Malnutrition contribution to the functional status and health related quality of life after COVID-19, a correlational follow-up study.

To assess malnutrition contribution to the functional status and health related quality of life after hospitalization due to COVID-19 pneumonia, 66 selected adults referred for physical rehabilitation accepted to participate in the study; none of them required oxygen supply or had history of lung/musculoskeletal/neurological/immune/rheumatic disease or trauma, or contraindication for respiratory-function tests. At three evaluations, with 3 months in-between, assessments included: self-report of functional status, the St. George's Respiratory Questionnaire, spirometry, the 6-min-walk-test, the MRC-scale, the 30-s sit-to-stand-test, the timed-up-and-go-test, nutritional status, and ultrasound imaging (vastus medialis and diaphragm). At referral, patients had nutritional deficits with protein deficiency, which gradually improved; while muscle thickness (of both vastus medialis and diaphragm) increased, along with muscle strength and mobility (ANOVA, p < 0.05). Contrarywise, the distance covered during the 6-min-walk-test decreased (ANOVA, p < 0.05), with a negative influence from excess body mass. During rehabilitation, health-related quality of life and functional status improved, with negative influence from a history of tobacco use and referral delay, respectively. After hospitalization due to COVID-19, early diagnosis of both protein deficiency and decrease of skeletal muscle thickness could be relevant for rehabilitation, while pondering the negative impact of excess body mass on submaximal exercise performance.

Mercury and selenium in oysters Saccostrea palmula and Crassostrea corteziensis from coastal lagoons of the southeastern Gulf of California: molar ratio and risk assessment on human health.

Total mercury (Hg) and selenium (Se) contents were determined in oysters Saccostrea palmula and Crassostrea corteziensis soft tissues from four coastal lagoons of the southeastern Gulf of California. The annual Hg mean concentrations for S. palmula (0.09 ± 0.04 µg g- 1, wet weight) and C. corteziensis (0.08 ± 0.04 µg g- 1) were similar (p ˃ 0.05) among the lagoons and did not exceed the limit established by the Norma Oficial Mexicana and World Health Organization (< 1.0 µg g- 1 Hg). On the other hand, the annual mean concentrations of Se for S. palmula (3.34 ± 0.96 µg g- 1) and C. corteziensis (2.79 ± 0.89 µg g- 1) were higher (p < 0.05) in El Colorado lagoon. The Se/Hg molar ratios were above 1; the positive selenium health benefit value index suggested that Se load in oysters could reduce the Hg potential toxic effect. The hazard quotient for Hg in both species was below 1. Therefore, the consumption of oysters does not represent a risk due to Hg ingestion.

Serological screening of SARS-CoV-2 infection in companion animals of Buenos Aires suburbs.

The Coronavirus Disease 2019 (COVID-19) is a zoonotic disease caused by the pandemic virus SARS-CoV-2. Domestic and wild animals are susceptible to infection and are potential reservoirs for virus variants. To date, there is no information about the exposure of companion animals in Buenos Aires Suburbs, the area with the largest population in Argentina where the highest number of COVID-19 human cases occurred during the first infection wave. Here we developed a multi-species indirect ELISA to measure antibodies reactive to the SARS-CoV-2 receptor-binding domain (RBD) from several vertebrates constituting the class Mammalia, making it a valuable tool for field serosurveillance. The ELISA cut-off value was estimated by sera from dogs, cats, cattle, and pigs sampled before 2019 (n = 170), considering a 98% percentile and a grey zone to completely exclude any false positive result. Specificity was confirmed by measuring levels of neutralizing antibodies against canine coronavirus, the avidity of specific antibodies, and their capacity to impede the binding of a recombinant RBD protein to VERO cells in an In-Cell ELISA. Sera from 464 cats and dogs sampled in 2020 and 2021 ("pandemic" samples) were assessed using the RBD-ELISA. Information on COVID-19 disease in the household and the animals' lifestyles was collected. In Buenos Aires Suburbs cats were infected at a higher proportion than dogs, seroprevalence was 7.1 and 1.68%, respectively. Confirmed COVID-19 in the caregivers and outdoor lifestyle were statistically associated with seropositivity in cats. The risk of cats getting infected living indoors in COVID-19-negative households was null. The susceptibility of mammals to SARS-CoV-2, the possibility of transmission between animals themselves and humans, together with the free-roaming lifestyle typical of Buenos Aires suburban companion animals, urge pursuing responsible animal care and avoiding human interaction with animals during the disease course. The multi-species RBD-ELISA we developed can be used as a tool for serosurveillance of SARS-CoV-2 infection in mammalians (domestic and wild), guiding further targeted virological analyses to encounter susceptible species, interspecies transmission, and potential virus reservoirs in our region.

