ProtoColVR: Requirements Gathering and Collaborative Rapid Prototyping of VR Training Simulators for Multidisciplinary Teams.

We present ProtoColVR, a methodology and a plugin designed for gathering requirements and collaborative rapid prototyping of virtual reality training simulators. Our methodology outlines the utilization of current technologies, the involvement of stakeholders during design and development, and the implementation of simulator creation through multiple iterations. We incorporate open-source tools and freely available environments like Twine and Unity to establish a reference implementation for requirements gathering and rapid prototyping. ProtoColVR is the outcome of our collaboration with a hospital and our Navy, and it has undergone testing in a development Jam. From these tests, we have gained valuable insights, including the ability to create functional prototypes within multidisciplinary teams, enhance communication among different roles, and streamline requirements gathering while improving our understanding of the virtualized environment.

Carga por mortalidad relacionada con el embarazo, parto y puerperio. Cuba 2005-2018 / Burden of mortality related to pregnancy, childbirth and the puerperium. Cuba 2005-2018

RESUMEN Fundamento la muerte materna representa uno de los acontecimientos más notables dentro de los conflictos de la salud sexual y reproductiva en el mundo. La elevada mortalidad por esta causa en el mundo es inadmisible. Sin embargo, las estimaciones para determinar la carga de morbilidad y mortalidad maternas aún son limitadas. Objetivo determinar la carga por mortalidad relacionada con el embarazo, parto y puerperio en Cuba entre los años 2005 y 2018. Métodos se realizó un estudio descriptivo, de datos transversales nacionales y periodicidad anual. El universo de estudio estuvo conformado por todas las muertes ocurridas durante el embarazo, parto y puerperio en el periodo 2005-2018, en Cuba (N=831). Se calcularon la razón de mortalidad, años de vida potencialmente perdidos por mortalidad, el porcentaje, el promedio y la tendencia. Resultados del total de fallecidas por muertes ocurridas durante el embarazo, parto y puerperio, 463 fueron por muerte directa; 247 por muerte indirecta; y 247, por otras muertes 121. La razón promedió 48,8 fallecidas por cada 100 000 nacidos vivos. Los años de vida potencialmente perdidos fueron 42582: 23433 por muertes directas, 12724 por indirectas, y 6425 por otras muertes. Conclusión las muertes obstétricas directas fueron las más frecuentes, y las de mayor impacto sobre la esperanza de vida; mientras que las obstétricas indirectas mostraron una tendencia a aumentar en el tiempo. Por otras muertes, las mujeres fallecieron en edades más tempranas.

ABSTRACT Background maternal death represents one of the most notable events in the conflicts of sexual and reproductive health in the world. The high mortality from this cause in the world is unacceptable. However, estimates for determining the burden of maternal morbidity and mortality health are still limited. Objective to determine the burden of mortality related to pregnancy, childbirth and the puerperium in Cuba between 2005 and 2018. Methods a descriptive study was carried out, with national cross-sectional data and annual periodicity. The universe of study was made up of all the deaths that occurred during pregnancy, childbirth and the puerperium in the period 2005-2018, in Cuba (N = 831). The mortality ratio, years of life potentially lost due to mortality, the percentage, the average and the trend were calculated. Results of the total number of deceased due to deaths that occurred during pregnancy, childbirth and the puerperium, 463 were due to direct death; 247 for indirect death; and 247, due to other deaths 121. The ratio averaged 48.8 deaths for every 100 000 live births. Years of life potentially lost were 42,582: 23,433 for direct deaths, 12,724 for indirect deaths, and 6,425 for other deaths. Conclusion direct obstetric deaths were the most frequent and those with the greatest impact on life expectancy; while indirect obstetrician women showed a tendency to increase over time. For other deaths, women died at an earlier age.

Redescription of Orthocis platensis Brèthes, 1922 (Coleoptera: Ciidae) and the first records of the species from Brazil.

The genus Orthocis Casey is represented by 46 species occurring in insular and continental areas of the World, except for the Antarctic. Three Orthocis species are currently known from South America: the Andean O. elguetai Lopes-Andrade, from Chile; the Neotropical O. apicipennis (Pic) from a single locality in South Brazil; and O. platensis Brèthes from Buenos Aires, Argentina. Orthocis platensis is here redescribed and recorded for the first time from South and Southeast Brazil.

