Genetic relationships between Atlantic and Pacific populations of the notothenioid fish Eleginops maclovinus: the footprints of Quaternary glaciations in Patagonia.

The genetic relationships between the Pacific and the Atlantic populations of marine coastal biota in Southern South America have been analyzed in few studies, most of them relying on a single mitochondrial locus. We analyzed 10 polymorphic microsatellite loci, isolated from a dinucleotide-enriched Eleginops maclovinus genomic library, in a total of 240 individuals (48 from each of 5 sampled sites: 2 Atlantic, 2 Pacific and 1 in Beagle Channel). The results were contrasted against a previous work on the same species with mitochondrial DNA (mtDNA). Observed heterozygosity within localities ranged from 0.85 to 0.88 with the highest overall number of alleles observed at the northernmost locality on the Pacific side (Concepción), but no clear geographic pattern arose from the data. On the other hand, the number of private alleles was negatively correlated with latitude (Spearman's rs test, P=0.017). Among-population variance was low but significant (1.35%; P<0.0001, analysis of molecular variance (AMOVA)) and low genetic differentiation between populations was observed (pairwise FST values ranged from 0 to 0.021). A Mantel test revealed a significant correlation between geographic distances and FST (r=0.56, P=0.047). This could be partially accounted by the Atlantic versus Pacific population differentiation detected in three different analyses (STRUCTURE, SAMOVA (Spatial Analysis of MOlecular VAriance) and a population phylogeny). The observed pattern is compatible with a history of separation into two glacial refugia that was better captured by the multilocus microsatellite data than by the mtDNA analysis.

Litiasis y estenosis del colédoco provocada por la migración de un clip quirúrgico / Choledochal lithiasis and stenosis secondary to the migration of a surgical clip

La migración de un clip al colédoco tras una colecistectomía es un hecho infrecuente, habitualmente tardío, que puede ocasionar complicaciones diversas como la formación de litiasis en la vía biliar, o la aparición de obstrucción y estenosis. Presentamos un caso de migración de un clip tras una colecistectomía laparoscópica ocurrido un año tras la intervención, que se presentó clínicamente con un cuadro de colangitis, resuelta mediante la colocación de una endoprótesis biliar mediante de una colangiopancreatografía retrógrada endoscópica (AU)

The migration of a clip to the common bile duct after cholecystectomy is an uncommon, usually late, complication that can lead to diverse complications like stone formation, stenosis, and obstruction in the bile duct. We present the case of a patient who presented with signs and symptoms of cholangitis due to clip migration one year after laparoscopic cholecystectomy; endoscopic retrograde cholangiopancreatography and biliary tract stent placement resolved the problem (AU)

[Choledochal lithiasis and stenosis secondary to the migration of a surgical clip]. / Litiasis y estenosis del colédoco provocada por la migración de un clip quirúrgico.

The migration of a clip to the common bile duct after cholecystectomy is an uncommon, usually late, complication that can lead to diverse complications like stone formation, stenosis, and obstruction in the bile duct. We present the case of a patient who presented with signs and symptoms of cholangitis due to clip migration one year after laparoscopic cholecystectomy; endoscopic retrograde cholangiopancreatography and biliary tract stent placement resolved the problem.

Tratamiento integral de la obesidad infantil: Efecto de una intervención psicológica / Effects of psychological support as an adjunct to a weight reducing program among obese children

