Incidencia, funcionalidad y reintegración laboral de pacientes con lesión de sistema flexor de la mano tratados quirúrgicamente en el Hospital Central Militar / Incidence, functionality and labor reintegration of patients with injury to the flexor system of the hand treated surgically at the Hospital Central Militar

Resumen Introducción: Las lesiones de la mano son uno de los padecimientos más frecuentemente atendidos en el Servicio de Cirugía Plástica y Reconstructiva del Hospital Central Militar, dentro de la amplia variedad de estas lesiones se encuentran las lesiones del sistema flexor. Objetivo: Estimar la incidencia, funcionalidad y tiempo de reintegración laboral en pacientes con lesiones de sistema flexor de la mano tratados en el Hospital Central Militar en el periodo del 1º de marzo del 2020 al 1º de marzo del 2022. Metodología: Estudio observacional, retrospectivo, longitudinal descriptivo en pacientes adultos con lesión de sistema flexor de la mano, en los cuales la causa de la lesión no haya condicionado un trauma complejo de la mano. Se utilizó como referencia los criterios de recuperación funcional de Strickland y Goglovac. Resultados: A pesar de que las lesiones de la zona II flexora en la literatura presentan un peor pronóstico para la recuperación de la función normal de la mano, los resultados demuestran que la mayor parte de los pacientes se encuentra en una escala funcional buena. Limitaciones del estudio: El estudio fue llevado a cabo durante el periodo comprendido por la pandemia COVID, por lo que las consultas subsecuentes con tiempos más alargados y el inicio tardío de las consultas de rehabilitación pudieron haber contribuido hacia una recuperación más deficiente de la recuperación funcional de los pacientes.

Abstract Introduction: Hand injuries are one of the conditions most frequently treated in the Plastic and Reconstructive Surgery Service of the Hospital Central Militar, within the wide variety of these injuries are injuries to the flexor system. Objective: To estimate the incidence, functionality and labor reintegration time in patients with hand flexor system injuries treated at the Hospital Central Militar in the period from March 1, 2020 to March 1, 2022. Methodology: Observational, retrospective, longitudinal, descriptive study in adult patients with injury to the flexor system of the hand, in whom the cause of the injury did not result in complex trauma to the hand. The Strickland and Goglovac functional recovery criteria were used as reference. Results: Despite the fact that flexor zone II lesions in the literature present a worse prognosis for the recovery of normal hand function, the results show that most of the patients are in a good functional scale. Limitations of the study: The study was carried out during the period covered by the COVID pandemic, so that subsequent consultations with longer times and the late start of rehabilitation consultations could have contributed to a poorer recovery of functional recovery. from the patients.

Gastrointestinal hemorrhage as the first manifestation of metastatic choriocarcinoma in a male patient.

INTRODUCTION: Choriocarcinoma is a malignant tumor, it is more frequent in the female sex, rarely reported in the male sex. CLINICAL CASE: A 19-year-old male patient who was admitted with hematochezia and melenic evacuations, panendoscopy and colonoscopy were performed without documenting the bleeding site, exploratory laparotomy was performed finding tumor lesion in the jejunum, the histopathological examination reported Choriocarcinoma. CONCLUSIONS: Gastrointestinal bleeding as a presentation of choriocarcinoma is sometimes the only symptom that the patient presents. Metastatic choriocarcinoma to the gastrointestinal tract is rare, which makes the suspected diagnosis poor.

INTRODUCCIÓN: El coriocarcinoma es un tumor maligno, más frecuente en el sexo femenino, raramente reportado en el sexo masculino. CASO CLÍNICO: Varón de 19 años que ingresa con hematoquecia y evacuaciones melénicas. Se realiza panendoscopia y colonoscopia, sin documentar el sitio de sangrado. Se realiza laparotomía exploradora y se encuentra una lesión tumoral en el yeyuno, cuyo examen histopatológico reportó coriocarcinoma. CONCLUSIONES: La hemorragia de tubo digestivo como presentación de un coriocarcinoma es en ocasiones el único síntoma que muestra un paciente. El coriocarcinoma metastásico al tracto gastrointestinal es raro, lo que hace que la sospecha diagnóstica sea pobre.

Modelling historical changes in the force-of-infection of Chagas disease to inform control and elimination programmes: application in Colombia.

