Yttrium-90 radiosynovectomy in knees and ankles (25 joints in 22 hemophilic patients). Short-term results

ABSTRACT Introduction: The radiosynovectomy (RS) is one treatment option for recurrent hemarthrosis in patients with hemophilia (PWH). A prospective cohort study was designed to evaluate the effects of the RS on the synovial membrane volume in the ankles and knees of PWH and patient characteristics related to the RS outcome. Methods: In a one-year follow-up, 25 joints of 22 PWH who presented 3 bleeds or more in the same joint over the last 6 months (target joints) were subjected to the RS. Two groups were compared: those who retained target joints following the RS and those who did not (less than 3 bleeds/6 months after the RS). The groups were analyzed according to age, hemophilia type/severity, joint, body mass index (BMI), inhibitor and Hemophilia Joint Health Score 2.1 (HJHS). The magnetic resonance images (MRI) of six ankles and six knees were acquired prior to, and 6 months after, the RS. The synovial membrane volume and arthropathy MRI scale were accessed and volumes were compared and correlated with the Yttrium-90 dose injected. Results: Patients with a mean age of 12 years and a mean HJHS of 6.7 (p < 0.05) retained target joints after the RS. The inhibitor, joint, type/severity of disease and BMI showed no significant differences between groups. The synovial membrane volume had a significant reduction after the RS (p = 0.03), but no correlation with the Yttrium-90 dose. In proportion to the synovial membrane volume, doses injected to the ankles were larger than those injected to the knees. Conclusion: The synovial membrane volume is reduced after the RS, regardless of the effective 90Y dose.

First molecular characterization of Galba neotropica in Uruguay

Until recently, it was believed that only two lymnaeid species (i.e. Galba viatrix and Pseudosuccinea columella) occurred in Uruguay. However, based on a molecular approach, an additional species Galba cubensis, was recently discovered. The aim of this study was to molecularly characterize different lymnaeid populations from the northern region of Uruguay. The lymnaeids collections were carried out in two farms of the departments of Paysandú and Tacuarembó. The collected lymnaeids were divided in two fractions, one fraction was used for conchological analyses and detection of trematode larval stages, while the other fraction was used for molecular studies. Three PCRs targeting the 16S, ITS-2 and COI DNA regions were performed and the amplicons obtained were direct sequenced. The sequences were used for homology search and construction of phylogenetic trees by the maximum-likelihood method. The sequencing results revealed that both isolates corresponded to Galba neotropica. The phylogenetic analyses placed our isolates among the G. neotropica monophyletic group, closely related to other isolates of this species found in several South American countries. To our knowledge, this is the first record of G. neotropica in Uruguay and the confirmation as competent intermediate host of Fasciola hepatica. Further studies are needed to define the distribution and the role of each lymnaeid species in the transmission of F. hepatica in Uruguay.

Tradicionalmente se indicaba que existían dos especies de limneidos en Uruguay: Galba viatrix y Pseudosuccinea columella. Sin embargo, en los últimos años se identificó por medio de técnicas moleculares una tercera especie, Galba cubensis. El objetivo de los autores fue muestrear e identificar por medios moleculares poblaciones de limneidos del norte del país. Las colectas fueron realizadas en establecimientos rurales de los departamentos de Tacuarembó y Paysandú. Los caracoles colectados fueron divididos en dos fracciones, una de ellas fue destinada para el estudio morfológico de las conchillas y búsqueda de larvas de trematodos. La otra fracción se usó para la caracterización molecular. Tres genes fueron amplificados (ITS2, COI y 16S) utilizando protocolos de PCRs previamente descriptos. Las secuencias obtenidas se utilizaron para estudios de homología y construcción de árboles filogenéticos por medio del método de máxima verosimilitud. Por medio de la secuenciación se pudo confirmar que los dos aislamientos corresponden a Galba neotropica. Los estudios filogenéticos colocan ambos aislamientos dentro del grupo monofilético de G. neotropica junto a otros encontrados en distintas regiones de Sudamérica. Hasta lo que sabemos, el presente, es el primer registro de G. neotropica en Uruguay, además de comprobarse su capacidad para actuar como hospedero intermediario de Fasciola hepatica en condiciones de campo. Se sugieren futuros estudios para determinar la distribución y el rol de cada especie de limneido en la transmisión de F. hepatica.

