Genomic Acquisitions in Emerging Populations of Xanthomonas vasicola pv. vasculorum Infecting Corn in the United States and Argentina.

Xanthomonas vasicola pv. vasculorum is an emerging bacterial plant pathogen that causes bacterial leaf streak on corn. First described in South Africa in 1949, reports of this pathogen have greatly increased in the past years in South America and in the United States. The rapid spread of this disease in North and South America may be due to more favorable environmental conditions, susceptible hosts and/or genomic changes that favored the spread. To understand whether genetic mechanisms exist behind the recent spread of X. vasicola pv. vasculorum, we used comparative genomics to identify gene acquisitions in X. vasicola pv. vasculorum genomes from the United States and Argentina. We sequenced 41 genomes of X. vasicola pv. vasculorum and the related sorghum-infecting X. vasicola pv. holcicola and performed comparative analyses against all available X. vasicola genomes. Time-measured phylogenetic analyses showed that X. vasicola pv. vasculorum strains from the United States and Argentina are closely related and arose from two introductions to North and South America. Gene content comparisons identified clusters of genes enriched in corn X. vasicola pv. vasculorum that showed evidence of horizontal transfer including one cluster corresponding to a prophage found in all X. vasicola pv. vasculorum strains from the United States and Argentina as well as in X. vasicola pv. holcicola strains. In this work, we explore the genomes of an emerging phytopathogen population as a first step toward identifying genetic changes associated with the emergence. The acquisitions identified may contain virulence determinants or other factors associated with the spread of X. vasicola pv. vasculorum in North and South America and will be the subject of future work.

La calidad de los servicios de radiología en cinco países latinoamericanos / The quality of radiology services in five Latin American countries

OBJETIVO: Determinar la correlación entre ciertos indicadores de calidad para los servicios de imaginología y la certeza en la interpretación de los exámenes radiológicos para cuatro quejas frecuentes: las masas de la mama, el malestar del aparato digestivo, el dolor de espalda y los síntomas de la tuberculosis. MÉTODOS: Se evaluaron veintiséis servicios de radiología en Argentina, Bolivia, Colombia, Cuba y México. Se evaluaron los equipos de mamografía y de radiografía/fluoroscopia convencional usados en los servicios seleccionados utilizando protocolos comunes, hojas de especificaciones técnicas, instrumen-tos de prueba, maniquíes y sistemas de dosimetría calibrados. Los estudios se realizaron en establecimientos de complejidad media. Se obtuvo el consentimiento informado de todos los pacientes estudiados, y se garantizó la confidencialidad de los resultados. Se evaluaron y documentaron los siguientes parámetros: el tipo de establecimiento (público o privado); la población cubierta; el número de pacientes y exámenes; los equipos radiológicos, los de procesamiento de imágenes y los suministros; la educación y la capacitación del personal profesional y técnico; los programas de la garantía de la calidad y del mantenimiento preventivo, y la adherencia a las normas de seguridad radiológica. Se determinaron el funcionamiento de los equipos de rayos X, los receptores de la imagen y las procesadoras; las condiciones del cuarto oscuro y de la visualización de las imágenes; las dosis recibidas por los pacientes y la calidad de la imagen, usando parámetros uniformados en todos los casos. Los paneles independientes de radiólogos, reconocidos como expertos por la sociedad radiológica local, evaluaron la calidad de las imágenes clínicas obtenidas y realizaron una interpretación radiológica para cada paciente usando las mismas películas e historia clínica a disposición de los médicos especialistas en imaginología de la institución. El acuerdo entre...

OBJECTIVE: To determine the correlation between certain quality indicators for imaging services and the accurate interpretation of radiological exams for four frequent complaints: breast lumps, gastrointestinal discomfort, back pain, and symptoms of tuberculosis. METHODS: Twenty-six radiology services in Argentina, Bolivia, Colombia, Cuba, and Mexico were assessed. The mammography and conventional radiographic/fluoroscopic equipment used in selected services were evaluated utilizing common protocols, data sheets, testing instruments, phantoms, and calibrated dosimetry systems. The studies were performed in medium-complexity facilities. Informed consent was obtained from all patients studied, and the confidentiality of results was guaranteed. The following parameters were documented: type of facility (public vs. private); population covered; patient workload; radiological and image-processing equipment and supplies; education and training of professional and technical staff; quality assurance and preventive maintenance programs, and adherence to radiation safety standards. The performance of x-ray units, image receptors and processors; darkroom and image viewing conditions; patient doses and image quality, were determined using standardized parameters in all cases. Independent panels of radiologists, recognized as experts by the local radiological society, assessed the quality of the clinical images obtained and performed a radiological interpretation for each patient using the same films and clinical history available to the institution's imaging physicians. The agreement between the panel of expert's reports and those of local radiologists was taken as an indicator of the radiological diagnostic accuracy. RESULTS: Analyses were carried out of 366 mammograms, 343 radiological procedures for gastrointestinal complaints, 319 X-rays of the spinal column, and 157 chest radiographs. The agreement between the radiological interpretation of...

