Abstract Álvarez, M. A; F. M. Correa Uriburu, M. C. Barrera, R. J. Enrico, A. R. Andrada, G. M. Silenzi Usandivaras, V. A. Páez, M. S. Caro, I. C. Zampini & M. I. Isla. 2023. Comparison of two morphotypes of Zuccagnia punctata (Fabaceae) from Valles Calchaquíes in Argentina. Darwiniana, nueva serie 11(1): 139-154. Zuccagnia punctata Cav. (Fabaceae) is a medicinal aromatic shrub, a monotypic species with a wide distribution in Argentina. Two morphotypes were found in Valles Calchaquíes, one with yellow fruits (YF) and other with red-brown fruits (RBF). The color of fruits varies between individuals within a population, with some plants producing red-brown fruits and other yellow fruits. The cytogenetic differentiation was determined using root tips. Leaves and fruits were used to analyze chemical composition by HPLC-DAD and HPLC/MS/MS. The number of chromosome (2n = 24) was reported for the first time for the genus. The yellow fruits and red-brown fruits morphotypes showed different karyotypes. The compounds common to both morphotypes were identified in leaves and fruits as chalcones, compounds with biological activity and biomarkers used for quality control of Z. punctata products. Two chemotypes related to the color of the fruits, were detected. An anthocyanin, cyanidin 3-glucoside was found in red-brown fruits (4.75 mg.g-1 fruits) but not in yellow fruits. These is the first report on yellow fruits morphotype of Z. punctata and on presence of anthocyanins in Z. punctata red-brown fruits morphotype. This work contributes to the knowledge of Z. punctata, a native plant from Argentina with high economic potential to promote the regional economy.

Resumen Álvarez, M. A; F. M. Correa Uriburu, M. C. Barrera, R. J. Enrico, A. R. Andrada, G. M. Silenzi Usandivaras, V. A. Páez, M. S. Caro, I. C. Zampini & M. I. Isla. 2023. Comparación de dos morfotipos de Zuccagnia punctata (Fabaceae) en los Valles Calchaquíes en Argentina. Darwiniana, nueva serie 11(1): 139-154. Zuccagnia punctata Cav. (Fabaceae) es un arbusto aromático medicinal monotípico con amplia distribución en Argentina. En los Valles Calchaquíes se encontraron dos morfotipos, uno con frutos amarillos y otro con frutos marrón rojizo. El color de los frutos varía entre individuos de una misma población, observándose plantas que tienen frutos de color marrón rojizo y otras con frutos de color amarillo. La diferenciación citogenética fue determinada usando puntas de raíces mientras que las hojas y frutos se usaron para analizar la composición química por HPLC-DAD y HPLC/MS/MS. Se informó por primera vez el número cromosómico (2n = 24) para el género Zuccagnia. Ambos morfotipos mostraron diferentes cariotipos. Se identificaron chalconas como compuestos comunes en las hojas y frutos de ambos morfotipos. Las chalconas son consideradas biomarcadores en el control de calidad de productos a base de Z. punctata. Se detectaron dos quimiotipos relacionados al color de los frutos. La antocianina, cianidin 3-glucosido se encontró en frutos marrón rojizos (4.75 mg.g-1 fruto) pero no en frutos amarillos. Este es el primer informe sobre un morfotipo de Z. punctata con frutos amarillos y sobre la presencia de antocianinas en el morfotipo de frutos rojos. Este trabajo contribuye al conocimiento de Z. punctata, una planta nativa de Argentina con alto potencial económico para promover el desarrollo regional.

Resumo Resíduos de agrotóxicos que contaminam o meio ambiente circulam no ciclo hidrológico, podendo se acumular na cadeia alimentar e causar problemas tanto à saúde ambiental quanto humana. Por sua vez, microrganismos são bem conhecidos por sua versatilidade metabólica e capacidade de degradar substâncias quimicamente estáveis, incluindo xenobióticos recalcitrantes. O estudo atual se concentrou na bioprospecção nos solos da floresta amazônica para encontrar novas linhagens de fungos capazes de degradar com eficiência o herbicida onipresente na agricultura e no meio ambiente, o glifosato. Entre os 50 fungos isolados (usando meio de cultura suplementado com glifosato como única fonte de carbono), a maioria eram isolados do gênero Penicillium (60%) e os outros eram isolados de Aspergillus e Trichoderma (26 e 8%, respectivamente). Todos os 50 isolados de fungos foram capazes de usar glifosato como fonte de fósforo. Oito desses isolados cresceram melhor em meio suplementado com glifosato do que em meio Czapek Dox regular. LC-MS revelou que a degradação do glifosato por Penicillium 4A21 resultou nos metabólitos sarcosina e ácido aminometilfosfônico.

