Bacterial diversity using metagenomics of 16s rDNA in water kefir, an innovative source of probiotics for bee nutrition.

Water kefir is a sparkling, slightly acidic fermented beverage made from sugar, water, and water kefir grains, which are a mixture of yeast and bacteria. These grains produce a variety of fermentation compounds such as lactic acid, acetaldehyde, acetoin, ethanol and carbon dioxide. In this study, a high-throughput sequencing technique was used to characterize the bacterial composition of the original water kefir from which potential probiotics were obtained. We studied the bacterial diversity of both water kefir grains and beverages. DNA was extracted from three replicate samples of both grains and beverages using the Powerlyzer Microbial Kit. The hypervariable V1-V2 region of the bacterial 16S ribosomal RNA gene was amplified to prepare six DNA libraries. Between 1.4M and 2.4M base-pairs were sequenced for the library. In total, 28721971 raw reads were obtained from all the samples. Estimated species richness was higher in kefir beverage samples compared to grain samples. Moreover, a higher level of microbial alpha diversity was observed in the beverage samples. Particularly, the predominant bacteria in beverages were Anaerocolumna and Ralstonia, while in grains Liquorilactobacillus dominated, with lower levels of Leuconostoc and Oenococcus. Although the bacterial diversity in kefir grains was low because only three genera were the most represented, all of them are LAB bacteria with the potential to serve as probiotics in the artificial feeding of bees.

Probiotics and in-hive fermentation as a source of beneficial microbes to support the gut microbial health of honey bees.

Managed populations of honey bees (Apis mellifera Linnaeus; Hymenoptera: Apidae) are regularly exposed to infectious diseases. Good hive management including the occasional application of antibiotics can help mitigate infectious outbreaks, but new beekeeping tools and techniques that bolster immunity and help control disease transmission are welcome. In this review, we focus on the applications of beneficial microbes for disease management as well as to support hive health and sustainability within the apicultural industry. We draw attention to the latest advances in probiotic approaches as well as the integration of fermented foods (such as water kefir) with disease-fighting properties that might ultimately be delivered to hives as an alternative or partial antidote to antibiotics. There is substantial evidence from in vitro laboratory studies that suggest beneficial microbes could be an effective method for improving disease resistance in honey bees. However, colony level evidence is lacking and there is urgent need for further validation via controlled field trials experimentally designed to test defined microbial compositions against specific diseases of interest.

Synthesis and Evaluation of Antifungal and Antibacterial Abilities of Carbon Nanotubes Grafted to Poly(2-hydroxyethyl methacrylate) Nanocomposites.

Developing nanomaterials with the capacity to restrict the growth of bacteria and fungus is of current interest. In this study, nanocomposites of poly(2-hydroxyethyl methacrylate) (PHEMA) and carbon nanotubes (CNTs) functionalized with primary amine, hydroxyl, and carboxyl groups were prepared and characterized. An analysis by Fourier-transform infrared (FT-IR) spectroscopy showed that PHEMA chains were grafted to the functionalized CNTs. X-ray photoelectron spectroscopy suggested that the grafting reaction was viable. The morphology of the prepared nanocomposites studied by field-emission scanning electron microscopy (FE-SEM) and transmission electron microscopy (TEM) showed significant changes with respect to the observed for pure PHEMA. The thermal behavior of the nanocomposites studied by differential scanning calorimetry (DSC) revealed that the functionalized CNTs strongly affect the mobility of the PHEMA chains. Tests carried out by thermogravimetric analysis (TGA) were used to calculate the degree of grafting of the PHEMA chains. The ability of the prepared nanocomposites to inhibit the growth of the fungus Candida albicans and the bacteria Staphylococcus aureus, Pseudomonas aeruginosa, and Escherichia coli was evaluated. A reduced antifungal and antibacterial capacity of the prepared nanocomposites was determined.

Microbiological and Chemical characterization of water kefir: An innovative source of potential probiotics for bee nutrition / Caracterización microbiológica y química del kéfir de agua: una fuente innovadora de potenciales probióticos para la nutrición de las abejas

Abstract We evaluated the microbial composition of water kefir grains and beverage overthe course of one year to determine whether the number and type of microorganisms changedover the time. Bacteria and yeast colonies with different morphologies were isolated fromwater kefir and their antimicrobial activity was evaluated against Paenibacillus larvae andAscosphaera apis. A chemical characterization of kefir was also carried out. Our results con-firmed that bacteria and yeasts were more numerous in kefir grains compared with those in thebeverage. The counts of microorganisms declined, although an important microbial community was still present in kefir after the long storage period. Eleven strains which inhibited bee pathogens were isolated from kefir. Genotypic results demonstrated that these isolates included Lentilactobacillus hilgardii, Lentilactobacillus buchneri and Saccharomyces cerevisiae. Thus, water kefir may be an innovative source of potential probiotic strains for bee nutrition in order to control honeybee diseases.

