Introduction: International consensus guidelines are commonly used to identify patients at high risk of developing cancer or with cancer. Its applicability, however, is based on investigation through imaging tests, however without histological confirmation. Objective: To compare the performance and results of international guidelines in incidental mucinous neoplasia after diagnosis obtained by endoscopic ultrasound-guided fine needle puncture (EUS-PAF). Methods: Single-center study with prospective collection of data from asymptomatic patients with the disease who underwent EUS-PAF. Appropriate cohort selection included images that were ambiguous regarding this diagnosis or the presence and/or development of other worrisome features as defined by international guidelines. After microhistological analysis of the material obtained, each of the guideline criteria was applied to identify cancer among patients with the disease. Results: 251 patients had the diagnosis confirmed by EUS-PAF or surgical procedure. The majority were asymptomatic. The final diagnosis revealed 27.8% (n=39) with malignant disease or high-risk signs. After applying the AGA-2015, IAP-2017 and DE-2018 criteria, it was observed that those detected incidentally were referred for surgery unnecessarily. These guidelines did not identify malignant and high-risk disease in 59%, 33.3% and 46.1%, respectively. Conclusion: The European DE-2018 proved to be more accurate for use in patients with asymptomatic incidental mucinous neoplasia after the diagnosis obtained by EUS-PAF.

Introdução: Consensos internacionais, são diretrizes comumente usadas para identificar pacientes com alto risco de desenvolver câncer ou com câncer. Sua aplicabilidade, entretanto, baseia-se na investigação por exames de imagem, contudo sem confirmação histológica. Objetivo: Comparar o desempenho e os resultados das diretrizes internacionais em neoplasia mucinosa incidental após diagnóstico obtido pela punção com agulha fina guiada por ultrassom endoscópico (USE-PAF). Métodos: Estudo unicêntrico com coleta prospectiva de dados de pacientes assintomáticos com a doença submetidos a USE-PAF. A seleção apropriada da coorte incluiu imagens ambíguas quanto a esse diagnóstico ou a presença e/ou desenvolvimento de outras características preocupantes, conforme definido pelas diretrizes internacionais. Após análise microhistológica do material obtido, cada um dos critérios das diretrizes foi aplicado para identificar câncer entre os pacientes com a doença. Resultados: 251 pacientes tiveram o diagnóstico confirmado pela USE-PAF ou procedimento cirúrgico. A maioria era assintomática. O diagnóstico final revelou 27,8% (n=39) com doença maligna ou sinais de alto risco.. Após aplicação dos critérios AGA-2015, IAP-2017 e DE-2018, observou-se que os detectados incidentalmente foram encaminhados para cirurgia desnecessariamente. Essas diretrizes não identificaram doença maligna e de alto risco em 59%, 33,3% e 46,1%, respectivamente às diretrizes. Conclusão: A DE-2018 europeia mostrou-se mais precisa para ser utilizada em pacientes com neoplasia mucinosa incidental assintomática após o diagnóstico obtido pela USE-PAF.

Introduction: Pancreatic cystic lesions are common and are not exclusively benign. There are 3 guidelines that help recommend surgery if there is a risk factor, sign of malignancy or follow the patient with imaging tests. Objective: To review and compare the performance of these guidelines in asymptomatic patients with mucinous neoplasms. Method: The literature review was carried out by collecting information published on virtual platforms in Portuguese and English. The material for reading and analysis was selected from the SciELO, Google Scholar, Pubmed and Scopus platforms. Initially, a search was carried out using the keywords “mucinous cystic neoplasm. pancreatic intraductal neoplasms. endoscopic ultrasound. fine needle aspiration” with AND or OR search, considering the title and/or abstract. Afterwards, considering only those that were most related to the topic, the full texts were read. Results: 37 articles were included. Conclusion: The European Guideline-DE-2018 proved to be more accurate for use in patients with asymptomatic mucinous neoplasia after the diagnosis obtained by EUS-PAF.

