Extranodal NK/T-Cell Lymphoma, Nasal Type, Extranasal and Ulcerative Blister Variant, Case Report.

The extranodal natural killer (NK) T-cell lymphoma of nasal type is a form of lymphoma that falls within the WHO/EORTC 2018 classification of cutaneous T-cell lymphomas. It is characterized for being aggressive, infrequent, and destroying midline facial structures; however, it can also be in primary or secondary form at extranasal sites, such as the skin or the gastrointestinal tract, among others. We report the case of an 18-year-old patient with an extranodal NK/T-cell lymphoma located in an extranasal site. The clinical presentation is characterized for being multifocal and with erythematous-violaceous plaques that progress to hemorrhagic blisters and necrotic ulcers. Although this type of lymphoma has been reported previously by others, the presence of blisters is an atypical finding, which we believe has been described only in one case in the medical literature.

High-Throughput Sequencing of Grapevine in Mexico Reveals a High Incidence of Viruses including a New Member of the Genus Enamovirus.

This is the first viral metagenomic analysis of grapevine conducted in Mexico. During the summer of 2021, 48 plants displaying virus-like symptoms were sampled in Queretaro, an important grapevine-producing area of Mexico, and analyzed for the presence of viruses via high-throughput sequencing (HTS). The results of HTS were verified by real-time RT-PCR following a standardized testing scheme (Protocol 2010). Fourteen different viruses were identified, including grapevine asteroid mosaic-associated virus (GAMaV), grapevine Cabernet Sauvignon reovirus (GCSV), grapevine fanleaf virus (GFLV), grapevine fleck virus (GFkV), grapevine Pinot gris virus (GPGV), grapevine red globe virus (GRGV), grapevine rupestris stem pitting-associated virus (GRSPaV), grapevine rupestris vein feathering virus (GRVFV), grapevine Syrah virus 1 (GSyV-1), grapevine virus B (GVB), and grapevine leafroll-associated viruses 1, 2, 3, 4 (GLRaV1, 2, 3, 4). Additionally, divergent variants of GLRaV4 and GFkV, and a novel Enamovirus-like virus were discovered. This is the first report of GAMaV, GCSV, GLRaV4, GPGV, GRGV, GRVFV, and GSyV-1 infecting grapevines in Mexico; the impact of these pathogens on production is unknown.

Calving date as a potential predictor for the probability of approval in the first breeding soundness evaluation of Nellore bulls.

Beef production systems primarily use natural service (NS) for breeding. However, a significant number of bulls used for NS are subfertile, limiting the profitability of the cow-calf operations. Therefore, producers should select bulls based on breeding soundness evolutions (BSE) to ensure higher pregnancy rates. Several factors can affect the bull ability to pass a BSE. We hypothesize that calving date would be a factor that affects the bull probability of approval at the first BSE. For this purpose, a multivariate logistic regression in a dataset of 14,737 BSEs from young Nellore bulls was used. Correlations between calving date, biometrics, and semen traits were evaluated using Pearson's correlation coefficient. Our results demonstrated that the calving date affected the probability of approval at the first BSE (p < .05). Indeed, the variable that added more information to our model was the calving date, far more than the age group of the bulls according to Akaike's information criterion. Hence, bulls born on day 0 of the calving season have 1.26 more chances to be approved at the first BSE than bulls born 21 days later. This result highlights the importance of getting the dams of future bulls pregnant as soon as possible in the breeding season. In addition, the calving season should be no longer than 47 days to achieve 80% BSE approval in 20-22 months old Nellore bulls. The strongest correlation was with SC, which decreased as the calving date increased. Therefore, the calving date may be used as a predictor of the outcome of the first BSE in young bulls. In that way, the calving date can help seedstock producers to maximize efficiency in making crucial management decisions during the breeding and calving season including nutrition, reproductive, and culling.

The cholesteryl-ester transfer protein isoform (CETPI) and derived peptides: new targets in the study of Gram-negative sepsis.