Resumen Evaluamos la composición microbiana del kéfir de agua durante un ano para determinar si la cantidad y el tipo de microorganismos cambiaban con el tiempo. Se aislaron colonias de bacterias y de levaduras con diferentes morfologías, y su actividad antimicrobiana se evaluó frente a Paenibacillus larvaey Ascosphaeraapis. También se realizó una caracterización química del kéfir. Nuestros resultados confirmaron que las bacterias y las levaduras eran más numerosas en los gránulos de kéfir en comparación con la parte líquida. Los recuentos de microorganismos disminuyeron, aunque una cantidad igualmente importante se encontró en el kéfir después de un año. Se aislaron del kéfir once cepas que inhibieron los mencionados patógenos de abejas. Los resultados genotípicos demostraron que estos aislamientos eran Lentilactobacillus hilgardii, Lentilactobacillus buchneri y Saccharomyces cerevisiae. Por lo tanto, el kéfir de agua podría ser una fuente innovadora de potenciales cepas probióticas para contribuir a la nutrición y sanidad de las abejas.

Microbiological and chemical characterization of water kefir: An innovative source of potential probiotics for bee nutrition.

We evaluated the microbial composition of water kefir grains and beverage over the course of one year to determine whether the number and type of microorganisms changed over the time. Bacteria and yeast colonies with different morphologies were isolated from water kefir and their antimicrobial activity was evaluated against Paenibacillus larvae and Ascosphaera apis. A chemical characterization of kefir was also carried out. Our results confirmed that bacteria and yeasts were more numerous in kefir grains compared with those in the beverage. The counts of microorganisms declined, although an important microbial community was still present in kefir after the long storage period. Eleven strains which inhibited bee pathogens were isolated from kefir. Genotypic results demonstrated that these isolates included Lentilactobacillus hilgardii, Lentilactobacillus buchneri and Saccharomyces cerevisiae. Thus, water kefir may be an innovative source of potential probiotic strains for bee nutrition in order to control honeybee diseases.

Leaching of Copper Contained in Waste Printed Circuit Boards, Using the Thiosulfate-Oxygen System: A Kinetic Approach.

The present work is related to the treatment of crushed waste of printed circuit boards (WPCBs) from electrical and electronic devices (WEEE), carrying out the recovery of copper in solution. In the first stage, the studied material was characterized by AAS, SEM-EDS, and XRD. The results revealed significantly high amounts of copper (744.42 mg/g), compared with the rest of the metals present in the sample, mainly iron and zinc. In the second stage of the work, alkali dynamic leaching experiments were carried out in the S2O3−2− O2 medium, evaluating important kinetic variables in order to verify the controlling step of the system and adjust the data to a kinetic model. According to the results obtained from the various experimental tests executed, it was found that in the studied system of S2O3−2− O2, the leaching of copper was preferably adjusted to the model of spherical particles with a shrinking core finding a mixed chemical−diffusive control, with values of Ea = 25.78 kJ/mol and n = 0.22 (for the leaching reagent), indicating that the reaction was controlled by the oxygen transport to the solid−liquid interface and also by the chemical reaction in the surface of particles, obtaining up to 99.82% copper in solution.

Antimicrobial activity and inhibition of biofilm formation in vitro and on human dentine by silver nanoparticles/carboxymethyl-cellulose composites.