Legionelosis: Recomendaciones para la prevención, la vigilancia epidemiológica y el control de casos y brotes / Legionellosis: Recommendations for prevention, epidemiological surveillance and control of cases and outbreaks

La enfermedad de los legionarios es un importante problema de salud pública particularmente por su frecuente presentación en forma de brotes, tanto comunitarios como nosocomiales, y por su letalidad, especialmente en personas de edad avanzada o con otras enfermedades. La notificación oportuna de casos y/o brotes de enfermedad y la investigación epidemiológica permiten la identificación de la/s fuentes de exposición y la adopción de medidas de prevención y control adecuadas. Las infecciones por Legionella son más frecuentes entre adultos mayores de 50 años, hombres, fumadores y huéspedes inmunocomprometidos o con ciertas enfermedades crónicas subyacentes. La infección en niñas/os es rara, con ≤ 1% de los casos de neumonía causada por Legionella, y puede ser asintomática o leve y no detectada. La Legionella puede multiplicarse si el agua no es tratada de manera adecuada o si los sistemas de agua no son mantenidos adecuadamente.

[Program for the prevention of Carbapenemase-Producing Enterobacteria in critical units in Argentina during the COVID-19 pandemic]. / Programa de prevención de enterobacterias productoras de carbapenemasas en unidades críticas durante la pandemia COVID-19 en Argentina.

INTRODUCTION: The problem of carbapenemase-producing Enterobacteriaceae (CPE) was exacerbated by the COVID-19 pandemic in countries with a previous high incidence, such as Argentina. This study describes the development and results of a CPE prevention program, mainly carbapenemase-producing Klebsiellas (KPC), in three critical units of two public hospitals during 6 months of the pandemic. METHODS: The objective was to reduce the incidence of KPC in clinical and colonization samples. This quasi-experimental study was based on a cycle of improvement and implementation of three measures: hand hygiene, environmental hygiene, and periodic surveillance with rectal swabs. RESULTS: Regarding the measures, all the units optimized active surveillance, and two of these also improved hand and environmental hygiene. Comparing the pre- and post-intervention periods in the three units, no significant change was observed in the rate of KPC positive clinical samples. KPC colonization was significantly reduced in two units (unit 2: 51.6-18.5 p 0.0004, unit 3: 62.5-5.2 p < 0.0000001). All units showed a downtrend in both rates towards the end of the study. CONCLUSION: Containing or reducing the advance of the KPC in our region is possible even in difficult scenarios such as the pandemic. More studies are needed in low- and middle-income countries to demonstrate the impact of KPC prevention programs in these situations.

Introducción: La problemática de las enterobacterias productoras de carbapenemasas (EPC) se exacerbó con la pandemia por COVID-19 en países con una incidencia previa elevada, como la Argentina. Este estudio describe el desarrollo y resultados de un programa de prevención de EPC, fundamentalmente Klebsiellas productoras de carbapenemasas (KPC), en tres unidades críticas de dos hospitales públicos durante 6 meses de la pandemia. Métodos: El objetivo fue reducir la incidencia de KPC en muestras clínicas y de colonización. Este estudio, quasi experimental, se basó en un ciclo de mejora e implementación de tres medidas: higiene de manos, higiene ambiental y vigilancia periódica con hisopados rectales. Resultados: Respecto a las medidas, todas las unidades mejoraron la vigilancia activa y dos de estas tuvieron además mejoría en la higiene de manos e higiene ambiental. Comparando los períodos pre y post intervención en las tres unidades no se observaron cambios significativos en la tasa de muestras clínicas KPC positivas. Se logró disminuir en forma significativa la colonización por KPC en dos unidades (unidad 2: 51.6-18.5 p 0.0004, unidad 3: 62.5-5.2 p < 0.0000001). Todas las unidades mostraron hacia el final del estudio una tendencia al descenso en ambas tasas. Conclusión: Contener o reducir el avance de KPC en nuestra región es posible incluso en escenarios difíciles como el de la pandemia. Se necesitan más estudios en países de ingresos bajos y medianos, para demostrar el impacto de los programas de prevención de KPC en estas situaciones.