BACKGROUND: Sepsis is a syndrome where the dysregulated host response to infection threatens the life of the patient. The isoform of the cholesteryl-ester transfer protein (CETPI) is synthesized in the small intestine, and it is present in human plasma. CETPI and peptides derived from its C-terminal sequence present the ability to bind and deactivate bacterial lipopolysaccharides (LPS). The present study establishes the relationship between the plasma levels of CETPI and disease severity of sepsis due to Gram-negative bacteria. METHODS: Plasma samples from healthy subjects and patients with positive blood culture for Gram-negative bacteria were collected at the Intensive Care Unit (ICU) of INCMNSZ (Mexico City). 47 healthy subjects, 50 patients with infection, and 55 patients with sepsis and septic shock, were enrolled in this study. CETPI plasma levels were measured by an enzyme-linked immunosorbent assay and its expression confirmed by Western Blot analysis. Plasma cytokines (IL-1ß, TNFα, IL-6, IL-8, IL-12p70, IFNγ, and IL-10) were measured in both, healthy subjects, and patients, and directly correlated with their CETPI plasma levels and severity of clinical parameters. Sequential Organ Failure Assessment (SOFA) scores were evaluated at ICU admission and within 24 h of admission. Plasma LPS and CETPI levels were also measured and studied in patients  with liver dysfunction. RESULTS: The level of CETPI in plasma was found to be higher in patients with positive blood culture for Gram-negative bacteria that in control subjects, showing a direct correlation with their SOFA values. Accordingly, septic shock patients showing a high CETPI plasma concentration, presented a negative correlation with cytokines IL-8, IL-1ß, and IL-10. Also, in patients  with liver dysfunction, since higher CETPI levels correlated with a high plasma LPS concentration, LPS neutralization carried out by CETPI might be considered a physiological response that will have to be studied in detail. CONCLUSIONS: Elevated levels of plasma CETPI were associated with disease severity and organ failure in patients  with Gram-negative bacteraemia, defining CETPI as a protein implicated in the systemic response to LPS.

Nasal cartilage destruction associated to cutaneous histoplasmosis in AIDS.

BACKGROUND: Systemic histoplasmosis is a disease of high morbidity and mortality in immunocompromised patients. Patients with AIDS get the infection through inhalation of spores, triggering a primary lung infection with a subsequent hematogenous spread to multiple organs, including the skin. Tissue necrosis have been documented in cutaneous histoplasmosis with multiple clinical manifestations that mimic other diseases. CASE PRESENTATION: We report the case of nasal cartilage destruction associated to cutaneous histoplasmosis in AIDS. A 24-year-old man, resident in Ecuadorian coast, with a history of HIV for 7 years without any treatment. In the last 3 months, he has been presenting a molluscum-like lesions on his nasal bridge with subsequent dissemination to the trunk and extremities. He was admitted to the emergency department for dyspnoea, cough, and malaise. Due to his respiratory failure, he was admitted to the intensive care unit (ICU) with mechanical ventilation. Physical examination reveals a crusted surface ulcer that involves the nose and cheeks, associated with erythematous papules, some with a crusted surface which are spread to the face, trunk, and upper limbs. The patient has a specific skin involvement with a butterfly-like ulcer appearance and destruction of the upper and lower lateral cartilage of the nose. At admission CD4 cell count was 11/mm3 with a HIV viral load of 322,908 copies. Mycological cultures identified Histoplasma capsulatum. A treatment with highly active antiretroviral therapy (HAART) was stablished, associated with liposomal amphotericin B at a dose of 3 mg/kg/day and itraconazole 200 mg twice a day for 12 months. CONCLUSIONS: Cutaneous histoplasmosis is a rare manifestation of pulmonary histoplasmosis in patients with AIDS. The cutaneous manifestations included papules, nodules, plaques, and ulcers. A histology examination is required to rule out other fungal or parasitic infections. Treatment includes highly active antiretroviral therapy (HAART), amphotericin B liposomal and itraconazole, the latest for at least 12 months.

Células madre mesenquimales como tratamiento para la regeneración de patologías articulares degenerativas. Revisión Narrativa / Mesenchymal stem cells as a treatment for the regeneration of degenerative articular diseases. A narrative review

RESUMEN Introducción: La reconstrucción de las estructuras de la articulación temporomandibular (ATM) degenerada permanecen como un desafío clínico hasta el día de hoy, y su tratamiento se ha enfocado principalmente en el alivio del dolor y la eventual restauración de la función articular. Objetivo: Describir, mediante una revisión narrativa, las propiedades y características de diferentes células mesenquimales para el tratamiento regenerativo de patologías articulares. Material y método: Se realizó una búsqueda electrónica de la literatura en las bases de datos de PubMed, EBSCO, Web of Science, Scopus y The Cochrane Library a partir del año 2005, en idioma ingles y español, con énfasis en la regeneración articular de la rodilla y la ATM. Se excluyeron aquellos estudios donde la degeneración articular fuese producto de un trauma. Fueron evaluados dieciocho artículos. Resultados y discusión: Resaltan los diferentes protocolos utilizados con células madre mesenquimales derivadas de médula ósea, tejido adiposo y cordón umbilical humano, con resultados de regeneración articular en todos los casos a nivel radiográfico e histológico cuando fue posible. El tratamiento de las patologías articulares en la ATM ha sido poco descrito, con buenos resultados en reportes de caso y estudios observacionales.