OBJECTIVE: To evaluate the antimicrobial activity of a silver nanoparticles/carboxymethyl-cellulose (AgNPs/CMC) composite on in vitro and dentine disc heterogeneous biofilms. DESIGN: AgNPs/CMC composite effect on normal human gingival fibroblast cells (HGF) viability was determined by the MTT reduction assay. In addition, we evaluated the antimicrobial effect of AgNPs/CMC composite on Candida albicans, Enterococcus faecalis, and Fusobacterium nucleatum growth in vitro and heterogeneous biofilms, as well as dentine disc biofilms. RESULTS: Quasi-spherical AgNPs/CMC composites, with a mean 22.3 nm particle-size were synthesized. They were not toxic to HGF cells at concentrations tested that were antimicrobial, however they caused significant cytotoxicity (89 %, p <  0.05) at concentrations > 15 µg/mL. In vitro, they inhibited up to 67 %, 66 %, and 96 % C. albicans, E. faecalis, and F. nucleatum growth at concentrations ranging from 1.2 µg/mL to 9.6 µg/mL, as compared with untreated control. We also demonstrated significant (p <  0.05) 58 % biofilm reduction by 4.8 µg/mL AgNPs/CMC composite on human dentine discs. CONCLUSION: AgNPs/CMC composite showed anti biofilm activity on monocultures, heterogenous cultures, and dentine discs, resulting a potentially effective alternative to prevent and eliminate infections after endodontic treatment.

Ivermectin: repurposing a multipurpose drug for Venezuela's humanitarian crisis.

Ivermectin (IVM) is a robust antiparasitic drug with an excellent tolerance and safety profile. Historically it has been the drug of choice for onchocerciasis and lymphatic filariasis global elimination programs. IVM is an oral insecticide and is a standard treatment against intestinal helminths and ectoparasites. The current humanitarian crisis in Venezuela is a regional public health threat that requires immediate action. The public health system in Venezuela has crumbled because of a 70% shortage of medicines in public hospitals, low vaccination campaigns, and the mass exodus of medical personnel. Herein we discuss the repurposing of IVM to attenuate the burden imposed by the most prevalent neglected tropical diseases (NTDs) in Venezuela, including soil-transmitted helminths, ectoparasites and, possibly, vector-borne diseases, such as malaria. In addition, novel experimental evidence has shown that IVM is active and efficacious in vitro against Chagas disease, Leishmaniases, arboviruses, and SARS-CoV-2. In crisis-hit Venezuela, all these infectious diseases are public health emergencies that have long been ignored and require immediate attention. The versatility of IVM could serve as a powerful tool to tackle the multiple overlapping endemic and emergent diseases that currently affect Venezuela. The repurposing of this multipurpose drug would be a timely therapeutic approach to help mitigate the tremendous burden of NTDs nationwide.

Experiencias de los enfermeros en el desempeño de su rol profesional / Nurse ́s experiences in performing their professional role

Introdución: cada vez son más los hombres que deciden ejercer la profesión de enfermería, lo cual supone cambios en la visión que tienen los propios enfermeros sobre su desempeño. Objetivo: describir las experiencias de los enfermeros en el desempeño de su profesión. Material y metodos: se empleó un diseño de investigación cualitativa, de corte fenomenológico descriptivo. Se realizó una entrevista semiestructurada a ocho profesionales de enfermería de sexo masculino que se desempeñan en algún rol de la profesión de enfermería. Resultados: la mayoría de los enfermeros entrevistados manifestaron: es un reto estar en enfermería en el contexto social actual, debido a las opiniones desfavorables respecto a su desempeño. Sin embargo, también coinciden en sentirse identificados con la carrera, cuidado y quehacer de la enfermería Conclusión: los profesionales de enfermería varones se enfrentan aún con varios retos en el camino de un reconocimiento cabal de su quehacer profesional.

Resurgence of Vaccine-Preventable Diseases in Venezuela as a Regional Public Health Threat in the Americas.

Venezuela's tumbling economy and authoritarian rule have precipitated an unprecedented humanitarian crisis. Hyperinflation rates now exceed 45,000%, and Venezuela's health system is in free fall. The country is experiencing a massive exodus of biomedical scientists and qualified healthcare professionals. Reemergence of arthropod-borne and vaccine-preventable diseases has sparked serious epidemics that also affect neighboring countries. In this article, we discuss the ongoing epidemics of measles and diphtheria in Venezuela and their disproportionate impact on indigenous populations. We also discuss the potential for reemergence of poliomyelitis and conclude that action to halt the spread of vaccine-preventable diseases within Venezuela is a matter of urgency for the country and the region. We further provide specific recommendations for addressing this crisis.

