Diagnosis of chikungunya virus infection in Baja California Sur, Mexico

@#Chikungunya virus infection had not been reported by the National Secretary of Health of the State of Baja California Sur, Mexico before 2015, and until now, no information of the disease has been published. Thus, the objective of this study was to assess the tendency that the disease has shown since its introduction. The total number of cases in the state was analyzed, and the incidence rate of infection was evaluated in the general population, age groups, and gender. From 2015-2019, the year with the highest number of reported cases was 2016 with 210 cases, but no cases were reported from 2018-2019. The gender with the highest number of cases was female. The most affected age group was adults 45-64 years of age.

Abordaje endoscópico al cavum de Meckel: resección endoscópica endonasal de schwannoma del nervio trigémino / Endoscopic approach to the Meckel's cave: endonasal endoscopic resection of a trigeminal schwannoma

RESUMEN El cavum de Meckel (CM) es un divertículo localizado en la fosa media adyacente al seno cavernoso. Las neoplasias de esta región son extremadamente raras y representan un desafío para el cirujano debido a las estructuras neurovasculares que se encuentran en la región. Para los tumores ubicados en esta área se han descrito diversos abordajes quirúrgicos, los cuales no logran una adecuada exposición a la porción anteromedial del CM. En la última década, se ha postulado el abordaje endoscópico endonasal extendido (AEE) como una alternativa quirúrgica para el manejo de lesiones ubicadas en esta región. Se presenta el caso de un paciente portador de un schwannoma del nervio trigémino situado en el CM derecho tratado mediante AEE.

ABSTRACT The Meckel's cave (CM) is a diverticulum located in the middle fossa adjacent to the cavernous sinus. The neoplasms of this region are extremely rare and represent a challenge for the surgeon due to the neurovascular structures that occupy and surround the parasellar region. For tumors located in this area, several surgical approaches have been described, all of which do not achieve an adequate exposure to the anteromedial portion of CM. In the last decade, the extended endonasal endoscopic approach (EEA) has been postulated as an alternative for the surgical management of tumors located in this region. We present the case of a patient with a trigeminal schwannoma located in the right CM treated by EEA.

Laparoscopically Assisted Pancreaticoduodenectomy First Sri Lankan Experience

Pancreaticoduodenectomy (PD) is the curative surgical option for periampullary tumors. Minimally invasive pancreaticoduodenectomy (MIPD) is gaining popularity as the open PD has considerable morbidity and mortality. MIPD was first described in 1994 by Gagner and Pomp. Since then the literature is flourishing with case reports and systematic reviews and are rapidly increasing in recent past. The first Sri Lankan report of laparoscopic pancreatico-duodenectomy with all anastomosis done by mini-laparotomy is in 2015. The patient presented in this report underwent pancreaticoduodenectomy and the hepatico-jejunostomy laparoscopically followed by mini-laparotomy for the other two anastomoses.

La contribución de la ocupación en la construcción de la cultura en la feria libre de la comuna de Valdivia / Contribution of occupation in the construction of cultures in the street markets of Valdivia city

Estudio cualitativo de diseño narrativo. Las técnicas utilizadas fueron, la entrevista en profundidad semi estructurada y observación participante pasiva. Para ello se realizaron cuatro visitas de campo a la Feria libre Valdivia; se eligieron a cinco actores claves y a su vez, se aplicó una pauta de observación de forma y función del contexto, elaborada por las investigadoras. Los resultados fueron analizados y contrastados con elementos teóricos relacionados. El objeto de esta investigación guarda relación con la necesidad de abordar la complejidad contextual de esta comunidad bajo la intervención con relevancia cultural desde Terapia Ocupacional, y a su vez responder a la interrogante: ¿Contribuye la ocupación (productiva) a la conformación de cultura en la feria libre Valdivia? ¿Cómo? Los resultados dan cuenta de la relación de su ocupación productiva, tanto en forma, función y signifcado, con las características que lo constituyen como tal, y dan forma a la cultura feriante.

Qualitative study with narrative design. Theused techniques were a deep semi – structured interview and passive participant observation. For this, four feld visits were performed in Valdivia’s Fair, fve key players were selected and a context’s function and shape observation guideline made by the investigators was applied. The results was analyzed and compared with related theoretical elements. The purpose of this research is related with the need to approach to the contextual complexity of this community under the culturally relevant intervention from Occupational Therapy and in turn answer to the question: Does the occupation (productive occupation) contributes in culture’s conformation in the Valdivia’s fair? how?. The results show the relationship of their productive occupations, in form, function and meaning, with features that constitutes it as such and shape the culture in Valdivia’s fair.