Injury-Related Emergency Department Visits After Hurricane Maria in a Southern Puerto Rico Hospital.

OBJECTIVE: The aim of this study was to describe individuals seeking care for injury at a major emergency department (ED) in southern Puerto Rico in the months after Hurricane Maria on September 20, 2017. METHODS: After informed consent, we used a modified version of the Natural Disaster Morbidity Surveillance Form to determine why patients were visiting the ED during October 16, 2017-March 28, 2018. We analyzed visits where injury was reported as the primary reason for visit and whether it was hurricane-related. RESULTS: Among 5 116 patients, 573 (11%) reported injury as the primary reason for a visit. Of these, 10% were hurricane-related visits. The most common types of injuries were abrasions, lacerations, and cuts (43% of all injury visits and 50% of hurricane-related visits). The most common mechanisms of injury were falls, slips, trips (268, 47%), and being hit by/or against an object (88, 15%). Most injury visits occurred during the first 3 months after the hurricane. CONCLUSIONS: Surveillance after Hurricane Maria identified injury as the reason for a visit for about 1 in 10 patients visiting the ED, providing evidence on the patterns of injuries in the months following a hurricane. Public health and emergency providers can use this information to anticipate health care needs after a disaster.

Redescription of Cis renominatus and Paratrichapus javanus (Coleoptera: Ciidae).

 Cis renominatus Sandoval-Gómez, Lopes-Andrade Lawrence, 2014, and Paratrichapus javanus (Pic, 1937) were originally described in the genus Xylographus Mellié, 1847. Their original descriptions are anecdotal and do not provide information on the morphology of male abdominal terminalia, which is essential for accurate identification of ciid beetles. Our aim is to redescribe C. renominatus and P. javanus based on careful examination of lectotypes and paralectotypes, and also on additional specimens of C. renominatus identified by us. The most remarkable feature of C. renominatus is the morphology of male genitalia, with penis about twice as long as tegmen, very slender, subparallel-sided, with apex hook-shaped and base spatula-shaped. Paratrichapus javanus is the largest species of the genus (length at least 3.50 mm) and is characterized by its very expanded and rounded metatibiae that bear about 25 spines, and by the anterocephalic edge of males bearing two tubercles with two tufts of bristles between them.

Reassessing the Chromosome Number and Morphology of the Turtle Ant Cephalotes pusillus (Klug, 1824) Using Karyomorphometrical Analysis and Observations of New Nesting Behavior.

Here we use karyomorphometrical analysis to characterize and evaluate the karyotype of the turtle ant Cephalotes pusillus (Klug, 1824). This is the first representative of this diverse ant genus to be cytogenetically studied. They bear a diploid chromosome set of 44 chromosomes, which, according to the centromeric index, are metacentric, submetacentric, and subtelocentric. This small ant is quite widely distributed in the Neotropics and seems to be well adapted to living in disturbed areas. Here we report the species nesting on dead trunks used to build fences at countryside houses and farms. On these nests, we observed some never reported behavior of C. pusillus: the ants appear to be able to dig by actively removing small fragments of dead wood fiber, hence expanding their nest cavities. It was not thought that Cephalotes species had this ability, given that they nest in preexisting cavities. Our observations are initial remarks that the small plier-like mandibles of C. pusillus may not be a constraint for this species, adding to our knowledge on ant nesting biology.

Aliocis, a replacement name for the preoccupied ciid genus Anoplocis Kawanabe, 1996 (Coleoptera: Tenebrionoidea: Ciidae).

The Ciidae genus Anoplocis was established by Makoto Kawanabe (1996) based on the type species Ennearthron poriae Nakane & Nobuki, 1955 from Japan. Additionally, he described the Japanese species Anoplocis ryukyuensis Kawanabe, 1996. However, the name Anoplocis was previously proposed by Arthur M. Lea (1913) for a genus of true weevils (Coleoptera: Curculionidae), with its type species Anoplocis ferrugineus Lea, 1913 from Australia. In consequence, the genus Anoplocis Kawanabe, 1996 is a junior homonym of the genus Anoplocis Lea, 1913. According to Article 60 of the International Code of Zoological Nomenclature, we propose the replacement name Aliocis nom. nov. for Anoplocis Kawanabe, 1996. New combinations are here proposed for the two species included in this genus: Aliocis poriae (Nakane & Nobuki, 1955) comb. nov. and Aliocis ryukyuensis (Kawanabe, 1996) comb. nov.

