LAW Trial - The Impact of Local Anesthetics Infiltration in Surgical Wound for Gastrointestinal Procedures (LAW): A Double-Blind, Randomized Controlled Trial.

INTRODUCTION AND AIMS: Prior studies have suggested that infiltration of local anesthetics reduce the rate of surgical site infections (SSIs). Opioid usage has become an epidemic. Some analgesic modalities, such as epidural analgesia and transversus abdominis plane block are associated with shorter length of stay and lower opioid use. The aim of our study was to assess the relationship between local infiltration of bupivacaine with rates of SSI and pain control. MATERIALS AND METHODS: We conducted a prospective, double-blinded randomized controlled trial in patients who underwent open major gastrointestinal procedures from July 2016 to June 2017. Patients were divided into two groups based on administration of 0.5% bupivacaine (n = 30) (group 1) or placebo (n = 30) (control group). Outcomes evaluated were SSI, postoperative opioid requirements and pain scores. RESULTS: Patients in the bupivacaine group required a lower dose of epidural analgesia during the first 24 h (5.3 mcg/kg/h vs. 6.4 mcg/kg/h; p = 0.05). Opioid requirement was shorter in the bupivacaine group (3.5 ± 2.3 days vs. 5.7 ± 2.9 days; p = 0.01). No difference was found between groups in terms of SSI rates (0% vs. 6.7%, p = 0.49). CONCLUSIONS: There is no clear association between bupivacaine infiltration and reduction of SSI rate according to our study. Wound bupivacaine infiltration is associated with a lower dose of epidural infusion and opioid requirements.

Prevalencia de hipertensión arterial y factores de riesgo cardiovascular en una población rural expuesta al arsénico en Argentina / Prevalence of arterial hypertension and cardiovascular risk factors in a rural population exposed to arsenic in Argentina

RESUMEN Objetivos. Determinar la prevalencia de hipertensión arterial y factores de riesgo cardiovascular (FRC) en una población rural expuesta al arsénico (As) en el agua de consumo en la provincia de Tucumán, Argentina. Materiales y métodos. Participaron 352 habitantes adultos. Se midió el consumo de arsénico en agua de bebida y se evaluó la presión arterial, el tabaquismo, el consumo de alcohol de riesgo y perjudicial, la ingesta de sal, la actividad física, el índice de masa corporal, la glucemia y la dislipidemia. El riesgo cardiovascular fue calculado usando el score de Framingham. Resultados. Se dividió la población en Grupo Expuesto (GE) n=90 y Grupo No Expuesto (GNE) n=262. La prevalencia de hipertensión fue 48,9 y 51,1%; tabaquismo 31,1 y 39,7%; consumo de alcohol de riesgo 22,2 y 17,9%; perjudicial 36,6 y 36,6%; ingesta de sal 100 y 100%; actividad física 16,7 y 18,7%; sobrepeso 43,3 y 43,9%; obesidad 25,5 y 25,6%; diabetes 24,4 y 32,8%; y dislipidemia 58,9 y 66,4%. El score de riesgo bajo, moderado o alto fue 50; 21,1; y 28,9% para GE, y 54,6; 19,1 y 26,3% para GNE, respectivamente. Conclusiones. La exposición al As no afecta la prevalencia de FRC. Se identifica una población rural en situación de vulnerabilidad con elevados FRC. La Encuesta Nacional de Factores de Riesgo no refleja lo que ocurre en zonas rurales. La escala de Framingham concuerda con los FRC encontrados. Se requiere la implementación de políticas de promoción de salud que permita mejorar el pronóstico de sufrir eventos cardiovasculares a corto y mediano plazo.

ABSTRACT Objective. To determine the prevalence of arterial hypertension and cardiovascular risk factors (CRF) in a rural population exposed to arsenic (As) in drinking water in the province of Tucumán, Argentina. Materials and methods. A total of 352 adult inhabitants participated. Consumption of arsenic in drinking water was measured. Blood pressure, smoking, risk and harmful alcohol consumption, salt intake, physical activity, body mass index, glycemia and dyslipidemia were evaluated. Cardiovascular risk was calculated using the Framingham score. Results. The population was divided into Exposed Group (EG) n=90 and Non-Exposed Group (NEG) n=262. The prevalence of hypertension was 48.9 and 51.1% in each group, respectively; for smoking it was 31.1 and 39.7%; for risky alcohol consumption, 22.2 and 17.9%; for harmful alcohol consumption, 36.6 and 36.6%; for salt intake, 100 and 100%; for physical activity, 16.7 and 18.7%; for being overweight, 43.3 and 43.9%; for obesity, 25.5 and 25.6%; for diabetes, 24.4 and 32.8%; and for dyslipidemia, 58.9 and 66.4%. The scores for low, moderate, or high-risk were 50; 21.1; and 28.9% in the EG, and 54.6; 19.1 and 26.3% in the NEG, respectively. Conclusions. Exposure to As does not affect the prevalence of CRFs. We identified a rural population in a vulnerable condition with high CRFs. The National Risk Factor Survey does not reflect what happens in rural areas. The Framingham scale is consistent with the found CRFs. The implementation of health promotion policies is required to improve the prognosis of suffering cardiovascular events in the short and medium term.

