Diabetes mellitus y salud visual como referentes esenciales en la práctica médica / Diabetes mellitus and visual health as essential references in medical practice

Introducción: La diabetes mellitus, requiere atención médica multifactorial y multisectorial. La oftalmopatía diabética demanda sistemas de salud integrados que faciliten la prevención, detección y tratamiento de las complicaciones en los niveles de atención primaria, secundaria y terciaria. Objetivo: Exponer los conceptos teóricos, prácticos y las tendencias actuales sobre diabetes mellitus y salud visual. Métodos: Se realizó una revisión bibliografía y documental sobre diabetes mellitus y salud visual, estudios y documentos publicados por instituciones nacionales e internacionales, temas vinculados a la diabetes mellitus y la salud visual, se accedió a artículos desde diferentes fuentes, revistas indexadas, metaanálisis y fuentes primarias no publicadas, tesis de maestría, y doctorados. Resultados: Para conservar la salud visual es necesario llevar a cabo medidas que conlleven a prevenir la pérdida de la visión por catarata, glaucoma, retinopatia y edema macular diabético, que incluyen no sólo un buen control de los parámetros metabólicos y las revisiones periódicas al oftalmólogo, sino también el cumplimiento de la educación diabetológica por un equipo multidisciplinario y actualización sobre este tema de los prestadores de salud. La disminución visual que provoca la catarata y otras enfermedades oculares puede conducir a padecer discapacidades como, pérdida de autonomía para administrarse los medicamentos, limitar las actividades de la vida cotidiana e incapacidad laboral y social, con la consiguiente afectación de la calidad de vida Conclusiones: Acudir al oftalmólogo con frecuencia, mantener el control glucémico, del colesterol y presión arterial representan el pilar fundamental para preservar la salud visual en el paciente diabético(AU)

Introduction: Diabetes mellitus requires multifactorial and multisectoral medical attention. Diabetic ophthalmopathy demands integrated health systems that facilitate the prevention, detection and treatment of complications at the primary, secondary and tertiary care levels. Objective: To show the theoretical and practical concepts and current trends on diabetes mellitus and visual health. Methods: A bibliographic and documentary review on diabetes mellitus and visual health was carried out. Studies and documents published by local and international institutions, articles, topics related to diabetes mellitus and visual health were retrieved from different sources, indexed journals, meta-analysis and unpublished primary sources, research degree and master's, theses. Results: To preserve visual health, it is necessary to carry out reading that lead to preventing vision loss due to cataract, glaucoma, retinopathy and diabetic macular edema, which include not only good control of metabolic parameters and regular check-ups with the ophthalmologist , but also compliance with diabetes education by a multidisciplinary team and updating the health providers on this subject. The visual decrease caused by cataract and other eye diseases can lead to disabilities such as loss of autonomy to manage medications, limit activities of daily life and work and social incapacity, with the consequent impact on quality of life. Conclusions: Frequently going to the ophthalmologist, maintaining glycemic, cholesterol and blood pressure control represent the fundamental pillar to preserve visual health in diabetic patients(AU)

Complete Genome Sequencing of a Novel Gloeobacter Species from a Waterfall Cave in Mexico.

Only two complete genomes of the cyanobacterial genus Gloeobacter from two very different regions of the world currently exist. Here, we present the complete genome sequence of a third member of the genus isolated from a waterfall cave in Mexico. Analysis of the average nucleotide identities (ANIs) between published Gloeobacter genomes revealed that the complete genome of this new member is only 92.7% similar to Gloeobacter violaceus and therefore we determined it to be a new species. We propose to name this new species Gloeobacter morelensis after the location in Mexico where it was isolated. The complete genome consists of one circular chromosome (4,921,229 bp), one linear plasmid (172,328 bp), and one circular plasmid (8,839 bp). Its genome is the largest of all completely sequenced genomes of Gloeobacter species. Pangenomic comparisons revealed that G. morelensis encodes 759 genes not shared with other Gloeobacter species. Despite being more closely related to G. violaceus, it features an extremely divergent psbA gene encoding an atypical D1 core subunit of Photosystem II previously only found within the genome of Gloeobacter kilaueensis. In addition, we detected evidence of concerted evolution of psbA genes encoding identical D1 in all three Gloeobacter genomes, a characteristic that seems widespread in cyanobacteria and may therefore be traced back to their last common ancestor.