Abstract Pesticide residues that contaminate the environment circulate within the hydrological cycle can accumulate within the food chain and cause problems to both environmental and human health. Microbes, however, are well known for their metabolic versatility and the ability to degrade chemically stable substances, including recalcitrant xenobiotics. The current study focused on bio-prospecting within Amazonian rainforest soils to find novel strains fungi capable of efficiently degrading the agriculturally and environmentally ubiquitous herbicide, glyphosate. Of 50 fungal strains isolated (using culture media supplemented with glyphosate as the sole carbon-substrate), the majority were Penicillium strains (60%) and the others were Aspergillus and Trichoderma strains (26 and 8%, respectively). All 50 fungal isolates could use glyphosate as a phosphorous source. Eight of these isolates grew better on glyphosate-supplemented media than on regular Czapek Dox medium. LC-MS revealed that glyphosate degradation by Penicillium 4A21 resulted in sarcosine and aminomethylphosphonic acid.

Abstract Cowpea is one of the main crops in family agriculture, especially in the Northeastern region of Brazil, and it is expanding to other regions in Brazil. The use of seeds with low physiological and health quality is reflected in the plant development and consequently yield, making it important to study the seed physiological and health quality. The objective of the present study was to assess the physiology and health of traditional and biofortified cowpea seeds. The traditional cowpea varieties (Angelim, Mercado and Manteguinha) and the biofortified cowpea cultivars (BRS Aracê, BRS Xique-Xique and BRS Tumucumaque) were assessed for the following physiological parameters: water content (WC), first count (FC), germination test (G), germination speed index (GSI), seedling emergence in the greenhouse (E), emergence speed index (ESI), seedling aerial part and root length (APL and RL) and electric conductivity test (EC). The seed health quality was assessed by the Blotter Test. The water content present in the seeds of the traditional and biofortified varieties ranged from 10% to 14%. All the traditional and biofortified varieties showed high germination and emergence value in the greenhouse. The germination and emergence speed indexes indicated the BRS Aracê and BRS Xique-Xique cultivars as the most vigorous. In the health tests the highest indexes were the storage fungi Aspergillus sp., Cladosporium sp. and Penicillium sp., with the highest prevalence in the BRS Tumucumaque variety, which was probably related to the higher water content present in this variety.

Resumo O feijão-caupi é uma das principais culturas da agricultura familiar, especialmente da região Nordeste, e encontra-se em expansão para as demais regiões do Brasil. O uso de sementes com baixa qualidade fisiológica e sanitária refletem no desenvolvimento das plantas e consequentemente na produtividade. Desse modo ressalta-se a importância do estudo da qualidade fisiológica e sanitária das sementes. Esse trabalho objetivou avaliar a fisiologia e sanidade de sementes tradicionais e biofortificadas de feijão-caupi. As variedades tradicionais (Angelim, Mercado e Manteguinha) e as biofortificadas (BRS Aracê, BRS Xique-Xique e BRS Tumucumaque) de feijão-caupi foram avaliadas quanto aos seguintes parâmetros fisiológicos: Teor de água (T.A), Primeira contagem (PC), Teste de germinação (G), Índice de velocidade de germinação (IVG), Emergência de plântulas em casa de vegetação (E), Índice de velocidade de emergência (IVE) Comprimento da parte aérea e raiz da mudas (CPA e CR) e Teste de Condutividade Elétrica (CE). Para avaliação da qualidade sanitária das sementes foi adotado o Blotter Test. O teor de água presente nas sementes das variedades tradicionais e biofortificadas, encontra-se entre 10% a 14%. Todas as variedades tradicionais e biofortificadas apresentaram alto valor de germinação e emergência em casa de vegetação. O índice de velocidade de germinação e emergência indicaram as cultivares BRS Aracê e BRS Xique-Xique as mais vigorosas. Nos testes de sanidade a maior incidência foram dos fungos de armazenamento Aspergillus sp., Cladosporium sp. e o Penicillium sp., com maior prevalência na variedade BRS Tumucumaque, provavelmente relacionado ao maior teor de água presente nessa variedade.

