Acute Ethanol Increases IGF-I-Induced Phosphorylation of ERKs by Enhancing Recruitment of p52-Shc to the Grb2/Shc Complex.

Ethanol plays a detrimental role in the development of the brain. Multiple studies have shown that ethanol inhibits insulin-like growth factor I receptor (IGF-IR) function. Because the IGF-IR contributes to brain development by supporting neural growth, survival, and differentiation, we sought to determine the molecular mechanism(s) involved in ethanol's effects on this membrane-associated tyrosine kinase. Using multiple neuronal cell types, we performed Western blot, immunoprecipitation, and GST-pulldowns following acute (1-24 h) or chronic (3 weeks) treatment with ethanol. Surprisingly, exposure of multiple neuronal cell types to acute (up to 24 h) ethanol (50 mM) enhanced IGF-I-induced phosphorylation of extracellular regulated kinases (ERKs), without affecting IGF-IR tyrosine phosphorylation itself, or Akt phosphorylation. This acute increase in ERKs phosphorylation was followed by the expected inhibition of the IGF-IR signaling following 3-week ethanol exposure. We then expressed a GFP-tagged IGF-IR construct in PC12 cells and used them to perform fluorescence recovery after photobleaching (FRAP) analysis. Using these fluorescently labeled cells, we determined that 50 mM ethanol decreased the half-time of the IGF-IR-associated FRAP, which implied that cell membrane-associated signaling events could be affected. Indeed, co-immunoprecipitation and GST-pulldown studies demonstrated that the acute ethanol exposure increased the recruitment of p52-Shc to the Grb2-Shc complex, which is known to engage the Ras-Raf-ERKs pathway following IGF-1 stimulation. These experiments indicate that even a short and low-dose exposure to ethanol may dysregulate function of the receptor, which plays a critical role in brain development. J. Cell. Physiol. 232: 1275-1286, 2017. © 2016 Wiley Periodicals, Inc.

A comparative study of McFarland turbidity standards and the Densimat photometer to determine bacterial cell density.

McFarland Turbidity Standards and the Densimat photometer were compared for their accuracy to adjust bacterial suspensions. Six bacterial species were tested with both methods. Statistical analyses showed that adjusting bacterial suspensions with the Densimat photometer results in less variation within assays and in a more accurate determination of bacterial inocula.

Description of life cycle and immature stages of Yphthimoides celmis (Godart, [1824]) (Lepidoptera: Nymphalidae: Satyrinae): a contribution to the taxonomic status of the genus.

This article describes the immature stages of the satyrid butterfly Yphthimoides celmis (Godart) for the first time. Morphology, head and body chaetotaxy, and coloration patterns are compared with those of other Yphthimoides species. Larvae behavioral aspects and oviposition behavior are also documented here. Overwintering larvae are observed for the first time for this genus. The larval stage has four or five instars in non-overwintering while six in overwintering larvae. The average duration of the life cycle is around 82 days for non-overwintering, while it is 227 days for overwintering larvae under laboratory conditions. The increase in instar stages and the development time duration of immature stages in overwintering larvae may be due to climatic conditions in the study area and also a strategy to survive the cold season. Eggs have irregular pentagonal and hexagonal cells. First instar larvae have a dark head capsule and a pattern of reddish stripes along their body, with clubbed body setae. Pupae are short and smooth with a non-uniform brown color, presenting a lighter clypeus and a darker ventral portion in the cremaster. We consider that the morphological information of immature stages can improve further phylogenetic studies.

Multiplexing and Spectral Microscopy.

Visualization of proteins within a tissue sample via immunohistochemistry (IHC) is a central aspect of pathology. However, such methods are limited to the detection of one or two proteins, due to the overlapping absorption/emission spectra of chromogens and fluorescent dyes. The advent of spectral microscopy has enabled improved visualization of multiple proteins by allowing for the specific light wavelengths/spectral signatures of individual fluorophores and chromogens to be unmixed and analyzed, thus detecting signals that would be indistinguishable with conventional microscopy. Combined with improvements to multiplexed immunohistochemistry (mIHC) protocols, spectral microscopy facilitates the interrogation of spatial relationships between four (enzymatic mIHC) or seven (fluorescent mIHC) proteins, unlocking the wealth of information contained within a single tissue section. Furthermore, the application of linear unmixing for image analysis allows for a reduction in background signal associated with tissue autofluorescence and can distinguish chromogens with similar absorption spectra to identify protein colocalization in brightfield spectral microscopy. While many mIHC protocols have been optimized for spectral microscopy, this chapter will focus in detail on two common methods: enzymatic mIHC and manual fluorescent mIHC using tyramide signal amplification and microwave technology.

