Pactolo Bar: An Approach to Mitigate the Midas Touch Problem in Non-Conventional Interaction.

New ways of interacting with computers is driving research, which is motivated mainly by the different types of user profiles. Referred to as non-conventional interactions, these are found with the use of hands, voice, head, mouth, and feet, etc. and these interactions occur in scenarios where the use of mouse and keyboard would be difficult. A constant challenge in the adoption of new forms of interaction, based on the movement of pointers and the selection of interface components, is the Midas Touch (MT) problem, defined as the involuntary action of selection by the user when interacting with the computer system, causing unwanted actions and harming the user experience during the usage process. Thus, this article aims to mitigate the TM problem in interaction with web pages using a solution centered on the Head Tracking (HT) technique. For this purpose, a component in the form of a Bar was developed and inserted on the left side of the web page, called the Pactolo Bar (PB), in order to enable or disable the clicking event during the interaction process. As a way of analyzing the effectiveness of PB in relation to TM, two stages of tests were carried out based on the collaboration of voluntary participants. The first step aims to find the data that would lead to the best configuration of the BP, while the second step aims to carry out a comparative analysis between the PB solution and the eViacam software, whose use is also focused on the HT technique. The results obtained from the use of PB were considered promising, since the analysis of quantitative data points to a significant prevention of involuntary clicks in the iteration interface and the analysis of qualitative data showed the development of a better user experience due to the ease of use, which can be noticed in elements such as the PB size, the triggering mechanism, and its positioning in the graphical interface. This study benefits in the context of the user experience, because, when using non-conventional interactions, basic items such as aspects of the graphic elements, and interaction events raise new studies that seek to mitigate the problem of the Midas Touch.

Prevalence of migraine in patients with fibromyalgia / Prevalência de enxaqueca em pacientes com fibromialgia

Objective: To evaluate the prevalence of migraine in patients with fibromyalgia and the impacts of these comorbidities on the daily life of patients. Methods: Questionnaires were applied to fibromyalgia patients. The questionnaires were applied through a Google forms application link and in person, printed. We used FIQ, PHQ-9, and ID migraine. And for patients with a positive ID migraine, we applied the Midas subsequently. Results: Seventy fibromyalgia patients were recruited, age of 47.31 ± 14.5 years. Sixty-five (92.86%) were female and 5 (7.14%) were male. We obtained a prevalence of 60% (n = 42) of migraine associated with fibromyalgia. Among the analyzed variables, severity of depression (p = 0.007), aggregate severity of depression (p = 0.004), and impact of fibromyalgia (p = 0.008) were significantly associated. Among the migraine patients, the vast majority, 34/42 (80.95%), were classified as having severe disability. Conclusion: There is a high prevalence of migraine in patients with fibromyalgia that has an associated impact on patients' lives, which makes clinical and psychosocial management of these patients necessary.

Objetivo: Avaliar a prevalência de enxaqueca em pacientes com fibromialgia e os impactos dessas comorbidades no cotidiano dos pacientes. Métodos: Questionários foram aplicados a pacientes com fibromialgia. Os questionários foram aplicados por meio de link de aplicativo Google Forms e presencialmente, impressos. Usamos FIQ, PHQ-9 e enxaqueca ID. E para pacientes com enxaqueca ID positiva, aplicamos o Midas posteriormente. Resultados: Foram recrutados 70 pacientes com fibromialgia, idade de 47,31 ± 14,5 anos. Sessenta e cinco (92,86%) eram do sexo feminino e 5 (7,14%) do sexo masculino. Obtivemos uma prevalência de 60% (n = 42) de enxaqueca associada à fibromialgia. Entre as variáveis ​​analisadas, a gravidade da depressão (p = 0,007), a gravidade agregada da depressão (p = 0,004) e o impacto da fibromialgia (p = 0,008) foram significativamente associadas. Entre os pacientes com enxaqueca, a grande maioria, 34/42 (80,95%), foi classificada como portadora de incapacidade grave. Conclusão: Existe uma elevada prevalência de enxaqueca em pacientes com fibromialgia que tem impacto associado na vida dos pacientes, o que torna necessário o manejo clínico e psicossocial destes pacientes.

