Cytostatic and genotoxic effect of temephos in human lymphocytes and HepG2 cells.

Temephos is an organophosphorus pesticide that is used in control campaigns against Aedes aegypti mosquitoes, which transmit dengue. In spite of the widespread use of temephos, few studies have examined its genotoxic potential. The aim of this study was to evaluate the cytotoxic, cytostatic and genotoxic effects of temephos in human lymphocytes and hepatoma cells (HepG2). The cytotoxicity was evaluated with simultaneous staining (FDA/EtBr). The cytostatic and genotoxic effects were evaluated using comet assays and the micronucleus technique. We found that temephos was not cytotoxic in either lymphocytes or HepG2 cells. Regarding the cytostatic effect in human lymphocytes, temephos (10 µM) caused a significant decrease in the percentage of binucleated cells and in the nuclear division index as well as an increase in the apoptotic cell frequency, which was not the case for HepG2 cells. The comet assay showed that temephos increased the DNA damage levels in human lymphocytes, but it did not increase the MN frequency. In contrast, in HepG2 cells, temephos increased the tail length, tail moment and MN frequency in HepG2 cells compared to control cells. In conclusion, temephos causes stable DNA damage in HepG2 cells but not in human lymphocytes. These findings suggest the importance of temephos biotransformation in its genotoxic effect.

Evaluation of pollution in Camichin estuary (Mexico): pro-oxidant and antioxidant response in oyster (Crassostrea corteziensis).

The physiological system of molluscs, particularly pro-oxidant and antioxidant mechanisms, could be altered by pollutants and induce disturbance on health status and productive parameters of aquatic organisms, such as oyster. Therefore, the aim of this study was to evaluate the chemical contamination in water (total metals and polycyclic aromatic hydrocarbons) and oxidative stress parameters in oysters (Crassostrea corteziensis) in Camichin estuary, located in Mexican Tropical Pacific. The results obtained showed the presence of arsenic, lead and zinc, as well as naphthalene, pyrene and benzo[a]pyrene in concentrations relatively higher than criteria established by local and international guidelines. Regarding the biomarkers of oxidative stress response (H2O2 and O2 concentration, catalase activity, lipid peroxidation, and hydroperoxide concentration), differences between oyster from estuary and control group were significant. These results indicate that these pollutants could be related with oxidative stress detected in oyster.

[Intrauterine myelomeningocele repair: experience of the fetal medicine and therapy program of the Virgen de Rocío University Hospital]. / Corrección intrauterina de mielomeningocele: experiencia del programa de medicina y terapia fetal del Hospital Universitario Virgen del Rocío.

The most frequent form of spina bifida is myelomeningocele. There is no optimal postnatal treatment for this defect. In addition to the motor or sensory deficits, which depend on the location of the lesion, the defect is usually associated with Chiari ii malformation in affected children. Myelomeningocele has high mortality and, in up to 80% to 90% of patients, can be accompanied by hydrocephalus, which causes severe neurocognitive impairment and requires the patient to be shunted for survival. Intrauterine repair of fetal malformations employing open access through hysterotomy has become a therapeutic option due to improved anesthetic and surgical techniques and instrumentation, which have allowed this type of intervention to become relatively frequent. Anesthetic treatment should focus on both the mother and fetus and the hemodynamic factors regulating placental flow, uterine dynamics, blood loss and fetal well-being must remain well-controlled. Within our Program for Fetal Medicine and Therapy, 21 open fetal interventions have been performed: 17 EXIT procedures and 4 procedures for the intrauterine correction of fetal myelomeningocele. We describe our experience of the intrauterine repair of fetal myelomeningocele through open fetal surgery.

Incidencia de punción accidental de duramadre en un hospital universitario. Estudio prospectivo observacional / Incidence of accidental dura mater punctures in a university hospital: a prospective observational study

Objetivo. La punción accidental de duramadre es una complicación potencial durante el bloqueo epidural y se puede relacionar con múltiples factores. Nuestro objetivo fue determinar la prevalencia y factores de riesgo de punción dural accidental en un hospital terciario, evaluando las diferencias que existen en el número de complicaciones durante los distintos horarios de trabajo. Material y métodos. Se realizó un estudio observacional prospectivo de todas las mujeres que solicitaron analgesia regional a la Unidad de Analgesia Epidural y cumplían los criterios de inclusión, entre el 1 de enero de 2009 y el 1 de enero de 2011. La técnica empleada para el control del dolor del trabajo del parto fue la analgesia epidural. Resultados. Se incluyeron 12.480 embarazadas. La prevalencia de punción dural accidental fue de 0,4% (50 pacientes). De ellas, 28% correspondieron a médicos residentes. Se observaron más punciones durales accidentales en septiembre y en el turno de trabajo de tarde. Conclusiones. La prevalencia de PAD es similar a otras series. En nuestra serie, el cansancio o la falta de sueño parecen no influir en la incidencia de complicaciones en la analgesia para el trabajo de parto en una unidad de atención 24 horas, quizás por la distribución de lo turnos en las guardias no trabajando más de 6 horas seguidas(AU)