Entomopathogenic Fungi Infecting Lepidopteran Larvae: A Case from Central Argentina.

Immature stages of insects are vulnerable to various antagonists, including pathogens. While the abiotic factors affecting pathogen prevalence in insect populations are reasonably well documented, much less is known about relevant ecological interactions. We studied the probability of the larvae of three lepidopteran species to die from fungal infection as a function of insect species and food plants in central Argentina. Local free-growing food plants were used to feed the lepidopteran larvae. The prevalence of entomopathogenic fungi remained low (about 5%), which is a value well consistent with observations on similar systems in other regions. Eight fungal species recorded, primarily belonging to Fusarium and Aspergillus, add evidence to the reconsideration of the nutritional modes in these genera in distinguishing the role of some species (complexes) to cause insect infections. Food plant species were found to have a substantial effect on the prevalence of entomopathogenic fungi. This was especially clear for the most abundant fungal species, a representative of the Fusarium fujikuroi complex. Feeding on a particular plant taxon can thus have a specific fitness cost. Compared to the data collected from Northern Europe, the Argentinian assemblages from the families Aspergillaceae and Nectriaceae overlapped at the genus level but did not share species. It remains to be confirmed if this level of divergence in the composition of assemblages of entomopathogenic fungi among distant regions represents a global pattern.

Bone Morphogenetic Protein-2 and Osteopontin Gene Expression in Epicardial Adipose Tissue from Patients with Coronary Artery Disease Is Associated with the Presence of Calcified Atherosclerotic Plaques.

PURPOSE: It has been proposed that the cardiovascular effects of obesity are related to epicardial adipose tissue (EAT), which seems to play an active role on the development and calcification of atherosclerotic plaques, but the mechanisms are still unknown. Therefore, the aim of this study was to determine whether the EAT expresses the genes of calcifying factors and whether such expression is associated with the body mass index (BMI) and with the presence of coronary artery calcium (CAC) in patients with coronary artery disease (CAD). PATIENTS AND METHODS: Forty-three patients with CAD were enrolled specifically for this study, and their CAC score and EAT volume were determined by computed tomography. As the group of comparison, 41 patients with aortic valve stenosis and CAC = 0 were included (control group). A representative subgroup of 16 CAD patients and 23 controls were selected to obtain EAT biopsies during the chirurgical procedure from the atrio-interventricular groove. The mRNA expression of bone morphogenetic protein-2 and -4 (BMP-2, BMP-4), osteopontin (OPN), osteonectin (ON), and osteoprotegerin (OPG) in EAT was determined by qPCR. RESULTS: The gene expression of OPN and BMP-2 was 70% and 52% higher in the EAT from CAD patients than that in controls, respectively, whereas the expression of OPG, ON, and BMP-4 was similar in both groups. The EAT volume positively correlated with OPG and with the BMI, suggesting a relationship of obesity with local higher expression of calcifying genes in the coronary territory. The logistic regression analysis showed that high levels of both OPN and BMP-2 increased about 6 and 8 times the odds of coronary calcification (CAC score > 0), respectively. CONCLUSION: EAT correlated with BMI and expressed the mRNA of calcifying genes but only OPN and BMP-2 expression was higher in CAD patients. Higher levels of both OPN and BMP-2 statistically determined the presence of calcium in coronary arteries of CAD patients.

Genital disc growth in Drosophila.

