Rompiendo el efecto ''techo de cristal'' en la generación de evidencia clínica de alto nivel en ortopedia y traumatología / Breaking the "glass ceiling" effect in the generation of high-level clinical evidence in orthopedics and traumatology

Introduction: In clinical studies involving common orthopedic problems and traumatic injuries, randomization methods are difficult to orchestrate. The lack of high-level clinical evidence based on prospective, randomized, double-blind studies is often cited as a major reason for rejecting proposed therapeutic advances in orthopedic surgery. Materials and methods: This opinion document summarizes the limitations of clinical trials in surgical subspecialties. A consensus is presented about how the practicing orthopedic surgeon can produce high-quality clinical evidence and thus make changes to their clinical practice protocols. Results: This literature review revealed that level of evidence classifications vary among surgical subspecialties. Research in orthopedics and traumatology is primarily directed toward diagnosis, preferred treatment, and economic decision analysis, while other prognostic classifications are preferred in other areas, such as plastic surgery. In orthopedics, double-blind controlled studies are rare and often impractical or even unethical. Crossover between randomized surgical trials of study groups is more common. Other difficulties in surgical trials range from: lack of organizational and financial support, institutional approval or ethics committee and registration requirements for clinical trials, and to insufficient time outside of an already busy clinical program to dedicate to this laborious task. uncompensated task. Conclusion: Orthopedic surgery is a subspecialty based on experience and skill. Many innovations begin with enterprising surgeons reporting opinion reports or retrospective cohort studies, many of which are biased. Prospective observational cohort studies with consistent results may offer higher grade clinical evidence than poorly executed randomized trials.

An updated review of idiopathic osteosclerosis of the jaws / Una revisión actualizada de la osteoesclerosis idiopática en los maxilares

Objective: The aim of this study was to update the concepts of the diagnosis of idiopathic osteosclerosis (IO) of the jaws by digital panoramic radiographs and cone beam tomography and describe the impact of this disease on oral and general health. Methods: A search of the main databases of dental medical research was carried out using the search terms "osteosclerosis, panoramic radiography, cone beam computed tomography, jaws". Articles without language restriction until September 30, 2020 were identified. The prevalence and clinical and radiographic characteristics of IO of the jaws were examined in 2D and 3D imaging studies, as well as the interaction during treatments in the various dental specialties. Results: We analyzed the current situation regarding the diagnosis of IO, with an update of the diagnostic criteria used to accurately identify IO in the latest generation imaging studies, as well determine its possible interactions in oral an general health. Conclusions: It is important to have a clear differential diagnosis of IO and be able to distinguish different radiopacities in the maxilla. Accurate reporting and monitoring of the morphometric characteristics are necessary taking into account the impact the presence of IO of the jaws has on future dental treatments. (AU)

Objetivo: El propósito de esta investigación fue actualizar las consideraciones para el diagnóstico de la osteoesclerosis idiopática en radiografías panorámicas digitales y tomografías de haz cónico, a fin de determinar sus implicancias en la salud oral y general. Métodos: Se realizó las pesquisas en las principales bases de datos de investigación médica estomatológica, utilizando las palabras "osteoesclerosis", "radiografía panorámica", "tomografía computarizada de haz cónico" y "mandíbula". Se identificaron artículos sin restricción de idioma, desde las primeras publicaciones hasta el 30 de septiembre del 2020. Se examinaron la prevalencia, las características clínicas y radiográficas en estudios imagenológicos de dos y tres dimensiones, así como su interacción durante los tratamientos realizados en las diversas especialidades estomatológicas. Resultados: La información obtenida nos permitió analizar la situación actual con respecto al diagnóstico de la OI y actualizar los criterios diagnósticos para una identificación certera de la OI en los estudios imagenológicos de última generación, así como sus posibles interacciones en la salud oral y general. Conclusiones: Es importante tener un criterio diagnóstico diferencial claro al distinguir las diferentes radiopacidades como la OI, que se pueden presentar en los maxilares, mediante un registro preciso de sus características morfométricas y seguimiento en el tiempo, teniendo en cuenta su existencia y sus implicancias en los tratamientos dentales a futuro. (AU)

Comparative study of lumbar plexus path on the left and right sides through the psoas muscle / Estudo comparativo do trajeto do plexo lombar nos lados direito e esquerdo através do músculo psoas / Estudio comparativo del trayecto del plexo lumbar en los lados derecho e izquierdo a través del músculo psoas