Introdução: As lesões císticas pancreáticas são comuns e não são exclusivamente benignas. Existem 3 diretrizes que ajudam a indicar cirurgia no caso de haver algum fator de risco, sinal de malignidade ou acompanhar o paciente com exames de imagem. Objetivo: Revisar e comparar o desempenho dessas diretrizes em neoplasias mucinosas identificados de forma incidental. Método: A revisão da literatura foi feita colhendo informações publicadas em plataformas virtuais em português e inglês. O material para leitura e análise foi selecionado das plataformas SciELO, Google Scholar, Pubmed e Scopus. Inicialmente foi realizada busca por descritores “neoplasia cística mucinosa. neoplasias intraductais pancreáticas. ultrassonografia endoscópica. aspiração por agulha fina” com busca AND ou OR, considerando o título e/ou resumo. Após, considerando-se somente os que tinham maior relação ao tema, foi realizada a leitura da íntegra dos textos. Resultados: Foram incluídos 37 artigos. Conclusão: A Diretriz Europeia- DE-2018 mostrou-se mais precisa para ser utilizada em pacientes com neoplasia mucinosa assintomática após o diagnóstico obtido pela USE-PAF.

ABSTRACT Determining what and how much each environmental factor affects pregnancy is crucial to the sustainability and management of beef cow herds. The study evaluated through logistic regression the effect of environmental variables on the increase or reduction in the pregnancy rate of beef cows. The average pregnancy rate in the cows was 73 %, with an average age for the herd of 3.7 years. An increase in age of one year represented a 30 % increase in pregnancy, while a reduction of one year reduced the odds of pregnancy in the cows by 23 %. During the lactation period, an extra seven days’ lactation reduced the odds of pregnancy by 12 %. For every seven days that weaning was brought forward, the cows’ pregnancy odds increased by 14 %. An increase of 0.1 kg in average daily gain represented an increase of 17 % and 15 % in the odds of pregnancy during the first 60 days post-partum and 60 days to the end of the reproductive period. On the other hand, the loss of 0.1 kg in average daily gain resulted in a 14 % and 13 % reduction in the cows’ pregnancy odds, respectively. Factors such as age, the precocity of calving in the calving season, the time the calf remains with the cow and better performance in cows between calving and the end of the mating are strategies that increase the chances of pregnancy in beef cows.

Abstract The planting of new types of table citrus is an interesting alternative for citrus growers in the state of Paraná, as this domestic market continues to grow and needs innovation. Thus, the aim of this study was to evaluate the acceptance and storage of a new hybrid for the region of Londrina / PR, Fremont IAC 543 mandarin (Citrus clementina hort. ex Tan x C. reticulataBlanco). Treatments were: storage of fruits with and without wax coating at room temperature [21 ± 2 °C and relative humidity (RH) = 60 ± 5%] for up to 36 days. Sensory (acceptance test and purchase intention) and physicochemical analyses [weight, juice yield, acidity, soluble solids and soluble solids/titratable acidity (ratio)] were performed before and after storage. Physicochemical data were submitted to analysis of variance and regression, while sensory analysis results were explored through descriptive statistics and principal components analysis using the R statistical software. It could be concluded that Fremont IAC 543 mandarin can be stored with wax coating and at room temperature without losing its quality characteristics for a period of up to 18 days.

Resumo O plantio de novos tipos de citros de mesa é uma alternativa interessante para os citricultores do Estado do Paraná, pois esse mercado interno continua em crescimento e necessita de inovação. Assim, o objetivo deste trabalho foi avaliar a aceitação e o armazenamento de um novo híbrido para a região de Londrina-PR, a tangerina Fremont IAC 543 (Citrus clementina hort. ex Tan x C.reticulata Blanco). Os tratamentos foram: armazenamento dos frutos com e sem revestimento de cera em temperatura ambiente [21 ± 2 °C e umidade relativa (UR) = 60 ± 5%] por até 36 dias. Análises sensoriais (teste de aceitação e intenção de compra) e físico-químicas [peso, rendimento do suco, acidez, sólidos solúveis e sólidos solúveis/acidez titulável (relação)] foram realizadas antes e após o armazenamento. Os dados físico-químicos foram submetidos à análise de variância e de regressão, enquanto os resultadosda análise sensorial foram explorados por meio de estatística descritiva e da análise decomponentes principais utilizando o software estatístico R. Pôde-se concluir que atangerina Fremont IAC 543 pode ser armazenada com revestimento de cera e em temperatura ambiente semperder suas características de qualidade por um período de até 18 dias.

