Enrichment of effector memory T cells in the CD4 and CD8 T cell compartment during chronic graft versus host disease in children.

BACKGROUND: During allogeneic Hematopoietic stem cell transplantation (HSCT), frequent pathological scenarios include graft versus host disease (GVHD) and viral infections. We hypothesized if exogenous stimulus as alloantigen and viral antigens might impact on central and effector memory T cells in pediatric recipients. PATIENTS AND METHODS: Subjects included 21 pediatric recipients and 20 healthy children (control group). Peripheral blood samples of patients were collected along the first 712 days post-HSCT. T cell phenotyping of naïve, central, and effector memory T cells (TCMs and TEMs, respectively) was conducted using flow cytometry. Viral nucleic acids were detected using real-time PCR. RESULTS: T cell reconstitution was not reached after 1 year post-HSCT. Chronic GVHD was associated with increased numbers of naïve CD4 T cells (p < 0.05) as well as an increase in TEM and TCM cells of the CD4 (p < 0.0001 and p < 0.05, respectively) and CD8 T cell TEM (p < 0.0001). and TCM (p < 0.001) populations too. Moreover, BK and Epstein-Barr viruses were the main viral pathogens detected (<104 copies), which were associated with a decrease in all T cell compartments. CONCLUSION: During chronic GVHD, alloantigen persistence generates TEM cell enrichment among CD4 and CD8 T cells, and viral infections are associated with deficient recovery of T cells after HSCT.

Long-term experience in treatment of acute promyelocytic leukemia in Mexican children in a tertiary care hospital.

Introduction: Acute promyelocytic leukemia (APL) is a rare myeloid leukemia subtype affecting adult and pediatric populations. APL constitutes 15-20% of all childhood AML in Latin America, compared to 7% in the non-Latino population. This leukemia has unique characteristics, such as its association with chromosomal translocations involving the retinoid acid receptor α (RARA) gene on chromosome 17. In addition, APL is also distinct from other AML subtypes due to its response to all-trans-retinoic acid (ATRA), which induces terminal granulocytic differentiation of blasts. Overall 5-year survival rates are generally reported to be greater than 80%. Materials and methods: A study was conducted from January 2008 to December 2022 applying the IC-APL 2006 treatment protocol. This case series reports the clinical results of 22 children with APL. In all cases, the diagnosis was made by bone marrow aspiration and evaluation of the t(15:17) or t(11:17) transcripts. Results: We identified 22 patients with APL, of whom 10 were female and 12 were male. Twelve patients debuted with coagulation abnormalities. The doses of anthracyclines varied according to the risk, with an average of 496.8 mgm2. The cardiological assessment was performed before and after chemotherapy, finding 2/22 patients with moderate sisto-diastolic dysfunction and one with mild pulmonary insufficiency at the end of treatment. There were 6/22 patients with complications related to ATRA treatment, the most frequent being pseudotumor cerebri. All complications were transitory and treated immediately without complications. In this series of cases, an overall survival of 90.6% and a relapse-free survival of 90.6% were recorded. The follow-up mean was 9.1 ± 3.8 years. Conclusion: APL is a highly curable disease when combined with ATRA and anthracyclines. In this series of cases, good long-term results were observed with the IC-APL 2006 protocol. However, in Latin America, the availability of drugs such as arsenic trioxide as the first line of treatment is an unresolved challenge.

Evaluation of entropy and fractal dimension as biomarkers for tumor growth and treatment response using cellular automata.