Hidrometrocolpos neonatal: a propósito de un caso de difícil diagnóstico / Neonatal hydrometrocolpos: a clinical case of difficult diagnosis

RESUMEN El diagnóstico de las malformaciones fetales sigue siendo un reto para el ginecoobstetra, a pesar de los avances en medicina fetal y en tecnología ultrasonográfica. El hidrometrocolpos es una dilatación del útero y vagina por el acúmulo de secreciones, producto de una obstrucción genital usualmente asociada a malformaciones congénitas. Presentamos el caso de una recién nacida con hidrometrocolpos congénito, cuya sospecha diagnóstica en los estudios pélvicos fue de quistes de ovario, pero se debía al incremento de una hidronefrosis bilateral. Al nacimiento, se decidió descomprimir quirúrgicamente la vía urinaria, momento en el que se encontró el hidrometrocolpos asociado a himen imperforado.

ABSTRACT The diagnosis of fetal malformations continues to be a challenge for the obstetriciangynecologist, despite advances in fetal medicine and ultrasonographic technology. Hydrometrocolpos is a dilatation of the uterus and vagina due to accumulation of secretions, product of genital obstruction usually associated with congenital malformations. We present the case of a female newborn with congenital hydrometrocolpos, whose diagnostic suspicion in pelvic studies was ovarian cysts, but it was due to the increase of bilateral hydronephrosis. At birth, it was decided to surgically decompress the urinary tract, at which time hydrometrocolpos associated with imperforate hymen was found.

Prevalence of arterial hypertension and cardiovascular risk factors in a rural population exposed to arsenic in Argentina. / Prevalencia de hipertensión arterial y factores de riesgo cardiovascular en una población rural expuesta al arsénico en Argentina.

OBJECTIVE.: To determine the prevalence of arterial hypertension and cardiovascular risk factors (CRF) in a rural population exposed to arsenic (As) in drinking water in the province of Tucumán, Argentina. MATERIALS AND METHODS.: A total of 352 adult inhabitants participated. Consumption of arsenic in drinking water was measured. Blood pressure, smoking, risk and harmful alcohol consumption, salt intake, physical activity, body mass index, glycemia and dyslipidemia were evaluated. Cardiovascular risk was calculated using the Framingham score. RESULTS.: The population was divided into Exposed Group (EG) n=90 and Non-Exposed Group (NEG) n=262. The prevalence of hypertension was 48.9 and 51.1% in each group, respectively; for smoking it was 31.1 and 39.7%; for risky alcohol consumption, 22.2 and 17.9%; for harmful alcohol consumption, 36.6 and 36.6%; for salt intake, 100 and 100%; for physical activity, 16.7 and 18.7%; for being overweight, 43.3 and 43.9%; for obesity, 25.5 and 25.6%; for diabetes, 24.4 and 32.8%; and for dyslipidemia, 58.9 and 66.4%. The scores for low, moderate, or high-risk were 50; 21.1; and 28.9% in the EG, and 54.6; 19.1 and 26.3% in the NEG, respectively. CONCLUSIONS.: Exposure to As does not affect the prevalence of CRFs. We identified a rural population in a vulnerable condition with high CRFs. The National Risk Factor Survey does not reflect what happens in rural areas. The Framingham scale is consistent with the found CRFs. The implementation of health promotion policies is required to improve the prognosis of suffering cardiovascular events in the short and medium term.