BACKGROUND: WHO's 2020 milestones for Chagas disease include having all endemic Latin American countries certified with no intradomiciliary Trypanosoma cruzi transmission, and infected patients under care. Evaluating the variation in historical exposure to infection is crucial for assessing progress and for understanding the priorities to achieve these milestones. METHODS: Focusing on Colombia, all the available age-structured serological surveys (undertaken between 1995 and 2014) were searched and compiled. A total of 109 serosurveys were found, comprising 83 742 individuals from rural (indigenous and non-indigenous) and urban settings in 14 (out of 32) administrative units (departments). Estimates of the force-of-infection (FoI) were obtained by fitting and comparing three catalytic models using Bayesian methods to reconstruct temporal and spatial patterns over the course of three decades (between 1984 and 2014). RESULTS: Significant downward changes in the FoI were identified over the course of the three decades, and in some specific locations the predicted current seroprevalence in children aged 0-5 years is <1%. However, pronounced heterogeneity exists within departments, especially between indigenous, rural and urban settings, with the former exhibiting the highest FoI (up to 66 new infections/1000 people susceptible/year). The FoI in most of the indigenous settings remain unchanged during the three decades investigated. Current prevalence in adults in these 15 departments varies between 10% and 90% depending on the dynamics of historical exposure. CONCLUSIONS: Assessing progress towards the control of Chagas disease requires quantifying the impact of historical exposure on current age-specific prevalence at subnational level. In Colombia, despite the evident progress, there is a marked heterogeneity indicating that in some areas the vector control interventions have not been effective, hindering the possibility of achieving interruption by 2020. A substantial burden of chronic cases remains even in locations where serological criteria for transmission interruption may have been achieved, therefore still demanding diagnosis and treatment interventions.

[Diversity of Triatominae (Hemiptera: Reduviidae) in Santander, Colombia: Epidemiological implications].

INTRODUCTION: Domestic and wild triatomines in the department of Santander have an epidemiological impact, as recently they have been linked to outbreaks of acute Chagas disease. The analysis of their diversity and temporal variation contributes to the understanding of their biology and ecology in one of the most endemic areas of the country. OBJECTIVES: To analyze triatominae diversity in two regions of Santander. MATERIALS AND METHODS: We analyzed the triatomine records for Santander contained in the CINTROP-UIS entomology lab database. We grouped the information for two regions: the Middle Magdalena area and the Andean region, and for each one we designed species accumulation and range-abundance curves, we calculated diversity and equality indices, and we analyzed colonization and temporal variation or persistence of the community. RESULTS: Ninety five percent of triatomines came from the Andean area and 4.57% from Magdalena Medio, with nine and ten species each. The dominant species in the Andean area were Rhodnius prolixus and Triatoma dimidiata while in Magdalena Medio they were Rhodnius pallescens and Panstrongylus geniculatus. We found a greater diversity and richness in Middle Magdalena compared to the Andean area. The temporal variation showed persistence of communities over time. CONCLUSIONS: Results revealed differences in the diversity of the two regions and the potential of wild species to occupy artificial ecotopes. Triatomines intrusion and the recent involvement of wild species in the transmission of Trypanosoma cruzi emphasize the need to further investigate the ecology of these vectors in order to guide population control strategies.

[Risk of transmission of Chagas disease by intrusion of triatomines and wild mammals in Bucaramanga, Santander, Colombia].

INTRODUCTION: Notice of triatomines in dwellings of some neighborhoods in Bucaramanga motivated the realization of this study.Objetive: To evaluate the intrusion of triatomines and mammals, as well as some risk factors in urban dwellings. MATERIALS AND METHODS: Triatomines were collected in a neighborhood in Bucaramanga, Santander, on a monthly basis during one year with participation of the community. Collection included manual search in lamp posts, use of light traps, animal bait, and chemical attractants in nearby forests. Reservoirs were collected with bait traps. Insects and mammals were identified and examined in order to determine their natural infection. Risk factors in homes were assessed by means of a social-environmental survey. RESULTS: Eleven adult specimens of Pastrongylus geniculatus, as well as 63 of Rhodnius pallescens were collected in the forest, recreational peridomiciliary areas, and houses. Even two females and 21 nymphs of R. pallescens were found in bedrooms. Two specimens of Didelphis marsupialis were captured in neighboring forests. Out of the eleven P. geniculatus captured, nine were examined. Of these, five were positive for Trypanosoma cruzi. It was not possible to establish a significant risk factor;however, the dwellings with report of triatomines were located nearer to the adjacent forest. CONCLUSIONS: The finding of intrusive triatominae species and mammals with T. cruzi in intradomiciliary and peridomiciliary areas and periurban forests prove the potential risk to acquire infection from these populations that dwell in urban housing adjacent to these ecotopes where the sylvan cycle is kept.

Diversidad de Triatominae (Hemiptera: Reduviidae) en Santander, Colombia: implicaciones epidemiológicas / Diversity of Triatominae (Hemiptera: Reduviidae) in Santander, Colombia: Epidemiological implications

Resumen Introducción: Los triatominos domiciliados y silvestres constituyen un problema de impacto epidemiológico en el departamento de Santander, pues se han asociado recientemente con brotes agudos de la enfermedad de Chagas, por lo cual el análisis de su diversidad y variación temporal contribuye al conocimiento de su biología y ecología en una de las áreas más endémicas del país. Objetivo: Analizar la diversidad de triatominos en dos regiones de Santander. Materiales y métodos: Se analizó la información de la base de datos del Laboratorio de Entomología del Centro de Investigaciones en Enfermedades Tropicales de la Universidad Industrial de Santander (CINTROP-UIS), la cual contiene registros de triatominos en Santander. La información se separó en dos regiones, el Magdalena Medio y la zona andina, para cada una de las cuales se diseñaron curvas de acumulación de especies y de rango de abundancia, se calcularon los índices de diversidad y de igualdad, se analizó la colonización y se evaluó la variación temporal o persistencia de la comunidad. Resultados: El 95 % de los triatominos provenía de la zona andina y, el 4,57 %, del Magdalena Medio, con nueve y diez especies, respectivamente. Se encontró mayor diversidad y riqueza en el Magdalena Medio en comparación con la zona andina. Las especies dominantes en la zona andina fueron Rhodnius prolixus y Triatoma dimidiata, mientras que en Magdalena Medio fueron Rhodnius pallescens y Panstrongylus geniculatus. La variación temporal mostró persistencia de las comunidades en el tiempo. Conclusiones:. Los resultados evidenciaron diferencias en la diversidad de las dos regiones, además del potencial de las especies silvestres para ocupar ecótopos artificiales. La intrusión de triatominos y la reciente incriminación de especies silvestres en la transmisión de Trypanosoma cruzi, indican la necesidad de un mayor conocimiento de la ecología de estos vectores para orientar las estrategias de control.