Cefalea por abuso de medicamentos y sus marcadores clínicos / Medication overuse headache and its specific clinical markers

Resumen Introducción: Los marcadores clínicos de la cefalea por uso excesivo de medicación (CMA) se basan en la clasificación de las cefaleas desarrollada por la Sociedad Internacional de Cefaleas (IHS). Esta clasificación incluye sólo dos criterios: la frecuencia de los días de cefalea debe ser de 15 o más días al mes durante al menos tres o más meses; - y el número de días de uso excesivo de la medicación debe ser de 10 o 15 días al mes dependiendo del tipo de medicación. Sin embargo, los pacientes suelen tener otros marcadores clínicos asociados distintos, que la mayoría de los médicos pasan por alto durante la evaluación inicial. Metodología: Este estudio es un estudio prospectivo, longitudinal y observacional de 76 pacientes ingresados en la Unidad de Cefaleas del hospital DIPRECA. Todos ellos fueron diagnosticados de HMO según los criterios establecidos por su ICHD III beta.(1) Los pacientes recibieron un tratamiento estándar que incluía desintoxicación y medicación preventiva y fueron seguidos durante 6 meses. Se registraron los síntomas de interés en cada visita de seguimiento clínico y se administraron escalas de evaluación como Zung, MIDAS, HIT-6. Resultados: Los medicamentos sobreutilizados incluyeron antiinflamatorios no esteroideos (AINE), triptanes y cornezuelos. Los síntomas clínicos más significativos asociados fueron: despertar por la mañana con dolor de cabeza, despertar al paciente al amanecer por dolor de cabeza, dificultades de atención, depresión, dolor cervical y síndrome de dolor miofascial. Todos los síntomas mejoraron significativamente al iniciar el tratamiento, al igual que la calidad de vida medida por las escalas MIDAS y HIT-6. Discusión: Al evaluar a los pacientes con HMO, hay que tener en cuenta tanto los criterios diagnósticos de la ICHD III beta como los síntomas comunes y específicos que se observan en la mayoría de los casos de HMO.

Introduction: Clinical markers of medication overuse headache (MOH) are based on headache classification developed by the International Headache Society (IHS). This classification include only two criteria: frequency of headache days must be 15 or more days per month for at least three or more months; - and the number of days of overuse medication must be either 10 or 15 days per month depending on the type of medication. However, patients often have others distinct associated clinical markers, which are overlooked by most physicians during the initial evaluation. Methodology: This study is a prospective, longitudinal and observational study of 76 patients admitted to DIPRECA´s hospital Headache Unit. They were all diagnosed with, MOH according to the criteria established by the his ICHD III beta.(1) Patients were given standard treatment including detoxification and preventive medications and followed for 6 months. Symptoms of interest were recorded in at each clinical monitoring visit and assessment scales such as Zung, MIDAS, HIT-6 were administered. Results: Overused medications included nonsteroidal anti-inflammatory drugs (NSAIDs), triptans and ergots. The most significant clinical symptoms associated were: awaking in the morning with headache, awaking the patient at dawn by headache, attention difficulties, depression, cervical pain and myofascial pain syndrome. All symptoms significantly improved when treatment began, as did quality of life as measured by MIDAS and HIT-6 scales. Discussion: In evaluating patients with MOH consider both the ICHD III beta diagnostic criteria and the common and specific symptoms seen in most cases of MOH.

Dipetalonema graciliformis (Freitas, 1964) from the red-handed tamarins (Saguinus midas, Linnaeus, 1758) in French Guiana.