Cell-based models provide a helpful approach for simulating complex systems that exhibit adaptive, resilient qualities, such as cancer. Their focus on individual cell interactions makes them a particularly appropriate strategy to study cancer therapies' effects, which are often designed to disrupt single-cell dynamics. In this work, we propose them as viable methods for studying the time evolution of cancer imaging biomarkers (IBM). We propose a cellular automata model for tumor growth and three different therapies: chemotherapy, radiotherapy, and immunotherapy, following well-established modeling procedures documented in the literature. The model generates a sequence of tumor images, from which a time series of two biomarkers: entropy and fractal dimension, is obtained. Our model shows that the fractal dimension increased faster at the onset of cancer cell dissemination. At the same time, entropy was more responsive to changes induced in the tumor by the different therapy modalities. These observations suggest that the prognostic value of the proposed biomarkers could vary considerably with time. Thus, it is essential to assess their use at different stages of cancer and for different imaging modalities. Another observation derived from the results was that both biomarkers varied slowly when the applied therapy attacked cancer cells scattered along the automatons' area, leaving multiple independent clusters of cells at the end of the treatment. Thus, patterns of change of simulated biomarkers time series could reflect on essential qualities of the spatial action of a given cancer intervention.

Presence of antibodies against HLA class I and class II molecules in children before and after allo-HSCT. Alloantibodies before and after HSCT.

A severe complication of allogeneic hematopoietic stem cell transplantation (HSCT) is graft failure (GF). Among others, donor-specific anti-HLA antibodies (DSA) are associated with graft rejection after allogeneic or haploidentical transplantation in adults. Knowledge of DSA and pediatric recipients is limited. Hence, we aimed to generate more information about the presence of DSA (pre- and post-HSCT) and the clinical outcomes (graft rejection and poor function) in children. We identified DSA in 27% of the patients. We observed a higher frequency (50%) of DSA-bearing patients with a benign disease diagnosis than those diagnosed with leukemia (16.66%). We observed graft rejection in one patient (with DSA against two alleles of HLA class I molecules) and poor function in three recipients during the first 30 days after HSCT in the absence of DSA. The presence of donor and nondonor HLA-specific antibodies decreased substantially after transplantation. After the transplant, we identified two patients with DSA specific for HLA class I molecules (independent of clinical relevance), and four recipients showed PGF in the absence of DSA. We were unable to establish any association between the presence of DSA and a clinical outcome: graft failure or prevalence of viral infection.

Herpesvirus Screening in Childhood Hematopoietic Transplant Reveals High Systemic Inflammation in Episodes of Multiple Viral Detection and an EBV Association with Elevated IL-1ß, IL-8 and Graft-Versus-Host Disease.

Infections remain a major cause of morbidity and mortality among hematopoietic stem cell transplant (HSCT) recipients. Unlike Epstein-Barr Virus (EBV) and Human Cytomegalovirus (HCMV), Human Herpesvirus (HHV) 6, HHV7 and HHV8 are not routinely monitored in many centers, especially in the pediatric population of low-medium income countries. We screened EBV, HCMV, HHV6, HHV7 and HHV8 in 412 leukocytes-plasma paired samples from 40 pediatric patients assisted in a tertiary hospital in Mexico. Thirty-two underwent allo-HSCT, whereas eight received auto-HSCT. Overall viral detection frequencies in allo- and auto-HSCT were: EBV = 43.7% and 30.0%, HCMV = 5.0% and 6.7%, HHV6 = 7.9% and 20.0% and HHV7 = 9.7% and 23.3%. HHV8 was not detected in any sample. Interestingly, HHV6 and HHV7 were more frequent in auto-HSCT, and HHV6 was observed in all episodes of multiple detection in auto-HSCT patients. We found EBV DNA in plasma samples, whereas HCMV, HHV6 and HHV7 DNA were predominantly observed in leukocytes, indicative of their expansion in cellular compartments. We also found that IL-1ß, IL-2, IL-6 and IL-8 were significantly increased in episodes in which multiple viruses were simultaneously detected, and samples positive for EBV DNA and graft-versus-host disease had a further increase of IL-1ß and IL-8. In conclusion, the EBV, HCMV, HHV6 and HHV7 burdens were frequently detected in allo- and auto-HSCT, and their presence associated with systemic inflammation.