Programa de prevención de Enterobacterias Productoras de Carbapenemasas en unidades críticas en Argentina durante la pandemia COVID-19 / Program for the prevention of Carbapenemase-Producing Enterobacteria in critical units in Argentina during the COVID-19 pandemic

Resumen Introducción: La problemática de las enterobacterias productoras de carbapenemasas (EPC) se exacerbó con la pandemia por COVID-19 en países con una incidencia previa elevada, como la Argentina. Este estudio describe el desarrollo y resultados de un programa de prevención de EPC, fundamental mente Klebsiellas productoras de carbapenemasas (KPC), en tres unidades críticas de dos hospitales públicos durante 6 meses de la pandemia. Métodos: El objetivo fue reducir la incidencia de KPC en muestras clínicas y de colonización. Este estudio, quasi experimental, se basó en un ciclo de mejora e implementación de tres me didas: higiene de manos, higiene ambiental y vigilancia periódica con hisopados rectales. Resultados: Respecto a las medidas, todas las unidades mejoraron la vigilancia activa y dos de estas tuvieron además mejoría en la higiene de manos e higiene ambiental. Comparando los períodos pre y post intervención en las tres unidades no se observaron cambios significativos en la tasa de muestras clínicas KPC positivas. Se logró disminuir en forma significativa la colonización por KPC en dos unidades (unidad 2: 51.6-18.5 p 0.0004, unidad 3: 62.5-5.2 p < 0.0000001). Todas las unidades mostraron hacia el final del estudio una tendencia al descenso en ambas tasas. Conclusión: Contener o reducir el avance de KPC en nuestra región es posible incluso en escenarios difíciles como el de la pandemia. Se necesitan más estudios en países de ingresos bajos y medianos, para demostrar el impacto de los programas de prevención de KPC en estas situaciones.

Abstract Introduction: The problem of carbapenemase-producing Enterobacteriaceae (CPE) was exacerbated by the COVID-19 pandemic in countries with a previous high incidence, such as Argentina. This study describes the development and results of a CPE prevention program, mainly carbapenemase-producing Klebsiellas (KPC), in three critical units of two public hospitals during 6 months of the pandemic. Methods: The objective was to reduce the incidence of KPC in clinical and colonization samples. This quasi-experimental study was based on a cycle of improvement and implementation of three measures: hand hygiene, environmental hygiene, and periodic surveillance with rectal swabs. Results: Regarding the measures, all the units optimized active surveillance, and two of these also improved hand and environmental hygiene. Comparing the pre- and post-intervention periods in the three units, no significant change was observed in the rate of KPC positive clinical samples. KPC coloni zation was significantly reduced in two units (unit 2: 51.6-18.5 p 0.0004, unit 3: 62.5-5.2 p < 0.0000001). All units showed a downtrend in both rates towards the end of the study. Conclusion: Containing or reducing the advance of the KPC in our region is possible even in difficult scenarios such as the pandemic. More studies are needed in low- and middle-income countries to demonstrate the impact of KPC prevention programs in these situations.

Double-task exercise programmes to strengthen cognitive and vascular health in older adults at risk of cognitive decline: protocol for a randomised clinical trial.

INTRODUCTION: Cognitive and physical declines are frequent causes of disability among older adults (OAs) in Mexico that imposes significant burden on the health system and OAs' families. Programmes to prevent or delay OAs' cognitive and physical decline are scarce. METHODS AND ANALYSIS: A double-blind randomised clinical trial will be conducted. The study will aim to evaluate two 24-week double-task (aerobic and cognitive) square-stepping exercise programmes for OAs at risk of cognitive decline-one programme with and another without caregiver participation-and to compare these with an aerobic-balance-stretching exercise programme (control group). 300 OAs (100 per group) affiliated with the Mexican Institute of Social Security (IMSS) between 60 and 65 years of age with self-reported cognitive concerns will participate. They will be stratified by education level and randomly allocated to the groups. The intervention will last 24 weeks, and the effect of each programme will be evaluated 12, 24 and 52 weeks after the intervention. Participants' demographic and clinical characteristics will be collected at baseline. The outcomes will include: (1) general cognitive function; (2) specific cognitive functions; (3) dual-task gait; (4) blood pressure; (5) carotid intima-media thickness; (6) OAs' health-related quality of life; and (7) caregiver burden. The effects of the interventions on each outcome variable will be examined using a repeated-measures analysis of variance (ANOVA), with study groups as the between-subjects variable and time as the within-subject variable. ETHICS AND DISSEMINATION: The study was approved by the IMSS Ethics and Research Committees (registration number: 2018-785-095). All participants will sign a consent form prior to their participation. The study results will be disseminated to the IMSS authorities, healthcare providers and the research community. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov (NCT04068376).

