[Body dissatisfaction, self-esteem, depressive symptoms, and nutritional status in adolescents]. / Insatisfacción corporal, autoestima, sintomatologia depresiva y estado nutricional en adolescentes.

In adolescence and especially in females, greater body dissatisfaction has been evidenced, which is defined as a negative evaluation of one's own body, being a strong predictor of eating disorders and obesity. OBJECTIVE: To relate body dissatisfaction with self-esteem, depression, and body mass index in adolescents. SUBJECTS AND METHOD: Quantitative, correlational, and cross-sectional study in a sample of 397 school adolescents (180 males and 217 females) from Concepción, Chile, aged 10 to 19 years, to whom the following instruments were applied: Body Shape Questionnaire (BSQ) to assess body dissatisfaction, Rosenberg Self-Esteem Scale, Beck's Depression Inventory-II for those older than 14 years, and Birleson Depression Self-Rating Scale for those younger than 14 years. Body mass index z-score was determined. Spearman's correlation coefficient was estimated for all variables. RESULTS: Body dissatisfaction was reported in 54.9 % of females and 18.3 % of males. Body dissatisfaction was positively correlated with age, z-BMI, and depression (p < 0.01) and negatively correlated with self-esteem (p < 0.01). When body dissatisfaction was differentiated by sex, the same significant correlations remained, except for age. CONCLUSIONS: The results confirm the relationship between body dissatisfaction with self-esteem, depression, and BMI. The importance of promoting healthy self-esteem and body image from an early age to prevent eating disorders and obesity is emphasized.

The shareability potential of ride-pooling under alternative spatial demand patterns.

In In this study, we set out to explore how various spatial patterns of travel demand drive the effectiveness of ride-pooling services. To do so, we generate a broad range of synthetic, yet plausible demand patterns. We experiment with the number of attraction centres, the dispersion of destinations around these centres, and the trip length distribution. We apply a strategic ride-pooling algorithm across the generated demand patterns to identify shareability potential using a series of metrics related to ridepooling. Our findings indicate that, under a fixed demand level, vehicle-hour reduction due to ride-pooling can range between 18 and 59%. These results depend on the concentration of travel destinations around the centre and the trip length distribution. Ride-pooling becomes more efficient when trips are longer and destinations are more concentrated. A shift from a monocentric to a polycentric demand pattern is found to have a limited impact on the prospects of ride-pooling.

The importance of cyclooxigenase in dentistry: a narrative review

Aim: Cyclooxygenase enzymes (COX) catalyze the conversion of arachidonic acid to prostaglandins and thromboxanes during pain and inflammation conditions. These enzymes have also been linked to several other conditions and diseases, and hence, in dentistry, it is crucial to identify the processes that increase the levels of these mediators. This paper aims to describe the significance of COX in dental practice through a narrative review. Methods: Articles relating to COX upregulation published in English and Spanish over the last 51 years in databases such as EBSCO, Google Scholar, Science Direct, PubMed, and Web of Science; were analyzed. Results: A total of 115 articles demonstrating the relationship between COX upregulation and multiple conditions and diseases of importance in prosthodontics, periodontics, oral pathology, orthodontics, and endodontics were included. Conclusions: COX upregulation is related to inflammatory and malignant diseases in oral tissues, such as periodontitis, pulpitis, and oral cancer, nevertheless, its expression is advantageous in other fields of study such as orthodontics. Additionally, is well documented that dental materials provoke an undesired increase in COX expression, which could be a significant factor that directly affects pulpal health

Gene expression of pro-inflammatory (IL-8, IL-18, TNF-α, and IFN-γ) and anti-inflammatory (IL-10) cytokines in the duodenum of broiler chickens exposed to lipopolysaccharides from Escherichia coli and Bacillus subtilis.

Background and Aim: Intestinal infections are associated with Gram-negative bacteria like Escherichia coli. When eliminated by treatments during replication, E. coli release lipopolysaccharides (LPS) that can activate the intestinal immune system and increase the expression of cytokines, such as interleukin (IL)-8, IL-18, tumor necrosis factor-alpha (TNF-α), and interferon-gamma (IFN-γ), by the intestinal epithelium under pathological conditions. This study aimed to evaluate the addition of Bacillus subtilis to the duodenal gene expression of pro-inflammatory and anti-inflammatory cytokines in broilers exposed to LPS from E. coli. Materials and Methods: RNA was extracted using the Zymo Research total RNA commercial kit, according to the manufacturer's specifications, from the intestinal tissue of the duodenum previously resuspended in the lysis buffer of the kit. The expression of the cytokines of interest was measured using the QuantiNova SYBR green real-time polymerase chain reaction kit (Qiagen). Transcript quantification was performed by the ΔΔC(t) method using glyceraldehyde 3-phosphate dehydrogenase as a normalizing constitutive gene. Results: For the measurement of pro-inflammatory (IL-8, IL-18, TNF-α, and IFN-γ) and anti-inflammatory (IL-10) cytokines, there was no statistically significant difference (p > 0.05) between the basal diet and the diet with antibiotic (avilamycin). There was a statistical difference (p < 0.05) between diets with LPS. The diet with B. subtilis presented the lowest expression; the results differed on each sampling day (days 14, 28, and 42). Conclusion: A decrease in the expression of pro-inflammatory cytokines (IL-8, IL-18, TNF-α, and IFN-γ) and an increase in IL-10 (anti-inflammatory) was observed; in this way, a balance of the inflammatory response to bacterial infection is achieved, suggesting that the use of B. subtilis as an additive in a broiler diet has a similar effect to that produced with antibiotic growth promoter.

