Circadian rhythm of a Silene species favours nocturnal pollination and constrains diurnal visitation.

Background and Aims Traits related to flower advertisement and reward sometimes vary in a circadian way, reflecting phenotypic specialization. However, specialized flowers are not necessarily restricted to specialized pollinators. This is the case of most Silene species, typically associated with diurnal or nocturnal syndromes of pollination but usually showing complex suites of pollinators. Methods A Silene species with mixed floral features between diurnal and nocturnal syndromes was used to test how petal opening, nectar production, scent emission and pollination success correlate in a circadian rhythm, and whether this is influenced by environmental conditions. The effect of diurnal and nocturnal visitation rates on plant reproductive success is also explored in three populations, including the effect of the pollinating seed predator Hadena sancta. Key Results The result showed that repeated petal opening at dusk was correlated with nectar secretion and higher scent production during the night. However, depending on environmental conditions, petals remain opened for a while in the morning, when nectar and pollen still were available. Pollen deposition was similarly effective at night and in the morning, but less effective in the afternoon. These results were consistent with field studies. Conclusions The circadian rhythm regulating floral attractiveness and reward in S. colorata is predominantly adapted to nocturnal flower visitors. However, favourable environmental conditions lengthen the optimal daily period of flower attraction and pollination towards morning. This allows the complementarity of day and night pollination. Diurnal pollination may help to compensate the plant reproductive success when nocturnal pollinators are scarce and when the net outcome of H. sancta shifts from mutualism to parasitism. These results suggest a functional mechanism explaining why the supposed nocturnal syndrome of many Silene species does not successfully predict their pollinator guilds.

Diel Variation in Flower Scent Reveals Poor Consistency of Diurnal and Nocturnal Pollination Syndromes in Sileneae.

The composition of flower scent and the timing of emission are crucial for chemical communication between plants and their pollinators; hence, they are key traits for the characterization of pollination syndromes. In many plants, however, plants are assigned to a syndrome based on inexpensive to measure flower traits, such as color, time of flower opening, and shape. We compared day and night scents from 31 Sileneae species and tested for quantitative and semi-quantitative differences in scent among species classified a priori as diurnal or nocturnal. As most Sileneae species are not only visited by either diurnal or nocturnal animals as predicted by their syndrome, we hypothesized that, even if flower scent were preferentially emitted during the day or at night, most species also would emit some scents during the opposing periods of the day. This phenomenon would contribute to the generalized assemblage of flower visitors usually observed in Sileneae species. We found that diel variations of scent often were not congruent with the syndrome definition, but could partially be explained by taxonomy and sampling times. Most species emitted compounds with attractive potential to insects during both the night and day. Our results highlight the current opinion that syndromes are not watertight compartments evolved to exclude some flower visitors. Thus, important information may be lost when scents are collected either during day- or night-time, depending on the a priori classification of the species as diurnal or nocturnal.

Changes in Televisit Modalities Due to the COVID Pandemic in Chile: A Comparison of Patient Satisfaction.

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has impacted healthcare guidelines and modalities of patient consultation worldwide. The frequent cycles of quarantine confinement in Chile have caused mobility restrictions for patients and physicians, forcing the Hospital Las Higueras de Talcahuano (HHT) to replace the assisted televisit modality with a more classic televisit program. Here we have described if this change in televisit modality and type of outpatient may have impacted patients' satisfaction. METHODS: The patient's perception of satisfaction was evaluated through self-administered survey questionnaires previously validated in Spanish. Cohorts were grouped according to the following two relational models: (i) assisted televisit, 503 neurology patients from 2018 to 2019, and (ii) televisit, 831 patients from different specialties treated during 2020. Perception of satisfaction was compared by gender, age, and type of televisit, and internal consistency (Cronbach alpha) and reliability (factorial analysis of principal components) were assessed. Finally, we compared the patient satisfaction of both modalities. RESULTS: Questionnaires showed excellent internal consistency; all items showed point biserial correlations greater than 0.30. Assisted televisit and televisit cohorts comprised 64.2% and 67.6% females, respectively, and patients under the age of 65 years were 62.2% and 75%, respectively. Assisted televisit patients showed very high 94.4% (n=475) and high 5.2% (n=26) satisfaction levels, while televisit patients showed very high 22.3% (n=185), high 63.9% (n=531), and moderate 13.1% (n=109) satisfaction levels; this difference was statistically significant at p<0.001. CONCLUSION: Lower perception of satisfaction due to the change in televisit relational modality underscores the importance of primary care professionals who support the specialist in the assisted televisit model. However, the televisit modality showed high patient satisfaction and suggested that this modality can be a plausible alternative according to each location's reality. The results of this study indicate that both assisted televisit and televisit contribute to delivering an integrative solution that helps to alleviate the system's fragmentation.