Craniectomía descompresiva en encefalitis herpética: caso clínico / Decompressive craniectomy in herpes simplex encephalitis. Clinical case

Introduction: The morbidity and mortality of herpes simplex encephalitis (HSE) have decreased with the use of acyclovir. However, some patients develop focal hemorrhagic necrosis and edema in the temporal lobe, with a subsequent elevation of intracranial pressure. Clinical cases: We report the clinical outcomes of two children with HSE who developed severe intracranial hypertension and impending uncal herniation refractory to profound sedation, osmotic agents and moderate hyperventilation. Decompressive craniectomy allowed an effective control of intracranial pressure and a favorable neurological outcome at discharge in both patients. Conclusions: Decompressive craniectomy could be considered as a rescue treatment strategy in patients with life-threatening intracranial hypertension due to severe herpetic encephalitis.

Introducción: La morbimortalidad de la encefalitis herpética ha disminuido con el uso de aciclovir. Sin embargo, algunos pacientes pueden evolucionar con necrosis focal hemorrágica y edema cerebral con posterior elevación de la presión intracraneal. Casos clínicos: Reportamos el curso clínico de dos niños con encefalitis herpética complicada con hipertensión intracraneal refractaria al tratamiento con sedación profunda, agentes osmóticos e hiperventilación. Ambos pacientes desarrollaron signos de enclavamiento uncal por lo que se realizó una craniectomía descompresiva precoz, que permitió un control de la presión intracraneal y una evolución neurológica favorable al alta. Conclusiones: La craniectomía descompresiva podría ser considerada como una alternativa terapéutica de rescate en pacientes con encefalitis herpética e hipertensión endocraneana refractaria a la terapia medica.

Lesiones quísticas de línea media de base de cráneo anterior / Cystic lesions in midline of anterior skull base

Las lesiones quísticas en línea media del segmento posterior de la base de cráneo anterior corresponden mayoritariamente a malformaciones congénitas, cuya ubicación puede ser selar, supraselar o intraesfenoidal. Generalmente asintomáticas, pueden presentar síntomas determinados por su crecimiento y/o el compromiso mecánico sobre las estructuras adyacentes. Su diagnóstico suele realizarse producto de un hallazgo imagenológico o endoscópico, constituyendo la resonancia magnética la mejor alternativa ante una aproximación diagnóstica inicial. Estas lesiones quísticas presentan un comportamiento benigno y no todas requieren un manejo quirúrgico, siendo suficiente en la gran mayoría de ellas, un seguimiento clínico. La necesidad de cirugía deberá decidirse en cada caso y depende principalmente de la sintomatología producida por la compresión de estructuras vecinas e hipertensión endocraneana. El abordaje quirúrgico endoscópico extendido es el método resectivo de elección. Presentamos una serie de casos clínicos, correspondiente a cinco pacientes con lesiones quísticas en línea media de base de cráneo anterior. Tanto la sintomatología como el diagnóstico etiológico tuvieron una presentación diversa en la serie expuesta; independiente de lo cual, todos fueron manejados exitosamente por cirugía endoscópica. Presentamos finalmente, una propuesta de diagnóstico inicial, basado en el estudio imagenológico con resonancia magnética de estas lesiones.

Cystic lesions in the midline of the anterior skull base are rare and mostly congenital malformations. Usually asymptomatic, symptoms can be determined by their growth and/or mechanical compromise on adjacent structures. The diagnosis is usually the result of imaging or endoscopic findings, MRI is the best alternative for the initial diagnostic approach. These cystic lesions are benign xx and not all require a surgical management. Some of them require a watchfull follow up. If they need surgery the expanded endoscopic approach is the method of choice in our hands. We present a case series, correspondent to five patients with cystic lesions in the midline of the skull base. All these were successfully managed by an extended endoscopic approach. Finally, we presented a proposal for initial diagnosis approach, based on the MRI findings of these lesions.