Depression and suicide after temporal lobe epilepsy surgery: A systematic review.

Psychiatric comorbidities, including depression and suicide, contribute substantially to the illness burden of patients with refractory temporal lobe epilepsy (TLE). The aim of this systematic review was to synthesize the existing literature assessing the effect of TLE surgery on (1) depression prevalence and (2) severity, and estimating the incidence of (3) de novo depression and (4) attempted and completed suicide following TLE surgery. A literature search was performed using Ovid Medline, Embase, Clarivate Web of Science, Cochrane Library, and ProQuest Dissertations and Theses. Studies of patients with TLE who underwent TLE surgery and reported estimates of at least one of the following outcomes were included: pre- and postoperative depression prevalence or severity, the incidence of postoperative de novo depression, or attempted or completed suicide. The search yielded 2,127 citations related to TLE surgery and postoperative depression or suicide. After a full-text review of 98 articles, 18 met the final eligibility criteria. Most studies reported a reduced or similar prevalence (n = 12) and severity of depression (n = 5) postoperatively, compared with the preoperative period. Eleven studies reported the incidence of postoperative de novo depression, which ranged from 0 % to 38 % over follow-up periods of three months to nine years. Four studies assessed the incidence of postoperative attempted or completed suicide, with completed suicide incidence ranging from 0 % to 3 % over follow-up periods of one to four years. Overall, the effect of TLE surgery on depression and suicide remains unclear, as many studies did not assess the statistical significance of depression prevalence or severity changes following TLE surgery. Therefore, timely psychosocial follow-up for patients after TLE surgery should be considered. Future longitudinal studies with consistent measures are needed to elucidate the effect of TLE surgery on the prevalence and severity of depression and estimate the incidence of de novo depression and suicide following surgery.

Comparing COVID-19 in the antipodes: Insights from pandemic containment strategies on both sides of the Pacific.

That the COVID-19 pandemic is unprecedented in terms of its scale, spread and shocks can be evinced by the myriad of ever-changing responses cities all around the world have rolled out throughout the different waves of outbreaks. Although the threat is similar across the world, it took some time before its reach became global and the waves of outbreak are experienced by cities at different times. While this staggered spread imply that some cities might manage the virus better as they learn from the experiences of cities which had been amongst the earliest to face the virus, the reality is more complicated. In the early stages of the pandemic, the global consensus on the best way to contain the virus swiftly converged in the interlinked strategies of restricting the movement of people and minimizing their social contact. However, the effectiveness of these strategies differ greatly between cities. To that end, this study focuses on COVID-19 responses in two regions (Latin America and Southeast Asia) and examines the evolution of the first wave of COVID-19 outbreaks during 2020 in Singapore, Jakarta (Indonesia), Bogotá (Colombia) and Santiago (Chile). The study is based on a comparative approach and uses a variety of data sources, namely morphology, density, housing concentration, mobility, and governance in the four analyzed cities. The goal is to shed light on the response of city governments in these two different regions in terms of mobility restrictions in order to reduce the cases of new infections. The results show the relevance of urban policies and their territorial approaches, particularly in terms of mobility and public transport networks in the four cities.

Growth and Yield of Purple Kculli Corn Plants under Different Fertilization Schemes.

Globally, corn is the most economically important crop, surpassing other cereals of economic importance. However, the tillage methods, monoculture and the abuse of synthetic agrochemicals used in Mexico have led to the loss of fertility and soil yield. In this sense, the application of alternative fertilization methods based on chemical fertilizer, organic matter and biofertilizer, applied alone or in combination, can stimulate the defense systems of corn plants and increase their yield. Therefore, in this research, some fertilization schemes were tested on purple corn plants of the Kculli race through the evaluation of some growth and yield variables, as well as the subsequent evaluation of the chemical characteristics of the corn grain produced in each fertilization scheme. The results indicate highly significant differences (p ≤ 0.05) between treatments, for the different growth and yield variables studied. Of all the fertilization schemes evaluated, treatment T7 obtained the best grain yield of 6.19 ± 0.07 t ha-1, with respect to treatment T1 of 1.02 ± 0.01 t ha-1, as well as the highest protein content and starch quality. Being clear the positive effect of the adequate contribution of the macro and micronutrients used exerts on the corn crop in each of the fertilization schemes studied. On the other hand, the analysis carried out on the grains was found within the values reported by other authors.