Assessment of Adolescents in Child-to-Parent Violence: Invariance, Prevalence, and Reasons.

Child-to-parent violence is a form of family violence where the children are the aggressors. OBJECTIVE: This study first aimed to analyze the psychometric validity of the Child-to-Parent Violence Questionnaire (CPV-Q) among Ecuadorian adolescents. Second, the measurement invariance across the children's sex was examined. Finally, the prevalence of child-to-parent violence (CPV) was also determined. METHODS: A total of 2084 adolescents aged 12 to 18 years participated in this study. The participants were residents of two provinces in southern Ecuador. A higher percentage of participants were women. They lived mostly with their father and mother. The married marital status of the parents was the most frequently reported. Most of the fathers and mothers of the participants completed primary education. The sampling design was probabilistic, with proportional allocation by age and quotas according to the number of inhabitants per province. The sample size was determined by using a finite population formula. All the participants were randomly selected. The CPV-Q was used to assess child-to-parent violence. The items were adapted linguistically and tailored to the Ecuadorian context. RESULTS: The questionnaire demonstrated excellent model fit and adequate reliability. Full measurement invariance was held for all scales except for the reasons subscale pertaining to fathers. Statistically significant differences were observed with respect to the sex of the aggressor, with control/domain behaviors toward both parents and psychological violence toward the mother being more frequent among daughters than sons. Similarly, reactive reasons were more frequent among daughters than sons. CONCLUSION: This study provides significant psychometric evidence on the CPV-Q in Ecuadorian adolescents along with data on the prevalence of violence against parents.

Addition of nocturnal pollinators modifies the structure of pollination networks.

Although the ecological network approach has substantially contributed to the study of plant-pollinator interactions, current understanding of their functional structure is biased towards diurnal pollinators. Nocturnal pollinators have been systematically ignored despite the publication of several studies that have tried to alleviate this diurnal bias. Here, we explored whether adding this neglected group of pollinators had a relevant effect on the overall architecture of three high mountain plant-pollinator networks. Including nocturnal moth pollinators modified network properties by decreasing total connectivity, connectance, nestedness and robustness to plant extinction; and increasing web asymmetry and modularity. Nocturnal moths were not preferentially connected to the most linked plants of the networks, and they were grouped into a specific "night" module in only one of the three networks. Our results indicate that ignoring the nocturnal component of plant-pollinator networks may cause changes in network properties different from those expected from random undersampling of diurnal pollinators. Consequently, the neglect of nocturnal interactions may provide a distorted view of the structure of plant-pollinator networks with relevant implications for conservation assessments.

Instruments of Child-to-Parent Violence: Systematic Review and Meta-Analysis.

This systematic review and reliability generalization meta-analysis synthesized psychometric literature on instrumentation assessing child-to-parent violence published through September 2023 across four databases. In the screening, we identified studies reporting Cronbach's alpha internal consistency estimates for the child-to-parent violence scales. The eligible reliability coefficients ranged from 0.610 to 0.930, mostly exceeding the minimum threshold of 0.700. Random-effects models calculated pooled Cronbach's alphas separately for global, father-specific, and mother-specific subscales. The results demonstrated cumulative values of 0.83 (global: standard error = 0.0129), 0.800 (fathers: standard error = 0.0203), and 0.81 (mothers: standard error = 0.0179), denoting largely adequate reliability. However, significant between-study heterogeneity was observed. While the mean alpha levels seem acceptable for most tools, substantial variability coupled with the possibility of some studies violating reliability assumptions indicates that a conservative interpretation is warranted. Ongoing scale refinement and additional psychometric evaluations will strengthen the rigor methodology in this developing research domain. However, these results should be interpreted with caution, as there is a high level of heterogeneity, and it is possible that some studies have not verified the assumptions underlying Cronbach's alpha.

