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Introducción. El carcinoma epidermoide cutáneo (CEC) es la segunda neoplasia cutánea más frecuente después del carcinoma basocelular. La incidencia del CEC ha aumentado de forma considerable durante los últimos 20 años y predicen un incremento en la próxima década. La mayoría de los CEC están localizados y se resuelven habitualmente mediante la extirpación quirúrgica u otros procedimientos locales. El uso del músculo temporal es una alternativa quirúrgica para corregir el defecto periorbitario tras la extirpación del CEC. Objetivo. Evaluar el resultado de la cobertura del músculo temporal en la corrección del defecto periorbitario. Material y métodos. Se presenta un caso quirúrgico de un paciente masculino, 62 años, que presenta una gran lesión tumoral que compromete el globo ocular, región orbitaria y periorbitaria izquierda, acompañado de dolor, anemia, astenia y pérdida ponderal de aproximadamente 20 libras. Con una evolución de 6 años. Conclusión. El uso del músculo temporal es una alternativa eficaz en la reconstrucción de lesiones craneofaciales, que ha sido utilizado por más de 100 años.

Introduction. Skin epidermoid carcinoma (SEC) is the second most common skin neoplasm after basal cell carcinoma. The incidence of SEC has increased considerably over the past 20 years and predicts an increase over the next decade. Most SECs are located and usually resolved by surgical removal or other local procedures. The use of the temporal muscle is a surgical alternative to correct the peri-orbital defect after removal of the SEC. Objective. To evaluate the result of temporal muscle coverage in the correction of the peri-orbital defect. Material and methods. There is a surgical case of a male patient, 62 years old who has a large tumor injury that compromises the eyeball, orbital region and left periorbital. Accompanied by pain, anemia, asthenia, and weight loss approximately 20 pounds. With an evolution of 6 years. Conclusion. The use of the temporalis muscle is an effective alternative in the reconstruction of craniofacial lesions that has been used for more than 100 years

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Background: Among the New World vultures, the Andean condor is considered one of the most culturally and ecologically important species. However, their populations are declining over their entire distributional range. In response, conservation strategies have been implemented in many countries to reverse the increasing extinction risk of this species. The initiatives rely on extensive population surveys to gather basic information necessary to implement policies and to intervene efficiently. Still, there is a need to standardize the surveys based on seasonality and suitable environmental conditions throughout the species distribution. Here, we provide the first assessment of how daily temperature, rainfall, and seasonality influence surveys of Andean condors on a communal roost in the central Peruvian Andes. Methods: Using an autoregressive generalized linear model, we associated environmental variables with visual surveys of adult and young condors at three different times of the day and three times a week between June 2014 and March 2015. Results: We found that both adults and young Andean condors showed a threefold reduction in the use of the communal roost after the beginning of the rainy season. Colder and drier days (dry season) are preferable for surveying, as we expect the total number of condors using communal roosts to reduce under rainy (rainfall = -0.53 ± 0.16) and warmer days (temperature = -0.04 ± 0.02) days. Therefore, the significant variation in the use of roosts across seasons and hours should be carefully accounted for in national surveys, at the risk of undermining the full potential of the communal roost surveys. Moreover, we also found a strong bias towards immatures (about 76%) in the adult:immature ratio and a remarkable absence of Andean condors during the wet season. These results suggest that the species might be using other unknown communal roosts hierarchically. Such results provide key information for selecting priority areas for conservation and selecting the best time to survey this species in the tropical Andes. Finally, it may open a fruitful avenue for further research on the protection of the Andean condor.

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White cement-based mortars in urban areas are usually discolored and altered their esthetic properties due to air pollutants. The addition of nanoparticles in these mortars can provide photocatalytic properties that can decompose pollution agents. Likewise, other hydrophobic agents have been individually studied to improve outdoor building constructions. Therefore, this study presented the photocatalytic and hydrophobic effect of adding nano-TiO2and silicone hydrophobic powder (DOWSILTM) in a white cement matrix. The nano-TiO2 were characterized by X-Ray Diffraction (XRD); afterwards, the mortar was mixed with additions of nano-TiO2 (0.0, 0.5, 1.0, 3.0%) and DOWSILTM (0.0, 0.5%). The mortar's photocatalytic performance was evaluated using a modification of the standard Italian test Ente Nazionale Italiano di Unificazione 11259:2016 based on Rhodamine B (RhB) degradation on the sample exposed to UV irradiation. Therefore, mortar samples were subjected to UV irradiation to degrade the organic dye rhodamine B, monitoring their color variation using a C I E L* a* b* spectrophotometer. Moreover, the water permeability and the contact angle were evaluated. This research demonstrates that the white cement-based mortar samples added with nano-TiO2/DOWSILTM possess photocatalytic activity. The samples with the addition of 1.0%/0.5% and 3.0%/0.5% nano-TiO2/DOWSILTM showed a higher RhB degradation for R4 and R26. Therefore, these two materials can be employed in these proportions to improve the quality of the white cement-based mortars in urban constructions.