Sobrepeso y dislipidemias en adolescentes / Overweight and dyslipidemias in teenagers

Introducción: actualmente hay consenso en que el proceso aterosclerótico se inicia en la infancia, y la dislipidemia es uno de los principales factores de riesgo aterogénicos que deben ser estudiados, así como la valoración nutricional para una adecuada prevención. Objetivo: identificar algunas señales de aterosclerosis tempranas como el sobrepeso y las dislipidemias en adolescentes. Métodos: se realizó un estudio descriptivo transversal de 372 adolescentes de la Secundaria Básica Protesta de Baraguá. Se hicieron mediciones de peso, talla, índice de masa corporal y circunferencia de la cintura. Se tomó muestra de sangre venosa con ayuno de 12 horas. Se midió el colesterol total, el colesterol unido a lipoproteína baja y alta densidad, y triglicéridos. En el análisis estadístico se realizaron prueba de comprobación de media entre variables de valoración nutricional y lipídicas entre sexos (prueba t), y se trabajó con una probabilidad de error menor de 0,05. Resultados: la media del peso, talla y circunferencia de la cintura fueron mayores en el sexo masculino (p< 0,05). El exceso de peso fue 23,7 por ciento, y a partir del percentil 90-97 hubo un 21,8 por ciento de exceso de grasa abdominal. La media del colesterol total, lipoproteínas de alta y baja densidad y triglicéridos, fue similar en los diferentes sexos, sin relación significativa (p> 0,05). El 18,5 por ciento presentó colesterol total limítrofe alto, el 26,6 por ciento tenía triglicéridos limítrofe alto y 7,5 Overweight and dyslipidemias in teenagers alto, con predominio del sexo femenino. Conclusiones: alrededor de la cuarta parte de los adolescentes tenían exceso de peso e incremento de la grasa abdominal, casi la cuarta parte tenía el colesterol total limítrofe y alto, y la alteración lipídica observada con mayor frecuencia fue la hipertrigliceridemia(AU)

Introduction: there is a current consensus that the atherosclerotic process begins at childhood and that dyslipidemia is one of the atherogenic risk factors to be studied together with the nutritional assessment for the adequate prevention of atherosclerosis. Objective: to identify some early signs of atherosclerosis such as overweight and dyslipidemias in teenagers. Methods: a cross-sectional descriptive study of 372 teenagers from Protesta de Baragua junior high school. Weight, height, body mass index and waist circumference were measured. Blood samples were taken after 12 hour fasting. Total cholesterol, low and high density lipoprotein cholesterol and triglyceride were all measured. The statistical analysis included the t test among nutritional assessment and lipid variables between sexes and the error probability was lower than 0.05. Results: weight, height and waist circumference means were higher in males (p< 0.05). Overweight was 23.7 percent and from the 90-97th percentile, the excessive abdominal fat was 21.8 percent. The mean of total cholesterol, high and low density lipoproteins and triglycerides was similar in both sexes, with no significant relation (p> 0.05). In this group, 18.5 of adolescents presented with borderline high total cholesterol, 26.6 showed borderline high triglyceride rate and 7.5 percent had high cholesterol, being females predominant. Conclusions: one fourth of adolescents approximately exhibited overweight and increased abdominal fat; almost 25 percent had reached borderline and high total cholesterol whereas the most observed lipid disorder was hypertrigliceridemia(AU)

Sobrepeso y dislipidemias en adolescentes / Overweight and dyslipidemias in teenagers

