The impact of Benevolent Childhood Experiences on adult Flourishing: the mediating role of Light Triad traits.

The literature has well documented the relationship between Adverse Childhood Experiences, personality traits, and well-being. However, less is known about how Benevolent Childhood Experiences (BCEs) relate to "light" personality traits and Flourishing. The study analyzed the effects of BCEs on Flourishing, considering the mediator role of Light Triad traits (Kantianism, Humanism, and Faith in Humanity). The study used a quantitative methodology with a non-experimental, cross-sectional design; 410 Honduran adults responded to the survey, including questions regarding Light Triad personality traits, Flourishing, and BCEs. On average, respondents reported 7.34 BCEs. The number of reported BCEs did not vary significantly between men and women. However, specific BCEs were categorically associated with subjects' sex. A higher proportion of men reported having at least one teacher who cared about the respondent, having opportunities to have a good time, and liking/feeling comfortable with oneself. Flourishing was significantly higher for participants who reported the presence of BCEs. The largest effect size was achieved for the difference in Flourishing scores between those who reported liking school as a child and those who disliked it. The number of Benevolent Childhood Experiences had a significant total and direct effect on Flourishing scores. Significant indirect effects were also identified. Faith in Humanity and Humanism, not Kantianism, mediated the relationship between BCEs and Flourishing. BCEs significantly explained all Light Triad traits. In conclusion, BCEs have significant direct and indirect effects on adult Flourishing; Faith in Humanity and Humanism mediate this relationship.

Differences in pacemaker programming between electrophysiology specialists and other physicians.

BACKGROUND: Appropriate programming of cardiovascular implantable electronic devices (CIED) is essential to ensure adequate function and avoid harmful effects. In underdeveloped countries, CIED monitoring and programming are often performed by physicians involved in their implantation. However, many of them often do not have sufficient training in CIED programming. OBJECTIVE: We aimed to assess the differences in pacemaker programming between electrophysiology (EP) specialists and other physicians. METHODS: We retrospectively reviewed changes in pacemaker programming performed by an EP specialist in patients who attended for pacemaker evaluation and reported previous follow-ups by a non-EP specialist. RESULTS: Among 58 patients (26 males), 41 patients (71%) had programming errors and required setting modifications. The rate adaptative pacing function (R-mode) was incorrectly deactivated in 9 patients (15%) and improperly activated in 2 patients (3%). Unnecessary ventricular stimulation was detected in 23 patients (40%) with a pacing burden of 60% (32-95%). The lower rate limit was unnecessarily high in 12 patients (21%). Atrial or ventricular pacing output was inappropriate in 15 patients (26%) and was consequently modified (4 patients unnecessarily high, 9 patients below requirements). The auto-adapted pacing output was switched off in 17 of 18 patients (16 due to physician's preference, and 1 due to algorithm inaccuracy). The programmed sensitivity was inaccurate in 2 patients (3%). In 2 patients (3%) switching from DDDR to VVIR mode was required. CONCLUSION: We found a high prevalence of errors in pacemaker programming by non-EP specialists. An EP specialist should always be responsible for CIED follow-up.

Incidental neuroendocrine tumor of a complete subserosal appendix: an unusual presentation of a rare anatomical variation. A case report and review of literature.

BACKGROUND: Appendix' anatomical variations are a rare occurrence which can mislead diagnosis and delay appropriate treatment. CASE PRESENTATION: We present a 9-year-old female patient that came with a clinical picture compatible with acute appendicitis. However, a cecal mass was identified instead of an inflamed appendix during surgery. Therapeutic decisions were extremely challenging due to clinical deterioration and an uncertain etiology. Only the histopathology report revealed the presence of a complete subserosal appendix which was responsible for the entire symptomatology. Here, we review all case reports regarding intramural, intracecal or subserosal appendixes. A discussion of the general approach to this specific case and the importance of consensual diagnostic criteria for these specimens are also presented. At last, an incidental finding is exposed and final treatment options are discussed given the overall presentation. CONCLUSIONS: Considering these variants would guide physicians towards a more accurate approach to similar clinical pictures and hence an improved long-term prognosis.

Las agregaciones de desove de Tylosurus pacificus (Beloniformes: Belonidae) y su pesca en el Parque Nacional Natural Utría (Pacífico colombiano) / Spawning aggregations of Tylosurus pacificus (Beloniformes: Belonidae) and their fishery in Utría Park, Colombian Pacific