Background: Disrupted eating behaviors and psychological issues can have a role in the development of childhood obesity. Aim: To assess the effects of psychological support as an adjunct to the treatment of obesity among children. Material and Methods: Retrospective analysis of a group of 152 obese children aged 3 to 16 years, who received medical, Nutritional and physical training treatment. Seventy three (Group I) were invited to participate in a protocol of psychological support and 79 formed the control group (Group 2). Body mass index, body fat mass, waist circumference, insulin sensitivity, lipid profile, eating and physical activity habits were evaluated. Family structure, history of food rejection, psychological, physical and social development, and adherence to the program were also analyzed. To analyze responses to treatment, Group I was further divided into those who attended the psychology sections (intervened group) and those who did not attend (non intervened group). Results: At baseline, there were no differences in anthropometric, metabolic, familial and psychological profile among Groups I and 2. Family structure, eating behaviors and physical and social development were normal. Those associated with lack of control appeared as negative characteristics. There was a significant improvement in eating habits and physical activity among intervened children of Group 1 and Group 2. No significant change in weight was recorded in all three groups. Compliance with the program was significantly better among intervened children in Group 1 (62.1 percent at sixth months), compared with non intervened children of Group 1 (15.9 percent) and Group 2 (30.3 percent). Conclusions: Obese children who attended psychological support therapy as an adjunct to a weight reducing program, had a better compliance with treatment but did not achieve a higher weight loss.

[Trends in puberal development of school age children living in the Metropolitan Region of Chile]. / Tendencia del desarrollo puberal en escolares de la Región Metropolitana de Chile: Menor edad de presentación, mayor duración y dimorfismo sexual en la estatura.

BACKGROUND: There is a worldwide tendency towards an earlier appearance of puberal development among children, associated with an increase in weight and height. AIM: To study the trends in puberal development in Chilean school age children, between the years 1986 and 2001 and correlate it with weight and height changes. SUBJECTS AND METHODS: In two representative samples of school age children, collected between years 1985 and 1987 (m-1986) and another between years 2000 and 2002 (m-2001), girls between 7 and 15years (958 and 935, respectively) and boys between 9 and 15 years (842 and 870 respectively), were selected. Breast development (B) in females and genital development (G) in males were classified according to Tanner stages. Weight, height, body mass index (BMI) and nutritional status (according to Centers for Disease Control/ National Center for Health Statistics (CDC/NCHS) standards) were assessed. RESULTS: The prevalence of obesity increased four fold between 1986 and 2001. The 2001 generation had a significantly higher degree of puberal development than their counterparts studied in 1986. Compared to m-1986, m-2001 subjects had a lower mean age at puberal development stage two and three, but no differences at puberal stages 4 and 5. BMI of m-2001 subjects was significantly higher than that of m-1986 subjects at all puberal stages. The m-2001 males showed highest stature than m-1986 in all puberal stage, however, in females there is no difference in height between m-2001 and m-1986. CONCLUSIONS: The highest BMI observed in the cohort of 2001, could be facilitating an earlier puberal development and ethnic factors could explain the sexual dimorphism in stature.

Tendencia del desarrollo puberal en escolares de la Región Metropolitana de Chile: Menor edad de presentación, mayor duración y dimorfismo sexual en la estatura / Trends in puberal development of school age children living in the Metropolitan Region of Chile

Background: There is a worldwide tendency towards an earlier appearance of puberal development among children, associated with an increase in weight and height. Aim: To study the trends in puberal development in Chilean school age children, between the years 1986 and 2001 and correlate it with weight and height changes. Subjects and Methods: In two representative samples of school age children, collected between years 1985 and 1987 (m-1986) and another between years 2000 and 2002 (m-2001), girls between 7 and 15years (958 and 935, respectively) and boys between 9 and 15 years (842 and 870 respectively), were selected. Breast development (B) in females and genital development (G) in males were classified according to Tanner stages. Weight, height, body mass index (BMI) and nutritional status (according to Centers for Disease Control/ National Center for Health Statistics (CDC/NCHS) standards) were assessed. Results: The prevalence of obesity increased four fold between 1986 and 2001. The 2001 generation had a significantly higher degree of puberal development than their counterparts studied in 1986. Compared to m-1986, m-2001 subjects had a lower mean age at puberal development stage two and three, but no differences at puberal stages 4 and 5. BMI of m-2001 subjects was significantly higher than that of m-1986 subjects at all puberal stages. The m-2001 males showed highest stature than m-1986 in all puberal stage, however, in females there is no difference in height between m-2001 and m-1986. Conclusions: The highest BMI observed in the cohort of 2001, could be facilitating an earlier puberal development and ethnic factors could explain the sexual dimorphism in stature.