Narrativas de jóvenes con intentos suicidas: una mirada al cuerpo y la micropolítica / Narratives of young people with suicide attempts: a look at the body and micropolitics

Este artículo es el resultado de una investigación que da cuenta de la relación entre el intento de suicidio y la micropolítica en jóvenes de una institución educativa del municipio de Chinchiná, Caldas, Colombia. El referente teórico se basa en las discusiones en torno a los conceptos de micropolítica y cuerpo. La fundamentación epistemológica y metodológica fue fenomenológica hermenéutica. Todo esto dio la posibilidad de que los jóvenes en sus narrativas autobiográficas relataran sus vidas y encontraran nuevas posibilidades de existencia. Se encontraron categorías como: el encuentro con el mundo, un mundo sin cuidado, la violencia sexual, el cuerpo como espacio de comunicación, la incertidumbre, entre otras. Se concluye la importancia de comprender los procesos de singularización de los jóvenes para interpretar los sentidos que le dan al cuerpo y su relación con la micropolítica; asimismo, cómo los jóvenes manifiestan su rechazo a la producción de subjetividad capitalista a través del intento de suicidio

This article is the result of an investigation that gives an account of the relationship between suicide attempts and micropolitics in young people of an educational institution in the municipality of Chinchiná, Caldas, Colombia. The theoretical reference is based on discussions around the concepts of micropolitics and the body. The epistemological and methodological foundation was hermeneutic phenomenological. All this gave the possibility for young people in their autobiographical narratives to relate their lives and find new possibilities of existence Categories such as the encounter with the world, a world without a care, sexual violence, the body as a space of communication, uncertainty, among others, were found. It concludes the importance of understanding the processes of singularization of young people to interpret the senses they give to the body and its relationship with micropolitics. Likewise how young people manifest their rejection of the production of capitalist subjectivity through the attempt of suicide

El Interaccionismo Simbólico de Mead y el Argumento en favor del Indeterminismo de Popper / Mead's Symbolic Interactionism and Karl Popper's Argument for Indeterminism

Resumen El artículo presenta un recorrido por algunas expresiones discursivas del Determinismo y el Indeterminismo, desde la Grecia Clásica hasta la Ciencia Moderna, como preámbulo para comprender el lugar del Interaccionismo Simbólico de George Mead en las Ciencias Sociales, para luego explorar la relación de ésta perspectiva teórica y metodológica con una propuesta de Karl Popper expuesta en su texto póstumo "El Universo Abierto, un argumento en favor del Indeterminismo " y mostrar las potentes y posibles articulaciones entre ambas perspectivas. De esta revisión puede concluirse que el Interaccionismo se sitúa como una solución dialéctica entre los postulados del Determinismo y del Indeterminismo, en la que se ofrece la perspectiva de un ser humano activo que, como agente, construye su vida en la interacción con otros referentes simbólicos. El agente como actor se sitúa en un plano donde deviene como producto y productor de su vida a partir del lenguaje.

Abstract The article presents a journey through some discursive expressions of Determinism and Indeterminism, from Classical Greece to Modern Science, as a preamble to understand the place of George Mead's Symbolic Interactionism in Social Sciences, and then explore the relationship of this theoretical perspective and methodological with a proposal by Karl Pooper exposed in his posthumous text "An Argument for Indeterminism" and show the powerful possible articulations between both perspectives. From this review it can be concluded that Interactionism is situated as a dialectical solution between the postulates of Determinism and Indeterminism, where the perspective of an active human being is offered, who as an agent, builds his life in the interaction with other symbolic referents. The agent as an actor is situated on a plane where he becomes a product and producer of his life from language.

Isolation of Fungi from a Textile Industry Effluent and the Screening of Their Potential to Degrade Industrial Dyes.

Six fungal strains were isolated from the textile industry effluent in which they naturally occur. Subsequently, the fungal strains were identified and characterized in order to establish their potential decolorizing effect on textile industry effluents. The strains of interest were selected based on their capacity to decolorize azo, indigo, and anthraquinone dyes. Three of the strains were identified as Emmia latemarginata (MAP03, MAP04, and MAP05) and the other three as Mucor circinelloides (MAP01, MAP02, and MAP06), while the efficiency of their decolorization of the dyes was determined on agar plate and in liquid fermentation. All the strains co-metabolized the dyes of interest, generating different levels of dye decolorization. Plate screening for lignin-degrading enzymes showed that the MAP03, MAP04, and MAP05 strains were positive for laccase and the MAP01, MAP02, and MAP06 strains for tyrosinase, while all strains were positive for peroxidase. Based on its decolorization capacity, the Emmia latemarginata (MAP03) strain was selected for the further characterization of its growth kinetics and ligninolytic enzyme production in submerged fermentation under both enzyme induction conditions, involving the addition of Acetyl yellow G (AYG) dye or wheat straw extract, and no-induction condition. The induction conditions promoted a clear inductive effect in all of the ligninolytic enzymes analyzed. The highest level of induced enzyme production was observed with the AYG dye fermentation, corresponding to versatile peroxidase (VP), manganese peroxidase (MnP), and lignin peroxidase (LiP). The present study can be considered the first analysis of the ligninolytic enzyme system of Emmia latemarginata in submerged fermentation under different conditions. Depending on the results of further research, the fungal strains analyzed in the present research may be candidates for further biotechnological research on the decontamination of industrial effluents.

