Uso de sustancias psicoactivas en estudiantes de escuelas secundarias de Rosario (Argentina) / Psychoactive Drugs Use Among High-School Students In Rosario (Argentina)

Resumen El consumo de Sustancias psicoactivas (SPs) es un problema de salud mundial que afecta particularmente a los adolescentes. Por lo tanto, el conocimiento del contacto que los jóvenes tienen con las SPs, permitirá el desarrollo de políticas de prevención. El objetivo del trabajo fue evaluar el contacto con SPs de estudiantes secundarios de Rosario y alrededores. Entre el 2013 y el 2016, contestaron de forma anónima un cuestionario 1064 estudiantes, observándose un aumento significativo del consumo de SPs en el año 2016. Cuando se excluyen el consumo de tabaco y alcohol (SPs legales) el porcentaje permanece constante. El aumento observado se debe al consumo de SPs tales como alcohol y tabaco. Se observó una disminución de la edad de inicio así como un cambio en los porcentajes y patrones de consumo. La SP más consumida fue el alcohol seguida de tabaco o marihuana. Los cambios observados podrían estar relacionados con las edades y los años de cursado de los estudian tes encuestados.

Abstract. Adolescence is characterized by anxiety, peer-pressure, identity search, etc. All these features contribute to experiment with Psychoactive Drugs (P.D.). P.D. use is a global health problem that has its onset during adolescence. The developing of prevention policies according to a specific population needs the knowledge of the levels and patterns of P.D. use. The goal of the present work was to evaluate P.D.'s level of contact and patterns of use among high school students in Rosario (Argentina). Between 2013 and 2016, a total of 1064 students were surveyed. The results showed that P.D. use (at least once in a lifetime) was significantly higher in 2016 compared to previous years. However, when the use of legal vs illegal P.D. was discriminated we found that such increase was due to higher use of alcohol and tobacco; while the illegal P.D. use remained constant. Moreover, in 2016 we found a decrease in the age of onset as well as a change in the patterns of P.D use. However, all these results must be analyzed taking into account intrinsic differences of the sample.

Pesquisa de Clostridium perfringens em carnes bovinas embaladas a vácuo comercializadas no Distrito Federal e entorno / Clostridium perfringens research on vacuum packed beef commercialized on Distrito Federal and in the surrounding area

O objetivo deste trabalho foi detectar a presença de Clostridium perfringens em 54 amostras de carne bovina embaladas a vácuo comercializadas na região do Distrito Federal, bem como detectar a presença da toxina cpe por PCR, ainda avaliar os meios de cultivo ágar SPS® e ágar TSC®, com e sem etapa de pré-enriquecimento das amostras em caldo infusão de cérebro e coração (BHI) na câmara de anaerobiose, e posterior incubação das placas de SPS® e TSC® tanto em jarra de anaerobiose, como em câmara de anaerobiose. Na análise da incubação das placas em ágar SPS® e TSC®, sem a etapa de pré-enriquecimento em caldo BHI na câmara de anaerobiose, observou-se o crescimento em apenas uma (1,85%) das 54 amostras analisadas, em ambos os meios de cultivo e formas de incubação. Com a etapa de pré-enriquecimento com caldo BHI em câmara de anaerobiose, observou-se crescimento em todas as 54 amostras (100%), em ambos os meios de cultivo e formas de incubação. Na reação em cadeia de polimerase (PCR) nenhuma das cepas oriundas das amostras analisadas apresentaram a amplificação de fragmento do gene da toxina cpe. Os resultados evidenciam a presença de C. perfringens em carnes embaladas a vácuo comercializadas no Distrito Federal e Entorno, porém não foi detectada a toxina cpe em nenhuma cepa isolada analisada. Na comparação estatística aplicando o teste qui-quadrado de McNemar, observou-se que houve diferença significativa (p<0,001) entre as análises sem e com a etapa de pré-enriquecimento em caldo BHI, verificando-se a influencia positiva do meio na recuperação de esporos, destacando desta forma a importância do enriquecimento prévio em meio BHI e a incubação em câmara de anaerobiose, na recuperação de esporos deste microrganismo.