Supervivencia de pacientes con leucemia aguda post trasplante de células hematopoyéticas: 8 años de experiencia de un centro único en México / Survival of patients with acute leukemia after hematopoietic cell transplantation: A 8-years single center study in Mexico

Introducción: El trasplante de células progenitoras hematopoyéticas (TCPH) es el trata-miento para la leucemia aguda en niños, el tipo de cáncer más común en edad pediátrica. El objetivo del presente estudio fue determinar la supervivencia global y libre de enferme-dad en un grupo de pacientes sometidos a TCPH y explorar los factores de riesgo pacientes pediátricos con leucemia aguda. Metodología: El presente estudio observacional incluye a pacientes pediátricos diagnosticados de leucemia mieloide aguda (LMA) o linfoide (LLA), sometidos a TCPH, de 2011 a 2018 presentados en el Hospital Infantil Federico Gómez. Se construyen curvas de Kaplan Meier para la supervivencia global, por subgrupos según tipo de leucemia y estado libre de enfermedad así como un estudio multivariable para medir factores de riesgo. Resultados: Se incluyeron 53 pacientes en el análisis. 5 pacientes (11%) tuvieron falla primaria del injerto. La supervivencia global fue del 28% a los 24 meses. Fallecieron 30 pacientes (67%). La mediana de supervivencia global fue de 11 meses. Para LMA fue de 8.9 meses y para LLA de 12.4 meses. Uno de los factores de riesgo constituyó la edad >10 años al momento del trasplante OR 5.2 (1.07-25.12), P=0.04 y el número de recaídas previas al trasplante OR 4.3 (1.2-15.07) P=0.025. Conclusión: Los pacientes que sobrevivieron un año libre de la enfermedad tenían un mejor pronóstico en general. En estudios relacionados a TCPH no se ha reportado que exista un rango de edad de los receptores de trasplante que esté relacionado a mayor mortalidad, por lo cual es un dato significativo como un factor de riesgo independiente.

Introduction: Hematopoietic stem cell transplantation (HSCT) is the treatment for acute leukemia in children, the most common type of cancer in children. The objective of the present study was to de-termine the overall and disease-free survival in a group of patients undergoing HSCT and to explore the risk factors for pediatric patients with acute leukemia. Methodology: This observational study includes all pediatric patients diagnosed with acute myeloid leukemia (AML) or lymphoid leukemia (ALL), undergoing HSCT from March 2011 to March 2018, presented at the Federico Gómez Children's Hospital. Kaplan Meier curves are constructed for overall survival by subgroups according to the type of leukemia and disease-free status, as well as a multivaria-ble study to measure risk factors. Results: 53 patients were included in the análisis. 5 patients (11%) had primary graft failure. Overall survival was 28% at 24 months. Thirty patients (67%) died. The median overall survival was 11 months. For AML, it was 8.9 months, and for ALL, it was 12.4 months. One of the risk factors was age >10 years at the time of transplant OR 5.2 (1.07-25.12) P=0.04 and the number of relapses prior to transplant OR 4.3 (1.2-15.07) P=0.025. Conclusión: Patients who survived one year free of the disease had a better prognosis. In studies relat-ed to HSCT, it has not been reported that there is an age range of transplant recipients that is related to higher mortality, which is why it is a significant and independent risk factor.

PytuTester: RaspberryPi open-source ventilator tester.

PytuTester is an open-source ventilator tester developed to help bio-engineers in the design and verification of new ventilator prototypes. A ventilator tester allows measuring the flow, pressure, volume, and oxygen concentration provided to the patient. During the global pandemic COVID-19, several open-source ventilators prototypes were developed; however, due to high cost and demand testers, they were not available. In this context, a low-cost tester was developed using a Raspberry Pi and medical-grade sensors for the test ventilators prototypes. This paper presents the design files, software interface, and validations tests. Our results indicate that the tester has good accuracy to evaluate the efficacy and performance of new prototypes. When tested on two ventilator designs developed in Paraguay, PytuTester reported flow profiles that were concordant with the industry-standard VT650 Gas Flow Analyzer. PytuTester was then field deployed to test several DIY ventilator designs in low-resource areas.