Descripción Anatómica de Bradypus variegatus en la Amazonia Colombiana (Estudio Preliminar) / Anatomical Description of Bradypus variegatus in the Colombian Amazonia (Preliminary Study)

En la Universidad de la Amazonia, en Florencia, Caquetá - Colombia, se llevó a cabo la descripción anatómica detallada del espécimen adulto de la especie Bradypus variegatus, a través de la cual se abordan aspectos clave de la osamenta, correspondientes al esqueleto apendicular, conformado por los huesos del miembro torácico (escápula, húmero, radio, ulna, carpos, metacarpos y falanges) y pelviano (pelvis, sacro, fémur, rótula, tibia, peroné, tarso, metatarso y falanges). Asimismo, se describe el esqueleto axial que corresponde a la línea media del esqueleto, formando el eje del cuerpo a través de los huesos del cráneo, columna vertebral, costillas y esternón. La descripción se desarrolló teniendo en cuenta metodologías previas y considerando datos de descripciones anteriores llevadas a cabo por otros autores, en algunas estructuras. Los resultados se consideran un precepto en el conocimiento del área quirúrgica como pieza fundamental en el desarrollo de la veterinaria en especies de fauna silvestre.

At the University of Amazonia, in Florencia, Caqueta - Colombia, a detailed osteological description of adult specimen of the species brown-throated sloth developed or Bradypus variegatus, through which key skeleton aspects are addressed, for the skeleton apendicular, comprising the forelimb bones (scapula, humerus, radius, ulna, carpal bones, metacarpals and phalanges) and pelvic (pelvis, sacrum, femur, patella, tibia, fibula, tarsus, metatarsus and phalanges). Also, the axial skeleton corresponding to the middle line of the skeleton, forming the body axis through the skull bones, spine, ribs and sternum described. The description was developed considering previous methodologies and data considering previous descriptions carried out by other authors in some structures. The results are considered a precept knowledge of the surgical area as a cornerstone in the development of veterinary species of wildlife.

Mycorrhizal association in gametophytes and sporophytes of the fern Pteris vittata (Pteridaceae) with Glomus intraradices

Ferns, which are usually colonizing different environments and their roots frequently present mycorrhization, have two adult stages in their life cycle, the sporophytic and the gametophytic phase. This paper describes the experimental mycorrhizal association between Pteris vittata leptosporangiate fern and a strain of Glomus intraradices during the life cycle of the fern, from spore germination to the development of a mature sporophyte. The aim of this study was to compare the colonization pattern of in vitro cultures of G. intraradices along the fern life cycle with those found in nature. For this, mature spores were obtained from fertile P. vittata fronds growing in walls of Buenos Aires city, Argentina. Roots were stained and observed under the light microscope for arbuscular mycorrhizal colonization. Approximately, 75 fern spores were cultured in each pot filled with a sterile substrate and G. intraradices (BAFC N° 51.331) as inoculum on the surface. After germination took place, samples were taken every 15 days until the fern cycle was completed. In order to determine colonization dynamics each sample was observed under optical and confocal microscope after staining. Gametophyte was classified as Adiantum type. Male and female gametangia were limited to the lower face, mycorrhizal colonization started when they were differentiated and took place through the rhizoids. Spores and vesicles were not found in this cycle stage. Paris-type mycorrhizal colonization was established in the midrib and in the embrionary foot. It was colonized by external mycelium. When the first root was developed soil inoculum colonized de novo this structure and Arum-type colonization was observed. This study proves that the type of colonization is determined by the structure of the host, not by the fungus. Both the gametophyte and embryo foot have determined growth and Paris-type colonization, while, sporophyte roots have undetermined growth and Arum-type colonization. The structures found in vitro cultures were highly similar to those found under natural conditions. Rev. Biol. Trop. 60 (2): 857-865. Epub 2012 June 01.