Los morteros a base de cemento blanco generalmente se decoloran y alteran sus propiedades estéticas debido a los contaminantes del aire en las áreas urbanas. Nanopartículas añadidas a estos morteros pueden proporcionar propiedades fotocatalíticas que descomponen estos contaminantes. Asimismo, otros agentes hidrofóbicos se han estu-diado individualmente para mejorar las construcciones a la intemperie. Por lo tanto, se presenta el efecto fotocatalítico e hidrofóbico al incorporar nano-TiO2 y silicona hidrofóbica de polisiloxano (DOWSILTM) en una matriz de cemento blanco. El nano-TiO2 se caracterizó por medio de Difracción de Rayos X (DRX); luego, el mortero se mezcló con adiciones de nano-TiO2 (0.0, 0.5, 1.0, 3.0%) y DOWSILTM (0.0, 0.5%). Los morteros se sometieron a irradiación UV, para degradar el colorante orgánico rodamina B, monitoreando su variación de color usando un espectrofotómetro C I E L* a* b*. La eficiencia fotocatalítica del mortero se evaluó utilizando una modificación de la norma italiana Ente Nazionale Italiano di Unificazione 11259:2016 basada en la degradación de la rodamina B (RhB) en el mortero expuesto a la radiación UV. Además, se evaluó la permeabilidad al agua y el ángulo de contacto. Esta investigación demostró que el mortero de cemento con nano-TiO2/ DOWSILTM posee actividad fotocatalítica. Las muestras con 1.0%/0.5% y 3.0%/0.5% nano-TiO2/DOWSILTM mostraron una mayor eficiencia de degradación de RhB para R4 y R26. Por lo tanto, estos materiales tienen potencial para mejorar la calidad de los morteros en construcciones urbanas.

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Recent studies have indicated that starch from legumes can potentially be used as an alternative to commercial flour with applications in food and biomaterials; however, some modifications may be required first to improve their functionality, as they show relatively lower solubility and functional properties compared to commonly marketed flours (e.g. good water retention capacity). This work used multiple enzymes in flour extracts of pigeon pea (Cajanus cajan), a legume, to optimize the enzyme hydrolysis process of such extracts by the Response Surface Method (RSM), to increase the digestibility and obtain desirable functional attributes at the nutritional level. The pH, temperature, time and enzyme/substrate (E/S) ratio were evaluated, and the degree of hydrolysis (DH) was calculated as well as the reducing sugar content (%RS), used as response variable. According to the experimental design, the best pH, temperature, time and E/S ratio were 6.8, 43 °C, 1.84% m/m and 270 min, respectively. The %RS for the samples under optimal conditions was 3.49 ± 0.02%, and the in vitro digestibility yielded values of 39.2 ± 0.4, 58.6 ± 0.3 and 2.2 ± 0.2 for slowly digestible starch (SDS), rapidly digestible starch (RDS) and resistant starch (RS), respectively. Total digestibility (TD) was 97.8 ± 0.5. The statistical analysis revealed a strong positive relationship for E/S ratio followed by pH: (E/S) ratio, temperature and pH. Enzymatic hydrolysis carried out on pigeon pea showed an increase in TD. Viscosity, water retention capacity (WRC) and solubility were evaluated showing good response for future applications at the industrial level.

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RESUMEN Objetivo: Analizar la susceptibilidad antimicrobiana de Helicobacter pylori a 5 antibióticos de referencia, en pacientes dispépticos del Servicio de Gastroenterología del Hospital Cayetano Heredia y la Clínica Cayetano Heredia en Lima, Perú. Materiales y métodos: Se colectaron biopsias gástricas de 500 pacientes diagnosticados con dispepsia. A partir de estas biopsias, se aislaron y cultivaron 273 cepas de H. pylori para confirmar la infección mediante el diagnóstico histológico y por cultivo. Finalmente, se analizó la susceptibilidad antimicrobiana mediante el método de microdilución en caldo y se evaluaron los perfiles de resistencia de cada antimicrobiano y los patrones de multirresistencia. Resultados: El diagnóstico de H. pylori por cultivo, comparado con la prueba histológica, reportó una sensibilidad del 83,8%, una especificidad del 89,9% y un área bajo la curva de 0,87 (IC95%: 0,84 a 0,90). La frecuencia de la infección en los servicios de gastroenterología del Hospital y la Clínica Cayetano Heredia fueron del 56,6% (237/419) y 44,4% (36/81), respectivamente. Según el Hospital/Clínica, se determinó la resistencia para amoxicilina (45,1%/29,6%), levofloxacino (71,8%/74,1%) y metronidazol (69,8%/63,0%). Los patrones de resistencia a múltiples antimicrobianos demostraron que las resistencias (dobles y triples) más frecuentes fueron con levofloxacino, metronidazol y amoxicilina. Conclusiones: La resistencia antimicrobiana de H. pylori ha aumentado con respecto a los años previos. Además, la resistencia múltiple de H. pylori presenta altas frecuencias en pacientes infectados. El método de microdilución en caldo podría ser implementado en los diferentes hospitales del Perú como una herramienta de vigilancia de la resistencia de H. pylori a los antimicrobianos.