ABSTRACT: Introduction: To date, temporomandibular joint (TMJ) reconstruction remains a clinical challenge, and its treatment has focused mainly on pain relief and the eventual restoration of joint function. Aim: To describe, through a narrative review, the properties and characteristics of different mesenchymal cells for the regenerative treatment of joint diseases. Material and method: An electronic search of the literature was carried out in the databases of PubMed, EBSCO, Web of Science, Scopus and The Cochrane Library since the year 2005, in English and Spanish, emphasizing joint regeneration of the knee and the TMJ. Studies where joint degeneration was the result of trauma were excluded. Eighteen articles were evaluated. Results and discussion: The reported literature highlights the different protocols used with mesenchymal stem cells derived from bone marrow, adipose tissue and human umbilical cord, with results of joint regeneration in all cases at radiographic and histological level when possible. The treatment of joint diseases in the TMJ has been poorly described, with good results in case reports and observational studies. Because of this, it is important to continue investigating this matter to establish clear treatment protocols in the temporomandibular joint.

Knowledge, Attitude, and Practice (KAP) Survey toward Skin Cancer among Ecuadorian Population.

BACKGROUND: Skin cancer is one of the most common cancers, and melanoma is a highly preventable cancer. In Ecuador, few studies have evaluated the awareness levels of the population about the disease. For this reason, the objective of this study was to measure the level of knowledge, attitudes, and practices regarding skin cancer and its determining factors. METHODS: A cross-sectional analysis using an online self-assessment questionnaire containing 40 questions was delivered. A total of 537 participants were included in this study. Knowledge, attitude, and practice scores were assigned to each participant based on the number of correct or appropriate responses. Logistic regression analysis was used to calculate crude and adjusted odds ratios. RESULTS: In total, 75% of participants referenced knowledge of the harmful effects related to noncontrolled solar exposure. Concerning sunscreen, 76.7% knew the reason for using it. The female group was 1.68 times more likely to get a higher score than the male group, and the groups between 61-70 and 71-80 years were 0.30 and 0.17 times less likely to get a higher score compared with the less than 20-years-old group, respectively. CONCLUSIONS: The findings of this study indicate the requirement to increase the population's knowledge about skin cancer and possible protection measures. For this reason, the prevention and health promotion programs at a national level from primary healthcare centers are recommended. Due to the limitation of the representativeness of the sample, the use of more studies among Ecuadorian residents of the low socioeconomic level and replication in different provinces of Ecuador is justified.

Cytokine Profiles and Antibody Response Associated to Choclo Orthohantavirus Infection.

Background: New World Hantaviruses (NWHs) are the etiological agent underlying hantavirus cardiopulmonary syndrome (HCPS), a severe respiratory disease with high mortality rates in humans. In Panama, infections with Choclo Orthohantavirus (CHOV) cause a much milder illness characterized by higher seroprevalence and lower mortality rates. To date, the cytokine profiles and antibody responses associated with this milder form of HCPS have not been defined. Therefore, in this study, we examined immune serological profiles associated with CHOV infections. Methods: For this retrospective study, sera from fifteen individuals with acute CHOV-induced HCPS, were analyzed alongside sera from fifteen convalescent phase individuals and thirty-three asymptomatic, CHOV-seropositive individuals. Cytokine profiles were analyzed by multiplex immunoassay. Antibody subclasses, binding, and neutralization against CHOV-glycoprotein (CHOV-GP) were evaluated by ELISA, and flow cytometry. Results: High titers of IFNγ, IL-4, IL-8, and IL-10 serum cytokines were found in the acute individuals. Elevated IL-4 serum levels were found in convalescent and asymptomatic seropositive individuals. High titers of IgG1 subclass were observed across the three cohorts analyzed. Neutralizing antibody response against CHOV-GP was detectable in few acute individuals but was strong in both convalescent and asymptomatic seropositive individuals. Conclusion: A Th1/Th2 cytokine signature is characteristic during acute mild HCPS caused by CHOV infection. High expression of Th2 and IL-8 cytokines are correlated with clinical parameters in acute mild HCPS. In addition, a strong IL-4 signature is associated with different cohorts, including asymptomatic individuals. Furthermore, asymptomatic individuals presented high titers of neutralizing antibodies.

Changes in Radial Artery Pulse Pressure During a Fluid Challenge Cannot Assess Fluid Responsiveness in Patients With Septic Shock.