Abstract Introduction: Domestic and wild triatomines in the department of Santander have an epidemiological impact, as recently they have been linked to outbreaks of acute Chagas disease. The analysis of their diversity and temporal variation contributes to the understanding of their biology and ecology in one of the most endemic areas of the country. Objectives: To analyze triatominae diversity in two regions of Santander. Materials and methods: We analyzed the triatomine records for Santander contained in the CINTROPUIS entomology lab database. We grouped the information for two regions: the Middle Magdalena area and the Andean region, and for each one we designed species accumulation and range-abundance curves, we calculated diversity and equality indices, and we analyzed colonization and temporal variation or persistence of the community. Results: Ninety five percent of triatomines came from the Andean area and 4.57% from Magdalena Medio, with nine and ten species each. The dominant species in the Andean area were Rhodnius prolixus and Triatoma dimidiata while in Magdalena Medio they were Rhodnius pallescens and Panstrongylus geniculatus. We found a greater diversity and richness in Middle Magdalena compared to the Andean area. The temporal variation showed persistence of communities over time. Conclusions: Results revealed differences in the diversity of the two regions and the potential of wild species to occupy artificial ecotopes. Triatomines intrusion and the recent involvement of wild species in the transmission of Trypanosoma cruzi emphasize the need to further investigate the ecology of these vectors in order to guide population control strategies.

Riesgo de transmisión de la enfermedad de Chagas por intrusión de triatominos y mamíferos silvestres en Bucaramanga, Santander, Colombia / Risk of transmission of Chagas disease by intrusion of triatomines and wild mammals in Bucaramanga, Santander, Colombia

Introducción: La notificación de triatominos en las viviendas de algunos barrios de Bucaramanga motivó la realización de este estudio. Objetivo: Evaluar la intrusión de triatominos y mamíferos, así como algunos factores de riesgo para la enfermedad de Chagas en viviendas urbanas. Materiales y métodos: En un barrio de Bucaramanga, Santander, se recolectaron triatominos mensualmente durante un año con participación comunitaria mediante búsqueda manual en el alumbrado público, y el uso de trampas de luz, cebo animal y atrayentes químicos en el bosque cercano. Los reservorios se recolectaron con trampas cebadas. Los insectos y mamíferos se determinaron y examinaron para establecer su infección natural. Los factores de riesgo de las viviendas se midieron mediante una encuesta sobre factores sociales y ambientales. Resultados: Se recolectaron 11 adultos de Panstrongylus geniculatus y 63 de Rhodnius pallescens en el bosque, en zonas de recreación en el peridomicilio y en el domicilio, incluidas dos hembras y 21 ninfas de R. pallescens en dormitorios. Se capturaron dos ejemplares de Didelphis marsupialis en el bosques adyacente. De los 11 individuos de P. geniculatus capturados, se examinaron nueve, de los cuales cinco fueron positivos para Trypanosoma cruzi (56 %); de los 63 individuos de R. pallescens capturados, se examinaron ocho, cuatro de los cuales fueron positivos para T. cruzi (50 %). De dos especímenes de D. marsupiales capturados, uno fue examinado y se encontró que era positivo para T. cruzi. No se pudo establecer un factor de riesgo significativo, sin embargo, las viviendas con reporte de triatominos se encontraban más cerca del bosque adyacente. Conclusiones: El hallazgo de especies de triatominos intrusivas y de mamíferos con T. cruzi en el domicilio y el peridomicilio, así como en los bosques periurbanos, demuestra el riesgo de infección en las poblaciones que habitan en viviendas urbanas adyacentes a los ecótopos donde se mantiene el ciclo silvestre.