ABSTRACT Objective: To analyze the antimicrobial susceptibility of Helicobacter pylori to 5 reference antibiotics, in a population of 500 dyspeptic patients from the Gastroenterology Service of the Cayetano Heredia Hospital (n = 419) and the Cayetano Heredia Clinic (n = 81) in Lima, Peru. Materials and methods: Gastric biopsies were collected from 500 patients diagnosed with dyspepsia. From these biopsies, 273 H. pylori strains were isolated and cultured to confirm H. pylori infection by histological and culture diagnosis. Finally, antimicrobial susceptibility was analyzed using the broth microdilution method, and the resistance profiles of each antimicrobial and multi-resistance patterns were evaluated by statistical analysis. Results: The diagnosis of H. pylori infection by culture, compared to histological testing, reported a sensitivity of 83.8%, a specificity of 89.9% and an area under the curve (AUC) of 0.87 (95% CI: 0.84 to 0.90). The frequency of infection in the gastroenterology services of the Cayetano Heredia Hospital and Clinic was 56.6% (237/419) and 44.4% (36/81), respectively. An increase in antimicrobial resistance to Amoxicillin (45.1% / 29.6%), Levofloxacin (71.8%/ 74.1%) and Metronidazole (69.8% / 63.0%) was found in the Hospital and the Clinic, respectively. Multiple resistance patterns showed that the most frequent resistance (double and triple) was to Levofloxacin, Metronidazole and Amoxicillin. Conclusions: The antimicrobial resistance of H. pylori has increased compared to that reported in previous years. Furthermore, H. pylori multiple resistance presents high frequencies in infected patients. The broth microdilution method could be implemented in different hospitals in Peru as a surveillance tool for H. pylori antimicrobial resistance.

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NOD1 is an intracellular receptor that, when activated, induces gene expression of pro-inflammatory factors promoting macrophages and neutrophils recruitment at the infection site. However, iE-DAP, the dipeptide agonist that promotes this receptor's activation, cannot permeate cell membranes. To develop a nanocarrier capable of achieving a high and prolonged activation over time, iE-DAP was encapsulated in nanoparticles (NPs) made of poly (3-hydroxybutyrate-co-3-hydroxyvalerate) (PHBV). The physicochemical properties, colloidal stability, encapsulation efficiency, and cellular uptake of iE-DAP-loaded PHVB NPs were analyzed. Results evidenced that physicochemical properties of iE-DAP-loaded NPs remained stable over time, and NPs were efficiently internalized into cells, a process that depends on time and concentration. Moreover, our results showed that NPs elicited a controlled cargo release in vitro, and the encapsulated agonist response was higher than its free form, suggesting the possibility of activating intracellular receptors triggering an immune response through the release of NOD1 agonist.

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In this contribution, we explore the potential of atomic layer deposition (ALD) techniques for developing new semiconductor metal oxide composites. Specifically, we investigate the functionalization of multi-wall trititanate nanotubes, H2Ti3O7 NTs (sample T1) with zinc oxide employing two different ALD approaches: vapor phase metalation (VPM) using diethylzinc (Zn(C2H5)2, DEZ) as a unique ALD precursor, and multiple pulsed vapor phase infiltration (MPI) using DEZ and water as precursors. We obtained two different types of tubular H2Ti3O7 species containing ZnO in their structures. Multi-wall trititanate nanotubes with ZnO intercalated inside the tube wall sheets were the main products from the VPM infiltration (sample T2). On the other hand, MPI (sample T3) principally leads to single-wall nanotubes with a ZnO hierarchical bi-modal functionalization, thin film coating, and surface decorated with ZnO particles. The products were mainly characterized by electron microscopy, energy dispersive X-ray, powder X-ray diffraction, Fourier transform infrared spectroscopy, and X-ray photoelectron spectroscopy. An initial evaluation of the optical characteristics of the products demonstrated that they behaved as semiconductors. The IR study revealed the role of water, endogenous and/or exogenous, in determining the structure and properties of the products. The results confirm that ALD is a versatile tool, promising for developing tailor-made semiconductor materials.

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RESUMEN A raíz de la pandemia generada por el SARS-CoV-2, los sistemas de salud de los distintos países han experimentado un dramático aumento en la ocupación de las unidades de cuidado intensivo y, por ende, una alta demanda de ventiladores mecánicos. En este artículo se propone un protocolo de pruebas de ventiladores mecánicos de bajo costo en modelos porcinos, como parte del desarrollo de equipos biomédicos que pueden apoyar la crisis sanitaria suscitada por la pandemia. El protocolo aborda aspectos que incluyen la fase previa a la prueba, el manejo anestésico, de vía aérea, seguimiento de laboratorio, recuperación y seguimiento del animal. Como resultado, se presenta a la comunidad académica un protocolo de validación de prototipo de ventilador mecánico en espécimen porcino como un referente para su aplicación y revalidación por parte de grupos interesados en el desarrollo de tecnologías locales de bajo costo.