The aim of this work was to detect Clostridium perfringens in 54 samples of vacuum packed beef sold at the Federal District area, and to detect the presence of the cpe toxin gene by Polymerase chain reaction (PCR), also evaluate the culture medium SPS® agar and TSC® agar, with and without pre-enrichment step of the samples in Brain Heart Infusion (BHI) broth in the anaerobic chamber, and to promote the incubation of the plates in anaerobic jar and anaerobic chamber. The results of the incubation on SPS® agar and TSC® agar, without the pre-enrichment step in BHI, growth was observed in only one (1,85%) of the 54 analyzed samples, in both culture media and incubation methods. With the pre-enrichment step with BHI broth in the anaerobic chamber, growth was observed in all 54 samples (100%), in both culture media and incubation methods. At the PCR, In the polymerase chain reaction (PCR), none of the strains from the analyzed samples showed fragment amplification of the toxin cpe gene. The results showed the presence of C. perfringens in vacuum packed beef samples commercialized at the Distrito Federal area and surroundings, however the cpe toxin was not detected in any isolated strain analyzed. In the statistical test using the McNemar chi-square test, a significant difference (p<0,001) was observed between the analysis with and without pre-enrichment step in BHI broth, verifying the positive influence of the medium in spore recovery, therefore to enhance the importance of the pre-enrichment stage in BHI broth and the incubation in anaerobic chamber in spore recovery for this microorganism.

Effect of social isolation on the behavior of rat models of post-traumatic stress disorder established by single-prolonged stress / 中国比较医学杂志

Objective To establish a rat model of post-traumatic stress disorder(PTSD)through single-prolonged stress(SPS)and to observe the effect of social isolation on the behavior of the SPS model rats. Methods A total of 36 rats were randomly divided into the normal group, SPS model group and SPS combined with social isolation group. The rats in both SPS model group and SPS combined with social isolation group were modeled by single-prolonged stress,and the rats in the SPS combined with social isolation group were raised separately after modelling. The weight gaining,the total movement distance in open field test,the frequency of grid crossing,the single maximum movement distance,and the freezing frequency and time durations in the freezing behavior test were measured after 7 days of modeling. Results Compared with the normal group,the weight gaining and the single maximum movement distance of the rats in the SPS model group were significantly decreased(P < 0.01),as well as the total movement distance and the frequency of grid crossing(P < 0.05),while the freezing frequency and time in the freezing behavior test were significantly increased(P < 0.01). Compared with the normal group,the weight gaining and crossing times of the rats in the SPS combined with social isolation group was decreased(P <0.05),and the freezing frequency and time durations in the freezing behavior test were increased(P < 0.05). In addition, compared with the SPS model group,the total movement distance in the open field test,the frequency of grid crossing and the single maximum movement distance of the rats in the SPS combined with social isolation group were increased(P < 0.05). Conclusions The rat model of post-traumatic stress disorder is successfully established by single-prolonged stress, and 7 days of social isolation may alleviate the anxiety state of SPS model rats.

Mutation studies of the gene encoding YuiC, a stationary phase survival protein in Bacillus subtilis