[The quality of radiology services in five Latin American countries]. / La calidad de los servicios de radiología en cinco países latinoamericanos.

OBJECTIVE: To determine the correlation between certain quality indicators for imaging services and the accurate interpretation of radiological exams for four frequent complaints: breast lumps, gastrointestinal discomfort, back pain, and symptoms of tuberculosis. METHODS: Twenty-six radiology services in Argentina, Bolivia, Colombia, Cuba, and Mexico were assessed. The mammography and conventional radiographic/fluoroscopic equipment used in selected services were evaluated utilizing common protocols, data sheets, testing instruments, phantoms, and calibrated dosimetry systems. The studies were performed in medium-complexity facilities. Informed consent was obtained from all patients studied, and the confidentiality of results was guaranteed. The following parameters were documented: type of facility (public vs. private); population covered; patient workload; radiological and image-processing equipment and supplies; education and training of professional and technical staff; quality assurance and preventive maintenance programs, and adherence to radiation safety standards. The performance of x-ray units, image receptors and processors; darkroom and image viewing conditions; patient doses and image quality, were determined using standardized parameters in all cases. Independent panels of radiologists, recognized as experts by the local radiological society, assessed the quality of the clinical images obtained and performed a radiological interpretation for each patient using the same films and clinical history available to the institution's imaging physicians. The agreement between the panel of expert's reports and those of local radiologists was taken as an indicator of the radiological diagnostic accuracy. RESULTS: Analyses were carried out of 366 mammograms, 343 radiological procedures for gastrointestinal complaints, 319 X-rays of the spinal column, and 157 chest radiographs. The agreement between the radiological interpretation of the panel of experts and of the local physician ranged from 70% to 100%, except in the case of spinal column films in Cuba (57.8%) and of mammograms in Mexico (33.3%), which the panel of experts found to be among those having the poorest quality. There was a significant positive correlation between the accuracy of the radiological interpretation and the quality of the radiological images. Image quality showed a positive correlation with the technicians' level of education and training. Studies performed in services that had automatic film processors and that complied with the indicators established for screen-film contact yielded better images and a higher proportion of studies with concordant results. More than 50% of the viewboxes did not satisfy the quality criteria for luminance and homogeneity. CONCLUSIONS: A good quality image is critical to achieving an accurate diagnosis. Emphasis should be placed on the continuing education of radiology technicians and on the acquisition and maintenance of adequate equipment and accessories, especially viewboxes, intensifying screens, and automatic film processors, given the impact they have on image quality.

Modelo experimental para la medición de radiación dispersa con y sin interposición de una barrera de titanio placa de reconstrucción mandibular / Experimental model for the measurement of dispersed radiation with and without interposition of a barrier of titanium plate of maxillary reconstruction

El objetivo de este trabajo fue comparar en un simulador físico (Alderson Rando) las variaciones que sufre el haz de radiación cobalto 60,6 MeV y 18 MeV con y sin la interposición de una barrera de titanio (Placa de reconstrucción mandibular) por medio de dosímetros termoluminoscentes tipo Lif:MgTi, con el fin de observar las modificaciones de acuerdo a la posición de los dosímetros y a los diferentes tipos de radiación.

Diseño y caracterización de un sistema de imágenes portales en tiempo real para radioterapia con fotones de 1, 25 y 6MEV / Design and caracterization of system image by radiotherapy

Introducción: El éxito de los tratamientos en radioterapía con haces de radiación externos consiste en administrar la dosis de radiación prescrita con la mayor exactitud posible al volumen blanco de planificación, minimizado la dosis administrada sobre los tejidos sanos que lo rodean. Objetivos: El objetivo de este estudio es presentar los resultados preliminares del desempeño de un sistema fluoroscópico para obtener imágenes en tiempo real con fotones de 1,25 y 6MeV para volúmenes tumorales pequeños. Materiales, métodos y resultados: Este es un estudio con cegamiento simple realizado en grupos de pacientes con neoplasia de cabeza y cuello, tórax o pelvis, con el fin de determinar el sesgo sistemático en radioterapia relacionado a los errores de localización. Aumentando la frecuencia de verificación de los tratamientos en radioterapía es posible disminuir el error en la localización de los campos de tratamiento y lograr un mejor control de la enfermedad. Conclusiones: Este estudio muestra una forma efectiva de reducir los errores de localización en los pacientes, al incrementar la frecuencia de verificación del tratamiento con imágenes portales (imágenes obtenidas en la puerta de salida del paciente en el haz de tratamiento).