ABSTRACT As a result of the SARS-CoV-2 pandemic, health systems globally have seen a dramatic increase in the occupancy of intensive care units, with mechanical ventilators being a resource in high demand in the care of these patients. This article proposes a protocol for testing low-cost mechanical ventilators in pig models, as part of the development of locally manufactured biomedical equipment that can support the health crisis caused by the pandemic. The protocol addresses aspects that include the pre-test phase, anesthetic and airway management, laboratory monitoring, recovery and monitoring of the animal. This document presents to the academic community a validation protocol of a mechanical ventilator prototype in a pig specimen that can be a reference for its application and revalidation by other groups interested in the development of local and low-cost technologies.

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Introducción La displasia epifisiaria múltiple (DEM) es una enfermedad poco frecuente y con gran variedad clínica y se caracteriza por deformidades en las articulaciones, dolor, y trastornos de la marcha. La duplicación patelar se asocia con DEM recesiva y consiste en dos segmentos patelares escalonados separados por tejido blando entre ellos. Caso clínico Paciente masculino de 30 años con cuadro clínico de DEM recesiva con duplicación patelar, presenta dolor crónico bilateral de cadera y rodilla, y trastorno de la marcha. Tras el examen físico, se evidenció derrame articular, dificultad para la flexión de las rodillas y un cuerpo libre intra-articular bilateral. Se identificaron dos segmentos patelares, displasia acetabular y de cabeza femoral bilateral con imágenes diagnósticas. El manejo quirúrgico de la duplicación patelar fue resección de los segmentos óseos accesorios, conduciendo a un resultado clínico satisfactorio al año de seguimiento. Discusión Aunque no se realiza el diagnóstico genético de la DEM, nuestro paciente presenta las características fenotípicas y radiológicas de esta entidad. Para la duplicación patelar, se realizó la resección de las patelas accesorias, considerando el alto riesgo de no unión. Sin embargo, existen varios reportes donde unieron los dos segmentos patelares, pero principalmente en niños. Este es el primer reporte publicado sobre el manejo quirúrgico de esta patología en Colombia. La duplicación patelar puede manejarse con éxito mediante la resección de la patela accesoria en adultos. Aunque los hallazgos imagenológicos son muy sugestivos de esta patología, se requiere un adecuado examen físico para evitar un diagnóstico equivoco y tardío.

Background Multiple epiphyseal dysplasia (MED) is a rare disease with a great clinical variation, and is characterised by deformities in the joints, pain, and gait disorders. Duplication of the patella is associated with recessive MED, and consists of two staggered patellar segments separated by soft tissue between them. Clinical case A 30-years-old male patient with a clinical manifestation of recessive MED with duplication of the patella, chronic bilateral hip and knee pain, as well as gait disorder. After the physical examination, joint effusion, difficulty in flexing the knees, and a bilateral intra-articular free body were evident. Two patellar segments, acetabular dysplasia and bilateral femoral head, were identified with diagnostic imaging. The surgical management of duplication of the patella was resection of the accessory bone segments, leading to a satisfactory clinical result at one year of follow-up. Discussion Although the genetic diagnosis of the MED was not made, our patient presented with the phenotypic and radiological characteristics of this disease. For duplication of the patella, the accessory patella resection was performed, considering the high risk of non-union. However, there are several reports where the two patellar segments are joined; but mainly in children. This is the first report published about the surgical management of this pathology in Colombia. Duplication of the patella can be managed successfully by resecting accessory patella in adults. Although the imaging findings are very suggestive of this pathology, an adequate physical examination is required to avoid a false and late diagnosis.

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RESUMEN La nefritis tubulointersticial aguda hace referencia a un tipo de daño renal que afecta principalmente el intersticio y ocasiona la lesión renal aguda, potencialmente reversible. Su curso puede ser subclínico, con deterioro progresivo hasta evolucionar hacia la insuficiencia renal crónica. La nefritis tubulointersticial aguda tiene múltiples etiologías, las más frecuentes son los medicamentos, productos herbales, las infecciones y las enfermedades autoinmunes. Las principales manifestaciones clínicas son la poliuria, polaquiuria, nocturia, dolor lumbar, microhematuria y leucocituria, aunque puede ser totalmente asintomática. El tratamiento depende de la causa de base y los esteroides juegan un papel importante cuando la condición es de origen medicamentoso o autoinmune. El pronóstico generalmente es bueno, si el problema se identifica de forma oportuna y se trata adecuadamente.