Aims@#YuiC is a stationary phase survival (Sps) protein from the Firmicute Bacillus subtilis that possesses muralytic activity to cleave bacterial cell-wall peptidoglycan. It has a small lytic transglycosylase (MltA) fold analogous to the resuscitation promoting factors (Rpfs) of Actinobacteria which have a hybrid of a mini lysozyme and soluble lytic transglycosylase (Slt35/70) fold. The present study aimed at identifying key residues of YuiC/Sps that are catalytically active and studying the effect of B. subtilis cell growth upon sps/yuiC deletion. @*Methodology and results@#Four forms of mutated yuiC were created through Site-directed, Ligase-Independent Mutagenesis Polymerase Chain Reaction (SLIM PCR) that include the substitutions of D129A, D151A, D162A and K102A. These individual mutated yuiC genes were cloned and expressed in the Escherichia coli BL21 (DE3) expression system and subsequently purified to homogeneity using affinity, cation exchange and size exclusion chromatography. The D129A variant was shown to be insoluble, indicating its role in maintaining the right protein folding of YuiC. The remaining three variants resulted in soluble proteins but were inactive on zymograms indicating that they may be responsible for catalysis. B. subtilis cells harbouring individual sps genes (yuiC, yabE, yocH and yorM) knocked out showed stationary phase defects and altered colony morphologies compared to the wild type. @*Conclusion, significance and impact of study@#This study has identified the key residues involved in catalysis of YuiC, which are the D151, D162 and K102. These are conserved in Sps domains. The catalytic mechanism of YuiC is similar to the mechanism reported for Neisseria gonorrhoeae MltA. sps/yuiC knock outs have implied that each sps/yuiC has a significant role on B. subtilis late growth stage. The B. subtilis YuiC/Sps model has given an insight into Sps functions in the final growth stage of the Firmicutes, which members include etiologic agents of anthrax, botulism and listeriosis. Inhibition of Sps protein may inactivate pathogen replication and facilitate entrance into a non-contagious dormant sporulation stage.

Training and application of standardized patients in otolaryngology / 基础医学与临床

Objective To investigate the application of standardized patients in the department of otolaryngology. Methods Two otolaryngology scripts were designed and four standardized patients were trained. Ten students were offered standardized patients teaching twice. Students' and clinical teachers' feedback, as well as objective grading for each student were analyzed. Results The performance scores for all the standardized patients were o-ver 4 points(1-5 points). Standardized patients and clinical teachers have a high degree of consistency in grad-ing the students. 70%(7/10) of the students considered standardized patients' immediate comment as the most benefits. Conclusions Well trained standardized patients are competent for the role of an actor,evaluator and in-structor in teaching and assessing students. The standardized patients as a teaching component should be promoted in otolaryngology.

The related factors of the application of standardized patients in the clinical skills examination of medical practitioners / 基础医学与临床

There are several special advantages of the application of standardized patients ( SPs) in the assessments of clinical skills examination of medical practitioners .However , this application in China is restricted by some limit factors, such as the shortage of SP trainers and SPs , the huge funds needed and the imbalance of regional develop-ment.The suggestion to overcome those limitation and to promote SPs be applied to the clinical skills examination of medical practitioners are as follow: the preparatory of regional university union of SPs , the introduction of social capital to participate in and the adoption of the mode of scale operation .

A análise de risco como ferramenta estratégica para o serviço veterinário oficial brasileiro: dificuldades e desafios / Risk analysis as a strategic tool for Brazilian official veterinary service: problems and challenges

O serviço veterinário oficial é responsável por proteger a saúde pública e animal, assegurando a oferta de produtos de origem animal inócuos aos consumidores. Uma ferramenta que auxilia na busca desses objetivos é a análise de risco, que iniciou a ser utilizada na segunda metade da década de 90 pelos serviços veterinários oficiais dos países. Para a realização de uma análise de risco, qualitativa ou quantitativa, inicialmente deve-se identificar o perigo, a qual na área da saúde animal geralmente é o agente patogênico causador de uma doença. A etapa subsequente é a avaliação do risco, na qual devem ser analisados, com suporte de trabalhos científicos ou especialistas na área, as formas possíveis de introdução, exposição e manutenção do agente patogênico na população susceptível, bem como as consequências, biológicas, econômicas, políticas e sociais trazidas pela enfermidade. A terceira etapa da análise de risco refere-se ao manejo dos riscos, que visa propor medidas que mitiguem o risco verificado até o nível desejado, bem como avaliar o custo/benefício de cada medida. A última fase de uma análise de risco é a comunicação dos riscos. Essa etapa é fundamental para o sucesso do estudo e deve ser iniciada juntamente com a análise de risco em si, sempre deixando aberto um canal permanente de comunicação com todos os atores sociais interessados na análise de risco. A análise de risco tornou-se um importante instrumento utilizado pelos gestores dos serviços veterinários oficiais na tomada de decisões, contribuindo para a escolha de alternativas que confiram, cientificamente, o menor risco sanitário. Este trabalho realizou uma revisão da literatura sobre análise de risco objetivando expor sua definição e processo de elaboração, assim como verificar como ela está sendo utilizada, quais limitações e desafios do uso dessa ferramenta pelo serviço veterinário oficial brasileiro.