Six Dipetalonema species have been reported from Neotropical monkeys, Dipetalonema gracile, Dipetalonema graciliformis and Dipetalonema caudispina being the dominant species found in French Guiana primates. Adult filarioids isolated from the abdominal cavity of tamarins (Saguinus midas) in French Guiana were morphologically and molecularly identified as D. graciliformis. Phylogenetic analysis based on DNA and amino acid sequences of the cox1 gene as well as the concatenated sequences of the cox1 and the 18S genes indicated that D. graciliformis belongs to the clade 4 (ONC4) of Onchocercidae. Blast analysis of the 18S rDNA revealed that D. graciliformis in the studied tamarins is conspecific with the filarioid circulating in howler monkeys (Alouatta macconnelli) in French Guiana, previously referred to as unidentified Onchocercidae species.

Microphthalmia, Linear Skin Defects, Callosal Agenesis, and Cleft Palate in a Patient with Deletion at Xp22.3p22.2.

The authors describe the clinical findings observed in a Brazilian girl that are suggestive of microphthalmia and linear skin defects (MLS) also known as MIDAS syndrome (OMIM #309801). She also presented with short stature, agenesis of corpus callosum, cleft palate, enamel defects, and genitourinary anomalies, which are rarely reported within the clinical spectrum of MLS. The 11,5 Mb deletion in Xp22.3p22.2 observed in the patient includes the entire HCCS gene (responsible for the MLS phenotype) and also encompasses several other genes involved with behavioral phenotypes, craniofacial and central nervous system development such as MID1, NLGN4X, AMELX , ARHGAP6, and TBL1X. The whole clinical features of our proband possibly represents an unusual MLS syndromic phenotype caused by an Xp22.3p22.2 continuous gene deletion.

Distributed and multicore QuBiLS-MIDAS software v2.0: Computing chiral, fuzzy, weighted and truncated geometrical molecular descriptors based on tensor algebra.

Advances to the distributed, multi-core and fully cross-platform QuBiLS-MIDAS software v2.0 (http://tomocomd.com/qubils-midas) are reported in this article since the v1.0 release. The QuBiLS-MIDAS software is the only one that computes atom-pair and alignment-free geometrical MDs (3D-MDs) from several distance metrics other than the Euclidean distance, as well as alignment-free 3D-MDs that codify structural information regarding the relations among three and four atoms of a molecule. The most recent features added to the QuBiLS-MIDAS software v2.0 are related (a) to the calculation of atomic weightings from indices based on the vertex-degree invariant (e.g., Alikhanidi index); (b) to consider central chirality during the molecular encoding; (c) to use measures based on clustering methods and statistical functions to codify structural information among more than two atoms; (d) to the use of a novel method based on fuzzy membership functions to spherically truncate inter-atomic relations; and (e) to the use of weighted and fuzzy aggregation operators to compute global 3D-MDs according to the importance and/or interrelation of the atoms of a molecule during the molecular encoding. Moreover, a novel module to compute QuBiLS-MIDAS 3D-MDs from their headings was also developed. This module can be used either by the graphical user interface or by means of the software library. By using the library, both the predictive models built with the QuBiLS-MIDAS 3D-MDs and the QuBiLS-MIDAS 3D-MDs calculation can be embedded in other tools. A set of predefined QuBiLS-MIDAS 3D-MDs with high information content and low redundancy on a set comprised of 20,469 compounds is also provided to be employed in further cheminformatics tasks. This set of predefined 3D-MDs evidenced better performance than all the universe of Dragon (v5.5) and PaDEL 0D-to-3D MDs in variability studies, whereas a linear independence study proved that these QuBiLS-MIDAS 3D-MDs codify chemical information orthogonal to the Dragon 0D-to-3D MDs. This set of predefined 3D-MDs would be periodically updated as long as new results be achieved. In general, this report highlights our continued efforts to provide a better tool for a most suitable characterization of compounds, and in this way, to contribute to obtaining better outcomes in future applications.

Smoothed Spherical Truncation based on Fuzzy Membership Functions: Application to the Molecular Encoding.