Prior to completion, apoptosis causes the secretion of different signals, including proliferative signals. Signaling associated with death was discovered in Drosophila and mostly characterized by the induction of experimental death. Thus, less is known about physiological death. Here, we analyzed physiological death in the genital disc, a structure with bilateral symmetry, in different growth scenarios. To this end, we prevented or promoted death in regions or in genetic mosaics. We observed that physiological death in the genital disc was associated with proliferative signals and that both processes were JNK-dependent. The proliferative signals promoted growth in the genitalia primordia but not in the analia. Due to the proliferative signaling, the prevention of death that produced undead cells provoked asymmetric growth, high variability in proliferation, and size reduction. Death can occur in the absence of JNK but without signaling. JNK is fundamental for growth and death associated with signaling.

Comparative characterisation of the biofilm-production abilities of Staphylococcus epidermidis isolated from human skin and platelet concentrates.

PURPOSE: Staphylococcus epidermidis is the predominant contaminant of platelet concentrates (PCs), a blood product used to treat patients with platelet deficiencies. This microorganism is able to form surface-attached aggregates (biofilms) in human skin. Herein, the abundance of S. epidermidis biofilm-producers in contaminated PCs compared to skin isolates was explored. Furthermore, the potential positive selection of S. epidermidis biofilm-producers during the blood donation process and PC manufacturing was investigated. METHODOLOGY: Twenty-four S. epidermidis isolates obtained from contaminated PCs and 48 S. epidermidis isolates obtained from the venipuncture area of human volunteers were compared for their ability to form biofilms in laboratory media and in PCs using a semi quantitative crystal violet assay. Also, the presence of the biofilm-associated icaA and icaD genes was assessed by PCR-amplification.Results/Key findings.Biofilm production in laboratory media showed a higher number of S. epidermidis biofilm-producers in the skin-derived group (43.7 %) compared to the PC-derived isolates (25 %). However, all skin and PC isolates formed biofilms in PCs. The prevalence of ica-positive biofilm-producer isolates was similar in PC and skin isolates (16.6 and 18.8 %, respectively). In contrast, the abundance of ica-negative biofilm-producers was lower in PC isolates compared to skin isolates (8.3 vs 25 %, respectively). CONCLUSION: Positive selection of S. epidermidis biofilm-producers during blood donation and PC manufacturing was not observed. Interestingly, ica-negative biofilm-producers seem to be negatively affected by skin disinfection, blood processing and PC storage. Furthermore, this study shows that S. epidermidis adopts a biofilm-forming phenotype in PCs regardless of its genetic background or origin.

Identification of Levels of Serum Amyloid A and Apolipoprotein A1 in Serum Proteomic Analysis of Neuropsychiatric Systemic Lupus Erythematosus Patients.

Neuropsychiatric Systemic Lupus Erythematosus (NPSLE) has multiple pathogenic mechanisms that cause diverse manifestations and whose diagnosis is challenging because of the absence of appropriate diagnostic tests. In the present study the application of proteomics using two-dimensional electrophoresis (2D) and mass spectrometry (MS) allowed the comparison of the protein profile of the serum low and high abundance protein fractions of NPSLE patients (NPSLE group) and SLE without neuropsychiatric syndromes (SLE group), Neuropsychiatric syndromes not associated with SLE (NPnoSLE groups), and healthy controls (CTRL group). The gels obtained were digitalized and analyzed with the PDQuest software. The statistical analysis of the spots was performed using the nonparametric Kruskal Wallis and Dunn's multiple comparison tests. Two spots showed significant differences and were identified by MS. Spot 4009 was significantly lower in NPSLE with regard to NPnoSLE (p= 0,004) and was identified as apolipoprotein A1 (APOA1) (score 809-1132). Spot 8001 was significantly higher in NPSLE regarding CTRL and NPnoSLE (p= 0,01 y 0,03, respectively) and was identified as serum amyloid A (SAA) (score 725-2488). The proinflammatory high density lipoproteins (HDL) have been described in SLE. In this HDL the decrease of APOA1 is followed by an increase in SAA. This altered level of both proteins may be related to the inflammatory state that is characteristic of an autoimmune disease like SLE, but this is not specific for NPSLE.

Taxonomic changes of some neotropical species of Arctiini Leach (Lepidoptera: Erebidae: Arctiinae).