OBJETIVOS.: Determinar la prevalencia de hipertensión arterial y factores de riesgo cardiovascular (FRC) en una población rural expuesta al arsénico (As) en el agua de consumo en la provincia de Tucumán, Argentina. MATERIALES Y MÉTODOS.: Participaron 352 habitantes adultos. Se midió el consumo de arsénico en agua de bebida y se evaluó la presión arterial, el tabaquismo, el consumo de alcohol de riesgo y perjudicial, la ingesta de sal, la actividad física, el índice de masa corporal, la glucemia y la dislipidemia. El riesgo cardiovascular fue calculado usando el score de Framingham. RESULTADOS.: Se dividió la población en Grupo Expuesto (GE) n=90 y Grupo No Expuesto (GNE) n=262. La prevalencia de hipertensión fue 48,9 y 51,1%; tabaquismo 31,1 y 39,7%; consumo de alcohol de riesgo 22,2 y 17,9%; perjudicial 36,6 y 36,6%; ingesta de sal 100 y 100%; actividad física 16,7 y 18,7%; sobrepeso 43,3 y 43,9%; obesidad 25,5 y 25,6%; diabetes 24,4 y 32,8%; y dislipidemia 58,9 y 66,4%. El score de riesgo bajo, moderado o alto fue 50; 21,1; y 28,9% para GE, y 54,6; 19,1 y 26,3% para GNE, respectivamente. CONCLUSIONES.: La exposición al As no afecta la prevalencia de FRC. Se identifica una población rural en situación de vulnerabilidad con elevados FRC. La Encuesta Nacional de Factores de Riesgo no refleja lo que ocurre en zonas rurales. La escala de Framingham concuerda con los FRC encontrados. Se requiere la implementación de políticas de promoción de salud que permita mejorar el pronóstico de sufrir eventos cardiovasculares a corto y mediano plazo.

Distribución espacial, estructura social y amenazas de conservación de una pequeña comunidad de delfines nariz de botella, Tursiops trunca (Odontoceti: Delphinidae) en Ecuador

Una comunidad residente de bufeos costeros Tursiops truncatus ha sido estudiada de manera intermitente entre 2005 y 2018 en la punta de la península de Santa Elena, Ecuador (2°11' S & 81°0.7' W). Avistamientos oportunistas y dirigidos desde la playa y abordo de un bote con motor fuera de borda se realizaron a lo largo de 40 km de costa, contabilizándose un esfuerzo de 917.2 km de seguimiento en automóvil desde tierra y 707.4 km en bote por mar. El tamaño grupal promedio fue 5.31 delfines/grupo (SD = 1.97, rango 1-10), sin cambios significativos a lo largo del estudio. Desde tierra el tamaño grupal fue subestimado en promedio en 32 %. Esta comunidad de bufeos tiene actualmente solo nueve individuos, incluyendo seis adultos, un inmaduro y dos crías, siendo la comunidad más pequeña encontrada en el golfo de Guayaquil. La tasa de encuentro varió entre 0.03 delfines/km en la parte noroeste y 0.31 delfines/km en la parte sur, donde los delfines concentran sus actividades, posiblemente porque las actividades humanas ahí son menos intensas. Los delfines se distribuyeron generalmente entre los primeros 200 m de la orilla llegando hasta 1 200 m en la parte norte donde la profundidad es menor y las actividades portuaria y turística más intensas. La velocidad de los delfines fue significativamente más alta cuando fueron seguidos desde un bote a corta distancia (5.87 km/h) que cuando fueron monitoreados desde tierra (2.9 km/h) (P < 0.01), lo cual sugiere que el seguimiento en bote tuvo un impacto sobre el movimiento de los delfines. Un análisis clúster jerárquico mostró que los delfines tienen altos índices de asociación entre ellos (promedio 0.67, rango 0.01-1.0), indicando que es una comunidad altamente cohesionada. Adicionalmente muestran un alto nivel de residencia (índice de ocurrencia promedio de 0.62). Durante el estudio se identificaron dos amenazas principales, una pesquería con redes agalleras en la parte suroeste y un intenso tráfico de botes pesqueros en la parte noroeste. La mayoría del área de estudio actualmente es parte de un área costero-marina protegida creada en 2008, lo cual ofrece una oportunidad para la recuperación de esta comunidad de delfines. Debido a su fragilidad, se recomienda a las autoridades ambientales, entre otras cosas, eliminar potenciales fuentes de amenaza para los delfines como las redes de pesca, implementar un área de exclusión para artes de pesca y tráfico de botes pesqueros de 1 km de ancho desde la orilla y limitar la velocidad de todo tipo de embarcación a 10 nudos dentro del área protegida.