A novel spherical truncation method, based on fuzzy membership functions, is introduced to truncate interatomic (or interaminoacid) relations according to smoothing values computed from fuzzy membership degrees. In this method, the molecules are circumscribed into a sphere, so that the geometric centers of the molecules are the centers of the spheres. The fuzzy membership degree of each atom (or aminoacid) is computed from its distance with respect to the geometric center of the molecule, by using a fuzzy membership function. So, the smoothing value to be applied in the truncation of a relation (or interaction) is computed by averaging the fuzzy membership degrees of the atoms (or aminoacids) involved in the relation. This truncation method is rather different from the existing ones, at considering the geometric center for the whole molecule and not only for atom-groups, as well as for using fuzzy membership functions to compute the smoothing values. A variability study on a set comprised of 20,469 compounds (15,050 drug-like compounds, 2994 drugs approved, 880 natural products from African sources, and 1545 plant-derived natural compounds exhibiting anti-cancerous activity) demonstrated that the truncation method proposed allows to determine molecular encodings with better ability for discriminating among structurally different molecules than the encodings obtained without applying truncation or applying non-fuzzy truncation functions. Moreover, a principal component analysis revealed that orthogonal chemical information of the molecules is encoded by using the method proposed. Lastly, a modeling study proved that the truncation method improves the modeling ability of existing geometric molecular descriptors, at allowing to develop more robust models than the ones built only using non-truncated descriptors. In this sense, a comparison and statistical assessment were performed on eight chemical datasets. As a result, the models based on the truncated molecular encodings yielded statistically better results than 12 procedures considered from the literature. It can thus be stated that the proposed truncation method is a relevant strategy for obtaining better molecular encodings, which will be ultimately useful in enhancing the modeling ability of existing encodings both on small-to-medium size molecules and biomacromolecules. © 2019 Wiley Periodicals, Inc.

N-tuple topological/geometric cutoffs for 3D N-linear algebraic molecular codifications: variability, linear independence and QSAR analysis.

Novel N-tuple topological/geometric cutoffs to consider specific inter-atomic relations in the QuBiLS-MIDAS framework are introduced in this manuscript. These molecular cutoffs permit the taking into account of relations between more than two atoms by using (dis-)similarity multi-metrics and the concepts related with topological and Euclidean-geometric distances. To this end, the kth two-, three- and four-tuple topological and geometric neighbourhood quotient (NQ) total (or local-fragment) spatial-(dis)similarity matrices are defined, to represent 3D information corresponding to the relations between two, three and four atoms of the molecular structures that satisfy certain cutoff criteria. First, an analysis of a diverse chemical space for the most common values of topological/Euclidean-geometric distances, bond/dihedral angles, triangle/quadrilateral perimeters, triangle area and volume was performed in order to determine the intervals to take into account in the cutoff procedures. A variability analysis based on Shannon's entropy reveals that better distribution patterns are attained with the descriptors based on the cutoffs proposed (QuBiLS-MIDAS NQ-MDs) with regard to the results obtained when all inter-atomic relations are considered (QuBiLS-MIDAS KA-MDs - 'Keep All'). A principal component analysis shows that the novel molecular cutoffs codify chemical information captured by the respective QuBiLS-MIDAS KA-MDs, as well as information not captured by the latter. Lastly, a QSAR study to obtain deeper knowledge of the contribution of the proposed methods was carried out, using four molecular datasets (steroids (STER), angiotensin converting enzyme (ACE), thermolysin inhibitors (THER) and thrombin inhibitors (THR)) widely used as benchmarks in the evaluation of several methodologies. One to four variable QSAR models based on multiple linear regression were developed for each compound dataset following the original division into training and test sets. The results obtained reveal that the novel cutoff procedures yield superior performances relative to those of the QuBiLS-MIDAS KA-MDs in the prediction of the biological activities considered. From the results achieved, it can be suggested that the proposed N-tuple topological/geometric cutoffs constitute a relevant criteria for generating MDs codifying particular atomic relations, ultimately useful in enhancing the modelling capacity of the QuBiLS-MIDAS 3D-MDs.