Los helechos presentan dos etapas en su ciclo de vida, una fase esporofítica y una gametofítica. Estos por lo general pueden colonizar diferentes ambientes y frecuentemente presentan raíces micorrizadas. Este estudio describe la asociación experimental entre Pteris vittata, un helecho leptosporangiado y una cepa de Glomus intraradices durante el ciclo de vida del helecho, desde la germinación de las esporas hasta el desarrollo del esporofito maduro. El objetivo de este estudio fue comparar los patrones de colonización de G. intraradices a lo largo de todo el ciclo de vida del helecho con los tipos encontrados en la naturaleza. Las esporas maduras fueron obtenidas de frondes fértiles de P. vittata que crecen sobre las paredes de la ciudad de Buenos Aires, Argentina. Las raíces se tiñeron y fueron observadas bajo microscopio óptico para el estudio de la colonización micorrízica. Aproximadamente 75 esporas de helecho se cultivaron en macetas con un sustrato estéril y con un inóculo de G. intraradices (N° 51.331 BAFC) en la superficie. Después de la germinación, se tomaron muestras cada 15 días hasta que se completó el ciclo de vida del helecho. Con el fin de determinar la dinámica de la colonización, cada muestra se observó con el microscopio óptico y el microscopio de confocal luego de la tinción correspondiente. El gametofito fue clasificado como del tipo “Adiantum”. Los gametangios femeninos y masculinos se desarrollaron en la cara inferior del mismo. La micorrización comenzó cuando los gametangios estaban ya diferenciados y la colonización se produjo a través de los rizoides. Las esporas y las vesículas no se encontraron en esta fase del ciclo. La micorrizacion tipo Paris se observó sobre la línea de la nervadura central. El pie del esporofito fue colonizado por el micelio externo. Cuando la raíz se desarrolló, se colonizó “de novo”, y se observó una colonización de tipo Arum. Este estudio demuestra que el tipo de colonización está determinado por la estructura del helecho y no por el hongo. Tanto el gametofito como el pie del embrión tienen crecimiento definido y colonización tipo Paris, mientras que las raíces del esporofito presentan un crecimiento indeterminado y una colonización tipo Arum. Las estructuras que se encontraron bajo cultivo coinciden con las que se encontraron en condiciones naturales.

Mycorrhizal association in gametophytes and sporophytes of the fern Pteris vittata (Pteridaceae) with Glomus intraradices.

A Ferns, which are usually colonizing different environments and their roots frequently present mycorrhization, have two adult stages in their life cycle, the sporophytic and the gametophytic phase. This paper describes the experimental mycorrhizal association between Pteris vittata leptosporangiate fern and a strain of Glomus intraradices during the life cycle of the fern, from spore germination to the development of a mature sporophyte. The aim of this study was to compare the colonization pattern of in vitro cultures of G. intraradices along the fern life cycle with those found in nature. For this, mature spores were obtained from fertile P. vittata fronds growing in walls of Buenos Aires city, Argentina. Roots were stained and observed under the light microscope for arbuscular mycorrhizal colonization. Approximately, 75 fern spores were cultured in each pot filled with a sterile substrate and G. intraradices (BAFC No 51.331) as inoculum on the surface. After germination took place, samples were taken every 15 days until the fern cycle was completed. In order to determine colonization dynamics each sample was observed under optical and confocal microscope after staining. Gametophyte was classified as Adiantum type. Male and female gametangia were limited to the lower face, mycorrhizal colonization started when they were differentiated and took place through the rhizoids. Spores and vesicles were not found in this cycle stage. Paris-type mycorrhizal colonization was established in the midrib and in the embrionary foot. It was colonized by external mycelium. When the first root was developed soil inoculum colonized de novo this structure and Arum-type colonization was observed. This study proves that the type of colonization is determined by the structure of the host, not by the fungus. Both the gametophyte and embryo foot have determined growth and Paris-type colonization, while, sporophyte roots have undetermined growth and Arum-type colonization. The structures found in vitro cultures were highly similar to those found under natural conditions.

Relación entre determinantes socio-culturales y la elección de maternidad como proyecto de vida en mujeres de 14 a 19 años embarazadas o madres / Relationship between socio-cultural determinants and choice of motherhood as life project in women aged 14 to 19 years who are pregnant or mothers

INTRODUCCIÓN La investigación surge de observaciones y experiencias previas. A través de su discusión en el ámbito sanitario y educativo local, cabe preguntar por qué una mujer elige embarazarse en su juventud. OBJETIVOS Relacionar determinantes socio-culturales, proyecciones a futuro y elección de la maternidad como proyecto de vida en jóvenes de 14 a 19 años, embarazadas o madres, en la localidad de Malvinas Argentinas, Córdoba. MÉTODOS Se realizó un estudio de caso de corte transversal con perspectiva cualitativa e investigación-acción-participante. La muestra fue no probabilística. Los métodos de recolección de datos fueron entrevista en profundidad, grupo focal y observación. El análisis del discurso incluyó un enfoque socio-hermenéutico. Se aplicó triangulación metodológica. RESULTADOS Los embarazos no se produjeron por ignorancia sobre métodos anticonceptivos; creencia de no embarazo por ser muy jóvenes; inicio precoz en las relaciones sexuales; familia que no contiene, autoritaria y controladora, sumado al hacinamiento promueve la búsqueda de independencia. Se hicieron cargo de hermanos desde muy jóvenes; el embarazo desplaza otros aspectos de la vida de la joven, la vocación y participación ciudadana. Aparece la capacidad crítica como proceso protector fundamental. DISCUSIÓN mujeres que atraviesan un embarazo juvenil requieren cuidados especiales y abordajes diferentes. Se trata de un momento clave para potenciar capacidades y posibilidades hacia su desarrollo e inclusión social. Es importante trabajar el vínculo con el bebé para resignificar un embarazo no planificado.