Soluble Intercellular Adhesion Molecule-1 (sICAM-1) as a Biomarker of Vascular Cognitive Impairment in Older Adults.

BACKGROUND: Endothelial dysfunction and subsequent inflammation contribute to the development of vascular cognitive impairment (VCI). Soluble intercellular adhesion molecule-1 (sICAM-1) is upregulated in endothelial dysfunction and promotes an inflammatory response; however, the relationship between sICAM-1 and VCI remains equivocal. OBJECTIVE: To determine whether sICAM-1 contributes to the prediction of VCI. METHODS: Community-dwelling older adults (n = 172) from the "Cohort of Obesity, Sarcopenia and Frailty of Older Mexican Adults" (COSFOMA) study were identified as VCI or controls using standard neuropsychological evaluations and neuroimaging. sICAM-1 was quantified using ELISA, and multivariate logistic regression determined the association between sICAM-1 and VCI. RESULTS: A total of 31 VCI cases were identified. sICAM-1 was higher in VCI (VCI: 450.7 [241.6] ng/mL vs. controls: 296.9 [140.9] ng/mL). sICAM-1 concentrations above the 90th percentile (464.1 ng/mL) were associated with VCI group membership in all models (OR: 6.9, 95% CI: 1.1-42.2). The final saturated model explained 64% of the variance in VCI group membership. CONCLUSION: High concentrations of sICAM-1 are independently associated with VCI group membership. Efforts to further characterize the relationship between indices of endothelial dysfunction and pathological changes to the aging brain should be further pursued.

Monocyte chemoattractant protein-1 (MCP-1) and fibroblast growth factor-21 (FGF-21) as biomarkers of subclinical atherosclerosis in women.

BACKGROUND: Atherosclerosis is a primary risk factor for cardiovascular disease (CVD). Proinflammatory biochemical factors can influence vascular health; monocyte chemoattractant protein-1 (MCP-1) is elevated in patients with CVD while fibroblast growth factor-21 (FGF-21) acts directly on cardiac tissue to reduce infarction damage. However, the relationship between plasma concentrations of MCP-1, FGF-21 and subclinical CVD indices remains equivocal. AIM: To determine the association between MCP-1, FGF-21 and subclinical atherosclerosis [i.e., carotid intima-media thickness (cIMT)] in women without clinical evidence of CVD. METHODS: A cross-sectional analysis of 140 women without history of CVD was performed. Anthropometrics were collected, serum concentrations of MCP-1 and FGF-21 were determined by enzyme-linked immunosorbent assay, and cIMT was quantified (B-mode ultrasonography). The correlations between MCP-1, FGF-21 and the presence of clinical and laboratory of subclinical atherosclerosis (i.e., cIMT ≥0.70 mm), comparison intergroup and odd ratio with multiple logistic regression were analyzed. RESULTS: MCP-1, but not FGF-21 correlated with some obesity indicators. In median comparison among groups, subclinical atherosclerosis showed higher serum concentrations of MCP-1and lower serum concentrations of FGF-21. In postmenopausal women, there were significant differences MCP-1 (p = 0.001), and FGF-21 (p = 0.010). Multiple logistic regression analysis in postmenopausal women with subclinical atherosclerosis, between MCP-1 (p = 0.001) and FGF-21 (p = 0.037) showed association with cIMT, along with age. CONCLUSIONS: MCP-1 and FGF-21 levels are associated with subclinical atherosclerosis disease severity (i.e., cIMT) in postmenopausal women without CVD. Further efforts focused on characterizing the relationship between novel blood-borne markers of early CVD pathology are warranted and should be pursued.