Abstract Potential variables for the reproductive success of beef cows were evaluated. Included in the model were the age of the cow at calving; the interval between the Julian calving date and the end of the breeding season; the body weight and conditions at calving, at 75 days post-partum and at the end of the breeding season; and the mean daily variation in weight between these dates. Logistic regression was used in the analysis, with the parameters evaluated using the odds ratio statistic, estimating the chance of pregnancy. The mean rate of pregnancy was 84% and 55% for early and late-weaned cows, respectively. For early weaned cows, the regression variables were the Julian calving date, age of the cow, weight gain from calving to 75 days post-partum, and from 75 days post-partum to the end of the reproductive period. For late-weaned cows, there were only two regression variables, weight at calving and weight gain from calving to the end of the reproductive period. For every year above the average age of the herd, early weaned cows have an 80.9% greater chance of pregnancy, while a reduction of one year reduces the chance of pregnancy by 44.7%. In early weaned cows, every seven days after the mean Julian calving date reduces the chances of pregnancy by 22.6%, whereas every seven days before the mean calving date increases pregnancy by 29.2%. Greater gains in cow body weight, from calving to the end of the reproductive period, determine a greater probability of pregnancy.

Abstract Introduction: goldenhar syndrome is a rare congenital syndrome that affects the craniofacial morphogenesis. It is a complex syndrome, with heterogeneous presentation which the diagnosis can still be performed in the intrauterine through morphological ultrasound. Description: a case report of a 4-year-old male patient diagnosed with Goldenhar syndrome, along with its clinical presentation, diagnostic investigation and follow-up. Discussion: the follow-up on these patients remains a challenge, since it can affect different systems and with different presentations. The earlier the diagnosis is performed, the greater the patient’s chances of having a favorable prognosis with multidisciplinary stimulation. The objective of this article is to contribute to the medical literature, in order to assist in the diagnosis and management of future cases.

Resumo Introdução: a síndrome de Goldenhar é uma síndrome congênita rara que afeta a morfogênese craniofacial. Trata-se de uma síndrome complexa, de apresentação heterogênea, cujo diagnóstico pode ser realizado ainda intra-útero através do ultrassom morfológico. Descrição: relato de caso de um paciente do sexo masculino de quatro anos, com diagnóstico de síndrome de Goldenhar, sua apresentação clínica, a investigação diagnóstica e seguimento. Discussão: o acompanhamento desses pacientes continua sendo um desafio, já que pode acometer diversos sistemas e com apresentação diversa. O diagnóstico e a estimulação multiprofissional precoce, podem levar a maiores chances de um prognóstico favorável. O objetivo deste trabalho é contribuir para a literatura médica, de forma a auxiliar no diagnóstico e conduta perante futuros casos.

Abstract Kinglet Calyptura Calyptura cristata is one of the great enigmas of the South American avifauna. Endemic to an apparently tiny area of south-eastern Brazil, in the Atlantic Forest biome, the species was not definitely seen between sometime in the second third of the 1800s and 1996, when it was briefly rediscovered in submontane forest north-west of Rio de Janeiro. Since then, C. cristata has been reported several times, but without documentation and always by single observers. It is currently considered Critically Endangered by BirdLife International, and various authors have speculated that the species might already be extinct. Given the extreme paucity of knowledge of this species, we provide a complete inventory of museum material for Kinglet Calyptura - more than 100 specimens are listed, the majority held in European collections, almost doubling previous estimates made in the literature. Several are held in relatively small institutions, thereby suggesting that yet more specimens might still be identified or found. In addition, with the benefit of this large sample of material, we discuss morphological variation in the species and we hypothesise particularly about the appearance of male, female and juvenile plumages.

Abstract The Brazilian Buriti oil presents low extraction costs and relevant antioxidant properties. Thus, this work aimed to analyze Buriti oil biomaterial (BB), within its physicochemical properties, biocompatibility and cellular integration, with the purpose to the use as a growth matrix for Goat Wharton’s jelly mesenchymal stem cells. Biomaterials were produced from Buriti oil polymer (Mauritia flexuosa), for it’s characterization were performed Infrared Region Spectroscopy (FTIR) and Thermogravimetric Analysis (TG and DTG). The biointegration was analyzed by Scanning Electron Microscopy (SEM) and histological techniques. In order to investigate biocompatibility, MTT (3-(4,5-dimetil-2-tiazolil)-2,5-difenil-2H-tetrazólio) test and hemolytic activity tests were performed. The activation capacity of immune system cellswas measured by phagocytic capacity assay and nitric oxide synthesis . The BB presented an amorphous composition, with high thermal stability and high water expansion capacity, a surface with micro and macropores, and good adhesion of Wharton’s jelly mesenchymal stem cells (MSCWJ). We verified the absence of cytotoxicity and hemolytic activity, in addition, BB did not stimulate the activation of macrophages. Proving to be a safe material for direct cultivation and also for manufacturing of compounds used for in vivo applications.