Using FHIR to Support COVID-19 Vaccine Safety Electronic Case Reports in America.

During the COVID-19 pandemic, the Pan American Health Organization (PAHO) promoted several activities to strengthen the countries' emergency response. Vaccines represented a breakthrough in the pandemic evolution, even though they have not been equitably distributed. As most vaccines have received emergency authorizations for their timely delivery, vaccine safety surveillance has been highlighted for detecting early signals of potential adverse events following immunization (AEFI, also known as ESAVI). The objective of this article is to share the different steps, methodologies, and preliminary results of a regional policy to strengthen the ESAVI surveillance system in the Americas, including the adoption of HL7 FHIR for health information exchange between countries and PAHO.

Development and Validation of a Method for the Analysis of Zinc Oxide in Cosmetic Matrices by Flame Atomic Absorption Spectroscopy.

A fast and simple method for the extraction and Flame Atomic Absorption Spectroscopy (FAAS) quantification of ZnO in different cosmetic matrices, including lipsticks, water-in-oil foundations, and oil-in-water creams, was developed and validated, according to the International Council for Harmonization of Technical Requirements for Pharmaceuticals for Human Use (ICH) and the United States Pharmacopeial Convention guidelines. The sample preparation consisted of an ultrasound-assisted ethanolic extraction of ZnO followed by digestion with 1 M nitric acid (HNO3). Samples were analyzed by Flame Atomic Absorption Spectroscopy (FAAS). Specificity, linearity, the limit of detection (LOD), the limit of quantification (LOQ), sensitivity, precision, and accuracy parameters were studied. The robustness of the method was evaluated with a five-variable Youden-Steiner model. The method was specific for ZnO, and the extraction procedure did not affect the stability of the signal compared to the background. The method was linear in the range 0.2-1.0 mg/L with LOD/LOQ values equal to 0.0156 (mg·L-1)/0.0473 (mg·L-1), 0.0098 (mg·L-1)/0.0297 (mg·L-1), 0.0113 (mg·L-1)/0.0341 (mg·L-1), and 0.0131 (mg·L-1)/0.0397 (mg·L-1), respectively, for raw material, lipstick, liquid foundation, and emulsion matrices. Regarding precision, the %RSD values were below 3.0% for repeatability and intermediate precision. Global reproducibility RSD was below 8.0% for all matrices. The percentage of recovery was not statistically different from 100% in all cases. The final concentration was found to be a critical variable for all matrices except for the raw material. The variables associated with the extraction step (ethanol volume, bath temperature, and extraction time) were critical in the extraction of liquid foundations and cream emulsions. The method reduces the number and concentration of mineral acids spent on the digestion of ZnO, and its application is extendable to raw materials. This development is an adequate tool for routine analysis and cosmetic quality control of chemically different products that contain ZnO as ultraviolet radiation (UV) filter, to guarantee regulatory compliance and ensure the safety and efficacy of products delivered to consumers.

The role of intraspecific competition between plants in a nursery pollination system-Comments on Villacañas de Castro and Hoffmeister 2020.