The tadpole of an insular population of Cycloramphus boraceiensis Heyer, 1983 (Anura: Cycloramphidae) with a review of larval descriptions for species in the genus

A literature survey for the external morphology of tadpoles for species in the genus Cycloramphus Tschudi, 1838, which is mainly represented by larval descriptions, resulted in finding some inconsistent character descriptions. In a few cases, some of the information is either not presented or mistakenly reported; in some cases, the illustrations provided the information not present in the descriptions. Here in we use a sample of tadpoles of an insular population identified as Cycloramphus boraceiensis, present a description for it, compare it to the original larval description for this species, and using it as a model, present a comparative review of the other larval descriptions for Cycloramphus tadpoles. We evaluate that most of the mistakes we found in the literature are associated to the unique morphology of these semiterrestrial larvae and some of their seemingly adaptation to their microhabitats, which for the majority of the known species is a film of water running associated to or near streams.(AU)

The tadpole of an insular population of Cycloramphus boraceiensis Heyer, 1983 (Anura: Cycloramphidae) with a review of larval descriptions for species in the genus

Abstract A literature survey for the external morphology of tadpoles for species in the genus CycloramphusTschudi, 1838, which is mainly represented by larval descriptions, resulted in finding some inconsistent character descriptions. In a few cases, some of the information is either not presented or mistakenly reported; in some cases, the illustrations provided the information not present in the descriptions. Here in we use a sample of tadpoles of an insular population identified as Cycloramphus boraceiensis, present a description for it, compare it to the original larval description for this species, and using it as a model, present a comparative review of the other larval descriptions for Cycloramphus tadpoles. We evaluate that most of the mistakes we found in the literature are associated to the unique morphology of these semiterrestrial larvae and some of their seemingly adaptation to their microhabitats, which for the majority of the known species is a film of water running associated to or near streams.

The tadpole of an insular population of Cycloramphus boraceiensis Heyer, 1983 (Anura: Cycloramphidae) with a review of larval descriptions for species in the genus

Abstract A literature survey for the external morphology of tadpoles for species in the genus CycloramphusTschudi, 1838, which is mainly represented by larval descriptions, resulted in finding some inconsistent character descriptions. In a few cases, some of the information is either not presented or mistakenly reported; in some cases, the illustrations provided the information not present in the descriptions. Here in we use a sample of tadpoles of an insular population identified as Cycloramphus boraceiensis, present a description for it, compare it to the original larval description for this species, and using it as a model, present a comparative review of the other larval descriptions for Cycloramphus tadpoles. We evaluate that most of the mistakes we found in the literature are associated to the unique morphology of these semiterrestrial larvae and some of their seemingly adaptation to their microhabitats, which for the majority of the known species is a film of water running associated to or near streams.

Embryonic development of a mountainous fish species Garracambodgiensis (Tirant, 1883) in southern Thailand

This study examined the artificial breeding and embryonic development of a mountainous fish species Garra cambodgiensis (Tirant, 1883) found in Promlok waterfall in Khaoluang National park, Phromkhiri district, Nakhon Si Thammarat province. The fishes were collected from June 2017- January 2018 and kept in aquaria. Afterward, the brood males and females were selected and injected with buserelin (LHRHa) (10 µg/kg body weight) and domperidone (10 mg/kgbody weight). After the injections, both females and males were kept together in the water at a proportion of 3 females: 1male. The fertilization of eggs started after 4 hours and 30minutes. The fertilized eggs were greenish-grey and semi-buoyant. After fertilization, one blastodisc turned into 2 equalsized blastomeres, and then each cell divided into 4, 8, 16, 32,64 cells respectively. The morula stage went to the blastula stage in about 3hr and 28 min, to gastrula stage in about 5 hr and 11 min, and to the somite stage in about 7 hr and 7 min. The optical vesicles and auditory vesicles developed after approximately 8 hr and 27 min, and 10 hr and 30 min, respectively. After approximately 12 hours and 58 minutes of fertilization, hatching of eggs occurred. Nowadays, the numbers of G. Cambodgienesis are declining rapidly in southern Thailand due to several environmental and anthropogenic reasons. Therefore, it is very important to conserve the populations of G. Cambodgienesis. Artificial breeding could be an effective way to conserve and restore this fish in their natural habitat in southern Thailand.(AU)

Embryonic development of a mountainous fish species Garracambodgiensis (Tirant, 1883) in southern Thailand