INTRODUCCIÓN: actualmente hay consenso en que el proceso aterosclerótico se inicia en la infancia, y la dislipidemia es uno de los principales factores de riesgo aterogénicos que deben ser estudiados, así como la valoración nutricional para una adecuada prevención. OBJETIVO: identificar algunas señales de aterosclerosis tempranas como el sobrepeso y las dislipidemias en adolescentes. MÉTODOS: se realizó un estudio descriptivo transversal de 372 adolescentes de la Secundaria Básica "Protesta de Baraguá". Se hicieron mediciones de peso, talla, índice de masa corporal y circunferencia de la cintura. Se tomó muestra de sangre venosa con ayuno de 12 horas. Se midió el colesterol total, el colesterol unido a lipoproteína baja y alta densidad, y triglicéridos. En el análisis estadístico se realizaron prueba de comprobación de media entre variables de valoración nutricional y lipídicas entre sexos (prueba t), y se trabajó con una probabilidad de error menor de 0,05. RESULTADOS: la media del peso, talla y circunferencia de la cintura fueron mayores en el sexo masculino (p< 0,05). El exceso de peso fue 23,7 %, y a partir del percentil 90-97 hubo un 21,8 % de exceso de grasa abdominal. La media del colesterol total, lipoproteínas de alta y baja densidad y triglicéridos, fue similar en los diferentes sexos, sin relación significativa (p> 0,05). El 18,5 % presentó colesterol total limítrofe alto, el 26,6 % tenía triglicéridos limítrofe alto y 7,5 % alto, con predominio del sexo femenino. CONCLUSIONES: alrededor de la cuarta parte de los adolescentes tenían exceso de peso e incremento de la grasa abdominal, casi la cuarta parte tenía el colesterol total limítrofe y alto, y la alteración lipídica observada con mayor frecuencia fue la hipertrigliceridemia.

INTRODUCTION: there is a current consensus that the atherosclerotic process begins at childhood and that dyslipidemia is one of the atherogenic risk factors to be studied together with the nutritional assessment for the adequate prevention of atherosclerosis. OBJECTIVE: to identify some early signs of atherosclerosis such as overweight and dyslipidemias in teenagers. METHODS: a cross-sectional descriptive study of 372 teenagers from "Protesta de Baragua" junior high school. Weight, height, body mass index and waist circumference were measured. Blood samples were taken after 12 hour fasting. Total cholesterol, low and high density lipoprotein cholesterol and triglyceride were all measured. The statistical analysis included the t test among nutritional assessment and lipid variables between sexes and the error probability was lower than 0.05. RESULTS: weight, height and waist circumference means were higher in males (p< 0.05). Overweight was 23.7 % and from the 90-97th percentile, the excessive abdominal fat was 21.8 %. The mean of total cholesterol, high and low density lipoproteins and triglycerides was similar in both sexes, with no significant relation (p> 0.05). In this group, 18.5 % of adolescents presented with borderline high total cholesterol, 26.6 % showed borderline high triglyceride rate and 7.5 % had high cholesterol, being females predominant. CONCLUSIONS: one fourth of adolescents approximately exhibited overweight and increased abdominal fat; almost 25 % had reached borderline and high total cholesterol whereas the most observed lipid disorder was hypertrigliceridemia.

Factores de riesgo cardiovascular y su relación con la hipertensión arterial en adolescentes / Cardiovascular risk factor and their relationship with the hypertension in adolescents

Introducción: cada día las crisis de aterosclerosis se manifiestan en personas de menor edad y está demostrada la importancia de conocer los principales factores que la originan, entre ellos la obesidad. En los niños y adolescentes cubanos el sobrepeso y la obesidad se han incrementado de manera notable. Objetivo: identificar los factores de riesgo cardiovascular en adolescentes supuestamente sanos. Métodos: se realizó un estudio descriptivo transversal en adolescentes supuestamente sanos de la secundaria básica Protesta de Baraguá. La muestra estuvo constituida por 687 estudiantes. Se aplicó el modelo de recolección de dato primario del Centro de Investigaciones y Referencia en Aterosclerosis de La Habana. Se realizaron mensuraciones de peso, talla y circunferencia de la cintura. Se evaluó el estado nutricional por percentiles de índice de masa corporal y circunferencia de la cintura. Las cifras de tensión arterial se clasificaron según los percentiles de tensión arterial ajustados para edad, sexo y talla. Resultados: se halló que 46 adolescentes (6,6 por ciento) eran fumadores, la relación fue estadísticamente significativa en relación con el sexo; 96 (13,9 por ciento) tenían sobrepeso y 64 (9,3 por ciento) eran obesos; la circunferencia de la cintura mostró que 98 (14,2 por ciento) tenían posible situación de riesgo y 56 (8,1por ciento) eran francamente atípicos (percentil>97) ; 4 por ciento de los adolescentes tenían tensión arterial alta En todos los casos predominó el sexo masculino. El antecedente familiar de obesidad se presentó en 73 (10,6 por ciento) y la relación resultó estadísticamente significativa en varones. Conclusiones: predominó el hábito tabáquico, la hipertensión arterial, el sobrepeso, la obesidad y los antecedentes familiares de obesidad, en el sexo masculino y en las féminas predominaron los antecedentes familiares de hipertensión arterial y de diabetes mellitus(AU)