Biocontrol of Alternaria alternata and Fusarium oxysporum by Trichoderma asperelloides and Bacillus paralicheniformis in tomato plants.

The objective of this work was to evaluate the effectiveness of the putative biocontrol agents (PBA) Bacillus paralicheniformis and Trichoderma asperelloides in vitro and in vivo to control two of the most important tomato plant diseases: vascular wilt (Fusarium oxysporum) and early blight (Alternaria alternata). The assessment of the in vitro interactions between the PBA and the phytopathogenic fungi was performed by dual confrontation assays. The biocontrol effectiveness of the individual and combined PBA treatments towards individual phytopathogen inoculations was evaluated in tomato plants. T. asperelloides was able to exert an outstanding mycoparasitic effect on both phytopathogenic fungi in the in vitro tests by hyphal strangulation and penetration. In addition, the individual PBA treatments were effective in the biocontrol of A. alternata and F. oxysporum in tomato plants reducing the plant disease severity in more than 53.8 and 66.7% for each of the pathogens, respectively. On the other hand, the combined use of the tested strains showed similar effectiveness in the biocontrol of A. alternata, but no synergism was observed. In addition, it was concluded that B. paralicheniformis protected the plants from the attack of A. alternata through the induction of the systemic resistance of the plant. This study demonstrated the effectiveness of the individual and combined use of the strains tested for the biocontrol of A. alternata and F. oxysporum in tomato plants.

Patient selection protocols for endoscopic transforaminal, interlaminar, and translaminar decompression of lumbar spinal stenosis.

BACKGROUND: The indications of different endoscopic and endoscopically assisted translaminar approaches for lumbar spinal stenosis are not well-defined, and validated protocols for the use of the transforaminal over the interlaminar approach are lacking. METHODS: We performed a retrospective study employing an image-based patient stratification protocol of stenosis location (type I-central canal, type II-lateral recess, type III-foraminal, type IV-extraforaminal) and clinical outcomes on 249 patients consisting of 137 (55%) men and 112 (45%) women with an average age of 56.03±16.8 years who underwent endoscopic surgery for symptomatic spinal stenosis from January 2013 to February 2019. The average follow-up of 38.27±27.9 months. The primary clinical outcome measures were the Oswestry Disability Index (ODI), Visual Analogue Scale (VAS), and modified Macnab criteria. RESULTS: The frequency of stenosis configuration in decreasing order was as follows: type I-121/249; 48.6%, type III-104/249; 41.8%, type II-15/249; 6%, and type IV-9/249; 3.6%. The transforaminal approach (137/249; 55.0%) was used in most type II to IV lesions followed by the interlaminar approach (78/249; 31.3%), and the full endoscopic approach (12/249; 4.8%), and the endoscopically assisted translaminar approach (8/249; 3.2%) which was exclusively used for type I lesions. Macnab outcomes analysis showed Excellent in 47 patients (18.9%), Good in 178 (71.5%), Fair in 18 (7.2%) and Poor in 6 (2.4%), respectively. Paired two-tailed t-test showed statistically significant VAS (5.46±2.1; P<0.0001) and ODI (37.1±16.9; P<0.0001) reductions as a result of the endoscopic decompression surgery. Cross-tabulation of the Macnab outcomes versus the endoscopic approach and surgical technique confirmed beneficial association of the approach selection with Excellent (P=0.001) and Good (P<0.0001) outcomes with statistically significance. CONCLUSIONS: This study suggests that in the hands of skilled endoscopic spines surgeon use of an image-based stenosis location protocol may contribute to obtaining Excellent and Good clinical outcomes in a high percentage (93%) of patients suffering from lumbar stenosis related radiculopathy. Additional comparative studies should examine the prognostic value of choosing the endoscopic approach on the basis of the proposed four-type stenosis protocol by correlating its impact on outcomes with preoperative diagnostic injections and intraoperative direct visualization of symptomatic pain generators under local anesthesia and sedation.