Calcinosis cutis universalis in a patient with systemic lupus erythematosus.

Deposition of calcium salts in the skin and subcutaneous tissue occurs in a variety of rheumatic diseases, being most commonly associated with scleroderma, CREST (calcinosis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia), dermatomyositis, and overlap syndromes but is a rare complication of systemic lupus erythematosus (SLE). Calcinosis is classified into four subsets: dystrophic, metastatic, idiopathic, or calciphylaxis/iatrogenic. The pathophysiology of calcinosis cutis remains unclear. Our patient developed extensive areas of calcifications in the trunk and extremities (calcinosis universalis) 8 years after SLE diagnosis, which would correspond to a form of dystrophic calcification. No response was observed after treatment with oral diltiazem for 3 months. We review the literature on the pathogenesis and prevalence of calcinosis universalis in SLE.

Odontología neurofocal como parte de la terapia neural / Neurofocal odontology as part of the neural therapy

Se revisó bibliografía actualizada sobre terapia neural, se particularizó en la odontología neurofocal como forma de prevenir, diagnosticar y tratar; a través de la localización de campos interferentes en la cavidad bucal; enfermedades causadas por desequilibrios energéticos. Se concluyó que el conocimiento de esta terapia es de gran importancia para el médico y el estomatólogo, con la misma se pueden tratar y curar; en un tiempo relativamente breve y con un mínimo de recursos y costos; enfermedades resistentes a otros tipos de terapias.

Avaibable bibliography is reviewed with the aim of knowing and updating about neural theraphy and within it, neurofocal odontology as a way for treating, preventing and diagnosing diseases coming from energetic unbalances through localization of fields interferent in the oral cavity; concluding, the knowledge of this therapy is very important either for the doctor or odontologist, because with it, different diseases are treated and cured which ocassionally do not relieve with other therapies in a short period of time, and with a minimum of resources and cost. Tables are annexed in which highly successful results of this therapy are shown.

Eficacia del tratamiento homeopático en la neuralgia trigeminal / Effectiveness of the homeopathic treatment in the trigeminal neuralgia

Se realizó un estudio explicativo experimental en 21 pacientes con neuralgia trigeminal remitidos a la Clínica de Medicina Natural y Tradicional del Instituto Superior de Ciencias Médicas de Camagüey, en el período comprendido entre septiembre de 2000 a marzo de 2001, con el objetivo de evaluar la eficacia del tratamiento homeopático en esta afección. Se comprueba la eficacia de esta terapia en los primeros siete días del tratamiento, ya que la mayoría de los pacientes (85, 7 %) son clasificados como curados en esta etapa, al quedar solo una minoría (14, 3 %) que solo mejoró, con factores locales muy justificados que impedían su recuperación total. Se concluye que esta terapia es eficaz porque cura en un tiempo relativamente corto sin dejar síntomas presentados al inicio de la enfermedad.

An explicative experimental study was carried out in 21 patients carriers of trigemial neuralgia remitedd to the Natural and Traditional Clinic at Carlos J. Finlay medical University in Camagüey, within the period from September2000 to March 2001, with the aim of evaluating the effectiveness of the homeopathic treatment in this pathology during the firts seven days of treatment, since most of patients (85, 7 %) are classified as cured in this stage, remaining only a minory (14, 3 %) but they only improveded, because they had local factors very justified that impeded their total recovery. It is concluded that this therapy is effective since it cares in a relatively short time withoud leaving symptoms presented at the early stage of the disease.

Enfisema lobar congénito: nuestra experiencia de 8 años / Congenital lobar emphysema: our experience in 8 year

Se presentan 4 casos de enfisema lobar congénito en la infancia. Todos los pacientes fueron del sexo femenino; los síntomas comenzaron antes de los 2 meses de edad. En 3 casos predominó la enfermedad en los lóbulos superiores y en el pulmón izquierdo. Se realizó lobectomía en todos como tratamiento de elección y falleció uno de los operados a causa de un embolismo aéreo. Se revisa la literatura médica en relación con la enfermedad