Characterization of the Bipolaris maydis: symptoms and pathogenicity in popcorn genotypes (Zea mays L. ) / Caracterização de Bipolaris maydis: sintomas e patogenicidade em genótipos de milho-pipoca (Zea mays L. )

Southern corn leaf blight (SCLB) is one of the most important corn leaf diseases. Appropriate management strategies and the use of resistant cultivars allow disease control. Therefore, knowing the aspects related to the pathogen and the response of hosts makes it possible to design efficient strategies for selecting genotypes resistant to this disease. In this sense, the objective was to carry out the Bipolaris maydis isolate characterization, evaluating the pathogenicity in different popcorn lines and the symptoms generated in the host after inoculation. The isolate characterization consisted of the macromorphological evaluation of the colonies and the micromorphological evaluation of the conidia in the PDA medium. An experiment was carried out in a greenhouse to evaluate the pathogenicity of the isolate, using 20 inbred lines of popcorn in a randomized block design with four replicates. Inoculation was carried out by spraying leaves, with a suspension containing 1.0 x 104 conidia.ml-1 of the CF/UENF 501 isolate of B. maydis. An incidence assessment and three assessments of disease symptom severity were performed, with seven days intervals between evaluations. The morphological characterization data of the isolate were analyzed using descriptive statistics, and for disease severity, the linear regression model was applied the first-degree model. The variance analysis was performed for the linear and angular coefficients obtained for each treatment. When a difference was found, the Scott-Knott clustering algorithm at 5% significance was applied. The isolate had gray-green colonies, a cottony appearance, and an irregular shape. The lines L353, L354, and L624 show more resistance at the beginning and throughout the evaluations. The high virulence of the CF/UENF 501 isolate made it possible to differentiate the lines in terms of disease intensity and the pattern of symptoms presented.

Mancha-de-Bipolaris é uma das mais importantes doenças foliares do milho. Estratégias de manejo adequadas e o uso de cultivar resistente permitem o controle da doença, mas para tanto, conhecer os aspectos associados ao patógeno e a resposta do hospedeiro é necessário para traçar estratégias eficientes para seleção de genótipos resistentes a essa doença. Neste sentido, objetivou-se realizar a caracterização do isolado de Bipolaris maydis avaliando a patogenicidade em diferentes linhagens de milho-pipoca e os sintomas gerados no hospedeiro a partir da inoculação. A caracterização do isolado consistiu na avaliação macromorfológica das colônias e micromofológica dos conídios em meio nutritivo BDA. Para avaliação da patogenicidade do isolado foi conduzido um experimento em casa de vegetação utilizando 20 linhagens endogâmicas de milho-pipoca, com delineamento em blocos casualizados, com quatro repetições. A inoculação foi realizada por meio de pulverização em folhas, com uma suspensão contendo 1,0 x 104 conídios.ml-1 do isolado CF/UENF 501 de B. maydis. Foi realizada uma avaliação de incidência e três avaliações de severidade dos sintomas da doença, com o intervalo de sete dias para cada avaliação. Os dados da caracterização morfológica do isolado foram analisados por meio da estatística descritiva e para severidade da doença foi aplicado o modelo de regressão linear de primeiro grau. Realizou-se a análise de variância para o coeficiente linear e angular obtido para cada tratamento e quando constatada diferença aplicou-se o agrupamento de médias de Scott-knott a 5% de significância. O isolado apresentou colônias com coloração cinza esverdeado, aspecto algodonoso e forma irregular. As linhagens L353 e L354 e L624 estão entre as linhagens que apresentaram maior resistência no inicio e ao longo das avaliações. A elevada virulência do isolado CF/UENF 501 possibilitou diferenciar as linhagens quanto a intensidade da doença, bem como o padrão dos sintomas apresentados.

Characterization of the Bipolaris maydis: symptoms and pathogenicity in popcorn genotypes (Zea mays L.)

Abstract Southern corn leaf blight (SCLB) is one of the most important corn leaf diseases. Appropriate management strategies and the use of resistant cultivars allow disease control. Therefore, knowing the aspects related to the pathogen and the response of hosts makes it possible to design efficient strategies for selecting genotypes resistant to this disease. In this sense, the objective was to carry out the Bipolaris maydis isolate characterization, evaluating the pathogenicity in different popcorn lines and the symptoms generated in the host after inoculation. The isolate characterization consisted of the macromorphological evaluation of the colonies and the micromorphological evaluation of the conidia in the PDA medium. An experiment was carried out in a greenhouse to evaluate the pathogenicity of the isolate, using 20 inbred lines of popcorn in a randomized block design with four replicates. Inoculation was carried out by spraying leaves, with a suspension containing 1.0 x 104 conidia.ml-1 of the CF/UENF 501 isolate of B. maydis. An incidence assessment and three assessments of disease symptom severity were performed, with seven days intervals between evaluations. The morphological characterization data of the isolate were analyzed using descriptive statistics, and for disease severity, the linear regression model was applied the first-degree model. The variance analysis was performed for the linear and angular coefficients obtained for each treatment. When a difference was found, the Scott-Knott clustering algorithm at 5% significance was applied. The isolate had gray-green colonies, a cottony appearance, and an irregular shape. The lines L353, L354, and L624 show more resistance at the beginning and throughout the evaluations. The high virulence of the CF/UENF 501 isolate made it possible to differentiate the lines in terms of disease intensity and the pattern of symptoms presented.

