Punica granatum L.-derived omega-5 nanoemulsion improves hepatic steatosis in mice fed a high fat diet by increasing fatty acid utilization in hepatocytes.

Pomegranate seed oil (PSO) is mainly composed of punicic acid (PA), a polyunsaturated fatty acid also known as omega-5 (ω-5), a potent antioxidant associated with a variety of metabolic and cellular beneficial effects. However, the potential benefits of a nanoemulsified version of ω-5 (PSOn) have not been evaluated in a pathological liver condition. Here, we examined whether PSOn had beneficial effects on C57BL/6N mice fed a high-fat diet (HFD), specifically on hepatic steatosis. We observed that PSOn supplementation decreased body weight and body fat mass in control mice, whereas glucose intolerance, insulin resistance, energy expenditure, and hepatic steatosis were improved in both control mice and in mice fed a HFD. Interestingly, PSOn increased fatty acid oxidation in primary hepatocytes and antioxidant gene expression. Altogether, our data indicate that PSOn effectively reduces some of the HFD-derived metabolic syndrome indicators by means of an increase in fatty acid oxidation within hepatocytes.

A descriptive study of potential participant preferences for the design of an incentivised weight loss programme for people with type 2 diabetes mellitus attending a public hospital in Lima, Peru.

Background: Weight loss is important for the control of type 2 diabetes mellitus but is difficult to achieve and sustain. Programmes employing financial incentives have been successful in areas such as smoking cessation. However, the optimum design for an incentivised programme for weight loss is undetermined, and may depend on social, cultural and demographic factors. Methods: An original questionnaire was designed whose items addressed respondent personal and health characteristics, and preferences for a hypothetical incentivised weight loss programme. One hundred people with type 2 diabetes mellitus were recruited to complete the questionnaire from the endocrinology clinic of a public hospital in Lima, Peru. A descriptive analysis of responses was performed. Results: Ninety-five percent of subjects who had previously attempted to lose weight had found this either 'difficult' or 'very difficult'. Eighty-five percent of subjects would participate in an incentivised weight loss programme. Median suggested incentive for 1 kg weight loss every 2 weeks over 9 months was PEN 100 (~USD $30). Cash was preferred by 70% as payment method. Only 56% of subjects would participate in a deposit-contract scheme, and the median suggested deposit amount was PEN 20 (~USD $6). Eighty percent of subjects would share the incentive with a helper, and family members were the most common choice of helper. Conclusions: The challenge of achieving and sustaining weight loss is confirmed in this setting. Direct cash payments of PEN 100 were generally preferred, with substantial scope for involving a co-participant with whom the incentive could be shared. Employing direct financial incentives in future weight loss programmes appears to be widely acceptable among people with type 2 diabetes mellitus.

Study of enrofloxacin and flumequine residues depletion in eggs of laying hens after oral administration.

Two groups of laying hens (each n=12) were administered 10 mg/kg enrofloxacin (ENRO) (group A) or 26.6 mg/kg flumequine (FLU) (group B) by gastric catheter daily for five consecutive days. A third group (n=6) was untreated controls. Eggs were collected from day one of treatment and up to 30 days after withdrawal of the drug. Egg white and yolk from each egg were separated, and ENRO, its metabolite ciprofloxacin (CIP) and FLU residues were analysed by a high-performance liquid chromatography method with fluorescence detection. The sum of ENRO and CIP was detectable in egg white on the first day of treatment in high-level concentrations (2007.7 µg/kg) and remained steady during administration. In egg yolk, residues were detectable at day one in lower concentrations (324.4 µg/kg), increasing to the end of treatment. After treatment, these residues decreased and were detectable up to day 8 in egg white, and day 10 in yolk. FLU residues during drug administration in white were detectable in high concentrations from day one to five (6788.4-6525.9 µg/kg), and in yolk, concentrations were lower during administration (629.6-853.9 µg/kg). After drug withdrawal, FLU residues remained longer in egg white (30 days) than in yolk (26 days). For both drugs, differences of concentrations between matrices were significant.

Population genetic structure of Cichla pleiozona (Perciformes: Cichlidae) in the Upper Madera basin (Bolivian Amazon): sex-biased dispersal?

