Efectividad de dos métodos para la descelularización de arterias umbilicales.

La descelularización de las arterias umbilicales puede proporcionar una solución a la necesidad de injerto vasculares de pequeño calibre. Comparamos la efectividad entre los métodos SDS y Triton X-100. Se utilizó cordones umbilicales obtenidos a partir de embarazos a término con evolución normal y sin complicaciones evidentes del recién nacido, se micro-diseccionaron en 12 horas y se almacenaron en solución salina con fosfato sin congelación. Las arterias se procesaron para la descelularización usando los protocolos de SDS al 0.1% y 1%, y Triton X-100 al 1%. Se realizó la evaluación de material celular y nuclear, fibras de colágeno, fibras elásticas y glucosoaminoglicanos de la matriz extracelular (MEC), así como el análisis morfométrico de técnicas histológicas e inmunohistoquímicas

Self‐sustaining Laboratories and Collaborative Mentoring in Anatomy ResearcH

The development of new technologies and tools for teaching anatomy and the high cost of anatomy laboratories have forced a tendency to decrease the use of bodies and practice. However, these are essential for teaching gross anatomy, and their value is indisputable; students can understand anatomy and develop surgical and clinical skills. Our laboratory has been structured in a manner it can cover all student activities, but also be self-sustaining through the implementation of postgraduate courses, host for clinical practices for specialists, and pharmaceutical sponsored courses. The incomes are then re-invested in furthering the laboratory equipment (ultrasound, fluoroscopy, arthroscopy, microsurgery, minimally invasive surgery), to offer a wider range of courses for physicians to expand their knowledge and clinical practice

Manejo de Linfoma primario de bazo en paciente con VIH-Sida: Reporte de caso

Primary splenic lymphomas involve the spleen and/or its lymph nodes. They represent <1% of lymphomas and they imply a diagnostic challenge due to its poor symptomatology and low prevalence. There for, the objects this work describe the management and evolution of a patient with HIVAIDS and presentation of a primary lymphoma of the spleen. In this report we present the case of a 52-year-old male patient with HIV infection without treatment presented with abdominal pain, fever and a 2-month weight loss. The pre-operative computed tomography showed splenomegaly and hypodense lesions suspected to be tumoral. He was operated on, performing an exploratory laparotomy, performing an splenectomy. The histopathological study reported a non-Hodgkin lymphoma. Primary splenic lymphoma is a non frequent entity. It is necessary to be acquainted with it in order to suspect it.Los linfomas primarios de bazo afectan al bazo y/o sus ganglios linfáticos inicialmente. Representan <1% de los linfomas e implican un reto diagnóstico, por baja prevalencia y sintomatología inusual. Por lo tanto, el objetivo de este trabajo fue describir el manejo y evolución de un paciente con VIH-SIDA y la presentación de un Linfoma primario de bazo. En este reporte presentamos el caso de un paciente masculino de 52 años con VIH sin apego a tratamiento debuta con dolor abdominal, fiebre y pérdida de peso de 2 meses de evolución. La tomografía computarizada properatoria revela esplenomegalia y lesiones hipodensas sospechosas de neoformación. Es intervenido, realizándose una laparotomía exploratoria, con esplenectomía. El estudio histopatológico reporta linfoma no Hodgkin. El linfoma primario de bazo es poco frecuente. Es necesario su conocimiento para su sospecha diagnóstica y un diagnóstico diferencial en pacientes con esplenomegalia

Comments on: Implications of structural variations in the human sacrum: why is an anatomical classification crucial?

We sincerely appreciate the work done by Mahato [1] in which a qualitative classification of the sacrum is done to determine the number of segments, position of auricular surfaces, symmetry and abnormalities. This work is of the utmost importance since it is crucial for several surgical interventions and at the same time correlates certain pathologies with the morphology, mostly low back pai

Estudio cadavérico del nervio dentario inferior.