Distribution level electric current consumption and meteorological data set of the east region of Paraguay.

This paper presents a data set with information on meteorological data and electricity consumption in the department of Alto Paraná, Paraguay. The meteorological data were registered every three hours at the Aeropuerto Guarani, Department of Alto Paraná, which belongs to the Dirección Nacional de Aeronáutica Civil of Paraguay. The final data consists of a total of 22.445 records of temperature, relative humidity, wind speed and atmospheric pressure. On the other hand, the electrical energy consumption data set contains a total of 1.848.947 records, all of them coming from the one hundred and fifteen feeders located throughout the Alto Paraná region of Paraguay. Electrical energy consumption data was provided by Administración Nacional de Electricidad (ANDE). The analysis of this data can yield insights regarding the energy consumption in the area.

Caracterización del recurso hídrico subterráneo en una población insular: un aporte al desarrollo de la comunidad de San Bernardo-Venezuela / Groundwater resource characterization in an insular population: a contribution to the development of the community of San Bernardo-Venezuela

En zonas insulares, la principal fuente de agua para el consumo proviene de pozos o acuíferos, por lo cual es importante conocer su distribución y calidad. El presente estudio tuvo como objetivo caracterizar el recurso hídrico subterráneo, a través de los pozos ubicados en la isla San Bernardo, como un aporte al desarrollo de la comunidad y la prevención de enfermedades de transmisión hídrica. Se determinó la ubicación y materiales de construcción de los pozos de agua y pozos sépticos, a fin de determinar el área de cobertura y distribución de estos. Se detectaron 15 pozos de agua construidos con diferentes materiales y diferentes profundidades. Se cuantificaron los coliformes totales, coliformes fecales, E. coli, enterococos y Pseudomonas. Igualmente, se midió el pH, salinidad, turbidez, sólidos disueltos totales y conductividad eléctrica. Todas las muestras de agua mostraron condiciones fisicoquímicas variables y contaminación microbiológica, lo cual la hace inapropiada para el consumo. Se determinó una distribución amplia del recurso y la necesidad de desinfección del agua. Se recomienda la organización de los pozos de agua a fin de lograr una distribución adecuada, el tratamiento del agua extraída de los mismos y la evaluación de la posible reubicación de los pozos sépticos

In insular areas, the main sources of water for consumption are wells or aquifers, so it is important to know its distribution and quality. The objective of this study was to characterize the water resources of the San Bernardo Island as a contribution to the community development and prevention of waterborne diseases. The area of coverage and location of wells and septic tanks, was determined, in order to establish their area of coverage and distribution. Fifteen water wells constructed with different materials and different depths, were detected. Total coliforms, fecal coliforms, E. coli, enterococci and Pseudomonas were quantified. Also, pH, salinity, turbidity, total dissolved solids, and electrical conductivity, were measured. All water samples showed variable physicochemical conditions, and microbiological contamination, making it unsuitable for consumption. The results showed a wide distribution of the resource and the need for water disinfection when used for human consumption. Water well organization to achieve adequate distribution, the treatment of water extracted from the wells, and an evaluation for relocation of septic tanks is strongly recommended

Natural killer cell reconstitution after hematopoietic stem-cell transplantation in children.

INTRODUCTION: After hematopoietic stem cell transplantation (HSCT), natural killer (NK) cells reconstitution is the main barrier against viral infections. OBJECTIVE: To determine that the knowledge on the kinetics of NK cell reconstitution after HSCT contributes to transplant efficient monitoring, which increases the possibility of its success. METHOD: Twenty-one patients undergoing HSCT were included, as well as a control group of clinically healthy individuals. At different time points after transplantation (range of 21 to 670 days), CD3- CD16+ CD56+ NK cells were quantified by flow cytometry in peripheral blood samples. RESULTS: NK cell recovery occurs at three to six months and 10 to 12 months post-transplantation; their number was significantly lower (in comparison with the control group) in the rest of the monitoring time. CONCLUSIONS: The first period of NK cell recovery occurs between three and six months after transplantation. Reconstitution is transient and the number of NK cells varies in the first years.