Estudo químico e da atividade biológica cardiovascular do óleo essencial de folhas de Alpinia zerumbet (Pers.) B.L.Burtt & R.M.Sm. em ratos / Phytochemistry and cardiovascular biological activity of the essential oil from leaves of Alpinia zerumbet (Pers.) B.L. Burtt & R.M.Sm. in rats

A espécie vegetal Alpinia zerumbet (Pers.) B.L.Burtt & R.M. Sm. é popularmente empregada para o tratamento de diversas enfermidades, entre elas a hipertensão. Avaliar a composição química, a atividade antihipertensiva e ação na hipertrofia cardíaca do óleo essencial das folhas de Alpinia zerumbet (OEAZ) em ratos foram os objetivos deste estudo. O OEAZ, obtido por hidrodestilação em aparelho Clevenger, teve sua composição química analisada em cromatografia gasosa acoplada à espectrometria de massas (CG-EM). Foram identificados 14 constituintes, sendo terpinen-4-ol (37,45 por cento) o majoritário, seguido pelos óxido de cariofileno (7,56 por cento), trans-hidrato de sabineno (6,61 por cento) e 1,8-cineol (4,02 por cento). A avaliação cardiovascular foi feita após o tratamento crônico de ratos espontaneamente hipertensos (SHR) e seus respectivos controles, ratos Wistar-Kyoto (WKY). Os dados hemodinâmicos revelaram redução da pressão arterial média (PAM) no grupo tratado (SHRP: 160 ± 7 mm Hg; p<0,01) em relação ao não tratado (SHR: 180 ± 5 mm Hg). A relação entre peso do ventrículo esquerdo e peso corporal (VE/PC) do SHRP (2,50 ± 0,03 mg g-1; p<0,01) mostrou-se inferior ao SHR (2,61 ± 0,01 mg g-1), confirmando a redução da hipertrofia cardíaca (HC). Os dados de PAM e VE/PC dos animais SHRP foram estatisticamente diferentes quando comparados com os ratos controle (WKY: 116 ± 2 mm Hg e WKYP: 119 ± 4 mm Hg; p<0,05; WKY: 2,15 ± 0,04 mg g-1 e WKYP: 2,17 ± 0,04 mg g-1 ; p<0,01), indicando não ter havido normalização dos mesmos. Conclui-se que o tratamento crônico com OEAZ foi capaz de determinar redução, mas não a normalização, da PAM e da HC de ratos SHR, provavelmente pela presença dos componentes terpinen-4-ol e 1,8-cineol. Estudos com doses maiores ou período de tratamento superior são necessários para avaliar a possibilidade de o OEAZ normalizar os parâmetros analisados (PAM e HC).

Alpinia zerumbet (Pers.) B.L. Burtt & R.M.Sm. is traditionally employed to treat several diseases such as hypertension. The aim of this study was to evaluate the chemical composition, the anti-hypertensive activity and the capacity to reduce cardiac hypertrophy of the essential oil of A. zerumbet leaves (EOAZ) in rats. EOAZ was obtained through hydrodistillation in Clevenger apparatus and its chemical composition was analyzed by gas chromatography-mass spectrometry (GC-MS). Several constituents (14) were identified, terpen-4-ol (37.45 percent) being the major component, followed by caryophyllene oxide (7.56 percent), trans-sabinene hydrate (6.61 percent) and 1,8-cineol (4.02 percent). The cardiovascular effect was investigated after chronic treatment with spontaneously hypertensive rats (SHR) and their respective controls, Wistar-Kyoto rats (WKY). The treated group showed a lower mean arterial pressure (MAP) (SHRP: 160 ± 7 mm Hg; p<0.01) than the untreated group (SHR: 180 ± 5 mm Hg). The ratio of left ventricle-to-body weight (LV/BW) for SHRP was lower (2.504 ± 0.03 mg g-1; p<0.01) than that for SHR (2.162 ± 0.01 mg g-1), confirming the cardiac hypertrophy (CH) reduction. There were significant differences in MAP and CH between SHRP animals and control rats (WKY: 116 ± 2 mm Hg and WKYP: 119 ± 4 mm Hg; p<0.05. WKY: 2.152 ± 0.04 mg g-1 and WKYP: 2.168 ± 0.04 mg g-1; p<0.01), indicating that these values were not normalized. Those data showed that the chronic treatment with EOAZ reduces MAP and CH in SHR probably due to the presence of the compounds terpinen-4-ol and 1,8-cineol. Studies with higher doses or longer treatment periods are necessary to evaluate whether EOAZ can reduce the analyzed parameters (MAP and CH) to normal values.