A resident community of bottlenose dolphins (Tursiops truncatus) has been studied irregularly between 2005 and 2018 around the tip of the Santa Elena Peninsula, Ecuador (2°11' S & 81°0.7' W). Opportunistic sightings and systematic surveys from the beach and at sea were carried out along 40 km of coast, accounting for 917.2 km of tracking by car from land and 707.4 km of boat tracking by sea. Average group size was 5.31 dolphins/group (SD = 1.97, range 1-10), with no significant changes throughout the study period. From land, however, the group size was underestimated 32 % on the average. This small bottlenose dolphin community currently has only nine individuals, including six adults, one immature and two calves, and is the smallest community within the Gulf of Guayaquil. The encounter rate ranged between 0.03 dolphins/km in the northwestern part and 0.32 dolphins/km in the South, where dolphins concentrate their activities, possibly because human activities are less intense there. Dolphins were generally distributed in the first 200 m from the shore, reaching up to 1 200 m in the Northern shallower part and where port and tourist activities concentrate. The dolphins' speed was significantly higher when they were followed from a boat at close range (5.87 km/h) than when they were monitored from the beach (2.9 km/h) (P < 0.01), which suggests that boat tracking had an effect on dolphin´s movements. Pairwise cluster analysis showed that animals from this community show high rates of association among each other (average 0.67, range 0.01-1.0), indicating that is a highly cohesive community. Dolphins also showed high level of residence (average occurrence index = 0.62). During the study, two main threats were identified, a gillnet fishery in the Southwestern part and an intense fishing boat traffic in the Northwestern. Most of the study area is currently part of a coastal-marine protected area created in 2008, which offers an opportunity for the recovery and conservation of this dolphin community. Given its fragility, we recommend the environmental authorities to address potential threats for this dolphin community by eliminating gillnets, implementing an exclusion zone for fishing gear and boat traffic of 1 km width from the shore and limit the speed of any type of vessel to 10 knots within the reserve.

Role of social behaviour in the epidemiology of lobomycosis-like disease (LLD) in estuarine common bottlenose dolphins from Ecuador.

Lobomycosis-like disease (LLD) is a chronic granulomatous skin disorder that affects Delphinidae worldwide. LLD has been observed in common bottlenose dolphins Tursiops truncatus from the Gulf of Guayaquil, Ecuador, since 1990. Although exogenous factors such as salinity and pollution may play a role in the pathogenesis of this disease in estuarine and coastal dolphin communities, we hypothesized that demography and social behaviour may also influence its epidemiology. To address this issue, the role of social behaviour in the distribution and prevalence of LLD was assessed through hierarchical cluster analysis and spatial distribution analysis in 7 dolphin communities inhabiting the inner estuary. Individuals with LLD lesions were observed in 5 of the 7 dolphin communities, with 13 of the 163 (8%) animals being positive, all adults. Among 8 dolphins of known sex, LLD affected mostly males (86%), who usually were found in pairs. Prevalence was low to moderate (5.1-13%) in dolphin communities where low-rank males had LLD. Conversely, it was high (44.4%, n = 9) in a small community where a high-rank male was infected. LLD affected both dolphins in 2 of the 4 male pairs for which large time series data were available, suggesting horizontal transmission due to contact. Thus, association with LLD-positive males seems to be an important risk factor for infections. Additionally, low-rank males had larger home ranges than high-rank males, indicating that low-status LLD-affected dolphins are likely responsible for the geographic dissemination of the disease in this population.

Pancreatitis aguda durante el embarazo secundaria a dislipidemia mixta. Reporte de un caso / Acute pancreatitis during pregnancy secondary to mixed dyslipidemia. Case report / Pancreatite aguda durante a gestação secundária a dislipidemia mista. Relato de caso

Resumen: Femenino de 16 años que cursaba con un embarazo de 17 semanas de gestación al momento de su ingreso al hospital; refería dolor intenso en el epigastrio posterior a transgresión alimentaria, acompañado de náusea, que llegaba a la emesis de contenido gastroalimentario; era portadora de diabetes mellitus tipo 1, además de antecedentes de pancreatitis aguda grave secundaria a hiperlipidemia a los 14 años, apendicetomía a los 15 años e infección de vías urinarias en el primer trimestre; se realizaron paraclínicos con resultados relevantes, a razón de leucocitos 15,600, amilasa 1,117 U/L, lipasa 1,200 U/L, suero lipémico ++++, triglicéridos 2,840, colesterol 705, HDL 20 U/L, DHL 289 U/L, TGO 14 U/L, TGP 6 U/L, FA 60 U/L y bilirrubina total 0.5 pg/dL, con lo cual se llegó al diagnóstico de pancreatitis aguda secundaria a dislipidemia mixta. Dado que se realizaron estudios de laboratorio en los hermanos y la rama femenil fue positiva, con elevación de colesterol y triglicéridos, concluimos que se trataba de una dislipidemia familiar combinada, lo que motivó su publicación.