[Effects of psychological support as an adjunct to a weight reducing program among obese children]. / Tratamiento integral de la obesidad infantil: Efecto de una intervención psicológica.

BACKGROUND: Disrupted eating behaviors and psychological issues can have a role in the development of childhood obesity. AIM: To assess the effects of psychological support as an adjunct to the treatment of obesity among children. MATERIAL AND METHODS: Retrospective analysis of a group of 152 obese children aged 3 to 16 years, who received medical, Nutritional and physical training treatment. Seventy three (Group I) were invited to participate in a protocol of psychological support and 79 formed the control group (Group 2). Body mass index, body fat mass, waist circumference, insulin sensitivity, lipid profile, eating and physical activity habits were evaluated. Family structure, history of food rejection, psychological, physical and social development, and adherence to the program were also analyzed. To analyze responses to treatment, Group I was further divided into those who attended the psychology sections (intervened group) and those who did not attend (non intervened group). RESULTS: At baseline, there were no differences in anthropometric, metabolic, familial and psychological profile among Groups I and 2. Family structure, eating behaviors and physical and social development were normal. Those associated with lack of control appeared as negative characteristics. There was a significant improvement in eating habits and physical activity among intervened children of Group 1 and Group 2. No significant change in weight was recorded in all three groups. Compliance with the program was significantly better among intervened children in Group 1 (62.1% at sixth months), compared with non intervened children of Group 1 (15.9%) and Group 2 (30.3%). CONCLUSIONS: Obese children who attended psychological support therapy as an adjunct to a weight reducing program, had a better compliance with treatment but did not achieve a higher weight loss.

Energy density of sub-Antarctic fishes from the Beagle Channel.

The energy density (ED) of nine species of sub-Antarctic fishes was estimated by calorimetry. The fish, seven notothenioids, one atherinopsid and one galaxiid, represents some of the more abundant species in the ichthyofauna of the Beagle Channel. Principal-components analysis (PCA) of the ED of the different organs/tissues indicated that PC(1) and PC(2) accounted for 87% of the variability. Separation along PC(1) corresponded to differences in muscle and liver energy densities whereas separation along PC(2) corresponded to differences in the ED of the gonads. Differences between species were significant except for P. sima. Inclusion of the gonadosomatic index (GSI) as an explanatory variable enabled us to establish the existence of energy transfer from muscle and liver to the gonads in ripe P. tessellata females. Total ED values varied between 4.21 and 6.26 kJ g(-1), the pelagic Odontesthes sp. being the species with the highest ED. A significant relationship between ED and muscle dry weight (DW(M)) was found for all the species except P. tessellata. These data are the first direct estimates of ED of fishes from the Beagle Channel.

Centralidad, valores y ética protestante del trabajo en población urbana ocupada / Centrality, values and protestant work ethic in employed urban population

Desde una perspectiva psicosocial que ahonda en la dimensión subjetiva de la cultura se indaga en creencias y valores asociadas al trabajo. A partir de investigaciones previas y los presupuestos de la teoría de los valores, la centralidad del trabajo y la ética protestante del trabajo, se ha realizado un estudio empírico de naturaleza exploratoria descriptiva. El objetivo general de la investigación marco es explorar en diferentes muestras urbanas aspectos psicosociales relacionados con el trabajo. En este estudio se analiza la información obtenida de una muestra no probabilística intencional compuesta por 226 sujetos activos laboralmente de la ciudad de Buenos Aires y el Conurbano Bonaerense que respondieron a un cuestionario auto-administrado. Los resultados muestran una alta centralidad absoluta y relativa del trabajo, la presencia de valores de autotrascendencia y apertura al cambio y puntuaciones altas en lo que refiere a Ética Protestante del Trabajo y Competitividad.

[Prevalence of metabolic syndrome in a sample of Chilean children consulting in an obesity clinic]. / Síndrome metabólico en niños y adolescentes: asociación con sensibilidad insulínica y con magnitud y distribución de la obesidad.

