RESUMO

This study centers on creating a real-time algorithm to estimate brain-to-brain synchronization during social interactions, specifically in collaborative and competitive scenarios. This type of algorithm can provide useful information in the educational context, for instance, during teacher-student or student-student interactions. Positioned within the context of neuroeducation and hyperscanning, this research addresses the need for biomarkers as metrics for feedback, a missing element in current teaching methods. Implementing the bispectrum technique with multiprocessing functions in Python, the algorithm effectively processes electroencephalography signals and estimates brain-to-brain synchronization between pairs of subjects during (competitive and collaborative) activities that imply specific cognitive processes. Noteworthy differences, such as higher bispectrum values in collaborative tasks compared to competitive ones, emerge with reliability, showing a total of 33.75% of significant results validated through a statistical test. While acknowledging progress, this study identifies areas of opportunity, including embedded operations, wider testing, and improved result visualization. Beyond academia, the algorithm's utility extends to classrooms, industries, and any setting involving human interactions. Moreover, the presented algorithm is shared openly, to facilitate implementations by other researchers, and is easily adjustable to other electroencephalography devices. This research not only bridges a technological gap but also contributes insights into the importance of interactions in educational contexts.

Assuntos

RESUMO

Introducción: La identificación de los síntomas o sus combinaciones con un alto valor predictivo para la enfermedad, es una estrategia crucial para el control de las enfermedades transmisibles. Las alteraciones en el olfato y el gusto han surgido como síntomas de alta prevalencia y un confiable predictor temprano de la enfermedad. El objetivo de este estudio fue caracterizar la prevalencia de las alteraciones del gusto y del olfato en pacientes con antecedente de infección por SARS-CoV-2 en la población colombiana. Materiales y métodos: estudio descriptivo de corte transversal. Se realizó una encuesta telefónica y electrónica a pacientes adultos con antecedente de infección por SARS-CoV-2 confirmado por PCR. Resultados: se incluyeron 182 pacientes en el estudio. El 59% manifestó alteraciones del olfato y 54% alteraciones del gusto. De estos, el 77% y 82%, respectivamente, presentaron mejoría de sus síntomas. El 14% de los participantes percibió las alteraciones del olfato antes del inicio de otros síntomas de COVID-19. El 9% reportó que la alteración del olfato fue el único síntoma de la infección. Para el gusto, 8% informó que fue el primer síntoma de COVID-19, mientras que el 6% reportó que fue el único síntoma. Conclusiones: las alteraciones del gusto y del olfato son síntomas de alta prevalencia en pacientes con infección por COVID-19 y en algunos casos pueden ser el síntoma de presentación de la infección o el único síntoma de la infección

Introduction: Identifying symptoms or symptom combinations with a high predictive value for diagnosing a disease is a crucial strategy for controlling transmissible diseases. Smell and taste alterations have been identified as highly prevalent symptoms of COVID-19 and have been used as a reliable early predictor of the disease. The objective in this study was characterizing the prevalence of smell and taste alterations in patients with COVID-19 in the Colombian population. Materials and methods: Cross-sectional, descriptive study. A telephonic and electronic survey was applied to adult patients with SARS-CoV-2 infection confirmed by PCR. Results: 182 patients were included. 59% presented with smell alterations and 54% with taste symptoms. Among these patients, 77% and 82% respectively perceived symptomatic improvement. 14% of patients presented smell alterations before the onset of other COVID-19 symptoms. 9% reported smell alterations to be the only symptom of the disease. 8% of patients perceived taste alterations as a first symptom and 6% reported it to be the only symptom of the disease. Conclusion: Taste and smell alterations are highly prevalent symptoms in Colombian patients with Covid-19 and in some cases they can be the either the first or the only perceived symptoms of the disease.

Assuntos

RESUMO

José Martí sentenció: "Saberse sacrificar es el precio del éxito durable en todo", y con grandes sacrificios y éxitos en su vida laboral se resume la obra del Dr. Francisco Valdés Lazo, un médico excepcional que supo vincular sus responsabilidades administrativas con la docencia y la investigación. Incansable luchador por los avances de la Medicina, gestor de la Escuela Cubana de Pediatría, representa un gran ejemplo para los médicos cubanos y de Latinoamérica. Durante su vida estudiantil colaboró de forma destacada en las actividades que se desarrollaron, siendo fundador de las milicias revolucionarias. Una vez graduado es ubicado en el hospital pediátrico de Santa Clara, además atendía a los milicianos que se encontraban movilizados en la lucha contra bandidos en El Escambray. Al cumplir el servicio social, ya había demostrado sus condiciones de liderazgo, siendo ubicado como subdirector del Hospital Pediátrico "Pedro Borrás"; sus cualidades como revolucionario, inteligencia y entrega total al trabajo, le permitieron ser promovido a diferentes cargos de dirección hasta ser ubicado en el nivel central. Brindó asesoría científica a diferentes países del mundo, entre ellos, Guinea Bissau, Nicaragua, Bolivia, México y Guatemala; impartió numerosos cursos de postgrado nacionales e internacionales y recibió diferentes condecoraciones como médico e investigador. Unido a su humanismo, sus métodos de dirección, su carácter afable y su sentido del humor aun en situaciones difíciles, hacen de este profesional de la Medicina cubana un ejemplo a seguir para todas las generaciones de médicos(AU)