SUMMARY Acute tubulointerstitial nephritis is a kidney lesion that mainly affects the interstitium and can lead to a reversible acute kidney injury. It can progress subclinically, with progressive development towards chronic renal failure. Acute tubulointerstitial nephritis has several causes, being the most common medications, herbal products, infections and autoimmune diseases. The main clinical manifestations are polyuria, polaquiuria, nycturia, lumbar pain, microhematuria, leukocyturia, although the patients also can be completely asymptomatic. Treatment is determined by the underlying cause. Steroids play an important role when tubulointerstitial nephritis is caused by medication or autoimmune diseases. The prognosis is usually good if the problem is detected early and treated properly.

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Thyrotoxicosis and diabetic ketoacidosis (DKA) both may present as endocrine emergencies and may have devastating consequences if not diagnosed and managed promptly and effectively. The combination of diabetes mellitus (DM) with thyrotoxicosis is well known, and one condition usually precedes the other. Furthermore, thyrotoxicosis is complicated by some degree of cardiomyopathy in at least 5% de patients; but the coexistence of DKA, thyroxin (T4) toxicosis, and acute cardiomyopathy is extremely rare. We describe a case of a man, previously diagnosed with DM but with no past history of thyroid disease, who presented with shock and severe DKA that did not improve despite optimal therapy. The patient evolved with acute pulmonary edema, elevated troponin levels, severe left ventricular systolic dysfunction, and clinical and laboratory evidence of thyroxin (T4) toxicosis and thyrotoxic cardiomyopathy. Subsequently, the patient evolved favorably with general support and appropriate therapy for DKA and thyrotoxicosis (hydrocortisone, methimazole, Lugol's solution) and was discharged a few days later.

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Se aborda la prestación del servicio desde un enfoque basado en la calidad, con la finalidad de conocer el grado de satisfacción de usuarios en programas recreativos, deportivos y de formación continua en un centro de extensión universitario. En perspectiva cuantitativa, empleó un estudio no experimental descriptivo, de corte transversal, que diseñó, validó y aplicó un cuestionario identificando la dimensión profesor como la de mayor valoración, y la de costo del servicio, sin ser negativa, como la más baja. En prospectiva, genera rutas para la calidad del servicio como tendencia y preocupación actual en organizaciones e instituciones de educación superior. Permite continuar indagaciones desde la mejora continua, el cambio y la planificación estratégica desde dimensiones como: curso, profesor, instalaciones, inscripciones y matrículas, comunicación y costo. Brinda a directivos la posibilidad de reconocer sus habilidades en la toma de decisiones basada en evidencias científicas.

The provision of the service is approached from a quality-based approach, in order to know the degree of satisfaction of users in recreational, sports and continuing education programs in a university extension center. In quantitative perspective, it used a non-experimental, descriptive, cross-sectional study that designed, validated and applied a questionnaire identifying the teacher dimension as the highest value and the cost of service, without being negative, the lowest. In prospective, it generates routes for quality of service as a trend and current concern in higher education organizations and institutions. It allows to continue inquiries from continuous improvement, change and strategic planning from dimensions such as: course, teacher, facilities, registration, communication and cost. Provides managers with the possibility of recognizing their decision-making skills based on scientific evidence.

A prestação do serviço é abordada a partir de uma abordagem de qualidade, a fim de conhecer o grau de satisfação dos usuários em programas recreativos, esportivos e de educação continuada em um centro de extensão universitária. No ponto de vista quantitativo, é usado um descritivo, em corte transversal, que concebida, validado e aplicado um questionário identificando a dimensão professor quanto maior valorização e custo do serviço, sem ser negativo, o menor não experimental. Em perspectiva, gera rotas de qualidade de serviço como tendência e atual preocupação em organizações e instituições de ensino superior. Permite continuar as investigações de melhoria contínua, mudança e planejamento estratégico a partir de dimensões como: curso, professor, instalações, inscrição, comunicação e custo. Fornece aos gerentes a possibilidade de reconhecer suas habilidades de tomada de decisão com base em evidências científicas.

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Background:Neisseria gonorrhoeae (Ngo) is the etiological agent of gonorrhea, a sexually transmitted infection that initially infects the female lower genital tract. In untreated women, the bacteria can ascend to the upper genital reproductive tract and infect the fallopian tube (FTs), which is associated with salpingitis and can lead to impaired FT function and infertility. The extracellular matrix (ECM) plays an important role in cell migration and differentiation in the female genital tract, and some pathogens modify the ECM to establish successful infections. The ECM is regulated by matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs), their endogenous inhibitors; MMP deregulation causes pathological conditions in a variety of tissues. Results: The aim of this work was to analyze the expression and localization of MMP-3, MMP-8, MMP-9, and TIMP-1 in FT explants during Ngo infection using real-time PCR, immunohistochemistry, zymography and ELISA. No significant variations in MMP-3, MMP-9, and TIMP-1 transcript levels were observed. In contrast, a significant increase (p < 0.05) was observed for MMP-8 expression and was accompanied by stromal immunoreactivity in infected explants. ELISA results supported these findings and showed that MMP-8 release increased upon gonococcal infection. Conclusions: Our results indicate that gonococcal infection induces increased MMP-8 expression, which might contribute to FT damage during infection.