BACKGROUND: Arterial blood pressure is the most common variable used to assess the response to a fluid challenge in routine clinical practice. The aim of this study was to evaluate the accuracy of the change in the radial artery pulse pressure (rPP) to detect the change in cardiac output after a fluid challenge in patients with septic shock. METHODS: Prospective observational study including 35 patients with septic shock in which rPP and cardiac output were measured before and after a fluid challenge with 400 mL of crystalloid solution. Cardiac output was measured with intermittent thermodilution technique using a pulmonary artery catheter. Patients were divided between responders (increase >15% of cardiac output after fluid challenge) and nonresponders. The area under the receiver operating characteristic curve (AUROC), Pearson correlation coefficient and paired Student t test were used in statistical analysis. RESULTS: Forty-three percent of the patients were fluid responders. The change in rPP could not neither discriminate between responders and nonresponders (AUROC = 0.52; [95% confidence interval: 0.31-0.72] P = .8) nor correlate (r = .21, P = .1) with the change in cardiac output after the fluid challenge. CONCLUSIONS: The change in rPP neither discriminated between fluid responders and nonresponders nor correlated with the change in cardiac output after a fluid challenge. The change in rPP cannot serve as a surrogate of the change in cardiac output to assess the response to a fluid challenge in patients with septic shock.

In vitro evaluation of cryopreserved bovine sperm and its relation to field fertility in fixed-time artificial insemination.

This study aimed to assess characteristics of bovine cryopreserved sperm and evaluate its relation to field fertility in fixed-time artificial insemination (FTAI). Semen samples of 16 bulls were used to inseminate 811 Nellore cows, and four of these bulls were also used to inseminate 101 Nellore heifers. Samples of the same ejaculate used for FTAI from each bull were analysed in the laboratory after thawing. Sperm motility and vigour were subjectively assessed by light microscope, and integrity of the plasma and acrosome membranes, and H2 O2 production were evaluated by flow cytometer. Relation among sperm characteristics and pregnancy rate of cows and heifers were evaluated by univariate and multivariate logistic regression. Subjective sperm motility and vigour did not affect the probability of pregnancy in cows or heifers. In univariate analysis for pregnancy in cows, sperm traits related to acrosome injury positively affected probability of pregnancy mainly when associated with plasma membrane integrity; H2 O2 production seems to be less important than plasma membrane integrity in affecting probability of pregnancy. In multivariate analysis, sperm traits related to injured acrosome positively affected probability of cow and heifer pregnancies while intact acrosome was negatively related to cow pregnancy. Intact plasma membrane and high H2 O2 production were positively related to cow pregnancy but negatively related to heifer pregnancy. Results suggest that a capacitation-like status of the acrosome may benefit probability of pregnancy in cows.

Sêmen sexado através de citometria de fluxo e centrifugação por gradiente de concentração / Semen sexed using flow cytometry and concentration gradient centrifugation / Semen sexado a través de citometría de flujo y centrifugación por gradiente de concentración

Resumo O objetivo deste trabalho foi apresentar uma revisão completa e atualizada sobre a origem do sêmen sexuado, os requisitos e as técnicas de sexagem espermáticas. Nas últimas décadas, desenvolveram-se várias tecnologias na área da reprodução animal. O sêmen sexado é uma biotecnologia recente que ainda se encontra em fase de estudo e aperfeiçoamento em diversas etapas, devido a que o processo de sexagem causa estresse ao espermatozoide, e o deixa mais sensível ao processo de armazenamento; isto interfere diretamente na fertilidade. Esta tecnologia, que chegou ao Brasil em 2004, vem ganhando adeptos entre produtores que desejam produzir animais mais homogêneos para o sacrifício ou para a produção de leite. O uso do sêmen sexado tem sido difundido em muitos rebanhos do mundo, já que se apresenta como uma técnica com um direcionamento maior na seleção do sexo. Muitas técnicas têm sido utilizadas com a finalidade de buscar uma maior separação de espermatozoides portadores de cromossomas X e Y, com mínima agressão espermática. Desta forma, a utilização da sexagem espermática tem obtido resultados na aplicação de biotecnologias da reprodução assistida, e com isso tem elevado o lucro no melhoramento genético e tem otimizado a produtividade no sexo escolhido. Entretanto, ainda existem muitas limitações, principalmente referentes al tempo de exposição, o índice de aproveitamento e os resultados de índices de gestação em condições de campo. Por outro lado, a dose de sêmen sexado pode custar de duas a oito vezes o valor de uma convencional; da mesma forma, o seu uso avança no Brasil.