Abstract: Sixteen-year-old female, with a 17-week pregnancy at the time of admission to the hospital; she referred epigastric pain after food transgression, accompanied by nausea, which reached emesis with gastro-alimentary content ; she had diabetes mellitus 1 plus a history of severe acute pancreatitis secondary to hyperlipidemia at age 14, appendectomy at age 15 and a urinary tract infection in the first trimester; paraclinical tests were performed, with the following relevant results: leukocytes 15,600, amylase 1,117, lipase 1,200, lipemic serum ++++, triglycerides 2,840, cholesterol 705, HDL 20, DHL 289, SGOT 14, SGPT 6, FA 60 and total bilirubin 0.5 pg/dL, which led to the diagnosis of acute pancreatitis secondary to mixed dyslipidemia. Laboratory tests were performed in her siblings and the female branch was positive, with elevation of cholesterol and triglycerides; therefore we concluded that it was a familial combined dyslipidemia, which motivated its publication.

Resumo: Feminino de 16 anos com 17 SDG no momento da internação, referindo dor epigástrica após transgressão alimentar acompanhada de náusea e emese de conteúdo gastroalimentario, portadora de DM tipo 3 e antecedente de pancreatite aguda grave secundária a hiperlipidemia aos 14 anos; além de história de pancreatite aguda grave secundária a hiperlipidemia aos 14 anos, apendicectomia aos 15 anos e infecção do trato urinário no primeiro trimestre; foram realizados estudos pré-clínicos com resultados relevantes na proporção de leucócitos 15.600, amilase 1117, lipase 1200, soro lipêmico ++++, triglicerídeos 2840, colesterol 705, HDL 20, DHL 289, TGO 14, TGP 6, FA 60 e bilirrubina total 0.5 pg/dL, o que levou ao diagnóstico de pancreatite aguda secundária a dislipidemia mista e o estudo laboratorial realizado em irmãos permanece positivo na rama feminina da família. Concluímos que é uma dislipidemia familiar combinada, motivo de sua publicação.

Validity and reliability of the kiddie schedule for affective disorders and schizophrenia present and lifetime version DSM-5 (K-SADS-PL-5) Spanish version.

BACKGROUND: There are various language adaptations of the Schedule for Affective Disorders and Schizophrenia for School Age Children Present and Lifetime Version (K-SADS-PL). In order to comply with the changes in DSM classification, the Spanish edition of the interview was in need of update and evaluation. METHODS: K-SADS-PL was adapted to correspond to DSM-5 categories. All clinicians received training, and a 90% agreement was reached. Patients and their parents or guardians were interviewed and videotaped, and the videos were exchanged between raters. Factor analysis was performed and inter-rater reliability was calculated only in the case of diagnoses in which there were more than five patients. RESULTS: A total of 74 subjects were included. The Factor Analysis yielded six factors (Depressive, Stress Hyperarousal, Disruptive Behavioral, Irritable Explosive, Obsessive Repetitive and Encopresis), representing 72% of the variance. Kappa values for inter-rater agreement were larger than 0.7 for over half of the disorders. CONCLUSIONS: The factor structure of diagnoses, made with the instrument was found to correspond to the DSM-5 disorder organization. The instrument showed good construct validity and inter-rater reliability, which makes it a useful tool for clinical research studies in children and adolescents.

Genetic divergence and fine scale population structure of the common bottlenose dolphin (Tursiops truncatus, Montagu) found in the Gulf of Guayaquil, Ecuador.

The common bottlenose dolphin, Tursiops truncatus, is widely distributed along the western coast of South America. In Ecuador, a resident population of bottlenose dolphins inhabits the inner estuarine area of the Gulf of Guayaquil located in the southwestern part of the country and is under threat from different human activities in the area. Only one genetic study on South American common bottlenose dolphins has been carried out to date, and understanding genetic variation of wildlife populations, especially species that are identified as threatened, is crucial for defining conservation units and developing appropriate conservation strategies. In order to evaluate the evolutionary link of this population, we assessed the phylogenetic relationships, phylogeographic patterns, and population structure using mitochondrial DNA (mtDNA). The sampling comprised: (i) 31 skin samples collected from free-ranging dolphins at three locations in the Gulf of Guayaquil inner estuary, (ii) 38 samples from stranded dolphins available at the collection of the "Museo de Ballenas de Salinas," (iii) 549 mtDNA control region (mtDNA CR) sequences from GenBank, and (iv) 66 concatenated sequences from 7-mtDNA regions (12S rRNA, 16S rRNA, NADH dehydrogenase subunit I-II, cytochrome oxidase I and II, cytochrome b, and CR) obtained from mitogenomes available in GenBank. Our analyses indicated population structure between both inner and outer estuary dolphin populations as well as with distinct populations of T. truncatus using mtDNA CR. Moreover, the inner estuary bottlenose dolphin (estuarine bottlenose dolphin) population exhibited lower levels of genetic diversity than the outer estuary dolphin population according to the mtDNA CR. Finally, the estuarine bottlenose dolphin population was genetically distinct from other T. truncatus populations based on mtDNA CR and 7-mtDNA regions. From these results, we suggest that the estuarine bottlenose dolphin population should be considered a distinct lineage. This dolphin population faces a variety of anthropogenic threats in this area; thus, we highlight its fragility and urge authorities to issue prompt management and conservation measures.