Antibody-dependent enhancement in the immunopathogenesis of severe dengue, implications for the development and use of vaccines / Amplificación de la infección dependiente de anticuerpos en la inmunopatogénesis del dengue grave, implicaciones para el desarrollo y uso de las vacunas

RESUMEN Actualmente, la infección por el virus de dengue (DENV) es uno de los problemas más importantes de salud pública en países tropicales y endémicos como Colombia, pues en tanto puede ser producida por cuatro diferentes serotipos virales, durante las infecciones secundarias se presentan frecuentemente cuadros más severos que incluso pueden llevar a desenlaces fatales. El centro de la fisiopatología del dengue grave es el daño producido al endotelio, que se traduce en un aumento en la permeabilidad vascular que se evidencia como fuga plasmática, descontrol en la coagulación y daño de órganos. Aunque hay varias teorías que explican la enfermedad severa, el fenómeno denominado amplificación de la infección dependiente de anticuerpos (antibody dependent enhancement, ADE) es el más conocido. En este, se postula que el virus causante de una infección secundaria es reconocido, pero no neutralizado, por anticuerpos generados en la infección previa e internalizado en las células susceptibles usando receptores Fc-gamma, lo cual aumenta la replicación viral e induce modificaciones en la respuesta inmune celular que contribuyen al desarrollo de dengue grave. En este escrito, se realiza una revisión de los hallazgos sobre los mecanismos involucrados en el fenómeno de ADE y cómo pueden contribuir a la progresión hacia dengue grave, describiendo los conceptos de ADE extrínseco e intrínseco, además de como este fenómeno debe ser tenido en cuenta para el diseño, desarrollo e implementación de una vacuna para dengue, en tanto es capaz de afectar su eficacia y seguridad.

ABSTRACT Dengue virus infection is the most important vector transmitted disease in tropical countries such as Colombia, where all the four dengue virus serotypes are circulating and are involved in successive secondary infections which induce severe or even fatal cases. The central key to understanding the severe dengue cases is the endothelial function damage which appears as plasma leakage, coagulation impairment, and organ compromise. Severe dengue could be explained by different theories, among them the antibody-dependent enhancement (ADE) phenomenon is the best known. This theory postulates that the second heterotypic virus causing a secondary infection is recognized by antibodies raised during the first infection but are ineffective to neutralize the virus. Instead this virus-antibody complex is internalized by Fc-gamma receptor-bearing cells increasing the viral replication and inducing an aberrant immune response that contributes to severe dengue presentation. This manuscript is aimed to review the evidence about the ADE phenomenon and its involvement in the severe evolution of dengue cases. Here, it will be described the extrinsic and intrinsic ADE concepts and how these phenomena must be considered to the design, development, and implementation of a dengue vaccine because the evidence indicates that ADE affects both efficacy and safety of vaccine prototypes.

Aislamiento de citomegalovirus humano a partir de fluidos corporales / Isolation of the human cytomegalovirus from bodily fluids

ABSTRACT In vitro studies on the pathogenesis of the human cytomegalovirus (HCMV) are conducted regularly using laboratory adapted strains that lose some characteristics during the adaptation process. Since HCMV is excreted from bodily fluids during infection or reactivation, this work aimed to isolate and culture HCMV from the MRC-5 human cells found in the urine, bronchoalveolar lavage, saliva, and plasma samples of pediatric patients with probable or confirmed infection. The samples were inoculated on cell cultures either for 14 days or until a cytopathic effect (CPE) of 80 % was observed. The cell lysates and supernatants were used to perform successive viral passages. Besides HCMV, the herpes simplex virus was detected from all the saliva samples. Inoculation of the HCMV positive sera induced cell clustering and immediate monolayer damage that restricted their use. One sample of bronchoalveolar lavage induced a CPE after inoculation like that of the HCMV reference strains (Towne and Merlin), which was consequently propagated and titrated. A second viral isolate derived from the urine sample of a patient with congenital infection did not demonstrate a CPE, although presence of the virus had been confirmed using PCR. The viral isolates were examined and found to be negative for adenoviruses or enteroviruses. Despite the evident difficulty encountered for the isolation and harvesting of the HCMV, this work shows that it was possible to obtain a low passage viral strain using a modified shell vial method and inoculation protocol with extended follow-up and confirmation.

RESUMEN Estudios in vitro de la patogénesis del citomegalovirus humano (HCMV) se hace empleando cepas adaptadas de laboratorio que han perdido algunas de sus características durante ese proceso. En vista que el HCMV se excreta en distintos fluidos corporales, dependiendo de la condición clínica del paciente, en este trabajo se propuso aislar y propagar HCMV en fibroblastos MRC-5 usando muestras de orina, lavado broncoalveolar, saliva y plasma de pacientes pediátricos. Estas muestras fueron inoculadas sobre los cultivos celulares por 14 días o hasta alcanzar un efecto citopático en el 80 % de la monocapa. El lisado celular y el sobrenadante del aislamiento se usaron para hacer pasajes virales sucesivos. Además de HCMV, el virus de herpes simple se aisló en todas las muestras de saliva. Con el empleo de los sueros positivos para HCMV se observó la formación de agregados y daño inmediato en la monocapa que impidieron su uso. Una muestra de lavado broncoalveolar indujo ECP desde la inoculación, similar al control positivo para HCMV (cepas Towne y Merlin), por lo que fue propagada y se tituló. Un segundo aislamiento viral obtenido de la orina de un paciente con infección congénita no produjo ECP a pesar de ser confirmado por PCR. En los aislamientos llevados hasta el pasaje 1, se descartó la presencia de enterovirus y adenovirus. A pesar de la evidente dificultad para aislar y propagar el HCMV, fue posible obtener un aislamiento usando un protocolo de Shell vial e inoculación modificado, y con un seguimiento prolongado del proceso.