Abstract This study aimed to present a complete and updated review on the origin of sexed semen, as well as on the requirements and techniques of sperm sexing. In the last decades, several technologies were developed in the field of animal reproduction. Sexed semen is a recent biotechnology that is still under study and refinement in various stages, because the sexing process causes stress to the sperm, leaving it more sensitive to the storage process; this directly interferes with fertility. This technology, which arrived in Brazil in 2004, has been gaining support among producers who want to produce more homogeneous animals for slaughter or for dairy production. The use of sexed semen has been disseminated in many herds of the world, since it is a technique with better results in the selection of sex. Many techniques have been used in order to seek a greater separation of sperms carrying X and Y chromosomes, with minimal sperm aggression. In this way, the use of sperm sexing has obtained results in the application of assisted reproductive biotechnologies, which has increased the gain in genetic improvement and has optimized productivity in the chosen sex. In the meantime, there are still many limitations, mainly concerning exposure time, exploitation rate, and the results of pregnancy rates in field conditions. On the other hand, the dose of sexed semen can cost two to eight times the value of conventional semen; nevertheless, its use progresses in Brazil.

Resumen El objetivo de este trabajo fue presentar una revisión completa y actualizada sobre el origen del semen sexado, los requisitos y las técnicas de sexaje espermáticas. En las últimas décadas, se desarrollaron varias tecnologías en el área de la reproducción animal. El semen sexado es una biotecnología reciente que aún se encuentra en fase de estudio y perfeccionamiento en diversas etapas, debido a que el proceso de sexaje causa estrés al espermatozoide, y lo deja más sensible al proceso de almacenamiento; esto interfiere directamente en la fertilidad. Esta tecnología, que llegó a Brasil en 2004, viene ganando adeptos entre productores que desean producir animales más homogéneos para el sacrificio o para la producción lechera. El uso del semen sexado ha sido difundido en muchos rebaños del mundo, ya que se presenta como una técnica con un direccionamiento mayor en la selección del sexo. Muchas técnicas han sido utilizadas con el fin de buscar una mayor separación de espermatozoides portadores de cromosomas X y Y, con mínima agresión espermática. De esta forma, la utilización del sexaje espermático ha obtenido resultados en la aplicación de biotecnologías de la reproducción asistida, y con eso ha elevado la ganancia en el mejoramiento genético y ha optimizado la productividad en el sexo escogido. Entretanto, aún existen muchas limitaciones, principalmente referentes al tiempo de exposición, la taza de aprovechamiento y los resultados de tazas de gesta ción en condiciones de campo. Por otro lado, la dosis de semen sexado puede costar de dos a ocho veces el valor de una convencional; así mismo, su uso avanza en Brasil.

Multi-Institution Case Series of Pediatric Patients with Laparoscopic Repair of Morgagni Hernia.

INTRODUCTION: Morgagni Larray hernia (MLH) is a very rare disease, which accounts for less than 5% of all congenital diaphragmatic hernias. Laparoscopic repair has been widely used and accepted as a treatment option for patients with this disease. The purpose of our study is to analyze the outcomes of patients with MLH who underwent laparoscopic repair, and to evaluate their postoperative course for outcome, morbidity, and mortality. MATERIALS AND METHODS: A retrospective chart review was performed of patients who were diagnosed with MLH and treated laparoscopically by 10 board-certified pediatric surgeons. RESULTS: Fourteen patients were included in the study. One patient died 1 month postoperatively due to respiratory complications unrelated to the surgery. Thirteen patients were followed for a median of 1.75 years (interquartile 0.3-6.95). There was a single recurrence, which resulted in a partial resection of the hernia sac and repaired without a mesh. We had a success rate of 92.86%. CONCLUSION: MLH is a rare congenital diaphragmatic hernia that is usually diagnosed incidentally. Laparoscopic repair has high success rates and is a viable option for patients with this pathology.

Can scrotal circumference-based selection discard bulls with good productive and reproductive potential?

Nonlinear mixed models were used to describe longitudinal scrotal circumference (SC) measurements of Nellore bulls. Models comparisons were based on Akaike's information criterion, Bayesian information criterion, error sum of squares, adjusted R2 and percentage of convergence. Sequentially, the best model was used to compare the SC growth curve in bulls divergently classified according to SC at 18-21 months of age. For this, bulls were classified into five groups: SC < 28cm; 28cm ≤ SC < 30cm, 30cm ≤ SC < 32cm, 32cm ≤ SC < 34cm and SC ≥ 34cm. Michaelis-Menten model showed the best fit according to the mentioned criteria. In this model, ß1 is the asymptotic SC value and ß2 represents the time to half-final growth and may be related to sexual precocity. Parameters of the individual estimated growth curves were used to create a new dataset to evaluate the effect of the classification, farms, and year of birth on ß1 and ß2 parameters. Bulls of the largest SC group presented a larger predicted SC along all analyzed periods; nevertheless, smaller SC group showed predicted SC similar to intermediate SC groups (28cm ≤ SC < 32cm), around 1200 days of age. In this context, bulls classified as improper for reproduction at 18-21 months old can reach a similar condition to those considered as good condition. In terms of classification at 18-21 months, asymptotic SC was similar among groups, farms and years; however, ß2 differed among groups indicating that differences in growth curves are related to sexual precocity. In summary, it seems that selection based on SC at too early ages may lead to discard bulls with suitable reproductive potential.