Resumo Mancha-de-Bipolaris é uma das mais importantes doenças foliares do milho. Estratégias de manejo adequadas e o uso de cultivar resistente permitem o controle da doença, mas para tanto, conhecer os aspectos associados ao patógeno e a resposta do hospedeiro é necessário para traçar estratégias eficientes para seleção de genótipos resistentes a essa doença. Neste sentido, objetivou-se realizar a caracterização do isolado de Bipolaris maydis avaliando a patogenicidade em diferentes linhagens de milho-pipoca e os sintomas gerados no hospedeiro a partir da inoculação. A caracterização do isolado consistiu na avaliação macromorfológica das colônias e micromofológica dos conídios em meio nutritivo BDA. Para avaliação da patogenicidade do isolado foi conduzido um experimento em casa de vegetação utilizando 20 linhagens endogâmicas de milho-pipoca, com delineamento em blocos casualizados, com quatro repetições. A inoculação foi realizada por meio de pulverização em folhas, com uma suspensão contendo 1,0 x 104 conídios.ml-1 do isolado CF/UENF 501 de B. maydis. Foi realizada uma avaliação de incidência e três avaliações de severidade dos sintomas da doença, com o intervalo de sete dias para cada avaliação. Os dados da caracterização morfológica do isolado foram analisados por meio da estatística descritiva e para severidade da doença foi aplicado o modelo de regressão linear de primeiro grau. Realizou-se a análise de variância para o coeficiente linear e angular obtido para cada tratamento e quando constatada diferença aplicou-se o agrupamento de médias de Scott-knott a 5% de significância. O isolado apresentou colônias com coloração cinza esverdeado, aspecto algodonoso e forma irregular. As linhagens L353 e L354 e L624 estão entre as linhagens que apresentaram maior resistência no inicio e ao longo das avaliações. A elevada virulência do isolado CF/UENF 501 possibilitou diferenciar as linhagens quanto a intensidade da doença, bem como o padrão dos sintomas apresentados.

Sensitivity of hyperparasitic fungi to alternative products for use in the control of papaya black spot / Sensibilidade de fungos hiperparasitas a produtos alternativos para uso no controle da pinta preta do mamoeiro

Abstract The use of more than one control technique can maximize the reduction of the damages caused by the fungus Asperisporium caricae causal agent of the black spot in the papaya crop. The objective of this work was to evaluate the sensitivity of the fungi Hansfordia pulvinata and Acremonium spp. to alternative products with potential for use in the control of the black-spotted ptarmigan. Three isolates of Acremonium spp. (A-598, A-602 and A-617) and an isolate of H. pulvinata (H-611) were grown in BDA medium containing Agro-Mos®, Bion®, Ecolife®, Hortifospk®, Matriz G®, Vitaphol® separately. The Amistar 500WG ® fungicide was used as a positive control and pure BDA as a negative control. The toxicity of the tested products was determined based on the values of the biological index, derived from the means of mycelial growth, sporulation and germination of conidia, in each experimental unit. In this way it was possible to select the products classified as compatible for all isolates, and to test them in vivo. In the greenhouse, only the isolates and isolates with selected products, were applied in papaya plants with foliar symptoms of black-spotted. The incidence of leaves with hyperparasites and the percentage of black-painted lesions colonized by the tested isolates were evaluated. Thus, the H-611 isolate proved to be compatible with most of the alternative products tested, except with Hortifos®. Bion® and Matrix® products were compatible with all tested isolates and could be used in conjunction with Acremonium spp. and H. pulvinata to control the papaya black spot, since these products did not present toxicity on the hyperparasitic fungi.

Resumo O uso de mais de uma técnica de controle pode maximizar a redução dos danos causados pelo fungo Asperisporium caricae agente causal da pinta preta na cultura do mamoeiro. O objetivo deste trabalho foi avaliar a sensibilidade dos fungos Hansfordia pulvinata e Acremonium spp. a produtos alternativos com potencial para uso no controle da pinta-preta. Três isolados de Acremonium spp. (A-598, A-602 e A-617) e um isolado de H. pulvinata (H-611) foram cultivados em meio BDA contendo Agro-Mos®, Bion®, Ecolife®, Hortifospk®, Matriz G®, Vitaphol® separadamente. Fungicida Amistar 500WG® foi utilizado como controle positivo e BDA puro, como controle negativo. A toxicidade dos produtos testados foi determinada com base nos valores do índice biológico, provenientes das médias do crescimento micelial, esporulação e germinação de conídios, em cada unidade experimental. Dessa forma foi possível selecionar os produtos classificados como compatíveis para todos os isolados, e testá-los in vivo. Em casa de vegetação, somente os isolados e os isolados com produtos selecionados, foram aplicados em plantas de mamoeiro com sintomas foliares de pinta-preta. Avaliaram-se a incidência de folhas com hiperparasitas e a porcentagem de lesões de pinta-preta colonizadas pelos isolados testados. Assim o isolado H-611 mostrou-se compatível com a maioria dos produtos alternativos testados, exceto com Hortifos®. Os produtos Bion® e Matriz® apresentaram compatibilidade com todos os isolados testados, podendo ser utilizados em conjunto com o Acremonium spp. e H. pulvinata para controlar a pinta-preta do mamoeiro, uma vez que estes produtos não apresentaram toxidade sobre os fungos hiperparasitas.

Cosmarium bromelicola sp. nov. (Desmidiaceae, Zygnematophyceae), a new desmid species from Northeast Brazil / Cosmarium bromelicola sp. nov. (Desmidiaceae, Zygnematophyceae), uma nova espécie de desmídia do nordeste do Brazil

Abstract Cosmarium bromelicola sp. nov. is a new desmid species described from samplings carried out in bromeliad tanks (phytotelmata) from an area of rocky outcrops at Serra da Jiboia, Bahia State, Northeast Brazil. Presence of subtrapeziform cells with a deep depression at the apical region and twisted X-shaped cell in side view are the diagnostic features for the species. Relationships with the morphologically closest taxa are discussed.