Complicaciones intrahospitalarias en ancianos con fractura de cadera: estudio transversal para determinar los factores asociados / In-hospital complications in elderly patients with hip fracture: cross-sectional study to determine the associated factors

Introducción El objetivo del trabajo es determinar cuáles son los factores asociados a la presencia de complicaciones intrahospitalarias en pacientes ancianos con fractura de cadera. Materiales & métodos Estudio retrospectivo, observacional de los pacientes mayores de 65 años ingresados al Hospital Universitario San Ignacio con fractura de cadera en el periodo comprendido entre enero de 2013 y diciembre de 2015. Se realizó la revisión de la historia clínica de cada paciente extrayendo datos demográficos, antecedentes patológicos, síndromes geriátricos, estado de ingreso, datos del procedimiento quirúrgico y la presencia de complicaciones. Posteriormente se procedió a realizar un análisis multivariado para determinar los factores asociados a la presencia de complicaciones intrahospitalarias. Resultados Durante el periodo de recolección se analizaron los datos de 141 pacientes, la edad promedio fue de 80.3 años (DE 7.86), el 62.4% de la muestra eran mujeres y el tiempo de estancia promedio fue de 7.89 días (DE 5.65). Las tres condiciones geriátricas más frecuentes fueron desnutrición, polifarmacia y caídas. El 53% de los pacientes eran independientes para la realización de actividades básicas de la vida diaria (Barthel > 90). Durante el tiempo de estancia hospitalaria el 54.6% de la muestra presentó alguna complicación. La mortalidad registrada en el periodo intrahospitalario fue de 9.9%. Discusión La dependencia funcional, el mayor riesgo anestésico, el requerimiento de oxígeno suplementario durante el postoperatorio y el tiempo de estancia hospitalaria fueron los principales factores independientes para la presencia de complicaciones intrahospitalarias.

Background This study aims to determine the factors associated with the presence of in-hospital complications in elderly patients with hip fracture. Methods A retrospective, observational study of patients older than 65 years admitted to the San Ignacio University Hospital (Bogotá, Colombia) with hip fracture in the period between January 2013 and December 2015. A review of the clinical history of each patient was carried out by extracting demographic data, disease history, geriatric syndromes, status on admission, date of the surgical procedure, and the presence of complications. A multivariate analysis was subsequently performed in order to determine the risk factors associated with the presence of in-hospital complications. Results An analysis was carried out on the data collected from 141 patients. The mean age was 80.3 years (SD 7.86), with 62.4% of the sample being women, and the mean hospital stay was 7.89 days (SD 5.65). The three most frequent geriatric conditions were malnutrition, polypharmacy, and falls, Just over half (53%) of the patients were independent for basic activities of daily living (Barthel> 90). During the hospital stay, 54.6% of the sample had some complication. Mortality in the hospital period was 9.9%. Discussion Functional dependence, increased anaesthetic risk, supplementary oxygen requirement during the post-operative period, and length of hospital stay were independent factors for the presence of in-hospital complications.

Lesión simultánea de ambos ligamentos colaterales de la articulación metacarpofalángica del pulgar. Reporte de caso / Simultaneous injury of both ligaments at the metacarpophalangeal joint of the thumb. Case report

Presentamos un caso de fractura simultánea por avulsión de ambos ligamentos colaterales de la articulación metacarpofalángica del pulgar. Se analizan el mecanismo de la lesión y el tratamiento utilizado. Nivel de evidencia clínica. Nivel IV.

We report a case of simultaneous avulsion fracture of both collateral ligaments of the metacarpophalangeal joint of the thumb. The mechanism of injury and treatment used are analyzed. Evidence level. IV

Phenolic profile and antioxidant activity from non-toxic Mexican Jatropha curcas L. shell methanolic extracts.

Jatropha curcas seed shells are the by-product obtained during oil extraction process. Recently, its chemical composition has gained attention since its potential applications. The aim of this study was to identify phenolic compounds profile from a non-toxic J. curcas shell from Mexico, besides, evaluate J. curcas shell methanolic extract (JcSME) antioxidant activity. Free, conjugate and bound phenolics were fractionated and quantified (606.7, 193.32 and 909.59 µg/g shell, respectively) and 13 individual phenolic compounds were detected by HPLC. The radical-scavenging activity of JcSME was similar to Trolox and ascorbic acid by DPPH assay while by ABTS assay it was similar to BHT. Effective antioxidant capacity by ORAC was found (426.44 ± 53.39 µmol Trolox equivalents/g shell). The Mexican non-toxic J. curcas shell is rich in phenolic compounds with high antioxidant activity; hence, it could be considerate as a good source of natural antioxidants.