Caracterización de la autoinmunidad tiroidea en mujeres adultas con melasma / Characterization of thyroid autoimmunity in adult women with melasma

Contexto: el melasma es una dermatosis frecuente en el país; predomina en mujeres. A nivel mundial existe limitada y controversial información sobre la relación entre melasma y la autoinmunidad tiroidea; en el país no existen estudios sobre esta asociación. Si fuera el caso, pacientes con melasma tendrían un alto riesgo de padecer patologías tiroideas. Objetivo: caracterizar la asociación entre melasma y autoinmunidad tiroidea en mujeres mayores de 18 años. Diseño: estudio transversal, en mujeres mayores a 18 años de edad que acuden a consulta externa del servicio de Dermatología del Hospital San Francisco de Quito, perteneciente al Instituto Ecuatoriano de Seguridad Social IESS, en el periodo abril 2014-junio 2015, diagnosticadas de melasma. Mediciones principales: la información fue obtenida de la historia clínica electrónica de cada paciente y una entrevista personal; luego se obtuvieron muestras biológicas para determinar la presencia de anticuerpo antitiroperoxidasa, antitiroglobulina y hormona estimulante de tiroides en sangre. La asociación entre las titulaciones de anticuerpos, severidad y etiología de melasma se estimó mediante regresión logística. Resultados: el 47,17% de mujeres presentó algún trastorno tiroideo; son más prevalentes las pacientes eutiroideas con anticuerpos positivos. El 19,8% presentó titulaciones de TPO-Ac positivas mientras que el 25,5% tiene niveles positivos de TG-Ac; al comparar los resultados de este estudio con reportes disponibles, existe una mayor titulación de estos dos anticuerpos en pacientes con melasma, comparado con la población que no presenta esta dermatosis. Conclusión: no se encontró asociación estadística entre melasma y titulaciones de anticuerpos antitiroideos, sin embargo, se encontró una elevada proporción de anticuerpos incluso superior a la reportada en poblaciones sanas, siendo esta diferencia estadísticamente significativa para TG-Ac. (AU)

Context: Melasma is a common dermatosis in the country; predominates in women. Globally there is limited and controversial information on the relationship between melasma and thyroid autoimmunity. In the country there are no studies on this association. If it were the case, patients with melasma would have a high risk of suffering thyroid pathologies. Objective: to characterize the association between melasma and thyroid autoimmunity in women older than 18 years. Material and methods: cross-sectional study in women older than 18 years of age who attend an outpatient clinic of the Dermatology Service of the Hospital San Francisco de Quito, belonging to the Ecuadorian Institute of Social Security IESS, in the period April 2014-June 2015, diagnosed as melasma . Main measurements: information was obtained from the electronic medical record of each patient and a personal interview; then biological samples were obtained to determine the presence of antithyroperoxidase antibody, antithyroglobulin and thyroid stimulating hormone in blood. The association between antibody titers, severity and etiology of melasma was estimated by logistic regression. Results: 47.17% of women presented with thyroid disorder; euthyroid patients with positive antibodies are more prevalent. 19.8% had positive TPO-Ac titers while 25.5% had positive levels of TG-Ac. When comparing the results of this study with available reports, there is a greater titration of these two antibodies in patients with melasma, compared to the population that does not present this dermatosis. Conclusion: No statistical association was found between melasma and antithyroid antibody titres. However, a high proportion of antibodies were found to be even higher than that reported in healthy populations, and this difference was statistically significant for TG-Ac.(AU)

Estadio de madurez sexual en toros de la raza nelore / State of Sexual Maturity of Nelore Bulls / Estádio de maturidade sexual em toros da raça nelore