RESUMO Relatamos dois casos de hemocromatose símile em antas brasileiras, Tapirus terrestris mantidas em cativeiro no estado do Pará, Brasil. Ambas apresentavam lesões de hepatopatia crônica e acentuada, associadas a acúmulo acentuado de hemossiderina. A coloração de Perls demonstrou acúmulo acentuado de ferro nos macrófagos do espaço porta, células de Kupffer e, em menor extensão, hepatócitos na região periportal. Havia, ainda, fibrose portal marcada evidenciada por tricrômico de Masson. Os mecanismos patológicos da doença em antas ainda não estão bem estabelecidos e tem sido sugerido que a espécie apresenta diferentes mecanismos de absorção e eliminação de ferro, sendo sensíveis à elevação dos níveis dietéticos desse metal. Existem dois relatos anteriores da doença em T. terrestres em zoológicos na Austrália e na Escócia. Este é o primeiro relato da doença em antas no Brasil.

ABSTRACT We report two cases of hemochromatosis-like disease in captive Brazilian tapirs, Tapirus terrestris in Pará state, Brazil. Both animals presented symptoms of chronic hepatopathy associated with marked accumulation of hemosiderin. The coloration of Perls demonstrated pronounced iron accumulation in macrophages in the portal space, Kupffer cells, and, to a lesser extent, in the hepatocytes of the periportal region. Marked portal fibrosis was evidenced by Masson’s trichrome. The pathological mechanisms of this disease in tapirs are not yet well established. It has been suggested that the species may have different mechanisms of iron absorption and elimination, rendering them sensitive to elevation in dietary levels of this metal. Two previous reports of this disease in T. terrestris exist from zoos in Australia and Scotland. This is the first report of this disease in tapirs in Brazil based on histopathological and histochemical findings.

Abstract The present study aimed to determine Mycobacterium avium subsp. paratuberculosis (MAP) prevalence according to environmental samples and to explore the herd-level risk factors associated to MAP infection in dairy herds under mechanical milking parlor and pasture grazing-based systems. The study herds (n= 94) were located in 60 districts from five municipalities in the Northern region of the province of Antioquia, Colombia. Herds were visited once in 2016 to collect two composite environmental samples and to complete a risk assessment questionnaire. MAP identification was carried out using a quantitative real-time PCR method based on the IS900 sequence. A herd was considered as MAP-positive if one or both of the environmental samples were found positive by the molecular technique. The information on risk factors was analyzed using a multivariable logistic regression model. The apparent herd-level prevalence found was 14.9 % (14/94; 95 % CI: 7.7-22.1), ranging from 0 to 33.3 % at municipality-level. Herds where other than Pure-Holstein breeds were predominant (i.e. Jersey, Jersey crossbreeds) were more likely to be MAP-qPCR positively infected than those on which where pure-Holstein cattle was predominant (OR=3.7; 95 % CI: 1.1-15.2). The present study reports MAP prevalence in dairy herds in the province of Antioquia (Colombia), and the association between MAP environmental positivity with the predominant breed in the herd.

Resumen El presente estudio tuvo como objetivo determinar la prevalencia de Mycobacterium avium subsp. paratuberculosis (MAP) según muestras ambientales y explorar los factores de riesgo a nivel de hato asociados a la infección por MAP en hatos lecheros bajo sistemas de sala de ordeño mecánico y basados en pastoreo de prados. Los hatos de estudio (n= 94) se ubicaron en 60 distritos de cinco municipios de la región Norte de la Provincia de Antioquia, Colombia. Los hatos fueron visitados una vez en 2016 para recolectar dos muestras ambientales compuestas y completar un cuestionario de evaluación de riesgos. La identificación de MAP se llevó a cabo utilizando un método de PCR cuantitativo en tiempo real basado en la secuencia IS900. Un hato se consideró como MAP-positivo si una o ambas muestras ambientales resultaron positivas mediante la técnica molecular. La información sobre los factores de riesgo se analizó utilizando un modelo de regresión logística multivariable. La prevalencia aparente a nivel de hato encontrada fue de 14.9 % (14/94; IC 95 %: 7.7-22.1), oscilando entre 0 y 33.3 % a nivel municipal. Los hatos en los que predominaban razas distintas a la Holstein pura (estas son, Jersey, cruzas de Jersey) tenían más probabilidades de estar positivamente infectados con MAP-qPCR que aquellos en los que predominaba el ganado Holstein puro (OR= 3.7; IC 95 %: 1.1-15.2). El presente estudio reporta la prevalencia de MAP en hatos lecheros de la Provincia de Antioquia (Colombia), y la asociación entre la positividad ambiental de MAP con la raza predominante en el hato.