Resumo Cosmarium bromelicola sp. nov. é uma nova espécie de desmídia descrita a partir de amostragens realizadas em tanques de bromélias (fitotelmata) de uma área de afloramentos rochosos na Serra da Jiboia, Bahia, nordeste do Brasil. A presença de células trapeziformes com uma depressão profunda na região apical e célula em forma de X em vista lateral são as características diagnósticas da espécie. Relações com os táxons morfologicamente próximos são discutidas.

Evaluación oftalmológica en niños derivados a un proyecto de rehabilitación en baja visión de un organismo de apoyo social / Ophthalmological evaluation in children referred to a low-vision rehabilitation project of a social assistance agency

INTRODUCCIÓN: Un niño con baja visión (BV) rehabilitado puede tener una educación integral. Objetivo: Estudiar el perfil de los escolares derivados para evaluación a un Proyecto de Rehabilitación en un organismo de apoyo social. PACIENTES Y MÉTODO: Estudio transversal descriptivo de beneficiarios evaluados entre septiembre 2015 y septiembre 2016 en JUNAEB. Se consideró diagnóstico de derivación, agudeza visual monocular (AV) con corrección óptica para lejos (cartillas Feinbloom) y cerca (cartillas Zeiss). Se clasificaron según AV y perimetría. Se consideró éxito de tratamiento lograr AV > 0,4 para le jos y/o cerca con ayuda óptica. RESULTADOS: Se evaluaron 278 escolares. 153 (55%) fueron hombres, 121(43,5%) entre 10 a 14 años. Catarata congénita bilateral, distrofias retinales, alta miopía, atrofia óptica y nistagmus congénito fueron las patologías más frecuentes. 224 (80,6%) se habilitaron con ayudas. 85 (37,9%) presentaron BV moderada y 63 (28,6%) BV severa. 122 (54,5%) presentaban perimetría normal, 68 (30,4%) campo visual (CV) tubular, 19 (8,5%) defecto sectorial del CV y 15 (6,7%) compromiso central del CV. 198 (88,4%) escolares lograron éxito visual de lejos y todos lograron éxito visual de cerca. 48 (17,2%) escolares no pudieron ser rehabilitados, estando asocia dos a una afección neuroftalmológica (41,7%), alto error refractivo (16,6%) o glaucoma congénito (10,4%). 6 (2,2%) casos mejoraron su AV con nueva corrección óptica. CONCLUSIÓN: El éxito obtenido demuestra la necesidad de habilitar visualmente a escolares con BV. Nuestro desafío es mantener este programa y educar al oftalmólogo prestador para una derivación oportuna.

INTRODUCTION: A low-vision (LV) rehabilitated child can receive comprehensive education. OBJECTIVE: To study the profile of school children referred for evaluation to a rehabilitation project in a social assistance agency. PATIENTS AND METHODS and Method: Descriptive cross-sectional study of beneficiaries evaluated between September 2015 and September 2016 in the National Board of School Assistan ce and Scholarships (JUNAEB). The referral diagnosis, monocular visual acuity (VA) with optical correction at far (Feinbloom chart) and close (Zeiss chart) distances were considered. They were classified according to VA and perimetry. Treatment success was considered if VA reaches > 0.4 at far and/or close distances with optical devices. RESULTS: 278 students were assessed. 153 (55%) were men, 121 (43.5%) between the ages of 10 to 14. Bilateral congenital cataract, retinal dystrophies, high myopia, optic atrophy, and congenital nystagmus were the most frequent pathologies. 224 students (80.6%) received optical devices. 85 (37.9%) presented moderate LV and 63 (28.6%) severe LV; 122 (54.5%) presented normal perimetry, 68 (30.4%) tubular Visual Field (VF), 19 (8.5%) sectoral VF defects, and 15 (6.7%) central scotoma. 198 (88.4%) students achieved visual success at a far distance and all achieved visual success at a near distance. 48 (17.2%) students could not be rehabilitated due to a neuro-ophthalmological condition (41.7%), high refractive error (16.6%) or congenital glauco ma (10.4%).Six (2.2%) cases improved VA with a new optical correction. CONCLUSION: This success demonstrates the need to provide low vision aids to schoolchildren with LV. Our challenge is to maintain this program and to educate ophthalmologist for timely referral.

Anti TNF como inductor de lupus cutáneo: caso clínico / Anti TNF as inducer of cutaneous lupus: clinical case

El mayor acceso a las terapias biológicas para el tratamiento de múltiples enfer-medades autoinmune trae consigo el mayor riesgo de padecer eventos adversos relacionados al uso de estos2,4. Presentamos un caso clínico de una paciente con diagnóstico de artritis reumatoide en tratamiento con ANTI TNF

The greater access to biological therapies for the treatment of multiple autoim-mune diseases brings with it the greatest risk of suffering adverse events related to the use of these (2,4). We present a clinical case of a patient diagnosed with rheumatoid arthritis in treatment with ANTI TNF

Estrategia educativa dirigida a adultos mayores diabéticos tipo 2 y proveedores de salud / Educational strategy aimed at type 2 diabetic elderly and health providers