La presente investigación se planteó con el objetivo de determinar el estado de madurez sexual de toros jóvenes de la raza nelore y su relación con el perímetro escrotal y las características seminales. Se estudiaron 1985 animales con edades comprendidas entre los 19 y los 23 meses de edad, alimentados con pasturas tropicales (Brachiaria brizantha, Brachiaria decumbes y Panicum maximun) y evaluados a través de examen andrológico. Se valoraron las características físicas del eyaculado, la morfología espermática y el perímetro escrotal (PE). Tras el examen andrológico, los animales se clasificaron como aptos para la reproducción (clase andrológica 1); aptos para la reproducción en régimen de monta natural (clase 2); no aptos para la reproducción temporalmente (clase 3) y descartados (clase 5). Para comparar las medias encontradas entre las clases andrológicas se utilizaron dos pruebas: la de Tukey, con probabilidad del 5 % de error, y la de correlaciones simples de Pearson, para verificar las relaciones entre las características estudiadas. Se encontró que el 84,5 % de los toros son sexualmente maduros. El 39,75 % de los animales aptos para la reproducción presentó un PE mayor a 34 cm, y solo el 0,71 % de la población estudiada exhibió una circunferencia escrotal inferior a 28 cm. Se registraron correlaciones altas favorables entre PE y las características físicas del semen. Se concluye que el PE es una excelente característica para evaluar y seleccionar toros jóvenes de la raza nelore.

This research aimed to determine the state of sexual maturity of young Nelore bulls and its relation to scrotal circumference and seminal characteristics. 1985 animals (aged between 19 and 23 months), fed with tropical pastures (Brachiaria brizantha, Brachiaria decumbes, and Panicum maximum), were evaluated through andrological examination. Physical characteristics of the ejaculate, sperm morphology and scrotal circumference (SC) were examined. After the andrological examination, animals were classified as suitable for reproduction (andrological class 1); suitable for reproduction in natural mating system (class 2); temporarily unsuitable for reproduction (class 3); and discarded (class 5). To compare the measurements found in different andrological classes, two tests were used: the Tukey test with 5% probability of error, and simple Pearson correlations to verify the relationships between the studied characteristics. 84.5% of the bulls were found to be sexually mature. 39.75% of the animals suitable for reproduction presented a SC greater than 34 cm, and only 0.71% of the study population showed a scrotal circumference less than 28 cm. Favorable high correlations between SC and the physical characteristics of semen were evidenced. The article concludes that scrotal circumference is an excellent characteristics for evaluating and selecting young Nelore bulls.

Esta pesquisa foi proposta com o objetivo de determinar o estado de maturidade sexual de touros jovens da raça nelore e sua relação com o perímetro escrotal e as características seminais. Realizou-se um estudo com 1985 animais com idades compreendidas entre os 19 e os 23 meses de idade, alimentados com pastagens tropicais (Brachiaria brizantha, Brachiaria decumbes e Panicum maximun) e avaliados através de exame andrológico. Avaliaram-se as características físicas do ejaculado, a morfologia espermática e o perímetro escrotal (PE). Depois do exame andrológico, os animais se classificaram como aptos para a reprodução (tipo andrológica 1); aptos para a reprodução em regime de monta natural (tipo 2); não aptos para a reprodução temporariamente (tipo 3) e descartados (tipo 5). Para comparar as médias encontradas entre os tipos andrológicos se utilizaram dois testes: o de Tukey, com probabilidade de 5 % de erro, e a de correlações simples de Pearson, para verificar as relações entre as características estudadas. Encontrou-se que o 84,5 % dos touros são sexualmente maduros. O 39,75 % dos animais aptos para a reprodução apresentou um PE superior a 34 cm, e somente o 0,71 % da população estudada exibiu uma circunferência escrotal inferior a 28 cm. Registraram-se correlações altas favoráveis entre PE e as características físicas do sêmen. Conclui-se que o PE é uma excelente característica para avaliar e selecionar touros jovens da raça nelore.

Parâmetros reprodutivos e produtivos em vacas leiteiras de manejo free stall / Productive and reproductive parameters of dairy cows in free stall

Avaliou-se parâmetros reprodutivos e produtivos em vacas da raça Holandês-PB no pós-parto imediato, manejadas em free stall . Utilizou-se 51 vacas entre primíparas e pluríparas. Os valores obtidos foram: escore de condição corporal ao parto 3,47±0,4; intervalos do parto à primeira ovulação 5,89±3,4 semanas; ao primeiro serviço 112,5±57,0 dias; a taxa de gestação ao primeiro serviço foi 43,6% e no período experimental 76,4%, não sendo observada diferença para ordens de parto (P>0,05). A produção de leite acumulada à concepção, produção diária leite até a concepção e produção de leite ajustado para 305 foi respectivamente, 3.335,6±1.488,4; 25,8±5,4 e 7.424,0±1.877,8 litros. Conclui-se que no manejo de Free stall , a detecção de estro, foi o principal fator limitante para alcançar melhor eficiência reprodutiva.(AU)