Multi-Server Approach for High-Throughput Molecular Descriptors Calculation based on Multi-Linear Algebraic Maps.

The present report introduces a novel module of the QuBiLS-MIDAS software for the distributed computation of the 3D Multi-Linear algebraic molecular indices. The main motivation for developing this module is to deal with the computational complexity experienced during the calculation of the descriptors over large datasets. To accomplish this task, a multi-server computing platform named T-arenal was developed, which is suited for institutions with many workstations interconnected through a local network and without resources particularly destined for computation tasks. This new system was deployed in 337 workstations and it was perfectly integrated with the QuBiLS-MIDAS software. To illustrate the usability of the T-arenal platform, performance tests over a dataset comprised of 15 000 compounds are carried out, yielding a 52 and 60 fold reduction in the sequential processing time for the 2-Linear and 3-Linear indices, respectively. Therefore, it can be stated that the T-arenal based distribution of computation tasks constitutes a suitable strategy for performing high-throughput calculations of 3D Multi-Linear descriptors over thousands of chemical structures for posterior QSAR and/or ADME-Tox studies.

QuBiLS-MIDAS: a parallel free-software for molecular descriptors computation based on multilinear algebraic maps.

The present report introduces the QuBiLS-MIDAS software belonging to the ToMoCoMD-CARDD suite for the calculation of three-dimensional molecular descriptors (MDs) based on the two-linear (bilinear), three-linear, and four-linear (multilinear or N-linear) algebraic forms. Thus, it is unique software that computes these tensor-based indices. These descriptors, establish relations for two, three, and four atoms by using several (dis-)similarity metrics or multimetrics, matrix transformations, cutoffs, local calculations and aggregation operators. The theoretical background of these N-linear indices is also presented. The QuBiLS-MIDAS software was developed in the Java programming language and employs the Chemical Development Kit library for the manipulation of the chemical structures and the calculation of the atomic properties. This software is composed by a desktop user-friendly interface and an Abstract Programming Interface library. The former was created to simplify the configuration of the different options of the MDs, whereas the library was designed to allow its easy integration to other software for chemoinformatics applications. This program provides functionalities for data cleaning tasks and for batch processing of the molecular indices. In addition, it offers parallel calculation of the MDs through the use of all available processors in current computers. The studies of complexity of the main algorithms demonstrate that these were efficiently implemented with respect to their trivial implementation. Lastly, the performance tests reveal that this software has a suitable behavior when the amount of processors is increased. Therefore, the QuBiLS-MIDAS software constitutes a useful application for the computation of the molecular indices based on N-linear algebraic maps and it can be used freely to perform chemoinformatics studies.

Topografia do cone medular do sauim (Saguinus midas) / Topography of the medullary cone in sauim (Saguinus midas)

Primata endêmico do Brasil, especificamente da floresta Amazônica, o Sauim alimentam-se de pequenos vertebrados, invertebrados, exudatos, flores, néctar, folhas e fungos, cuja morfologia é pouco conhecida. Assim, objetivou-se estabelecer parâmetros morfométricos e topográficos do cone medular dessa espécie, que sirvam de base para a prática das anestesias epidurais. Para tanto, foram avaliados quatro exemplares, provenientes da Universidade Federal Rural da Amazônia (UFRA). O Saguinus midas apresentou sete vértebras lombares e três vértebras sacrais. Após a dissecação do cone medular, registrou-se os aspectos anatômicos de interesse, enfatizando seu início (base) e seu término (ápice), que, após mensuração, revelou base em nível de L4 e ápice em S2, com comprimento médio de 5,38cm, o que leva a sugerir a região lombosacral como sendo a mais adequada para o desenvolvimento da prática de anestesias epidurais.