Objective. Accidental dura mater puncture is a potential complication during epidural block, and may be associated with multiple factors. Our objective was to determine the prevalence and risk factors of accidental dural puncture in a university hospital, evaluating the differences in the number of complications during different working hours. Material and methods. A prospective observational study was conducted on all women who requested regional anaesthesia in the Epidural Analgesia Unit between 1 January 2009 and 1 January 2011, and who fulfilled the inclusion criteria. The technique employed to control labour pains was epidural analgesia. Results. A total of 12,480 pregnant women were included. The prevalence of accidental dura mater puncture was 0.4% (50 patients). Of these, 28% were due to medical residents. More accidental dura mater punctures were observed during September and in the afternoon shift. Conclusions. The prevalence of accidental dura mater puncture is similar to other patient series. In ours, tiredness or lack of sleep did not influence the incidence of complications in analgesia for labour pains in a 24 hour care unit. This may be due to the distribution of on-call shifts not exceeding more than 6hours(AU)

[Incidence of accidental dura mater punctures in a university hospital: a prospective observational study]. / Incidencia de punción accidental de duramadre en un hospital universitario. Estudio prospectivo observacional.

OBJECTIVE: Accidental dura mater puncture is a potential complication during epidural block, and may be associated with multiple factors. Our objective was to determine the prevalence and risk factors of accidental dural puncture in a university hospital, evaluating the differences in the number of complications during different working hours. MATERIAL AND METHODS: A prospective observational study was conducted on all women who requested regional anaesthesia in the Epidural Analgesia Unit between 1 January 2009 and 1 January 2011, and who fulfilled the inclusion criteria. The technique employed to control labour pains was epidural analgesia. RESULTS: A total of 12,480 pregnant women were included. The prevalence of accidental dura mater puncture was 0.4% (50 patients). Of these, 28% were due to medical residents. More accidental dura mater punctures were observed during September and in the afternoon shift. CONCLUSIONS: The prevalence of accidental dura mater puncture is similar to other patient series. In ours, tiredness or lack of sleep did not influence the incidence of complications in analgesia for labour pains in a 24 hour care unit. This may be due to the distribution of on-call shifts not exceeding more than 6 hours.

Organophosphate pesticides increase the expression of alpha glutathione S-transferase in HepG2 cells.

Chlorpyrifos and methyl parathion are among the most widely used insecticides in the world. Human populations are constantly exposed to low doses of both due to their extensive use and presence in food and drinking water. Glutathione S-transferase (GST) catalyzes the conjugation of glutathione on electrophilic substrates and is an important line of defense in the protection of cellular components from reactive species. GST alpha1 (GSTA1) is the predominant isoform of GST expressed in the human liver; thus, determining the effect of insecticides on GSTA1 transcription is very important. In the present study, we analyzed the effects of methyl parathion and chlorpyrifos on GSTA1 gene expression in HepG2 cells using real time PCR, and activity and immunoreactive protein assays. The results demonstrated that exposure to methyl parathion and chlorpyrifos increased the level of GSTA1 mRNA, GSTA1 immunoreactive protein and GST activity relative to a control. These results demonstrated that these insecticides can increase the expression of GSTA1. In conclusion, HepG2 cell cultures treated with methyl parathion and chlorpyrifos could be a useful model for studying the function of GSTA1 and its role in the metabolism of xenobiotics in the liver.

Phytoremediatory effect and growth of two species of Ocimum in endosulfan polluted soil.

Endosulfan is a hazardous organochlorine pesticide banned or restricted in several countries. However, it has been found in the environment and in animal samples. To study a potential way to bioremediate soils contaminated with this pesticide, two plant species of the genus Ocimum were studied: Ocimum basilicum L. and Ocimum minimum L., since they are economically feasible and well adapted to the climatic conditions of the Nayarit zone (Mexican pacific coast). Young plants were transplanted into soil experimentally polluted with endosulfan. Growth of both species was not affected by endosulfan, the plants grew, flourished, and produced seeds; 30 days later, endosulfan concentration was lower in the soil with O. basilicum than in the soil without plants. On day 90, no differences in endosulfan concentrations were found between soil with or without O. minimum. At day 1, plants in the polluted soil showed lipoperoxidation, as measured by thiobarbituric acid-reactive species (TBARS). Interestingly, a higher TBARS value was observed at day 3 in transplanted plants as compared to non-transplanted plants. In conclusion, both species can endure endosulfan pollution (as high as 1 g kg(-1)) in soils. O. basilicum seems to be an adequate candidate for bioremediation of soils polluted with endosulfan.