This study investigates the population structure of the Tucunaré (Cichla pleiozona) in the Bolivian Amazon (Upper Madera) by using nuclear (EPIC-PCR, 67 individuals) and mitochondrial (Control Region, 41 published and 76 new sequences) DNA analyses, in relation with ecological (water quality: muddy, clear and mix) and geographic factors. Our analyses of both markers showed the highest diversity in clear waters (Yata, Middle and Upper Iténez), and the existence of two populations in muddy waters (Sécure and Ichilo) and one in mix waters (Manuripi). On the other hand, mitochondrial analyses identified three populations in clear waters where nuclear analyses identified a panmictic population. The highest diversity observed in the Yata-Iténez system suggests that an aquatic refuge occurred during the past in this area. The possible explanations for the observed discrepancy between nuclear and mitochondrial markers are discussed, and a sex-biased dispersal seems to be the most plausible hypothesis in the light of the available information and field observations.

Dolor en amigdalectomía: técnica fría versus electrobisturí monopolar: estudio prospectivo randomizado / Postoperative tonsillectomy pain: cold versus monopolar electrocautery technique: prospective randomized trial

Introducción: Existen diferentes técnicas para realizarla amigdalectomía. Dentro de las más frecuentes está la técnica fría (bisturí frío, tijera y asa), y la técnica con electrobistrurí monopolar. No hay consenso que alguna de estas técnicas sea claramente superior a la otra respecto al dolor posoperatorio. Objetivo: Evaluar si la técnica quirúrgica (técnica fría-electrobisturí monopolar) repercute sobre la percepción de dolor posoperatorio. Material y método: Ensayo clínico prospectivo, ciego y randomizado. Se incluyeron 17 pacientes (34 amígdalas), mayores de 5 años sin antecedentes de riesgo, con indicación de amigdalectomía. A cada paciente, previo consentimiento informado y randomización, se le extrajo una amígdala con técnica fría y la contralateral con técnica electrobisturí monopolar. La percepción del dolor se midió con escala visual análoga (EVA) durante los primeros siete días posquirúrgicos. Paciente y familiares fueron enmascarados respecto a la técnica usada a cada lado. Resultados: Se encontraron diferencias en la percepción del dolor entre los días 3 a 7 (p <0,05) y al evaluarse la evolución del dolor en función del tiempo, ésta fue mayor con la técnica de electrobisturí (sin diferencias significativas en los 2 primeros días). Conclusión: En los casos evaluados en este estudio, la amigdalectomía con técnica fría se asocia a menor dolor a contar del tercer día posquirúrgico.

Introduction: There are different techniques for carrying out tonsillectomy. Among the mostcommon ones are the "cold technique" (scalpel, scissors and handle), and the monopolar electrocautery technique. No consensus is available to define which technique is less painful. Aim: To assess the effect of the surgical technique ("cold" vs monopolar electrocautery) on post-operative pain perception. Material ana method: Prospective blind randomized clinical trial. 17 patients with tonsillectomy indication (34 tonsils) over 5 years old, without major surgical risk, and after randomization and obtaining an informed consent, received a tonsillectomy using cold technique and the contra lateral side was removed using monopolar electrocautery technique. Pain perception was measured with visual analogue scale (VAS) during the firstseven days after surgery. Patients and relatives were unaware ofthe technique used on each side. Results: There were differences in pain perception between day 3 and 7 (p <0.05). Assessing evolution across time, pain was higher with the electrocautery technique (no significant difference was found in the first 2 days). Conclusion: Based on our results tonsillectomy using cold technique appears to be associated with less post-operative pain, starting on the third post-surgery day.

[Spontaneous pneumomediastinum. Review of eight cases]. / Neumomediastino espontáneo (síndrome de Hamman): una enfermedad benigna mal diagnosticada.

BACKGROUND: Hamman syndrome or spontaneous pneumomediastinum is uncommon and its clinical manifestations are chest pain, dyspnea and subcutaneous emphysema. AIM: To report a series of patients with spontaneous pneumomediastinum. MATERIAL AND METHODS: Medical records of patients with the diagnosis of pneumomediastinum, managed between 2002 and 2007 in a public hospital, were retrieved and reviewed. RESULTS: Eight patients aged between 16 and 41 years (five males) were identified. The most common symptom was chest pain and the most common sign was subcutaneous emphysema. A chest X ray was performed in all and a chest CT scan in seven. AH were managed conservatively with oxygen, analgesia and rest. No patient required surgery and the evolution was favorable. CONCLUSIONS: The most common presenting complaint of spontaneous pneumomediastinum is chest pain and its management does not require surgery.