Ovário-histerectomia laparoscópica em felinos hígidos: estudo comparativo de três métodos de hemostasia / Laparoscopic ovariohysterectomy in healthy felines: comparative study of three hemostatic methods

Foram avaliadas 24 gatas, hígidas, sem raça definida, distribuídas em três grupos de oito animais. Descreveu-se o acesso laparoscópico para ovariossalpingo-histerectomia (OSH) e comparou-se o uso do eletrocautério bipolar (grupo I), do clipe de titânio (grupo II) e da ligadura com fio de sutura (grupo III) para a oclusão dos vasos ovarianos e uterinos. Hemorragia e enfisema subcutâneo foram as principais complicações observadas no transoperatório e hematoma subcutâneo e deiscência de sutura, as do pós-operatório. O procedimento cirúrgico e a técnica operatória mostraram-se viáveis nos três grupos. O uso do eletrocautério bipolar apresentou vantagens na comparação com os outros métodos de hemostasia.

Twenty-four healthy female mongrel cats were submitted to ovaryhisterectomy and distributed into three groups of eight animals each: (I) bipolar electrical cautery, (II) titanium clips, and (III) suture ligature for the occlusion of ovarian and uterine vessels, which were compared. The surgical procedure and the operation technique were viable in all three groups. Hemorrhagia and subcutaneous emphysema were the main intraoperative complications, and hematoma and suture dehiscence in the postoperative. The bipolar electrical cautery procedure is shown to be comparatively successful regarding the other studied methods for hemostasia.

Efeito da administração do Allium sativum sobre as alterações cardiovasculares de ratos Wistar com infarto do miocárdio. / Effects of consumption of Allium sativum on the cardiovascular abnormalities observed in Wistar rats following cardiac infarction.

O alho (Allium sativum) apresenta várias ações benéficas ao sistema circulatório, tais como diminuição dos níveis de colesterol total, LDL-colesterol e da pressão arterial, além de efeito antioxidante. O objetivo deste estudo foi avaliar o efeito da administração do Allium sativum sobre as alterações da hemodinâmica cardiovascular e estruturais macroscópicas do coração de animais com infarto induzido experimentalmente. Ratos Wistar foram tratados, previamente e após indução do infarto, com homogeneizado de alho na dose de 125mg/Kg/dia durante 21 dias, por via oral (uma semana antes e duas depois do procedimento de infarto). Os grupos controle passaram por cirurgia fictícia (SHAM). Os animais foram divididos em grupos controles e infartados com (SHAMT, INFT; respectivamente) ou sem (SHAM, INF; respectivamente) tratamento com alho. Houve redução da hipertrofia do ventrículo direito (INF=0,75±0,05 vs. INFT=0,61±0,03 mg/Kg; p<0,01), da área de infarto (INF=29,7±4,8% vs. INFT=20,4±1,4%; p<0,05) e regularização dos níveis de pressão arterial sistólica (PAS; INF=100±8 vs. INFT=127±7 mmHg; p<0,05) e média (PAM; INF=94±4 vs. INFT=110±6 mmHg; p<0,01) dos animais INFT comparados com os INF. Houve um menor número de animais mortos após o procedimento de infarto no grupo INFT em relação ao grupo INF (20%, n=2; 45,5%, n=5; respectivamente). Esses achados indicam que o alho tem um importante papel na prevenção e no controle de alterações cardiovasculares, uma vez que houve redução do número de mortes pós-infarto e melhor perfil cardiovascular dos animais INFT.

Garlic (Allium sativum) has several beneficial effects on the cardiovascular system, such as reductions of the levels of total cholesterol, LDL-cholesterol and blood pressure, besides acting as an antioxidant. The aim of this study was to assess the effects of administering Allium sativum on changes in the cardiovascular hemodynamics and macroscopic structure that occur in the hearts of animals with experimentally induced cardiac infarction. Male Wistar rats were treated with homogenized garlic at a dose of 125mg/kg b.w./day for 21 days, given orally for one week before and two weeks after the procedure to induce myocardial infarction. The control group was subjected to a fictitious surgery (SHAM). The animals were divided into control and infarcted groups, treated (SHAMT, INFT) or untreated (SHAM, INF) with garlic. There were reductions in right ventricular hypertrophy (INF=0.75±0.05 vs. INFT=0.61±0.03 mg.kg-1; p<0.01) and infarcted area (INF=29.7±4.8 % vs. INFT=20.4±1.4 %; p<0.05) and regularization of the levels of systolic (SAP; INF=100±8 vs. INFT=127±7 mm Hg; p<0.05) and mean arterial pressure (MAP; INF=94±4 vs. INFT=110±6 mm Hg; p<0.01) in the INFT animals, compared to the INF group. Fewer animals died after the cardiac infarction procedure in the group INFT than in INF (20%, n=2; 45.5%, n=5; respectively). These findings suggest that garlic can have an important role in the prevention and control of cardiovascular abnormalities, since there was a reduction in the number of post-infarction deaths and an improvement of the cardiovascular profile in the INFT animals.