La psicopatía: Una revisión bibliográfica y bibliométrica / A psicopatia: uma revisão bibliográfica e bibliométrica / Psychopathy: a Bibliographic and Bibliometric Review

La psicopatía es un trastorno de personalidad caracterizado tanto por la falta de afecto, remordimientos y empatía como por seducción, manipulación y utilización del otro. Nuestro objetivo es realizar una revisión bibliométrica sobre los artículos de revistas científicas recogidos en la plataforma de datos PsycINFO, hasta febrero del 2013, en base a los descriptores "Psychopathy" y "Antisocial Personality Disorder". Los resultados ofrecen información sobre: la evolución y tratamiento de ambos términos, la productividad anual, lugar de publicación, revistas científicas, autores más prolíficos, conceptos clave más utilizados, así como se concretizan los esfuerzos en muestras penitenciarias, mediante la realización de un análisis del contenido de los principales autores y la intervención en la psicopatía, lo que nos permite observar la necesidad de aumentar los criterios de diagnóstico de la psicopatía, aludiendo a la perspectiva de género, al contexto social, y a las características de personalidad(AU)

A psicopatía é um transtorno de personalidade caracterizado tanto por falta de afeto, remorsos e empatía como sedução, manipulação e uso do outro. Nosso objetivo é realizar uma revisão bibliométrica de artigos em revistas científicas recolhidas no banco de dados PsycINFO até fevereiro de 2013, a partir dos descritores "Psicopatia" e "Transtorno da Personalidade Anti-Social". Os resultados fornecem informações sobre: o desenvolvimento e tratamento de ambos os termos, a produtividade anual, local de publicação, revistas científicas, autores mais produtivos, conceitos-chave mais utilizados, assim como os esforços em amostras penitenciárias realizando uma análise de conteúdo dos principais autores e a intervenção em psicopatia, permitindo mostrar a necessidade de incrementar os critérios de diagnóstico de psicopatia, em referência ao gênero, ao contexto social e à caracteristicas de personalidade(AU)

Psychopathy is a personality disorder characterized both by a lack of affection, remorse and empathy, as by the ability to seduce, manipulate and use other people. Our goal is to perform a bibliometric review of articles published in scientific journals listed in the PsycINFO database by February 2013, using the keywords "Psychopathy" and "Antisocial Personality Disorder". The results provide information on the evolution and treatment of both terms; annual productivity; place of publication; recurrent scientific journals; most prolific authors; most popular keywords; as well as efforts undertaken in prison samples. Content analysis of the main authors show the need to increase diagnostic criteria for psychopathy according to gender, social context and personality traits(AU)

La psicopatía: una revisión bibliográfica y bibliométrica / A psicopatia: uma revisão bibliográfica e bibliométrica / Psychopathy: a bibliographic and bibliometric review

La psicopatía es un trastorno de personalidad caracterizado tanto por la falta de afecto, remordimientos y empatía como por seducción, manipulación y utilización del otro. Nuestro objetivo es realizar una revisión bibliométrica sobre los artículos de revistas científicas recogidos en la plataforma de datos PsycINFO, hasta febrero del 2013, en base a los descriptores "Psychopathy" y "Antisocial Personality Disorder". Los resultados ofrecen información sobre: la evolución y tratamiento de ambos términos, la productividad anual, lugar de publicación, revistas científicas, autores más prolíficos, conceptos clave más utilizados, así como se concretizan los esfuerzos en muestras penitenciarias, mediante la realización de un análisis del contenido de los principales autores y la intervención en la psicopatía, lo que nos permite observar la necesidad de aumentar los criterios de diagnóstico de la psicopatía, aludiendo a la perspectiva de género, al contexto social, y a las características de personalidad.

A psicopatía é um transtorno de personalidade caracterizado tanto por falta de afeto, remorsos e empatía como sedução, manipulação e uso do outro. Nosso objetivo é realizar uma revisão bibliométrica de artigos em revistas científicas recolhidas no banco de dados PsycINFO até fevereiro de 2013, a partir dos descritores "Psicopatia" e "Transtorno da Personalidade Anti-Social". Os resultados fornecem informações sobre: o desenvolvimento e tratamento de ambos os termos, a produtividade anual, local de publicação, revistas científicas, autores mais produtivos, conceitos-chave mais utilizados, assim como os esforços em amostras penitenciárias realizando uma análise de conteúdo dos principais autores e a intervenção em psicopatia, permitindo mostrar a necessidade de incrementar os critérios de diagnóstico de psicopatia, em referência ao gênero, ao contexto social e à caracteristicas de personalidade.