Seizure-alerting behavior in dogs owned by people experiencing seizures.

INTRODUCTION: The unpredictability of epileptic seizures is considered an important threat to the quality of life of a person with epilepsy. Currently, however, there are no tools for seizure prediction that can be applied to the domestic setting. Although the information about seizure-alert dogs - dogs that display changes in behavior before a seizure that are interpreted by the owner as an alert - is mostly anecdotal; living with an alerting dog (AD) has been reported to improve quality of life of the owner by reducing the stress originating from the unpredictability of epileptic seizures and, sometimes, diminishing the seizure frequency. AIM OF THE STUDY: The aim of the study was to investigate, at an international level, the behaviors displayed by trained and untrained dogs that are able to anticipate seizures and to identify patient- and dog-related factors associated with the presence or absence of alerting behavior. METHODOLOGY: An online questionnaire for dog owners with seizures was designed. Information about the participants (demographics, seizure type, presence of preictal symptoms) and their dogs (demographics, behavior around the time of seizures) was collected. In addition, two validated scales were included to measure the human-dog relationship (Monash Dog-Owner Relationship scale (MDORS)) and five different traits of the dogs' personality (Monash Canine Personality Questionnaire refined (MCPQ-R)). RESULTS: Two hundred and twenty-seven responses of people experiencing seizures were received from six participant countries: 132 from people with dogs that had started alerting spontaneously, 10 from owners of trained AD, and the rest from owners of dogs that did not display any alerting behavior (nonalerting dog (NAD)). Individuals' gender, age, or seizure type did not predict the presence of alerting behavior in their dogs. People who indicated that they experience preictal symptoms were more likely to have a spontaneously AD. The owner-dog bond was significantly higher with ADs compared with NADs, and ADs scored significantly higher than NADs in the personality traits "Amicability", "Motivation", and "Training focus". CONCLUSION: This study collected a large group of dog owners with seizures reporting behavioral changes in their dogs before their seizures occurred. This was associated with the presence of preictal symptoms. The seizure-alerting behavior of the dog may have a positive influence on the bond between the owner and the dog.

Ideación y conductas suicidas en adolescentes y jóvenes / Ideation and suicidal behaviors in adolescents and young

Revisión en la que se analizan artículos producto de investigación sobre el problema de las ideaciones y comportamientos suicidas en jóvenes, en diferentes países del mundo. Se obtuvo información de países como Australia, Brasil, Chile, China, Colombia, Cuba, España, EE. UU., México, Portugal y Taiwán. Para la búsqueda se utilizaron palabras claves como suicidio, adolescentes, jóvenes e intento de suicidio. Se abordaron artículos de investigación en diferentes bases de datos publicados. El estudio encuentra que la ideación suicida en el mundo oscila entre el 10% y el 35% y los intentos de suicidio entre el 5% y el 15%. El riesgo en jóvenes escolarizados es menor que en los jóvenes que no se encuentran estudiando. Los factores asociados a las ideaciones y conductas suicidas se agrupan en cuatro campos en orden de importancia: 1) emociones negativas y factores estresantes; 2) interacciones familiares, conyugales e interpersonales; 3) factores biopsicosociales, y 4) problemas laborales y desigualdad social. El estudio concluye que, aunque la depresión, la ansiedad y otros trastornos mentales son factores asociados a las ideaciones y comportamientos suicidas, es fundamental considerar estos otros factores para la prevención e intervención de estas problemáticas

Review article in which articles of research about the problem of suicidal thoughts and behaviors in young people in different countries of the world are analyzed. Information was obtained from countries such as the United States, Portugal, Australia, Taiwan, Spain China, Cuba, Chile, Mexico, Brazil, Colombia. For the search keywords such as suicide, adolescents, young people, suicide attempt were used. We studied research articles published in different journals and databases. The study finds that suicidal ideation in the world ranges between 10% and 35% and suicide attempts between 5% and 15%. The risk in young people in school is lower than in out-of-school youth. The factors associated with suicidal ideations and behaviors are grouped into four fields in order of importance: 1) negative emotions and stressors; 2) family, conjugal and interpersonal interactions; 3) biopsychosocial factors, and 4) Labor problems and social inequality. The study concludes that although depression, anxiety and other mental disorders are factors associated with suicidal ideations and behaviors, it is essential to consider these other factors for the prevention and intervention of these problems

Percepción de la autoridad parental en adolescentes escolarizados víctimas de desplazamiento / Perception of Parental Authority among Adolescent School Children who are Victims of Displacement / Percepção da autoridade parental em adolescentes escolarizados vítimas de deslocamento