INTRODUCCIÓN: Después de un trasplante de células progenitoras hematopoyéticas (TCPH), la reconstitución de las células natural killer (NK) es la principal barrera contra las infecciones virales. OBJETIVO: Determinar que el conocimiento sobre la cinética de la reconstitución de las células NK posterior al TCPH contribuye a un eficiente monitoreo del trasplante, lo que incrementa la posibilidad de éxito de este. MÉTODO: Se incluyeron 21 pacientes sometidos a TCPH, así como un grupo control de individuos clínicamente sanos. En diferentes momentos después del trasplante (intervalo de 21 a 670 días), mediante citometría de flujo se cuantificaron las células NK CD3− CD16+ CD56+ en muestras de sangre periférica. RESULTADOS: La recuperación de las células NK ocurre a los tres a seis meses y a los 10 a 12 meses postrasplante; su número fue significativamente menor (en comparación con el grupo control) en el tiempo restante del monitoreo. CONCLUSIONES: El primer periodo de recuperación de las células NK ocurre entre los tres y seis meses posteriores al trasplante. La reconstitución es transitoria y el número de células NK varía en los primeros años.

Reconstitución de células natural killer después del trasplante de células progenitoras hematopoyéticas en niños / Natural killer cell reconstitution after hematopoietic stem-cell transplantation in children

Resumen Introducción: Después de un trasplante de células progenitoras hematopoyéticas (TCPH), la reconstitución de las células natural killer (NK) es la principal barrera contra las infecciones virales. Objetivo: Determinar que el conocimiento sobre la cinética de la reconstitución de las células NK posterior al TCPH contribuye a un eficiente monitoreo del trasplante, lo que incrementa la posibilidad de éxito de este. Método: Se incluyeron 21 pacientes sometidos a TCPH, así como un grupo control de individuos clínicamente sanos. En diferentes momentos después del trasplante (intervalo de 21 a 670 días), mediante citometría de flujo se cuantificaron las células NK CD3− CD16+ CD56+ en muestras de sangre periférica. Resultados: La recuperación de las células NK ocurre entre los tres y seis meses y entre los 10 y 12 meses postrasplante; su número fue significativamente menor (en comparación con el grupo control) en el tiempo restante del monitoreo. Conclusiones: El primer periodo de recuperación de las células NK ocurre entre los tres y seis meses posteriores al trasplante. La reconstitución es transitoria y el número de células NK varía en los primeros años.

Abstract Introduction: After hematopoietic stem cell transplantation (HSCT), natural killer (NK) cells reconstitution is the main barrier against viral infections. Objective: To determine that the knowledge on the kinetics of NK cell reconstitution after HSCT contributes to transplant efficient monitoring, which increases the possibility of its success. Method: Twenty-one patients undergoing HSCT were included, as well as a control group of clinically healthy individuals. At different time points after transplantation (range of 21 to 670 days), CD3- CD16+ CD56+ NK cells were quantified by flow cytometry in peripheral blood samples. Results: NK cell recovery occurs at three to six months and 10 to 12 months post-transplantation; their number was significantly lower (in comparison with the control group) in the rest of the monitoring time. Conclusions: The first period of NK cell recovery occurs between three and six months after transplantation. Reconstitution is transient and the number of NK cells varies in the first years.

Role of Region-Specific Brain Decellularized Extracellular Matrix on In Vitro Neuronal Maturation.