Resumen: La cepa Streptomyces sp. RL8 fue caracterizada en base a su actividad antagónica frente a hongos fitopatógenos, solubilización de fosfatos, producción de sideróforos, y su efecto en la germinación y crecimiento inicial in vitro de frijol Tépari (Phaseolus acutifolius Gray), bajo condiciones controladas. Se aplicó un diseño experimental completamente al azar con un tratamiento bacteriano basado en RL8 (T) y agua destilada como tratamiento Control (C), con cuatro réplicas por tratamiento y 10 semillas por réplica. Las variables de respuesta estudiadas fueron el porcentaje y tasa de germinación (PG y TG), longitud de tallo y de raíz (LT y LR), biomasa fresca y seca de parte aérea (BFPA y BSPA) y biomasa fresca y seca de raíz (BFR y BSR). RL8 mostró actividad antagónica frente a cuatro fitopatógenos de los cinco evaluados, promovió la producción de sideróforos y la solubilización de fosfatos. A escala experimental se observaron diferencias significativas con respecto al grupo control en PG (65.83 vs 30%), TG (4.16 vs 2.25), LT (3.81 vs 1.65 cm) y LR (5.61 vs 2.13 cm), BFPA (2736.75 vs 18.46.75 mg), BSPA (608.75 vs 361.5 mg), BFR (347.0 vs 115.75 mg) y BSR (101.25 vs 58.25 mg). Estos resultados confirman un efecto positivo de RL8 en la germinación y crecimiento inicial de Phaseolus acutifolius Gray, revelando su potencialidad para ser utilizada en su cultivo orgánico o tradicional. Se sugiere su aplicación a escala piloto y su evaluación como alternativa de producción agroecológica en invernadero y en campo.

Summary: The Streptomyces sp. RL8 strain was characterized based on its antagonistic activity against phytopathogenic fungi, solubilization of phosphates, production of siderophores, and its effect on the germination and initial in vitro growth of Tépari beans (Phaseolus acutifolius Gray), under controlled conditions. A completely randomized experimental design was applied with a bacterial treatment based on RL8 (T) and distilled water as Control treatment (C), with four replicates per treatment and 10 seeds per replicate. The response variables studied were the percentage and germination rate (GP and GR), stem and root length (ST and RL), fresh and dry biomass of aerial part (FBAP and DBAP) and fresh and dry biomass of root (FRB and DRB). RL8 showed antagonistic activity against four phytopathogens of the five evaluated, promoted the production of siderophores and the solubilization of phosphates. On an experimental scale, significant differences were observed with respect to the control group in GP (65.83 vs 30%), GR (4.16 vs 2.25), SL (3.81 vs 1.65 cm) and RL (5.61 vs 2.13 cm), FBAP (2736.75 vs 18.46. 75 mg), DBAP (608.75 vs 361.5 mg), FRB (347.0 vs 115.75 mg) and DRB (101.25 vs 58.25 mg). These results confirm a positive effect of RL8 on the germination and initial growth of Phaseolus acutifolius Gray, revealing its potential to be used in its organic or traditional cultivation. Its application on a pilot scale and its evaluation as an alternative for agroecological production in greenhouse and in the field is suggested.