Construct validity and parent-child agreement of the six new or modified disorders included in the Spanish version of the Kiddie Schedule for Affective Disorders and Schizophrenia present and Lifetime Version DSM-5 (K-SADS-PL-5).

Changes to the Diagnostic and Statistical Manual of Mental Disorders fifth edition (DSM-5) incorporate the inclusion or modification of six disorders: Autism Spectrum Disorder, Social Anxiety Disorder, Intermittent Explosive Disorder, Disruptive Mood Dysregulation Disorder, Avoidant/Restrictive Food Intake Disorder and Binge Eating Disorder. The objectives of this study were to assess the construct validity and parent-child agreement of these six disorders in the Spanish language Schedule for Affective Disorders and Schizophrenia for School Age Children Present and Lifetime Version (K-SADS-PL-5) in a clinical population of children and adolescents from Latin America. The Spanish version of the K-SADS-PL was modified to integrate changes made to the DSM-5. Clinicians received training in the K-SADS-PL-5 and 90% agreement between raters was obtained. A total of 80 patients were recruited in four different countries in Latin America. All items from each of the six disorders were included in a factor analysis. Parent-child agreement was calculated for every item of the six disorders, including the effect of sex and age. The factor analysis revealed 6 factors separately grouping the items defining each of the new or modified disorders, with Eigenvalues greater than 2. Very good parent-child agreements (r>0.8) were found for the large majority of the items (93%), even when considering the sex or age of the patient. This independent grouping of disorders suggests that the manner in which the disorders were included into the K-SADS-PL-5 reflects robustly the DSM-5 constructs and displayed a significant inter-informant reliability. These findings support the use of K-SADS-PL-5 as a clinical and research tool to evaluate these new or modified diagnoses.

Low prevalence of microplastic contamination in planktivorous fish species from the southeast Pacific Ocean.

The gut contents of 292 planktivorous fish, from four families (Atherinopsidae, Clupeidae, Engraulidae and Scombridae) and seven species, captured along the coast of the southeast Pacific, were examined for microplastic contamination. Only a small fraction of all studied fish (2.1%; 6 individuals) contained microplastic particles in their digestive tract. Microplastics found were degraded hard fragments and threads, ranging from 1.1 to 4.9 (3.8±SD 2.4) mm in length, and of various colours, which suggests that the planktivorous fish species examined herein did not capture microplastics on the basis of their colour. The low prevalence of microplastic contamination in planktivorous fishes found in this study suggests that the risk of accidental ingestion by these species might be limited in the coastal upwelled waters of the southeast Pacific, perhaps due to small human population and highly dynamic oceanographic processes.

Mapping wildfire vulnerability in Mediterranean Europe. Testing a stepwise approach for operational purposes.

Vulnerability assessment is a vital component of wildfire management. This research focused on the development of a framework to measure and map vulnerability levels in several areas within Mediterranean Europe, where wildfires are a major concern. The framework followed a stepwise approach to evaluate its main components, expressed by exposure, sensitivity and coping capacity. Data on population density, fuel types, protected areas location, roads infrastructure and surveillance activities, among others, were integrated to create composite indices, representing each component and articulated in multiple dimensions. Maps were created for several test areas, in northwest Portugal, southwest Sardinia in Italy and northeast Corsica in France, with the contribution of local participants from civil protection institutions and forest services. Results showed the influence of fuel sensitivity levels, population distribution and protected areas coverage for the overall vulnerability classes. Reasonable levels of accuracy were found on the maps provided through the validation procedure, with an overall match above 72% for the several sites. The systematic and flexible approach applied allowed for adjustments to local circumstances with regards to data availability and fire management procedures, without compromising its consistency and with substantial operational capabilities. The results obtained and the positive feedback of end-users encourage its further application, as a means to improve wildfire management strategies at multiple levels with the latest scientific outputs.