Recent advancements in tissue engineering suggest that biomaterials, such as decellularized extracellular matrix (ECM), could serve to potentiate the localization and efficacy of regenerative therapies in the central nervous system. Still, what factors and which mechanisms are required from these ECM-based biomaterials to exert their effect are not entirely understood. In this study, we use the brain as a novel model to test the effects of particular biochemical and structural properties by evaluating, for the first time, three different sections of the brain (i.e., cortex, cerebellum, and remaining areas) side-by-side and their corresponding decellularized counterparts using mechanical (4-day) and chemical (1-day) decellularization protocols. The three different brain subregions had considerably different initial conditions in terms of cell number and growth factor content, and some of these differences were maintained after decellularization. Decellularized ECM from both protocols was used as a substrate or as soluble factor, in both cases showing good cell attachment and growth capabilities. Interestingly, the 1-day protocol was capable of promoting greater differentiation than the 4-day protocol, probably due to its capacity to remove a similar amount of cell nuclei, while better conserving the biochemical and structural components of the cerebral ECM. Still, some limitations of this study include the need to evaluate the response in other biologically relevant cell types, as well as a more detailed characterization of the components in the decellularized ECM of the different brain subregions. In conclusion, our results show differences in neuronal maturation depending on the region of the brain used to produce the scaffolds. Complex organs such as the brain have subregions with very different initial cellular and biochemical conditions that should be considered for decellularization to minimize exposure to immunogenic components, while retaining bioactive factors conducive to regeneration. [Figure: see text] Impact statement The present study offers new knowledge about the production of decellularized extracellular matrix scaffolds from specific regions of the porcine brain, with a direct comparison of their effect on in vitro neuronal maturation. Our results show differences in neuronal maturation depending on the region of the brain used to produce the scaffolds, suggesting that it is necessary to consider the initial cellular content of the source tissue and its bioactive capacity for the production of an effective regenerative therapy for stroke.

Pediatric mature B-cell NHL, early referral and supportive care problems in a developing country.

OBJECTIVE: Mature B-cell non-Hodgkin lymphoma (B-NHL) comprises more than 50% of all non-Hodgkin lymphoma (NHL) in children and adolescents. An official report published by the Mexican National Center for the Control and Prevention of Cancer in the Pediatric and Adolescent Populations, reported a lymphoma OS of 71% (including all Hodgkin and NHL). The Mexican Association of Pediatric Oncology and Hematology conducted a retrospective study to analyze the clinical characteristics and outcomes of children with diagnosis of B-NHL in Mexico, in order to perceive the main areas of improvement in the health care. METHODS: From 1 January 2000 to 31 December 2016, 166 pediatric patients were diagnosed with B-cell NHL at the participant institutions. RESULTS: According to histology the outcomes were 5-year EFS 63%, for BL/BLL, and 80% DLBCL, (P = .051), 5-year PFS 81%, for BL/BLL, and 91% for DLBCL, (P = .126), and 5-year OS 71%, for BL/BLL, and 83% for DLBCL, (P = .095). DISCUSSION: Overall, 18 patients died due to acute treatment toxicity, resulting in a cumulative incidence of toxic death of 10.84% and an early death rate of 7.23%, defined as <30 days after initial treatment. In conclusion, there is an urgent need to establish an academic collaboration to create strategies to improve pediatric cancer care according to our resources, especially in diseases with expected excellent prognosis as B-NHL. These strategies must include comprehensive supportive care, early referral, and the creation of easy communication between pediatric and adults centers as well as late-effects clinics.

Linezolid-Associated Hypoglycemia.

Our case describes a 77-year-old, African American male who was experiencing recurrent hypoglycemic episodes, which resulted in two emergency department (ED) visits and a subsequent inpatient admission during his second ED visit. He was prescribed linezolid 600 mg twice daily for 14 days for the treatment of a Staphylococcus hominis urinary tract infection. Nine and a half days into therapy, the patient began having recurrent hypoglycemic episodes. These episodes persisted despite repeated intravenous dextrose boluses. The patient's linezolid was discontinued during the second day of his inpatient admission. After a brief lag period after the final linezolid administration, the patient's blood glucose level stabilized within normal limits. He was later discharged home. The Naranjo scale scores the causality of this reaction between 4 and 8, indicating possible to probable causality. The patient had a follow-up appointment with his primary care physician 2 weeks after discharge, with no noted blood glucose complications. Two months after discharge, he entered hospice care for his advancing heart failure and later expired due to causes unrelated to blood glucose complications.