Introducción: El desarrollo educativo necesita la adopción de un enfoque multisectorial que reconozca que existen factores no educativos que impiden el aprendizaje. Objetivo: Fundamentar una estrategia educativa dirigida a adultos mayores diabéticos tipo 2 y proveedores de salud. Métodos: Estudio cuanti-cualitativo, descriptivo, entre 2011 y 2014. Parte de un diagnóstico previo del Programa de Educación al diabético en el Nivel Primario de Atención en Pinar del Río, se utilizaron métodos teóricos: análisis y síntesis, modelación y sistémico estructural y métodos empíricos: reuniones de grupo focal, grupo nominal entrevistas grupales y análisis documental. Resultados: Se determinaron las bases teóricas y se estructuró una estrategia que conto de cinco elementos o categorías para su implementación. Se identificaron 15 fortalezas, 22 debilidades, 10 oportunidades y 7 amenazas. Partiendo del objetivo, las acciones tributan al perfeccionamiento del programa de educación al diabético a Nivel Primario de Atención. Conclusiones: Se estructuró una estrategia educativa dirigida a adultos mayores diabéticos tipo 2 y proveedores de salud. El carácter participativo de la acción estratégica realizada así como el enfoque Intersectorial, forjó compromiso entre los prestadores y los pacientes diabéticos participantes favorable para la implementación de la estrategia en el nivel primario de atención(AU)

Introduction: The educational development requires the adoption of a multisectorial approach that recognizes that there are no educational factors that hold learning.Objective: To support an educational strategy aimed at educating type 2 diabetic old people and health care providers during 2011-2014 in Pinar del Rio. Methods: Quantitative, qualitative and descriptive study conducted between 2011 and 2014 from a previous diagnosis of an Educational Program for the diabetic people in Primary Health Care in Pinar del Rio, the theoretical methods used were analysis and synthesis, modeling along with structural systemic and empirical methods: focus-group meeting, nominal group interviews and analysis of documents. Results: The theoretical foundations of this strategy were determined and a strategy was structured including five items or categories for its implementation; where 15 strengths, 22 weaknesses, 10 opportunities and 7 threats were identified. Based on the objective, the actions responded to the improvement of diabetes education program for primary health care. Conclusions: An educational strategy aimed at type-2 diabetic elderly and health care providers was structured. The participatory nature of the strategic actions taken and the Intersectorial approach set the compromise between providers and diabetic patients providing a favorable participation for its implementation in the primary health care level(AU)

Evolución y logros de la Gerencia de Producción y Servicios Básicos del Instituto Nacional de Higiene "Rafael Rangel" / Evolution and achievements of the Production Management and Basic Services of the National Institute of Hygiene "Rafael Rangel"

La Gerencia de Producción y Servicios Básicos del INHRR responde a las necesidades de las áreas técnicas del Instituto a través de la producción de insumos requeridos para el control de productos de uso y consumo humano, diagnóstico de enfermedades transmisibles, desarrollo de nuevas técnicas y líneas de investigación, orientadas a garantizar la salud integral de la población venezolana; tales como: animales de laboratorio, hemoderivados de uso diagnóstico, cultivos celulares, medios de cultivo, reactivos, colorantes, agua purificada, agua calidad inyectable y estuches biológicos. Además brinda servicios auxiliares de descontaminación, lavado, embalaje, esterilización de materiales y uniformes de laboratorio. Presta servicio de secuenciación de ácidos nucleicos a los laboratorios del Instituto y usuarios externos, así como también asesoría técnica y científica a entes internos, nacionales e internacionales en actividades de su competencia

The Production and Basic Services Management of INHRR responds to the needs of the technical areas of the Institute through the production of inputs required for the control of products of human use and consumption, diagnosis of transmissible diseases, development of new techniques and lines of research aimed at guaranteeing the integral health of the Venezuelan population; such as: laboratory animals, blood products for diagnostic use, cell cultures, culture media, reagents, dyes, purified water, water for injection and biological kits. It also provides auxiliary services of decontamination, washing, packaging and sterilization of materials and laboratory uniforms. Also it provides nucleic acid sequencing service to the Institute´s laboratories and external users, as well as technical and scientific adviser to internal, national and international entities in activities of their competence

A pilot study on the identification of human papillomavirus genotypes in tongue cancer samples from a single institution in Ecuador

The relationship between human papillomavirus (HPV) and oropharyngeal squamous cell carcinoma has been established. However, data from Ecuador is limited. The objective of this study was to characterize HPV infection in Ecuadorian patients with tongue cancer. Fifty-three patients with tongue cancer treated at the tertiary referral center Sociedad de Lucha Contra el Cancer (SOLCA), Guayaquil, between 2006 and 2011 were identified. Linear Array® HPV genotyping was used to identify the presence and types of HPV on formalin-fixed paraffin-embedded biopsy samples from these patients with tongue cancer. HPV was identified in 42% (n=22) and high-risk (HR) HPV in 17% (n=9), with 18 different HPV types identified. The most common types were the HR HPV 33 (14%) and low-risk HPV 67 (14%), followed by the HR HPV 58. More than one HPV type was identified in 27.3% of cases. HPV 33 was frequently associated with other HPV types. No statistically significant differences in gender (P=0.58) and age (P=0.12) were observed between HPV-positive and HPV-negative cases. HPV was identified in almost half of the tongue cancer samples, with subtypes 33 and 67 being the most common. This suggested that HPV played an important role in this disease in the population studied. Given these results, current HPV vaccines may not be as effective in reducing tongue cancer rates in this population.