BACKGROUND: In Chile between 1986 and 1998, the prevalence of obesity has increased from 4.6% to 24% in prepuberal and from 2.3% to 17% in puberal children. AIM: To assess the prevalence of metabolic syndrome (MS) in a sample of obese and overweight Chilean children. PATIENTS AND METHODS: Descriptive study in 489 children (273 females), aged from 6 to 16 years, consulting in an obesity program. Body mass index, Tanner puberal development, waist circumference, blood pressure, fasting blood glucose, insulin and lipid levels were measured. Insulin sensitivity was calculated using the mathematical models QUICKI and HOMA. MS was diagnosed when three or more of the following criteria were met: a waist circumference over percentile 90, a blood pressure over percentile 90, serum triglycerides over 110 mg/dl, HDL cholesterol of less than 40 mg/dl or a fasting blood glucose level over 100 mg/dl. RESULTS: MS was present in 4% of children with overweight and 30% of obese children. No differences in prevalence were observed for sex or puberal development. The most prevalent cardiovascular risk factors were abdominal obesity, present in 76% of the sample and high triclycerides levels in 39%. The less prevalent risk factor was a fasting blood glucose over 100 mg/dl in 3.7%. The risk for MS increased ten fold in children with severe obesity, compared with those with overweight. Those with abdominal obesity had a 17 times higher risk of MS. Basal insulin sensitivity was significantly associated with the number of cardiovascular risk factors and the presence of MS. CONCLUSIONS: In this sample of children, fat distribution and the severity of obesity were strong determinants of MS. Waist circumference had a higher impact on MS than body mass index.

Síndrome metabólico en niños y adolescentes: asociación con sensibilidad insulínica y con magnitud y distribución de la obesidad / Prevalence of metabolic syndrome in a sample of Chilean children consulting in an obesity clinic

Background: In Chile between 1986 and 1998, the prevalence of obesity has increased from 4.6 percent to 24 percent in prepuberal and from 2.3 percent to 17 percent in puberal children. Aim: To assess the prevalence of metabolic syndrome (MS) in a sample of obese and overweight Chilean children. Patients and methods: Descriptive study in 489 children (273 females), aged from 6 to 16 years, consulting in an obesity program. Body mass index, Tanner puberal development, waist circumference, blood pressure, fasting blood glucose, insulin and lipid levels were measured. Insulin sensitivity was calculated using the mathematical models QUICKI and HOMA. MS was diagnosed when three or more of the following criteria were met: a waist circumference over percentile 90, a blood pressure over percentile 90, serum triglycerides over 110 mg/dl, HDL cholesterol of less than 40 mg/dl or a fasting blood glucose level over 100 mg/dl. Results: MS was present in 4 percent of children with overweight and 30 percent of obese children. No differences in prevalence were observed for sex or puberal development. The most prevalent cardiovascular risk factors were abdominal obesity, present in 76 percent of the sample and high triclycerides levels in 39 percent. The less prevalent risk factor was a fasting blood glucose over 100 mg/dl in 3.7 percent. The risk for MS increased ten fold in children with severe obesity, compared with those with overweight. Those with abdominal obesity had a 17 times higher risk of MS. Basal insulin sensitivity was significantly associated with the number of cardiovascular risk factors and the presence of MS. Conclusions: In this sample of children, fat distribution and the severity of obesity were strong determinants of MS. Waist circumference had a higher impact on MS than body mass index.

[Perforation of the acalculous gallbladder in a renal transplant recipient with CMV infection]. / Perforacion de vesicula biliar en el se-no de una infeccion por citomegalovirus en trasplante renal.