Resumen Introducción: La pandemia COVID-19 demanda permanentes adaptaciones en la gestión según la situación epidemiológica. Objetivo: Analizar el comportamiento epidemiológico de COVID-19 en Cali (Colombia) post levantamiento de obligatoriedad de usar mascarillas en ambientes abiertos y cerrados, entre marzo 1 y julio 11/2022. Materiales y métodos: Estudio observacional descriptivo de casos de COVID-19 e incidencia acumulada (IA) para 7 días, con dos hitos temporales: desistimiento del uso mandatorio de mascarillas en ambientes abiertos y cerrados, usando datos publicados por el Instituto Nacional de Salud. Se evaluó la tendencia temporal con la prueba no paramétrica Mann-Kendall. Resultados: Se demostraron diferencias entre el primer y segundo hito: 922 casos en 75 días versus 12.037 en 59 días; Tau=-0,22 versus 0,57, S=-608 versus 968, Var(S)=47.574,66 versus 233.280,66; pendiente de Sen=-0,10 (IC95%: -0,18 y -0,03) versus 7,39 (IC95%: 5,23 y 8,88). Luego del segundo hito, la IA aumentó con tendencia positiva (S=23, p=0,006). Conclusiones: El aumento significativo de casos de COVID-19 y de IA coincidió con el levantamiento de la medida de usar mascarillas en espacios cerrados. Por tanto, se apoya el regresar al uso de mascarillas en espacios cerrados, reforzar la gestión infodémica, promover la vacunación y acrecentar la ventilación natural.

Abstract Introduction: COVID-19 pandemic requires permanent adaptations in management depending on the epidemiological situation. Objective: To analyze the epidemiological behavior of COVID-19 in Cali (Colombia) after ending the face mask mandate in open and enclosed spaces between March 1 and July 11 of 2022. Materials and methods: An observational descriptive study of COVID-19 cases and cumulative incidence (CI) for 7 days with two temporary milestones: refusal of the obligatory use of face masks in open and enclosed environments, using data published by the National Institute of Health. The temporary tendency was evaluated with the Mann-Kendall non parametric test. Results: Differences were found between the first and second milestone; 922 cases in 75 days vs. 12,037 in 59 days; Tau=-0.22 vs. 0.57, S=-608 vs. 968, Var(S)=47,574.66 versus 233,280.66; Sen slope=-0.10 (IC95%: -0.18 and -0.03) versus 7.39 (IC95%: 5.23 and 8.88). After the second milestone, the CI increased with a positive tendency (S=23, p=0.006). Conclusions: The significant increases of COVID-19 cases and the CI coincided with the ending of the face mask mandate in enclosed spaces. Therefore, it is advisable to return to the use of face masks in enclosed spaces, strengthen infodemic management, promote vaccination, and improve natural ventilation.

Abstract Salicornia bigelovii (Torr.) is a plant with promising agro-industrial potential and homeopathy is a natural alternative that does not affect the safety of the treated organism. The objective of the study was to evaluate the effect of the homeopathic medicine Natrum muriaticum (NaM) on productive response variables of S. bigelovii with different levels of salinity (NS) in hydroponic culture, applying a completely randomized experimental design, with factorial arrangement (3A x 3B) and three repetitions of 15 plants each. Two salinity levels (NS-50 and NS-100) and a control without salinity (NS-0) were applied as factor A, and two centesimal dynamizations of NaM (NaM-7CH and NaM-31CH) and a control without medicine (NaM-0CH) as factor B. The response variables evaluated were aerial part length (APL), root part length (RPL), stem thickness (ST), leaf area (LA), water potential (WP), relative water content (RWC), chlorophyll ‘a’, chlorophyll ‘b’ and total chlorophyll. With the homeopathic treatment NaM-7CH, higher values were recorded in RPL and with NaM-31CH, higher average values in chlorophyll ‘a’, chlorophyll ‘b’ and total chlorophyll. With the saline treatment NS-50, higher values were obtained for APL, RPL, ST, LA, RWC, chlorophylls ‘a’, ‘b’ and total. The highest average values in plant morphology corresponded to the interactions NS-50/NaM-7CH and NS-50/NaM-31CH. This suggests a positive effect of NaM on relevant productive response variables of S. bigelovii and its potential applicability in the hydroponic culture of this coastal halophyte.

