study describes morphological variations of otoliths, namely lapillus, asteriscus and sagitta, of eleven species belonging to four loricariid subfamilies. Otolith structures that characterize the Loricariidae and some of its subfamilies are presented. The sagitta exhibit a specific morphology that is not found in other siluriform families; it is claviform with a tapered posterior region and a flared anterior one. In the latter, central elevations are observed and the dorsal wings are continuous with lateral expansions named basal wings. Hypoptopomatinae and Loricariinae as well as Hypostominae and Ancistrinae can be grouped by two morphological patterns of the lapillus: An ovoid pattern, in which the lapillae are elongated in its supero-inferior axis and the mond hardly exceed the anterior edge of the otolith and, an oval pattern, where the lapillae are elongated in their antero-posterior axis and the mond always exceeds the anterior edge in an obvious way. The patterns proposed here could be diagnostic of certain subfamilies.(AU)

Los otolitos son tres pares de estructuras calcáreas que se encuentran en el oído interno de los peces óseos. En muchos casos ellos muestran una morfología específica para cada especie. El presente estudio describe las variaciones morfológicas de los otolitos, lapillus, asteriscus y sagitta, de once especies pertenecientes a cuatro subfamilias de loricáridos. Se presentan estructuras que caracterizan los otolitos de Loricariidae y a algunas de sus subfamilias. El sagitta exhibe una morfología específica que no se encuentra en otras familias siluriformes: es claviforme con una región posterior cónica y una anterior ensanchada. En esta última, se observan elevaciones centrales; las alas dorsales que se continuan con expansiones laterales denominadas alas basales. Hypoptopomatinae y Loricariinae, así como las subfamilias Hypostominae y Ancistrinae se pueden agrupar por dos patrones morfológicos de la lapillus: Un patrón de forma ovoide, en el que los lapillae son alargados en su eje superior-inferior y el mond difícilmente sobrepasa el borde anterior de los otolitos. El otro es un patrón oval, donde los lapillae son alargados en su eje antero-posterior y el mond siempre sobrepasa el borde anterior de una manera notoria. Los patrones propuestos aquí podrían ser diagnósticos de ciertas subfamilias.(AU)

Identification of nitrous oxide emissions from green areas of Chihuahua City irrigated with treated wastewater.

UNLABELLED: Since 2000, the city of Chihuahua had a distribution system of treated wastewater for irrigation of green areas and has replaced this water for processes that do not require the consumption of drinking water. This replacement was necessary in order to meet the growing demand for potable water which has exceeded the current supply of 700 L (184,88 gallons) per second. Nowadays it is necessary to identify and assess the risks to public health and the environment due to the substitution of drinking water by treated wastewater in the last 10yr. Treated wastewater contains compounds whose effects have not been evaluated when used for irrigation in public green areas. Therefore, it is not known whether there is a danger to the health of park visitors due to exposure and/or inhalation of the emitted gases, accidental ingestion of water, or impact to the environment. The purpose of the research, using an experimental prototype, is to identify the changes from nitrogen present in the treated wastewater to nitrous oxide. The research objective is the generation of data to simulate a regional scale at this stage, which will be analyzed and statistically validated using Minitab and Origin software. The experiment was performed using three different samples to compare water quality: drinking water treated wastewater, and water with nitrogen-based fertilizer (urea). Prototypes were filled with two types of soil: sand and clay Each type of water was sprinkled on the prototype, grass was planted in it, and the prototype was equipped with samplers to capture the gas in the root zone. The authors found high emissions of nitrous oxide in the clay-filled lysimeters, and climate and growing conditions of vegetation were the most important factors for producing nitrous oxide. IMPLICATIONS: Major problems in the ecosystem arise from solutions that are not based on environmental public policy research or experimentation. For example, before application a specific policy or regulation, research should be performed to evaluate long term effects to the ecosystem and this can be done through close monitoring. This study raises awareness about the public policy of substituting potable water with treated wastewater for irrigation of green areas in Chihuahua City. The present study was performed during a sufficient period of time in order to assess the impact to the environment.

Bladder hemangioma: case report.