Abstract Introduction: Notice of triatomines in dwellings of some neighborhoods in Bucaramanga motivated the realization of this study. Objetive: To evaluate the intrusion of triatomines and mammals, as well as some risk factors in urban dwellings. Materials and methods: Triatomines were collected in a neighborhood in Bucaramanga, Santander, on a monthly basis during one year with participation of the community. Collection included manual search in lamp posts, use of light traps, animal bait, and chemical attractants in nearby forests. Reservoirs were collected with bait traps. Insects and mammals were identified and examined in order to determine their natural infection. Risk factors in homes were assessed by means of a social-environmental survey. Results: Eleven adult specimens of Pastrongylus geniculatus, as well as 63 of Rhodnius pallescens were collected in the forest, recreational peridomiciliary areas, and houses. Even two females and 21 nymphs of R. pallescens were found in bedrooms. Two specimens of Didelphis marsupialis were captured in neighboring forests. Out of the eleven P. geniculatus captured, nine were examined. Of these, five were positive for Trypanosoma cruzi. It was not possible to establish a significant risk factor; however, the dwellings with report of triatomines were located nearer to the adjacent forest. Conclusions: The finding of intrusive triatominae species and mammals with T. cruzi in intradomiciliary and peridomiciliary areas and periurban forests prove the potential risk to acquire infection from these populations that dwell in urban housing adjacent to these ecotopes where the sylvan cycle is kept.

Geographic Distribution and Ecology of Triatoma dimidiata (Hemiptera: Reduviidae) in Colombia.

Triatoma dimidiata Latreille is the second most important vector of Chagas' disease in Colombia and is found in urban and periurban areas. From January 2007 to June 2008, we performed field work in 8 departments, 18 municipalities, and 44 rural villages, covering most of its known distribution and all of its ecological zones in the country. The goal was to determine the geographical distribution, the ecology, and house infestation indices of T. dimidiata over its range and hence the Chagas' disease transmission risk. In Colombia, T. dimidiata occupies a wide variety of ecosystems, from transformed ecosystems in the Andean biome with shrub and xerofitic vegetation to very dense forests in the humid tropical forests in the Sierra Nevada of Santa Marta. According to genetic and ecological criteria, at least two T. dimidiata forms of this species are present: populations from the northwest of the country (Caribbean plains) are restricted to palm tree habitats, and domestic involvement is limited to sporadic visits because of attraction by light; and populations of the east region (Andean mountains) presenting a complex distributional pattern including sylvatic, peridomestic, and domiciliated ecotopes, and occupying a great variety of life zones. The latter population is of epidemiological importance due to the demonstrated migration and genetical flow of individuals among the different habitats. Control, therefore, must take into account its diversity of habitats.

[Obesity and complicated diverticular disease of the colon]. / Obesidad y enfermedad diverticular del colon complicada.

BACKGROUND: The incidence of diverticular disease of the colon has been rising in recent years, and the associated factors are: low ingestion of fibre, age, lack of physical activity, and obesity. METHODS: A retrospective, descriptive, observational study was conducted on patients with the diagnosis of complicated diverticular disease requiring surgical or interventional treatment, for a period of 12 years. RESULTS: A total of 114 patients (72 males, and 42 females), age range 28-91 years. More than three-quarters (88 patients; 77.19%) had a body mass index (BMI) between 25 and 40 kg/m(2), and 26 patients (22.8%) had a BMI between 20 and 25 kg/m(2). Among the patients with BMI less than 25 kg/m(2), 12 patients had Hinchey 1 (46%), 8 Hinchey 2 (30.7%), 4 Hinchey 3 (15.4%), and two Hinchey 4 (7.7%). Of the patients with BMI greater than 25 kg/m(2), 19 patients had Hinchey 1 (21.6%), 24 Hinchey 2 (27.3%), 27 Hinchey 3 (30.7%), and 18 Hinchey 4 (20.45%). A statistically significant difference (P<0.001) was found between groups using Mann-Whitney U test. The BMI greater than 25 kg/m(2) as risk factor for complicated diverticular disease showed Odds Ratio of 3.4884 (95% confidence interval 1.27-9.55) with Z value of 2.44 (P=0.014). CONCLUSIONS: In this study, obesity was associated with an increased incidence and severity of complicated diverticular disease.

Comparación de métodos para la captura de triatominos (Hemiptera: Reduviidae) en palmas Attalea butyraceaen los Llanos Orientales de Colombia / Comparison of methods for the capture of triatomines (Hemiptera: Reduviidae) in Attalea butyracea palms in the Eastern Plains of Colombia

Introducción. El estudio de los triatominos en sus ecótopos naturales tiene gran significado en la epidemiología de la enfermedad de Chagas. La recolección de insectos vivos y su establecimiento en insectarios permite realizar incontables estudios. Por ello se necesitan métodos efectivos para la captura de triatominos silvestres, especialmente especies intrusas como Rhodnius prolixus. Objetivo. Comparar cuatro métodos para la captura de triatominos en palmas para medir su efectividad. Materiales y métodos. El estudio se llevó a cabo en la localidad de Maní, departamento de Casanare, Colombia, con predominio de Attalea butyracea. Se compararon cuatro metodologías en 67 palmas: trampas con cebo vivo, búsqueda directa en palmas, tala y disección. Resultados. Los métodos fueron efectivos para recolectar ejemplares juveniles y adultos. La tala y la búsqueda manual mostraron los mayores índices de infestación (100 % y 83,33 %). La trampa Angulo mostró mayores índices de hacinamiento (4,93), densidad (3,76), rango de abundancia (1-13) e índice adulto/ninfa (0,22). La tala y la disección fue el método que significativamente recolectó más triatominos en comparación con los otros (p<0,002), seguido de la trampa Angulo. No se observaron diferencias en la captura de los estadios de ninfas entre los métodos evaluados (p>0,05). Conclusiones. Aunque la tala fue el mejor método para la recolección del mayor número de triatominos, los métodos con el cebo vivo con adhesivos o refugios para atrapar los insectos, fueron una buena alternativa. Entre ellos, la trampa Angulo mostró mejores resultados y evitó la exposición del investigador al riesgo y la intervención de ecotopos naturales.