We report the case of a renal transplant recipient who developed acute acalculous cholecyscitis resulting in gallbladder perforation. At admission CMV antigenemia was negative. Emergency laparatomy was performed and showed the gallbladder to be infarted with a perforation. The abdominal cavity contained two litres of sterile bilious fluid. The pathological report showed frequent endothelial cells contained intranuclear and intracitoplasmatic inclusion (fig. 1). Treatment with Ganciclovir iv was started after diagnosis, but a computerized tomography scan demonstrated severe acute pancreatitis (grade E. Baltazar). The patient developed multiorgan failure and died on 19th day after surgery. Necropsy showed cytomegalic inclusions in pancreas (fig. 2), gastrointerstinal tract, lung and graft. A necroticing pneumonia with Mycotic spores and hiphae was seen. Aspergillus was also observed in myocardium (fig. 3).

Perforación de vesícula biliar en el seno de una infección por citomegalovirus en trasplante renal / Perforation of the acalculous gallbladder in a renal transplant recipient with CMV infection

Se describe el caso de un receptor de trasplante renal con serología CMV positiva que desarrolló una infección por CMV que provocó una colecistitis alitiásica, con posterior perforación de la vesícula biliar. En el momento de su ingreso la antigenemia CMV era negativa, efectuándose el diagnóstico de infección por CMV al evidenciar numerosas inclusiones citomegálicas en las células endoteliales de la pieza de colecistectomía. Se inició tratamiento con Ganciclovir iv en el momento del diagnóstico, que fue ineficaz ya que posteriormente el paciente presentó una pancreatitis aguda necrotizante (grado E de Baltazar), también por la acción del CMV y posteriormente una sobreinfección por aspergillus falleciendo el enfermo en el seno de un fracaso multiórganico. En los estudios histológicos efectuados se objetiva la presencia de inclusiones citomegálicas en vesícula biliar y páncreas entre otros órganos, así como aspergilosis invasiva en pulmón y miocardio

We report the case of a renal transplant recipient who developed acute acalculous cholecyscitis resulting in gallbladder perforation. At admission CMV antigenemia was negative. Emergency laparatomy was performed and showed the gallbladder to be infarted with a perforation. The abdominal cavity contained two litres of sterile bilious fluid. The pathological report showed frequent endothelial cells contained intranuclear and intracitoplasmatic inclusion (fig. 1). Treatment with Ganciclovir iv was started after diagnosis, but a computerized tomography scan demonstrated severe acute pancreatitis (grade E. Baltazar). The patient developed multiorgan failure and died on 19th day after surgery. Necropsy showed cytomegalic inclusions in pancreas (fig. 2), gastrointerstinal tract, lung and graft. A necroticing pneumonia with Mycotic spores and hiphae was seen. Aspergillus was also observed in myocardium (fig. 3)

Perfil metabólico de riesgo cardiovascular en niños y adolescentes obesos con menor sensibilidad insulínica / Cardiovascular risk and metabolic profile in obese children and adolescents with low insulin sensitivity

Background:Infantile obesity is associated with metabolic disturbances (hiperinsulinism, impaired glucose, dislypidemia) that determine a higher risk of type 2 diabetes, high blood pressure and atherosclerotic vascular disease in adulthood. Insulin resistance is a central mechanism of complications of obesity and is associated to body fat mass. Aim: To investigate insulin sensitivity and its association with anthropometric and metabolic variables in obese children. Patients and methods: We studied 314 children aged 6 to 15 years. Of these, 235 had a body mass index (BMI) over the 95 percentile for age and sex (classified as obese) and 79 had a normal body mass index; 161 were pre-pubescent and 153 were pubescent. Weight, height, percentage of total body fat (% TBF) using the sum of 4 skinfolds, blood pressure (BP), waist circumference (WC), basal glucose (Glu) and insulin (Ins) were measured. Insulin sensitivity (IS) was calculated with the homeostasis model assessment (HOMA) and QUICKI index. Serum lipids, postprandial Glu and Ins were measured only in obese children. Results: BMI, WC and % TBF had an inverse and significant correlation with basal IS (p <0.001). Obese children had higher BP, basal Ins, and HOMA and a lower QUICKI index, compared to normal weight children. A low basal IS was present in 58% of obese children. Obese children with low IS had higher WC, % TBF, triglycerides, total/HDL-cholesterol ratio, basal and 2-h post glucose Gli and Ins and lower HDL-cholesterol than obese children with normal IS. In prepubescent children, the risk of a low IS was 2.43 times higher with a TBF over 33%. In pubescent children, it was 2.92 times higher with a TBF over 37%. Conclusions: Low IS in prepubescent and pubescent obese children is associated with central obesity and a higher cardiovascular risk.