Abstract Objective: to describe the clinical presentation, diagnosis, and surgical treatment of a patient with superior mesenteric artery syndrome or Wilkie syndrome combined with the nutcracker syndrome or left renal vein compression syndrome in a tertiary referral center in a Latin American country. Case description: a 25-year-old male patient from the United States who attended for a year of weight loss and intestinal obstruction episodes of unknown etiology after multiple imaging studies. Endoscopic studies were performed without findings. While in the recovery room, he developed abdominal pain requiring admission to the emergency service. The CT enterography showed dilation of the colon loops and small intestine with a decrease of the aortomesenteric (AOM) angle and the gastrointestinal series with the filiform passage of the contrast medium. Conservative management was attempted as initial therapy with intolerance to enteric nutritional support. Finally, we initially opted for surgical treatment, with a slow recovery process, but in the end, with a resolution of symptoms and weight gain. Conclusion: Wilkie syndrome is a rare disease and a diagnostic challenge in patients with weight loss and abdominal pain. We described a superior mesenteric artery compression case in which diagnosis was achieved with multiple diagnostic strategies and complete resolution after surgical treatment. The decreased aortomesenteric angle may compress the superior mesenteric artery and the left renal vein. In this case, it resulted in a combined Wilkie and nutcracker syndrome.

Resumen Objetivo: describir la presentación clínica, el diagnóstico y el tratamiento quirúrgico de un paciente con síndrome de la arteria mesentérica superior o síndrome de Wilkie combinado con síndrome de cascanueces o síndrome de compresión de la vena renal izquierda, en un centro de alta complejidad de un país latinoamericano. Descripción del caso: paciente masculino de 25 años, procedente de Estados Unidos, quien consultó por un año de pérdida de peso y episodios de obstrucción intestinal de etiología desconocida tras múltiples estudios de imagen. Se le realizaron estudios endoscópicos sin hallazgos; en la sala de recuperación desarrolló dolor abdominal que requirió ingreso al servicio de urgencias. La enterotomografía mostró dilatación de asas de colon e intestino delgado, con disminución del ángulo aortomesentérico y la serie gastrointestinal con paso filiforme del medio de contraste. Se intentó el manejo conservador como terapia inicial, con intolerancia al soporte nutricional entérico. Finalmente, se optó por el tratamiento quirúrgico, con un proceso de recuperación tórpido inicialmente, pero al final con resolución de los síntomas y aumento de peso. Conclusión: el síndrome de Wilkie es una enfermedad rara y un desafío diagnóstico en pacientes con pérdida de peso y dolor abdominal. Describimos un caso de compresión de la arteria mesentérica superior en el que se logró el diagnóstico con múltiples estrategias diagnósticas y resolución completa luego del tratamiento quirúrgico. La disminución del ángulo aortomesentérico puede comprimir la arteria mesentérica superior, así como la vena renal izquierda, que en ese caso resultó en un síndrome combinado de Wilkie y de cascanueces.

Abstract: This research study aims to assess and compare people’s service quality perceptions and expectations of drinking water services provided by Medellin’s (Colombia) drinking water system. The study is conducted in the western side of the city of Medellín. The methodology is descriptive-correlational and applies a quantitative approach. A self-administered instrument is applied by surveying 150 inhabitants selected through non-probabilistic sampling by criteria. The instrument is based on the Grönroos model and evaluates two dimensions: 1) expected service and 2) perceived service quality in a developing country. The results show that when service expectations are very high, perceived service quality can be far from satisfactory. It is concluded that Medellin’s drinking water system should invest in improving the quality of its drinking water services.