Estudio cadavérico del nervio dentario inferior

Burnout Among First-Year Medical Students During COVID-19 Pandemic in Mexico: A Cross-Sectional Study

Background: The coronavirus pandemic is an international public health emergency without precedence in modern history. It represents a challenge to students’ academic and psychological stability due to the changes it caused in daily life. This study aimed to evaluate the prevalence and level of burnout in medical students caused by the academic and psychological instability that the pandemic represents. Methods: A prospective cross-sectional study was designed using the Maslach Burnout Inventory-Student Survey (MBI-SS). This evaluated the emotional exhaustion due to study demands, cynicism, and negative self-academic efficacy. This study was based in the school of medicine of the Universidad Autonoma de Nuevo Leon (UANL) in Monterrey, Mexico, during the Spring semester of 2020. Results: A total of 154 (93 women and 61 men) first-year medical students participated (response rate of 36.4%). Burnout was identified in 14.9% (n=23), and high emotional exhaustion in 53.9% (n=83). Burnout was almost 4 times more likely to develop in men than in women (aOR = 4.8; 95% Confidence Interval=1.7-13.3) when considering age as a covariable in the multivariable model. Conclusion: Further epidemiological studies of burnout syndrome in medical students are needed, and schools should consider promoting mental health and making programs available for their students to help overcome the emotional and social challenges during the pandemic

Anatomical Variants of Anterior Cerebral Arterial Circle: A Study by Multidetector Computerized 3D Tomographic Angiography

SUMMARY: One of the most common causes of stroke is rupture of aneurysms whose approach requires knowledge of anatomical variants. The aim of this study was to determine the prevalence of anatomical variants of the anterior cerebral artery (ACA) and the anterior communicating artery (AComA) by 3D computed tomography angiography (3D CTA) in Mexican individuals. A retrospective, observational, cross-sectional descriptive study of 283 patients, independent of sex or age, in which morphometric measurements of cerebral vessels were evaluated using contrasted 3D CTA from a period of two years was performed. We found at least one "atypical" variant in a third of the study population (33.93 %). The most common "atypical" variant was the absence of the AComA (14.1 %). A significant association between the hypoplastic variant of the right A1 segment and hypoplasia of the left A1 and the right A2 was found, while hypoplasia of the left A1 was associated with hypoplasia of the right A2. There is a difference in the prevalence of anatomical variants of the ACA-AComA complex in Mexican population in relation to other populations. The typical variant is the most prevalent form in the study population. However, the presence of atypical variants represents an important number that should be taken into account in clinical and surgical procedures. KEY WORDS: Anterior cerebral artery; Anatomical variant; Anterior communicating artery; Cerebral arterial circle; Subarachnoid hemorrhage; Cerebral endovascular surgery

Dificultad respiratoria y desviación traqueal secundaria a vólvulo sigmoideo: Reporte de caso