Introduction: Studying triatominae in their natural ecotopes has great significance in the epidemiology of Chagas disease. Gathering live insects and the establishment of insectaries allows countless studies. Therefore, effective methods are needed for capturing wild triatomines, especially intrusive species such as Rhodnius prolixus. Objective: To compare four methods of capturing triatomines in palms to measure their effectiveness. Materials and methods: Our study was conducted in Maní, department of Casanare, Colombia, with a predominance of A. butyracea. We compared four methodologies in 67 palms: live-bait traps, direct search in the palms, felling and dissection. Results: The methods were effective to collect juveniles and adults. Felling and manual search showed the highest infestation rates (100% and 83.33%). Higher indexes of overcrowding (4.93), density (3.76), abundance range (1-13) and adult/nymph index (0.22) were obtained with the Angulo trap. Felling and dissection was the method which significantly collected a greater number of triatomines compared with the other methods (p <0.002); it was followed by the Angulo trap. We did not find any differences in the collection of the nymphal stages among the evaluated methods (p> 0.05).Conclusions: Even though felling was the best method for collecting the highest number of triatomines, live-bait with adhesives or shelters to trap insects were a good alternative to collect the insects in palms. Among them, the Angulo trap showed better results and it prevents the risk of exposure of the researcher and the intervention of natural ecotopes.

[Comparison of methods for the capture of triatomines ( Hemiptera: Reduviidae ) in Attalea butyracea palms in the Eastern Plains of Colombia]. / Comparación de métodos para la captura de triatominos (Hemiptera: Reduviidae) en palmas Attalea butyracea en los Llanos Orientales de Colombia.

INTRODUCTION: Studying triatominae in their natural ecotopes has great significance in the epidemiology of Chagas disease. Gathering live insects and the establishment of insectaries allows countless studies. Therefore, effective methods are needed for capturing wild triatomines, especially intrusive species such as Rhodnius prolixus . OBJECTIVE: To compare four methods of capturing triatomines in palms to measure their effectiveness. MATERIALS AND METHODS: Our study was conducted in Maní, department of Casanare, Colombia, with a predominance of A. butyracea . We compared four methodologies in 67 palms: live-bait traps, direct search in the palms, felling and dissection. RESULTS: The methods were effective to collect juveniles and adults. Felling and manual search showed the highest infestation rates (100% and 83.33%). Higher indexes of overcrowding (4.93), density (3.76), abundance range (1-13) and adult/nymph index (0.22) were obtained with the Angulo trap. Felling and dissection was the method which significantly collected a greater number of triatomines compared with the other methods (p <0.002); it was followed by the Angulo trap. We did not find any differences in the collection of the nymphal stages among the evaluated methods (p> 0.05). CONCLUSIONS: Even though felling was the best method for collecting the highest number of triatomines, live-bait with adhesives or shelters to trap insects were a good alternative to collect the insects in palms. Among them, the Angulo trap showed better results and it prevents the risk of exposure of the researcher and the intervention of natural ecotopes.

[Attalea butyracea palms adjacent to housing as a source of infestation by Rhodnius prolixus (Hemiptera: Reduviidae)]. / Attalea butyracea próximas a las viviendas como posible fuente de infestación domiciliaria por Rhodnius prolixus (Hemiptera: Reduviidae) en los Llanos Orientales de Colombia.

INTRODUCTION: The presence of Rhodnius prolixus in palms on the eastern plains area of Colombia provide a high risk for infection with Trypanosoma cruzi. Intensive surveillance of the palm tree habitat are necessary to confirm the presence of bugs and provide evidence that this habitat is a source of house infestations. OBJECTIVE: The infestation by R. prolixus in the palm, Attalea butyracea, was investigated near homes for assessment of risk. MATERIALS AND METHODS: Palms were examined for Rhodnius bugs adjacent to rural housing in the eastern plains provinces of Casanare and Arauca, Colombia. Bait traps were used as well as an active search by the investigators and a community watch program to collect intradomiciliary triatomine bugs. Collected species were identified by morphological criteria,and natural T.cruzi infections in the triatomine bugs were detected by the PCR technique. RESULTS: In 111 of 172 (64.5%) palms (A. butyracea) inspected, 529 nymphs and adults of R. prolixus and 5 nymphs of Eratyrus mucronatus were collected. The A. butyracea were located within 500 m of housing. In the same period, 132 R. prolixus and specimens of the triatomine species Psammolestes arthuri,Cavernicola pilosa, Triatoma maculata, Panstrongylus geniculatus were collected inside houses. Twenty nymphs of E. mucronatus were found in a pile of bricks on the porch of a home. Natural infection of T. cruzi was detected in 28.8% of R. prolixus from palm trees and 30.0% inside houses. CONCLUSIONS: A new epidemiological scenario of transmission of Chagas disease was revealed, characterized by high rates of infestation of R. prolixus in palms near houses with frequent intrusion into houses. In designing measures to prevent Chagas disease, the association of palm trees, triatomine bugs and housing proximity is a significant consideration.