Resumen: Esta investigación tiene como objetivo caracterizar la percepción de los habitantes de la zona occidente de Medellín (Colombia) acerca de la calidad del servicio de agua potable frente al servicio esperado que presta la empresa de servicios públicos de la ciudad. La investigación es de tipo descriptiva-correlacional con enfoque cuantitativo. Se aplica un instrumento autoadministrado a 150 habitantes de la zona, los cuales se seleccionaron mediante un muestreo no probabilístico por criterio. El instrumento se construyó con base en el modelo de Grönroos, evaluando dos dimensiones: 1) servicio esperado y 2) calidad percibida del servicio en un contexto de país en desarrollo. Los resultados muestran que cuando el servicio esperado es muy alto, la calidad percibida del servicio se puede alejar de ser satisfactoria. Se concluye que la empresa que presta el servicio de agua potable debe invertir en el mejoramiento de la calidad de su servicio.

RESUMO Objetivo: o objetivo deste estudo é discutir os nudges no contexto pandêmico do SARS-CoV-2, retomando algumas reflexões sobre a ética e revisando-as sob o novo cenário imposto pela pandemia. Marco teórico: o arcabouço teórico da Economia Comportamental fundamentou a análise dos nudges, enquanto o utilitarismo, a deontologia e a ética das virtudes foram as teorias morais clássicas utilizadas para a reflexão dos aspectos éticos. Métodos: fizemos uma revisão da literatura sobre nudges e pesquisamos os últimos estudos sobre este assunto aplicados à mitigação da COVID-19. Na seção de discussão ética, referências clássicas são utilizadas para articular nudges com as seguintes teorias morais: utilitarismo, deontologia e ética das virtudes. Resultados: os resultados indicam que a tendência em termos de intervenção é enviar mensagens de nudge e aumentar o comprometimento, principalmente para direcionar um comportamento desejado e aumentar a adesão a políticas. Muitos experimentos não mostraram resultados significativos e alguns inconvenientes na aplicação de políticas indicam que os nudges devem ser revistos em cenários de crise, como em pandemias. Na discussão ética, três teorias morais podem justificar alguns aspectos dos nudges. Conclusões: este artigo mostrou algumas falhas e inconsistências tanto na teoria do nudge quanto na sua aplicação durante a pandemia, as quais podem ser resolvidas através da discussão de aspectos éticos. Sugere-se que conectar estes problemas com as teorias morais pode ser uma solução para alguns impasses encontrados.

ABSTRACT Objective: the aim of this study is to discuss nudges in the SARS-CoV-2 pandemic context, bringing back some reflections on ethics and revising them in the light of the new setting imposed by the pandemic. Theoretical approach: the theoretical framework of Behavioral Economics was the basis for nudges’ analysis, while utilitarianism, deontology, and virtue ethics were the classic moral theories used to reflect on ethical aspects. Methods: we undertook a literature review about nudges searched through the latest studies about this subject applied to COVID-19 mitigation. In the ethical discussion section, we used classical references to articulate the nudge theory with the following moral theories: utilitarianism, deontology, and virtue ethics. Results: our findings indicate that the trend intervention during the pandemic is ‘nudging messages’ and ‘increase people’s commitment,’ mainly to nudge people toward the desired behavior and increase policy adherence. Many experiments did not show significant results, and some drawbacks in policies’ applications indicate that nudges might be revised in crisis scenarios, such as a pandemic outbreak. The ethical discussion section relates three moral theories that justify some of the nudge’s aspects. Conclusions: this paper showed some flaws and inconsistencies in nudge theory and its application during the pandemic that can be solved by discussing ethical aspects. We suggest that connecting these problems with moral views might be a solution for some deadlocks found in the nudge theory.

Resumen: Como los otros herpesvirus alfa, el virus de la varicela-zóster (VZV) permanece en estado de latencia en los ganglios neurales después de la infección primaria (varicela). La reactivación de una infección latente por VZV en los ganglios de la raíz dorsal, produce el herpes zóster. La erupción que este provoca se caracteriza por lesiones cutáneas metaméricas que se acompañan de dolor neurítico y comprometen con mayor frecuencia a ancianos y sujetos inmunocomprometidos, en especial, aquellos infectados con el virus de la inmunodeficiencia humana (HIV). Las complicaciones que se observan en esta población de pacientes incluyen neumonía, hepatitis y compromiso del sistema nervioso central (meningitis y encefalitis). Varios síndromes clínicos se asocian con el herpes zóster de localización craneal, incluida la parálisis facial periférica y el síndrome de Ramsay-Hunt, el cual constituye la segunda causa de parálisis facial periférica y tiene una gran variedad de presentaciones clínicas. La parálisis facial se presenta en 60 a 90 % de los casos de síndrome de Ramsay-Hunt, puede preceder o aparecer después de las lesiones cutáneas y tiene peor pronóstico que la parálisis de Bell. Se describen aquí dos casos de herpes zóster del ganglio geniculado, con parálisis facial periférica que coincidió con la aparición de las lesiones cutáneas vesiculosas en el conducto auditivo externo y el pabellón auricular (síndrome de Ramsay-Hunt multimetamérico). En ambos casos, se identificó el genoma del VZV mediante PCR en el líquido cefalorraquídeo (LCR).