Resumen Salicornia bigelovii (Torr.) es una planta con un promisorio potencial agroindustrial y la homeopatía es una alternativa natural que no afecta la inocuidad del organismo tratado. El objetivo del estudio fue evaluar el efecto del medicamento homeopático Natrum muriaticum (NaM) sobre variables de respuesta productiva de S. bigelovii con diferentes niveles de salinidad (NS) en cultivo hidropónico, aplicando un diseño experimental completamente al azar, con arreglo factorial (3A x 3B) y tres repeticiones de 15 plantas c/u. Como factor A, se aplicaron dos niveles de salinidad (NS-50 y NS-100) y un control sin salinidad (NS-0), como factor B, dos dinamizaciones centesimales de NaM (NaM-7CH y NaM-31CH) y un control sin medicamento (NaM-0CH). Las variables respuesta evaluadas fueron longitud parte aérea (LPA), longitud parte radicular (LPR), grosor de tallo (GT), área foliar (AF), potencial hídrico (PH), contenido relativo de agua (CRA), clorofila ‘a’, clorofila ‘b’ y clorofila total. Con el tratamiento homeopático NaM-7CH, se registraron valores superiores en LPR y con NaM-31CH, mayores valores promedio en clorofila ‘a’, clorofila ‘b’ y clorofila total. Con el tratamiento salino NS-50 se obtuvieron valores mayores para LPA, LPR, GT, AF, CRA, clorofilas ‘a’, ‘b’ y totales. Los valores promedio mayores en la morfología de la planta correspondieron a las interacciones NS-50/NaM-7CH y NS-50/NaM-31CH. Esto sugiere un efecto positivo NaM sobre variables relevantes de respuesta productiva de S. bigelovii y su potencial aplicabilidad en el cultivo hidropónico de esta halófita costera.

Resumen Introducción. El diagnóstico de la tuberculosis extrapulmonar (TBEP) es un reto para los médicos. Se ha sugerido que el antígeno del cáncer 125 (CA-125), producido por las células mesoteliales, puede ser un biomarcador diagnóstico de TBEP. Objetivo. Describir el comportamiento de los niveles séricos del CA-125 en pacientes con tuberculosis (TB) atendidos en un hospital de referencia de Cali, Colombia. Materiales y métodos. Estudio transversal realizado en 99 pacientes con TB y mediciones de CA-125 (U/mL) antes de iniciar tratamiento para TB atendidos en la Fundación Valle del Lili entre 2007 y 2016. Los casos se clasificaron como TB pulmonar (TBP) (n=33) o TBEP (n=66). Se realizó un análisis bivariado para comparar las variables de interés (datos sociodemográficos, clínicos y de laboratorio) entre los grupos TBEP y TBP, y para determinar diferencias entre pacientes con resultados positivos y negativos para CA-125 en relación con la mortalidad. Resultados. Se reportaron niveles elevados de CA-125 en 55 pacientes (55.56%). Los resultados positivos para CA-125 (>35 U/mL) fueron más frecuentes en el grupo TBEP (59.0% vs. 48.48%). En el grupo TBEP se encontraron resultados positivos en los casos de serositis tuberculosa (100% TB pericárdica, 68.42% TB peritoneal y 66.66% TB pleural), y en 66.66% de los casos de TB miliar y vertebral, respectivamente. Además, se reportaron 15 muertes relacionadas con la infección por TB en el período de seguimiento (n=66), de las cuales 13 tuvieron un resultado positivo para CA-125, encontrando una diferencia significativa con aquellas con resultados negativos (p=0.021); sin embargo, el 47.05% de los pacientes supervivientes también tuvo un resultado positivo. Conclusiones: La mayoría de los casos de serositis tuberculosa, TB miliar y vertebral tuvieron niveles elevados de CA-125 antes de iniciar el tratamiento de la TB. El CA-125 puede resultar útil para fines de pronóstico en estos pacientes.

Abstract Introduction: Diagnosing extra-pulmonary tuberculosis (EPTB) is a challenge for physicians. It has been suggested that cancer antigen 125 (CA-125), which is produced by mesothelial cells, may be an EPTB diagnostic biomarker. Objective: To describe serum CA-125 levels behavior in patients with TB treated in a referral university hospital located in Cali, Colombia. Materials and methods: A cross-sectional study was conducted in 99 TB patients treated at Fundación Valle del Lili between 2007 and 2016 with CA-125 measurements (U/mL) made before TB treatment was started. Cases were classified as pulmonary TB (PTB) (n=33) or EPTB (n=66). A bivariate analysis was performed to compare the variables of interest (sociodemographic, clinical, and laboratory findings data) between EPTB and PTB groups, and to determine differences between patients with CA-125 positive results and those with negative results in relation to mortality. Results: Elevated CA-125 levels were reported in 55 patients (55.56%), and positive CA-125 results (>35 U/mL) were more frequent in the EPTB group (59.09% vs. 48.48%). In the EPTB group, results were positive in tuberculous serositis cases (100% pericardial TB, 68.42% peritoneal TB, and 66.66% pleural TB), and in 66.66% of miliary TB and spinal TB cases, respectively. Also, 15 TB infection-related deaths were reported in the follow-up period (n=66), of which 13 had a CA-125 positive result, finding a significant difference with those with negative results (p=0.021); however, 47.05% of the surviving patients also had a positive result. Conclusions: Most of tuberculous serositis, miliary TB, and spinal TB cases showed elevated CA-125 levels before starting TB treatment. Therefore, CA-125 may be useful for prognostic purposes in these patients.