[New trap for the capture of triatomines in wild and peridomestic habitats]. / Nueva trampa para la captura de triatominos en hábitats silvestres y peridomésticos.

INTRODUCTION: Wild triatomines have become increasingly important in the transmission of Chagas disease because of their frequent house entry behavior. Knowledge of their biology is limited, and few tools are available for their collection. These needs led to the design of a new trap for live triatomines. OBJECTIVES: The characteristics are described of a new bait trap designed for collecting triatomines. Trap usage and preliminary results are described for collections in several regional natural habitats in Colombia. MATERIALS AND METHODS: The trap houses a live animal as bait and provides a shelter for triatomines that are attracted by the bait. RESULTS: The trap was very effective for collecting Rhodnius prolixus, Triatoma dimidiata and Rhodnius pallescens in the natural habitats of each species. Triatomine density ranged widely in palm environments in each of two regions, and a relatively higher density in areas surrounding dwellings in the Andean region. CONCLUSIONS: The new trap for collecting triatomines proved successful in collecting live wild triatomines, using live bait native to the study areas. It is easy to transport and place, it is functions well in a variety of habitats, and it is more effective than other traps using live bait.

Description of the cave organ in three species of the genus Belminus (Hemiptera: Reduviidae: Triatominae) by optical and scanning electron microscopy.

The cave organ is a sensory receptor in the antenna pedicel of some Reduviidae. This paper describes this organ for the first time in three species of the genus Belminus, Belminus corredori, Belminus ferroae and Belminus herreri, by optical and scanning electron microscopy. The structures presented a general pattern similar to one reported for other species of Triatominae.

Description of the cave organ in three species of the genus Belminus (Hemiptera: Reduviidae: Triatominae) by optical and scanning electron microscopy

The cave organ is a sensory receptor in the antenna pedicel of some Reduviidae. This paper describes this organ for the first time in three species of the genus Belminus, Belminus corredori, Belminus ferroae and Belminus herreri, by optical and scanning electron microscopy. The structures presented a general pattern similar to one reported for other species of Triatominae.

Nueva trampa para la captura de triatominos en hábitats silvestres y peridomésticos / New trap for the capture of triatomines in wild and peridomestic habitats

Introducción. Los triatominos silvestres han incrementado su importancia en la transmisión de la enfermedad de Chagas por su frecuente intrusión en la vivienda, los pocos conocimientos sobre su biología y la escasez de herramientas para su recolección y estudio, motivaron el diseño de una nueva trampa para obtener insectos vivos. Objetivo. Describir las características, forma de utilización y resultados preliminares de uso, de una nueva trampa con cebo vivo, diseñada para recolectar triatominos en sus hábitats naturales en diferentes regiones de Colombia. Materiales y métodos. Se describen las características físicas de una trampa que aloja un animal vivo como cebo y un refugio para los triatominos que se acercan atraídos por el cebo. Resultados. Se demostró una gran eficacia para la recolección de Rhodnius prolixus, Triatoma dimidiata y Rhodnius pallescens en sus hábitats silvestres en las regiones estudiadas. Se encontró un mayor rango de densidad en palmas en las dos regiones y un mayor promedio de triatominos por hábitat positivo en el peridomicilio en la región andina. Conclusiones. La nueva trampa para triatominos demostró ser útil en la recolección de triatominos silvestres vivos en las regiones de estudio; utiliza un cebo vivo que se obtiene en las mismas zonas; es fácil de transportar y colocar; evita la intervención de los hábitats, y muestra una mayor eficacia que la encontrada con otras trampas que utilizan cebo vivo.

Introduction. Wild triatomines have become increasingly important in the transmission of Chagas disease because of their frequent house entry behavior. Knowledge of their biology is limited, and few tools are available for their collection. These needs led to the design of a new trap for live triatomines. Objectives. The characteristics are described of a new bait trap designed for collecting triatomines. Trap usage and preliminary results are described for collections in several regional natural habitats in Colombia. Materials and methods. The trap houses a live animal as bait and provides a shelter for triatomines that are attracted by the bait. Results. The trap was very effective for collecting Rhodnius prolixus, Triatoma dimidiata and Rhodnius pallescens in the natural habitats of each species. Triatomine density ranged widely in palm environments in each of two regions, and a relatively higher density in areas surrounding dwellings in the Andean region. Conclusions. The new trap for collecting triatomines proved successful in collecting live wild triatomines, using live bait native to the study areas. It is easy to transport and place, it is functions well in a variety of habitats, and it is more effective than other traps using live bait.

[Life cycle of Triatoma dimidiata latreille, 1811 (Hemiptera, Reduviidae) under laboratory conditions: production of nymphs for biological tests]. / Ciclo de vida de Triatoma dimidiata Latreille, 1811 (Hemiptera, Reduviidae) en condiciones de laboratorio: producción de ninfas para ensayos biológicos.