Abstract: Like other alpha-herpesviruses, the varicella-zoster virus (VZV) remains latent in the neural ganglia following the primary varicella infection. The reactivation of the VZV in the dorsal root ganglia results in herpes zoster. Herpes zoster eruption is characterized by localized cutaneous lesions and neuralgic pain mostly in older and immunocompromised persons, especially those living with the human immunodeficiency virus (HIV). The most commonly reported complications include VZV pneumonia, meningitis, encephalitis, and hepatitis. Several neurologic syndromes have been described associated with herpes zoster localized in cranial areas including peripheral nerve palsies and the Ramsay-Hunt syndrome, which has a varied clinical presentation and is the second most common cause of peripheral facial paralysis. Facial paralysis in this syndrome occurs in 60 to 90% of cases and it may precede or appear after the cutaneous lesions with a worse prognosis than idiopathic Bell paralysis. Here we present two cases of herpes zoster from the geniculate ganglia with peripheral facial paralysis that appeared simultaneously with vesicular herpetic otic lesions (multimetameric Ramsay-Hunt syndrome). In the two cases, amplifiable varicella-zoster viral DNA was found in the cerebrospinal fluid by RT-PCR Multiplex.

Abstract Background: COVID-19 shifted the attention of the non-urgent disease, increasing the perception of deterioration in health, complaints for delays in patient care and dissatisfaction of the virtual consultation. Objective: To determine the patient's perception of the vascular health deterioration, and the fact of being subjected to telemedicine. Material and methods: Survey on 142 outpatient vascular surgery consultants between April and June 2021. Results: The majority had venous diseases (VD), the others were arterial diseases (AD and lymphatic diseases (LD). AD patients worsened symptoms during the pandemic; most of VD and LD patients remained the same; less than half of them were afraid of seeking in-person attention because of a possible COVID-19 infection, but they were rescheduled in a timely manner and were satisfied with the virtual consultation without changes in the overall perception of their vascular health. Conclusion: An increase in symptoms and a decrease on the opportunity for care were found, there was no significant impact on vascular health or complications.

Resumen Antecedentes: El COVID-19 desplazó la atención de las enfermedades no urgentes, aumentando la percepción del deterioro en salud, las quejas por demoras en la atención e insatisfacción con la consulta virtual. Objetivo: Determinar la percepción del paciente en la salud vascular y el uso de telemedicina durante la pandemia. Material y métodos: Encuesta en 142 pacientes de consulta de cirugía vascular entre abril y junio de 2021. Resultados: La mayoría tenía enfermedad venosa (EV) seguida de arterial (EA) y linfática (EL). Los pacientes con EA empeoraron los síntomas, mientras que los de EV o EL permanecieron igual. Menos de la mitad tuvo miedo a la atención médica presencial o la suspendieron voluntariamente por temor al contagio de COVID-19. Hubo reprogramación oportuna y satisfacción con la consulta virtual en la mayoría, sin repercusión en la percepción final del estado de salud vascular. Conclusión: Se encontró un aumento de síntomas y disminución en la oportunidad de atención, sin impacto significativo en la salud vascular o complicaciones.

Abstract: In this article we present the results of the design, development and characterization of an extremely low frequency electromagnetic fields generator to carry out experiments with small animals. For the design of the exposure system, we took into account that its configuration should allow the application of a electromagnetic fields that meets uniformity and field intensity criteria, while making it possible to observe, manipulate and locate the sample easily, a fact that imposes accessibility requirements. For the application of different electromagnetic fields exposure protocols in the future, the generator must allow calibrated and homogeneous emissions, under known exposure conditions. Results of the constructive process are presented, in which the proposed materials and methods are analyzed, as well as the system performance results.