Psychopathy is a personality disorder characterized both by a lack of affection, remorse and empathy, as by the ability to seduce, manipulate and use other people. Our goal is to perform a bibliometric review of articles published in scientific journals listed in the PsycINFO database by February 2013, using the keywords "Psychopathy" and "Antisocial Personality Disorder". The results provide information on the evolution and treatment of both terms; annual productivity; place of publication; recurrent scientific journals; most prolific authors; most popular keywords; as well as efforts undertaken in prison samples. Content analysis of the main authors show the need to increase diagnostic criteria for psychopathy according to gender, social context and personality traits.

Clinical significance of auditive involvement in rheumatoid arthritis: a case-control study.

Introduction. Rheumatoid arthritis (RA) can involve the incudomalleolar or incudostapedial articulations. Objective. To know the punctual prevalence of audiological alterations in patients with RA. Patients and Methods. RA patients and their controls (Cs), were evaluated by Tonal Audiometry (AU); if there were alterations in the air conduction (AC), bone conduction (BC), Logoaudiometry (LG), and Tympanometry (T) were performed. Results. 45 RA patients and 45 Cs were evaluated. RA patients had 40% of bilateral and 17.8% unilateral alteration versus Cs with 22.2% bilateral and 4.4% unilateral alteration versus Cs with 22.2% bilateral and 4.4% unilateral in AC audiometry. In conventional T (CT) As-type curves in patients with RA, there were 22 LE (48.8%) and 26 RE (57.7%) versus Cs, there were16 RE (35.5%) and 20 LE (44.4%). In High-frequency T (HFT): the 3B1G pattern in RA more frequent versus Controls (Cs) in RE (P = .002 and LE (P = .01). There were no differences according to RA activity or RA disease evolution. Conclusions. There is a greater tendency of auditive loss of As curves in CT (rigidity in ossicular chain) and of the 3B1G pattern in HFT in RA.

Evaluación de Programas Sociales Estudio del Programa Comadres: la figura de la comadre: Villa Celina, La Matanza, Provincia de Buenos Aires, años 1997 a 2003 / Evaluation of Social Programs Study of the Program Comadres: the figure of the Comadre: Villa Celina, La Matanza, Province of Buenos Aires, years 1997 to 2003

El presente trabajo desea resaltar la importancia de evaluar los programas sociales. Se considera necesario profundizar las evaluaciones de las tecnologías sanitarias referidas al campo de la prevención y la promoción de la salud. El análisis llevado a cabo se ha centrado en la figura de la Comadre, un recurso tradicional equiparable a un agente sanitario, que fuera incorporado formalmente en el Programa Comadres, que se implementa en la Provincia de Buenos Aires, Argentina. El período considerado se extiende desde el año 1997 al año 2003. En los antecedentes consultados no se han encontrado programas que mencionen la figura del agente sanitario o el promotor de salud como recurso humano central único para su implementación. Han sido escasos los trabajos que contaron con evaluación de su accionar. El Programa ha contribuido al mejoramiento de aquellos aspectos más arraigados en la cultura popular, en el contexto familiar o en la tradición prestacional de las instituciones sanitarias. El desempeño fue menor en los aspectos inherentes a temas más complejos que requirieron capacitaciones especiales para su resolución, o en cuestiones que implicaran una salida importante de la mujer fuera de su hogar. Si bien el diseño del estudio realizado no provee una fuerte evidencia en la evaluación de la tecnología, las preguntas y las conclusiones parciales pueden guiar nuevos estudios sobre la evaluación de las intervenciones sanitarias realizadas desde la atención primaria.

Comunicación y psicoballet / Psycoballet and communication

Se dan a conocer los distintos niveles de comunicación que se establecen en el psicoballet, dentro del sistema dinámico integral que éste constituye. Estos niveles de comunicación están estructurados de acuerdo con su grado de complejidad y su importancia dentro del sistema, y es lo que permite llevar a cabo la psicoterapia a través de la cual se logra en el pacienye la adecuación de sus relaciones afectivas e interpersonales, la liberación de sus tensiones emocionales y el aprendizaje de lo preliminar de la técnica de ballet(AU)