The HELLP syndrome (hemolysis, elevated liver enzymes and low platelets): Clinical characteristics and maternal-fetal outcome in 172 patients.

OBJECTIVES: To analyze the frequency of the different clinical presentations of the disease in women with HELLP syndrome and the most important factors that can predict a different maternal and fetal outcome. STUDY DESIGN: This is a cross-sectional, consecutive, case-series study, the subjects being all patients with HELLP syndrome admitted to our Hospital within the last decade (1999-2009). RESULTS: The rate of maternal complications was 43.0% and perinatal mortality 14.1%. The severity of the syndrome, measured by The Mississippi Classification, influenced the rate of maternal complications but not fetal mortality: the rate of maternal complications among women in class 1 HELLP syndrome was 67.6%, compared to 49.3% in class 2 and 24.0% in class 3 HELLP syndrome, p<0.0001. In a 21.8% of women, the onset of the disease was after delivery. We highlight the fact that those cases with an early puerperium onset of the disease were those with a higher number of maternal complications (odds ratio: 2.38; CI: 1.05-5.44). CONCLUSIONS: These results suggest the possibility of an increased complication rate when the onset of the syndrome appears after delivery and the necessity of having a high grade of suspicion in every case to diagnose the disease, even when the gestation and delivery were normal.

Acetylcholinesterase and metallothionein in oysters (Crassostrea corteziensis) from a subtropical Mexican Pacific estuary.

Substantial efforts have been devoted to developing and applying biomarkers for ecological risk assessment. Bivalve mollusks, such as mussels and oysters, are commonly used in environmental monitoring programs because of their wide geographical distribution, great sensitivity to environmental pollutants, and ability to accumulate anthropogenically derived chemicals at a high rate. Acetylcholinesterase (AChE) activity and metallothionein (MT's) content are representative specific biomarkers that indicate the presence of anticholinesterasic compounds (like organophosphorus and carbamate pesticides) and metals, respectively. The aim of this study was to evaluate AChE activity and MT's content in Crassostrea corteziensis from Boca de Camichín estuary. The results obtained here showed that AChE activity was 65% lower in oysters from Boca de Camichín than in control organisms. In contrast, MT's content in collected organisms was not statistically different from that in control organisms. AChE activity and MT's content in oysters could be used as early biomarkers of effects and exposure to pesticides and heavy metals, respectively, in aquatic environments.

[Sedation in surgical procedures using regional anesthesia in adult patients: results of a survey of Spanish anesthesiologists]. / Sedación para procedimientos quirúrgicos realizados con anestesia regional en pacientes adultos. Resultados de una encuesta entre anestesiólogos españoles.

OBJECTIVE: To analyze the frequency and methods of sedation used in the context of regional anesthesia in adults by means of a national survey. MATERIAL AND METHODS: We carried out a survey of participants at the courses of an anesthesiology training organization (Fundación Europea de Enseñanza en Anestesiología), held in Spain in 2006. The survey questionnaires asked about indications for sedation used during surgery under regional anesthesia as well as the form of administration, follow-up, and complications. RESULTS: A total of 375 questionnaires were sent out and 185 responses were received (49.3%). Sedation is always used to accompany regional anesthesia by 69.2% of the respondents; 13.5% of them discuss the technique to be used with the patient and come to an agreement. The same type of sedation, regardless of the regional block performed, is used by 49.2% of respondents, and 64.3% use a scale to evaluate the level of sedation. The most favored sedation technique is continuous infusion, followed by target controlled infusion and boluses on demand. The most commonly used technique is sedation with bolus injections. Sixty percent use a single agent and 38.9% use combinations. The most commonly reported adverse effects are variability of patient response (53.5%) and respiratory complications (27%). In cases of ineffective regional blockade, 49.2% of those surveyed switch to general anesthesia. CONCLUSIONS: Sedation is very often used to complement regional anesthesia in adult patients. Even though continuous infusion is considered to be the most appropriate form of administration, the most commonly used form is injection of boluses. Sedation with a single drug is used more frequently than drug combinations. Variability of individual response is the complication most commonly reported by the respondents.