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Advances in the generation of suitable thermosensitive hydrogels for the delivery of cells in neural tissue engineering demonstrate a delicate relationship between physical properties and capabilities to promote cell proliferation and differentiation. To improve the properties of these materials, it is possible to add liposomes for the controlled release of bioactive elements, which in turn can affect the physical and biological properties of the hydrogels. In the present investigation, different hydrogels based on Pluronic F127 have been formulated with the incorporation of chitosan and two types of liposomes of two different sizes. The rheological and thermal properties and their relation with the neurite proliferation and growth of the PC12 cell line were evaluated. Our results show that the incorporation of liposomes modifies the properties of the hydrogels dependent on the concentration of chitosan and the lipid type in the liposomes, which directly affect the capabilities of the hydrogels to promote the viability and differentiation of PC12 cells.

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BACKGROUND: Nanotechnology is a science that involves imaging, measurement, modeling and a manipulation of matter at the nanometric scale. One application of this technology is drug delivery systems based on nanoparticles obtained from natural or synthetic sources. An example of these systems is synthetized from poly(3-hydroxybutyrate-co-3-hydroxyvalerate), which is a biodegradable, biocompatible and a low production cost polymer. The aim of this work was to investigate the uptake mechanism of PHBV nanoparticles in two different epithelial cell lines (HeLa and SKOV-3). RESULTS: As a first step, we characterized size, shape and surface charge of nanoparticles using dynamic light scattering and transmission electron microscopy. Intracellular incorporation was evaluated through flow cytometry and fluorescence microscopy using intracellular markers. We concluded that cellular uptake mechanism is carried out in a time, concentration and energy dependent way. Our results showed that nanoparticle uptake displays a cell-specific pattern, since we have observed different colocalization in two different cell lines. In HeLa (Cervical cancer cells) this process may occur via classical endocytosis pathway and some internalization via caveolin-dependent was also observed, whereas in SKOV-3 (Ovarian cancer cells) these patterns were not observed. Rearrangement of actin filaments showed differential nanoparticle internalization patterns for HeLa and SKOV-3. Additionally, final fate of nanoparticles was also determined, showing that in both cell lines, nanoparticles ended up in lysosomes but at different times, where they are finally degraded, thereby releasing their contents. CONCLUSIONS: Our results, provide novel insight about PHBV nanoparticles internalization suggesting that for develop a proper drug delivery system is critical understand the uptake mechanism.

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Objetivo: Reportar el desenlace luego de 12 meses de seguimiento, en pacientes en los que se realizó una queratoplastia lamelar anterior profunda (DALK) asistida con láser de femtosegundo. Metodología: Se realizó un estudio descriptivo, retrospectivo, mediante revisión de historias clínicas de pacientes sometidos a DALK asistida con láser de femtosegundo (Wavelight FS-200 ® Alcon. Forth Worth, Texas), utilizando la configuración de zig-zag. Las indicaciones de DALK incluyeron queratocono, ectasia post LASIK y leucoma como secuela de queratitis infecciosa. Las variables estudiadas fueron agudeza visual mejor corregida, cilindro queratométrico, refracción final y complicaciones intra y post operatoria. Resultados: En total se incluyeron 10 ojos de 10 pacientes, en todos los ojos se llevó a cabo con éxito femto-DALK y no hubo ninguna complicación intra operatoria. En el postoperatorio se presentó un caso de rechazo estromal, un caso de hipertensión ocular secundario a esteroides y un caso de retraso en la cicatrización. El seguimiento promedio fue de 13, 1 meses (R= 12 ­ 15 meses). La Agudeza Visual Mejor Corregida (AVMC) preoperatoria promedio fue LogMAR 0,96 (R= 0,54 ­ 1,60). La AVMC postoperatoria promedio a los 12 meses fue 0,10 (R= 0,00 ­ 0,17). El equivalente esférico preoperatorio medio fue -12,6 Dioptrias (D) (R= -5,0 a -15,0D) y el postoperatorio fue -2,57 D (R= -0,50 a -6,25 D). El astigmatismo queratométrico preoperatorio medio de -11.5D (R= -7.0 a -23D) y el postoperatorio -2,4 D (R= -0,75 a -3,75 D). Conclusión: La femto-DALK en confi guración Zig-Zag es un procedimiento confiable, con baja tasa de complicaciones intra y postoperatorias. El resultado refractivo es comparable con la queratoplastia penetrante, y ofrece beneficios sobre factores de estabilidad biomecánica y recuperación del paciente en el primer año postoperatorio.