The reproductive and productive parameters in postpartum of 51 primiparous and pluriparous Holstein cows housed in free stall were obtained. The values measured were: body condition score at parturition (3.47±0.4), interval from parturition to first ovulation (5.89±3.4 weeks), interval parturition at first service (112.5±57.0 days), first-service pregnancy rate (43.6%) and during the experimental period (76.4%). No difference was found between parturition order (P>0.05). The accumulated milk production until conception time, daily production until conception time, and adjusted 305-day milk production was respectively 3,335.6±1,488.4; 25.8±5.4 and 7,424.0±1,877.8 liters. In free stall of this study the estrus detection was the most limiting factor to improve the reproductive efficiency.(AU)

Parâmetros reprodutivos e produtivos em vacas leiteiras de manejo free stall / Productive and reproductive parameters of dairy cows in free stall

Avaliou-se parâmetros reprodutivos e produtivos em vacas da raça Holandês-PB no pós-parto imediato, manejadas em free stall . Utilizou-se 51 vacas entre primíparas e pluríparas. Os valores obtidos foram: escore de condição corporal ao parto 3,47±0,4; intervalos do parto à primeira ovulação 5,89±3,4 semanas; ao primeiro serviço 112,5±57,0 dias; a taxa de gestação ao primeiro serviço foi 43,6% e no período experimental 76,4%, não sendo observada diferença para ordens de parto (P>0,05). A produção de leite acumulada à concepção, produção diária leite até a concepção e produção de leite ajustado para 305 foi respectivamente, 3.335,6±1.488,4; 25,8±5,4 e 7.424,0±1.877,8 litros. Conclui-se que no manejo de Free stall , a detecção de estro, foi o principal fator limitante para alcançar melhor eficiência reprodutiva.

The reproductive and productive parameters in postpartum of 51 primiparous and pluriparous Holstein cows housed in free stall were obtained. The values measured were: body condition score at parturition (3.47±0.4), interval from parturition to first ovulation (5.89±3.4 weeks), interval parturition at first service (112.5±57.0 days), first-service pregnancy rate (43.6%) and during the experimental period (76.4%). No difference was found between parturition order (P>0.05). The accumulated milk production until conception time, daily production until conception time, and adjusted 305-day milk production was respectively 3,335.6±1,488.4; 25.8±5.4 and 7,424.0±1,877.8 liters. In free stall of this study the estrus detection was the most limiting factor to improve the reproductive efficiency.

Valor diagnóstico de la Secuencia FLAIR con contraste en metástasis intracraneal de pacientes del Instituto Nacional de Enfermedades Neoplásicas. Mayo del 2013-Junio del 2014 / Diagnostic value of contrast FLAIR sequence in patients with intracranial metastasis at the National Institute of Neoplastic Diseases. May 2013-June 2014

Problema: La metástasis cerebral es una complicación grave del cáncer sistémico. Su incidencia ha incrementado con las mejoras en el diagnóstico por imágenes, el tratamiento médico y el envejecimiento de la población. Los síntomas iniciales se pueden desarrollar en forma repentinamente o insidiosa durante semanas o meses. La resonancia magnética con contraste se utiliza para evaluar los trastornos del sistema nervioso central y presenta una alta sensibilidad en la detección de las metástasis cerebrales. La administración de gadolinio como material de contraste en secuencias ponderadas en T1 puede demostrar múltiples lesiones; sin embargo, el desarrollo de nuevas técnicas de imágenes promete mejorar los resultados diagnósticos. La secuencia FLAIR es una secuencia utilizada en el diagnóstico de trastornos del sistema nervioso central, su utilización con gadolinio promete ser muy útil en la caracterización de tumores cerebrales, incluyendo metástasis cerebral y meníngea. Objetivo: Valorar la utilidad diagnóstica de la secuencia FLAIR con contraste, en el diagnóstico de las metástasis intracraneales. Metodología: Estudio descriptivo, transversal y observacional, con una muestra de 81 pacientes de nuestra institución con metástasis intracraneal (parenquimal y leptomeningea) que acudieron en el periodo de estudio (mayo del 2013-junio del 2014). El médico investigador revisó las imágenes adquiridas y las imágenes procesadas, en la estación de trabajo local Avanto y en el visor de imágenes Clearcanvas de los computadores de trabajo del departamento. Posteriormente las imágenes adquiridas y procesadas fueron revisadas por dos Médicos Asistentes del Servicio (los asesores). Para valorar la utilidad diagnóstica de la secuencia FLAIR con contraste en metástasis parenquimal se determinó el número, tamaño y localización de las lesiones en T1 y FLAIR con contraste. Para valorar la utilidad diagnóstica de la secuencia FLAIR con contraste en metástasis leptomeningea se...