Resumen: En este trabajo presentamos los resultados del diseño, desarrollo y caracterización de un generador de Campos Electromagnéticos de Frecuencia Extremadamente Baja CEM-FEB para la realización de experimentos con pequeños animales. Para el diseño del sistema de exposición se tuvo como premisa que la configuración permita aplicar a la muestra un CEM que cumpla con criterios de uniformidad e intensidad de campo requeridos pero que además haga posible observar, manipular y ubicar la muestra fácilmente, lo cual impone requisitos de accesibilidad. Para la aplicación futura de distintos protocolos de exposición a CEM, el generador debe permitir realizar emisiones calibradas y homogéneas, bajo condiciones de exposición conocidas. Se presentan resultados del proceso constructivo, en los que se analizan materiales y métodos propuestos, así como de estudios de desempeño del sistema.

Abstract Disjunction of the mitral valve annulus is a structural abnormality consisting of an atrial displacement of the articulation point of the mitral valve, leading to an altered spatial relationship between the valve and the adjacent posterior ventricular wall. Studies have shown the relationship between mitral annular disjunction, ventricular arrhythmias, and myocardial fibrous degeneration, which increases the risk of sudden death, especially among young women. The case of a 30-year-old woman with no relevant pathological history with frequent palpitations is presented, in whom an increase in ventricular automatism with a progressive increase in the arrhythmic load of up to 20% with a weight of pharmacological management is documented. In a cardiac magnetic resonance, a 15 mm displacement towards the atrium of the mitral leaflets compatible with mitral annular disjunction and late enhancement foci of mesocardial, non-coronary distribution were observed. Given the findings and the persistence of symptoms, an electrophysiological study, 3D mapping, and ablation were performed. Two hyperechoic regions were seen on intracardiac ultrasound, one in the length of the anterior papillary muscle and the other in the mesocardium of the base of the posterior papillary muscle. Both foci related to the morphological sites of interest in which radiofrequency energy was applied. During the procedure presented an episode of ventricular fibrillation. A malignant ventricular extrasystole was considered and therefore a cardio defibrillator was implanted for the secondary prevention of sudden death. The literature was reviewed and the specific pathophysiological relationships between mitral annular disjunction, premature ventricular complexes, and risk of sudden death were analyzed. The role of electrophysiological study and ablation in symptomatic patients refractory to pharmacological treatment is described.

Resumen La disyunción del anillo valvular mitral es una anormalidad estructural que consiste en un desplazamiento auricular del punto de articulación de la válvula mitral, lo que lleva a una relación espacial alterada entre la válvula y la pared ventricular posterior adyacente. Los estudios han demostrado una relación entre la disyunción del anillo mitral, las arritmias ventriculares y la degeneración fibrosa miocárdica, lo que incrementa el riesgo de muerte súbita, en especial en mujeres jóvenes. Se presenta el caso de una mujer de 30 años, sin antecedentes relevantes, con palpitaciones frecuentes, en quien se documentó un aumento del automatismo ventricular con incremento progresivo de la carga arrítmica hasta el 20% a pesar del manejo farmacológico. En la resonancia cardiaca se apreció un desplazamiento de 15 mm hacia la aurícula de las valvas de la mitral compatible con disyunción del anillo mitral, además de focos de realce tardío de distribución mesocárdica, no coronariana. Ante los hallazgos y la persistencia de los síntomas, se llevó a estudio electrofisiológico, mapeo 3D y ablación. En la ecografía intracardiaca se apreciaron dos regiones hiperecoicas, en la longitud del músculo papilar anterior y en el mesocardio de la base del músculo papilar posterior; ambos focos relacionados con los sitios morfológicos de interés, en los cuales se aplicó energía de radiofrecuencia. Durante el procedimiento presentó un episodio de fibrilación ventricular que se consideró una extrasistolia ventricular maligna, por lo que se implantó un cardiodesfibrilador para prevención de muerte súbita. Se revisa la literatura y se analizan las relaciones fisiopatológicas existentes entre la disyunción del anillo mitral, los complejos ventriculares prematuros y el riesgo de muerte súbita.