INTRODUCTION: Despite the importance of Triatoma dimidiata as a vector of Chagas disease, little is known of its life cycle and the efficient production of these insects for biological tests. OBJECTIVE: Life cycle characteristics in the laboratory were described and optimum nutritional conditions were established for the efficient production of nymphs V stage for biological tests. MATERIALS AND METHODS: We determined the time of development of the nymphal stage under controlled laboratory conditions until reaching the adult stage. In a massive rearing of stage V nymphs, fed and weighted after varying periods of fasting, distributed in weight ranges to obtain the largest proportion of individuals. RESULTS: The time mean from egg to adult was 269 days, with a wide range of duration (174 to 598 days) and the times required for 1st, 2nd, 3rd, 4th and 5th stage development was 33, 37, 41, 61 and 69 days, respectively, with a mortality of 22%. The optimum treatment was 22 days of fasting, in which 76% of the nymphs reached stage V with a weight range from 201 to 300 mg. CONCLUSION: Triatoma dimidiata presented development time with broad range for some individuals, possibly due to the irregularity in the food availability. A homogenous weight range was attained with a regime of 22 days of fasting with an optimum production of stage V nymphs.

Perfil electroforético de proteínas presentes en la saliva de Triatoma dimidiata (Hemiptera: Reduviidae:Triatominae) / Electrophoretic profile of salivary proteins of Triatoma dimidiata (Hemiptera: Reduviidae:Triatominae)

Introducción: Los triatominos (Hemiptera: Reduviidae:Triatominae) son insectos hematófagos que secretan una saliva rica en proteínas con propiedades anticoagulantes, antihistamínicas, vasodilatadoras y antiplaquetarias que facilitan su proceso de alimentación en el huésped vertebrado y favorecen la transmisión a éste de los protozoarios que se desarrollan en sus glándulas salivales. Estas proteínas son características de cada especie de triatomino y pueden ayudar a diferenciar especies, incluso aquellas fenotípicamente similares. Objetivo: Describir los perfiles electroforéticos de las proteínas salivales de Triatoma dimidiata encontrados en el intradomicilio, peridomicilio y extradomicilio en un área endémica en Santander. Materiales y métodos: Se disectaron las glándulas salivales de insectos adultos de T. dimidiata de tres municipios de Santander procedentes de colonias de laboratorio y de campo. Los perfiles de proteínas se visualizaron realizando una electroforesis de una dimensión en geles de poliacrilamida tenidos con azul de coomassie. Resultados: Los perfiles electroforéticos de las proteínas presentes en la saliva de T. dimidiata muestran hasta 33 bandas en el rango de 23,7 a 228,8 kDa, con una alta concentración en la región 41 a 99,7 kDa. El índice de polimorfismo para T. dimidiata fue de 0,9646. Conclusión: El perfil electroforético de las proteínas salivares de T. dimidiata mostró una composición proteica compleja, donde las bandas más prominentes tienen pesos moleculares menores de 45 KDa. No se pudieron establecer agrupamientos basados en las regiones geográficas y lugares de captura, a pesar de la gran variabilidad intraespecífica observada. Sin embargo, se pudieron establecer diferencias claras a nivel de especie entre T. dimidiata y el grupo externo utilizado, P. geniculatus.

Introduction: The triatomines (Heteroptera, Reduviidae, Triatominae) are hematophagous insects that secrete saliva rich in proteins with anticoagulant, antihistamine, vasodilator and platelet inhibitor properties, these facilitate its alimentary process on the vertebrate host and facilitate transmission of the protozoa carried in the salivary glands of the triatomines. Such proteins are characteristic of each triatomine species and might help differentiate species, including those phenotypically similar. Objective: Describe electrophoretic profiles of salivary proteins of Triatoma dimidiata found inside, around and outside residences in an endemic area of Santander. Materials and methods: Salivary glands from adult insects of T. dimidiata from laboratory colonies and field from three municipalities of Santander were dissected. The protein profiles were viewed in a unidimensional electrophoresis of poliacrilamida gels taken with coomassie blue. Results: The electrophoretic profiles of proteins present in saliva of T. dimidiata showed up to 33 bands in the range of 23.7 to 228.8 kDa, with a high concentration in the region 41 to 99.7 kDa. The index of polymorphism to T. dimidiata was 0.9646. Conclusion: The electrophorectic profile of salivary protein of T. dimidiata showed a complex composition, where the most prominent bands have molecular weights lower than 45 KDa. No grouping could be established based on geographical regions and capture places, in spite of the great intraespecific variability observed. However, clear differences between T. dimidiata and the external group were established.

