Spanish multicenter study of surgical resection of pancreatic tumors infiltrating the celiac axis: does the type of pancreatectomy affect results?

BACKGROUND: Pancreatectomy plus celiac axis resection (CAR) is performed in patients with locally advanced pancreatic cancer. The morbidity rates are high, and no survival benefit has been confirmed. It is not known at present whether it is the type of pancreatectomy, or CAR itself, that is the reason for the high complication rates. METHODS: Observational retrospective multicenter study. INCLUSION CRITERIA: patient undergoing TP, PD or DP plus CAR for a pancreatic cancer. RESULTS: Sixty-two patients who had undergone pancreatic cancer surgery (PD,TP or DP) plus CAR were studied. Group 1: 17 patients who underwent PD/TP-CAR (13TP/4PD); group 2: 45 patients who underwent DP-CAR. Groups were mostly homogeneous. Operating time was longer in the PD/TP group, while operative complications did not differ statistically in the two groups. The number of lymph nodes removed was higher in the PD/TP group (26.5 vs 17.3), and this group also had a higher positive node ratio (17.9% vs 7.6%). There were no statistical differences in total or disease-free survival between the two groups. CONCLUSION: It seems that CAR, and not the type of pancreatectomy, influences morbidity and mortality in this type of surgery. International multicenter studies with larger numbers of patients are now needed to validate the data presented here.

Prevalence of overweight and obesity in a Mexican prison.

OBJECTIVES: Overweight and obesity constitute a public health problem; There are few prevalence studies of inmates. The objectives of this study are to determine the prevalence of overweight and obesity amongst inmates of the Islas Marias Prison Complex and to evaluate the waist-to-hip ratio (WHR) and the waist-to-height ratio (WHtR) as diagnostic measurements for abdominal obesity in this population. MATERIAL AND METHOD: Analytical, retrospective cross-sectional study at Rural Hospital No. 20 Islas Marias Nayarit, Mexico, with 426 cases from January 2016 to March 2017, who were male inmates from 18 to 73 years of age. The following ratios were calculated: BMI, WHR WHtR. A descriptive analysis was carried out for quantitative variables, frequencies and percentages by group, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), Youden index, positive and negative likelihood ratios of WHR and WHtR; ANOVA F test, Student's t-test, ROC curve, STROBE statement, SPSS v. 22. RESULTS: 51.41% cases presented as overweight, 25.35% were obese, the cut-off point was 0.935 for WHR (s = 0.833; e = 0.717) and 0.545 for WHtR ICA (s = 0.981; e = 0.818). WHtR showed a good performance according to the Youden index. DISCUSSION: There was a high prevalence of overweight and obesity in prisoners at the Islas Marias Prison Complex, WHtR showed better performance than WHR for diagnosing abdominal obesity. It is suggested that measurement of WHI should be included in daily medical practice.

Magnetic nanoparticles: new players in antimicrobial peptide therapeutics.

Antimicrobial peptides are distributed in all forms of life presenting activity against bacteria, fungi, viruses, parasites and cancer. In spite of the tremendous potential of these molecules, very few of them have been successfully developed into therapeutics. The major problems associated with this new class of antimicrobials are molecule stability, toxicity in host cells and production cost. A novel strategy to overcome these obstacles is conjugation to nanomaterials. Magnetic nanoparticles have been widely studied in biomedicine due to their physicochemical properties. The conjugation of antimicrobial peptides to magnetic nanoparticles could combine the best properties of both, generating an improved antimicrobial nanoparticle. Here we provide an overview and discuss the potential application of magnetic nanoparticles conjugated to antimicrobial peptides in overcoming diseases.

Temperature and pH effect on lindane removal by Streptomyces sp. M7 in soil extract.

This work was conducted to study the removal of gamma-hexachlorocyclohexane (lindane) in a soil extract liquid medium (SE) by Streptomyces sp. M7 and to determine the influence of pH and temperature on bacterial growth and pesticide removal in this medium. When Streptomyces sp. M7 was cultured in SE supplemented with lindane 100 microg l(-1 )at different initial pH, the maximum growth was observed at pH 7 and the microorganism was not able to grow at pH 5 and 9; the highest pesticide removal (70.4%) by Streptomyces sp. M7 was noted at an initial pH of 7 at 4 weeks of incubation. The maximum removal (70% approximately) was observed when the microorganism was incubated in SE at 30 degrees C; although the optimal temperature for Streptomyces sp. M7 growth, with and without lindane, was 25 degrees C, and for the pesticide removal was 30 degrees C. The results of this study suggest that this actinomycete strain appears as an effective alternative in the remediation of lindane polluted sites.