The official veterinary service is responsible for protecting public and animal health, certifying the supply of safe animal products to consumers. A tool that assists in the pursuit of these goals is the risk analysis, which began to be used in the second half of the 1990s for the official veterinary services of countries. To carry out a risk analysis, qualitative or quantitative, one must initially identify the danger, which in the area of animal health is usually the pathogen causing a disease. The subsequent step is risk assessment, which must be analyzed, supported by scientific studies or experts in the field, the possible ways of introduction, exposition and maintenance of the pathogen in the susceptible population, as well biological, economic, political and social consequences. The third step in the analysis of risk refers to risk management, which aims to propose measures to mitigate the risk to the desired level, and assess the cost/benefit of each measure. The last phase of a risk analysis is risk communication. This step is critical for success of the study and should be initiated along with risk analysis itself, always leaving open a permanent communication with all social actors interested in risk analysis. Risk analysis has become an important tool used by managers of the official veterinary services in decision-making, contributing to the choice of alternatives that give scientifically the lowest animal health risk. This study conducted a review of the literature on risk analysis aimed to expose its definition and development process, as well as to see how it is being used and what limitations and challenges of using this tool by the Brazilian national veterinary service.

Apoyo social en universitarios españoles de primer año: propiedades psicométricas del Social Support Questionnaire-Short Form y el Social Provisions Scale / Social support in Spanish first year university students: Psychometrics properties of the Social Support Questionnaire-Short Form and the Social Provisions Scale

El apoyo social percibido es un constructo multifacético conceptualizado como la valoración cognitiva de que existe una relación de confianza con los otros, con los que se puede contar en caso de necesidad. El objetivo de este trabajo es examinar las propiedades psicométricas de las escalas de apoyo social percibido Social Support Questionnaire-Short Form (SSQ6) y Social Provisions Scale (SPS) en una muestra de 855 universitarios, 575 mujeres y 280 hombres, matriculados en primer año de grado de 16 titulaciones de la Universidad de Santiago de Compostela (España). El SSQ6 mide las dimensiones de disponibilidad y satisfacción del apoyo percibido, mientras que el SPS evalúa sus funciones. Los análisis factoriales realizados confirman el modelo de dos dimensiones del SSQ6 y la estructura de seis factores del SPS. La consistencia interna de ambas escalas es satisfactoria, al igual que las evidencias de validez obtenidas de las correlaciones entre las dos escalas y sus respectivas subescalas. Los resultados revelan que las versiones españolas del SSQ6 y el SPS son medidas fiables y válidas para la evaluación del apoyo social percibido en población universitaria.

Perceived social support is a multifaceted construct conceptualized as one's cognitive appraisal as to the existence of a connection to others, based on trust, on whom one can rely on when necessary. The aim of this paper is to examine the psychometric properties of perceived social support, using the following scales: Social Support Questionnaire-Short Form (SSQ6) and Social Provisions Scale (SPS), on a sample of 855 first year university students - 575 females and 280 males - enrolled in 16 professional degrees at the University of Santiago de Compostela (Spain). The SSQ6 Scale assesses the dimensions of perceived support availability and satisfaction, whilst the SPS Scale assesses its social support functions. The factor analysis conducted confirms the SSQ6 Scale's twodimensional model and the SPS Scale's six-factor structure. Internal consistency of both scales is satisfactory, as is the evidence of validity obtained from the correlations between the two scales and their subscales. The results reveal that the Spanish version of the SSQ6 and SPS scales are reliable and valid measurements for assessing perceived social support amongst university students.