Arctiini (Lepidoptera, Erebidae, Arctiinae) is the most speciose tribe of tiger moths. In this study, the taxonomy of some Neotropical species of this tribe is reviewed based on habitus and, in some cases, genitalia of type specimens. Lectotypes are designated for two names. Four new combinations are proposed: Agaraea sericeum (Zerny, 1931) comb. n., Biturix nigrostriata (Rothschild, 1909) comb. n., Carales fasciatus (Rothschild, 1909) comb. n. and Opharus pallida (Dognin, 1910) comb. n. Six new synonymies are proposed: Agaraea nigrotuberculata Bryk, 1953 (=Agaraea klagesi (Rothschild, 1909)), Opharus ochracea Joicey & Talbot, 1918 and Pelochyta fergusoni Watson & Goodger, 1986 (=Opharus pallida (Dognin, 1910)), Melese flavescens Joicey & Talbot, 1918 (=Melese paranensis Dognin, 1911), Leucanopsis infucata (Berg, 1882) (=Pareuchaetes aurata aurata (Butler, 1875)) and Tessellota pura Breyer, 1957 (=Tessellota cancellata (Burmeister, 1878)). Moreover, Opharus ochracea Joicey & Talbot, 1918 comb. rev. is returned to the original genus. For each rearrangement, both remarks and information about type specimens are provided.

Changes in Species Richness and Composition of Tiger Moths (Lepidoptera: Erebidae: Arctiinae) among Three Neotropical Ecoregions.

Paraná, Yungas and Chaco Serrano ecoregions are among the most species-rich terrestrial habitats at higher latitude. However, the information for tiger moths, one of the most speciose groups of moths, is unknown in these ecoregions. In this study, we assess their species richness and composition in all three of these ecoregions. Also we investigated whether the species composition of tiger moths is influenced by climatic factors and altitude. Tiger moth species were obtained with samples from 71 sites using standardized protocols (21 sites were in Yungas, 19 in Paraná and 31 in Chaco Serrano). Rarefaction-extrapolation curves, non-parametric estimators for incidence and sample coverage indices were performed to assess species richness in the ecoregions studied. Non metric multidimensional scaling and adonis tests were performed to compare the species composition of tiger moths among ecoregions. Permutest analysis and Pearson correlation were used to evaluate the relationship among species composition and annual mean temperature, annual temperature range, annual precipitation, precipitation seasonality and altitude. Among ecoregions Paraná was the richest with 125 species, followed by Yungas with 63 species and Chaco Serrano with 24 species. Species composition differed among these ecoregions, although Yungas and Chaco Serrano were more similar than Paraná. Species composition was significantly influenced by climatic factors and altitude. This study showed that species richness and species composition of tiger moths differed among the three ecoregions assessed. Furthermore, not only climatic factors and altitude influence the species composition of tiger moths among ecoregions, but also climatic seasonality at higher latitude in Neotropical South America becomes an important factor.

Molecular mechanisms of fenofibrate-induced metabolic catastrophe and glioblastoma cell death.

Fenofibrate (FF) is a common lipid-lowering drug and a potent agonist of the peroxisome proliferator-activated receptor alpha (PPARα). FF and several other agonists of PPARα have interesting anticancer properties, and our recent studies demonstrate that FF is very effective against tumor cells of neuroectodermal origin. In spite of these promising anticancer effects, the molecular mechanism(s) of FF-induced tumor cell toxicity remains to be elucidated. Here we report a novel PPARα-independent mechanism explaining FF's cytotoxicity in vitro and in an intracranial mouse model of glioblastoma. The mechanism involves accumulation of FF in the mitochondrial fraction, followed by immediate impairment of mitochondrial respiration at the level of complex I of the electron transport chain. This mitochondrial action sensitizes tested glioblastoma cells to the PPARα-dependent metabolic switch from glycolysis to fatty acid ß-oxidation. As a consequence, prolonged exposure to FF depletes intracellular ATP, activates the AMP-activated protein kinase-mammalian target of rapamycin-autophagy pathway, and results in extensive tumor cell death. Interestingly, autophagy activators attenuate and autophagy inhibitors enhance FF-induced glioblastoma cytotoxicity. Our results explain the molecular basis of FF-induced glioblastoma cytotoxicity and reveal a new supplemental therapeutic approach in which intracranial infusion of FF could selectively trigger metabolic catastrophe in glioblastoma cells.