We present comments on an article published by Villacañas de Castro and Hoffmeister (Ecology and Evolution, 10, 4220; 2020). The authors studied a tritrophic system composed of a plant, its pollinating seed predator, and a parasitoid of the latter. Their concern was whether the parasitoid modifies the interaction between the plant and its pollinator-herbivore along the mutualism-antagonism gradient, but they reduced their question to how the parasitoid impacts plant fitness. After showing that the parasitoid increases seed output of the plant by decreasing the amount of seeds consumed by the pollinating seed predator, they tested whether seed output is a good proxy for plant fitness. They argue that it is not by showing that the increased seed density has a negative impact on survival probability and flower production, likely due to plant intraspecific competition. The work presented shows careful experimentation and interesting results, but we do not share some of their conclusions. Most importantly, we believe that the net effect of the parasitoid on the plant-herbivore interaction cannot be adequately investigated by focusing on individual plant fitness. Thus, we first suggest considering the number of surviving plants up to adulthood as a proxy for population performance to address this question. Using this proxy, we show that the increase in seed output due to the parasitoid is beneficial to the plant population until its carrying capacity is achieved. Next, using a population dynamics model, we show under which particular conditions the negative effect of intraspecific competition outweighs the positive effect of seed density increase (due to parasitoid's defense). When these conditions do not hold, the role of plant intraspecific competition is basically limited to the prevention of unbounded population growth, while the parasitoid increases the plant's equilibrium density above its carrying capacity as measured when interacting only with the pollinating seed predator, thus making the system more stable.

Replacement of species along altitude gradients: the role of branch architecture.

BACKGROUND AND AIMS: Plant species typical of cold and warm habitats differ in a suite of morpho-physio-phenological traits, although their evolutionary routes have been poorly explored. Here, it is advocated that traits typical of different climate regimes can be largely driven by contrasting branch architectures. This is explored within Saxifraga. First, an investigation was carried out to determine whether series Ceratophyllae (lateral inflorescences) is segregated to lowlands compared with Pentadactylis (terminal inflorescences). Then, two altitudinal vicariants, S. trifurcata (lowland, with lateral inflorescences) and S. canaliculata (highland, with apical inflorescences), were selected. It was hypothesized that apical flowering of S. canaliculata constrains its growth period, bringing with it traits typical of short growth season plants, and conversely for S. trifurcata. METHODS: The hypothesis was tested by measuring plant compactness and organ pre-formation in seven populations of these species along an altitude gradient. KEY RESULTS: Most variables differed among species. Morphological variables at all scales support that the architecture of S. canaliculata generates a more compact habit. A higher number of primordia and earlier inflorescence pre-formation in S. canaliculata indicate that it begins organogenesis earlier. Data on organogenesis suggest that the different timing of inflorescence initiation may be the origin of the contrasting architectures. Within species, shoot compactness increased, and the length of lateral primordia decreased, as altitude increased. All other metrics were similar among locations of the same species at contrasting altitudes. CONCLUSIONS: The hypotheses linking elevational segregation of species, architecture and pheno-morphological traits were validated at broad (gen. Saxifraga) and local (altitudinal vicariants) scales. This supports the initial idea that shoot architecture may to a large extent condition high altitude adaptive syndrome.

Trombosis múltiple con presentacion inusual. reporte de caso / Multiple thrombosis with unusual presentation. case report

RESUMEN: Presentamos el caso clínico de un varón de 58 años de edad, con trombosis por déficit de Proteína C y S, tras descartar proceso secundario, inmunológico y oncológico.

ABSTRACT: We present the clinical case of a 58-year-old man with protein C and S deficiency thrombosis, after ruling out secondary, immunological and oncological processes.

Functional relationship among PLK2, PLK4 and ROCK2 to induce centrosome amplification.

The presence of more than 2 centrosomes (centrosome amplification) leads to defective mitosis and chromosome segregation errors, is frequently found in a variety of cancer types, and believed to be the major cause of chromosome instability. One mechanism for generation of amplified centrosomes is over-duplication of centrosomes in a single cell cycle, which is expected to occur when cells are temporarily arrested. There are a growing number of kinases that are critical for induction and promotion of centrosome amplification in the cell cycle-arrested cells, including Rho-associated kinase (ROCK2), Polo-like kinase 2 (PLK2) and PLK4. Here, we tested whether these kinases induce centrosome amplification in a linear pathway or parallel pathways. We first confirmed that ROCK2, PLK2 and PLK4 are all essential for centrosomes to re-duplicate in the cells arrested by exposure to DNA synthesis inhibitor. Using the centrosome amplification rescue assay, we found that PLK2 indirectly activates ROCK2 via phosphorylating nucleophosmin (NPM), and PLK4 functions downstream of ROCK2 to drive centrosome amplification in the arrested cells.