Ciclo de vida de Triatoma dimidiata Latreille, 1811 (Hemiptera, Reduviidae) en condiciones de laboratorio: producción de ninfas para ensayos biológicos / Life cycle of Triatoma dimidiata Latreille, 1811 (Hemiptera, Reduviidae) under laboratory conditions: production of nymphs for biological tests

Introducción. A pesar de la importancia de Triatoma dimidiata como vector de la enfermedad de Chagas, poco se conoce de su ciclo biológico y de la producción eficiente de insectos disponibles para ensayos biológicos. Objetivo. Determinar las características del ciclo de vida en el laboratorio y establecer las condiciones del estado nutricional para la producción eficiente de ninfas de V estadio para ensayos biológicos. Materiales y métodos. Se determinaron los tiempos de desarrollo de los estadios de ninfa en condiciones controladas de laboratorio hasta alcanzar la fase adulta. Se llevó a cabo una cría masiva de ninfas de V estadio, alimentadas y pesadas después de diferentes periodos de ayuno, distribuidas en rangos de peso para obtener la mayor proporción de individuos. Resultados. El tiempo medio de paso de huevo a adulto fue de 269 días, con un amplio rango de duración (174 a 598 días) y, para los estadios I, II, II, IV y V, fue de 33, 37, 41, 61 y 69 días, respectivamente, con una mortalidad de 22%. Se obtuvo una eficiencia de 76% en ninfas de V estadio, alimentadas después de 22 días de ayuno, en el rango de 201 a 300 mg de peso. Conclusión. T. dimidiata presentó un tiempo de desarrollo intermedio entre los triatominos con amplio rango para algunos individuos, posiblemente debido a la irregularidad en su alimentación. La identificación de un rango de peso homogéneo después de 22 días de ayuno con gran producción de ninfas de V estadio, facilita la aplicación de protocolos estandarizados para establecer criterios de selección de compuestos insecticidas utilizables en los programas de control.

Introduction. Despite the importance of Triatoma dimidiata as a vector of Chagas disease, little is known of its life cycle and the efficient production of these insects for biological tests. Objective. Life cycle characteristics in the laboratory were described and optimum nutritional conditions were established for the efficient production of nymphs V stage for biological tests. Materials and methods. We determined the time of development of the nymphal stage under controlled laboratory conditions until reaching the adult stage. In a massive rearing of stage V nymphs, fed and weighted after varying periods of fasting, distributed in weight ranges to obtain the largest proportion of individuals. Results. The time mean from egg to adult was 269 days, with a wide range of duration (174 to 598 days) and the times required for 1st, 2nd, 3rd, 4th and 5th stage development was 33, 37, 41, 61 and 69 days, respectively, with a mortality of 22%. The optimum treatment was 22 days of fasting, in which 76% of the nymphs reached stage V with a weight range from 201 to 300 mg. Conclusion. Triatoma dimidiata presented development time with broad range for some individuals, possibly due to the irregularity in the food availability. A homogenous weight range was attained with a regime of 22 days of fasting with an optimum production of stage V nymphs. Production of similarly sized insects facilitate the application of standardized protocols to establish criteria for selecting compounds insecticides used in control programs.

[Toxic effect of beta-cipermethrin, deltamethrin and fenitrothion in colonies of Triatoma dimidiata (Latreille, 1811) and Triatoma maculata (Erichson, 1848) (Hemiptera, Reduviidae)]. / Efecto tóxico de beta-cipermetrina, deltametrina y fenitrotión en cepas de Triatoma dimidiata (Latreille, 1811) y Triatoma maculata (Erichson, 1848) (Hemiptera, Reduviidae).

INTRODUCTION: The susceptibility to insecticides of triatomine species must be evaluated because of their involvement in the transmission of the Chagas disease. In each region with Chagas endemicity, evaluation of insecticide response is necessary to predict the success of the control campaigns. OBJECTIVE: The baseline susceptibility was determined for the active principles deltamethrin, beta-cypermethrin and fenitrothion in nymphs of first and fifth instar of Triatoma dimidiata and nymphs of first instar of Triatoma maculata. MATERIALS AND METHODS: The insecticide activity in triatomines was evaluated by the technique of topical application. RESULTS: The values of the LD50 in nymphs of first instar for T. maculata, expressed in nanograms per insect (ng/i), were 0.07, 0.05 and 4.12 for deltamethrin, beta-cypermethrin and fenitrothion respectively. The corresponding LD99 values were 1.08, 0.37 and 17.89 ng/i. In T. dimidiata, the LD50 values were 0.44, 0.46 and 16.45 ng/i; the LD99 values were 2.22, 1.97 and 36.07 ng/i. In nymphs of fifth instar T. dimidiata, the LD50 values were 510.7, 1623.6 and 838.9 ng/i; the LD99 values were 9607.5, 11,717.9 and 1525.0 ng/i, respectively. CONCLUSION: In first instar nymphs of T. dimidiata and T. maculata, the pyrethroid insecticides were more effective; in fifth instar nymphs of T. dimidiata, the effectiveness of the pyrethroids and the organophosphate differed in the LD50 comparison--the nymphs required much higher doses compared with the other triatomines and suggested a low susceptibility. The LD99 for the organophosphate (fenitrothion) was significantly lower and may indicate its greater effectiveness in field. Studies of synergistic effects amonst insecticides are important to clarify the role of biochemical mechanisms that determine tolerance to the pyrethroids. Insecticide tolerance represents a new challenge for control campaigns in the Andean and Central American countries where Chagas disease is endemic.