Sedación para procedimientos quirúrgicos realizados con anestesiaregional en pacientes adultos. Resultados de una encuestaentre anestesiólogos españoles / Sedation in surgical procedures using regional anesthesia in adult patients: results of a survey of Spanish anesthesiologists

OBJETIVO: Conocer la utilización y modo de empleo dela sedación para la anestesia regional en adultos a travésde una encuesta nacional.MATERIAL Y MÉTODO: Encuesta a los asistentes de loscursos de la Fundación Europea de Enseñanza en Anestesiologíacelebrados en España en 2006, sobre la indicación,forma de administración, seguimiento y complicaciones dela sedación empleada durante las intervenciones realizadasbajo anestesia regional.RESULTADOS: Se enviaron 375 encuestas y se recibieron185 respuestas (49,3%). El 69,2% de los encuestadosemplean siempre sedación acompañando a la anestesiaregional, un 13,5% consensúan la técnica con el paciente.Un 49,2% utilizan la misma sedación independientementedel bloqueo regional realizado. Un 64,3% utilizan algunaescala para valorar el grado de sedación. La técnica consideradaideal fue la infusión continua, seguida de los sistemasTCI y los bolos a demanda. La más empleada fue lasedación en bolos. El 60% utilizan monoterapia y el 38,9%asociaciones de fármacos. Los efectos adversos más frecuentementedescritos fueron la variabilidad en la respuestadel paciente (53,5%) y las complicaciones respiratorias(27%). Cuando el bloqueo regional no es efectivo, el 49,2%de los encuestados convierten la técnica a anestesia general.CONCLUSIONES: La sedación como complemento de laanestesia regional en pacientes adultos se emplea muy frecuentemente.Aunque la infusión continua es consideradala forma de administración más adecuada, se empleamayoritariamente sedación en bolos. La sedación con unúnico fármaco se emplea más frecuentemente que las asociaciones.La variabilidad en la respuesta individual es lacomplicación más observada por los encuestados (AU)

OBJECTIVE: To analyze the frequency and methods ofsedation used in the context of regional anesthesia inadults by means of a national survey.MATERIAL AND METHODS: We carried out a survey ofparticipants at the courses of an anesthesiology trainingorganization (Fundación Europea de Enseñanza enAnestesiología), held in Spain in 2006. The surveyquestionnaires asked about indications for sedation usedduring surgery under regional anesthesia as well as theform of administration, follow-up, and complications.RESULTS: A total of 375 questionnaires were sent out and185 responses were received (49.3%). Sedation is always usedto accompany regional anesthesia by 69.2% of therespondents; 13.5% of them discuss the technique to be usedwith the patient and come to an agreement. The same type ofsedation, regardless of the regional block performed, is usedby 49.2% of respondents, and 64.3% use a scale to evaluatethe level of sedation. The most favored sedation technique iscontinuous infusion, followed by target controlled infusionand boluses on demand. The most commonly used techniqueis sedation with bolus injections. Sixty percent use a singleagent and 38.9% use combinations. The most commonlyreported adverse effects are variability of patient response(53.5%) and respiratory complications (27%). In cases ofineffective regional blockade, 49.2% of those surveyed switchto general anesthesia.CONCLUSIONS: Sedation is very often used tocomplement regional anesthesia in adult patients. Eventhough continuous infusion is considered to be the mostappropriate form of administration, the most commonlyused form is injection of boluses. Sedation with a singledrug is used more frequently than drug combinations.Variability of individual response is the complication mostcommonly reported by the respondents (AU)

Effect of sub-lethal concentrations of endosulfan on phagocytic and hematological parameters in Nile tilapia (Oreochromis niloticus).

The effect of endosulfan (6,7,8,9,10,10-hexachloro-1,5,5a,6,9,9a-hexahydro-6,9-methano-2,4,3-benzodioxathiepin-3-oxide), an organochlorine pesticide, was evaluated on phagocytic (phagocytic index and percentage of active cells) and hematological parameters in Nile tilapia. Experimental data showed that an acute exposure to endosulfan (4.0 and 7.0 microg/L) induces a significant decrease in the phagocytic index and the percentage of active cells in peripherical blood of Nile tilapia. However, hemoglobin concentration (Hb), hematocrit (Hto), red blood cell count (RBC), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC) were not significantly altered in fish exposed to endosulfan compared with control group.

Effect of Chlorpyrifos on the Hematology and Phagocytic Activity of Nile Tilapia Cells (Oreochromis niloticus).