Manejo endoscopico de las fístulas de líquido céfalo raquídeo del piso craneal anterior / Endoscopic treatment of cerebrospinal fluid fistulae of skull base

La fístula de líquido céfalo raquídeo (LCR) implica un quiebre de todas las barreras entre el espacio subaracnoideo y el tracto aéreo digestivo superior. Es una condición seria y fatal. La meningitis bacteriana es la mayor causa de morbilidad y mortalidad asociada a esta condición. Existen múltiples clasificaciones que tratan de sistematizar este problema, algunas de ellas son de escaso valor para el clínico. Existe una evolución en los métodos diagnósticos y terapéuticos en esta patología. Se presenta el marco teórico de la patología, evolución de la técnica quirúrgica, conceptos actuales en la reparación endoscópica de las fístulas de LCR y la experiencia quirúrgica desarrollada por los autores en 24 pacientes tratados en el Hospital Regional de Concepción durante el periodo abril 2001 a agosto 2008.

Cerebrospinal Fluid (CSF) fistulae involves a breakdown of all barriers that separates de subarachnoid space from the upper aero digestive tract. It is a serious and sometimes fatal condition. Meningitis is the mayor cause of morbidity anc mortality. There are many classifications trying to deal witt this issue, some of them with mean less clinical value. There is an evolution in diagnostic and therapeutic methods in this pathology We present the theoretical frame of this pathology, the evolution of the surgical technique, the current concepts in the endoscopic repair of CSF fistulae and the surgical experience developed by the authors in 24 patients treateo at the Hospital regional de Concepcion between April 2001 and August 2008.

Natural occurrence of nivalenol and mycotoxigenic potential of Fusarium graminearum strains in wheat affected by head blight in Argentina

The principal agents of Fusarium head blight in the main cropping area of Argentina were investigated in heavily infected samples. The ability of the isolates to produce trichothecenes was determined by GC and HPLC. Fusarium graminearum was the predominant species and of 33 isolates, 10 produced deoxinivalenol (DON) (0.1- 29 mg kg-1), 13 produced both deoxinivalenol (1.0- 708 mg kg-1) and nivalenol (0.1- 6.2mg kg-1), 12 produced 3-acetyldeoxinivalenol (0.1- 14 mg kg-1), 13 produced 15-acetyldeoxinivalenol (0.1- 1.9 mg kg-1), 10 produced Fusarenone X (0.1- 2.4 mg kg-1) and 7 produced zearalenone (0.1- 0.6 mg kg-1). These results suggest that F. graminearum strains isolated from the wheat growing regions in Argentina belong to DON chemotype. Although some strains produced both deoxinivalenol and nivalenol, nivalenol was produced in lower levels. The natural occurrence of nivalenol in wheat affected by head-blight collected in the main production area during two years (2001-2002) was also determined. From 19 samples 13 were contaminated with deoxinivalenol in a range of 0.3 to 70 mg kg-1and 2 samples with both deoxinivalenol (7.5 and 6.7 mg kg-1) and nivalenol (0.05 and 0.1 mg kg-1), respectively. This is the first report of natural occurrence of nivalenol in wheat cultivate in Argentina.

O principal causador de giberela no trigo na Argentina e sua capacidade de produzir tricotecenos foram estudados por GC e HPLC em amostras altamente infectadas. A espécie predominante foi Fusarium graminearum, sendo que de um total de 33 isolados, 10 produziram deoxinivalenol (0,1-29 mg kg -1), 13 produziram deoxinivalenol (1,0-708 mg kg-1) e nivalenol (0,1-6,2 mg kg-1), 12 produziram 3-acetildeoxinivalenol (0,1-14 mg kg-1), 13 produziram 15-acetildeoxinivalenol (0,1-1,9 mg kg-1), 10 produziram fusarenona X (0,1- 2,4 mg kg-1) e 7 produziram zearalenona (0,1- 0,6 mg kg-1). Esses resultados sugerem que as cepas de F. graminearum isoladas de trigo cultivado na Argentina pertencem ao quimiotipo DON. Embora algumas cepas tenham produzido tanto DON quanto NIV, NIV foi produzido em quantidade inferior ao DON. A ocorrência natural de nivalenol em trigo afetado pela giberela coletado na principal área de produção durante dois anos (2001-2002) foi também determinada. De 19 amostras, 13 estavam contaminadas com deoxinivalenol na faixa de 0,3 a 70 mg kg-1 e 2amostras continham tanto deoxinivalenol (7,5 e 6,7 mg kg-1) quanto nivalenol (0,05 e 0,1 mg kg-1), respectivamente. Esse é o primeiro relato da ocorrência de nivalenol em trigo cultivado na Argentina.