RESUMEN Objetivo: identificar los estilos de socialización parental percibidos por adolescentes escolarizados en un sector vulnerable de población, de Villavicencio, Colombia, víctima de desplazamiento por conflicto armado. Materiales y métodos: estudio cuantitativo descriptivo. Se tomó como muestra el total de la población de adolescentes escolarizados del sector (n = 184) entre los 12 y 19 años de edad. Se aplicó la Escala de socialización parental en la adolescencia (ESPA 29) en el año 2015, donde el adolescente valora la reacción de cada progenitor frente a 29 situaciones cotidianas. Resultados: se clasificó a cada padre de familia en un estilo de socialización o crianza entre cuatro posibles opciones: los adolescentes de sexo masculino en general percibieron estilos más indulgentes en sus padres y más autoritativos en sus madres; las adolescentes percibieron estilos más autoritativos en sus madres y menos autoritarios o negligentes en sus padres. La población en general percibe a sus progenitores más asociados al diálogo y al afecto, con un patrón de socialización más cercano a la aceptación-implicación. Conclusiones: los adolescentes de ambos sexos perciben en sus padres un estilo de crianza más autoritativo e indulgente que autoritario o negligente. Distinguen una socialización familiar más basada en el diálogo y el afecto que en la displicencia y la indiferencia, lo que constituye un factor protector para esta población.

ABSTRACT Objective: Identify the styles of parental socialization perceived by adolescent school children in a vulnerable sector of the population in Villavicencio (Colombia) that is a victim of displacement due to armed conflict. Materials and methods: This is a descriptive quantitative study. The total population of adolescents between 12 and 19 years of age who were enrolled in the sector (n = 184) was taken as a sample. The Parental Socialization Scale in Adolescence (ESPA 29) was applied during 2015. In this case, the adolescent values the reaction of each parent in response to 29 everyday situations. Results: Each parent was classified according to a particular socialization or parenting style. There were four possible options: male adolescents in general perceived more lenient styles in their parents and more authoritative styles in their mothers; adolescents perceived more authoritative styles in their mothers and more authoritarian or negligent styles in their parents. The population, in general, perceives parents as being associated more with dialogue and affection, with a socialization pattern closer to acceptance-involvement. Conclusions: Adolescents of both sexes perceive a parenting style that is more authoritative and indulgent than authoritative or negligent. They perceive family socialization based more on dialogue and affection than on lack of concern and indifference, which is a protective factor for this population.

RESUMO Objetivo: identificar os estilos de socialização parental percebidos por adolescentes escolarizados num setor vulnerável de população de Villavicencio (Colômbia), vítima de deslocamento por conflito armado. Materiais e métodos: estudo quantitativo descritivo. Tomou-se como amostra o total da população de adolescentes escolarizados do setor (n = 184) entre 12 e 19 anos de idade. Aplicou-se a Escala de Socialização Parental na Adolescência (ESPA 29) no ano 2015, pela qual o adolescente avalia a relação de cada progenitor diante de 29 situações cotidianas. Resultados: classificou-se a cada pai de família num estilo de socialização ou criação entre quatro possíveis opções: os adolescentes de sexo masculino em geral perceberam estilos mais indulgentes em seus pais e mais autoritários em suas mães; as adolescentes perceberam estilos mais autoritários em suas mães e menos autoritários ou negligentes em seus pais. A população em geral percebe seus progenitores mais associados ao diálogo e ao afeto, com um padrão de socialização próximo à aceitação-implicação. Conclusões: os adolescentes de ambos os sexos percebem em seus pais um estilo de criação mais autoritário e indulgente que autoritário ou negligente. Diferenciam uma socialização familiar mais baseada no diálogo e no afeto do que na displicência e na indiferença, o que constitui um fator protetor para essa população.

Expression of Five Neuroblastoma Genes in Bone Marrow or Blood of Patients with Relapsed/Refractory Neuroblastoma Provides a New Biomarker for Disease and Prognosis.

Purpose: We determined whether quantifying neuroblastoma-associated mRNAs (NB-mRNAs) in bone marrow and blood improves assessment of disease and prediction of disease progression in patients with relapsed/refractory neuroblastoma.Experimental Design: mRNA for CHGA, DCX, DDC, PHOX2B, and TH was quantified in bone marrow and blood from 101 patients concurrently with clinical disease evaluations. Correlation between NB-mRNA (delta cycle threshold, ΔCt, for the geometric mean of genes from the TaqMan Low Density Array NB5 assay) and morphologically defined tumor cell percentage in bone marrow, 123I-meta-iodobenzylguanidine (MIBG) Curie score, and CT/MRI-defined tumor longest diameter was determined. Time-dependent covariate Cox regression was used to analyze the relationship between ΔCt and progression-free survival (PFS).Results: NB-mRNA was detectable in 83% of bone marrow (185/223) and 63% (89/142) of blood specimens, and their ΔCt values were correlated (Spearman r = 0.67, P < 0.0001), although bone marrow Ct was 7.9 ± 0.5 Ct stronger than blood Ct When bone marrow morphology, MIBG, or CT/MRI were positive, NB-mRNA was detected in 99% (99/100), 88% (100/113), and 81% (82/101) of bone marrow samples. When all three were negative, NB-mRNA was detected in 55% (11/20) of bone marrow samples. Bone marrow NB-mRNA correlated with bone marrow morphology or MIBG positivity (P < 0.0001 and P = 0.007). Bone marrow and blood ΔCt values correlated with PFS (P < 0.001; P = 0.001) even when bone marrow was morphologically negative (P = 0.001; P = 0.014). Multivariate analysis showed that bone marrow and blood ΔCt values were associated with PFS independently of clinical disease and MYCN gene status (P < 0.001; P = 0.055).Conclusions: This five-gene NB5 assay for NB-mRNA improves definition of disease status and correlates independently with PFS in relapsed/refractory neuroblastoma. Clin Cancer Res; 23(18); 5374-83. ©2017 AACR.