Phytochemical induction by herbivores could affect quality of essential oils from aromatic plants.

Plant tissues may show chemical changes following herbivory. In aromatic plants such changes could affect the specific compounds on which commercial exploitation is based. This possibility was analyzed for Mintosthachys mollis, a member of the Lamiaceae native to Central Argentina with medicinal and aromatic uses in the region, and two types of insect herbivores: a leaf miner and a gall insect. Analysis of the essential oils of mined/undamaged leaves, as well as leaves from stems with and without galls, revealed changes in concentrations of the two main monoterpenes. A decrease in pulegone concentration was associated with both types of insect damage, whereas menthone increased significantly only in mined leaves. Inducible chemical changes in aromatic and medicinal plants may be common and widespread; their economic implications deserve investigation.

Polimorfismo rs4998 del gen ADRB3 y su relación con el índicede masa corpora / Polymorphism rs4998 of the ADRB3 gene and its relationship with the bodymass index

Introducción: Para el 2007 en Colombia se estimó que el 56% de la población adulta era obesa, condición que se considera un problema de salud pública con implicaciones en el desarrollo de enfermedad coronaria. Objetivo: Determinar la distribución de las frecuencias alélicas y genotípicas y la relación del polimorfismo rs4998 del gen ADRB3 con el índice de masa corporal en una población de docentes y administrativos. Materiales y Métodos: La extracción de ADN se llevó a cabo mediante un método comercial, para la amplificación de ADN se emplearon cebadores específicos no marcado con fluorocromos, los fragmentos obtenidos fueron purificados mediante las enzimas SAP y EXOSAP, finalmente se realizó minisecuenciación en el ABI PRISM 310 y posterior lectura de electroferogramas. El análisis de las variables sociode mográficas se realizó mediante métodos univariados y métodos bivariados empleando pruebas de significancia como: test Chi2 de Pearson y test exacto de Fisher. Modelos logísticos fueron empleados para evaluar asociación. Resultados: Las frecuencias genotípicas encontradas fueron 0.96 GG, 0.014 CG y 0,020 CC. Las frecuencias alélicas fueron 0,027 C y 0,973 G. La muestra se encontró en equilibrio de Hardy-Weinberg con Chi2 = 81.153(1) (p = 0.000) y se calculó la estructura poblacional mediante la prueba Fst = 0,743. Discusión: Encontrar la población en equilibrio de Hardy-Weinberg indica que los individuos se están mezclando al azar. El coeficiente de endogamia o estadístico Fst, indica que la población presenta una alta estructura o diferenciación genética y existe fijación del alelo mutado G; esto podría obtener falsas asociaciones con la patología de interés. Conclusión: Las frecuencias obtenidas en este estudio no se ajustan a los modelos génicos propuestos para estudios de asociación; por lo tanto, se recomienda aumentar el tamaño de la muestra para futuras investigaciones o plantear estudios de casos y controles

Introduction: At 2007 in Colombia it was estimated that a portion 56 % from the adult population was obese, a condition that is considered a public health problem with implications in the development of coronary heart disease.Objective: Determine the distribution of allelic and genotypic frequencies and the relation of the polymorphism rs4998 of the ADRB3 gene with the Body Mass Index in a population of teachers and administrators of an university institution in Colombia. Methods: DNA extraction was carried out by a commercial method, for specific DNA amplification, specific primers not labeled with fluorochromes were used, fragments obtained were purified by SAP and EXOSAP enzymes, and finally minisequencing was performed in the ABI PRISM 310 and later electropherogram reading. The analysis of the sociodemographic variables was performed using univariate methods and bivariate methods using significance tests such as: Pearson's Chi2 test and Fisher's exact test. Logistic models were used to evaluate association. Results: The genotype frequencies found were 0.96 GG, 0.014 CG and 0.020 CC. The allele frequencies were 0.027 C and 0.973 G. The sample was found in Hardy-Weinberg equilibrium with Chi2 = 81.153 (1) (p = 0.000) and the population structure was calculated by means of the Fst test = 0.743. Discussion: Finding the population in Hardy-Weinberg equilibrium, indicates that individuals were mixed randomly. The coefficient of inbreeding or statistical Fst, is very close to one, which indicates that the population has a high structure or genetic differentiation and there is fixation of the mutated allele G. This could obtain false associations with the pathology of interest. Conclusion: The frequencies obtained in this study do not fit the proposed gene models for association studies, therefore, it is recommended to increase the sample size for future researches or to propose case-control studies