Analise morfometrica dos tecidos muscular e conjuntivo apos desnervacao e estimulacao eletrica de baixa frequencia / Morphometric analysis of muscle and conjunctive tissue after denervation and low-frequency electrial stimulation

A estimulacao eletrica muscular tem sido empregada apos lesao nervosa periferica com o objetivo de minimizar a atrofia e a fraqueza muscular. Experimentos tem demonstrado que ha plasticidade nas fibras musculares, sendo o musculo capaz de sofrer adaptacoes ante fatores como a desnervacao e a estimulacao eletrica. Objetivo: analisar a influencia da estimulacao eletrica sobre o perfil morfometrico do musculo soleo de ratos desnervado por esmagamentodo nervo isquiatico. Metodo: foram utilizados 18 ratos Wistar (196,86g+-33,67) divididos em 3 grupos(n=6): desnervado+estimulacao eletrica (DEE); desnervado(D); e controle(C). Vinte e quatro horas apos o esmagemento do nervo iniciou-se a estimulacao eletrica muscular no grupo DEE(i=5mA, Fase=3ms, f=10Hz) por 30 minutos, durante 20 dias consecutivos. O musculo soleo foi retirado para analise morfometrica. Ressultados: a area medica de seccao transversa das fibras musculares do grupo C foi de 1.035 um2+-210, no grupo D foi de 375 um2+-65 e no grupo DEE, de 600 um2+-126(P<-0,05). A densidade de area do tecido conjuntivo foi significativamente menor (P<-0,05) no grupo DEE (16,61 por cento +- 3,68) em relacao ao D(34,49 por cento +- 4,32), sendo que ambos os grupos apresentaram valores maiores que o grupo C (9,55 por cento +- 2,62). A densidade de area das fibras do musculo soleo foi significativamente maior (P<-0,05) no grupo DEE(83,37 por cento +- 3,68) quando comparada ao grupo D (65,49 por cento +- 4,32). A estimulacao eletrica de baixa frequencia minimizou a atrofia das fibras musculares e a proliferacao de tecido conjuntivo no musculo desnervado

Differential effect of plant lectins on mast cells of different origins

Histamine release induced by plant lectins was studied with emphasis on the carbohydrate specificity, external calcium requirement, metal binding sites, and mast cell heterogeneity and on the importance of antibodies bound to the mast cell membrane to the lectin effect. Peritoneal mast cells were obtained by direct lavage of the rat peritoneal cavity and guinea pig intestine and hamster cheek pouch mast cells were obtained by dispersion with collagenase type IA. Histamine release was induced with concanavalin A (Con A), lectins from Canavalia brasiliensis, mannose-specific Cymbosema roseum, Maackia amurensis, Parkia platycephala, Triticum vulgaris (WGA), and demetallized Con A and C. brasiliensis, using 1-300 æg/ml lectin concentrations applied to Wistar rat peritoneal mast cells, peaking on 26.9, 21.0, 29.1, 24.9, 17.2, 10.7, 19.9, and 41.5 percent, respectively. This effect was inhibited in the absence of extracellular calcium. The lectins were also active on hamster cheek pouch mast cells (except demetallized Con A) and on Rowett nude rat (animal free of immunoglobulins) peritoneal mast cells (except for mannose-specific C. roseum, P. platycephala and WGA). No effect was observed in guinea pig intestine mast cells. Glucose-saturated Con A and C. brasiliensis also released histamine from Wistar rat peritoneal mast cells. These results suggest that histamine release induced by lectins is influenced by the heterogeneity of mast cells and depends on extracellular calcium. The results also suggest that this histamine release might occur by alternative mechanisms, because the usual mechanism of lectins is related to their binding properties to metals from which depend the binding to sugars, which would be their sites to bind to immunoglobulins. In the present study, we show that the histamine release by lectins was also induced by demetallized lectins and by sugar-saturated lectins (which would avoid their binding to other sugars). Additionally, the lectins also released histamine from Rowett nude mast cells that are free of immunoglobulins.