Introduction: everyday atherosclerosis crises manifest in younger people and it is demonstrated the importance of knowing the main factors that cause it, including obesity. In Cuban children and adolescents, overweight and obesity have dramatically increased. Objective: to identify cardiovascular risk factors in supposedly healthy adolescents. Method: a descriptive cross-sectional study was conducted in supposedly healthy adolescents from 12 to 15 years from a secondary basic school. The objective was identifying cardiovascular risk factor and their relationship with hypertension. The sample was constituted by 687 students. Data were registered in the primary data collection form of Havana Research and Reference Centre on Atherosclerosis. Measurements of weight, height and waist circumference were performed. Nutritional status by percentiles of body mass index and waist circumference were also evaluated. The blood pressure levels were classified according to the percentiles of blood pressure adjusted for age, sex, and height. Results: 46 adolescents (6.6 percent) were found to be smokers, the relationship was statistically significant in relation to gender, 96 (13.9 percent) were overweight and 64 (9.3 percent) were obese; circumference waist showed that 98 (14.2 percent) had possible risks, and 56 (8.1 percent) were frankly atypical, 4 percent adolescents had high blood pressure. Male adolescents predominated in all parameters. Family history of obesity occurred in 73 (10.6 percent) and the relationship was statistically significant in males. Conclusions: predominance of smoking, hypertension, overweight, obesity and family history of obesity prevailed in male adolescents males; whereas family history of hypertension and diabetes mellitus prevailed in female adolescents(AU)

Factores de riesgo cardiovascular y su relación con la hipertensión arterial en adolescentes / Cardiovascular risk factor and their relationship with the hypertension in adolescents

Introducción: cada día las crisis de aterosclerosis se manifiestan en personas de menor edad y está demostrada la importancia de conocer los principales factores que la originan, entre ellos la obesidad. En los niños y adolescentes cubanos el sobrepeso y la obesidad se han incrementado de manera notable. Objetivo: identificar los factores de riesgo cardiovascular en adolescentes supuestamente sanos. Métodos: se realizó un estudio descriptivo transversal en adolescentes supuestamente sanos de la secundaria básica "Protesta de Baraguá". La muestra estuvo constituida por 687 estudiantes. Se aplicó el modelo de recolección de dato primario del Centro de Investigaciones y Referencia en Aterosclerosis de La Habana. Se realizaron mensuraciones de peso, talla y circunferencia de la cintura. Se evaluó el estado nutricional por percentiles de índice de masa corporal y circunferencia de la cintura. Las cifras de tensión arterial se clasificaron según los percentiles de tensión arterial ajustados para edad, sexo y talla. Resultados: se halló que 46 adolescentes (6,6 %) eran fumadores, la relación fue estadísticamente significativa en relación con el sexo; 96 (13,9 %) tenían sobrepeso y 64 (9,3 %) eran obesos; la circunferencia de la cintura mostró que 98 (14,2 %) tenían posible situación de riesgo y 56 (8,1%) eran francamente atípicos (percentil>97) ; 4 % de los adolescentes tenían tensión arterial alta En todos los casos predominó el sexo masculino. El antecedente familiar de obesidad se presentó en 73 (10,6 %) y la relación resultó estadísticamente significativa en varones. Conclusiones: predominó el hábito tabáquico, la hipertensión arterial, el sobrepeso, la obesidad y los antecedentes familiares de obesidad, en el sexo masculino y en las féminas predominaron los antecedentes familiares de hipertensión arterial y de diabetes mellitus.