Performance of air-cathode stacked microbial fuel cells systems for wastewater treatment and electricity production.

Two different air-cathode stacked microbial fuel cell (MFC) configurations were evaluated under continuous flow during the treatment of municipal wastewater and electricity production at a hydraulic retention time (HRT) of 3, 1, and 0.5 d. Stacked MFC 1 was formed by 20 individual air-cathode MFC units. The second stacked MFC (stacked MFC 2) consisted of 40 air-cathode MFC units placed in a shared reactor. The maximum voltages produced at closed circuit (1,000 Ω) were 170 mV for stacked MFC 1 and 94 mV for stacked MFC 2. Different power densities in each MFC unit were obtained due to a potential drop phenomenon and to a change in chemical oxygen demand (COD) concentrations inside reactors. The maximum power densities from individual MFC units were up to 1,107 mW/m2 for stacked MFC 1 and up to 472 mW/m2 for stacked MFC 2. The maximum power densities in stacked MFC 1 and MFC 2 connected in series were 79 mW/m2 and 4 mW/m2, respectively. Electricity generation and COD removal efficiencies were reduced when the HRT was decreased. High removal efficiencies of 84% of COD, 47% of total nitrogen, and 30% of total phosphorus were obtained during municipal wastewater treatment.

Depuración bacteriana y física de la almeja Polymesoda solida a pequeña escala / Bacterial and physical depuration of the clam Polymesoda solida at pilot scale

El consumo de moluscos bivalvos ha sido asociado con infecciones microbianas aún en casos donde los mismos cumplen con los parámetros de calidad bacteriológica. El proceso de depuración se realiza con el fin de eliminar, de forma natural, los microorganismos presentes en moluscos bivalvos, los cuales han sido acumulados por su proceso de filtración. En este estudio se determinó la tasa de depuración de indicadores potenciales de contaminación. Se realizaron cuatro experimentos con la almeja Polymesoda solida, la cual poseía niveles altos de índices contaminantes de forma natural. Para evaluar el proceso de depuración se utilizaron como indicadores bacterianos los coliformes totales (CT), coliformes fecales (CF), estreptococos fecales (SF), enterococos (EN) y bacterias aerobias mesófilas (AM). El contenido inorgánico total (CIT) se utilizó como indicador del contenido de arena. La desinfección del agua marina, preparada artificialmente, se realizó irradiando con luz UV durante 48 h. El proceso de depuración se realizó durante 120 horas (5 días) a 28°C y 5 UPS, en tanques de 150 L de capacidad. La tasa de remoción bacteriana y física en Polymesoda solida fue más eficiente (80 por ciento) durante las primeras 72 h, alcanzando una calidad bacteriológica y física adecuada para el consumo, sin importar que los ejemplares fueron recolectados de sitios que no cumplían con los niveles aceptables de calidad.

The consumption of shellfish has been associated with microbial infections even in cases where shellfish complied with the current regulation, which is based on bacterial analysis. Depuration processes try to eliminate microorganisms using seawater to allow living, filter-feeding shellfish to naturally purge themselves from agents they accumulated from the environment. In this study, depuration rates of potential indicators were estimated. Four experiments, with naturally-contaminated shellfish (Polymesoda solida), were performed. For evaluating the shellfish depuration process, total coliforms (TC), fecal coliforms (FC), fecal streptococcus (FS), enterococcus (EN) and mesophilic aerobic bacteria (MAB) were evaluated as bacterial indicators. Total inorganic content was used as physical indicator. Artificial prepared seawater of the depuration tank was disinfected by UV irradiation. Depuration removal rates of experiments running for 120 hours (five days) at 28°C, 5 psu, in a 150 L tanks were effective (80 percent) and more efficient during the first 72 hours, allowing an adequate bacterial and physical quality for consumption after this time, no matter the clams were collected in contaminated areas which do not complain with maximal allowable level.