Evaluación de las conductas sexuales de riesgo y hábitos anticonceptivos en una muestra de población mexicana / Evaluation of sexual risk behaviors and contraceptive habits in a sample of the Mexican population

Resumen OBJETIVO: Evaluar, a través de una encuesta, la situación actual de las conductas sexuales de riesgo en una muestra de población mexicana de entre 15-60 años, e identificar los métodos de planificación familiar más utilizados y el promedio de inicio de la vida sexual. MATERIALES Y MÉTODOS: Estudio descriptivo, transversal, con muestreo no probabilístico tipo "bola de nieve". Se aplicó una encuesta validada internacionalmente de conductas sexuales de riesgo, entre julio y octubre de 2017, en una muestra mexicana de 15-60 años de edad. Se excluyeron las encuestas incompletas y con discordancias, y personas de otras nacionalidades. Entre las variables estudiadas se incluyeron: sexo, edad y estado socioeconómico. Se calculó un tamaño de muestra de 385, con un intervalo de confianza de 95% (IC95%). Los datos se reunieron en el programa de Excel 2016, donde se analizaron e interpretaron. RESULTADOS: Se encuestaron 689 sujetos, pero se excluyeron 38; de esta forma se registraron 650 casos. El 87.4% de los casos inició su vida sexual entre los 16 y 25 años; un tercio la calificó satisfactoria. El 50% de los encuestados de entre 13 y 15 años utilizó preservativo. El 61% refirió la comunicación de temas sexuales con sus padres poco satisfactoria o inexistente; 6.6% no utiliza o es usuario de algún método de planificación y 40.3% recurre a uno poco efectivo. CONCLUSIÓN: Es importante conocer las prácticas sexuales de la población mexicana, para identificar las áreas de oportunidad, promover la prevención de prácticas sexuales de riesgo y aumentar la difusión de la información.

Abstract OBJECTIVE: Evaluate, through an internationally validated survey, the risky sexual behavior in a Mexican sample between 15-60 years, the average of initiation of sexual activity and the most used contraceptive methods. MATERIALS AND METHODS: Descriptive, cross-sectional study, with non-probabilistic sampling type snowball. We apply an internationally validated survey of Risky Sexual Behavior between July and October 2017 through social networks to Mexican population between 15 and 60 years. Incomplete surveys were excluded, with disagreements in responses and people of other nationalities. The variables studied included sex, age and socioeconomic status. A sample size of 385 was calculated with a confidence level of 95%. The data was gathered in an Excel sheet 2016 where they were analyzed and interpreted. RESULTS: A total of 689 subjects were surveyed, 38 were excluded; In this way, a total of 650 cases were registered. 87.4% started sexual life between 16 and 25 years old, being satisfactory in a third of the cases. 50% of people between 13 and 15 years used condoms and 56% between 16 and 18 years. 61% reported the communication of sexual issues with their parents unsatisfactory or non-existent. 6.6% of people do not have a planning method while 40.3% have a little cash. CONCLUSION: It is important to know the sexual practices in the Mexican population to detect areas of opportunity, make changes in the prevention of risky sexual actions and in the distribution of information.

Therapeutic efficacy of aldoxorubicin in an intracranial xenograft mouse model of human glioblastoma.