Cuidado paliativo en falla cardiaca / Palliative care in heart failure

Resumen La falla cardiaca avanzada se caracteriza por un compromiso circulatorio clínicamente significativo que requiere opciones de manejo avanzadas como el trasplante cardiaco, la inotropía intravenosa continua o intermitente, la asistencia ventricular o la terapia paliativa. El paciente con falla cardiaca avanzada no candidato a trasplante o asistencias ventriculares, es terminal y hace parte de un grupo heterogéneo con una condición clínica que fluctúa, con síntomas que condicionan el deterioro de la calidad de vida, y finalmente la muerte. El cuidado paliativo hace parte de las opciones de tratamiento avanzado cuyo objetivo principal es el control de los síntomas en el paciente con enfermedad avanzada, la planificación de los cuidados del final de la vida y los que permiten tener una muerte digna. No es una estrategia reservada para el paciente agónico. Es importante tener una comunicación asertiva con el paciente y su familia, y contar con las herramientas adecuadas para tomar decisiones y comunicarlas. Este documento presenta de forma concreta y práctica la forma de identificar y manejar el paciente con falla cardiaca terminal, con estrategias farmacológicas y no farmacológicas para el control de los síntomas más comunes en esta etapa de la enfermedad, así como de los aspectos relevantes sobre el manejo de dispositivos y conceptos sobre la transición del cuidado y la sedación paliativa.

Abstract Advanced heart failure is characterised by a clinically significant circulatory involvement that requires advances management options such as cardiac transplantation, continuous or intermittent inotropic infusions, ventricular assist devices or palliative therapy. Patients with advanced heart failure who are not candidate for a transplant or ventricular assist devices are terminal and belong to an heterogeneous group with a fluctuating clinical condition, with symptoms that impart their quality of life and eventually cause death. Palliative care is a part of the advanced therapy options whose main goal is to control symptoms in the patient with advanced disease, to plan care in the final stage of life and to allow for a dignified death. It is not a strategy limited to terminal patients. It is important to maintain assertive communication with the patient and their relatives, and to have the necessary tools to make and communicate decisions. This document presents in a concrete and practical manner the way of identifying and managing patients with terminal heart failure, with pharmacological and non-pharmacological strategies to control the most common symptoms at this stage of the disease, as well as therelevant aspects on handling devices and concepts about care transition and palliative sedation.

Pathogenesis of dental fluorosis: biochemical and cellular mechanisms / Patogénesis de la fluorosis dental: mecanismos bioquímicos y celulares

Abstract. The mechanisms involved in the development of dental fluorosis are still unknown. The development of in vivo and in vitro models using biologically relevant concentrations of fluoride for the emergence of fluorosis has allowed suggesting hypotheses that contribute to the understanding of the mechanisms that produce this defect in enamel development, with high prevalence in Colombia. This topic review presents an update on the normal mechanisms of the formation of enamel and how they are affected by exposure to high concentrations of fluoride. This is a thorough review of the deleterious effects of fluoride on the cells and the extracellular matrix, especially during the maturation stage, resulting in a delay of the removal of the protein matrix of amelogenins, as well as the appearance of mottled enamel-a characteristic of dental fluorosis. Finally, it shows the perspectives of the study of this defect in enamel development from biochemistry and cellular and molecular biology.

RESUMEN. Los mecanismos involucrados en el desarrollo de la fluorosis dental aún no se conocen a cabalidad. El desarrollo de modelos in vivo e in vitro que utilizan concentraciones de fluoruro biológicamente relevantes para la aparición de fluorosis ha permitido el planteamiento de hipótesis que aportan cada vez más al conocimiento de los mecanismos que generan este defecto del desarrollo del esmalte, de alta prevalencia en Colombia. Esta revisión presenta una actualización sobre los mecanismos normales de la formación del esmalte y cómo estos se ven afectados por la exposición a altas concentraciones de fluoruro. Se presenta una revisión en detalle de los efectos deletéreos del fluoruro sobre las células y sobre la matriz extracelular, especialmente durante la etapa de maduración, que tendrán como consecuencia el retraso de la remoción de la matriz proteica de amelogeninas y se traducirá en la apariencia de esmalte moteado, característica de la fluorosis dental. Por último, se muestran las perspectivas del estudio de este defecto del desarrollo del esmalte desde la bioquímica y la biología celular y molecular.