Investigación para el diagnóstico situacional local de la epidemia de ETM: Intervenciones preventivas para su contención: Área Programática del Hospital General de Agudos Juan A. Fernández 2015-2016 / Research for the local situational diagnosis of ETM epidemic: Preventive interventions for its containment: Acute General Hospital Juan A. Fernández Programmatic Area 2015-2016

El plan de Prevención y Control de Enfermedades Transmitidas por Mosquito (ETM): Dengue, Fiebre Chikungunya, Amarilla, y Zika de la CABA establece cuatro escenarios teóricos de riesgo que orientan la implementación de las acciones de prevención y control. En el presente informe se presentan los estudios de foco investigados en nuestra Área Programática (AP) y su georreferencia, a fin de obtener un diagnóstico situacional local que permita la ejecución de intervenciones oportunas y eficaces a fin de limitar la aparición de nuevos casos en el contexto epidémico 2015-2016. El objetivo general fue estudiar la epidemia de ETM para su comprensión y abordaje en el Área Programática del Hospital General de Agudos Juan A. Fernández, y el objetivo específico, prevenir y limitar la aparición de nuevos casos de ETM. (AU)

Cosmarium bromelicola sp. nov. (Desmidiaceae, Zygnematophyceae), a new desmid species from Northeast Brazil

Abstract Cosmarium bromelicola sp. nov. is a new desmid species described from samplings carried out in bromeliad tanks (phytotelmata) from an area of rocky outcrops at Serra da Jiboia, Bahia State, Northeast Brazil. Presence of subtrapeziform cells with a deep depression at the apical region and twisted X-shaped cell in side view are the diagnostic features for the species. Relationships with the morphologically closest taxa are discussed.

Resumo Cosmarium bromelicola sp. nov. é uma nova espécie de desmídia descrita a partir de amostragens realizadas em tanques de bromélias (fitotelmata) de uma área de afloramentos rochosos na Serra da Jiboia, Bahia, nordeste do Brasil. A presença de células trapeziformes com uma depressão profunda na região apical e célula em forma de X em vista lateral são as características diagnósticas da espécie. Relações com os táxons morfologicamente próximos são discutidas.

Sensitivity of hyperparasitic fungi to alternative products for use in the control of papaya black spot

Abstract The use of more than one control technique can maximize the reduction of the damages caused by the fungus Asperisporium caricae causal agent of the black spot in the papaya crop. The objective of this work was to evaluate the sensitivity of the fungi Hansfordia pulvinata and Acremonium spp. to alternative products with potential for use in the control of the black-spotted ptarmigan. Three isolates of Acremonium spp. (A-598, A-602 and A-617) and an isolate of H. pulvinata (H-611) were grown in BDA medium containing Agro-Mos®, Bion®, Ecolife®, Hortifospk®, Matriz G®, Vitaphol® separately. The Amistar 500WG ® fungicide was used as a positive control and pure BDA as a negative control. The toxicity of the tested products was determined based on the values of the biological index, derived from the means of mycelial growth, sporulation and germination of conidia, in each experimental unit. In this way it was possible to select the products classified as compatible for all isolates, and to test them in vivo. In the greenhouse, only the isolates and isolates with selected products, were applied in papaya plants with foliar symptoms of black-spotted. The incidence of leaves with hyperparasites and the percentage of black-painted lesions colonized by the tested isolates were evaluated. Thus, the H-611 isolate proved to be compatible with most of the alternative products tested, except with Hortifos®. Bion® and Matrix® products were compatible with all tested isolates and could be used in conjunction with Acremonium spp. and H. pulvinata to control the papaya black spot, since these products did not present toxicity on the hyperparasitic fungi.

Resumo O uso de mais de uma técnica de controle pode maximizar a redução dos danos causados pelo fungo Asperisporium caricae agente causal da pinta preta na cultura do mamoeiro. O objetivo deste trabalho foi avaliar a sensibilidade dos fungos Hansfordia pulvinata e Acremonium spp. a produtos alternativos com potencial para uso no controle da pinta-preta. Três isolados de Acremonium spp. (A-598, A-602 e A-617) e um isolado de H. pulvinata (H-611) foram cultivados em meio BDA contendo Agro-Mos®, Bion®, Ecolife®, Hortifospk®, Matriz G®, Vitaphol® separadamente. Fungicida Amistar 500WG® foi utilizado como controle positivo e BDA puro, como controle negativo. A toxicidade dos produtos testados foi determinada com base nos valores do índice biológico, provenientes das médias do crescimento micelial, esporulação e germinação de conídios, em cada unidade experimental. Dessa forma foi possível selecionar os produtos classificados como compatíveis para todos os isolados, e testá-los in vivo. Em casa de vegetação, somente os isolados e os isolados com produtos selecionados, foram aplicados em plantas de mamoeiro com sintomas foliares de pinta-preta. Avaliaram-se a incidência de folhas com hiperparasitas e a porcentagem de lesões de pinta-preta colonizadas pelos isolados testados. Assim o isolado H-611 mostrou-se compatível com a maioria dos produtos alternativos testados, exceto com Hortifos®. Os produtos Bion® e Matriz® apresentaram compatibilidade com todos os isolados testados, podendo ser utilizados em conjunto com o Acremonium spp. e H. pulvinata para controlar a pinta-preta do mamoeiro, uma vez que estes produtos não apresentaram toxidade sobre os fungos hiperparasitas.