This study examined the artificial breeding and embryonic development of a mountainous fish species Garra cambodgiensis (Tirant, 1883) found in Promlok waterfall in Khaoluang National park, Phromkhiri district, Nakhon Si Thammarat province. The fishes were collected from June 2017- January 2018 and kept in aquaria. Afterward, the brood males and females were selected and injected with buserelin (LHRHa) (10 µg/kg body weight) and domperidone (10 mg/kgbody weight). After the injections, both females and males were kept together in the water at a proportion of 3 females: 1male. The fertilization of eggs started after 4 hours and 30minutes. The fertilized eggs were greenish-grey and semi-buoyant. After fertilization, one blastodisc turned into 2 equalsized blastomeres, and then each cell divided into 4, 8, 16, 32,64 cells respectively. The morula stage went to the blastula stage in about 3hr and 28 min, to gastrula stage in about 5 hr and 11 min, and to the somite stage in about 7 hr and 7 min. The optical vesicles and auditory vesicles developed after approximately 8 hr and 27 min, and 10 hr and 30 min, respectively. After approximately 12 hours and 58 minutes of fertilization, hatching of eggs occurred. Nowadays, the numbers of G. Cambodgienesis are declining rapidly in southern Thailand due to several environmental and anthropogenic reasons. Therefore, it is very important to conserve the populations of G. Cambodgienesis. Artificial breeding could be an effective way to conserve and restore this fish in their natural habitat in southern Thailand.

Lycophytes of the Chapada das Mesas National Park, Cerrado, Maranhão, Brazil / Licófitas do Parque Nacional Chapada das Mesas, Cerrado Maranhense, Brasil

Abstract: Despite an increase in studies involving lycophytes and ferns in recent years, Maranhão is still one of the northeastern states with a poorly known flora, mainly due to low sampling. For Chapada das Mesas National Park, a protected conservation unit in the Cerrado maranhense with phytophysiognomies that favor floristic diversity, there are no floristic studies about lycophytes. This study aimed to conduct the floristic inventory and taxonomic study of lycophytes in Chapada das Mesas National Park. Three collection expeditions, of three days each, were made between March 2017 and June 2018. Three families of lycophytes represented by three genera and six species were identified in the study area. The most diverse family was Selaginellaceae with four species: Selaginella conduplicata, S. erythropus (Mart.) Spring, S. radiata (Aubl.) Baker and S. simplex Baker. The other two families, Isoëtaceae and Lycopodiaceae, had one species each, Isoëtes sp. and Palhinhaea cernua (L.) Franco & Vasc. This study also reports two new record for the Brazilian Cerrado phytogeographic domain, S. conduplicate and S. radiata, of which the first is a new record for Maranhão State. Most specimens were found in riparian forest on rocky outcrops.

Resumo: Embora as pesquisas envolvendo o estudo de licófitas e samambaias tenham crescido nos últimos anos, o Maranhão ainda é um dos Estados do Nordeste com sua flora menos conhecida em virtude, principalmente, da baixa amostragem. O Parque Nacional (PARNA) Chapada das Mesas, apesar de tratar-se de uma unidade de conservação protegida no Cerrado maranhense e abrigar fitofisionomias que são propícias à diversidade florística, ainda não possui estudos sobre a diversidade florística de licófitas. Este estudo teve como objetivo geral fazer um inventário e estudo florístico e taxonômico de licófitas para o PARNA Chapada das Mesas. Foram realizadas três expedições para coletas de material entre março 2017 e junho 2018 com duração de três dias cada. Na área de estudo foram identificadas as três famílias de licófitas representadas por três gêneros e seis espécies. A família com maior diversidade foi Selaginellaceae com quatro espécies Selaginella conduplicata, S. erythropus, S. radiata e S. simplex. As outras duas, Isoëtaceae e Lycopodiaceae com uma espécie cada, Isoëtes sp., e Palhinhaea cernua. Nesse estudo também são relatados dois novos registros para o domínio fitogeográfico do Cerrado, S. conduplicata e S. radiata, sendo a primeira um novo registro para o Estado do Maranhão. A maioria dos espécimes foi encontrada em ambientes de matas ciliares crescendo sobre afloramento rochoso.

Comparación entre facoemulsificación asistida con femtoláser y facoemulsificación convencional: resultados visuales y complicaciones / Comparison between femtosecond laser-assisted phacoemulsification and conventional emulsification: visual results and complications

La aplicación del femtoláser en la cirugía de catarata podría ser una de las grandes revoluciones contemporáneas ocurridas en el campo del tratamiento de la catarata. Si el uso de esta tecnología provocara una eficacia y seguridad muy superiores sobre la facoemulsificación convencional, justificaría el alto costo que genera para la cirugía de catarata en la actualidad. En revisiones de estudios comparativos no se han encontrado diferencias significativas entre los resultados visuales de ambos procedimientos al final del período de seguimiento posoperatorio. Una mejor circularidad de la capsulorrexis, unido a disminución en la emisión de energía ultrasónica y del tiempo efectivo de faco, son atribuidos como las grandes ventajas del uso del femtoláser en la facoemulsificación. Sin embargo, en cuanto a la pérdida de células endoteliales, el edema corneal posoperatorio y el edema macular posquirúrgico no se han registrado grandes diferencias entre ambas técnicas quirúrgicas, mientras que el costo de la cirugía se incrementa considerablemente con la utilización del femtoláser. Por tanto, se necesitan estudios de gran tamaño de muestra bien diseñados que proporcionen evidencias más fiables respecto al uso del femtoláser en la cirugía de catarata actual(AU)