Efecto de sistemas de labranza e incorporación de abono verde (lablab purpureus L) sobre la respiración edáfica en un yermososol háplico / Effect of tillage systems and green manure (lalab purpureus L) incorporación on edafic respiration in a haplic yermosol

La adopción de sistemas de labranza reducida y utilización de abonos verdes en áreas de riego en México ha sido muy limitada, a pesar de múltiples reportes sobre los beneficios de tales prácticas. La preparación convencional de suelos, con un paso de arado, uno o dos rastreos y escasa incorporación de residuos orgánicos, ha propiciado una severa degradación del suelo, sobre todo en zonas áridas de baja fertilidad natural y principalmente en el contenido de materia orgánica (MO). Se evaluó el efecto de labranza convencional, reducida y mínima, y del uso de abono verde, en la recuperación de fertilidad en un suelo árido con pobres características nutrimentales y contenido de MO del 0,54 por ciento. Como abono verde se utilizó el frijol dolichos Lablab purpureus en dos condiciones (con o sin incorporación) y se consideraron dos fechas de muestreo. Las muestras de suelo a 0-30cm mostraron incrementos (promedio) de MO (0,12 por ciento), K (12,64mgúkg-¹) y actividad microbiana (36,6 por ciento) en el segundo muestreo con respecto al primero, previo a la incorporación del abono verde. Las parcelas con incorporación de abono tuvieron incrementos de MO (0,17 por ciento), K (12,46mgúkg-¹) y tasa de respiración (48,3 por ciento) en los primeros 10cm de suelo, respecto a las parcelas sin incorporación. Las variables estudiadas fueron analizadas en conjunto por correlación canónica (ACC) utilizando el programa CANOCO, cuyos resultados muestran un incremento significativo tras la incorporación del abono verde con respecto al contenido de carbón mineralizado, macronutrientes (N, P y K) y MO

Carcinoma apendicular: a propósito de un caso en el Hospital Militar Cap. (Av) Guillermo Hernández Jacobsen / Appendiceal carcinoma: a purpose of a case in the Military Hospital Cap. (Av) Guillermo Hernández Jacobsen

El Tumor Adenocarcinoide de Apéndice Ileocecal es una lesión poco frecuente, rara vez diagnosticada antes de la cirugía y con un pronóstico intermedio entre el Carcinoma Clásico y el Adenocarcinoma (3). El Tumor Adenocarcinoide Apendicular (Carcinoma de Células Caliciformes, Carcinoma Mucinoso, Carcinoma de Células de las Criptas) es un tumor poco frecuente 2 a 5 por ciento de los tumores apendiculares, afecta por igual a ambos sexos y es más frecuente entre la sexta y séptima década de la vida, probablemente deriva de una célula madre pluripotencial de las criptas que se diferencia hacia las células endocrinas y células mucosecretoras. El tratamiento es controvertido. Describimos a continuación un caso presentado en Hospital Militar Cap. (Av) Guillermo Hernández Jacobsen.

Leishmaniasis cutánea de espectro intermedio o verrugoso: presentación de un caso clínico y discusión de su histopatología / Cutaneous leishmaniasis spectrum intermediate or warts: a case presentation and discussion of the histopathology

La leishmaniasis está formada por un grupo de enfermedades, parasitarias, causadas por diferentes especies de leishmania, que ocasionan diversos cuadros clínicos como son la L.visceral, L.cutánea y L.cutaneomucosa, siendo cada uno de ellos endémicos en áreas geográficas determinadas. En la leishmaniasis cutanomucosa las lesiones son mutilantes y suelen localizarse en mucosa nasal, faríngea y oral, dentro de esta última sobre todo en paladar. Presentamos el caso de un paciente con lesión izquierda, localización poco frecuente y cuyo diagnóstico trás el estudio histopatológico fue leishmaniasis cutánea.