Neumomediastino espontáneo (síndrome de Hamman): Una enfermedad benigna mal diagnosticada / Spontaneous pneumomediastinum: Review of eight cases

Background: Hamman syndrome or spontaneous pneumomediastinum is uncommon and its clinical manifestations are chest pain, dyspnea and subcutaneous emphysema. Aim: To report a series of patients with spontaneous pneumomediastinum. Material and methods: Medical records of patients with the diagnosis of pneumomediastinum, managed between 2002 and 2007 in a public hospital, were retrieved and reviewed. Results: Eight patients aged between 16 and 41 years (five males) were identified. The most common symptom was chest pain and the most common sign was subcutaneous emphysema. A chest X ray was performed in all and a chest CT scan in seven. AH were managed conservatively with oxygen, analgesia and rest. No patient required surgery and the evolution was favorable. Conclusions: The most common presenting complaint of spontaneous pneumomediastinum is chest pain and its management does not require surgery.

Qualitative feed restriction on productive performance and lipid metabolism in broiler chickens / Restrição alimentar qualitativa sobre o desempenho produtivo e o metabolismo lipídico em frango de corte

A trial was carried out to evaluate the effect of qualitative restriction at different rearing phases on liver fatness and plasma triglycerides without impairing the productive performance of broiler chickens. One hundred and seventy-six male chicks were randomly assigned to four treatments and reared in battery brooders (16 pens with 11 birds each) from 1 to 49-day-old. In the control group, chicks were fed a starter diet (1 to 28-day-old) with 3,300kcal ME/kg of diet and 22.5 percent CP; grower diet (29 to 42-day-old) 3,300kcal ME/kg of diet and 18.2 percent CP; and the finisher diet (43 to 49-day-old) 3,300kcal ME/kg and 18.2 percent CP. Three restrict groups were fed a low 2,800kcal ME/kg of diet and 24 percent CP from 7 to 14-day-old (treatment 1); from 7 to 21-day-old (treatment 2); and from 22 to 35-day-old (treatment 3). All treatments were fed control diet before and after the feed restriction period. Feed intake was not affected during the feed restriction period; nevertheless, weight gain was lower (P<0.05) for chicks fed restricted diet from 7 to 21 and from 21 to 35-day-old. At the end of each restriction period, scores of liver for fatty infiltration were higher in restricted birds compared to control birds, although no changes were detected in plasma triglyceride levels. On the 49th day of age, less intracellular fatty infiltration was observed in the liver of previously restricted birds compared to control birds, and weight gain was also lower in the restricted groups. Moreover, triglyceride plasma levels were similar among treatments, but decreased in 12-hour-fasted broilers compared to non-fasted birds. The low energy:protein ratio diet affected weight gain and fatty infiltration in the liver, but had no effect on plasma levels of triglycerides

Aplicou-se restrição alimentar qualitativa em frangos de corte, em diferentes fases do crescimento, para reduzir a infiltração gordurosa do fígado e os triglicerídeos plasmáticos, sem influir nas respostas produtivas. Distribuíram-se aleatoriamente 176 pintos machos em quatro tratamentos. As aves foram alojados em baterias (16 gaiolas com 11 aves cada) e foram criados de 1 a 49 dias de idade. No grupo controle as aves foram alimentadas com dieta inicial (1-28 dias) com 3.300kcal EM/kg/dieta e 22,5 por cento de proteína bruta (PB; dieta de crescimento (29-42 dias) com 3.300kcal EM/kg/dieta e 20,9 por cento de PB; dieta de acabamento (43-49 dias de idade) 3.300kcal EM/kg/dieta e 18,2 por cento de PB. As aves nos três grupos sob restrição foram alimentadas com dieta com 2.800kcal de EM/kg/dieta e 24 por cento de PB de 7 aos 14 dias de idade (tratamento 2), de 7 aos 21 dias de idade (tratamento 2) e de 22 aos 35 dias de idade (tratamento 3). Todas as aves dos tratamentos sob restrição foram alimentadas com a dieta controle antes e depois do período de restrição alimentar. Ao final de cada período de restrição foi observada uma maior infiltração gordurosa no fígado (representado pela composição química e escore histológico). Também não houve diferenças entre os triglicerídeos plasmáticos, quando comparado com o controle. Aos 49 dias de idade, o ganho de peso total e a infiltração gordurosa no fígado, foram menores nos grupos restritos. Os níveis de triglicérides plasmáticos, entretanto, foram semelhantes entre os tratamentos, mas reduziram nas aves com aplicação de jejum de 12 horas, quando comparados com aves sem jejum. A baixa relação energia/proteína da dieta afetou o ganho de peso e a infiltração gordurosa no fígado, mas não alterou os valores de triglicérides plasmáticos