Chlorpyrifos is an organophosphorous insecticide widely used in agriculture and domestic activities. However, little is known about the effect of this pesticide on the immune system of fish and other alterations of its physiological system. The aims of the present study were the evaluation of the LC(50) (lethal concentration(50)) and the potential toxicity of this substance on Nile tilapia (Oreochromis nilotucus), as well as its effect on some hematological values and phagocytic functions of this fish. Results obtained showed that chlorpyrifos does not have any effect on the following parameters: number of red blood cells, hemoglobin, hematocrit, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC). However, the phagocytic index and the percentage of phagocytic active cells were significantly affected, which could indicate that phagocytic parameters from Nile tilapia are more sensitive than hematological ones to assess the effect of acute intoxication with chlorpyrifos.

[Horner's syndrome following epidural analgesia for labor]. / Síndrome de Horner tras analgesia epidural para el trabajo de parto.

Horner's syndrome is a disorder of the sympathetic nerve supplying the eye. Infrequently, Horner's syndrome can arise as a complication of epidural anesthesia, but its clinical course is favorable. The incidence increases when epidural analgesia is used in obstetrics because of physiological and anatomic changes in obstetric patients that favor spread of the local anesthetic. We report the case of a 31-year-old woman requiring epidural analgesia for labor. She received 10 mL of 0.15% ropivacaine with a bolus dose of 50 microg of fentanyl, followed by epidural catheter infusion of 0.15% and 0.001% fentanyl at a rate of 10 mL/h. Two hours after starting the infusion, the patient's right eye presented a contracted pupil, a drooping eyelid, and enophthalmos, accompanied by flushing on the same side of the face. Horner's syndrome was diagnosed. Signs resolved over the next hour without treatment. The literature contains reports of widely differing incidences of Horner's Syndrome ranging from 1.3% to 75%. The case we report was the only one in our hospital over a period of 4 years during which 12,796 epidural procedures were performed. These data suggest to us that Horner's syndrome often passes undetected because clinical manifestations are not remarkable. Nevertheless, the diagnosis should be kept in mind so that unnecessary treatment is avoided, given that the clinical course is favorable with spontaneous resolution.

Síndrome de Horner tras analgesia epidural para el trabajo de parto / Horner's syndrome following epidural analgesia for labor

El Síndrome de Horner es una lesión oculosimpática que en ocasiones constituye una complicación de la anestesia epidural, aunque de forma poco frecuente y con un curso favorable. Su incidencia aumenta cuando esta técnica se aplica en procedimientos obstétricos, hecho que se explica por las modificaciones anatomofisiológicas que presentan estas pacientes y que favorecen una mayor extensión del anestésico local. Presentamos el caso de una gestante de 31 años que precisó analgesia epidural para el trabajo de parto. Se administraron 10 ml de ropivacaína al 0,15 por ciento con 50 µg de fentanilo en bolo, y se inició perfusión por catéter epidural con ropivacaína al 0,15 por ciento y fentanilo al 0,001 por ciento a 10 ml/h. A las 2 horas de comenzar la perfusión la paciente presentó miosis, ptosis y enoftalmos de ojo izquierdo acompañado de enrojecimiento de hemicara del mismo lado, sin ningún otro dato relevante a la exploración. Se diagnosticó de Síndrome de Horner, que desapareció en la hora siguiente sin necesidad de actitud intervencionista. En la revisión bibliográfica realizada encontramos una incidencia de esta complicación con cifras muy dispares entre 1,3 y 75 por ciento. En nuestro hospital. éste ha sido el único caso identificado en un período de 4 años de 12.796 epidurales realizadas Estos datos nos hacen pensar que es una entidad que pasa a menudo desapercibida, favorecido por tener una clínica poco florida, pero que debemos tener presente para evitar intervenciones innecesarias, ya que tiene un curso favorable y una resolución espontánea (AU)

Coagulación intravascular diseminada asociada a la aplicación del gel de dinoprostona en el cuello uterino / Disseminated intravascular coagulation associated to the application of dinoprostone

No disponible

[Comparative study between propofol and thiopental for anesthesia induction in surgery of short duration]. / Estudio comparativo entre propofol y tiopental en la inducción anestésica en cirugía de corta duración.

To compare anesthetic characteristics of thiopental and propofol in short duration surgical interventions, we have studied 40 patients undergoing gynecologic and proctologic surgery. Patients were randomly assigned to two groups receiving 2.5 mg/kg of propofol or 5 mg/kg of thiopental. In both groups, arterial hypotension of comparable intensity occurred. Heart rate was significantly higher in thiopental anesthesia. Postanesthesia recovery was significantly more rapid with propofol. Some of these results can be influenced by the different immediate premedication (atropine and diazepam in thiopental group) and duration of anesthesia.