Glioblastoma multiforme (GBM) is the most aggressive primary brain tumor with a median survival of 12 to 15 months after diagnosis. Acquired chemoresistance, high systemic toxicity, and low penetration of the blood brain barrier by many anticancer drugs contribute to the failure of anti-GBM therapies. To circumvent some of these obstacles, we tested a novel prodrug approach to evaluate anti-GBM efficacy by utilizing serum albumin-binding doxorubicin (Doxo), aldoxorubicin (Aldoxo), which is less toxic, is released from albumin in an acidic environment and accumulates in tumor tissues. A human GBM cell line that expresses a luciferase reporter (U87-luc) was stereotactically injected into the left striatum of the brain of immunodeficient mice. Following initial tumor growth for 12 days, mice were injected once a week in the tail-vein with Aldoxo [24 mg/kg or 18 mg/kg of doxorubicin equivalents-3/4 maximum tolerated dose (MTD)], Doxo [6 mg/kg (3/4 MTD)], or vehicle. Aldoxo-treated mice demonstrated significantly slower growth of the tumor when compared to vehicle-treated or Doxo-treated mice. Five out of eight Aldoxo-treated mice remained alive more than 60 days with a median survival of 62 days, while the median survival of vehicle- and Doxo-treated mice was only 26 days. Importantly, Aldoxo-treated mice exhibited high levels of Doxo within the tumor tissue, accompanied by low tumor cell proliferation (Ki67) and abundant intratumoral programmed cell death (cleaved caspase-3). Effective accumulation of Aldoxo in brain tumor tissues but not normal brain, its anti-tumor efficacy, and low toxicity, provide a strong rationale for evaluating this novel drug conjugate as a treatment for patients afflicted with GBM.

Implementación y aplicación de la 'Guía de práctica clínica para el diagnóstico, tratamiento y control de la diabetes mellitus tipo 2 en el primer nivel de atención' en una red de establecimientos de salud públicos de Lima / Implementation and application of the 'Clinical practice guideline for diagnosis, treatment and control of type 2 diabetes mellitus at primary care level', in a network of public healthcare facilities in Lima

Objetivo: La diabetes es una enfermedad no transmisible con prevalencia creciente que provoca alta carga de enfermedad por su tardío diagnóstico, complicaciones discapacitantes y elevada mortalidad. Para homogeneizar la atención el Ministerio de Salud peruano publicó la 'Guía de práctica clínica para el diagnóstico, tratamiento y control de la diabetes mellitus tipo 2 en el primer nivel de atención' (GPC). Materiales y métodos: Se elaboró una encuesta para evaluar el equipamiento, así como el conocimiento y uso de GPC en los 32 establecimientos de salud de los 3 distritos de la Dirección de Redes Integrales de Salud de Lima Norte. Resultados: Se evaluó la aplicación de la GPC, el conocimiento de los médicos y el equipamiento en 32 centros de los distritos del Rímac, San Martín de Porres y Los Olivos. Veintisiete médicos (84%) conocían la GPC, diez (28%) han recibido capacitación, 21 (71%) refirieron usarla, 17 (53%) manejaban los conceptos contenidos en la GPC. Solo 4/30 centros disponían de metfomina, ninguno de los centros realizaba hemoglobina glicosilada ni albuminuria y en solo 9 había disponibilidad de glucómetros de manera permanente. Conclusiones: La GPC no ha sido implementada y sólo parcialmente difundida, lo que limita su aplicación, afecta de manera significativa la calidad de atención de pacientes portadores de diabetes mellitus tipo 2 y hace que el esfuerzo y costos invertidos en su elaboración constituyan un dispendio de recursos

Background: Diabetes is a non-communicable disease with increasing prevalence that causes high burden of disease due to its late diagnosis, disabling complications, and high mortality. Aiming to standardize care, the Peruvian Ministry of Health published the 'Clinical practice guideline for diagnosis, treatment and control of type 2 diabetes mellitus at primary care level' (CPG). Materials and methods: A survey was prepared, aiming to assess the equipment as well as knowledge and use of CPG by physicians in 32 healthcare facilities in three districts from the Northern Lima Health Region. Results: The use of CPG, as well as knowledge from physicians and the equipment in 32 healthcare facilities in Rimac, San Martin de Porres, and Los Olivos districts were assessed. Twenty-seven physicians (84%) knew the CPG, 10 (28%) had received training, 21 (71%) declared they use the CPG, and 17 (53%) were familiarized with the concepts delivered by the CPG. Only 4/30 of the facilities had metformin available. None of them had the capability for measuring glycated hemoglobin or albuminuria, and only 9 have permanent availability of blood glucose meters. Conclusions: The GPC has not been implemented and it has been only partially disseminated, which limits its application, this significantly affects the quality of care of patients with type 2 diabetes mellitus; therefore, all effort and costs spent in its elaboration constitute resource waste