Desempenho, frequência de diarreia, produção de fezes e custos de dietas com teores crescentes de farelo de abacaxi para leitões desmamados / Performance, diarrhea frequency, feces production and costs of diets with increasing levels of pineapple byproducts in weaned piglets

Esta pesquisa objetivou avaliar dietas com teores crescentes de farelo de abacaxi na alimentação de leitões desmamados. Foram utilizados 56 leitões, no intervalo de 21 a 63 dias de idade, que receberam dietas compostas principalmente por milho, farelo de soja e produtos lácteos, com adição de farelo de abacaxi em 0%, 3,4%, 6,8% e 10,2%. Foram avaliados o desempenho zootécnico; a incidência de diarreia; as excreções nas fezes, totais e por unidade de peso vivo ganho, de matérias seca (MS), mineral (MM) e orgânica (MO), nitrogênio (N) e fósforo (P); os custos relativos ao ganho de peso dos animais e os índices de eficiência econômica e de custo. As avaliações foram efetuadas dos 21 aos 35 dias; dos 21 aos 49 dias; e dos 21 aos 63 dias de idade dos leitões. Adotou-se delineamento em blocos ao acaso, de acordo com os pesos dos animais no início do experimento, com quatro tratamentos e sete repetições. Dos 21 aos 49 dias os animais submetidos às dietas com 3,4 e 6,8% de farelo de abacaxi consumiram mais ração (P<0.05) do que os alimentados com a dieta controle, e dos 21 aos 63 dias verificou-se maior ganho de peso (P<0.05) somente dos animais que receberam a dieta com 3,4% de farelo de abacaxi em relação aos leitões controle. Dos 21 aos 63 dias os animais que receberam as dietas com farelo de abacaxi apresentaram excreções de MS, MM, MO e N superiores (P<0.05) às dos animais controle. Contudo, ao se verificarem as excreções destes componentes nas fezes por unidade de peso vivo ganho neste mesmo período, foi constatado que não houve diferença (P>0.05) entre os leitões que receberam as dietas sem farelo de abacaxi e os que consumiram a dieta com 3,4% do produto. Portanto, a inclusão do farelo de abacaxi em dietas para leitões desmamados em 3,4% é viável, por não interferir negativamente nas excreções por unidade de peso vivo ganho e nos índices de custos das dietas e por proporcionar melhor ganho de peso aos leitões em relação àqueles que não consumiram farelo de abacaxi.(AU)

This research aimed to evaluate diets with growing levels of pineapple meal in weaned piglets feeding. Fifty-six piglets, from 21 to 63 days old, were fed diets composed mainly of corn, soybean meal, and dairy products, with the addition of pineapple byproduct in 0%, 3.4%, 6.8% and 10.2%. The parameters evaluated were: growth performance; diarrhea incidence; excretion in feces, total and per unit of weight gain, of dry (DM), mineral (MM) and organic (OM) matters, nitrogen (N) and phosphorous (P); diet costs related to weight gain, index of economic efficiency and of costs. The evaluations were performed from 21 to 35 days; from 21 to 49 days; and from 21 to 63 days of age. A complete randomized block design was adopted, according to the animal's weight in the beginning of the trial, with four treatments and seven repetitions. From day 21 to 49 the animals fed diets with 3.4 and 6.8% of pineapple meal consumed more feed (P<0.05) than those fed the control diet, and from day 21 to 63 only the animals that received the diet with 3.4% of pineapple presented a higher weight gain (P<0.05) than control piglets. From day 21 to 63 animals fed diets with pineapple meal presented higher (P<0.05) excretions of DM, MM, OM, and N than the control animals. However, checking the excretions of these components in the feces per unit of live weight gain in the same period, it was found that there was no difference (P>0.05) among the piglets fed diets without pineapple meal and those who consumed the diet with 3.4% of the product. Thus, the inclusion of pineapple meal in weaned piglet's diets at 3.4% is feasible, because it did not interfere negatively on excretions per unit of live weight gain and in diet cost indices, and provided better weight gain to the animals, as compared with pigs who did not consume pineapple meal.(AU)

Anestesia regional periférica para revascularización arterial de miembros inferiores. Revisión bibliográfica y casos clínicos / Peripheral regional anesthesia for arterial revascularization of lower limbs. Bibliographical review and clinical cases

Introducción: La tendencia actual es diferir la cirugía de revascularización de miembros inferiores hasta etapas avanzadas, lo que explica que sean pacientes de mayor complejidad con alta morbimortalidad cardíaca y respiratoria. Los mayores avances para reducirlas, se han desarrollado en la preparación de los pacientes y en las técnicas quirúrgicas. La elección de la técnica anestésica no ha sido considerada un factor determinante. Los bloqueos regionales presentan potenciales ventajas, como mayor estabilidad hemodinámica y respiratoria. Objetivo: Realizar una revisión bibliográfica y presentación de casos clínicos sobre la utilidad de los bloqueos periféricos para anestesia en la cirugía de revascularización de miembros inferiores. Material y métodos: La búsqueda se realizó a través de la base de datos Medline, LILACS y SciELO. Se incluyeron estudios donde los bloqueos periféricos se utilizaron para anestesia. Se describen dos casos clínicos. Resultados: Se seleccionaron 4 artículos originales, 3 de ellos eran estudios descriptivos de la técnica y el cuarto una comparación con anestesia general inhalatoria. 2más correspondieron a casos clínicos. Conclusiones: No existe evidencia suficiente que permita concluir que reducen la mortalidad o la morbilidad cuando se la compara con las demás técnicas anestésicas. Esto puede ser debido al diseño metodológico de los estudios, a la no utilización de la ecografía como guía y la no sistematización de los bloqueos. El análisis de los casos clínicos sugiere que en situaciones específicas como pacientes de alto riesgo cardíaco y respiratorio, bajo tratamiento con anticoagulantes y antiagregantes estos presentan ventajas sobre las otras técnicas.