Qualidade de vida de imigrantes brasileiras vivendo em Portugal / Quality of life of Brazilian immigrant women living in Portugal

RESUMO O artigo teve como objetivo avaliar a Qualidade de Vida (QV) de brasileiras vivendo em Portugal. O 'Medical Outcomes Study: 36-Item Short Form Survey' (SF-36) e um questionário sociodemográfico foram aplicados à amostra de 682 brasileiras maiores de 18 anos. Verificou-se que a média dos preditores de QV foi superior para a dimensão 'capacidade funcional'; enquanto as dimensões 'aspectos emocionais', 'saúde mental' e 'vitalidade' apresentaram valores menores. Constatou-se que os processos da migração e da QV constituem pauta de investigação contínua para a promoção da saúde no país de acolhimento.

ABSTRACT This article aims to evaluates the Quality of Life (QoL) of Brazilian women living in Portugal. The 'Medical Outcomes Study: 36-Item Short Form Survey' (SF-36) and a sociodemographic questionnaire were applied to the sample of 682 Brazilian women over 18 years old. The average values for the predictors of QoL were higher for the dimension 'functional capacity'; whereas 'emotional aspects', 'mental health', and 'vitality' showed lower values. It was found that the processes of migration and QoL constitute an agenda of continuous research for health promotion in the hosting country.

Epidemiology of lobomycosis-like disease in bottlenose dolphins Tursiops spp. from South America and southern Africa.

We report on the epidemiology of lobomycosis-like disease (LLD), a cutaneous disorder evoking lobomycosis, in 658 common bottlenose dolphins Tursiops truncatus from South America and 94 Indo-Pacific bottlenose dolphins T. aduncus from southern Africa. Photographs and stranding records of 387 inshore residents, 60 inshore non-residents and 305 specimens of undetermined origin (inshore and offshore) were examined for the presence of LLD lesions from 2004 to 2015. Seventeen residents, 3 non-residents and 1 inshore dolphin of unknown residence status were positive. LLD lesions appeared as single or multiple, light grey to whitish nodules and plaques that may ulcerate and increase in size over time. Among resident dolphins, prevalence varied significantly among 4 communities, being low in Posorja (2.35%, n = 85), Ecuador, and high in Salinas, Ecuador (16.7%, n = 18), and Laguna, Brazil (14.3%, n = 42). LLD prevalence increased in 36 T. truncatus from Laguna from 5.6% in 2007-2009 to 13.9% in 2013-2014, albeit not significantly. The disease has persisted for years in dolphins from Mayotte, Laguna, Salinas, the Sanquianga National Park and Bahía Málaga (Colombia) but vanished from the Tramandaí Estuary and the Mampituba River (Brazil). The geographical range of LLD has expanded in Brazil, South Africa and Ecuador, in areas that have been regularly surveyed for 10 to 35 yr. Two of the 21 LLD-affected dolphins were found dead with extensive lesions in southern Brazil, and 2 others disappeared, and presumably died, in Ecuador. These observations stress the need for targeted epidemiological, histological and molecular studies of LLD in dolphins, especially in the Southern Hemisphere.

Acidentes com hipoclorito de sódio em Endodontia: revisão bibliográfica de casos clínicos / Accidents with sodium hypochlorite in Endodontics: A literature review of clinical cases

O enfrentamento da infecção microbiana e o desbravamentoda complexidade do sistema de canais radiculares(SCR), são os desafios da Endodontia. O aperfeiçoamentodas técnicas de preparo e irrigação, incluindo abusca do irrigante ideal, permite ao dentista proporcionarum atendimento eficiente e indolor. Essa revisão deliteratura comprova a aceitação do hipoclorito de sódio,como irrigante intracanal, por considerável parcela dosdentistas, seja por sua propriedade antimicrobiana, dedissolução de tecido orgânico ou por seu baixo custo.Por outro lado, mostrou-nos a ocorrência de diversassituações não desejadas, quando de seu uso. Encontramosrelatos de simples descoramento de vestimentas,porém também nos foi mostrado o óbito de um paciente.Situações induzidas pela ação deletéria da solução dehipoclorito de sódio, não restrita ao interior do SCR, nosobrigam a adotar medidas que minimizem a possibilidadedestes acontecimentos. Saber agir caso ocorram, écondição sine qua non para o bom desenvolvimento daterapia endodôntica.