Idiopathic hypertrophic cranial pachymeningitis successfully treated with weekly subcutaneous methotrexate.

Idiopathic hypertrophic cranial pachymeningitis is a very infrequent disorder. Adequate management is still a matter of debate. We describe the use of low-dose pulse methotrexate in treating a 63-year-old woman with idiopathic hypertrophic cranial pachymeningitis. A weekly scheme with subcutaneous methotrexate was tried. Clinical improvement occurred in one week. Total remission of the clinical and neuro-imaging abnormalities was evident 6 months later, with minimal side effects. The patient is in complete remission after one year of follow-up without treatment. Hence, low-dose weekly subcutaneous methotrexate may be safe and effective in inducing complete and sustained remission of this condition. The experience with subcutaneous methotrexate to treat this entity has never been reported.

Esclerodermia lineal en coup de sabre. Manifestaciones neurológicas, imágenes y revisión / Linear scleroderma en coup de sabre. Neurological symptoms images and review

Introducción. La esclerodermia lineal en ‘golpe de sable’, mejor conocida como esclerodermia lineal en coup de sabre (ELCS), es una enfermedad rara de causa incierta, caracterizada por atrofia focal progresiva craneofacial y, en parte, es diferente al síndrome de Parry-Romberg (SPR). Casos clínicos. Comunicamos tres pacientes con ELCS (2 mujeres y 1 hombre, con un promedio de edad de 40 años). Las manifestaciones neurológicas principales fueron cefalea y crisis convulsivas. Los alteraciones radiológicas, aunque diversas, fueron todas ipsilaterales al ‘golpe de sable’. En una paciente sometida a biopsia se obtuvo evidencia histopatológica de gliosis e infiltrado inflamatorio mixto perivascular. Destacamos en otro paciente la afectación cerebrovascular, dado el hallazgo de un infarto cerebeloso antiguo subclínico y oclusión de la arteria cerebelosa superior en ausencia de otra posible causa. Conclusiones. La ELCS, cuando afecta al sistema nervioso central es heterogénea en su presentación clínica y radiológica. Los estudios de imagen durante el control clínico y los hallazgos histopatológicos apoyan un proceso inflamatorio focal que puede ser progresivo. La afectación arterial se debe probablemente a una vasculopatía inflamatoria no ateroesclerosa, oclusiva y crónica (AU)

Introduction. ‘Sword stroke’ linear scleroderma, which is better known as linear scleroderma en coup de sabre (LSCS), is a rare disease with an uncertain causation that is characterised by progressive craniofacial focal atrophy and is, at least in part, different from Parry-Romberg syndrome (PRS). Case reports. Here, we report on the cases of 3 patients with LSCS (2 females and 1 male, with a mean age of 40 years). The main neurological symptoms were headache and seizures. Although different alterations were observed in the X-ray images, they were all ipsilateral to the coup de sabre. Histopathological evidence for gliosis and mixed perivascular inflammatory infiltrate was found in the study of a biopsy specimen taken from one female. Cerebrovascular involvement was seen in another patient, as highlighted by the observation of an earlier subclinical cerebellar infarct and occlusion of the superior cerebellar artery in the absence of any other possible causation. Conclusions. When it affects the central nervous system, the clinical and radiological presentation of LSCS is heterogeneous. Both the imaging studies carried out during the clinical control and the histopathological findings suggest a focal inflammatory process that can be progressive. The arterial involvement is probably due to a non-atherosclerotic, occlusive and chronic inflammatory disease of the peripheral vessels (AU)