Background: The current trend is to defer revascularization surgery from lower limbs to advanced stages, which explains why they are more complex patients with high cardiac and respiratory mortality. The choice of anesthetic technique remains controversial. Regional blockades have potential advantages, such as hemodynamic and respiratory stability. Our primary objective was a bibliographic review to assess the peripheral blockages for anesthesia in lower limb revascularization surgery. Our secondary objective was report two clinical cases. Material and methods: The search was performed through the Medline, LILACS and SciELO database. We included studies where peripheral blocks were used for anesthesia. Two clinical cases are described. Results: Four original articles were selected, 3 of which were descriptive studies of the technique and the fourth a comparison with general inhalation anesthesia. 2 more corresponded to clinical cases. Conclusions: There is insufficient evidence to conclude that peripheral nerve block reduce mortality or morbidity when compared with other anesthetic techniques. This may be due to the methodological design of the studies, to the non-use of echocardiography as a guide and the non-systematization of the blocks. The analysis of the clinical cases suggests that this technique is a good option in specific situations as patients with high cardiac and respiratory risk, under treatment with anticoagulants and antiplatelets drugs.

Propiedades psicométricas: ADHD Rating Scale IV en formato autoreporte / Psychometric propertis: ADHD Rating Scale IV self-report

The ADHD Rating Scale IV (ADHD RS IV) is a questionnaire with 18 items which evaluates attention deficit, hyperactivity and impulsivity that make up the attention deficit hyperactivity disorder (ADHD). The contribution of this study to the research of ADHD are two: the analysis of the psychometric properties of ADHD RS IV in an adaptation of self-report format and reporting a study in a context where there is not a previous research. Method: The research is based on a quantitative no experimental design, transactional court, in order to adapt an instrument in a new context. Data analysis was based on statistical processes Cronbach’s alpha, correlation of each item with the total scale, measures of central tendency and dispersion, comparison of means using Student’s t, Pearson correlation and confirmatory factor analysis. Results: We found adequate internal consistency coefficients for scales attention deficit, hyperactivity/impulsivity and total ADHD. Each of the scales were significantly correlated and they permit evaluate different aspects of human cognition and behavior. The goodness of fit of the model tested in confirmatory factor analysis allows us to replicate the scale in its classic composition. Conclusions: The ADHD RS IV has adequate psychometric properties to be administered in the form of self-reporting for the assessment of impulsivity/hyperactivity, attention deficit or a combination of both symptomatology in the Ecuadorian context.

El instrumento ADHD Rating Scale IV (ADHD RS IV) es un cuestionario de 18 ítems que permite valorar el déficit de atención, la hiperactividad e impulsividad que conforman el trastorno por déficit de atención con hiperactividad (TDAH). El aporte del presente estudio a la línea de investigación del TDAH se basa en el análisis de las propiedades psicométricas del instrumento en una adaptación en formato de auto-reporte, además, se trata de un estudio no realizado previamente en el contexto ecuatoriano. Método: La investigación se basa en un diseño cuantitativo no experimental, de corte transeccional, con el fin de adaptar un instrumento en un contexto nuevo. El análisis de datos se basó en los procesos estadísticos Alfa de Cronbach, correlación de cada ítem con el total de la escala, medidas de tendencia central y dispersión, comparación de medias mediante t de Student, correlación de Pearson y análisis factorial confirmatorio. Resultados: Se encontraron coeficientes de consistencia interna adecuados para las escalas déficit de atención, hiperactividad/impulsividad y escala total TDAH. Cada una de las escalas se correlaciona significativamente, midiendo diferentes aspectos de la cognición y el comportamiento humano. La bondad de ajuste del modelo testeado en el análisis factorial confirmatorio permite replicar la escala en su composición clásica. Conclusiones: La ADHD RS IVposee adecuadas propiedades psicométricas para ser administrada en formato de auto-reporte, para realizar una valoración de la impulsividad/hiperactividad, déficit de atención o la combinación de ambas sintomatologías en el contexto ecuatoriano.

Factores y determinantes del consumo de comida chatarra en estudiantes de la facultad de medicina, enfermería, nutrición y tecnología medica, La Paz- Bolivia 2016 / Determining factors and junk food consumption of students of the faculty of medicine, nutrition, enfermery and tecnolgy medical, La Paz – Bolivia, 2016

La comida chatarra se ha convertido en parte de los hábitos alimentarios de nuestra sociedad, siendo un factor determinante del sobrepeso y obesidad, entre otras enfermedades crónicas no transmisibles, que atentan contra la buena salud que deberían gozar los estudiantes para un óptimo rendimiento académico. Una investigación realizada en Chile a estudiantes mostró que el 58,6 % consume comida chatarra debido a una ingesta inadecuada del desayuno, la omisión de ciertos tiempos de comida; el consumo de alimentos de mala calidad preparados en cafeterías de la misma universidad o lugares aledaños a causa de la falta de tiempo por la distancia hasta sus hogares. La misma realidad se ha observado en nuestra ciudad, de ahí la importancia de realizar y obtener resultados con este estudio. OBJETIVO: Identificar factores y determinantes de consumo de comida chatarra en estudiantes de la Facultad de Medicina, Nutrición, Enfermería y Tecnología Médica de la Universidad Mayor de San Andrés - 2016. METODOLOGÍA: Descriptivo - transversal el análisis estadístico se utilizó SPSS Vr. 19 RESULTADOS: De 100 encuestados 69% son mujeres y 31% varones, el promedio de edad de la población estudiada fue de 22 años, 43% estudian medicina, 58% residentes en La Paz, 59% realiza actividad física, el 28% de las mujeres consume bocaditos, 38% sabe que la comida chatarra causa ECNT y su consumo en La Paz llega al 28% siendo el mayor, 36% consume al menos una vez/semana bebidas gaseosas y el 50,7% del sexo femenino reemplaza el almuerzo por comida chatarra frente al sexo masculino de 48,38%. El consumo de agua es bajo en mujeres, el 32% de 1 a 3 veces/día, el 48% reemplaza el almuerzo por comida chatarra y el 38% de medicina y 28% de nutrición tienen conocimiento de las ECNT que causan la comida chatarra.