Abordaje endoscópico de las fístulas de líquido cefalorraquídeo / Endoscopic approach of the cerebrospinal fluid fistulas

La fístula de líquido cefalorraquídeo (FLCR) corresponde a una solución de continuidad de la duramadre, de etiología diversa, por la cual drena LCR hacia las cavidades extracraneales. El tratamiento puede ser tanto médico como quirúrgico, siendo este último el que ofrece mejores garantías de éxito. La vía de abordaje endoscópica transnasal posee una serie de ventajas respecto a la técnicas tradicionales, pero tiene sus indicaciones y contraindicaciones. Se revisaron restrospectivamente 12 pacientes sometidos a esta técnica, analizando los resultados obtenidos con un seguimiento hasta 15 meses. Se concluye que la técnica es afectiva y ventajosa para el paciente, lo que hace recomendable su aprendizaje por quienes realizan cirugía endoscópica transnasal.

Effects of small doses of ouabain on the arterial blood pressure of anesthetized hypertensive and normotensive rats

Ouabain increases vascular resistance and may induce hypertension by inhibiting the Na+ pump. The effects of 0.18 and 18 æg/kg, and 1.8 mg/kg ouabain pretreatment on the phenylephrine (PHE; 0.1, 0.25 and 0.5 æg, in bolus)-evoked pressor responses were investigated using anesthetized normotensive (control and uninephrectomized) and hypertensive (1K1C and DOCA-salt treated) rats. Treatment with 18 æg/kg ouabain increased systolic and diastolic blood pressure in all groups studied. However, the magnitude of this increase was larger for the hypertensive 1K1C and DOCA-salt rats than for normotensive animals, while the pressor effect of 0.18 æg/kg ouabain was greater only in DOCA-salt rats. A very large dose (1.8 mg/kg) produced toxic effects on the normotensive control but not on uninephrectomized or 1K1C rats. Rat tail vascular beds were perfused to analyze the effects of 10 nM ouabain on the pressor response to PHE. In all animals, 10 nM ouabain increased the PHE pressor response, but this increase was larger in hypertensive DOCA-salt rats than in normotensive and 1K1C rats. Results suggested that a) increases in diastolic blood pressure induced by 18 æg/kg ouabain were larger in hypertensive than normotensive rats; b) in DOCA-salt rats, smaller ouabain doses had a stronger effect than in other groups; c) hypertensive and uninephrectomized rats were less sensitive to toxic doses of ouabain, and d) after treatment with 10 nM ouabain isolated tail vascular beds from DOCA-salt rats were more sensitive to the pressor effect of PHE than those from normotensive and 1K1C hypertensive rats. These data suggest that very small doses of ouabain, which might produce nanomolar plasma concentrations, enhance pressor reactivity in DOCA-salt hypertensive rats, supporting the idea that endogenous ouabain may contribute to the increase and maintenance of vascular tone in hypertension

Embarazo y hemorragia intracerebral: 3 formas diferentes de presentación / Intracerebral hemorrhage and pregnancy: 3 different types

La HSA (hemorragia subaracnoidea) secundaria a un aneurisma cerebral (AC) o a una MAV (malformación arterio-venosa), es una patología que complica el embarazo y es responsable del 5-12 por ciento de las muertes maternas. La incidencia general de HSA por rotura aneurismática se ha estimado en un 0,01-0,03 por ciento en las embarazadas, hecho que se presenta en frecuencia variable a lo largo del embarazo y puerperio (I trim:< 10 por ciento, II trim: 30 por ciento, III trim:> 50 por ciento y puerperio: 5 por ciento). Estos generalmente se presentan con mayor frecuencia en multíparas, siendo por lo general únicos; la mortalidad materna-fetal es significativa, independiente del tratamiento realizado, obteniéndose los mejores resultados con la oclusión precoz del aneurisma accidentado. La incidencia de AC es mayor que la de MAV. La morbimortalidad materna por AC sin tratamiento quirúrgico es mayor (63 por ciento) que con tratamiento (11 por ciento), así como también la fetal es mayor sin tratamiento quirúrgico (27 por ciento) que con tratamiento (5 por ciento). Lo mismo ocurre para las MAV, que sin tratamiento quirúrgico presentan una morbimortalidad de 28 por ciento a diferencia de un 14 por ciento para las con tratamiento. Se presentan tres casos de hemorragia intracerebral de diferente causa en tres pacientes embarazadas, se analiza su presentación clínica, manejo médico, resultados y se revisa la literatura