Comparison of the Polymerization Shrinkage of Eclipse Resin for Prostheses with Conventional Acrylic Resins / Comparación de la Contracción de Polimerización de la Resina Eclipse para Prótesis con Resinas Acrílicas Convencionales

ABSTRACT: The objective of this study was to compare the polymerization shrinkage of Eclipse photopolymerization resin for prosthesis based on urethane dimethacrylate (UDMA) with that of three heat-cured acrylic resins based on polymethyl methacrylate (PMMA) after the polymerization process and immersion in water. A total of 40 prostheses were fabricated on a standard metallic upper edentulous model: group 1, Eclipse; group 2, Triplex hot; group 3, Veracril; and group 4, Lucitone 199. Subsequently, the polymerization contraction was tested using a microscope in which measurements were made in micrometres at 3 points located in the middle parts of the right and left sides and the middle part of the palate at three time points once the prosthesis was completed, after 30 days of immersion in water for 8 hours a day at a temperature of 37 °C, and after cutting the prosthesis at the level of the second premolar. ANOVA revealed that the contraction of the polymerization no statistically significant differences between the groups, (P> 0.05). The type of resin and its interaction with the processing method behaves similarly for all test resins. The Veracril heat-cured resin obtained the lowest contraction value in the three measurements (mm) and the highest value was obtained with the Eclipse photopolymerization resin. The Eclipse resin exhibited no lower polymerization shrinkage compared to conventional acrylic resins based on polymethyl methacrylate (PMMA), however it was not significantly affected by immersion in water.

RESUMEN: El objetivo de este estudio fue comparar la contracción de polimerización de la resina de fotopolimerización Eclipse para prótesis basadas en dimetacrilato de uretano (UDMA) con la de tres resinas acrílicas curadas con calor a base de polimetacrilato de metilo (PMMA) después del proceso de polimerización e inmersión en agua. Se fabricaron un total de 40 prótesis en un modelo edéntulo superior metálico estándar: grupo 1, Eclipse; grupo 2, triplex caliente; grupo 3, veracril; y grupo 4, Lucitone 199. Posteriormente, la contracción de la polimerización se probó utilizando un microscopio en el que se realizaron mediciones en micrometros en 3 puntos ubicados en las partes medias de los lados derecho e izquierdo y la parte media del paladar en tres puntos de tiempo una vez la prótesis se completó, después de 30 días de inmersión en agua durante 8 horas al día a una temperatura de 37 °C, y después de cortar la prótesis a nivel del segundo premolar. ANOVA reveló que la contracción de la polimerización no presenta diferencias estadísticamente significativas entre los grupos, (P> 0,05). El tipo de resina y su interacción con el método de procesamiento se comportan de manera similar para todas las resinas de prueba. La resina curada con calor Veracril obtuvo el valor de contracción más bajo en las tres mediciones (mm) y el valor más alto se obtuvo con la resina de fotopolimerización Eclipse. La resina Eclipse no mostró una contracción de polimerización menor en comparación con las resinas acrílicas convencionales basadas en polimetilmetacrilato (PMMA), sin embargo, no se vio afectada significativamente por la inmersión en agua.

[Neonatal dengue in Peru: a case report]. / Dengue neonatal en el Perú: Reporte de un caso.

We present the case of a full-term female newborn, whose mother died seven days postpartum from multi-organ failure due to severe dengue confirmed by NS1 antigen detection and positive IgM. The newborn did not have any complication, but at the fourth day of life she developed fever, jaundice, signs of plasma leakage, thrombocytopenia, hepatomegaly, ascitis, and others signs of systemic inflammation response syndrome. She fully recovered with supportive treatment. The RT-PCR test of a peripheral blood sample revealed a positive result for the dengue virus serotype 2, confirming the first case of neonatal dengue reported in Peru.