Introduction: everyday atherosclerosis crises manifest in younger people and it is demonstrated the importance of knowing the main factors that cause it, including obesity. In Cuban children and adolescents, overweight and obesity have dramatically increased. Objective: to identify cardiovascular risk factors in supposedly healthy adolescents. Method: a descriptive cross-sectional study was conducted in supposedly healthy adolescents from 12 to 15 years from a secondary basic school. The objective was identifying cardiovascular risk factor and their relationship with hypertension. The sample was constituted by 687 students. Data were registered in the primary data collection form of Havana Research and Reference Centre on Atherosclerosis. Measurements of weight, height and waist circumference were performed. Nutritional status by percentiles of body mass index and waist circumference were also evaluated. The blood pressure levels were classified according to the percentiles of blood pressure adjusted for age, sex, and height. Results: 46 adolescents (6.6 %) were found to be smokers, the relationship was statistically significant in relation to gender, 96 (13.9 %) were overweight and 64 (9.3 %) were obese; circumference waist showed that 98 (14.2 %) had possible risks, and 56 (8.1 %) were frankly atypical, 4% adolescents had high blood pressure. Male adolescents predominated in all parameters. Family history of obesity occurred in 73 (10.6 %) and the relationship was statistically significant in males. Conclusions: predominance of smoking, hypertension, overweight, obesity and family history of obesity prevailed in male adolescents males; whereas family history of hypertension and diabetes mellitus prevailed in female adolescents.

Lectotype designations and nomenclatural changes in Xylographus Mellié (Coleoptera, Ciidae).

We designate lectotypes and propose nomenclatural changes in Xylographus Mellié (Coleoptera, Ciidae) based on type specimens deposited in the Museum of Comparative Zoology (USA), Museum für Naturkunde Berlin (Germany), the Natural History Museum (UK), Muséum d'Histoire Naturelle de la Ville de Genève (Switzerland), Muséum National d'Histoire Naturelle (France), Naturhistoriska Riksmuseet (Sweden) and Naturhistorisches Museum Wien (Austria). We designate lectotypes for the following species: Cis fultoni Broun, 1886, Xylographus anthracinus Mellié, 1849, X. bicolor Pic, 1916, X. brasiliensis Pic, 1916, X. ceylonicus Ancey, 1876, X. contractus Mellié, 1849, X. corpulentus Mellié, 1849, X. dentatus Pic, 1922, X. gibbus Mellié, 1849, X. hypocritus Mellié, 1849, X. javanus Pic, 1937, X. lemoulti Pic, 1916, X. longicollis Pic, 1922, X. madagascariensis Mellié, 1849, X. nitidissimus Pic, 1916, X. perforatus Gerstaecker, 1871, X. porcus Gorham, 1886, X. punctatus Mellié, 1849, X. ritsemai Pic, 1921, X. rufescens Pic, 1921, X. rufipennis Pic, 1934, X. rufipes Pic, 1930, X. seychellensis Scott, 1926, X. subopacus Pic, 1929, X. subsinuatus Pic, 1916, X. suillus Gorham, 1886, X. testaceitarsis Pic, 1916 and X. tomicoides Reitter, 1902. We propose the following syn. n. (senior synonym listed first): X. anthracinus = X. testaceitarsis, X. brasiliensis = X. lucasi Lopes-Andrade & Zacaro, X. corpulentus = X. lemoulti and X. richardi Mellié, X. madagascariensis = X. eichelbaumi Reitter, X. rufipennis, X. seychellensis Scott and X. tarsalis Fåhraeus, X. nitidissimus = X. longicollis, X. subsinuatus = X. rufescens. We exclude three species from Xylographus: Cis renominatus, nom. n. (for X. dentatus Pic, 1922, not C. dentatus Mellié, 1849), Paratrichapus fultoni (Broun, 1886), comb. n. and P. javanus (Pic, 1937), comb. n.