Características y resultados del transplante renal en edad pediátrica: área Santiago-Sur / Characterists and results of the renal transplantation in pediatric age: south Santiago

Desde septiembre de 1981 a enero de 1995 se han trasplantado 52 niiíos, 22 hombres (42.3 por ciento) y 30 mujeres (57.7 por ciento), cuyas edades fluctúan entre 4 y 15 años (edad promedio 12.1 años). Complicaciones de tipo quirúrgico encontramos en 6 pacientes, la mayoría de ellas de tipo vascular y urológico, sólo una de ellas llevó a la pérdida del injerto. A los 2 meses de seguimiento 51 pacientes se encuentran vivos, 50 de ellos con el injerto funcionando con un promedio de creatinina plasmática de 1.0 mg/dl. A los 5 aiíos la sobrevida actuarial para los pacientes es de un 90 por ciento y para los injertos de un 50 por ciento. Al comparar este grupo de pacientes con un grupo seleccionado de trasplantes en edad adulta, nos encontramos que sus complicaciones son similares, al igual que la sobrevida de pacientes, aunque la sobrevida actuarial de injertos es más pobre. Las diferencias principales de ambos grupos se encuentran en la etiología de origen de la Insuficiencia renal crónica, donde en el grupo pediátrico las de tipo urológico alcanzan al 36 por ciento y en el grupo adulto sólo al 5 por ciento y respecto a la relación donante receptor, en que recibieron un órgano de uno de sus padres 42 (80.7 por ciento) de los niños y sólo 10 (19,2 por ciento) de los adultos, en cambio estos últimos lo recibieron de un hermano en un 67.3 por ciento de los casos lo que conlleve a ser un grupo de mejor histocompatibilidad. De hecho el promedio de crisis de rechazo agudo fue de 2.3 en niños y 1.5 para grupo de pacientes adultos

Purification, physicochemical characterization and biological properties of a lectin from Erythrina velutina forma aurantiaca seeds

A lectin was purified from seeds of Erythrina velutina forma aurantiaca by affinity chromatography on cross-linked guargum. The lectin is a potent agglutinin for human (minimal concentration of protein able to cause visible agglutination of a 2 per cent erythrocyte suspension varying from 1 to 4 mug/ml), rabbit(4 mug/ml) and chicken erythrocytes (8 mug/ml) but presented low activity against cow (250 mug/ml) or sheep (333 mug/ml) blood cells. Hemagglutination of human O+ erythrocytes was inhibited by D-lactose (0.2 mM) > D-galactose(0.8 mM) > D-raffinose (2.1 mM). At pH 7.5, chromatography on a Superose 12 HR 10/30 column showed that the lectin was primarily a dimer (56.0 kDa) composed of two identical subunits (31.6 kDa each). A small amount of a tetrameric form was also apparently present. The lectin is a glycoprotein (7.3 per cent carbohydrate), has a pI of 4.5, contains high levels of acidic (Asp and Glu, 64.2 and 51.6 residues/mol, respectively) and hydroxy amino acids (Ser and Thr, 42.9 and 38.5 residues/mol, respectively) but relatively low amounts of sulfur amino acids (Cys and Met, 1.0 and 5.0 residues/mol, respectively) and has an N-terminal sequence of Val-Glu-Thr-Ile/Leu-Pro-Phe-Ser. Its hemagglutinating activity was abolished by heating at 70 degrees Celsius for 10 min. The activation energy (delta G') required for denaturation measured by loss of hemagglutination activity was 24.87 kcal/mol. In rats, the purified lectin (100 mug) induced neutrophil migration into the peritoneal cavity (3.7 ñ 0.6 x 10(6) neutrophils/ml) or into the air pouch (2.75 ñ 0.25 x 10(6) neutrophils/ml), 8 and 10 times greater than the negative control, respectively.

Efectos terapeúticos de la magnetoterapia en la cicatrización del tejido óseo en alveolos posexodoncia simple posexodoncia / Therapeutic effects of magnetotherapy on osseous healing of alveolus after simple extraction

En esta investigación con diseño cuasiexperimental ,al usar la estrategia de casos y controles, se estudiaron los efectos terapeúticos del campo electromagnético en la osteogénesis de alveolos posexodoncia simple de los primeros premolares mandibulares de tres perros con dos años de edad, ubicados en el laboratorio de morfología experimental de la Pontificia Universidad Javeriana.