Local adaptation enhances seedling recruitment along an altitudinal gradient in a high mountain mediterranean plant.

BACKGROUND AND AIMS: Germination and seedling establishment, which are critical stages in the regeneration process of plant populations, may be subjected to natural selection and adaptive evolution. The aims of this work were to assess the main limitations on offspring performance of Silene ciliata, a high mountain Mediterranean plant, and to test whether local adaptation at small spatial scales has a significant effect on the success of establishment. METHODS: Reciprocal sowing experiments were carried out among three populations of the species to test for evidence of local adaptation on seedling emergence, survival and size. Studied populations were located at the southernmost margin of the species' range, along the local elevation gradient that leads to a drought stress gradient. KEY RESULTS: Drought stress in summer was the main cause of seedling mortality even though germination mainly occurred immediately after snowmelt to make the best use of soil moisture. The results support the hypothesis that species perform better at the centre of their altitudinal range than at the boundaries. Evidence was also found of local adaptation in seedling survival and growth along the whole gradient. CONCLUSIONS: The local adaptation acting on seedling emergence and survival favours the persistence of remnant populations on the altitudinal and latitudinal margins of mountain species. In a global warming context, such processes may help to counteract the contraction of this species' ranges and the consequent loss of habitat area.

Environmental scales on the reproduction of a gypsophyte: a hierarchical approach.

BACKGROUND AND AIMS: Environmental variability at several scales can determine plant reproductive success. The main goal of this work was to model the reproductive flexibility of a semi-arid specialist considering different scales of environmental variability. METHODS: A 2-year field study was performed on the determinants of the female reproductive success of Helianthemum squamatum, an Iberian gypsophyte, considering two scales of environmental variability: differences between two contrasting slope aspects; and, on individual scale, the neighbouring microenvironment. Generalized linear mixed models were used to evaluate simultaneously the potential effects of environmental variability at both scales, together with flowering phenology and plant size on the reproductive output of H. squamatum. The following reproductive response variables were considered: number of flowers, fruit-set, number of viable and aborted seeds per fruit, and number of seeds per plant. KEY RESULTS: Contrary to expectations, environmental variability exerted a weak or even absent effect on the reproductive variables considered, while flowering phenology and plant size, which did not vary between slopes, played a major role. Surprisingly, the absolute reproductive variables were even higher in the extremely dry year of 2003, although only on the south-facing slope. The relatively milder conditions of the north-facing slope did not involve any advantage to this species in terms of reproductive output. CONCLUSIONS: The species seemed to be considerably well adapted to the environmental unpredictability characteristic of Mediterranean systems, considering its ability to maintain reproduction across contrasting environments and contrasting climatic conditions. These findings make us face the question of what must be considered stressful conditions in the case of a stress-tolerant specialist.

Dengue neonatal en el Perú: Reporte de un caso / Neonatal dengue in Peru: a case report

Se presenta el caso de un neonato de sexo femenino, a término, producto de madre fallecida al séptimo día de su puerperio, por falla multiorgánica debido a dengue grave confirmado por detección de antígeno NS1 e IgM. La recién nacida (RN) no tuvo complicaciones, pero a partir del cuarto día de vida desarrolló fiebre, ictericia, manifestaciones de extravasación de plasma, hepatomegalia, ascitis, plaquetopenia y otros signos de síndrome de respuesta inflamatoria sistémica. Su evolución final fue favorable con tratamiento instaurado. Se demuestra con PCR en tiempo real, la presencia del virus dengue serotipo 2 en sangre de la RN, confirmándose el primer caso de dengue neonatal reportado en el Perú.

We present the case of a full-term female newborn, whose mother died seven days postpartum from multi-organ failure due to severe dengue confirmed by NS1 antigen detection and positive IgM. The newborn did not have any complication, but at the fourth day of life she developed fever, jaundice, signs of plasma leakage, thrombocytopenia, hepatomegaly, ascitis, and others signs of systemic inflammation response syndrome. She fully recovered with supportive treatment. The RT-PCR test of a peripheral blood sample revealed a positive result for the dengue virus serotype 2, confirming the first case of neonatal dengue reported in Peru.