Studies on Atrazine Mineralization by a Consortium of Bacteria Isolated from Sugarcane Field Soil.

Herbicides are anthropogenic chemicals that enter environment and can adversely affect non-target organisms and may be detrimental to human health. The herbicide atrazine is a halogenated herbicide that persist in soil and water causing environmental concern. In view of this problem the present work was carried out on the bioremediation aspects of atrazine. The soil and water samples were collected from atrazine applied sugarcane field and screened isolates were tested for their ability to utilize atrazine as sole carbon source. Their ability to degrade atrazine without others aid was determined.

Chemoprotective influence of Zanthoxylum sps. on hepatic carcinogen metabolizing and antioxidant enzymes and skin papillomagenesis in murine model.

In the present study, the putative potential of pericarp of dried fruit of Zanthoxylum (Rutaceae Family), a common spice additive in India’s west coast cuisines, in protecting against carcinogenesis has been reported. Extract from dried fruit of Zanthoxylum was orally administered to mice at two dose levels: 100 and 200 mg/kg body wt. for 14 days. Results reveal bifunctional nature of Zanthoxylum species as deduced from its potential to induce phase-I and phase-II enzyme activities associated with carcinogen activation and detoxification in the liver of mice. Hepatic glutathione S-transferase and DT-diaphorase were found significantly elevated by the treatment. Zanthoxylum was also effective in augmenting the antioxidant enzyme activities of glutathione peroxidase, superoxide dismutase and catalase albeit significantly by high dose of the extract (P<0.05; P<0.01). Reduced glutathione was also significantly elevated in the liver of treated animals (P<0.05). The present study also investigated peri-initiation application of acetone extract of Zanthoxylum on initiated mouse skin. Results showed a significant reduction in tumor incidence from 68% to 36% (P<0.05); as well as, a reduction in tumor burden per effective mouse from 3.87 to 0.72 (P<0.01). Cumulatively, the findings strongly suggest cancer chemo-preventive potential of Zanthoxylum sps.

Hepatoprotective Effect of Sabia parviflorawall:an Experimental Study / 中国药房

OBJECTIVE:To study the hepatoprotective effect of the extract of Sabia parviflorawall(SPS) on mice with experimental liver injury.METHODS:The liver injury models were reproduced in mice with CCL4 and Paracetamol(AAP),respectively with the activities of serum ALT and AST measured.RESULTS:The activities of serum ALT and AST were all reduced to a certain degree in mice with liver injury induced by either CCL4 or Paracetamol(AAP).CONCLUSION: SPS exhibited certain hepatoprotective effect.

Recent World Trend in Performance-based Assessments and Application of the Standardized Patient Program in Korean Medical Education / 한국의학교육

As a criterion of competence, performance-based assessment methods have been used in the health professions for centuries, and dozens of studies of their psychometric characteristics have been reported over the last several decades. Performance-based assessment methods, commonly used in medical education, include written clinical simulations (PMPs), computer-based clinical simulations, role-playing oral examinations, and standardized patient (SP) simulations. The underlying rationale for utilizing performance-based assessments is that they are tools with which one can appropriately evaluate medical students and reinforce what they have learned throughout their undergraduate studies. SPs are being widely used across the curriculum because of their potential advantages: from medical interviewing and physical diagnosis courses to clinical clerkships to residency training. The primary objective for SP encounters is to assist in the formation of fundamental medical interviewing and to improve clinical skills. However, as the program matures, SPs could be used at more advanced levels of medical training and be used to evaluate examinees, as well as obtain feedback on how well the educational program is working, at all levels including residency, continuing medical education for physicians, and even as a way to assess the abilities of foreign medical school graduates. Implementing an SP program will permit Korean medical educators to prospectively identify critical skills for their students to learn and establish explicit performance criteria for clinical competence. This study demonstrates why Korean SP programs should be implemented in the early stages in the medical education program, how to train SPs, and how to apply an SP program in an innovative curriculum, how to study about it, and how to disseminate SP programs throughout the Korean medical educational system.