ABSTRACT Objective: Spine surgery with a minimally invasive lateral approach and validate possible anatomical differences between the right and left sides. Methods: Four measurements (cm) were taken on 38 cadavers: the distance between the lumbar plexus and the transverse process (L4-L5) and the distance between the lumbar plexus and the midline of the lumbar spine, both on the right and left sides. Results: The mean distance between the lumbar plexus and the transverse process of L4-L5 was 1.03 cm and the distance to the midline was 3.99 cm for the right side. The averages of the left side were 1.13 cm and 3.38 cm, respectively. There is statistical difference between the sides (p<0.05) using the non-parametric Wilcoxon test. Conclusions: The authors suggest that the transverse process might be used as an anatomical landmark to define the surgical approach through the psoas muscle. Level of Evidence IV; Cadaveric study.

RESUMO Objetivo: Encontrar um referencial anatômico prático e seguro durante a cirurgia com a técnica de acesso à coluna ALMI (acesso lateral minimamente invasivo) e validar possíveis diferenças anatômicas entre os lados direito e esquerdo. Método: Foram feitas 4 medidas (cm) em 38 cadáveres: entre o plexo lombar e o processo transverso de L4L5, e entre o plexo lombar e a linha média da coluna lombar dos lados direito e esquerdo. Resultados: A distância média encontrada entre o plexo lombar e o processo transverso de L4L5 foi de 1,03cm e a distância até a linha média foi de 3,99 cm do lado direito. Já do lado esquerdo, as médias são 1,13cm e 3,88cm, respectivamente. Houve diferença estatística entre os lados (p<0,05) pelo teste não-paramétrico de Wilcoxon. Conclusão: Sugere-se como referencial anatômico o processo transverso para definir o ponto de entrada do portal de trabalho no músculo psoas. Nível de Evidência IV; Estudo Cadavérico.

RESUMEN Objetivo: Encontrar una referencia anatómica práctica y segura durante la cirugía de la columna con técnica de abordaje lateral mínimamente invasivo y validar posibles diferencias anatómicas entre los lados derecho e izquierdo. Métodos: Se realizaron 4 medidas (cm) en 38 cadáveres: distancia entre el plexo lumbar y la apófisis transversa (L4-L5) y distancia entre el plexo lumbar y la línea media de la columna lumbar, en los lados derecho e izquierdo. Resultados: La distancia promedio entre el plexo lumbar y la apófisis transversa de L4-L5 fue 1,03 cm y la distancia a la línea media fue de 3,99 cm a la derecha. Los promedios de la izquierda fueron 1,13 cm y 3,88 cm respectivamente. Hay diferencia estadística entre los lados (p <0,05) mediante la prueba no paramétrica de Wilcoxon. Conclusiones: Se sugiere como referencia anatómica la apófisis transversa para definir el portal de trabajo a través del músculo psoas. Nivel de Evidencia IV; Estudio cadavérico.

Geoparque en el Distrito Minero Tlalpujahua-El Oro / Geopark in Tlalpujahua-El Oro Mining District

RESUMEN La creación y declaratoria de los geoparques en el mundo ha sido exitosa, debido a la capacidad de gestión ambiental y social que poseen. La noción de desarrollo local, a través de la administración de estos territorios en México, se impulsa con investigación enfocada al análisis de potencialidad de los territorios desde hace unos años. El objetivo de este trabajo fue conocer el potencial que posee el distrito minero Tlalpujahua-El Oro para aspirar a ser declarado geoparque. A través de un sistema de evaluación matricial se obtuvieron los índices de patrimonio geológico y geomorfológico, de cultura y educación, economía y servicios, protección y legislación, y de accesibilidad, para determinar el potencial geológico, geomorfológico, cultural y socioeconómico, además de la fundamentación teórica. Se encontraron condiciones favorables para poder conformar al distrito minero como un geo-parque, al determinar el valor biótico, histórico y cultural de la mina Dos Estrellas. Lograr esta denominación impulsaría el crecimiento social y económico de la región, teniendo a la geoconservación como eje rector e integrador de la propuesta.