Implicit and explicit attitudes among students / Actitudes implícitas y explícitas en estudiantes

Los procesos mentales y la experiencia mental no son la misma cosa. Los primeros son las operaciones de la mente, la otra es la vida subjetiva que emerge de dichas operaciones. En la evaluación social, las actitudes implícitas y explícitas expresan esta distinción. El sitio https://implicit.harvard.edu fue creado para ofrecer experiencia con la Prueba de Asociación Implícita (IAT por sus siglas en inglés), un procedimiento diseñado para medir el conocimiento social que puede operar por fuera de la conciencia. En este trabajo examinamos las relaciones entre el IAT y medidas explícitas. 143 estudiantes de la Universidad de Porto completaron medidas para este estudio. Los resultados muestran que: a) las preferencias implícitas son penetrantes, y b) las actitudes implícitas se relacionan débilmente.

Mental processing and mental experience is not the same thing. The former is the operation of the mind; the latter is the subjective life that emerges from these operations. In social evaluation, implicit and explicit attitudes express this distinction. https://implicit.harvard.edu/ was created to provide experience with the Implicit Association Test (IAT) a procedure designed to measure social knowledge that may operate outside of awareness. In this paper we examined the relationships between the Implicit Association Test, and explicit measures. One hundred and forty three Psychology college students from University of Porto completed measures for this study. Results suggest that (a) implicit preferences are pervasive, and (b) implicit and explicit attitudes are weakly related.

Epidemiological pattern of tattoo skin disease: a potential general health indicator for cetaceans.

The presence of tattoo skin disease (TSD) was examined in 1392 free-ranging and dead odontocetes comprising 17 species from the Americas, Europe, South Africa, New Zealand and Greenland. We investigated whether TSD prevalence varied with sex, age and health status. TSD was encountered in cetaceans from the Pacific and Atlantic Oceans as well as in those from the North, Mediterranean and Tasman Seas. No clear patterns related to geography and host phylogeny were detected, except that prevalence of TSD in juveniles and, in 2 species (dusky dolphin Lagenorhynchus obscurus and Burmeister's porpoise Phocoena spinipinnis), in adults was remarkably high in samples from Peru. Environmental factors and virus properties may be responsible for this finding. Sex did not significantly influence TSD prevalence except in the case of Peruvian P. spinipinnis. Generally, there was a pattern of TSD increase in juveniles compared to calves, attributed to the loss of maternal immunity. Also, in most samples, juveniles seemed to have a higher probability of suffering TSD than adults, presumably because more adults had acquired active immunity following infection. This holo-endemic pattern was inverted in poor health short-beaked common dolphins Delphinus delphis and harbour porpoises Phocoena phocoena from the British Isles, and in Chilean dolphins Cephalorhynchus eutropia from Patagonia, where adults showed a higher TSD prevalence than juveniles. Very large tattoos were seen in some adult odontocetes from the SE Pacific, NE Atlantic and Portugal's Sado Estuary, which suggest impaired immune response. The epidemiological pattern of TSD may be an indicator of cetacean population health.

Spondylitis in a humpback whale (Megaptera novaeangliae) from the southeast Pacific.

A 7.25 m long male humpback whale (Megaptera novaeangliae) with spondylitis was found beached on August 13, 1994 at Ancon, Ecuador (2 degrees 23' S, 80 degrees 47' W). The condition involved at least 11 vertebrae, 7 lumbar (L4 to L11) and 4 caudal (Ca1 to Ca4). Partial fusion of vertebrae was observed as a result of intervertebral bony proliferation, likely impeding full motion. The relatively young age of this specimen and the severity of the deformities suggest an infectious, rather than degenerative, process. The gross findings are most consistent with some type of spondyloarthritis. Although this condition has previously been identified in a number of cetacean species, the pathogenesis, population impact and ecologic implications have not been fully assessed. This is the third case described for humpback whales and the first for a humpback whale from the SE Pacific.

Incidencias de la hernia hiatal en una población con sintomatología digestiva alta

Se hace una revisión bibliográfica sobre la hernia hiatal y se comparan los resultados obtenidos en 500 pacientes a los cuales se les realizó estudio de estómago y duodeno con maniobra de valsalva Trendelenburg. Todos los pacientes estudiados presentaron sintomatología digestiva alta, se tomaron una serie de datos como: edad, sexo, raza y biotipo. Los resultados obtenidos demuestran que en nuestro medio es menos frecuente la hernia hiatal, que los obtenidos por otros autores(AU)