Atomic scale spin-dependent STM on magnetite using antiferromagnetic STM tips.

STM tips made from antiferromagnetic MnNi have been used to investigate the atomic structure of the (001) and (111) surfaces of Fe3O4. The clean (001) surface displays a ( radical2 x radical2)R45 degrees superlattice, which is attributed to charge-ordering on the surface, where Fe(2+)-Fe2+ and Fe(3+)-Fe3+ dimers can be discriminated. The oxygen-terminated (111) surface is characterized by a hexagonal superlattice with a periodicity of 42 A. Oxygen vacancies are observed in atomically resolved images of this superlattice. In the presence of an external magnetic field of 60 mT, a significant change in the atomic corrugation in the topmost oxygen layer around each of these defects is observed. The results on both (001) and (111) surfaces are discussed in terms of possible spin-polarized effects.

Phyllodes tumor in ectopic breast tissue of the vulva.

Phyllodes tumor arising from ectopic breast tissue of the vulva is an extremely rare occurrence. A case is reported in a 34-year-old nulligravida woman, presenting as a nodule on the left labium majus. A simple excision was carried out, and no recurrence has been detected after 18 months of follow-up.

[Carcinomatosis of the choroid plexus: clinical case and necropsy findings]. / Carcinomatosis de plexos coroideos: caso clínco y hallazgos necrópsicos.

INTRODUCTION: Carcinomas of the choroid plexus are a rare malignant variety of papillary tumours which originate in the choroid plexus. Their occurrence in adults has been questioned because of the difficulty in differentiating them from the metastases of adenocarcinomas. CLINICAL CASE AND CONCLUSIONS: We present the case of a 57 year old man with a rapidly progressive illness characterized by disorientation, behaviour changes and amnesia, progressive deterioration of the level of consciousness until he was in deep coma and died (all within one month). There was no clinical evidence of the presence of a primary extra-cranial tumour. On magnetic resonance there was obliteration of the ventricular system with a protein material and thickening and increased marking of the ependyma walls, compatible with ventriculitis. Necropsy, limited to the skull, showed the presence of a malignant infiltrating tumour with papillary morphology, which affected the choroid plexuses of the whole ventricular system, infiltrated the adjacent nervous tissue and extended to the leptomeninges. These findings suggest a differential diagnosis between carcinoma of the choroid plexus and metastatic meningeal carcinoma.

Valor del citodiagnóstico por biopsia aspirativa con aguja fina en los tumores

Se estudiaron 50 casos de la consulta externa de Cirugía-Patología del ISMM "Dr. Luis Díaz Soto", con enfermedad tumoral palpable, a los cuales se les realizó biopsia aspirativa con aguja fina; se corroboró en 27 pacientes el diagnóstico citológico con el hístico y se logró una sensibilidad del 100 porciento, un índice de eficacia del 96,15 porciento y un índice de utilidad del 94 porciento, lo que avala como método diagnóstico este proceder, por lo que se recomienda su uso sistemático en todos los casos de tumores palpables (AU)

Valor del citodiagnóstico por biopsia aspirativa con aguja fina en los tumores

Se estudiaron 50 casos de la consulta externa de Cirugía-Patología del ISMM "Dr. Luis Díaz Soto", con enfermedad tumoral palpable, a los cuales se les realizó biopsia aspirativa con aguja fina; se corroboró en 27 pacientes el diagnóstico citológico con el hístico y se logró una sensibilidad del 100 porciento, un índice de eficacia del 96,15 porciento y un índice de utilidad del 94 porciento, lo que avala como método diagnóstico este proceder, por lo que se recomienda su uso sistemático en todos los casos de tumores palpables (AU)