Primate endemic to Brazil, specifically in the Amazon rainforest, the Sauim feed on small vertebrates, invertebrates, exudates, flowers, nectar, leaves and fungi whose morphology is poorly known. Thus, the objective was to establish morphometric parameters and topographical conus of this species, as a basis for the practice of epidural anesthesia. For this purpose, four samples were evaluated, from the Universidade Federal Rural da Amazônia (UFRA). The Saguinus midas had seven lumbar vertebrae and three sacral vertebrae. After dissection of the conus, we recorded the anatomy of interest, emphasizing its beginning (base) and its end (apex), revealed that after measuring the level of base peak in L4 and S2, with an average length of 5.38cm, which leads us to suggest the lumbosacral region as the most suitable for the development of the practice of epidural anesthesia.

A hybrid genetic linkage map of two ecologically and morphologically divergent Midas cichlid fishes (Amphilophus spp.) obtained by massively parallel DNA sequencing (ddRADSeq).

Cichlid fishes are an excellent model system for studying speciation and the formation of adaptive radiations because of their tremendous species richness and astonishing phenotypic diversity. Most research has focused on African rift lake fishes, although Neotropical cichlid species display much variability as well. Almost one dozen species of the Midas cichlid species complex (Amphilophus spp.) have been described so far and have formed repeated adaptive radiations in several Nicaraguan crater lakes. Here we apply double-digest restriction-site associated DNA sequencing to obtain a high-density linkage map of an interspecific cross between the benthic Amphilophus astorquii and the limnetic Amphilophus zaliosus, which are sympatric species endemic to Crater Lake Apoyo, Nicaragua. A total of 755 RAD markers were genotyped in 343 F(2) hybrids. The map resolved 25 linkage groups and spans a total distance of 1427 cM with an average marker spacing distance of 1.95 cM, almost matching the total number of chromosomes (n = 24) in these species. Regions of segregation distortion were identified in five linkage groups. Based on the pedigree of parents to F(2) offspring, we calculated a genome-wide mutation rate of 6.6 × 10(-8) mutations per nucleotide per generation. This genetic map will facilitate the mapping of ecomorphologically relevant adaptive traits in the repeated phenotypes that evolved within the Midas cichlid lineage and, as the first linkage map of a Neotropical cichlid, facilitate comparative genomic analyses between African cichlids, Neotropical cichlids and other teleost fishes.

Topografia do cone medular do sauim (Saguinus midas)

Primate endemic to Brazil, specifically in the Amazon rainforest, the Sauim feed on small vertebrates, invertebrates, exudates, flowers, nectar, leaves and fungi whose morphology is poorly known. Thus, the objective was to establish morphometric parameters and topographical conus of this species, as a basis for the practice of epidural anesthesia. For this purpose, four samples were evaluated, from the Universidade Federal Rural da Amazônia (UFRA). The Saguinus midas had seven lumbar vertebrae and three sacral vertebrae. After dissection of the conus, we recorded the anatomy of interest, emphasizing its beginning (base) and its end (apex), revealed that after measuring the level of base peak in L4 and S2, with an average length of 5.38cm, which leads us to suggest the lumbosacral region as the most suitable for the development of the practice of epidural anesthesia.

Primata endêmico do Brasil, especificamente da floresta Amazônica, o Sauim alimentam-se de pequenos vertebrados, invertebrados, exudatos, flores, néctar, folhas e fungos, cuja morfologia é pouco conhecida. Assim, objetivou-se estabelecer parâmetros morfométricos e topográficos do cone medular dessa espécie, que sirvam de base para a prática das anestesias epidurais. Para tanto, foram avaliados quatro exemplares, provenientes da Universidade Federal Rural da Amazônia (UFRA). O Saguinus midas apresentou sete vértebras lombares e três vértebras sacrais. Após a dissecação do cone medular, registrou-se os aspectos anatômicos de interesse, enfatizando seu início (base) e seu término (ápice), que, após mensuração, revelou base em nível de L4 e ápice em S2, com comprimento médio de 5,38cm, o que leva a sugerir a região lombosacral como sendo a mais adequada para o desenvolvimento da prática de anestesias epidurais.