The application of femtoláser in cataract surgery could be one of the great contemporary revolutions occurred in the field of treatment of cataract. If the use of this technology would cause a very superior efficacy and safety over conventional phacoemulsification, it justifies the high cost it generates for cataract surgery today. In reviews of comparative studies we have not found significant differences between the visual results of both procedures at the end of the period of postoperative follow-up. Better circularity of the capsulorhexis, coupled with decrease in the emission of ultrasonic energy and effective phacoemulsification time, are attributed as the major advantages of using femtoláser in phacoemulsification. However in terms of endothelial cell loss, postoperative corneal edema and macular edema after surgery they have not been recorded big differences between the two surgical techniques, while the cost of surgery is considerably increased with the use of femtoláser. Therefore studies of large sample size, well-designed to provide more reliable evidence regarding the use of femtoláser in current cataract surgery are needed(AU)

Comparación entre facoemulsificación asistida con femtoláser y facoemulsificación convencional: resultados visuales y complicaciones / Comparison between femtosecond laser-assisted phacoemulsification and conventional emulsification: visual results and complications

La aplicación del femtoláser en la cirugía de catarata podría ser una de las grandes revoluciones contemporáneas ocurridas en el campo del tratamiento de la catarata. Si el uso de esta tecnología provocara una eficacia y seguridad muy superiores sobre la facoemulsificación convencional, justificaría el alto costo que genera para la cirugía de catarata en la actualidad. En revisiones de estudios comparativos no se han encontrado diferencias significativas entre los resultados visuales de ambos procedimientos al final del período de seguimiento posoperatorio. Una mejor circularidad de la capsulorrexis, unido a disminución en la emisión de energía ultrasónica y del tiempo efectivo de faco, son atribuidos como las grandes ventajas del uso del femtoláser en la facoemulsificación. Sin embargo, en cuanto a la pérdida de células endoteliales, el edema corneal posoperatorio y el edema macular posquirúrgico no se han registrado grandes diferencias entre ambas técnicas quirúrgicas, mientras que el costo de la cirugía se incrementa considerablemente con la utilización del femtoláser. Por tanto, se necesitan estudios de gran tamaño de muestra bien diseñados que proporcionen evidencias más fiables respecto al uso del femtoláser en la cirugía de catarata actual(AU)

The application of femtoláser in cataract surgery could be one of the great contemporary revolutions occurred in the field of treatment of cataract. If the use of this technology would cause a very superior efficacy and safety over conventional phacoemulsification, it justifies the high cost it generates for cataract surgery today. In reviews of comparative studies we have not found significant differences between the visual results of both procedures at the end of the period of postoperative follow-up. Better circularity of the capsulorhexis, coupled with decrease in the emission of ultrasonic energy and effective phacoemulsification time, are attributed as the major advantages of using femtoláser in phacoemulsification. However in terms of endothelial cell loss, postoperative corneal edema and macular edema after surgery they have not been recorded big differences between the two surgical techniques, while the cost of surgery is considerably increased with the use of femtoláser. Therefore studies of large sample size, well-designed to provide more reliable evidence regarding the use of femtoláser in current cataract surgery are needed(AU)

Longitudinal Distribution of the Functional Feeding Groups of Aquatic Insects in Streams of the Brazilian Cerrado Savanna.

We demonstrate that the distribution of the functional feeding groups of aquatic insects is related to hierarchical patch dynamics. Patches are sites with unique environmental and functional characteristics that are discontinuously distributed in time and space within a lotic system. This distribution predicts that the occurrence of species will be based predominantly on their environmental requirements. We sampled three streams within the same drainage basin in the Brazilian Cerrado savanna, focusing on waterfalls and associated habitats (upstream, downstream), representing different functional zones. We collected 2,636 specimens representing six functional feeding groups (FFGs): brushers, collector-gatherers, collector-filterers, shredders, predators, and scrapers. The frequency of occurrence of these groups varied significantly among environments. This variation appeared to be related to the distinct characteristics of the different habitat patches, which led us to infer that the hierarchical patch dynamics model can best explain the distribution of functional feeding groups in minor lotic environments, such as waterfalls.