A Comparative Study of Three Connector Systems in Continuous Ambulatory Peritoneal Dialysis(CAPD) Related Peritonitis / 대한내과학회지

OBJECTIVES: The purpose of the present study was to compare the general condition of peritonitis through a study of three connector systems : The Straight transfer set with Spike-and-Pork system(SPS), The Straight transfer set with Luer-Lock system(SLS), and The Y-set with Two Bag system(YS). METHODS: We reviewed our experience with 134 patients from 1988.1 to 1995.12. According to various kinds of connector system, we divided cases into 3 groups : The SPS(1988. 1-1991. 3) was used on 55 patients(mean age 47+/-2, M:F=30:25); The SLS(1991.4-1993.8) on 45 patients(mean age 55+/-1, M:F=30:15); and The YS(1993.9-1995.12) on 34 patients(mean age 49+/-5, M:F=15:19). RESULTS: 1) Total CAPD duration was 1.22 patient year in SPS, 1.08 in SLS, and 0.96 in YS. The incidence of peritonitis is 1.71 episodes per patient year in SPS, 1.03 in SLS, and 0.61 in YS. 2) Among the causative organisms of peritonitis, coagulase negative Staphylococcus was most common in the three groups(SPS:10.4%, SLS:10%, YS:20%). In SPS and SLS, S. aureus(7.7%, 8%), Pseudomonas(6.5%, 8%), E. coli(5.2%, 6%) were present in decreasing order. In YS, Pseudomonas (15%), S. aureus(15%), E. coli(10%) were present in decreasing order. There were no growth of organisms in 55.9% of SPS, 38% of SLS, and 30% of YS. 3) The probability of experiencing the first peritonitis at 1, 3, 6, and 12 months was 21.4%, 21.4%, 21.4%, and 23.9% respectively in SPS, 3.4%, 34.5%, 34.5%, and 10.3% respectively in SLS, and 0%, 28.5%, 35.7%, and 28.5% respectively in YS. 4) In the response to the treatment of peritonitis, 59.7% of the peritonitis episodes in SPS, 72% in SLS, and 85% in YS were cured with antibiotics. In 37.7% of the peritonitis episodes in SPS, 24% in SLS, and 10% in YS, the catheter was removed due to fungal, tubercolous, recurrent, or peritonitis not responding to antibiotics. 2 patients in SPS, 2 patients in SLS, and 1 patient in YS died due to peritonitis. 5) The catheter survival rate at 3, 6, 12 months was 72%, 63.6%, and 40% respectively in SPS, 89%, 78.3%, and 46.7% respectively in SLS, and 94%, 85.3%, and 76.6% respectively in YS. CONCLUSION: Our study suggests that there is a relationship between the development of connector system and a decrease of peritonitis in CAPD.

The Application of Standardized Patients in the Education of Ethics and Physician-Patient Communication Skills for American Resident Doctors.An Observational Study / 中国医学伦理学

Standardized patients are now serving as an important vehicle in the education of ethics and physician-patient communication skills for American resident doctors.This observational study introduces the background,design and implement of the education of ethics and physician-patient communication skills,and describes the author's personal experiences as an a trained standardized patient in the ethics and communication training workshop for American residents.Some experiences are concluded on related issues including expected roles of teachers,teaching philosophy,SPs design,supportive environment building,and some primary assumptions on applying SPs to Chinese medical education.