ABSTRACT The establishment and declaration of geoparks in the world has been successful due to the ability of environmental and social management that they possess. The notion of local development through the administration of these territories in Mexico has been driven for several years by research focused on the analysis of potential in natural heritage territories. The objective of this work was to determine the potential of Tlalpujahua-El Oro Mining District to be declared geopark. The indices of geological and geomorphological heritage, culture and education, economy and public services, protection and legislation and accessibility were obtained through a matrix assessment system. After determining the biotic, historical, and cultural value of the mine, it is concluded that favorable conditions were encountered in order to declare this territory as a geopark. Achieving this denomination would foster the social and economic growth of the region, with geopreservation as the guiding principle of the proposal.

Contenido de ácidos grasos en semillas de chía (Salvia hispanica L.) cultivadas en cuatro estados de México / Fatty acid content in chia (Salvia hispanica L.) seeds grown in four Mexican states

Introducción: existe evidencia científica de que la chía (Salvia hispanica L.) es originaria de México y que formó parte, junto con el maíz, frijol y amaranto, de la dieta prehispánica. Con la llegada de los españoles, su uso fue suprimido en las tradiciones y costumbres de los aztecas y mayas, no es hasta finales del siglo pasado que las semillas de chía han cobrado gran interés por su alto contenido de ácido alfa-linolénico así como su relación con la salud y nutrición humana. Objetivo: determinar el perfil de ácidos grasos en semillas de chía cultivadas en diferentes zonas de México. Métodos: se obtuvieron cinco lotes de semillas de chía, a los cuales se les extrajo el aceite en equipo soxhlet con éter de petróleo. El perfil de ácidos grasos se determinó por cromatografía de gases con detector de ionización de flama. Resultados: los análisis cromatográficos permitieron identificar y cuantificar nueve ácidos grasos en las muestras de aceite de chía, palmítico (C16) y palmitoleico (C16:1), esteárico (C18), oleico cis-9 (C18:1 c9), oleico cis-11 (C18:1 c11), oleico cis-12 (C18:1 c12), linoleico (C18: 2 c9c12), araquídico (C20), linolénico (C18:3 c6c9c12) y alfa-linolénico (C18:3 c9c12c15). El ácidos graso alfa-linolénico presentó la mayor concentración (62,67 %). Conclusiones: el contenido de ácidos grasos saturados e insaturados en el aceite de semillas de chía, cultivadas en zonas diferentes de México, se encuentra dentro del intervalo informado para otros países.

Introduction: there is scientific evidence that chia (Salvia hispanica L.) is native to Mexico and was part of the prehispanic diet alongside maize, beans and amaranth. Upon arrival of the Spanish colonizers, its use was suppressed from Aztec and Mayan customs and traditions. It is not until the end of the twentieth century that chia seeds attracted great interest due to their high alpha-linoleic acid content and its relationship to human nutrition and health. Objective: determine the fatty acid profile in chia seeds grown in various regions of Mexico. Methods: five lots of chia seeds were obtained, from which the oil was extracted in a Soxhlet device with petroleum ether. The fatty acid profile was determined by gas chromatography with a flame ionization detector. Results: chromatographic analysis permitted identification and quantification of nine fatty acids in the chia oil samples: palmitic (C16) and palmitoleic (C16:1), stearic (C18), cis-9 oleic (C18:1 c9), cis-11 oleic (C18:1 c11), cis-12 oleic (C18:1 c12), linoleic (C18: 2 c9c12), arachidic (C20), linolenic (C18:3 c6c9c12) and alpha-linolenic (C18:3 c9c12c15). Alpha-linolenic acid had the greatest concentration (62.67 %). Conclusions: the content of saturated and unsaturated fatty acids in oil from chia seeds grown in various regions of Mexico is within the range reported by other countries.

Comparative study of Chalcone synthase promoters across plant families / Estudio Comparativo de Promotores de la Chalcón Sintasa en Diferentes Familias de Plantas

In the post – genomic era the understanding of gene regulation has become a challenge and a research priority. In this research, we performed a comparative study of the regulator sequences of the chalcone synthase gene across plant families. Twenty-two sequences of chalcone synthase promoters were compared considering three regulator Cis elements: G-Box, H-Box and TATA Box. Our results show that these Cis elements are conserved among species and even at the family level. However, in some species all of the Cis elements were not found, showing that the expression and regulation of these promoters via the Cis elements can be variable. Additionally, a comparison between promoters from a species with a chalcone synthase multigene family showed that the duplicate genes are variable in the composition of the Cis elements, suggesting that these genes could be expressing in different ways.