Objective: The aim was to report the surgical outcomes of twelve months follow-up aft er femtosecond laser assisted Zig-zag configuration combined with Deep Anterior Lamellar Keratoplasty (Femto-DALK). Methods: A descriptive, retrospective study, which evaluated and assisted medical records of patients who had undergone deep anterior lamellar keratoplasty (DALK) femtosecond laser assisted. Ten eyes of ten consecutive patients underwent femtosecond (Wavelight FS-200 ® Alcon. Forth Worth, Texas) laser-assisted zig-zag configuration combined with Anwar´s big-bubble technique DALK, from April 2012 to December 2013. The diagnosis of the patients were keratoconus, corneal ectasia and scarring following infectious keratitis. Variables measured were: Best corrected visual acuity, keratometric corneal cylinder, final refraction and intraand postoperative complications were analyzed. Results: The procedure was performed without any complications in all patients. There was only a single case of stromal graft rejection, a case of corticosteroidinduced ocular hypertension and a case of delayed corneal epithelial healing. Mean follow-up period was 13.1 months (R= 12­15 months). The mean preoperative BCVA was LogMAR 0,96 (R= 0,54 ­ 1,60). Th e mean postoperative BCVA at 12th month was 0,054 (R= 0,00 ­0,09). The mean preoperative spherical equivalent (SE) was -12,6 Diopter (D)(R= -5,0 to -24,0D) and postoperative SE was -2,50 D (R=-0,50 to -6,25 D). The measurements of keratometric corneal cylinder preoperative was -11.5D (R= -7.0 a -23D) and postoperative refractive cylinder was -2,4 D (R=-0,75 to -4,00 D). Conclusion: Laser-assisted zig-zag configuration combined with Anwar´s big-bubble technique DALK is a safe procedure. The rate of intra and postoperative complications is low. The refractive outcomes are comparable to penetrating keratoplasty, but better biomechanical stability of the cornea and a faster visual recovery with femtoDALK procedure.

Assuntos

RESUMO

Millions of children across the world are exposed to multiple sources of indoor and outdoor air pollutants, including high concentrations of fine particulate matter (PM2.5) and ozone (O3). The established link between exposure to PM2.5, brain structural, volumetric and metabolic changes, severe cognitive deficits (1.5-2 SD from average IQ) in APOE 4 heterozygous females with >75 - < 94% BMI percentiles, and the presence of Alzheimer's disease (AD) hallmarks in urban children and young adults necessitates exploration of ways to protect these individuals from the deleterious neural effects of pollution exposure. Emerging research suggests that cocoa interventions may be a viable option for neuroprotection, with evidence suggesting that early cocoa interventions could limit the risk of cognitive and developmental concerns including: endothelial dysfunction, cerebral hypoperfusion, neuroinflammation, and metabolic detrimental brain effects. Currently, however, it is not clear how early we should implement consumption of cocoa to optimize its neuroprotective effects. Moreover, we have yet to identify suitable instruments for evaluating cognitive responses to these interventions in clinically healthy children, teens, and young adults. An approach to guide the selection of cognitive tools should take into account neuropsychological markers of cognitive declines in patients with Alzheimer's neuropathology, the distinct patterns of memory impairment between early and late onset AD, and the key literature associating white matter integrity and poor memory binding performance in cases of asymptomatic familial AD. We highlight potential systemic and neural benefits of cocoa consumption. We also highlight Working Memory Capacity (WMC) and attention control tasks as opened avenues for exploration in the air pollution scenario. Exposures to air pollutants during brain development have serious brain consequences in the short and long term and reliable cognition tools should be at hand to evaluate interventions.

RESUMO

Poly(amidoamine) dendrimers are the most recognized class of dendrimer. Amino-terminated (PAMAM-NH2) and hydroxyl-terminated (PAMAM-OH) dendrimers of generation 4 are widely used, since they are commercially available. Both have different properties, mainly based on their different overall charges at physiological pH. Currently, an important function of dendrimers as carriers of short single-stranded DNA has been applied. These molecules, known as antisense oligonucleotides (asODNs), are able to inhibit the expression of a target mRNA. Whereas PAMAM-NH2 dendrimers have shown to be able to transfect plasmid DNA, PAMAM-OH dendrimers have not shown the same successful results. However, little is known about their interaction with shorter and more flexible molecules such as asODNs. Due to several initiatives, the use of these neutral dendrimers as a scaffold to introduce other functional groups has been proposed. Because of its low cytotoxicity, it is relevant to understand the molecular phenomena involving these types of dendrimers. In this work, we studied the behavior of an antisense oligonucleotide in presence of both types of dendrimers using molecular dynamics simulations, in order to elucidate if they are able to form stable complexes. In this manner, we demonstrated at atomic level that PAMAM-NH2, unlike PAMAM-OH, could form a well-compacted complex with asODN, albeit PAMAM-OH can also establish stable interactions with the oligonucleotide. The biological activity of asODN in complex with PAMAM-NH2 dendrimer was also shown. Finally, we revealed that in contact with PAMAM-OH, asODN remains outside the cells as TIRF microscopy results showed, due to its poor interaction with this dendrimer and cell membranes.

