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Introduction: Chronic wounds represent a frequent cause of consultation for plastic and reconstructive surgeons. The use of epidermal culture stands out because they provide complete epithelialization, adequate aesthetic-functional results, and no morbidity for the patient. Epifast® is a pre-manufactured cultured epidermal allograft derived from the amplification in vitro of human keratinocytes. Materials and Methods: A prospective longitudinal multicenter study was carried out in four chronic wound reference centers, which were in charge of plastic and reconstructive surgery services. For a standardized wound bed preparation, the protocol synthesized by the acronym "TIME" was used. At the end of the "TIME" protocol, the pre-fabricated allograft was applied and removed 7 days after its application. Results: A total of 133 patients with diagnosis of chronic wound were included in the study. The median age was 69.3 ± 13.6 years. The most common comorbidity found was diabetes mellitus type 2 in 71.4% of the patients (n = 95) and systemic arterial hypertension in 60.2% of the patients (n = 80). The most frequent location of chronic wounds was seen in the lower extremity with 45.1% (n = 60). The mean duration for it to close was 46 ± 14 days, in which they closed within the first 3 months in 93% (n = 125) of the cases. About 91.7% (n = 122) of the wounds achieved total closure. Conclusion: Cultured epidermal allograft, combined with a meticulous technique and an adequate selection of patients, represents a safe and effective tool for chronic wounds.

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Three species of polynoid polychaetes were collected during an exploratory sampling on the rocky shore of Punta Blanca in Arequipa, Peru. Lepidonotus aff. crosslandi peruana Hartmann-Schrder, 1962 differed from the nominal species by the presence of jaws without denticles and bidentate neurochaetae in the third parapodium while Harmothoe aff. hirsuta Johnson, 1897, differed by a disparate distribution of elytral ornamentations. Halosydna parva Kinberg, 1856 is newly recorded for the locality. Comparative tables between Lepidonotus, Halosydna and Harmothoe species recorded for Peru and the Pacific Coast of South America are provided.

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La salud mental en respuesta a la pandemia de COVID-19 es un tema importante. En este artículo se hace una comparación en la población peruana dando a conocer diversos estudios, agregando los factores asociados a su desarrollo.Mental health as a response to the COVID-19 pandemic is an important subject. This article makes a comparison with the Peruvian population, releasing many studies, adding the factors associated with its development.

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Eutrophication is a globally significant challenge facing aquatic ecosystems, mostly associated with human induced enrichment of these ecosystems with nitrogen and phosphorus. Given the complexity of assigning eutrophication issues to local primary N sources in field-based studies, this paper proposes a multi-stable isotope and biological framework to track nitrogen biogeochemical transformations, inputs and fate of nitrate in groundwater-dependent shallow lakes. Three representative freshwater ecosystems from the Pampa Plain (Argentina), with different land uses and topographic features were selected. Groundwater (N = 24), lake (N = 29) and stream (N = 20) samples were collected for isotope (δ15N-NO3- and δ18O-NO3-, δ18O-H2O) and hydrogeochemical (major ions and nutrients) determinations, and in the case of surface water, also for biological determinations (chlorophyll-a, fecal coliforms and nitrifying bacteria abundance). Both chemical and isotopic characteristics clearly indicated that denitrification was limited in lakes and streams, while evidence of assimilation in shallow lakes was confirmed. The results suggested that groundwater denitrification plays a role in the nitrate concentration pattern observed in the Pampeano Aquifer. The proportional contribution of nitrate sources to the inflow streams for all years were estimated by using Bayesian isotope mixing models, being ammonium nitrified in the system from soil and fertilizers ~50 - 75 %, sewage/manure ~20 - 40 % and atmospheric deposition ~5 - 15 %. In this sense, agricultural practices seem to have a relevant role in the eutrophication and water quality deterioration for these watersheds. However, limnological, bacterial and algal variables, assessed simultaneously with isotopic tracers, indicated spatio-temporal differences within and between these aquatic ecosystems. In the case of Nahuel Rucá Lake, animal manure was a significant source of nitrogen pollution, in contrast to La Brava Lake. In Los Padres Lake, agricultural practices were considered the main sources of nitrate input to the ecosystem.