[Linear scleroderma en coup de sabre: neurological symptoms, images and review]. / Esclerodermia lineal en coup de sabre. Manifestaciones neurologicas, imagenes y revision

INTRODUCTION: 'Sword stroke' linear scleroderma, which is better known as linear scleroderma en coup de sabre (LSCS), is a rare disease with an uncertain causation that is characterised by progressive craniofacial focal atrophy and is, at least in part, different from Parry-Romberg syndrome (PRS). CASE REPORTS: Here, we report on the cases of 3 patients with LSCS (2 females and 1 male, with a mean age of 40 years). The main neurological symptoms were headache and seizures. Although different alterations were observed in the X-ray images, they were all ipsilateral to the coup de sabre. Histopathological evidence for gliosis and mixed perivascular inflammatory infiltrate was found in the study of a biopsy specimen taken from one female. Cerebrovascular involvement was seen in another patient, as highlighted by the observation of an earlier subclinical cerebellar infarct and occlusion of the superior cerebellar artery in the absence of any other possible causation. CONCLUSIONS: When it affects the central nervous system, the clinical and radiological presentation of LSCS is heterogeneous. Both the imaging studies carried out during the clinical control and the histopathological findings suggest a focal inflammatory process that can be progressive. The arterial involvement is probably due to a non-atherosclerotic, occlusive and chronic inflammatory disease of the peripheral vessels.

[Intracerebral haemorrhage in a referral hospital in the central-western region of Mexico]. / Hemorragia intracerebral en un hospital de referencia de la region centro-occidente de Mexico.

INTRODUCTION: Intracerebral haemorrhage (ICH) has received little attention in studies in Mexico. Isolated reports talk of high frequency, its importance as a disorder among young people, its being mainly located in the lobar regions and a high rate of recurrence. AIMS: The objective of this study was to characterise the clinical, radiological, therapeutic and prognostic spectrum of ICH in a general hospital in the central-western region of Mexico. PATIENTS AND METHODS: The study involved 270 consecutive patients over the age of 15 years with spontaneous ICH who were hospitalised in the Neurology and Neurosurgical Service in the Antiguo Hospital Civil de Guadalajara between the years 2000 and 2002. Their clinical history and progression was known at least on discharge from the hospital. RESULTS: The mean age was 63 years (12% under 40 years old) with no predominance according to gender (53% males). Arterial hypertension was the main risk factor in 69%, followed by obesity in 38%. There were no differences in the Glasgow administered on admission in three pre-established subgroups. The ICH was ganglionic in 64% of cases and lobar in 24%. Arterial hypertension was the principal cause of ICH in 76%. Ventricular aperture was noted in 53%. All the patients were treated in a general ward. Mortality in the acute phase occurred in 49%, although a poor progression was observed in 83%. Overall recurrence was 13%. Outpatient follow-up was poor. CONCLUSIONS: ICH shares most of the features reported in Anglo-Saxon series including aetiology and location. In our population, mortality and recurrence are high with important sequelae. The high frequency of ICH (40%) may represent a bias in the selection of hospitals.

Hemorragia intracerebral en un hospital de referencia de la región centro-occidente de México / Intracerebral haemorrhage in a referral Hospital in the central-Western región of Mexico