Topografia do cone medular do sauim (Saguinus midas)

Primate endemic to Brazil, specifically in the Amazon rainforest, the Sauim feed on small vertebrates, invertebrates, exudates, flowers, nectar, leaves and fungi whose morphology is poorly known. Thus, the objective was to establish morphometric parameters and topographical conus of this species, as a basis for the practice of epidural anesthesia. For this purpose, four samples were evaluated, from the Universidade Federal Rural da Amazônia (UFRA). The Saguinus midas had seven lumbar vertebrae and three sacral vertebrae. After dissection of the conus, we recorded the anatomy of interest, emphasizing its beginning (base) and its end (apex), revealed that after measuring the level of base peak in L4 and S2, with an average length of 5.38cm, which leads us to suggest the lumbosacral region as the most suitable for the development of the practice of epidural anesthesia.

Primata endêmico do Brasil, especificamente da floresta Amazônica, o Sauim alimentam-se de pequenos vertebrados, invertebrados, exudatos, flores, néctar, folhas e fungos, cuja morfologia é pouco conhecida. Assim, objetivou-se estabelecer parâmetros morfométricos e topográficos do cone medular dessa espécie, que sirvam de base para a prática das anestesias epidurais. Para tanto, foram avaliados quatro exemplares, provenientes da Universidade Federal Rural da Amazônia (UFRA). O Saguinus midas apresentou sete vértebras lombares e três vértebras sacrais. Após a dissecação do cone medular, registrou-se os aspectos anatômicos de interesse, enfatizando seu início (base) e seu término (ápice), que, após mensuração, revelou base em nível de L4 e ápice em S2, com comprimento médio de 5,38cm, o que leva a sugerir a região lombosacral como sendo a mais adequada para o desenvolvimento da prática de anestesias epidurais.

Topografia do cone medular do sauim (Saguinus midas)

Primate endemic to Brazil, specifically in the Amazon rainforest, the Sauim feed on small vertebrates, invertebrates, exudates, flowers, nectar, leaves and fungi whose morphology is poorly known. Thus, the objective was to establish morphometric parameters and topographical conus of this species, as a basis for the practice of epidural anesthesia. For this purpose, four samples were evaluated, from the Universidade Federal Rural da Amazônia (UFRA). The Saguinus midas had seven lumbar vertebrae and three sacral vertebrae. After dissection of the conus, we recorded the anatomy of interest, emphasizing its beginning (base) and its end (apex), revealed that after measuring the level of base peak in L4 and S2, with an average length of 5.38cm, which leads us to suggest the lumbosacral region as the most suitable for the development of the practice of epidural anesthesia.

Primata endêmico do Brasil, especificamente da floresta Amazônica, o Sauim alimentam-se de pequenos vertebrados, invertebrados, exudatos, flores, néctar, folhas e fungos, cuja morfologia é pouco conhecida. Assim, objetivou-se estabelecer parâmetros morfométricos e topográficos do cone medular dessa espécie, que sirvam de base para a prática das anestesias epidurais. Para tanto, foram avaliados quatro exemplares, provenientes da Universidade Federal Rural da Amazônia (UFRA). O Saguinus midas apresentou sete vértebras lombares e três vértebras sacrais. Após a dissecação do cone medular, registrou-se os aspectos anatômicos de interesse, enfatizando seu início (base) e seu término (ápice), que, após mensuração, revelou base em nível de L4 e ápice em S2, com comprimento médio de 5,38cm, o que leva a sugerir a região lombosacral como sendo a mais adequada para o desenvolvimento da prática de anestesias epidurais.

