RESUMEN
The Mangalarga Marchador (MM) breed, which originated in Brazil, constitutes the largest number of horses in the country. The animals are versatile and used in several sports because of major investments made for the genetic improve-ment of the breed. In recent decades, advances in molecular techniques enabled the identification of genetic diseases in hor-ses. Conducting molecular tests and determining the occurrence of mutations are fundamental for the early identification and prevention of abnormalities. Among the known genetic diseases that occur in horses, the c.926G>A mutation in the GYS1gene that causes type 1 polysaccharide storage myopathy (PSSM1) stands out, because it has been identified in several breeds of horses. Although myopathy is common in MM horses, the occurrence of the c.926G>A mutation in the GYS1 gene has not yet been evaluated. The lack of knowledge about the possible presence of PSSM1 averts the adoption of control measures to prevent the spread of the disease in MM horses. Therefore, the aim of this study was to verify the occurrence of the muta-tion that causes PSSM1 in MM horses used in breeding programs. Blood DNA was extracted and the region of the GYS1gene containing the mutation was amplified and sequenced. No mutation in the GYS1 gene was found in the evaluated sam-ples. However, since clinical signs of myopathy are frequently observed in MM horses, further studies, including histological analysis, are necessary to establish the underlying causes. In addition, if there is a genetic pattern of occurrence, molecular studies should be considered.(AU)
A raça Mangalarga Marchador (MM), originária do Brasil, constitui a raça de maior número de equinos no país. Os animais são versáteis e utilizados em diversos esportes devido aos seus grandes investimentos em melhoramento genético. Nas últimas décadas, o avanço das técnicas moleculares permitiu a identificação de doenças genéticas em cavalos. A realização de testes moleculares e a determinação da ocorrência de mutações são fundamentais para a identificação precoce e prevenção de anormalidades. Dentre as doenças genéticas conhecidas em equinos, destaca-se a mutação c.926G>A no gene GYS1 causadora da miopatia por acúmulo de polissacarídeo tipo 1 (PSSM1), pois foi identificada em diversas raças equinas. Embora a miopatia seja comum em cavalos MM, a ocorrência da mutação c.926G>A no gene GYS1 ainda não foi avaliada. A falta de conhecimento sobre a possível presença de PSSM1 inviabiliza a adoção de medidas de controle para prevenir a disseminação da doença em equinos MM. Portanto, o objetivo deste estudo foi verificar a ocorrência da mutação causadora de PSSM1 em cavalos MM utilizados em programas de melhoramento. O DNA sanguíneo foi extraído e a região do gene GYS1contendo a mutação foi amplificada e sequenciada. Nenhuma mutação no gene GYS1 foi encontrada nas amostras avaliadas. No entanto, como sinais clínicos de miopatia são frequentemente observados em cavalos com MM, mais estudos, incluindo análises histológicas, são necessários para estabelecer as causas subjacentes. Além disso, se houver um padrão genético de ocorrência, estudos moleculares devem ser considerados.(AU)
Asunto(s)
Animales , Glucógeno/análisis , Caballos/genética , Enfermedades Musculares/genética , Mejoramiento Genético/métodosRESUMEN
This paper aims to make a proposal to govern the Peruvian State under the umbrella of management cybernetics, following the paths of the viable system model (VSM), proposed by Prof. Stafford Beer, enriched with other soft and hard systemic methodologies and technologies, to cover the soft and hard issues that are part of the complex Peruvian reality at different levels of recursion. For doing this, four defined perspectives were adopted to understand the complexity of Peru: the sectoral view, the regions view, the river basins view and the macroregions view. Peru is seen as a system in focus, defining, for each of these four perspectives, the five systems that VSM has. The application of the VSM in each perspective serves to apply it in two modes: diagnosis and design, according to the respective perspective. Then an integrative analysis and reflection is done considering the four perspectives, to analyze the viability of the VSM approach in the governance of the Peruvian State to establish some conclusions and recommendations in relation to the proposal, appearing at the end of the paper.
RESUMEN
Conservative mastectomy (CM) has become an established alternative in the treatment of breast cancer, offering by different techniques a good cosmetic outcome, as well as oncologic control. The different options to achieve these goals are presented. Oncoplastic treatment of breast cancer needs planning and knowledge of well-established plastic surgery techniques.
RESUMEN
The surgical treatment of breast cancer has evolved rapidly in recent decades. Conservative treatment was adopted in the late 1970s, with rates above 70%, and this was followed by a period during which the indications for surgical intervention were expanded to those patients at high risk for BRCA1, BRCA2 mutations, and also due to new staging standards and use of nuclear magnetic resonance. This increase in the indications for mastectomy coincided with the availability of immediate breast reconstruction as an oncologically safe and important surgical procedure for prevention of sequelae. Immediate reconstruction was first aimed at correcting the consequences of treatment, and almost immediately, the challenge of the technique became the achievement of a satisfactory breast appearance and shape, as well as normal consistency. The skin-sparing mastectomy (SSM) in conservation first and nipple-areola complex (NAC) later was a result of this shift that occurred from the early 1990s to the present. The objective of this review is to present all these developments specifically in relation to SSM and analyze our personal experience as well as the experience of surgeons worldwide with an emphasis on the fundamental aspects, indications, surgical technique, complications, oncological safety, and cosmetic results of this procedure.