Introduction: The trachea is a semiflexible tube of 1.5 to 2 cm in width and 10 to 13 cm in length. Its deviation might be caused by not only diverse thoracic but also abdominal pathologies, which may compromise the airway. We present a case of a severe tracheal deviation due to an abdominal pathology causing displacement of mediastinal structures. Clinical Case: A 78-year-old woman presents with difficulty breathing. History of chronic bedridden and frequently constipated, last stool 5 days prior. On physical examination, cachectic complexion, dry mucous membranes, breathing superficially with scarce wheezing, SatO2 82% on room air. Abdomen distended with an absence of bowel sounds. Chest x-rays show severe tracheal deviation and abdominal x-ray with coffee bean sign. A laparotomy evidences a large sigmoid volvulus. A sigmoidectomy and descending colon colostomy is performed. Room air oxygen saturation improved after extubation to 96%. Conclusion: Desaturation and tracheal deviation were caused by a large sigmoid volvulus. Although these pathologies were thoracic, clinicians should suspect different underlying pathologies, in this case, abdominal.Introducción: La tráquea es un tubo semiflexible de 1-5 a 2 cm de ancho y 10 a 13 cm de longitud. Puede presentar desviaciones en su trayecto, no solo por patologías torácicas, sino también abdominales, las cuales pueden comprometer la vía aérea. Presentamos el caso de una desviación severa de la tráquea por una patología abdominal que ocasionó desplazamiento de las estructuras mediastinales. Reporte de caso: Mujer de 78 años que se presenta por dificultad respiratoria. Antecedente de postramiento crónico en cama y estreñimiento frecuente, con última deposición 5 días previos. En la exploración física presenta complexión caquéctica, mucosas secas, respiración superficial con sibilancias, saturando 82% al aire ambiente. Abdomen distendido con ausencia de ruidos intestinales. Radiografía torácica muestra desviación traqueal severa y la radiografía abdominal muestra signo del grano de café. En el abordaje por laparotomía se evidencia un vólvulo sigmoideo grande. Se realizó sigmoidectomía y colostomía del colon descendiente. La saturación al aire ambiente mejoró después de la extubación a 96%. Conclusión: La desaturación y desviación traqueal fueron causadas por un vólvulo sigmoideo grande. Aunque estas patologías eran torácicas, el clínico debe sospechar diferentes patologías de base, como en este caso, abdominales

Influencia del biocarbón aplicado al suelo sobre atributos de rendimiento y calidad de avena forrajera

El suelo es un recurso imprescindible para la producción agrícola y, por lo tanto, requiere de condiciones adecuadas para favorecer una nutrición adecuada de los cultivos y generar mayores rendimientos. El biocarbón (BC) ha sido propuesto ampliamente para mejorar la calidad del suelo y la productividad de los cultivos. El objetivo del estudio fue evaluar los efectos del biocarbón sobre el rendimiento y calidad de la avena forrajera, en el periodo otoño-invierno 2016-2017. Un diseño de bloques al azar con cuatro repeticiones fue usado, el cual incluía tres tratamientos y un testigo: T0 = testigo absoluto; T1 = [fertilización convencional: (120-60-00 kg ha-1)]; T2 = (2.25 Mg ha-1 de biocarbón + fertilización convencional); T3 = (4 Mg ha-1 de biocarbón + fertilización convencional). El experimento se condujo en campo abierto con una densidad de siembra de 120 kg ha-1. Las variables evaluadas fueron: altura de planta (AP), materia verde (MV), materia seca (MS); fibra detergente neutra (FDN), fibra detergente ácida (FDA), proteína cruda (PC), nutrientes digestibles totales (NDT), digestibilidad de la materia seca (DMS). Los datos registrados se sometieron a análisis de varianza y las medias se compararon con la prueba de Tukey (P < 0.05). Diferencias estadísticas significativas (≤ 0.05) se observaron para AP y MV, donde T2 registró el mayor valor de 33 y 102%, respectivamente, frente al control. Se concluye que la aplicación de biocarbón influye positivamente sobre atributos de rendimiento de avena forrajera. Sin embargo, se deben realizar estudios más detallados, considerando condiciones distintas al presente estudio

Standardized Classification of Aortic Arch Branching Patterns (SCAABP)

Objectives. To review current anatomical classifications for the aortic branching patterns and propose a method for standardized classification of Aortic Arch Branching Patterns (SCAABP). Methods. Through a three-stage Delphi method, expert vascular anatomists in morphology design SCAABP to report trunks, branches, and laterality of aortic arch branching patterns. Results. SCAABP is a classification that includes 7 parameters (Number of branches, and 6 types of branches [braquiocephalic trunk, common trunk, common carotid, subclavian artery, vertebral artery, and ectopic arteries]). It can integrate all reported branching patterns and allows the classification of new or unreported patterns. The classification allows standardization for future comparison of results, and improvement of evidence-based anatomy. Conclusions. SCAABP is a standardized method for classifying anatomical variants of the aortic arch. It is simple, clear, and contemplates new variants. All reported classifications can be integrated