ResumenAlgunas especies de peces marinos tienen complejas relaciones con los ecosistemas costeros durante sus periodos reproductivos, tal es el caso del pez aguja Tylosurus pacificus, que conforma agregaciones de desove en playas de grava en el Parque Nacional Natural Utría. Se describe la actividad pesquera y algunos aspectos de la biología reproductiva de T. pacificus y se proponen algunas medidas para mitigar el impacto sobre este evento y los procesos ecológicos asociados. Se realizó un monitoreo pesquero entre abril 2008 y febrero 2009 en el Parque Nacional Natural Utría (PNNU), Pacífico colombiano. Se analizaron los volúmenes de captura, estructura por talla, proporción de sexos y fecundidad (n= 84). La longitud total osciló entre 60.5 cm y 104 cm con una media y desviación estándar de 85.35 ± 9.09 cm. La fecundidad promedio fue 189 685.56 ovocitos por gónada, con una moda de 8 mm de diámetro y un desarrollo gonadal asincrónico. La especie desova en forma colectiva en la playa cuando la marea alcanza el nivel más alto durante la luna llena y nueva, generalmente al anochecer. Pescadores que habitan los pueblos cercanos aprovechan este recurso, durante la agregación reproductiva de la especie. Es importante ampliar el estudio de la reproducción de T. pacificus y los procesos ecológicos asociados a su desove para poder dar un aprovechamiento adecuado y garantizar la sostenibilidad de su pesquería a largo plazo.

Abstract:Some species of marine fish have complex relationships with coastal ecosystems during their reproductive periods, as the needle fish Tylosurus pacificus that forms spawning aggregations in gravel beaches in Utría Park. We described fishery and some aspects of the reproductive biology of T. pacificus and proposed some strategies to mitigate the impact of this event and associated ecological processes. Fisheries monitoring were conducted between April 2008 and February 2009 in the Utría National Park, Colombian Pacific. Catch volumes, length structure, sex ratio and fecundity (n= 84) were analyzed. The total length ranged among 60.5 and 104 cm with a mean and standard deviation of 85.35 ± 9.09 cm. The average fertility of oocytes per gonad was 189 685.56, with a mode of 8 mm diameter and an asynchronous gonadal development. This species spawns collectively on the beach when the tide reaches the highest level during full and new moon, usually in the evening. Fishermen of a near town take advantage of the spawning aggregation of this species. The reproduction study of T. pacificus and ecological processes associated with their spawning, should be expanded to give adequate use, and ensure the sustainability of their fishery over the long term. Rev. Biol. Trop. 65 (1): 77-87. Epub 2017 March 01.

[Spawning aggregations of Tylosurus pacificus (Beloniformes: Belonidae) and their fishery in Utría Park, Colombian Pacific]. / Las agregaciones de desove de Tylosurus pacificus (Beloniformes: Belonidae) y su pesca en el Parque Nacional Natural Utría (Pacífico colombiano).

Some species of marine fish have complex relationships with coastal ecosystems during their reproductive periods, as the needle fish Tylosurus pacificus that forms spawning aggregations in gravel beaches in Utría Park. We described fishery and some aspects of the reproductive biology of T. pacificus and proposed some strategies to mitigate the impact of this event and associated ecological processes. Fisheries monitoring were conducted between April 2008 and February 2009 in the Utría National Park, Colombian Pacific. Catch volumes, length structure, sex ratio and fecundity (n= 84) were analyzed. The total length ranged among 60.5 and 104 cm with a mean and standard deviation of 85.35 ± 9.09 cm. The average fertility of oocytes per gonad was 189 685.56, with a mode of 8 mm diameter and an asynchronous gonadal development. This species spawns collectively on the beach when the tide reaches the highest level during full and new moon, usually in the evening. Fishermen of a near town take advantage of the spawning aggregation of this species. The reproduction study of T. pacificus and ecological processes associated with their spawning, should be expanded to give adequate use, and ensure the sustainability of their fishery over the long term.

Escores de cálcio coronariano na prática clínica / Coronary calcium scores in clinical practice

A doença cardiovascular representa hoje a principal causa de morte em todo o mundo. A redução do número de mortes cardiovasculares é um dos principais pilares na política de saúde pública no Brasil, visto o ônus orçamentário que a doença e suas consequencias trazem ao sistema único de saúde. A identificação de pacientes assintomáticos de alto risco cardiovascular, deve ser prioridade na prática clínica. No entanto, o uso dos tradicionais fatores de risco cardiovasculares são insuficiente para tal, deixando de identificar uma parte significativa da população que se beneficiaria da aplicação de medidas farmacológicas e não farmacológicas...

[Reproductive biology of Lutjanus guttatus (Perciformes: Lutjanidae) in Utria National Park, Colombian Pacific]. / Biologia reproductiva de Lutjanus guttatus (Perciformes: Lutjanidae) en el Parque Nacional Natural Utria, Pacifico Colombiano.