“Siempre se vuelve”: análisis del discurso del acto de proclamación como candidata presidencial de Michelle Bachelet / “Always in return”: discourse analysis from Michelle Bachelet’s presidential candidate proclamation event

El presente artículo analiza el discurso realizado por Michelle Bachelet en el Centro Cívico y Artístico de la comuna de El Bosque en Santiago, para presentar su decisión de ser candidata presidencial para las elecciones del año 2013 en Chile. El objetivo de la investigación busca comprender las posiciones de enunciación y las tonalidades discursivas que utiliza la candidata en dicha proclamación, tomando en cuenta la modalidad de liderazgo político femenino que ejerce su figura. Desde el punto de vista metodológico, la herramienta utilizada es el análisis del discurso, considerando conceptos desarrollados por la tradición francesa, desde donde se rescatan los aportes de los trabajos de Foucault (posiciones de enunciación) (Foucault, 1970) y de la escuela rusa, a través de los argumentos desarrollados por Bajtin (tonalidades discursivas) (Voloshinov, 1997). Los resultados exhibieron que, en el discurso de Michelle Bachelet, predomina una posición de sujeto (líder) y tres tonalidades discursivas (familiar, experta y heroica). Las conclusiones apuntan a generar la conexión entre la posición de enunciación hallada y las tonalidades discursivas identificadas a través del análisis del discurso...

This article analyzes Michelle Bachelet’s speech which took place in La Granja’s Civic and Artistic Center in Santiago, Chile to present her decision to run as candidate for the 2013 elections in Chile. This research aims to understand statement positions and discursive tonalities that Bachelet -as candidate used in the mentioned proclamation. Considering the methodological perspective, the analysis tool used was the discourse analysis (DA), considering concepts developed by French tradition -focusing on Foucault’s work constributions (statement positions) (Foucault, 1970) and Russian current with Bajtin’s developed arguments (discursive tonalities (Voloshinov, 1997). Results showed that in Michelle Bachelet’s speech predominate an individual (leading) position and three discursive tonalities (familiar, expert and heroic). These conclusions point to generate connections between the found statement position and the discursive tonalities identified throughout the discourse analysis...

Factores de riesgo para la preeclampsia severa y temprana en el Hospital General de Medellín 1999-2000 / Risk factors for the severe and early pre-eclampsia in the Medellin General Hospital 1999-2000

Objetivo: Identificar los principales factores de riesgo que en nuestro medio se asocian a la presentación de la preeclampsia en sus formas severa y temprana. Metodología: Se realizó un estudio de casos y controles de preeclampsia severa y lejana del término. Lugar: Mujeres que tuvieron su parto en el Hospital General de Medellín (HGM) entre septiembre de 1999 y marzo de 2000.”Conclusión”: Los factores de riesgo que mas se asociaron son factores relacionados con la historia personal y familiar del individuo, que no son susceptibles de modificación o de intervención con la tecnología actual, pero que si le permiten al clínico un diagnóstico más temprano y oportuno del síndrome, además de darle elementos para direccionar la atención de estas embarazadas centro de salud de mayor complejidad. Llama la atención que aquellos factores relacionados con la primipaternidad y con los hábitos sexuales no presentaron ninguna diferencia estadísticamente significativa entre grupos, orientándonos quizás hacia etiologías principalmente de origen genético o hereditario...

A comunicaçäo como fator relevante para a viabilizaçäo da inclusäo / The relevant role of communication for making inclusion possible

A experiência a ser relatada refere-se ao trabalho de comunicaçäo alternativa e suplementar (CAS), do setor de Fonoaudiologia da AACD, atuante em escola estadual de ensino fundamental, em classes especiais para deficientes físicos, visando a inclusäo do indivíduo, sem fala expressiva, na rede regular de ensino. O desenvolvimento de CAS vem assegurar a aquisiçäo e o desenvolvimento da linguagem, promovendo a integraçäo, a igualdade de oportunidades e maior desenvolvimento cognitivo, afetivo e social