OBJECTIVE: Bladder hemangioma is a benign rare lesion. There are no pathognomonic clinical signs and management is controversial due to the bleeding risk. We report a bladder cavernous hemangioma resolved using bipolar transurethral resection. METHODS: We review the case of a female patient who presented with asymptomatic hematuria. On cystoscopy we discovered a reddish sessile lesion compatible with bladder hemangioma. We describe the diagnostic work up, surgical management and review other therapeutic alternatives for these lesions. RESULTS: Fifty five year old healthy female patient consulting for total painless hematuria. Cystoscopic evaluation revealed a 1 cm diameter sessile reddish elevated lesion near the bladder neck. We performed a transurethral endoscopic resection using the Gyrus Bipolar resectoscope®. Pathologic report concluded cavernous angioma. CONCLUSION: Bladder hemangiomas are benign and rare lesions. Clinical presentation has no pathognomonic signs although gross painless hematuria is the most frequent complain. Management is controversial due to the bleeding risk of this highly vascularized lesion. However, it appears that small lesions could be treated using transurethral resection. Although they have a benign course, follow up is mandatory to detect recurrence or residual disease.

[HIV-related lymphoma in a public hospital in Chile. Analysis of 55 cases]. / Linfoma relacionado a infección por virus de la inmunodeficiencia humana en un hospital público de Santiago, Chile.

BACKGROUND: Cancer is the third cause of death in patients infected with human immunodeficiency virus (HIV) and lymphoma is the most common type. AIM: To describe the clinical characteristics, histology, risk factors and prognosis of these patients, in a Chilean public hospital in Chile. MATERIAL AND METHODS: Records of 55 patients (45 males) aged between 23 and 67 years with lymphoma and HIV positive serology, diagnosed between 1992-2008, were reviewed. RESULTS: Six patients (11%) had Hodgkin lymphoma (HL) and the rest, non-Hodgkin lymphoma (NHL). B-cell phenotype constituted 83.7% of NHL cases. The most common subtypes of all the lymphoma were diffuse large B cell lymphoma in 24 cases (43.6%), Burkitt lymphoma in 12 cases (21.8%), and plasmablastic lymphoma in 5 cases (9.1%). Thirty five patients (64%) underwent curative intended chemotherapy (CT) concomitantly with highly active antiretroviral therapy (HAART). Three year survival of the whole cohort was 27%. By multivariate analysis, the most important prognostic factors for long term survival, were complete responses to CT, (p < 0.01) and a low international prognostic index (IPI) score for NHL, (p = 0.01). HAART, histologic subtype and CD4 lymphocyte count at diagnosis, did not influence survival. CONCLUSIONS: The most important prognostic factors for HIV patients with lymphoma, were achieving CR with CT and low IPI score. Prognosis remains poor, even with HAART therapy.

Linfoma relacionado a infección por virus de la inmunodeficiencia humana en un hospital público de Santiago, Chile / HIV-related lymphoma in a public hospital in Chile. Analysis of 55 cases

Background: Cancer is the third cause of death in patients infected with human immunodeficiency virus (HIV) and lymphoma is the most common type. Aim: To describe the clinical characteristics, histology, risk factors and prognosis of these patients, in a Chilean public hospital in Chile. Material and Methods: Records of 55 patients (45 males) aged between 23 and 67years with lymphoma and HIV positive serology, diagnosed between 1992-2008, were reviewed. Results: Six patients (11%) had Hodgkin lymphoma (HL) and the rest, non-Hodgkin lymphoma (NHL). B-cell phenotype constituted 83.7% of NHL cases. The most common subtypes of all the lymphoma were diffuse large B cell lymphoma in 24 cases (43.6%), Burkitt lym-phoma in 12 cases (21.8%), andplasmablastic lymphoma in 5 cases (9.1%). Thirty five patients (64%) underwent curative intended chemotherapy (CT) concomitantly with highly active antiretroviral therapy (HAART). Three year survival of the whole cohort was 27%. By multivariate analysis, the most important prognostic factors for long term survival, were complete responses to CT, (p < 0.01) and a low international prognostic index (IPI) score for NHL, (p = 0.01). HAART, histologic subtype and CD4 lymphocyte count at diagnosis, did not influence survival. Conclusions: The most important prognostic factors for HIV patients with lymphoma, were achieving CR with CT and low IPI score. Prognosis remains poor, even with HAART therapy.

Non-Hodgkin lymphoma in Chile: a review of 207 consecutive adult cases by a panel of five expert hematopathologists.