Separation of proteins with a molecular mass difference of 2 kDa utilizing preparative double-inverted gradient polyacrylamide gel electrophoresis under nonreducing conditions: application to the isolation of 24 kDa human growth hormone.

A method for separating proteins with a molecular mass difference of 2 kDa using SDS-PAGE under nonreducing conditions is presented. A sample mixture containing several human growth hormone (hGH) isoforms was initially separated on a weak anion-exchange column. Fractions rich in 24 kDa hGH as determined by analytical SDS-PAGE were pooled and further separated by cation-exchange chromatography. The fractions pooled from the cation-exchange chromatography contained two hGH isoforms with a 2 kDa molecular mass difference according to SDS-PAGE analysis, 22 and 24 kDa hGH. The 22 and 24 kDa hGH were separated using continuous-elution preparative double-inverted gradient PAGE (PDG-PAGE) under nonreducing conditions. The preparative electrophoresis gel was composed of three stacked tubular polyacrylamide matrices, a 4% stacking gel, a 13-18% linear gradient gel, and a 15-10% linear inverted gradient gel. Fractions containing purified 24 kDa hGH were pooled and Western blot analysis displayed immunoreactivity to antihGH antibodies. PDG-PAGE provides researchers with an electrophoretic technique to preparatively purify proteins under nonreducing conditions with molecular mass differences of 2 kDa.

Inmunohistoqímica aplicada a casos de dificil diagnóstico anatomopatológico: adenocarcinoma vs lesión benigna / Inmunohistochemistry applied to difficult anatomopathological diagnosis: adenocarcinoma vs benign lesion

El diagnóstico de Adenocarcinoma de próstata de difícil interpretación puede ser muy dificultoso y frecuentemente se hacen observaciones múltiples de la biopsia. Actualmente, la técnica de INMUNOHISTOQUIMICA (IHQ) ha revelado ser una herramienta útil para confirmar el diagnóstico diferencial, ayudando a establecer si se trata de alguna patología benigna o maligna. Para el desarrollo del presente estudio prospectivo se seleccionaron 43 casos de biopsias con dificultad diagnóstica y se procedió a utilizar como anticuerpo la Cito-keratina de Alto Peso Molecular (Cyt K HMW 34b-E 12) que al tener reacción negativa en tejidos prostáticos es compatible con adenocarcinoma, por el contrario su positividad no permite concluir en carcinoma. Las edades de los pacientes estaban comprendidas entre 48 y 77 años (C=64 años). Se encontró como hallazgo en la IHQ que cerca del 70 por ciento de los casos se concluía con el diagnóstico de ADC infiltrante diferenciado y en los restantes (11,62 por ciento) se observa Neoplasia Intraepitelial Prostática de alto grado (PIN 3) y en un 9,30 por ciento el diagnóstico fue la Hiperplasia Adenomatosa Atípica (HAA). Por otra parte, la mayoría de los casos de solicitud de IHQ (58,13 por ciento) fue para confirmar el diagnóstico de ADC infiltrante diferenciado; otros por PIN de alto grado (25,58 por ciento), seguida finalmente por la HAA con un 6,98 por ciento. Se concluye el gran potencial de utilidad que tiene la IHQ para resolver los casos de difícil diagnóstico anatomopatológico

Análisis de situaciones de salud con posteridad a inundaciones en los municipios de Rurrenabaque, Reyes, San Buenaventura e Ixiamas / Analysis of health situations with posterity to floods in the municipios of Rurrenabaque, Ryes, San Buenaventura and Ixiamas

Conformacion de red de vigilancia epidemiologica en la ciudad de Rurrenabaque con la incorporacion de otros prestadores de salud, analisis de informacion de casos de malaria en la ciudad que permitan sugerir y realizar acciones locales, presentacion de plan de contingencia para atencion a comunidades afectadas por inundaciones.(au)