Determinación del índice MIDAS en pacientes ambulatorios de Bogotá / Determination of MIDAS index in outpatients from Bogotá

INTRODUCIÓN: la migraña es una entidad neurológica crónica. La escala MIDAS (Migraine dissability Assessment Scale) permite medir discapacidad en las personas que padecen de migraña. MATERIALES Y MÉTODOS: mediante un estudio descriptivo de corte transversal, se evaluó la discapacidad por migraña asociándola a variables demográficas, intensidad y frecuencia de las cefaleas. Se evaluaron 129 pacientes con diagnóstico de migraña, en el periodo de Septiembre de 2007 a Marzo de 2008 mediante el cuestionario MIDAS. RESULTADOS: el 86.8 por ciento de los pacientes perteneció al género femenino siendo de procedencia urbana en su mayoría (98.4 por ciento). Con respecto al estado socioeconómico perteneció a los estratos uno, dos y tres en el 98.3 por ciento del total de pacientes. La proporción de migraña sin aura/migraña con aura fue equivalente determinándose (51.9 por ciento vs 48.1 por ciento) respectivamente. La tasa de discapacidad se calculó en porcentajes semejantes (31,30.2 y 30.2) para los niveles mínimo, ligero y moderado en todos los rangos de edad estudiados. El nivel grave se encontró únicamente en el 8.5 por ciento de la población estudiada especialmente correspondiendo a población geriátrica. Del total de pacientes el 37.5 por ciento recibía tratamiento preventivo, siendo cumplido de forma adecuada en el 89.9 por ciento de los casos. CONCLUSIÓN: los hallazgos del estudio muestran pocos días de discapacidad por migraña en comparación con otros estudios. Lo anterior por la probable relación que pudiera establecerse entre el índice MIDAS y a las condiciones socio económicas actuales de la población estudiada.

INTRODUCTION: migraine is a chronic neurological entity. MIDAS (Migraine Disability Assessment Scale) scale allows to measure disability in people suffering from migraine. PATIENTS AND METHODS: by means of a cross-section study, we assessed the disability level in migraine patients in relation to demographic variables, severity and frequency of headaches. We studied 129 patients with migraine according to IHS criteria since September 2007 to march 2008 by using MIDAS questionnaire. RESULTS: 86.8 per cent of patients were female from urban area (98.4 per cent). With regard to socioeconomic origin 93.8 per cent belonged to levels one, two and three. The rate of migraine without aura/migraine with with aura was equivalent (51.9 per cent vs 48.1 per cent). Disability rate was calculated in similar percentages (31,30.2 y 30.2) for the mild, moderate and severe ranks in all the groups. The rank very severe was found only in 8.5 per cent of the population studied especially in elderly people. 37.5 per cent of all patients had preventive treatment with a good compliance in 89.9 per cent of cases.CONCLUSION: our findings show few days of disability related to migraine compared with other studies. This phenomenon could be related to the socio economical status of the population studied.

Impacto de la migraña / The impact of migraine

La migraña es quizás el motivo más frecuente de consulta al neurólogo. Su prevalencia es más alta en el sexo femenino, entre la segunda y la cuarta décadas, que es la época de mayor productividad. El dolor en la migraña por lo general es incapacitante, por lo que tiene un gran impacto en la calidad de vida; produce ausentismo laboral y escolar, disminuye el rendimiento, e interfiere con las relaciones familiares. Es necesario hacer un mayor énfasis en la migraña en los estudios de pregrado en medicina, para capacitar a los médicos generales en el diagnóstico y tratamiento de este trastorno. Existen instrumentos para medir en el consultorio el impacto de la migraña en la vida de los pacientes, de los cuales el más importante es el cuestionario MIDAS.

Migraine is perhaps the most frequent reason for consulting the neurologist. Its prevalence is higher in women between the second and fourth decades, which is the period of greatest productivity. The pain in migraine is usually disabling, and for this reason it has a big impact on the quality of life; it produces labor and school absenteeism, and it interferes with family relationships. There is a need for greater emphasis on migraine in undergraduate studies in medicine, to train the general practitioners in diagnosing and treating this disorder. There are many instruments to measure the impact of migraine in the life of the patients, such as MIDAS questionaire.