Relación entre lípidos séricos y glucemia con índice de masa corporal y circunferencia de la cintura en adolescentes de la secundaria básica Protesta de Baraguá-Cuba / Relationship between serum lipids and fasting glycaemia with body mass index and waist circumference in adolescents from high school Protesta de Baraguá-Cuba

Antecedentes: la enfermedad cardiovascular se asocia con alteraciones lipídicas, hiperglucemia y exceso de peso. Objetivo: asociar las alteraciones en los lípidos séricos y la glucemia con exceso de peso y adiposidad corporal, en adolescentes aparentemente sanos. Material y métodos: estudio descriptivo transversal en 372 adolescentes de12 a 15 años, de la escuela secundaria básica Protesta de Baraguá-Cuba, en quienes se relacionó el índice de masa corporal (IMC) y circunferencia de la cintura con los lípidos séricos y la glucemia. Resultados: se encontraron las siguientes prevalencias: CT>170 mg/dL, 24,7%; c-LDL>110 mg/dL, 12,6%; TG>90 mg/dL, 34,1%; c-HDL<45 mg/dL, 16,1% y glucemia >125mg/dL 10,5%. La prevalencia de exceso de peso según IMC >p85 fue 14,7% y la de valores de riesgo y atípicos de circunferencia de cintura (CC) fue 23,6%. Según Chi2 en las mujeres se encontraron diferencias entre glucemia >125mg/dL según IMC y CC (p<0,001) y en los hombre entre c-HDL<45mg/dL según CC (p=0,037) y entre TG >90 mg/dL según IMC (p=0,040) y CC (p=0,036). Las demás comparaciones entre lípidos séricos y glucemia según IMC y CC no fueron significativas (p>0,05). Conclusión: en los adolescentes estudiados las prevalencias de exceso de peso y de adiposidad central fueron altas, las relaciones entre valores alterados de TG, c-HDL e hiperglucemia con exceso de peso y adiposidad central dependen del sexo.

Background: Cardiovascular disease is associated with lipid abnormalities, hyperglycaemia and overweight. Objectives: To study the relationship between serum lipids and fasting glycaemia with body mass index and waist circumference. Materials and methods: 372 adolescents, 12 to 15 years, participated in a cross sectional study. Associations between Body Mass Index and waist circumference with serum lipids and glycaemia were evaluated. Results: The following prevalence was found: CT>170 mg/dL, 24.7%; LDL- c >110 mg/dL, 12.6%; TG>90 mg/dL, 34.1%; HDL-c<45 mg/dL, 6.1% and glycaemia >125mg/dL 10.5%. Overweight prevalence, BMI> p85 was 14.7% and risk of high waist circumference and atypical values was 23.6%. According Chi2, in girls differences were found between glycaemia > 125mg/dl according BMI and WC (p <0.001) and in boys between HDL-c <45mg/dL according WC (p = 0.037) and between TG > 90 mg / dL according BMI (p = 0.040) and WC (p = 0.036). Conclusions: In adolescents studied the prevalence of overweight and central adiposity were high, the relationship between altered TG, HDL-c and hyperglycemia overweight and central adiposity values depend on sex.

Vulnerabilidad a la introducción y transmisión local de la Encefalitis Equina Venezolana Delicias 2009 / Introduction and Local Transmission Vulnerability of the Venezuelan Equine Encephalitis Delicias 2009

La Encefalitis Equina Venezolana (EEV) es una enfermedad infecciosa, causada por un arbovirus de la familia Togaviridae, es transmitida del caballo o aves al hombre a través de picaduras de mosquitos, constituyendo una zoonosis. Cuba presta colaboración internacionalista en países donde esta enfermedad es endémica y considerada peligrosa, desde el punto de vista económico y sanitario. Se realizó un estudio epidemiológico, para determinar la vulnerabilidad de introducción y transmisión local de la Encefalitis Equina Venezolana en el Área de Salud Delicias en el año 2009. Se utilizaron las siguientes variables: país de procedencia del colaborador, géneros de culícidos transmisores, población equina y se determinaron zonas de riesgo. Se identificaron tres países endémicos, el que mayor cantidad de colaboradores tuvo fue Venezuela, con 66 (85,7 por ciento), seguido de Ecuador y Haití, que solo tuvieron 1 (1,3 por ciento). El Consejo Popular 3 es el que más colaboradores en zonas endémicas poseyó (50), para un 87,7 por ciento. En el área se identificaron 11 géneros de mosquitos, de ellos cuatro transmisores de la EEV (Culex, Mansonia, Psorophora, y Anopheles), la población de equinos se distribuye en todo el territorio. Constituyen las zonas de mayor riego para la transmisión local de la enfermedad la parte noreste del poblado de Delicias y el poblado de San Manuel, determinándose 12 comunidades atendidas por Consultorios Médicos de Familia de alto riesgo para la transmisión local (AU)