Abstract Positive mental health is a complex construct that is related to the optimal functioning of the person. It comprises a set of qualities aimed at the development of the individual's potential. The Positive Mental Health Scale is one of the most used instruments to evaluate it, however, the antecedents indicate inconsistencies regarding its internal structure. The objective of this study was to analyze the psychometric properties of the Positive Mental Health Scale in Arequipa-Peru. 3,933 people participated, 50.3% were women and 49.7% were men, including from adolescents to the elderly. The evaluation by CFA of the original structure showed poor fit indices, so the dimensionality had to be evaluated and a new structure had to be proposed. For which the sample is divided (n 1 = 1,966 and n 2 = 1,967). In the first, an EFA was applied and in the second, it is validated by means of a CFA. Three factors were found and it is concluded that it has a good fit (χ 2 (431) = 2,473.378; CFI = .959; TLI = .956, RMSEA = .049; SRMR = .051). The internal consistency showed values greater than .81. Finally, the equivalence of the measurement according to sex was evaluated, finding that the instrument presents measurement invariance.

Resumen La salud mental positiva es un constructo complejo que está relacionado con el funcionamiento óptimo de la persona. Comprende un conjunto de cualidades orientadas al desarrollo del potencial del individuo. La Escala de Salud Mental Positiva es uno de los instrumentos más utilizados para evaluarlo, sin embargo, los antecedentes señalan inconsistencias respecto a su estructura interna. El objetivo del presente estudio fue analizar las propiedades psicométricas de la Escala de Salud Mental Positiva en Arequipa-Perú. Participaron 3933 personas, 50.3% fueron mujeres y 49.7% fueron varones, incluyendo desde adolescentes hasta adultos mayores. La evaluación mediante AFC de la estructura original evidenció índices de ajuste pobres, por lo que se tuvo que evaluar la dimensionalidad y proponer una nueva estructura. Para lo cual, se dividió a la muestra (n 1 = 1966 y n 2 = 1967). En la primera, se aplicó un AFE y en la segunda se valida mediante un AFC. Se hallaron tres factores y se concluye que tiene un buen ajuste (χ 2(431) = 2473.378; CFI = .959; TLI = .956, RMSEA = .049; SRMR = .051). La consistencia interna mostró valores mayores a .81. Finalmente, se evaluó la equivalencia de la medición según el sexo, hallando que el instrumento presenta invarianza de la medición.

ABSTRACT Amicrobial Pustulosis of the Folds is a relapsing, chronic and rare neutrophilic dermatosis, characterized by papulopustular, eczematous and aseptic lesions on skin folds. This disorder usually occurs predominantly in females (30 years of age average) with a history of an autoimmune disorder, especially systemic lupus erythematosus. There is no standard therapy, but systemic corticosteroids, alone or in combination with other immunosuppressive drugs, are usually the first-line therapy. We report two females aged 37 and 20 years with the disease but without associated autoimmune diseases. They were successfully treated with non-steroidal treatments.

La pustulosis amicrobiana de los pliegues es una dermatosis neutrofílica crónica, recurrente y poco común. Se caracteriza por lesiones pápulo-pustulosas, eczematosas y asépticas de los pliegues cutáneos. Este cuadro se presenta predominantemente en mujeres de alrededor de 30 años con enfermedades autoinmunes, especialmente lupus eritematoso sistémico. No existe un tratamiento estándar pero los corticoides solos o con inmunosupresores se usan de primera línea. Informamos dos mujeres de 27 y 20 años sin patología autoinmune, con la enfermedad. Ellas fueron tratadas exitosamente sin usar esteroides.