RESUMO

Follicular dynamics were studied in Alpine goats during their natural estrous cycle in Brazil. Seven multiparous Alpine goats were used (2 to 5 years of age; 35-42 kg body weight). The experimental period started one day before ovulation (day zero). Data were taken daily by transrectal ultrasonography (7.5 MHz). Progesterone was determined by radioimmunoassay (RIA). The SAS program (release 6.12) was used for the analysis of variance. Data are presented as the mean ± SD. According to the results, there are three growth waves in each cycle. The first, second and third waves emerged in days 0.5 ± 0.6, 7.5 ± 0.6, and 12 ± 0.6, respectively (ovulation = Day 0). In the three-wave cycles, the dominant follicle of the third wave (5.6 ± 0.5 mm) was significantly higher (p<0.01) than the follicle of the first (4.8 ± 0.5 mm) and second waves (4.3 ± 0.5 mm). The amount of small follicles was lower (p<0,05) in the first follicular wave (4.20 ± 0.2 follicles) when compared to the second (6.2 ± 0.2 follicles) and third wave (7.5 ± 0.1 follicles). Significant differences (p<0.0001) were found in plasma P4 concentrations during the estrous cycle. The results show that goats during the natural estrous cycle present three waves of follicular growth, and the number of waves per cycle is associated with the luteal phase and the cycle length.

Estudou-se a dinâmica folicular em cabras Alpinas durante o ciclo estral natural no Brasil. Foram utilizadas sete cabras Alpinas multíparas (2-5 anos de idade) com peso corporal entre 35 e 42 kg. O período experimental iniciouse um dia antes da ovulação (dia zero) até a seguinte ovulação. Os dados foram tomados diariamente utilizando ecografia transretal (7,5 MHz). A determinação de progesterona realizou-se por médio de radioimunoensaio (RIE). Para o analise de variância utilizou-se SAS version 6.12.Todos os dados foram apresentados como media ± DP. Os resultados indicaram a presença de três ondas de crescimento em cada ciclo. A primeira, segunda e terceira onda emergiram nos dias 0,5 ± 0,6; 7,5 ± 0,6 e 12 ± 0,6, respectivamente (ovulação= dia 0). Nos ciclos de três ondas, o folículo dominante da terceira onda (5,6 ± 0,5 mm) foi significativamente maior (p<0,01) que o folículo da primeira (4,8 ± 0,5 mm) e segunda onda (4,3 ± 0,5 mm). A quantidade de folículos pequenos foi menor (p<0,05) na primeira onda folicular (4,20 ± 0,2 folículos) quando comparada com a segunda (6,2 ± 0,2 folículos) e terceira onda (7,5 ± 0,1 folículos). Houve diferenças significativas (p<0,0001) nas concentrações plasmáticas de P4 durante os dias do ciclo estral. Os resultados refletiram que as cabras durante o ciclo estral natural apresentaram três ondas de crescimento folicular e a quantidade de ondas em cada ciclo estão associadas com a fase lútea e duração do ciclo estral.Cabras, ecografia, folículos, progesterona, reprodução.

Se estudió la dinámica folicular en cabras Alpinas durante el ciclo estral natural en Brasil. Fueron utilizadas siete cabras Alpinas multíparas (2-5 años de edad) con peso corporal entre 35 a 42 kg. El período experimental se inició un día antes de la ovulación (día cero) hasta la siguiente. Los datos fueron tomados diariamente por medio de ecografía transrectal (7,5 MHz). La determinación de progesterona se realizó por medio de radioinmunoanálisis (RIA). Para el análisis de varianza se utilizó SAS versión 6.12. Todos los datos fueron presentados como promedio ± DS. Los resultados indicaron la presencia de tres ondas de crecimiento en cada ciclo. La primera, segunda y tercera ondas emergieron en los días 0,5 ± 0,6; 7,5 ± 0,6 y 12 ± 0,6, respectivamente (ovulación=día 0). En los ciclos de tres ondas, el folículo dominante de la tercera onda (5,6 ± 0,5 mm) fue significativamente mayor (p<0,01) que el folículo de la primera (4,8 ± 0,5 mm) y segunda onda (4,3 ± 0,5 mm). La cantidad de folículos pequeños fue menor (p<0,05) en la primera onda folicular (4,20 ± 0,2 folículos) cuando comparada con la segunda (6,2 ± 0,2 folículos) y tercera onda (7,5 ± 0,1 folículos). Hubo diferencias significativas (p<0,0001) en las concentraciones plasmáticas de P4 durante los días del ciclo estral. Los resultados mostraron que, las cabras durante el ciclo estral natural presentaron tres ondas de crecimiento folicular y la cantidad de ondas en cada ciclo están asociadas con la fase luteal y duración del ciclo estral.