Study of testacean assemblages ( Protozoa: Rhizopoda ) in touristic waterfall regions of Chapada dos Guimarães National Park, MatoGrosso State, Brazil / Estudo das assembléias de Testáceas (Protozoa Rhizopoda) em regiões encachoeiradas turísticas do Parque Nacional Chapada dos Guimarães, Estado do Mato Grosso, Brasil

An evaluation was made of the effect of temporal variations on an assembly ofTestaceae in several water bodies located in Chapada dos Guimarães National Park. A samplingpoint was selected at each study site, where 4 samplings were collected per season, consideringthe climatic conditions of the dry and rainy periods. The findings revealed 80 infrageneric taxa,05 families and 12 genera. Pearsons correlation between the second axis of the DCA and the firstaxis of the PCA was significant, even after applying Bonferronis correction for multiplesignificance tests (r = 0.683; p = 0.014). Thus, the temporal variation of the limnological data,which showed higher values of turbidity, total solids, color and temperature for the rainy periodand higher concentrations of nitrogen and phosphorus during the dry season, was significantlycorrelated with the biotic data. The second axis of the PCA indicated that the variables remainedunchanged during the seasonal periods under study.(AU)

O presente trabalho objetivou avaliar os efeitos da variação temporal sobreassembleia de Testáceas de alguns corpos dágua localizados no Parque Nacional da Chapada dosGuimarães. Elegeu-se, em cada estação de estudo, um ponto amostral e realizaram-se quatroamostragens/estação, considerando-se as condições climáticas do período de estiagem e chuvoso.Os resultados obtidos evidenciaram 80 táxons infragenéricos, cinco famílias e 12 gêneros. Acorrelação de Pearson entre o segundo eixo da DCA e o primeiro eixo da PCA foi significativa,mesmo após a correção de Bonferroni para múltiplos testes de significância (r = 0,683;p = 0,014). Deste modo, a variação temporal dos dados limnológicos, que evidenciou maioresvalores de turbidez, sólidos totais, cor e temperatura para o período chuvoso, e maioresconcentrações de nitrogênio e fósforo na estiagem, correlacionou-se significativamente com osdados bióticos. O segundo eixo da PCA evidenciou que as variáveis não variaram durante osperíodos sazonais estudados.(AU)

Study of testacean assemblages (Protozoa: Rhizopoda) in touristic waterfall regions of Chapada dos Guimarães National Park, Mato Grosso State, Brazil / Estudo das assembléias de Testáceas (Protozoa ­ Rhizopoda) em regiões encachoeiradas turísticas do Parque Nacional Chapada dos Guimarães, Estado do Mato Grosso, Brasil

An evaluation was made of the effect of temporal variations on an assembly of Testaceae in several water bodies located in Chapada dos Guimarães National Park. A sampling point was selected at each study site, where 4 samplings were collected per season, considering the climatic conditions of the dry and rainy periods. The findings revealed 80 infrageneric taxa, 05 families and 12 genera. Pearson's correlation between the second axis of the DCA and the first axis of the PCA was significant, even after applying Bonferroni's correction for multiple significance tests (r = 0.683; p = 0.014). Thus, the temporal variation of the limnological data, which showed higher values of turbidity, total solids, color and temperature for the rainy period and higher concentrations of nitrogen and phosphorus during the dry season, was significantly correlated with the biotic data. The second axis of the PCA indicated that the variables remained unchanged during the seasonal periods under study.

O presente trabalho objetivou avaliar os efeitos da variação temporal sobre assembleia de Testáceas de alguns corpos d'água localizados no Parque Nacional da Chapada dos Guimarães. Elegeu-se, em cada estação de estudo, um ponto amostral e realizaram-se quatro amostragens/estação, considerando-se as condições climáticas do período de estiagem e chuvoso. Os resultados obtidos evidenciaram 80 táxons infragenéricos, cinco famílias e 12 gêneros. A correlação de Pearson entre o segundo eixo da DCA e o primeiro eixo da PCA foi significativa, mesmo após a correção de Bonferroni para múltiplos testes de significância (r = 0,683; p = 0,014). Deste modo, a variação temporal dos dados limnológicos, que evidenciou maiores valores de turbidez, sólidos totais, cor e temperatura para o período chuvoso, e maiores concentrações de nitrogênio e fósforo na estiagem, correlacionou-se significativamente com os dados bióticos. O segundo eixo da PCA evidenciou que as variáveis não variaram durante os períodos sazonais estudados.