Abstract Objective: This study aimed to describe clinical outcomes of anterolateral thigh (ALT) and radial forearm flap in hypopharyngeal and esophageal reconstruction in a fourth level hospital in Bogotá, Colombia. Methods: This retrospective study included 38 patients who esophageal functional reconstruction using radial forearm or ALT flap at our center between February 2010 and December 2017. Results: Mean age was 51 years. About 80% of the included patients were females. Laryngoesophageal defects were present in 80%. Total circumferential reconstruction was required in 60% of patients. Brachial-radial grafts were performed in 26% and anterolateral thigh flaps in 74%. Overall, early complication rate was 30%, which 20% were fistulae (brachial-radial, 2.8%; ALT free flap, 8.3%). Late complications (20%) included stenosis and distal graft lumen obstruction. Only 10% of patients were unable to tolerate oral feeding and 50% of this patient needed permanent gastrostomy. Regarding oncological follow-up during the 24-month post-operative, no tumor recurrence was observed. Conclusions: Functional outcomes of reconstruction with brachial-radial and ALT flap were satisfying. Our findings suggest that ALT has a lower incidence of post-operative complications than radial forearm flap. The choice of the type of flap will depend on the size and location of the defect. Small and partially covered defects benefit from the use of a radial flap, and for larger and circumferential pharyngeal reconstructions with possible radiotherapy requirements, they benefit from an ALT flap.

Resumen Objetivo: Este estudio tuvo como objetivo describir los resultados clínicos del colgajo anterolateral de muslo y radial de antebrazo, para la reconstrucción hipofaríngea y esofágica en un hospital de cuarto nivel en Bogotá, Colombia. Métodos: Estudio retrospectivo inlcuyo 38 pacientes a los que se les realizó reconstrucción funcional esofágica con colgajo de antebrazo radial o anterolateral de muslo (ALT) entre febrero de 2010 y diciembre de 2017. Resultados: Edad media fue de 51 años. El 80% genero femeninp. Los defectos laringoesofágicos estuvieron presentes en el 80%. Se requirió reconstrucción circunferencial total en el 60% de los pacientes. Se realizaron injertos braquio-radiales en el 26% y colgajos anterolaterales de muslo en el 74%. La tasa global de complicaciones tempranas fue del 30%, de las cuales el 20% fueron fístulas (braquio-radial, 2,8%; colgajo libre de ALT, 8,3%). Las complicaciones tardías (20%) incluyeron estenosis y obstrucción de la luz del injerto distal. Solo el 10% de los pacientes no pudieron tolerar la alimentación oral y el 50% de este paciente necesitó gastrostomía permanente. En cuanto al seguimiento oncológico durante el postoperatorio de 24 meses, no se observó recidiva tumoral. Conclusión: Los resultados funcionales de la reconstrucción con colgajo braquio-radial y ALT fueron satisfactorios. Nuestros hallazgos sugieren que la ALT tiene una menor incidencia de complicaciones posoperatorias que el colgajo radial de antebrazo. La elección del tipo de colgajo dependerá del tamaño y la ubicación del defecto. Los defectos pequeños y parcialmente cubiertos se benefician del uso de un colgajo radial, y para reconstrucciones faríngeas más grandes y circunferenciales con posibles requisitos de radioterapia, se benefician de un colgajo ALT.

RESUMO Ascaridíase por Ascaridia hermaphrodita é uma doença parasitária comum em papagaios-verdadeiros. Sua contaminação ocorre pela ingestão de ovos. O tráfico de aves silvestres pode facilitar a migração errática visceral desse parasita. Este relato descreve a migração errática de A. hermaphrodita e lesões associadas em papagaio-verdadeiro. Trata-se de um relato retrospectivo, analisado a partir de uma série de apreensões de aves no estado da Paraíba, Brasil. A necropsia revelou intensa infestação ascarídea intestinal. Também foram observadas lesões hepáticas em uma ave, associadas à migração do parasita. A estereoscopia permitiu distinguir a morfologia dos parasitas. Resumidamente, essa condição em aves silvestres é pouco conhecida e pode ser considerada, inclusive, associada à comercialização ilegal.

ABSTRACT Ascaridiasis by Ascaridia hermaphrodita is a common parasitic disease in blue-fronted Amazon parrots (Amazona aestiva) and the contamination occurs by ingestion of eggs. Illegal trade of wild birds can increase the frequency of visceral erratic migration by this parasite. Hence, this report describes the erratic migration of A. hermaphrodita and associated lesions in a blue-fronted Amazon parrot. This is a retrospective study, which originated from several apprehension of illegal birds in the state of Paraíba, Brazil. Necropsy revealed intense intestinal ascarid infestation. Hepatic lesions were also observed associated with the parasite migration. Stereoscopy allowed the identification of the morphology of the parasites. Summarizing, this condition in wild birds is not fully understood and may be associated with illegal trade.