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Pulque is a traditional Mexican alcoholic beverage produced from the fermentation of the fresh sap known as aguamiel (mead) extracted from several species of Agave (maguey) plants that grow in the Central Mexico plateau. Currently, pulque is produced, sold and consumed in popular districts of Mexico City and rural areas. The fermented product is a milky white, viscous, and slightly acidic liquid beverage with an alcohol content between 4 and 7° GL and history of consumption that dates back to pre-Hispanic times. In this contribution, we review the traditional pulque production process, including the microbiota involved in the biochemical changes that take place during aguamiel fermentation. We discuss the historical relevance and the benefits of pulque consumption, its chemical and nutritional properties, including the health benefits associated with diverse lactic acid bacteria with probiotic potential isolated from the beverage. Finally, we describe the actual status of pulque production as well as the social, scientific and technological challenges faced to preserve and improve the production of this ancestral beverage and Mexican cultural heritage.

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The aim of the present research was to compare bone neoformation in bone defects treated with platelet-rich fibrin (PRF) and collagen membrane (CM) at 3 and 5 weeks. For this purpose, two bone defects with a width of 4 mm and depth of 6 mm were created in the left distal femur diaphysis of New Zealand rabbits (n=12). The subjects were randomly allocated into two groups. One of the defects was covered with a platelet-rich fibrin membrane (Centrifuged resorbable autologous blood biopolymer without biochemical modification) or a collagen membrane (gold standard - Neo Mem). The second defect was left uncovered (NC). The rabbits were sacrificed after 3 and 5 weeks (3 rabbits per period). The femur was completely removed and processed histomophometrically. The bone neformation analysis was performed using a differential point-counting method. Data was statistically analyzed (ANOVA, Tukey). The histomorphometric results showed that bone neformation in the defects treated with PRF at 3 weeks was equivalent to the CM (p<0.05). After 5 weeks, bone neformation obtained with PRF was higher than the control group and lower compared with the CM (p<0.05). The conclusion of the present study is that bone neformation in defects treated with PRF showed lower histomorphometric results compared with the one obtained with the collagen membrane and higher when compared with the control defects...

El objetivo de la investigación fue comparar la neoformación ósea de defectos óseos tratados con membrana de fibrina rica en plaquetas (PRF) y membrana de colágeno (CM), a las 3 y 5 semanas para lo cual se crearon dos defectos óseos de 4 mm de diámetro y 6 mm de profundidad en la diáfisis femoral distal izquierda de conejos Nueva Zelanda (n=12). Los animales fueron divididos aleatoriamente en 2 grupos. Uno de los defectos fue cubierto con membrana de fibrina rica en plaquetas (Biopolímero Reabsorbible Autólogo de sangre Centrifugada sin modificación bioquímica) o membrana de colágeno (Gold estándar-Neo Mem,) mientras que el segundo defecto se dejó sin cubrir (NC). Los conejos fueron sacrificados después de 3 y 5 semanas (3 conejos/periodo), se les extrae el fémur por desarticulación, se procesa y evalúa histomorfométricamente. El análisis de la neoformación ósea histológica fue realizado mediante el conteo diferencial de puntos. Los datos fueron analizados estadísticamente (ANOVA, Tukey). Los resultados histomorfométricos mostraron que la neoformación ósea de los defectos tratados con PRF a las 3 semanas fue equivalente a la neoformación obtenida en el grupo control y menor comparado con la neoformación del CM (p<0,05). A las 5 semanas la neoformación ósea obtenida con PRF fue mayor a la neoformación del grupo control y menor a la CM (p<0,05). Concluyendo que la neoformación ósea obtenida en los defectos tratados con PRF mostraron resultados histomorfométricos menores a la neoformación obtenida con colágeno y mayores en comparación a la neoformación de los defectos controles...

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OBJECTIVE: To evaluate and compare the costs and effectiveness of two alternative stent, drug eluting stent (SF) and bare metal stent (SNF). MATERIAL AND METHODS: Cost-utility analysis based on a Markov model using data from a cohort study of Hospital Las Higueras of Talcahuano, Chile. The effectiveness measure was the rate of restenosis and the time of restenosis. The effectiveness outcomes are expressed in quality-adjusted life years (QALY) gained. Costs are expressed in national currency 2011. The evaluation perspective was from the public heath budget. We model a cohort from age 63 to 80 years, life expectancy in Chile. Apply discount rate of 0, 3% and 6% for results and costs. Sensitivity analysis is performed according to the ranges of variability in costs, the utility values of the variables and transition between states. RESULTS: No differences in restenosis rates between the two stents, although there were differences in the time of restenosis. The incremental cost effectiveness ratio (ICER) no discount rate was CH$ 235.749 per QALY gained when using drug-eluting stent, the value below the equivalent of 1 Gross Domestic Product (PIB) per capita for 2011 in Chile. CONCLUSIONS: The drug-eluting stent (SF) is cost effective compared to bare metal stent (SNF). The ICER is not affected by the sensitivity analysis (variability of cost, utility ranges used, probability of restenosis).