Junk food has become part of the eating habits of our society; being a determinant of overweight and obesity are chronic non communicable diseases. According to research students in Chile was observed that 56.8% consumes junk food due to inadequate intake of breakfast, the omission of certain meal times, the consumption of this type of food do in snacks at the university or in surrounding areas because of the lack of time for the trip they make to their homes. OBJECTIVE: To identify factors and determinants of consumption of junk food students of the Faculty of Medicine of the University of San Andres 2016. METHODOLOGY: A descriptive cross-sectional study was conducted using the survey to students of the Faculty of Medicine for the descriptive analysis of data SPSS 19 was used. RESULTS: Sample of 100 students 69% female and 31% are male, The mean age of the study population was 22 years, 43% from medicine, 58% live in the city of La Paz, the total 59% do physical activity, females have a frequency of 28% consumption of snacks, 38% know that junk food causes chronic disease, eating junk reaches 28% in La Paz being the highest, 36% consumes once / week fizzy drinks and 50.7% female replaced by junk food lunch male versus 48.38%. water consumption is low in women of 32% from 1 to 3 times / day, 48% replaces lunch for junk food and 38% medical and 28 % knowledge of nutrition have chronic disease causing junk food.

Emergency medicine providers' opioid prescribing practices stratified by gender, age, and years in practice / 世界急诊医学杂志（英文）

@#BACKGROUND: Emergency medicine providers (EMPs) prescribe about 25％ of opioids, but the effect of EMP risk perception on decisions to prescribe opioids is unknown. This study was undertaken to identify factors that influence EMP risk and opioid prescribing practices. METHODS: We distributed an anonymous questionnaire to EMPs at a military trauma and referral center. Response frequencies and distributions were assessed for independence using the Chi-square test. RESULTS: Eighty-nine EMPs completed the questionnaire (100％ response). Respondents were primarily younger male physicians (80％) in practice under five years (55％). Male EMPs were more likely to prescribe more opioid tablets than female ones both when and when not concerned for opioid misuse (P<0.001, P<0.007, respectively). Of the providers, 70％ stated that patient age would influence their prescribing decisions. Hydrocodone and oxycodone were the opioids prescribed most frequently. About 60％ of the providers reported changing their prescribing behavior would not prevent opioid misuse. Additionally, 40％ of the providers believed at least 10％ of patients seen at this military ED misused opioids. CONCLUSION: Female EM providers reported prescribing fewer opioid tablets. Patient age influenced prescribing behavior, but the effect is unknown. Finally, EM providers reported that altering their prescribing behavior would not prevent prescription opioid misuse.

Daño hepático crónico como manifestación de pericarditis constrictiva: reporte de un caso / Chronic liver failure as a manifestation of constrictive pericarditis: report of a case

Constrictive pericarditis (CP) is an uncommon condition which clinical presentation becomes very unspecific, making its diagnosis a hard challenge. It has multiple and varied causes, all of them determine pericardium inflammation and progressive fibrosis that restricts heart filling and develops diastolic dysfunction, expressing mainly as right heart failure. Symptoms of this last condition allow posing different diagnosis as they can appear in many other diseases, including chronic liver disease as happens in the following clinical case. A 27 year-old male patient with a history of progressive edema on his extremities, increased abdominal volume, a 3-month body weight loss, and dyspnea; is firstly diagnosed as CLD after medical Evaluation. However, etiological studies for CLD appear negative and the patient does not respond to general approaches, motivating his hospitalization for further studies. Cardiologic tests reveal pulmonary hypertension, which is studied by MRI showing a thickened pericardium suggesting constriction that is confirmed by cardiac catheterization. The patient undergoes surgery without incidents and a favorable post-operatory period, being completely asymptomatic 3 months later. This clinical case reflects how difficult can become diagnosing CP; as well as presenting the right way to study these patients in order to confirm this alternative diagnosis, the treatment of choice, and the excellent results that surgery can achieve. Finally, CP is a rare condition that must be included within differential diagnosis of patients with clinical manifestations of RHF.

Revisión pictográfica de endoleaks (endofugas) / A pictorial review of endoleaks

The current treatment for aortic aneurysms is to install an endovascular stent in the aortic lumen. The most common complication of stents is endoleaks. Those defined as a peri-prosthetic vascular leak, in the aneurysm sac, are usually asymptomatic. If not detected early, they can progress with the growth and rupture of the aneurysm. The method of choice for evaluation is angiography by computed tomography (CT). The aim of this pictorial review is to describe and illustrate the imaging findings of the different types of endoleaks in computed tomography angiograms (5 types).

El tratamiento actual de los aneurismas aórticos es la instalación de una endoprótesis en el lumen aórtico por vía endovascular. La complicación más frecuente de las endoprótesis son los endoleaks. Los que se definen como flujo vascular peri-protésico, en el saco aneurismático, generalmente asintomático. De no ser detectados a tiempo, pueden progresar con el crecimiento y rotura del aneurisma. El método de elección para su evaluación es la angiografía mediante tomografía computada (TC). El objetivo de la presente revisión pictográfica es describir e ilustrar los hallazgos imaginológicos de los diferentes tipos de endoleaks en angiografía por tomografía computada (cinco tipos).