José Martí declared: "Knowing how to sacrifice is the price of lasting success at everything." The work of Dr. Francisco Valdés Lazo can be summed up in great sacrifices and successes during all his working life. He was an exceptional physician who knew how to link his administrative responsibilities to teaching and research. He was a tireless fighter for the advances in Medicine, the founder of the Cuban School of Pediatrics and a great example for Cuban and Latin American doctors. During his student life, he collaborated prominently with different activities, being the founder of the revolutionary militias. As soon as he graduated, he started to work in the pediatric hospital of Santa Clara. He also cared for the militiamen who were mobilized in the fight against bandits in El Escambray. After he finished his social service, he had already demonstrated his leadership condition; therefore, he was designed as deputy director of the Pedro Borrás Pediatric Hospital. His qualities as revolutionary as well as his intelligence and total dedication to work allowed him to be promoted to different management positions until he was positioned at the central level. He provided scientific advice to different countries in the world such as Guinea Bissau, Nicaragua, Bolivia, Mexico, and Guatemala. He taught numerous national and international postgraduate courses and received different awards as physician and researcher. His humanism, management methods, affable character and his sense of humor, even in difficult situations, make this Cuban medical professional an example to be followed for all generations of doctors(AU)

Assuntos

RESUMO

Currently, there is growing interest in the identification and purification of microbial lectins due to their involvement in the pathogenicity mechanisms of pathogens, such as Entamoeba histolytica and free-living amoebae. The Gal/GalNAc lectin from E. histolytica participates in adhesion, cytotoxicity and regulation of immune responses. Furthermore, mannose- and galactose-binding protein have been described in Acanthamoeba castellanii and Balamuthia mandrillaris, respectively and they also contribute to host damage. Finally, in Naegleria fowleri, molecules containing mannose and fucose are implicated in adhesion and cytotoxicity. Considering their relevance in the pathogenesis of the diseases caused by these protozoa, lectins appear to be promising targets in the diagnosis, vaccination and treatment of these infections.

Assuntos

RESUMO

The Naegleria are ubiquitous free-living amoebae and are characterized by the presence of three phases in their biological cycle: trophozoite, cyst and flagellate. Of this genus, only Naegleria fowleri has been reported as pathogenic to humans. The proteasome is a multi-catalytic complex and is considered to be the most important structure responsible for the degradation of intracellular proteins. This structure is related to the maintenance of cellular homeostasis and, in pathogenic microorganisms, to the modulation of their virulence. Until now, the proteasome and its function have not been described for the Naegleria genus. In the current study, using bioinformatic analysis, protein sequences homologous to those reported for the subunits of the 20S proteasome in other organisms were found, and virtual modelling was used to determine their three-dimensional structure. The presence of structural and catalytic subunits of the 20S proteasome was detected by Western and dot blot assays. Its localization was observed by immunofluorescence microscopy to be mainly in the cytoplasm, and a leading role of the chymotrypsin-like catalytic activity was determined using fluorogenic peptidase assays and specific proteasome inhibitors. Finally, the role of the 20S proteasome in the proliferation and differentiation of Naegleria genus trophozoites was demonstrated.

Assuntos

RESUMO

La pandemia causada por el SARS-CoV-2 (COVID-19) (1) ha desatado una crisis de salud pública global sin precedentes en nuestra historia reciente. Teniendo en cuenta que la población pediátrica, si bien no ha sido afectada con la severidad con que ha ocurrido con los adultos, es considerado un grupo de riesgo por su posibilidad de transmitir y propagar el SARS-CoV-2. En el siguiente documento sugerimos pautas tomadas de diferentes paneles de expertos para la realización de consulta externa, así como procedimientos quirúrgicos y no quirúrgicos durante esta pandemia. Es de recalcar que nos enfrentamos a una situación que cambia rápidamente, razón por la cual se harán actualizaciones periódicas de las recomendaciones acá pautadas en publicaciones subsecuentes, según la etapa en la que estemos entrando.

The pandemic caused by the SARS-CoV-2 (COVID-19) has developed a global public health crisis with no precedents in our recent history. The pediatric population has not been affected as much as the adult population although children are considered a risk group given the fact that they could spread the SARS-CoV-2. In the following document recommendations taken from various expert panels are given to otolaryngologist to take in consideration when organizing an outpatient clinic, performing surgical and non surgical procedures during this pandemic. It's important to highlight this is a rapidly evolving situation therefore updates will be done according to the pandemic stage we face.