Protected areas are important for natural population conservation since they work as refuge, feeding and breeding areas, where specimens should be exempt from human pressure. The generation of better criteria for management decisions and conservation of fishery resources, is based on the reproductive aspects of species that support fishing activities, since this information is related to the abundance, size and frequency of capture. With this aim, the reproductive biology of the spotted snapper Lutjanus guttatus was studied from April 2008 and February 2009 at the Utría National Park, Colombian Pacific. For this, we analyzed the volume of catch, size structure, sex ratio, fecundity, maturity size, breeding areas and seasons (n = 278), of daily landings of 21 units of artisanal fisheries in ten fishing grounds in the Park. Form all landings, we evaluated a total of 4319 individuals belonging to 84 species. Based on the number of individuals, Lutjanus guttatus ranked third in catches representing 6.4% (278 individuals), and 16th with 1.8% (95.79kg), based on catch biomass. The average weight was 0.34 kg +/- 0.25 kg, while 29 cm +/- 6.4 cm for total length. The total length-weight relationship had the best fit (Kruskal-Wallis, p < 0.05, n = 272) with the equation P(T) = 0.00000885* LT3.09. The occurrence of mature fish and high condition factors suggested a spawning season in June, September and October in sandy and rocky shores. This species showed an asynchronical gonadal development, with a mean sexual maturity size estimated in 23.5cm total length, and an absolute fecundity of 156 253.11 oocytes (mode of 4 microm diameter). We concluded that L. guttatus medium sizes observed indicated a fishing pressure on small size specimens (the minimum size being 18cm); thus, we recommend the implementation of minimum catch sizes based on the criterion of size at maturity LT100 (25.5 cm) and to apply seasonal fishing closures during the highest reproductive activity (June-October). However, it is necessary to obtain additional biological information with multi-year monitoring to improve fisheries management criteria in the area.

Biología reproductiva de Lutjanus guttatus (Perciformes: Lutjanidae) en el Parque Nacional Natural Utría, Pacífico colombiano / Reproductive biology of Lutjanus guttatus (Perciformes: Lutjanidae) in Utría National Park, Colombian Pacific

Protected areas are important for natural population conservation since they work as refuge, feeding and breeding areas, where specimens should be exempt from human pressure. The generation of better criteria for management decisions and conservation of fishery resources, is based on the reproductive aspects of species that support fishing activities, since this information is related to the abundance, size and frequency of capture. With this aim, the reproductive biology of the spotted snapper Lutjanus guttatus was studied from April 2008 and February 2009 at the Utría National Park, Colombian Pacific. For this, we analyzed the volume of catch, size structure, sex ratio, fecundity, maturity size, breeding areas and seasons (n=278), of daily landings of 21 units of artisanal fisheries in ten fishing grounds in the Park. Form all landings, we evaluated a total of 4 319 individuals belonging to 84 species. Based on the number of individuals, Lutjanus guttatus ranked third in catches representing 6.4% (278 individuals), and 16th with 1.8% (95.79kg), based on catch biomass. The average weight was 0.34kg ±0.25kg, while 29cm±6.4cm for total length. The total length-weight relationship had the best fit (Kruskal-Wallis, p<0.05, n=272) with the equation PT=0.00000885* L T3.09. The occurrence of mature fish and high condition factors suggested a spawning season in June, September and October in sandy and rocky shores. This species showed an asynchronical gonadal development, with a mean sexual maturity size estimated in 23.5cm total length, and an absolute fecundity of 156 253.11 oocytes (mode of 4µm diameter). We concluded that L. guttatus medium sizes observed indicated a fishing pressure on small size specimens (the minimum size being 18cm); thus, we recommend the implementation of minimum catch sizes based on the criterion of size at maturity LT100 (25.5cm) and to apply seasonal fishing closures during the highest reproductive activity (June- October). However, it is necessary to obtain additional biological information with multi-year monitoring to improve fisheries management criteria in the area.

Las áreas protegidas son importantes para la conservación de las poblaciones naturales ya que funcionan como zonas de refugio, alimentación y reproducción en la que los organismos deberían estar eximidos de la presión antrópica, pero en aquellas áreas donde se permite la pesca, es elemental conocer los aspectos reproductivos de las especies que soportan la presión pesquera, ya que ésta información relacionada con las abundancias, tallas y frecuencias de captura pueden ofrecer mejores criterios para tomar decisiones de manejo y conservación de los recursos pequeros. La biología reproductiva del pargo lunarejo Lutjanus guttatus se estudió entre abril 2008 y febrero 2009 en el Parque Nacional Utría, Pacífico colombiano. Se analizaron los volúmenes de captura, estructura por tallas, proporción de sexos, fecundidad, talla media de madurez, áreas y épocas de reproducción (n=278). La longitud total osciló entre 18 y 56cm con una media y desviación estándar de 29±6.4cm. La talla media de madurez fue estimada en 23.5cm de longitud total, la fecundidad absoluta fue 156 253.11 ovocitos, con una moda de 4μm de diámetro y un desarrollo gonadal asincrónico. La presencia de individuos maduros y de un alto factor de condición sugieren épocas de desove en junio, septiembre y octubre en litorales rocosos y arenosos.