Gastrostomía laparoscópica en pediatría / Laparoscopic gastrostomy in pediatrics

Introducción:Con el advenimiento y desarrollo de la cirugía laparoscópica, se han desarrollado al mismo tiempo técnicas para un gran número de operaciones efectuadas por cirugía abierta o convencional. Las ventajas atribuibles a la cirugía laparoscópica acompañan a estas nuevas técnicas y conforme el cirujano se va familiarizando con ellas, éstas se vuelven más simples y con menor morbilidad. La gastrostomía por laparoscopía es utilizada desde 1993. Ha sido efectuada como un procedimiento único o acompañando a otros procedimientos intraabdominales.Material y métodos: Presentamos una técnica de Gastrostomía laparoscópica en niños, muy similar a la descrita en la literatura pero adaptada a las facilidades o carencias de nuestro medio. Se presentan 22 casos pediátricos a quienes se les practicó una gastrostomía laparoscópica, utilizando únicamente 2 puertos de acceso de 5 mm. El estómago es alcanzado a través del puerto en donde quedará la sonda de gastrostomía y fijado a la pared abdominal por 2 puntos percutáneos (la sonda en medio de ambos) colocados bajo visión directa.Resultados. El tiempo promedio de duración del procedimiento es de 12 minutos. No existió ningún tipo de complicación relacionado con la cirugía. En todos los casos no quedaron cicatrices visibles excepto el de la gastrostomía cuando ésta es retirada . El procedimiento se ha efectuado aún en pacientes con cirugía abdominal previa.Conclusiones. Creemos que esta alternativa es un método sencillo, seguro, rápido y muy fácil de ser reproducido.

Hydrocarbon contamination in Cartagena Bay, Colombia.

This study deals with the levels of aromatic and aliphatic hydrocarbon quantification in sediments and organisms in Cartagena Bay (Colombia), 1996-1997. Sediments (14 stations) and bivalves (2 stations) were monitored at different times of the year. Areas with high values were in the north with concentrations above 100 microg/g with a maximum of 1415 microg/g. Areas with low values were located toward the south, near the outlet of the Canal del Dique and Barú Island, with values below 10 microg/g. In other areas concentrations were between 50 and 100 microg/g. A decrease in sediment concentrations of hydrocarbons has occurred since 1983, but levels in some sectors are still similar to those in polluted areas. Organisms have relatively low values (8-30 microg/g for bivalves, and 10-40 microg/g for fish).

Endocardite infecciosa. Acometimento neurologico em cinco casos. / Infectious endocarditis. Neurological involvement in 5 cases

Dando maior enfase as alteracoes neurologicas, sao analisadas as caracteristicas clinicas de cinco pacientes com endocardite infecciosa. Os disturbios neuropsiquiatricos, em muitos casos desta patologia, sao os que abrem a cena clinica do enfermo ou sao as alteracoes que dominam a atencao do examinador, na fase inicial dificultando o reconhecimento da verdadeira origem dos achados de exame clinico.A presenca de sindromes neurologicas, na endocardite infecciosa, ensombrece o prognostico, sendo responsavel por morbidade e mortalidade. Os achados de exame fisico, de tomografia computadorizada cerebral, de cirurgia e de necropsia sao apresentados, demonstrando a multiplicidade e gravidade desta ocorrencia que parece nao ter diminuido com a introducao dos antibioticos.Nesta enfermidade, mesmo em presenca de queixas pequenas, tais como cefaleia persistente, estados confusionais, disturbios psiquiatricos ou, ainda, de discretas alteracoes liquoricas torna-se cada vez mais premente que realizemos uma investigacao completa, incluindo tomografia computadorizada cerebral e estudos angiograficos, para esclarecimentos e/ou determinar a conduta medica a ser seguida