Assuntos

RESUMO

Over the past 20 years, gastrointestinal infections in developing countries have been a serious health problem and are the second leading cause of morbidity among all age groups. Among pathogenic protozoans that cause diarrheal disease, the parasite Entamoeba histolytica produces amebic colitis as well as the most frequent extra-intestinal lesion, an amebic liver abscess (ALA). Usually, intestinal amebiasis and ALA are treated with synthetic chemical compounds (iodoquinol, paromomycin, diloxanide furoate, and nitroimidazoles). Metronidazole is the most common treatment for amebiasis. Although the efficacy of nitroimidazoles in killing amebas is known, the potential resistance of E. histolytica to this treatment is a concern. In addition, controversial studies have reported that metronidazole could induce mutagenic effects and cerebral toxicity. Therefore, natural and safe alternative drugs against this parasite are needed. Flavonoids are natural polyphenolic compounds. Flavonoids depend on malonyl-CoA and phenylalanine to be synthesized. Several flavonoids have anti-oxidant and anti-microbial properties. Since the 1990s, several works have focused on the identification and purification of different flavonoids with amebicidal effects, such as, -(-)epicatechin, kaempferol, and quercetin. In this review, we investigated the effects of flavonoids that have potential amebicidal activity and that can be used as complementary and/or specific therapeutic strategies against E. histolytica trophozoites. Interestingly, it was found that these natural compounds can induce morphological changes in the amebas, such as chromatin condensation and cytoskeletal protein re-organization, as well as the upregulation and downregulation of fructose-1,6-bisphosphate aldolase, glyceraldehyde-phosphate dehydrogenase, and pyruvate:ferredoxin oxidoreductase (enzymes of the glycolytic pathway). Although the specific molecular targets, bioavailability, route of administration, and doses of some of these natural compounds need to be determined, flavonoids represent a very promising and innocuous strategy that should be considered for use against E. histolytica in the era of microbial drug resistance.

Assuntos

RESUMO

Objetivos: Exponer la experiencia de la Unidad de Otorrinolaringología del Hospital Universitario San Ignacio en el manejo del cáncer glótico en estadios tempranos. Establecer la tasa de recurrencias y la calidad de la voz postratamiento. Diseño: Estudio descriptivo. Pacientes y métodos: Pacientes con cáncer glótico en estadios I y II, manejados con cirugía y/o radioterapia. Revisión de historias clínicas, 2004- 2012. Resultados: 63 pacientes con cáncer de laringe en estadios tempranos, 53 hombres y 10 mujeres, con edad promedio de 66,5 años; 48 recibieron manejo quirúrgico y 60 se trataron con radioterapia. 90% presentaron mejoría en el VHI y solo 10% sufrieron empeoramiento del mismo; la mejoría promedio fue de 19 puntos. En cuatro pacientes hubo recurrencia local y en dos a distancia. Conclusiones: Con el enfoque diagnóstico y terapéutico que realizamos en el Hospital San Ignacio, para el manejo del carcinoma glótico en estadios tempranos, hemos obtenido una adecuada tasa de curación de la enfermedad y mantenido una apropiada calidad de la voz postratamiento...

Objectives: To describe the experience of the ENT unit of the Hospital Universitario San Ignacio, in the management of glottic cancer in early stages with surgery and/ or radiotherapy. Establish the rate of recurrence and speech quality after treatment. Type of study: Descriptive study. Patients and Methods: Patients with glottic cancer at early stages managed with conservative surgery and/or radiotherapy. Medical charts of 2004 to 2012. Results: 63 patients with laryngeal cancer in the early stages (stages I and II), mean age 66.5 years. 48 patients underwent surgical treatment and 60 radiotherapy. Of the 31 patients, 28 showed improvement (90%) of de VHI and only 3 (10%) worsed, with an average improvement of 19 points. 4 patients developed local recurrence and 2 recurred in distance. Conclusions: The therapeutic approach in San Ignacio Hospital of glottic carcinoma stages I-II, obtained adequate cure rate with good voice quality after treatment...

Assuntos

RESUMO

Se presenta una serie clínica de 35 pacientes con teniosis. Los pacientes tenían un rango de edad que fluctuaba entre 4 a 71 años, 32 pacientes eran de zona urbana. En la serie se demostró la presencia de 6 casos con Taenia solium, 24 con Taenia saginata, 4 con Taenia spp, 1 caso con Diphyllobothrium latum. El motivo de consulta en 34 casos fue la eliminación de proglótidas. Entre los antecedentes de riesgo 27 pacientes tenían como antecedentes consumir carne cruda de vacuno y 5 de ellos consumían además carne cruda de cerdos. El tiempo de eliminación de proglótidas varió entre 4 días a 40 años. Los pacientes fueron tratados con niclosamida o praziquantel sin presentar reacciones adversas a los medicamentos

Assuntos

RESUMO

Un paciente de 38 años de edad con antecedentes de haber comido pescado crudo (mariscal) doce horas antes, presentó un severo dolor gástrico y eliminó por vía bucal una larva de nematodo de aproximadamente 20 mm de largo. La endoscopia mostró una leve gastritis, sin evidenciar la presencia de otras larvas o lesiones ulcerosas. El dolor desapareció totalmente a las dos semanas luego de un tratamiento con antihistamínicos y analgésicos

Assuntos