Venezuelan equine encephalitis is an infectious illness caused by an arbovirus of the Togaviridae family; it is transmitted to man from horses or birds through stings of mosquitoes, constituting a zoonotic disease. Cuba provides internationalist collaboration in countries where this illness is considered endemic and dangerous from the economical and sanitary point of view. An epidemiological study to determine the vulnerability of introduction and local transmission of the Venezuelan equine encephalitis was carried out in the Health Area of Delicias village in 2009. The following variables were used: collaborators country of origin, kinds of transmitter mosquitoes, equine population and risk zones. Three endemic countries were identified; the highest quantity of collaborators were in Venezuela, with 66 (85, 7 per cent), followed by Ecuador and Haiti that had only one (1, 3 per cent). The Popular Council with the highest quantity of collaborators in endemic zones was number 3, with 50, for an 87, 7 per cent. Eleven kinds of mosquitoes were identified in the area, from which 4 are transmitters of the EVV (Culex, Mansonia, Psorophora, and Anopheles); the equine population is distributed in the whole territory. The northern part of Delicias village and San Manuel village were the areas with the highest risk for the disease; 12 communities assisted by the family doctors were considered in high risk for local transmission (AU)

Grossicis, a new genus of Neotropical minute tree-fungus beetles (Coleoptera: Ciidae), with a detailed discussion on its systematic position in the family.

Grossicis gen. nov. is described based on G. diadematus (Mellié, 1849) comb. nov., the type species, and G. laminicornis sp. nov. from Brazil. Diagnostic characters of the genus include the apical maxillary palpomere abruptly expanded with sensilla distributed along the apical margin, dual elytral punctation, elytral sutural flange diverging near apex, prosternum carinate, protibial apex bearing a row of spines and outer apical angle with a conspicuous tooth, ovipositor bearing well developed gonostyli with almost half the length of gonocoxites, baculum of each proximal gonocoxite oblique, and anterior apex of each paraproctal baculum contiguous and joined to each proctigeral baculum, their limits being barely discernible, forming an arc anteriorly. Comparisons were made with other 37 ciid genera, and the new genus is provisionally placed in Ciini. A key to species of Grossicis gen. nov. is provided, together with the description of external morphology of adults, as well as the morphology of male and female terminalia of both species.

Hipertensión arterial en ancianos / Arterial hypertension in the aged

En la actualidad el número de individuos de más de 60 años de edad en la nación se acerca al millón y medio. Para este grupo poblacional de creciente interés social, la hipertensión arterial constituye elemento relevante en el factor de riesgo cardiovascular, y esto se hace mas preocupante debido a que la tensión arterial tiende a aumentar con la edad, asociada a otros componentes epidemiológicos como sexo, raza, ambiente, peso corporal e ingestion de sal, entre otros. El aumento de la tensión arterial disminuye la supervivencia, y en la actualidad constituye igualmente una problemática mundial(AU)

Hipertensión arterial en ancianos / Arterial hypertension in the aged

En la actualidad el número de individuos de más de 60 años de edad en la nación se acerca al millón y medio. Para este grupo poblacional de creciente interés social, la hipertensión arterial constituye elemento relevante en el factor de riesgo cardiovascular, y esto se hace mas preocupante debido a que la tensión arterial tiende a aumentar con la edad, asociada a otros componentes epidemiológicos como sexo, raza, ambiente, peso corporal e ingestion de sal, entre otros. El aumento de la tensión arterial disminuye la supervivencia, y en la actualidad constituye igualmente una problemática mundial