The distribution of subtypes of non-Hodgkin lymphoma (NHL) in Latin America is not well known. This Chilean study included 207 consecutive cases of NHL diagnosed at five cancer centers in the capital, Santiago, and one center in Viña del Mar. All cases were reviewed and classified independently by five expert hematopathologists according to the 2001 World Health Organization classification of NHL. A consensus diagnosis of NHL was reached in 195 of the 207 cases (94%). B-cell lymphomas constituted 88% of NHL, and diffuse large B-cell lymphoma (DLBCL, 38.5%) and follicular lymphoma (25.1%) were the most common subtypes. There was a high frequency of marginal zone B-cell lymphoma (10.3%), as well as of extranodal natural killer (NK)/T-cell lymphoma, nasal type (2.6%) and adult T-cell leukemia/lymphoma (0.5%). Extranodal presentation was seen in 74 of the 195 cases (38%) and the most common extranodal presentation was in the stomach (37.6%). The most common gastric lymphoma was DLBCL (54.5%) followed by mucosa-associated lymphoid tissue (MALT) lymphoma (41%). Overall, the frequency of NHL subtypes in Chile is between that reported in Western and Eastern countries, which is probably a reflection of the admixture of ethnicities as well as the environment and socioeconomic status of its population.

Molecular markers in thyroid fine-needle aspiration biopsy: a prospective study.

BACKGROUND: Fine-needle aspiration biopsy (FNAB) is the most accurate study in the preoperative evaluation of patients with thyroid nodules. However, one of its limitations is the indeterminate or suspicious sample which accounts for 15% to 25% of the cases; both follicular and Hürthle cell neoplasms are included in this category. OBJECTIVE: To assess the accuracy of the molecular markers HBME-1 and galectin-3 in suspicious or indeterminate FNABs comparing the results with the histologic diagnosis of the thyroidectomy specimen. MATERIALS AND METHODS: A prospective study was carried out at 2 Health Centers in Santiago, Chile. From July 2003 to March 2008, 418 FNABs with indeterminate or suspicious diagnosis were immunostained with HBME-1 and galectin-3. Immunohistochemistry was performed on a clot obtained by FNAB, which was formalin-fixed and paraffin-embedded. The results were matched with the definitive histologic diagnosis of the thyroidectomy specimen. RESULTS: Of 418 patients submitted to FNAB with immunohistochemistry, 138 patients underwent surgery. The sensitivity, specificity, positive predictive value, and negative predictive value were 78.67%, 84.13%, 85.51%, and 76.81%, respectively, for HBME-1 and 82.67%, 80.95%, 83.78%, and 79.69%, respectively, for galectin-3. Whereas the results for both markers combined were 94.74%, 75.81%, 82.76%, and 92.16%. CONCLUSIONS: With the combined use of HBME-1 and galectin-3 in indeterminate FNABs, a 10% increase in sensitivity is achieved. These markers show excellent sensitivity and specificity and may improve patient's selection for surgery.

Prevalence estimates and health-related correlates of cognitive impairment from a probability sample of community-residing Latino elders.

OBJECTIVE: Prevalence estimates of cognitive impairment are provided from a probability sample of Latino elders, mostly Puerto Ricans. A profile of those with cognitive impairment is provided. Predictors of cognitive impairment and the association between depressive symptomatology and cognitive impairment are examined. METHOD: A prevalence survey was conducted among a community sample of 205 Latino elders in New York City, drawn from the Centers for Medicare and Medicaid Services Medicare beneficiary tape files. RESULTS: The prevalence ratio for cognitive impairment using scale-cut scores was 12%; the latent class estimate was .15 (SE = .025; 95% CI = .10 - .21). Individuals with cognitive impairment were older; had lower levels of education, income, and acculturation; and reported higher levels of diabetes, cardiovascular disease, and depressive symptomatology. DISCUSSION: This study resulted in the identification of a cluster of socioeconomic, health, and mental health factors that may influence the functional ability of older Puerto Ricans.

Enfermedad de Paget vertebral detectada por cintigrama oseo MDP-TC99M: signo de "ratón Mickey" / Vertebral Paget disease detected by Tc-99m MDP bone scintigraphy: Mickey mouse sign

La enfermedad de Paget (EP) es una afección ósea benigna que afecta al 3 por ciento de la población mayor de 40 años. Produce engrosamiento y deformidad del hueso secundario a remodelación ósea anómala y excesiva, frecuentemente se identifica en el esqueleto axial. Debido a las características histológicas y a la hipervascularidad de estas lesiones, el cintigrama óseo (CO) comúnmente muestra intensa captación del radiofármaco, independientemente de la localización, con una conformación muy particular en algunos casos de compromiso de cráneo, mandíbula y columna vertebral. Se presenta el caso clínico de un hombre de 70 años, con dorsolumbalgia de larga data, en que se describe lesión en L1 al cintigrama óseo característica de EP (signo del "ratón Mickey"). La radiografía y TC son compatibles, y la biopsia confirma el diagnóstico. Este signo cintigráfico fue descrito por primera vez por Estrada y cols en el año 1993, y posee una elevada especificidad para diagnóstico de EP vertebral.