Effects of the ingestion of 2, 4 Dichlorophenoxyacetic acid on jejunal myenteric neurons in rats

2,4 dichlorophenoxyacetic acid (2,4-D) is a systemic herbicide. The effects of different levels of 2,4-D on some animal organ systems have been examined, but little is known about its role in the enteric nervous system. The purpose of this study was to verify the effects of 2,4-D administration on the density and morphometry of jejunal myenteric neurons in rats. Ten male rats were assigned to control (C) and experimental (E) groups. For 15 days, group E received, via gavage, 5 mg of 2,4-D.kg–1 body weight. On the 16th day, the animals were sacrificed by a lethal dose of thiopental, and the jejunum was removed by laparotomy and used to obtain whole mount preparations for Giemsa staining and NADPH-diaphorase (NADPHd+) histochemistry to identify neurons. The density and cell body area of the myenteric neurons was measured. In the total neuronal population, the neuronal density/mm2 of the jejunum in groups E and C was equivalent, and the cell body area of the rats in group E was lower (p < 0.05) than that of those in group C. For NADPHd+ neurons, the neuronal density did not differ between the groups, although the cell body area was larger (p < 0.05) in group E. It was concluded that even though 2,4-D does not alter the neuronal density in the rat jejunum, it induces cell body atrophy in the general population of neurons and hypertrophy of the NADPHd+ nitric oxide producing neurons without promoting cell death.

Impresiones con relacion a los tejidos periodontales / Impressions related to periodontal tissues

El presente articulo tiene como objetivo final relatar la importancia que se le debe dar al tratamiento de los tejidos periodontales adyacentes al diente, para obtener una perfecta impresion no solo de las etructuras dentarias comprometidas, sino de los tejidos circundantes al diente. Esta es la unica forma de que las restauraciones finales tengan la longevidad necesaria que el paciente espera de ellas, de acuerdo a los principios de higiene oral, control radiografico y citas periodicas que el odontologo juzgue convenientes

Trauma vascular / Vascular trauma

La cirugia, para condiciones derivadas del trauma, adquiere cada dia proporciones mayores a medida que las sociedades se tornan mas violentas y las indicaciones de aquella se hacen mas precisas gracias a los avances en las tecnicas de atencion de emergencias y desastres. La cirugia del trauma vascular no es excepcion a lo anterior. En el presente trabajo se presenta una revision de los casos de trauma vascular que recibieron tratamiento quirurgico en el Hospital San Ignacio, en un lapso de 10 anos. Se exponen los hallazgos de la revision de 76 pacientes con 97 lesiones vasculares asociadas, determinando las variedades de estas, los territorios vasculares afectados, el cuadro clinico y el tratamiento quirurgico. El porcentaje de amputaciones ocasionadas por el trauma periferico fue del 5.6% y la mortalidad general, del 1.3% (1 caso).

Inoculación artificial de hongos micorríticos de los géneros Boletus y Scleroderma de especies de plantas del género Eucalyptus / Artificial symbiosis of mycorrhizal fungi of genera Boletus and Scleroderma between some species of plants of Eucalyptus genera

Dada la creciente importancia que van adquiriendo especies de plantas del género Eucalyptus en la explotación forestal argentina y al considerar los benefícios de la asociación micorrítica, se realizó este trabajo que consistió en desarrollar, en cultivos puros, la simbiosis entre especies de plantas forestales del género Eucaliptus con hongos micorríticos de los géneros Boletus sp2 con Eucalyptus viminalis y entre Boletus sp. y Scleroderma sp. (f) con Eucalyptus rostrata. Los análisis estadísticos confirmaron el efecto beneficioso de las asociaciones desarrolladas para el parámetro peso seco de parte aérea. Estos resultados deberían ser confirmados con ensayos de vivero, con el fin de tener evidencias sobre la respuesta de estas asociaciones en el medio ecológico natural