Introducción. La hemorragia intracerebral (HIC) se ha estudiado escasamente en México. Algunos comunicados aislados señalan una elevada frecuencia, importante afectación en jóvenes, mayor localización lobar y alta recurrencia. Objetivos. Caracterizar el espectro clínico, radiológico, terapéutico y pronóstico de la HIC en un hospital general de la región centro-occidente de México. Pacientes y métodos. Se incluyeron 270 pacientes consecutivos mayores de 15 años con HIC espontánea ingresados en el Servicio de Neurología y Neurocirugía del Antiguo Hospital Civil de Guadalajara, entre los años 2000 y 2002. Todos tenían historia clínica y una evolución conocida, al menos, hasta el alta hospitalaria. Resultados. La edad promedio fue de 63 años (12% menores de 40 años) sin predominio de sexo (53% hombres). La hipertensión arterial fue el principal factor de riesgo (69%), seguida de la obesidad (38%). No hubo diferencia en el Glasgow al ingreso en tres subgrupos preestablecidos. La localización de la HIC fue ganglionar en el 64% y lobar en el 24%. La hipertensión arterial fue la principal causa de HIC en el 76%. La apertura ventricular se consignó en un 53%. Todos los pacientes se trataron en la sala general. La mortalidad en fase aguda se dio en el 49%, aunque se consignó una mala evolución en el 83%. La recurrencia global fue de 13%. El seguimiento por consulta externa es pobre. Conclusiones. La HIC comparte la mayoría de las características comunicadas en series anglosajonas con inclusión de etiología y localización. En nuestra población, la mortalidad y la recurrencia son altas, con secuelas importantes. La elevada frecuencia de HIC (40%) puede representar un sesgo de selección hospitalaria (AU)

Introduction. Intracerebral haemorrhage (ICH) has received little attention in studies in Mexico. Isolated reports talk of high frequency, its importance as a disorder among young people, its being mainly located in the lobar regions and a high rate of recurrence. Aims. The objective of this study was to characterise the clinical, radiological, therapeutic and prognostic spectrum of ICH in a general hospital in the central-western region of Mexico. Patients and methods. The study involved 270 consecutive patients over the age of 15 years with spontaneous ICH who were hospitalised in the Neurology and Neurosurgical Service in the Antiguo Hospital Civil de Guadalajara between the years 2000 and 2002. Their clinical history and progression was known at least on discharge from the hospital. Results. The mean age was 63 years (12% under 40 years old) with no predominance according to gender (53% males). Arterial hypertension was the main risk factor in 69%, followed by obesity in 38%. There were no differences in the Glasgow administered on admission in three pre-established subgroups. The ICH was ganglionic in 64% of cases and lobar in 24%. Arterial hypertension was the principal cause of ICH in 76%. Ventricular aperture was noted in 53%. All the patients were treated in a general ward. Mortality in the acute phase occurred in 49%, although a poor progression was observed in 83%. Overall recurrence was 13%. Outpatient follow-up was poor. Conclusions. ICH shares most of the features reported in Anglo-Saxon series including aetiology and location. In our population, mortality and recurrence are high with important sequelae. The high frequency of ICH (40%) may represent a bias in the selection of hospitals (AU)

Hemorragia intracerebral asociada a una pesadilla. Comunicación de un caso / Intracerebral hemorrhage associated with a nightmare. Case report

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Tratamiento quirúrgico de las ulceras por presión en pacientes con daño cerebral irreversible por traumatismo encefalocraneano / Surgical treatment of presure sores in pacients wit postraumatic brain injury

Producto de nuestro moderno estilo de vida, los traumatismos encéfalocraneanos (TEC) son una importante causa de morbimortalidad; afectando especialmente a población joven. Algunos pacientes pueden quedar con graves secuelas neurológicas, en estado vegetativo y permanentemente postrados. Por otra parte, la mejor atención, tanto en fase aguda como crónica, ha mejorado su expectativa de vida, apareciendo complicaciones que plantean nuevos desafíos terapéuticos, entre las que se incluyen las úlceras por presión (UP). Tradicionalmente, en nuestro medio, las UP en estos pacientes han sido tratadas de forma conservadora. Sin embargo, esta conducta. muchas veces implica. curaciones por largos períodos de tiempo, significando un deterioro en la calidad de vida del enfermo, una carga adicional para los familiares y un encarecimiento para las instituciones de salud. Por estos motivos presentamos la experiencia del Hospital del Trabajador de Santiago, en el tratamiento quirúrgico de 7 pacientes con graves secuelas neurológicas post TEC, portadores de UP, 5 sacras y 2 trocantéreas; planteándose la cirugía como una alternativa válida ele tratamiento. Se discuten algunos aspectos relevantes a su evaluación preoperatoria, tipo de cirugía, evolución, complicaciones, resultados y costos (AU)

The craneal trauma is, actually, an important etiology of morbity and mortality, mainly in young people. Some of these patients lay in bed for ever, with importants neurological sequelaes secondary to their brain injury. In the other hand the berter attention in acute as well as cronic phase have improve their expectative of Iife, appearing complications with new challenges such as the pressure sores. Traditionally, in our environment these pressure sores, in the these pauents, have been treated in conservative way. Nevertheless, these treatments mean wounds cares for long times, with a detrimental quality of Iife for the patient, an emotional comminent for their relatives ancl a big investment for the Hospital del Trabajador Santiago. Chile in the surgical treatment of 7 patients with important neurological sequeales post brain injury and with pressure sores: 5 sacral, and 2 trocanterics. Pre operatory evaluation, type of surgery, evolution, complications, results and costare discussed (AU)

Temporal effects of estrogen and progesterone on behavioral and endocrinological responses to acute cocaine administration.

Estrogen and progesterone have been postulated to play a key role modulating cocaine-induced behavioral and neurochemical activation in female rats. This study investigated the temporal relationship between estrogen and progesterone in the modulation of cocaine-induced behavioral alterations. Ovariectomized Fischer rats received s.c. injections of estradiol benzoate 48 hr prior to cocaine or saline treatment and one s.c. injection of progesterone concurrently or 1, 4, 20, 24, 30, 44 or 48 hr after estrogen treatment. Forty-eight hours after estrogen treatment rats received either a single i.p. injection of 15 mg/kg of cocaine or 0.9% saline. Overall, cocaine induced increases in locomotor behaviors (ambulatory and rearing activity). A bimodal interaction between estrogen and progesterone was observed in the modulation of all locomotor activities. A gradual increase in behaviors, which peaked when progesterone was administered 24 hr after estrogen was followed by an inhibition of both ambulatory and rearing activity when progesterone was administered for a shorter period of time. This estrogen and progesterone interaction was not observed in the modulation of cocaine-induced stereotypic activity. However, shorter administration of progesterone in relation to estrogen administration resulted in lowered benzoylecgonine plasma levels when compared to longer progesterone administration times. On the other hand, longer administration of progesterone (48 hr of estrogen and progesterone) caused increases in corticosterone levels in cocaine-treated rats. Thus, the temporal interaction between estrogen and progesterone in the regulation of cocaine metabolism and hypothalamic-pituitary-axis (HPA) activation do not completely correlate with that observed for locomotor behavioral activation. Taken together, these results suggest that temporal interactions between estrogen and progesterone may underlie some of the previously reported estrous cycle and sex effects on cocaine-induced behavioral and endocrinological alteration.

Alternativa quirúrgica para la corrección del ectropión: huincha tarsal / Surgical alternative for ectropion correction: tarsal strips

Se presentan 11 pacientes con ectropión del párpado inferior operados con la técnica de la huincha tarsal. La técnica consiste en disecar una porción de tarso lateral y suturarla a nivel del canto lateral. Sin recidiva en la serie. Es una técnica rápida y sencilla con cicatrices mínimas

Intrinsically bent DNA in the promoter regions of the yeast GAAL1-10 and GAL80 genes.

Circular permutation analysis has detected fairly strong sites of intrinsic DNA bending on the promoter regions of the yeast GAL1-10 and GAL80 genes. These bends lie in functionally suggestive locations. On the promoter of the GAL1-10 structural genes, strong bends bracket nucleosome B, which lies between the UAS(G) and the GAL1 TATA. These intrinsic bends could help position nucleosome B. Nucleosome B plus two other promoter nucleosomes protect the TATA and start site elements in the inactive state of expression but are completely disrupted (removed) when GAL1-10 expression is induced. The strongest intrinsic bend ( approximately 70 degrees ) lies at the downstream edge of nucleosome B; this places it approximately 30 base pairs upstream of the GAL1 TATA, a position that could allow it to be involved in GAL1 activation in several ways, including the recruitment of a yeast HMG protein that is required for the normally robust level of GAL1 expression in the induced state (Paull, T., Carey, M., and Johnson, R. (1996) Genes Dev. 10, 2769-2781). On the regulatory gene GAL80, the single bend lies in the non-nucleosomal hypersensitive region, between a GAL80-specific far upstream promoter element and the more gene-proximal promoter elements. GAL80 promoter region nucleosomes contain no intrinsically bent DNA.